chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HEP
Symptoms: Milk allergy, Umbilical hernia
Clinical narrative: Information has been received from a physician through medical records concerning a 1 day old female, who on 12-AUG-2008, was vaccinated with the first dose of RECOMBIVAX HB, manufacturer unknown. On 26-AUG-2008, the 2 week check noted thrush to the infants mouth and a small umbilical hernia. On 30-SEP-2008, the patient was seen for dry skin to the face and ears that had been noted for a week. There was white exudated noted in the infants throat and diaper rash was reported. The child was diagnosed with dry skin, continued thrush and diaper dermatitis, petrolatum, white (VASELINE), nystatin oral solution and nystatin topical cream were prescribed. On 13-OCT-2008, the patient was seen for a 2 month check up. It was reported that thrush was not better, DIFLUCAN was prescribed. The patient was also vaccinated with PEDIARIX, HIB, manufacturer unknown, rotavirus vaccine (unspecified), and pneumococcal conj vaccine (unspecified). On 25-NOV-2008, the patient was seen for diarrhea for one day. The child had 3 diarrhea diapers. The child was noted to be "fine" on the day of the visit. The diagnosis was a questionable milk protein intolerance. Soy formula was prescribed. No skin rash was noted at this visit. Small umbilical hernia was noted to be a congenital anomaly. Additional information has been requested. Medical records provided upon request.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Myelitis transverse, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Subject received FLUZONE on 9/29/2008.  He began developing symptoms of transverse myelitis on 10/13 and even if these events could be completely unrelated I would prefer to file this report.  01/02/2009 PCP records received which include daily progress notes from hospital admission.  2/23/09 MR received for 2 admissions 10/14-12/23/2008 with D/C DX: Transverse Myelitis. Pt initially presented after onset of knee pain, numbness, paresthesias, weakness and difficulty ambulating. PE (+) for lack of crimasteric, patellar, and achilles reflex, inability to move lower extremities, loss of strength of LE, and (+) Babinski. Admitted for eval and tx.  Urology consult for urinary retention. pt to self cath. Tx: steroids and plasmapheresis. Developed spasticity and E. coli UTI during admission. Transferred to rehab on 12/3/08 with some improvement in sensation and movement.
Age: 4.0
Sex: M
Vaccine: PNC
Symptoms: Abasia, Cellulitis, Infection, Injection site pain, Injection site swelling
Clinical narrative: Pain and severe swelling from injection site down to knee. Couldn't walk. Cellulitis/severe infection. 1/29/09-DC summary received for DOS 12/3-12/5/08-DC DX Right thigh cellulitis. Presented with right thigh swelling, redness and pain.
Age: 19.0
Sex: F
Vaccine: FLUN3, HEPAB, MMR, MNQ, TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated 1/2/09-records received for DOS 12/2/08-C/O rash on left side of back.DX: Chickenpox. Reaction to varicella vaccine. 12/8/08-lesions are now scabbed over.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt came in on 12/10/08 at 1:20 PM to have her TB test read. She showed me her right upper arm. She had a 3" red circle around injection area. It is tender to touch. She will follow-up tomorrow if no improvement.
Age: 0.7
Sex: M
Vaccine: FLU3
Symptoms: Rash, Urticaria, Vomiting
Clinical narrative: Rash in trunk and face (hives) 5 hours after injection given, and he also vomited x 2. When Dr examined pt., rash was gone.
Age: 1.7
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No known adverse reaction.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Hypersensitivity, Vomiting
Clinical narrative: Had episode of emesis and hypersensitivity after vaccine. Resolved with breathing in paper bag.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Chest discomfort, Oropharyngeal pain, Pain in extremity, Pyrexia, Rash
Clinical narrative: 1 week after receiving MENACTRA in right deltoid, the patient had about 3 cm rash with (R) arm pain. No burning sensation to rash; had fever 101.3 degrees on day of onset. Chest tightness and sore throat.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia, Chills, Malaise, Pyrexia
Clinical narrative: Fever of 101.2. Arthralgias. Chills. Malaise. H/A
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site inflammation, Injection site pain, Lymph node pain
Clinical narrative: Per pt., e-mailed about 11 pm that night (L) side began to get sore - (L) lymph nodes very tender and pain went down through the (L) side of ribs to pelvis. The site was hot, red, inflamed, and tender, could barely move (L) side was so sore and painful. Stayed in bed entire day - Sat., site still red, hot and sore. Sunday, getting back to normal.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Drug administered at inappropriate site, Immediate post-injection reaction, Injected limb mobility decreased, Laboratory test, Sleep disorder
Clinical narrative: 11/1/08, given flu shot high on left arm into joint, sore to begin with; and as of 12/1 developed into unmovable joint, unable to lift arm and disrupts sleep.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: X-ray normal
Clinical narrative: 11/1/08, given flu shot high on left arm into joint, sore to begin with; and as of 12/1 developed into unmovable joint, unable to lift arm and disrupts sleep.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Syncope
Clinical narrative: After 10 minutes - stood up in hallway - collapsed - to floor - got up with help - assisted back to room - gave O2 2 - took vitals every 5 minutes - gave water - after 20 minutes - could walk without help - referred to ER. Was taken by mother.
