chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Immunisation reaction, Induration, Oedema peripheral, Skin warm
Clinical narrative: arm became swollen down to elbow.hard......red.....hot to touch..........DR verified more than normal reaction to vaccination;took course of Doxycycline.I do not take flu shots either, for same reason, but needed this one.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Chills, Hyperhidrosis, Influenza like illness, Malaise
Clinical narrative: Rabavert (Rabies vaccine)#1 given 6/24/09. Pt. had no reaction.  Rabavert #2 given 7/1/09. On 7/2/09 client had sweating, chills (T97.9), muscle/joint pain, nausea, malaise, flu- like symptoms. Seen at Your Doc's In and told had "reaction" to vaccine. Symptoms resolved by 7/3/09.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Myalgia, Nausea, No reaction on previous exposure to drug
Clinical narrative: Rabavert (Rabies vaccine)#1 given 6/24/09. Pt. had no reaction.  Rabavert #2 given 7/1/09. On 7/2/09 client had sweating, chills (T97.9), muscle/joint pain, nausea, malaise, flu- like symptoms. Seen at Your Doc's In and told had "reaction" to vaccine. Symptoms resolved by 7/3/09.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: REDNESS AND SWELLING AROUND SITE
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Tenderness
Clinical narrative: Legs were tender to touch where vaccines were given. No lumps, just erythema.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: On 7-5-09, child developed raised pink areas on face, legs, arms, torso which increased by 7-7-09. Denies fever or swelling; continues to eat and urinate normally. Areas disappeared over the next day or two; child remained active during this period.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Local reaction
Clinical narrative: pt developed local reaction to vaccine. pt had warmth & erythema at vaccine site measuring 12x7cm. no pain/ fever.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Crying, Depressed level of consciousness, Dizziness, Dyskinesia, Fall
Clinical narrative: Shortly after receiving her Gardasil, patient felt a little bit tachycardic (did not report this until later). She walked up to the desk at the nurse's station to receive her paperwork and stated she felt dizzy. As the nurse at the desk got up to help her, she fell to the floor. She was unconscious at the time. Shortly thereafter she made some purposeless movements of both upper extremeties. Within about 30-60 seconds her movements became more purposeful and she began to speak and cry. BP was 100/50 and pulse was approx 120. We asked if she would like to see her father and she nodded. Dad was found in the waiting room and brought back to where she was lying on the floor. A 1 inch linear laceration was found on her posterior occiput. It bled copiously initially but stopped bleeding within a few minutes. At that point patient was awake and had no complaints of neck pain. She did complain of head pain. Responses at that point were appropriate but a bit slow. We helped patient sit up, and transferred her to a stretcher in an exam room. Fundoscopic exam was normal. She was oriented x3 (and remained so). The initial plan was to clean and close her head laceration and send her for an outpatient CT, but she continued to complain of nausea when she rolled to either side, so we were unable to access the laceration. She tolerated sitting up a little ways. She did try to stand up once about 1 hour after the initial event and took a few steps, and then complained of dizziness and had to sit back down. She was helped back to the stretcher. We decided at that point to transfer her to ED via ambulance.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Fundoscopy normal, Haemorrhage, Headache, Loss of consciousness, Nausea
Clinical narrative: Shortly after receiving her Gardasil, patient felt a little bit tachycardic (did not report this until later). She walked up to the desk at the nurse's station to receive her paperwork and stated she felt dizzy. As the nurse at the desk got up to help her, she fell to the floor. She was unconscious at the time. Shortly thereafter she made some purposeless movements of both upper extremeties. Within about 30-60 seconds her movements became more purposeful and she began to speak and cry. BP was 100/50 and pulse was approx 120. We asked if she would like to see her father and she nodded. Dad was found in the waiting room and brought back to where she was lying on the floor. A 1 inch linear laceration was found on her posterior occiput. It bled copiously initially but stopped bleeding within a few minutes. At that point patient was awake and had no complaints of neck pain. She did complain of head pain. Responses at that point were appropriate but a bit slow. We helped patient sit up, and transferred her to a stretcher in an exam room. Fundoscopic exam was normal. She was oriented x3 (and remained so). The initial plan was to clean and close her head laceration and send her for an outpatient CT, but she continued to complain of nausea when she rolled to either side, so we were unable to access the laceration. She tolerated sitting up a little ways. She did try to stand up once about 1 hour after the initial event and took a few steps, and then complained of dizziness and had to sit back down. She was helped back to the stretcher. We decided at that point to transfer her to ED via ambulance.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Skin laceration, Tachycardia
Clinical narrative: Shortly after receiving her Gardasil, patient felt a little bit tachycardic (did not report this until later). She walked up to the desk at the nurse's station to receive her paperwork and stated she felt dizzy. As the nurse at the desk got up to help her, she fell to the floor. She was unconscious at the time. Shortly thereafter she made some purposeless movements of both upper extremeties. Within about 30-60 seconds her movements became more purposeful and she began to speak and cry. BP was 100/50 and pulse was approx 120. We asked if she would like to see her father and she nodded. Dad was found in the waiting room and brought back to where she was lying on the floor. A 1 inch linear laceration was found on her posterior occiput. It bled copiously initially but stopped bleeding within a few minutes. At that point patient was awake and had no complaints of neck pain. She did complain of head pain. Responses at that point were appropriate but a bit slow. We helped patient sit up, and transferred her to a stretcher in an exam room. Fundoscopic exam was normal. She was oriented x3 (and remained so). The initial plan was to clean and close her head laceration and send her for an outpatient CT, but she continued to complain of nausea when she rolled to either side, so we were unable to access the laceration. She tolerated sitting up a little ways. She did try to stand up once about 1 hour after the initial event and took a few steps, and then complained of dizziness and had to sit back down. She was helped back to the stretcher. We decided at that point to transfer her to ED via ambulance.
