chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Clostridium test positive, Conjunctivitis, Coronary artery aneurysm, Cough, Culture stool positive
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Echocardiogram abnormal, Enteritis infectious, Erythema, Erythema multiforme, Gastroenteritis
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Haemoglobin decreased, Hypoalbuminaemia, Hyponatraemia, Immunoglobulin therapy, Kawasaki's disease
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Lip dry, Nasal congestion, Oropharyngeal pain, Platelet count normal, Pyrexia
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Rash, Rash macular, Rash papular, Rash pruritic, Red blood cell sedimentation rate increased
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, PNC13, RV5
Symptoms: Respiratory tract congestion, Rhinorrhoea, Viral infection, Vomiting, White blood cell count increased
Clinical narrative: Pt developed fever 7/16/10, seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting and diarrhea - presumed to be viral syndrome with erythema multiforme, continued to have fever, so was admitted for r/o Kawasaki on 7/22 - 7/25/10 - Pt developed fever on 7/16/10. Was seen in clinic on 7/18/10, 7/19/10 and 7/20/10 for fever with rash, vomiting, diarrhea - presumed to be viral syndrome with erythema multiforme. Continued to have fever >5 days, so was admitted from 7/22/10-7/25/10 for rule out Kawasaki disease. At that time, labs showed normal WBC, Hb and platelets; CRP > 27. Eventually, pt also developed albumin 2.8, Hb 9.3. Stool cultures positive for C. diff, so pt was discharged with 10 day course of PO FLAGYL. Continued to have low grade fevers, so was readmitted for r/o incomplete Kawasaki disease. At this admission pt with WBC 30K, ESR 95, CRP 17, Hb 9.4, Platelets> 450K, albumin 3.0, Na 133. Received IVIG and started on aspirin. Echocardiogram with + proximal coronary aneurysms.
Age: 0.73
Sex: F
Vaccine: PNC13
Symptoms: Anaemia, Blood culture negative, Blood disorder, Body temperature increased, C-reactive protein increased
Clinical narrative: Pt, a 10 month old twin, receive PCV 13 on 6/11/10. As parents refused vaccines at prior well care visits, this was the first vaccine ever for patient (and her twin sister). HPI: 9 mo PHF developed low grade fever and lethargy on 6/15/10. She was evaluated at clinic and admitted to hospital. Bcx and Ucx were normal, but parents refused LP. Over the week she developed vomiting, diarrhea, intermittent reddish rash. Fever was low to moderate and constant, but responded to ibuprofen. She was discharged home with presumptive diagnosis of viral infection. Her fevers returned and persisted, mostly <101.5, her CRP rose to a peak of 17 and then fell to 12 on 6/24/10. Her WBC count rose to 14.7 as an outpatient (from 8.6), and she was noted to have an anemia to 8.4 (down from 12.5 on admission 6/15/10) and thrombocytopenia to 51 from 266 on admission. She was seen by Dr. on 6/24/10 as well as another Dr. because of the depressed cell lines, who did not feel this was consistent with leukemia or other malignancy. She presented to Clinic ED on 6/26/10 for ongoing fevers, seeming to be more lethargic than usual, recurrent diarrhea and a return of her rash with widespread erythematous maculopapular lesions, some in target shapes. She was admitted for ongoing workup, after being noted to have swollen hands/feet, dry cracked lips and the very impressive rash. Her WBC had risen to 19.4 (with 11% bands), her Hb was stable at 8.5 and her plts were stable and low at 55. She was admitted with diagnosis of atypical Kawasaki. Rash improved promptly after IVIG, but fever recurrent (Tmax to 104.8). She was treated with another course of IVIG, but during infusion she became extremely irritable. Aseptic meningitis was suspected, and she underwent LP which was unremarkable. Fever continued. She was then treated with three doses of SOLUMEDROL 30 mg/kg, during which fever and irritability completely resolved. However, fever recurred after pulses were complete. ECHO on 7/7 showed a significant pericardial & pleural effusion and new coronary artery dilation. She was started on 2 mg/kg/day of prednisone with resolution of fever and normalization of mood. During hospitalization she also developed severe anemia and was treated with a PRBC transfusion. Additionally, she had a bag urine culture which grew >100K E.coli and she was started on cephalexin. However, repeat cx grew mixed flora, and abx were discontinued when the patient developed hives since a contaminant was suspected. She also developed hypertension thought to be associated with steroids and was started on captopril. Pt is now asymptomatic on prednisone 2 mg/kg/day, but effusion and coronary ectasia persist. Inflammatory markers are falling. She was transferred to another hospital for rheumatology consult to confirm diagnosis and manage immunosuppression.
