chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Respiratory tract congestion, Robust take following exposure to vaccinia virus, Serum ferritin normal, Sinus polyp, Sleep study abnormal
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Spinal osteoarthritis, Sweat test normal, Syncope, Tenderness, Turbinectomy
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Urine analysis normal, Urine sodium normal, Vitamin B12 normal, Wheezing
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Adenoidectomy, Anxiety disorder, Arthropathy, Bradycardia, Bronchitis
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Cerebral small vessel ischaemic disease, Chest discomfort, Chest pain, Chills, Cough
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Cyst, Dermatitis contact, Dizziness postural, Dyskinesia, Dyspnoea
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Headache, Hyposmia, Injection site erythema, Injection site pustule
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site swelling, Insomnia, Intervertebral disc degeneration, Lymphadenopathy, Migraine
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Motor dysfunction, Muscle fatigue, Muscular weakness, Nasal turbinate hypertrophy, Neurological examination
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal cord abnormal, Oropharyngeal pain, Osteoarthritis, Palpitations
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Poor quality sleep, Presyncope, Pyrexia, Rash pustular, Respiratory tract congestion
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Robust take following exposure to vaccinia virus, Sleep study abnormal, Swelling, Syncope, Tenderness
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Wheezing
Clinical narrative: SM with multiple complaints following receipt AVA, typhoid, men 8/11/09, spv 8/12/09, & ava-flumist 9/29/2009. Over next few days he described a robust takt to spv site (red pustular near, site swelling, left axillary tenderness and nodal swelling). 1-2 weeks later c/o sob on inspiration with squeezing sharp midsternal stab "something pushing inside trying to get out vs sitting on chest" 6/8/10 pain scale; not affected w/position. Duration 4 days unrelieved with MOTRIN. Resolved 9/1/2009. 10/8 to 10/22/09 dx contact dermatitis on steroid therapy. 10/22/09 (day 70 spv, day 23 AVA2) f/u contact derm/rash, 3 day hx fever, chills, congestion, ST, HA, cough, wheez...dx bronchitis-resolved 2 weeks later. 11/13/09 H1N1 IM given and deployed Dec 2009. 1/18/2010 c/o diff breathing and wheezing with exertion. Strong hx cardiac disease family...sent for cardiac eval then pulm...wnl. 2/17/2010 c/o unwitness syncopal like episodes with no LOC but legs buckling with fatigue walking/standing > 10 min. Muscles want to collapse. No paresthesia, incontinence or visual disturbances. March-April 2010 c/o dizziness standing, chest pain, palp, knees buckling, bradycardia, headaches. Comprehensive cardiac eval, advised chest pains "unrelated to presyncopal symptoms". 4/2010 neuro eval dx vasovagal syncope with possible hyperventilation syndrome w/o overbreathing. He was also dx migraine headaches secondary to poor sleep. Sleep studies consistent for sleep deprivation. ENT treated with septo-turbo-adenoidectomy for turbinate hypertrophy with improvement breathing and smell...no change to fatigue. May 2010 episodic bouts UE weakness including difficulty w/ fine motor control hands with repetitive actions or holding/carrying > 10 lbs. Still with LE weakness. Psych dx anxiety disorder. Comprehensive eval in progress.
Age: 0.58
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1, RV1
Symptoms: Barium enema, Intussusception
Clinical narrative: Information has been received from a physician concerning a 7 month old female patient who on 11-MAY-2010 was vaccinated with the first dose of ROTATEQ (Lot # 665273/0204Z, expire date not reported), per oral. On 31-AUG-2010, the patient was vaccinated with the second dose of ROTATEQ (Lot # 667991/0726Z, expire date not reported), per oral. Suspect secondary therapy included third dose of ROTARIX (Lot # A41FB098A, expire date and route not reported) administered on 22-OCT-2010, first dose of Hib conj vaccine (manufacturer unknown) and first dose of hepatitis B vaccine (manufacturer unknown) both administered on 11-MAY-2010, second dose of Hib conj vaccine administered on 31-AUG-2010, second dose of hepatitis B vaccine (manufacturer unknown) and third dose of Hib conj vaccine both administered on 22-OCT-2010. Concomitant vaccines included DTAP, poliovirus vaccine and PREVNAR. Physician stated that on 03-JAN-2011, the patient was admitted to the hospital and was diagnosed with intussusception. Physician added that a barium enema was successful in releasing the intussusception. The patient recovered and on 06-JAN-2011, the patient was discharged from the hospital. This is one of two reports from the same source. Additional information has been requested.
