chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Red, painful reaction 24 hours after shot left thigh.  Patient seen at 48 hours - 4cm thick, red, raised rash with light pink.  No raised 2cm beyond.  Plus pain, no itch.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Arm red, warm to touch & itching.  W/ soaks, BENADRYL 25mg B.I.D. elevate.
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: No adverse event
Clinical narrative: No adverse events
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Asthenia, Nausea, Pyrexia
Clinical narrative: Fever 102 degrees, nausea, weak.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Dizziness, Pyrexia
Clinical narrative: Fever 102 degrees, nausea, weak.
Sex: U
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a pharmacy student concerning a patient who was vaccinated with a dose of PNEUMOVAX 23. Subsequently the patient developed fevers. At the time of the report the patient outcome was unknown. Additional information has been requested.
Age: 63.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Hypersensitivity, Injection site infection, Pyrexia, Swelling
Clinical narrative: Patient had redness, swelling, and tenderness on the day after the vaccine (9/1/08) along with a fever. Patient went to her doctor the following day, and stated she had an allergy to niacin. Her fever had subsided and she was given medication for allergic reaction by her doctor. The patient started feeling bad again with a high fever and went to the BAMC ER, where the doctor said she had an infection on the arm with the shingles vaccine. She had received a PPV23 vaccine on the opposite arm with no adverse reactions. Patient is on anti-bx, and as of 9/4/08, states her arm is feeling better.
Age: 63.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Tenderness
Clinical narrative: Patient had redness, swelling, and tenderness on the day after the vaccine (9/1/08) along with a fever. Patient went to her doctor the following day, and stated she had an allergy to niacin. Her fever had subsided and she was given medication for allergic reaction by her doctor. The patient started feeling bad again with a high fever and went to the BAMC ER, where the doctor said she had an infection on the arm with the shingles vaccine. She had received a PPV23 vaccine on the opposite arm with no adverse reactions. Patient is on anti-bx, and as of 9/4/08, states her arm is feeling better.
Age: 12.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Arthralgia, Dizziness, Headache, Heart rate increased, Muscular weakness
Clinical narrative: headach, body ache, joints ache, muscle weakness, dizziness, heart rate 110
Age: 12.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Pain, Wrong drug administered
Clinical narrative: headach, body ache, joints ache, muscle weakness, dizziness, heart rate 110
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Migraine, Nausea, Vomiting
Clinical narrative: Had nausea with vomiting - migraine headache - dizzy
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Alopecia, Cough, Injection site pain, Injection site pruritus, Injection site pustule
Clinical narrative: 27 August 2008- received smallpox vaccine- constant itching, rash, small postules around injection site. One week later still itching and arm is swollen around injection site. Two weeks later, extremly tender around injection site-painful and lymphnodes on left side of body are swollen-mainly under left arm and groin lymphnodes. Additionally, I had a rather large amount of my hair fall out in the shower on 3 September. Also got anthrax shots 1 and 2 on 15 August and 3 September and have had a constant cough and sore throat since the shots. Not sure which vaccine these adverse events are from. 5 September Dr. put me on quarters and directed me to take Motrin for the pain and use a warm wash cloth on the injection site.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site rash, Injection site swelling, Lymph node pain, Lymphadenopathy, Pharyngolaryngeal pain
Clinical narrative: 27 August 2008- received smallpox vaccine- constant itching, rash, small postules around injection site. One week later still itching and arm is swollen around injection site. Two weeks later, extremly tender around injection site-painful and lymphnodes on left side of body are swollen-mainly under left arm and groin lymphnodes. Additionally, I had a rather large amount of my hair fall out in the shower on 3 September. Also got anthrax shots 1 and 2 on 15 August and 3 September and have had a constant cough and sore throat since the shots. Not sure which vaccine these adverse events are from. 5 September Dr. put me on quarters and directed me to take Motrin for the pain and use a warm wash cloth on the injection site.
