chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Fatigue, Feeling cold, Headache, Malaise
Clinical narrative: I had a flu shot at 6 o'clock in the evening last Wednesday. At 9, I was really cold so figured I was tired. Well, I had a fleece jacket on, which I left on when I went to bed b/c I was so cold. At 11:30, I woke up shivering. Obviously, I had a high fever but didn't know if I should take anything for it because of the flu shot. So, I just stayed in bed and hoped it would subside and that I'd fall asleep again. I shivered for two solid hours before things settled down and I was able to fall asleep again.   Then, at 4:30 I woke up again (with a headache, aches, and a fever). This time I got up and took my temperature b/c I didn't feel quite as bad as last night: it was 101.4. I still didn't take anything b/c I wanted to speak with a medical person before doing that. At 8 am my temperature was 101.8, and I had a headache and some aches. I called the town health dept. when it opened, and they referred me. The nurse told me to take acetiminophen, not aspirin. I did that and my fever was gone within about 45 minutes. Four hours later, I took two more b/c I didn't feel well, but never got the fever back again. By the next day, Friday, I felt pretty good again.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pyrexia
Clinical narrative: I had a flu shot at 6 o'clock in the evening last Wednesday. At 9, I was really cold so figured I was tired. Well, I had a fleece jacket on, which I left on when I went to bed b/c I was so cold. At 11:30, I woke up shivering. Obviously, I had a high fever but didn't know if I should take anything for it because of the flu shot. So, I just stayed in bed and hoped it would subside and that I'd fall asleep again. I shivered for two solid hours before things settled down and I was able to fall asleep again.   Then, at 4:30 I woke up again (with a headache, aches, and a fever). This time I got up and took my temperature b/c I didn't feel quite as bad as last night: it was 101.4. I still didn't take anything b/c I wanted to speak with a medical person before doing that. At 8 am my temperature was 101.8, and I had a headache and some aches. I called the town health dept. when it opened, and they referred me. The nurse told me to take acetiminophen, not aspirin. I did that and my fever was gone within about 45 minutes. Four hours later, I took two more b/c I didn't feel well, but never got the fever back again. By the next day, Friday, I felt pretty good again.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Moaning, Myalgia, Oedema peripheral, Pain
Clinical narrative: fever for five days (100.5 to 103 degrees), body achiness for 6 days, red rash and swelling on arm from shot area down to the elbow (persisted from 48 hours after the shot til present time, 8 days), extreme soreness in the upper arm, causing moaning during sleep and waking from sleep if the arm was touched.  The muscle area of the arm is still extremely sore, swollen, and red, requiring pain medication. The doctor was seen after 72 hours, treatment: moist compresses on the red swollen area and pain medication.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Pyrexia, Rash erythematous
Clinical narrative: fever for five days (100.5 to 103 degrees), body achiness for 6 days, red rash and swelling on arm from shot area down to the elbow (persisted from 48 hours after the shot til present time, 8 days), extreme soreness in the upper arm, causing moaning during sleep and waking from sleep if the arm was touched.  The muscle area of the arm is still extremely sore, swollen, and red, requiring pain medication. The doctor was seen after 72 hours, treatment: moist compresses on the red swollen area and pain medication.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Headache, Hypoaesthesia, Malaise, Nausea
Clinical narrative: pain and numbness to left arm, with headache soon after receiving vaccine; took Ibuprofen for achy arm but symptoms lasted for about a week; within 10 days, arm pain resolved but started to feel pressure to chest and nausea with mucosy vomit and overall not feeling well; notices feeling itching to neck without rash when nauseated
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pruritus, Vomiting
Clinical narrative: pain and numbness to left arm, with headache soon after receiving vaccine; took Ibuprofen for achy arm but symptoms lasted for about a week; within 10 days, arm pain resolved but started to feel pressure to chest and nausea with mucosy vomit and overall not feeling well; notices feeling itching to neck without rash when nauseated
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Erythema, Induration, Injection site erythema, Injection site swelling
Clinical narrative: About 7 hours after  receiving both influenza and pneumovax 23 vaccines, bagan shivering, led to severe chills and shaking, after 3 hours it became a fever and lasted perhaps 2 hours.  The next morning there was a swollen red area, warm, firm and painful , on the shoulder about 2 inches above the injection sites.  The area is still red and slightly larger than the quarter sized area but the pain has decreased and appears to not need any further medical attention.
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pyrexia, Skin warm, Swelling, Tremor
Clinical narrative: About 7 hours after  receiving both influenza and pneumovax 23 vaccines, bagan shivering, led to severe chills and shaking, after 3 hours it became a fever and lasted perhaps 2 hours.  The next morning there was a swollen red area, warm, firm and painful , on the shoulder about 2 inches above the injection sites.  The area is still red and slightly larger than the quarter sized area but the pain has decreased and appears to not need any further medical attention.
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Received vaccination on 11/8/07 at 1:30pm and felt symptoms on 11/9/07 at 8:30pm.  Had stomach ache, which led to vomiting off and on for 6 hours.  Had diarrhea for 24 hours and a fever 2 degrees above normal.  Only lasted for 24 hours.  Drank pedialite & water, took advil, and had light foods.  Recovered quickly from most symptoms - still had slight fever second day.
