chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Activities of daily living impaired, Arthritis, Asthma, Blood glucose, Cognitive disorder
Clinical narrative: About 1 month after vaccination developed fever to 101 degrees for 1 week. This was followed by "black out spells". Within several days a facial tic started along with her head jerking toward the left. After medical work up, the diagnosis was "movement disorder". Takes NEURONTIN 600mg tid for symptoms.  3/30/09 MR received for DOS 12/22-26/2008 with D/C DX:  Spells.  Paresthesias.  Other Dx:  Lyme Arthritis.  Asthma.  Pt presented with 10 day hx of L sided twitching. Pt reports loss of time and orientation but not full LOC. Feels like "spacing out". PE (+) for L sided head twitching x1. Admitted for video EEG. 5/18/09 PCP records received from 12/4/08-4/16/09 which include neuro consults. First presented with c/o confusion and loss of time which have been worsening over recent months. Sent for EEG and labs. TC from parent on 12/19/08 reporting onset of tics-involuntary movements of the head to the left x several days. Seen 12/22/08 where arm jerks were also reported. Sent for video EEG. started on gabepentin with improvement in head jerking, sleep and neck pain.  Still having episodes where pt spaces out. Assessment:  Head twitches suggestive of tics. Follow-up received 03/11/2010. She has no improvement in her facial and head tics. In October 2009, she was having difficulty sleeping at night due to the tics, and as a result was falling asleep in her classes. She has been followed by the college health services. Dr increased patient's dosage of NEURONTIN to 900 mg in the am, 600 mg at noon, and 900 mg in the evening. She also takes trazadone in the evening and that has been helping her sleep. Patient's mother was asked if Dr has determined any cause for the tics, the mother states the etiology is unknown, but that patient's Lyme disease in 2004 may have contributed to the problem as well. The Lyme disease went undiagnosed for a while before she was treated. The mother is not necessarily blaming the vaccines, but wonders if they may have been a contributing factor due to the past history of Lyme disease. Patient's mother also reports that patient has had increased asthma symptoms since moving to another city. She does not necessary feel that it is due to the vaccines, but the facial and head tics have been significant in changing her quality of life, and the asthma symptoms are now limiting her even more in her activities. Follow-up: 6/4/10 Call received from pt's mother. Pt has had increased head twitching, and has now been diagnosed with vocal chord dysfunction which causes spasms of the vocal chord and aggravates her asthma, and potentially could block her airway. She has been referred to Neurology and has an appt on August 5th, 2010. In additional she is seeing a neuro/psych physician in July at clinic. Pt still attends college. Her mother states the neurological problem is affecting her cognition and attention span. She was a 3.9 grade average student at High School and now she struggles to maintain a 2.6 in college. She is also seeing Dr. who is an allergist.
Age: 17.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Disorientation, Disturbance in attention, Dyskinesia, Electrocardiogram ambulatory, Insomnia
Clinical narrative: About 1 month after vaccination developed fever to 101 degrees for 1 week. This was followed by "black out spells". Within several days a facial tic started along with her head jerking toward the left. After medical work up, the diagnosis was "movement disorder". Takes NEURONTIN 600mg tid for symptoms.  3/30/09 MR received for DOS 12/22-26/2008 with D/C DX:  Spells.  Paresthesias.  Other Dx:  Lyme Arthritis.  Asthma.  Pt presented with 10 day hx of L sided twitching. Pt reports loss of time and orientation but not full LOC. Feels like "spacing out". PE (+) for L sided head twitching x1. Admitted for video EEG. 5/18/09 PCP records received from 12/4/08-4/16/09 which include neuro consults. First presented with c/o confusion and loss of time which have been worsening over recent months. Sent for EEG and labs. TC from parent on 12/19/08 reporting onset of tics-involuntary movements of the head to the left x several days. Seen 12/22/08 where arm jerks were also reported. Sent for video EEG. started on gabepentin with improvement in head jerking, sleep and neck pain.  Still having episodes where pt spaces out. Assessment:  Head twitches suggestive of tics. Follow-up received 03/11/2010. She has no improvement in her facial and head tics. In October 2009, she was having difficulty sleeping at night due to the tics, and as a result was falling asleep in her classes. She has been followed by the college health services. Dr increased patient's dosage of NEURONTIN to 900 mg in the am, 600 mg at noon, and 900 mg in the evening. She also takes trazadone in the evening and that has been helping her sleep. Patient's mother was asked if Dr has determined any cause for the tics, the mother states the etiology is unknown, but that patient's Lyme disease in 2004 may have contributed to the problem as well. The Lyme disease went undiagnosed for a while before she was treated. The mother is not necessarily blaming the vaccines, but wonders if they may have been a contributing factor due to the past history of Lyme disease. Patient's mother also reports that patient has had increased asthma symptoms since moving to another city. She does not necessary feel that it is due to the vaccines, but the facial and head tics have been significant in changing her quality of life, and the asthma symptoms are now limiting her even more in her activities. Follow-up: 6/4/10 Call received from pt's mother. Pt has had increased head twitching, and has now been diagnosed with vocal chord dysfunction which causes spasms of the vocal chord and aggravates her asthma, and potentially could block her airway. She has been referred to Neurology and has an appt on August 5th, 2010. In additional she is seeing a neuro/psych physician in July at clinic. Pt still attends college. Her mother states the neurological problem is affecting her cognition and attention span. She was a 3.9 grade average student at High School and now she struggles to maintain a 2.6 in college. She is also seeing Dr. who is an allergist.