Age: 51.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site rash, Urticaria
Clinical narrative: Pt. called today to report a rash she noted around the site of the TDAP that was given on 08/20/08.  Describes as a rash or hives that was at the site of injection travel down towards the elbow and now going up her neck.  States getting a little better today, but never called to report this eposide.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Rash erythematous, Rash generalised
Clinical narrative: MOC called and reported that child had mild temperature, moderate red rash all over body.  Today no more fever but rash persists.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Mass, Pyrexia
Clinical narrative: MOM DESCRIBES LUMP BETWEEN ARMPIT AND NIPPLE ON TORSO LEFT SIDE WITH FEVER. LUMP "SQUISHY" WITH NO OTHER SYMPTOMS.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Breath sounds abnormal, Chills, Pyrexia, Urine analysis normal
Clinical narrative: Father called 9/4 at 9:30 a.m. PST to report patient had fever to 105F, chills, harsh breathing. Advised father to bring to pt to office for eval. for rx to Flu Mist (MedImmune) given 9/3 at 4:30 p.m. PST. Physical exam: HEENT WNL, Lungs CTA, no abnl findings.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Blepharospasm, Dizziness, Headache, Lacrimation increased, Muscle twitching
Clinical narrative: 10 min after injection pt c/o watery eyes, frontal headaches, R eye twitch, R face twitch, nauseous and dizzy
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea
Clinical narrative: 10 min after injection pt c/o watery eyes, frontal headaches, R eye twitch, R face twitch, nauseous and dizzy
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Back pain, Blood test normal, Headache, Hypoaesthesia
Clinical narrative: Feb 07 has left leg pain(sensations), thought maybe a pinched nerve, pained worsened.  8/07 pain more severe,  went to Dr for blood work, MRI, to rule out Arthritis.  Leg feels, weak, heavy and numb.  Experiencing severe headaches.  12/07 sensations now in Left arm.  Pain continues.  2/08 more blood work, comes back fine.  Unable to continue select Volleyball.  Had more MRI's to rule out pinched nerve.  Experiencing muscle spasms.  3/08 brain MRI, experiencing back pain(more severe than usual).  5/08 visited hospital Neurology.  Had another brain MRI, came back good.  6/08 had nerve study conducted at Med. Center.  No abnormal result found.  9/15/08 MR received from PCP 10/5/06-8/13/08. Seen 8/7/07 for WCC with chronic knee pain and 8/25/07 with toe fx 2' injury-hematoma under nail. Seen 10/10/07 for h/a, nausea & dizziness 2' ball injury. C/o hypersensitive hearing. Assessment:  Hyperacousis/H/A 2' to contracorp injury. O/V 1/9/08 with flu-like illness. Seen 2/7/08 for back pain, vag d/c and anxiety-with occ SOB, tachycardia. Seen 2/26/08 with c/i impaired sllep 2' to pain.  On PE DTRs R>L. Assessment:  Radiculopathy.  Hyperhidrosis. OV 8/1/08 for neck pain, arm pain low back pain. Also scalp tenderness, R numbness.  Assessment:  Myalgia/ muscle cramps. OV 8/13/08 for constipation. 9/30/08 Neuro and Neurosurg consults received dated 5/6/08 and 5/30/08. Referred for increasing bilateral leg and L arm  numbness and paresthesias. Neuro exam (+) for decreased sensation L leg, otherwise WNL.   Referred to neuro. PE (+) for anxiety, sweaty palms, decreased vibration sensation lower extremities.  Referred for EMG/NCS-reported as normal by PCP. Assessment: ? motor/sensory neuropathy, ? mild myopathy, ? psychogenic.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle spasms, Muscular weakness, Nerve conduction studies normal, Nuclear magnetic resonance imaging normal, Pain in extremity
Clinical narrative: Feb 07 has left leg pain(sensations), thought maybe a pinched nerve, pained worsened.  8/07 pain more severe,  went to Dr for blood work, MRI, to rule out Arthritis.  Leg feels, weak, heavy and numb.  Experiencing severe headaches.  12/07 sensations now in Left arm.  Pain continues.  2/08 more blood work, comes back fine.  Unable to continue select Volleyball.  Had more MRI's to rule out pinched nerve.  Experiencing muscle spasms.  3/08 brain MRI, experiencing back pain(more severe than usual).  5/08 visited hospital Neurology.  Had another brain MRI, came back good.  6/08 had nerve study conducted at Med. Center.  No abnormal result found.  9/15/08 MR received from PCP 10/5/06-8/13/08. Seen 8/7/07 for WCC with chronic knee pain and 8/25/07 with toe fx 2' injury-hematoma under nail. Seen 10/10/07 for h/a, nausea & dizziness 2' ball injury. C/o hypersensitive hearing. Assessment:  Hyperacousis/H/A 2' to contracorp injury. O/V 1/9/08 with flu-like illness. Seen 2/7/08 for back pain, vag d/c and anxiety-with occ SOB, tachycardia. Seen 2/26/08 with c/i impaired sllep 2' to pain.  On PE DTRs R>L. Assessment:  Radiculopathy.  Hyperhidrosis. OV 8/1/08 for neck pain, arm pain low back pain. Also scalp tenderness, R numbness.  Assessment:  Myalgia/ muscle cramps. OV 8/13/08 for constipation. 9/30/08 Neuro and Neurosurg consults received dated 5/6/08 and 5/30/08. Referred for increasing bilateral leg and L arm  numbness and paresthesias. Neuro exam (+) for decreased sensation L leg, otherwise WNL.   Referred to neuro. PE (+) for anxiety, sweaty palms, decreased vibration sensation lower extremities.  Referred for EMG/NCS-reported as normal by PCP. Assessment: ? motor/sensory neuropathy, ? mild myopathy, ? psychogenic.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Sensation of heaviness
Clinical narrative: Feb 07 has left leg pain(sensations), thought maybe a pinched nerve, pained worsened.  8/07 pain more severe,  went to Dr for blood work, MRI, to rule out Arthritis.  Leg feels, weak, heavy and numb.  Experiencing severe headaches.  12/07 sensations now in Left arm.  Pain continues.  2/08 more blood work, comes back fine.  Unable to continue select Volleyball.  Had more MRI's to rule out pinched nerve.  Experiencing muscle spasms.  3/08 brain MRI, experiencing back pain(more severe than usual).  5/08 visited hospital Neurology.  Had another brain MRI, came back good.  6/08 had nerve study conducted at Med. Center.  No abnormal result found.  9/15/08 MR received from PCP 10/5/06-8/13/08. Seen 8/7/07 for WCC with chronic knee pain and 8/25/07 with toe fx 2' injury-hematoma under nail. Seen 10/10/07 for h/a, nausea & dizziness 2' ball injury. C/o hypersensitive hearing. Assessment:  Hyperacousis/H/A 2' to contracorp injury. O/V 1/9/08 with flu-like illness. Seen 2/7/08 for back pain, vag d/c and anxiety-with occ SOB, tachycardia. Seen 2/26/08 with c/i impaired sllep 2' to pain.  On PE DTRs R>L. Assessment:  Radiculopathy.  Hyperhidrosis. OV 8/1/08 for neck pain, arm pain low back pain. Also scalp tenderness, R numbness.  Assessment:  Myalgia/ muscle cramps. OV 8/13/08 for constipation. 9/30/08 Neuro and Neurosurg consults received dated 5/6/08 and 5/30/08. Referred for increasing bilateral leg and L arm  numbness and paresthesias. Neuro exam (+) for decreased sensation L leg, otherwise WNL.   Referred to neuro. PE (+) for anxiety, sweaty palms, decreased vibration sensation lower extremities.  Referred for EMG/NCS-reported as normal by PCP. Assessment: ? motor/sensory neuropathy, ? mild myopathy, ? psychogenic.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: initial swelling at left thigh injection site only, 3 days ago developed redness and induration at left thigh site.
