chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abnormal behaviour, Convulsion, Disorientation, Dizziness, Hypotonia
Clinical narrative: Information has been received from a physician office manager concerning a 24 year old female who on 18-AUG-2008 was vaccinated with GARDASIL IM into the right arm.  Five minutes after the vaccination, the patient became "woozy" and laid down in an exam room.  Her body then went limp.  She closed her eyes, made strange noises, and appeared unconscious for 2 minutes.  She urinated on herself and then started to seize.  After 2 minutes, she returned to consciousness and was disoriented.  The patient was attended to by several doctors and was taken to the emergency room.  The reporter considered seizure to be disabling.  Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Loss of consciousness, Urinary incontinence
Clinical narrative: Information has been received from a physician office manager concerning a 24 year old female who on 18-AUG-2008 was vaccinated with GARDASIL IM into the right arm.  Five minutes after the vaccination, the patient became "woozy" and laid down in an exam room.  Her body then went limp.  She closed her eyes, made strange noises, and appeared unconscious for 2 minutes.  She urinated on herself and then started to seize.  After 2 minutes, she returned to consciousness and was disoriented.  The patient was attended to by several doctors and was taken to the emergency room.  The reporter considered seizure to be disabling.  Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Activities of daily living impaired, Arthralgia, Depression, Dizziness
Clinical narrative: Information has been received from a medical assistant concerning a 15 year old female with allergy to CEFZIL and no relevant medical history who on an unspecified date was vaccinated with a dose of GARDASIL (lot number, injection site and route not reported). In November 2007, the patient experienced headaches, stomach ache, dizziness, shakiness, dull and sharp aches all over. The patient also experienced joint pain all over, swelling of the right thumb, depression and insomnia. The patient had been set up with an appointment with a rheumatologist. Laboratory tests (included unspecified lab work, MRI of brain and X-ray of right hand (results unspecified). At time of this report, the patient's events persisted. According to the reporter, the patient's events prevented her from school schedule and were considered to be disabling. Additional information has been requested. 10/22/08-records received-presented on 8/8/08 with C/O headache,stomach ache, dizzy and shaking on and off for a while. Generalized pain. Abdominal pain. DX gastritis. Dizziness. 8/18/08 continues with C/O headaches and body aches. DX: arthrlagias, polymyalgias. Swelling of right thumb. Cephalgia. Dep ression. Insomnia. 9/3/08 continues with cephalgia, myalgias and depression.10/1/08-C/O abdominal pain.  12/31/08-records received for DOS 11/10/08-C/O arthralgia/back pain left limb pain. Vitamin D deficiency.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Insomnia, Nuclear magnetic resonance imaging brain, Oedema peripheral, Pain
Clinical narrative: Information has been received from a medical assistant concerning a 15 year old female with allergy to CEFZIL and no relevant medical history who on an unspecified date was vaccinated with a dose of GARDASIL (lot number, injection site and route not reported). In November 2007, the patient experienced headaches, stomach ache, dizziness, shakiness, dull and sharp aches all over. The patient also experienced joint pain all over, swelling of the right thumb, depression and insomnia. The patient had been set up with an appointment with a rheumatologist. Laboratory tests (included unspecified lab work, MRI of brain and X-ray of right hand (results unspecified). At time of this report, the patient's events persisted. According to the reporter, the patient's events prevented her from school schedule and were considered to be disabling. Additional information has been requested. 10/22/08-records received-presented on 8/8/08 with C/O headache,stomach ache, dizzy and shaking on and off for a while. Generalized pain. Abdominal pain. DX gastritis. Dizziness. 8/18/08 continues with C/O headaches and body aches. DX: arthrlagias, polymyalgias. Swelling of right thumb. Cephalgia. Dep ression. Insomnia. 9/3/08 continues with cephalgia, myalgias and depression.10/1/08-C/O abdominal pain.  12/31/08-records received for DOS 11/10/08-C/O arthralgia/back pain left limb pain. Vitamin D deficiency.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Tremor, X-ray limb
Clinical narrative: Information has been received from a medical assistant concerning a 15 year old female with allergy to CEFZIL and no relevant medical history who on an unspecified date was vaccinated with a dose of GARDASIL (lot number, injection site and route not reported). In November 2007, the patient experienced headaches, stomach ache, dizziness, shakiness, dull and sharp aches all over. The patient also experienced joint pain all over, swelling of the right thumb, depression and insomnia. The patient had been set up with an appointment with a rheumatologist. Laboratory tests (included unspecified lab work, MRI of brain and X-ray of right hand (results unspecified). At time of this report, the patient's events persisted. According to the reporter, the patient's events prevented her from school schedule and were considered to be disabling. Additional information has been requested. 10/22/08-records received-presented on 8/8/08 with C/O headache,stomach ache, dizzy and shaking on and off for a while. Generalized pain. Abdominal pain. DX gastritis. Dizziness. 8/18/08 continues with C/O headaches and body aches. DX: arthrlagias, polymyalgias. Swelling of right thumb. Cephalgia. Dep ression. Insomnia. 9/3/08 continues with cephalgia, myalgias and depression.10/1/08-C/O abdominal pain.  12/31/08-records received for DOS 11/10/08-C/O arthralgia/back pain left limb pain. Vitamin D deficiency.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Condition aggravated, Convulsion, Urinary incontinence
