chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Neuralgia, Rash
Clinical narrative: 4 days after receiving the shingles vaccine in his R arm, patient developed a characteristic rash in the right C8 T1 nerve root. He also had a neuralgia  that was still present as of 2-18-09. Improved though still symptomatic.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle spasms, Skin hyperpigmentation
Clinical narrative: Hyperpigmentation on (L) arm (Linear appearance), non-raised, even distribution, cramping in hands (B) on occasions
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site anaesthesia, Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Itching at injection site urthen 1 hr.  Progressed to diffuse edema & erythema from elbow to distal deltoid.  Some mild tenderness.  Hard slightly numb no previous allergies.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pruritus
Clinical narrative: Itching at injection site urthen 1 hr.  Progressed to diffuse edema & erythema from elbow to distal deltoid.  Some mild tenderness.  Hard slightly numb no previous allergies.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Malaise, Myalgia, Oedema, Pyrexia, Rash
Clinical narrative: Extreme muscle pain, edema to 3x regular size, rash, fever and general malaise.
Age: 32.0
Sex: M
Vaccine: RAB
Symptoms: Headache
Clinical narrative: Rabies immunization given 2/15/09 (Booster). States no pain on 2/15/09. States in afternoon on 2/16/09 had dull headache which lasted one hour. On 2/17/09 about 9am developed dull headache which lasted 20-30 min. During screening for plasma donation about 10:45 on 2/17/09 donor reported the headaches. Stated took no medication for headaches.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus
Clinical narrative: Appointment for Hep-B vaccine. Prior to giving shot, assessed allergies to PCN, Sulfa, naproxen, zithromax and pineapple. Denied wheat/yeast allergy. This nurse clarified pt. wished to proceed with vaccine. She stated "yes." Pt. waited 10 min. in nurse's office without reaction and 10 min in outer office then c/o itching. Erythema only where pt scratched. VS BP 120/78, P = 80 and R = 16. Pt behavior escalating so 911 called EMT's assessed and pt. discharged to care of fiance.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Chills, Erythema, Headache, Injection site swelling, Nausea
Clinical narrative: Localized Rxn. Redness, Swelling & injection site 9X8 cm.  Systemic Rxn vertigo, mild headache, nausea.  Chills, Bodyache.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Pain, Vertigo
Clinical narrative: Localized Rxn. Redness, Swelling & injection site 9X8 cm.  Systemic Rxn vertigo, mild headache, nausea.  Chills, Bodyache.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Dyspnoea, Erythema, Eye swelling, Feeling jittery, Irritability
Clinical narrative: Right side of her face red and swollen. Right eye swollen completely shut, trouble breathing, trouble sleeping, fidgety, non responsive, irritable, fever, mouth swollen and wheezing.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Oedema mouth, Pyrexia, Sleep disorder, Swelling face, Unresponsive to stimuli
Clinical narrative: Right side of her face red and swollen. Right eye swollen completely shut, trouble breathing, trouble sleeping, fidgety, non responsive, irritable, fever, mouth swollen and wheezing.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Wheezing
Clinical narrative: Right side of her face red and swollen. Right eye swollen completely shut, trouble breathing, trouble sleeping, fidgety, non responsive, irritable, fever, mouth swollen and wheezing.
Age: 0.2
Sex: F
Vaccine: HIBV, PNC
Symptoms: Injection site swelling
Clinical narrative: Swollen Right thigh.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Pyrexia
Clinical narrative: Fever temperature 105 core.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Vesicular lesions around left flank
Age: 56.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal distension, Abdominal pain upper, Diarrhoea, Flatulence
Clinical narrative: Diarrhea, gas, distended stomach. pain. Started within 4 hours of dose and continued for 8 hours (took sleeping pill)
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Headache
Clinical narrative: Has had a dull frontal headache since waking on 2/20/2009 after 1 day of Tdap and still present on 2/24/2009
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased
Clinical narrative: 6-7 hours after Tdap given had 101.7 temp.
Age: 64.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Axillary pain, Back pain, Chest pain, Myalgia
Clinical narrative: Pt was given two injections in the left arm on 2/23/09. She called the clinic on 2/24/09 and advised us that she woke at 0300 with pain in her left axilla that radiated to the back and chest. Pain was a 9/10 and constant--she described it as a muscle ache. Pt states she took pain medication with relief. Pain in the morning was a 5/10, pt did repeat the pain medication at 0900 because the pain seemed to be coming back but not near as severe. Pt advised to use heat to the axillary area and arm for 15 minutes four times daily and was given rx for Prednisone 40 mg daily for five days.  She was advised to call if any shortness of breath, increasing pain or redness at injection sites or increasing pain.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Dermatitis contact, Rash generalised
Clinical narrative: pt states after she received 2nd vaccine of gardasil she continues with a rash on her body.Saw  PCP doctor was then referred to dermatologist were contact dermitis was discussed with pt.
