chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Gait disturbance, Gait disturbance, Gallop rhythm present, Grimacing, Hallucination, auditory
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Headache, Heart rate decreased, Heart rate irregular, Hyperhidrosis, Hypertension
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Hypotonia, Hypoventilation, Inappropriate affect, Inappropriate affect, Increased appetite
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Influenza A virus test negative, Insomnia, Lack of spontaneous speech, Lacrimation increased, Lethargy
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Malaise, Mastication disorder, Memory impairment, Mood altered, Muscle twitching
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Muscular weakness, Myalgia, Myoclonus, Nasal congestion, Nuclear magnetic resonance imaging abnormal
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Oedema peripheral, Oropharyngeal pain, Oropharyngeal pain, Pain in extremity, Peripheral coldness
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Personality change, Pharyngeal oedema, Pituitary cyst, Pituitary tumour benign, Posture abnormal
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Productive cough, Pruritus generalised, Pyrexia, Respiratory syncytial virus test negative, Rhinorrhoea
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Sinus arrhythmia, Sinus bradycardia, Skin exfoliation, Skin warm, Somnolence
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Streptococcus test negative, Syncope, Tinnitus, Tremor, Unresponsive to stimuli
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Urine ketone body present, Urine odour abnormal, Vision blurred, Walking aid user, Weight increased
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Wheelchair user, Wheezing
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Acoustic stimulation tests, Activities of daily living impaired, Allodynia, Blood thyroid stimulating hormone decreased, Borrelia test negative
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Cognitive disorder, Detoxification, Dysaesthesia, Electroencephalogram normal, Emotional distress
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Fatigue, Frustration, Hypothyroidism, Irritability, Learning disability
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Mental impairment, Metal poisoning, Mood altered, Nerve conduction studies normal, Neuropsychological test abnormal
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Pallor, Somatoform disorder, Staring, Urine mercury abnormal, Weight increased
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.