Clinical narrative: Information has been received from a licensed visiting nurse concerning a 13 year old female with a history of seizure during childhood and no history of drug reactions or allergies who 2 to 3 weeks ago (on approximately 01-AUG-2008) was vaccinated with the first dose of GARDASIL 0.5ml IM, the second dose of VARIVAX (Oka/Merck), MENACTRA and Tdap.  Subsequently, the patient went home, sat down and had a drink of water.  She then dropped her glass of water; she had a quick seizure and urinated on herself.  She recovered soon after.  The patient did not have any breakfast that day and the weather that day was very hot.  The patient recovered on the same day.  The patient was contacted by the nurse.  Upon internal review, quick seizure was considered to be an other important medical event.  Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Abdominal pain
Clinical narrative: Information has been received from a physician concerning a 10 year old female with penicillin allergy and a history of Helicobacter pylori infection who on 13-AUG-2008 was vaccinated with the first dose of GARDASIL.  Suspect therapy included VARIVAX at the same time (unspecified if this was the first dose).  On 13-AUG-2008 the patient experienced abdominal pain the evening that she was given the vaccines.  The patient went to the emergency room on 15-AUG-2008 and was admitted to hospital.  Subsequently, the patient recovered from abdominal pain.  Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Clostridial infection, Culture stool positive, Diarrhoea, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a registered nurse concerning a 23 year old female with no history of drug reactions or allergies who on 19-JUL-2007 was vaccinated with the first dose of GARDASIL and on 23-JUL-2008 was vaccinated with the second dose of GARDASIL (lot# 660557/0072X) in left upper arm.  Subsequently, on 23-JUL-2008 the patient experienced a sore lump at the injection site of her left upper arm.  The left arm "felt weak" and the patient was unable to lift her child, which caused a significant disability. The patient initially tried a cold compress on the injection site but did not notice any improvement.  On 03-AUG-2008 the patient experienced diarrhea and a stool culture was performed.  On 08-AUG-2008 the patient was diagnosed with Clostridium difficile and was treated with ibuprofen, TYLENOL, hydrocodone and BENTYL.  The patient's sore lump at the injection site and Clostridium difficile diarrhea persisted.  Sore lump at the injection site was considered to be disabling.  The patient sought medical attention with a telephone call.  Additional information has been requested. 10/2/08-records received-visit 7/23/08-for HPV4 vaccine. Migraines. Diarrhea. 7/31/08-C/O diarrhea, shoulder pain and headache. Diarrhea worse at night actually for last three weeks. Fevers, night sweats, low back pain. Migraines. 8/12/08-Continued C/O abdominal pain, epigastric discomfort, cramping when urinating. 8/26/08-C/O lump at injection site. 9/11/08-C/O tingling in hands and feet. DX with enterogastritis suggestive of NSAID use and moderate hiatal hernia.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site mass, Injection site pain, Muscular weakness
Clinical narrative: Information has been received from a registered nurse concerning a 23 year old female with no history of drug reactions or allergies who on 19-JUL-2007 was vaccinated with the first dose of GARDASIL and on 23-JUL-2008 was vaccinated with the second dose of GARDASIL (lot# 660557/0072X) in left upper arm.  Subsequently, on 23-JUL-2008 the patient experienced a sore lump at the injection site of her left upper arm.  The left arm "felt weak" and the patient was unable to lift her child, which caused a significant disability. The patient initially tried a cold compress on the injection site but did not notice any improvement.  On 03-AUG-2008 the patient experienced diarrhea and a stool culture was performed.  On 08-AUG-2008 the patient was diagnosed with Clostridium difficile and was treated with ibuprofen, TYLENOL, hydrocodone and BENTYL.  The patient's sore lump at the injection site and Clostridium difficile diarrhea persisted.  Sore lump at the injection site was considered to be disabling.  The patient sought medical attention with a telephone call.  Additional information has been requested. 10/2/08-records received-visit 7/23/08-for HPV4 vaccine. Migraines. Diarrhea. 7/31/08-C/O diarrhea, shoulder pain and headache. Diarrhea worse at night actually for last three weeks. Fevers, night sweats, low back pain. Migraines. 8/12/08-Continued C/O abdominal pain, epigastric discomfort, cramping when urinating. 8/26/08-C/O lump at injection site. 9/11/08-C/O tingling in hands and feet. DX with enterogastritis suggestive of NSAID use and moderate hiatal hernia.
