chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: UNK, ANTH, FLUX, HEPAB, JEVX, MEN, MMR, OPV, RAB, SMALL, TTOX, TYP, VARCEL, YF
Symptoms: Deafness, Dyspnoea, Ear infection, Epilepsy, Hepatitis C virus test
Clinical narrative: When I joined in March of 1987 I was a healthy teenager with records to prove it. Sometime between March and May of 1987 I received several vaccinations administered with a air gun injector. The vaccines were mixed with other vaccines, it was done outside, the guns were not cleaned in between recruits and I was given vaccines that I was allergic to. To make things worse I was given enough vaccines for at least 3 people. The best my VA case worker and I can figure out is that I got sick about 1 month from the date of the physical I got in January or February. I was sick the entire time I was there. I had pneumonia, sinus infections, ear infections, seizures, passing out, falling asleep all the time, migraines, shortness of breath, vertigo, vision problems, and that is just a few of the problems that I had. I have been being treated for an epilepsy, clotting disorder, migraines, asthma, arthritis, hearing loss, vision problems, among things from 1987 to the present. I have been diagnosed with APS, Lupus anticoagulant, sleep apnea, epilepsy, asthma, COPD, PTSD, OCD, arthritis of every kind, hearing loss, hair loss, teeth fall out, immune system is very poor, and I am currently being tested for kidney failure, diabetes, and Hepatitis. I take many pills and supplements daily. I cannot do anything that I used to. I have no social life. I am sterile and cannot have children ever and now I am having night terrors. I am sick and tired of my life revolving around pill times, what I can or cannot eat, I can't go to the movies, etc. because of the noise and the large amount of people. I have not been able to drive since 1999 and I cannot work. A knee injury I got will in boot camp will never heal and I cannot have surgery to repair it because of the blood disorder. I saw this claim at the FDA site and I am hoping that there is something that you can do to help me.  2/18/09 Received medical records. FINAL DX: antiphospholipid antibody syndrome w/(+) lupus anticoagulant. Records reveal patient experienced PE approx 1993; CVA approx 1995; TIAs x2; LLE DVT approx 1997.  Hosp admit of 10/2003 for SOB, chest pressure & diaphosesis.  Heme/onc consult done.
Age: 17.0
Sex: F
Vaccine: UNK, ANTH, FLUX, HEPAB, JEVX, MEN, MMR, OPV, RAB, SMALL, TTOX, TYP, VARCEL, YF
Symptoms: Hypersomnia, Immune system disorder, Impaired driving ability, Impaired work ability, Infertility
Clinical narrative: When I joined in March of 1987 I was a healthy teenager with records to prove it. Sometime between March and May of 1987 I received several vaccinations administered with a air gun injector. The vaccines were mixed with other vaccines, it was done outside, the guns were not cleaned in between recruits and I was given vaccines that I was allergic to. To make things worse I was given enough vaccines for at least 3 people. The best my VA case worker and I can figure out is that I got sick about 1 month from the date of the physical I got in January or February. I was sick the entire time I was there. I had pneumonia, sinus infections, ear infections, seizures, passing out, falling asleep all the time, migraines, shortness of breath, vertigo, vision problems, and that is just a few of the problems that I had. I have been being treated for an epilepsy, clotting disorder, migraines, asthma, arthritis, hearing loss, vision problems, among things from 1987 to the present. I have been diagnosed with APS, Lupus anticoagulant, sleep apnea, epilepsy, asthma, COPD, PTSD, OCD, arthritis of every kind, hearing loss, hair loss, teeth fall out, immune system is very poor, and I am currently being tested for kidney failure, diabetes, and Hepatitis. I take many pills and supplements daily. I cannot do anything that I used to. I have no social life. I am sterile and cannot have children ever and now I am having night terrors. I am sick and tired of my life revolving around pill times, what I can or cannot eat, I can't go to the movies, etc. because of the noise and the large amount of people. I have not been able to drive since 1999 and I cannot work. A knee injury I got will in boot camp will never heal and I cannot have surgery to repair it because of the blood disorder. I saw this claim at the FDA site and I am hoping that there is something that you can do to help me.  2/18/09 Received medical records. FINAL DX: antiphospholipid antibody syndrome w/(+) lupus anticoagulant. Records reveal patient experienced PE approx 1993; CVA approx 1995; TIAs x2; LLE DVT approx 1997.  Hosp admit of 10/2003 for SOB, chest pressure & diaphosesis.  Heme/onc consult done.
