chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Local reaction, No reaction on previous exposure to drug
Clinical narrative: Vaccine given by on site nurse  where pt works in medical records dept. No previous known reaction to flu shot. Pt sustained large local reaction R deltoid about 3" long with pain R upper arm.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Pain, Pain in extremity
Clinical narrative: FLUVIRIN vaccine given 9/29/09. Pt complains of persisting arm pain since receiving vaccine. States she is unable to lay on left side and hurts to move and lift arm. Tx suggested included compresses, pain relievers (OTC) and seek medical attention if needed.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Pruritus, Reaction to preservatives, Skin warm
Clinical narrative: Per doc @ hospital 10cm round, fading edged, induration, hard, hot redness. No sign secondary infection, no systemic sx. Dx: Alum reaction-very itchy. Tx: TRIAMCINELONE 0.5% and moist heat bid.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Facial palsy, Hypoaesthesia oral, Nuclear magnetic resonance imaging
Clinical narrative: Injection given 9/18/09 3pm in L deltoid - tongue numbness @ 24 - 48 hours. Following injection L facial paralysis began 9/29 - hospitalization 9/30/0911/9/2009 ED records from 9/30/2009. Patient with c/o's lt facial numbness/tingling, tongue numbness, lt side eyelid and mouth droop. Tx: labs and dx tests norm. DCd with Valacyclovir and prednisone. F/up with PCP and a Neuro consult. DC Dx Bell's palsy.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt presented with massive swelling on 10/6 post vaccine administration on 10/5. She could not lift her arm. On 10/7 she presented in the pharmacy and c/o swelling, redness, tenderness and warmth at site of injection. Swelling is approx the size of my palm. Pt was provided BENADRYL. Redness subsided after taking BENADRYL.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Chest X-ray normal, Chills, Feeling cold, Feeling of body temperature change
Clinical narrative: 10/15/09 2am vomit one felt cold. 5am vomited once legs itchy felt cold. Went to work with chills and body aches. Continued with chills once home. Skin warmer than usual per wife. Went to bed early. 10/16/09 5 am chills and body aches 9 am temp 101.1-1st time recorded. c/o hot and cold TYLENOL taken this morning around 9 a.m. attempting to see PMD. Patient came to work and was sent home due to the fact that he claimed to have a temperature of 100.3 and 100.4 on 10/17/09 and 10/18/09. Also had vommited on 10/18/09 after dinner. Patient saw his PMD on 10/19/09 , had lab work, chest x-ray all results were normal per patient. Placed on Zpac. Returned to work on 10/23/09. Last fever per patient was on 10/21/09. He has been back to work since 10/23/09 and feels better now. Patient also mentioned that one of his children was ill with viral symptoms just around the time patient took the flu vaccine.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test normal, Pain, Pruritus, Skin warm, Vomiting
Clinical narrative: 10/15/09 2am vomit one felt cold. 5am vomited once legs itchy felt cold. Went to work with chills and body aches. Continued with chills once home. Skin warmer than usual per wife. Went to bed early. 10/16/09 5 am chills and body aches 9 am temp 101.1-1st time recorded. c/o hot and cold TYLENOL taken this morning around 9 a.m. attempting to see PMD. Patient came to work and was sent home due to the fact that he claimed to have a temperature of 100.3 and 100.4 on 10/17/09 and 10/18/09. Also had vommited on 10/18/09 after dinner. Patient saw his PMD on 10/19/09 , had lab work, chest x-ray all results were normal per patient. Placed on Zpac. Returned to work on 10/23/09. Last fever per patient was on 10/21/09. He has been back to work since 10/23/09 and feels better now. Patient also mentioned that one of his children was ill with viral symptoms just around the time patient took the flu vaccine.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Clinical narrative: Pt was treated at Hasbro ER.  Awaiting reports 10/18/09 Spoke with reporter's office.  Seen for allergic rxn of facial swelling and itchy tongue and released on Benadryl
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Electrocardiogram, Flushing, Headache, Heart rate increased
Clinical narrative: Severe headache, fast heartbeat, flushed, light headed, sweating,
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hyperhidrosis
Clinical narrative: Severe headache, fast heartbeat, flushed, light headed, sweating,
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives - Torso, neck, head, arms, legs. Initial treatment - Benadryl 25 mg. every 6 hrs. Symptoms worsened. Treated with prednisone 10mg. taper and Hydroyzine 9 ml. every 8 hours
Age: 50.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: SORE THROAT, RUNNY NOSE, NON-PRODUCTIVE COUGH, EXTREME FATIQUE, NO FEVER,LASTING 5 DAYS
Age: 0.35
Sex: M
Vaccine: HIBV
Symptoms: Rash
Clinical narrative: PARENTS OF INFANT NOTED DIFFUSE PINK RASH OVER TRUNK AND UPPER EXTREMITIES A FEW DAYS AFTER VACCINATION WITH HIB. (SANOFI - ACT HIB- UF550AA).  NO VESICLE.  NO RESP DISTRESS.  NO SWELLING OF LIPS/TONGUE.  NO OTHER SYMPTOMS.  PARENTS REPORTED TO PRIMARY MD.  THIS RN (THAT ADM. VACCINE) ENC. MOM TO TAKE INFANT TO MD FOR EVAL. TO ATTEMPT TO DETERMINE IF THERE IS A TRUE ALLERGY TO HIB VACCINE; NEXT DOSE IS DUE LATE NOV, 2009.
Age: 21.0
Sex: F
Vaccine: HPVX
Symptoms: Crying, Fungal skin infection, Skin discolouration, Visual field defect
Clinical narrative: Vision changes: white blotches. Described as if a white marker blotted out large sections of words on a page. She cried herself to sleep. HAS  had subsequent problems with yeast growth on face--unknown if related to injection.
