chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Generalized red rash on back of arm at injection site. Itchy, smooth rash with no blistering. Told patient to use Benadryl cr. Patient is nurse and marked location of rash to see if any increase. Patient checked back with me on Monday to say cr has reduced itching and no increase in size of rash.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site rash, Pruritus, Rash, Rash erythematous
Clinical narrative: "Red dots" started on trunk then spread to arm and legs.  Very itchy.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, bump, soreness, itching at injection site, noticed 8/27/16 in the evening. Patient took Benadryl on 8/28/16. Area very sore to the touch until 8/29/2016 in the morning. Large red area around injection site (approximately 2in x6in) on 8/29/16 at 12:00pm.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Cardiac arrest, Death, Myocardial infarction, Myocardial necrosis marker increased
Clinical narrative: Cardiac arrest, found unattended at home.  Per hospital, had massive MI.  Treated in ER/hospital.  Passed away following morning.
Age: 50.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Arm with injection was painful and has persisted with numbness and tingling for greater than one week.  Symptoms come and go throughout the day.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Headache, Musculoskeletal pain, Nausea, Pain
Clinical narrative: Severe pain in arm and shoulder to touch and movement, fever of 101 with 600mg of Advil, nauseousness all day, exhaustion, headache for 4 days. On day 5 arm still hurts to touch and movement red splotches appear on arm and arm temperature was still noticeably hot, but pain was diminishing and fever broke. Day 6 fever headache and exhaustion are gone. Arm still is sore to the touch, and movement but significantly less. red blotches are gone from arm.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Pyrexia, Rash macular, Skin warm, Tenderness
Clinical narrative: Severe pain in arm and shoulder to touch and movement, fever of 101 with 600mg of Advil, nauseousness all day, exhaustion, headache for 4 days. On day 5 arm still hurts to touch and movement red splotches appear on arm and arm temperature was still noticeably hot, but pain was diminishing and fever broke. Day 6 fever headache and exhaustion are gone. Arm still is sore to the touch, and movement but significantly less. red blotches are gone from arm.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Injection site reaction, Rash pruritic
Clinical narrative: Rash on bicep below injection site. Rash was itchy and burning.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Haemorrhage, Oral mucosal blistering, Platelet count, Rash erythematous, Rash generalised
Clinical narrative: Pt had severe red spots all over her body.  Pt also reported to have blisters and bleeding from these blisters in her mouth.  Pt went to see her doctor on 8-29-16 who diagnosed her as "vasculitis" adverse reaction from the vaccine.  Pt was given Medrol dose pack 4 mg course for 6 days.  Pt's blood was drawn to make sure her platelet was within normal limit.  Pt will monitor herself, if excessive bleeding, she will call her doctor asap.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination complication, Vasculitis
Clinical narrative: Pt had severe red spots all over her body.  Pt also reported to have blisters and bleeding from these blisters in her mouth.  Pt went to see her doctor on 8-29-16 who diagnosed her as "vasculitis" adverse reaction from the vaccine.  Pt was given Medrol dose pack 4 mg course for 6 days.  Pt's blood was drawn to make sure her platelet was within normal limit.  Pt will monitor herself, if excessive bleeding, she will call her doctor asap.
Age: 22.0
Sex: F
Vaccine: FLU4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccination given IM in right deltoid on 8/26/2016. On 8/27/2016 patient experienced swelling of left deltoid with heat, mild pain, and localized redness. Patient stated on 8/29/2016 that Sx were all getting better and going down. Patient had been using Ibuprofen as directed and a few Tx with ice. I educated the patient on possible causes as well as advising the patient to come back if Sx do not get better or get worse in the next few days.
Age: 67.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: IMZ given with no indication, gave PPSV23 should have given Prevnar 13, will give Prevnar 13 in 1 year.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Body temperature increased, Chills, Headache, Pain
Clinical narrative: Aches all over Body.  Temperature 101.  Chills.  Bad Headache.  This is Flu Shot.
