chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Computerised tomogram, Dehydration, Dyspnoea, Electrocardiogram, Nausea
Clinical narrative: At 3:30pm my body hurt all over and i felt week. Driving home I was have difficulty breating (5:00pm).  By 6pm I was so sick,hurt everywhere, chills, nausea I called the Dr.  He had seen me in the morning and I was perfectly fine.  Went to ER to make sure it was not my kidney as i only have one.  Admitted to the hospital with heart Racing, 2 EKG's, blood pressure dropping to 85 over 49, chills, fever, aches every where, dehydrated.  I recd, a CT scan of my abdomin area, Ekgs's, iv fluids and antibiotic, along with vicodine which they stopped due to only having one kidney.  Offered me morphine twice during the night.  Went home around 6pm on 10/7 (Dr said I could stay one more night).  10/16/09 Medical Records received for Date of Service 10/6/09- 10/7/09.  Dx:  Fever, unspecified.  Secondary diagnoses:  Bandemia, dehydration, symptoms involving urinary system, nonspecific abnormal serum enzyme elevation.   Assessment:  Presented with fever, chills, rigor, nausea, malaise, generalized abdominal pain and generalized body aches 2 1/2 hours after getting influenza vaccine.  Also c/o frequency and urgency of urination.  Elevated liver enzymes consistent with prerenal azotemia.  Started on ceftriaxone and admitted to the hospital for management and observation.  ICD 9 codes:  28865, 27651, 78899, 7905, 27800, V4573, V1302.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Palpitations, Pyrexia, Urine analysis
Clinical narrative: At 3:30pm my body hurt all over and i felt week. Driving home I was have difficulty breating (5:00pm).  By 6pm I was so sick,hurt everywhere, chills, nausea I called the Dr.  He had seen me in the morning and I was perfectly fine.  Went to ER to make sure it was not my kidney as i only have one.  Admitted to the hospital with heart Racing, 2 EKG's, blood pressure dropping to 85 over 49, chills, fever, aches every where, dehydrated.  I recd, a CT scan of my abdomin area, Ekgs's, iv fluids and antibiotic, along with vicodine which they stopped due to only having one kidney.  Offered me morphine twice during the night.  Went home around 6pm on 10/7 (Dr said I could stay one more night).  10/16/09 Medical Records received for Date of Service 10/6/09- 10/7/09.  Dx:  Fever, unspecified.  Secondary diagnoses:  Bandemia, dehydration, symptoms involving urinary system, nonspecific abnormal serum enzyme elevation.   Assessment:  Presented with fever, chills, rigor, nausea, malaise, generalized abdominal pain and generalized body aches 2 1/2 hours after getting influenza vaccine.  Also c/o frequency and urgency of urination.  Elevated liver enzymes consistent with prerenal azotemia.  Started on ceftriaxone and admitted to the hospital for management and observation.  ICD 9 codes:  28865, 27651, 78899, 7905, 27800, V4573, V1302.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: PATIENT SAYS HE IS EXPERIENCING A RASH, THAT IS NOT LOCALIZED TO THE INJECTION SITE. I INSTRUCTED HIM TO USE BENADRYL TO HELP TREAT THE SYMPTOMS IN CASE IT WERE AN ALLER
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypotonia, Pallor, Unresponsive to stimuli
Clinical narrative: @ 10 minutes after vaccination, pt had limp pale event and was unresponsive to visual threat. Lasted 5-7 minutes vital signs were normal and pt was back to normal in 10 minutes. was fine after event
Age: 17.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Local reaction
Clinical narrative: local reaction
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Similar reaction on previous exposure to drug, Swelling face
Clinical narrative: patient noted that after 1st Gardasil in August 09 there was swelling and redness at sight of injection.  After current vaccine (2nd Gardasil) there was same swelling and redness at sight  but this episode also had lots of swelling and itching around anterior neck and face.  Advised pt to take benadryl and not get 3rd gardasil.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Fatigue, Myalgia
Clinical narrative: Hair loss began within a few days of Gardasil.  This continued at a dramatic rate so that she has lost what mom believes to be up to 50% of her hair volume.  Has also had extreme fatigue and muscle soreness. 1/4/2010 PCP records for 8-11/2009, on 11/9/2009 patient with c/o's hair loss, fatigue, facial flushing
Age: 39.0
Sex: M
Vaccine: FLUX
Symptoms: Blood test, Joint swelling, Musculoskeletal pain, Skin irritation, Swollen tongue
Clinical narrative: Shot administered at 3rd Party location on 10/2 at 6 PM.  Adverse affect noticed 10/5 in evening with irritation. Minor  swelling under tongue around noon on 10/6.  Extreme swelling of elbow on same arm as shot on 10/7.  Wnet to Dr on 10/8 around 2 pm - swollen elbow, no pain in joint, inflamation of tissues, hot to touch - not itchy, soreness in shoulder joint of same arm now.  Prescribed Augmentin, Mortin and ice.  If swelling persists on 10/9 Dr will consider draining elbow.