Age: 17.0
Sex: F
Vaccine: UNK, ANTH, FLUX, HEPAB, JEVX, MEN, MMR, OPV, RAB, SMALL, TTOX, TYP, VARCEL, YF
Symptoms: Loss of consciousness, Migraine, Obsessive-compulsive disorder, Pneumonia, Post-traumatic stress disorder
Clinical narrative: When I joined in March of 1987 I was a healthy teenager with records to prove it. Sometime between March and May of 1987 I received several vaccinations administered with a air gun injector. The vaccines were mixed with other vaccines, it was done outside, the guns were not cleaned in between recruits and I was given vaccines that I was allergic to. To make things worse I was given enough vaccines for at least 3 people. The best my VA case worker and I can figure out is that I got sick about 1 month from the date of the physical I got in January or February. I was sick the entire time I was there. I had pneumonia, sinus infections, ear infections, seizures, passing out, falling asleep all the time, migraines, shortness of breath, vertigo, vision problems, and that is just a few of the problems that I had. I have been being treated for an epilepsy, clotting disorder, migraines, asthma, arthritis, hearing loss, vision problems, among things from 1987 to the present. I have been diagnosed with APS, Lupus anticoagulant, sleep apnea, epilepsy, asthma, COPD, PTSD, OCD, arthritis of every kind, hearing loss, hair loss, teeth fall out, immune system is very poor, and I am currently being tested for kidney failure, diabetes, and Hepatitis. I take many pills and supplements daily. I cannot do anything that I used to. I have no social life. I am sterile and cannot have children ever and now I am having night terrors. I am sick and tired of my life revolving around pill times, what I can or cannot eat, I can't go to the movies, etc. because of the noise and the large amount of people. I have not been able to drive since 1999 and I cannot work. A knee injury I got will in boot camp will never heal and I cannot have surgery to repair it because of the blood disorder. I saw this claim at the FDA site and I am hoping that there is something that you can do to help me.  2/18/09 Received medical records. FINAL DX: antiphospholipid antibody syndrome w/(+) lupus anticoagulant. Records reveal patient experienced PE approx 1993; CVA approx 1995; TIAs x2; LLE DVT approx 1997.  Hosp admit of 10/2003 for SOB, chest pressure & diaphosesis.  Heme/onc consult done.
Age: 17.0
Sex: F
Vaccine: UNK, ANTH, FLUX, HEPAB, JEVX, MEN, MMR, OPV, RAB, SMALL, TTOX, TYP, VARCEL, YF
Symptoms: Red blood cell sedimentation rate increased, Rheumatoid factor increased, Sinusitis, Sleep apnoea syndrome, Sleep terror
Clinical narrative: When I joined in March of 1987 I was a healthy teenager with records to prove it. Sometime between March and May of 1987 I received several vaccinations administered with a air gun injector. The vaccines were mixed with other vaccines, it was done outside, the guns were not cleaned in between recruits and I was given vaccines that I was allergic to. To make things worse I was given enough vaccines for at least 3 people. The best my VA case worker and I can figure out is that I got sick about 1 month from the date of the physical I got in January or February. I was sick the entire time I was there. I had pneumonia, sinus infections, ear infections, seizures, passing out, falling asleep all the time, migraines, shortness of breath, vertigo, vision problems, and that is just a few of the problems that I had. I have been being treated for an epilepsy, clotting disorder, migraines, asthma, arthritis, hearing loss, vision problems, among things from 1987 to the present. I have been diagnosed with APS, Lupus anticoagulant, sleep apnea, epilepsy, asthma, COPD, PTSD, OCD, arthritis of every kind, hearing loss, hair loss, teeth fall out, immune system is very poor, and I am currently being tested for kidney failure, diabetes, and Hepatitis. I take many pills and supplements daily. I cannot do anything that I used to. I have no social life. I am sterile and cannot have children ever and now I am having night terrors. I am sick and tired of my life revolving around pill times, what I can or cannot eat, I can't go to the movies, etc. because of the noise and the large amount of people. I have not been able to drive since 1999 and I cannot work. A knee injury I got will in boot camp will never heal and I cannot have surgery to repair it because of the blood disorder. I saw this claim at the FDA site and I am hoping that there is something that you can do to help me.  2/18/09 Received medical records. FINAL DX: antiphospholipid antibody syndrome w/(+) lupus anticoagulant. Records reveal patient experienced PE approx 1993; CVA approx 1995; TIAs x2; LLE DVT approx 1997.  Hosp admit of 10/2003 for SOB, chest pressure & diaphosesis.  Heme/onc consult done.
