chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Hypotonia
Clinical narrative: At 0729AM. Sitting in chair - called out after last shot "ouch" - stopped talking and won't talk- head went flaccid - protected with head down. Recovered quickly mom and dad present. No other problems allow to sit after shots took water. Refused power bar - mom comfort her at 0739 - laughing on mom lap encouraged to call Dr or go to ER if any concerns. 8/16/10 called mom to call if any questions.
Age: 1.01
Sex: M
Vaccine: DTAP, HEPA, PNC13
Symptoms: Injection site rash, Rash
Clinical narrative: Pt developed a rash that started on both legs and migrated to upper arms it lasted for 4 days & resolved.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: Five hours after receiving vaccination (ZOSTAVAX) she reported dizziness.
Age: 13.0
Sex: F
Vaccine: MMRV, TDAP, MMRV
Symptoms: Abdominal pain upper, Blindness, Cold sweat, Convulsion, Deafness
Clinical narrative: Stomach pain, loss of vision/ hearing-daily since shots "black out"/"seizure" activity, slight temp, skin cold to touch, clammy. Had this 8/6/10 and 8/17/10 with vision and hearing loss.
Age: 13.0
Sex: F
Vaccine: MMRV, TDAP, MMRV
Symptoms: Inappropriate schedule of drug administration, Loss of consciousness, Pyrexia
Clinical narrative: Stomach pain, loss of vision/ hearing-daily since shots "black out"/"seizure" activity, slight temp, skin cold to touch, clammy. Had this 8/6/10 and 8/17/10 with vision and hearing loss.
Age: 13.0
Sex: F
Vaccine: MMRV, TDAP, MMRV
Symptoms: Abdominal pain upper, Blindness transient, Blood test, Feeling abnormal, Gaze palsy
Clinical narrative: Stomach pain, loss of vision/ hearing-daily since shots "black out"/"seizure" activity, slight temp, skin cold to touch, clammy. Had this 8/6/10 and 8/17/10 with vision and hearing loss.
Age: 13.0
Sex: F
Vaccine: MMRV, TDAP, MMRV
Symptoms: Loss of consciousness, Middle ear effusion, Peripheral coldness, Unresponsive to stimuli, Urine analysis
Clinical narrative: Stomach pain, loss of vision/ hearing-daily since shots "black out"/"seizure" activity, slight temp, skin cold to touch, clammy. Had this 8/6/10 and 8/17/10 with vision and hearing loss.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Rash generalised, Rash pruritic, Skin discolouration
Clinical narrative: Black rash all over body the day after immunization (itchy rash).
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Unresponsive to stimuli
Clinical narrative: RN administered 3 vaccinations. Client stood up shortly after vaccinations were administered and went to waiting area to sit with parents and 2 siblings. RN heard yelling, looked out in waiting room and visualized client laying back in dad's arms. RN grabbed anaphylactic kit and was to client in seconds. RN yelled for help immediately when visualized client laying in dad's arms. When RN with client, client waking up and started conversing. This episode lasted no more than 20-30 seconds. When client awoke stated, "Why is everyone around me?" States, "I sat down, got dizzy and that is all I remember." Client alert and oriented to person, place and time. BP and assessment completed. EMT called per parents request. No further treatment completed. Followed up with family following day and mom states, "He is back to his normal self."
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Dyskinesia, Fatigue, Hypotonia, Loss of consciousness, Pallor
Clinical narrative: RN administered 3 vaccinations. Client stood up shortly after vaccinations were administered and went to waiting area to sit with parents and 2 siblings. RN heard yelling, looked out in waiting room and visualized client laying back in dad's arms. RN grabbed anaphylactic kit and was to client in seconds. RN yelled for help immediately when visualized client laying in dad's arms. When RN with client, client waking up and started conversing. This episode lasted no more than 20-30 seconds. When client awoke stated, "Why is everyone around me?" States, "I sat down, got dizzy and that is all I remember." Client alert and oriented to person, place and time. BP and assessment completed. EMT called per parents request. No further treatment completed. Followed up with family following day and mom states, "He is back to his normal self."
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Staring
Clinical narrative: RN administered 3 vaccinations. Client stood up shortly after vaccinations were administered and went to waiting area to sit with parents and 2 siblings. RN heard yelling, looked out in waiting room and visualized client laying back in dad's arms. RN grabbed anaphylactic kit and was to client in seconds. RN yelled for help immediately when visualized client laying in dad's arms. When RN with client, client waking up and started conversing. This episode lasted no more than 20-30 seconds. When client awoke stated, "Why is everyone around me?" States, "I sat down, got dizzy and that is all I remember." Client alert and oriented to person, place and time. BP and assessment completed. EMT called per parents request. No further treatment completed. Followed up with family following day and mom states, "He is back to his normal self."
