chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.3
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Patient vaccinated 8-4-09, pt presented with rash on chest, cheek, foot on 8/11/09 along with fever, given instructions for IBU/TYL alternating.
Age: 72.0
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap accidentally given instead of TD, no reraction/symptoms.  No adverse event to report. Not needed.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Rash macular
Clinical narrative: Diffuse swelling of entire L thigh to knee.  Blotchy erythema.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Redness, swelling, not itching, very sore, ripple around red area.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Oropharyngeal pain, Pain
Clinical narrative: Slight sore throat.  Aches & pains in joints whole body.  Started with symptoms with in 1 1/2 to 2 hours after vaccine.  Took TYLENOL (symptoms lasted 3 days.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness
Clinical narrative: Received vaccine @ 08:40, @ 10:00 became dizzy with elevated blood pressure.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Blindness unilateral, Feeling abnormal, Vision blurred
Clinical narrative: I was driving home from a friends house and lost sight in my right eye.  It just went black.  This was about 4 or 5 hours after I got my flu shot & my sight was gone for about an hour & a half - 2 hours.  Prior to this (1/2 hr) patient had blurry vision and was "out of it".
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: arm swelling, large red streak, itching.
Age: 69.0
Sex: F
Vaccine: IPV, TYP
Symptoms: Pruritus, Rash erythematous, Vaccine positive rechallenge
Clinical narrative: Patient c/o itchiness after taking 3rd oral typhoid capsule, no rash noted at that time.  After taking 4 dose on 9/9/09, again became itchy & noticed rash "small red bumps" on right foot and then left foot and ankle.  On 9/5 rash continued up legs.  Pt notified MD on 9/8 -> advised to take BENEDRYL 25 mg PO as needed.  9/14/09 -  Has slight itchiness at times, but resolving.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Pt in few hour experienced numbness of the entire arm where he received the vaccine.  The numbness went away in few hours.
Age: 33.0
Sex: F
Vaccine: RAB
Symptoms: Amnesia, Cognitive disorder, Headache, Hypoaesthesia, Pain
Clinical narrative: Body ache from injection site to top of head (48 HRS) head ache (24 HRS). Increased memory loss/cognitive ability (48 HRS) numbness/tingling in fingers (24 HRS).
Age: 33.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia
Clinical narrative: Body ache from injection site to top of head (48 HRS) head ache (24 HRS). Increased memory loss/cognitive ability (48 HRS) numbness/tingling in fingers (24 HRS).
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Electromyogram abnormal, Endotracheal intubation, Guillain-Barre syndrome, Hypoaesthesia, Intensive care
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Paralysis flaccid, Respiratory failure
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Asthenia, Back pain, Blood product transfusion, Chest X-ray
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Dysphagia, Dyspnoea, Dysstasia, Eating disorder, Electromyogram
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Endotracheal intubation, Feeling abnormal, Gastrointestinal tube insertion, Guillain-Barre syndrome, Heart rate increased
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Hypoaesthesia, Hypokinesia, Intensive care, Lumbar puncture, Mobility decreased
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Nuclear magnetic resonance imaging, Pain, Pain in extremity, Paralysis, Pneumonia
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Posture abnormal
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Demyelination, Dysphagia, Dyspnoea, Dysstasia, Eating disorder
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Electromyogram abnormal, Endotracheal intubation, Feeling abnormal, Gastrointestinal tube insertion, Guillain-Barre syndrome
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Heart rate increased, Hypoaesthesia, Intensive care, Lumbar puncture, Mobility decreased
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging abnormal, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Paralysis flaccid, Plasmapheresis, Pneumonia, Posture abnormal, Pyrexia
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Respiratory failure
