chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Anaphylactic reaction, Anaphylactic shock, Immediate post-injection reaction
Clinical narrative: anaphylaxis (immediate) 9/10/09 Received hospital medical records of 12/2/08-1/24/2009. FINAL DX: Expired; malignant neoplasm of kidney; pulmonary insufficiency; HTN; hypertensive urgency; pulmonary atelectasis; acute pancreatitis; paralytic ileus; bacteremia; peritoneal abscess; pure hypercholesterolemia; GERD; anxiety; cardiac dysrhythmia; anemia; leukocytosis; psychosis; gastroparesis; hematuria; hypertensive chronic kidney disease Records reveal patient experienced progressively increasing abdominal pain & swelling x 11 mo.  Nephrology, Uro, Heme/Onc, gen surgery, Cardio, Pulm, ID  consults done.  Taken to 12/19 OR for exp lap, radical left nephrectomy, jejunostomy & appendectomy.  Developed post op HTN, fever, pancreatitis, ileus, psychosis & OBS.  Taken back to OR for re-exploration of bowel obstruction requiring bowel resection & removal of massive adhesions, abdominal wound left open.  Chest tube & thoracotomy.  Progressed slowly & was ready for d/c to home when he received the vaccine.  Patient developed immediate respiratory difficulty, had a seizure & respiratory-cardiac arrest & was unable to be resuscitated.  ME refused autopsy but was done in hospital
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal discomfort, Body temperature increased, Dyspnoea, Fatigue, Pain in extremity
Clinical narrative: some temp, difficulty breathing, tired, pain in arm upset stomach
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain, Chest X-ray normal, Chest pain, Electrocardiogram normal, Fatigue
Clinical narrative: Mother reports fatigue and complaints of chest pain, abdominal pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Pruritus, Rhinorrhoea
Clinical narrative: Received 4 year vaccines on 8-20-09.  Mom noticed L arm swollen on 8-22-09 and on 8-23-09 patient arm was swollen, she complained of itching and pain. she had a runny nose and also complained of itching on chest and other arm. mom took patient to ER on 8-23-09 and ER MD prescribed Benadryl, Ibprophen, and Cefporzil antiboitic.  Today on 8-24-09, patients arm still swollen and she is still itching, no rash noted to skin.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Abnormal behaviour, Aggression, Emotional disorder, Screaming, Urticaria
Clinical narrative: Within a few days of the vaccination, pt. began to throw temper tantrums every day screaming at the top of her lungs.  She will not listen.  She starts to scream as soon as you begin to say anything to her.  She screams hateful and selfish things.  Since we are unable to reason with her, we just stay nearby occupying ourselves with a soft smile on our faces.  We occasionally walk over and give her a little kiss or a small hug, just to let her know we  still love her even though she is acting so hateful.  She will scream for 20 minutes up to an hour and then she will cry and say she loves us and say she is sorry.  We hug her and kiss her and then she does whatever it was we had asked her to do and then she is fine.  She has always been a sweet and obedient little girl.  This started suddenly and it is not like her.  I know she can't control the flood of emotions, so I do not get angry with her and she still has to obey.  Also, since the shot she has been getting welts on her legs from her underwear and pull-ups every day.
Age: 37.0
Sex: F
Vaccine: HEP, IPV
Symptoms: Anorexia, Disorientation, Fatigue, Myalgia, Pyrexia
Clinical narrative: Recieved first hep b shot and IPV shot on the morning of August 20, 2009.  By 11pm had high fever that lasted until August 22.  Also had muscle aches, loss of appetite, disorientation, and tireness.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Cold sweat, Dyskinesia, Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: Gave vaccines to pt while she was lying flat on the exam table.  Approximately 30 seconds later, she passed out and had several jerky upper body movements.  She then regained conciousness after about 30 seconds and was pale and slightly clammy.  Pulse and B/P were normal.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Skin warm, Swelling
Clinical narrative: Injection given on 08/20.  Approx 3" in diameter red rash.  Rash was hot, tender and swollen as presented on 08/22.  No other signs or symptoms.  No treatment give and no hospitalization required.  On 08/24 rash appeares to have impoved
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Pt became dizzy 20 min. after first Gardasil injection.
Age: 1.0
Sex: M
Vaccine: MMR, PPV, VARCEL
Symptoms: Anorexia, Blister, Lethargy, Pyrexia, Rash generalised
Clinical narrative: Broke out with rash all over extremities, trunk, face, bottom of feet 8/12/09.  Has had fever of 100, lethargic, lossof appetitie.  On 8-14-09 some spots have formed blisters.
