chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood electrolytes, Full blood count, Lumbar puncture, Myelitis, Neuropathy
Clinical narrative: This case was received from a health professional in the United States on 08 June 2007. An 18-year-old male patient with a medical history of ADHD had received an intramuscular injection of Adacel (lot number C2730AA) and Menactra (lot number U2181AA) on 17 May 2007 and 14 days later he developed cervical and thoracic myelitis. The patient, who had developed a viral illness on 30 May 2007, developed symptoms of ascending motor neuropathy on 31 May 2007. On 01 June 2007 he was hospitalized and underwent and underwent a brain scan, spinal cord MRI, and lumbar puncture, in addition to laboratory testing including CBC and electrolytes (results were not provided). He was diagnosed with cervical and thoracic myelitis, and was discharged on 06 June 2007. According to the reporter, the patient was recovering at home but continued having symptoms of sensory neuropathy and motor neuropathy in the legs. The patient was not ill at the time of vaccination, and had no known allergies; concomitant medication included dexamphetamine.  07/02/2007 MR received for hospital admission on 6/6/07 for an ascending motor neuropathy.  Pt had URI symptoms x 1 week and then developed increasing weakness of the lower extremities with difficulty walking 2 days prior to admission. He also described sensory symptoms which felt like sunburn or chaffing on the chest, and altered temp sensation. Pt seen in ER and discharged for c/o vomiting 2 days prior to admission.   PE significant for difficulty walking and inability to walk on balls of feet or stand on heels. Unable to squat and stand. LE DTRs 4+/3 with sustained clonus in L ankle. Neurology consult with DX of viral myelitis. Pt remained stable during hospitalization. D/C DX: Myelitis, probable post-viral. ADHD. Pansinusitis. 07/16/2007 F/U offive visit 6/18/07 with significant improvement noted.  Walking improved.  Patellar DTRs 4+/3 L>R. Assessment:  Probable post-viral myelitis
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging brain, Peripheral sensory neuropathy, Polyneuropathy, Viral infection
Clinical narrative: This case was received from a health professional in the United States on 08 June 2007. An 18-year-old male patient with a medical history of ADHD had received an intramuscular injection of Adacel (lot number C2730AA) and Menactra (lot number U2181AA) on 17 May 2007 and 14 days later he developed cervical and thoracic myelitis. The patient, who had developed a viral illness on 30 May 2007, developed symptoms of ascending motor neuropathy on 31 May 2007. On 01 June 2007 he was hospitalized and underwent and underwent a brain scan, spinal cord MRI, and lumbar puncture, in addition to laboratory testing including CBC and electrolytes (results were not provided). He was diagnosed with cervical and thoracic myelitis, and was discharged on 06 June 2007. According to the reporter, the patient was recovering at home but continued having symptoms of sensory neuropathy and motor neuropathy in the legs. The patient was not ill at the time of vaccination, and had no known allergies; concomitant medication included dexamphetamine.  07/02/2007 MR received for hospital admission on 6/6/07 for an ascending motor neuropathy.  Pt had URI symptoms x 1 week and then developed increasing weakness of the lower extremities with difficulty walking 2 days prior to admission. He also described sensory symptoms which felt like sunburn or chaffing on the chest, and altered temp sensation. Pt seen in ER and discharged for c/o vomiting 2 days prior to admission.   PE significant for difficulty walking and inability to walk on balls of feet or stand on heels. Unable to squat and stand. LE DTRs 4+/3 with sustained clonus in L ankle. Neurology consult with DX of viral myelitis. Pt remained stable during hospitalization. D/C DX: Myelitis, probable post-viral. ADHD. Pansinusitis. 07/16/2007 F/U offive visit 6/18/07 with significant improvement noted.  Walking improved.  Patellar DTRs 4+/3 L>R. Assessment:  Probable post-viral myelitis
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Loss of consciousness, Syncope
Clinical narrative: This information was received from manufacturer on 07 June 2007 under the manufacturer number WAES0705USA03292. "Information has been received from a physician, concerning a 17 year old female patient, with a drug hypersensitivity to clindamycin/benzylperoxide (BENZACLIN), who on 15-MAY-2007 was vaccinated with Gardasil (Lot #656371/0181U). Concomitant therapy involved an ear irrigation at the visit, and also included ADACEL, cetirizine hydrochloride (ZYRTEC) and vitamins (unspecified medications, over the counter). The physician reported that the patient "Seemed fine" immediately after the vaccine was administered, but 5 to 10 minutes later when she was checking out, the patient "fainted and almost hit her head on the counter;" she was unconscious for a few seconds. The patient was taken to the emergency room for evaluation and was released and considered to be recovered on the same day, 15-MAY-2007. The physician considered the event of "fainted and almost hit her head on the counter," to be disabling/incapacitating, and an other important medical event. Additional information has been requested."
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Dizziness, Electrocardiogram normal, Heart rate decreased, Hypotension, Loss of consciousness
Clinical narrative: This information was received from manufacturer on 07 June 2007 under the manufacturer number WAES0705USA03292. "Information has been received from a physician, concerning a 17 year old female patient, with a drug hypersensitivity to clindamycin/benzylperoxide (BENZACLIN), who on 15-MAY-2007 was vaccinated with Gardasil (Lot #656371/0181U). Concomitant therapy involved an ear irrigation at the visit, and also included ADACEL, cetirizine hydrochloride (ZYRTEC) and vitamins (unspecified medications, over the counter). The physician reported that the patient "Seemed fine" immediately after the vaccine was administered, but 5 to 10 minutes later when she was checking out, the patient "fainted and almost hit her head on the counter;" she was unconscious for a few seconds. The patient was taken to the emergency room for evaluation and was released and considered to be recovered on the same day, 15-MAY-2007. The physician considered the event of "fainted and almost hit her head on the counter," to be disabling/incapacitating, and an other important medical event. Additional information has been requested."
