chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Body temperature increased, Chills, Dizziness, Nausea
Clinical narrative: Got GARDASIL #3 vaccine 1-26-10. That night woke up at 0100 with chills/dizziness. Temp 101 @ 0430 with nausea.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Body temperature increased, Chills, Nausea, Pyrexia
Clinical narrative: Got GARDASIL #3 vaccine 1-26-10. That night woke up at 0100 with chills/dizziness. Temp 101 @ 0430 with nausea.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Injection site rash, Injection site urticaria, Injection site warmth
Clinical narrative: Administered Rt. Deltoid 1/27/10. 1/28/10 pt presented with red bumps, heat, pain at injection site as well as back of Rt. arm "hives".
Age: 0.25
Sex: M
Vaccine: PNC
Symptoms: Rash generalised, Rash macular
Clinical narrative: Body rash - extensive macular rash, trunk.
Age: 1.07
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Erythema, Hypersensitivity, Immediate post-injection reaction, Injection site urticaria, Urticaria
Clinical narrative: Patient had immediate sensitivity reaction on left leg/thigh with administration of MMR/Varicella vaccine. Diffuse erythema and urticarial over the thigh. No respiratory Sx's. Appearance seemed to be improving at the time of discharge (5 min) cool compress applied immed. 7 hr. later P.C. w/ FOC no problems reported left thigh clear.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pityriasis rosea, Pruritus, Rash papular, Viral rash
Clinical narrative: Raised papular non-urticarial rash began several hours after H1N1 injection given. + itchiness. Rash still present on follow up 2/3/10. No distress. Dx vaccine reaction is viral exanthem/pityriasis rosea.
Age: 31.0
Sex: M
Vaccine: UNK
Symptoms: Skin ulcer
Clinical narrative: Pt. had additional sores on torso. Pt. states he woke up this morning went to shower and noticed the sores on his torso.
Age: 76.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema
Clinical narrative: Redness below the breast and lateral chest wall thigh proximal elbows and forearms Tx given PREDNISONE 10mg.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: woke up this morning (2-5-10) pain in RT arm. slight swelling, slight redness. advised pt to use warm compresses, TYLENOL/MOTRIN pain. To call me Monday. 2-8-10 10:30 spoke with pt. much better. Resolved.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Gait disturbance
Clinical narrative: Took vaccine 1/20/2010 at 12:00 (noon). Severe lower (lumbar/sacral) back pain started 1/21/2010 at 8:00 AM. Barely able to walk to bathroom and living room. Used cane for stability. Used heating pad. Able to walk better 1/25/2010. Took EXCEDRIN PM at HS. Was able to walk fairly pain free for first time 2/3/2010.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Abdominal X-ray, Intussusception, Ultrasound abdomen
Clinical narrative: ileocolic intussusception - reduced 1/24/2010
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Barium double contrast, Enema administration, Intussusception, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: ileocolic intussusception - reduced 1/24/2010
Age: 1.29
Sex: M
Vaccine: HIBV, MMR
Symptoms: Injection site papule, Pyrexia, Rash, Rash papular
Clinical narrative: Fever low grade x 2 wks after Imm then rash x 4 days following fever - Rash is on face, behind ears, trunk 20 - 5mm papules L thigh
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Chills, Computerised tomogram, Dyspnoea, Headache
Clinical narrative: Nausea, severe headache, chills followed by chest pain, extreme nausea and continued headache, vomiting, shortness of breath. Began 1/12 with chest pains beginning 1/15 going on thru out weekend. Went to Immediate Care who sent me to ER 1/19/10.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea, severe headache, chills followed by chest pain, extreme nausea and continued headache, vomiting, shortness of breath. Began 1/12 with chest pains beginning 1/15 going on thru out weekend. Went to Immediate Care who sent me to ER 1/19/10.
Age: 66.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Polyneuropathy
Clinical narrative: 8 hours after the vaccine was given he developed a polyneuropathy
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Vaccinated 1.19.10 then developed itchy hives on bilateral upper extremities and chest, which resolved with BENADRYL per the patient.
Age: 68.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Otitis media, Tinnitus
Clinical narrative: Approximately 3 days after vaccination, ringing in the ears developed. It has continued, in varying intensity, through the present. MD has treated for otitis media without resolution of symptoms of tinnitus.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Injected limb mobility decreased, Injection site haematoma, Injection site pain, Pain
Clinical narrative: Initially bruising at injection site on day 2 with seasonal flu shot. Discomfort from (L) shoulder through wrist that has increased. Difficulty raising arm above head without discomfort. Feels better by 2/5/10 bruising gone still sore @ site in arms only.
Age: 23.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: Live H1N1 nasal spray was administered to pregnant patient. Dr prescribed TAMIFLU 75mg 1 daily for 10 days as a precaution.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash
Clinical narrative: Rash / itch centering neck and spreading through mid torso.
