chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging normal, Upper respiratory tract infection
Clinical narrative: Numbness from the waist down. Develpoed shingles on leg 10/1/09. 11/19/09 DC summary and MR received for date 10/28/09.  DX: distal sensory neuropathy with dysesthesia. Presented w/ c/o 1 wk h/o progressive numbness/weakness of the bilat. LE. Flu vax given 10/1. SOB until 10/17. Numbness/weakness continued to worsen over a week, trouble w/ balance. Pt. states had shingles immed after flu vax and repeated exposure to tick bites. Several labs still pending at DC. Assessment: (+)weakness bilat. LE, gait instability w/ walking, (+)chronic mild HA.
Age: 46.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Herpes zoster, Hypoaesthesia
Clinical narrative: Numbness from the waist down. Develpoed shingles on leg 10/1/09. 11/19/09 DC summary and MR received for date 10/28/09.  DX: distal sensory neuropathy with dysesthesia. Presented w/ c/o 1 wk h/o progressive numbness/weakness of the bilat. LE. Flu vax given 10/1. SOB until 10/17. Numbness/weakness continued to worsen over a week, trouble w/ balance. Pt. states had shingles immed after flu vax and repeated exposure to tick bites. Several labs still pending at DC. Assessment: (+)weakness bilat. LE, gait instability w/ walking, (+)chronic mild HA.
Age: 34.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Arthralgia, Diarrhoea, Foreign travel, Hypoaesthesia, Laboratory test normal
Clinical narrative: Numbness of extremities.
Age: 34.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: No reaction on previous exposure to drug, Paraesthesia
Clinical narrative: Numbness of extremities.
Age: 34.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Hypoaesthesia
Clinical narrative: Numbness of extremities.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Dizziness, Erythema, Injection site erythema, Tachycardia
Clinical narrative: Within five minutes of receipt of H1N1 vaccine patient presented with red, swollen injection site. She stated her feet felt heavy and felt like her blood sugar was dropping. She became faint and was supported sitting in a chair by clinic staff. Patients L side of neck developed a red, blotchy rash. Rash progressed to patients R side of neck and R upper arm. Patient began passing out. Epinephrine 1:1000 (0.3 cc administered IM and site massaged. Ammonia inhalant administered with immediate response from patient. Patient began dry heaves. Patient alert and responsive. Patient c/o double vision and her eyes were crossed inward. Patient never exhibited SOB or airway obstruction. Life squad alerted prior to administration of epinephrine. Finger stick blood sugar was 124. Nurses provided supportive care and re-administered epinephrine 1:1000 (0.2 cc) IM per nursing policy as patient again became less responsive to verbal commands. Eyes remained crossed inwards. Squad arrived while nurse administering second dose of epinephrine. Patient responded to epinephrine and stated her L arm felt tingly. L arm was the site of the influenza vaccine. Patient responded to paramedics questions and was transferred from chair to gurney with assistance by squad. Patient transported to local hospital via squad. 11-6-09 Hospital treated her with 5 days of prednisone and BENADRYL. She told me today on follow up call. She had a localized reaction to a flu shot approximately 10 yr. ago. She doesn't get a flu shot yearly and can't remember when she had one last. Addendum: She also told me today, 11-6-09, that she's also allergic to CECLOR, KEFLEX, BIAXIN AND LEVAQUIN.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Tremor
Clinical narrative: Within five minutes of receipt of H1N1 vaccine patient presented with red, swollen injection site. She stated her feet felt heavy and felt like her blood sugar was dropping. She became faint and was supported sitting in a chair by clinic staff. Patients L side of neck developed a red, blotchy rash. Rash progressed to patients R side of neck and R upper arm. Patient began passing out. Epinephrine 1:1000 (0.3 cc administered IM and site massaged. Ammonia inhalant administered with immediate response from patient. Patient began dry heaves. Patient alert and responsive. Patient c/o double vision and her eyes were crossed inward. Patient never exhibited SOB or airway obstruction. Life squad alerted prior to administration of epinephrine. Finger stick blood sugar was 124. Nurses provided supportive care and re-administered epinephrine 1:1000 (0.2 cc) IM per nursing policy as patient again became less responsive to verbal commands. Eyes remained crossed inwards. Squad arrived while nurse administering second dose of epinephrine. Patient responded to epinephrine and stated her L arm felt tingly. L arm was the site of the influenza vaccine. Patient responded to paramedics questions and was transferred from chair to gurney with assistance by squad. Patient transported to local hospital via squad. 11-6-09 Hospital treated her with 5 days of prednisone and BENADRYL. She told me today on follow up call. She had a localized reaction to a flu shot approximately 10 yr. ago. She doesn't get a flu shot yearly and can't remember when she had one last. Addendum: She also told me today, 11-6-09, that she's also allergic to CECLOR, KEFLEX, BIAXIN AND LEVAQUIN.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Blood glucose increased, Diplopia, Dizziness, Injection site erythema, Injection site swelling