Sex: F
Vaccine: HPV4
Symptoms: Pancreatitis
Clinical narrative: Information has been received from a registered nurse concerning a female patient who in approximately 2006, one and a half years ago was vaccinated with the first dose of GARDASIL.  On an unspecified date was vaccinated with the second dose of GARDASIL.  On an unspecified date was vaccinated with the third dose of GARDASIL.  After the three doses the patient experienced pancreatitis and was hospitalized for 8 weeks but has been discharged from the hospital on 18-AUG-2008.  On an unspecified date, the patient recovered from pancreatitis.  Additional information is not expected.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Muscle twitching
Clinical narrative: Information has been received from a registered nurse concerning a female patient with a history of intermittent asthma, fainted and dehydrated on 28-SEP-2007 during a county fair, who on an unspecified date was vaccinated with the first dose of GARDASIL, injection (route) (Lot # 659964/1978U).  Subsequently, the patient experienced seizures after receiving the first dose and 15 minutes later they notice that the patient's muscles were twitching.  On an unspecified date, the patient recovered from seizures and muscles twitching.  The patient sought the nurse for medical attention.  Upon internal review seizures were considered to be an other internal medical event.  Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Intussusception. 09/05/2008 MR received for DOS 8/6/2008 with DX: Intussusception reduced, suspect malrotation. Infant presented with 7-8 hr hx of intermittant crying and pulling the legs to the abdomen, increased sleep and later blood/mucus in the diaper. (+) gagging but no vomiting. PE (+) for an abdominal mass left to the umbilicus and dehydration. IS identified and reduced by barium enema. Pt was stable and to be transfered for further eval of abnormal BE. 9/08/2008 No further diagnostic tests done.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal mass, Barium enema, Barium enema abnormal, Crying, Dehydration
Clinical narrative: Intussusception. 09/05/2008 MR received for DOS 8/6/2008 with DX: Intussusception reduced, suspect malrotation. Infant presented with 7-8 hr hx of intermittant crying and pulling the legs to the abdomen, increased sleep and later blood/mucus in the diaper. (+) gagging but no vomiting. PE (+) for an abdominal mass left to the umbilicus and dehydration. IS identified and reduced by barium enema. Pt was stable and to be transfered for further eval of abnormal BE. 9/08/2008 No further diagnostic tests done.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia, Hypersomnia, Intussusception, Mucous stools, Retching
Clinical narrative: Intussusception. 09/05/2008 MR received for DOS 8/6/2008 with DX: Intussusception reduced, suspect malrotation. Infant presented with 7-8 hr hx of intermittant crying and pulling the legs to the abdomen, increased sleep and later blood/mucus in the diaper. (+) gagging but no vomiting. PE (+) for an abdominal mass left to the umbilicus and dehydration. IS identified and reduced by barium enema. Pt was stable and to be transfered for further eval of abnormal BE. 9/08/2008 No further diagnostic tests done.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urinary system X-ray, X-ray abnormal
Clinical narrative: Intussusception. 09/05/2008 MR received for DOS 8/6/2008 with DX: Intussusception reduced, suspect malrotation. Infant presented with 7-8 hr hx of intermittant crying and pulling the legs to the abdomen, increased sleep and later blood/mucus in the diaper. (+) gagging but no vomiting. PE (+) for an abdominal mass left to the umbilicus and dehydration. IS identified and reduced by barium enema. Pt was stable and to be transfered for further eval of abnormal BE. 9/08/2008 No further diagnostic tests done.
Age: 47.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Chills, Headache, Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Within 12 hours of vaccinations fever to 101.8, malaise, headache, chills.  Inflammation ie swelling erythema tenderness at injection site.  10/7/08 Reviewed hospital medical records of 7/13-7/15/2008. FINAL DX: cellulitis of LUE s/p tetanus & pneumovax; possible post vaccination reaction Records reveal patient experienced LUE injection site pain & redness, fever, chills, cough, HA, fatigue, neck discomfort.  Initially seen in ER 7/13 for same, LP done, dx w/inflammatory reaction & d/c to home on oral antibiotics.  Experienced recurrent fever, increased LUR pain, erythema & swelling w/streaking under the arm, poor appetite.  Tx w/IV antibiotics, d/c to home on continued oral antibioticsw/PCP f/u.
Age: 47.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Laboratory test normal, Malaise, Pyrexia, White blood cell count increased
Clinical narrative: Within 12 hours of vaccinations fever to 101.8, malaise, headache, chills.  Inflammation ie swelling erythema tenderness at injection site.  10/7/08 Reviewed hospital medical records of 7/13-7/15/2008. FINAL DX: cellulitis of LUE s/p tetanus & pneumovax; possible post vaccination reaction Records reveal patient experienced LUE injection site pain & redness, fever, chills, cough, HA, fatigue, neck discomfort.  Initially seen in ER 7/13 for same, LP done, dx w/inflammatory reaction & d/c to home on oral antibiotics.  Experienced recurrent fever, increased LUR pain, erythema & swelling w/streaking under the arm, poor appetite.  Tx w/IV antibiotics, d/c to home on continued oral antibioticsw/PCP f/u.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Computerised tomogram normal, Dyskinesia, Dyspnoea, Respiratory syncytial virus serology
Clinical narrative: Jerking both arms and legs and gasping for air for 6-7 minutes.  09/05/2008 MR received for DOS 8/08-11/2008 with D/C DX:  Possible post-vaccine reaction. Pt presented to ERafter an episode of jerking of arms and legs and gasping for air which occured shortly after arriving home from receiving vax. Episode lasted 6-7 minutes.  Admitted with dx: Seizure activity, meningitis. Full sepsis w/u and started on abx. No further events.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Axillary pain, Chest discomfort, Erythema, Groin pain, Hyperhidrosis
Clinical narrative: Mild soreness at injection site 8 days after injection, then developed swelling, pain, redness in both axillas as well as his groin. He also had tightness of his chest and wheezing with profuse sweating. Taken to ER. WBC elevated to 17,000, was given Pepcid and Benadryl. Admitted for observation; symptoms resolved next morning and patient was discharged.  8/29/08 Reviewed hospital medical records of 8/16-8/17/2008. FINAL DX: allergic reaction Records reveal chest pain, SOB, pain of right axilla & left groin, myalgias.  About a week after vaccination, developed swelling, pain, redness bilateral armpits & goin, wheezing, chest/neck tightness & diaphoresis.  No reaction from previous vaccinations.  ER exam revealed tenderness of right axilla but no adenopathy.  Had shotty lymphadenopathy left groin.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Local swelling, Wheezing, White blood cell count increased
Clinical narrative: Mild soreness at injection site 8 days after injection, then developed swelling, pain, redness in both axillas as well as his groin. He also had tightness of his chest and wheezing with profuse sweating. Taken to ER. WBC elevated to 17,000, was given Pepcid and Benadryl. Admitted for observation; symptoms resolved next morning and patient was discharged.  8/29/08 Reviewed hospital medical records of 8/16-8/17/2008. FINAL DX: allergic reaction Records reveal chest pain, SOB, pain of right axilla & left groin, myalgias.  About a week after vaccination, developed swelling, pain, redness bilateral armpits & goin, wheezing, chest/neck tightness & diaphoresis.  No reaction from previous vaccinations.  ER exam revealed tenderness of right axilla but no adenopathy.  Had shotty lymphadenopathy left groin.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Skin warm, Swelling
Clinical narrative: Swollen, warm to touch (fever), 7mm raised pain.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Tremor
Clinical narrative: Mom noted pt shaking all over for about 15 seconds the evening following immunizations.  No post ictal phase, normal exam following day.
