chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Erythema, Headache, Local swelling, Nausea, Neutrophil percentage increased
Clinical narrative: This spontaneous report as received from a healthcare student refers to a 13 year old female patient. On 07-OCT-2013 the patient was vaccinated with a first dose of GARDASIL injection (lot#, expiration date, dose, frequency and route not reported). On the same day, she also received a first dose of an unspecified flu shot (manufactory unknown) (lot#, expiration date, dose, frequency, route and indication not reported). There were no concomitant medication, medical history and drug reactions/allergies. On 07-OCT-2013, she developed achiness in her arm, a headache, a fever, nausea, vomiting, redness and swelling in her arm, a white blood cell count of 27.2 and a neutrophil count of 90.5%. She sought unspecified medical attention and was given treatment for adverse events, using clindamycin and BENADRYL. On 09-OCT-2013, the patient was admitted to the hospital. The outcome of events was reported as not recovered. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Pain in extremity, Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: This spontaneous report as received from a healthcare student refers to a 13 year old female patient. On 07-OCT-2013 the patient was vaccinated with a first dose of GARDASIL injection (lot#, expiration date, dose, frequency and route not reported). On the same day, she also received a first dose of an unspecified flu shot (manufactory unknown) (lot#, expiration date, dose, frequency, route and indication not reported). There were no concomitant medication, medical history and drug reactions/allergies. On 07-OCT-2013, she developed achiness in her arm, a headache, a fever, nausea, vomiting, redness and swelling in her arm, a white blood cell count of 27.2 and a neutrophil count of 90.5%. She sought unspecified medical attention and was given treatment for adverse events, using clindamycin and BENADRYL. On 09-OCT-2013, the patient was admitted to the hospital. The outcome of events was reported as not recovered. Additional information has been requested.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose increased, Rash
Clinical narrative: This spontaneous report was received from a pharmacist refers to a 54 year old female patient with no pertinent medical history and no drug reactions/allergies. On 30-SEP-2013 the patient was vaccinated with 0.65 milliliter (ml) a dose of ZOSTAVAX (lot # J002865, expiration date 07-JUN-2014) subcutaneously. No concomitant medications were reported. On 06-OCT-2013, the patient developed rash on her legs and high blood sugar on an unknown date in 2013 after receiving a dose of ZOSTAVAX. The patient also received a cortisone injection (unknown name and location) on the same day and stayed for one night due to high blood sugar level. She recovered from high blood sugar on an unknown date in 2013 but she still had rash on her legs. Patient sought medical attention for the event went to hospital. It was unspecified whether laboratory diagnostic studies were performed. Additional information has been requested.
Age: 20.0
Sex: M
Vaccine: HPV4
Symptoms: Acute lymphocytic leukaemia, Arthralgia, Blood test, Chromosome analysis abnormal
Clinical narrative: This spontaneous report as received from a consumer (patient's mother) refers to a 20 year old male patient with CLARITIN allergy. In August 2012 the patient was vaccinated with the first dose of GARDASIL. The second dose was received in December 2012. Total dose and route were not reported. No concomitant medication was reported. On 16-MAY-2013 the patient had been diagnosed with Philadelphia chromosome-positive (PH) acute lymphoblastic leukemia (ALL) and experienced extreme knee pain. On an unknown date the patient was hospitalized. The third dose of GARDASIL had not been administered due to the patient's medical condition. In the hospital routine blood work was done (no results provided) and the patient received treatment (not specified). The outcome was reported as not recovered/not resolved. No causality assessment was provided. Upon internal review acute lymphocytic leukemia was considered medically significant based on the list of always serious events. Additional information has been requested.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Abnormal behaviour, Delirium, Pyrexia, Unresponsive to stimuli, Viral infection
Clinical narrative: 10-25-13 3:30PM in the morning patient had a 103.5 fever and was delirious, out of her head could not respond so I (husband) had her sent to hospital.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Brain natriuretic peptide, Cardiac function test, Chest discomfort, Electrocardiogram, Full blood count
Clinical narrative: Received FLUZONE immunization for the 2013-2014 influenza season. After about 10 minutes patient returned to clinic to report itching and mid-sternal chest pressure. Got one dose of EPIPEN.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: International normalised ratio, Metabolic function test, Prothrombin time, Pruritus
Clinical narrative: Received FLUZONE immunization for the 2013-2014 influenza season. After about 10 minutes patient returned to clinic to report itching and mid-sternal chest pressure. Got one dose of EPIPEN.
Age: 27.0
Sex: M
Vaccine: FLU4
Symptoms: Pneumothorax spontaneous
Clinical narrative: After taking the flu vaccine, I started experiencing spontaneous pneumothorax. I have had no history on this condition before.
