chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Dyspnoea, Eructation, Fatigue, Headache, Hypoaesthesia
Clinical narrative: GARDASIL and MENACTRA were given 7/8/08. First adverse symptoms appeared around 7/22/08. Numbness and tingling extending down left arm were noted. Nausea, headache, fatigue, arthralgias throughout body were noted on 7/23/08. Complaints of fevers, swollen glands in neck, belching, increased nausea, extreme muscle fatigue on exertion, shortness of breath leading to bronchospasms and asthma type symptoms continued with progression through current day of 8/27/08. Originally treated with antibiotics around 7/28/08 thinking it was bronchitis. Tested for mono, CBC done with mono spot which was negative. Progression continued and course of MEDROL dose pack given for 5 days for breathing difficulty and bronchospasms. Inhaler added 8/7/08. Extreme fatigue is interfering with daily live. Breathing difficulties are interfering with athletics as she is a division I soccer athlete unable to currently participate fully due to fatigue and breathing difficulties.  9/12/08 Reviewed PCP medical records of 7/8/08-8/28/2008. FINAL DX: Records indicate patient was in good health on day of vaccination.  RTC 7/28/08 w/malaise, aches, red throat, lymph node swelling.  Dx w/pharyngitis & tx w/antibiotics.  RTC 8/4/08 w/cough, SOB & fatigue.  Tx w/steroids.  8/7/08 contacted office w/wheezing & tx w/inhaler.  9/23/08 Reviewed student health services records of 8/27-9/10/08. FINAL DX: persistent fatigue, myalgias, bronchospasm, anemia Records reveal patient experienced viral infection & bronchitis approx July, 2008 & tx w/antibiots, steroids & inhaler.  When seen 8/27 had SOB, chest/head congestion, chest tightness, exhaustion & decreased appetite.   Labs revealed mild bone marrow suppression, decreased peak flos & decreased aeration.  Tx w/additional meds.  RTC 9/10 w/persistent extreme fatigue, myalgia & bronchospasm.   4/13/09 received additional student health services records of 11/24/08-3/25/2009. FINAL DX: fatigue, myalgias, bronchospasm, decreased exercise performance, etiology unclear Records reveal patient experienced improvement by 11/24/08 to be able to play collegiate soccer for several minutes w/o respiratory difficulty & muscle pain had improved as well on current med regime.  RTC 1/09 x 2 w/sore throat, body aches & found to have shotty tonsillar nodes.  Dx w/viral syndrome & viral pharyngitis.  RTC 2/20/09 w/sinus congestion, HA, scratchy throat, cough, increased asthma symptoms, fatigue.  Dx w/sinusitis & asthma exacerbation.  Tx w/oral antibiotics & asthma meds.  RTC 3/19/09 w/fatigue & myalgias.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Lymphadenopathy, Mononucleosis heterophile test negative, Muscle fatigue, Nausea, Paraesthesia
Clinical narrative: GARDASIL and MENACTRA were given 7/8/08. First adverse symptoms appeared around 7/22/08. Numbness and tingling extending down left arm were noted. Nausea, headache, fatigue, arthralgias throughout body were noted on 7/23/08. Complaints of fevers, swollen glands in neck, belching, increased nausea, extreme muscle fatigue on exertion, shortness of breath leading to bronchospasms and asthma type symptoms continued with progression through current day of 8/27/08. Originally treated with antibiotics around 7/28/08 thinking it was bronchitis. Tested for mono, CBC done with mono spot which was negative. Progression continued and course of MEDROL dose pack given for 5 days for breathing difficulty and bronchospasms. Inhaler added 8/7/08. Extreme fatigue is interfering with daily live. Breathing difficulties are interfering with athletics as she is a division I soccer athlete unable to currently participate fully due to fatigue and breathing difficulties.  9/12/08 Reviewed PCP medical records of 7/8/08-8/28/2008. FINAL DX: Records indicate patient was in good health on day of vaccination.  RTC 7/28/08 w/malaise, aches, red throat, lymph node swelling.  Dx w/pharyngitis & tx w/antibiotics.  RTC 8/4/08 w/cough, SOB & fatigue.  Tx w/steroids.  8/7/08 contacted office w/wheezing & tx w/inhaler.  9/23/08 Reviewed student health services records of 8/27-9/10/08. FINAL DX: persistent fatigue, myalgias, bronchospasm, anemia Records reveal patient experienced viral infection & bronchitis approx July, 2008 & tx w/antibiots, steroids & inhaler.  When seen 8/27 had SOB, chest/head congestion, chest tightness, exhaustion & decreased appetite.   Labs revealed mild bone marrow suppression, decreased peak flos & decreased aeration.  Tx w/additional meds.  RTC 9/10 w/persistent extreme fatigue, myalgia & bronchospasm.   4/13/09 received additional student health services records of 11/24/08-3/25/2009. FINAL DX: fatigue, myalgias, bronchospasm, decreased exercise performance, etiology unclear Records reveal patient experienced improvement by 11/24/08 to be able to play collegiate soccer for several minutes w/o respiratory difficulty & muscle pain had improved as well on current med regime.  RTC 1/09 x 2 w/sore throat, body aches & found to have shotty tonsillar nodes.  Dx w/viral syndrome & viral pharyngitis.  RTC 2/20/09 w/sinus congestion, HA, scratchy throat, cough, increased asthma symptoms, fatigue.  Dx w/sinusitis & asthma exacerbation.  Tx w/oral antibiotics & asthma meds.  RTC 3/19/09 w/fatigue & myalgias.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Pyrexia, Spirometry
