chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Vomiting
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Activities of daily living impaired, Asthenia, Blood test, CSF protein increased, CSF white blood cell count increased
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Central venous catheterisation, Cheyne-Stokes respiration, Coma, Computerised tomogram, Discomfort
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Disorientation, Dysstasia, Electroencephalogram abnormal, Encephalitis, Eye swelling
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Gait disturbance, Gastrointestinal tube insertion, Head discomfort, Hypophagia, Intensive care
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Irritability, Laboratory test, Lethargy, Limb discomfort, Lumbar puncture abnormal
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Lymphadenopathy, Meningitis viral, Nuclear magnetic resonance imaging, Pain, Pyrexia
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Speech disorder, Streptococcus test positive, Urinary incontinence, Vomiting, White blood cell count increased
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: X-ray
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Back pain, Meningoencephalitis viral, Pyrexia, Streptococcus test positive, Vomiting
Clinical narrative: Timeline of events: 10-14-15 FLUMIST 4:00 pm. 10-15-15 patient fever 100.5 missed soccer and school. 10-16-15 Didn't take temperature, but didn't seem to have a fever, but had swollen eyes. Thought it was allergies. Gave patient Motrin and Benadryl before bed. 10-17-15 patient lethargic for soccer game. Not eating much over the weekend. 10-19-15 (Monday) patient had swollen eyes. Gave him Zyrtec before school. Patient laid on the couch after school. Temperature of 101.3.  10-20-15 (Tuesday) patient started throwing up in the middle of the night. Fevers and throwing up continued on the Thursday. Had swollen lymph nodes today. 10-22-2015 Thursday. Patient had a fever of 104.9 F. He said, "Cut my head off. It's going to explode." Took patient to Pediatrician. He barely walked in. Strep tested positive. Started amoxicillin right away. 10-23-15 Friday. Amoxicillin didn't work. Fever persisted. Throwing up slowed down. Patient asked me to carry him to the bathroom or he will crawl. I took him to the bathroom, and he couldn't stand. 3:30 pm After I picked up siblings, patient was laying in his pee (blue sweat pants). He said he didn't pee. 3:50 pm took him back for Dr. this time. She said he has to go to the hospital. I had to carry him in. She sat him up and he threw up. (Pressure in the head). Then, he peed when he sat up. 5:15 pm in the PedsER. Patient is appropriate at first, just in pain. "Cut my head off. Cut my leg off." He can't understand to pee in urinal. Over the next 5 hours he gets x-ray, LP, blood work. WBC elevated. LP looks like viral meningitis. Elevated WBC's and elevated protein. Dr. (In charge of the PICU) admitted him. 10-24-15 Another Dr. saw him. Explained everything. Patient was thrashing and more uncomfortable. Noticed that when he had fevers he was more disoriented. Gave him Tyenol and Motrin around the clock and switched this to Toradal. He was still talking, just irritated. 10-25-15 Sunday Calmer, but more comatose state. Neurologist came and saw him. Recommended EEG. After started having Chain Stroke breathing. Ventilator placed outside the room. Dilantin given as a precaution to possible seizures. Occupational and physical therapy started. 10 pm someone said he loved him and patient said, "I love you too, Dad." 10-26-15 EEG done. PICC line placed in Right brachial. NG weighted placed in left nare. Patient a lot more alert today for longer periods. Still doesn't talk much. I brushed his teeth and kissed him. He said, "Could you please just stop." I did it again and laughed with tears of joy, and he said, "Just be quiet." Family came in the evening. Infectious disease Dr. came. He said he believed this was encephalitis from the FLUMIST. I completely agree. EEG came back negative, except for encephalitis features. He just needs time. Occupational and physical therapy. 10-27-15 Only said, "Hi, mom" today. Weaker than yesterday. Speech not as clear as yesterday. Three Dr's. saw him today. Occupational and physical therapy.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Aggression, Agitation, Asthenia, CSF glucose normal, CSF mononuclear cell count increased
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: CSF neutrophil count increased, CSF protein increased, CSF white blood cell count increased, Coma, Computerised tomogram head normal
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Decreased activity, Encephalitis, Hyporesponsive to stimuli, Intensive care, Lethargy
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Lymphadenopathy, Meningitis, Nausea, Nuclear magnetic resonance imaging normal, Pyrexia
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Respiration abnormal, Restlessness, Seizure, Streptococcus test positive, Urinary incontinence
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Vomiting
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Activities of daily living impaired, Asthenia, Blood test, CSF protein increased, CSF white blood cell count increased
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Central venous catheterisation, Cheyne-Stokes respiration, Coma, Computerised tomogram, Discomfort
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Disorientation, Dysstasia, Electroencephalogram abnormal, Encephalitis, Eye swelling
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Gait disturbance, Gastrointestinal tube insertion, Head discomfort, Hypophagia, Intensive care
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Irritability, Laboratory test, Lethargy, Limb discomfort, Lumbar puncture abnormal
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Lymphadenopathy, Meningitis viral, Nuclear magnetic resonance imaging, Pain, Pyrexia
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Speech disorder, Streptococcus test positive, Urinary incontinence, Vomiting, White blood cell count increased
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: X-ray
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 7.0
Sex: M
Vaccine: FLUN4, FLUN4, FLUN4
Symptoms: Back pain, Meningoencephalitis viral, Pyrexia, Streptococcus test positive, Vomiting
Clinical narrative: 8 days after FLUMIST child had 104 fever with vomiting. Checked for strep was positive. Given antibiotics. Came back in the next day 10-23-15 and with worsening vomiting and back pain. Sent to ER diagnosis (meningitis viral) encephalitis.