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Hyperaesthesia, Pruritus, Pruritus generalised, Rash erythematous
Clinical narrative: Itching starting on feet, progressed to red rash and generalized itching.  Pruritis eventually waxing and waning.  I saw pt on 8/17 and there was no rash remaining.  Patient also complained of skin sensitivity and burning, which had resolved by 8/17.  She had a headache on 8/15.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Skin burning sensation
Clinical narrative: Itching starting on feet, progressed to red rash and generalized itching.  Pruritis eventually waxing and waning.  I saw pt on 8/17 and there was no rash remaining.  Patient also complained of skin sensitivity and burning, which had resolved by 8/17.  She had a headache on 8/15.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Zoster like rash, limited in dermatome distribution, began 4 days after shingles vaccine administered at a pharamcy. Resolved after course of Valtrex.
Age: 1.43
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Activities of daily living impaired, Crying, Diet refusal, Gait disturbance, Tremor
Clinical narrative: From 8:30pm to about 1:30 am patient cried in a very loud voice, extended legs, flexed arms and put hands by mouth, legs tremored, didn't jerk.  Then about 1:30 am he quit crying but was tremorous in the legs for unknown time because mother fell asleep.  When they awakened in the am he was not trembling but didn't want to eat, play, or walk around.  He came to the clinic about 10:15 am. Exam was normal although at first he cried when on the table.  Patient stayed in clinic for about an hour, drank some Pediasure, calmed down and would sit on the table, play.  Ran normally.  Mom felt at that point that he was acting fine.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Gaze palsy, Muscle rigidity, Tonic clonic movements, Tremor
Clinical narrative: After being immunized with Varivax, Hep A, Menactra & Gardasil, patient's eyes rolled back, upper ext shook with tonic-clonic activity and legs became rigid.  Within 2 minutes eyes were fluttering and patient was alert.
Age: 46.0
Sex: M
Vaccine: FLU(H1N1), FLU3, PPV, TDAP
Symptoms: Platelet count normal, Unevaluable event
Clinical narrative: unknown- patient was seen at Medical Center on 1/11/10.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Blood culture negative, C-reactive protein increased, CSF culture negative, Coronary artery dilatation, Culture urine negative
Clinical narrative: Patient diagnosed with Kawasaki's Disease and treated with two rounds of IV Ig.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Echocardiogram abnormal, Immunoglobulin therapy, Kawasaki's disease, Leukocytosis, Platelet count increased
Clinical narrative: Patient diagnosed with Kawasaki's Disease and treated with two rounds of IV Ig.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Red blood cell sedimentation rate increased, Urine analysis abnormal
Clinical narrative: Patient diagnosed with Kawasaki's Disease and treated with two rounds of IV Ig.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Blood culture negative, C-reactive protein increased, CSF test normal, Coronary artery dilatation, Culture urine negative
Clinical narrative: Patient diagnosed with Kawasaki's Disease and treated with two rounds of IV Ig.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Red blood cell sedimentation rate increased, Urine analysis abnormal, White blood cell count increased, White blood cells urine positive
Clinical narrative: Patient diagnosed with Kawasaki's Disease and treated with two rounds of IV Ig.
Age: 22.0
Sex: F
Vaccine: TTOX
Symptoms: Asthenia, Chills, Influenza like illness, Pain, Pyrexia
Clinical narrative: Fever of 101 body aces, chills, loss of energy, felt like a flu.
Age: 34.0
Sex: M
Vaccine: HEPAB, MMR, VARCEL
Symptoms: Disturbance in attention, Dizziness, Fatigue, Feeling abnormal, Haematology test normal
Clinical narrative: Patient states several days after vaccine he began to have lightheadness, headache, fatigue, and inability to concentrate. He called us after a couple of weeks and reported. I suggested he go to MD which he did and they found nothing but, he still felt bad and insisted it was from the vaccine. I had him schedule an appt with our medical director and he was seen on 8/9 with no abnormal results.
