VAERS_ID,S_DATE,STATE,AGE_YRS,SEX,RPT_DATE,SYMPTOM_TEXT,SYM_CNT,SYM01,SYM02,SYM03,SYM04,SYM05,SYM06,SYM07,SYM08,SYM09,SYM10,SYM11,SYM12,SYM13,SYM14,SYM15,SYM16,SYM17,SYM18,SYM19,SYM20,DIED,DATEDIED,L_THREAT,ER_VISIT,HOSPITAL,HOSPDAYS,X_STAY,DISABLE,RECOVD,VAX_DATE,ONSET_DATE,NUMDAYS,LAB_DATA,VAX_CNT,VAX1,VAX2,VAX3,VAX4,VAX5,VAX6,VAX7,VAX8,V_ADMINBY,V_FUNDBY,OTHER_MEDS,CUR_ILL,HISTORY,PRIOR_VAX
025001,07/05/1990,WI,0.2,F,,"Loud intense cry with screaming for 1 1/2 hrs.  Seen next day, child  normal.",1,AGITATION,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/04/1990,06/04/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025003,07/05/1990,TX,0.8,M,,"Hypotonic, Hyporesponsive episode, Infant died: Reyes text Syndrome.  Vaccine given for routine immunizations.",3,BRAIN SYND ACUTE,HYPOKINESIA,HYPOTONIA,,,,,,,,,,,,,,,,,,Y,,,,,,,,N,01/29/1990,02/04/1990,6,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025004,07/05/1990,NY,0.9,M,,"Pt developed chills for approx. 1 hr, felt achy all over, genital area turned red with some swelling, no pain 24 hrs later, now has pain in genital area. Genitals pain, swelling, redness for 8 days. Fever, dematitis contact, rigors",4,CHILLS,DERM CONTACT,EDEMA GENITAL,PAIN PELVIC,,,,,,,,,,,,,,,,,,,,,,,,,U,11/13/1989,11/13/1989,0,,1,OPV,,,,,,,,UNK,UNK,,,,
025005,07/05/1990,OK,,U,,"7 patients within 2 weeks have reported joint pain & tenderness which radiated up to the shoulder, redness & slight swelling @ injection site, no treatment prescribed, 1 patient is due to visit a neurologist for shoulder. Vaccines routine",3,ARTHRITIS,EDEMA INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,UNK,UNK,,,,
025006,07/05/1990,OH,16.7,F,,16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization.  MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine,2,CONVULS,DIZZINESS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/17/1989,11/17/1989,0,,2,MMR,TD,,,,,,,UNK,UNK,,,no hx of local or systemic rxns,
025007,07/05/1990,OR,39.0,U,,2 or 3 patients who received immunization & developed swollen red arm.,2,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,OTH,OTH,,,,
025008,07/05/1990,,75.5,F,,"Pt developed an inject site rxn. Aea was erthematous, hard & warm to touch several days /p immunization, treated  w/ Benadryl.",2,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/05/1989,,,,1,TD,,,,,,,,PVT,UNK,,,,
025015,07/05/1990,GA,,U,,"vaccine contained large amount of sediment which will not resuspend.  Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn",2,FEVER,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/01/1989,11/01/1989,0,n/a,1,DTP,,,,,,,,UNK,UNK,,,,
025087,07/09/1990,CA,,F,,"5 pts experienced fever,chills,nausea,vomiting within 48 hrs after immunization. All pts received immun from same vial between 6-1-90 and 6-15-90.One pt treated with tylenol and compazine.",4,CHILLS,FEVER,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,,,,
025088,07/09/1990,CA,,F,,"5 PTS EXPERIENCED FEVER,CHILLS,NAUSEA,AND VOMITING WITHIN 48 HRS AFTER IMMUNIZATION.ALL PTS RECEIVED IMMUN FROM SAME VIAL BETWEEN 6-1-89 AND 6-15-89. ONE PT TREATED WITH TYLENOL AND COMPAZINE",4,CHILLS,FEVER,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,PVT,,,,
025089,07/09/1990,CA,,F,,"5 PTS EXPERIENCED FEVER, CHILLS, NAUSEA, VOMITING 48 HRS AFTER IMMUNIZATION.ALLPTS RECEIVED IMMUN FROM SAME VIAL BETWEEN 6-1-89 AND 6-15-89.ONE PT TREATED WITH TYLENOL AND COMPAZINE.",4,CHILLS,FEVER,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,PVT,,,,
025090,07/09/1990,CA,,F,,"5 PTS EXPERIENCED FEVER,CHILLS,NAUSEA AND VOMITING WITHIN 48 HRS AFTER IMMUNIZATION. ALL PTS RECEIVED IMMUN FROM SAME VIAL BETWEEN 6-1-89 AND 6-15-89.ONE PT TREATED WITH TYLENOL AND COMPAZINE",4,CHILLS,FEVER,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,PVT,,,,
025091,07/09/1990,NY,2.0,U,,"pt nearly fainted-no loc,sweating, bp dropped aprox 5-10 min after vac.",3,DIZZINESS,HYPOTENS,SWEAT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,PVT,,,,
025092,07/09/1990,NY,10.0,U,,"Pt nearly fainted - no loss of consciousness, sweating and blood pressure dropped approximately 5-10 minutes after vaccination.",3,DIZZINESS,HYPOTENS,SWEAT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025093,07/09/1990,TX,14.0,F,,"Pt recvd TD Booster on 17-ARP-89, after stepping on a nail, returned to office on 19-APR-89, complaining of temp 99.5, pain at site of injection, radiating upper arm to neck; had swelling, redness, tenderness at site of injection.",4,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,04/17/1989,04/17/1989,0,,1,TD,,,,,,,,UNK,UNK,,,,
025094,07/09/1990,CA,,U,,One of five patients who experienced swelling of injection site and fever (1-3 days) after immunization.,2,EDEMA INJECT SITE,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025095,07/09/1990,CA,,U,,One of five pt who experienced swelling of injection site and fever (1-3 days) after immunization.,2,EDEMA INJECT SITE,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025096,07/09/1990,CA,,U,,"Approximately 15 pt developed induration, swelling, redness and pain on the entire arm.",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,UNK,UNK,,,,
025097,07/09/1990,TX,,U,,"One of three healthy, young, adult pt who developed vasovagal syncopal episode within 5 minutes of immunization.  recovered uneventfully.",1,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025098,07/09/1990,TX,,U,,"One of three healthy, young, adult pt who developed vasovagal syncopal episode within 5 minutes of immunization.  Recovered uneventfully.",1,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025099,07/09/1990,TX,,U,,"One of three healthy, young, adult pt who developed vasobagal syncopal episode within 5 minutes of immunization.  Recovered uneventfully.",1,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025100,07/09/1990,TX,,U,,Pt fainted within 15 minutes after immunization.,1,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025101,07/09/1990,TX,,U,,Pt fainted within 15 minutes after immunization.,1,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025102,07/09/1990,NY,1.5,F,,"Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.",5,CONVULS,FEVER,HEMIPLEGIA,MENTAL RETARD,PERSON DIS,,,,,,,,,,,,,,,,,,,,Y,,,Y,,12/09/1981,,,,1,DTP,,,,,,,,UNK,UNK,,,,
025103,07/09/1990,TX,15.0,M,,"4-APR-89 came in for TD Booster. Last booster had been given 1-MAR-79.  Returned to office 6-APR-89, complaining of pain, redness and swwelling at site of injection.  Also had fever up to 103.  Physician noted on chart modify next dose.",4,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,04/04/1989,,,1,TD,,,,,,,,PVT,UNK,,,,
025104,07/09/1990,NE,0.7,F,,"Child given DTP on 11-DEC-89.  Four Hrs later at home turned pale, eyes rolled back, became limp, bumped chin on high chair.  No seizure activity.  Examined in office; temp 102, otherwise fine.  Child hospitalized and place on monitor.",3,EYES GAZE UPWARD,HYPOTONIA,INJURY ACCID,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
025105,07/09/1990,CO,7.0,F,,7 1/2 year old child had reaction (symptoms unspecified),1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
025106,07/09/1990,NY,0.6,M,,"7 month old infant received 3rd immunization and 1 hr later developed shaking movements of extremities, and lips turned blue for a duration of approximately 30 minutes, then alert and active.  Neuro exam significant for tendency lt hand.",3,CONVULS,CYANOSIS,TWITCH,,,,,,,,,,,,,,,,,,,,,,,,,,,12/06/1989,12/07/1989,1,"CSF - WBC = 0, RBC=5, CSF Protein=13, Glucose 71/94, SMA-7WNL",1,DTP,,,,,,,,PVT,UNK,,,,
025107,07/09/1990,MD,0.4,F,,Fever 104 and screaming episode lasting appproximately 3 hrs following DTP/OPV immunization.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/28/1989,11/28/1989,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025108,07/09/1990,DE,0.3,F,,4 Month old infant developed injection site reactionwithin 24 hrs after DTP/OPV immunization.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10/01/1989,,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025109,07/09/1990,TX,0.6,U,,7 Month old infant developed fever to 104 following DTP/Measles Immunization.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,DTP,,,,,,,,PVT,UNK,,,,
025110,07/09/1990,NC,0.1,F,,"2 Months old infant appeared sluggish, in a deep sleep and required stimulation for 20-25 minutes.  Event occured 1 1/2 - 2 hrs after DTP/OPV immunization.",1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12/06/1989,12/06/1989,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025111,07/09/1990,MD,0.4,F,,6month old infant developed fever 103 and screaming episode for approximately 3 hrs following DTP/OPV immuniation,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,10/03/1989,10/03/1989,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025112,07/09/1990,TN,0.2,M,,"Child presented in office same evening following immunization with splotchy erythema on entire leg, swelling 2 cm & irritability; crying episode (2PM to 2AM).. Treates w/Tempra and cold compresses.  child had a low grade fever of 99 at imm.",3,EDEMA INJECT SITE,RASH,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,01/04/1990,01/04/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025113,07/09/1990,TX,,U,,"One of three pt who developed an area that was pruritic and hot to touch, involving the entire upper arm around the injection site.",2,HYSN INJECT SITE,INFLAM INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,UNK,UNK,,,,
025114,07/09/1990,TX,,U,,"One of three pt who developed an area that was pruritic and hot to touch, involving the entire upper arm around the injection site.",2,HYSN INJECT SITE,INFLAM INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025115,07/09/1990,TX,10.0,F,,"Received TD 24-APR-89 Booster after getting laceration to toe.  Last TD was 26-APR-84.  Returned to office 25-APR-89 c/o pain and swelling at injection site, sore throat, headache, stomach ache and fever up to 101.2.  Treated w/warm soaks",4,EDEMA INJECT SITE,FEVER,INFECT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,04/24/1989,04/24/1989,0,,1,TD,,,,,,,,PVT,UNK,,,,
025116,07/09/1990,CO,14.0,M,,"12 hrs after immunization pt developed severe headache, nausea vomiting.  Lasted 24 hrs only.",3,HEADACHE,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,03/01/1989,03/01/1989,0,,1,TD,,,,,,,,PVT,UNK,,,,
025117,07/09/1990,TX,,U,,"One of three pt who developed an area that was pruritic and hot to touch, involving the entire upper arm around the injection site.",2,HYSN INJECT SITE,INFLAM INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025118,07/09/1990,CO,,U,,"One of five pt with pain upon injection, and injection site erythema and/or pain and/or swelling following immunization.",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025119,07/09/1990,CO,,U,,"One of five pt with pain upon injection, and injection site erythema and/or pain and/or swelling following immunization.",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025120,07/09/1990,CO,,U,,"One of five pt with pain upon injection, and injection site erythema and/or pain and/or swelling following immunization.",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025122,07/09/1990,UT,,U,,"One of three pt who experienced a burning sensation upon injection and had an injection site reaction (red, painful) following immunization.",2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025132,07/09/1990,DC,0.2,M,,BRIEF GENERALIZED SEIZURE AFTER DTP AND ORAL POLIO VACCINE #1. SPONTANEOUS RECOVERY. PT PRESENTLY WELL.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/22/1990,06/22/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,ORAL POLIO VACCINE GIVEN SIMULTANEOUSLY,,,
025133,07/09/1990,TX,50.0,F,,SEVERE BACK PAIN & SEVERE HEMATURIA RESULTED WITHIN 2 DAYS /P 1ST DOSE OF HBV-VACCINE GIVEN OF 2MAR90. 2ND INJECT GIVEN ON 8MAY90. WITHIN 2 DAYS PT C/O BACK PAIN AND HEMATURIA. PHYSICIAN FELT SYMPTOMS FROM VACCINE.,2,HEMATURIA,PAIN BACK,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,03/02/1990,04/04/1990,33,,1,HEP,,,,,,,,PVT,PVT,,,NO PREVIOUS KIDNEY PROBLEMS,
025134,07/09/1990,CA,0.2,M,,SCREAMED 8 DAYS AFTER DPT/OPV GIVEN 4-24-90. NORMAL NOW.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/24/1990,04/24/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025135,07/09/1990,TX,1.1,M,,"1 HR AFTER PT RECEIVED 1ST DTP/OPV HAD SHAKING OF HANDS/FEET WITH DECREASED ALERTNESS,BLUE LIPS,HANDS/FEET LASTING 5-8 MIN. FEVER 103.9 UPON EXAM.PURULENT NASORHINITIS AND FUSSINESS.",5,AGITATION,CONVULS,CYANOSIS,FEVER,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,11/30/1989,11/30/1989,0,"WBC=36 (51 S,11 L,1 MONO,4 BANDS) HG=11.3,HCT=32.1,MCV=81 HEART RATE 156, RESP RATE 40",2,DTP,OPV,,,,,,,PVT,PVT,TYLENOL,,,
025136,07/09/1990,CA,1.5,F,,PT HAD HIGH FEVER (105 F). BRIEF GENERALIZED SIEZURE,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/03/1989,11/03/1989,0,,3,DT,MMR,OPV,,,,,,PVT,PVT,,,,
025137,07/09/1990,VA,5.0,F,,"PT HAD INTERMITTENT BRADYCARDIA, LOW BP AND ALTERED CONSCIOUSNESS.",3,BRADYCARDIA,HYPOTENS,STUPOR,,,,,,,,,,,,,,,,,,,,,,Y,,,,,05/28/1990,05/28/1990,0,,3,DTP,MMR,OPV,,,,,,PVT,UNK,,,,
025138,07/09/1990,WV,0.1,F,,INFANT RECEIVED 2ND DTP/OPV IMMUN 10-16-89. WITHIN 24 HOURS AFTER IMMUN PT EXPERIENCED BLOODY DIARRHEA LASTING 2 DAYS.PT EXPERIENCED SIMILAR EPISODE AFTER FIRST DTP/OPV IMMUN ON 8-18-89. RECHALLENGED,1,DIARRHEA BLOODY,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10/16/1989,10/16/1989,0,,1,DT,,,,,,,,PVT,PVT,"TRI-IMMUNOL, ORIMUNE",,,
025139,07/09/1990,IA,0.2,F,,PT IMMUNIZED AT 10:30 AM AND AT 9:00PM PRESENTED IN ER. PARENTS REPORTED 6 TO 10 SEIZURES WHICH STARTED AT 7:30 PM. PT'S EYES ROLLED BACKWARDS BECAME STIFF AND TURNED BLUE.,4,CONVULS,CYANOSIS,EYES GAZE UPWARD,HYPERTONIA,,,,,,,,,,,,,,,,,,,,,,,,,,10/11/1989,10/11/1989,0,,2,DT,DTP,,,,,,,PVT,PVT,,,,
025140,07/09/1990,IL,0.0,F,,"PT CRANKY NEXT 48 HRS AFTER IMMUN. BECAME LIMP AFTER 48 HRS. 3 EPISODES IN 3-4 HRS;MOTHER THOUGHT PT STOPPED BREATHING-NO COLOR CHANGE, NO SEIZURES, HOSPITALIZED-ABNORMAL PNEUMOGRAM. PT IMPROVED",4,AGITATION,APNEA,HYPOTENS,HYPOTONIA,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,10/11/1989,10/11/1989,0,,1,DTP,,,,,,,,PVT,PVT,,,,
025141,07/09/1990,NC,0.1,U,,PT DEVELOPED SOME SHAKINT FOLLOWING IMMUN.CHILD HAD HIGH FEVER-OTHERWISE OK. VIAL CONTAINED SEDIMENT.,2,FEVER,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,DTP,,,,,,,,PVT,PVT,,,,
025157,07/09/1990,MD,0.6,M,,"ONE OF 3 PTS WHO EXPERIENCED AND INJECTION SITE REACTION(I.E. ERYTHEMA,SWELLING,TENDERNESS AND HOT TO TOUCH)WITHIN 24 HRS AFTER IMMUN. UNABLE TO WALK DUE TO REACTION,TREATED WITH TYLENOL AND ICE PACKS AT SITE OF INJECTION.",2,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/12/1989,11/12/1989,0,,1,DTP,,,,,,,,PVT,PVT,,,,
025161,07/09/1990,NY,0.1,U,,PT RECEIVED 3RD IMMUN 1-7-90.AFTER 48 HRS HAD 101-102 FEVER;FEVER GONE 1-12-90.HALF OF INFANTS FACE NOT MOVING(POSS.BELL'S PALSY) REFERRED TO NEUROLOGIST.,2,FEVER,PARALYSIS FACIAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,NEUROLOGY REPORT REQUESTED,1,DTP,,,,,,,,PVT,PVT,AMOXIL 125 MG FOR 10 DAYS,,,
025162,07/09/1990,MD,2.0,M,,"FEVER TO 105, PAIN IN JOINTS AND VOMITING LASTIN 3 DAYS AFTER RECEIVING DTP/OPV/HIB-V(CONNAUGHT) IMMUNIZATION.",3,ARTHRALGIA,FEVER,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,10/18/1989,10/18/1989,0,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,
025163,07/09/1990,IL,0.0,M,,"PT APPEARED LETHARGIC APPROX. 8 HRS AFTER DTP/OPV IMMUN, CHILD HAD SEVERE LETHARGY AND GAGGING EPISODES AND WAS HOSP. FOR OBSERVATION",2,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,01/03/1990,01/03/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025164,07/09/1990,PA,0.0,F,,PT IMMUNIZED 1-4-90.1-10-90 PT EXPERIENCED JERKING MOVEMENTS INTERMITTENTLY FOR 18 HRS.HIGH PITCHED CRY FOR 24 HRS.TYLENOL GIVEN FOR LOW GRADE FEVER.OFFICE VISIT 1-10AND1-15;INFANT RECOVERED,3,FEVER,SCREAMING SYND,TWITCH,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/04/1990,01/10/1990,6,,1,DTP,,,,,,,,PVT,PVT,,,,
025165,07/09/1990,NJ,59.0,F,,"PT ADMINISTERED TETANUS TOXOID ADSORBED IN LEFT BRACHIUM FOR TREAT OF LACERATED FINGER.AREA BECAME RED, PAINFUL. PAIN HAS PERSISTED ON MOVEMENT OF ARM.TREATED 9-29-89 WITH XYLOCAINE 2%PLUS DECADRON INTO TRIGGER POINT",2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,09/28/1989,05/29/1989,-122,,1,TTOX,,,,,,,,PVT,PVT,"CIPROFLOXACIN 500 MG, BID #20",,,
025166,07/09/1990,CA,18.0,F,,"PT DEVELOPED A 1 CM AREA OF ERYTHEMA AND EDEMA,(POSS STERILE ABSCESS) WHICH PERSISTED 4 WEEKS FOLLOWING INJECT. OF TETANUS AND DIPHTHERIA TOXOIDS ADS.LESION WILL BE DRAINED BY FLANAGAN TO DETERMINE IF STERILE ABSCESS.",2,ABSCESS INJECT SITE,HYSN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/23/1990,,,,1,TD,,,,,,,,PVT,PVT,,,,
025167,07/09/1990,NY,66.0,F,,"PT EXPERIENCED ITCHING AND EDEMA AT INJECTION SITE OF TETANUS TOXOID ADSORBED.4 MO LATER, PT DEVEL SWELLING AROUND EYES AND UPPER RESP. DIFFICULTIES ASSO. WITH FOOD. PT REPORTEDLY RECEIVED TETANUS INJECT ONLY 3 YEARS EARLIER.PT HOSPITALIZED",4,DYSPNEA,EDEMA FACE,EDEMA INJECT SITE,HYSN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,Y,,,01/01/1990,04/01/1990,90,,1,TTOX,,,,,,,,PVT,PVT,ace INHIBITOR UNSPECIFIED; NSAID - UNSPECIFIED,,HX OF HYPERTENSION,
025431,07/09/1990,IL,1.3,F,,"6 HRS AFTER VACCINE, FEVER AND SEIZURE(LEFT FOCAL SEIZURE)",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,06/05/1990,06/05/1990,0,"LUMBAR PUNCTURE NEGATIVE ,CTSCAN HEAD- NEGATIVE, UBC 4,300",1,MMR,,,,,,,,PVT,PVT,,,,
025009,07/10/1990,FL,3.3,M,,"15mon. male w/ hx of recurrent ear infections & measles in Feb. 89'. 5Apr89 was given MMR. Within 24 hrs /p vaccine, parents noted hearing deficit, confirmed by physician exam.",1,DEAF,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,N,04/05/1990,04/06/1990,1,,1,MMR,,,,,,,,UNK,UNK,,,"recurrent otitis media, measles",
025012,07/10/1990,WI,0.2,M,,"3 days /p immun. infant only able to move fingers of left arm, no tone in arm. Immun. given in Right thigh/buttocks.  Mononeuropathy left upper extremity.",3,HYPOTONIA,MONOPLEGIA,NEUROPATHY,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/20/1989,10/23/1989,3,"xrays of left shoulder, clavicle, humerus & forearm - WNL",2,DTP,OPV,,,,,,,UNK,UNK,,,,
025013,07/10/1990,ND,0.4,U,,"Pt received DTP/OPV vaccine developed rash in groin area, became wide spread, DX rash, erythema multiforme (E.R. report indicates due to OPV vaccine) At 6 mon. child received DTP w/ no problems.",2,ERYTHEMA MULT,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025014,07/10/1990,SC,0.4,U,,"4 month old infant received 2nd immunization & became very irritable, fussy & refused to eat.  w/ 1st imminization, infant was fussy for about 3 days.",2,AGITATION,ANOREXIA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,1,DTP,,,,,,,,PVT,UNK,,,,
025016,07/10/1990,GA,0.3,F,,"4 mon. infant given DTP 6Feb86- no problems until 9FEB86 awoke w/ fever 103F seen by MD normal exam. 18 hrs later generalized tonic-clonic seizure thought to be febrile, 2nd seizure 17Mar86, 3rd 3Apr86, child has developmental delay.",4,CONVULS GRAND MAL,EEG ABNORM,FEVER,MENTAL RETARD,,,,,,,,,,,,,,,,,,,,,,,,Y,N,02/09/1986,02/09/1986,0,"initially all lab data WNL; EEG normal, however over period 1986-1988 EEG has turned markedly abnormal, all lab studies WNL",1,DTP,,,,,,,,PVT,UNK,,,,
025017,07/10/1990,CO,35.0,F,,"pt deveolped cellulitis at injection site within 48 hrs p/ immun., mass was not drained or cultured, however is was fluctuant, seen in ER treated w/ with Cirpo & warm compresses, returned to ER for pain, asymptomatic on 4th day.",2,CELLULITIS,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,07/19/1989,07/21/1989,2,,1,TD,,,,,,,,PVT,UNK,,,,
025018,07/10/1990,KY,30.0,F,,"pt developed an injection site reaction resulting in a mass 4 cm in diameter, area was erythematous, warm to touch & firm, treated with Atarax, resolved",2,INFLAM INJECT SITE,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/07/1989,07/10/1989,3,,1,TD,,,,,,,,PVT,UNK,,,,
025019,07/10/1990,NC,0.8,M,,Received DTP on 8JUN90 & had prolonged fever for a week's time,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/08/1990,06/08/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025020,07/10/1990,NY,4.5,F,,"Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV",3,ASTHMA,EDEMA FACE,URTICARIA,,,,,,,,,,,,,,,,,,,,,,Y,,,,,06/14/1990,06/14/1990,0,,1,MMR,,,,,,,,PVT,UNK,"Subcut- Epinephrine, Bendryl & Solumedrol IV",,,
025021,07/10/1990,FL,32.0,F,,"/p receiving vaccine developed headache, sorejoints, chills, sternal chest pain, low grade fever, low blood pressure & low heart rate, chills again, relief lasted about 2-2.5 hrs.  I have not found the low B/P & HR documented.",5,ARTHRALGIA,BRADYCARDIA,CHILLS,FEVER,HYPOTENS,,,,,,,,,,,,,,,,,,,,,,,,U,06/08/1990,06/08/1990,0,,1,R,,,,,,,,UNK,UNK,,,,
025022,07/10/1990,MD,0.2,F,,"fever 102 F. local adenopathy, screaming episode & local reaction",4,AGITATION,FEVER,INJECT SITE REACT,LYMPHADENO,,,,,,,,,,,,,,,,,,,,,,,,,,04/26/1990,04/26/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025023,07/10/1990,PA,,M,,pt has URI prior to onset of Guillian-Barre symptoms. He has rheumatoid arthritis & was receiving gold therapy concurrently. He was given the flu vaccine on 23Oct89,1,GUILLAIN BARRE SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/23/1989,12/07/1989,45,,1,FLU,,,,,,,,UNK,UNK,receiving gold therapy for rhematiod arthritis,URI,rhematoid arthritis,
025024,07/10/1990,NH,,U,,Sore edema on arms massive redness from top of shoulder to elbows. More than the usual expected reaction. Just started using the DT two weeks ago.  All reactions during this period 6 out of 30 patients.,2,EDEMA,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,UNK,UNK,,,,
025025,07/10/1990,FL,,U,,"rash, pruritus",2,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,01/10/1990,,,1,FLU,,,,,,,,UNK,UNK,treated with Hydroxazine,,,
025026,07/10/1990,WA,1.0,M,,child found dead in bed 14Jan90.  Had full check up 12Jan90 with immunizations DPT/HIB/Oral Polio,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,01/14/1990,,,,,,,N,01/12/1990,01/14/1990,2,,3,DT,HIBV,OPV,,,,,,UNK,UNK,,,,
025027,07/10/1990,NY,1.0,F,,"fever 102.5 F, rash",2,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/29/1990,05/31/1990,2,,1,MMR,,,,,,,,UNK,UNK,,,,
025028,07/10/1990,TN,2.0,M,,Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.,1,MENINGITIS,,,,,,,,,,,,,,,,,,,,Y,06/25/1990,,,,,,,N,05/24/1989,06/24/1990,396,,1,HIBV,,,,,,,,UNK,UNK,,,,
025029,07/10/1990,FL,0.5,F,,p/ receiving DPT #2 infant developed fever 103.4 for 4 days and extreme lethargy,2,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/02/1990,,,1,DTP,,,,,,,,PVT,UNK,,,,
025030,07/10/1990,NY,66.0,F,,Mylagias occurred within 3 days of immun. Seen on 4 additional occasions for continued pain & increasing eye/temporal pain.  Considered poss. meningoencephalitis due to vaccine. Admit to hosp for Guillain-Barre Synd. on 15Feb90.,3,ENCEPHALITIS,GUILLAIN BARRE SYND,MYALGIA,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,12/01/1989,12/03/1989,2,,1,FLU,,,,,,,,UNK,UNK,"Lisinopril 20mg, Verapamil 120mg, HCTZ 25mg, Thyrolar",,,
025031,07/10/1990,,,U,,rash skin on legs,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
025036,07/10/1990,MD,1.5,F,,Within 5-10 of injection pt pased out/fainted temp 100.8,2,FEVER,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,06/29/1990,,,1,HIBV,,,,,,,,PVT,UNK,,,,
025033,07/11/1990,IL,5.0,M,,"Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.",4,AGITATION,FEVER,HEADACHE,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,,,,,06/25/1990,06/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,16May90 Oral polio vaccine Lederle 265-927,,,
025034,07/11/1990,WI,0.1,M,,Prolonged screaming,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/20/1990,06/20/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025037,07/11/1990,MI,31.0,F,,"31yr old women admitted to Hosp with hives and tightness of her chest for the preceding 36 hours, at least. Approximately 36 hrs after vaccination had hives, prutitus, tightness of the chest, dyspnea, urticaria & wheezing.",5,ALLERG REACT,ASTHMA,DYSPNEA,PRURITUS,URTICARIA,,,,,,,,,,,,,,,,,,,,Y,,,,,04/03/1990,04/04/1990,1,,1,RAB,,,,,,,,UNK,UNK,,,,
025038,07/11/1990,CA,0.8,F,,"Elevated temp (103), some vomiting, lethargy",3,FEVER,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,03/05/1990,03/05/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025039,07/11/1990,IN,0.2,F,,"Hypotonia, Hyporesponsive reaction.",2,HYPOTONIA,STUPOR,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,06/14/1990,06/15/1990,1,"HCT stable; Blood, Urine, CSF Cultures Neg",1,DTP,,,,,,,,PVT,UNK,,,Prematurity 27w on monitor for Hx apnea/bradycardia,
025040,07/11/1990,AR,0.1,M,,"15 min period of being limp and unresponsive.  No breathing difficulties, no jerking, no fever.",2,HYPOTONIA,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/14/1990,06/15/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025041,07/11/1990,CA,0.2,F,,Febrile response within 36 hrs of 105.6 F and then next two days up to 104 F.,2,FEVER,LEUKOCYTOSIS,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/08/1990,06/16/1990,8,"12Jun90 CBC & WBC  19,000 without left shit (sic) shift(?), 13Jun90 U/A grew 100,000 E. Coli",1,DTP,,,,,,,,PVT,UNK,,,,
025042,07/11/1990,MN,1.0,M,,Fever of 106F rectally beginning 1 hr after immunizations and lasting <24 hrs. Seen at ER treated w/tylenol & cool baths.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,06/14/1990,06/14/1990,0,,2,TYP,YF,,,,,,,PUB,UNK,,,,
025043,07/11/1990,WI,0.1,F,,Unconsolable crying for > 4 hours immediately following 1st DTP vaccination.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/14/1990,06/14/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025044,07/11/1990,,2.0,M,,"Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.",5,FEVER,GAIT ABNORM,PERSON DIS,SOMNOLENCE,SPEECH DIS,,,,,,,,,,,,,,,,,,,,,,,,,05/24/1990,05/30/1990,6,,1,MMR,,,,,,,,PVT,UNK,,,,
025045,07/11/1990,TX,0.5,F,,"4 hrs /p injection DPT .25 cc child woke up crying, parents noted child pale & blue around mouth, extremities were twitching, in route to MD ofc. childs head went limp.",4,CYANOSIS,HYPOTONIA,PALLOR,TWITCH,,,,,,,,,,,,,,,,,,,,,,,,,,06/18/1990,06/18/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,"9Apr90 2nd dose DPT limp & blue around mouth, 13Jan90 1st dose lethargic"
025046,07/11/1990,CA,0.2,M,,"fever > 102 F, pain & induration of thigh at inject site",3,FEVER,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,06/18/1990,06/18/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025047,07/11/1990,,0.2,M,,continuous crying since vaccine.  Pt seen in ER,1,AGITATION,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,03/27/1990,03/27/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025048,07/11/1990,CA,5.0,M,,"pt screaming for hours, still crying much 21May90 & 19Jun90.  Parents report still not sleeping well at night, pt appears otherwise healthy now",2,INSOMNIA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/17/1990,05/17/1990,0,"CBC 10.1, WBC 76.9 other labs illegible to read",1,DTP,,,,,,,,PVT,UNK,Tylenol,,general good health,
025049,07/11/1990,PA,0.2,M,,"Hypotomic-Hyporesponsive, very pale, about 4 hrs after 1st DTP injection",4,ANEMIA HYPOCHROM,HYPOTONIA,PALLOR,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,U,06/12/1990,06/12/1990,0,"Labs drawn 12Jun90 WBC - 10,700, HgB - 9.8, Polys - 54, Mono - 5, Lymphs - 41",1,DTP,,,,,,,,PVT,UNK,,,,
025050,07/11/1990,CA,3.1,F,,fever. inject site reaction,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,05/07/1990,05/07/1990,0,,1,DTP,,,,,,,,MIL,UNK,,,,
025051,07/11/1990,CA,5.2,M,,"fever, inject site reaction, swelling in right thigh",2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,05/04/1990,05/05/1990,1,,1,DTP,,,,,,,,MIL,UNK,,,,
025052,07/11/1990,OR,0.5,F,,"temp 99.6, vomiting X 1",2,FEVER,VOMIT,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,10/23/1989,10/24/1989,1,,1,DTP,,,,,,,,UNK,UNK,,,,
025053,07/11/1990,NY,,U,,several patients experienced raised red welts & skin irritation at the site of inject several days /p receiving Td.  The only complaints came from clinic patients who generally receive injections frequently.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025054,07/11/1990,ME,45.0,F,,"pt developed erytema, edema & induration w/ warmth in a 13 X 11 cm area surrounding the injection site after receiving TTF vaccine",2,EDEMA INJECT SITE,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/22/1989,11/22/1989,0,,1,TTOX,,,,,,,,PVT,UNK,Augmentin 500mg TID,,,
025062,07/12/1990,CO,1.5,F,,"18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p  T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well.  Peak T 103, Excessive sleepiness the past 48 hrs.",4,AGITATION,ANOREXIA,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,U,06/26/1990,06/26/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025063,07/12/1990,IL,0.4,F,,"fever 105-105.4 for about 16 hrs crying uncontrollably, started about 2 hrs /p receiving DTP. Pt examined 29-jun-90 has rash that looks like enterovirus.  Her fever has resolved & she is clinically fine.",3,FEVER,RASH,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/27/1990,06/27/1990,0,,1,DTP,,,,,,,,PVT,UNK,acetaminophen,,,
025065,07/12/1990,NJ,20.0,F,,Pt experienced tendinitis of the biceps brachii of her arm 10 days /p receiving influenza virus vaccine.,2,INJECT SITE REACT,TENOSYNOVITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/24/1989,11/03/1989,10,,1,FLU,,,,,,,,PVT,UNK,,,Diabetic & Cystic fibrosis,
025067,07/12/1990,WI,,U,,Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.,2,CELLULITIS,EDEMA,,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,11/15/1989,,,none,1,TD,,,,,,,,UNK,UNK,,,CLL (sic),
025068,07/12/1990,OR,,M,,"nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain",2,ENCEPHALITIS,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,01/25/1990,,,"10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain",1,HEP,,,,,,,,PVT,UNK,,,no hx of allergies,
025069,07/12/1990,MI,34.0,M,,"Pt developed hives 6 days /p receiving Influenza Virus vaccine. As of January 22, 1990, it was reported that he had recovered",2,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/09/1989,11/15/1989,6,,1,FLU,,,,,,,,PVT,UNK,,,allery to penicillins & shell-fish,
025070,07/12/1990,WI,,M,,"Pt developed weakness in his arms and legs, DX as Guillain-Barre Syndrome /p receiving Influenza Virus Vaccine",1,GUILLAIN BARRE SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/21/1989,,,,1,FLU,,,,,,,,UNK,UNK,,,,
025071,07/12/1990,MN,,F,,"pt developed erythema, edema, warmth, itching, stinging & pain in approx. 4"" X 6"" area at site of injection /p receiving vaccine. Experienced flu-like symptoms. That include haedache, light-headedness, dizziness, nausea within 3 hrs /p vacc",7,DIZZINESS,EDEMA INJECT SITE,FLU SYND,HEADACHE,INJECT SITE REACT,NAUSEA,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,U,10/27/1989,10/27/1989,0,,1,FLU,,,,,,,,PVT,UNK,,,,
025072,07/12/1990,NY,16.0,M,,Pt developed abdominal pain & 6Jun90 admitted to hosp. DX pancreatisis & required surgery,4,AMYLASE INC,ENZYME ABNORM,PAIN ABDO,PANCREATITIS,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,06/03/1990,06/05/1990,2,Lab test serum amylase 6Jun90 - 2000,1,MMR,,,,,,,,PVT,UNK,,,no relevant hx,
025074,07/12/1990,WA,73.4,F,,"Pt experienced severe pain & edema in lt arm from shoulder to hand, & fever /p receiving Influenza Virus. Symptoms persisted for approx. 2 wks & pt recovered",3,EDEMA,FEVER,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/06/1989,11/07/1989,1,,2,FLU,PPV,,,,,,,PVT,UNK,,,,
025075,07/12/1990,NJ,43.5,F,11/09/1989,"Pt exp swelling & pain of her lt arm, neck, elbow, wrist & shoulder immediately p/receiving flu vax; also exp arthritis & lymphadenopathy which required hospitalization & 2 surgical operations; exp numbness, dec movement & pain;",8,ARTHRALGIA,ARTHRITIS,HYPOKINESIA,HYSN INJECT SITE,LYMPHADENO,PAIN BACK,PAIN NECK,PARESTHESIA,,,,,,,,,,,,,,,,,Y,,,Y,,11/07/1989,11/07/1989,0,,1,FLU,,,,,,,,PVT,UNK,UNK,UNK,,
025076,07/12/1990,OH,65.0,M,,Pt became confused within a minute or two /p receiving Influenza Virus Vaccine. He became disoriented & could not remember the route to his home. Symptoms slowly abated within 3 days.,1,CONFUS,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,FLU,,,,,,,,PVT,UNK,,,,
025077,07/12/1990,AS,6.0,M,,Lung Oedema,1,EDEMA LUNG,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,03/08/1990,03/08/1990,0,confirmatory findings:  x-ray examination thorax ECG,1,RAB,,,,,,,,UNK,UNK,8-Mar-90 Dalacin C (Clindamycin) 65 mg p.o.,Sinusitis chron,,Wiskott-Aldrich Syndrome
025078,07/12/1990,CA,,F,,"Five patients experienced fever, chills, nausea and vomiting within 48 hrs after immunization.  All pt received immunizations from the same vial between 6/1/89 & 6/15/89. One of the five pts treated w/tylenol & compazine.",4,CHILLS,FEVER,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,UNK,UNK,,,,
025079,07/12/1990,PA,10.0,U,,"Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.",3,EDEMA INJECT SITE,FEVER,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025080,07/12/1990,PA,15.0,U,,"10yr old and 15yr old siblings received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.",3,EDEMA INJECT SITE,FEVER,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025081,07/12/1990,WI,23.0,F,,Pt given injection approx 9:45am at 10:05am pt was feeling strange and she then fainted.  She had another fainting spell several minutes later.  Each spell lasted 2-3 seconds.  Her BP was quite low during each episode.,2,HYPOTENS,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/25/1989,05/26/1989,1,,1,TD,,,,,,,,PVT,UNK,,,,
025082,07/12/1990,GA,26.0,F,,"Within 24 hrs after immunization pt experienced disorientation and pain at injection site.  Treated w/Decadron & prednisone.  On 27-MAY-89 developed fever, swollen lymph nodes at inject site, following day a repeat dos of Decadron given.",7,CONFUS,FEVER,INJECT SITE REACT,LYMPHADENO,MALAISE,PAIN INJECT SITE,VISION ABNORM,,,,,,,,,,,,,,,,,,,,,,,05/25/1989,05/26/1989,1,,1,TD,,,,,,,,PVT,UNK,,,,
025083,07/12/1990,TX,,U,,"Erythema, induration and warmth at injection site (Deltoid), axillary node.",3,INFLAM INJECT SITE,LYMPHADENO,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,06/05/1989,06/07/1989,2,,1,TD,,,,,,,,PVT,UNK,,,,
025085,07/12/1990,PA,30.0,F,,"Pt reported 6 days /p immun. that inject site was painful & red, exam showed induration - redness 8cm X 6cm at inject site",3,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025086,07/12/1990,PA,35.0,F,,3 days/p immun. injection site became redden to 17cm X 16cm warm & indurated,2,INJECT SITE REACT,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/07/1989,06/08/1989,1,,1,TD,,,,,,,,UNK,UNK,,,,
025123,07/16/1990,UT,,U,,"One of three pt who experienced a burning sensation upon injection and had an injection site reaction (red, painful) following immunization.",2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025124,07/16/1990,TX,14.0,F,,"25-APR-89 came in for routine physical and to receive TD Booster.  Last given 7-APR-79.  Returned to office 3 days later c/o swelling & redness at injection site, severe headache day after injection.  Treated w/warm soaks & Cefatin",3,EDEMA INJECT SITE,HEADACHE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,04/25/1989,04/25/1989,0,,1,TD,,,,,,,,PVT,UNK,,,,
025125,07/16/1990,OK,,U,,Nine pt had swelling and erythema from shoulder to elbow.,2,EDEMA INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/01/1989,,,1,TD,,,,,,,,PVT,UNK,,,,
025126,07/16/1990,OK,,U,,"Pt had swelling & erythema from shoulder to elbow, severe malaise, chills and achiness.",5,CHILLS,EDEMA INJECT SITE,INJECT SITE REACT,MALAISE,MYALGIA,,,,,,,,,,,,,,,,,,,,,,,,,,05/01/1989,,,1,TD,,,,,,,,PVT,UNK,,,,
025127,07/16/1990,PA,80.0,F,,"Pt in Dr. office 21-APR-89 wscalp laceration given adult TD- rt deltoid on 25-APR-89. Pt caretaker noticed rt arm red around injection site, gradual swelling on 24-APR-89 then 25-APR-89 edematous & erythematous from injection site down.",2,EDEMA,INFLAM INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/21/1989,04/25/1989,4,,1,TD,,,,,,,,PVT,UNK,,,,
025128,07/16/1990,PA,22.0,F,,"Induration lt deltoid area-2cm across w/erythema 7X14 cm.  Discomfort when moving the arm to abduction. Benadryl, Dolobid & prednisone for 5 days.  Use cool compresses.  Was to return in 4-5 days.  Pt did not comply.",3,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,04/26/1989,04/27/1989,1,,1,TD,,,,,,,,PVT,UNK,,,,
025129,07/16/1990,PA,39.0,F,,"Received TD on 20-APR-89 lt deltoid following closed head injury and laceration rt upper lip.  Office visit 25-APR-89 for suture, removal and c/o discomfort lt upper arm which just started today. indurated area.",3,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,04/20/1989,04/26/1989,6,,1,TD,,,,,,,,PVT,UNK,,,,
025142,07/16/1990,NC,0.5,U,,6 month old infant developed high fever & high pitched screaming. Vial contained sediment.,2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,N/A,1,DTP,,,,,,,,PVT,PVT,,,N/A,
025059,07/17/1990,PA,0.2,F,,screaming for 5-6 hrs /p  DTP/OPV,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/15/1990,06/15/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025121,07/17/1990,CO,,U,,"One of five pt w/pain upon injection, and injection site erythema and/or pain and/or swelling following immunization.",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025130,07/17/1990,AZ,0.3,F,,"High fever /w convulsion, Dx; Febrile seizure",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/19/1990,06/19/1990,0,CBC/spinal tap - WNL,1,DTP,,,,,,,,PVT,UNK,,,,
025131,07/17/1990,CT,18.0,F,,"Fever of 102 F, achy joints, fatigue",3,ARTHRALGIA,ASTHENIA,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/25/1990,06/28/1990,3,,1,MMR,,,,,,,,UNK,UNK,,,,
025168,07/17/1990,PA,44.0,F,,SORENESS IN RIGHT ARM AFTER INJECTION FOR ONE DAY. ON 1-21-90 THE SITE BECAME SWOLLEN AND SORE. 1-24-90 DEVELOPMENT OF ACHING IN BOTH LEGS. 1-26-90 HIVE LIKE LUMPS IN BOTH LEGS.PT HAD ER TREATMENT OF 1-29-90 AND FROM DRS BERGOYNE AND BENNER,5,EDEMA INJECT SITE,MYALGIA,PAIN,PAIN INJECT SITE,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,01/20/1990,01/21/1990,1,,1,TD,,,,,,,,PVT,PVT,NARDIL FOR SEVERAL YEARS,,,
025169,07/17/1990,SC,43.0,F,,"PT PRESENTED IN ER WITH SEVERE PAIN,REDNESS,SWELLING OF UPPER LEFT ARM(INDURATION OF 11CM BY 9.5 CM, ONE DAY AFTER VACCIN. REACTION DESCRIBED AS CELLULITIS.",5,CELLULITIS,EDEMA INJECT SITE,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,04/06/1990,04/07/1990,1,,1,TD,,,,,,,,PVT,PVT,,,,
025170,07/17/1990,FL,,U,,"PT EXPERIENCED ERYTHEMA AND EDEMA AT SOI SUBSEQUENT TO ADMINISTRATION OF TYPHOID VACCNE, USP, DRIED, ACETONE INACTIVATED",2,EDEMA INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,TYP,,,,,,,,PVT,PVT,,,,
025171,07/17/1990,NJ,,F,,PT EXPER.ARTHRITIC PAIN AND POLYNEUROPATHY AFTER ADMIN OF INFLUENZA VIRUS VACCINE. REPORTER NOT SURE IF WYETH OF PARKE-DAVIS PRODUCT WAS USED.,2,ARTHRALGIA,NEUROPATHY,,,,,,,,,,,,,,,,,,,,,,,,,,,,12/01/1989,12/01/1989,0,,1,FLU,,,,,,,,PVT,PVT,NONE---IVV WAS A TRIVALENT A&B 1989-1990 FORMULA,,,
025172,07/17/1990,NY,10.0,M,,"PT DEVELOPED 3 x 4 CM SWELLING DESCRIBED AS A WHEAL AT SOI 3 DAYS AFTER ADMIN OF TETANUS AND DIPHTHERIA TOXOIDS ADS, ADULT.",1,HYSN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/10/1990,04/13/1990,3,,1,TD,,,,,,,,PVT,PVT,,,,
025174,07/17/1990,IN,0.9,F,,PT WITH POS DIRECT FLUORESCENT ANTIBODY& HAD RECEIVED 3 DTP'S.HOSP AS A PRECAUTION. PT ATTENDS DAYCARE WHERE INDEX CASE HAD PERTUSSIS.(INDEX NEVER RECEIVED DTP); PROBABLY 4-5 MORE CASES OF PERTUSSIS AT CENTER.,2,INFECT,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,1,DTP,,,,,,,,PVT,PVT,,,,
025175,07/17/1990,CA,0.4,F,,PT EXP. 12 EPISODES OF VOMITING WITHIN .5 TO 1 HOUR AFTER FIRST DTP/OOPV IMMUN. RESOLVED SPONTANEOUSLY.,1,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/27/1989,10/27/1989,0,NONE,2,DTP,OPV,,,,,,,PVT,PVT,NONE,,,
025176,07/17/1990,ND,0.8,F,,AT 3RD IMMUN. PT DEVEL. HIVES. DETATILS SKETCHY.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,DTP,,,,,,,,PVT,PVT,NONE,,,
025177,07/17/1990,PA,,U,,PT DEVELOPED LARGE HIVES FOLLOWING IMMUNZATION,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/31/1989,,,,1,DTP,,,,,,,,PVT,PVT,,,,
025186,07/17/1990,UT,,U,,"ONE OF THREE PATIENTS WHO EXPERIENCED A BURNING SENSATION UPON INJECTION AND HAD AN INJECTION SITE REACTION (RED,PAINFUL) FOLLOWING IMMUNIZATION.",2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025188,07/17/1990,CO,,U,,"ONE OF FIVE PATIENTS WITH PAIN UPON INJECTION, AND INJECTION SITE ERYTHEMA AND/OR PAIN AND/OR SWELLING FOLLOWING IMMUNIZATION.",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025189,07/17/1990,WI,,U,,PT COMPLAINED OF SEVERE PAIN AT THE INJECTION SITE ONE WEEK AFTER RECEIVING INJECTION.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025190,07/17/1990,TX,,U,,"ONE OF FOUR PTS WHO EXPERIENCED EPISODE CONSISTING OF FAINTING AND/OR SHORTNES OF BREATH, INCREASE IN PULSE REAT, DEAPHORESIS AND LIGHT-HEADNESS FOLLOWING IMMUNIZATION.",4,DYSPNEA,SWEAT,SYNCOPE,TACHYCARDIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025191,07/17/1990,TX,,U,,"ONE OF FOUR PTS WHO EXPER. EPISODE CONSISTING OF FAINTING AND/OR SHORTNESS OF BREATH, INCREASE IN PULSE RATE, DIAPHORESIS AND LIGHT-HEADNESS FOLLOWING IMMUNIZATION.",4,DYSPNEA,SWEAT,SYNCOPE,TACHYCARDIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025192,07/17/1990,TX,,U,,"ONE OF FOUR PATIENTS WHO EXPER. EPISODE CONSISTING OF FAINTING AND/OR SHORTNESS OF BREATH, INCREASE IN PULSE RATE, DIAPHORESIS AND LIGHT-HEADNESS FOLLOWING IMMUNIZATION.",4,DYSPNEA,SWEAT,SYNCOPE,TACHYCARDIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025193,07/17/1990,TX,,U,,"ONE OF FOUR PATIENTS WHO EXPER.EPISODE CONSISTING OF FAINTING AND/OR SHORTNESS OF BREATH, INCREASE IN PULSE RATE, DIAPHORESIS AND LIGHT-HEADNESS FOLLOWING IMMUNIZATION.",5,DIZZINESS,DYSPNEA,SWEAT,SYNCOPE,TACHYCARDIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025194,07/17/1990,PA,45.0,M,,PT EXP. EDEMA OF ENTIRE UPPER LEFT ARM WITH ERYTHEMA AND ITCHING. ARM WAS CHECKED 4-25-89 AND APPEARED NORMAL. REACTION APPEARED 6 DAYS AFTER IMMUNIZATION,2,EDEMA INJECT SITE,HYSN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/18/1989,04/25/1989,7,NONE,1,TD,,,,,,,,PVT,PVT,SYNTHROID,,"HYPERTENSION-OFF MEDICINE AT PRESENT,ELEVATED TRIGLYCERRIDES;DIABETES MELLITUS TYPE II;HYPERTHYROID-I 131, TREATED 10-87;HYPOTHYROIDISM 2-88; ETOH-SOBER SINCE 12-86;ALLERG TO PENICILLIN",
025195,07/17/1990,CA,,U,,ONE OF FIVE PATIENTS WHO EXPERIENCED SWELLING OF INJECTION SITE AND FEVER (1-3 DAYS) AFTER IMMUNIZATION.,2,EDEMA INJECT SITE,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025196,07/17/1990,CA,,U,,ONE OF FIVE PTS WHO EXPER. SWELLING OF INJECTION SITE AND FEVER ( 1-3 DAYS) AFTER IMMUNIZATION.,2,EDEMA INJECT SITE,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,,,,
025197,07/17/1990,CA,,U,,ONE OF FIVE PATIENTS WHO EXPERIENCED SWELLING OF INJECTION SITE AND FEVER (1-3 DAYS) AFTER IMMUNIZATION.,2,EDEMA INJECT SITE,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025283,07/17/1990,CA,0.2,M,,"high pitched cry, Hypotonia < 10 seconds /w bluish lips",3,CYANOSIS,HYPOTONIA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/12/1990,06/15/1990,3,,2,DTP,HIBV,,,,,,,PVT,UNK,,,,
025284,07/17/1990,TX,5.0,F,,Fever of 103 F,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/27/1990,06/27/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025285,07/17/1990,FL,1.5,M,,"Fever starting several hrs /p DTP, had a seizure approx. 12 midnight lasted < 5 minutues.",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/12/1990,06/12/1990,0,none,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025286,07/17/1990,CO,1.3,F,,"1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura",3,DIARRHEA,GAIT ABNORM,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,,,,,U,,06/27/1990,,"UA: trace protein,  Clinical DX:  HSP (anaphylactic purpura)",1,MMR,,,,,,,,PVT,UNK,,,,
025287,07/17/1990,OH,1.3,F,,Tonic seizure activity involving the rt leg & arm.  Head & eyes drawn to rt,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,06/20/1990,06/28/1990,8,"Normal electrolytes, CBC serum glucose & calcium",2,DTP,MMR,,,,,,,PVT,UNK,,,Past history of seizure /w fever,
025288,07/17/1990,ME,18.0,M,,"Pt received Td booster on 6Jun90 & reported on 27Jun90 had a headache since vacc. Temp of 99.6 F, examed bu MD for possible rxn. 2"" swelling at inject. site.",2,EDEMA INJECT SITE,HEADACHE,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,06/25/1990,06/25/1990,0,,1,TD,,,,,,,,UNK,UNK,,,"Pt has hx of seizures X 2 yrs but not on meds, asthma also",
025289,07/17/1990,NY,15.0,F,,"5-10 min /p injection, pt felt faint & nearly passed out. Pt looked pale, totally gray & BP before inject 100/60 dropped 80/50. Pulse 40-50, pt responsive through episode. Systoms resolved within 5-10 /p inject.",4,BRADYCARDIA,DIZZINESS,HYPOTENS,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,U,06/22/1990,06/22/1990,0,,1,TD,,,,,,,,UNK,UNK,Amoxicillin 250 mg tid X 10 day (initated 12Jun90),,,
025290,07/17/1990,TX,1.5,F,,"Limp attack /p DTP. RX: Benadryl for rxn, Rec. (sic) no more pertussis.",1,HYPOTONIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/27/1990,06/27/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,no rxn to previous DTP X3,
025302,07/17/1990,VA,39.0,F,,HBSAG:POSITIVE 5 DAYS POST IMMUNIZATION.5 DAYS AFTER PT RECEIVED FIRST DOSE(2 x 1ml VIALS=40 MCG)OF ENGERIX-B PT PRESENTED WITH HBSAG POS.NO TREATMENT GIVEN. TO DATE "NO CHANGE IN PTS CLINICAL COND.  FOLLOW UP1:RETEST FOUND PT NEG FOR HBSAG,1,HEPATITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/02/1990,03/07/1990,5,2/90 TESTED NEGATIVE FOR HBSAG AND HBCAG.  3/7/90 TESTED POS FOR HBSAG.,1,HEP,,,,,,,,PVT,PVT,N/A,,BLACK VACCINEE IS DIALYSIS PATIENT WHO WORKS WITH OTHER DIAL. PTS."ANTI-HIV"POSITIVE. IN 1988 RECEIVED SERIES OF 3 HEPTAVAX SHOTS.AND 2/6/90 HEPTAVAX BOOSTER. ALL PREV TESTS FOR HBSAG AND HBCAG NEG.PT IS ON ROUTINE MEDS OF DIAL. PTS.,
025323,07/17/1990,NY,44.0,M,,"HEMODIALYSIS PT TESTED NEG FOR HBSAG PRIOR TO 1ST DOSE OF ENGERIX-B GIVEN ON 2/28/90.RESULTS FOR HBSAG ON 3/7/90 ""WEAKLY POS"" PT RECEIVED 2ND DOSE ENGERIX-B ON 3/31/90 AND TESTED POS FOR HBSAG.SUBSEQUENT TESTS ON 4/4,9 AND 10/90 ALL NEG.",1,HEPATITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/07/1990,03/07/1990,0,HBSAG TEST RESULTS:("CUT-OFF POSITIVE HBSAG IS .054")   RESULTS:(1/90) .005=NEG;(2/90) .006=NEG; (3/7/90 POST 1ST VAX) .061=WEAKLY POS; (3/7/90) .065=WEAKLY POS; (4/2/90 POST 2ND VAX) .087=POS   FOLLOW UP RESULTS BY IRENE MOON,1,HEP,,,,,,,,PVT,PVT,"ALUMINUM HYDROXIDE, CALCIUM CARBONATE, EPOGEN, FERROUS SULFATE, FOLIC ACID, HEPARIN, PROCARDIA, TENORMIN, VITAMIN B&C COMPLEX",,END-STAGE RENAL FAILURE.,
025331,07/17/1990,VA,,F,,"ALKALINE PHOSPHATASE MEASURED 500, SGPT MEASURED 1100, EVENTS OCCURRED FEW DAYS AFTER PT RECEIVED 1ST INJECTION OF ENGERIX-B.F/U indicates pt did not receive vax, liver abnormal test thought to be viral illness",1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,PVT,PVT,NONE,,NONE,
025337,07/17/1990,OR,33.0,M,,"HEADACHE, GENERAL ACHINESS, ARM SORE:  REPORTER INDICATED ""WILL CONTINUE HEP-B SERIES...DO NOT CONSIDER REACTION VERY SIGNIFICANT...FEEL BENEFITS OUT WEIGH THE RISK.""",3,HEADACHE,MYALGIA,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,04/06/1990,,,NONE,1,HEP,,,,,,,,PVT,PVT,NONE,,NOVE,
025373,07/17/1990,NY,,U,,"INTOLERANT TO ALCOHOLIC BEVERAGES, NO IMMUNITY AFTER 2ND DOSE, NAUSEATED"" AFTER 2ND DOSE OF ENGERIX-B PT BECAME NAUSEATED FOR SEVERAL DAYS AND INTOLERANT OF ALC. BEVS(EVEN 1 BEER) PT'S SERUM CHECKED,REVEALED NO IMMUNITY AFTER 2ND DOSE.",4,DRUG INTERACTION,FLU SYND,NAUSEA,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,03/27/1990,03/28/1990,1,ALL SMA 25 AND LIVER ENZYMES WERE NORMAL. HBSAG (HEPATITIS B SURFACE ANTIGEN) RATIO=.60; HBSAB(ANTIBODY) RATIO=1.60.,1,HEP,,,,,,,,PVT,PVT,NONE,,NO PREVIOUS HISTORY OF HEPATITIS EXPOSURES,
025482,07/17/1990,FL,10.0,F,,"encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.",3,ENCEPHALITIS,FEVER,PNEUMONIA,,,,,,,,,,,,,,,,,,,,,,,,,,,05/30/1990,06/04/1990,5,"LP results 17Jun90-CSF, WBC's 200, RBC's 2, Prot 39, Gen 51; 19Jun90 CSF WBC's 60, RBC's 210, Prot 35; 21Jun90->29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.",1,MMR,,,,,,,,UNK,UNK,"amoxicllin, ceclor, cefuroxine, rocephia, erythromycin",,,
025483,07/17/1990,NY,12.0,M,,"Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site.  ESR was normal.",2,INJECT SITE REACT,SERUM SICK,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,06/08/1990,06/09/1990,1,ESR 9-JUN-90 NORMAL,1,M,,,,,,,,UNK,UNK,,,,
025484,07/17/1990,NY,1.5,F,,"18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs.  The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis.  No further details.",3,FEVER,RASH MAC PAP,VASCULITIS,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,1,MMR,,,,,,,,UNK,UNK,,,,
025143,07/18/1990,NC,,U,,"ONE OF THREE CHILDREN WHO DEVELOPED BIG, RED, SWOLLEN AREA ON THIGH AND HAD FEVER FOLLOWING IMMINIZATION.  ALL THREE CHILDREN WERE IMMUNIZED FROM THE SAME VIAL.  VACCINE WOULD NOT DISSOLVE.",3,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,DTP,,,,,,,,PVT,PVT,,,,
025144,07/18/1990,NC,,U,,"ONE OF THREE CHILDREN DEVELOPED BIG, RED, SWOLLEN AREA ON THIGH AND HAD FEVER FOLLOWING IMMUNIZATION.  ALL THREE CHILDREN WERE IMMUNIZED FROM THE SAME VIAL.  VACCINE WOULD NOT DISSOLVE.",3,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,DTP,,,,,,,,PVT,PVT,,,N/A,
025145,07/18/1990,NC,,U,,"ONE OF THREE CHILDREN DEVELOPED BIG, RED, SWOLLEN AREA ON THIGH AND HAD FEVER FOLLOWING IMMUNIZATION. ALL THREE CHILDREN WERE IMMUNIZED FROM THE SAME VIAL. VACCINE WOULD NOT DISSOLVE.",3,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,DTP,,,,,,,,PVT,PVT,,,N/A,
025146,07/18/1990,CO,0.3,M,,"WITHIN 2 HRS AFTER IMMUN., INFANT BEGAN SCREAMING AND CRYING WHICH PERSISTED THRU THE NIGHT; HAD SWELLING AND PURPURA IN BOTH LEGS-WAIST TO TOE.ADVISED HOSP BUT WAS REFUSED. NEXT DAY IN OFFICE 100.4 TEMP,IRRITABILITY,SLIGHT BRUISING ON LEGS",5,AGITATION,EDEMA PERIPH,FEVER,PURPURA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,10/10/1989,,,N/A,1,DTP,,,,,,,,PVT,PVT,,,NO HIST OF 2 SIBLINGS REACTIONS(LOCAL OR SYSTEMIC) EXCEPT KNOT AT SOI,
025147,07/18/1990,KS,0.3,M,,"PT EXPER RASH(URTICARIAL, BRIGHT RED, SLIGHTLY RAISED, NO WHEALS)FROM HEAD TO TOE WITHIN 12 HRS AFTER IMMUNIZATION. WITHIN 24 HRS,EYES BECAME SWOLLEN;NO BREATHING DIFF. TREATED /W/ BENADRYL & TYLENOL ORALLY. DURATION OF RASH APPROX 48 HRS.",3,EDEMA FACE,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,10/02/1989,10/02/1989,0,N/A,2,DTP,OPV,,,,,,,PVT,PVT,,,SIBS HAVE NO HIST OF ANY LOCAL OR SYSTEMIC REACTIONS,
025148,07/18/1990,GA,,U,,CHILD CRIED PERSISTENTLY FOR MORE THAN THREE HOURS FOLLOWING IMMUNIZATION.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,DTP,,,,,,,,PVT,PVT,N/A,,N/A,
025149,07/18/1990,PA,1.5,F,,!* mo old 18 MONTH OLD CHILD DEVELOPED HIGH FEVER OF 103.6 AND LOCAL SWELLING FOLLOWING IMMUNIZATION.,2,EDEMA INJECT SITE,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/14/1989,,,N/A,1,DTP,,,,,,,,PVT,PVT,N/A,,N/A,
025150,07/18/1990,NY,0.5,F,,PT DEVELPD FEVER 105.2F IN 6-8 HOURS AFTER ADMIN OF .5CC DTP VAX. BY FOLLOWING MORNING SHE WAS DOWN TO 100.5 WITH NO OTHER SYMPTOMS.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,DTP,,,,,,,,PVT,PVT,N/A,,N/A,
025151,07/18/1990,CA,5.0,M,,"WITHIN 24 HRS AFTER IMMUNIZATION, CHILD EXPERIENCED A LOCAL REACTION WHICH INCLUDED REDNESS AND SWELLING ON DELTOID MEASURING 5"" x 3"", HIVES ON IMMUNIZATION, CHILD WAS ASYMPTOMATIC",3,EDEMA INJECT SITE,INJECT SITE REACT,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,11/07/1989,11/08/1989,1,N/A,1,DTP,,,,,,,,PVT,PVT,AMOXICILLIN ( 02-NOV-89 ),,"HIST OF ENVIRONMENTAL ALLERGIES, RECEIVED AMOXICILLIN FOR 5 DAYS PRIOR TO IMMUNIZATION.",
025152,07/18/1990,TX,0.5,F,,"4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS",7,AGITATION,CYANOSIS,FEVER,PLAT ABNORM,STUPOR,THROMBOCYTHEM,WBC ABNORM,,,,,,,,,,,,,,,,,,Y,,,,,10/25/1989,10/25/1989,0,"ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.",2,DTP,M,,,,,,,PVT,PVT,ACETAMINOPHEN,,,
025153,07/18/1990,ND,1.5,F,,"1.5 HOURS AFTER PT RECEIVED DTP/OPV/PROHIBIT IMMUNIZATION, SHE DEVELPD FEVER TO 103.4. CHILD WAS SPONGED IN ER AND GIVEN TYLENOL. MOTHER STATES SHE GETS SHAKY WHEN UPSET. NO OTHER PROBLEMS.",2,FEVER,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,,,,12/07/1989,12/07/1989,0,N/A,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,
025154,07/18/1990,NJ,0.2,F,,AFTER 1ST IMMUN DEVELOPED FEVER AND PERSISTANT SCREAMING FOR 3 HRS.  HOSPITALIZED FOR ABSERVATION.  DOING FINE AT TIME OF REPORT,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,11/27/1989,11/27/1989,0,CT (BRAIN)-NORMAL; EEG-NORMAL; NEURO WATCH-NORMAL,2,DTP,OPV,,,,,,,PVT,PVT,N/A,,N/A,
025267,07/18/1990,MD,44.1,F,,"PT HAD PAIN, SWELLING, INCREASED WARMTH, ITCHING AND INDURATION OR LUMP- 4x4cm AT INJECTION SITE, PT VERY TIRED FOR 3 DAYS, DURATION OF ILLNESS 4 DAYS.",5,ASTHENIA,EDEMA INJECT SITE,HYSN INJECT SITE,INFLAM INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,Y,07/25/1989,07/26/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,NO ILLNESS FOLLOWING PREVIOUS TD,NONE
025268,07/18/1990,MN,,U,,"PT EXPER. LARGE AREA OF SWELLING, ERYTHEMA, SEVERE PAIN AND A WARM FEELING AT SOI.",4,EDEMA INJECT SITE,INFLAM INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,,
025269,07/18/1990,OK,,U,,"7 PTS WITHIN 2 WEEKS REPORTED JOINT PAIN AND TENDERNESS WHICH RADIATED TO SHOULDER, REDNESS AND SLIGHT SWELLING AT SOI. NO TREATMENT PRESCRIBED. ONE PT IS DUE TO VISIT NEUROLOGIST FOR SHOULDER PAIN",4,ARTHRALGIA,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,11/01/1989,,,N/A,1,TD,,,,,,,,PVT,PVT,,,UNKNOWN,
025271,07/18/1990,NY,,F,,"PT EXPER AN INJECT SITE REACT, GENERALIZED ACHES AND PAINS AND VOMITING WITHIN 24 HRS AFTER IMMUN.",3,INJECT SITE REACT,MYALGIA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,12/03/1989,12/03/1989,0,NONE,1,TD,,,,,,,,PVT,PVT,NONE,,PHYSICIAN FEELS VOMITING MAY BE DUE TO STOMACH VIRUS.,
025272,07/18/1990,OR,39.0,U,,"ONE OF 2 OR 3 PTS WHO RECEIVED IMMUN DEVELOPED SWOLLEN, RED ARM.",2,EDEMA INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,N/A,1,TD,,,,,,,,PVT,PVT,,,N/A,
025274,07/18/1990,DC,,U,,"ONE OF TWO PTS WHO 30 HRS AFTER INJECTION COMPLAINED OF HEADACHE, MALAISE, FATIGUE AND FEELING WARM.  ALSO EXPERIENCED LOCAL REACTION:  SWOLLEN, RED AND HOT TO THE TOUCH.",5,ASTHENIA,HEADACHE,INFLAM INJECT SITE,INJECT SITE REACT,MALAISE,,,,,,,,,,,,,,,,,,,,,,,,,09/12/1989,09/13/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,,,N/A,
025276,07/18/1990,NY,,M,,"PT RECVD YELLOW FEVER/TD/OPV IMMUN, DEVELPD CHILLS FOR APPROXIMATELY 1 HR, FELT ACHY, AND GENITAL AREA TURNED RED WITH SOME SWELLING(NO PAIN),24 HRS LATER HAS SOME GENITAL AREA PAIN;  GENITALS: PAIN, SWELLING AND REDNISS CONT.FOR 8 DAYS.",5,CHILLS,DERM CONTACT,EDEMA GENITAL,PAIN,PAIN PELVIC,,,,,,,,,,,,,,,,,,,,,,,,,,11/13/1989,,N/A,3,OPV,TD,YF,,,,,,PVT,PVT,"PT HAD SHOT AT PMD'S OFFICE 3 DAYS AFTER TRAVEL CLINIC VISIT, SYMPTOMS NOT RELIEVED; THEN GIVEN PILLS NEEDED TO BE TAPERED OVER SEVERAL DAYS. GENITAL SYMPTOMS LASTED APPROXIMATELY 8 DAYS TOTAL. PT DOES NOT KNOW MAKE OF SHOT OR PILLS.",,UROLOGIST ALSO CONSULTED,
025277,07/18/1990,DC,,U,,,4,ASTHENIA,HEADACHE,INFLAM INJECT SITE,MALAISE,,,,,,,,,,,,,,,,,,,,,,,,,,09/12/1989,,,,1,TD,,,,,,,,PVT,PVT,,,N/A,
025485,07/18/1990,NY,1.3,M,,"12 days/p vaccination, developed maculopapular rash on face, arms & legs. Became jumpy fussy, had fever 104 F- hospitalized, sysmtoms persisted for approx. 4 wks, subsequently rash became pigmented, DX as vasculitis",4,FEVER,LIVER FUNC ABNORM,RASH MAC PAP,VASCULITIS,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,02/26/1990,03/10/1990,12,"WBC- 37,700, platlets- 379,000, LDH- 1,000, SGOT- 50, sepsis work-up was neg. Additional lab data on WORM",1,MMR,,,,,,,,PVT,UNK,,,no relevant hx,
025487,07/18/1990,NY,1.5,M,,"19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90.  Rash remitted spontaneously total duration 15-17 days. No further info. provided",2,FEVER,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,,,,,Y,Y,02/16/1990,03/17/1990,29,none,1,MMR,,,,,,,,PVT,UNK,,,,
025488,07/18/1990,TX,26.0,M,,"Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt's fundi & intraocular pressure WNL. Pt hospitalized.",11,AMBLYOPIA,CONFUS,DIZZINESS,EXTRASYSTOLES BIGEM,MYALGIA,NAUSEA,NERVOUSNESS,PAIN EYE,SWEAT,VERTIGO,VOMIT,,,,,,,,,,,,,,Y,,Y,,Y,05/10/1990,05/10/1990,0,"Holter moniter- pretreatment, no adv. Dysrhythmias",1,HEP,,,,,,,,PVT,UNK,,,"allergy to penicillin, hx of PVC's",
025489,07/18/1990,PA,46.4,M,,"Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved",8,ASTHENIA,CONFUS,ENCEPHALITIS,LEUKOCYTOSIS,MYALGIA,OTITIS MED,PHARYNGITIS,THROMBOCYTHEM,,,,,,,,,,,,,,,,Y,Y,10,,,,12/09/1986,,,"WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative",1,PPV,,,,,,,,UNK,UNK,,,hx of traumatic splenectomy 8 yrs ago,
025490,07/18/1990,,,F,,Generalized seizure within 48 hrs,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,06/06/1990,06/12/1990,6,,2,DTP,OPV,,,,,,,UNK,UNK,,,no relevant hx,
025491,07/18/1990,IA,0.3,M,,"LIMP, PALE, EXCESSIVE IRRITABILITY, HYPOTONIC",3,AGITATION,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,,06/15/1990,06/15/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,Preemie- twin,
025492,07/18/1990,IA,0.3,M,,"limp, pale, excessive irritability hypotonic",3,AGITATION,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,,06/15/1990,06/15/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,Preemie- twin,
025493,07/18/1990,TX,1.5,M,,vaccine failure,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,10/30/1989,04/08/1990,160,Pneumonia; blood culture positive /w  Hepitis influenzae type b,1,HIBV,,,,,,,,PVT,UNK,,,"Holoprsecephaly, diabetes insipdus, seizure disorder, gastroesophageal reflux, Temp. instability, severe developmental delay.",
025494,07/18/1990,IN,73.4,F,,"1 day post injection onset redness, swelling, pain lt wrist & hand.  No local rxn at inject. site.  no previous hx of similar problem, no arthralgia or fever. Symtoms cleared by 18Jun90.",1,ARTHRITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/07/1990,05/08/1990,1,,1,PPV,,,,,,,,PVT,UNK,"Dyazide, Micronase, Diabenese, Lanoxin, Quinidine, Synthroid",,,
025495,07/18/1990,PA,0.2,F,,"27Jun90 began to cry, unconsolable, waking out of a sleep, screaming X14 hrs, Temp 103 F, no interest in feeding, local rxn red, 25 cc size. 28Jun90 Temp. normal, child improved.",4,ANOREXIA,FEVER,INFLAM INJECT SITE,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/26/1990,06/26/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025496,07/18/1990,GA,1.4,F,,"TEMP 105 F, (axillary), episode where eyes keep moving side to side for approx. 10 min. Pt alert during this. Temp in the office 101.6 F 1 day post vaccination",2,EYES GAZE UPWARD,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/04/1990,07/05/1990,1,,3,DTP,MMR,OPV,,,,,,PVT,UNK,TB Tine by Lederle on 4Jul90,,,
025497,07/18/1990,PA,0.2,M,,"Very fussy & irritable, Temp 104 F all night.",2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/18/1990,06/18/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025498,07/18/1990,PA,0.3,M,,"Unconsolable crying X several hrs, inject site  red & swollen",3,EDEMA INJECT SITE,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/13/1990,06/13/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025499,07/18/1990,CA,0.2,F,,"Febrile Response within 36 hrs, T 105.6 F & then next 2 days up to 104 F.",3,FEVER,LEUKOCYTOSIS,WBC ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,U,,06/16/1990,,"12Jun90 CBC & WBC 19,00 without left shit (sic) shift??",1,DTP,,,,,,,,PVT,UNK,,,,
025500,07/18/1990,VA,1.5,F,,large local induration & erythema,2,INJECT SITE REACT,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/22/1990,06/22/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025501,07/18/1990,VA,4.5,F,,Very large local erythema and induration (7cm),3,INFLAM INJECT SITE,INJECT SITE REACT,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/20/1990,06/22/1990,2,,1,DTP,,,,,,,,PVT,UNK,,,,
025516,07/18/1990,OK,31.0,M,,"Local redness, swelling and pain of 7 days duration.",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,06/28/1990,06/29/1990,1,,1,TTOX,,,,,,,,PVT,UNK,,,,
025517,07/18/1990,NY,12.0,F,,"pt given Measles Vaccine in Lt deltoid area.  20 minutes later started to feel itchy (area of injection) lt side of neck, nasal congestion w/catarrh & lt periorbital edema.",3,EDEMA FACE,PRURITUS,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,06/27/1990,06/27/1990,0,,1,M,,,,,,,,PVT,UNK,,,,
025518,07/18/1990,IL,,M,,"Pt. developed circumoral cyanosis followed by whiteness then circumoral cyanosis.  This occurred approx. 5 minutes.  Pt then slept all pm, all noc et all am next day.  Pt could be aroused but then went back to sleep.",2,CYANOSIS,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/20/1990,06/20/1990,0,NA,2,DTP,OPV,,,,,,,PVT,UNK,,,none,
025520,07/18/1990,,71.0,M,,"71 yr old male w/presenile dementia, diabetes mellitus, & renal failure received Hepatitis B vaccine, recombinant, 40 mcg, IM.  Dialysis shunt became infected Dx w/sepsis therapy initiated w/flucloxacillin, however pt died that day.",1,SEPSIS,,,,,,,,,,,,,,,,,,,,Y,02/17/1990,,,,,,,N,02/03/1988,02/17/1990,745,,1,HEP,,,,,,,,PVT,UNK,"Tolbutamide, Vitamin B, Vitamin C",Presenile dementia; Diabetes mellitus,Renal dialysis; Renal failure,
025521,07/18/1990,KY,47.0,F,,"Pt given Engerix-B experienced dizziness, non responder, feeling of faintness, flank pain rt side, nausea became very pale, decreased potassium, and back pain rt side. Was admitted to hospital given Phenergan 25 mg & Demerol to relieve pain",9,DIZZINESS,DYSPNEA,HYPOKALEM,LIVER FUNC ABNORM,NAUSEA,NO DRUG EFFECT,PAIN BACK,PALLOR,VOMIT,,,,,,,,,,,,,,,,Y,,,,Y,04/05/1990,04/09/1990,4,"LDH inc, GGTP inc, SGOT inc, Liver func Abnorm, CAT SCAN of ADBOMEN was negative",1,HEP,,,,,,,,PVT,UNK,"Ogen, Prinzide, Synthroid, Vivactil",Gallbladder removed 30 yrs ago;,"Hypothyroid, Hypertension; Allergic to Codeine, sulfa;",
025522,07/18/1990,IA,,F,,"Pt vaccinated with Engerix-B and developed itching of hands, rash on arms and hands legs groin, club like fingers, tingling in hands, signifcant swelling of hands, big blisters on hands, peeling of both feet.",3,EDEMA PERIPH,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,Y,,,,,06/08/1990,06/11/1990,3,,1,HEP,,,,,,,,PVT,UNK,,,,
025523,07/18/1990,,21.0,F,,Headache.  Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination.  Hospitalized.  Acute labyrinthitis diagnosed.,3,HEADACHE,VERTIGO,VESTIBUL DIS,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,03/09/1990,03/11/1990,2,"Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative.  Audiometric test were normal.  CT scan was negative.",1,HEP,,,,,,,,PVT,UNK,,,,
025524,07/18/1990,TN,30.0,M,,"Pt hx of Coombs' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent.  One wk after vacc. developed ""rip roaring"" Coombs' positive hemolytic anemia.",1,ANEMIA HEMOL DCP,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,"Hematocrit 16, Combs' test positive",1,PPV,,,,,,,,PVT,UNK,,"Splenectomy; SLE; Anemia, hemolytic",,
025525,07/18/1990,CA,35.0,F,,"Pt. vaccinated w/Measles virus vaccine, live on 11-APR-90.  18-APR-90 or 19-APR-90 developed fever.  20-APR-90 developed rash pt was hospitalized on 24-APR-90 w/dx of measles w/dehydration & chest pain.  Rule out pericarditis.",4,DEHYDRAT,FEVER,PAIN CHEST,RASH,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,04/11/1990,04/18/1990,7,Echocardiogram was normal.,1,M,,,,,,,,PVT,UNK,,,,
025526,07/18/1990,TX,45.0,F,,Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness.  Family member states worsened.  While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest,10,ACIDOSIS,ANAPHYL,FEVER,HEART ARREST,HEART FAIL,HEMATEMESIS,KIDNEY FAIL,PAIN ABDO,PAIN INJECT SITE,PANCREATITIS,,,,,,,,,,,Y,06/19/1990,,,,,,,N,06/08/1990,06/17/1990,9,30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.,1,RAB,,,,,,,,PVT,UNK,,,,
025527,07/18/1990,FL,5.2,F,,Pt admit to hosp w/encephalitis & optic neuritis on 25-MAR-90. Brain biopsy consistent w/post viral or post immunization.  Viral titers pending 5th DTP no prior problems. No known drug allergies. Pt has milk allergy.,2,ENCEPHALITIS,NEURITIS OPTIC,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,N,03/01/1990,03/25/1990,24,"Brain Scan & Biopsy, Lumbar Puncture",2,DTP,OPV,,,,,,,PVT,PVT,,,"No family hx of seizure.Normal growth & development.NK drug allergies,milk allergy",
025300,07/19/1990,MI,23.0,F,,"RECVD ENGERIX-B(IN RT DELTOID)ON 11-30-89 AS 2ND DOSE IN SERIES OF HEP B VAXS.WITHIN 24 HRS INJECTION SITE BECAME HOT RED ITCHY INDURATED;8-10 cm OF SWELLING,PRURITUS. AREA TREATED WITH COLD COMPRESS.RESOLVED IN 7 DAYS.",5,EDEMA INJECT SITE,HYSN INJECT SITE,INJECT SITE REACT,MASS INJECT SITE,PRURITUS,,,,,,,,,,,,,,,,,,,,,,,,Y,11/30/1989,11/30/1989,0,NO OBVIOUS ABNORMALITY,1,HEP,,,,,,,,PVT,PVT,,,"NONE, NO ALLERGIES",NO PROBLEM WITH PREVIOUS ENGERIX-B INJECT 10-89.