Clinical narrative: Within five minutes of receipt of H1N1 vaccine patient presented with red, swollen injection site. She stated her feet felt heavy and felt like her blood sugar was dropping. She became faint and was supported sitting in a chair by clinic staff. Patients L side of neck developed a red, blotchy rash. Rash progressed to patients R side of neck and R upper arm. Patient began passing out. Epinephrine 1:1000 (0.3 cc administered IM and site massaged. Ammonia inhalant administered with immediate response from patient. Patient began dry heaves. Patient alert and responsive. Patient c/o double vision and her eyes were crossed inward. Patient never exhibited SOB or airway obstruction. Life squad alerted prior to administration of epinephrine. Finger stick blood sugar was 124. Nurses provided supportive care and re-administered epinephrine 1:1000 (0.2 cc) IM per nursing policy as patient again became less responsive to verbal commands. Eyes remained crossed inwards. Squad arrived while nurse administering second dose of epinephrine. Patient responded to epinephrine and stated her L arm felt tingly. L arm was the site of the influenza vaccine. Patient responded to paramedics questions and was transferred from chair to gurney with assistance by squad. Patient transported to local hospital via squad. 11-6-09 Hospital treated her with 5 days of prednisone and BENADRYL. She told me today on follow up call. She had a localized reaction to a flu shot approximately 10 yr. ago. She doesn't get a flu shot yearly and can't remember when she had one last. Addendum: She also told me today, 11-6-09, that she's also allergic to CECLOR, KEFLEX, BIAXIN AND LEVAQUIN.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Loss of consciousness, Paraesthesia, Rash erythematous, Rash macular, Retching
Clinical narrative: Within five minutes of receipt of H1N1 vaccine patient presented with red, swollen injection site. She stated her feet felt heavy and felt like her blood sugar was dropping. She became faint and was supported sitting in a chair by clinic staff. Patients L side of neck developed a red, blotchy rash. Rash progressed to patients R side of neck and R upper arm. Patient began passing out. Epinephrine 1:1000 (0.3 cc administered IM and site massaged. Ammonia inhalant administered with immediate response from patient. Patient began dry heaves. Patient alert and responsive. Patient c/o double vision and her eyes were crossed inward. Patient never exhibited SOB or airway obstruction. Life squad alerted prior to administration of epinephrine. Finger stick blood sugar was 124. Nurses provided supportive care and re-administered epinephrine 1:1000 (0.2 cc) IM per nursing policy as patient again became less responsive to verbal commands. Eyes remained crossed inwards. Squad arrived while nurse administering second dose of epinephrine. Patient responded to epinephrine and stated her L arm felt tingly. L arm was the site of the influenza vaccine. Patient responded to paramedics questions and was transferred from chair to gurney with assistance by squad. Patient transported to local hospital via squad. 11-6-09 Hospital treated her with 5 days of prednisone and BENADRYL. She told me today on follow up call. She had a localized reaction to a flu shot approximately 10 yr. ago. She doesn't get a flu shot yearly and can't remember when she had one last. Addendum: She also told me today, 11-6-09, that she's also allergic to CECLOR, KEFLEX, BIAXIN AND LEVAQUIN.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Sensation of heaviness, Similar reaction on previous exposure to drug, Unresponsive to stimuli
Clinical narrative: Within five minutes of receipt of H1N1 vaccine patient presented with red, swollen injection site. She stated her feet felt heavy and felt like her blood sugar was dropping. She became faint and was supported sitting in a chair by clinic staff. Patients L side of neck developed a red, blotchy rash. Rash progressed to patients R side of neck and R upper arm. Patient began passing out. Epinephrine 1:1000 (0.3 cc administered IM and site massaged. Ammonia inhalant administered with immediate response from patient. Patient began dry heaves. Patient alert and responsive. Patient c/o double vision and her eyes were crossed inward. Patient never exhibited SOB or airway obstruction. Life squad alerted prior to administration of epinephrine. Finger stick blood sugar was 124. Nurses provided supportive care and re-administered epinephrine 1:1000 (0.2 cc) IM per nursing policy as patient again became less responsive to verbal commands. Eyes remained crossed inwards. Squad arrived while nurse administering second dose of epinephrine. Patient responded to epinephrine and stated her L arm felt tingly. L arm was the site of the influenza vaccine. Patient responded to paramedics questions and was transferred from chair to gurney with assistance by squad. Patient transported to local hospital via squad. 11-6-09 Hospital treated her with 5 days of prednisone and BENADRYL. She told me today on follow up call. She had a localized reaction to a flu shot approximately 10 yr. ago. She doesn't get a flu shot yearly and can't remember when she had one last. Addendum: She also told me today, 11-6-09, that she's also allergic to CECLOR, KEFLEX, BIAXIN AND LEVAQUIN.
Age: 36.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Burning sensation, Injection site anaesthesia, Injection site pain, Pain in extremity, Paraesthesia
Clinical narrative: Took H1N1 vaccine at 10 pm on 10/21/09 - received right arm. Next morning began having right calf pain and burning that has been intermittent along with occasional Charlie Horse in right foot. A few days later I had thigh pain, burning with progressed to right gluteal pain and numbness. This weekend it has now developed in right upper arm and has progressed with numbness and tingling down to fingers. All symptoms are unilateral and are intermittent throughout the day.
Age: 36.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Burning sensation, Hypoaesthesia, Muscle spasms, Musculoskeletal pain, Pain in extremity
Clinical narrative: Took H1N1 vaccine at 10 pm on 10/21/09 - received right arm. Next morning began having right calf pain and burning that has been intermittent along with occasional Charlie Horse in right foot. A few days later I had thigh pain, burning with progressed to right gluteal pain and numbness. This weekend it has now developed in right upper arm and has progressed with numbness and tingling down to fingers. All symptoms are unilateral and are intermittent throughout the day.