Clinical narrative: GARDASIL and MENACTRA were given 7/8/08. First adverse symptoms appeared around 7/22/08. Numbness and tingling extending down left arm were noted. Nausea, headache, fatigue, arthralgias throughout body were noted on 7/23/08. Complaints of fevers, swollen glands in neck, belching, increased nausea, extreme muscle fatigue on exertion, shortness of breath leading to bronchospasms and asthma type symptoms continued with progression through current day of 8/27/08. Originally treated with antibiotics around 7/28/08 thinking it was bronchitis. Tested for mono, CBC done with mono spot which was negative. Progression continued and course of MEDROL dose pack given for 5 days for breathing difficulty and bronchospasms. Inhaler added 8/7/08. Extreme fatigue is interfering with daily live. Breathing difficulties are interfering with athletics as she is a division I soccer athlete unable to currently participate fully due to fatigue and breathing difficulties.  9/12/08 Reviewed PCP medical records of 7/8/08-8/28/2008. FINAL DX: Records indicate patient was in good health on day of vaccination.  RTC 7/28/08 w/malaise, aches, red throat, lymph node swelling.  Dx w/pharyngitis & tx w/antibiotics.  RTC 8/4/08 w/cough, SOB & fatigue.  Tx w/steroids.  8/7/08 contacted office w/wheezing & tx w/inhaler.  9/23/08 Reviewed student health services records of 8/27-9/10/08. FINAL DX: persistent fatigue, myalgias, bronchospasm, anemia Records reveal patient experienced viral infection & bronchitis approx July, 2008 & tx w/antibiots, steroids & inhaler.  When seen 8/27 had SOB, chest/head congestion, chest tightness, exhaustion & decreased appetite.   Labs revealed mild bone marrow suppression, decreased peak flos & decreased aeration.  Tx w/additional meds.  RTC 9/10 w/persistent extreme fatigue, myalgia & bronchospasm.   4/13/09 received additional student health services records of 11/24/08-3/25/2009. FINAL DX: fatigue, myalgias, bronchospasm, decreased exercise performance, etiology unclear Records reveal patient experienced improvement by 11/24/08 to be able to play collegiate soccer for several minutes w/o respiratory difficulty & muscle pain had improved as well on current med regime.  RTC 1/09 x 2 w/sore throat, body aches & found to have shotty tonsillar nodes.  Dx w/viral syndrome & viral pharyngitis.  RTC 2/20/09 w/sinus congestion, HA, scratchy throat, cough, increased asthma symptoms, fatigue.  Dx w/sinusitis & asthma exacerbation.  Tx w/oral antibiotics & asthma meds.  RTC 3/19/09 w/fatigue & myalgias.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Activities of daily living impaired, Chest discomfort, Dyspnoea, Epstein-Barr virus test negative, Fatigue
Clinical narrative: GARDASIL and MENACTRA were given 7/8/08. First adverse symptoms appeared around 7/22/08. Numbness and tingling extending down left arm were noted. Nausea, headache, fatigue, arthralgias throughout body were noted on 7/23/08. Complaints of fevers, swollen glands in neck, belching, increased nausea, extreme muscle fatigue on exertion, shortness of breath leading to bronchospasms and asthma type symptoms continued with progression through current day of 8/27/08. Originally treated with antibiotics around 7/28/08 thinking it was bronchitis. Tested for mono, CBC done with mono spot which was negative. Progression continued and course of MEDROL dose pack given for 5 days for breathing difficulty and bronchospasms. Inhaler added 8/7/08. Extreme fatigue is interfering with daily live. Breathing difficulties are interfering with athletics as she is a division I soccer athlete unable to currently participate fully due to fatigue and breathing difficulties.  9/12/08 Reviewed PCP medical records of 7/8/08-8/28/2008. FINAL DX: Records indicate patient was in good health on day of vaccination.  RTC 7/28/08 w/malaise, aches, red throat, lymph node swelling.  Dx w/pharyngitis & tx w/antibiotics.  RTC 8/4/08 w/cough, SOB & fatigue.  Tx w/steroids.  8/7/08 contacted office w/wheezing & tx w/inhaler.  9/23/08 Reviewed student health services records of 8/27-9/10/08. FINAL DX: persistent fatigue, myalgias, bronchospasm, anemia Records reveal patient experienced viral infection & bronchitis approx July, 2008 & tx w/antibiots, steroids & inhaler.  When seen 8/27 had SOB, chest/head congestion, chest tightness, exhaustion & decreased appetite.   Labs revealed mild bone marrow suppression, decreased peak flos & decreased aeration.  Tx w/additional meds.  RTC 9/10 w/persistent extreme fatigue, myalgia & bronchospasm.   4/13/09 received additional student health services records of 11/24/08-3/25/2009. FINAL DX: fatigue, myalgias, bronchospasm, decreased exercise performance, etiology unclear Records reveal patient experienced improvement by 11/24/08 to be able to play collegiate soccer for several minutes w/o respiratory difficulty & muscle pain had improved as well on current med regime.  RTC 1/09 x 2 w/sore throat, body aches & found to have shotty tonsillar nodes.  Dx w/viral syndrome & viral pharyngitis.  RTC 2/20/09 w/sinus congestion, HA, scratchy throat, cough, increased asthma symptoms, fatigue.  Dx w/sinusitis & asthma exacerbation.  Tx w/oral antibiotics & asthma meds.  RTC 3/19/09 w/fatigue & myalgias.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Full blood count normal, Headache, Hypoaesthesia, Lymphadenopathy, Muscular weakness