Age: 1.13
Sex: M
Vaccine: PNC13
Symptoms: Eye movement disorder, Nerve injury, Nuclear magnetic resonance imaging normal, Strabismus
Clinical narrative: Abnormal eye movements noticed by mother of patient on 9-30-13 - was seen in ER. MRI was normal. 6th cranial nerve damage (strabismus) - normal MRI, referred to ophthalmologist.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dysphagia, Dyspnoea, Facial pain, Headache
Clinical narrative: Pain in chest, face and head. Trouble breathing and swallowing.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Blood test, Convulsion, Dyskinesia, Electroencephalogram, General physical condition abnormal
Clinical narrative: She was diagnosed with infantile spasms which I believe was caused by the DTAP vaccine. My daughter began dropping her head and I noticed a dazed look on her face. I then realized that she was having a seizure, when the jackknife movements began to last 10 minutes or less. She is currently on her 3rd treatment ACTHAR injections.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Infantile spasms, Nuclear magnetic resonance imaging, Posture abnormal
Clinical narrative: She was diagnosed with infantile spasms which I believe was caused by the DTAP vaccine. My daughter began dropping her head and I noticed a dazed look on her face. I then realized that she was having a seizure, when the jackknife movements began to last 10 minutes or less. She is currently on her 3rd treatment ACTHAR injections.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Rash, Urticaria
Clinical narrative: Urticaria 2-3 hours following FLUZONE vaccination. In 24 hours have widespread urticaria, rash, and upper neck and facial flushing occurred.
Age: 23.0
Sex: M
Vaccine: JEVX
Symptoms: Abdominal pain, Abnormal sensation in eye, Eye pain, Gilbert's syndrome, Jaundice
Clinical narrative: On 5/3/1990 he received the JEV dose #1 while on board ship. Three days later he developed a retro-orbital pressure headache, stiff neck, yellow skin and periumbilical pain. He was not on duty, so he went to bed. On 5/9/1990, 6 days post vaccine, his symptoms had worsened so that the eye pressure headache was 9-1/10; the stiff neck 5/10 with movement; the abdominal pain that radiated right and left was 5/10. The jaundice was worse; he developed myalgias so that he had bilateral popliteal pain and pain all over. He sought medical care and was admitted to the infirmary. By 5/9-12/1990, post vaccine day 6-9, his symptoms had all abated and he felt well. His diagnosis was Gilbert's Syndrome. Since that time he suffers similar episodes twice a year.
Age: 23.0
Sex: M
Vaccine: JEVX
Symptoms: Musculoskeletal stiffness, Myalgia, Pain, Yellow skin
Clinical narrative: On 5/3/1990 he received the JEV dose #1 while on board ship. Three days later he developed a retro-orbital pressure headache, stiff neck, yellow skin and periumbilical pain. He was not on duty, so he went to bed. On 5/9/1990, 6 days post vaccine, his symptoms had worsened so that the eye pressure headache was 9-1/10; the stiff neck 5/10 with movement; the abdominal pain that radiated right and left was 5/10. The jaundice was worse; he developed myalgias so that he had bilateral popliteal pain and pain all over. He sought medical care and was admitted to the infirmary. By 5/9-12/1990, post vaccine day 6-9, his symptoms had all abated and he felt well. His diagnosis was Gilbert's Syndrome. Since that time he suffers similar episodes twice a year.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: AT INJECTION SITE: REDNESS, HOT TO TOUCH, ITCHY FEELING. NO FEVER, NO SWELLING REPORTED BY PARENT, NOT SEEN BY CLINIC AND AS OF 10/16/2013: PARENT REPORTS THAT SITE IS LESS RED AND WARM BUT NOT HOT.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Lymphadenopathy
Clinical narrative: Swelling of lymph nodes under armpit on side vaccine was administered and possible swelling of lymph nodes in neck. Pt. went to ER but did not need to.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives/ itching on arms legs and back. Took Benadryl, relieved itching, hives remain.
Age: 3.0
Sex: M
Vaccine: FLUN4
Symptoms: Decreased appetite, Malaise, Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: It started with appetite loss, longer napping, and runny nose.  At night, he had a fever (100.4F). Next morning (Friday), the fever subsided then returned around noon (102F).  He was also showing loss of appetite, malaise, nose congestion.  The fever persist until next morning (Saturday).  The fever came back Saturday night (100.5F), but subsided next morning (Sunday).  Since then, he had no fever, but still has very bad nose congestion as of today (10/16, Wednesday).
Age: 3.0
Sex: M
Vaccine: FLUN4
Symptoms: Somnolence
Clinical narrative: It started with appetite loss, longer napping, and runny nose.  At night, he had a fever (100.4F). Next morning (Friday), the fever subsided then returned around noon (102F).  He was also showing loss of appetite, malaise, nose congestion.  The fever persist until next morning (Saturday).  The fever came back Saturday night (100.5F), but subsided next morning (Sunday).  Since then, he had no fever, but still has very bad nose congestion as of today (10/16, Wednesday).
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Pediatric Fluzone vaccine given instead of adult.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain, Arthralgia, Ear pain, Influenza virus test negative, Metabolic function test normal
Clinical narrative: Fever, Sore Throat, Joint Pain, Abdominal Pain, Earache x 4 days, Tylenol as indicated by age for fever and pain.  Went to ER on 10/08/13, had fever of 101, influenza and strep test were both negative.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Oropharyngeal pain, Pyrexia, Streptococcus test negative, White blood cell count increased
Clinical narrative: Fever, Sore Throat, Joint Pain, Abdominal Pain, Earache x 4 days, Tylenol as indicated by age for fever and pain.  Went to ER on 10/08/13, had fever of 101, influenza and strep test were both negative.