Age: 0.1
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Onset 8-11-08 of diarrhea after 2 month immunizations that persisted - patient seen in clinic 8-18-08 for diarrhea 10-12 x day.  (Formula fed).
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MEN, TDAP, VARCEL
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Passed out in office, had seizure 3-5 minutes after vaccines.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MEN, TDAP, VARCEL
Symptoms: X-ray
Clinical narrative: Passed out in office, had seizure 3-5 minutes after vaccines.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Bacterial infection, Chills, Cystitis, Headache, Nausea
Clinical narrative: 8-19-08 Fever 102.7 axillary, nausea, headache, chills.  Mother gave TYLENOL, checked temp every 2 hrs.  Came down to 99.7.  8-20-08 Saw put phys., still having fever, chills, now also vomiting.  Diagnosed as bacteria in bladder, prescribed BACTRIM.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: 8-19-08 Fever 102.7 axillary, nausea, headache, chills.  Mother gave TYLENOL, checked temp every 2 hrs.  Came down to 99.7.  8-20-08 Saw put phys., still having fever, chills, now also vomiting.  Diagnosed as bacteria in bladder, prescribed BACTRIM.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Pallor, Visual disturbance
Clinical narrative: She felt light headed and became pale after her fourth shot.  She said that all the colors in the room started blending together.  She felt light headed.  She never passed out.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cold sweat, Hyperhidrosis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 8/13 Started with swelling, redness - used cool compresses and Benadryl.  C/O pain.  Examined on 8/15 - pinkish red swelling about 4"x3" - improved since Wed. - still sore.  Also had brief episode of nausea, sweating and clammy skin within 5 minutes of injections - resolved spontaneously.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Nausea
Clinical narrative: 8/13 Started with swelling, redness - used cool compresses and Benadryl.  C/O pain.  Examined on 8/15 - pinkish red swelling about 4"x3" - improved since Wed. - still sore.  Also had brief episode of nausea, sweating and clammy skin within 5 minutes of injections - resolved spontaneously.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: 8/19/08 3AM: vomiting + arm pain.  2PM: vomited.  4PM: no longer vomited=slight fever.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Ear pain, Facial palsy, Pharyngolaryngeal pain
Clinical narrative: Seen on 8/21/08 - dx with Bell's palsy - sx include L ear pain, sore throat, "can't move L side of face".  Placed on prednisone 20mg bid x5d.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Rash on the face since 1st injection with symptoms slowly improving, no treatment.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Local reaction, Pain, Swelling
Clinical narrative: large local reaction, redness, pain, swelling, present after injection. Approx measurements 10 cm x 5 cm. Pt presented back to clinic 48 hours after injection.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Asthma, Dizziness, Fatigue, Headache
Clinical narrative: Swelling all over - rash all over her body.  Dizzy headed, body aches in joints - tired a lot - headaches - period not regular, can run 2 weeks or longer - asthma. 8/25/08-records received-office notes. 3/7/07-C/O shortness of breath, fever, chills times 2 days with cough today. Assessment URI, herpes simplex, asthma.  C/O fatigue, weight loss. received HPV4 and meningococcal vaccines. Assessment: hypothyroidism. 8/27/07-see in office for follow-up after ED visit for spider bite on left thigh. Assessment: abscess and cellulitis. Followed by visit 8/29/07-for incision and drainage of abscess. 9/5/07 second HPV 4 vaccine given. On 12/10/07-C/O rash for 2 months, itching all over body. 12/14/07-rash continues, asthma acting up, nausea. 12/21/07 rash all over, eyes swollen. Treated with steroids. Allergic reaction. 1/30/08 lips swollen times 2 days. 3/26/08-menstral cycle every 2 weeks. 8/6/08-rash continues but not as severe, occurs on waking and diminishes through the day.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Laboratory test, Menstruation irregular, Rash generalised, Swelling
Clinical narrative: Swelling all over - rash all over her body.  Dizzy headed, body aches in joints - tired a lot - headaches - period not regular, can run 2 weeks or longer - asthma. 8/25/08-records received-office notes. 3/7/07-C/O shortness of breath, fever, chills times 2 days with cough today. Assessment URI, herpes simplex, asthma.  C/O fatigue, weight loss. received HPV4 and meningococcal vaccines. Assessment: hypothyroidism. 8/27/07-see in office for follow-up after ED visit for spider bite on left thigh. Assessment: abscess and cellulitis. Followed by visit 8/29/07-for incision and drainage of abscess. 9/5/07 second HPV 4 vaccine given. On 12/10/07-C/O rash for 2 months, itching all over body. 12/14/07-rash continues, asthma acting up, nausea. 12/21/07 rash all over, eyes swollen. Treated with steroids. Allergic reaction. 1/30/08 lips swollen times 2 days. 3/26/08-menstral cycle every 2 weeks. 8/6/08-rash continues but not as severe, occurs on waking and diminishes through the day.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Biopsy skin, Blood test, Fatigue, Headache, Pain
