chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: 1620: CHILD WAS SEEN FOR 5 YEAR WELL CHILD VISIT.  AFTER VISIT ON THE WAY TO CAR PT LOOKED PUFFY, RED, FEET HURT AND COMPLAINED OF DIFFICULTY BREATHING.  1640: PT RETURNED TO OFFICE ABOUT 30 MINUTES POST VACCINATION C/O COUGH,DIFFICULTY BREATHING AND GENERALIZED ITCHING.  1645: PT ADMINISTERED ORAL DOSE OF BENADRYL 9 ML (12 MG/4ML), BUT SUBSEQUENTLY VOMITED.  PERIPHERAL IV CATHETER PLACED.  GIVEN 20 MG IV BOLUS BENADRYL, 40 MG SOLU-MEDROL (125 GM/2ML) IV, IV SALINE, ALBUTEROL NEB.  1700: URTICARIA RESOLVED, AND NO TROUBLE BREATHING.  1730: EDEMA RESOLVED. ABOUT 1800 ON 4/4/06, PATIENT TRANSFERRED BY AMBULANCE TO HOSPITAL FOR OBSERVATION WTIH A CHIEF COMPLAINT OF ANALPHYLACTIC RXN TO VACCINES.  PT MARKEDLY IMPROVED SINCE TRANSFER.  ARRANGEMENTS TO SEE ALLERGIST RECHECK.  2200: DISCHARGED FROM THE HOSPITAL WITH PREDNISOLONE 2 MG/KG/DAY X 2 DOSES (1 DOSE IN PM, AND 1 DOSE IN AM, BENADRYL X 4 DAYS, ZANTAC AND EPI PEN.  PT HAS HAD SIMILAR RXNS TO TRAIL NUTS, ALTHOUGH SKIN TESTS NEGATIVE.  ALSO HAD RXN TO GUMMY WORMS.  HAS RECEIVED ALL CHILDHOOD IMMUNIZATIONS IN PAST WITHOUT REACTION.
Age: 5.0
Sex: F
Vaccine: IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 12 cm erythema and induration at site of DTAP injection of patient's anterior thigh.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Laboratory test abnormal, Pain
Clinical narrative: Slight General Body Aches started near end of November 2003.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red swollen warm painful redness 8 inches in length and 3.5 inches in width pt. does state site is looking better than it did last noc. informed pt. to take otc benadryl and ice to site. if worsen to report back asap.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: Erythema, Irritability, Rash, Rash erythematous
Clinical narrative: Received call from Physician today, April 20,2006 in regard to childs imm. given Dec.20,2005. Approximately 7 hours after receiving vaccines, he developed a rash described by parents as"all over". He was seen by doctor on  Dec 21,2005. DR's letter stated "he was irritable but in no distress, and had  red, blanching, irregular patches, some raised, on his legs,arms, abdomen,back,neck, and face. A dime-sized, circumscribed, firm darker red spot was seen on left thigh, consistent with an immunazation site, and ther was a more lacy, blanching rash concentrated on both anterolateral thighs". Dr. is having him skin tested by an allergist for this reaction to attempt to see what vaccine he was allergic to.  The afore mentioned letter is a copy of the letter sent to the allergist.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal sleep-related event, Apnoea, Bronchitis chronic, Cardio-respiratory arrest, Sleep apnoea syndrome
Clinical narrative: Child on apnea monitor since birth. Born 1 month premature. Parents awakened by monitor going off. I am unsure of # of episodes throughout night. Parents have not yet returned call.  Full ER report will be faxed, which includes all treatment, etc. 4/20/06 Received ER medical records which reveal patient arrived in full arrest w/blood around nares & was unable to be resuscitated. 5/25/06 Received autopsy report which reveal COD as SIDS with cosleeping in child with history of sleep apnea & mild chronic bronchitis/ss
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Child on apnea monitor since birth. Born 1 month premature. Parents awakened by monitor going off. I am unsure of # of episodes throughout night. Parents have not yet returned call.  Full ER report will be faxed, which includes all treatment, etc. 4/20/06 Received ER medical records which reveal patient arrived in full arrest w/blood around nares & was unable to be resuscitated. 5/25/06 Received autopsy report which reveal COD as SIDS with cosleeping in child with history of sleep apnea & mild chronic bronchitis/ss
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Unevaluable event
Clinical narrative: Child on apnea monitor since birth. Born 1 month premature. Parents awakened by monitor going off. I am unsure of # of episodes throughout night. Parents have not yet returned call.  Full ER report will be faxed, which includes all treatment, etc. 4/20/06 Received ER medical records which reveal patient arrived in full arrest w/blood around nares & was unable to be resuscitated. 5/25/06 Received autopsy report which reveal COD as SIDS with cosleeping in child with history of sleep apnea & mild chronic bronchitis/ss
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Body temperature decreased, Coma, Cyanosis, Depressed level of consciousness
