chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Dyspnoea, Dysstasia, Feeling cold, Flatulence, Full blood count normal
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Gait disturbance, Headache, Hepatic enzyme increased, Hot flush, Hyperhidrosis
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Injection site erythema, Injection site swelling, Insomnia, Laboratory test, Malaise
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Mobility decreased, Myalgia, Nausea, Nodule, Oedema peripheral
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Speech disorder
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Autoimmune disorder, Mechanical urticaria
Clinical narrative: Shortly after vacinnation with Gardasil, patient developed Demographia, an auto-immune disorder for which she takes prescription meds, and has been told this is lifelong condition. 9/21/09 Medical records received DOS 9/10/07 to 11/8/07. Assessment: Dermatographism. Patient c/o itchy red bumpy rash on back, neck, and arms. red blotches and long linear wheals. Urticaria. Breaking out daily with hives. 9/24/09 PCP medical records received DOS 3/30/07 to 2/18/08. Assessment: Hives. Patient presents with itchy spreading rash. Continues breaking out daily in hives.
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain, Vomiting
Clinical narrative: About 3 hours after vaccine was given I began to vomit intractably for 2 1/2 hours.  Also had mod abdominal pain at the same time.  I have continued to have abdominal pain at intervals for the past 5 days following vaccine.  No treatment has been done at this point.
Age: 46.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Arrhythmia, Blood test abnormal, Chest pain, Decreased appetite, Electrocardiogram abnormal
Clinical narrative: Received Samllpox vaccine along with Anthrax and Hep B vaccine on 8/25/09 and 2 days later had node under rt. arm, 7 days later had flu like symptoms, headache, fever, sweating, rash at site of smallpox vaccine and loss of appetite and then developed severe mid-sternum chest pain.
Age: 46.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Enzyme abnormality, Headache, Hyperhidrosis, Influenza like illness, Injection site rash
Clinical narrative: Received Samllpox vaccine along with Anthrax and Hep B vaccine on 8/25/09 and 2 days later had node under rt. arm, 7 days later had flu like symptoms, headache, fever, sweating, rash at site of smallpox vaccine and loss of appetite and then developed severe mid-sternum chest pain.
Age: 46.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: Received Samllpox vaccine along with Anthrax and Hep B vaccine on 8/25/09 and 2 days later had node under rt. arm, 7 days later had flu like symptoms, headache, fever, sweating, rash at site of smallpox vaccine and loss of appetite and then developed severe mid-sternum chest pain.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema
Clinical narrative: Red area on back of left arm. Cool pack and BENADRYL.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Heat, red, itching, swelling @ site  (RA. SQ.).
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: 9-3-09 Back of Lt arm red, > than golf ball in size, hot to touch & feels swollen inside. Per Dr. Ok to give BENADRYL & cool compress if tender or improved to go the ED or RTC. (9-8-09) spoke with mom & did get worse on 9-4-09 & went to ER. given PREDNISONE. Today 9-8-09 much better.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: 2 1/2 hours post vaccination, swelling of eyes and Left hive rash (urticaria).
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Pt call 9AM rash developed/itching on both arms from arm pit to elbow, interior arm started 7:30 A advised patient to notify MD and take antihistamine unless MD consults otherwise. No other changes made.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Administered FLULAVAL 0.5ml to him by im (FLULAVAL is for age equal to or greater than 18).
Age: 15.0
Sex: F
Vaccine: HEP, HPV4, TDAP, VARCEL
Symptoms: Diarrhoea, Erythema, Nausea, Pruritus, Swelling
Clinical narrative: Approx. 3 days after varicella immunization client and mother reports she had a red, swollen, welted area approx. 4-5 inches that was itchy. 4-5 days after that mother states she got the chicken pox and had nausea, vomiting and diarrhea.
