chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Feeling abnormal, Feeling hot, Hepatitis B antibody negative, Malaise
Clinical narrative: Another employee called me about 9AM that patient felt ill & left - maybe the shot? I called her on the cell - left message. I spoke to her by phone later that afternoon. She said she began to feel strange about the time she left the Emp. Health office and really bad by the time she was back in her office. She felt a heat wave sweep through her body and then very weak. She's unaware if she was feverish - didn't take her temperature. She drove home and slept over 3 hours. When she called me back, she said she was feeling normal again. No reaction like this with previous 4 doses.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Fever, chills, body aches, swelling of the entire left upper arm with redness.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, swelling of the entire left upper arm with redness.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Dyskinesia, Muscle twitching
Clinical narrative: 1-23-12 received 3rd GARDASIL in (R) deltoid. Around 5pm (same day) started with a slight twitch to (R) arm and then started jerking and she felt dizzy. Was seen at ER given 125mg steroid Methylprednisolone and 50mg IV Diphenhydramine and it stopped but started again early next day.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Burning sensation, Dizziness, Dyskinesia, Hyperhidrosis
Clinical narrative: 1-23-12 received 3rd GARDASIL in (R) deltoid. Around 5pm (same day) started with a slight twitch to (R) arm and then started jerking and she felt dizzy. Was seen at ER given 125mg steroid Methylprednisolone and 50mg IV Diphenhydramine and it stopped but started again early next day.
Age: 15.0
Sex: M
Vaccine: HPV4
Symptoms: Feeling of body temperature change, Headache, Nausea, Vertigo, Viral infection
Clinical narrative: Immediately after leaving facility, pt got HA, later nausea & vertigo, vomiting. Hot & cold spells. Mother took daughter to MD - MD felt she picked up virus. Tx anti nausea. MD felt it was OK to receive last vaccine.
Age: 15.0
Sex: M
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Immediately after leaving facility, pt got HA, later nausea & vertigo, vomiting. Hot & cold spells. Mother took daughter to MD - MD felt she picked up virus. Tx anti nausea. MD felt it was OK to receive last vaccine.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: Shot received in left arm. As of today's date 1-27-12, I am unable to use this arm as needed. It has a pain, similar to a tooth ache. I can not sleep on my left side. I have tried heat, aspercreme, and used my TENZ unit! Still hurts.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Infection, Malaise, Mobility decreased, Nausea, Oedema peripheral
Clinical narrative: Extreme nausea and vomiting -> hospitalized arm swollen and hard to use. 1-17-12 readmitted - infection - was given an antibiotic I.V. - then released. 1-23-12 called patient - spoke with companion - she is better but still not feeling well & has been on a course of antibiotics from her primary physician.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Extreme nausea and vomiting -> hospitalized arm swollen and hard to use. 1-17-12 readmitted - infection - was given an antibiotic I.V. - then released. 1-23-12 called patient - spoke with companion - she is better but still not feeling well & has been on a course of antibiotics from her primary physician.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Acute myeloid leukaemia, Blood count abnormal, Maternal exposure during pregnancy, Premature labour
Clinical narrative: Was given the flu shot FLUVIRIN while pregnant and 10 weeks later was diagnosed with AML Leukemia. Caused life threatening drop in blood counts and premature labor.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes
Clinical narrative: Numerous (4) cold sores on lips past month ANBESOL gel.
Sex: F
Vaccine: FLUX
Symptoms: Drug administered at inappropriate site
Clinical narrative: Doctor office INFLUENZA vaccine. There was a pregnant women who requested to have the flu vaccine in the gluteal muscle. The medical assistant administered the vaccine as the patient requested. The proper steps have been taken to prevent these types of errors in the future.
Age: 42.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Pruritus, Rash generalised
Clinical narrative: Pt had spots/rashes all over body; face felt hot, and abdominal are felt itchy. When she came to the pharmacy on 1/21/12; vaccine administered 1/18/12.
Age: 28.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Nausea
Clinical narrative: Nausea and weakness. Lightheadedness, resolves w/ lying down. No trouble swallowing, talking or breathing. Ondansetron 4mg for nausea.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Cellulitis, Pyrexia
Clinical narrative: Cellulitis (R) arm after PNEUMOVAX elevated fever x 5 days (104). Received IV & oral antibiotic.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Soreness at injection site that went away after 3 days and returned 4 months later.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Febrile convulsion, Gaze palsy, Postictal state, Pyrexia, Tremor
Clinical narrative: Patient felt warm night before visit. Temperature normal at exam. Got shots. About 2 hours later had 104 fever, shaking, eyes roll back x 5 min. Postictal for 30 min. Presume febrile seizure.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Pain at injection site, shoulder bones, at left shoulder spreading down to (L) fingers. The pt still complains of pain 2 months later. This was most likely to improper route of administration. Injected at shoulder near bone.
Age: 10.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin lesion
Clinical narrative: Pt has half dollar-sized red elevation on (R) arm, quarter-sized lesion (L) arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Erythema, Immediate post-injection reaction, Induration, Injection site joint pain, Injection site reaction
Clinical narrative: Pain and itch of (L) shoulder after (immed.) vaccination. Pt seen with 5cm x 4cm sl warmth, pink and induration.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Pruritus, Skin warm
Clinical narrative: Pain and itch of (L) shoulder after (immed.) vaccination. Pt seen with 5cm x 4cm sl warmth, pink and induration.