Age: 46.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Malaise, Pain, Rhinorrhoea
Clinical narrative: runny nose, headache that increased in intendsity over 2 days, Body aches by 3rd day of symptoms with c/o malaise
Age: 9.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Blepharospasm, Corneal reflex decreased, Muscle twitching
Clinical narrative: Eye blinking twitching tic. Involves eyebrows and sometimes nose.
Age: 9.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Eye movement disorder
Clinical narrative: Eye blinking twitching tic. Involves eyebrows and sometimes nose.
Age: 11.0
Sex: M
Vaccine: FLUN3
Symptoms: Cold sweat, Dizziness, Lethargy, Oropharyngeal pain, Pain
Clinical narrative: Fever of 105.0 body aches sore throat lethargic dizzy clammy
Age: 11.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia
Clinical narrative: Fever of 105.0 body aches sore throat lethargic dizzy clammy
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Blood pressure decreased, Dizziness, Mobility decreased
Clinical narrative: Extreme dizziness & drop in blood pressure. Upon awakening the morning after the vaccine was administered.  It lasted for at least an hour if not longer.  I could not move about had to rest until it passed.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Asthenia, Blood pressure increased, Dizziness, Dry mouth, Headache
Clinical narrative: hypertension- 166/85 tachycardic-106 Profound HA- 8 out of 10 pain scale weak, dizzy mouth very dry
Age: 52.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Heart rate increased, Hypertension, Tachycardia
Clinical narrative: hypertension- 166/85 tachycardic-106 Profound HA- 8 out of 10 pain scale weak, dizzy mouth very dry
Age: 34.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Hyperhidrosis, Injection site irritation, Injection site pain, Local reaction, Pain in extremity
Clinical narrative: PT. CALLED ON 10/08/09 TO REPORT THAT APPROXIMATELY 2 HOURS AFTER SHE REC'D HER SHOTS, SHE STARTED TO HAVE SEVERE PAIN IN HER ENTIRE LEFT ARM, PARTICULARLY AROUND THE DELTOID INJECTION SITE. SHE FELT "FEVERISH", SHAKY, AND SWEATY.  SHE TOOK AN OTC PAIN AND FEVER REDUCER WITH SOME RELIEF.  HOWEVER, HER SYMPTOMS CONTINUED TO SOME DEGREE THROUGHOUT THE DAY TODAY.  SHE DENIES ANY HISTORY OF ADVERSE REACTIONS TO IMMUNIZATIONS.   HER LEFT ARM IS THE SITE WHERE SHE REC'D THE MENACTRA- HER RIGHT ARM, WHERE SHE REC'D THE FLU SHOT HAS ONLY MILD LOCAL IRRITATION.  SHE WAS ADVISED TO SEE HER PRIMARY PHYICIAN FOR FURTHER ASSESSMENT- SHE SAID SHE WOULD CALL AS SOON AS WE HUNG UP.  SHE WAS TO CALL THE STAFF BACK THE NEXT DAY IF SX WERE NOT BETTER.
Age: 34.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Pyrexia, Tremor
Clinical narrative: PT. CALLED ON 10/08/09 TO REPORT THAT APPROXIMATELY 2 HOURS AFTER SHE REC'D HER SHOTS, SHE STARTED TO HAVE SEVERE PAIN IN HER ENTIRE LEFT ARM, PARTICULARLY AROUND THE DELTOID INJECTION SITE. SHE FELT "FEVERISH", SHAKY, AND SWEATY.  SHE TOOK AN OTC PAIN AND FEVER REDUCER WITH SOME RELIEF.  HOWEVER, HER SYMPTOMS CONTINUED TO SOME DEGREE THROUGHOUT THE DAY TODAY.  SHE DENIES ANY HISTORY OF ADVERSE REACTIONS TO IMMUNIZATIONS.   HER LEFT ARM IS THE SITE WHERE SHE REC'D THE MENACTRA- HER RIGHT ARM, WHERE SHE REC'D THE FLU SHOT HAS ONLY MILD LOCAL IRRITATION.  SHE WAS ADVISED TO SEE HER PRIMARY PHYICIAN FOR FURTHER ASSESSMENT- SHE SAID SHE WOULD CALL AS SOON AS WE HUNG UP.  SHE WAS TO CALL THE STAFF BACK THE NEXT DAY IF SX WERE NOT BETTER.
Age: 35.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Feeling hot, Hyperventilation, Injection site swelling, Paraesthesia
Clinical narrative: Arm became swollen at injection site - cl stated she was hot & tingling of fingers, hyperventilating - given 25 mg Benadryl B/P elevated 2 preeclampsia per report. Called her at 8pm - stated she felt fine & swelling down.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Croup infectious, Stridor
Clinical narrative: 4 hours after vaccine -pt had severe strider - received EPONEPHRINE and ambulance transport to ED. Dx spasmoodic croup  10/23/2009 records from PCP and ED visit date 10/15/2009 received. Patient presented post vaccination with c/o's croupy cough, difficulty breathing, loud stridor, vomiting and tachypnea. Tx'd with O2, racemic Epinephrine neb, and oral Decadron with resolution of sx> DC Dx: Acute Croup
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Condition aggravated, Cough, Croup infectious, Cyanosis, Dyspnoea
Clinical narrative: 4 hours after vaccine -pt had severe strider - received EPONEPHRINE and ambulance transport to ED. Dx spasmoodic croup  10/23/2009 records from PCP and ED visit date 10/15/2009 received. Patient presented post vaccination with c/o's croupy cough, difficulty breathing, loud stridor, vomiting and tachypnea. Tx'd with O2, racemic Epinephrine neb, and oral Decadron with resolution of sx> DC Dx: Acute Croup
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Vomiting, X-ray normal
Clinical narrative: 4 hours after vaccine -pt had severe strider - received EPONEPHRINE and ambulance transport to ED. Dx spasmoodic croup  10/23/2009 records from PCP and ED visit date 10/15/2009 received. Patient presented post vaccination with c/o's croupy cough, difficulty breathing, loud stridor, vomiting and tachypnea. Tx'd with O2, racemic Epinephrine neb, and oral Decadron with resolution of sx> DC Dx: Acute Croup
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood glucose normal, Syncope
Clinical narrative: Syncope; recovered after brief period of time w/min
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV1
Symptoms: Erythema, Mass
Clinical narrative: RED KNOT MOM IST NOTICE 10/15/2009 AT 12 PM
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Rash
Clinical narrative: Rash on face - continuing to spread over entire face since injection - today is October 16th
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Inflammation, Rash
Clinical narrative: Rash on belly, pt treated with 1 tsp of Benadryl 3-4 times daily and also use Motrin 1 tsp four times daily to decrease inflammation.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Diet refusal, Urine output decreased, Vomiting
Clinical narrative: Temp of 99 degrees began on 10/15/2009, axillary temp in the am 10/16/2009 was 101.5 degrees farenheight, vomited x1 10/16/2009.  No void over 18 hours, refused fluids.  Seen in our office today 10/16/2009 for fluids.  After 2 hours of pushing fluids pt voided.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fall, Head injury, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Started with flu shot stabbing pain with injection, aching, throbbing that continued. Felt nauseated, bent forward to sign a book, started sweating. Began feeling lightheaded, fell to ground and hit head. An attendent came and when she stood up to go into building the symptoms started again, felt lightheaded and sweating.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Nausea, Pain
Clinical narrative: Started with flu shot stabbing pain with injection, aching, throbbing that continued. Felt nauseated, bent forward to sign a book, started sweating. Began feeling lightheaded, fell to ground and hit head. An attendent came and when she stood up to go into building the symptoms started again, felt lightheaded and sweating.
