chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Delusion, Dizziness, Drug screen negative, Heart rate increased, Hypoaesthesia
Clinical narrative: Flu like symptoms, put on steroid.  Then patient could not feel her legs and arms, racing heart beat, dizziness, severe panic attacks and delusions.  Fast talking was the first change in behavior.  Went to ER three and now is in psych. ward at Hospital. 12/08/09 ED records received for DOS 11/24/09 . Pt. presents with sore throat, fever, abdominal pain, diarrhea, nausea, chills. Tx. with IV fluids, antiemetic, steroids, antidiarrheal and discharged home. DX: febrile illness, gastroenteritis. 12/08/09 ED records received for DOS 11/29/09. Pt. presented c/o tingling all over, and panic attacks x two days. Discharged home. DC DX: resolving viral illness 12/08/09 Consultation report for DOS 12/02/09.  Pt. states that one hour after receiving vaccine on  11/22/09 developed confusion and psychotic symptoms, numbness and tingling in all extremities.  Admtted to psychatric unit on 11/30/09.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Influenza like illness, Pressure of speech
Clinical narrative: Flu like symptoms, put on steroid.  Then patient could not feel her legs and arms, racing heart beat, dizziness, severe panic attacks and delusions.  Fast talking was the first change in behavior.  Went to ER three and now is in psych. ward at Hospital. 12/08/09 ED records received for DOS 11/24/09 . Pt. presents with sore throat, fever, abdominal pain, diarrhea, nausea, chills. Tx. with IV fluids, antiemetic, steroids, antidiarrheal and discharged home. DX: febrile illness, gastroenteritis. 12/08/09 ED records received for DOS 11/29/09. Pt. presented c/o tingling all over, and panic attacks x two days. Discharged home. DC DX: resolving viral illness 12/08/09 Consultation report for DOS 12/02/09.  Pt. states that one hour after receiving vaccine on  11/22/09 developed confusion and psychotic symptoms, numbness and tingling in all extremities.  Admtted to psychatric unit on 11/30/09.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Condition aggravated, Diarrhoea, Dyspnoea, Headache, Vomiting
Clinical narrative: Headaches, vomiting, diahrrea, shortness of breath. Asthma reacted - went to ED on 11/8/09.  12/02/09 ED notes for DOS 11/10/09 DX: Cough  Pt c/o worsening cough, headache, runny nose for 3 days, body pain. On examination the skin was warm and dry, tachycardia, productive cough, vomiting and diarrhea. tx: albuterol, prednisone, chlorapheniramine-hydrocodone. Pt improved and discharged home.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Headache, Oedema, Rash papular
Clinical narrative: Several hrs. after receiving both flu vaccines, pt began having H/A, swollen feeling and generalized papular rash.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1), PNC, VARCEL
Symptoms: Blister, Rash papular, Rash vesicular
Clinical narrative: red papules and blisters - varicella rash
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Tremor
Clinical narrative: headache and shaking arm and head lasting for approx 90 sec
Age: 16.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Headache, Lethargy, Nausea, Pyrexia
Clinical narrative: Fever of 101, headache, lethargy, nausea which has lasted for 2 days, treated with Advil.The fever has gone down but the lethargy and nausea remains.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Rash erythematous, Rash generalised
Clinical narrative: 11/20/09 at 1800 L delt immunized. 11/23/09 at 0730 full body rash, no fever. 11/25/09 Rash dissipating. Cheeks remain red apple like. Banana allergy: Hives, antibiotics: PCN, AMOXICILLIN, Augmentin.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Erythema, Rash generalised
Clinical narrative: 11/20/09 at 1800 L delt immunized. 11/23/09 at 0730 full body rash, no fever. 11/25/09 Rash dissipating. Cheeks remain red apple like. Banana allergy: Hives, antibiotics: PCN, AMOXICILLIN, Augmentin.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain in extremity, Sensation of heaviness
Clinical narrative: Pt had vaccine for (shingles) on 11/13/09. Pt started to feel pain and heaviness in her legs on Tue evening 11/17. Pain in fingers and knee joint continued for about 36-48 hours, then gradually went away.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Head injury, Limb injury, Loss of consciousness, Malaise
Clinical narrative: 10/21/09 I woke up at 3:00 am-extremely ill. Coming back to bedroom, from bathroom passed out. Hit head and right hip area. Went to hospital emergency room.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Arthralgia, Metatarsalgia, Rash erythematous, Serum sickness
Clinical narrative: Serum sickness developed day after H1N1 mist. Diffuse arthralgics wrists/elbows/carpals, tarsals (MTP's), knees, ankles, diffuse rash - hypopig center with erythema tous rings.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Injection site haemorrhage, Injection site mass, Injection site swelling, Skin warm
Clinical narrative: Upon administration, site bled slightly. Nurse wiped with alcohol and site became swollen with a lump the size of a 50 cent pierce. Area became red and warm to touch.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood creatine phosphokinase, Chest X-ray, Chest discomfort, Cyanosis, Dizziness
Clinical narrative: 11/21/09 - Patient received H1N1 vaccination. While exiting facility, developed chest tightness, SOB, lightheaded, cyanotic lips and nail beds. BP 122/64 - 88 - 16. Patient remained seated until leaving facility via ambulance to local Emergency Dept. No resolution in symptoms. Work up in ED was negative. 12/7 & 12/8/09:  ED Records recieved for dates of service 11/21/09. Dx:  Probable vagal reaction, acute chest pain.   Assessment:  Presented after H1N1 vaccine with c/o chest tightness, tingling, anxiety, lightheadedness, SOB, cyanosis of nail beds and lips.  SaO2 94%.  Medicated with Ativan 0.5 mg.  Pulse ox increased to 100% on room air.  Felt well to go home.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Electrocardiogram, Full blood count, Laboratory test
Clinical narrative: 11/21/09 - Patient received H1N1 vaccination. While exiting facility, developed chest tightness, SOB, lightheaded, cyanotic lips and nail beds. BP 122/64 - 88 - 16. Patient remained seated until leaving facility via ambulance to local Emergency Dept. No resolution in symptoms. Work up in ED was negative. 12/7 & 12/8/09:  ED Records recieved for dates of service 11/21/09. Dx:  Probable vagal reaction, acute chest pain.   Assessment:  Presented after H1N1 vaccine with c/o chest tightness, tingling, anxiety, lightheadedness, SOB, cyanosis of nail beds and lips.  SaO2 94%.  Medicated with Ativan 0.5 mg.  Pulse ox increased to 100% on room air.  Felt well to go home.