Age: 15.0
Sex: F
Vaccine: HEP, HPV4, TDAP, VARCEL
Symptoms: Urticaria, Varicella, Vomiting
Clinical narrative: Approx. 3 days after varicella immunization client and mother reports she had a red, swollen, welted area approx. 4-5 inches that was itchy. 4-5 days after that mother states she got the chicken pox and had nausea, vomiting and diarrhea.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Adverse event, General physical health deterioration
Clinical narrative: Information has been received from a consumer concerning her mother, an 85 year old female patient with lymphoma since 2005 and last radiation on 22-JAN-2009, who on 02-JUL-2009 was vaccinated with a dose of ZOSTAVAX (Merck). Concomitant therapy included morphine. On the following morning, on 03-JUL-2009 the consumer's mother health had been deteriorated. Her mother was hospitalized at the time of the report. The consumer reported "her mother is not expected to live through the week due to this adverse event". At the time of the report the patient was not recovered. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Caesarean section, Drug exposure during pregnancy, Prolonged labour
Clinical narrative: Information has been received from a nurse for GARDASIL, a pregnancy Registry Product, concerning a 19 year old female who on 29-FEB-2008 was vaccinated with the third 0.5mL dose of GARDASIL intramuscularly. Concomitant therapy included "Tetanus shot". Subsequently, she became pregnant. On 11-NOV-2008 the patient delivered her baby and both the mother and the baby were fine. No adverse effect reported. No lab diagnostics studies were performed. Follow-up information has been received from a licensed practical nurse, for GARDASIL, a Pregnancy Registry product, concerning a 19 year old female patient with no medical history and no concurrent medical conditions and a history of 1 pregnancy and 1 live birth with no birth defects or infant complications in previous pregnancy. Who on 29-AUG-2007 and on 02-NOV-2007 was vaccinated with the first and second doses of GARDASIL. On 29-FEB-2008, the patient received the third 0.5 mL dose of GARDASIL intramuscularly. Concomitant therapy included Tdap and prenatal vitamins (unspecified). On 11-NOV-2008 the patient had a cesarean section due to prolonged labor and delivered a normal, healthy female baby with no congenital anomalies weighing 7 pounds, 4 ounces, 20 in length, head circumference 33cm, and APGAR score of 9/9. There was not complication during pregnancy, and not infections or illness during pregnancy for the patient. There was not diagnostic test during pregnancy. Upon internal review, prolonged labor was considered to be an other medically important event as it resulted in a cesarean section. Additional information is not expected.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Flu vaccine licensed for 18 yrs and up was given to an 8 year old. No signs of symptoms noted.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature fluctuation, Chills, Decreased appetite, Erythema, Hyperhidrosis
Clinical narrative: Chills, fevers, sweating, severe pain R arm (4"x 7") w/ swelling, redness, pt. couldn't use R arm, systemic deep muscle pain, rapid temperature shifts, sx resolved by 1200pm 8/27/09, lost appetite.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Myalgia, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Chills, fevers, sweating, severe pain R arm (4"x 7") w/ swelling, redness, pt. couldn't use R arm, systemic deep muscle pain, rapid temperature shifts, sx resolved by 1200pm 8/27/09, lost appetite.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt received DTaP 9/1/09 came into clinic on 9/3/09 c/o redness,swelling, warm to touch on injection site.
Age: 66.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: No adverse event
Clinical narrative: No adverse events.
Age: 1.3
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: Maculo papular rash starting on face spreading to trunk extremities, started day following vaccine administration and itching. No other systemic symptoms. Supportive treatment.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Pallor, Vomiting
Clinical narrative: The student received the flu shot R deltoid, became pale, emesis x1, no loss of consciousness. Able to ambulate.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: The student became lightheaded about 5 minutes post injection.  No acute breathing distress or hives @ 1040.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: The student received a flu vaccination walked back to chair in the waiting area and fainted in her chair.  Immediately arrousable with spirits of ammonia.  Able to ambulate.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Genital herpes
Clinical narrative: Vaginal Herpes infection
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: 9/4/09, low grade fever, vomiting, nausea flu shot given 9/2/09.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Joint swelling, Pain in extremity, Skin warm
Clinical narrative: Patient came back to our pharmacy 2 days after administering of flu vaccine and complaint Tuesday her arm was sore. I examined her arm and noted that elbow area was swollen, showed bruising and felt hot.
Age: 55.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site oedema
Clinical narrative: IM (R) deltoid - injection of PNEUMOVAX vaccination - Localized edema / no pain/ no systemic symptoms.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Musculoskeletal pain, Nasal congestion, Swelling
Clinical narrative: Pt received FLUMIST at about 14:25.  No history of egg allergy.  Pt then went to soccer practice.  No Hx of trauma per parent.  At 1930 pt's mom called to say his nose was swollen and he c/o pain below collar bone.  Unable to breath through nose.  No other difficulty breathing, no rash.  Better in AM - after 1 dose oral BENADRYL.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Injection site pruritus, Injection site rash, Injection site urticaria, Rash
Clinical narrative: Itching in area of injection down to elbow on left arm with hives/rash upset stomach 9/8/09.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Itching in area of injection down to elbow on left arm with hives/rash upset stomach 9/8/09.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Erythema, Mass, Pain, Skin discolouration
Clinical narrative: Red/black bruise formation w/huge lump. Lasted for 1 mth &  appeared next day after shot. Soreness for 3 wks, a 3  On a scale of 1-10. Took 800mg MOTRIN. 2x2cm. lump after 1 month.
