chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Member received Anthrax #4 Lot # FAV148 on 1Nov08. The member contacted his military unit 4Nov08 complaining of erythema, edema, pain, and tenderness extending from the top of his shoulder past his elbow. The member was advised to seek medical attention at the nearest appropriate facility. The member was contacted for follow up on 5Nov08. He received a diagnosis of "Cellulitis", received IM & PO antibiotics.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Speech disorder developmental
Clinical narrative: Mom reports that once he received the injections he stopped talking and went back to jabbering.  The patient developed shingles in August from the injections then the speech delay occured.  Patient was given acyclovir and keflex. He was then sent to first steps which reported that 18 mo level for self help, social and fine motor skills, 17 mo for gross motor, 16 mo for cognitive skills, 13 mo for language skills.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Neck pain
Clinical narrative: Less than l day after receiving the flu vaccine, I abruptly started having severe neck pain from about the middle of my skull to my shoulder on my left side (the side of the vaccine.)  It was so severe that I took 1/2 dose of Skelaxin that had been prescribed to me for back pain (over a year ago) and went to bed.  The pain persisted so I used a warm compress and continued to rest thinking I must have injured my neck.  I began to suspect that the shot might be related when I started to have some chills. Today, Nov. 5, the neck pain has lessened greatly but still is present. I no longer have chills.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Computerised tomogram normal, Diplopia, Ear, nose and throat examination normal, Electroencephalogram normal
Clinical narrative: Fainting, left sided weakness and tingling, double vision for 3 months, prolonged fatigue, rigors, hypersensitivity, unsteady gait. All symptoms continue to persist. Placed on steroids on and off for three months.  11/20/08 Received GYN office records of 3/24-10/06/2008. FINAL DX: none provided Records reveal patient had fibrocystic breasts on 3/24 & BCP changed.  US of breasts reviewed & WNL.  T/C 6/26 pt reported having been seen in ER x 2, ENT, Neuro & had EEG, CT scan & MRI.  Had faint feeling, numbnness in feet, visual changes x 1.5 mo.  RTC 10/6/08   12/8/08 Received ER medical records of 5/1/2008. FINAL DX: pre-syncope & palpitations Records reveal patient experienced intermittent pre-syncope & palpitations x 3 weeks now with same plus tingling around mouth & hands, nausea x 2 wks, dizziness.  No symptoms while in ER & d/c to home w/PCP f/u.  2/2/09 Received hospital clinic records for 6/25-8/8/2008. FINAL DX: none provided Records reveal patient w/lightheadness, fatigue, multiple episodes of felt faint, tachycardia, hand tremors, feeling foggy, intermittent tingling & weakness of legs, vision abnormal since 3/08 shortly after received HPV #1.   2/3/09 Reeived ENT medical records of 5/8/2008. FINAL DX: resolving sinusitis Records reveal patient experienced sinus infection s/s x 3 weeks of nasal congestion, malaise, HA, rhinorrhea, facial pain/pressure & dizziness.  2/9/09 Received ER medical records of 4/14/2008. FINAL DX: dizziness, etiology unknown Records reveal patient experienced dizziness & felt faint x 5 days.  D/C home w/neg exam.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Gait disturbance, Hemiparesis, Hypersensitivity, Laboratory test normal
Clinical narrative: Fainting, left sided weakness and tingling, double vision for 3 months, prolonged fatigue, rigors, hypersensitivity, unsteady gait. All symptoms continue to persist. Placed on steroids on and off for three months.  11/20/08 Received GYN office records of 3/24-10/06/2008. FINAL DX: none provided Records reveal patient had fibrocystic breasts on 3/24 & BCP changed.  US of breasts reviewed & WNL.  T/C 6/26 pt reported having been seen in ER x 2, ENT, Neuro & had EEG, CT scan & MRI.  Had faint feeling, numbnness in feet, visual changes x 1.5 mo.  RTC 10/6/08   12/8/08 Received ER medical records of 5/1/2008. FINAL DX: pre-syncope & palpitations Records reveal patient experienced intermittent pre-syncope & palpitations x 3 weeks now with same plus tingling around mouth & hands, nausea x 2 wks, dizziness.  No symptoms while in ER & d/c to home w/PCP f/u.  2/2/09 Received hospital clinic records for 6/25-8/8/2008. FINAL DX: none provided Records reveal patient w/lightheadness, fatigue, multiple episodes of felt faint, tachycardia, hand tremors, feeling foggy, intermittent tingling & weakness of legs, vision abnormal since 3/08 shortly after received HPV #1.   2/3/09 Reeived ENT medical records of 5/8/2008. FINAL DX: resolving sinusitis Records reveal patient experienced sinus infection s/s x 3 weeks of nasal congestion, malaise, HA, rhinorrhea, facial pain/pressure & dizziness.  2/9/09 Received ER medical records of 4/14/2008. FINAL DX: dizziness, etiology unknown Records reveal patient experienced dizziness & felt faint x 5 days.  D/C home w/neg exam.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging normal, Ophthalmological examination normal, Paraesthesia, Syncope
Clinical narrative: Fainting, left sided weakness and tingling, double vision for 3 months, prolonged fatigue, rigors, hypersensitivity, unsteady gait. All symptoms continue to persist. Placed on steroids on and off for three months.  11/20/08 Received GYN office records of 3/24-10/06/2008. FINAL DX: none provided Records reveal patient had fibrocystic breasts on 3/24 & BCP changed.  US of breasts reviewed & WNL.  T/C 6/26 pt reported having been seen in ER x 2, ENT, Neuro & had EEG, CT scan & MRI.  Had faint feeling, numbnness in feet, visual changes x 1.5 mo.  RTC 10/6/08   12/8/08 Received ER medical records of 5/1/2008. FINAL DX: pre-syncope & palpitations Records reveal patient experienced intermittent pre-syncope & palpitations x 3 weeks now with same plus tingling around mouth & hands, nausea x 2 wks, dizziness.  No symptoms while in ER & d/c to home w/PCP f/u.  2/2/09 Received hospital clinic records for 6/25-8/8/2008. FINAL DX: none provided Records reveal patient w/lightheadness, fatigue, multiple episodes of felt faint, tachycardia, hand tremors, feeling foggy, intermittent tingling & weakness of legs, vision abnormal since 3/08 shortly after received HPV #1.   2/3/09 Reeived ENT medical records of 5/8/2008. FINAL DX: resolving sinusitis Records reveal patient experienced sinus infection s/s x 3 weeks of nasal congestion, malaise, HA, rhinorrhea, facial pain/pressure & dizziness.  2/9/09 Received ER medical records of 4/14/2008. FINAL DX: dizziness, etiology unknown Records reveal patient experienced dizziness & felt faint x 5 days.  D/C home w/neg exam.