Age: 36.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Took H1N1 vaccine at 10 pm on 10/21/09 - received right arm. Next morning began having right calf pain and burning that has been intermittent along with occasional Charlie Horse in right foot. A few days later I had thigh pain, burning with progressed to right gluteal pain and numbness. This weekend it has now developed in right upper arm and has progressed with numbness and tingling down to fingers. All symptoms are unilateral and are intermittent throughout the day.
Age: 1.0
Sex: M
Vaccine: FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Convulsion, Foaming at mouth
Clinical narrative: Seizure and foaming at mouth(several minutes)Mild elevated temp 100.2
Age: 61.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Dizziness, Headache
Clinical narrative: I received the regular flu vaccination and the pneumococcal in the left arm.  Within 10 min., I was dizzy.  Then 30 min later I had a throbbing headache.  The headache lasted for 2 hours, then it was totally gone.
Age: 50.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness
Clinical narrative: DIZZY, LIKE MOTION SICKNESS DIZZINESS,I feel like I have motion sickness, but not all the time...it comes and goes.I work nites..had a hard time Monday night...Tuesday a little better.
Age: 33.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rash pruritic
Clinical narrative: itchy rash widespread on neck, chest, and back
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Headache, Nausea, Oropharyngeal pain, Somnambulism
Clinical narrative: about 20 minutes after I got the vaccine I felt nausas then very tired I actually fell asleep while driving.  which has never happendto me thank God I didn't have acident. Later that day I started getting a slight headach then a sore throat and mucus in the back of my throat.
Age: 30.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Fatigue, Malaise, Myalgia, Nausea
Clinical narrative: Nausea, dizziness, running nose, muscle soreness, fatigue, general unwell feeling.
Age: 30.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rhinorrhoea
Clinical narrative: Nausea, dizziness, running nose, muscle soreness, fatigue, general unwell feeling.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Hyperhidrosis, Syncope
Clinical narrative: Anaphylatic reaction: Initially, dizziness /light-headed which progressed to shortness of breath, sweating, syncope (within 5 minutes).  Required 1 dose of Epipen 0.3mg and EMS transport to hospital.   11/16/09 Medical records and discharge summary received for DOS: 11/12/09. Final DX: Allergic reaction to vaccine. C/o dizziness/wooziness s/p vaccine. Throat tightness. Diaphoresis. Epi in office. ED visit. Benadryl. D/C to home.
Age: 8.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Irritability, Vomiting
Clinical narrative: Fatigue, crankiness followed by 4 episodes of vomiting approximately 30 minutes apart.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: miscarriage.  11/20/09:  Medical records received for dates of service 10/22/09.  Dx.  Threatened abortion. OB US shows IUP with no cardiac activity, date discrepancy of 4 weeks for crown-rump length.  Repeat study within a week is advised.   11/24/09:  Medical records received for dates of service 11/19/09:   Dx:  Miscarriage. Gravida 3, Para 2 experienced vaginal spotting/bleeding and miscarried on 10/25/09.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dry throat, Eye pruritus, Ocular hyperaemia, Rhinorrhoea
Clinical narrative: Pt stated his eyes began itching and became red.  He stated he felt his throat was dry and his nose was running.  He stated he did not feel his throat was swelling and denied shortness of breath.  Pt stated this lasted "a few hours".  He stated he went to bed and slept all night without difficulty and the symptoms were gone the next morning.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Fatigue, Myalgia, No reaction on previous exposure to drug, Pain
Clinical narrative: Within a few hours of the vaccine I developed generalized muscle aches and pains. At approximately 12 hours I developed excruciating cramping pain in my ankles that moved to my thighs over a 2 hour period. I developed difficulty breathing and severe chest pain. I was admitted to the hospital for observation and discharged after receiving diagnostic testing and supportive care.  11/13/09 DS received for DOS 11/01/09  11/01/09 Final DX: Viral syndrome and chest pain.    The Pt was admitted to the hospital on 11/01/09 after 3 weeks HX of upper respiratory infection with nasal congestion and cough and 1 day after receiving H1N1 vaccine.  Pt reported developing difficulty breathing, severe chest pain, nausea, vomiting, general muscle cramping pain bilaterally in both ankles radiating to both calves, epigastric pain radiating to her left chest, left neck and left arm.  All the tests were negative and the Pt was discharged home in good condition.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Myalgia
Clinical narrative: Woke up with numbness and horrible muscle pain on left side of body.  The shot had been given on right arm.
Age: 13.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Immediate post-injection reaction, Influenza like illness, Lethargy, Pyrexia
Clinical narrative: Immediate blurring of vision, weak, flu-like symptoms, fever, lethargic.