Age: 1.4
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria to anterior and posterior trunk beginning approximately 2/21/09 progressing in intensity. No respiratory distress noted.  Patient evaluated by NP and prescribed Prelone and Benadryl.  Caregiver states received a "shot" in 10/08, but at earlier visit, had denied that it was immunizations.  CG brought immunization record and appears that a Varivax had been given at this time.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Injection site reaction, Injection site warmth, Urticaria
Clinical narrative: DTAP administered to Left deltoid and a large welt formed at injection site over next 24 hours.  Site was hot to touch and tissue was hard underneath.  Welt did not start to diminish in size for about 48 hours and it took another 3-4 days for it to disappear completely.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Limb immobilisation, Pain in extremity, Tenderness
Clinical narrative: Started hurting when given and never stopped Moved arm around during the rest of the day About 7 hours later when she went to bed, the pain got much worse  #10 on pain scale - unable to move arm Stayed at a #10 for a few more hours About 4am it started easing up a little. Bearable by the next morning at 7am - was able to move it again It was pain free in about 24 hours, although it's still tender
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Bacterial culture negative, Blood alkaline phosphatase increased, Body temperature increased, C-reactive protein increased, Condition aggravated
Clinical narrative: Infant patient started having fevers on the day of DTaP vaccination (2/19/09) up to hospital admission (2/20/09). Mother reported temp of 101.9 on 2/19/09. Baby was given Tylenol PRN. On night of hospital admission (2/20/09), mother was giving patient cold bath to relieve fever. Patient started vomiting and then stopped breathing and became nonresponsive, staring off, fatigued, and cyanotic (mother states baby "turned purple".  Baby was taking to ER via ambulance where admit temperature was 100 degrees F. During stay, temperature got up to 104 degrees F and patient became nonresponsive (staring off) and sats dipped into 70s. Patient was treated with O2 mask and Acetaminophen 162 mg PR. Other treatments included D5W/0.45%NS IV fluid support, prophylactic IV Vancomycin, IV Ceftriaxone, and ibuprofen PO prn fevers alternating with APAP PR. All viral/bacterial cultures (including lumbar puncture) were negative for growth. Patient's temp at discharge on 2/21/09 afternoon was 97. Final diagnosis at discharge is "Vaccine adverse event including hypotonia and fever." 3/9/09-records received for DOS 2/20/2/21/09-DC DX:vaccine adverse event. Presented to ED with ALTE and possible LOC. Fever aftger receiving vaccines.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Cyanosis, Fatigue, Hypotonia, Oxygen saturation decreased, Pyrexia
Clinical narrative: Infant patient started having fevers on the day of DTaP vaccination (2/19/09) up to hospital admission (2/20/09). Mother reported temp of 101.9 on 2/19/09. Baby was given Tylenol PRN. On night of hospital admission (2/20/09), mother was giving patient cold bath to relieve fever. Patient started vomiting and then stopped breathing and became nonresponsive, staring off, fatigued, and cyanotic (mother states baby "turned purple".  Baby was taking to ER via ambulance where admit temperature was 100 degrees F. During stay, temperature got up to 104 degrees F and patient became nonresponsive (staring off) and sats dipped into 70s. Patient was treated with O2 mask and Acetaminophen 162 mg PR. Other treatments included D5W/0.45%NS IV fluid support, prophylactic IV Vancomycin, IV Ceftriaxone, and ibuprofen PO prn fevers alternating with APAP PR. All viral/bacterial cultures (including lumbar puncture) were negative for growth. Patient's temp at discharge on 2/21/09 afternoon was 97. Final diagnosis at discharge is "Vaccine adverse event including hypotonia and fever." 3/9/09-records received for DOS 2/20/2/21/09-DC DX:vaccine adverse event. Presented to ED with ALTE and possible LOC. Fever aftger receiving vaccines.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Respiratory arrest, Respiratory syncytial virus test negative, Staring, Unresponsive to stimuli, Vaccination complication
Clinical narrative: Infant patient started having fevers on the day of DTaP vaccination (2/19/09) up to hospital admission (2/20/09). Mother reported temp of 101.9 on 2/19/09. Baby was given Tylenol PRN. On night of hospital admission (2/20/09), mother was giving patient cold bath to relieve fever. Patient started vomiting and then stopped breathing and became nonresponsive, staring off, fatigued, and cyanotic (mother states baby "turned purple".  Baby was taking to ER via ambulance where admit temperature was 100 degrees F. During stay, temperature got up to 104 degrees F and patient became nonresponsive (staring off) and sats dipped into 70s. Patient was treated with O2 mask and Acetaminophen 162 mg PR. Other treatments included D5W/0.45%NS IV fluid support, prophylactic IV Vancomycin, IV Ceftriaxone, and ibuprofen PO prn fevers alternating with APAP PR. All viral/bacterial cultures (including lumbar puncture) were negative for growth. Patient's temp at discharge on 2/21/09 afternoon was 97. Final diagnosis at discharge is "Vaccine adverse event including hypotonia and fever." 3/9/09-records received for DOS 2/20/2/21/09-DC DX:vaccine adverse event. Presented to ED with ALTE and possible LOC. Fever aftger receiving vaccines.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Virus culture negative, Vomiting, White blood cell count increased