Age: 72.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient called 9-15, reported itching, redness about 4 inches appearing one evening at the injection site after receiving the ZOSTAVAX given 9-11-09.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Grand mal convulsion
Clinical narrative: Grand mal febrile Seizure.
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Ocular hyperaemia, Pharyngeal oedema, Swelling face, Swollen tongue
Clinical narrative: Eyes red, swollen throat and face swollen busted, lips, tongue swollen.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Pt given GARDASIL left deltoid on 9/27/09.  On 9/8/09 Pt developed numbness under left upper arm/axilla.  Exam normal except paresthesia under left axilla/upper arm.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Administered GSK to < 18 yr old.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Vomiting
Clinical narrative: Administered GSK to < 18 yr old c/o stomach upset, vomiting 7 hours after vaccine no fever.
Age: 33.0
Sex: F
Vaccine: RAB
Symptoms: Amnesia, Cognitive disorder, Headache, Injection site pain, Pain
Clinical narrative: Body ache from injection site to top of head (48 Hrs). Headache (24 Hrs). Slight memory loss/cognitive ability (2 wks).
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, VARCEL
Symptoms: Pallor, Rash, Rash maculo-papular
Clinical narrative: Maculo papular blanching pink rash on trunk more than extremities & face.  Post occipital nodes.  No distress.  No fever.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria
Clinical narrative: 7.0 x 5.0 cm wheal. 25mg BENADRYL given & ice applied.
Age: 68.0
Sex: F
Vaccine: PPV, TD
Symptoms: Burning sensation, Injection site pain, Pain in extremity
Clinical narrative: My veins all around site of shot pronounced/pain veins in my left leg burning/painful & continues to be.  Veins in my arm are normal again at this time (09-11-09)
Age: 5.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Crying, Flushing, Headache
Clinical narrative: Child woke up crying with a headache, a flushed face.  Mother gave TYLENOL by mouth at 7:00 AM.  Temp 1 hr after TYLENOL 100.8.
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain, Chest discomfort, Chills, Diarrhoea, Dizziness
Clinical narrative: 9/9/09- Injection 1100 am. 2-Tylenol at 100 pm -  arm tender 300pm- tightness in chest - unease 310pm - Diarrhea /ABN Cramp/ Nausea -vomit dizziness/ sweating/Chills / elevated ABD pain 2 hr -course.
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Hyperhidrosis, Nausea, Tenderness, Vomiting
Clinical narrative: 9/9/09- Injection 1100 am. 2-Tylenol at 100 pm -  arm tender 300pm- tightness in chest - unease 310pm - Diarrhea /ABN Cramp/ Nausea -vomit dizziness/ sweating/Chills / elevated ABD pain 2 hr -course.