Age: 67.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt called facility at approximatly 11:00pm on 10/14/13 stating that her rt arm was red with swelling and pain from injection site to her elbow. Pt spoke with Dr. whom recommended she go to ER. Pt went, reveiw of records showed adverse reaction to vaccine and was given prednisone and instruction to use warm compress and to follow up with PCM in a few days. I spoke to pt on 10/16/13, pt stated that the symptoms are alleviating and was instructed to return to practice or ER, if after hours, if symptoms worsen. Pt acknowledged understanding.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Injection site swelling, Pyrexia
Clinical narrative: Swelling, at the site at 9pm fever of 102.0 at 2am gave Tylenol and Motrin now more red this AM but better now per mother.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Pediatric vaccine administered to an adult.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Pediatric vaccine given to adult.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Pediatric vaccine given to adult.
Age: 22.0
Sex: F
Vaccine: MMR
Symptoms: Influenza like illness, Local swelling, Nausea, Pain in extremity, Vomiting
Clinical narrative: Presented at student health center complaining of left arm pain/swelling, nausea, "flu-like" symptoms.  Pt reported vomiting but no diarrhea, rash, or joint pain.  On 4/19, no swelling of arm and feels better today.  Advised to use ice to arm and Tylenol or Advil PRN.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Pt Chief Complaint is body aches, nausea, fever, chills, and other flu like symptoms.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site bruising, Injection site discolouration, Injection site swelling, Skin discolouration
Clinical narrative: Arm has significant bruising starting from site of needle insertion and spreading down arm vertically. Bruises are swollen to the touch and have progressively became worse since vaccine was given. Bruises are blue/green in color.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Arm has significant bruising starting from site of needle insertion and spreading down arm vertically. Bruises are swollen to the touch and have progressively became worse since vaccine was given. Bruises are blue/green in color.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain
Clinical narrative: Developed severe right shoulder pain within hours of receiving vaccines.
Age: 92.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure abnormal, Extensive swelling of vaccinated limb, Injected limb mobility decreased, Injection site swelling
Clinical narrative: Case number PHEH2013US021176 is an initial spontaneous report received from other health care professional on 08 Oct 2013: This case refers to a 92-years-old female patient. Her medical history and concomitant medication was not reported. She was vaccinated with FLUVIRIN (batch number: 1308101 and expiry date: 31 Mar 2014) on 25 Sep 2013. On 25 Sep 2013, the patient's arm became really swollen, started at injection site, then went to whole arm, due to this patient could not move it. It was reported that swelling started affecting her blood pressure and was hospitalized. The outcome and causality of the events were not reported.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Disorientation, Loss of consciousness, Nausea, Pyrexia
Clinical narrative: Case number PHEH2013US021169 is an initial spontaneous report received from consumer on 08 Oct 2013: This case refers to a 36-years-old female patient. Her medical history and concomitant medications were not reported. Past flu vaccinations were well tolerated. She was vaccinated with a seasonal influenza vaccine (manufacturer and batch number: not reported) on an unreported date in Sep 2013. The reporter stated that patient received vaccine at 10 AM. By 8 PM patient was feverish, had nausea, vomiting, disoriented, weak, and passed out. The reporter informed that events resolved within 2-3 hours. The reporter stated that these events were not informed to the physician. The reporter considered these events as serious. The causality was not reported.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: Case number PHEH2013US021169 is an initial spontaneous report received from consumer on 08 Oct 2013: This case refers to a 36-years-old female patient. Her medical history and concomitant medications were not reported. Past flu vaccinations were well tolerated. She was vaccinated with a seasonal influenza vaccine (manufacturer and batch number: not reported) on an unreported date in Sep 2013. The reporter stated that patient received vaccine at 10 AM. By 8 PM patient was feverish, had nausea, vomiting, disoriented, weak, and passed out. The reporter informed that events resolved within 2-3 hours. The reporter stated that these events were not informed to the physician. The reporter considered these events as serious. The causality was not reported.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Loss of consciousness, Pyrexia, Reaction to preservatives
Clinical narrative: Case number PHEH2013US021138 is an initial spontaneous report received from consumer on 09 Oct 2013: This case refers to a 72-years-old female patient. Her medical history and concomitant medication was not reported. She was vaccinated with seasonal influenza vaccine (batch number: not reported and expiry date: not reported) on an unreported date. The reporter stated patient had a febrile reaction of temperature of 105 at the age of 18 due to the vaccine, she passed out in her home. It was reported that the event was determined to be from the egg that vaccine was grown. The patient stated that she does not eat anything with egg white in it. The events were considered as serious by the reporter. The outcome and causality of the events were not reported.
Age: 65.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Activities of daily living impaired, Diabetes mellitus, Disability, Gait disturbance, Hyperhidrosis
Clinical narrative: Case number PHEH2013US021248 is an initial spontaneous report received from a consumer (patient's wife) on 10 Oct 2013: This report refers to a 65-year-old male patient. His medical history was not reported. This poly-medicated patient was vaccinated with H1N1 pandemic influenza vaccine (manufacturer and batch number: unknown) on an undetermined date. Since an unknown date he found it hard to walk and his muscles ached. Three to four weeks after taking the shot he could not get off the couch and was sweating and these symptoms led to the diagnosis of diabetes. Reporter stated that her husband got disabled from taking the vaccine. He had to quit work because of it. The wife reported it took them a while to find the cause. No further information about outcome, seriousness and causality was reported.
