chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Pt developed severe urticaria over entire body several hrs after administration of several vaccines.  This resolved with BENADRYL & PREDNISONE
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dysmenorrhoea, Inappropriate schedule of drug administration, Infertility female, Menstruation irregular, Ovarian cyst
Clinical narrative: Information has been received from a 17 year old female with no medical history or drug allergy who was vaccinated with 1st, 2nd and 3rd doses of GARDASIL in April 2007, October 2007 and December 2007, respectively. There was no concomitant therapy. In December 2007, after receiving the third dose of GARDASIL, the patient experienced irregular periods and severe pain during menstruation. She was hospitalized on 01-JAN-2008 and informed that she had cysts in her ovaries and she would no longer be able to conceive. The doctor advised her that GARDASIL had caused these problems. She was not recovered at time of reporting. The patient went to hospital for medical attention. Additional information is not expected.  6/12/09 Medical records received DOS 2/7/08. Referred to OB-GYN for management of ovarian cyst.  7/23/09 Hospital records received, consist of multiple ER visits, DOS 6/25/08 to to 4/18/09. Assessment: Anxiety Attack, Chest Wall Pain, Tobacco Abuse Disorder. Urinary Tract Infection. Smoke Inhalation. Facial contusion, chest wall contusion. Patient presents with shortness of breath and chest discomfort, anxiety. Pelvic pain and cramping, distressed. Inside burning home, cough, smoke inhalation. Dysuria, distressed, UTI. Assault, hit in face and abdomen, face pain, ecchymosis, neck pain. Abdominal pain, nausea, vomiting, fever, leukocytosis, cervical tenderness on motion, purulent discharge from cervix. Epigastric pain.  ICD-9 Codes: 786.50  300.00  786.52  305.1  465.9  789.00  786.09  987.9  E890.2  786.05  599.0  V71.6  920  922.1  E960.0  288.60
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Redness and induration at injection sites. Pain to touch at injection site.
Sex: F
Vaccine: PPV
Symptoms: Inappropriate schedule of drug administration, Monoplegia
Clinical narrative: Information has been received from a pharmacist concerning a female who "one or two years ago" on unspecified dates was vaccinated with the first and second dose of PNEUMOVAX 23 (lot# not reported). The patient received the second dose approximately 6 months after receiving the first dose. Subsequently, after the second dose of vaccination, the patient developed paralysis of her arm. The patient sought unspecified medical attention and was no outcome provided. The paralysis of arm was considered to be an other important medical event. additional information has been requested.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Eye inflammation, Glaucoma, Herpes zoster ophthalmic, Uveitis
Clinical narrative: Information has been received from the author of a literature article, title stated above concerning a healthy 16 old male who more than 8 years after vaccination with VARIVAX (Merck), presented with keratouveitis, severe inflammatory glaucoma in his left eye, and Hutchinson's sign. He was treated with systemic acyclovir, topical steroids, cycloplegics, and glaucoma medications for a full recovery two months after presentation. It is unclear whether the source of herpes zoster which reactivated in this patient represents wild type virus or his previous vaccine strain. Herpes zoster ophthalmicus is very rare in the pediatric population after varicella vaccination but can cause severe inflammatory glaucoma that required aggressive therapy. Upon internal review, it was determined herpes zoster ophthalmicus and severe inflammatory glaucoma were other important medical events. No further information provided.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Morbilliform rash 24-36 degrees after immunizations 5X care - tylenol and/or motrin.
Age: 1.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Ataxia, Body temperature increased, Diabetes mellitus
Clinical narrative: 5/7/09 VARIVAX + PCV given. 5/15/09 Dx Ataxia DM T 100.5. 5/29/09 Ataxia persists. 6/5/09 Child back to normal no signs of ataxia.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: Reddened, raised, tender, warm to touch area approx 2" x 3" at Varicella injection site. T. 99.3. C/o slight nausea, seen in our Public Health Office at 10 AM 6-5-09. Recovered cold to site and TYLENOL or MOTRIN as directed. Phone call on 6-8 reports much improved.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: 6/5/09 - Mom brought child in, Dr saw a red, hot to touch area to (L) deltoid, measured 5in by 5in in diameter.