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Drug exposure during pregnancy, Urine human chorionic gonadotropin negative
Clinical narrative: Pt discovered to be pregnant.  Urine pregnancy test obtained prior to vaccination.  Urine HCG negative.  Pt discovered a couple weeks later that she was pregnant. LMP-31Aug2008.
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Pt discovered to be pregnant.  Urine pregnancy test obtained prior to vaccination.  Urine HCG negative.  Pt discovered a couple weeks later that she was pregnant. LMP-31Aug2008.
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Nausea
Clinical narrative: Reports difficulty breathing, feeling faint, diarrhea and nausea
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood culture, C-reactive protein, Cellulitis orbital, Computerised tomogram, Full blood count
Clinical narrative: 3yr old male given the Flumist on 10/06/08.  Nine days later he presented to my office with orbital cellulitis.  Pt.seen in ER 10/16/08 CAT scan showed preseptal orbital cellulitis. In addition he had pan sinusitis. Pt. had no resp. symptoms prodrome. Rx. with Vancomycin followed by Augmentin given. Pt. doing well now.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Sinusitis
Clinical narrative: 3yr old male given the Flumist on 10/06/08.  Nine days later he presented to my office with orbital cellulitis.  Pt.seen in ER 10/16/08 CAT scan showed preseptal orbital cellulitis. In addition he had pan sinusitis. Pt. had no resp. symptoms prodrome. Rx. with Vancomycin followed by Augmentin given. Pt. doing well now.
Age: 56.0
Sex: M
Vaccine: TDAP
Symptoms: Headache
Clinical narrative: Headache since 11-1-08; headache is occipital radiating to frontal, bilateral; rates pain 4-5/10; is somewhat relieved with Ibuprofen; less relief from Tylenol.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Skin warm, Vaccine positive rechallenge
Clinical narrative: left arm is swollen and red from shoulder to above elbow. States notice swelling day after immunization.  Warm ot touch, child denies any pain.  PCP was called and he instructed to give Benadryl and apply cold packs. Parent state the same thing happened last year but did not report it.  States has only had problem with flu vaccine. Viewing immun. record received flu vaccine in 2006 in this office. no record of vaccine in 2007.
Age: 7.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Hives on hands, shoulders, legs, arms, waist and face aproximately 2 hours after injection.  Treated with benadryl.
Age: 37.0
Sex: M
Vaccine: TYP
Symptoms: Cellulitis, Erythema, Joint range of motion decreased, Oedema, Pain
Clinical narrative: Member received Anthrax #6 1Nov08. Presented to clinic 4Nov08 with complaint of erythema, edema, pain, decreased range of motion, and tenderness radiating from the top of his shoulder to the middle of his forearm. Member sent to urgent care for treatment. Member returned with a diagnosis of cellulitis.