Clinical narrative: Child on apnea monitor since birth. Born 1 month premature. Parents awakened by monitor going off. I am unsure of # of episodes throughout night. Parents have not yet returned call.  Full ER report will be faxed, which includes all treatment, etc. 4/20/06 Received ER medical records which reveal patient arrived in full arrest w/blood around nares & was unable to be resuscitated. 5/25/06 Received autopsy report which reveal COD as SIDS with cosleeping in child with history of sleep apnea & mild chronic bronchitis/ss
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Cough, Erythema, Fatigue, Headache, Pain
Clinical narrative: Complained that left arm painful with small red papules at side and both legs hurt.  Also complained of cough, sore throat, headached and fatigue.  Had fever of 103.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Complained that left arm painful with small red papules at side and both legs hurt.  Also complained of cough, sore throat, headached and fatigue.  Had fever of 103.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, MNQ, PPV, TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received phone call at 4:30pm. Stated child was seen in office today for reaction to vaccine received in Right Deltoid (Pneumovax). Stated red, swollen area around injection site, no fever, warm erythema with mild edema on right upper arm, no infection noted. Stated was a local reaction and mom was advised to watch area for cellulitis and to return to office in 2-3 days if no better.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood thyroid stimulating hormone decreased, Chest pain, Dehydration, Dyspnoea
Clinical narrative: Pt recieved pneumovax on 4/12/06 and was feeling fine at the time. Also had lab testing routinely done that day-CMP,Lipid, TSH, T4,CBC. Labs and vaccine ordered. Pt. returned on 4/13 complaining of shortness of breath, chest pain, fatigue and fever overnight-evaluated by me. Vital signs were normal and exam unremarkable that day and was reassured- EKG normal. Given durabac samples for pain and told to rest and drink fluids. also had labs from day before checked and had lft elevation but otherwise OK and told to hold lipitor. Patient returned and saw doctor on 4/14 and had increasing chest pain and weakness-CXR normal. Vital Signs normal and was given a prednisone taper and a shot of Decadron and Torradol. By that evening patient was unable to get out of bed and lethargic. She went by EMS to hospital. Labs showed hyponatremia at 130 and decreased TSH (both had been normal 4/12 prior to vaccination) and incresed osmalality and was felt to be dehydrated. Was treated by doctor with IVF and got some better and sent home. Saw doctor 4/17 and still was weak an with chest pain but was recovering. The ER doc had told her to hold tegretol but doctor started it back on 4/17. Seen by me on 4/20 and was doing better. Weakness almost resolved and chest pain significantly diminished. Labs-CMP, TSH, T4 pending from 4/20.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Hyponatraemia, Lethargy, Pyrexia
Clinical narrative: Pt recieved pneumovax on 4/12/06 and was feeling fine at the time. Also had lab testing routinely done that day-CMP,Lipid, TSH, T4,CBC. Labs and vaccine ordered. Pt. returned on 4/13 complaining of shortness of breath, chest pain, fatigue and fever overnight-evaluated by me. Vital signs were normal and exam unremarkable that day and was reassured- EKG normal. Given durabac samples for pain and told to rest and drink fluids. also had labs from day before checked and had lft elevation but otherwise OK and told to hold lipitor. Patient returned and saw doctor on 4/14 and had increasing chest pain and weakness-CXR normal. Vital Signs normal and was given a prednisone taper and a shot of Decadron and Torradol. By that evening patient was unable to get out of bed and lethargic. She went by EMS to hospital. Labs showed hyponatremia at 130 and decreased TSH (both had been normal 4/12 prior to vaccination) and incresed osmalality and was felt to be dehydrated. Was treated by doctor with IVF and got some better and sent home. Saw doctor 4/17 and still was weak an with chest pain but was recovering. The ER doc had told her to hold tegretol but doctor started it back on 4/17. Seen by me on 4/20 and was doing better. Weakness almost resolved and chest pain significantly diminished. Labs-CMP, TSH, T4 pending from 4/20.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Pain with injection, pain in Left Elbow since 3rd Anthrax injection.  Treated with Motrin 800mg tid.
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Headache, Musculoskeletal stiffness, Systemic lupus erythematosus
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain in a female subject of unspecified age who was vaccinated with lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unspecified time after vaccination with Lymerix, the subject experienced joint pain, stiffness, headache and lupus like symptoms. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of Injuries.
