chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: RV5
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: This spontaneous report was received from a medical assistant, and refers to a 5 month old female patient. No information about the patient's medical history, concurrent conditions, concomitant medications and drug reactions/allergies was provided. On 02-MAR-2018, the patient was vaccinated with a dose of ROTATEQ 1 tube (DF), orally, (lot # N021094 with an expiration date in 12-MAR-2019), for prophylaxis. On 19-MAY-2018, the patient developed an allergic reaction to an unspecified baby formula (food allergy) and the patient broke out in hives after starting the formula (urticarial). As a result, the patient sought medical attention via an office visit, the formula was discontinued and an unspecified oral steroid was prescribed as treatment for the events (details were not provided). At the time of reporting, the outcome of food allergy and urticaria was reported as recovered on an unspecified date in 2018. The reporter considered urticaria and food allergy to be related to ROTATEQ.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash vesicular
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a male patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. On an unknown date in 2014, the patient was inoculated with ZOSTAVAX (lot number, dosage and route of administration not provided), as recommended for routine adult health maintenance and for the prevention of shingles. The ZOSTAVAX did not prevent shingles as intended, and the patient subsequently contracted a persistent strain of herpes zoster. On or about 01-JUL-2016, the patient was treated at a clinic for a vesicular outbreak, which was diagnosed as herpes zoster, or shingles. As a direct and proximate result of the ZOSTAVAX vaccine, and/or despite receiving ZOSTAVAX for long-term prevention of shingles, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, and pain and suffering, and other damages. The outcome is unknown. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash vesicular
Clinical narrative: Information has been received on 06-JUN-2018 regarding a case in litigation from a lawyer and a female consumer of unknown age. The patient's concurrent conditions, medical history and concomitant medications are unknown. During February of 2016, the patient was inoculated with ZOSTAVAX (lot number and expiration unknown) unknown route at a pharmacy as recommended for routine adult health maintenance and for the prevention of shingles. The vaccine did not prevent shingles as intended, and the patient subsequently contracted a persistent strain of herpes zoster. Later in July of 2016, the patient was treated by a physician in a physician's office for a vesicular outbreak, which was diagnosed as herpes zoster, or shingles. As a direct and proximate result of the ZOSTAVAX and/or despite receiving ZOSTAVAX for long-term prevention of shingles, the patient has suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, and pain and suffering, and other damages. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: MMRV
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: No adverse reactions noted.
Age: 54.0
Sex: M
Vaccine: HEPA, VARZOS
Symptoms: Paraesthesia, Vision blurred
Clinical narrative: Tingling arm, blurred vision.
Age: 1.42
Sex: F
Vaccine: DTAPIPV
Symptoms: Wrong drug administered
Clinical narrative: Gave QUADRACEL instead of DAPTACEL.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Rash red and bumpy on the R flank, not itchy or painful.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Cardiac stress test abnormal, Coronary artery disease, Dizziness, Hyperhidrosis, Hypotension
Clinical narrative: Blurred vision, dizziness, Hypotension and sweating.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Vision blurred
Clinical narrative: Blurred vision, dizziness, Hypotension and sweating.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia oral
Clinical narrative: Patient called around 3:53 pm states he just received a shingles vaccine and his left lower lip is very slightly numb. States he noticed right after he had the injection, just a few minutes after leaving this facility. He is otherwise asymptomatic. Patient did not call back. Has seen providers since with no mention of above problem. And left lower lip slightly numb.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Alanine aminotransferase normal, Anxiety, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Bilirubin conjugated normal, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood calcium normal
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Blood chloride normal, Blood cholesterol increased, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Blood sodium decreased, Blood testosterone normal, Blood thyroid stimulating hormone decreased, Blood triglycerides normal, Blood urea normal
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Blood urine absent, Carbon dioxide normal, Chromaturia, Complex regional pain syndrome, Disturbance in attention
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Dyskinesia, Dyspnoea, Electromyogram, Eosinophil count normal, Eosinophil percentage
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Glomerular filtration rate, Glucose urine absent, Glycosylated haemoglobin normal, Haematocrit normal, Haemoglobin normal
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: High density lipoprotein normal, Hyperaesthesia, Injection site erythema, Injection site swelling, Insomnia
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Irritability, Low density lipoprotein normal, Lymphocyte count normal, Lymphocyte percentage, Mean cell volume normal
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Memory impairment, Monocyte count normal, Monocyte percentage, Musculoskeletal disorder, Neutrophil count normal
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Neutrophil percentage, Nitrite urine absent, Nuclear magnetic resonance imaging, Pain, Pain in extremity
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Paraesthesia, Peripheral swelling, Platelet count normal, Protein total normal, Red blood cell count normal
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Red cell distribution width normal, Social avoidant behaviour, Specific gravity urine normal, Stress, Temperature intolerance