Age: 13.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Vision blurred
Clinical narrative: Immediate blurring of vision, weak, flu-like symptoms, fever, lethargic.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain
Clinical narrative: Pins and needles feeling in left 4th toe.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Culture positive, Intensive care, Lobar pneumonia, Oxygen saturation decreased, Pyrexia
Clinical narrative: Well visit 10-19-09, chest clear. Received H1N1 vaccine. By supper time, wheeze and resp distress. Fever by next a.m., Several meds given. In office: pulse ox 85%, admitted to PICU.  11/19/09:  ED and hospital received for date of service 10/19 and 10/23/09. Dx:  Pneumonia, asthma, hypoxia.  Assessment:  Presented with 2 day hx. of SOB, oxygen sats. 85%, respiratory distress, non-productive cough, wheezes, rhinorrhea, tachycardia, tachypnea,  decreased breath sounds, crackles, increased WOB,  vomited x 3, moderate retractions, and fever of 101 degrees. Treated with IV fluids, Antibiotics, nebulizer therapy, oxygen therapy, Tamiflu, admitted to PICU. Discharged in improved condition.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Respiratory distress, Wheezing
Clinical narrative: Well visit 10-19-09, chest clear. Received H1N1 vaccine. By supper time, wheeze and resp distress. Fever by next a.m., Several meds given. In office: pulse ox 85%, admitted to PICU.  11/19/09:  ED and hospital received for date of service 10/19 and 10/23/09. Dx:  Pneumonia, asthma, hypoxia.  Assessment:  Presented with 2 day hx. of SOB, oxygen sats. 85%, respiratory distress, non-productive cough, wheezes, rhinorrhea, tachycardia, tachypnea,  decreased breath sounds, crackles, increased WOB,  vomited x 3, moderate retractions, and fever of 101 degrees. Treated with IV fluids, Antibiotics, nebulizer therapy, oxygen therapy, Tamiflu, admitted to PICU. Discharged in improved condition.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Pt is experiencing multiple joint pain for 1 yr. He had his first anthrax vaccine in 2008 - unknown date, but given at a certain location.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Pt. is on ORTHO-CYCLEN. Last 2 menstrual periods 09/21/09 and 10/13/09. Pt. given H1N1 LAIV 11/2/09. Pt. was seen by FPC on 11/6/09. UPT + with estimated gestational age of 6-8 wks by exam. Medical records received for date 11/6/09. DX: IUP 6-8wks. Pt presented w/ absence of menses.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cerebrovascular accident, Chest X-ray, Computerised tomogram, Facial palsy, Monoplegia
Clinical narrative: Injection in R arm. Neurological reaction/nerve response. Paralysis in right side of face and right arm. Throat numb on right side. Hospital dx: stroke or Bell's palsy. Admit: 11/10-11/11. Within 30 mins-ER. 11/17/09 Medical records received for date 11/11/09. Neuro consult. DX:allergic rx to H1N1 vax. Presented w/ c/o getting H1N1 vax in rt. arm, within 5 min. felt cramping pain in rt. side neck, shoulder, itching rt. arm, rt.hand and rt. side face numbness, facial droop rt. side. Pt. went to ER, where sx began to resolve, but c/o HA. Consult today pt states sx resolved. Assessment: WNL
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Neurological symptom, Nuclear magnetic resonance imaging, Paraesthesia, Pharyngeal hypoaesthesia, Phlebotomy
Clinical narrative: Injection in R arm. Neurological reaction/nerve response. Paralysis in right side of face and right arm. Throat numb on right side. Hospital dx: stroke or Bell's palsy. Admit: 11/10-11/11. Within 30 mins-ER. 11/17/09 Medical records received for date 11/11/09. Neuro consult. DX:allergic rx to H1N1 vax. Presented w/ c/o getting H1N1 vax in rt. arm, within 5 min. felt cramping pain in rt. side neck, shoulder, itching rt. arm, rt.hand and rt. side face numbness, facial droop rt. side. Pt. went to ER, where sx began to resolve, but c/o HA. Consult today pt states sx resolved. Assessment: WNL
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Pt was given the live, attenuated, intranasal vaccine and she is 16 weeks pregnant. 11/16/2009 OB-GYN records stating patient 16 weeks pregnant, received H1N1 on 11/12/2009, no adverse reactions noted at this time.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Erythema multiforme, No reaction on previous exposure to drug, Pharyngeal erythema, Pyrexia
Clinical narrative: A serious spontaneous report of erythema multiforme has been received from a physician concerning a 42-month-old male, subsequent to FLUMIST. The patient had no medical history and was not taking any concomitant medications. He has not received any vaccinations since his 18 month visit and has not experienced any reactions after other previous vaccinations. The patient received his first dose of FLUMIST on 22-Oct-2009. On 25-Oct-2009, the patient experienced a fever of 101.3 degrees Fahrenheit and erythema multiforme which covered his entire body. He was treated with cetirizine. During a follow-up visit on 30-Oct-2009, his throat was noted to be "a little red but not sore." The patient did not experience any other symptoms. On 30-Oct-2009, the events were considered resolved. The reporter was not sure if the event was caused by FLUMIST or coincidental and caused by another virus. The sponsor considered the event medically important and conservatively assessed it as related to FLUMIST.
