chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.6
Sex: M
Vaccine: DT, HIBV
Symptoms: Convulsion, Drug level decreased
Clinical narrative: Child has history of seizure disorder (1st seizure after prior vaccine). Had seizure within 24 hours of receiving his DT and Hib vaccines. (His Tegretol level was also sub-therapeutic). Mother reported seizure. Pt not seen by a doctor for the event.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Headache, Photophobia, Vomiting
Clinical narrative: Pt had a severe headache, photophobia and vomiting which occurred several hours, post vax. Temperature was 97.8F, "able to miss fever", was toxic looking. Symptomatic treatment with Tylenol prn and rest.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Cellulitis, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: On 7/11/01, presented to ER with complaint of left arm pain and redness. She had previously had TD on 7/9/01 in left arm at 12:40. Dx'd with local medication reaction with secondary cellulitis. Treated with Prednisone 50mg po every day; Keflex 500mg po bid; ibuprofen prn and ice to affected area. On 8/1/01, presented to health office at 13:00 today with complaint of pain in left elbow that radiates to left hand. Noted approx. a 2cm in diameter, hardened area in left arm where pt reports she was given her TD shot. Referred to PCP.
Age: 46.0
Sex: F
Vaccine: HEPA
Symptoms: Chest pain, Dizziness, Fatigue, Malaise, Muscle spasms
Clinical narrative: On 6/30/01, pt felt light-headed, dizziness and fatigue but was able to work. The next day, 7/1/01, the pt felt light-headed, general malaise and tightening throat but had no SOB. She reported to ER. During walk to the hospital, pt had to stop twice to "rest and regain momentum" secondary to fatigue. Vital signs were stable but the pt was put on oxygen and IV was started and she was given something for dizziness. The dizziness resolved and has not returned. Pt was discharged with acetaminophen and bed rest prescribed, to return to clinic in 2 days. On 7/3/01, the pt had worsened muscle pain and spasms in arms, spine, back and shoulders, worse on the left side. Also had mid-sternum pain sensation to pressure. Methocarbamol was prescribed, 500mg tablets, 2 taken 4 X a day. Pt returned to clinic on 7/9/01 for appt. She reports she is doing better but still with fatigue and dull muscle ache. She had been using her back brace and taking Methocarbamol as needed. She is to return to work 7/10/01.
Age: 46.0
Sex: F
Vaccine: HEPA
Symptoms: Myalgia, Throat tightness
Clinical narrative: On 6/30/01, pt felt light-headed, dizziness and fatigue but was able to work. The next day, 7/1/01, the pt felt light-headed, general malaise and tightening throat but had no SOB. She reported to ER. During walk to the hospital, pt had to stop twice to "rest and regain momentum" secondary to fatigue. Vital signs were stable but the pt was put on oxygen and IV was started and she was given something for dizziness. The dizziness resolved and has not returned. Pt was discharged with acetaminophen and bed rest prescribed, to return to clinic in 2 days. On 7/3/01, the pt had worsened muscle pain and spasms in arms, spine, back and shoulders, worse on the left side. Also had mid-sternum pain sensation to pressure. Methocarbamol was prescribed, 500mg tablets, 2 taken 4 X a day. Pt returned to clinic on 7/9/01 for appt. She reports she is doing better but still with fatigue and dull muscle ache. She had been using her back brace and taking Methocarbamol as needed. She is to return to work 7/10/01.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Pruritus
Clinical narrative: Pt developed redness and a lump around injection site; itchiness; no discharge.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Injection site abscess, Injection site pain, Injection site swelling, Pain
Clinical narrative: Pt had severe local reaction involving pain in entire arm. Swelling in upper arm and what looks like small abscess formation at injection site. Swelling and pain improved after 48 hours with massage and some ibuprofen; still with pain, swelling in 2" radius around injection site on day 5. Pain and swelling seems to be improving.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling face, Urticaria
Clinical narrative: Developed hives at neck. The next day, had swollen lips in the AM. No breathing problems. Had tacos with sour cream, lettuce and tomato for dinner before hives developed. Had same meal the next night without symptoms. Hive-like rash was seen on exam of left thigh but otherwise a normal exam by 6/30/01 PM.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt received MMR on 7/20/01 and came to ER on 8/6/01 with a temperature of 105F and a seizure.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: Pt developed scattered papular, red rash on trunk; no pruritus and afebrile. First appeared PM of 7/26/01. Active child. Currently still has rash.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Crying, Hypersensitivity
Clinical narrative: Pt experienced allergic reaction to Pertussis. Exhibited by persistent crying that started with immunization administration. Sent to ER.
Age: 1.25
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: On 7/23/01, pt had rash on left arm and left foot. Seen in ER. No fever. He was given Benadryl by ER doctor. On 7/30/01, pt had a fine rash on his trunk and a fever. On 7/31/01, temperature normal. Rash on arm and foot is better today.
Age: 1.7
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, DTAP, HIBV, IPV, MMR
Symptoms: Rash
Clinical narrative: Pt developed a rash on his arms, legs and face.