025301,07/19/1990,NC,39.0,F,,"RECVD SECOND VAX ON 3/8/90. YHE NEXT DAY ONSET OF SYPTOMS:TEMP 99.8,SORE THROAT,SWELLING IN THROAT,FLY SYMPTOMS,BREATHING DIFFS,COUGH. NO TREATMENT PRESCRIBED.SYMPTOMS REMAINED 13-MAR-90.",5,COUGH INC,DYSPNEA,FEVER,FLU SYND,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,,,03/08/1990,03/09/1990,1,,1,HEP,,,,,,,,PVT,PVT,NONE,,NO KNOWN ALLERGIES FOR 1ST AND 2ND DOSES OF RECOMBIVAX GIVEN INTRAMUSCULARLY ON 06-AUG-89 AND 07-SEP-89,
025303,07/19/1990,MN,32.0,F,,"ABDOMINAL PAIN,SOI LF DEL 1 cm ECCHYMOSIS,FEVER,HEADACHES,MESENTERIC ADENITIS,MYALGIAS,NECK STIFF,EPIGASTRIC PAIN,SHAKING,CHILLS,POSSIBLE FLU,POSS REACTION TO HEP VAX. ENGERIX-B GIVEN ON 12-FEB-90 AND 12-MAR-90. FURTHER DETAILS ON WORM.",10,CHILLS,FEVER,FLU SYND,HEADACHE,INJECT SITE REACT,LYMPHADENO,MYALGIA,NECK RIGID,PAIN ABDO,TREMOR,,,,,,,,,,,,,,,,,,,,02/12/1990,02/12/1990,0,"MOBILE RT ANT CERVICAL NODE IS PRESENT OTHERWISE NO ADENOPATHY. NO SKIN RASH,URTICARIA,ANGIOEDEMA APPARENT. SOI SHOWS 1cm ECCHYMOSIS BUT NO OTHER PROBLEMS.ASSESMENT:REACT TO HEP VAX. 3-13-90:HGB 15.7,WBC UP TO 17,800 /W/ NORMAL DIFFERENTIAL",1,HEP,,,,,,,,PVT,PVT,NONE,,NO HIST OF ALLERGY,
025304,07/19/1990,IL,48.0,F,,"AT SOI: INDURATION,PAIN,ECCHYMOSIS,REDNESS,PRURITUS.RECVD 1ST DOSE 3-5-90.NIGHT OF 3-6-90 SYMPTOMS ST OUTER ASPECT OF REDDENED AREA.GIVEN CHLOR-TRIMETON 4 MG.IMPROVED 5 HRS LATER(LESS RED AND ITCHY). ITCHING LASTED 3 DAYS.SYMPTS GONE 1 WEEK",4,ECCHYMOSIS,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/05/1990,03/05/1990,0,,1,HEP,,,,,,,,PVT,PVT,"PREMARIN, SYNTHROID 0.1",,,
025305,07/19/1990,VA,33.0,F,,"RECVD ENGERIX-B FOR 3RD DOSE IN SERIES OF HEP B VAXS, DEVLPD HIVES.TREATMENT/OUTCOME UNKNOWN.TREATED WITH BENADRYL 50 MG AT ONSET OF HIVES ON ARM OF INJECT,NECK,CHEST,UPPER TRUNK. HIVES RESOLVED.POSS LIFE THREATENIN DET BY REPORTING NURSE.",3,PRURITUS,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,HEP,,,,,,,,UNK,PVT,,PVT,"ALLERGIC TO ERYTHROMYCIN, IODINE DYE;  FIRST 2 DOSES WERE WITH HEPVAX OR RECOMBIVAX.",
025306,07/19/1990,AL,40.0,F,,"RECVD ENGERIX-B INJECT ALONG WITH HBIG ON 3-13-90 FOR NEEDLE STICK INJURY. ONE DAY LATER PT HAD ONSET OF NAUSEA, VOMITING, DIARRHEA. NO TREATMENT GIVEN. AS OF 3-19-90,PT DID NOT FEEL WELL",4,DIARRHEA,MALAISE,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,03/13/1990,03/13/1990,0,,1,HEP,,,,,,,,PVT,PVT,H-BIG ?? ADMIN DATE-13-MAR-90,,N/A,
025307,07/19/1990,CA,,F,,"2ND DOSE OF ENGERIX-B GIVEN ON 2/23/90. 3-4 DAYS LATER VACCINEE HAD ONSET OF MALAISE,FATIGUE. ON 2/28/90 SHE DEVLPD NAUSEA,TEMP INCREASE,DIARRHEA. SINCE, SHE HAS BEEN EXPERIENCED FATIGUE,MILD NAUSEA. NO TREATMENT GIVEN.",5,ASTHENIA,DIARRHEA,FEVER,MALAISE,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,U,02/26/1990,02/26/1990,0,,1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025308,07/19/1990,PA,,F,,VACCINEE RECVD FIRST DOSE OF ENGERIX-B ON 2-20-90. ON 2-28-90 PT HAD ONSET OF FEVER AND NAUSEA. TOOK ASPIRIN FOR FEVER. RESOLVED 24 HRS;NAUSEA PERSISTED 5 DAYS.3-3-90 FELT HUNGOVER. WEAK FEELING SEV DAYS.3-10-90 FELT FINE.PT WON'T GET 2ND V,5,ASTHENIA,FEVER,HANGOVER,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,U,02/28/1990,02/28/1990,0,BODY TEMP: 2-28-90  99.5 DEGREES F TO 100.5 DEGREES F.,1,HEP,,,,,,,,PVT,PVT,NONE,,NO UNDERLYING ILLNESSES,
025309,07/19/1990,TX,24.0,M,,"RECVD 1ST VAX ON 3-8-90. ONSET BEGAN IN AM OF 3-9-90: DIARRHEA,NAUSEA,VOMITING,TEMP OF 102 F,SNEEZING,RUNNY NOSE AND CHILLS. NOT SEEN BY PHYS AND NO TREATMENT GIVEN.RECOVERED 3-10-90. FOLLOW UPRECVD ENGERIX-B 1cc ON 3-5-90 EVENTS START ON 6",6,CHILLS,DIARRHEA,FEVER,NAUSEA,RHINITIS,VOMIT,,,,,,,,,,,,,,,,,,,,,,,Y,03/05/1990,03/06/1990,1,,1,HEP,,,,,,,,PVT,PVT,"TYLENOL 3/6/90, TAKES INDERAL DAILY",,NONE SIGNIFICANT; NO KNOWN DISEASE OR ALLERGIES  PT IS IN A HIGH RISK AREA ( EMERGENCY ROOM ).,
025310,07/19/1990,WY,19.0,F,,"PT EXPCD URTICARIA ON ARMS 3:10 PM, APPROX 6 HRS AFTER 1ST INJECT OF ENGERIX-B. 9:20 PM IN ER FOR TREATMENT OF RASH. GIVEN BENADRYL(IM) AND DISCHARGED ON ATARAX. 3-22-90 PERSISTANT ITCHING AND RASH VISIBLE ON ARMS.3-27-90 ARMS CLEAR NOSYMPS",2,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/20/1990,03/20/1990,0,"IN ER:  NO SHORTNESS OF BREATH, THROAT SWELLING OR RESPIRATORY DIESTRESS",1,HEP,,,,,,,,PVT,PVT,NONE,,"NO ACTIVE INFECTIONS, NO KNOWN YEAST SENSITIVITY, NO KNOWN ALLERGIES TO MEDICATIONS, NO UNDERLYING ILLNESSES",
025311,07/19/1990,MD,31.0,F,,"3-2-90 RECVD VAX. 3-8-90 HEADACHE,BODY ACHE,LYMPH NODES SWOLLEN,FEVER 101.4 F DROPPED A DAY LATER.3-17-90 PT EXP RASH WHICH PERSISTED 2.5 DAYS.PHYS MISTAKED GERMAN MEASLES BUT IMMUNE TO.FURTHER DIAG WAS VIRAL ILLNES.3-19-90 JOINTS ACHED",6,ARTHRALGIA,FEVER,HEADACHE,LYMPHADENO,MYALGIA,RASH,,,,,,,,,,,,,,,,,,,,,,,Y,03/02/1990,03/08/1990,6,SYPMTOMS CONT.:  3-21-90 SYMPTOMS RESOLVING; "FELT FINE" BY 3-22-90.  PHYS AND NURSE "FEEL THE ILLNESS IS UNRELATED TO VAX.",1,HEP,,,,,,,,PVT,PVT,NONE,,NO CONCOMITANT ILLNESSES,
025312,07/19/1990,KY,,F,,NUMBNESS IN LEFT AND RIGHT INDEX FINGERS,1,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025313,07/19/1990,KY,25.0,F,,INJECT ON 2-28-90. ONSET OF BURNING SENSATION ON 3-2-90. RASH AROUND SOI ONSET 3-5-90 WHICH CLEARED BY 3-8-90.,3,INJECT SITE REACT,PAIN INJECT SITE,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/28/1990,02/28/1990,0,,1,HEP,,,,,,,,PVT,PVT,,,ALLERGIC TO PENCILLIN AND ERYTHROMYCIN.,
025314,07/19/1990,IL,38.0,M,,"FOUR HRS AFTER VAX (IM RT DELTOID EXP MUSCLE SPASMS IN LOWER BACK,BOTH ARMS BOTH LEGS RESULTING IN CHARLEY HORSES IN LOW BACK. UNCOMFORTABLE FOR 2 DAYS. NO TREATMENT GIVEN.BACK DISCOMFORT CONT UNTIL 4-9-90. PT REFUSED TO CONT VACCINATIONS",3,HYPERTONIA,PAIN BACK,SPASM GENERAL,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/19/1990,03/19/1990,0,,1,HEP,,,,,,,,PVT,PVT,INH ADMINISTERED 10-01-89    TAKES INH,,POSITIVE TB TEST 8-29-89,
025315,07/19/1990,OH,44.0,F,,"ONE WEEK AFTER 1ST VAX (IM,DELT)SHE DEVELPD HIGH FEVER,ACHINESS,HEADACHES. PHYSYCIAN TREATMENT UNSPECIFIC. OUTCOME:UNKNOWN. PHYSICIAN DECIDED PT WILL NOT RECEIVE FURTHER DOSES OF ENGERIX-B. EVENTS CLEARED ON 3-17-90.",4,FEVER,HEADACHE,MYALGIA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/14/1990,03/14/1990,0,,1,HEP,,,,,,,,PVT,PVT,NONE,,"ALLERGIC TO DUST, NONE OTHER",
025316,07/19/1990,FL,50.0,F,,"ONSET OF SICKNESS IMMED.FOLLOWING INJECTION (IM,DELT) HAD FEVER AND FLU-LIKE SYMPTOMS .TESTS FOUND PT WAS NON-RESPONDER.RHEUMATOLOGIST FELT NON-RESPONSE WAS RESULT OF LUPUS.RECVD ADDITIONAL DOSE OF ENGERIX-B ON 3-23-90 RETEST TITER.SIMSYMPS",4,FEVER,FLU SYND,MALAISE,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,U,02/23/1990,02/23/1990,0,"TITERS FOR HBSAB AFTER NEEDLE STICK 8-24-89 AND BEFORE STARTING SERIES OF HEP-B VAX, RECOMB (ABOUT 8-30-89)=NEGATIVE.3-1-90 TITERS FOR HBSAB(AFTER SERIES OF 3 HEPATITIS B VAXS) = NEGATIVE",1,HEP,,,,,,,,PVT,PVT,"CARDIZEM, MAVACOR, HYDROCHLOROTHIAZIDE, ELAVIL",,"EXTREMELY OVERWEIGHT, LUPUS, HIGH BLOOD PRESSURE, STOMACH STAPLED","NEEDLE STICK 8-24-89 , GIVEN RECOMBIVAX-HB APPROX 8-30-89, AND ON 9-26-89,"
025317,07/19/1990,PA,43.0,F,,"EXPER. FLU-LIKE SYMPTOMS, FEVER 1.5 HRS AFTER VAX(IM,DELT) NO RASH. NO MED GIVEN TO TREAT SYMPTOMS. RECOVERY 30-MAR-90. PHYS FEELS IT WAS FLU.  SUBSEQUENT VAX IS PLANNED.",2,FEVER,FLU SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/28/1990,03/28/1990,0,,1,HEP,,,,,,,,PVT,PVT,ON MED (UNSPECIFIED)FOR MITRAL VALVE PROLAPSE,"POST-NASAL DRIP,SORE THROAT,COUGH,99 F",MITRAL VALVE PROLAPSE,
025318,07/19/1990,CO,,F,,"PT HAD SHOULDER PAIN AND NECK PAIN AFTER VAX (IM,DELT) ON 3-15-90.  TREATMENT: NSAID (OTC).  OUTCOME:  TO DATE, SYMTOMS CONTINUE WITH ""LITTLE ABAITMENT"".",2,ARTHRALGIA,NECK RIGID,,,,,,,,,,,,,,,,,,,,,,,,,,,N,03/15/1990,03/15/1990,0,,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,NONE
025319,07/19/1990,KY,28.0,F,,"PT RECVD 1ST ENGERIX-B DOSE (DELT) 3-29-90 AM. SAME DAY EXPER RED AREA AT SOI, NAUSEA. FOLLOWING DAY ACHES SUBSIDING 4-1-90;NAUSEA CONTINUED.3-31-90 FLU-LIKE SYMPTOMS. 4-4-90 RASH AT LF AXILLARY AREA NOT AT SOI.TREATMENT TYLENOL BENADRYL.",8,ARTHRALGIA,FLU SYND,INJECT SITE REACT,MALAISE,MYALGIA,NAUSEA,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,U,03/29/1990,03/29/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025320,07/19/1990,CA,35.0,F,,"PT RECVD 1ST INJECT(LF,DELT) 4-2-90 ONSET OF LF NECK, SHOULDER AND LF JAW PAIN; EXP TINGLING IN LF HAND AND FINGERS AND RT SIDED HEADACHE WITH NAUSEA,SCOMATA.INTERMITTENT HYPERESTHESIA/HYPOESTHESIA OF THE LEFT CHEEK WHICH PERSISTS.",9,HEADACHE,HYPERESTHESIA,HYPESTHESIA,MYALGIA,NAUSEA,PAIN,PARESTHESIA,TOOTH DIS,VISUAL FIELD DEFECT,,,,,,,,,,,,,,,,,,,,U,04/02/1990,04/02/1990,0,,1,HEP,,,,,,,,PVT,PVT,"TREATED /W/ IBUPROFEN(600 mg QID 4-3-90 - ?),MEDROL DOSEPAK WITH FELDENE (4-7-90 - ?)   NO OTHER MEDS EXCEPT ACTIFED PRN",,ALLERGIC TO IODINE (SHORTNESS OF BREATH); HAD ANAPHYLAXIS  ;HIST OF HAY FEVER X 1 WEEK IN SPRING,
025321,07/19/1990,AZ,28.0,F,,"PR RECVD 1ST INJECT(IM,DELT) 4-5-90 THAT NIGHT HAD ONSET OF PARESIS. LOSS OF MUSCULAR STRENGTH IN BOTH UPPER EXTREMITIES PROGRESSED,RESEMBLING RADICULOPATHY PATTERN. NO TREATMENT GIVEN. TO DATE NEUROPATHY IS PROGRESSING",9,ARTHRALGIA,ASTHENIA,CHILLS,EDEMA,NEUROPATHY,PAIN,PARALYSIS,PARESTHESIA,TREMOR,,,,,,,,,,,,,,,,,,,,N,04/05/1990,04/05/1990,0,,1,HEP,,,,,,,,PVT,PVT,,NEEDLE STICK INJURY,,NOT PREVIOUSLY VACCINATED AGAINST HEP-B AND RECEIVED NO HBIG FOR THE NEEDLE
025322,07/19/1990,KY,35.0,F,,"HEADACHE,LETHARHY,MALAISE,NAUSEA,AND FLU-LIKE SYMPTOMS LASTED FOR 16 HRS AFTER 1ST DOSE OF ENGERIX-B. TREATED /W/ OTC MED TYLENOL ES,MOTRIN,REST.RECOVERD SAME DAY.",5,FLU SYND,HEADACHE,MALAISE,NAUSEA,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,Y,02/28/1990,03/02/1990,2,,1,HEP,,,,,,,,PVT,PVT,NONE,,"ALLERGIC TO CODEINE, MORPHINE, PERCODAN.",
025324,07/19/1990,NY,65.0,F,,HEMODIELYSIS PT RECVD 1ST DOSE OF ENGERIX-B(IM) ON 03-APR-90. HBSAG ON 4-3-90 WERE WEAKLY POS. ON 4-10-90 HBSAG WAS NEGATIVE. NO TREATMENT REQUIRED.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/28/1990,04/03/1990,6,POST FIRST VAX: 4-3-90 .065=WEAKLY POS.;4-3-90 .072 WEAKLY POSITIVE; 4-10-90 .015=NEGATIVE; 4-10-90 .017=NEGATIVE,1,HEP,,,,,,,,PVT,PVT,"ERYTHROPOIETIN,FERROUS SULFATE,FOLIC ACID,GLUCOTROL,HEPARIN,HYDRALAZINE,ISOSORBIDE(40),LANOXIN,VERAPAMIL 80 mg,TYLENOL(PRN),NITROGLYCERIIN(PRN)","DIABETES,HEMODIALYSIS","END-STAGE RENAL DISEASE, DIABETES, ON MAINTENANCE HEMODIALYSIS",
025325,07/19/1990,MS,26.0,F,,"SERIES OF VAXS GIVEN: DOSE#1 12-19-89, DOSE #2 1-22-90, AND DOSE #3 2-24-90.ONE MO AFTER #3 RESULTS NEG.4TH BOOSTER OF ENGERIX-B GIVEN 3-30-90 ACHIEVED PROTECTION AGAINST HEP-B",1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/26/1990,03/26/1990,0,"TESTS FOR HEP-B ANTIBODIES (3-26-90) NEGATIVE.  4/30/90, AFTER ENGERIX-B BOOSTER DOSE, TEST FOR HEP-B ANTIBODIES = POSITIVE",1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025326,07/19/1990,AL,28.0,M,,RECVD 2ND DOSE OF ENGERIX-B 3-27-90 DEVELPD NASAL ALLERGY 3-39-90. RUNNY NOSE CONGESTION LASTING 4 WEEKS. TO TREATMENT. RECOVERED,2,ALLERG REACT,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/27/1990,03/27/1990,0,,1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025502,07/19/1990,VA,5.0,F,,"Large local erythema & induration , lethargy.",4,INFLAM INJECT SITE,INJECT SITE REACT,MASS INJECT SITE,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,U,06/19/1990,06/19/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025503,07/19/1990,IL,5.0,M,,"shot rxn caused swelling & redness in a 9 X 7.5 cm portion of upper lt arm, Fever of 102 F X 2 days",3,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/18/1990,06/18/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025504,07/19/1990,WV,1.4,M,06/11/1990,FEVER & RASH,2,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/30/1990,06/08/1990,9,,1,MMR,,,,,,,,PUB,UNK,,,INFECTIOUS DISEASE IN THE PAST 4 WKS,
025505,07/19/1990,MO,53.0,F,,Pt diffuse reddness around injection site of lt deltoid /p inject.  Developed low abdominal groin discomfort,2,INJECT SITE REACT,PAIN ABDO,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/08/1990,06/13/1990,5,,1,TTOX,,,,,,,,PVT,UNK,,,laceration of finger on lawn mower,
025506,07/19/1990,IA,0.2,M,,"abnormal high pitched cry lasting most of the day, f-up 17Jul90 mother thinks cry is childs pain cry.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/15/1990,06/15/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025507,07/19/1990,OR,,U,,within 6 hrs of DTP admin. pt irritable & hives for 48 hrs /p immunization,2,AGITATION,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/13/1990,06/13/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,given Tylenol /p vaccination,,,
025508,07/19/1990,MD,10.0,M,,"hives, wheezing, asthma",2,ASTHMA,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/21/1990,05/21/1990,0,,1,MMR,,,,,,,,PVT,UNK,,,,
025509,07/19/1990,NC,0.2,F,,"fever 5 hrs /p DTP, Pt stiffened- head back, eyes closed, bacame limp, did not respond to attempts to awaken. Slept 12 hrs.",4,FEVER,HYPERTONIA,HYPOTONIA,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,U,05/10/1990,05/10/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,"no known family seizure disorder, MGF & PGF hx unknown",
025510,07/19/1990,WI,0.3,F,,"48 hrs /p immun. mother noted excessive irritability, high pitched cry, difficult to settle, afebrile",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/19/1990,06/21/1990,2,,1,DTP,,,,,,,,PVT,UNK,,,,
025511,07/19/1990,NM,0.9,F,,6:30 pm 6Jun90 broke out in hives,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/12/1990,06/12/1990,0,,1,MMR,,,,,,,,UNK,UNK,,,,
025512,07/19/1990,FL,38.0,F,,"Received Rubella vaccine 5Apr90, On 17Apr90 developed generalized rash, malaise, sorethroat & cough, Recoverd 23Apr90",4,COUGH INC,MALAISE,PHARYNGITIS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/05/1990,04/17/1990,12,,1,R,,,,,,,,PVT,UNK,,,,
025513,07/19/1990,IL,52.9,F,,recurrent urticaria approx. 6 hrs /p inject. and continuing over 6 months.  Pt had similar rxn to penicillin approx 15 yrs earlier.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/16/1990,02/16/1990,0,,1,TD,,,,,,,,PVT,UNK,,,"vaccine given for dog bite, pt had similar rxn to pencillin",
025514,07/19/1990,NY,44.7,F,,"Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia.  There was no rxn to the 1st MMR received.",3,ASTHMA,EDEMA FACE,TACHYCARDIA,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/21/1990,,,1,MMR,,,,,,,,PVT,UNK,,,"Allergic to pencillin, no rxn to eggs,",
025515,07/19/1990,AZ,,M,,"Temp 105 F, slow to come down with Tylenol & baths.  Immunization given in a.m. Rxn in p.m. of same day.  Had gotten DPT/OPV/MMR/HIB vaccine that day",1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/20/1990,06/20/1990,0,"exam- no source of infection, urine - neg.",4,DTP,HIBV,MMR,OPV,,,,,PVT,UNK,Suprax 100 mg qd,,chronic otitis media on Abx suppression,
025530,07/19/1990,IN,0.3,M,,"Pt had low grade fever & fussiness within 12 hrs /p vaccination, slept well that evenig.  Following moring infant was fine; taken to babysitter and was placed in crib for nap.  Infant was found dead ar 1:00 pm.  Autospy report list SIDS",3,AGITATION,FEVER,SIDS,,,,,,,,,,,,,,,,,,Y,06/05/1990,,,,,,,N,06/04/1990,06/04/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,"no relevant hx, no siblings",
025531,07/19/1990,NY,28.0,F,,"1 DAY AFTER VAX EXPER FEVER,NAUSEA,TINGLING. TINGLING LASTED 1 DAY. NAUSEA LASTED 2 WEEKS. ""TYLENOL DID HELP WITH SYMPTOMS"". TO DATE ALL SYMPS HAVE RESOLVED COMPLETELY",3,FEVER,NAUSEA,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/17/1990,01/18/1990,1,BODY TEMP 101 DEGREES F,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,
025532,07/19/1990,FL,28.0,M,,"Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM",8,ARTHRALGIA,COUGH INC,MALAISE,OTITIS MED,OVERDOSE,PNEUMONIA,RASH MAC PAP,TENDON DIS,,,,,,,,,,,,,,,,Y,Y,,Y,,U,05/04/1990,05/04/1990,0,chest x-ray- neg.,1,MR,,,,,,,,PVT,UNK,,,,
025533,07/19/1990,WA,65.0,M,,Pt developed profound at inject site w/ chills & fever to 102.5 F occurring about 3 hrs /p vaccination. Lt arm painful /w probable cellulitis & lymphangitis at inject site. Hospitalized,7,CELLULITIS,CHILLS,FEVER,INJECT SITE REACT,LAB TEST ABNORM,LYMPHANGITIS,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,Y,,Y,,U,05/09/1990,05/09/1990,0,"CBC 23000 /w lt shift, over 5 days gradually fell to normal, blood cultures no growth",1,PPV,,,,,,,,PVT,UNK,,,,
025534,07/19/1990,NY,4.0,F,,4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87,2,INFECT,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,Y,06/25/1990,,,,,,,N,12/09/1987,06/25/1990,929,,1,HBPV,,,,,,,,PVT,UNK,,,,
025535,07/19/1990,OH,0.3,M,,"normal 4 moth old infant received DTP/OPV in office at on 28Mar90, put to bed at 10:00pm; found dead at 10:30 pm.",1,SIDS,,,,,,,,,,,,,,,,,,,,Y,03/28/1990,,,,,,,N,03/28/1990,03/28/1990,0,"Autopsy revealed no pathology in any organ system that could explain the death of this infant, therefore, this is a case of sudden death syndrome.",2,DTP,OPV,,,,,,,PVT,UNK,,,,
025536,07/19/1990,PA,92.0,M,,"Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course",17,ANOREXIA,ARTHRITIS,CHILLS,CONFUS,CREATINE PK INC,DEHYDRAT,EDEMA,FEVER,HEMATURIA,INCONTIN URIN,LIVER FUNC ABNORM,MYASTHENIA,PAIN,PURPURA,SYNOVITIS,TREMOR,URIN ABNORM,,,,,,,,Y,,,,Y,02/09/1990,03/22/1990,41,"BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3  EXTENSIVE SEE WORM",1,HEP,,,,,,,,PVT,UNK,,,"Diabetes mellitus, allergies to codeine, sulfa drugs",
025155,07/20/1990,MD,4.0,M,,"ONE OF 3 PTS EXP INJECTION SITE REACTION (ERYTHEMA, SWELLING, TENDERNESS AND HOT TO TOUCH) WITHIN 24 HRS AFTER IMMUN, UNABLE TO WALK, TREATED W TYLENOL  AND ICE PACKS AT SOI",2,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/16/1989,11/17/1989,1,N/A,1,DTP,,,,,,,,PVT,PVT,TYLENOL 04HRS,,NO HIST OF LOCAL OR SYSTEMIC REACTION,
025156,07/20/1990,MD,4.0,M,,"ONE OF 3 PTS EXP AN INJECT SITE REACT (ERYTHEMA, SWELLING, TENDERNESS AND HOT TO TOUCH) WITHIN 24 HRS AFTER IMMUN. UNABLE TO WALK. TREATED /W/ TYLENOL AND ICE PACKS AT SOI",2,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/21/1989,11/22/1989,1,N/A,1,DTP,,,,,,,,PVT,PVT,TYLENOL 04HRS,,NO HIST OF LOCAL OR SYSTEMIC REACTIONS,
025199,07/20/1990,VT,51.7,M,,"ONE OF FOUR PTS DEVELPD FEVER, CHILLS AND ARTHRALGIAS AND PALPITATIONS WITHIN 24 HRS AFTER IMMUNIZATION.  NO RESIDUAL EFFECTS WHEN SEEN BY PHYS 5-1-89.",7,ARTHRALGIA,HEADACHE,MYELITIS,NEUROPATHY,PARALYSIS,PARESTHESIA,REFLEXES DEC,,,,,,,,,,,,,,,,,,,,,,Y,04/25/1989,04/25/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025200,07/20/1990,CT,34.5,F,,"ONE OF FOUR PTS DEVELPD FEVER, CHILLS AND ARTHRALGIAS WITHIN 24 HRS AFTER IMMUNIZATION, NO RESIDUAL EFFECTS",3,ARTHRALGIA,CHILLS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/01/1989,04/01/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,VOLTAREN TO TREAT CARPAL TUNNEL 4-22-89,,CARPAL TUNNEL BEING TREATED,
025201,07/20/1990,CT,37.9,F,,"ONE OF FOUR PTS DEVELPF FEVER, CHILLS AND ARTHRALGIAS WITHIN 24 HRS AFTER IMMUNIZATION. NO RESIDUAL EFFECTS.",3,ARTHRALGIA,CHILLS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/05/1989,04/06/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025202,07/20/1990,CT,35.8,F,,"ONE OF FOUR PATIENTS DEVELPD FEVER, CHILLS AND ARTHRALGIAS WITHIN 24 HRS AFTER IMMUNIZATION. NO RESIDUAL EFFECTS.",3,ARTHRALGIA,CHILLS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/24/1989,04/25/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,BRACES WORN,
025203,07/20/1990,IL,,M,,ADULT PT GIVEN A TETANUS TOXOID INJECT AND EXPER CHILLS AND REDNESS AT SOI,2,CHILLS,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/01/1989,04/01/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025209,07/20/1990,TN,44.0,M,,DEVELOPMENT OF SIGNIFICANT LOCAL REACTION.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/13/1989,04/13/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025210,07/20/1990,TN,40.0,M,,"1 DAY AFTER INJECT, PT COMPLAINED OF SWELLING, REDNESS AND SORENESS OF R. UPPER ARM, SEEN AND SYMPTOMS CONFIRMED BY DOCTOR",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/19/1989,10/19/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,,,N/A,
025211,07/20/1990,TN,29.0,F,,"TWO DAYS OFTER INJECT REDNESS DEVELPD 2"" DIAMETER, SWELLING AND HEAT",1,INFLAM INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/07/1989,05/09/1989,2,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025212,07/20/1990,TN,45.0,M,,DAY FOLLOWING INJECT PT COMPLAINED OF ARM ACHING AND BEING HARD AND RED.  DR CONFIRMED SYMPTOMS.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/15/1989,05/16/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025214,07/20/1990,TN,33.0,F,,"3 DAYS AFTER INJECTION, LOCAL REACTION 1cm- TENDER NODULE WITH MINOR ERYTHEMA AND WARMTH ABOUT 1.5 IN DIAMETER",2,INFLAM INJECT SITE,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/09/1989,05/09/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025215,07/20/1990,TN,41.0,M,,"PAIN SHORTLY AFTER INJECT. RASH 2 DAYS LATER, SWELLING AND WEAKNESS- RT ARM. 5 mm RAISED AREA AT SOI. NO REDNESS, TENDERNESS, OR MASSES.",2,HYSN INJECT SITE,MYASTHENIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/31/1989,10/31/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025216,07/20/1990,TN,34.0,F,,"TWO DAYS AFTER INJECT, LOCAL REACTION- MODERATE AMOUNT OF REDNESS AND PAIN.",2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/09/1989,05/09/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025217,07/20/1990,TN,33.0,M,,"LARGE LOCAL REACTION, SWELLING, REDNESS AND HEAT",1,INFLAM INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/27/1989,09/27/1989,-61,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025218,07/20/1990,TN,52.0,F,,"DAY FOLLOWING INJECT PT COMPLAINED OF STINGING, ITCHING AND BURNING AT SOI. WHEN SEEN BY DR, SHE HAD SHINGLES LIKE ERUPTION OF THE SITE",2,HYSN INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/20/1989,10/20/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025219,07/20/1990,TN,41.0,F,,DAY AFTER INJECTION ARM SWOLLEN TO SIZE OF JAR LID AND WAS LUMPTY.,2,EDEMA INJECT SITE,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/11/1989,05/12/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025220,07/20/1990,TN,44.0,M,,"2 DAYS AFTER INJECT PT COMPLAINED OF PAIN- THROBBING TYPE, AND FEVER AT SOI. WHEN SEEN BY NURSE PT HAD DISCOMFORT /W/ LG ERYTHEMA FROM SOI-LEFT DELTOID TO ELBOW.",1,INFLAM INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/02/1989,06/04/1989,2,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025221,07/20/1990,TN,46.0,M,,"WITHIN 12 - 24 HRS AFTER VAX, FEVER UP TO 103 AND PERHAPS HIGHER, ALONG WITH PAIN AND SWELLING OF ARM PERSISTING 5 DAYS, INDURATION AND TENDERNESS AT SOI.",3,EDEMA INJECT SITE,FEVER,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/02/1989,08/02/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025222,07/20/1990,TN,36.0,M,,"1 DAY AFTER VAX PT COMPLAINED HE FELT SORE WITH MYALGIAS. WHEN SEEN BY DR, PT HAD SOME SORENESS OF THE R. DELTOID AREA WITH SLIGHT INDURATION.",3,INJECT SITE REACT,MYALGIA,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/12/1989,08/12/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025223,07/20/1990,TN,57.0,F,,"TWO DAYS AFTER VAX DEVELOPED LOCAL REACTION (REDNESS AND TENDERNESS) AROUND INJECTION SITE, CHILLS, FEVER, ACHINESS, SWEATING AND SORE THROAT",5,CHILLS,FEVER,INJECT SITE REACT,MYALGIA,SWEAT,,,,,,,,,,,,,,,,,,,,,,,,U,05/01/1989,05/01/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025238,07/20/1990,MD,0.5,M,,"PT DEVELPD FEVER, LUMP(/W/OUT ABSCESS), SHAKING AND CYANOSIS-LOWER BODY, TAKEN TO ER:OK ON EXAM",4,CYANOSIS,FEVER,MASS INJECT SITE,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/05/1989,10/05/1989,0,N/A,1,DTP,,,,,,,,PVT,PVT,N/A,,N/A,
025239,07/20/1990,MD,0.2,F,,SCREAMING 4 DAYS FOLLOWING IMMUNIZATION,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/09/1989,08/09/1989,0,N/A,1,DTP,,,,,,,,PVT,PVT,N/A,,N/A,
025240,07/20/1990,MD,0.2,F,,"FEVER 103, LOCAL REACTION OF PAIN SWELLING AND INCREASED WARMTH SCREAMING EPISODE LASTING APPROX. 6 HRS FOLLOWING DTP/OPV IMMUNIZATION.",4,FEVER,INFLAM INJECT SITE,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,U,04/18/1989,08/18/1989,122,N/A,2,DTP,OPV,,,,,,,PVT,PVT,N/A,,N/A,
025242,07/20/1990,IN,2.2,F,,"WITHIN 24 HRS AFTER VAX, PT EXP AND INJECTION SITE REACTION INCLUDING SWELLING(LG AREA), TENDERNESS AND HOT TO TOUCH.",2,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/13/1989,11/13/1989,0,N/A,2,DTP,OPV,,,,,,,PVT,PVT,TYLENOL FOR SWELLING,,N/A,
025243,07/20/1990,IN,,U,,"WITHIN 24 HRS OF IMMUN., CHILD EXP AND INJECT SITE REACT",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/01/1989,,,N/A,1,DTP,,,,,,,,PVT,PVT,N/A,,UNKNOWN,
025244,07/20/1990,MO,,M,,UNSPECIFIED INJURIES SUSTAINED FROM DTP VACCINE.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,N/A,1,DT,,,,,,,,PVT,PVT,N/A,,N/A,
025245,07/20/1990,MD,5.8,F,,FEVER 104 AND LOCAL REACTION FOLLOWING DTP/OPV IMMUNIZATION,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/26/1989,07/26/1989,0,N/A,2,DTP,OPV,,,,,,,PVT,PVT,N/A,NONE,N/A,
025246,07/20/1990,MD,0.5,F,,FEVER 100.7 LOCAL REACTION AND SCREAMING EPISODE LASTING MORE THAN 4 HRS AFTER RECEIVING IMMUNIZATION.,3,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/05/1989,07/05/1989,0,N/A,1,DTP,,,,,,,,PVT,PVT,N/A,,NO ILLNESS FOLLOWING 1ST VAX,
025247,07/20/1990,MD,0.2,M,,SCREAMING EPISODE LASTING 3 HRS FOLLOWING DTP/OPV IMMUNIZATION,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/20/1989,10/20/1989,0,N/A,2,DTP,OPV,,,,,,,PVT,PVT,N/A,,N/A,
025250,07/20/1990,MD,17.8,F,,"DIXXINESS WITHIN 5 MIN AFTER IMMUN FOLLOWED BY SEIZURES, TAKEN TO ER",2,CONVULS,DIZZINESS,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/27/1989,06/27/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,,NONE
025327,07/20/1990,PA,40.0,F,,"1ST DOSE ENGERIX-B 3-15-90, ONSET OF UNILAT NUMBNESS & TINGLING(RT HAND & FOOT) ON 3-29-90.  AS OF 4-12-90 COND. PERSISTS. F/U 11FEB91:  MD FELT THERE WAS A POSSIBILITY OF A PRIMARY NEURO PROBLEM AND THAT IT'S ?ABLE IF SXS D/T VAC.",4,CEREBROVASC DIS,EYE DIS,NO DRUG EFFECT,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,U,03/15/1990,03/29/1990,14,"CAT SCAN: LESION IN L CEREBRAL HEMISPHERE.  5/90 TEST FOR HBSAG=NEG, FOR HB CORE ANTIGEN=NEG.",1,HEP,,,,,,,,PVT,PVT,ASPIRIN,,"HISTORY OF HEADACHE.  ALLERGIES: PCN, SULFA & 0BARB",
025328,07/20/1990,AZ,,F,,"ONE WEEK FOLLOWING 1ST INJECTION, PT DEVELPD SEVERE JOINT DISCOMFORT. HAD TROUBLE MAIPULATING HER HANDS AND GETTING OUT OF BED. HAD VOMITING AND DIARRHEA. 4-13-90 SYMPTOMS BEGAN DECREASING AND SHE IS IMPROVING.WILL NOT RECV MORE DOSES.",4,ARTHRALGIA,ASTHENIA,DIARRHEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,U,03/08/1990,03/08/1990,0,,1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025329,07/20/1990,AZ,35.0,F,,2ND DOSE RECVD ON 3-30-90. 4-12-90 EXPERCD VOMITING AND DIARRHEA. LIVER PROFILED AND SHOWED ELEVATED LIVER FUNCTION STUDIES. WBC SLIGHTLY ELEVATED. IN ER AND TREATED CONSERVATIVELY. NOW AWAITING HEP. SCREEN.,6,DIARRHEA,LDH INC,LIVER FUNC ABNORM,SGPT INC,VOMIT,WBC ABNORM,,,,,,,,,,,,,,,,,,,,,,,U,03/30/1990,04/12/1990,13,"4-12-90 LIVER PROFILE GPT = 256, LDH = 490, GOT = 291, GGT = 409",1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,NO EVENTS EXPERIENCED
025330,07/20/1990,VA,21.0,F,,1ST VAX GIVEN ON 4-12-90. WITHIN HOURS DEVELOPED HIVES ON BOTH SHOULDERS AND THE TOP 1/4 OF BACK. AROUND 7PM HIVES TURNED RED. THROAT FELT DRY AND CLOSING. 4-13-90 PT WAS FINE,5,DRY MOUTH,INJECT SITE REACT,LARYNGISMUS,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,Y,04/12/1990,04/12/1990,0,"REMAINING TWO VIALS (LOT # ENG 597A4, EXP. 3/22/91) DINGY, CLEAR, WHITE, WITH CAPS STILL ON.",1,HEP,,,,,,,,PVT,PVT,BIRTH CONTROL (ORTHUM NOVUM 1/35),,NONE,
025332,07/20/1990,OH,,U,,"HEADACHE, FEVER, EXPIRATORY WHEEZING, COUGH",4,ASTHMA,COUGH INC,FEVER,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025539,07/20/1990,NY,18.0,M,,"T 100 F, swelling, redness, induration of 10 cm, tenderness, beginning 10 days after immunization, at rt deltoid at injection site",5,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,U,07/02/1990,07/10/1990,8,,1,M,,,,,,,,PVT,UNK,,,allergy pollen,
025542,07/20/1990,CA,22.0,F,,"immunized 1968, experienced developmental delay, dysmorphism, hypertelorism, thick tongue, asymptomatic pulmonary stenosis, possible Turner's Noonan's syndrome & heart murmur, child last seen by reporter 1971",2,ANOMALY HEART,MENTAL RETARD,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,,,,,1,DTP,,,,,,,,PVT,UNK,,,,
025233,07/23/1990,OR,36.0,F,,"FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.",6,CHILLS,FEVER,HEADACHE,LYMPHADENO,NAUSEA,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,Y,02/05/1990,02/05/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,NONE,
025234,07/23/1990,PA,,F,,PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.,2,PARESTHESIA,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/26/1990,04/26/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025258,07/23/1990,OR,,U,,ONE OF TWO PTS DEVELPD HIGH FEVER FOLLOWING IMMUNIZATION.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/29/1989,07/29/1989,0,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025259,07/23/1990,OR,,U,,ONE OF TWO PTS DEVELPD HIGH FEVER FOLLOWING IMMUNIZATION,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025260,07/23/1990,MD,57.3,F,,"PT IMMUNIZED 7-25-89; EXTREME FATIGUE 7-31; ON 8-3-89 HAD PAIN, SWELLING, INCREASED WARMTH, INDURATION AND ITCHING AT SOI.  STILL HAS 10mm INDURATION 14 DAYS LATER.",6,ASTHENIA,EDEMA INJECT SITE,HYSN INJECT SITE,INFLAM INJECT SITE,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,N,07/25/1989,08/03/1989,9,N/A,1,TD,,,,,,,,PVT,PVT,N/A,N/A,"PT CAN'T REMEMBER IF HAD TD IN PAST, STATES SHE HAD TET TOX 30 YEARS AGO.",
025261,07/23/1990,MD,47.2,F,,PT DEV SWELLING AND ITCHING AT SOI DAY FOLLOWING VAX. SYMPTOMS LASTING 5 DAYS.,2,EDEMA INJECT SITE,HYSN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/26/1989,07/27/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,NONE
025262,07/23/1990,IN,29.0,F,,PT EXP AN INJECT SITE REACT WHICH INCLUDED SWELLING AND ERYTHEMA WITHIN 24 HRS AFTER IMMUN. PT HAS HAD LOW GRADE FEVER FOR 2 DAYS. BOTH HAVE NOT RESOLVED AS OF 8-17-89.,3,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,N,08/15/1989,08/16/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,PUNCTURE WOUND,LAST TET/DIP WAS 10 YEARS AGO.,NO HISTORY OF REACTIONS TO TET/DIP.
025263,07/23/1990,IN,35.0,F,,"PT EXP AN INJECTION SITE REACT WHICH INCLUDED SEVERE PAIN WITHIN 24 HRS AFTER IMMUN. ALSO, PT EXP A FEVER OF 101. REACTION RESOLVED 4 DAYS AFTER IMMUNIZATION WITH NO RESIDUAL SEQUELAE.",2,FEVER,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/08/1989,08/09/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,PUNTURE WOUND,N/A,NO HISTORY OF REACTIONS TO TET/DIP.
025264,07/23/1990,MD,15.0,F,,"PT DEV 50 CENT SIZED ERYTHEMA AT SOI 24 TO 36 HRS AFTER IMMUN. FOLLOWING DAY DEVELOPED LITTLE RED SPOTS OVER ENTIRE BODY, NO FEVER, NO COUGH, SPOTS RESOLVING - PT FINE",2,INJECT SITE REACT,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,
025265,07/23/1990,IN,38.0,F,,PT EXP A FEVER AND AN INJECTION SITE REACTION WHICH INCLUDED PAIN AND DISCOLORATION (BRUISING) WITHIN 24 HRS AFTER IMMUN.  NO TREATMENT GIVEN. REACTIONS RESOLVED APPROXIMATELY 1 WEEK AFTER IMMUN. WITH NO RESIDUAL SEQUELAE.,3,FEVER,HEM INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/09/1989,05/10/1989,1,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,,NO HIST OF REACTIONS TO TET/DIP.
025266,07/23/1990,MD,56.5,F,,"PT HAD LOCAL REACTION CONSISTING OF PAIN, SWELLING, INCREASED WARMTH, NOT INDURATION OR LUMP AND ITCHING.  AFFECTED AREA EXTEND AROUGND ARM, HALF TO ELBOW.  PT TIRED AND SLEEPY;LOOSE STOOLS.ILLNESS LASTED 7 DAYS.",7,ASTHENIA,DIARRHEA,HYSN INJECT SITE,INFLAM INJECT SITE,MASS INJECT SITE,PAIN INJECT SITE,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,Y,07/25/1989,07/27/1989,2,N/A,1,TD,,,,,,,,PVT,PVT,N/A,,N/A,NONE
025291,07/23/1990,IN,25.0,F,,PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/15/1990,01/19/1990,4,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,FIRST VAX
025292,07/23/1990,NC,41.0,F,,"Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;",8,ASTHENIA,HYPERTONIA,HYSN INJECT SITE,MYALGIA,NEURITIS,PAIN,PARALYSIS,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,U,02/09/1990,02/09/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,"INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.",
025293,07/23/1990,NC,31.0,F,,"PT ONSET OF EVENTS SAME DAY SHE RECVD ENGERIX-B:REDNESS, WARMTH AT SOI, WITH VERY SLIGHT SWELLING.  TREATMENT OF ICE-PACK AND 2 TABLETS OF ADVIL.",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/28/1990,02/28/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,ALLERG TO PENICILLIN AND CODEINE.  2-9-90 UNDERWENT BILATERAL TUBAL LIGATION.,
025294,07/23/1990,WA,35.0,F,,"11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.",5,COORDINAT ABNORM,EDEMA FACE,FLU SYND,HEADACHE,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,Y,01/30/1990,01/30/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,ASPIRIN,,N/A,
025295,07/23/1990,OH,22.0,F,,"ONE HR POST-INJECTION, PT EXP RASH ALL OVER BODY; HIVES ON BACK, BUTTOCKS AND AXILLAE; EARS WERE HOT.  NO SHORTNESS OF BREATH.  BENADRYL GIVEN ORALLY.  NO ADDITIONAL DOSES WILL BE GIVEN.",3,RASH,URTICARIA,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/05/1990,03/05/1990,0,"VIAL DESCRIPTION:  SINGLE DOSE, CLEAR; SLIGHTLY CLOUDY WHITE",1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025296,07/23/1990,TX,23.0,M,,"SINCE 3-2-90 PT EXP STIFF NECK, FEVER, VOMITING, SORE THROAT, SWOLLEN GLANDS, PAIN IN EARS WHICH ARE FULL OF FLUID. TREATED /W/ AMOXIL,TYLENOL 3,TYNATAN.SORE THROAT GONE. SOME SYMPTOMS PERSIST.",10,EAR DIS,ESR INC,FEVER,INJECT SITE REACT,INSOMNIA,LYMPHADENO,NECK RIGID,PAIN EAR,PHARYNGITIS,VOMIT,,,,,,,,,,,,,,,,,,,N,02/28/1990,03/01/1990,1,"SEDIMENTATION RATE = ELEVATED, THROAT CULTURE = NORMAL, BODY TEMP = 103.6 DEGREES F (ALL ON 01-MAR-90)",1,HEP,,,,,,,,PVT,PVT,N/A,,,
025297,07/23/1990,NY,,M,,PT EXP HIVES 3 DAYS AFTER RECEIVING HIS SECOND INJECT OF ENGERIX B ON 1-18-90. EVALUATED (2-12-90) BY IMMUNOLOGIST BECAUSE OF RECURRING EPISODES OF PERIORBITAL EDEMA. NO HEPATITIS B SURFACE ANTIBODY WAS NOTED.,3,EDEMA FACE,NO DRUG EFFECT,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/18/1990,01/20/1990,2,"IMMUNE COMPLEXES, COMPLEMENT ACTIVATION = NORMAL. SEDIMENTATION RATE = 1.",1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025298,07/23/1990,KY,50.0,F,,"PT RECVD 1 INJECT OF ENGERIX-B AND EXPERIENCED ACHING ALL OVER, GENERAL MALAISE, NAUSEA, LOW GRADE TEMP AND HEADACHE ON 2-22-90. EVENTS CLEARED ON 2-24-90. SYMPTOMS STOPPED ON OWN.",9,ANOREXIA,ARTHRALGIA,CHILLS,FEVER,HEADACHE,MALAISE,MYALGIA,NAUSEA,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,Y,02/22/1990,02/22/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,"MOTRIN, MULTIVITAMINS, PREMARIN",,ALLERGIC TO PENICILLIN.,
025299,07/23/1990,WA,38.0,F,,1 OR 2 RED RAISED ERUPTIONS(.5 TO 1 cm) ON UPER LF ARM WITH IRRITATION AND ITCHING. TREATED /W/ DIPROLENE.2-19-90 2ND DOSE OF ENGERIX B ERUPTIONS LARGER NOW CRUSTY.2-22 TREATED /W/ KEFLEX FOR IMPETIGO.2-26 DIAG POSS ALLERG REACT TO HEP B.,5,ALLERG REACT,HERPES ZOSTER,INFECT,MONILIA,RASH,,,,,,,,,,,,,,,,,,,,,,,,U,01/19/1990,02/01/1990,13,SYMPTOMS CONT.:MD'S OPINION HERPES ZOSTER. 3-6 LARGE AMT DRAINAGE;CLUSTER AREAS COVERED BODY(SCALP TO TOES).3-16 NOT IMPROVING. 3-27 ERUPTIONS HEALING. 4-2-90 DIAGNOSED MONILIA. LAB DATA:NO PATHOGENS NOTED IN ERUPTIONS.,1,HEP,,,,,,,,PVT,PVT,"DYAZIDE,HYDROCORTISONE,.05%DIPROLENE,KEFLEX 500mg,ALPHA KERI OIL, ERYTHROMYCIN ETHYLSUCCINATE, ZOVIRAX, MONISTAT VAGINAL SUPPOSITORIES, DYAZIDE 50mg FOR EDEMA",,"COMMUNICABLE DISEASE HISTORY INCLUDE CHILDHOOD CHICKEN POX, MUMPS AND AS A YOUNG ADULT, SHINGLES.",
025333,07/23/1990,CO,31.0,F,,"2 DAYS AFTER VAX, PT EXPER URTICARIA. TREATMENT OF BENADRYL, SELDANE.",3,ARTHRALGIA,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,N,04/11/1990,04/13/1990,2,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,UNKNOWN,NONE,NO PRIOR VAX
025334,07/23/1990,VT,,F,,"ONE WEEK FOLLOWING 1ST INJECT, PT DEVELPD ABDOMINAL PAIN/CRAMPS, DIARRHEA. A STOOL CULTURE WAS ORDERED. AS OF 4-19-90 NO TREATMENT GIVEN AND ALL SYMPTOMS PERSIST.",2,DIARRHEA,PAIN ABDO,,,,,,,,,,,,,,,,,,,,,,,,,,,N,04/09/1990,04/16/1990,7,N/A,1,HEP,,,,,,,,PVT,PVT,MULTIVITAMINS AND CALCIUM,,N/A,
025335,07/23/1990,VT,41.0,F,,"PT A NON-RESPONDER TO RECOMBIVAX AND RECVD 1ST ADDITIONAL DOSE OF ENGERIX B ON 4-17-90. NEXT DAY PT WAS DIZZY, DEVELPD JOINT PAIN, MUSCLE ACHES, UPSET STOMACH. CURRENTLY IMPROVING. NO SUBSEQUENT INJECTS PLANNED",5,ARTHRALGIA,DIZZINESS,DYSPEPSIA,MYALGIA,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,U,04/17/1990,04/18/1990,1,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,"ALLERGIC TO MOLDS, ZINC, FLEXERIL. INITIAL RECOMBIVAX INOCULATIONS UNEVENTFUL, BUT NEVER PRODUCED ANTIBODIES",RECOMBIVAX INOCS UNEVENTFUL
025336,07/23/1990,MO,32.0,F,,ELEVATED BUN NOTICED 4/90. REPORTER AND PT FEEL EVENT MAY BE RELATED TO CAPOZIDE.,1,BUN INC,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/01/1990,04/17/1990,47,BUN: 1-23-90 = 11; 4-17-90 = 41  (ALL OTHER LEVELS ON SMA6 WERE NORMAL.),1,HEP,,,,,,,,PVT,PVT,CAPOZIDE FOR HIGH BLOOD PRESSURE,,2-90 DIAGNOSED HIGH BLOOD PRESSURE. PT POSS RECVD HEPTAVAX OR RECOMBIVAX-HB IN 9-89 & 10-89.,
025338,07/23/1990,OR,,F,,"NEXT MORNING AFTER VAX,NAUSEA. 4-7-90 EVENING EXPER HEART POUNDING WITH HEART RATE IN LOW 90'S TO LOW 100'S; FELT BETTER MORNING OF 4-8-90. PT WILL CONT. VACCINATIONS.",3,NAUSEA,PALPITAT,TACHYCARDIA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/06/1990,04/07/1990,1,4-7-90 PM: HEART RATE LOW 90'S TO LOW 100'S.,1,HEP,,,,,,,,PVT,PVT,,,,
025339,07/23/1990,PA,41.0,M,,"4 DAYS AFTER INJECT OF ENGERIX-B, PT EXP SWOLLEN PHARYNX LEFT SIDE, TROUBLE SWALLOWING, SORE THROAT AND AN ALLERGIC REACTION. TREATED AMOXICILLIN AND HISMANAL. 2 DAYS AFTER TREATMENT, SYMPTOMS RESOLVED.",4,ALLERG REACT,DYSPHAGIA,EDEMA,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/06/1990,04/10/1990,4,N/A,1,HEP,,,,,,,,PVT,PVT,"TYLENOL, AMOXICILLIN 250 mg/q 8 HRS AND HISMANAL 10 mg/DAY",,NO REMARKABLE HISTORY. NO ALLERGY,
025340,07/23/1990,NH,45.0,M,,PARESTHESIAS OF DORSUM OF FEET AND SHINS OCCURRED APPROX 4-01-90.  UNSURE OF RELATIONSHIP BETWEEN THE TWO.  F/U FROM MFR 05SEP90:  MD REPORTED PT REC'D 3rd DOSE W/O COMPLICATIONS.  PT NOT HAVING INITIAL DIFFICULTIES DESCRIBED.,1,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,12/01/1989,04/01/1990,121,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025341,07/23/1990,FL,50.0,F,,"ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C'D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN",11,EDEMA,EDEMA FACE,FEVER,HEADACHE,LEUKOCYTOSIS,NAUSEA,PAIN,PRURITUS,RASH,TACHYCARDIA,URTICARIA,,,,,,,,,,,,,,Y,,,,Y,04/16/1990,04/16/1990,0,"Temp 99.2, WBC 19.3, ""20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs.""",1,HEP,,,,,,,,PVT,PVT,,,,
025342,07/23/1990,AL,30.0,F,,"2 min. /p vaccination became dizzy, rapid pulse, flushing, shallow & rapid breathing, nausea, headache, pain in arm, went to ER, given Benadryl, symptoms went away vaccinee has completely recovered",8,DIZZINESS,DYSPNEA,HEADACHE,HYPERVENTIL,INJECT SITE REACT,NAUSEA,TACHYCARDIA,VASODILAT,,,,,,,,,,,,,,,,,,,,,Y,04/25/1990,04/25/1990,0,25Apr90- respirations approx. 35/min.,1,HEP,,,,,,,,PVT,PVT,,,"allergies many including Codeine, Demerol, bee stings carries kit",
025343,07/23/1990,NJ,25.0,F,,"2 DAYS AFTER VAX, EXP ITCHY RASH ON FLEXOR SURFACES OF ARMS OF ANTECUBITAL SPACES. TREATED /W/ CYCLOCORT CREAM, TOPICALLY. REPORTING PHYS DOES NOT THINK THIS WAS A REACTION TO VACCINE.",3,INJECT SITE REACT,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/12/1990,04/14/1990,2,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025344,07/23/1990,FL,39.0,F,,"3 WEEKS AFTER 2ND DOSE, PT EXP ITCHING AROUND MOUTH AREA, BACK OF NECK ITCHING. BRIGHT RED, LARGE HIVES APPEARED OVER ENTIRE BODY. SHE WAS TREATED WITH SOLU-MEDROL DOSEPACK, ATARAX(PRN), BENADRYL. BROKE OUT AGAIN(4-20-90) AND GIVEN ACTH GEL",4,ARTHRALGIA,EDEMA FACE,PRURITUS,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/22/1990,04/09/1990,18,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,OCCASIONALLY SENSITIVE TO CERTAIN FOODS AND HAS REACTED STRONGLY TO MEDICATIONS BEFORE.,
025345,07/23/1990,IL,38.0,F,,ON BOTH 1ST INJECT(3-21-90) AND 2ND INJECT(4-25-90) PT E6PER SAME DAY DIZZINESS AFTER INJECTION. NO TREATMENT GIVEN. DIZZINESS WENT AWAY AFTER 1ST INJECTION BUT OUTCOME OF 2ND NOT KNOWN.,1,DIZZINESS,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/21/1990,03/21/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025346,07/23/1990,AZ,,U,,"LARGE REACTION TO SECOND DOSE OF ENGERIX-B, A few hrs /p vax 2nd dose of Engerix developed an 8 cm induration /w erythema, & pain. This persisted for approx 36 hrs & was localized to site of inject.Seen @ MD's ofc treated /w meds, recovered",3,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/30/1990,04/30/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025543,07/23/1990,WI,0.3,U,,"4 month old infant received first DTP/OPV immun. & had no immediate problems, was apparently well & healthy. 9-10 days later, developed repiratory symptoms & diarrhea, then found dead the following day.",2,DIARRHEA,RESPIRAT DIS,,,,,,,,,,,,,,,,,,,Y,,,,,,,,N,,,,,1,DTP,,,,,,,,PVT,UNK,,,,
025545,07/23/1990,NY,17.9,F,,"Directly /p vaccine pt lost color-pale & c/o feeling funny,weak legs lied down. Pulse 59-60. B/P 100/66 to 82/50 & remained low for 30-40 min. Pt's legs elevated,recoved.  Eaten only a piece of cheese for breakfast & was 2 days into period.",4,BRADYCARDIA,DIZZINESS,HYPOTENS,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/08/1990,07/08/1990,0,],1,DT,,,,,,,,PVT,UNK,,,,
025546,07/23/1990,WI,0.2,M,,"DTP immunization given 29Jun90, fever on 30Jun90",2,CSF ABNORM,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,06/29/1990,06/30/1990,1,"spinal tap revealed 23 WBC, bacterial cultures negative",1,DTP,,,,,,,,PVT,UNK,,,,
025547,07/23/1990,PA,0.3,F,,"Starting 3 hrs /p DPT vaccine, rt leg warm & swollen. Crying & moaning for next several hrs. T-102 F. No high pitched screaming. Pt taken to ER on 28Jun90 was observed, given Tylenol /w Codeine,& D/C from ER.",4,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,U,06/27/1990,06/28/1990,1,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025548,07/23/1990,CA,0.1,M,,"According to mother, pt became limp & non-responsive for several mins.Pt was alert & active upon arrival to the office.",2,HYPOTONIA,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/10/1990,05/11/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025549,07/23/1990,WA,28.0,F,,"Headache, localized redness, swelling, hardening of area. Aches-muscles, nausea, fever.",7,EDEMA INJECT SITE,FEVER,HEADACHE,INJECT SITE REACT,MASS INJECT SITE,MYALGIA,NAUSEA,,,,,,,,,,,,,,,,,,,,,,U,07/01/1990,07/02/1990,1,,1,TD,,,,,,,,PVT,UNK,"Valium, Tylenol, Reglan, Estrogen, Ery tabs",,"allergies - cat hair, onions, sensitive to asprin, rxn to MMR immunization",
025550,07/23/1990,CO,0.3,M,,"3 min febrile convulsion in assoc./w fever to 105 F within 12 hrs of receving DTP.  Was evaluated @ Hospital ER- full septic W/U; neg C.P.(/), all results neg. observed overnight- no sequele",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,08/18/1989,08/18/1989,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025551,07/23/1990,PA,0.2,M,,uncontrolable screaming for 10 hrs,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/09/1990,03/09/1990,0,none,1,DTP,,,,,,,,PVT,UNK,,,,
025552,07/23/1990,MI,79.0,M,,"Localized cellulitis, increased redness 10cm. Treated /w Dicloxacillin (sp?) QID for 10 days & cold compresses.",2,CELLULITIS,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/21/1990,03/29/1990,8,,1,TTOX,,,,,,,,PVT,UNK,,,,
025235,07/24/1990,FL,44.0,F,,"DAY OF VAX., PT BECAME LETHARGIC, DEVELOPED BLISTERS AND REDNESS(INFLAMMATION) OF MUCOUS MEMBRANE OF MOUTH. TREATED WITH BENADRYL. OUTCOME: NO INJURY.",3,MUCOUS MEM DIS,RASH VESIC BULL,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/10/1990,04/10/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025347,07/24/1990,CA,55.0,M,,"FOUR HRS AFTER INJECTION PT EXPER PAIN BEHIND EYES, FEVER, OCCIPITAL HEADACHE, GENERAL MALISE, SORE THROAT, FLU LIKE SYMPTOMS AND DEHYDRATION. NO TREATMENT GIVEN. AS OF 02-MAY-90, CYMPTOMS CONTINUED.",7,DEHYDRAT,FEVER,FLU SYND,HEADACHE,MALAISE,PAIN EYE,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,N,05/02/1990,05/02/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,POSSIBLY TAKES VASOTEC FOR HYPERTENSION,,HYPERTENSION,1ST AND 2ND IMMUNIZATIONS WITH RECOMBIVAX HB WERE UNEVENTFUL.
025348,07/24/1990,PA,,F,,"IMMEDIATELY AFTER IMMUN., ONSET OF FLUSHING, PROFUSE PERSPIRATION, SHARP HEADACHE.  LOW FEVER, ACHING, OCCURRED SEVERAL HRS POST-VAX. PT NOT SEEN BY PHYSICIAN.",5,FEVER,HEADACHE,MYALGIA,SWEAT,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,U,04/23/1990,04/23/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025349,07/24/1990,PA,,F,,"DAY AFTER VAX., PT SEEN IN ER WITH HYPERVENTILATION, STIFF NECK, SEVERE NECK PAIN, DIFFICULTY SWALLOWING, SEVERE BACK PAIN AND LOSS OF SENSATION IN UPPER EXTREMITIES.",10,ASTHENIA,DYSPHAGIA,DYSPNEA,HYPERVENTIL,LARYNGISMUS,NAUSEA,NECK RIGID,PAIN BACK,PAIN NECK,PARESTHESIA,,,,,,,,,,,,,,,,,,,U,04/26/1990,04/27/1990,1,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025350,07/24/1990,MO,,F,,,2,PARESTHESIA,STOOL ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025351,07/24/1990,WA,,U,,VACCINEES WHO RECVD 2ND DOSE OF ENGERIX-B EXP PAIN IMMEDIATELY AFTER INJECTION.  PTS' ARMS ACHED FOR 2 TO 3 DAYS FOLLOWING INJECTION.  ALL RECOVERED.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,"VIAL DESCRIPTION: LOT #587A4 NOT CLUMPING, SLIGHTLY CLOUDY BUT WHEN SHAKEN LOOKS FINE.",1,HEP,,,,,,,,PVT,PVT,N/A,,N/A,
025352,07/24/1990,KY,33.0,F,,"MORNING AFTER INJECT, ONSET OF SEVERE HEADACHE, LITTLE NAUSEA, STUFFY NOSE, SORENESS AND TIGHTNESS IN THE NECK. TOOK PERCOCET(HAD AT HOME) FOR HEADACHE LASTING 10 HRS. PT FINE NOW.",5,HEADACHE,NAUSEA,NECK RIGID,PAIN NECK,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,04/03/1990,04/03/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,ESTRATEST,,N/A,
025353,07/24/1990,TX,20.0,F,,"SINCE EARLY MARCH,AFTER ENGERIX-B INJECTIONS ON 07-FEB-90 AND 11-APR-90, PT HAS BEEN EXPERIENCING MENORRHEA.  OB/GYN FEELS CONDITION COULD BE DUE TO ENGERIX-B.",1,METRORRHAGIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,02/07/1990,03/01/1990,22,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,NONE,NONE,N/A
025354,07/24/1990,FL,56.0,F,,"ONSET OF SXS 3 DAYS P/ VAC: FATIGUE, FEVER, INFLAMED THROAT, HEAD TO TOE ITCHY RASH, CHILLS.  ALL SXS LASTED FOR 5 DAYS. NO TMT GIVEN. OUTCOME: NO INJURY.  PT HAD PAPULAR RASH PER MD ON SCALP, ARMS & ABDO.  IMMUNIZ NOT CONT'D",7,ASTHENIA,CHILLS,FEVER,PHARYNGITIS,PRURITUS,RASH,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,Y,03/27/1990,03/29/1990,2,N/A,1,HEP,,,,,,,,PVT,PVT,PREMARIN,,"HX OF HEPATITIS; ALLERGIC TO TTCN, FE SUPPLEMENTS",
025355,07/24/1990,CO,36.0,M,,Pt recvd 3 dose series of Hepatitis-B vax; 1st given 21DEC89 was w/Recombivax; 2nd & 3rd w/ENGERIX-B on 6FEB90  rt deltoid & 9OCT90 lt deltoid; 8MAY90 HBSAG testing done; 11MAY90 positive screen Hepatitis B Surface antigen;,2,HEPATITIS HBSAG,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/01/1989,12/01/1989,0,11MAY90 Hepatitis B Surface Antigen confirmation result= positive screen for Hepatitis B surface Antigen was confirmed;,1,HEP,,,,,,,,PVT,PVT,,,,
025356,07/24/1990,NY,,M,,"AFTER 1ST DOSE OF ENGERIX-B, PT EXPER FATIGUE, ATYPICAL LYMPHOCYTOSIS, PHARYNGITIS, AND ELEVATED LIVER ENZYMES. STILL HAS SYMPTOMS. HE WILL BE TESTED FOR EPSTEIN-BARR VIRUS. NO SUBSEQUENT DOSES GIVEN YET.",4,LIVER FUNC ABNORM,LYMPHOCYTOSIS,PHARYNGITIS,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,N,,,,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025357,07/24/1990,SC,36.0,F,,"Pt recvd 1st dose on vax 8MAY90; That day inject arm itching all day; Resolved 9MAY90; nausea, stomach cramps, watery diarrhea started 9MAY90 about 24 hrs post inject; t99 to 101.5 x 1 wk, achiness x 2 wks, rt sciatica, rt hip & leg pain;",9,ARTHRALGIA,DIARRHEA,FEVER,HYSN INJECT SITE,NAUSEA,NEURALGIA,PAIN ABDO,PAIN BACK,PRURITUS,,,,,,,,,,,,,,,,,,,,N,05/08/1990,05/08/1990,0,Sterility testing was done-neg; 23MAY90 orthopedic exam-neg; No objective neurological findings;,1,HEP,,,,,,,,PVT,PVT,,,"hx of appendectomy, hysterectomy; Allergic to Septra, Amoxil, Darvon, Sulfa",
025358,07/24/1990,TN,37.0,F,,"PT EXP PAIN AT INJECT SITE. NOT ABLE TO SLEEP SINCE INJECTION D/T PAIN. IBUPROFEN REC, 5-14-90, NOT TAKEN. PT STILL C/O PAIN. REC'D 2nd DOSE 5/12/90 - SAME DAY, ONSET OF SWELLING, HEAT & PAIN @ SITE X 3DAYS. DEV RASH, WEAKNESS",9,ASTHENIA,COUGH INC,EDEMA INJECT SITE,HEADACHE,INSOMNIA,PAIN,PAIN INJECT SITE,RASH,RHINITIS,,,,,,,,,,,,,,,,,,,,Y,05/11/1990,05/11/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,NONE,N/A,
025359,07/24/1990,PA,42.0,F,,"SAME DAY ONSET OF ITCHING, HIVES AND SHORTNESS OF BREATH. RECOVERED /W/ ATARAX AND STEROIDS.4-17-90 BROKE OUT IN RASH WITH ITCHINGS PERSISTING.FELT WEAK.ER BEGAN SALINE SOL.INTRAVENOUSLY.5-1-90 EVAL FOR HOARSENESS:BILATERAL VOCAL CORD EDEMA",11,ALLERG REACT,ASTHENIA,CYANOSIS,DYSPNEA,EDEMA LARYNX,MALAISE,PAIN INJECT SITE,PRURITUS,RASH VESIC BULL,URTICARIA,VOICE ALTERAT,,,,,,,,,,,,,,,,,,U,04/16/1990,04/16/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,"ATARAX, STEROIDS, VANCERIL INHALER, SERUM GLOBULIN",LACERATED THUMB,"3-13-90 RECVD 2ST DOSE ENGERIX-B: 3-08-90 HIV, RPR TESTS NEG; PLAN TO TEST 1, 3, 6, AND 12 MONTH SCHEDULE.",N/A
025360,07/24/1990,TX,,F,,1ST INJECT OF ENGERIX-B IN THIRD DOSE IN IMMUN SERIES GIVEN 26-DEC-89. FOUND TO BE NON-RESPONDER. RECVD SUBSEQUENT DOSE ON 3-7-90 AND 4-6-90 AND HAS NO ANTIBODIES.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/26/1989,,,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,"NONE,  DOSES GIVEN 3-07 AND 4-06, 1990 BOTH FROM LOT # 586A4",
025361,07/24/1990,SC,29.0,F,,"Pt recvd vax on 4MAY90 & had onset of nausea, anorexia, loose stools alternating w/diarrhea (x 9 days as of 13MAY90); sx resolved w/out tx; Recovered; F/U 13JUL90 exp dec energy & fatigue, liver functin tests 8AUG90 showed SGOT level 83 U/L",4,ANOREXIA,CONSTIP,DIARRHEA,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,U,05/04/1990,05/04/1990,0,"Sterility testing was done-negative; 8AUG90 lab data: CBC=normal; EBV profile showed VCA IGG 1:320, early AG R & D 1:10, early AG diffuse SGOT 83 U/L; 10SEP90 repeat liver function tests showed SGOT normal @ 23 U/L;",1,HEP,,,,,,,,PVT,PVT,,,,
025362,07/24/1990,SC,41.0,F,,"WITHIN 24 HRS OF 1ST ENGERIX-B INJECTION, PT EXP LOOSE STOOLS(4 THAT EVENING, ONE THE NEXT MORN, AND NO MORE SINCE). PT TOOK LOMOTIL. PT ALSO REPORTED NAUSEA.",2,DIARRHEA,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/11/1990,05/11/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,"NONE,   6 OF 7 OF THE RN PERSONNEL EXP ADVERSE EFFECTS AFTER RECEIVING DOSE OF ENGERIX-B. ALL DOSE FROM SAME VIAL LOT # 586A4",
025363,07/24/1990,SC,36.0,F,,"FIVE HRS AFTER 1ST INJECT OF ENGERIX-B, WELTS UNDER ARMS, IN GROIN, AROUND WAIST AND ON VARIOUS PLACES ON TRUNK. WELTS WENT AWAY, RESURFACED, CLEARED WITH NO PROBS. 36 HRS POST INJECT PT EXP WATERY DIARRHEA. TOOK LOMOTIL.EXP NAUSEA & CRAMPS",4,DIARRHEA,NAUSEA,PAIN ABDO,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,U,05/08/1990,05/08/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,"NONE,  6 OF 7 RN PERSONNEL EXP ADVERSE EFFECTS AFTER RECEIVING ENGERIX-B LOT # ENG 586A4.",
025364,07/24/1990,SC,25.0,M,,"NIGHT OF INJECTION, PT EXPERIENCED NAUSEA.",1,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/08/1990,05/08/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,"NONE,  6 OF 7 RN PERSONNEL EXP ADVERSE EFFECTS AFTER RECVING INJECT OF ENGERIX-B.  ALL DOSES FROM SAME VIAL LOT # 586A4",
025365,07/24/1990,CO,,U,,"AFTER 2ND DOSE OF ENGERIX-B, PT EXP DIZZINESS, NUMBNESS IN BOTH HANDS, FATIGUE, FEVER, HEADACHE, AND QUEASINESS.",6,ASTHENIA,DIZZINESS,FEVER,HEADACHE,NAUSEA,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,U,04/19/1990,04/19/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,,NONE,
025366,07/24/1990,CA,,F,,20 MIN AFTER IMMUN. PT EXP TINGLING AND NUMBNESS IN NOSE AND SINUSES; FELT SWELLING IN SAME AREA AND NOTICED CHANGE IN NASAL QUALITY. ER TREATED HER /W/ BENADRYL. CONDITION RESOLVED,3,EDEMA FACE,PARESTHESIA,SINUSITIS,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,04/30/1990,04/30/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,PENICILLIN,,PENICILLIN FOR DENTAL PROPHYLAXIS,
025367,07/24/1990,NH,35.0,F,,"ONE WEEK AFTER INJECTION, PT DEV ACHING AND STIFFNESS IN JOINTS OF HANDS, ELBOWS, SHOULDERS, KNEES AND HIPS.  CONTINUAL PAIN HOWEVER GRADUALLY DECREASING.  AS OF 5-14-90 STILL HAS JOINT PAIN.",4,ARTHRALGIA,FLU SYND,JOINT DIS,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,N,01/15/1990,01/22/1990,7,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025368,07/24/1990,NH,35.0,M,,"4 DAYS AFTER VAX, DEVELOPED ACHING IN JOINTS (KNEES, SHOULDERS, HANDS- WHOLE BODY) AND STIFFNESS IN JOINTS. THOUGHT FLU BUT NO OTHER SYMPTOMS. NO MEDS. BEDREST. PT STILL EXP SOME PAIN.",3,ARTHRALGIA,FLU SYND,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,N,04/03/1990,04/10/1990,7,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,MINOR ARTHRITIS IN KNEES,N/A
025369,07/24/1990,TX,58.0,M,,"PT RECVD 2 DOSES ENGERIX-B. 2ND  DOSE ON 11-MAY-90. 12-MAY-90 PT EXP HEADACHE, FEVER, MYALAGIA, DIARRHEA, NAUSEA, MALAISE AND FATIGUE. TREATED /W/ ASPIRIN AND LOMOTIL. 21-MAY-90 SYMPS PERSIST.",7,ASTHENIA,DIARRHEA,FEVER,HEADACHE,MALAISE,MYALGIA,NAUSEA,,,,,,,,,,,,,,,,,,,,,,N,05/11/1990,05/12/1990,1,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025370,07/24/1990,TN,39.0,F,,"PT RECVD INJECT EITHER ON 5-15 OR 5-17, 1990.  PT EXPER DIARRHEA, FEVER, HEADACHE, FLU LIKE SYMPTOMS",4,DIARRHEA,FEVER,FLU SYND,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,U,05/15/1990,05/17/1990,2,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025371,07/24/1990,TN,,F,,"INJECT RECVD EITHER 5-15 OR 5-17, 1990. PT EXP DIARRHEA, FEVER, HEADACHE, FLU LIKE SYMPTOMS.",4,DIARRHEA,FEVER,FLU SYND,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,U,05/15/1990,05/16/1990,1,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025372,07/24/1990,,,F,,"PT RECVD INJECTION OF EITHER 5-15 OR 5-17, 1990. PT EXP DIARRHEA, FEVER, HEADACHE, AND FLU LIKE SYMPTOMS.",4,DIARRHEA,FEVER,FLU SYND,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,U,05/15/1990,05/17/1990,2,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025374,07/24/1990,MO,40.0,F,,"ONE DAY AFTER VAX, EXP FATIGUE, BODY ACHES, JOINT PAIN, AND SICKNESS TO HER STOMACH. EVENTS LASTED ONE WEEK.",8,ARTHRALGIA,ASTHENIA,MALAISE,MYALGIA,NAUSEA,PAIN,SOMNOLENCE,SWEAT,,,,,,,,,,,,,,,,,,,,,Y,05/08/1990,05/08/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025375,07/24/1990,AK,,U,,SEVERE PAIN AFTER 2ND INJECT OF ENGERIX-B.  PTS/EMPLOYEES COMPLAINING OF SEVERE PAIN AFTER INJECTION (DELTOID) OF 2ND DOSE OF ENGERIX-B.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,N/A,N/A
025376,07/24/1990,TN,45.0,F,,"TWO DAYS AFTER DOSE OF ENGERIX-B ONSET OF ARTHRALGIS, MYALGIA, FEVER TO 104 F,CHILLS, MALAISE, FATIGUE, LOW GRADE ANOREXIA. 5-7-90 FEVER,HEART RATE 105(RESTING).TYLENOL FOR FEVER. SYMPTOMS SUBSIDE AFTER 14 DAYS. PT VERY ILL DURING 14 DAYS.",9,ANOREXIA,ARTHRALGIA,CHILLS,FEVER,LIVER FUNC ABNORM,MALAISE,MYALGIA,SOMNOLENCE,TACHYCARDIA,,,,,,,,,,,,,,,,,,,,U,04/25/1990,04/27/1990,2,"ELEVATED LIVER ENZYMES; WBC WAS NORMAL, REVERSAL OF POLYNYMPHS,RESTING HEART RATE =105; SGOT = 96; SGPT=123; GGTP=69  (ALL 5-7-90)",1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE (EXCELLENT HEALTH),
025377,07/24/1990,MA,42.0,F,,"AFTER VAX, EXP INCREASED LIVER ENZYMES, JAUNDICE, AND MALAISE.  TX & OUTCOME UNKNOWN.  3 wks p/ receiving vax, pt dev hepatitis (bili = 4.9).  Testing for Hep A,B,C was neg.  Sx resolved w/o tmt.",9,FEVER,HEADACHE,HEPATITIS,JAUNDICE,LIVER FUNC ABNORM,MALAISE,NAUSEA,URIN ABNORM,VOMIT,,,,,,,,,,,,,,,,,,,,U,04/17/1990,05/02/1990,15,N/A,1,HEP,,,,,,,,PVT,PVT,HYDROCHLOROTHIAZIDE,NONE,HISTORY OF VIRAL HEPATITIS,N/A
025378,07/24/1990,IL,,U,,"PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.",1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025379,07/24/1990,PA,,F,,PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N//A,NONE,N/A
025380,07/24/1990,PA,,F,,PT EXP TINGLING AT SOI FOLLOWING ADMIN OF THE 1ST DOSE OF ENGERIX-B.,2,INJECT SITE REACT,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/26/1990,04/26/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025381,07/24/1990,,,F,,"PT FELT INSTANT HEADACHE, FOGGY FOLLOWING ADMIN OF 1ST DOSE OF ENGERIX-B. PT RECOVERED",2,HEADACHE,THINKING ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/23/1990,04/23/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025382,07/24/1990,PA,,F,,PT FELT FLUSHED AT TIME OF INJECTION OF FIRST DOSE OF ENGERIX-B,1,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,04/26/1990,04/26/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025383,07/24/1990,PA,,F,,PT FELT FLUSHED AND TINGLY FOLLOWING ADMIN OF 1ST DOSE OF ENGERIX-B,2,PARESTHESIA,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/26/1990,04/26/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025384,07/24/1990,NC,42.0,F,,"VAX RECVD 1ST AND 2ND DOSE ON 4-17-90 AND ON 5-17-90 RESPECTIVELY. ON EACH OCCASION THE DAY AFTER INJECT PT EXP WATERY EYES, IRRATABILITY, RUNNY NOSE, SNEEZING, CONGESTION. CLEARED AFTER BENADRYL TAKEN.",3,AGITATION,LACRIMATION DIS,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/17/1990,04/18/1990,1,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,"MANY ALLERGIES, HYPOGLYCEMIA",N/A
025385,07/24/1990,OH,,F,,"TWO DAYS AFTER VAX, PT EXP ECCHYMOTIC AREAS ON LEFT ARM AND UPPER ABDOMEN.  AREAS ON ARM INTERIOR WRIST AND ON UPPER ARM JUST BELOW ELBOW. ECCHYMOTIC AREAS ON ABDOMEN ARE ABOVE UMBILICUS. PT DESCRIBED AREAS AS ""SORE"". 5-25-90 NO TREATMENT",3,ECCHYMOSIS,PAIN,PAIN ABDO,,,,,,,,,,,,,,,,,,,,,,,,,,N,05/22/1990,05/23/1990,1,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,HISTORY OF BRUISING EASILY,N/A
025386,07/24/1990,NC,29.0,F,,"3 DAYS AFTER IMMUN /W/ 2ND INJECTION OF ENGERIX-B, PT EXP FINE RASH, TONGUE FELT HEAVY, EYES SWELLED. PHYS GAVE ORAL BENADRYL BUT WITHOUT EFFECT. SYMPTOMS CLEARED AFTER INTRAVENOUS EPINEPHRINE WAS ADMINISTERED.",3,EDEMA FACE,RASH,TONGUE DIS,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/16/1990,05/19/1990,3,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,"MANY ALLERGIES,",NO PROBLEMS WITH FIRST DOSE FROM SAME LOT NUMBER 4-19-90.