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Loss of consciousness, Syncope, Syncope
Clinical narrative: This information was received from manufacturer on 07 June 2007 under the manufacturer number WAES0705USA03292. "Information has been received from a physician, concerning a 17 year old female patient, with a drug hypersensitivity to clindamycin/benzylperoxide (BENZACLIN), who on 15-MAY-2007 was vaccinated with Gardasil (Lot #656371/0181U). Concomitant therapy involved an ear irrigation at the visit, and also included ADACEL, cetirizine hydrochloride (ZYRTEC) and vitamins (unspecified medications, over the counter). The physician reported that the patient "Seemed fine" immediately after the vaccine was administered, but 5 to 10 minutes later when she was checking out, the patient "fainted and almost hit her head on the counter;" she was unconscious for a few seconds. The patient was taken to the emergency room for evaluation and was released and considered to be recovered on the same day, 15-MAY-2007. The physician considered the event of "fainted and almost hit her head on the counter," to be disabling/incapacitating, and an other important medical event. Additional information has been requested."
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Muscle spasms, Muscular weakness
Clinical narrative: Received Adacel 5-30-07 in L deltoid. since that time has had increasing pain in L upper arm/deltoid region radiating to neck. Muscle spasms in neck and weakness L arm referred to PCP.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Muscle spasms, Muscular weakness, Neck pain, Nerve injury
Clinical narrative: Received Adacel 5-30-07 in L deltoid. since that time has had increasing pain in L upper arm/deltoid region radiating to neck. Muscle spasms in neck and weakness L arm referred to PCP.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain in extremity
Clinical narrative: Received Adacel 5-30-07 in L deltoid. since that time has had increasing pain in L upper arm/deltoid region radiating to neck. Muscle spasms in neck and weakness L arm referred to PCP.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Facial palsy, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient complained of numbness and tingling a long L side of jawline within 15 minutes of receiving vaccines. Pt also described a feeling of droopiness on L side of face. All symptoms have resolved. No Tx required.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Reddened area 7cm x 5cm left upper arm.
Age: 13.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Mother accompanied child stating extreme generalized pruritis and welt type rash 7 hrs after vaccinations. Mother administered Benadryl and cortisone cream. Denies throat and lung discomfort. Site of injections not red or itchy
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Incorrect route of drug administration
Clinical narrative: Tdap given SQ
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Urticaria, Vaccine positive rechallenge
Clinical narrative: Developed generalized hives this AM (6/8/07) Rx with Benadryl, per mom - same thing occurred 1 wk after HPV #1 and HPV #2
Age: 14.0
Sex: U
Vaccine: TDAP, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Fever 102.5 with diffuse erythematous rash day after vaccine given.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Hypokinesia, Injection site papule, Mobility decreased
Clinical narrative: About 1 hour after injection developed a bad head ache. The following day c/o severe chills and fever 104. Area of injection looked like a pimple. Achy all over, arm very sore, difficult to move due to pain. Reported to us on day 3 arm some better. Can lift it. She c/o swollen area above collar bone too.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: About 1 hour after injection developed a bad head ache. The following day c/o severe chills and fever 104. Area of injection looked like a pimple. Achy all over, arm very sore, difficult to move due to pain. Reported to us on day 3 arm some better. Can lift it. She c/o swollen area above collar bone too.
Age: 3.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 27.0
Sex: F
Vaccine: TD, TYP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: TD shot 2 days ago has red/painful area to L upper arm lateral side. Tender and arm, no pustules, 6 cm diameter erythemic warm patch L arm.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema
Clinical narrative: 6 cm area of erythema at injection site of Dtap L thigh
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 6 cm area of redness (L) upper arm Temperature 98.7 temporal
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Local reaction, Pain, Swelling
Clinical narrative: Described a large local reaction after receiving his second anthrax vaccine dose (from shoulder to below elbow. Went on sick call and was told it was normal. No numbness or tingling. Swelling and redness noted within first 24 hours after vaccine receipt and resolved within 5 days. Pain was rated as 2/10 using pain scale of 0 (=no pain) and 10 (=worst pain ever experienced).
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Injection site pain, Skin discolouration
Clinical narrative: 24 hrs later pt with 7 cm x 5.5 cm erythema on upper (L) arm with dark 4x3 cm center. Pain with touch. ml pulse, ROM, cap refill. (L) arm where received varicella shot. Had rubbed arm
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Haematochezia, Occult blood
Clinical narrative: Patient had blood in stool. Starting 10 days after the first dose. The blood in stool stopped one day before it was time for the second dose. The doctors said she had a milk allergy, but I still drink milk while breastfeeding and there has been no more blood. Even used hemmocult cards.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Urticaria appeared 2-3 hours after vaccine administration.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Somnolence, Unresponsive to stimuli
Clinical narrative: Swelling/erythema of R UE from shoulder to elbow (site of Dtap), Sudden drowsiness, pallor, unresponsiveness improved after 1/2 hr.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: redness, swelling, itching, pain
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Eye swelling, Injection site swelling, Local reaction
Clinical narrative: 4/25/07:  Mother called to report swelling of child's right arm at injection site "all the way down her arm to her fingers" and reports swelling of both eyes.  RN instructed mother to follow-up with child's MD ASAP.  4/26/07:  Mother called and stated child was seen at ER by Dr. and was told she had a "mild local reaction",  treated with Benadryl (1 tsp po) and discharged to home. Patient recovered.