Age: 13.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Dizziness, Injected limb mobility decreased, Musculoskeletal stiffness, Nausea, Ocular hyperaemia
Clinical narrative: 24hr after vaccines he developed fever 103.2, stiff neck, bloodshot eyes, dizziness, nausea and couldn't lift his arms. He was not seen by medical personnel. Symptoms resolved in 2 days.
Age: 13.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Pyrexia
Clinical narrative: 24hr after vaccines he developed fever 103.2, stiff neck, bloodshot eyes, dizziness, nausea and couldn't lift his arms. He was not seen by medical personnel. Symptoms resolved in 2 days.
Age: 28.0
Sex: F
Vaccine: HIBV, TDAP
Symptoms: Pain, Pruritus, Rash, Urticaria
Clinical narrative: Rash developed on back of neck; patchy hives. C/O itchiness, painful to touch. No resp. sx.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Burning sensation, Injection site erythema, Injection site induration, Injection site warmth, Pain in extremity
Clinical narrative: Pt. was given Tdap, IM, in (L) deltoid, presented 12/15/08 with redness, firmness, warm to touch area on (L) deltoid, 4" x 6"in size. C/O pain and burning about 24 hours after immunization - ice  20 minutes on 20 minutes off x 4, recommended.
Age: 7.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Rash erythematous, Urticaria, Vomiting
Clinical narrative: About 5 mins. after immunization, pt. developed erythematous, urticarial rash face, chest, back, arms, thighs. Pt. also vomited x1. BENADRYL 25 mg given. Observed for 45 mins. No resp. issues.
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 3 days post vaccination - developed redness, mild induration @ site of injection and redness. Spread down from injection site, 4 cm wide- on lateral surface of left arm down to mid-forearm. Treated with BENADRL (oral).
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Pt has significant case (60 + lesions) of varicella (diagnosed clinically) which began 8 days after vaccine- ? Imm. reaction vs wild type disease. No secondary infection to date. Currently has sxs expect full recovery.
Age: 68.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Pt recovered severe vomiting and diarrhea on 12/11/08 at appx 12AM x 4 hours. No fever or headache. Did not seek medical attention.
Age: 58.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Erythema, Headache, Oedema peripheral, Pyrexia
Clinical narrative: 24 hr later arm red hot swollen 5X5, chills, fever, HA in 48hrs, red/ purple, swelling starting 72 hrs later
Age: 58.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Skin discolouration, Skin warm, Swelling
Clinical narrative: 24 hr later arm red hot swollen 5X5, chills, fever, HA in 48hrs, red/ purple, swelling starting 72 hrs later
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: No reaction on previous exposure to drug, Oxygen saturation normal, Pallor, Rash erythematous, Rash macular
Clinical narrative: Approximately ten minutes following administration of GARDASIL #2, patient experienced erythematous blanchable macules on both arms. Denied SOB, nausea, itching and/or pain. No reaction following GARDASIL #1. Rash began to resolve with no treatment except BENADRYL, 25 mg.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP, VARCEL
Symptoms: Erythema, Musculoskeletal stiffness
Clinical narrative: Redness and stiffness
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Herpes zoster, Pain, Swelling
Clinical narrative: This may have nothing to do with the vaccine, but in the interests of scientific fact gathering, I am reporting it. I developed a nasty case of Shingles (Herpes Zoster) on the left side of my face and scalp,with swelling around my forehead and eyes. I was given ACYCLOVIR and Prednisone by the Urgent care doctor on 11/16/08, and seen by my PCP on 11/17/08. By 11/27/08, symptoms were subsiding and by 12/16/08, I am almost completely ok. My pain and beginning symptoms started on 11/12/08.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Irritability
Clinical narrative: Parents report 2-3" erythema left leg at injection site with baby fussy 3-4 hrs after vaccination. Taken to ER where BENADRYL and TYLENOL given. Sx resolved within 1 hr. Baby fine without Sx today.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity
Clinical narrative: Wife States had to go to state clinic and received a prescription for steroid. Had determined allergic reaction.