Age: 35.0
Sex: F
Vaccine: FLU(H1N1), MNQ
Symptoms: Body temperature increased, Fatigue, Myalgia
Clinical narrative: Received Menactra vaccine IM left deltoid and H1N1 Pandemic Flu vaccine IM right deltoid at 3 pm 02/01/2010. Well tolerated on administration. Called 02/02/10 c/o  temp 101.5, sore muscle, fatigue night of vaccination. Advised to come for appt. with M.D. Advised by doctor to call if symptoms worsened, to continue using Tylenol and to rest.
Age: 56.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Myalgia, Nausea
Clinical narrative: 2 hours after receiving vaccination, developed diarrhea which lasted for 48 hours. Minor nausea. No fever. Muscle aches 72 hours after vaccination.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Ataxia, Computerised tomogram normal, Gait disturbance, Muscular weakness
Clinical narrative: Five days after receiving Flu vaccine, pt. experienced bilateral lower extremity weakness, gait disturbance and ataxia.  Per Dr. pt was sent to ER for eval.  Father had stroke after receiving H1N1 vaccine.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1), FLUN3
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever - followed by 1-2 minutes generalized seizure.  Taken to ER 12/7/09.
Age: 12.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Rt arm redness approx golf ball size, itching and slight pain.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, FLU(H1N1), HIBV, PNC, RV5
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Papular, itchy rash within 6 hrs of vaccines.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Convulsion, Injection site erythema, Injection site induration, Injection site warmth, Pain in extremity
Clinical narrative: Morning after DTP administration, pt c/o arm pain, made office visit. On my exam, pt afebrile, no distress, w/ 12cm x 12cm area of warmth/redness/induration.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Erythema, Inflammation, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site swelling, Injection site warmth, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Swelling, Tenderness
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Anion gap normal, Basophil count normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Blood culture negative, Blood glucose normal, Blood magnesium normal, Blood phosphorus normal, Blood potassium normal
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Blood sodium normal, Blood urea normal, Carbon dioxide normal, Cellulitis, Eosinophil count normal
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Erythema, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased, Inflammation
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Lymphocyte count normal, Lymphocyte morphology abnormal, Mean cell volume normal, Mean platelet volume decreased, Monocyte count normal
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Neutrophil count increased, No reaction on previous exposure to drug, Platelet count normal, Poor quality sleep, Red blood cell count decreased
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Red cell distribution width normal, Skin warm, Swelling, Tenderness, White blood cell count increased
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 78.0
Sex: M
Vaccine: PPV, PPV
Symptoms: White blood cell count normal
Clinical narrative: Severe tenderness/pain, swelling, redness, heat and inflammation around and below injection site. Area of inflammation 6+ inches in length, 3-4" in width.
Age: 79.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Pain in arm - swelling - redness traveled around and below shot to elbow. Pain lasted more than 24 hr. Dr. prescribed Clindamycin 300 mg 4 times a day 5 or 7 days redness & pain was gone - about 3 days after prescription.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Activities of daily living impaired, Asthenia, Dizziness, Pain
Clinical narrative: Extreme achiness, dizzy, weak. Missed 2 days of work. Recommended he see his physician.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Syncope - Pharmacist supported patient as she went to the floor and rised her legs. Patient soon regained consciousness and it was confirmed that there was no difficulty breathing. The pharmacy proceeded to call 911 as a precaution.
Age: 48.0
Sex: M
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: As of 2-4-10 no adverse symptoms.
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Activities of daily living impaired, Arthralgia, Gait disturbance, Insomnia
Clinical narrative: Severe joint pains in hips, shoulders, wrists, ankles lasted 2 weeks -> missed work, couldn't walk/sleep so severe.