Age: 0.33
Sex: M
Vaccine: 6VAX-F, HIBV, PNC, RV5
Symptoms: Injection site swelling, Tenderness
Clinical narrative: R leg (received PCV7, Hib, Pediarix) because of vascular abnormality on L side (possible  Cutis Marmorata Telangiectatica Congenita), patient had swelling of right leg overnight and L side was tender at that time.  On exam the following day, the R thigh was normal without any swelling.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count, Injection site swelling, Lymphadenopathy
Clinical narrative: Developed extensive swelling from site of injection up into right shoulder, right side of neck with right anterior cervical, post cervical and sight supraclavicular lymphadenopathy. Pt given DepoMedrol 160 mg IM, Prednisone 40mg taper over 4 days, and Lortabs for pain.
Age: 6.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness,tenderness and swelling golf ball size around the site of injection
Age: 46.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: redness, swelling, pain, from shoulder to elbow.  began the evening of injection and worsened over next 2 days.  treated with levaquin for cellulitis.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Acne, Herpes zoster, Infection, Paraesthesia, Pruritus
Clinical narrative: Pt received Zostavax vaccine on 10/10/07, came to the pharmacy after seeing dermatologist on 10/24/07 with pimples on neck, complaining of tingling, itching and secondary infection, diagnosed with shingles by dermatologist.  Given Valtrex on 11/1/07.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Received a flu vaccination on 10-29-07 and reported that the site of the injection was red, swollen and very tender for approx. 5 days.  Resolved without seeing a health care provider.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site pustule, Injection site reaction, Staphylococcal infection
Clinical narrative: At site of single Hep A injection, a superficial oval of desquamation occurred followed by satellite pustules. All consistent with a possible Staph secondary infection.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Three days after receiving dose #1 of HPV vaccine, she broke out with hives on her back.  These went away, but then she broke out again with hives on 11/6/07 on back and abdomen.  Subsided on own within a day.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Malaise, Pain in extremity
Clinical narrative: I felt not well soon after the vaccine was administered (Saturdat, Nov. 3).  I was awoken with a pain in my arm at 4 am the next morning. I ran a fever of 101-102. I went to the ER and my wbc was 15,000.  I was released with levoquine.  The hot, red sore on my arm, at the injection site, was spreading and I returned to the hospital.  My white count was 18000. I was placed on vancomyacin and zosyn.  the symptoms partially remitted. I was then transferred to Zyvox (first IV and then orally) and lovoquin again and was released from the hospital on Thursday.  there was a discussion about inserting a PIC line, but I was opposed to that without a better explanation as to why one was needed. The red area appears to be resolving. I have advised Health care of this event and have urged them to report it.  11/21/2007 MR received for DOS 11/5-8/2007 with D/C DX:  Cellulitis to the LUE.  Leukocytosis with bandemia, resolved.  Diabetes mellitus Type II, HTN, Hypothyroidism, Increased LFTs. Pt noted pain and swelling to LUE and feeling feverish following Pneumovax.  Pt seen in ER and txd with abx and d/cd on po abx, but with worsening cellulits sx and elevated WBCs, she was subsequently admitted.  PE (+) for erythema, tenderness, induration and warmth at pneumovax injection site.   Pt's WBCs decreased with abx tx and pt was d/cd home.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: I felt not well soon after the vaccine was administered (Saturdat, Nov. 3).  I was awoken with a pain in my arm at 4 am the next morning. I ran a fever of 101-102. I went to the ER and my wbc was 15,000.  I was released with levoquine.  The hot, red sore on my arm, at the injection site, was spreading and I returned to the hospital.  My white count was 18000. I was placed on vancomyacin and zosyn.  the symptoms partially remitted. I was then transferred to Zyvox (first IV and then orally) and lovoquin again and was released from the hospital on Thursday.  there was a discussion about inserting a PIC line, but I was opposed to that without a better explanation as to why one was needed. The red area appears to be resolving. I have advised Health care of this event and have urged them to report it.  11/21/2007 MR received for DOS 11/5-8/2007 with D/C DX:  Cellulitis to the LUE.  Leukocytosis with bandemia, resolved.  Diabetes mellitus Type II, HTN, Hypothyroidism, Increased LFTs. Pt noted pain and swelling to LUE and feeling feverish following Pneumovax.  Pt seen in ER and txd with abx and d/cd on po abx, but with worsening cellulits sx and elevated WBCs, she was subsequently admitted.  PE (+) for erythema, tenderness, induration and warmth at pneumovax injection site.   Pt's WBCs decreased with abx tx and pt was d/cd home.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt was vaccinated on Oct 25, 2007 with Zostavax. He presented today with possible dermatolmal zoster
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test normal, Electrocardiogram normal, Loss of consciousness, Pallor
Clinical narrative: HE PASSED OUT, WAS NOT RESPONDING, FACE WAS PALE. HE WOKE UP ABOUT 2 MINUTES AFTER AN EPI PEN SHOT
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Heat therapy, Local reaction, Swelling
Clinical narrative: Large Local Reaction developing on left deltoid 2-4 days after vaccine with swelling per mom reported as "softball size."  Treated with Tylenol / Ibuprofen and warm compresses. Visit recommended for formal evaluation, but declined.