Clinical narrative: Infant patient started having fevers on the day of DTaP vaccination (2/19/09) up to hospital admission (2/20/09). Mother reported temp of 101.9 on 2/19/09. Baby was given Tylenol PRN. On night of hospital admission (2/20/09), mother was giving patient cold bath to relieve fever. Patient started vomiting and then stopped breathing and became nonresponsive, staring off, fatigued, and cyanotic (mother states baby "turned purple".  Baby was taking to ER via ambulance where admit temperature was 100 degrees F. During stay, temperature got up to 104 degrees F and patient became nonresponsive (staring off) and sats dipped into 70s. Patient was treated with O2 mask and Acetaminophen 162 mg PR. Other treatments included D5W/0.45%NS IV fluid support, prophylactic IV Vancomycin, IV Ceftriaxone, and ibuprofen PO prn fevers alternating with APAP PR. All viral/bacterial cultures (including lumbar puncture) were negative for growth. Patient's temp at discharge on 2/21/09 afternoon was 97. Final diagnosis at discharge is "Vaccine adverse event including hypotonia and fever." 3/9/09-records received for DOS 2/20/2/21/09-DC DX:vaccine adverse event. Presented to ED with ALTE and possible LOC. Fever aftger receiving vaccines.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Autopsy, Cyanosis, Death, Irritability, Pallor
Clinical narrative: Received first set of baby shots, left the pediatrician's office and went to store. Became very fussy. Then in the car on the way home became more fussy before falling asleep. When arrived home, the baby's skin looked off white and the lips were cold and dark colored and the baby was not arousable. Parents took the baby to the ER where they were unable to revive him and he was pronounced dead after about 45 minutes. The baby had previously been to the ER on 12/18/08 for small size and for congestion. Was put on weight gaining formula and given Albuterol breathing treatment and sent home. Autopsy was done and showed 3 healing rib fractures that were old and the pathologist stated the baby had chronic bronchitis, but the cause of death was undetermined.  2/25/09 Autopsy report state COD as sudden unexplaineed death in infant & manner of death as undetermined.   2/25/09 Received ER records of 12/18/2008. FINAL DX: URI w/tachypnea Records reveal patient experienced SOB, nasal congestion, loose stool x 2 days.  Seen in PCP office x 2 for same & sent to ER for eval.  Resp rate in ER 64, pulse ox 98%.  Remainder of exam WNL.  Tx w/nebs & resp rate returned to WNL.  2/27/09 Received vaccine records & PCP office records which reveal patient in good health on 1/12/2009.  3/9/09 Received ER medical records of 1/12/2009. FINAL DX: DOA Records reveal patient brought to ER by parent.  Patient gray, limp w/no pulse or respirations after having found unresponsive.  Resuscitation attempts failed
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Skin discolouration, Unresponsive to stimuli
Clinical narrative: Received first set of baby shots, left the pediatrician's office and went to store. Became very fussy. Then in the car on the way home became more fussy before falling asleep. When arrived home, the baby's skin looked off white and the lips were cold and dark colored and the baby was not arousable. Parents took the baby to the ER where they were unable to revive him and he was pronounced dead after about 45 minutes. The baby had previously been to the ER on 12/18/08 for small size and for congestion. Was put on weight gaining formula and given Albuterol breathing treatment and sent home. Autopsy was done and showed 3 healing rib fractures that were old and the pathologist stated the baby had chronic bronchitis, but the cause of death was undetermined.  2/25/09 Autopsy report state COD as sudden unexplaineed death in infant & manner of death as undetermined.   2/25/09 Received ER records of 12/18/2008. FINAL DX: URI w/tachypnea Records reveal patient experienced SOB, nasal congestion, loose stool x 2 days.  Seen in PCP office x 2 for same & sent to ER for eval.  Resp rate in ER 64, pulse ox 98%.  Remainder of exam WNL.  Tx w/nebs & resp rate returned to WNL.  2/27/09 Received vaccine records & PCP office records which reveal patient in good health on 1/12/2009.  3/9/09 Received ER medical records of 1/12/2009. FINAL DX: DOA Records reveal patient brought to ER by parent.  Patient gray, limp w/no pulse or respirations after having found unresponsive.  Resuscitation attempts failed
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Autopsy, Death
Clinical narrative: Received first set of baby shots, left the pediatrician's office and went to store. Became very fussy. Then in the car on the way home became more fussy before falling asleep. When arrived home, the baby's skin looked off white and the lips were cold and dark colored and the baby was not arousable. Parents took the baby to the ER where they were unable to revive him and he was pronounced dead after about 45 minutes. The baby had previously been to the ER on 12/18/08 for small size and for congestion. Was put on weight gaining formula and given Albuterol breathing treatment and sent home. Autopsy was done and showed 3 healing rib fractures that were old and the pathologist stated the baby had chronic bronchitis, but the cause of death was undetermined.  2/25/09 Autopsy report state COD as sudden unexplaineed death in infant & manner of death as undetermined.   2/25/09 Received ER records of 12/18/2008. FINAL DX: URI w/tachypnea Records reveal patient experienced SOB, nasal congestion, loose stool x 2 days.  Seen in PCP office x 2 for same & sent to ER for eval.  Resp rate in ER 64, pulse ox 98%.  Remainder of exam WNL.  Tx w/nebs & resp rate returned to WNL.  2/27/09 Received vaccine records & PCP office records which reveal patient in good health on 1/12/2009.  3/9/09 Received ER medical records of 1/12/2009. FINAL DX: DOA Records reveal patient brought to ER by parent.  Patient gray, limp w/no pulse or respirations after having found unresponsive.  Resuscitation attempts failed
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: DEVELOPED SIGNIFICANT ERYTHEMA IN THE SHOT SITE ON HER RIGHT THIGH APPROZ 4 TO 5 CM IN DIAMETER
