chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Chills, Confusional state, Encephalopathy, Increased upper airway secretion, Productive cough
Clinical narrative: 10/31/10: Patient was brought to ER presenting with fever of 103 and confusion.  11/1/10, 1PM: He was examined by a neurologist who noted he still had a fever, confusion and rigors. 11/10/10: discharged from hospital 11/15/10: re-admitted to hospital for Altered mental status pt dx with Meningoencephalitis, secondary to influenza vaccine
Age: 70.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Pyrexia
Clinical narrative: 10/31/10: Patient was brought to ER presenting with fever of 103 and confusion.  11/1/10, 1PM: He was examined by a neurologist who noted he still had a fever, confusion and rigors. 11/10/10: discharged from hospital 11/15/10: re-admitted to hospital for Altered mental status pt dx with Meningoencephalitis, secondary to influenza vaccine
Age: 33.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Fever 103. Seen in Intermediate Care office. Given Z-Pac and fluids.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Tenderness
Clinical narrative: 10 CM SWELLING AND INDURATION WITH 3 CM SURROUNDING ERYTHEMA AT INJECTION SITE WITH TENDERNESS EXTENDING TO RT AXILLA
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Pt arm has been in pain ever since the vaccination. Pt has done an MRI and MD says they do not see anything. Pt says the Vaccine Administrator must have hit a muscle or tendon.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Fatigue, Hyperhidrosis
Clinical narrative: abdominal pain, sweats, fatigue
Age: 66.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Essential tremor, Laboratory test, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Palpitations
Clinical narrative: Started having tremors inside my body, some palpitations. Having had many work ups over the year. Diag: Essential tremor of unknown orgin. Has there been anything like this reported?
Age: 66.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Tremor
Clinical narrative: Started having tremors inside my body, some palpitations. Having had many work ups over the year. Diag: Essential tremor of unknown orgin. Has there been anything like this reported?
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Pt.  had vaccine on Tues evening, by Wed evening had red, hard, hot circle like Pakman on left arm. No temp. Size 4-5cm.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Oedema peripheral
Clinical narrative: Egg yolk allergy -> rash. Approved by her allergist to receive influenza vaccine 2010. Reports that 5 hours after influenza injection, developed a "knot," edema, erythema to injection site. The following day, had symptoms extending the length of upper arm. 11/20/10 developed bilateral hand swelling requiring her jewelry to be "cut off" in ED. Treated in ED with BENADRYL. Had received influenza vaccine 12/15/09 without problems.
Age: 41.0
Sex: M
Vaccine: MEN, TYP, YF
Symptoms: Cough, Headache, Pyrexia
Clinical narrative: Initial report received from a health care professional on 06 May 2010. A 49-year-old male patient, with history of asthma, had received a left arm subcutaneous injection of MENOMUNE, lot number UF393AC, a left arm intramuscular injection of TYPHIM VI, lot number D0412, and a left arm subcutaneous injection of YF VAX, lot number UF628AA, on 15 April 2010 and developed a fever on 19 April 2010. The patients fever was reported as approximately 101 degrees Fahrenheit. He had no illness and was taking no medications at the time of vaccination. The outcome for the event fever was reported as unknown. Follow-up information received from a health care provider on 01 June 2010 reported the patient's birth date which corrected his age from 49 to 41 years. The patient was seen by a physician and treatment received was to continue with TYLENOL and ADVIL to treat the fever. The patient received no prescription medications. After 3 weeks of symptoms which were notably fever, headache and cough, the symptoms cleared. The patient was feeling fine with no residual issues. Follow-up information was received on 23 June 2010 from a healthcare professional. The patient had no illness at the time of the vaccinations and no vaccinations were received within 4 weeks. He had no adverse events following prior vaccinations. No further information was provided. Documents held by sender: None.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy to vaccine, Injection site erythema, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: Injection site became red, tender, hot, knot at site.  This continued to grow.  Was examined by nurse after "a couple of days later".  Was seen by doctor who diagnosed it as a reaction to the flu shot.  She gave her steroid RX PO.  Started to feel better after a few days.  Dr. advised her to not get another flu shot but if she felt that she needed one to get the nasal spray.