Age: 40.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 0.58
Sex: U
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: VACCINE WAS INDICAITED DUE ON GRITS, AFTER VACCINE WAS GIVEN I REALIZED THAT MAXIUM AGE HAS EXCEEDED AND SHOULD NOT HAVE BEEN GIVEN.NO ADVERSE EVENTS WERE NOTED WHEN PT. LEFT OFFICE.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Measles, Rash
Clinical narrative: Developed rash concsistent with measels, starting 9 days after receiving first does of MMR vaccine.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Asthma, Condition aggravated, Diarrhoea, Hypoaesthesia, Malaise
Clinical narrative: Two days after receiving Menactra Vaccine, pt developed worsening asthma symptoms, diarrhea/vomiting, malaise, hypesthesia; Three days after receiving vaccine, had normal exam, but c/o diarrhea and vomiting; no pain or abnormality noted at immunization site.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Vomiting
Clinical narrative: Two days after receiving Menactra Vaccine, pt developed worsening asthma symptoms, diarrhea/vomiting, malaise, hypesthesia; Three days after receiving vaccine, had normal exam, but c/o diarrhea and vomiting; no pain or abnormality noted at immunization site.
Age: 36.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Amnesia, Antinuclear antibody, Arthralgia, Asthenia, Blood thyroid stimulating hormone
Clinical narrative: Patient returned from deployment complaining of numbness of fingers and joints (including shoulders and hips), weakness, fatigue, slight memory loss, intermittent pain beginning within 24 hours of receiving vaccination. Seen initially by Dr. regarding symptoms and was referred to Orthopedic Specialist, Neurologist, and Immunologist.  Seen by Ortho on 25 May 2007, Impression: Polyathralgia, Bilateral rotator cuff tendonitis, muscle fasciculation; referred to neurology. Seen by  Neurology 7 Jun 2007, results pending; seen by Immunology 12 Jun 2007 results pending.
Age: 36.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Fatigue, Full blood count, Hypoaesthesia, Lipids, Low density lipoprotein abnormal
Clinical narrative: Patient returned from deployment complaining of numbness of fingers and joints (including shoulders and hips), weakness, fatigue, slight memory loss, intermittent pain beginning within 24 hours of receiving vaccination. Seen initially by Dr. regarding symptoms and was referred to Orthopedic Specialist, Neurologist, and Immunologist.  Seen by Ortho on 25 May 2007, Impression: Polyathralgia, Bilateral rotator cuff tendonitis, muscle fasciculation; referred to neurology. Seen by  Neurology 7 Jun 2007, results pending; seen by Immunology 12 Jun 2007 results pending.
Age: 36.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Metabolic function test, Muscle contractions involuntary, Pain, Red blood cell sedimentation rate, Rheumatoid factor
Clinical narrative: Patient returned from deployment complaining of numbness of fingers and joints (including shoulders and hips), weakness, fatigue, slight memory loss, intermittent pain beginning within 24 hours of receiving vaccination. Seen initially by Dr. regarding symptoms and was referred to Orthopedic Specialist, Neurologist, and Immunologist.  Seen by Ortho on 25 May 2007, Impression: Polyathralgia, Bilateral rotator cuff tendonitis, muscle fasciculation; referred to neurology. Seen by  Neurology 7 Jun 2007, results pending; seen by Immunology 12 Jun 2007 results pending.
Age: 36.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Rotator cuff syndrome, Thyroxine free
Clinical narrative: Patient returned from deployment complaining of numbness of fingers and joints (including shoulders and hips), weakness, fatigue, slight memory loss, intermittent pain beginning within 24 hours of receiving vaccination. Seen initially by Dr. regarding symptoms and was referred to Orthopedic Specialist, Neurologist, and Immunologist.  Seen by Ortho on 25 May 2007, Impression: Polyathralgia, Bilateral rotator cuff tendonitis, muscle fasciculation; referred to neurology. Seen by  Neurology 7 Jun 2007, results pending; seen by Immunology 12 Jun 2007 results pending.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Secondary transmission
Clinical narrative: Mother of patient developed shingles (herpes zoster) one week after daughter (patient) received the live-virus varicella vaccine. Mother and patient live in same household.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Patient was given 2nd Menactra vaccine. First vaccine was not on client record.  No reaction.
Age: 66.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus generalised
Clinical narrative: After her first Hepatitis B vaccination (Recombivax, 1cc, IM injection) on 5-3-07, client reports suffering from generalized pruritis (not limitied to the injection site). She reports no hives, rash, or signs of anaphylaxis. This reaction occured approximately 2-3 hours after vaccination and lasted 2-3 days. This report was made to a nurse upon return for her booster. No booster was given based on her past reaction. Client reports no treatment needed but concerned about future vaccinations with this vaccine due to the previous reaction.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, TTOX, TYP
Symptoms: Burning sensation, Cold sweat, Dysgeusia, Emotional disorder, Eye irritation
Clinical narrative: immeidate metalic taste, emotional feeling,pain in right side of neck, right arm, clamy, nausea.After 40 minutes feeling headache, extremem fatigue, strange feeling in my neck, abit of a burning sensation there, stiffness in my jaw, burning eye.  I feel not at all right.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, TTOX, TYP
Symptoms: Fatigue, Headache, Musculoskeletal stiffness, Nausea, Neck pain
Clinical narrative: immeidate metalic taste, emotional feeling,pain in right side of neck, right arm, clamy, nausea.After 40 minutes feeling headache, extremem fatigue, strange feeling in my neck, abit of a burning sensation there, stiffness in my jaw, burning eye.  I feel not at all right.