Age: 0.58
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1, RV1
Symptoms: Intussusception, Surgery, Wrong drug administered
Clinical narrative: Information has been received from a physician concerning a 7 month old female patient who on 11-MAY-2010 was vaccinated with the first dose of ROTATEQ (Lot # 665273/0204Z, expire date not reported), per oral. On 31-AUG-2010, the patient was vaccinated with the second dose of ROTATEQ (Lot # 667991/0726Z, expire date not reported), per oral. Suspect secondary therapy included third dose of ROTARIX (Lot # A41FB098A, expire date and route not reported) administered on 22-OCT-2010, first dose of Hib conj vaccine (manufacturer unknown) and first dose of hepatitis B vaccine (manufacturer unknown) both administered on 11-MAY-2010, second dose of Hib conj vaccine administered on 31-AUG-2010, second dose of hepatitis B vaccine (manufacturer unknown) and third dose of Hib conj vaccine both administered on 22-OCT-2010. Concomitant vaccines included DTAP, poliovirus vaccine and PREVNAR. Physician stated that on 03-JAN-2011, the patient was admitted to the hospital and was diagnosed with intussusception. Physician added that a barium enema was successful in releasing the intussusception. The patient recovered and on 06-JAN-2011, the patient was discharged from the hospital. This is one of two reports from the same source. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received from a registered nurse concerning a 1 day old male patient whose mother was exposed to GARDASIL during pregnancy. It was reported that the patient was born, weight 6 lb 5.9 oz, APGAR (Appearance, Pulse, Grimace, Activity, Respiration.) score 8/9. The baby experienced intrauterine growth retardation and umbilical mass (also reported infant normal). At the time of the report, the patient's outcome was unknown. Upon internal review, umbilical mass was considered to be a congenital anomaly. The mothers experience has been reported in WAES # 0912USA01991. Additional information has been requested.
Age: 1.17
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Patient was in on 06/09/2009 for varicella and HIB vaccinations. Patient's mother brought the child for more immunization on 7/27/2009. There is no mention of any reaction to varicella vaccine. Then on 8/20/2009 mother brought patient for a well child exam and told Dr. that her child had a rash and a fever within 48 hrs from receiving the varicella.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Cough, Myalgia, Respiratory tract congestion
Clinical narrative: Complaint of 102 degrees temp, chest congestion, coughing, muscle ache.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Insomnia
Clinical narrative: C/O redness, swelling, itching, pain at injection site, difficulty sleeping, and nervousness. Ice pack applied to injection site.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Nervousness
Clinical narrative: C/O redness, swelling, itching, pain at injection site, difficulty sleeping, and nervousness. Ice pack applied to injection site.
Age: 0.34
Sex: M
Vaccine: PNC13
Symptoms: Lethargy, Meningitis pneumococcal, Pyrexia
Clinical narrative: This is an initial spontaneous report from a contactable physician. This physician reported to a Pfizer sales representative that a male patient received a 2nd dose of PREVNAR 13, 0.5ml as childhood immunization on 26Oct2010, at 4 months of age. Relevant medical history was unknown. Relevant concomitant medication or vaccines was unknown. Past vaccine history included a first dose of PREVNAR 13 administered on 31Aug2010 at 2 months of age. On an unknown date, the patient developed a high fever, lethargy and pneumococcal meningitis. On 05Jan2011, (at approximately 6 months of age) the patient was admitted to the hospital in response to the events. Relevant laboratory data was unknown. Treatment was not specified. At the time of the report the patient had recovered from the events.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchitis, Eyelid margin crusting, Rhinorrhoea
Clinical narrative: Initial report received from the patient who is a health care professional on 24 January 2011. A 56 year-old female patient who had no concurrent illnesses, but who has environmental allergies (unspecified) and an unspecified right foot injury, had received an intramuscular deltoid injection of FLUZONE (unspecified as lot number was not reported) on 12 November 2010 and the next day woke up with her eyes crusted over. She subsequently developed a runny nose that lasted 1 week, and then a week later developed bronchitis. The patient required a physician visit; however results of that visit were not provided as well as treatments received. At the time of this report, the patient had not fully recovered, specified as "eyes still" (incomplete sentence). Documents held by sender: None.