Age: 0.1
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, High-pitched crying, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed 1 1/2" x 2" diameter area of redness. Swelling and warmth of (L) thigh around injection site. Pt also had high-pitched crying and inconsolable for at least 3hrs. This began approx. 2hrs after receiving immunizations.
Age: 44.0
Sex: M
Vaccine: FLU3, MMR, TDAP
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Musculoskeletal pain, Nerve conduction studies, Nuclear magnetic resonance imaging
Clinical narrative: Left shoulder and arm pain began immediately and has not resolved. Left arm/hand numbness and tingling began about 1.5 - 2 weeks after vaccine was administered. Orthopedist reported scarring in the deltoid and ordered physical therapy.  Neurology evaluation pending. Tdap and Flu given in left deltoid. MMR given in right arm.
Age: 44.0
Sex: M
Vaccine: FLU3, MMR, TDAP
Symptoms: Pain in extremity, Paraesthesia, Scar, X-ray abnormal
Clinical narrative: Left shoulder and arm pain began immediately and has not resolved. Left arm/hand numbness and tingling began about 1.5 - 2 weeks after vaccine was administered. Orthopedist reported scarring in the deltoid and ordered physical therapy.  Neurology evaluation pending. Tdap and Flu given in left deltoid. MMR given in right arm.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Loss of consciousness
Clinical narrative: PT FELT DIZZY, HAD COLD SWEATS, THEN BLACKED OUT; HAD TO BE CARRIED TO BACK TREATMENT AREA AND PLACED INTO GURNEY.  PT AWOKE IMMEDIATELY; VITAL SIGNS WERE STABLE; CHECKED OUT BY PHYSICIAN ON DUTY AND RELEASED AFTER ABOUT 45 MINUTES OF OBSERVATION.
Age: 36.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Redness and swelling at injection site radiating to axilla. Heat in tissue involved. Augmentin PO given for 10 days.
Age: 24.0
Sex: M
Vaccine: FLU3, PPV, TD, FLUX, PPV, TD
Symptoms: Blood immunoglobulin E increased, Lymphadenitis, Lymphadenopathy, Pain in extremity
Clinical narrative: Patient with PMH of asthma and significantly  elevated IgE 2159 was admitted with the right axilla pain after the pneumovax and flu shot in the right arm yesterday earlier during the day. He was also given Td in left arm.  Patient had equisitely tender anterior aspect of right  axilla when moving adducting and abducting the right shoulder. Patientwas seen by the neurology, general surgery and orthopedic teams, and was  also discussed with allergy immunology aeam. He was empirically given abx, pain meds and IVF. MRI of the right shoulder was obatined that confirmed "cluster of enhancing masses in the right axilla most consistent with lymph nodes with surrounding mild inflammation. No abscess. Therefore, it was believed that patient has had reactive lymphadenitis to the immunization (flu, pneumovax) that he received in the right arm on 11/25/08.
Age: 24.0
Sex: M
Vaccine: FLU3, PPV, TD, FLUX, PPV, TD
Symptoms: Axillary pain, Inflammation, Injected limb mobility decreased, Lymphadenitis, Mass
Clinical narrative: Patient with PMH of asthma and significantly  elevated IgE 2159 was admitted with the right axilla pain after the pneumovax and flu shot in the right arm yesterday earlier during the day. He was also given Td in left arm.  Patient had equisitely tender anterior aspect of right  axilla when moving adducting and abducting the right shoulder. Patientwas seen by the neurology, general surgery and orthopedic teams, and was  also discussed with allergy immunology aeam. He was empirically given abx, pain meds and IVF. MRI of the right shoulder was obatined that confirmed "cluster of enhancing masses in the right axilla most consistent with lymph nodes with surrounding mild inflammation. No abscess. Therefore, it was believed that patient has had reactive lymphadenitis to the immunization (flu, pneumovax) that he received in the right arm on 11/25/08.