Clinical narrative: GARDASIL and MENACTRA were given 7/8/08. First adverse symptoms appeared around 7/22/08. Numbness and tingling extending down left arm were noted. Nausea, headache, fatigue, arthralgias throughout body were noted on 7/23/08. Complaints of fevers, swollen glands in neck, belching, increased nausea, extreme muscle fatigue on exertion, shortness of breath leading to bronchospasms and asthma type symptoms continued with progression through current day of 8/27/08. Originally treated with antibiotics around 7/28/08 thinking it was bronchitis. Tested for mono, CBC done with mono spot which was negative. Progression continued and course of MEDROL dose pack given for 5 days for breathing difficulty and bronchospasms. Inhaler added 8/7/08. Extreme fatigue is interfering with daily live. Breathing difficulties are interfering with athletics as she is a division I soccer athlete unable to currently participate fully due to fatigue and breathing difficulties.  9/12/08 Reviewed PCP medical records of 7/8/08-8/28/2008. FINAL DX: Records indicate patient was in good health on day of vaccination.  RTC 7/28/08 w/malaise, aches, red throat, lymph node swelling.  Dx w/pharyngitis & tx w/antibiotics.  RTC 8/4/08 w/cough, SOB & fatigue.  Tx w/steroids.  8/7/08 contacted office w/wheezing & tx w/inhaler.  9/23/08 Reviewed student health services records of 8/27-9/10/08. FINAL DX: persistent fatigue, myalgias, bronchospasm, anemia Records reveal patient experienced viral infection & bronchitis approx July, 2008 & tx w/antibiots, steroids & inhaler.  When seen 8/27 had SOB, chest/head congestion, chest tightness, exhaustion & decreased appetite.   Labs revealed mild bone marrow suppression, decreased peak flos & decreased aeration.  Tx w/additional meds.  RTC 9/10 w/persistent extreme fatigue, myalgia & bronchospasm.   4/13/09 received additional student health services records of 11/24/08-3/25/2009. FINAL DX: fatigue, myalgias, bronchospasm, decreased exercise performance, etiology unclear Records reveal patient experienced improvement by 11/24/08 to be able to play collegiate soccer for several minutes w/o respiratory difficulty & muscle pain had improved as well on current med regime.  RTC 1/09 x 2 w/sore throat, body aches & found to have shotty tonsillar nodes.  Dx w/viral syndrome & viral pharyngitis.  RTC 2/20/09 w/sinus congestion, HA, scratchy throat, cough, increased asthma symptoms, fatigue.  Dx w/sinusitis & asthma exacerbation.  Tx w/oral antibiotics & asthma meds.  RTC 3/19/09 w/fatigue & myalgias.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Myalgia, Nausea, Paraesthesia, Pyrexia
Clinical narrative: GARDASIL and MENACTRA were given 7/8/08. First adverse symptoms appeared around 7/22/08. Numbness and tingling extending down left arm were noted. Nausea, headache, fatigue, arthralgias throughout body were noted on 7/23/08. Complaints of fevers, swollen glands in neck, belching, increased nausea, extreme muscle fatigue on exertion, shortness of breath leading to bronchospasms and asthma type symptoms continued with progression through current day of 8/27/08. Originally treated with antibiotics around 7/28/08 thinking it was bronchitis. Tested for mono, CBC done with mono spot which was negative. Progression continued and course of MEDROL dose pack given for 5 days for breathing difficulty and bronchospasms. Inhaler added 8/7/08. Extreme fatigue is interfering with daily live. Breathing difficulties are interfering with athletics as she is a division I soccer athlete unable to currently participate fully due to fatigue and breathing difficulties.  9/12/08 Reviewed PCP medical records of 7/8/08-8/28/2008. FINAL DX: Records indicate patient was in good health on day of vaccination.  RTC 7/28/08 w/malaise, aches, red throat, lymph node swelling.  Dx w/pharyngitis & tx w/antibiotics.  RTC 8/4/08 w/cough, SOB & fatigue.  Tx w/steroids.  8/7/08 contacted office w/wheezing & tx w/inhaler.  9/23/08 Reviewed student health services records of 8/27-9/10/08. FINAL DX: persistent fatigue, myalgias, bronchospasm, anemia Records reveal patient experienced viral infection & bronchitis approx July, 2008 & tx w/antibiots, steroids & inhaler.  When seen 8/27 had SOB, chest/head congestion, chest tightness, exhaustion & decreased appetite.   Labs revealed mild bone marrow suppression, decreased peak flos & decreased aeration.  Tx w/additional meds.  RTC 9/10 w/persistent extreme fatigue, myalgia & bronchospasm.   4/13/09 received additional student health services records of 11/24/08-3/25/2009. FINAL DX: fatigue, myalgias, bronchospasm, decreased exercise performance, etiology unclear Records reveal patient experienced improvement by 11/24/08 to be able to play collegiate soccer for several minutes w/o respiratory difficulty & muscle pain had improved as well on current med regime.  RTC 1/09 x 2 w/sore throat, body aches & found to have shotty tonsillar nodes.  Dx w/viral syndrome & viral pharyngitis.  RTC 2/20/09 w/sinus congestion, HA, scratchy throat, cough, increased asthma symptoms, fatigue.  Dx w/sinusitis & asthma exacerbation.  Tx w/oral antibiotics & asthma meds.  RTC 3/19/09 w/fatigue & myalgias.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Fatigue, Headache
Clinical narrative: Headache, fatigue started within 1/2 hour of administration
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Sensory disturbance
Clinical narrative: Patient complained of left side of mouth and tongue felt like it was "drawing to side" for 2-3 days after the shot.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: No adverse events