Age: 68.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Chills, Headache, Malaise, Nausea, Pain
Clinical narrative: Patient began feeling achy with a headache, but not feverish around 5pm.  Tried to eat dinner, but continued to feel ill and went to lay down.  She had the chills with a 101 degree fever.  She had a severe headache with light sensitivity and nausea for 2 days after vaccination.  Her left arm, where she received the vaccination swelled up about the size of an egg and had sharp pain and hot to the touch all the way to her elbow.
Age: 68.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Photophobia, Pyrexia, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Patient began feeling achy with a headache, but not feverish around 5pm.  Tried to eat dinner, but continued to feel ill and went to lay down.  She had the chills with a 101 degree fever.  She had a severe headache with light sensitivity and nausea for 2 days after vaccination.  Her left arm, where she received the vaccination swelled up about the size of an egg and had sharp pain and hot to the touch all the way to her elbow.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Rash
Clinical narrative: FEVER RASH.
Age: 43.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site pain, Injection site swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Severe painful, swollen injection site radiating down arm into upper forearm.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Anxiety, Dizziness, Nausea
Clinical narrative: EMPLOYEE STATES BEGAN FEELING NAUSEA LIGHT HEADED AND INCREASED ANXIETY. DONOR THEN REPORTED TO MANAGEMENT THAT SHE JUST TOOK AND ANTIBIOTIC (NOT PREVEOUSLY REPORTED).
Age: 56.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Cough, Dyspnoea, Impaired work ability, Mobility decreased
Clinical narrative: First arm began to hurt. By that evening had a fever and chills. By next morning had a rash and couldn't get out of bed. Missed a day of work. By 8/25/15 had a terrible honking non productive cough and could not catch my breath.  Called Dr. and was prescribed a Solumedrol pack. Symptoms persisted although less severe until 8/29/16. Basically was incapacitated for 6 days.
Age: 56.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity, Pyrexia, Rash
Clinical narrative: First arm began to hurt. By that evening had a fever and chills. By next morning had a rash and couldn't get out of bed. Missed a day of work. By 8/25/15 had a terrible honking non productive cough and could not catch my breath.  Called Dr. and was prescribed a Solumedrol pack. Symptoms persisted although less severe until 8/29/16. Basically was incapacitated for 6 days.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient had redness and swelling at site. Patient complained of itching as well. Reports no allergies.
Age: 11.0
Sex: F
Vaccine: HPV9, HPV9, HPV9, LYME
Symptoms: Facial paralysis, Pyrexia, Vomiting
Clinical narrative: This spontaneous report as received from a health care worker refers to a 11 year old female patient. Her pertinent medical history included attention deficit disorder and she did not have any drug reactions or allergies. On 02-AUG-2016, the patient was vaccinated with GARDASIL 9 (dose not reported), lot # L043214 and expiry date: 30-AUG-2017, intramuscularly. Concomitant therapies included CONCERTA, acyclovir (manufacturer unknown) and MEDROL DOSEPAK (dosage, frequency and indication were not reported). On 13-AUG-2016, the patient woke up with low fever and vomited 'once or twice'. It was reported that these events resolved as quickly as they came on the same day (13-AUG-2016). On 16-AUG-2016, the patient woke up with facial drooping (side was unspecified), which, the reporter described as 'symptoms of Bell's palsy' (facial paralysis). No treatment was given for the event. The patient sought medical attention and the patient mother called the physician. The outcome of pyrexia and vomiting was reported as recovered. The outcome of facial paralysis was reported as not recovered. The causal relationship between the suspect therapy and the events was not reported. There was no product quality complaint (PQC) involved. Upon internal review, the event facial paralysis was determined to be medically significant. Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: HPV9, HPV9, HPV9, LYME
Symptoms: Acoustic stimulation tests normal, Borrelia test, Computerised tomogram normal, Facial paralysis, Pyrexia