Age: 66.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Fatigue, Headache, Nausea, Palpitations
Clinical narrative: Woke up with head ache, slight nausea, feeling exhausted. Felt as if heart was pounding/racing. Pt feeling fine by Thursday 7/1/09. Both pt and spouse reported reaction, spouse with more symptoms, lasting longer. Both pt and spouse had zoster vaccince. Reported to agency 7/6/09.
Sex: M
Vaccine: HEPAB
Symptoms: Chronic obstructive pulmonary disease, Dizziness, Dyspnoea, Fatigue, Malaise
Clinical narrative: c/o that he felt poorly last night.  He felt as though he had a fever and was being stung by bees.  He also felt dizzy and SOB.  He has hx of COPD and uses inhalers.  He feels his inhalers helped but not as much as usual.  He received Hep A/B vaccine yesterday and he may have had a reaction.  He feels better this morning but feels tired and washed out.  O- T 98.4, BP 109/73, P 95, SpO2 98%, LS clear bilaterally  A- Possible reaction to Hep A/B vaccine P- He appears to have had a reaction to the vaccine.  He symptoms have now  largely resolved.  Will post alert in chart and will not complete Hep A/B series.  He has now had 2 doses of the vaccine.
Sex: M
Vaccine: HEPAB
Symptoms: Pain, Pyrexia
Clinical narrative: c/o that he felt poorly last night.  He felt as though he had a fever and was being stung by bees.  He also felt dizzy and SOB.  He has hx of COPD and uses inhalers.  He feels his inhalers helped but not as much as usual.  He received Hep A/B vaccine yesterday and he may have had a reaction.  He feels better this morning but feels tired and washed out.  O- T 98.4, BP 109/73, P 95, SpO2 98%, LS clear bilaterally  A- Possible reaction to Hep A/B vaccine P- He appears to have had a reaction to the vaccine.  He symptoms have now  largely resolved.  Will post alert in chart and will not complete Hep A/B series.  He has now had 2 doses of the vaccine.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Lethargy, Skin warm, Somnolence
Clinical narrative: Given 6 month vaccines including Pediarix, Prevnar, oral Rotavirus, and ACT-Hib.  4 hours later she was lethargic, was felt to be hot to touch, was seen approximately 8 hours later and was very sleepy and irritable.  Improved by morning, all symptoms resolved in a few days
Age: 1.25
Sex: M
Vaccine: MEA
Symptoms: Culture negative, Dysarthria, Pyrexia, Speech disorder
Clinical narrative: 104.2 fever taken at 2:15 a.m. on 4/20; 1 tsp Motrin immediately administered; drove to emergency room; 1 dose of Tylenol given at 3:00 a.m.; fever reduced to 100.8 by 5:30 a.m of same day; highest subsequent fever recorded 101.1 at 9:30 a.m. on 4/21;  fever continued on and off for several days.  Finally ending on 4/27:  Speech appears to have been adversely affected.  He speech was more articulate before the vaccine.  He no longer say words he said very clearly before vaccine.
Sex: F
Vaccine: LYME
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Post vaccination syndrome
Clinical narrative: This case was reported by a lawyer and described the occurrence of chronic inflammatory demyelinating polyneuropathy in an adult female subject who was vaccinated with LYMERIX, (GlaxoSmithKline).  A physician or other health care professional has not verified this report.  The following information was received via a legal complaint.  The subject had first and second dose of LYMERIX, (GlaxoSmithKline) on 22 April 1999 and on 17 May 1999.  On 15 November 2007, 8 years after vaccination with LYMERIX, the subject experienced post-Lyme vaccination syndrome and chronic inflammatory demyelinating polyneuropathy.  The complaint alleged that the subject "sustained severe and permanent personal injuries" that were "serious, progressive, permanent, and incurable" in addition to "conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment, and injury".  This case was assessed as medically serious by GSK.  At the time of reporting the outcome of the events was unspecified.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Eyelid oedema, Ocular hyperaemia
Clinical narrative: On 7-2-09 at 10pm father noticed eye lids swollen + red. Taken to ER - Benadryl liquid given.
Age: 45.0
Sex: F
Vaccine: IPV, TDAP, VARCEL
Symptoms: Condition aggravated, Facial pain, Facial palsy
Clinical narrative: Symptoms of Bells Palsy returned. This included facial droop and pain in L side of face. Is taking Prednisone for symptoms.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site papule
Clinical narrative: Raised papule, erythema at site of VARICELLA vaccination, Approx 3cm X 4 cm.
Age: 23.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Blood creatine phosphokinase normal, Chest pain, Decreased appetite, Dyspepsia, Dyspnoea
Clinical narrative: Patient woke up with chest pain that got worse as the day wore on, 8/10. Went to the ER at 2100 that night and had normal EKG per patient. Was told his chest pain was related to heartburn from taking OTC NSAIDS for treatment of his robust take which had been phone triaged on 7/2/09 by facility. Patient also c/o fatigue and decreased appetite. Symptoms: Dyspnea (shortness of breath) .