Age: 24.0
Sex: M
Vaccine: FLU3, PPV, TD, FLUX, PPV, TD
Symptoms: Nuclear magnetic resonance imaging abnormal, Tenderness
Clinical narrative: Patient with PMH of asthma and significantly  elevated IgE 2159 was admitted with the right axilla pain after the pneumovax and flu shot in the right arm yesterday earlier during the day. He was also given Td in left arm.  Patient had equisitely tender anterior aspect of right  axilla when moving adducting and abducting the right shoulder. Patientwas seen by the neurology, general surgery and orthopedic teams, and was  also discussed with allergy immunology aeam. He was empirically given abx, pain meds and IVF. MRI of the right shoulder was obatined that confirmed "cluster of enhancing masses in the right axilla most consistent with lymph nodes with surrounding mild inflammation. No abscess. Therefore, it was believed that patient has had reactive lymphadenitis to the immunization (flu, pneumovax) that he received in the right arm on 11/25/08.
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Back pain, Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness, Myalgia
Clinical narrative: Tdap given 11/20/08, pt adm to hospital, dx with Guillian-Barre Syndrome.  Neuro sx of progressive numbness, tingling, weakness bilateral upper and lower extremities, along with muscle aches and severe back pain which started 11/30 or 12/1 according to family. As of 12/23 client remains inpatient at Hospital. 2/23/09-records received-for DOS 12/10/08-DC DX: Guillain-Barre syndrome. Admitted with 2 week history of progressive weakness and paresthesias of extremities begin in feet and progressed to upper extremities. PE: decreased light touch sensation in bilateral lower extremities and upper extremities with weakness in all four. Treated with IVIG. During second course of IVIG creatinine doubled. Plasmapheresis.Transferred to rehab facility.
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Paraesthesia
Clinical narrative: Tdap given 11/20/08, pt adm to hospital, dx with Guillian-Barre Syndrome.  Neuro sx of progressive numbness, tingling, weakness bilateral upper and lower extremities, along with muscle aches and severe back pain which started 11/30 or 12/1 according to family. As of 12/23 client remains inpatient at Hospital. 2/23/09-records received-for DOS 12/10/08-DC DX: Guillain-Barre syndrome. Admitted with 2 week history of progressive weakness and paresthesias of extremities begin in feet and progressed to upper extremities. PE: decreased light touch sensation in bilateral lower extremities and upper extremities with weakness in all four. Treated with IVIG. During second course of IVIG creatinine doubled. Plasmapheresis.Transferred to rehab facility.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: after about an hour and a half chest felt heavy and started having trouble breathing
Age: 6.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: swollen left arm with pain scale of 6 ( by patient )
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Oedema, Pruritus, Urticaria
Clinical narrative: urticaria itching and mild edema within minutes after vaccines administered.vaccines given were:Dtap, MMR, IPV, Varicella, Flu.  Mom denied any previous reactions to vaccines.  denied allergies to meds.  Stated pt had allergies to strawberries, mangoes and grapes.Denied allergy to eggs.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Erythema, Headache, Injection site erythema, Injection site oedema
Clinical narrative: Myalgias, arthralgias, HA, no fever resolved 2 days following injection. Also developed erythema, redness, edema around injection site which at day 8 extended 10 cm distal to injection site. No evidence of cellulitis.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia
Clinical narrative: Myalgias, arthralgias, HA, no fever resolved 2 days following injection. Also developed erythema, redness, edema around injection site which at day 8 extended 10 cm distal to injection site. No evidence of cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Mother reported 3 inch red pink area over where varicella vaccine was given.  Occured three days after administration and started to fade 6 days after administration.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated, Injected limb mobility decreased, No reaction on previous exposure to drug, Pain in extremity, Tenderness
Clinical narrative: Vaccine administered at annual mass influenza clinic setting. Patient notified HD on 12/16/2008 that he received flu vaccine and has had sore Left arm. Arm was a little sore prior to vaccination date, was a little more sore for a few days after the vaccine, but when the increased soreness did not abate, patient noticed. Reports decreased ROM: can assist left with right to reach full ROM. Mentioned to occasional provider, but has not informed "regular MD". Reports no problems with prior influenza vaccine. Education to notify HCP re evaluation.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling
Clinical narrative: ERYTHEMA AND SWELLING NOTED ON POSTERIOR ARM FROM SHOULDER TO ELBOW BILATERALLY IMMEDIATELY FOLLOWING VARICELLA AND MMR INJECTIONS.
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Pyrexia
Clinical narrative: On 12-16-08 patient woke up with a 103.5 degree fever (a couple of times the fever ranged from 103.7-104.4 on the high end) that lasted for three days.  I gave her Motrin every 6 hours during those three days.  She did not want to eat much, but she did drink a lot of fluids.  On the fourth day the fever was completely gone.