Age: 18.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Nasal inflammation, Pruritus, Swelling
Clinical narrative: Facial erythema, swelling, itching, nasal passage swelling.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Joint range of motion decreased, Neuralgia, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a physician concerning a 68 year old patient with brain cancer, lymphoma, hormone replacement therapy and sleep issue who was vaccinated with a single injection of PNEUMOVAX 23 on 03-NOV-2009 (lot number: 663891/0509Y, expiration date 14-NOV-2010). Concomitant therapy included AMBIEN for the treatment of sleep issue and estrogens (unspecified) (+) progesterone for hormone replacement therapy. The patient reported to the physician that on 03-NOV-2009, about 2 hours after receiving the vaccine, the patient had excruciating pain in her whole extremity which got progressively worse, so that night she went to the urgent care for pain medication. On an unknown date since receiving the vaccine, the patient developed a rash over her bicep, edema on her upper arm, decreased range of motion, nerve pain from her neck to her fingers and can not move her left shoulder. On 06-NOV-2009 the patient went in for a visit with the physician and was given 2 days of prednisone for her symptoms. It is unknown if there is any relevant laboratory data. As of 06-NOV-2009, it was unknown if she would continue to get the PNEUMOVAX 23 and the patient continued to have excruciating pain, rash over the bicep, edema of her upper arm, decreased range of motion, nerve pain from her neck to her fingers and can not move her left shoulder. It was specified the patient sought medical attention by visit her physician. It was indicated that the report was considered serious by the reporter so upon internal review, the patient's experiences were considered to be other important medical events. Additional information has been requested.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Information has been received from a physician concerning a 68 year old patient with brain cancer, lymphoma, hormone replacement therapy and sleep issue who was vaccinated with a single injection of PNEUMOVAX 23 on 03-NOV-2009 (lot number: 663891/0509Y, expiration date 14-NOV-2010). Concomitant therapy included AMBIEN for the treatment of sleep issue and estrogens (unspecified) (+) progesterone for hormone replacement therapy. The patient reported to the physician that on 03-NOV-2009, about 2 hours after receiving the vaccine, the patient had excruciating pain in her whole extremity which got progressively worse, so that night she went to the urgent care for pain medication. On an unknown date since receiving the vaccine, the patient developed a rash over her bicep, edema on her upper arm, decreased range of motion, nerve pain from her neck to her fingers and can not move her left shoulder. On 06-NOV-2009 the patient went in for a visit with the physician and was given 2 days of prednisone for her symptoms. It is unknown if there is any relevant laboratory data. As of 06-NOV-2009, it was unknown if she would continue to get the PNEUMOVAX 23 and the patient continued to have excruciating pain, rash over the bicep, edema of her upper arm, decreased range of motion, nerve pain from her neck to her fingers and can not move her left shoulder. It was specified the patient sought medical attention by visit her physician. It was indicated that the report was considered serious by the reporter so upon internal review, the patient's experiences were considered to be other important medical events. Additional information has been requested.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Pt became diaphoretic, lightheaded for approximately 4 minutes. Respiratory rate, O2 sat were normal. Cold compress was applied to head and neck and pt felt better. Heart rate initially 50 then recovered to 80-90's. No loss of consciousness.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Aphasia, Autism, Gastrointestinal disorder, Laboratory test
Clinical narrative: Information has been received from a consumer concerning her 4 year old niece who at 15 months old (approximately 2006) was vaccinated with a dose of MMR II. Subsequently, on an unspecified date the patient developed Gastrointestinal complications after vaccination. The reporter noted that her niece stopped talking a few months later and was diagnosed of "some sort of autism". The patient visited a pediatrician for medical attention. A blood test was performed, no results reported. At the time of the report, the patient had not recovered. Upon internal review, "some sort of autism" was considered to be an other important medical event. The patient had a twin brother who experienced an AE post vaccination with MMR II (WAES# 0911USA01875). Additional information has been requested.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, X-ray limb
Clinical narrative: Complains of pain at left deltoid.  Self treated with Ibuprofen and heat.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Full blood count, Hypoaesthesia, Laboratory test, Malaise, Muscular weakness
Clinical narrative: "Upper right arm pain extending from shoulder down, bilateral leg weakness, numbness in feet, malaise, warmness of skin (low grade fever but temperature not taken). All symptoms starting on day of vaccine- 10/27/2009 and getting progressively worse each day" Saw her family health provider on 11/09/2009 and had lab work drawn. 11/30/2009 PCP visit 11/9/2009  and neuro consult for 11/11/2009. Dx viral syndrome, peripheral neuropathy Patient with c/o's LE weakness, numbness of feet, rt deltoid and shoulder pain.  Cipro rx'd for UTI Neuro consult: neuro exam did note decreased ankle jerks, did rx medrol dose pack and Lyrica scheduled  for NCV study
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity, Pyrexia, Red blood cell sedimentation rate, Skin warm
Clinical narrative: "Upper right arm pain extending from shoulder down, bilateral leg weakness, numbness in feet, malaise, warmness of skin (low grade fever but temperature not taken). All symptoms starting on day of vaccine- 10/27/2009 and getting progressively worse each day" Saw her family health provider on 11/09/2009 and had lab work drawn. 11/30/2009 PCP visit 11/9/2009  and neuro consult for 11/11/2009. Dx viral syndrome, peripheral neuropathy Patient with c/o's LE weakness, numbness of feet, rt deltoid and shoulder pain.  Cipro rx'd for UTI Neuro consult: neuro exam did note decreased ankle jerks, did rx medrol dose pack and Lyrica scheduled  for NCV study
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal stiffness, Pain, Paraesthesia
Clinical narrative: Right arm throbbing, tingling, stiffness.
Age: 8.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Dizziness, Pallor, Pyrexia
Clinical narrative: Dizziness, paleness, high fever, fine next day and then dizziness, paleness, high fever started again 11-12-2009 and patient missed school on 11-13-2009.  Recovery time Unknown at this time.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Headache, Pyrexia
Clinical narrative: Son woke up coughing complaining of a severe headache and had high fever. Could not get symptoms to subside took him to the ER. Was treated in ER and sent home. 2 days later both parents became ill with H1N1, comfirmed by family DR.