Age: 1.42
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Fall, Hypotonia, Pallor, Syncope
Clinical narrative: Parent stated 18 hrs after vaccine child was sitting in cart at Kmart and fell over and was very pale and appeared to have fainted. This lasted 15 min then child was fine; had color change and was limp; was o.k. in 15-20 min.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Diarrhoea, Fatigue, Nausea, Vomiting
Clinical narrative: Nausea, diarrhea, vomiting, fatique, temperature of 100, left work, did not see a doctor
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Diarrhoea, Eye swelling, Joint swelling, Oedema peripheral
Clinical narrative: Diarrhea and itching palms on evening of June 1. Some itching during the week, with bad hives on evening of Friday, June 5. Visited urgent care clinic at 9:00 a.m. on Saturday, June 6 with joint pain and swelling of joints, hands and eyes, and was sent to hospital to receive IV fluids and steroids, and discharged a few hours later.  6/10/09 ER records received DOS 6/6/09. Assessment: Simple hives secondary to vaccination. Post vaccination: pruritus of palms, small welts behind ears followed by diffuse urticarial lesions. Joints, especially knee, feeling inflamed and painful. Warmth and swelling of knees.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Diarrhea and itching palms on evening of June 1. Some itching during the week, with bad hives on evening of Friday, June 5. Visited urgent care clinic at 9:00 a.m. on Saturday, June 6 with joint pain and swelling of joints, hands and eyes, and was sent to hospital to receive IV fluids and steroids, and discharged a few hours later.  6/10/09 ER records received DOS 6/6/09. Assessment: Simple hives secondary to vaccination. Post vaccination: pruritus of palms, small welts behind ears followed by diffuse urticarial lesions. Joints, especially knee, feeling inflamed and painful. Warmth and swelling of knees.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Rash, Rash papular, Rash pruritic, Skin lesion
Clinical narrative: 3 weeks following vaccination with Anthrax, Smallpox, Typhoid (18 May). Pt. with pruritic papular lesions which started on distal extremities (wrists/ankles) and progressed to trunk.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Back pain, Flank pain, Rash, Rash generalised
Clinical narrative: Pneumococcal vaccine given at 0907 IM prior to discharging. Pt. had no known allergies and not allergic to eggs. At 1015 pt c/o back and rt flank pain 4/10. Generalized rash to abdomen and chest noted. No SOB noted with or w/o exertion. Dr. informed immediately with orders given. Benadryl 25 mg IV given, troponin level sent. Rashes resolved and no c/o pain or discomfort noted after 10 min. VSS. No acute resp distress noted.  9/14/09 Hospital records received DOS 5/15/09 to 5/18/09. On the day of discharge received Pneumovax and developed severe rash and epigastric pain.
Age: 30.0
Sex: M
Vaccine: FLUX
Symptoms: Cerebellar haemorrhage, Computerised tomogram abnormal, Diplopia, Headache
Clinical narrative: Headache and diplopia accompanying a cerebellar hemorrhage occurring within about 24 hrs of an influenza vaccination.  7/31/09 Hospital records received DOS 11/15/08 to 11/18/08. Assessment: Cerebellar/extracerebellar hemorrhage, horizontal diplopia, possible Marfan's or other connective tissue disease. Patient presents as alert but somewhat slow. Somewhat dry mucous membranes. Slightly tachycardic. Bilateral hemispheric cerebellar hemorrhage. Left against medical advice. 9/29/09 ICD9 codes received for date of service 11/14/08 to 11/18/08.  ICD9 codes: V64.81, 228.02, 358.2, 378.85, V79.8, 692.9
Age: 27.0
Sex: M
Vaccine: DTAP
Symptoms: Tonic convulsion
Clinical narrative: Tonic Seizure lasted 1 min about 2 mon after giving the 0.5 ml IM shot of DT.Tdiphteria-tetanus)
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Fall