Age: 5.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Chills
Clinical narrative: My daughter started to complain of chills, and later at home her temp was 102.8.  She had the flu vaccine at 4PM.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Clumsiness, Gait disturbance, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Immediately: sharp pain in lower back, arm pits, and neck.  Hours later: numb limbs, clumsy hands/fingers  One week later: rash on the back of thighs   After three weeks: rash covered most of thighs, calfs, and near under arms.  Was so severe walking was painful.  Visited doctor for rash at three weeks: was prescribed Pepcid AC, Benadryl, and Xyzal.  I took one Pepcid and one Xyzal for 4 days and the rash went away almost completely.   I stopped taking them because I got a cold. Now I use topical Benadryl for my rash, which only comes back when it is hot and humid outside.  I'm only saying I didn't recover because my rash comes back every once in a while even after taking the pills.  I never had a rash that painful in my life.  The biggest rash I ever had before Gardasil was a couple little red bumps from grass irritation that went away in just minutes. 10/13/09 Medical Records received for Date of Service 8/12/08. Dx:  UTI, Plantar wart, inguinal hernia First Gardasil shot given.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Nasopharyngitis, Neck pain, Pain in extremity, Rash
Clinical narrative: Immediately: sharp pain in lower back, arm pits, and neck.  Hours later: numb limbs, clumsy hands/fingers  One week later: rash on the back of thighs   After three weeks: rash covered most of thighs, calfs, and near under arms.  Was so severe walking was painful.  Visited doctor for rash at three weeks: was prescribed Pepcid AC, Benadryl, and Xyzal.  I took one Pepcid and one Xyzal for 4 days and the rash went away almost completely.   I stopped taking them because I got a cold. Now I use topical Benadryl for my rash, which only comes back when it is hot and humid outside.  I'm only saying I didn't recover because my rash comes back every once in a while even after taking the pills.  I never had a rash that painful in my life.  The biggest rash I ever had before Gardasil was a couple little red bumps from grass irritation that went away in just minutes. 10/13/09 Medical Records received for Date of Service 8/12/08. Dx:  UTI, Plantar wart, inguinal hernia First Gardasil shot given.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Oedema peripheral, Pain, Pruritus, Throat irritation
Clinical narrative: Starting 9/24 symptoms included aching and malaise and feeling of being sick, with scratchy throat.  9/25/09 I started itching on head and groin area.  9/26/09 Hives startd on head, groin, hands, elbows, knees, thighs feet. Palms and soles of feet were affected as well.  Benedryl 75mg. did not help, nor did periactin or Zyrtec. Dr. prescribed hydroxyz pam 25 mg, which did not help, bud 75 mg. was able to control symptoms. MD prescribed Prednisone in dosage amounts and gave steroid shot as well.   I am on last day of prednisone and still have reactive skin to the touch and take the hydroxyz pam in order to sleep because I still have itching.  The itching was very intense and my right hand swelled to double its size.  Today is the 8th of October and I am not completely over the reaction.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Starting 9/24 symptoms included aching and malaise and feeling of being sick, with scratchy throat.  9/25/09 I started itching on head and groin area.  9/26/09 Hives startd on head, groin, hands, elbows, knees, thighs feet. Palms and soles of feet were affected as well.  Benedryl 75mg. did not help, nor did periactin or Zyrtec. Dr. prescribed hydroxyz pam 25 mg, which did not help, bud 75 mg. was able to control symptoms. MD prescribed Prednisone in dosage amounts and gave steroid shot as well.   I am on last day of prednisone and still have reactive skin to the touch and take the hydroxyz pam in order to sleep because I still have itching.  The itching was very intense and my right hand swelled to double its size.  Today is the 8th of October and I am not completely over the reaction.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Rash at injection site.  Patient reported the rash was warm, red and itching.
Age: 6.0
Sex: F
Vaccine: FLUX
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram, Endotracheal intubation, Scan brain
Clinical narrative: New onset seizure, taken to hospital. Given lorazepam and loaded with dilantin. Non-responsive, intubated. Transferred to another hospital.
Age: 6.0
Sex: F
Vaccine: FLUX
Symptoms: Unresponsive to stimuli
Clinical narrative: New onset seizure, taken to hospital. Given lorazepam and loaded with dilantin. Non-responsive, intubated. Transferred to another hospital.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: localized area of warmth, tenderness, and pain
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: localized area of warmth, tenderness, pain, and itching
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Nausea
Clinical narrative: Red swelling at site, 3" in diameter, itchy, severe headache, nausea, bodyaches.  following day redness and swelling increased to 4" in diameter
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pain
Clinical narrative: Red swelling at site, 3" in diameter, itchy, severe headache, nausea, bodyaches.  following day redness and swelling increased to 4" in diameter
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Diarrhoea, Vomiting
Clinical narrative: parents report that child started throwing up about 30 min after flu mist was given times 3; also had some watery yellow diarrhea.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: WOKE THIS MORNING ARM WAS SORE AND SWOLLEN AND WARM TO THE TOUCH AND A RED SPOT A SIZE OF A FIFTY CENT PIECE.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: localized area of redness, warmth, and pain
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Facial nerve disorder, Facial paresis, Fatigue, Feeling hot
Clinical narrative: About 15 minutes after injection, began having numbness, warm sensation, and itching starting at my left jaw and going into distinct areas of my left side of my face. Was unable to fully wrinkle my forehead and it felt very strange, could not close my left eye completely, could not purse my lips or drink from a straw. My ear and jaw kept itching deeply. It began to resolve within about 2 hours, but I still will have some residual weakness when I am fatigued. I did not see a doctor that day because it was Saturday PM and I did not think it was an emergency. (seemed to be facial nerve irritation-precursor of Bell's palsy?)