Age: 25.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster, Rash
Clinical narrative: Painful Rash in a pattern, seen by MD said it is Shingles.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Drug administered at inappropriate site, Electroencephalogram, Mobility decreased, Musculoskeletal pain, Nerve conduction studies
Clinical narrative: Woke up in severe pain in shoulder and could not move arm. Progressively worsened throughout the day. Injection was accidently given in the very top of arm on the bony portion of shoulder joint. SIRVA EVENT.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Nuclear magnetic resonance imaging, Vaccination site injury
Clinical narrative: Woke up in severe pain in shoulder and could not move arm. Progressively worsened throughout the day. Injection was accidently given in the very top of arm on the bony portion of shoulder joint. SIRVA EVENT.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Arthralgia, Fatigue, Night sweats, Pain
Clinical narrative: Joint pain, hair loss, night sweats, fatigue. These are some symptoms I have started to have over the past 6 years since receiving the 3 shots. Have pain everyday, feel like I'm 80 years old and I'm only 32. Don't have money to run to doctor for pains just have been dealing with it hoping it would get better over time.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: No adverse event, Product preparation error
Clinical narrative: The patient was given the diluent only for the Menveo (meniningococcal vaccine).  No adverse affects were noted. The patient was reimmunized on 10/27/2015 with the full dose of vaccine. The error was noted in the chart.
Age: 19.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Localized reaction to right upper arm:  Swollen/Hard/Red area noted, approximately 3.5cm in diameter.  Youth states that site is tender to touch.  MD Orders: Warm compress to the right upper arm area.  If swelling continues to increase use Benadryl.
Age: 63.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Arm became itchy and site developed redness that increased in size over 3 days to include her entire deltoid area. The site was red and raised at leased 10 cm in diameter.
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Muscle fatigue, Pyrexia
Clinical narrative: Muscle fatigue, dizziness, fever.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Conjunctival haemorrhage
Clinical narrative: Subconjunctival hemorrhage in right eye.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Conjunctival haemorrhage
Clinical narrative: Subconjuctival hemorrhage to left eye.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Asthma, Chills, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Admitted to the hospital on 10/11/15 with fever of 104, chills, headache, sore throat, nausea, vomiting, extreme achiness, flare up of asthmatic symptoms. Discharged on 10/13/15.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Productive cough, Pyrexia, Vomiting
Clinical narrative: Admitted to the hospital on 10/11/15 with fever of 104, chills, headache, sore throat, nausea, vomiting, extreme achiness, flare up of asthmatic symptoms. Discharged on 10/13/15.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Conjunctival haemorrhage
Clinical narrative: Subconjuctival hemorrhage right eye.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dizziness, Erythema, Full blood count, Headache
Clinical narrative: Pain and redness associated with swelling and area warm to touch. Patient had headache, fever, chills, nausea, and lightness.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Pain, Pyrexia, Skin warm, Swelling
Clinical narrative: Pain and redness associated with swelling and area warm to touch. Patient had headache, fever, chills, nausea, and lightness.
Age: 65.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Contusion, Injection site bruising, Injection site induration
Clinical narrative: Bruising deltoid at injection site and upper arm and on outer forearm. Hard area around injection site.
Age: 67.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Pyrexia, Tremor
Clinical narrative: Patient developed fever and shakes within 9 hours of receiving vaccine.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Headache, Myalgia, Vomiting
Clinical narrative: Weakness, Muscle aches all over, vomiting, headache and weakness all lasting 2.5 days.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling abnormal, Injected limb mobility decreased, Injection site pain, Injection site reaction, Pain
Clinical narrative: Flu shot injection into left upper arm felt different than previous years; felt an unusual fluid flow. The following morning I experienced the usual soreness but as the day progressed soreness became pain and I also noticed limited motion of my left arm. I increased activity to keep shoulder and arm moving. I used ice packs and a heating pad alternately as well as taking Tylenol hoping for pain relief.  Pain worsen at night and made turning over very difficult.  Hurts worse when used under pressure such as lifting or supporting weight. My left arm hurts when it lifted level to shoulders and when rotated from side to side. Arm is not the normal soreness as experienced with flu shots in the past. The pain does not seem to be going away.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Sleep disorder, Weight bearing difficulty
Clinical narrative: Flu shot injection into left upper arm felt different than previous years; felt an unusual fluid flow. The following morning I experienced the usual soreness but as the day progressed soreness became pain and I also noticed limited motion of my left arm. I increased activity to keep shoulder and arm moving. I used ice packs and a heating pad alternately as well as taking Tylenol hoping for pain relief.  Pain worsen at night and made turning over very difficult.  Hurts worse when used under pressure such as lifting or supporting weight. My left arm hurts when it lifted level to shoulders and when rotated from side to side. Arm is not the normal soreness as experienced with flu shots in the past. The pain does not seem to be going away.