Age: 17.0
Sex: F
Vaccine: UNK, ANTH, FLUX, HEPAB, JEVX, MEN, MMR, OPV, RAB, SMALL, TTOX, TYP, VARCEL, YF
Symptoms: Somnolence, Tooth loss, Vertigo, Visual impairment
Clinical narrative: When I joined in March of 1987 I was a healthy teenager with records to prove it. Sometime between March and May of 1987 I received several vaccinations administered with a air gun injector. The vaccines were mixed with other vaccines, it was done outside, the guns were not cleaned in between recruits and I was given vaccines that I was allergic to. To make things worse I was given enough vaccines for at least 3 people. The best my VA case worker and I can figure out is that I got sick about 1 month from the date of the physical I got in January or February. I was sick the entire time I was there. I had pneumonia, sinus infections, ear infections, seizures, passing out, falling asleep all the time, migraines, shortness of breath, vertigo, vision problems, and that is just a few of the problems that I had. I have been being treated for an epilepsy, clotting disorder, migraines, asthma, arthritis, hearing loss, vision problems, among things from 1987 to the present. I have been diagnosed with APS, Lupus anticoagulant, sleep apnea, epilepsy, asthma, COPD, PTSD, OCD, arthritis of every kind, hearing loss, hair loss, teeth fall out, immune system is very poor, and I am currently being tested for kidney failure, diabetes, and Hepatitis. I take many pills and supplements daily. I cannot do anything that I used to. I have no social life. I am sterile and cannot have children ever and now I am having night terrors. I am sick and tired of my life revolving around pill times, what I can or cannot eat, I can't go to the movies, etc. because of the noise and the large amount of people. I have not been able to drive since 1999 and I cannot work. A knee injury I got will in boot camp will never heal and I cannot have surgery to repair it because of the blood disorder. I saw this claim at the FDA site and I am hoping that there is something that you can do to help me.  2/18/09 Received medical records. FINAL DX: antiphospholipid antibody syndrome w/(+) lupus anticoagulant. Records reveal patient experienced PE approx 1993; CVA approx 1995; TIAs x2; LLE DVT approx 1997.  Hosp admit of 10/2003 for SOB, chest pressure & diaphosesis.  Heme/onc consult done.
Age: 17.0
Sex: F
Vaccine: UNK, ANTH, FLUX, HEPAB, JEVX, MEN, MMR, OPV, RAB, SMALL, TTOX, TYP, VARCEL, YF
Symptoms: Antiphospholipid antibodies, Antiphospholipid syndrome, Convulsion, Pain, Pneumonia
Clinical narrative: When I joined in March of 1987 I was a healthy teenager with records to prove it. Sometime between March and May of 1987 I received several vaccinations administered with a air gun injector. The vaccines were mixed with other vaccines, it was done outside, the guns were not cleaned in between recruits and I was given vaccines that I was allergic to. To make things worse I was given enough vaccines for at least 3 people. The best my VA case worker and I can figure out is that I got sick about 1 month from the date of the physical I got in January or February. I was sick the entire time I was there. I had pneumonia, sinus infections, ear infections, seizures, passing out, falling asleep all the time, migraines, shortness of breath, vertigo, vision problems, and that is just a few of the problems that I had. I have been being treated for an epilepsy, clotting disorder, migraines, asthma, arthritis, hearing loss, vision problems, among things from 1987 to the present. I have been diagnosed with APS, Lupus anticoagulant, sleep apnea, epilepsy, asthma, COPD, PTSD, OCD, arthritis of every kind, hearing loss, hair loss, teeth fall out, immune system is very poor, and I am currently being tested for kidney failure, diabetes, and Hepatitis. I take many pills and supplements daily. I cannot do anything that I used to. I have no social life. I am sterile and cannot have children ever and now I am having night terrors. I am sick and tired of my life revolving around pill times, what I can or cannot eat, I can't go to the movies, etc. because of the noise and the large amount of people. I have not been able to drive since 1999 and I cannot work. A knee injury I got will in boot camp will never heal and I cannot have surgery to repair it because of the blood disorder. I saw this claim at the FDA site and I am hoping that there is something that you can do to help me.  2/18/09 Received medical records. FINAL DX: antiphospholipid antibody syndrome w/(+) lupus anticoagulant. Records reveal patient experienced PE approx 1993; CVA approx 1995; TIAs x2; LLE DVT approx 1997.  Hosp admit of 10/2003 for SOB, chest pressure & diaphosesis.  Heme/onc consult done.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Blood product transfusion, Dysaesthesia, Electromyogram abnormal, Feeling hot, Gram stain