Age: 37.0
Sex: M
Vaccine: TYP
Symptoms: Tenderness
Clinical narrative: Member received Anthrax #6 1Nov08. Presented to clinic 4Nov08 with complaint of erythema, edema, pain, decreased range of motion, and tenderness radiating from the top of his shoulder to the middle of his forearm. Member sent to urgent care for treatment. Member returned with a diagnosis of cellulitis.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Malaise, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: SWELLING AND REDNESS ON ARM,12CMX10CM OVER DELTOID WARM TO TOUCH. VERY PAINFUL, PT ALSO FELT VERY SICK WITH FEVERS AND BODY ACHES.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Pyrexia, Skin warm
Clinical narrative: SWELLING AND REDNESS ON ARM,12CMX10CM OVER DELTOID WARM TO TOUCH. VERY PAINFUL, PT ALSO FELT VERY SICK WITH FEVERS AND BODY ACHES.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Culture throat negative, Fatigue, Nausea, Pruritus, Pyrexia
Clinical narrative: On Saturday, October 25, around 11:00am patient received a flu shot in her left thigh. By 5:00pm that evening she appeared fatigued and developed a fever. Her mother treated her with Tylenol. On Sunday, October 26, she complained of nausea and continued to be fatiqued with a fever between 101-102 degrees (f). Her mother continued to treat her fever with Tylenol. That evening after patient received her bath her mother noticed several red spots on her left buttocks. On Monday, October 27, patient developed itchy hives from the middle of her back down to her feet. Her mother took her to her healthcare provider and Benadryl was prescribed. The hives started to resolve after the treatment with the Benadryl. Patient's mother denies that she is allergic to eggs or to gelatin. Her mom states that she has had a least 1 flu shot in the past without any problems. On Tuesday, October 28, the hives flared up again and her mother took her back to their healthcare provider. A throat culture and urine analysis was none (negative). The hives resolved on Thursday, October 30, and the fever resolved on Monday, November 3.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Urine analysis normal, Urticaria
Clinical narrative: On Saturday, October 25, around 11:00am patient received a flu shot in her left thigh. By 5:00pm that evening she appeared fatigued and developed a fever. Her mother treated her with Tylenol. On Sunday, October 26, she complained of nausea and continued to be fatiqued with a fever between 101-102 degrees (f). Her mother continued to treat her fever with Tylenol. That evening after patient received her bath her mother noticed several red spots on her left buttocks. On Monday, October 27, patient developed itchy hives from the middle of her back down to her feet. Her mother took her to her healthcare provider and Benadryl was prescribed. The hives started to resolve after the treatment with the Benadryl. Patient's mother denies that she is allergic to eggs or to gelatin. Her mom states that she has had a least 1 flu shot in the past without any problems. On Tuesday, October 28, the hives flared up again and her mother took her back to their healthcare provider. A throat culture and urine analysis was none (negative). The hives resolved on Thursday, October 30, and the fever resolved on Monday, November 3.
Age: 30.0
Sex: M
Vaccine: MNQ
Symptoms: Bone pain, Chest discomfort, Chills, Eye pain, Injected limb mobility decreased
Clinical narrative: Had Menactra 11/03/08 state Temp not sure of degree did not have thermometer to take was using Tylenol q 2 hour and had chills.Today temp 100 ax.State had presure in chest, body and bones pain, eyes hurting and sensative to light.  Left arm pit is swollen the are of vaccine has difficulty and pain on elvating left arm.
Age: 30.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site pain, Injection site swelling, Pain, Photophobia, Pyrexia
Clinical narrative: Had Menactra 11/03/08 state Temp not sure of degree did not have thermometer to take was using Tylenol q 2 hour and had chills.Today temp 100 ax.State had presure in chest, body and bones pain, eyes hurting and sensative to light.  Left arm pit is swollen the are of vaccine has difficulty and pain on elvating left arm.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Diarrhoea, Wheezing
Clinical narrative: Patient c/o wheezing and coughinin that started within three hours after the immunization.  She also states that she had mild diarrhea for the following two days.
Age: 33.0
Sex: F
Vaccine: FLUN3
Symptoms: Dizziness, Feeling jittery, Headache, Heart rate increased, Nasal congestion
Clinical narrative: Flu mist administered 10/27/2008.  Called stating that she had body aches, severe head ache, dizziness and nasal congestion.  She was told that she was having a response to the flu vaccine and would feel better in a few days.  She came into the office again today 11/6/2008 stating she is still having symptoms of head ache, dizziness, body aches and now jitteriness and rapid heart rate.
Age: 33.0
Sex: F
Vaccine: FLUN3
Symptoms: Pain
Clinical narrative: Flu mist administered 10/27/2008.  Called stating that she had body aches, severe head ache, dizziness and nasal congestion.  She was told that she was having a response to the flu vaccine and would feel better in a few days.  She came into the office again today 11/6/2008 stating she is still having symptoms of head ache, dizziness, body aches and now jitteriness and rapid heart rate.
Age: 30.0
Sex: M
Vaccine: UNK, YF
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt questionaire was not verified.  Pt is on deployment list and verified to need yellow fever vaccine.  Pt given yellow fever vaccine and PPD test.  After vaccination, administrator discovered in electronic medical record that pt had received the Flumist.  Pt instructed to return 4 weeks from Flumist vaccine to receive repeat yellow fever vaccine and PPD test.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Dyspnoea, Eye swelling, Feeling abnormal, Productive cough
Clinical narrative: Received vaccine around 11:15am. Started coughing with mucus and congestion around 2:30 pm. Also felt eyes swelling, became hoarse. Took over the counter Benadryl and Robitussin. Layed down. Started to feel mouth and tongue get funny. Headed to ER. Upon arrival to ER having trouble breathing. Ended up admitted to hospital. Discharge with oral Prednisone. Unsure of actual meds given in ER. No other abnormal ingested foods or meds that day. Influenza vaccine was only difference-11/14/08-records received  for DOS 10/28/08-presented to ED with C/O harsh barky cough and lips swelling on evening after receiving flu vaccine. Eyes itchy and red. Tingling in lips. Admitted overnight for angioedema questionable reaction to flu vaccine.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory tract congestion
Clinical narrative: Received vaccine around 11:15am. Started coughing with mucus and congestion around 2:30 pm. Also felt eyes swelling, became hoarse. Took over the counter Benadryl and Robitussin. Layed down. Started to feel mouth and tongue get funny. Headed to ER. Upon arrival to ER having trouble breathing. Ended up admitted to hospital. Discharge with oral Prednisone. Unsure of actual meds given in ER. No other abnormal ingested foods or meds that day. Influenza vaccine was only difference-11/14/08-records received  for DOS 10/28/08-presented to ED with C/O harsh barky cough and lips swelling on evening after receiving flu vaccine. Eyes itchy and red. Tingling in lips. Admitted overnight for angioedema questionable reaction to flu vaccine.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discolouration, Skin discolouration
Clinical narrative: Staff presented with bruise on the left deltoid area. She was vaccinated with flu vaccine on 10/29/08 and state that she noted bluish/ purplish discoloration 2 fingers width below the injection site on 10/31/08. denies pain, swelling, nor SOB. Seen on 11/3/08 and today 11/5/08. No treatment provided.Seen patient and noted on left upper arm from the injection site now 4 fingers width bluish/ purplish discoloration,and 4 fingers width from the antecubital area; no lumps, no swelling, no pain, no redness noted. good pulses, and with  FROM.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Tenderness
Clinical narrative: Member contacted MDS on 5Nov08 with C/O erythemia, edema, pain, and tenderness to Rt arm. Member received Anthrax #8 2Nov08. Member's S/S radiate from the top of his shoulder to his elbow. Member advised to seek Tx at nearest appropriate medical facility. Member received Dx of "sever local RXN" and was instructed to follow up with his PCP in 2 days.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Hyperhidrosis, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Patient received vaccines noted below on Oct 31st 2008. No complications noted at time of administration. Father called office on 11/1/08 at 12:10pm to report ? atypical febrile seizure through the night of 11/1/08. Temperature reported to be 99.8 rectally. Father stated child's extremities were stiff,was crying, sweating and had a bowel movement at approx 3am and lasting 30 seconds.  Episode witnessed by father who also is a adult neurologist.
