chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal pain, Barium enema abnormal, Enema administration, Gastrointestinal oedema
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. On 20-FEB-2008, a 4 month old male with no relevant medical history was vaccinated with his second dose of ROTATEQ (lot number 1394U) by mouth. Concomitant vaccine included HIB conj vaccine (unspecified carrier) (lot number UF238AA, vaccinated IM into the right leg), diphtheria toxoid (+) pertussis while cell vaccine (+) tetanus toxoid (lot number C2933AB, vaccinated IM into the right leg), pneumococcal conj vaccine (unspecified) (lot number C45153, vaccinated IM into the left leg) and poliovirus vaccine inactivated (unspecified) (lot number A0474, vaccinated IM into the left leg). On 31-MAR-2008, the patient experienced abdominal pain, enema administration, gastrointestinal oedema, hematochezia, intussusception and vomiting. Hospital medical records were from 31-MAR-2008 to 01-APR-2008. Records reveal that the patient experienced vomiting, bloody stools one day and overnight apparent abdominal pain upon feeding. The patient was diagnosed by X-ray; abdominal US (+) for IS. was reduced. The repeat US for IS was negative, which revealed mild bowel edema. Subsequently, the symptom were improved and the patient was discharged to home. The listing indicated that one or more of the events required hospitalization, was considered to be immediately life-threatening. No further information is available. A lot check has been requested. The original reporting source was not provided. The VAERS ID # is 309597. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Haematochezia, Intussusception, Ultrasound scan abnormal, Vomiting, X-ray abnormal
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. On 20-FEB-2008, a 4 month old male with no relevant medical history was vaccinated with his second dose of ROTATEQ (lot number 1394U) by mouth. Concomitant vaccine included HIB conj vaccine (unspecified carrier) (lot number UF238AA, vaccinated IM into the right leg), diphtheria toxoid (+) pertussis while cell vaccine (+) tetanus toxoid (lot number C2933AB, vaccinated IM into the right leg), pneumococcal conj vaccine (unspecified) (lot number C45153, vaccinated IM into the left leg) and poliovirus vaccine inactivated (unspecified) (lot number A0474, vaccinated IM into the left leg). On 31-MAR-2008, the patient experienced abdominal pain, enema administration, gastrointestinal oedema, hematochezia, intussusception and vomiting. Hospital medical records were from 31-MAR-2008 to 01-APR-2008. Records reveal that the patient experienced vomiting, bloody stools one day and overnight apparent abdominal pain upon feeding. The patient was diagnosed by X-ray; abdominal US (+) for IS. was reduced. The repeat US for IS was negative, which revealed mild bowel edema. Subsequently, the symptom were improved and the patient was discharged to home. The listing indicated that one or more of the events required hospitalization, was considered to be immediately life-threatening. No further information is available. A lot check has been requested. The original reporting source was not provided. The VAERS ID # is 309597. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released.
Age: 48.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: C-reactive protein normal, Computerised tomogram normal, Full blood count normal, Laboratory test normal, Motor dysfunction
Clinical narrative: Gradual onset of daily left arm band like paresthesias progressive over time from intermittent to constant, and from limited to generalized dermatomal distribution. Daily episodes of tingling paresthesias, same distribution. Motor involvement of elbow and wrist flexion/extension. Symptoms : paresthesias, weakness left arm. Symptoms fully resolved - no diagnosis.
Age: 48.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Paraesthesia, Red blood cell sedimentation rate normal, Scan brain, Syphilis test negative, Thyroid function test normal
Clinical narrative: Gradual onset of daily left arm band like paresthesias progressive over time from intermittent to constant, and from limited to generalized dermatomal distribution. Daily episodes of tingling paresthesias, same distribution. Motor involvement of elbow and wrist flexion/extension. Symptoms : paresthesias, weakness left arm. Symptoms fully resolved - no diagnosis.
Age: 48.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Blood folate normal, Blood immunoglobulin A normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal, Muscular weakness
Clinical narrative: Gradual onset of daily left arm band like paresthesias progressive over time from intermittent to constant, and from limited to generalized dermatomal distribution. Daily episodes of tingling paresthesias, same distribution. Motor involvement of elbow and wrist flexion/extension. Symptoms : paresthesias, weakness left arm. Symptoms fully resolved - no diagnosis.