Age: 0.54
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, DTAP, HEP, HIBV, PNC, DTAP, HEP, HIBV, PNC
Symptoms: Eye disorder, Laboratory test abnormal
Clinical narrative: A mother reported that her 6 month old daughter received her 1st dose of Prevnar and 2nd doses of Hib-Titer, Hep-B and DTAP vaccines on 7/23/01. On 7/27/01, she developed intermittent rapid eye movement. She was seen by the physician. A computerized tomogram was reportedly unusual. On 7/28/01, she was hospitalized. The results of an MRI, EEG and Abdominal Scan are pending. On 7/30/01, she was discharged. Abnormal eye movements. A mother reported that her 6-month-old daughter received her first dose of PREVENAR, and third doses of HIB-titer, Hepatitis B (manufacturer unknown), and DTaP (manufacturer unknown) vaccines on 23-JUL-2001. On 27-JUL-2001, she developed intermittent rapid eye movement. She was seen by the physician. A computerized tomogram was reportedly unusual. On 28-JUL-2001, she was hospitalized. The results of an MRI, EEG, and Abdominal scan are pending. On 30-JUL-2001, she was discharged.
Age: 0.54
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, DTAP, HEP, HIBV, PNC, DTAP, HEP, HIBV, PNC
Symptoms: Eye movement disorder
Clinical narrative: A mother reported that her 6 month old daughter received her 1st dose of Prevnar and 2nd doses of Hib-Titer, Hep-B and DTAP vaccines on 7/23/01. On 7/27/01, she developed intermittent rapid eye movement. She was seen by the physician. A computerized tomogram was reportedly unusual. On 7/28/01, she was hospitalized. The results of an MRI, EEG and Abdominal Scan are pending. On 7/30/01, she was discharged. Abnormal eye movements. A mother reported that her 6-month-old daughter received her first dose of PREVENAR, and third doses of HIB-titer, Hepatitis B (manufacturer unknown), and DTaP (manufacturer unknown) vaccines on 23-JUL-2001. On 27-JUL-2001, she developed intermittent rapid eye movement. She was seen by the physician. A computerized tomogram was reportedly unusual. On 28-JUL-2001, she was hospitalized. The results of an MRI, EEG, and Abdominal scan are pending. On 30-JUL-2001, she was discharged.
Age: 0.54
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, DTAP, HEP, HIBV, PNC, DTAP, HEP, HIBV, PNC
Symptoms: Eye disorder, Muscle spasms
Clinical narrative: A mother reported that her 6 month old daughter received her 1st dose of Prevnar and 2nd doses of Hib-Titer, Hep-B and DTAP vaccines on 7/23/01. On 7/27/01, she developed intermittent rapid eye movement. She was seen by the physician. A computerized tomogram was reportedly unusual. On 7/28/01, she was hospitalized. The results of an MRI, EEG and Abdominal Scan are pending. On 7/30/01, she was discharged. Abnormal eye movements. A mother reported that her 6-month-old daughter received her first dose of PREVENAR, and third doses of HIB-titer, Hepatitis B (manufacturer unknown), and DTaP (manufacturer unknown) vaccines on 23-JUL-2001. On 27-JUL-2001, she developed intermittent rapid eye movement. She was seen by the physician. A computerized tomogram was reportedly unusual. On 28-JUL-2001, she was hospitalized. The results of an MRI, EEG, and Abdominal scan are pending. On 30-JUL-2001, she was discharged.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Back pain, Headache, Meningitis, Nausea, Vomiting
Clinical narrative: From telephone contact with reporter, it was stated that an 18 year old female pt received a Menomune A/C/Y/M-135 vaccination on 7/26/01. On 7/30/01, the pt developed backache and headache. On 8/1/01, the pt developed headache, backache and nausea. On 8/2/01, the pt went to a pediatrician's office; at 14:00, pt was violently throwing up. Pt was admitted to the hospital on 8/3/01 and dx'd with viral meningitis. Pt was released on 8/4/01. From FOLLOW-UP correspondence received on 11/02/2001, it was reported that the patient recovered from this experience. Additional patient vaccine, the correct adverse event onset date and responsible physcian information was also proivided. This case is closed.
Age: 12.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Cyanosis, Respiratory arrest, Syncope
Clinical narrative: The pt was discovered collapsed, cyanotic, and not breathing approximately 8 hours post vax. Diagnosed with inducible polymorphic ventricular tachycardia
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Pt developed hives, within 48 hours, post vax. He was seen in ER. Per mother, no treatment was given.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Rash papular
Clinical narrative: Received Prevnar #1 on 7/25/01. Parents say fever developed the same day and has persisted. A rash started, 2 days later, a papular rash especially on chest and abdomen. On exam, no other source of fever found. Parents gave Tylenol and Benadryl. Rx'd on 7/30/01 with Atarax syrup.
Age: 0.2
Sex: M
Vaccine: IPV, PNC
Symptoms: Oedema peripheral, Petechiae, Rash macular
Clinical narrative: Pt had a swollen RLE ,per mom, with "blotchness" approx. 7 hours, post vax. No fever. Gave Tylenol and Benadryl. On exam, 30 hours, post vax, no swelling detected. No reaction at injection site. Had petechial rash on entire RLE, distal to injection site. Otherwise normal exam.
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Abdominal pain, Diarrhoea, Injection site erythema, Irritability, Pyrexia
Clinical narrative: Increased temperature to 101F on the evening of 7/30/01. On 7/31/01, pt was fussy and had abdominal cramps since 08:00. Doubles over with pain; loose BM; vomited X 2; right arm was red (size of baseball, per mom). The pt temperature was 99.9F, using Tylenol and Mylicon. On 8/1/01, pt was much better. There was no temperature but arm still red.
