chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a physician, for the Pregnancy Registry for GARDASIL, concerning a 17 year old female who was vaccinated with GARDASIL.  It was reported that the patient was pregnant when she was given GARDASIL.  The patient had a miscarriage 1 week after the third dose of GARDASIL was given (date unspecified).  It was unspecified if the patient sought medical attention or not.  Upon internal review miscarriage was considered to be other important medical event.  This is one of several reports received from the same source.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Muscle spasms, Trismus
Clinical narrative: Information has been received from a physician concerning a 19 year old female who on 20-AUG-2008 was vaccinated with the first dose of GARDASIL 0.5 ml IM (lot # 659184/0843X).  The patient was given a TB test at the same visit that she received the vaccine.  On 20-AUG-2008 the patient experienced lockjaw, lightheadedness and cramping of her right leg within twenty minutes after vaccination.  The patient was seen at the emergency room where she was given intravenous VALIUM and intramuscular TORADOL.  The patient recovered from lockjaw, lightheadedness and cramping of her right leg on 20-AUG-2008.  Upon internal review, the patient's events were determined to be other important medical event (IV and IM treatment required).  Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Electroencephalogram, Gait disturbance, Guillain-Barre syndrome, Headache, Hypokinesia
Clinical narrative: 081108 Intolerable head/muscle pain, muscle weakness "all over" arms, legs difficulty walking, nausea, change in responsive 911, ambulance to ER CT Scan, bloodwork, West Nile 0 mother states all OK, home w/ diagnosis possible viral infection. 082108 Dr. visit weakness; HA (7), not feeling well continued. Sent to Dr. (neurologist) ER for MRI/Spinal Tap - GBS diagnosis. 8/26/08 Improving @ this time  10/03/08 Reviewed hospital medical records of 8/21-8/24/2008 FINAL DX: Guillain Barre syndrome Records reveal patient experienced HA, progressive numbness & weakness distal to proximal.  Tx w/IVIG.  HA & paresthesias resolved except for feet.  Strength improved & was to receive final IVIG as outpatient.  D/C to home to complete antibiotics for sinusitis.  9/3/08-ER records received for DOS 8/11/08-presented to ED with C/O servere headache which began 10 days ago. Today noticed numbness in toes which progressed up to past ankles and then into hands. Noticed feet were weak. Abnormal sensation just above umbilicus.  2/20/09-records received-for DOS 8/11/08-presented with C/O numbness in toes porgressed up past ankles and into hands, feet weak sensation absent. Headache.  CDC's CISA staff has reviewed VAERS 323863 and classified it as Not GBS (presentation is more of a partial transverse myelitis).
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Lumbar puncture, Malaise, Muscular weakness, Myalgia, Nausea
Clinical narrative: 081108 Intolerable head/muscle pain, muscle weakness "all over" arms, legs difficulty walking, nausea, change in responsive 911, ambulance to ER CT Scan, bloodwork, West Nile 0 mother states all OK, home w/ diagnosis possible viral infection. 082108 Dr. visit weakness; HA (7), not feeling well continued. Sent to Dr. (neurologist) ER for MRI/Spinal Tap - GBS diagnosis. 8/26/08 Improving @ this time  10/03/08 Reviewed hospital medical records of 8/21-8/24/2008 FINAL DX: Guillain Barre syndrome Records reveal patient experienced HA, progressive numbness & weakness distal to proximal.  Tx w/IVIG.  HA & paresthesias resolved except for feet.  Strength improved & was to receive final IVIG as outpatient.  D/C to home to complete antibiotics for sinusitis.  9/3/08-ER records received for DOS 8/11/08-presented to ED with C/O servere headache which began 10 days ago. Today noticed numbness in toes which progressed up to past ankles and then into hands. Noticed feet were weak. Abnormal sensation just above umbilicus.  2/20/09-records received-for DOS 8/11/08-presented with C/O numbness in toes porgressed up past ankles and into hands, feet weak sensation absent. Headache.  CDC's CISA staff has reviewed VAERS 323863 and classified it as Not GBS (presentation is more of a partial transverse myelitis).
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Virus serology test negative
Clinical narrative: 081108 Intolerable head/muscle pain, muscle weakness "all over" arms, legs difficulty walking, nausea, change in responsive 911, ambulance to ER CT Scan, bloodwork, West Nile 0 mother states all OK, home w/ diagnosis possible viral infection. 082108 Dr. visit weakness; HA (7), not feeling well continued. Sent to Dr. (neurologist) ER for MRI/Spinal Tap - GBS diagnosis. 8/26/08 Improving @ this time  10/03/08 Reviewed hospital medical records of 8/21-8/24/2008 FINAL DX: Guillain Barre syndrome Records reveal patient experienced HA, progressive numbness & weakness distal to proximal.  Tx w/IVIG.  HA & paresthesias resolved except for feet.  Strength improved & was to receive final IVIG as outpatient.  D/C to home to complete antibiotics for sinusitis.  9/3/08-ER records received for DOS 8/11/08-presented to ED with C/O servere headache which began 10 days ago. Today noticed numbness in toes which progressed up to past ankles and then into hands. Noticed feet were weak. Abnormal sensation just above umbilicus.  2/20/09-records received-for DOS 8/11/08-presented with C/O numbness in toes porgressed up past ankles and into hands, feet weak sensation absent. Headache.  CDC's CISA staff has reviewed VAERS 323863 and classified it as Not GBS (presentation is more of a partial transverse myelitis).
