chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Injection site haematoma, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pt. upper arm became very swollen all the way around including part of arm pit, throbbing pain all around and very firm to touch and warm heat, bruised approx 3-4 in in diameter where injection was given.  Took 2 days and warm soars before getting better.   Now only bruised.  No pain.  Also had loose stools for 2 days.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth
Clinical narrative: Pt. upper arm became very swollen all the way around including part of arm pit, throbbing pain all around and very firm to touch and warm heat, bruised approx 3-4 in in diameter where injection was given.  Took 2 days and warm soars before getting better.   Now only bruised.  No pain.  Also had loose stools for 2 days.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oral pruritus, Pruritus
Clinical narrative: Pt rec'd flu vaccine IM (L) UE. Red itchy w/i 10". Within 30" redness enlarged "mouth itchy"
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Influenza like illness, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Shot - 10/30. Sore throat 10/31. Diffuse myalgias with fever to 100.1, cough and flu like symptoms - 11/1 - present.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash
Clinical narrative: Pt. read influenza vaccine on 10/22/08 to Lt deltoid. On 10/23/08 she returned to the office with localized rash to the injection site. No difficulty breathing noted. Hydrocortisone cream given
Age: 6.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Severe redness, pain, swelling (L) arm from mid-deltoid to elbow. Began approx 24 hrs after administration. Unable to move arm. No fever, respiratory problems. Treated with NSAIDS, ice.
Age: 28.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Varicella post vaccine, Virus culture
Clinical narrative: Rash confirmed to be Varicella-vaccine strain 2 weeks after 1st dose of vaccine
Age: 33.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Pruritus, Swelling, Tenderness
Clinical narrative: Pt reported with 3 - 4 cm circular area of erythema, no bruising, neg for cellulitis, neg for infection, c/o of itching and tender to palpation. Pt states she noticed tenderness and swelling 5 days post vaccine for yellow fever.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Joint swelling, Pallor, Rash papular, Skin warm
Clinical narrative: VARICELLA REACTION RED WARM SWOLLEN SHOULDER WITH PAPULAR BLANCHING RASH ON ARMS.
Age: 33.0
Sex: F
Vaccine: FLUN3, TDAP
Symptoms: Cough, Erythema, Mass, Sneezing, Tenderness
Clinical narrative: Tdap- Tender to touch, red, lump x2 days - lump size of quarter. Hives on face, chest 11/03/2008. Member also had FluMist-- sneezing, drainage, conjestion, persitant cough, body aches. Vaccines administered on 29 Oct 2008
Age: 33.0
Sex: F
Vaccine: FLUN3, TDAP
Symptoms: Upper respiratory tract congestion, Urticaria
Clinical narrative: Tdap- Tender to touch, red, lump x2 days - lump size of quarter. Hives on face, chest 11/03/2008. Member also had FluMist-- sneezing, drainage, conjestion, persitant cough, body aches. Vaccines administered on 29 Oct 2008
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Dizziness, Dysphonia, Lip swelling, Palpitations
Clinical narrative: My lips and tongue became swollen, I became hoarse and wheezy and had to use my inhaler, my heart raced, I became dizzy and shakey.  I became extremely anxious
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue, Tremor, Wheezing
Clinical narrative: My lips and tongue became swollen, I became hoarse and wheezy and had to use my inhaler, my heart raced, I became dizzy and shakey.  I became extremely anxious
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest X-ray normal, Confusional state, Cough, Feeling cold, Lymphocyte count abnormal
Clinical narrative: Patient received Flumist vaccine intranasally at approximately 6pm on 11/3/08.  She was previously doing well except for a cough approximately 4-5 days prior to the vaccine.  She woke her mom up at about 3AM with cough and complaints of being cold.  The patient awoke again at 0430 and the mom took the patients temperature with a temporal probe thermometer which read 101 F.  The child appeared confused to the mom and was asking questions such as what is that on the wall, why is there a giraffe on the wall, what are you going to be for Halloween.  These types of questions concerned the mother and propted a visit to the ER.  In the ER, the patient had a rectal temperature of 40.7 C which was treated with acetaminophen.  Her HR was also noted to be 170 on arrival.  Repeat temp was 38.2 C.  The patient was asleep most of the time in the ER.  Patient discharged home with instructions for treating fever and supportive therapy for viral illness.  Note, the patient had received an IM influenza vaccine in 2007 per mom, but never Flumist before 11/3/08.  Per the MCIR database, the patient received an influenza IM injection in 2006, not 2007.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Monocyte count decreased, Neutrophil count increased, Pyrexia, White blood cell count increased
Clinical narrative: Patient received Flumist vaccine intranasally at approximately 6pm on 11/3/08.  She was previously doing well except for a cough approximately 4-5 days prior to the vaccine.  She woke her mom up at about 3AM with cough and complaints of being cold.  The patient awoke again at 0430 and the mom took the patients temperature with a temporal probe thermometer which read 101 F.  The child appeared confused to the mom and was asking questions such as what is that on the wall, why is there a giraffe on the wall, what are you going to be for Halloween.  These types of questions concerned the mother and propted a visit to the ER.  In the ER, the patient had a rectal temperature of 40.7 C which was treated with acetaminophen.  Her HR was also noted to be 170 on arrival.  Repeat temp was 38.2 C.  The patient was asleep most of the time in the ER.  Patient discharged home with instructions for treating fever and supportive therapy for viral illness.  Note, the patient had received an IM influenza vaccine in 2007 per mom, but never Flumist before 11/3/08.  Per the MCIR database, the patient received an influenza IM injection in 2006, not 2007.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Blister, Eye swelling, Ocular hyperaemia, Pruritus, Urticaria