Age: 48.0
Sex: F
Vaccine: HEPA, IPV, TTOX, TYP
Symptoms: Pain in extremity
Clinical narrative: immeidate metalic taste, emotional feeling,pain in right side of neck, right arm, clamy, nausea.After 40 minutes feeling headache, extremem fatigue, strange feeling in my neck, abit of a burning sensation there, stiffness in my jaw, burning eye.  I feel not at all right.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Expanding injection site erythema ~10 x 10 cm, warmth, tenderness.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Expanding injection-site erythema ~10x10 cm, warmth, tenderness.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient returned to clinic 48 hours after injection with warm, swollen area 3-4 cm in diameter at injection site.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Expanding injection-site erythema 10x10cm, warmth, and tenderness.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Expanding injection-site erythema ~10x10cm, warmth, and tenderness.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure increased, Chills, Dizziness, Eye pain, Headache
Clinical narrative: Gardasil vaccine number 3 given at approximately 11:10am. Patient informed vaccine administrator that this was her third shot and she never had problems in the past.  During patient observation time she felt dizzy and had chills. Patient was placed in supine postition.  BP taken 122/70.  Patient Dr. (resident) and Dr. were notified and assessed patient.  Motrin 600mg was given to patient po.  Patient stayed in observation in supine position for another hour.  She stated that she was feeling better and was released by Dr.  At approximately 12:15 pm I received a call from patient in my office.  She reported that she received her shot and felt dizzy so they watched her.  She stated that she is in her car in the parking garage and that she feels more dizzy, has a headache and eye pain and she feels as if her throat is tightening up.  She denied difficulty in breathing.  I asked if she was able to walk and meet me in the clinic.  She stated "yes".  Upon her immediate return to the clinic I escorted her to an exam room, had her lie on the exam bed with her head raised at 45 degrees.  Her pulse ox was 98% on room air, BP 145/85, HR 97, RR 16.  Her lungs were CTA without wheezing.  She had no SOB, but stated her throat felt tight. She had trembling of her extremities but reported that she was not cold.   I called for Dr. who was working in an adjacent clinic to asses patient as the morning MD's had left for their afternoon assignments.  Patient remained awake, alert oriented X3.  Dr. assessed her and ordered Benadryl 25mg po.  That was administered.  Second set of vital signs were O2 sat if 97% on room air, BP 132/85 RR 16, HR 98.  Approximately 15 minutes past receiving Benadryl patient reported that she felt better.  She stated that her head felt better, she didnt feel as if her throat was tightening up, and her tremors were decreasing.  Patient was observed until 4:00 pm until a family memeber came to pick her up. Periodic assessments showed a RR 12 - 16 and steady.  No difficulty in breathing or wheezing.  Patient slept throughout the afternoon.  Upon her departure from the clinic patient stated that she felt "much better".  Her trembling subsided.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Throat tightness, Tremor
Clinical narrative: Gardasil vaccine number 3 given at approximately 11:10am. Patient informed vaccine administrator that this was her third shot and she never had problems in the past.  During patient observation time she felt dizzy and had chills. Patient was placed in supine postition.  BP taken 122/70.  Patient Dr. (resident) and Dr. were notified and assessed patient.  Motrin 600mg was given to patient po.  Patient stayed in observation in supine position for another hour.  She stated that she was feeling better and was released by Dr.  At approximately 12:15 pm I received a call from patient in my office.  She reported that she received her shot and felt dizzy so they watched her.  She stated that she is in her car in the parking garage and that she feels more dizzy, has a headache and eye pain and she feels as if her throat is tightening up.  She denied difficulty in breathing.  I asked if she was able to walk and meet me in the clinic.  She stated "yes".  Upon her immediate return to the clinic I escorted her to an exam room, had her lie on the exam bed with her head raised at 45 degrees.  Her pulse ox was 98% on room air, BP 145/85, HR 97, RR 16.  Her lungs were CTA without wheezing.  She had no SOB, but stated her throat felt tight. She had trembling of her extremities but reported that she was not cold.   I called for Dr. who was working in an adjacent clinic to asses patient as the morning MD's had left for their afternoon assignments.  Patient remained awake, alert oriented X3.  Dr. assessed her and ordered Benadryl 25mg po.  That was administered.  Second set of vital signs were O2 sat if 97% on room air, BP 132/85 RR 16, HR 98.  Approximately 15 minutes past receiving Benadryl patient reported that she felt better.  She stated that her head felt better, she didnt feel as if her throat was tightening up, and her tremors were decreasing.  Patient was observed until 4:00 pm until a family memeber came to pick her up. Periodic assessments showed a RR 12 - 16 and steady.  No difficulty in breathing or wheezing.  Patient slept throughout the afternoon.  Upon her departure from the clinic patient stated that she felt "much better".  Her trembling subsided.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Musculoskeletal stiffness, Neck pain, Pain in extremity, Vaccine positive rechallenge
Clinical narrative: Rec'd #5 HepB vaccine at 11am 6/13/07 in right deltoid and at 6:15pm that night had sudden onset of neck pain/stiffness, mid upper back pain and right arm pain. No fever. Brought through Fast Track/ER and evaluated by Dr.  who concurred that this was indeed a vaccine reaction. Patient then remembered having a stiff neck after #4, not as severe, but had not connected it to the vaccine at the time.