Age: 49.0
Sex: M
Vaccine: MMR
Symptoms: Chills, Pain, Pruritus, Pyrexia, Rash
Clinical narrative: 12/21/08-chills; 12/22/08-spots across chest and back of neck; 12/23/08-low grade fever, itching, aching; rash over face, head, chest
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Injection site cellulitis
Clinical narrative: PATIENT DEVELOPED LUE CELLULITIS 13 DAYS AFTER BEING ADMINSITERED THE PNEUMOCOCCAL VACCINE.  PATIENT GIVEN CEPHALEXIN 500MG TID FOR CELLULITIS.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Cellulitis, Pain in extremity
Clinical narrative: Complaints of pain in left arm beginning day of vaccine then becoming what patient described as debilitating pain in arm, requiring visit to an urgent care center 8 days after vaccine. Temp 100, no redness/swelling. Was diagnosed and treated with possible cellulitis.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin abnormal, Granuloma annulare, Rash generalised
Clinical narrative: Generalized rash with biopsy consistent with granuloma annulare s/p 2 week after zostervax.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Loss of consciousness
Clinical narrative: Initial report was received 10 December 2008 from a health care professional. A 10-year-old male patient with a history of asthma and an allergy to Advair discus, had received an intramuscular injection of FLUZONE SV 2008-2009, lot number U2809AA on an unspecified date and moments after vaccination, he passed out. The event lasted less than five minutes and the patient became alert and oriented with no deficits noted by the physician. The patient recovered from the event. The patient had a prior event where they passed out after receiving FLUZONE, lot number U2449AA last year. This event had been received as a cluster report. The patient experienced a previous event which was captured in case 2008-03955. Documents held by sender: None.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Loss of consciousness
Clinical narrative: Seriousness Criteria: Other-Medically Significant. Initial report was received 10 December 2008 from a health care professional. A 9-year-old male patient had received an injection of FLUZONE SV 2007-2008, lot number U2449AA on an unspecified date last year and moments after vaccination, he passed out. Specific details were not reported for the event; however, the patient had experienced a subsequent event where they passed out following receipt of FLUZONE SV (captured in case 2008-03954). The subsequent events lasted less than five minutes and the patient became alert and oriented with no deficits noted by the physician. The patient recovered from the events. This event had been received as a cluster report. The patient experienced a subsequent event which was captured in case 2008-03954. Documents held by sender: None
Sex: M
Vaccine: FLU3
Symptoms: Blister, Contusion, Rash, Sensory loss
Clinical narrative: Initial report was received 10 December 2008 from a health care professional. A male patient (age not reported) had received an intramuscular left deltoid injection of FLUZONE SV 2008-2009, lot number U2749AA on 08 December 2008 and the following day, he noticed a loss of sensation bilaterally in his hands and feet, a rash on the palms of his hands, blisters on two fingers of each hand, and a purple bruising on both fingers. According to the reporter, the physician had prescribed PREDNISONE that day for an unknown reason. The patient had not recovered from the event and no further information was provided at the time of the report. Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP, FLU3, MNQ, TDAP
Symptoms: Muscular weakness
Clinical narrative: Reported that 11-year old male patient received the vaccines below. Presented to physician office today c/o bilateral weakness in both upper and lower extremities. Diagnosed as possible GBS and sent to hospital. 12/29/2008 MR received from PCP which include hospital records for DOS 12/17-20/2008 with D/C DX: weakness in limbs. Admitted from PCP office to r/o GBS due to onset of weakness 3 weeks ago which required help with ambulation and 1 episode of bladder incontinence. Some resolution on it's own, but still with intermittent episodes of weakness, requiring help with ambulation. Now with h/A, persistant pain in knees, legs and thighs and mild SOB.  PE (+) for decreased strength, borderline patellar reflexes.    F/U visit to PCP on 12/24/08-no muscle weakness. 1/15/2009 MR received for DOS 12/17-20/08 with D/C Dx: Weakness in limbs. Pt presented with intermittent weakness and pain. W/U (-).  Pain much improved.  Weakness unchanged. D/C to f/u with PCP.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP, FLU3, MNQ, TDAP
Symptoms: Guillain-Barre syndrome, Muscular weakness