Clinical narrative: On 10-31-08 this clt was seen in walk-in clinic because of hive reaction possibly from HPV vaccine given on 10-28-08. Clt reports on Friday am, she woke up with swollen, red eye. Later that day, foot started itching and noticed on set of hives on foot. C/o being itchy all day. Later that day, developed blister like hives on back. Was instructed to use OTC Benedryl and was given an RX for Prednisone plus ABX for bronchitis.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Disorientation, Dizziness, Headache, Immediate post-injection reaction, Nausea
Clinical narrative: Flu shot administered 10/14/2008 at 1:10 PM at clinic. Reaction was queasy at first, within minutes. Ten minutes afterward patient became somewhat dizzy and disoriented, which passed after a few minutes. Felt some cranial pressure for two days. Arm sore for a week after the shot.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Pain in extremity
Clinical narrative: Flu shot administered 10/14/2008 at 1:10 PM at clinic. Reaction was queasy at first, within minutes. Ten minutes afterward patient became somewhat dizzy and disoriented, which passed after a few minutes. Felt some cranial pressure for two days. Arm sore for a week after the shot.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site rash
Clinical narrative: Patient had the Varicella (chickenpox) injection on 10/15/08. Three bumps at injection site started a week later.  Then progressed into a large area of rash from shoulder to elbow on right arm, arm of injection.  Went back to doctor on 10/30/08 and received Desonide .05% cream.  Patient has been using this since twice a day and is slowly looking somewhat better.  We have noticed some extra bumps starting up higher on his shoulder and also have addressed them with the Desonide.  This is patient's second round of Varicella the first was when he was 10 months with no signs of an allergy.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Tinnitus
Clinical narrative: 1. a low tone, audible in left ear 2 days after the vaccine. 2.slight dizzyness 2 days after the vaccine, and then extreme dizzyness 3 days after the vaccine.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Crying, Overdose, Syncope
Clinical narrative: Patient was a perfectly healthy young woman prior to these events. The day after receiving the first shot of Gardasil on 10/24/2007, patient experienced frequent fainting and crying spells. The possible connection to the vaccine shot was not considered. Her pediatrician recommended a psychiatrist for an evaluation. The psychiatrist diagnosed severe depression and prescribed Lexapro. 17 days later, patient overdoses and is transported to the hospital. She is hospitalized for 4 days. She continues to be seen over the next 9 months for depression.  Meds are frequently changed. She was plagued by various side effects. Her life ruined.  01/19/09 Reviewed hospital medical recods of 11/25-11/29/2007. FINAL DX: major depression, recurrent, severe, w/o psychotic features; pharyngitis on antibiotics; GAF on admit 25, on d/c 60. Records reveal patient had suicide attempt by overdose after worsening depression, decreased energy, decreased concentration, feelings of hopeless & worthless.  No history of prior suicide attempts or prior psych hospitalizaations although had long history of depression.  Had been started on Lexapro approx 2 wks prior to suicide attempt.  Slowly improved & d/c to home with continued outpatient psych program.  1/19/09  Reviewed ER medical records of 11/25/2007. FINAL DX: overdose suicide attempt Records reveal patient took multiple drugs in suicide attempt.  Had increased depression & suicidal thoughts lately.  Under psych treatment & transferred to inpatient psych hospital.   02/01/2010 Following Gardasil shot-experienced freq. fainting/crying spells. Prescribed Lexapro. 20 days later-overdosed. A year and a half later, and after being prescribed many,  many variations of anxiety/depression meds-a new psychiatrist believed she was misdiagnosed and wrongly medicated. She is off meds now and doing so much better. Almost pre-GARDASIL/pre-LEXAPRO. Still suffers feelings of anxiety as a result of losing 2 prime years of her life.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: NONE.  PT GIVEN 0.5 ML INSTEAD OF 0.25 ML FLUZONE.  NO ADVERSE EVENT REPORTED.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: PATIENT SAID LEFT ARM ONLY WAS STIFF AND SOAR AND COULD NOT RAISE HER ARM ABOVE SHOULDER HEIGHT AND COULD NOT USE ARM TO PULL ON CLOTHING
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Swelling
Clinical narrative: Patient c/o the "typical" soreness the next day after receiving the vaccine, but it "carried on" for quite some time.  She describes the pain as deep inside her right shoulder which made shoulder movement difficult.  Pain was mild at rest but with movement "5" severity on 1/10 scale.  This intensity lasted for about 3 weeks then gradually resolved about 2 months later.  Slight swelling, no noticable redness.  She called her physician but he was not available, so she did not discuss sx with him nor was she seen by her physician.  She used warm & cool compresses for the discomfort and rest as treatment.  She reports that she had been in a car accident 2 weeks before getting the vaccine but had no shoulder pain associated with the car accident (pain did not start until day following vaccine).
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Disorientation, Oropharyngeal pain, Vomiting
Clinical narrative: Sore throat, diorientation, vomitting. Revieved "Flu Mist" nasally.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pain at injection site for 3 weeks
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Insomnia, Pain in extremity
Clinical narrative: PPV dose at appox. 3:30pm on 11/3/08.  Severe pain in upper right arm developed approx. 5 hrs. later.  Much difficulty sleeping and extending upper right arm throughout the night and this morning. Some pain relief afforded through use of over-the-counter muscle soreness relief salve but still much pain and motion limitation.
