chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Skin discolouration
Clinical narrative: This case was reported by a other health professional via sales rep and described the occurrence of swelling arm in a adult female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 2nd dose of SHINGRIX (intramuscular). On an unknown date, 1 day after receiving SHINGRIX, the patient experienced swelling arm, gastrointestinal disorder, feeling hot, clamminess, headache, skin discoloration and felt faint. On an unknown date, the outcome of the swelling arm, gastrointestinal disorder, feeling hot, clamminess, headache, skin discoloration and felt faint were recovered/resolved. It was unknown if the reporter considered the swelling arm, gastrointestinal disorder, feeling hot, clamminess, headache, skin discoloration and felt faint to be related to SHINGRIX. Additional details were provided as follows: This case was reported by a receptionist in the office for herself. The age at vaccination was not reported, but it could be either 53 or 54 year of age. The patient experienced less arm swelling, gastrointestinal issues, hot and clammy and severe headache and feeling like going to pass out and the family members said the patient was gray and green in color, which was lasted for 48 hours. This case has been linked with US2018GSK130129, reported by same reporter.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a adult female patient who received SHINGRIX for prophylaxis. Concomitant products included Aspirin. On an unknown date, the patient received the 1st dose of SHINGRIX (intramuscular). On an unknown date, less than a year after receiving SHINGRIX, the patient experienced injection site pain. On an unknown date, the outcome of the injection site pain was recovered/resolved. It was unknown if the reporter considered the injection site pain to be related to SHINGRIX. Additional details were reported as follows: The age at vaccination was not reported. The patient received SHINGRIX on right arm. The patient experienced local injection site pain. The injection site pain resolved within 3 days.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Redness, soreness, and inflammation at the injection site.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Has thumbprint sized red area at immunization site on right thigh. Area is swollen and tender to touch. No fever or streaking. Will treat with cool compresses and TYLENOL.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Fever of 102 - body aches, nausea. Site of administration very tender, but no swelling, redness or warmth.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Disturbance in attention, Headache, Myalgia
Clinical narrative: Headache, myalgia, inability to concentrate.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Rash
Clinical narrative: Patient called and stated she had a rash from injection site in upper arm in deltoid that ran down  her arm to about 3 inches above her elbow. It was approximately 3 inches in width as well. The first injection of SHINGRIX on 5-22-18 did not cause this reaction. Patient was told to put BENADRYL CREAM on the rash. Patient came back in store on 7-26-18 and the rash was almost gone.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Patient experienced Headache, Fever, Chills - Feeling better the next day.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Child with baseball sized redness, swelling, and warm right deltoid where vaccine was administered.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Alanine aminotransferase normal, Anion gap normal, Asthenia, Blood creatinine normal, Blood glucose increased
Clinical narrative: Vaccine administered on a Monday, patient told us that on Friday he fell and didn't have the energy to get up. He complained of muscle weakness at the ER and was given half a liter of fluids and was feeling better. Per the ER notes, he was thought to be dehydrated. Unclear if he may have been experiencing an early viral syndrome. He resumed ambulating without difficulty and was considered safe for discharge.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood potassium normal, Blood sodium normal, Carbon dioxide normal, Dehydration, Electrocardiogram normal
Clinical narrative: Vaccine administered on a Monday, patient told us that on Friday he fell and didn't have the energy to get up. He complained of muscle weakness at the ER and was given half a liter of fluids and was feeling better. Per the ER notes, he was thought to be dehydrated. Unclear if he may have been experiencing an early viral syndrome. He resumed ambulating without difficulty and was considered safe for discharge.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Fall, Haemoglobin decreased, Haemoglobin normal, Muscular weakness, Nitrite urine absent
Clinical narrative: Vaccine administered on a Monday, patient told us that on Friday he fell and didn't have the energy to get up. He complained of muscle weakness at the ER and was given half a liter of fluids and was feeling better. Per the ER notes, he was thought to be dehydrated. Unclear if he may have been experiencing an early viral syndrome. He resumed ambulating without difficulty and was considered safe for discharge.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Platelet count normal, Specific gravity urine normal, Urine leukocyte esterase, White blood cell count normal
Clinical narrative: Vaccine administered on a Monday, patient told us that on Friday he fell and didn't have the energy to get up. He complained of muscle weakness at the ER and was given half a liter of fluids and was feeling better. Per the ER notes, he was thought to be dehydrated. Unclear if he may have been experiencing an early viral syndrome. He resumed ambulating without difficulty and was considered safe for discharge.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Nausea, Rash, Swelling face, Vomiting
Clinical narrative: Nausea/vomiting, swelling of the face, rash cheek bones.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, minor pain at injection site. Acetaminophen 1000 gave temporary relief but symptoms returned after 4 hours.