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Band neutrophil percentage, Body temperature increased, C-reactive protein increased, CSF test normal, Decreased appetite
Clinical narrative: Temp to 103.3, fussy, decreased appetite.  Admitted for septic workup and Ampicillin and Cefotaxime.  Developed diarrhea.  9/26/08 Reviewed hospital medical records of 8/23-8/26/2008. FINAL DX: no d/c summary available.  H&P states fever, r/o sepsis Records reveal patient experienced irritability, decreased appetite, fever starting after vaccinations.  Temp in ER 103.3.  Tx w/IV antibiotics
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Granulocyte count decreased, Irritability, Urine analysis normal, White blood cell count normal
Clinical narrative: Temp to 103.3, fussy, decreased appetite.  Admitted for septic workup and Ampicillin and Cefotaxime.  Developed diarrhea.  9/26/08 Reviewed hospital medical records of 8/23-8/26/2008. FINAL DX: no d/c summary available.  H&P states fever, r/o sepsis Records reveal patient experienced irritability, decreased appetite, fever starting after vaccinations.  Temp in ER 103.3.  Tx w/IV antibiotics
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Haematochezia, Intussusception, Pyrexia
Clinical narrative: Baby to see pediatrician for bloody stools x 2 and fever 8-22-08. Dx hematochezia, R/O intussusception. Admitted to hospital and dx'd with positive intussusception on 8/22/08.  9/10/2008 ER rec received from CDC for DOS 8/22/08 with D/C DX:  Intussusception.  Infant presented with fever, decreased po intake and bloody/mucousy stool.  Frank blood in diaper at PCP office. To ER to r/o IS. Barium enema used to confirm and reduce IS of the large bowel in the RLQ.
Age: 59.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Seen by Dr. for c/o frontal (bitemporal) headache.  Pain med given by MD on 7-30-08.  HA's began 7-29-08.  N/V started on 7-31-08.  Dr. said N/V probably from pain med but wanted us to report this.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Rash, Urticaria
Clinical narrative: Infant received PEDIARIX in (L) upper thigh on 7-15-08.  Mother states within 2 hours - he developed raised red rash on all of (L) upper thigh & face with white whelps - denies any fever, respiratory symptoms.  To Dr. - she Tx with steroids and hydroxine - Dr. requests next dose that components be given separately to determine cause.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Convulsion, Crying, Gaze palsy, Musculoskeletal stiffness
Clinical narrative: Patient was having vaccines administered- HPV, then ADACEL, then VARIVAX - all left arm. During last injection (VARIVAX), patient stated, "I'm going to have a seizure" then all four extremities stiffened -> eyes rolled back about 15 seconds -> immed. recovered alert, crying
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dyspnoea, Fatigue, Rash papular, Rash pruritic
Clinical narrative: Raised rash on face and neck about 3-4 hrs after vaccines administered.  Pruritic.  Plans to go to PMD today.  And shortness of breath, difficulty breathing, extreme fatigue.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: R deltoid swelling with redness.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphadenopathy, Ultrasound scan normal
Clinical narrative: "Patient" has asymmetry of skin of lower axillary area (fuller on right than left). Given extent of asymmetry an ultrasound of the area was oveder, which was normal.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood pressure decreased, Syncope
Clinical narrative: Patient fainted in lobby 5-8 minutes after immunization.  Positioned on back with knees up.  Came around in two mts.  BP was 94/64 - in 1/2 hour BP was 103/72, color back to normal.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Erythema, Local reaction, Pain in extremity, Skin warm
Clinical narrative: Pt. called to say that over the weekend, her Lt arm was hot & red streaks were going down her arm & it was painful.  Saw MD at ER & he stated this was a local reaction.  Was given Rx for prednisone, pain med & antibiotics.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Erythema, Injection site streaking, Local reaction, Pain in extremity, Skin warm
Clinical narrative: Pt. called to say that over the weekend, her Lt arm was hot & red streaks were going down her arm & it was painful.  Saw MD at ER & he stated this was a local reaction.  Was given Rx for prednisone, pain med & antibiotics.
Age: 18.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: C/O fever within 4 hours of receiving shot - c/o aching, headache, fever - temp 101-103.  Denies stiff neck, numbness, tingling - advised to see physician today.  3:40 pm 8/7/08 - PC to mom - states called physician and he said continue Tylenol - mom concerned fever not decreased 102 - advised go to minor need clinic if physician will not see patient.