Age: 52.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: A few hours after TD aministration, employee felt extreme soreness at site, left deltoid. on 01/17/2011 came to OHS at Hospital stating left arm hurt, bruising noted at administration site left deltoid, slight swelling. Given Iprin for discomfort and advised to continue using warm compresses, return to OHS if any further concerns. 01/19/2011 returned to OHS c/o continued pain/soreness at site, left deltoid, noted to be with bruising at injection site, warm to touch, swollen, reddened from site down to 2 inches above elbow on lateral arm. Saw nurse practioner in clinic. Motrin 400mg TID, rest, no lifting greater than 10 lbs for 3 days, if not better or worsens, call/come in to see NP
Age: 52.0
Sex: F
Vaccine: DT
Symptoms: Pain in extremity
Clinical narrative: A few hours after TD aministration, employee felt extreme soreness at site, left deltoid. on 01/17/2011 came to OHS at Hospital stating left arm hurt, bruising noted at administration site left deltoid, slight swelling. Given Iprin for discomfort and advised to continue using warm compresses, return to OHS if any further concerns. 01/19/2011 returned to OHS c/o continued pain/soreness at site, left deltoid, noted to be with bruising at injection site, warm to touch, swollen, reddened from site down to 2 inches above elbow on lateral arm. Saw nurse practioner in clinic. Motrin 400mg TID, rest, no lifting greater than 10 lbs for 3 days, if not better or worsens, call/come in to see NP
Sex: F
Vaccine: MMRV
Symptoms: Body temperature increased, Drug rash with eosinophilia and systemic symptoms, Erythema multiforme, Injection site reaction, Liver function test abnormal
Clinical narrative: Information has been received from a physician concerning her daughter who in December 2010 was vaccinated with a dose of PROQUAD (Merck). At the same time of vaccination she received amoxicillin. It was reported that "last week", the patient was admitted to a hospital by a pediatric dermatologist because she had a rapidly progressive EM-like eruption with early mucosal involvement. They were worried it was STEVENS-JOHNSONS spectrum and she got admitted with the thought they might be doing Intravenous Immune Globulin (IVIG). Luckily, it arrested itself after only a few oral macules appeared, but it was very scary. The patient's mother had a little fear it was a Drug Rash with Eosinophilia and Systemic Symptom (DRESS) like thing, because her hepatic function tests (LFTs) were elevated and her platelets were low (and she was febrile to 102.5), but her skin was never tender. The patient's mother stated that laboratories were repeated last Friday (31-DEC-2010) and luckily they all normalized, so hopefully they were just reactive. It was reported that "it was so horrible - she looked terrible". She had 80-90% BSA involvement when it peaked so if it had progressed "it would have been a disaster". The trick was that at first, she had a fixed-drug looking plaque at her vaccine site, but since it was the PROQUAD (Merck), the patient's mother was thinking it was a local varicella reaction. Then, a few days later she had a disseminated mild eruption (of course kept giving her the amoxicillin not thinking that it was related) that the patient's mother was wondering was measles-related. The next day she woke up and it was certainly not measles - she looked horrible, with facial swelling, and cervical lymphadenopathy. The patient's mother was just glad her daughter was fine. This is one of two reports received from the same source. No further information is available.
Sex: F
Vaccine: MMRV
Symptoms: Lymphadenopathy, Macule, Platelet count decreased, Rash generalised, Skin plaque
Clinical narrative: Information has been received from a physician concerning her daughter who in December 2010 was vaccinated with a dose of PROQUAD (Merck). At the same time of vaccination she received amoxicillin. It was reported that "last week", the patient was admitted to a hospital by a pediatric dermatologist because she had a rapidly progressive EM-like eruption with early mucosal involvement. They were worried it was STEVENS-JOHNSONS spectrum and she got admitted with the thought they might be doing Intravenous Immune Globulin (IVIG). Luckily, it arrested itself after only a few oral macules appeared, but it was very scary. The patient's mother had a little fear it was a Drug Rash with Eosinophilia and Systemic Symptom (DRESS) like thing, because her hepatic function tests (LFTs) were elevated and her platelets were low (and she was febrile to 102.5), but her skin was never tender. The patient's mother stated that laboratories were repeated last Friday (31-DEC-2010) and luckily they all normalized, so hopefully they were just reactive. It was reported that "it was so horrible - she looked terrible". She had 80-90% BSA involvement when it peaked so if it had progressed "it would have been a disaster". The trick was that at first, she had a fixed-drug looking plaque at her vaccine site, but since it was the PROQUAD (Merck), the patient's mother was thinking it was a local varicella reaction. Then, a few days later she had a disseminated mild eruption (of course kept giving her the amoxicillin not thinking that it was related) that the patient's mother was wondering was measles-related. The next day she woke up and it was certainly not measles - she looked horrible, with facial swelling, and cervical lymphadenopathy. The patient's mother was just glad her daughter was fine. This is one of two reports received from the same source. No further information is available.
Sex: F
Vaccine: MMRV
Symptoms: Swelling face
Clinical narrative: Information has been received from a physician concerning her daughter who in December 2010 was vaccinated with a dose of PROQUAD (Merck). At the same time of vaccination she received amoxicillin. It was reported that "last week", the patient was admitted to a hospital by a pediatric dermatologist because she had a rapidly progressive EM-like eruption with early mucosal involvement. They were worried it was STEVENS-JOHNSONS spectrum and she got admitted with the thought they might be doing Intravenous Immune Globulin (IVIG). Luckily, it arrested itself after only a few oral macules appeared, but it was very scary. The patient's mother had a little fear it was a Drug Rash with Eosinophilia and Systemic Symptom (DRESS) like thing, because her hepatic function tests (LFTs) were elevated and her platelets were low (and she was febrile to 102.5), but her skin was never tender. The patient's mother stated that laboratories were repeated last Friday (31-DEC-2010) and luckily they all normalized, so hopefully they were just reactive. It was reported that "it was so horrible - she looked terrible". She had 80-90% BSA involvement when it peaked so if it had progressed "it would have been a disaster". The trick was that at first, she had a fixed-drug looking plaque at her vaccine site, but since it was the PROQUAD (Merck), the patient's mother was thinking it was a local varicella reaction. Then, a few days later she had a disseminated mild eruption (of course kept giving her the amoxicillin not thinking that it was related) that the patient's mother was wondering was measles-related. The next day she woke up and it was certainly not measles - she looked horrible, with facial swelling, and cervical lymphadenopathy. The patient's mother was just glad her daughter was fine. This is one of two reports received from the same source. No further information is available.