Sex: U
Vaccine: DTAP, DTAPIPVHIB
Symptoms: Pertussis
Clinical narrative: Initial report was received 26 January 2011 from a health care professional. A cluster of eight to ten children, ages six months through eight years, had previously received either PENTACEL or DAPTACEL (lot numbers, routes, sites and dates of administration not reported) and subsequently developed pertussis. No further information was provided at the time of the report. Documents held by sender: None.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Blood culture positive, Death, Intensive care, Meningococcal sepsis, Petechiae
Clinical narrative: Initial case received from a physician on 01 February 2011. A 17-year-old male patient received an intramuscular injection of MENACTRA (lot number U2818AA) on 17 August 2009. On 21 January 2011 he presented to the emergency room with fever, vomiting, and petechia, and was diagnosed with meningococcal septicemia. He was transferred to the intensive care unit in critical condition, and died on 23 January 2011. Per the reporter, the patient had undergone blood cultures which were positive for meningococcal strain C. No medical history or concomitant medications were reported; the patient was not ill at the time of vaccination. Documents held by sender: None.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia, Vomiting
Clinical narrative: Initial case received from a physician on 01 February 2011. A 17-year-old male patient received an intramuscular injection of MENACTRA (lot number U2818AA) on 17 August 2009. On 21 January 2011 he presented to the emergency room with fever, vomiting, and petechia, and was diagnosed with meningococcal septicemia. He was transferred to the intensive care unit in critical condition, and died on 23 January 2011. Per the reporter, the patient had undergone blood cultures which were positive for meningococcal strain C. No medical history or concomitant medications were reported; the patient was not ill at the time of vaccination. Documents held by sender: None.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphagia, Dyspnoea, Oropharyngeal pain, Vocal cord paralysis
Clinical narrative: Sore throat,trouble swallowing,hoarse voice,trouble breathing
Age: 1.04
Sex: M
Vaccine: HIBV, PPV
Symptoms: Pyrexia
Clinical narrative: Upon waking from afternoon nap had fever of 104.4 rectal. Had been treated with ibuprofen prior to shot administration at 12:20. Treated with acetaminophen at 4:15.
Age: 1.26
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Onset of hives 2-4-11 in the evening, became worse with bath.  Mom gave 2 doses of Benadryl which eleviated symptoms.  Had no difficulty breathing.  Also had first dose of strawberry Pediasure this day.  Had not had in the past and mom unaware of a soy allergy.  Had an office visit 2-8-2011, rash had resolved.  Mom instructed to replace Pediasure with Carnation Instant Breakfast and to avoid foods with soy products.
Age: 37.0
Sex: M
Vaccine: FLUX, TDAP
Symptoms: Headache, Vertigo, Vertigo positional
Clinical narrative: 37 year old male received injectable influenza vaccine and TDAP on 11/29. 1 day after vaccination subject developed headache and vertigo (clinical characteristics of vertigo confirmed by speaking to patient). Vertigo persisted when subject laid down and turned his head quickly to the right. Sought medical care and was diagnosed with "benign positional vertigo" and was given meclizine, which helped alleviate symptoms. The symptoms lasted for 2 weeks and has continued until present day (2/4/2011); however, patient feels much better. He still experiences vertigo now if he is "laying down and looks quickly to the right".
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, swelling, and pain at injection site.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Palpitations, Pruritus, Urticaria
Clinical narrative: 57 year old female received vaccine 10/25/2010. 12-14 hours post vaccination pt. developed itchy hives and palpitations, heart rate between 104-196, persisting for 2 hours. There were 7 hives 1/2 inch in diameter on back and smaller hives on extremities. Hives on extremities resolved after 24 hours. Pt. called doctors office which advised BENADRYL. Pt. took BENADRYL on day 3 post vaccination, all symptoms resolved by day 5. Patient has a h/o hives one time when she was 7-8 years old, etiology was unknown.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Breast pain, Chest pain, Feeling abnormal, Feeling hot, Mobility decreased
Clinical narrative: Wed. within about 3 hrs she had body aches. Thursday upon waking her arm was sore. Friday she states she felt "horrible" like her arm was "on fire". She is experiencing pain into the (Lt) chest and (Lt) breast. She can only lift her arm with great difficulty. Her face is slightly (cont on back).
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: Wed. within about 3 hrs she had body aches. Thursday upon waking her arm was sore. Friday she states she felt "horrible" like her arm was "on fire". She is experiencing pain into the (Lt) chest and (Lt) breast. She can only lift her arm with great difficulty. Her face is slightly (cont on back).