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Local reaction
Clinical narrative: Local reaction onset x 24 hours after vaccination.  Cool compresses/OTC antihistamine.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Patient and family had 2 days of explosive diarrhea and vomiting following ROTATEQ 6-17-08.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Headache
Clinical narrative: Headache x5 days
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Immediate post-injection reaction, Malaise, Syncope, Vomiting
Clinical narrative: Child received Hepatitis A (2nd dose) and MENACTRA 8/21/08. After around 5 minutes, she fainted for few seconds. Mother claims child did not feel good when they went home and vomited 1x after dinner.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling of injection site.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Following administration of MENACTRA vaccine, the pt felt lightheaded and was sweating. PAC was notified and drink was offered to pt, but he refused. He was then helped to exam table to lay down and a cool washcloth was applied to his forehead. He laid down approx. 10 minutes and then was helped sit up. His father was with him and he left clinic in stable condition.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: (L) arm (deltoid) tennis ball size lump, warm to touch. No fever. Sx began on 8/27/08.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was given DTaP instead of Tdap.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Human papilloma virus test positive, Smear cervix abnormal
Clinical narrative: Positive PAP smear after 3rd HPV (GARDASIL) vaccine. Specimen taken 5/20/08 - reports attached. Reported 6/4/08 HPV Hybrid Capture II detected. 8/11/08 - PAP smear - negative
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Papilloma viral infection
Clinical narrative: Positive PAP smear after 3rd HPV (GARDASIL) vaccine. Specimen taken 5/20/08 - reports attached. Reported 6/4/08 HPV Hybrid Capture II detected. 8/11/08 - PAP smear - negative
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Back pain, Muscle spasms, Neck pain, Torticollis, Vertigo
Clinical narrative: Torticollis, vertigo, back and neck pain with significant muscle spasm
Age: 11.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Swelling - Redness - Warm
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Diarrhoea, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Eleven days after vaccine MENACTRA on 8/13/08 he developed fever (101.5 degrees- 102 degrees) and vomiting and diarrhea sickness for 5 days. Also brother developed fever and vomiting, headache, and diarrhea lasted 6+ days. Also, patients father, after prolonged contact w/ patient developed fever (102 degrees) and vomiting and diarrhea, headache, backache, arm/shoulder pain, neck soreness, stomach discomfort, weakness, sleepiness, bed-ridden for 3 days and had uncontrollable shaking/trembling for 20 minutes. Patient total symptoms lasted bout 5 days, patient's brother was sick about 10 days and patient's father was sick a total of about 7 days, but at this time is still not quite "himself" so he is still having diarrhea and stomach discomfort and weakness of entire body->onset was 14 days after spending prolonged contact with patient on a father/son retreat. Patient's brother shares a bedroom with patient. Patient had a cough and runny nose from (assumed) seasonal allergies so spread of germs is quite possible. Also, the day of the vaccine, the patient complained of soreness in the arm @ site region.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Cold sweat, Dizziness, Heart rate, Pallor
Clinical narrative: Felt faint, skin clammy, BP 98/60, pale, pulse 76.  Cool packs placed on forehead and back of neck - laid down on exam table and rested.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pyrexia, Vision blurred
Clinical narrative: After 2 hours after shot could not focus to read. Terrible headaches, behind eye, felt high fever during 2 days took Tylenol. Could seat straight
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Broke out in rash-Hives lasted until Friday 22nd, itching 3 hrs after Benadryl shot-Benadryl pills
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Aspiration joint, Laboratory test, Nuclear magnetic resonance imaging, Pain, Periarthritis
Clinical narrative: Severe pain followed by loss of function in left shoulder.  Treated with anti-inflammatory meds then physical therapy and ten steroid injection.
Age: 29.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Headache, no fever, sweats or chills.  RUA 3x4.5cm area of tenderness, redness and heat at centralized raised area 1x2cm.  Singular axillary node, no redness or tenderness extends from affected area.
Age: 1.6
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Received Varivax right anterior thigh 8/14/08.  Developed redness, warmth, swelling at injection site on 8/23/08.  Exam on 8/26/08: mild erythema and subcutaneous induration right anterior thigh.  Physical signs are decreasing from peak of severity on 8/25/08.
Age: 26.0
Sex: F
Vaccine: TYP
Symptoms: Blood pressure, Body temperature, Headache, Heart rate normal, Oxygen saturation normal
Clinical narrative: Hives on chest/face, itching, headache.  1120 - BP 107/72, P = 83, Resp = 16, O2 Sat = 99%, Room air temp 98.1, patient reported to clinic at 1115.