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Headache, Oropharyngeal pain, Productive cough, Respiratory tract congestion
Clinical narrative: Started with Runny Nose.  By evening, I had a slight sore throat from drainage.  Sinus pressure behind eyes that night (10-13-09) and next day.  On 10-14-09, I had a headache similar to head cold and felt tired from blowing my nose all night long. Night of 10-14-09, drainage is trying to work its way in to my chest with slight coughing up of drainage.  On 10-15-09, sinus drainage slowed up and almost stopped, but still have some chest congestion.  Over the past days, I have taken Theraflu for symptoms.
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rhinorrhoea, Sinus congestion, Sinus headache
Clinical narrative: Started with Runny Nose.  By evening, I had a slight sore throat from drainage.  Sinus pressure behind eyes that night (10-13-09) and next day.  On 10-14-09, I had a headache similar to head cold and felt tired from blowing my nose all night long. Night of 10-14-09, drainage is trying to work its way in to my chest with slight coughing up of drainage.  On 10-15-09, sinus drainage slowed up and almost stopped, but still have some chest congestion.  Over the past days, I have taken Theraflu for symptoms.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Rash macular
Clinical narrative: pt is c/o intermitten rash 2 days after the vaccion. + itchy, macular rash
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: ROTARIX NOT NEEDED
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Rhinorrhoea
Clinical narrative: 102.5 F temp at highest, cough, runny nose
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Death
Clinical narrative: Unknown. 11/6/09 Autopsy report received. DOD 10/12/09. Anatomic Diagnosis: 1. Coronary artery disease. 2. Cardiac rupture with cardiac tamponade. 3. Pleural effusion. 4. Status post cholecystectomy and appendectomy.   11/12/09 Coroner - Final Cause of Death: Severe coronary atherosclerosis.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Dermatitis, Rash generalised
Clinical narrative: Pin point rash appeared around ankles that itched and then spread to stomach. Patient went to Dr. who treated him for "dermatitis" and gave RX for Medrol Dosepak   ...Rash went away Rx was written on 9-9-09 and filled and picked up that date.
Age: 49.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache, Loss of consciousness, Memory impairment, Migraine, Palpitations
Clinical narrative: Patient left the facility and began having headache around 5pm by 7:30pm described her headache as severe like a migraine went to bed at this time, husband is a trucker he called around 9:30pm at which time she woke up and headache was just as severe.  Went back to sleep woke up at 0200am with "pounding in chest" and "head pounding" worse then wehn she went to sleep took her pulse and reports this as 118 bpm Called the local ER with s/s (first report did not report to clinic prior to this) was advised that she may be having a reaction to the vaccine.  Patient did not report to the emergency room.  States the next thing she remembers is waking up next to or on her bed at 0430am with phone in her hand assumes that she made it to her bed and passed out but cannot remember anything after talking to the ER nurse at this time patients headache is better, palpitations are gone no other s/s at this time got up took a shower and ate something then called into Clinic to speak to provider to see if she needed to come in and be seen Provider advised that patient sounded stable at this time and didn't need to be seen but if s/s returned or other s/s developed to report to the ER or clinic.  Provider also informed the patient that we would report the event via the VAERS
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: slight itch in area of Zostavax vaccine, reddness, tender to touch, slight swelling
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: Patient received Influenza Vaccination IM on 9/29/09. While administering vaccination, the needle hit the patients bone in deltoid area. After vaccination, patient stated his arm was okay, just sore. Counseled patient that his arm may hurt for a day or two and that regardless if the bone was hit or not, some patients experience pain at the injection site.  Patient phoned pharmacy and spoke with pharmacy manager on 10/15/2009 at 4:30pm. He claims that his arm is still in pain and he has not ben able to use it 100%. He stated that he went to his doctor and his arm is this way due to his vaccination, which was two weeks prior to this phone call.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Chest pain, Cough, Eye irritation, Feeling abnormal, Headache
Clinical narrative: I all of the sudden started coughing, like a bronchitis cough, then had severe pain in my lower right side from coughing so hard.  I coudln't clear my throat, my chest hurt, and I felt as if my throat was closing up.  During the night I woke up with a headache and my eyes were burning.  In the morning I had severe bloodshot eyes.  I felt horrible all day, just not right.  After the shot I immediately felt like there was something going through my body.  My arm is still sore, 24 hours later.  I spoke with my coworkers who also received the shot and they had similar symptoms, 4 had something that I had and one had a stomach diarhaa episode with fever and chills.  Another had fever and sore throat.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Immediate post-injection reaction, Ocular hyperaemia, Pain, Pain in extremity, Throat irritation