Age: 42.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Back pain, Chest discomfort, Chills, Pain in extremity, Pyrexia
Clinical narrative: Severe soreness in left arm (arm both injections were put in)- Tightness in chest to the point I thought I was having a heart attack - Severe pain in back -  Chills - Fever
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Within 8 hours broke out in hives over face, neck, trunk, limbs, palms and soles. Very pruritic. No lymph nodes, no fever. Area of injection, red, swollen, warm and tender
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Within 8 hours broke out in hives over face, neck, trunk, limbs, palms and soles. Very pruritic. No lymph nodes, no fever. Area of injection, red, swollen, warm and tender
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Painful at injection site.  Site is red and swollen.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Fluzone 0.5ml IM left deltoid on Sat 11/10/07. Pt called Sunday afternoon to say she had a rash over arms, body, legs (thighs) and stomach. She had taken Benadryl 50mg Q4h but the rash has not subsided.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Fever 104, chills, vomiting, diarrhea, weakness.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Pt. in office on 11/9, received flu vaccine.  We then realized pt. already received flu vaccine on 10/19/07.  There were no adverse reactions per mom.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: Zostavax vaccine given IM instead of subq.  Pt did wait 15 mins but pt left before I was able to check his arm.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered, Injection site pain, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).  Reported slight Lt deltoid soreness 5 hrs after injection.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient given wrong dose (1 cc given).
Age: 3.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Rash
Clinical narrative: Pt had rash all over face and abdomen.  No swelling or trouble breathing.  Gave Benadryl in the office and he improved.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysphonia, Malaise, Myalgia, Sinus disorder
Clinical narrative: 11/2/07: general malaise, myalgia, sinus, hoarseness, dizziness.  11/12/07: Hoarseness, dizziness, general malaise, resolving, still some myalgia.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Flushing, Headache, Skin discomfort
Clinical narrative: On 11/2/07 in early afternoon felt fatigued, flushed, developed headache, had severe chills, skin hurt to touch.  Took Tylenol that evening, continued Tylenol on regular basis.  Symptoms continued until PID appt on 11/5/07.  Started taking ibuprofen BID that evening 11/9/07 feeling some better, no HA, no chills, still feels fatigued.  Plans to follow up with MD next week if not feeling 100%.
Sex: U
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Lymphadenopathy, Pruritus, Rash, Skin warm
Clinical narrative: Day after injection (Oct 20), itching back of head, top of ears itchy & warm like on fire.  Persisted 4 days.  Then noticed swollen glands Tuesday (Oct 23rd) after injection.  10/26-Noticed rash on chest that itched.  Took Benadryl 50 mg q hrs x3 nights.  10/29-At 22OD, rash on arms & trunk noticed with urticaria.  Went to ECC.  Taken out of work 30th & 31st.  Own MD started patient on Prednisone pack with declining doses & XYZ.  Recovered by Nov 5th & returned to work 11/6.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Day after injection (Oct 20), itching back of head, top of ears itchy & warm like on fire.  Persisted 4 days.  Then noticed swollen glands Tuesday (Oct 23rd) after injection.  10/26-Noticed rash on chest that itched.  Took Benadryl 50 mg q hrs x3 nights.  10/29-At 22OD, rash on arms & trunk noticed with urticaria.  Went to ECC.  Taken out of work 30th & 31st.  Own MD started patient on Prednisone pack with declining doses & XYZ.  Recovered by Nov 5th & returned to work 11/6.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Dyspnoea, Erythema, Joint stiffness, Pain
Clinical narrative: At 0300 (4 hrs post injection) arm red, hot to touch, achy.  2-3 days after injection SOB upon ambulating, all joints stiff, and rash appeared (raised and itchy on trunk of body), went to MD on day 3 after work.  Put on tapering dose of Prednisone for total of 12 days.  Within 2 days of starting Predisone, patient felt better.  Had F/u appt twice that week.  Next F/u 11/28/07.  Recovered 2 wks post injection (missed work).
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash pruritic, Skin warm
Clinical narrative: At 0300 (4 hrs post injection) arm red, hot to touch, achy.  2-3 days after injection SOB upon ambulating, all joints stiff, and rash appeared (raised and itchy on trunk of body), went to MD on day 3 after work.  Put on tapering dose of Prednisone for total of 12 days.  Within 2 days of starting Predisone, patient felt better.  Had F/u appt twice that week.  Next F/u 11/28/07.  Recovered 2 wks post injection (missed work).
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Headache, Mass, Myalgia, Oedema peripheral
Clinical narrative: Redness, swelling "whelp", itching, soreness, headache per patient.  Left arm.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Redness, swelling "whelp", itching, soreness, headache per patient.  Left arm.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Musculoskeletal pain
Clinical narrative: Unable to use shoulder with full range without causing severe pain.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Local reaction, Oedema peripheral
Clinical narrative: Localized swelling R arm S/P HPV/Gardasil #3 vaccine.  Non-tender.
