chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Chest pain, Fatigue, Headache, Malaise
Clinical narrative: Client received first dose of Hepatitis B vaccine at approximately 3 pm on 5-7-07.  Reports she began feeling ill at 5pm that night.  She reported fatigue and a severe headache that did not respond to pain relievers.  Also reported having painful extremities and dull pressure under ribcage on right side.  Client did not seek medical care for symptoms.  She was unable to sleep that night due to headache.  Reports headache was improved by 4am.  On 5-9-07 client reported feeling better but still felt some fatigue/ malaise and still felt pressure under ribcage.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Client received first dose of Hepatitis B vaccine at approximately 3 pm on 5-7-07.  Reports she began feeling ill at 5pm that night.  She reported fatigue and a severe headache that did not respond to pain relievers.  Also reported having painful extremities and dull pressure under ribcage on right side.  Client did not seek medical care for symptoms.  She was unable to sleep that night due to headache.  Reports headache was improved by 4am.  On 5-9-07 client reported feeling better but still felt some fatigue/ malaise and still felt pressure under ribcage.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: swelling of arm
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site became swollen, red, sore, itchy and hot.  Area was approximately 4" X 5".  Day 4, swelling and itching is still present.  Day 5 five day,a quarter sized lump remains which is slightly itchy.  Self treated with cold compress, ibuprofen and anti-histamine (Clarinex).
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth
Clinical narrative: Injection site became swollen, red, sore, itchy and hot.  Area was approximately 4" X 5".  Day 4, swelling and itching is still present.  Day 5 five day,a quarter sized lump remains which is slightly itchy.  Self treated with cold compress, ibuprofen and anti-histamine (Clarinex).
Age: 30.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity, Paraesthesia, Radiculitis brachial
Clinical narrative: Continuing severe arm pain, tingling, possible brachial neuritis
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Eyelid disorder, Headache, Pruritus, Rash, Rash macular
Clinical narrative: Patient presented to clinic with 3 day history of truncal macular rash. Also had one day history of right lower eyelid lesion.  He had minimal pruritus with the rash, but did have a headache the first two days of the symptoms.  He denied nausea, vomiting, diarrhea, mylagias, or fever at home. Patient had received Vaccinia immunization (left arm) 02MAY2007 along with Anthrax and Typhoid (right arm). This patient was sent to the clinic for further examination of the right eye. He was allowed to go home with precautions regarding transmission of vaccinia. He was seen in the clinic 14MAY07. He will follow-up with our clinic in 3 days.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, IPV, TDAP
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: vomiting, diarrea, fever
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Blood glucose decreased, Guillain-Barre syndrome, Laboratory test, Muscular weakness, Red blood cell count normal
Clinical narrative: Sudden onset of muscle weakness on 5/8/07 during 5th period of middle school (about 1:30 pm). Gradual worsening by 5/10/07. Seen in ED 5/10/07. GBS diagnosis made by attending MD, Neuro consult 5/11/07 concurred diagnosis. Patient transferred on 5/11/07. Currently still hospitalized, awaiting transfer to rehab center closer to patient's home. 05/15/07-records received for DOS5/11-5/14/07-DC DX: Guillain Barre syndrome. Seen in ER for extremity weakness times four with increasing intensity the more distal on extremity. Weak grip and altered gait. Treated with IVIG. No significant improvement in extremity weakness however no ascension of weakness either. DC home. Annual followup 01/4/2010 While greatly improved since last inquiry (60 day post everd), father reports patient still has periods of fatigue and isn't 100% her old self. Mother reports patient was still in physical therapy 4 days per week untill early April. (08) 02/02/2010 Unable to run, general weakness in hands and feet, fatigue. She is able to wiggle her toes but can not "spread them" like she once could and the "balls of her feet don't work".
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Red blood cells CSF positive
Clinical narrative: Sudden onset of muscle weakness on 5/8/07 during 5th period of middle school (about 1:30 pm). Gradual worsening by 5/10/07. Seen in ED 5/10/07. GBS diagnosis made by attending MD, Neuro consult 5/11/07 concurred diagnosis. Patient transferred on 5/11/07. Currently still hospitalized, awaiting transfer to rehab center closer to patient's home. 05/15/07-records received for DOS5/11-5/14/07-DC DX: Guillain Barre syndrome. Seen in ER for extremity weakness times four with increasing intensity the more distal on extremity. Weak grip and altered gait. Treated with IVIG. No significant improvement in extremity weakness however no ascension of weakness either. DC home. Annual followup 01/4/2010 While greatly improved since last inquiry (60 day post everd), father reports patient still has periods of fatigue and isn't 100% her old self. Mother reports patient was still in physical therapy 4 days per week untill early April. (08) 02/02/2010 Unable to run, general weakness in hands and feet, fatigue. She is able to wiggle her toes but can not "spread them" like she once could and the "balls of her feet don't work".
