chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Drug administered at inappropriate site, Full blood count, Injection site pain, Lymphadenopathy, Tenderness
Clinical narrative: PT has Gardasil injection IM right hip upper outer quadrant on 6/8/07. On 6/13/07 pt was seen for painful swollen lymph node R inguinal area and tenderness from area of injection to lymph node. WBC count was not elevated.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: White blood cell count
Clinical narrative: PT has Gardasil injection IM right hip upper outer quadrant on 6/8/07. On 6/13/07 pt was seen for painful swollen lymph node R inguinal area and tenderness from area of injection to lymph node. WBC count was not elevated.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: At site of injection red warm large area 2" x 1 1/2"
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Fall, Head injury, Hyperhidrosis, Immediate post-injection reaction, Muscle rigidity
Clinical narrative: Approx 1400 administered Tdap and Menactra vaccine. Pt looked out of room and immediately fell to floor and hit head on floor. Eyes were open, extremities rigid, Sl shaking, unresponsive for approx 15-20 sec. rash developed on upper chest and arms, perspiring. BP 90/48. Rash disappeared after 15 min and then came back and disappeared. Sent home with mother in stable condition.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Rash, Tremor, Unresponsive to stimuli
Clinical narrative: Approx 1400 administered Tdap and Menactra vaccine. Pt looked out of room and immediately fell to floor and hit head on floor. Eyes were open, extremities rigid, Sl shaking, unresponsive for approx 15-20 sec. rash developed on upper chest and arms, perspiring. BP 90/48. Rash disappeared after 15 min and then came back and disappeared. Sent home with mother in stable condition.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Pt was given Rotateq at 16 weeks of age Pt had no problems, vaccine should  be started at 12 wks or under
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4, MNQ, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: Patient presented to the clinic with left upper arm redness (10x8cm), warm and tender. Temp=99.3 (ear). (2 days after administration). No treatment - Told to return if worsening redness and pain, or drainage noted.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4, MNQ, VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Patient presented to the clinic with left upper arm redness (10x8cm), warm and tender. Temp=99.3 (ear). (2 days after administration). No treatment - Told to return if worsening redness and pain, or drainage noted.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Dyspnoea, Erythema, Ocular hyperaemia, Oedema peripheral
Clinical narrative: Arm swollen and red (2 inches high x 2 inches wide) breathing problems, 101 deg fever, eyes red-allergy, stomach pain and vomiting, Dr gave Prednisone - same Dr that prescribed Zostavax
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Vomiting
Clinical narrative: Arm swollen and red (2 inches high x 2 inches wide) breathing problems, 101 deg fever, eyes red-allergy, stomach pain and vomiting, Dr gave Prednisone - same Dr that prescribed Zostavax
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Red rash about 3 inches by 6 inches in upper arm at site of injection. hot to touch. Swollen around area. Burning and stinging 3 days long. Fever, especially at night (mild) awakened from sleep by burning and stinging.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Red rash about 3 inches by 6 inches in upper arm at site of injection. hot to touch. Swollen around area. Burning and stinging 3 days long. Fever, especially at night (mild) awakened from sleep by burning and stinging.
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: On Wednesday 5-23-07 symptoms were puffiness, soreness, heat at the injection site.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture, Culture, Culture urine, Cytomegalovirus test, Eye discharge
Clinical narrative: Patient received 2mo immun 5/18/07. Fever of 101 started on 5/24/07. Fever continues daily, work up done, CBC, Bld cultures, urine culture WNL, Fever's run 100.3 - 100.4, R eye drainage, cranky.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Full blood count, Irritability, Ophthalmological examination, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: Patient received 2mo immun 5/18/07. Fever of 101 started on 5/24/07. Fever continues daily, work up done, CBC, Bld cultures, urine culture WNL, Fever's run 100.3 - 100.4, R eye drainage, cranky.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Virus culture
Clinical narrative: Patient received 2mo immun 5/18/07. Fever of 101 started on 5/24/07. Fever continues daily, work up done, CBC, Bld cultures, urine culture WNL, Fever's run 100.3 - 100.4, R eye drainage, cranky.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Asthenia, Burning sensation, Chills, Computerised tomogram normal
Clinical narrative: Weakness, neck pain/stiffness, burning in face, abdominal pain, confusion, chills, *SX prior to imm - sinus/nasal infection.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Confusional state, Laboratory test, Musculoskeletal stiffness, Neck pain, Nuclear magnetic resonance imaging normal
Clinical narrative: Weakness, neck pain/stiffness, burning in face, abdominal pain, confusion, chills, *SX prior to imm - sinus/nasal infection.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Varicella
Clinical narrative: Pt had varicella after being vaccinated w/C/P vaccine
Age: 18.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Full blood count, Lymphadenitis, Pain in extremity, Tenderness
Clinical narrative: Pain and tenderness at same (left) armpit Likely Axillary Lymphadenitis treatment Omnicef 300 mg one cap bid x 10d.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Loss of consciousness
Clinical narrative: Passed out
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Loss of consciousness, Vomiting
Clinical narrative: Passed out, vomiting
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Loss of consciousness, Vomiting
Clinical narrative: passed out, vomiting
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Wrong drug administered
Clinical narrative: Child came in for 2nd dose VZV and was given Menactra (Dose 2). Dose one Menactra was 4/4/07
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blood glucose increased, Body temperature increased, Febrile convulsion, Full blood count, Red blood cell sedimentation rate increased
Clinical narrative: Febrile seizure, on 6/9/07 lasting 3 to 5 minutes. No color change. rectal temp 103.9 degrees. Right TM distorted per doctor.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Urine analysis abnormal, White blood cell disorder
Clinical narrative: Febrile seizure, on 6/9/07 lasting 3 to 5 minutes. No color change. rectal temp 103.9 degrees. Right TM distorted per doctor.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: Patient presented to the clinic with left upper arm redness with light induration, warmth to touch, tenderness. Temp=98.5 (2 days after administration).