Age: 29.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Injection site erythema, Injection site swelling, Joint stiffness, Myalgia
Clinical narrative: High Fever, Chills, Racing Heartbeat, Aching muscles, Stiffness in joints, swelling and redness in arm at site of vaccine
Age: 29.0
Sex: F
Vaccine: MNQ
Symptoms: Palpitations, Pyrexia
Clinical narrative: High Fever, Chills, Racing Heartbeat, Aching muscles, Stiffness in joints, swelling and redness in arm at site of vaccine
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site streaking, Pyrexia
Clinical narrative: Temp 103 degrees Tues pm (10/21/08)--fluctuated 101-103 degrees until Thursday 10/23/08.  RA had 4 cm circular red area directly below injection site and medial stripes on arm 1 cm X 5 cm.  Resolving as of 10/24/08.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site discomfort, Injection site erythema, Injection site oedema, Malaise
Clinical narrative: Approximately 3 cm diameter of redness with mild edema and discomfort at injection site. Compaint of generalized malaise and arthralgia 24 hours after receipt of vaccine.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Computerised tomogram abnormal, Dehydration, Jaundice, Mesenteric vein thrombosis
Clinical narrative: Fever, adominal pain and emesis .started 6 days after last dose of Gardasil.progressed to jaundice and dehydration. MANUFACTURER MERCK.  11/12/2008  MR received for DOS 10/23-11/4/2008 with D/C DX:  Superior mesenteric venous thrombosis.  Direct hyperbilirubinemia. Hyponatremia, Hypokalemia, Acute Renal Insufficiency, Thrombocytosis, Anemia (iron deficiency). Pt presented with a 1 week hx of fevers, emesis, decreased po intake, appetite and urine output, abdominal pain and one episode of diarrhea. Pt noted to be dehydrated and icteric on admission.  On PE abdomen noted to be distended with some tenderness in the RuQ and epigastric regions. Started on Lovenox, coumadin, and abx. No resolution of thrombus but no further extension.  LFTs improved. Creatinine improved with hydration. D/C for continued outpt f/u.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever, adominal pain and emesis .started 6 days after last dose of Gardasil.progressed to jaundice and dehydration. MANUFACTURER MERCK.  11/12/2008  MR received for DOS 10/23-11/4/2008 with D/C DX:  Superior mesenteric venous thrombosis.  Direct hyperbilirubinemia. Hyponatremia, Hypokalemia, Acute Renal Insufficiency, Thrombocytosis, Anemia (iron deficiency). Pt presented with a 1 week hx of fevers, emesis, decreased po intake, appetite and urine output, abdominal pain and one episode of diarrhea. Pt noted to be dehydrated and icteric on admission.  On PE abdomen noted to be distended with some tenderness in the RuQ and epigastric regions. Started on Lovenox, coumadin, and abx. No resolution of thrombus but no further extension.  LFTs improved. Creatinine improved with hydration. D/C for continued outpt f/u.
Age: 1.09
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Scab, Varicella
Clinical narrative: Mild case of chicken pox.  Between 8- 10 small, blistery spots on nose, face belly and thigh.  Two scabbed over, others went away in a day or so.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Mass, Pain in extremity
Clinical narrative: FLU VACCINE ADMINISTERED LEFT ARM-PAINWITH LIFTING OR EXTENDING ARM. COMPLAINED OF KNOT IN LEFT ARM. 3MM NOTED ON UPPER DELTOID, NO ERYTHEMA; TAKING IBUPROFEN, HOT & COLD COMPRESSES.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Dermatitis exfoliative, Eyelid oedema, Pruritus, Urticaria
Clinical narrative: acute hives, some erythroderma of soles, puffy eyelids, intense pruritis of feet, then trunk, then scalp, developing immediately after Fluzone, while pt still at my office.  no wheeze or cough.  treated w 30mg Allegra and 15mg Orapred ODT in office.  Mom reports the following a.m. that all sx resolved by 7pm, 3 hrs p immunization given.  no second dose of either med given.  [older sister got Fluzone of same lot at same time; no problem]
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site pain, Pain in extremity
Clinical narrative: flu vaccine administered left arm-c/o pain when lifting arm up. arm throbs unless taking ibuprofen;shot hurt terribly when given.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain
Clinical narrative: RECEIVED FLU VACCINE; CANNOT LIFT ARM BUT A SMALL AMOUNT.ARM THROBS; CAN ONLY MOVE ARM STRAIGHT. HURT FROM TIME VACCINE GIVEN. TAKING IBUPROFEN AND USING HOT AND COLD COMPRESSES.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: parent states child has rash on torso,legs, and bottom.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Feeling cold, Myalgia
Clinical narrative: FLU VACCINE REC'D 09-26-08. BEGINNING 9-27-08 PT HAD LOW BACK PAIN, MUSCLE ACHES ALL OVER; HAS BEEN VERY COLD AND ACHES & PAINS HAVE INTENSIFIED EVERY DAY SINCE.  oCTOBER 2, 2008 HAS BEEN THE "WORSE DAY YET". STATES SHE IS ALLERGIC TO THIMERSOL, BUT PMD SAID OK TO TAKE FLU VACCINE.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Immediate post-injection reaction, Vision blurred
Clinical narrative: AFTER RECEIVING FLU INJECTION, PATIENT HAD AN IMMEDIATE HEADACHE, BLURRED VISION.  BLURRED VISION LASTED APPROXIMATELY ONE HOUR.