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Muscular weakness
Clinical narrative: Sudden onset of muscle weakness on 5/8/07 during 5th period of middle school (about 1:30 pm). Gradual worsening by 5/10/07. Seen in ED 5/10/07. GBS diagnosis made by attending MD, Neuro consult 5/11/07 concurred diagnosis. Patient transferred on 5/11/07. Currently still hospitalized, awaiting transfer to rehab center closer to patient's home. 05/15/07-records received for DOS5/11-5/14/07-DC DX: Guillain Barre syndrome. Seen in ER for extremity weakness times four with increasing intensity the more distal on extremity. Weak grip and altered gait. Treated with IVIG. No significant improvement in extremity weakness however no ascension of weakness either. DC home. Annual followup 01/4/2010 While greatly improved since last inquiry (60 day post everd), father reports patient still has periods of fatigue and isn't 100% her old self. Mother reports patient was still in physical therapy 4 days per week untill early April. (08) 02/02/2010 Unable to run, general weakness in hands and feet, fatigue. She is able to wiggle her toes but can not "spread them" like she once could and the "balls of her feet don't work".
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Asthenia, Autoimmune disorder, Feeling abnormal, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Sudden onset of muscle weakness on 5/8/07 during 5th period of middle school (about 1:30 pm). Gradual worsening by 5/10/07. Seen in ED 5/10/07. GBS diagnosis made by attending MD, Neuro consult 5/11/07 concurred diagnosis. Patient transferred on 5/11/07. Currently still hospitalized, awaiting transfer to rehab center closer to patient's home. 05/15/07-records received for DOS5/11-5/14/07-DC DX: Guillain Barre syndrome. Seen in ER for extremity weakness times four with increasing intensity the more distal on extremity. Weak grip and altered gait. Treated with IVIG. No significant improvement in extremity weakness however no ascension of weakness either. DC home. Annual followup 01/4/2010 While greatly improved since last inquiry (60 day post everd), father reports patient still has periods of fatigue and isn't 100% her old self. Mother reports patient was still in physical therapy 4 days per week untill early April. (08) 02/02/2010 Unable to run, general weakness in hands and feet, fatigue. She is able to wiggle her toes but can not "spread them" like she once could and the "balls of her feet don't work".
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Monoplegia, Muscular weakness, Walking aid user
Clinical narrative: Sudden onset of muscle weakness on 5/8/07 during 5th period of middle school (about 1:30 pm). Gradual worsening by 5/10/07. Seen in ED 5/10/07. GBS diagnosis made by attending MD, Neuro consult 5/11/07 concurred diagnosis. Patient transferred on 5/11/07. Currently still hospitalized, awaiting transfer to rehab center closer to patient's home. 05/15/07-records received for DOS5/11-5/14/07-DC DX: Guillain Barre syndrome. Seen in ER for extremity weakness times four with increasing intensity the more distal on extremity. Weak grip and altered gait. Treated with IVIG. No significant improvement in extremity weakness however no ascension of weakness either. DC home. Annual followup 01/4/2010 While greatly improved since last inquiry (60 day post everd), father reports patient still has periods of fatigue and isn't 100% her old self. Mother reports patient was still in physical therapy 4 days per week untill early April. (08) 02/02/2010 Unable to run, general weakness in hands and feet, fatigue. She is able to wiggle her toes but can not "spread them" like she once could and the "balls of her feet don't work".
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Guillain-Barre syndrome
Clinical narrative: Sudden onset of muscle weakness on 5/8/07 during 5th period of middle school (about 1:30 pm). Gradual worsening by 5/10/07. Seen in ED 5/10/07. GBS diagnosis made by attending MD, Neuro consult 5/11/07 concurred diagnosis. Patient transferred on 5/11/07. Currently still hospitalized, awaiting transfer to rehab center closer to patient's home. 05/15/07-records received for DOS5/11-5/14/07-DC DX: Guillain Barre syndrome. Seen in ER for extremity weakness times four with increasing intensity the more distal on extremity. Weak grip and altered gait. Treated with IVIG. No significant improvement in extremity weakness however no ascension of weakness either. DC home. Annual followup 01/4/2010 While greatly improved since last inquiry (60 day post everd), father reports patient still has periods of fatigue and isn't 100% her old self. Mother reports patient was still in physical therapy 4 days per week untill early April. (08) 02/02/2010 Unable to run, general weakness in hands and feet, fatigue. She is able to wiggle her toes but can not "spread them" like she once could and the "balls of her feet don't work".
