chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Idiopathic thrombocytopenic purpura
Clinical narrative: Notified by hospital of admission due to ITP - possibly related to flu vaccine.  12/22/2008 MR received for DOS 11/6-16/2008 with D/C DX:  ITP-platelet count now 54K.  Anemia, probable acute blood loss anemia-hematocrit stable at 31.  Admitted with heavy menstual bleeding and mucosal/skin bleeding and petechiae-rsolved (2' to #1).  HTN-probably 2' to steroids-stable on Norvasc.  Mild hyperglycemia 2' to steroids. Anxiety d/o. Pt presented  with heavy menstual bleeding, bleeding spots on shins and thighs and oral mucosal bleeding.  Platelet ct on admission = 7K. Admitted for thrombocytopenia and started on steroids. Required several platelet transfusions. Platelets took 9-10 days to increase to 54K. D/C for outpt f/u.
Age: 40.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Contusion, Haemorrhage, Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Notified by hospital of admission due to ITP - possibly related to flu vaccine.  12/22/2008 MR received for DOS 11/6-16/2008 with D/C DX:  ITP-platelet count now 54K.  Anemia, probable acute blood loss anemia-hematocrit stable at 31.  Admitted with heavy menstual bleeding and mucosal/skin bleeding and petechiae-rsolved (2' to #1).  HTN-probably 2' to steroids-stable on Norvasc.  Mild hyperglycemia 2' to steroids. Anxiety d/o. Pt presented  with heavy menstual bleeding, bleeding spots on shins and thighs and oral mucosal bleeding.  Platelet ct on admission = 7K. Admitted for thrombocytopenia and started on steroids. Required several platelet transfusions. Platelets took 9-10 days to increase to 54K. D/C for outpt f/u.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dehydration, Diarrhoea, Vomiting
Clinical narrative: Vomiting multiple times, diarrhea with mucus multiple times 24 hrs after rotavirus vaccine. Got admitted with dehydration for 2 days.  11/19/08-records received for DOS-11/15-11/16/08-presented with C/O 4-5 day history of vomiting and diarrhea.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Oropharyngeal pain
Clinical narrative: Patient had vaccine at approximately 1:00pm and at 6:00pm began having top lip swelling and sore throat.  Not witnessed.  Patient had eaten lean Quisine for lunch around noon.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash, Malaise, Pyrexia
Clinical narrative: Fever 101-102 degrees 24hr after got FLURIX vaccine and PNEUMOVAX. Rash at site of injections. Diffuse malaise. Seen in office on 11/15/08.
Age: 80.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Grip strength decreased, Injection site swelling, Injection site warmth, Muscular weakness
Clinical narrative: PNEUMOVAX.  Extreme pain, some swelling, warm to touch. 3-4 inches above injection site to 10 inches below injection site and back of elbow at joint. Had weakness in arm.(couldn't hold coffee cup).
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Induration, Swelling
Clinical narrative: 8 x 6 cm red with mild swelling induration.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: (L) arm where shot given got red/swollen/tender/erythematous progressively over a 3-day window.
Age: 1.9
Sex: F
Vaccine: FLU3
Symptoms: Adverse event
Clinical narrative: As per mom, symptoms started two days after receiving 1st flu vaccine.  Mom states she took child to hospital on 11/16/08.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness, Dysphagia, Dyspnoea, Eye swelling
Clinical narrative: c/o dizzy, SOB, chest pain, difficulty swallowing, eyes swelled.  Took Benadryl 25 mg per advice of OB/GYN Provider; Symptoms subsided 1/2 hour after BENADRYL, po.
Age: 1.8
Sex: F
Vaccine: FLU3
Symptoms: Rash maculo-papular
Clinical narrative: Rash, macular in some spots, maculopapular in other areas, more in face, chest and abdomen lasted for 3-4 days. Rash appeared 24-30 hrs after immz.
Age: 1.0
Sex: F
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Rash papular, Varicella
Clinical narrative: Varicella - vesiculopapular.
Age: 49.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Blood culture negative, Body temperature increased, Chills, Erythema, Full blood count
Clinical narrative: Woke up 130 after injection with painful R shoulder + swelling + rash in this area. Fever, chills, myalgia down throughout R side of body, down to hip. Temp to 103, swelling in axillary area, reddened area, nausea, mild headache.
Age: 49.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Headache, Injection site pain, Injection site rash, Injection site swelling, Lymphadenitis
Clinical narrative: Woke up 130 after injection with painful R shoulder + swelling + rash in this area. Fever, chills, myalgia down throughout R side of body, down to hip. Temp to 103, swelling in axillary area, reddened area, nausea, mild headache.
Age: 49.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Myalgia, Nausea, Neutrophil percentage increased, Pyrexia, Swelling
Clinical narrative: Woke up 130 after injection with painful R shoulder + swelling + rash in this area. Fever, chills, myalgia down throughout R side of body, down to hip. Temp to 103, swelling in axillary area, reddened area, nausea, mild headache.
Age: 49.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: White blood cell count increased
Clinical narrative: Woke up 130 after injection with painful R shoulder + swelling + rash in this area. Fever, chills, myalgia down throughout R side of body, down to hip. Temp to 103, swelling in axillary area, reddened area, nausea, mild headache.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Headache, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Patient reported sore arm the evening of vaccine administered. Fever, chills, headache and very sore arm the next day (24 hours). Feeling better on the 2nd day but arm more painful and swollen. Reports red blotchey rash. Resolving by 3rd day.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Rash macular
Clinical narrative: Patient reported sore arm the evening of vaccine administered. Fever, chills, headache and very sore arm the next day (24 hours). Feeling better on the 2nd day but arm more painful and swollen. Reports red blotchey rash. Resolving by 3rd day.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 11/07/08 at 956 am - Patient return to the office with much erythema and tenderness to right shoulder at Td injection site. Exam: 10 cm x 6 cm at injection site with central induration and tenderness. Treated with KEFLEX 500 mg QID x 7 days and DEXAMETHASONE 4 times daily x 4 days.