Age: 28.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Cold sweat, Cough, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, Cough, Chest Congestion, Sore Throat, Nasal/Sinus Congestion, Chills, Cold Sweats
Age: 28.0
Sex: M
Vaccine: FLUX
Symptoms: Respiratory tract congestion, Sinus congestion
Clinical narrative: Fever, Cough, Chest Congestion, Sore Throat, Nasal/Sinus Congestion, Chills, Cold Sweats
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Localized redness and swelling at the site of injrction
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose increased, Blood pH decreased, Condition aggravated, Diabetic ketoacidosis, Urine ketone body present
Clinical narrative: Abnormal blood glucose values in known diabetic for week following administration resulting in DKA.  Known Dx of DM1.  Patient at baseline has variable adherence to insulin therapy.  3/18/09 Received hospital medical records of 11/3-11/5/2008. FINAL DX: DKA resolved Records reveal patient experienced HA, nausea/vomiting x 1 day & increased glucose x 1 week.  Admitted PICU.  Tx w/IVF & insulin.  Patient admitted noncompliance w/diet recently as no evidence of infection.   Returned to ER 11/24/08. FINAL DX: vomiting, hyperglycemia Patient missed evening insulin dose & experienced vomiting, glucose 300, pH 7.28.  Tx w/IVF & insulin.  Improved, meds adjusted & d/c to home w/endocrine clinic f/u.
Age: 12.0
Sex: M
Vaccine: FLUN3, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient was previously given dose of Tdap previous year.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site erythema, Injection site swelling
Clinical narrative: Had shot on Monday, October 27th and by Wednesday had a red raised area about 3 inches in diameter right around the injection site.  Also had aching into shoulder, elbow, and wrist.  Annoyingly painful but not limiting in any way.  It took over a week before it got better.  On November 3rd she saw nothing but still has some aching in  wrist and elbow.
Age: 43.0
Sex: M
Vaccine: FLUX
Symptoms: Chest X-ray normal, Cough, Full blood count normal, Pyrexia, Streptococcal identification test negative
Clinical narrative: PATIENT CAME TO CLINIC COMPLAINING OF A FEVER FOR THE LAST 5 DAYS.  SLIGHT COUGH, NO OTHER SYMPTOMS.
Age: 43.0
Sex: M
Vaccine: FLUX
Symptoms: Urine analysis normal
Clinical narrative: PATIENT CAME TO CLINIC COMPLAINING OF A FEVER FOR THE LAST 5 DAYS.  SLIGHT COUGH, NO OTHER SYMPTOMS.
Age: 43.0
Sex: U
Vaccine: FLU3
Symptoms: Dry mouth, Ocular hyperaemia, Urticaria
Clinical narrative: 1 hr -- urticaria abd wall,  redness  eyes , dry mouth --  rx prednisone, benadryl-- full recovery  in 24 hrs
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Mechanical ventilation, Pneumonia
Clinical narrative: Employee presented in the occupational Health clinic on 10/21/08 for a influenza vaccination.  He told the RN that he had a mild URI illness but no fever and he consented to getting Flulaval after a brief discussion about postponing it until he felt well.  The following day he was admitted to Hospital from home with possible pneumonia.  Within days he was transferred by helicopter to Medical System where he remains in treatment.  The information we have comes via his supervisor.  He is reportedly on a ventilator and receiving steroids.  We have provided the hospital with the employee medical record.  12/22/2008 MR received for DOS 10/24-11/13/2008 with D/C DX:  Acute interstitial pneumonitis, respiratory failure, pulmonary embolism, acute renal failure and death. Pt transferred from local hospital (admitted 10/22/08)for hypoxemic respiratory failure following 6 months of progressive dyspnea and evaluation for lung transplant. On admission T=96.5'F, intubated and sedated with O2 sat of 96%, coarse bilateral breath sounds and tachycardic. Tx for pneumonia but developed DVT with PE which was symptomatic on 11/10/08.  Started on heparin but unable to be aroused from sedation. Platelet count dropped. Pt suffered a PEA arrest on 11/13/08 with restoration of BP and heartrate with CPR however BP difficult to maintain despite high dose pressors.  Life support withdrawn and pt died at  10:41 on 11/13/08. Autopsy  reports COD as Pulmonary Fibrosis due to a combination of acute pneumonia and organizing diffuse alveolar damage superimposed on a background of chronic interstitial lung disease and emphysema.
Age: 17.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: Swollen neck (left gland), fever, shivers,severe headache, difficulty breathing, sroe throat, muscle aches, cough and felt tired
Age: 17.0
Sex: M
Vaccine: FLUX
Symptoms: Local swelling, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Swollen neck (left gland), fever, shivers,severe headache, difficulty breathing, sroe throat, muscle aches, cough and felt tired
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Patient verbalizes she became ill about 4-6 hours post vaccine @ 11:00 AM on 11-3-08. Symptoms:fever, body aches, nausea, vomiting.etc.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient recieved flu mist vaccine earlier in the day. At 2:45pm patient was unresponsive for 10+ minutes in the school yard. Ambulance called and taken to Emergency room
Age: 21.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy
Clinical narrative: Pregnant patient was given Flumist. She did not have nay symptoms after   the administration. Incidetn reported to patient's OB GYN.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left Deltoid warm, hard, painful and swollen down to elbow, left arm 3/4 " larger than Right, follow up call on 11/3 and 11/4 improvement in painfulness and other symptoms less each day
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Pt reported fever of up to 100-101 with muscle aching, chills and pain at injection site (shoulder) 2 days after receiving vaccination.  Pt has received several other vaccines (i.e. cholera, yellow fever, etc.) but has never experienced symptoms before.  Pt has received pneumonia vaccine previously in 2002 with no complications.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Red rash at the injection site on the arm.