Age: 49.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Within 12 hours of vaccine administration experienced muscle aches and pains in calves and legs. Took OTC anti inflammatory/pain meds.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Day after shot- 11/18/09- injection site red, itchy & hot to the touch 3" in diameter. Cold compresses and BENADRYL 1 tsp po q 6 hours per Dr.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: Woman pregnant at 18 weeks gestation was given LAIV nasal mist inadvertently.
Age: 25.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abortion spontaneous, Back pain, Drug exposure during pregnancy, Influenza like illness
Clinical narrative: I received an H1N1 at 11 weeks pregnancy. All was going well until I took the shot. I had a severe back ache and flu like symptoms the next day. A few days later, I miscarried. I feel like there may be a connection between the shot and the miscarriage.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Hives all over back, Redness, Itching Treated with Prednisone dose pack, Benadryl, prn
Age: 53.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Headache, Lethargy, Nausea
Clinical narrative: Headache, nausea, lethargy which continued for 2 1/2 days treated with pepto bismal and advil
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Low grade temperature.  Also, extreme joint pain and soreness.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1), FLUN3
Symptoms: Diarrhoea, Rash macular, Rash pruritic, Vomiting
Clinical narrative: On 11/20/09 vomited 3 times and had profuse, clear, watery diarrhea which persisted for 3 days.  On 11/21/09 developed blotchy, itchy rash on neck, face, buttocks, feet.  Rash would come and go, lasting for about 1/2 hour at a time, disappearing from one area and appearing somewhere else on body.  Father called on 11/30 to report above occurance.  Still had rash at that time, although down to one episode a day instead of multiple episodes.  Diarrhea had resolved although stools were still a little loose but not frequent.  No fever at anytime during past 2 weeks.  No egg allergy.
Age: 1.52
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPA
Symptoms: Abdominal X-ray, Eye rolling, Irritability, Lethargy
Clinical narrative: 2 hours following administration of vaccine started irritability x 2-3 hours followed by 10-15 minutes episode of lethargy and eye rolling followed by complete lethargy then irritability again.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever x 24 hours Temperature max 103.5, treated with Over The Counter MOTRIN.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Blood pressure increased, Dyspnoea, Hypersensitivity, Injection site induration, Palpitations
Clinical narrative: This case was received from a health professional on 20 April 2009. It is part of a cluster of five patients who experienced events following Tubersol administration; the other four patients are captured in case numbers 2009-01674 (1 patient), 2009-01673 (1 patient), and 2009-01672 (2 patients). A patient received an intradermal injection of Tubersol (lot number C3062AA) in April 2009. Two hours post-vaccination, the patient developed an itchy arm and fine rash from wrist to elbow. The patient was seen in the emergency department, and treated with steroid, ZANTAC and BENADRYL. The outcome was reported as "recovered". Follow-up information was received from a different health care professional at the same facility on 21 April 2009. The patient received the Tubersol 5U on 20 April 2009. Additional symptoms included shortness of breath, increased blood pressure, palpitations, and itching all over body. The patient also had an injection site induration of > 50mm. It was noted that the patient had been receiving PPD tests for 20 years. Follow-up information was received 01 June 2009 from a health care professional. The patient was identified as a 25-year-old female. The reporter also provided identifying information for the two previously unidentified patients in case 2009-01762 who had received Tubersol, lot number C3149AA. Case 2009-01762 will remain the case of reference for one patient and the other patient has been captured in case 2009-02323.Follow-up information was received from a health care professional on 22 June 2009. The patient also received a third right deltoid intramuscular injection of hepatitis B vaccine (Merck, lot number AHBUN608AA) on April 2009. The patient had not been receiving PPD tests for 20 years, and did not have any injection site induration. Concomitant medications and medical history were unknown; it was also unknown whether treatment medications had been administered orally or intravenously. The PPD was administered at 8:15 am, and events occurred at 10:30 am. The final diagnosis was "allergic reaction to PPD," and no allergy testing was scheduled. The events recovered on an unknown date. Documents held by sender: none.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus generalised, Rash pruritic
Clinical narrative: This case was received from a health professional on 20 April 2009. It is part of a cluster of five patients who experienced events following Tubersol administration; the other four patients are captured in case numbers 2009-01674 (1 patient), 2009-01673 (1 patient), and 2009-01672 (2 patients). A patient received an intradermal injection of Tubersol (lot number C3062AA) in April 2009. Two hours post-vaccination, the patient developed an itchy arm and fine rash from wrist to elbow. The patient was seen in the emergency department, and treated with steroid, ZANTAC and BENADRYL. The outcome was reported as "recovered". Follow-up information was received from a different health care professional at the same facility on 21 April 2009. The patient received the Tubersol 5U on 20 April 2009. Additional symptoms included shortness of breath, increased blood pressure, palpitations, and itching all over body. The patient also had an injection site induration of > 50mm. It was noted that the patient had been receiving PPD tests for 20 years. Follow-up information was received 01 June 2009 from a health care professional. The patient was identified as a 25-year-old female. The reporter also provided identifying information for the two previously unidentified patients in case 2009-01762 who had received Tubersol, lot number C3149AA. Case 2009-01762 will remain the case of reference for one patient and the other patient has been captured in case 2009-02323.Follow-up information was received from a health care professional on 22 June 2009. The patient also received a third right deltoid intramuscular injection of hepatitis B vaccine (Merck, lot number AHBUN608AA) on April 2009. The patient had not been receiving PPD tests for 20 years, and did not have any injection site induration. Concomitant medications and medical history were unknown; it was also unknown whether treatment medications had been administered orally or intravenously. The PPD was administered at 8:15 am, and events occurred at 10:30 am. The final diagnosis was "allergic reaction to PPD," and no allergy testing was scheduled. The events recovered on an unknown date. Documents held by sender: none.