Sex: M
Vaccine: LYME
Symptoms: Amnesia, Arthralgia, Cognitive disorder, Dizziness, Facial palsy
Clinical narrative: This case was reported by a lawyer and described the occurrence of Bell's palsy in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant Lymerix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix. At an unspecified time after vaccination with Lymerix, the subject experienced Bells palsy, joint pain and swelling, flu-like symptoms, fatigue, rashes, tingling in his extremities, headache, visual problems, cognitive problems, memory loss, joint stiffness, sleep disorder, sinus problems, dizziness, ear ringing, muscle pain and weakness, numbness, decreased activity of daily life, rheumatologic, neurologic and or cognitive impairment of an autoimmune mediated, or other mechanism. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Fatigue, Headache, Hypoaesthesia, Immune system disorder, Influenza like illness
Clinical narrative: This case was reported by a lawyer and described the occurrence of Bell's palsy in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant Lymerix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix. At an unspecified time after vaccination with Lymerix, the subject experienced Bells palsy, joint pain and swelling, flu-like symptoms, fatigue, rashes, tingling in his extremities, headache, visual problems, cognitive problems, memory loss, joint stiffness, sleep disorder, sinus problems, dizziness, ear ringing, muscle pain and weakness, numbness, decreased activity of daily life, rheumatologic, neurologic and or cognitive impairment of an autoimmune mediated, or other mechanism. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Joint stiffness, Muscular weakness, Myalgia, Nervous system disorder, Oedema
Clinical narrative: This case was reported by a lawyer and described the occurrence of Bell's palsy in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant Lymerix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix. At an unspecified time after vaccination with Lymerix, the subject experienced Bells palsy, joint pain and swelling, flu-like symptoms, fatigue, rashes, tingling in his extremities, headache, visual problems, cognitive problems, memory loss, joint stiffness, sleep disorder, sinus problems, dizziness, ear ringing, muscle pain and weakness, numbness, decreased activity of daily life, rheumatologic, neurologic and or cognitive impairment of an autoimmune mediated, or other mechanism. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Paraesthesia, Rash, Rheumatoid factor, Sinusitis, Sleep disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of Bell's palsy in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant Lymerix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix. At an unspecified time after vaccination with Lymerix, the subject experienced Bells palsy, joint pain and swelling, flu-like symptoms, fatigue, rashes, tingling in his extremities, headache, visual problems, cognitive problems, memory loss, joint stiffness, sleep disorder, sinus problems, dizziness, ear ringing, muscle pain and weakness, numbness, decreased activity of daily life, rheumatologic, neurologic and or cognitive impairment of an autoimmune mediated, or other mechanism. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Tinnitus, Visual disturbance
Clinical narrative: This case was reported by a lawyer and described the occurrence of Bell's palsy in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant Lymerix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix. At an unspecified time after vaccination with Lymerix, the subject experienced Bells palsy, joint pain and swelling, flu-like symptoms, fatigue, rashes, tingling in his extremities, headache, visual problems, cognitive problems, memory loss, joint stiffness, sleep disorder, sinus problems, dizziness, ear ringing, muscle pain and weakness, numbness, decreased activity of daily life, rheumatologic, neurologic and or cognitive impairment of an autoimmune mediated, or other mechanism. This case was assessed as medically serious by manufacturer (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Cognitive disorder, Dizziness, Facial palsy, Fatigue
Clinical narrative: This case was reported by a lawyer and described the occurrence of Bell's palsy in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant Lymerix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix. At an unspecified time after vaccination with Lymerix, bell's palsy, arthralgia, myalgia, dizziness, numbness, fatigue, facial pain, foot pain, rheumatological symptoms, neurological impairment, cognitive impairment, autoimmune disease, decreased activity level and decreased ability to perform daily activities. This case was assessed as medically serious by manufacture (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Hypoaesthesia, Hypokinesia, Immune system disorder, Myalgia, Pain
Clinical narrative: This case was reported by a lawyer and described the occurrence of Bell's palsy in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant Lymerix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix. At an unspecified time after vaccination with Lymerix, bell's palsy, arthralgia, myalgia, dizziness, numbness, fatigue, facial pain, foot pain, rheumatological symptoms, neurological impairment, cognitive impairment, autoimmune disease, decreased activity level and decreased ability to perform daily activities. This case was assessed as medically serious by manufacture (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Pain in extremity, Rheumatoid factor