Age: 75.0
Sex: M
Vaccine: PPV, PNC13
Symptoms: Computerised tomogram head normal, Computerised tomogram normal, Faecal incontinence, Loss of consciousness, Pain in extremity
Clinical narrative: PAIN IN ARM OF VACCINATION (LEFT ARM) PROGRESSED TO THE POINT THAT PATIENT LOST CONSCIOUSNESS FROM PAIN AND EVACUATED BOWEL AND BLADDER. WAS TAKEN TO HOSPITAL BY AMBULANCE. HOSPITAL CLEARED PATIENT OF ANY CARDIAC CONDITIONS. CT OF HEAD SHOULDER AND ARM WERE NORMAL.
Age: 75.0
Sex: M
Vaccine: PPV, PNC13
Symptoms: Urinary incontinence
Clinical narrative: PAIN IN ARM OF VACCINATION (LEFT ARM) PROGRESSED TO THE POINT THAT PATIENT LOST CONSCIOUSNESS FROM PAIN AND EVACUATED BOWEL AND BLADDER. WAS TAKEN TO HOSPITAL BY AMBULANCE. HOSPITAL CLEARED PATIENT OF ANY CARDIAC CONDITIONS. CT OF HEAD SHOULDER AND ARM WERE NORMAL.
Age: 75.0
Sex: M
Vaccine: PPV, PNC13
Symptoms: Faecal incontinence, Mobility decreased, Pain in extremity, Prostatic specific antigen increased, Syncope
Clinical narrative: PAIN IN ARM OF VACCINATION (LEFT ARM) PROGRESSED TO THE POINT THAT PATIENT LOST CONSCIOUSNESS FROM PAIN AND EVACUATED BOWEL AND BLADDER. WAS TAKEN TO HOSPITAL BY AMBULANCE. HOSPITAL CLEARED PATIENT OF ANY CARDIAC CONDITIONS. CT OF HEAD SHOULDER AND ARM WERE NORMAL.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: Significant swelling and pain in the area surrounding the injection, limiting ability to raise the arm, persisting for at least 6 days and continuing despite administration of Acetaminophen and application of ice to swelled area.
Age: 49.0
Sex: M
Vaccine: FLU4
Symptoms: Conjunctival haemorrhage
Clinical narrative: Subconjuctival hemorrhage to right eye.
Age: 1.31
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Anaphylactic reaction
Clinical narrative: He went into anaphylaxis. Had to be taken to hospital via ambulance.
Age: 72.0
Sex: M
Vaccine: PNC13
Symptoms: Fatigue, Gastrointestinal pain, Headache
Clinical narrative: PAIN IN THE GASTRO INTESTINAL AREA, HEADACHE, FATIGUE.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Injected limb mobility decreased, Pain, Sleep disorder
Clinical narrative: Limited range of motion in left shoulder after vaccination, which continues to last 8 months after injection.  Could only lift arm 60 degrees, couldn't lift hand behind back, painful sleeping, painful with quick movements. Tried relaxing/resting muscle, simple exercises and aspirin for a couple months. Followed up with physician who suggested PT exercises and Naproxen for 4 weeks to regain full range of motion. I am still doing the exercises and have regained SOME range but not all.  Pain is still there.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Headache, Paraesthesia, Paraesthesia oral
Clinical narrative: Tongue & toes tingled, Weak all over the body, & sharp pain in the head. Took Benadryl at 7:00 and symptoms subsided.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Erythema, Headache, Nausea, Paraesthesia oral
Clinical narrative: C/o widespread itching, redness of face and arms, C/o HA, nausea, abdominal cramping, tingling lips sled medicated with 25 mg BENADRYL. Patient was told to go to E.R. immediately. She contacted a physician that was a friend. She took her to her home and gave her some BENADRYL and observed her overnight.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: C/o widespread itching, redness of face and arms, C/o HA, nausea, abdominal cramping, tingling lips sled medicated with 25 mg BENADRYL. Patient was told to go to E.R. immediately. She contacted a physician that was a friend. She took her to her home and gave her some BENADRYL and observed her overnight.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain, Sleep disorder
Clinical narrative: Shot was given and after 4 hours I could not move my arm up more than 6 inches from my body. Worked and went home iced the areas all night. This has continued every day for the entire months of Oct. Soarness and unable to move daily. Wakes me up nightly.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Pruritus, Urticaria
Clinical narrative: Rec'd flu shot 10/20/15. Next day began with itching and hives. Went to ER for treatment. Had some swelling of lips. No SOB or dyspnea. No known triggers except receiving flu shot. Pt treated with hydroxyzine and MEDROL dose pack. No previous reaction to flu shots. No allergy to eggs. It was pt's first time receiving High Dose Flu shot.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal stiffness
Clinical narrative: Pt. described a sharp pain upon administration of immunization, and stiffness of neck for next week. On Tues 10/20/15 pt reported feeling better and no or v. little stiffness of the neck.