Age: 1.26
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Endotracheal intubation, Febrile convulsion, Otitis media, Unresponsive to stimuli
Clinical narrative: Deep febrile seizure 11 days after MMR and VARIVAX given at well visit. Also had otitis media. Was intubated overnight and very unresponsive - good early recovery is underway. Required Dopamine. 10/16/09 Received hospital records and DC summary for dates 9/14/09 to 9/22/09. DC DX: Febrile seizure with respiratory arrest, influenza pneumonia, mechanical ventilation and withdrawal symptoms. Presenting SX: parent states found pt having trouble breathing, eyes deviated to the left shaking arms and legs for a few minutes then limp and unresponsive. During route to hospital EMS witnessed another seizure; eyes deviated to left no return to baseline mental status. Arrived to ER in full respiratory arrest. Pt. intubated in ER and admitted. Assessment: Appeared in respiratory distress, lethargic, poor eye contact, tachycardia, altered mental status. h/o MMR 9/9 and parent states previous two weeks had periods where pt would deviate eyes to the left and then run to the left in a circle. On admission had normal papillary reaction. Intense respiratory congestion. Pt had 5 days of vent. support. Influenza A(+). After extubated pt had withdrawal symptoms and tx. Pt was stable at time of DC, but with a poor appetite, fully alert, smiling and playful. ICD9 codes: 038.9, 780.97, 518.81, 780.32, 346.30, 292.0, 995.92, 780.8, 487.1, 493.90, 304.0  bhp
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass
Clinical narrative: Knot under skin at site of injection - (patient remained on premises for 20 min.)  Called patient @ 1:15 PM & she said her arm was fine and knot had gone away.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Lymphadenopathy, Neck pain, Pharyngeal oedema
Clinical narrative: Once given flu shot, patient immediately explained a soreness in neck & swelling in throat, "swollen glands". Asked pt to take slow deep breaths, she did so without difficulty. Patient was given 2 teaspoonfuls of BENADRYL per her request. Patient's doctor was called & told us to send her to ER, 911 was called & patient was taken to ER.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness approx. 4 inches in diam. on Lt. upper arm. Sl. swelling.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Swelling from elbow upwards, mild pain, red, itchy & puffy arm. Reaction happened the next day after the shot. Pt. was itchy & itched hard with her fingers. Reaction subsided on 9/3/09.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Culture negative, Decreased appetite, Headache, Malaise, Oropharyngeal pain
Clinical narrative: Parents noted malaise, headache, sore throat?, decreased appetite.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Streptococcal identification test negative
Clinical narrative: Parents noted malaise, headache, sore throat?, decreased appetite.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: Swelling and cellulitis at sight.
Age: 14.0
Sex: F
Vaccine: FLUN3, MNQ
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swollen area around injection site. Tender, warm 10cm x 4cm.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Approx 12 hours after ZOSTAVAX vaccination, patient developed 103.7 degree F temp, chills, myalgias, headache, prostration, and heavy sweats, lasting approx. 24 hours.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Approx 12 hours after ZOSTAVAX vaccination, patient developed 103.7 degree F temp, chills, myalgias, headache, prostration, and heavy sweats, lasting approx. 24 hours.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Aphasia, Cerebrovascular accident, Coagulation test, Echocardiogram, Hemiplegia
Clinical narrative: MCA stroke on 9/4/09. Aphasia. Hemiplegic.   11/18/09:  ED and Hospital Records and Discharge Summary received for dates of service 9/4/09 to 9/10/09.  Dx:  Left middle cerebral artery infarct, right-sided weakness, expressive aphasia.  Assessment:  On day prior to admission child bumped her head while playing at school, no LOC.  Later began having hiccups and drooling out of R side of mouth.  Difficulty speaking and unsteady gait. Developed dense R sided hemiparesis and inability to talk.  Brought to ED and admitted overnight for observation.  MRI of brain showed L MCA infarct.  Transferred to ICU.  Right sided facial weakness, decreased muscle tone, weakness on R. IV fluids provided due to numerous sedations.  Decreased appetite. Discharged to rehabilitation center for PT, OT and speech therapy.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Laboratory test, Nuclear magnetic resonance imaging
Clinical narrative: MCA stroke on 9/4/09. Aphasia. Hemiplegic.   11/18/09:  ED and Hospital Records and Discharge Summary received for dates of service 9/4/09 to 9/10/09.  Dx:  Left middle cerebral artery infarct, right-sided weakness, expressive aphasia.  Assessment:  On day prior to admission child bumped her head while playing at school, no LOC.  Later began having hiccups and drooling out of R side of mouth.  Difficulty speaking and unsteady gait. Developed dense R sided hemiparesis and inability to talk.  Brought to ED and admitted overnight for observation.  MRI of brain showed L MCA infarct.  Transferred to ICU.  Right sided facial weakness, decreased muscle tone, weakness on R. IV fluids provided due to numerous sedations.  Decreased appetite. Discharged to rehabilitation center for PT, OT and speech therapy.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Pyrexia
Clinical narrative: Redness, inflammation, hardening of inj. site, feverish.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Eye swelling, Nasal oedema, Swelling face
Clinical narrative: Facial swelling, nose & eyes, 12 hrs after mist.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: 12yr female who had a syncope spell about a mt after receiving HPV #2.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysgeusia, Immediate post-injection reaction, Nausea
Clinical narrative: Bitter taste in mouth that happened immediately & subsided in 1/2 hr. Lightheadedness/dizziness, slightly nauseous.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Diagnostic procedure, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patients arm was in pain the evening of administration and then in extreme pain to where she couldn't move it. The following day she saw PCP who diagnosed her with cellulitis and put her on oral Augmentin. (Left arm)
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Pyrexia, Vomiting
Clinical narrative: In the afternoon the day the vaccine- client became dizzy, throwing up ran a fever of 101. It lasted approx 1 1/2 days.  Client used TYLENOL.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site urticaria, Injection site vesicles
Clinical narrative: "Clumps of Blistering Hives" to L arm. Recommended Benadryl and Urgent Care Visit. Urgent Care Treated and Steroidal Medication. Next Day Still Blistering Hives.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass, Injection site pain, Injection site pruritus, Paraesthesia
Clinical narrative: Tingling, stinging, itching, at and above site (injection given at 45 degree angle downward) she asked me to palpate a lump (which I could not discern) she said she felt she should "remove band aid, and vigorously scratch it". Phoned after 1 1/2 hrs to report a lump at injection site (no redness or discoloration at site).