Age: 26.0
Sex: F
Vaccine: TYP
Symptoms: Pruritus, Respiratory rate, Urticaria
Clinical narrative: Hives on chest/face, itching, headache.  1120 - BP 107/72, P = 83, Resp = 16, O2 Sat = 99%, Room air temp 98.1, patient reported to clinic at 1115.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling (10x10cm) about injection site - warm but non tender within 24 hours of injection given
Age: 6.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Auricular swelling, Rash, Urticaria
Clinical narrative: Rash to face then spread to trunk, at ear lobe got swollen approximately 8-21-08. Seen 8-23-08. Treated with Benadryl 2 tsp every 4 hours prn for hives.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Localized cellulitis surrounding immunization sites 24 hours after Kinrix and Varivax.  Treated with supportive care and Cephalisin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Severe itching and whelps.  Required a trip to the Emergency Room for treatment.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: Body temperature increased, Headache, Muscular weakness, Photopsia
Clinical narrative: Approximately 12 hours after injection, developed "pressure in head".  24 hours, "slight weakness" muscles esp legs.  48 hours: temperature - 102 with "light flashes" both eyes.  72 hours, decreased weakness, flashes decreased.  On day 6, minimal weakness.  No HA, no spots/flashing.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Tenderness
Clinical narrative: Left arm with 7 1/2 x 5 1/2 cm induration; approximately 5 x 4cm erythema at small pastular site; (+) tender to touch
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Varicella vaccine breakthrough.  Had vaccine on 4-20-00 and 2-21-08.  Diagnosed with Varicella on 8-16-08.  Had 30 to 40 lesions.  No fever.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Arm swollen and red 24 hours after shot.  Much larger, red, swollen, warm the next day.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site papule, Injection site pruritus, Injection site rash, Injection site urticaria
Clinical narrative: Received 4 year old shots on 8/26/08. Got DTaP and IPV in left thigh, MMR and VARIVAX in right thigh. That evening began to get some bumps on left thigh. By 8/28 very itchy pink raised papules, about 6cm around, on left thigh (Hives)
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Onset urticaria approximately 12 hours after vaccine; urticaria worsened - seen in office at 3pm 8/27.  Generalized urticaria face, extremities, trunk not c/w drug (Amox) rash in my opinion.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash macular
Clinical narrative: 5cm x 2 1/2 splotchy red area
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature increased, Headache, Myalgia
Clinical narrative: Patient returned to clinic next day complained of headache, muscle aches to entire body and temp not responding to Motrin (103.9F)
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Mom reports red, swollen bump "like mosquito bite" at site VARIVAX injection, started around bed time. Has fever this morning. Giving Tylenol every 6 hours - advised to alternate with Ibuprofen (dosages provided at appt) x2 days.
Age: 50.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash
Clinical narrative: Developed a rash on his right wrist, after so many months that itches and comes and goes.  Patient thinks it's from getting immunized with Anthrax because he never had it before.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pruritus, Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Vaccines given 8/28/08 at 14:00 pm. Mom notice a couple flat red dots (not raised) on his back last evening. Had slight fever, gave Tylenol. Today when getting him dressed, noticed same rash, but more on back and inner thigh. When getting on bus, noticed on neck too. He complained of itching all night. No fever this morning. She is going to call physician to see if they want to evaluate him in the office or use other than counter medications.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Immediate post-injection reaction, Injection site pain, Mobility decreased, Pain
Clinical narrative: Pain at injection site immediately post vaccination.  Continued to worsen.  5 hours post, unable to raise arm, fever (101.8), whole body muscle ache, severe back pain below rib cage.  Muscle aches and back pain continued for seven days.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Pain at injection site immediately post vaccination.  Continued to worsen.  5 hours post, unable to raise arm, fever (101.8), whole body muscle ache, severe back pain below rib cage.  Muscle aches and back pain continued for seven days.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Oedema peripheral
Clinical narrative: Erythema, firm, swelling right triceps area.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Muscle mass
Clinical narrative: Patient received Anthrax vaccine 04 March 08 in right arm. He continued to have 2 3/4" x 4" mass in right deltoid. It appears to be in the deltoid muscle and is not cystic or loculated fluid. It is non tender.
Age: 27.0
Sex: M
Vaccine: RAB
Symptoms: Pruritus, Throat tightness, Urticaria
Clinical narrative: Hives, itching, restricted airway all occurring approx. 12 hours after vaccine. Hives and itching continued all over body for 5 days. Used Benadryl, Prednisone, and Ranitidine.
Age: 1.4
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Bronchospasm, Cold sweat, Increased upper airway secretion, Oxygen saturation decreased
Clinical narrative: Vomiting, paleness, cold sweats, fever.  Vomiting began 3 days after immunization.  Increase in secretions, loss of appetite, desat/bronchospasm.
Age: 1.4
Sex: F
Vaccine: MMR
Symptoms: Pallor, Pyrexia, Vomiting
Clinical narrative: Vomiting, paleness, cold sweats, fever.  Vomiting began 3 days after immunization.  Increase in secretions, loss of appetite, desat/bronchospasm.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site papule, Injection site rash, Metabolic function test normal, Oedema peripheral
Clinical narrative: At about 12 noon, 8/22/08, Res noted to have approximately 7cm circular raised red rash with swollen fingers with rash on right upper extremity - right deltoid area also had .3cm pimple type lesion at its center.  Rash also later noted under left breast, abdomen.  Res c/o achiness on 8/23/08.  1730, Res rash worsened extended to her buttocks.  Benadryl Rx by MD.  8/25 doctor stated rash around pneumovax injection site, now generalized macular, papular, erythremia.  8/28/08 last dose of Benadryl - rash improved.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Rash erythematous, Rash macular, Rash papular, Red blood cell sedimentation rate increased
Clinical narrative: At about 12 noon, 8/22/08, Res noted to have approximately 7cm circular raised red rash with swollen fingers with rash on right upper extremity - right deltoid area also had .3cm pimple type lesion at its center.  Rash also later noted under left breast, abdomen.  Res c/o achiness on 8/23/08.  1730, Res rash worsened extended to her buttocks.  Benadryl Rx by MD.  8/25 doctor stated rash around pneumovax injection site, now generalized macular, papular, erythremia.  8/28/08 last dose of Benadryl - rash improved.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMR, VARCEL
Symptoms: Overdose
Clinical narrative: The patient was given a dose of the PEDIARIX combination DTaP along with the IPV which gives the patient a double dose of polio vaccine at the visit. No adverse outcomes noted.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Vertigo
Clinical narrative: Fever 100 started 2 days after Varicella vaccine given. Then on 8/11/08 vertigo symptoms began with 5-20 episodes per day. Vertigo still present as of 8/27/08 but less frequently, intermittent throughout the day.