Clinical narrative: Reported that 11-year old male patient received the vaccines below. Presented to physician office today c/o bilateral weakness in both upper and lower extremities. Diagnosed as possible GBS and sent to hospital. 12/29/2008 MR received from PCP which include hospital records for DOS 12/17-20/2008 with D/C DX: weakness in limbs. Admitted from PCP office to r/o GBS due to onset of weakness 3 weeks ago which required help with ambulation and 1 episode of bladder incontinence. Some resolution on it's own, but still with intermittent episodes of weakness, requiring help with ambulation. Now with h/A, persistant pain in knees, legs and thighs and mild SOB.  PE (+) for decreased strength, borderline patellar reflexes.    F/U visit to PCP on 12/24/08-no muscle weakness. 1/15/2009 MR received for DOS 12/17-20/08 with D/C Dx: Weakness in limbs. Pt presented with intermittent weakness and pain. W/U (-).  Pain much improved.  Weakness unchanged. D/C to f/u with PCP.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC, RV5
Symptoms: Barium enema normal, Culture stool positive, Diarrhoea, Haematochezia, Pyrexia
Clinical narrative: 12-15-2008 Hospitalized for fever- max 103.3, rectal, diarrhea with some blood in the  stool. Stool culture grew out Salmonella. Patient was then treated with bactrim and recovered. 12/31/08-records received  for DOS 12/15-12/16/08-DC DX: Fever and Salmonella gastroenteritis. Presented to ED with 3 day history of fever, cough and hematochezia which developed morning of admission. Fussy. Blood in stool.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Acne, Alanine aminotransferase normal, Arthralgia, Aspartate aminotransferase normal, Basophil count normal
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Blood chloride decreased, Blood cholesterol normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Blood sodium normal, Blood thyroid stimulating hormone normal, Blood urea normal, Blood uric acid normal, Carbon dioxide normal
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Computerised tomogram abnormal, Condition aggravated, Eosinophil count increased, Eosinophil percentage increased, Epicondylitis
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Haematocrit normal, Haemoglobin normal, Headache, Lymphocyte count normal, Lymphocyte percentage
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Mean cell haemoglobin concentration increased, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Monocyte percentage, Neutrophil percentage, Platelet count normal, Protein total normal, Red blood cell count normal
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 46.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR, MNQ, PPV, SMALL, TYP, VARCEL, YF
Symptoms: Red cell distribution width increased, Tendonitis
Clinical narrative: History of gout (ankles, feet, knees) since 1997. Diagnosed with tendonitis in ankles 2003; 2003/2004  increased pain in wrists/elbows. Diagnosed with tennis elbow. 2007 right ankle pain. Began to have headaches in 2005--stabbing pain around his eyes which lasted for hours, no nausea, vomiting, photophobia or visual changes. Treats with TYLENOL with relief. Has not sought medical care. Since 2003/2004 has had "pimples" in his hair. Since 1997 has suffered from nervousness and a bad temper.
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Redness, swelling, rash at injection site
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Myalgia
Clinical narrative: muscle soreness in rotator cuff area. Inability to life arm to full extension.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Neuralgia, Paraesthesia
Clinical narrative: Pt received PNEUMOVAX 0.5mL in left deltoid on 6/18/08. Shortly thereafter, pt developed neuropathic pain in that same arm. Paresthesia and neuropathic pain as only unilateral in left arm and appeared to be temporarily related to the vaccination. Pt went to private neurologist for further testing and physical evaluation. Was treated with GABAPENTIN and the pain remitted after 2 weeks of treatment. GABAPENTIN was subsequently discontinued and pt has been pain free.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Nasal congestion, Pain, Pyrexia
Clinical narrative: chills, "fever", body aches, congestion, chest tightness
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Cough, Pain, Sneezing
Clinical narrative: Body aches, chills, sneezing, coughing, tightness in chest.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Aspartate aminotransferase, Blood creatine phosphokinase, Blood electrolytes, Blood lactate dehydrogenase, Blood urea
Clinical narrative: Diffuse myalgias,fever, cough beginning 2 days after vaccine and worsening times 5 days.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Culture, Differential white blood cell count, Full blood count, Myalgia
Clinical narrative: Diffuse myalgias,fever, cough beginning 2 days after vaccine and worsening times 5 days.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Diffuse myalgias,fever, cough beginning 2 days after vaccine and worsening times 5 days.
Age: 24.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Rash, Rash erythematous, Urticaria
Clinical narrative: Had hives around TB test site after 2 days, and at 3 days had red bumps on forehead and across nose and cheeks. No swelling or raised areas.