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pruritus
Clinical narrative: About 15 minutes after injection, began having numbness, warm sensation, and itching starting at my left jaw and going into distinct areas of my left side of my face. Was unable to fully wrinkle my forehead and it felt very strange, could not close my left eye completely, could not purse my lips or drink from a straw. My ear and jaw kept itching deeply. It began to resolve within about 2 hours, but I still will have some residual weakness when I am fatigued. I did not see a doctor that day because it was Saturday PM and I did not think it was an emergency. (seemed to be facial nerve irritation-precursor of Bell's palsy?)
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac enzymes, Chest X-ray, Dizziness, Paraesthesia, Swollen tongue
Clinical narrative: Complained about being dizzy, said her tongue felt swollen and her face was tingling.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Complex partial seizures, Condition aggravated, Induration, Mental status changes, Pain
Clinical narrative: Large painful induration and fever.  Fever caused altered mental status either directly due to fever or indirectly by causing lowering of seizure threshhold and pt had complex partial seizure. 10/28/2009 hospital records from 9/26-9/29/2009. Patient with sx of chills, fever and altered mental status. Tx: IV ABX, med to decrease ammonia levels. DC DX's: AMS, PNA, vaccine reaction, Loss of consciousness, not likely due to seizure
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Large painful induration and fever.  Fever caused altered mental status either directly due to fever or indirectly by causing lowering of seizure threshhold and pt had complex partial seizure. 10/28/2009 hospital records from 9/26-9/29/2009. Patient with sx of chills, fever and altered mental status. Tx: IV ABX, med to decrease ammonia levels. DC DX's: AMS, PNA, vaccine reaction, Loss of consciousness, not likely due to seizure
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Excoriation, Rhinorrhoea, Sneezing
Clinical narrative: sudden onset of sneezing, coughing, runny nose (clear discharge) with excoriation of nasal folds from constant use of facial tissues to cover sneezes.
Age: 7.0
Sex: F
Vaccine: FLUN3
Symptoms: Flushing, Rash
Clinical narrative: child appeared with facial flushing and a fine rash on her face, hands, back and abdomen.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram abnormal, Epstein-Barr virus test positive, Local swelling, Lymph node pain, Lymphadenopathy
Clinical narrative: Patient noticed a swelling to the left side of her neck which became very tender and sore. Client saw PCP when swelling did not decrease and pain worsened. The physician completed a CT scan of the neck and determined that the employee has enlarged lymph glands in her neck. The PCP also ran a blood test that showed positive for a history of epstein barre. The client's PCP determined that the employee sustained an autoimmune reaction from the Influenza vaccination
Age: 8.0
Sex: M
Vaccine: FLUX
Symptoms: Chest discomfort, Headache, Nausea
Clinical narrative: Headache, nausea, "heavy chest". Ibuprofen, Tylenol.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Mobility decreased, Myalgia, Pain in extremity
Clinical narrative: Soreness in muscle, remained sore on a daily basis with it being the most painful first thing in the morning and at night.  3 weeks after shoot it still hurts if not more than before.  Hurts to lift arm and other reaching type movements.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Injection site pain, Injection site swelling, Local swelling, Oedema mouth
Clinical narrative: injection site started to swell at about 4:30 PM patient watched by 5:30 PM the left side of her neck, upper mouth and eye were swollen. she called her MD between 5:30 pm and 6:00 pm. he told her to take benadryl.. She took 1/2 tablet then repeated 30 minutes later. The swelling was reduce by 11:00 pm.  As of 10/8/2009 the patient reported that her arm, throat and mouth were still sore but that the swelling was gone.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Oral pain, Oropharyngeal pain
Clinical narrative: injection site started to swell at about 4:30 PM patient watched by 5:30 PM the left side of her neck, upper mouth and eye were swollen. she called her MD between 5:30 pm and 6:00 pm. he told her to take benadryl.. She took 1/2 tablet then repeated 30 minutes later. The swelling was reduce by 11:00 pm.  As of 10/8/2009 the patient reported that her arm, throat and mouth were still sore but that the swelling was gone.
Age: 0.25
Sex: M
Vaccine: DTAP
Symptoms: Abnormal behaviour, Breath holding, Dyskinesia, Screaming
Clinical narrative: Could not be put on his back without screaming, flaring arms, and holding breath (resembled moro reflex). Extremely unusual behavior that happened the within 12 hours of vaccination. Lasted for 5 days.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Palpitations, Throat tightness
Clinical narrative: racing heart, tight throat, lightheaded.  Advised to take benadryl and wait to see if change.  Approx 30 minutes later symptoms stopped
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Cough, Eye discharge, Eye swelling, Headache
Clinical narrative: Started with itchy throat first I took a pill of Cipro 500mg for the UTI, then I started coughing. After that came the sore throat, fever, body aches, and head ache. By 7:30PM I was vomiting unable to get out of bed due to body shakes and body aches, also had eye discharge with redness and puffyness to both eyes. All these symptoms lasted for the rest of the night. The next morning I still had the same headache and facial swelling around my eyes, nose, and upper lip. I took two benadryl 25mg and Ibuprophen 600mg.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Lip swelling, Ocular hyperaemia, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Started with itchy throat first I took a pill of Cipro 500mg for the UTI, then I started coughing. After that came the sore throat, fever, body aches, and head ache. By 7:30PM I was vomiting unable to get out of bed due to body shakes and body aches, also had eye discharge with redness and puffyness to both eyes. All these symptoms lasted for the rest of the night. The next morning I still had the same headache and facial swelling around my eyes, nose, and upper lip. I took two benadryl 25mg and Ibuprophen 600mg.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Swelling face, Throat irritation, Tremor, Vomiting
Clinical narrative: Started with itchy throat first I took a pill of Cipro 500mg for the UTI, then I started coughing. After that came the sore throat, fever, body aches, and head ache. By 7:30PM I was vomiting unable to get out of bed due to body shakes and body aches, also had eye discharge with redness and puffyness to both eyes. All these symptoms lasted for the rest of the night. The next morning I still had the same headache and facial swelling around my eyes, nose, and upper lip. I took two benadryl 25mg and Ibuprophen 600mg.