Age: 65.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Impaired work ability, Mobility decreased, Myalgia
Clinical narrative: Case number PHEH2013US021248 is an initial spontaneous report received from a consumer (patient's wife) on 10 Oct 2013: This report refers to a 65-year-old male patient. His medical history was not reported. This poly-medicated patient was vaccinated with H1N1 pandemic influenza vaccine (manufacturer and batch number: unknown) on an undetermined date. Since an unknown date he found it hard to walk and his muscles ached. Three to four weeks after taking the shot he could not get off the couch and was sweating and these symptoms led to the diagnosis of diabetes. Reporter stated that her husband got disabled from taking the vaccine. He had to quit work because of it. The wife reported it took them a while to find the cause. No further information about outcome, seriousness and causality was reported.
Sex: F
Vaccine: FLUX
Symptoms: Pneumonia, Respiratory disorder, Vaccine positive rechallenge, X-ray
Clinical narrative: Case number PHEH2013US021214 is an initial spontaneous report from the consumer received on 10 Oct 2013. This report refers to a female patient of unknown age. She was vaccinated with FLUVIRIN in 2009 while she was pregnant and experienced life threatening respiratory problems, urticaria, and wheezing (see case: PHEH2013US021175). She was again vaccinated with a seasonal influenza vaccine (manufacturer and batch number: not reported) on an unknown date in 2012. On an unknown date, days after vaccination she experienced respiratory problems and pneumonia in her left lung. It was reported that pneumonia was not confirmed from her X-ray. She received BENADRYL and steroids as a treatment. The outcome of the events was not reported.
Sex: F
Vaccine: FLU3
Symptoms: Exposure during pregnancy, Respiratory disorder, Urticaria, Wheezing
Clinical narrative: Case number PHEH2013US021175 is an initial spontaneous report from the consumer received on 10 Oct 2013. This report refers to an unknown age female pregnant patient. The last menstrual date of the patient was not reported. On an unknown date in 2009, while the patient was of 08-month pregnant she was vaccinated with FLUVIRIN (batch number: not reported). On an unknown date, days after vaccination she experienced life threatening urticaria, wheezing and respiratory problems. The patient received respiratory treatment and corticosteroids. Her dermatologist stated that she had a neomycin allergy, but it was hard to confirm. The outcome of the events was not reported. The patient was vaccinated with flu vaccine again in 2012 and experienced respiratory problems (see case: PHEH2013US021214). No other information was available.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Pt Chief Complaint is body aches, chills, fever, nausea, and general flulike symptoms.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: L ARM PAIN.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Chills, Pneumonia, Pyrexia
Clinical narrative: Pt c/o of abd pain, fever and chills. Pt was admitted to hospital told due to flu vaccine. Mom states at discharge told had pneumonia and given ATB, steroids and albuterol for treatment. Doing good 10/11/13 per mom.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Pain
Clinical narrative: Severe body aches, fatigue.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Mother noticed swollen left arm next morning after vaccine, arm was hot with a blue ring around injection site.  Mom called MD and was instructed to give antihistamine and pain med.  Mom states arm was swollen down to elbow.
Age: 0.23
Sex: F
Vaccine: PNC13
Symptoms: Decreased eye contact
Clinical narrative: Baby stopped making eye contact soon after receiving the shot and was unable to make eye contact for a full three days after the vaccination.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Retching
Clinical narrative: About 10 seconds after receiving the shot he felt dizzy, nauseous, had to sit down.  Had dry heaves.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity, Rotator cuff syndrome
Clinical narrative: Pain in left arm, especially when trying to raise arm above shoulder or away for body.
Age: 3.0
Sex: M
Vaccine: FLUN4
Symptoms: Cough, Erythema multiforme, Rash pruritic, Respiratory tract congestion, Urticaria
Clinical narrative: Developed a pruritic rash on 10/14/13, which was 7 days after receiving Flu Mist vaccine on 10/7/13. Came to clinic 10/14/13 and was diagnosed with hives and treated with Benadryl. Came back to clinic 2 days later 10/16/13 and diagnosed with erythema multiforme rash, treated with Atarax. Patient has also developed cough and congestion in the interim. No fever.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Dyspnoea, Pharyngeal oedema, Throat tightness
Clinical narrative: Patient reported experiencing throat tightness/swelling and dyspnea (i.e. anaphylaxis).