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Autoimmune disorder, Hypersensitivity, Myalgia, Nervous system disorder
Clinical narrative: This report was received from a person and was assigned manufacturer report number US201011004024. An unknown number of young girls on an unspecified date were vaccinated with a dose of GARDASIL (Lot # not provided) on an unspecified date. It was reported that the patients experienced bad reactions to GARDASIL. The reporter stated that they had had bad reactions that were like autoimmune disorders as a result of treatment with GARDASIL. Some of the patients had experienced pancreatitis. "It was like the body turned around and attacked itself, almost like an allergic reaction." The reporter said that the physician thought that the patients may have lupus or other autoimmune disorder. She also stated that the patient's were also complaining of joint-muscle pain and neurological system problems. At the time of this report, the patient's outcome was unknown. This was originally reported by a lawyer. This is one of several reports received from the same source. Upon internal review, pancreatitis was considered to be an other important medical event. Attempts to obtain additional identifying information to distinguish the individual patients mentioned in this report has been unsuccessful.
Sex: F
Vaccine: HPV4
Symptoms: Pancreatitis, Systemic lupus erythematosus
Clinical narrative: This report was received from a person and was assigned manufacturer report number US201011004024. An unknown number of young girls on an unspecified date were vaccinated with a dose of GARDASIL (Lot # not provided) on an unspecified date. It was reported that the patients experienced bad reactions to GARDASIL. The reporter stated that they had had bad reactions that were like autoimmune disorders as a result of treatment with GARDASIL. Some of the patients had experienced pancreatitis. "It was like the body turned around and attacked itself, almost like an allergic reaction." The reporter said that the physician thought that the patients may have lupus or other autoimmune disorder. She also stated that the patient's were also complaining of joint-muscle pain and neurological system problems. At the time of this report, the patient's outcome was unknown. This was originally reported by a lawyer. This is one of several reports received from the same source. Upon internal review, pancreatitis was considered to be an other important medical event. Attempts to obtain additional identifying information to distinguish the individual patients mentioned in this report has been unsuccessful.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Diarrhoea, Diplopia, Feeling abnormal, Guillain-Barre syndrome, Mechanical ventilation
Clinical narrative: On Fri, 10/08, she began to feel poorly & had one episode of diarrhea which was followed by constant but transient pain and progressed to muscle weakness and double vision. She was admitted to hospital on 10/12/10 with Dx. Guillain-Barre. She was placed on ventilator for awhile and was receiving therapy before discharge on 11/18/10. She continues with therapy & is now able to speak, eat and amb with assist of walker. On Sept, 9th she was ill with 102 degrees fever. On Sept, 11th she saw the dr for low-grade fever and a rash on her LE's. She was placed on ATB. Additional information which may or may not be related.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Muscular weakness, Pain, Pyrexia, Rash, Walking aid user
Clinical narrative: On Fri, 10/08, she began to feel poorly & had one episode of diarrhea which was followed by constant but transient pain and progressed to muscle weakness and double vision. She was admitted to hospital on 10/12/10 with Dx. Guillain-Barre. She was placed on ventilator for awhile and was receiving therapy before discharge on 11/18/10. She continues with therapy & is now able to speak, eat and amb with assist of walker. On Sept, 9th she was ill with 102 degrees fever. On Sept, 11th she saw the dr for low-grade fever and a rash on her LE's. She was placed on ATB. Additional information which may or may not be related.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test, Computerised tomogram head, Computerised tomogram normal, Facial pain, Guillain-Barre syndrome
Clinical narrative: On Fri, 10/08, she began to feel poorly & had one episode of diarrhea which was followed by constant but transient pain and progressed to muscle weakness and double vision. She was admitted to hospital on 10/12/10 with Dx. Guillain-Barre. She was placed on ventilator for awhile and was receiving therapy before discharge on 11/18/10. She continues with therapy & is now able to speak, eat and amb with assist of walker. On Sept, 9th she was ill with 102 degrees fever. On Sept, 11th she saw the dr for low-grade fever and a rash on her LE's. She was placed on ATB. Additional information which may or may not be related.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia facial, Lumbar puncture abnormal, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: On Fri, 10/08, she began to feel poorly & had one episode of diarrhea which was followed by constant but transient pain and progressed to muscle weakness and double vision. She was admitted to hospital on 10/12/10 with Dx. Guillain-Barre. She was placed on ventilator for awhile and was receiving therapy before discharge on 11/18/10. She continues with therapy & is now able to speak, eat and amb with assist of walker. On Sept, 9th she was ill with 102 degrees fever. On Sept, 11th she saw the dr for low-grade fever and a rash on her LE's. She was placed on ATB. Additional information which may or may not be related.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Sensory disturbance, Vision blurred