Age: 32.0
Sex: M
Vaccine: FLUX
Symptoms: Chest discomfort, Cough, Ocular hyperaemia, Wheezing
Clinical narrative: possible oculo-respiratory syndrome. The symptoms include red eyes, cough, wheezing, and chest tightness.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site rash, Rash maculo-papular
Clinical narrative: 6x5cm well circumscribed macular -papular rash at L upper arm at injection site/onset ~ 4d post vaccination. No systemic symptoms.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Extensive swelling of vaccinated limb, Feeling cold, Injected limb mobility decreased
Clinical narrative: Right arm swelled from elbow to shoulder couldn't lift arm, was cold in bed for 3 days.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: circle of warm, red, sore and swollen appeared next day after shot. Still swollen, sore, red and warm 2 days after shot (flu)
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: I administered the flu vaccine to patient and she told one her arm was tingling. Then it spread to her right arm then to her legs over the course of 2 hours.
Age: 86.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site swelling, Injection site urticaria, Pain
Clinical narrative: Upper R arm is swollen, 1 - 1 1/2 below the injection (1 x 1 1/2" in size) welt painful when moving R arm.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness, itchiness around injection site right arm  x 2 days, resolved after 3 days.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC, RV5
Symptoms: Rash erythematous
Clinical narrative: MOC c/o increased rash/redness on body trunk & extremities since yesterday afternoon.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Myalgia
Clinical narrative: Received Flu vaccine (AFLURIA o.5cc) in Left deltoid on 9-24-09. Today on 10-8-09, Patient complains of residual taking Excedrin and soaking in warm bath. Pt. states she had no swelling, fever, chills. I recommended taking Ibuprofen or Aleve and f/u with physician.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: Started having redness and swelling at shot site then developed swelling and redness in lymph node under left arm. Went to see convenient care doctor.
Age: 7.0
Sex: F
Vaccine: FLUN3
Symptoms: Epistaxis
Clinical narrative: Epistaxis
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Itching and swelling at injection site
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hypoaesthesia, Malaise
Clinical narrative: After receiving flu shot for 1st time, c/o left arm numbness then left leg numbness.  Got up to walk around & said she wasn't feeling well.  Sat down BP 102/66.  Then 5 minutes later 100/64 (supine).  C/o breathing problems.  Gave 0.3 ml EPI in left arm below injection site.  Emergency squad called.  Taken to ER.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Blood gases, Computerised tomogram, Convulsion, Differential white blood cell count, Dyspnoea
Clinical narrative: 3 mo old infant received multiple vaccines to include PEDIARIX, HIB, PREVNAR, and ROTARIX during well child visit on September 2nd. On September 3rd. he was brought to Pediatric Clinic by his mother with c/o "trouble breathing". When the physician came into the room, the infant was noted to be seizing. A CBC, CMP, ABG and urine samples were also collected. He was diagnosed with Status Epilepticus and taken to a Hospital where he was admitted to PICU. A CT and brain MRI were completed. EEG demonstrated left temporal focus; HSV PCS & culture were negative; the initial infant screen was insufficient, repeat infant screen, ID & genetic consults are pending.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Electroencephalogram abnormal, Full blood count, Herpes simplex serology negative, Intensive care, Metabolic function test
Clinical narrative: 3 mo old infant received multiple vaccines to include PEDIARIX, HIB, PREVNAR, and ROTARIX during well child visit on September 2nd. On September 3rd. he was brought to Pediatric Clinic by his mother with c/o "trouble breathing". When the physician came into the room, the infant was noted to be seizing. A CBC, CMP, ABG and urine samples were also collected. He was diagnosed with Status Epilepticus and taken to a Hospital where he was admitted to PICU. A CT and brain MRI were completed. EEG demonstrated left temporal focus; HSV PCS & culture were negative; the initial infant screen was insufficient, repeat infant screen, ID & genetic consults are pending.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Nuclear magnetic resonance imaging brain, Status epilepticus, Urine analysis
Clinical narrative: 3 mo old infant received multiple vaccines to include PEDIARIX, HIB, PREVNAR, and ROTARIX during well child visit on September 2nd. On September 3rd. he was brought to Pediatric Clinic by his mother with c/o "trouble breathing". When the physician came into the room, the infant was noted to be seizing. A CBC, CMP, ABG and urine samples were also collected. He was diagnosed with Status Epilepticus and taken to a Hospital where he was admitted to PICU. A CT and brain MRI were completed. EEG demonstrated left temporal focus; HSV PCS & culture were negative; the initial infant screen was insufficient, repeat infant screen, ID & genetic consults are pending.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Crying, Pain, Swelling face
Clinical narrative: 10/9/09 swelling rt cheek. Up Temp 101, pain, crying. Mom gave Benadryl & Tylenol that night, Fever/Pain subsided. Swelling decreased. 10/8/09 pt. seen in office. Lt cheek swollen, afebrile, no lymphadenopathy no dyspnea; no dysphasia.