025387,07/24/1990,CA,59.0,F,,"Vaccinee experienced large indurated, erythematous, warm area at injection site (lt arm).  c/o moderate pain. Events occurred at time of injection.  route of injection was IM or ""possibly SC"" Reporting nurse indicated not known.",3,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/18/1989,10/18/1989,0,,1,HEP,,,,,,,,PVT,UNK,,,,
025388,07/24/1990,OR,36.0,F,,23-SEP-89 pt received Engerix B & developed nausea followed by malaise a few days later which continues to date.  RUO pain started a few days after vaccination. Elevated LFTS and Bilirubinuria.,5,BILIRUBINURIA,LIVER FUNC ABNORM,MALAISE,NAUSEA,PAIN ABDO,,,,,,,,,,,,,,,,,,,,,,,,,09/23/1989,,,,1,HEP,,,,,,,,PVT,UNK,,,,
025389,07/24/1990,MI,59.0,M,,"Vaccinee received second vaccination (IM-Deltoid) 2-Nov-89 experienced bilateral arthralgia of knees, muscular weakness, weakness of legs",3,ARTHRALGIA,ASTHENIA,MYALGIA,,,,,,,,,,,,,,,,,,,,,,,,,,,11/02/1989,11/04/1989,2,,1,HEP,,,,,,,,PVT,UNK,,,,
025390,07/24/1990,MN,55.0,F,,"Pt received Engerix-B 10 days later experienced severe hoarseness, transient tingling of arms & legs.  No treatment was given for the events.",2,PARESTHESIA,VOICE ALTERAT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/30/1989,10/30/1989,0,,1,HEP,,,,,,,,PVT,UNK,,,,
025391,07/24/1990,MT,48.0,F,,"Vaccinee received first dose of Engerix-B at approx 3:30PM on 3-OCT or 4-OCT. About 2 hrs later she experienced slight headache, felt achy, had dryness in throat.  No treatment was given.  Events cleared by the following morning.",2,ASTHENIA,EDEMA INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/03/1989,10/03/1989,0,,1,HEP,,,,,,,,UNK,UNK,,pt had flu at that time.,,
025392,07/24/1990,IA,,F,,"Pt received Engerix-B on 20-OCT-89 2nd dose of the series and experienced fever, upset stomach, chills.  No treatment was given. Felt better next day & returned to work.",3,CHILLS,DYSPEPSIA,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/20/1989,10/20/1989,0,,1,HEP,,,,,,,,UNK,UNK,,,,
025393,07/24/1990,OK,34.0,F,,"Pt received Engerix-B & experienced numbness in lt leg, lt deltoid soreness, bilateral arthralgias, tingling in lt leg, minimal burning at injection site.",5,ARTHRALGIA,INJECT SITE REACT,MYASTHENIA,PAIN INJECT SITE,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,Y,11/01/1989,11/02/1989,1,,1,HEP,,,,,,,,UNK,UNK,,,,
025394,07/24/1990,NJ,57.0,M,,Pt received Engerix-B on 21-NOV-89 and tested positive for Hepatitis B surfact antigen on 22-NOV-89.  Test repeated on Pt dialysis unit on 1-DEC-89 and was negative. Tested again on 5-DEC-89 also negative.,1,HEPATITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/21/1989,11/22/1989,1,,1,HEP,,,,,,,,UNK,UNK,,,,
025395,07/24/1990,CT,37.0,F,,"Pt developed fever of 100 F or greater for approx 3 days, 20Nov89 c/o muscles & bone aches, knees, ankles swollen/itching.  Possible that the Engerix-B exacerbated chronic fatigue syndrome",12,ARTHRALGIA,ARTHRITIS,ASTHENIA,EDEMA,FEVER,MYALGIA,NAUSEA,PAIN,PRURITUS,SERUM SICK,TREMOR,VOMIT,,,,,,,,,,,,,Y,,,,,11/17/1989,11/18/1989,1,"Fever readings 18Nov89- 101 F, 19Nov89-100.2F, 20Nov89-100 F, Low grade fever from 21Nov89 through 25Nov89.",1,HEP,,,,,,,,UNK,UNK,"Prozac, Xanax",,chronic fatigue,
025397,07/24/1990,CA,57.0,F,,"TWO HRS AFTER VAX, DIZZINESS, BACK PAIN, COLD FEELING, AND PARESTHESIA. NO TREATMENT. RECOVERED 11-20-89.",3,DIZZINESS,PAIN BACK,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/20/1989,11/20/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NO HIST OF ALLERGY,N/A
025398,07/24/1990,KY,58.0,M,,"REPORTING PHYS INDICATED PT HAD NO IMMUNITY.  HEP PROFILE ON 11-29-89 SHOWED CORE ANTIBODY POSITIVE, REMAINDER OF TEST NEGATIVE.",1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/06/1989,11/29/1989,54,"1/25/89 HEP PROFILE = NEG ; 9/10/89 HEP PROFILE = NEG(AFTER 3 HEPTAVAX DOSES) ; 11/29/89 HEP PROFILE = CORE ANTIBODY POS, REMAINDER OF TEST NEG(AFTER 2 DOSES OF ENGERIX-B)",1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,NONE
025399,07/24/1990,MI,28.0,F,,"ITCHING(CHIN/NECK), SORENESS OF UPPER RIGHT QUADRANT OF RIGHT BREAST. NO TREATMENT. ALL EVENTS RESOLVED.",2,PAIN BREAST,PRURITUS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,12/12/1989,12/16/1989,4,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,UPPER RESPIRATORY TRACT INFECTION WITH SINUS INVOLVEMENT.,
025400,07/24/1990,CA,30.0,M,,"FIVE DAYS AFTER VAX, PT WENT TO GIVE BLOOD: HAD ELEVATED SGPT OF 160. TEST REPEATED 12-28-89 AT PHYS OFFICE AND SGPT LEVEL WAS 70.",1,LAB TEST ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/11/1989,12/26/1989,15,12-26-89 SGPT = 160;  12-28-90 SGPT = 70,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025401,07/24/1990,CA,36.0,F,,"FOR ONE WEEK FOLLOWING INJECTION OF HER 2ND DOSE OF ENGERIX-B ON 01-DEC-89 PT FELT SORENESS,NAUSEA,VOMITING,MALAISE.CONSTANT PAIN IN LEFT ARM(INJECTED ARM)",4,MALAISE,NAUSEA,PAIN INJECT SITE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,U,12/01/1989,12/24/1989,23,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,MILD COLD,NONE,N/A
025402,07/24/1990,IA,27.0,F,,"THIRTY MIN ONSET OF DIZZINESS, PALENESS AND TINGLY NUMBNESS IN FACE AND ARMS(LASTED TEN MIN.) RESTED. DOING FINE.",3,DIZZINESS,PALLOR,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/03/1990,01/03/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,ERYC(ERYTHROMYCIN) 250 mg QID,NONE,LYMPHADENOPATHY,N/A
025553,07/24/1990,TN,0.2,M,,"Pt found in crib unresponsive at 09:00 6-27-90; DTP & OPV given on 06-25-90 at 15:00.  Pt to ER via ambo, no spontaneous heartbeat, pulse or resp. CPR and defib attempted, could not convert v-fib to NSR.  Pupils fixed & unresp.  See WORM.",8,EDEMA LUNG,FIBRILLAT VENT,HEM ADREN,LUNG DIS,NECRO ADREN,NEOPL,PETECHIA,STUPOR,,,,,,,,,,,,,Y,,,,,,,,N,06/25/1990,06/27/1990,2,,2,DTP,OPV,,,,,,,PVT,PVT,none,routine well baby checkup given,,
025554,07/24/1990,NY,10.0,M,,R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,06/07/1990,06/20/1990,13,no relevant data,1,MMR,,,,,,,,PVT,PVT,unknown,no relevant history,,
025556,07/24/1990,NY,,F,,MD reported pt initially vac. w/ MMR live at 15 mo's was vac. w/ booster MMR on 10-20-89 along w/ DTP.  Pt died 10-25-89.  Autopsy = overwhelming strep. sepsis.  MD and autopsy pathologist felt pt death not related to vaccination.,1,SEPSIS,,,,,,,,,,,,,,,,,,,,Y,10/25/1989,,,,,,,,10/20/1989,10/25/1989,5,"autopsy-strep sepsis, The physician & autopsy pathologist felt that the pt's dealth was not related to vaccination.",2,DTP,MMR,,,,,,,PVT,UNK,,no relevant history,,
025557,07/24/1990,IN,1.3,F,,"Onset w/ fever, napped, woke w/ jerking -all extremities - & seemed to stop breathing, vomited X1.  No sxs 7-10-90.  Given APAP q4h on 7-11-90.",5,APNEA,CONVULS,FEVER,LAB TEST ABNORM,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,07/09/1990,07/11/1990,2,"WBC 13.0, RBC 4.37, HgB 10.3, Hct 31.4, MCV 72, MCH 23.6, MCHC 32.8, Platelets 450, Seg 82, lymph 16, stab 2",2,DTP,MMR,,,,,,,PVT,PVT,,,,
025558,07/24/1990,CT,0.2,M,,"POOR COLOR, FLOPPY, REFUSED ORAL INTAKE 3 HRS P/ DTP.  CRY WEAK, BORDERLINE HIGH; T=102.4 LATER IN DAY.  TX W/ PHENOBARB & TYLENOL FOR COMFORT.  TOOK 2-3 DAYS FOR DISPOSITION TO RTN TO NL.",5,ANOREXIA,FEVER,HYPOTONIA,PALLOR,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,Y,05/09/1990,05/09/1990,0,NONE,1,DTP,,,,,,,,PVT,PVT,,,,
025559,07/24/1990,,0.3,F,,TEMP 37.6 C.; RAISED RED WELT ON LEFT LEG,3,FEVER,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,07/11/1989,07/11/1989,0,,2,DTP,OPV,,,,,,,PUB,PUB,,,,
025561,07/24/1990,NY,1.3,M,,"HAD VAC ON 6-26-90.  ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES.  ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE.  CHILD FINE",4,CONVULS,CSF ABNORM,FEVER,LEUKOCYTOSIS,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,06/26/1990,07/06/1990,10,"LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC'S 6 WBC'S (3 POLYS & 3 LYMPHS)",1,MMR,,,,,,,,PVT,PVT,NONE,,,
025562,07/24/1990,PA,1.5,F,,LOCAL RXN ON L LEG AT SITE OF DTP.  TEMP 103.4,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/14/1990,07/15/1990,1,NONE,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,NO PRIOR SIGNIFICANT RXN W/ OTHER DOSE OF DTP/OPV.  1ST DOSE OF HIB
025228,07/25/1990,NM,36.0,F,,"Pt had swollen area at inject site which became red the next day /w erythema, Pt given Hydrocortisone Cream & Tylenol",2,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025229,07/25/1990,DC,,U,04/06/1990,"physucuan reported that three out of eight pts who received this product, from this lot, developed severe local (deltoid) rxns. Rxn were redness, swelling, & pain of the deltoid.",3,INFLAM INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,TD,,,,,,,,PVT,UNK,,,,
025230,07/25/1990,IA,2.0,F,,"Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)",5,AGITATION,FEVER,SCREAMING SYND,TETANY,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,U,06/18/1990,06/18/1990,0,,3,DTP,MMR,OPV,,,,,,PVT,UNK,,,,
025231,07/25/1990,WI,0.2,M,,screaming cry & very irritable for 2 1/2 hrs. Very irritable infant /w hyper-active reflexes.,3,AGITATION,REFLEXES INC,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/13/1990,06/13/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025232,07/25/1990,,1.4,U,,2" X 4" area of swelling. Center had small pustule. Scant drainage severe discomfort.,4,INFECT,INFLAM INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,U,04/11/1990,04/11/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025396,07/25/1990,IL,50.0,F,,CHILLS AFTER 1ST DOSE. 12-1-89 2ND DOSE GIVEN WHICH ONSET PAIN IN NECK AND ARM; MUSCHLE SORE(WHOLE BODY);LOW GRADE FEVER;KIDNEY PAIN;TENDER SPLEEN;NAUSEA;ITCHING;PAIN AT INJECT SITE;LYMPH NODES SWOLLEN;AS OF 12-20 PT FINE,13,ALLERG REACT,ASTHENIA,CHILLS,FEVER,LYMPHADENO,MALAISE,MYALGIA,NAUSEA,NECK RIGID,PAIN INJECT SITE,PAIN KIDNEY,PRURITUS,SPLEEN DIS,,,,,,,,,,,,,,,,Y,10/31/1989,11/01/1989,1,N/A,1,HEP,,,,,,,,PVT,PVT,"DIURETICS,HYDROCHLOROTHIAZIDE,INFLUENZA VACCINE(11-02-89),THYROID MED,MINIPRESS",NONE,ELEVATED BP,
025403,07/25/1990,KY,37.0,M,,Pt received first dose of Engerix-B in rt arm and noticed numbness and tingling in the 4th and 5th fingers of the rt hand and under the rt arm between the shoulder and the elbow. Follow up #1 symptoms of back pain associated w/brachiopathy.,3,PAIN BACK,PAIN INJECT SITE,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,12/08/1989,12/27/1989,19,,1,HEP,,,,,,,,UNK,UNK,,,,
025404,07/25/1990,UT,24.0,F,,Pt received 3rd dose of Engerix-B and experienced migraine headache.,1,MIGRAINE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,12/07/1989,12/10/1989,3,,1,HEP,,,,,,,,PVT,UNK,Ortho-Novum 7/7/7,,"Follow UP #2 Caucasian, 65inches, 128lbs",
025405,07/25/1990,IN,26.0,F,,"Pt received Engerix-B and experienced rhinitis, serious eye draining.  Third day following the vaccination she had onset of macular apaular rash w/pruritus on scapular region.  Rash extended to chest.  Dr evaluated felt rash was unrelated.",3,CONJUNCTIVITIS,RASH MAC PAP,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,11/28/1989,11/29/1989,1,,1,HEP,,,,,,,,PVT,UNK,,,,
025406,07/25/1990,MA,46.0,M,,"Pt received Engerix-B and within 48 hrs or less experienced mild erythema, fatigue, fever, mild to moderate hepatitis, viral syndrome, malaise, nausea diffuse arthralgias.",14,ARTHRALGIA,CHILLS,EDEMA,FEVER,FLU SYND,HEPATITIS,MALAISE,NAUSEA,PAIN ABDO,PHARYNGITIS,RASH,SERUM SICK,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,Y,11/20/1989,11/22/1989,2,"Follow up #2 12/?/89 SGOT = 53, SGPT = 70, CK = 475, ESR = 3  1/11/90 SGOT = 50 CK = 449.",1,HEP,,,,,,,,PVT,UNK,,borderline hypertension-diet controlled,"mild obesity, hx of gout, quiescent x 2 yrs",
025407,07/25/1990,IL,34.0,F,,"Pt received one initial dose of Engerix-B & experienced increase in levels of SGOT, SGPT, GGT.  Hepatitis profile complete was negative for all items, levels for liver studies were at or near normal.",6,ALLERG REACT,GGTP INC,LIVER DAMAGE,LIVER FUNC ABNORM,SGOT INC,SGPT INC,,,,,,,,,,,,,,,,,,,,,,,,12/14/1989,12/28/1989,14,"SGOT 63, SGPT 132, GGT 224 results for 28-DEC-89;   SGOT 53, SGPT 105,  GGT 229 for 30-DEC-89; SGOT 26, SGPT 32, GGT 162.  Hepatitis profile negative for all items.",1,HEP,,,,,,,,UNK,UNK,,,,
025408,07/25/1990,NY,31.0,M,,Pt received Engerix-B vaccination on 9-NOV-89 and on 7-DEC-89 approx one month following the second dose titers were taken & no detectable levels were reported.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/09/1989,12/31/1989,52,,1,HEP,,,,,,,,UNK,UNK,,,,
025409,07/25/1990,UT,41.0,F,,Pt received third dose of Engerix-B and had onset of headache.,1,MIGRAINE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,12/10/1989,12/14/1989,4,,1,HEP,,,,,,,,PVT,UNK,no known allergies,Has migraines periodically.,,
025410,07/25/1990,AL,32.0,F,,Pt received two doses of Engerix-B and c/o occasional severe headaches since the first dose. Seen by her family physician.  No treatment given.,1,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12/14/1989,12/14/1989,0,,1,HEP,,,,,,,,PVT,UNK,Anaprox (PRN) for premenstrual,irritable bowel syndrome; hypoglycemia,gastroesophageal reflux,
025411,07/25/1990,CA,32.0,M,,"Pt received Engerix-B and experienced diarrhea, dizziness, fatigue, diminished exercise tolerance, insomnia, muscle aches, nausea, neck stiffness, loss of apppetite, palpitations, tachycardia, vomiting, lost 5 lbs, flu like symptoms, restl",8,ALLERG REACT,ANOREXIA,DIARRHEA,DIZZINESS,INSOMNIA,TACHYCARDIA,VOMIT,WEIGHT DEC,,,,,,,,,,,,,,,,,,,,,Y,12/15/1989,,,,1,HEP,,,,,,,,UNK,UNK,,,,
025412,07/25/1990,CA,28.0,F,,"Pt received 2 doses of Engerix-B post needle stick injury experienced low grade fever (99 degreesF), severe progressive pain in back of neck & back, slight drowsiness. Seen in ER Dx w/Aseptic Meningitis; No treatment given; fever, fatigue",6,ASTHENIA,FEVER,HEADACHE,MENINGITIS,NECK RIGID,PAIN BACK,,,,,,,,,,,,,,,,,,,,,,,Y,12/22/1989,12/22/1989,0,,1,HEP,,,,,,,,PVT,UNK,Bactrim,mild urinary tract infection,,
025413,07/25/1990,OR,38.0,F,,"AFTER 1ST DOSE EXP FEBRILE ILLNESS(FLU LIKE SYMPTOMS). OK 11-18-89. AFTER 2ND VAX, SHE HAD FEVER, JOINT PAIN, MALAISE(ONSET 12-21-89) FOR 5 DAYS. SUBSEQUENT DEV OF SORE THROAT AND FULL BLOWN FLU. NO TREATMENT GIVEN.NURSE DOESN'T BELIEVE VAX",5,ARTHRALGIA,FEVER,FLU SYND,MALAISE,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,11/16/1989,11/16/1989,0,FEVER 100-101 DEGREES F,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025414,07/25/1990,OR,50.0,F,,"2ND INJECTION ON 11-9-89. ONSET OF RASH(FINE RAISED, BRIGHT RED), ITCHING OVER WHOLE BODY, EYES SWOLLEN. TREATED /W/ PREDNISONE AND BENADRYL. RASH & EDEMA DECREASED BUT ITCHING TREATED /W/ HAOLG.POSS INTERACTION BETWEEN ENGERIX AND MAXZIDE.",7,DRUG INTERACTION,EDEMA FACE,EDEMA GENERAL,EDEMA PERIPH,PRURITUS,RASH,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,N,11/09/1989,11/10/1989,1,N/A,1,HEP,,,,,,,,PVT,PVT,"DRIXORAL, IBUPROFEN, MAXZIDE, RESPORAL",N/A,"ASTHMA(AS CHILD), BILATERAL PNEUMONIA(AGE 13), FOOD ALLERGIES, LACTOSE INTOLERANCE. IRRITABLE BOWEL,ESOPHAGITIS: COLITIS. PRONE TO BRONCHITIS.NASOPHARYNGITIS. RHINITIS. HYPERTENSION SINCE 1976.",N/A
025415,07/25/1990,CA,47.0,F,,PT AND A CO-WORKER EXPERIENCED RASH ON 12-21-89. NO TREATMENT GIVEN. RECOVERED 12-28-89.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,12/21/1989,12/21/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,N/A,NONE,NONE,N/A
025416,07/25/1990,MO,26.0,M,,PT EXP ARTHRALGIAS 24 HRS AFTER 1ST DOSE OF ENGERIX-B. RESOLVED WITHIN 24 HRS.,1,ARTHRALGIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,N/A,REPORTING PHYS (PT'S FATHER) INDICATED HE RECVD 2 DOSES OF ENGERIX-B.NO AD EVENT
025417,07/25/1990,AL,20.0,F,,"ONE HR AFTER 1ST INOC, PT EXP NAUSEA AND VOMITING. SEEN ER, SYMPTOMS CONTINUED. 1-12-90 BACK TO ER :3 DAYS OF FAINTING. ITCHING, HEADACHE. NO RASH TEMP NORMAL. ER PHYS,""REACTION TO HEP-B VAX"".RECOVERED 1-13-90 AFTER ER TREATMENT.",8,ALLERG REACT,DIZZINESS,FEVER,HEADACHE,NAUSEA,PRURITUS,SYNCOPE,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,01/10/1990,01/20/1990,10,N/A,1,HEP,,,,,,,,PVT,PVT,IN ER TREATED /W/:SUS-PHRINE 0.2 cc AND KENALOG - 40 1 cc AND TWO SUPPOSITORIES PHENERGAN 50 mg,NONE,"""PROBLEMS"" WITH VACCINES IN PAST, FOOT INJURY",N/A
025418,07/25/1990,CA,58.0,F,,ONSET OF RASH SAME DAY AS INOC. NO TREATMENT WAS GIVEN. RECOVERED 28-DEC-90. RASH REAPPEARED 01-FEB-90 WITH NO ADDITIONAL DOSE GIVEN.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/21/1989,12/21/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,N/A,N/A
025419,07/25/1990,PA,24.0,F,,"1.5 HRS AFTER INOC DEV OF GEN ARTHRALGIAS WHICH PEAKED AT 24 HRS(ESP IN MAJOR JOINTS). CONDITION LASTED 5 DAYS. TREATED SYMPTOMATICALLY, SYMPTOMS ABATED. RECOVERED 1-30-90.",1,ARTHRALGIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/16/1990,01/16/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NOW HAS A COLD,N/A
025420,07/25/1990,IA,42.0,F,,"Pt given Engerix-B 30Nov89, developed painful elevated, hard nodules that looked like purpura with lumps on both legs & arms/hands. C/O severe pain & swelling from knees down, could not stand or walk, palms were tender. Extensive text WORM",11,ARTHRALGIA,ASTHENIA,EDEMA,FEVER,HEADACHE,LAB TEST ABNORM,LIVER FUNC ABNORM,MALAISE,NAUSEA,PAIN EAR,VOMIT,,,,,,,,,,,,,,,,,,U,11/30/1989,12/01/1989,1,"28Dec89 Sgot-36, Sgpt-58, GGPT-58, LDN-264, Alkaline phos-148, Triglycerides- 178, calcium- elevated. Extensive labs see WORM",1,HEP,,,,,,,,PVT,UNK,,,,
025421,07/25/1990,CO,,U,,"ONE DAY AFTER VAX, PT EXP SORE THROAT(RESOLVED).NEXT DAY, PT EXP LOW GRADE FEVER, FATIGUE, AND ARTHRALGIA. PHYS DETERMINED EVENTS WERE REACTION TO VACCINATION.1-25-90 RHINITIS. 1-26 CHILLS,JOINT PAIN,EAR PAIN,DIZZY,TENDER SINUSES.",19,ALLERG REACT,ANOREXIA,ARTHRALGIA,ASTHENIA,CHILLS,CONJUNCTIVITIS,COUGH INC,DIZZINESS,FEVER,HEADACHE,LYMPHADENO,MYALGIA,NAUSEA,NECK RIGID,PAIN EAR,PHARYNGITIS,RHINITIS,SINUSITIS,TINNITUS,,,,,,,,,,Y,01/23/1990,01/24/1990,1,"1-3-90 BODY TEMP = 100 F, HEMATOLOGY RESULTS:  WBC 5200 (NORMAL), POLYS 69 (NORMAL), LYMPHS 31 (NORMAL)",1,HEP,,,,,,,,PVT,PVT,NONE,N/A,"ALLERGIES INCLUDE IVP DYE, PHENOTHIAZINES, REGLAN;GASTRITIS 7-85 FOLLOWING ERYTHROMYCIN TREATMENT; GI UPSETS; TENDINITIS",N/A
025422,07/25/1990,IN,59.0,F,,"SAME DAY PT EXP STIFFNESS, BACK AND SHOULDER PAIN, SORENESS IN BACK AREA FOR APPROX-48 HRS. TREATMENT :  HEAT, ADVIL.  SYMPTOMS SUBSIDED WITHIN 2 DAYS.",5,HYPERTONIA,MYALGIA,NECK RIGID,PAIN,PAIN BACK,,,,,,,,,,,,,,,,,,,,,,,,Y,01/04/1990,01/04/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,"IBUPROFEN, PREMARIN, PROVERA",N/A,NO KNOWN ALLERGIES,N/A
025423,07/25/1990,CT,46.0,F,,"NIGHT OF VAX, PT EXP ITCHING ALL OVER, AND RASH COVERED BODY. TREATED WITH SELDANE AND RECOVERED BY NEXT MORNING.",2,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/01/1990,01/01/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,PREDNISONE AND BENADRYL FOR PROPHYLAXIS,N/A,NONE,N/A
025424,07/25/1990,LA,42.0,F,,"ONE HR POST-INJECTION PT EXP ITCHING AND BLOTCHY TO MEASLY TYPE RASH ON ARMS,NECK,BACK. RECEIVED EPINEPHRINE AND BENADRYL. 3 DAYS POST-INJECTION STILL HAD INTERMITTENT RESIDUAL RASH. 3-23-90 STILL COMPLANS OF INTERMITTENT RASH.",3,PRURITUS,RASH,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,,,,,N,01/19/1990,01/19/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,"EPINEPHRINE, BENADRYL",NONE,GETS RASHES FOR NO KNOWN REASON. NEVER BEEN TOLD ABOUT ALLERGIES NOR BEEN TESTED.,N/A
025425,07/25/1990,CA,,U,,"1 - 2 HRS AFTER INJECTION, PT EXP DIFFUSE RASH, VERY PRURITIC. PRURITUS LASTER MORE THAN 2 WEEKS.",2,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/27/1989,12/27/1989,0,N/A,1,HEP,,,,,,,,UNK,UNK,,,,
025426,07/25/1990,IA,,U,,"INFECTIOUS DISEASE NURSE HAS NOTED APPROX 25% OF ALL PTS WHO RECEIVE ENGERIX-B EXP INJECTION SITE PAIN /WIN 1-2 DAYS OF VAX. Pt c/o that vax hurt when injected (painful for 24 hrs), arm felt heavy, recovered",2,MYASTHENIA,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/26/1990,01/26/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,1% OF ALL PTS WHO RECEIVE RECOMBIVAX EXPERIENCE PAIN AT SOI.,N/A
025427,07/25/1990,TX,46.0,F,,"EVENING AFTER VAX PT EXP BACK PAIN,URINE GOLD COLOR. TREATMENT:  TYLENOL, BEDREST. OUTCOME:  SELF-LIMITING.",3,ASTHENIA,PAIN BACK,URIN ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/01/1990,02/01/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,TYLENOL,NONE,NO KNOWN DRUG ALLERGIES,N/A
025428,07/25/1990,NY,36.0,F,,"TWO HRS POST-IMMUN PT HAD SINUS CONG., EAR CONG., GREEN NASAL DISCHARGE.11-27-89 PT NOTED TO HAVE 99.2 TEMP,TENDER MAX SINUSES, ENOEXPIRATORY WHEEZING(LF BRONCHUS & UPPER RT LOBE).TREATED. PHYS FELT PT HAD VIRAL RESP INFECT(UNRELATED TO VAX",8,ASTHMA,BRONCHITIS,COUGH INC,EAR DIS,FEVER,NO DRUG EFFECT,PHARYNGITIS,RHINITIS,,,,,,,,,,,,,,,,,,,,,U,11/20/1989,11/20/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,"MULTIPLE VITAMINS, AUGMENTIN, TRINALIN",NONE,PT RECVD 3 PRIOR DOSES OF RECOMBIVAX WITHOUT ANTIBODY FORMATION. ENGERIX-B WAS PT'S FIRST DOSE. A 2ND RECOMBIVAX BOOSTER /W/OUT ILL EFFECTS,NONE
025429,07/25/1990,NJ,42.0,F,,"AFTER 1ST DOSE(HEPTAVAX-B 11-8-89) PT EXP FLU-LIKE SYMPTS,JOINT PAIN,ACHES,FEVER,NAUSEA,VOMITING.PHYS FELT IT THE FLU.1ST DOSE ENGERIX-B 2-9-90,PT FELT TIRED.2-10-90 PT HAD JOINT PAIN,SWOLLEN ANKLES/WRISTS,RASH,AND PREVIOUS SYMPTS.ABATE SYM",12,ALLERG REACT,ARTHRALGIA,ASTHMA,EDEMA PERIPH,FEVER,FLU SYND,MALAISE,NAUSEA,PRURITUS,RASH,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,Y,11/08/1989,11/08/1989,0,"2-12-90:  101.2 F  2-19-90:  BILIRUBIN, TOTAL = 0.5 MG/DL (NORMAL .4-1.1) BILIRUBIN,DIRECT= 0.3 MG/DL(NORMAL 0.0-.4),BILIRUBIN,INDIRECT= 0.2 MG/DL(NORMAL 0.0-1.2) ALK PHOSPHATASE 38 U/L (NORMAL 36-92);GGT=10 U/L(NORMAL 8-63);SGOT=12-ABNORM",1,HEP,,,,,,,,PVT,PVT,"ASA & ADVIL FOR FLU-LIKE SYMPTOMS, BENADRYL, NAPROSYN, MOTRIN",PT VOMITED WHILE PERFORMING CPR,"ENVIRONMENTAL ALLERGIES, ALSO ALLERGIC TO TETANUS, NARCOTICS, ANTIBIOTICS",
025430,07/25/1990,AL,,M,,HIVES BEGAN TWO DAYS AFTER INNOC. REPORTING PHYSICIAN(VACCINEE) FOUND TO BE REACTION OF HIVES TO INSECTS.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/01/1990,02/03/1990,2,NONE,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,OBESE,N/A
025432,07/25/1990,WA,52.0,M,,"DAY AFTER VAX, PT'S ARM SORE. NEXT 2 DAYS STILL SORE. 2-16-90 SHOULDER AND SHOULDER BLADE ACHING, BACK OF NECK STIFF, HEADACHE, TENDER UNDER AER.  NO REDNESS OR FEVER. ASPIRIN TREATED. SYMPTOMS RESOLVED 2-18-90.",6,HEADACHE,HYPERTONIA,MYALGIA,NECK RIGID,PAIN,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,Y,02/12/1990,02/13/1990,1,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,ALLERGIC TO IODINE AND BARBITURATES,N/A
025433,07/25/1990,NH,45.0,F,,"DAY AFTER VAX, LOCAL ITCHING.6 DAYS AFTER VAX,ITCHING GEN,TONGUE SWELL,PERIO. EDEMA,RHINORRHEA.",5,EDEMA FACE,EDEMA TONGUE,HYSN INJECT SITE,PRURITUS,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,02/05/1990,02/07/1990,2,N/A,1,HEP,,,,,,,,PVT,PVT,"DEPO-MEDROL (40 mg, IM)MEDROL DOSEPAK, BENADRYL",NONE,"HISTORY OF ASTHMA AND MULTIPLE ALLERGIES: YEAST, CANTALOUPE, UNCOOKED GREEN PEPPERS, POTATOES; OTHER DRUGS WITH HIVES AND ITCHING; INSECTS;HIST OF HYPERTENSION AND ANXIETY",N/A
025434,07/25/1990,NM,25.0,F,,PT EXP PAIN AT SOI. FELT SEVERE STINGING. TREATMENT PT COUNSELING.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/30/1990,01/30/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025435,07/25/1990,NM,28.0,F,,"AFTER INJECT, PAIN AT SOI AND SEVERE STINGING AT SOI.",1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/10/1990,01/10/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025538,07/25/1990,MN,0.3,M,,"Crying constantly unless held, fever 104 F.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/10/1990,07/10/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025563,07/25/1990,MN,0.5,M,,"4 hrs subsequent to the 3rd DTP immun. Derrick was noted to be hypotonic, hyporesponsive, pale feverish & /w perioral cyanosis 30 min. duration.",5,CYANOSIS,FEVER,HYPOTONIA,PALLOR,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,U,07/03/1990,07/03/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025564,07/25/1990,DE,36.0,F,,"ACHES, PAIN (JOINT), SWEATS, LOW GRADE TEMP, MALAISE, N & V, AND SEVERE HEADACHE",8,ARTHRALGIA,ESR INC,FEVER,HEADACHE,MALAISE,NAUSEA,SWEAT,VOMIT,,,,,,,,,,,,,,,,,,,,,,06/28/1990,06/29/1990,1,SED RATE 25,1,HEP,,,,,,,,PVT,PVT,NONE,,,
025565,07/25/1990,IA,,F,,"Rash occurred on chexst day of vacc. Red burning ears & swollen glands, staryed day 4.",3,EAR DIS,LYMPHADENO,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/06/1990,07/06/1990,0,none,1,TD,,,,,,,,PVT,UNK,,,vacc. given for burn on extremity,
025568,07/25/1990,CA,18.0,F,,Pt vacc. /w Measles virus 26May90. A day & 1/2 /p vacc. pt had grand mal sizure. Pt in ER. 19Jul90 MRI scan and EEG demonstrated minimal abnormality. Additional info. requested.,1,CONVULS GRAND MAL,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,05/26/1990,05/28/1990,2,"MRI 19Jun90- normal, EEG 19Jun-90 minimal abnormality",1,M,,,,,,,,PVT,UNK,,,no relevent history,
025569,07/25/1990,IL,16.0,M,,"Pt vacc. /w Mumpsvax 1st dose in response to local mumps epidemic, 2 wks later he developed chest pain & abnormal ECG. Admitt to hospital & died 2 days later /p admission /w DX of myocarditis.MD could not establish a causal relationship.",3,ECG ABNORM,MYOCARDITIS,PAIN CHEST,,,,,,,,,,,,,,,,,,Y,,,,,,Y,,N,11/10/1987,12/29/1987,49,Autopsy revealed a grossly normal pancreas. Additional info. requested.,1,MU,,,,,,,,PVT,UNK,,,no relevant history,
025570,07/25/1990,PA,52.0,M,,Pt (surgeon) was vacc. /w Heptavax-B & was subsequently hospitalized /w pancreatitis. There was no concomitant medication. Additonal detail are beig requested,1,PANCREATITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,,,,,1,HEP,,,,,,,,PVT,UNK,,,no relevant history,
025571,07/25/1990,NY,18.0,F,,Pt vacc. /w Attenuvax on 22Jun90. 3 hrs /p vacc. pt developed a transient ischemic attack (TIA) manifested principally by slurred speech which persisted for 10-15 min before remitting spontaneously. More info. requested,1,ISCHEMIA CEREBR,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/22/1990,06/22/1990,0,,1,M,,,,,,,,PVT,UNK,,,no relevant history,
025572,07/25/1990,MA,42.0,F,,"Immediately /p  developed a facial rash, also developed joint pain in the 4th PIP dorsal & mid wrist of rt hand on week post shot.",2,ARTHRALGIA,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/26/1990,02/07/1990,12,,1,MMR,,,,,,,,PVT,UNK,,,none,
025236,07/26/1990,WI,15.0,F,,"1 hr /p receiving Td & MMR returned to DHC /w swollen itching eyes, no respiratory distress, treated /w Benadryl 50 mg",1,EDEMA FACE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/04/1990,06/04/1990,0,,2,MMR,TD,,,,,,,PVT,UNK,given Benadryl /p vaccine,,,
025437,07/26/1990,NM,31.0,F,,PT EXP SEVERE STINGING AND PAIN AT SOI.  TREATMENT PT COUNSELING.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,02/21/1990,02/21/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,PTS DID NOT COMPLAIN OF SEVERE STINGING WITH RECOMBIVAX-B.
025438,07/26/1990,NM,40.0,M,,PT EXP PAIN AND STINGING AT SOI AFTER DOSAGE OF ENGERIX-B.  TREATMENT:  PT COUNSELING,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/31/1990,01/31/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025439,07/26/1990,NM,,F,,PT EXP PAIN AND STINGING AT SOI. TREATMENT:  PT COUNSELING.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/31/1990,01/31/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025440,07/26/1990,NM,27.0,F,,PT EXP PAIN AND STINGING AT SOI. TREATMENT:  PT COUNSELING.  DOSE #2 9Jul90 PT EXP PAIN AT SOI SIMILARLY.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/07/1989,12/07/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025441,07/26/1990,NM,38.0,M,,PT EXP PAIN AND STINGING AT SOI. TREATMENT:  PT COUNSELING.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/17/1989,11/17/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025442,07/26/1990,NM,31.0,F,,pain at the injection site event occurred "on all dosing of Engerix B.",1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
025443,07/26/1990,NM,,F,,PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B INJECTION.  TREATMENT:  PT COUNSELING.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/11/1989,12/11/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025444,07/26/1990,NM,21.0,M,,PT EXP PAIN AND STINGING AT SOI AFTER VAX WITH ENGERIX-B.  TREATMENT:  PT COUNSELING.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/01/1989,12/01/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025445,07/26/1990,NM,33.0,F,,PT EXP PAIN AND STINGING AFTER VAX WITH ENGERIX-B.    TREATMENT:  PT COUNSELING.DOSE #2 24Jan90 PT EXP PAIN AT SOI AGAIN.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/04/1989,12/04/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025446,07/26/1990,NM,35.0,M,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B VACCINE.   TREATMENT:PT COUNSELING.  DOSE #2 15Jan90 PT EXP SAME SYMPTOMS.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/13/1989,12/13/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025447,07/26/1990,NM,27.0,M,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 13Jan90 PT EXP SAME SYMPTOMS.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/21/1989,12/21/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025448,07/26/1990,NM,38.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/22/1990,01/22/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025449,07/26/1990,NM,43.0,M,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B VAX.  TREATMENT:  PT COUNSELING.  DOSE #2 22Jan90 PT EXP PAIN AT SOI SIMILARLY.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/05/1989,12/05/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025450,07/26/1990,NM,41.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 22Jan90 PT AGAIN EXP PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/21/1989,12/21/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025451,07/26/1990,NM,42.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 22Jan90 PT EXP PAIN AT SOI SIMILAR TO PRIOR INJECT.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/21/1989,12/21/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025452,07/26/1990,NM,32.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B. TREATMENT:  PT COUNSELING.  DOSE #2 22Jan90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/21/1989,12/21/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025453,07/26/1990,NM,27.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/21/1989,12/21/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025454,07/26/1990,NM,22.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIVING ENGERIX-B VACCINATION.  TREATMENT:  PT COUNSELING.  DOSE #2 22Jan90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/21/1989,12/21/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025455,07/26/1990,NM,29.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECVING ENGERIX-B VAX.  TREATMENT:  PT COUNSELING.  DOSE #2 18Jan90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/11/1989,12/11/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025456,07/26/1990,NM,41.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/07/1989,12/07/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025457,07/26/1990,NM,37.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER INJECTION OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 11Jan90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/07/1989,12/07/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE   LOT # OF ENGERIX-B DOSE #2 11Jan90 IS ENG 585A4.,N/A,NONE,N/A
025458,07/26/1990,NM,53.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/05/1989,12/05/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025459,07/26/1990,NM,,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 10Jan90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/07/1989,12/07/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025460,07/26/1990,NM,44.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 OF 09Jan90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/07/1989,12/07/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025461,07/26/1990,NM,59.0,F,,PT EXP PAIN AND STINGING AT SITE OF INJECTION OF ENERGIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 09Jan90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/07/1989,12/07/1989,0,NN/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025462,07/26/1990,NM,49.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 ON 09Jan90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/07/1989,12/07/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025463,07/26/1990,NM,28.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 12Feb90 PT EXP SIMILAR PAIN AT SOI.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/15/1990,01/15/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025573,07/26/1990,NJ,0.2,M,,screaming 6 hrs,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/08/1990,,,1,DTP,,,,,,,,PVT,UNK,,,,
025574,07/26/1990,GA,14.0,M,,"Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.",5,DIARRHEA,DIZZINESS,NAUSEA,PAIN INJECT SITE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,U,07/10/1990,07/15/1990,5,,1,MMR,,,,,,,,PVT,UNK,,,This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?,
025575,07/26/1990,MA,25.0,F,,"Pt had 2-3 days of inlarged ant. cervical lymph nodes & body aches. Subsided without sequelae, Pt not seen in HS until 12Apr90. No enlarged nodes at this time.",2,LYMPHADENO,MALAISE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/23/1990,02/03/1990,11,,1,MMR,,,,,,,,PVT,UNK,,,,
025576,07/26/1990,IL,0.2,F,,15 min of unusual high pitched cry - relieved /w Tylenol,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/25/1990,04/25/1990,0,,2,DTP,OPV,,,,,,,MIL,UNK,,,well baby,
025577,07/26/1990,MA,0.3,F,,At inject. site of right thigh 4.5 cm area of erythema & induration 2 days /p DTP vaccine.,2,INJECT SITE REACT,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/29/1990,03/31/1990,2,,1,DTP,,,,,,,,PVT,UNK,,,,
025579,07/26/1990,DE,17.0,M,,"numbness of body, joint pain",2,ARTHRALGIA,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/08/1990,,,,1,TD,,,,,,,,PVT,UNK,,,,
025580,07/26/1990,CA,3.0,U,,Pt seen 2Jun90 for fever diarrhea & cough.Improved slightly prior to admit to hospital had increase in respiration rate & coungh. Pt D/C 24Jun90,6,COUGH INC,DIARRHEA,FEVER,HYPERVENTIL,NO DRUG EFFECT,PNEUMONIA,,,,,,,,,,,,,,,,,,,Y,,Y,,U,05/03/1990,06/02/1990,30,Pneumonia. Blood culture positive for H flu B. Throat culture positive for H flu B & normal flora.,1,HIBV,,,,,,,,UNK,UNK,,,medical hx of Down's synd. leukemia (AML) last chemotheraphy 1 yr prior to onset,
025581,07/26/1990,OR,70.0,M,,"Pt given a series of 3 MSD Hep-B vaccines, & 2 Engerix-B vaccines due to being non responder. Pt developed encephalitis & died. Herpes varicella recovered form brain",3,ENCEPHALITIS,INFECT,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,Y,05/19/1990,,,,,,,N,01/25/1990,,,"10Jan90 titer test = non responsive, Herpes varicella recovered from brain",1,HEP,,,,,,,,UNK,UNK,,,"no known allergies, non responder to previous 3 dose /w MSD vaccine",
025582,07/26/1990,NJ,50.1,F,,Pt experianced discomfort at inject site & fibrotic encapsulitis * pain in the left shoulder /p Cholera vaccine. A seventy % loss of mobility of the arm observed,4,BONE DIS,HYPOKINESIA,MYOPATHY,PAIN,,,,,,,,,,,,,,,,,,,,Y,,,,,U,12/28/1989,12/28/1989,0,,1,CHOL,,,,,,,,UNK,UNK,,,,
025583,07/26/1990,NJ,52.4,M,,Pt experienced initial discomfort at the inject. site /p receiving Cholera Vaccine,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/28/1989,12/28/1989,0,,1,CHOL,,,,,,,,PVT,UNK,,,,
025584,07/26/1990,FL,31.0,F,,"Pt developed Gullain-Barre Synd. characterized as ascending myopathy, myalgia & automic neuropathy, with bradycardia & flushing. Pt was hospitalized.",8,ASTHENIA,BRADYCARDIA,DIZZINESS,FLU SYND,GUILLAIN BARRE SYND,NEUROPATHY,SWEAT,TACHYCARDIA,,,,,,,,,,,,,,,,,Y,,,Y,U,01/26/1990,02/20/1990,25,nerve conduction studies consistant w/Guillian- Barre synd.,1,FLU,,,,,,,,PVT,UNK,Darachlor 4 tabs;,,,
025585,07/26/1990,CT,,U,,Nursing home pt developed an Influenza A Virus infection /p receiving Influenza Virus Vaccine,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/01/1989,,,Throat culture - positive for Influenza A Virus,1,FLU,,,,,,,,PVT,UNK,,,,
025586,07/26/1990,IL,51.0,F,,"pt experienced a large local rxn involving lt upper arm /p receiving Td. Edema, Erythema & discomfort. While syptoms have abated, pt noted her arm is still bigger than her rt",3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/01/1989,,,"Aug 1989 normal results for sed rate, CRP and WBC. Results of any x-rays of the lt arm were WNL",1,TD,,,,,,,,PVT,UNK,,,,
025588,07/26/1990,UT,44.0,U,,Pt developed pain in the lt arm at the inject site /p receiving TD. Pain radiated from arm to back of the 2nd & 3rd fingers of the hand. Paresthesia back of hand. DX mononeuritis 2nd to TD vacc.,2,PAIN INJECT SITE,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/12/1990,,,,1,TD,,,,,,,,PVT,UNK,Motrin 400mg & Predisone 40mg given /p vaccine,,,
025589,07/26/1990,FL,,U,,This pediatric pt experienced high fever & screaming /p receiving Tetanus Toxid.,2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,TTOX,,,,,,,,PVT,UNK,,,,
025590,07/26/1990,TX,,M,,Pt experienced tightness in the chest /w chills & muscle ache but no fever the same day /p receiving Typhoid Vaccine. Later in the day the pt reported that the tightness in his chest was diminshing,3,CHILLS,MYALGIA,PAIN CHEST,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/23/1990,05/23/1990,0,,1,TYP,,,,,,,,PVT,UNK,,,,
025591,07/26/1990,MD,0.5,F,,"14Jul90 mother reported in the evening /p vaccine, child had fever 105 F & lethargic. Fever lasted 3 days but at 102 F.",2,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/07/1990,04/07/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025592,07/26/1990,OK,0.2,F,,"Pt became very pale, unresponsive, lasted several hrs. Resolved without problems.",2,HYPOTENS,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/25/1990,04/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025593,07/26/1990,WA,37.0,F,,"Itching, Worst the 1st wk, Taporing off to the end of 3 wks /p shot. Itching in area of shot, upper rt arm.",2,INJECT SITE REACT,PRURITUS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/05/1990,02/05/1990,0,,1,HEP,,,,,,,,PVT,UNK,,,"allergies; Neosporin, Sulfa, Neomycin",
025594,07/26/1990,IL,0.3,F,,Fever above 101 for more than 6 hrs. Also high pitched scream & unconsolable for 6-8 hrs.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/31/1990,05/31/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025595,07/26/1990,OK,0.5,M,,"Parents report bruising & hematoma at site of inject, /w fever 102 F, Pt unable to move leg too much pain (avoided moving). Erythema over site. Waited until next day to be seen at office, leg quite improved by hx, so declined to come in.",4,ECCHYMOSIS,FEVER,PAIN INJECT SITE,RASH,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/14/1990,03/14/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025596,07/26/1990,OK,0.5,M,,Pt looked bruised by hx- lookes red & swollen /w pustle at site of injection approx. 2" X 2" - hx of streaking to inguinal area- not seen by health proffession. Concern cellulitis /w CHD requiring SBE prophylaxis,4,ECCHYMOSIS,EDEMA INJECT SITE,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,U,03/13/1990,03/14/1990,1,"CBC-WBC 17.7, Hg-17.7, Hct-51.3,  270 platelet, 335/61L/IM/IB",1,DTP,,,,,,,,PVT,UNK,Ceclor given /p vaccine,,CHD /w SBE prophylaxis required,
025597,07/26/1990,OK,,U,,"Decreased responsiveness for 2-3 hrs /p vaccine approx. 12-24 /p vaccine given. ""Somewhat limp & pale"" but arousable. Spontaneously resolved, Seen pm 20Jun90 with normal exam at office",2,HYPOTENS,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/19/1990,06/20/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025598,07/26/1990,OK,0.7,F,,Mom called & c/o redness at inject site. Over 1-2 days leg swelled all around & would'nt move & then resolved gradually.,3,EDEMA INJECT SITE,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/13/1990,03/14/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025599,07/26/1990,GA,0.3,F,,Pt had temp. 102 F X approx. 24 hrs post DTP#1/TOPV#1 vaccine- also had swelling at site of shot- "high pitched crying & very irritable X 48 hrs post DPT #1,4,AGITATION,EDEMA INJECT SITE,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,U,06/12/1990,06/12/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025600,07/26/1990,ID,0.3,M,,106 F fever on evening /p 1st DTP immun. Low grade fever for 3-4 more days.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/31/1990,03/31/1990,0,,1,DTP,,,,,,,,PVT,UNK,Acetaminephen,,,
025604,07/26/1990,HI,0.3,M,,"3-4 hrs /p immun., child started to shaking, turned cold & lips turned purple. This lasted a few minutes. Then child feel asleep & when he awoke he was fine.",4,CYANOSIS,HYPOTHERMIA,PALLOR,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/27/1990,06/27/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025605,07/26/1990,PA,0.6,F,,"Several hrs /p DTP , had fever, over 104 F at home, 103.8 in ER. Mildly irritable, lethargic, fed very poorly. Rxn lasted for 1 day then resolved",4,AGITATION,ANOREXIA,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/06/1990,07/06/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025237,07/27/1990,PA,0.2,F,,"mother states, child got white, lost control of body & limp stopped breathing, taken to local hospital then transferred childrens then transferred childresn hosp. was released /p exam to go home. Admit to hosp. 18Jul90",3,APNEA,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/18/1990,07/18/1990,0,"WBC-27.5, RBC-3.12, Hgb-9.6, Hct-27.8, Platlet-814,000, Neutro-73, Bands-2, Lymph-20, Mono-4, Eosin-1",2,DTP,OPV,,,,,,,PVT,UNK,,,no past medical history,
025464,07/27/1990,NM,39.0,F,,"PT EXP PAIN, STINGING, ERYTHEMA AND INDURATION AT SOI AFTER ENGERIX-B.  TREATMENT:  PT COUNSELING.  DOSE #2 09Feb90 PT COMPLAINED SIMILARLY OF PAIN AT SOI.",3,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/10/1990,01/10/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025465,07/27/1990,NM,25.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B.  TREATMENT:  PT COUNSELING.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/27/1989,04/27/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025466,07/27/1990,NM,23.0,M,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,02/20/1990,02/20/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025467,07/27/1990,NM,25.0,M,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,02/16/1990,02/16/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025468,07/27/1990,NM,,M,,PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B.  TREATMENT:  PT COUNSELING.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,02/05/1990,02/05/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025469,07/27/1990,NM,36.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/10/1990,01/10/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025470,07/27/1990,NM,35.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/05/1989,12/05/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025471,07/27/1990,NM,,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/14/1989,12/14/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025472,07/27/1990,NM,27.0,F,,PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B.  TREATMENT:  PT COUNSELING.,2,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/30/1989,11/30/1989,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025473,07/27/1990,IL,51.0,F,,"non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.",1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12/01/1989,,,titers checked: non-detected,1,HEP,,,,,,,,UNK,UNK,aldoril,,HTN,
025474,07/27/1990,OH,37.0,F,,"PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION.  NO TREATMENT GIVEN.  RASH RESOLVED.",3,EDEMA FACE,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/23/1990,02/23/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,"ADVIL, ALLERGY MED FOR ALLERGY TO MILK",NONE,ALLERGIC TO SULFA,N/A
025475,07/27/1990,TX,,F,,"IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.",6,ASTHENIA,FLU SYND,HEADACHE,HYSN INJECT SITE,PAIN INJECT SITE,RASH,,,,,,,,,,,,,,,,,,,,,,,U,01/27/1990,01/27/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025476,07/27/1990,TX,27.0,F,,"FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK",10,ARTHRALGIA,FLU SYND,HEADACHE,INJECT SITE REACT,MALAISE,PAIN,PAIN INJECT SITE,RASH,SOMNOLENCE,VASODILAT,,,,,,,,,,,,,,,,,,,U,01/26/1990,01/26/1990,0,N/A,1,HEP,,,,,,,,PVT,PVT,"BENADRYL, TYLENOL",NONE,ALLERGIC TO SULFA,N/A
025477,07/27/1990,NY,,F,,PT EXP GEN RASH AFTER 1ST INJECTION OF ENGERIX-B LASTING FOUR DAYS. NO TREATMENT.  PLAN TO CONTINUE INJECTIONS.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025478,07/27/1990,NY,,M,,"15 MIN AFTER VAX, HUGE WELT OCCURRED BEHIND LEFT EAR TO MIDNECK. SEEN IN ER. NO TREATMENT NECESSARY.  EVENT RESOLEVED 45 MIN LATER.",1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,N/A,NONE,N/A
025479,07/27/1990,VA,,F,,PT FELT SLUGGISH /w BODY ACHES.  EVENTS LASTED 5 TO 7 DAYS.  2ND VACCINATION 21Feb90 NO PROBLEMS FOLLOWING VACCINATION.,2,MALAISE,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/11/1990,01/18/1990,7,N/A,1,HEP,,,,,,,,PVT,PVT,"CAPOTEN, MODURETIC",N/A,HAD HEPATITIS A AS A TEENAGER FROM INFECTED SEAFOOD.,N/A
025480,07/27/1990,WI,23.0,F,,"1 DAY /p 1ST VAX, EXP DIARRHEA, FEVER, NAUSEA, & POSS. POTENTIAL CLINICAL HEPATITIS. Unclear if actually had acute Hept B or false positive, off work until retesting done, symptoms resolved /wout Heptatitis 27Feb90.",4,DIARRHEA,FEVER,NAUSEA,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/13/1990,02/14/1990,1,14Feb90 TESTED POS FOR HBSAG; 24Feb90 TESTED NEG FOR HBSAG; ??Feb90 HEPATITIS PANEL = NEG  AND FEVER 102 F,1,HEP,,,,,,,,PVT,PVT,TRIPHASIL-21 (ONE/DAY),PRE EXPOSURE HEP B PROPHYLAXIS,"HISTORY OF PITUITARY MICROADENOMA.  ALLERGIC TO POLLENS, DOGS, CATS; THRODUR (NAUSEA)",N/A
025481,07/27/1990,VA,41.0,F,,"3 DAYS AFTER 2ND DOSE OF ENGERIX-B, PT EXPERIENCED PAIN IN SHOULDER. EVENTS RESOLVED WITHOUT FURTHER TREATMENT.",3,ARTHRALGIA,MYALGIA,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/16/1990,02/19/1990,3,N/A,1,HEP,,,,,,,,PVT,PVT,NONE,NONE,NONE,N/A
025601,07/27/1990,OH,,F,,"Flu-like symptoms, 101 F fever, fatigue, weakness, chills & flushing neck pain, pruritus, erythema & eccymosis at injection site (large surface area).  Progress report on WORM",8,ASTHENIA,CHILLS,FEVER,FLU SYND,INJECT SITE REACT,NECK RIGID,PRURITUS,VASODILAT,,,,,,,,,,,,,,,,,,,,,U,03/22/1990,03/22/1990,0,,1,HEP,,,,,,,,PVT,UNK,,,,
025602,07/27/1990,OK,0.4,F,,Persistant screaming X 6-8 hrs. Severe erythema & tenderness of injection site,3,INJECT SITE REACT,PAIN INJECT SITE,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,06/05/1990,06/05/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025603,07/27/1990,OR,0.5,F,,"Pt developed fever 102.4 F, lethargic, vomiting 2 hrs /p DTP was given.",3,FEVER,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/19/1990,07/19/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025606,07/27/1990,CA,0.3,M,,"Pt developed high pitched inconsolable crying, lastin up to 6 hrs despite administration of acetaminophen.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/11/1990,06/11/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025611,07/31/1990,MD,18.0,M,,"Pt developed chest pains and other signs of pericarditis including a pericardial friction rub, hospitalized",3,HEART BLOCK,PAIN CHEST,PERICARDITIS,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,06/29/1990,06/30/1990,1,ECG revealed changes consistent /w a recurrence of pericarditis,1,MMR,,,,,,,,PVT,UNK,,,medical history of pericarditis,
025612,07/31/1990,PA,5.0,U,,"Bacterial meningitis, At this time no information if culture was confirmed H flu. Child is doing fine.",2,MENINGITIS,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,07/20/1987,07/07/1990,1083,,1,HIBV,,,,,,,,PVT,UNK,,,,
025613,07/31/1990,MO,,M,,"Pt developed chills, nausea, anorexia & elevated liver function tests.  Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.",6,ANOREXIA,CHILLS,CHOLELITH,FEVER,LIVER FUNC ABNORM,NAUSEA,,,,,,,,,,,,,,,,,,,Y,,Y,,U,06/05/1990,06/14/1990,9,Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated",1,HEP,,,,,,,,PVT,UNK,,,,
025614,07/31/1990,,34.0,F,,"Pt developed fever 101 F, then felt achy 9May90  approx. 2 wks later,then proceded to numbness in rt leg (knee, foot, hip) & down both arms, pain in shoulders, neck & head, Short trem memory loss &problems concentrating-symptoms lasted 3wks",7,AMNESIA,ARTHRALGIA,FEVER,MYALGIA,NO DRUG EFFECT,PARESTHESIA,THINKING ABNORM,,,,,,,,,,,,,,,,,,,,,,U,04/27/1990,04/27/1990,0,EMG & NCV,1,M,,,,,,,,UNK,UNK,,,brachial plexitis,
025615,07/31/1990,AL,0.7,M,,103.7 F fever a few hrs /p inject. & irritability,2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/18/1990,07/18/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025616,07/31/1990,,,U,,"Pt received a series of vaccine. /P the 2nd dose, pt c/o of abdominal pain. /P 3rd dose, pt c/o dizziness. No treatment was administered. Pt seems all right. Pt is a physician",2,DIZZINESS,PAIN ABDO,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
025617,07/31/1990,TX,1.3,F,,"increased temp 102.4 F oral approx. 1 hr /p inject. Cyanotic face, hands & lower extremitites. Cold clamy feeling /w body shaking. No seizures. Rxn last approx. 15 min. No med intravention required.",4,CHILLS,CYANOSIS,FEVER,SWEAT,,,,,,,,,,,,,,,,,,,,,,,,,U,06/11/1990,06/11/1990,0,,3,DTP,MMR,OPV,,,,,,PVT,UNK,,,,
025618,07/31/1990,NY,0.2,M,,DPT#1 25May90 caused some eating irritability & repeated emiess,2,AGITATION,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/25/1990,05/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025619,07/31/1990,NY,0.5,M,,6 hrs p/ 3rd DPT generalized tonic clonic seizure approx. 45 min. assoc. /w fever. Taken to hospital & then to MD for evaluation.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,07/17/1990,07/17/1990,0,"LP- 70- RBC, 0- WBC, 35- protein, 75- glucose, Culture no growth, CBC- WBC 20,300, Het- 33, PHS- normal, blood culture no grwoth, EEG- normal",1,DTP,,,,,,,,PVT,UNK,,,,
025620,07/31/1990,CA,23.0,F,,"3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered",15,ANOREXIA,ASTHENIA,CHILLS,COUGH INC,FEVER,HEADACHE,HYPERGLYCEM,INFECT URIN TRACT,MALAISE,NAUSEA,NO DRUG EFFECT,PAIN BACK,PHOTOPHOBIA,RASH MAC PAP,VOMIT,,,,,,,,,,Y,,,,Y,05/04/1990,05/07/1990,3,"Serum glucose May89- 150's prior 70-80's, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal",1,MMR,,,,,,,,PVT,UNK,insulin & buffered aspirin,,"allergy codeine, diabetes mellitus",
025621,08/01/1990,FL,58.0,F,,Pt DX with Bell's Palsy possibly rxn to vaccine ? Out of work X 3 months.  2 wks /p 2nd dose fo Hep B developed generalized arthritis for 6 wks.,2,ARTHRITIS,PARALYSIS FACIAL,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/17/1989,01/03/1990,78,,1,HEP,,,,,,,,PVT,UNK,"Capozide, Calan, Capozide, Synthroid",,"medical history of HTN, thyroid, cholecystitis",
025624,08/07/1990,WI,0.2,M,,"Pt received DTP and OPV and experienced high pitched unusual cry, shaking episode - possible seizure.",2,CONVULS,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/20/1990,07/20/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025634,08/07/1990,CA,,F,,Pt received Fluogen within 30 min experienced coma & Hypoglycemia; Blood sugar 20 mg/100 ml; No other reports of this nature on the lot.,2,COMA,HYPOGLYCEM REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/01/1989,11/30/1989,333,BS = 20mg/100ml,1,FLU,,,,,,,,PVT,UNK,Vitamin B12 injections,,pt was elderly /w a hx of pernicious anemia,
025637,08/07/1990,WA,,U,,"Pt received DT and developed local reaction consisting of 8x6CM erythema, induration & edema w/pain after injection.",4,EDEMA INJECT SITE,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DT,,,,,,,,PVT,UNK,,,,
025638,08/07/1990,WA,,U,,"Pt received DT and experienced local reaction consisting of 8X6CM erythema, induration & edema w/pain after injection.",4,EDEMA INJECT SITE,INJECT SITE REACT,MASS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DT,,,,,,,,PVT,UNK,,,,
025639,08/07/1990,WA,1.5,M,,"22mo old vaccinated 8-JAN-90, 13 days later 22-JAN-90 marked flushing, sweating on rt side of body w/lt side pale.  Unusual behavior & grabbed at his mouth. Symptoms like ""Harlequin synd seen in NB.Also autonomic dysfunction; lasted 2 days.",8,ESR INC,LEUKOCYTOSIS,NEUROPATHY,PALLOR,PERSON DIS,SKIN DIS,SWEAT,VASODILAT,,,,,,,,,,,,,,,,,,,,,Y,01/08/1990,01/22/1990,14,"ESR = 38, WBC = 14,100, Lymphocytes = 47.8, Neutrophil = 47, Platelets = 502,000, Negative blood culture",1,HIBV,,,,,,,,PVT,UNK,,,,
025640,08/07/1990,CA,,U,,Pt vaccinated w/DT and experienced reaction from elbow to shoulder.  Taken to ER.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,,,,,1,DT,,,,,,,,PVT,UNK,,,,
025641,08/07/1990,CA,,U,,Pt received DT and developed reaction from elbow to shoulder.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DT,,,,,,,,PVT,UNK,,,,
025642,08/07/1990,CA,,U,,Pt received DT and experienced reaction from elbow to shoulder.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DT,,,,,,,,PVT,UNK,,,,
025643,08/07/1990,WI,1.5,M,,"Pt received DT and experienced fever of 105, mother reported that child may have rolled eyes back.  No seizures noticed. No unconsciousness.  Hospitalized for observation. Discharged 18 hrs later - alert & asymptomatic.",2,EYES GAZE UPWARD,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,1,,,Y,02/02/1990,02/02/1990,0,WBC -normal 6800; chest x-ray probably normal; or possible changes on a "technical" basis; Blood culture - noraml; no spinal tap performed,1,DT,,,,,,,,PVT,UNK,,,hx of apnea; has been on monitor; sleep studies performed;,1st DTP at 2-3 months hospitalized
025622,08/08/1990,NC,0.3,F,,"Pt vaccinated w/DTP experienced unconsolable, high pitched scream for 3-4hrs aft DPT.  No more ""P"" to be given.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/24/1990,05/24/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025623,08/08/1990,IL,0.1,F,,Pt received DTP 24 hrs following experienced increased sleepiness at night; high pitched painful cry; cried at least 6-8hrs in 24 hr period but not 3hr consecutive; fever of 102.,3,FEVER,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/23/1990,07/24/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025625,08/08/1990,IN,1.5,F,,"Pt received DTP and experienced swollen leg-hot, red (left) high pitch cry ""per"" parents",2,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/02/1990,07/02/1990,0,,1,DTP,,,,,,,,PVT,UNK,,allergies,,
025626,08/08/1990,KY,1.5,F,,Pt vaccinated w/DTP experienced fever started 6-8hrs after DTP injection.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,07/18/1990,,,1,DTP,,,,,,,,PVT,UNK,,,,
025627,08/08/1990,MA,0.4,F,,Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.,2,HEMIPLEGIA,PARALYSIS,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,05/11/1990,05/18/1990,7,,1,DTP,,,,,,,,PVT,UNK,,,,
025628,08/08/1990,,,M,,"PT REC'D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED  FOR OBSERVATION. REC DIAZEPAM.  f/u 03mar91:  hosp X 3 days, outcome unk",6,AGITATION,ALCOHOL INTOLER,ASTHENIA,CONFUS,CONVULS,DYSPNEA,,,,,,,,,,,,,,,,,,,Y,,,,,06/20/1990,06/20/1990,0,ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL,1,HEP,,,,,,,,PVT,UNK,FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL,,,
025629,08/08/1990,MD,22.0,F,,"Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements.  See WORM for more details.",14,ASTHENIA,CONJUNCTIVITIS,COUGH INC,DEHYDRAT,DIARRHEA,FEVER,HEADACHE,NO DRUG EFFECT,PAIN,PHARYNGITIS,PHOTOPHOBIA,PRURITUS,RASH MAC PAP,VOMIT,,,,,,,,,,,Y,,,,Y,05/09/1990,05/11/1990,2,,1,MMR,,,,,,,,PVT,UNK,,,,
025630,08/08/1990,,55.0,F,,"Pt vaccinated w/Hepatitis B vaccine developed painful edema & erythema of the legs.  Transaminases and ESR were increased.  Aft 3 wks of conservative treatment and immobilization, pt recovered.  MD felt edema, erythema & pain were vac relat",2,EDEMA INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,Y,06/11/1990,06/12/1990,1,,1,HEP,,,,,,,,PVT,UNK,,,,
025631,08/08/1990,FL,5.0,F,,"PT REC DTP/OPV ON 1-MAR-90 3 WKS LATER BECAME QUITE ILL W/ENCEPHALITIS & OPTIC NEURITIS REQUIRING HOSPITALIZATION.  BRAIN BIOPSY REVEALED PERIVASCULAR INFLAMMATION CONSISTENT W/POST VIRAL OR POST IMMUNIZATION COURSE, TAKING HIGHDOSE STERIOD",2,ENCEPHALITIS,NEURITIS OPTIC,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,,,,VIRAL TITERS ARE PENDING,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025632,08/08/1990,,,F,,Pt vaccinated w/Meruvax II two days later developed a fever of 102degrees. 1 wk later developed arthritis.  Approx 2 wks following the development of arthritis she exp profound fatigue.,3,ARTHRITIS,ASTHENIA,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,Y,,07/01/1990,,,,1,R,,,,,,,,PVT,UNK,,,,
025635,08/08/1990,NY,15.0,F,,"Pt vax w/MMRII on 4JUL90 dev T of 104 & sore throat, she fainted & dev a macular rash on both thighs; She exp weakness & pain.F/U 12MAR91:  SXS INCLUDED T 104, SORE THROAT, MAC RASH, FAINTED, WBC 21,000 W/ LEFT SHIFT, ANA +, ESR 83, HCT 30.",11,ANA,ANEMIA,ASTHENIA,ESR INC,FEVER,LEUKOCYTOSIS,MALAISE,PHARYNGITIS,RASH MAC PAP,SYNCOPE,WBC ABNORM,,,,,,,,,,,,,,Y,,,,,06/18/1990,07/01/1990,13,"WBC-4,800 6/18/90; Hematocrit-41 6/18/90; Hematocrit-40 7/90; WBC-21,000 7/90, Granulocytes-80 7/90 Lymphocytes-20 7/90; ESR-83 7/7/90; WBC-20,000 7/7/90; hematocrit-30; Monospot-negative 7/90",1,MMR,,,,,,,,PVT,UNK,,,,
025644,08/08/1990,PA,4.0,M,,"Pt received 4th dose DT and experienced a fever of 104, grand mal seizure lasting 20 minutes, taken to ER treated w/Valium. Following day given Amoxicillin for possible viral syndrome.  Child has hx of febrile seizure at 17 months of age.",2,CONVULS GRAND MAL,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,11/13/1989,11/13/1989,0,"chest x-ray - clear 11/14/89, EEG-WNL",1,DT,,,,,,,,PVT,UNK,,,pervious hx of febrile seizures at 17 months of age.,"hx of flu-like symptoms (aches, low-grade fever) /p DTP"
025645,08/08/1990,NY,1.5,F,,"Pt received ORIMUNE, DTP, PROHIBIT and experienced fever with seizure less than 24 hrs following.",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/19/1989,12/19/1989,0,,3,DTP,HIBV,OPV,,,,,,PVT,UNK,,,,
025646,08/08/1990,MA,,F,,Claimant under vaccine compensation act alleges that injuries were sustained as a result of vaccination in 11/88.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/14/1988,,,,1,OPV,,,,,,,,PVT,UNK,,,,
025647,08/08/1990,MA,,M,,"Pt received ORIMUNE and experienced fever on 17-JUL-89, 2 wks aft immunization.  29-JUN-89 infant had diffues hypotonia which progressed to flaccid weakness in both legs, weakness primarily affected lt leg paralysis possibly due to polio.",3,FEVER,HYPOTONIA,PARALYSIS FLACCID,,,,,,,,,,,,,,,,,,,,,,,,,Y,,06/29/1989,07/13/1989,14,,1,OPV,,,,,,,,PVT,UNK,,,Older siblings w/no hx of problem.,
025648,08/08/1990,TX,1.5,F,,"Pt received ORIMUNE, DTP, PROHIBIT and  was not focusing, in a daze, pale but not rigidly seizing.  Seen in ER was febrile.  Hospitalized for observation & placed on monitor. MD impression is seizure.",5,CONVULS,FEVER,PALLOR,STUPOR,VISION ABNORM,,,,,,,,,,,,,,,,,,,Y,Y,,,,U,11/17/1989,11/17/1989,0,,3,DTP,HIBV,OPV,,,,,,PVT,UNK,,,no prior history on rxn's,
025633,08/17/1990,MS,6.0,M,,Pt received MMR on 18Aug90 & 24 hrs later developed facial redness /w urticarial rash over remainder of body. Rash cleared /p 48 hrs.,3,RASH,URTICARIA,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/18/1990,07/19/1990,1,,1,MMR,,,,,,,,PVT,UNK,,,,
025636,08/17/1990,OK,0.2,F,,Persistant high pitched screaming,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/24/1990,05/24/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025649,08/17/1990,WI,1.0,F,,"Developed fever to 103.  Irritability, sore & swollen leg",4,AGITATION,EDEMA PERIPH,FEVER,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,07/25/1990,07/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,"ventral septal defect, hypothroidism",
025655,08/17/1990,MN,0.2,M,,"Approx. 5 min. spell of extreme pallor- ""white skin & lips"" /w out cyanosis.  Infant was hypotonic, /w unresponsiveness. No seizure. Episode resolved /w stimulation. Infant sleepy for another 30-60 min. Occurred 4 hrs /p vaccine.",4,HYPOKINESIA,HYPOTONIA,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,Y,,,,,,07/25/1990,07/25/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,UNK,,,,
025656,08/17/1990,NY,4.0,M,,MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination.  Pt was hospitalized.  At time of report fever persisted.  No reaction to first MMR.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,N,07/17/1990,07/17/1990,0,,1,MMR,,,,,,,,PVT,UNK,,,,
025657,08/17/1990,WI,10.0,M,,"Pt received MMR and developed paroditis, fever, achiness.",3,FEVER,MALAISE,SIALADENITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,07/20/1990,07/23/1990,3,,1,MMR,,,,,,,,PVT,UNK,,,,
025658,08/17/1990,NJ,1.3,M,,Pt received DTP/OPV and Prohibit on 16-JUL-90 developed febrile seizure on 20-JUL-90 and dx of possible otitis media.,3,CONVULS,FEVER,OTITIS MED,,,,,,,,,,,,,,,,,,,,,,,,,,,07/16/1990,07/20/1990,4,,3,DTP,HIBV,OPV,,,,,,PVT,UNK,,,Family hx of uncle with febrile seizure,pt takes tylenol
025659,08/17/1990,CA,26.0,F,,"Pt received MMR and developed rash, swollen galnds in neck.",2,LYMPHADENO,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/17/1990,07/29/1990,12,,1,MMR,,,,,,,,PVT,UNK,terazol-7 vaginal cream 7/17 - 7/24/90,,,
025660,08/17/1990,IN,0.1,M,,Pt received DTP and experienced continuous crying x 6 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/02/1990,08/02/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,Milk allergy; eczema,
025661,08/17/1990,VT,47.0,M,,"Pt received 3rd dose of Engerix B on 27-JUN-90 and on 28-JUN-90 noted mild arthralgias in hands on 29-JUN-90 rash, causing sellling mainly on rt side of fact & worsened arthralgias in wrists & fingers. Rt knee began to swell, stiff & painfu",6,ARTHRALGIA,ARTHROSIS,EDEMA FACE,JOINT DIS,PAIN,RASH,,,,,,,,,,,,,,,,,,,,,,,,06/27/1990,06/28/1990,1,hepatitis B surfact Antibody done 22-JAN-90 - negative (after 2nd does give),1,HEP,,,,,,,,PVT,UNK,,,,
025662,08/17/1990,PA,0.3,F,,Pt received DTP\OPV and experienced unconsolable crying for several hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/02/1990,08/02/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025663,08/17/1990,PA,0.2,F,,"Pt received DTP on 22-MAY-90 and experienced hypotensive, hyporesponsive episode from DTP.",2,HYPOKINESIA,HYPOTENS,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/22/1990,05/22/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025664,08/17/1990,DE,0.5,F,,"Pt received 3rd DTP at noon 18-JUL-90 approx 24 hrs later temp 103, episode of poor color, staring expression, hypotonia.  Twitching & color change cleared in seconds, hypotonia & expressionless face for minutes.  More details see WORM.",6,CONVULS,FEVER,HYPOKINESIA,HYPOTONIA,PALLOR,TWITCH,,,,,,,,,,,,,,,,,,,Y,5,,,,07/18/1990,07/19/1990,1,Normal EEG,1,DTP,,,,,,,,PVT,UNK,,,Premie 32 wk gestation,
025667,08/17/1990,CA,39.0,F,,"Pt received 2nd dose of hepatitis; injection site/shoulder was very sore one day after injection, lasting 2-3 days. Pain progressed to other joints ie, hands, ankles, feet, hips etc., has now been 3+ months. Also muscle aches.",3,ARTHRALGIA,MYALGIA,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,,02/01/1990,02/01/1990,0,,1,HEP,,,,,,,,PVT,UNK,,,,
025668,08/17/1990,TX,0.5,F,,Pt received DTP and experienced persistent high ptiched cry x 2 days.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/15/1990,05/15/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025669,08/17/1990,WI,39.0,F,,Pt received 2nd dose of Energix and developed rash & petechiae over both lower limbs.  Had been on lower arms but this resolved in a couple of days.  Had soem itching of areas.,3,PETECHIA,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,07/10/1990,07/13/1990,3,,1,HEP,,,,,,,,PVT,UNK,,,,
025670,08/17/1990,NY,0.3,M,,Pt received DTP and mother reported experienced high pitched screaming from 6:00 pm - 3:30am; temp 102.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/19/1990,07/19/1990,0,"23-JUL-90 WBC - 10,600; Smear EOSINS 6, BF 2, SEGS 22, Lymph 68, Mono 2",1,DTP,,,,,,,,PVT,UNK,,,,
025671,08/17/1990,,0.2,M,,"Pt received DTP and developed fever, unconsolable screaing x 2hrs high pitched cry.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/25/1990,07/25/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025672,08/17/1990,PA,0.2,F,,"Pt received DTP noon 31-JUL-90 slept most of next 9 hrs; occasional high pitched scream; Temp 101.  awokened by mother for feeding; Drowsy, fed poorly leg red & swollen initially.",5,ANOREXIA,FEVER,INJECT SITE REACT,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,07/31/1990,07/31/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025673,08/17/1990,CO,0.6,M,,"leg swollen & red /p DTP X 72 hrs, had fine red rash face, neck, arms, trunk.",2,INJECT SITE REACT,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/02/1990,08/02/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025674,08/17/1990,VA,1.5,F,,Pt received DTP and developed temp of 103.5 and a "weird cry for a prolonged period.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/23/1990,07/23/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025675,08/17/1990,MD,62.0,M,,"Pt received Influenza vaccine when awoke on the day after was in a semi-conscious state, grossly confused & weak; unable to recognize his wife or his doctor. This reaction has been previously reported to USP.",2,ASTHENIA,CONFUS,,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,10/12/1989,10/13/1989,1,,1,FLU,,,,,,,,PVT,UNK,"Prednisone, K-Lor, Lasix, Feledene, Bronkosol, NSS Nebulizer, Alupent Inhaler, Zaroxolyn",,Pt has hx of connective tissue disorder,Pt has previously received Influenza vaccine every yr /w out rxn.