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Cold sweat, Convulsion, Hypotonia, Loss of consciousness, Pallor
Clinical narrative: Pt was given two shots and immediately after administered patient became pale, limp and clammy. Patient passed out and began to have seizure activity for a few seconds. Pt regained consciousness and her vital signs were taken and were within normal range.
Age: 33.0
Sex: M
Vaccine: ANTH, FLU3, HEPAB, ANTH, FLUX, HEPAB
Symptoms: Blood bilirubin increased, Blood gases abnormal, Blood immunoglobulin G, Blood immunoglobulin M, Chest X-ray normal
Clinical narrative: Dyspnea, wheezing, dull aches in thighs from his hip to his knee, along with weakness of hips.  Nonproductive cough, chest discomfort; hot and cold flashes started on 6/9/07; Oxygen sats 97% on 2 litres of oxygen; inspiratory wheezes, prolonged expiratory wheezes; no rash; Antibiotics used included Levaquin, Solumedrol, Relafen, Xoponex, Dexpax, Advair.  Symptoms started about 18 hours after vaccine given.  6/25/07 Received hospital med recs which reveal patient experienced dyspnea & wheezing, dull aches of thighs from hip to knee, hot/cold flashes, non productive cough & central chest discomfort beginning approx 18 hrs s/p vax.  Admitted 6/10-6/18/2007 when transferred to unknown higher level of care. Developed sacroiliac & lower back pain.  Continued to have DOE. T/C to reporter to request additional hospital info. V/M left for return call. LABS: WBC 10.9, peak at 27.9, lymphs low at 15, grans high at 91.  UA WNL.  ABG revealed pO2 60.  Normal EKG.  Mycoplasma pneumoniae IgG positive at 277, IgM negative.  Legionella, sputum & blood c/s were negative. FINAL DX: Reactive airway disease, arthralgias and probable reaction to anthrax vax. Per 60 day follow up: Continues to have SOB & arthralgia. Being followed by rheumatology. CHURG STRAUSS syndrome being ruled out.
Age: 33.0
Sex: M
Vaccine: ANTH, FLU3, HEPAB, ANTH, FLUX, HEPAB
Symptoms: Chest discomfort, Chills, Cough, Dyspnoea, Dyspnoea
Clinical narrative: Dyspnea, wheezing, dull aches in thighs from his hip to his knee, along with weakness of hips.  Nonproductive cough, chest discomfort; hot and cold flashes started on 6/9/07; Oxygen sats 97% on 2 litres of oxygen; inspiratory wheezes, prolonged expiratory wheezes; no rash; Antibiotics used included Levaquin, Solumedrol, Relafen, Xoponex, Dexpax, Advair.  Symptoms started about 18 hours after vaccine given.  6/25/07 Received hospital med recs which reveal patient experienced dyspnea & wheezing, dull aches of thighs from hip to knee, hot/cold flashes, non productive cough & central chest discomfort beginning approx 18 hrs s/p vax.  Admitted 6/10-6/18/2007 when transferred to unknown higher level of care. Developed sacroiliac & lower back pain.  Continued to have DOE. T/C to reporter to request additional hospital info. V/M left for return call. LABS: WBC 10.9, peak at 27.9, lymphs low at 15, grans high at 91.  UA WNL.  ABG revealed pO2 60.  Normal EKG.  Mycoplasma pneumoniae IgG positive at 277, IgM negative.  Legionella, sputum & blood c/s were negative. FINAL DX: Reactive airway disease, arthralgias and probable reaction to anthrax vax. Per 60 day follow up: Continues to have SOB & arthralgia. Being followed by rheumatology. CHURG STRAUSS syndrome being ruled out.
Age: 33.0
Sex: M
Vaccine: ANTH, FLU3, HEPAB, ANTH, FLUX, HEPAB
Symptoms: Electrocardiogram normal, Hot flush, Lymphocyte count decreased, Pain, Productive cough
Clinical narrative: Dyspnea, wheezing, dull aches in thighs from his hip to his knee, along with weakness of hips.  Nonproductive cough, chest discomfort; hot and cold flashes started on 6/9/07; Oxygen sats 97% on 2 litres of oxygen; inspiratory wheezes, prolonged expiratory wheezes; no rash; Antibiotics used included Levaquin, Solumedrol, Relafen, Xoponex, Dexpax, Advair.  Symptoms started about 18 hours after vaccine given.  6/25/07 Received hospital med recs which reveal patient experienced dyspnea & wheezing, dull aches of thighs from hip to knee, hot/cold flashes, non productive cough & central chest discomfort beginning approx 18 hrs s/p vax.  Admitted 6/10-6/18/2007 when transferred to unknown higher level of care. Developed sacroiliac & lower back pain.  Continued to have DOE. T/C to reporter to request additional hospital info. V/M left for return call. LABS: WBC 10.9, peak at 27.9, lymphs low at 15, grans high at 91.  UA WNL.  ABG revealed pO2 60.  Normal EKG.  Mycoplasma pneumoniae IgG positive at 277, IgM negative.  Legionella, sputum & blood c/s were negative. FINAL DX: Reactive airway disease, arthralgias and probable reaction to anthrax vax. Per 60 day follow up: Continues to have SOB & arthralgia. Being followed by rheumatology. CHURG STRAUSS syndrome being ruled out.