Age: 12.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: Left Swollen arm at injection site which is red, raised, warm to touch and painful. He is nauseated and has been since the evening after his flu shot on 11/01/08. His mom plans on taking him to his pediatrician
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: After 24 hours of administration of ipv IM right deltiod, client's arm is swolen and hard . States pain in AM. Active, no fever.Advised Tylenol.
Age: 42.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest discomfort, Dizziness
Clinical narrative: Client complained of tightness in her chest about 15 minutes after receiving the flumist vaccine.  Denied difficulty with breathing, just a sensation of tightness.  Vitals were taken and B/P was high (147/97)- other vitals were normal.  She began to feel "whoozie" and was sent to the ER for evaluation.
Age: 61.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Activities of daily living impaired, Bone scan normal, Electromyogram normal, Hypoaesthesia, Influenza like illness
Clinical narrative: 3 days following the vaccination, developed flu-like symptoms (aching and fever). Symptoms got worse to include numbness, weakness, and pain in the upper extremities (arms, shoulders, neck, and hands). Difficulty with self care. Hospitalized 4 days with no definitive diagnosis, except myalgia, unknown etiology. Was then discharged home, while symptoms continued and got worse. Was readmitted to Hospital for 2 weeks and 1 week in acute rehab. Multiple blood tests, MRI, nerve conduction studies, EMG, bone scans, and Bone marrow biopsy given turned up normal. Discharged home with partial paralysis in right arm greater than left, pain and weakness in both arms. Able to walk but still requires assistance with ADLs. Diagnosis at time of discharge not confirmed but suspect Parsonage-Turner Syndrome. Seeking a Neuro second opinion. No treatment except pain medication and occupational therapy. 3/19/09-records received for DOS 9/14-9/17/08-DC DX: Myopathy most likely inflammatory versus serum sickness seconary to immunization reaction. Hypokalemia.  Admitted from ED with myalgia and muslce weakness more concentrated in both upper extremities. DOS 10/2-10/14/08-DC DX: Myopathy right upper extremity more than all other extremities. Neuropathy. Right upper extremity quadirparesis. Status post measles-mumps-rubella and hepatitis immuinization. Abnormal serum electrophoresis with monclonal IgM lambda protein in serum. left proximal femur soliary osteolytic sclerotic lesion. Rule out POEMS syndrom versus plasmocytoma/lymphoma. Admitted with worsening upper extremity weakness unable to care for self. DOS-10/14-10/23/08-DC DX: post vaccination myopathy. Quadriparesis. Chronic pain. DOS 11/11-11/19/08-DC DX: Polyneuropathy mostly likely autoimmune post vaccination. Leukopenia secondary to IVIG, improved. neuropathic pain. Presented with progressively worsening neurological deficit of right upper extremity. 11/16/2009 received a letter from patient stating that she still has these residual sx: quadraparesis, weakness rt hand grip strength, muscle atrophy, balance problems and fatigue, states is able to walk now and do most ADL's. l Letter states will be filing a petition with VICP.
Age: 61.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Monoplegia, Muscular weakness, Myalgia, Nuclear magnetic resonance imaging normal, Pain
Clinical narrative: 3 days following the vaccination, developed flu-like symptoms (aching and fever). Symptoms got worse to include numbness, weakness, and pain in the upper extremities (arms, shoulders, neck, and hands). Difficulty with self care. Hospitalized 4 days with no definitive diagnosis, except myalgia, unknown etiology. Was then discharged home, while symptoms continued and got worse. Was readmitted to Hospital for 2 weeks and 1 week in acute rehab. Multiple blood tests, MRI, nerve conduction studies, EMG, bone scans, and Bone marrow biopsy given turned up normal. Discharged home with partial paralysis in right arm greater than left, pain and weakness in both arms. Able to walk but still requires assistance with ADLs. Diagnosis at time of discharge not confirmed but suspect Parsonage-Turner Syndrome. Seeking a Neuro second opinion. No treatment except pain medication and occupational therapy. 3/19/09-records received for DOS 9/14-9/17/08-DC DX: Myopathy most likely inflammatory versus serum sickness seconary to immunization reaction. Hypokalemia.  Admitted from ED with myalgia and muslce weakness more concentrated in both upper extremities. DOS 10/2-10/14/08-DC DX: Myopathy right upper extremity more than all other extremities. Neuropathy. Right upper extremity quadirparesis. Status post measles-mumps-rubella and hepatitis immuinization. Abnormal serum electrophoresis with monclonal IgM lambda protein in serum. left proximal femur soliary osteolytic sclerotic lesion. Rule out POEMS syndrom versus plasmocytoma/lymphoma. Admitted with worsening upper extremity weakness unable to care for self. DOS-10/14-10/23/08-DC DX: post vaccination myopathy. Quadriparesis. Chronic pain. DOS 11/11-11/19/08-DC DX: Polyneuropathy mostly likely autoimmune post vaccination. Leukopenia secondary to IVIG, improved. neuropathic pain. Presented with progressively worsening neurological deficit of right upper extremity. 11/16/2009 received a letter from patient stating that she still has these residual sx: quadraparesis, weakness rt hand grip strength, muscle atrophy, balance problems and fatigue, states is able to walk now and do most ADL's. l Letter states will be filing a petition with VICP.