Age: 18.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Erythema, Muscle tightness, Oedema peripheral
Clinical narrative: Next day arm swollen and red. Heated left arm. 3 days after, muscle tightness/tensed up to point of not being able to control muscles.
Age: 10.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site haematoma
Clinical narrative: 3 x 5 cm area of erythema at injection site with slight bruising.
Age: 0.5
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Scab, Skin lesion, Varicella post vaccine
Clinical narrative: Patient developed chicken pox. Typical with delicate vesicles which evolved into crusted lesions.
Age: 14.0
Sex: M
Vaccine: FLU3, HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt. had swelling - warmth, redness at injection site - upper (R) deltoid area.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Chest pain, Coronary arterial stent insertion, Gait disturbance
Clinical narrative: After receiving flu shot, she awoke with less abilities to walk, dress herself, feed herself. On 12-5-11 with weakness, nausea, and chest pain. Went to hospital and was admitted. Stayed until 12-9 for observation. Was released but had to return next day and was diagnosed with Guillain-Barre syndrome by Dr. Was administered plasma exchange treatments. While taking treatments had chest pains & had two stents put in right coronary artery. Total time in hosp & rehab 44 days.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Nausea, Plasmapheresis
Clinical narrative: After receiving flu shot, she awoke with less abilities to walk, dress herself, feed herself. On 12-5-11 with weakness, nausea, and chest pain. Went to hospital and was admitted. Stayed until 12-9 for observation. Was released but had to return next day and was diagnosed with Guillain-Barre syndrome by Dr. Was administered plasma exchange treatments. While taking treatments had chest pains & had two stents put in right coronary artery. Total time in hosp & rehab 44 days.
Age: 83.0
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient was diagnosed with shingles. Treated with Acyclovir.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Inflammation, Injection site swelling, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Tdap given (L) arm 1/12/12. Arm became painful then swelling began in upper (L) arm 1/13/12. Now swollen, inflamed, hot to touch and painful.
Age: 26.0
Sex: F
Vaccine: MNQ
Symptoms: Loss of consciousness, Pain, Pyrexia
Clinical narrative: Pt called pharmacy evening 1-17-12 said she passed out 5 days after the shot while at home. Pt said she has been feeling achy and running a fever. Advised pt to see dr if still feeling this way. Could not find anything in pkg insert page. Immediate time of vaccination about passing out or syncope.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR
Symptoms: Erythema, Rash papular
Clinical narrative: Pt received MMR, Hep A vaccines on 1/11/12. Developed diffuse erythema. Papular rash about 1 week later.
Age: 1.01
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Blister, Pyrexia
Clinical narrative: Vaccine given on 1-9-12. Fever started 1-19-12, blisters (pustules) occurred on 1-20-12.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, RV5
Symptoms: Rash, Rash generalised
Clinical narrative: Dtap, HIB, ROTATEQ were administered at approximately 10:10 am on 1/24/12. Received call from mom at 2:30pm reporting facial rash was developing. Patient arrived at office and complete body rash noted. Patient was given 0.15 ml epinephrine IM, 1/2 tsp BENADRYL PO, and 15 mg ORAPRED po at 2:55 pm. Patient was monitored for 45 minutes and rash decreased. Patient was stable and sent home.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Dizziness postural, Erythema, Nausea, Pyrexia
Clinical narrative: Patient presented with fever of 101, redness on left arm, nausea, vomiting and dizziness. Patient states feeling better today a little better than in the weekend. Patient doesn't have medical insurance. Advised patient to look for a community clinic and see a physician. Patient states unable to stand up for long periods because of the dizziness. Patient reported event on 1/23/2012.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Patient presented with fever of 101, redness on left arm, nausea, vomiting and dizziness. Patient states feeling better today a little better than in the weekend. Patient doesn't have medical insurance. Advised patient to look for a community clinic and see a physician. Patient states unable to stand up for long periods because of the dizziness. Patient reported event on 1/23/2012.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Abdominal pain, Biopsy site unspecified abnormal, Oedema peripheral, Polyarthritis, Rash
Clinical narrative: On day 3, rash on feet/ankles. On day 4 spread to legs. On day 8, rash spread to upper legs/buttocks. Biopsy of legs of 1/20/12 revealed vasculitis. Pt also experiencing arthritic joints, swollen hands, swollen feet, and abdominal pain. Spoke w/pt today (1/24/12) rash resolving slowly.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Vasculitis
Clinical narrative: On day 3, rash on feet/ankles. On day 4 spread to legs. On day 8, rash spread to upper legs/buttocks. Biopsy of legs of 1/20/12 revealed vasculitis. Pt also experiencing arthritic joints, swollen hands, swollen feet, and abdominal pain. Spoke w/pt today (1/24/12) rash resolving slowly.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Patient had flu vaccine on Monday 01/23/12. Came home from school Tuesday 01/24/12 at 3:00 pm. Complaining of arm hurting, redness noted by mom. Took to APRN at clinic. She treated patient with prednisone x5 days. Arm red, swollen, warm around site.