Age: 44.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Abdominal discomfort, Headache, Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: Extreme muscle pain on L side arm, up into neck, jaw & shoulder blade.  Ran a fever of 101.  Severe HA, sensitive to light.  Upset stomach lasted through Monday 8-31-09.  L arm is itching.
Age: 44.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Pain in jaw, Photophobia, Pruritus, Pyrexia
Clinical narrative: Extreme muscle pain on L side arm, up into neck, jaw & shoulder blade.  Ran a fever of 101.  Severe HA, sensitive to light.  Upset stomach lasted through Monday 8-31-09.  L arm is itching.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Nasopharyngitis
Clinical narrative: Patient feels like she has a cold coming on.  Patient said she was going to take some over the counter TYLENOL.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pruritus, Urticaria
Clinical narrative: Patient reported redness, swelling, hives, itching in right arm (opposite arm from vaccine administration).  Symptoms presented 3 days after vaccine & have persisted X 3 days.  Pt instructed to take oral BENADRYL & call MD.  MD called 9/8 by pharmacy Dr.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eye swelling, Malaise, Ocular hyperaemia, Pharyngeal oedema
Clinical narrative: About 1 hour after receiving flu shot, patient's throat started swelling.  She felt sick.  About 2 hour she reported itchy throat, cough, but no shortness of breath.  Her face was itchy, eyes swelling and bloodshot.  She admitted herself to the Emergency Department, which is received treatment for about 3 hours.  She received treatment of PREDNISONE which help reduce symptoms signifigntly. Good recovery.  MD believes she may be allergic to preservatives.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Throat irritation
Clinical narrative: About 1 hour after receiving flu shot, patient's throat started swelling.  She felt sick.  About 2 hour she reported itchy throat, cough, but no shortness of breath.  Her face was itchy, eyes swelling and bloodshot.  She admitted herself to the Emergency Department, which is received treatment for about 3 hours.  She received treatment of PREDNISONE which help reduce symptoms signifigntly. Good recovery.  MD believes she may be allergic to preservatives.
Age: 22.0
Sex: M
Vaccine: HEP, TD
Symptoms: Erythema, Headache, Hyperhidrosis, Oedema peripheral, Pyrexia
Clinical narrative: Fever, sweats, headache, swollen/red L arm 3 days.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Lip swelling
Clinical narrative: Swollen lips in AM after - Treated w/BENADRYL.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Laboratory test normal, Pulmonary thrombosis
Clinical narrative: Blood Clot in lung on 4-12-2009 and will have to be on blood thinners rest of her life.  She is currently on 15mg of warifin daily to keep her blood thinned between 2-3 INR.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Laboratory test, Pulmonary thrombosis
Clinical narrative: Blood Clot in lung on 4-12-2009 and will have to be on blood thinners rest of her life.  She is currently on 15mg of warifin daily to keep her blood thinned between 2-3 INR.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Administered immunization to patient @ 3:30.  At 3:40, patient c/o itching and scratching on face, arms, legs and trunk.  Welts around mouth and on cheeks.  Dephenhydramine 50 mg.ml, 0.5 cc given IM @3:45 pm.  at 4pm--no scratching, patient asleep on exam table in clinic
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Oedema
Clinical narrative: Reports pain, reddness and swelling of injections site.  Reports area of edema as 50 cent piece sized one day after injection with pain level of 6/10.  Reports intermittent numbness and tingle radiating down arm to hand starting one day after injection.  Denies treatment.  Reports 9/15/09 no edema, pain level of 1/10 and numbness and tingling that occurs @ one time daily.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Reports pain, reddness and swelling of injections site.  Reports area of edema as 50 cent piece sized one day after injection with pain level of 6/10.  Reports intermittent numbness and tingle radiating down arm to hand starting one day after injection.  Denies treatment.  Reports 9/15/09 no edema, pain level of 1/10 and numbness and tingling that occurs @ one time daily.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TDAP, VARCEL