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Rt. thigh became erythematous, warm, slight induration.  Temp 98.9 Keflex 250/5ml 1tsp TID X 10 days Compresses Benadryl 12.5/5ml 1tsp q 6 hrs.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Patient had hives all over body few hours after immunizations we're given.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Dizziness, Erythema, Palpitations
Clinical narrative: 2 hours after vaccination patient experienced palpitations, and lightheadedness for 45 minutes,  A bruise 1 inch long and 1/2 inch wide appeared, a red spot 1 inch wide and 1 and 1/2 inches long appeared. Patient took xanax and symptoms disappeared.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness swelling L arm
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site discomfort, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pneumococcal vaccination given on 2/22/09 @ 1000.  The patient did not experience any symptoms until 2/23 when she noticed her Left Deltoid was hot, raised and began to itch.  Benadryl was given on 2/23 at 2300 and the redness continued to spread to approximately a 4x4 area. By 1500 on 2/24 the deltoid was still raised and somewhat hot but the swelling had decreased to about 3 x 3 and did not itch.  A second dose of benadryl was given at 1500 due to some discomfort.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, OPV, PPV
Symptoms: Abasia, Agitation, Convulsion, Cytogenetic analysis normal, Eating disorder
Clinical narrative: Patient had seizures and had to be rushed to the Hospital where he stayed for one week. Patient has curious mental delays; he cannot walk, talk, or do any of the normal things a three year old should. We have been working with agency and numerous doctors to try and find out exactly what is wrong.  3/4/09 Received PCP medical records of 6/13/08-1/13/09. FINAL DX: seizure disorder, cerebral palsy, mental retardation Records reveal patient new to practice on 6/13 w/very extensive medical history.  Patient unable to walk on own, spastic muscle movements, no speech, seizure disorder, mental retardation, developmental delays.  Was already receiving early intervention services.  Continued to have seizures, eating difficulty.  Being followed by Neuro.  Referred to Peds Neuro, Ortho, Psych & eating therapist.  RTC 11/08 & referred to Ophtho, ST& geneticist.  4/21/09 Received Neuro, Developmental, Ortho, Genetics & ER medical records. FINAL DX:  Neuro: epilepsy & developmental delay.  Ortho: global delays.  Developmental: global developmental delay & seizure disorder.   Neuro Consult: Records reveal patient had eight spells characterized by unresponsiveness, head tilt back, nystagmus lasting 1-6 min, approx 1/2 of spells assoc w/fever.  Had been in hospital where EEG was WNL.  Tx w/antiseizure meds.  Seen in ER w/neuro consult 2/4/07 following a 30 min episode of giddiness & strabismus, staring.  Currently dx w/OM & on oral antibiotics, sleep disturbed, agitated & not on antiseizure meds.  Dx w/suspected seizure disorder w/several factors exacerbating threshold (infection, med noncompliance, sleep deprivation). Spell thought to be odd for seizure activity but encouraged to restart meds & keep f/u appts.  RTC 2/8/08 w/continued seizure activity approx 6-7x/mo usually at night & approx 1/2 assoc w/fever; has postictal periods of lethargy & hypotonia.  Parental d/c of antiseizure meds.  Was currently receiving PT/OT/ST.  Ortho eval for walking delay was WNL & referred back to Neuro & Genetics.  Psychiatrist had dx w/CP & autism.  Meds changed.  Developmental consult referred for Neuro 2nd opinion; psychoed testing; ST eval; & genetics.  Genetics consult WNL.   Follow-up: He cannot talk or walk at all. He has MR from the shots and he is very behind.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, OPV, PPV
Symptoms: Insomnia, Neuropsychological test, Sleep disorder, Speech disorder developmental, Treatment noncompliance
Clinical narrative: Patient had seizures and had to be rushed to the Hospital where he stayed for one week. Patient has curious mental delays; he cannot walk, talk, or do any of the normal things a three year old should. We have been working with agency and numerous doctors to try and find out exactly what is wrong.  3/4/09 Received PCP medical records of 6/13/08-1/13/09. FINAL DX: seizure disorder, cerebral palsy, mental retardation Records reveal patient new to practice on 6/13 w/very extensive medical history.  Patient unable to walk on own, spastic muscle movements, no speech, seizure disorder, mental retardation, developmental delays.  Was already receiving early intervention services.  Continued to have seizures, eating difficulty.  Being followed by Neuro.  Referred to Peds Neuro, Ortho, Psych & eating therapist.  RTC 11/08 & referred to Ophtho, ST& geneticist.  4/21/09 Received Neuro, Developmental, Ortho, Genetics & ER medical records. FINAL DX:  Neuro: epilepsy & developmental delay.  Ortho: global delays.  Developmental: global developmental delay & seizure disorder.   Neuro Consult: Records reveal patient had eight spells characterized by unresponsiveness, head tilt back, nystagmus lasting 1-6 min, approx 1/2 of spells assoc w/fever.  Had been in hospital where EEG was WNL.  Tx w/antiseizure meds.  Seen in ER w/neuro consult 2/4/07 following a 30 min episode of giddiness & strabismus, staring.  Currently dx w/OM & on oral antibiotics, sleep disturbed, agitated & not on antiseizure meds.  Dx w/suspected seizure disorder w/several factors exacerbating threshold (infection, med noncompliance, sleep deprivation). Spell thought to be odd for seizure activity but encouraged to restart meds & keep f/u appts.  RTC 2/8/08 w/continued seizure activity approx 6-7x/mo usually at night & approx 1/2 assoc w/fever; has postictal periods of lethargy & hypotonia.  Parental d/c of antiseizure meds.  Was currently receiving PT/OT/ST.  Ortho eval for walking delay was WNL & referred back to Neuro & Genetics.  Psychiatrist had dx w/CP & autism.  Meds changed.  Developmental consult referred for Neuro 2nd opinion; psychoed testing; ST eval; & genetics.  Genetics consult WNL.   Follow-up: He cannot talk or walk at all. He has MR from the shots and he is very behind.