Age: 40.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Several hours after injection very sore arm. Next day reports arm was red swollen hot and painful. Resolving the following day.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: 11.14.08 redness, swelling @ injection site, Lt deltoid. (1) KEFLEX 500mg cap 1 tid. (2) Prednisone 20 mg tab 2 tab Qd x 5
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: In site swelling, pain erythema and fever. KEFLEX 500 Mg 2 twice daily and prednisone 50 twice daily for 6 days.
Age: 65.0
Sex: M
Vaccine: DTP
Symptoms: Malaise, Night sweats, Skin odour abnormal
Clinical narrative: Pt received vaccine 8/22/08, c/o frequent night sweats, general malaise, and body odor.
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: C/O pain at injection site and cannot lift arm
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Erythema at injection site
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Patient received vaccine from Student Nurse on 11/6/08.  Instructor present and cosigned paperwork.  Patient contacted HD on 11/18/08 at 9:00am and reported that she has had pain in arm since vaccination.  She stated that she saw her private Physician who informed her that she was not sure what was wrong with the injection site but that it could be infected and could potentially be Staph.  Dr. prescribed Bactrum.  Patient stated that she is beginning to lose the use of her arm and that the arm surface is pink and warm to the touch.  Advised patient to keep in contact me the Health Department.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT CALLED TO STATE THAT AFTER RECEIVING ZOSTAVAX VACCINE THE INJECTION SITE WAS PUFFY WITH A KNOT AND WARM TO THE TOUCH. PHARMACIST ON DUTY TOLD PATIENT THIS WAS NORMAL AND SHOULD GO AWAY WITHIN A WEEK. ADVISED PATIENT TO CALL US BACK IF SITE LOOKED WORSE OR ANY OTHER REACTION OCCURRED. TRIED TO CALL PATIENT ON 11/12 AND 11/13 BUT WAS UNABLE TO REACH HER. HAVE NOT HEARD ANYTHING BACK FROM PATIENT.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Syncope
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Ataxia, Computerised tomogram normal, Posture abnormal, Rhinalgia, Tremor
Clinical narrative: Ataxia, vomiting, nasal pain , generalized weakness and tremor, left head tilt starting 3 hours after immunization and lasting approx. 12 hours. pt. was hospitalized. CT head negative and neurology quite concerned. Was scheduled for MRI but symptoms completely resolved by AM (I was the hospital attending staff). Likely a reaction to the attenuated virus itself.? if primary MD has already reported this reaction? 12/2/08 Reviewed hospital medical records of 11/7-11/8/2008. FINAL DX: possibly vaccine-related ataxia & vomiting. Records reveal patient experienced abnormal behavior after nap on day of vaccination w/left head tilt, left side weakness, falling to left side, nose pain, runny nose & vomiting.  Recent sick contacts in daycare.  Seen in Urgent Care & sent for admission.  Neuro consult done & found to be WNL.  D/C to home w/PCP f/u.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Vomiting
Clinical narrative: Ataxia, vomiting, nasal pain , generalized weakness and tremor, left head tilt starting 3 hours after immunization and lasting approx. 12 hours. pt. was hospitalized. CT head negative and neurology quite concerned. Was scheduled for MRI but symptoms completely resolved by AM (I was the hospital attending staff). Likely a reaction to the attenuated virus itself.? if primary MD has already reported this reaction? 12/2/08 Reviewed hospital medical records of 11/7-11/8/2008. FINAL DX: possibly vaccine-related ataxia & vomiting. Records reveal patient experienced abnormal behavior after nap on day of vaccination w/left head tilt, left side weakness, falling to left side, nose pain, runny nose & vomiting.  Recent sick contacts in daycare.  Seen in Urgent Care & sent for admission.  Neuro consult done & found to be WNL.  D/C to home w/PCP f/u.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Ocular hyperaemia, Oedema mouth
Clinical narrative: Vaccine administered at 1330.  Patient states swelling began @ 1800.  Advised by Pharmacist to take Benadryl.  Benadryl 25 mg. po ineffective.  Peri oral swelling continued, eyese reddened, short of breath.  MD advised to go to E.R.  Patient received IV medications and fluids.  12/5/08 Reviewed ER medical records of 11/17/2008. FINAL DX: allergic reaction Records reveal patient experienced throat constriction, red eyes, sinus tachycardia, chest pressure.  Exam revealed throat swelling.  D/C to home on steroids.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Erythema, Injection site erythema, Injection site pain, Local reaction
Clinical narrative: Patient was taken to ER on 10/30/08 with temp of 103.4 F, nausea, vomiting and shakes.  States MD says she had localized redness and tenderness related to immumizations in Left arm.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea, Tenderness, Tremor, Vomiting
Clinical narrative: Patient was taken to ER on 10/30/08 with temp of 103.4 F, nausea, vomiting and shakes.  States MD says she had localized redness and tenderness related to immumizations in Left arm.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling abnormal, Flushing, Injection site erythema, Injection site pain
Clinical narrative: Tenderness, erythema at injection site 12 hours post adminstration.  Facial flushing, lightheadedness, dizziness, just weird 40 hours post admistration, followed by itching.  Patient given loratadine 10mg bid, diphenhydramine 25mg hs, hydroxyzine hcl 25mg 2 doses 72 & 96 hrs post admin.  Albuterol MDI started 48 hours post admin. Symptoms resolving six days after admin, still itching.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Tenderness, erythema at injection site 12 hours post adminstration.  Facial flushing, lightheadedness, dizziness, just weird 40 hours post admistration, followed by itching.  Patient given loratadine 10mg bid, diphenhydramine 25mg hs, hydroxyzine hcl 25mg 2 doses 72 & 96 hrs post admin.  Albuterol MDI started 48 hours post admin. Symptoms resolving six days after admin, still itching.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt came in late in the evening of 11/17/08  to say that her vaccinated arm was hurting, that there had been since the time of the injection a sharp and constant pain.The site of the injection was unremarkable and did not appear swollen or bruised. She has not sought out additional medical help.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Auricular swelling, Chills, Flushing, Local swelling, Musculoskeletal stiffness