Symptoms: Loss of consciousness, Malaise
Clinical narrative: Pt. stated that she didn't feel well after vaccines were given.  Nurse had her lay her head down on desk.  She then said she was feeling worse, she did lose consousness briefly(10-15sec.) Her father helped move her to the floor, where cold pack was placed on her neck and feet were elevated.  When she was able, she also was given a juice drink.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Asthenia, Blood culture negative, Chest X-ray abnormal, Culture urine negative, Musculoskeletal stiffness
Clinical narrative: 1:00 p.m. on September 12th, 2009 onset of fever continued until 4:10 a.m. September 13th when child became unresponsive and stiff with shaking (seizure) that lasted until 5:15+- a.m. Child was taken by ambulance to medical center and given ativan to stop the seizure Child was still unresponsive for several hours and came out of this state at aprox. 7:15 a.m. Child was admitted and still somewhat sleepy and weak through September 14th  Child was released on 14th at 1:00 p.m. with a follow up visit in 1 week for results from EEG.  12/30/09 DC summary and H&P received for DOS 09/13/09-09/14/09. DX: febrile seizures, fever possibly secondary to MMR vaccine. Pt c/o fever, SOB, cough, generalized seizures for 20 mins, jerking spells when stimulated, vomiting. Tx: Ativan. Pt improved.  01/05/2010 Duplicate DC summary received for DOS 09/13/09-09/14/09./rem  01/05/2010 Newborn Discharge summary and clinic records received for DOS 08/31/2008-09/06/2008 and Hospital test records, Duplicate H&P received for 09/13/09-09/14/09.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Nuclear magnetic resonance imaging normal, Pyrexia, Somnolence, Tremor, Unresponsive to stimuli
Clinical narrative: 1:00 p.m. on September 12th, 2009 onset of fever continued until 4:10 a.m. September 13th when child became unresponsive and stiff with shaking (seizure) that lasted until 5:15+- a.m. Child was taken by ambulance to medical center and given ativan to stop the seizure Child was still unresponsive for several hours and came out of this state at aprox. 7:15 a.m. Child was admitted and still somewhat sleepy and weak through September 14th  Child was released on 14th at 1:00 p.m. with a follow up visit in 1 week for results from EEG.  12/30/09 DC summary and H&P received for DOS 09/13/09-09/14/09. DX: febrile seizures, fever possibly secondary to MMR vaccine. Pt c/o fever, SOB, cough, generalized seizures for 20 mins, jerking spells when stimulated, vomiting. Tx: Ativan. Pt improved.  01/05/2010 Duplicate DC summary received for DOS 09/13/09-09/14/09./rem  01/05/2010 Newborn Discharge summary and clinic records received for DOS 08/31/2008-09/06/2008 and Hospital test records, Duplicate H&P received for 09/13/09-09/14/09.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Client was given a Tdap on 2/6/09 and 9/14/09
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt received Pneumovax 0.5mL IM R deltoid on August 26.  She presented to clinic on August 27 with R upper arm red, warm, swollen, and tender to touch.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Chest pain, Confusional state, Dizziness, Dyspnoea
Clinical narrative: The first two vaccines were no extreme signs,...just some minor ones like light headed, but after the 3rd vaccine the problems started within the following month.  Reactions likes: shaking, anxiety, chest pain, trouble breathing, confusion, wart outbreak, blood issues (clotting and low oxygen levels) and later Dr's believe she has lupus and Rhuematoid arthritis.  She also just had a fibroma tumor removed from the same foot that had the large wart develop although different area. 10/26/09:  Outpatient medical records received for dates of service 2/6/08 to 10/5/09.  Dx:  Mixed connective tissue disease, Major depressive disorder, Panic disorder with agoraphobia, Pap smear abnormal + HPV, Respiratory abnormality NEC, Anxiety state NOS, Raynaud's syndrome. Assessment:  Presents with persistent arthralgias of the hands and wrists, fatigue and achiness in neck without swelling.  Had positive ANA, placed on Plaquenil.  Also had positive lupus anticoagulant, but a subsequent test was negative.  