025676,08/17/1990,,35.0,F,,"4 X 6cm erythmea right bicep, fundus pulp ?? afebrile",1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/27/1990,07/27/1990,0,,1,TD,,,,,,,,MIL,UNK,,,NKA no sig. PMH,
025677,08/22/1990,MN,0.2,F,,"Pt vaccinated with DTP developed thrashing about 105 R fever and 1/2 hour screaming starting within 1 hr of lst DTP injection.  22AUG90 MD reported pt was thrashing about because of being uncomfortable/restless, no seizure/convulsion.",3,AGITATION,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,06/11/1990,06/11/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025678,08/22/1990,OK,34.0,F,,"vaccinated w/first hepatitis 31AUG89 on 5SEP89 developed flu-like symptoms, temp 104 required bedrest 3 days. Second dose 28SEP89 developed sore arm, arthralgia & was tired. NOV89 pt was fatigue, depressed and joint pain See WORM",9,ABSCESS,ARTHRALGIA,ASTHENIA,DEPRESSION,FEVER,FLU SYND,INFECT,JAUNDICE,PAIN,,,,,,,,,,,,,,,,,,,Y,,08/31/1989,09/05/1989,5,,1,HEP,,,,,,,,PVT,UNK,,,,anti-HBs positive but negative for markers of active infection for hepatitis.
025679,08/22/1990,IL,0.3,F,,Pt vaccinated with DTP and experienced screaming for 2 hrs non-stop.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/16/1990,04/16/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025680,08/22/1990,MI,12.0,M,,"Pt vaccinated with MMR and developed fever, generalized rash.",2,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/07/1990,04/20/1990,13,,1,MMR,,,,,,,,PVT,UNK,,,,
025681,08/22/1990,MI,0.9,M,,"Pt received DTP and experienced fever, swollen site of injection.",2,EDEMA INJECT SITE,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/09/1990,07/10/1990,1,,1,DTP,,,,,,,,UNK,UNK,,,,
025682,08/22/1990,CA,13.0,M,,"Pt vaccinated /w MMR 2 wks following vaccination pt developed Stevens-Johnson syndrome & was hospitalized. 17Jul90 developed rash on chest,trunk, palms of the hands, face & upper & lower extremities. Low grade fever /w cracked lips & mouth.",6,CONJUNCTIVITIS,FEVER,RASH,RASH MAC PAP,STEVENS JOHNSON SYND,STOMATITIS,,,,,,,,,,,,,,,,,,,Y,,,,Y,07/06/1990,07/17/1990,11,,1,MMR,,,,,,,,PVT,UNK,"Cortisporin otic dr., polymyxin B sulf-neomycin, sulf-hydrocortison, alcohol-propylene, glycol-polysorbate-80-thimerosal",external otitis,"otitis, recurrent external",
025683,08/22/1990,MO,0.4,F,,Pt vaccinated with DTP/OPV found dead 4 days after receiving vac.  Infant apnea syndrome on monitor.,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,07/02/1990,,,,,,,N,06/29/1990,07/02/1990,3,,2,DTP,OPV,,,,,,,PVT,UNK,,,hx of infantile apnea syndrome,
025684,08/22/1990,AL,0.2,F,,"Pt vaccinated with DTP and developed convulsion, high pitched cry, prolonged crying spells x 72 hrs.",2,CONVULS,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/25/1990,06/25/1990,0,"CSF 1 WBC, CSF glucose 39 Blood glucose 78, 1080 RBC, CSF Protein 73 T Bili 2.1, D Bili 0.5",1,DTP,,,,,,,,PVT,UNK,,,hyperbilirubinemia,
025685,08/22/1990,NJ,0.5,M,,"Pt vaccinated with DTP and developed fever 101.0, tremors in lt leg 4 days duration (immunized in lt leg)",2,FEVER,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/18/1990,07/20/1990,2,,1,DTP,,,,,,,,UNK,UNK,,,,
025686,08/22/1990,CA,0.1,F,,"Pt vaccinated with DTP and experienced hypotonic, hyporesponsive, pale",3,HYPOKINESIA,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,,08/13/1990,08/13/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025687,08/22/1990,CA,42.2,F,,"Pt vax w/ 3rd dose Engerix-B and experienced menstrual flow increase, also seen for coughs & colds.  21MAR90, dx = pregnancy; had D&C 18APR90 for miscarriage of 3 mo pregnancy.",9,ABORTION,BRONCHITIS,COUGH INC,MENORRHAGIA,PHARYNGITIS,PRURITUS,RASH,RASH MAC PAP,SKIN DRY,,,,,,,,,,,,,,,,,,,,,02/09/1990,04/01/1990,51,20NOV89 blood test negative for pregnancy.  21MAR90 urine test positive for pregnancy.,1,HEP,,,,,,,,PVT,UNK,,,,
025688,08/22/1990,TX,2.0,M,,Pt received Prohibit vaccine 5-SEP-89 and developed flu menigitis 31-AUG-90.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,09/05/1989,08/31/1990,360,CSF culture positive for H.Flu Menigitis,1,HIBV,,,,,,,,PVT,UNK,,,,
025689,08/22/1990,LA,1.0,F,,Pt vaccinated with DTP and whinned throughout night - shaky listless.,3,AGITATION,NERVOUSNESS,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,08/02/1990,08/02/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,rhinitis,
025690,08/22/1990,IN,0.5,M,,"Pt vaccinated with DTP 4 hrs later developed temp of 104 x 24hrs, lethargic, decreased apetite for 36hrs; no crying no voiding diarrhea",3,ANOREXIA,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,05/11/1990,05/11/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025691,08/22/1990,CO,0.3,M,,"Pt vaccinated with DTP/OPV developed fever of 104 and site swelling, rash. MD reported mild fever following DTP on 9-APR-90",3,EDEMA INJECT SITE,FEVER,HYSN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,Y,,,,,06/04/1990,06/05/1990,1,Lumbar puncture WNL,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025692,08/22/1990,,4.0,F,,Pt vaccinated with DTP and developed fever of 101.5 erythera and edema at injection site lt shoulder extending 2 by 5cm,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/24/1990,07/25/1990,1,EEG for possible cellulity,1,DTP,,,,,,,,UNK,UNK,,,,
025693,08/22/1990,MD,5.0,F,,Pt vaccinated with DTP and developed hot red arm and swelling extended to elbow.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/10/1990,08/10/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025694,08/22/1990,PA,0.3,M,,Pt vaccinated with OPV and screamed for two hours on two occasions also developed a rash on the upper half of torso and around neck area. Rash disappeared after two days.,2,RASH,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,12/18/1989,12/18/1989,0,,1,OPV,,,,,,,,PVT,UNK,,,,
025695,08/22/1990,PA,0.2,F,,Pt vaccinated with OPV and was fussy and impossible to calm down; screamed for a few hrs on the 3 following days.  Did not have a fever.,2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/19/1990,04/19/1990,0,,1,OPV,,,,,,,,PVT,UNK,,,,
025696,08/22/1990,IL,1.8,F,,Pt vaccinated with DTP/MMR/OPV and developed a fever of 104.2; Temp decreased with tylenol and ice pack; Pain and swelling of leg site,3,FEVER,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,05/14/1990,05/15/1990,1,,3,DTP,MMR,OPV,,,,,,PVT,UNK,Ceclor,Ear infection took Ceclor 5/7 -5/14,Infectious Mono in January 1990,
025697,08/22/1990,NJ,1.5,M,,"Pt vaccinated /w DTP & developed a fever of 101, given Tylenol; convulsing arms & legs eyes closed no crying, mouth open with drooling. Taken to ER - temp 103, alert, active, lungs-clear, lungs clear, neuro - CNII, TM's- lt inflammed, rt ok",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,08/08/1990,08/08/1990,0,,1,DTP,,,,,,,,PVT,UNK,Amoxicillin 125 mg/5cc tid (7-27-90),"Sinus infection, otitis media",,
025698,08/22/1990,LA,0.6,M,,Pt vaccinated with DTP and experienced high pitched scream x 3 hrs threw increased,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/02/1990,08/02/1990,0,,1,DTP,,,,,,,,PVT,UNK,,mild serous om,,
025699,08/22/1990,CT,0.5,M,,"Pt vaccinated with DTP within several hrs after experienced low grade fever and extreme irritability, high pitched, screaming cry, was inconsolable lasted up to 24 hrs.",3,FEVER,NERVOUSNESS,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,05/04/1990,05/04/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025702,08/22/1990,PA,0.2,F,,Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;,3,CONVULS,ENCEPHALOPATHY,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,Y,,06/12/1985,08/09/1985,58,"EEG, Brain Scan and Lumbar puncture - WNL",1,DTP,,,,,,,,UNK,UNK,,,,
025703,08/23/1990,VA,0.3,F,,Pt vaccinated with DTP/OPV (1st set) 6 hrs ltr 20 mins and a feeding found dead. Autopsy report SIDS,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,06/26/1990,,,,,,,N,06/26/1990,06/26/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025704,08/23/1990,MD,1.0,M,,Pt vaccinated with DTP and developed fever of 105.3 had local reactions - lt thigh.,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/25/1990,06/25/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025705,08/23/1990,MD,0.2,F,,"Pt vaccinated with DTP/OPV and developed fever of 100, episode of convulsions, encephalitis/encephalopathy w/abn lumbar puncture, and aseptic meningitis.",6,CONVULS,ENCEPHALITIS,ENCEPHALOPATHY,FEVER,LAB TEST ABNORM,MENINGITIS,,,,,,,,,,,,,,,,,,,,,,,,05/25/1990,05/27/1990,2,EEG - abnormal spikes; Lumbar Puncture - total protein 893,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025706,08/23/1990,CA,0.3,F,,"Pt vaccinated with DTP/OPV and developed fever of 101, local reaction - pain, swelling, induration, and continuous crying for 3 hrs.",4,EDEMA INJECT SITE,FEVER,PAIN INJECT SITE,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,05/11/1990,05/11/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025707,08/23/1990,NY,1.5,M,,Pt vaccinated with HIB next day unable to sit up without severe head pain and crying.  On exam normal except puffiness over rt eye- cleared spontaneously,3,EDEMA FACE,HEADACHE,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,07/23/1990,07/24/1990,1,,1,HIBV,,,,,,,,PVT,UNK,,,,
025708,08/23/1990,MD,,M,,Pt vaccinated with Series (3 doses) of Engerix-B reported to have fever and inflammed liver.  Reporting nusre does "Does not think that this hepatitis is due to Engerix-B.,2,FEVER,HEPATITIS,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
025709,08/23/1990,TX,34.0,M,,Pt vaccinated with Heptavax (3 doses) developed chronic hepatitis C.  His liver enzymes were noted to be midly elevated in 1985.  In June 1990 he was hepatitis C antibody positive.,2,HEPATITIS,LAB TEST ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,1,HEP,,,,,,,,PVT,UNK,Insulin,Diabetes mellitus,,
025713,08/23/1990,UT,0.2,M,,"Pt vaccinated with DTP/OPV and developed focal seizures, admitted to hospital had culture negative CSF pleocytosis & discoveredto have middle cerebral artery infarct. Now significant devel delay, hemiparesis",3,CONVULS,HEMIPLEGIA,INFARCT CEREBR,,,,,,,,,,,,,,,,,,,,,,Y,,,Y,,05/04/1990,05/05/1990,1,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025701,08/24/1990,TX,0.2,U,,"Approx 4 hrs after immunization,infant became limp, pale, whimpering - lasted about 20 min. Upon exam child was still pale w/slow capillary filling, crying vigorously; normally responsive.",4,AGITATION,CARDIOVASC DIS,HYPOKINESIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,DTP,,,,,,,,PVT,UNK,,,,
025716,08/24/1990,VA,0.5,F,,"With 48 hrs of immunization, infant began twitching her rt arm and was irritable, temp 101.",3,AGITATION,FEVER,TWITCH,,,,,,,,,,,,,,,,,,,,,,,,,,,12/29/1989,12/31/1989,2,EEG-Normal,1,DTP,,,,,,,,PVT,UNK,,,,
025717,08/24/1990,PA,1.5,M,,18 Month old child developed a fever of 103.2 following DTP/OPV immunization.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/01/1990,01/10/1990,9,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025718,08/24/1990,IL,0.2,F,,"2 mo old infant was hospitalized for apnea approx 48hrs after immunization, admitted to ICU and placed on a monitor.  IV bicarbonate & oxygen administered.  Infant reamins in ICU at the time of this report.",1,APNEA,,,,,,,,,,,,,,,,,,,,,,,,Y,2,,,,02/21/1990,02/23/1990,2,"ViraSpinal tap - normal; EEG, Pneumogram, Viral studies, Neuro exam and CBC - normal",1,DTP,,,,,,,,PVT,UNK,,,,
025719,08/24/1990,FL,0.2,M,,"Approx 30 min after immunizatioon, 2 mo old infant exp unconsolable crying which last 15 min and was irritable.  Infant was asymptomatic at time of this report.  Treated w/tylenol PRN.",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/01/1990,03/01/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025720,08/24/1990,TX,0.4,M,,"Infant had experienced fussiness, sleepiness, and anorexia following his 2nd immunization.  Mother reported reaction 8 wks after immunization.  Infant was afebrile and no treatment was prescribed.",3,AGITATION,ANOREXIA,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,01/04/1990,01/04/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025721,08/24/1990,OH,1.5,U,,"18 mo old infant vaccinated on 1MAR90, developed a temp of 102 to 104, became bery irritable and fussy, not sleeping and not eating, some stiffness of neck, office visit on 3MAR90 & seen in ER.",5,AGITATION,ANOREXIA,FEVER,INSOMNIA,NECK RIGID,,,,,,,,,,,,,,,,,,,Y,,,,,,03/01/1990,03/01/1990,0,"CBC - 14,300",1,DTP,,,,,,,,PVT,UNK,,,,
025722,08/24/1990,TX,0.5,F,,7 mo old infant experienced unconsolable high-pitched cry and four episodes of vomiting within 24 hrs after immunization.  Infant was afebrile.  Given tylenol at time of immunization.,2,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/01/1990,03/01/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025723,08/24/1990,TX,0.3,F,,"Within 24 hrs after immunization, mother reported infant had high-pitched cry which lasted 48 hrs but was afebrile.  Tylenol was given at time of immunization, four days later, no local reaction present, chest clear and infant asymptomatic.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,02/23/1990,02/24/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025724,08/24/1990,TX,1.5,M,,"Within 224 hrs after immunization child had a fever of 105 would not bear weight on leg, examined no injection site reaction present.  Treated w/tepid baths and tylenol PRN. Mother report infant irritable, lethargic and regused to drink.",5,AGITATION,ANOREXIA,FEVER,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,Y,,,,,,02/19/1990,02/20/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025725,08/24/1990,MI,0.3,M,,"3 mo old infant immunized 6MAR90 @ 11:30AM later evening mother reported afebrile, pale, lethargic, refustd to eat, having difficulty awaking.  Taken to ER.  Exp a couple of seizures. Hospitalized at time of this report.",5,ANOREXIA,CONVULS,PALLOR,SOMNOLENCE,STUPOR,,,,,,,,,,,,,,,,,,,Y,Y,,,,,03/06/1990,03/06/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025726,08/27/1990,GA,0.5,F,,"Pt vaccinated with DTP 8-12 hrs later developed fever 101-103 with episodes of brief startle with staring but not thought to be true seizure; observed in hospital 36 hrs, became afebrile and neurologically normal. Given tylenol",2,FEVER,VISION ABNORM,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,08/11/1990,,"CBC Sedrate, CSF normal, blood & CSF cultures negative",1,DTP,,,,,,,,PVT,UNK,,,,no previous history of reaction to DTP X 2
025727,08/27/1990,CA,1.5,M,,"Pt vaccinated with DTP 2 hrs later, mother reports shaking of body.  Brought to urgent care clinic, doctor felt it was a a seizure post DTP and gave phenobarbital.  When MD saw him next day was still febrile but no more seizures, improving.",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,07/30/1990,07/30/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,past history negative for significant illness; no problem w/ 1st 2 doses of vac.
025728,08/27/1990,NY,0.2,F,,Pt vaccinated with DTP experienced screamed & inconsolable x 18 hrs severe local rxn in thigh,2,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/25/1990,06/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025729,08/27/1990,TN,6.0,F,,"Pt vaccinated with DTP/OPV less than 2 min after injection anaphylaxis, 2nd episode 7-10 min after injection lasted 10 sec unconscious, fell, ridig, felt flexed, seizure which Dr described as sycopal episode.  See WORM for more details.",7,ANAPHYL,COMA,CONVULS,HYPERTONIA,MYDRIASIS,SOMNOLENCE,SYNCOPE,,,,,,,,,,,,,,,,,Y,,,,,Y,07/30/1990,07/30/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025730,08/27/1990,TN,19.0,F,,"Pt vaccinated with Measles Vaccine experienced rash  11 days; also had sore throat, acthing, nausea and swollen glands which were still present 15 days days after receiving vaccin.",5,LYMPHADENO,MYALGIA,NAUSEA,PHARYNGITIS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,M,,,,,,,,UNK,UNK,,,,
025731,08/27/1990,WI,2.5,F,,"Pt vaccinated with DTP and developed fever to 104 for several hrs inconsolable cry, swollen red arm x 1day.",4,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,08/15/1990,08/15/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025732,08/27/1990,NY,84.0,M,,"Pt vaccinated with Pneumococcal vaccine, no sign of infection, temp 99.6 at 2PM. temp 101 at 4PM at 2AM upper resp infection symptoms & temp 100.8, chest x-ray on 6MAR shows increaed markings L base compatible w/pneumonia.  Placed on Ceclo.",4,FEVER,NO DRUG EFFECT,PHARYNGITIS,PNEUMONIA,,,,,,,,,,,,,,,,,,,,,Y,,,,,03/03/1989,03/03/1989,0,"16Mar- Chest x-ray - L, Base Pneumonia, 16MAR WBC 15400, 8MAR Sputum c/s pseudomonas WBC not within normal limits until 7JUN89",1,PPV,,,,,,,,PVT,UNK,"Quinidine, Doxipan, PPD","Anemia, Glaucoma, Dementia, Cardiac","Arrythmia, multiple myeloma",
025733,08/27/1990,OH,0.3,F,,"Pt vaccinated with DTP experienced a fever of 104, irritability, lethargy and a prolonged cry within several hrs after immunization hospitalized on day 6 25FEB90. Dx as coincidental kawasaki disease.",5,AGITATION,FEVER,LYMPHADENO,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,Y,5,,,,02/19/1990,02/19/1990,0,"Rodazymen, lumbar puncture, and Blood cultures - all negative",1,DTP,,,,,,,,PVT,UNK,,,,
025734,08/27/1990,NC,0.6,M,,Pt vaccinated with DTP mother reported that following child first imm at age 2 mo chil slept 14 straight hrs.  Event reported when mother brought child in for 4 mo immunization,1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/05/1990,01/05/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025735,08/27/1990,MD,1.3,M,,"Local reactions sore leg for 24 hrs, fever 102 and continuous crying for 48 hrs follwoing DTP/OPV immunization",3,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,12/11/1989,12/11/1989,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025736,08/27/1990,MD,0.5,F,,"Local reaction consisting of increased warmth and lump at injection site; screaming episode for 6 hours, pre convulsive twitching and tremors following DTP/OPV immunizations",5,INJECT SITE REACT,MASS INJECT SITE,SCREAMING SYND,TREMOR,TWITCH,,,,,,,,,,,,,,,,,,,,,,,,,11/08/1989,11/08/1989,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025737,08/27/1990,MD,0.2,M,,"Fever (not measured), diarrhea for 2 days, one episode of vomiting and screaming episode for more than 3 hrs following DTP/OPV immunization.",4,DIARRHEA,FEVER,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,01/23/1990,01/23/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025738,08/27/1990,RI,5.0,M,,"Two days after immunization, 5 yr old child experienced a severe local reaction (pain and swelling) and ""passed out"" twice, possible seizure or shock-like state.",5,CONVULS,EDEMA INJECT SITE,PAIN INJECT SITE,SHOCK,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,Y,03/07/1990,03/09/1990,2,"Child examined twice in office following reaction, EEG performed 2APR90 - normal child doing well per phone conversation with father on 11APR90",2,DTP,OPV,,,,,,,PVT,UNK,,,,
025739,08/27/1990,AL,0.2,M,,"2 mo old child received first immunization 19MAR90. on 20MAR, mother reported childs temp to be 105. On exam child was fussy, but not toxic. PE was normal. Temp in office after antipyretics was 99.",2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/19/1990,03/20/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025740,08/27/1990,MD,0.1,M,,"Infant became listless, fussy, irritable and had smnolence, then restless sleep for 5 days following lst immunization.",4,AGITATION,INSOMNIA,MALAISE,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,01/20/1990,01/20/1990,0,"25JAN90 CBC:  WBC 8900, Lymphs 64, Polys 30, HCT 37.0, Platelets 434,000",1,DTP,,,,,,,,PVT,UNK,,,,
025741,08/27/1990,MD,1.5,F,,Child had fever 102 and convulsion following DTP/OPV/HIB CONNAUGHT Immunization,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,02/22/1990,02/23/1990,1,,3,DTP,HIBV,OPV,,,,,,UNK,UNK,,,patient has history of febrile convulsion,
025742,08/27/1990,MD,0.8,M,,"Pt vaccinated with DTP/OPV developed fever of 103.2, swelling and warmth at injection site, wheezing and asthma following DTP/OPV immunization.  Duration of illness - 6 days.",4,ASTHMA,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,01/18/1990,01/20/1990,2,,2,DTP,OPV,,,,,,,PVT,UNK,,,,Child had a cold/congestion for 2 mo after lst immunization.
025743,08/27/1990,MD,0.2,F,,"Child had fever 103, and screaming episode for more than 3 hrs following lst DTP/OPV immunization.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/06/1990,03/06/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025744,08/27/1990,HI,0.3,U,,"4 1/2 mo old infant experienced inconsolable crying beginning 1 hr after imunization and lasted for 10 hrs; resumed 24 hrs later for 6 hrs, mild fever - 101. Treated with tempra",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/12/1990,03/12/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,10May90 pt received 2nd DTP without any reaction whatsoever.,
025745,08/27/1990,IN,1.5,U,,"18 mo old child received DTP/HIB titer/OPV the following morning experienced a febrile seizure lasting 2 minutes.  Taken to ER had temp of 104, otherwise ok.",2,FEBRILE SEIZURE,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,03/14/1990,03/15/1990,1,,3,DTP,HIBV,OPV,,,,,,PVT,UNK,,,,
025746,08/28/1990,MD,0.2,F,,"2 mo old infant experienced fever 101, swelling, increased warmth & mild induration at injection site, becam very irritable with unconsolable crying for approx 3 hrs & restless sleep throughout the night following first DTP/OPV immunization",7,AGITATION,FEVER,INFLAM INJECT SITE,INJECT SITE REACT,INSOMNIA,MASS INJECT SITE,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,12/11/1989,12/11/1989,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025747,08/28/1990,CA,41.0,M,,"Swelling and pain of knees, ankles, and wrists with onset 36-48 hrs after immunization.  Treated with indomethacin.",2,ARTHRALGIA,ARTHRITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/31/1989,04/03/1989,3,,1,PPV,,,,,,,,PVT,UNK,"aspirin, niacin 100mg",allergic only to gentian of violet,,
025748,08/28/1990,NH,77.5,F,,Pt presented at the ER with ecchymosis from shoulder to elbow with tenderness at injection site 17 days after immunization.,2,ECCHYMOSIS,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/12/1989,09/29/1989,17,X-Ray of arm in ER was normal,1,PPV,,,,,,,,PVT,UNK,"Nolvabex, Humulin N, HCTZ",,,
025749,08/28/1990,FL,45.0,F,,"Evening after immunization, 45 yo woman developed fever 101 102 malaise, swelling 2-3' around at injection site (triceps area), erythema and pain, with discomfort extending into hand. Still present 2 days later.",5,FEVER,INFLAM INJECT SITE,INJECT SITE REACT,MALAISE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,PPV,,,,,,,,PVT,UNK,,,,
025750,08/28/1990,CA,65.0,M,,Consumer reports that her husband received injection in rt arm and three days later area surrounding the injection site turned black with subsequent swelling and paralysis of rt arm. Pain persisted for 2 wks. Being treated by neurologist.,4,EDEMA INJECT SITE,INJECT SITE REACT,PARALYSIS,PRURITUS,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,PPV,,,,,,,,PVT,UNK,,,,
025751,08/28/1990,AZ,63.0,F,,"Increasing, severe, generalized dermatitis of 2 wks duration. 1-2 days before onset received flu shot (Connaught) and Pnu-Imune.",1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/15/1989,,,2,FLU,PPV,,,,,,,PVT,UNK,"Hydroxizine, ASA",,,
025752,08/28/1990,WV,79.0,M,,"Pt given Pneumonia vaccination 14NOV. Unknown to MD was that the Pt had received Pneumonia vacc one yr earlier.  On 15NOV arm reported as swollen and black.  16NOV89 on exam, arm was swollen and red about 1 ft w\small bruise at inject site",3,ECCHYMOSIS,INFLAM INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,11/15/1989,11/15/1989,0,,1,PPV,,,,,,,,PVT,UNK,,,,
025753,08/28/1990,IN,72.0,M,,One of two pt's who developed severe local reaction.  Prior immunization status unknown.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/21/1989,,Vial was cultured for pathogens.  No growth present after 7 days.  Test was done by clinic lab.,1,PPV,,,,,,,,PVT,UNK,,,No known allergies. Coronary heart disease. Coronary bypass.,
025754,08/28/1990,IN,62.0,F,,One of two pt's who developed severe local reaction.  Prior immunization status unknown.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/21/1989,,,1,PPV,,,,,,,,PVT,UNK,,,Known lymphoma.  No known allergies.  Cerebrovascular accident.,
025755,08/28/1990,OH,58.0,F,,58 yo woman received Pnu-Imune 23OC89. Arm became red w/swelling down to elbow. Subsided and no further c/o. 8DEC89 c/o of pain lt deltoid & shoulder w limitation of motion. Pt had history of stroke and poorly controlled diabetes.,4,INFLAM INJECT SITE,INJECT SITE REACT,MYALGIA,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,10/23/1989,10/25/1989,2,13DEC89 CBC within normal limits to rule out infection;  26DEC89 L. Shoulder XRay; within normal limits,1,PPV,,,,,,,,PVT,UNK,Micronase 5MG,,Dx as non-Insulin dependent diabeetes mellitus type II B. Status post cerebral hemorrhage; allergy; bactrim BS,
025756,08/28/1990,CA,30.0,M,,"30 YO man developed erythema, tenderness & warmth below injection site 2 days after immunization.  Ellipsoid area 4X6CM, Injection site itself is clear.  Dx : Cellulitis vs injection site reaction.",2,CELLULITIS,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/10/1990,,,2,FLU,PPV,,,,,,,PVT,UNK,,,No hx of trauma to area. hx of recurrent pneumonia. lst pneumococcal vaccine,
025757,08/28/1990,GA,4.0,M,,"Child w/hx epilepsy and tegretol therapy received immunization & following day had febrile seizure with a fever of 102.5 seven days after vaccination, developed swelling in one knee & one elbow. Complete resolution of symptoms w/Ibuprofen",3,ARTHRITIS,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/29/1990,01/30/1990,1,X-RAYS - normal,1,PPV,,,,,,,,PVT,UNK,,,Past hx of seizures,
025758,08/28/1990,NY,,M,,"Consumer complained of swollen and painful arm following immunization. symptoms subsided, then developed a very itchy rash over the entire underside of right upper arm.",3,INFLAM INJECT SITE,PAIN INJECT SITE,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,PPV,,,,,,,,PVT,UNK,,,,
025759,08/28/1990,MA,,U,,8 Pts developed Cellulitis requiring antibiotic therapy.  At least two of these patients were treated in ER none had prior Pneumococcal vaccinations.,1,CELLULITIS,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,1,PPV,,,,,,,,PVT,UNK,,,,
025760,08/28/1990,ID,66.0,M,,One of two pt's who experienced fever and soreness after immunization,2,FEVER,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/12/1990,,,1,PPV,,,,,,,,PVT,UNK,SERAPES,,,
025761,08/28/1990,ID,64.0,F,,One of two patients who experienced fever and soreness after immunization.,2,FEVER,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/12/1990,,,1,PPV,,,,,,,,PVT,UNK,,,,
025762,08/28/1990,LA,1.5,U,,"19 mo old child received DTP/prohibit immunization  18JAN90. At 10PM woke up, at 2AM had grand mal seizure lasting 1 min. Temp 107 hospitalized; normal work up; neurologist consult pending; no prior reaction to 3 prior DTP's.",3,CONVULS GRAND MAL,FEVER,LEUKOCYTOSIS,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,01/18/1990,01/19/1990,1,Spinal fluid 2 cells; WBC 17000,1,DTP,,,,,,,,PVT,UNK,,,,
025763,08/28/1990,SC,0.4,M,,"Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis",3,ANOMALY CONGEN CNS,ENCEPHALOPATHY,QUADRIPLEGIA,,,,,,,,,,,,,,,,,,,,,,,,,Y,,02/08/1984,,,,1,DTP,,,,,,,,UNK,UNK,,,,
025764,08/28/1990,NV,0.3,M,,"plaintiffs allege that as a result of immunization a 4 mo of age in 1983 (no reference is made to any prior immunization), infant suffered seizures the following day and suffered permanent brain damage.",2,BRAIN SYND CHRON,CONVULS,,,,,,,,,,,,,,,,,,,,,,,Y,,,Y,,01/25/1983,01/26/1983,1,,1,DTP,,,,,,,,UNK,UNK,,,,
025765,08/28/1990,MD,2.5,F,,Child developed fever 103 and convulsion following immunization taker to ER,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,07/11/1989,07/11/1989,0,,1,DTP,,,,,,,,UNK,UNK,,,"Hx of seizures in father, no personal hx of illness following previous immunization.",
025766,08/28/1990,PA,0.3,F,,10 hrs of high pitched crying after 2nd immunization,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/27/1989,11/27/1989,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025767,08/28/1990,AL,,U,,"Pt experienced convulsion, fever greater than 103, pain and induration at injection site.",4,CONVULS,FEVER,INJECT SITE REACT,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
025768,08/28/1990,LA,0.2,F,,"2 mo old infant developed high fever, irritability and insomnia following immunization.",3,AGITATION,FEVER,INSOMNIA,,,,,,,,,,,,,,,,,,,,,,,,,,,12/19/1989,12/20/1989,1,,1,DTP,,,,,,,,UNK,UNK,,,,
025769,08/28/1990,CO,2.0,F,,"Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.",1,NEUROPATHY,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,09/04/1987,,,,1,DTP,,,,,,,,UNK,UNK,,,,
025770,08/28/1990,AL,,F,,"Following immunization infant experienced a fever of 105.5, also vomiting and screamed the entire evening. presented in ofc following morning w/fever of 101.4, No other symptoms.  Given tylenol.",3,FEVER,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,01/23/1990,01/23/1990,0,Blood count normal; urinalysis normal,1,DTP,,,,,,,,UNK,UNK,,,No reactions reported at 2mo of age except low grade fever. No siblings.,
025771,08/28/1990,IL,0.5,U,,One of five infants who experienced sterile abscess at the injection site (Deltoid) with tenderness.  Treatment included tylenol PRN>,2,ABSCESS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/01/1990,01/01/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025772,08/28/1990,IL,0.5,U,,"One of five infants who experienced sterile abscess at the injection site (Deltoid) with tenderness, treatment included tylenol PRN.",2,ABSCESS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/01/1990,01/10/1990,9,,1,DTP,,,,,,,,PVT,UNK,,,,
025773,08/28/1990,IL,0.5,U,,One of five infants who experienced sterile abscess at the injection site (Deltoid) with tenderness. Treatment included tylenol PRN.,2,ABSCESS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/01/1990,01/01/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025774,08/28/1990,IL,0.5,U,,One of five infants who experienced sterile abscess at the injection site (Deltoid) with tenderness.  Treatment included tylenol PRN.,2,ABSCESS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/01/1990,01/01/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025775,08/28/1990,IL,0.5,U,,One of five infants who experienced sterile abscess at the injection site (Deltoid) with tenderness.  Treatment included tylenol PRN.,2,ABSCESS INJECT SITE,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/01/1990,01/01/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025776,08/28/1990,TX,0.3,M,,"Pt vaccinated with DTP developed rash which was very red at the site of injection, temp of 100 rectal, infant was seen in office 72 hrs later, presented with a vesicular papular rash which covered the outer lateral thigh with various spots",4,FEVER,HYSN INJECT SITE,RASH,RASH VESIC BULL,,,,,,,,,,,,,,,,,,,,,,,,,,01/15/1990,01/15/1990,0,,1,DTP,,,,,,,,PVT,UNK,,Infant has a slight rash after lst DTP,,
025777,08/28/1990,MS,0.5,M,,"Pt vaccinated with DTP developed fever to 102, x 3days, fontanelle bulging, child otherwise playful, eating, not lethargic, child not hospitalized. Within 24 hrs, fever & Fontanelle returned to normal.",2,FEVER,INTRACRAN HYPERTENS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,12/26/1989,,,CAT SCAN Normal; WBC normal; LP not done,1,DTP,,,,,,,,PVT,UNK,,,,
025778,08/28/1990,MD,0.4,F,,Screaming episode lasting approx 3 hrs following DTP/OPV immunization.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/09/1989,08/09/1989,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025779,08/28/1990,CA,0.2,M,,"Pt vaccinated with DTP lst immunization slep more that day, next morning seemed awake but not moving arms or legs, very quiet, weak cry, ate well when fed,over next 3 days gradually began to move more, office visit on 4JAN90 normal exam.",3,HYPOKINESIA,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,12/29/1989,12/29/1989,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025780,08/29/1990,MD,0.2,M,,"On 28JUL90 (48 hrs aftr DTP/OPV immunization), the infant experienced a fever of 104, the following day, infant was fed 8 oz of formula and 2 hrs later expired.  Taken to ER was pronounced dead on arrival.",1,FEVER,,,,,,,,,,,,,,,,,,,,Y,07/29/1990,,,,,,,N,07/26/1990,07/28/1990,2,Autopsy performed 30JUL90. Copy of report requested,2,DTP,OPV,,,,,,,UNK,UNK,,,No previous seizures in pt. No hx of seizures in parents and/or siblings.,
025781,08/29/1990,,35.0,F,,Large abscess at the site of injection.  Copious amout of purulent drainage in rt arm.,1,ABSCESS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/22/1990,06/22/1990,0,,1,TD,,,,,,,,UNK,UNK,,,Insect bite on lf upper arm.  TTox rt upper arm.,
025782,08/29/1990,IN,0.2,F,,"Persistent, inconsolable crying, screaming cry lasting several hrs, fever 103 rectally-fever duration -2days, We will give pediatric DT in the future.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/20/1990,08/20/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025783,08/29/1990,FL,5.2,M,,"Fever of 101 orally, 96.9 axillary 22AUG90, swelling, redness & soreness at site of injection",3,EDEMA INJECT SITE,FEVER,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,08/20/1990,08/21/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025785,08/29/1990,NJ,0.5,M,,Fever to 105 rectal.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/17/1990,08/17/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025786,08/29/1990,FL,5.1,F,,"Headache, temp 104, vomiting - red swollen arm.",3,EDEMA PERIPH,FEVER,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,08/18/1990,08/18/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025787,08/29/1990,CA,5.0,F,,"Pt vaccinated with DTP minutes later became pale, cool and clammy to touch, visibly shaky, elevated pulse rate, and low blood pressure.  Child placed supine, w/feet elevated above heart level.  Fully recovered within 5 mins.",6,HYPOTENS,HYPOTHERMIA,PALLOR,SWEAT,TACHYCARDIA,TREMOR,,,,,,,,,,,,,,,,,,,,,,,Y,07/30/1990,07/30/1990,0,,1,DTP,,,,,,,,PVT,UNK,No other meds,,,"previous rxns to immun. were slight cold symptoms, & febrile response"
025788,08/29/1990,OR,0.2,M,,"Irrirability, Temp 104 - 101 x 3 days",2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/13/1990,08/13/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025789,08/29/1990,IN,1.5,F,,"Pt vaccinated with MMR on 27JUL90 on 4AUG90 developed fever 101-104, very red & pronounced macular rash over trunk, abdomen & upper extremities, decreased appetite, refusing to eat per mom. Lasted til 10AUG90 when temp decreased & rash fad",3,ANOREXIA,FEVER,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,,,,,,07/27/1990,08/04/1990,8,,1,MMR,,,,,,,,PVT,UNK,,,,
025790,08/29/1990,IA,4.0,F,,Local reaction to DTP vaccine lt thigh has redness 10cm - no induration pt sensitive to touch,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/14/1990,08/28/1990,14,,1,DTP,,,,,,,,PVT,UNK,Sabin  TV ora gtts,,,
025791,08/29/1990,PA,0.4,F,,Extended inconsolable crying following DTP shot,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/16/1990,08/17/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025792,08/29/1990,PA,19.0,F,,"Rash on arm, joints swollen, aches.",3,ARTHRALGIA,ARTHROSIS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,08/07/1990,08/07/1990,0,Lyme test - negative,1,MMR,,,,,,,,PVT,UNK,,,,
025793,08/29/1990,NY,0.2,F,,Received DTP immunization had prolonged high pitched crying for 3-3 1/2 hrs after,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/13/1990,06/13/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025795,08/29/1990,OH,3.9,F,,"Seizure-like activity which started about 1 hr post injection. vomiting & staggering, Taken to ER. Normal CAT scan. In the ER pulse strong, but was non-reactive. Was admitted.",3,CONVULS,GAIT ABNORM,VOMIT,,,,,,,,,,,,,,,,,,,,,,Y,3,,,Y,08/10/1990,08/10/1990,0,,1,HIBV,,,,,,,,UNK,UNK,,,,
025796,08/29/1990,CA,2.0,M,,"Haemophilus type B septicemia, meningitis. Hx of febrile seizures.",3,MENINGITIS,NO DRUG EFFECT,SEPSIS,,,,,,,,,,,,,,,,,,,,,,,,,,,03/27/1989,01/31/1990,310,,1,HIBV,,,,,,,,UNK,UNK,,,,
025797,08/29/1990,CA,2.0,F,,"Haemophilus influenzae, type B meningitis, septicemia",3,MENINGITIS,NO DRUG EFFECT,SEPSIS,,,,,,,,,,,,,,,,,,,,,,,,,,,06/24/1988,04/11/1989,291,,1,HIBV,,,,,,,,UNK,UNK,,,,
025798,08/29/1990,CA,2.0,F,,Haemophilus influenzae type B meningitis CSF culture positive for H influenzae b. Had temporary paralysis of lower limbs after meningitis.,3,MENINGITIS,NO DRUG EFFECT,PARALYSIS,,,,,,,,,,,,,,,,,,,,,,,,,,,01/10/1990,04/22/1990,102,,1,HIBV,,,,,,,,UNK,UNK,,,,
025794,08/30/1990,NJ,,F,,unusual high pitched cry,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/15/1990,06/15/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025799,08/30/1990,CA,2.0,F,,"Haemophilus influenzae, type B meningitis & sepsis.  Complications; seizures, cerebral edema, intracerebral bleed, DIC & ARDS.",7,COAGUL DIS,CONVULS,EDEMA BRAIN,HEM CEREBR,MENINGITIS,RESPIRAT DIS,SEPSIS,,,,,,,,,,,,,,Y,,,,,,,,,09/28/1988,10/01/1988,3,,1,HIBV,,,,,,,,UNK,UNK,,,hx of croup once in 08/87; Congenital hip dysplasia,
025800,08/30/1990,CA,3.0,M,,"Haemophilus influenzae type B septicemia, periorbital cellulitis. No other dx at time of onset. Hit in eye, became infected, then septicemia. Blood culture for H influenzae, type b.",3,CELLULITIS,NO DRUG EFFECT,SEPSIS,,,,,,,,,,,,,,,,,,,,,,,,,,,03/14/1988,06/16/1989,459,,1,HIBV,,,,,,,,UNK,UNK,,,,
025802,08/30/1990,OR,2.0,F,,"Pt vaccinated with DTP/OPV, about 40 hrs later became limp with rolling up of eyeballs, lethargic, lasted five min. Was afebrile at that time.",4,CONVULS,EYES GAZE UPWARD,HYPOTONIA,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,08/09/1990,08/11/1990,2,,2,DTP,OPV,,,,,,,PVT,UNK,,,No previous hx seizures or reactions to DTP,
025804,08/30/1990,PA,0.4,F,,"Pt vaccinated with DTP developed temp of 104, MD started on antibiotic, Next day temp 106 given cool bath and tylenol, told to force liquids, child diarrhea was admitted to hospital on 8AUG90 with dx of pertussis. 9AUG90 temp back to normal",3,DIARRHEA,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,08/06/1990,08/06/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,No hx of allergies,
025805,08/30/1990,CA,2.0,M,,"Haemophilus influenzae type B epiglottitis, septicemia",3,NO DRUG EFFECT,PHARYNGITIS,SEPSIS,,,,,,,,,,,,,,,,,,,,,,,,,,,01/06/1989,01/29/1990,388,,1,HIBV,,,,,,,,UNK,UNK,,,,
025808,08/30/1990,NJ,0.5,M,,"CRIED MORE THAN 3 HRS , CRANKINESS",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/20/1990,08/20/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025810,08/30/1990,NJ,0.4,F,,"Fever 103, marked irritability more than 3hrs, local swelling at inj site. Thick, mucoid upper resp congestion paroxysmal, spasmodic,""whooping"" cough for 3-4 days; Pertussis like symptoms.",5,AGITATION,COUGH INC,FEVER,INFLAM INJECT SITE,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,08/13/1990,08/13/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,Known infantile colic & gastro esophageal reflux,
025813,08/30/1990,TX,0.2,M,,5 hrs post DTP dose the baby ran a fever to 103 - turned limp and pale - eyes rolled back episode lasted approx l min.,4,EYES GAZE UPWARD,FEVER,HYPOKINESIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,08/20/1990,08/20/1990,0,EEG - Pending,1,DTP,,,,,,,,PVT,UNK,"Vit E, Polyvisol, Ferinsol",,Hx of prematurity/anemia  - no previous seizure activity; no hydrocephalus,
025814,08/30/1990,WA,12.0,M,,Received MMR from MSD - developed wheezing within 5 minutes.,1,ASTHMA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/08/1990,08/08/1990,0,BP 118/40,1,MMR,,,,,,,,UNK,UNK,,,,
025815,08/30/1990,AK,0.5,M,,"Approx 1 hr after DTP started to convulse, turned blue and temp to 104+ taken to clinic and treated with 2X dose of tylenol and sponge baths. Temp held taken to hospital treated in I/C 3hrs retained in hosp overnight. Temp rose again 103.",3,CONVULS,CYANOSIS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,03/29/1990,03/29/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025817,08/30/1990,MD,2.6,F,,"Approx. 8 days /p DTP/OPV/MMR immun., child experienced a fever 101T, rash on face & chest, seizure (1 episode) & fatigue for 24 hrs.",4,ASTHENIA,CONVULS,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,06/22/1990,06/30/1990,8,,3,DTP,M,OPV,,,,,,PVT,UNK,,,No hx of seizures in siblings/parents. 1 cousin had convulsions /w high fever.,
025803,08/31/1990,NJ,0.5,M,,unusual high pitched cry.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/12/1990,06/12/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025809,08/31/1990,CA,0.8,F,,"unconsciousness about 15 minutes, limpness & hyporeponsiveness several minutes longer.  Verified by ER MD at Eden Hospital. Had episode of grunting or moaning & passed out, unarrousable initially. Neurologic rxn to Pertussis antigen in DPT.",3,COMA,HYPOKINESIA,HYPOTONIA,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/21/1990,08/21/1990,0,"PE-normal, WBC-25,800,  Gram stain bactogen-neg.& UA-neg. Blood glucose-145",2,DTP,OPV,,,,,,,PVT,UNK,,,,
025819,09/04/1990,NY,17.0,F,,"Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.",5,ARTHRITIS,FEVER,MALAISE,PAIN BACK,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,Y,,,06/15/1990,06/26/1990,11,,1,MMR,,,,,,,,PVT,UNK,,,Juvenile rheumatoid arthritis,
025820,09/04/1990,FL,18.0,F,,"Pt vaccinated with MMR on 16JUL90.  Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.",7,FEVER,HEADACHE,HEPATITIS,MALAISE,MYALGIA,SGOT INC,SGPT INC,,,,,,,,,,,,,,,,,,,,Y,,,07/16/1990,08/05/1990,20,"SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.",1,MMR,,,,,,,,PVT,UNK,,,,
025821,09/04/1990,FL,5.3,M,,"Lt arm swollen, inflamed, warm to touch; fever present 100 temp",3,EDEMA,FEVER,INFLAM INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,08/20/1990,08/22/1990,2,,1,DTP,,,,,,,,PVT,UNK,,,,
025822,09/04/1990,NY,5.0,F,,"Temp 106, after receiving DTP immunization reported to MD.  The next day child's temp 103 and controlled with tylenol.",1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/23/1990,08/23/1990,0,,1,DTP,,,,,,,,PVT,UNK,tylenol,,,
025812,09/05/1990,PA,0.3,F,,"24 hrs of screaming, high pitched cry.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/21/1990,06/21/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025823,09/05/1990,SC,0.2,M,08/30/1990,"Screaming, fussy, thigh, red, warm swollen, temp 100.9R.",6,AGITATION,EDEMA INJECT SITE,FEVER,INJECT SITE REACT,SCREAMING SYND,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,Y,01/29/1990,01/29/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,Tylenol or Tempera,,Unbillical hernia,
025824,09/05/1990,OH,0.1,F,08/31/1990,Pt vaccinated with DTP/OPV experienced vomiting,1,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/27/1990,08/29/1990,2,,2,DTP,OPV,,,,,,,PVT,PVT,Tylenol for fever,,,
025826,09/05/1990,PA,5.7,F,08/30/1990,"Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.",7,COUGH INC,FEVER,INJECT SITE REACT,MASS INJECT SITE,RHINITIS,SPUTUM INC,VASODILAT,,,,,,,,,,,,,,,,,Y,,,,,Y,08/26/1990,08/28/1990,2,,3,DTP,MMR,OPV,,,,,,PVT,PVT,,URI 1 wk befor by hx reveals after react,,
025828,09/05/1990,NC,0.2,F,08/28/1990,Prolonged unconsolable crying x 48hrs,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/15/1990,08/16/1990,1,,1,DTP,,,,,,,,PUB,PUB,,,,
025829,09/05/1990,PA,0.2,F,08/30/1990,Inconsolable crying for just over 24 hrs.  Baby given acetaminophen. No permanent sequelae noted.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/01/1990,08/01/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
025830,09/10/1990,,74.0,F,,Pt fell down stairs cut forehead. Was administered Hyper-tet as well as Tetanus & Diphtheria Toxoids Adsorbed and developed increasing paresthesia progressing  from feet to waist w/development of neurogenic bladder and weakness in the legs.,4,ASTHENIA,GUILLAIN BARRE SYND,PARESTHESIA,SCLEROSIS MULT,,,,,,,,,,,,,,,,,,,,,,,Y,,,08/04/1990,08/04/1990,0,"Spinal Tap - Normal, Ct Scan Head - Normal, MRI - Normal",1,TD,,,,,,,,UNK,UNK,Hyer-Tet,,,
025811,09/11/1990,PA,0.3,M,,1-2 hrs after vaccination Pt cried inconsolably X 1-2Hrs.  Developed twitching of the head & neck seemed to include the body. This all lasted 2hrs then subsided without further events.,2,SCREAMING SYND,TWITCH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/29/1990,06/29/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025832,09/11/1990,WI,0.2,M,,Pale and Lethargic episode following DTP immunization,2,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/11/1990,05/11/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025833,09/11/1990,FL,0.2,F,,Immunization at 2:50PM began high pitch screaming at 4PM screaming lasted over 3 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/27/1990,07/27/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025834,09/11/1990,OH,1.5,M,,"Several hours following immumization, child developed fever of 104 R and possible seizure activity. Seen in E.R. and released",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,07/25/1990,07/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025835,09/11/1990,NJ,0.2,F,,Pt vaccinated with DTP developed unusual cry prolonged crying.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/21/1990,05/21/1990,0,,1,DTP,,,,,,,,PVT,UNK,Multivitamins,,,
025836,09/11/1990,NJ,0.2,M,,Pt vaccinated with DTP developed unusual cry "miserable x 5 days,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/26/1990,04/26/1990,0,,1,DTP,,,,,,,,PVT,UNK,Multivitamin,,,
025837,09/11/1990,NJ,0.2,U,,Pt vaccinated with DTP developed unusual cry.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/14/1990,03/14/1990,0,,1,DTP,,,,,,,,PVT,UNK,Multivitamin,,,
025838,09/11/1990,MN,27.9,F,,Having menses when vaccinated for measles 29MAY90; Missed next period 26JUN90; Miscarried 16JUL90,2,ABORTION,AMENORRHEA,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/29/1990,07/16/1990,48,,1,M,,,,,,,,PVT,UNK,,,,
025839,09/11/1990,SD,58.0,M,,"Pt vaccinated with Engerix B developed severe headache starting 1 day after vaccine. Remained present for next 2 wks. Denied double vision, fever, or stiff neck.",1,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/02/1990,07/03/1990,1,,1,HEP,,,,,,,,PVT,UNK,,Hx of diabetes; Rx insulin pump,,
025840,09/11/1990,UT,5.0,F,,Pt vaccinated with DTP and developed 5 X 2 cm red indurated area around injection site,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/13/1990,08/14/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025841,09/11/1990,UT,5.0,M,,Pt vaccinated with DTP developed large red indurated area around injection site.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/13/1990,08/14/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025842,09/11/1990,UT,1.5,F,,Pt vaccinated with DPT developed 4cm X 4cm red induration area around injection site.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/13/1990,08/14/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025843,09/11/1990,UT,2.0,F,,Large red indurated area around injection,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/13/1990,08/14/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025844,09/11/1990,IL,10.5,F,09/04/1990,Pt had instant headache & lied down for 15 minutes until felt well enough to walk,1,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/07/1990,08/07/1990,0,,1,MMR,,,,,,,,PVT,PVT,,,,
025845,09/11/1990,NC,0.2,M,,"Recv DTP 10AM slep all way home, woke around 12 for bottle then back to sleep. Could be aroused but would take very strong stimulus to get him awake. Pale & clammy unitl 6PM, color returned but continued to be drowsy until 9AM next morning.",4,FEVER,PALLOR,SOMNOLENCE,SWEAT,,,,,,,,,,,,,,,,,,,,,,,,,,08/24/1990,08/24/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025849,09/11/1990,NJ,0.3,M,,Pt vaccinated with DTP and experienced high pitch cry,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/23/1990,05/23/1990,61,,1,DTP,,,,,,,,PVT,UNK,Multivitamins,,,
025850,09/11/1990,CA,25.0,M,,Pt vaccinated with MR experienced rash and adenopathy for 7 days starting 10 days after MR vaccine inject,2,LYMPHADENO,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/22/1990,01/28/1990,6,,1,MR,,,,,,,,PUB,UNK,,,,
025851,09/11/1990,KY,0.2,F,,Pt vaccinated with DTP experienced crying constantly for 24 hrs swelling on leg unable to be pacified.,2,EDEMA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/16/1990,06/16/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025852,09/12/1990,TX,5.0,M,,Pt vaccinated with b capsa and developed occult bacteremia - positive blood culture for H influenzae type b,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/30/1988,01/03/1990,644,Occult Bacteremia; Positive blood culture for H. influenzae type b.,1,HBPV,,,,,,,,PVT,UNK,Phenobarbital,,seizure disorder,
025853,09/12/1990,IA,0.2,F,,Pt vaccinated with DTP and experienced screaming fit for 4-5hrs on 29JUN90.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/29/1990,06/29/1990,0,exam done by Dr. JSC,1,DTP,,,,,,,,PVT,UNK,,,,
025854,09/12/1990,AL,0.2,F,,"Pt vaccinated with DTP experienced prolonged crying, pale skin.",2,PALLOR,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/27/1990,08/28/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025855,09/12/1990,OR,0.2,F,,Pt vaccinated with DTP/OPV experienced unconsolable crying for 6hrs .,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/15/1990,06/15/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025856,09/12/1990,UT,5.0,F,,"Pt vaccinated with DTP parent described rx as red, raised area about 4 X 2 with 2 tails extending several inches longer that lasted 3 days",1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/14/1990,08/16/1990,2,,1,DTP,,,,,,,,PVT,UNK,,,,
025857,09/12/1990,NC,0.6,M,,"Pt vaccinated w/DTP experienced screaming, stiffness off & on in route home, was limp & unresponsive, lethargic, quivered, pale & gray around mouth.",8,CONVULS,INSOMNIA,PALLOR,SCREAMING SYND,SOMNOLENCE,STUPOR,TREMOR,VOMIT,,,,,,,,,,,,,,,,,,,,,,08/27/1990,08/27/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025858,09/12/1990,MN,6.0,M,,Pt vaccinated with DTP experienced erythema blotchy rash rear site of immunization.,1,HYSN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/09/1990,08/09/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025860,09/12/1990,TX,0.5,M,,Pt vaccinated with DTP experienced twelve hrs of hypotonia with mild vomiting & lethargy. Some loose stools.,4,HYPOTONIA,LEUKOCYTOSIS,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,,,,,07/24/1990,07/24/1990,0,"18,000 white count with 75 polys, 7 bands and 14 lymphs. Normal urinalysis and stool culture",1,DTP,,,,,,,,PVT,UNK,,,,
025861,09/12/1990,IA,0.2,M,08/31/1990,Pt vaccinated with DTP/OPV experienced inconsolable screaming which became worse through the night and into next day.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/22/1990,08/22/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025862,09/12/1990,GA,91.0,F,09/04/1990,Pt vaccinated with Influenza experienced weakness of the lower extremities with aching progressing to the trunk and upper extremities - GBS. Pt hospitalized transferred to EUH for plasma exchange.,2,GUILLAIN BARRE SYND,MYASTHENIA,,,,,,,,,,,,,,,,,,,,,,,,,Y,Y,U,02/06/1990,02/25/1990,19,,1,FLU,,,,,,,,PVT,PVT,"Hydrochlorothiazide 25 daily, Corgard 40 daily","Hypertension, ischemic heart disease",,
025863,09/12/1990,NY,6.2,F,09/04/1990,"Pt vaccinated with MMR/OPV developed erythematous papular rash on abdomen, face swollen, rash occured 5 days after vaccine, tx benadryl, icepacks.",2,EDEMA FACE,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/28/1990,09/02/1990,5,,2,MMR,OPV,,,,,,,PVT,PVT,,,,
025864,09/12/1990,CA,6.7,M,08/31/1990,Pt vaccinated with DTP/OPV/Measles developed temp of 103 x 2 days and sore right arm for 3 days.,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/27/1990,08/27/1990,0,,3,DTP,M,OPV,,,,,,PVT,PVT,,,,
025865,09/12/1990,TX,21.7,F,08/31/1990,Pt vaccinated with DT developed local rxs 7CM edematous wheal with 15CM erythematous flare.,2,INJECT SITE REACT,RASH,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/20/1990,08/21/1990,1,,1,TD,,,,,,,,PVT,PVT,,,Rxs to ADT 10 yrs ago; ASA & Sulfa,"red, swollen arm, fever chills, @ age 11 /w ADT vaccine, dose # 6"
025866,09/12/1990,OH,1.5,M,,Pt vaccinated with DTP experienced red and swollen abscess vs tender to the touch local rxs; some difficulty walking 12CM X 8CM,2,EDEMA,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/16/1990,08/17/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
025867,09/12/1990,CA,2.5,M,,Pt vaccinated with DTP and developed a fever 103.5 X 48 hrs.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/17/1990,08/17/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025868,09/12/1990,NY,0.5,M,,Pt vaccinated with DTP experienced uncontrollable screaming x3 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/25/1990,06/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025869,09/12/1990,IL,1.6,F,,"Pt vaccinatd without DTP/OPV/HIB hx of DTP rxs, cried when given vaccination 5-7min later becamelimp, pale with eyes rolling. Afterwards was very sleepy.",4,EYES GAZE UPWARD,HYPOKINESIA,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,08/13/1990,08/13/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,UNK,,,,
025870,09/12/1990,CA,0.2,M,,"Pt vaccinated with DTP/OPV became irritable, body temp 100.f. No vomiting or other symptoms; Fell asleep at 6AM when parents went to wake him for feeding noted to be unresponsive.  Paramedics were called brought to ER.",3,AGITATION,FEVER,STUPOR,,,,,,,,,,,,,,,,,,Y,,,Y,,,,,N,08/24/1990,08/25/1990,1,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025847,09/13/1990,AL,35.0,F,,Pt vaccinated with Rubella 15MAR89 experienced severe pain & inflammmation in her knees & wrists persisted several days. Wrist cont. to be stiff causing numbness in hands. Unable to sleep due to pain. Dx as Carpal Tunnel Synd. See WORM,5,ARTHRALGIA,ARTHRITIS,PAIN,PARESTHESIA,TENOSYNOVITIS,,,,,,,,,,,,,,,,,,,,,,,Y,Y,03/16/1989,03/26/1989,10,,1,R,,,,,,,,PVT,UNK,,,,
025872,09/13/1990,MI,33.0,F,08/31/1990,"Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.",1,PANCYTOPENIA,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,N,,,,Bone marrow - Michigan State U (John Pennor) - Mayo Clinic (Morie Gentz); currently seen at Harpe Grace Hosp Detroit MI,1,HEP,,,,,,,,UNK,UNK,,,,
025873,09/13/1990,MD,23.4,M,09/06/1990,Pt vaccinated MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/06/1990,08/16/1990,41,,1,MMR,,,,,,,,PVT,PVT,,,,
025874,09/13/1990,CO,5.5,M,09/04/1990,"Pt vaccinated with DTP developed high temp, vomiting, sore arm and shoulder X 24 hrs. Dx Febrile reaction to DTP vaccine.",3,FEVER,PAIN,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/23/1990,08/23/1990,0,,1,DTP,,,,,,,,OTH,OTH,,,,
025875,09/13/1990,GA,42.6,F,09/06/1990,"Pt vaccinated with Pneumococcal on 13NOV87 few hrs later developed respiratory distress seen in ER, mild wheezing; ABG PO2 of 108on room air given Epinephrine & Benadryl, developed temp 102, sweats, hives & cough productive of clear sputum.",7,ASTHMA,COUGH INC,DYSPNEA,FEVER,INFECT,SWEAT,URTICARIA,,,,,,,,,,,,,,,,,Y,,,,,Y,11/13/1987,11/13/1987,0,"Pap-Class I,VDRL negative, Hypothyroid profile normal, TSH 1.3",1,PPV,,,,,,,,PVT,PVT,"Desyrel 75mg qhs, Motrin 800mg po q8h, PRN joint pain","Depression, Multiple personality disorde","allergies to sulfa, Keflex. Cigarette use, urethral stenosis",
025876,09/13/1990,KS,1.3,M,09/06/1990,"Pt vaccinated with MMR developed rash, blotchy on face trunk, temp 101 extremities - macular",2,FEVER,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,08/29/1990,09/05/1990,7,,1,MMR,,,,,,,,PVT,PVT,,,,
025877,09/13/1990,FL,1.6,M,09/06/1990,Pt vaccinated with DTP/OPV/HIB and experienced 24 hrs of irritability and screaming.,2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/15/1990,08/16/1990,1,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,
025878,09/13/1990,NY,43.3,F,09/05/1990,Pt vaccinated with Pneumovax 4hrs later starting wheezing.,1,ASTHMA,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/31/1990,08/31/1990,0,,1,PPV,,,,,,,,PVT,UNK,,asthma,asthma,
025879,09/13/1990,GA,49.0,M,09/06/1990,"Pt vaccinated with DT and developed 16 X 14.5 CM area of erythema, induration after 5 days.  Treated with Duracef 500 mg/Decadron 5/12 pack.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/10/1990,08/15/1990,5,,1,DT,,,,,,,,PVT,PVT,,,,
025880,09/13/1990,PA,0.3,M,09/06/1990,Pt vaccinated with DTP/OPV 5 days later developed lump oral antibiotic treatment given leg required incision & drainage and grew Group A Beta Streptococcus,1,ABSCESS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/17/1990,08/23/1990,6,Culture Grow Group A Beta Streptococcus,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025881,09/13/1990,PA,1.9,M,09/06/1990,Pt vaccinated with DTP/OPV developed apparent abscess 5 days after immunization; Treated with amoxicillin - resolving,1,ABSCESS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/17/1990,08/23/1990,6,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025882,09/13/1990,PA,1.1,F,09/06/1990,Pt vaccinated with DTP developed sore arm 5 days after injection because abscessed required incision & drainage grew Group A Beta Strep inspite of Amoxicillin Administered orally.,2,ABSCESS INJECT SITE,PAIN,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/17/1990,08/23/1990,6,Culture Grew Group A Beta Streptococcus,1,DTP,,,,,,,,PVT,PVT,,,,
025883,09/13/1990,PA,0.4,M,09/06/1990,Pt vaccinated with DTP 5 days later developed a lump in leg which was painful inspite of oral antibiotics became ascess which caused sepsis and was hospitalized. Twin not infected.,3,ABSCESS INJECT SITE,PAIN,SEPSIS,,,,,,,,,,,,,,,,,,,,Y,Y,Y,,,,U,08/17/1990,08/22/1990,5,Culture of wound pending,1,DTP,,,,,,,,PVT,PVT,,,,
025884,09/13/1990,MN,0.2,M,09/06/1990,Pt vaccinated with DTP/OPV experienced excessive high pitched crying more than 4 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/22/1990,06/22/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025885,09/13/1990,ME,1.2,M,09/04/1990,"Pt vaccinated with MMR developed fever of 102-103, rash covering entire body 5 days after vax. MD checked child prescribed Tylenol for fever and Benadryl elixer for rash.",2,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/02/1990,08/29/1990,27,,1,MMR,,,,,,,,PVT,PUB,,,,
025886,09/13/1990,KS,0.4,M,09/04/1990,Pt vaccinated with DTP/OPV developed seizures approx 7.5hrs after vax. No problems after lst set of shots at 2mo.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,Y,3,,,Y,09/01/1990,09/01/1990,0,"EEG, CTScan, Spinal tap all performed at Wesley Medical center in Wichata, KS",2,DTP,OPV,,,,,,,PVT,PVT,TriVI Flor 0.25 vitamins,,,
025887,09/13/1990,IN,2.0,M,09/07/1990,"Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.",1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,Y,Y,1,,,Y,08/31/1990,09/01/1990,1,"CBC normal except deficiency, glucose normal , electrolytes normal, cat normal",3,HIBV,MMR,OPV,,,,,,PVT,PVT,,,,
025888,09/13/1990,PA,5.0,F,09/05/1990,"Pt vaccinated with DTP/OPV/TINE TEST brought back to the office at 3:00 that afternoon w/urticaria on abdomen, legs and shoulders. Urticaria occurred at 2:00PM; treated with benadyl & Decadron IM 45 minutes later urticaria had diminished.",2,COUGH INC,URTICARIA,,,,,,,,,,,,,,,,,,,,,,Y,Y,2,,,Y,08/23/1990,08/23/1990,0,,1,DTP,,,,,,,,PVT,OTH,pt also rec'd tine test on same date as vax.,,No hx of reactions.,
025889,09/13/1990,CO,0.2,M,09/06/1990,Pt vaccinated with DTP became very quiet & motionless & pale immediately after shot crying episode. Was not limp but not as active as before shot. Was fine within a few minutes.,3,HYPOKINESIA,PALLOR,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/05/1990,09/05/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,Respiratory Distress Synd - Prematurity,
025910,09/13/1990,IL,0.2,M,,"Pt vaccinated with DPT experienced excessively fussy, long periods of crying & irritability for over 24 hrs. Unusal high pitched cry.  Better by 48 hrs.",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/30/1990,08/30/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025890,09/18/1990,NH,42.4,F,,"Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists.  2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.",5,AMBLYOPIA,HYPOTONIA,PAIN ABDO,PAIN BACK,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,Y,U,01/24/1990,02/01/1990,8,Spinal tap showed elevated protein level.,1,HEP,,,,,,,,PVT,UNK,,Multiple sclerosis,,
025891,09/18/1990,,18.0,F,,"Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.",4,EDEMA FACE,EDEMA PERIPH,PAIN,URTICARIA,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,06/30/1990,07/05/1990,5,,1,HEP,,,,,,,,PVT,UNK,GYnera,,Hx of hay fever (pollenosis),
025892,09/18/1990,VA,56.5,F,,"Pt vaccinated with Engerix-B 1JUL90, developed edema, itching, rash, swelling (11JUL90). Was put on Atarax & Prednisone. 16JUL90 rash persisted. Reporter indicated events were considered life-threatening.",13,ALLERG REACT,ANGIOEDEMA,ASTHMA,DYSPNEA,EDEMA,EDEMA FACE,FEVER,HEADACHE,LARYNGISMUS,PRURITUS,RASH,URTICARIA,VOICE ALTERAT,,,,,,,,,,,,,,,,U,06/18/1990,07/07/1990,19,,1,HEP,,,,,,,,PVT,UNK,,,,
025893,09/18/1990,CA,,F,,"Swollen arm with a 5-6' increase in diameter, really hot almost like a cellulitis, occurred with 24 hrs after immunization.",2,CELLULITIS,EDEMA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,CHOL,,,,,,,,PVT,UNK,,,,
025894,09/18/1990,CA,,F,,Swollen arm - couldnt type for three days,1,EDEMA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,CHOL,,,,,,,,PVT,UNK,,,,
025895,09/18/1990,OH,2.0,F,,"Fever 104; erythema, swelling area buttox & thigh.",3,EDEMA,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/22/1990,08/22/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025897,09/18/1990,CA,0.2,M,,9hrs after 1st DTP shot 11MAY90 pt turned pale & weakness & lethargia for one hr.,3,ASTHENIA,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/11/1990,05/11/1990,0,EEG was done on 15MAY90 for r/o seizure which was normal.,2,DTP,OPV,,,,,,,PVT,UNK,,,No family members have had a similar problem,
025898,09/18/1990,IL,0.6,M,,"Pt vaccinated with DTP experienced temp 105, brief febrile seizure. Taken to ER for evaluation. No residual effects noted at this time.",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,08/25/1990,08/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025899,09/18/1990,CA,0.1,U,,"Apnea with shock like state (ashen color, cool moist skin, decreased muscle tone) gradually recovered over the course of 1 hr. Had onset at 3 hrs after DTP/OPV",4,ANAPHYL,APNEA,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/06/1990,08/06/1990,0,,1,DTP,,,,,,,,PVT,UNK,Acetaminophen (Tempra) 40mg po,,Sibling had a rx to an immunization,
025900,09/18/1990,CA,1.6,F,,"Fever, convulsion within 1 day after receipt of DTP and oral polio vaccine.",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/27/1989,12/27/1989,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025901,09/18/1990,CA,15.0,U,,"A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.",4,AMNESIA,ASTHENIA,DEPRESSION,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,Y,,03/01/1990,,EEG non specific changes,1,MMR,,,,,,,,PVT,UNK,,,,
025902,09/18/1990,CA,0.5,F,,"Persistant screaming/crying (over 3 hrs), injection site reaction with local adenopathy starting within a few hrs after immunization.",3,INJECT SITE REACT,LYMPHADENO,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/24/1990,01/24/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025903,09/18/1990,IA,0.8,M,,"Hypotonic, pallor for 4-6hr. No side effect after 12 hr post dose",2,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/05/1990,09/05/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025904,09/18/1990,PA,0.3,M,,"Hypotonic - hyporesponsive; collapse, seizure",3,CONVULS,HYPOKINESIA,HYPOTONIA,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,08/16/1990,08/16/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025905,09/18/1990,TX,0.2,M,,Started high pitched cry as soon as injection given and continued for 4 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/10/1990,04/10/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025906,09/18/1990,MD,0.5,F,,"3 1/2 - 4 1/2 days of persistent fever, as high as 104.",1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/17/1990,03/17/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025908,09/18/1990,,29.0,F,,Pt vaccinated to Engerix B suffered a miscarriage on 22FEB90 when 6 weeks pregnant. No hospitallization required. Reporting physician does not know if the event is related to the admin of the vax.,1,ABORTION,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/04/1989,02/22/1990,80,,1,HEP,,,,,,,,PVT,UNK,,,,
025909,09/18/1990,,45.0,F,,Also five days 20AUG89 after receiving the second dose of vaccine experienced arthralgia and fever lasting for 2 days.,3,ARTHRALGIA,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/07/1989,07/09/1989,2,,1,HEP,,,,,,,,PVT,UNK,,,systemic lupus erythematosus,
025911,09/18/1990,TX,52.3,F,,Pt vaccinated with Imovax Rabies developed neuroparalytic syndrome characterized by weakness of the arm with associated nausea and emesis.,4,MYASTHENIA,NAUSEA VOMIT,NEUROPATHY,PARALYSIS,,,,,,,,,,,,,,,,,,,,Y,,,,,,08/03/1990,08/20/1990,17,,1,RAB,,,,,,,,PVT,PVT,,,,
025912,09/18/1990,AK,0.2,M,,"elevated temperature of 103+, projectile vomitting, continued high pitched crying.  Medical examination by treating physician & released.",3,FEVER,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,,,,Y,,,,Y,,,,N,06/08/1990,06/08/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
025913,09/18/1990,,0.3,M,,"Pt received DPT vacc. @ 11 a.m. 24Jan90, 25Jan90 child discovered not breathing & CPR was administered.  MEDEVACed to Stormont-Vail Medical Ctr, Tokepa, pronounced dead, only symptom noted periods of ""blank staring"" exhibited by the child.",5,APNEA,EDEMA LUNG,ENCEPHALOPATHY,INFECT,LYMPHADENO,,,,,,,,,,,,,,,,Y,01/25/1990,,,,,,,N,01/24/1990,01/25/1990,1,"See WORM for autopsy report, emergency room reports",1,DTP,,,,,,,,PVT,UNK,,,,
025927,09/18/1990,PA,1.5,M,,"epiglottitis, infect due to H-Influenza type b",3,INFECT,NO DRUG EFFECT,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,Y,7,,,Y,03/08/1989,08/16/1990,526,blood culture and throat swab positive for H flu b,1,HIBV,,,,,,,,PUB,PUB,unk,none,unk,
025928,09/18/1990,FL,,M,,"pertussis infection, no other details known",2,INFECT,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
025938,09/18/1990,CA,0.2,M,09/07/1990,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/26/1990,,,,1,DTP,,,,,,,,PVT,PVT,,,,
025942,09/18/1990,IL,0.4,M,09/06/1990,"red erythematous rash with fine macules at the site of injection about 2"" long, lasted for 10-12 days.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/11/1990,07/11/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025943,09/18/1990,IL,0.5,M,09/07/1990,red erythematous rash with fine macules only at the site of injection. About 2" diameter lasted 10-12 days,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/31/1990,08/31/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
025896,09/19/1990,NE,0.2,M,,"high pitched cry X 6hrs, stiffened extremities, Temp to 102 T., Site of injection swollen",3,EDEMA INJECT SITE,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,06/04/1990,06/04/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025914,09/19/1990,VA,0.2,F,,had cyanotic spell one day after DPT,1,CYANOSIS,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,07/24/1990,07/25/1990,1,"normal-EKG, normal-EEG, LP- 3WBC, normal glucose, protein, negative blood cultures",1,DTP,,,,,,,,PVT,UNK,,,,
025915,09/19/1990,NC,0.4,F,,Developed 100-102 T. /w extreme irritability X 4 days resting 20 min/d (nap time) - for 2 days. Exam normal. On day #5 decreases irritability & slowly improving.,2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,08/27/1990,08/27/1990,0,"Sed rate 2, 10,400 WBC (23S 77L)",1,DTP,,,,,,,,PVT,UNK,,,,
025916,09/19/1990,AR,0.4,M,,"Awoke from nap approx. 5-6 hrs /p DT shot, cried, then for 10 min. difficult to arouse, arm & legs limp, glassy eyed, sclera injected - No fever, no seizure activity",3,HYPOTONIA,SCREAMING SYND,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,,,08/30/1990,08/30/1990,0,,1,DT,,,,,,,,PVT,UNK,,,,"Similar reaction /w DPT, more pronounced"
025919,09/19/1990,CT,0.2,F,09/11/1990,"Pt vaccinated with DTP developed lethargy over 24 hrs, uncontrollable crying in excess of 3 hrs, high pitched screaming.",2,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/11/1990,07/11/1990,0,,1,DTP,,,,,,,,PVT,PUB,,,,
025920,09/19/1990,CA,28.8,F,09/11/1990,"Pt vaccinated with measles vaccine developed red rash, itchy 7 days after receiving vaccine, low grade temp 99.4 po, nausea, occ dizziness, swollen glands, hard to swallow.",7,DIZZINESS,DYSPHAGIA,FEVER,LYMPHADENO,NAUSEA,PRURITUS,RASH,,,,,,,,,,,,,,,,,Y,,,,,Y,08/16/1990,08/23/1990,7,CBC diff showed 14% mono;  Mono screen - neg;  CBC Mono Spot Serum,1,M,,,,,,,,PVT,OTH,,,No sig PMA,
025921,09/19/1990,OH,1.4,M,09/12/1990,"Pt vaccinated with MMR/PROHIBIT developed febrile seizure, temp to 104.5, sen at Childrens Hosp Cinci.",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/06/1990,09/12/1990,6,Negative LP; Negative Bloodculture,2,HIBV,MMR,,,,,,,PVT,UNK,,,,
025923,09/19/1990,,0.3,F,,"3-4 hrs post immun. - high pitched cry, pale, gasping for air, eyes rolled back, limp 2-3 min. followed by vomiting, 102 T. treated /w Tylenol",7,DYSPNEA,EYES GAZE UPWARD,FEVER,HYPOTONIA,PALLOR,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,,,,,,,,,07/31/1990,07/31/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,treated /w Tylenol,,,
025925,09/19/1990,WI,12.0,F,,"Pt had syncopal episode /p MMR shot. Subsequently had amnesia & disorientation.  Could not remember place or time initially. 20 hrs /p the shot, the period of amnesia was from the injection until nightfall approx. 4-6 hrs.",3,AMNESIA,CONFUS,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,08/30/1990,08/30/1990,0,,1,MMR,,,,,,,,PVT,UNK,,,previously very fearful of injections (IV or blood drawing),
025926,09/19/1990,PA,33.1,F,,"""Full blown seizure"" preceeded by hives, dizzness, chest tightness within 20 min. of inject. Was admitted to hospital /w supportive IV therapy. Pt states to have 2 more seizures since then, most recent 09Sep90 /w unconsciousess, twitching",5,COMA,CONVULS,DIZZINESS,TWITCH,URTICARIA,,,,,,,,,,,,,,,,,,,,Y,1,,,,08/31/1990,08/31/1990,0,,1,RAB,,,,,,,,PVT,PVT,Rabies Immun globulin given 31Aug90;Cutter;Lot# not given;IM;buttock;0 previous doses,unk,unk,
025929,09/19/1990,MO,0.1,F,,"Prolonged, unconsolable crying for 1 hr, about 3 hrs /p the injection of DTP vaccine.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,09/01/1990,09/01/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025930,09/19/1990,MO,6.0,F,,"child received DPT & MMR & OPV at 9:30 am @ CO. Health Dept. @ 1:00pm child's eyes rolled back, ""shook"", became unconscious, suspect seizure.  Had similar episode last summer not assoc. /w immunization.",4,COMA,CONVULS,EYES GAZE UPWARD,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,,08/21/1990,08/21/1990,0,"SMA -7, Ca, sleep EEG",3,DTP,MMR,OPV,,,,,,PVT,UNK,,,,