Age: 1.5
Sex: M
Vaccine: DTAP, PNC
Symptoms: Vomiting
Clinical narrative: Increased temperature to 101F on the evening of 7/30/01. On 7/31/01, pt was fussy and had abdominal cramps since 08:00. Doubles over with pain; loose BM; vomited X 2; right arm was red (size of baseball, per mom). The pt temperature was 99.9F, using Tylenol and Mylicon. On 8/1/01, pt was much better. There was no temperature but arm still red.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Mother describes the onset of rash as gradual, over 2 days. Child has also had fevers up to 101F. MD described rash as fine and red, covering face, torso and arms. Fever was treated with Tylenol. Rash was treated with Benadryl.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Localized redness at injection site, palpable knot which measures 3cm X 2cm, red but no warmth to touch and no induration or streaks. Outline drawn and to observe.
Age: 0.3
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Dyspnoea, Pyrexia, Viral infection
Clinical narrative: Pt developed fever, "funny breathing", and was seen in ER the following day, post vax. Pt was given Rocephin 500mg and dx'd as viral syndrome.
Age: 2.08
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: On 7/31/01, telephone call reported, red and warm area on right upper arm (1st report per mom). On 8/1/01, follow-up telephone call, pt has a red circle around point of injection with solid bumps (small), 1 1/2" around from back of child's right arm. Pt is acting good. No temperature and improving daily.
Age: 1.6
Sex: M
Vaccine: DTAP, HEP, VARCEL
Symptoms: Urticaria
Clinical narrative: Prolonged and extreme hives for 1 month which required 2 trips to ER. Oral and shot steroids, allergy testing, doctor visits and 3 prescriptions.
Age: 38.0
Sex: M
Vaccine: JEV, RAB
Symptoms: Urticaria
Clinical narrative: Pt developed hives over trunk and extremities. Treated with Allegra 180mg X 1. This medicine was not effective and the hives resolved in 5 days.
Age: 3.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site reaction, Injection site swelling, Pyrexia, Skin discolouration
Clinical narrative: Post vax, pt had an adverse reaction. Left arm was swollen 5cm X 5cm with a greenish color; fever of 103.9F X 4 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Blister, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: At the site of the injection for IPV, it was hard, red, swollen and blistered. Pt complained of itching at site. Dx'd at ER as allergic reaction to vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Pruritus
Clinical narrative: At the site of the injection for IPV, it was hard, red, swollen and blistered. Pt complained of itching at site. Dx'd at ER as allergic reaction to vaccine.
Age: 4.2
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt's left deltoid with edematous, erythemic area surrounding the injection site.
Age: 1.0
Sex: F
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Infection, Irritability, Pyrexia, Rash maculo-papular
Clinical narrative: On 7/20/01, 9 days after MMR, Varicella, IPV and Hep-B vaccines were given, pt had (+) erythematous multiple macular papules with some confluent all over the body with fever for 5 days. Fever went up to 102F and pt was fussy. Measles-like reaction.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV
Symptoms: Rash erythematous, Similar reaction on previous exposure to drug
Clinical narrative: 6 days, post vax, pt developed multiple erythematous, slightly hard and raised, macular rash on the right upper extremity. Rashes have pin-point, dry papules in the meddle. This was noted also at 4 months old, 6 days, post vaccinations.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Anorexia, Injection site erythema, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: Pt developed a red and swollen left and right leg. No appetite, fever of 100.5F, left leg skin peeling and (3cm induration). Went to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Skin exfoliation
Clinical narrative: Pt developed a red and swollen left and right leg. No appetite, fever of 100.5F, left leg skin peeling and (3cm induration). Went to ER.
Age: 0.2
Sex: M
Vaccine: UNK
Symptoms: Listless, Pyrexia, Rash
Clinical narrative: Child received routine vaccinations on 4/4/01. Seen in ER on 4/6/01 with symmetrical dry rashes on the outer aspects of lower extremities; fever (98.8F on Tylenol); and listlessness.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Migraine, Musculoskeletal stiffness
Clinical narrative: For 2 days, pt had pain at the injection site, then stiffness in the arm, left neck and left back with triggered a migraine.
Age: 7.0
Sex: F
Vaccine: DTP, MMR, OPV
Symptoms: Adverse drug reaction, Gait disturbance, Influenza
Clinical narrative: 2 weeks post vax, the pt had problems walking, climbing stairs, running, swimming. The pt also experienced 4 days of flu-like symptoms.
Age: 12.0
Sex: M
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Eye oedema, Face oedema
Clinical narrative: The pt experienced swelling under ears to upper neck to eyes. The pt went to the ER when the eyelids were swollen. This lasted 1-2 days.
Age: 12.0
Sex: M
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Face oedema
Clinical narrative: The pt experienced swelling under ears to upper neck to eyes. The pt went to the ER when the eyelids were swollen. This lasted 1-2 days.