Age: 48.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Mycoplasma serology, Paraesthesia, Vitamin B12 normal
Clinical narrative: Gradual onset of daily left arm band like paresthesias progressive over time from intermittent to constant, and from limited to generalized dermatomal distribution. Daily episodes of tingling paresthesias, same distribution. Motor involvement of elbow and wrist flexion/extension. Symptoms : paresthesias, weakness left arm. Symptoms fully resolved - no diagnosis.
Age: 75.0
Sex: M
Vaccine: TD, TD
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: Initial report was received 21 August 2008 from a health care professional.  A 75-year-old male patient had received a left deltoid injection of DECAVAC, lot number U2294BA and on the evening of vaccination, he developed "sudden onset weakness and paraesthesia of lower extremity.  Possible Guillain-Barre".  The patient was evaluated by their physician for the event.  The patient last received a dose of Tetanus and Diphtheria Toxoids ten years ago and had a history of a penicillin allergy.  At the time of vaccination, the patient had a lesion on their right leg.  According to the reporter, the patient's outcome was "pending".  The reporter for this case is the same as for case numbers 2008-02682 and 2008-02683.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Gastritis, Tuberculosis
Clinical narrative: Information has been received from a 78 year old female healthcare worker with chronic obstructive pulmonary disease who in January 2008, was vaccinated with a dose of ZOSTAVAX (Oka/Merck) (lot number, injection site and route not reported).  Concomitant therapy included AVELOX, rifampin, ethambutol hydrochloride and metoclopramide (manufacturer unknown).  Subsequently the patient experienced active tuberculosis.  The patient was hospitalized at that time for about 13 days, and then released.  The patient stated that she had also been tired, short of breath, little appetite and gastritis.  Active tuberculosis caused prolonged hospitalization.  Additional information has been requested.
Age: 94.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin abnormal, Dermatitis, Pruritus generalised, Urticaria
Clinical narrative: Information has been received from a physician concerning a female with hypertension and a history of bronchitis, colitis and cerebrovascular accident, pain syndrome and anaphylaxis after penicillin and sulfa and allergies to Tylenol, Motrin, Darvocet and hydrocordone who on 25-SEP-2007 was vaccinated with ZOSTAVAX (Lot no. 658212/0887U).  About 1 week after vaccination (on approximately 02-OCT-2007) the patient developed generalized itching which was localized on her back and chest.  A biopsy showed non specific urticarial dermatitis.  She is non responsive to oral antihistamines, fenofexadine, zyrtec, xyzal, hydrozyzine and topical cortisone.  Physician was interested in PCR testing.  The patient sought medical attention, seen in office.  At the time of the reporting, the patient had not recovered.  The physician considered non-specific urticarial dermatitis to be an other important medical event.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a physician concerning a 19 year old female patient who was vaccinated with the first dose of GARDASIL on 12-JUN-2008.  Immediately post vaccination the patient fainted and had convulsions and seizure which lasted for approximately 1 minute.  The patient sought medical attention in the office.  At the time of the reporting the patient had recovered.  Upon internal review, convulsion was considered to be an other important medical event.  Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, HIV test, Laboratory test, Urine human chorionic gonadotropin positive
Clinical narrative: Initial and follow-up information has been received from a physician and a nurse practitioner, for the Pregnancy Registry for GARDASIL, concerning a 16 year old female who on 12-AUG-2008 was vaccinated with a first dose of GARDASIL (lot number, injection site and route not reported).  The nurse practitioner reported that the patient denied sexual activity and by mistake requested a urine pregnancy test on the patient that came back positive.  The nurse practitioner reported the patient had elected to have an abortion unrelated to the vaccine on 21-AUG-2008.  The nurse practitioner also reported that the patient also had a HIV and Hepatitis test after it was discovered she was pregnant because of the history of baby's father.  Follow-up information was received from the nurse practitioner which reported that the patient did have an elective abortion on 21-AUG-2008.  Upon internal review, elective abortion was determined to be an other important medical event.  Additional information is not expected.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Blood test, Dysarthria, Malaise, Pyrexia