Age: 78.0
Sex: M
Vaccine: HEPAB
Symptoms: Erythema, Pain in extremity
Clinical narrative: 8-14-09 Ball of left foot extremely sore, painful and remained sore, red painful as of 8-17-09 but improving
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Asthenia, Confusional state, Dizziness, Fatigue
Clinical narrative: 20 MINUTES AFTER RECEIVING H. ZOSTER VACCINE EXPERIENCED WEAKNESS, LIGHT HEADEDNESS, FATIGUE, DIZZINESS, CONFUSION, UNABLE TO WORK OR DRIVE, 2"X2" AREA OF INDURATION AT SITE.  NO FEVER
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Impaired driving ability, Injection site induration
Clinical narrative: 20 MINUTES AFTER RECEIVING H. ZOSTER VACCINE EXPERIENCED WEAKNESS, LIGHT HEADEDNESS, FATIGUE, DIZZINESS, CONFUSION, UNABLE TO WORK OR DRIVE, 2"X2" AREA OF INDURATION AT SITE.  NO FEVER
Age: 58.0
Sex: M
Vaccine: HEPAB
Symptoms: Myalgia
Clinical narrative: Patient complained of continued muscle soreness and pain in left deltoid area 8 days after receipt of Hepatitis A/B vaccine.  Physician examined.  No redness, warmth, edema or cellulitis.  Patient without fever.  Patient was prescribed Erythromycin 500mg 1 PO BID x 7 days and Advil recommended for pain.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Skin warm
Clinical narrative: 8/21/09 Received phone call from pt reporting red, warm area on (L) deltoid. States started about 3-4 hrs after receiving the vaccine on 8/19/09. Instructed to call PCP, cool compress to area, Tylenol or Motrin to seek medical evaluation if needed.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Culture throat negative, Headache, Muscle fatigue, Oropharyngeal pain
Clinical narrative: Patient is complaining of muscle fatigue ever since the immunization.  He lacks energy.  He had itching that is now resolved.  He had headaches that are better.  He has a sore throat.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Pruritus
Clinical narrative: Patient is complaining of muscle fatigue ever since the immunization.  He lacks energy.  He had itching that is now resolved.  He had headaches that are better.  He has a sore throat.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Heart rate increased
Clinical narrative: Developed an increased heart rate of 118 with an average of 90. Pulse rate prior to receiving Adacel was 60-70 beats per minute. Symptoms began 8/18/2009, 2 days after receiving Adacel and continue to persist as of 8/24/2009.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: SWELLING AND REDNESS TO LEFT ARM
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Anorexia, Anxiety, Blood test, Computerised tomogram
Clinical narrative: Long-term chronic nausea, chronic abdominal pain, face rash, anxiety, fatigue, depression, weight loss, loss of appetite, tremors, foaming of mouth...required visits to 3 different doctors with numerous prescription medications ordered with no relief. Additional medical records received 10/8/09 Dates of Service 8/4/08 to 9/2/09.  Assessment:  Contact pruritus, dermatitis, cellulitis, local infection, pyelonephritis, UTI, Influenza with other respiratory manifestations.  Assessment:  Presented on 8/4/08 with small red lesions on the left inner buttocks, diagnosed with pruritus, contact dermatitis and cellulitis.  On 11/15/08 presented with rash and itching of right inner buttocks;  diagnosed with cellulitis and a local infection.  6/17/09, presented with fever, lethargy, chills, lower abdominal pressure, and increased urination;  diagnosed with pyelonephritis.  Follow up on 6/19/09 c/o nightsweats, right lower quadrant abdominal tenderness; diagnosed with UTI.  Seen on 9/2/09 for cough, rhinitis, pharyngitis, fever, diarrhea, body aches and chills; diagnosed with influenza with other respiratory manifestations.  Presecibed Tamuflu.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Culture stool, Depression, Fatigue, Foaming at mouth, Nausea
Clinical narrative: Long-term chronic nausea, chronic abdominal pain, face rash, anxiety, fatigue, depression, weight loss, loss of appetite, tremors, foaming of mouth...required visits to 3 different doctors with numerous prescription medications ordered with no relief. Additional medical records received 10/8/09 Dates of Service 8/4/08 to 9/2/09.  Assessment:  Contact pruritus, dermatitis, cellulitis, local infection, pyelonephritis, UTI, Influenza with other respiratory manifestations.  Assessment:  Presented on 8/4/08 with small red lesions on the left inner buttocks, diagnosed with pruritus, contact dermatitis and cellulitis.  On 11/15/08 presented with rash and itching of right inner buttocks;  diagnosed with cellulitis and a local infection.  6/17/09, presented with fever, lethargy, chills, lower abdominal pressure, and increased urination;  diagnosed with pyelonephritis.  Follow up on 6/19/09 c/o nightsweats, right lower quadrant abdominal tenderness; diagnosed with UTI.  Seen on 9/2/09 for cough, rhinitis, pharyngitis, fever, diarrhea, body aches and chills; diagnosed with influenza with other respiratory manifestations.  Presecibed Tamuflu.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Tremor, Urine analysis, Weight decreased, X-ray with contrast lower gastrointestinal tract
Clinical narrative: Long-term chronic nausea, chronic abdominal pain, face rash, anxiety, fatigue, depression, weight loss, loss of appetite, tremors, foaming of mouth...required visits to 3 different doctors with numerous prescription medications ordered with no relief. Additional medical records received 10/8/09 Dates of Service 8/4/08 to 9/2/09.  Assessment:  Contact pruritus, dermatitis, cellulitis, local infection, pyelonephritis, UTI, Influenza with other respiratory manifestations.  Assessment:  Presented on 8/4/08 with small red lesions on the left inner buttocks, diagnosed with pruritus, contact dermatitis and cellulitis.  On 11/15/08 presented with rash and itching of right inner buttocks;  diagnosed with cellulitis and a local infection.  6/17/09, presented with fever, lethargy, chills, lower abdominal pressure, and increased urination;  diagnosed with pyelonephritis.  Follow up on 6/19/09 c/o nightsweats, right lower quadrant abdominal tenderness; diagnosed with UTI.  Seen on 9/2/09 for cough, rhinitis, pharyngitis, fever, diarrhea, body aches and chills; diagnosed with influenza with other respiratory manifestations.  Presecibed Tamuflu.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: X-ray with contrast upper gastrointestinal tract