Age: 67.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site pain, Rash erythematous, Rash pruritic, Tenderness
Clinical narrative: 67 y/o F received influenza vaccine on 10/29/2010 in her right arm. Pt. also received TDAP vaccine at the same time in her left arm. Directly after the TDAP vaccine pt c/o pain in her left shoulder joint, no injection site problems with influenza vaccine. Left shoulder pain persisted for 2 weeks. 4d s/p vaccine pt. c/o rash on her forehead and both arms, rash like hives, raised, red, irregular patches that were itchy and tender to the touch. This rash resolved without any treatment in about 5 days. Pt. did not seek medical care. Pt. has received influenza vaccine 5+ prior times, with no h/o adverse reactions.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 53 year old female received injectable 10/27/2010. On the day of vaccination pt. experienced pain, redness, swelling, warmth, and itching at injection site. Swelling and redness reached a diameter of 6 inches. 48 hours after vaccination pt. visited family physician and was started on a 5 day course of Prednisone. Symptoms improved and resolved 8 days post vaccination.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site haematoma, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: 59 y/o female vaccinated 10/4/2010. Directly post vaccination pt. c/o a stinging sensation at the injection site. 6hrs post-vaccination pt. developed redness, bruising, swelling, tenderness (which radiated into her elbow and shoulder joint), and a large hard nodule which spread 3-4 inches around the site. Pt. reported she was given the vaccine directly out of the fridge, and believed that the temperature was a possible cause for the reaction. Pt. spoke to her friend (healthcare professional) who dx her with a vaccine reaction and told her to take BENADRYL, TYLENOL, and use hot compresses. The BENADRYL reduced the swelling, redness and swelling resolved within 7 days, but the pain remained for 30+ days. Participant as of 11/4 c/o pain upon movement, tenderness to touch in area where injection was given, and states that it aches all the time. 1st time pt. has received influenza injection, no h/o adverse reactions to vaccines.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site swelling
Clinical narrative: 59 y/o female vaccinated 10/4/2010. Directly post vaccination pt. c/o a stinging sensation at the injection site. 6hrs post-vaccination pt. developed redness, bruising, swelling, tenderness (which radiated into her elbow and shoulder joint), and a large hard nodule which spread 3-4 inches around the site. Pt. reported she was given the vaccine directly out of the fridge, and believed that the temperature was a possible cause for the reaction. Pt. spoke to her friend (healthcare professional) who dx her with a vaccine reaction and told her to take BENADRYL, TYLENOL, and use hot compresses. The BENADRYL reduced the swelling, redness and swelling resolved within 7 days, but the pain remained for 30+ days. Participant as of 11/4 c/o pain upon movement, tenderness to touch in area where injection was given, and states that it aches all the time. 1st time pt. has received influenza injection, no h/o adverse reactions to vaccines.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Blood test abnormal, Diplopia, Eyelid disorder, Fatigue, Myalgia
Clinical narrative: 43 y/o female received her influenza vaccine injection on 10/6/2010. 5 days post vaccination developed myalgia, extreme exhaustion, double vision and eyelid droop. Patient cannot recall the exact time of onset of the visual symptoms. It is possible that the visual symptoms started even before day five, because in the early stages patient believed the vision problems were related to a new prescription for bi-focals. Patient sought care with her ophthalmologist and was sent directly to a neurologist to rule out myasthenia gravis. Patient was tested on 11/17/2010, the diagnostic results returned the first week in December and were positive for myasthenia gravis. Patient was started on MESTINON the first week of December. On 2/1/2011 patient reports the medications are helping, but she still experiences fatigue in the mornings and later in the evening when the medications are wearing off. Patient is working and going to school full time and has been able to fulfill all of her requirements.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Myasthenia gravis
Clinical narrative: 43 y/o female received her influenza vaccine injection on 10/6/2010. 5 days post vaccination developed myalgia, extreme exhaustion, double vision and eyelid droop. Patient cannot recall the exact time of onset of the visual symptoms. It is possible that the visual symptoms started even before day five, because in the early stages patient believed the vision problems were related to a new prescription for bi-focals. Patient sought care with her ophthalmologist and was sent directly to a neurologist to rule out myasthenia gravis. Patient was tested on 11/17/2010, the diagnostic results returned the first week in December and were positive for myasthenia gravis. Patient was started on MESTINON the first week of December. On 2/1/2011 patient reports the medications are helping, but she still experiences fatigue in the mornings and later in the evening when the medications are wearing off. Patient is working and going to school full time and has been able to fulfill all of her requirements.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Asthenopia, Breast pain, Breast swelling, Dyspnoea