Age: 45.0
Sex: F
Vaccine: MMR
Symptoms: Monoclonal immunoglobulin present, Multiple myeloma
Clinical narrative: I am a survivor of what they call Myeloma and was told that I was die immediately unless I have a Bone Marrow Transplant. Well my family and I complied and one year later was told I was cancer free. After being released from hospital in 2007 one year later, I was told the protocol for post-transplant patients in regards to becoming a normal human again, oncologists told me that I had to be re-vaccinated as a child which was almost a tragic ending of my life. After taking the -formaldehyde-based bacterial vaccines, which I did not know at the time and continued to make me sick month after month I finally made it to the end of the 30 month course then on June 12, 2009 after being given the second of the two regulatory live vaccines from the DHEC the Myeloma in which I had been cleared of and no longer symptomatic returned within three days of the MMR vaccines!! Can someone please tell me why? the FDA allows children and cancer patients to take vaccines which contain "formaldehyde" that is an acid forming chemical which causes death, blindness, organ corrosion just by inhaling this product! Isn't it illegal to inject embalming fluid into a human or animal without a license anyway? This should be banned by society's everywhere. Vaccines need to be investigated, because formaldehyde's use in their ingredients are the caused of childhood cancers worldwide and I should know because I had been highly infected previously with the rubella virus vaccine after being admitted into the hospital on April, 2006 for a bone marrow transplant that could have ended my life from the misdiagnosis of the infection, caused by the rubella viruses vaccines received before my entrance into college years in 1984, which was twenty-two years prior to this vaccination. I had to undergo months of chemotherapy once more to purify my blood, again.
Sex: U
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: A child age 8 years and 2 weeks of age was given a DTaP instead of a Tdap as the 5th dose in the series.
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: I administered KINRIX to a 15 month old and that immunization is suggested for ages 4-6 years of age.
Sex: U
Vaccine: FLU3
Symptoms: Injection site atrophy
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of injection site atrophy in a subject of unspecified age and gender who was vaccinated with FLULAVAL (GlaxoSmithKline). On an unspecified date the subject received a dose of FLULAVAL (details unknown). Less than one year after vaccination with FLULAVAL, the subject experienced injection site atrophy. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site atrophy
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of injection site atrophy in a 57-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). Concurrent medications included unknown medications. On 15 November 2011 the subject received a dose of FLULAVAL (.5 ml, unknown route, left arm). On 16 December 2011, 31 days after vaccination with FLULAVAL, the subject experienced injection site atrophy. This case was assessed as medically serious by GSK. At the time of reporting the event was unresolved.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Blister, Oedema peripheral, Pruritus
Clinical narrative: Right hand swollen and itchy.  Blisters on right hand.  I have the same reaction to Penicillin.
Age: 0.53
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Abdominal pain, Enema administration, Intussusception, Vomiting
Clinical narrative: Vomiting and colicky pain, found to be an intussusception that required air enema reduction.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Lethargy, Oropharyngeal pain, Pallor, Vomiting
Clinical narrative: 4 year old patient received Kinrix (DTaP & IPV) and Proquad (MMR & varicella).  Patient returned with mother and father to clinic after vomiting about 30 minutes after receiving shots. Was also very pale and lethargic. Patient stated to mother that her throat was hurting. Taken to ER immediately.
Age: 28.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Inflammation, Mass, Pain, Skin warm
Clinical narrative: Redness, swelling, knot, sore, warm to the touch, inflamed.
Age: 28.0
Sex: F
Vaccine: DTAP
Symptoms: Swelling
Clinical narrative: Redness, swelling, knot, sore, warm to the touch, inflamed.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Musculoskeletal stiffness, Mydriasis, Opisthotonus, Pallor
Clinical narrative: 4:18 Child became pale & lost consciousness. While transferring to bed extremities began to stiffen while back & neck arching. Upper extremities with posturing, pupils dialated & color pale & ashy. Seizure-like episode lasted approx 20 sec. Placed on R side. 4:20 O2 via mask @4L. Color improvement immediate. Dr in for evaluation.  4:22 RR 26, HR 68, BP 110/60, O2 Sat 98%, Conscious 4:30 RR 30, HR 70, BP 110/68, O2 Sat 98%  Conscious & tearful 4:50 RR 32, HR 100, BP 112/68, O2 Sat 98% Conscious & Calm 4:55 C/O Feeling Sleepy 4:57 911 contacted  4:59 Up to B/R to void with nurse & Grand mother's help 5:10 EMS Arrived & report given
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Posturing, Seizure like phenomena, Somnolence, Tearfulness
Clinical narrative: 4:18 Child became pale & lost consciousness. While transferring to bed extremities began to stiffen while back & neck arching. Upper extremities with posturing, pupils dialated & color pale & ashy. Seizure-like episode lasted approx 20 sec. Placed on R side. 4:20 O2 via mask @4L. Color improvement immediate. Dr in for evaluation.  4:22 RR 26, HR 68, BP 110/60, O2 Sat 98%, Conscious 4:30 RR 30, HR 70, BP 110/68, O2 Sat 98%  Conscious & tearful 4:50 RR 32, HR 100, BP 112/68, O2 Sat 98% Conscious & Calm 4:55 C/O Feeling Sleepy 4:57 911 contacted  4:59 Up to B/R to void with nurse & Grand mother's help 5:10 EMS Arrived & report given
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Deafness unilateral
Clinical narrative: Reports hearing loss in left ear 24 hrs after vaccine.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Hypoaesthesia oral, Neck pain, Paraesthesia oral
Clinical narrative: Numbness and tingling on Right side of tongue, right sided neck and inner ear pain.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Pain in extremity
Clinical narrative: Pain (sunburn-like) on left leg. Acyclovir 800mg, vicoprofen.