Age: 23.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Electrocardiogram abnormal, Fatigue, Red blood cell sedimentation rate normal, Troponin T
Clinical narrative: Patient woke up with chest pain that got worse as the day wore on, 8/10. Went to the ER at 2100 that night and had normal EKG per patient. Was told his chest pain was related to heartburn from taking OTC NSAIDS for treatment of his robust take which had been phone triaged on 7/2/09 by facility. Patient also c/o fatigue and decreased appetite. Symptoms: Dyspnea (shortness of breath) .
Age: 21.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Blood creatine phosphokinase MB normal, Blood creatine phosphokinase normal, Chest X-ray normal, Chest pain, Dyspnoea
Clinical narrative: Sm developed chest pain that lasted approx one day and resolved without treatment. Approx 10 days later c/o of SOB when laying down at night.
Age: 21.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Troponin T
Clinical narrative: Sm developed chest pain that lasted approx one day and resolved without treatment. Approx 10 days later c/o of SOB when laying down at night.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cough, Heart rate increased, Immediate post-injection reaction, Lethargy, Pallor
Clinical narrative: Sneezing, coughing, wheezing, lethargic, increased heart rate & pale 5 minutes after shot. ALBUTROL breathing treatment/ Nebs. Epi jr. pen injection X 1 BENADRYL 12.5 mg IM, MULIPRED- 15 mg PO.  Improved & sent home 3:56 PM 7-14-09
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Sneezing, Wheezing
Clinical narrative: Sneezing, coughing, wheezing, lethargic, increased heart rate & pale 5 minutes after shot. ALBUTROL breathing treatment/ Nebs. Epi jr. pen injection X 1 BENADRYL 12.5 mg IM, MULIPRED- 15 mg PO.  Improved & sent home 3:56 PM 7-14-09
Age: 0.1
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L thigh area red and swollen, hot to touch. Area of redness covers most of upper thigh and 3/4 of circumference. TX: antibiotics and BENADRYL for itching.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, tender swelling at site of injection. Left lateral arm.
Age: 13.0
Sex: F
Vaccine: HEPA, TYP, YF, HEPA, TYP, YF
Symptoms: Injection site haematoma, Injection site pruritus, Injection site urticaria
Clinical narrative: Initial report received 31 March 2009 from a health care professional, who also reported this event to VAERS; Temporary VAERS E-Report Number E-28862. A 13-year-old female patient with a medical history of asthma and allergies to penicillin and CEFZIL, had received a first dose subcutaneous left arm injection of YF VAX, lot number UF431AA, and a first dose intramuscular left arm injection of HAVRIX, lot number AHAVB3308A (manufacturer GlaxoSmithKline); and a first dose of VIVOTIF, lot number 3001534 (manufacturer Berna Biotech Ltd) on 23 March 2009, and an unspecified amount of time later (also reported as AM), she developed erythema approximately 4-8 mm in size at the injection site. By the evening of vaccination, the area was reported as triangular shaped, with soreness and bruising at the injection site. The patient had not wanted her mother to touch the area due to soreness. On 30 March 2009, the patient's parent reported a hive approximately the size of a quarter with itching. Corrective treatments consisted of CLARITIN during the PM and application of warm moist heat to the affected area during the AM prior to school. The patient had no known illness at the time of vaccination and she had been taking concomitant medications which consisted of ASTHMANEX, NASONEX, SINGULAIR and Albuterol inhaler. At the time of the report, the patient's recovery status was not reported. Follow-up information received on 04 May 2009 from a health care professional. The patient had no known allergies to eggs during the pre-screening questions prior to the YF-VAX vaccination administration on 23 March 2009. It was clarified that the erythema began on 23 March 2009 in the am after the vaccination and prior to the bruising and soreness at the injection site. The hive was the size of a quarter. The patient's father is a physician and he looked at the area, but no appointment or fee for service was performed. The patient recovered on 03 April 2009, which was learned after speaking to the mother via a telephone call. No further information is expected. Documents held by sender: None. This case was one from a cluster of two case reports received from the same reporter. The other case has been captured in 2009-01345.