Age: 21.0
Sex: F
Vaccine: DTAP
Symptoms: Herpes zoster, Pain in extremity, Wrong drug administered
Clinical narrative: onset of L thigh pain < 24 hrs after received TdaP immunization , 2 days later had classic Herpes Zoster Rash along L3-4 distribution on L buttock/thigh
Sex: U
Vaccine: HPV4, MNQ
Symptoms: Convulsion, Drug exposure during pregnancy
Clinical narrative: Initial report received on 01 May 2007 from a health care professional. A neonate patient had received on 05 December 2006, transplacental vaccination with Menactra (lot# U1809AA), 0.5 ml intra-muscular into the right deltoid, and Gardasil (lot# 0868F), 0.5 ml intra-muscular into the left deltoid. The patient's mom was unaware of pregnancy prior, therefore did not have prenatal care. The patient's mother experienced abdominal pain prior to going to the hospital and took hydrocodone prior to going to the hospital, when she delivered a baby on 23 April 2007. Meconium stated upon delivery. Baby was having seizures and was transferred to neonatal care where baby remained. The reporter denied that the patient's mother was on current medications. The patient's mother medical history included recurrent tonsillitis. The mother case number is 2007-01504.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Alanine aminotransferase increased, Hepatitis B antibody negative, Hepatitis B surface antigen negative, Weight decreased
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of elevated alanine aminotransferase in a 17-year-old female subject who was vaccinated with Engerix B for prophylaxis. On 9 November 1998, 8 May 1998 and 9 April 1998 the subject received 3rd dose, 2nd dose and 1st dose of Engerix B (10 mcg, unknown) to complete the three dose series. Lot numbers of ENG2599A4 and ENG2725A2 were provided, but corresponding dose numbers were not specified. On an unspecified date in 2007, the subject began to experience weight loss. As a result, the healthcare provider/reporter decided to check the subject's liver enzymes. The subject's alanine aminotransferase (ALT) level came back elevated. The subject's ALT was rechecked later and a hepatitis B panel was done. The hepatitis B antibody came back negative as well as the surface antigen. ALT was still elevated. The reporter did not believe that the weight loss and elevated ALT was related to vaccination with Engerix B. The reporter was only concerned with the negative hepatitis B antibody. This case was assessed as medically serious by manufacturer. At the time of reporting the outcome of the events were was unspecified.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Anaphylactic reaction, Muscle tightness, Palpitations, Throat tightness
Clinical narrative: Information has been received from a physician concerning a 76 year old female with drug hypersensitivity who experienced an anaphylactic reaction on 25-APR-2007 after being vaccinated with a .65 ml dose of Zostavax. The reaction was described as racing heart, felt like throat was closing up, and tightness of the neck. The patient carries Benadryl Elixir 50 due to sensitivity to medication, which was administered. The patient was taken to the ER and administered IV famotidine and IV steroids. The patient was kept overnight for observation and released the next day. There was no product quality complaint. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Convulsion, Drug exposure during pregnancy, Premature baby
Clinical narrative: Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first dose of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was pregnant. The patient stated that she did not know that she was pregnant. The patient received no prenatal care. The patient delivered a female infant with and estimated gestational age of 32-36 weeks on April 22 or 23, 2007. In April 2007 after delivery, the infant experienced seizures. The nurse reports that after delivery the infant was transferred to another hospital. After internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Age: 1.2
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Autism, Decreased eye contact, Disturbance in attention, Speech disorder developmental
Clinical narrative: Autism - Severe.  5/22/07 Received provider medical records which include records from hospital, school, audio/speech & labs. Language delays noted approx age 2 & was referred to early intervention which did reveal language & social delay, diminished eye contact & short attention span.  9/03 started 5-day program at special school w/ST, PT & OT. FINAL Dx: Autism Spectrum disorder; global developmental delay; pica; intellectual limitation. Autism, no speaking
Age: 89.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Rash, Rash vesicular, Skin lesion
Clinical narrative: On April 29, patient developed marked eruption of pox-like lesions over torso, legs, arms, buttocks PO, then IV Acyclovir was started with slow resolution in symptoms over the next week.
Age: 89.0
Sex: M
Vaccine: VARZOS
Symptoms: Viral DNA test positive
Clinical narrative: On April 29, patient developed marked eruption of pox-like lesions over torso, legs, arms, buttocks PO, then IV Acyclovir was started with slow resolution in symptoms over the next week.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Autism, Decreased eye contact, Occupational therapy, Physiotherapy, Speech rehabilitation
Clinical narrative: Severe Autism.  6/19/07 Received PCP medical records Received provider medical records which include records from hospital, school, audio/speech & labs. Language delays noted approx age 2 & was referred to early intervention which did reveal language & social delay, diminished eye contact & short attention span.  9/03 started 5-day program at special school w/ST, PT & OT. FINAL Dx: Autism Spectrum disorder; global developmental delay; pica; intellectual limitation. 1/4/10 Autism,  no speaking.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Haematochezia, Pyrexia, Rash
Clinical narrative: 4/25/07 24 hrs after Rotateq profuse Diarrhea and fever (11-12 watery stools). Some til 5/3/07 when blood seen. Patient recovered by 5/7/07 but also had facial rash now.  6/5/07 Received vax records from PCP which provide additional vaccines received along w/Rotateq, dose 1, Lot # as reported.  VAERS database updated w/same.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Electromyogram, Full blood count, Guillain-Barre syndrome, Lumbar puncture, Mycoplasma serology positive
Clinical narrative: Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: CSF cell count, CSF glucose decreased, CSF protein increased, CSF white blood cell count increased, Cough