025931,09/19/1990,WI,1.6,F,,Pt experienced erythema & edema @ the injection site in his rt thigh /w a T. of 102 /p receiving DT.  Pt was also iritable & cried for 2.5 hrs.,4,AGITATION,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/01/1990,06/04/1990,-27,,1,TD,,,,,,,,PVT,UNK,,,,
025933,09/19/1990,IL,10.8,F,,"Pt vaccinated with Measles Monovalent/PPD developed itchy, teary eyes with swollen lids,Nasal Congestion; Painful nose; Dry cough; Increased Diastolic pressure & Increased PR.",7,COUGH INC,EDEMA FACE,HYPERTENS,LACRIMATION DIS,PAIN,PRURITUS,RHINITIS,,,,,,,,,,,,,,,,,Y,,,,,U,08/28/1990,08/28/1990,0,,1,M,,,,,,,,PVT,UNK,pt also rec'd PPD (Parke-Davis; lot 00550P; rt. forearm) at same time as vac.,,Strong hx of personal and family ataxia; No known egg allerg.,
025934,09/19/1990,KY,6.0,F,09/06/1990,Pt vaccinated with HIB Vaccine right arm began swelling.,1,EDEMA,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,08/23/1990,08/23/1990,0,CBC - Normal; Blood Culture - Neg; Sed Rate - 15 Normal,1,HIBV,,,,,,,,PVT,PVT,,,,
025935,09/19/1990,FL,0.2,F,09/06/1990,"Pt vaccinated with DTP/OPV developed pale, withdrawn, unresponsive, and vomited 4-5 times. Child alarmed parents, came to office seemed lethargic & was admitted; BP 88/40 in ofc & never developed hypotension, Panel 10 (electrolytes)  OK.",5,HYPOKINESIA,PALLOR,SOMNOLENCE,STUPOR,VOMIT,,,,,,,,,,,,,,,,,,,,Y,2,,,Y,08/30/1990,08/30/1990,0,"B/P 88/110 in office & never developed hypertension, Panel 10 (electrolytes) were NE.",2,DTP,OPV,,,,,,,PVT,PVT,,,Gastroesophageal reflux,
025936,09/19/1990,NC,0.2,F,09/08/1990,"Pt given OPV developed fever to 102F x 12hr, shril cry x 4hrs, beginning 2h after shot.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/17/1990,08/17/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025939,09/19/1990,IN,44.8,M,09/10/1990,Pt vaccinated with TD experienced dermatitis generalized secondary to injection.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,N,08/28/1990,09/04/1990,7,,1,TD,,,,,,,,PVT,UNK,,,,
025940,09/19/1990,WI,0.9,F,09/10/1990,"Pt vaccinated with DTP several hrs after found shaking, not responsive 15mins, mottled & bluish, limp; Taken directly to ER then to office.",4,CYANOSIS,HYPOTONIA,STUPOR,TREMOR,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/07/1990,09/07/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,s/p repair hydroureter 12/89,
025941,09/19/1990,PA,1.3,M,09/10/1990,"Pt vaccinated with MMR 7 day later developed irritability, fever 103AX, decreased alertness with seizure like activity with arm twitching & lethargy.",6,AGITATION,CONVULS,FEVER,HYPOKINESIA,SOMNOLENCE,TWITCH,,,,,,,,,,,,,,,,,,,Y,5,,,Y,02/12/1990,02/18/1990,6,EEG normal; Spinal tap normal,1,MMR,,,,,,,,PVT,PVT,,,,
025944,09/19/1990,WI,30.0,F,,Pt vaccinated with TD experienced local erythema with sterile abscess formation at the site of injection after receiving TD.,2,ABSCESS INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/10/1990,05/12/1990,2,,1,TD,,,,,,,,PVT,UNK,,,,
025945,09/19/1990,NM,,U,,"Pt experienced a sore lt arm at the injection site persisting for 5 days. Also, pain radiating into the shoulder & neck was observed. Adverse rx was also reported to FDA by reporter.",2,PAIN INJECT SITE,PAIN NECK,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/24/1990,,,,1,TD,,,,,,,,PVT,UNK,,,,
025946,09/19/1990,OH,64.0,F,,Pt called the reporters office on 4MAY90 c/o redness at the injection site after receiving TD. When the pt wa examined by MD a 6mm X 10mm area of erythema was observed at the site of injection. Pt treated w/ice packs for 2 days & recovered.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/30/1990,,,,1,TD,,,,,,,,PVT,UNK,,,,
025947,09/19/1990,OH,84.0,F,,Pt called the reporters office on 11MAY90 c/o redness & swelling at injection site after receiving TD. Pt was examined by the MD on 15MAY90 treated w/ice pact for 2 days has recovered.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/08/1990,,,,1,TD,,,,,,,,PVT,UNK,,,,
025948,09/19/1990,NY,36.0,M,,On 1JUN90 employee experiened discomfort in the lt arm at the site of injection & a sore throat after TTA. Following day developed pain on the lt side of the jaw & had difficulty opening his mouth.  4JUN90 symptoms began to subside.,4,INJECT SITE REACT,MYOPATHY,PAIN,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/22/1990,06/01/1990,10,,1,TTOX,,,,,,,,PVT,UNK,,,,
025949,09/19/1990,NY,30.0,F,,"Employee had difficulty swalling w/numbness of the throat on the same day after receiving TTA. Symptoms began imporving, the same day and the employee is now reported to be recovered.",2,DYSPHAGIA,HYPESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/06/1990,06/06/1990,0,,1,TTOX,,,,,,,,PVT,UNK,,,,
025950,09/19/1990,NC,43.0,F,,Pt experienced induration at the site of injection after receiving TTA. 25JUN90 pt developed an abscess at the injection site.,2,ABSCESS INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/12/1990,04/12/1990,0,,1,TTOX,,,,,,,,PVT,UNK,,,,
025951,09/19/1990,DC,44.0,M,,"Pt experienced induration & tenderness in a 12X12cm area at site of injection in lt upper arm after receiving Typhoid vax. Red, tender streaks radiating to the lt axilla, dx as lymphangitis. Vac administered other pts w/out adverse effects.",2,INJECT SITE REACT,LYMPHANGITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/06/1990,06/06/1990,0,"CBC, WBC = 13,900, ESR = 15 (NL 0-9)",1,TYP,,,,,,,,PVT,UNK,"Naprosyn, Feldene and Griseofulvin - orally",,No hx of drug allergy,
025952,09/19/1990,MD,,M,,"Pt vaccinated with Typhoid vaccine experienced a large local skin reaction described as erythema, edema, pain & induration at the site of injection after receiving Vaccine.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/19/1990,06/19/1990,0,,3,OPV,RAB,TYP,,,,,,PVT,UNK,pt also rec'd TB (tine test) on 6/18/90,,,
025917,09/20/1990,SC,1.5,M,09/10/1990,Child had a generalized tonic-clonic seizure of 3 min. duration associated w/a temp of 104 RToccurring approx 12 hrs after 4th DTP. No treatment given.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/07/1990,09/07/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,Hx of simple fevrile seizure 12/28/89,
025918,09/20/1990,CA,0.3,F,09/10/1990,"3-4hrs after vaccine child had 2 hrs of listlessness, pale & limp, vomited 5 times no fever, resolved. Was treated with tylenol.",4,HYPOTONIA,PALLOR,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,03/07/1990,03/07/1990,0,,1,DTP,,,,,,,,PVT,PVT,Tylenol,,"Physiologic jaundice at birth, resolved",
025922,09/20/1990,OH,1.3,M,09/08/1990,"Pt vaccinated with MMR/HIB developed fever X 24hrs w/mild erythema rash upper trunk - Macular papular on 27AUG90; Reevaluated- fever, fading of rash. Short periods of starring, face color changed & dazed state seizure were short. See WORM.",6,CONVULS,FEVER,PALLOR,RASH,RASH MAC PAP,STUPOR,,,,,,,,,,,,,,,,,,,Y,9,,,N,08/14/1990,08/24/1990,10,EEG 21AUG showed seizure activity w/slowing background - CT & MRI scan normal - Metabolic tests done w/elevated pyruvate & _____ still in progress. Hx of prior developemental delay prior to vaccine.,2,HIBV,MMR,,,,,,,PVT,PVT,,,"Hearing loss - Rx PET - Chronic ear infection; premature 3 wks early, developmental delay, febrile seizure MAR 90.",
025932,09/20/1990,WI,5.0,F,,Pt experienced severe erythema with warmth & center blistering at the injection site in the rt lateral thigh after receiving DT.,3,INJECT SITE REACT,RASH VESIC BULL,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/04/1990,06/07/1990,3,,1,DT,,,,,,,,PVT,UNK,,,,
025937,09/20/1990,GA,0.3,F,09/05/1990,"Pt received DTP & OPV 4:00 pm, Pt OK until 6:30 pm next evening, pt had three shaky spells all over lasting 5-10 seconds. No fever or irritability.  Another skaky spell 29Apr90 3 times lasting a few sec. Exam normal, referred neurologist.",1,TREMOR,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,03/19/1990,03/20/1990,1,EEG done at hospital normal,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025953,09/20/1990,KY,0.5,F,09/14/1990,Temp 102 X 3 days,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/11/1990,09/12/1990,1,,1,DTP,,,,,,,,PVT,PVT,,,,
025954,09/20/1990,VA,0.3,F,09/13/1990,high pitched cry for five hours,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/08/1990,08/08/1990,0,,1,DTP,,,,,,,,PVT,UNK,Luride ii gtts q.d.,,,
025955,09/20/1990,WI,1.3,F,,"ITP- /w clinical signs evident by approx. 1 mon. /p vaccination.  Bruises, petechiae, No frank bleeding",2,ECCHYMOSIS,PETECHIA,,,,,,,,,,,,,,,,,,,,,,Y,Y,3,,,U,07/23/1990,08/01/1990,9,"Platelet count down to 2,000",1,MMR,,,,,,,,PUB,UNK,,,,
025956,09/20/1990,GA,0.5,M,09/11/1990,"Pt vaccinated with DTP experienced limp, white & blue around mouth, seen in ER after transport from ambulance, alert but subdued increased temp, admitted for observation.",5,CYANOSIS,FEVER,HYPOTONIA,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,Y,Y,1,,,Y,08/22/1990,08/22/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025957,09/20/1990,VA,0.2,M,09/12/1990,Pt vaccinated with DTP/OPV experienced excessive sleeping & high pitched cry.,2,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/10/1990,09/10/1990,0,,2,DTP,OPV,,,,,,,PVT,OTH,Tri-vi-FLor 25mg,NA routine physical,,
025958,09/20/1990,CO,1.4,M,09/13/1990,Pt vaccinated with DTP experienced generalized seizure lasting 10 mins. Ocurred less than 24 hrs after receiving vaccine.  No apparent fever.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/29/1990,08/30/1990,1,EEG - 11SEP-90 - normal,1,DTP,,,,,,,,PVT,PVT,,,,
025959,09/20/1990,NY,1.6,M,09/13/1990,Pt vaccinated with DTP/OPV/HIB experienced 12 gran mal seizures which began 2 days after vaccines.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,Y,4,,,Y,07/26/1990,07/28/1990,2,"LP,CT,MRI, EEG all WNL",3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,
025960,09/20/1990,KY,1.2,F,09/11/1990,Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.,3,CONVULS,FEVER,OTITIS MED,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,08/31/1990,09/08/1990,8,EEG - Normal 10SEP90,1,MMR,,,,,,,,PVT,UNK,,,Healthy Child,
025961,09/20/1990,NY,5.0,M,09/06/1990,"Pt vaccinated with MMR, experienced Leg pains, ileus 25AUG90, HSP 25AUG, Hgb decreased 3gm%, 29AUG resp & cardiac crisis reversed w/transfusion. D/C asympotomatic 5SEP90 disch asymptomatic 5SEP90.",4,APNEA,HEART ARREST,LAB TEST ABNORM,PAIN,,,,,,,,,,,,,,,,,,,Y,Y,Y,10,Y,,Y,08/18/1990,08/23/1990,5,"WBC - 8,000 on admission",1,MMR,,,,,,,,PVT,PVT,,,Sickle Cell Disease/Anemia,
025962,09/20/1990,NY,0.4,F,09/11/1990,"Pt vaccinated with DTP became limp, had circumoral cyanosis & cyanotic nail beds lasting 45 seconds. Father did CPR and brought to ER. Pt admitted for apnea work-up.",3,APNEA,CYANOSIS,HYPOTONIA,,,,,,,,,,,,,,,,,,,,,Y,Y,3,,,Y,09/09/1990,09/09/1990,0,"EEG; EKG, Pneumogram CA - 10.2; Electrolytes WNL, CBC initial  WBC 17.000; P-32; B-30",1,DTP,,,,,,,,PVT,PVT,,,,
025964,09/20/1990,WA,0.2,M,09/10/1990,"Pt screamed for 3 hrs approx 5 hrs after administration, with assoc fever to T101. Tylenol not administered.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/05/1990,06/05/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,Hx transient tachypnea at birth,
025965,09/20/1990,GA,0.6,M,09/12/1990,Pt vaccinated with DTP experienced a high pitched no-stop scream X 2-3Hrs. Mom says no temp.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/12/1990,09/12/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
025966,09/20/1990,NC,1.3,F,09/07/1990,Pt vaccinated with MMR/DPT/OPV/Tine test had tonic-clonic seizures (X4) beginning 3:00 am to 7:30 am on 7SEP90. Max. T 101.8 per parents. @ ER T 101.7. Longest seizure about 2 min.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,Y,Y,Y,1,,,U,09/06/1990,09/07/1990,1,"LP Normal, EEG Normal, MRI Normal",3,DTP,MMR,OPV,,,,,,PUB,PUB,"pt also rec'd tine test, lt forearm at same time as vax.",,,
025967,09/20/1990,PA,0.3,M,09/10/1990,Infantile spasms began within 36 hrs of vaccine.,1,SPASM GENERAL,,,,,,,,,,,,,,,,,,,,,,,,Y,2,,,U,08/13/1990,08/14/1990,1,EEG hypsarrhythmia,2,DTP,OPV,,,,,,,PVT,PVT,,Mild upper respiratory infection,,
025968,09/20/1990,IL,11.0,M,09/13/1990,Following MMR had URI symptom including N/V/D. Evaluation on 24AUG90 showed abd soft with mild generalized tenderness. GI liver enlargement noted. 1cm below ribs.,5,DIARRHEA,HEPATITIS,NAUSEA,PHARYNGITIS,VOMIT,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/17/1990,08/18/1990,1,,1,MMR,,,,,,,,PVT,PVT,,Mild cold symptom,,
025969,09/20/1990,PA,1.3,F,09/12/1990,Pt vaccinated with MMR/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/12/1990,09/12/1990,0,,2,HIBV,MMR,,,,,,,PVT,PVT,,,,
025970,09/20/1990,AL,42.0,F,,Pt vaccinated with Tetanus Toxoid experienced localized swelling.,1,EDEMA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/03/1990,09/05/1990,2,,1,TTOX,,,,,,,,PVT,UNK,,,,
025971,09/20/1990,NJ,5.5,F,,Pt vaccinated with DTP developed high fevers resulting in progressive hearing impairment. Had frequent assoc rx w/local induration & swelling of injection site. elevated temp noted w/progressive deterioration of hearing abilities.,3,DEAF,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,01/24/1987,01/24/1987,0,Referral to Audiologist for Brainstem Response Audiometry.,1,DTP,,,,,,,,PVT,UNK,,,,
025972,09/20/1990,TX,0.2,F,,"Pt vaccinated with DTP/OPV experienced hypotonia difficult to arouse, limp, pale, fever 102 R, short lasting 3 hrs limp & pale no stiffening no clonic, had strange cry - wailing survival- urgent cry - cry back to normal after 2 days.",5,FEVER,HYPOKINESIA,HYPOTONIA,PALLOR,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,U,09/04/1990,09/04/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,Maternal great aunt has epilepsy,
025973,09/20/1990,TX,0.2,M,,Pt vaccinated with DTP/OPV experienced high pitched cry 4 hrs after injection.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/13/1990,06/13/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025974,09/20/1990,IL,17.0,F,,Pt vaccinated with Engerix-B developed a rash over her entire body.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/21/1990,08/22/1990,1,,1,HEP,,,,,,,,PVT,UNK,,,,
025975,09/20/1990,FL,0.2,F,,Pt vaccinated with DTP/OPV no acute rx reported by mother 48 hrs post immunization,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,N,08/27/1990,,,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025976,09/20/1990,,20.0,F,,"Pt vaccinated with Heptavax-B experienced visual & other symptoms such as headaches, seen by Ophthalmologist. Dx as having Vogt-Koyanagi-Harada's synd treated w/steroid eye drops. Approx 1wk later rt eye was diminished to only count fingers",9,BLIND,DEAF,EAR DIS,EYE DIS,GLAUCOMA,HEADACHE,RETINAL DETACH,SINUSITIS,VISION ABNORM,,,,,,,,,,,,,,,,,,,Y,U,02/28/1988,03/14/1988,15,,1,HEP,,,,,,,,PVT,UNK,,,,
025977,09/20/1990,GA,0.2,F,09/12/1990,Pt vaccinated with DTP/OPV experienced periods of apnea.,1,APNEA,,,,,,,,,,,,,,,,,,,,,,,Y,Y,1,,,Y,09/06/1990,09/07/1990,1,sleep study- continues on apnea monitor,2,DTP,OPV,,,,,,,PUB,PUB,,Congestion,,
025978,09/20/1990,GA,0.2,F,09/11/1990,"Pt vaccinated DTP/OPV experienced very atypical, high pitched scream for 1.5 hrs the evening of administration. Resolving without treatment.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/10/1990,07/10/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Acetaminophen,,,
025980,09/25/1990,MD,5.1,M,09/18/1990,Pt vaccinated with DTP experienced a Syncope attact 3-4 hrs aftr vaccination lasting 30-40 secs. without any aftereffect.,1,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/10/1990,09/10/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025981,09/25/1990,NJ,18.4,M,09/12/1990,Pt vaccinated with MMR developed swelling & tenderness of side.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,09/05/1990,09/06/1990,1,,1,MMR,,,,,,,,PVT,PVT,,,,
025982,09/25/1990,MN,32.1,F,09/14/1990,"Pt vaccinated with Recombivax developed myalgia, rigors, nausea, vomitting, temp 101.6, 12 hrs after 2nd does.",6,CHILLS,DIARRHEA,FEVER,MYALGIA,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,Y,,,,,Y,03/12/1990,03/13/1990,1,"HGB 15.7, WBC 17,600, UA normal",1,HEP,,,,,,,,PVT,OTH,,,,
025983,09/25/1990,VA,0.3,M,09/17/1990,"Pt vaccinated with DTP/OPV day after developed fever of 102.5, fever occurred on & off for 2 days.",1,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,06/11/1990,06/12/1990,1,,2,DTP,OPV,,,,,,,PUB,PUB,,,,
025984,09/25/1990,CA,0.5,M,09/14/1990,Pt vaccinated with DTP developed temp 105 X 12 hrs after vaccine. No sx in follow-up  48 hrs.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/12/1990,09/12/1990,0,reexam neg except for 101 T day after.,1,DTP,,,,,,,,PVT,PVT,,,,
025985,09/25/1990,CA,1.3,F,09/17/1990,"Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90",2,AGITATION,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,08/30/1990,09/07/1990,8,,2,HIBV,MMR,,,,,,,PVT,PVT,,,,
025986,09/25/1990,FL,0.4,F,09/14/1990,"Pt vaccinated with DTP/OPV developed temp 100.6, fussy at 4am, vomited formula, temp 104.6 was seen in office doing better.",3,AGITATION,FEVER,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/24/1990,08/25/1990,1,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025987,09/25/1990,AZ,28.3,M,09/17/1990,"Pt vaccinated with Engerix B experienced localized swelling, erythema, pain ,severe",3,INJECT SITE REACT,PAIN INJECT SITE,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/31/1990,09/02/1990,2,,1,HEP,,,,,,,,PVT,PVT,,,,
025988,09/25/1990,MO,30.0,F,,"Pt vaccinated with MR Vaccine developed fever, 100.5, HA, Muscle & Joint pain - all treated w/ASA. 22AUG90 visual disturbances began, on 24AUG lost vision in rt eye. Ophthalmologist dx optic neuritis. Mutiple sclerosis was ruled out.",7,ARTHRALGIA,BLIND,FEVER,HEADACHE,MYALGIA,NEURITIS OPTIC,VISION ABNORM,,,,,,,,,,,,,,,,,,,,,,U,05/22/1990,08/22/1990,92,,1,MR,,,,,,,,UNK,UNK,,,,
025989,09/25/1990,HI,1.8,F,,Pt vaccinated with DTP/OPV developed cardiorespiratory arrest less than 24 hrs after vax. Pt noted to have abd distension and fussiness along with some respiratory distress prior to arrest. Pt was premature infant w/several med problems.,5,ABDO ENLARGE,AGITATION,ATELECTASIS,DYSPNEA,STOMACH DILAT,,,,,,,,,,,,,,,,Y,09/13/1989,,,,,,,N,09/12/1989,09/12/1989,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,Premature infant w/numerous medical problems.,
025990,09/25/1990,CA,0.3,F,,Pt vaccinated with DTP experienced persistent irritability (crying) more than 6 hrs post injection.,2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/04/1990,09/04/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
025991,09/25/1990,GA,0.2,M,,"Pt vaccinated DTP developed temp 103 approx 8 hrs p/ receiving immunization. Mom notified MD cont. giving Tylenol q4hrs as instructed, tepid bath, f/up by phone next morning, temp 101 lt thigh at site of injection red tender to touch.",2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/10/1990,09/10/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025992,09/25/1990,AZ,0.3,F,,"Pt vaccinated with DTP developed extreme irritability, screaming episodes.",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/10/1990,09/11/1990,1,CBC - 12.500 WBC NR differential,1,DTP,,,,,,,,PVT,UNK,,,,
025993,09/25/1990,PA,0.7,F,,Pt vaccinated with DTP/OPV developed episode of paleness w/color change w/circumoral cyanosis & blueness of lower extremities to knees assoc inc HR & trembling fever 103.6,4,CYANOSIS,FEVER,PALLOR,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,U,09/13/1990,09/13/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
025994,09/25/1990,WY,1.3,M,,Casey was given DPT/MMR/OPV while still on anitbiotic Pedizole and tassii organdin for otitis & bronchitis. He appeared happy & well until he died in his sleep. Shots were given on 5DEC89.,8,ASPHYXIA,EDEMA BRAIN,EDEMA LUNG,HEM LUNG,IMMUNE SYSTEM DIS,INFECT,NECRO,SPLENOMEGALY,,,,,,,,,,,,,Y,,,,,,,,U,12/05/1989,12/29/1989,24,Autopsy was contradictory /w no conclusions & many signs of Pertussis reactions.,3,DTP,MMR,OPV,,,,,,UNK,UNK,"Pedizole, Tassi Organdin","Otitis, Bronchitis",,
026020,09/25/1990,IL,5.0,F,09/14/1990,"Pt came into ofc 1 day /p vaccine given, c/o sleepy & T, red patch & tenderness at rt deltoid & axillary T 101.8 at 5:05 pm",3,FEVER,INJECT SITE REACT,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/04/1990,09/05/1990,1,,3,DTP,MMR,OPV,,,,,,PVT,PVT,Tylenol given for T & discomfort,,,
026021,09/25/1990,ME,1.6,M,09/17/1990,"fever, seizure",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,2,,,Y,09/11/1990,09/12/1990,1,,1,HIBV,,,,,,,,PVT,PVT,,,,
026022,09/25/1990,OR,0.5,M,08/30/1990,"5 min. /p admin of  OPV & DTP, pt turned pale & slowly sagged to the floor. He arched his back & then was limp. Attack lasted 60 sec . Regained consciousness & hugged his mother. Resembled a simple faint",3,HYPOTONIA,PALLOR,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/23/1990,08/23/1990,0,BP 11/70 during attack; pulse 85,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026023,09/25/1990,FL,1.6,M,09/14/1990,"29AUG90 mother called, child had T since approx. 2 days /p vaccine up to 40 deg. C. Pt had coughing since 23AUG. On PE 29AUG90 pt had both tympanic membranes red, dull. Rest of PE WNL. Went to Hosp. & DX /w pneumonia by Xrays,chest.",4,COUGH INC,FEVER,OTITIS MED,PNEUMONIA,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/23/1990,08/25/1990,2,"CBC/w Diff., U/A, SMA-6, Blood & Urine tests, chest xrays",2,DTP,OPV,,,,,,,PVT,PVT,,,"healthy child no hx, NKA",
026024,09/25/1990,IL,1.0,F,09/18/1990,post vaccinal encephalitis,1,ENCEPHALITIS,,,,,,,,,,,,,,,,,,,,,,Y,,Y,30,,Y,U,02/16/1962,02/20/1962,4,,1,SMALL,,,,,,,,PVT,PUB,,,,
026025,09/25/1990,MA,0.2,M,09/17/1990,Pt became pale & limp /p arrival home; later had an episode of turning pale /w out limpness. No cyanosis or resp. problems,2,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/15/1990,08/15/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026026,09/25/1990,MO,10.4,F,09/17/1990,"swelling, induration, musclar soreness locally in lt deltoid 7-8cm. Onset within 25-48 hrs, duration 4-5 days /w resolution",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/06/1990,09/08/1990,2,,1,TTOX,,,,,,,,PVT,PVT,,puncture wound on toe,,
026027,09/25/1990,IL,1.4,M,09/13/1990,"Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won't eat or anything. Real cranky, erythematous skin, Rxn to MMR",5,AGITATION,ANOREXIA,INJECT SITE REACT,RASH,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,Y,09/12/1990,09/12/1990,0,,2,HIBV,MMR,,,,,,,PVT,PUB,,,,no previous reaction
026028,09/25/1990,KY,0.1,M,09/18/1990,"child had episode of prolonged atypical crying (exact time unknown) followed by breath holding spell of uncertain duration, during which time child turned dusky red-blue. Family treated child at home, child did well.",3,CYANOSIS,RESPIRAT DIS,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/13/1990,09/13/1990,0,,2,DTP,OPV,,,,,,,OTH,OTH,,,,no prior immunizations
026030,09/25/1990,AZ,0.2,F,09/11/1990,"crying non stop X 3 hrs, diarrhea = cottage cheese",2,DIARRHEA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/15/1990,08/15/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
025995,09/26/1990,NJ,0.2,M,,"PT VACCINATED WITH DTP DEVELOPED NEUROLOGIC RX TO DTP SCREAMED FOR 2 HRS, INCONSOLABLE.",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/09/1990,07/09/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025996,09/26/1990,NJ,0.3,M,,"PT VACCINATED WITH DTP DEVELOPED TREMULOUSNESS IN HANDS FOREARMS ON DAY 3 AND 4 FOLLOWING DTP #2, SLIGHT ACTIVITY SEEN IN FEET & LEGS BUT NOT AS PRONOUNCED.",1,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/06/1990,,,,1,DTP,,,,,,,,UNK,UNK,,,,
025997,09/26/1990,FL,28.0,F,,PT VACCINATED WITH MMR DEVELOPED IMMEDIATE SWELLING OF THROAT NUMBNESS OF LIPS & HANDS. SCARLET COLOR OF FACE & CHEST. HOARSNESS,3,PARESTHESIA,PHARYNGITIS,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/05/1990,09/05/1990,0,,1,MMR,,,,,,,,PVT,UNK,,,,
025998,09/26/1990,MN,0.3,M,,PT VACCINATED WITH DTP 1HR LATER EXPERIENCED INCONSOLABLE CRYING X 3 HRS MOTHER IS MD - CHILD EASILY CONSOLABLE WHEN FUSSY ALSO HAD FEVER TO 103 X 72 HRS. THIS WAS HIS 1ST DTP.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/21/1989,09/21/1989,0,,1,DTP,,,,,,,,PVT,UNK,,,,
025999,09/26/1990,MN,0.3,M,,PT VACCINATED WITH DTP DEVELOPED HIGH PITCHED CRY FOR MORE THAN 3 HRS.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/05/1990,03/05/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026000,09/26/1990,NJ,4.3,M,,"PT VACCINATED WITH DTP EXPERIENCED GENERALIZED SEIZURE W/FEVER, 1 MINUTE; PT WITH KNOWN HX OF BENIGN FEBRILE SEIZURE. NO SEQUELLAE",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/23/1990,08/23/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026001,09/26/1990,TN,32.0,F,,PT VACCINATED WITH RUBELLA VACCINE C/O COLD LIKE SYMPTOMS & ONE CONVULSION; RESULTS UNKNOWN; PT GIVEN COMPENSATION PROGRAM ADDRESS.,3,CONVULS,COUGH INC,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,,U,,04/01/1990,,,1,R,,,,,,,,PVT,UNK,,,,
026002,09/26/1990,MN,0.6,M,,PT VACCINATED WITH DTP EXPERIENCED CRYING FOR 5 HRS UNCONSOLABLE SCREAMING.,2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/16/1989,08/16/1989,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026003,09/26/1990,CA,10.0,F,,"PT VACCINATED WITH MMR DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.",4,ASTHMA,DYSPNEA,EDEMA FACE,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,U,09/10/1990,09/10/1990,0,,1,MMR,,,,,,,,PVT,UNK,,,,
026005,09/26/1990,WI,3.0,F,,"PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.",3,DYSPNEA,URTICARIA,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/28/1990,08/28/1990,0,,1,MMR,,,,,,,,PVT,UNK,ANTIHISTAMINE ORDER BY MD PER PHONE CALL,,,
026006,09/26/1990,MA,0.2,F,,PT VACCINATED WITH DTP DEVELOPED HIGH PITCHED SCREAMING FOR 45 MINS.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/10/1990,09/10/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026007,09/26/1990,CA,4.5,F,,"PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK",2,FEVER,NECK RIGID,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,09/06/1990,,,10SEP90 SPINAL TAP   17 WBC   1 RBC  PR 20   PO 4  CULTURES - NEGATIVE,3,DTP,MMR,OPV,,,,,,PVT,UNK,,,,
026008,09/26/1990,NH,30.0,F,,"PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA.  TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.",6,DIARRHEA,HEADACHE,NAUSEA,VISION ABNORM,VISUAL FIELD DEFECT,VOMIT,,,,,,,,,,,,,,,,,,,,,,Y,U,06/20/1990,06/21/1990,1,,1,HEP,,,,,,,,PVT,UNK,,,,
026029,09/26/1990,OH,33.3,F,,PT VACCINATED WITH RECOMBIVAX HB GIVEN 2 DOSES LATER EXPERIENCED SEVERE STOMACH CRAMPS. LAB EVALUATION REVEALED ABNROMAL LIVER ENZYMES. PT LIVER ENZYMES REMAINED ELEVATED. ADDITIONAL DETAILS ARE BEING REQUESTED.,8,DYSPHAGIA,HEPATITIS,LDH INC,NAUSEA,PAIN ABDO,PHARYNGITIS,SGOT INC,SGPT INC,,,,,,,,,,,,,,,,,Y,,,,U,05/26/1990,08/05/1990,71,,1,HEP,,,,,,,,PVT,UNK,ERYTHROMYCIN,,,ELEVATED LIVER ENZYMES
026077,09/26/1990,LA,54.9,F,09/19/1990,PT VACCINATED WITH RECOMBIVAX HB APPROX 1 WK TO 10 DAYS LATER DEVELOPED ITCHING SEVER THEN FOLLOWED BY TOTAL BODY RASH.,2,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,06/12/1990,06/16/1990,4,,1,HEP,,,,,,,,PVT,UNK,,,"ALLERGY SEAFOOD, PENICILLIN","PENICILLIN UTICARIA, RASH"
026102,09/26/1990,OK,0.2,M,,"vomiting, lethargy, restless, disoriented, can't walk, stiff discoloration of feet & hands",6,AGITATION,CONFUS,GAIT ABNORM,SKIN DISCOLOR,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,Y,,Y,12,,,Y,08/21/1990,09/03/1990,13,CSF & Blood Cultures - Haemophilus Influenza done 7SEP90,4,DTP,HIBV,MMR,OPV,,,,,PUB,PUB,"Ceftriaxone 500 mg IV, Augmentin 250 Mgn tid X 1 wk",none WIC recert.,"10/89 Sizemore, PA no known allergies",
026103,09/26/1990,MD,37.0,M,,"local rxn ecchymotic nodule 3mm in diameter, tender, fever X 48 hrs (100 F), lt ear painful X 5 days. S/T, systemic lymphadenopathy",4,ECCHYMOSIS,FEVER,LYMPHADENO,PAIN EAR,,,,,,,,,,,,,,,,,,,,,,,,,,09/14/1990,09/18/1990,4,,1,HEP,,,,,,,,UNK,UNK,,,,
026104,09/26/1990,AZ,0.3,F,,"prolonged high pitched irritable crying for 3-4 hrs /p admin. of DTP #1, by report from mother exact time interval /p immunization unknown-occurred within 8 hrs",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/05/1990,07/05/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026105,09/26/1990,WI,,M,,,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/13/1990,03/13/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026106,09/26/1990,OH,0.7,M,,"While being supervised by an 11 yr old sibling child ""stopped breathing"" taken to neighbor, who reported pallor & hypotonia.  Appeared normal to ER physician by 20 min /p episode",3,APNEA,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,Y,,,,,,09/17/1990,09/17/1990,0,"normal EEG, EKG, Barium swallow, normal 4-channel apnea study",1,DTP,,,,,,,,UNK,UNK,Augmentin 17SEP90,,,
026107,09/26/1990,OH,0.3,M,,"/p receiving DPT #2 @ 1:30pm on 6JUL90, pt had a T 103 & screaming by evening.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/06/1990,07/06/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026078,09/27/1990,NY,18.7,F,09/17/1990,Pt vaccinated with MMR/TINE TEST 1 min later fainted sustained minor abrasions of face as result of syncope awoke spontaneously in 20 seconds after fainting.,1,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/16/1990,08/16/1990,0,,2,MMR,TD,,,,,,,PVT,PVT,,,Hx of prior syncope x2,
026079,09/27/1990,NJ,64.0,F,09/20/1990,Pt vaccinated with Recombivax HB developed Bells Palsy R onset 2 wks post vaccine.,1,PARALYSIS FACIAL,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,08/06/1990,09/20/1990,45,Lyme Disease antibodies,1,HEP,,,,,,,,OTH,PUB,Tenoretic,,Hypertension,
026080,09/27/1990,MA,0.2,F,09/18/1990,Pt vaccinated with DTP/OPV found to have funny breathing early AM later mother found her not breathing.,1,APNEA,,,,,,,,,,,,,,,,,,,,Y,05/19/1990,,,,,,,N,05/18/1990,05/19/1990,1,,2,DTP,OPV,,,,,,,PUB,PUB,Hydorcortisone for rash,,Heart M gr I/VI (Non significant) Premature (36-37 wks),
026081,09/27/1990,MA,1.2,F,09/19/1990,Pt vaccinated with DTP/OPV developed lip swelling. Rxd w/ice. Resolved after 1 hr. No furthe reaction.,1,EDEMA FACE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/16/1990,07/16/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,"Suprax, Tylenol, Nystatin, Phenobarb, Clonopin",Chronic BOM,"MR developmental delay severe, MCA; Chromosomal anomalie- Trisomy 3g2, partial deletion 6",
026082,09/27/1990,MA,5.0,F,09/14/1990,"Pt localized redness, pain & swelling lt deltoid region w/temp 100.5 oral. Treated with Erthromycin medication & Tylenol",2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/12/1990,09/12/1990,0,,1,DTP,,,,,,,,PVT,PUB,,,,
026083,09/27/1990,WI,0.2,M,09/11/1990,"Pt vaccinated with DTP/OPV developed fever 101.8, crying followed by body shaking for 3; eyes rolled back few seconds of limpness then returned to crying. Hosp for evaluation, seizure.",5,EYES GAZE UPWARD,FEVER,HYPOTONIA,SCREAMING SYND,TREMOR,,,,,,,,,,,,,,,,,,,,Y,,,,Y,03/07/1990,03/07/1990,0,"HGB 7.7, g+stools, later transferred for evaluation of GI bleeding.",2,DTP,OPV,,,,,,,PVT,UNK,,,Nasal congestion,
026084,09/27/1990,MD,0.2,F,09/21/1990,"Pt vaccinated with DTP developed pallor & extreme lethargy difficult to arouse. Taken to Southern Maryland Hospital, & recovered by the end of the visit.",3,HYPOKINESIA,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/09/1990,08/09/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026085,09/27/1990,OK,16.9,M,09/08/1990,"Pt vaccinated with DT within 5 - 10 min after pt fainted hit back of head, LOC was only a few seconds; afterwards awoke; kept supine BP 90/100 systolic, P 48-60 developed HA & n/v required hospitalization with IVF",4,HEADACHE,NAUSEA,SYNCOPE,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,1,,,Y,06/19/1990,06/19/1990,0,"EKG - sinus arrhythmia, skull xrays-neg, Hg-15.2, CT brain- neg",1,DT,,,,,,,,PVT,UNK,,,,
026086,09/27/1990,KY,0.8,M,09/19/1990,Pt vaccinated with DTP/OPV developed status epilepticus within 18 hrs of lst DTP associated with fever.,1,FEBRILE SEIZURE,,,,,,,,,,,,,,,,,,,,,,,Y,Y,,,,U,08/24/1990,08/25/1990,1,CT of head normal,2,DTP,OPV,,,,,,,MIL,MIL,,,,
026087,09/27/1990,PA,0.4,F,09/20/1990,"Pt vaccinated with DTP/OPV experienced persistent crying, different from usual cry. lasted about 10hrs total; not as active; weak; poor feeding.",4,ANOREXIA,ASTHENIA,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/19/1990,09/19/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Tylenol for fussiness,Resolving rt otitis media,,
026088,09/27/1990,IN,0.0,U,,"Pt vaccinated with MMR 24 hrs later child began shaking, became disoriented, school nurse reported ""seizure like"" activity. No fever. No urination. Electrolytes, Glucose, CBC checked. All normal.",3,CONFUS,CONVULS,TREMOR,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/12/1990,09/13/1990,1,"electrolytes, Glucose, CBC - Normal",1,MMR,,,,,,,,PVT,PVT,,,,
026089,09/27/1990,OH,0.2,F,09/21/1990,Pt vaccinated with DTP/OPV developed prolonged high pitched cry for several hrs. Acetaminophen,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/19/1990,09/19/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,Slight eczema around ears,
026090,09/27/1990,MA,0.2,F,09/20/1990,Pt vaccinated with DTP/OPV developed angioedema within 24 hrs after DTP/OPV given resolved within 48 hrs.,1,EDEMA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/29/1990,06/30/1990,1,,2,DTP,OPV,,,,,,,PVT,PUB,,,Milk allergy (child on Nutramigan at the time),
026092,09/27/1990,MD,1.5,M,,"Pt vaccinated with DTP developed temp to 105, listless for 2-3 days.",2,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,09/13/1989,,,1,DTP,,,,,,,,PVT,UNK,,,,
026093,09/27/1990,MD,0.3,M,,Pt vaccinated with DTP/OPV developed 4 hrs of inconsolable crying & swelling & redness of thigh. No significant fever.,2,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,09/14/1990,09/14/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
026094,09/27/1990,IL,8.0,M,,"Pt vaccinated with TD & OPV returned from lab after having blood drawn & immunization given, child cold & clammy & pale. Drl Losoya examined child.",3,PALLOR,SWEAT,VASC DIS PERIPH,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/07/1990,09/07/1990,0,CBC -         Blood sugar Accu check,2,OPV,TD,,,,,,,PVT,UNK,,,,
026095,09/27/1990,LA,0.2,M,,Pt vaccinated with DTP/OPV experienced persistant inconsolable crying for 3 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/29/1990,06/29/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,Family member cousin with similar rx to DTP,
026096,09/27/1990,NY,22.0,M,,"Pt vaccinated with Recombivax HB experienced generalized maculopapular pruritic rash mainly involving face, chest & both upper extremities",2,PRURITUS,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/07/1990,06/07/1990,0,WBC - 11.6,1,HEP,,,,,,,,PVT,UNK,,,"Known asthmatic with several drug allergies - Penicillin, Aspirin, Valium, Demerol, Morphine, Ceclo, Theophylline, Decanamine, Sulphur, Benadryl, Prednisone",
026097,09/27/1990,TN,3.0,F,,Pt vaccinated with Prohibit developed meningitis.,1,MENINGITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,06/30/1988,05/17/1989,321,,1,HIBV,,,,,,,,PVT,UNK,,,,
026098,09/27/1990,OK,4.0,M,,Pt vaccinated with Prohibit  developed epiglotittis.,1,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,07/19/1988,06/17/1989,333,positive culture for H. Influenza type b,1,HIBV,,,,,,,,PVT,UNK,,,,
026099,09/27/1990,TN,3.0,M,,Pt vaccinated with Prohibit developed Pneumonia .,1,PNEUMONIA,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,05/31/1988,10/24/1989,511,,1,HIBV,,,,,,,,PVT,UNK,,,,
026100,09/27/1990,TN,2.0,F,,Pt vaccinated with Prohibit developed meningitis culture confirmed H influenza type b.,1,MENINGITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,09/25/1989,01/14/1990,111,,1,HIBV,,,,,,,,PVT,UNK,,,,
026108,09/28/1990,AZ,0.4,M,09/21/1990,"Pallor, Tremors, Fever 101.5, Attended by Paramedics @ home & subsqenquetly taken over to ER room. & D/C 21:30.",3,FEVER,PALLOR,TREMOR,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/17/1990,09/17/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,"gastro esphageal reflux, apnea, milk intolerance, chronic otitis",
026111,10/01/1990,NJ,36.0,F,,Pt vaccinated with Engerix and experienced generalized joint pain over several days; but forgot about it. She did not report symptoms. She recd the second dose & began to experience the joint pain again up to present.,1,ARTHRALGIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/30/1990,08/30/1990,31,ESR = 26; RHEU FACTOR = NEG; ANA = NEG,1,HEP,,,,,,,,PVT,UNK,,,,
026113,10/01/1990,MI,0.2,M,,Pt received DTP/OPV the following morning developed temp of 103 axillary. No ther symptoms. when seen in peds clinic on 21-SEP-90 temp was 101.5R Mom had been giving Tylenol 60mg q 4 hrs.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/20/1990,09/20/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,Hx of mild URI symptoms (runny nose & sneexing & temp of 101),
026114,10/01/1990,AL,0.1,F,09/13/1990,"Pt vaccinated with DTP immediately following cried briefly, no color change, fell asleep for 3 1/2 hrs.",2,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/16/1990,08/16/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026115,10/01/1990,,40.0,M,,"Pt vaccinated with Recombivax developed hives, continued for 4+ months.",1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/22/1990,04/22/1990,31,,1,HEP,,,,,,,,PVT,UNK,,,,
026116,10/01/1990,,2.0,M,,"Pt vax w/ HIB. Family DR questioned HIB as a cause of pneumonia. Irritable, cranking, waking frequently during the night. 25MAR90 running temp of 104 starting coughing-dry cough. 26MAR90 clear, runny nose, plus cough. See WORM",7,AGITATION,COUGH INC,FEVER,INSOMNIA,PNEUMONIA,RHINITIS,VOMIT,,,,,,,,,,,,,,,,,,,,,,U,03/16/1990,03/24/1990,8,,1,HIBV,,,,,,,,PVT,UNK,,,,
026117,10/01/1990,IA,0.3,U,,"At 2 mos old, child received DTP, 2 days later developed a Staccato cough which worsened & progressed to emesis, hospitalized & treated w/erythromycin & cromolyn, no bacterial isolation. At 4 mos old received DTP. See WORM for more Info.",2,COUGH INC,VOMIT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,,,,,1,DTP,,,,,,,,PVT,UNK,,,,
026110,10/02/1990,CA,0.2,M,09/20/1990,"Pt vaccinated with DTP/OPV became hypotonic, hyporesponsive, pale, bluish.",4,CYANOSIS,HYPOKINESIA,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,Y,Y,Y,3,,,Y,05/09/1990,05/09/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026112,10/02/1990,TN,0.2,F,,Child immunized with DTP/OPV vaccines on 11SEP90. Sudden Infant Death Syndrome.,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,09/13/1990,,,,,,,N,09/11/1990,09/13/1990,2,,2,DTP,OPV,,,,,,,PUB,UNK,,,,
026119,10/02/1990,WI,0.8,M,,Pt vaccinated with DTP developed fever of 104 plus generalized seizure 14 hrs following DTP #3.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,09/04/1990,09/04/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026120,10/02/1990,NJ,45.0,F,,"Pt vaccinated with 2 doses of Engerix-B developed cramps, diarrhea, headache, stiffneck, fever 102-104, and migraine headache.",5,DIARRHEA,FEVER,MIGRAINE,NECK RIGID,PAIN,,,,,,,,,,,,,,,,,,,,,,,,U,05/19/1990,06/18/1990,30,CBC-WNL; SMA 18 - WNL; Thyroid profile - WNL; Lyme titer - Negative; CMV - Negative; Sed Rate-WNL; EBV - Negative,1,HEP,,,,,,,,PVT,UNK,,,,
026121,10/02/1990,IL,26.0,M,,"Pt vaccinated with Recombivax given 3rd dose at 1500 at 1505 suddently felt very nauseated & had an emesis followed by several other episodes of emesis No dyspnea, wheezing noted. Felt Weak. episodes of weakness & Emesis lasted 2 days.",3,ASTHENIA,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/16/1990,08/16/1990,0,,1,HEP,,,,,,,,PVT,UNK,,,,
026122,10/02/1990,CA,18.0,M,09/06/1990,Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.,2,FEVER,ORCHITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/20/1990,08/29/1990,40,Viral Cultures of blood & Urine pending At LA County Urology lab.,1,MMR,,,,,,,,PVT,UNK,,,,
026123,10/02/1990,MI,0.2,F,09/19/1990,Pt vaccinated with DTP/OPV developed prolonged crying & irritability 8 hrs after lst DTP/OPV; Sibling of SIDS victim.,2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/03/1990,07/03/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026124,10/02/1990,NM,0.2,M,09/28/1990,Within 3-4hrs pt became inconsolable w/crying. fussy. Mild fever & local swelling. Sponaneous resolution within 24 hrs.,3,EDEMA INJECT SITE,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/06/1990,07/06/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026125,10/02/1990,OH,88.8,M,09/24/1990,Pt vaccinated w/fluzone 21SEP90 on 24SEP90 pt granddght called ofc stating pt had been resting on Saturday & woke up with bilat leg numbenss that lasted 2 hrs then vanished. Pt up & walking with walker there after.,1,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/21/1990,09/22/1990,1,,1,FLU,,,,,,,,PVT,PUB,"Quinidex, Theodur, Lasix, Isordil, Lanoxin",,"Coron Art. Dis., COPD",
026126,10/02/1990,HI,75.7,F,09/24/1990,Pt vaccinated with MMR & experienced acute pain in rt hand & fingers w/stiffness dx as acute tendino arthritis & prescribed Prednisone covered by Ampicillin. See WORM for more details.,5,ARTHRALGIA,ARTHRITIS,ARTHROSIS,JOINT DIS,SYNOVITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,06/07/1990,07/24/1990,47,,1,MMR,,,,,,,,PVT,PVT,"Enduronyl, Slow-K",Intolerant of asirin,,
026127,10/02/1990,CA,1.4,F,09/20/1990,Pt vaccinated with MMR developed easy bruising and petechiae. Dx'd with ITP hospitalized 2 days for treatment w/IV Gammaglobulin,1,PURPURA THROMBOPEN,,,,,,,,,,,,,,,,,,,,,,,,Y,2,,,U,03/01/1990,03/28/1990,27,"H/H = 12.5/35/5;  WBC 11.8K;  PLT COUNT 4,000 BUN NL ANA- Neg",1,MMR,,,,,,,,PVT,PVT,,,,
026128,10/02/1990,NJ,1.5,F,,Pt vaccinated with DTP/OPV/HIB developed temp 104.4 w/Tylenol.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,09/18/1990,09/18/1990,0,UNN Culture - Negative; Chest X-Ray - Negative,3,DTP,HIBV,OPV,,,,,,UNK,UNK,,,,
026129,10/02/1990,PA,0.6,F,,Pt vaccinated with DTP developed unconsolable crying from 6:30PM until 5:00AM.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/17/1990,09/17/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026130,10/02/1990,MI,0.6,F,,Noted increased sleep after DTP #3 on 30JUL90. Sleeping 20 hrs a day. Lasted over 1 month.,1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/31/1990,07/30/1990,-1,CBC diff SMAL  EBV IGM     CMV IGM,1,DTP,,,,,,,,PVT,UNK,,,,
026131,10/02/1990,MI,16.0,M,,"Pt vaccinated with MMR on 30AUG90  developed macular erythema some papules on trunk arms, thighs, pruritic fadingly 22JUL90.",2,PRURITUS,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/30/1990,07/15/1990,-46,Strep Screen negative,1,MMR,,,,,,,,PVT,UNK,,,,
026132,10/02/1990,MI,5.0,M,,"Pt vaccinated with MMR developed temp 104.8 & fine rash,lt otitis media",3,FEVER,OTITIS MED,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/27/1990,09/04/1990,8,"CBC, Urine, Blood Culture, Strip clln",1,MMR,,,,,,,,PVT,UNK,,,,
026134,10/03/1990,CA,1.5,M,09/26/1990,"Pt vaccinated with DTP/OPV/HIB developed temp, crying constantly, local rx X 3-4 days. Rx Advil (Ibuprohen); saw neurologist Dr Torch",3,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/12/1990,06/12/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,Rx in pt at 4mo for DTP
026135,10/03/1990,FL,0.5,M,09/26/1990,Pt vaccinated with DTP experienced inconsolable crying x 7-8 hrs; no fever,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/25/1990,09/25/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026136,10/03/1990,CO,35.8,F,09/20/1990,Pt vaccinated with TD after injection arm became red "quarter" size; redness increased to 5 in diameter. Redness gone next day. Apricot sized nodule until 20SEP90 then nodule quarter size.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/12/1990,09/15/1990,3,,1,TD,,,,,,,,PVT,PVT,,,,Rt leg calf burn
026137,10/03/1990,CA,0.2,F,,Pt vaccinated with DTP experienced crying more than 4 hrs given advil Ibuprohen,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/17/1990,09/17/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026138,10/03/1990,CA,5.0,F,09/19/1990,Pt vaccinated with MMR/DTP developed severe swelling X reddness at vaccine site (4X10CM area).,2,EDEMA INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,09/13/1990,09/14/1990,1,,2,DTP,MMR,,,,,,,PVT,UNK,,,,
026139,10/03/1990,NJ,69.4,M,09/28/1990,Pt vaccinated with TD  developed pain & soreness starting on rt side of neck becoming bilateral extending into shoulder & upper back-intense at night. After 19 days symptoms subsided. Some relief w/muscle relaxer. On 13AUG90 developed rash.,2,PAIN NECK,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,08/07/1990,08/08/1990,1,,1,TD,,,,,,,,PVT,PVT,,Hypertension,,
026140,10/03/1990,MD,0.7,U,09/27/1990,Pt vaccinated with DTP developed a temp of 104 on 21SEP which lasted 3 days. Seen in ER where blood/urine test run told by ER possible rx to DTP vaccine. Developed a rash on 23SEP which resolved in 24 hrs. Now asymptomatic.,2,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/17/1990,09/21/1990,4,,1,DTP,,,,,,,,UNK,UNK,,,,
026141,10/03/1990,CA,0.5,M,09/25/1990,Pt vaccinated with DTP/OPV developed rectal temp to 104 approx 7 hrs after vaccination.  No other reported symptoms.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/24/1990,09/24/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026142,10/03/1990,NY,0.3,F,09/26/1990,"Pt vaccinated with DTP/OPV 2-3 hrs after receiving vaccine, child was reported by mother to have high pitched scream with crying & child was unconsolable.",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/25/1990,09/25/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026143,10/03/1990,NY,32.7,F,09/19/1990,"Pt vaccinated with Rubella develooped german measles type rash preceded by myalgias, fatigue & coryza.",4,ASTHENIA,MYALGIA,RASH,RHINITIS,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/06/1990,09/15/1990,9,,1,R,,,,,,,,PVT,PVT,,Hypercholesterolemia,,
026144,10/03/1990,PA,6.1,F,09/26/1990,"Pt vaccinated with DTP c/o of pain in arm at site of injection about 12 hrs after injection. passed out, went limp & fell to floor. No evidence of seizure activity or fever. Was lethergic for several minutes.",4,HYPOTONIA,PAIN INJECT SITE,SOMNOLENCE,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/25/1990,09/25/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026145,10/03/1990,CA,0.2,F,09/26/1990,"Pt vaccinated with DTP/OPV while diaper being changed, baby turned pale/white/blue around mouth, unresponsive lasted a few seconds only.",3,CYANOSIS,HYPOKINESIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/10/1990,07/10/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026146,10/03/1990,FL,1.8,M,09/26/1990,"Pt vaccinated with DTP/OPV developed initability, language delay, still has developmental delay; seizures resolved.",3,CONVULS,MENTAL RETARD,NERVOUSNESS,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,10/07/1977,04/28/1978,203,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026147,10/03/1990,NY,41.6,F,09/18/1990,Pt contracted cellulitis following a bad loc rx & swelling.,2,CELLULITIS,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,Y,4,,,Y,08/27/1990,08/27/1990,0,,1,TD,,,,,,,,UNK,UNK,,,,
026148,10/03/1990,GA,43.7,F,09/27/1990,"Pt vaccinated with Recombivax HB  3rd dose developed temp 103, chills, myalgia, arthralgia was hospitalized 13SEP90. More info being requested.",11,ANOREXIA,ARTHRALGIA,CHILLS FEVER,HEADACHE,HEART FAIL RIGHT,LUNG DIS,MALAISE,MYALGIA,PHARYNGITIS,RASH,SWEAT,,,,,,,,,,,,,Y,Y,5,,,U,09/04/1990,09/04/1990,0,"SGOT 13SEP90 109, LDH 13SEP90 443, Serum ALK Phos 13SEP90 129, WBC 13SEP90 5500; Seg Neutro 13SEP90 43, Bands 13SEP90 7, Eos13SEP90 3, Hepatitis B Test Neg",1,HEP,,,,,,,,PUB,PVT,Tenoretic,,Hypertension; Obesity,
026149,10/03/1990,MI,1.5,M,09/26/1990,"Pt vaccinated with HIBtiter/MMR administered at approx 1130AM on 25SEP90 8:30PM - mother reported rt leg shaking, then whole body shaking & eyes rolled back. Afterwards drowsy, temp 104F at that time. temp folowing day 100. Developed rash.",5,EYES GAZE UPWARD,FEVER,RASH,SOMNOLENCE,TREMOR,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/25/1990,09/25/1990,0,"CBC - WBC 6.8; HIH 11.9/35;  Lytes,CA,GLU- NL; Viral throat cult pending",2,HIBV,MMR,,,,,,,PUB,PUB,,,,
026150,10/05/1990,TN,26.0,F,,Pt vaccinated with MMR developed fever and sore throat on 19AUG90. On 26AUG90 developed swollen glands in neck area. (Parotitis?),4,FEVER,LYMPHADENO,PHARYNGITIS,SIALADENITIS,,,,,,,,,,,,,,,,,,,,,,,,,U,08/10/1990,08/19/1990,9,,1,MMR,,,,,,,,PUB,UNK,,,,
026151,10/05/1990,OH,0.2,F,,"Pt vaccinated with DTP during night awakened with high pitched cry, temp of 102, leg was red at injection site. High pitched shrill cry, inconsolable lasted more than 3 hrs.",3,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/16/1990,08/16/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026152,10/05/1990,,5.0,M,,"Pt vaccinated with DTP/MMR developed temp of 102, very sore & painful rt arm. Tired & listless.",3,FEVER,PAIN,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/06/1990,09/06/1990,0,,2,DTP,MMR,,,,,,,PVT,UNK,Allergy shots,,,
026153,10/05/1990,WA,0.5,M,,Pt vaccinated with DTP developed a fever with temp of 101.8. Pt hospitalized one day following event.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,06/19/1990,06/19/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,"No prior or recent illness, convulsions, or hx in pt, parents.",
026154,10/05/1990,WA,9.5,M,,"Pt vaccinated with DTP/OPV within 24hrs developed temp 101, within 2-3mins gazed apneic, cyanotic stiff. MD marked convulsion. Pt not hospitalized & no subsequent problems on 30 day follow-up.",4,APNEA,CONVULS,CYANOSIS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,U,07/12/1990,07/13/1990,1,,2,DTP,OPV,,,,,,,PUB,UNK,,,No prior events or previous convulsions and no Hx of same in parents or siblings.,
026155,10/05/1990,OH,0.9,M,,"Pt vaccinated with DTP after arriving home took a nap, mother heard him scream shortly after fell asleep & sent in & found entire bed was shaking w/thrashing of his arms & legs lasted 30 seconds to 2 minutes & subsided spontaneously.",3,CONVULS,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/23/1990,08/23/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,Posterior hypoplastic vitreous w/posterior lens opacity of the rt eye; PE tubes on 8MAY90.,
026156,10/05/1990,CT,61.0,M,,"Pt vaccinated developed urticaria, trunk, arms & legs.",1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/03/1990,09/04/1990,1,,,,,,,,,,,PVT,UNK,"Zantac, Quinidine, Darvon",,,
026157,10/05/1990,NY,0.3,F,,"Pt vaccinated with DTP/OPV became pale, limp, and lethargic.",3,HYPOTONIA,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/23/1990,07/23/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
026159,10/05/1990,AZ,52.0,F,,"Pt vaccinated with FLUOGEN who has severe bronchial asthma seen in MD ofc well VS stable & chest clear, death & respiratory arrest.",1,APNEA,,,,,,,,,,,,,,,,,,,,Y,09/20/1990,,,,,,,N,09/20/1990,09/20/1990,0,HGT=5'6"; WGT=99lbs; Morning of 20SEP90 BP=142/86;P=72/min&reg.,1,FLU,,,,,,,,PVT,UNK,"Methyprednisolone, Verapamil, Proventil, Albuterol, Anhydrous Theophylline",Severe Bronchial Asthma,Pt was hospitalized 2-3 yrs ago for hypertensive Crisis & Severe Bronchial Asthma.,
026160,10/05/1990,,32.0,F,,"Pt vaccinated w/ Rubella Approx 1 wk later developed a fever, rash described as pink patches w/macules on upper chest & neck, & headaches behind eyes with problems focusing her vision. Rash spreaded to face, back & developed swollen glands.",13,ASTHENIA,ATAXIA,EMOTION LABIL,FEVER,HEADACHE,HOSTILITY,LYMPHADENO,PAIN,PARESTHESIA,RASH MAC PAP,SPEECH DIS,VASC DIS PERIPH,VISION ABNORM,,,,,,,,,,,,,,Y,,U,10/30/1986,11/06/1986,7,WBC Count 27NOV86 12.2; Urinalysis 27NOV86 Ketones,1,R,,,,,,,,PVT,UNK,,,,
026161,10/05/1990,IN,26.9,F,09/27/1990,Pt vaccinated with DT developed diffuse trunk urticaria.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,N,09/18/1990,09/21/1990,3,,1,DT,,,,,,,,PVT,PVT,,,,
026162,10/05/1990,IN,47.7,F,09/27/1990,"Pt vaccinated with DT experienced local urticaria neck, generalized malaise, headache.",3,HEADACHE,MALAISE,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,N,09/11/1990,09/21/1990,10,,1,DT,,,,,,,,PVT,PVT,"Premarin, Provera",,,
026163,10/05/1990,AL,0.2,M,09/24/1990,"Pt vaccinated with DTP/OPV extreme irritability, unusual cry; poor feeding within several hrs of receiving DTP injection rectal temp 103.2 ""moaned"" a lot had subsequent ER visit; Did develop loose stools the evening of the shot.",5,AGITATION,ANOREXIA,DIARRHEA,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/07/1990,09/07/1990,0,LP-Normal; CBC-Normal,2,DTP,OPV,,,,,,,PVT,PVT,,No-altho possibly incuberting gastroent,,
026164,10/05/1990,WI,0.2,M,10/01/1990,Pt vaccinated with DTP/OPV then cried 3 hrs after DTP very difficult to console.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/13/1990,08/13/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,Pt sister experienced a rx to DTP at 2mo old.,
026165,10/05/1990,CA,0.4,M,,"Pt vaccinated with DTP/OPV experienced high pitched cry after vaccination lasted 2hrs, temp 103. F/U  ""high pitched cry, 103 T, fussy, treated /w Tylenol",3,AGITATION,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/25/1990,09/25/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
026166,10/05/1990,CO,0.2,F,,"Pt vaccinated with DTP late in afternoon day of shot after a nap was whimpering, pale, and limp. l hr later given Tylenol, cried harder & color improved. Took another nap & was back to normal.",3,HYPOTONIA,PALLOR,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/26/1990,06/26/1990,0,,1,DTP,,,,,,,,PVT,UNK,,Baby well at the time and has been since,Pertussis omitted form next immunization.,
026167,10/09/1990,RI,0.5,M,,"Pt vaccinated with DTP/OPV developed probable hypotonic, hyporesponsive rx to DTP, listless, staring, pale & several hrs by hx vomited.",5,HYPOKINESIA,HYPOTONIA,PALLOR,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,U,05/29/1990,05/29/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026168,10/09/1990,RI,6.0,F,,"Pt vaccinated with DTP/OPV/MMR developed temp 100.F, erysipelas; whole rt arm, pain, swelling, inc, warmth on rt arm, rash",6,CELLULITIS,EDEMA,FEVER,PAIN,RASH,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,U,07/30/1990,08/01/1990,2,,3,DTP,MMR,OPV,,,,,,UNK,UNK,,,,
026169,10/09/1990,CA,35.5,F,09/26/1990,Pt vaccinated with Td developed severe unilateral headache rt arm pain and numbness.,3,HEADACHE,HYPESTHESIA,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,09/24/1990,09/25/1990,1,,1,TD,,,,,,,,PVT,PVT,,,,
026170,10/09/1990,WA,0.2,F,09/06/1990,"Pt vaccinated with DTP given at 9:45AM pt sleepy, drooley temp 100 at 11:45AM irritable when awake, Pt seen at 1PM.",2,AGITATION,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/30/1990,08/30/1990,0,,1,DTP,,,,,,,,PUB,OTH,,,,
026171,10/09/1990,NY,0.1,M,09/27/1990,"Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.",2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/17/1990,09/18/1990,1,,1,HEP,,,,,,,,PVT,PVT,"Given Recombivax 16AUG90,  route SC, No Lot no. given.",,,
026172,10/09/1990,IL,0.3,F,09/20/1990,"Pt vaccinated with DTP/OPV cried for several hrs (6hrs), high pitched cry.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/21/1990,07/21/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,DNA,DNA,
026173,10/09/1990,IN,0.2,M,,Pt vaccinated with DTP/OPV 6 hrs after shot pt had hyporesponsive rx child was pale & "limp" per moms report also wimpened for 4 hrs.,3,HYPOKINESIA,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/11/1990,07/11/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026174,10/09/1990,CA,40.0,F,,"Pt vaccinated with MMR vaccine developed painful swelling in groin lymph nodes. Resolved in 14 days. No GYN, GU infection.",2,LYMPHEDEMA,PAIN PELVIC,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/29/1990,08/30/1990,1,,1,MMR,,,,,,,,UNK,UNK,,,,
026175,10/09/1990,WA,0.2,F,,Pt vaccinated with DTP 5SEP90 developed SIDS.,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,U,09/05/1990,09/11/1990,6,,1,DTP,,,,,,,,PVT,UNK,,,,
026176,10/09/1990,IL,0.3,M,,"Pt vaccinated with DTP sustained severe & permanent injury to his entire body, including all extremities, he has lost use of his limbs, the ability to communicate and is severely retarded. Pt has been living in an institutional setting.",4,CNS DEPRESS,MENTAL RETARD,PARALYSIS,SPEECH DIS,,,,,,,,,,,,,,,,,,,,,,,,Y,U,,,,,1,DTP,,,,,,,,PVT,UNK,,,,
026177,10/09/1990,NY,20.0,F,,"Pt vaccinated with Typhoid & MMR developed severe migratory muscle spasm including dysphasia, inability to swallow, post flexion/spine, flexion spasm/ext's.",8,DYSPHAGIA,FEVER,HEADACHE,INJECT SITE REACT,MYALGIA,MYOCLONUS,TREMOR,TWITCH,,,,,,,,,,,,,,,,,,,Y,,U,09/05/1990,09/05/1990,0,,2,MMR,TYP,,,,,,,UNK,UNK,,,,
026178,10/09/1990,CA,30.0,M,,"Pt vaccinated with Recombivax HB 3rd dose 24JUL90 on 27JUL90 developed a low-grade fever, elevated liver enzymes, splenomegaly, and jaundice. He was admitted to hospital & treated w/steroids for 1 wk. At time of report pt almost recovered.",6,FEVER,HEPATITIS,JAUNDICE,LEUKOCYTOSIS,LIVER FUNC ABNORM,SPLENOMEGALY,,,,,,,,,,,,,,,,,,,,,Y,,U,07/24/1990,07/27/1990,3,,1,HEP,,,,,,,,PVT,UNK,,,,
026179,10/09/1990,,,F,,"Pt vaccinated with Recombivax HB three months before she became pregnant. At four months gestation, amniocentesis showed that the fetus brain was displaced outside the skull. A therapeutic abortion was performed. Add'tl details requested.",1,ANOMALY CONGEN,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,,,,Amniocentesis - Brain displaces outside skull; Ultrasound heart displaced.,1,HEP,,,,,,,,UNK,UNK,,,,
026180,10/09/1990,,12.0,M,,Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.,15,CONVULS,DIZZINESS,FEBRILE SEIZURE,FEVER,MENTAL RETARD,MYASTHENIA,PAIN ABDO,PALLOR,PEPTIC ULCER SYND,PERSON DIS,RASH,RHINITIS,SALIVA INC,SKIN DISCOLOR,SOMNOLENCE,,,,,,,,,,,,,Y,U,11/29/1972,,,CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.,1,MMR,,,,,,,,UNK,UNK,,,,
026181,10/09/1990,WI,0.2,F,09/29/1990,Pt vaccinated with DTP/OPV dx to have clinical pertussis with course lasting 4 wks.,1,INFECT,,,,,,,,,,,,,,,,,,,,,,,,Y,2,,,Y,08/02/1990,,,"Direct FA test for Bordetella Pertussis- Positive; WBC 25,400 81% lymph, 12%seps, 1%stats, 4% mono, 2% Eos",2,DTP,OPV,,,,,,,PVT,PVT,,,,
026182,10/09/1990,WV,0.6,F,10/02/1990,"Pt vaccinated with DTP developed fine papular rash skin colored, non-pruritic antero-lateral aspect of lt thigh surrounding site of DTP shot appeared next day after shot.",1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,N,09/26/1990,09/27/1990,1,,1,DTP,,,,,,,,PUB,PUB,,,Hyperactive Airway Disease,
026183,10/09/1990,NJ,0.3,F,10/02/1990,"Pt vaccinated with DTP/OPV fine for 4hrs then began screaming continuously x 2hrs, cried constantly but quite as vigorously x 4 hrs. Mom also stated she had fever, degree not documented; at f/up office visit about 9PM, baby quiet w/mom.",3,AGITATION,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/20/1990,09/20/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026184,10/09/1990,NY,5.5,M,10/01/1990,Pt vaccinated with DTP/OPV/MMR/TB on 17SEP90 on 18SEP90 developed erythema 5X5 around rt upper arm - lungs  clear- heart normal sinus rhythm - Benedryl - cool packs no need for further MMR immunization.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/17/1990,09/19/1990,2,,3,DTP,MMR,OPV,,,,,,PVT,PVT,pt also rec'd TB on same date as vax.,,,
026185,10/09/1990,WV,0.6,M,10/01/1990,Pt vaccinated with DTP developed find papular rash (pin head to slightly larger in size). Skin colored no redness or swelling. confined to anterior lateral aspect of lt thigh. Non-pruritic appeared on day following immunization.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/24/1990,09/25/1990,1,,1,DTP,,,,,,,,PUB,PUB,,,Resolved Otitis Media. Dxd 10SEP90. Finished Rx 20SEP90,
026186,10/09/1990,,9.7,F,09/28/1990,"Pt vaccinated with DTP/OPV developed temp of 105.0, screaming more than 3 hrs, local rx.",3,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/27/1987,01/27/1987,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026187,10/12/1990,VA,1.4,M,09/07/1990,Pt vaccinated with HIB developed complex febrile seizure.,1,FEBRILE SEIZURE,,,,,,,,,,,,,,,,,,,,,,Y,Y,Y,5,,,Y,08/09/1990,08/12/1990,3,Urine - Bacterial Antigens; Lumbar Puncture- Neg; +HIB,1,HIBV,,,,,,,,PUB,PUB,,,Benign febrile convulsions,
026188,10/12/1990,RI,0.5,F,10/03/1990,Pt vaccinated with DTP persistent unconsolable crying for several hrs after vaccine.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/02/1990,10/02/1990,0,,1,DTP,,,,,,,,PUB,PUB,,,,
026189,10/12/1990,IL,0.2,M,10/04/1990,"Pt vaccinated DTP/OPV cried non-stop for 3 hrs, started approx. 8 hrs after vacc. given. Higher pitched cry tahn normal for him. Increased sleep X 24 hrs.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/01/1990,09/01/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Tylenol 60 mg,,,
026190,10/12/1990,OH,1.5,F,10/10/1990,"Pt vaccinated /w HIB titer developed culture pos. Hflu bactermia 3 days p/ HIB.  F/U 05Nov90 Fever, decreased appetitie, vomiting X1, neg PE",4,ANOREXIA,FEVER,SEPSIS,VOMIT,,,,,,,,,,,,,,,,,,,Y,Y,,,,,Y,09/10/1990,09/13/1990,3,+Blood Culture H Influenza B,2,HIBV,OPV,,,,,,,PVT,PVT,,,,In Pt Adverse Event age 2 w/HIB Conj.
026191,10/12/1990,MA,0.8,F,09/19/1990,Pt vaccinated /w DTP/OPV lst DTP/OPV low grade fever (38) x 5 days; 2nd DTP/OPV fever 42 doc by parents night /p shot. Rx'd w/Acetominophen/Bath. At ER infant much cooler to touch per parents descrp. measured at 38.5.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,05/23/1990,05/23/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,"In pt Adverse Event Temp 38x5days Large local rx, 7 1/2mo old, DTP #1"
026192,10/12/1990,CA,0.4,M,,"Pt vaccinated with DTP experienced excessive crying for 3 days beginning Oct 2, 1990 until Oct 4.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/02/1990,10/02/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026193,10/12/1990,CA,0.2,M,10/01/1990,Pt vaccinated /w DTP immediately /p given noted paleness & circumoral cyanosis lasted about 5 second & recovers by himself. These witnessed by Dr. Pham & mother in Dr office.,2,CYANOSIS,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/31/1990,07/31/1990,0,,1,DTP,,,,,,,,PVT,PVT,,Mild Atopic Dermatitis,Atopic Dermatitis - Rx Hydrocortisone 1%,
026194,10/12/1990,IL,0.3,F,10/05/1990,"Pt vaccinated with DTP/OPV became very fussy w/2 hrs of continuous crying, brief shaking of arms & legs during crying.",3,AGITATION,SCREAMING SYND,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/26/1990,09/26/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026195,10/12/1990,AR,1.5,F,10/04/1990,"Pt vaccinated w/MMR/OPV/HIB/TB Tine developed tonic/clonic generalized seizure w/out fever occured within 17 days of receiving lst MMR, 3rd OPV, HIB Vac, TB tine test.",1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/06/1990,08/23/1990,17,"EEG-normal, CT of head-normal",3,DTP,HIBV,MMR,,,,,,PUB,OTH,pt also rec'd TB tine on same date as other vax.,,Bilateral Otitis Media/LUL pneumonia 12/89; impetigo 7/90,"In Brother Adverse Event- Seizure X2, @ 2mo & 4mo, DTP, 1st, 2nd."
026196,10/12/1990,MI,0.5,F,10/02/1990,Pt vaccinated with DTP/OPV child presented for well child exam 20Aug90. Only concerns noted were precipitous weight gain & intermittant regurgitation of Prosobee.,3,GI DIS,SIDS,WEIGHT INC,,,,,,,,,,,,,,,,,,Y,08/22/1990,,,,,,,N,08/20/1990,08/22/1990,2,"Autopsy reported as SIDS w/ cardiomyopathy per Dr Ron Graeser, ME.",2,DTP,OPV,,,,,,,PVT,PUB,,None w/exception of Regurgitation,,
026197,10/12/1990,SC,0.2,M,10/02/1990,Pt vaccinated w/DTP/OPV experienced 1 day of screaming inconsolably afebrile. Also described as having gas.,2,FLATUL,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/29/1990,09/29/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,Nystatin Oral Suspension,Thrush,,
026198,10/12/1990,WV,0.4,F,10/04/1990,"Pt vaccinated with DTP/OPV developed papular rash beginning around site of injection 1 day after injection. Spreading to leg area on lt thigh, no other area on body.  0 fever 0 temp 0 cough 0 diarrhea. Rx Topicort Cream to affected area BID",1,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/01/1990,10/01/1990,0,,2,DTP,OPV,,,,,,,PUB,PUB,,,,
026199,10/12/1990,IN,1.6,F,10/05/1990,"Pt vaccinated with DTP developed high fever for few days, got dehydrated & admitted for IV fluids on 14SEP90.",2,DEHYDRAT,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,2,,,Y,09/11/1990,09/11/1990,0,EEG- Normal,1,DTP,,,,,,,,PVT,UNK,,,,
026200,10/12/1990,DE,0.2,F,09/27/1990,"Pt vaccinated /w DTP/OPV received 1st DTP 1AUG90 at 2mo of age. Screamed w/a higher than usual cry unconsolably for approx 1 hr & laid quietly against mom for about 2 hrs pale & clamy & cold. Then perked up, ate & has been fine since.",6,AGITATION,CHILLS,PALLOR,SCREAMING SYND,SOMNOLENCE,SWEAT,,,,,,,,,,,,,,,,,,,,,,,Y,08/01/1990,08/01/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026201,10/12/1990,IA,0.2,M,10/01/1990,"Pt vaccinated with DTP/OPV 28SEP went to awake child, found limp ""grey"", didnt seem to be breathing. Stirred baby then cried 2 minutes. 48 hrs after this felt warm & had URI.",4,APNEA,CYANOSIS,PHARYNGITIS,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/26/1990,09/28/1990,2,PCG,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026202,10/12/1990,MN,0.3,F,,Pt vaccinated /w DTP developed fever of 104 x 48 hrs /p 2nd DTP was "not herself".  Wt. 13 lbs 10 oz.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/16/1990,07/16/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026203,10/12/1990,IN,1.5,F,,Pt vaccinated with OPV/Prohibit developed fever of 104 followed by generalized tonic - clonic seizure.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/24/1990,09/24/1990,0,"Lumbar Puncture, CBC, Blood Culture. Cell negative.",3,DTP,HIBV,OPV,,,,,,PVT,UNK,,,,
026204,10/12/1990,NJ,0.3,F,,"Pt vaccinated /w DTP slept through day, wimpering throughout. Mom had to awake to feed. Fell back to sleep.",1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/25/1990,09/25/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026205,10/12/1990,PA,0.5,M,,"Pt vaccinated with DTP became very somnolent within 30 minutes, difficult to arouse, vomited 4 times; normal within 1 1/2 hr after injection.",3,HYPOKINESIA,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/17/1990,09/17/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026207,10/12/1990,TX,46.0,M,,"46 yr old Male /vacc. /w MMR c/o rt shoulder & lt elbow pain. Was given cortisone inject. & treated w/antibiotics & steroids.Shoulder pain increase/hospitalized.I&D of lt elbow,@ time of rpt still under treatment. See WORM more detail",3,ABSCESS,ARTHRITIS,PAIN,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,02/07/1990,02/09/1990,2,Culture - Joint 1+ Staph Aureus; Culture Joint 1+ positive Cocci,1,MMR,,,,,,,,PVT,UNK,,,,
026208,10/12/1990,NJ,4.9,F,,"Pt vaccinated /w DTP/OPV /w in 3 days /p immunization, child presented in ER w/fever, vomiting & Jaundice. Trans.to ICU at Med Ctr. Treatment-IV's, Steroids, Blood Tranfusions & O2. @ time of rpt, dx is pending. Pt off O2, remains in PICU.",3,FEVER,JAUNDICE,VOMIT,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,08/28/1990,08/31/1990,3,HG 2.3,2,DTP,OPV,,,,,,,UNK,UNK,,,No prior hx of rx to DTP or OPV,
026209,10/12/1990,NC,0.7,U,,"Pt vaccinated /w DTP/OPV & died same evening. Prior to death, infant was alone & had been drinking from a bottle of milk, found non-responsive. Taken to ER- pronounced dead on arrival. There was some possible aspiration.",1,SIDS,,,,,,,,,,,,,,,,,,,,Y,09/13/1990,,,,,,,N,09/11/1990,09/11/1990,0,Autopsy pending - copy of report requested,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026210,10/12/1990,PA,43.0,F,,Pt vaccinated /w Heptavax /w in 40 min. experienced a warm flushing & numbness w/tingling on the lt side of the body. Paresthesias continued onset to present w/out resolution.Jun88 episode of paresthesias increase severity.DX mult.sclerosis,3,PARESTHESIA,SCLEROSIS MULT,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,Y,Y,U,01/01/1988,01/26/1988,25,Blood chemistries & blood counts were normal. An MRI shows plaques consistent with MS.,1,HEP,,,,,,,,PVT,UNK,,,"Retrobulbar neuritis dx in 77, one time occurance. MS dx in Jun 88.",
026211,10/15/1990,MN,1.3,F,,"15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability.  Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.",11,AGITATION,FEVER,HYPERTONIA,HYPOKINESIA,HYPOTONIA,JOINT DIS,LEUKOPENIA,MENTAL RETARD,RASH MAC PAP,SOMNOLENCE,SPEECH DIS,,,,,,,,,,,,,,Y,,,Y,N,08/31/1989,09/07/1989,7,"8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000",1,MMR,,,,,,,,PVT,UNK,,,"hx of otitis media, pharyngitis",
026213,10/16/1990,PA,1.7,F,03/27/1990,Pt vaccinated with DTP/OPV cried inconsolably for 5 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/26/1990,03/26/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026214,10/16/1990,PA,0.2,F,10/03/1990,"Pt vaccinated with DTP/OPV developed temp 100(R), excessive sleeping.",2,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/02/1990,10/02/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026215,10/16/1990,OH,0.3,M,10/09/1990,"Pt vaccinated with DTP/OPV unconsolable screaming/crying for 3 hrs, then another 5-6 hrs irritability.",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/08/1990,10/08/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026216,10/16/1990,SD,0.2,M,,Pt vaccinated with DTP/OPV developed high pitched screaming for several hrs after vaccine given. No other symptoms. No permenente effects noted on 4mo exam.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/07/1990,08/07/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026217,10/16/1990,PA,0.2,M,04/03/1990,Pt vaccinated with DTP/OPV experienced excessive high pitched screaming for 3 1/2 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/03/1990,04/03/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026218,10/16/1990,PA,0.2,M,04/06/1990,Pt vaccinated with DTP/OPV developed excessive sleeping 20 hrs.,1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/26/1990,01/26/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026219,10/16/1990,WI,17.9,F,10/09/1990,Pt vaccinated with MMR was 6 wk pregnant when received the vaccine. Subsequently delivered prematurely at 27 wk. FBW 750gm,1,BIRTH PREMAT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/03/1990,05/01/1990,118,,1,MMR,,,,,,,,PVT,OTH,,,,
026220,10/16/1990,PA,0.4,M,07/26/1990,Pt vaccinated with DTP/OPV experienced excessive sleeping 18 hrs.,1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/25/1990,05/25/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Acetaminophen,,,
026221,10/16/1990,NY,19.1,F,,"Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.",2,DIZZINESS,HYPOTENS,,,,,,,,,,,,,,,,,,,,,,,Y,3,,,Y,04/26/1990,04/26/1990,0,B/P @ ofc. 60/40,1,MMR,,,,,,,,PVT,PVT,,,,
026222,10/16/1990,FL,39.5,F,10/01/1990,"Pt vaccinated with TD began with burning in legs, the overall intense shaking, tremors - lasted approx 1 hr next day total soreness/weakness w/2wk of strong muscle contractions spasms & pain. Chest pains during this time.",5,ASTHENIA,HYPERTONIA,PAIN,PAIN CHEST,TREMOR,,,,,,,,,,,,,,,,,,,Y,,,,Y,N,09/10/1990,09/10/1990,0,,1,TD,,,,,,,,PVT,OTH,Tetracyclinee 250mg for acne 4xday,,Allergies to Iodine & Sulfur,"Local redness & swelling, fever in pt Tetanus 1972 & 80."