Clinical narrative: Took flu shot 11/6/08.  Next morning woke up with flushed face and swelling of rt side of neck and stiffness.  Used heating pad to neck all day. Neck "went down".  Small node felt in right side of nectk. Client also reported chills all next day but never took temperature. Took tylenol and benadryl on 11/8 started noticing swelling and itching at ear lobes, temporal areas and under jaws.  Small area 2 inch by 1 inch of pale rash at right side of face by ear on 11/13/08.  Still complaining 11/13/08.  Has not seen doctor but instructed to do so
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Took flu shot 11/6/08.  Next morning woke up with flushed face and swelling of rt side of neck and stiffness.  Used heating pad to neck all day. Neck "went down".  Small node felt in right side of nectk. Client also reported chills all next day but never took temperature. Took tylenol and benadryl on 11/8 started noticing swelling and itching at ear lobes, temporal areas and under jaws.  Small area 2 inch by 1 inch of pale rash at right side of face by ear on 11/13/08.  Still complaining 11/13/08.  Has not seen doctor but instructed to do so
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Blood culture negative, Headache, Influenza serology negative, Meningitis viral, Musculoskeletal stiffness
Clinical narrative: headache, stiffnes of neck, fever 102, suspecting viral meningitis, pneumonia.  11/21/08 MR received for DOS 11/12-17/2008 with dx:Viral meningitis vs influenza vaccination reaction.  Bilateral pneumonia.  Elevated LFTs. L maxillary sinusitis.  Headache.  Hypoxia.  Pt presented with myalgias, aches, stiff neck, fever, chills, poor appetite, lassitude, one episode of vomiting and worsening H/A.  Seen by PCP earlier, tx with IVF with worsening of sx.  Concern for viral meningitis and admitted for observation. Neuro consult with impression: Viral illness with mild meningeal involvement, now with severe pulmonary involvement with late onset. Pt developed shortness of breath. Dx with pneumonia. ID consult with Impression:  Viral syndrome, Post fraction complication of influenza vaccination, Bilateral pneumonia, Headache. Tx with abx and Tamiflu. Pt still with c/o h/a, but improving. Pt will f/u elevated transaminases as outpt.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Pneumonia, Pyrexia
Clinical narrative: headache, stiffnes of neck, fever 102, suspecting viral meningitis, pneumonia.  11/21/08 MR received for DOS 11/12-17/2008 with dx:Viral meningitis vs influenza vaccination reaction.  Bilateral pneumonia.  Elevated LFTs. L maxillary sinusitis.  Headache.  Hypoxia.  Pt presented with myalgias, aches, stiff neck, fever, chills, poor appetite, lassitude, one episode of vomiting and worsening H/A.  Seen by PCP earlier, tx with IVF with worsening of sx.  Concern for viral meningitis and admitted for observation. Neuro consult with impression: Viral illness with mild meningeal involvement, now with severe pulmonary involvement with late onset. Pt developed shortness of breath. Dx with pneumonia. ID consult with Impression:  Viral syndrome, Post fraction complication of influenza vaccination, Bilateral pneumonia, Headache. Tx with abx and Tamiflu. Pt still with c/o h/a, but improving. Pt will f/u elevated transaminases as outpt.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: For the last 4 years that I have gotten the flu shot which was required for nursing school, I have gotten very ill. I have not had an anaphylaxis action yet, but I have had severe nausea & vomiting that lasted for several weeks after the vaccine was given. The public health nurse asked if I wore contacts because she knew thimerosal was an ingredient in both and I am allergic to all contact solutions except one that does not contain that ingredient so she believes i have an allergy to the thimerosal in the flu shot. This has caused me to miss class for several weeks each year after receiving the flu shot so because of all of this I was told to fill out this report. My nausea & vomiting is not just like the normal aches and feeling a little nauseous right after the shot which most people can have. This is more severe and lasts alot longer
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Mass
Clinical narrative: patient developed a egg size lump in arm was red in color - developed 24 hours after injection and lasted 72 hours
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Convulsion
Clinical narrative: Patient had shots at 10am, had tylenol throughout the day, at 8pm crawled up in my lap did not feel real warm and started to seize, pt seizure last 8-10 minutes from the time that we called the ems until they carried him to the ambulance.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Inflammation, Nausea, Oedema peripheral, Pruritus, Rash papular
Clinical narrative: After 2-3 days, skin itching with bumps along arms and around wrists and forearms.  By the end of that day, arms and stomach had bumps that opened up into sores (with clear fluid).  A day after the bumps ruptured, the right leg developed bumps, sores, and swelling.  Felt nausous the day the legs broke out, but never vomitted.  On 11-09-08, client went to immediate care and received a steroid shot.  Then went back on 11-13-08 and received another steroid shot and a steroid dose pack.  11-18-08: leg is still inflammed and new bumps that have ruptured (without pus).  Has since made an appointment with a dermatologist for further evaluation.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Skin lesion
Clinical narrative: After 2-3 days, skin itching with bumps along arms and around wrists and forearms.  By the end of that day, arms and stomach had bumps that opened up into sores (with clear fluid).  A day after the bumps ruptured, the right leg developed bumps, sores, and swelling.  Felt nausous the day the legs broke out, but never vomitted.  On 11-09-08, client went to immediate care and received a steroid shot.  Then went back on 11-13-08 and received another steroid shot and a steroid dose pack.  11-18-08: leg is still inflammed and new bumps that have ruptured (without pus).  Has since made an appointment with a dermatologist for further evaluation.