Age: 34.0
Sex: M
Vaccine: HEPAB, MMR, VARCEL
Symptoms: Headache, Laboratory test normal
Clinical narrative: Patient states several days after vaccine he began to have lightheadness, headache, fatigue, and inability to concentrate. He called us after a couple of weeks and reported. I suggested he go to MD which he did and they found nothing but, he still felt bad and insisted it was from the vaccine. I had him schedule an appt with our medical director and he was seen on 8/9 with no abnormal results.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dyskinesia, Headache, Lethargy, Muscle rigidity, Pyrexia
Clinical narrative: Shortly after vaccine was given, the patient fainted with jerking seizure like movements, body rigidty with feet turned inward and shaking. After coming too she said that prior to fainting she saw flashes of colored lights in her eyes-colors of pink and blue.  She came too and appeared fine, but scared and shaky. That night and for 2 days she ran low grade fever, was very lethargic and complained of headache.  It has been four days and she still doesn't seem her normal energetic self, and she seems to have complaints of a headache daily.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Tremor, Visual impairment
Clinical narrative: Shortly after vaccine was given, the patient fainted with jerking seizure like movements, body rigidty with feet turned inward and shaking. After coming too she said that prior to fainting she saw flashes of colored lights in her eyes-colors of pink and blue.  She came too and appeared fine, but scared and shaky. That night and for 2 days she ran low grade fever, was very lethargic and complained of headache.  It has been four days and she still doesn't seem her normal energetic self, and she seems to have complaints of a headache daily.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Influenza like illness, Malaise, Neuralgia, Pain, Pain
Clinical narrative: bilateral arm neuralgia, achy bones, general malaise, flu like symptoms, only more deep set ache
Age: 0.55
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Excoriation, Injection site erythema, Injection site induration, Injection site papule
Clinical narrative: Bilateral upper anterior to lateral thighs with approx 2+ inch clusters of fine firm pink papules, some excoriated.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Condition aggravated, Migraine
Clinical narrative: Pt c/o migraine headaches after TDAP vaccination.  Migraine over 19 days.  Pt had onset of migraine as child 1 yr after whooping cough.  Current H/A's are increased frequency.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Received on 8/10/10; 8/11/10 began as dime size redness not raised but red from elbow to shoulder, no rash or hives, temp 99.9; on 8/12/10 now around arm, swelling down a little no worse 8/13/10 resolving.
Age: 30.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Injection site urticaria, Myalgia, Tenderness
Clinical narrative: Myalgia in (L) upper shoulder, with numb hypoesthesia down arm to forearm level, with urticarial-like patches proximal to injection site positive axillary tenderness.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Wound
Clinical narrative: Left thigh with erythema, tender to touch visible puncture wound from PREVNAR 13 with small knot under puncture site.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Chills, Condition aggravated, Fatigue, Headache, Nausea
Clinical narrative: On 8/14/10, approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting 24 hr. Sore throat persisted and pt was seen by PCP 8/16/10 AM. Rapid strep - neg. Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Streptococcus test negative, Tonsillar disorder
Clinical narrative: On 8/14/10, approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting 24 hr. Sore throat persisted and pt was seen by PCP 8/16/10 AM. Rapid strep - neg. Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Chills, Culture throat negative, Malaise, Nausea, Oropharyngeal pain
Clinical narrative: On 8/14/10, approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting 24 hr. Sore throat persisted and pt was seen by PCP 8/16/10 AM. Rapid strep - neg. Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Pyrexia, Streptococcus test
Clinical narrative: On 8/14/10, approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting 24 hr. Sore throat persisted and pt was seen by PCP 8/16/10 AM. Rapid strep - neg. Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Chills, Malaise, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: On 8/14/10, approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting 24 hr. Sore throat persisted and pt was seen by PCP 8/16/10 AM. Rapid strep - neg. Client states all other s/s resolved.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Streptococcus test negative
Clinical narrative: On 8/14/10, approx 24 hr after receiving MCV4, pt began with fever, chills, nausea, malaise and sore throat lasting 24 hr. Sore throat persisted and pt was seen by PCP 8/16/10 AM. Rapid strep - neg. Client states all other s/s resolved.
Age: 24.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Erythema, Immediate post-injection reaction, Respiratory arrest, Syncope
Clinical narrative: Pt fainted after shot and appeared to have a mild seizure, his face became really red and appeared to stop breathing briefly.  The whole reaction lasted about a minute and when I was about to use an epi pen he came to and assured me he was fine.
Age: 1.34
Sex: F
Vaccine: PNC
Symptoms: Convulsion, Electrocardiogram, Electroencephalogram, Hypotonia, Listless
Clinical narrative: Patient stopped breathing after the administration of single dose Prevnar - no other immunizations given.  She then went into a seizure lasting for approximately five minutes.  Dr. ran in called 911.  By the time the paramedics arrived to the pediatrician's office patient's seizure had stopped.  She was listless, limp, unresponsive.  She was taken to the hospital where she was released.  Further testing was done.  No neurological cause was found.