Clinical narrative: (URI), fever 105F ax, inconsolable crying, "some diarrhea", cough, runny nose.  5/18/07 Received medical records from hospital which reveal patient experienced fever for approx 5 days since receiving vax.  On day of vax, PCP noted reddened right TM but no antibiotics started.  Developed fever & became fussy.  Returned to PCP & started on antibiotics.  Had runny nose, congestion & cough for approx 5 days.  Patient's older brother had cold & OM.Diarrhea x 3 days PTA, vomiting began on day of admit & taken to ER.    LP done was abnormal & admitted 5/2/07-5/5/07 w/meningitis.  Temp in ER was 102.8  Treated w/IV antibiotics & d/c to home on continued oral antibiotics. FINAL DX: meningitis/ss 6/26/07 Received pcp med recs which corrected RO lot #.  VAERS database updated w/same.  Records indicate patient in good health on day of vax.  RTC on 4/30 w/ fever, inconsolable crying & tugging on right ear.  Cold s/s w/cough, nasal congestion & runny nose.  DX w/right otitis media & started on antibiotics.  Records include partial hospital records which reveal patient admitted 5/2-5/5/07 for fever x 5 days, diarrhea x 3 days & vomiting on day of admit.  Sibling recently ill w/cold URI & ear infection.  RTC on 5/7 & was on continued oral antibiotics & doing well w/fluid noted right ear but no redness.  Hospital d/c summary for 10/2-10/6/06 admit for enterovirus meningitis also included. FINAL DX: Aseptic meningitis.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Crying, Diarrhoea, Pyrexia, Rhinorrhoea, Upper respiratory tract infection
Clinical narrative: (URI), fever 105F ax, inconsolable crying, "some diarrhea", cough, runny nose.  5/18/07 Received medical records from hospital which reveal patient experienced fever for approx 5 days since receiving vax.  On day of vax, PCP noted reddened right TM but no antibiotics started.  Developed fever & became fussy.  Returned to PCP & started on antibiotics.  Had runny nose, congestion & cough for approx 5 days.  Patient's older brother had cold & OM.Diarrhea x 3 days PTA, vomiting began on day of admit & taken to ER.    LP done was abnormal & admitted 5/2/07-5/5/07 w/meningitis.  Temp in ER was 102.8  Treated w/IV antibiotics & d/c to home on continued oral antibiotics. FINAL DX: meningitis/ss 6/26/07 Received pcp med recs which corrected RO lot #.  VAERS database updated w/same.  Records indicate patient in good health on day of vax.  RTC on 4/30 w/ fever, inconsolable crying & tugging on right ear.  Cold s/s w/cough, nasal congestion & runny nose.  DX w/right otitis media & started on antibiotics.  Records include partial hospital records which reveal patient admitted 5/2-5/5/07 for fever x 5 days, diarrhea x 3 days & vomiting on day of admit.  Sibling recently ill w/cold URI & ear infection.  RTC on 5/7 & was on continued oral antibiotics & doing well w/fluid noted right ear but no redness.  Hospital d/c summary for 10/2-10/6/06 admit for enterovirus meningitis also included. FINAL DX: Aseptic meningitis.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Cold sweat, Dizziness, Syncope
Clinical narrative: Pt C/O feeling dizzy, pt fainted, skin cold and clammy; pt regained consciousness and vital were within normal range; pt rested with a cold pack to her forehead.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Syncope
Clinical narrative: Pt C/O feeling dizzy, pt fainted, skin cold and clammy; pt regained consciousness and vital were within normal range; pt rested with a cold pack to her forehead.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Dizziness, Fatigue, Nausea, Vomiting
Clinical narrative: Pt complaining with nausea, dizziness, and fatigue, vomiting.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Pt complaining with nausea, dizziness, and fatigue, vomiting.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Pt c/o light headiness, dizziness, and tingling at injection site. Pt was instructed to lie down and rest.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Asthenia, Dizziness, Paraesthesia
Clinical narrative: Pt c/o light headiness, dizziness, and tingling at injection site. Pt was instructed to lie down and rest.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Computerised tomogram normal, Headache, Lumbar puncture, Lumbar puncture normal, Rash
Clinical narrative: 5/3 Headache started that evening. 5/9 worsening headache, beginning rash. RX Vicodin and Zyrtec. 5/9 later -went to ER - Had CT of Brain, RX IV Benadryl 5/11 back to ER for HA, had spinal tap.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Scan brain
Clinical narrative: 5/3 Headache started that evening. 5/9 worsening headache, beginning rash. RX Vicodin and Zyrtec. 5/9 later -went to ER - Had CT of Brain, RX IV Benadryl 5/11 back to ER for HA, had spinal tap.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Pain, Pyrexia
Clinical narrative: Fever, body aches, Arm red and hard. Tx'd with Claritin, Tylenol, Celestone
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Hepatic enzyme increased, Inappropriate schedule of drug administration, Injection site erythema, Injection site warmth, Medication error
Clinical narrative: 3 hours after inj the site developed warm, red, raised area approx 5cmx5cm. On 5/8/07 pt reported area nearly resolved to only 2cmx2cm light pink non-raised, non-tender.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Tenderness
Clinical narrative: 10 x 7 1/2 cm erythema with central raised area tender to touch
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site induration, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Pt received Adacel about 900 am - woke up that night around 0130am with fever of 102.5F and body/joint aches. These symptoms lasted 48 hrs. She took ibuprofen to help decrease fever. Injection site was also warm to touch and hard - although today (5/7/07) this has resolved but arm is still sore.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Pt received Adacel about 900 am - woke up that night around 0130am with fever of 102.5F and body/joint aches. These symptoms lasted 48 hrs. She took ibuprofen to help decrease fever. Injection site was also warm to touch and hard - although today (5/7/07) this has resolved but arm is still sore.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Started itching around 3pm day of administration (given about 1030-1045am) noticed large hives around 5pm. Next morning got a prescription for prednisone. On 5/7/07 mostly cleared - although still has some hives and itching.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pruritus, Injection site pustule
Clinical narrative: Small pimple-like sore at the injection site. Itching at the injection site.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Blister, Injection site erythema
Clinical narrative: 1 week after ProQuad administration patient developed erythema raised area at injection site and multiple vesicles on trunk and in diaper area.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Blister, Injection site erythema
Clinical narrative: 1 week after ProQuad administration, patient developed erythematous raised area at injection site and several vesicles on trunk.