026223,10/16/1990,ID,62.0,F,,Pt vaccinated with Flu Tirvalent experienced inflammation and itchyness at vaccine site.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/21/1990,09/21/1990,0,,1,FLU,,,,,,,,PVT,PVT,,,,
026224,10/16/1990,MO,1.3,F,10/06/1990,"Pt vaccinated with MMR/HIB developed puffy eyes seen in office dx allergy given Benadryl; Seen 8AUG some vomiting, 9AUG admitted  more puffiness & edematous See WORM for more details.",4,ALLERG REACT,EDEMA,EDEMA FACE,SIDS,,,,,,,,,,,,,,,,,Y,08/11/1990,,,Y,2,,,N,07/31/1990,08/05/1990,5,Chest X-Ray Neg; All lab work neg; SGOT = 200; NA 123; EKG neg; ECHO heart neg,2,HBPV,MMR,,,,,,,PVT,PVT,,,Hypoglycemic of Newborn; R/O Sepc as newborn,
026225,10/16/1990,NJ,1.8,M,10/05/1990,Pt vaccinated with DTP developed fever 105 on evening of vaccine administration local reaction at site of injection.,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/04/1990,10/04/1990,0,,2,DTP,HIBV,,,,,,,PVT,UNK,,,,
026226,10/16/1990,OK,16.0,M,,"Pt vaccinated with MMR developed headache, sore throat, aching all over, testicle rt & lt pain, nausea off and on and some dizziness.  Went to Dr's office X 2.",7,DIZZINESS,HEADACHE,MALAISE,NAUSEA,ORCHITIS,PAIN,PHARYNGITIS,,,,,,,,,,,,,,,,,Y,,,,,Y,08/21/1990,09/11/1990,21,,1,MMR,,,,,,,,UNK,UNK,,,,
026227,10/16/1990,WA,18.0,F,,"Pt vaccinated with Tetanus Deiptheria developed fever/chills, generalized myalgia, malaise & headache.",5,CHILLS,FEVER,HEADACHE,MALAISE,MYALGIA,,,,,,,,,,,,,,,,,,,,,,,,U,09/20/1990,09/21/1990,1,,1,TD,,,,,,,,UNK,UNK,,,,
026229,10/16/1990,IL,0.2,F,,"Pt vacc. /w DTP 24 hrs later child died. Child had URI, /p shot fever, she fed normally 8 hrs before death. In AM mother went to dress child, child blinked, gasped & then arrested. F/U DR called 30Oct90 lab data not consistant /w moms hx",1,SIDS,,,,,,,,,,,,,,,,,,,,Y,09/07/1990,,,,,,,N,09/06/1990,09/07/1990,1,"Blood cultures at time of death grew E. Coli, TEXT: death resulted",1,DTP,,,,,,,,UNK,UNK,Acetaminophen,,,
026230,10/16/1990,NY,1.3,M,,Pt vaccinated with MMR developed hyperpyrexia to 103 w/convulsion approx 10 hrs following administration.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,09/07/1990,09/08/1990,1,,1,MMR,,,,,,,,UNK,UNK,,,,
026231,10/16/1990,MO,0.3,F,,"Pt vaccinate6d with DTP developed fever, extremely irritable, & refused to eat.",3,AGITATION,ANOREXIA,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,08/15/1990,08/16/1990,1,septic work-up= negative,1,DTP,,,,,,,,UNK,UNK,,,,
026232,10/16/1990,IN,0.4,M,,"Pt vaccinated with DTP after receiving his second DTP immunization, the pt developed fevers of 101-102. He also had an episode of vomiting, paleness, and lethargy.",4,FEVER,PALLOR,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,U,10/03/1990,10/04/1990,1,,1,DTP,,,,,,,,UNK,UNK,,,,
026233,10/16/1990,TN,12.6,F,,"Pt vaccinated with MMR developed back ache, side hurting, muscle spasms, headache and leg also hurting.  Seen by several Dr.'s.",5,DIZZINESS,HEADACHE,HYPERTONIA,PAIN,PAIN BACK,,,,,,,,,,,,,,,,,,,,,,,,U,08/09/1990,08/16/1990,7,,1,MMR,,,,,,,,UNK,UNK,,,,
026234,10/16/1990,TN,0.2,U,,Pt vaccinated with DTP abnormal crying lasting six hrs on 22JUN90. local reaction at injection site & local adenopathy at injection site. duration of illness was one day.,3,INJECT SITE REACT,LYMPHADENO,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/22/1990,06/22/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026212,10/17/1990,TX,0.4,M,10/06/1990,"Pt vacc.DTP/OPV developed obtundancy, nonresponsiveness, personality change, high pitched cry, decreased muscle tone, refused to bottle feed, lt sided seizure;9 hrs of illness, repeated 1 hr later 65 min seizure 68hrs /p vac. Given IV Meds.",5,ANOREXIA,CONVULS,HYPOTONIA,SCREAMING SYND,STUPOR,,,,,,,,,,,,,,,,,,Y,Y,Y,10,Y,,U,10/30/1989,11/02/1989,3,"EEG - slowing, diffuse X2; MRI & CT scan normal; Peripheral WBC 20,000; CSF protein 140mg; CSF WBC 9, 100% Lymphocytes",2,DTP,OPV,,,,,,,PVT,PVT,Gentamycin; Zovirax,"Healing recurrent HSV-1, oral orocutaneo","Group B Streptococcal neonatal Sepsis, Child abuse /w recurrent HSV, orocutanoues disease,ribs & hands fx; Recurrent HSV Orocutaneous disease; Bil inguinal hernia repair 11JUl89",
026235,10/17/1990,PA,1.8,M,,Pt vaccinated with MMR/Haemophilus B 2 months later developed bruising w/a subsequent dx of severe aplastic anemia; Pt hospitallized. Liver enzymes were noted be be elevated. Reporter felt aplastic anemia possibly due to MMR vax.,3,ANEMIA APLAST,ECCHYMOSIS,LAB TEST ABNORM,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,,,,Hepatitis work-up was negative,2,HIBV,MMR,,,,,,,UNK,UNK,,,,
026236,10/17/1990,MO,52.0,F,,Pt w\diabetes mellitus vaccinated w/Recombivax HB entered a study comparing safey & efficacy of hepatitis B (Pre S2+S) vaccine Reocmb & Hepatitis B Vac Recomb in dialysis pt. Was hospitalized because pulmonary edema then sepsis & liver fail,3,EDEMA LUNG,LIVER FAIL,SEPSIS,,,,,,,,,,,,,,,,,,Y,01/29/1990,,,,,Y,Y,N,10/03/1989,01/01/1990,90,No relevant data.,1,HEP,,,,,,,,UNK,UNK,,,CVA; Seizure disorder; Diabetes mellitus; End stage renal disease; Hypertension; Ischemic heart disease,
026237,10/17/1990,CA,1.6,F,,Pt vax w/HIB/DTP/OPV hosp w/ T 106. Dx = meningococcemia w/o meningitis & DIC. Specimen grew Staph. epidermidis.  Se cultures 23Sep90 - no growth. Tx w/Amp & Rocephin.  Recovered at time of report.,4,COAGUL DIS,FEVER,INFECT,SEPSIS,,,,,,,,,,,,,,,,,,,,,Y,,,,U,09/14/1990,09/19/1990,5,No relevant data.,3,DTP,HIBV,OPV,,,,,,UNK,UNK,,,,
026239,10/17/1990,NH,0.2,U,,"Pt vaccinated with DTP/OPV had loss of head control, screaming & vomiting, sleep loss; limbs tense also developed seizures. Hospitalized multiple times between 9-12/89. Received DT, condiiton worsened; died 18ARP90.",6,CONVULS,HYPERTONIA,HYPOTONIA,INSOMNIA,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,Y,,,,,,Y,,N,07/27/1989,,,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026240,10/17/1990,,36.0,F,,"Pt vaccinated w/Recombivax HB developed tingling & pain in rt arm & shoulder, & back pain. Also rt hand cramps & stiffness, abd pain progressing to headaches, visual problems, vomiting, fatigue, partial paralysis, memory deficit See WORM",12,AMNESIA,ASTHENIA,ENCEPHALITIS,FEVER,HEADACHE,IMMUNE SYSTEM DIS,MENINGITIS,PARALYSIS,PARESTHESIA,THYR DIS,VISION ABNORM,VOMIT,,,,,,,,,,,,,,,Y,Y,U,11/01/1988,12/01/1988,30,Lyme titer Oct88 Negative; CT Scan JAN89 Radiculopathy; Electormyography JAN89 Radiculopathy; Lyme titer JAN89 POSITIVE,1,HEP,,,,,,,,UNK,UNK,,,,
026241,10/17/1990,WI,2.0,F,,Pt vaccinated with DTP then death occurred 3/90. Cause of death listed as reaction to DTP vaccination.,8,BRAIN SYND ACUTE,CEREBROVASC DIS,CONVULS,CSF ABNORM,ENCEPHALOPATHY,NECRO LIVER,NEUROPATHY,PNEUMONIA,,,,,,,,,,,,,Y,03/28/1990,,,Y,60,,,N,06/20/1989,06/23/1989,3,,1,DTP,,,,,,,,UNK,UNK,,,,
026246,10/17/1990,FL,74.3,F,10/09/1990,Pt vaccinated with Fluzone developed itching eyes; welts on body; size of quarter for a few hrs. pt took chlor-trimton,2,PRURITUS,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/04/1990,10/05/1990,1,,1,FLU,,,,,,,,PVT,PVT,VB12 Cyanocobalmin; Voltaren 25mg,,Shellfish,
026247,10/17/1990,UT,18.3,M,10/09/1990,Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.,1,DIABETES MELL,,,,,,,,,,,,,,,,,,,,,,,,Y,4,,Y,N,05/22/1989,07/15/1989,54,Confirmatory for diabetes mellitus,1,MMR,,,,,,,,OTH,UNK,,,,
026248,10/17/1990,MI,86.5,M,10/11/1990,"Pt vaccinated with Fluzone became light headed legs & ears started to ache by the afternoon also headache. Felt a little funny soon after the vaccine. Rest, Tylenol, Fluids advised.",5,DIZZINESS,HEADACHE,MYALGIA,PAIN EAR,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,N,10/09/1990,10/09/1990,0,,1,FLU,,,,,,,,PVT,PUB,Cordizem; Seldane,SLight Sinus Drainage,,
026249,10/17/1990,IL,1.6,F,10/08/1990,Pt vaccinated with DTP/OPV/PRP-D on 6PCT90. @ 1:00 pm 7OCT90 child had uncontrolable crying & woke them up with a piercing scream. On 6OCT90 PM chil had fever & was lethargic.,3,FEVER,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/06/1990,10/07/1990,1,,3,DTP,HBPV,OPV,,,,,,PVT,UNK,,,,
026250,10/17/1990,CA,0.2,U,,"Pt vaccinated with DTP/OPV found shortly after being put down for nap unresponsibe, apnea, blue & resuscitation unsuccessful. Verbal autopsey Dr SIDS.",4,APNEA,CYANOSIS,HYPOKINESIA,SIDS,,,,,,,,,,,,,,,,,Y,08/31/1990,,,,,,,N,08/29/1990,08/31/1990,2,Autopsey - SFC&C coroner,2,DTP,OPV,,,,,,,PUB,PUB,,,,
026251,10/17/1990,PA,23.4,M,10/09/1990,"Pt vaccinated with Influenza developed breathing difficulty, chocking snesatins. Given Epinphrine",2,DYSPHAGIA,DYSPNEA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/09/1990,10/09/1990,0,,1,FLU,,,,,,,,PVT,PVT,,,,
026252,10/17/1990,OK,2.3,M,10/08/1990,Pt vaccinated with Rabies possible clinical rabies. Phone report to Dr. Fishbein at CDC on 20SEP90.,1,INFECT,,,,,,,,,,,,,,,,,,,,,,,Y,Y,5,,,N,09/15/1990,09/15/1990,0,,1,RAB,,,,,,,,OTH,OTH,,,,
026253,10/17/1990,NJ,1.5,M,10/08/1990,Pt vaccinated with PROHIBIT experienced febrile seizure. No allergies or problem w/other vaccines or hx of convulsion. Fine as of 12SEP90.,1,FEBRILE SEIZURE,,,,,,,,,,,,,,,,,,,,,,,,Y,3,,,Y,09/08/1990,09/09/1990,1,Lumbar puncture - normal,1,HIBV,,,,,,,,OTH,OTH,,,,
026254,10/17/1990,MS,1.0,M,10/10/1990,Pt vaccinated /w DTP experience prolonged crying lt thigh red & swollen.,2,EDEMA INJECT SITE,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/10/1990,10/10/1990,0,,1,DTP,,,,,,,,PUB,UNK,,,,
026255,10/17/1990,IA,0.6,F,10/08/1990,Pt vacc. /w DTP/OPV mom reports fever of 103.4 (R). Irritable fever of 105.2 (R) at 4:00PM.,2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/03/1990,10/04/1990,1,,1,DTP,,,,,,,,PVT,PVT,,,,
026256,10/17/1990,TN,0.2,F,10/05/1990,"Pt vacc. /w DTP/OPV developed fever, irritability /win 12 hrs & deviation of eyes & head to lt by MN, blank stares, & focal seizures.",5,AGITATION,CONVULS,EYES GAZE UPWARD,FEVER,STUPOR,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/03/1990,10/03/1990,0,CT Scan/EEG Normal,2,DTP,OPV,,,,,,,PVT,PVT,,"PRLC, SFA 37wk, unconjugated hypebilirul",Hypoglycemia,
026228,10/18/1990,NJ,0.4,M,,"T 104, marked irritability",2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
026243,10/18/1990,CO,0.2,F,10/08/1990,"Pt vaccinated with DTP/OPV slept after immunizations 3 hrs later, woke w/high pitched scream, was lethargic, very pale, vomitted once. Returned to Dr oc. VS monitored for 1 hr. within hr, color improved to nl, was more alert. Will recheck.",4,PALLOR,SCREAMING SYND,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/08/1990,10/08/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,Mild upper resp infection,,
026244,10/18/1990,OH,0.5,F,10/10/1990,"Pt vaccinated with DTP became fussy, temp 104.6 (R), body shaking, eyes rolled back while in car seat lasted 30-45 secs. Stopped when mom picked up pt. 24hrs later temp 101.4 no sz activity or sequelae noted on f/u exam.",4,AGITATION,EYES GAZE UPWARD,FEVER,TREMOR,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/03/1990,10/03/1990,0,"nl neuro exam,  nl appetite. No leg swelling.",1,DTP,,,,,,,,PVT,PUB,Tylenol q 4 hrs monitoring,Diarrhea,,
026245,10/18/1990,PA,18.8,F,10/11/1990,"Pt vaccinated with MMR approximately 30 seconds after shot administered, pt had a episode of convulsion, syncope lasting approx 10 seconds.",2,CONVULS,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/03/1990,10/03/1990,0,,1,MMR,,,,,,,,PVT,PVT,,,,
026257,10/18/1990,MD,0.2,M,,"Pt vaccinated with DTP experienced excessive irritability >3hrs, shrill, high-pitched cry. Full resolution by 24hrs.",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/18/1990,07/18/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026258,10/18/1990,OH,5.0,F,,"Pt vaccinated with DTP developed swollen arm, listless, low grade fever. Went to ER dx local allergic rx to DTP. Rx Benadryl. Return to Dr ofc on 1OCT90 No local swelling or redness.",3,EDEMA INJECT SITE,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,09/25/1990,09/27/1990,2,,1,DTP,,,,,,,,UNK,UNK,,,,
026259,10/18/1990,OH,5.0,F,,"Pt vaccinated with DTP developed swollen arm, temp 101.2, no vomiting. Prescribed Tylenol.",2,EDEMA INJECT SITE,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/28/1990,09/28/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026260,10/18/1990,NJ,35.0,F,,Pt vaccinated with MMR noticed aching in rt hand a few hrs later all joints until 1OCT when aching stopped everywhere except rt fingers & wrist on 1OCT joint of r fingers became swollen 2OCT wrist & elbow on rt also affected.,2,ARTHRALGIA,ARTHROSIS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/12/1990,09/29/1990,17,"CBC- nl, Sed rate nl",1,MMR,,,,,,,,UNK,UNK,,,,
026261,10/18/1990,MN,24.0,F,,"Pt vaccinated with TD developed swelling in gums & roof of mouth, joint achiness including jaw, fever, tingling & numbness in hands. Continues to have dull pain in lt wrist & sore jaw.",5,ARTHRALGIA,EDEMA FACE,FEVER,PAIN,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,U,09/20/1990,09/20/1990,0,,1,TD,,,,,,,,UNK,UNK,Birth Control pills ovral lo,,"No allergies, No underlying hlth problems",
026262,10/18/1990,NC,0.3,M,,"Pt vaccinated with DTP developed induration, erythema, small puncta, no pus expressible; sterile/bacterial abscess secondary to immunization?",2,ABSCESS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/21/1990,09/23/1990,2,,1,DTP,,,,,,,,UNK,UNK,,,,
026263,10/18/1990,MA,1.5,M,,"Pt vaccinated with DTP developed muscle breakdown, loss of muscle tone.",2,HYPOTONIA,MYOPATHY,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/01/1982,07/01/1982,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026264,10/18/1990,PA,,F,,"Pt vaccinated with Recombivax HB experienced Bell's Palsy w/paresthesia of the lt side of her face, headaches, blurred vision in her lt eye, a low-grade fever, malaise, hypotension, & mild bilateral sensory hearing loss.",7,AMBLYOPIA,DEAF,FEVER,HEADACHE,HYPOTENS,MALAISE,PARALYSIS FACIAL,,,,,,,,,,,,,,,,,,,,Y,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026265,10/18/1990,PA,0.3,M,,Pt vaccinated with DTP/OPV experienced prolonged sleep for about 18 hrs.,1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/01/1990,10/01/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026266,10/18/1990,IN,1.5,F,,Pt vaccinated with DTP developed febrile seizure and acute otitis media.,2,FEBRILE SEIZURE,OTITIS MED,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/04/1990,10/04/1990,0,Spinal fluid - nomal; Chest X-ray - normal,1,DTP,,,,,,,,UNK,UNK,,,,
026267,10/18/1990,NJ,0.3,M,,"Pt vaccinated with DTP slept continuously for seven hrs, awoke briefly to eat &  was fussy at this time.",2,AGITATION,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,10/05/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026268,10/19/1990,NY,30.4,M,,"Pt vaccinated with MMR experienced Opthamoplegia, double vision, vertigo.",3,DIPLOPIA,OPHTHALMOPLEGIA,VERTIGO,,,,,,,,,,,,,,,,,,,,,,,,,,N,06/27/1990,07/12/1990,15,"MRI Scan, Ct Scan of head, ENG abnormal",1,M,,,,,,,,OTH,OTH,,,Prev hx A-Fibb & Migraines (neither active at present),
026269,10/19/1990,CA,29.0,F,,"Pt vaccinated with Recombivax HB developed swollen, tender anterior cervical lymph nodes & a temp of 100.4 also arthralgia then within 24 hrs developed aseptic meningitis, headache & photophobia.",7,ARTHRALGIA,FEVER,HEADACHE,LYMPHADENO,MENINGISM,MENINGITIS,PHOTOPHOBIA,,,,,,,,,,,,,,,,,,,,Y,,Y,03/31/1990,04/02/1990,2,"Laboratory evaluation revealed clear CSF, Normal CBC, Platelets & Sedimentation rate and the Antibiotics were discontinued.",1,HEP,,,,,,,,UNK,UNK,,,Hx ITP; Splenectomy,
026270,10/19/1990,NY,30.0,M,,"Pt vaccinated with Measles developed Ophthalmoplegia, Double vision, Vertigo.",3,DIPLOPIA,OPHTHALMOPLEGIA,VERTIGO,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/27/1990,07/14/1990,17,,1,M,,,,,,,,UNK,UNK,,,,
026271,10/19/1990,PA,0.6,M,10/15/1990,Pt vaccinated with DTP 45 hrs after DPT pt had 3 repetitive eventss ovr 40 min consisting of fussiness followed by limpness. His color during the event was described as very pale.,3,AGITATION,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/12/1990,10/12/1990,0,"lytes, BUN, Cr-Normal; WBC 18,000",1,DTP,,,,,,,,PVT,PVT,,Upper respiratory injection,,
026272,10/19/1990,VA,0.5,F,10/12/1990,"Pt vaccinated with DTP developed Fever 102.6R, irritable, local swelling & erythema.",3,AGITATION,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/11/1990,10/11/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026273,10/19/1990,NC,0.1,M,10/15/1990,Pt vaccinated with DTP/OPV developed high pitched cry onset on the afternoon of 12JUL90.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/12/1990,07/12/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026274,10/19/1990,NJ,0.4,M,10/15/1990,Pt vaccinated with DTP/OPV Christopher cried for two days after DTP. There was no local reaction & no temp.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/17/1990,09/17/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026275,10/19/1990,FL,1.3,M,10/14/1990,"Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.",3,ECCHYMOSIS,HEM GUM,PETECHIA,,,,,,,,,,,,,,,,,,,,,,Y,2,,,N,09/27/1990,10/07/1990,10,"CBC-NL; Platelet Count 10,000; Bone Marrow = ITP",2,HIBV,MMR,,,,,,,PVT,PVT,,,,
026276,10/19/1990,RI,0.6,F,10/15/1990,Pt vaccinated with DTP developed urticarial rash one day after DTP#3 given. Pt given tylenol & Benadryl.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/12/1990,10/13/1990,1,,1,DTP,,,,,,,,OTH,PUB,,,No allergies known to mom.,
026277,10/23/1990,AL,0.3,F,,"Pt vaccinated with DTP experienced inconsolable irritability, and screaming on & off x 24 hrs individual episodes lasting up to 3 hrs with 10-15 minutes calm behavior between episodes.",2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/28/1990,06/28/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026278,10/23/1990,WI,1.9,F,,"Pt vaccinated with DTP 12 hrs after DTP given had brief 2 min seizure but was stift, lethargic 15-20 mins after seizure.",3,CONVULS,HYPERTONIA,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/25/1990,09/27/1990,2,,1,DTP,,,,,,,,PVT,UNK,,,Hx VP shunt because of hydrocephalus 2 to grade III intraventricular hemorrage. Had shunt mulfunction JUN90.,
026279,10/23/1990,CA,1.1,F,,Pt vaccinated with DTP/MMR/OPV experienced generalized convulsion with temp of 105F 3 1/2 - 4 hrs after immunizations.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/26/1990,09/26/1990,0,,3,DTP,MMR,OPV,,,,,,UNK,UNK,,,"Bilateral Otitis Media, resolved 10 days Amxil 12SEP90; Purulent rhinitis, hx of reactive airways rx Pediazole; Insect bite lt upper eyelid not infected.",
026280,10/23/1990,FL,0.8,F,,Pt vaccinated with DTP developed high fever resulted in seizures few hrs after vaccinated.,1,FEBRILE SEIZURE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/04/1990,06/04/1990,0,"CBC, Blood Culture, Spinal Tap",1,DTP,,,,,,,,PVT,UNK,,,Repeat Cesarean Section in Orlando Medical Center.,
026281,10/23/1990,PA,79.0,M,,Pt vaccinated with Influenza Vaccine developed Guillian Barres Synd progressive numbness & tingling both legs & hands weakness. Unsteady gait.,4,GAIT ABNORM,GUILLAIN BARRE SYND,MYASTHENIA,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/04/1990,10/06/1990,2,"EKG RBBB & Lafb; NA + 139, K 3.1, MGH 1.7, TH 09.2, BUN, Creat, GLC WNL ER 8 WBC 9.3 HIH 15.5/46.6 PLT 296",1,FLU,,,,,,,,UNK,UNK,Theodur; Allopurinol; Hydrocholorthiazide,,,
026282,10/23/1990,NV,0.3,M,,CDC Reports that 3 mo old infant received 1st DTP/OPV on 1DEC89 & died 3DEC89.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,12/03/1989,,,,,,,N,12/01/1989,12/03/1989,2,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026283,10/23/1990,OK,0.3,M,,CDC Reports that 3 mo infant received DTP/OPV on 23AUG89 and died 25AUG89.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,08/25/1989,,,,,,,N,08/23/1989,08/25/1989,2,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026284,10/23/1990,GA,0.2,M,,CDC Reports: 2 mo infant received DTP/OPV on 27FEB90 and died 3MAR90.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,03/03/1990,,,,,,,N,02/27/1990,03/03/1990,4,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026285,10/23/1990,GA,0.4,M,,CDC Reports: 5 mo infant received DTP/OPV on 19MAR90 and died 20AMR90. Patient was given Tylenol for a low grade fever 3 hrs before death.,1,FEVER,,,,,,,,,,,,,,,,,,,,Y,03/20/1990,,,,,,,N,03/19/1990,03/20/1990,1,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026286,10/23/1990,NH,0.2,M,,CDC Reports: 2 mo infant received DTP/OPV on 12OCT89 and died 8NOV89.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,11/08/1989,,,,,,,N,10/12/1989,11/08/1989,27,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026287,10/23/1990,NH,0.2,M,,CDC Reports: 2 mo infant received DTP/OPV on 11DEC89 and died 15DEC89.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,12/15/1989,,,,,,,N,12/15/1989,12/15/1989,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026288,10/23/1990,NH,0.2,M,,CDC Reports: 2 mo infant received DTP/OPV on 8NOV89 and 21NOV89.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,11/21/1989,,,,,,,N,11/21/1989,11/21/1989,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026289,10/23/1990,NH,0.2,M,,CDC reports: 3 mo infant received DTP/OPV on 11OCT89 and died 13OCT89.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,10/13/1989,,,,,,,N,10/11/1989,10/13/1989,2,"Known balanced translocation, chromosome 245 cause of death unknown, post WNL, Tox pending.",2,DTP,OPV,,,,,,,UNK,UNK,,,,
026290,10/23/1990,LA,0.4,M,,CDC reports: 5 mo infant received DTP/OPV on 25JAN90 and died 3FEB90.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,02/03/1990,,,,,,,N,01/25/1990,02/03/1990,9,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026291,10/23/1990,CT,0.3,M,,CDC reports 4 mo infant received DTP/OPV on 8NOV89 and died 4 hrs later.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,11/08/1989,,,,,,,N,11/08/1989,11/08/1989,0,Autopsy performed,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026292,10/23/1990,CT,0.3,M,,CDC Reports: 3 mo infant received DTP/OPV on 31OCT89 and died 7NOV89.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,11/07/1989,,,,,,,N,10/31/1989,11/07/1989,7,Gross post mortem negative; Autopsy performed.,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026293,10/23/1990,TN,0.2,M,,CDC Reports: 2mo infant received DTP/OPV on 27SEP89 and died 29SEP89.,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,09/29/1989,,,,,,,N,09/27/1989,09/29/1989,2,"No Autopsy. SIDS on death certificate, also natural",2,DTP,OPV,,,,,,,UNK,UNK,,,,
026294,10/23/1990,TN,0.4,F,,CDC Reports: 5 mo infant receivd DTP/OPV on 23JAN90 and died 24JAN90.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,01/24/1990,,,,,,,N,01/23/1990,01/24/1990,1,,2,DTP,OPV,,,,,,,UNK,UNK,,,No illness following previous immunization.,
026295,10/23/1990,TN,0.2,M,,CDC Reports: 2 mo infant received DTP/OPV on 14NOV89 and died 17NOV89.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,11/17/1989,,,,,,,N,11/14/1989,11/17/1989,3,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026296,10/23/1990,TX,0.2,M,,CDC Reports: 3 mo infant received DTP/OPV on 12DEC89 and died same day. Infant was put down for a nap approx 1PM. Mother checked on infant approx 4PM no response dead on arrival at hospital.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,12/12/1989,,,,,,,N,12/12/1989,12/12/1989,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026297,10/23/1990,VT,0.2,M,,CDC Reports: 2 mo infant received DTP/OPV on 14DEC89 and died 1JAN90.,8,APNEA,EDEMA BRAIN,HYPOXIA,INFECT,LUNG DIS,PETECHIA,RESPIRAT DIS,SIDS,,,,,,,,,,,,,Y,01/01/1990,,,,,,,N,12/14/1989,01/01/1990,18,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026298,10/23/1990,AZ,4.9,M,10/10/1990,"Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.",2,ASTHENIA,FEBRILE SEIZURE,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/09/1990,10/10/1990,1,,5,DTP,FLU,HIBV,MMR,OPV,,,,PVT,PVT,,,,
026299,10/29/1990,NJ,0.5,M,,"Pt vaccinated with DTP experienced unusual, high pitched crying.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/05/1990,10/05/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026300,10/29/1990,NY,1.3,F,,Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,09/21/1990,10/02/1990,11,EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal,1,MMR,,,,,,,,PVT,UNK,,,No history of allergies,
026301,10/29/1990,AZ,16.0,F,,"Pt vaccinated with TD became faint, nauseated & sweaty. BP dropped from 116/84 before injection to 90/60. No Syncope. After resting 2-3 min BP rose to 102/72. After 30 min she felt well enough to leave for home. 3 hrs later all right now.",4,DIZZINESS,HYPOTENS,NAUSEA,SWEAT,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/20/1990,09/20/1990,0,,1,TD,,,,,,,,PVT,UNK,,,,
026302,10/29/1990,OK,62.0,F,,Pt vaccinated with Influenza Vaccine development of Guillain Barre Synd had influenza vaccine on 21AUG90.,1,GUILLAIN BARRE SYND,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,08/21/1990,09/01/1990,11,CSF Protein 104,1,FLU,,,,,,,,PUB,UNK,"Bentyl, Zantac, Tylenol, Maalox, Centrium Vitamins",,Plasmapheresis,
026303,10/29/1990,NY,1.5,M,,Pt vaccinated with DTP temp 104.5 that evening. Tem 101 on 12OCT90.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/11/1990,10/11/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026304,10/29/1990,NJ,0.2,F,,Pt vaccinated with DTP/OPV developed fever 102.0F; screaming Episode lasting greater than 3 hrs.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/24/1990,08/24/1990,0,,2,DTP,OPV,,,,,,,PUB,UNK,,,,
026305,10/29/1990,CA,0.5,M,10/02/1990,Pt vaccinated with DTP experience hyporeponsive episode for a few (6-8) hrs. Started 3-4 hrs after DTP.,1,HYPOKINESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/27/1990,07/27/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026306,10/29/1990,SC,,M,,"Pt vaccinated with Typhoid Vaccine developed increased pulse rate, increased blood pressure, shaking, chills and a temp of 104 degrees F.",5,CHILLS,FEVER,HYPERTENS,TACHYCARDIA,TREMOR,,,,,,,,,,,,,,,,,,,,,,Y,,U,,,,,1,TYP,,,,,,,,UNK,UNK,,,,
026308,10/31/1990,WY,46.2,F,10/16/1990,"Pt vaccinated with TD experienced localized reaction, lizuifactive necrosis -no purulence. On 13JAN89 sore lesion, continue drressing, tender draining, bact inf. Cloxicillin x 7days. FEB89 Pt hospitalized, surgeon reports necrosis in sc fat",3,INJECT SITE REACT,NECRO INJECT SITE,ULCER SKIN,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,12/29/1988,01/09/1989,11,,1,TD,,,,,,,,PVT,PUB,,Lingering tonsil inf.,,Abscess form as a child; Horse serum but unk dose unk.
026309,10/31/1990,TX,0.1,F,10/11/1990,"Pt vaccinated with DTP/OPV began manifest seizures. These were brought to the drs attention 2 wks later & pt was placed on Phenobarbital,seizures now controlled.",1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/12/1990,09/15/1990,3,CBC MRI Head CA MG PO4 EEG Urine Metabolic Screen,2,DTP,OPV,,,,,,,OTH,UNK,,,,
026310,10/31/1990,UT,0.2,M,10/18/1990,Pt vaccinated with DTP experienced Grade 4 apnea/bradycardia spell approx 23 hrs after immunication with significant cyanosis treated w/vigorous stimulation & increase in oxygen.,3,APNEA,BRADYCARDIA,CYANOSIS,,,,,,,,,,,,,,,,,,,,Y,,,,Y,,Y,07/09/1990,07/10/1990,1,"CBG 1 hr /p event on 40% O2, PH 7.33, PO2 44, PCO2 52, Bicarb 26, Base excess 2.2",1,DTP,,,,,,,,PVT,OTH,Vitamin Supplement,"Prematurity, chronic lung dz","Hx of mult med problems, all resolved but chronic lung dz",
026311,10/31/1990,TX,0.2,F,10/17/1990,"Pt given DTP/OPV at 11:30AM, approx. 1-3PM pt screamed unconsolably. pt returned at 4-4:30pm, where exam revealed normal female infant. Infant required no treatment.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/09/1990,10/09/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026312,10/31/1990,NE,0.2,F,10/17/1990,"Pt vaccinated /w DTP/OPV fell asleep /p shot, woke up w/5cm reddened area over lt leg where shot given, had high pitched inconsolable crying. Finally did stop /p  1 1/2 hrs when baby fell asleep in care on way to clinic. Exam by Dr., pt OK",2,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/15/1990,10/15/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Ceclor 125mg/5cc TID for otitis,Otitis clearing,normal delivery normal,
026313,10/31/1990,IA,0.2,M,10/19/1990,"Pt vaccinated /w DTP experienced pallor, hypotonia, Unresponsiviness for 60min.",3,HYPOTONIA,PALLOR,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/16/1990,10/19/1990,3,,1,DTP,,,,,,,,PVT,PVT,,,,
026314,10/31/1990,OH,17.6,F,10/18/1990,"Pt vaccinated with Tet Toxiod on 4SEP90, on 6SEP90 pt returned; redness, swelling, warmth of lt arm where injection was given. Benedryl 25mg tid given.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/04/1990,09/05/1990,1,,1,TTOX,,,,,,,,PVT,PVT,Loestrin 1.5/30,Needed injection for school.,Osteochondronetosis of lt leg bone disease.,
026315,10/31/1990,ID,2.7,M,10/17/1990,Pt vaccinated with OPV/DTP/MMR/HIBV rash started last night.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/15/1990,10/16/1990,1,,4,DTP,HIBV,MMR,OPV,,,,,PVT,PUB,Finished Septra 13OCT,,,
026316,10/31/1990,AZ,1.4,M,,"Pt vaccinated /w PROHIBIT developed generalized urticarial rxn & local swelling/induration @ inject site. Began 12-14 hrs /p shot. Later developed some bruising ie Erythema multiforme type rxn, 2 wk following developed E. Mult rash  again",5,ECCHYMOSIS,ERYTHEMA MULT,INJECT SITE REACT,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/01/1990,10/02/1990,1,,1,HIBV,,,,,,,,PVT,PVT,,,,
026317,10/31/1990,NY,5.2,F,10/18/1990,"Pt vaccinated /w DTP/MMR developed acute allergic rxn involving diffuse urticaria, rhinonlea, sneezing, cough & wheezing within 60 sec of inject. Pt required Epinephrine & Diphenydramine inject.",5,ALLERG REACT,ASTHMA,COUGH INC,RHINITIS,URTICARIA,,,,,,,,,,,,,,,,,,Y,Y,,,,,Y,10/10/1990,10/10/1990,0,,2,DTP,MMR,,,,,,,PUB,PUB,,Anaphalaxis type rxn @ time of vacc.,,
026318,10/31/1990,AL,92.0,F,10/17/1990,Pt vaccinated with Influenza Trivalent A&B at 11:00AM on 9OCT90 fever noted at 8:00AM 11OCT90 Pt died 2:30AM 12OCT90.,1,FEVER,,,,,,,,,,,,,,,,,,,,Y,10/12/1990,,,,,,,N,10/09/1990,10/11/1990,2,All lab work WNL,1,FLU,,,,,,,,PVT,PVT,"Dipyridamold, Furosemide,Dioctolose, Chloraseptic, Methyldopa ,MOM, Aldomet","Rt lacunar Infarct Temp Area, Hypertens.","Rt Hemispheric stroke /w lt hemiparesis, lt facial weakness, aphasia, dysarthria, hypertension, limited ambulatory ability 2nd to stoke",
026319,10/31/1990,NY,0.2,M,,Pt vaccinated with DTP/OPV experienced screaming episode lasting more than 4 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,07/12/1990,,,2,DTP,OPV,,,,,,,PUB,UNK,,,,
026321,10/31/1990,MO,2.0,F,,Pt vaccinated with PROHIBIT developed severe hives. No other adverse rxns noted. Rash started on 7JUL90 evening.,2,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,07/06/1990,07/09/1990,3,,1,HIBV,,,,,,,,UNK,UNK,,,,
026322,10/31/1990,NY,34.0,M,,"Pt vaccinated with Typhoid Vaccine experienced dizziness, nausea, abdominal cramps, paleness, chills, & a fever of 104. Pt hospitalized and following the administration of normal Saline IV recovered.",6,CHILLS,DIZZINESS,FEVER,NAUSEA,PAIN ABDO,PALLOR,,,,,,,,,,,,,,,,,,,,,Y,,Y,,,,,1,TYP,,,,,,,,UNK,UNK,,,,
026325,10/31/1990,OH,4.0,F,,"Pt vaccinated with DTP developed red swollen upper arm, fever after receiving shot.",2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/30/1990,08/31/1990,1,,1,DTP,,,,,,,,UNK,UNK,,,,
026326,10/31/1990,CT,28.0,F,,"Pt vaccinated with MMR experienced dizzy, migraine, fever & chills developed after reeiving vaccine. Headache persists 15OCT.",5,CHILLS,DIZZINESS,FEVER,HEADACHE,MIGRAINE,,,,,,,,,,,,,,,,,,,,,,,,U,10/12/1990,10/12/1990,0,,1,MMR,,,,,,,,UNK,UNK,,,,
026327,10/31/1990,NJ,0.2,F,,Pt vaccinated with DTP experienced inconsolable crying x 3 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/19/1990,09/19/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026328,10/31/1990,NJ,0.2,F,,"Pt vaccinated with DTP experienced cold, pale, crying x 2 hrs (shrieking) temp 101.",4,CHILLS,FEVER,PALLOR,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,U,10/11/1990,10/11/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026329,10/31/1990,CA,0.2,F,,Pt vaccinated with DTP experienced high ptiched cry for several hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/10/1990,10/11/1990,1,,1,DTP,,,,,,,,PVT,UNK,,,,
026330,10/31/1990,PA,68.0,F,,"Pt vaccinated with DT experienced rt upper arm erythematous, warm to touch edematous into elbow area. DT given 8OCT90. Pt admitted 12OCT90 with dx of cellulitis rt arm.",3,CELLULITIS,RASH,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/08/1990,10/10/1990,2,,1,DT,,,,,,,,PVT,UNK,,,,
026332,10/31/1990,DE,80.2,F,10/10/1990,"Pt vaccinated w/Influenza Virus Vaccine experienced vertigo, slurred speech, & excessive sweating. Hospitalized & found to be severely hypoglycemic.",4,HYPOGLYCEM,SPEECH DIS,SWEAT,VERTIGO,,,,,,,,,,,,,,,,,,,,,Y,,,,U,10/08/1990,10/08/1990,0,Blood Glucose 22 mg/d1,1,FLU,,,,,,,,PVT,PVT,,,No previous hx of hypoglycemia or hyperglycemia,
026333,10/31/1990,SD,4.0,F,,"Pt vacc. HIB 31AUG90 9AM later that day developed severe headache, fever, body aches, sore throat.",4,FEVER,HEADACHE,PAIN,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,,,U,08/31/1990,10/31/1989,-304,Throat culture CBC,1,HIBV,,,,,,,,UNK,UNK,,,Pt tested positive for Hepatitis A 14SEP90,
026334,10/31/1990,,0.2,M,,"Pt vaccinated with DTP developed jerking of arms & legs for 15 seconds, eyes glassy appearance, probable seizure-occurred 1 hrs after vaccine given.",2,CONVULS,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,10/15/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026335,10/31/1990,IL,0.2,M,10/19/1990,Pt vacc. /w DTP/OPV experienced non-stop crying for 3 hrs also was lethargic & had a loss of appetite.,3,ANOREXIA,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/17/1990,10/17/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026336,10/31/1990,MD,0.2,M,10/23/1990,"Pt vacc. /w DTP/OPV developed fever to maximum 100, mild irritability x3d. Pt then found dead in crib on day 3.",3,AGITATION,FEVER,SIDS,,,,,,,,,,,,,,,,,,Y,07/29/1990,,,,,,,N,07/26/1990,07/29/1990,3,Post mortem exam nonspecific. Parents advised by medical examiner that child died of SIDS.,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026337,10/31/1990,TX,0.2,F,10/18/1990,Pt vacc. /w DTP/OPV persistent high pitched crying x 8 hrs /p shot given. Fever 102 lasting 18 hrs. No seizures.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/29/1990,08/29/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
026338,10/31/1990,NY,0.2,F,10/19/1990,Pt vaccinated with DTP developed inconsolable crying > 3 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/26/1990,07/26/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026339,10/31/1990,VA,0.4,M,10/22/1990,Pt vacc. /w DTP/OPV began /w fever shortly /p shot treated w/Tylenol q4h. generalized tonic/clonic seizure last about l hr child taken to hosp & admitted temp of 102.6 discharges after 2 days.,2,FEVER,HYPOTONIA,,,,,,,,,,,,,,,,,,,,,,,Y,2,,,Y,03/19/1990,03/20/1990,1,"Blood Culture - No growth; EEG - Normal; CBC-WBC - 20.7 CSF - no growth; Platelets - 455,000",2,DTP,OPV,,,,,,,PVT,PVT,,,,Convulsion in sister with DTP
026340,10/31/1990,TX,0.3,M,10/15/1990,Pt vacc. /w DTP/OPV experience a sleeping reaction.,1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/08/1990,10/08/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026341,10/31/1990,SC,0.2,F,10/20/1990,Pt vaccinated with DTP/OPV then developed high pitch scream > 3 hrs after inject onset 5 hrs after inject. Duration 48-72 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/15/1990,10/15/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026342,11/02/1990,CA,0.5,F,10/19/1990,"Pt vaccinated with DTP/OPV developed fever 102, uncomfortable, poor sleep x 3 wks, poor appetite, occasional shakes, mother did not report until time for next shot-not examined at time of problems to r/o other illness, etc. Refused 2nd DTP.",5,AGITATION,ANOREXIA,FEVER,INSOMNIA,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,Y,07/17/1990,07/17/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,Well baby,,
026343,11/02/1990,WI,0.2,F,10/22/1990,Pt vaccinated with DTP/OPV became pale & decreased responsiveness only 5 min after inject. No fever. Did vomit 1st but no aspiration. Arousable but would fall back asleep. Color improved over 10-15min. No further sequelae.,4,PALLOR,SOMNOLENCE,STUPOR,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/18/1990,10/18/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Fluoride Drops,,,
026344,11/02/1990,CA,0.4,M,10/14/1990,"Pt vaccinated with DTP developed temp 104, cried excess more than 4 hrs.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/07/1990,09/08/1990,1,,1,DTP,,,,,,,,PVT,PVT,,,,
026345,11/02/1990,NC,0.3,F,10/21/1990,Pt vaccinated with DTP/OPV cried non stop for 1 1/2 hrs. Cry high pitched.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/10/1990,09/10/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Luride,,Hx of Hipdysplasia - treated resolved,
026346,11/02/1990,NC,0.4,M,10/21/1990,"Pt vaccinated with DTP/OPV developed fever, rt leg pain 23AUG90; Rt thigh swollen & hot, temp 101.6; IV antibiotics & rechecked Follow-up 4SEP90 showed 3x4 CM cyst mass has resolved-never ""pointed"" or drained.",3,FEVER,INJECT SITE REACT,PAIN,,,,,,,,,,,,,,,,,,,,,,Y,5,,,Y,08/07/1990,08/23/1990,16,"WBC 9000, 37Segs 5 bands, 52 lymp 6 mono Sedrate 8mm, Xrays rt leg & pelvis & bone scan normal Blood culture Neg, ultrasound neg,",2,DTP,OPV,,,,,,,PVT,PUB,,,,
026347,11/02/1990,IN,1.5,F,10/24/1990,"Pt vaccinated with DTP/OPV developed fever at 3PM to 102.3F, @ 5PM tremors began w/increased sleepiness. Problems continued through evening w/ pt. Seen in Urgent care next morning. Vitals stable & w/Tylenol problems resolved in next 24 hrs.",3,FEVER,SOMNOLENCE,TREMOR,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/19/1990,10/19/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Tri-vi Flor 0.25mg qd,,,
026348,11/02/1990,WI,1.6,M,,Pt vaccinated with PROHIBIT developed fever to 104 axillary.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/22/1990,,,WBC 12.0,1,HIBV,,,,,,,,PVT,PVT,,,"former premature, previous seizures",
026349,11/02/1990,VT,,F,,"Pt was exposed to a child who had been vaccinated with rubella virus vaccine live.subsequently,the pt developed chronic fatigue synd symptoms consistent w/rubella viremia, @ confirmed w/ elevated titers. F/U O8MAR91: PT IS 40 Y.O. female.",5,ASTHENIA,DIARRHEA,FEVER,GI DIS,INFECT,,,,,,,,,,,,,,,,,,,,,,,Y,U,,,,,1,R,,,,,,,,UNK,UNK,,,,
026350,11/02/1990,AL,13.0,M,,"Pt vax /w MMR pt felt funny & sleepy/tired & arm was hurting.Pt fell to floor & had no P,unresponsive &not breathing.Went to hosp.Pt awoke c/o headache & stomach ache.Hosp for observation.Pt exp life threatening",7,APNEA,HEADACHE,HEART FAIL,PAIN,PAIN ABDO,SOMNOLENCE,STUPOR,,,,,,,,,,,,,,,,Y,,Y,,,,U,08/17/1990,08/17/1990,0,,1,MMR,,,,,,,,UNK,UNK,,,,
026351,11/02/1990,OR,32.0,F,,Pt vaccinated with MRVAX developed labyrinthitis and was hospitalized. Pt recovered. A consulting otolaryngologist did not attribute the pt experience to vaccination w/MR.,1,VESTIBUL DIS,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,05/08/1990,,,,1,MR,,,,,,,,PVT,UNK,,,,
026352,11/02/1990,CA,4.0,M,,"Pt vaccinated with Pedvax HIB experienced stiffness in walking causing limping, & pain & swelling at inject site and lt thigh and knee. Was hospitalized on 1SEP90 where his temp 102.8, pulse 128, & resp rate 28, treated w/IV Cefazolin.",4,FEVER,GAIT ABNORM,HYPERTONIA,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,08/24/1990,08/31/1990,7,,1,HIBV,,,,,,,,UNK,UNK,,,,
026354,11/02/1990,NJ,36.0,F,,"Pt vaccinated with RecombivaxHB developed rt hemiparesis which persisted for twelve hrs. At time of the report hemiparesis was gradually resolving with some residual rt arm numbness, rt leg numbness, & motor deficit.",3,ASTHENIA,HEMIPLEGIA,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,08/21/1990,08/31/1990,10,"Physical Examination, including reflexes, was essentially negative.",1,HEP,,,,,,,,UNK,UNK,,,,
026355,11/02/1990,WA,0.3,M,,"Pt vaccinated with DTP developed persistent inconsolably crying over 24 hr period, temp 102.R.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/08/1990,10/08/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026356,11/02/1990,,67.0,F,,"Pt vaccinated Pneumovax developed Lt arm local swelling, lt elbow arthritis & pain -joint erythema, headache, weakness, unsteady gait. No other neurologic abnormalities.",6,ARTHRITIS,ASTHENIA,GAIT ABNORM,HEADACHE,INJECT SITE REACT,RASH,,,,,,,,,,,,,,,,,,,,,,,U,10/08/1990,10/08/1990,0,,1,PPV,,,,,,,,UNK,UNK,"Macrodantin, Dilantin, Sulfa",,Hx seizure d/o; PPD +,
026357,11/02/1990,LA,0.5,M,,Pt vaccinated with DTP developed temp 103 axillary.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/18/1990,09/18/1990,0,,1,DTP,,,,,,,,PVT,UNK,,,,
026358,11/02/1990,,1.3,M,,"Pt vaccinated MMR experienced nervous system damage which included encephalopathy, which resulted in internal, neurological, orthopeidc, psychological, & psychiatric injuries.",5,BONE DIS,ENCEPHALOPATHY,NEUROPATHY,PERSON DIS,PSYCHOSIS,,,,,,,,,,,,,,,,,,,,,,,Y,U,08/19/1986,08/30/1986,11,,1,MMR,,,,,,,,UNK,UNK,,,,
026359,11/02/1990,WV,48.0,F,,Pt vaccinated with Diabetes mellitus was vaccinated with Recombivax HB experienced chest pain and was hospitalized. Treat with unspecified prescription therapy & subsequently recovered,1,PAIN CHEST,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,03/30/1990,04/06/1990,7,,1,HEP,,,,,,,,PVT,UNK,Halcion,,Diabetes mellitus,
026362,11/02/1990,IL,26.0,F,,"Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm  facial numbness, SEE WORM.",2,PARESTHESIA,VISUAL FIELD DEFECT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,12/18/1986,12/18/1986,0,,1,HEP,,,,,,,,PVT,UNK,,,"Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin",
026323,11/05/1990,IL,,U,,"A RN nurse reported that 15 pt's developed symptoms of multiple sclerosis following vacc. w/Hepatitis B vaccine (Recombinant). FDA contacted reporter, who said she was not reporting cases but asking MSD is there assoc.of MS /w the vaccine?",1,SCLEROSIS MULT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026396,11/05/1990,IL,2.2,F,10/22/1990,Pt vaccinated with Haemophilus b conjugate developed temp up to 104.8 following day occassional episodes of vomiting.,2,FEVER,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/14/1990,09/15/1990,1,,1,HIBV,,,,,,,,PVT,PVT,,,Premature Infant; S/P H Flu Meningitis age 3 months,
026397,11/05/1990,SD,0.2,F,10/24/1990,"Pt vaccinated with first DTP/OPV several hrs later had persistent, unconsolable screaming/crying x 3 hrs.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/23/1990,10/23/1990,0,,2,DTP,OPV,,,,,,,MIL,MIL,Tylenol,,,
026398,11/05/1990,LA,54.1,M,10/22/1990,"Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.",5,ARTHRALGIA,FEVER,MYALGIA,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/13/1990,10/13/1990,0,"WBC 2.8, HGB & HCT- WNL",2,FLU,TYP,,,,,,,MIL,MIL,,,,
026399,11/05/1990,IA,36.0,F,,Pt vaccinated with Engerix-B developed chest pain increased w/deep inspiration. After the second dose chest pain radiated into lt arm. Some gastroinstestinal disturbance; See WORM for more details.,2,GI DIS,PAIN CHEST,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/14/1989,11/19/1989,5,,1,HEP,,,,,,,,UNK,UNK,,,36yold caucasian Ht 64 inch wgt 220 lbs Allergic to sting of bees.,
026400,11/05/1990,SC,24.9,M,10/06/1990,"Pt vaccinated with Typhoid developed increased pulse rate, increased blood pressure, shaking, chills, & a temp of 104, tremor and shortness of breath.",8,CHILLS,DYSPNEA,FEVER,HYPERTENS,HYPOTENS,TACHYCARDIA,TREMOR,VASODILAT,,,,,,,,,,,,,,,Y,,Y,2,,,Y,09/18/1990,09/18/1990,0,"PH 7.48; PCO2 28 mm hg;  HCT 38.3%; RBC 4.4 mil/cu mm; Platelets 128,000/cu/mm; PO2 196 mm HG;  Hbg 14.1 mg/d1;  WBC 13,100/cu mm Chem 7 normal",1,TYP,,,,,,,,MIL,MIL,,,,
026401,11/05/1990,IN,0.5,M,10/24/1990,"Pt vaccinated with DTP developed fever, vomiting, lethargy, and bulging fontanelle. Observed closely. No antibiotics given. Bulging fontanelle subsided within hrs after LP. Fever persisted 5 days. Poor appetite for 5-6 days. Full recovery.",5,ANOREXIA,FEVER,INTRACRAN HYPERTENS,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,Y,4,,,Y,10/11/1990,10/11/1990,0,"CBD - WBc 10,400; HGB 9.7, HCt 33.5%; LP -clera CSF, CSF culture neg, glucose 74 MG%, 4 WBC, 22 RBC, Protein 22 Gram Stain neg",1,DTP,,,,,,,,PVT,PVT,,,"Prematurity 35-36 wks, transient RDs, jaundice, asthma, otitis media.",
026402,11/05/1990,CA,0.4,M,10/24/1990,Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.,3,CONVULS,HYPONATREM,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,Y,1,,,Y,10/09/1990,10/09/1990,0,PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026403,11/05/1990,IL,0.2,M,10/23/1990,"Pt vaccinated with DTP/OPV experienced 2 hrs after immunization, pt. had 6 hrs of non-stop crying.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/19/1990,10/19/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026404,11/05/1990,NC,1.5,M,10/24/1990,Pt vaccinated with DTP/OPV/Prohibit developed constant crying for about 5 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/18/1990,10/18/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,
026405,11/05/1990,MA,0.4,M,09/28/1990,"Pt vaccinated with DTP/OPV cried 2 1/2 - 3 days & almost cont, no sleep night of shot & altered sleep. Small local rxn, marked fussiness, no sleep except dozing . Lg local rxn, now sleeps fitfully & shudders occasionally.",6,AGITATION,INJECT SITE REACT,INSOMNIA,SCREAMING SYND,SLEEP DIS,TREMOR,,,,,,,,,,,,,,,,,,,,,,,U,09/11/1990,09/11/1990,0,,2,DTP,OPV,,,,,,,MIL,MIL,,,,
026406,11/05/1990,TX,2.2,M,10/24/1990,"Pt vaccinated with MMR/DTP/OPV experienced fever 103, generalized rash, Lt knee arthralgia/arthritis, flare up of eczema, abscess at injection.",5,ABSCESS INJECT SITE,ARTHRALGIA,ARTHRITIS,FEVER,RASH,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/27/1990,10/10/1990,13,,3,DTP,MMR,OPV,,,,,,PVT,UNK,,,mild reactive arrvoys,
026407,11/05/1990,CA,0.2,F,10/22/1990,"Pt vaccinated with DTP experienced screaming > 4 hrs, listless & floppy, no cyanosis, no S2.",3,HYPOTONIA,MALAISE,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/16/1990,10/16/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026408,11/05/1990,NJ,0.2,M,10/23/1990,"Pt vaccinated with DTP/OPV on 16OCT90 child admitted to hosp w/temp of 104, vomitting & lethargy.",3,FEVER,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,10/15/1990,10/17/1990,2,"Spinal tap, WBC 800, Lymphs 34, Polys 47, Mono 9, RBC 4, Protein 138.1, Glu 43, L acid 3.1",2,DTP,OPV,,,,,,,PVT,PVT,,,,
026444,11/07/1990,MA,5.4,F,10/26/1990,"Pt vaccinated with DTP/OV 15min /p leaving clinic experiencing vomit & ""go limp"", & turn pale - episode lasted few seconds. Child quickly recovered & returned to clinic. MD saw child. No treatment given.",3,HYPOTONIA,PALLOR,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/21/1990,09/21/1990,0,,2,DTP,OPV,,,,,,,OTH,PUB,,,Allergy to Ampicillin,
026445,11/07/1990,NY,42.4,M,10/31/1990,Transient arthralgia which became permanent & * FDA did not test this drug on pt who had Ehler-Danlos Synd,1,ARTHRALGIA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,N,10/07/1983,04/01/1986,907,"Latex fixation, Xrays",1,HEP,,,,,,,,PVT,OTH,none,none,Ehlers-Danlos Synd,
026446,11/07/1990,TX,0.2,F,10/31/1990,"Pt vaccinated with DTP/OPV symptoms started approx 10PM 31JUL90; listlesssness, loss of appetite, gagging, paleness, seen at  ER, condition improved upon arrival- no treatment necessary.",4,ANOREXIA,MALAISE,PALLOR,VOMIT,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,07/30/1990,07/30/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,Tempra,,,
026447,11/07/1990,NY,32.0,F,10/29/1990,Pt vaccinated with DT developed 7 X 5 CM area there is area of size largly heamous under skin.,1,HEM,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/23/1990,,,,1,DT,,,,,,,,PVT,PVT,,,,
026448,11/07/1990,PA,,F,,"Pt vaccinated with ENGERIX-B experienced Bell's Palsy w/paresthesia of the lt side of her face, headaches, blurred vision in her lt eye, a low-grade fever, malaise, hypotension, and mild bilateral sensory hearing loss. Hosp for neuro workup",7,AMBLYOPIA,DEAF,FEVER,HEADACHE,HYPOTENS,MALAISE,PARALYSIS FACIAL,,,,,,,,,,,,,,,,,,,,Y,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026449,11/07/1990,OH,31.0,F,,"Pt vaccinated with Recombivax HB developed fever, chills, fatigue, nausea, & vomiting which progressed to peritonitis. Was hospitalized for an unknown time, & discharged. Now undergoing test for Epstein-Barr virus infection.",6,ASTHENIA,CHILLS,FEVER,NAUSEA,PERITONITIS,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,"Allergy, drugs",
026450,11/07/1990,WI,,U,,Pt vaccinated with Recombivax HB MD reported pt developed multiple sclerosis following vaccination w/Hepatitis B vaccine RECOMBINANT.,1,SCLEROSIS MULT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,12/18/1988,01/19/1989,32,,1,HEP,,,,,,,,UNK,UNK,,,,
026451,11/07/1990,WI,,U,,Pt vaccinated with Recombivax HB MD reported pt developed multiple sclerosis following vaccination w/Hepatitis B vaccine (Recombinant). Additional details being requested.,1,SCLEROSIS MULT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026452,11/07/1990,AR,47.0,F,,"Pt vaccinated with Recombivax HB developed nausea, vomiting, headaches, fatigue, & increased liver enzymes. Was hospitalized treated w/ electrolytes & unspecified drugs & recovered.",5,ASTHENIA,HEADACHE,LIVER FUNC ABNORM,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,Y,4,,,Y,09/01/1990,10/01/1990,30,,1,HEP,,,,,,,,UNK,UNK,Desmopressin Acetate-Chlorobutanol-Sodium Chloride,,,
026453,11/07/1990,WI,,U,,Pt vaccinated with Recombivax HB developed multiple sclerosis following vaccination. Additional info being requested.,1,SCLEROSIS MULT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,11/18/1984,11/19/1984,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026455,11/07/1990,OH,10.0,F,,"Hives on face and arm, approx. 18 hrs /p receiving adult DT",1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10/16/1990,10/17/1990,1,,1,DT,,,,,,,,UNK,UNK,,,,
026456,11/07/1990,CA,0.2,F,,Pt vaccinated with DTP developed 3 x 4 swollen mass with overlying 1 1/2cm erythema.,2,EDEMA,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/22/1990,10/22/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026457,11/07/1990,WA,46.0,F,,"Pt vaccinated /w Influenza developed nausea & myalgia; /p 16 hrs chest pain, sweats & chills. Taken to ER dx by ER as ""Panic Attack;"" was hypervent. Released after resp. normal.",6,CHILLS,HYPERVENTIL,MYALGIA,NAUSEA,PAIN CHEST,SWEAT,,,,,,,,,,,,,,,,,,Y,,,,,U,10/15/1990,10/15/1990,0,EKG=WNL,1,FLU,,,,,,,,UNK,UNK,,,,
026458,11/07/1990,,1.5,F,,"Pt vaccinated with DTP approx 40 hrs after DTP/OPV had episode wher dropped to floor, was limp & unresponsive, became cyanotic, then approx one min later began to breathe.",3,CYANOSIS,HYPOTONIA,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/16/1990,10/18/1990,2,"Bicarbinate 17, Repeat several hrs later 21. 22OCT90 EEG-Normal",1,DTP,,,,,,,,UNK,UNK,Acetaminophen,,,
026459,11/07/1990,PA,1.5,M,,Pt vaccinated developed swollen red area & warm to touch.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/25/1990,10/25/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026460,11/07/1990,NY,0.3,M,,Pt vaccinated with DTP developed high pitched unusual cry lasting 2 hrs after DTP #2.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/24/1990,08/24/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026462,11/07/1990,TX,52.5,F,,"Pt vaccinated with Pneumococcal vaccine, attorney alleges that as a result of immunization, pt developed Guillain-Barre Synd and is partially paralyzed.",6,ANA,ESR INC,GUILLAIN BARRE SYND,HYPOTONIA,NEUROPATHY,PARALYSIS,,,,,,,,,,,,,,,,,,,Y,,,Y,N,08/08/1990,09/02/1990,25,,1,PPV,,,,,,,,UNK,UNK,,,,
026463,11/07/1990,MI,62.9,F,10/17/1990,"Pt dev flu-like resp sxs more than a wk /p being admin Flu vax. Pt expired, cause unknown, 16OCT90.  F/U 05NOV90:  PT WAS TERMINALLY ILL W/ MALIGNANT BRAIN TUMOR, DEV RESP COMPLICATIONS, SHALLOW BREATHING, T 101.8 & CONGESTION 12 D P/ VAX",7,APNEA,ATELECTASIS,FEVER,FLU SYND,HYPOVENTIL,PNEUMONIA,RHINITIS,,,,,,,,,,,,,,Y,10/16/1990,,,,,,,N,10/01/1990,10/01/1990,0,"CHEST X-RAY:  PNEUMONIA, BILAT BASILAR ATELECTASIS.  WBC 13,900/CU.MM.  LYMPHS = 9800/CU MM",1,FLU,,,,,,,,PVT,OTH,NONE SPECIFIED,CANCER,PT WAS TERMINALLY ILL W/ MALIGNANT BRAIN TUMOR,
026464,11/09/1990,,0.3,M,,"Pt vaccinated /w DTP 1st & ONLY 12AUG89, slept for 19 hrs & began deteriorating (quit rolling over & was non-responsive) & suffered seizures & storkes, finally having a big storke 22NOV89 leaving him hemiplegic.",7,CEREBROVASC ACCID,CONVULS,COUGH INC,FEVER,HEMIPLEGIA,SOMNOLENCE,STUPOR,,,,,,,,,,,,,,,,,,Y,,,Y,N,08/12/1989,08/12/1989,0,MRI done /p big seizure 22Nov89,1,DTP,,,,,,,,PVT,UNK,,,,
026465,11/09/1990,AZ,44.0,F,,none,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/31/1990,09/06/1990,37,,1,TTOX,,,,,,,,UNK,UNK,,,,
026466,11/09/1990,TN,0.5,M,,"Pt vaccinated with DTP/OPV same day lethargic, & vomiting. Sister had previously had same reaction.",2,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,10/17/1990,,,2,DTP,OPV,,,,,,,UNK,UNK,,,,in sister has previously had same reactions
026467,11/09/1990,MA,43.0,F,,"Pt vaccinated with Engerix B experienced nausea, vomiting, diarrhea, abdominal cramping, low grade fever, headache, malaise, general weakness, vasovagal syncope. Lead to dehydration & subsequent hospitalization.",10,ASTHENIA,DEHYDRAT,DIARRHEA,FEVER,HEADACHE,MALAISE,NAUSEA,PAIN ABDO,SYNCOPE,VOMIT,,,,,,,,,,,,,,,,,Y,,U,08/28/1990,08/29/1990,1,Acute hepatitis profile: negative;  LFT's Not elevated;other labs unremarkable,1,HEP,,,,,,,,UNK,UNK,"Premarin, Fiorinal",Pt had "flu" wk prior to 2nd shot,Only aware of antiemetic therapy prescribed as a result of these reactions. Had "flu" wk before but no symptoms day of injection.,
026468,11/09/1990,,,U,,"Pt vaccinated with Recombivax HB experienced Temp 98.6, Arthargias & mono articulas, arthritis rt elbow, paresthesias.",3,ARTHRALGIA,ARTHRITIS,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/11/1990,05/11/1990,0,"ANA 80, CBC, UA, SMAc - WNL, RHF - NEG",1,HEP,,,,,,,,UNK,UNK,,,,
026469,11/09/1990,IA,0.2,M,,"Pt vaccinated with DTP/OPV 2 hrs after vaccine started vomiting, diarrhea, cold extremines, fretfulness, drowsiness.",5,AGITATION,DIARRHEA,SOMNOLENCE,VASC DIS PERIPH,VOMIT,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/01/1990,10/04/1990,3,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026470,11/09/1990,NJ,0.3,F,,"Pt vaccinated with DTP/OPV experienced unusal high pitched cry, hypersensitivity to stimulation.",2,HYPERESTHESIA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/22/1990,06/22/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026471,11/09/1990,PA,0.2,M,,"Pt vaccinated with DTP developed low grade fever, chest cold, cough. Admitted to  Hosp on 26OCT89 for 10 days dx pertussis. (whooping cough)",4,COUGH INC,FEVER,INFECT,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,Y,10,Y,Y,U,09/27/1989,10/26/1989,29,,1,DTP,,,,,,,,UNK,UNK,,,,
026472,11/09/1990,CA,0.2,F,,"Pt vaccinated with DTP experienced high pitched cry x several hrs, fever 104 with tylenol.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/08/1990,08/08/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026473,11/09/1990,LA,0.3,M,,Pt vaccinated with DTP developed temp 104 rectally. Swollen red leg.,2,EDEMA,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,10/16/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026480,11/09/1990,WA,0.2,F,,"Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.",3,APNEA,HYPOTONIA,STUPOR,,,,,,,,,,,,,,,,,,,,,,Y,,Y,,U,10/17/1990,10/17/1990,0,Normal pneumogram; Negative FA for RSV,1,DTP,,,,,,,,UNK,UNK,,,,
026482,11/09/1990,NY,0.5,F,,Pt vaccinated with DTP/OPV developed infantile spasms.,1,SPASM GENERAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/07/1990,06/21/1990,14,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026483,11/09/1990,CT,0.2,U,,"Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.",5,CONVULS,HYPERTONIA,INSOMNIA,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,,Y,04/18/1990,,,,,,,N,07/27/1989,,,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026474,11/12/1990,WA,18.0,M,,"Pt vaccinated /w MMR developed fever but not verified, 3 days /p vx onset of parotitis, primarily on lt side. lasted seven days. Seen in PM on 8May90 @ Urgent care cntr & 9MAY90 @ PMDs office.",2,FEVER,SIALADENITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/03/1990,05/06/1990,3,,1,MMR,,,,,,,,UNK,UNK,,,,
026475,11/12/1990,WI,30.0,F,,Pt vaccinated with MMR developed neuritis lt arm 2 degree shot given 19SEP90,1,NEURITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,09/23/1990,,,1,MMR,,,,,,,,UNK,UNK,,,,
026476,11/12/1990,IL,4.0,M,,"Pt vaccinated with DTP experienced severe leg swelling, prolonged screaming.",2,EDEMA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/15/1990,10/15/1990,0,,1,DTP,,,,,,,,UNK,UNK,Tylenol,,,
026477,11/12/1990,IL,26.0,F,,Pt vax /w Meruvax II experienced generalized weakness & paresthesis from feet to neck level. Also c/o of chest discomfort & shortness of breath on exertion. Generalized acute weakness w/ataxia of all limbs. Dx Guillian Barre Syd,6,ASTHENIA,ATAXIA,DYSPNEA,GUILLAIN BARRE SYND,PAIN CHEST,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,U,09/09/1990,10/01/1990,22,SSEP demonstrated presence of peripheral nerve/root level pathology in all 4 limbs and supports clinical dx of Guillian Barre Synd.,1,R,,,,,,,,PVT,UNK,"Prednisone, Ampicillin, Tylenol #3",,Dx with SLE 1987. 8SEP90 delivered a normal spontaneous vaginal delivery.,
026478,11/12/1990,NY,1.5,F,,"Pt vaccinated with MMR experienced mark eyelid edema, facial swelling some wheezing, difficulty 15 min after MMR inject.",2,ASTHMA,EDEMA FACE,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/10/1990,10/10/1990,0,,1,MMR,,,,,,,,PVT,UNK,,,,
026479,11/12/1990,NJ,1.2,M,,Pt vaccinated with DTP experienced irritability prolonged fussing syndrome.,1,AGITATION,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/19/1990,10/19/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026484,11/12/1990,CA,1.5,F,10/30/1990,Pt vaccinated with DTP/OPV/HIB/MMR found apneic in crib on 06OCT90.,7,AGITATION,APNEA,CHILLS,FEVER,HEART ARREST,PAIN,VASODILAT,,,,,,,,,,,,,,Y,10/06/1990,,,,,,,N,09/27/1990,,,,4,DTP,HIBV,MMR,OPV,,,,,UNK,UNK,,,,
026485,11/12/1990,MI,12.2,M,10/23/1990,"Pt vaccinated with MMR experienced nausea/diaphoretic, collapsed in bathroom 10 mins after injection no loc - vasovagal response.",3,NAUSEA,SWEAT,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/23/1990,10/23/1990,0,,1,MMR,,,,,,,,UNK,UNK,,,,
026486,11/12/1990,OH,0.4,F,10/29/1990,"Pt vaccinated with DTP developed high-pitched screaming episode lasting 20 minutes, occurred evening of day DTP #2 was given.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/24/1990,07/24/1990,0,,1,DTP,,,,,,,,PVT,PUB,,,,
026487,11/12/1990,MA,0.6,F,10/29/1990,"Pt vax /w DTP/OPV developed T 103, did not sleep @ night. He kept on crying. Seen again on 18OCT for Rt Otitis media & 21OCT /w skin rash.",4,FEVER,INSOMNIA,OTITIS MED,RASH,,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/15/1990,10/17/1990,2,,2,DTP,OPV,,,,,,,PVT,UNK,,"URI, OM dx on 18OCT90 at BCH ER",,
026488,11/12/1990,MD,2.2,F,10/31/1990,Pt vaccinated with MMR pt lungs were clear before the MMR was given. Within 2 1/2 hrs had moderately severe wheezing. This resolved with Epinephrine. pt has no hx of asthma.,1,ASTHMA,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/29/1990,10/29/1990,0,,1,MMR,,,,,,,,PVT,PVT,,very mild viral URI.,,
026489,11/12/1990,MN,0.4,F,10/30/1990,Pt vax /w DTP/OPV 2 hrs after DTP/OPV parents noticed that child became limp & pale. Although limp she was responsive child vomited 1 time. Seen in ER. No treatment.,3,HYPOTONIA,PALLOR,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/24/1990,08/24/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026490,11/12/1990,WI,36.6,F,10/24/1990,"Pt vaccinated with Pneumococcal/Influenza developed local erythema& induration at inject site, sensation of tightness in throat; occurred 4 hrs after pt took Benadryl 50mg; tighness relieved; took 2nd dose in AM, size of erythema decreased.",2,INJECT SITE REACT,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/23/1990,10/23/1990,0,,2,FLU,PPV,,,,,,,PVT,PVT,Pepcid; Lo-ovral,,"Hx similar response to flu vaccine last yr, no problem this yr when flue vaccine given in divided doses.",
026491,11/12/1990,AZ,70.2,F,10/25/1990,"Pt vaccinated with Flu shot developed redness, swelling,rash. Injection was given 22OCT90. Pt did not report rx until it was gone on 25OCT90.",2,EDEMA,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/22/1990,10/22/1990,0,,1,FLU,,,,,,,,PVT,PVT,Lanoxin Thyroid,,,
026492,11/12/1990,PA,0.7,M,10/30/1990,"Pt vax /w DTP developed T105.6, crying, irritable, less than 24 hrs /p DTP, IV fluids & Rocephin IV & Decadron, cultures all neg; CBC consisant /w viral synd also had maculopapular rash. pt improved & decreased fever, D/C /w no restrctions.",5,AGITATION,FEVER,FLU SYND,RASH MAC PAP,SCREAMING SYND,,,,,,,,,,,,,,,,,,,Y,Y,4,,,Y,10/18/1990,10/18/1990,0,"CBC, Blood cultures, Chest x-ray, lumbar puncture & culture spinal fluid.",1,DTP,,,,,,,,PVT,UNK,Amoxicillin,,"Diarrhea, poss Bronchitis URI",
026493,11/12/1990,FL,68.0,M,10/31/1990,"Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89",7,ARTHRALGIA,DEAF,FEVER,HEADACHE,MYALGIA,MYOCLONUS,SYNCOPE,,,,,,,,,,,,,,,,Y,Y,,,,Y,N,11/27/1989,11/27/1989,0,"All enzymes, MI of quadriceps, EKG etc negative",1,HEP,,,,,,,,UNK,UNK,,,PAT-post total lip myositis 13 yrs ago.,
026494,11/12/1990,TN,0.9,F,11/01/1990,Pt vaccinated with OPV/DTP experienced febrile seizure.,1,FEBRILE SEIZURE,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,06/20/1990,,,CXR-Normal CBC,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026495,11/12/1990,AZ,27.5,M,10/30/1990,"Pt vaccinated with MMR experienced rash, fever, chills.",3,CHILLS,FEVER,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/19/1990,10/12/1990,23,Blood drawn 12OCT90; Rubeola AB IGM 47 rubella AB IGM positive,1,MMR,,,,,,,,OTH,PUB,"AZT; Keflex, VitC, Multivit",Immuno suppressed,Immuno suppressed,
026496,11/12/1990,OH,0.5,M,10/29/1990,"Pt vaccinated with DTP became irritable few hrs after receiving shot, temp 10 102.4 R after Tylenol, excessive crying.",3,AGITATION,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/22/1990,10/22/1990,0,,1,DTP,,,,,,,,PVT,PVT,,"Wheezing earlier in day, with cough",,
026497,11/12/1990,FL,53.4,F,10/29/1990,"Pt vaccinated with Influenza/PNU-IMUNE approx 1 hr following administration of vaccine pt developed nausea, vomiting, fever lasting approx 12 hrs.",3,FEVER,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/25/1990,10/25/1990,0,,2,FLU,PPV,,,,,,,PVT,PVT,,,,
026498,11/12/1990,CT,1.5,M,10/30/1990,Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.,10,ANOREXIA,DEHYDRAT,DIABETES MELL,DYSPNEA,FEVER,FLU SYND,HYPOTONIA,INSOMNIA,SCREAMING SYND,SOMNOLENCE,,,,,,,,,,,,,Y,Y,Y,7,,Y,N,03/28/1988,03/28/1988,0,,3,DTP,HIBV,OPV,,,,,,PVT,OTH,Septra,Otitis media - resolving,,
026500,11/12/1990,CA,9.0,M,,"Pt vaccinated with TD within hours after immunization, developed hives on arm where inject given plus face. Also, lips & tongue swelling & wheezing, as well as hearing loss. Recovered in 5 days. Had rash & swelling at inject site with DTP.",4,ASTHMA,EDEMA FACE,INJECT SITE REACT,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/30/1990,07/30/1990,0,,1,TTOX,,,,,,,,UNK,UNK,,,,
026501,11/12/1990,CA,0.2,M,,"Pt vaccinated with DTP/OPV six days after immunization 13APR90 developed lethargy, vomiting was hospitalized 20APR90. Dx Reye syndrome.",4,BRAIN SYND ACUTE,SGPT INC,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,Y,,Y,04/13/1990,09/20/1990,160,"SGOT - 158, SGPT 713, Lowes blood glucose 100 , salicylatc level 3mg, XSF protein 27, glucose 15, no WBCS",2,DTP,OPV,,,,,,,UNK,UNK,,,,
026502,11/12/1990,AZ,1.5,M,,"Pt vaccinated with PROHIBIT developed infection Epiglottitis, hospitalized.",2,INFECT,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,Y,4,,,Y,06/01/1989,10/14/1990,500,blood culture positive for H inf. b,3,DTP,HIBV,OPV,,,,,,PVT,PVT,none,none,none,
026504,11/12/1990,PA,66.0,F,,"Pt vaccinated with FLUOGEN developed sore throat, headache, earache, sinus drainage thru 22OCT90. Cough, congestion chest appt w/ Dr.  Given antibiotic & expectorant by MD dx URI. ""Symptoms not due to influenza injection.""",5,COUGH INC,HEADACHE,PAIN EAR,PHARYNGITIS,SINUSITIS,,,,,,,,,,,,,,,,,,,,,,,,U,09/26/1990,10/14/1990,18,Physical Exam only,1,FLU,,,,,,,,UNK,UNK,,,,
026505,11/12/1990,NY,0.2,M,,Pt vaccinated with DTP then "cried hysterically" for 8 hrs after injection.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/15/1990,08/15/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026506,11/12/1990,FL,46.0,M,,Pt vaccinated with Heptavax developed permanent arthralgia.,1,ARTHRALGIA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,10/01/1985,10/01/1985,0,,1,HEP,,,,,,,,UNK,UNK,,,Ehlers Danlos Synd - a contraindication of the drug,
026507,11/12/1990,ID,35.0,F,,"Pt vaccinated with Recombivax developed headache, chills, fever, neck & shoulder discomfort, stomach distress & nausea.",6,CHILLS,DYSPEPSIA,FEVER,HEADACHE,NAUSEA,PAIN NECK,,,,,,,,,,,,,,,,,,,,,,,U,09/14/1990,09/15/1990,1,,1,HEP,,,,,,,,PUB,UNK,,,No adverse rx to lst Recombivax dose given on 6JUL90.,
026508,11/12/1990,AK,27.0,F,,"Pt vax /w Meruvax II developed sore arm, seen in ER and sent home. on 3OCT90 the pt experienced blurred vision. At the time of the report, the pt remained under treatment.",2,AMBLYOPIA,PAIN,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,09/27/1990,10/01/1990,4,,1,R,,,,,,,,UNK,UNK,,,,