Clinical narrative: This case was reported by a lawyer and described the occurrence of Bell's palsy in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant Lymerix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix. At an unspecified time after vaccination with Lymerix, bell's palsy, arthralgia, myalgia, dizziness, numbness, fatigue, facial pain, foot pain, rheumatological symptoms, neurological impairment, cognitive impairment, autoimmune disease, decreased activity level and decreased ability to perform daily activities. This case was assessed as medically serious by manufacture (OMIC). At the time of reporting the outcome of the events was unspecified. This information was received via a statement of injuries.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Faecal incontinence, Hypokinesia, Muscle spasms, Myelitis transverse
Clinical narrative: Started with severe posterior thigh pain and cramping. Pair became progressively worse and she was unable to walk. Hospital ER, Admission, Rehab. Treatment with high dose steroids. Diagnosed with Transverse Myelitis at the L2 level. Remains wheel chair bound at this time. 5/5/06 Medical records received from 1st hospital which reveal patient received flu vaccine approx 1 mo prior to experiencing sudden onset severe posterior thigh pain w/cramping on 12/11/05 which became progressively worse & she presented to the ER.  MRI of the LS spine showed edema of terminal spinal cord & clonus.  Patient was then transferred to larger hospital for evaluation which revealed diagnosis of acute transverse myelitis at L2 level.  She was treated with high dose steroids w/ on ly approx 30-40% improvement in symptoms & was transferred back to initial treating facility.  Has continued pareparesis & weakness of the quadriceps femoris & illiopsoas muscles in the distribution of the posterior tibial & common peroneal nerves consistent w/L2 transverse myelitis, worse on the right, along w/bowel & bladder incontinence.  PMH: MVP & HTN.  5/11/06 Received medical records from PCP which reveal patient had shingles 4/05.  As of 3/06, patient only able to take a few steps w/a walker.  5/30/06 Received medical records from larger hospital which did not reveal any new dx/ss
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Urinary incontinence, Viral infection
Clinical narrative: Started with severe posterior thigh pain and cramping. Pair became progressively worse and she was unable to walk. Hospital ER, Admission, Rehab. Treatment with high dose steroids. Diagnosed with Transverse Myelitis at the L2 level. Remains wheel chair bound at this time. 5/5/06 Medical records received from 1st hospital which reveal patient received flu vaccine approx 1 mo prior to experiencing sudden onset severe posterior thigh pain w/cramping on 12/11/05 which became progressively worse & she presented to the ER.  MRI of the LS spine showed edema of terminal spinal cord & clonus.  Patient was then transferred to larger hospital for evaluation which revealed diagnosis of acute transverse myelitis at L2 level.  She was treated with high dose steroids w/ on ly approx 30-40% improvement in symptoms & was transferred back to initial treating facility.  Has continued pareparesis & weakness of the quadriceps femoris & illiopsoas muscles in the distribution of the posterior tibial & common peroneal nerves consistent w/L2 transverse myelitis, worse on the right, along w/bowel & bladder incontinence.  PMH: MVP & HTN.  5/11/06 Received medical records from PCP which reveal patient had shingles 4/05.  As of 3/06, patient only able to take a few steps w/a walker.  5/30/06 Received medical records from larger hospital which did not reveal any new dx/ss
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Chest pain, Face oedema, Laboratory test abnormal, Nausea, Pruritus
Clinical narrative: Adacel given 3/31/06, pt became pruritic next day. 4/18 developed severe urticaria, chest pain, wheezing and facial swelling, other agents may be involved. 4/25/06 Received medical records from PCP which reveal patient developed hives on 4/16/06.  Tx w/adrenaline, Zyrtec & Medrol dose pack w/worsening of s/s to include nausea, facial/lip/tongue swelling.  Admitted for overnight hospital stay w/dx suspected Diamox reaction althouth had taken Diamox 4-5 times w/no prior reaction (takes 1 wk/mo for headaches preceeding her menstrual cycle).   PMH: MS (tx w/interferon).
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Urticaria, Wheezing
Clinical narrative: Adacel given 3/31/06, pt became pruritic next day. 4/18 developed severe urticaria, chest pain, wheezing and facial swelling, other agents may be involved. 4/25/06 Received medical records from PCP which reveal patient developed hives on 4/16/06.  Tx w/adrenaline, Zyrtec & Medrol dose pack w/worsening of s/s to include nausea, facial/lip/tongue swelling.  Admitted for overnight hospital stay w/dx suspected Diamox reaction althouth had taken Diamox 4-5 times w/no prior reaction (takes 1 wk/mo for headaches preceeding her menstrual cycle).   PMH: MS (tx w/interferon).
Age: 69.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Oedema, Pain
Clinical narrative: On 4/17/2006 at 4:15pm, following day mildly painful, 2 day later painful and red, today 4/20/06, still red and swollen 16x22cm.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, HEPA, MMR
Symptoms: Face oedema, Injection site swelling, Urticaria
Clinical narrative: Facial swelling and hives, 2 hrs after administration of vaccines. Rash (urticaria) progressed to extremities in next hr. Benadryl 12.5 mg was given 3 1/2 hrs after administration with gradual improvement. Minimal facial swelling 4 hr after vaccine. Ordered tylenol X1;asymptomatic overnight.
Age: 1.01
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Viral infection
Clinical narrative: Developed chicken pox.
Age: 1.26
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Viral infection
Clinical narrative: Developed chicken pox after vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Mom called our office 2 days after vaccine was administered c/o swelling and redness in left arm where DTaP was administered.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Injection site reaction, Palpitations, Urticaria
Clinical narrative: Welt half dollar size at site of injection palpitations.