Age: 4.0
Sex: F
Vaccine: IPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PT received Dtap #5 on 5-3-07.Came back to clinic 5-5-07 c/o redness, swelling and pain at injection site - L deltoid.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever (102.2), body aches, fatigue, headache - SX lasted > 24 hours
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea, Myalgia, Pyrexia
Clinical narrative: Fever (102.2), body aches, fatigue, headache - SX lasted > 24 hours
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: DX: Allergic Reaction, redness, swelling at site of injection warm to touch pain at site of injection. Benadryl - cool compress
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Induration
Clinical narrative: On 1st left arm red, seen on day 3 after  immunization slight erythema and induration 2.7 cm upper arm indurated.
Age: 1.1
Sex: M
Vaccine: HEPA, HIBV, MMRV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever to 104.4 for 2 days seizure x 2 (day 1 & day 2)
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Diarrhoea, Pyrexia, Rash, Vomiting
Clinical narrative: Rash L Arm, Fever to 103.4 vomiting/diarrhea 3 days post vaccine siblings did not become ill
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Anorexia, Axillary mass, Body temperature increased, Dizziness, Feeling abnormal
Clinical narrative: intense flu-like symptoms, severe pain in both shoulders, entire left arm felt strange and painful, very large, hard swelling at injection site, very large swelling and lump in arm pit so much so that arm could not rest at side of body comfortably. Heavy nausea, unusual sleepiness, light headedness, sore throat, sometimes needed assistance when walking, loss of appetite. Still feel some residual pain and discomfort at injection site and in armpit. Temperature reached 100.4 at its peak.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Gait disturbance, Influenza like illness, Injection site discomfort, Injection site induration, Injection site pain
Clinical narrative: intense flu-like symptoms, severe pain in both shoulders, entire left arm felt strange and painful, very large, hard swelling at injection site, very large swelling and lump in arm pit so much so that arm could not rest at side of body comfortably. Heavy nausea, unusual sleepiness, light headedness, sore throat, sometimes needed assistance when walking, loss of appetite. Still feel some residual pain and discomfort at injection site and in armpit. Temperature reached 100.4 at its peak.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Musculoskeletal pain, Nausea, Nodule, Pain in extremity
Clinical narrative: intense flu-like symptoms, severe pain in both shoulders, entire left arm felt strange and painful, very large, hard swelling at injection site, very large swelling and lump in arm pit so much so that arm could not rest at side of body comfortably. Heavy nausea, unusual sleepiness, light headedness, sore throat, sometimes needed assistance when walking, loss of appetite. Still feel some residual pain and discomfort at injection site and in armpit. Temperature reached 100.4 at its peak.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Pharyngolaryngeal pain, Somnolence
Clinical narrative: intense flu-like symptoms, severe pain in both shoulders, entire left arm felt strange and painful, very large, hard swelling at injection site, very large swelling and lump in arm pit so much so that arm could not rest at side of body comfortably. Heavy nausea, unusual sleepiness, light headedness, sore throat, sometimes needed assistance when walking, loss of appetite. Still feel some residual pain and discomfort at injection site and in armpit. Temperature reached 100.4 at its peak.