Age: 20.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Hot flush, Irritability, Photophobia
Clinical narrative: Patient received MMR#2 and a PPD on 9/2/08. As she was leaving her whole head started to pound. She did not say anything but went home. She continued to have a pounding head ache bilaterally, experienced light sensitivity and  felt irritable. She denies nausea or fever.  She took 2 extra strength Tylenol. On 9/3 and 9/4 her head ache was on the right side only above her temple.  The pain would come lasting 5-6 minutes with an intensity of 8-9 then it would go and she would feel fine.  She also c/o hot flashes associated with the head ache.  She came in 9/4/08 and reported her symptoms. BP 128/70 She was advised to start taking the Tylenol as directed.  She was advised to go to the ER if her symptoms got worse, and have someone else drive her.  She was advised to see her own physician the next day if her symtoms continued as they were.
Age: 52.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Chills, Injected limb mobility decreased, Injection site pain, Wrong drug administered
Clinical narrative: Chills, severe pain at injection site worse day of injection and two days after. Unable to use right arm at all. Afebrile,all over joint pain.
Age: 43.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Arthralgia, Erythema, Joint swelling, Tenderness
Clinical narrative: Employee states Sat PM 8/30/08 experienced swelling and pain in R elbow.  States elbow was reddened and tender to touch.  Denied any numbness or tingling.  States he did apply ice to area and took Tylenol.  Swelling decreased Sunday AM, but still tender to touch.  Had worked in yard and changed oil in truck on 8/30.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain, Wrong drug administered
Clinical narrative: DTaP accidentally given instead of Tdap.  No adverse effects noted other than mild soreness at injection site.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Injection site erythema, Injection site streaking, Nausea
Clinical narrative: R arm streaks to arm pit, red at injection site, headache, nauseous,
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Blister, Excoriation, Pain, Rash erythematous, Rash papular
Clinical narrative: Itchy and painful rash on lower back for five days.  Erythematous papular rash on lower back-some look like excoriated vessicles. Seen in office on 8/25/08
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Itchy and painful rash on lower back for five days.  Erythematous papular rash on lower back-some look like excoriated vessicles. Seen in office on 8/25/08
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Childhood disintegrative disorder, Injection site swelling
Clinical narrative: about 4 hours after the shot, his injected leg had swelled to nearly twice the original size.  His father took him to the pediatricians office where they gave him some motrin and we were told that this was normal.  This was only the beginning.  In the following months his speech and behavior began to regress and continued doing so.  9/26/08 Reviewed PCP medical records of 5/16/07-7/15/2008. FINAL DX: ASD, speech & global developmental delay Records reveal patient experienced otalgia 5/07.  On 3/31/08 parent expressed concern re speech, repetitive behaviors, parallel play, not following commands, tantrums.  Hearing test WNL.  Referred to early intervention program & began ST 6/08.  RTC 4/1 w/left leg injection site swelling, dx w/local reaction.  RTC 7/15/08.  Scheduled for developmental pediatrician eval 9/30/08.  Now screaming & stimming. 1/27/2010 He is still developmentaly delayed but slowly catching up ti his peers. He still has intestinal issues and we are just currently finding that his immune system is over active and is attacking some body areas.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Parent states patient seen at ER on 9/5/08 1am. Parent states right leg was hard, red and swollen. Patient given oral steroids at ER.
Age: 1.97
Sex: F
Vaccine: HIBV, MMR, PNC, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Tdap inadverently given instead of Pediarix by mistake.  No reaction to vaccine noted did not answer question 9 and 11.  Will recall patient to receive Pediarix
Sex: U
Vaccine: HPV4, MNQ
Symptoms: Oedema peripheral
Clinical narrative: C/o feet swelling about double sizes after receiving vaccines.  Mother states patient had not pain in feet.  States feet starting swelling about 45 minutes after receiving vaccines.  Swelling went away after 1 1/2 hours.  Denies any other problems.
Age: 1.42
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 3 x 3 inch area of redness, swelling. Warm to touch.