Age: 66.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pyrexia
Clinical narrative: 7 hrs after Flu shot developed 102 degrees F fever. Severe aches and pains. 36 hour duration of symptoms.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Client began noticing spots under breasts and on back on Left side of body the day following vaccination. Complained of itching to these areas. No other symptoms, fever or pain.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Wrong technique in drug usage process
Clinical narrative: Pulled out only dilute and administered - HIB
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient has rash that is red and itchy it covers his arms and chest
Age: 85.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Local reaction
Clinical narrative: Severe local reaction.
Age: 0.5
Sex: F
Vaccine: HIBV, PNC, RV5
Symptoms: Rash erythematous, Swelling
Clinical narrative: Pt received vaccines at 1200 12/10/08. Woke this am with angry red swollen patches covering 80% of her body. Afebrile In no apparent distress. BENADRYL 10mg Qbh po as needed.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Blister, Rash erythematous, Rash maculo-papular, Virus culture
Clinical narrative: Erythematous,small maculopapular rash, with one vesicle. Symptomatic treatment (Benadryl  by mouth as needed).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cough, Oxygen saturation normal, Wheezing
Clinical narrative: Approximately 4pm dad came back into office stating that since they left, pt has been coughing and wheezing. Put pt. in exam room and Dr. assessed him, BP 118/72, pulse ox 97%. Attempted to give BENADRYL, but pt. spit all of it out. Dr. ordered albuterol neb and neb given approx. 4:05 pm, Attempt to give another dose of BENADRYL 12.5 mg per Dr. but pt spit that out.
Age: 1.4
Sex: M
Vaccine: DTAP, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt received a dose of DAPTACEL on 9/23/08. Pt presented today for 15 month exam and received a 5th dose of DAPTACEL today.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Urticaria
Clinical narrative: On 12/17/08, patient received DTaP, MMR, and IPV the morning. No problem throughout the day. Morning of 12/18/08, mother noticed fever 101F and hives. No respiratory symptoms or edema.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Discomfort, Erythema, Pain, Pyrexia, Skin lesion
Clinical narrative: Within hours of vaccine developed mild swelling/pain/discomfort which worsened over 24 hours to 11 x 17 cm raised red lesion. Treated with NSAIDS, ice, BENADRYL, TYLENOL. 103 fever.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Within hours of vaccine developed mild swelling/pain/discomfort which worsened over 24 hours to 11 x 17 cm raised red lesion. Treated with NSAIDS, ice, BENADRYL, TYLENOL. 103 fever.
Age: 31.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Dehydration, Diarrhoea
Clinical narrative: Mom called triage nurse complains of child having diarrhea ever since she received shots wonders if there was another  HIB recall advised mom to take child to a pediatrician covered by her insurance for dehydration. Advised pedialyte (which she is taking)
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Headache, Oropharyngeal pain, Palpitations
Clinical narrative: First soreness in my throat. After one week problems to breathing, headaches, palpitations.
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Pneumovax administered 11/12/08. large area of erythema/swelling/fever to 102 deg., intense pain
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Lightheadedness, tingling in face, arms and welts. Gave 25 mg BENADRYL, 1/2 hr later, symptoms subsided, employee then got a ride home. 11/28/08
Age: 5.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left Arm 5cm X 3cm area raised and red
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Computerised tomogram normal, Hemiparesis, Hypoaesthesia, Laboratory test normal, Scan brain
Clinical narrative: Pt c/o Trismus onset <24 hrs after vaccine admin Sx progressing to numbness, weakness to left side. All labs, WNL, CT negative.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Trismus
Clinical narrative: Pt c/o Trismus onset <24 hrs after vaccine admin Sx progressing to numbness, weakness to left side. All labs, WNL, CT negative.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: erythema, vesicular eruption at injection site (L) thigh
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Nausea, Pain in extremity, Rash
Clinical narrative: (Nausea 2days) Chills 2 days  (left arm soreness and rash  10 days, 1 week)
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness, hot, swelling 2 days post-treated with ROCEPHIN and KEFLEX.