Age: 61.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 3 days following the vaccination, developed flu-like symptoms (aching and fever). Symptoms got worse to include numbness, weakness, and pain in the upper extremities (arms, shoulders, neck, and hands). Difficulty with self care. Hospitalized 4 days with no definitive diagnosis, except myalgia, unknown etiology. Was then discharged home, while symptoms continued and got worse. Was readmitted to Hospital for 2 weeks and 1 week in acute rehab. Multiple blood tests, MRI, nerve conduction studies, EMG, bone scans, and Bone marrow biopsy given turned up normal. Discharged home with partial paralysis in right arm greater than left, pain and weakness in both arms. Able to walk but still requires assistance with ADLs. Diagnosis at time of discharge not confirmed but suspect Parsonage-Turner Syndrome. Seeking a Neuro second opinion. No treatment except pain medication and occupational therapy. 3/19/09-records received for DOS 9/14-9/17/08-DC DX: Myopathy most likely inflammatory versus serum sickness seconary to immunization reaction. Hypokalemia.  Admitted from ED with myalgia and muslce weakness more concentrated in both upper extremities. DOS 10/2-10/14/08-DC DX: Myopathy right upper extremity more than all other extremities. Neuropathy. Right upper extremity quadirparesis. Status post measles-mumps-rubella and hepatitis immuinization. Abnormal serum electrophoresis with monclonal IgM lambda protein in serum. left proximal femur soliary osteolytic sclerotic lesion. Rule out POEMS syndrom versus plasmocytoma/lymphoma. Admitted with worsening upper extremity weakness unable to care for self. DOS-10/14-10/23/08-DC DX: post vaccination myopathy. Quadriparesis. Chronic pain. DOS 11/11-11/19/08-DC DX: Polyneuropathy mostly likely autoimmune post vaccination. Leukopenia secondary to IVIG, improved. neuropathic pain. Presented with progressively worsening neurological deficit of right upper extremity. 11/16/2009 received a letter from patient stating that she still has these residual sx: quadraparesis, weakness rt hand grip strength, muscle atrophy, balance problems and fatigue, states is able to walk now and do most ADL's. l Letter states will be filing a petition with VICP.
Age: 10.0
Sex: M
Vaccine: FLU3, MNQ, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: NONE.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Burning sensation, Cellulitis, Erythema, Injected limb mobility decreased, Oedema peripheral
Clinical narrative: pt recieved pneumovax in left deltoid yesterday, started huring at night, not able to sleep. 6/ 10 pain- burning. radiates to shoulder, difficult to move arm, swollen. left arm cellulitis- rx for cephalexin, naproxen, alternating with otc tylenol, elevate arm, cool compress, er if worsens. right bicep 28 cm, right bicep 32 cm- +surgical scar, + swollen + warmth/ erythema
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Skin warm, Sleep disorder
Clinical narrative: pt recieved pneumovax in left deltoid yesterday, started huring at night, not able to sleep. 6/ 10 pain- burning. radiates to shoulder, difficult to move arm, swollen. left arm cellulitis- rx for cephalexin, naproxen, alternating with otc tylenol, elevate arm, cool compress, er if worsens. right bicep 28 cm, right bicep 32 cm- +surgical scar, + swollen + warmth/ erythema
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity
Clinical narrative: Received flu vaccination in left deltoid, reported that it hurt deeply.  The pain continued and it worsened.The joint and shoulder continues to hurt and has not improved significatnly without Advil. She has pain with movement of shoulder.
Age: 34.0
Sex: U
Vaccine: FLU3
Symptoms: Diarrhoea, Injection site erythema, Injection site swelling, Nausea, Pyrexia
Clinical narrative: 10/31/08 @ 4:30pm: P.C. from pt. notifying PH of adverse reaction to flu shot.   By same evening of injection, pt. noticed redness and swelling to site.   Woke up next morning to increased redness and swelling with onset of diarrhea, nausea, and fever of 101.8.   Took Ibuprofen and Benedryl with good relief (denies respiratory distress).   Did not seek medical attention.  States feels better today.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood thyroid stimulating hormone normal, Burning sensation, Full blood count normal, Headache, Liver function test normal
Clinical narrative: (L) headache, scalp itching, burning beginning 2 days after being given vaccine on 8/7/08. Effects slowly resolved and became intermittent only with periods of stress for 3-4 weeks. No sx's after 9/10/08.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Metabolic function test normal, Pruritus, Stress
Clinical narrative: (L) headache, scalp itching, burning beginning 2 days after being given vaccine on 8/7/08. Effects slowly resolved and became intermittent only with periods of stress for 3-4 weeks. No sx's after 9/10/08.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pain at injection site lasting for 2 weeks, not relieved by Motrin, NSAIDS, Tylenol, ice/heat packs. Referred patient to PCP.