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Induration, Pain, Vomiting
Clinical narrative: Pain, localized erythema of whole arm, induration, emesis.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Skin warm
Clinical narrative: Went to the dentist at 4:30 PM, received 1 carpule 1.7ml of Septocaine (articane HCI and epinephrine) Articaine hydrochloried 4% epinephine 1:100,000 Lot B)6649AA Expired 2014-07.  The cheek area near the tooth, at the injections site, got very hot.  Also broke out in a cold sweat on the forehead and upper lip.  Haven't previously received any reaction.  It may have been a combination of flu shot and the numbing shot.  After the numbing shot wore off, return to normal.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Back pain, Headache, Injection site anaesthesia, Injection site reaction
Clinical narrative: On 10/14/13: Numbness and tingling throughout arm where injection administered.  Difficulty typing and doing tasks with left arm/hand.  On 10/15/2013: Sudden and painful vomiting 4AM-8AM; Fever ranging from 100-102; Intense body ache; Intense headache; Feeling of back being broken- very bad lower back pain; Restless leg feeling- very painful- trouble bearing weight on legs or keeping legs still.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Paraesthesia, Pyrexia, Restless legs syndrome, Vomiting
Clinical narrative: On 10/14/13: Numbness and tingling throughout arm where injection administered.  Difficulty typing and doing tasks with left arm/hand.  On 10/15/2013: Sudden and painful vomiting 4AM-8AM; Fever ranging from 100-102; Intense body ache; Intense headache; Feeling of back being broken- very bad lower back pain; Restless leg feeling- very painful- trouble bearing weight on legs or keeping legs still.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Weight bearing difficulty
Clinical narrative: On 10/14/13: Numbness and tingling throughout arm where injection administered.  Difficulty typing and doing tasks with left arm/hand.  On 10/15/2013: Sudden and painful vomiting 4AM-8AM; Fever ranging from 100-102; Intense body ache; Intense headache; Feeling of back being broken- very bad lower back pain; Restless leg feeling- very painful- trouble bearing weight on legs or keeping legs still.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Influenza, Malaise, Pain, Pyrexia
Clinical narrative: Flu symptoms consisting of body aches, chills, and fever up to 101.4. Malaise for 3-4 days. Fever stopped three days after the vaccine and pt reports taking ibuprofen/acetaminophen with fever resolution.
Age: 24.0
Sex: M
Vaccine: FLU3, HEPA, JEV1, PPV, TYP
Symptoms: Erythema, Pain in extremity, Pyrexia
Clinical narrative: Feverish, arm pain and redness.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Cough, Throat irritation
Clinical narrative: Vaccine administered at 1:30pm.  Frequent cough started at approximately 4:30pm accompanied by throat irritation and tightness in chest. Symptoms were partially relieved with Benadryl.
Age: 1.31
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Culture stool negative, Diarrhoea, Fear, Hypophagia
Clinical narrative: Developed severe non bloody watery diarrhea, 12-17 times per day; total body rash, lethargy, very poor oral intake, and change in behavior (not using words, fussy, fearful).
Age: 1.31
Sex: F
Vaccine: MMR
Symptoms: Irritability, Lethargy, Parasite stool test negative, Rash generalised, Rotavirus test negative
Clinical narrative: Developed severe non bloody watery diarrhea, 12-17 times per day; total body rash, lethargy, very poor oral intake, and change in behavior (not using words, fussy, fearful).
Age: 1.31
Sex: F
Vaccine: MMR
Symptoms: Speech disorder, Stool analysis normal, Viral test negative
Clinical narrative: Developed severe non bloody watery diarrhea, 12-17 times per day; total body rash, lethargy, very poor oral intake, and change in behavior (not using words, fussy, fearful).
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: SWOLLEN INJECTION SITE, REDNESS, AND PAIN THAT LASTED NEARLY A WEEK.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Influenza like illness, Injection site erythema, Injection site urticaria, Injection site warmth, Pyrexia
Clinical narrative: The patient received both FluzoneHD and Pneumovax23 vaccines on same date.  The patient experienced mild flu-like symptoms, including a mild fever, for 24 to 36 hours after vaccine administration. The main adverse reaction was a red, warm welt the appeared around the injection site of the Pneumovax23.  The welt lasted for 3 to 4 days before subsiding.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Vomiting
Clinical narrative: Vomiting, shortness of breath apprx 3 hrs post vaccination; advised to go to ER.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site urticaria, Injection site warmth, Pyrexia
Clinical narrative: The patient received both FluzoneHD and Pneumovax23 on same day.  She experienced a fever of 103 to 104 for about 48-72 hours after vaccination.  A red, warm welt appeared around the Pneumovax23 injection site and covered a large portion of her upper arm.  The welt has yet to subside after four days.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood test, Chills, Computerised tomogram head, Diarrhoea
Clinical narrative: Headache, diarrhea, hot/chills, severe muscle spasms lasting 10 hours, nauseated, weak, fatigue.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Feeling hot, Headache, Muscle spasms, Nausea
Clinical narrative: Headache, diarrhea, hot/chills, severe muscle spasms lasting 10 hours, nauseated, weak, fatigue.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Skin warm, Urticaria
Clinical narrative: Patient complained of warmness to the touch at the site on 10/15/13 in the evening. Patient also indicated a welt below the site of injection on 10/15/13 and called the pharmacy on 10/16/13 @ 5PM. Patient took Benadryl and will apply ice to the area.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary mass, Axillary pain
Clinical narrative: Painful lump under armpit on same side as the shot was administered.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Local swelling, Pruritus
Clinical narrative: Patient reported arm was swollen with huge red patch expanding over the injection site.  It was also very itchy.  The patient self treated with Benadryl cream and symptoms resolved after 4-5 days.
Age: 7.0
Sex: M
Vaccine: FLUX
Symptoms: Erythema, Injection site erythema, Injection site rash, Local swelling, Pain
Clinical narrative: Bright red swollen, itching, pain to touch. Arm swollen 10% more than other arm. Red rash from site all the way down to elbow and around arm to arm pit.
Age: 7.0
Sex: M
Vaccine: FLUX
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Bright red swollen, itching, pain to touch. Arm swollen 10% more than other arm. Red rash from site all the way down to elbow and around arm to arm pit.