Clinical narrative: Patient Received ADACEL vaccine on 11/20/2008 On 12/01/2008 he presented with leg numbness and tingling which was progressive.  Urgent referral to neurology for progressive Guillian Barre Syndrome, which eventually progressed to his head and mouth and upper body.  Hospitalized and received IV IG with improvement.  At present symptoms persist but are much less and seem to be resolving slowly. 2/6/09-records received for DOS 12/5-12/11/08-DC DX: Guilain-Barre. Hypertensive urgency. Sensory loss. One week after receiving tetanus shot developed left upper extremity pain, then tingling then numbness and decreased sensation. Difficulty wiht sensation of temperature of lower extremities, later all over his body. Pain in proximal muscles of upper extremities. Treated with IVIG. 5/11/10 Dysesthesias upper and lower extremity.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Gram stain negative, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Lymphocyte percentage decreased
Clinical narrative: Patient Received ADACEL vaccine on 11/20/2008 On 12/01/2008 he presented with leg numbness and tingling which was progressive.  Urgent referral to neurology for progressive Guillian Barre Syndrome, which eventually progressed to his head and mouth and upper body.  Hospitalized and received IV IG with improvement.  At present symptoms persist but are much less and seem to be resolving slowly. 2/6/09-records received for DOS 12/5-12/11/08-DC DX: Guilain-Barre. Hypertensive urgency. Sensory loss. One week after receiving tetanus shot developed left upper extremity pain, then tingling then numbness and decreased sensation. Difficulty wiht sensation of temperature of lower extremities, later all over his body. Pain in proximal muscles of upper extremities. Treated with IVIG. 5/11/10 Dysesthesias upper and lower extremity.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Monocyte percentage increased, Myalgia, Nerve conduction studies abnormal, Pain in extremity, Paraesthesia
Clinical narrative: Patient Received ADACEL vaccine on 11/20/2008 On 12/01/2008 he presented with leg numbness and tingling which was progressive.  Urgent referral to neurology for progressive Guillian Barre Syndrome, which eventually progressed to his head and mouth and upper body.  Hospitalized and received IV IG with improvement.  At present symptoms persist but are much less and seem to be resolving slowly. 2/6/09-records received for DOS 12/5-12/11/08-DC DX: Guilain-Barre. Hypertensive urgency. Sensory loss. One week after receiving tetanus shot developed left upper extremity pain, then tingling then numbness and decreased sensation. Difficulty wiht sensation of temperature of lower extremities, later all over his body. Pain in proximal muscles of upper extremities. Treated with IVIG. 5/11/10 Dysesthesias upper and lower extremity.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Red blood cell count increased, Sensory loss, White blood cell count increased
Clinical narrative: Patient Received ADACEL vaccine on 11/20/2008 On 12/01/2008 he presented with leg numbness and tingling which was progressive.  Urgent referral to neurology for progressive Guillian Barre Syndrome, which eventually progressed to his head and mouth and upper body.  Hospitalized and received IV IG with improvement.  At present symptoms persist but are much less and seem to be resolving slowly. 2/6/09-records received for DOS 12/5-12/11/08-DC DX: Guilain-Barre. Hypertensive urgency. Sensory loss. One week after receiving tetanus shot developed left upper extremity pain, then tingling then numbness and decreased sensation. Difficulty wiht sensation of temperature of lower extremities, later all over his body. Pain in proximal muscles of upper extremities. Treated with IVIG. 5/11/10 Dysesthesias upper and lower extremity.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Condition aggravated
Clinical narrative: Unlikely time vaccine reaction.  The injection triggered a flare up of pts underlying reflex sympathetic dystoptry.