Age: 57.0
Sex: U
Vaccine: TDAP
Symptoms: Acrochordon, Paraesthesia, Rash, Rash erythematous, Rash papular
Clinical narrative: Patient presented for office visit on 7/31/2008 for "rash". Patient stated onset was 2 weeks ago. Severity is mild. Location was right axilla and chest. Patient described it as erthematous and papular. It occurs continuously. The problem was improving. Denied aggravating factors. Associated factors included hyperlagesia of skin. Addition information: Antecedent paresthesias. Received Tdap on 7/15/2008. Symptoms developed on 7/16/2008.
Age: 57.0
Sex: U
Vaccine: TDAP
Symptoms: Skin disorder
Clinical narrative: Patient presented for office visit on 7/31/2008 for "rash". Patient stated onset was 2 weeks ago. Severity is mild. Location was right axilla and chest. Patient described it as erthematous and papular. It occurs continuously. The problem was improving. Denied aggravating factors. Associated factors included hyperlagesia of skin. Addition information: Antecedent paresthesias. Received Tdap on 7/15/2008. Symptoms developed on 7/16/2008.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: TELEPHONE CALL FROM MOM STATING VARICELLA INJECTION SITE ITCHY, SIZE OF SOFTBALL, REDDENED AND SWOLLEN APPROX 1/2" HIGH. MENINGOCOCCAL INJECTION SITE REDDENED ABOUT 1/2 DOLLAR SIZED, SWOLLEN, AND ACHY. INSTRUCTED TO APPLY ICE AND GIVE BENADRYL AND TO COME TO OFFICE IF SYMPTOMS WORSEN, OR FEVER OR RASH APPEARS.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dehydration, Malnutrition, Pregnancy test, Weight decreased
Clinical narrative: Vomiting for 2 months. Lost of 25lbs (she weighs 87 lbs now!) hospitalized for dehydration and malnutrition.  9/11/08 Vax rec and office notes received from OBGYN. Weight 110# at time of 1st HPV 8/15/07. Wt 100# at time of Gardasil #3 on 7/30/08. No problems noted at that time. 09/23/2008 MR received for DOS 9/6-8/2008 with D/C DX:  Intractable vomiting, questionable 2' to HPV vaccine. Pt presented with 7 month hx of intractable vomiting with 20# wt loss. Pt reports sx coincide with receipt of Gardasil vax. Tx with Rocephin for UTI and Reglan for symptomatic relief. Was able to tolerate diet and D/C to f/u as out pt.  9/26/08 PCP records received.  Seen 8/15/08 with c/o intermittent unexplained vomiting since spring 2008 about the time Paxil was abruptly discontinued. For past week pt has been vomiting almost everything she eats. Wt 94#. PE WNL. F/U 8/22/08 with 2# weight loss since 8/15. Referred to GI.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Blister, Injection site swelling
Clinical narrative: Patient received the DTap, Chicken Pox, DTP, Polio and Hep B vaccinations.  The vaccinations were given at 1:30 p.m. on Tuesday, September 2, 2008.  Patient received the MMR, Chicken Pox and DTP vaccines.  The following Wednesday morning I noticed quite a bit of swelling in the left arm, below the shoulder and above the elbow, where he received two of the three shots.  Unfortunately, I do not know which vaccine was given in which arm. The swelling has continued now for the past three days.  On Friday morning (3 days after receiving the vaccines) I noticed an area of the skin on his left arm that was blistering, about a one by one inch patch of several small blisters.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site bruising, Injection site erythema, Injection site rash, Injection site swelling, Injection site vesicles
Clinical narrative: Redness, swelling, Bruising, and blister-like rash near area where varicilla was administered.
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Deafness unilateral, No therapeutic response
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of unilateral hearing loss in a 48-year-old male subject who was vaccinated with HEPATITIS B vaccine (manufacturer unspecified). On unspecified dates the subject received the 1st dose, 2nd dose and 3rd dose of a Hepatitis B vaccine (unknown). At an unspecified time after receiving the 1st dose of Hepatitis B vaccine, the subject experienced unilateral hearing loss, which resolved after an unspecified period of time. The subject continued with the Hepatitis B vaccination series and no hearing loss was noted after receiving the 2nd and 3rd doses of the vaccine. At an unspecified time after completion of the Hepatitis B vaccination series, serological testing showed that the subject was not responding to therapy. The reporting nurse stated that she did not know when or where the subject received the Hepatitis B vaccination series, as the doses were not administered at this physician's office. In addition, the nurse did not know the vaccine tradename, if the next doses of the vaccine were delayed, nor when the titers were drawn. This case was assessed as medically serious by GSK. At the time of reporting, the unilateral hearing loss was resolved, but the outcome of not responding to therapy was unspecified.
Age: 49.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Blood test normal, Hypoaesthesia, Pain
Clinical narrative: Wrist and fingers became achy and numb on 6/14/08. Pain continuous fluctuating from mild to severe pain. Pt went to MD who took blood tests. Now getting deep tissue massage a week and icing it. Also sees chiropractor.
Age: 44.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Arthralgia, C-reactive protein, Chest discomfort, Full blood count, Local swelling
Clinical narrative: Felt like someone was sitting on her chest, states had pain in hand, elbow and shoulder joints, started on 6/14/08 and then swollen neck and armpit, began on 7/6/08.  Pain still continues today.  Went to PMD on 8/13 - thought it was vaccine related - now doing massage and taking Ibuprofen.