Age: 36.0
Sex: M
Vaccine: HEP
Symptoms: Headache, Injection site pain, Throat tightness
Clinical narrative: Initial reported received on 03 October 2008 from a healthcare professional. A 36 year old male patient, with no concurrent illnesses, no known allergies, and was not taking any other medication, had received on 29 September 2008, a "Hep B" vaccine (Trade name, manufacturer name, lot number, route and site of administration not provided); and the following day, on 30 September 2008 in the A.M., the patient received a first intradermal left forearm tuberculin test with TUBERSOL (lot # C2908AA). Per the reporter, 15 minutes after receiving the TUBERSOL test, the patient developed left arm pain described as being from the finger tips to the underarm, this was accompanied by throat tightness (without shortness of breath) and a headache that lasted five hours. The patient did not report these adverse events to a physician, and subsequently came into the physicians office to get the tuberculin test read on 03 October 2008. At that time, the tuberculin test was negative. Per the reporter, the needle size used for the tuberculin test was a TB needle 5/8 inch. No relevant diagnostic tests or laboratory data were performed. At the time of this report, the patient had recovered; however the date of recovery was not provided. Follow-up information was received from a healthcare professional on 31 October 2008. It was clarified that the hepatitis B vaccine (manufacturer Glaxosmithkline, lot number AHBVB640AA, expiration date 12 March 2011) was administered to the patient's upper right arm on 23 September 2008 (not 29 September 2008 as previously reported) It was also clarified that the patient's symptoms started one hour (not 15 minutes as previously reported) after receiving the TUBERSOL test. The patient did not contact the doctor's office at the time of  the "reaction" and he was not seen by a physician. No allergy tests were performed. It was reported that no follow-up was required as the health department was not aware of the events until the tuberculin test was read on 03 October 2008. The patient stated that recovery was after 0.5 hours. The reporter indicated there was no additional information at this time.
Age: 7.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash papular, Skin hyperpigmentation
Clinical narrative: Initial report received from a local health care professional on 02 December 2008. A seven-year-old female patient received a left forearm injection of TUBERSOL 5 TU (lot number C2912AA) on 24 November 2008 and seven days later developed itching, papules and hyperpigmentation that spread 4cm from the test site on the left forearm. The reporter indicated that the patient reacts similarly with vaccines. Within four weeks of receiving TUBERSOL, the patient also received a flu vaccination (trade name, manufacturer, lot number, date of administration and route/site of administration not reported). Patient outcome was not provided.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin test positive, Vaccination complication
Clinical narrative: A cluster of 4 adult patients who received TUBERSOL, lot number C2909AA, and developed reactions to the skin testing which the doctor believed was a reaction to the vaccine, but not a true positive reaction. Initial information received on 30 December 2008 from a health professional. This case is for a 44 year old female, with no known medical history, who received TUBERSOL (lot C2909AA) and FLUARIX (GSK, lot number AFLUA350BA) on either the 17 or 18 November 2008. At that time, the patient had no illnesses and had received no other vaccines in the four previous weeks. On 20 November 2008, the patient had an unspecified reaction to the skin testing which the doctor believed was a reaction to the vaccine, but not a true positive reaction. The patient recovered on an unspecified date. Follow up information received on 29 January 2009 from a health care professional. On 18 November 2008 at 15:26 the patient received the TUBERSOL and FLUARIX. The patient developed a 70 mm area of erythema (specific area not provided) on 20 November 2008 at 09:26. The patient recovered from the event. No further information was provided. Follow up information received on 18 February 2009 from a health care professional. The erythema was located on the patient's left forearm. It was reported that the patient recovered in about one week on 15 December 2008. No treatment was necessary. No further information was provided. Follow up information received on 19 March 2009 from a health care professional. The TUBERSOL was administered intradermally in the left forearm and the FLUARIX was administered intramuscularly in the left deltoid. The erythema was located at the TUBERSOL injection site. It was reported that the patient recovered in about one week in November 2008. According to the reporter, no specific date was provided, but it was approximately 27 November 2008. Cases 2008-03694, 2008-04095, and 2008-04097, with the same reporter and the same TUBERSOL lot number, were created for the other three patients.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Arthralgia, Dizziness, Dysstasia, Insomnia
Clinical narrative: Received FLUZONE 2009-10 multivia -L SA- injection 11/23 in left shoulder at pharmacy adverse effects began Tuesday am 24th, right hip joint pain, resembled pinched nerve. Later same day noticed weak muscles in both legs, right weaker than left, and dizziness. Difficulty in sleeping, pain in right leg, both thigh and shin. Some pain in left leg too but not as bad. Unable to stand up due to muscle weakness, had to crawl to bathroom on hands and knees. Difficult to find a comfortable position for sleeping. More frequent urination than usual, body is trying to get rid of the poison. Pain continues intermittently, abates when I lie down on my back on a soft sofa and tell my pulse rate to relax. What kind of snake venom are they putting in this stuff?