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth
Clinical narrative: Large local reaction 10X18 cm around injection site.  Area is red + indurated + warm to touch
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Area of redness, swelling + warmth at the injection site (right upper arm)
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Body temperature increased, Convulsion, Unresponsive to stimuli
Clinical narrative: Seizure activity at 3-4 minutes duration with eyes rolled back, not responsive to parents. Temperature 104.2 F rectal at urgent care center. No preceding history of illness. Patient became interactive, appropriate after TYLENOL and MOTRIN administered. No residual deficits. No labs or imaging done.
Age: 29.0
Sex: U
Vaccine: FLUX
Symptoms: Abdominal pain upper, Allergy to vaccine, Dizziness, Headache, Hypersensitivity
Clinical narrative: Pt is allergic to eggs, and vaccine compoents. Severe stomach cramping, vomiting, headache, dizziness which lasted for 2-3 days
Age: 29.0
Sex: U
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: Pt is allergic to eggs, and vaccine compoents. Severe stomach cramping, vomiting, headache, dizziness which lasted for 2-3 days
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash maculo-papular
Clinical narrative: child deleloped rash bilaterally over both thighs  According to mom and maternal grand mother the maculopapularv rash started from the the sites =of vaccination on the day he received the shots  The rash then spread upwards towards the groin and down towards knee  the rash is non blanchable  seems to be non pruritic (child does not seemed to be in discomfort no resp distress no other constitutional symptoms rash compared to yesterday is not progressing nor it is regressing
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Severe redness and swelling in arm from injection site into elbow
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal pain, Abdominal rigidity, Blood culture negative, Body temperature increased
Clinical narrative: Pt. presented to the family practice clinic on 1/27/09 with complaints of fever x1 day. Infant was fussy and difficult to console, and was refusing breastfeeding.  Temperature was up to 102F, symptoms were associated with abdominal pain.  She demonstrated guarding of her stomach.  The pt. was admitted to the local hospital for observation.  She was followed throughout the day and her condition resolved spontaneously and was discharged on the same day she was admitted.  2/20/09 Received hospital medical records of 1/27/2009. FINAL DX: fever & irritability Records reveal patient experienced decreased appetite, fever & irritability.  Admitted observation, improved throughout the day & d/c to home.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Chest X-ray, Diet refusal, Emotional distress, Influenza serology negative, Irritability
Clinical narrative: Pt. presented to the family practice clinic on 1/27/09 with complaints of fever x1 day. Infant was fussy and difficult to console, and was refusing breastfeeding.  Temperature was up to 102F, symptoms were associated with abdominal pain.  She demonstrated guarding of her stomach.  The pt. was admitted to the local hospital for observation.  She was followed throughout the day and her condition resolved spontaneously and was discharged on the same day she was admitted.  2/20/09 Received hospital medical records of 1/27/2009. FINAL DX: fever & irritability Records reveal patient experienced decreased appetite, fever & irritability.  Admitted observation, improved throughout the day & d/c to home.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Leukocytosis, Metabolic function test normal, Pyrexia, Red blood cell sedimentation rate normal, Respiratory syncytial virus test negative
Clinical narrative: Pt. presented to the family practice clinic on 1/27/09 with complaints of fever x1 day. Infant was fussy and difficult to console, and was refusing breastfeeding.  Temperature was up to 102F, symptoms were associated with abdominal pain.  She demonstrated guarding of her stomach.  The pt. was admitted to the local hospital for observation.  She was followed throughout the day and her condition resolved spontaneously and was discharged on the same day she was admitted.  2/20/09 Received hospital medical records of 1/27/2009. FINAL DX: fever & irritability Records reveal patient experienced decreased appetite, fever & irritability.  Admitted observation, improved throughout the day & d/c to home.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Streptococcal identification test negative, Urine analysis normal
Clinical narrative: Pt. presented to the family practice clinic on 1/27/09 with complaints of fever x1 day. Infant was fussy and difficult to console, and was refusing breastfeeding.  Temperature was up to 102F, symptoms were associated with abdominal pain.  She demonstrated guarding of her stomach.  The pt. was admitted to the local hospital for observation.  She was followed throughout the day and her condition resolved spontaneously and was discharged on the same day she was admitted.  2/20/09 Received hospital medical records of 1/27/2009. FINAL DX: fever & irritability Records reveal patient experienced decreased appetite, fever & irritability.  Admitted observation, improved throughout the day & d/c to home.