Clinical narrative: Long-term chronic nausea, chronic abdominal pain, face rash, anxiety, fatigue, depression, weight loss, loss of appetite, tremors, foaming of mouth...required visits to 3 different doctors with numerous prescription medications ordered with no relief. Additional medical records received 10/8/09 Dates of Service 8/4/08 to 9/2/09.  Assessment:  Contact pruritus, dermatitis, cellulitis, local infection, pyelonephritis, UTI, Influenza with other respiratory manifestations.  Assessment:  Presented on 8/4/08 with small red lesions on the left inner buttocks, diagnosed with pruritus, contact dermatitis and cellulitis.  On 11/15/08 presented with rash and itching of right inner buttocks;  diagnosed with cellulitis and a local infection.  6/17/09, presented with fever, lethargy, chills, lower abdominal pressure, and increased urination;  diagnosed with pyelonephritis.  Follow up on 6/19/09 c/o nightsweats, right lower quadrant abdominal tenderness; diagnosed with UTI.  Seen on 9/2/09 for cough, rhinitis, pharyngitis, fever, diarrhea, body aches and chills; diagnosed with influenza with other respiratory manifestations.  Presecibed Tamuflu.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Blood test, Computerised tomogram, Dizziness, Fatigue, Headache
Clinical narrative: Reoccurring headaches, chronic fatigue, dizziness and light headedness.  Received symptoms shortly after receiving first Anthrax vaccine on 23 July 2009. Doctor exempted from any further Anthrax vaccines.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Anorexia, Pyrexia
Clinical narrative: loss of appetite & 102 degree fever; treated with tylenol
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Arthritis, Gait disturbance, Injection site cellulitis, Injection site irritation, Nuclear magnetic resonance imaging normal
Clinical narrative: 8/7/09- 4 y.o. Received immunization Booster at medical center. Returned 8/12/09 for mild irritation vs cellulitis (L) arm at site for varicella. AUGMENTIN prescribed - Seen 8/18/09 at medical center. Dx'd torticollis seen 8/19/09 with difficulty walking. Referred to ER Hosp. D/C'd 8/24/09. Was informed MRI was negative, D/C diagnosis arthritis. S/P vaccination- plan to F/U to Rheumatology in Sept received a call 8/24/09-readmitted to clinic- difficulty walking unable to turn head.  10/5/09 Hospital records, DC summary received, DOS 8/19/09 to 8/21/09. Assessment: Post-Vaccination Arthralgia. After vaccination large erythematous area on arm. Bump on right upper extremity. Patient presents with 2 day h/o neck pain, back pain, and leg pain. Difficulty moving neck. Difficulty in walking. Wide-based gate, shuffling. Difficulty getting up to stand. Stiff gait. Ataxia.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Torticollis
Clinical narrative: 8/7/09- 4 y.o. Received immunization Booster at medical center. Returned 8/12/09 for mild irritation vs cellulitis (L) arm at site for varicella. AUGMENTIN prescribed - Seen 8/18/09 at medical center. Dx'd torticollis seen 8/19/09 with difficulty walking. Referred to ER Hosp. D/C'd 8/24/09. Was informed MRI was negative, D/C diagnosis arthritis. S/P vaccination- plan to F/U to Rheumatology in Sept received a call 8/24/09-readmitted to clinic- difficulty walking unable to turn head.  10/5/09 Hospital records, DC summary received, DOS 8/19/09 to 8/21/09. Assessment: Post-Vaccination Arthralgia. After vaccination large erythematous area on arm. Bump on right upper extremity. Patient presents with 2 day h/o neck pain, back pain, and leg pain. Difficulty moving neck. Difficulty in walking. Wide-based gate, shuffling. Difficulty getting up to stand. Stiff gait. Ataxia.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness, and itching of the right deltoid after receiving TDAP vaccine.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Abasia, Laboratory test, Tremor, Vanillyl mandelic acid urine
Clinical narrative: On 9/28/08 he developed a tremor and stopped walking. Tremor persisted through 8/24/09   10/01/09 PCP medical records, consults received DOS 9/22/09 to 6/10/09. Assessment: Viral upper respiratory infection. Tremor-post vaccine. Ataxia. Parent states child began to fuss, then arms and legs began to shake. Jerky movements. Erythematous diaper rash. Diarrhea. Anterior cervical lymphadenopathy. Sleeping more than usual. Cold sweats. Tremor when reaching for objects. Neutropenia. Pharyngitis. Legs stiff. Trouble walking. Unsteady gait. Liver palpable.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Fatigue, Headache, Mononucleosis heterophile test negative, Pyrexia, Rash
Clinical narrative: 8/10/09: Rash (small) on the tummy. Went to clinic 8/13 was tested for mono: negative. 8/22/09 got worse: increased rash, increased fever, headache, fatigue, went to urgent care, one doctor said not chickenpox, the other doctor said chickenpox. Dry rash, no blister or fluid, 8/24/09 increased rash to quarter size. Will go to urgent care.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Myalgia, Pain, Skin warm
Clinical narrative: Shot given 8/19/09 -Weds- Onset of soreness/hot to the touch-FRIDAY-SATURDAY-8/21-22.  Saw patient- 8/24/09- Monday-Small knot in muscle-slight redness and tenderness.  Pt states it is going away.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site discolouration, Injection site nodule
Clinical narrative: Report by parent of "nodule" developing months after injection (at general vaccine site) - developed sensitivity & darkening. See copy of parent's letter/photo to me.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Aldolase normal, Blood creatine phosphokinase, Blood creatine phosphokinase normal, C-reactive protein increased, Full blood count normal
Clinical narrative: 4 days after HPV #3 and MENACTRA leg pain - left upper only - more muscular than bony, increased CRP difficulty walking, missed day of school.  9/23/09 PCP records received DOS 8/10/09 to 8/30/09. Patient presents with c/o numbness right knee. Tender to touch, hard to walk, stand. Antalgic gait. Skin itchy on buttocks. Cold with chills, stuffy nose, cough. DX:  URI with limb pain. Leg myalgia. Cough-viral process.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Gait disturbance, Pain in extremity, Red blood cell sedimentation rate normal
Clinical narrative: 4 days after HPV #3 and MENACTRA leg pain - left upper only - more muscular than bony, increased CRP difficulty walking, missed day of school.  9/23/09 PCP records received DOS 8/10/09 to 8/30/09. Patient presents with c/o numbness right knee. Tender to touch, hard to walk, stand. Antalgic gait. Skin itchy on buttocks. Cold with chills, stuffy nose, cough. DX:  URI with limb pain. Leg myalgia. Cough-viral process.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC
Symptoms: Pyrexia, Rash morbilliform, Rash papular
Clinical narrative: Fever-developed 8 days after vaccination papular/morbilliform rash- developed 8 days after vaccination.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: (R) deltoid reddened - size 8cm x 4cm slight reddish pink mild induration pain on touch.