Age: 56.0
Sex: M
Vaccine: LYME
Symptoms: Amnesia, Arthralgia, Disorientation, Disturbance in attention, Dizziness
Clinical narrative: This case was reported by a lawyer and described the occurrence of memory loss in a 56 year old male patient who received Lyme disease vaccine recombinant OspA injection for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date, the patient received Lymerix. At an unknown time after receiving Lymerix, the patient experienced joint pain, fatigue, tingling, memory loss, gait disturbance, disorientation, loss of concentration, peripheral neuropathy and confusion. Time to onset, treatment and outcome was not reported. A Statement of Injuries was received on 4/17/06. At an unspecified time after vaccination with Lymerix, the subject experienced joint pain and swelling, fatigue, flu-like symptoms, tingling in extremities, visual problems, neuropathy, memory loss, dizziness, headaches, unsteady gait, cognitive problems, decreased activities of daily life, rheumatologic, neurological, and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with Lymerix. This case was assessed as medically serious (OMIC). At the time of reporting the outcome of the events was unspecified.
Age: 56.0
Sex: M
Vaccine: LYME
Symptoms: Fatigue, Gait disturbance, Headache, Influenza like illness, Neuropathy peripheral
Clinical narrative: This case was reported by a lawyer and described the occurrence of memory loss in a 56 year old male patient who received Lyme disease vaccine recombinant OspA injection for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date, the patient received Lymerix. At an unknown time after receiving Lymerix, the patient experienced joint pain, fatigue, tingling, memory loss, gait disturbance, disorientation, loss of concentration, peripheral neuropathy and confusion. Time to onset, treatment and outcome was not reported. A Statement of Injuries was received on 4/17/06. At an unspecified time after vaccination with Lymerix, the subject experienced joint pain and swelling, fatigue, flu-like symptoms, tingling in extremities, visual problems, neuropathy, memory loss, dizziness, headaches, unsteady gait, cognitive problems, decreased activities of daily life, rheumatologic, neurological, and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with Lymerix. This case was assessed as medically serious (OMIC). At the time of reporting the outcome of the events was unspecified.
Age: 56.0
Sex: M
Vaccine: LYME
Symptoms: Paraesthesia, Swelling, Visual disturbance
Clinical narrative: This case was reported by a lawyer and described the occurrence of memory loss in a 56 year old male patient who received Lyme disease vaccine recombinant OspA injection for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date, the patient received Lymerix. At an unknown time after receiving Lymerix, the patient experienced joint pain, fatigue, tingling, memory loss, gait disturbance, disorientation, loss of concentration, peripheral neuropathy and confusion. Time to onset, treatment and outcome was not reported. A Statement of Injuries was received on 4/17/06. At an unspecified time after vaccination with Lymerix, the subject experienced joint pain and swelling, fatigue, flu-like symptoms, tingling in extremities, visual problems, neuropathy, memory loss, dizziness, headaches, unsteady gait, cognitive problems, decreased activities of daily life, rheumatologic, neurological, and/or cognitive impairment of an autoimmune, immune-mediated, or other mechanism, all reportedly caused by vaccination with Lymerix. This case was assessed as medically serious (OMIC). At the time of reporting the outcome of the events was unspecified.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, UNK
Symptoms: Abdominal pain upper, Asthenia, Cyanosis, Face oedema, Heart rate increased
Clinical narrative: skin:pale, warm, cyanotic, mottled, ashen. GI: stomach pain, vomit. Neuro: collapse but no LOC, Weak, tremor, lethargic, slow to response. vitals: hr elevated 108, bp 98/60, rr 16.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, UNK
Symptoms: Hypersensitivity, Hypokinesia, Lethargy, Livedo reticularis, Loss of consciousness
Clinical narrative: skin:pale, warm, cyanotic, mottled, ashen. GI: stomach pain, vomit. Neuro: collapse but no LOC, Weak, tremor, lethargic, slow to response. vitals: hr elevated 108, bp 98/60, rr 16.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, UNK
Symptoms: Pallor, Tremor, Vomiting
Clinical narrative: skin:pale, warm, cyanotic, mottled, ashen. GI: stomach pain, vomit. Neuro: collapse but no LOC, Weak, tremor, lethargic, slow to response. vitals: hr elevated 108, bp 98/60, rr 16.
Age: 0.32
Sex: M
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Within 24 hours patient broke out in hives on his face only. Mother use Aquaphor ointment and it began to resolve within 12 hours and in 24 hours was down to a pinpoint rash.
Age: 0.65
Sex: U
Vaccine: DTAP, PNC
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Initial report received from a physician on 4/7/06. An eight month old patient (gender not reported) with no significant medical history and no illness at the time of vaccination developed a fever of 103-106 degrees F, four days after receiving the IM injection of the third dose of Daptacel, lot number C2407AA, in the right thigh on 3/31/06. The patient received in concomitant Prevnar, lot number B08639A in the left thigh. The patient was admitted to the hospital on 4/4/06. Blood culture was negative, CBC-WC 16,900, and a urine culture is pending. Per the reporter, the patient had not recovered at the time of this report and this event has been reported to the manufacturer of Prevnar.
Age: 24.0
Sex: M
Vaccine: TD
Symptoms: Medication error
Clinical narrative: Vaccine Overheated to room temperature.