Age: 0.08
Sex: M
Vaccine: HEPA
Symptoms: Wrong drug administered
Clinical narrative: Advised parent of error.Will call in Am to check on patient reaction.Will give HepB at 2 mo check.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Immediate post-injection reaction
Clinical narrative: Redness of face around eyes; no swelling.  Per parents, occurred immediately after vaccine; did not call MD until several hours after immunized.  Treatment given: Benadryl.  Recommended to give Epi Pen & go to Emergency Room when spoke with MD, as child with egg allergy.  Parents declined to go to ER.  Will consider Epi Pen, if child worsens.
Age: 0.7
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC
Symptoms: Bacterial infection, Blood culture positive, Culture stool negative, Pyrexia, White blood cell count increased
Clinical narrative: Reported from mother: Pt was admitted to hospital 2-18-09 due to fever 104.6. Stated blood culture done in ER was (+) for bacterial infection. Repeat blood cultures on Friday were negative. Stool cultures done were negative. Pt was released home 2-21-09 in a.m. with Rx AZITHROMAX. Spoke with mother 2-24-09 states pt doing well with no fever and has been Tx with antbx.  2/25/09 MR received for DOS 2/19-21/2009 with DX: Fever w/o source.  Leukocytosis.  Pt presented with 2 day hx of fever. Received vax today and fever up to 104.6. PE (+) for cough and rhinorrhea, mild tachycardia. Admitted for observation and tx with abx.
Age: 1.4
Sex: M
Vaccine: FLU3
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis Right thigh
Age: 37.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Complement factor, Pruritus, Rash follicular, Rash pustular, Skin lesion
Clinical narrative: Day # 12 post immunization with 2 skin lesions. 1) - follicular on neck, throat, (R) arm. - itchy. Pictures sent to Dr., felt to be post-vaccinal non-viral pustulosis, symptoms improved with BENADRYL. 2) 1-2 cm nodular subcutaneous nodule x 4 on ear, (R) jaw line and neck, improving with BENADRYL, complement studies ordered. 3/3/09-records received for Dos 2/24/09-swelling and erythema left axillary LAD and malaise about 8-10 days after vaccine now C/O rashes distal to immunization site. Lesions itchy on neck, chest abdomen and right arm.
Age: 37.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: C-reactive protein, Local reaction, Nodule, Pain, Rash vesicular
Clinical narrative: Day # 12 post immunization with 2 skin lesions. 1) - follicular on neck, throat, (R) arm. - itchy. Pictures sent to Dr., felt to be post-vaccinal non-viral pustulosis, symptoms improved with BENADRYL. 2) 1-2 cm nodular subcutaneous nodule x 4 on ear, (R) jaw line and neck, improving with BENADRYL, complement studies ordered. 3/3/09-records received for Dos 2/24/09-swelling and erythema left axillary LAD and malaise about 8-10 days after vaccine now C/O rashes distal to immunization site. Lesions itchy on neck, chest abdomen and right arm.
Age: 37.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Red blood cell sedimentation rate
Clinical narrative: Day # 12 post immunization with 2 skin lesions. 1) - follicular on neck, throat, (R) arm. - itchy. Pictures sent to Dr., felt to be post-vaccinal non-viral pustulosis, symptoms improved with BENADRYL. 2) 1-2 cm nodular subcutaneous nodule x 4 on ear, (R) jaw line and neck, improving with BENADRYL, complement studies ordered. 3/3/09-records received for Dos 2/24/09-swelling and erythema left axillary LAD and malaise about 8-10 days after vaccine now C/O rashes distal to immunization site. Lesions itchy on neck, chest abdomen and right arm.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Culture stool, Melaena
Clinical narrative: Melena
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left leg - red, swollen, warm to touch, thigh area, 4 cm in size, raised
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: ADACEL shot given right arm 2/15. 2/17, soreness at site, lump at site of injection, warm to touch, swollen. Temp 99'.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site erythema, Oedema peripheral, Skin warm
Clinical narrative: ADACEL given 2/14  2/17 - arm puffy, warm to touch, redness around site and trailed down arm
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Blood thyroid stimulating hormone, Chills, Decreased appetite, Diarrhoea
Clinical narrative: Patient calls VHC x 3 in past week.  "Just don't feel like myself; very tired, achy, constant HA, nodes on side of neck and under chin are enlarged."  Reports chills, general malaise, ongoing, constant frontal HA with changes in vision- not as sharp with glasses on and blurry with glasses off, photophobia, some noise sensitivity, slight nausea (negative prior hx migraines), decreased appetite, loose stools s/p GARDASIL #1 on 02-11-09.  Seen by PCP on 02-20-09, who Dx'd as "Acute Cervical Lymphadenitis."  Bloodwork: CBC with DIFF, CMP, ESR, HIV-1 AB, RPR, Reticulocytes, TSH sensitive ALL WNL with exception of slightly decreased Hgb of 11.7 - patient states she was at the end of her menstrual cycle when the labs were drawn.  HIV-1 AB and RPR results pending-advised patient to call PCP for results.  Patient is very anxious because her cousin was recently dx'd with HIV.  Patient is currently not sexually active- her husband, AD military spouse, is deployed at present.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Feeling abnormal, Full blood count normal, Headache, Hyperacusis