Age: 1.58
Sex: F
Vaccine: DTAP, FLU(H1N1), FLU3
Symptoms: Rash erythematous
Clinical narrative: Small red bumps on stomach, back and bottom. PRELONE 4 ml PO, BENADRYL 5 ml PO in office-afternoon.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood glucose increased, Dizziness, Dyspnoea
Clinical narrative: Roughly 5 minutes after I administered the vaccine she complained of dizziness. I had her sit back on the chair and gave her H2O. Shortly after she said she was having a hard time breathing. I then called 911. They ruled out any anaphylaxis and said it was an anxiety attack. She was fine 30 min later.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Lymphadenopathy, Pain, Somnolence
Clinical narrative: Within hours felt sleepy and whole body hurt, needed to sleep it off. Missed one day of work. Felt feverish and glands in armpits were swollen for two days.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration, Incorrect dose administered, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: H1N1 1st dose given @local pharmacy (nasal mist) Oct 2009. H1N1 2nd dose given @ local pharm (nasal mist) Nov 2009. Father unaware above doses obtained at a sick visit - 3rd dose H1N1 injection given to thigh on 2-1-2010. Leg red, hot, painful and swollen seen @ ER.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1)
Symptoms: Injection site warmth
Clinical narrative: H1N1 1st dose given @local pharmacy (nasal mist) Oct 2009. H1N1 2nd dose given @ local pharm (nasal mist) Nov 2009. Father unaware above doses obtained at a sick visit - 3rd dose H1N1 injection given to thigh on 2-1-2010. Leg red, hot, painful and swollen seen @ ER.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Blood chloride normal, Blood creatinine normal, Blood culture negative, Blood glucose normal, Blood potassium normal
Clinical narrative: 104 degrees, acrocyanosis, peri-oral cyanosis, prolonged capillary refill, one episode of loose stool. Normal UA, Renal panel/glucose and CBC. Blood and urine culture negative. Treatment: 20 ml/kg IV NS bolus, IV Ceftriaxone. Pt returned to normal in 24 hrs.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Blood sodium normal, Blood urea normal, Body temperature increased, Capillary nail refill test abnormal, Carbon dioxide decreased
Clinical narrative: 104 degrees, acrocyanosis, peri-oral cyanosis, prolonged capillary refill, one episode of loose stool. Normal UA, Renal panel/glucose and CBC. Blood and urine culture negative. Treatment: 20 ml/kg IV NS bolus, IV Ceftriaxone. Pt returned to normal in 24 hrs.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Chest X-ray normal, Culture urine negative, Cyanosis, Diarrhoea, Haematocrit normal
Clinical narrative: 104 degrees, acrocyanosis, peri-oral cyanosis, prolonged capillary refill, one episode of loose stool. Normal UA, Renal panel/glucose and CBC. Blood and urine culture negative. Treatment: 20 ml/kg IV NS bolus, IV Ceftriaxone. Pt returned to normal in 24 hrs.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Haemoglobin normal, Platelet count normal, Urine analysis normal, White blood cell count normal
Clinical narrative: 104 degrees, acrocyanosis, peri-oral cyanosis, prolonged capillary refill, one episode of loose stool. Normal UA, Renal panel/glucose and CBC. Blood and urine culture negative. Treatment: 20 ml/kg IV NS bolus, IV Ceftriaxone. Pt returned to normal in 24 hrs.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1), HIBV
Symptoms: Body temperature increased, Cough, Decreased appetite, Sneezing, Upper respiratory tract congestion
Clinical narrative: 104 degree temp/cough/sneezing/congestion decreased appetite x 2days for all symptoms. Tylenol/Motrin increase fluids.
Age: 73.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Alopecia, Burning sensation, Dyspnoea, Headache, Heart rate increased
Clinical narrative: Headaches - starting 10 minutes after vaccine.  Increased heart rate.  Difficulty breathing.  Glands swelled.  Scalp burning - hair falling out.
Age: 73.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Lymphadenopathy, Thyroid function test normal
Clinical narrative: Headaches - starting 10 minutes after vaccine.  Increased heart rate.  Difficulty breathing.  Glands swelled.  Scalp burning - hair falling out.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Nasopharyngitis, Rash erythematous, Scab
Clinical narrative: 2/3/10 red spots appeared on back and diaper area 10 spots 3-5 lesions, erythematous base with vesicles and 1 with scabbing. Cold symptoms x2 weeks. No fever. Supportive care given.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1), FLU3, HEPA, HPV4
Symptoms: Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Patient pregnant.
Age: 64.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity
Clinical narrative: Pain in arm since receiving shot on 2/10/2010.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, FLUX(H1N1), HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Hepatitis A given IM on 1/19/2010 patient stated been rubbing and itching arm since she got the shot. Reddened, warm & firm area on R upper arm measuring 80 cm x 70 cm.
Age: 45.0
Sex: M
Vaccine: HEPAB, PPV, TTOX
Symptoms: Blister, Burning sensation, Herpes zoster, Hyperaesthesia, Hypersensitivity
Clinical narrative: Hyperstesia in my left before arm, followed 24 hours later by blisters and rash, very painful. I was told by my Dr. that I had Herpes Zoster. I recieved treatment for my pain w.th pain killers. Soreness, induration and severe pain during the 3-5 days. Two weeks later, I started feeling tingling and burning in my left arm, followed by itching rash and small blisters. In addition I had hypersensibility in my left wrist.
Age: 45.0
Sex: M
Vaccine: HEPAB, PPV, TTOX
Symptoms: Induration, Pain, Pain in extremity, Paraesthesia, Rash pruritic
Clinical narrative: Hyperstesia in my left before arm, followed 24 hours later by blisters and rash, very painful. I was told by my Dr. that I had Herpes Zoster. I recieved treatment for my pain w.th pain killers. Soreness, induration and severe pain during the 3-5 days. Two weeks later, I started feeling tingling and burning in my left arm, followed by itching rash and small blisters. In addition I had hypersensibility in my left wrist.