Age: 0.73
Sex: F
Vaccine: PNC13
Symptoms: Chapped lips, Coronary artery dilatation, Culture urine positive, Diarrhoea, Echocardiogram abnormal
Clinical narrative: Pt, a 10 month old twin, receive PCV 13 on 6/11/10. As parents refused vaccines at prior well care visits, this was the first vaccine ever for patient (and her twin sister). HPI: 9 mo PHF developed low grade fever and lethargy on 6/15/10. She was evaluated at clinic and admitted to hospital. Bcx and Ucx were normal, but parents refused LP. Over the week she developed vomiting, diarrhea, intermittent reddish rash. Fever was low to moderate and constant, but responded to ibuprofen. She was discharged home with presumptive diagnosis of viral infection. Her fevers returned and persisted, mostly <101.5, her CRP rose to a peak of 17 and then fell to 12 on 6/24/10. Her WBC count rose to 14.7 as an outpatient (from 8.6), and she was noted to have an anemia to 8.4 (down from 12.5 on admission 6/15/10) and thrombocytopenia to 51 from 266 on admission. She was seen by Dr. on 6/24/10 as well as another Dr. because of the depressed cell lines, who did not feel this was consistent with leukemia or other malignancy. She presented to Clinic ED on 6/26/10 for ongoing fevers, seeming to be more lethargic than usual, recurrent diarrhea and a return of her rash with widespread erythematous maculopapular lesions, some in target shapes. She was admitted for ongoing workup, after being noted to have swollen hands/feet, dry cracked lips and the very impressive rash. Her WBC had risen to 19.4 (with 11% bands), her Hb was stable at 8.5 and her plts were stable and low at 55. She was admitted with diagnosis of atypical Kawasaki. Rash improved promptly after IVIG, but fever recurrent (Tmax to 104.8). She was treated with another course of IVIG, but during infusion she became extremely irritable. Aseptic meningitis was suspected, and she underwent LP which was unremarkable. Fever continued. She was then treated with three doses of SOLUMEDROL 30 mg/kg, during which fever and irritability completely resolved. However, fever recurred after pulses were complete. ECHO on 7/7 showed a significant pericardial & pleural effusion and new coronary artery dilation. She was started on 2 mg/kg/day of prednisone with resolution of fever and normalization of mood. During hospitalization she also developed severe anemia and was treated with a PRBC transfusion. Additionally, she had a bag urine culture which grew >100K E.coli and she was started on cephalexin. However, repeat cx grew mixed flora, and abx were discontinued when the patient developed hives since a contaminant was suspected. She also developed hypertension thought to be associated with steroids and was started on captopril. Pt is now asymptomatic on prednisone 2 mg/kg/day, but effusion and coronary ectasia persist. Inflammatory markers are falling. She was transferred to another hospital for rheumatology consult to confirm diagnosis and manage immunosuppression.
Age: 0.73
Sex: F
Vaccine: PNC13
Symptoms: Escherichia infection, Haemoglobin decreased, Hypertension, Immunoglobulin therapy, Immunosuppression
Clinical narrative: Pt, a 10 month old twin, receive PCV 13 on 6/11/10. As parents refused vaccines at prior well care visits, this was the first vaccine ever for patient (and her twin sister). HPI: 9 mo PHF developed low grade fever and lethargy on 6/15/10. She was evaluated at clinic and admitted to hospital. Bcx and Ucx were normal, but parents refused LP. Over the week she developed vomiting, diarrhea, intermittent reddish rash. Fever was low to moderate and constant, but responded to ibuprofen. She was discharged home with presumptive diagnosis of viral infection. Her fevers returned and persisted, mostly <101.5, her CRP rose to a peak of 17 and then fell to 12 on 6/24/10. Her WBC count rose to 14.7 as an outpatient (from 8.6), and she was noted to have an anemia to 8.4 (down from 12.5 on admission 6/15/10) and thrombocytopenia to 51 from 266 on admission. She was seen by Dr. on 6/24/10 as well as another Dr. because of the depressed cell lines, who did not feel this was consistent with leukemia or other malignancy. She presented to Clinic ED on 6/26/10 for ongoing fevers, seeming to be more lethargic than usual, recurrent diarrhea and a return of her rash with widespread erythematous maculopapular lesions, some in target shapes. She was admitted for ongoing workup, after being noted to have swollen hands/feet, dry cracked lips and the very impressive rash. Her WBC had risen to 19.4 (with 11% bands), her Hb was stable at 8.5 and her plts were stable and low at 55. She was admitted with diagnosis of atypical Kawasaki. Rash improved promptly after IVIG, but fever recurrent (Tmax to 104.8). She was treated with another course of IVIG, but during infusion she became extremely irritable. Aseptic meningitis was suspected, and she underwent LP which was unremarkable. Fever continued. She was then treated with three doses of SOLUMEDROL 30 mg/kg, during which fever and irritability completely resolved. However, fever recurred after pulses were complete. ECHO on 7/7 showed a significant pericardial & pleural effusion and new coronary artery dilation. She was started on 2 mg/kg/day of prednisone with resolution of fever and normalization of mood. During hospitalization she also developed severe anemia and was treated with a PRBC transfusion. Additionally, she had a bag urine culture which grew >100K E.coli and she was started on cephalexin. However, repeat cx grew mixed flora, and abx were discontinued when the patient developed hives since a contaminant was suspected. She also developed hypertension thought to be associated with steroids and was started on captopril. Pt is now asymptomatic on prednisone 2 mg/kg/day, but effusion and coronary ectasia persist. Inflammatory markers are falling. She was transferred to another hospital for rheumatology consult to confirm diagnosis and manage immunosuppression.