Age: 17.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Pyrexia, Scan brain, Somnolence, Thyroid function test, Tic
Clinical narrative: About 1 month after vaccination developed fever to 101 degrees for 1 week. This was followed by "black out spells". Within several days a facial tic started along with her head jerking toward the left. After medical work up, the diagnosis was "movement disorder". Takes NEURONTIN 600mg tid for symptoms.  3/30/09 MR received for DOS 12/22-26/2008 with D/C DX:  Spells.  Paresthesias.  Other Dx:  Lyme Arthritis.  Asthma.  Pt presented with 10 day hx of L sided twitching. Pt reports loss of time and orientation but not full LOC. Feels like "spacing out". PE (+) for L sided head twitching x1. Admitted for video EEG. 5/18/09 PCP records received from 12/4/08-4/16/09 which include neuro consults. First presented with c/o confusion and loss of time which have been worsening over recent months. Sent for EEG and labs. TC from parent on 12/19/08 reporting onset of tics-involuntary movements of the head to the left x several days. Seen 12/22/08 where arm jerks were also reported. Sent for video EEG. started on gabepentin with improvement in head jerking, sleep and neck pain.  Still having episodes where pt spaces out. Assessment:  Head twitches suggestive of tics. Follow-up received 03/11/2010. She has no improvement in her facial and head tics. In October 2009, she was having difficulty sleeping at night due to the tics, and as a result was falling asleep in her classes. She has been followed by the college health services. Dr increased patient's dosage of NEURONTIN to 900 mg in the am, 600 mg at noon, and 900 mg in the evening. She also takes trazadone in the evening and that has been helping her sleep. Patient's mother was asked if Dr has determined any cause for the tics, the mother states the etiology is unknown, but that patient's Lyme disease in 2004 may have contributed to the problem as well. The Lyme disease went undiagnosed for a while before she was treated. The mother is not necessarily blaming the vaccines, but wonders if they may have been a contributing factor due to the past history of Lyme disease. Patient's mother also reports that patient has had increased asthma symptoms since moving to another city. She does not necessary feel that it is due to the vaccines, but the facial and head tics have been significant in changing her quality of life, and the asthma symptoms are now limiting her even more in her activities. Follow-up: 6/4/10 Call received from pt's mother. Pt has had increased head twitching, and has now been diagnosed with vocal chord dysfunction which causes spasms of the vocal chord and aggravates her asthma, and potentially could block her airway. She has been referred to Neurology and has an appt on August 5th, 2010. In additional she is seeing a neuro/psych physician in July at clinic. Pt still attends college. Her mother states the neurological problem is affecting her cognition and attention span. She was a 3.9 grade average student at High School and now she struggles to maintain a 2.6 in college. She is also seeing Dr. who is an allergist.