Started on Methotrexate weekly with positive results.  Left forefoot soft tissue mass excision performed, pt. healing well at 4 weeks post op. Also had episode of hematemesis, and melena, endoscopy was normal.  C/o body shakes, EEG-Abnormal.  Also c/o dyspnea at times, 24 hour Holter monitoring was normal with no correlation between rhythm changes and reported dyspnea.  Tendancy to desat. to 92% with exertion, though treadmill stress test was WNL; started on Advair and albuterol. Pt. has acne vulgaris and peringual warts.  Additional meds.:  Buspirone, Lexapro.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Oxygen saturation decreased, Rheumatoid arthritis, Skin papilloma, Systemic lupus erythematosus, Thrombosis
Clinical narrative: The first two vaccines were no extreme signs,...just some minor ones like light headed, but after the 3rd vaccine the problems started within the following month.  Reactions likes: shaking, anxiety, chest pain, trouble breathing, confusion, wart outbreak, blood issues (clotting and low oxygen levels) and later Dr's believe she has lupus and Rhuematoid arthritis.  She also just had a fibroma tumor removed from the same foot that had the large wart develop although different area. 10/26/09:  Outpatient medical records received for dates of service 2/6/08 to 10/5/09.  Dx:  Mixed connective tissue disease, Major depressive disorder, Panic disorder with agoraphobia, Pap smear abnormal + HPV, Respiratory abnormality NEC, Anxiety state NOS, Raynaud's syndrome. Assessment:  Presents with persistent arthralgias of the hands and wrists, fatigue and achiness in neck without swelling.  Had positive ANA, placed on Plaquenil.  Also had positive lupus anticoagulant, but a subsequent test was negative.  Started on Methotrexate weekly with positive results.  Left forefoot soft tissue mass excision performed, pt. healing well at 4 weeks post op. Also had episode of hematemesis, and melena, endoscopy was normal.  C/o body shakes, EEG-Abnormal.  Also c/o dyspnea at times, 24 hour Holter monitoring was normal with no correlation between rhythm changes and reported dyspnea.  Tendancy to desat. to 92% with exertion, though treadmill stress test was WNL; started on Advair and albuterol. Pt. has acne vulgaris and peringual warts.  Additional meds.:  Buspirone, Lexapro.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Tremor
Clinical narrative: The first two vaccines were no extreme signs,...just some minor ones like light headed, but after the 3rd vaccine the problems started within the following month.  Reactions likes: shaking, anxiety, chest pain, trouble breathing, confusion, wart outbreak, blood issues (clotting and low oxygen levels) and later Dr's believe she has lupus and Rhuematoid arthritis.  She also just had a fibroma tumor removed from the same foot that had the large wart develop although different area. 10/26/09:  Outpatient medical records received for dates of service 2/6/08 to 10/5/09.  Dx:  Mixed connective tissue disease, Major depressive disorder, Panic disorder with agoraphobia, Pap smear abnormal + HPV, Respiratory abnormality NEC, Anxiety state NOS, Raynaud's syndrome. Assessment:  Presents with persistent arthralgias of the hands and wrists, fatigue and achiness in neck without swelling.  Had positive ANA, placed on Plaquenil.  Also had positive lupus anticoagulant, but a subsequent test was negative.  Started on Methotrexate weekly with positive results.  Left forefoot soft tissue mass excision performed, pt. healing well at 4 weeks post op. Also had episode of hematemesis, and melena, endoscopy was normal.  C/o body shakes, EEG-Abnormal.  Also c/o dyspnea at times, 24 hour Holter monitoring was normal with no correlation between rhythm changes and reported dyspnea.  Tendancy to desat. to 92% with exertion, though treadmill stress test was WNL; started on Advair and albuterol. Pt. has acne vulgaris and peringual warts.  Additional meds.:  Buspirone, Lexapro.
Age: 12.0
Sex: F
Vaccine: PPV
Symptoms: Decreased appetite, Erythema, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: fever, arm-swollen, red, sore, nausea, loss of appetite.
Age: 12.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: fever, arm-swollen, red, sore, nausea, loss of appetite.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warm to the touch at injection site.