Age: 69.0
Sex: M
Vaccine: DT
Symptoms: Injection site urticaria
Clinical narrative: Pt developed a large hive at site of injection one week after injection.
Age: 1.25
Sex: F
Vaccine: FLUN3
Symptoms: Inappropriate schedule of drug administration, Nasopharyngitis
Clinical narrative: Patient given LAIV (fluMist).  Telephone call 11/5/08 to home, grandmother reports child is fine, has minor cold symptoms.  Told grandmother that child will still need 2nd flu vaccination this year and that TIV (injectable vaccine) is to be used for this dose.
Age: 38.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Induration, Oedema peripheral, Pain in extremity
Clinical narrative: States her right arm was not swollen last night, but just sore. States it began to swell today. States abduction of right arm is painful. Noted firm, indurated area right deltoid measuring 6 inches across and 7 inches in length. No increased temperature or redness
Age: 0.2
Sex: F
Vaccine: DTAP, RV5
Symptoms: Barium enema normal, Clostridium difficile toxin test, Diarrhoea, Rotavirus test negative, Stool analysis normal
Clinical narrative: Began to have bilious emesis about 2 days after immunization was given and then also began having diarrhea.  Had one episode of bilious emesis then resolved for 2 days then again -- Upper GI obtained (normal), bilious emesis again, went to ED then transported to Hospital (pediatric surgery).  Monitored there had negative enema and negative stool workup, no further emesis and diarrhea resolved.  3 days later infant eating well and gaining weight. 11/21/08-records received for DOS 10/29-10/31-08-DC DX: Gastroenteritis. Now presented with 3 day history of bilious emesis and diarrhea.
Age: 0.2
Sex: F
Vaccine: DTAP, RV5
Symptoms: Vomiting, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Began to have bilious emesis about 2 days after immunization was given and then also began having diarrhea.  Had one episode of bilious emesis then resolved for 2 days then again -- Upper GI obtained (normal), bilious emesis again, went to ED then transported to Hospital (pediatric surgery).  Monitored there had negative enema and negative stool workup, no further emesis and diarrhea resolved.  3 days later infant eating well and gaining weight. 11/21/08-records received for DOS 10/29-10/31-08-DC DX: Gastroenteritis. Now presented with 3 day history of bilious emesis and diarrhea.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Myalgia
Clinical narrative: VERY SORE MUSCLES, CAN BEND ARM BUT NOT ROTATE IT X 4 WEEKS.  COLD COMPRESSES AND ALEVE HELP SOMEWHAT.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hyperaesthesia, Myalgia, Rash macular
Clinical narrative: myalgia, skin sensitvity, pink macular rash on upper arm
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Pruritus, Rash, Rash erythematous, Scab
Clinical narrative: Influenza vaccine administered on 10/30/08. Pt. reports on 10/31/08 had burning sensation in right arm that morning. Reports she then developed itching on both arms, lower abdomen along beltline and lower legs.  She reports  taking Benadryl on Sunday evening, 11/02/08 to help relieve the itching.  Client presented to Health Department with raised, reddened rash with some scabbing to areas that she had scratched.  Rash was present on both arms, few spots on lower abdomen and few spots on lower legs below the knees.  Instructed pt. to follow up with physician.  She reported she had to work and was unsure if she would be able to follow up.  Spoke with pt. on 11/05/08 and she reported she did not follow up and rash was no longer itching and was beginning to clear up.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Aldolase normal, Antinuclear antibody negative, Blood creatine phosphokinase normal, Blood product transfusion, CSF bacteria no organisms observed
Clinical narrative: Child developed Guillain Barre Syndrome approximately three weeks after influenza vaccine with ascending muscle weakness. He required non-invasive ventilatory support for 3 to 4 days, NG tube feedings and received 5 doses of IVIG. He has recoved some muscle strength especially of his respiratory muscles (breathing room air with no support) and his upper arms. He is also tolerating full diet (well chopped). He is receiving physical therapy and is anticipated to be discharged home in the next week. 1/20/09-records received for DOS 10/26-11/12/08-DC DX: Acute infective polyneuritis.Presented to ED with C/O muslce weakness and gait abnormality, vomited and diarrhea prior to admission. Weakness and urinary incontenence. Weakness and difficulty breathing, autonomic instability. Constipation. Treated with IVIG. Blood pressure instability treated with antihypertensives.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: CSF culture negative, CSF glucose normal, CSF protein increased, CSF virus no organisms observed, Double stranded DNA antibody