Clinical narrative: I ASSESSED A 12 YEAR OLD FEMALE WHO WAS ALERT AND ORIENTED. THE MOTHER STATED THAT THE CHILD WAS DUE HER LAST HPV SHOT AND THERE WAS NO PROBLEM WITH THE LAST TWO DOSES. I ASKED IF THE CHILD WAS WELL TODAY, MOTHER REPLIED SHE WAS ALRIGHT. I PROCEDED TO ADMINISTER THE VACCINES. THE CHILD SAID SHE WAS FINE AFTER RECEIVING THE VACCINES.  THE CHILD SAT WITH HER MOTHER STANDING CLOSE BESIDE HER AS I COMPLETED HER PAPER WORK AND WAS INSTRUCTED TO INFORM ME OF ANY CHANGES(DIZZINESS, NAUSEA ETC).  SHORTLY AFTER THE CHILD FELL TO THE FLOOR, MOTHER STATED SHE TAUGHT THE CHILD WAS PLAYING. DR. CAME AND ASSESS THE CHILD.  NO INJURIES NOTED. THE MOTHER OF THE CHILD STATED THAT THE CHILD HADN'T EATEN ALL DAY EXCEPT TO DRINK A GLASS OF MILK. DR. INFORM MOTHER TO CONTINUE TO  OBSERVE THE CHILD AT HOME AND ANY CHANGES TO TAKE THE CHILD TO THE EMERGENCY ROOM.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Aphonia, Injection site rash, Nasal congestion, Pain, Pyrexia
Clinical narrative: fever, nasal congestion, lost voice, body aches, rash at injection site
Age: 43.0
Sex: F
Vaccine: TTOX
Symptoms: Abdominal pain upper, Blood pressure fluctuation, Bronchitis, Chest discomfort, Chills
Clinical narrative: Within 12 hours: Significant swelling at injection site and redness, 101 - 102 Fever, Chills, Muscle pain. After 30 hours: Wet Cough (diagmosed as bronchitis), tight chest. After 2 days: Headache, eye pain. After 4 days: Dizziness and itching of tongue, hands mouth prompts ER visit. Went to ER and released. Thought to have adverse reaction to medication, but unsure of which. Told to drink water to expel from system. Followed by severe Vomiting, Diarrhea, Muscle twitching especially in feet, muscle contractions in legs, blood pressure swings. Out of body feeling and brief syncope.  After 6 days: No more fever, but stomach pain and muscle pain continue. Dizzy and hazy. Unable to drive. Went back to doctor. Sent for bloodwork. After 8 days: No fever or cough. Dizziness and muscle aches continue. Difficulty focusing eyes. Noticeable stiffness in hips, at base of neck, and shoulders.
Age: 43.0
Sex: F
Vaccine: TTOX
Symptoms: Diarrhoea, Dizziness, Eye pain, Feeling abnormal, Headache
Clinical narrative: Within 12 hours: Significant swelling at injection site and redness, 101 - 102 Fever, Chills, Muscle pain. After 30 hours: Wet Cough (diagmosed as bronchitis), tight chest. After 2 days: Headache, eye pain. After 4 days: Dizziness and itching of tongue, hands mouth prompts ER visit. Went to ER and released. Thought to have adverse reaction to medication, but unsure of which. Told to drink water to expel from system. Followed by severe Vomiting, Diarrhea, Muscle twitching especially in feet, muscle contractions in legs, blood pressure swings. Out of body feeling and brief syncope.  After 6 days: No more fever, but stomach pain and muscle pain continue. Dizzy and hazy. Unable to drive. Went back to doctor. Sent for bloodwork. After 8 days: No fever or cough. Dizziness and muscle aches continue. Difficulty focusing eyes. Noticeable stiffness in hips, at base of neck, and shoulders.
Age: 43.0
Sex: F
Vaccine: TTOX
Symptoms: Impaired driving ability, Injection site erythema, Injection site swelling, Laboratory test, Muscle contractions involuntary
Clinical narrative: Within 12 hours: Significant swelling at injection site and redness, 101 - 102 Fever, Chills, Muscle pain. After 30 hours: Wet Cough (diagmosed as bronchitis), tight chest. After 2 days: Headache, eye pain. After 4 days: Dizziness and itching of tongue, hands mouth prompts ER visit. Went to ER and released. Thought to have adverse reaction to medication, but unsure of which. Told to drink water to expel from system. Followed by severe Vomiting, Diarrhea, Muscle twitching especially in feet, muscle contractions in legs, blood pressure swings. Out of body feeling and brief syncope.  After 6 days: No more fever, but stomach pain and muscle pain continue. Dizzy and hazy. Unable to drive. Went back to doctor. Sent for bloodwork. After 8 days: No fever or cough. Dizziness and muscle aches continue. Difficulty focusing eyes. Noticeable stiffness in hips, at base of neck, and shoulders.