Age: 47.0
Sex: F
Vaccine: FLUX, TD
Symptoms: Joint crepitation, Mobility decreased, Musculoskeletal pain, Myalgia, Neck pain
Clinical narrative: Intense Muscle/Nerve Pain. Pain spread to neck and unable to move neck, pain in shoulder blades and clicking noise when shoulders are moved in circular motion. Tingling in fingertips.
Age: 47.0
Sex: F
Vaccine: FLUX, TD
Symptoms: Neuralgia, Paraesthesia
Clinical narrative: Intense Muscle/Nerve Pain. Pain spread to neck and unable to move neck, pain in shoulder blades and clicking noise when shoulders are moved in circular motion. Tingling in fingertips.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Headache
Clinical narrative: Headache, lightheadedness, dizziness.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Back pain, Erythema, Immediate post-injection reaction, Muscular weakness
Clinical narrative: I had usual soreness, but immediately after IM injection I had a lot of itching and redness.  The soreness was worsening by Sunday evening.  Now the pain is in my back around my shoulder blade, shoulder, down my arm into the elbow and wrist.  The pain also radiates up the side of my neck.  Even my hand and fingers ache.  The pain ranges from a 6-8.  I am also experiencing tingling in those fingers and hand.  The entire arm feels heavy and weak although I have not lost any function in it.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Neck pain, Pain, Pain in extremity, Paraesthesia
Clinical narrative: I had usual soreness, but immediately after IM injection I had a lot of itching and redness.  The soreness was worsening by Sunday evening.  Now the pain is in my back around my shoulder blade, shoulder, down my arm into the elbow and wrist.  The pain also radiates up the side of my neck.  Even my hand and fingers ache.  The pain ranges from a 6-8.  I am also experiencing tingling in those fingers and hand.  The entire arm feels heavy and weak although I have not lost any function in it.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Sensation of heaviness
Clinical narrative: I had usual soreness, but immediately after IM injection I had a lot of itching and redness.  The soreness was worsening by Sunday evening.  Now the pain is in my back around my shoulder blade, shoulder, down my arm into the elbow and wrist.  The pain also radiates up the side of my neck.  Even my hand and fingers ache.  The pain ranges from a 6-8.  I am also experiencing tingling in those fingers and hand.  The entire arm feels heavy and weak although I have not lost any function in it.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Baseball-sized reaction. Redness, swelling, itching and pain lasting one week.
Age: 1.02
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash, Rubella
Clinical narrative: Developed fever and diffuse rash. Presented to ER and prescribed Benadryl. Presented to PCP and dx with rubeola.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Neuralgia, Vaccination complication
Clinical narrative: Patient spouse reported that patient had muscle pain after vaccination that was not relieved after several days, and was made worse with any movement. Advised to have her contact PCP. She was sent from PCP to muscular specialist, which dx with nerve pain likely due to the flu vaccine administration.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Burning sensation, Muscle disorder, Nerve injury, Swelling
Clinical narrative: Major swelling, burning, pinch nerve or muscles, down arm, shoulder, neck.
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chest pain, Erythema, Injected limb mobility decreased, Local swelling, Nausea
Clinical narrative: Coworker of patient called the pharmacy on 10/15/13 in the afternoon to say patients left arm was a little red, hurt and was he was having chest pains and nausea. Patient was told to go to ER, he did not.  Patient came to pharmacy 10/16/13 at 10:15 am. Patient's left arm was warm, red, and extremely swollen all the way down his arm. Complained that he could not lift it because it hurt. Phoned patient's physician right away to get him in to see Dr. At 10:20am went to doctors office. Doctor sent patient to ER at 12:15 pm the same day. Have not heard from patient or family.