Age: 11.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: BOOSTRIX given today - but he also had one 5/2/07. (No symptoms/signs) (this simply acknowledges that this given too soon past DTaP)
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Tdap given 7-22-08. Mom called office 7/28/08. Had hives and difficulty breathing on 7-24-08 - Went to ER whop called vaccine company - Could delayed reaction per them
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Patient received VZV vaccine 8-27-08 to left leg, by the SC route.  Presented in office 8-29-08 with a 24 hour history of fever (101.5 ax), painful left leg with limping, and swelling at the injection site.  Right thigh circumference is 27 1/4 cm and the left thigh circumference is 33cm.  At the injection site there is an 80cm X 120cm area of erythema, which is sligtly firm, non-indurated, and warm to touch. There was no streaking and the child had full ROM of left leg.  Mom was instructed by MD to use ice, Motrin and Benadryl.  This was the second dose of VZV that patient received, his first dose was on 1-6-2003.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Patient received VZV vaccine 8-27-08 to left leg, by the SC route.  Presented in office 8-29-08 with a 24 hour history of fever (101.5 ax), painful left leg with limping, and swelling at the injection site.  Right thigh circumference is 27 1/4 cm and the left thigh circumference is 33cm.  At the injection site there is an 80cm X 120cm area of erythema, which is sligtly firm, non-indurated, and warm to touch. There was no streaking and the child had full ROM of left leg.  Mom was instructed by MD to use ice, Motrin and Benadryl.  This was the second dose of VZV that patient received, his first dose was on 1-6-2003.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Heart rate increased, Malaise, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: PT VACCINATED BETWEEN 1-4PM AND STARTED WITH ARMS HURTING AT 10PM. 230AM WOKE WITH RAPID HEART RATE, VOMITING, AND FEVER OF 102.2. 630 AM STILL HAD TEMP. TEMP LASTED ONE AND A HALF DAYS. TYLENOL WAS ADMINISTERED FOR FEVER. 8/29/08 REPORTS CHILD HAS RUNNY NOSE AND HAS GENERAL MALAISE BUT AFEBRILE.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Sleep disorder, Vomiting
Clinical narrative: PT VACCINATED BETWEEN 1-4PM AND STARTED WITH ARMS HURTING AT 10PM. 230AM WOKE WITH RAPID HEART RATE, VOMITING, AND FEVER OF 102.2. 630 AM STILL HAD TEMP. TEMP LASTED ONE AND A HALF DAYS. TYLENOL WAS ADMINISTERED FOR FEVER. 8/29/08 REPORTS CHILD HAS RUNNY NOSE AND HAS GENERAL MALAISE BUT AFEBRILE.
Age: 55.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: MD order HPV for pt, she recieved her first dose 10/26/06, 2nd dose on 1/5/07, 3rd dose on 4/27/07
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash
Clinical narrative: 8-29-08 1530 TELEPHONE CALL FROM GRANDMOTHER OF INFANT REPORTING INFANT HAD DEVELOPED A RASH THAT NIGHT AFTER RECEIVING BABY SHOTS ON 8/29/08. ADVISED GRANDMOTHER TO TAKE INFANT TO ER SINCE INFANT DID NOT HAVE AN ASSSIGNED PROVIDER YET. THE RASH WAS ON INFANTS FACE,CHEST,BACK,AND GENITALIA BUT NOT ON ARMS OR LEGS. NO FEVER OR OTHER SYMPTOMS. Infant seen after 08-29-08 and the Dr said lets just wait and see if the rash goes away. spoke with grandmother on 9-2-08 and she reports the rash ahd gone away and no other symptoms.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood creatine phosphokinase normal, Chest pain, Computerised tomogram normal, Differential white blood cell count normal, Dizziness
Clinical narrative: headache, chestpain, nausea and dizziness immediately following receiving the 2nd HPV vaccine on 8/11/08 in the left deltoid muscle.Seen in emergency room on 8/26/08 with persistent symptoms and new symptoms: numbness and tingling on the left arm, unstady gait, neck pain, blurry vision and chest pain.In ER given ketolac and IV fluids. U/A negative, CMP normal, LFTs normal, CK normal CBC and didd normal. Urine pregnancy normal, rapid strep Neg. CT Brain without contrast negative. Symptoms resolved by 9-2-08
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Full blood count normal, Gait disturbance, Headache, Hypoaesthesia, Laboratory test normal
Clinical narrative: headache, chestpain, nausea and dizziness immediately following receiving the 2nd HPV vaccine on 8/11/08 in the left deltoid muscle.Seen in emergency room on 8/26/08 with persistent symptoms and new symptoms: numbness and tingling on the left arm, unstady gait, neck pain, blurry vision and chest pain.In ER given ketolac and IV fluids. U/A negative, CMP normal, LFTs normal, CK normal CBC and didd normal. Urine pregnancy normal, rapid strep Neg. CT Brain without contrast negative. Symptoms resolved by 9-2-08
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Liver function test normal, Nausea, Neck pain, Paraesthesia, Pregnancy test negative
Clinical narrative: headache, chestpain, nausea and dizziness immediately following receiving the 2nd HPV vaccine on 8/11/08 in the left deltoid muscle.Seen in emergency room on 8/26/08 with persistent symptoms and new symptoms: numbness and tingling on the left arm, unstady gait, neck pain, blurry vision and chest pain.In ER given ketolac and IV fluids. U/A negative, CMP normal, LFTs normal, CK normal CBC and didd normal. Urine pregnancy normal, rapid strep Neg. CT Brain without contrast negative. Symptoms resolved by 9-2-08