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Atelectasis, Basophil count normal, Blood pressure, Body temperature increased, Breath sounds abnormal
Clinical narrative: None stated
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Cyanosis, Eosinophil count normal, Erythema, Febrile convulsion, Gaze palsy
Clinical narrative: None stated
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Haematocrit normal, Haemoglobin normal, Heart rate increased, Lung infiltration, Lymphadenopathy
Clinical narrative: None stated
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Lymphocyte count decreased, Mean cell volume normal, Mean platelet volume decreased, Monocyte count increased, Monocyte count normal
Clinical narrative: None stated
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Neutrophil count increased, Oxygen saturation normal, Pharyngeal erythema, Platelet count normal, Pneumonia
Clinical narrative: None stated
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Red blood cell count normal, Red cell distribution width normal, Respiratory rate decreased, Streptococcal identification test negative, Tonsillar disorder
Clinical narrative: None stated
Age: 2.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: White blood cell count normal, X-ray abnormal
Clinical narrative: None stated
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Skin lesion
Clinical narrative: 52 lesions after varicella vaccine
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Ear infection, Pyrexia
Clinical narrative: Fever 103, diarrhea, ROM, dx ear inf. 9/3/08. Tylenol, Motrin, Cefzil.
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Local reaction, Oedema, Pyrexia, Tenderness
Clinical narrative: Afibrile with flu office visit - fever, erythema, edema, localized tenderness and induration.  Given Celestone 6 mg IM on 8/22/08.  Still symptomatic thoughts afebrile on 8/25.  Given Medrol dose pak.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Arthralgia, Arthritis, Bursitis, Myalgia, Pain
Clinical narrative: I was a healthy woman prior to the flu shot I had on 11.09.06 at 3:30 pm in the Doctor's Office.  I use to have a flu shot once a year w/no reaction.  On 11.10.06 at 1:20 am I wake up with pain all over my body.  Muscular pain, back pain, arms, shoulder, hip pains, needles, joints, throat pain, fever, tooth and jaw pain.  Because of all this pain, I lost my appetite, sleepless and I lost in the first 6 months 10 pounds and became very weak.  On 10.15.06 started to feel stronger, muscular pain, sharp hips, joint pain, right hand, right leg, knee swelling and the pain from arms goes to the back of my body.  I was unable to move well or drive.  On 11.16.06, I visited my regular doctor where I had the flu shot but he denied that the problems are from the flu shot.  I did not take any medication in general or prior vaccine.  I have no family history of any illness and I use to visit the Doctor only for a regular check-up.  My diagnostic was Guillain Barre Syndrome, adhesive capsulitis, frozen shoulders, tendinitis, bursitis, arthritis w/recommendation for physical therapy.  I did on my own accupuncture, massages, I follow an organic diet, organic suppliments BUT after 18 + months, I am not well.  I am still suffering from muscular pain, tremendous weakness sensation in the legs, arms, upper body, hips, joint pain and I become allergic to a lot of foods and in particular to eggs and chicken.  I feel that viruses from this vaccine activate my immune system inappropriately and my body being infected triggered all these problems I never had and with all my effort can't be healed.  My life is upside-down, I am not the person I used to be anymore, friends and customers that knew me for years now tell me how they see me every day just disappearing.  Suppose the vaccine to protect people from illness, NO, to make them sick or disabled.  I would like to know your opinion in this situation and what are my chances of becoming healthy again.  Patient c/o muscle pain x 2 mo - 69 year old female with ch 2 mo h/o.  Patient had flu shot, knelt down, had pain all over body.  Hand swelling and right knee swelling, paralysis x 2 weeks.  Patient took Motrin.  Patient seen at clinic for arthritis - gout.  Patient states takes exercise and diet changes.  No tenderness.  Has forearm muscle tenderness, knee muscle tenderness.  A - 1 myositis/gl b syndrome, muscle pain, P - 1 x-ray both hands, right knee, 2 - medical record release, 3 - Physical therapy 12 weeks, muscle strengthening.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Paraesthesia, Periarthritis, Tendonitis
Clinical narrative: I was a healthy woman prior to the flu shot I had on 11.09.06 at 3:30 pm in the Doctor's Office.  I use to have a flu shot once a year w/no reaction.  On 11.10.06 at 1:20 am I wake up with pain all over my body.  Muscular pain, back pain, arms, shoulder, hip pains, needles, joints, throat pain, fever, tooth and jaw pain.  Because of all this pain, I lost my appetite, sleepless and I lost in the first 6 months 10 pounds and became very weak.  On 10.15.06 started to feel stronger, muscular pain, sharp hips, joint pain, right hand, right leg, knee swelling and the pain from arms goes to the back of my body.  I was unable to move well or drive.  On 11.16.06, I visited my regular doctor where I had the flu shot but he denied that the problems are from the flu shot.  I did not take any medication in general or prior vaccine.  I have no family history of any illness and I use to visit the Doctor only for a regular check-up.  My diagnostic was Guillain Barre Syndrome, adhesive capsulitis, frozen shoulders, tendinitis, bursitis, arthritis w/recommendation for physical therapy.  I did on my own accupuncture, massages, I follow an organic diet, organic suppliments BUT after 18 + months, I am not well.  