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Herpes zoster, Pain, Pruritus, Rash
Clinical narrative: Onset of shingles-itchy-painful-spreading rash 10 days after immunized
Age: 1.25
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives by history and photograph with 12 24 lines of immunizations. No other illness a identifiable cause of hives Treated with Aveeno
Age: 28.0
Sex: F
Vaccine: TTOX
Symptoms: Asthenia, Blood pressure decreased, Dizziness, Hyperhidrosis, Hypoaesthesia facial
Clinical narrative: Donor began to experience dizziness, blurred vision, weakness and numbness in her ears. Was pale and diaphoretic BP 84/41 pulse 56 15 min after vaccine. Also, had completed a plasma donation of 825 ml. 15 min prior to vaccination.
Age: 28.0
Sex: F
Vaccine: TTOX
Symptoms: Pallor, Vision blurred
Clinical narrative: Donor began to experience dizziness, blurred vision, weakness and numbness in her ears. Was pale and diaphoretic BP 84/41 pulse 56 15 min after vaccine. Also, had completed a plasma donation of 825 ml. 15 min prior to vaccination.
Age: 28.0
Sex: U
Vaccine: TD, TYP
Symptoms: Erythema, Induration, Pain in extremity, Skin warm
Clinical narrative: Red, warm indurations measuring 5" in diameter later rt arm. Pt states "arm aches" began aching evening of immunization. Dr. prescribed Benadryl and Ibuprofen
Age: 1.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Immunizations given on 6-7-07, developed fever of 102 deg within 24 hrs
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Induration, Skin warm, Swelling
Clinical narrative: Swollen, hot, indurated local swelling 2 1/2" x 2"
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swollen hot red area at vaccine site measuring 1 1/2" x 1/2".
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 40mm x 25mm indurated, red, warm to touch. Advised Benadryl, Tylenol, ice to site.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Developed a temp 102 degrees about 24 hours after immunization given.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: Shot area has rash, fever (left side) swollen.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: Pain in the right arm, in the joints
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Convulsion, Crying, Decreased appetite, Erythema, Pyrexia
Clinical narrative: Received MMR, Hib, Varicella on 6/6/07. That evening got sleepy, fever 103.7 Right and vomiting on 6/7/07 got needle point red rash on body and vomiting and fever 105.8-all day. Gave Tylenol X2 on that day=slept all day or screamed. Fever gone Sunday. Has been sleeping or crying since. sleeping 19 hrs/day, eating poorly. Seizure type activity 6/7/07.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash, Screaming, Somnolence, Vomiting
Clinical narrative: Received MMR, Hib, Varicella on 6/6/07. That evening got sleepy, fever 103.7 Right and vomiting on 6/7/07 got needle point red rash on body and vomiting and fever 105.8-all day. Gave Tylenol X2 on that day=slept all day or screamed. Fever gone Sunday. Has been sleeping or crying since. sleeping 19 hrs/day, eating poorly. Seizure type activity 6/7/07.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: moderate swelling of Right arm around site of injection with redness and warmth
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood electrolytes normal, Convulsion, Depressed level of consciousness, Electroencephalogram abnormal, Full blood count
Clinical narrative: Became limp and less responsive a few hours after immunizations.  Eye deviated up and to left.  Lasted 25 minutes. No further events until next day when he had 10 similar events.  Was admitted to Hospital.  Seen by neurology. Brain MRI normal.  EEG reportedly mildly abnormal, but not c/w seizure.Placed on Zantac for possible GE reflux.  Had one more episode on 6/14/07.  07/03/2007 MR received for 2 admissions 6/8-9/2007 and 6/9-12/2007 for parental c/o sudden onset of stiffness of the lower and upper extremities with limpness and pallor, lasting 5-10 seconds with subsequent hyporesponsiveness.  Symptoms dissipated by arrival at hospital, but admitted for an ALTE. A 2nd admission on the day of discharge for several more episodes of hypotonia, pallor, left eye deviation lasting 3-5 sec, admitted for hypotonic episodes.  Discharge DX: Hypotonic episodes.  Possible seizures.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Gaze palsy, Hypotonia, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Became limp and less responsive a few hours after immunizations.  Eye deviated up and to left.  Lasted 25 minutes. No further events until next day when he had 10 similar events.  Was admitted to Hospital.  Seen by neurology. Brain MRI normal.  EEG reportedly mildly abnormal, but not c/w seizure.Placed on Zantac for possible GE reflux.  Had one more episode on 6/14/07.  07/03/2007 MR received for 2 admissions 6/8-9/2007 and 6/9-12/2007 for parental c/o sudden onset of stiffness of the lower and upper extremities with limpness and pallor, lasting 5-10 seconds with subsequent hyporesponsiveness.  Symptoms dissipated by arrival at hospital, but admitted for an ALTE. A 2nd admission on the day of discharge for several more episodes of hypotonia, pallor, left eye deviation lasting 3-5 sec, admitted for hypotonic episodes.  Discharge DX: Hypotonic episodes.  Possible seizures.
