chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Blunted affect, Borrelia test negative, C-reactive protein normal, CSF glucose normal, CSF immunoglobulin increased
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: CSF lymphocyte count increased, CSF oligoclonal band present, CSF protein increased, CSF white blood cell count increased, Chest X-ray normal
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Chest pain, Computerised tomogram head, Computerised tomogram normal, Confusional state, Cytomegalovirus test negative
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Depression, Dysarthria, Electrocardiogram normal, Electromyogram abnormal, Endotracheal intubation
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Enterovirus test negative, Epstein-Barr virus test negative, Fibrin D dimer normal, Full blood count normal, Gastrostomy tube insertion
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Gram stain, HIV test negative, Herpes simplex serology negative, Herpes zoster, Hyperphosphataemia
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Increased upper airway secretion, Insomnia, Mechanical ventilation, Mental status changes, Metabolic function test
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Metabolic function test normal, Muscular weakness, Musculoskeletal pain, Mycoplasma test, Myelitis transverse
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Nerve conduction studies abnormal, Neurogenic bladder, Neurogenic bowel, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal cord abnormal
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Pain, Pain in extremity, Plasmapheresis, Poliovirus test negative, Polymerase chain reaction
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Pruritus, Psychomotor skills impaired, Quadriparesis, Rash, Rash vesicular
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Red blood cell count normal, Red blood cell sedimentation rate normal, Red blood cells CSF positive, Respiratory distress, Rheumatoid factor negative
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Schistosoma test negative, Speech disorder, Tracheostomy, Treponema test negative, Varicella virus test negative
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Viral test negative, Vitamin B12 normal, Vitamin E, Walking aid user, West Nile virus test negative
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: White blood cell count normal
Clinical narrative: This is a followup report to VAERS #27592. The pt is a 34 y/o, male who received FLUMIST on 13Nov08 according to the medical record and the Vaccine Adverse Event Report (VAERS) 27592. On 15Dec08 the pt reported a 4 day hx of severe (9/10) pain between the shoulder blades and the front of his chest. (Per the pt's wife he was healthy until this time.) The next day he reported 10/10, burning pain near his shoulder blades (T8-T10), R>L. On PE a "slight rash" was noted in the affected area. The pt was diagnosed with Shingles and prescribed VALTREX. The pt was seen in the ER on 20Dec08 with complaints of severe upper back pain, itching and a blister-type rash on bilateral axilla and scapula. The pt was prescribed ATARAX and released. The pt was then seen several times by his PCM for anxiety and difficulty sleeping. The pt was admitted to Medical Center of 25Dec08 for mental status changes ("slowed/slurred speech, blunted affect, slightly confused") and muscle weakness ("generalized weakness X4, slightly ataxic gait, 2+ DTRs, CN 2-12 grossly intact, good anal tone"). On 26Dec08, the pt was intubated due to respiratory distress and difficulty clearing his secretions. The pt was treated with high dose steroids for 5 days during which the pt continued to "worsen neurologically" and acyclovir until viral studies were reported negative (timeframe unknown). On 31Dec08 plasmapheresis was initiated qod for 14d. Trach and PEG tube were placed. The pt was transferred to MC for further neurologic evaluation and rehab on 21Jan09 with the following diagnosis: tetraparesis C2-T10 due to myelitis of unknown etiology; vent dependent; neurogenic bowel/bladder, anxiety/depression and hyperphosphatemia. He regained near normal lower limb strength. The pt remained ventilator dependent although he had been off the ventilator using humidified oxygen for approx. 4 hours. The pt regained bladder control but required functional assistance. He was on a bowel program with no incontinence. When discharged on 11Dec09 severe weakness of the neck, trunk, UE and diaphragm muscles persisted. Additionally, he had ongoing pain in his shoulders, upper back and arms. He was discharged to home with 18 hours of skilled nursing care. As of 28 April 2011, the pt is able to be off the ventilator for up to 12 hours/day. He ambulates without assistance although he uses a walker when he ambulates with the ventilator. He continues with a bowel program and remains continent (bowel and bladder). The pt continues to have difficulty with UE fine motor skills. He continues to have 18 hours/day of skilled nursing care. Per his wife he is on a waiting list for advanced rehab with the hope of becoming independent of the ventilator. The pt is in individual and marriage counseling. He remains on the TDRL with a 100% disability rating. Of note, the pt has had no vaccinations since this event; although his wife, child, and caregivers are fully vaccinated.
Sex: U
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1, RV1, DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Haematochezia
Clinical narrative: Haematochezia.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pt. continues to have left deltoid, left shoulder, and left arm pain.
Age: 31.0
Sex: M
Vaccine: TYP
Symptoms: Facial paresis, VIIth nerve paralysis
Clinical narrative: Right sided Bells' palsy - eye lid weakness, right eyebrow/forehead weakness, right cheek weakness.  Tx: acyclovir, prednisone, lacrilube.  Follow up 5-7 days.
Age: 1.22
Sex: M
Vaccine: PNC13
Symptoms: Bronchiolitis, Conjunctivitis, Cough, Incorrect dose administered, Irritability
Clinical narrative: This is an initial spontaneous report from a contactable consumer. The mother reported that her 12-month-old son accidently received a fifth dose of PREVENAR 13 on 27APR2011 (one and half months after the fourth dose was given). It was thought that the fourth dose was not given. Relevant concomitant vaccines administered on unspecified dates included a (reported as) BCG vaccine; MMR; DTaP duration, dose, frequency and indication for all concomitant vaccines was unknown. Relevant medical history included sickness since 22APR2011. On 27Apr2011, the patient was diagnosed with bronchiolitis and conjunctivitis and was hospitalized (for little less than 24 hrs). The mother also mentioned that her son was cranky and had a cough for an unknown duration in APR2011 (exact date not provided). Therapeutic measures taken in response to the bronchiolitis included albuterol sulfate (dose and frequency unknown), ciprofloxacin eye drops for conjunctivitis (unknown duration in 2011, unknown dose four times a day), and MOTRIN (unknown duration, unknown dose as needed orally). (It was also reported that), the consumer was also put on oxygen hold for about four days after he was discharged from the hospital. The outcome of accidently given a fifth dose was unknown. The outcome of conjunctivitis was recovered on 01MAY2011. The outcome of bronchiolitis and cough was recovered on 6MAY2011. The outcome of cranky was not recovered at the time of this report.