Age: 5.0
Sex: U
Vaccine: MMR
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a medical assistant and refers to a 5-year-old patient of unknown gender. The patient's pertinent medical history, concomitant therapies, drug reactions or allergies were not reported. On 08-JUN-2018, the patient was vaccinated with a dose of (wistar RA 27-3) M-M-R II, recombinant human albumin (rHA) (lot # M045101, expiration date: 10-NOV-2018, dose, strength, frequency and route of administration were not provided) for prophylaxis (inappropriate schedule of vaccine administration). Lot # and expiration date for sterile diluent used to reconstitute vaccine was unknown. No adverse effects were reported.
Sex: U
Vaccine: HPV9
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a nurse and refers to a patient of unknown age. There was no information about the patient's pertinent medical history, drug reactions or allergies and concomitant therapies provided. On 03-JUN-2017, the patient was vaccinated with a first dose of GARDASIL 9 (strength, dose, route of administration, lot # and expiration date were not reported) for prophylaxis. At reporting time, the reporter stated that the patient would like to receive a second dose of GARDASIL 9. No adverse symptoms were reported.
Sex: M
Vaccine: PPV
Symptoms: Adverse reaction, Inappropriate schedule of drug administration
Clinical narrative: This spontaneous report was received from a male patient of unknown age, reporting on himself.   No information was provided regarding the patient's medical history, concurrent conditions or concomitant medications. In approximately 2016 (reported as "the year before last"), the patient received a dose of PREVNAR 13. In 2017 the patient was vaccinated with a first dose of PNEUMOVAX 23 for prophylaxis (dose, route of administration, lot number and expiration date were not reported) and again in 2018 he received another dose of PNEUMOVAX 23 dose for prophylaxis (dose, route of administration, lot number and expiration date were not reported) (frequency reported as "1 dose each year for the past 2 years") (inappropriate schedule of drug administration). The patient stated that he experienced "some kind of reaction" after getting the last PNEUMOVAX 23 vaccination (adverse reaction). The patient also said he did not know why he received revaccinations of the product and did not know if he was in the "high risk" category required to receive revaccination. The outcome of the adverse reaction and the causal relationship between the event and therapy with PNEUMOVAX 23 were not reported.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Initial information received on 18-Jul-2018 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 17 years old male patient who was vaccinated with first (batch number: 44080AA and expiry date: 13-Jul-2013) and second dose (batch number and expiry date not reported) of MENACTRA on 06-Aug-2012 and 15-Jan-2013 respectively (dose, route and site of administration were not reported). The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. It was a case of actual medication error due to extra dose administered because a 17 years old patient received two doses of the suspect vaccine with too early interval. No adverse effects from the second dose according to the patient's mom. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by the sender: None.
Age: 1.0
Sex: F
Vaccine: IPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Initial information received on 18-Jul-2018 regarding an unsolicited valid non-serious case received from healthcare professional. This case involves a 12 months old female patient who had administered to infant at 12 months which is early in the series, while she received vaccine IMOVAX POLIO. The patients past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included ACTHIB for Immunisation; MMR for Immunisation; VARICELLA VACC. for Immunisation; and HEPATITIS A for Immunisation. On 16-Jul-2018, the patient received a dose of suspect 0.5 ml IMOVAX POLIO lot N1K92M (frequency once) via intramuscular route in the left thigh. It was an actual medication error due to inappropriate schedule of vaccine administered. It was reported that vaccine was administered to infant at 12 months which is early in the series. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive and Module VI of the Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 81.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Developed a large red hive-like reaction around the injection site.
Age: 1.5
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Pyrexia, Rash generalised, Rash pruritic
Clinical narrative: 24 hours late has raised itchy bumps all over body and fever 101.8. Rash improved.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Arthritis, Chills, Condition aggravated, Fatigue
Clinical narrative: First injection May 10 - Flu-like symptoms that evening and morning of next day. Second injection July 23 - Fatigue about 7 hours after injection. Myalgia about 9 hours after injection. Sudden chills about 10 hours after injection, lasted about 2 hours. Then fever (unknown temp) and profuse diaphoresis. Unable to do any work. Next day, myalgia and fatigue. Able to work more or less normally. That (2nd) night, diaphoresis on left side. 3rd day, hip pain when walking, worse than usual arthritis. (Normally walk 2-3 miles in country 3 times/week). (Wife had first injection at same time as my first one with more severe reaction than mine, and has elected not to take the 2nd one).