Clinical narrative: Information has been received from a Registered nurse concerning a 21 year old female patient with no known drug allergies, no pertinent medical history who on 18-AUG-2008 was vaccinated with a first dose of RECOMBIVAX HB lot # 0762U. There was no concomitant medication and no other vaccination given to the patient. The nurse reported that twenty minutes after vaccination the patient developed malaise, fever and slurred speech after getting the dose of RECOMBIVAX HB. She was sent to the emergency room (ER) and was treated with intravenous (IV) corticosteroids (unspecified) and BENADRYL to prevent neurological disorder. Unspecified laboratory tests were done at the E.R. The patient left ER on course of oral prednisone which was completed on 25-AUG-2008. The patient recovered and went back to work. The reporter considered patient getting I.V. steroids and BENADRYL in the emergency room (ER) was an intervention to prevent a serious criteria and it was reported as an other medical event (OME). The nurse reported that the events were related to RECOMBIVAX HB. This is one of two reports from the same source. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: Syncope
Clinical narrative: Initial report received from another manufacturer on 25 August 2008 who received the report from a health care provider.  An 18-year-old male patient had received a dose of ADACEL (lot number, route/site of administration not reported) on 11 August 2008 and fainted after an unspecified amount of time following vaccination.  The patient was revived and fully recovered within minutes.  No other symptoms were noted.  No additional details were provided.
Age: 36.0
Sex: M
Vaccine: TTOX
Symptoms: Electromyogram abnormal, Injected limb mobility decreased, Pain, Pyrexia, Skin lesion
Clinical narrative: For almost 10 mos. I have an egg-shaped lesion on my left deltoid.  Range of motion is pitiful, I am in pain everyday.  Had low-grade fever for over 40 days straight. 10/30/2008 PCP and vax records received. OV 12/17/07 with c/o L arm pain at TD injection site. Vax given 11/1/07. Reports nerve/muscle pain 8/10.  Initially at injection site but pain spread and worsened to include the whole arm. Bruising noted at base of deltoid. Decreased ROM L shoulder.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Asthenia
Clinical narrative: Autoimmune adrenal insufficiency.  Dx: Aug 08.  Several months severe fatigue, myalgia.  9/12/08 Reviewed endocrinologist medical records of 6/10-8/18/08. FINAL DX: adrenal insufficiency Records reveal patient experienced episodes of excessive fatigue beginning 2/2007 which progressed.  Included dizziness, lightheadedness, overheated with activities, pale, hair loss, nausea, diarrhea for 2 mos, weight loss.  Was on oral contraception which was d/c 6/08.  9/16/08 Reviewed ER medical records of 2/20/07 & 9/12/07. 2/20/07 Final ER Dx: gastroenteritis w/mild dehydration Records reveal patient exprienced N/V/D, chills & abdominal discomfort x 24 hours.  Tx w/IVF & antiemetics.  Responded well & d/c to home. LABS: UA WNL.  9/12/07 Final ER Dx: sore throat secondary to mononucleosis Records reveal patient recently dx w/mono had increasing throat swelling & difficulty breathing, decreased appetite, nausea, difficulty swallowing, abdominal pain, slight SOB.  Exam revealed enlarged & red tonsils, cervical lymph node enlargement.  Tx w/steroids & pain meds.  D/C to home.  9/19/08 Reviewed PCP medical records of 10/3/07-8/5/08. FINAL DX: adrenal insufficiency, hypothyroidism, ADHD, anxiety/depression, OCD.  Records reveal patient experienced  anxiety/depression, OCD, fatigue, lower abdominal pain & fever when see 10/07.  Only able to attend school for 1/2 days.  Referred to neuro & admitted 10/26/07 for questionable seizure, w/u neg.  Had shotty cervical nodes bilaterally.  1/2008 referred to rheumatologist.  Hosp d/c summary, neuro consult, eye exam, rheum consult, sleep center consult, endocrine, psychiatric consult all included.  D/C summary of 10/26-10/29/2007 states final dx: anxiety, depression, s/p inf mono.  LP done.  Had episodes of staring & RLE shaking.  Neuro exam revealed asthenia, slow mentation, HA, possible seizures, ankle clonus.  Rheum consult for chronic fatigue, recurrent mouth sores, joint aches/pains & muscle aches/pains.    1/26/2010 Follow-up: Adreral Insufficieny-which will be lifelong.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Autoimmune disorder, Blood creatine decreased, Bradyphrenia, Clonus, Fatigue