Clinical narrative: Patient calls VHC x 3 in past week.  "Just don't feel like myself; very tired, achy, constant HA, nodes on side of neck and under chin are enlarged."  Reports chills, general malaise, ongoing, constant frontal HA with changes in vision- not as sharp with glasses on and blurry with glasses off, photophobia, some noise sensitivity, slight nausea (negative prior hx migraines), decreased appetite, loose stools s/p GARDASIL #1 on 02-11-09.  Seen by PCP on 02-20-09, who Dx'd as "Acute Cervical Lymphadenitis."  Bloodwork: CBC with DIFF, CMP, ESR, HIV-1 AB, RPR, Reticulocytes, TSH sensitive ALL WNL with exception of slightly decreased Hgb of 11.7 - patient states she was at the end of her menstrual cycle when the labs were drawn.  HIV-1 AB and RPR results pending-advised patient to call PCP for results.  Patient is very anxious because her cousin was recently dx'd with HIV.  Patient is currently not sexually active- her husband, AD military spouse, is deployed at present.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphadenopathy, Malaise, Metabolic function test, Metabolic function test normal, Nausea
Clinical narrative: Patient calls VHC x 3 in past week.  "Just don't feel like myself; very tired, achy, constant HA, nodes on side of neck and under chin are enlarged."  Reports chills, general malaise, ongoing, constant frontal HA with changes in vision- not as sharp with glasses on and blurry with glasses off, photophobia, some noise sensitivity, slight nausea (negative prior hx migraines), decreased appetite, loose stools s/p GARDASIL #1 on 02-11-09.  Seen by PCP on 02-20-09, who Dx'd as "Acute Cervical Lymphadenitis."  Bloodwork: CBC with DIFF, CMP, ESR, HIV-1 AB, RPR, Reticulocytes, TSH sensitive ALL WNL with exception of slightly decreased Hgb of 11.7 - patient states she was at the end of her menstrual cycle when the labs were drawn.  HIV-1 AB and RPR results pending-advised patient to call PCP for results.  Patient is very anxious because her cousin was recently dx'd with HIV.  Patient is currently not sexually active- her husband, AD military spouse, is deployed at present.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Photophobia, Red blood cell sedimentation rate normal, Vision blurred
Clinical narrative: Patient calls VHC x 3 in past week.  "Just don't feel like myself; very tired, achy, constant HA, nodes on side of neck and under chin are enlarged."  Reports chills, general malaise, ongoing, constant frontal HA with changes in vision- not as sharp with glasses on and blurry with glasses off, photophobia, some noise sensitivity, slight nausea (negative prior hx migraines), decreased appetite, loose stools s/p GARDASIL #1 on 02-11-09.  Seen by PCP on 02-20-09, who Dx'd as "Acute Cervical Lymphadenitis."  Bloodwork: CBC with DIFF, CMP, ESR, HIV-1 AB, RPR, Reticulocytes, TSH sensitive ALL WNL with exception of slightly decreased Hgb of 11.7 - patient states she was at the end of her menstrual cycle when the labs were drawn.  HIV-1 AB and RPR results pending-advised patient to call PCP for results.  Patient is very anxious because her cousin was recently dx'd with HIV.  Patient is currently not sexually active- her husband, AD military spouse, is deployed at present.
Age: 73.0
Sex: F
Vaccine: TD, VARZOS, VARZOS
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: Injection was on 02/19. On 02/22 injection site became red, 2" circle. On 2/24 it is still a 2" around circle. No heat or pain. Arm is a little sore. Told her to try BENADRYL.
Age: 73.0
Sex: F
Vaccine: TD, VARZOS, VARZOS
Symptoms: Injection site erythema
Clinical narrative: Injection was on 02/19. On 02/22 injection site became red, 2" circle. On 2/24 it is still a 2" around circle. No heat or pain. Arm is a little sore. Told her to try BENADRYL.
Age: 30.0
Sex: M
Vaccine: HEP, HEPA, IPV, TDAP, TYP, YF
Symptoms: Swelling face
Clinical narrative: Patient called 6 days following vaccination for a tip to Brazil. He reports facial swelling with sx. Starting on Sunday 2/22/09 a 1300, which was 5 days following vaccination. Advised to go to the local ER - He refused, but he is going to a local urgent care. 2/24/09 Call to client - taking ZYRTEC and BENADRYL - Swelling is decreasing.
Age: 81.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Stomatitis
Clinical narrative: Pt complained to dentist about sores in her mouth. Dentist prescribed VALTREX and patient is concerned the ZOSTAVAX caused the sores and the VALTREX made it to not get he fall immunization of ZOSTAVAX.
Age: 81.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes simplex, Oral herpes, Stomatitis
Clinical narrative: Pt complained to dentist about sores in her mouth. Dentist prescribed VALTREX and patient is concerned the ZOSTAVAX caused the sores and the VALTREX made it to not get he fall immunization of ZOSTAVAX.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Full blood count, Injection site erythema, Injection site induration, Rash pruritic, Skin lesion
Clinical narrative: 2/19/09.  Local Reaction with continued erythema & induration at site.  2 Pruritic rash with small dark lesions on thighs on 2/21/09
Age: 1.01
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: 2-10-09 MMR & VARICELLA given. 2-11-09 PC from mom. States child "broke out" in rash at babysitters. RN advised parent to take child to Dr. advised mom to phone HD with results - PC to home 2-11, 2/15/09 x 4 - No answer - Letter sent 2-17- no response. Outcome unknown. Follow-up Information 17-MAR-2009: Our office has not heard any more information or contact from parent.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Hypoaesthesia, Influenza like illness, Injection site erythema, Musculoskeletal stiffness
Clinical narrative: Had ZOSTAVAX injection 2-12-09. That evening arm was very tender. His wife is a nurse, redness noted from elbow to shoulder. States arm felt numb. Had stiffness which felt like the flu. Weakness. Called 2-17-09 with this report. Was not seen. Phone contact x2 - Pt improved.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: Had ZOSTAVAX injection 2-12-09. That evening arm was very tender. His wife is a nurse, redness noted from elbow to shoulder. States arm felt numb. Had stiffness which felt like the flu. Weakness. Called 2-17-09 with this report. Was not seen. Phone contact x2 - Pt improved.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: Erythematous nodule app 0.5 cm in diam both thighs.