Age: 37.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chills, Cough, Headache
Clinical narrative: Developed headache shortly after receiving vaccine.  Developed dry chest cough and chills later in the evening which lasted until 11/13/2009 AM.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: ITCHY, RED RAISED RASH NOTED BY PARENT ON BACK AND FRONT OF UPPER TRUNK AND BACK OF LEGS. NOTIFIED PCP WHO ADVISED ADMINISTERING BENADRYL Q 3 HRS THROUGHOUT THE NIGHT, MONITORING FOR INCREASE IN SEVERITY OF SYMPTOMS AND/OR RESPIRATORY DISTRESS. RASH PERSISTED FOR 2 DAYS WITHOUT COMPLICATIONS.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Crying, Emotional distress, Headache
Clinical narrative: Very emotionally distraught, crying followed by severe headache, all day into night.
Age: 14.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Activated partial thromboplastin time normal, Blood electrolytes normal, Contusion, Erythema, Full blood count normal
Clinical narrative: Received swine FLUMIST, 1 hr later developed redness, itching and bruising to bilateral lower extremities. Redness and itching resolved in 1 hr, bruising persisted x 24 h, lower extremities also tender to palpation.
Age: 14.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Prothrombin time normal, Pruritus, Tenderness
Clinical narrative: Received swine FLUMIST, 1 hr later developed redness, itching and bruising to bilateral lower extremities. Redness and itching resolved in 1 hr, bruising persisted x 24 h, lower extremities also tender to palpation.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus, Injection site urticaria
Clinical narrative: Mother called to report her daughter had woken up at 4:00 AM with severe itching/hives at injection site on right arm and cont' down arm to fingers.  No temp, no severe swelling.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: H1N1 nasal vaccine administered between 9:15 and 9:30 AM. Child returned to class, then presented to school nurse's office between 1:15 and 1:30 PM with hives on his cheeks and ears only. Mom arrived at school at apx 2:00 PM and administered 1.5 tsp BENADRYL. Hives resolved by 2:45. Child had been playing outside prior to onset.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Influenza like illness, Pyrexia
Clinical narrative: Fever to 102 degrees F, subsided with MOTRIN. Fever and chills. Onset 11-13-09,  exact time unk. Fever decreased with MOTRIN to 98.6. Week prior to 10-31, child was sick with flu-like sxs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Pallor, Skin plaque
Clinical narrative: Right upper thigh swelling anteriorly; scattered erythematous, blanchable placques; tender to touch- within 24 hours of receiving vaccine. On 11/11/09 - mom reports patient's symptoms are improving.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Tenderness
Clinical narrative: Right upper thigh swelling anteriorly; scattered erythematous, blanchable placques; tender to touch- within 24 hours of receiving vaccine. On 11/11/09 - mom reports patient's symptoms are improving.
Age: 10.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: C-reactive protein normal, Full blood count normal, Injection site cellulitis, Injection site rash, Rash vesicular
Clinical narrative: Adverse reaction to VARICELLA vaccine - Developed vesicular rash at injection site with surrounding cellulitic changes started on antibiotic therapy 11-12-09.
Age: 10.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Vaccination complication
Clinical narrative: Adverse reaction to VARICELLA vaccine - Developed vesicular rash at injection site with surrounding cellulitic changes started on antibiotic therapy 11-12-09.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: Whelpy rash developed the next day-on trunk and legs, after receiving swine flu vaccine. Resolved quickly with 1 dose of BENADRYL. No further rash appeared.
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Depression, Fatigue, Hypoaesthesia, Insomnia
Clinical narrative: Markedly tired, numbness in arms, severely depressed state, loss of sleep.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Bronchial hyperreactivity, Pneumonia
Clinical narrative: Pneumonia/reactive airway disease. 11/18/2009 ED record and DC summary for 11/11-11/13/2009. Dx: Pneumonia Patient with c/o's fever, abd pain and difficulty breathing. CXR + RAD, Tx IV ABX, Resp Tx's with nebs.
Age: 14.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Swelling size of golf ball reported at site of Tdap
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Immunisation reaction, Nausea, Vomiting
Clinical narrative: Patient call facility 45 min after receiving H1N1 vaccine stating she was have a reaction, nausea, vomiting and headache. Patient states she would go to her primary care provider office.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Body temperature increased, Cough, Influenza like illness, Influenza serology
Clinical narrative: Flu like symptoms - sneezing, running nose - weakness, & slight cough low grade temperature.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: Flu like symptoms - sneezing, running nose - weakness, & slight cough low grade temperature.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Rt shoulder and back near shoulder-5 red, raised bumps < 15 mm diameter. Itchy. Will use ice or cold compress prn and hydrocortisone cream prn.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Palm size area of heat/redness. R upper arm sore-lasted approximately 1 wk (resolving now; no longer tender/sore, but still reddened and swollen). Note-H1N1 contained thimerosal/mercury-multi-dose vial.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Local swelling, Pain, Pyrexia, Rash papular
Clinical narrative: Localized red papules and swelling, pain for 10 days, localized fever & chills.
Age: 17.0
Sex: F
Vaccine: FLU3, HPV4, VARCEL
Symptoms: Hypersensitivity, Oedema peripheral, Rash
Clinical narrative: Hypersensitivity rash 3 days after immunizations.  Hand swelling.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: erythematous are R arm from shoulder to mid arm, itchy not very touch.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abnormal behaviour, Pyrexia
Clinical narrative: High fever. Significant behavior changes.