Clinical narrative: Swelling all over - rash all over her body.  Dizzy headed, body aches in joints - tired a lot - headaches - period not regular, can run 2 weeks or longer - asthma. 8/25/08-records received-office notes. 3/7/07-C/O shortness of breath, fever, chills times 2 days with cough today. Assessment URI, herpes simplex, asthma.  C/O fatigue, weight loss. received HPV4 and meningococcal vaccines. Assessment: hypothyroidism. 8/27/07-see in office for follow-up after ED visit for spider bite on left thigh. Assessment: abscess and cellulitis. Followed by visit 8/29/07-for incision and drainage of abscess. 9/5/07 second HPV 4 vaccine given. On 12/10/07-C/O rash for 2 months, itching all over body. 12/14/07-rash continues, asthma acting up, nausea. 12/21/07 rash all over, eyes swollen. Treated with steroids. Allergic reaction. 1/30/08 lips swollen times 2 days. 3/26/08-menstral cycle every 2 weeks. 8/6/08-rash continues but not as severe, occurs on waking and diminishes through the day.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash, Swelling
Clinical narrative: Swelling all over - rash all over her body.  Dizzy headed, body aches in joints - tired a lot - headaches - period not regular, can run 2 weeks or longer - asthma. 8/25/08-records received-office notes. 3/7/07-C/O shortness of breath, fever, chills times 2 days with cough today. Assessment URI, herpes simplex, asthma.  C/O fatigue, weight loss. received HPV4 and meningococcal vaccines. Assessment: hypothyroidism. 8/27/07-see in office for follow-up after ED visit for spider bite on left thigh. Assessment: abscess and cellulitis. Followed by visit 8/29/07-for incision and drainage of abscess. 9/5/07 second HPV 4 vaccine given. On 12/10/07-C/O rash for 2 months, itching all over body. 12/14/07-rash continues, asthma acting up, nausea. 12/21/07 rash all over, eyes swollen. Treated with steroids. Allergic reaction. 1/30/08 lips swollen times 2 days. 3/26/08-menstral cycle every 2 weeks. 8/6/08-rash continues but not as severe, occurs on waking and diminishes through the day.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site swelling, Pyrexia, Varicella
Clinical narrative: Significant swollen injection site, followed by fever, chickenpox rash "well over 100 bumps" Dx by ER doc with chickenpox. All over back of legs, buttocks, groin area. Pt. is fully recovered.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever 102deg within 24 hours with body aches and chills. Resolved with Tylenol - afebrile 72 hours after vaccine.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site rash, Injection site swelling, Pyrexia, Rash
Clinical narrative: Rash and fever x3 days-rash & swelling of L arm at injection site (varicella).
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Dyskinesia, Eye rolling, Syncope
Clinical narrative: Pte. felt dizzy and was fainting.  She sat on a chair and her body became very still she rolled over her eyes and had jerky movements for a few seconds.
Age: 26.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Erythema, Eye swelling, Pruritus
Clinical narrative: 1 hour post vaccine administration, patient presented to HC with swelling, erythema and pruritus to orbital eye area bilaterally.  Patient was given an injection of 50mg IM Benadryl and cool compresses to area.
Age: 47.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Local swelling, Pain in extremity, Paraesthesia
Clinical narrative: c/o pain R inner arm, tingling R hand, swelling, to R shoulder-neck. c/o 5-10 min after. MMR given L arm. Tdap in R deltoid. Blood draw R antecub. Sent to urgent care. Sling to R arm, IBP 800 mg.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Red, painful, warm to the touch area, approximate size of a tennis ball on the upper right arm.  Advised the parent to use cool, moist compresses and Tylenol/Motrin.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash papular
Clinical narrative: Developed multiple-approx 50-papule rash scattered over legs, arms, bottom itchy
Age: 1.3
Sex: F
Vaccine: DTAP, MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever/ complex febrile seizure
Age: 18.0
Sex: F
Vaccine: HEP, MMR, MNQ, TDAP
Symptoms: Myalgia, Pyrexia
Clinical narrative: fever; myalgia
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: Patient was on table, mother signed her initials to vaccine records.  Medical assistant gave vaccine.  Mother stated after vaccine was given, this is not (brother) was sitting on chair (Spanish speaking) communication poor.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Red, warm, puffy, tenderness. Treatment, alternate ice and heat, move arm
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site irritation, Injection site pain, Injection site warmth
Clinical narrative: Large (3"x3") red injection site irritation day 1-2. On day 3, site was growing hot and sensitive to touch. It was growing/spreading approx 1"/hour. Ended approx 6"x9", very hot, and excruciating to touch.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Mass, Skin warm, Swelling
Clinical narrative: 2 dark red separate knots, 1" diameter, (cherry red).  Started cool compresses.  8/13 orig knots surrounded by baseball size area swelling, warm to touch.  Started PO Benadryl and continue compresses.
Age: 17.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Dizziness, Ear disorder, Eye swelling, Fatigue, Muscle twitching
Clinical narrative: 20 minutes after receiving shots the patient noticed that his neck started to itch, pounding sound in his ears, eyes started to twitch and became mildly swollen, and hands and fingers itched.  Patient returned to clinic and was roomed within 20 minutes of symptoms onset.  Patient reclined, itching subsided substantially, but became dizzy.  2 tsp of Benadryl was given, patient rested, then went home just feeling tired.