Age: 1.25
Sex: M
Vaccine: DTAPH, MMRV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: High fever and rash. Pt was seen by Dr on 3/31/06 with high fever and rash.
Age: 25.0
Sex: M
Vaccine: TDAP
Symptoms: Medication error
Clinical narrative: Vaccine Had over heated to room temperature
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 4/10 slight redness at site, 4/11 increase red, warm arm, 4/12 increased red, warm, pain 3x2.5cm circular area left deltoid + erythema, pain, warmth, edema, 4/12 Depro Medrol 40 Mg.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Fever of 104
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site warmth
Clinical narrative: Mom called and brought daughter to office red area 10x12cm warm to touch right thigh able to walk. no c/o pain.
Age: 1.02
Sex: F
Vaccine: IPV, MMR
Symptoms: Erythema, Rash papular
Clinical narrative: Scattered spots on face, arms, legs trunk Erythematous, papules no scabbed. Brother DX chicken pox 4/13/06
Age: 1.02
Sex: M
Vaccine: IPV, MMR
Symptoms: Erythema, Rash papular
Clinical narrative: Scattered erythematous papules chest, legs, arms face, trunk.
Age: 1.96
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Patient developed high fever 104F at day 7-10 and rash on torso, back, face and legs. Treated with over the counter fever reducer Tylenol, Motrin.
Age: 0.53
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: High fever 103 with in 24 hours of receiving vaccine and continued for 3 days. When pt received shots he was on antibiotics for otitis media.
Age: 1.28
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Febrile convulsion, Otitis media
Clinical narrative: Vaccines administered 1/18/06. Febrile seizure 1/23/06. Also had otitis.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Rash, Rash papular, Skin ulcer, Viral infection
Clinical narrative: Varicella vaccine breakthrough. Developed rash on torso and arms on 3/31/2006. Diagnosed by Dr with atypical varicella in our office on 4/11/06. 2 clusters of papules with central vesicles. Some crusted and scabbed. Afebrile. less than 50 lesions.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: 6x4" redness, heat, swelling to left upper thigh.
Age: 3.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Agitation, Crying, Cyanosis, Hypotonia, Hypoxia
Clinical narrative: Immediately after giving the second injection, PPV23 patient became flaccid, started crying and put head back. She turned cyanotic around mouth eyes and nose. Was brought directly to EMS where O2 was started (around 4:45pm) and epinephrine 01 MES of 1:1000 SQ.
Age: 3.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Medication error
Clinical narrative: Immediately after giving the second injection, PPV23 patient became flaccid, started crying and put head back. She turned cyanotic around mouth eyes and nose. Was brought directly to EMS where O2 was started (around 4:45pm) and epinephrine 01 MES of 1:1000 SQ.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, IPV, PNC
Symptoms: Medication error
Clinical narrative: Two IPV vaccines given at same time. One was contained in Pediarix and one was a single dose.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Swelling and redness in left arm, no fever, no pain. Stable on 4/18/06.
Sex: F
Vaccine: LYME
Symptoms: Amnesia, Arthralgia, Dizziness, Fatigue, Headache
Clinical narrative: This case was reported by a lawyer and described the occurrence of neuropathy in a female subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant (LYMErix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMErix (unknown). At an unspecified time after vaccination with LYMErix, the subject experienced joint pain and swelling, fatigue, headaches, memory loss, muscle pain, stiffness and weakness, limited head movement, back pain, neck pain, knee pain, elbow pain, sleeping disorder, numbness, dizziness, sinus problems, neuropathy, decreased activities of family life, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-modiated, or other mechanism, all reportedly caused by vaccination with LYMErix. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by mfr. This info was received via a Statement of Injuries.
Sex: F
Vaccine: LYME
Symptoms: Hypoaesthesia, Hypokinesia, Joint swelling, Musculoskeletal stiffness, Myalgia
Clinical narrative: This case was reported by a lawyer and described the occurrence of neuropathy in a female subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant (LYMErix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMErix (unknown). At an unspecified time after vaccination with LYMErix, the subject experienced joint pain and swelling, fatigue, headaches, memory loss, muscle pain, stiffness and weakness, limited head movement, back pain, neck pain, knee pain, elbow pain, sleeping disorder, numbness, dizziness, sinus problems, neuropathy, decreased activities of family life, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-modiated, or other mechanism, all reportedly caused by vaccination with LYMErix. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by mfr. This info was received via a Statement of Injuries.
Sex: F
Vaccine: LYME
Symptoms: Sleep disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of neuropathy in a female subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant (LYMErix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMErix (unknown). At an unspecified time after vaccination with LYMErix, the subject experienced joint pain and swelling, fatigue, headaches, memory loss, muscle pain, stiffness and weakness, limited head movement, back pain, neck pain, knee pain, elbow pain, sleeping disorder, numbness, dizziness, sinus problems, neuropathy, decreased activities of family life, rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune-modiated, or other mechanism, all reportedly caused by vaccination with LYMErix. At the time of reporting the outcome of the events was unspecified. This case was assessed as medically serious by mfr. This info was received via a Statement of Injuries.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Large local reaction involving the whole upper arm redness, swelling (marked) associated with itchy, shoulder to elbows.