Age: 18.0
Sex: M
Vaccine: FLUN3, HEPAB, MNQ, TD, TYP
Symptoms: Guillain-Barre syndrome, Paresis
Clinical narrative: Motor Paresis: 10-Sep-09.  11/16/09:  Medical Center contact information provided. 11/18/09 DC sum and medical records received for dates 9/10/09 to 9/19/09. DC DX: GBS. Secondary DX: sinusitis. Chief Pt. c/o tingling in feet, hands, weakness in abdominal muscles. Pt. states unable to exercise. Sx began x3 days ago. Ptosis of rt. eye began 1 day ago. Sinus congestion noted x5 days ago then improved. Diarrhea x1 wk ago, now resolved. Pt states was given a "peanut butter shot" 8/4 which is standard for recruits. Pt unable to run, do push-ups, or sit-ups. Pt states feet feeling as "if they are about to fall asleep". Admitted for progression of sx. Assessment: ptosis rt. eye, areflexia, nerve conduction test abnormal-preserved latencies, ataxic, reflexes were present in AM and absent in PM. IVIG started. Pt improved at dc. 12/10/09 Outpatient Medical Records received for DOS 09/22/09 Pt. requesting return to full duty; reports feeling better DX: Guillain-Barre syndrome, resolved.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Breast mass, Pain, Tenderness
Clinical narrative: Felt a hard lump in my breast, same side I received the shot. The lump is very painful and hard. The next day the lump decrease in size and tenderness.
Age: 1.07
Sex: F
Vaccine: FLU(H1N1), FLUX, HEPA
Symptoms: Crying, Gaze palsy, Hypotonia
Clinical narrative: Child crying, eyes rolled back, went limp,  responded immediately to mother saying name, mother picked up and child cried, observed by medical assistant, LPN, and mother.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever 99.6, then escalated to 102.7 by 10:30 pm.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Dehydration, Guillain-Barre syndrome, Viral infection
Clinical narrative: VIRAL SYNDROME / DEHYDRATION.  11/18/09 Hospital records, discharge summary received, service dates 11/6/09 to 11/10/09. Assessment: Weakness, anxiety disorder, panic attacks. Guillain Barre Syndrome dx'd on 10/12/09. Panic attacks, anxiety disorder. Patient had been having pain in legs requiring opioids, difficulty walking, this AM leg weakness worse. Stands unsteady, drags right foot. Sensation and proprioception subjectively decreased in right leg. IVIG administered. Continued antalgic gait, pain in thighs.  11/18/09 Physical Medicine Rehabilitation, additional hospital consults received service dates 10/29/09 to 11/16/09. Assessment: Relapse of Guillain-Barre  Transferred from another hospital and admitted for rehabilitation for Guillain-Barre. 4 weeks ago had weakness in upper and lower extremities, dx'd with Guillain-Barre syndrome, treated with IVIG. Went to rehab and had seizure like episodes. On 11/4/09 increased pain, increased weakness. Presumed diagnosis of relapse of Guillain-Barre with administration of IVIG. Possible seizure symptoms vs anxiety attack. Claustrophobia. Mild facial assymetry. Deep tendon reflexes decreased. Pain inner thighs, legs hurt. Right-sided head pain dx'd as migraine. Hands still painful. Numbness in feet persists. C/O vision problems and some difficulty urinating. Hyperventilation due to anxiety. Anxiety/Mood disorder.  12/07/09 Flu questionnaire received.  12/10/09 MR received for DOS 11/23/09. GBS started on 10/11/09, and Pt complained of loosing vision, dizziness, neuromuscular complaints. Eye exam was normal with exception of extraoccular movements due to nystagmus. Neuro exam: normal.   12/10/09 MR received for DOS 12/01/09. Pt presented to the hospital with extreme weakness, pain, trouble sleeping and anxious. Tx: Vicodin, but no help. Pt saw a psychiatrist. Other tx: Xanax, Klonopin, Cymbalta.  On examination, Pt fatigued, anxiety, vision problems. Goal is to wean Pt off pain meds. Pt had rehab. Pain resolved later on. Impression: Myopathy. Dr's opinion is that this is emotional related event.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Alanine aminotransferase increased, Anxiety, Aspartate aminotransferase increased, Blood product transfusion, Burning sensation
Clinical narrative: VIRAL SYNDROME / DEHYDRATION.  11/18/09 Hospital records, discharge summary received, service dates 11/6/09 to 11/10/09. Assessment: Weakness, anxiety disorder, panic attacks. Guillain Barre Syndrome dx'd on 10/12/09. Panic attacks, anxiety disorder. Patient had been having pain in legs requiring opioids, difficulty walking, this AM leg weakness worse. Stands unsteady, drags right foot. Sensation and proprioception subjectively decreased in right leg. IVIG administered. Continued antalgic gait, pain in thighs.  11/18/09 Physical Medicine Rehabilitation, additional hospital consults received service dates 10/29/09 to 11/16/09. Assessment: Relapse of Guillain-Barre  Transferred from another hospital and admitted for rehabilitation for Guillain-Barre. 4 weeks ago had weakness in upper and lower extremities, dx'd with Guillain-Barre syndrome, treated with IVIG. Went to rehab and had seizure like episodes. On 11/4/09 increased pain, increased weakness. Presumed diagnosis of relapse of Guillain-Barre with administration of IVIG. Possible seizure symptoms vs anxiety attack. Claustrophobia. Mild facial assymetry. Deep tendon reflexes decreased. Pain inner thighs, legs hurt. Right-sided head pain dx'd as migraine. Hands still painful. Numbness in feet persists. C/O vision problems and some difficulty urinating. Hyperventilation due to anxiety. Anxiety/Mood disorder.  