Age: 13.0
Sex: F
Vaccine: FLUN3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Arthralgia, Blood culture negative, C-reactive protein increased, Myalgia, Pyrexia
Clinical narrative: Hives like rash at day 3-4D, Fever day 5, Joint and muscle pain debilitating by day 5, Admitted to hospital 10-28-08. WBC 32,000, ESR 70 - 124, CRP 7.3.   1/26/09 Reiceived hospital medical records for 10/28-10/31/2008. FINAL DX: not available on d/c summary available Records reveal patient experienced migratory joint pain, fever & migrating pruritic rash.  Had recent strep throat.  Tx w/IV antibiotics, NSAIDS & antihistamines.  Improved by d/c to home on continued oral PCN & w/outpatient cardio & rheum consults.  2/3/09 Received Rheum & ID consults. Rheum consult of 11/14/2008: FINAL DX: arthritis, carditis, fever, ?Still's disease Records reveal patient exp (+)GABS 10/26 after rash developed on 10/24.  Rash has waxed & waned since.  Remained on PCN & NSAID.  Exam revealed swollen wrists w/decreased ROM.  Labs & x-rays ordered.   Patient was being f/u by cardio.  ID consult of 11/18/2008: FINAL DX: fever, arthritis, rheumatic fever doubtful Records reveal review of extensive medical records w/o definitive diagnosis.  Referred back to cardio & rheum clinics.
Age: 13.0
Sex: F
Vaccine: FLUN3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Rash, Red blood cell sedimentation rate increased, Streptococcal identification test, Streptococcal identification test positive, Urticaria
Clinical narrative: Hives like rash at day 3-4D, Fever day 5, Joint and muscle pain debilitating by day 5, Admitted to hospital 10-28-08. WBC 32,000, ESR 70 - 124, CRP 7.3.   1/26/09 Reiceived hospital medical records for 10/28-10/31/2008. FINAL DX: not available on d/c summary available Records reveal patient experienced migratory joint pain, fever & migrating pruritic rash.  Had recent strep throat.  Tx w/IV antibiotics, NSAIDS & antihistamines.  Improved by d/c to home on continued oral PCN & w/outpatient cardio & rheum consults.  2/3/09 Received Rheum & ID consults. Rheum consult of 11/14/2008: FINAL DX: arthritis, carditis, fever, ?Still's disease Records reveal patient exp (+)GABS 10/26 after rash developed on 10/24.  Rash has waxed & waned since.  Remained on PCN & NSAID.  Exam revealed swollen wrists w/decreased ROM.  Labs & x-rays ordered.   Patient was being f/u by cardio.  ID consult of 11/18/2008: FINAL DX: fever, arthritis, rheumatic fever doubtful Records reveal review of extensive medical records w/o definitive diagnosis.  Referred back to cardio & rheum clinics.
Age: 13.0
Sex: F
Vaccine: FLUN3, HPV4, MNQ, TDAP, VARCEL
Symptoms: White blood cell count increased
Clinical narrative: Hives like rash at day 3-4D, Fever day 5, Joint and muscle pain debilitating by day 5, Admitted to hospital 10-28-08. WBC 32,000, ESR 70 - 124, CRP 7.3.   1/26/09 Reiceived hospital medical records for 10/28-10/31/2008. FINAL DX: not available on d/c summary available Records reveal patient experienced migratory joint pain, fever & migrating pruritic rash.  Had recent strep throat.  Tx w/IV antibiotics, NSAIDS & antihistamines.  Improved by d/c to home on continued oral PCN & w/outpatient cardio & rheum consults.  2/3/09 Received Rheum & ID consults. Rheum consult of 11/14/2008: FINAL DX: arthritis, carditis, fever, ?Still's disease Records reveal patient exp (+)GABS 10/26 after rash developed on 10/24.  Rash has waxed & waned since.  Remained on PCN & NSAID.  Exam revealed swollen wrists w/decreased ROM.  Labs & x-rays ordered.   Patient was being f/u by cardio.  ID consult of 11/18/2008: FINAL DX: fever, arthritis, rheumatic fever doubtful Records reveal review of extensive medical records w/o definitive diagnosis.  Referred back to cardio & rheum clinics.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough
Clinical narrative: deep barking cough-onset app 2 hr after administration treatment at Urgent Care. BENDARYL injection
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: First outbreak of shingles both sides of face. 2nd outbreak of shingles; both sides of face. Never any shingles rash prior to vaccine 2/08.
Age: 87.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Lethargy
Clinical narrative: severe redness and swelling of entire right upper arm as well as lethargy and fatigue
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Blood immunoglobulin E increased, Choking sensation, Hyperhidrosis, Pruritus, Urticaria
Clinical narrative: 1) Severe pruritis with urticaria about one week after vaccination.  Started at site of injection, also had some  2)sense of choking and diaphretic on 10/24 office visit.  10/30 symptoms resolved.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: White blood cell count increased
Clinical narrative: 1) Severe pruritis with urticaria about one week after vaccination.  Started at site of injection, also had some  2)sense of choking and diaphretic on 10/24 office visit.  10/30 symptoms resolved.
Age: 2.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Diffuse swelling of entire thigh area at day 2-4 post vaccine administration- frontal mid thigh area. Focal swelling and minor irritation (puritis) prior to this time at site of vaccination.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Injection site erythema, Injection site pain, Injection site pruritus, Urticaria
Clinical narrative: Approx 24 h or more after shot had minor contusion from colliding with someone else at site of shot. After that blow to injection site, developed large, red erythematous reaction - 3" diam., itchy, painful, later in the day urticaria on back, chest and neck. Slowly resolving.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: A BOOSTRIX (Tdap) vaccine was given inadvertently given to a 24 y.o. female although the vaccine is not recommended for this age. The CDC was contacted and advised that a second injection did not need to be given, the Pt should be considered immunized. The vaccine was administered at the local health department.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Electrocardiogram, Presyncope, Throat tightness, Vision blurred
Clinical narrative: This serious case was received from a health professional on 23 October 2008. Seriousness criteria: Other - Medically Significant. A 52-year-old female, with a history of allergies to shampoos, body creams, nickel, and dyes, received an intramuscular left arm injection of FLUZONE (lot number U2766AA) on 21 October 2008. The patient was not ill at the time of vaccination, and had not previously received an influenza vaccine. Approximately four hours after vaccination, she complained of dizziness, blurred vision, tightness in the throat, and near syncope. She was seen in the emergency room, where she underwent an EKG in addition to blood pressure and heart rate monitoring. Treatment included diphenhydramine 50 mg intramuscularly. The patient recovered.