Clinical narrative: I all of the sudden started coughing, like a bronchitis cough, then had severe pain in my lower right side from coughing so hard.  I coudln't clear my throat, my chest hurt, and I felt as if my throat was closing up.  During the night I woke up with a headache and my eyes were burning.  In the morning I had severe bloodshot eyes.  I felt horrible all day, just not right.  After the shot I immediately felt like there was something going through my body.  My arm is still sore, 24 hours later.  I spoke with my coworkers who also received the shot and they had similar symptoms, 4 had something that I had and one had a stomach diarhaa episode with fever and chills.  Another had fever and sore throat.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Throat tightness
Clinical narrative: I all of the sudden started coughing, like a bronchitis cough, then had severe pain in my lower right side from coughing so hard.  I coudln't clear my throat, my chest hurt, and I felt as if my throat was closing up.  During the night I woke up with a headache and my eyes were burning.  In the morning I had severe bloodshot eyes.  I felt horrible all day, just not right.  After the shot I immediately felt like there was something going through my body.  My arm is still sore, 24 hours later.  I spoke with my coworkers who also received the shot and they had similar symptoms, 4 had something that I had and one had a stomach diarhaa episode with fever and chills.  Another had fever and sore throat.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, FLUN3, HPV4
Symptoms: Computerised tomogram, Convulsion, Echocardiogram, Electrocardiogram, Electroencephalogram
Clinical narrative: Fainting, seizures immediately following vaccination. 10/19/09 Emergency Department records received for date of serivice 10/15/09. Dx:  Syncope, seizure, anxiety Assessment:  Seen for syncopy vs. seizure episode.  EEG, Head CT and Echo normal.  Head CT:  No evidence of intracranial process.  Echo:  Normal study.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, FLUN3, HPV4
Symptoms: Immediate post-injection reaction, Nuclear magnetic resonance imaging, Syncope
Clinical narrative: Fainting, seizures immediately following vaccination. 10/19/09 Emergency Department records received for date of serivice 10/15/09. Dx:  Syncope, seizure, anxiety Assessment:  Seen for syncopy vs. seizure episode.  EEG, Head CT and Echo normal.  Head CT:  No evidence of intracranial process.  Echo:  Normal study.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, FLUN3, HPV4
Symptoms: Convulsion, Loss of consciousness, Urinary incontinence
Clinical narrative: Fainting, seizures immediately following vaccination. 10/19/09 Emergency Department records received for date of serivice 10/15/09. Dx:  Syncope, seizure, anxiety Assessment:  Seen for syncopy vs. seizure episode.  EEG, Head CT and Echo normal.  Head CT:  No evidence of intracranial process.  Echo:  Normal study.
Age: 7.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Cough, Hallucination, visual, Headache, Muscle twitching, Nausea
Clinical narrative: headache, body aches, and nausea; No fever, no vomiting on night of 10/14.  s/s continued until 10/15, when child developed "twitching" and visual hallucinations of "dancing purple hearts"  Child was taken to hospital ED 10/15, dx: "viral respiratory illness."  Developed cough  on 10/16. No congestion, No fever, No stiff neck, no diarrhea.  Mother treating with tylenol.
Age: 7.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Pain, Respiratory tract infection viral
Clinical narrative: headache, body aches, and nausea; No fever, no vomiting on night of 10/14.  s/s continued until 10/15, when child developed "twitching" and visual hallucinations of "dancing purple hearts"  Child was taken to hospital ED 10/15, dx: "viral respiratory illness."  Developed cough  on 10/16. No congestion, No fever, No stiff neck, no diarrhea.  Mother treating with tylenol.
Age: 2.0
Sex: M
Vaccine: FLUX
Symptoms: Diet refusal, Pyrexia, Rhinorrhoea
Clinical narrative: Running a high fever from 10/14 pm to 10/15  Fever went down in the afternoon and stayed down then on 10/16 in early afternoon started running a low fever again and started with runny nose Would not eat & drink on 10/15 Called doctor in am on 10/15 and was told to give him tylenol and pedialyte And was told this was not caused by the flu shot but I think otherwise, he was absolutely fine until a few hours after the shot.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Pain in extremity
Clinical narrative: sore arm cant sleep on it. think I inject it in to his joint. pt been taken ibuprofen and icing it
Age: 1.33
Sex: M
Vaccine: FLUX, MMR, PNC, VARCEL
Symptoms: Blood calcium normal, Blood glucose normal, Electroencephalogram, Eye movement disorder, Full blood count normal
Clinical narrative: Diminished responsiveness with head and eyes deviated to right for about 15 minutes.
Age: 1.33
Sex: M
Vaccine: FLUX, MMR, PNC, VARCEL
Symptoms: Posture abnormal, Unresponsive to stimuli
Clinical narrative: Diminished responsiveness with head and eyes deviated to right for about 15 minutes.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Facial palsy
Clinical narrative: Patient was seen in ER and treated for Bells Palsy.  Patient had received flu shot 10 days prior.  From notes it appears that symptoms of facial droop began on day of injection. 10/26/2009 hospital records for ED visit 10/11/2009. Presenting sx of rt facial droop, confirmed per PE. Tx: Acyclovir, Prednisone and eye gtts. DC DX: Bells Palsy
Age: 2.0
Sex: M
Vaccine: DTAP, FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: urticarial rash with no other likely precipitating cause.  Treated with benedryl.  No respiratory or GI symptoms.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Choking, Headache, Pyrexia
Clinical narrative: Developed HA and fever and choking episoide that lasted 30 seconds.