Age: 17.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Vocal cord disorder
Clinical narrative: About 1 month after vaccination developed fever to 101 degrees for 1 week. This was followed by "black out spells". Within several days a facial tic started along with her head jerking toward the left. After medical work up, the diagnosis was "movement disorder". Takes NEURONTIN 600mg tid for symptoms.  3/30/09 MR received for DOS 12/22-26/2008 with D/C DX:  Spells.  Paresthesias.  Other Dx:  Lyme Arthritis.  Asthma.  Pt presented with 10 day hx of L sided twitching. Pt reports loss of time and orientation but not full LOC. Feels like "spacing out". PE (+) for L sided head twitching x1. Admitted for video EEG. 5/18/09 PCP records received from 12/4/08-4/16/09 which include neuro consults. First presented with c/o confusion and loss of time which have been worsening over recent months. Sent for EEG and labs. TC from parent on 12/19/08 reporting onset of tics-involuntary movements of the head to the left x several days. Seen 12/22/08 where arm jerks were also reported. Sent for video EEG. started on gabepentin with improvement in head jerking, sleep and neck pain.  Still having episodes where pt spaces out. Assessment:  Head twitches suggestive of tics. Follow-up received 03/11/2010. She has no improvement in her facial and head tics. In October 2009, she was having difficulty sleeping at night due to the tics, and as a result was falling asleep in her classes. She has been followed by the college health services. Dr increased patient's dosage of NEURONTIN to 900 mg in the am, 600 mg at noon, and 900 mg in the evening. She also takes trazadone in the evening and that has been helping her sleep. Patient's mother was asked if Dr has determined any cause for the tics, the mother states the etiology is unknown, but that patient's Lyme disease in 2004 may have contributed to the problem as well. The Lyme disease went undiagnosed for a while before she was treated. The mother is not necessarily blaming the vaccines, but wonders if they may have been a contributing factor due to the past history of Lyme disease. Patient's mother also reports that patient has had increased asthma symptoms since moving to another city. She does not necessary feel that it is due to the vaccines, but the facial and head tics have been significant in changing her quality of life, and the asthma symptoms are now limiting her even more in her activities. Follow-up: 6/4/10 Call received from pt's mother. Pt has had increased head twitching, and has now been diagnosed with vocal chord dysfunction which causes spasms of the vocal chord and aggravates her asthma, and potentially could block her airway. She has been referred to Neurology and has an appt on August 5th, 2010. In additional she is seeing a neuro/psych physician in July at clinic. Pt still attends college. Her mother states the neurological problem is affecting her cognition and attention span. She was a 3.9 grade average student at High School and now she struggles to maintain a 2.6 in college. She is also seeing Dr. who is an allergist.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Syncope
Clinical narrative: Patient received  a flu vaccine on 10/15/2008.  That evening she felt ill and went to sleep.  She awoke in the middle of the night to drink water and fainted. When she came to, she began to vomit.  The following day, the patient stated she was fine.  She did not seek medical attention for her symptoms.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema, edema around immunization site.  Approximately 1 1/2 in. diameter.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Swelling & erythema of left upper arm very painful
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Migraine
Clinical narrative: Migraine headache for 11-13 days following vaccine - started within 8 hours of receiving vaccine OTC medication ineffective - Advil Aleve, Aspirins, Sudafed, Excedrin migraine
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: Fever - Tmax 104.8 oral per parent; 101 rectal @ office fussy - resolved decreased appetite but taking bottles.
Age: 1.1
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Irritability, Rhinorrhoea, Skin lesion
Clinical narrative: Pt with runny nose, fuzziness and 2 lesions on back.