12/07/09 Flu questionnaire received.  12/10/09 MR received for DOS 11/23/09. GBS started on 10/11/09, and Pt complained of loosing vision, dizziness, neuromuscular complaints. Eye exam was normal with exception of extraoccular movements due to nystagmus. Neuro exam: normal.   12/10/09 MR received for DOS 12/01/09. Pt presented to the hospital with extreme weakness, pain, trouble sleeping and anxious. Tx: Vicodin, but no help. Pt saw a psychiatrist. Other tx: Xanax, Klonopin, Cymbalta.  On examination, Pt fatigued, anxiety, vision problems. Goal is to wean Pt off pain meds. Pt had rehab. Pain resolved later on. Impression: Myopathy. Dr's opinion is that this is emotional related event.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Communication disorder, Condition aggravated, Conversion disorder, Convulsion, Diplopia
Clinical narrative: VIRAL SYNDROME / DEHYDRATION.  11/18/09 Hospital records, discharge summary received, service dates 11/6/09 to 11/10/09. Assessment: Weakness, anxiety disorder, panic attacks. Guillain Barre Syndrome dx'd on 10/12/09. Panic attacks, anxiety disorder. Patient had been having pain in legs requiring opioids, difficulty walking, this AM leg weakness worse. Stands unsteady, drags right foot. Sensation and proprioception subjectively decreased in right leg. IVIG administered. Continued antalgic gait, pain in thighs.  11/18/09 Physical Medicine Rehabilitation, additional hospital consults received service dates 10/29/09 to 11/16/09. Assessment: Relapse of Guillain-Barre  Transferred from another hospital and admitted for rehabilitation for Guillain-Barre. 4 weeks ago had weakness in upper and lower extremities, dx'd with Guillain-Barre syndrome, treated with IVIG. Went to rehab and had seizure like episodes. On 11/4/09 increased pain, increased weakness. Presumed diagnosis of relapse of Guillain-Barre with administration of IVIG. Possible seizure symptoms vs anxiety attack. Claustrophobia. Mild facial assymetry. Deep tendon reflexes decreased. Pain inner thighs, legs hurt. Right-sided head pain dx'd as migraine. Hands still painful. Numbness in feet persists. C/O vision problems and some difficulty urinating. Hyperventilation due to anxiety. Anxiety/Mood disorder.  12/07/09 Flu questionnaire received.  12/10/09 MR received for DOS 11/23/09. GBS started on 10/11/09, and Pt complained of loosing vision, dizziness, neuromuscular complaints. Eye exam was normal with exception of extraoccular movements due to nystagmus. Neuro exam: normal.   12/10/09 MR received for DOS 12/01/09. Pt presented to the hospital with extreme weakness, pain, trouble sleeping and anxious. Tx: Vicodin, but no help. Pt saw a psychiatrist. Other tx: Xanax, Klonopin, Cymbalta.  On examination, Pt fatigued, anxiety, vision problems. Goal is to wean Pt off pain meds. Pt had rehab. Pain resolved later on. Impression: Myopathy. Dr's opinion is that this is emotional related event.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Dyskinesia, Dyspnoea, Extensor plantar response, Feeling abnormal, Gaze palsy
Clinical narrative: VIRAL SYNDROME / DEHYDRATION.  11/18/09 Hospital records, discharge summary received, service dates 11/6/09 to 11/10/09. Assessment: Weakness, anxiety disorder, panic attacks. Guillain Barre Syndrome dx'd on 10/12/09. Panic attacks, anxiety disorder. Patient had been having pain in legs requiring opioids, difficulty walking, this AM leg weakness worse. Stands unsteady, drags right foot. Sensation and proprioception subjectively decreased in right leg. IVIG administered. Continued antalgic gait, pain in thighs.  11/18/09 Physical Medicine Rehabilitation, additional hospital consults received service dates 10/29/09 to 11/16/09. Assessment: Relapse of Guillain-Barre  Transferred from another hospital and admitted for rehabilitation for Guillain-Barre. 4 weeks ago had weakness in upper and lower extremities, dx'd with Guillain-Barre syndrome, treated with IVIG. Went to rehab and had seizure like episodes. On 11/4/09 increased pain, increased weakness. Presumed diagnosis of relapse of Guillain-Barre with administration of IVIG. Possible seizure symptoms vs anxiety attack. Claustrophobia. Mild facial assymetry. Deep tendon reflexes decreased. Pain inner thighs, legs hurt. Right-sided head pain dx'd as migraine. Hands still painful. Numbness in feet persists. C/O vision problems and some difficulty urinating. Hyperventilation due to anxiety. Anxiety/Mood disorder.  12/07/09 Flu questionnaire received.  12/10/09 MR received for DOS 11/23/09. GBS started on 10/11/09, and Pt complained of loosing vision, dizziness, neuromuscular complaints. Eye exam was normal with exception of extraoccular movements due to nystagmus. Neuro exam: normal.   12/10/09 MR received for DOS 12/01/09. Pt presented to the hospital with extreme weakness, pain, trouble sleeping and anxious. Tx: Vicodin, but no help. Pt saw a psychiatrist. Other tx: Xanax, Klonopin, Cymbalta.  On examination, Pt fatigued, anxiety, vision problems. Goal is to wean Pt off pain meds. Pt had rehab. Pain resolved later on. Impression: Myopathy. Dr's opinion is that this is emotional related event.