Age: 8.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Dermatitis allergic, Local reaction
Clinical narrative: Local allergic skin reaction.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAP, HEPAB, IPV, PNC, RV5
Symptoms: Ascites, Barium double contrast abnormal, Enema administration, Intussusception, Lethargy
Clinical narrative: Sudden onset of lethargy and vomiting.  Hospitalized for lethargy, to rule out sepsis.  Continued vomiting lead to diagnosis of intussussception.  Successfully reduced by contrast enema.  3/5/09 MR received for DOS 2/3-5/2009 with D/C DX:  Intussusception.  Pt presented with lethargy and emesis.  PE (+) for apathy, systolic murmur, increased bowel tone and petechaie on legs. IS dx by US and reduced by contrast enema. D/C when taking po well.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAP, HEPAB, IPV, PNC, RV5
Symptoms: Small intestinal obstruction, Ultrasound abdomen abnormal, Ultrasound scan abnormal, Vomiting
Clinical narrative: Sudden onset of lethargy and vomiting.  Hospitalized for lethargy, to rule out sepsis.  Continued vomiting lead to diagnosis of intussussception.  Successfully reduced by contrast enema.  3/5/09 MR received for DOS 2/3-5/2009 with D/C DX:  Intussusception.  Pt presented with lethargy and emesis.  PE (+) for apathy, systolic murmur, increased bowel tone and petechaie on legs. IS dx by US and reduced by contrast enema. D/C when taking po well.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAP, HEPAB, IPV, PNC, RV5
Symptoms: Apathy, Ascites, Barium enema abnormal, Blood culture positive, Cardiac murmur
Clinical narrative: Sudden onset of lethargy and vomiting.  Hospitalized for lethargy, to rule out sepsis.  Continued vomiting lead to diagnosis of intussussception.  Successfully reduced by contrast enema.  3/5/09 MR received for DOS 2/3-5/2009 with D/C DX:  Intussusception.  Pt presented with lethargy and emesis.  PE (+) for apathy, systolic murmur, increased bowel tone and petechaie on legs. IS dx by US and reduced by contrast enema. D/C when taking po well.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAP, HEPAB, IPV, PNC, RV5
Symptoms: Gastrointestinal sounds abnormal, Intussusception, Lethargy, Petechiae, Small intestinal obstruction
Clinical narrative: Sudden onset of lethargy and vomiting.  Hospitalized for lethargy, to rule out sepsis.  Continued vomiting lead to diagnosis of intussussception.  Successfully reduced by contrast enema.  3/5/09 MR received for DOS 2/3-5/2009 with D/C DX:  Intussusception.  Pt presented with lethargy and emesis.  PE (+) for apathy, systolic murmur, increased bowel tone and petechaie on legs. IS dx by US and reduced by contrast enema. D/C when taking po well.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAP, HEPAB, IPV, PNC, RV5
Symptoms: Ultrasound abdomen abnormal, Ultrasound kidney abnormal, Vomiting
Clinical narrative: Sudden onset of lethargy and vomiting.  Hospitalized for lethargy, to rule out sepsis.  Continued vomiting lead to diagnosis of intussussception.  Successfully reduced by contrast enema.  3/5/09 MR received for DOS 2/3-5/2009 with D/C DX:  Intussusception.  Pt presented with lethargy and emesis.  PE (+) for apathy, systolic murmur, increased bowel tone and petechaie on legs. IS dx by US and reduced by contrast enema. D/C when taking po well.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: Parent reports adolescent having hives on hands,knees and feet that began approximately 2-3 days past receiving vaccines on 1/22/09. Also reports fever for one day when hives began. Using topical benadryl cream with no relief. Hives and c/o itching remain. Hives seen by RN in clinic today. Referred to primary physician.