I am still suffering from muscular pain, tremendous weakness sensation in the legs, arms, upper body, hips, joint pain and I become allergic to a lot of foods and in particular to eggs and chicken.  I feel that viruses from this vaccine activate my immune system inappropriately and my body being infected triggered all these problems I never had and with all my effort can't be healed.  My life is upside-down, I am not the person I used to be anymore, friends and customers that knew me for years now tell me how they see me every day just disappearing.  Suppose the vaccine to protect people from illness, NO, to make them sick or disabled.  I would like to know your opinion in this situation and what are my chances of becoming healthy again.  Patient c/o muscle pain x 2 mo - 69 year old female with ch 2 mo h/o.  Patient had flu shot, knelt down, had pain all over body.  Hand swelling and right knee swelling, paralysis x 2 weeks.  Patient took Motrin.  Patient seen at clinic for arthritis - gout.  Patient states takes exercise and diet changes.  No tenderness.  Has forearm muscle tenderness, knee muscle tenderness.  A - 1 myositis/gl b syndrome, muscle pain, P - 1 x-ray both hands, right knee, 2 - medical record release, 3 - Physical therapy 12 weeks, muscle strengthening.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Anorexia, Arthralgia, Arthritis, Asthenia, Bursitis
Clinical narrative: I was a healthy woman prior to the flu shot I had on 11.09.06 at 3:30 pm in the Doctor's Office.  I use to have a flu shot once a year w/no reaction.  On 11.10.06 at 1:20 am I wake up with pain all over my body.  Muscular pain, back pain, arms, shoulder, hip pains, needles, joints, throat pain, fever, tooth and jaw pain.  Because of all this pain, I lost my appetite, sleepless and I lost in the first 6 months 10 pounds and became very weak.  On 10.15.06 started to feel stronger, muscular pain, sharp hips, joint pain, right hand, right leg, knee swelling and the pain from arms goes to the back of my body.  I was unable to move well or drive.  On 11.16.06, I visited my regular doctor where I had the flu shot but he denied that the problems are from the flu shot.  I did not take any medication in general or prior vaccine.  I have no family history of any illness and I use to visit the Doctor only for a regular check-up.  My diagnostic was Guillain Barre Syndrome, adhesive capsulitis, frozen shoulders, tendinitis, bursitis, arthritis w/recommendation for physical therapy.  I did on my own accupuncture, massages, I follow an organic diet, organic suppliments BUT after 18 + months, I am not well.  I am still suffering from muscular pain, tremendous weakness sensation in the legs, arms, upper body, hips, joint pain and I become allergic to a lot of foods and in particular to eggs and chicken.  I feel that viruses from this vaccine activate my immune system inappropriately and my body being infected triggered all these problems I never had and with all my effort can't be healed.  My life is upside-down, I am not the person I used to be anymore, friends and customers that knew me for years now tell me how they see me every day just disappearing.  Suppose the vaccine to protect people from illness, NO, to make them sick or disabled.  I would like to know your opinion in this situation and what are my chances of becoming healthy again.  Patient c/o muscle pain x 2 mo - 69 year old female with ch 2 mo h/o.  Patient had flu shot, knelt down, had pain all over body.  Hand swelling and right knee swelling, paralysis x 2 weeks.  Patient took Motrin.  Patient seen at clinic for arthritis - gout.  Patient states takes exercise and diet changes.  No tenderness.  Has forearm muscle tenderness, knee muscle tenderness.  A - 1 myositis/gl b syndrome, muscle pain, P - 1 x-ray both hands, right knee, 2 - medical record release, 3 - Physical therapy 12 weeks, muscle strengthening.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Food allergy, Gout, Guillain-Barre syndrome, Hypokinesia, Impaired driving ability
Clinical narrative: I was a healthy woman prior to the flu shot I had on 11.09.06 at 3:30 pm in the Doctor's Office.  I use to have a flu shot once a year w/no reaction.  On 11.10.06 at 1:20 am I wake up with pain all over my body.  Muscular pain, back pain, arms, shoulder, hip pains, needles, joints, throat pain, fever, tooth and jaw pain.  Because of all this pain, I lost my appetite, sleepless and I lost in the first 6 months 10 pounds and became very weak.  On 10.15.06 started to feel stronger, muscular pain, sharp hips, joint pain, right hand, right leg, knee swelling and the pain from arms goes to the back of my body.  I was unable to move well or drive.  On 11.16.06, I visited my regular doctor where I had the flu shot but he denied that the problems are from the flu shot.  I did not take any medication in general or prior vaccine.  I have no family history of any illness and I use to visit the Doctor only for a regular check-up.  My diagnostic was Guillain Barre Syndrome, adhesive capsulitis, frozen shoulders, tendinitis, bursitis, arthritis w/recommendation for physical therapy.  I did on my own accupuncture, massages, I follow an organic diet, organic suppliments BUT after 18 + months, I am not well.  I am still suffering from muscular pain, tremendous weakness sensation in the legs, arms, upper body, hips, joint pain and I become allergic to a lot of foods and in particular to eggs and chicken.  I feel that viruses from this vaccine activate my immune system inappropriately and my body being infected triggered all these problems I never had and with all my effort can't be healed.  My life is upside-down, I am not the person I used to be anymore, friends and customers that knew me for years now tell me how they see me every day just disappearing.  Suppose the vaccine to protect people from illness, NO, to make them sick or disabled.  I would like to know your opinion in this situation and what are my chances of becoming healthy again.  Patient c/o muscle pain x 2 mo - 69 year old female with ch 2 mo h/o.  Patient had flu shot, knelt down, had pain all over body.  Hand swelling and right knee swelling, paralysis x 2 weeks.  Patient took Motrin.  Patient seen at clinic for arthritis - gout.  Patient states takes exercise and diet changes.  No tenderness.  Has forearm muscle tenderness, knee muscle tenderness.  A - 1 myositis/gl b syndrome, muscle pain, P - 1 x-ray both hands, right knee, 2 - medical record release, 3 - Physical therapy 12 weeks, muscle strengthening.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Insomnia, Myalgia, Myositis, Pain, Paraesthesia