Age: 1.28
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Blood culture, Blood immunoglobulin G, Blood immunoglobulin M, C-reactive protein, Full blood count
Clinical narrative: WOKE UP FUSSY AND SCREAMING, SLIGHT SWELLING OF LEFT SIDE OF FACE, WENT TO ER RECIEVED AMOXIL. 01/25/2012 10:00AM SWELLING WORSE, APPT WITH PEDIATRICIAN, PUT ON OMNICEF LABS DONE. 01/26/2012 SWELLING MUCH WORSE SOME FEVER, 01/27 AND 01/28 NOT MUCH IMPROVEMENT. 01/29/2012 MUCH BETTER 01/31/2012 SYMPTOMS RESOLVED.
Age: 1.28
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Irritability, Pyrexia, Red blood cell sedimentation rate, Screaming, Swelling face
Clinical narrative: WOKE UP FUSSY AND SCREAMING, SLIGHT SWELLING OF LEFT SIDE OF FACE, WENT TO ER RECIEVED AMOXIL. 01/25/2012 10:00AM SWELLING WORSE, APPT WITH PEDIATRICIAN, PUT ON OMNICEF LABS DONE. 01/26/2012 SWELLING MUCH WORSE SOME FEVER, 01/27 AND 01/28 NOT MUCH IMPROVEMENT. 01/29/2012 MUCH BETTER 01/31/2012 SYMPTOMS RESOLVED.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Bladder catheterisation, Blood test, Computerised tomogram head, Lumbar puncture, Pyrexia
Clinical narrative: Started with fever at 1530hrs and was treated every 4 hours with Tylenol as prescribed by Dr. Around 1600 mother observed baby looking off at nothing and not responding to name for a few minutes. This was followed by the baby's hands and legs having seizure like movement. This was repeated 3 times over the night. Baby was taken to ER following 3rd incident and admitted. Child's temp never exceeded 101.8.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Seizure like phenomena, Staring, Unresponsive to stimuli, Urine analysis
Clinical narrative: Started with fever at 1530hrs and was treated every 4 hours with Tylenol as prescribed by Dr. Around 1600 mother observed baby looking off at nothing and not responding to name for a few minutes. This was followed by the baby's hands and legs having seizure like movement. This was repeated 3 times over the night. Baby was taken to ER following 3rd incident and admitted. Child's temp never exceeded 101.8.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Blood test normal, Burning sensation, Immediate post-injection reaction, Injection site pain
Clinical narrative: The third injection really burned/hurt and I didn't get a good feeling about it.  My arm hurt immediately and I had to  sit in my car before driving home.  Shortly after, my knees and thighs hurt. We called both the clinic and our family doctor on Wednesday the 25th.   I saw our doctor on Thursday 1/26 since pain was unmanageable with ibupron.  I had blood work done that came back okay.  Friday my neck began to hurt and my vision got blurry.  Our family doctor was notified and prescribed Prednisone on Friday.  By Monday, I had to see doctor again as I still was in pain.  He changed me from Prednisone to Methylprednisolone hoping it would help my symptoms.  He also ordered an MRI and more lab work.  The MRI results came back normal as well as the lab work that has been received to date (1/31/12).
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Laboratory test normal, Neck pain, Nuclear magnetic resonance imaging normal, Pain in extremity, Vision blurred
Clinical narrative: The third injection really burned/hurt and I didn't get a good feeling about it.  My arm hurt immediately and I had to  sit in my car before driving home.  Shortly after, my knees and thighs hurt. We called both the clinic and our family doctor on Wednesday the 25th.   I saw our doctor on Thursday 1/26 since pain was unmanageable with ibupron.  I had blood work done that came back okay.  Friday my neck began to hurt and my vision got blurry.  Our family doctor was notified and prescribed Prednisone on Friday.  By Monday, I had to see doctor again as I still was in pain.  He changed me from Prednisone to Methylprednisolone hoping it would help my symptoms.  He also ordered an MRI and more lab work.  The MRI results came back normal as well as the lab work that has been received to date (1/31/12).
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Discomfort
Clinical narrative: The third injection really burned/hurt and I didn't get a good feeling about it.  My arm hurt immediately and I had to  sit in my car before driving home.  Shortly after, my knees and thighs hurt. We called both the clinic and our family doctor on Wednesday the 25th.   I saw our doctor on Thursday 1/26 since pain was unmanageable with ibupron.  I had blood work done that came back okay.  Friday my neck began to hurt and my vision got blurry.  Our family doctor was notified and prescribed Prednisone on Friday.  By Monday, I had to see doctor again as I still was in pain.  He changed me from Prednisone to Methylprednisolone hoping it would help my symptoms.  He also ordered an MRI and more lab work.  The MRI results came back normal as well as the lab work that has been received to date (1/31/12).