Age: 13.0
Sex: F
Vaccine: HEPA, TYP, YF, HEPA, TYP, YF
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Pruritus, Urticaria
Clinical narrative: Initial report received 31 March 2009 from a health care professional, who also reported this event to VAERS; Temporary VAERS E-Report Number E-28862. A 13-year-old female patient with a medical history of asthma and allergies to penicillin and CEFZIL, had received a first dose subcutaneous left arm injection of YF VAX, lot number UF431AA, and a first dose intramuscular left arm injection of HAVRIX, lot number AHAVB3308A (manufacturer GlaxoSmithKline); and a first dose of VIVOTIF, lot number 3001534 (manufacturer Berna Biotech Ltd) on 23 March 2009, and an unspecified amount of time later (also reported as AM), she developed erythema approximately 4-8 mm in size at the injection site. By the evening of vaccination, the area was reported as triangular shaped, with soreness and bruising at the injection site. The patient had not wanted her mother to touch the area due to soreness. On 30 March 2009, the patient's parent reported a hive approximately the size of a quarter with itching. Corrective treatments consisted of CLARITIN during the PM and application of warm moist heat to the affected area during the AM prior to school. The patient had no known illness at the time of vaccination and she had been taking concomitant medications which consisted of ASTHMANEX, NASONEX, SINGULAIR and Albuterol inhaler. At the time of the report, the patient's recovery status was not reported. Follow-up information received on 04 May 2009 from a health care professional. The patient had no known allergies to eggs during the pre-screening questions prior to the YF-VAX vaccination administration on 23 March 2009. It was clarified that the erythema began on 23 March 2009 in the am after the vaccination and prior to the bruising and soreness at the injection site. The hive was the size of a quarter. The patient's father is a physician and he looked at the area, but no appointment or fee for service was performed. The patient recovered on 03 April 2009, which was learned after speaking to the mother via a telephone call. No further information is expected. Documents held by sender: None. This case was one from a cluster of two case reports received from the same reporter. The other case has been captured in 2009-01345.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Behcet's syndrome, Blood test, Computerised tomogram, Headache, Herpes virus infection
Clinical narrative: Patient developed vaginal lesions & discharge 4 d after 2nd HPV vaccine. Had febrile illness with copious vag discharge. Believed to be HSV infection but cultures & subsequent blood tests all neg. Repeat of vaginal lesions in 6/09. Again fever & headache. Now being evaluated by Doctor. Thought to have Behcet's Disease.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Lumbar puncture, Meningitis aseptic, Nausea, Nuclear magnetic resonance imaging, Oral disorder
Clinical narrative: Patient developed vaginal lesions & discharge 4 d after 2nd HPV vaccine. Had febrile illness with copious vag discharge. Believed to be HSV infection but cultures & subsequent blood tests all neg. Repeat of vaginal lesions in 6/09. Again fever & headache. Now being evaluated by Doctor. Thought to have Behcet's Disease.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Pyrexia, Vaginal lesion, Vomiting
Clinical narrative: Patient developed vaginal lesions & discharge 4 d after 2nd HPV vaccine. Had febrile illness with copious vag discharge. Believed to be HSV infection but cultures & subsequent blood tests all neg. Repeat of vaginal lesions in 6/09. Again fever & headache. Now being evaluated by Doctor. Thought to have Behcet's Disease.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Blood test normal, Culture negative, Headache, Pyrexia, Vaginal discharge
Clinical narrative: Patient developed vaginal lesions & discharge 4 d after 2nd HPV vaccine. Had febrile illness with copious vag discharge. Believed to be HSV infection but cultures & subsequent blood tests all neg. Repeat of vaginal lesions in 6/09. Again fever & headache. Now being evaluated by Doctor. Thought to have Behcet's Disease.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Vaginal lesion
Clinical narrative: Patient developed vaginal lesions & discharge 4 d after 2nd HPV vaccine. Had febrile illness with copious vag discharge. Believed to be HSV infection but cultures & subsequent blood tests all neg. Repeat of vaginal lesions in 6/09. Again fever & headache. Now being evaluated by Doctor. Thought to have Behcet's Disease.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: R Leg - Varicella red + swollen + itching 18mm x 40mm.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Redness and induration in right thigh 2 days after administration, measuring 3.5 x 3.0 cms. No tenderness. Patient c/o some itching. BENADRYL has prescribed on 7/6/09.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Mumps, Pain in jaw, Swelling face
Clinical narrative: On 6-20-9, child complained of rt cheek/jaw hurting, small amt. of swelling below rt ear/jaw. Called CDC to see if mumps was a possibility - CDC confirmed incubation period up to 25 days for mumps. 6-21-9, swelling & pain progressed. On 6-22-9, rt side swelled horribly with pain. Took to Drs. at 830AM, Dr confirmed mumps with exam and quarantined my son for 1 week - we live in a community. By 6-24-9, my son was much better - no visual signs of illness on 6-25-9.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Diarrhoea, Dysphagia, Myalgia, Nausea
Clinical narrative: Fever, nausea, diarrhea, itchy Skin/Hives. Joint pain, Myalgia. Trouble Swallowing.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: Fever, nausea, diarrhea, itchy Skin/Hives. Joint pain, Myalgia. Trouble Swallowing.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site infection, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: ZOSTAVAX administered 7/7/09. Pt called on 7/9/09 reporting redness, swelling, itching at injection site. Described site as oblong red red spot -silver dollar size. Patient iced area and took BENADRYL at night - cannot take BENADRYL during day due to work. Pt also presented to pharmacy 7/10/09- above symptoms and warm to touch and "poking pains". Patient went to prescribing physician to evaluate. Dr. wrote for Doxycycline and presumed infection at injection site. Called patient next day to check on status. Improvement stated. Called patient again on 7/13/09. Spot is improving - no longer itches or pains. Spot is getting smaller.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: ZOSTAVAX administered 7/7/09. Pt called on 7/9/09 reporting redness, swelling, itching at injection site. Described site as oblong red red spot -silver dollar size. Patient iced area and took BENADRYL at night - cannot take BENADRYL during day due to work. Pt also presented to pharmacy 7/10/09- above symptoms and warm to touch and "poking pains". Patient went to prescribing physician to evaluate. Dr. wrote for Doxycycline and presumed infection at injection site. Called patient next day to check on status. Improvement stated. Called patient again on 7/13/09. Spot is improving - no longer itches or pains. Spot is getting smaller.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: In less than 24 hours after vaccination pt developed urticarial lesions diffusely over body- oral antihistamines/ He blockers / cool compresses. Still with urticaria at this time.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Acute disseminated encephalomyelitis