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness, Pain in extremity, Pollakiuria
Clinical narrative: Received FLUZONE 2009-10 multivia -L SA- injection 11/23 in left shoulder at pharmacy adverse effects began Tuesday am 24th, right hip joint pain, resembled pinched nerve. Later same day noticed weak muscles in both legs, right weaker than left, and dizziness. Difficulty in sleeping, pain in right leg, both thigh and shin. Some pain in left leg too but not as bad. Unable to stand up due to muscle weakness, had to crawl to bathroom on hands and knees. Difficult to find a comfortable position for sleeping. More frequent urination than usual, body is trying to get rid of the poison. Pain continues intermittently, abates when I lie down on my back on a soft sofa and tell my pulse rate to relax. What kind of snake venom are they putting in this stuff?
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Rash
Clinical narrative: The patient informed his provider that he developed a blistering, nonpainful rash on his forehead about 1 week after receiving the vaccine. He also had poison ivy at the same time so the provider felt that the blisters could be due to that  but the patient insisted it was due to the vaccine.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased
Clinical narrative: Per employee health nurse note of 10/28/09. Received vaccine on 10/26/09 temp of 101-102 Sanofi Pasteur Lot # UP005AA Exp 3/15/11.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Flushing, Rash
Clinical narrative: Rash entered as ADR. Per occupational nurse note- Received on 10/21/09 Lot # UP005AA Exp- 03/15/11. Manufacturer - Sanofi Pasteur. Also c/o chest tightness and feeling flushed.
Age: 48.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Neck pain, Pain in extremity
Clinical narrative: The patient reported dizziness and arm and neck pain the day after receiving the injection.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site rash
Clinical narrative: Several small raised bumps at the site where vaccine was given in the left deltoid. Denies any itching.
Age: 8.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Immediate post-injection reaction, Swelling face, Urticaria
Clinical narrative: Pt received H1N1 vaccine and rapidly developed hives and facial swelling in 15 min. Seen in office and responded well to IM BENADRYL and IM steroids.
Age: 3.0
Sex: F
Vaccine: DTAP, FLUN(H1N1), HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Swelling
Clinical narrative: No overall fever. Swelling 3cm in diameter surrounding site of DTAP administration. Redness & heat at site. 12-2-09 Assessed site day of notification to clinic. TYLENOL & BENADRYL ordered. No more DTAPS.
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chest pain, Dizziness
Clinical narrative: Light chest pain, light headed. Vitals okay.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Pruritus, Throat irritation, Urticaria
Clinical narrative: Approximately 3 hours after receiving H1N1 vaccination noticed throat and back itchiness - noted hives on neck and back. Took an antihistamine and hives cleared in a few hours. Occ. itchiness remain but very mild- no further hives. No further antihistamine doses taken.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Pharyngeal oedema, Pruritus, Swollen tongue, Urticaria
Clinical narrative: 5:30 PM received H1N1 flu vaccine.  Palms started itching shortly after.  7:00 PM - hives on left side of body, red at injection site.  7:16 PM - tongue/ throat swelling, took oral BENADRYL.  Went to ER and given PREDNISONE & TAGAMET.  Currently taking oral BENADRYL every 4 hours and PREDNISONE for 4 days.  Symptoms have resolved.
Age: 23.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Injection site cellulitis, Oedema peripheral, Paraesthesia, Vaccination site warmth
Clinical narrative: 11/17 Received influenza and pneumococcal vaccine at clinic. 11/18 to ER. Diagnosed with vaccine site cellulitis to the left arm T - 100 degrees, left arm parasthesia elbow to fingers. Arm was warm and swollen. Started on doxycycline q 12 hours x 7 days.
Sex: M
Vaccine: FLUX
Symptoms: Blood glucose increased
Clinical narrative: Initial report received on 20 November 2009 from a health care professional. A male patient with no reported medical history developed a blood glucose level of 300 three to four days after he received an influenza vaccine (manufacturer and lot not reported) in 2008. Prior to vaccination the patient's blood glucose level was 110. The recovery status and further details were not reported. List of Documents held by Sender: none.