Age: 0.73
Sex: F
Vaccine: PNC13
Symptoms: Infection, Inflammation, Irritability, Kawasaki's disease, Lethargy
Clinical narrative: Pt, a 10 month old twin, receive PCV 13 on 6/11/10. As parents refused vaccines at prior well care visits, this was the first vaccine ever for patient (and her twin sister). HPI: 9 mo PHF developed low grade fever and lethargy on 6/15/10. She was evaluated at clinic and admitted to hospital. Bcx and Ucx were normal, but parents refused LP. Over the week she developed vomiting, diarrhea, intermittent reddish rash. Fever was low to moderate and constant, but responded to ibuprofen. She was discharged home with presumptive diagnosis of viral infection. Her fevers returned and persisted, mostly <101.5, her CRP rose to a peak of 17 and then fell to 12 on 6/24/10. Her WBC count rose to 14.7 as an outpatient (from 8.6), and she was noted to have an anemia to 8.4 (down from 12.5 on admission 6/15/10) and thrombocytopenia to 51 from 266 on admission. She was seen by Dr. on 6/24/10 as well as another Dr. because of the depressed cell lines, who did not feel this was consistent with leukemia or other malignancy. She presented to Clinic ED on 6/26/10 for ongoing fevers, seeming to be more lethargic than usual, recurrent diarrhea and a return of her rash with widespread erythematous maculopapular lesions, some in target shapes. She was admitted for ongoing workup, after being noted to have swollen hands/feet, dry cracked lips and the very impressive rash. Her WBC had risen to 19.4 (with 11% bands), her Hb was stable at 8.5 and her plts were stable and low at 55. She was admitted with diagnosis of atypical Kawasaki. Rash improved promptly after IVIG, but fever recurrent (Tmax to 104.8). She was treated with another course of IVIG, but during infusion she became extremely irritable. Aseptic meningitis was suspected, and she underwent LP which was unremarkable. Fever continued. She was then treated with three doses of SOLUMEDROL 30 mg/kg, during which fever and irritability completely resolved. However, fever recurred after pulses were complete. ECHO on 7/7 showed a significant pericardial & pleural effusion and new coronary artery dilation. She was started on 2 mg/kg/day of prednisone with resolution of fever and normalization of mood. During hospitalization she also developed severe anemia and was treated with a PRBC transfusion. Additionally, she had a bag urine culture which grew >100K E.coli and she was started on cephalexin. However, repeat cx grew mixed flora, and abx were discontinued when the patient developed hives since a contaminant was suspected. She also developed hypertension thought to be associated with steroids and was started on captopril. Pt is now asymptomatic on prednisone 2 mg/kg/day, but effusion and coronary ectasia persist. Inflammatory markers are falling. She was transferred to another hospital for rheumatology consult to confirm diagnosis and manage immunosuppression.
Age: 0.73
Sex: F
Vaccine: PNC13
Symptoms: Lip dry, Lumbar puncture normal, Meningitis aseptic, Oedema peripheral, Packed red blood cell transfusion
Clinical narrative: Pt, a 10 month old twin, receive PCV 13 on 6/11/10. As parents refused vaccines at prior well care visits, this was the first vaccine ever for patient (and her twin sister). HPI: 9 mo PHF developed low grade fever and lethargy on 6/15/10. She was evaluated at clinic and admitted to hospital. Bcx and Ucx were normal, but parents refused LP. Over the week she developed vomiting, diarrhea, intermittent reddish rash. Fever was low to moderate and constant, but responded to ibuprofen. She was discharged home with presumptive diagnosis of viral infection. Her fevers returned and persisted, mostly <101.5, her CRP rose to a peak of 17 and then fell to 12 on 6/24/10. Her WBC count rose to 14.7 as an outpatient (from 8.6), and she was noted to have an anemia to 8.4 (down from 12.5 on admission 6/15/10) and thrombocytopenia to 51 from 266 on admission. She was seen by Dr. on 6/24/10 as well as another Dr. because of the depressed cell lines, who did not feel this was consistent with leukemia or other malignancy. She presented to Clinic ED on 6/26/10 for ongoing fevers, seeming to be more lethargic than usual, recurrent diarrhea and a return of her rash with widespread erythematous maculopapular lesions, some in target shapes. She was admitted for ongoing workup, after being noted to have swollen hands/feet, dry cracked lips and the very impressive rash. Her WBC had risen to 19.4 (with 11% bands), her Hb was stable at 8.5 and her plts were stable and low at 55. She was admitted with diagnosis of atypical Kawasaki. Rash improved promptly after IVIG, but fever recurrent (Tmax to 104.8). She was treated with another course of IVIG, but during infusion she became extremely irritable. Aseptic meningitis was suspected, and she underwent LP which was unremarkable. Fever continued. She was then treated with three doses of SOLUMEDROL 30 mg/kg, during which fever and irritability completely resolved. However, fever recurred after pulses were complete. ECHO on 7/7 showed a significant pericardial & pleural effusion and new coronary artery dilation. She was started on 2 mg/kg/day of prednisone with resolution of fever and normalization of mood. During hospitalization she also developed severe anemia and was treated with a PRBC transfusion. Additionally, she had a bag urine culture which grew >100K E.coli and she was started on cephalexin. However, repeat cx grew mixed flora, and abx were discontinued when the patient developed hives since a contaminant was suspected. She also developed hypertension thought to be associated with steroids and was started on captopril. Pt is now asymptomatic on prednisone 2 mg/kg/day, but effusion and coronary ectasia persist. Inflammatory markers are falling. She was transferred to another hospital for rheumatology consult to confirm diagnosis and manage immunosuppression.