Age: 24.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received 1 dose of H1N1 LAIV on 10/22/2009 and a second dose of H1N1 LAIV on 12/14/2009
Age: 11.0
Sex: M
Vaccine: FLU(H1N1), MNQ, TDAP
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: 99.4 fever erythematous rash on left arm and face. Tx given Benadryl 25mg TID.
Age: 49.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: About 10-15 minutes after the shot my left hand began to feel like it was falling asleep. As of today it still tingles (2/4/10).
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus
Clinical narrative: After administration of H1N1 vaccine. Patient complained of itching at site of injection - called her physicians after - they said for her to take BENADRYL, put cold compresses on. Patient took advice and left.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Convulsion, Gaze palsy, Loss of consciousness, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a medical assistant concerning a 17 year old female with PENICILLIN allergy, who tends to pass out with needles and whose father had epilepsy (had a brain injury 20-25 years ago de to an accident) who on 03-FEB-2010 was vaccinated intramuscularly with third 0.5mL dose of GARDASIL (lot number 0670Y). There was no concomitant medication. The medical assistant reported that one and a half minutes later, the patient said she was going to pass out and then the patient passed out. The patient's eyes rolled back, she shook which lasted 15 seconds. The mother's words were "she's having a seizure" and she was holding down the patient. The patient was watched at the office for 30 minutes after this occurrence and she was fine. It was noted that the patient received the first and second doses of GARDADIL at another provider's office. The second dose of GARDASIL (dose, route and lot number not reported) was given on year ago (in February 2009). The patient did not report any problems with the first and second doses of GARDASIL. It was noted that the patient's mother was going to have her daughter follow up with a neurologist. No lab studies were performed. The patient sought unspecified medical attention. On 03-FEB-2010 the patient recovered. Follow up information was received from the office receptionist. It was reported that the patient received did not received other vaccinations at the time of the third GARDASIL vaccine on 03-FEB-2010. Upon internal review, she's having a seizure was determined to be an other important medical event. No further information is available.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Tremor
Clinical narrative: Information has been received from a medical assistant concerning a 17 year old female with PENICILLIN allergy, who tends to pass out with needles and whose father had epilepsy (had a brain injury 20-25 years ago de to an accident) who on 03-FEB-2010 was vaccinated intramuscularly with third 0.5mL dose of GARDASIL (lot number 0670Y). There was no concomitant medication. The medical assistant reported that one and a half minutes later, the patient said she was going to pass out and then the patient passed out. The patient's eyes rolled back, she shook which lasted 15 seconds. The mother's words were "she's having a seizure" and she was holding down the patient. The patient was watched at the office for 30 minutes after this occurrence and she was fine. It was noted that the patient received the first and second doses of GARDADIL at another provider's office. The second dose of GARDASIL (dose, route and lot number not reported) was given on year ago (in February 2009). The patient did not report any problems with the first and second doses of GARDASIL. It was noted that the patient's mother was going to have her daughter follow up with a neurologist. No lab studies were performed. The patient sought unspecified medical attention. On 03-FEB-2010 the patient recovered. Follow up information was received from the office receptionist. It was reported that the patient received did not received other vaccinations at the time of the third GARDASIL vaccine on 03-FEB-2010. Upon internal review, she's having a seizure was determined to be an other important medical event. No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a registered nurse concerning a 14 year old female who on an unspecified date was vaccinated with second dose of GARDASIL (dose, route and lot number not reported). The registered nurse stated that after her second dose of GARDASIL, on 02-FEB-2010, she fainted and had seizure like movements. the patient sought unspecified medical attention. Upon internal review, seizure like movements was determined to be an other important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: Patient was given ZOSTAVAX instead of VARIVAX.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: Patient was given ZOSTAVAX instead of VARIVAX.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling of L arm. Ice the area. MOTRIN 100/5 5mL PO 9d 6 hrs PRN
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Fainted following vaccine administration.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm redness, swelling with pain (cellulitis).
Age: 1.02
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash erythematous, Rash generalised, Rhinorrhoea, Swelling face
Clinical narrative: 24 hours after vaccinations developed a red rash over entire body. Runny nose and "swollen" face. Resolved in 24 hours with BENADRYL.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Raised, reddened are at site of injection  (L) deltoid. Reddened are about 25 cm with tenderness. A febrile, denied nausea/vomitting body aches.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Lft arm red, swollen, warm and itching. Treated with BENADRYL, cool compresses.
Age: 14.0
Sex: M
Vaccine: MEN
Symptoms: Erythema, Pain in extremity
Clinical narrative: (L) arm pain. Redness on elbow bilateral. Tx below 12 pres. antibiotic and hydro cort.