Age: 0.6
Sex: M
Vaccine: DTAP, PNC
Symptoms: Abnormal sleep-related event, Asphyxia
Clinical narrative: Child had intracranial cysts dx'd on 2/14/01. Child received vaccines 3 days before death, which was noted as asphyxia death (facial compression), face down sleeping position in bed with mother. Office felt this should be reported. Death certificate and autopsy reports states cause of death to be positional asphyxia.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Asphyxia, Aspiration, Atelectasis, Infection
Clinical narrative: On 7/18/01 at 04:30, infant was found by mother, not breathing. She had checked on twins at 01:30 and both were fine. Father called 911, while mother initiated CPR. Baby was DOA at ER. Autopsy findings report: proximate cause of death to be sever infectious process of perianal nd perineal area; immediate cause of death atelectasis and pulmonary edema; mechanism of death aspiration asphyxia with pulmonary inadequacy.
Age: 0.25
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pulmonary oedema
Clinical narrative: On 7/18/01 at 04:30, infant was found by mother, not breathing. She had checked on twins at 01:30 and both were fine. Father called 911, while mother initiated CPR. Baby was DOA at ER. Autopsy findings report: proximate cause of death to be sever infectious process of perianal nd perineal area; immediate cause of death atelectasis and pulmonary edema; mechanism of death aspiration asphyxia with pulmonary inadequacy.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Difficulty in walking, Dysarthria, Facial palsy
Clinical narrative: On 11/20/00, pt had upper respiratory infection associated with cough, sore throat, wheezing, low-grade temperature and chills with profuse sweating. She kept getting worse and was hospitalized on 12/29/00. On 1/25/00, she had numbness in hands and feet, trouble walking, drooping on the left side of face with slurred speech, asymmetric smile, numb tongue, blurred vision and trouble with eyelids. She was hospitalized and put on IVIG for 5 days. She is still recovering and taking physical therapy. The follow up states that: I have permanent facila damage (the left side of my face does not move); have visual problems; hand, feet and legs still go numb; also still have lung problems. This shot has left me physically and mentally impaired.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Lung disorder, Pharyngolaryngeal pain, Pyrexia, Upper respiratory tract infection
Clinical narrative: On 11/20/00, pt had upper respiratory infection associated with cough, sore throat, wheezing, low-grade temperature and chills with profuse sweating. She kept getting worse and was hospitalized on 12/29/00. On 1/25/00, she had numbness in hands and feet, trouble walking, drooping on the left side of face with slurred speech, asymmetric smile, numb tongue, blurred vision and trouble with eyelids. She was hospitalized and put on IVIG for 5 days. She is still recovering and taking physical therapy. The follow up states that: I have permanent facila damage (the left side of my face does not move); have visual problems; hand, feet and legs still go numb; also still have lung problems. This shot has left me physically and mentally impaired.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Vision blurred, Visual acuity reduced, Wheezing
Clinical narrative: On 11/20/00, pt had upper respiratory infection associated with cough, sore throat, wheezing, low-grade temperature and chills with profuse sweating. She kept getting worse and was hospitalized on 12/29/00. On 1/25/00, she had numbness in hands and feet, trouble walking, drooping on the left side of face with slurred speech, asymmetric smile, numb tongue, blurred vision and trouble with eyelids. She was hospitalized and put on IVIG for 5 days. She is still recovering and taking physical therapy. The follow up states that: I have permanent facila damage (the left side of my face does not move); have visual problems; hand, feet and legs still go numb; also still have lung problems. This shot has left me physically and mentally impaired.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Convulsion, Electroencephalogram abnormal, Hypoxia, Pyrexia
Clinical narrative: Fever to 102.3F and a seizure (generalized), lasting approx. 25 minutes with hypoxia (brief).
Age: 1.0
Sex: M
Vaccine: HEP, PNC
Symptoms: Dehydration, Diabetes mellitus, Pollakiuria, Pyrexia, Sleep disorder
Clinical narrative: Pt had heavy urination, vomiting, loss of weight (over night), slight fever and loss of sleep, as well as, dehydration, 2 weeks after the 3rd shot of Hep-B in the series. Diagnosed with diabetes.
Age: 1.0
Sex: M
Vaccine: HEP, PNC
Symptoms: Vomiting, Weight decreased
Clinical narrative: Pt had heavy urination, vomiting, loss of weight (over night), slight fever and loss of sleep, as well as, dehydration, 2 weeks after the 3rd shot of Hep-B in the series. Diagnosed with diabetes.
Age: 60.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Left shoulder began swelling and became sore, the day after injection. Went to ER on 7/11/01 and was given IV antibiotics. Swelling increased to 2 X natural shoulder size. Admitted to hospital on 7/13/01 and discharged on 7/14/01 with a dx of "infection" (cellulitis). They treated it with antibiotics. No further complications and has apparently fully recovered.
Age: 1.6
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The pt experienced a right leg that is puffy and swollen at injection site denies any fever or itching. The pt also has redness around the left arm injection site.
Age: 1.2
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash erythematous
Clinical narrative: The pt experienced a rash with a small red slightly raised bumps to face, trunk, upper and lower ext. Mostly on back. Denies fever or obvious pruritis.
Age: 1.7
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: Pt developed fever, vomiting and diarrhea from 3/2/01 to 3/3/01.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cough, Nasal congestion
Clinical narrative: Cough and congestion
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Conjunctivitis, Injection site erythema, Injection site swelling, Pharyngolaryngeal pain, Rash
Clinical narrative: On 7/25/01, MMR and Varivax given. Returned on 8/4/01 with localized erythema and edema at Varivax site. Pt had facial and trunk rash, conjunctivitis and red throat (looked like measles).