Age: 53.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Biopsy skin abnormal, Chest pain, Chills, Duodenal ulcer, Haematocrit decreased
Clinical narrative: Nausea, chills, headache night of vaccine. 9/15 legs and hands swelling. Then developed rash on legs, overnight swelling worse. Myalgias, nausea, chest pain sent to ER and admitted to hospital 9/12. Duodenal ulcer. 9/24 Transferred to another hospital. Diagnosis vasculitis (leukocytoclastic vasculitis) skin biopsy.  10/19/09:  Discharge Summary received for date of service 9/16/09-9/22/09.  Dx:  Henoch-Schonlein purpra with bowel involvement.  Assessment:  Presented with nausea, vomiting, leg weakness and achy neck and shoulders, fever and chills.  C/o feeling weak, fatigued, lightheaded and dizzy, calves were tight and painful.  Pt. noted a rash that began at her toes and went up her legs.  Rash was very small, red, non-itchy and non-painful.  Paleness noted on exam.  Tenderness in LUQ, midepigastric area and RUQ.  Multiple red hemorrhagic petechiae from toes circumfrentially up her legs, around her abdomen up to the mid-trunk area anteriorly and posteriorly. After abnormal upper endoscopy made NPO and placed on Proton pump inhibitors.  P. had episodic diarrhea with occasional passage of blood.  Started on IV antibiotic therapy.  Pt. was transferred to a higher level of care.     11/03/09 Medical records and Discharge Summary received for DOS 10/24-10/27. Final DX: Angitis.   Patient transferred to second facility for further eval by rheumatology. CT angiogram for vessel vasculitis neg. H/O of H pylori possible cause for GI ulcer sx.CT  for bloody diar showed large ascites, dilated loops small bowel, concern for ischemic bowel and vasculitis. Also R & L pleural effusion. CXR abnormal.  Stool and C diff cx neg. Hep A and C neg. Steroid therapy at other facility. Most likely hypersensitivity vasculitis s/t tetanus vaccine. Continued steroid therapy. ABX therapy. Sx improved greatly by d/c.
Age: 53.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Headache, Leukocytoclastic vasculitis, Myalgia, Nausea, Oedema peripheral
Clinical narrative: Nausea, chills, headache night of vaccine. 9/15 legs and hands swelling. Then developed rash on legs, overnight swelling worse. Myalgias, nausea, chest pain sent to ER and admitted to hospital 9/12. Duodenal ulcer. 9/24 Transferred to another hospital. Diagnosis vasculitis (leukocytoclastic vasculitis) skin biopsy.  10/19/09:  Discharge Summary received for date of service 9/16/09-9/22/09.  Dx:  Henoch-Schonlein purpra with bowel involvement.  Assessment:  Presented with nausea, vomiting, leg weakness and achy neck and shoulders, fever and chills.  C/o feeling weak, fatigued, lightheaded and dizzy, calves were tight and painful.  Pt. noted a rash that began at her toes and went up her legs.  Rash was very small, red, non-itchy and non-painful.  Paleness noted on exam.  Tenderness in LUQ, midepigastric area and RUQ.  Multiple red hemorrhagic petechiae from toes circumfrentially up her legs, around her abdomen up to the mid-trunk area anteriorly and posteriorly. After abnormal upper endoscopy made NPO and placed on Proton pump inhibitors.  P. had episodic diarrhea with occasional passage of blood.  Started on IV antibiotic therapy.  Pt. was transferred to a higher level of care.     11/03/09 Medical records and Discharge Summary received for DOS 10/24-10/27. Final DX: Angitis.   Patient transferred to second facility for further eval by rheumatology. CT angiogram for vessel vasculitis neg. H/O of H pylori possible cause for GI ulcer sx.CT  for bloody diar showed large ascites, dilated loops small bowel, concern for ischemic bowel and vasculitis. Also R & L pleural effusion. CXR abnormal.  Stool and C diff cx neg. Hep A and C neg. Steroid therapy at other facility. Most likely hypersensitivity vasculitis s/t tetanus vaccine. Continued steroid therapy. ABX therapy. Sx improved greatly by d/c.