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Coworker of patient called the pharmacy on 10/15/13 in the afternoon to say patients left arm was a little red, hurt and was he was having chest pains and nausea. Patient was told to go to ER, he did not.  Patient came to pharmacy 10/16/13 at 10:15 am. Patient's left arm was warm, red, and extremely swollen all the way down his arm. Complained that he could not lift it because it hurt. Phoned patient's physician right away to get him in to see Dr. At 10:20am went to doctors office. Doctor sent patient to ER at 12:15 pm the same day. Have not heard from patient or family.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Allergic respiratory symptom, Headache, Injection site cellulitis, Oral pruritus, Pruritus
Clinical narrative: This spontaneous report as received from a 63 years old female registered nurse reporting on herself with chronic fatigue syndrome, fibromyalgia, bone spurs in knees, lumbar, unspecified thoracic and cervical disk problems, penicillin allergy, cephalosporin allergy and serious dermatitis allergy to mycin. On either 24-JUL-2013 or 25-JUL-2013, the patient was vaccinated with ZOSTAVAX (lot number, dose and route were not reported). Concomitant therapy was not reported. In July 2013 40 hours after administration, the patient developed cellulitis in the arm where ZOSTAVAX was administered, a headache, hives and itching on her arms, ringing in her ears, itching around her mouth and a slight swollen tongue. The patient took BENADRYL immediately and the adverse symptoms did not get worse. The nurse reported that she was still breaking out in hives on her arms and on unspecified dates recently she developed a few additional hives on her legs, feet, earlobe and shoulder. There were no hives on the nurse's trunk area. The nurse declined the VZVIP packet because she stated the adverse reaction was definitely hives and was not varicella-like. The nurse stated that since ZOSTAVAX was administered she had gone to an unspecified urgent care facility two times on unspecified dates and to the emergency room two times on unspecified dates. During those visits the nurse was treated with ATARAX and unspecified steroids. The nurse reported that these adverse symptoms had improved slightly. The nurse also reported that recently on an unspecified date she developed an unspecified respiratory allergy and needed to use oxygen therapy. Relationship between the events and ZOSTAVAX was not reported. The nurse considered respiratory allergy and needed to use oxygen therapy medically significant because oxygen therapy was used to prevent serious criteria. Additional information has been requested.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Swollen tongue, Tinnitus, Urticaria
Clinical narrative: This spontaneous report as received from a 63 years old female registered nurse reporting on herself with chronic fatigue syndrome, fibromyalgia, bone spurs in knees, lumbar, unspecified thoracic and cervical disk problems, penicillin allergy, cephalosporin allergy and serious dermatitis allergy to mycin. On either 24-JUL-2013 or 25-JUL-2013, the patient was vaccinated with ZOSTAVAX (lot number, dose and route were not reported). Concomitant therapy was not reported. In July 2013 40 hours after administration, the patient developed cellulitis in the arm where ZOSTAVAX was administered, a headache, hives and itching on her arms, ringing in her ears, itching around her mouth and a slight swollen tongue. The patient took BENADRYL immediately and the adverse symptoms did not get worse. The nurse reported that she was still breaking out in hives on her arms and on unspecified dates recently she developed a few additional hives on her legs, feet, earlobe and shoulder. There were no hives on the nurse's trunk area. The nurse declined the VZVIP packet because she stated the adverse reaction was definitely hives and was not varicella-like. The nurse stated that since ZOSTAVAX was administered she had gone to an unspecified urgent care facility two times on unspecified dates and to the emergency room two times on unspecified dates. During those visits the nurse was treated with ATARAX and unspecified steroids. The nurse reported that these adverse symptoms had improved slightly. The nurse also reported that recently on an unspecified date she developed an unspecified respiratory allergy and needed to use oxygen therapy. Relationship between the events and ZOSTAVAX was not reported. The nurse considered respiratory allergy and needed to use oxygen therapy medically significant because oxygen therapy was used to prevent serious criteria. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site cellulitis, Injection site oedema
Clinical narrative: 24 hrs after injection cellulitis like edema noted of upper right arm extending from deltoid region to right wrist. No complaints of pain. Hospitalized for 48hrs on IV vanco and UNASYN and BENADRYL.
Age: 38.0
Sex: M
Vaccine: MMR
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a pharmacy technician refers to a 38 year old male patient. On an unknown date the patient was vaccinated with MMR II (lot # H018945, expiration date 18-OCT-2014) (dose and route were not reported) that was exposed to 11C for 6 hours. Concomitant medications were not reported. No adverse effects reported. Additional information has been requested.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Hypopnoea, Local swelling, Pharyngeal oedema
Clinical narrative: Flu vaccine provided 1330 pm 10-15-13; Pt phoned for appt by daughter 10-16-13. Pt reports fine until 10pm 10-15-13 then felt chilling and had to take shallow breaths for 4 hrs. Neck and throat swelled shut. Denied noticing wheezing or chest pain. Didn't take any OTC rx nor did he go to ER. Woke up fine this am. Even able to smoke cigarette today without problem 10-16-13 Evaluated in clinic stable O2 sat no rest distress. Provided IM DEPO MEDROL dexamethasone pt reports he is back to normal.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Haematoma, Haemorrhage, Immediate post-injection reaction
Clinical narrative: Administered vaccine, bled slightly, wiped with alcohol-small, marble sized hematoma formed immediately before applying band aid. Placed ice pack immediately, patients.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Body temperature increased, Chills, Decreased appetite, Lip blister
Clinical narrative: Lack appetite, sores in mouth, lip blisters, chills, temp 99.3 C/0 increased back pain.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Stomatitis
Clinical narrative: Lack appetite, sores in mouth, lip blisters, chills, temp 99.3 C/0 increased back pain.
Age: 78.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Pain in extremity
Clinical narrative: Received vaccine mid afternoon. By 11:00pm had severe pain in right arm, could not use the arm. Next day pain was less severe but arm was red and heat was felt in the arm. By 3rd day redness had extended to the elbow and heat still felt.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN4, MMRV
Symptoms: Decreased appetite, Feeling hot, Injection site erythema, Insomnia, Pain
Clinical narrative: Patient, per mother's report-received vaccines at clinic on 10/1/13. Eve of 10/1-right thigh started having redness. 10/2 very hot, more red and patient with fever that eve. Patient unable to sleep and c/o pain. Presented to clinic 10/3. Mother concerned worsening. Mom concerned patient's appetite diminished as well. Dr saw patient 10/3, ordered KEFLEX 250mg/5ml 4mL PO TID, 10 days. And OFU 10/4/13.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN4, MMRV
Symptoms: Pyrexia
Clinical narrative: Patient, per mother's report-received vaccines at clinic on 10/1/13. Eve of 10/1-right thigh started having redness. 10/2 very hot, more red and patient with fever that eve. Patient unable to sleep and c/o pain. Presented to clinic 10/3. Mother concerned worsening. Mom concerned patient's appetite diminished as well. Dr saw patient 10/3, ordered KEFLEX 250mg/5ml 4mL PO TID, 10 days. And OFU 10/4/13.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: None - Came thru flu vaccine clinic and given the 0.5ml dose instead of the 0.25ml dose.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site joint movement impairment, Injection site pain, Musculoskeletal pain
Clinical narrative: (L) shoulder pain, decreased ROM.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Culture, Erythema, Infection
Clinical narrative: Patient had flu shot on Fri 10/4, came in today, has been to the Dr and had a red line (they think infection) appear on his hip. Dr gave injection of ROCEPHIN and measured for growth.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: I received flu vaccination 10/11/13 1000 and by the even I had an ache in my arm which led to shoulder/neck/ear pain during the night. I have lots of pain shoulder/neck area still and was seen by a provider.