Age: 58.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Over the first 24 hours after receiving vaccine, pt developed swelling and redness in the L arm with some edema. Area was painful, but denies fever,chills, SOB, or chest pain. Took Benadryl before OV. Gave Decadron in the office.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Paraesthesia
Clinical narrative: Vaccine received on 5-3-07. Lump and redness at site noticed on 5-5-07. Continues on 5-8-07. Some tingling sensation at injection site noted on 5-8-07. Tender 3cm nodule at injection site, 5-8-07, no wheezing, no distent rash, no orthostatic, hypotension, no oral swelling.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Oedema peripheral, Petechiae
Clinical narrative: Swelling of bilateral legs L>R by report seen at ER pm day of reaction. Examined by me 1 day later. + lower ext petechiae few scattered, spoke to father 05/09/07 no rash, no fever and no leg swelling
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Sat 5-5-07 fever 101 AX, Sun 5-6-07 fever 103.8 AX, fussy
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt developed hives and itching the day after vaccine was administered. Began taking Benadryl OTC x 3 days with no relief. On 04/30/07 went to ER. She was prescribed Atarax x 14 days. By May 6, 2007 all symptoms had been resolved.
Age: 1.0
Sex: M
Vaccine: HBHEPB, HEPA, MMRV
Symptoms: Pyrexia, Rash
Clinical narrative: Fine rash on body, fever 101.3
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Pt states she noticed nickel size knot at inj site around 6 days post inj. Has not D'd in site-tender to touch.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site reaction
Clinical narrative: Reaction at site from Dtap injection at upper right thigh
Age: 27.0
Sex: M
Vaccine: FLU3, HEPAB, MNQ, TD
Symptoms: Full blood count, Joint swelling, Oedema peripheral, Rheumatoid factor
Clinical narrative: Swollen upper extremities bilaterally and Bilateral ankle swelling. Noticed symptoms after receiving immunizations.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Paraesthesia
Clinical narrative: 5/7 "Nipple area" very uncomfortable on side of vaccine administration, c/o Prickly" feeling. No rash wonder if shingles. Advised to contact PCP. PCP (OB/Gyn) advised he to watch I said it was a reaction to the vaccine 5/8 "subsiding"
Age: 17.0
Sex: F
Vaccine: HEP, HPV4, MNQ
Symptoms: Drug exposure during pregnancy
Clinical narrative: Discovered she was pregnant 5-3-07 LMP 2-14-07
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, MNQ, TDAP
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin increased, Hepatitis A
Clinical narrative: Pt received hep A, Hep B, Menactra and Tdap on 3/22/07. On 4/6/07 Pt evaluated in office for RUQ ABD pain nausea and vomiting. Labs revealed acute hepatitis. Hep Panel over 3 visits revealed Hepatitis A
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, MNQ, TDAP
Symptoms: Hepatitis A antibody positive, Hepatitis B antibody negative, Hepatitis C test negative, Nausea, Vaccination failure
Clinical narrative: Pt received hep A, Hep B, Menactra and Tdap on 3/22/07. On 4/6/07 Pt evaluated in office for RUQ ABD pain nausea and vomiting. Labs revealed acute hepatitis. Hep Panel over 3 visits revealed Hepatitis A
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: Pt received hep A, Hep B, Menactra and Tdap on 3/22/07. On 4/6/07 Pt evaluated in office for RUQ ABD pain nausea and vomiting. Labs revealed acute hepatitis. Hep Panel over 3 visits revealed Hepatitis A
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Headache, Influenza like illness, Injection site erythema, Injection site mass
Clinical narrative: 4/24 injection site, hot, red, raised and hard knot, sized of 50 cent piece. 4/25  injection site, hot, red, raised and hard knot, sized of 50 cent piece. 4/26 and 4/27 Began to feel awful, aches all over, flu-like, teeth hurt, knees and arms ached, some electrical type shooting pains stomach, both forearms, felt hot (fever), dull headache. Took Aleve, Tylenol and Benadryl. 4/28 better.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Pain, Toothache
Clinical narrative: 4/24 injection site, hot, red, raised and hard knot, sized of 50 cent piece. 4/25  injection site, hot, red, raised and hard knot, sized of 50 cent piece. 4/26 and 4/27 Began to feel awful, aches all over, flu-like, teeth hurt, knees and arms ached, some electrical type shooting pains stomach, both forearms, felt hot (fever), dull headache. Took Aleve, Tylenol and Benadryl. 4/28 better.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Skin warm
Clinical narrative: 5-8-07 seen in clinic 24 hours after vaccinations L upper arm - deltoid muscle - swollen, red, tender, warm to touch. Tx with Keflex TZD X 10D 2 cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Blister, Erythema, Injection site swelling, Skin warm
Clinical narrative: Vaccine update 5/3/2007 at age 4. Next am Mom noted swelling right arm shoulder to elbow, radiating to right chest wall. Sought care at ER. Told vaccine reaction , to use Benadryl for 4 hrs until resolved. A braided areas at prior location of band aid edges, some minor redness , warm mid arm noted at 5/17/07 office visit. Band Aid area had been blistered per ER report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Erythema, induration and swelling at injection site. Pt seen next day - erythema 3.1/2" x 2.1/2" and induration 1.1/2 x 1.1/2 . Monitor - no positive necessary
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash papular
Clinical narrative: Papular rash on chest and back reassurance by MD
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Rash
Clinical narrative: 24 hrs after shot noticed redness and swelling to R arm. Rash continued down the arm to the wrist up the arm to shoulder, torso, neck and R cheek, + itchy. No cellulitis no induration at shot location.