Clinical narrative: Friday, June 26, 2009 morning - complained that her legs felt funny.  Evening - complained her legs weren't working correctly and she couldn't run.  Saturday, June 27, 2009 morning - unable to walk without assistance, fell if she tried to stand.  Morning- taken to the local ER, sent home with crutches & a diagnosis of growing pains.  Evening- unable to walk and cannot use arms.  Evening - taken to ER an hour and 20 minutes from our home, preliminary diagnosis Guillain Barre Syndrome and was told she would be admitted to the hospital.  Sunday, June 28, 2009 afternoon - admitted to Intermediate ICU from the ER.  Evening - slowly things got worse, the numbness/paralysis continued progressing up her legs/arms, complained of incredible back and leg pain.  First of 5 doses of IVIG began, one dose per day for 5 consecutive days.  Monday, June 29, 2009 continual progression of paralysis throughout the day.  Struggling to breathe.  Oxygen thru a nasal canula used to help with breathing.  Patient continued to be in pain.  Placed on a feeding tube, unable to eat and swallow correctly.  Tuesday, June 30, 2009 continued to struggle to breath.  Still in continual pain.  Very weak, neck was "baby like" and unable to support head.  Very late transferred to the PICU for observation and placed on a Bi-Pap ventilator.  Wednesday, July, 1, 2009 struggled with breathing, heart rate increasing throughout the day.  Intubated between 11:30 and midnight.  By this time paralysis was almost complete, no movement of legs and very little movement of arms, paralysis had obviously moved into the diaphragm causing the breathing problems.  Patient was intubated for almost 4 weeks.  During this time she had 2 bouts of pneumonia, numerous chest x-rays, respiratory treatments, MRI's, a PIC line was put in place, a central line was put in place for 8 plasmapherisis treatments, an EMG and SSEP confirming the diagnosis of Guillain Barre Syndrome.  Patient also had had a rapid heart rate for some time.  It isn't back down to normal.  Patient is currently in rehab doing physical and occupational therapy for a total of 3 hours per day/6 days a week.  Time are approximate as dates and times started to blend together.  We are waiting for her medical records from the hospital.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Blood creatine phosphokinase normal, Chills, Full blood count normal, Hepatic enzyme increased, Laboratory test
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Local reaction, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Abdominal pain, Allergy to vaccine, Asthenia, Bedridden, Cough
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Dehydration, Dyspnoea, Fatigue, Feeling cold, Flatulence
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Headache, Hot flush, Immediate post-injection reaction, Injection site nodule, Injection site pain
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Injection site swelling, Myalgia, Nasal congestion, Oropharyngeal pain, Pneumonia
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Pyrexia, Respiratory disorder, Respiratory tract congestion, Rhinorrhoea, Sneezing
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Vomiting
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.
Age: 30.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Asthenia, Blood creatine phosphokinase normal, Burning sensation, Chest X-ray abnormal, Cough
Clinical narrative: SM receipted AVA #1 8/7/2009 to left deltoid with c/o burning sensation. A few hours later c/o soreness to arm then nodule formation. Within few days left arm hurt to move with "3x2" large red swollen site from shoulder to mid arm. Pain with moving/lifting arm, no medications taken and he rubbed it a lot. Day 3 called medical, seen by provider Day 5 being advised normal reaction. That evening c/o queeziness, fever, malaise, hot/cold flashes. Day 6-7 c/o muscle aches, lack of energy, total muscle and body aches, problems sleeping. Evening day 7 began sweating profusely. Awoke day 8 w/fever 103F, dry nonprod cough, diff breathing-unable to catch breath, headaches (forehead, temples) + gas, sore throat. Day 9 fever broke w/Motrin-Tylenol but to ER w/ diff speaking, vomiting x 2: given 1 liter NS w/IV antiemetic, steroid and antibiotic. Lab/dx study=LLL pneu, elev LFT. Walking bent over due to weakness - couldn't stand straight as body hurt. Monitored by various HCP over next two weeks with slow resolution of s/s. Took "26 days" for all s/s to resolve (@9/3/09). back to normal health as of 9/14/09 interview.