Age: 1.7
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Unclear if secondary to vaccination 3 days prior or coincidental to vaccine.
Age: 1.0
Sex: F
Vaccine: FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Gait disturbance, Injection site pain, Injection site swelling, X-ray limb normal
Clinical narrative: Swelling & pain both thighs in 24hr after immunization.  Refusing to stand, improved over 4 days.
Age: 16.0
Sex: M
Vaccine: FLU3, MNQ, PPV
Symptoms: Abdominal pain upper, Full blood count, Headache, Nausea, Pain in extremity
Clinical narrative: Nausea, R arm hurts, fever 100.4 degrees, headache, stomach ache.  WBC elevated.  Rociphin injection given x3 and CBC with diff. requested.
Age: 16.0
Sex: M
Vaccine: FLU3, MNQ, PPV
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Nausea, R arm hurts, fever 100.4 degrees, headache, stomach ache.  WBC elevated.  Rociphin injection given x3 and CBC with diff. requested.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: "None Stated"
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Erythema, Paraesthesia, Pruritus
Clinical narrative: Red, Burning, itching; Benadryl - Still have intermitted burning and tingling
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Myalgia, Pain, Paraesthesia
Clinical narrative: 10/26/07-Headache, soreness, tingling down L upper arm.  11-2-07 Tingling, stinging sensation L shoulder/neck.  11-3-07 Tingling, stinging L side face.  Sensation moved 11-5-07 to R side face.  Headache continues.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abasia, Personality change, Pyrexia
Clinical narrative: Mom felt pt had temp 102.5 of 3 days Tylenol was given out on 3 occasions, as per mom.  Also felt pt was "not herself", not cooing to mom's voice/not holding on with her hand to mom's shoulder & neck to be picked up & no more "walking".
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site swelling
Clinical narrative: Information has been received from a physician concerning a 4 year old female who on 13-JUL-2007 was vaccinated with a second dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wister RA 27/3) (+) varicella virus vaccine live (Oka/Merck upgrade process).  Concomitant therapy that same day included diphtheria toxoid (+) pertussis acellular 1-component vaccine (+) poliovirus vaccine inactivated (Vero) (+) tetanus toxoid (DTAP-IPV), hepatitis A virus vaccine (unspecified and tuberculin purified protein derivative.  On 14-JUL-2007, the patient developed swelling of her left arm at the injection site.  The physician stated "it was normal swelling".  The patient was given "additional medication" on the same day.  Unspecified medical attention was sought.  There was no product quality complaint.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Anorexia, Chills, Fatigue, Headache, Nausea
Clinical narrative: FEVER, NAUSEA, BODY ACHES, HEADACHES, EXTREME CHILLS, NO APPETITE, EXTREME FATIGUE, UPPER RESPIRATORY PROBLEMS, POSSIBLY PNEUMONIA, WILL SEE TOMORROW.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pyrexia, Respiratory disorder
Clinical narrative: FEVER, NAUSEA, BODY ACHES, HEADACHES, EXTREME CHILLS, NO APPETITE, EXTREME FATIGUE, UPPER RESPIRATORY PROBLEMS, POSSIBLY PNEUMONIA, WILL SEE TOMORROW.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pain in extremity
Clinical narrative: Sore arm, headache
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea, Diarrhoea haemorrhagic
Clinical narrative: Pt received Rotateq on 10/5/07.  On 10/9/07, she developed watery diarrhea and on 10/10/07 she developed bloody diarrhea which lasted for a week. Stool cultures sent and were negative for bacteria.
Age: 40.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: Client reports receiving a flu and pneumonia shot in the left arm.  A few hours after receiving the injection didn't feel well.  Next morning he had difficulty getting up, took about two hours to get going.  Went to the nurse at work and she gave advice, he decided to go to a doctor; the doctor looked at his arm and sent him to emergency.  Emergency doctor told him he had "cellulitis", prescribed pain medication and antibiotics.  Slowly getting better.  Arm remains red and with some swelling.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: High fever 102-103 for two days, arm swollen and very sore, swelling underarm for 3 days
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Cyanosis, Gaze palsy, Grand mal convulsion, Pallor
Clinical narrative: APPROX 1-2 MINUTES PATIENT BECAME PALE, CONTINUED TO BECOME INCREASINGLY PALE EYES ROLLED BACK AND PATIENT STARTED TO HAVE GRAND MAL SEIZURE LASTING APPROX 5 SECONDS. CIRCUMORAL CYANOSIS NOTED.  PATIENT NEUROLOGICALLY APPROPRIATE POST SEIZURE.  BLOOD PRESSURE 102/40 IMMEDIATELY POST, 128/52 10 MINUTES POST.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt. complains of soreness in arm daily ever since the shot was administered, about 2 weeks now. Patient had taken Lortab with no relief. And she is unable to take ASA or NSAIDs per patient. Told to follow up with MD
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: Patient developed erythemic nodule 6 cm in diameter at site of injection (left deltoid). No treatment was requested/required. Resolving at time of assessment (48 hours post-injection).