Age: 63.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site vesicles
Clinical narrative: Patient reported pain and knots at injection sites.  Patient was administered both Pneumovax and Fluvirin in the left arm seperated by 1 inch.  Patient reported applying warm compress to area for the evening.  Next day one of the injection sites was red and blistered.  Patient presented to pharmacy at 6:00 PM 10/16/2009.  Both injection sites were red but the posterior injection had two dime sized blisterd at the injection site.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Pain of skin, Pyrexia, Varicella
Clinical narrative: The Varicella vaccine completely failed me, I broke out with a severe case of chicken pox, 102 fever.  CDC websites says a vaccinated person could contract a mild case, less than 50 blisters.  I have 50 on my face alone, and they are covering my entire body, I estimate there are hundred on my body. I have bad scalp pain. I did recieve two rounds of this vaccine and believed I had immunity.  There is no suggestion of a booster.  I want to report this as I was the first round of people to receive this in the US and maybe the CDC should be suggesting a booster.
Age: 4.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Activities of daily living impaired, Diet refusal, Gait disturbance, Hypersomnia, Pyrexia
Clinical narrative: Fever, won't eat, can barely walk, can't get out of bed, slept for 14hrs!
Age: 31.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Aphonia, Chest discomfort, Dysphagia, Dyspnoea, Muscular weakness
Clinical narrative: It got harder to swallow food and drink not due to pain but muscle weakness but I did have a slight sore throat. Then at about 2:00 PM after I woke up I had lost my voice and when I try to talk or if I cough it is very hard to get air out it almost feels like my throat is swollen and a heavy pressure on my chest or lungs(when I take a breath my air movement is good) it is just when I talk or cough. My throat does not bother meat all any more today.  I have not seen a Dr. as of yet but I will go in if I do not get better in the next day or two or instructed by you.
Age: 31.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Oropharyngeal pain, Throat tightness
Clinical narrative: It got harder to swallow food and drink not due to pain but muscle weakness but I did have a slight sore throat. Then at about 2:00 PM after I woke up I had lost my voice and when I try to talk or if I cough it is very hard to get air out it almost feels like my throat is swollen and a heavy pressure on my chest or lungs(when I take a breath my air movement is good) it is just when I talk or cough. My throat does not bother meat all any more today.  I have not seen a Dr. as of yet but I will go in if I do not get better in the next day or two or instructed by you.
Age: 9.0
Sex: F
Vaccine: FLU3, FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood alkaline phosphatase normal, Blood glucose normal, Death, Death, Full blood count abnormal
Clinical narrative: None Stated. On 10/19/09, the PCP stated that coroner called him and told him that he found consolidation of the lungs on autopsy. Autopsy report is not complete yet.   10/20/09 ER records received service date 10/14/09. Assessment: Cardiac arrest. CPR initiated. Pupils fixed and dilated. Apnea, pale. Rigor, lividity.  1022/09 PCP /Nursing medical records received, service dates 11/11/03 to 10/14/09. Assessment: Death. Office staff unable to contact patient's family, eventually visited patient's home. learnd that patient was found dead at home and taken to ER.  11/3/09 Additional ER records received for service date 10/14/09. Found supine on floor at home apneic and pulseless. Cardiac arrest. CPR initiated.   12/8/09 Autopsy received. Pronounced dead on 10/13/2009 Final cause of death: Pneumococcal Pneumonia. Pandemic Influenza A.  Additional Information Abstracted: Other contributing conditions - Leukopenia, history of leukemia, Down syndrome. Drug Screen Heart Blood: Dextromethorphan <0.10 ug/ml, Promethazine 0.11 ug/ml. \ksk  12/28/09 Pathology report received. Receipt date 10/23/2009. Sign out date 12/21/2009. Diagnosis: Lung - Diffuse alveolar damage and bronchopneumonia. Immunohistochemical and molecular evidence of novel influenza A H1N1. Immunohistochemical and molecular evidence of Streptococcus pneumoniae. Immunohistochemical evidence of Neisseria meningitidis without molecular confirmation. No immunohistochemical evidence of Group A Streptococcus or Haemophilus influenzae.  All follow-up attempts have been completed per company SOPs. No further information available.
Age: 9.0
Sex: F
Vaccine: FLU3, FLUN(H1N1), FLUN(H1N1)
Symptoms: Haematocrit decreased, Haemoglobin decreased, Immunohistochemistry, Neisseria test positive, Pupil fixed
Clinical narrative: None Stated. On 10/19/09, the PCP stated that coroner called him and told him that he found consolidation of the lungs on autopsy. Autopsy report is not complete yet.   10/20/09 ER records received service date 10/14/09. Assessment: Cardiac arrest. CPR initiated. Pupils fixed and dilated. Apnea, pale. Rigor, lividity.  1022/09 PCP /Nursing medical records received, service dates 11/11/03 to 10/14/09. Assessment: Death. Office staff unable to contact patient's family, eventually visited patient's home. learnd that patient was found dead at home and taken to ER.  11/3/09 Additional ER records received for service date 10/14/09. Found supine on floor at home apneic and pulseless. Cardiac arrest. CPR initiated.   12/8/09 Autopsy received. Pronounced dead on 10/13/2009 Final cause of death: Pneumococcal Pneumonia. Pandemic Influenza A.  Additional Information Abstracted: Other contributing conditions - Leukopenia, history of leukemia, Down syndrome. Drug Screen Heart Blood: Dextromethorphan <0.10 ug/ml, Promethazine 0.11 ug/ml. \ksk  12/28/09 Pathology report received. Receipt date 10/23/2009. Sign out date 12/21/2009. Diagnosis: Lung - Diffuse alveolar damage and bronchopneumonia. Immunohistochemical and molecular evidence of novel influenza A H1N1. Immunohistochemical and molecular evidence of Streptococcus pneumoniae. Immunohistochemical evidence of Neisseria meningitidis without molecular confirmation. No immunohistochemical evidence of Group A Streptococcus or Haemophilus influenzae.  All follow-up attempts have been completed per company SOPs. No further information available.