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chest pain, Lymphadenopathy, Musculoskeletal stiffness, Pain, Swelling
Clinical narrative: Parent reports pt c/o R arm pain, swelling of R arm and R axilla, over to R chest to bottom rib, chills present and achy on 4/14/06. Went to ER on 4/15/06 with symptoms. ER doctor prescribed cephalexin 500mg qid. Today4/18/06, c/o achy R side, stiff neck, lump under R axilla, swelling of arms and chest diminishing pain in school.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site pain, Irritability, Otitis media, Pyrexia, Rash papular
Clinical narrative: Pt was brought in by the maternal grandmother who was the informant. Pt has 2 other separate caretakers (mom and Paternal grandmother) who also took care of him during the course of the symptoms and relayed info to maternal grandmother. A few hours after shots were given, pt was reported to have a temperature of 100F, rash (tongue, neck, abdomen and lower extremities), irritability and tenderness on the injection sites. No periorbital swelling, no difficulty in breathing. There was also report of a total of approx. 3-4 episodes of vomiting (unclear if post-tussive) 3 days (4/14-04/16) after the shots were given in addition to runny nose and coughing. Caretakers gave him po Motrin, Tylenol and Benadryl. Per exam; bilateral otitis media-prescribed Amoxicillin 400mg/5ml 1 teaspoon po BID for 10 days; URI; papular rash ? vaccine side effect; ? keratosis pilaris; ? rash of scarlet fever-unable to document strept because pt was uncooperative and grandmother refused to have the pt restrained in order to evaluate the throat and do a throat swab and culture if needed. Advised grandmother to follow-up with PCP of choice after 6 weeks. Informed grandmother that report will be sent to VAERS. Otitis Media and papular rash on physical exam. No further episodes of vomiting.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, IPV
Symptoms: Vomiting
Clinical narrative: Pt was brought in by the maternal grandmother who was the informant. Pt has 2 other separate caretakers (mom and Paternal grandmother) who also took care of him during the course of the symptoms and relayed info to maternal grandmother. A few hours after shots were given, pt was reported to have a temperature of 100F, rash (tongue, neck, abdomen and lower extremities), irritability and tenderness on the injection sites. No periorbital swelling, no difficulty in breathing. There was also report of a total of approx. 3-4 episodes of vomiting (unclear if post-tussive) 3 days (4/14-04/16) after the shots were given in addition to runny nose and coughing. Caretakers gave him po Motrin, Tylenol and Benadryl. Per exam; bilateral otitis media-prescribed Amoxicillin 400mg/5ml 1 teaspoon po BID for 10 days; URI; papular rash ? vaccine side effect; ? keratosis pilaris; ? rash of scarlet fever-unable to document strept because pt was uncooperative and grandmother refused to have the pt restrained in order to evaluate the throat and do a throat swab and culture if needed. Advised grandmother to follow-up with PCP of choice after 6 weeks. Informed grandmother that report will be sent to VAERS. Otitis Media and papular rash on physical exam. No further episodes of vomiting.
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema, Pyrexia
Clinical narrative: 04/19/2006 pt presented to center with temp 102.3 and left upper arm swollen, warm, erythematous. 4/20/2006 area if erythema increased. Pt admitted to hosp.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Decreased appetite, Injection site hypersensitivity, Injection site oedema, Injection site warmth, Irritability
Clinical narrative: Left thigh swollen, red, warm. Fussy and decreased appetite.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pt received injection 4/19. Had pain in arm at site. Woke up 4/20 with erythema from elbow to shoulder. Mild swelling right elbow above injection site.
Age: 7.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site hypersensitivity, Injection site reaction, Injection site warmth
Clinical narrative: Red, hot 8in circumference area noted on RAT after Vaccination with MMR.
Age: 1.9
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pt with vomiting shortly after vaccination, temp 99 treatment Pedialyte.
Age: 1.26
Sex: F
Vaccine: DTAP
Symptoms: Hypersensitivity, Pyrexia, Rash, Urticaria
Clinical narrative: Rash all over the body, Temp 101. Pt given Benadryl Elixir 1/2 tsp Q hrs. Calamine Lotion apply QD to rash, Pedialyte, Tylenol supp. 60 mgs. DX allergic reaction to DTaP #4 vs. Urticaria.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash papular
Clinical narrative: Approximately 9 days after vaccination, child developed an erythematous papillar rash over entire body.  Mother reported fever of 103.  In MD office, temperature was 100.2.