Age: 70.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Guillain-Barre syndrome, Lumbar puncture abnormal, Sensory loss
Clinical narrative: Patient complained on loss of sensation in lower extremities bilaterally.  Symptoms progressed.  Treated with po steroids for spinal stenosis, with no effect.  Hospitalized 02/11/2010.  Lumbar puncture consistent with Guillain-Barre Syndrome.
Age: 65.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Activities of daily living impaired, CSF protein increased, Coordination abnormal, Demyelination, Diabetic neuropathy
Clinical narrative: Admitted 1/11/10 with poor coordination and general parethesias starting 3 days prior. On 1/13 he developed respiratory failure requiring intubation. Based on a working diagnosis of post-vaccine GBS, he was started on plasmapheresis on 1/20 and then transferred to another facility on 1/21 for further treatment. He was transferred back to our acute inpatient rehab facility on 2/2 secondary to residual paraplegia from the GBS. At time of admission he was min assist with eating and max to dependent for mobility and ADLs. Follow-up: I saw this patient one time in the hospital while covering for my partner. He was subsequently transferred. I thought that he had GBS secondary to vaccination for flu and/or H1N1. We do not have any records here in our office.
Age: 65.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Electromyogram abnormal, Endotracheal intubation, Guillain-Barre syndrome, Mobility decreased, Nerve conduction studies abnormal
Clinical narrative: Admitted 1/11/10 with poor coordination and general parethesias starting 3 days prior. On 1/13 he developed respiratory failure requiring intubation. Based on a working diagnosis of post-vaccine GBS, he was started on plasmapheresis on 1/20 and then transferred to another facility on 1/21 for further treatment. He was transferred back to our acute inpatient rehab facility on 2/2 secondary to residual paraplegia from the GBS. At time of admission he was min assist with eating and max to dependent for mobility and ADLs. Follow-up: I saw this patient one time in the hospital while covering for my partner. He was subsequently transferred. I thought that he had GBS secondary to vaccination for flu and/or H1N1. We do not have any records here in our office.
Age: 65.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Paraplegia, Plasmapheresis, Respiratory failure
Clinical narrative: Admitted 1/11/10 with poor coordination and general parethesias starting 3 days prior. On 1/13 he developed respiratory failure requiring intubation. Based on a working diagnosis of post-vaccine GBS, he was started on plasmapheresis on 1/20 and then transferred to another facility on 1/21 for further treatment. He was transferred back to our acute inpatient rehab facility on 2/2 secondary to residual paraplegia from the GBS. At time of admission he was min assist with eating and max to dependent for mobility and ADLs. Follow-up: I saw this patient one time in the hospital while covering for my partner. He was subsequently transferred. I thought that he had GBS secondary to vaccination for flu and/or H1N1. We do not have any records here in our office.
Age: 68.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cardiac enzymes normal, Cardiac stress test normal, Electrocardiogram normal, Heart rate increased, Pain in jaw
Clinical narrative: Heart started to beat really hard and fast.  Pulse was so fast, it was very hard to count.  About 130.  Slowed to 120.  Several minutes later Had pain in the jaw area.  Heart rate slowed then speeded up.  Cycle repeated several times.  Went to emergency room where I was admitted over night for observation.  Did a stress test and all was negative.  Sent home the next day, 2/14/10.
Age: 68.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Palpitations
Clinical narrative: Heart started to beat really hard and fast.  Pulse was so fast, it was very hard to count.  About 130.  Slowed to 120.  Several minutes later Had pain in the jaw area.  Heart rate slowed then speeded up.  Cycle repeated several times.  Went to emergency room where I was admitted over night for observation.  Did a stress test and all was negative.  Sent home the next day, 2/14/10.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Blood test, Erythema, Oedema peripheral, Pain in extremity, Ultrasound scan normal
Clinical narrative: Left arm receiving shot aching & painful & began swelling. 2/14/10 7:00AM swelling spreading & redness notice.  Went to Hospital Emergency facility.  Put on IV for fluids and antibiotics plus oral prescription for antibiotics. 2/15 7:30 AM back to Emergency facility for another IV, redness & swelling spreading. 2/16 scheduled for another IV
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site pain, Musculoskeletal stiffness
Clinical narrative: Pain at the site of injection along with annoying/stiffness with abduction of the left arm.
Age: 1.05
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash generalised
Clinical narrative: Received MMR +  Varicella, PREVNAR on 1-26-10. Developed a rash over entire body on 1-29-10. Also completed Amoxicillin for BOM on 1-28-10. Inst. per PNP-C to take CHILDREN'S BENADRYL 1/2 teasp Q6 hours x 24 hours . Has no resp problems & no other sx. Eating well. Mom inst to take to ER for resp. problems. Will re-check in clinic 2/1/10. 03/11/2010- 2/8/10 100p, noshow for rechecked on 2/1/10 2 to rash developing on 01/29/10 after 01/26/10 vaccines. t/c to home # , mom states did not bring child on 2/1 because she gave Benedryl 1/2 t. x1 dose on 1/29/10 - rash resolved. No further problems. No other sx.