Age: 1.34
Sex: F
Vaccine: PNC
Symptoms: Respiratory arrest, Unresponsive to stimuli
Clinical narrative: Patient stopped breathing after the administration of single dose Prevnar - no other immunizations given.  She then went into a seizure lasting for approximately five minutes.  Dr. ran in called 911.  By the time the paramedics arrived to the pediatrician's office patient's seizure had stopped.  She was listless, limp, unresponsive.  She was taken to the hospital where she was released.  Further testing was done.  No neurological cause was found.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN, VARCEL
Symptoms: Activated partial thromboplastin time normal, Alanine aminotransferase normal, Albumin globulin ratio normal, Anti-thyroid antibody positive, Antinuclear antibody negative
Clinical narrative: These are the following symptoms that she has complained of since getting the shot.  Not all of them are every day but she's had them throughout this past winter and now:  Fatigue-especially after exertion ie:  tennis, phyed, snowmobiling, wakeboarding, snowboarding, she's been checked for anemia, ekg, mono, liver test, kidney test, blood counts etc.. all come back normal.  It is hard to wake her during some of these episodes.  She doesn't want to drive, instead tends to sleep in car if it's more than a 20 minute ride.  Headaches in the last month have been most everyday now.  Vomiting- when not "feeling right"  as she puts it she will vomit once and then will sleep alot.  Light sensitivity- was complaining of this when she'd walk out of school also says her vision is worse.  Stomach gets very nauseous and sometimes cramping pain.  Shaky at times then feels better later.  Gets a rash that comes and goes on her chest.  Complained of arm hurting and burning for a few days after the shot. Back ache and leg pain.  Cramping more with periods, periods are very heavy, which she was put on the pill in Feb. for.  About a month ago she had an episode at mass that her fingers/hand was numb.  The feeling did come back though.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN, VARCEL
Symptoms: Aspartate aminotransferase normal, Back pain, Beta globulin normal, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: These are the following symptoms that she has complained of since getting the shot.  Not all of them are every day but she's had them throughout this past winter and now:  Fatigue-especially after exertion ie:  tennis, phyed, snowmobiling, wakeboarding, snowboarding, she's been checked for anemia, ekg, mono, liver test, kidney test, blood counts etc.. all come back normal.  It is hard to wake her during some of these episodes.  She doesn't want to drive, instead tends to sleep in car if it's more than a 20 minute ride.  Headaches in the last month have been most everyday now.  Vomiting- when not "feeling right"  as she puts it she will vomit once and then will sleep alot.  Light sensitivity- was complaining of this when she'd walk out of school also says her vision is worse.  Stomach gets very nauseous and sometimes cramping pain.  Shaky at times then feels better later.  Gets a rash that comes and goes on her chest.  Complained of arm hurting and burning for a few days after the shot. Back ache and leg pain.  Cramping more with periods, periods are very heavy, which she was put on the pill in Feb. for.  About a month ago she had an episode at mass that her fingers/hand was numb.  The feeling did come back though.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN, VARCEL
Symptoms: Blood bilirubin normal, Blood chloride normal, Blood potassium normal, Blood sodium normal, Blood test normal
Clinical narrative: These are the following symptoms that she has complained of since getting the shot.  Not all of them are every day but she's had them throughout this past winter and now:  Fatigue-especially after exertion ie:  tennis, phyed, snowmobiling, wakeboarding, snowboarding, she's been checked for anemia, ekg, mono, liver test, kidney test, blood counts etc.. all come back normal.  It is hard to wake her during some of these episodes.  She doesn't want to drive, instead tends to sleep in car if it's more than a 20 minute ride.  Headaches in the last month have been most everyday now.  Vomiting- when not "feeling right"  as she puts it she will vomit once and then will sleep alot.  Light sensitivity- was complaining of this when she'd walk out of school also says her vision is worse.  Stomach gets very nauseous and sometimes cramping pain.  Shaky at times then feels better later.  Gets a rash that comes and goes on her chest.  Complained of arm hurting and burning for a few days after the shot. Back ache and leg pain.  Cramping more with periods, periods are very heavy, which she was put on the pill in Feb. for.  About a month ago she had an episode at mass that her fingers/hand was numb.  The feeling did come back though.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN, VARCEL
Symptoms: Blood thyroid stimulating hormone, Blood urea nitrogen/creatinine ratio, Blood urea normal, Borrelia test negative, C-reactive protein normal