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Scan brain, Streptococcal identification test, Streptococcal identification test negative, Urine analysis normal, Vision blurred
Clinical narrative: headache, chestpain, nausea and dizziness immediately following receiving the 2nd HPV vaccine on 8/11/08 in the left deltoid muscle.Seen in emergency room on 8/26/08 with persistent symptoms and new symptoms: numbness and tingling on the left arm, unstady gait, neck pain, blurry vision and chest pain.In ER given ketolac and IV fluids. U/A negative, CMP normal, LFTs normal, CK normal CBC and didd normal. Urine pregnancy normal, rapid strep Neg. CT Brain without contrast negative. Symptoms resolved by 9-2-08
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Received 3rd Anthrax vaccination in his L deltoid region on 22 Aug 08 @ noon.  Approximately 18 hours later he noticed tingling and numbness in his L ring and pinky fingers and lateral side of left arm in a line toward the deltoid injection site.  Symptoms have remained consistant from the onst to this report date.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: On8-27-08,received DTap and IPV 2pm. 8-28-08 woke up with fever, T-101 gave tylenol.  8-30-2008 afebril, noon vomited x1 only. 8-31-2008 mom noticed hives,@ 4:30pm took him to IMC.  Dose 1 @ 5:45pm. Prelone 15/5 one tsp BID x 3 days, 1 tsp per day x 3 days, then 1/2 tsp per day x 3 days. Benedryl given midnight.  9-1-08 hives worse, seen in office 9-1-8 & 9-2-08. told hives may continue several weeks, recheck in office in 2 weeks if no improvement. Needs allergy referral prior to Td or Tdap.Also start Zytec instead of benedryl.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: LEFT DELTOID BECAME SWOLLEN, RED AND TENDER AFTER VACCINATION.  PARENT NOTICED SYMPTOMS AT APPROXIMATELY 9:30PM ON DAY OF VACCINATION.  CHILD BROUGHT INTO CLINIC TODAY (DAY AFTER VACCINES)- AREA CONTINUES TO BE RED, SWOLLEN AND TENDER MORE THAN 12 HOURS AFTER BEING DETECTED BY PARENTS.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMR, VARCEL
Symptoms: Pyrexia, Wrong drug administered
Clinical narrative: Pediarix was given in error instead of the five year old DTAP that was suppose to be given along with her 5 year boosters that included that day MMR, Polio and Varicella.  Mother was contacted day of error and informed of the error and again on 8/18/2008. Mother described a low grade fever of one day the day following vaccine administration which mother indicates is a normal reaction for her daughter whenever she receives a vaccine. Mother gave daughter Motrin. No redness or soreness at sights of vaccines.
Age: 60.0
Sex: U
Vaccine: PPV
Symptoms: Chronic obstructive pulmonary disease, Lung neoplasm malignant, Squamous cell carcinoma
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was diagnosed with left upper lobe squamous cell lung cancer on 3/24/08. Vaccination took place on 1/7/08.. According to the physician, the relationship to treatment is 'None'. We would be happy to forward the Study's SAE Reporting Form upon request.
Age: 58.0
Sex: M
Vaccine: HEP
Symptoms: Fluid retention, Joint swelling, Oedema peripheral, X-ray
Clinical narrative: Patient states one week after the vaccine, he woke up and his left arm was swollen from the shoulder to the hand, and without pain.He did not report this until 8/26. His elbow was swollen with a pocket of fluid, he has full use of the arm. He f/u with an md 8/29 who said he is unsure if it is from the vaccine or not. This doctor did xrays, and has referred him to an orthopedic dr. to drain the elbow.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEP, IPV
Symptoms: Wrong drug administered
Clinical narrative: Pediarix was given in error instead of the DTAP that was scheduled with the 4 year old boosters that  included Hep B and Polio. Mother contacted on 8/11 to inform of error and follow up by phone call on 8/18. Mother reported no symptoms or problems noted.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, IPV
Symptoms: Pyrexia, Wrong drug administered
Clinical narrative: Pediarix was given in error instead of the 4 year old booster DTAP that was suppose to be given along with his 4 year old booster vaccine Polio. Mom contacted on day of vaccine 8/11/08 and then f/u on 8/18/08. Mom reported that Arian  had a fever the evening of 8/11 for about 4 hours that was relieved by Tylenol.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: here for well visit;given injections without incident. Enroute home,mom called-child became itchy. Now with hives on back and legs;no resp distress. Advised to go to ER. Dr. spoke with ER-no actual hives;few red areas. Given benadryl. will need to wait 30 min. after next Hep A given.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Erythema, Pain in extremity, Skin warm, Swelling
Clinical narrative: Right and Left upper arm with round,red, slightly raised, warm and painful areas. Temp 98.4.  Client reports that last noc both arms hurt more, today 8/29/08 @ 3:20pm the pain is still present but less.