Age: 17.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Pruritus
Clinical narrative: 20 minutes after receiving shots the patient noticed that his neck started to itch, pounding sound in his ears, eyes started to twitch and became mildly swollen, and hands and fingers itched.  Patient returned to clinic and was roomed within 20 minutes of symptoms onset.  Patient reclined, itching subsided substantially, but became dizzy.  2 tsp of Benadryl was given, patient rested, then went home just feeling tired.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Given VARIVAX 8-19-08 redness at injection site left thigh began 8-20-08. 8-21-08 examined patient large round raised red inner area 2 1/2" in diameter circled by another lighter red area increasingly size to a total area of 4"
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema
Clinical narrative: Erythema on 8/21, 30cm x 20cm, increasing to 105cm x 90cm on 8/22. Patient was prescribed prednisone and  kenalog cream.
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash pustular
Clinical narrative: Post vaccine nonviral pustelosis
Age: 43.0
Sex: M
Vaccine: VARCEL
Symptoms: Biopsy, Ocular hyperaemia, Pruritus, Rash, Rash erythematous
Clinical narrative: Purple spots on skin redness around eyes itchy skin; 1/2 2cm diam macules, slightly raised and firm; reddish -> purple on face, neck, arms
Age: 43.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash macular
Clinical narrative: Purple spots on skin redness around eyes itchy skin; 1/2 2cm diam macules, slightly raised and firm; reddish -> purple on face, neck, arms
Age: 11.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: "none"
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling, redness induration of the arm; left
Age: 20.0
Sex: M
Vaccine: JEV, TYP
Symptoms: Arthralgia, Chest discomfort, Headache, Nausea, Pain
Clinical narrative: Headache; Fever 101deg F; body aches; joint pain; mild nausea; Advil, liquid, rest, cool bath. Heavy chest; Throat swelling
Age: 20.0
Sex: M
Vaccine: JEV, TYP
Symptoms: Pharyngeal oedema, Pyrexia
Clinical narrative: Headache; Fever 101deg F; body aches; joint pain; mild nausea; Advil, liquid, rest, cool bath. Heavy chest; Throat swelling
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site scab, Injection site swelling
Clinical narrative: 4" x 6" pink area, swollen, 3 small scabbed spots area of injection site - firm - size of dime.  Pain 1-2 days after injections.  Took Tylenol for pain.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Body temperature increased, Dyspnoea, Fatigue, Feeling hot
Clinical narrative: Came in 8/6/08.  Complained of feeling hot the night of 8/5/08.  Went to sleep, woke up hot, hives over entire body.  Came into our office at 11:30AM 8/6/08 vitals: pulse 120, resp 20, temp 101.2.  Patient was short of breath, weak, fatigue, itchy hives over entire body.  Patient had difficulty speaking and was sent to the E.D.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Heart rate increased, Pruritus, Speech disorder, Urticaria
Clinical narrative: Came in 8/6/08.  Complained of feeling hot the night of 8/5/08.  Went to sleep, woke up hot, hives over entire body.  Came into our office at 11:30AM 8/6/08 vitals: pulse 120, resp 20, temp 101.2.  Patient was short of breath, weak, fatigue, itchy hives over entire body.  Patient had difficulty speaking and was sent to the E.D.
Age: 1.4
Sex: M
Vaccine: MMR, PNC
Symptoms: Joint swelling, Oedema peripheral, Urticaria
Clinical narrative: 11:30 am - Hives and swollen hands, feet and knees.  Gave Benadryl (No change) around 5:30 pm.  Went to hospital per doctor's instruction (7:00 pm).  Shot of Epinephrine around 8:30, slight reduction of swelling.  1 dose of Hydroxyzine at 12:00 am.  Another dose at 9:00 am.  Saw doctor at 11:00.  Gave Prednisolone at 1:00 pm and Allegra at 7:00 pm.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Dtap given; Tdap was ordered. No signs, symptoms reported.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: Uncontrollable crying for 4 hours.  Gave Motrin per doctor's order.  Warm compresses on legs.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Local reaction
Clinical narrative: (The report was received at the Health Dept on 8-26-2008 on an Epi-1 form.) 7.5 X 13.5 cm red reaction on Left upper arm
Age: 16.0
Sex: F
Vaccine: TTOX
Symptoms: Blood pressure decreased, Dizziness, Nausea, Orthostatic hypotension, Visual disturbance
Clinical narrative: Pt given TDap booster.  Approximately 10 minutes later while sitting in lobby became dizzy, nauseated, and began to see spots.  Pt taken to exam room to lie down.  BP 113/75.  About 15 minutes later pt felt better.  Sat on side of bed, BP 105/57. Became nauseated, dizzy, and saw spots again. Placed back in supine on bed.  Pt began to feel better and BP improved 124/75.  Sat pt back up after 15 minutes and she became symptomatic again.  Repeated this cycle once more and pt continued to become hypotensive, dizzy and nauseated when sitting or standing.  EMS notified and pt transported to local ER.  Entire incident lasted approximately 1 hour 15 minutes.  Pt was released from hospital later that day and returned to the clinic to inform staff she was ok.  Pt stated ER physician was unable to explain her orthostasis.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Pain in extremity
Clinical narrative: TEMP 100 08-25-08 NIGHT,7:30AM 08-26-08 101.4,@8:50AM 102.2.C/O LEG PAIN(STARTED 08-25-08 NIGHT)
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Fatigue, Insomnia, Pyrexia
Clinical narrative: About 5 days after the series of vaccines were received, the patient had a very high fever >103F that lasted for about 24 hours.  The fever would respond to Tylenol, but would return prior to the next scheduled dose.  The patient was tired but did not sleep well during time of fever.  There were no other symptoms.