Age: 5.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Joint swelling, Urticaria
Clinical narrative: Began with true urticarial rash on 8/19/09. Then developed joint swelling over entire body. BENADRYL was given every 4 hours.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: Swollen, red, hard, hot.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Fatigue, Heart rate increased, Hyperhidrosis, Malaise
Clinical narrative: 10 minutes following shot pt became pale sweaty, not feeling well. Weak & tired on exam she was pale, sweaty, pulse rapid BP OK. Pt was given water & lied down. BENADRYL given by mouth. 15 minutes later, feeling better sent home w/ normal vitals. 2 hr later patient doing OK per phone call to mom.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pallor
Clinical narrative: 10 minutes following shot pt became pale sweaty, not feeling well. Weak & tired on exam she was pale, sweaty, pulse rapid BP OK. Pt was given water & lied down. BENADRYL given by mouth. 15 minutes later, feeling better sent home w/ normal vitals. 2 hr later patient doing OK per phone call to mom.
Age: 19.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cystitis, Drug hypersensitivity, Pain, Rash
Clinical narrative: - Had rash and soreness developed on 8/22/09 AM went to the ER in evening as it was spreading - Was put on LEVAQUIN, Prednisone and ATARAX - Was diagnosed with cystitis on Sunday.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Hypoalbuminaemia, Nephritis, Oedema peripheral, Proteinuria, Swelling face
Clinical narrative: 8-19 developed swelling of face/hands/feet. Lab work consistent with (illegible)/nephritis.  10/2/09 Hospital records, allergy/immunology and neurology consults, received DOS 8/19/09 to 9/14/09. Assessment: Nephrotic Syndrome. Child presents with increased lethargy, decreased appetite and intake, and 4 extremity swelling. Arm pain at site of vaccination. Eye swelling and eye discomfort. Abdominal distension. Decreased urinary output. Fever. Increased sleepiness. Pitting edema legs. Anasarca. Increased hunger, mood swings and hyperactive behavior attributed to prednisolone.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: 3.5cm indurated dark red. 6cm total - lighter pink surrounding area. Itchy.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Approx 2 1/2 cm x 3 cm area of redness R upper arm.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Induration
Clinical narrative: Erythema circumferentially 2/3, length is 1/3 - Induration 5 cm on left upper arm.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Cough, Dyspnoea, Erythema, Pruritus, Radioallergosorbent test
Clinical narrative: Child rec'd VARIVAX and HAV; left office and then returned with difficulty breathing shortness of breath, cough, Red itchy palms given EPINEPHRINE in office and taken to ER.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Cough, Dyspnoea, Erythema, Pruritus
Clinical narrative: Child rec'd VARIVAX and HAV; left office and then returned with difficulty breathing shortness of breath, cough, Red itchy palms given EPINEPHRINE in office and taken to ER.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Feeling abnormal
Clinical narrative: Reports "feeling bad" about an hour after the shot.  Had breakout of "blisters" starting on 8/22/2009 + more on 8/23/09, located mostly on chest, abdomen, + back.  Some on arms.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: C-reactive protein decreased, Fatigue, Headache, Hypoaesthesia, Injection site erythema
Clinical narrative: 8/13 - Vaccine given at 11 am - 8/14 - Late afternoon felt "ill", headache, tired, no fever, noted redness and swelling at site - 8/15 - No energy, arm was sore - 8/18 - Called clinic, redness, swelling, warmth - started BACTRIM - then redness improving, swelling same - 8/21 - Woke up with numbness/weakness (R) arm.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Injection site swelling, Malaise, Muscular weakness, Neutrophil count increased, Pain in extremity
Clinical narrative: 8/13 - Vaccine given at 11 am - 8/14 - Late afternoon felt "ill", headache, tired, no fever, noted redness and swelling at site - 8/15 - No energy, arm was sore - 8/18 - Called clinic, redness, swelling, warmth - started BACTRIM - then redness improving, swelling same - 8/21 - Woke up with numbness/weakness (R) arm.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Red blood cell sedimentation rate normal, Skin warm, White blood cell count increased
Clinical narrative: 8/13 - Vaccine given at 11 am - 8/14 - Late afternoon felt "ill", headache, tired, no fever, noted redness and swelling at site - 8/15 - No energy, arm was sore - 8/18 - Called clinic, redness, swelling, warmth - started BACTRIM - then redness improving, swelling same - 8/21 - Woke up with numbness/weakness (R) arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Rash on upper thigh. Red and raised warm to touch.  Per chuck speed pt given 1 tsp Benedryl.
Age: 11.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Pt received #2 varicella on 7/28/09.  Developed clinical varicella on 8/07/09.