Clinical narrative: I was a healthy woman prior to the flu shot I had on 11.09.06 at 3:30 pm in the Doctor's Office.  I use to have a flu shot once a year w/no reaction.  On 11.10.06 at 1:20 am I wake up with pain all over my body.  Muscular pain, back pain, arms, shoulder, hip pains, needles, joints, throat pain, fever, tooth and jaw pain.  Because of all this pain, I lost my appetite, sleepless and I lost in the first 6 months 10 pounds and became very weak.  On 10.15.06 started to feel stronger, muscular pain, sharp hips, joint pain, right hand, right leg, knee swelling and the pain from arms goes to the back of my body.  I was unable to move well or drive.  On 11.16.06, I visited my regular doctor where I had the flu shot but he denied that the problems are from the flu shot.  I did not take any medication in general or prior vaccine.  I have no family history of any illness and I use to visit the Doctor only for a regular check-up.  My diagnostic was Guillain Barre Syndrome, adhesive capsulitis, frozen shoulders, tendinitis, bursitis, arthritis w/recommendation for physical therapy.  I did on my own accupuncture, massages, I follow an organic diet, organic suppliments BUT after 18 + months, I am not well.  I am still suffering from muscular pain, tremendous weakness sensation in the legs, arms, upper body, hips, joint pain and I become allergic to a lot of foods and in particular to eggs and chicken.  I feel that viruses from this vaccine activate my immune system inappropriately and my body being infected triggered all these problems I never had and with all my effort can't be healed.  My life is upside-down, I am not the person I used to be anymore, friends and customers that knew me for years now tell me how they see me every day just disappearing.  Suppose the vaccine to protect people from illness, NO, to make them sick or disabled.  I would like to know your opinion in this situation and what are my chances of becoming healthy again.  Patient c/o muscle pain x 2 mo - 69 year old female with ch 2 mo h/o.  Patient had flu shot, knelt down, had pain all over body.  Hand swelling and right knee swelling, paralysis x 2 weeks.  Patient took Motrin.  Patient seen at clinic for arthritis - gout.  Patient states takes exercise and diet changes.  No tenderness.  Has forearm muscle tenderness, knee muscle tenderness.  A - 1 myositis/gl b syndrome, muscle pain, P - 1 x-ray both hands, right knee, 2 - medical record release, 3 - Physical therapy 12 weeks, muscle strengthening.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Paralysis, Periarthritis, Pharyngolaryngeal pain, Pyrexia, Swelling
Clinical narrative: I was a healthy woman prior to the flu shot I had on 11.09.06 at 3:30 pm in the Doctor's Office.  I use to have a flu shot once a year w/no reaction.  On 11.10.06 at 1:20 am I wake up with pain all over my body.  Muscular pain, back pain, arms, shoulder, hip pains, needles, joints, throat pain, fever, tooth and jaw pain.  Because of all this pain, I lost my appetite, sleepless and I lost in the first 6 months 10 pounds and became very weak.  On 10.15.06 started to feel stronger, muscular pain, sharp hips, joint pain, right hand, right leg, knee swelling and the pain from arms goes to the back of my body.  I was unable to move well or drive.  On 11.16.06, I visited my regular doctor where I had the flu shot but he denied that the problems are from the flu shot.  I did not take any medication in general or prior vaccine.  I have no family history of any illness and I use to visit the Doctor only for a regular check-up.  My diagnostic was Guillain Barre Syndrome, adhesive capsulitis, frozen shoulders, tendinitis, bursitis, arthritis w/recommendation for physical therapy.  I did on my own accupuncture, massages, I follow an organic diet, organic suppliments BUT after 18 + months, I am not well.  I am still suffering from muscular pain, tremendous weakness sensation in the legs, arms, upper body, hips, joint pain and I become allergic to a lot of foods and in particular to eggs and chicken.  I feel that viruses from this vaccine activate my immune system inappropriately and my body being infected triggered all these problems I never had and with all my effort can't be healed.  My life is upside-down, I am not the person I used to be anymore, friends and customers that knew me for years now tell me how they see me every day just disappearing.  Suppose the vaccine to protect people from illness, NO, to make them sick or disabled.  I would like to know your opinion in this situation and what are my chances of becoming healthy again.  Patient c/o muscle pain x 2 mo - 69 year old female with ch 2 mo h/o.  Patient had flu shot, knelt down, had pain all over body.  Hand swelling and right knee swelling, paralysis x 2 weeks.  Patient took Motrin.  Patient seen at clinic for arthritis - gout.  Patient states takes exercise and diet changes.  No tenderness.  Has forearm muscle tenderness, knee muscle tenderness.  A - 1 myositis/gl b syndrome, muscle pain, P - 1 x-ray both hands, right knee, 2 - medical record release, 3 - Physical therapy 12 weeks, muscle strengthening.