Age: 44.0
Sex: M
Vaccine: HEPAB, TDAP
Symptoms: Nausea, Vomiting
Clinical narrative: Client c/o nausea and vomiting starting at 2:00 a.m. on April 19th, 2007.  He had received 2 vaccinations on April 18, 2007 around 8 a.m.
Age: 19.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Circadian rhythm sleep disorder, Fatigue, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Onset of slight fever the evening of the shot.  Patient was also jet lagged after returning from home 1630 the night of 5 JUN 07.  Patient reported to Hospital 16 JUN 07 with fever of 105 degrees Fahrenheit and sore throat and fatigue and released 21 JUN 07.  Patient given Augmentin 125mg daily for 7 days, starting Monday 18 JUN 07.  Patient describes feeling good today.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Diagnosed in ER with seizure less than and hour after vaccines were given.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Haemorrhage, Injected limb mobility decreased, Injection site pain
Clinical narrative: Four days after receiving vaccine, developed such extreme pain at vaccination sight that I could hardly use that arm and very painful to try to work.  Still extremely painful today and doesn't seem to be getting better -maybe worse.  I also (thought) I had completed menopause, but three days after receiving vaccine started bleeding extremely heavily - to the point where I was often light-headed.  It finally seems to be letting up today.  Might be coincidental and not related to the vaccine - or maybe not....
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Lt. deltoid area red, swollen and warm to touch.Mother administered Tylenol.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Right arm with 5cmX5cm and Left arm with 5cmX6cm areas that are red, painful, firm, warm. No fever or other symptoms. Immunization given on 6/11/07 reaction started 6/12/07 and got progessivly worse. Seen in office 6/14/07. RX cool compresses, Benadryl, Keflex 250/5 1 1/2 tsp BID X 10 days
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Eosinophilia
Clinical narrative: Eosinophilia
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Left arm with 12 cm X 12 cm indurated firm red swollen area. Warm tender to touch no discharge. Ice applied. Vaccine given 5/30/07 with reddness swelling pain itching starting 24  hours later. RX Keflex 250/5 1 tsp BIDX10d
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin warm
Clinical narrative: Left arm with 12 cm X 12 cm indurated firm red swollen area. Warm tender to touch no discharge. Ice applied. Vaccine given 5/30/07 with reddness swelling pain itching starting 24  hours later. RX Keflex 250/5 1 tsp BIDX10d
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Body temperature increased, Rash, Swelling
Clinical narrative: PATIENT CAME INTO OFFICE 6-14-07 RECEIVING MENACTRA.  COMPLAINING OF TEMP, RASH AND SWELLING TWO HOURS AFTER INJECTION.  PATIENT RETURNED TO OUR OFFICE ON JUNE 15, 2007 @11:30 AM WITH ABOVE COMPLAINTS.  INJECTION WAS GIVEN IN RIGHT ARM.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Rash, Swelling
Clinical narrative: SLIGHT SWELLING-NOT MUCH, FLAT BUMPY RASH, RED SIZE OF GOLF BALL
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea
Clinical narrative: Patient complained of shortness of breath after 1st shot.  SOB lasted 2-3 minutes with no rash or swelling.  We are delaying 2nd shot until our Medical Director reviews the chart.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Syncope
Clinical narrative: Patient Recieved HPV vaccine in LA. Walked out of the clinic and building, tripped and fainted. Mom sent younger sister in to get me. We got a wheel chair and brought her back into the clinic, on the way in she fainted again. Got her on to the bed and took BP 106/57. After 5 min sat her up and retook BP 105/54. Got her to the wheel chair and gave her a drink of water and took her to the ER. Gave report to the ER nurse.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Induration, Pain, Skin warm
Clinical narrative: LEFT ARM, OUTER ASPECT, "OLIVE" SIZE HARD LUMP, PAINFUL, WARM TO TOUCH.  UNSURE OF REDNESS DUE TO MULTICOLORED TATTOO COVERING ENTIRE OUTER PORTION OF ARM.  PAIN TO ELBOW.  GOOD RANGE OF MOTION.  SOME "TIGHTNESS" WITH FLEXION OF LEFT ARM.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Contraception, Convulsion, Drug screen negative, Full blood count normal
Clinical narrative: Patient had presumed seizure activity on 6/3/2007, 4 days after vaccine administration.  Patient found unconscious by father -- not breathing and incontinent of urine.  Event lasted approximately 2-3 minutes.  Patient taken to ER by ambulance. 1/11/2010 In October of 2007 she started having severe frequent urination-all other possibilities eliminated through blood work, urninalysis, diabetes checks, MRIs completed on spine to insure for absence of cysts and/or tumors. She was having to urinate 15-20 times in a 10-15 hour period. Finally sent her to OBGYN. They put her on birth control to try to help. Severe mood swings and pain. Could be part of her body or adjusting to her cycle however, this was one year past when she started her menstration cycle. Hormones have balanced things out; however she still hs frequent urnination just not as bad-"could be related to vaccine"-who knows.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Laboratory test normal, Loss of consciousness, Mood swings, Pain, Pollakiuria