Age: 7.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Asthma, Influenza like illness, Nasopharyngitis, Wheezing
Clinical narrative: Patient went to Doctors office for seven year well visit. Patient was healthy with no symptons of cold or flu.  Flu shot was offered and given to patient. Patient developed cold and flu like symptons overnight and begin weezing. The following day went back to doctor and he prescribed pulmicort and Xopenex to help with the viral induced asthma. Overnight developed pain in joints.  Went back on third day and treated joint pain with Motrin. Ashtma cleared after two weeks of treatments of pulmicort and Xopenex. Each time patient gets a cold, an asthma attack occurs and breathing treatments are given (pulmicort and xopenex.)  The patient never had asthma or any related symptons prior to the flu shot.
Age: 67.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Rash
Clinical narrative: Received flu injection 10/10/2007 Skin eruption occured five days later starting with right shoulder and extending over trunk area. Saw PA and then was seeen by Dr.  Received steroids and said MD called it a drug eruption. Person is on Attenolol,Norvasc, HCTZ, K+,Evista,Lasix,Zedia with no prior problems
Age: 67.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Biopsy, Biopsy skin, Dry skin, Rash, Rash macular
Clinical narrative: Received flu injection 10/10/2007 Skin eruption occured five days later starting with right shoulder and extending over trunk area. Saw PA and then was seeen by Dr.  Received steroids and said MD called it a drug eruption. Person is on Attenolol,Norvasc, HCTZ, K+,Evista,Lasix,Zedia with no prior problems
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Oedema peripheral, Pain
Clinical narrative: Ached all over for 2 days. Tenderness in the area. Very swollen under the armpit for 24 hours-difficult to bathe that evening very uncomfortable through the next day. Never had a rash on the affected arm. Felt more comfortable after 48 hours.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: APPROXIMATELY 4-5 HRS. AFTER FLU VACCINE GIVEN DEVELOPED A RASH ON NECK, BOTH ARMS,AND UPPER TRUNK. DESCRIBED AS DIFFUSE AND LIKE MOSQUITO BITES.  ITCHING TREATED WITH BENADRYL 50 MG P.O. X ONE DOSE, AND ITCHING RESOLVED  PER PHYSICIAN ADVISE TAKING CLARITIN 10 MG EVERY 12 HRS TO RELIEVE RASH.  RASH RESOLVED AFTER 3 DAYS TREATMENT WITH CLARITIN.
Age: 5.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site pruritus, Injection site urticaria, Rash
Clinical narrative: Itching and bumps/hives at injection site.  Injection was given on a Tues, rash showed on Sat., then again the next Tues (one week after injection).  Treated with Benedryl and hydrocortizone cream.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Pt received flu shot at clinic in building.  The following day her daughter called the housing manager to report that the patient has dementia  and receives all her vaccines at the Program.  She stated that the patient had received her flu vaccine at the Program prior to the one received at the flu clinc held in the building. Daughter did not report any adverse events.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood electrolytes normal, Crying, Electroencephalogram normal, Full blood count, Haemoglobin decreased
Clinical narrative: Patient received vaccinations, including Pediarix (#2), HIB (#2), Rotateq (#2), Prevnar (#2). He cried vigorously and then settled down. Mother was dressing him to leave ~2-3 minutes after the shots were given and he went limp in her arms. I arrived immediately to find the child weakly responsive. He maintained his heart rate (100-110) and respirations throughout the episode. He would open his eyes to sternal rub and then fall back into decreased consciousness. No posturing or clonic movements noted. After ~5-10 minutes he regained consciousness and was interactive and cried for his bottle, which he took well. 12/7/07-records received for DOS 11/9/07-pesents with 1 episode of LOC x 2 min while at clinic. Episode was not accompanied by jerking. Eyes rolled back. Impression: episode of loss of consciousness. Differential includes breath holding spell, syncope, seizure secondary to cough medicine.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypotonia, White blood cell count increased
Clinical narrative: Patient received vaccinations, including Pediarix (#2), HIB (#2), Rotateq (#2), Prevnar (#2). He cried vigorously and then settled down. Mother was dressing him to leave ~2-3 minutes after the shots were given and he went limp in her arms. I arrived immediately to find the child weakly responsive. He maintained his heart rate (100-110) and respirations throughout the episode. He would open his eyes to sternal rub and then fall back into decreased consciousness. No posturing or clonic movements noted. After ~5-10 minutes he regained consciousness and was interactive and cried for his bottle, which he took well. 12/7/07-records received for DOS 11/9/07-pesents with 1 episode of LOC x 2 min while at clinic. Episode was not accompanied by jerking. Eyes rolled back. Impression: episode of loss of consciousness. Differential includes breath holding spell, syncope, seizure secondary to cough medicine.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Pt developed rash 11 days after receiving her MMR immunization.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Bone pain, Burning sensation, Erythema, Malaise, Pain