Clinical narrative: Child developed Guillain Barre Syndrome approximately three weeks after influenza vaccine with ascending muscle weakness. He required non-invasive ventilatory support for 3 to 4 days, NG tube feedings and received 5 doses of IVIG. He has recoved some muscle strength especially of his respiratory muscles (breathing room air with no support) and his upper arms. He is also tolerating full diet (well chopped). He is receiving physical therapy and is anticipated to be discharged home in the next week. 1/20/09-records received for DOS 10/26-11/12/08-DC DX: Acute infective polyneuritis.Presented to ED with C/O muslce weakness and gait abnormality, vomited and diarrhea prior to admission. Weakness and urinary incontenence. Weakness and difficulty breathing, autonomic instability. Constipation. Treated with IVIG. Blood pressure instability treated with antihypertensives.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Epstein-Barr virus test negative, Gastrointestinal tube insertion, Hepatitis A antibody negative, Hepatitis B antibody negative, Mechanical ventilation
Clinical narrative: Child developed Guillain Barre Syndrome approximately three weeks after influenza vaccine with ascending muscle weakness. He required non-invasive ventilatory support for 3 to 4 days, NG tube feedings and received 5 doses of IVIG. He has recoved some muscle strength especially of his respiratory muscles (breathing room air with no support) and his upper arms. He is also tolerating full diet (well chopped). He is receiving physical therapy and is anticipated to be discharged home in the next week. 1/20/09-records received for DOS 10/26-11/12/08-DC DX: Acute infective polyneuritis.Presented to ED with C/O muslce weakness and gait abnormality, vomited and diarrhea prior to admission. Weakness and urinary incontenence. Weakness and difficulty breathing, autonomic instability. Constipation. Treated with IVIG. Blood pressure instability treated with antihypertensives.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness, Mycoplasma serology, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Child developed Guillain Barre Syndrome approximately three weeks after influenza vaccine with ascending muscle weakness. He required non-invasive ventilatory support for 3 to 4 days, NG tube feedings and received 5 doses of IVIG. He has recoved some muscle strength especially of his respiratory muscles (breathing room air with no support) and his upper arms. He is also tolerating full diet (well chopped). He is receiving physical therapy and is anticipated to be discharged home in the next week. 1/20/09-records received for DOS 10/26-11/12/08-DC DX: Acute infective polyneuritis.Presented to ED with C/O muslce weakness and gait abnormality, vomited and diarrhea prior to admission. Weakness and urinary incontenence. Weakness and difficulty breathing, autonomic instability. Constipation. Treated with IVIG. Blood pressure instability treated with antihypertensives.
Age: 1.2
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Fever greater than 103 if not medicated with tylenol
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Neck pain, Oedema peripheral, Pain in extremity, Rash, Skin warm
Clinical narrative: Pt complained that she had arm pain radiating to her neck and splotches to left chest wall and neck at urgent care visit. Pt called office and reported that her arm was hot to touch, and swollen. Based on reported s/s of pain and warmth to area MD ordered cool compresses/ice pack and 2 aleves bid. Urgent care provider ordered steroids after assessment of site.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Nerve injury
Clinical narrative: PATIENT BROUGHT PRESCIPTIONS TO PHARMACY FROM FAMILY PHYSICIAN FOR NAPROSYN & HYDROCODONE/APAP 5/500MG TO TREAT LEFT SHOULDER PAIN/NERVE DAMAGE ON 11/5/08
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Complex regional pain syndrome, Computerised tomogram, Cystitis, Kidney infection
Clinical narrative: my daughter was perfectly healthly before she received the HPV vaccine - now she has severe migraine headaches, Reflex Sympathetic Dystrophy Syndrome, bladder and kidney infections, etc. records received 11/17/08-clinic notes for 6/17/08 C/O constant right sided temporal pain radiating throughout scalp abrupt onset 9/7/07 with Bell's palsy-at time of HPV4 vaccine and second dose of progesterone for irregular menses. Impression probably history of autoimmune induced peripheral facial weakness as well as new onset of neuralgic pain. clinic notes for DOS 9/8/08-right sided posterior occipital and temporal pain since an episode of idiopathic Bell's palsy. Pain now less. Increased neck pain now.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Migraine
Clinical narrative: my daughter was perfectly healthly before she received the HPV vaccine - now she has severe migraine headaches, Reflex Sympathetic Dystrophy Syndrome, bladder and kidney infections, etc. records received 11/17/08-clinic notes for 6/17/08 C/O constant right sided temporal pain radiating throughout scalp abrupt onset 9/7/07 with Bell's palsy-at time of HPV4 vaccine and second dose of progesterone for irregular menses. Impression probably history of autoimmune induced peripheral facial weakness as well as new onset of neuralgic pain. clinic notes for DOS 9/8/08-right sided posterior occipital and temporal pain since an episode of idiopathic Bell's palsy. Pain now less. Increased neck pain now.