Age: 0.73
Sex: F
Vaccine: PNC13
Symptoms: Pericardial effusion, Platelet count decreased, Pleural effusion, Pyrexia, Rash erythematous
Clinical narrative: Pt, a 10 month old twin, receive PCV 13 on 6/11/10. As parents refused vaccines at prior well care visits, this was the first vaccine ever for patient (and her twin sister). HPI: 9 mo PHF developed low grade fever and lethargy on 6/15/10. She was evaluated at clinic and admitted to hospital. Bcx and Ucx were normal, but parents refused LP. Over the week she developed vomiting, diarrhea, intermittent reddish rash. Fever was low to moderate and constant, but responded to ibuprofen. She was discharged home with presumptive diagnosis of viral infection. Her fevers returned and persisted, mostly <101.5, her CRP rose to a peak of 17 and then fell to 12 on 6/24/10. Her WBC count rose to 14.7 as an outpatient (from 8.6), and she was noted to have an anemia to 8.4 (down from 12.5 on admission 6/15/10) and thrombocytopenia to 51 from 266 on admission. She was seen by Dr. on 6/24/10 as well as another Dr. because of the depressed cell lines, who did not feel this was consistent with leukemia or other malignancy. She presented to Clinic ED on 6/26/10 for ongoing fevers, seeming to be more lethargic than usual, recurrent diarrhea and a return of her rash with widespread erythematous maculopapular lesions, some in target shapes. She was admitted for ongoing workup, after being noted to have swollen hands/feet, dry cracked lips and the very impressive rash. Her WBC had risen to 19.4 (with 11% bands), her Hb was stable at 8.5 and her plts were stable and low at 55. She was admitted with diagnosis of atypical Kawasaki. Rash improved promptly after IVIG, but fever recurrent (Tmax to 104.8). She was treated with another course of IVIG, but during infusion she became extremely irritable. Aseptic meningitis was suspected, and she underwent LP which was unremarkable. Fever continued. She was then treated with three doses of SOLUMEDROL 30 mg/kg, during which fever and irritability completely resolved. However, fever recurred after pulses were complete. ECHO on 7/7 showed a significant pericardial & pleural effusion and new coronary artery dilation. She was started on 2 mg/kg/day of prednisone with resolution of fever and normalization of mood. During hospitalization she also developed severe anemia and was treated with a PRBC transfusion. Additionally, she had a bag urine culture which grew >100K E.coli and she was started on cephalexin. However, repeat cx grew mixed flora, and abx were discontinued when the patient developed hives since a contaminant was suspected. She also developed hypertension thought to be associated with steroids and was started on captopril. Pt is now asymptomatic on prednisone 2 mg/kg/day, but effusion and coronary ectasia persist. Inflammatory markers are falling. She was transferred to another hospital for rheumatology consult to confirm diagnosis and manage immunosuppression.