Age: 53.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Rash, Vasculitis, White blood cell count increased
Clinical narrative: Nausea, chills, headache night of vaccine. 9/15 legs and hands swelling. Then developed rash on legs, overnight swelling worse. Myalgias, nausea, chest pain sent to ER and admitted to hospital 9/12. Duodenal ulcer. 9/24 Transferred to another hospital. Diagnosis vasculitis (leukocytoclastic vasculitis) skin biopsy.  10/19/09:  Discharge Summary received for date of service 9/16/09-9/22/09.  Dx:  Henoch-Schonlein purpra with bowel involvement.  Assessment:  Presented with nausea, vomiting, leg weakness and achy neck and shoulders, fever and chills.  C/o feeling weak, fatigued, lightheaded and dizzy, calves were tight and painful.  Pt. noted a rash that began at her toes and went up her legs.  Rash was very small, red, non-itchy and non-painful.  Paleness noted on exam.  Tenderness in LUQ, midepigastric area and RUQ.  Multiple red hemorrhagic petechiae from toes circumfrentially up her legs, around her abdomen up to the mid-trunk area anteriorly and posteriorly. After abnormal upper endoscopy made NPO and placed on Proton pump inhibitors.  P. had episodic diarrhea with occasional passage of blood.  Started on IV antibiotic therapy.  Pt. was transferred to a higher level of care.     11/03/09 Medical records and Discharge Summary received for DOS 10/24-10/27. Final DX: Angitis.   Patient transferred to second facility for further eval by rheumatology. CT angiogram for vessel vasculitis neg. H/O of H pylori possible cause for GI ulcer sx.CT  for bloody diar showed large ascites, dilated loops small bowel, concern for ischemic bowel and vasculitis. Also R & L pleural effusion. CXR abnormal.  Stool and C diff cx neg. Hep A and C neg. Steroid therapy at other facility. Most likely hypersensitivity vasculitis s/t tetanus vaccine. Continued steroid therapy. ABX therapy. Sx improved greatly by d/c.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Oedema peripheral, Rash generalised, Rash pruritic
Clinical narrative: Came to pharmacy a.m. of 10/3/09 and stated he was getting a rash that was spreading over body - very itchy - also, one hand was very swollen and itchy. Took oral BENADRYL. As of 10/5 patient getting better.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Contusion, Erythema, Headache, Pain
Clinical narrative: Patient called pharmacy on 10/2/09 reporting bruising, swelling, redness, bumps, upset stomach and headache. Used TYLENOL and cold pack as of 10/8/09 patient stated most sx gone - still sore.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Swelling
Clinical narrative: Patient called pharmacy on 10/2/09 reporting bruising, swelling, redness, bumps, upset stomach and headache. Used TYLENOL and cold pack as of 10/8/09 patient stated most sx gone - still sore.
Age: 64.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site haematoma, Injection site macule, Injection site warmth
Clinical narrative: Bruise at injection site with a warm flat rash extending down arm and curving under arm. Patient had no fever.
Age: 1.05
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Hive on left buttock 24 hour after administration. Resolving with topical HYDROCORTISONE
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Nerve injury, Pain in extremity
Clinical narrative: Patient said arm has hurt for 12 days after shot - cannot raise above her head. Patient states she feels she has nerve damage. She was advised to see a physician.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Fall, Loss of consciousness, Syncope
Clinical narrative: Patient receives FLUVIRIN flu shot. She said was not as bad as she thought. I told her to sit then she fainted sitting in chair then fell on floor. I proceed to do CPR but she became conscious and talking. She was not itching and no hives. Call 911. EMT's came took vitals and took her to hospital.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Left arm deltoid tenderness, swelling, no redness with some left hand swelling requiring pt to remove ring from 4th digit. 25 mg PO BENADRYL and ice to L arm.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Dizziness, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Patient reports onset weakness, intermittent dizziness with redness and warmth of injection site on 10/6/09 no fever. Rt arm (injection) sore. States area is approximately 5 1/2 " long x 2 1/2 " wide red, firm and warm to the touch. She called her MD. No treatment. Did not want to come to office. Pt has history feels better today.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth
Clinical narrative: Patient reports onset weakness, intermittent dizziness with redness and warmth of injection site on 10/6/09 no fever. Rt arm (injection) sore. States area is approximately 5 1/2 " long x 2 1/2 " wide red, firm and warm to the touch. She called her MD. No treatment. Did not want to come to office. Pt has history feels better today.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Swelling
Clinical narrative: Raised red rash on anterior posterior thighs groin area; buttocks and back.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Awoke from nap Saturday 10/3 & swelling of L arm; arm warm to touch. Fever of 103 F 10/3 night. Seen by Pediatrician 10/4 and lines drawn around redness & swelling. Erythema extended past lines. Started on Keflex for cellulitis. To ER 10/5 for x-ray of extremity which was negative.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray normal
Clinical narrative: Awoke from nap Saturday 10/3 & swelling of L arm; arm warm to touch. Fever of 103 F 10/3 night. Seen by Pediatrician 10/4 and lines drawn around redness & swelling. Erythema extended past lines. Started on Keflex for cellulitis. To ER 10/5 for x-ray of extremity which was negative.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling
Clinical narrative: Pt had vaccine on 10/1/09. Next day came in with 4 a.m. under vaccine arm site was a 16 x 8 cm cellulitis horizontally around circumference of arm. It was the right arm. Pt was tender by vaccine injection site and slightly swollen.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Decreased appetite, Heart rate increased, Hot flush, Nausea
Clinical narrative: Approximately 10-15 minutes after receiving the below mentioned flu vaccine, patient states she felt nauseated, " clammy" and "felt like a hot flash". VS stable. Evening of 10-06-09 and day of 10-07-09, patient experienced temp. to 99.9 degrees, pulse to 106, body aches, decreased appetite, nausea, patient felt well 10-08-09 and returned to work.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Approximately 10-15 minutes after receiving the below mentioned flu vaccine, patient states she felt nauseated, " clammy" and "felt like a hot flash". VS stable. Evening of 10-06-09 and day of 10-07-09, patient experienced temp. to 99.9 degrees, pulse to 106, body aches, decreased appetite, nausea, patient felt well 10-08-09 and returned to work.