Age: 9.0
Sex: F
Vaccine: FLU3, FLUN(H1N1), FLUN(H1N1)
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: None Stated. On 10/19/09, the PCP stated that coroner called him and told him that he found consolidation of the lungs on autopsy. Autopsy report is not complete yet.   10/20/09 ER records received service date 10/14/09. Assessment: Cardiac arrest. CPR initiated. Pupils fixed and dilated. Apnea, pale. Rigor, lividity.  1022/09 PCP /Nursing medical records received, service dates 11/11/03 to 10/14/09. Assessment: Death. Office staff unable to contact patient's family, eventually visited patient's home. learnd that patient was found dead at home and taken to ER.  11/3/09 Additional ER records received for service date 10/14/09. Found supine on floor at home apneic and pulseless. Cardiac arrest. CPR initiated.   12/8/09 Autopsy received. Pronounced dead on 10/13/2009 Final cause of death: Pneumococcal Pneumonia. Pandemic Influenza A.  Additional Information Abstracted: Other contributing conditions - Leukopenia, history of leukemia, Down syndrome. Drug Screen Heart Blood: Dextromethorphan <0.10 ug/ml, Promethazine 0.11 ug/ml. \ksk  12/28/09 Pathology report received. Receipt date 10/23/2009. Sign out date 12/21/2009. Diagnosis: Lung - Diffuse alveolar damage and bronchopneumonia. Immunohistochemical and molecular evidence of novel influenza A H1N1. Immunohistochemical and molecular evidence of Streptococcus pneumoniae. Immunohistochemical evidence of Neisseria meningitidis without molecular confirmation. No immunohistochemical evidence of Group A Streptococcus or Haemophilus influenzae.  All follow-up attempts have been completed per company SOPs. No further information available.
Age: 9.0
Sex: F
Vaccine: FLU3, FLUN(H1N1), FLUN(H1N1)
Symptoms: Autopsy, Death, Influenza, Pneumonia staphylococcal
Clinical narrative: None Stated. On 10/19/09, the PCP stated that coroner called him and told him that he found consolidation of the lungs on autopsy. Autopsy report is not complete yet.   10/20/09 ER records received service date 10/14/09. Assessment: Cardiac arrest. CPR initiated. Pupils fixed and dilated. Apnea, pale. Rigor, lividity.  1022/09 PCP /Nursing medical records received, service dates 11/11/03 to 10/14/09. Assessment: Death. Office staff unable to contact patient's family, eventually visited patient's home. learnd that patient was found dead at home and taken to ER.  11/3/09 Additional ER records received for service date 10/14/09. Found supine on floor at home apneic and pulseless. Cardiac arrest. CPR initiated.   12/8/09 Autopsy received. Pronounced dead on 10/13/2009 Final cause of death: Pneumococcal Pneumonia. Pandemic Influenza A.  Additional Information Abstracted: Other contributing conditions - Leukopenia, history of leukemia, Down syndrome. Drug Screen Heart Blood: Dextromethorphan <0.10 ug/ml, Promethazine 0.11 ug/ml. \ksk  12/28/09 Pathology report received. Receipt date 10/23/2009. Sign out date 12/21/2009. Diagnosis: Lung - Diffuse alveolar damage and bronchopneumonia. Immunohistochemical and molecular evidence of novel influenza A H1N1. Immunohistochemical and molecular evidence of Streptococcus pneumoniae. Immunohistochemical evidence of Neisseria meningitidis without molecular confirmation. No immunohistochemical evidence of Group A Streptococcus or Haemophilus influenzae.  All follow-up attempts have been completed per company SOPs. No further information available.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Arthralgia, Back pain, Balance disorder, Benign intracranial hypertension
Clinical narrative: 10/2/09 received flu shot at work. Arm sore for days. 10/3/09 severe headache, nausea photophobia. 10/9/09 awoke syncopal episode sever vertigo that has lasted 6 months head CT done. 10/11/09 Head congestion started antibiotics Z PACK. 10/23/09 symptoms head pressure, memory problems, fatigue, chills. Nerve pain L arm L leg ear tinnitus intolerance to loud noises difficulty concentrating. 10/29 severe low back pain. Urinary retention. Treated LEVAQUIN, Prednisone. Nov 11, 2008 low magnesium level. Nov 12 2008  Brain MRI ordered. Dec 2008 saw ENT. Sent to vestibular Rehab. Increase numbness left side face. Began walking with wide gait poor balance weakness left side body. Currently: Remain ill unable to work due to ongoing symptoms as listed below. Tethered spinal cord surgery symptoms unresolved. Diagnosis: Pseudo tumor cerebri, central vertigo. taking DIAMOX, hereditary connective tissue disorder unknown type. Numbness, weakness, fatigue, chills, clumsiness, tingling, memory, concentration problems, lighthead. L side hearing decreased. Balance problems, swallowing difficulty, joint pain, tinnitus. Weight loss, nausea, urinary bowel difficulty. Any further details needed please contact. I have seen multiple specialist since onset of symptoms in 10/2008. 12/02/09 Medical records received DOS 10/20/09 Pt. presents with c/o urinary frequency/urgency, nocturia, insomnia, nausea x 4 days Diagnosis: Urinary tract infection  12/18/09 ED records received for DOS 10/09/08. Pt. presented with lightheadedness, syncopal episode at home in morning. DC home stable DX: vertigo, benign, positional 12/24/09 DC summary received for DOS 08/07/09-08/10/09.  12/24/09 DC summary received for DOS 09/18/09-09/21/09.    12/24/09 DC summary received for dates 8/7/09/ to 8/10/09. DX: tethered cord syndrome.  12/24/09 DC summary received for dates 9/18/09 to 9/21/09. DX: surgical report, lumbar drain placed. 12/28/09 Hosp records received for dates 1/6/09 to 1/7/09. DX: chest pain.Chief c/o left sided chest pain x2 days.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Blood magnesium decreased, Chills, Clumsiness, Computerised tomogram, Connective tissue disorder