Age: 44.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Lymphadenopathy, Lymphocyte count decreased, Metabolic function test, Neutrophil count increased
Clinical narrative: Felt like someone was sitting on her chest, states had pain in hand, elbow and shoulder joints, started on 6/14/08 and then swollen neck and armpit, began on 7/6/08.  Pain still continues today.  Went to PMD on 8/13 - thought it was vaccine related - now doing massage and taking Ibuprofen.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Hemiparesis, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Weakness, numbness R side of body, numbness R side of face.  9/12/2008 Link to 324856./pc 9/12/2008 PCP records received. WCC 6/27/08 with normal exam except ecchymosis doe to a ball injury of the L hand.  HPV#1. Seen 9/5/08 with c/o weakness, R sided numbness and R sided facial pain which began after HPV#2 on 8/27/08. Sx had resolved by OV. DX:  HPV reaction.  Seen again 9/10/08 for L sided lower back pain and R sided leg pain.  Irregular heartbeat  noted on PE as well and tenderness of the R calf. DX: Leg and back pain, irregular heartbeat.  Sent for EKG Holter monitoring and X-rays.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Convulsion, Pallor, Respiratory arrest, Syncope, Urinary incontinence
Clinical narrative: Pt became pale, quiet and fainted. She then went into a seizure, stopped breathing and urinated on herself. Cold compresses were applied, feet and legs elevated. Soft drink given when she came to 5-10 minutes
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Cyanosis, Dyspnoea, Eye rolling, Hyperhidrosis, Pallor
Clinical narrative: Pt became pale, quiet and fainted. She then went into a seizure, stopped breathing and urinated on herself. Cold compresses were applied, feet and legs elevated. Soft drink given when she came to 5-10 minutes
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Posturing, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: Pt became pale, quiet and fainted. She then went into a seizure, stopped breathing and urinated on herself. Cold compresses were applied, feet and legs elevated. Soft drink given when she came to 5-10 minutes
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Hyperhidrosis, Pallor, Tinnitus, Visual disturbance, Vomiting
Clinical narrative: Son had received first 2 vaccines. 5 minutes later received a Tdap, within two minutes he became pale, sweating, began to vomit and he later stated he saw black spots and heard ringing in his ears. He was also escorted to a chair. Given cold compresses and a soda. Lasted 5-10 minutes.
Age: 1.6
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 4 days after the MMR and VARIVAX, left arm developed swelling, pain and fever.  Steroid shots on 8/14/08 and on Sept 2, 08 and treated for Cellulitis left deltoid.  Antibiotics, Augmentin and Rocephin.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: 10x15cm area of erythema around injection site.
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Erythema, Injection site bruising, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Sm. purple bruise at injection site & egg-size hard, reddened area below inj. site.  Area is warm to touch and tender when arm is moved.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pediarix was administered after 3rd dose.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Induration, Pain, Swelling
Clinical narrative: Client presented in clinic today to receive DTaP.  Mother states child received vaccines on 9/3/08.  Reports right leg red, sore and swollen.  Upon observation, child has reddened area right upper thigh approximately 4 1/4 in x 3 1/2 in.  Firm to touch upon palpation.  Spon cap refill to extremity.  Bears weight.  Unknown fever as mother had given 4 doses Tylenol yesterday and 1 dose this morning.  Instructed to contact MD if not improving or gets worse.
Age: 38.0
Sex: M
Vaccine: RAB
Symptoms: Dyspnoea, Heart rate increased
Clinical narrative: Donor states that he noticed that he had a rapid heart beat after receiving the vaccination as well as labored breathing.  Donor states that it lasted for a couple of hours.  Approx 2 hours.  Symptoms started after donor got home.  Donor did not return to center until 09-05-08 and that is when he reported his reaction.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warmth to touch (R) arm 5" x 5" upper arm.
Age: 46.0
Sex: F
Vaccine: TDAP, IPV, TDAP
Symptoms: Arthralgia, Asthenia, Burning sensation, Confusional state, Fatigue
Clinical narrative: Pain at the injection site and mild right arm weakness continuing 7 weeks after the immunization.  Has not yet recoved.
Age: 46.0
Sex: F
Vaccine: TDAP, IPV, TDAP
Symptoms: Myalgia, Swelling
Clinical narrative: Pain at the injection site and mild right arm weakness continuing 7 weeks after the immunization.  Has not yet recoved.
Age: 46.0
Sex: F
Vaccine: TDAP, IPV, TDAP
Symptoms: Antinuclear antibody, Full blood count, Injection site pain, Muscular weakness, Rheumatoid factor
Clinical narrative: Pain at the injection site and mild right arm weakness continuing 7 weeks after the immunization.  Has not yet recoved.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Colitis ulcerative, Insomnia, Pyrexia, Sleep apnoea syndrome
Clinical narrative: Anthrax Vaccine started on April 3, 2000. Vaccine discontinued due to adverse reaction. (Joint Pain/Fever). Developed Ulcerative Colitis with symptoms noted as early as January 6, 2001. Also developed Obstructive Sleep Apnea, and Sleep onset Insomnia.  11/06/2008 MR received from GI consultant. Pt presented with bloody, mucusy stools up to 15xday. Placed on Prednisone with improvement. Dx:  Ulcerative colitis.  11/12/08 Records received from pt with vax info (no lot#s). Pt first presented 4/22/2001 with c/o 2 week hx of abdominal cramps and bleeding from the rectum.  PE (+) for abd tenderness. Assessment:  Internal hemorrhoids. Seen again 1/15/02 with c/o 8 mon intermittant hx of rectal bleeding. Guaiac (+) stool. Sent for GI consult. DX: IBS/ Proctitis. 4/30/08 OV for aphthous oral ulcers. Tinea cruis. RLL pneumonia 10/8/2002. In June 2006 presented with c/o snoring/gasping as well as difficulty falling and staying asleep. Dx with Sleep Disorder/ Primary Snoring vs Obstructive sleep apnea.. Snoring. Fattly Liver.