Age: 1.58
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Patient began febrile episode on 1/31 with fever up to 102.4 F lasting 3 days. Patient was taken  to physician and upon examination no signs of  infections noted.  On 2/4 after fever subsided, rash appeared over entire body per parents.  Rash remains on body as of today,2/5/09 with no other symptoms of reactions reported.
Age: 46.0
Sex: M
Vaccine: HEPAB, PPV, TDAP, TYP
Symptoms: Erythema, Skin warm
Clinical narrative: 10"x10" warm erythema area on rt. arm extending from deltoid to elbow. no blisters. extends around arm. Client has red hair and very fair skin.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Spoke with pt on Tuesday 2/3/09 she was administered the HPV vaccine about 4 hours later a rash devloped on her back that grew to cover the majority of her back. She feels that today it is not spreading and she feels it is getting better she dose not tolerate benadryl so that was not advised.  No SOB, pain, fever, hives. Advised pt she should not continue with the HPV series as there is really no way of telling how she may react. She was in agreement with this. Pt will call back if any other symptoms devlope or rash dose not continue to improve over the next few days
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity
Clinical narrative: Patient complains of severe pain in left arm when lifts the arm, since first injection given
Age: 54.0
Sex: F
Vaccine: HEP, HEPA, TDAP
Symptoms: Rash erythematous, Tenderness
Clinical narrative: raised errythematous tender reaction right arm 1/2 diameter.  No complication
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Erythema, Immediate post-injection reaction, Pruritus, Rash macular, Rash papular
Clinical narrative: Client was administered Hep A in right deltoid and menactra right lateral arm and PPD implant  right forearm at around 4:55pm.Erythema and few papules immediately below site of injection and a macular rash on left forearm.Client claims it was itchy.Benadryl Elixir 2 tsp was given at 5pm.Advised to stay for 20 mins to observe.
Age: 45.0
Sex: F
Vaccine: FLU3, HEP, TDAP
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Immediate localized reaction at injection site including erythema, hives, itching.  Given benadryl 25 mg p.o.  and ice to area.  Reaction resolving 25 minutes after.  Phone follow up next day patient reported no symptoms.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Cough, Dyspnoea, Grunting, Intercostal retraction, Oxygen saturation
Clinical narrative: Patient recieved HAV#2 on 2/3/09, went home and had a 3hr nap, mom woke patient and noticed coughing and wheezing, which continued through the night. The next morning patient had increased work to breath and occasional cough. In office Dr noted labored respirations w/few retractions and heard wheezing on right, albuterol administered via nebulizer and was clear to auscultate except for occasional crackle. Dr. then sent patient to obtain chest Xray to rule out foreign body ingestion. Patient returned from Xray w/grunting respirations and wheezes throughout, after 2nd treatment given patient was clear to auscultate. Dr then admitted patient to pediatrics to administer fluids, solumedrol, frequent neb treatments and possible O2 therapy. Patient was discharged the following day.  2/18/09 Received hospital medical records which consisted only of CXR & lab.  Medical records states only records available. CXR 0f 2/4/09 abnormal w/marked gastric distention.  HIV test of 8/4/08 neg.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Wheezing
Clinical narrative: Patient recieved HAV#2 on 2/3/09, went home and had a 3hr nap, mom woke patient and noticed coughing and wheezing, which continued through the night. The next morning patient had increased work to breath and occasional cough. In office Dr noted labored respirations w/few retractions and heard wheezing on right, albuterol administered via nebulizer and was clear to auscultate except for occasional crackle. Dr. then sent patient to obtain chest Xray to rule out foreign body ingestion. Patient returned from Xray w/grunting respirations and wheezes throughout, after 2nd treatment given patient was clear to auscultate. Dr then admitted patient to pediatrics to administer fluids, solumedrol, frequent neb treatments and possible O2 therapy. Patient was discharged the following day.  2/18/09 Received hospital medical records which consisted only of CXR & lab.  Medical records states only records available. CXR 0f 2/4/09 abnormal w/marked gastric distention.  HIV test of 8/4/08 neg.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Blood culture, Convulsion, Full blood count, Lymphocyte morphology abnormal, Metabolic function test
Clinical narrative: Recurrent generalized seizures with fever.  He had one seizure by report previous to the vaccination. This was a five-minute seizure. we had at least 2 and perhaps 3 15-20 second generalized seizures associated with temperature of 104 which occurred six days after vaccination. he had no rash or other significant symptoms.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Urine analysis normal
Clinical narrative: Recurrent generalized seizures with fever.  He had one seizure by report previous to the vaccination. This was a five-minute seizure. we had at least 2 and perhaps 3 15-20 second generalized seizures associated with temperature of 104 which occurred six days after vaccination. he had no rash or other significant symptoms.