Age: 11.0
Sex: F
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Fainted about 5 minutes after vaccine administration
Age: 77.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Patient is age 77, given Tdap instead of Td.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Blood glucose increased, CSF test normal, Demyelination, Dyspnoea, Haematocrit decreased
Clinical narrative: Pt states with 2 day hx of extremity numbness/tingling and weakness.  Pt states 2 days ago started to have tingling in fingers.  Pt states still with muscle control at that time.  Pt states progressed until this am with difficulty with controlling hands and legs.  Pt states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week. Trasferred to the ED, the chief complaint is: Extremity numbness and tingling. He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats. Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs. Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.  9/23/2008 Er records received for DOS 8/28/2008 with transfer DX:  Ascending Paralysis. Pansinusitis. Pt presented to ER with c/o dizziness and weakness of all 4 extremities, arms & legs which began 1 day prior. Also c/o numbness in arms and from knees down, tingling, SOB, malaise, loss of strength and intermittant sharp pains. On PE pt had unsteady gait.  Unable to lift legs without strain. Transfered to higher level of care with DDX:  Demyelinating Encephalitis. GBS.  Myesthenia Gravis.  MS. 11/24/2008 Clinical Summary received. Pt admitted 8/28-9/5/2008 with DX: Guillain-Barre Syndrome-acute demyelinating polyneuropathy. During hospitalization, pt became progressively weak and lost tendon relexes. Respirations and swalling intact. Tx with IVIG and transferred to rehab. By late October 2008 pt had not returned to normal state of health. 01/26/2010 Follow-up: Still noticing numbness in 4th and 5th digits. Is being followed now.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Hypoaesthesia, Hyporeflexia, Loss of control of legs, Malaise, Malaise
Clinical narrative: Pt states with 2 day hx of extremity numbness/tingling and weakness.  Pt states 2 days ago started to have tingling in fingers.  Pt states still with muscle control at that time.  Pt states progressed until this am with difficulty with controlling hands and legs.  Pt states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week. Trasferred to the ED, the chief complaint is: Extremity numbness and tingling. He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats. Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs. Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.  9/23/2008 Er records received for DOS 8/28/2008 with transfer DX:  Ascending Paralysis. Pansinusitis. Pt presented to ER with c/o dizziness and weakness of all 4 extremities, arms & legs which began 1 day prior. Also c/o numbness in arms and from knees down, tingling, SOB, malaise, loss of strength and intermittant sharp pains. On PE pt had unsteady gait.  Unable to lift legs without strain. Transfered to higher level of care with DDX:  Demyelinating Encephalitis. GBS.  Myesthenia Gravis.  MS. 11/24/2008 Clinical Summary received. Pt admitted 8/28-9/5/2008 with DX: Guillain-Barre Syndrome-acute demyelinating polyneuropathy. During hospitalization, pt became progressively weak and lost tendon relexes. Respirations and swalling intact. Tx with IVIG and transferred to rehab. By late October 2008 pt had not returned to normal state of health. 01/26/2010 Follow-up: Still noticing numbness in 4th and 5th digits. Is being followed now.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Muscular weakness, Myasthenia gravis, Paraesthesia, Quadriparesis, Tendon disorder
Clinical narrative: Pt states with 2 day hx of extremity numbness/tingling and weakness.  Pt states 2 days ago started to have tingling in fingers.  Pt states still with muscle control at that time.  Pt states progressed until this am with difficulty with controlling hands and legs.  Pt states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week. Trasferred to the ED, the chief complaint is: Extremity numbness and tingling. He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats. Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs. Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.  9/23/2008 Er records received for DOS 8/28/2008 with transfer DX:  Ascending Paralysis. Pansinusitis. Pt presented to ER with c/o dizziness and weakness of all 4 extremities, arms & legs which began 1 day prior. Also c/o numbness in arms and from knees down, tingling, SOB, malaise, loss of strength and intermittant sharp pains. On PE pt had unsteady gait.  Unable to lift legs without strain. Transfered to higher level of care with DDX:  Demyelinating Encephalitis. GBS.  Myesthenia Gravis.  MS. 11/24/2008 Clinical Summary received. Pt admitted 8/28-9/5/2008 with DX: Guillain-Barre Syndrome-acute demyelinating polyneuropathy. During hospitalization, pt became progressively weak and lost tendon relexes. Respirations and swalling intact. Tx with IVIG and transferred to rehab. By late October 2008 pt had not returned to normal state of health. 01/26/2010 Follow-up: Still noticing numbness in 4th and 5th digits. Is being followed now.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Blood glucose increased, CSF test normal, Coordination abnormal, Dyspnoea, Feeling abnormal