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Computerised tomogram, Nuclear magnetic resonance imaging brain, Pain, Tremor
Clinical narrative: The third injection really burned/hurt and I didn't get a good feeling about it.  My arm hurt immediately and I had to  sit in my car before driving home.  Shortly after, my knees and thighs hurt. We called both the clinic and our family doctor on Wednesday the 25th.   I saw our doctor on Thursday 1/26 since pain was unmanageable with ibupron.  I had blood work done that came back okay.  Friday my neck began to hurt and my vision got blurry.  Our family doctor was notified and prescribed Prednisone on Friday.  By Monday, I had to see doctor again as I still was in pain.  He changed me from Prednisone to Methylprednisolone hoping it would help my symptoms.  He also ordered an MRI and more lab work.  The MRI results came back normal as well as the lab work that has been received to date (1/31/12).
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Urine analysis
Clinical narrative: The third injection really burned/hurt and I didn't get a good feeling about it.  My arm hurt immediately and I had to  sit in my car before driving home.  Shortly after, my knees and thighs hurt. We called both the clinic and our family doctor on Wednesday the 25th.   I saw our doctor on Thursday 1/26 since pain was unmanageable with ibupron.  I had blood work done that came back okay.  Friday my neck began to hurt and my vision got blurry.  Our family doctor was notified and prescribed Prednisone on Friday.  By Monday, I had to see doctor again as I still was in pain.  He changed me from Prednisone to Methylprednisolone hoping it would help my symptoms.  He also ordered an MRI and more lab work.  The MRI results came back normal as well as the lab work that has been received to date (1/31/12).
Age: 11.0
Sex: F
Vaccine: FLUX, HPVX, MEN
Symptoms: Anxiety, Dyscalculia, Mydriasis, Nasopharyngitis, Obsessive-compulsive disorder
Clinical narrative: Cold like symptoms, extreme anxiety started the week of 12/11/11, OCD, debilitating intrusive thoughts with confessions and a diagnosis of strep on 12/17, dilated pupils, loss of math skills.
Age: 11.0
Sex: F
Vaccine: FLUX, HPVX, MEN
Symptoms: Streptococcal infection, Thinking abnormal
Clinical narrative: Cold like symptoms, extreme anxiety started the week of 12/11/11, OCD, debilitating intrusive thoughts with confessions and a diagnosis of strep on 12/17, dilated pupils, loss of math skills.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypotonia, Unresponsive to stimuli
Clinical narrative: Within five minutes after administration of vaccination patient went completely limp and unresponsive. Was taken back into the doctor's office immediately to be examined.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Abdominal pain, Anger, Asthenia, Cardiac disorder, Chest pain
Clinical narrative: We were at church and she had severe abdominal pains that sent us to the ER. She had a cyst that burst and had to have emergency surgery.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Cyst rupture, Decreased appetite, Dyspnoea, Hypersomnia, Menstrual disorder
Clinical narrative: We were at church and she had severe abdominal pains that sent us to the ER. She had a cyst that burst and had to have emergency surgery.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Muscular weakness, Myalgia, Nausea, Night sweats, Ovarian cyst ruptured
Clinical narrative: We were at church and she had severe abdominal pains that sent us to the ER. She had a cyst that burst and had to have emergency surgery.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Surgery, Syncope, Visual impairment
Clinical narrative: We were at church and she had severe abdominal pains that sent us to the ER. She had a cyst that burst and had to have emergency surgery.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness around injection site, swelling, pain. 24 hours later swelling increased to include entire upper half of her leg. Large red spot taking up the entire front part of the thigh.  Spot is hot to the touch and hard. Child complains of pain.
Age: 0.39
Sex: M
Vaccine: DTAP
Symptoms: Crying, Depressed level of consciousness, Insomnia, Moaning, Motor dysfunction
Clinical narrative: Low grade fever, 101, moaning, unconsolable crying, sleeplessness, loss of awareness and motor function esp. facial expression.
Age: 0.39
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Low grade fever, 101, moaning, unconsolable crying, sleeplessness, loss of awareness and motor function esp. facial expression.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Barre Syndrome.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Activities of daily living impaired, Injection site rash, Nausea, Pain, Pharyngeal oedema
Clinical narrative: 1-27-12 developed fever 102, body aches, nausea. Reduced by "THERAFLU" medication. 1-30-12 c/o swollen throat, home from school. 1-31-12 circular rash around injection site (R) arm, generalized rash on entire body, and itching. Took BENADRYL. Has not sought medical care yet.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pruritus, Pyrexia, Rash generalised
Clinical narrative: 1-27-12 developed fever 102, body aches, nausea. Reduced by "THERAFLU" medication. 1-30-12 c/o swollen throat, home from school. 1-31-12 circular rash around injection site (R) arm, generalized rash on entire body, and itching. Took BENADRYL. Has not sought medical care yet.