Age: 22.0
Sex: M
Vaccine: DT, HEPA, TYP, YF
Symptoms: Antibody test, Blood blister, Idiopathic thrombocytopenic purpura, Intensive care, Petechiae
Clinical narrative: Initial report received on 169/Jul/2006 from the Centers for Disease Control and Prevention. A 22-year-old male patient was vaccinated with YF-Vax, inactivated Typhoid vaccine (manufacturer unknown), Diphtheria and Tetanus Toxoids (manufacturer unknown) and Hepatitis A vaccine (manufacturer unknown) on 18/May/2006 in preparation for a trip. The routes and sites of vaccination were not reported. 14 days later (approximately 01/Jun/2006, the patient developed a rash on his back, which subsequently cleared with BENADRYL. On 06/Jun/2006, the patient developed a diffuse petechial rash on his ankles, arms and back, as well as a small blood blister on his lip. He was seen in an emergency room on 07/Jun/2006. He was found to have profound thrombocytopenia (platelets 1000). The neut titer was 1:20480. PCR was negative on a sample collected 22 days after vaccination. He was treated with DECADRON and admitted to the intensive care unit (ICU). He was subsequently treated with SOLU-MEDROL 40 mg. IV every six hours. The impression was probable idiopathic thrombocytopenia (ITP), possibly related to vaccinations. The patient was discharged from the hospital on 11/Jun/2006 with a prescription for Prednisone 20mg. per os three times daily for ITP. No discharge summary was available at the time of this report. The patient's recovery status was not reported.
Age: 22.0
Sex: M
Vaccine: DT, HEPA, TYP, YF
Symptoms: Platelet count decreased, Polymerase chain reaction
Clinical narrative: Initial report received on 169/Jul/2006 from the Centers for Disease Control and Prevention. A 22-year-old male patient was vaccinated with YF-Vax, inactivated Typhoid vaccine (manufacturer unknown), Diphtheria and Tetanus Toxoids (manufacturer unknown) and Hepatitis A vaccine (manufacturer unknown) on 18/May/2006 in preparation for a trip. The routes and sites of vaccination were not reported. 14 days later (approximately 01/Jun/2006, the patient developed a rash on his back, which subsequently cleared with BENADRYL. On 06/Jun/2006, the patient developed a diffuse petechial rash on his ankles, arms and back, as well as a small blood blister on his lip. He was seen in an emergency room on 07/Jun/2006. He was found to have profound thrombocytopenia (platelets 1000). The neut titer was 1:20480. PCR was negative on a sample collected 22 days after vaccination. He was treated with DECADRON and admitted to the intensive care unit (ICU). He was subsequently treated with SOLU-MEDROL 40 mg. IV every six hours. The impression was probable idiopathic thrombocytopenia (ITP), possibly related to vaccinations. The patient was discharged from the hospital on 11/Jun/2006 with a prescription for Prednisone 20mg. per os three times daily for ITP. No discharge summary was available at the time of this report. The patient's recovery status was not reported.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Arthralgia, Blood test, Colonoscopy, Endoscopy
Clinical narrative: Received 1st shot in May 2007. Shortly after started complaining of stomach pains. Pain lasted for several months. Pain stopped Jan. 2009. Received 2nd shot 1-28-08. Shortly after stomach pain returned. Was hospitalized 4-08 with pancreatitis. Found small intestinal ulcers 9-08. Still has continual pain with no known cause. Also has some knee pain.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Pancreatitis, Small intestine ulcer, Stool analysis, Urine analysis, Vaccine positive rechallenge
Clinical narrative: Received 1st shot in May 2007. Shortly after started complaining of stomach pains. Pain lasted for several months. Pain stopped Jan. 2009. Received 2nd shot 1-28-08. Shortly after stomach pain returned. Was hospitalized 4-08 with pancreatitis. Found small intestinal ulcers 9-08. Still has continual pain with no known cause. Also has some knee pain.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Pain in extremity
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Neurological symptom
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Activities of daily living impaired, Arachnoid cyst, Areflexia, Blepharospasm, Blood glucose decreased
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Blood test, Bone pain, Chest X-ray normal, Chest discomfort, Computerised tomogram abnormal
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Drug hypersensitivity, Gait disturbance, Headache, Lumbar puncture normal, Muscle spasms
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Muscle swelling, Muscle tightness, Myositis, Neuralgia, Neurological symptom
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: No reaction on previous exposure to drug, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain normal, Pain, Paralysis
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Red blood cell sedimentation rate normal, Speech disorder, Tremor, Ultrasound scan, Urine analysis normal
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Walking aid user, West Nile virus test positive, White blood cell count normal
Clinical narrative: Mother called in for vaccine lot. Today reports onset neurological s/s 3 wk post infection. Has followed with Dr. 08/21/09.
Sex: F
Vaccine: ANTH, TYP, ANTH, TYP
Symptoms: Dyspnoea, Loss of consciousness, Nausea, Tunnel vision, Unresponsive to stimuli
Clinical narrative: 20-30 seconds after receiving vaccines, individual turned pallor, clammy and fainted. Individual is already sitting on a chair prior to the event due to stating "I don't like needle". After partial syncope, individual hyperventilated and woke up crying for a minute and treated for shock. Lays down w/ feet prompt up assist monitored VS: (BP) 118/86 (HR) 65 (R) 18. Patient monitored for 30 minutes after incident before release in clinic.
Sex: F
Vaccine: ANTH, TYP, ANTH, TYP
Symptoms: Wheezing
Clinical narrative: 20-30 seconds after receiving vaccines, individual turned pallor, clammy and fainted. Individual is already sitting on a chair prior to the event due to stating "I don't like needle". After partial syncope, individual hyperventilated and woke up crying for a minute and treated for shock. Lays down w/ feet prompt up assist monitored VS: (BP) 118/86 (HR) 65 (R) 18. Patient monitored for 30 minutes after incident before release in clinic.