Clinical narrative: This spontaneous report as received from a health care worker refers to a 11 year old female patient. Her pertinent medical history included attention deficit disorder and she did not have any drug reactions or allergies. On 02-AUG-2016, the patient was vaccinated with GARDASIL 9 (dose not reported), lot # L043214 and expiry date: 30-AUG-2017, intramuscularly. Concomitant therapies included CONCERTA, acyclovir (manufacturer unknown) and MEDROL DOSEPAK (dosage, frequency and indication were not reported). On 13-AUG-2016, the patient woke up with low fever and vomited 'once or twice'. It was reported that these events resolved as quickly as they came on the same day (13-AUG-2016). On 16-AUG-2016, the patient woke up with facial drooping (side was unspecified), which, the reporter described as 'symptoms of Bell's palsy' (facial paralysis). No treatment was given for the event. The patient sought medical attention and the patient mother called the physician. The outcome of pyrexia and vomiting was reported as recovered. The outcome of facial paralysis was reported as not recovered. The causal relationship between the suspect therapy and the events was not reported. There was no product quality complaint (PQC) involved. Upon internal review, the event facial paralysis was determined to be medically significant. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Adverse event, Asphyxia, Guillain-Barre syndrome, Noninfective encephalitis, Paralysis
Clinical narrative: This spontaneous report was received from a physician via a company representative and refers to 14993 female patients of unknown age. There was no information regarding the patients' pertinent medical history, drug reactions, allergies or concomitant therapies provided. The physician found out about the events reported below from an online article. On unknown dates, the patients were vaccinated with doses of GARDASIL (lot #, expiration date, exact dose, site and route of administration were not reported). On unknown dates, the patients experienced adverse effects from GARDASIL, which included Guillain-Barre syndrome (paralysis lasting for years or permanently, sometimes eventually causing suffocation), lupus, seizures, blood clots and brain inflammation. The outcome of the events was unknown. The relatedness between the events and GARDASIL was assessed as related. Upon internal review, the events Guillain-Barre syndrome, lupus, seizures, blood clots and brain inflammation were determined to be medically significant. This is one of two reports received from the same source. Additional information is not expected as there was no consent for follow-up.
Sex: F
Vaccine: HPV4
Symptoms: Seizure, Systemic lupus erythematosus, Thrombosis
Clinical narrative: This spontaneous report was received from a physician via a company representative and refers to 14993 female patients of unknown age. There was no information regarding the patients' pertinent medical history, drug reactions, allergies or concomitant therapies provided. The physician found out about the events reported below from an online article. On unknown dates, the patients were vaccinated with doses of GARDASIL (lot #, expiration date, exact dose, site and route of administration were not reported). On unknown dates, the patients experienced adverse effects from GARDASIL, which included Guillain-Barre syndrome (paralysis lasting for years or permanently, sometimes eventually causing suffocation), lupus, seizures, blood clots and brain inflammation. The outcome of the events was unknown. The relatedness between the events and GARDASIL was assessed as related. Upon internal review, the events Guillain-Barre syndrome, lupus, seizures, blood clots and brain inflammation were determined to be medically significant. This is one of two reports received from the same source. Additional information is not expected as there was no consent for follow-up.
Sex: F
Vaccine: PPV
Symptoms: Pneumonia
Clinical narrative: Information has been received from a female patient of unknown age via Pfizer, Inc (ref# 2016398589), concerning the patient self. No relevant medical history or concurrent conditions were reported. Approximately in 2016 (reported as "a while back"), the patient was vaccinated with a regular pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) (reported as "probably PNEUMOVAX") (dose, route, lot# and expiration date were not reported). On an unknown date in 2016, the patient got pneumonia. At the time of this report, the patient's condition was better (the outcome of the event was recovering). Causality between the event and pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) was not provided. Upon internal review, the event was considered as medically significant. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Measles post vaccine
Clinical narrative: This spontaneous report as received from a physician via a company representative refers to the three different patients of unknown age and gender. No information on patient's pertinent medical history, drug reactions or allergies was reported. On an unknown date in April 2016, the patients were vaccinated with a dose of M-M-R II intramuscularly (dose, lot number and expiration date were not reported). Concomitant medications were not reported. On unknown dates in 2016, the patients developed measles. The outcome of the measles was unknown. the relatedness between the measles and the M-M-R II was not reported. Upon internal review, the measles was determined to be medically significant. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Cellulitis, Erythema, Pain in extremity
Clinical narrative: (R) arm cellulitis, redness pain (R) arm. Seen emergency room. Admitted tx vancomycin, cephalexin.