Age: 1.02
Sex: M
Vaccine: HEPA, HIBV, PNC
Symptoms: Autism spectrum disorder, Blood lead increased, Blood potassium decreased, Blood selenium decreased, Blood zinc decreased
Clinical narrative: Ran a fever of 103 degrees for two days after the shot was administered, he was given childrens tylenol as directed by physician before and after the shot was given.  After the shot was administered he lost communication skills (stopped talking), lost eye contact, withdrew from social contact and interactions with others (adults and children), did not respond to verbal prompts and commands.  This occurred from the time the shot was given until present.  He was diagnosed with Regressive Autisism Spectrum Disorder on April 4, 2008.  On April 6, 2008 he began the g.f.c.f. diet.  On June 25, 2008 we (his parents) took oatient to a D.A.N. doctor and the doctor did blood tests and urine tests.  The results showed a high mercury and lead content.  He is on supplements and vitamins to clean the toxins from his system along with other medications. 12/12/08-routine office visit records received-1/30-2/28/08-speech delay, C/O acting as if can not hear, not following directions. Fever 12/28/07.  1/29/2010 Autism.
Age: 1.02
Sex: M
Vaccine: HEPA, HIBV, PNC
Symptoms: Communication disorder, Fungal infection, Pyrexia, Regressive behaviour, Social avoidant behaviour
Clinical narrative: Ran a fever of 103 degrees for two days after the shot was administered, he was given childrens tylenol as directed by physician before and after the shot was given.  After the shot was administered he lost communication skills (stopped talking), lost eye contact, withdrew from social contact and interactions with others (adults and children), did not respond to verbal prompts and commands.  This occurred from the time the shot was given until present.  He was diagnosed with Regressive Autisism Spectrum Disorder on April 4, 2008.  On April 6, 2008 he began the g.f.c.f. diet.  On June 25, 2008 we (his parents) took oatient to a D.A.N. doctor and the doctor did blood tests and urine tests.  The results showed a high mercury and lead content.  He is on supplements and vitamins to clean the toxins from his system along with other medications. 12/12/08-routine office visit records received-1/30-2/28/08-speech delay, C/O acting as if can not hear, not following directions. Fever 12/28/07.  1/29/2010 Autism.
Age: 1.02
Sex: M
Vaccine: HEPA, HIBV, PNC
Symptoms: Unresponsive to stimuli, Urine mercury abnormal
Clinical narrative: Ran a fever of 103 degrees for two days after the shot was administered, he was given childrens tylenol as directed by physician before and after the shot was given.  After the shot was administered he lost communication skills (stopped talking), lost eye contact, withdrew from social contact and interactions with others (adults and children), did not respond to verbal prompts and commands.  This occurred from the time the shot was given until present.  He was diagnosed with Regressive Autisism Spectrum Disorder on April 4, 2008.  On April 6, 2008 he began the g.f.c.f. diet.  On June 25, 2008 we (his parents) took oatient to a D.A.N. doctor and the doctor did blood tests and urine tests.  The results showed a high mercury and lead content.  He is on supplements and vitamins to clean the toxins from his system along with other medications. 12/12/08-routine office visit records received-1/30-2/28/08-speech delay, C/O acting as if can not hear, not following directions. Fever 12/28/07.  1/29/2010 Autism.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy to vaccine, Amnesia, Arthralgia, Disturbance in attention, Hypersensitivity
Clinical narrative: very uncomfortable pain in my arm within 1-2 hours after vaccination. Took Advil later in the evening. By the next morning, pain was severe and increasing. Joints from my shoulder to my elbow were stiff and painful; unable to move arm. Muscles/tendons/ligaments in arm felt affected (felt as if muscles had been ripped in my arm) Contacted office where vaccine was given 1 week later and was told to continue taking Advil and rotate arm so as not to get "frozen shoulder".  I also asked what was in the vaccine and was told "thimerosal" - 59% mercury. Advil was not helping. Saw my primary doctor after that, she told me I probably got an allergic reaction to vaccine.  She told me to continue Advil and it should go away within 4-6 weeks. Called a pharmacist and she suggested I take Tylenol with Alleve.  Took for a few days- still not helping. Talked w/ my doctor's nurse and she had me start taking Zantac and Zyrtec.  Pain is not getting worse, but is not getting better.  I have also experienced some memory loss since vaccine- hard to concentrate; can't remember what I am supposed to be doing, etc. My arm also "falls asleep" throughtout the day (and night). Gets "tingly". Not getting any better and it has been 3 weeks now.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Joint stiffness, Pain in extremity, Paraesthesia
Clinical narrative: very uncomfortable pain in my arm within 1-2 hours after vaccination. Took Advil later in the evening. By the next morning, pain was severe and increasing. Joints from my shoulder to my elbow were stiff and painful; unable to move arm. Muscles/tendons/ligaments in arm felt affected (felt as if muscles had been ripped in my arm) Contacted office where vaccine was given 1 week later and was told to continue taking Advil and rotate arm so as not to get "frozen shoulder".  I also asked what was in the vaccine and was told "thimerosal" - 59% mercury. Advil was not helping. Saw my primary doctor after that, she told me I probably got an allergic reaction to vaccine.  She told me to continue Advil and it should go away within 4-6 weeks. Called a pharmacist and she suggested I take Tylenol with Alleve.  Took for a few days- still not helping. Talked w/ my doctor's nurse and she had me start taking Zantac and Zyrtec.  Pain is not getting worse, but is not getting better.  I have also experienced some memory loss since vaccine- hard to concentrate; can't remember what I am supposed to be doing, etc. My arm also "falls asleep" throughtout the day (and night). Gets "tingly". Not getting any better and it has been 3 weeks now.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Grip strength decreased, Insomnia, Joint range of motion decreased, Pain in extremity