Age: 0.21
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Diarrhoea, Dyskinesia, Electroencephalogram normal, Full blood count normal, Metabolic function test normal
Clinical narrative: Patient developed severe diarrhea within hrs of vaccine needing ER rehydration. Six days later returned to ER for abnormal movements and admitted for work-up for possible seizures.
Age: 0.21
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Nuclear magnetic resonance imaging normal
Clinical narrative: Patient developed severe diarrhea within hrs of vaccine needing ER rehydration. Six days later returned to ER for abnormal movements and admitted for work-up for possible seizures.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperaesthesia, Injected limb mobility decreased, Injection site pain, Injection site reaction
Clinical narrative: Shortly after very sensitive area of vaccine. It has been 1 month. I phoned dr stated severe pain in left arm, can't even lift it - hurts constantly. Wakes me up at night throbbing. He said to fill out this form 1st.
Age: 1.27
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Spoke with pt mom and she said pt was fine no fever/no rash/no swelling.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Rash erythematous, Swelling, Tenderness
Clinical narrative: 24 hrs after getting shot, patient felt pain at site of injection. Few hrs later a red rash began. Next morning redness was bigger, area was swollen & more tender.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Provider note - This appears to be shingles.
Age: 1.26
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Blood glucose normal, Convulsion, Febrile convulsion, Pyrexia, Screaming
Clinical narrative: Patient developed a fever at approximately 6pm on 1/30/12 - given TYLENOL; at 3am on 1/31/12 - screamed; followed by convulsion lasting <1 minute. Seen at ER for febrile seizure.
Age: 1.26
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Urine analysis normal
Clinical narrative: Patient developed a fever at approximately 6pm on 1/30/12 - given TYLENOL; at 3am on 1/31/12 - screamed; followed by convulsion lasting <1 minute. Seen at ER for febrile seizure.
Age: 1.16
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Blister, Pyrexia, Varicella virus test negative
Clinical narrative: - Vesicles rash pv diffuse signs, fever after vaccine administration.
Age: 1.08
Sex: F
Vaccine: DTAP, FLU3, HIBV, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Called number on file and no answer. Left a message to call the office.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Crying, Dyskinesia, Injection site induration, Pyrexia, Screaming
Clinical narrative: Non-stop crying (screaming) x3 hours, low grade fever, jerking head. Evaluated by Dr. - TYLENOL given to patient, ice pack to left thigh - (hardness where vaccines were given).
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: None asked mom she said she had no reaction.
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Needle issue
Clinical narrative: Client received a flu shot at the school clinic in the right deltoid muscle at 1607 hours by student nurse. FLUZONE vaccine by Sanofi, Lot # UH454AD, Expiration 6/30/11. This nurse was notified (at the end of the clinic) by the nursing student's instructor, RN, that her nursing student reported leaking from the hub of the needle when she gave her first shot of the clinic. This nurse was contacted by the instructor the next morning and received the name of the nursing student who gave the shot that leaked. This nurse verified with the instructor that this nurse would follow up with the client's parents and physician. This nurse left a message on the client's phone to call back at 1151 hours. This nurse again left a message on the client's phone to call back (next day) at 1534 hours. This nurse spoke the client's mother at 1618 hours to report that invalid dose at the school flu clinic. This nurse advised to repeat the dose citing the Epidemiology and Prevention of Vaccine Preventable Diseases 12th Edition. This nurse advised that the client could get the repeat dose at the next school clinic or in this office, Department of Health Community Health Services. The client's mother, gave verbal permission to report the incident to the client's pediatrician. This nurse spoke with dr's nurse today to report the incident and the plan to revaccinate.
Age: 2.0
Sex: U
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: An LPN at one of our sites inadvertently administered a FLUVIRIN to a 2 year old child. After the fact, the RN on duty realized that the FLUVIRIN is not indicated for persons under the age of 4 yrs old. The child has had no adverse reactions. The LPN works at one of our community health center sites. The center has a poster that explains the different dosing schedules recommended for each age group and each type of flu vaccine. However, the LPN failed to use the guidelines.
Sex: U
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Adult Pt was given DTaP by mistake when Tdap was ordered. Pt denies any adverse effects. Nurse and MA double checked vaccine but neither are familiar with vaccines and do not have a vast experienced with them. Staff will be inserviced by both myself and the local Public Health Nurse in the hopes of educating new staff and preventing further errors.
Age: 61.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Incorrect dose administered
Clinical narrative: Sixty one yrs old female presented to foreign travel clinic at local health dept. Client requesting Hepatitis A and Typhoid vaccine. Client was given a 1.0 cc dose of Typhoid VI vaccine and a 1.0 cc dose of Hep A vaccine. Error noted immediately after administering the extra dose of typhoid. Client was given Typhoid VI lot number C1121-1 in rt deltoid muscle. Failed to re check dosage amount and re check name of vaccine being administered. Typhoid VI was provided in multi dose vial. Client is doing well. Steps to prevent future error slow down and follow re checking steps when administer any vaccines.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Effusion, Erythema, Skin warm, Vaccination site swelling
Clinical narrative: Approx 24 hrs after vaccine site was size of orange with heat radiating from entire underarm and significant fluid pooling. Over course of several days upper arm was bright red & required medical care.