Age: 11.0
Sex: F
Vaccine: FLU3, HEP, HPV4, MNQ, VARCEL
Symptoms: Inappropriate schedule of drug administration, Pallor
Clinical narrative: Client received vaccines listed below-Advised to remain seated while paper work was being filled in and signed. I noticed patient sliding down in her chair she became very pale. I assisted her to sit up in the chair advised her to lower her head and she did-I applied ice pack advising her to take slow deep breaths which she did client agreed to lie down. Take to clinic area per co-worker where checked by physician.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Lethargy, Local reaction, Malaise, Oral pain
Clinical narrative: Local-soreness, pain, swelling, redness. Systemic-lethargy-general malaise-mouth and throat soreness.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pain, Swelling
Clinical narrative: Local-soreness, pain, swelling, redness. Systemic-lethargy-general malaise-mouth and throat soreness.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pain, Pain in extremity, Vomiting
Clinical narrative: headache/Body ache/ vomiting, sore arm
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Hyperhidrosis, Myalgia
Clinical narrative: 3 hours of sweats severe myalgias chills, relieved by acetaminphen, 12 hours after vaccination.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: No symptoms for me just a sore Rt arm.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain
Clinical narrative: Nausea and body aches.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Flushing, Paraesthesia, Pruritus, Stridor
Clinical narrative: Above individual called the health center and said had a reaction after vaccinated with FLUZONE. C/O flushed face tingling and itching, coughing wheezing stridor. Onset 3 hrs after shot rec'd sx lasted 12 hours she did not seek medical attn. She took 2 puffs of a cumavent inhaler x 3 that belonged to her "client". Sx improved but still coughing. Health center consulted pt advised to go to ER for eva. and follow up with MD. Pt ate at BD party at 1pm. 11/1/08.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Above individual called the health center and said had a reaction after vaccinated with FLUZONE. C/O flushed face tingling and itching, coughing wheezing stridor. Onset 3 hrs after shot rec'd sx lasted 12 hours she did not seek medical attn. She took 2 puffs of a cumavent inhaler x 3 that belonged to her "client". Sx improved but still coughing. Health center consulted pt advised to go to ER for eva. and follow up with MD. Pt ate at BD party at 1pm. 11/1/08.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA, HIBV
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis of thigh.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling, Local swelling
Clinical narrative: Very large raised area upper (R) arm and shoulder
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site discolouration
Clinical narrative: Small flesh colored episodes Bilateral thigh at site of injection
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling to upper arm also
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Pyrexia, Rash, Rash pustular
Clinical narrative: 12/22/08 called to report rash on Abdomen , shoulders, c/o itching, pustule on shoulder. Fever 100 degrees to 101 degrees.
Age: 0.2
Sex: F
Vaccine: HEP, HEP
Symptoms: Oedema, Petechiae, Pulmonary congestion, Sudden infant death syndrome
Clinical narrative: Information has been received from a case in litigation via a literature article concerning a 7 week old female, who on 21-DEC-1994, was vaccinated with a dose of RECOMBIVAX HB (manufacturer unknown). Subsequently, on the same day of vaccination, the child died of sudden infant death syndrome or accidental suffocation by sleeping adult and not from a "cytokine storm" triggered by RECOMBIVAX HB (manufacturer unknown). "Although petitioners' expert, offered an opinion that three or four hours was a reasonable period of time for the manifestation of the clinical symptoms of a cytokine storm to appear, Child Doe/11 did not manifest any of the anticipated symptoms within that time frame." A Special Master said "the lack of clinical symptoms within the expected time frame does not support a finding in petitioners' favor regarding the causal relationship between Child Doe/11 vaccination and her death. In the absence of clinical and pathological evidence that a cytokine storm had occurred or that an encephalopathy had resulted, the undersigned is not persuaded by petitioners' theory that Child Doe/11 sleepiness during several hours after her vaccination was indicative of an abnormal vaccination reaction that ultimately led to her death." It was noted that "many of the classic findings in a post mortem examination of a SIDS case were present in Child Doe/11 at autopsy," said a Special Master. "She was a long, weighty baby with a large brain. Although there was evidence of some edema in her brain, because edema of the degree present in Child Doe/11 is accompanied generally by clinical symptoms of a severity and type that were not present in this case... the undersigned is not persuaded that the edema was as severe as the physician described... Even thought the physician admitted that he saw no evidence of edema in those organs, he yet asserted that edema must have been present to account for the heaviness of Child Doe/11's organs and to support petitioners' causation theory of a cytokin-induced encephalopathy." A Special Master said,  a post-mortem of Child Doe/11's body found her organs to be heavy, which is consistent with death by asphyxiation. The special master said, a physician explained that a child's organs become heavy during asphyxiation because in hypoxia, the blood vessels become dilated and the organ become congested with blood. The cause of death was ruled SIDS, by a forensic pathologist, who noted signs associated with SIDS, such as "rare epicardial petechiae," pulmonary congestion and edema. The special master said, the child's age was within the accepted temporal window for SIDS.