Clinical narrative: On Fri, 10/08, she began to feel poorly & had one episode of diarrhea which was followed by constant but transient pain and progressed to muscle weakness and double vision. She was admitted to hospital on 10/12/10 with Dx. Guillain-Barre. She was placed on ventilator for awhile and was receiving therapy before discharge on 11/18/10. She continues with therapy & is now able to speak, eat and amb with assist of walker. On Sept, 9th she was ill with 102 degrees fever. On Sept, 11th she saw the dr for low-grade fever and a rash on her LE's. She was placed on ATB. Additional information which may or may not be related.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Diarrhoea, Diplopia, Feeling abnormal, Guillain-Barre syndrome, Mechanical ventilation
Clinical narrative: Received vaccine 9-30-10 - Oct. 8 severe pain - Oct. 9 pain and numbness in face and feet - abnormal sensations - blurred vision. ER Oct. 10 (3:00 a.m.) CT scan - admitted to hosp. Oct. 12. Diagnosed w/ Guillain-Barre. Released from hosp. Nov. 18 - rehab continuing.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Muscular weakness, Pain, Pyrexia, Rash, Walking aid user
Clinical narrative: Received vaccine 9-30-10 - Oct. 8 severe pain - Oct. 9 pain and numbness in face and feet - abnormal sensations - blurred vision. ER Oct. 10 (3:00 a.m.) CT scan - admitted to hosp. Oct. 12. Diagnosed w/ Guillain-Barre. Released from hosp. Nov. 18 - rehab continuing.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test, Computerised tomogram head, Computerised tomogram normal, Facial pain, Guillain-Barre syndrome
Clinical narrative: Received vaccine 9-30-10 - Oct. 8 severe pain - Oct. 9 pain and numbness in face and feet - abnormal sensations - blurred vision. ER Oct. 10 (3:00 a.m.) CT scan - admitted to hosp. Oct. 12. Diagnosed w/ Guillain-Barre. Released from hosp. Nov. 18 - rehab continuing.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia facial, Lumbar puncture abnormal, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Received vaccine 9-30-10 - Oct. 8 severe pain - Oct. 9 pain and numbness in face and feet - abnormal sensations - blurred vision. ER Oct. 10 (3:00 a.m.) CT scan - admitted to hosp. Oct. 12. Diagnosed w/ Guillain-Barre. Released from hosp. Nov. 18 - rehab continuing.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Sensory disturbance, Vision blurred
Clinical narrative: Received vaccine 9-30-10 - Oct. 8 severe pain - Oct. 9 pain and numbness in face and feet - abnormal sensations - blurred vision. ER Oct. 10 (3:00 a.m.) CT scan - admitted to hosp. Oct. 12. Diagnosed w/ Guillain-Barre. Released from hosp. Nov. 18 - rehab continuing.
Age: 70.0
Sex: M
Vaccine: TDAP
Symptoms: Computerised tomogram head, Convulsion, Depressed level of consciousness, Electroencephalogram, Lumbar puncture
Clinical narrative: CT scan (head) Neurological consult/care EEG MRI. brain Fluoroscopy guided lumbar puncture patient presented to ED with altered LOC, seizures one day after vaccine.
Age: 70.0
Sex: M
Vaccine: TDAP
Symptoms: Nuclear magnetic resonance imaging brain, X-ray
Clinical narrative: CT scan (head) Neurological consult/care EEG MRI. brain Fluoroscopy guided lumbar puncture patient presented to ED with altered LOC, seizures one day after vaccine.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Full blood count abnormal, Pain, Platelet count decreased
Clinical narrative: Thrombocytopenia (transient) achey 99.3 degrees chills.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Thrombocytopenia
Clinical narrative: Thrombocytopenia (transient) achey 99.3 degrees chills.
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC, RV1
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Lacrimation increased, Rash erythematous
Clinical narrative: Swelling at injection site/redness whelpy rash red spots all over body eyes watery.
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC, RV1
Symptoms: Rash generalised
Clinical narrative: Swelling at injection site/redness whelpy rash red spots all over body eyes watery.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Pyrexia
Clinical narrative: Fever.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Red and spreading warm to touch and hard no trouble breathing or vomiting. Mom states child is running and jumping.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented with redness and swelling on (L) Deltoid measuring 4.5 in length & 3.5 inches in width. The area is hot and tender.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Mobility decreased, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: PAIN AND STIFFNESS WHEN LIFTING ARM ABOVE HEAD AND UNABLE TO PUT ARM BEHIND BACK
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Injection site swelling, Myalgia, Pain in extremity
Clinical narrative: Swelling at injection site, triceps painful, severe headache, severe muscle pain in lower back (never had before in my life, this symptom lasted 24 hrs only). Headache alleviated 01/16/2011 AM only to return in PM and continue through today, 1/18/2011.
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Chest X-ray, Cyanosis, Dyspnoea, Eye swelling, Rash
Clinical narrative: Child's eyes got swollen, rash appeared on face and the child turned blue and had difficulty breathing.  Father drove child to emergency room.  Child started breathing with oxygen and what the father believed to be Benadryl given.  A chest xray was performed and the child was discharged home and is to follow up with doctor.
Age: 20.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Diarrhoea, Muscle spasms, Nausea, Vomiting
Clinical narrative: 4:00 p.m. Diarrhea, abdominal pain; 1/19/2011 2:30 a.m. strong abdominal pain, cramps, nausea; 3:30 a.m. vomiting; 9:00 a.m. continued abdominal pain
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Condition aggravated, Fatigue, Headache, Insomnia
Clinical narrative: Headache, arthralgia, fatigue, mouth ulcers, rash and insomnia (lupus flare).