Clinical narrative: Pt states with 2 day hx of extremity numbness/tingling and weakness.  Pt states 2 days ago started to have tingling in fingers.  Pt states still with muscle control at that time.  Pt states progressed until this am with difficulty with controlling hands and legs.  Pt states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week. Trasferred to the ED, the chief complaint is: Extremity numbness and tingling. He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats. Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs. Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.  9/23/2008 Er records received for DOS 8/28/2008 with transfer DX:  Ascending Paralysis. Pansinusitis. Pt presented to ER with c/o dizziness and weakness of all 4 extremities, arms & legs which began 1 day prior. Also c/o numbness in arms and from knees down, tingling, SOB, malaise, loss of strength and intermittant sharp pains. On PE pt had unsteady gait.  Unable to lift legs without strain. Transfered to higher level of care with DDX:  Demyelinating Encephalitis. GBS.  Myesthenia Gravis.  MS. 11/24/2008 Clinical Summary received. Pt admitted 8/28-9/5/2008 with DX: Guillain-Barre Syndrome-acute demyelinating polyneuropathy. During hospitalization, pt became progressively weak and lost tendon relexes. Respirations and swalling intact. Tx with IVIG and transferred to rehab. By late October 2008 pt had not returned to normal state of health. 01/26/2010 Follow-up: Still noticing numbness in 4th and 5th digits. Is being followed now.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Guillain-Barre syndrome, Haematocrit decreased, Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Pt states with 2 day hx of extremity numbness/tingling and weakness.  Pt states 2 days ago started to have tingling in fingers.  Pt states still with muscle control at that time.  Pt states progressed until this am with difficulty with controlling hands and legs.  Pt states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week. Trasferred to the ED, the chief complaint is: Extremity numbness and tingling. He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats. Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs. Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.  9/23/2008 Er records received for DOS 8/28/2008 with transfer DX:  Ascending Paralysis. Pansinusitis. Pt presented to ER with c/o dizziness and weakness of all 4 extremities, arms & legs which began 1 day prior. Also c/o numbness in arms and from knees down, tingling, SOB, malaise, loss of strength and intermittant sharp pains. On PE pt had unsteady gait.  Unable to lift legs without strain. Transfered to higher level of care with DDX:  Demyelinating Encephalitis. GBS.  Myesthenia Gravis.  MS. 11/24/2008 Clinical Summary received. Pt admitted 8/28-9/5/2008 with DX: Guillain-Barre Syndrome-acute demyelinating polyneuropathy. During hospitalization, pt became progressively weak and lost tendon relexes. Respirations and swalling intact. Tx with IVIG and transferred to rehab. By late October 2008 pt had not returned to normal state of health. 01/26/2010 Follow-up: Still noticing numbness in 4th and 5th digits. Is being followed now.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Quadriparesis
Clinical narrative: Pt states with 2 day hx of extremity numbness/tingling and weakness.  Pt states 2 days ago started to have tingling in fingers.  Pt states still with muscle control at that time.  Pt states progressed until this am with difficulty with controlling hands and legs.  Pt states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week. Trasferred to the ED, the chief complaint is: Extremity numbness and tingling. He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats. Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs. Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.  9/23/2008 Er records received for DOS 8/28/2008 with transfer DX:  Ascending Paralysis. Pansinusitis. Pt presented to ER with c/o dizziness and weakness of all 4 extremities, arms & legs which began 1 day prior. Also c/o numbness in arms and from knees down, tingling, SOB, malaise, loss of strength and intermittant sharp pains. On PE pt had unsteady gait.  Unable to lift legs without strain. Transfered to higher level of care with DDX:  Demyelinating Encephalitis. GBS.  Myesthenia Gravis.  MS. 11/24/2008 Clinical Summary received. Pt admitted 8/28-9/5/2008 with DX: Guillain-Barre Syndrome-acute demyelinating polyneuropathy. During hospitalization, pt became progressively weak and lost tendon relexes. Respirations and swalling intact. Tx with IVIG and transferred to rehab. By late October 2008 pt had not returned to normal state of health. 01/26/2010 Follow-up: Still noticing numbness in 4th and 5th digits. Is being followed now.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Injection site erythema, Injection site nodule, Injection site swelling, Irritability
Clinical narrative: Bright red, swelling, at vaccination site, unconsolable crying, irritable, vomited one time.  All symptoms occured 1.5 hours after vaccines given. Two doses of Tylenol were given, with no relief.  Symptoms persisted approximately 5-6 hours.  Twenty-four hours later, child was fussy, knot at site with redness, swelling was down and crying had stopped.  Parents took child to Pediatrician, no other treatment was given at the time.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Bright red, swelling, at vaccination site, unconsolable crying, irritable, vomited one time.  All symptoms occured 1.5 hours after vaccines given. Two doses of Tylenol were given, with no relief.  Symptoms persisted approximately 5-6 hours.  Twenty-four hours later, child was fussy, knot at site with redness, swelling was down and crying had stopped.  Parents took child to Pediatrician, no other treatment was given at the time.