Age: 12.0
Sex: F
Vaccine: FLUN3, FLUN3, MNQ
Symptoms: Facial palsy
Clinical narrative: PATIENT DEVELOPED BELL'S PALSY 5 DAYS AFTER RECEIVING FLU MIST NASAL
Age: 12.0
Sex: F
Vaccine: FLUN3, FLUN3, MNQ
Symptoms: Dyskinesia, Facial palsy, Lyme disease
Clinical narrative: PATIENT DEVELOPED BELL'S PALSY 5 DAYS AFTER RECEIVING FLU MIST NASAL
Age: 0.83
Sex: M
Vaccine: HIBV
Symptoms: Rash generalised
Clinical narrative: Developed a rash over entire body, which lasted 2+ weeks.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Dry mouth, Dyspnoea, Flushing, Throat tightness
Clinical narrative: Initial report was received 23 October 2008 from a health care professional. A 57-year-old female patient had received an intramuscular left deltoid injection of FLUZONE SV 2008-2009, lot number U2764AA and five minutes later, she developed shortness of breath, facial flushing, her throat felt tight and her mouth felt dry. She was evaluated by her physician and her symptoms resolved within one hour. The patient had no concurrent illness and had not been taking any concomitant medications. The patient had a history of multiple medication allergies (medications not specified) and she had received FLUZONE in the past. According to the reporter, the patient requested a preservative free vaccine. The patient's recovery status was reported as unknown at the time of the report. Documents held by sender: None
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity
Clinical narrative: Initial report was received 30 October 2008 from a consumer, who is the patient.  A female patient stated that approximately two weeks ago, she received a flu vaccine manufactured by sanofi pasteur (lot number not reported) and subsequently experienced a severe allergic reaction.  The patient stated her physicians requested she obtain a list of the ingredients for the current years flu vaccine (2008), as well as ingredients for the 2007 and 2006 flu vaccines.  No additional information was provided at the time of the report.  Documents held by sender: None.
Sex: F
Vaccine: DTP
Symptoms: Convulsion, Respiratory arrest
Clinical narrative: Initial information was received on 31 October 2008 from another manufacturer whose initial reporter was a consumer (patient's parent).  A female patient received DTP (manufacturer, lot number, and date was not reported) and stopped breathing temporarily and experienced seizures for a year.  Recovery status was not reported.  No other information was provided.  List of Documents held by Sender: None.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Nausea, Pregnancy test positive, Vomiting
Clinical narrative: Information has been received from a physician, through the Pregnancy Registry for GARDASIL, concerning a 15 year old female who on 17-MAR-2008 was inadvertently vaccinated intramuscularly with GARDASIL (Lot # 659437/1266U).  The patient has not experienced a menstrual cycle for 2 months and is experiencing nausea and vomiting.  The physician suspected she was pregnant and performed a pregnancy test.  On 18-MAR-2008, the serum pregnancy test results were positive.  The patient sought unspecified medical attention in the office.  No additional information is available.  Follow up information was received from the physician who reported that the patient had termination of pregnancy (TOP) few days after she was given GARDASIL, approximately 19-Mar-2008.  This was unwanted teenage pregnancy and the TOP was an already planned before she was given GARDASIL.  Upon internal review, elective termination was determined to be an other important medical event.  Additional information is not expected.
Age: 18.0
Sex: M
Vaccine: IPV, MNQ, TDAP
Symptoms: Albumin CSF increased, Asthenia, Blood product transfusion, CSF immunoglobulin increased, CSF protein increased
Clinical narrative: Vaccinated [[name]] 07. URI in July 07. Onset weakness Aug 08. Inc sx in Sep to include numbness. Sought medical care. Dx with GBS and sx resolved with IVIG. Had recurrence of weakness again in Nov, and [[name]]. Dx changed to CIDP in [[name]]. Symptoms: Fever. Diagnosis 01/22/2008 Demyelinating polyneuritis, chronic inflammatory (357.81); 09/15/2007 Polyneuritis, acute infective (357.0)  11/14/08-records received-letter dated 5/21/08-recently diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). September 5 2007 presented with weakness in upper extremities prorgressed over next twelve days until September 17th when symptoms required  hospitalization. Initial diagnosis was Guillain [[name]] Syndrom but when his symptoms recurred [[name]]uary 2008 actually has CIDP.  1/20/09-records received for DOS 11/17/08 DC Summary peripheral neuropathy. Presented with progressive weakness in hands and feet. History of GBS this is second relapse. Refused LP.Discharge Summary for DOS 9/17-9/19/07-DC DX: muscle weakness. Guillaine [[name]]. presented with bilateral upper extremity weakness in hands and arms progressing over 3 weeks. Numbness and tingling of upper extremities. Horizontal nystagmus.  Tongue fasciculation. Treated with IVIG.