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Urticaria
Clinical narrative: The pt developed an erythematous left injection site, was tender to touch and also experienced hives. Treated with warm compresses.
Age: 0.8
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Respiratory distress, Wheezing
Clinical narrative: Following the last 2 doses of Prevnar, a few days later the pt experienced wheezing and respiratory distress.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: The morning following the vax, the pt experienced a fever. The fever lasted 3 days. The pt then developed a non-pruritic rash as fever broke 5 days post vax.
Age: 57.0
Sex: F
Vaccine: LYME
Symptoms: Asthenia, Dizziness, Feeling cold, Feeling hot, Loss of consciousness
Clinical narrative: The pt experienced hot, cold, weakness, dizziness, blacked out on floor and nausea.
Age: 57.0
Sex: F
Vaccine: LYME
Symptoms: Nausea
Clinical narrative: The pt experienced hot, cold, weakness, dizziness, blacked out on floor and nausea.
Age: 51.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Headache, Influenza like illness, Pyrexia
Clinical narrative: Six days post vax, the pt experienced a fever, headache, severe joint pains and flu like symptoms.
Age: 25.0
Sex: M
Vaccine: JEV, RAB
Symptoms: Pruritus, Swelling face, Urticaria
Clinical narrative: Pt complained of lower lip swelling and welts over trunk, arms, legs and face with itching. Pt had a similar reaction but only worse, post vax rabies vaccine.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Rash macular
Clinical narrative: Pt developed a blotchy-type rash all over her body which appeared a couple of days, post vax. Treated with Benadryl and instructed to follow-up if no improvement.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash papular
Clinical narrative: Pt developed a papular eruption within 24 hours, post vax, progressive and required systemic prednisone therapy.
Age: 2.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: 15mm X 16mm whelp with surrounding left arm area of redness 20 X 20 observed 15mg increased only slights to stated size. Advised to use liquid Benadryl as directed and hydrocortisone cream. Called on 7/19/01 and no answer. Mother phoned and said all resolved and child is fine.
Age: 18.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Pt developed increased swelling and redness in left arm from shoulder to elbow the day after TD vaccine. She was unable to move her arm due to soreness. She took Benadryl. She still has a hard knot at injection site but swelling has decreased, after 6 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Hypersensitivity, Rash
Clinical narrative: Pt developed a rash and was seen by a doctor in a children's clinic. Mom reported allergic reaction to Varicella #2 dose. Doctor's notes indicated Rx. Phone call on 7/30/01; child is fine.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Ear disorder, Pharyngolaryngeal pain, Pyrexia, Swelling face, Tonsillitis
Clinical narrative: On 7/11/01 at 21:00, pt had a fever of 101F and vomited. On 7/12/01 AM, pt had a fever of 101F, swelling of face and hives on face. The pt also, complained of a sore throat. Pt was seen by ER physician at 15:00 on 7/12/01 and he said that the pt had fluid in ears and tonsillitis. Antibiotics were given.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria, Vomiting
Clinical narrative: On 7/11/01 at 21:00, pt had a fever of 101F and vomited. On 7/12/01 AM, pt had a fever of 101F, swelling of face and hives on face. The pt also, complained of a sore throat. Pt was seen by ER physician at 15:00 on 7/12/01 and he said that the pt had fluid in ears and tonsillitis. Antibiotics were given.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Difficulty in walking, Injection site mass
Clinical narrative: Per mom; 12 days, post vax, she noticed a knot on pt's right leg, where he got a shot. She states the pt seems to favor this leg slightly and has fallen a couple of times secondary to this leg buckling. Advised mom to apply moist heat to area and call HD in 1 week with changes.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Rash
Clinical narrative: Pt developed redness and induration at the site of DTAP injection, 20 hours, post vax. He was seen at youth care on 7/20/01. No Rx. Advised Tylenol. On 7/23/01, had an area of redness increasing to 9cm and a rash of red bumps appeared under arm and left side of face. He was seen at youth care and advised it was a reaction to the pertussis. He was given: Oropred, Cephalexin and Hydroxyz HCL.
Age: 1.7
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt was contacted today by MD from hospital and the pt arrived about 1 hour earlier today after having a seizure. Says temperature is 102F (rectally) and says she has no rash, whelps, difficulty with respirations. No signs of allergic reactions and says believes temperature went up so fast as to cause seizure and that the child's dad had febrile seizures as a child. Says child seems fine now; and is to be discharged to mother's care.
Age: 2.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: When client got up the next morning, his left hip, thigh and knee cap were swollen twice the normal size and slightly warm. Mother put cool packs and has been giving salt water baths to decrease swelling. They state no change in swelling. Client has not complained of pain unless someone is pushing on area. Pt went to clinic and they stated it was a counter reaction to pertussis that led to the edema. Recommended DT in the future.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt's left deltoid was swollen, hot and red from elbow to shoulder. He had a yellow scab noted at injection site. Complained of soreness and pain at site, also. Is well other than "local reaction". Referred to MD.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt went to ER on 7/25/01 AM, due to about a 2" area of redness and swelling to left thigh X 2 days, post vax.  Follow up on 10/25/2002: "From follow-up correspondence received on 09/11/01 it was reported the pt developed a 2 inch area of redness not a 72 inch area as previously reported.  The redness and swelling of the left thigh lasted for two days after the injection; it did not develop two days after the injection as previously reported.  The correct initial for the pt's last was also provided.  This case is closed."