Clinical narrative: 10/2/09 received flu shot at work. Arm sore for days. 10/3/09 severe headache, nausea photophobia. 10/9/09 awoke syncopal episode sever vertigo that has lasted 6 months head CT done. 10/11/09 Head congestion started antibiotics Z PACK. 10/23/09 symptoms head pressure, memory problems, fatigue, chills. Nerve pain L arm L leg ear tinnitus intolerance to loud noises difficulty concentrating. 10/29 severe low back pain. Urinary retention. Treated LEVAQUIN, Prednisone. Nov 11, 2008 low magnesium level. Nov 12 2008  Brain MRI ordered. Dec 2008 saw ENT. Sent to vestibular Rehab. Increase numbness left side face. Began walking with wide gait poor balance weakness left side body. Currently: Remain ill unable to work due to ongoing symptoms as listed below. Tethered spinal cord surgery symptoms unresolved. Diagnosis: Pseudo tumor cerebri, central vertigo. taking DIAMOX, hereditary connective tissue disorder unknown type. Numbness, weakness, fatigue, chills, clumsiness, tingling, memory, concentration problems, lighthead. L side hearing decreased. Balance problems, swallowing difficulty, joint pain, tinnitus. Weight loss, nausea, urinary bowel difficulty. Any further details needed please contact. I have seen multiple specialist since onset of symptoms in 10/2008. 12/02/09 Medical records received DOS 10/20/09 Pt. presents with c/o urinary frequency/urgency, nocturia, insomnia, nausea x 4 days Diagnosis: Urinary tract infection  12/18/09 ED records received for DOS 10/09/08. Pt. presented with lightheadedness, syncopal episode at home in morning. DC home stable DX: vertigo, benign, positional 12/24/09 DC summary received for DOS 08/07/09-08/10/09.  12/24/09 DC summary received for DOS 09/18/09-09/21/09.    12/24/09 DC summary received for dates 8/7/09/ to 8/10/09. DX: tethered cord syndrome.  12/24/09 DC summary received for dates 9/18/09 to 9/21/09. DX: surgical report, lumbar drain placed. 12/28/09 Hosp records received for dates 1/6/09 to 1/7/09. DX: chest pain.Chief c/o left sided chest pain x2 days.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Disturbance in attention, Dizziness, Dysphagia, Electronystagmogram, Fatigue
Clinical narrative: 10/2/09 received flu shot at work. Arm sore for days. 10/3/09 severe headache, nausea photophobia. 10/9/09 awoke syncopal episode sever vertigo that has lasted 6 months head CT done. 10/11/09 Head congestion started antibiotics Z PACK. 10/23/09 symptoms head pressure, memory problems, fatigue, chills. Nerve pain L arm L leg ear tinnitus intolerance to loud noises difficulty concentrating. 10/29 severe low back pain. Urinary retention. Treated LEVAQUIN, Prednisone. Nov 11, 2008 low magnesium level. Nov 12 2008  Brain MRI ordered. Dec 2008 saw ENT. Sent to vestibular Rehab. Increase numbness left side face. Began walking with wide gait poor balance weakness left side body. Currently: Remain ill unable to work due to ongoing symptoms as listed below. Tethered spinal cord surgery symptoms unresolved. Diagnosis: Pseudo tumor cerebri, central vertigo. taking DIAMOX, hereditary connective tissue disorder unknown type. Numbness, weakness, fatigue, chills, clumsiness, tingling, memory, concentration problems, lighthead. L side hearing decreased. Balance problems, swallowing difficulty, joint pain, tinnitus. Weight loss, nausea, urinary bowel difficulty. Any further details needed please contact. I have seen multiple specialist since onset of symptoms in 10/2008. 12/02/09 Medical records received DOS 10/20/09 Pt. presents with c/o urinary frequency/urgency, nocturia, insomnia, nausea x 4 days Diagnosis: Urinary tract infection  12/18/09 ED records received for DOS 10/09/08. Pt. presented with lightheadedness, syncopal episode at home in morning. DC home stable DX: vertigo, benign, positional 12/24/09 DC summary received for DOS 08/07/09-08/10/09.  12/24/09 DC summary received for DOS 09/18/09-09/21/09.    12/24/09 DC summary received for dates 8/7/09/ to 8/10/09. DX: tethered cord syndrome.  12/24/09 DC summary received for dates 9/18/09 to 9/21/09. DX: surgical report, lumbar drain placed. 12/28/09 Hosp records received for dates 1/6/09 to 1/7/09. DX: chest pain.Chief c/o left sided chest pain x2 days.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Gait disturbance, Headache, Hemiparesis, Hypoacusis, Hypoaesthesia facial
Clinical narrative: 10/2/09 received flu shot at work. Arm sore for days. 10/3/09 severe headache, nausea photophobia. 10/9/09 awoke syncopal episode sever vertigo that has lasted 6 months head CT done. 10/11/09 Head congestion started antibiotics Z PACK. 10/23/09 symptoms head pressure, memory problems, fatigue, chills. Nerve pain L arm L leg ear tinnitus intolerance to loud noises difficulty concentrating. 10/29 severe low back pain. Urinary retention. Treated LEVAQUIN, Prednisone. Nov 11, 2008 low magnesium level. Nov 12 2008  Brain MRI ordered. Dec 2008 saw ENT. Sent to vestibular Rehab. Increase numbness left side face. Began walking with wide gait poor balance weakness left side body. Currently: Remain ill unable to work due to ongoing symptoms as listed below. Tethered spinal cord surgery symptoms unresolved. Diagnosis: Pseudo tumor cerebri, central vertigo. taking DIAMOX, hereditary connective tissue disorder unknown type. Numbness, weakness, fatigue, chills, clumsiness, tingling, memory, concentration problems, lighthead. L side hearing decreased. Balance problems, swallowing difficulty, joint pain, tinnitus. Weight loss, nausea, urinary bowel difficulty. Any further details needed please contact. I have seen multiple specialist since onset of symptoms in 10/2008. 