Age: 43.0
Sex: F
Vaccine: TTOX
Symptoms: Muscle twitching, Musculoskeletal stiffness, Myalgia, Oral pruritus, Productive cough
Clinical narrative: Within 12 hours: Significant swelling at injection site and redness, 101 - 102 Fever, Chills, Muscle pain. After 30 hours: Wet Cough (diagmosed as bronchitis), tight chest. After 2 days: Headache, eye pain. After 4 days: Dizziness and itching of tongue, hands mouth prompts ER visit. Went to ER and released. Thought to have adverse reaction to medication, but unsure of which. Told to drink water to expel from system. Followed by severe Vomiting, Diarrhea, Muscle twitching especially in feet, muscle contractions in legs, blood pressure swings. Out of body feeling and brief syncope.  After 6 days: No more fever, but stomach pain and muscle pain continue. Dizzy and hazy. Unable to drive. Went back to doctor. Sent for bloodwork. After 8 days: No fever or cough. Dizziness and muscle aches continue. Difficulty focusing eyes. Noticeable stiffness in hips, at base of neck, and shoulders.
Age: 43.0
Sex: F
Vaccine: TTOX
Symptoms: Pruritus, Pyrexia, Syncope, Vision blurred, Vomiting
Clinical narrative: Within 12 hours: Significant swelling at injection site and redness, 101 - 102 Fever, Chills, Muscle pain. After 30 hours: Wet Cough (diagmosed as bronchitis), tight chest. After 2 days: Headache, eye pain. After 4 days: Dizziness and itching of tongue, hands mouth prompts ER visit. Went to ER and released. Thought to have adverse reaction to medication, but unsure of which. Told to drink water to expel from system. Followed by severe Vomiting, Diarrhea, Muscle twitching especially in feet, muscle contractions in legs, blood pressure swings. Out of body feeling and brief syncope.  After 6 days: No more fever, but stomach pain and muscle pain continue. Dizzy and hazy. Unable to drive. Went back to doctor. Sent for bloodwork. After 8 days: No fever or cough. Dizziness and muscle aches continue. Difficulty focusing eyes. Noticeable stiffness in hips, at base of neck, and shoulders.
Age: 18.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Varicella administered on Tuesday,6/2/09. On Thursday a 2.5 inch x 2 inch erythematous, raised, tender, area noted around injection site. This area was warm to touch. Denied fever, itching, streaking, or any other systemic symptoms. One tablet of Benedryl taken Friday night before bed. Woke up Saturday, 6/6/09 and less reddness and edema noted. Spoke with mother today, 6/8/09 and the area of erythema and edema has cleared. Area no longer tender.
Age: 72.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On 6/2/09 / 6 days post vaccine noticed warm to touch /redness / swelling / itchy at around injection site on left arm.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Anorexia, Asthenia, Injection site pain, Injection site swelling, Pain
Clinical narrative: Patient woke up with a very sore arm. The site of the injection was swollen and tender. He complained of feeling overall weak and achy. He was running a low grade temp 100.6. Within an hour his temp went up to 101.8 and by 11:30am his temperature was 103.1. He took 800mg of Ibuprofen which did not bring down his fever.  At 3:30pm he took 1000mg of Aceteminaphen which started to bring down the fever to around 100. During the entire day he had to appetite and early evening he vomited.  The next day he seemed like himself with no fever or upset stomach.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Patient woke up with a very sore arm. The site of the injection was swollen and tender. He complained of feeling overall weak and achy. He was running a low grade temp 100.6. Within an hour his temp went up to 101.8 and by 11:30am his temperature was 103.1. He took 800mg of Ibuprofen which did not bring down his fever.  At 3:30pm he took 1000mg of Aceteminaphen which started to bring down the fever to around 100. During the entire day he had to appetite and early evening he vomited.  The next day he seemed like himself with no fever or upset stomach.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blood glucose normal, Convulsion, Immediate post-injection reaction
Clinical narrative: Immediately after having vaccines, patient had a seizure that lasted a few seconds. Dr. did a neurologic exam 5 minutes and 30 minutes after episode which was normal.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient received injection on 5/26/09 and was fine until the evening of 5/27 when she had a red spot the size of a quarter at the injection site. The area was raised, hot to the touch, itchy and hard underneath.  Pt used ice packs. On 5/28, the area doubled in size to 2inches in diameter. Also, a second area, 2 finger spaces from the injection site, turned red and was hot and itchy and hard underneath like the injection site. On 5/29, both red areas reduced in size and were no longer hot/itchy. She was afraid the 2nd area may have been the vaccine following a nerve, but Pt felt she was "on the mend."