Age: 18.0
Sex: F
Vaccine: FLU4, HPV4
Symptoms: Fatigue, Headache, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: Fatigue, sore throat, swollen lymph nodes under arms and neck, headache.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: Pt. started developing red, round, hardening, and hot spot to touch - swelling.
Age: 72.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Rash, Swelling
Clinical narrative: patient came to pharmacy on 8/25/16 with swelling rash on her right arm; same arm that she got her PREVNAR 13. Patient said she used TYLENOL for pain and ice for swelling.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Acoustic stimulation tests, Hypoacusis, Sudden hearing loss, Tinnitus
Clinical narrative: Per mother 2 hours after the shot patient complained of sever ringing in her right ear and decreased hearing. She was seen by ENT in 24 hours and DX with sudden decreased hearing loss.
Sex: M
Vaccine: FLU4
Symptoms: Condition aggravated, Hypoacusis, Tinnitus
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of tinnitus aggravated in a male patient who received FLUARIX Quadrivalent. Concurrent medical conditions included tinnitus and hearing impaired. On 13th August 2016, the patient received FLUARIX Quadrivalent. The patient experienced tinnitus aggravated, hearing decreased and condition aggravated. On an unknown date, the outcome of the tinnitus aggravated hearing decreased and condition aggravated were not recovered/not resolved. It was unknown if the reporter considered the tinnitus aggravated to be related to FLUARIX Quadrivalent. The reporter considered the hearing decreased and condition aggravated to be possibly related to FLUARIX Quadrivalent. Additional details were provided as follow: The patient received a dose of FLUARIX Quadrivalent at his local pharmacy. The patient did not have lot  numbers nor any other information on the vaccine. Right away, like a few hours after vaccination, the patient started noticing that his tinnitus has increased and his hearing decreased substantially. The patient did not recovered from the events. The patient thought it might be due to the medication. The patient did not want to provide any details regarding demographics, not even initials. The patient was given a reference number and was asked to call back with that reference number if he gets any further information.
Sex: U
Vaccine: TDAP
Symptoms: Arthralgia, Musculoskeletal stiffness, Pain, Palpitations
Clinical narrative: I received the shot on 3-25-16 - shortly afterwards - heart started to race- arm started to get stiff- Joint pain became extremely painful all over my body.
Age: 34.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left arm from shoulder 15cm down toward elbow slightly swollen, red, warm to touch. Improved, per patient, since yesterday.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Injection site discolouration, Injection site nodule, Vomiting
Clinical narrative: Mother called states patient developed a "knot" right side at immunization site. States that there are "black speckles" around the knot at this time. Patient has complained of occasional dizziness and has vomited a few times. Denies any problems breathing or shortness of breath. Her family doctors out of town for 2 weeks. Recommended Mother take patient to ER for evaluation. Verbalized understanding.
Age: 4.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site warmth, Peripheral swelling
Clinical narrative: Mother reports that patient had swelling in his arm by the afternoon on 8-5-16. She gave him ibuprofen about 1 PM. Patient had more swelling on Saturday and site felt warm to the touch. Mother gave him BENADRYL. The swelling was not down by Sunday so patient was taken to Urgent Care. There was a 4-6 cm difference between the right and left arm circumference. Was given an injection in each leg of cefazolin and placed on clindamycin 15 mls q 8 hrs for 10 days. On Monday there was only a 2-3 cm difference in the right and left arms. On Tuesday swelling almost gone. Is to return to doctor in approx. 5 days.
Age: 1.25
Sex: M
Vaccine: HEP
Symptoms: Body temperature increased, Chromaturia, Diarrhoea, Faeces pale, Mucous stools
Clinical narrative: Acholic stool x 5 days starting 24hrs after vaccine. Dark urine, diarrhea with mucus. Temp to 103 x 1 day. Vomiting x 24hrs immediately within 24hrs of vaccine.