12/02/09 Medical records received DOS 10/20/09 Pt. presents with c/o urinary frequency/urgency, nocturia, insomnia, nausea x 4 days Diagnosis: Urinary tract infection  12/18/09 ED records received for DOS 10/09/08. Pt. presented with lightheadedness, syncopal episode at home in morning. DC home stable DX: vertigo, benign, positional 12/24/09 DC summary received for DOS 08/07/09-08/10/09.  12/24/09 DC summary received for DOS 09/18/09-09/21/09.    12/24/09 DC summary received for dates 8/7/09/ to 8/10/09. DX: tethered cord syndrome.  12/24/09 DC summary received for dates 9/18/09 to 9/21/09. DX: surgical report, lumbar drain placed. 12/28/09 Hosp records received for dates 1/6/09 to 1/7/09. DX: chest pain.Chief c/o left sided chest pain x2 days.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Impaired work ability, Intestinal functional disorder, Lumbar puncture, Memory impairment, Nausea
Clinical narrative: 10/2/09 received flu shot at work. Arm sore for days. 10/3/09 severe headache, nausea photophobia. 10/9/09 awoke syncopal episode sever vertigo that has lasted 6 months head CT done. 10/11/09 Head congestion started antibiotics Z PACK. 10/23/09 symptoms head pressure, memory problems, fatigue, chills. Nerve pain L arm L leg ear tinnitus intolerance to loud noises difficulty concentrating. 10/29 severe low back pain. Urinary retention. Treated LEVAQUIN, Prednisone. Nov 11, 2008 low magnesium level. Nov 12 2008  Brain MRI ordered. Dec 2008 saw ENT. Sent to vestibular Rehab. Increase numbness left side face. Began walking with wide gait poor balance weakness left side body. Currently: Remain ill unable to work due to ongoing symptoms as listed below. Tethered spinal cord surgery symptoms unresolved. Diagnosis: Pseudo tumor cerebri, central vertigo. taking DIAMOX, hereditary connective tissue disorder unknown type. Numbness, weakness, fatigue, chills, clumsiness, tingling, memory, concentration problems, lighthead. L side hearing decreased. Balance problems, swallowing difficulty, joint pain, tinnitus. Weight loss, nausea, urinary bowel difficulty. Any further details needed please contact. I have seen multiple specialist since onset of symptoms in 10/2008. 12/02/09 Medical records received DOS 10/20/09 Pt. presents with c/o urinary frequency/urgency, nocturia, insomnia, nausea x 4 days Diagnosis: Urinary tract infection  12/18/09 ED records received for DOS 10/09/08. Pt. presented with lightheadedness, syncopal episode at home in morning. DC home stable DX: vertigo, benign, positional 12/24/09 DC summary received for DOS 08/07/09-08/10/09.  12/24/09 DC summary received for DOS 09/18/09-09/21/09.    12/24/09 DC summary received for dates 8/7/09/ to 8/10/09. DX: tethered cord syndrome.  12/24/09 DC summary received for dates 9/18/09 to 9/21/09. DX: surgical report, lumbar drain placed. 12/28/09 Hosp records received for dates 1/6/09 to 1/7/09. DX: chest pain.Chief c/o left sided chest pain x2 days.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Neuralgia, Nuclear magnetic resonance imaging brain, Pain in extremity, Paraesthesia, Phonophobia
Clinical narrative: 10/2/09 received flu shot at work. Arm sore for days. 10/3/09 severe headache, nausea photophobia. 10/9/09 awoke syncopal episode sever vertigo that has lasted 6 months head CT done. 10/11/09 Head congestion started antibiotics Z PACK. 10/23/09 symptoms head pressure, memory problems, fatigue, chills. Nerve pain L arm L leg ear tinnitus intolerance to loud noises difficulty concentrating. 10/29 severe low back pain. Urinary retention. Treated LEVAQUIN, Prednisone. Nov 11, 2008 low magnesium level. Nov 12 2008  Brain MRI ordered. Dec 2008 saw ENT. Sent to vestibular Rehab. Increase numbness left side face. Began walking with wide gait poor balance weakness left side body. Currently: Remain ill unable to work due to ongoing symptoms as listed below. Tethered spinal cord surgery symptoms unresolved. Diagnosis: Pseudo tumor cerebri, central vertigo. taking DIAMOX, hereditary connective tissue disorder unknown type. Numbness, weakness, fatigue, chills, clumsiness, tingling, memory, concentration problems, lighthead. L side hearing decreased. Balance problems, swallowing difficulty, joint pain, tinnitus. Weight loss, nausea, urinary bowel difficulty. Any further details needed please contact. I have seen multiple specialist since onset of symptoms in 10/2008. 12/02/09 Medical records received DOS 10/20/09 Pt. presents with c/o urinary frequency/urgency, nocturia, insomnia, nausea x 4 days Diagnosis: Urinary tract infection  12/18/09 ED records received for DOS 10/09/08. Pt. presented with lightheadedness, syncopal episode at home in morning. DC home stable DX: vertigo, benign, positional 12/24/09 DC summary received for DOS 08/07/09-08/10/09.  12/24/09 DC summary received for DOS 09/18/09-09/21/09.    12/24/09 DC summary received for dates 8/7/09/ to 8/10/09. DX: tethered cord syndrome.  12/24/09 DC summary received for dates 9/18/09 to 9/21/09. DX: surgical report, lumbar drain placed. 12/28/09 Hosp records received for dates 1/6/09 to 1/7/09. DX: chest pain.Chief c/o left sided chest pain x2 days.