Age: 1.1
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Myoclonus, Pyrexia
Clinical narrative: Received MMR and VARIVAX on 1/30/09.  Fever that night for 2 days.  Atend of fever had prominent myoclonic jerks with sleep for one day then recovered finally.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Oedema, Rash, Rash erythematous
Clinical narrative: 4 month-old female who came for a routine physical exam and vaccines and developed a rash over the next 24 hours.  The rash was of rapid progression affecting mostly upper and lower extremities characterized by erythematous raised  wheals, flat topped and had tense edema.  Patient came back 24 hours after the beginning of symptoms.  She received BENADRYL and PREDNISOLONE and symptoms resolved in 1 day.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: 3rd dose of GARDASIL administered on 2/24/09.  Pt experienced syncope, pt recovered well.  Waited 15 mins.  Stated she felt better exited office.
Age: 32.0
Sex: M
Vaccine: MMR
Symptoms: Incorrect route of drug administration, Lymphadenopathy, Pyrexia, Swelling face
Clinical narrative: Developed fever < 12 alter shot swollen tonsil or lymph nodes & L facial swelling injection given SQ on left arm.  No pain or swelling around injection site.  Sx resolving after 48h.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Feeling hot, Immediate post-injection reaction, Musculoskeletal stiffness, Myalgia
Clinical narrative: 15 min after injection, (R) hand swollen. No resp sx, no hives, felt "warm". Swelling decreases and increases through SAT AM. Neck muscle felt stiff during Basketball Practice but was able to play/go to school.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Oedema peripheral
Clinical narrative: 15 min after injection, (R) hand swollen. No resp sx, no hives, felt "warm". Swelling decreases and increases through SAT AM. Neck muscle felt stiff during Basketball Practice but was able to play/go to school.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Musculoskeletal stiffness, Oedema peripheral, Skin warm
Clinical narrative: 15 min after injection, (R) hand swollen. No resp sx, no hives, felt "warm". Swelling decreases and increases through SAT AM. Neck muscle felt stiff during Basketball Practice but was able to play/go to school.
Age: 45.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Dizziness, Nausea, Tremor
Clinical narrative: Client states he has dizziness, nausea and shakiness, increasing since 4th dose of IMOVAX (rabies vaccine) received on 2/17/09. Recommended use of antiinflamatory (aspirin) on regular basis. Stress importance of continuing tx and reassured symptoms were within mild reactions
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Contusion, Loss of consciousness, Mass, Mobility decreased, Musculoskeletal pain
Clinical narrative: Early in the morning following the vaccination my right shoulder was in severe immobilizing pain.  I could not move it due to the pain.  I attempted to take a shower and passed out in the process.  I was awaken by personnel cleaning the bathroom.  I was placed on an IV and removed from flight status for two days. I had brusing from my shoulder to my elbow, small hard lumps under the skin, and other bizarre skin stuff near the location of the shot for two to three weeks.  I still have slight pain in my right shoulder. It is now about 5 weeks post shot.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Skin disorder
Clinical narrative: Early in the morning following the vaccination my right shoulder was in severe immobilizing pain.  I could not move it due to the pain.  I attempted to take a shower and passed out in the process.  I was awaken by personnel cleaning the bathroom.  I was placed on an IV and removed from flight status for two days. I had brusing from my shoulder to my elbow, small hard lumps under the skin, and other bizarre skin stuff near the location of the shot for two to three weeks.  I still have slight pain in my right shoulder. It is now about 5 weeks post shot.