Age: 6.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL, DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling in left arm extending nearly from elbow to shoulder and nearly entire circumference of the arm. patient's mother reported this to PCP and was given Rx for prednisone. Pt's mother reports symptoms went away without the prednisone.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Dyskinesia, Muscle twitching
Clinical narrative: Information has been received from a consumer concerning a 15 year old female patient with "sulfa antibiotics" allergy and a medical history of ovarian cyst, who on 23-JAN-2012, was vaccinated with the third dose of GARDASIL (dose, route and lot number not reported). Concomitant therapy included hormonal contraceptives (unspecified). On 23-JAN-2012 the patient experienced some burning and slight dizziness 15 minutes after the vaccination. The patient's burning and dizziness improved on 23-JAN-2012. It was also reported that, on 23-JAN-2012, by 17:00 or 18:00, patient's right arm (injection site arm) started jerking uncontrollably and non-stop and she was sweating with no fever. The patient sought medical attention by a visit to an emergency room on the same day and was treated with unspecified intravenous steroids and BENADRYL. It was also reported that the "arm jerking stopped within two minutes", but it reappeared on 24-JAN-2012. The laboratory tests included bloodwork done in the emergency room on 23-JAN-2012 (results unknown). The patient's right arm jerking uncontrollably and non-stop and sweating with no fever were considered to be another important medical event, because the patient was treated with an unspecified intravenous steroids and BENADRYL. At the time of the report the patient's outcome was not recovered. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Burning sensation, Dizziness, Dyskinesia, Hyperhidrosis
Clinical narrative: Information has been received from a consumer concerning a 15 year old female patient with "sulfa antibiotics" allergy and a medical history of ovarian cyst, who on 23-JAN-2012, was vaccinated with the third dose of GARDASIL (dose, route and lot number not reported). Concomitant therapy included hormonal contraceptives (unspecified). On 23-JAN-2012 the patient experienced some burning and slight dizziness 15 minutes after the vaccination. The patient's burning and dizziness improved on 23-JAN-2012. It was also reported that, on 23-JAN-2012, by 17:00 or 18:00, patient's right arm (injection site arm) started jerking uncontrollably and non-stop and she was sweating with no fever. The patient sought medical attention by a visit to an emergency room on the same day and was treated with unspecified intravenous steroids and BENADRYL. It was also reported that the "arm jerking stopped within two minutes", but it reappeared on 24-JAN-2012. The laboratory tests included bloodwork done in the emergency room on 23-JAN-2012 (results unknown). The patient's right arm jerking uncontrollably and non-stop and sweating with no fever were considered to be another important medical event, because the patient was treated with an unspecified intravenous steroids and BENADRYL. At the time of the report the patient's outcome was not recovered. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Computerised tomogram head, Grand mal convulsion, Head injury
Clinical narrative: Grand mal seizure X 3 (at time of this writing).
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Throat tightness
Clinical narrative: Injection site reaction - redness & swelling and c/o "throat feeling tight" - reaction delayed (occurred the next day).
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Full blood count, Oedema peripheral, Rash macular, Screaming, White blood cell count increased
Clinical narrative: Legs slightly swollen, purple splotchy coloring. High pitched screaming. Increased WBC count on CBC. Temp. 99.1 (R). TYLENOL given, ice packs to thighs. Apt to recheck patient in AM.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13, RV5
Symptoms: Apparent life threatening event, Bladder catheterisation, Body temperature increased, Breath holding, Bronchial secretion retention
Clinical narrative: Briefly, patient is a 6 month old girl with an ALTE, episode not consistent with a seizure, no postictal period, normal cardiac and vascular exam, episode most likely due to a mucous plug/breath holding spell. Still febrile, may be due to vaccinations, but will evaluate for a UTI. Check a UA and Urine culture. Discharge home after UA results are back, will decide about a course of antibiotics based on the UA results. Follow up with PMD in 1-2 days. Dx: Apparent Life Threatening Event (stopped breathing) admitted for observation.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13, RV5
Symptoms: Crying, Culture urine, Cyanosis, Dyspnoea, Hypotonia
Clinical narrative: Briefly, patient is a 6 month old girl with an ALTE, episode not consistent with a seizure, no postictal period, normal cardiac and vascular exam, episode most likely due to a mucous plug/breath holding spell. Still febrile, may be due to vaccinations, but will evaluate for a UTI. Check a UA and Urine culture. Discharge home after UA results are back, will decide about a course of antibiotics based on the UA results. Follow up with PMD in 1-2 days. Dx: Apparent Life Threatening Event (stopped breathing) admitted for observation.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13, RV5
Symptoms: Influenza virus test negative, Irritability, Pyrexia, Respiratory arrest, Respiratory syncytial virus test negative
Clinical narrative: Briefly, patient is a 6 month old girl with an ALTE, episode not consistent with a seizure, no postictal period, normal cardiac and vascular exam, episode most likely due to a mucous plug/breath holding spell. Still febrile, may be due to vaccinations, but will evaluate for a UTI. Check a UA and Urine culture. Discharge home after UA results are back, will decide about a course of antibiotics based on the UA results. Follow up with PMD in 1-2 days. Dx: Apparent Life Threatening Event (stopped breathing) admitted for observation.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13, RV5
Symptoms: Skin warm, Staring, Unresponsive to stimuli, Urine analysis
Clinical narrative: Briefly, patient is a 6 month old girl with an ALTE, episode not consistent with a seizure, no postictal period, normal cardiac and vascular exam, episode most likely due to a mucous plug/breath holding spell. Still febrile, may be due to vaccinations, but will evaluate for a UTI. Check a UA and Urine culture. Discharge home after UA results are back, will decide about a course of antibiotics based on the UA results. Follow up with PMD in 1-2 days. Dx: Apparent Life Threatening Event (stopped breathing) admitted for observation.