Age: 30.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Activities of daily living impaired, Arthralgia, Chest pain, Diarrhoea, Fatigue
Clinical narrative: 1ST ROUND OF VACCINE 8/15/08: 12 HOURS LATER LOW GRADE FEVER, HEADACHE, SWELLING OF TAILBONE, SEVERE NAUSEA AND DIARRHEA, JOINT PAIN, NOT ABLE TO MOVE FROM BED                                 2ND ROUND OF VACCINE 8/18/08: 8-10 HOURS LATER FEVER, JOINT PAIN, CONTINUATION OF NAUSEA AND DIARRHEA, SEVERE EXHAUSTION, AND SLIGHT RASH    3RD ROUND OF VACCINE 8/22/08: 2-4 HOURS WIDESPREAD RASH SEVERE ITCHING, FATIQUE, NAUSEA AND DIARRHEA, JOINT AND MUSCLE PAIN, THROAT PAIN 4TH ROUND OF VACCINE 8/29/08: 8 HRS AFTER VACCINE MILD RASH, SEVERE JOINT PAIN, CHEST PAIN, NAUSEA AND DIARRHEA, SEVERE FATIQUE (BENADRYL ADMINISTERED BEFORE INJECTION AND EVERY 4 HOURS FOLLOWING
Age: 30.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Headache, Myalgia, Nausea, Pharyngolaryngeal pain, Pruritus
Clinical narrative: 1ST ROUND OF VACCINE 8/15/08: 12 HOURS LATER LOW GRADE FEVER, HEADACHE, SWELLING OF TAILBONE, SEVERE NAUSEA AND DIARRHEA, JOINT PAIN, NOT ABLE TO MOVE FROM BED                                 2ND ROUND OF VACCINE 8/18/08: 8-10 HOURS LATER FEVER, JOINT PAIN, CONTINUATION OF NAUSEA AND DIARRHEA, SEVERE EXHAUSTION, AND SLIGHT RASH    3RD ROUND OF VACCINE 8/22/08: 2-4 HOURS WIDESPREAD RASH SEVERE ITCHING, FATIQUE, NAUSEA AND DIARRHEA, JOINT AND MUSCLE PAIN, THROAT PAIN 4TH ROUND OF VACCINE 8/29/08: 8 HRS AFTER VACCINE MILD RASH, SEVERE JOINT PAIN, CHEST PAIN, NAUSEA AND DIARRHEA, SEVERE FATIQUE (BENADRYL ADMINISTERED BEFORE INJECTION AND EVERY 4 HOURS FOLLOWING
Age: 30.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Pyrexia, Rash generalised, Swelling
Clinical narrative: 1ST ROUND OF VACCINE 8/15/08: 12 HOURS LATER LOW GRADE FEVER, HEADACHE, SWELLING OF TAILBONE, SEVERE NAUSEA AND DIARRHEA, JOINT PAIN, NOT ABLE TO MOVE FROM BED                                 2ND ROUND OF VACCINE 8/18/08: 8-10 HOURS LATER FEVER, JOINT PAIN, CONTINUATION OF NAUSEA AND DIARRHEA, SEVERE EXHAUSTION, AND SLIGHT RASH    3RD ROUND OF VACCINE 8/22/08: 2-4 HOURS WIDESPREAD RASH SEVERE ITCHING, FATIQUE, NAUSEA AND DIARRHEA, JOINT AND MUSCLE PAIN, THROAT PAIN 4TH ROUND OF VACCINE 8/29/08: 8 HRS AFTER VACCINE MILD RASH, SEVERE JOINT PAIN, CHEST PAIN, NAUSEA AND DIARRHEA, SEVERE FATIQUE (BENADRYL ADMINISTERED BEFORE INJECTION AND EVERY 4 HOURS FOLLOWING
Age: 1.01
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Anorexia, Blood culture negative, Chest X-ray normal, Insomnia, Irritability
Clinical narrative: On 09/02/08, patient began fevers.  On 09/03/08, fevers became unmanageable, over 105 degrees.  Took patient to ER of local hospital.  She had chest x-ray, urinalysis, blood culture, all negative.  Rash began evening of 09/03/08.  Spread from neck area, down torso, back and face.  Fevers began to subside after rash appeared.  Was given Motrin and Tylenol for fevers.  Took patient to pediatrician on 09/05/08 who stated that in her 14 years, has only seen about 3 reactions similar to patient's but believes this all to be due to MMR vaccine.  Does not appear to be related to any illness, rash has appearance of measles.  Currently (09/06/08) patient seems to be feeling better although rash is still extremely apparent, all over face and body but not as pronounced on legs and feet.  Loss of appetite, loss of sleep, extreme fussiness, had to endure a chest x-ray (being placed in a tube to keep her from moving) as well as a catheter to obtain the urine sample and a needle stick for blood sample.  This ordeal has been extremely tough on my daughter as well as on myself and my other children as well as my lost time from work for hospital and doctor visits.  I was aware there could be a low grade fever or mild rash prior to receiving this vaccine however this was neither.  This reaction in my opinion is not worth the protection it provides.  I am hopeful that the worse is behind us.  I welcome any information you may have that you can provide to me.