Clinical narrative: 47 year old female with chronic pancreatitis received injectable 10/04/2010 in left arm. 4 hours after vaccination developed myalgia (soreness in left breast), fatigue, weakness, and "tired eyes". Also developed wheezing, difficulty breathing, sore throat, runny nose and congestion with hives, rash, facial swelling, and itching on back, arm, and neck. Additionally, on the day of vaccination there was large local swelling less than an inch in diameter at the injection site. Did not seek medical care because could not find a doctor. Itching persisted for over a week after vaccination. Subject also still felt very congested and eyes were still bothersome -- but her most prominent persisting symptoms were fatigue and weakness. Also her left breast was still swollen.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Eye disorder, Fatigue, Injection site swelling, Myalgia, Oropharyngeal pain
Clinical narrative: 47 year old female with chronic pancreatitis received injectable 10/04/2010 in left arm. 4 hours after vaccination developed myalgia (soreness in left breast), fatigue, weakness, and "tired eyes". Also developed wheezing, difficulty breathing, sore throat, runny nose and congestion with hives, rash, facial swelling, and itching on back, arm, and neck. Additionally, on the day of vaccination there was large local swelling less than an inch in diameter at the injection site. Did not seek medical care because could not find a doctor. Itching persisted for over a week after vaccination. Subject also still felt very congested and eyes were still bothersome -- but her most prominent persisting symptoms were fatigue and weakness. Also her left breast was still swollen.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash, Respiratory tract congestion, Rhinorrhoea, Swelling face
Clinical narrative: 47 year old female with chronic pancreatitis received injectable 10/04/2010 in left arm. 4 hours after vaccination developed myalgia (soreness in left breast), fatigue, weakness, and "tired eyes". Also developed wheezing, difficulty breathing, sore throat, runny nose and congestion with hives, rash, facial swelling, and itching on back, arm, and neck. Additionally, on the day of vaccination there was large local swelling less than an inch in diameter at the injection site. Did not seek medical care because could not find a doctor. Itching persisted for over a week after vaccination. Subject also still felt very congested and eyes were still bothersome -- but her most prominent persisting symptoms were fatigue and weakness. Also her left breast was still swollen.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria, Wheezing
Clinical narrative: 47 year old female with chronic pancreatitis received injectable 10/04/2010 in left arm. 4 hours after vaccination developed myalgia (soreness in left breast), fatigue, weakness, and "tired eyes". Also developed wheezing, difficulty breathing, sore throat, runny nose and congestion with hives, rash, facial swelling, and itching on back, arm, and neck. Additionally, on the day of vaccination there was large local swelling less than an inch in diameter at the injection site. Did not seek medical care because could not find a doctor. Itching persisted for over a week after vaccination. Subject also still felt very congested and eyes were still bothersome -- but her most prominent persisting symptoms were fatigue and weakness. Also her left breast was still swollen.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Hypoaesthesia, Vertigo
Clinical narrative: 32 y/o F vaccinated on 10/25/2010. 2 days post injection patient developed vertigo, and her hand went numb. Pt. sought treatment in the ER and was DX with vertigo. Symptoms gradually decreased each day. All symptoms resolved within 15 days. Pt states "I have seen my primary doctor twice and now am seeing an ENT. They think it might be a viral infection in my head (acoustic nerve) and I have a EMG scheduled for next week and once that test is finished we will probably do an MRI." Patient has received the flu shot 5+ times in the past with no h/o adverse reactions.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: 40 year old female received injectable 10/01/2010. 2 days after vaccine pt. developed hives, which started on the stomach and spread to legs and arms, and were dime sized. Pt. sought care with internal medicine and an allergist 2 weeks post symptom onset. Subject did not tell the allergist or internal medicine doctor about receiving the vaccine 2 days prior to onset of hives. Pt. was diagnosed with idiopathic allergy. Pt. was prescribed 60 mg of fexofenadine 1-2 times per day. Medication has decreased the symptoms of the hives, but the hives still persist 1 month post vaccination. if patient does not take prescription hives will become larger, itchier, and spread to legs/arms.