Age: 54.0
Sex: F
Vaccine: DT
Symptoms: Activities of daily living impaired, Arthralgia, Asthenia, Blood creatine phosphokinase normal, Full blood count normal
Clinical narrative: Had dT on 5/28/08 and was fine until night of 5/29/08 then started having trouble lifting her arms.  Woke up on 5/30/08 and had a lot of trouble getting out of bed due to pain and aches in her knees and some in muscles of legs and arms.  Finally got out of bed and walked to bathroom and it hurt her to get off toilet because of knee pain.  Patient seen on 6/4/08 for this complaint and started to feel a little better.  Did not have any acute arthritis on that date.  Both shoulders hurt more than elbows and wrists.  Was about to have back surgery and the dT did not increase her back pain.  She had no local reaction to the immunization or any reported fever.  Had to have some assistance to arise from a chair.  Did have muscle tenderness on exam.  CPK, ESR and CBC were ordered and were all normal.  Temp was 97.7, BP 134/82 and pulse was 88.  Was seen again on 7/1/08 three weeks after her back surgery and reported that the soreness from her dT was 50% better than on 6/4/08.  Reported it was still hard to lift arms and knees up.  I did not see any significant problems on examination.  She has not contacted me since that time and has gone to pain management for her back.
Age: 54.0
Sex: F
Vaccine: DT
Symptoms: Muscular weakness, Myalgia, Pain, Red blood cell sedimentation rate normal, Surgery
Clinical narrative: Had dT on 5/28/08 and was fine until night of 5/29/08 then started having trouble lifting her arms.  Woke up on 5/30/08 and had a lot of trouble getting out of bed due to pain and aches in her knees and some in muscles of legs and arms.  Finally got out of bed and walked to bathroom and it hurt her to get off toilet because of knee pain.  Patient seen on 6/4/08 for this complaint and started to feel a little better.  Did not have any acute arthritis on that date.  Both shoulders hurt more than elbows and wrists.  Was about to have back surgery and the dT did not increase her back pain.  She had no local reaction to the immunization or any reported fever.  Had to have some assistance to arise from a chair.  Did have muscle tenderness on exam.  CPK, ESR and CBC were ordered and were all normal.  Temp was 97.7, BP 134/82 and pulse was 88.  Was seen again on 7/1/08 three weeks after her back surgery and reported that the soreness from her dT was 50% better than on 6/4/08.  Reported it was still hard to lift arms and knees up.  I did not see any significant problems on examination.  She has not contacted me since that time and has gone to pain management for her back.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Nausea, Vomiting
Clinical narrative: Pt. had an emesis 30 minutes after receiving vaccine.  Immediately had pt. put her head down between her legs and applied a cold compress on back of her neck.  After 10 minutes pt. stated she no longer felt nauseated.  Pt. left with mother.  Spoke to mother on 8/22/08 and stated daughter went thereafter to the emergency room and was sent home with an epinephrine pen.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Induration, Injection site pain, Oedema
Clinical narrative: MASSIVE ERYTHEMA, EDEMA,HARDNESS, PAIN INJECTION SITE  PROGRESSED UNTIL 2 DAYS POST INJECTION. ANTIBIOTIC COURSE, STEROID CREAM BEGAN WITH RAPID RECOVERY
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: PIAN, ERYTHEMA, HARDNESS, EDEMA INJECTION SITE PROGRESSED FROM INJECTION DATE TREATED 2 DAYS POST INJECTION WITH ANTIBIOTIC. RAPID RECOVERY RESPONSE
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site oedema, Injection site pain
Clinical narrative: INJECTION SITE HARD LARGE NODULE, PAIN ERYTHEMA. EDEMA AT SITE PROGRESSED FROM DATE OF INJECTION. UNTIL ANTIBIOTIC REGIMEN STARTED 2 DAYS POST INJECTION WITH RAPID RECOVERY
Age: 0.21
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5, DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Bowel movement irregularity, Small intestinal obstruction, Urinary system X-ray, Vomiting
Clinical narrative: 11 WEEK OLD INFANT BROUGHT TO OFFICE AFTER BEGINNING TO VOMIT "GREEN EMESIS" IN THE NIGHT. NO FEVER. HAD NO STOOLS DURING THE DAY AT DAYCARE ALTHOUGH HE USUALLY HAVE SEVERAL STOOLS DAILY. KUB 2 VIEW SHOWED SMALL-BOWEL OBSTRUCTION WITH DILATED SMALL BOWEL.  DR TRANSFERRED INFANT TO HOSPITAL FOR SURGERY BECAUSE OF THE POSSIBILITY OF MALROTATION OF THE BOWEL.  09/15/2008 MR received for DOS 7/2-3/2008 and 7/3-7/2008 with D/C DX:  Intussusception and Recurrent Intussusception. Pt initially presented with projectile vomiting, eventually bilious, intermittent crying then bloody stool.  PE later (+) for an abdominal mass.  BE was unable to reduce the IS so pt taken to OR for Exploratory Lap, Reduction of ileocolic intussusception and inversion appendectomy. D/C home 7/3/08 but returned same day with bilious projectile vomiting and lethargy.  Mucousy stool in ER. Repeat BE did not show IS but CT confirmed IS. Pt returned to the OR for reduction.. NG tube placed post-op which was removed and po advanced. D/C on POD#2.