Age: 26.0
Sex: M
Vaccine: FLUN3
Symptoms: Insomnia, Pain, Pain in jaw, Paraesthesia, Sinusitis
Clinical narrative: Within a couple hours of receiving the flumist vaccine, client experienced pain in the R upper jaw, he thought it was something related to a tooth.  Pain continued to get more intense and dental visit showed no problem with his teeth.  Pain continued to increase until it felt as though he had electric shocks in the upper R facial area.  Was diagnosed with a sinus infection , but antibiotics did not help.  Client was not sleeping and was in severe pain.  Was hospitalized for the pain and an MRI was done- diagnosed with trigeminal neuralgia and is now on Tegretol and ibuprofen.  The Tegretol has provided relief for the pain, but still has a dull ache.  12/01/08 MR received for DOS 1112-13/2008 with D/C DX:  Trigeminal Neuralgia. Pt initially presented to dentist with c/o R-sided upper teeth pain. No problems found but Rx Z-pak for possible sinus infection. Pain worsened, disturbing sleep. Pain is sharp, lancinating near R ear, cheek and eye. (+) maxillary tenderness. PE WNL except for severe pain and crying. Tx with pain meds and Tegretol with some improvement.
Age: 26.0
Sex: M
Vaccine: FLUN3
Symptoms: Trigeminal neuralgia, X-ray dental
Clinical narrative: Within a couple hours of receiving the flumist vaccine, client experienced pain in the R upper jaw, he thought it was something related to a tooth.  Pain continued to get more intense and dental visit showed no problem with his teeth.  Pain continued to increase until it felt as though he had electric shocks in the upper R facial area.  Was diagnosed with a sinus infection , but antibiotics did not help.  Client was not sleeping and was in severe pain.  Was hospitalized for the pain and an MRI was done- diagnosed with trigeminal neuralgia and is now on Tegretol and ibuprofen.  The Tegretol has provided relief for the pain, but still has a dull ache.  12/01/08 MR received for DOS 1112-13/2008 with D/C DX:  Trigeminal Neuralgia. Pt initially presented to dentist with c/o R-sided upper teeth pain. No problems found but Rx Z-pak for possible sinus infection. Pain worsened, disturbing sleep. Pain is sharp, lancinating near R ear, cheek and eye. (+) maxillary tenderness. PE WNL except for severe pain and crying. Tx with pain meds and Tegretol with some improvement.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Dermatologic examination
Clinical narrative: I am an Immunization Nurse and upon employment I did not have record of receiving Hepatitis B series. I received the series on 3/21/03, 5/23/03 & 9/24/03 and developed subsequent alopecia needing to wear a wig. I was at a Conference just last week and heard a study that was being done on Hep B & Hair Loss and decided to let you know about my situation.  11/24/2008 Dermatology records received dated 5/14/2004 with DX:  Alopecia arreata. Pt had 10 yr hx of alopecia arreata which responded well to prednisone. Recent recurrence beginning Fall 2003. PE (+) for patchy hair loss. Tx again with pred.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Vaccinated during pregnancy Pregnancy resulted in spontaneous abortion
Age: 1.83
Sex: F
Vaccine: DTAP, FLU3, HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Left leg swelling, warm, red knot started 12-18 hours after injections, lasted approximately 4 days, no treatment necessary just monitoring
Age: 54.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Injection site induration, Injection site mass, Wrong drug administered
Clinical narrative: Severe joint pain 24-48 hours after shot. Hard Lump at shot sight for 4 days after shot.
Age: 9.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain, Asthenia, Blood urine present, Dizziness, Headache
Clinical narrative: Received FluMist intranasally 11/14/2008 at 11:30 a.m.  Woke up at 5:00 a.m  on 11/17/2008 complaining of watery eyes, muscle aches, weakness, dizziness, abdominal pain, headache and fever.  These symptoms lasted all day into the evening.  The fever ranged from 101-103.  By 11/18/2008 fever had subsided, continued to feel weak.
Age: 9.0
Sex: F
Vaccine: FLUN3
Symptoms: Lacrimation increased, Myalgia, Pyrexia, Streptococcal identification test negative, Urine analysis abnormal
Clinical narrative: Received FluMist intranasally 11/14/2008 at 11:30 a.m.  Woke up at 5:00 a.m  on 11/17/2008 complaining of watery eyes, muscle aches, weakness, dizziness, abdominal pain, headache and fever.  These symptoms lasted all day into the evening.  The fever ranged from 101-103.  By 11/18/2008 fever had subsided, continued to feel weak.