Sex: F
Vaccine: ANTH, TYP, ANTH, TYP
Symptoms: Cold sweat, Crying, Fear of needles, Hyperventilation, Pallor
Clinical narrative: 20-30 seconds after receiving vaccines, individual turned pallor, clammy and fainted. Individual is already sitting on a chair prior to the event due to stating "I don't like needle". After partial syncope, individual hyperventilated and woke up crying for a minute and treated for shock. Lays down w/ feet prompt up assist monitored VS: (BP) 118/86 (HR) 65 (R) 18. Patient monitored for 30 minutes after incident before release in clinic.
Sex: F
Vaccine: ANTH, TYP, ANTH, TYP
Symptoms: Presyncope, Shock, Syncope
Clinical narrative: 20-30 seconds after receiving vaccines, individual turned pallor, clammy and fainted. Individual is already sitting on a chair prior to the event due to stating "I don't like needle". After partial syncope, individual hyperventilated and woke up crying for a minute and treated for shock. Lays down w/ feet prompt up assist monitored VS: (BP) 118/86 (HR) 65 (R) 18. Patient monitored for 30 minutes after incident before release in clinic.
Age: 0.6
Sex: M
Vaccine: DTAPIPVHIB, HEP, HIBV, PNC, RV1, RV1
Symptoms: Abdominal mass, Barium enema, Incorrect dose administered, Intussusception, Lethargy
Clinical narrative: Child presented 8/18/09 w/ abd. pain, low grade fever and lethargic sent for abd. ultrasound result intersucception Barium enema given and intersucception reduced.  Pt. @ home now.
Age: 0.6
Sex: M
Vaccine: DTAPIPVHIB, HEP, HIBV, PNC, RV1, RV1
Symptoms: Pain, Pyrexia
Clinical narrative: Child presented 8/18/09 w/ abd. pain, low grade fever and lethargic sent for abd. ultrasound result intersucception Barium enema given and intersucception reduced.  Pt. @ home now.
Age: 0.6
Sex: M
Vaccine: DTAPIPVHIB, HEP, HIBV, PNC, RV1, RV1
Symptoms: Abdominal pain, Barium enema, Full blood count, Intussusception, Lethargy
Clinical narrative: Child presented 8/18/09 w/ abd. pain, low grade fever and lethargic sent for abd. ultrasound result intersucception Barium enema given and intersucception reduced.  Pt. @ home now.
Age: 0.6
Sex: M
Vaccine: DTAPIPVHIB, HEP, HIBV, PNC, RV1, RV1
Symptoms: Metabolic function test, Pyrexia, Ultrasound abdomen
Clinical narrative: Child presented 8/18/09 w/ abd. pain, low grade fever and lethargic sent for abd. ultrasound result intersucception Barium enema given and intersucception reduced.  Pt. @ home now.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: 2 1cm.  Blisters above sight where Immunization was Given.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Fatigue, Headache, Rash
Clinical narrative: Rash on legs. One leg shape of a triangle. Having HA's and abdominal cramping, fatigue.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling, Oedema peripheral, Skin lesion
Clinical narrative: Received booster dose of AVA 18 Aug in rt arm. He premedicated 30 min prior with ADVIL 600 mg and BENADRYL 50 mg. He took one dose of ADVIL 600 mg post booster. He returned to clinic 20 Aug with arm swelling and erythema localized to upper arm. Also developed the recurrence of "Hives" on left upper arm. Pictures provided. Symptoms: Erythema, Lesions, wheal, Edema @ injection site 30-50mm.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Received booster dose of AVA 18 Aug in rt arm. He premedicated 30 min prior with ADVIL 600 mg and BENADRYL 50 mg. He took one dose of ADVIL 600 mg post booster. He returned to clinic 20 Aug with arm swelling and erythema localized to upper arm. Also developed the recurrence of "Hives" on left upper arm. Pictures provided. Symptoms: Erythema, Lesions, wheal, Edema @ injection site 30-50mm.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Autopsy, Death
Clinical narrative: Pt found dead in crib on 8/14/09. Preliminary autopsy showed no cause of death. 12/29/2009 Autopsy report received. Cause of Death: Sudden Unexplained Infant Death. Additional information abstracted: History of prone sleep position, Intrathoracic petechia (pleural and thymus involvement). Toxicology: acetaminophen (+), carbon monoxide <5 % Sat. Skeletal Survey - Hypoventilatory chest.
Age: 1.08
Sex: M
Vaccine: HEPA, MMR
Symptoms: Crying, Expressive language disorder, Lethargy, Listless, Pyrexia
Clinical narrative: 2 days after my son received MMR and Hep A on 10/28/08 he had high fever, inconsolable, listless, lethargic for two weeks. He is now receiving therapy for Expressive/Receptive speech delay.  9/2/09 PCP medical records received DOS 10/28/09 to 4/28/09. Assessment: Delayed expressive language per state developmental service. Patient developed congestion coughing, fever, fussy, screaming, crying and lots of mucus. Disrupted sleep. Rash on back not vaccine injection site. URI. Parent concerned that child does not communicate, just cries, not expressing himself or verbalizing. Modified Checklist for Autism in Toddlers - several non-critical items of concern.