Age: 70.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site.
Age: 13.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Allodynia, Arthralgia, Asthenia, Back pain, Complex regional pain syndrome
Clinical narrative: 3 weeks after vaccine was administered patient had joint pain in knees and back. Jan 2012 - increased back pain with muscle atrophy/weakness Feb/Mar 2012 - difficulty standing and walking. Truncated tremors 4/2012 Dx Allodynia. 6/2012 Dx Chronic Regional Pain Syndrome 8/2012 Large Fiber Neuropathy Dx 4/2013 Small Fiber Neuropathy Dx.
Age: 13.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Dysstasia, Gait disturbance, Muscle atrophy, Neuropathy peripheral, Small fibre neuropathy
Clinical narrative: 3 weeks after vaccine was administered patient had joint pain in knees and back. Jan 2012 - increased back pain with muscle atrophy/weakness Feb/Mar 2012 - difficulty standing and walking. Truncated tremors 4/2012 Dx Allodynia. 6/2012 Dx Chronic Regional Pain Syndrome 8/2012 Large Fiber Neuropathy Dx 4/2013 Small Fiber Neuropathy Dx.
Age: 13.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Tremor
Clinical narrative: 3 weeks after vaccine was administered patient had joint pain in knees and back. Jan 2012 - increased back pain with muscle atrophy/weakness Feb/Mar 2012 - difficulty standing and walking. Truncated tremors 4/2012 Dx Allodynia. 6/2012 Dx Chronic Regional Pain Syndrome 8/2012 Large Fiber Neuropathy Dx 4/2013 Small Fiber Neuropathy Dx.
Age: 13.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Activities of daily living impaired, Allodynia, Arthralgia, Asthenia, Balance disorder
Clinical narrative: 3 weeks after vaccine was administered patient had joint pain in knees and back. Jan 2012 - increased back pain with muscle atrophy/weakness Feb/Mar 2012 - difficulty standing and walking. Truncated tremors 4/2012 Dx Allodynia. 6/2012 Dx Chronic Regional Pain Syndrome 8/2012 Large Fiber Neuropathy Dx 4/2013 Small Fiber Neuropathy Dx.
Age: 13.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Biopsy skin, Blood test, Borrelia test, Computerised tomogram, Dysphagia
Clinical narrative: 3 weeks after vaccine was administered patient had joint pain in knees and back. Jan 2012 - increased back pain with muscle atrophy/weakness Feb/Mar 2012 - difficulty standing and walking. Truncated tremors 4/2012 Dx Allodynia. 6/2012 Dx Chronic Regional Pain Syndrome 8/2012 Large Fiber Neuropathy Dx 4/2013 Small Fiber Neuropathy Dx.
Age: 13.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Electromyogram, Fall, Guillain-Barre syndrome, Hyperaesthesia
Clinical narrative: 3 weeks after vaccine was administered patient had joint pain in knees and back. Jan 2012 - increased back pain with muscle atrophy/weakness Feb/Mar 2012 - difficulty standing and walking. Truncated tremors 4/2012 Dx Allodynia. 6/2012 Dx Chronic Regional Pain Syndrome 8/2012 Large Fiber Neuropathy Dx 4/2013 Small Fiber Neuropathy Dx.
Age: 13.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia, Muscle atrophy, Muscular weakness, Nerve conduction studies, Neuropathy peripheral
Clinical narrative: 3 weeks after vaccine was administered patient had joint pain in knees and back. Jan 2012 - increased back pain with muscle atrophy/weakness Feb/Mar 2012 - difficulty standing and walking. Truncated tremors 4/2012 Dx Allodynia. 6/2012 Dx Chronic Regional Pain Syndrome 8/2012 Large Fiber Neuropathy Dx 4/2013 Small Fiber Neuropathy Dx.
Age: 13.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Nuclear magnetic resonance imaging, Oedema, Pain, Pain in extremity, Paraesthesia
Clinical narrative: 3 weeks after vaccine was administered patient had joint pain in knees and back. Jan 2012 - increased back pain with muscle atrophy/weakness Feb/Mar 2012 - difficulty standing and walking. Truncated tremors 4/2012 Dx Allodynia. 6/2012 Dx Chronic Regional Pain Syndrome 8/2012 Large Fiber Neuropathy Dx 4/2013 Small Fiber Neuropathy Dx.