Age: 64.0
Sex: M
Vaccine: FLU3, TDAP, TYP
Symptoms: Abdominal distension, Diarrhoea, Headache, Nausea
Clinical narrative: Onset of head ache, nausea, bloating and diarrhea 2 days after taking last of four live virus oral typhoid vaccine capsules. Treatment not sought. Improving after 4 days of illness.
Age: 1.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia, Rash
Clinical narrative: PARENT RECORD OF FEVER x48 HOURS AFTER VACCINATION; "RASH" FIRST APPEARING AROUND NECK, THEN TRUNK TO UPPER AND UNDER ARMS. NONE TO LEGS, HANDS OR MID ARM TO HANDS. NO VOMITING, NO DIARRHEA. ONLY FEVER 48 HRS POST AND RASH 6 DAYS POST VACCINE. NON-EXPOSURE TO SICK PERSONS KNOWN.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Breast swelling, Induration, Skin mass
Clinical narrative: breast on side of injection swelled significantly, with hard raised lumps, lasting 5 days
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Body temperature increased, Oedema peripheral
Clinical narrative: Pt's states her arm was very swollen.  She had a temp. of 104 degrees and she was in bed for 4 days.  She did not call our office or report this to anyone at the time.  She reported it to our office upon her next visit a month later.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site reaction
Clinical narrative: Developed a large local reaction at site of DTaP 3 days after the injection. Resolved with ATARAX.
Age: 31.0
Sex: F
Vaccine: ANTH, HEPA, MNQ, TDAP, TYP, YF
Symptoms: Pain, Pain in extremity, Pyrexia, Urticaria
Clinical narrative: Fever x 24 hours, body ache and sore arms x 48 hours. Welts to left arm- (1) anthrax, (1) Tdap >x 5 days.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Myalgia, Pain in extremity, Sleep disorder
Clinical narrative: Say her arm has remained sore for months after injection.
Age: 80.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity
Clinical narrative: Say her arm has remained sore for months after injection.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Dizziness
Clinical narrative: A 12-year-old female patient, who has no known allergies, no concurrent illnesses or pre-existing medical conditions, had received on 17 April 2009 in the afternoon a right arm dose of MENACTRA (lot number U2730AA).  Since receiving the vaccine on 17 April 2009, the patient had been experiencing dizziness off and on, but could still play on the weekends.  "Negative workup and negative for shingles?" (Not legible).  Per the reporter, the patient had not been evaluated by a physician, and no relevant diagnostic tests/laboratory data were performed.  The recovery status of the patient was unknown at the time of this report.  Follow up information was received on 18 May 2009 from a health care professional who stated that the patient was evaluated by a physician.  The headache and dizziness resolved spontaneously. The physician suggested follow up on an as needed basis, however the patient did not attempt further follow up.  There were no laboratory requests.  The final diagnosis included headache and dizziness.  Further clarification revealed that the illegible word which was previously documented as "shingles", actually stated "strength".  No further details were provided.  Documents held by sender:  None
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Dizziness, Laboratory test normal
Clinical narrative: A 12-year-old female patient, who has no known allergies, no concurrent illnesses or pre-existing medical conditions, had received on 17 April 2009 in the afternoon a right arm dose of MENACTRA (lot number U2730AA).  Since receiving the vaccine on 17 April 2009, the patient had been experiencing dizziness off and on, but could still play on the weekends.  "Negative workup and negative for shingles?" (Not legible).  Per the reporter, the patient had not been evaluated by a physician, and no relevant diagnostic tests/laboratory data were performed.  The recovery status of the patient was unknown at the time of this report.  Follow up information was received on 18 May 2009 from a health care professional who stated that the patient was evaluated by a physician.  The headache and dizziness resolved spontaneously. The physician suggested follow up on an as needed basis, however the patient did not attempt further follow up.  There were no laboratory requests.  The final diagnosis included headache and dizziness.  Further clarification revealed that the illegible word which was previously documented as "shingles", actually stated "strength".  No further details were provided.  Documents held by sender:  None
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ, MNQ
Symptoms: Dizziness, Headache