Age: 34.0
Sex: F
Vaccine: RUB
Symptoms: Arthralgia, Face oedema, Oedema peripheral, Pruritus, Rash
Clinical narrative: The patient received the rubella virus vaccine on 01/16/06. On 01/27 the patient reported to employee health complaining of generalized body rash, itching, joint pain and swelling of the hands and face. Th patient was referred to a medical clinic and was prescribed ibuprofen. Labs and micro work were negative for polyarthritis. On 2/1 the clinic note stated the arthralgias were improveing on NSAID therapy.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia, Rash
Clinical narrative: Large area of redness and swelling with warmth to left leg at DTaP injection site which began Wednesday evening and progressed through out the next day; rash visible on other leg is mild,"spotty"; no pain to te right leg; fever to 100.0; recommended ice application for swelling; antibiotics for infection in the legs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Large area of redness and swelling with warmth to left leg at DTaP injection site which began Wednesday evening and progressed through out the next day; rash visible on other leg is mild,"spotty"; no pain to te right leg; fever to 100.0; recommended ice application for swelling; antibiotics for infection in the legs.
Age: 55.0
Sex: F
Vaccine: HEPAB
Symptoms: Joint range of motion decreased, Pain, Pyrexia, Swelling
Clinical narrative: ON 4/21/06 CLIENT CALLED TO REPORT THAT YESTERDAY HER LEFT ARM BECAME SORE AND SWOLLEN. ALSO HAS TEMPERATURE OF 102 DEGREES. STATES IT IS DIFFICULT TO LIFT HER ARM.
Age: 2.0
Sex: M
Vaccine: DTP, HIBV, OPV
Symptoms: Abnormal behaviour, Neurodevelopmental disorder
Clinical narrative: My son was overdosed on vaccines. No treatment was given at all. The doctors kept telling me he would be fine. My son began acting differently after the second set of vaccine was given. He was recently diagnosed with PDD. I am still trying to get records from both facilities to have exact dates. Annual Report 01/4/2010 Autism spectrum disorder. specific delaying disabilities, gross motor and fine motor delays.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Back pain, Cold sweat, Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: 4/21/06-0915 hours- Patient's mother contacted Public Health states son came home from work this am and complained of sudden onset of headache, stiff neck, spine pain, photo sensitivity, clammy feeling, and nausea. Recommended patient to be seen by family MD today.  1015 hours- patient's mother contacted Public Health, stated her son went to family MD. Family MD felt symptoms were due to a reaction from receiving Menactra vaccine on 4/20/06- patient was advised to continue with Ibuprofen.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Photophobia
Clinical narrative: 4/21/06-0915 hours- Patient's mother contacted Public Health states son came home from work this am and complained of sudden onset of headache, stiff neck, spine pain, photo sensitivity, clammy feeling, and nausea. Recommended patient to be seen by family MD today.  1015 hours- patient's mother contacted Public Health, stated her son went to family MD. Family MD felt symptoms were due to a reaction from receiving Menactra vaccine on 4/20/06- patient was advised to continue with Ibuprofen.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Rash
Clinical narrative: DTaP given in left deltoid on 04/19/06.  Mom noticed redness of 13cm x 7cm around injection site and a "slight rash" in left arm pit the next evening.  Rash faded by 04/21/06.  Child taken to Nurse Practioner and diagnosed with cellulitis.  Child was given Duricef due to PCN allergy and is to return on 04/22/06 for status check.  No other signs or symptoms noted.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash consistent with Varicella, onset 4/16/06.
Age: 1.01
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Rash
Clinical narrative: Rash consistent with Varicella.
Age: 1.01
Sex: M
Vaccine: HEP, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Rash consistent with chickenpox.
Age: 1.52
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema
Clinical narrative: REDDENED AREA AROUND SHOT SITES APPROX BASEBALL SIZE-RT THIGH.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis, 48 hours after injection.  Treatment was keflex 250mg  tid.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site inflammation, Pruritus
Clinical narrative: Right deltoid inflammation, erythema, and calor Pruritus.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema multiforme, Pruritus
Clinical narrative: (please note: I am an infectious diseases specialist) Erythema multiforme on both feet and legs occurred about 5 days after vaccination.  We gave him one dose of ibuprofen after receiving the menectra, but he has had that many times before with no reaction. No symptoms other than itching.  No oral sores or herpetic lesions anywhere.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Chicken pox rash all over body started 4/18/06.
Age: 0.9
Sex: M
Vaccine: PNC
Symptoms: Condition aggravated, Convulsion, Laboratory test abnormal
Clinical narrative: Generalized seizure lasting approx. 20 minutes; began with arms convulsing and immed. spread to entire body; rectal diastat applied 2 minutes into episode; call 911, taken to hospital; blood taken, phenobarbital level at 48; phenobarbital dosage maintained at 45mg in a.m., 60mg in p.m.; keppra increased from 2ml twice daily to 3ml twice daily; 11th seizure episode since 3/5/05 (1st episode).