Clinical narrative: Autoimmune adrenal insufficiency.  Dx: Aug 08.  Several months severe fatigue, myalgia.  9/12/08 Reviewed endocrinologist medical records of 6/10-8/18/08. FINAL DX: adrenal insufficiency Records reveal patient experienced episodes of excessive fatigue beginning 2/2007 which progressed.  Included dizziness, lightheadedness, overheated with activities, pale, hair loss, nausea, diarrhea for 2 mos, weight loss.  Was on oral contraception which was d/c 6/08.  9/16/08 Reviewed ER medical records of 2/20/07 & 9/12/07. 2/20/07 Final ER Dx: gastroenteritis w/mild dehydration Records reveal patient exprienced N/V/D, chills & abdominal discomfort x 24 hours.  Tx w/IVF & antiemetics.  Responded well & d/c to home. LABS: UA WNL.  9/12/07 Final ER Dx: sore throat secondary to mononucleosis Records reveal patient recently dx w/mono had increasing throat swelling & difficulty breathing, decreased appetite, nausea, difficulty swallowing, abdominal pain, slight SOB.  Exam revealed enlarged & red tonsils, cervical lymph node enlargement.  Tx w/steroids & pain meds.  D/C to home.  9/19/08 Reviewed PCP medical records of 10/3/07-8/5/08. FINAL DX: adrenal insufficiency, hypothyroidism, ADHD, anxiety/depression, OCD.  Records reveal patient experienced  anxiety/depression, OCD, fatigue, lower abdominal pain & fever when see 10/07.  Only able to attend school for 1/2 days.  Referred to neuro & admitted 10/26/07 for questionable seizure, w/u neg.  Had shotty cervical nodes bilaterally.  1/2008 referred to rheumatologist.  Hosp d/c summary, neuro consult, eye exam, rheum consult, sleep center consult, endocrine, psychiatric consult all included.  D/C summary of 10/26-10/29/2007 states final dx: anxiety, depression, s/p inf mono.  LP done.  Had episodes of staring & RLE shaking.  Neuro exam revealed asthenia, slow mentation, HA, possible seizures, ankle clonus.  Rheum consult for chronic fatigue, recurrent mouth sores, joint aches/pains & muscle aches/pains.    1/26/2010 Follow-up: Adreral Insufficieny-which will be lifelong.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Headache, Myalgia, Nuclear magnetic resonance imaging normal, Ophthalmological examination, Rheumatoid factor negative
Clinical narrative: Autoimmune adrenal insufficiency.  Dx: Aug 08.  Several months severe fatigue, myalgia.  9/12/08 Reviewed endocrinologist medical records of 6/10-8/18/08. FINAL DX: adrenal insufficiency Records reveal patient experienced episodes of excessive fatigue beginning 2/2007 which progressed.  Included dizziness, lightheadedness, overheated with activities, pale, hair loss, nausea, diarrhea for 2 mos, weight loss.  Was on oral contraception which was d/c 6/08.  9/16/08 Reviewed ER medical records of 2/20/07 & 9/12/07. 2/20/07 Final ER Dx: gastroenteritis w/mild dehydration Records reveal patient exprienced N/V/D, chills & abdominal discomfort x 24 hours.  Tx w/IVF & antiemetics.  Responded well & d/c to home. LABS: UA WNL.  9/12/07 Final ER Dx: sore throat secondary to mononucleosis Records reveal patient recently dx w/mono had increasing throat swelling & difficulty breathing, decreased appetite, nausea, difficulty swallowing, abdominal pain, slight SOB.  Exam revealed enlarged & red tonsils, cervical lymph node enlargement.  Tx w/steroids & pain meds.  D/C to home.  9/19/08 Reviewed PCP medical records of 10/3/07-8/5/08. FINAL DX: adrenal insufficiency, hypothyroidism, ADHD, anxiety/depression, OCD.  Records reveal patient experienced  anxiety/depression, OCD, fatigue, lower abdominal pain & fever when see 10/07.  Only able to attend school for 1/2 days.  Referred to neuro & admitted 10/26/07 for questionable seizure, w/u neg.  Had shotty cervical nodes bilaterally.  1/2008 referred to rheumatologist.  Hosp d/c summary, neuro consult, eye exam, rheum consult, sleep center consult, endocrine, psychiatric consult all included.  D/C summary of 10/26-10/29/2007 states final dx: anxiety, depression, s/p inf mono.  LP done.  Had episodes of staring & RLE shaking.  Neuro exam revealed asthenia, slow mentation, HA, possible seizures, ankle clonus.  Rheum consult for chronic fatigue, recurrent mouth sores, joint aches/pains & muscle aches/pains.    1/26/2010 Follow-up: Adreral Insufficieny-which will be lifelong.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Vomiting