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Impaired work ability, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: First injection May 10 - Flu-like symptoms that evening and morning of next day. Second injection July 23 - Fatigue about 7 hours after injection. Myalgia about 9 hours after injection. Sudden chills about 10 hours after injection, lasted about 2 hours. Then fever (unknown temp) and profuse diaphoresis. Unable to do any work. Next day, myalgia and fatigue. Able to work more or less normally. That (2nd) night, diaphoresis on left side. 3rd day, hip pain when walking, worse than usual arthritis. (Normally walk 2-3 miles in country 3 times/week). (Wife had first injection at same time as my first one with more severe reaction than mine, and has elected not to take the 2nd one).
Age: 0.67
Sex: M
Vaccine: DTAPIPVHIB, HIBV
Symptoms: Extra dose administered, Pyrexia
Clinical narrative: Medical Assistant gave patient a PENTACEL along with  HIB. Parents notified. Medical Assistant will receive more training. Child did run a fever of 103 and was treatable with TYLENOL.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Urticaria
Clinical narrative: Urticaria.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal pain, Abnormal loss of weight, Anaemia, Anorectal discomfort, Anti-aquaporin-4 antibody negative
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Anti-ganglioside antibody negative, Anti-thyroid antibody negative, Anti-thyroid antibody positive, Anti-transglutaminase antibody negative, Antineutrophil cytoplasmic antibody negative
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Antinuclear antibody negative, Antiphospholipid antibodies negative, Anxiety, Asthenia, Back pain
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Blood albumin normal, Blood creatine phosphokinase increased, Blood folate normal, Blood heavy metal normal, Blood magnesium normal
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Blood thyroid stimulating hormone normal, Borrelia test negative, Burning sensation, C-reactive protein normal, CSF cell count normal
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: CSF glucose normal, CSF protein increased, Cardiac telemetry normal, Cognitive disorder, Complement factor C3
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Complement factor C4, Complement factor normal, Completed suicide, Computerised tomogram abnormal, Constipation
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Death, Decreased appetite, Dyspnoea, Dysuria, Ehrlichia test
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Electroencephalogram normal, Electromyogram normal, Epstein-Barr virus test negative, Fall, Feeling abnormal
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Feeling jittery, Gastrointestinal pain, Globulins increased, Glycosylated haemoglobin normal, Gram stain negative
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Gun shot wound, HIV test negative, Head discomfort, Headache, Herpes simplex test negative
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Hypoaesthesia, Infrequent bowel movements, Limb discomfort, Memory impairment, Metabolic function test normal
Clinical narrative: Patient first evaluated by Clinic 3/2018. Reports in January 2018 reported some low back pain after working with a snow blower. A few weeks after this, noted some rectal and bladder burning and 'urgency' - lasted 4-5 days and then resolved. Toward the end of Jan, flew to and back and had trouble getting out the airplane seat. In February 2018 went snowshoeing and fell, noted legs aching. Noted decreased power in the quads bilaterally and this progressed to a feeling 'like my legs are disconnected from me, like my quads are weak.' Early March 2018, symptoms progressed and more noticeable. Felt like knees might give out when getting up and down. Went to the ED - had cardiac/syncope r/o on telemetry. Didn't mention his lower extremity concerns during that visit. Symptoms continued. In April, patient reported legs "feeling buzzy", some numbness in upper extremities, particularly bilat pinky fingers, pins and needles from biceps to tips of fingers. Towards end of April, some abdominal pain reported, intermittently, decreased appetite. Some SOB, had panic attack, situational anxiety. Patient seen again in May, continued progression of paresthesias in upper extremities. Reports having "fogginess" worse in AM, feeling jittery, sometimes has the sense that "brain is on fire." Reported feeling anxious, ongoing. Frontal HA and neck pain reported. Situational anxiety ongoing. Passive suicidal thoughts with no plan or intent.  End of May reported arms and legs feeling worse, losing strength despite exercise; unintended weight loss, GI cramps; twitching in arms, legs, hands, L>R; headaches; mild cognitive foggy feeling; anxiety. Seen by office in early June, reported legs still feeling numb and "on fire", but overall better; HA and neck pain. Late June reported feeling jittery, anxious, with sense of doom. Again reported passive suicidality with no plan or intent; continued weight loss, bowel movements every 3-4 days with abdominal cramping, nausea. Discussed seeing a psychiatrist for ongoing anxiety. Seen multiple times between March and July with ongoing symptoms; saw several specialists for workup during this time. Most recently seen by our office 7/2/2018, plan to return to work discussed. Ongoing HAs, constipation, situational anxiety. Called office 7/9 feeling jittery and with mental fogginess and forgetfulness, SOB with exercise. Plan to see gastroenterology 7/10 for further testing. 7/10/18 self inflicted gunshot wound, patient deceased.