Age: 29.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Patient was seen in ED last night and came to report reaction. Pt developed urticaria & received a MEDROL DOSE PACK. Pt. reports feeling better today.
Age: 45.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Urticaria
Clinical narrative: Patient developed urticaria 2 hours after receiving vaccines. Pt received SOLUMEDROL 125mg IM & was started on a MEDROL dose pack. Pt was discharged in stable condition.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Dysphagia, Eye discharge, Ocular hyperaemia, Oropharyngeal pain, Vaccination complication
Clinical narrative: Received H1N1 and flu shot 11-24-09 at 2:45 pm. At 6:30 pm reaction started extreme sore throat, red blood shot on both eyes with yellowish greenish discharged. Cannot swallow, BENADRYL p.o. Prednisone injection given at Emergency Room.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Erythema, Feeling hot, Flushing, Pruritus, Rash
Clinical narrative: Facial flushing, itching, redness, rash, warmth. Worse after coming out of shower. PREDNISONE 10 mg. as ordered.
Age: 57.0
Sex: F
Vaccine: TTOX
Symptoms: Asthenia, Local reaction, Radiculitis brachial
Clinical narrative: Tx with NSAIDS/muscle relaxer - Brachial neuritis - hurt to move head - lg local reaction - no strength in left arm and work up arm and into left shoulder.
Age: 18.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache, Musculoskeletal stiffness, Nausea, Pyrexia
Clinical narrative: Stiffness, headache, fever (99.3), nauseated. Fever (98.7) 20 minutes later
Age: 16.0
Sex: M
Vaccine: FLUN3
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Light headed, sweating  vitals - okay
Sex: F
Vaccine: FLU3
Symptoms: Atrial fibrillation, Night sweats
Clinical narrative: Initial case report received from a consumer on 18 NOV 2009. A caller stated that his mother was vaccinated i.m. for the first time with FLUVIRIN in late September. A week later (exact date not provided) she went to hospital with atrial fibrillation. The caller thought it was because his mum had a split tooth and because of the vaccine. His mother was hospitalised for 8 days before being released from hospital and upon release she began to experience night sweats. The patient's outcome was not recovered. Reference no.: NA09-008470.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia
Clinical narrative: PATIENT REFERS NUMBNESS OF RIGHT ARM DURING THE 15 MINUTES OF OBSERVATION PERIOD FOLLOWING VACCINATION. NORMAL MOVEMENT, NO OTHER COMPLAINTS.
Age: 0.7
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Abnormal behaviour, Cough, Diarrhoea, Psychomotor hyperactivity, Rhinorrhoea
Clinical narrative: Runny Nose, cough due from mucous, diarrhea, behavior changes (extremely hyper). My son was extremely hyper 30 minutes after going to bed. He has always slept 10-12 hours a night without waking up. He was bouncing on knees and hands, screaming in excitement and kicking arms and legs. I called a RN on all at 1AM and she advised me to put the shower on hot to steam the bathroom and turn out the light with a night light on and calming music to try to get calm him down. after an hour of being in the bathroom he had calmed down enough where i was able to put him to bed. He woke up 1 hour later extremly hyper again. He would then go to sleep for about 15 min. at a time. the next day Dec. 1 he had diarrhea all day about 5 times. He still continues to have a runny nose.
Age: 0.7
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Screaming
Clinical narrative: Runny Nose, cough due from mucous, diarrhea, behavior changes (extremely hyper). My son was extremely hyper 30 minutes after going to bed. He has always slept 10-12 hours a night without waking up. He was bouncing on knees and hands, screaming in excitement and kicking arms and legs. I called a RN on all at 1AM and she advised me to put the shower on hot to steam the bathroom and turn out the light with a night light on and calming music to try to get calm him down. after an hour of being in the bathroom he had calmed down enough where i was able to put him to bed. He woke up 1 hour later extremly hyper again. He would then go to sleep for about 15 min. at a time. the next day Dec. 1 he had diarrhea all day about 5 times. He still continues to have a runny nose.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Sleep disorder, Urticaria
Clinical narrative: Child slept horribly all night when taken to the bathroom in the morning notice hives all over her body.  That after noon the were all over face and neck.  The lasted on an off w/ Benadryl for about 7 days.