Age: 17.0
Sex: F
Vaccine: HEP, IPV, TDAP, TYP
Symptoms: Abdominal pain
Clinical narrative: Patient started taking oral Typhoid Vaccine 11/5/08 and started experiencing abdominal pain 11/16/08. She has taken 2 capsules.  Last night she also experienced abdominal pain.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Body temperature, Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Pediatric patient developed redness, warmth and mild tenderness in an area of about 6x4 Cm of the right deltoid about 24hrs post IM vaccination. Mother described unmeasured fever at home. Treatment included local ice packs and tylenol. Mother offered ibuprofen for fever one dose.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Had flu shot on Tuesday 11/11/08.  Missed next day of school on 11/12 with nausea and vomiting.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Dysphagia, Local swelling, Neck pain, Oral pain, Pain in jaw
Clinical narrative: Received immunization Thursday, 10/2/08 in a.m.  On Friday, 10/3/08 noticed left jaw was sore. On Saturday, 10/4/08 entire mouth was sore like a toothache. On Sunday, 10/5/08 woke up with jaws, neck, chin ver sore with swelling under chin.  On Monday, 10/6/08 had face, jaws, neck, tongue swollen, mouth hurt so much she couldn't put teeth together, unable to swallow.  Went to Occ Health to be seen and Occ Health took to ER.  11/25/08 Reviewed ER medical records of 10/06/2008. FINAL DX: allergic reaction Records reveal patient experienced difficulty swallowing; hives; facial & eyelid swelling; pain, redness, rash & swelling at injection site LA; jaw pain.  Tx w/antacid & steroids.  Improved & d/c to home on continued steroids.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling face, Swollen tongue
Clinical narrative: Received immunization Thursday, 10/2/08 in a.m.  On Friday, 10/3/08 noticed left jaw was sore. On Saturday, 10/4/08 entire mouth was sore like a toothache. On Sunday, 10/5/08 woke up with jaws, neck, chin ver sore with swelling under chin.  On Monday, 10/6/08 had face, jaws, neck, tongue swollen, mouth hurt so much she couldn't put teeth together, unable to swallow.  Went to Occ Health to be seen and Occ Health took to ER.  11/25/08 Reviewed ER medical records of 10/06/2008. FINAL DX: allergic reaction Records reveal patient experienced difficulty swallowing; hives; facial & eyelid swelling; pain, redness, rash & swelling at injection site LA; jaw pain.  Tx w/antacid & steroids.  Improved & d/c to home on continued steroids.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Chills, Cough, Erythema, Flushing
Clinical narrative: Rec'd vaccine on 11.5.08. Started to experience muscle soreness on evening of 11.9.08.  11.10.08-fever, chills, nausea.  11.11.08-chills, flushed, loss of appetite, small red dots on body. 11.12.08-feeling okay, but developed dry cough.  11.13.08-fever, intense neck pain and body muscle aches. 11.14.08 - neck pain has radiated down to shoulders, intense body muscle aches. 11.15.08- 1 a.m. fever broke.  11.17.08 - large red warm splotches all over body.  As of 11.18.08--still loss of appetite, still intense shoulder pain/burning, still splotches, still dry cough. Dr appt scheduled for 11.19.08
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Myalgia, Nausea, Neck pain, Pyrexia
Clinical narrative: Rec'd vaccine on 11.5.08. Started to experience muscle soreness on evening of 11.9.08.  11.10.08-fever, chills, nausea.  11.11.08-chills, flushed, loss of appetite, small red dots on body. 11.12.08-feeling okay, but developed dry cough.  11.13.08-fever, intense neck pain and body muscle aches. 11.14.08 - neck pain has radiated down to shoulders, intense body muscle aches. 11.15.08- 1 a.m. fever broke.  11.17.08 - large red warm splotches all over body.  As of 11.18.08--still loss of appetite, still intense shoulder pain/burning, still splotches, still dry cough. Dr appt scheduled for 11.19.08
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rec'd vaccine on 11.5.08. Started to experience muscle soreness on evening of 11.9.08.  11.10.08-fever, chills, nausea.  11.11.08-chills, flushed, loss of appetite, small red dots on body. 11.12.08-feeling okay, but developed dry cough.  11.13.08-fever, intense neck pain and body muscle aches. 11.14.08 - neck pain has radiated down to shoulders, intense body muscle aches. 11.15.08- 1 a.m. fever broke.  11.17.08 - large red warm splotches all over body.  As of 11.18.08--still loss of appetite, still intense shoulder pain/burning, still splotches, still dry cough. Dr appt scheduled for 11.19.08
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: fever for 5 days, inconsolable crying for 6 days, encephalitic screaming for 6 days
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Abdominal tenderness, Chills, Dizziness, Headache, Hypoaesthesia
Clinical narrative: Remember left arm at time of injection becoming numb for nearly .5 hour on 9 June 1999. Extreme headache, extreme vomiting, dizziness, blurred vision, abdominal tenderness, chills.  Symptoms persist for 6-8 hours. Taken to ER.  Symptoms began approx. 2000 hrs on 24 June 1999. Taken to ER approx. 0500 hrs on 25 June 1999. Was given 60 Mgm of Toradol. Headache eased and released from hospital Mid morning on 25 June 1999.  Maintained headache for multiple days following ER and controlled the pain with ibuprofen.  7/2/09 Medical records received DOS 10/20/00 to 6/9/09. Assessment: Benign essential hypertension, hypertriglyceridemia, lumbar radiculopathy, sleep disorder. Patient presented with right low back pain extending to popliteal fossa. Facial burning, headaches, periorbital swelling sensation, hypertension. TMJ tenderness. Right neck pain and stiffness, shoulder pain. Excessive daytime sleepiness. Fatigue. Difficulty sleeping. Hands stiff. Witnessed sleep apnea, snores. Intermittent burning sensation and flushing of face.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Vision blurred, Vomiting