026587,11/12/1990,TX,51.0,F,,"Pt vaccinated with TTOX developed local rx hyperemia & chills, fever.",3,CHILLS,FEVER,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,U,,10/26/1990,,,1,TTOX,,,,,,,,PVT,UNK,Toprox Creme,,,
026589,11/12/1990,CT,1.6,F,10/31/1990,"Pt vax /w PROHIBIT developed T104 approx 10 hrs /p injection, T up to 104 x 2 days. Took 5 day to defervesce.  Suspect vaccine inadvertently given at onset of a viral illness.",1,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/23/1990,10/24/1990,1,"UA & cult normal, CBC Normal.",2,HIBV,OPV,,,,,,,PVT,PVT,,,,
026590,11/12/1990,OR,0.2,F,11/02/1990,"Pt vaccinated with DTP/HIB/OPV developed excessive crying, refusal to eat or drink, fusy & screaming x 48 hrs.",3,ANOREXIA,INSOMNIA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/30/1990,10/30/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,
026591,11/12/1990,NY,1.2,F,11/02/1990,"Pt vaccinated with MMR developed fever to 105F after innoculation, maculo papular blotches in face, also oral mucosa with white asians.",3,FEVER,RASH MAC PAP,ULCER MOUTH,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/15/1990,10/23/1990,8,,1,MMR,,,,,,,,OTH,PVT,,LSOM no other findings,,
026592,11/13/1990,TN,1.5,F,,Pt vaccinated with PROHIBIT DOA to  Hosp.,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,N,10/03/1990,10/26/1990,23,Autopsy pending,1,HIBV,,,,,,,,UNK,UNK,Estrace Cream,,Premature birth 2lbs 13 oz,
026593,11/13/1990,CA,0.2,M,11/02/1990,Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.,1,APNEA,,,,,,,,,,,,,,,,,,,,Y,10/31/1990,,,,,,,N,10/29/1990,10/31/1990,2,,2,DTP,OPV,,,,,,,PVT,PVT,Nystatin Ointment,Diaper Rash,,
026594,11/13/1990,PA,1.5,M,11/06/1990,Pt vaccinated with DTP/OPV 24 hrs after (4th dose) developed fever to 104.5. Behavior normal feeding adequately.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/30/1990,10/31/1990,1,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026596,11/13/1990,CA,80.0,F,,"Pt vaccinated with Influenza Vaccine 3-4 days after, pt had a seizure like episode at home, was found unresponsive and hospitalized. Admitted to ICU for 5 days. Treatment included oxygen and IV fluids. Discharged, admitted to Nursing Home.",3,CONVULS,ENCEPHALITIS,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/01/1990,,,,1,FLU,,,,,,,,UNK,UNK,,,,
026597,11/13/1990,CA,80.0,F,,"Pt vaccinated with Influenza Virus 3-4 days after vaccination, 80 yo woman found unresponsive, hospitalized. Pt had a seizure at home & another during hosp. Treatment included IV fluids. In ICU for 24 hrs dx altered level of consciousness.",3,CONVULS,STUPOR,THINKING ABNORM,,,,,,,,,,,,,,,,,,,,,,,,Y,Y,U,10/01/1990,09/18/1990,-13,,1,FLU,,,,,,,,UNK,UNK,,,,
026598,11/13/1990,GA,0.2,M,,Pt vaccinated with DTP/OPV experienced prolonged crying greater than 3 hrs after injection.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/04/1990,09/04/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,Tylenol,,,
026599,11/13/1990,TX,0.2,M,,Pt vaccinated with DTP/OPV developed hypotensive/hyporesponsive reaction; would not breathe unless stimulated. Taken & admitted to Hosp. Seen by neurologist. Treated as if he was septic.,2,CYANOSIS,HYPOVENTIL,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/03/1990,10/03/1990,0,"EEG, Head Sonogram - Normal; Lumbar Puncture - Negative. Eletrolytes - Normal.",2,DTP,OPV,,,,,,,UNK,UNK,,,Premature 29 wk w/ wt of 2 lab 10 oz. On ventilator times during first month of life. Pt was completely normal on day of DTP administration.,
026600,11/13/1990,TX,42.0,M,,"Pt vaccinated with Influenza Vaccine developed hives over entire body, low grade fever.",1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/09/1990,10/09/1990,0,CBC,1,FLU,,,,,,,,UNK,UNK,"Diazepam; Biscodyl, Demerol",,"Spastic & dystomiquadraplegia, Cerebral palsy",
026601,11/13/1990,NJ,36.0,F,,Pt vaccinated with Engerix-B receive first & 2nd dose a month apart.reported having joint pains since the second injection. Pains similar to those she experienced after the first injection. Admitted through the ER w/severe swelling knee.,2,ARTHRALGIA,ARTHROSIS,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,08/29/1990,10/06/1990,38,,1,HEP,,,,,,,,UNK,UNK,NSAID,,,
026602,11/13/1990,VA,36.0,M,,Pt vaccinated with Engerix-B vaccinee received a first dose on 10SEP90. Had onset of lymphadenopathy on 28SEP90 dx with thyroid cancer.,2,CARCINOMA THYR,LYMPHADENO,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/10/1990,09/28/1990,18,Biopsy results = papillary thyroid caner.,1,HEP,,,,,,,,UNK,UNK,,,,
026603,11/13/1990,CO,1.0,M,11/05/1990,Pt vaccinated with DTP/OPV found in bed about 10AM after put down for morning nap on 29OCT90. took to Hosp ER & unable to revive. Sudden Infant Death Syndrome.,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,10/29/1990,,Y,,,,,N,10/24/1990,10/29/1990,5,Autopsy pending,2,DTP,OPV,,,,,,,PVT,PVT,"Proventil Syrup, Terbutaline","BPD, Oxygen Dependency",Premature Infant 31 wks Gest; Severe Bronchopulmonary Dysplasia; Growth retardation,
026604,11/13/1990,NJ,5.0,M,11/06/1990,Pt vaccinated with DTP/OPV had several generalized seizures and was admitted to hosp.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,10/26/1990,10/27/1990,1,,2,DTP,OPV,,,,,,,PVT,PVT,,,Cerebral palsy; developmental delay; 24-26 wk prematurity.,
026605,11/13/1990,VA,75.8,M,11/01/1990,"Pt vaccinated with Influenza vaccine developed temp 103; chills, Seen in ER that PM given Tylenol and labs done.",2,CHILLS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/30/1990,10/30/1990,0,WBC 9000;  BS 370;   UA - negative,1,FLU,,,,,,,,PVT,PVT,,,Diabetes,
026606,11/13/1990,NC,0.2,F,11/06/1990,Pt vaccinated with DTP/OPV/HIB experienced high pitched shrieking less than 3 hrs at one time.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/01/1990,11/01/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,
026607,11/13/1990,OR,0.6,F,11/02/1990,Pt vaccinated with DTP/HIB twenty minutes after given vaccine became limp/white/no neck tone. Symptoms reversed after 10 min by the time pt returned to office was sitting up/color improved.,2,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/31/1990,10/31/1990,0,,2,DTP,HIBV,,,,,,,PVT,PVT,,,,
026608,11/13/1990,MA,0.2,M,11/08/1990,Pt vaccinated with DTP/OPV/HIB had "high pitched cry" a "peculiar cry" neither parent had heard before for approx 1 hrs 630-730PM. Afeb-fine over one hour since report.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/02/1990,11/02/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,PUB,,,,
026611,11/14/1990,PA,,F,10/29/1990,"Pt vaccinated with Typhoid thirty min after immunization developed dizziness & nausea. Pt was hospitalized w/chills, nausea & vomiting. Pt was treated w/IV fluids (Ringer's Solution), ""shot for nausea"" and Tylenol.",4,CHILLS,DIZZINESS,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,1,,,Y,09/15/1990,09/15/1990,0,Chest X-rays: results not available. Blood work-results not available.,1,TYP,,,,,,,,MIL,MIL,,,,
026612,11/14/1990,IL,1.0,F,11/05/1990,"Pt vaccinated with DTP/HBV within the first 24 hrs, fever 103.5 (axillary), eyes seemed to roll back while sleepy in AM w/twitching, jerking, shaking. Cried all night > 4-5 hrs. Inject site 3-5CM. Swollen & tender. Arm swollen x2 days.",7,EDEMA,EYES GAZE UPWARD,FEVER,INJECT SITE REACT,SCREAMING SYND,TREMOR,TWITCH,,,,,,,,,,,,,,,,,,,,,,Y,10/25/1990,10/25/1990,0,,2,DTP,HIBV,,,,,,,PVT,PVT,,,,
026613,11/14/1990,NC,0.0,M,11/05/1990,Pt vaccinated with DTP/OPV experienced high pitch cry for 3 day after DTP administered.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/30/1990,08/30/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026614,11/14/1990,MI,44.1,F,11/03/1990,"Pt vaccinated with Influenza Vaccine became itchy in area lt arm; hard in area; sl swollen, red & warm started evening 1NOV90 has continued stated less red & swollen today 3NOV90.",2,INJECT SITE REACT,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,N,11/01/1990,11/01/1990,0,,1,FLU,,,,,,,,OTH,OTH,Ogen,,,
026615,11/14/1990,OH,49.6,M,11/05/1990,"Pt vaccinated with Influenza Virus developed rash over trunk started 1NOV90, itches, temp 99.4. Rx Deltasone dose pack.",4,FEVER,HERPES ZOSTER,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,U,10/25/1990,11/01/1990,7,,1,FLU,,,,,,,,OTH,PVT,"Ascriptin, Sectal",,Previous allergic rx to B/P med,
026616,11/14/1990,PA,1.5,M,11/07/1990,"Pt vaccinated with DTP/OPV fell asleep 1/2 hr after vaccine given. slept 2 1/2 hr ate lunch became lethargic 2 hrs later, skin pale yellow.",3,PALLOR,SKIN DISCOLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/07/1990,11/07/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026617,11/14/1990,IL,1.4,M,11/06/1990,Pt vaccinated with HIB developed temp of 103 taken by mom 12AM on night of vaccine. Broke out in hives after that on arms & legs.,2,FEVER,URTICARIA,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/05/1990,11/06/1990,1,,1,HIBV,,,,,,,,PVT,PVT,,,,
026618,11/14/1990,VA,4.6,F,11/06/1990,Pt vaccinated with DTP apparently swelling developed at local site lt thigh 3-4 days later. Pt seen again 5OCT90 & 10OCT90 sent to Hosp 10OCT90. Required debridement of muscles.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,09/19/1990,09/22/1990,3,5OCT90 WBC 9.3; S 51 L 37 B4 M6 E 2 X-Ray L femor; Normal 10OCT90 WBC 11.5; S74 L24 M BANDS,1,DTP,,,,,,,,MIL,MIL,,,,
026619,11/14/1990,AZ,54.7,F,11/06/1990,"Pt vaccinated next day redness 2in X 1 1/2in, 1/4in raised, hard not reported until 2NOV90 still red 6NOV, swelling down. Pt was unsure if nausea was from injection or from her ulcer.",3,INJECT SITE REACT,MASS INJECT SITE,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/31/1990,11/01/1990,1,,1,FLU,,,,,,,,PVT,PVT,"Tenormin, Prop","Peptic Ulcer, Back Pain","Lower back (L3, L4) surgery 2OCT90  Demerol in Hosp.",
026621,11/14/1990,ND,1.3,F,11/08/1990,"Pt vax /w DTP/OPV/HIB/TB TINE TEST /w in 4 hrs pt had grand mal seizure, T was 100.6. Became very lethargic brought to ER then again seizure; admit to Hosp. Seizured again 5 days later 3 times w/no Increase temp.",3,CONVULS,FEVER,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,Y,Y,Y,7,Y,Y,U,10/30/1990,10/30/1990,0,EEG Relatively normal 8 days after 1st seizure.,3,DTP,HIBV,OPV,,,,,,MIL,UNK,Tylenol,Cold symptoms without fever,,
026622,11/14/1990,VA,1.5,M,10/30/1990,Pt vaccinated with DTP developed prolonged unconsolable crying for 4 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/11/1990,10/11/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026623,11/14/1990,KY,0.3,F,11/09/1990,Pt vaccinated with DTP/OPV experienced "screaming synd" 3d 103 with Tylenol administration screamed unconsolably X 3 hrs.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/09/1990,08/09/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,Seborrheic dermatitis,,
026624,11/14/1990,CA,0.1,F,11/08/1990,Pt vaccinated with DTP/OPV slept for 10 hrs after lst injection.,1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/11/1990,07/11/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026625,11/14/1990,CT,0.6,F,11/05/1990,"Pt vaccinated with DT became lethargic, floppiness, & decreased feeding for 5 days. No rx.",3,ANOREXIA,HYPOTONIA,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/30/1990,10/30/1990,0,,1,DT,,,,,,,,PVT,PVT,,,Najar oro- facial synd,
026626,11/14/1990,PA,1.4,F,11/08/1990,"Pt vaccinated with DTP/OPV/MMR/PROHIBIT mild URI for 1 wk otitis one month ago otitis w/effusion at exam 7NOV developed Febrile seizure, temp 41, fluid in middle ear.",3,FEBRILE SEIZURE,OTITIS MED,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,Y,2,,,Y,11/07/1990,11/07/1990,0,"WBC 7.1, VA = normal, urine callas=negative,blood culture",4,DTP,HIBV,MMR,OPV,,,,,PVT,PVT,"Dimetapp, Septra",Mild URI/BOME,pt had LOM 9OCT90,
026627,11/14/1990,IN,1.2,F,11/09/1990,"Pt vaccinated with DTP/OPV awake and seemed shaky. Laying down pulled head back & went limp. No jerking of the extremities not responsive for about 10 seconds then quiet, sleepy x 10-15 mins.",4,HYPOTONIA,SOMNOLENCE,STUPOR,TREMOR,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/08/1990,11/09/1990,1,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026628,11/14/1990,PA,0.9,M,10/30/1990,"Pt vaccinated with DTP approx 8 hrs after DTP angioedema of face, hands, & feet lasted approx 2 hrs RX Benadryl.",2,ANGIOEDEMA,EDEMA FACE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,1,DTP,,,,,,,,PVT,PVT,,,Upper & Lower Respiratory; hx + allergies,
026629,11/14/1990,WI,33.7,F,09/21/1990,"Pt vaccinated with Recombivax HB/DT developed diarrhea within 24hrs, constant HA, nausea, no fever but body aches, temp 99 5 days after continuous HA, nausea.",4,DIARRHEA,HEADACHE,NAUSEA,PAIN,,,,,,,,,,,,,,,,,,,,Y,,,,,U,09/13/1990,09/14/1990,1,"WBC 10,000 19SEP90, UA - NEG; Screening liver enzymes - NEG 8SEP90",2,DT,HEP,,,,,,,PVT,PVT,,,Milk - food allergy,
026630,11/15/1990,IA,2.8,F,10/30/1990,"Pt vaccinated with OPV/DTP/MMR developed extreme fussiness, screaming from Fri no 26OCT90 day of immunization to Sunday PM 28OCT90 ""burning with fever"" Tylenol helped if given q 4hrs.",3,AGITATION,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/26/1990,10/26/1990,0,,3,DTP,MMR,OPV,,,,,,PUB,PUB,,,,
026631,11/15/1990,IA,7.3,M,10/10/1990,"Pt vaccinated with MMR c/o headache continued 13SEP90 became worse called local medical doctor possibly flu - 14SEP90 vomiting called MD - Hosp- WBC 19,000 - hospitalized spinal tap done- started IV fluids & antibiotics. DC hosp 20SEP90.",4,FLU SYND,HEADACHE,LEUKOCYTOSIS,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,7,,,Y,08/02/1990,09/14/1990,43,Aseptic meningitis,1,MMR,,,,,,,,PUB,PUB,,,,
026632,11/15/1990,IA,1.6,M,10/04/1990,"Pt vaccinated with DTP child c/o wanting to go nite, nite ( 1 hr after inject given) started to ""shake"" & mom said got blue around mouth.",3,AGITATION,CYANOSIS,TREMOR,,,,,,,,,,,,,,,,,,,,,Y,Y,1,,,Y,09/27/1990,09/27/1990,0,,1,DTP,,,,,,,,OTH,PUB,,Had been on Antib for cold in last week.,,
026633,11/15/1990,IA,1.4,F,10/05/1990,Pt vaccinated with MMR 4 days after inject given - temp 103 & grand mal seizure.,2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/15/1990,08/19/1990,4,,1,MMR,,,,,,,,OTH,PUB,,,2 previous febrile siezures,
026634,11/15/1990,MA,30.4,F,11/07/1990,"Pt vaccinated with TD developed fever, pain in area, swelling in area, increased warmth, local adenopathy; Given Dicloxacillin 250mg qidx7d.",4,FEVER,INJECT SITE REACT,LYMPHADENO,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/27/1990,10/01/1990,4,,1,TD,,,,,,,,PVT,PVT,,,,
026635,11/15/1990,CT,0.6,F,11/09/1990,"Pt vaccinated with DTP/HIB approx 5 hrs later pt unusually tired, lethargic, unresponsive, limp - mother called MD advised Tylenol 80MG & cool bath: Seen in MD office.",4,ASTHENIA,HYPOTONIA,SOMNOLENCE,STUPOR,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/08/1990,11/08/1990,0,,2,DTP,HIBV,,,,,,,PVT,PVT,,,Congenital Cataract,
026636,11/15/1990,MA,62.6,F,11/07/1990,"Pt vaccinated with TD developed fever, pain in area, swelling in area, increase warmth, local adenopathy given Dicloxacillin 250mg QID x7.",4,FEVER,INJECT SITE REACT,LYMPHADENO,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/28/1990,10/01/1990,3,,1,TD,,,,,,,,PVT,PVT,,laceration,,
026637,11/15/1990,IA,,M,,"Pt vaccinated with Pneumococcal/Influenza developed symptoms of Bell's Palsy. Prior to onset of Bell's Palsy, pt had myalgia, mild pain in the neck & generally not feeling quite right.",3,MYALGIA,PAIN NECK,PARALYSIS FACIAL,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,09/27/1990,,,,2,FLU,PPV,,,,,,,UNK,UNK,,,"Prior to onset of Bell's Palsy, pt had been aware of some myalgia & just not feeling quite right, also experienced mild pain in the neck.",
026642,11/19/1990,WI,43.0,M,,Pt vaccinated with Engerix-B experienced extreme vertigo & nausea starting approx 1 hr after inject & lasted for greater then several days gradually lessening in intensity. Nausea was gone on 8NOV90.,2,NAUSEA,VERTIGO,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/05/1990,11/05/1990,0,Negative,1,HEP,,,,,,,,UNK,UNK,,,,
026643,11/19/1990,CT,31.0,M,,Pt vaccinated with Hepatitis B Vaccine developed onset of herpes zoster 9 days after received hepatitis B Vaccine.,1,HERPES ZOSTER,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/29/1990,11/07/1990,9,,1,HEP,,,,,,,,UNK,UNK,,,Good health,
026644,11/19/1990,IL,34.0,F,,"Pt 5-7 days after receiving Hepatitis B vaccine 9OCT90 pt developed progressive numbness & tingling in feet, ascending to waist over next 3 days.  Reflexes diminished M.D. dx GBS. Resolved over 1 wk.",3,GUILLAIN BARRE SYND,PARESTHESIA,REFLEXES DEC,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/09/1990,10/16/1990,7,,1,HEP,,,,,,,,UNK,UNK,Had taken Advil for discomfort at time of Hep B vaccination 2 hrs menstrual cramping.,,Allergies: dyes;,
026645,11/19/1990,NY,0.6,M,,Pt vaccinated with DTP developed 3 episodes of tonic-clonic seizures following DTP on days 1 & 3 following vaccine.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/29/1990,10/30/1990,1,"CBC, sugar & electrolytes-Normal. Pt seizure were afebrile.",1,DTP,,,,,,,,UNK,UNK,,,No previous hx of epilepsy.,
026646,11/19/1990,PA,6.0,F,10/31/1990,"Pt vaccinated with DTP/OPV injection given 29OCT90; Father reports area of reddness & heat to rt thigh 5x4 wide, temp 101F oral.",3,FEVER,RASH,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/29/1990,10/30/1990,1,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026655,11/19/1990,MI,65.0,F,,"Pt vaccinated with Fluzone 1 wk after injection,  had sudden death. 1 & 2 days before death  c/o  fatigue, low back pain and upper shoulder pain.",2,ASTHENIA,PAIN BACK,,,,,,,,,,,,,,,,,,,Y,,,,,,,,N,10/18/1990,10/25/1990,7,,1,FLU,,,,,,,,UNK,UNK,Calan SR 240MG 1/2 tab daily.,,"Hx of hypertension, cigarette smoking.",
026657,11/19/1990,NY,65.0,U,,"Pt vaccinated with Pneumococcal developed prolonged erythema, swelling & pain at inject site.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,1,PPV,,,,,,,,PVT,UNK,,,,
026638,11/20/1990,WA,21.6,F,11/12/1990,"Pt vaccinated with Influenza A/B first time  got flu shot. General malaise, headache, fatigue, cold, clammy.",5,ASTHENIA,CHILLS,HEADACHE,MALAISE,SWEAT,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/09/1990,11/09/1990,0,,1,FLU,,,,,,,,UNK,UNK,"Vit C, Zantac, A cyclored",,,
026639,11/20/1990,WA,39.7,F,11/14/1990,"Pt vaccinated wih Influenza A/B throat constricting, tightness in chest, anxiety.",3,ANXIETY,LARYNGISMUS,PAIN CHEST,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/09/1990,11/09/1990,0,,1,FLU,,,,,,,,UNK,UNK,,,Allergic to house dust & pollen.,
026640,11/20/1990,WA,38.8,F,11/14/1990,Pt vaccinated with Influenza A/B experienced shortness of breath.,1,DYSPNEA,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/09/1990,11/09/1990,0,,1,FLU,,,,,,,,OTH,PVT,,,Environmental seasonal allergies,
026641,11/20/1990,WA,44.8,F,11/13/1990,Pt vaccinated with Influenza A/B chest tightness & pain. sore & hoarse throat.,2,PAIN CHEST,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/09/1990,11/09/1990,0,,1,FLU,,,,,,,,UNK,PVT,,,Old reaction to ampicillin.,
026647,11/20/1990,CA,1.1,F,,Pt vaccinated with DTP/MMR developed fever up to 102 and cranky on 19OCT90; fever up to 103.7 on 21OCT90.,2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/18/1990,10/19/1990,1,,2,DTP,MMR,,,,,,,UNK,UNK,,,,
026649,11/20/1990,NY,0.3,M,,"Pt vaccinated with DTP/OPV/HBOC between 130 & 2PM on 2NOV90 pt was given injection. Shortly after arrival at home, developed vomiting & had episode of apnea w/cyanosis associated w/vomiting.",3,APNEA,CYANOSIS,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,11/02/1990,11/02/1990,0,Chest X-Ray clear initally. Probably apnea/cyanosis was secondary to asperation but further studies are curently underway,3,DTP,HIBV,OPV,,,,,,UNK,UNK,,,,
026650,11/20/1990,OR,50.0,F,,"Pt vaccinated with Pneumococcal Vaccine developed 15cm diameter raised erythemia, tenderness skin was raised 1/2 inch. Rx was noted 1 hr after injection tx the next day w/Benadryl duration of local rx was 8 days off work x1 day.",1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/23/1990,10/23/1990,0,,1,PPV,,,,,,,,UNK,UNK,Premarin 1.25 qd; Fiorinal; Flurazepam,,No prior Pneumovax had ever been given.,
026651,11/20/1990,SC,4.0,F,,"Pt vaccinated with DTP/OPV/PPD started Hallucinating - seeing bugs, shakes 105. Gave Tylenol.",1,HALLUCIN,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/15/1990,10/16/1990,1,,2,DTP,OPV,,,,,,,UNK,UNK,PPD,,,
026652,11/20/1990,MA,54.6,F,,24 hours after third dose of Engerix-B pt presented with numbness & tingling of left arm and facial drop. Pt denies any reaction with first 2 doses,2,PARALYSIS FACIAL,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,11/05/1990,11/05/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026653,11/20/1990,NY,4.0,F,06/29/1990,Admitted with rt leg pain x 3 days after receiving DTP vaccine. Pt had + pain or weight bearing & was febrile to 103F at home. Rt knee was aspirated without any fluid. Rxn is believed to be secondary to DTP shot. Toxic synovitis.,3,FEVER,PAIN,SYNOVITIS,,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,06/27/1990,06/28/1990,1,"CBC, Pro A&B, Sed Rate, Blood Culture, X-Ray, Knee aspiration",1,DTP,,,,,,,,UNK,UNK,,,,
026654,11/20/1990,NJ,16.0,M,,Pt vaccinated with MMR developed URI symptoms beginning 18OCT90 with headache. 29OCT90 dx rt parotitis.,3,HEADACHE,PHARYNGITIS,SIALADENITIS,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/21/1990,10/18/1990,27,,1,MMR,,,,,,,,UNK,UNK,Ery-C; Dicloxacllin,,No known drug allergies,
026656,11/20/1990,OH,1.3,F,,Pt vaccinated with HIB developed cellulitis of chest.,1,CELLULITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,10/25/1990,11/15/1990,21,,1,HIBV,,,,,,,,UNK,UNK,,,,
026658,11/20/1990,PA,38.0,F,,"Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL",6,AMBLYOPIA,ARTHRALGIA,DEAF,PAIN,PARESTHESIA,SCLEROSIS MULT,,,,,,,,,,,,,,,,,,,,,,Y,U,05/25/1990,08/01/1990,68,,1,HEP,,,,,,,,UNK,UNK,,,,
026659,11/20/1990,CA,25.0,F,,"25 yr old white female was vaccinated w/ MMR shortly after vaccination she became pregnant, & subsequently had a therapeutic abortion.",1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,,,,,1,MMR,,,,,,,,UNK,UNK,,,,
026660,11/20/1990,WI,31.0,F,,"Pt vaccinated with Heptavax-B  w/allergy to sulfa drugs, two hrs after vaccination  began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM",11,CHILLS,CYST,LACRIMATION DIS,NEURITIS OPTIC,NEUROPATHY,PAIN,PARALYSIS FACIAL,PARESTH CIRCUMORAL,PARESTHESIA,TINNITUS,VASODILAT,,,,,,,,,,,,,,,,,Y,Y,10/08/1988,10/08/1988,0,MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;,1,HEP,,,,,,,,UNK,UNK,,,"Allergy, sulfa drugs",
026664,11/20/1990,,47.0,F,,"Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.",8,AMNESIA,ASTHENIA,DIZZINESS,HYPOTENS,LYMPHADENO,MALAISE,NAUSEA,SYNCOPE,,,,,,,,,,,,,,,,,Y,,,,U,09/28/1990,09/29/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026665,11/21/1990,CA,0.9,M,10/10/1990,"Pt vaccinated w/DTP/OPV developed a slight temp, put to bed, knot on his leg where shot was administered, Next day temp 104-105, stiff & his body was jumping, Head maybe growing too big, possible water on brain.",6,CONVULS,FEVER,HYDROCEPHALUS,NODULE SKIN,OTITIS MED,SOMNOLENCE,,,,,,,,,,,,,,,,,Y,,Y,5,,,U,04/06/1990,04/06/1990,0,,2,DTP,OPV,,,,,,,PVT,OTH,Amoxicillin,Had suffered ear infect 1 1/2 wk prior,,In brother fever 105 DTP
026666,11/21/1990,NY,33.0,M,11/05/1990,"Pt vaccinated with Typhoid developed dizziness, nausea, abdominal cramps, paleness, chills, & fever of 104. Hospitalized and following admin of normal saline IV. F/U Anaphylaxis.",10,ANAPHYL,ANEMIA HEMOL,CHILLS,DIZZINESS,FEVER,HYPOTENS,LEUKOPENIA,NAUSEA,PAIN ABDO,PALLOR,,,,,,,,,,,,,,,Y,,,,U,09/08/1990,09/08/1990,0,"9SEP90 HGB - 13.0; WBC 12,400; Bands 43%; Segs 52%; Platelets 181,000, Bilirubin 1.4; Protime14/12",1,TYP,,,,,,,,MIL,MIL,,,Pt is a healthy non-smoker.,
026667,11/21/1990,IL,80.5,F,10/30/1990,Pt vax w/ flu dev diarrhea & abd cramps two days after vax. Hosp X 4 days; dx = gastroenteritis w/ resultant hypovolemia.  Pt also dev fever.  Sxs resolved.,7,ASTHENIA,DIARRHEA,FEVER,GASTROENTERITIS,HYPOVOLEM,NAUSEA,PAIN ABDO,,,,,,,,,,,,,,,,,,Y,,,,U,10/18/1990,10/20/1990,2,,1,FLU,,,,,,,,PVT,PVT,,,,
026668,11/21/1990,NY,1.4,U,11/13/1990,"Pt vaccinated with PROHIBIT mild cold at time of injection. Seen again 11NOV for subjective fever, worsening cold tugging at ears. Dx w/Otitis. Prescribed Augmentin, Codeine & Tylenol. Child found dead 6 hrs later in bed. Normal child",5,BRONCHITIS,FEVER,LARYNGITIS,OTITIS MED,PHARYNGITIS,,,,,,,,,,,,,,,,Y,11/11/1990,,,,,,,N,11/08/1990,11/11/1990,3,,1,HIBV,,,,,,,,PVT,PVT,,Mild cold,normal child,
026669,11/21/1990,OH,39.7,M,11/12/1990,"Pt vaccinated with Influenza developed nausea, headache, swelling in eyes & face, fever & chills. Treated w/Benadryl & Prednisone.",5,CHILLS,EDEMA FACE,FEVER,HEADACHE,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,Y,11/05/1990,11/05/1990,0,,1,FLU,,,,,,,,PVT,PVT,"Librium, Tenex, Aspirin, Procardia XL",,"Alcoholism, hypertension, coronary artery dis, demerol allergy causes Increased BP",
026670,11/21/1990,TX,56.0,F,11/06/1990,"Pt vaccinated with Influenza, next day had redness, increased swelling 2 1/4 X 3 1/4 X 1/4 induration - MD called.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/01/1990,11/02/1990,1,,1,FLU,,,,,,,,PVT,PVT,,,,In Pt swelling FLU-DTP
026671,11/21/1990,VA,1.8,F,11/09/1990,Pt vaccinated with DTP/OPV/HIB/MMR broke out in big splotches all over & was having a little trouble breathing. Advised to take child to ER where she was treated w/Benadryl & Epinephrine Given Pediapred & Benadryl PO on discharge.,2,DYSPNEA,RASH,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/07/1990,11/07/1990,0,,4,DTP,HIBV,MMR,OPV,,,,,PUB,PUB,,,Born with split in upper gum,
026672,11/21/1990,NJ,39.7,F,11/12/1990,"Pt vaccinated with Influenza developed painful red swelling ultimately developed abscess. Treatment Topicort apply tid, Keflex 50  mg, Buferin, Keflex PRN 500MG.",2,ABSCESS INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/08/1990,10/08/1990,0,Cephalothin LE 8 susceptible,1,FLU,,,,,,,,PVT,PVT,"Valium, Modiuretic, Nubain, Pericolace, Surtak, Theragram, Lioresol, Dilantin",Routine check up,"MS, Chronic UTI",
026673,11/21/1990,OH,0.5,M,11/09/1990,"Pt vaccinated with DTP developed high fever 105, irritability for less than 24 hrs.",2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/15/1990,10/15/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026674,11/21/1990,IN,1.2,F,11/12/1990,Pt vaccinated with HIB/MMR rash developed 13 days following immunization.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/26/1990,11/08/1990,13,,2,HIBV,MMR,,,,,,,PVT,PVT,,,,
026675,11/21/1990,NE,0.3,F,11/13/1990,"Pt vaccinated with DTP/OPV/HIB developed unconsolable crying 48 hrs after vaccines. This was intermittent on 9NOV, 10NOV PE was normal Incl Neuro exam.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/07/1990,11/09/1990,2,"CBC-WBC 7800; HCT 36, Platelets 439,000 38% Granulocytes, 62% Lymphocyes.",3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,Milk intolerance vs Gastroenteritis,
026676,11/21/1990,WI,0.1,M,11/13/1990,"Pt vaccinated w/DTP/OPV developed T 104, shrill high pitched scream never heard before by either parent.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/14/1990,03/14/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026677,11/21/1990,NJ,0.1,M,,"Pt vaccinated with DTP/OPV developed unconsolable, continuous crying for more than 3 hrs.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/10/1990,09/10/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026678,11/21/1990,MI,1.3,M,11/02/1990,"Pt vax with DTP/MMR 3 doses of Tylenol throughout noc had convulsion this am T 105 rectally.  this AM Tylenol, Advil T 103 at 8:00. @ 8:40 T 99.",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/01/1990,11/02/1990,1,"CBC-SGOT, Electrolytes, Blood Culture",2,DTP,MMR,,,,,,,PUB,PUB,,,,
026679,11/21/1990,VA,23.3,M,11/12/1990,"Pt vaccinated with MMR developed low grade fever, mild parotid swelling of lids& anterior cervical adenopathy 5 days after MMR given.",3,FEVER,LYMPHADENO,SIALADENITIS,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/29/1990,11/04/1990,6,"HCT44, WBC 4400, 50S, 3 BAS, 37 Lymphs, 7Atys, 5MON,14 Esophils",1,MMR,,,,,,,,PUB,PUB,,,,
026680,11/21/1990,MI,62.9,M,11/13/1990,"Pt vaccinated with Fluzone developed cough, nausea, headache, onset 2 days after vaccine administered advised clear liquids 24 hrs than bland diet.",3,COUGH INC,HEADACHE,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/08/1990,11/10/1990,2,,1,DTP,,,,,,,,PVT,PVT,"Theodur 200mg BID, Atrovent Inhaler, Zyloprin 300mg",,COPD; No known allergies,
026681,11/21/1990,OH,47.9,F,11/13/1990,24 hrs after inject arm became reddened large whelt silver dollar in size red-itchy and sore to touch lasting 4 days.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/05/1990,11/06/1990,1,,1,FLU,,,,,,,,PVT,PVT,,,,
026682,11/21/1990,NJ,1.8,M,11/12/1990,"Pt vaccinated with DTP/OPV fever over 104 with 12 hrs of vaccination, pale, lethargic, sleepy for 18 hrs, tremors (no convuls) intermittenly for 48 hrs post vaccination.",4,FEVER,PALLOR,SOMNOLENCE,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/06/1990,11/06/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026683,11/21/1990,OK,0.4,M,,"Pt vax w/DTP/OPV had a very brief grand mal tonic/clonic seizure. Had no T @ the time of seizure. Seemed to be doing fine, was feeding & the seizure occured. No other problems in the 3 wk interval since.",1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/12/1990,10/12/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026684,11/21/1990,NH,41.2,F,11/12/1990,"Pt vaccinated with Engerix-B 20 days later experienced moderate pain in rt arm; numbness in my arm & tingling in fingers; /W ea day the pain progressed to my lt arm, & lower extremities; general feeling of malaise, fever.",6,ASTHENIA,FEVER,MALAISE,NEUROPATHY,PAIN,PARESTHESIA,,,,,,,,,,,,,,,,,,Y,,,,,N,10/02/1990,10/22/1990,20,Numerous blood test - which all proved negative,1,HEP,,,,,,,,PVT,PVT,Tenormin,,"Allergies: hayfever, Sulfa, Acrylics. Medical condition: Hypertension",In Pt 17yr old 3 wks illness Gamma Globulin; Twin brother FLU 41 yr old
026685,11/21/1990,CA,0.2,M,11/09/1990,"Pt vax /w DTP/OPV parents noted scream, the became limp & gray as existed building retained for eval. Normal exam responsivness noted by nurse.",3,CYANOSIS,HYPOTONIA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/05/1990,09/05/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
026686,11/21/1990,NJ,0.2,U,,"Pt vaccinated with DTP one of set of twins developed a cough w/no fever 4 days after 1st immunization. On exam cough w/cyanosis, chest x-ray clear. Tavist prescribed. Cough worsened. Hospitalized started on erythromycin.",2,COUGH INC,CYANOSIS,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,,10/12/1990,,X-Ray Chest - hyperaeration - no inflltrates or other findings; WBC 2200 - 90% Lymph,1,DTP,,,,,,,,PVT,UNK,,,,
026687,11/26/1990,CA,8.6,M,11/01/1990,"Pt vaccinated with MMR/OPV/TD mother describes facial tics, grimacing mouth, shrugging shoulders, jerking up neck reportedly started about 10 days after immuniz, disappear for several days, then recur.",2,NECK RIGID,TWITCH,,,,,,,,,,,,,,,,,,,,,,,,,,,N,09/12/1990,09/22/1990,10,Referral to Pediatric Neurologist & Psychiatrist.,3,MMR,OPV,TD,,,,,,OTH,PUB,,,,
026688,11/26/1990,ME,52.8,F,11/08/1990,"Pt vaccinated with DT developed chills & fever - arm swollen, arm achy & red, heart pounding.",4,CHILLS,FEVER,INJECT SITE REACT,PALPITAT,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/24/1990,10/24/1990,0,,1,DT,,,,,,,,PVT,UNK,,,,
026689,11/26/1990,FL,5.0,M,09/27/1990,"Pt vaccinated with DTP/OPV developed rt arm red & 2+ edema, decreased ROM Tylenol with Cod, Atarcia cool compresses.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/24/1990,09/25/1990,1,,2,DTP,OPV,,,,,,,PVT,OTH,,,,
026691,11/26/1990,WI,38.0,F,,Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.,9,ASTHENIA,BRAIN SYND ACUTE,FOOT DROP,GAIT ABNORM,MYALGIA,MYASTHENIA,NEUROPATHY,PARESTHESIA,REFLEXES INC,,,,,,,,,,,,,,,,,,,Y,N,11/15/1984,11/15/1984,0,,1,HEP,,,,,,,,UNK,UNK,,,No past hx until Hepatitis Vaccine,
026692,11/26/1990,WI,38.0,F,,Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.,13,ASTHENIA,ATAXIA,DEPRESSION,ENCEPHALITIS,HEADACHE,LYMPHOCYTOSIS,MYALGIA,NEUROPATHY,PAIN,PARESTHESIA,SOMNOLENCE,THINKING ABNORM,VOMIT,,,,,,,,,,,,Y,,,Y,N,06/15/1988,06/30/1988,15,other causes ruled out.,1,HEP,,,,,,,,UNK,UNK,,,No past hx of problems,
026693,11/26/1990,WI,32.0,F,,Pt vaccinated with Recombivax developed progressive demyelinizing disease.,6,NEURITIS OPTIC,PAIN,PARESTHESIA,REFLEXES DEC,REFLEXES INC,SCLEROSIS MULT,,,,,,,,,,,,,,,,,,,Y,,,Y,N,01/05/1989,01/19/1989,14,,1,HEP,,,,,,,,UNK,UNK,,,no previous problems,
026694,11/26/1990,TN,0.2,M,11/16/1990,Pt vaccinated with DTP/OPV then died 13OCT90 from respiratory arrest secondary to severe central nervous system disease which antedated immunization. Immunizations not felt to be related to death.,4,APNEA,CNS DEPRESS,ENCEPHALITIS,HEM SUBARACHNOID,,,,,,,,,,,,,,,,,Y,10/13/1990,,,,,,,N,09/10/1990,,,Prior CT scans showed subarachnoid hemorhage; encephalomalacia.,2,DTP,OPV,,,,,,,PVT,PVT,,Chronic CNS Disease,Subarachnoid hemorrhage & encephalomalacia,
026695,11/26/1990,OR,0.2,F,10/26/1990,"Pt vaccinated with DTP/OPV immediately after vaccine administration, pt had a fever of 100 & was fussy. 17AUG90 pt started having seizures, dx as idiopahtic complex focal seizures. Seizures evolved & dx as having infantile spasms.",4,AGITATION,FEVER,MENTAL RETARD,SPASM GENERAL,,,,,,,,,,,,,,,,,,,,Y,Y,4,,Y,N,07/09/1990,08/17/1990,39,"EEG showed frequent seizure activity. All other workup Normal (CT scan, MRI, bloodwork, lumbar puncture).",2,DTP,OPV,,,,,,,PVT,UNK,Tylenol given at time of vaccination by the office nurse.,,,
026697,11/26/1990,WI,72.7,M,11/12/1990,"Pt vaccinated with Pneumovax on 3AUG90 on 8AUG90 seen for febrile illness w/headaches, myalgias & malaise. Had tender maxillary sinuses & was given Amoxicillin. 10AUG90 seen again rash. Had erythematous rash w/papules w/small pustules.",7,ANOREXIA,FEVER,HEADACHE,MALAISE,MYALGIA,RASH MAC PAP,SINUSITIS,,,,,,,,,,,,,,,,,Y,,,,,N,08/03/1990,08/08/1990,5,Sinus x-rays to rule out maxillary sinusitis,1,PPV,,,,,,,,PVT,OTH,,sinus congestion,,
026698,11/26/1990,UT,19.1,M,11/15/1990,Pt vaccinated with MMR/TD  Post vaccination hypotension & bradycardia 30 seconds after MMR 90 seconds after TD.,3,BRADYCARDIA,HYPOTENS,SYNCOPE,,,,,,,,,,,,,,,,,,,,Y,Y,,,,,Y,11/14/1990,11/14/1990,0,,2,MMR,TD,,,,,,,OTH,UNK,,,,
026699,11/26/1990,PA,0.3,F,11/13/1990,"1st DTP 06JUN90 resulted in fever to 102R x 3 days no other sx. 2nd DTP 10AUG90 resulted in immed fever.  28 hrs later, pt. developed gen sunburn-like rash which then converted to urticarial like lesions X 1 wk & temp 105 (R).",4,AGITATION,FEVER,URTICARIA,VOICE ALTERAT,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/10/1990,08/10/1990,0,"CBC & diff; Urine R&M, Chest x-ray- all WNL Rx Atrarax-reffered to allergist probable hypersensitivity to tetanus.",2,DTP,OPV,,,,,,,PVT,PVT,,,,"After 1st DTP, fever to 102 (R) X 3 days, no other sxs."
026700,11/26/1990,RI,5.0,M,11/15/1990,Pt vaccinated with DTP developed local erythema 1/2 upper arm not extending below elbor.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,N,,,,,1,DTP,,,,,,,,PUB,PUB,,,,
026701,11/26/1990,TX,0.3,M,11/09/1990,"Pt vaccinated with DTP/OPV was very irritable & exhibited inconsolable crying, starting approx 10 hrs after the vaccine & continuing for most of the next day. Also fever of 101.",3,AGITATION,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,11/06/1990,11/06/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,"At birth Bradycardia, cyanosis & gastroesophageal reflux.",
026702,11/26/1990,PA,0.5,M,11/13/1990,"Pt vaccinated with DTP on 25OCT90.  On 27OCT90 mother noted intermittent, occasional vomiting, ending late 28OCT90, and intermittent, abnormal screaming, ending late 28OCT90. Rxn apparently self-limited, no treatment.",2,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/25/1990,10/27/1990,2,,1,DTP,,,,,,,,PVT,PVT,,,,
026703,11/26/1990,NY,25.0,F,11/06/1990,"Pt vaccinated with Influenza vaccine developed diarrhea, flu-like symptoms, rash, fatigue, nausea, fever.",6,ASTHENIA,DIARRHEA,FEVER,FLU SYND,NAUSEA,RASH,,,,,,,,,,,,,,,,,,,,,,,Y,10/31/1990,11/02/1990,2,,1,FLU,,,,,,,,PVT,OTH,,,,
026704,11/26/1990,SC,4.1,F,11/06/1990,Pt vaccinated with DTP/OPV/MMR broke out with hives at the site & then the rest on trunk area & upper extremities.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/02/1990,11/02/1990,0,,3,DTP,MMR,OPV,,,,,,PVT,PVT,,,,
026705,11/26/1990,MN,0.2,M,11/14/1990,Pt vaccinated with DTP/OPV developed six hrs of uncontrollable screaming 3 hrs after immunization.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/18/1990,09/18/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026706,11/26/1990,WA,0.5,M,11/01/1990,Pt vaccinated with DTP developed fever & injection site pain within 2 hrs of injection of DTP. Screaming & crying x 24 hrs after injection.,3,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/26/1990,10/26/1990,0,,1,DTP,,,,,,,,PVT,UNK,Tylenol,,,
026696,11/27/1990,PA,1.4,F,11/08/1990,"Pt vaccinated with OPV/DTP/MMR developed fever to 105F, irritability, vomiting, limp lasting a couple of days.",4,AGITATION,FEVER,HYPOTONIA,VOMIT,,,,,,,,,,,,,,,,,,,,Y,,,,,N,11/05/1990,11/05/1990,0,,3,DTP,MMR,OPV,,,,,,PUB,PUB,,,,
026707,11/27/1990,CA,48.1,F,11/12/1990,"Pt vaccinated with Hepatitis B developed rash (fine) mostly on thighs abd upper chest & arms, hiccup, rash lasted for 3 wks, joint pain, weakness, loss of appetite.",5,ANOREXIA,ARTHRALGIA,ASTHENIA,HICCUP,RASH,,,,,,,,,,,,,,,,,,,,,,,,Y,09/06/1990,09/06/1990,0,,1,HEP,,,,,,,,PVT,UNK,,,,IN pt almost anaphlytic shock 1964 T Tox
026708,11/27/1990,NY,44.9,M,11/08/1990,"Pt vaccinated with FLU developed fever, chills & sweating, cough, runny nose.",5,CHILLS,COUGH INC,FEVER,RHINITIS,SWEAT,,,,,,,,,,,,,,,,,,,,,,,,Y,11/07/1990,11/07/1990,0,,1,FLU,,,,,,,,PVT,PUB,,,,In pt at 38yo flu.
026709,11/27/1990,CA,79.6,F,11/02/1990,"Pt vaccinated Pnuemococcal/FLU rt arm now swollen, wrist to shoulder. No known allergies.",2,EDEMA,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/01/1990,11/01/1990,0,,2,FLU,PPV,,,,,,,PUB,PUB,,,,
026710,11/27/1990,CA,39.8,M,10/29/1990,"Pt vaccinated with TD 2-3 min later fainted-unconcious 30 sec p80, BP120/80. O2 15 min due to slow recovery. diaphoretic pale rx; had not eaten all day. Offered lemonade - vomited 2 mins later still not feeling well refused ER treatment.",4,PALLOR,SWEAT,SYNCOPE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/29/1990,10/29/1990,0,,1,TD,,,,,,,,PUB,PUB,ISG-Gamma Globulin by Cutter,,,
026711,11/27/1990,CA,63.6,M,11/09/1990,Pt vaccinated with Fluzone developed facial swelling seen on 19OCT90 face was red with periorbital swelling. Benadryl 25 mg 1 or 2 caps every 8 hours.,1,EDEMA FACE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/18/1990,10/18/1990,0,,1,FLU,,,,,,,,PUB,PUB,,,,
026712,11/27/1990,MI,58.0,F,,Pt vaccinated with Influenza developed Lt Bell's Palsy.,1,PARALYSIS FACIAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/16/1990,10/17/1990,1,,1,FLU,,,,,,,,UNK,UNK,Mixed beef & Pork insulin; Maxzide,,"Hematochromatosis, Diabetes, Cirrhosis, Hypertension",
026713,11/27/1990,MD,77.0,M,,"Pt vaccinated with Fluogen 10-2-90 & on 10-7-90 had nausea. On 10-8-90, had dyspnea & ""a lump in his chest""  seen in ER; Dx as having RLL infiltrate & R/O AMI. Had respiratory failure & cardiac arrest & died on 10-9-90.",4,APNEA,HEART ARREST,PNEUMONIA,SHOCK,,,,,,,,,,,,,,,,,Y,10/09/1990,,,Y,,,,N,10/02/1990,10/02/1990,0,,1,FLU,,,,,,,,UNK,UNK,,,"Pt hx of COPD, CABG, Chronic renal fialure, had flu shots in the past without problems.",
026714,11/27/1990,CA,0.2,M,,Pt vaccinated with DTP/OPV mother put to bed at 10PM for the night. Found pt. at 5AM cold & stiff on 21OCT90.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,Y,10/21/1990,,,,,,,N,10/15/1990,10/21/1990,6,,2,DTP,OPV,,,,,,,UNK,UNK,Tylenol,,,
026715,11/27/1990,CA,0.2,M,11/20/1990,Pt vaccinated with DTP/OPV SIDS presumed as of this date pending coronor's report.,1,SIDS,,,,,,,,,,,,,,,,,,,,Y,11/10/1990,,,,,,,N,11/07/1990,11/10/1990,3,Autopsey,2,DTP,OPV,,,,,,,PUB,PUB,,,,
026716,11/27/1990,CO,53.0,F,11/15/1990,Pt vaccinated with Influenza c/o severe neck & throat pain spreaded down resulting in generalized weakness & arm numbness. Admitted to hosp w/proximal weakness & difficulty swollowing & paralysis. Probable GBS.,7,ASTHENIA,DYSPHAGIA,GUILLAIN BARRE SYND,PAIN,PAIN NECK,PARALYSIS,PARESTHESIA,,,,,,,,,,,,,,,,Y,Y,Y,,,,N,10/24/1990,11/05/1990,12,Elevated CSF protein,1,FLU,,,,,,,,OTH,OTH,,,,
026717,11/27/1990,CO,11.3,F,11/19/1990,"Pt vaccinated with MMR experienced light headedness within 15 min facial swelling, coughy, difficulty breathing & rash. Given O2 Epi, Benedryl, solumedrol. Admitted  overnight.",6,ANAPHYL,COUGH INC,DIZZINESS,DYSPNEA,EDEMA FACE,RASH,,,,,,,,,,,,,,,,,Y,Y,Y,1,,,Y,10/29/1990,10/29/1990,0,,1,MMR,,,,,,,,MIL,MIL,,,,
026718,11/27/1990,IA,1.7,M,11/19/1990,"Pt vaccinated with HIB  slept poorly, sneezing, rubbing ear.",3,EAR DIS,INSOMNIA,RHINITIS,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/17/1990,10/29/1990,12,,1,HIBV,,,,,,,,PUB,PUB,,,,
026719,11/27/1990,LA,1.4,M,11/08/1990,"Pt vaccinated with HIB/OPV/DTP/MMR  developed chills, shiver, lips turned blue, eyes rolled to back, jerk & shake, convuls, rash, diarrhea.",6,CHILLS,CONVULS,CYANOSIS,DIARRHEA,EYES GAZE UPWARD,RASH,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/07/1990,11/07/1990,0,,4,DTP,HIBV,MMR,OPV,,,,,PUB,PUB,,nasal congestion,Dust-Stuffed animals-carpets-animals/allergies numerous om,
026720,11/27/1990,AZ,70.6,F,11/16/1990,"Pt vaccinated with Influenza developed tender hot (fire) feeling in lt arm, redness in arm at site of injection. Abscess formed advised by MD to apply hot compresses & Bactorban ointment. Abscessed drained on own.",2,ABSCESS INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,Y,,,,,N,10/11/1990,10/11/1990,0,,1,FLU,,,,,,,,OTH,PUB,Lopressor,,HTN,
026721,11/27/1990,IA,71.9,M,11/14/1990,"Pt vaccinated with Influenza developed funny feeling in both lower extremities, clumsy with both legs which feel numb and tingly. BP 180/100. Rest of exam  negative. Lungs are clear. Reflexes diminished. IMP: possible GBS.",4,GAIT ABNORM,GUILLAIN BARRE SYND,HYPERTENS,PARESTHESIA,,,,,,,,,,,,,,,,,Y,,,Y,Y,,,,U,10/24/1990,11/02/1990,9,Referred to McKennon Hosp for neurology evaluation.,1,FLU,,,,,,,,PVT,PVT,,,,
026722,11/27/1990,CO,37.0,M,10/30/1990,"Pt vaccinated with Influenza, fainting, BP 56/30, pulse weak thready 96. No redness swelling at site of injection. Given Epinephrine.",3,ASTHENIA,DIZZINESS,HYPOTENS,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/17/1990,10/17/1990,0,,1,FLU,,,,,,,,PUB,OTH,,,,
026723,11/27/1990,CO,42.3,F,10/30/1990,"Pt vaccinated with Influenza c/o weakness, dizziness, slight itching at injection site. No redness, swelling. BP 80/40 P84 strong, regular. Within 5 min c/o increasing weakness, SOB, dizziness.",5,ASTHENIA,DIZZINESS,DYSPNEA,HYPOTENS,PRURITUS,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/17/1990,10/17/1990,0,,1,FLU,,,,,,,,PUB,PVT,,,,
026724,11/27/1990,CA,0.3,F,,"Pt vaccinated with DTP/OPV possible febrile seizure, temp to 104.",3,FEBRILE SEIZURE,MENINGITIS,PYELONEPHRITIS,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/30/1990,10/30/1990,0,Unable to read see WORM.,1,DTP,,,,,,,,UNK,UNK,,,,
026725,11/27/1990,IL,1.3,M,,"Pt vaccinated with MMR/PROHIBIT experienced seizure lasting over 5 minutes, fever.",2,CONVULS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/13/1990,10/13/1990,0,Done at St Joseph Hosp through ER,2,HIBV,MMR,,,,,,,UNK,UNK,,,,
026726,11/27/1990,NJ,0.5,F,,Pt vaccinated with DTP experienced prolonged crying.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/16/1990,10/16/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026727,11/27/1990,NJ,0.2,M,,Pt vaccinated with DTP developed unusual cry.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/21/1990,10/30/1990,70,,1,DTP,,,,,,,,UNK,UNK,,,,
026728,11/27/1990,NJ,15.9,F,11/20/1990,"Pt vaccinated with TD became pale, passed out, unable to walk, pain in chest & stomach, hot all over, headache.",7,GAIT ABNORM,HEADACHE,PAIN ABDO,PAIN CHEST,PALLOR,SYNCOPE,VASODILAT,,,,,,,,,,,,,,,,,,,,,,U,11/19/1990,11/20/1990,1,,1,TD,,,,,,,,PUB,PUB,,,,
026729,11/27/1990,MS,68.2,M,11/05/1990,"Pt vaccinated with Fluogen approx 15 min after receiving vaccine pt c/o dizziness, weakness, excessive perspiring, nausea. vomited X 2; BP 140/80, P80 Reg, BS 150.",5,ASTHENIA,DIZZINESS,NAUSEA,SWEAT,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,Y,11/02/1990,11/02/1990,0,,1,FLU,,,,,,,,PUB,PUB,"Cardizem, Axid, Carafate",,"HTN, Cardiovascular - Dr. Joseph Messina (PMD)",
026730,11/27/1990,WA,0.2,F,11/23/1990,"Pt vaccinated with DTP/OPV had unusual prolonged crying, also had colic first 3 months of life.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/24/1990,08/24/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Tylenol,,Colic,
026731,11/27/1990,WA,0.5,F,11/23/1990,"Pt vaccinated with DTP developed temp 103 axillary within 24 hrs of injection. No associated symptoms were found (URI, etc.) Resolution of the fever and no further problems.",1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/07/1990,09/08/1990,1,,1,DTP,,,,,,,,PVT,PVT,Tylenol,,,
026732,11/27/1990,CO,13.0,F,,"Pt vaccinated with TTOX developed hives over entire body, angioedema lip & face.",2,EDEMA FACE,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/31/1990,07/31/1990,0,,1,TTOX,,,,,,,,UNK,UNK,,,,
026733,11/27/1990,MD,0.6,F,,"Pt vaccinated with DTP developed fever 105, adenopathy at injection site, & screaming episode for approx 3 hrs following third immunization, recovered in 2 days.",3,FEVER,LYMPHADENO,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/28/1990,02/28/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,No illness following previous immunization.,
026734,11/27/1990,CO,5.0,F,,"Pt vaccinated with DT developed red, sore, bruised, purple area at injection site & thigh was red swollen & hot. Also irritability, night sweats & fever. Consumer concerned about overdose.",4,AGITATION,FEVER,INJECT SITE REACT,SWEAT,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DT,,,,,,,,UNK,UNK,,,,
026735,11/27/1990,TX,,M,,Pt vaccinated with DTP Child seriously and adversely affected by DTP. no details provided.,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,01/29/1986,,,,1,DTP,,,,,,,,UNK,UNK,,,,
026736,11/27/1990,CO,5.0,F,,"Pt vaccinated with DTP developed swelling, welt on day following immunization. Treated with Benadryl & ice packs.",2,EDEMA,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/10/1990,04/11/1990,1,,1,DTP,,,,,,,,UNK,UNK,,,,
026737,11/27/1990,CO,20.0,M,,"Pt vaccinated with DTP developed a red, indurated area of 4 cm with Erythema. Treated with Ice pack.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/04/1990,04/04/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026738,11/27/1990,CO,,U,,Pt vaccinated with DTP developed a large welt & rash.,2,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
026739,11/29/1990,MD,0.6,U,,"Pt vaccinated with DTP began wheezing within 3-8minutes & a rash developed, type unknown, child may have been wheezing before immunization but definitely more pronounced afterwards. Required Epinephrine & ER visit.",2,ASTHMA,RASH,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,,04/16/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026740,11/29/1990,NJ,0.5,U,,"Pt vaccinated with DTP 15 hrs after immunization child began high-pitched screaming, shaking persistant for 8 hrs. MD dx Hyperirritability, no evidence of seizure. Administered Phenobarbital IM followed by oral Phenobarbital for 4 day.",3,AGITATION,SCREAMING SYND,TREMOR,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/17/1990,04/18/1990,1,,1,DTP,,,,,,,,UNK,UNK,,,,
026741,11/29/1990,PA,0.2,M,,"Pt vaccinated with DTP 3 hrs later developed fever to 101, irritability, several apneic episodes, vomited once. Admitted to hosp, placed on oxygen. A few brief bradycardic episodes noted. Child afebrile, doing well next morning.",5,AGITATION,APNEA,BRADYCARDIA,FEVER,VOMIT,,,,,,,,,,,,,,,,,,,,,,Y,,U,04/19/1990,04/19/1990,0,"LP negative; CBC - HCT 27, Otherwise normal, chest xray-normal; Oxygen SAT 72-80 range before oxygen",2,DTP,OPV,,,,,,,UNK,UNK,,,,
026742,11/29/1990,MD,0.2,F,,Pt vaccinated with DTP screaming episode lasting more than 4 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/07/1990,03/07/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026743,11/29/1990,FL,0.3,M,,Pt vaccinated with DTP developed low-grade fever & screaming for hrs.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,04/19/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026744,11/29/1990,FL,0.2,F,,Pt vaccinated with DTP became very grumpy.,1,AGITATION,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,04/19/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026745,11/29/1990,FL,0.2,F,,Pt vaccinated with DTP developed fever 102 & high-pitched screaming for hours.,2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,04/19/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026746,11/29/1990,FL,1.3,M,,Pt vaccinated with DTP became restless at night.,1,INSOMNIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,04/19/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026747,11/29/1990,NC,0.4,F,,"Pt vaccinated with DTP 2 wks later, developed whooping like cough, mucus and low garde fever - dx on x-ray as having pneumonia. Positive rechallenge w/2nd DTP received on 23MAR90. Went to ER, Seen by specialist; Dx RS virus.",3,COUGH INC,FEVER,PNEUMONIA,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
026748,11/29/1990,IN,1.4,F,,Pt vaccinated with DTP developed pertussis - culture & screen positive.  Received 3 DTP's - last one 19JAN90. Treated successfully w/Erythromycin.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,Positiv Screen and Culture,1,DTP,,,,,,,,UNK,UNK,,,,
026749,11/29/1990,LA,0.3,F,,"Pt vaccinated with DTP developed erythematous area - 3 X 3.5 CM, over injection site. Area swollen & warm; not tender.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/18/1990,04/19/1990,1,,1,DTP,,,,,,,,UNK,UNK,,,,
026750,11/29/1990,IL,5.0,F,,"Pt vaccinated with DTP developed fever to 103 & vomited during the night following immunization. Next day, fever 102.6, headache & five episodes of vomiting; no diarrhea.",3,FEVER,HEADACHE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/23/1990,04/23/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026751,11/29/1990,VA,0.3,M,,Pt vaccinated with DTP one of two pt developed urticaria 20 hrs after immunization.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/09/1990,03/09/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026752,11/29/1990,VA,0.3,M,,Pt vaccinated with DTP one of two pt who developed urticaria 20 hrs after immunization.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,12/06/1989,12/05/1989,-1,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026753,11/29/1990,IL,0.2,F,,Pt vaccinated with DTP developed rash described as "tiny bumps all over body." Pt seen by MD rash goen. No signs of viral infection seen.,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/26/1990,02/27/1990,1,,1,DTP,,,,,,,,UNK,UNK,,,,
026754,11/29/1990,NE,0.5,F,,Pt vaccinated with DTP developed redness around injection site with slight temp (99.9 rectal). child now doing fine.,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,04/28/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026755,11/29/1990,NE,6.0,M,,Pt vaccinated with DTP developed redness around injection site w/slight temp 101. child now doing fine.,2,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,05/01/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026756,11/29/1990,MD,5.0,F,,"Pt vaccinated with DTP approx 6 hrs after 5 immunization, pt experienced tonic clonic seizure; recovered.",1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,03/08/1990,03/08/1990,0,CT Scan - Normal; Lumbar Puncture - Normal; BP - 88/60,1,DTP,,,,,,,,UNK,UNK,,,No prior hx of convulsions.,
026757,11/29/1990,NC,0.3,U,,"Pt vaccinated with DTP developed a runny nose, cough, then wheezing requiring bronchodilator & organidin for 10-14days. Received 2nd DTP developed same symptoms as before requiring treatment for 5-7 days.",3,ASTHMA,COUGH INC,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Tested for cystic fibrosis - results negative.,1,DTP,,,,,,,,UNK,UNK,,,,
026758,11/29/1990,LA,5.0,M,,"Pt vaccinated with DTP followed by fever 103, vomiting for 24 hrs & a severe headache lasting 5 days. Also, had redness inferior to the injection site. 6 X 4 tender indurated area below injection site.",4,FEVER,HEADACHE,INJECT SITE REACT,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/07/1990,,WBC - 7K; Blood C&S; Leading edge of redness; C&S negative,1,DTP,,,,,,,,UNK,UNK,,,,
026759,11/29/1990,KY,,U,,"Pt vaccinated with DTP one of three children received immunization in the buttocks area & following day, mother called to report swelling at injection site w/redness & pain.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/10/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026760,11/29/1990,KY,,U,,"Pt vaccinated with DTP one of three children who received immunization in the buttocks area & the following day, mother called to report swelling at injection site with redness & pain.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/10/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026761,11/29/1990,KY,,U,,"Pt vaccinated with DTP one of three children who received immunization in the buttocks area & the following day, mother called to report swelling at injection site with redness & pain.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/10/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026762,11/29/1990,IL,0.3,M,,"Pt vaccinated with DTP mother noted baby to be hot, the appeared lifeless, limp with no color in lips. 15-20min later color returned. Taken to ER where fever 102 but otherwise appeared normal. Hospitalized & appears fine since.",5,FEVER,HYPOTONIA,PALLOR,STUPOR,VASODILAT,,,,,,,,,,,,,,,,,,,,,,Y,,U,,05/10/1990,,LP-OK; CBC-OK; EEG-normal; Chest x-ray - Normal,1,DTP,,,,,,,,UNK,UNK,,,"Oral Thrush, URI, Eczema, slight wheezing.",
026763,11/29/1990,VA,1.5,U,,"Pt vaccinated with DTP developed fever 103, swelling, redness, knot, bruising & tenderness at injection site following immunization, large knot & discoloration still present 2 wks later",3,FEVER,INJECT SITE REACT,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/10/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026765,11/29/1990,VA,0.2,U,,"Pt vaccinated with DTP developed fever 103-104, swelling, redness, a knot, & tenderness at injection site.",3,FEVER,INJECT SITE REACT,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/09/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026766,11/29/1990,TN,0.3,M,,"Pt vaccinated with DTP developed urticaria 2 hrs after immunization, treated with Benadryl. This was child's second DTP. No reaction at 2 mo of age.",1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/25/1990,04/25/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026767,11/29/1990,IL,,U,,Pt vaccinated with DTP on of two children who had a "severe" crying spell within 3 hrs of immunization.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
026768,11/29/1990,IL,,U,,Pt vaccinated with DTP one of two children who had a "severe" crying spell within 3 hrs of immunization.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DTP,,,,,,,,UNK,UNK,,,,
026769,11/29/1990,IL,4.0,M,,"Pt vaccinated with DTP/OPV later that day had fever to 103.6 lasting 18hrs, vomiting for 12 hrs & diarrhea. Fever & vomiting subsided but diarrhea persists. Child doing well otherwise.",2,DIARRHEA,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/16/1990,,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026770,11/29/1990,IL,6.0,U,,Pt vaccinated with DTP developed twitching followed by a 10 minute seizure. Temp prior to seizure 100. Hospitalized where temp has been fluctuating as high as 104. Nuerological exam normal.,3,CONVULS,FEVER,TWITCH,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,,,,,1,DTP,,,,,,,,UNK,UNK,,,"Pt was followed at MD office, which at that time noticed roseola rash. possibly DTP reactin combined w/roseola.",
026771,11/29/1990,MD,5.0,F,,Pt vaccinated with DTP developed "severe" crying and her arm became extremely red from shoulder to elbow immediately following vaccination.,2,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/08/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026772,11/29/1990,MD,3.0,M,,Pt vaccinated with DTP developed redness & swelling of arm 1-2 days after immunization.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/16/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026773,11/29/1990,MD,0.6,F,,"Pt vaccinated with DTP developed fever 102 & hypotonic, ataxia episode day following immunization. Hospitalized for 2 days",3,ATAXIA,FEVER,HYPOTONIA,,,,,,,,,,,,,,,,,,,,,,Y,2,Y,,U,04/03/1990,04/04/1990,1,WBC-16000; Glucose 50,1,DTP,,,,,,,,UNK,UNK,,,No illness following previous immunizations.,
026774,11/29/1990,MD,0.4,F,,Pt vaccinated with DTP/OPV developed abscess at injection site requiring drainage. Culture results: Staph aureus.,1,ABSCESS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,01/11/1990,02/05/1990,25,,2,DTP,OPV,,,,,,,UNK,UNK,,,No illness following previous immunization.,
026775,11/29/1990,MD,0.8,F,,"Pt vaccinated with DTP/OPV developed rash, allergic event consisting of wheezing/asthma following immunization.",2,ASTHMA,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/16/1990,04/16/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026776,11/29/1990,MD,0.3,M,,"Pt vaccinated with DTP/OPV developed fever 102, wheezing, asthma screaming episode for about 3 hrs. Treated with Benadryl.",3,ASTHMA,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,U,03/22/1990,03/23/1990,1,,2,DTP,OPV,,,,,,,UNK,UNK,,,No illness following previous immunization.,
026777,11/29/1990,MD,0.2,F,,"Pt vaccinated with DTP/OPV & experienced allergic event described as becoming somewhat floppy, responded to stimuli, hands & feet became extremely erythematous, face turned pale & crying.",5,HYPOKINESIA,HYPOTONIA,PALLOR,RASH,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,U,04/16/1990,04/16/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,No illness following previous immunization.,
026778,11/29/1990,FL,5.0,M,,"Pt vaccinated with DTP/MMR/OPV that evening cried constantly & temp 102 that went to 104.8. Seen in office 22MAY - alert, oriented, appeared fine but had temp 103.2.",2,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/21/1990,05/21/1990,0,,3,DTP,MMR,OPV,,,,,,UNK,UNK,,,No previous hx of adverse events following vaccinations.,
026779,11/29/1990,TX,0.4,M,,Pt vaccinated with DTP developed seizures two wks after immunization.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,"Negative CAT, EEG",1,DTP,,,,,,,,UNK,UNK,,,,
026780,11/29/1990,TX,0.7,U,,Pt vaccinated with DTP 65-70% of pt immunized with this lot # 259958 developed lumps in the thigh. Vaccine will not mix properly.,1,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/05/1990,,,,1,DTP,,,,,,,,UNK,UNK,,,,
026781,11/29/1990,AL,0.6,F,,"Pt vaccinated with DTP developed a fever of 105 within 24 hrs after immunization. Fever persisted for the next 48 hrs. Treated w/Tylenol. Wk after immunization, child was positive for Strep, treated w/Amoxicillin.",2,FEVER,INFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/15/1990,05/16/1990,1,WBC-9800,1,DTP,,,,,,,,UNK,UNK,,,No prior hx. No siblings.,
026782,11/29/1990,PA,0.3,M,,"Pt vaccinated with DTP developed knot or lump the size of a dime at the injection site (thigh). Reaction not painful or hot, but has not gone away.",1,MASS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/11/1990,05/11/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,,
026783,11/29/1990,ME,0.3,F,,Pt vaccinated with DTP/OPV developed swollen tongue & sticking out of her mouth. Swelling lasted approx 12 hrs. Her mouth remained open & she would not eat. No difficulty breathing or associated rash. Following day had a fever to 103.4.,4,ANOREXIA,EDEMA TONGUE,FEVER,TONGUE DIS,,,,,,,,,,,,,,,,,,,,,,,,,U,,01/19/1990,,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026784,11/29/1990,SC,0.5,F,,Pt vaccinated with DTP experience persistant crying for over 3 hrs the evening following her second immunization. No treatment was given since event was reported two months later.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DTP,,,,,,,,UNK,UNK,,,First DTP Immunization - No local or systemic reaction.,
026785,11/29/1990,NE,,U,,Reporter has observed more local reactions with this particular lot than with previous lots. Local erythema seemed to be more severe with this control number.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,DTP,,,,,,,,UNK,UNK,Acetaminophen (PRN),,,
026786,11/29/1990,SC,0.5,F,,"Pt vaccinated with DTP taken to pediatrician's office within 1 hr after immunization, limp & experiencing hypervolemic shock. Hospitalized & treated with IV fluids. BP 77/50, fever 103 & neuroppenia.",5,FEVER,HYPOTENS,HYPOTONIA,LEUKOPENIA,SHOCK,,,,,,,,,,,,,,,,,,,,,,Y,,Y,06/11/1990,06/11/1990,0,"Cultures - normal; Neutrophils under 1000; WBC 3.9; IGG & Subclasses, IGA, IGM - results unknown at this time. Copiesof lab work available.",1,DTP,,,,,,,,UNK,UNK,,,"No prior hx of reaction to DTP, no siblings.",
026787,11/29/1990,MD,0.6,F,,"Pt w/otitis media at time of immunization, vaccinated with DTP developed fever of 105, inflammation of joints & slept for 13 hrs - unable to rouse.",3,ARTHRITIS,FEVER,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/05/1989,07/05/1989,0,,1,DTP,,,,,,,,UNK,UNK,,,No illness following previous immunizations.,
026788,11/29/1990,MD,1.3,M,,Pt vaccinated with DTP/OPV developed fever 103.8 & convulsions following immunizations. Hospitalized 5 days. Vomiting started day of discharge & diarrhea developed the next morning. Symptoms lasted 7 days - recovered.,4,CONVULS,DIARRHEA,FEVER,VOMIT,,,,,,,,,,,,,,,,,,,,,,,Y,,U,04/09/1990,04/09/1990,0,EEG-Brain scan normal,2,DTP,OPV,,,,,,,UNK,UNK,,,No illness following previous immunizations.,
026789,11/29/1990,MD,0.2,F,,"Pt vaccinated with DTP/OPV developed fever 101.5, local reaction, screaming for more than 3 hrs & hypotonic episode following immunization.",4,FEVER,HYPOTONIA,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,U,02/21/1990,02/21/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026790,11/29/1990,MD,0.3,M,,Pt vaccinated with DTP and IPV and developed two convulsions. Unspecified focal neurologic signs & could not cry. LP normal.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/11/1990,04/11/1990,0,,2,DTP,IPV,,,,,,,UNK,UNK,,,No personal or family hx of convulsions.,
026792,11/29/1990,DC,0.5,M,,"Pt vaccinated with DTP/OPV developed fever to 102 for one day; Five days after immunization, developed erythema multiforme rash. No mucous membrane involvement.",2,ERYTHEMA MULT,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,2,DTP,OPV,,,,,,,UNK,UNK,Tylenol,,Immunizations delayed because of frequent colds.,
026793,11/29/1990,TX,4.0,U,,"Pt vaccinated with DTP developed persistent fever of 103, redness which resolved, swelling & ""lime, green, flourescent stools"".",4,EDEMA,FEVER,RASH,STOOL ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,U,06/18/1990,06/18/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,No previous reactions to immunizations.,
026794,11/29/1990,IA,0.3,F,,Pt vaccinated with DTP developed seizure (arms & legs twitching) for approx 1 hr. Taken to ER & admitted for observation. Treated with IV Phenobarbital & valium. DC on 20Jun & is asymptomatic with no residual sequelae.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,06/18/1990,06/18/1990,0,,1,DTP,,,,,,,,UNK,UNK,,,On the day of the seizure infant received prophylactic acetominophen. Infant became febrile on 2nd day of hospitalization. No prior history of reactions. Siblings have no hx of reactions. No family hx of reactions. No family hx of seizures.,
026363,11/30/1990,SC,30.0,F,,Pt vac w/ Engerix-B dev sore arm at inject site; dull ache lt shoulder & under breast.,3,ARTHRALGIA,PAIN BREAST,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,U,,05/05/1990,,,1,HEP,,,,,,,,UNK,UNK,,,No known allergies. No prior hx of hep vax.,
026364,11/30/1990,SC,32.0,F,,"Pt vaccinated with Engerix-B drowsiness, fatigue, fever, myalgias, nausea, sinusitis, flu-like symptoms, congestion.",7,ASTHENIA,FEVER,FLU SYND,MYALGIA,NAUSEA,RHINITIS,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,U,03/30/1990,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026365,11/30/1990,NY,61.0,F,,Pt vaccinated with Engerix-B received 3 doses and did't respond. For a fourth dose she was given Engerix-B still did not respond when titers were checked a month later.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026366,11/30/1990,TN,44.0,M,,"Pt vaccinated with Engerix-B developed diarrhea, bad headache, events occurred the day after vaccinee received a first dose. Missed one day of work. Reporter indicated ""pt seems okay right now.""",2,DIARRHEA,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/17/1990,05/18/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026367,11/30/1990,OH,47.0,F,,Pt vaccinated with Engerix-B a first dose and no titers developed. A second dose and anti-HBS testing was planned in 30 days Non Responder.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,02/01/1990,05/25/1990,113,,1,HEP,,,,,,,,UNK,UNK,,,,