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Mouth ulceration, Rash, Systemic lupus erythematosus
Clinical narrative: Headache, arthralgia, fatigue, mouth ulcers, rash and insomnia (lupus flare).
Age: 3.0
Sex: F
Vaccine: DTAPIPVHIB, PPV, UNK
Symptoms: Culture negative, Culture wound positive, Fungal test, Injection site cellulitis, Injection site discharge
Clinical narrative: Pt presented on 1/4/11 with cellulitis on bilateral anterior thighs w/some drainage. Culture grew staph aureus (MSSA). She was given a course of BACTRIM & the cellulitis completely resolved. The cellulitis occurred at the the site of vaccines given on 12/20/10 at a different clinic's office.
Age: 3.0
Sex: F
Vaccine: DTAPIPVHIB, PPV, UNK
Symptoms: Staphylococcal skin infection
Clinical narrative: Pt presented on 1/4/11 with cellulitis on bilateral anterior thighs w/some drainage. Culture grew staph aureus (MSSA). She was given a course of BACTRIM & the cellulitis completely resolved. The cellulitis occurred at the the site of vaccines given on 12/20/10 at a different clinic's office.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 2 hrs post flu vaccine; onset hives no facial lesions no resp. s/s.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Bilat upper arms with warmth, induration and erythema.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, MMR, PNC, VARCEL
Symptoms: Blood glucose increased, Muscle twitching, Pupil fixed, Skin warm, Tremor
Clinical narrative: Received 5 immunizations early in the day of 12-14-10. Mother stated child felt warm that afternoon & gave TYLENOL at 1600 & 2030. At 2130 pt. began episode lasting approx 10 min involving body shaking & bilateral lower extremity twitching. Had fixed forward gaze & did not respond to stimulus. Went to ED, monitoring & IV.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, MMR, PNC, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Received 5 immunizations early in the day of 12-14-10. Mother stated child felt warm that afternoon & gave TYLENOL at 1600 & 2030. At 2130 pt. began episode lasting approx 10 min involving body shaking & bilateral lower extremity twitching. Had fixed forward gaze & did not respond to stimulus. Went to ED, monitoring & IV.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral, Skin warm
Clinical narrative: Onset of redness/swelling at site. At 48 hours distal swelling, redness warmth from mid arm & elbow. Inj. site with flat red circular rim 1cm across. To follow up 48 hours.
Age: 5.0
Sex: U
Vaccine: FLUX
Symptoms: Autonomic nervous system imbalance, CSF test normal, Electrocardiogram abnormal, Feeling cold, Hyperhidrosis
Clinical narrative: Initial literature report received on 16 Dec 2010: This patient received unknown influenza virus vaccine (manufacturer and batch number unknown), in left arm. After vaccination, the patient experienced cold sensation without a cause occurred in the left palm on day 1 post-vaccination and redness, swelling, feeling of warmth of the left arm and hyperhidrosis appeared on day 2 post-vaccination. On day 3 post-vaccination, there was a feeling of warmth and chicken pox-like eruptions appeared. No abnormalities were seen on neurological examination and there were no abnormalities on spinal MRI and in the CSF. Although there were no abnormalities in arm motor neuron and sensory neuron conduction speeds, F-wave was not induced, sympathetic skin response (SSR) amplitude on the left side decreased; hunting reaction (CIVD), showed a pattern of decreased sympathetic function on the left side, on an unspecified date. The electrocardiographic RR interval was 0.418 sec. The symptoms tended to diminish from Day 3 and although they disappeared on Day 5, abnormalities in SSR and CIVD continued for about 1 month.
Age: 5.0
Sex: U
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Neurological examination normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Initial literature report received on 16 Dec 2010: This patient received unknown influenza virus vaccine (manufacturer and batch number unknown), in left arm. After vaccination, the patient experienced cold sensation without a cause occurred in the left palm on day 1 post-vaccination and redness, swelling, feeling of warmth of the left arm and hyperhidrosis appeared on day 2 post-vaccination. On day 3 post-vaccination, there was a feeling of warmth and chicken pox-like eruptions appeared. No abnormalities were seen on neurological examination and there were no abnormalities on spinal MRI and in the CSF. Although there were no abnormalities in arm motor neuron and sensory neuron conduction speeds, F-wave was not induced, sympathetic skin response (SSR) amplitude on the left side decreased; hunting reaction (CIVD), showed a pattern of decreased sympathetic function on the left side, on an unspecified date. The electrocardiographic RR interval was 0.418 sec. The symptoms tended to diminish from Day 3 and although they disappeared on Day 5, abnormalities in SSR and CIVD continued for about 1 month.