Age: 1.01
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Pyrexia, Rash generalised, Rash morbilliform, Urine analysis normal
Clinical narrative: On 09/02/08, patient began fevers.  On 09/03/08, fevers became unmanageable, over 105 degrees.  Took patient to ER of local hospital.  She had chest x-ray, urinalysis, blood culture, all negative.  Rash began evening of 09/03/08.  Spread from neck area, down torso, back and face.  Fevers began to subside after rash appeared.  Was given Motrin and Tylenol for fevers.  Took patient to pediatrician on 09/05/08 who stated that in her 14 years, has only seen about 3 reactions similar to patient's but believes this all to be due to MMR vaccine.  Does not appear to be related to any illness, rash has appearance of measles.  Currently (09/06/08) patient seems to be feeling better although rash is still extremely apparent, all over face and body but not as pronounced on legs and feet.  Loss of appetite, loss of sleep, extreme fussiness, had to endure a chest x-ray (being placed in a tube to keep her from moving) as well as a catheter to obtain the urine sample and a needle stick for blood sample.  This ordeal has been extremely tough on my daughter as well as on myself and my other children as well as my lost time from work for hospital and doctor visits.  I was aware there could be a low grade fever or mild rash prior to receiving this vaccine however this was neither.  This reaction in my opinion is not worth the protection it provides.  I am hopeful that the worse is behind us.  I welcome any information you may have that you can provide to me.
Age: 8.0
Sex: F
Vaccine: FLUN3, HEPA, VARCEL
Symptoms: Injection site pain, Injection site papule, Injection site rash, Injection site swelling
Clinical narrative: noticed the day after injection on left arm:  small "pimple" at injection site, light swelling around injection site, light rash around injection site, painful to touch area around injection site
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Blood creatine phosphokinase increased, Electrocardiogram abnormal, Pericarditis
Clinical narrative: PERICARDITIS, TX: NSAIDS
Age: 43.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal discomfort, Fatigue, Headache, Nausea
Clinical narrative: Head ache, fatigue, GI upset(nausea) onset 15 minutes post Flumist
Age: 19.0
Sex: F
Vaccine: ANTH, JEV
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Patient received anthrax and JEV on 08/27/2008.  Before immunizations were given, patient was asked could you be pregnant.  Patient stated no per HN.  On 09/05/2008, patient had a positive pregnancy test and is currently 6 weeks pregnant.  At the time the immunizations were given, the pt was 4 weeks and 5 days pregnant.  Patient and MO are aware of the situation.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Activities of daily living impaired, Arthralgia, Asthma, Bronchitis, Bronchospasm
Clinical narrative: Information has been received from a nurse concerning her daughter, a 18 year old female patient with a history of supraventricular tachycardia, who on 08-JUL-2008 was vaccinated with a dose of GARDASIL (lot# 660555/0279X) I.M. into left arm.  Concomitant therapy included MENACTRA.  On 22-JUL-2008, the patient developed numbness and tingling of her left arm and fingers.  She then developed fever, nausea, headache, widespread myalgia and cervical lymphadenopathy.  On 26-JUL-2008, the patient experienced tightness in her chest and shortness of breath.  The patient was examined by the physician on 28-JUL-2008 and was prescribed a "Z-pack" ZITHROMAX.  A mono test and complete blood count were normal.  On 01-AUG-2008, a MEDROL dose pack and PROVENTIL inhaler were added.  The patient began to experience extreme fatigue and bilateral lower extremity muscle weakness.  She was unable to participate in team sports and a soccer competition because of her incapacity.  The patient was examined by an unspecified physician at the college on 22-AUG-2008.  A repeat mono test and complete blood count were normal.  The patient has a follow-up appointment scheduled for 05-SEP-2008.  The patient's numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia, cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness persisted.  Numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia and cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness were considered to be disabling by the nurse.  No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Dyspnoea, Eructation, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Information has been received from a nurse concerning her daughter, a 18 year old female patient with a history of supraventricular tachycardia, who on 08-JUL-2008 was vaccinated with a dose of GARDASIL (lot# 660555/0279X) I.M. into left arm.  Concomitant therapy included MENACTRA.  On 22-JUL-2008, the patient developed numbness and tingling of her left arm and fingers.  She then developed fever, nausea, headache, widespread myalgia and cervical lymphadenopathy.  On 26-JUL-2008, the patient experienced tightness in her chest and shortness of breath.  The patient was examined by the physician on 28-JUL-2008 and was prescribed a "Z-pack" ZITHROMAX.  A mono test and complete blood count were normal.  On 01-AUG-2008, a MEDROL dose pack and PROVENTIL inhaler were added.  The patient began to experience extreme fatigue and bilateral lower extremity muscle weakness.  She was unable to participate in team sports and a soccer competition because of her incapacity.  The patient was examined by an unspecified physician at the college on 22-AUG-2008.  A repeat mono test and complete blood count were normal.  The patient has a follow-up appointment scheduled for 05-SEP-2008.  The patient's numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia, cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness persisted.  Numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia and cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness were considered to be disabling by the nurse.  No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Lymphadenopathy, Mononucleosis heterophile test negative, Muscle fatigue, Nausea, Paraesthesia