Age: 33.0
Sex: M
Vaccine: ANTH, FLU3, HEPAB, ANTH, FLUX, HEPAB
Symptoms: Urine analysis normal, Wheezing, White blood cell count increased
Clinical narrative: Dyspnea, wheezing, dull aches in thighs from his hip to his knee, along with weakness of hips.  Nonproductive cough, chest discomfort; hot and cold flashes started on 6/9/07; Oxygen sats 97% on 2 litres of oxygen; inspiratory wheezes, prolonged expiratory wheezes; no rash; Antibiotics used included Levaquin, Solumedrol, Relafen, Xoponex, Dexpax, Advair.  Symptoms started about 18 hours after vaccine given.  6/25/07 Received hospital med recs which reveal patient experienced dyspnea & wheezing, dull aches of thighs from hip to knee, hot/cold flashes, non productive cough & central chest discomfort beginning approx 18 hrs s/p vax.  Admitted 6/10-6/18/2007 when transferred to unknown higher level of care. Developed sacroiliac & lower back pain.  Continued to have DOE. T/C to reporter to request additional hospital info. V/M left for return call. LABS: WBC 10.9, peak at 27.9, lymphs low at 15, grans high at 91.  UA WNL.  ABG revealed pO2 60.  Normal EKG.  Mycoplasma pneumoniae IgG positive at 277, IgM negative.  Legionella, sputum & blood c/s were negative. FINAL DX: Reactive airway disease, arthralgias and probable reaction to anthrax vax. Per 60 day follow up: Continues to have SOB & arthralgia. Being followed by rheumatology. CHURG STRAUSS syndrome being ruled out.
Age: 33.0
Sex: M
Vaccine: ANTH, FLU3, HEPAB, ANTH, FLUX, HEPAB
Symptoms: Arthralgia, Back pain, Cough, Dyspnoea, Muscular weakness
Clinical narrative: Dyspnea, wheezing, dull aches in thighs from his hip to his knee, along with weakness of hips.  Nonproductive cough, chest discomfort; hot and cold flashes started on 6/9/07; Oxygen sats 97% on 2 litres of oxygen; inspiratory wheezes, prolonged expiratory wheezes; no rash; Antibiotics used included Levaquin, Solumedrol, Relafen, Xoponex, Dexpax, Advair.  Symptoms started about 18 hours after vaccine given.  6/25/07 Received hospital med recs which reveal patient experienced dyspnea & wheezing, dull aches of thighs from hip to knee, hot/cold flashes, non productive cough & central chest discomfort beginning approx 18 hrs s/p vax.  Admitted 6/10-6/18/2007 when transferred to unknown higher level of care. Developed sacroiliac & lower back pain.  Continued to have DOE. T/C to reporter to request additional hospital info. V/M left for return call. LABS: WBC 10.9, peak at 27.9, lymphs low at 15, grans high at 91.  UA WNL.  ABG revealed pO2 60.  Normal EKG.  Mycoplasma pneumoniae IgG positive at 277, IgM negative.  Legionella, sputum & blood c/s were negative. FINAL DX: Reactive airway disease, arthralgias and probable reaction to anthrax vax. Per 60 day follow up: Continues to have SOB & arthralgia. Being followed by rheumatology. CHURG STRAUSS syndrome being ruled out.
Age: 33.0
Sex: M
Vaccine: ANTH, FLU3, HEPAB, ANTH, FLUX, HEPAB
Symptoms: Pyrexia, Spirometry abnormal
Clinical narrative: Dyspnea, wheezing, dull aches in thighs from his hip to his knee, along with weakness of hips.  Nonproductive cough, chest discomfort; hot and cold flashes started on 6/9/07; Oxygen sats 97% on 2 litres of oxygen; inspiratory wheezes, prolonged expiratory wheezes; no rash; Antibiotics used included Levaquin, Solumedrol, Relafen, Xoponex, Dexpax, Advair.  Symptoms started about 18 hours after vaccine given.  6/25/07 Received hospital med recs which reveal patient experienced dyspnea & wheezing, dull aches of thighs from hip to knee, hot/cold flashes, non productive cough & central chest discomfort beginning approx 18 hrs s/p vax.  Admitted 6/10-6/18/2007 when transferred to unknown higher level of care. Developed sacroiliac & lower back pain.  Continued to have DOE. T/C to reporter to request additional hospital info. V/M left for return call. LABS: WBC 10.9, peak at 27.9, lymphs low at 15, grans high at 91.  UA WNL.  ABG revealed pO2 60.  Normal EKG.  Mycoplasma pneumoniae IgG positive at 277, IgM negative.  Legionella, sputum & blood c/s were negative. FINAL DX: Reactive airway disease, arthralgias and probable reaction to anthrax vax. Per 60 day follow up: Continues to have SOB & arthralgia. Being followed by rheumatology. CHURG STRAUSS syndrome being ruled out.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Headache, Hypokinesia, Oedema peripheral, Pain in extremity
Clinical narrative: Pt received a varicella vaccine on 6-6-07, reports a headache and a sore arm the 1 st day after the vaccine, on day 2 pt reported arm swelling, redness, pain and limited range of motion in her left arm. Pt was seen at  Health Center for treatment on 6-08-07, pt was given a prescription for Benadryl and the redness on her arm was recorded, pt instructed to go to the ER if reddened area enlarges overnight. Pt went to the Medical Center on 6-8-07. Pt returned to Health Center for a follow up on 6-9-07 and reaction had resolved.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Injection site anaesthesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: left arm swelling 2 dyas after immunization with pain and neuropathy extending down arm and into hand.  no weakness appreciated on exam.  swelling and erythema with tenderness on exam.  benedryl cream applied with ice pack and elevation.  tylenol for pain.  (patient allergic to po benadryl and antihistamines with palpatations as reaction)
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Neuropathy
Clinical narrative: left arm swelling 2 dyas after immunization with pain and neuropathy extending down arm and into hand.  no weakness appreciated on exam.  swelling and erythema with tenderness on exam.  benedryl cream applied with ice pack and elevation.  tylenol for pain.  (patient allergic to po benadryl and antihistamines with palpatations as reaction)
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Fatigue, Injection site pain, Myalgia, Nausea, Pyrexia
Clinical narrative: Roughly 18 hours after IM administration, patient developed low grade fever (100.4), muscle soreness at injection site and throughout entire body, fatigue, and nausea.  Self-treated with ibuprofen and Tylenol (alternating).