Age: 1.07
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash generalised
Clinical narrative: Rash all over body. First noticed by mom this am. Not having any other s/s. Mom is going to give him zyrtec, and monitor for worsening rash and other s/s of adverse reaction.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: CSF test, Electromyogram, Guillain-Barre syndrome
Clinical narrative: Patients symptoms consistent with GBS.  12/4/09 Medical records and discharge summary recieved for DOS 11/03-11/17. Final DX: Guillain-Barre  Presents w/c/o R side tingling progressing to arm and L leg. Progressive weakness. SOB.  Diff ambulating. Pleural effusion.  Serum protein increased.  ICU. IVIG x5 days. 11/15- Hematuria/flank pain. Poss bladder ureterocele.   12/24/09 and 12/30/09 Consultant Records received. Service date 11/4/09. Assessment: Early acute inflammatory demyelinating polyneuropathy. Patient presents with 4 days of progressive loss of sensation and weakness in arms and legs.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blood pressure increased, Dry mouth, Eye irritation, Flushing, Heart rate increased
Clinical narrative: Burning eyes, severe dry mouth, rapid heart rate, increased blood pressure, flushing, sweating.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Hyperhidrosis
Clinical narrative: Burning eyes, severe dry mouth, rapid heart rate, increased blood pressure, flushing, sweating.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Hypokinesia, Myalgia
Clinical narrative: LUMP C H1N1 WAS GIVEN, ARM SORE AND CANT MOVE
Age: 40.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Headache, Myalgia, Nausea
Clinical narrative: headache, coughing, nausea, muscle soreness.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chromosome analysis normal, Drug exposure during pregnancy, Stillbirth
Clinical narrative: Stillbirth 12/3/09 Medical records received for dates 6/11/09 to 11/9/09. OB records. DX: fetal demise 28wks. Pt was high risk pregnancy. (+)clomid pregnancy. Normal IUP documented from 6/11/09 to 10/5/0, OV pt unsure about feeling FM, (+)FHR. Received H1N1 vax 11/3/09, FHR(+), on 11/9/09 pt. c/o no fetal movement. Notation on amniocentesis procedure, 1/2cc hemosiderin colored old blood consistent with long standing FD US consistent with 22wk gestation. Pt by date was 28wks.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Cough, Pyrexia, Vomiting
Clinical narrative: Fever, vomiting, stomache, coughing for 1 week.
Age: 24.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Mild nausea 11/30/2009, all day. Patient vomited at 6am 12/1/2009 and nausea abated after that time.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Blood test normal, Body temperature increased, Chest X-ray normal, Chest discomfort, Computerised tomogram normal
Clinical narrative: Rapid heart rate, 103.7 temp, dizziness, weakness in both legs, numbing of arms/hands, heaviness in chest and nausea.  Went to hospital emergency 5:00 am.  Treated w/fluids and medication to lower temp and reduce nausea.  EKG, chest x-rays and CT scan were normal.  All blood work came back normal.  Sent home at noon.  2:00 PM:  Honeycomb rash developed on arm shot was administered.  Rash and fever gone by 11:00 pm 11/21/09. Fever (101) came back 11/22/09 5:00 pm.  Fever responded to Motrin for 24 hrs.  By 1:00 am 11/22/09 fever slowly rose to 104.5.  Went back to hospital.  More fluids administered to lower fever.  Advised to alternate Motrin and Tylenol every 3 hours.  Again, all blood work and x-rays were normal.  "Fever of unknown origin" was the final diagnosis.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Condition aggravated, Dizziness, Electrocardiogram normal, Heart rate increased, Hypoaesthesia
Clinical narrative: Rapid heart rate, 103.7 temp, dizziness, weakness in both legs, numbing of arms/hands, heaviness in chest and nausea.  Went to hospital emergency 5:00 am.  Treated w/fluids and medication to lower temp and reduce nausea.  EKG, chest x-rays and CT scan were normal.  All blood work came back normal.  Sent home at noon.  2:00 PM:  Honeycomb rash developed on arm shot was administered.  Rash and fever gone by 11:00 pm 11/21/09. Fever (101) came back 11/22/09 5:00 pm.  Fever responded to Motrin for 24 hrs.  By 1:00 am 11/22/09 fever slowly rose to 104.5.  Went back to hospital.  More fluids administered to lower fever.  Advised to alternate Motrin and Tylenol every 3 hours.  Again, all blood work and x-rays were normal.  "Fever of unknown origin" was the final diagnosis.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Muscular weakness, Nausea, Pyrexia, Rash, Urine analysis normal
Clinical narrative: Rapid heart rate, 103.7 temp, dizziness, weakness in both legs, numbing of arms/hands, heaviness in chest and nausea.  Went to hospital emergency 5:00 am.  Treated w/fluids and medication to lower temp and reduce nausea.  EKG, chest x-rays and CT scan were normal.  All blood work came back normal.  Sent home at noon.  2:00 PM:  Honeycomb rash developed on arm shot was administered.  Rash and fever gone by 11:00 pm 11/21/09. Fever (101) came back 11/22/09 5:00 pm.  Fever responded to Motrin for 24 hrs.  By 1:00 am 11/22/09 fever slowly rose to 104.5.  Went back to hospital.  More fluids administered to lower fever.  Advised to alternate Motrin and Tylenol every 3 hours.  Again, all blood work and x-rays were normal.  "Fever of unknown origin" was the final diagnosis.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Sore throat, coughing, mucous.  Started on monday patient called on tuesday. so duration for now was one day.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Convulsion
Clinical narrative: Increased seizure activity, encephalopathic EEG. 12/9/2009 MR and DC summary for 11/17-12/3/2009, patient with c/o's URI sx x 5 days including cough, episodes of being less responsive and staring spells with increased frequency of seizure activity, tx'd with IV ABX for pneumonia,  Tamiflu, LP done,  on 11/19/2009 patient's condition changed with mental status changes and increased respiratory efforts, to PICU, intubated x 8 days DC Dx pneumonia
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus
Clinical narrative: minor itching and minor red areas on upper chest, 99.0 temp, denies any other abnormalities, just came to check in situation, itching at this time seems to be decreasing and redness is decreasing,
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Influenza like illness, Injection site discomfort, Nausea, Pain in extremity
Clinical narrative: Achiness at the injection site day after. Flu like symptoms for th following 3 weeks. Nausea for 2 days.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: PM 12/1 onset of intermittent numbness and tingling midline posterior trunk "over my spine". continued intermittent paresthesias 12/2/09 in various parts of body, including trunk, all extremities, and face. no weakness, SOB, paralysis, loss of bowel/bladder control. no fever.  12/04/09 Vaccine record received for DOS 11/30/09  12/04/09 Neurology consult notes for DOS received for DOS 12/03/09. Impression: paresthesia/disesthesias  Pt c/o numbing and tingling of fingers, feet and shoulder, worsening of chronic back pain. Neurological exam was negative. Pt had paresthesia/disesthesias.