Clinical narrative: Patient had presumed seizure activity on 6/3/2007, 4 days after vaccine administration.  Patient found unconscious by father -- not breathing and incontinent of urine.  Event lasted approximately 2-3 minutes.  Patient taken to ER by ambulance. 1/11/2010 In October of 2007 she started having severe frequent urination-all other possibilities eliminated through blood work, urninalysis, diabetes checks, MRIs completed on spine to insure for absence of cysts and/or tumors. She was having to urinate 15-20 times in a 10-15 hour period. Finally sent her to OBGYN. They put her on birth control to try to help. Severe mood swings and pain. Could be part of her body or adjusting to her cycle however, this was one year past when she started her menstration cycle. Hormones have balanced things out; however she still hs frequent urnination just not as bad-"could be related to vaccine"-who knows.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Pregnancy test urine negative, Respiratory arrest, Urinary incontinence, Urine analysis normal
Clinical narrative: Patient had presumed seizure activity on 6/3/2007, 4 days after vaccine administration.  Patient found unconscious by father -- not breathing and incontinent of urine.  Event lasted approximately 2-3 minutes.  Patient taken to ER by ambulance. 1/11/2010 In October of 2007 she started having severe frequent urination-all other possibilities eliminated through blood work, urninalysis, diabetes checks, MRIs completed on spine to insure for absence of cysts and/or tumors. She was having to urinate 15-20 times in a 10-15 hour period. Finally sent her to OBGYN. They put her on birth control to try to help. Severe mood swings and pain. Could be part of her body or adjusting to her cycle however, this was one year past when she started her menstration cycle. Hormones have balanced things out; however she still hs frequent urnination just not as bad-"could be related to vaccine"-who knows.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Convulsion, Drug screen negative, Full blood count normal, Laboratory test normal
Clinical narrative: Patient had presumed seizure activity on 6/3/2007, 4 days after vaccine administration.  Patient found unconscious by father -- not breathing and incontinent of urine.  Event lasted approximately 2-3 minutes.  Patient taken to ER by ambulance. 1/11/2010 In October of 2007 she started having severe frequent urination-all other possibilities eliminated through blood work, urninalysis, diabetes checks, MRIs completed on spine to insure for absence of cysts and/or tumors. She was having to urinate 15-20 times in a 10-15 hour period. Finally sent her to OBGYN. They put her on birth control to try to help. Severe mood swings and pain. Could be part of her body or adjusting to her cycle however, this was one year past when she started her menstration cycle. Hormones have balanced things out; however she still hs frequent urnination just not as bad-"could be related to vaccine"-who knows.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Loss of consciousness, Respiratory arrest, Urinary incontinence, Urine analysis normal
Clinical narrative: Patient had presumed seizure activity on 6/3/2007, 4 days after vaccine administration.  Patient found unconscious by father -- not breathing and incontinent of urine.  Event lasted approximately 2-3 minutes.  Patient taken to ER by ambulance. 1/11/2010 In October of 2007 she started having severe frequent urination-all other possibilities eliminated through blood work, urninalysis, diabetes checks, MRIs completed on spine to insure for absence of cysts and/or tumors. She was having to urinate 15-20 times in a 10-15 hour period. Finally sent her to OBGYN. They put her on birth control to try to help. Severe mood swings and pain. Could be part of her body or adjusting to her cycle however, this was one year past when she started her menstration cycle. Hormones have balanced things out; however she still hs frequent urnination just not as bad-"could be related to vaccine"-who knows.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Blood test normal, Computerised tomogram normal, Convulsion, Electroencephalogram normal, Tremor
Clinical narrative: Patient had presumed seizure activity on 6/3/2007, 4 days after vaccine administration.  Patient found unconscious by father -- not breathing and incontinent of urine.  Event lasted approximately 2-3 minutes.  Patient taken to ER by ambulance. 1/11/2010 In October of 2007 she started having severe frequent urination-all other possibilities eliminated through blood work, urninalysis, diabetes checks, MRIs completed on spine to insure for absence of cysts and/or tumors. She was having to urinate 15-20 times in a 10-15 hour period. Finally sent her to OBGYN. They put her on birth control to try to help. Severe mood swings and pain. Could be part of her body or adjusting to her cycle however, this was one year past when she started her menstration cycle. Hormones have balanced things out; however she still hs frequent urnination just not as bad-"could be related to vaccine"-who knows.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Urinary incontinence, Urine analysis normal, Wheezing
Clinical narrative: Patient had presumed seizure activity on 6/3/2007, 4 days after vaccine administration.  Patient found unconscious by father -- not breathing and incontinent of urine.  Event lasted approximately 2-3 minutes.  Patient taken to ER by ambulance. 1/11/2010 In October of 2007 she started having severe frequent urination-all other possibilities eliminated through blood work, urninalysis, diabetes checks, MRIs completed on spine to insure for absence of cysts and/or tumors. She was having to urinate 15-20 times in a 10-15 hour period. Finally sent her to OBGYN. They put her on birth control to try to help. Severe mood swings and pain. Could be part of her body or adjusting to her cycle however, this was one year past when she started her menstration cycle. Hormones have balanced things out; however she still hs frequent urnination just not as bad-"could be related to vaccine"-who knows.