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Rash generalised
Clinical narrative: GENERALIZED RASH OVER BODY AFTER RECEIVING TDAP.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration
Clinical narrative: 50 CENT PIECE INDURATION READ AREA AT SITE OF INJECTION.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: FEVER OF 102, BODY ACHES, SWOLLEN LYMPH NODES IN NECK, ARM PITS, AND FEMORAL AREAS AND BRUISING IN HER RIGHT ARM.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Drug administration error, Medication error
Clinical narrative: Aspirated blood in needle before injection, injection not given.  Needle withdrawn and immunization discarded.  New immunization prepared and given without complication.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dyspnoea, Paraesthesia
Clinical narrative: Recieved vaccination IM in L Deltoid and app 20 minutes later reported some shortness of breath and both sides of face and hands felt tingly. VS 30 minutes after immunization T-97.7 P 88 R 18 BP 118/78.Was seen by clinic MD and discharge after symptoms decreased with no medical interventions app 90 minutes after adminstation of vaccine
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Nausea, Pyrexia, Vomiting
Clinical narrative: Less than 12 hours after administration, complained of tactile fevers, nausea, vomitting, dizziness.
Age: 14.0
Sex: F
Vaccine: DTAP
Symptoms: Blood electrolytes, Blood potassium decreased, Dizziness, Syncope
Clinical narrative: Patient complained of dizziness and fainted about 2 hours after vaccine was administered.  Patient was taken to ER.  Blood work showed low potassium.  Patient was prescribed potassium supplement.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Injection site pruritus
Clinical narrative: Left arm redness and itchiness at site of injection four hours after she received 3rd hep B dose.
Age: 32.0
Sex: F
Vaccine: YF
Symptoms: Feeling cold, Feeling hot, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: EVENT: Patient called the office on 06/14/2007, stating that starting on the afternoon of 06/12/2007, she felt like the inside of her body would get really hot and then it would cool off and then she gets nauseated.  She states that this happens intermittantly and only last for about 10 minutes.  She also noticed that the injection site was red and puffy and was warm to the touch.  TREATMENT:  Instructed patient to take Tylenol and Benadryl OTC as directed.  If her symptoms continued or became worse - or if she developed any fever or neurological symptoms, i.e. confusion, dizzyness, to return to the clinic or go to the ER immediately.
Age: 32.0
Sex: F
Vaccine: YF
Symptoms: Nausea
Clinical narrative: EVENT: Patient called the office on 06/14/2007, stating that starting on the afternoon of 06/12/2007, she felt like the inside of her body would get really hot and then it would cool off and then she gets nauseated.  She states that this happens intermittantly and only last for about 10 minutes.  She also noticed that the injection site was red and puffy and was warm to the touch.  TREATMENT:  Instructed patient to take Tylenol and Benadryl OTC as directed.  If her symptoms continued or became worse - or if she developed any fever or neurological symptoms, i.e. confusion, dizzyness, to return to the clinic or go to the ER immediately.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration
Clinical narrative: red, induration of 1/3 of left biceps
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Onset of rash 6/13 starting at inner thighs, progressing throughout legs and arms, more densely distributed at inner thighs and feet.  No rash on face or trunk.  Rash can be described as mildly pruritic marginated wheals most with central clearing.  There are no other positive findings such as fever, pain, lethargy, cold symptoms, lymphadenopathy, arthritis.  During office visit, patient alert, playful and in NAD.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Aphasia, Constipation, Dysphemia, Psychomotor hyperactivity, Self injurious behaviour
Clinical narrative: stoped talking started stuttering unable to bowel without laxaitive cant understand try to hurt self putting things in mouth tying strings around wrist and neck play by self hide hyperative taking speech.  8/16/07 Received PCP medical records which reveal patient received only DTaP #4 on 8/18/04.  VAERS database updated w/same.  Records of 8/22/06-11/8/06 reveal that patient experienced speech delay; developmental delay; normal vision, dental & hearing tests;otitis media; pharyngitis; bronchial asthma;allergies; & constipation. 8/28/07 Received ST eval of 11/06 which reveals patient w/severe language & articulation delay & was started on formal speech therapy.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Speech disorder
Clinical narrative: stoped talking started stuttering unable to bowel without laxaitive cant understand try to hurt self putting things in mouth tying strings around wrist and neck play by self hide hyperative taking speech.  8/16/07 Received PCP medical records which reveal patient received only DTaP #4 on 8/18/04.  VAERS database updated w/same.  Records of 8/22/06-11/8/06 reveal that patient experienced speech delay; developmental delay; normal vision, dental & hearing tests;otitis media; pharyngitis; bronchial asthma;allergies; & constipation. 8/28/07 Received ST eval of 11/06 which reveals patient w/severe language & articulation delay & was started on formal speech therapy.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: She had significant redness and swelling.  LUE: 10x5.5 cm irregular area  RUE:  3x5 cm  MD marked borders and advised to monitor for increasing redness, swelling, or pain and to monitor for fever.  Treated with abx for presumed cellulitis
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Blood alkaline phosphatase increased, Blood glucose increased, Blood ketone body, Condition aggravated
Clinical narrative: This case was reported by a physician and described the occurrence of glucose elevated on a 9-year-old female subject who was vaccinated with Havrix, GlaxoSmithKline for prophylaxis. Concurrent medical conditions included diabetes. Concurrent medications included Insulin via a paradigm pump and Poly-Vi-Flor + iron salt. On 12 June 2007 at 15:00 the subject received 1st dose of Havrix at 0.5 ml in the right arm. That night, 12 June 2007, after vaccination with Havrix, the subject experienced glucose elevated to  518 and was seen in emergency room. Alkaline phosphatase was 318 and the subject had no ketones. She was hospitalized for treatment. At the time of reporting the event was said to worsening.