Age: 1.08
Sex: M
Vaccine: HEPA, MMR
Symptoms: Speech disorder developmental
Clinical narrative: 2 days after my son received MMR and Hep A on 10/28/08 he had high fever, inconsolable, listless, lethargic for two weeks. He is now receiving therapy for Expressive/Receptive speech delay.  9/2/09 PCP medical records received DOS 10/28/09 to 4/28/09. Assessment: Delayed expressive language per state developmental service. Patient developed congestion coughing, fever, fussy, screaming, crying and lots of mucus. Disrupted sleep. Rash on back not vaccine injection site. URI. Parent concerned that child does not communicate, just cries, not expressing himself or verbalizing. Modified Checklist for Autism in Toddlers - several non-critical items of concern.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cough, Immediate post-injection reaction, Urticaria, Wheezing
Clinical narrative: Immediately after vaccines started to cough, wheeze - got hives. 9/8/09 Hospital records received DOS 8/20/09 to 8/21/09. Assessment: Anaphylactic reaction after immunization.  Patient developed anaphylactic reaction and presents with multiple hives on face, upper extremities, trunk. Wheezes, cough, mild distress. Generalized urticaria. Bronchospasm.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Barium enema, Intussusception
Clinical narrative: Intussusception 2 wks after receiving 2nd ROTATEQ.  9/1/09 Hospital records received DOS 6/28/09 to 6/29/09. Assessment: Intussusception. Patient presents with acute onset of vomiting, bilious. Vomited 17 times. PO intake decreased, decreased wet diapers. Red colored urine. Dark green stool. Fussy. Fever, malaise, fatigue. Dry lips and mouth. Dehydration. Barium Enema administration with reduction of intussusception.  10/2/09 ICD-9 Codes: 560.0 Instussusception, 780.79 Malaise and Fatigue, 780.60 Fever, 787.03 Vominting w/o nausea.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Anxiety disorder, Depression, Hallucination, Menstrual disorder
Clinical narrative: She was seeing black shapes, said it was trying to kill her, refused to go to sleep, said if she did she wouldn't wake up, she was put in hospital for 7 days, is on LEXOR 10 mg and SEROQUEL 100mg at night. Between patient's first and second shot, her stomach hurt a lot, after the 2nd shot her period messed up so bad that the doctor had to put her on ORTHOTRICYCLEN for that, and wrote the rest on the main paper. Dates of shot's 8-17-07 -10-12-07 - 2-13-08 could not get lot number.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Sleep disorder, Visual impairment
Clinical narrative: She was seeing black shapes, said it was trying to kill her, refused to go to sleep, said if she did she wouldn't wake up, she was put in hospital for 7 days, is on LEXOR 10 mg and SEROQUEL 100mg at night. Between patient's first and second shot, her stomach hurt a lot, after the 2nd shot her period messed up so bad that the doctor had to put her on ORTHOTRICYCLEN for that, and wrote the rest on the main paper. Dates of shot's 8-17-07 -10-12-07 - 2-13-08 could not get lot number.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Abnormal behaviour, Aggression, Attention deficit/hyperactivity disorder, Decreased appetite, Disturbance in attention
Clinical narrative: This patient has been diagnosed with PDD-NOS, Mood disorder (depression/anxiety), ADHD, is s/p neuroblastoma in 2001 and has issues with obesity, sleep and aggression. His medications include BUPROPION, CLONIDINE, FLUOXETINE, CONCERTA, SYMBYAX AND TOPOMAX as well as ALBUTEROL prn and CLARITIN prn. He is followed closely by a child psychiatrist at our organization who has taken care of him for a few years now and took care of him when he was admitted to inpatient child psych ward in 2006. He actually has been relatively stable on his medications for some time and was able to function at school and at home, but the day after receiving Tdap, MENACTRA, VARIVAX #2 and Hep A #1 on 3/23/09, Mom and the school noted an abrupt change in his behavior. They noted that he had a much more difficult time focusing on anything for any length of time, had trouble with his speech and had a much decreased appetite. My understanding is that he has not had any prior immunization reactions to other immunizations and his immunizations are all up to date. The mother had to take him out of school due to his psychiatric decompensation and his child psychiatrist recommends inpatient admission to the child psych ward of a local hospital once again.  11/17/09:  Discharge Summary, Hospital records and ICD 9 codes received for dates of service 7/30/09 to 8/7/09.  Dx:  Mood disorder not otherwise specified; pervasive developmental disorder. Assessment:  Admitted to the child and adolescent psychiatric hospital for aggression and explosive, out of control episodes.  Admitted for psychological and medical stabilization and an increased level of treatment intensity.  Pt. was an active participant in the therapeutic ward milieu.  By the end of his stay he was cooperating with staff and peers.    ICD 9 Codes:  299.90, 296.90, 312.34.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Laboratory test, Mood disorder due to a general medical condition, No reaction on previous exposure to drug, Psychiatric decompensation, Speech disorder
Clinical narrative: This patient has been diagnosed with PDD-NOS, Mood disorder (depression/anxiety), ADHD, is s/p neuroblastoma in 2001 and has issues with obesity, sleep and aggression. His medications include BUPROPION, CLONIDINE, FLUOXETINE, CONCERTA, SYMBYAX AND TOPOMAX as well as ALBUTEROL prn and CLARITIN prn. He is followed closely by a child psychiatrist at our organization who has taken care of him for a few years now and took care of him when he was admitted to inpatient child psych ward in 2006. He actually has been relatively stable on his medications for some time and was able to function at school and at home, but the day after receiving Tdap, MENACTRA, VARIVAX #2 and Hep A #1 on 3/23/09, Mom and the school noted an abrupt change in his behavior. They noted that he had a much more difficult time focusing on anything for any length of time, had trouble with his speech and had a much decreased appetite. My understanding is that he has not had any prior immunization reactions to other immunizations and his immunizations are all up to date. The mother had to take him out of school due to his psychiatric decompensation and his child psychiatrist recommends inpatient admission to the child psych ward of a local hospital once again.  11/17/09:  Discharge Summary, Hospital records and ICD 9 codes received for dates of service 7/30/09 to 8/7/09.  Dx:  Mood disorder not otherwise specified; pervasive developmental disorder. Assessment:  Admitted to the child and adolescent psychiatric hospital for aggression and explosive, out of control episodes.  Admitted for psychological and medical stabilization and an increased level of treatment intensity.  Pt. was an active participant in the therapeutic ward milieu.  By the end of his stay he was cooperating with staff and peers.    ICD 9 Codes:  299.90, 296.90, 312.34.