Age: 67.0
Sex: M
Vaccine: RAB
Symptoms: Arthralgia, Asthenia, Headache, Influenza like illness, Myalgia
Clinical narrative: Client called office to report flu-like illness - H/A, arthralgias/myalgias and feeling week.  Onset ~ 12 hr after receiving booster of rabies vaccine. No fever, able to walk, no respiratory distress, tol po.  Treating discomfort w/ Extra-strength Excedrin and Ibuprofen.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Diarrhoea, Vomiting
Clinical narrative: 3:30PM Vomiting, 15 to 20 episodes with diarrhea X3. Went to ER, possible reaction, sent home. 13th still vomiting, no diarrhea, using Pedialyte. 14th had 2 episodes of each, on Pedialyte. 15th vomited once, 2 diarrhea stools in am only, none since noon, using Pedialyte. Temp remained normal. No abdominal pain on palpation throughout. No one else in family ill.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus, Injection site swelling
Clinical narrative: Redness and puffiness around injection site measuring 4x5 inches in diameter; itchiness and burning sensation.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Axillary mass, Axillary pain, Injection site discomfort, Injection site erythema, Injection site swelling
Clinical narrative: Erythema on left deltoid at injection site measuring approx. 1 1/2 CM.  Area with increased warmth to the skin.  Pt. C/O some discomfort in the axilla area of the left arm with some swelling there as well.  Benadryl and warm compress to the area and follow-up with MD in 1 week or sooner if area worsens.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site warmth
Clinical narrative: Erythema on left deltoid at injection site measuring approx. 1 1/2 CM.  Area with increased warmth to the skin.  Pt. C/O some discomfort in the axilla area of the left arm with some swelling there as well.  Benadryl and warm compress to the area and follow-up with MD in 1 week or sooner if area worsens.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site mass
Clinical narrative: PATIENT CAME INTO OUR OFFICE WITH A KNOT ON HIS RIGHT MID/UPPER THIGH ABOUT TWO INCHES IN DIAMETER. DR. INSTRUCTED PATIENT'S MOTHER TO DO 1TSP BENADRYL, MOTRIN FOR PX, TO ICE THE AFFECTED AREA, AND TO WATCH FOR ANY WORSENING REACTION.  MOTHER INSTRUCTED TO FOLLOW UP WITH ANY OTHER PROBLEMS.
Age: 11.0
Sex: M
Vaccine: HEPA, MMR, MNQ, VARCEL
Symptoms: Erythema, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: MILD REDNESS AND SWELLING RT. DELTOID AREA, WARM TO THE TOUCH AND SLIGHTLY TENDER. PT. NO FEVER-97.9F. S/S APPEAR IN ABOUT 48 HRS. AFTER THE IZ ADMINISTRATION. OTHER S/S PAIN AND ITCHING. CLINICIAN PRESCRIBE: BENADRYL 25MG Q6-8HR PRN FOR REDNESS AND PRURITIS. CONTINUE ICE PACKS PRN. ERTHROMYCIN 250MG 1 TAB. QID X7 DAYS, WITH THE INSTRUCTION TO STOP AFTER 5 DAYS IF RESOLVE.
Age: 11.0
Sex: M
Vaccine: HEPA, MMR, MNQ, VARCEL
Symptoms: Tenderness
Clinical narrative: MILD REDNESS AND SWELLING RT. DELTOID AREA, WARM TO THE TOUCH AND SLIGHTLY TENDER. PT. NO FEVER-97.9F. S/S APPEAR IN ABOUT 48 HRS. AFTER THE IZ ADMINISTRATION. OTHER S/S PAIN AND ITCHING. CLINICIAN PRESCRIBE: BENADRYL 25MG Q6-8HR PRN FOR REDNESS AND PRURITIS. CONTINUE ICE PACKS PRN. ERTHROMYCIN 250MG 1 TAB. QID X7 DAYS, WITH THE INSTRUCTION TO STOP AFTER 5 DAYS IF RESOLVE.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Blood test, Diarrhoea, Enema administration, Faeces discoloured, Fatigue
Clinical narrative: Given 4 month shots at 4 month wellness visit on 6/12/07 at approximately 12 noon, after shots noticed Irritability, Vomiting in fountain like manner, Fever, Loose Bowels, Blood in the Stools in a "jelly ball" like substance.  6/12/07 at 9pm consulted on-call physician and was told to go to the Emergency Room.  Arrived and was treated by Dr. and confirmed that there was blood in the stool, exam of stomach was done, blood was taken, IV of saline was started, X- rays were taken and transferred to on-call Radiologist, via computer.  After review of xrays Radiologist did Enema on bowels looking for Intussusception.  Put pressure on bowels 3 times.  Took more x-rays of abdomen.  Drained the enema.  Was tested for Salmonella and another diaper was submitted to test for various other organisms. Released from hospital and returned home with low-grade fever.  Saw Dr. the next day 6/13/07, stool turned to dark avocado green with mucous. Reported to Dr. stool change.  Baby woke in the middle of night with stuffy nose, had to use the bulb to clear the nose of drainage.  Baby very tired and slept later than usual.  6/15/07 was called and told Salmonella test was negative, stool blood test was negative and that it was possible our baby had Intussusception at some point which may have worked itself out before arrival in the Emergency Room (or before the enema was done).  At approximately 6:30pm on 6/15/07 noticed one small spot of blood in the stool, stool color is closer to pea green in color (lighter in color).  6/19/07 Received PCP med recs including vax record which provided missing lot & dose #.  VAERS database updated w/same.  Records indicate patient had nasal congestion & dermatitis on day of vax, otherwise well & developing as expected.  Returned to clinic on 6/13 s/p ER visit for blood in stool & fever.  WBC in ER was 19,000 & received IV antibiotics.  6/13 note indicates DX: acute diarrhea & hx of IS.  Returned to clinic on 6/17 with bloody stools.  Dx: rectal/anal fissure & gastroenteritis, presumed infectious.  7/27/07 Received ER medical recods which reveal patient experienced abdominal pain & projectile vomiting on 6/12/07.  Also had low grade fever, mild cough & was fussy. Stool in ER noted to be jelly like & heme (+).  Received IVF & IV antibiotics x 1 FINAL DX: Vomiting & gastroenteritis. 7/27/07 records faxed to CDC.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Haematochezia, Inappropriate schedule of drug administration, Irritability, Mucous stools, Nasal congestion