Clinical narrative: Called  on 11/3/08 with concern her left arm began to hurt within an hour of receiving a flu shot at a walk-in free public clinic provided by on October 24, 2008. She stated she was having pain upon moving her arm,decreased mobility and grasp, and difficulty sleeping. 10 days after the shot, she is still having pain radiating down her arm when she uses it, but it is now more localized to her shoulder. Her opinion is the injection was given to high on her arm. She was advised to see her doctor to have her arm evaluated. She was seen by a physician at  a walk-in urgent care clinic on 11/5/08. The physician's discharge diagnosis was subacromial bursitis. He ordered: Rest of shoulder, take Ibuprofen 400mg 3x day, PT 3x week for two weeks and recheck in two weeks.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Feeling jittery, Nausea
Clinical narrative: 11/3/08  1945- pt received flu shot  on 11/4/08 @ 0115 pt was awoken from sleep having problems breathing, lightheaded, feeling nauseous, with hands and feet tingling.  pt had husband get her some benadryl- after approx 30-45 minutes pt breathing became better.   pt is not on any other medications nor is there anything in pt history of the like. 11/5/08 pt md advised her to go to patient first because pt was still  feeling "jittery" from 11/4/08, pt bp was elevated but all other vitals stable. pt was sent home told to watch her bp and take benadryl of needed.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Paraesthesia
Clinical narrative: 11/3/08  1945- pt received flu shot  on 11/4/08 @ 0115 pt was awoken from sleep having problems breathing, lightheaded, feeling nauseous, with hands and feet tingling.  pt had husband get her some benadryl- after approx 30-45 minutes pt breathing became better.   pt is not on any other medications nor is there anything in pt history of the like. 11/5/08 pt md advised her to go to patient first because pt was still  feeling "jittery" from 11/4/08, pt bp was elevated but all other vitals stable. pt was sent home told to watch her bp and take benadryl of needed.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Fatigue, Headache
Clinical narrative: AFTER RECIEVING FLU SHOT WITH TIME LAPSE OF APPROX 2.5 HRS,EXPERIENCED SOB,HA,FATIGUE WHICH WAS SELF TREATED AT HOME WITH NEBULIZER OF ALBUTEROLX1,IAPATROPIUMX1, AND LAST WITH ALBUTEROL INHALER X1.
Age: 0.3
Sex: M
Vaccine: HIBV, PPV
Symptoms: Crying, Diet refusal, Immediate post-injection reaction, Irritability, Pain
Clinical narrative: Patient was injected with Pc and HIB at 2:30pm on November 4, 2008. After injections administered, patient screamed and cried for 5 hours straight. Patient was inconsolable. Patient would not eat or sleep. I (patients mother) contacted doctor. They suggested applying a warm pack to the injection site or a warm bath. After the bath, patient calmed down but still showed signs of pain/distress. In the morning of November 5th, patient threw up multiple times. As of now, 10:10pm central time, Patient is fussy but is sleeping and eating. Doctor advised me to file this information with the CDC.
Age: 0.3
Sex: M
Vaccine: HIBV, PPV
Symptoms: Screaming, Vomiting
Clinical narrative: Patient was injected with Pc and HIB at 2:30pm on November 4, 2008. After injections administered, patient screamed and cried for 5 hours straight. Patient was inconsolable. Patient would not eat or sleep. I (patients mother) contacted doctor. They suggested applying a warm pack to the injection site or a warm bath. After the bath, patient calmed down but still showed signs of pain/distress. In the morning of November 5th, patient threw up multiple times. As of now, 10:10pm central time, Patient is fussy but is sleeping and eating. Doctor advised me to file this information with the CDC.
Age: 10.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives- generalized- after rec'd FLUZONE, VARIVAX. Hx: allergies
Age: 1.6
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV, PNC
Symptoms: Anorexia, Fatigue, Incorrect dose administered, Pyrexia
Clinical narrative: 2 hours after having vaccine he was febrile to 102-103 degrees, tired, no appetite x 2 days.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Redness, itchy and swelling
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Pt having severe pain to both arms. No redness but slightly swollen per pt. No other symptoms as well per pt.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Pyrexia
Clinical narrative: Patient had low grade fever 2 days after shots but inconsolable crying (all day) lasting 5 days after that fever
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Throat tightness
Clinical narrative: Pt received vaccine around 3 pm on 11/4 and at around 7 pm her throat began to tighten and eyes swell. She didn't have difficulty breathing. Pt took BENADRYL.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt called stated site of injection of ZOSTAVAX - Red - Swollen and warm to touch.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site induration, Injection site reaction, Scab
Clinical narrative: 3 cm induration and central crusting at injection site, of VARICELLA, no blisters.
Age: 4.0
Sex: F
Vaccine: HEPA, IPV, MMR, PNC, VARCEL
Symptoms: Decreased appetite, Insomnia, Psychomotor hyperactivity, Pyrexia
Clinical narrative: Mother noted subjective fever in patient @ 2 a.m. Patient remained awake for the rest of the night.   Brought in to clinic due to fever, decreased appetite and hyperactivity per mom.  Temp in clinic 103.1 F.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, and soreness at injection site, also experienced chills night before.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Limb immobilisation, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Swollen arm, couldn't move it for a couple days, fever, pain, took a couple days off work. Pt. called MD, no treatment was given.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Oedema peripheral
Clinical narrative: Day after getting shot started noticing swelling on upper arm. Elbow is sore. Soreness continues but no swelling. Pt has been taking IBU (otc).