Clinical narrative: Remember left arm at time of injection becoming numb for nearly .5 hour on 9 June 1999. Extreme headache, extreme vomiting, dizziness, blurred vision, abdominal tenderness, chills.  Symptoms persist for 6-8 hours. Taken to ER.  Symptoms began approx. 2000 hrs on 24 June 1999. Taken to ER approx. 0500 hrs on 25 June 1999. Was given 60 Mgm of Toradol. Headache eased and released from hospital Mid morning on 25 June 1999.  Maintained headache for multiple days following ER and controlled the pain with ibuprofen.  7/2/09 Medical records received DOS 10/20/00 to 6/9/09. Assessment: Benign essential hypertension, hypertriglyceridemia, lumbar radiculopathy, sleep disorder. Patient presented with right low back pain extending to popliteal fossa. Facial burning, headaches, periorbital swelling sensation, hypertension. TMJ tenderness. Right neck pain and stiffness, shoulder pain. Excessive daytime sleepiness. Fatigue. Difficulty sleeping. Hands stiff. Witnessed sleep apnea, snores. Intermittent burning sensation and flushing of face.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Abdominal tenderness, Arthralgia, Back pain, Chills, Dizziness
Clinical narrative: Remember left arm at time of injection becoming numb for nearly .5 hour on 9 June 1999. Extreme headache, extreme vomiting, dizziness, blurred vision, abdominal tenderness, chills.  Symptoms persist for 6-8 hours. Taken to ER.  Symptoms began approx. 2000 hrs on 24 June 1999. Taken to ER approx. 0500 hrs on 25 June 1999. Was given 60 Mgm of Toradol. Headache eased and released from hospital Mid morning on 25 June 1999.  Maintained headache for multiple days following ER and controlled the pain with ibuprofen.  7/2/09 Medical records received DOS 10/20/00 to 6/9/09. Assessment: Benign essential hypertension, hypertriglyceridemia, lumbar radiculopathy, sleep disorder. Patient presented with right low back pain extending to popliteal fossa. Facial burning, headaches, periorbital swelling sensation, hypertension. TMJ tenderness. Right neck pain and stiffness, shoulder pain. Excessive daytime sleepiness. Fatigue. Difficulty sleeping. Hands stiff. Witnessed sleep apnea, snores. Intermittent burning sensation and flushing of face.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Fatigue, Headache, Hypertension, Hypoaesthesia, Intervertebral disc degeneration
Clinical narrative: Remember left arm at time of injection becoming numb for nearly .5 hour on 9 June 1999. Extreme headache, extreme vomiting, dizziness, blurred vision, abdominal tenderness, chills.  Symptoms persist for 6-8 hours. Taken to ER.  Symptoms began approx. 2000 hrs on 24 June 1999. Taken to ER approx. 0500 hrs on 25 June 1999. Was given 60 Mgm of Toradol. Headache eased and released from hospital Mid morning on 25 June 1999.  Maintained headache for multiple days following ER and controlled the pain with ibuprofen.  7/2/09 Medical records received DOS 10/20/00 to 6/9/09. Assessment: Benign essential hypertension, hypertriglyceridemia, lumbar radiculopathy, sleep disorder. Patient presented with right low back pain extending to popliteal fossa. Facial burning, headaches, periorbital swelling sensation, hypertension. TMJ tenderness. Right neck pain and stiffness, shoulder pain. Excessive daytime sleepiness. Fatigue. Difficulty sleeping. Hands stiff. Witnessed sleep apnea, snores. Intermittent burning sensation and flushing of face.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Paraesthesia, Vaccine positive rechallenge, Vision blurred, Vomiting
Clinical narrative: Remember left arm at time of injection becoming numb for nearly .5 hour on 9 June 1999. Extreme headache, extreme vomiting, dizziness, blurred vision, abdominal tenderness, chills.  Symptoms persist for 6-8 hours. Taken to ER.  Symptoms began approx. 2000 hrs on 24 June 1999. Taken to ER approx. 0500 hrs on 25 June 1999. Was given 60 Mgm of Toradol. Headache eased and released from hospital Mid morning on 25 June 1999.  Maintained headache for multiple days following ER and controlled the pain with ibuprofen.  7/2/09 Medical records received DOS 10/20/00 to 6/9/09. Assessment: Benign essential hypertension, hypertriglyceridemia, lumbar radiculopathy, sleep disorder. Patient presented with right low back pain extending to popliteal fossa. Facial burning, headaches, periorbital swelling sensation, hypertension. TMJ tenderness. Right neck pain and stiffness, shoulder pain. Excessive daytime sleepiness. Fatigue. Difficulty sleeping. Hands stiff. Witnessed sleep apnea, snores. Intermittent burning sensation and flushing of face.
Age: 22.0
Sex: F
Vaccine: ANTH, FLUN3, VARCEL
Symptoms: Drug exposure during pregnancy, Influenza like illness
Clinical narrative: Given Vaccines while pregnant. Having continuous symptoms of a flu. Have not fully recovered yet.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Patients upper arm from elbow to shoulder became pink, warm to touch, and painful. He also had fever of 101 F. Symptoms started approximately 8 hours after injection.
Age: 67.0
Sex: M
Vaccine: FLUX
Symptoms: Hypersensitivity, Hypoaesthesia, Injection site pain, Neck pain, Pain
Clinical narrative: Received Flu vaccination on 11/2 around 4PM in left arm. Following day experienced considerable sorness and tenderness at injection. Continued sorness and tenderness around injection site through the week. On 11/8 started to experience mild throbbing pain in left arm. On 11/9 started to feel tingling and numbness in fingers of left hand. On 11/10 pain started to spread to neck and right hand. Little sleep the night of 11/10 due to increase in pain intensity. Went to health center at 9:45AM om 10/11. Saw PA-C. Said to put heat on it. Applied heat to injection site and hands. Did help. On 11/12 noticed rash had broken out on abdomen. Rash did not burn or hurt but did have little pustles. On 11/13 rash expanded to lesser degree to back and hands. Pain intensity increased in left arm and to right hand. Numbness and tingling sensation increased in both hands. Dr. was puzzled. Symptoms appeared to indicate Shingles but rash did not conform to standard pattern. Pattern looked more like an allergic reaction. Placed on 500MG Famciclovir (3X) for 7 days and steroids for pain. On 11/18 rash has shrunk. Now evident only on abdomen. Rash still not burning or sore to touch. Arm pain has subsided. Still some numbness and tingling in the left hand. Right wrist skin surface near thumb still numb with some tingling.