Clinical narrative: These are the following symptoms that she has complained of since getting the shot.  Not all of them are every day but she's had them throughout this past winter and now:  Fatigue-especially after exertion ie:  tennis, phyed, snowmobiling, wakeboarding, snowboarding, she's been checked for anemia, ekg, mono, liver test, kidney test, blood counts etc.. all come back normal.  It is hard to wake her during some of these episodes.  She doesn't want to drive, instead tends to sleep in car if it's more than a 20 minute ride.  Headaches in the last month have been most everyday now.  Vomiting- when not "feeling right"  as she puts it she will vomit once and then will sleep alot.  Light sensitivity- was complaining of this when she'd walk out of school also says her vision is worse.  Stomach gets very nauseous and sometimes cramping pain.  Shaky at times then feels better later.  Gets a rash that comes and goes on her chest.  Complained of arm hurting and burning for a few days after the shot. Back ache and leg pain.  Cramping more with periods, periods are very heavy, which she was put on the pill in Feb. for.  About a month ago she had an episode at mass that her fingers/hand was numb.  The feeling did come back though.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN, VARCEL
Symptoms: Dysmenorrhoea, Epstein-Barr virus test negative, Fatigue, Headache, Hypersomnia
Clinical narrative: These are the following symptoms that she has complained of since getting the shot.  Not all of them are every day but she's had them throughout this past winter and now:  Fatigue-especially after exertion ie:  tennis, phyed, snowmobiling, wakeboarding, snowboarding, she's been checked for anemia, ekg, mono, liver test, kidney test, blood counts etc.. all come back normal.  It is hard to wake her during some of these episodes.  She doesn't want to drive, instead tends to sleep in car if it's more than a 20 minute ride.  Headaches in the last month have been most everyday now.  Vomiting- when not "feeling right"  as she puts it she will vomit once and then will sleep alot.  Light sensitivity- was complaining of this when she'd walk out of school also says her vision is worse.  Stomach gets very nauseous and sometimes cramping pain.  Shaky at times then feels better later.  Gets a rash that comes and goes on her chest.  Complained of arm hurting and burning for a few days after the shot. Back ache and leg pain.  Cramping more with periods, periods are very heavy, which she was put on the pill in Feb. for.  About a month ago she had an episode at mass that her fingers/hand was numb.  The feeling did come back though.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN, VARCEL
Symptoms: Hypoaesthesia, Injection site pain, International normalised ratio, Liver function test normal, Menorrhagia
Clinical narrative: These are the following symptoms that she has complained of since getting the shot.  Not all of them are every day but she's had them throughout this past winter and now:  Fatigue-especially after exertion ie:  tennis, phyed, snowmobiling, wakeboarding, snowboarding, she's been checked for anemia, ekg, mono, liver test, kidney test, blood counts etc.. all come back normal.  It is hard to wake her during some of these episodes.  She doesn't want to drive, instead tends to sleep in car if it's more than a 20 minute ride.  Headaches in the last month have been most everyday now.  Vomiting- when not "feeling right"  as she puts it she will vomit once and then will sleep alot.  Light sensitivity- was complaining of this when she'd walk out of school also says her vision is worse.  Stomach gets very nauseous and sometimes cramping pain.  Shaky at times then feels better later.  Gets a rash that comes and goes on her chest.  Complained of arm hurting and burning for a few days after the shot. Back ache and leg pain.  Cramping more with periods, periods are very heavy, which she was put on the pill in Feb. for.  About a month ago she had an episode at mass that her fingers/hand was numb.  The feeling did come back though.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN, VARCEL
Symptoms: Metabolic function test, Muscle spasms, Nausea, Pain in extremity, Photophobia
Clinical narrative: These are the following symptoms that she has complained of since getting the shot.  Not all of them are every day but she's had them throughout this past winter and now:  Fatigue-especially after exertion ie:  tennis, phyed, snowmobiling, wakeboarding, snowboarding, she's been checked for anemia, ekg, mono, liver test, kidney test, blood counts etc.. all come back normal.  It is hard to wake her during some of these episodes.  She doesn't want to drive, instead tends to sleep in car if it's more than a 20 minute ride.  Headaches in the last month have been most everyday now.  Vomiting- when not "feeling right"  as she puts it she will vomit once and then will sleep alot.  Light sensitivity- was complaining of this when she'd walk out of school also says her vision is worse.  Stomach gets very nauseous and sometimes cramping pain.  Shaky at times then feels better later.  Gets a rash that comes and goes on her chest.  Complained of arm hurting and burning for a few days after the shot. Back ache and leg pain.  Cramping more with periods, periods are very heavy, which she was put on the pill in Feb. for.  About a month ago she had an episode at mass that her fingers/hand was numb.  The feeling did come back though.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN, VARCEL