Age: 1.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth, Skin ulcer
Clinical narrative: Left leg red and warm, 6 cm circular erythematous lesion surrounding injection site, no streaking, not tender.  Follow up on 10/25/02: "From faxed correspondence from reporting nurse stated that an 18 month old female pt received a Tripedia and an Ipol vaccination on 07/25/01.  On 07/26/01 the pt developed an area of redness, warmth, 6-cm erythematous lesions surrounding injection site reaction of Tripedia site.  No streaking, no tenderness.  The pt reportedly recovered from this experience.  From follow up correspondence received on 09/11/01 informationr egarding where the vaccine was purchased and where the pt received the vaccination was provided. No further information is anticipated for this report.  This case is closed."
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Abasia, Arthralgia
Clinical narrative: This client reports swelling and severe aching in the joints of feet knees, hands, wrists, and elbows. Beginning on 07/13/2001 and severe enough on 07/18/01, could hardly walk. She saw a doctor, and had several test. The doctor thought it was a reaction due to the TD vaccine. The client is completely healed on 07/22/01 at church.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: After infant was given MMR, noted 1 1/2 cm wheal at the site. No other symptoms. Lungs clear, no generalized swelling. Given Benadryl. Wheal resolved in 1 hour. Child had history of eating eggs without problems.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Within minutes of receiving Varivax, it was noted, localized swelling and erythema with wheal formation on the left arm at the site of injection. No other symptoms, lungs clear, no generalized swelling. Treated with Benadryl, within minutes noted decreased erythema but wheal formation still present. Released home, no other symptoms.
Age: 4.0
Sex: F
Vaccine: IPV
Symptoms: Oedema
Clinical narrative: This child had swelling of the right upper arm, no redness or infection. Advise: warmth and follow up.
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Skin ulcer, Vitiligo
Clinical narrative: The mother of this patient thought she needed another Hep B vaccine, she was in with her mother who did need a Hep B. Her chart was not immediately available so the shot was given. Later we found out it wasn't needed. About 2 months later vitiligo lesions started developing, multiple seen at time of evaluation on 07/27/01.
Age: 27.0
Sex: M
Vaccine: HEP
Symptoms: Blister, Pruritus
Clinical narrative: This patient had 2nd Hepatitis B on 07/20/2001. On 07/23/01, he started itching and began noticing blister like skin eruptions, (arms, wrist, ankle, body & legs). He had a similar but milder event after 1st Hepatitis B shot but didn't connect to shot until same symptoms developed following the second shot. No other signs and symptoms.
Age: 11.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Dyspnoea, Insomnia, Pruritus, Wheezing
Clinical narrative: Thursday, 07/19/01, at 11:30 PM, this patient woke up unable to sleep due to difficulty breathing and wheezing. No history of allergies. He was taken tot he ER, not seen. Brought the child home, given 1 puff of Flovent inhaler at 1:30 AM. Wheezing resolved by 4 AM completely. Also complained of itchy throat at the time of onset.
Age: 1.25
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis
Clinical narrative: This infant had cellulitis to the left leg.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right deltoid had 50 cent size raised reddened area.
Age: 12.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Confusional state, Hallucination, Infection, Malaise, Parotid gland enlargement
Clinical narrative: On 07/23/01, not feeling well, no specific symptoms. On 07/24/01, 9 AM, low grade fever, swelling left side parotid area. On 07/25/01, 3 AM, 101.9 fever, golf ball size swelling left parotid area, confused, and hallucinating. Taken to the ER. No meds prescribed. The doctor diagnosed mumps disease, treat symptoms. Recovering.
Age: 12.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Pyrexia, Swelling
Clinical narrative: On 07/23/01, not feeling well, no specific symptoms. On 07/24/01, 9 AM, low grade fever, swelling left side parotid area. On 07/25/01, 3 AM, 101.9 fever, golf ball size swelling left parotid area, confused, and hallucinating. Taken to the ER. No meds prescribed. The doctor diagnosed mumps disease, treat symptoms. Recovering.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Abdominal pain upper, Diarrhoea, Injection site pain, Pyrexia, Vomiting
Clinical narrative: ON 08/01/2001, this child woke complaining of pain to injection site to left arm where DTAP was administered. Also complained of stomach hurting, vomiting, through out the day, fever of 102. Motrin was administered at 11:30 PM, the night before diarrhea, had six bowel movements through out the day. Taken to the ER at 8:30 PM, on 08/01/01 was told the child had a reaction to the DTAP vaccine.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Candidiasis
Clinical narrative: The pt experienced thrush. Treated with Nystatin.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: This child had swelling below injection site to the knee. Tender to touch, slightly red, warm to touch. Patient walking and playing with out complaints.
Age: 4.1
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: The pt was taken to the ER with deltoid swelling to approximately 8 cm, redness, hardness and pain. Was treated and released. Instructed to apply ice and give Motrin every 4 hours for pain.
Age: 54.0
Sex: M
Vaccine: PPV, TTOX
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: The pt's upper arm around injection site became red and inflamed from his shoulder to 2 inches above his elbow. Reaction revolved without need for any treatment after approximately 1 week.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abasia, Feeling hot, Oedema, Pain
Clinical narrative: Left leg swollen from knee to upper thigh, swollen twice the size of the other leg. Told to use ice paks and Motrin. Lots of pain and leg warm to touch. Child couldn't walk on leg. 08/02/01, the child was doing better, swelling gone down and the child was walking. They are to continue using ice paks and Motrin.