Age: 67.0
Sex: M
Vaccine: FLUX
Symptoms: Pain in extremity, Paraesthesia, Rash, Rash pustular, Sleep disorder
Clinical narrative: Received Flu vaccination on 11/2 around 4PM in left arm. Following day experienced considerable sorness and tenderness at injection. Continued sorness and tenderness around injection site through the week. On 11/8 started to experience mild throbbing pain in left arm. On 11/9 started to feel tingling and numbness in fingers of left hand. On 11/10 pain started to spread to neck and right hand. Little sleep the night of 11/10 due to increase in pain intensity. Went to health center at 9:45AM om 10/11. Saw PA-C. Said to put heat on it. Applied heat to injection site and hands. Did help. On 11/12 noticed rash had broken out on abdomen. Rash did not burn or hurt but did have little pustles. On 11/13 rash expanded to lesser degree to back and hands. Pain intensity increased in left arm and to right hand. Numbness and tingling sensation increased in both hands. Dr. was puzzled. Symptoms appeared to indicate Shingles but rash did not conform to standard pattern. Pattern looked more like an allergic reaction. Placed on 500MG Famciclovir (3X) for 7 days and steroids for pain. On 11/18 rash has shrunk. Now evident only on abdomen. Rash still not burning or sore to touch. Arm pain has subsided. Still some numbness and tingling in the left hand. Right wrist skin surface near thumb still numb with some tingling.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Allergy test, Amnesia, Asthenia, Blood test
Clinical narrative: Gardasil shots - 1st shot (11/12/07) Painful at shot location and had a dull headache November through January.  2nd Shot (1/23/08)Pain at immunization site for a couple of weeks.  Developed cold and sinus issues by the next day.  Migraine type headache (very painful) began on 01/30/08. She began having major fatigue,dizziness, muscle pain, major sensitivity to light and sound, nausea and vomiting. We had several tests ran and trips to the emergency room.  She had CT scans, MRI of head and neck, and lumbar puncture.  She was out of school for 3 months unable to concentrate, short term memory loss, continuous pain (head and body).  Improved enough after doctors, medications, massage therapists to return to school for the last month and a half.  3rd shot (06/03/08)with 3 other shots.  She developed a cold sinus and her headache came back within a week to a worse level that before.  Her headache has never went away since January 30th.  She has muscle pain and spasms, short term memory loss, lethargic, dizziness, major sensitivity to light and sounds, nausea and vomiting.  She has no energy and basically has had no life for the last 11 months of her life.  12/19/2008 MR received from PCP. Seen 11/12/07 for 1st HPV and Flu vax.  Returned 11/27/07 with c/o chills, low grade fever, tight neck muscles. Dx:  Nausea, Vomiting. 2nd HPV 1/23/08. Returned  1/30/08 with c/o fatigue. Dx:  sinusitis/pharyngitis. Returned 2/5/08 with c/o h/a, neck soreness, productive cough and light sensitivity. Dx:  H/A. F/U visit 6/3/08 for hospital stay for h/a and 3rd HPV, to f/u with neurologist. OV 8/8/08 with c/o muscle spasms on back with shooting pain down left. DX:  Muscle spasm ? Polymyositis. Tx with Flexeril. OV 8/22/08 with c/o worsening H/A, nausea, and photo/phono phobia. DX: Tension H/a.  To see neurologist. 1/12/09 MR received for 2 ER visits and one outpt visit. Pt presented to ER on 2/26/08 with c/o 3 1/2 week hx of constant frontal h/A with intermittent emesis.  No releif with previously prescibed meds.  (+) photophobia.  PE WNL. To f/u with Neuro. Dx:  Migraine. Returned 3/10/08 with c/o H/A, worse at night disturbing sleep.  PE WNL. LP done to assess pressure-16. DX:  H/A. D/C to f/u with Neuro. Neuro visit 3/20/08 for persistant H/A (7 weeks) with photo and phonophobia. Pt reports depressed mood without energy and anxiety 2' to this condition and missing school as well. Dx: H/A.  Recommended psych eval.  1/29/09 MR received from neurologist dated 9/2/08 to 1/6/09 with DX: Chronic daily H/A, muscle spasms/fibromyalgia, functional L hemiparesis. Pt reports onset of H/A with photo/phonophobia after 1st HPV vax 11/12/2007.  Following Worsening of sx following subsequent vax, now with chronic daily H/A with minimal response from multiple medications, accupucture and chiropractic. PEs show no papilledema. PE 1/6/09 (+) for give-way weakness.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Disturbance in attention, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Gardasil shots - 1st shot (11/12/07) Painful at shot location and had a dull headache November through January.  2nd Shot (1/23/08)Pain at immunization site for a couple of weeks.  Developed cold and sinus issues by the next day.  Migraine type headache (very painful) began on 01/30/08. She began having major fatigue,dizziness, muscle pain, major sensitivity to light and sound, nausea and vomiting. We had several tests ran and trips to the emergency room.  She had CT scans, MRI of head and neck, and lumbar puncture.  She was out of school for 3 months unable to concentrate, short term memory loss, continuous pain (head and body).  