Clinical narrative: A 12-year-old female patient, who has no known allergies, no concurrent illnesses or pre-existing medical conditions, had received on 17 April 2009 in the afternoon a right arm dose of MENACTRA (lot number U2730AA).  Since receiving the vaccine on 17 April 2009, the patient had been experiencing dizziness off and on, but could still play on the weekends.  "Negative workup and negative for shingles?" (Not legible).  Per the reporter, the patient had not been evaluated by a physician, and no relevant diagnostic tests/laboratory data were performed.  The recovery status of the patient was unknown at the time of this report.  Follow up information was received on 18 May 2009 from a health care professional who stated that the patient was evaluated by a physician.  The headache and dizziness resolved spontaneously. The physician suggested follow up on an as needed basis, however the patient did not attempt further follow up.  There were no laboratory requests.  The final diagnosis included headache and dizziness.  Further clarification revealed that the illegible word which was previously documented as "shingles", actually stated "strength".  No further details were provided.  Documents held by sender:  None
Age: 13.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Dizziness, Headache, Injection site pain, Injection site swelling, Nausea
Clinical narrative: This non serious case was received on 17 April 2009 from a health care professional.  A 13 year old male patient received MENACTRA (lot number U2823AA) on 09 April 2009 at 13:00.  Around 20:00 or about 8 hours later, the patient developed swelling and pain at the injection site > 5 cm.  12-18 hours post vaccination the patient  developed dizziness, nausea, and a headache which lasted about 24 hours.  The swelling and pain lasted for four days.  The patient recovered from the events.  Follow-up information received on 12 May 2009 from a health care professional.  The patient received no treatments for the adverse events and it was confirmed the symptoms resolved in less than five days after onset.  No further information is expected.  List of Documents held by Sender: none.
Age: 13.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: This non serious case was received on 17 April 2009 from a health care professional.  A 13 year old male patient received MENACTRA (lot number U2823AA) on 09 April 2009 at 13:00.  Around 20:00 or about 8 hours later, the patient developed swelling and pain at the injection site > 5 cm.  12-18 hours post vaccination the patient  developed dizziness, nausea, and a headache which lasted about 24 hours.  The swelling and pain lasted for four days.  The patient recovered from the events.  Follow-up information received on 12 May 2009 from a health care professional.  The patient received no treatments for the adverse events and it was confirmed the symptoms resolved in less than five days after onset.  No further information is expected.  List of Documents held by Sender: none.
Age: 37.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Injection site abscess, Injection site mass, Injection site pain
Clinical narrative: Information has been received from a Nurse Practitioner concerning a 37 year old female patient with hypothyroidism and a history of fungal infection of nail and acne cystic who "several years ago" was vaccinated with her first dose of MMR II. The patient was vaccinated SC with her second dose of MMR II (lot # 663162/1579X) on 03-APR-2009. There was no illness at the time of vaccination. The patient told the nurse that "there was a small lump at the injection site since the time it was administered." The patient was seen on 01-MAY-2009 and the area had been red and painful for 2 days before this. At this visit there was a 1 cm lump at the injection site. The patient called the Nurse Practitioner back on 01-MAY-2009 since her symptoms had worsened. The patient was placed on antibiotics. The patient then saw her primary care physician on 04-MAY-2009 and her antibiotic was changed. The patient's physician stated that the infected cyst would need to be drained. The patient was going to have the cyst drained on 11-MAY-2009. The patient's small lump at the injection site and injection site red and pain persisted. Follow-up information has been received from the Nurse Practitioner who indicated that the 38 (previously reported as 37 years) year old female patient complained of "lump" at vaccination site since vaccination on 03-APR-2009. The patient was seen on 01-MAY-2009 for complaining of redness, pain and lump at vaccination site. The patient was treated with antibiotics for infected cyst. The patient recovered on 11-MAY-2009 without further infection. No diagnostic laboratory tests were performed. The reporter considered the adverse events to be other important medical event. Additional information has been requested.