Clinical narrative: Autoimmune adrenal insufficiency.  Dx: Aug 08.  Several months severe fatigue, myalgia.  9/12/08 Reviewed endocrinologist medical records of 6/10-8/18/08. FINAL DX: adrenal insufficiency Records reveal patient experienced episodes of excessive fatigue beginning 2/2007 which progressed.  Included dizziness, lightheadedness, overheated with activities, pale, hair loss, nausea, diarrhea for 2 mos, weight loss.  Was on oral contraception which was d/c 6/08.  9/16/08 Reviewed ER medical records of 2/20/07 & 9/12/07. 2/20/07 Final ER Dx: gastroenteritis w/mild dehydration Records reveal patient exprienced N/V/D, chills & abdominal discomfort x 24 hours.  Tx w/IVF & antiemetics.  Responded well & d/c to home. LABS: UA WNL.  9/12/07 Final ER Dx: sore throat secondary to mononucleosis Records reveal patient recently dx w/mono had increasing throat swelling & difficulty breathing, decreased appetite, nausea, difficulty swallowing, abdominal pain, slight SOB.  Exam revealed enlarged & red tonsils, cervical lymph node enlargement.  Tx w/steroids & pain meds.  D/C to home.  9/19/08 Reviewed PCP medical records of 10/3/07-8/5/08. FINAL DX: adrenal insufficiency, hypothyroidism, ADHD, anxiety/depression, OCD.  Records reveal patient experienced  anxiety/depression, OCD, fatigue, lower abdominal pain & fever when see 10/07.  Only able to attend school for 1/2 days.  Referred to neuro & admitted 10/26/07 for questionable seizure, w/u neg.  Had shotty cervical nodes bilaterally.  1/2008 referred to rheumatologist.  Hosp d/c summary, neuro consult, eye exam, rheum consult, sleep center consult, endocrine, psychiatric consult all included.  D/C summary of 10/26-10/29/2007 states final dx: anxiety, depression, s/p inf mono.  LP done.  Had episodes of staring & RLE shaking.  Neuro exam revealed asthenia, slow mentation, HA, possible seizures, ankle clonus.  Rheum consult for chronic fatigue, recurrent mouth sores, joint aches/pains & muscle aches/pains.    1/26/2010 Follow-up: Adreral Insufficieny-which will be lifelong.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: C-reactive protein increased, Fontanelle bulging, Irritability, Nasal congestion, Pyrexia
Clinical narrative: Pt nasally congested 8/17.  Had vaccinations 8/18 at 3:30pm.  Congestion worsened that evening.  Fever in am of 101 degrees core.  At noon dad noticed anterior fontanelle bulging.  Child alert but slightly more fussy than usual.  Eating fair but improving by this afternoon. 10/1/08 Reviewed hospital medical records of 8/19-8/21/2008. FINAL DX: viral syndrome; meningitis ruled out; pre-existing diaper dermatitis Records reveal patient experienced fever & bulging fontanel day after vaccinations. Had rhinorrhea, mild thrombocytosis & decreased abs neutros.  Tx w/IV antibiotics & antivirals.  Improved & d/c to home.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: After receiving HPV # 1 client waited in reception area for 10-15 minutes and with departure in hall vomited.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Dehydration, Erythema, Nausea, Oedema peripheral, Pyrexia
Clinical narrative: Had fever, nausea, mild erythema and swelling of left arm. Dehydrated. Reported tot he ED 8/20/08.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Fall, Head injury, Loss of consciousness, Nausea
Clinical narrative: 08/11/08, adolescent received 5 recommended vaccines (HepA, HPV, MCV4, Tdap, Varicella), client lost consciousness for 5-10 seconds; fell to floor in exam room landing on left side hitting left temporal. Nauseated immediately afterward.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Urticaria
Clinical narrative: Hives "everywhere" noted approximately 1 week after immunization with HPV #1. Small area of hives reported 1 1/2-2 weeks after immunization with HPV #2. Benadryl po used with effect.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Asthenia, Blood test, Burning sensation, Computerised tomogram, Confusional state