Age: 1.25
Sex: M
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Acholic stool x 5 days starting 24hrs after vaccine. Dark urine, diarrhea with mucus. Temp to 103 x 1 day. Vomiting x 24hrs immediately within 24hrs of vaccine.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Peripheral swelling, Pruritus, Rash
Clinical narrative: Started having itching and rash on back and knees. Hands were also swollen.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Peripheral swelling, Pruritus generalised, Rash
Clinical narrative: Started having itching and rash on back and knees. Hands were also swollen.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling at site (L) arm. 5 x 6 cm warm to touch.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Headache
Clinical narrative: 24 hours after administration pt noticed burning sensation, redness started small and spread to area 2 inches in diameter. Patient has also experienced a headache since administration. Burning sensation continues upon any contact to area. No treatment except ADVIL for HA.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Influenza like illness, Injection site reaction, Injection site warmth, Pain, Pyrexia
Clinical narrative: Red patchy hot to the touch rash from injection site radiating towards elbow of left arm. Patient c/o feeling "flu-like" sx. Achy, fever, painful to touch.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Rash erythematous, Tenderness
Clinical narrative: Red patchy hot to the touch rash from injection site radiating towards elbow of left arm. Patient c/o feeling "flu-like" sx. Achy, fever, painful to touch.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Blood glucose normal, Dizziness, Dyspnoea, Fall, Hypopnoea
Clinical narrative: About 5 minutes after vaccine given, patient fell. Patient was light headed. Blood pressure was low. Blood glucose was 97. Patient's breathing was shallow and labored. Patient sat down and EMTs were called. Patient was fine after sitting for 15 minutes.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Hypotension
Clinical narrative: About 5 minutes after vaccine given, patient fell. Patient was light headed. Blood pressure was low. Blood glucose was 97. Patient's breathing was shallow and labored. Patient sat down and EMTs were called. Patient was fine after sitting for 15 minutes.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Chest X-ray normal, Lymphadenopathy, Urinary system x-ray normal
Clinical narrative: Lt supraclavicular lymphadenopathy, workup for node negative, occurred shortly after vaccine admin. Continue to monitor.
Age: 4.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Patient developed immediate hive smaller than 1 inch away from site of injection.
Age: 4.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: Urticaria
Clinical narrative: Patient developed immediate hive smaller than 1 inch away from site of injection.
Age: 4.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: This spontaneous report as received from other (from the physician's office) refers to a 4 year old patient. No concurrent conditions, medical history, allergy/drug reactions and concomitant medications were reported. On 22-AUG-2016, the patient was vaccinated with PROQUAD injection (dosing details, lot# and expiry date were not reported) subcutaneously in right thigh. On the same day, the patient developed hives. The patient was given treatment for hives. The outcome of hives was reported as recovered/resolved approximately in August 2016. The reporter did not provide the causality between hives and the suspect therapy. There were no product quality complaints (PQC) involved. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: Urticaria
Clinical narrative: This spontaneous report as received from other (from the physician's office) refers to a 4 year old patient. No concurrent conditions, medical history, allergy/drug reactions and concomitant medications were reported. On 22-AUG-2016, the patient was vaccinated with PROQUAD injection (dosing details, lot# and expiry date were not reported) subcutaneously in right thigh. On the same day, the patient developed hives. The patient was given treatment for hives. The outcome of hives was reported as recovered/resolved approximately in August 2016. The reporter did not provide the causality between hives and the suspect therapy. There were no product quality complaints (PQC) involved. Additional information has been requested.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose increased, Headache, Insomnia, Nausea, Pain
Clinical narrative: Severe runny nose, severe headache, stomach sick. Fever, no sleep, body hurt. Blood sugars were high.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Rhinorrhoea
Clinical narrative: Severe runny nose, severe headache, stomach sick. Fever, no sleep, body hurt. Blood sugars were high.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis
Clinical narrative: Office of Dr. called the pharmacy to report the patient had cellulitis following shingles shot located 2 fingers above elbow back of arm and are treating it.