Age: 13.0
Sex: F
Vaccine: HPV4, TTOX, HPV4, TTOX
Symptoms: Anaemia, Asthenia, Autoimmune disorder, Bundle branch block, Dysphagia
Clinical narrative: Daughter was given two injections of GARDASIL and shortly after was diagnosed with auto immune disease MG which means grave muscle.  She has had surgery to remove thymus but still has not recovered.  She can not do sports, speak clearly or swallow well.  May or may not recover.  She never had any prior health problems.  8/27/09 Hospital records received DOS 2/23/09 to 2/28/09. Assessment: Myasthenia gravis, post total thymectomy. Patient c/o of trouble with swallowing and speech articulation unrelieved by tonsillectomy. Weight loss. Ptosis. Generalized weakness. Dx'd with myasthenia gravis. Plasmapheresis. Presents for thymectomy to alleviate symptoms. Urinary tract infection.  ICD-9 Codes: 358.00 Myesthenia Gravis, 599.0 Urinary Tract Infection, 425.3 Other Left Bundle Branch Block, 285.9 Anemia unspecified. Follow-up: Sept 2008 - tongue swelling, hypernasal speech. Oct 2008- tonsillectomy. Dec 2008- Drooping lower lip / lack of gag reflex disarthric speech.
Age: 13.0
Sex: F
Vaccine: HPV4, TTOX, HPV4, TTOX
Symptoms: Lip disorder, Plasmapheresis, Speech disorder, Swollen tongue
Clinical narrative: Daughter was given two injections of GARDASIL and shortly after was diagnosed with auto immune disease MG which means grave muscle.  She has had surgery to remove thymus but still has not recovered.  She can not do sports, speak clearly or swallow well.  May or may not recover.  She never had any prior health problems.  8/27/09 Hospital records received DOS 2/23/09 to 2/28/09. Assessment: Myasthenia gravis, post total thymectomy. Patient c/o of trouble with swallowing and speech articulation unrelieved by tonsillectomy. Weight loss. Ptosis. Generalized weakness. Dx'd with myasthenia gravis. Plasmapheresis. Presents for thymectomy to alleviate symptoms. Urinary tract infection.  ICD-9 Codes: 358.00 Myesthenia Gravis, 599.0 Urinary Tract Infection, 425.3 Other Left Bundle Branch Block, 285.9 Anemia unspecified. Follow-up: Sept 2008 - tongue swelling, hypernasal speech. Oct 2008- tonsillectomy. Dec 2008- Drooping lower lip / lack of gag reflex disarthric speech.
Age: 13.0
Sex: F
Vaccine: HPV4, TTOX, HPV4, TTOX
Symptoms: Areflexia, Dysarthria, Myasthenia gravis, Speech disorder, Swollen tongue
Clinical narrative: Daughter was given two injections of GARDASIL and shortly after was diagnosed with auto immune disease MG which means grave muscle.  She has had surgery to remove thymus but still has not recovered.  She can not do sports, speak clearly or swallow well.  May or may not recover.  She never had any prior health problems.  8/27/09 Hospital records received DOS 2/23/09 to 2/28/09. Assessment: Myasthenia gravis, post total thymectomy. Patient c/o of trouble with swallowing and speech articulation unrelieved by tonsillectomy. Weight loss. Ptosis. Generalized weakness. Dx'd with myasthenia gravis. Plasmapheresis. Presents for thymectomy to alleviate symptoms. Urinary tract infection.  ICD-9 Codes: 358.00 Myesthenia Gravis, 599.0 Urinary Tract Infection, 425.3 Other Left Bundle Branch Block, 285.9 Anemia unspecified. Follow-up: Sept 2008 - tongue swelling, hypernasal speech. Oct 2008- tonsillectomy. Dec 2008- Drooping lower lip / lack of gag reflex disarthric speech.
Age: 13.0
Sex: F
Vaccine: HPV4, TTOX, HPV4, TTOX
Symptoms: Tonsillectomy
Clinical narrative: Daughter was given two injections of GARDASIL and shortly after was diagnosed with auto immune disease MG which means grave muscle.  She has had surgery to remove thymus but still has not recovered.  She can not do sports, speak clearly or swallow well.  May or may not recover.  She never had any prior health problems.  8/27/09 Hospital records received DOS 2/23/09 to 2/28/09. Assessment: Myasthenia gravis, post total thymectomy. Patient c/o of trouble with swallowing and speech articulation unrelieved by tonsillectomy. Weight loss. Ptosis. Generalized weakness. Dx'd with myasthenia gravis. Plasmapheresis. Presents for thymectomy to alleviate symptoms. Urinary tract infection.  ICD-9 Codes: 358.00 Myesthenia Gravis, 599.0 Urinary Tract Infection, 425.3 Other Left Bundle Branch Block, 285.9 Anemia unspecified. Follow-up: Sept 2008 - tongue swelling, hypernasal speech. Oct 2008- tonsillectomy. Dec 2008- Drooping lower lip / lack of gag reflex disarthric speech.