Sex: F
Vaccine: HEPA, HIBV
Symptoms: Nausea, Vomiting
Clinical narrative: Severe nausea and vomiting.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Swelling
Clinical narrative: Symptoms: 1. Pain and swelling.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: 2/13 Vaccine given in left arm. On 2/14 arm became getting swollen and red from the arm to the wrist. On 2/15/Pt went to ER were was prescribed with PREDNISONE and strong antihistaminic for 5 days, after 5 days swelling decreased and redness. On 2/23 swelling - redness are gone.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Anorexia, Asthenia, Chest X-ray, Chills, Cough
Clinical narrative: I received a pneumonia shot on Monday, February 16 around 9:00 a.m.  By that evening I had chills and body aches.  The entire upper arm where the shot was administered was very painful to the touch, with red areas that were hot to the touch.  Fever, coughing and congestion followed. Coughing was so severe for days after the shot that my rib cage hurt.  I was too weak to stand for any length of time and had no appetite. Didn't want to do anything but sleep.  I went back to the doctor's office on Thursday, 2/19/09.  Had a chest x-ray and was put on an antibiotic, which cleared up the arm condition within a few days. I was told the illness had nothing to do with the pneumonia shot, but the arm condition indicated I had a reaction to the shot.  He told me another patient was there the week before with a similar condition on the arm after receiving a pneumonia shot.  On 2/25/09 I called the doctor's office again.  Still on the antibiotic, but still coughing with congestion and feeling weak.  I was put on another antibiotic, that I began taking last night.  Still not doing well.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Musculoskeletal chest pain, Pain
Clinical narrative: I received a pneumonia shot on Monday, February 16 around 9:00 a.m.  By that evening I had chills and body aches.  The entire upper arm where the shot was administered was very painful to the touch, with red areas that were hot to the touch.  Fever, coughing and congestion followed. Coughing was so severe for days after the shot that my rib cage hurt.  I was too weak to stand for any length of time and had no appetite. Didn't want to do anything but sleep.  I went back to the doctor's office on Thursday, 2/19/09.  Had a chest x-ray and was put on an antibiotic, which cleared up the arm condition within a few days. I was told the illness had nothing to do with the pneumonia shot, but the arm condition indicated I had a reaction to the shot.  He told me another patient was there the week before with a similar condition on the arm after receiving a pneumonia shot.  On 2/25/09 I called the doctor's office again.  Still on the antibiotic, but still coughing with congestion and feeling weak.  I was put on another antibiotic, that I began taking last night.  Still not doing well.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: I received a pneumonia shot on Monday, February 16 around 9:00 a.m.  By that evening I had chills and body aches.  The entire upper arm where the shot was administered was very painful to the touch, with red areas that were hot to the touch.  Fever, coughing and congestion followed. Coughing was so severe for days after the shot that my rib cage hurt.  I was too weak to stand for any length of time and had no appetite. Didn't want to do anything but sleep.  I went back to the doctor's office on Thursday, 2/19/09.  Had a chest x-ray and was put on an antibiotic, which cleared up the arm condition within a few days. I was told the illness had nothing to do with the pneumonia shot, but the arm condition indicated I had a reaction to the shot.  He told me another patient was there the week before with a similar condition on the arm after receiving a pneumonia shot.  On 2/25/09 I called the doctor's office again.  Still on the antibiotic, but still coughing with congestion and feeling weak.  I was put on another antibiotic, that I began taking last night.  Still not doing well.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Rash papular, Scab, Varicella post vaccine
Clinical narrative: PT GIVEN VARICELLA VACCINE ON 12/31/08 PRESENTED TO OFFICE ON 01/20/09 WITH PAPULAR RACH EXTENDED FROM HEAD TO EXTREMITIES.  INITIAL POX ARE SCABBED OVER AND DRYING ADDITIONA POX BREAKING OUT
Age: 31.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injected limb mobility decreased, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: Client called with c/o pain and swelling at site. Very limited arm movement. Fever above 102, and chills. Has had some tingling to arm that injection was given.
Age: 31.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Client called with c/o pain and swelling at site. Very limited arm movement. Fever above 102, and chills. Has had some tingling to arm that injection was given.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling and heat at injection site
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Dyskinesia, Electroencephalogram, Epilepsy, Eye rolling, Staring
Clinical narrative: After the vaccine he stated starring and his eyes would roll up. Didnt think anything was wrong and then he started jerking. Diagnosed with epilepsy
Age: 24.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Condition aggravated
Clinical narrative: Pain, swelling w/ warm to the touch on left arm. Seen by Dr. - given meds for comfort: Ibuprofen 800mg T1 TID and Ultram 50mg T1 Q4-6hrs.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased
Clinical narrative: Temp 102.6 12:20 pm 2/26/09
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Blood product transfusion, Guillain-Barre syndrome, Neurological symptom
Clinical narrative: Vaccine administered on 1/14/2009 and developed neurologic symptoms on or about 1/23/2009.  He was subsequently diagnosed with Guillian Barre.  He was treated with IVIG and did remarkably well.  He is almost back to baseline but not quite.  In PT. Follow up received 03/15/2010. Some resolved neurologic symptoms the last I heard. Mostly recovered.  4/10/09 Received hospital medical records for 1/27-2/5/2009. FINAL DX: Guillain Barre syndrome Records reveal patient experienced progressive difficulty walking, dysesthesias, paresthesias, loss or reflexes x 2-4 days.  Admitted ICU.  Tx w/IVIG x 5 days.  Gradually improved but reflexes remained absent at transfer to inpatient rehab facility.