Symptoms: Protein total normal, Rash, Tremor, Vitamin D decreased, Vomiting
Clinical narrative: These are the following symptoms that she has complained of since getting the shot.  Not all of them are every day but she's had them throughout this past winter and now:  Fatigue-especially after exertion ie:  tennis, phyed, snowmobiling, wakeboarding, snowboarding, she's been checked for anemia, ekg, mono, liver test, kidney test, blood counts etc.. all come back normal.  It is hard to wake her during some of these episodes.  She doesn't want to drive, instead tends to sleep in car if it's more than a 20 minute ride.  Headaches in the last month have been most everyday now.  Vomiting- when not "feeling right"  as she puts it she will vomit once and then will sleep alot.  Light sensitivity- was complaining of this when she'd walk out of school also says her vision is worse.  Stomach gets very nauseous and sometimes cramping pain.  Shaky at times then feels better later.  Gets a rash that comes and goes on her chest.  Complained of arm hurting and burning for a few days after the shot. Back ache and leg pain.  Cramping more with periods, periods are very heavy, which she was put on the pill in Feb. for.  About a month ago she had an episode at mass that her fingers/hand was numb.  The feeling did come back though.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Acute respiratory distress syndrome, Anaemia, Beta haemolytic streptococcal infection, Blood culture negative, CSF glucose normal
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: CSF protein normal, CSF white blood cell count negative, Chest X-ray abnormal, Culture throat positive, Cytomegalovirus test negative
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Dyskinesia, Electroencephalogram abnormal, Encephalitis herpes, Encephalopathy, Endotracheal intubation
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Enterovirus test negative, Epilepsy, Epstein-Barr virus test negative, Escherichia infection, Extubation
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Grand mal convulsion, Intensive care, Lumbar puncture, Mental status changes, Mycoplasma test
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Nuclear magnetic resonance imaging abnormal, Pyrexia, Rash, Red blood cells CSF positive, Respiratory distress
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Stereotypy, Streptococcus test positive, Unresponsive to stimuli, Urinary tract infection, Viral test negative
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Vomiting
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Anaemia, Chills, Decreased appetite, Diarrhoea, Electroencephalogram abnormal
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.
Age: 3.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Fluid intake reduced, Haemoglobin decreased, Immunology test normal, Laboratory test normal, Lethargy
Clinical narrative: 4 year old ex32 week IVF twin F with no past medical history who presented to an OSH on 7/25 with fever (Tmax 104), emesis, rash, and respiratory distress for 3 days after receiving her varicella vaccine on 7/22. On presentation to OSH, she was in significant respiratory distress and had a CXR that was consistent with ARDS. She was transferred to hospital where she was intubated and required pressors (dopamine) and steriods. Started on vanc and cefotax and got 6 day course for sepsis rule out. Her blood cultures were all negative, and a respiratory viral panel on admission was negative for EBV, CMV, mycoplasma. However, her throat culture was group A strep postive and she got a 10 day course of amoxicillin. On HD 6 started on 10 day course of azithromycin for concern for Legionella.  During her ICU stay she was also found to be anemic with a negative hemolysis work up. On HD 2 she had one GTC but had a normal EEG. On 8/1 she was successfully weaned off sedation and extubated and was at her neurological baseline. Has been afebrile since 8/2. However on 8/3 her mental status worsened and became unresponsive to external stimuli and began displaying abnormal limb movements. A repeat EEG demonstrated right sided periodic lateralizing epileptiform discharges (PLEDs). She was started on Keppra at this time. An LP on 8/5 had 1 RBC 4 WBC with a glucose of 66 and protein of 24. Viral studies for HSV, VZV, and enterovirus were negative. An MRI on 8/5 demonstrated region of diffusion restriction in the right temporal lobe, and she was started on acyclovir for presumed HSV encephalitis. On 8/6 she was found to have a E.coli UTI that was highly resistent and started on Cipro. Patient remained stably encephalopathic  not following commands or verbalizing with purposeless stereotyped movements of her left arm. Transferred to hospital on 8/11 for further management.