Clinical narrative: Pt's family called on 6/2/09 to let us know that his mother has been recently diagnosed with A.D.E.M at Hospital, possibly related to exposure to child with recent MMR vaccine.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Screaming
Clinical narrative: Intermittent cyclical crying/ screaming with knees drawn up to chest about a few mins.  X about 3 hours post ROTATEQ given
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Electroencephalogram normal, Infantile spasms, Muscle rigidity
Clinical narrative: Outstretching of arms & legs for a few seconds at a time repeatedly through evening. Seen by RN in ED - concern for infantile spasms. Admitted overnight - resolved.   8/21/09 Hospital records received DOS 6/5/09 to 6/6/09. Assessment: Spells. Parents report that arms and legs stiffened and eyes twitched 8 times. Fever. Odd expressions.   ICD-9 Codes 780.39 Spells.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Abnormal behaviour, Complex partial seizures, Head titubation, Unresponsive to stimuli
Clinical narrative: Complex partial seizure, head nodding, eyes blinking slowly, not responding for 20 seconds or so. Fifteen minutes - hour of abnormal behavior. Five days after Hep A vaccination. Primary physician does not feel this event is related to the vaccine.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia
Clinical narrative: Approximately 10-15 min after vaccine given. Patient called and c/o tingling in her fingers of the arm that she received her vaccine
Age: 1.55
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Abasia, Aphasia, Blood pressure abnormal, Blood product transfusion, Body temperature fluctuation
Clinical narrative: Child loss the use of her muscles, blood pressure unstable, could not control eye movement or control body temp. My child could not breathe on her own (on ventilator for 3 weeks), could not talk or walk - diagnosed w/ Guillain-Barre Syndrome. Treatment - plasma exchange, intense physical therapy. 9/3/09 Hospital records received DOS 5/5/09 to 5/6/09. Assessment: S/P respiratory arrest, Pica R/O accidental poisoning, ataxia, pneumonia, sinusitis, mastoiditis, bilateral otitis media, asthma. Patient admitted with 4 day history of ear infection and sinusitis. Presented less active with head directed to the right and downwards, torticollis. Walk unsteady, wide-based gait. The child 'not acting herself'. Cough, nasal congestion. Typmanic membranes red with effusion. Throat congestion. Deep tendon reflexes not elicited. Respirory arrest. Pupils sluggish but reactive to light. Rhonchi. Patient transferred. 11/16/09 ICD9 codes: 719.7, 728.87, 383.0, 461.9, 493.90, 781.3, 382.9, 486, 799.1.
Age: 1.55
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Dyspnoea, Eye movement disorder, Guillain-Barre syndrome, Lumbar puncture, Mechanical ventilation
Clinical narrative: Child loss the use of her muscles, blood pressure unstable, could not control eye movement or control body temp. My child could not breathe on her own (on ventilator for 3 weeks), could not talk or walk - diagnosed w/ Guillain-Barre Syndrome. Treatment - plasma exchange, intense physical therapy. 9/3/09 Hospital records received DOS 5/5/09 to 5/6/09. Assessment: S/P respiratory arrest, Pica R/O accidental poisoning, ataxia, pneumonia, sinusitis, mastoiditis, bilateral otitis media, asthma. Patient admitted with 4 day history of ear infection and sinusitis. Presented less active with head directed to the right and downwards, torticollis. Walk unsteady, wide-based gait. The child 'not acting herself'. Cough, nasal congestion. Typmanic membranes red with effusion. Throat congestion. Deep tendon reflexes not elicited. Respirory arrest. Pupils sluggish but reactive to light. Rhonchi. Patient transferred. 11/16/09 ICD9 codes: 719.7, 728.87, 383.0, 461.9, 493.90, 781.3, 382.9, 486, 799.1.
Age: 1.55
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Muscle disorder, Nerve conduction studies
Clinical narrative: Child loss the use of her muscles, blood pressure unstable, could not control eye movement or control body temp. My child could not breathe on her own (on ventilator for 3 weeks), could not talk or walk - diagnosed w/ Guillain-Barre Syndrome. Treatment - plasma exchange, intense physical therapy. 9/3/09 Hospital records received DOS 5/5/09 to 5/6/09. Assessment: S/P respiratory arrest, Pica R/O accidental poisoning, ataxia, pneumonia, sinusitis, mastoiditis, bilateral otitis media, asthma. Patient admitted with 4 day history of ear infection and sinusitis. Presented less active with head directed to the right and downwards, torticollis. Walk unsteady, wide-based gait. The child 'not acting herself'. Cough, nasal congestion. Typmanic membranes red with effusion. Throat congestion. Deep tendon reflexes not elicited. Respirory arrest. Pupils sluggish but reactive to light. Rhonchi. Patient transferred. 11/16/09 ICD9 codes: 719.7, 728.87, 383.0, 461.9, 493.90, 781.3, 382.9, 486, 799.1.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Convulsion, Diet refusal, Grunting, Head titubation, Irritability
Clinical narrative: Whole body tremor/spasmed (seizure) starting with arms and legs with head nodding. Afterwards, screaming more, low grade continuous grunting instead of previous "talking" with intonations. Fussy eating. Lack of eye contact compared to before, smiles/laughs less if at all. Bottom lip sucked in.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Muscle spasms, Screaming, Social avoidant behaviour, Tremor
Clinical narrative: Whole body tremor/spasmed (seizure) starting with arms and legs with head nodding. Afterwards, screaming more, low grade continuous grunting instead of previous "talking" with intonations. Fussy eating. Lack of eye contact compared to before, smiles/laughs less if at all. Bottom lip sucked in.