Age: 1.3
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site discolouration, Injection site swelling
Clinical narrative: Approximately 3 or 4 min after Dtap; IM injection in L deltoid, there was a localized swelling about 3cm x 1 1/2cm whitish raised area above the injection site. Approximately 1/2 inch above. Child observed x 25 min. Area very slightly raised
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Chills, Febrile convulsion, Pyrexia
Clinical narrative: Mom noted onset high fever 2 days after vaccines; reduced by Tylenol/Ibuprofen, cooler ambient temp and decreased clothing, temp spike occurred (>105 deg) while with another caregiver who "bundled baby up, "when noted to be shivering"; febrile seizure occurred x 1 lasting about one minute taken to ER.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling, redness on R arm.
Age: 35.0
Sex: M
Vaccine: JEV
Symptoms: Disturbance in attention, Eosinophil count increased, Headache, Neck pain, Rash
Clinical narrative: Severe posterior neck pain within hours of 2nd dose of JE vaccine. Then headache, and mental fogginess. Sx persisting 9 days. Abdom rash noted. Symptomatic RX.
Age: 35.0
Sex: M
Vaccine: JEV
Symptoms: White blood cell count
Clinical narrative: Severe posterior neck pain within hours of 2nd dose of JE vaccine. Then headache, and mental fogginess. Sx persisting 9 days. Abdom rash noted. Symptomatic RX.
Age: 30.0
Sex: F
Vaccine: ANTH, FLUN3
Symptoms: Antinuclear antibody positive, Arthralgia, C-reactive protein increased, Fatigue, Histone antibody positive
Clinical narrative: Service member had flu-like symptoms after her first anthrax vaccine, otherwise did not experience significant local or prolonged systemic symptoms following her anthrax vaccines 1-4. Service member received the Flumist vaccine in November 2005 and did not experience any local reaction (intranasally) or prolonged systemic symptoms until August 2006. At that time, she developed arthralgias, fatigue, and migraine headaches. She was diagnosed with SLE in Sept 2006 and is currently being treated by a Rheumatologist. She takes Plaquenil, Prednisone, and as needed Percocet. She is pending a neurology evaluation of her headaches.
Age: 30.0
Sex: F
Vaccine: ANTH, FLUN3
Symptoms: Influenza like illness, Migraine, Red blood cell sedimentation rate increased, Systemic lupus erythematosus
Clinical narrative: Service member had flu-like symptoms after her first anthrax vaccine, otherwise did not experience significant local or prolonged systemic symptoms following her anthrax vaccines 1-4. Service member received the Flumist vaccine in November 2005 and did not experience any local reaction (intranasally) or prolonged systemic symptoms until August 2006. At that time, she developed arthralgias, fatigue, and migraine headaches. She was diagnosed with SLE in Sept 2006 and is currently being treated by a Rheumatologist. She takes Plaquenil, Prednisone, and as needed Percocet. She is pending a neurology evaluation of her headaches.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 24 hrs. after vaccine developed redness and swelling at arm where VZV was given
Age: 5.0
Sex: U
Vaccine: VARCEL
Symptoms: Induration, Local reaction, Rash erythematous, Swelling
Clinical narrative: Pt reported local rash with redness, swelling induration about 3 x 2.5 cm
Age: 0.9
Sex: F
Vaccine: HIBV, PNC
Symptoms: Decreased appetite, Otitis media, Sneezing, Vomiting
Clinical narrative: Received HIB/Prevnar 5/8/07, fever 5/9/07 103 - sneezing and decreased appetite vomiting with Tylenol or food yesterday - decrease appetite except breast milk; left otitis media results in Antibiotics
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella < 50 lesions
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella 50 - 500 lesions
Age: 1.9
Sex: M
Vaccine: VARCEL
Symptoms: Skin lesion, Varicella
Clinical narrative: Varicella 50-500 lesions
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella 50 - 500 lesions
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella 50 - 500 lesions
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella < 50 lesions
Age: 1.1
Sex: M
Vaccine: VARCEL
Symptoms: Skin lesion, Varicella
Clinical narrative: Varicella less than 50 lesions.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella less than 50 lesions
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis of left thigh requiring antibiotics.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Stomach discomfort
Clinical narrative: Get sick all the time, headache, stomach sickness
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Myalgia
Clinical narrative: Mild erythema, muscle soreness to leg - do not feel allergic reaction - more muscular.
Age: 1.0
Sex: F
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Varicella
Clinical narrative: Dx chicken Pox 5-9-07
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Skin warm
Clinical narrative: Left 10cm X 10cm erythematous arm, warm 20.75 ca circumference. Right arm 18.75 ca circumference PRN Tylenol, Benadryl, Atarax and Keflex.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Urticaria
Clinical narrative: Had a Dtap/Hib vaccine on 4-30-07 at 1100am. On 5-1-07 700AM developed hives on face only - at 415P hives on arms, face, legs back - Benadryl given resolved. Hives again in AM only X 2 days - resolved with one dose Benadryl. At PE on 4-30-07 mom discussed adding milk into diet - had ice cream that night (beast fed) questionable milk allergy. Since 5-1 had had milk products and has not developed hives.