Sex: F
Vaccine: HEP
Symptoms: Leukaemia, No therapeutic response
Clinical narrative: This case was reported by a pharmacist and described the occurrence of leukemia in an adult female subject who was vaccinated with hepatitis B vaccine (manufacturer unspecified) for prophylaxis. Concomitant medications were unknown. At an unspecified time the subject received a "series" of Hepatitis B vaccine (unknown). At an unspecified time after vaccination with an unspecified dose of Hepatitis B vaccine, the subject experienced not responding to therapy. A pharmacist reported that titers were taken from the subject (dates unspecified), which revealed that the subject did not respond to therapy with Hepatitis B vaccination. In addition, the pharmacist reported that the subject developed leukemia. It was unknown if the subject developed leukemia before or after vaccination with the Hepatitis B vaccine series. This case was assessed as medically serious. At the time of reporting the outcome of the events was unspecified.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Barium enema, Intussusception, Irritability, X-ray
Clinical narrative: Waxing, weaning fussiness Dx : intussusception.  6/21/07 Received vax rec which confirms RO lot & dose # & also includes multi additional vax received same date.  VAERS database updated w/same. 6/26/07 Received hospital med recs which reveal that on 5/30/07 patient experienced screaming & fussiness then excess sleepiness.  When awake, inconsolable, refusal to eat & drawing legs up.  Taken to PCP office & sent to ER.  Felt to have resolved IS spontaneously.  Held overnight for observation.  Tolerated oral intake well & was d/c to home 5/31/07. FINAL DX: none provided, no D/C summary done.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Hypotonia, Lumbar puncture, Pallor, Pyrexia
Clinical narrative: Diarrheal illness onset 6/5/07 w/o fever. 2 mo immuniz's (including Dtap) given 6/6/07. Approx 5 hrs. Later had 2 hypotonic/pallor episodes with biret cyanosis. Subsequently found to be febrile. Admitted for septic work up neg (including LP, cultures of CSF, blood, urine. Rotazyme neg.  7/31/07 Received hospital medical records which reveal patient experienced fever, 101.8, eye rolling, became limp & pale w/blue lips. Patients twin sibling was healthy.  Admitted 6/6-6/8/07.  Tx w/IV antibiotics. FINAL DX: Febrile viral illness.
Age: 1.1
Sex: F
Vaccine: MMRV
Symptoms: Computerised tomogram normal, Electroencephalogram normal, Full blood count normal, Musculoskeletal stiffness, Screaming
Clinical narrative: 2 days after MMR-V, Hep A, pt has an episode when suddenly she screamed from sleep, shaking of extremities, stiffening and eye rolling with purple face followed by period of somnolence, duration ?, Parent called 911 and taken to ER. Admitted overnight for observation.  6/19/07 Received hospital medical records which reveal 2 days s/p vax patient experienced irritability, shaking, high pitched screaming, stiffness, eyes rolling back & cyanosis lasting approx 1 min, then went limp & unresponsive.  Began emesis, crying & was irritable after that.  Patient was post ictal in ER.  Admitted 6/9/07 for monitoring & peds neuro consult done.  No d/c summary available.  T/C to med recs for d/c date. ADMIT DX: ALTE, r/o new onset seizures vx breath holding vs reflux.   8/10/07 Received v/m that no d/c summary dictated.  Case will be closed & reopened should it become available.
Age: 1.1
Sex: F
Vaccine: MMRV
Symptoms: Skin discolouration, Somnolence, Tremor
Clinical narrative: 2 days after MMR-V, Hep A, pt has an episode when suddenly she screamed from sleep, shaking of extremities, stiffening and eye rolling with purple face followed by period of somnolence, duration ?, Parent called 911 and taken to ER. Admitted overnight for observation.  6/19/07 Received hospital medical records which reveal 2 days s/p vax patient experienced irritability, shaking, high pitched screaming, stiffness, eyes rolling back & cyanosis lasting approx 1 min, then went limp & unresponsive.  Began emesis, crying & was irritable after that.  Patient was post ictal in ER.  Admitted 6/9/07 for monitoring & peds neuro consult done.  No d/c summary available.  T/C to med recs for d/c date. ADMIT DX: ALTE, r/o new onset seizures vx breath holding vs reflux.   8/10/07 Received v/m that no d/c summary dictated.  Case will be closed & reopened should it become available.