Clinical narrative: Given 4 month shots at 4 month wellness visit on 6/12/07 at approximately 12 noon, after shots noticed Irritability, Vomiting in fountain like manner, Fever, Loose Bowels, Blood in the Stools in a "jelly ball" like substance.  6/12/07 at 9pm consulted on-call physician and was told to go to the Emergency Room.  Arrived and was treated by Dr. and confirmed that there was blood in the stool, exam of stomach was done, blood was taken, IV of saline was started, X- rays were taken and transferred to on-call Radiologist, via computer.  After review of xrays Radiologist did Enema on bowels looking for Intussusception.  Put pressure on bowels 3 times.  Took more x-rays of abdomen.  Drained the enema.  Was tested for Salmonella and another diaper was submitted to test for various other organisms. Released from hospital and returned home with low-grade fever.  Saw Dr. the next day 6/13/07, stool turned to dark avocado green with mucous. Reported to Dr. stool change.  Baby woke in the middle of night with stuffy nose, had to use the bulb to clear the nose of drainage.  Baby very tired and slept later than usual.  6/15/07 was called and told Salmonella test was negative, stool blood test was negative and that it was possible our baby had Intussusception at some point which may have worked itself out before arrival in the Emergency Room (or before the enema was done).  At approximately 6:30pm on 6/15/07 noticed one small spot of blood in the stool, stool color is closer to pea green in color (lighter in color).  6/19/07 Received PCP med recs including vax record which provided missing lot & dose #.  VAERS database updated w/same.  Records indicate patient had nasal congestion & dermatitis on day of vax, otherwise well & developing as expected.  Returned to clinic on 6/13 s/p ER visit for blood in stool & fever.  WBC in ER was 19,000 & received IV antibiotics.  6/13 note indicates DX: acute diarrhea & hx of IS.  Returned to clinic on 6/17 with bloody stools.  Dx: rectal/anal fissure & gastroenteritis, presumed infectious.  7/27/07 Received ER medical recods which reveal patient experienced abdominal pain & projectile vomiting on 6/12/07.  Also had low grade fever, mild cough & was fussy. Stool in ER noted to be jelly like & heme (+).  Received IVF & IV antibiotics x 1 FINAL DX: Vomiting & gastroenteritis. 7/27/07 records faxed to CDC.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Pyrexia, Stool analysis, Vomiting
Clinical narrative: Given 4 month shots at 4 month wellness visit on 6/12/07 at approximately 12 noon, after shots noticed Irritability, Vomiting in fountain like manner, Fever, Loose Bowels, Blood in the Stools in a "jelly ball" like substance.  6/12/07 at 9pm consulted on-call physician and was told to go to the Emergency Room.  Arrived and was treated by Dr. and confirmed that there was blood in the stool, exam of stomach was done, blood was taken, IV of saline was started, X- rays were taken and transferred to on-call Radiologist, via computer.  After review of xrays Radiologist did Enema on bowels looking for Intussusception.  Put pressure on bowels 3 times.  Took more x-rays of abdomen.  Drained the enema.  Was tested for Salmonella and another diaper was submitted to test for various other organisms. Released from hospital and returned home with low-grade fever.  Saw Dr. the next day 6/13/07, stool turned to dark avocado green with mucous. Reported to Dr. stool change.  Baby woke in the middle of night with stuffy nose, had to use the bulb to clear the nose of drainage.  Baby very tired and slept later than usual.  6/15/07 was called and told Salmonella test was negative, stool blood test was negative and that it was possible our baby had Intussusception at some point which may have worked itself out before arrival in the Emergency Room (or before the enema was done).  At approximately 6:30pm on 6/15/07 noticed one small spot of blood in the stool, stool color is closer to pea green in color (lighter in color).  6/19/07 Received PCP med recs including vax record which provided missing lot & dose #.  VAERS database updated w/same.  Records indicate patient had nasal congestion & dermatitis on day of vax, otherwise well & developing as expected.  Returned to clinic on 6/13 s/p ER visit for blood in stool & fever.  WBC in ER was 19,000 & received IV antibiotics.  6/13 note indicates DX: acute diarrhea & hx of IS.  Returned to clinic on 6/17 with bloody stools.  Dx: rectal/anal fissure & gastroenteritis, presumed infectious.  7/27/07 Received ER medical recods which reveal patient experienced abdominal pain & projectile vomiting on 6/12/07.  Also had low grade fever, mild cough & was fussy. Stool in ER noted to be jelly like & heme (+).  Received IVF & IV antibiotics x 1 FINAL DX: Vomiting & gastroenteritis. 7/27/07 records faxed to CDC.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Anal fissure, Barium enema, Culture stool positive, Diarrhoea, Enema administration