Age: 23.0
Sex: M
Vaccine: ANTH, JEV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient had moderate swelling R deltoid, TTP. LT prescribed BENADRYL 25mg q6hrs for TX.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Neck pain began on LFT side (where vaccination was administered) 5 days after vaccination. The pain traveled to LFT shoulder and upper arm, then to RT shoulder over next week. 9 days after vaccination. The pain became so acute, I took pain meds for 7 days.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin normal, Blood creatine phosphokinase MB, Cardiac enzymes normal
Clinical narrative: Pt presented 10 d. after vaccines with >3cm smallpox lesion, mild to moderate erythema, subj. c/o SOB on exertion, fatigue, malaise, intermittent chest pressure, generalized aches & pains. VSS, SpO2 98% RA, CBC WNL; card enzymes: neg troponin, (+) myoglobin, (-) CKMB, unable to run CK; mildly elevated LFTs - AST 139, ALT 39; t bili & GGT nl; CXR nl.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea exertional, Erythema, Fatigue
Clinical narrative: Pt presented 10 d. after vaccines with >3cm smallpox lesion, mild to moderate erythema, subj. c/o SOB on exertion, fatigue, malaise, intermittent chest pressure, generalized aches & pains. VSS, SpO2 98% RA, CBC WNL; card enzymes: neg troponin, (+) myoglobin, (-) CKMB, unable to run CK; mildly elevated LFTs - AST 139, ALT 39; t bili & GGT nl; CXR nl.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Full blood count normal, Gamma-glutamyltransferase normal, Liver function test abnormal, Malaise, Myoglobin urine absent
Clinical narrative: Pt presented 10 d. after vaccines with >3cm smallpox lesion, mild to moderate erythema, subj. c/o SOB on exertion, fatigue, malaise, intermittent chest pressure, generalized aches & pains. VSS, SpO2 98% RA, CBC WNL; card enzymes: neg troponin, (+) myoglobin, (-) CKMB, unable to run CK; mildly elevated LFTs - AST 139, ALT 39; t bili & GGT nl; CXR nl.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Oxygen saturation normal, Pain, Troponin
Clinical narrative: Pt presented 10 d. after vaccines with >3cm smallpox lesion, mild to moderate erythema, subj. c/o SOB on exertion, fatigue, malaise, intermittent chest pressure, generalized aches & pains. VSS, SpO2 98% RA, CBC WNL; card enzymes: neg troponin, (+) myoglobin, (-) CKMB, unable to run CK; mildly elevated LFTs - AST 139, ALT 39; t bili & GGT nl; CXR nl.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Infant vomited at home x 3 and had diarrhea x 3 1/2 wks - parents feel it is from the Rotavirus vaccine.
Age: 10.5
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Patient rec'd Hep A and VZV #2 on 7/6/09. She was fine until 24 hrs later when she noted a red rash on L arm.
Age: 1.4
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash generalised, Rash maculo-papular
Clinical narrative: 7/2/09 1500.  Received call from pts mother stating that child began with red, raised, maculopapular rash covering entire body approx. 30 min post receiving vaccine.  No resp. distress, fever, or itching noted.  Instructed to contact pts. private MD for further F/U & discussed s/s of anaphylaxis.  Physician instructed to give BENADRYL & F/U if necessary.
Age: 11.9
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Pallor, Vaccine positive rechallenge
Clinical narrative: Child almost bumped in the door as she left the office after the 1st GARDASIL and felt dizzy but got betters quick. Today after the 2nd GARDASIL - she got dizzy again and very pale (within minutes of the shot) - she recuperated very quickly with no "LOC".
Age: 24.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Dyspnoea, Headache, Pyrexia, Wheezing
Clinical narrative: Pt reports temp of 104.3 degrees F, headache, weakness onset this evening.  Also c/o SOB + wheezing.  Treatment - Ventolin.  No acetominophen or NSAIDS due to allergy.  Fever + symptoms resolved by morning.  Denies any local reaction @ injection site.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Pt received varivax vaccine sc in left arm.  Patient was seen in Emergency Room on 07/10/09 for redness at site on left arm.  Treated with Keflex.  Seen in office 07/11/09 and had an area of redness approx 2.5 cm x 2.5 cm in size.
Age: 0.4
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Mom stated child had a rash to both arms and has complaining of itching.  Subjective data.  Mom stated child had a fever.  Mom called children's healthcare nurse line and was instructed to give child children's BENADRYL.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Swelling
Clinical narrative: Redness, slight elevation.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Diarrhoea, Headache, Injection site pain, Myalgia
Clinical narrative: Migratory skin rash, diarrhea, soreness @ inj. site, headache, back pain, myalgia.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Rash
Clinical narrative: Migratory skin rash, diarrhea, soreness @ inj. site, headache, back pain, myalgia.
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her nephew who was vaccinated with MMR II (therapy date, dose, route and lot# not reported). Subsequently the patient experienced autism.  Upon internal review, autism was determined to be an other important medical event. Additional information has been requested.