Age: 32.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Lip swelling
Clinical narrative: (R) deltoid swelling, redness and pain -fever up to 103 degrees - muscle/joint pain - hives - swollen lip.
Age: 32.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Pyrexia, Urticaria
Clinical narrative: (R) deltoid swelling, redness and pain -fever up to 103 degrees - muscle/joint pain - hives - swollen lip.
Age: 86.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PNEUMOVAX arm 1/18/10, arm became red swollen and tender that evening.  Soreness at inj site persisted 9 days.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Limb discomfort, Pain in extremity
Clinical narrative: Soreness upper left arm.  Sharp pain when turning arm.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dysphagia, Pruritus, Rash
Clinical narrative: Rash & itching to bilat. arms and face with sensation of hard to swallow within 30 min. of injections of TDAP, HPV, MCV-4, HEP A, & VARICELLA.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Rash macular, Wrong drug administered
Clinical narrative: Pt came to clinic on 28 Jan 10 for a tetanus shot but received a flu shot. Pt states the next day she started getting red blotches around the injection site. Used BENADRYL and blotches subsided within 24 hrs.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Pyrexia, Vomiting
Clinical narrative: vomiting, fever of 102, slight soreness and redness at the injection site
Age: 0.22
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Crying, Irritability
Clinical narrative: Excessive irritability with unconsolable crying for 4 hours, acetaminophen was recommended
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: 3 inch by 4 in red inflamed tender right deltoid, no fever. Apply cool compresses, take Motrin for pain and Benadryl for redness and inflammation.
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Wrong drug administered
Clinical narrative: Child was supposed to receive HPV # 2 but was given Hep A #2.  #1 was Administered 12/11/2009
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Pyrexia, Rhinorrhoea
Clinical narrative: 11/19/09 fever, coughing, a little runny nose. Pt w/ w/o asthma - Albuterol PRN.
Age: 0.56
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Full blood count normal, Pyrexia
Clinical narrative: Fever 103 - 104 degrees.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient complained of hot, red, swollen area around vaccination (inj.) site.  About 4" X 5" in size.  This occurred approx. 24-36 hours after vaccination.  Patient had difficulty raising arm past chest height about 36 hours after vaccination.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Asthma, Cough, Wheezing
Clinical narrative: 10/8/09 Coughing, wheezing- Asthma exacerbation - Albuterol Nu 94 L/c.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Inflammation, Skin warm, Swelling
Clinical narrative: PT'S WIFE IS A NURSE. DESCRIBED SYMPTOMS AS THOSE OF A CELLULITIS. RED, SWOLLEN, WARM TO TOUCH, INFLAMMED. PT WAS CALLING DOCTOR AND/OR GOING TO URGENT CARE FACILITY.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Induration
Clinical narrative: 12 x 12 cm erythema with slight warmth and mild induration
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram, Depression, Disturbance in attention
Clinical narrative: Since receiving 1st dose of Gardasil, I started noticing a decline in my child's mental health.  She has become depressed and has extreme difficulty concentrating.  Shortly after receiving her 3rd dose of the vaccine, she started having stomach pains.  These have continued to this date.  We have had an ultrasound, CT scan, blood and urine work done, still no answers.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Urine analysis
Clinical narrative: Since receiving 1st dose of Gardasil, I started noticing a decline in my child's mental health.  She has become depressed and has extreme difficulty concentrating.  Shortly after receiving her 3rd dose of the vaccine, she started having stomach pains.  These have continued to this date.  We have had an ultrasound, CT scan, blood and urine work done, still no answers.
Age: 46.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Coagulopathy, Haemorrhage, Immunodeficiency
Clinical narrative: Multiple system organ involvement immunocompromised; hospitalized with clotting and bleeding problems within 2 months. patient concurred this was a vaccine reaction.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Mammogram, Swelling
Clinical narrative: Swelling to right axillary region.
Age: 46.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Skin warm, Urticaria
Clinical narrative: 02/10/10 700pm pt starting itching, developed intermittent, migratory hives, lasting 15 - 20 minutes. Pt has used BENADRYL and CALADRYL lotion with little short term relief. Pt has L/m with liver HCP requiring evaluation and treatment.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: classic dermatomal zoster rash, which started 2 days after receipt of the vaccine
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Electroencephalogram normal, Headache, Nuclear magnetic resonance imaging brain normal, Tremor
Clinical narrative: GARDASIL #3 on 2/10/10. R arm tremors, headache, dizziness began 2/11/10.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Noticed pt was vaccinated with a full dose of the H1N1 instead of a pediatric dose. No adverse events symptoms, signs or treatment have been found or given. No notification on any symptoms from parents.  Follow-up - No adverse events or reactions found or noted.