Age: 0.73
Sex: F
Vaccine: PNC13
Symptoms: Rash maculo-papular, Skin lesion, Thrombocytopenia, Urticaria, Viral infection
Clinical narrative: Pt, a 10 month old twin, receive PCV 13 on 6/11/10. As parents refused vaccines at prior well care visits, this was the first vaccine ever for patient (and her twin sister). HPI: 9 mo PHF developed low grade fever and lethargy on 6/15/10. She was evaluated at clinic and admitted to hospital. Bcx and Ucx were normal, but parents refused LP. Over the week she developed vomiting, diarrhea, intermittent reddish rash. Fever was low to moderate and constant, but responded to ibuprofen. She was discharged home with presumptive diagnosis of viral infection. Her fevers returned and persisted, mostly <101.5, her CRP rose to a peak of 17 and then fell to 12 on 6/24/10. Her WBC count rose to 14.7 as an outpatient (from 8.6), and she was noted to have an anemia to 8.4 (down from 12.5 on admission 6/15/10) and thrombocytopenia to 51 from 266 on admission. She was seen by Dr. on 6/24/10 as well as another Dr. because of the depressed cell lines, who did not feel this was consistent with leukemia or other malignancy. She presented to Clinic ED on 6/26/10 for ongoing fevers, seeming to be more lethargic than usual, recurrent diarrhea and a return of her rash with widespread erythematous maculopapular lesions, some in target shapes. She was admitted for ongoing workup, after being noted to have swollen hands/feet, dry cracked lips and the very impressive rash. Her WBC had risen to 19.4 (with 11% bands), her Hb was stable at 8.5 and her plts were stable and low at 55. She was admitted with diagnosis of atypical Kawasaki. Rash improved promptly after IVIG, but fever recurrent (Tmax to 104.8). She was treated with another course of IVIG, but during infusion she became extremely irritable. Aseptic meningitis was suspected, and she underwent LP which was unremarkable. Fever continued. She was then treated with three doses of SOLUMEDROL 30 mg/kg, during which fever and irritability completely resolved. However, fever recurred after pulses were complete. ECHO on 7/7 showed a significant pericardial & pleural effusion and new coronary artery dilation. She was started on 2 mg/kg/day of prednisone with resolution of fever and normalization of mood. During hospitalization she also developed severe anemia and was treated with a PRBC transfusion. Additionally, she had a bag urine culture which grew >100K E.coli and she was started on cephalexin. However, repeat cx grew mixed flora, and abx were discontinued when the patient developed hives since a contaminant was suspected. She also developed hypertension thought to be associated with steroids and was started on captopril. Pt is now asymptomatic on prednisone 2 mg/kg/day, but effusion and coronary ectasia persist. Inflammatory markers are falling. She was transferred to another hospital for rheumatology consult to confirm diagnosis and manage immunosuppression.
Age: 0.73
Sex: F
Vaccine: PNC13
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Pt, a 10 month old twin, receive PCV 13 on 6/11/10. As parents refused vaccines at prior well care visits, this was the first vaccine ever for patient (and her twin sister). HPI: 9 mo PHF developed low grade fever and lethargy on 6/15/10. She was evaluated at clinic and admitted to hospital. Bcx and Ucx were normal, but parents refused LP. Over the week she developed vomiting, diarrhea, intermittent reddish rash. Fever was low to moderate and constant, but responded to ibuprofen. She was discharged home with presumptive diagnosis of viral infection. Her fevers returned and persisted, mostly <101.5, her CRP rose to a peak of 17 and then fell to 12 on 6/24/10. Her WBC count rose to 14.7 as an outpatient (from 8.6), and she was noted to have an anemia to 8.4 (down from 12.5 on admission 6/15/10) and thrombocytopenia to 51 from 266 on admission. She was seen by Dr. on 6/24/10 as well as another Dr. because of the depressed cell lines, who did not feel this was consistent with leukemia or other malignancy. She presented to Clinic ED on 6/26/10 for ongoing fevers, seeming to be more lethargic than usual, recurrent diarrhea and a return of her rash with widespread erythematous maculopapular lesions, some in target shapes. She was admitted for ongoing workup, after being noted to have swollen hands/feet, dry cracked lips and the very impressive rash. Her WBC had risen to 19.4 (with 11% bands), her Hb was stable at 8.5 and her plts were stable and low at 55. She was admitted with diagnosis of atypical Kawasaki. Rash improved promptly after IVIG, but fever recurrent (Tmax to 104.8). She was treated with another course of IVIG, but during infusion she became extremely irritable. Aseptic meningitis was suspected, and she underwent LP which was unremarkable. Fever continued. She was then treated with three doses of SOLUMEDROL 30 mg/kg, during which fever and irritability completely resolved. However, fever recurred after pulses were complete. ECHO on 7/7 showed a significant pericardial & pleural effusion and new coronary artery dilation. She was started on 2 mg/kg/day of prednisone with resolution of fever and normalization of mood. During hospitalization she also developed severe anemia and was treated with a PRBC transfusion. Additionally, she had a bag urine culture which grew >100K E.coli and she was started on cephalexin. However, repeat cx grew mixed flora, and abx were discontinued when the patient developed hives since a contaminant was suspected. She also developed hypertension thought to be associated with steroids and was started on captopril. Pt is now asymptomatic on prednisone 2 mg/kg/day, but effusion and coronary ectasia persist. Inflammatory markers are falling. She was transferred to another hospital for rheumatology consult to confirm diagnosis and manage immunosuppression.
Age: 48.0
Sex: U
Vaccine: TDAP
Symptoms: Culture throat negative, Headache, Immediate post-injection reaction, Oropharyngeal pain, Pyrexia
Clinical narrative: Headache, fever, sore throat, began immediately after ADACEL.