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Headache, Pyrexia
Clinical narrative: Headache, fever: 101 degrees, chills, joint aches within 10 hours. Next day patient improved.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal distension, Herpes zoster, Muscle spasms, Ultrasound scan normal
Clinical narrative: Patient stated that she started feeling cramps & bloating in June (received shingles vaccine on 8/27/08). Patient claims that symptoms began the Saturday after receiving the vaccine. Dr diagnosed patient w/shingles @ the ER. Patient was given pain medication & told that nothing else could be done. Since then she has followed-up w/her PCP who per patient performed an ultrasound on her abdomen & found nothing wrong w/her pain meds & laxatives were given for condition.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Feeling cold, Headache, Pain, Pain in extremity
Clinical narrative: Had cold chills the nite of flu shot with fever, headache and red blotches on arm. 5th day arm and body still sore. Got better and then got same symptoms back again in 10/27/08.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Rash macular
Clinical narrative: Had cold chills the nite of flu shot with fever, headache and red blotches on arm. 5th day arm and body still sore. Got better and then got same symptoms back again in 10/27/08.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphagia, Oropharyngeal pain, Rash, Throat tightness
Clinical narrative: Received flu shot at 0715. 1 hour after had a cough and symptoms progressed to sore throat, difficulty swallowing and throat feels tight. Reported rash and hives. Returned to school nurse. EMS called 11 AM and O2 given, Refused to go to hospital. Pt took 2 Benadryl tabs at home. Call made to pt at 5:45. She states feeling better.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Received flu shot at 0715. 1 hour after had a cough and symptoms progressed to sore throat, difficulty swallowing and throat feels tight. Reported rash and hives. Returned to school nurse. EMS called 11 AM and O2 given, Refused to go to hospital. Pt took 2 Benadryl tabs at home. Call made to pt at 5:45. She states feeling better.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Chills, Cough, Eye discharge, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: C/O cough, chills, throat closing up, sore throat, eye drng, blood shot eyes, possible fever. Was taking Tylenol for symptoms. No local site reaction reported.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Throat tightness
Clinical narrative: C/O cough, chills, throat closing up, sore throat, eye drng, blood shot eyes, possible fever. Was taking Tylenol for symptoms. No local site reaction reported.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Angioedema, Local reaction, Urticaria
Clinical narrative: 1) Pt has received Hep B # 1 = Developed quartersize reaction/whelping. 2) Pt received Hep B #2 11-5-08 & developed large lemon sized reaction with mild angioedema. 11/5/08 P=78 R=18  O2 Sat=98%. Pt received 2nd Hep B & within 3-5min had localized erythema to deltoid area received Benadryl 25mg po / Depomedrol 80mg IM No SOB - mild angioedema to lips bilat - VARS report made & advised pt to not have 3rd Hep B IM due to reaction.
Sex: M
Vaccine: DT
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: DT given outside of recommended age. Pt should have received Td. Per Sanofi Pasteur no need to revaccinate with Td.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Blood albumin, Blood alkaline phosphatase, Blood bilirubin, Blood calcium, Blood chloride
Clinical narrative: Fever 104 degrees, Lethargic, appetite diminished.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Blood creatinine, Blood glucose, Blood potassium, Blood urea, Carbon dioxide
Clinical narrative: Fever 104 degrees, Lethargic, appetite diminished.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Decreased appetite, Lethargy, Metabolic function test, Protein total, Pyrexia
Clinical narrative: Fever 104 degrees, Lethargic, appetite diminished.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Patient received 2 doses of VARIVAX. Developed full blown chicken pox on 10/28/08.  Followed course. Did follow CP course.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Axillary pain, Erythema, Pain in extremity, Rash papular
Clinical narrative: Pain in left arm and into axilla, with raised red confluent rash over upper arm starting 24 hours following injection.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Blood culture negative, CSF test normal, Computerised tomogram normal, Headache, Lymphadenopathy
Clinical narrative: 24-48 hrs later developed worst headache of life, neck stiffness, fever to 103 degrees, axillary lymphadenopathy. Was seen for possible meningitis with negative LP, Cultures, CBC. Treated with Abx and narcotic pain meds. Resolved over course of 1 week.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Musculoskeletal stiffness, Pyrexia, Vomiting
Clinical narrative: 24-48 hrs later developed worst headache of life, neck stiffness, fever to 103 degrees, axillary lymphadenopathy. Was seen for possible meningitis with negative LP, Cultures, CBC. Treated with Abx and narcotic pain meds. Resolved over course of 1 week.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Blood culture negative, CSF culture negative, CSF white blood cell count negative, Headache, Lymphadenopathy
Clinical narrative: 24-48 hrs later developed worst headache of life, neck stiffness, fever to 103 degrees, axillary lymphadenopathy. Was seen for possible meningitis with negative LP, Cultures, CBC. Treated with Abx and narcotic pain meds. Resolved over course of 1 week.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Musculoskeletal stiffness, Pyrexia, Red blood cells CSF positive
Clinical narrative: 24-48 hrs later developed worst headache of life, neck stiffness, fever to 103 degrees, axillary lymphadenopathy. Was seen for possible meningitis with negative LP, Cultures, CBC. Treated with Abx and narcotic pain meds. Resolved over course of 1 week.