Age: 0.3
Sex: F
Vaccine: DTPHIB, HIBV, OPV, DTPHIB, OPV, DTPHIB, HEP, OPV, DTPHIB, HIBV, OPV, HEP
Symptoms: Anorexia, Antinuclear antibody, Bleeding time prolonged, Blood lactate dehydrogenase increased, Brain oedema
Clinical narrative: Information has been received on 8/2/01 regarding a 4 month old female who received her 2nd dose of Tetramune, haemophilus influenza type b and Orimune vaccines. Four days, post vax, she presented with low-grade fever, lethargy and decreased oral intake. Her urine leukocyte esterase test was positive. The pt was treated with ceftriaxone, trimethoprim/sulfamethoxazole and acetaminophen. A dx of possible urinary tract infection was made; the result of the urine culture was neg. Three days later, she was admitted to the hospital with severe anemia. The pt was unresponsive, ventilator-dependent and showed evidence of disseminated intravascular coagulation. A warm auto antibody was identified in both her serum and red cell eluate. The pt was transfused with 2 units of red blood cells, 1 unit of cryoprecipitate and 2 units of fresh frozen plasma. She was also administered IV immune globulin, ampicillin and methylprednisolone sodium succinate. Her red cell antibody to ceftriaxone, Ham test, blood cultures, viral serologies and latex agglutination tests for haemophilus influenza, streptococcus pneumonia and Neisseria meningitides were all negative or noncontributory. Severe hemolysis continued and the pt expired 41 hours following hospital admission. An autopsy showed cerebral edema and diffuse subarachnoid hemorrhage but was was otherwise noncontributory. The authors indicated that the development of warm autoimmune hemolytic anemia in this pt suggested a causal relationship to the 2nd DTP (Tetramune) vaccination.
Age: 0.3
Sex: F
Vaccine: DTPHIB, HIBV, OPV, DTPHIB, OPV, DTPHIB, HEP, OPV, DTPHIB, HIBV, OPV, HEP
Symptoms: Disseminated intravascular coagulation, Haemolytic anaemia, Hypoxia, Laboratory test abnormal, Leukocytosis
Clinical narrative: Information has been received on 8/2/01 regarding a 4 month old female who received her 2nd dose of Tetramune, haemophilus influenza type b and Orimune vaccines. Four days, post vax, she presented with low-grade fever, lethargy and decreased oral intake. Her urine leukocyte esterase test was positive. The pt was treated with ceftriaxone, trimethoprim/sulfamethoxazole and acetaminophen. A dx of possible urinary tract infection was made; the result of the urine culture was neg. Three days later, she was admitted to the hospital with severe anemia. The pt was unresponsive, ventilator-dependent and showed evidence of disseminated intravascular coagulation. A warm auto antibody was identified in both her serum and red cell eluate. The pt was transfused with 2 units of red blood cells, 1 unit of cryoprecipitate and 2 units of fresh frozen plasma. She was also administered IV immune globulin, ampicillin and methylprednisolone sodium succinate. Her red cell antibody to ceftriaxone, Ham test, blood cultures, viral serologies and latex agglutination tests for haemophilus influenza, streptococcus pneumonia and Neisseria meningitides were all negative or noncontributory. Severe hemolysis continued and the pt expired 41 hours following hospital admission. An autopsy showed cerebral edema and diffuse subarachnoid hemorrhage but was was otherwise noncontributory. The authors indicated that the development of warm autoimmune hemolytic anemia in this pt suggested a causal relationship to the 2nd DTP (Tetramune) vaccination.
Age: 0.3
Sex: F
Vaccine: DTPHIB, HIBV, OPV, DTPHIB, OPV, DTPHIB, HEP, OPV, DTPHIB, HIBV, OPV, HEP
Symptoms: Pyrexia, Somnolence, Stupor, Subarachnoid haemorrhage, Thrombocythaemia
Clinical narrative: Information has been received on 8/2/01 regarding a 4 month old female who received her 2nd dose of Tetramune, haemophilus influenza type b and Orimune vaccines. Four days, post vax, she presented with low-grade fever, lethargy and decreased oral intake. Her urine leukocyte esterase test was positive. The pt was treated with ceftriaxone, trimethoprim/sulfamethoxazole and acetaminophen. A dx of possible urinary tract infection was made; the result of the urine culture was neg. Three days later, she was admitted to the hospital with severe anemia. The pt was unresponsive, ventilator-dependent and showed evidence of disseminated intravascular coagulation. A warm auto antibody was identified in both her serum and red cell eluate. The pt was transfused with 2 units of red blood cells, 1 unit of cryoprecipitate and 2 units of fresh frozen plasma. She was also administered IV immune globulin, ampicillin and methylprednisolone sodium succinate. Her red cell antibody to ceftriaxone, Ham test, blood cultures, viral serologies and latex agglutination tests for haemophilus influenza, streptococcus pneumonia and Neisseria meningitides were all negative or noncontributory. Severe hemolysis continued and the pt expired 41 hours following hospital admission. An autopsy showed cerebral edema and diffuse subarachnoid hemorrhage but was was otherwise noncontributory. The authors indicated that the development of warm autoimmune hemolytic anemia in this pt suggested a causal relationship to the 2nd DTP (Tetramune) vaccination.