Age: 9.0
Sex: M
Vaccine: FLUN3, HEPA
Symptoms: Accidental exposure
Clinical narrative: Child moved during 2nd spray of FLUMIST and much of dose went into his eye. (R) eye washed out with 3 vials of Saline.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: (L) arm swelling, redness & itching described at ER visit two days after immunizations.
Age: 0.55
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Child had immunizations. Grandmother called and said child was crying and had 105 degree fever at 0400 in morning. States she gave MOTRIN and fever down now to 101 degrees today. Denies any local reaction, seizure, lethargy. Didn't go to hospital.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 15 x 15 cm circular, raised, red, hot area on (L) thigh. ? cellulitis (L) leg.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Injection site swelling, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Left deltoid swollen, warm to touch. C/o pain when raises arm to shoulder level. Rates pain as 5 on 0-10 scale with movement.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Redness, itching, swelling, heat at injection site started afternoon after shot was given (within a few hours) it has lasted 4 days swelling, temperature has decreased, will follow up with pt.
Age: 41.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Eyelid oedema, Injection site swelling, Lip swelling, Skin warm
Clinical narrative: 1) Left arm swelling - Left deltoid, vaccine given 8/10/10. Noted swelling on 8/11/10. She was seen by PCP treat Rx BACTRIM. LA swelling improved, no erythema, (+) warmth. 2) Lips swollen and puffy eyes. She's to take BENADRYL 25mg every 4-6hrs x 24 hours.
Age: 20.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left deltoid area: red, swollen, painful x 4 days. Advised pt. to go to PCP for assessment and treatment.
Age: 10.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Patient received DTAP instead of TDAP (BOOSTRIX).
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Headache, Pyrexia
Clinical narrative: Headache & fever starting 6 hours after vaccine & still present at 48 hours.
Age: 18.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Incorrect dose administered
Clinical narrative: Patient received an adult dose of HEP B instead of the pediatric dose of HEP B according to age. Notified patient and patient did not have an reaction complaint to HEP B dose.
Age: 18.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received an adult dose of HEP B instead of the pediatric dose of HEP B according to age. Notified patient and patient did not have an reaction complaint to HEP B dose.
Age: 1.87
Sex: M
Vaccine: HEPA, HIBV, PNC
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Fever, rash, irritability starting day of vaccines.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness, swelling and induration of L upper arm. Approximately 4 inches X 4 inches. Has double in size over last 24 hrs. Vaccine given 48 hrs ago (approx).
Age: 3.0
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Injection site swelling
Clinical narrative: Right thigh swelling.
Age: 1.33
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Adverse event, Breath holding, Convulsion, Coordination abnormal, Febrile convulsion
Clinical narrative: Fever: Spiking; Onset: Today; Duration: Acute; Severity: Severe. Pt developed breath holding spell and spiked fever after adminstration of vaccines. Pt passed out, became limp for several seconds with color change of paleness, not cyanotic. Then was unresponsive for several more seconds and then remained lethargic for next 20 minutes and was taken by ambulance to ER. Pt's was 101.3, TYLENOL given 5:57 pm. Pulse ox on rm air was 97%, but pt remained very pale and was given oxygen at 2 liters. 8/10/2010 Here for folow-up from ER. Patient seen in our office on 08/05/10. Had vaccines that day, held his breath for a prolonged period of time and then passed out. There is no history of prior breath hold spells of patient or family members. Mom and dad state fever had developed that day (08/05) and lasted for a few days. On 08/08, fever resolved and patient awoke from a nap with a rash on his face, belly, neck. Rash is fading. Parents states he is doing better. Normal activity level today. Eating normally.
Age: 1.33
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Hypotonia, Lethargy, Loss of consciousness, Nasal congestion, No reaction on previous exposure to drug
Clinical narrative: Fever: Spiking; Onset: Today; Duration: Acute; Severity: Severe. Pt developed breath holding spell and spiked fever after adminstration of vaccines. Pt passed out, became limp for several seconds with color change of paleness, not cyanotic. Then was unresponsive for several more seconds and then remained lethargic for next 20 minutes and was taken by ambulance to ER. Pt's was 101.3, TYLENOL given 5:57 pm. Pulse ox on rm air was 97%, but pt remained very pale and was given oxygen at 2 liters. 8/10/2010 Here for folow-up from ER. Patient seen in our office on 08/05/10. Had vaccines that day, held his breath for a prolonged period of time and then passed out. There is no history of prior breath hold spells of patient or family members. Mom and dad state fever had developed that day (08/05) and lasted for a few days. On 08/08, fever resolved and patient awoke from a nap with a rash on his face, belly, neck. Rash is fading. Parents states he is doing better. Normal activity level today. Eating normally.