Age: 37.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Injection site cyst, Injection site erythema, Injection site infection, Injection site mass, Injection site pain
Clinical narrative: Information has been received from a Nurse Practitioner concerning a 37 year old female patient with hypothyroidism and a history of fungal infection of nail and acne cystic who "several years ago" was vaccinated with her first dose of MMR II. The patient was vaccinated SC with her second dose of MMR II (lot # 663162/1579X) on 03-APR-2009. There was no illness at the time of vaccination. The patient told the nurse that "there was a small lump at the injection site since the time it was administered." The patient was seen on 01-MAY-2009 and the area had been red and painful for 2 days before this. At this visit there was a 1 cm lump at the injection site. The patient called the Nurse Practitioner back on 01-MAY-2009 since her symptoms had worsened. The patient was placed on antibiotics. The patient then saw her primary care physician on 04-MAY-2009 and her antibiotic was changed. The patient's physician stated that the infected cyst would need to be drained. The patient was going to have the cyst drained on 11-MAY-2009. The patient's small lump at the injection site and injection site red and pain persisted. Follow-up information has been received from the Nurse Practitioner who indicated that the 38 (previously reported as 37 years) year old female patient complained of "lump" at vaccination site since vaccination on 03-APR-2009. The patient was seen on 01-MAY-2009 for complaining of redness, pain and lump at vaccination site. The patient was treated with antibiotics for infected cyst. The patient recovered on 11-MAY-2009 without further infection. No diagnostic laboratory tests were performed. The reporter considered the adverse events to be other important medical event. Additional information has been requested.
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Asthenia, Bacterial culture negative, Blood electrolytes normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Borrelia burgdorferi serology, CSF glucose normal, CSF protein increased, CSF white blood cell count increased, Chills
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Computerised tomogram abnormal, Condition aggravated, Cytomegalovirus test negative, Epstein-Barr virus test negative, Eyelid ptosis
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Facial palsy, Fungus culture, Haemorrhage intracranial, Headache, Herpes simplex serology negative
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Liver function test normal, Muscular weakness, Nervous system disorder, Polymerase chain reaction, Pyrexia
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Red blood cells CSF positive, Syphilis test, Unresponsive to stimuli, Varicella zoster serology negative, West Nile virus test negative
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: White blood cell count normal, Yellow fever vaccine-associated neurotropic disease
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Acid fast stain negative, Asthenia, Bacterial culture negative, Blood electrolytes normal, Blood immunoglobulin G normal
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Blood immunoglobulin M, Borrelia burgdorferi serology, CSF glucose normal, CSF protein increased, CSF test abnormal
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: CSF white blood cell count increased, Chills, Cytomegalovirus test negative, Epstein-Barr virus test negative, Eyelid ptosis
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: Red blood cells CSF positive, Syphilis test negative, Unresponsive to stimuli, Varicella zoster serology negative, West Nile virus test negative
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 68.0
Sex: M
Vaccine: HEP, TYP, YF, YF
Symptoms: White blood cell count normal
Clinical narrative: 68yo M h/o BPH, intra-cranial hemorrhage 10yrs ago admitted on 5/25 with a 1 wk h/o HA, fevers, rigors and progressively worsened weakness, with focal neurological deficits (left upper extremity weakness, ptosis, facial droop)and inability to follow commands.  Admission head CT c/w small R. frontal ICH, stable.  He was put on broad spectrum ABx including Vancomycin/Ceftazidime/Flagyl/Ampicillin/Acyclovir with persistent fevers and unchanged neurological deficits or mental status.  Of note, patient reports receiving yellow fever vaccination ~10d prior to admission, later on confirmed to be on 5/7/09 (according to the travel clinic, pt. also received YF vaccine 3 years ago).  On labs, WBC 9.2 on admission, LFTs, electrolytes WNL, CSF(5/26) [on antibiotics): glu 72 , prot 77, 40,000 RBCs, 61 WBCs with neutrophilic predominance; bacterial/fungal/AFB stains/cx's NGTD; WNV IgG/IgM neg; HSV/VZV/CMV/EBV/enterovirus PCR not detected; VDRL-NR, Lyme pending, Arbovirus - IgG/IgM negatives as per CT-DPH, YF-IgM CSF/Blood + as per CDC,