Age: 1.22
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Culture negative, Feeling hot, Oedema peripheral
Clinical narrative: knot on leg, warm to touch
Age: 2.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Diarrhoea, Vomiting
Clinical narrative: I contacted her grandmother on 02/11/2010 to schedule her second vaccination.  At that time she stated that she took her to the ED after she had vomiting and diarrhea for one week after the intranasal spray.  She stated the ED told her she had a reaction to the H1N1 spray.
Age: 5.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Ear pain, Pyrexia, Vomiting
Clinical narrative: fever, earache, cough, vomiting
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Immediate post-injection reaction, Neck pain, Pain in extremity, Pain in jaw
Clinical narrative: Immediately after injection the arm was sore and patient felt a sharp pain going up the right side of her neck (same side as vaccine).  Shortly after the neck pain the patient felt pain and weakness in her left jaw which increased over the day.  The pain diminished at night and returned each day increasing over the course of the day.  Over the past week the pain has been diminishing until the jaw is mildly sore to touch; patient denies any other symptoms.
Age: 55.0
Sex: M
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Insomnia, Pain in extremity
Clinical narrative: Left upper arm sore.  Kept getting worse. Was told it should get better within four weeks.  Lost full movement in arm.  Can only lift approx. 20 degrees up from side, only parallel to ground in front and can't reach behind my back.  Hurts at night when sleeping.  Losing sleep because of it.  Started physical therapy 1/21/2010.  Seeing very limited improvement.
Age: 1.02
Sex: M
Vaccine: FLUX, FLUX(H1N1), PPV, VARCEL
Symptoms: Injection site infection, Staphylococcal infection, Varicella
Clinical narrative: Three chicken pox around injection site that became infected with staph. Was treated with oral antibiotics and topical antibiotics responded to treatment well.
Age: 1.0
Sex: M
Vaccine: MMR, PPV, VARCEL
Symptoms: Pyrexia
Clinical narrative: Very high fever over 102 up to 103.6 for 3 and a half days.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), UNK
Symptoms: Paraesthesia
Clinical narrative: Initial information received on 18 February 2010 from a health care professional.  A 43 year old patient developed numbness and tingling in her arms, legs, and occasionally her face one hour after she received PANDEMIC INFLUENZA VACCINE (manufacturer unknown) on 27 January 2010.  The numbness and tingling comes and goes.  The patient required a doctor's visit; date not provided.  The patient had not recovered by the time of the report.  List of Documents held by Sender: none.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), UNK
Symptoms: Acoustic stimulation tests, Blood test, Chills, Electromyogram, Hypoaesthesia
Clinical narrative: Initial information received on 18 February 2010 from a health care professional.  A 43 year old patient developed numbness and tingling in her arms, legs, and occasionally her face one hour after she received PANDEMIC INFLUENZA VACCINE (manufacturer unknown) on 27 January 2010.  The numbness and tingling comes and goes.  The patient required a doctor's visit; date not provided.  The patient had not recovered by the time of the report.  List of Documents held by Sender: none.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), UNK
Symptoms: Hypoaesthesia facial, Neck pain, Nerve conduction studies, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain
Clinical narrative: Initial information received on 18 February 2010 from a health care professional.  A 43 year old patient developed numbness and tingling in her arms, legs, and occasionally her face one hour after she received PANDEMIC INFLUENZA VACCINE (manufacturer unknown) on 27 January 2010.  The numbness and tingling comes and goes.  The patient required a doctor's visit; date not provided.  The patient had not recovered by the time of the report.  List of Documents held by Sender: none.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), UNK
Symptoms: Paraesthesia, Tinnitus
Clinical narrative: Initial information received on 18 February 2010 from a health care professional.  A 43 year old patient developed numbness and tingling in her arms, legs, and occasionally her face one hour after she received PANDEMIC INFLUENZA VACCINE (manufacturer unknown) on 27 January 2010.  The numbness and tingling comes and goes.  The patient required a doctor's visit; date not provided.  The patient had not recovered by the time of the report.  List of Documents held by Sender: none.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), UNK
Symptoms: Blood test, Chills, Diarrhoea, Dizziness, Facial pain
Clinical narrative: Initial information received on 18 February 2010 from a health care professional.  A 43 year old patient developed numbness and tingling in her arms, legs, and occasionally her face one hour after she received PANDEMIC INFLUENZA VACCINE (manufacturer unknown) on 27 January 2010.  The numbness and tingling comes and goes.  The patient required a doctor's visit; date not provided.  The patient had not recovered by the time of the report.  List of Documents held by Sender: none.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), UNK
Symptoms: Hypoaesthesia, Hypoaesthesia facial, Nausea, Neck pain, Nerve conduction studies
Clinical narrative: Initial information received on 18 February 2010 from a health care professional.  A 43 year old patient developed numbness and tingling in her arms, legs, and occasionally her face one hour after she received PANDEMIC INFLUENZA VACCINE (manufacturer unknown) on 27 January 2010.  The numbness and tingling comes and goes.  The patient required a doctor's visit; date not provided.  The patient had not recovered by the time of the report.  List of Documents held by Sender: none.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), UNK
Symptoms: Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Paraesthesia, Tinnitus
Clinical narrative: Initial information received on 18 February 2010 from a health care professional.  A 43 year old patient developed numbness and tingling in her arms, legs, and occasionally her face one hour after she received PANDEMIC INFLUENZA VACCINE (manufacturer unknown) on 27 January 2010.  The numbness and tingling comes and goes.  The patient required a doctor's visit; date not provided.  The patient had not recovered by the time of the report.  List of Documents held by Sender: none.