026368,11/30/1990,KY,,M,,Pt vaccinated with ENGERIX-B developed pain aching elbow to shoulder. Raised pimple type area with pus.,3,ABSCESS,PAIN,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026369,11/30/1990,PA,26.0,F,,"Pt vaccinated with Engerix-B fullness in ears, flushing sensation head & face, weakness in the arm, both ears became itchy, both ears became red hot occurred one month ago following first injection.",4,EAR DIS,MYASTHENIA,PRURITUS,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/25/1990,04/25/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,Allergic to certain spices; Known asthmatic. No known allergies to yeast.,
026370,11/30/1990,LA,43.0,M,,"Pt vaccinated with Engerix-B developed edematous ocular orbits, irritation eye area both sides, eyes were puffy, swelling eye on both sides, eyes became itchy.",2,EDEMA FACE,PRURITUS,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/25/1990,05/25/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,No concomitant illnesses. No concomitant medications. Allergy to pollen for 25yrs. Had asthmas w/numerous allergies until age 16.,
026371,11/30/1990,LA,,F,,"Pt vaccinated with Engerix-B developed dizziness, nausea, arm felt heavy.",3,DIZZINESS,MYASTHENIA,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/25/1990,05/25/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026372,11/30/1990,NJ,35.0,F,,"Pt vaccinated with Engerix-B felt out of body, forgetfulness, insomnia, felt like she had alzheimers, confusion.",3,AMNESIA,CONFUS,INSOMNIA,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/27/1990,05/01/1990,4,,1,HEP,,,,,,,,UNK,UNK,,,,
026373,11/30/1990,NY,50.0,F,,"Pt vaccinated with Engerix-B developed mild dizziness, felt feverish but no fever, swollen glands, joints generalized ached, general feeling of weakness, achy, flu like symptoms.",7,ARTHRALGIA,ASTHENIA,DIZZINESS,FLU SYND,LYMPHADENO,MALAISE,PAIN,,,,,,,,,,,,,,,,,,,,,,Y,05/29/1990,05/29/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,Allergic to everything including tylenol; "can't take asa.",
026374,11/30/1990,OR,72.0,M,,"Pt recvd 1st dose of vax 10APR90 & devel star burst effect on lt eye, seen by ophthalmologist w/vision improved a little;",4,CATARACT,EYE DIS,VISION ABNORM,VITREOUS DIS,,,,,,,,,,,,,,,,,,,,,,,,,N,04/12/1990,,,,1,HEP,,,,,,,,UNK,UNK,,,Hx ofmigraines; sustained blow to area above lt eye before onset of sx;,
026375,11/30/1990,PA,49.0,M,,"Pt vaccinated with Engerix-B developed depression, aggressive reaction for 1 wk, agitated, moody.",3,AGITATION,DEPRESSION,EMOTION LABIL,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/01/1990,,,,1,HEP,,,,,,,,UNK,UNK,,,Not on any medications. No hx of allergy.,
026376,11/30/1990,IA,44.0,F,,"Pt vaccinated with Engerix-B developed general malaise, adverse reaction to vaccination, body aches, chills.",3,CHILLS,MALAISE,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/30/1990,05/30/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,No concomitant illnesses.,
026377,11/30/1990,IA,28.0,F,,"Pt vaccinated with Engerix-B developed diarrhea, fatigue, headache, joint aches extremities, nausea, adverse reaction to vaccine generalized body aches, epigastric cramping.",7,ARTHRALGIA,DIARRHEA,HEADACHE,NAUSEA,PAIN,PAIN ABDO,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,U,04/26/1990,04/26/1990,0,"VS BP-120/80, Pulse 80, Resp 16.",1,HEP,,,,,,,,UNK,UNK,Birth Control Pills; Imodium,,No concomitant illnesses,
026378,11/30/1990,PA,23.0,M,,"Pt vaccinated with Engerix-B developed dizziness, viral exanthema, headache, cold sweats, aches, lost 5lbs, flu-like symptoms, chills and fever.",10,CHILLS,FEVER,FLU SYND,HEADACHE,PAIN,PHARYNGITIS,PRURITUS,RASH,SWEAT,WEIGHT DEC,,,,,,,,,,,,,,,,,,,U,06/01/1990,06/01/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,No concomitant illnesses.,
026379,11/30/1990,NC,42.0,F,,"Pt vaccinated with Engerix-B developed diarrhea, fever, nausea, tightness in chest, congestion, cough.",6,COUGH INC,DIARRHEA,FEVER,NAUSEA,PAIN CHEST,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,U,05/28/1990,05/28/1990,0,,1,HEP,,,,,,,,UNK,UNK,Vasotec,,Hypertension on Vasotec.,
026380,11/30/1990,NC,30.0,F,,"Pt vaccinated with diarrhea, fever, injectin site pain, nausea, sorethroat, aches, congestion.",7,DIARRHEA,FEVER,NAUSEA,PAIN,PAIN INJECT SITE,PHARYNGITIS,RHINITIS,,,,,,,,,,,,,,,,,,,,,,U,05/23/1990,05/23/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,No concomitant illnesses.,
026381,11/30/1990,NC,23.0,F,,"Pt vaccinated with Engerix-B developed diarrhea, dizziness, nausea, neck pain, weak, aches, cramping for 12 hrs.",6,ASTHENIA,DIARRHEA,DIZZINESS,NAUSEA,PAIN,PAIN NECK,,,,,,,,,,,,,,,,,,,,,,,U,06/01/1990,06/01/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026382,11/30/1990,NC,40.0,M,,"Pt vaccinated with Engerix-B developed gastritis, headache, neck pain, weakness.",4,ASTHENIA,GASTRITIS,HEADACHE,PAIN NECK,,,,,,,,,,,,,,,,,,,,,,,,,U,06/01/1990,06/04/1990,3,,1,HEP,,,,,,,,UNK,UNK,,,,
026383,11/30/1990,AR,55.0,F,,"Pt vaccinated with Engerix-B developed itching, rash , sores.",2,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/17/1990,05/19/1990,2,,1,HEP,,,,,,,,UNK,UNK,"Dyazide, Feldene, Voltaren",,Arthritis.,
026384,11/30/1990,NC,31.0,F,,"Pt vaccinated with Engerix-B developed diarrhea, fever, nausea, sore throat, aches.",5,DIARRHEA,FEVER,NAUSEA,PAIN,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,,,,,U,05/23/1990,05/28/1990,5,,1,HEP,,,,,,,,UNK,UNK,,,,
026385,11/30/1990,WA,43.0,M,,"Pt vaccinated with Engerix-B developed papular rash, pruritus.",2,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,U,05/24/1990,06/03/1990,10,,1,HEP,,,,,,,,UNK,UNK,,,Has many allergies.,
026386,11/30/1990,OH,26.0,F,,"Pt exp rash, hives, tightness in chest, wheezing p/recvd 3rd dose on 16MAY90; Advised to discontinue Bactrim taking for UTI; 31JUL90 HBSAB level 2.3 RU; pt given 4th dose vax 8AUG90 uneventful; f/u not seroconverted as of 2OCT90;",6,ASTHMA,INFECT URIN TRACT,NO DRUG EFFECT,PAIN CHEST,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,U,05/16/1990,05/16/1990,0,31JUL90 HBSAB level = 2.3 RU; 2OCT90 HBSAB level = 2.9RU,1,HEP,,,,,,,,UNK,UNK,,,,
026796,11/30/1990,TN,0.7,M,,"Pt vaccinated with DTP had difficulty breathing, became pale, fever, limp, blood pressure dropped. Hospitalized for hypotonic-hyporesponsive episode. Treate w/IV bolus of D5W 1/4 NS followed by IV drip. Placed on monitor; Given oxygen.",6,DYSPNEA,FEVER,HYPOKINESIA,HYPOTENS,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,Y,,U,06/26/1990,06/26/1990,0,"CBC, Blood Gases, Chest x-ray - Normal; SMA-6; Blood cultures",1,DTP,,,,,,,,UNK,UNK,,,No previous problems,
026797,11/30/1990,VA,0.2,F,,Pt vaccinated with DTP developed liver inflammation within 48 hrs after immunization on 25JUN90. Seen 27JUN with mild jaundice & elevated liver enzymes. Resolved quickly. Probably viral.,3,HEPATITIS,JAUNDICE,LIVER FUNC ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,U,,06/25/1990,,,1,DTP,,,,,,,,UNK,UNK,,,,
026798,11/30/1990,WI,0.2,M,,"Pt vac.W/DTP/OPV plaintiff alleged that as a result of immunization on 14MAY84, 29JAN86 & 28APR87 child experienced a grand mal seizure within hrs of first vaccination, & permanent brain damage.",2,BRAIN SYND CHRON,CONVULS,,,,,,,,,,,,,,,,,,,,,,,,,,Y,N,05/15/1984,05/15/1984,0,Abnormal EEG & MRI.,2,DTP,OPV,,,,,,,UNK,UNK,,,Normal pregnancy & birth,
026799,12/03/1990,NJ,0.3,M,11/20/1990,"Pt vaccinated with DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.",1,HYDRONEPHROSIS,,,,,,,,,,,,,,,,,,,,Y,09/26/1990,,,,,,,N,09/24/1990,09/26/1990,2,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026801,12/03/1990,NC,0.2,M,11/19/1990,Pt vaccinated with DTP/OPV four hrs later turned ash white & stopped breathing. After shaking him he started to cry & resumed breathing. Every time he stopped crying he would stop breathing again. He stopped breathing 10-15 times.,2,AGITATION,APNEA,,,,,,,,,,,,,,,,,,,,,,Y,Y,1,,,Y,05/08/1990,05/08/1990,0,,2,DTP,OPV,,,,,,,PVT,OTH,,,,"Seizures in brother after DTP @ 3,5 & 7 mo's"
026802,12/03/1990,DE,28.3,F,11/19/1990,"Pt vaccinated with MMR/Tetanus developed paresthesia of hands & feet w/numbness, fatigue, weakness, aches, fever 99.9.",5,ASTHENIA,FEVER,NEUROPATHY,PAIN,PARESTHESIA,,,,,,,,,,,,,,,,,,,,Y,5,,,N,10/24/1990,10/25/1990,1,Post vaccine Peripheral Polyneuropathy,1,MEN,,,,,,,,PVT,OTH,,,"PCN, Codeine allergies",
026803,12/03/1990,MA,79.8,M,,"Pt vaccinated with Influenza experienced low grade fever, cough, sx persist & atrial flutter fib, admitted to hosp w/pneumonia, CHF.",7,COUGH INC,FEVER,FLUTTER ATR,HEART FAIL RIGHT,MYALGIA,PERICARDITIS,PNEUMONIA,,,,,,,,,,,,,,,,,Y,Y,,,,U,11/01/1990,11/02/1990,1,CSR & CBC - normal 6NOV90,1,FLU,,,,,,,,PUB,PUB,"Isordil, Cardizem, Kerlone",,"HBP, coronary ischemia",
026804,12/03/1990,OH,0.5,F,11/13/1990,Pt vaccinated with DTP crying for a few hrs. Mother reported total body jerk for 5 min. Child seen by neurologist. Appeared normal upon exam.,2,CONVULS,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,11/12/1990,11/12/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026805,12/03/1990,CT,56.0,M,11/20/1990,"Pt vaccinated with TD experienced fatigue, tinnitus, vertigo starting approx 20 hrs post vaccination.",3,ASTHENIA,TINNITUS,VERTIGO,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,,,,,1,TD,,,,,,,,PVT,PUB,,finger laceration,,
026806,12/03/1990,LA,3.6,F,11/23/1990,Pt vaccinated with DTP/OPV developed swelling at sight; area feels warm & tender. Treatment warm compresses return to office in 5 days.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,11/14/1990,11/19/1990,5,,2,DTP,OPV,,,,,,,PVT,PVT,Bromfed DM,URI,,
026807,12/03/1990,CA,0.5,M,11/19/1990,"Pt vaccinated with DTP/OPV started acting cranky; waking up crying a few times during the night. While at babysitter, started crying a lot, very cranky, slight fever, throwing up, & refusing to take a bottle or sleep.",8,AGITATION,ANOREXIA,FEVER,INJECT SITE REACT,INSOMNIA,MASS INJECT SITE,SCREAMING SYND,VOMIT,,,,,,,,,,,,,,,,Y,,,,,Y,09/13/1990,09/13/1990,0,,1,DTP,,,,,,,,PVT,OTH,Orimune Lederle given on 6 mon well check,,,
026808,12/03/1990,MI,37.7,F,11/18/1990,"Pt vaccinated with Influenza developed stiffness in neck, headache.",2,HEADACHE,NECK RIGID,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/18/1990,10/18/1990,0,,1,FLU,,,,,,,,PVT,PVT,,,,
026809,12/03/1990,OR,69.6,F,11/14/1990,"Pt vaccinated with TD/PPD c/o of lump, erythema, pain, chills/fever at injection site.",5,CHILLS,FEVER,INJECT SITE REACT,MASS INJECT SITE,PAIN,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/29/1990,10/29/1990,0,,1,TD,,,,,,,,UNK,UNK,Mantoux PPD given simultaneously; Lanoxin.,,Irregular heart beat - arthritis,
026810,12/03/1990,MI,13.6,M,11/20/1990,Pt vaccinated with MMR developed extreme sleepiness. Father took child to ER facility. Exam negative. Rechecked in Dr.'s office late afternoon. Exam negative.,1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/07/1990,11/07/1990,0,,1,MMR,,,,,,,,PVT,PVT,,,,
026811,12/03/1990,NY,1.1,F,11/19/1990,"Pt vaccinated with MMR/HIB developed warmness & crying, unsteady gait, falling lasted 24 hrs; morbiliform rash with  post occip nodes.",4,AGITATION,GAIT ABNORM,LYMPHADENO,RASH MAC PAP,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/14/1990,11/15/1990,1,,1,MMR,,,,,,,,PVT,PVT,Triaminicol; Amoxicillin,,,
026812,12/03/1990,OR,43.9,F,11/14/1990,Pt vaccinated with TD/PPD c/o pain & reddness at injection site sent to hospital for exam & treatment.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/05/1990,11/06/1990,1,,1,TD,,,,,,,,UNK,UNK,"Mantoux PPD (Connaught, lot # 231713) OTC Cold tabs, Advil",,,
026813,12/03/1990,TX,0.3,M,10/24/1990,Pt vaccinated with DTP/OPV developed episodes of spasm.,1,SPASM GENERAL,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,07/24/1990,07/30/1990,6,EEG showing "hypsarrhythmia messino" (sp?) infantile spasm,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026387,12/04/1990,OH,64.0,F,,Pt started to itch 2 hrs/p vax /w Engerix,1,PRURITUS,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/10/1990,05/10/1990,0,,1,HEP,,,,,,,,UNK,UNK,Procardia,,Bowens's Disease,
026389,12/04/1990,CA,51.0,F,,"Pt felt /win 7 min of vax weakness, lightheaded, dizzy also had swelling, redness & itchiness lt hand",5,ASTHENIA,DIZZINESS,EDEMA,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,Y,06/01/1990,06/01/1990,0,,1,HEP,,,,,,,,UNK,UNK,Estrogen,,allergic to broccoli & lobster,
026390,12/04/1990,CA,40.0,F,,"Pt noticed rash on upper chest, back, arms @ 9:30pm on day of vax. /W in 1 wk rash cleared",1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/25/1990,05/25/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,Hx of rash /w Immune Globulin,
026391,12/04/1990,CA,33.0,F,,"24 hrs /p vax pt noticed rash on her upper chest, back arms. Rash resolved /p treatment /w antihistamines and topical hydrocortisone lotion",1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/25/1990,05/26/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026392,12/04/1990,CA,23.0,F,,"A few seconds /p vax pt felt shooting pain down rt arm. 15 min /p inject felt general weakness, lightheadedness, weakness in rt arm & felt spacy. /p treament /w Tylenol & ice pack was 90% improved by the next day.",4,ASTHENIA,DIZZINESS,PAIN,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/07/1990,06/07/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026393,12/04/1990,CA,33.0,F,,Pt received vax 1st dose @ 8:00pm that day called Urgent care because pt experiencing lightheadness & dizziness,1,DIZZINESS,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/01/1990,06/01/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026394,12/04/1990,WA,74.0,M,,Pt received vax & it was noted that no mannitol or albumin had been adm. Currently pt is not ill,1,LIVER FUNC ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/24/1990,06/06/1990,13,"Lab results form 6Jun90 showed increased liver enzymes (tests on 3May90 were normal) Liver enzumes LDH-76 & 245 on 3May90 & 6Jun90 respectively; SGOT- 11 & 277 resepectively, SGPT- 13 & 753 respectively",1,HEP,,,,,,,,UNK,UNK,,,"Hypertesion, Hemodiaysis pt dialyzed 3X per wk in dialysis unit",
026395,12/04/1990,IA,43.0,F,,"/P vax pt had T 101, as of 11Jun90 diarrhea X 2 wks, body rash & swollen ears & eyes, /w stomach cramps",7,DIARRHEA,EDEMA FACE,FEVER,NAUSEA,PAIN ABDO,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,05/25/1990,05/26/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026509,12/04/1990,NY,55.0,F,,Pt received 1st dose of vax. Antibody titer on 3Jul90 was neg,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12/13/1989,02/13/1990,62,Antibody titer on 3JUL90-neg,1,HEP,,,,,,,,UNK,UNK,,,,
026510,12/04/1990,VA,44.0,F,,"4 days post vax experienced blind spot in lt eye, blurred vision, flashing lights went to take nap when awoke had headache went to MD Dx ophthalmic migraine. Continued headache and fatigue for wk. Developed bronchitis 5Jul90. Resolved",6,AMBLYOPIA,ASTHENIA,BLIND,BRONCHITIS,HEADACHE,MIGRAINE,,,,,,,,,,,,,,,,,,,,,,,Y,06/11/1990,06/15/1990,4,,1,HEP,,,,,,,,UNK,UNK,,,,
026511,12/04/1990,IA,39.0,F,,"Pt received vax had that evening onset of chills, next morning T 103, & chills, aching, anorexia, lethargy, vomiting. Recovered",6,ANOREXIA,CHILLS,FEVER,PAIN,SOMNOLENCE,VOMIT,,,,,,,,,,,,,,,,,,,,,,,Y,07/13/1990,07/13/1990,0,14Jul90-T 103,1,HEP,,,,,,,,UNK,UNK,,,,
026516,12/04/1990,KY,,U,,"generalized muscle pain, chills",2,CHILLS,MYALGIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026518,12/04/1990,PA,58.0,F,,"Herpes Zoster, Pt had onset of Herpes Zoster /p 1st vax /w Engerix-B. Event resolved /wout treatment.",1,HERPES ZOSTER,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/25/1990,06/30/1990,5,,1,HEP,,,,,,,,UNK,UNK,,,,
026519,12/04/1990,CA,,M,,"swollen submaxillary lymph nodes, pt vax /w  1st dose occurred same day 4 hrs later. Resolved /w out treatment",1,LYMPHADENO,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/23/1990,07/23/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026520,12/04/1990,CT,38.0,M,,"Pt c/o abdominal pain /p the 2nd dose in series, c/o dizzness /p 3rd dose. No treatment given. Pt seems alright",1,VESTIBUL DIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/29/1990,07/04/1990,5,,1,HEP,,,,,,,,UNK,UNK,,,,
026521,12/04/1990,OH,24.0,M,,"Pt received 2nd dose on the same day 3hrs post injection, became dizzy & developed headache.  Dizziness lasted 45 sec /w disorientation & then lightheadedness that lasted X 5 min.",3,CONFUS,DIZZINESS,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/12/1990,07/12/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026522,12/04/1990,OH,45.0,F,,"Pt received 1st dose developed headache, nausea, T 99.9, vomiting, chills on 7May90. Hospitalized. Symptoms abated w/o treatment",5,CHILLS,FEVER,HEADACHE,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,Y,05/04/1990,05/07/1990,3,7May90 T 99.9,1,HEP,,,,,,,,UNK,UNK,,,,
026570,12/04/1990,KY,33.0,F,,Pt received vax /win 12 hrs of vax had breathing problems that lasted a couple of hrs.  Flu like symptoms lasted several days. Condition resolved. 2nd dose 18Jun90 had cough 12 hrs later & breathing problems chest pain. Recoverd.,8,CHILLS,COUGH INC,DIZZINESS,DYSPNEA,FLU SYND,MALAISE,PAIN,PAIN CHEST,,,,,,,,,,,,,,,,,,,,,Y,05/17/1990,,,,1,HEP,,,,,,,,UNK,UNK,,,"Emphysema, Asthma, Past hx of pneumonia, post sx stomach stapling","1st vax chills & aches, cough , general malaise"
026571,12/04/1990,CA,39.0,F,,Pt has had 5 Hepatitis B vaccine injec since '85. Test reveals  still nonimmune,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,02/09/1990,05/10/1990,90,Antibody testing for HBV on 7Jun90 post 2 vaxs was neg. Antibody testing 10May90 for HBV post 5th dose was neg.,1,HEP,,,,,,,,UNK,UNK,,,,
026572,12/04/1990,MI,39.0,F,,"Pt received 2nd vax felt itchy & broke out in hives (upper torso). Treated /w Atarax & Benadryl. Dx urticarial rash is resolving, hypersensitivity to vaccine",2,PRURITUS,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/11/1990,06/11/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026577,12/04/1990,VT,,F,,Non responder /p 3rd dose of vax.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/01/1990,07/01/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026578,12/04/1990,NH,37.0,F,,"Pt received vax 3rd dose 3Jan90, Titer ck on 6Apr90 indicated nonresponder. 16Apr90 admin Engerix & Heptatitis B & titer testing showed borderline",1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,,01/03/1990,04/06/1990,93,"6Apr90 3rd dose ck- 2.9 borderline, 26Jun90 4th dose ck 5.00 borderline.",1,HEP,,,,,,,,UNK,UNK,,,,
026579,12/04/1990,KY,19.0,F,,Pt recvd 1st dose on lt deltoid on 8JUN90; pt devel rash appeared ten days post vax; Rash started as blister but when seen by nurse 10JUL90 blisters dry & crusty,1,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/08/1990,06/18/1990,10,,1,HEP,,,,,,,,UNK,UNK,NONE,,NONE,
026580,12/04/1990,CA,47.0,F,,Pt developed redness & soreness at inject site condition resolved. 2nd dose pt c/o itchy & widespread redness down lt arm. Condition resolved,3,INJECT SITE REACT,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,04/01/1990,04/01/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,"allergic to Sulfa drugs, Hypothyroidism",
026581,12/04/1990,NC,42.0,F,,1 day post 1st inject pt had muscle pain in lt arm of inject site. 2nd dose given in rt arm 25May90 uneventful,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,04/24/1990,04/25/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026582,12/04/1990,LA,37.0,M,,Discoloration of skin golden tinge. Condition resolved w/o treatment,1,SKIN DISCOLOR,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/15/1990,06/18/1990,3,,1,HEP,,,,,,,,UNK,UNK,,,,
026583,12/04/1990,LA,40.0,F,,"Lightheadness, fainted events occurred 4 hrs /p vax received, 1st dose. Events resolved /w out treatment",2,DIZZINESS,SYNCOPE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/15/1990,06/15/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026584,12/04/1990,FL,34.0,F,,"Pt received vax developed headaches & chills also soreness of neck fatigue, sore throat. Recovered",6,ASTHENIA,CHILLS,HEADACHE,PAIN NECK,PHARYNGITIS,SWEAT,,,,,,,,,,,,,,,,,,,,,,,Y,06/28/1990,07/03/1990,5,throat culture- neg,1,HEP,,,,,,,,UNK,UNK,,,allergies,
026585,12/04/1990,NC,42.0,F,,"Pt developed rash appeared on forarms & torso. Rash was raised rough, raised ""like sand paper"" lasted 72 hrs. Rash would reappear & itch /p showers. Rash resolved",2,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/11/1990,06/11/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,allergy to class III molds/fungus,
026586,12/04/1990,CT,36.0,M,,"Pt received series of 3 vax, pain in arm following 3rd dose was greater than others plus /w 3rd dose experianced nausea, abdominal pain, chills, headache, general malaise, flu like symptoms, Events resolved /w out treatment",7,CHILLS,FLU SYND,HEADACHE,MALAISE,NAUSEA,PAIN ABDO,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,Y,07/16/1990,07/16/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026814,12/04/1990,CA,1.3,F,11/15/1990,"Pt vax /w DT/OPV/HIB 5 days /p vaccination, pt developed erythema multiforme and serum sickness with migratory polyarithritis, which lasted for 6 weeks.",3,ARTHRITIS,ERYTHEMA MULT,SERUM SICK,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,07/30/1990,08/03/1990,4,"Parvovirus BIg negative, ESR normal, IGE normal, Rhematoid Factor negative",3,DT,HIBV,OPV,,,,,,PVT,PVT,Liquiprin,,Previous hx of otitis media; no allergies,"brother had swelling at injection site after DTP at 6 mo's, dose #3."
026815,12/04/1990,WA,64.9,F,11/14/1990,"Pt vaccinated with Pneumovax/DT developed 3"" diameter erythematous area rt deltoid hot to touch. Pt denies elevated temp. generalized hive areas covering trunk, arms & to hips that itch badly.",3,INJECT SITE REACT,PRURITUS,URTICARIA,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/07/1990,11/08/1990,1,,2,DT,PPV,,,,,,,PVT,PVT,,,,
026816,12/04/1990,WA,7.2,M,11/07/1990,"Pt vaccinated with TD/OPV pt's arm was swollen from shoulder to midway between the elbow and wrist; red, hot, very firm to touch, severe pain by 5NOV90 had a few welt-like areas;",4,EDEMA,INJECT SITE REACT,PAIN,URTICARIA,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/02/1990,11/03/1990,1,,2,OPV,TD,,,,,,,PUB,PUB,,,,
026817,12/04/1990,AL,0.2,M,11/19/1990,Pt vaccinated with DTP/OPV experienced screaming X 3 hrs.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/17/1990,,,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026818,12/04/1990,WA,30.5,M,11/16/1990,"Pt vaccinated with Typhoid/Fluzone developed swollen lt arm elbow to shoulder, hot to touch, not too painful. Pt did not apply ice packs as directed when vaccinated nor take ASA or Tylenol. This is the 2nd of this series.",3,EDEMA,RASH,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/13/1990,11/14/1990,1,,2,FLU,TYP,,,,,,,MIL,MIL,,,,
026819,12/04/1990,OH,33.0,F,11/13/1990,"Reporter is MD states would have required Dr visit if wasn't an MD. Vaccinated with Influenza developed slight soreness at site 6 hrs later. 24hrs later mild swelling, erythema 3"" diameter & pruritis.",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,N,11/12/1990,11/13/1990,1,,1,FLU,,,,,,,,PVT,PVT,,,"Allergies Aspirin, Keflex, topical Iodine allergies.",
026820,12/04/1990,NJ,0.5,F,11/16/1990,"Pt vaccinated with DTP/HIB experience crying 6-7 hrs after injection. Cried 2 hrs, fever 104+, no siezure, inject site slight swelling.",3,FEVER,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/15/1990,11/15/1990,0,,2,DTP,HIBV,,,,,,,PVT,PVT,,,milk intolerance,
026821,12/04/1990,NY,42.0,F,11/19/1990,Pt vaccinated with Rubella/DT/Recombivax developed migratory polyarthritis - involving large & small joints.,1,ARTHRITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/01/1990,10/08/1990,7,,1,R,,,,,,,,PUB,UNK,,mild cold symptoms,,
026822,12/04/1990,OK,44.1,F,11/19/1990,"Pt vaccinated with Fluogen/Engerix developed puffy below eyes, blotchy patches on shoulder & legs, felt like fever, stiff neck started morning after & lasted 1 wk red color around neck",4,EDEMA FACE,FEVER,NECK RIGID,RASH,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/29/1990,10/30/1990,1,,1,FLU,,,,,,,,PUB,PVT,,,,
026823,12/04/1990,FL,0.5,F,,"Pt vaccinated with DTP developed febrile seizure, turned purple, got stiff, r/o early otitis media, r/o seizure.  Shortly /p shot child became limp, purple-no seizure noted",3,CYANOSIS,FEBRILE SEIZURE,HYPERTONIA,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,08/07/1990,08/07/1990,0,WBC 9.3; H&H 11.3/35.2; Polp 23; Stubs 40; Lymphs 34,1,DTP,,,,,,,,UNK,UNK,,,,no prior rx to DTP
026824,12/04/1990,WI,47.0,F,,"Pt vaccinated with Rubella developed carpal tunnel synd, fatigue, neuropathy, joint pain, glands in neck achy & swollen, few spots on chest (red dots), rash, legs achy, tingling & numbness in both hands & arms.",9,ARTHRITIS,ASTHENIA,LYMPHADENO,MYALGIA,NEUROPATHY,PAIN,PARESTHESIA,RASH,VASODILAT,,,,,,,,,,,,,,,,,,,Y,U,03/01/1990,03/08/1990,7,,1,R,,,,,,,,UNK,UNK,,,,
026825,12/04/1990,CA,17.0,M,,"Pt vaccinated with MMR developed cochlear apodlexy lt ear; ringing sensation, hearing impairment.",3,DEAF,DEAF TRANS PART,HEM,,,,,,,,,,,,,,,,,,,,,,,,,,U,04/27/1990,05/06/1990,9,Audiogram; Raji Cell Assay<4ng.4; CIA imm Binding 8.5,1,MMR,,,,,,,,UNK,UNK,,,,
026826,12/04/1990,CA,25.0,F,10/23/1990,Pt vaccinated with Fluzone developed painful stiff neck x5 days; No fever or other symptoms; No muscle ache or sensory nerve changes noticed.,1,NECK RIGID,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/19/1990,10/20/1990,1,,1,FLU,,,,,,,,UNK,UNK,,,"allerigc to ibuprofen, sulfa drugs",
026827,12/04/1990,MA,52.0,F,,"Pt vaccinated with MMR developed malaise, fever, adenopathy, w/abnormal liver function test, dx acute hepatitis.",4,FEVER,LIVER FUNC ABNORM,LYMPHADENO,MALAISE,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,"As of 12JUN90 HCT-44, CBC-7.3, Segs 34, Lymph 43, Mono 3, Eosin 4, Baso 1, Bands 5.",1,MMR,,,,,,,,UNK,UNK,,,Referred for GI consult,
026828,12/04/1990,MA,32.0,F,,"Pt vax /w MMR developed Headache, Earache, Swollen cervical glands, low grade fevers.",4,FEVER,HEADACHE,LYMPHADENO,PAIN EAR,,,,,,,,,,,,,,,,,,,,,,,,,U,06/06/1990,06/07/1990,1,"Neg chest x-ray, positive titer",1,MMR,,,,,,,,UNK,UNK,,,,
026829,12/04/1990,MA,1.6,M,,"Pt vaccinated with DTP/HIB developed high temp, & irritability within 12 hrs of shot.",2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,07/12/1990,07/12/1990,0,Temp- 102 per mother,2,DTP,HIBV,,,,,,,UNK,UNK,Ceclor 250mg/5ml,Early LOM,,
026830,12/04/1990,,,F,,Pt vaccinated with Typhoid developed extensive shaking & chills which subsided in one day. Symptoms also included poor vision & pain in back.,4,CHILLS,PAIN BACK,TREMOR,VISION ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,U,06/28/1990,06/28/1990,0,,1,TYP,,,,,,,,UNK,UNK,,,,
026831,12/04/1990,NY,,F,,Pt vaccinated with OPV during spring of 1965 developed paralysis of the vocal cord.,1,PARALYSIS VOCAL CORD,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,U,05/23/1965,06/18/1965,26,,1,OPV,,,,,,,,UNK,UNK,,,,
026832,12/04/1990,NC,32.0,F,,Pt vaccinated with Recombivax in 1987 or 88 in Oct90 was hospitalized with headache. Cerebral arteriography revealed diffuse cerebral vasculitis. At the time of the report the pt headache had resolved.,2,HEADACHE,VASCULITIS,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,,,,Arteriography OCT90 cerebral vasculitis.,1,HEP,,,,,,,,UNK,UNK,,,,
026833,12/04/1990,PA,41.0,F,,"Pt vax /w Hept-B experienced warm, flushing sensation, numbness, & tingling in the lt arm. Was hospitalized for dysequilibrium & paresthesias & dx with Multiple sclerosis.",4,COORDINAT ABNORM,PARESTHESIA,SCLEROSIS MULT,VASODILAT,,,,,,,,,,,,,,,,,,,,,Y,,,,U,01/26/1988,01/26/1988,0,MRI-Multiple Central Nervous system lesions.,1,HEP,,,,,,,,UNK,UNK,,,"Hx neuritis, retrobulbar",
026834,12/04/1990,IN,5.0,M,09/21/1990,"Pt vax /w DTP/OPV given vaccine in the PM had 2 probable seizures that evening (mumbling, generalized trembling, could not squeeze with rt arm or fingers.",6,ASTHENIA,CONFUS,CONVULS,DREAM ABNORM,INJECT SITE REACT,TREMOR,,,,,,,,,,,,,,,,,,,Y,1,,,Y,09/12/1990,09/12/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026835,12/04/1990,TX,1.3,M,11/20/1990,Pt vaccinated with MMR/HIB Grand Mal Seizure approx 12 hrs after the administration of vaccines. Admitted to hosp for 3 days of testing & observation. Placed on phenobarbital and seizure did not recur.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,Y,Y,3,,,Y,11/15/1990,11/16/1990,1,EEG-Seizure focus in the rt occpital - temporal region; CT Scan - Otitis Media Mastoid Effusion only,2,HIBV,MMR,,,,,,,PVT,PVT,Viscous Xylocaine 2%,Herpes stomatitis,"Hypotonia, SIADH laryngotracheomalacia, GE reflux, ferrke serure",
026836,12/04/1990,AK,0.2,M,11/06/1990,"Pt vaccinated with DTP/OPV/Recomb developed fever of 103, convulsions, fine tremor.",3,CONVULS,FEVER,TREMOR,,,,,,,,,,,,,,,,,,,,,,Y,2,,,Y,10/24/1990,10/24/1990,0,Lumbar puncture - results normal,3,DTP,HEP,OPV,,,,,,PUB,UNK,,,,
026837,12/04/1990,CO,79.8,F,11/15/1990,Pt vaccinated with Influenza developed vasculitis described as severe rash on her arms & legs. Also experienced pain & vomiting.,7,EFFUS PLEURAL,HEM GI,PAIN,RASH,SPLENOMEGALY,VASCULITIS,VOMIT,,,,,,,,,,,,,,,,Y,,Y,10,,,N,10/25/1990,11/01/1990,7,,1,FLU,,,,,,,,PVT,PVT,"Synthroid, Aldactazide",none,,Vasculitis 1 wk /p previous vax of Influenza 89-90 formula
026838,12/04/1990,AZ,,U,11/15/1990,Pt vaccinated with Influenza developed adult respiratory distress synd following administration of Influenza Virus Vaccine. Considered to be life threatening.,1,RESPIRAT DIS,,,,,,,,,,,,,,,,,,,,,,Y,,,,,,U,,,,Chest x-ray: Pleural effusion,1,FLU,,,,,,,,PVT,PVT,,,,
026839,12/04/1990,AZ,55.8,M,11/16/1990,"Pt vaccinated developed swelling-lips, face lt arm & lt hand. Seen in ER 13NOV90. Vsikeril injection in ER Hydroxyzine pam 50mg TID x 7 days. Seen in MD office 15NOV90 for f/u",2,EDEMA,EDEMA FACE,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/31/1990,11/12/1990,12,,,,,,,,,,,PVT,PVT,"Nasalide, Zejtril",HTN,"Duricef, Novacain, Feldene, Reglan",
026840,12/04/1990,VA,0.3,F,11/26/1990,"Pt vaccinated with DTP developed temp 102, screaming, redness at injection site.",3,AGITATION,FEVER,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/26/1990,09/26/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026841,12/04/1990,TX,0.2,M,11/16/1990,"Pt vaccinated with DTP/OPV mother noted to become limpness ""like he was dead"", period of pale, then became normal.",2,HYPOTONIA,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/09/1990,11/11/1990,2,CBC/EEG/Pneumogram are pending.,2,DTP,OPV,,,,,,,PVT,PVT,Tylenol,,,
026842,12/04/1990,WI,0.2,F,11/21/1990,Pt vaccinated with DTP/OPV developed temp 101.4 went limp & pale 5 hrs after immunization.  Started 1 hr /p vax.,3,FEVER,HYPOTONIA,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/06/1990,09/06/1990,0,,2,DTP,OPV,,,,,,,PVT,OTH,,cold x 2 days,,
026843,12/04/1990,PA,82.0,F,,Pt vaccinated with Influenza developed swelling in lt arm w/low grade temp. Treated as allergic reaction w/short course Prednisone. Developed sterile abscess & fevers. Required hospitalization & surgery drainage .,3,ABSCESS,EDEMA,FEVER,,,,,,,,,,,,,,,,,,,,,,,,Y,,U,10/08/1990,10/10/1990,2,Blood culture - negative; abscess culture - negative,1,FLU,,,,,,,,UNK,UNK,Calan SR,,,
026844,12/04/1990,WA,,F,,Pt vaccinated with FLUOGEN developed Stevens-Johnson Synd. No other details known.,1,STEVENS JOHNSON SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/01/1990,09/01/1990,0,,1,FLU,,,,,,,,UNK,UNK,,,,
026845,12/04/1990,NC,44.0,M,,"Pt vaccinated with Rabies vaccine developed paresthesia including ""vibratory"" feelings, numbness, tingling in the lower extremities.",1,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,08/24/1990,08/31/1990,7,Normal EMG,1,RAB,,,,,,,,UNK,UNK,"Ativan, Xanox",,,
026524,12/05/1990,FL,,F,,"Pt developed nausea, abdominal cramps events occurred on the same day following a 1st dose.  Resolved /w out treatment",2,NAUSEA,PAIN ABDO,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/25/1990,06/25/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026525,12/05/1990,FL,,F,,"Pt received 1st dose of vax onset of sore throat, upper respiratory symptoms, back aches. Events resolved",3,PAIN BACK,PHARYNGITIS,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/28/1990,06/28/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026527,12/05/1990,SC,42.0,F,,"Pt received a 1st dose onset of dizziness, headache, muscle aches, nausea, the next day she experienced onset of events that resolved, /wout treatment",4,DIZZINESS,HEADACHE,MYALGIA,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/18/1990,07/19/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026528,12/05/1990,IA,,U,,Pt c/o pain as medicine was being injected. Recovered the same day.,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,01/03/1990,01/03/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026529,12/05/1990,IA,,U,,Pt c/o medicine stinging when injected 31May90. Stinging lasted for about 10 min. & "for about 1 wk the spot of inject hurt for a short time,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/31/1990,05/31/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026530,12/05/1990,IA,,U,,Pt c/o stinging when injected for about 10 seconds. Recovered the same day,1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/29/1990,05/29/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026531,12/05/1990,IA,,F,,"Pt received Engerix vax @ 10:20  & @ 10:45 became dizzy, pale, c/o ""not feeling good"" sat down & rested 45 min & went home but still continued to feel woozy this persisted until bedtime. 18 hrs later she had no complaints. Recovered 30May90",3,DIZZINESS,MALAISE,PALLOR,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/29/1990,05/29/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,Asthma & hay fever,
026532,12/05/1990,CA,38.0,F,,"Pt received 2nd dose of Engerix had onset of diarrhea, fever, chills. Pt missed few days at work, no treatment given, condition resolving",4,CHILLS,DIARRHEA,FEVER,FLU SYND,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026535,12/05/1990,IN,,U,,"Dizziness, lightheadedness occurred 30 min following a 1st dose ofn Engerix b. Treatment & outcome unknown",1,DIZZINESS,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026846,12/05/1990,NY,4.0,F,11/27/1990,"Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.",3,CONVULS,HYPOTONIA,TWITCH,,,,,,,,,,,,,,,,,,,,,,Y,1,,,Y,11/01/1990,11/05/1990,4,EEG-Abnormal,1,MMR,,,,,,,,PVT,PVT,,,asthmatic bronchitis,
026847,12/05/1990,CT,29.4,F,11/26/1990,"Pt vaccinated with DT c/o muscle pain injection site lt deltoid on 20NOV90 pain persists; Increased severity with prolonged use. Pain radiates to lt shoulder - no redness, no swelling. Relieved with rest.",1,PAIN INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/15/1990,11/20/1990,5,,1,DT,,,,,,,,PVT,PVT,,Rt thumb laceration,,
026848,12/05/1990,AZ,0.3,F,11/05/1990,Pt vaccinated with DTP/OPV developed hypotonia/drowsiness with decreased in reflexes.,3,HYPOTONIA,REFLEXES DEC,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,Y,2,,,Y,10/29/1990,10/29/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,hx of recurred diarrhea x 1mo,
026849,12/05/1990,MN,0.2,F,11/27/1990,"Pt vaccinated with DTP/OPV 4 hrs later became pale, momentarily unresponsive, seemed to ""pass in and out"", temp at home to 105; 38.3 R in ER.",3,FEVER,PALLOR,STUPOR,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/05/1990,10/15/1990,10,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026850,12/05/1990,AL,19.8,F,11/26/1990,"Pt vaccinated with MMR experienced pain, swelling, increased warmth & abscess formation at immunization site. 5 days after receiving MMR vaccine she was seen at the Hosp ER & the abscess was drained 30JUL90.",2,ABSCESS INJECT SITE,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,07/25/1990,07/30/1990,5,Culture of drainage material - negative,1,MMR,,,,,,,,PUB,PUB,,,,
026851,12/05/1990,AL,26.3,F,11/01/1990,"Pt vaccinated with TD developed swollen, red, necrotic area where TD was given. Contained pus fluid. Prescribed Erythromycin 250mg q.i.d. X 10 days",3,INFECT,INJECT SITE REACT,NECRO INJECT SITE,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,09/11/1990,09/18/1990,7,,1,TD,,,,,,,,PUB,PUB,,,,
026852,12/05/1990,PA,1.2,F,11/13/1990,"Pt vaccinated with DTP/MMR experienced screaming for 2 days, adm. acetaminophen as directed - symptoms relieved ""some what"" mother states child would ""grab head"". Ears checked by MD 10NOV90. no sign of infection.",1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/08/1990,11/08/1990,0,,2,DTP,MMR,,,,,,,PUB,PUB,,Well,"Allergies to milk Polymox, Erythromycin","Screaming, temp 105, 5mo, DTP, 2nd dose"
026853,12/05/1990,NJ,0.2,M,11/26/1990,"Pt vaccinated with DTP developed unusual, prolonged sleeping, 12 hrs straight, after DTP without waking up for any feeding.",1,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/15/1990,11/15/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026854,12/05/1990,PA,1.7,M,11/15/1990,Pt vaccinated with DTP/OPV developed high fever up to 104 x 10-14 hrs. Resolved in 24 - 48 hrs.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/14/1990,11/14/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026855,12/05/1990,CT,11.9,M,11/05/1990,"Pt vaccinated with MMR c/o pain in the joints of his lt hand & wrist & pain at the site of injection. c/o occipital headache, pain in his lt knee (transient), paresthesias of the skin of his lt forearm. Physical exam-normal.",4,ARTHRALGIA,HEADACHE,PAIN INJECT SITE,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,U,10/31/1990,11/03/1990,3,,1,MMR,,,,,,,,PVT,PUB,,,"Myopia, Osgood-Schlater disease",
026856,12/05/1990,GA,51.6,M,11/18/1990,Pt vaccinated with TD c/o erythema & tightness at injection site 3 days after injection.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/15/1990,11/18/1990,3,,1,TD,,,,,,,,PVT,PUB,Vasotec; Allopurinol,3cm deep lac lt hand,hypertension/gout,
026857,12/05/1990,PA,0.2,M,11/23/1990,Pt vaccinated with DTP/OPV developed screaming beginning 1 hr after vaccination lasted several hrs. Resolved completely by 12 hrs after.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/21/1990,11/21/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026858,12/05/1990,CA,1.3,F,11/19/1990,Pt vaccinated with MMR 5 days after MMR developed fever to 103-104 & continued to have fever x3 days followed by rash generalized including scalp which was itchy. Pt irritable with restless sleeping & mild ataxia all of which resolved.,6,AGITATION,ATAXIA,FEVER,INSOMNIA,PRURITUS,RASH,,,,,,,,,,,,,,,,,,,,,,,Y,10/29/1990,11/02/1990,4,,1,MMR,,,,,,,,PVT,PVT,,,,
026859,12/05/1990,TX,35.7,F,11/26/1990,"Pt vaccinated with TD/HepatitisB/FLU developed local erythema, very marked, extending from shoulder to elbow 1 wk duration. Malaise developed after 3 days, lasting 3 days. Low grade fever x 5 days.",3,FEVER,INJECT SITE REACT,MALAISE,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/26/1990,10/26/1990,0,,1,TD,,,,,,,,PVT,PVT,,,poss sensitivity to thimerosol in eye drops.,reddened sensitive eyes; 33yr old; eye drops; used w/contact lenses.
026860,12/05/1990,MI,0.2,M,11/26/1990,"Pt vaccinated with OPV/HIB/DTP developed extreme paleness, & lethargic for up to 48 hrs. No temp taken or noticed. Discontinue Pertussis give DT only.",2,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/21/1990,11/21/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,Tylenol,,,
026861,12/05/1990,CA,37.0,F,11/16/1990,"Pt vaccinated with Flu vaccine several minutes after injection developed large wheal, vessicles, pruritis & associated w/global headache. Rx Benadryl & hydrocortisone cream.",3,HEADACHE,PRURITUS,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/06/1990,11/06/1990,0,,1,FLU,,,,,,,,PVT,PVT,"Demulen; Ceclor, Caleen.",,Atopic allergic synd. Mitial valve prolapse-sinusits,
026862,12/05/1990,MA,69.4,M,11/26/1990,"Pt vac w/ flu vac developed weakness and mild numbness in torso lasting seven days. Denies difficulty breathing has not had prior reactions to Flu vaccine. 14Feb91:  Neurologist comment,"" insufficient evidence to relate sx to flu shot"".",3,ASTHENIA,MALAISE,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/08/1990,11/08/1990,0,,1,FLU,,,,,,,,UNK,UNK,"Doxepin HCL, Hytrin, Dipyradimole",,Hypertension,
026863,12/05/1990,MA,72.0,M,11/26/1990,"Pt vaccinated with Influenza seven days following flu shot, developed severe gastroenteritis & chest pain. Physical exam revealed no cardiac involvement, gastroenteritis relieved by antacid. No unusual food taken; wife not ill and ate same",2,GASTROENTERITIS,PAIN CHEST,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/31/1990,11/07/1990,7,EKG - WNL,1,FLU,,,,,,,,PUB,PUB,,,,
026864,12/05/1990,MA,58.6,F,11/15/1990,"Pt vaccinated with Influenza nine days following injection, pt developed fever up to 104, chills & mild gastroenteritis. No other URI complications. Symptoms persist to date.",3,CHILLS,FEVER,GASTROENTERITIS,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/01/1990,11/10/1990,9,,1,FLU,,,,,,,,PUB,PUB,,,,
026865,12/05/1990,MA,56.3,F,11/26/1990,"Pt vaccinated with Influenza approx 1 hr later developed severe chills, headache & muscle aches lasting two days.",3,CHILLS,HEADACHE,MYALGIA,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/24/1990,10/24/1990,0,,1,FLU,,,,,,,,PUB,PUB,"Lasix, Meorol, Vasotec, Trendate, Lithium, Clonipin, Synthyroid, Coumadin.","Lupus, HTN, Depression","HTN, Hypothyroid, Depression, Angina",
026866,12/05/1990,MA,71.3,M,10/27/1990,"Pt vaccinated with Influenza four days following injection, pt stated ""I had red spots on my face"", followed by a generalized facial rash on day five & swelling of the face on day six.",2,EDEMA FACE,RASH,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/23/1990,10/27/1990,4,Given Seldane Anhydroxizine,1,FLU,,,,,,,,PUB,PUB,,,,
026868,12/05/1990,MI,5.0,M,11/08/1990,Pt vaccinated with DTP/OPV noticed lt deltoid red & slightly swollen. Mother noticed 3x5 area from the Lt shoulder to lt elbow area with a pale area.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,11/06/1990,11/07/1990,1,,2,DTP,OPV,,,,,,,PUB,PUB,,,,
026869,12/05/1990,MI,1.6,F,11/16/1990,Pt vaccinated with DTP/OPV experience grunting breathing & fever of 101- no redness or swelling. Slept well after return hosp at 230AM. Tells allergies on maternal side of family. Tylenol given Resp TX& X-rays done at hosp.,2,DYSPNEA,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/15/1990,11/16/1990,1,X-Rays,2,DTP,OPV,,,,,,,PUB,PUB,"Bactrim past 2 weeks, also given Amoxicillin","Had cold-runny nose past 2 wks, O.M.also",,
026870,12/05/1990,SD,0.2,F,10/11/1990,Pt vaccinated with DTP/OPV experienced irritable upon waking from nap. Temp 103-105. 10 days IV Antibiotic.,2,AGITATION,FEVER,,,,,,,,,,,,,,,,,,,,,,Y,Y,10,,,Y,09/25/1990,09/30/1990,5,LP -2400WBC ; 800RBCs; No organism seen in CSF. Viral report negative.,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026871,12/05/1990,MI,77.9,F,11/02/1990,"Pt vaccinated with Influenza red edematous area noted at injection site 3 min after injection. Pt did not bleed at time of injection or later- no bandage applied. Pt denies all questioned possible rxn- local & systemic (itching, dizzy).",1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,N,11/02/1990,11/02/1990,0,,1,FLU,,,,,,,,PUB,PUB,,,"Diabetic, Arthritis, Hypertension",
026872,12/05/1990,MA,22.7,F,11/26/1990,Pt vaccinated with Yellow fever/Meningococcal developed diffuse urticaria treated with Benadryl.,1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,11/24/1990,11/24/1990,0,,3,MEN,TYP,YF,,,,,,PVT,PVT,Birth Control Pill,,,
026873,12/05/1990,TX,1.3,M,11/29/1990,"Pt vaccinated with HIB/MMR developed temp 104.2 R this am at home, temp 103.6 ax in office 1130AM, Tylenol, baths, push fluids.",1,FEVER,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,11/21/1990,11/29/1990,8,,2,HIBV,MMR,,,,,,,PVT,PVT,,Well check up,allergic to Rondec Dm,
026874,12/05/1990,AR,0.4,M,11/26/1990,Pt vaccinated with DTP/OPV experienced seizure aprox 8-10 hrs post vaccine.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,06/05/1990,06/05/1990,0,"CSF, CBC, Cultures, chemistries, all WNL",2,DTP,OPV,,,,,,,PUB,PUB,,,,
026875,12/05/1990,CO,,U,,Pt vaccinated developed back pain 2 wks after & progressive weakness & numbness about 3 wks later.,5,ASTHENIA,CSF ABNORM,NEUROPATHY,PAIN BACK,PARESTHESIA,,,,,,,,,,,,,,,,,,,Y,Y,,,,N,,,,"Negative head, neck & thoracic CT; increased CSF (protein 179), NCV c/w neuropathy.",1,FLU,,,,,,,,UNK,UNK,,,,
026876,12/05/1990,CO,0.4,F,11/26/1990,Pt vaccinated with DTP/OPV developed prolonged crying (several episodes >3 hrs for 2 days following injection.,1,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/09/1990,10/09/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026878,12/05/1990,WA,20.9,M,11/28/1990,"Pt vaccinated with Typhoid developed severe chilling feeling of having ""no bones"", weakness & severe HA, Temp 97. After 1 hr, T 103.5 (O) - given Tylenol. After 30 min T 102.6 (O). Sent home and observed by wife (corp person) given Tylenol.",4,ASTHENIA,CHILLS,FEVER,HEADACHE,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/27/1990,11/27/1990,0,,1,TYP,,,,,,,,UNK,UNK,,,,
026879,12/05/1990,NY,0.6,F,11/27/1990,Pt vaccinated with DTP/HIB developed seizure.,1,CONVULS,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/09/1990,11/09/1990,0,,2,DTP,HIBV,,,,,,,PVT,PVT,,,,
026880,12/05/1990,NY,44.3,F,11/24/1990,Pt vaccinated with Influenza lt arm felt sore & noted headache in the region & bilateral neck pain posterior. Also noted chills - did not take temp pt woke up feeling as if couldn't breathe & had a cement block on chest.,10,CHILLS,COUGH INC,DYSPNEA,HEADACHE,PAIN CHEST,PAIN INJECT SITE,PAIN NECK,PARESTHESIA,RHINITIS,VOMIT,,,,,,,,,,,,,,Y,,,,,Y,11/19/1990,11/19/1990,0,,1,FLU,,,,,,,,OTH,PUB,"Coumadin, Premarin, Ativan, Emycin,Ampicillin",,"Codeine, open heart surgery for dysfunctional aortic valve 3/90",
026881,12/05/1990,MO,0.3,M,11/27/1990,Pt vaccinated with DTP/OPV developed excessive crying - fussy for 5 hrs.,2,AGITATION,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/15/1990,08/15/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,Amoxicillin,"URI- Amox 3 days, loose stools",,
026882,12/05/1990,WI,0.8,M,11/26/1990,Pt vaccinated with DTP developed fever to >105F.,1,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/24/1990,08/24/1990,0,,1,DTP,,,,,,,,PVT,PVT,,,,
026410,12/06/1990,TX,33.0,F,,"Pt received vax /w Engerix B , next day had onset of back pain, lt side, lymph nodes lt neck tender/enlarged, pulled muscle.",3,LYMPHADENO,MYALGIA,PAIN BACK,,,,,,,,,,,,,,,,,,,,,,,,,,Y,06/06/1990,06/07/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026411,12/06/1990,KS,19.0,F,,tested slightly postive for Hepatitis B antigen /p receiving Engerix B vax,1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/31/1990,06/05/1990,5,test for Hepatitis b surface antigen- slightyly positive,1,HEP,,,,,,,,UNK,UNK,"Catapres, vitamins",,"renal failure, hemodialysis patient",
026412,12/06/1990,NJ,20.0,M,,"5 hrs post vax thumb & middle finger became swollen lt hand, Seen in ER, Dr in hosp indicated the nerve was probably injured therefore swelling occurred",1,EDEMA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,06/13/1990,06/13/1990,0,,1,HEP,,,,,,,,UNK,UNK,,hurt back lifting,"hay fever, stomach ulcers,",
026536,12/06/1990,CA,,M,,"Pt received 2nd dose of Engerix B approx 19Jul90 pt presented to Dr /w nausea, vomiting, & jaundice.",5,FLU SYND,HEPATITIS,JAUNDICE,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,,U,07/05/1990,07/13/1990,8,"Blood work done- active Hepatitis B, treatment rest",1,HEP,,,,,,,,UNK,UNK,,,,
026537,12/06/1990,IN,34.0,F,,"Pt received a series of 3 Engerix B according to 0,1,2 mon schedule. Labs indicate non response to the vax.",2,PAIN INJECT SITE,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,,,03/19/1990,07/28/1990,131,Serology done 28Jul90 approx 2 months /p 3rd dose- indicted no response,1,HEP,,,,,,,,UNK,UNK,,,,
026538,12/06/1990,KY,47.0,F,,"Pt vax /w Engerix B 1st dose, sameday felt burning sensation down arm & to middle finger which continued for a wk. 23Jun90 felt tired, had rapid heart beat, dizziness, nausea, Saw Dr results of labs normal, condition resolved /w out tx.",5,ASTHENIA,DIZZINESS,NAUSEA,PAIN,TACHYCARDIA,,,,,,,,,,,,,,,,,,,,,,,,Y,06/19/1990,06/21/1990,2,Labs done-normal,1,HEP,,,,,,,,UNK,UNK,,,,
026540,12/06/1990,IA,,F,,"Pt received 3rd dose of Engerix B  Jul90. 2 days later developed hives around the mouth, condition resolved /win 3 to 4 days.",1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/01/1990,07/03/1990,2,,1,HEP,,,,,,,,UNK,UNK,,,,
026541,12/06/1990,FL,,M,,Pt has had a series of 3 vax /w Engerix B & still has not developed titers,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026542,12/06/1990,FL,,U,,Pt has had a series of 3 vaxs /w Engerix b & still has not developed titers,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026544,12/06/1990,OR,43.0,F,,"Pt received series of 3 vaxs of Engerix B, and has not developed any titers",1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10/20/1989,,,"Labs - indicate no titer, non responder",1,HEP,,,,,,,,UNK,UNK,,,,
026545,12/06/1990,OR,38.0,M,,"Pt received Engerix series of 3 vaxs, & is a non responder",1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10/20/1989,,,Labs-indicate non responder,1,HEP,,,,,,,,UNK,UNK,,,,
026546,12/06/1990,OK,,F,,"Pt received a 1st & 2nd dose of Engerix B & Hepatitis B vax, reporter thinks events of fever & lt side of body swelled occurred less than 24 hrs /p vax given, resolved",3,EDEMA,FEVER,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,,,,Y,02/01/1990,02/01/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,,
026547,12/06/1990,OK,66.0,F,,Pt developed Hepatitis B during course of series.,1,HEPATITIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/03/1990,07/13/1990,10,"Hepatitis profile-acute Hepatitis B showing initical features of seroconversion. Dr Comments:tests to screen for Hep A are neg, the B studies reveal positive surface antigen & core antibody",1,HEP,,,,,,,,UNK,UNK,,,,
026548,12/06/1990,TN,39.0,F,,"Pt c/o headache for 48 hrs /p vax of Engerix B, treated /w Demerol, resolved",1,HEADACHE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/03/1990,08/10/1990,7,,1,HEP,,,,,,,,UNK,UNK,,,thyroid condition,
026549,12/06/1990,NM,34.0,F,,Pt received 1st dose of Engerix B  /win 6 hrs developed a generalized rash & aching flu like symptoms which resolved spontaneously,3,FLU SYND,PAIN,RASH,,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/13/1990,08/13/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,Hx of pollen allergies,
026550,12/06/1990,GA,,F,,"Pt recvd 3 doses of Engerix B vax, 2 mon /p last dose titer ck & was determined that pt is a non responder, no treatment given",1,REACT UNEVAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/01/1990,07/25/1990,85,Labs titer- non responder,1,HEP,,,,,,,,UNK,UNK,,,Hypertension,
026551,12/06/1990,GA,,F,,"Pt received 3 doses of Engerix B 2 months /p last dose titers ck & pt was non responder, no treatment given",1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,04/27/1990,06/01/1990,35,Labs titers- non responder,1,HEP,,,,,,,,UNK,UNK,,,"hypertension, black",
026552,12/06/1990,GA,,M,,Vaccinee received 3 doses of Engerix B. 2 months /p the last dose titers were ck - pt is a non responder,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,,05/06/1990,07/10/1990,65,lab titer- non responder,1,HEP,,,,,,,,UNK,UNK,,,,
026553,12/06/1990,MO,41.0,F,,Pt experienced stool change to clay color consistency /p vax /w Engerix .,2,DIARRHEA,STOOL ABNORM,,,,,,,,,,,,,,,,,,,,,,,,,,,,07/22/1990,07/24/1990,2,,1,HEP,,,,,,,,UNK,UNK,,,high blood pressure,
026554,12/06/1990,FL,28.0,F,,"Pt vax /w Engerix B immediately c/o pain in deltoid, /win 5 min pain extended from tips of fingers to top of shoulder & /win 1/2 hr pain through chest & groin.",7,INFLAM INJECT SITE,INJECT SITE REACT,PAIN,PAIN CHEST,PAIN INJECT SITE,PAIN PELVIC,RASH VESIC BULL,,,,,,,,,,,,,,,,,,,,,,U,08/02/1990,08/02/1990,0,,1,HEP,,,,,,,,UNK,UNK,,,"thyroid problems, hx of allergies",
026555,12/06/1990,KY,,U,,"Frontal pounding headache, nausea, started 30 to 45 min /p Engerix B was given",2,HEADACHE,NAUSEA,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,07/19/1990,07/19/1990,0,,1,HEP,,,,,,,,UNK,UNK,Lo Ovral,,,
026556,12/06/1990,KY,,F,,"Pt vaccinated with Engerix-B felt could faint, nauseated, running temp events started 14JUL90 at 11PM & lasted until 15JUL90 1PM.",4,DIZZINESS,FEVER,NAUSEA,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,U,07/13/1990,07/14/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026557,12/06/1990,KY,,M,,"Pt vaccinated with Engerix-B developed diarrhea, stomach flu-like symptoms, cramping.",3,DIARRHEA,FLU SYND,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/27/1990,07/29/1990,2,,1,HEP,,,,,,,,UNK,UNK,,,,
026558,12/06/1990,KY,,F,,"Pt vaccinated with Engerix-B woke up with pain, temp 100, still aching.",5,FEVER,MYALGIA,PAIN,PAIN CHEST,PAIN NECK,,,,,,,,,,,,,,,,,,,,,,,,U,07/31/1990,08/01/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026559,12/06/1990,OH,37.0,F,,"Pt vaccinated with Engerix-B developed headache, nausea, tired, weak, stomach pain.",4,ASTHENIA,MIGRAINE,NAUSEA,PAIN ABDO,,,,,,,,,,,,,,,,,,,,,,,,,U,07/31/1990,08/08/1990,8,,1,HEP,,,,,,,,UNK,UNK,,,,
026561,12/06/1990,TX,,F,,"Pt vaccinated with Engerix-B experienced general malaise, migraine headache, nausea, vomiting.",1,MIGRAINE,,,,,,,,,,,,,,,,,,,,,,,Y,Y,,,,U,08/15/1990,08/16/1990,1,,1,HEP,,,,,,,,UNK,UNK,,,,
026563,12/06/1990,NC,,F,,"Pt vaccinated with Engerix-B developed tearing, general body aches, congestion.",3,LACRIMATION DIS,PAIN,RHINITIS,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/24/1990,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026564,12/06/1990,NJ,55.0,M,,Pt vaccinated with Engerix-B antibody titer non-reactive.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,02/22/1990,04/27/1990,64,,1,HEP,,,,,,,,UNK,UNK,,,,
026565,12/06/1990,OH,34.0,F,,"Pt vaccinated with Engerix-B developed fever, malaise, aches.",3,FEVER,MALAISE,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/24/1990,07/26/1990,2,,1,HEP,,,,,,,,UNK,UNK,"Estraderm, Motrin",,,
026566,12/06/1990,NY,16.0,M,,Pt vaccinated with Engerix-B developed HBSAG positive. F/U Reporting nurse indicated lab test were incorrect.,1,HEPATITIS HBSAG,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026567,12/06/1990,PA,,U,,Pt vax /w Engerix-B non-responders booster doses are planned for pt who did not seroconvert while on Engerix-B.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,06/27/1990,08/01/1990,35,,1,HEP,,,,,,,,UNK,UNK,,,,
026568,12/06/1990,OK,,U,,Pt vaccinated with Engerix-B non-reponse. Some of the vaccinees had negative titers. Antibody titers were checked one month after the third dose & again one month later. Plan is to re-vaccinate the non-responders.,1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,08/02/1990,,,1,HEP,,,,,,,,UNK,UNK,,,,
026569,12/06/1990,NC,,U,,"Eighty pts vaccinated w/Engerix-B @ a dialysis center were responders when tested p/the 1st or 2nd dose; Few pts failed to devel titers following 3rd dose; Hemodialysis center were on IM (0, 1, 2, 6) dosing schedule;",1,NO DRUG EFFECT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,,,,,1,HEP,,,,,,,,UNK,UNK,,,,
026877,12/06/1990,NY,7.4,M,11/27/1990,Pt vaccinated with MMR developed acute onset of bronchio & laryngospasm 1/2 hr after vaccine. SC Eprinephrine & Benadyrl.,2,ASTHMA,LARYNGISMUS,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/26/1990,11/26/1990,0,,1,MMR,,,,,,,,PUB,PUB,,,"Eczema, asthma at 3-4 yrs age",
026883,12/06/1990,AL,0.2,M,11/26/1990,Pt vaccinated with DTP/OPV developed prolonged extreme irritability 4-5 hrs.,1,AGITATION,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/22/1990,10/22/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,"Pt. rec'd Hib vaccine (Lederle, lot #M650AB) on 26Nov90",,,
026884,12/06/1990,AR,0.2,F,11/26/1990,"Pt vaccinated with DTP/OPV became pale, limp, lifeless-shock like state, w/decreased color & perfusion.",4,HYPOTONIA,PALLOR,SHOCK,STUPOR,,,,,,,,,,,,,,,,,,,,,,,,,Y,08/07/1990,08/07/1990,0,,2,DTP,OPV,,,,,,,PVT,UNK,,,,
026885,12/06/1990,CA,1.7,F,11/21/1990,"Pt vaccinated with DTP/OPV/HIB developed urtical rashes, large & small 2 in face & multiple in back butocks & arms. Benadryl given rash resolved after 30 min.",1,URTICARIA,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/21/1990,11/21/1990,0,,3,DTP,HIBV,OPV,,,,,,PUB,PUB,,,,
026886,12/06/1990,VT,0.3,M,11/26/1990,"Pt vaccinated with DTP/OPV continuous crying for over 4 hrs following injection, w/redness & swelling of thigh",2,INJECT SITE REACT,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/20/1990,11/20/1990,0,,2,DTP,OPV,,,,,,,PVT,PUB,,,,
026887,12/06/1990,OH,1.6,F,11/18/1990,Pt vaccinated with DTP/OPV developed prolonged seizure assoicated also w/fever & bilat otitis media. No treatment.,3,CONVULS,FEVER,OTITIS MED,,,,,,,,,,,,,,,,,,,,,Y,Y,1,,,Y,11/12/1990,,,EEG - pending,2,DTP,OPV,,,,,,,PVT,PVT,,,,
026888,12/06/1990,CA,80.3,F,11/27/1990,"Pt vaccinated with Pnu-Imune 23/Influenza developed minor rash; MD notified dx serum sickness, temp 100.1 (R); Pt w/vascular macular erythematous eruptions over extensor surfaces large joints. Treatment: Diphenhydramine & APAP.",3,FEVER,RASH,SERUM SICK,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/26/1990,11/26/1990,0,,2,FLU,PPV,,,,,,,MIL,PUB,"Temezepam, Cefaclor, Furosemide, DSS KCL 10% Soln; Haldol, Nimotop",s/p Subarachnoid hemmorhage Parkinsons,"Subarachnoid Hemmmorhage, Parkinsons Disease; CVA;",
026889,12/06/1990,IL,0.4,M,11/30/1990,"Pt vaccinated with DTP/OPV/HIB developed prolonged screaming, hyperactive, couldn't focus eyes for 3 days, temp 100.2, inject site looks good.",4,EYE DIS,FEVER,HYPERKINESIA,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/27/1990,11/27/1990,0,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,
026890,12/06/1990,KS,0.3,M,,Pt vax with DTP/OPV was doing well on 25JAN90 taken to sitter. Found dead in crib in afternoon.,2,PNEUMONIA,SIDS,,,,,,,,,,,,,,,,,,,Y,01/25/1990,,,,,,,,,01/25/1990,,Post mortem - "slight pneumonia",2,DTP,OPV,,,,,,,UNK,UNK,,,,
026893,12/06/1990,CA,1.5,M,07/20/1990,"Pt vaccinated with DTP/OPV  had episode of weakness & pallor, questionally ""sleepy"" for 10 min - no seizure type movement.",3,ASTHENIA,PALLOR,SOMNOLENCE,,,,,,,,,,,,,,,,,,,,,,,,,,U,07/20/1990,07/20/1990,0,,2,DTP,OPV,,,,,,,UNK,UNK,,,,
026894,12/06/1990,RI,,F,,"Pt vaccinated with Hepatitis -B two hrs later developed vomitting, fainting, severe, headache, & fever 101.6.",4,FEVER,HEADACHE,SYNCOPE,VOMIT,,,,,,,,,,,,,,,,,,,,,Y,,,,U,10/13/1990,10/13/1990,0,Lumbar puncture to t/o Mennigitis - Crytococcal antigen,1,HEP,,,,,,,,UNK,UNK,,,,
026895,12/06/1990,RI,80.0,F,,"Pt vaccinated with Influenza developed nausea & vomiting for 3 days. Vaccine received on 14OCT pt seen in ER on 11OCT, sent home and admitted to hosp on 17OCT.",2,NAUSEA,VOMIT,,,,,,,,,,,,,,,,,,,,,,,Y,,,,U,10/14/1990,10/14/1990,0,,1,FLU,,,,,,,,UNK,UNK,"Darvon, Tranxene, Zantac, Bentyl, Iron supplements.",,,
026896,12/07/1990,PA,,U,11/30/1990,"Pt vaccinated with Fluzone developed temp. not recorded, but believed to be over 37 chills, weakness, asthma worsened.",4,ASTHENIA,ASTHMA,CHILLS,FEVER,,,,,,,,,,,,,,,,,,,,,Y,,,,Y,,,,,1,FLU,,,,,,,,UNK,UNK,,,,
026897,12/07/1990,PA,,U,11/30/1990,"Pt vaccinated with Fluzone developed asthenia, chills, fever.",3,ASTHENIA,CHILLS,FEVER,,,,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,1,FLU,,,,,,,,OTH,OTH,,,,
026898,12/07/1990,CA,1.5,F,11/20/1990,"Pt vaccinated with DTP/OPV/HIB developed red splotchy circles on rt side of face; Hives on abd. Taken by w/c  to Hlth Ctr no wheezing; no apparent distress. Evaluated by MD - chest clear, DX hives s/p immunization.",2,RASH,URTICARIA,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/16/1990,11/16/1990,0,,3,DTP,HIBV,OPV,,,,,,PUB,PUB,Regilin,,,
026899,12/07/1990,CA,40.5,F,11/19/1990,"Pt vaccinated with FLU/TD developed headache, itching throat, weak, tight chested & SOB.",4,ASTHENIA,DYSPNEA,HEADACHE,PHARYNGITIS,,,,,,,,,,,,,,,,,,,,Y,,,,,U,11/15/1990,11/18/1990,3,,2,FLU,TD,,,,,,,PUB,UNK,"Ampicillin, Sudafed, Ear drops, Pain med",Ear infection that was reportedly clear,,
026900,12/07/1990,CA,46.8,F,11/05/1990,"Pt vaccinated with Influenza rash on chest, SOB, fever 100.6F, swelling of rt shoulder and rt knee to calf, 1 day diarrhea.",5,DIARRHEA,DYSPNEA,EDEMA,FEVER,RASH,,,,,,,,,,,,,,,,,,,Y,,,,,Y,10/29/1990,10/30/1990,1,,1,FLU,,,,,,,,PUB,PUB,"Vasotac 10mg, Estrogen",,allergic-PCN; hx of hypertension,
026901,12/07/1990,CA,6.4,M,11/21/1990,"Pt vaccinated with OPV/DTP developed fever, cough (worse at night), loss of appetite, starting  day of immunization x 4 days duration.",3,ANOREXIA,COUGH INC,FEVER,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/02/1990,11/02/1990,0,,2,DTP,OPV,,,,,,,PUB,PUB,,,,
026902,12/07/1990,CA,35.2,F,11/15/1990,"Pt vaccinated with Influenza/Pneumococcal/TD developed numbness, tingling of lt side of body (arm upward to back, & down leg rt side (arm & leg) also have intermittant numbness & tingling.",1,PARESTHESIA,,,,,,,,,,,,,,,,,,,,,,,Y,,,,,N,11/14/1990,11/14/1990,0,,3,FLU,PPV,TD,,,,,,PUB,PUB,Seldane,"Sinus/cold prior, 0 fever","Denied, except wind/pollens",
026903,12/07/1990,CA,78.1,M,11/16/1990,"Pt vaccinated with Influenza developed runny nose, coughing, slight temp 99-100, congestion of sinus & lungs saw MD who supposedly dx'd Ix reaction.",3,COUGH INC,FEVER,RHINITIS,,,,,,,,,,,,,,,,,,,,,Y,,,,,U,10/30/1990,11/09/1990,10,,1,FLU,,,,,,,,PUB,PUB,"Xyloprim, Keftab & cough syrup",,kidney stones,
026904,12/07/1990,CA,67.7,M,11/15/1990,"Pt vaccinated with Pneumonia/FLU developed swelling of arm progressed down arm to the wrist. The rt arm is red, hot, swollen, & painful to move. Red streak from arm pit rt to elbow, feels sluggish.",4,EDEMA,HYPOKINESIA,INJECT SITE REACT,PAIN,,,,,,,,,,,,,,,,,,,,,,,,,U,11/14/1990,11/14/1990,0,,2,FLU,PPV,,,,,,,PUB,PUB,,,,
026905,12/07/1990,NJ,26.4,M,12/04/1990,"Pt vaccinated with MMR developed flu-like symptoms - severe headache, fever of 101.5, weakness, no energy, where shot adm doubled in size & was hot to touch w/red discoloration. Rash over entire body dx as measles 13 days /p shot was adm.",7,ASTHENIA,FEVER,FLU SYND,HEADACHE,INFECT,INJECT SITE REACT,RASH,,,,,,,,,,,,,,,,,Y,,,,,Y,11/12/1990,11/13/1990,1,Blood test done at hosp - normal results,1,MMR,,,,,,,,PVT,OTH,,,,
026906,12/07/1990,AZ,0.3,M,12/03/1990,"Pt vax /w DTP/OPV/HIB developed increased & prolonged crying began 6NOV90, very irritable, temp to 106(R).",3,AGITATION,FEVER,SCREAMING SYND,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/06/1990,11/06/1990,0,Evaluated by MD temp decreased by that time treated for URI.,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,mild URI sympt,,
026907,12/07/1990,NC,0.3,M,12/03/1990,"Pt vaccinated with DTP/OPV/HIB developed large sterile abscess rt thigh, induration 4x4cm, identical to rxn /w lst DTP lt thigh (Report # 26262)",1,ABSCESS INJECT SITE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,11/02/1990,11/04/1990,2,,3,DTP,HIBV,OPV,,,,,,PVT,PVT,,,,"In pt, 2mo, 1st DTP sterile abscess"
026908,12/07/1990,FL,34.0,M,11/20/1990,"Pt vax /w Fluogen developed flushing sensation, red face, c/o nausea, vomited x 2. Red raised rash covered trunk, face, & ears with splotchy rash on arms. Vomit X 2, sent to ER.",4,NAUSEA,RASH,VASODILAT,VOMIT,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,11/15/1990,11/15/1990,0,ABG's,1,FLU,,,,,,,,OTH,PVT,"Vitamins, Slim Fast",,Penicillin/Ampicillin,
026909,12/07/1990,CA,0.2,M,12/01/1990,Pt vaccinated with DTP/OPV developed high pitched crying x 4-5 hrs- treatment - APAP.,1,CRY ABNORMAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,10/24/1990,10/24/1990,0,,2,DTP,OPV,,,,,,,PVT,PVT,,,rt anisocoria,
026031,12/10/1990,MI,46.0,F,,"Pt vaccinated with Pneumovax 23 experienced swelling in the arm associated w/ m yalgia & headaches, intense local reaction, a temp 100.2, malaise, cephalgia, fatigue along w/a tendency towards motion sickness. Arm remained swollen w/bruise",8,ASTHENIA,ECCHYMOSIS,FEVER,HEADACHE,INJECT SITE REACT,MALAISE,MYALGIA,NAUSEA,,,,,,,,,,,,,,,,,,,,,U,06/01/1989,06/02/1989,1,WBC 2JUN89 11200.0; Neutrophils 2JUN89 85.0,1,PPV,,,,,,,,UNK,UNK,,,Chronic sinus infections.,
026032,12/10/1990,OH,61.0,F,,"Pt vaccinated with Pneumovax 23 hx of COPD within 1 hr of vaccination, developed swelling of her upper lip.",1,EDEMA FACE,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,05/22/1989,05/22/1989,0,,1,PPV,,,,,,,,UNK,UNK,,,"COPD, Allergy, penicillin & tetracycline",
026033,12/10/1990,OR,47.0,M,,Pt vaccin6ated with Pneumovax 23 and expired lot there were no noted problems at the time of the report in March90.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,09/05/1989,,,,1,PPV,,,,,,,,UNK,UNK,,,,
026035,12/10/1990,MA,70.0,M,,Pt vaccinated with Pneumovax 23 experienced hallucinations.,1,HALLUCIN,,,,,,,,,,,,,,,,,,,,,,,,,,,,Y,09/12/1990,09/12/1989,-365,,1,PPV,,,,,,,,UNK,UNK,"Lithium, amitriptyline",,Manic depressive illness,
026037,12/10/1990,PA,75.0,F,,Pt vaccinated with Pneumovax 23 experienced a mild local reaction. No further details were provided.,1,INJECT SITE REACT,,,,,,,,,,,,,,,,,,,,,,,,,,,,U,10/24/1989,10/24/1989,0,,1,PPV,,,,,,,,UNK,UNK,,,,
026039,12/10/1990,GA,30.0,M,,"Pt vaccinated with Pneumovax 23 within 3 hrs of injection, pt c/o painful red arm which was somewhat swollen & hot to touch. Developed a cellulitis of the rt arm, lymphangitis 7 swollen glands. Treated w/Cefadroxil.",5,CELLULITIS,INJECT SITE REACT,LYMPHADENO,LYMPHANGITIS,VASODILAT,,,,,,,,,,,,,,,,,,,,,,,,Y,10/24/1989,10/24/1989,0,,1,PPV,,,,,,,,UNK,UNK,,,"Immune responses impaired; Allergy, aspirin",
026040,12/10/1990,GA,30.0,M,,"Pt vaccinated with Pneumovax 23 developed a red, hot swollen arm w/lymphangitis & swolle