Age: 1.33
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Pallor, Pyrexia, Rash, Roseola, Unresponsive to stimuli
Clinical narrative: Fever: Spiking; Onset: Today; Duration: Acute; Severity: Severe. Pt developed breath holding spell and spiked fever after adminstration of vaccines. Pt passed out, became limp for several seconds with color change of paleness, not cyanotic. Then was unresponsive for several more seconds and then remained lethargic for next 20 minutes and was taken by ambulance to ER. Pt's was 101.3, TYLENOL given 5:57 pm. Pulse ox on rm air was 97%, but pt remained very pale and was given oxygen at 2 liters. 8/10/2010 Here for folow-up from ER. Patient seen in our office on 08/05/10. Had vaccines that day, held his breath for a prolonged period of time and then passed out. There is no history of prior breath hold spells of patient or family members. Mom and dad state fever had developed that day (08/05) and lasted for a few days. On 08/08, fever resolved and patient awoke from a nap with a rash on his face, belly, neck. Rash is fading. Parents states he is doing better. Normal activity level today. Eating normally.
Age: 1.33
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Upper respiratory tract infection, Viral infection, Wheezing
Clinical narrative: Fever: Spiking; Onset: Today; Duration: Acute; Severity: Severe. Pt developed breath holding spell and spiked fever after adminstration of vaccines. Pt passed out, became limp for several seconds with color change of paleness, not cyanotic. Then was unresponsive for several more seconds and then remained lethargic for next 20 minutes and was taken by ambulance to ER. Pt's was 101.3, TYLENOL given 5:57 pm. Pulse ox on rm air was 97%, but pt remained very pale and was given oxygen at 2 liters. 8/10/2010 Here for folow-up from ER. Patient seen in our office on 08/05/10. Had vaccines that day, held his breath for a prolonged period of time and then passed out. There is no history of prior breath hold spells of patient or family members. Mom and dad state fever had developed that day (08/05) and lasted for a few days. On 08/08, fever resolved and patient awoke from a nap with a rash on his face, belly, neck. Rash is fading. Parents states he is doing better. Normal activity level today. Eating normally.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Gaze palsy, Musculoskeletal stiffness, Sluggishness, Tremor, Unresponsive to stimuli
Clinical narrative: Ten 10 days after receiving PCV 13 vaccine, pt was playing outside w/mother when he became stiff, eyes rolled to back of head, became unresponsive and started shaking. Lasted approx. 30-60 seconds, and then sluggish for 5-10 min.
Age: 1.09
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 1.57
Sex: M
Vaccine: HEPA, PPV
Symptoms: Oedema mucosal, Oropharyngeal plaque, Oropharyngeal swelling, Rash pruritic, Streptococcus test
Clinical narrative: About 1 hr after vaccination with rash pruritic sandpaper appearance swollen mucosa with white plaques of post pharynx.
Age: 1.57
Sex: M
Vaccine: HEPA, PPV
Symptoms: Streptococcus test negative
Clinical narrative: About 1 hr after vaccination with rash pruritic sandpaper appearance swollen mucosa with white plaques of post pharynx.
Age: 62.0
Sex: F
Vaccine: DTAP
Symptoms: Dermatitis allergic, No reaction on previous exposure to drug
Clinical narrative: This 63 year old female consumer received 0.5mL of Diphtheria/Tetanus Toxoids/Acellular Pertussis Vaccine (DTaP) at a local health center on 28Jun2010. On 28Jun2010, the patient left the clinic having no symptoms of any kind. The patient's relevant medical history includes no previous allergic reaction to DTaP. The patient's relevant concomitant medications and past drug history are unknown. On 09Jul2010, the patient arrived to the clinic and presented to a health care partner with what looked as an allergic reaction that affected dermatologic system. The consumer was immediately referred to a triage nurse. The consumer was treated with Bactrim to help the patient's reaction to the vaccine and Silvadene ointment applied and bacitracin given to the patient for the use at home if her symptoms worsen. No additional laboratory testing was performed and no rescue drugs were used. The patient did not return to the clinic with complaints from the reaction after Silvadene was applied and after treatment with bacitracin and Bactrim. The outcome of the allergic reaction is unknown.