Clinical narrative: Given 4 month shots at 4 month wellness visit on 6/12/07 at approximately 12 noon, after shots noticed Irritability, Vomiting in fountain like manner, Fever, Loose Bowels, Blood in the Stools in a "jelly ball" like substance.  6/12/07 at 9pm consulted on-call physician and was told to go to the Emergency Room.  Arrived and was treated by Dr. and confirmed that there was blood in the stool, exam of stomach was done, blood was taken, IV of saline was started, X- rays were taken and transferred to on-call Radiologist, via computer.  After review of xrays Radiologist did Enema on bowels looking for Intussusception.  Put pressure on bowels 3 times.  Took more x-rays of abdomen.  Drained the enema.  Was tested for Salmonella and another diaper was submitted to test for various other organisms. Released from hospital and returned home with low-grade fever.  Saw Dr. the next day 6/13/07, stool turned to dark avocado green with mucous. Reported to Dr. stool change.  Baby woke in the middle of night with stuffy nose, had to use the bulb to clear the nose of drainage.  Baby very tired and slept later than usual.  6/15/07 was called and told Salmonella test was negative, stool blood test was negative and that it was possible our baby had Intussusception at some point which may have worked itself out before arrival in the Emergency Room (or before the enema was done).  At approximately 6:30pm on 6/15/07 noticed one small spot of blood in the stool, stool color is closer to pea green in color (lighter in color).  6/19/07 Received PCP med recs including vax record which provided missing lot & dose #.  VAERS database updated w/same.  Records indicate patient had nasal congestion & dermatitis on day of vax, otherwise well & developing as expected.  Returned to clinic on 6/13 s/p ER visit for blood in stool & fever.  WBC in ER was 19,000 & received IV antibiotics.  6/13 note indicates DX: acute diarrhea & hx of IS.  Returned to clinic on 6/17 with bloody stools.  Dx: rectal/anal fissure & gastroenteritis, presumed infectious.  7/27/07 Received ER medical recods which reveal patient experienced abdominal pain & projectile vomiting on 6/12/07.  Also had low grade fever, mild cough & was fussy. Stool in ER noted to be jelly like & heme (+).  Received IVF & IV antibiotics x 1 FINAL DX: Vomiting & gastroenteritis. 7/27/07 records faxed to CDC.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Faeces discoloured, Fatigue, Gastroenteritis rotavirus, Haematochezia, Irritability
Clinical narrative: Given 4 month shots at 4 month wellness visit on 6/12/07 at approximately 12 noon, after shots noticed Irritability, Vomiting in fountain like manner, Fever, Loose Bowels, Blood in the Stools in a "jelly ball" like substance.  6/12/07 at 9pm consulted on-call physician and was told to go to the Emergency Room.  Arrived and was treated by Dr. and confirmed that there was blood in the stool, exam of stomach was done, blood was taken, IV of saline was started, X- rays were taken and transferred to on-call Radiologist, via computer.  After review of xrays Radiologist did Enema on bowels looking for Intussusception.  Put pressure on bowels 3 times.  Took more x-rays of abdomen.  Drained the enema.  Was tested for Salmonella and another diaper was submitted to test for various other organisms. Released from hospital and returned home with low-grade fever.  Saw Dr. the next day 6/13/07, stool turned to dark avocado green with mucous. Reported to Dr. stool change.  Baby woke in the middle of night with stuffy nose, had to use the bulb to clear the nose of drainage.  Baby very tired and slept later than usual.  6/15/07 was called and told Salmonella test was negative, stool blood test was negative and that it was possible our baby had Intussusception at some point which may have worked itself out before arrival in the Emergency Room (or before the enema was done).  At approximately 6:30pm on 6/15/07 noticed one small spot of blood in the stool, stool color is closer to pea green in color (lighter in color).  6/19/07 Received PCP med recs including vax record which provided missing lot & dose #.  VAERS database updated w/same.  Records indicate patient had nasal congestion & dermatitis on day of vax, otherwise well & developing as expected.  Returned to clinic on 6/13 s/p ER visit for blood in stool & fever.  WBC in ER was 19,000 & received IV antibiotics.  6/13 note indicates DX: acute diarrhea & hx of IS.  Returned to clinic on 6/17 with bloody stools.  Dx: rectal/anal fissure & gastroenteritis, presumed infectious.  7/27/07 Received ER medical recods which reveal patient experienced abdominal pain & projectile vomiting on 6/12/07.  Also had low grade fever, mild cough & was fussy. Stool in ER noted to be jelly like & heme (+).  Received IVF & IV antibiotics x 1 FINAL DX: Vomiting & gastroenteritis. 7/27/07 records faxed to CDC.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Mucous stools, Nasal congestion, Pyrexia, Salmonellosis, Vomiting
Clinical narrative: Given 4 month shots at 4 month wellness visit on 6/12/07 at approximately 12 noon, after shots noticed Irritability, Vomiting in fountain like manner, Fever, Loose Bowels, Blood in the Stools in a "jelly ball" like substance.  6/12/07 at 9pm consulted on-call physician and was told to go to the Emergency Room.  Arrived and was treated by Dr. and confirmed that there was blood in the stool, exam of stomach was done, blood was taken, IV of saline was started, X- rays were taken and transferred to on-call Radiologist, via computer.  After review of xrays Radiologist did Enema on bowels looking for Intussusception.  Put pressure on bowels 3 times.  Took more x-rays of abdomen.  Drained the enema.  Was tested for Salmonella and another diaper was submitted to test for various other organisms. Released from hospital and returned home with low-grade fever.  Saw Dr. the next day 6/13/07, stool turned to dark avocado green with mucous. Reported to Dr. stool change.  Baby woke in the middle of night with stuffy nose, had to use the bulb to clear the nose of drainage.  Baby very tired and slept later than usual.  6/15/07 was called and told Salmonella test was negative, stool blood test was negative and that it was possible our baby had Intussusception at some point which may have worked itself out before arrival in the Emergency Room (or before the enema was done).  At approximately 6:30pm on 6/15/07 noticed one small spot of blood in the stool, stool color is closer to pea green in color (lighter in color).  