Age: 5.0
Sex: U
Vaccine: FLUX
Symptoms: Rash vesicular
Clinical narrative: Initial literature report received on 16 Dec 2010: This patient received unknown influenza virus vaccine (manufacturer and batch number unknown), in left arm. After vaccination, the patient experienced cold sensation without a cause occurred in the left palm on day 1 post-vaccination and redness, swelling, feeling of warmth of the left arm and hyperhidrosis appeared on day 2 post-vaccination. On day 3 post-vaccination, there was a feeling of warmth and chicken pox-like eruptions appeared. No abnormalities were seen on neurological examination and there were no abnormalities on spinal MRI and in the CSF. Although there were no abnormalities in arm motor neuron and sensory neuron conduction speeds, F-wave was not induced, sympathetic skin response (SSR) amplitude on the left side decreased; hunting reaction (CIVD), showed a pattern of decreased sympathetic function on the left side, on an unspecified date. The electrocardiographic RR interval was 0.418 sec. The symptoms tended to diminish from Day 3 and although they disappeared on Day 5, abnormalities in SSR and CIVD continued for about 1 month.
Sex: M
Vaccine: RAB
Symptoms: Congestive cardiomyopathy, Heart rate increased
Clinical narrative: Initial consumer (patient) report received on 06 Jan 2011: This patient was vaccinated with first dose of RABIPUR (batch number unknown) on 04 Nov 2010 (pre-exposure series). He was vaccinated with second dose and third dose on 11 Nov 2010 and 25 Nov 2010 respectively. Few days after receiving second dose (close temporal relationship to the second dose on 11 Nov 2010), the patient presented with persistent increased heart rate (160 beats/minute). Few days later, he was diagnosed with dilated cardiomyopathy. The seriousness, causality and outcome were not reported.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt states he had immediate redness, pain and swelling at time of the injection. By 10 PM the redness had spread over the back of his right arm, pt was unable to lay on arm due to pain and warmth.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Pt states he had immediate redness, pain and swelling at time of the injection. By 10 PM the redness had spread over the back of his right arm, pt was unable to lay on arm due to pain and warmth.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Rash macular, Rash pruritic
Clinical narrative: FLESH TONED MACULAR RASH ON ABDOMEN, PRURITIC NO EXCORIATION NOTED, MACULES FROM 2-8CM IRREGULAR EDGES.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chest pain, Dysphagia, Headache, Immune system disorder
Clinical narrative: Extreme pain in neck, jaw, teeth, headache, upper back, shoulder, chest, rib cage.  Wheezing, inability to swallow, move head, neck, arms.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Musculoskeletal chest pain, Musculoskeletal pain, Neck pain, Pain in jaw
Clinical narrative: Extreme pain in neck, jaw, teeth, headache, upper back, shoulder, chest, rib cage.  Wheezing, inability to swallow, move head, neck, arms.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Toothache, Wheezing, X-ray normal
Clinical narrative: Extreme pain in neck, jaw, teeth, headache, upper back, shoulder, chest, rib cage.  Wheezing, inability to swallow, move head, neck, arms.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea
Clinical narrative: CLIENT BECAME NAUSEATED AFTER VACCINATION AND COMPLAINED OF BEING DIZZY. SHE WAS INSTRUCTED TO REMAIN SEATED 15 MIN. BP WAS CHECKED 3 TIMES. TWICE SITTING, 1 STANDING. SENT HOME WITH MOM AFTER STATING "I FEEL BETTER'.
Age: 0.37
Sex: F
Vaccine: DTAPIPVHIB, RVX
Symptoms: Choking, Crying, Screaming, Vomiting
Clinical narrative: Inconsolable crying and screaming that lasted for two hours. The next evening, 12/30/2010, the crying and screaming was again inconsolable and lasted four hours straight. Both nights, patient vomited and choked while crying.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Death, Guillain-Barre syndrome, Malaise
Clinical narrative: Per patients daughter, he developed Guillain Barre Syndrome. He fell ill on 12/26/2010, was admitted to Medical Center and passed away on 1/6/2011.
Age: 1.09
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Blood test, Culture throat, Dysphonia, Fatigue, Full blood count
Clinical narrative: 1145 started w/fever and raspy voice (102.6 R)* sleepy 1700 temperature 103.6 degrees R* tired & washed out pale 1830 to ER  *alternated TYLENOL and MOTRIN without relieve.
Age: 1.09
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Pallor, Pyrexia, Somnolence, Urine analysis
Clinical narrative: 1145 started w/fever and raspy voice (102.6 R)* sleepy 1700 temperature 103.6 degrees R* tired & washed out pale 1830 to ER  *alternated TYLENOL and MOTRIN without relieve.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Abdominal pain upper, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Fever 101, headache, stomach ache, local erythema heat swelling 4 cm diameter.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Pyrexia
Clinical narrative: Fever 101, headache, stomach ache, local erythema heat swelling 4 cm diameter.
Age: 25.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Allergy test negative, Chest discomfort, Radioallergosorbent test negative, Skin test negative, Tachycardia
Clinical narrative: Received her H1N1 vaccination (injection) on 3Feb10 and within minutes began to experience "itchiness" in her throat. She then began to experience chest tightness so she took oral BENADRYL 25mg. After 20 minutes the pt proceeded to local BMC for evaluation. The clinic provider documented that the patient "does have a pork allergy for which she experiences the exact symptoms. (+) throat tightening sensation (+) chest tightness (+) palpitations (+) tingling of lips and B/L fingertips. The pt who was initially tachycardic and tachypneic although having normal/stable BP and SpO2, remained in the clinic for 2 hours during which all her symptoms, after her original BENADRYL and without further treatment, resolved. Throughout her observation period, she was without evidence of hypoxia, stridor, wheezing, N/V/D, lightheadedness, urticaria, angioedema, or other sx to suggest anaphylaxis. She has no history of prior adverse reactions to vaccinations.