Improved enough after doctors, medications, massage therapists to return to school for the last month and a half.  3rd shot (06/03/08)with 3 other shots.  She developed a cold sinus and her headache came back within a week to a worse level that before.  Her headache has never went away since January 30th.  She has muscle pain and spasms, short term memory loss, lethargic, dizziness, major sensitivity to light and sounds, nausea and vomiting.  She has no energy and basically has had no life for the last 11 months of her life.  12/19/2008 MR received from PCP. Seen 11/12/07 for 1st HPV and Flu vax.  Returned 11/27/07 with c/o chills, low grade fever, tight neck muscles. Dx:  Nausea, Vomiting. 2nd HPV 1/23/08. Returned  1/30/08 with c/o fatigue. Dx:  sinusitis/pharyngitis. Returned 2/5/08 with c/o h/a, neck soreness, productive cough and light sensitivity. Dx:  H/A. F/U visit 6/3/08 for hospital stay for h/a and 3rd HPV, to f/u with neurologist. OV 8/8/08 with c/o muscle spasms on back with shooting pain down left. DX:  Muscle spasm ? Polymyositis. Tx with Flexeril. OV 8/22/08 with c/o worsening H/A, nausea, and photo/phono phobia. DX: Tension H/a.  To see neurologist. 1/12/09 MR received for 2 ER visits and one outpt visit. Pt presented to ER on 2/26/08 with c/o 3 1/2 week hx of constant frontal h/A with intermittent emesis.  No releif with previously prescibed meds.  (+) photophobia.  PE WNL. To f/u with Neuro. Dx:  Migraine. Returned 3/10/08 with c/o H/A, worse at night disturbing sleep.  PE WNL. LP done to assess pressure-16. DX:  H/A. D/C to f/u with Neuro. Neuro visit 3/20/08 for persistant H/A (7 weeks) with photo and phonophobia. Pt reports depressed mood without energy and anxiety 2' to this condition and missing school as well. Dx: H/A.  Recommended psych eval.  1/29/09 MR received from neurologist dated 9/2/08 to 1/6/09 with DX: Chronic daily H/A, muscle spasms/fibromyalgia, functional L hemiparesis. Pt reports onset of H/A with photo/phonophobia after 1st HPV vax 11/12/2007.  Following Worsening of sx following subsequent vax, now with chronic daily H/A with minimal response from multiple medications, accupucture and chiropractic. PEs show no papilledema. PE 1/6/09 (+) for give-way weakness.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Lethargy, Lumbar puncture, Migraine, Muscle spasms, Myalgia
Clinical narrative: Gardasil shots - 1st shot (11/12/07) Painful at shot location and had a dull headache November through January.  2nd Shot (1/23/08)Pain at immunization site for a couple of weeks.  Developed cold and sinus issues by the next day.  Migraine type headache (very painful) began on 01/30/08. She began having major fatigue,dizziness, muscle pain, major sensitivity to light and sound, nausea and vomiting. We had several tests ran and trips to the emergency room.  She had CT scans, MRI of head and neck, and lumbar puncture.  She was out of school for 3 months unable to concentrate, short term memory loss, continuous pain (head and body).  Improved enough after doctors, medications, massage therapists to return to school for the last month and a half.  3rd shot (06/03/08)with 3 other shots.  She developed a cold sinus and her headache came back within a week to a worse level that before.  Her headache has never went away since January 30th.  She has muscle pain and spasms, short term memory loss, lethargic, dizziness, major sensitivity to light and sounds, nausea and vomiting.  She has no energy and basically has had no life for the last 11 months of her life.  12/19/2008 MR received from PCP. Seen 11/12/07 for 1st HPV and Flu vax.  Returned 11/27/07 with c/o chills, low grade fever, tight neck muscles. Dx:  Nausea, Vomiting. 2nd HPV 1/23/08. Returned  1/30/08 with c/o fatigue. Dx:  sinusitis/pharyngitis. Returned 2/5/08 with c/o h/a, neck soreness, productive cough and light sensitivity. Dx:  H/A. F/U visit 6/3/08 for hospital stay for h/a and 3rd HPV, to f/u with neurologist. OV 8/8/08 with c/o muscle spasms on back with shooting pain down left. DX:  Muscle spasm ? Polymyositis. Tx with Flexeril. OV 8/22/08 with c/o worsening H/A, nausea, and photo/phono phobia. DX: Tension H/a.  To see neurologist. 1/12/09 MR received for 2 ER visits and one outpt visit. Pt presented to ER on 2/26/08 with c/o 3 1/2 week hx of constant frontal h/A with intermittent emesis.  No releif with previously prescibed meds.  (+) photophobia.  PE WNL. To f/u with Neuro. Dx:  Migraine. Returned 3/10/08 with c/o H/A, worse at night disturbing sleep.  PE WNL. LP done to assess pressure-16. DX:  H/A. D/C to f/u with Neuro. Neuro visit 3/20/08 for persistant H/A (7 weeks) with photo and phonophobia. Pt reports depressed mood without energy and anxiety 2' to this condition and missing school as well. Dx: H/A.  Recommended psych eval.  1/29/09 MR received from neurologist dated 9/2/08 to 1/6/09 with DX: Chronic daily H/A, muscle spasms/fibromyalgia, functional L hemiparesis. Pt reports onset of H/A with photo/phonophobia after 1st HPV vax 11/12/2007.  Following Worsening of sx following subsequent vax, now with chronic daily H/A with minimal response from multiple medications, accupucture and chiropractic. PEs show no papilledema. PE 1/6/09 (+) for give-way weakness.