Age: 44.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Back pain, Bone pain, Chills, Headache, Nuclear magnetic resonance imaging
Clinical narrative: Fever, chills, paresthesias in legs, headache, pain in lower back up spine to head. Patent sent to ER admitted to R/O Transverse Myelitis. 12/4/09 and 12/12/09 ER records and hospital records received for dates 12/1/09 to 12/3/09. Acute transverse myelitis. Presenting SX: chills, fever, lethargy, dizziness, HA, jaw pain, back pain, bilat leg pain after H1N1 vax. Assessment: fever, neuro assessment WNL. Pt admitted for observation. Neuro consult inpatient assessment: sx resolving, no further diagnostics ordered cont. observation. Pt improved at dc.
Age: 44.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain, Paraesthesia, Pyrexia
Clinical narrative: Fever, chills, paresthesias in legs, headache, pain in lower back up spine to head. Patent sent to ER admitted to R/O Transverse Myelitis. 12/4/09 and 12/12/09 ER records and hospital records received for dates 12/1/09 to 12/3/09. Acute transverse myelitis. Presenting SX: chills, fever, lethargy, dizziness, HA, jaw pain, back pain, bilat leg pain after H1N1 vax. Assessment: fever, neuro assessment WNL. Pt admitted for observation. Neuro consult inpatient assessment: sx resolving, no further diagnostics ordered cont. observation. Pt improved at dc.
Age: 0.89
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Urticarial Rash
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever 102.4
Age: 2.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Neurological examination normal, Staring
Clinical narrative: Initial report received from a nurse via clinical medical officer on 18 NOV 2009.  A 2 year old female patient was vaccinated i.m. for the first time with Influenza Virus Vaccine-pandemic INN (influenza virus vaccine, batch unknown) on an unknown date. On 17 NOV 2009, she experienced a 'staring spell' after receiving her vaccination. These events were reported as staring. A neurological work-up was so far negative. An MRI brain scan is scheduled. The outcome of the patient was not provided.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood creatine phosphokinase increased, Gait disturbance, Muscle spasms, Pain, Rhabdomyolysis
Clinical narrative: Received H1N1 vaccine on 10/29/09 at 5pm, at 7:30pm developed cramps in left foot, then went to left calf, then cramping into right calf-all symptoms occured by 8pm on 10/29/09-had difficulty walking. Developed increased pain and cramping by 11/1/09. Went to the ER on 11/1/09 labs showed increased CPK . Diagnosed with Rhabdomyolsis. CPK on 11/1/09-21-701, 11/10/09- 674, 11/24/09-143 12/8/2009 MR and DC summary for 11/1-11/5/2009, patient with c/o's BLE weakness, pain and difficulty walking, tx: aggressive IV hydration,  DC DX Acute Rhabdomyolysis
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: RASH
Age: 59.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Axillary pain, Blister, Erythema, Herpes zoster, Hyperaesthesia
Clinical narrative: Initial case report received from a physician on 20 NOV 2009. A 59 year old male patient (a physician) was vaccinated i.m. for the first time with FOCETRIA (batch no. 1007396P) on 09 NOV 2009. On 12 or 13 NOV 2009, he experienced muscle pain at the injection site. The muscle pain progressed to posterior axillary pain with erythema and pustules. On 16 NOV 2009, the patient developed subcutaneous painful nodules. On 17 NOV 2009, he developed vesicles and hyperthesia of the affected site. The reporting physician stated that the patient had 4 - 5 lesions with neuropathic pain and neuritis which looked like Zoster. The outcome was not reported. These events were reported as suspected Zoster and injection site reaction (muscle pain). Reference no.: NA09-008665.
Age: 59.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Injection site reaction, Injection site vesicles, Neuralgia, Neuritis
Clinical narrative: Initial case report received from a physician on 20 NOV 2009. A 59 year old male patient (a physician) was vaccinated i.m. for the first time with FOCETRIA (batch no. 1007396P) on 09 NOV 2009. On 12 or 13 NOV 2009, he experienced muscle pain at the injection site. The muscle pain progressed to posterior axillary pain with erythema and pustules. On 16 NOV 2009, the patient developed subcutaneous painful nodules. On 17 NOV 2009, he developed vesicles and hyperthesia of the affected site. The reporting physician stated that the patient had 4 - 5 lesions with neuropathic pain and neuritis which looked like Zoster. The outcome was not reported. These events were reported as suspected Zoster and injection site reaction (muscle pain). Reference no.: NA09-008665.