Age: 25.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood thyroid stimulating hormone normal, Decreased appetite
Clinical narrative: 25yo healthy patient who received typhoid vaccine 18 JUL 2016 lot # K17061 and developed anorexia and abdominal pain2 days later and at day 5 fine papular dermatitis to arms which continued through when seen on day 16. The lesions were fine, papular, but no vesicles, pustules or macules. The involved areas are limited to arms, does not involve palms or extensor surfaces, and she denies oral lesions or any other sites including back, torso, legs or skin folds. She self treated with OTC topical hydrocortisone cream and has one dose of cetirizine, neither which helped. She states she had not immediate adverse effects such as hive, oral face or throat swelling. She reports local site pain at the injection site for 2 days but no erythema or edema. She denies fever, chills, headache, chest pain, myalgias or arthralgia's. Treatment triamcinolone, oral ZYRTEC. Patient did not respond to followup contact attempts.
Age: 25.0
Sex: F
Vaccine: TYP
Symptoms: Full blood count, Injection site pain, Nausea, Pregnancy test negative, Rash papular
Clinical narrative: 25yo healthy patient who received typhoid vaccine 18 JUL 2016 lot # K17061 and developed anorexia and abdominal pain2 days later and at day 5 fine papular dermatitis to arms which continued through when seen on day 16. The lesions were fine, papular, but no vesicles, pustules or macules. The involved areas are limited to arms, does not involve palms or extensor surfaces, and she denies oral lesions or any other sites including back, torso, legs or skin folds. She self treated with OTC topical hydrocortisone cream and has one dose of cetirizine, neither which helped. She states she had not immediate adverse effects such as hive, oral face or throat swelling. She reports local site pain at the injection site for 2 days but no erythema or edema. She denies fever, chills, headache, chest pain, myalgias or arthralgia's. Treatment triamcinolone, oral ZYRTEC. Patient did not respond to followup contact attempts.
Age: 25.0
Sex: F
Vaccine: TYP
Symptoms: Streptococcus test positive, Vitamin D decreased, Vomiting
Clinical narrative: 25yo healthy patient who received typhoid vaccine 18 JUL 2016 lot # K17061 and developed anorexia and abdominal pain2 days later and at day 5 fine papular dermatitis to arms which continued through when seen on day 16. The lesions were fine, papular, but no vesicles, pustules or macules. The involved areas are limited to arms, does not involve palms or extensor surfaces, and she denies oral lesions or any other sites including back, torso, legs or skin folds. She self treated with OTC topical hydrocortisone cream and has one dose of cetirizine, neither which helped. She states she had not immediate adverse effects such as hive, oral face or throat swelling. She reports local site pain at the injection site for 2 days but no erythema or edema. She denies fever, chills, headache, chest pain, myalgias or arthralgia's. Treatment triamcinolone, oral ZYRTEC. Patient did not respond to followup contact attempts.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC13, RVX
Symptoms: Pyrexia
Clinical narrative: 2mo old male infant received 2mo vaccines and 10 hours later awoke with a 102.1 fever. No decreased alertness, no unusual crying, not limp, no rash, no emesis. TYLENOL given, after 1 hour Fever went down to 100.5, baby fed well, normal diapers, no change in behavior; vaccine injection sites unremarkable. Mother of patient was instructed to continue to dose TYLENOL q6-8 hours for comfort, cool compresses to injection sites for comfort. Later at 9:59 AM the mother reported the baby was doing well, temperature normal, normal feeding, diapers and behavior.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Eyelid oedema, Swelling face
Clinical narrative: Facial swelling started 8/26/16 approximately 1300 at school. School nurse gave BENADRYL then called parent. Positive eyelid edema. No throat swelling. No difficulty breathing.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: 100.2 F Fever - 30 hours after inj. for 16 hours.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Headache, Petechiae, Pyrexia
Clinical narrative: (100.6 degree F fever, headache, stomach ache)16 hours - 30 hours after inj. Petechia on lower legs 4 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: (L) deltoid area w/redness in circular distribution around injection site. Not warm or tender some itch reported by pt. Redness extended 3x4cm.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Eyelid oedema, Lip oedema, Pruritus, Swelling face
Clinical narrative: Facial swelling (mild edema around bilateral eyes and lips) and itchiness of skin.