Clinical narrative: Information has been received from a nurse concerning her daughter, a 18 year old female patient with a history of supraventricular tachycardia, who on 08-JUL-2008 was vaccinated with a dose of GARDASIL (lot# 660555/0279X) I.M. into left arm.  Concomitant therapy included MENACTRA.  On 22-JUL-2008, the patient developed numbness and tingling of her left arm and fingers.  She then developed fever, nausea, headache, widespread myalgia and cervical lymphadenopathy.  On 26-JUL-2008, the patient experienced tightness in her chest and shortness of breath.  The patient was examined by the physician on 28-JUL-2008 and was prescribed a "Z-pack" ZITHROMAX.  A mono test and complete blood count were normal.  On 01-AUG-2008, a MEDROL dose pack and PROVENTIL inhaler were added.  The patient began to experience extreme fatigue and bilateral lower extremity muscle weakness.  She was unable to participate in team sports and a soccer competition because of her incapacity.  The patient was examined by an unspecified physician at the college on 22-AUG-2008.  A repeat mono test and complete blood count were normal.  The patient has a follow-up appointment scheduled for 05-SEP-2008.  The patient's numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia, cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness persisted.  Numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia and cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness were considered to be disabling by the nurse.  No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Pyrexia, Spirometry
Clinical narrative: Information has been received from a nurse concerning her daughter, a 18 year old female patient with a history of supraventricular tachycardia, who on 08-JUL-2008 was vaccinated with a dose of GARDASIL (lot# 660555/0279X) I.M. into left arm.  Concomitant therapy included MENACTRA.  On 22-JUL-2008, the patient developed numbness and tingling of her left arm and fingers.  She then developed fever, nausea, headache, widespread myalgia and cervical lymphadenopathy.  On 26-JUL-2008, the patient experienced tightness in her chest and shortness of breath.  The patient was examined by the physician on 28-JUL-2008 and was prescribed a "Z-pack" ZITHROMAX.  A mono test and complete blood count were normal.  On 01-AUG-2008, a MEDROL dose pack and PROVENTIL inhaler were added.  The patient began to experience extreme fatigue and bilateral lower extremity muscle weakness.  She was unable to participate in team sports and a soccer competition because of her incapacity.  The patient was examined by an unspecified physician at the college on 22-AUG-2008.  A repeat mono test and complete blood count were normal.  The patient has a follow-up appointment scheduled for 05-SEP-2008.  The patient's numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia, cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness persisted.  Numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia and cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness were considered to be disabling by the nurse.  No further information is available.
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: Information has been received from a nurse concerning her daughter, a 18 year old female patient with a history of supraventricular tachycardia, who on 08-JUL-2008 was vaccinated with a dose of GARDASIL (lot# 660555/0279X) I.M. into left arm.  Concomitant therapy included MENACTRA.  On 22-JUL-2008, the patient developed numbness and tingling of her left arm and fingers.  She then developed fever, nausea, headache, widespread myalgia and cervical lymphadenopathy.  On 26-JUL-2008, the patient experienced tightness in her chest and shortness of breath.  The patient was examined by the physician on 28-JUL-2008 and was prescribed a "Z-pack" ZITHROMAX.  A mono test and complete blood count were normal.  On 01-AUG-2008, a MEDROL dose pack and PROVENTIL inhaler were added.  The patient began to experience extreme fatigue and bilateral lower extremity muscle weakness.  She was unable to participate in team sports and a soccer competition because of her incapacity.  The patient was examined by an unspecified physician at the college on 22-AUG-2008.  A repeat mono test and complete blood count were normal.  The patient has a follow-up appointment scheduled for 05-SEP-2008.  The patient's numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia, cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness persisted.  Numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia and cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness were considered to be disabling by the nurse.  No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Full blood count normal, Headache, Hypoaesthesia, Lymphadenopathy, Muscular weakness
Clinical narrative: Information has been received from a nurse concerning her daughter, a 18 year old female patient with a history of supraventricular tachycardia, who on 08-JUL-2008 was vaccinated with a dose of GARDASIL (lot# 660555/0279X) I.M. into left arm.  Concomitant therapy included MENACTRA.  On 22-JUL-2008, the patient developed numbness and tingling of her left arm and fingers.  She then developed fever, nausea, headache, widespread myalgia and cervical lymphadenopathy.  On 26-JUL-2008, the patient experienced tightness in her chest and shortness of breath.  The patient was examined by the physician on 28-JUL-2008 and was prescribed a "Z-pack" ZITHROMAX.  A mono test and complete blood count were normal.  On 01-AUG-2008, a MEDROL dose pack and PROVENTIL inhaler were added.  The patient began to experience extreme fatigue and bilateral lower extremity muscle weakness.  She was unable to participate in team sports and a soccer competition because of her incapacity.  The patient was examined by an unspecified physician at the college on 22-AUG-2008.  A repeat mono test and complete blood count were normal.  The patient has a follow-up appointment scheduled for 05-SEP-2008.  The patient's numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia, cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness persisted.  Numbness and tingling of her left arm and fingers, tightness in her chest, shortness of breath, fever, nausea, headache, widespread myalgia and cervical lymphadenopathy, extreme fatigue and bilateral lower extremity muscle weakness were considered to be disabling by the nurse.  No further information is available.