Age: 59.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nodule, Rash pustular, Skin lesion
Clinical narrative: Initial case report received from a physician on 20 NOV 2009. A 59 year old male patient (a physician) was vaccinated i.m. for the first time with FOCETRIA (batch no. 1007396P) on 09 NOV 2009. On 12 or 13 NOV 2009, he experienced muscle pain at the injection site. The muscle pain progressed to posterior axillary pain with erythema and pustules. On 16 NOV 2009, the patient developed subcutaneous painful nodules. On 17 NOV 2009, he developed vesicles and hyperthesia of the affected site. The reporting physician stated that the patient had 4 - 5 lesions with neuropathic pain and neuritis which looked like Zoster. The outcome was not reported. These events were reported as suspected Zoster and injection site reaction (muscle pain). Reference no.: NA09-008665.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: H/A started late afternoon on day of injection (11/19/2009). Lasted x4 days-pain level 8 (1-10 scale).
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Blood immunoglobulin A normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal, Blood product transfusion, Contusion
Clinical narrative: Developed bruising (generalized) and dx with ITP on 11/28/09, admitted to hospital and received WINRHO and platelets coming up.  12/4/09 Hospital records received for date 11/28/09 to 11/30/09. DX: Idiopathic thrombocytopenic purpura, right acute otits media, eczema. Presenting SX: bruising, petechiae all over body with no h/o injury or trauma. Pt parent states did previously have a 4 day h/o low grade fever w/ intermittent vomiting. Two wks prior had otitis media and was treated. Received H1N1 vax on 11/14. Pt. blood type is A+ wand was given WinRho 250IU/kg. Assessment: palpable purpura bilat shins, chest, back. Scattered petechiae over entire body. Pt admitted and treated. Stable w/ improved lads at dc.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Full blood count normal, Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Developed bruising (generalized) and dx with ITP on 11/28/09, admitted to hospital and received WINRHO and platelets coming up.  12/4/09 Hospital records received for date 11/28/09 to 11/30/09. DX: Idiopathic thrombocytopenic purpura, right acute otits media, eczema. Presenting SX: bruising, petechiae all over body with no h/o injury or trauma. Pt parent states did previously have a 4 day h/o low grade fever w/ intermittent vomiting. Two wks prior had otitis media and was treated. Received H1N1 vax on 11/14. Pt. blood type is A+ wand was given WinRho 250IU/kg. Assessment: palpable purpura bilat shins, chest, back. Scattered petechiae over entire body. Pt admitted and treated. Stable w/ improved lads at dc.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Diarrhoea
Clinical narrative: Patient experienced upset stomach, loose stools and general GI upset beginning 10-12 hours after injection.  Lasted 2-3 days.  No local injection site problems.
Age: 45.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Aphonia, Dysphonia
Clinical narrative: loss of voice, hoarseness
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Biopsy bone marrow, Biopsy bone marrow normal, Dizziness, Feeling cold, Platelet count
Clinical narrative: Felt lightheaded and cool.  Seen in ED and found to have platelet count of 47,000.  Later, had bone marrow biopsy which was negative.  Platelet count has since risen to normal values. 12/14/2009 and 12/24/2009  ED records for 11/14 and 11/16/2009 patient with c/o's fatigue, syncope DC DX Acute Thrombocytopenia
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Bursitis, Musculoskeletal pain, Nuclear magnetic resonance imaging normal, Pain
Clinical narrative: Severe soreness to right shoulder resulting in difficulty lifting and rotating arm clockwise. went to dr. 3 weeks later, used a steroid pack prescribed by md and NSAIDS, MRI WNL.
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Stillbirth
Clinical narrative: Information has been received from an investigator concerning a female who entered a study, title as stated above. On 23-APR-2009 was vaccinated with the first dose of GARDASIL (LOT# not reported). The patient's last menstrual period was last week of April 2009. The pregnancy is normal to date. Patient will be followed by study, but not receive any other doses of GARDASIL. Follow-up information was received from a caller who wanted to report a pregnancy registry for a clinical trial for GARDASIL. Unable to confirm information. In the follow-up the investigator stated they were no longer giving the patient GARDASIL and asked if it would be okay to only report the information to their contact for the clinical trial and if they need to call again. In the follow-up the investigator stated that the patient who had been approximately 28 weeks pregnant had a stillbirth on 21-NOV-2009. The relationship between the stillbirth at 28 weeks and GARDASIL was not reported. Upon internal review stillbirth at 28 weeks was considered to be an other important medical event. No further information was reported.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Activities of daily living impaired, Full blood count normal, Troponin, Ventricular extrasystoles
Clinical narrative: Information has been received from a cardiologist and a receptionist concerning a 17 year old female with no pertinent medical history or drug reactions/ allergies who on 20-NOV-2009 was vaccinated with a dose of GARDASIL. Concomitant therapy included SEASONALE. The patient was nasally vaccinated on 19-NOV-2009 with H1N1. The reporter mentioned that on 20-NOV-2009 the patient received GARDASIL and within minutes could not walk out of the office. It was stated that the patient had premature ventricular contractions. The physician felt a significant disability was the patient "can not drill team". The receptionist stated that the patient was a new patient of the cardiologist and was first seen on 24-NOV-2009. The patient sought a physician in office for medical attention. The patient had the following lab/diagnostics tests: CBC, telemetry, PSH and troponin all of which were normal. At the time of reporting the patient had not recovered. The physician considered the patient unable to walk out of the office, premature ventricular contractions and can't drill team" as disabling. Additional information has been requested. 12/3/2009 Cardio Consult records for 11/24/2009, patient seen for c/o's palpitations and lightheadedness. EKG done at PCP office was abnormal noting PVC's, Tx Holter monitor, recommended addition of fish oil and magnesium