Age: 2.0
Sex: M
Vaccine: YF
Symptoms: Full blood count normal, Lymphadenopathy, Metabolic function test normal, Red blood cell sedimentation rate normal
Clinical narrative: Patient received yellow fever vaccine on 1/09/2012 on his (L) thigh. Traveled on 01/13/2012, returned on 01/20/12 after visiting (summer hot, humid, mosquitoes). Mom noticed a bump (01/16/12), mobile, non-tender, 5x12 mm node and 5x13 mm node in the (L) groin.
Sex: M
Vaccine: VARZOS
Symptoms: Blood test, Epistaxis, Haematemesis, Immune system disorder
Clinical narrative: Information has been received from a consumer concerning her father with blood clots in his lungs and a medical history of transient ischaemic attack (TIA) who on 16-DEC-2011 was vaccinated intramuscularly with a dose of ZOSTAVAX (Merck) (lot # not reported). Concomitant therapy included COUMADIN. The daughter of the patient reported that after her father got the ZOSTAVAX (Merck), "it brought on some sort of immune disorder with nose bleeds and throwing up blood." The patient had sought unspecified medical attention. Lab diagnostics studies included "blood work". At the time of the report, the patient had not recovered. The patient's some sort of immune disorder with nose bleeds and throwing up blood were considered to be disabling and immediately life-threatening. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Death, Neoplasm malignant
Clinical narrative: Information has been received from a pharmacist concerning a consumer's female friend, who on an unknown date, was vaccinated with a dose of ZOSTAVAX (Merck) (dose, route and lot number not reported). It was reported that the patient was diagnosed with an unspecified type of cancer on an unspecified date shortly after the vaccination with ZOSTAVAX (Merck). It was also reported that the patient died six months after she was diagnosed with cancer. It was reported that the cancer was not a congenital anomaly. At the time of the report, the cause of the patient's death is unknown. Additional information has been requested.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination site pruritus, Vaccination site swelling
Clinical narrative: Case initially assessed as non-serious listed. Initial report received on 15 November 2011 from a health care professional. A 37-year-old female patient, with no relevant medical history, experienced swelling and pruritus at the vaccination site 1 day after receiving an intramuscular deltoid injection of FLUZONE (lot number UH463A) on 13 September 2011. It was unknown if the patient had recovered at the time of reporting. Follow-up information was received on 20 January 2012. According to the reporter, the patient had recovered from vaccination site swelling and pruritus. The case was upgraded to serious, due to the following event. It was reported that the patient was prescribed MEDROL dose pack on 15 September 2011. Documents held by sender: none.
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Biopsy chorionic villous abnormal, Caesarean section, Death neonatal, Foetal disorder, Laboratory test normal
Clinical narrative: Initial report received from a health care professional on 17 January 2012. A male neonate received transplacental MENACTRA, sanofi pasteur Inc. lot number U3678A, and transplacental Tdap, manufacturer unknown, lot number C3928AA, which is not a valid sanofi Pasteur lot number, on 18 January 2011. The patient's mother had a maternal aunt with tricuspid atresia and transposition of the great vessels. It was noted that the mother prenatal laboratory testing was as follows: prenatal (PN) profile on 15 February 2011 within normal limits (WNL), negative sexually transmitted diseases (STD) on 23 February 2011, PN 28 week labs on 11 July 2011 were WNL and chorionic villus sampling (CVS) on 04 March 2011 for PN diagnosis. The mothers ultrasound findings were as follows: 02 March 2011 showed thickened nuchal fold and edema; on 04 March 2011, 05 April 2011, 03 May 2011, 25 May 2011 and 13 July 2011 showed cystic hygroma and multiple fetal anomalies. On 08 August 2011, the patient's mother developed premature rupture of membranes (PROM) and had a Cesarean section on 09 August 2011 and subsequent neonatal death. The neonate was delivered at 34 weeks of gestation by a Cesarean section with a weight of 1.915 kilograms (Kg) and an Apgar score of one at one minute and an APGAR score of one at five minutes. The neonate was born with multiple fetal anomalies not compatible with life, myotonic dystrophy or arthrogryposis, dilated bowel, possible bowel obstruction and cystic hygroma. The neonate death was caused by multiple congenital anomalies. The outcome was fatal on 09 August 2011. The mother case is captured in case number 2011-00541. Documents held by sender: Pregnancy form.