Age: 25.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Tachypnoea, Throat irritation
Clinical narrative: Received her H1N1 vaccination (injection) on 3Feb10 and within minutes began to experience "itchiness" in her throat. She then began to experience chest tightness so she took oral BENADRYL 25mg. After 20 minutes the pt proceeded to local BMC for evaluation. The clinic provider documented that the patient "does have a pork allergy for which she experiences the exact symptoms. (+) throat tightening sensation (+) chest tightness (+) palpitations (+) tingling of lips and B/L fingertips. The pt who was initially tachycardic and tachypneic although having normal/stable BP and SpO2, remained in the clinic for 2 hours during which all her symptoms, after her original BENADRYL and without further treatment, resolved. Throughout her observation period, she was without evidence of hypoxia, stridor, wheezing, N/V/D, lightheadedness, urticaria, angioedema, or other sx to suggest anaphylaxis. She has no history of prior adverse reactions to vaccinations.
Age: 0.45
Sex: M
Vaccine: DTAPHEPBIP, PNC13, RV1
Symptoms: Diarrhoea, Irritability, Vomiting
Clinical narrative: Diarrhea started 1/15/2011 to 1/19/2011, Irritability 1/15/2011 to 1/18/2011, Vomiting 1/16/2011 to 1/19/2011
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cellulitis, Injection site swelling
Clinical narrative: Pt's daughter came in and stated that the pt had to go to ER b/c of injection site issue. The daughter stated that arm was swollen and pt was taken to ER and according to the daughter the pt was diagnosed w/cellulitis & given rxs from ER doctor for Keflex 500mg and Prednisone 20mg. Daughter thought adverse event (infection) due to Zostavax SQ vaccination.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cellulitis, Oedema peripheral
Clinical narrative: Pt's daughter came in and stated that the pt had to go to ER b/c of injection site issue. The daughter stated that arm was swollen and pt was taken to ER and according to the daughter the pt was diagnosed w/cellulitis & given rxs from ER doctor for Keflex 500mg and Prednisone 20mg. Daughter thought adverse event (infection) due to Zostavax SQ vaccination.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient states injection site became red, swollen, and itchy on 01/18/2011.  Patient advised to use ice on the injection site and Tylenol for any discomfort per Dr. Also for patient to return to office if symptoms persist.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: RT. Upper Arm has redness hot to touch and pain at injection site patient stated started next day of injection after exam, ice pack given to apply instructed to use Tylenol for pain referral given to see health care prvider or go to hospital if it is worse. Temperature 98F.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Severe diarrhea and vomiting for 12 hours.
Age: 23.0
Sex: F
Vaccine: MNQ
Symptoms: Flushing, Headache, Immediate post-injection reaction, Ocular discomfort
Clinical narrative: CLIENT BECAME UNSTEADY ON FEET WHILE CHECKING OUT. WAS ESCORTED BACK TO CLINIC RM. BP 121/78 @ 4:17PM. CLIENT STATED SHE FELT OCCULAR PRESSURE BILATERALLY WHICH EVOLVED INTO OCCIPITAL PAIN IMMEDIATELY FOLLOWING ADMINISTRATION OF MENTACTRA 0.5CC IM L DELTOID. CLIENT DEMONSTRATED FACIAL FLUSHING.  911 WAS CALLED.  CLIENT DECLINED TRANSPORT AND LEFT AMBULATORY WITH EMTs.
Age: 55.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Body temperature increased, Chills, Erythema, Hypersensitivity, Nausea
Clinical narrative: Started feeling nausea, chills arm was red and swollen.  The chills got worse and worse - highest temperature recorded was 100.2.
Age: 55.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Oedema peripheral
Clinical narrative: Started feeling nausea, chills arm was red and swollen.  The chills got worse and worse - highest temperature recorded was 100.2.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Abscess, Bacterial infection, Incisional drainage, Injection site erythema, Pyrexia
Clinical narrative: Subject developed fever and redness at vaccination site.  Subject reports development of a secondary bacterial infection with abscess formation and sepsis.  Hospitalized for five days.  Treated with parenteral antibiotics and incision and drainage.
Age: 34.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Sepsis
Clinical narrative: Subject developed fever and redness at vaccination site.  Subject reports development of a secondary bacterial infection with abscess formation and sepsis.  Hospitalized for five days.  Treated with parenteral antibiotics and incision and drainage.
Age: 50.0
Sex: M
Vaccine: HEPA, IPV, YF
Symptoms: Chills, Gait disturbance, Headache, Muscle twitching, Pyrexia
Clinical narrative: Presents to emergency department in the early care after the patient was witnessed to have a syncopal event. The patient went into urgent care today because of increasing complications of fever shakes and chills and uncontrollable twitch. Patient had first evidence of these symptoms 2 days ago on Saturday while at work. The patient had uncontrollable shaking episode but eventually it subsided and he drove himself home as opposed to being taken to the hospital. The patient has been ambulating at home but not his typical way he seems to move with holding onto structures and needing to have assistance. The patient has not fallen or cause any injury. The patient has complained of headaches he usually does not have headaches.