Age: 1.5
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Mother complained that baby vomiting from 02/24/09 to present, and fever fora day.tynelol given for fever ,fluids pedalite for vomiting.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Dyskinesia, Gaze palsy, Pyrexia
Clinical narrative: On 2/18/09 at about 9:30PM, his eyes rolled back and jerked some, call squad and taken to Hosp and then to Children's, temo 102.9. Questioned seizures,but never diagnosied  3/4/09 MR received for DOS 2/19-20/2009 with D/C DX:  Shuddering movements recurrently with fever. Pt presented to local hospital after episode of staring with shaking/shivering type movements. Some L arm tremors and shaking while in EMS and ER. W/U (-), pt transferred to higher level of care for eval.  PE WNL except for erythematous lesion on L leg. Neuro consult ? Complex febrile seizures. No further w/u at this time.
Age: 31.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Dizziness, Nausea, Oedema peripheral, Pruritus, Pyrexia
Clinical narrative: 2-25-2009 at 6pm pt stated had nausea, lightheadedness and a fever up to 103 degrees.  2-26-2009 pt came to clinic left deltoid red,itchy,swollen and warm to touch.  Pt denies numbness, tingling and has full range of motion.  Denies other symptoms.
Age: 31.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Skin warm
Clinical narrative: 2-25-2009 at 6pm pt stated had nausea, lightheadedness and a fever up to 103 degrees.  2-26-2009 pt came to clinic left deltoid red,itchy,swollen and warm to touch.  Pt denies numbness, tingling and has full range of motion.  Denies other symptoms.
Age: 0.92
Sex: M
Vaccine: DTAP
Symptoms: Diarrhoea, Dysuria, Erythema, Pyrexia
Clinical narrative: Pt's mother c/o diahrrea, decreased urination despite adequate fluid intake, red buttocks and gluetal fold.  Also, consistant fever of 101 F .  Referred pt to family dr. Continue fluids, diaper cream for reddness and acetaminophen/ibuprophen for fever.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Feeling hot, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Given Pneumonvax Immunization on 2-25-09. Pt c/o swelling, warm, rash 3 inches in diameter at injection site. Felt feverish but did not take temp. Same symptoms on 2-26-09 but decreased from 2-25-09. Denies difficulty breathing or dhortness of breath or wheezing. Diagnosed with Cellulitis and placed on Cephalexin and Benadryl.
Age: 3.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: AFter recieving the pentacel in his left arm at the health dept on monday 2/23/2009, he developed left arm significant swelling, redness, and pain. Family did give him some tylenol and motrin and applied ice. I saw him today for his physical. The left arm swelling was much improved but was still existant. he was able to move his arm well and without any difficulty. pulses 2+ x 4. sensation intact.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Activities of daily living impaired, Alopecia, Amnesia, Antinuclear antibody
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Back pain, Blood thyroid stimulating hormone, Culture stool, Culture urine, Diarrhoea
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Disturbance in attention, Dyspnoea, Dysstasia, Electrocardiogram, Fatigue
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Free thyroxine index, Headache, Hypoaesthesia, Lip swelling, Nausea
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Neck pain, Pain in extremity, Paraesthesia, Staring, Streptococcal identification test
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vomiting
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abasia, Abdominal pain, Activities of daily living impaired, Alopecia, Amnesia
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Antinuclear antibody, Back pain, Blood thyroid stimulating hormone, Cardiac enzymes, Chest X-ray
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest pain, Computerised tomogram, Diarrhoea, Disturbance in attention, Dyspnoea
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dysstasia, Electrocardiogram, Epstein-Barr virus antibody, Fatigue, Free thyroxine index
Clinical narrative: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time.  These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable.  She can no longer attend school.  Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist.  No one knows how to treat her.  There is no treatment apparently.  3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable.   Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan.  Suggested antidepressant & counseling.  3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1.  RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion.  Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08.  Missed several days of school.   Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available.      ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.