Age: 0.21
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5, DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal mass, Appendicectomy, Barium enema abnormal, Bowel movement irregularity
Clinical narrative: 11 WEEK OLD INFANT BROUGHT TO OFFICE AFTER BEGINNING TO VOMIT "GREEN EMESIS" IN THE NIGHT. NO FEVER. HAD NO STOOLS DURING THE DAY AT DAYCARE ALTHOUGH HE USUALLY HAVE SEVERAL STOOLS DAILY. KUB 2 VIEW SHOWED SMALL-BOWEL OBSTRUCTION WITH DILATED SMALL BOWEL.  DR TRANSFERRED INFANT TO HOSPITAL FOR SURGERY BECAUSE OF THE POSSIBILITY OF MALROTATION OF THE BOWEL.  09/15/2008 MR received for DOS 7/2-3/2008 and 7/3-7/2008 with D/C DX:  Intussusception and Recurrent Intussusception. Pt initially presented with projectile vomiting, eventually bilious, intermittent crying then bloody stool.  PE later (+) for an abdominal mass.  BE was unable to reduce the IS so pt taken to OR for Exploratory Lap, Reduction of ileocolic intussusception and inversion appendectomy. D/C home 7/3/08 but returned same day with bilious projectile vomiting and lethargy.  Mucousy stool in ER. Repeat BE did not show IS but CT confirmed IS. Pt returned to the OR for reduction.. NG tube placed post-op which was removed and po advanced. D/C on POD#2.
Age: 0.21
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5, DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Computerised tomogram abnormal, Crying, Enema administration, Gastrointestinal tube insertion, Haematochezia
Clinical narrative: 11 WEEK OLD INFANT BROUGHT TO OFFICE AFTER BEGINNING TO VOMIT "GREEN EMESIS" IN THE NIGHT. NO FEVER. HAD NO STOOLS DURING THE DAY AT DAYCARE ALTHOUGH HE USUALLY HAVE SEVERAL STOOLS DAILY. KUB 2 VIEW SHOWED SMALL-BOWEL OBSTRUCTION WITH DILATED SMALL BOWEL.  DR TRANSFERRED INFANT TO HOSPITAL FOR SURGERY BECAUSE OF THE POSSIBILITY OF MALROTATION OF THE BOWEL.  09/15/2008 MR received for DOS 7/2-3/2008 and 7/3-7/2008 with D/C DX:  Intussusception and Recurrent Intussusception. Pt initially presented with projectile vomiting, eventually bilious, intermittent crying then bloody stool.  PE later (+) for an abdominal mass.  BE was unable to reduce the IS so pt taken to OR for Exploratory Lap, Reduction of ileocolic intussusception and inversion appendectomy. D/C home 7/3/08 but returned same day with bilious projectile vomiting and lethargy.  Mucousy stool in ER. Repeat BE did not show IS but CT confirmed IS. Pt returned to the OR for reduction.. NG tube placed post-op which was removed and po advanced. D/C on POD#2.
Age: 0.21
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5, DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception, Laparotomy, Lethargy, Mucous stools, Small intestinal obstruction
Clinical narrative: 11 WEEK OLD INFANT BROUGHT TO OFFICE AFTER BEGINNING TO VOMIT "GREEN EMESIS" IN THE NIGHT. NO FEVER. HAD NO STOOLS DURING THE DAY AT DAYCARE ALTHOUGH HE USUALLY HAVE SEVERAL STOOLS DAILY. KUB 2 VIEW SHOWED SMALL-BOWEL OBSTRUCTION WITH DILATED SMALL BOWEL.  DR TRANSFERRED INFANT TO HOSPITAL FOR SURGERY BECAUSE OF THE POSSIBILITY OF MALROTATION OF THE BOWEL.  09/15/2008 MR received for DOS 7/2-3/2008 and 7/3-7/2008 with D/C DX:  Intussusception and Recurrent Intussusception. Pt initially presented with projectile vomiting, eventually bilious, intermittent crying then bloody stool.  PE later (+) for an abdominal mass.  BE was unable to reduce the IS so pt taken to OR for Exploratory Lap, Reduction of ileocolic intussusception and inversion appendectomy. D/C home 7/3/08 but returned same day with bilious projectile vomiting and lethargy.  Mucousy stool in ER. Repeat BE did not show IS but CT confirmed IS. Pt returned to the OR for reduction.. NG tube placed post-op which was removed and po advanced. D/C on POD#2.
Age: 0.21
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5, DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Ultrasound abdomen abnormal, Vomiting, Vomiting projectile, X-ray abnormal
Clinical narrative: 11 WEEK OLD INFANT BROUGHT TO OFFICE AFTER BEGINNING TO VOMIT "GREEN EMESIS" IN THE NIGHT. NO FEVER. HAD NO STOOLS DURING THE DAY AT DAYCARE ALTHOUGH HE USUALLY HAVE SEVERAL STOOLS DAILY. KUB 2 VIEW SHOWED SMALL-BOWEL OBSTRUCTION WITH DILATED SMALL BOWEL.  DR TRANSFERRED INFANT TO HOSPITAL FOR SURGERY BECAUSE OF THE POSSIBILITY OF MALROTATION OF THE BOWEL.  09/15/2008 MR received for DOS 7/2-3/2008 and 7/3-7/2008 with D/C DX:  Intussusception and Recurrent Intussusception. Pt initially presented with projectile vomiting, eventually bilious, intermittent crying then bloody stool.  PE later (+) for an abdominal mass.  BE was unable to reduce the IS so pt taken to OR for Exploratory Lap, Reduction of ileocolic intussusception and inversion appendectomy. D/C home 7/3/08 but returned same day with bilious projectile vomiting and lethargy.  Mucousy stool in ER. Repeat BE did not show IS but CT confirmed IS. Pt returned to the OR for reduction.. NG tube placed post-op which was removed and po advanced. D/C on POD#2.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: ERYTHEMA, PAIN, EDEMA, HARDNESS INJECTION SITE PROGRESSED FROM INJECTION DATE UNTIL 2 DAYS POST INJECTION STARTED ON ANTIBIOTIC REGIMEN WITH RAPID RECOVERY