Clinical narrative: FLU SHOT ADMINISTERED IN LEFT ARM. PNEUMONIA SHOT ADMINISTERED IN RIGHT ARM. IT WAS THE RIGHT ARM (PNEUMONIA) WHICH WAS AFFLICTED. FROM RIGHT SHOULDER DOWN THROUGH RIGHT ARM TURNED RED AND WAS TENDER/BURNED. PATIENT FELT SICK AND SAID "BONES ACHED" ALL NIGHT. PATIENT FELT THIS WAY THURSDAY NIGHT THROUGH SUNDAY AFTERNOON, AT WHICH TIME ALL SYMPTOMS RESOLVED AND PATIENT FELT FINE. PATIENT REPORTED THIS TO PHARMACIST TUESDAY AFTERNOON.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: FLU SHOT ADMINISTERED IN LEFT ARM. PNEUMONIA SHOT ADMINISTERED IN RIGHT ARM. IT WAS THE RIGHT ARM (PNEUMONIA) WHICH WAS AFFLICTED. FROM RIGHT SHOULDER DOWN THROUGH RIGHT ARM TURNED RED AND WAS TENDER/BURNED. PATIENT FELT SICK AND SAID "BONES ACHED" ALL NIGHT. PATIENT FELT THIS WAY THURSDAY NIGHT THROUGH SUNDAY AFTERNOON, AT WHICH TIME ALL SYMPTOMS RESOLVED AND PATIENT FELT FINE. PATIENT REPORTED THIS TO PHARMACIST TUESDAY AFTERNOON.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Erythema, Feeling hot, Headache
Clinical narrative: 11.09.07 12:30pm soreness, redness, swelling, hot where the shot was given, headaches;       11.10.07 am where the shot was given Skin irritation growth up to 3 x 3 cm and very hard, headaches, hot feeling, redness on skin of head and dekolte, light flu like symptoms - 4:00 pm weakness;                                   11.11.07 same symptoms as day before,where the shot was given Skin irritation growth up to 5 x 5 cm and very hot and hard, pm hives, strong flu like symptoms, 8:30 pm dizziness for about 5 minutes, nearly felt down;                 11.12.07 same symptoms but less then the day before, no dizziness, pm - skin irritation shrinks and is less red and hot;                       11.13.07 skin irritation nearly gone , not red and not hot, not hard anymore, hives, light flu like symptoms - feel much better.                   From 11.09.07 until 11.12.07 4 times a day 400mg Paracetamol, 300mg Ascorbinsäure, 50mg Coffein, 5mg Chlorphenaminhydrogenmaleat, 1 once a day, 1000mg Vitamin C, 35 drops of Umckaloabo = Perlargonium reniforme/sidoides 80,0g;     11.13.07   2 times a day 400mg Paracetamol, 300mg Ascorbinsäure, 50mg Coffein, 5mg Chlorphenaminhydrogenmaleat,                      1 once a day, 1000mg Vitamin C, 35 drops of Umckaloabo = Perlargonium reniforme/sidoides 80,0g.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: 11.09.07 12:30pm soreness, redness, swelling, hot where the shot was given, headaches;       11.10.07 am where the shot was given Skin irritation growth up to 3 x 3 cm and very hard, headaches, hot feeling, redness on skin of head and dekolte, light flu like symptoms - 4:00 pm weakness;                                   11.11.07 same symptoms as day before,where the shot was given Skin irritation growth up to 5 x 5 cm and very hot and hard, pm hives, strong flu like symptoms, 8:30 pm dizziness for about 5 minutes, nearly felt down;                 11.12.07 same symptoms but less then the day before, no dizziness, pm - skin irritation shrinks and is less red and hot;                       11.13.07 skin irritation nearly gone , not red and not hot, not hard anymore, hives, light flu like symptoms - feel much better.                   From 11.09.07 until 11.12.07 4 times a day 400mg Paracetamol, 300mg Ascorbinsäure, 50mg Coffein, 5mg Chlorphenaminhydrogenmaleat, 1 once a day, 1000mg Vitamin C, 35 drops of Umckaloabo = Perlargonium reniforme/sidoides 80,0g;     11.13.07   2 times a day 400mg Paracetamol, 300mg Ascorbinsäure, 50mg Coffein, 5mg Chlorphenaminhydrogenmaleat,                      1 once a day, 1000mg Vitamin C, 35 drops of Umckaloabo = Perlargonium reniforme/sidoides 80,0g.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Skin irritation
Clinical narrative: 11.09.07 12:30pm soreness, redness, swelling, hot where the shot was given, headaches;       11.10.07 am where the shot was given Skin irritation growth up to 3 x 3 cm and very hard, headaches, hot feeling, redness on skin of head and dekolte, light flu like symptoms - 4:00 pm weakness;                                   11.11.07 same symptoms as day before,where the shot was given Skin irritation growth up to 5 x 5 cm and very hot and hard, pm hives, strong flu like symptoms, 8:30 pm dizziness for about 5 minutes, nearly felt down;                 11.12.07 same symptoms but less then the day before, no dizziness, pm - skin irritation shrinks and is less red and hot;                       11.13.07 skin irritation nearly gone , not red and not hot, not hard anymore, hives, light flu like symptoms - feel much better.                   From 11.09.07 until 11.12.07 4 times a day 400mg Paracetamol, 300mg Ascorbinsäure, 50mg Coffein, 5mg Chlorphenaminhydrogenmaleat, 1 once a day, 1000mg Vitamin C, 35 drops of Umckaloabo = Perlargonium reniforme/sidoides 80,0g;     11.13.07   2 times a day 400mg Paracetamol, 300mg Ascorbinsäure, 50mg Coffein, 5mg Chlorphenaminhydrogenmaleat,                      1 once a day, 1000mg Vitamin C, 35 drops of Umckaloabo = Perlargonium reniforme/sidoides 80,0g.