Age: 35.0
Sex: F
Vaccine: DTAP
Symptoms: Aphonia, Dysphonia, Immediate post-injection reaction, Oedema peripheral, Pain in extremity
Clinical narrative: Tetanus shot was given on Friday, June 5th appointment was at 9:15 for a physical. Left arm hurt immediately after and began to swell and was very hot continued for 4 days. Got very hoarse the following day and completely lost voice for 2 1/2 days and now voice is barely coming back but very very hoarse.(6-9-2009)
Age: 35.0
Sex: F
Vaccine: DTAP
Symptoms: Skin warm
Clinical narrative: Tetanus shot was given on Friday, June 5th appointment was at 9:15 for a physical. Left arm hurt immediately after and began to swell and was very hot continued for 4 days. Got very hoarse the following day and completely lost voice for 2 1/2 days and now voice is barely coming back but very very hoarse.(6-9-2009)
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Paraesthesia
Clinical narrative: Information has been received from a consumer concerning his 24 years old fiancee who on 25-MAY-2009 received the first dose (0.5ml) of GARDASIL. There was no concomitant medication. On 25-MAY-2009 the patient experienced pins and needles feeling in her hands and tingling. The patient was admitted in hospital (name and address unspecified) for whole day of 26-MAY-2009. A GBS test was performed (results not reported). The patient's experienced pins and needles in her hands and tingling persisted. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Asthenia, Blood product transfusion, Demyelination, Pain in extremity
Clinical narrative: Information has been received from a physician concerning a 15 year old female patient who on 14-NOV-2006, 16-JAN-2007 and on 12-JUN-2007 was vaccinated with the first, second and third doses of GARDASIL (Lot # not reported). It was reported that in "March 2009" the patient experienced weakness, pain in her legs and hips and the patient sought medical attention with the physician, then she was admitted to the hospital for three days on 07-APR-2009. It was reported that the patient was diagnosed with "acute demyelinating disease". The physician noted that the patient received gamma globulin for three days. It was reported that the patient was recovering but not fully recovered. The reporting physician considered "acute demyelinating disease" to be disabling. The Health Care Professional contacted during telephone follow up could not supply the following information: patient name and Lot numbers. Additional information has been requested. The patient was hospitalized.  8/14/2009  MR rec'd from PCP which includes Neuro consult in f/u to hospitalization with DX: CIDP/sub-acute polyradiculopathy. Pt developed fever, cough, cold sx, abdominal pain, H/A and stuffy ears 2/9/2009. Flu (+).  Dx: Viral Flu.  Returned 3/5/09 with c/o hip pain, numbness/weakness in both feet, muscle stiffness.  Had recent knee injury. Worsening by 4/2/09 and referred to neurologist. Admitted 4/23-29 with dx CIDP. Tx IVIG. Neuro f/u 5/22/09 with almost complete resolution of sx.  9/1/09 Hospital records received DOS 4/23/09 to 4/29/09 and 5/21/09 to 6/21/09.  Assessment: Chronic Inflammatory Demyelinating Polyneuropathy (possibly secondary to influenza illness)  Patient presents with bilateral upper and lower extremity weakness, influenza diagnosed 2/10/09. Fatigue, bilateral hip and calf pain. Range of motion decreased in lower extremiities. Reflexes absent. Wide-based stance. IVIG. Improved.
Sex: M
Vaccine: MMR
Symptoms: Cyanosis, Pyrexia
Clinical narrative: Information has been received from a consumer concerning his son with general sensitivity to all vaccines (no specific vaccine or manufacturer given) and fever after receiving shots, who on an unspecified date was vaccinated with a dose of MMR II. It was reported that on an unspecified date after receiving MMR II the patient had a reaction which resulted in him turning blue and having fever for four days. It was reported that the patient was hospitalized for a couple of days due to the reaction. The reporter stated that the report was already given to the CDC through the pediatrician's office. No further information is available.