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Tremor, Urine bilirubin decreased, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: White blood cell count normal, pH urine normal
Clinical narrative: On Aug 10th patient reported to our institution that he was dx with RSD/complex regional pain syndrome (affecting sympathetic nervous system) in June 2012 after having symptoms since March 2012. Symptoms include chronic pain, inability to use L arm, shaking/jerking of the torso, breathlessness r/t shaking, poor short term memory and concentration. Pt is experiencing out of control anxiety/worry, irritability, sleeplessness and isolation, stress appears to exacerbate symptoms. On Aug 12th during another visit. Left arm swelled up after tetanus shot in March. Having jerking movements in his left arm, torso. Gets pinprick esp in his finger tips, pain can be at 8/10, all day. Cold water hurts him, hot water helps. The jerking is worse when standing or sitting, gets better when lying down. Applying for chronic disability... Relates the following chronology: 1) 3/8/12 received tetanus shot. Had redness and some swelling at the site, but not enough to seek help. 2) 3/28/12 had blood draw. Reports after this an explosion of pain and swelling in his left arm. 3) 4/17/12 went to urgent care and referred to emergency room for severe swelling and pain of left upper arm. Given antibiotics. (First time he sought medical care). 4) 4/16/12 - began evaluation through his private sector physician with MRI, EMG, and eventually to current diagnosis of Reflex Sympathetic Dystrophy, with symptoms of severe pain, swelling, sensitivity, and persistent jerking of arm and torso. Upon further follow up, Jan 2013 patient communicated following. Clinic, where he was told that his tremors or involuntary movements are originating in his peripheral nervous system, not his brain, and are due to his Reflex Sympathetic Dystrophy, in his left arm and shoulder, that had its onset following a tetanus vaccination, with possible exacerbation by subsequent venipuncture in the same upper extremity, in March of 2012. He was told that he does not have Multiple Sclerosis or Parkinson's Disease.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysstasia, Pain in extremity, Weight bearing difficulty
Clinical narrative: My left foot has extreme pain. The left side of the foot from the bottom to the outside hurts so bad I can barley stand on it. It hurts to put any pressure on it including standing or laying it flat while in bed.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Injection site rash, Injection site swelling, Nausea
Clinical narrative: Patient experienced rash and swelling from the injection site to the elbow. Also experienced nausea and upset stomach the first night; symptoms resolved within three days after the immunization was given. Patient was not deterred from receiving the second vaccine, stating that it was better than having shingles.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Coronary artery bypass, Insomnia, Myocardial infarction, Pain, Pain in extremity
Clinical narrative: Progressive ascending stinging pain starting in the feet and hands, loss of 4 or more hours of sleep every night due to pains, myocardial infarction resulting in triple bypass surgery.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Localized reaction 3 days later at the injection site (red, hot, swollen, painful) also, itchy rash on neck, chest 2 days after vaccine treating with antihistamines.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: Localized reaction 3 days later at the injection site (red, hot, swollen, painful) also, itchy rash on neck, chest 2 days after vaccine treating with antihistamines.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Headache, fever and sweating.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Secretion discharge, Urticaria
Clinical narrative: I received a shingles vaccine last week, 2 days later I developed hives on my right thigh area. States he had area of hives left thigh, itches, some spots have broken open and are draining - no urticarial elsewhere. States injection site right arm looks great. Patient didn't answer telephone calls to follow-up. No further information received 11 days from when patient reported possible ade to us.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Alanine aminotransferase normal, Anti-thyroid antibody, Antinuclear antibody negative, Arthralgia, Aspartate aminotransferase normal
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Balance disorder, Basophil count decreased, Basophil percentage, Bilirubin conjugated normal, Blood albumin normal
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatine phosphokinase normal
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood creatinine normal, Blood glucose normal, Blood magnesium increased, Blood phosphorus normal, Blood potassium normal
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood sodium decreased, Blood test, Blood thyroid stimulating hormone decreased, Blood urea normal, C-reactive protein increased
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Eosinophil count decreased, Eosinophil percentage decreased, Gait disturbance, Glomerular filtration rate, Haematocrit normal
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Haemoglobin normal, Hand deformity, Hepatitis C antibody negative, Injection site pain, Joint range of motion decreased
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Limb discomfort, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Mean cell volume normal, Mean platelet volume increased, Monocyte count normal, Monocyte percentage increased, Musculoskeletal pain
Clinical narrative: Reporting pain in both shoulders, hips, lower extremities. He has a difficult time lifting his arms overhead or donning his jacket. His legs feel heavy. He denies any specific areas of weakness or numbness. He has a history of joint pain and stiffness, not to this degree. ROS: Musculoskeletal: Nonantalgic gait. Wide based, slow to move. Muscle strength and tone appear normal. Negative Homans sign. Varicose veins bilateral lower extremities. Decreased range of motion of the shoulders, tenderness over the bursa on the shoulders and hips. Lumbar range of motion is affected with endpoint flexion and extension. He has some difficulty with balance with toe raises. There is no swelling of the joints. There is chronic deformity of the joints in the hands. AFTER treatment with prednisone: Significant improvement after starting the prednisone.