Age: 28.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Cellulitis, Hyperhidrosis, Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a 30 year old female who on 27-SEP-2006 was vaccinated with a 0.5 ml dose of Pneumovax 23 (Lot #651322/1044P). Concomitant therapy included an unspecified blood thinner. Subsequently, "several days later after administering vaccine", the patient experienced sweating that turned out to be a fever of 104 degrees. The injection site was red and swollen. Later she had cellulitis, became septic and had to have the wound opened at the injection site. She was hospitalized for 8 days and was on 4 different unspecified antibiotics. Subsequently, symptoms improved and on an unspecified date the patient recovered. Additional information is not expected.
Age: 28.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Sepsis
Clinical narrative: Information has been received from a 30 year old female who on 27-SEP-2006 was vaccinated with a 0.5 ml dose of Pneumovax 23 (Lot #651322/1044P). Concomitant therapy included an unspecified blood thinner. Subsequently, "several days later after administering vaccine", the patient experienced sweating that turned out to be a fever of 104 degrees. The injection site was red and swollen. Later she had cellulitis, became septic and had to have the wound opened at the injection site. She was hospitalized for 8 days and was on 4 different unspecified antibiotics. Subsequently, symptoms improved and on an unspecified date the patient recovered. Additional information is not expected.
Age: 0.5
Sex: M
Vaccine: RV5
Symptoms: Culture stool negative, Diarrhoea, Haematochezia
Clinical narrative: Information has been received from a physician concerning a 6 month old male with no medical history and no allergies who on 19-JUN-2007 received his first dose and on 19-OCT-2007, received his third 2.0 ml oral dose of Rotateq (lot# 656385/0030U) (date of second dose was not reported). There was no concomitant medication. it was reported that on 19-OCT-2007, he developed diarrhea with trace amounts of blood two hours after he had received the vaccine. He was seen by his physician and it was reported that the diarrhea lasted for a few days then resolved on its own. A stool culture was reported as negative. It was reported that as of this report the patient had recovered. No product quality complaint was reported. Further information was not available. Upon internal review it was determined that diarrhea with trace amounts of blood was an other important medical event. Additional information has been requested.
Age: 0.4
Sex: U
Vaccine: MMR, RV5
Symptoms: Diarrhoea, Haematochezia, Inappropriate schedule of drug administration, Vomiting
Clinical narrative: Information has been received from a physician concerning an approximately 4 month old patient with no pertinent medical history who was vaccinated PO with the first dose of Rotateq. Concomitant vaccination administered within the same visit included a dose of MMR II. In September 2007, the patient developed bloody stools, vomiting and diarrhea. Unspecified medical attention was sought. It was noted that the patient "did not have any pain in the abdominal region." Subsequently, the patient was taken to a hospital. The patient was not recovered at the time of this report. There was no product quality complaint. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dizziness, Loss of consciousness, Syncope
Clinical narrative: Information has been received from a physician concerning a 13 year old female who on 29-OCT-2007 was vaccinated with Gardasil intramuscularly. On 29-OCT-2007 after standing up from the examination table, the patient felt light headed. The patient was placed on a chair and fainted shortly thereafter. Seizure activity started after the patient had been unconsciousness approximately 10 seconds and lasted approximately 5-10 seconds. The patient regained unconsciousness. Vital signs were taken which were normal. The patient was observed for 20 minutes. An EEG was ordered (results not reported) and the patient was release with her mom. On 29-OCT-2007 the patient recovered from the seizure and fainting. Upon internal review seizure was determined to be an other important medical event. Additional information is expected.
Age: 4.0
Sex: M
Vaccine: FLU3, IPV, MMRV
Symptoms: Blood calcium normal, Blood electrolytes normal, Blood magnesium normal, Grand mal convulsion
Clinical narrative: Grand mal seizure-pt home approx 12-13 hrs after immunizations IV Diazepam given.  12/07/2007 ER report received for DOS 10/26/07 with Final DX:  First time seizures.  Pt developed seizure at home described as whole body shaking and eye rolling with perioral cyanosis on pm of vax.  PE WNL except for (+) irritability.  Observed for 23 hrs and D/c.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Blood culture negative, Computerised tomogram normal, Confusional state, Culture urine negative
Clinical narrative: Pt developed confusion, apasia 3 days after flu shot. Was hospitalized for 4 days with negative w/up-diagnosis was encephalopathy possibly due to flu shot 12/26/07-records received for DOS 10/7-10/12/07-Metabolic encephalopathy of unknown case as well as some underlying dementia. Presented to ED with confusion which started day before. Difficulty with finding words and not completely making sense. Speech garbled.  On date of admission unable to walk. Fever.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Electroencephalogram normal, Encephalopathy, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Pt developed confusion, apasia 3 days after flu shot. Was hospitalized for 4 days with negative w/up-diagnosis was encephalopathy possibly due to flu shot 12/26/07-records received for DOS 10/7-10/12/07-Metabolic encephalopathy of unknown case as well as some underlying dementia. Presented to ED with confusion which started day before. Difficulty with finding words and not completely making sense. Speech garbled.  On date of admission unable to walk. Fever.