Age: 75.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Rash
Clinical narrative: Pt had a rash on the abdominal area next to the navel area after administering ZOSTAVAX on 9/3/09. Pt reported rash on 9/15/09.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Body temperature increased
Clinical narrative: Patient reported increased blood pressure and 103 degree temperature 3 days after vaccine administration which sent him to ER.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma
Clinical narrative: Localized Bruising on the site of injection and upper arm near the injection site.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Grip strength decreased, Injection site pain, Myalgia, Pain
Clinical narrative: Vaccine received 9/23/09 afternoon in left deltoid. Usual anticipated muscle soreness 9/23 and 9/24. On 9/25/09 pain increased and extended to left forearm and involved elbow. Managed pain with ibuprofen q 6 hr for 3 days but continued to worsen. 9/26/09 unable to grasp items due to pain. 9/28/09 lessening of pain. 9/29/09 continued aching pain which becomes sharp stabbing pain at elbow when attempt to carry or pull more than 10 pound item.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Vaccine received 9/23/09 afternoon in left deltoid. Usual anticipated muscle soreness 9/23 and 9/24. On 9/25/09 pain increased and extended to left forearm and involved elbow. Managed pain with ibuprofen q 6 hr for 3 days but continued to worsen. 9/26/09 unable to grasp items due to pain. 9/28/09 lessening of pain. 9/29/09 continued aching pain which becomes sharp stabbing pain at elbow when attempt to carry or pull more than 10 pound item.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Large red circle, itching, location very warm to touch.
Age: 78.0
Sex: M
Vaccine: DTAP
Symptoms: Medication error, No adverse event
Clinical narrative: No reaction or symptoms
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Local swelling
Clinical narrative: Within 8 hours developed redness, tenderness, acute swelling of left arm-deltoid muscle. Radiate to neck and down arm. Radial pulse of 3+, sensation WNL.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Radial pulse, Tenderness
Clinical narrative: Within 8 hours developed redness, tenderness, acute swelling of left arm-deltoid muscle. Radiate to neck and down arm. Radial pulse of 3+, sensation WNL.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Anorexia, Blood creatine phosphokinase increased, Blood creatinine normal, Blood sodium increased, Calcium ionised decreased
Clinical narrative: Initial report was received 25 August 2009 from a health care professional. A 14-year-old female patient with no pre-existing medical conditions had received a first dose left deltoid injection (route not reported) of ADACEL, Sanofi Pasteur Inc. lot number UF486BA (corresponding Sanofi Pasteur Ltd. lot number C3099), and a first dose left deltoid intramuscular injection of MENACTRA, lot number U3014AA, and a right deltoid injection (route not reported) of VARIVAX (manufacturer Merck), lot number 0805Y on 13 August 2009 and two days later, the patient's mother phoned their physician to tell them that the patient had been taken to the emergency room because she had bruises all over her body. The patient had not been taking any concomitant medications at the time of vaccination. At the time of the report, the patient's recovery status was unknown. Follow-up information received on 28 September 2009 from a health care professional . Due to the following information, this case meets seriousness criteria and was upgraded due to hospitalization. The patient was not involved in active sports at the time of vaccinations on 13 August 2009; and had no history of recent injuries. Per the reporter, the exact location of the bruising was on the left external aspect of the thigh (side not reported). When asked if the patient was hospitalized or received treatment, the reporter responded "yes", and stated that  relevant diagnostic tests and laboratory results were held with the hospital; however no contact information for the hospital was provided, and dates of hospitalization were also not reported. At the time of this report, the reporter did not know how long the bruising persisted, or if the patient had recovered. Documents held by sender: None. 10/26/09 Hosp. records received for dates 8/18/09 to 8/20/09. DC DX: acute tonsillitis, acute pharyngitis, transient weakness, possible vax. reaction. Presenting SX: in ER pt. c/o left side muscle weakness, dyspnea, chills, n/v, fatigue, dizzy, hives, bruises, chest pain. Pt. states received vax x3 and developed sx. 24hrs later. Assessment: (+)left side thigh contusions. Pt. admitted for r/o GBS vs. somatization vs. MS vs other neurological deficit.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Chest pain, Contusion, Dizziness, Dyspnoea, Gait disturbance
Clinical narrative: Initial report was received 25 August 2009 from a health care professional. A 14-year-old female patient with no pre-existing medical conditions had received a first dose left deltoid injection (route not reported) of ADACEL, Sanofi Pasteur Inc. lot number UF486BA (corresponding Sanofi Pasteur Ltd. lot number C3099), and a first dose left deltoid intramuscular injection of MENACTRA, lot number U3014AA, and a right deltoid injection (route not reported) of VARIVAX (manufacturer Merck), lot number 0805Y on 13 August 2009 and two days later, the patient's mother phoned their physician to tell them that the patient had been taken to the emergency room because she had bruises all over her body. The patient had not been taking any concomitant medications at the time of vaccination. At the time of the report, the patient's recovery status was unknown. Follow-up information received on 28 September 2009 from a health care professional . Due to the following information, this case meets seriousness criteria and was upgraded