Age: 31.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Muscle spasms, Muscle twitching
Clinical narrative: SM received a seasonal influenza vaccine in his R) arm on the morning of 10/30/09. By the evening of 10/31/09, he noted significant twitching, mostly in legs. He later noted muscle twitching in both legs, which occurred several times over the next several days. Between November and present, SM has noted muscle twitching in mid-to-late August 2004. This was after returning from a foreign country. Twitching was primarily noted in the lower extremities (60% of time affected calves, 40% of time affected thighs), buttocks and back, but also noted in face (upper lip, along jaw line, and eyelids) and deltoids and shoulders (primarily left upper arm until after recent flu vaccine; after his recent flu vaccine, SM began to note twitching in his right arm). With muscle twitching in left shoulder, when his arm was in a raised position, he noted uncontrollable spasms. The spasms continued as long as his arm stayed in that position and then lasted for a brief period after lowering his arm, for up to 5-6 more spasms. From December 2009 to present, he developed positional twitching in right shoulder similar to twitching previously experienced in left shoulder, but not as intense. After the end of 2004, he noted the twitching significantly improved ("about 98% improved"). Between early 2005 and Oct 2009, the twitching occurred randomly with frequency about once every 2 months, mostly in legs or arms. He would note 2-3 episodes of twitching over a period of 1/2 to 1 day and would then stop. He has not had related muscle weakness. He had no related bowel or bladder problems. Around the same time as the initial onset of muscle twitching (July or August 2004), SM first noted altered sensation on his feet, and later on his perineal area, and then on his hands and face. This was almost constant until June 2005. This is described as "bug landing on skin". It occurs randomly and sporadically on the hands and feet now, but still occurs daily on the perineal area. The altered sensation might be noted several times during the course of the day "from time to time", with sensation most often noted in perineal/groin area and on feet, but can be noted on all parts of his body (e.g., face, scalp, hands, back).
Age: 31.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Alpha 1 globulin normal, Alpha 2 globulin normal, Beta globulin decreased, Blood albumin increased, Blood folate normal
Clinical narrative: SM received a seasonal influenza vaccine in his R) arm on the morning of 10/30/09. By the evening of 10/31/09, he noted significant twitching, mostly in legs. He later noted muscle twitching in both legs, which occurred several times over the next several days. Between November and present, SM has noted muscle twitching in mid-to-late August 2004. This was after returning from a foreign country. Twitching was primarily noted in the lower extremities (60% of time affected calves, 40% of time affected thighs), buttocks and back, but also noted in face (upper lip, along jaw line, and eyelids) and deltoids and shoulders (primarily left upper arm until after recent flu vaccine; after his recent flu vaccine, SM began to note twitching in his right arm). With muscle twitching in left shoulder, when his arm was in a raised position, he noted uncontrollable spasms. The spasms continued as long as his arm stayed in that position and then lasted for a brief period after lowering his arm, for up to 5-6 more spasms. From December 2009 to present, he developed positional twitching in right shoulder similar to twitching previously experienced in left shoulder, but not as intense. After the end of 2004, he noted the twitching significantly improved ("about 98% improved"). Between early 2005 and Oct 2009, the twitching occurred randomly with frequency about once every 2 months, mostly in legs or arms. He would note 2-3 episodes of twitching over a period of 1/2 to 1 day and would then stop. He has not had related muscle weakness. He had no related bowel or bladder problems. Around the same time as the initial onset of muscle twitching (July or August 2004), SM first noted altered sensation on his feet, and later on his perineal area, and then on his hands and face. This was almost constant until June 2005. This is described as "bug landing on skin". It occurs randomly and sporadically on the hands and feet now, but still occurs daily on the perineal area. The altered sensation might be noted several times during the course of the day "from time to time", with sensation most often noted in perineal/groin area and on feet, but can be noted on all parts of his body (e.g., face, scalp, hands, back).