Age: 0.3
Sex: F
Vaccine: DTPHIB, HIBV, OPV, DTPHIB, OPV, DTPHIB, HEP, OPV, DTPHIB, HIBV, OPV, HEP
Symptoms: Urinary tract infection, White blood cell disorder
Clinical narrative: Information has been received on 8/2/01 regarding a 4 month old female who received her 2nd dose of Tetramune, haemophilus influenza type b and Orimune vaccines. Four days, post vax, she presented with low-grade fever, lethargy and decreased oral intake. Her urine leukocyte esterase test was positive. The pt was treated with ceftriaxone, trimethoprim/sulfamethoxazole and acetaminophen. A dx of possible urinary tract infection was made; the result of the urine culture was neg. Three days later, she was admitted to the hospital with severe anemia. The pt was unresponsive, ventilator-dependent and showed evidence of disseminated intravascular coagulation. A warm auto antibody was identified in both her serum and red cell eluate. The pt was transfused with 2 units of red blood cells, 1 unit of cryoprecipitate and 2 units of fresh frozen plasma. She was also administered IV immune globulin, ampicillin and methylprednisolone sodium succinate. Her red cell antibody to ceftriaxone, Ham test, blood cultures, viral serologies and latex agglutination tests for haemophilus influenza, streptococcus pneumonia and Neisseria meningitides were all negative or noncontributory. Severe hemolysis continued and the pt expired 41 hours following hospital admission. An autopsy showed cerebral edema and diffuse subarachnoid hemorrhage but was was otherwise noncontributory. The authors indicated that the development of warm autoimmune hemolytic anemia in this pt suggested a causal relationship to the 2nd DTP (Tetramune) vaccination.
Age: 0.3
Sex: F
Vaccine: DTPHIB, HIBV, OPV, DTPHIB, OPV, DTPHIB, HEP, OPV, DTPHIB, HIBV, OPV, HEP
Symptoms: Anaemia, Anorexia, Brain oedema, Coombs positive haemolytic anaemia, Disseminated intravascular coagulation
Clinical narrative: Information has been received on 8/2/01 regarding a 4 month old female who received her 2nd dose of Tetramune, haemophilus influenza type b and Orimune vaccines. Four days, post vax, she presented with low-grade fever, lethargy and decreased oral intake. Her urine leukocyte esterase test was positive. The pt was treated with ceftriaxone, trimethoprim/sulfamethoxazole and acetaminophen. A dx of possible urinary tract infection was made; the result of the urine culture was neg. Three days later, she was admitted to the hospital with severe anemia. The pt was unresponsive, ventilator-dependent and showed evidence of disseminated intravascular coagulation. A warm auto antibody was identified in both her serum and red cell eluate. The pt was transfused with 2 units of red blood cells, 1 unit of cryoprecipitate and 2 units of fresh frozen plasma. She was also administered IV immune globulin, ampicillin and methylprednisolone sodium succinate. Her red cell antibody to ceftriaxone, Ham test, blood cultures, viral serologies and latex agglutination tests for haemophilus influenza, streptococcus pneumonia and Neisseria meningitides were all negative or noncontributory. Severe hemolysis continued and the pt expired 41 hours following hospital admission. An autopsy showed cerebral edema and diffuse subarachnoid hemorrhage but was was otherwise noncontributory. The authors indicated that the development of warm autoimmune hemolytic anemia in this pt suggested a causal relationship to the 2nd DTP (Tetramune) vaccination.
Age: 0.3
Sex: F
Vaccine: DTPHIB, HIBV, OPV, DTPHIB, OPV, DTPHIB, HEP, OPV, DTPHIB, HIBV, OPV, HEP
Symptoms: Enzyme abnormality, Haemolysis, Hypoxia, Leukocytosis, Pyrexia
Clinical narrative: Information has been received on 8/2/01 regarding a 4 month old female who received her 2nd dose of Tetramune, haemophilus influenza type b and Orimune vaccines. Four days, post vax, she presented with low-grade fever, lethargy and decreased oral intake. Her urine leukocyte esterase test was positive. The pt was treated with ceftriaxone, trimethoprim/sulfamethoxazole and acetaminophen. A dx of possible urinary tract infection was made; the result of the urine culture was neg. Three days later, she was admitted to the hospital with severe anemia. The pt was unresponsive, ventilator-dependent and showed evidence of disseminated intravascular coagulation. A warm auto antibody was identified in both her serum and red cell eluate. The pt was transfused with 2 units of red blood cells, 1 unit of cryoprecipitate and 2 units of fresh frozen plasma. She was also administered IV immune globulin, ampicillin and methylprednisolone sodium succinate. Her red cell antibody to ceftriaxone, Ham test, blood cultures, viral serologies and latex agglutination tests for haemophilus influenza, streptococcus pneumonia and Neisseria meningitides were all negative or noncontributory. Severe hemolysis continued and the pt expired 41 hours following hospital admission. An autopsy showed cerebral edema and diffuse subarachnoid hemorrhage but was was otherwise noncontributory. The authors indicated that the development of warm autoimmune hemolytic anemia in this pt suggested a causal relationship to the 2nd DTP (Tetramune) vaccination.