chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Tremor, Vaccination complication
Clinical narrative: I cannot remember initial reactions but we were always told "that is normal". Fevers, lethargy etc. Tremors started years later as minimal and progressed. Upon researching I became concerned that the hand tremors and ear problems were due to vaccinations. After many tests we were told by a nurse, confirming my suspicions that this is probably a vaccine injury.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal pain, Abdominal tenderness, Amylase normal, Asthenia, Axillary pain
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Balance disorder, Blood creatine phosphokinase normal, Computerised tomogram abdomen normal, Decreased appetite, Differential white blood cell count normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Diplopia, Fall, Fatigue, Feeling hot, Full blood count normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Lipase normal, Metabolic function test normal, Nausea, Pain, Pain in extremity
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Paraesthesia, Pyrexia, Tremor, Urinary system x-ray normal, Urine analysis normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Vision blurred
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal X-ray, Abdominal pain lower, Abdominal pain upper, Alanine aminotransferase normal, Amino acid level
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Ammonia, Angiotensin converting enzyme, Antibody test, Aspartate aminotransferase normal, Asthenia
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Axillary pain, Bacterial test negative, Balance disorder, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood bicarbonate, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatine phosphokinase normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood creatinine normal, Blood culture negative, Blood glucose normal, Blood magnesium normal, Blood potassium normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood sodium normal, Blood thyroid stimulating hormone normal, Blood urea normal, Blood urine absent, C-reactive protein
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: CSF culture negative, CSF oligoclonal band, CSF red blood cell count, CSF white blood cell count negative, Carbon dioxide normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chest pain, Chills, Computerised tomogram abdomen, Computerised tomogram pelvis, Culture urine
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Differential white blood cell count, Diplopia, EGFR status assay, Encephalitis, Fatigue
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Flow cytometry, Fraction of inspired oxygen, Full blood count, Gait disturbance, Glucose urine absent
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Gram stain negative, Haematocrit normal, Haemoglobin normal, Headache, Hypoaesthesia
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Lumbar puncture, Malaise, Metabolic function test, Myalgia, Myelitis
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nausea, Nervous system disorder, Nitrite urine absent, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal abnormal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.