Age: 1.4
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site papule, Injection site rash
Clinical narrative: This 17 month old female consumer received 0.5mL of PCV 13 (pneumococcal vaccine) on 20Jul2010 for a routine vaccination at a local health center. On 22Jul2010, a red rash with firm papules, that appeared like vesicles, but firm to touch were noted on the patient's left thigh. The patient's relevant medical history includes no previous allergic reaction to the pneumococcal vaccine. The patient's relevant concomitant medications and past drug history are unknown. The patient was treated with Benadryl. No additional drugs were started because of her rash. No additional laboratory testing was required. The outcome of the patient's rash is unknown.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Convulsion, Hypotonia, Malaise, Tonic clonic movements, Unresponsive to stimuli
Clinical narrative: Approx 5 min after receiving vaccines c/o "I don't feel well". Was sitting in chair - put head between knees - sat up and then went limp in dad's arms who was standing at side of chair. Placed on exam table - was unresponsive for approx 2 1/2 - 3 minutes when placed on table remained unresponsive. Then started with clonic/tonic type movement to arms- were curled up besides body- no incontinence or rolling of eyes but appeared to be seizure. Apparent seizure lasted approx. 2 minutes 911 was called at onset of going limp- Dr called to examining room and witnessed seizure. Transported to Medical Center for evaluation per Fire Dept.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site mass, Ultrasound scan normal
Clinical narrative: Noted small "lump" over area of VZV injection since injection 2 yrs ago. Not painful. No symptom. On exam, sl asymmetry over injection site.  Sonogram arm NL. No cyst.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site pain, Wound
Clinical narrative: 5 1/2 cm diam. area extending from lower 1/3 of (L) deltoid down 5/2cm, tender, mildly indurated, small puncture site in center of lower third  of deltoid.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Pyrexia
Clinical narrative: C/o fever and headache. Advised to take TYLENOL or ibuprofen and FU with MD.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling
Clinical narrative: 3.5" diameter X 3" swollen/red area. Slight bruise in center. Afebrile.  No acute distress (R) thigh - KINRIX.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Per mom - none - given too early - HEP A given at 2 months of age.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt says, Tuesday night began having pain in (R) DT and (R) shoulder Wednesday upper arm swollen placed ice on arm and took couple of TYLENOL. Thursday am decided to come to H.D. (R) upper arm swollen, erythematous, and warm to touch.
Age: 49.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Erythema, Pain in extremity, Skin nodule
Clinical narrative: 7-23-10 10:00 AM Had TDAP vaccine on 7/21/10. (R) DT - Lot# U3035CA-AD. Came in Health Dept today to have a PPD skin test read and mentioned (R) arm being sore, red, knot. About 2" round red spot with about 1/2" round knot in middle, sore to touch.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blood pressure normal, Heart rate normal, Pallor, Syncope
Clinical narrative: Pt. pale, vasovagal syncope placed in supine position with legs elevated. Aroused right after placing pt. on floor with legs elevated. Placed cool towel on forehead. B/P, pulse, respirations-WNL. Left H.D. at 4:10 walking, talking with sunglasses on. Parents with her today and taking her home.
Age: 52.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 9" X 5" reddened, swollen, area around and under (L) deltoid.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness/swelling in injection site.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 5 X 5" area of erythema to (R) thigh started day after vaccine, warm to touch. Non tender no drainage.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Injection site haematoma, Muscle tightness, Throat tightness
Clinical narrative: Muscle tightness (L) arm & leg - within 1 hr. of vaccination. Dyspnea - onset 60-90 minutes after vaccination (included airway constriction). Used Albuterol PRN 6 times over the 15 hrs. after vaccination. Bruise covered left deltoid. 8-10-10: RN completed this form before leaving employment in June, 2010. The form was seen in the employee's file this week. I'm sending it in case she didn't do so in May.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Activities of daily living impaired, Blood test, Body temperature increased, Chest X-ray, Computerised tomogram head
Clinical narrative: Client had complete physical exam on 8/3/10. 8/5/10 1:30 AM - severe headache, fever, muscle ache (couldn't get out of bed) 5:00 AM-crawled to bathroom. Mother called ER - told to bring to hospital. Any movement client vomited temp. 101.8 degrees. Test done included lumbar puncture, CAT scan head, chest X-ray, blood work, IV fluids given. Increased WBC. 8/5/10 at noon admitted to floor. Client continues to scream with pain & vomiting with any movement. ZOFRAN & ROCEPHIN given. Released 8/6/10 at 3:00 pm. Continues to have headache.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache, Lumbar puncture, Myalgia, Pain, Pyrexia
Clinical narrative: Client had complete physical exam on 8/3/10. 8/5/10 1:30 AM - severe headache, fever, muscle ache (couldn't get out of bed) 5:00 AM-crawled to bathroom. Mother called ER - told to bring to hospital. Any movement client vomited temp. 101.8 degrees. Test done included lumbar puncture, CAT scan head, chest X-ray, blood work, IV fluids given. Increased WBC. 8/5/10 at noon admitted to floor. Client continues to scream with pain & vomiting with any movement. ZOFRAN & ROCEPHIN given. Released 8/6/10 at 3:00 pm. Continues to have headache.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Screaming, Vomiting, White blood cell count increased
Clinical narrative: Client had complete physical exam on 8/3/10. 8/5/10 1:30 AM - severe headache, fever, muscle ache (couldn't get out of bed) 5:00 AM-crawled to bathroom. Mother called ER - told to bring to hospital. Any movement client vomited temp. 101.8 degrees. Test done included lumbar puncture, CAT scan head, chest X-ray, blood work, IV fluids given. Increased WBC. 8/5/10 at noon admitted to floor. Client continues to scream with pain & vomiting with any movement. ZOFRAN & ROCEPHIN given. Released 8/6/10 at 3:00 pm. Continues to have headache.