Age: 30.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TYP, HEPAB
Symptoms: Dizziness, Malaise, Pallor, Syncope
Clinical narrative: This case was reported by a pharmacist and described the occurrence of fainting in a 30-year-old male subject who was vaccinated with TWINRIX (GlaxoSmithKline). Previous and/or concurrent vaccination included MENACTRA (non-gsk); manufacturer unspecified;unknown given on 12 June 2009; IPOL (non-gsk); manufacturer unspecified;unknown given on 12 June 2009; TYPHIM (non-gsk); manufacturer unspecified;unknown given on 12 June 2009. On 12 June 2009 at 15:00 the subject received 1st dose of TWINRIX (1 ml, unknown, left arm). On 12 June 2009, within 5 minutes after vaccination with TWINRIX, the subject experienced fainting, pallor, did not feel right (unspecified) and dizziness. The other vaccinations were given a little later on 12 June 2009 with no complications. The fainting resolved within five minutes, paleness, not feeling right and dizziness resolved within 30 minutes after vaccination. The pharmacist considered the events were clinically significant (or requiring intervention). On 12 June 2009, the events were resolved.
Age: 30.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TYP, HEPAB
Symptoms: Dizziness
Clinical narrative: This case was reported by a pharmacist and described the occurrence of fainting in a 30-year-old male subject who was vaccinated with TWINRIX (GlaxoSmithKline). Previous and/or concurrent vaccination included MENACTRA (non-gsk); manufacturer unspecified;unknown given on 12 June 2009; IPOL (non-gsk); manufacturer unspecified;unknown given on 12 June 2009; TYPHIM (non-gsk); manufacturer unspecified;unknown given on 12 June 2009. On 12 June 2009 at 15:00 the subject received 1st dose of TWINRIX (1 ml, unknown, left arm). On 12 June 2009, within 5 minutes after vaccination with TWINRIX, the subject experienced fainting, pallor, did not feel right (unspecified) and dizziness. The other vaccinations were given a little later on 12 June 2009 with no complications. The fainting resolved within five minutes, paleness, not feeling right and dizziness resolved within 30 minutes after vaccination. The pharmacist considered the events were clinically significant (or requiring intervention). On 12 June 2009, the events were resolved.
Age: 30.0
Sex: M
Vaccine: HEPAB, HEPAB
Symptoms: Dizziness, Malaise, Pallor, Syncope
Clinical narrative: This case was reported by a pharmacist and described the occurrence of fainting in a 30-year-old male subject who was vaccinated with TWINRIX (GlaxoSmithKline).  On 13 July 2009 at 17:10 the subject received 2nd dose of TWINRIX (1 ml, unknown, left arm). On 13 July 2009, within 5 minutes after vaccination with TWINRIX, the subject experienced fainting, pallor, did not feel right (unspecified) and dizziness. No other vaccines were given on this date. The fainting resolved within five minutes, paleness, not feeling right and dizziness resolved within 30 minutes after vaccination. The pharmacist considered the events were clinically significant (or requiring intervention). On 13 July 2009, the events were resolved.
Age: 30.0
Sex: M
Vaccine: HEPAB, HEPAB
Symptoms: Dizziness, Syncope, Vaccine positive rechallenge
Clinical narrative: This case was reported by a pharmacist and described the occurrence of fainting in a 30-year-old male subject who was vaccinated with TWINRIX (GlaxoSmithKline).  On 13 July 2009 at 17:10 the subject received 2nd dose of TWINRIX (1 ml, unknown, left arm). On 13 July 2009, within 5 minutes after vaccination with TWINRIX, the subject experienced fainting, pallor, did not feel right (unspecified) and dizziness. No other vaccines were given on this date. The fainting resolved within five minutes, paleness, not feeling right and dizziness resolved within 30 minutes after vaccination. The pharmacist considered the events were clinically significant (or requiring intervention). On 13 July 2009, the events were resolved.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Facial palsy
Clinical narrative: This case was reported by a physician and described the occurrence of facial palsy in a 18-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline), HAVRIX and MENACTRA (non-gsk). On 7 July 2009, the subject received unspecified dose of BOOSTRIX (unknown), unspecified dose of HAVRIX (unknown), unspecified dose of MENACTRA, the subject experienced partial facial palsy. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Fatigue, Pain, Pyrexia
Clinical narrative: Fever onset of 9:00pm on 7/14/09, by 3:00pm on 7/15 temp was 101.7 oral and patient called HD.  Patient also c/o body aches, tired and dizziness.  Instructed to continue Motrin she had been taking and monitor temp.  TC on 7/16 and temp is now 100.1 and patient no longer has any other symptoms.