Age: 37.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Complement factor, Pruritus, Rash follicular, Rash pustular, Skin lesion
Clinical narrative: Local reaction on her left arm to the smallpox vaccination (given 2/12/2009). She has now broken out with a vesticular rash on Left and Right cheeks from 0.5cm to 1 cm nodular with a white head. She has no history of eczema or atopic dermatitis. Symptoms: Lesions, Vesicles, Pain
Age: 37.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: C-reactive protein, Local reaction, Nodule, Pain, Rash vesicular
Clinical narrative: Local reaction on her left arm to the smallpox vaccination (given 2/12/2009). She has now broken out with a vesticular rash on Left and Right cheeks from 0.5cm to 1 cm nodular with a white head. She has no history of eczema or atopic dermatitis. Symptoms: Lesions, Vesicles, Pain
Age: 37.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Red blood cell sedimentation rate
Clinical narrative: Local reaction on her left arm to the smallpox vaccination (given 2/12/2009). She has now broken out with a vesticular rash on Left and Right cheeks from 0.5cm to 1 cm nodular with a white head. She has no history of eczema or atopic dermatitis. Symptoms: Lesions, Vesicles, Pain
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Pain in extremity, X-ray normal
Clinical narrative: This non-serious event was reported by a health care professional on 13 January 2009. Based upon additional information received on 13 February 2009, it was determined this case meets seriousness criteria. This patient is one of a cluster of 20 patients: the other 19 patients are captured in case numbers 2008-03509, 2009-00153 to 2009-001164, 2009-00166 to 2008-00171. SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. A female patient, had received an injection of FLUZONE SV 2008-2009 (lot number U2762AA) on 19 October 2008; however the route and site of administration were not provided. On 13 November 2008, the reporter recorded that at an unspecified amount of time after vaccination, the patient had a sore arm and the pain was up into her neck. The patient was seeing her primary care physician; however, it was not reported whether the patient required treatment for the events. Outcome was not reported. Follow-up information was received 13 February 2009 from a health care professional. The patient received an intramuscular left deltoid injection of FLUZONE and the left arm soreness began 24 to 48 hours post vaccination. The patient was seen by their primary care physician and an X-ray of her left arm was negative. The patient was prescribed VICODIN for pain and fully recovered in two to three months. It was further noted that the patient had a history of a pulled muscle in her left arm. Due to this new information received, this case has been upgraded from non-serious to serious. Documents held by sender: None.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Cerebrovascular accident
Clinical narrative: Information has been received from a registered nurse concerning a 71 year old female who was vaccinated with a 0.65ml dose of ZOSTAVAX (Merck). A few weeks after receiving ZOSTAVAX (Merck), the patient experienced a stroke. The patient sought unspecified medical attention. Upon internal review, stroke was considered to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: HEP
Symptoms: Hepatitis B antibody negative
Clinical narrative: Information has been received from a registered pharmacist concerning an adult male who, "many years ago", was vaccinated with a "complete dose" of RECOMBIVAX HB before undergoing dialysis. The patient subsequently had a kidney transplant and was on immunosuppressive therapy. He recently applied to work in the hospital and routine titers for hepatitis B were low. No adverse effects was noted. Unspecified medical attention was sought. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Crohn's disease, Diarrhoea, Malaise
Clinical narrative: Abdominal pain, diahrrea, general ill feeling 12/07. Again 8/08 - Diagnosed Crohn's disease 10/08.  3/9/09 Received PCP vaccine records & medical records of 8/16/07-2/19/2009. FINAL DX: none provided Records reveal patient experienced good health on 8/16/07.  Received HPV #1 & also started on BCP for dysmenorrhea.  RTC 12/10/07 w/abdominal pain x 4-5 days, diarrhea.  Exam revealed decreased bowel sounds & LLQ tenderness.  Dx w/possible colitis.
Age: 11.0
Sex: F
Vaccine: FLU3, MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Received a BOOSTRIX vaccine (R) arm 10/30/08. Seen on 11/2/08 area red swollen, hot to touch.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Nausea, Urticaria
Clinical narrative: within 24 hours, urticarial rash on chest, shortness of breath, and nausea
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Oedema peripheral
Clinical narrative: approximately 12 hrs after reaction, patient experienced localized bright red egg sized swollen area at injection site, itchy, soreness, and firm swollen arm
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: approximately 12 hrs after reaction, patient experienced localized bright red egg sized swollen area at injection site, itchy, soreness, and firm swollen arm
Age: 1.01
Sex: F
Vaccine: DTAP, FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling
Clinical narrative: Per parent, child had routine immunizations on 02/11/09.  Infant jerked right leg slightly at the time of getting the shot, and small bruise appeared on right thigh after immunizations.  On 02/21/09 child developed a dime-sized, slightly raised, red spot on right thigh.  She has no fever, no tenderness to touch, or any other symptoms. Parent reported to county health district on 02/23/09.
Age: 1.33
Sex: M
Vaccine: DTAP
Symptoms: Convulsion, Electroencephalogram
Clinical narrative: seizure
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Computerised tomogram abnormal, Headache, Injection site cellulitis, Local reaction, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Local reaction and cellulitis at injection area.. .went to urgent treatment care and was put on Keflex and Prednisone...went to Emergency Room a week and a half later for severe headaches and was diagnosed with a Tranverse Sinus Venous Thrombosis3/9/09-records received for DOS 2/20-2/23/09-DC DX: Transverse sinus thrombosis.  C/O headache consistent with migraines began 4 days prior to admission.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Venous thrombosis
Clinical narrative: Local reaction and cellulitis at injection area.. .went to urgent treatment care and was put on Keflex and Prednisone...went to Emergency Room a week and a half later for severe headaches and was diagnosed with a Tranverse Sinus Venous Thrombosis3/9/09-records received for DOS 2/20-2/23/09-DC DX: Transverse sinus thrombosis.  C/O headache consistent with migraines began 4 days prior to admission.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: CSF culture negative, CSF test normal, Hemiparesis, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: 10 days following the vaccine, pt began to have pain and progressive weakness of her left arm and left leg.  She was evaluated at hospital and found on MRI to have areas of demyelination of her brain and spine.  3/16/09-records received-Admitted 1/25/09 via ED with C/O left-sided weakness over last several days.1/26/09-Neurological consult assessment:ADEM probably assoicated with menactra vaccine.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity
Clinical narrative: 10 days following the vaccine, pt began to have pain and progressive weakness of her left arm and left leg.  She was evaluated at hospital and found on MRI to have areas of demyelination of her brain and spine.  3/16/09-records received-Admitted 1/25/09 via ED with C/O left-sided weakness over last several days.1/26/09-Neurological consult assessment:ADEM probably assoicated with menactra vaccine.