Age: 41.0
Sex: F
Vaccine: YF
Symptoms: Abasia, Back pain, Hypoaesthesia, Malaise, Myalgia
Clinical narrative: Patient received yellow fever vaccine on Monday 8/24 just prior to departure on 8/25. He became ill with high fever (104.5) and myalgia, (more specific to back pain) on 8/29. The fever lasted approx 2 days but back pain persisted.  During this time, the patient returned home. He was contacted by the nurse on Monday 8/31 and stated that the fever had improved and he was feeling somewhat better.  He had returned to work.  On 9/5 the patient started experiencing shooting pain down his leg.  By 9/6, he was unable to walk due to numbness in the the limb.  He did not report for work on Tuesday 9/8 and make an appointment with his family physician.  At this time he has completed a five day course of steroid therapy and states that he has seen some improvement in the leg pain but it has not resolved completely. 9/24/09 PCP office note DOS 9/8/09. Assessment: lumbar disc displacement. Patient presents with low back pain of 2 weeks duration, radiates down right leg to foot.
Age: 41.0
Sex: F
Vaccine: YF
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient received yellow fever vaccine on Monday 8/24 just prior to departure on 8/25. He became ill with high fever (104.5) and myalgia, (more specific to back pain) on 8/29. The fever lasted approx 2 days but back pain persisted.  During this time, the patient returned home. He was contacted by the nurse on Monday 8/31 and stated that the fever had improved and he was feeling somewhat better.  He had returned to work.  On 9/5 the patient started experiencing shooting pain down his leg.  By 9/6, he was unable to walk due to numbness in the the limb.  He did not report for work on Tuesday 9/8 and make an appointment with his family physician.  At this time he has completed a five day course of steroid therapy and states that he has seen some improvement in the leg pain but it has not resolved completely. 9/24/09 PCP office note DOS 9/8/09. Assessment: lumbar disc displacement. Patient presents with low back pain of 2 weeks duration, radiates down right leg to foot.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Asthenia, Feeling abnormal, Headache, Nuclear magnetic resonance imaging, Personality change
Clinical narrative: Grandmother/guardian reports headache every day for 4 days after 1st HPV dose on 04/01/2008.  Menactra also given that day. Then frequent headaches - 2-3 times/week. After 2nd dose of HPV on 05/29/2008 child complained of "not feeling right".  Grandmother reports she had "low energy" and a change in personality. On 09/02/2008 Child had an episode of unresponsiveness and was transported to hospital by EMS.  Hospitalized 09/08-09/09 for episodes of unresponsiveness.  Seizures ruled out. 9/18/09 Medical records (Middle School) DOS 3/14/08 to 11/14/08. Presents with painful finger. Lower abdominal pain. Constipation. Dysuria. Reports frontal H/A 8/20/08. Found unresponsive 8/29/08 and 9/2/08. Would not open eyes. Responded after ~10 minutes. Assessment:  Unresponsive. ? syncope ? hyperventilation.  On 9/11/08 found slumped in chair, pupils dilated. Assessment:  syncope. 9/30/08 parent declines HPV#3. Frequent headaches. Repeated episodes of syncope. Whole body shakes. Anxiety. "Attacks of lethargy'. Burning sensation from mid abdomen "up to heart." Gastritis. Found lying on floor in class, parent refused to have patient transported by EMS and took her home.   11/10/09 Medical records and discharge summarries received as follows:   Discharge summary received for DOS 10/02/09-10/07/09. Final DX: Depression NOS, PTSD, Severe Psychological Stressors, GAF 45 Patient w/increased suicidal ideation. Threatened to kill herself with knife. Auditory hallucinations. Prior admit for black out spells post vaccine. EEG normal. anorexia. low energy and poor concentration.  D/C to home. Condition guarded. Follow up w/psych    .    DIscharge summary received for DOS 9/19/09-9/25/09. Final DX: PTSD, Depression NOS, Oppositional Defiant Disorder, Extreme psychosocial Stressors, GAF 35. Admit for in creased aggression and agitated outbursts. Discharge to home. Stable. Guarded prognosis.   Discharge summary received for DOS 9/04/09-9/05/09. Final, .  DX: Non epileptic seizures, Normal EEG, Depression, Anxiety, PTSD. Presented with seizure like activity and syncope. Felt to be vagal.  Seizure preceded by convulsion. Unresponsive x40 min.  No ictal events. on organic etiology.  Conversion rxn s/t depression/anxiety.  D/C to home.   11/10/09 Discharge summary received for DOS 8/12/09-8/17/09. FInal DX: Depression NOS, PTSD, Generalized anxiety disorder, Acute sterss reaction. Histrionic personality disorder traits, Extreme psychosocial stressors, GAF 47 Axcerbation of depression. All labs WNL. UA increased bacteria resolved by d/c. D/C to home.   dsb