6/19/07 Received PCP med recs including vax record which provided missing lot & dose #.  VAERS database updated w/same.  Records indicate patient had nasal congestion & dermatitis on day of vax, otherwise well & developing as expected.  Returned to clinic on 6/13 s/p ER visit for blood in stool & fever.  WBC in ER was 19,000 & received IV antibiotics.  6/13 note indicates DX: acute diarrhea & hx of IS.  Returned to clinic on 6/17 with bloody stools.  Dx: rectal/anal fissure & gastroenteritis, presumed infectious.  7/27/07 Received ER medical recods which reveal patient experienced abdominal pain & projectile vomiting on 6/12/07.  Also had low grade fever, mild cough & was fussy. Stool in ER noted to be jelly like & heme (+).  Received IVF & IV antibiotics x 1 FINAL DX: Vomiting & gastroenteritis. 7/27/07 records faxed to CDC.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: X-ray normal
Clinical narrative: Given 4 month shots at 4 month wellness visit on 6/12/07 at approximately 12 noon, after shots noticed Irritability, Vomiting in fountain like manner, Fever, Loose Bowels, Blood in the Stools in a "jelly ball" like substance.  6/12/07 at 9pm consulted on-call physician and was told to go to the Emergency Room.  Arrived and was treated by Dr. and confirmed that there was blood in the stool, exam of stomach was done, blood was taken, IV of saline was started, X- rays were taken and transferred to on-call Radiologist, via computer.  After review of xrays Radiologist did Enema on bowels looking for Intussusception.  Put pressure on bowels 3 times.  Took more x-rays of abdomen.  Drained the enema.  Was tested for Salmonella and another diaper was submitted to test for various other organisms. Released from hospital and returned home with low-grade fever.  Saw Dr. the next day 6/13/07, stool turned to dark avocado green with mucous. Reported to Dr. stool change.  Baby woke in the middle of night with stuffy nose, had to use the bulb to clear the nose of drainage.  Baby very tired and slept later than usual.  6/15/07 was called and told Salmonella test was negative, stool blood test was negative and that it was possible our baby had Intussusception at some point which may have worked itself out before arrival in the Emergency Room (or before the enema was done).  At approximately 6:30pm on 6/15/07 noticed one small spot of blood in the stool, stool color is closer to pea green in color (lighter in color).  6/19/07 Received PCP med recs including vax record which provided missing lot & dose #.  VAERS database updated w/same.  Records indicate patient had nasal congestion & dermatitis on day of vax, otherwise well & developing as expected.  Returned to clinic on 6/13 s/p ER visit for blood in stool & fever.  WBC in ER was 19,000 & received IV antibiotics.  6/13 note indicates DX: acute diarrhea & hx of IS.  Returned to clinic on 6/17 with bloody stools.  Dx: rectal/anal fissure & gastroenteritis, presumed infectious.  7/27/07 Received ER medical recods which reveal patient experienced abdominal pain & projectile vomiting on 6/12/07.  Also had low grade fever, mild cough & was fussy. Stool in ER noted to be jelly like & heme (+).  Received IVF & IV antibiotics x 1 FINAL DX: Vomiting & gastroenteritis. 7/27/07 records faxed to CDC.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Abdominal distension, Abnormal faeces, Discomfort, Haematochezia, Vomiting
Clinical narrative: Given 4 month shots at 4 month wellness visit on 6/12/07 at approximately 12 noon, after shots noticed Irritability, Vomiting in fountain like manner, Fever, Loose Bowels, Blood in the Stools in a "jelly ball" like substance.  6/12/07 at 9pm consulted on-call physician and was told to go to the Emergency Room.  Arrived and was treated by Dr. and confirmed that there was blood in the stool, exam of stomach was done, blood was taken, IV of saline was started, X- rays were taken and transferred to on-call Radiologist, via computer.  After review of xrays Radiologist did Enema on bowels looking for Intussusception.  Put pressure on bowels 3 times.  Took more x-rays of abdomen.  Drained the enema.  Was tested for Salmonella and another diaper was submitted to test for various other organisms. Released from hospital and returned home with low-grade fever.  Saw Dr. the next day 6/13/07, stool turned to dark avocado green with mucous. Reported to Dr. stool change.  Baby woke in the middle of night with stuffy nose, had to use the bulb to clear the nose of drainage.  Baby very tired and slept later than usual.  6/15/07 was called and told Salmonella test was negative, stool blood test was negative and that it was possible our baby had Intussusception at some point which may have worked itself out before arrival in the Emergency Room (or before the enema was done).  At approximately 6:30pm on 6/15/07 noticed one small spot of blood in the stool, stool color is closer to pea green in color (lighter in color).  6/19/07 Received PCP med recs including vax record which provided missing lot & dose #.  VAERS database updated w/same.  Records indicate patient had nasal congestion & dermatitis on day of vax, otherwise well & developing as expected.  Returned to clinic on 6/13 s/p ER visit for blood in stool & fever.  WBC in ER was 19,000 & received IV antibiotics.  6/13 note indicates DX: acute diarrhea & hx of IS.  Returned to clinic on 6/17 with bloody stools.  Dx: rectal/anal fissure & gastroenteritis, presumed infectious.  7/27/07 Received ER medical recods which reveal patient experienced abdominal pain & projectile vomiting on 6/12/07.  Also had low grade fever, mild cough & was fussy. Stool in ER noted to be jelly like & heme (+).  Received IVF & IV antibiotics x 1 FINAL DX: Vomiting & gastroenteritis. 7/27/07 records faxed to CDC.