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Decreased appetite, Disturbance in attention, Dizziness, Fatigue, Head injury
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Headache, Impaired driving ability, Impaired work ability, Middle ear effusion, Mononucleosis heterophile test
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Musculoskeletal stiffness, Myalgia, Neck pain, Nervous system disorder, Neurological examination abnormal
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity, Paraesthesia, Photosensitivity reaction, Pregnancy test
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Single functional kidney, Syncope, Thyroid function test, Vision blurred, Visual acuity tests normal
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Weight decreased
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Back injury, Bone pain, Burning sensation, Chest discomfort, Heart rate increased
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MEN
Symptoms: Migraine, Musculoskeletal discomfort, Myalgia, Paraesthesia, Syncope
Clinical narrative: Four minutes post injection, she fainted on her feet and struck the front of her head on the checkout window frame. A receptionist, nurse and attending physician came to her aid. The next 30 days brought severe debilitating headaches, confusion, decreased consciousness, extreme muscle aches, weakness, eye sensitivity, dizziness, decreased appetite, lack of energy, and weight loss. We returned to the pediatrician's office four days after injections because she suffered from these symptoms. She was diagnosed with fluid behind her ears. Blood was drawn twice, tests were run; all results were negative. A CT scan showed no abnormal development. Still she was suffering from severe persistent headaches. Two months after shots, she visited a neurologist. A 2 1/2 hour screening was done; showed impairment. A copy of the lab report was sent to pediatrician who called our home with sentiments. The neurologist prescribed two different drugs that didn't touch her headaches, but rendered her unable to drive, work or do school work. Four months after shots, she begins chiropractic care to ease pain. No success. Six months after shots, she has blurred vision. Eye exam performed; no abnormalities detected (20/20 vision). Nine months later; MRI-all normal. Begins physical therapy; persistent pain. Twelve months later; additional problems. Sudden onset of stiff neck & neck pain, joint stiffness, tingling in fingers, burning in lower back muscles, strong aching in arms, and all body muscles. Exhaustion and headaches, headaches! 9/3/08-records received-9/7/07-9/18/07-presented with C/O fatigue and headaches since 9/4/07 date HPV and meningitis vaccines were administered at which time she passed out but recovered. 9/7/07 C/O weakness and fatigue. Head feels heavy and there is pressure.  Lethargic, sleeping. Sore throat. Appetite decreased.  10/29/07-evaluation for possibility of concussion after hitting right side of head on 9/4/07. C/O blurry vision and occasional double vision and sensitivity to light. Difficulty concentrating and changes in her memory. Home schooled high achiever and perfectionist. Impression: post concussive syndrome. 11/15/07-continues with complaints-Assessment:status post concussion with severe post concussive syndrome. 4/30/08-continue with complaints. Impression:unresolved ares of somatic dysfunction. 8/22/08-C/O chronic pain and chronic fatigue although worked all summer and her last visit to physician office was May 2008. Malaise with possible anxiety and depression.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Fatigue, Immediate post-injection reaction, Social avoidant behaviour, Somnolence, Unresponsive to stimuli
Clinical narrative: Immediately after shots Pt was extremely fatigued and slept. The following day she was no longer babbling and instead squealing for all variable communication. The fatigue lasted 3 days and she needed to be awaken to eat. She was glassy eyed for 3-4 days. She stopped smiling, goggling, responding and no longer held her weight in a standing position. Pt had a flat affect and lost her ability to babble, smile, laugh and respond for many weeks. With a great deal of intervention from mom who is a school psychologist, Pt has slowly regained most of her signs.