Age: 0.62
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: MMR, VARICELLA, HEP A WAS GIVEN  TO 7MTH OLD CHILD...NO IMMEDIATE SIDE EFFECTS..PATIENT WAS KEPT IN OFFICE FOR 2 HOURS AND NO REACTION...DR. SPOKE WITH INFECTIOUS DISEASE AT HOSPITAL, AND WAS INFORMED THAT NO SIDE EFFECTS WERE EXPECTED FROM THE VACCINES GIVEN TO 7NTH OLD CHILD..
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema, Pruritus, Pyrexia, Rash
Clinical narrative: FEVER, RASH, ITCHING, REDNESS, EDEMA.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Full blood count, Nasal congestion, Pyrexia, Wheezing
Clinical narrative: Two days after, flumist was administrated pt developed fever, nasal congestion, cough and wheezing. Symptoms lasted for 4 days. Pt then came to office to be seen. Pt had cbc which was normal. Albtuerol neb x 2 where given. Pt continued to wheeze. Was sent home on albtuerol and pulmicort.
Age: 44.0
Sex: M
Vaccine: ANTH, FLUN3
Symptoms: Erythema, Mydriasis, Photophobia, Swelling, Vision blurred
Clinical narrative: Member is experiencing redness, swelling, intermittent light sensitivity, and blurred vision in LEFT eye approx 9 hours after vaccination. Treatment to date includes opthalmic antibiotics and steriod drops (G.E. Polymyxin B/TMP and Tobradex).
Age: 55.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Hypoaesthesia, Joint swelling
Clinical narrative: 5-7 DAYS FOLLOWING MMR VACCINE, I DEVELOPED PAIN, SWELLING, AND NUMBNESS IN MY FINGER, KNEES, ANKLES, AND MY ARM.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: No adverse events. Adult dose given to 16 year old.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Crying
Clinical narrative: PARENT STATES "CHILD CRIED FOR 2 DAYS"
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Influenza
Clinical narrative: Client had flu symptoms approximately 2 weeks after the Flu Mist administration, and has continued with these to the present.  Is being treated by the primary physican with Tamiflu.
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ, VARCEL
Symptoms: Body temperature increased, Injection site swelling, Medication error, Somnolence, Wrong drug administered
Clinical narrative: Tdap, Menactra, Varicella#2 given 10/15/2007 10/16/2007 temp 101.6, drowsy, swelling at injection site
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Blood thyroid stimulating hormone normal, Chills, Electromyogram abnormal, Fatigue
Clinical narrative: 11/1/07. Initially had lower back pain and left arm pain. Following day low-grade fevers and chills x 24 hrs followed by pain/weakness in both thighs interfering with walking and achy, sharp pain in both forearms with bilateral hand weakness. Muscle weakness and pain interfered with his ability to walk, climb stairs, brush teeth, open a can, button a shirt and writing. No double vision, chewing difficulty, swallowing or shortness of breath. Muscle weakness and pain progressed. Saw PCP 11/5/07 who referred patient to neurologist r/o Guillain-Barre syndrome secondary to influenza vaccine. 11/6/07 evaluated by Neurologist who concluded patients' clinical presentation and EPS findings (Needle EMG & Nerve Conduction)are suggestive of AIDP aka Guillain-Barre Syndrome. Neurologist recommended outpatient IVIG therapy, serum testing for Lyme titers, TSH, Campylobacter jejuni titers, vitamin B12 level and IgA level. After IVIG therapy, Physical Therapy for muscle strengthening and gait training is recommended.  11/14/2007 296557 -per nurse- pt has received flu vax for the past 5yrs with no reaction. Used different manufacturer this year. 11/19/2007 MR received from neurologist for OV of 11/06/2007.  Pt presented with progressive muscle weakness x 3 days.  Pt first noted back pain and L arm pain with low grade fever and chills.  Pt then noted pain in thighs which interfered with walking and ability to climb stairs.  Achy sharp pain noted in forearms and weakness in hands bilat.  Difficulty with ADLs noted.  PE (+) for muscle weaknes in extremities bilat.  DTRs are decreased in arms and legs.  Sensation decreased in stocking-glove distribution bilat.  Mild walking difficulty. Txd with IVIG, PT and gait training. DX: Guillain-Barre Syndrome (AIDP). 1/19/2010 Able to ADL effortlessly. Continues to have muscles weakness and fatigue in legs and to lesser extent his arms.