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Incorrect route of drug administration, Injection site mass, Injection site pruritus, Injection site urticaria
Clinical narrative: 08/19/2008: Patient given Td intradermally; 08/20/2008: Patient reports red welt at injection site; 08/22/2008: Patient reports big bump at injection site; 08/28/2008; Patient reports a little itching at injection site.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Given
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Arm showed redness and warmth to area about 2 inches around injection site.  Lump at site (child afibrile.  Reaction reported by parent 4 working days after injection.  Patient was treated with cool compresses.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Oedema peripheral
Clinical narrative: LEFT ARM SWOLLEN AND REDDENED AROUND INJECTION SITE. VACCINES GIVEN ON 08/26/2008.           PT ADVISED TO APPLY COLD COMPRESSES TO LEFT ARM AND TO CALL BACK IF NO IMPROVEMENT.  PT. DOING FINE ON 08/29/2008. O SWELLING ON LEFT ARM.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Flushing
Clinical narrative: patient complained of feeling warm/flush ten minutes after receiving hepatitis vaccine
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: syncopal episode after receiving 5 IZs & PPD
Age: 48.0
Sex: M
Vaccine: TYP, YF
Symptoms: Blood product transfusion, Chest X-ray normal, Hypoaesthesia, Laboratory test normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Aug 10th 2008 - Pt c/o paresthesias, numbness on bottom of feet. Aug 20 - sensory exam WNL by neurologist. Muscle weakness more in arm than legs. R/O [[name]] Barre'. Aug 20 - Aug 28 - Hospitalized and admin IVIG 400 mg/kg.  12/31/08 Reviewed hospital medical records of 8/20-8/27/08. FINAL DX: acute polyradiculopathy c/w [[name]] Barre syndrome; HTN. Records reveal patient exprienced bilateral progressive leg numbness & pain, generalized weakness x 10 days.  Had received vaccines on 9/23 in preparation for out of country travel.  Neuro consult done.  Hyporeflexic throughout & areflexia of knees & ankles.  Tx w/IVIG x 5 days.  Improved & d/c to home w/outpatient PT & neuro f/u.  10/17/08 Reviewed hospital medical records of 9/1-9/18/2008. FINAL DX: demyelinating polyneuropathy, GBS, right Bell's palsy Records reveal patient experienced right facial weakness, blurry vision & UE weakness.  Had been d/c from hospital on 8/27 bilateral leg numbness & diffuse weakness in UE & [[name]]s; tx w/IVIG x 5 days at that admission.  Exam revealed absent ankle reflexes & decreased reflexes elsewhere.  Slow improvement & admitted to inpatient rehab.  12/5/08 Reviewed hospital medical records of 9/18-9/29/2008 and 9/29-10/9/2008. FINAL DX: [[name]] Barre syndrome. Records reveal patient experienced paresthesias of bilateral [[name]]s.  Admitted 8/2008 for suspected GBS.  Returned 9/1 as noted above.  While in rehab, developed new left facial weakness, bilateral UEs weakness, numbness & tingling.  Admitted to acute care 9/18 w/malaise, weakness, intermittent blurry vision, bilatera [[name]] pain.  Tx w/plasma phareses & steroids.  Motor strength improved dramatically.  Transferred to inpatient rehab for continued biweekly plasma exchanges.  Upon d/c from rehab, continued on crutches w/pain meds, w/assist to continue w/neuro f/u as outpatient for continued plasmapharesis & outpatient PT/OT.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal pain
Clinical narrative: Developed posterior shoulder pain within 3 days of administration.  No injection site reaction.
Age: 16.0
Sex: F
Vaccine: HPV4, IPV, MNQ, TD, VARCEL
Symptoms: Body temperature, Convulsion, Headache, Pharyngeal oedema, Syncope
Clinical narrative: Temperature was 97.7 after patient got her injection; she fell into a seizure and fainted complaining of headache,  and throat swelling; Patient was sent to the ER by the physician.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dysmenorrhoea, Fatigue, Metrorrhagia, Nausea, Oligomenorrhoea
Clinical narrative: 7/21/08 received HPV injection - 8/16/08 pelvic cramp.  8/18/08 - 8/25/08 menstrual cycle with severe cramping, fatigue, nausea and vomiting x 1 day.  Menstrual cycle lasted 7 days instead of usual 3 days.  8/28/08 spotting for 1 day only.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: 7/21/08 received HPV injection - 8/16/08 pelvic cramp.  8/18/08 - 8/25/08 menstrual cycle with severe cramping, fatigue, nausea and vomiting x 1 day.  Menstrual cycle lasted 7 days instead of usual 3 days.  8/28/08 spotting for 1 day only.
Age: 16.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Feeling hot, Pallor, Tinnitus
Clinical narrative: Felt warm and ears were ringing - pale in color.  Offered water.  No nausea or vomiting.
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes and left supraclavicular and left axillary
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Somnolence
Clinical narrative: Patient had reaction after Gardasil, a sensation where her left arm became numb.  She also was reported to be sleepy and had a decreased appetite.  Her symptoms disappeared after 4 days with no permanent sequelae.
Age: 56.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Blood pressure, Heart rate normal, Local swelling, Oxygen saturation normal, Pharyngeal oedema
Clinical narrative: PNEUMOVAX given at approx 10:15a.m.  Pt stated at 12:00 noon - rash all over body (welts).  At 1:30p.m. pt presented to office c/o throat swelling, rash and extremities swelling.  Pt advised to go to ER.  Pt would not leave office.  Dr. notified.  Pt had taken BENADRYL.  Dr. said monitor pt.