Age: 50.0
Sex: M
Vaccine: HEPA, IPV, YF
Symptoms: Syncope, Tremor
Clinical narrative: Presents to emergency department in the early care after the patient was witnessed to have a syncopal event. The patient went into urgent care today because of increasing complications of fever shakes and chills and uncontrollable twitch. Patient had first evidence of these symptoms 2 days ago on Saturday while at work. The patient had uncontrollable shaking episode but eventually it subsided and he drove himself home as opposed to being taken to the hospital. The patient has been ambulating at home but not his typical way he seems to move with holding onto structures and needing to have assistance. The patient has not fallen or cause any injury. The patient has complained of headaches he usually does not have headaches.
Age: 60.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Chest discomfort, Feeling abnormal
Clinical narrative: Walking away from getting injection suddenly felt weak, "weird", chest discomfort.  Did not notify nurse.  Did not see MD. Went home.
Age: 60.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Activities of daily living impaired, Asthenia, Chest pain, Malaise
Clinical narrative: Walking away from getting injection suddenly felt weak, "weird", chest discomfort.  Did not notify nurse.  Did not see MD. Went home.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: The administration site felt hard to the touch, showed redness, minor swelling, and minor itching the following day after administration. An ice pack was used by the patient to relieve itching.  5 days later all symptoms have lessened significantly.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Gastrointestinal tube insertion, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Hands and feet numbness. Progressed into full body paralysis. Guillain Barre Syndrome confirmed on 10/26/2010. Had a tracheotomy and was on feeding tube for life support. Unable to move below head. Had treatment with both plasmapheresis and IVIG. Hospitalized for near 2 months followed by PT & OT.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Life support, Lumbar puncture, Nerve conduction studies, Nuclear magnetic resonance imaging, Paralysis
Clinical narrative: Hands and feet numbness. Progressed into full body paralysis. Guillain Barre Syndrome confirmed on 10/26/2010. Had a tracheotomy and was on feeding tube for life support. Unable to move below head. Had treatment with both plasmapheresis and IVIG. Hospitalized for near 2 months followed by PT & OT.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Plasmapheresis, Tracheostomy, X-ray
Clinical narrative: Hands and feet numbness. Progressed into full body paralysis. Guillain Barre Syndrome confirmed on 10/26/2010. Had a tracheotomy and was on feeding tube for life support. Unable to move below head. Had treatment with both plasmapheresis and IVIG. Hospitalized for near 2 months followed by PT & OT.
Age: 25.0
Sex: F
Vaccine: DTAP
Symptoms: Diarrhoea, Injection site erythema, Injection site haematoma, Injection site pain, Injection site swelling
Clinical narrative: Acute pain and swelling around injection site, Redness and bruising around the injection site, reaching 3-4 inches diameter for 4 days, diarrhea for 4 days.
Age: 0.19
Sex: M
Vaccine: DTAP, HIBV, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Abnormal faeces, Diarrhoea, Vomiting
Clinical narrative: Throwing up, sour smelling diarrhea.  No fever.  Continuous from start date to current.
Age: 0.19
Sex: M
Vaccine: DTAP, HIBV, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Throwing up, sour smelling diarrhea.  No fever.  Continuous from start date to current.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Influenza virus test negative, Pyrexia, Streptococcus test negative
Clinical narrative: High fever started within 2 hours after vaccine, at 11:30 PM it was up to 101.5.  Tylenol given and fever continued to rise.  Up to 104.6 at 2:30 am.  Remained 102.8-104.4 until about 30-34 hours after vaccine.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dysstasia, Fall, Gait disturbance, Sensory loss
Clinical narrative: Severe weakness, could not stand, would slip to floor, vomiting, had no sensation to coordinate his gait.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Severe weakness, could not stand, would slip to floor, vomiting, had no sensation to coordinate his gait.
Age: 60.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Wheezing & shortness of breath - simultaneous flu administration, but has tolerated this well.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Inflammation, Joint range of motion decreased, Mobility decreased, Musculoskeletal discomfort
Clinical narrative: Several hours after injection, patient felt a pulling or straining muscle feeling. After several weeks, symptoms got worse with tenderness, numbness, pain, inflammation and immobility occurred. Progressive range of motion deterioration. Patient on numerous occasions received analgesics and anti inflammatories from her physician.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Tenderness
Clinical narrative: Several hours after injection, patient felt a pulling or straining muscle feeling. After several weeks, symptoms got worse with tenderness, numbness, pain, inflammation and immobility occurred. Progressive range of motion deterioration. Patient on numerous occasions received analgesics and anti inflammatories from her physician.
Age: 18.0
Sex: M
Vaccine: FLU3, FLUN3, HEPA, HPV4, VARCEL
Symptoms: Expired drug administered
Clinical narrative: Influenza vaccine that was administered was expired. (FLUMIST) IM influenza repeated.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling erythema and pain at injection site.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Varicella
Clinical narrative: Vaccine induced chickenpox.
Age: 1.89
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL, DTAPIPVHIB, MMR, VARCEL
Symptoms: Musculoskeletal stiffness
Clinical narrative: Mom states: Stiffness for about 10 sec. Sent to ED for eval.