Age: 27.0
Sex: M
Vaccine: YF
Symptoms: Erythema, Local reaction, Pruritus, Swelling
Clinical narrative: localized swelling, redness and itching
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Blood test normal, Dehydration, Pyrexia, Vomiting
Clinical narrative: 4 hours after receiving IPV vaccine, patient developed fever above 102 and uncontrolled vomitting that led to dehydration and necessary hospitalization.  7/17/09 Hospital records received DOS 6/18/09 to 6/19/09. Assessment: Dehydration. Patient presents with vomiting X 18 hours, every 20-30 minutes 'Not urinating enough'.  Fever. "My mouth feels like a desert". Skin dry. Lethargic. periumbilical pain.  9/21/09 Received ICD9 codes: 27651; 5589; 49390; 27551.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Dizziness, Muscular weakness, Weight bearing difficulty
Clinical narrative: This 15 year old received the following vaccines on 5/6/2009.  HPV Lot # 1129X, HAV Lot # 0932X, and Varivax Lot # 0050Y.  The primary medical doctor e-mailed me 7/15/09 concerned that the patient had "extreme dizziness and leg weakness a few hours after her 1st Gardasil which recurred the next day and again 6 days later. The leg weakness was significant enough that the patient could not bear weight on the leg.  Symptoms resolved.  PMH:  Pt has mild asthma and allergic rhinitis. Otherwise neg med hx.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site haematoma, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Client presented to clinic 2 days after receiving Zostavax injection with an approx 40x48mm red raised indurated area at the injection site, it felt mildly warm to touch, and cl said it was itchy, and a little sore.  Client states it started about 18 hrs after vaccine administration.  Client otherwise felt "fine."  Advised cool compress to site for comfort, to see PCP if worsens.  Client returned to the clinic 6/27, 6 days after injection to show this RN that symptoms had resolved other than residual bruising.  Spoke with client 7/16/09 and she states issue completely resolved.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Client presented to clinic 2 days after receiving Zostavax injection with an approx 40x48mm red raised indurated area at the injection site, it felt mildly warm to touch, and cl said it was itchy, and a little sore.  Client states it started about 18 hrs after vaccine administration.  Client otherwise felt "fine."  Advised cool compress to site for comfort, to see PCP if worsens.  Client returned to the clinic 6/27, 6 days after injection to show this RN that symptoms had resolved other than residual bruising.  Spoke with client 7/16/09 and she states issue completely resolved.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Epistaxis
Clinical narrative: Mom states that pt had a nose bleed 4 days post gardisil #1. States pt has never had nose bleed int the past "It gushed and woke her up-we got it to stop after a few minutes". States pt had another that day and it gushed while blowing her nose, the third one was scant when she was playing. States no more since then. Denies any othe signg or symptoms. Denies hx of blood/clotting dyscrasia.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Headache, Hypersomnia, Injection site pain, Nausea
Clinical narrative: My daughter received the HPV Vaccine Gardasil on Tuesday, July 14th at 6pm.  On Wednesday July 15th she woke up with pain at the injection site and difficulty breathing.  She had this on and off all day.  She slept for 6 hours which is highly unusual.  Later she experienced a headache and neausea.  She is otherwise healthy.  This was her second dose and she will not be getting a third.  There was no reaction after the first dose.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash generalised
Clinical narrative: Per mother, patient experienced an all over body rash 2 1/2 hours after vaccination of VZV and Hepatitis A on 07/14/2009.  Denied fever.  Denied itching.  Mom treated at home with OTC Benadryl x2 doses on 07/15/2009.  Treatment with Prednisone 5mg TID x5 days.  OTC Calamine Topical Lotion as needed.  Decrease sun exposure.  To see MD if does not improve.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: Back pain, Chills, Disseminated intravascular coagulation, Headache, Kidney infection
Clinical narrative: 07-08-2009 Patient came home with chills and fever; started vomiting during night. Fever was up to 103.5. Also had lower back pain and headache. Vomiting and fever continued and went to Dr. on 7-10-2009 and was diagnosed with viral illness and started on antibiotic and compazine. Was admitted to Hospital later that day because of elevated WBC, and was diagnosed with Kidney infection, Sepsis and Disseminated Vascular Deterioration. Was in hospital for 5 days.  7/22/09 Hospital records received DOS 7/11/09 to 7/15/09. Final Diagnoses: Pyelonephritis, Disseminated intravascular coagulation, Hypokalemia, Thrombocytopenia, Acute anemia due to disseminated intravascular coagulation. Patient presented with fever and persistent vomiting. Generalized pain back and neck. Abdominal tenderness and right constovertebral angle tenderness. Heart rate 120. Pharyngeal erythema. Decreased urinary flow. Blood per rectum, vaginal bleeding, nosebleeds.  7/24/09 ICD-9 Codes: 590.80  286.6  287.5  276.8  285.9
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: Platelet count decreased, Pyrexia, Sepsis, Viral infection, Vomiting
Clinical narrative: 07-08-2009 Patient came home with chills and fever; started vomiting during night. Fever was up to 103.5. Also had lower back pain and headache. Vomiting and fever continued and went to Dr. on 7-10-2009 and was diagnosed with viral illness and started on antibiotic and compazine. Was admitted to Hospital later that day because of elevated WBC, and was diagnosed with Kidney infection, Sepsis and Disseminated Vascular Deterioration. Was in hospital for 5 days.  7/22/09 Hospital records received DOS 7/11/09 to 7/15/09. Final Diagnoses: Pyelonephritis, Disseminated intravascular coagulation, Hypokalemia, Thrombocytopenia, Acute anemia due to disseminated intravascular coagulation. Patient presented with fever and persistent vomiting. Generalized pain back and neck. Abdominal tenderness and right constovertebral angle tenderness. Heart rate 120. Pharyngeal erythema. Decreased urinary flow. Blood per rectum, vaginal bleeding, nosebleeds.  7/24/09 ICD-9 Codes: 590.80  286.6  287.5  276.8  285.9