due to hospitalization. The patient was not involved in active sports at the time of vaccinations on 13 August 2009; and had no history of recent injuries. Per the reporter, the exact location of the bruising was on the left external aspect of the thigh (side not reported). When asked if the patient was hospitalized or received treatment, the reporter responded "yes", and stated that  relevant diagnostic tests and laboratory results were held with the hospital; however no contact information for the hospital was provided, and dates of hospitalization were also not reported. At the time of this report, the reporter did not know how long the bruising persisted, or if the patient had recovered. Documents held by sender: None. 10/26/09 Hosp. records received for dates 8/18/09 to 8/20/09. DC DX: acute tonsillitis, acute pharyngitis, transient weakness, possible vax. reaction. Presenting SX: in ER pt. c/o left side muscle weakness, dyspnea, chills, n/v, fatigue, dizzy, hives, bruises, chest pain. Pt. states received vax x3 and developed sx. 24hrs later. Assessment: (+)left side thigh contusions. Pt. admitted for r/o GBS vs. somatization vs. MS vs other neurological deficit.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Heart rate increased, Hemiparesis, Muscular weakness, Nuclear magnetic resonance imaging normal, Oropharyngeal pain
Clinical narrative: Initial report was received 25 August 2009 from a health care professional. A 14-year-old female patient with no pre-existing medical conditions had received a first dose left deltoid injection (route not reported) of ADACEL, Sanofi Pasteur Inc. lot number UF486BA (corresponding Sanofi Pasteur Ltd. lot number C3099), and a first dose left deltoid intramuscular injection of MENACTRA, lot number U3014AA, and a right deltoid injection (route not reported) of VARIVAX (manufacturer Merck), lot number 0805Y on 13 August 2009 and two days later, the patient's mother phoned their physician to tell them that the patient had been taken to the emergency room because she had bruises all over her body. The patient had not been taking any concomitant medications at the time of vaccination. At the time of the report, the patient's recovery status was unknown. Follow-up information received on 28 September 2009 from a health care professional . Due to the following information, this case meets seriousness criteria and was upgraded due to hospitalization. The patient was not involved in active sports at the time of vaccinations on 13 August 2009; and had no history of recent injuries. Per the reporter, the exact location of the bruising was on the left external aspect of the thigh (side not reported). When asked if the patient was hospitalized or received treatment, the reporter responded "yes", and stated that  relevant diagnostic tests and laboratory results were held with the hospital; however no contact information for the hospital was provided, and dates of hospitalization were also not reported. At the time of this report, the reporter did not know how long the bruising persisted, or if the patient had recovered. Documents held by sender: None. 10/26/09 Hosp. records received for dates 8/18/09 to 8/20/09. DC DX: acute tonsillitis, acute pharyngitis, transient weakness, possible vax. reaction. Presenting SX: in ER pt. c/o left side muscle weakness, dyspnea, chills, n/v, fatigue, dizzy, hives, bruises, chest pain. Pt. states received vax x3 and developed sx. 24hrs later. Assessment: (+)left side thigh contusions. Pt. admitted for r/o GBS vs. somatization vs. MS vs other neurological deficit.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Pain in extremity, Paraesthesia, Pyrexia, Urticaria, White blood cell count increased
Clinical narrative: Initial report was received 25 August 2009 from a health care professional. A 14-year-old female patient with no pre-existing medical conditions had received a first dose left deltoid injection (route not reported) of ADACEL, Sanofi Pasteur Inc. lot number UF486BA (corresponding Sanofi Pasteur Ltd. lot number C3099), and a first dose left deltoid intramuscular injection of MENACTRA, lot number U3014AA, and a right deltoid injection (route not reported) of VARIVAX (manufacturer Merck), lot number 0805Y on 13 August 2009 and two days later, the patient's mother phoned their physician to tell them that the patient had been taken to the emergency room because she had bruises all over her body. The patient had not been taking any concomitant medications at the time of vaccination. At the time of the report, the patient's recovery status was unknown. Follow-up information received on 28 September 2009 from a health care professional . Due to the following information, this case meets seriousness criteria and was upgraded due to hospitalization. The patient was not involved in active sports at the time of vaccinations on 13 August 2009; and had no history of recent injuries. Per the reporter, the exact location of the bruising was on the left external aspect of the thigh (side not reported). When asked if the patient was hospitalized or received treatment, the reporter responded "yes", and stated that  relevant diagnostic tests and laboratory results were held with the hospital; however no contact information for the hospital was provided, and dates of hospitalization were also not reported. At the time of this report, the reporter did not know how long the bruising persisted, or if the patient had recovered. Documents held by sender: None. 10/26/09 Hosp. records received for dates 8/18/09 to 8/20/09. DC DX: acute tonsillitis, acute pharyngitis, transient weakness, possible vax. reaction. Presenting SX: in ER pt. c/o left side muscle weakness, dyspnea, chills, n/v, fatigue, dizzy, hives, bruises, chest pain. Pt. states received vax x3 and developed sx. 24hrs later. Assessment: (+)left side thigh contusions. Pt. admitted for r/o GBS vs. somatization vs. MS vs other neurological deficit.