Age: 56.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Rash generalised, Urticaria, Weight
Clinical narrative: PNEUMOVAX given at approx 10:15a.m.  Pt stated at 12:00 noon - rash all over body (welts).  At 1:30p.m. pt presented to office c/o throat swelling, rash and extremities swelling.  Pt advised to go to ER.  Pt would not leave office.  Dr. notified.  Pt had taken BENADRYL.  Dr. said monitor pt.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Complained of systemic reaction to smallpox vaccination. Fever of 102degF. Patient with cross contamination to lower arm and neck area. Patient learning reinforced.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Bumps and itching behind ear and scalp.  Loratadine 10mg 1 x daily and observation.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pharyngolaryngeal pain, Rash
Clinical narrative: Please see hospital notes - skin rash.  Patient has developed a rash over the last 2 hours on her arms and left knees.  She is now complaining of throat pain.  She got her first GARDASIL shot and her meningitis vaccine about 7 days ago and her mom says when patient was five she had a reaction to a tetanus shot 6 days after she got the vaccine.  Mom is concerned.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Arthralgia, Arthritis, Bursitis, Myalgia, Pain
Clinical narrative: 10 hours after shot, I had pain all over my body - joints, muscular pains, needles.  Diagnostic: Guillain-Barre syndrome, frozen shoulders, tendinitis, bursitis, arthritis.  Recommendation for physical therapy. 9/18/08-records received for DOS 11/16/06-C/O feeling sick for 3 days. Returned to office for uric acid results 5.2. Neurology consult 2/21/07-C/O pain in left arm diagnosed as tendonitis pain increased in intensity in right shoulder spread to left shoulder with some weakness. DX:bilateral shoulder sprain, rule out adhesive capsulitis or impingement syndrome.   6/18/09 Consultant medical records received DOS 2/21/09. Previously included with primary care provided records - no new codes.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Paraesthesia, Periarthritis, Tendonitis
Clinical narrative: 10 hours after shot, I had pain all over my body - joints, muscular pains, needles.  Diagnostic: Guillain-Barre syndrome, frozen shoulders, tendinitis, bursitis, arthritis.  Recommendation for physical therapy. 9/18/08-records received for DOS 11/16/06-C/O feeling sick for 3 days. Returned to office for uric acid results 5.2. Neurology consult 2/21/07-C/O pain in left arm diagnosed as tendonitis pain increased in intensity in right shoulder spread to left shoulder with some weakness. DX:bilateral shoulder sprain, rule out adhesive capsulitis or impingement syndrome.   6/18/09 Consultant medical records received DOS 2/21/09. Previously included with primary care provided records - no new codes.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Anorexia, Arthralgia, Arthritis, Asthenia, Bursitis
Clinical narrative: 10 hours after shot, I had pain all over my body - joints, muscular pains, needles.  Diagnostic: Guillain-Barre syndrome, frozen shoulders, tendinitis, bursitis, arthritis.  Recommendation for physical therapy. 9/18/08-records received for DOS 11/16/06-C/O feeling sick for 3 days. Returned to office for uric acid results 5.2. Neurology consult 2/21/07-C/O pain in left arm diagnosed as tendonitis pain increased in intensity in right shoulder spread to left shoulder with some weakness. DX:bilateral shoulder sprain, rule out adhesive capsulitis or impingement syndrome.   6/18/09 Consultant medical records received DOS 2/21/09. Previously included with primary care provided records - no new codes.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Food allergy, Gout, Guillain-Barre syndrome, Hypokinesia, Impaired driving ability
Clinical narrative: 10 hours after shot, I had pain all over my body - joints, muscular pains, needles.  Diagnostic: Guillain-Barre syndrome, frozen shoulders, tendinitis, bursitis, arthritis.  Recommendation for physical therapy. 9/18/08-records received for DOS 11/16/06-C/O feeling sick for 3 days. Returned to office for uric acid results 5.2. Neurology consult 2/21/07-C/O pain in left arm diagnosed as tendonitis pain increased in intensity in right shoulder spread to left shoulder with some weakness. DX:bilateral shoulder sprain, rule out adhesive capsulitis or impingement syndrome.   6/18/09 Consultant medical records received DOS 2/21/09. Previously included with primary care provided records - no new codes.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Insomnia, Myalgia, Myositis, Pain, Paraesthesia
Clinical narrative: 10 hours after shot, I had pain all over my body - joints, muscular pains, needles.  Diagnostic: Guillain-Barre syndrome, frozen shoulders, tendinitis, bursitis, arthritis.  Recommendation for physical therapy. 9/18/08-records received for DOS 11/16/06-C/O feeling sick for 3 days. Returned to office for uric acid results 5.2. Neurology consult 2/21/07-C/O pain in left arm diagnosed as tendonitis pain increased in intensity in right shoulder spread to left shoulder with some weakness. DX:bilateral shoulder sprain, rule out adhesive capsulitis or impingement syndrome.   6/18/09 Consultant medical records received DOS 2/21/09. Previously included with primary care provided records - no new codes.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Paralysis, Periarthritis, Pharyngolaryngeal pain, Pyrexia, Swelling
Clinical narrative: 10 hours after shot, I had pain all over my body - joints, muscular pains, needles.  Diagnostic: Guillain-Barre syndrome, frozen shoulders, tendinitis, bursitis, arthritis.  Recommendation for physical therapy. 9/18/08-records received for DOS 11/16/06-C/O feeling sick for 3 days. Returned to office for uric acid results 5.2. Neurology consult 2/21/07-C/O pain in left arm diagnosed as tendonitis pain increased in intensity in right shoulder spread to left shoulder with some weakness. DX:bilateral shoulder sprain, rule out adhesive capsulitis or impingement syndrome.   6/18/09 Consultant medical records received DOS 2/21/09. Previously included with primary care provided records - no new codes.
Age: 69.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Tendonitis, Toothache, Weight decreased, X-ray
Clinical narrative: 10 hours after shot, I had pain all over my body - joints, muscular pains, needles.  Diagnostic: Guillain-Barre syndrome, frozen shoulders, tendinitis, bursitis, arthritis.  Recommendation for physical therapy. 9/18/08-records received for DOS 11/16/06-C/O feeling sick for 3 days. Returned to office for uric acid results 5.2. Neurology consult 2/21/07-C/O pain in left arm diagnosed as tendonitis pain increased in intensity in right shoulder spread to left shoulder with some weakness. DX:bilateral shoulder sprain, rule out adhesive capsulitis or impingement syndrome.   6/18/09 Consultant medical records received DOS 2/21/09. Previously included with primary care provided records - no new codes.