Age: 11.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Activities of daily living impaired, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pain in upper L arm started within 24 hours of receiving DTAP/IPV. Ice applied with little relief. Patient was not able to attend school, due to is pain. Associated symptoms include redness and mild warmth at injection site. Denies fever, vomiting, diarrhea, poor UOP, sleep disturbance. Red, painful area on upper L arm approx 3.5in by 5in. Arm improved every day, and patient is back in school, as of 08/29/2106.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: Abasia, Activities of daily living impaired, Asthenia, Back pain, Computerised tomogram normal
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: Decreased appetite, Headache, Hypoaesthesia, Injection site pain, Intensive care
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: Lumbar puncture, Nausea, Neck pain, Nuclear magnetic resonance imaging normal, Paraesthesia
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: Post lumbar puncture syndrome, Pyrexia, Viral infection, Visual impairment
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: CSF glucose normal, CSF protein normal, CSF red blood cell count positive, CSF white blood cell count negative, Computerised tomogram head normal
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: Eye pain, Gram stain negative, Haematocrit normal, Haemoglobin normal, Headache
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Injection site swelling, Metabolic function test, Mononucleosis heterophile test negative
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: Muscular weakness, Nausea, Nuclear magnetic resonance imaging brain, Nuclear magnetic resonance imaging spinal, Paraesthesia
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.
Age: 16.0
Sex: F
Vaccine: MENB, MENB, MENB, MENB
Symptoms: Phonophobia, Photophobia, Platelet count normal, Pyrexia, Reflex test normal
Clinical narrative: Pt. received TRUMENBA 8/9/16 at 10 AM and dev. fever at 4pm and severe HA tx'ed with ibu/TYL. Pt. c/o arm swelling around injection site, eye pain, and left-sided numbness extending to her teeth. Pt. also c/o nausea. No V/D. HA cont. to worsen but fever resolved after 48 hrs. Pt. presented to ER for eval. on  8/11 PM. Pt. c/o HA, fever (T max 102 x 2 days), and photophobia/phonophobia/blurry vision. Started ALLEGRA. No hx of rash. No tick exposure. In ER, pt. underwent LP-CSF-4 WBC/4 nucleated cells/RBC 6/nl. glucose/nl. protein/neg. Gram stain. Nl. CBC -  WBC 7.9, hemoglobin 12.8, hematocrit 39, platelet 178. Nl. CMP. Pt. dc'ed home on doxy 100 bid x 14 days and ZOFRAN prn. Pt. returned to ER on 8/14 with persistent sx and dev. of numbness/tingling in legs along with LE weakness. She received non contrast CT of head - WNL, Nl. CBC, BMP, and neg Monospot. She was given migraine "cocktail" of -IVF, BENADRYL, COMPAZINE, TORADOL and MgSO4 with min. relief. Pt. with LE weakness and 1+ reflexes. LE sensation was intact. Neurology consulted - sx  ?ly due to post - LP NA vs GBS. MRI of brain and spine - WNL  Pt. dc/ed home. Pt. cont. to c/o HA, nausea and lower ext. weakness/numbness. Seen in PCP office on 8/22 and 8/27 and numerous phone calls to office. Pt. seen by neurology and started on gabapentin 300 mg tid and written to have OT/PT 2x/week. Pt.'s sx are persistent - she will attend school in a wheelchair. Pt. with hx of dermoid cyst as infant behind Rt. eye and has a fistula leading out of orbit - followed with yearly CT scans of head by Neurosurgery. Hx of orbital abscess. Last head CT (12/15) - WNL. Hx of 2 concussions in 2014 with subsequent post concussive HA's that gradually resolved.