Age: 64.0
Sex: F
Vaccine: HEP
Symptoms: Mobility decreased, Pain
Clinical narrative: Patient given adult Hep B #3 in right deltoid on 4/30/07. Stated always has trouble with right arm after shot was given and c/o pain during and after administration. 5/1/07 c/p pain, no redness or swelling, unable to do ROH 5/1/07 saw PHD. Doctor treatment analgesics and muscle relaxers. 5/7/07 Reports is better.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Site of injection swollen, red, and red streaks going away from site per mother. Swelling started approximately 2 (two) hours after injection and fever started about the same time. Fever reached 102 Wednesday and Thursday. Back to normal Friday. Swelling, redness resolved Friday.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Arthropathy
Clinical narrative: Pain in joints, loose of joint flexibility, amnesia - non severe.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Redness, swelling, pain left deltoid. Patient running fever. Doctor prescribed Keflex 500 TID x 10 days.
Age: 19.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Broke out with hives
Age: 19.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Broke out with hives
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5, RV5
Symptoms: Intussusception, Screaming, Sleep disorder, Vomiting
Clinical narrative: Information has been received from a licensed practical nurse concerning a 7 month old female with no medical history or allergies who on 21-APR-2007 was vaccinated with a 2 mL PO dose of Rotateq (lot # 653915/0398F). There was no concomitant medication. On 29-APR-2007 the patient developed intussusception and was treated with an air enema at the local emergency room. The treatment seemed to have correct the intussusception and there were no other symptoms noted. At the time of the report the patient had recovered. There was no product quality complaint involved. The patient's intussusception was considered to be life threatening and an other important medical event. Additional information has been requested.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a licensed practical nurse concerning a 7 month old female with no medical history or allergies who on 21-APR-2007 was vaccinated with a 2 mL PO dose of Rotateq (lot # 653915/0398F). There was no concomitant medication. On 29-APR-2007 the patient developed intussusception and was treated with an air enema at the local emergency room. The treatment seemed to have correct the intussusception and there were no other symptoms noted. At the time of the report the patient had recovered. There was no product quality complaint involved. The patient's intussusception was considered to be life threatening and an other important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Conjunctivitis, Eye infection, Periorbital oedema
Clinical narrative: HD was notified by clinic that child reported to clinic with eyes swelling-Benadryl given po and s/s began to resolve. Have labed record-possible Neomycin allergy
Age: 4.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Drug hypersensitivity, Eye oedema
Clinical narrative: HD was notified by clinic that child reported to clinic with eyes swelling-Benadryl given po and s/s began to resolve. Have labed record-possible Neomycin allergy
Age: 4.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Eye swelling
Clinical narrative: HD was notified by clinic that child reported to clinic with eyes swelling-Benadryl given po and s/s began to resolve. Have labed record-possible Neomycin allergy
Age: 0.1
Sex: F
Vaccine: HEP
Symptoms: Death
Clinical narrative: Death within 24 hours.  5/18/07 Received medical records from PCP which reveal patient initial exam in office placed her on wt percentile 2 & ht percentile 14 w/weight of 5 lbs 10 oz.  Next vs of 4/12 for parent concern of weight loss.  Wt was 5 lbs 8 oz.  MD instructed on feeding & planned to hospitalize patient on 4/16 if not improved.  Next vs on 5/3 day of vax after having been seen in ER for abdominal pain & received suppositories in ER w/good results.  Dx w/constipation. Weight 6 lbs 13 oz.  6/12/07 Rceived vax record from pcp which confirms lot & dose # as reported.  6/21/07 Received autopsy report which reveals COD as SIDS.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, Culture stool negative, Dehydration, Diarrhoea
Clinical narrative: Information has been received from a physician concerning a 10-week-old male born prematurely who on 12-MAR-2007 was vaccinated PO with the first dose of Rotateq (Lot #656188/1238F). Concomitant vaccination administered on that day included the first IM dose in the left thigh of Pediarix (Lot #AC21B084BA), the first IM dose in the right thigh of PedvaxHib (Lot #654397/1014F) and the first IM dose in the right thigh of Prevnar (130867207). There was no illness at the time of vaccination. The physician reported that on 27-MAR-2007, the patient developed diarrhea. On 02-APR-2007, the patient presented to the physician's office with continued diarrhea. On 04-APR-2007, the developed dehydration and was hospitalized that same day. Stool cultures and blood cultures were both negative. On 08-APR-2007, the patient was discharged from the hospital. At the time of this report, the patient's diarrhea and dehydration persisted. The physician also considered the diarrhea and dehydration other important medical events since they required a GI referral. Additional information has been requested.