Age: 40.0
Sex: F
Vaccine: DTP
Symptoms: Chest pain, Headache, Injected limb mobility decreased, Injection site pain, Musculoskeletal pain
Clinical narrative: ADMINISTERED IN LEFT DELTOID ON 2/4/2009; WITH IN 3-4 HOURS EXPERIENCED SEVERE PAIN IN DELTOID MUSCLE, JOINT OF LEFT SHOULDER WITH PAIN RADIATING UP LEFT NECK TO LEFT SCALPULAR AND CHEST PAIN WITH SEVERE HEADACHE; UNABLE TO MOVE LEFT ARM WITHOUT EXCURIATING PAIN....CALLED MD OFFICE FOR FOLLOW UP APPT AND WAS UNABLE TO SCHEDULE DUE TO NO AVAILABLE APPTS ON 2/5/09
Age: 40.0
Sex: F
Vaccine: DTP
Symptoms: Neck pain
Clinical narrative: ADMINISTERED IN LEFT DELTOID ON 2/4/2009; WITH IN 3-4 HOURS EXPERIENCED SEVERE PAIN IN DELTOID MUSCLE, JOINT OF LEFT SHOULDER WITH PAIN RADIATING UP LEFT NECK TO LEFT SCALPULAR AND CHEST PAIN WITH SEVERE HEADACHE; UNABLE TO MOVE LEFT ARM WITHOUT EXCURIATING PAIN....CALLED MD OFFICE FOR FOLLOW UP APPT AND WAS UNABLE TO SCHEDULE DUE TO NO AVAILABLE APPTS ON 2/5/09
Age: 85.0
Sex: M
Vaccine: FLUX, PPV, VARZOS, FLU3, PPV, VARZOS, FLU3, PPV, VARZOS
Symptoms: Anorexia, Asthenia, Fatigue, Lethargy
Clinical narrative: The above client had within 24 hours: Fatigue, lethargy, loss of appetite and general weakness.
Age: 85.0
Sex: M
Vaccine: FLUX, PPV, VARZOS, FLU3, PPV, VARZOS, FLU3, PPV, VARZOS
Symptoms: Cerebral haemorrhage, Death
Clinical narrative: The above client had within 24 hours: Fatigue, lethargy, loss of appetite and general weakness.
Age: 85.0
Sex: M
Vaccine: FLUX, PPV, VARZOS, FLU3, PPV, VARZOS, FLU3, PPV, VARZOS
Symptoms: Acute respiratory failure, Aneurysm ruptured, Bradycardia, Cardiac arrest, Cerebral haemorrhage
Clinical narrative: The above client had within 24 hours: Fatigue, lethargy, loss of appetite and general weakness.
Age: 85.0
Sex: M
Vaccine: FLUX, PPV, VARZOS, FLU3, PPV, VARZOS, FLU3, PPV, VARZOS
Symptoms: Computerised tomogram abnormal, Death, Endotracheal intubation, Intracranial aneurysm, Lethargy
Clinical narrative: The above client had within 24 hours: Fatigue, lethargy, loss of appetite and general weakness.
Age: 85.0
Sex: M
Vaccine: FLUX, PPV, VARZOS, FLU3, PPV, VARZOS, FLU3, PPV, VARZOS
Symptoms: Subarachnoid haemorrhage, Unresponsive to stimuli
Clinical narrative: The above client had within 24 hours: Fatigue, lethargy, loss of appetite and general weakness.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying
Clinical narrative: Inconsolable crying X 8 hours
Age: 0.5
Sex: M
Vaccine: PNC
Symptoms: Rash generalised
Clinical narrative: Rash all over body. Got shot yesterday.  Rash today.
Age: 1.56
Sex: F
Vaccine: DTAP, FLU3, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, swelling around site of 2 injections.  Started 2 days after vaccines given.  No fever.  Prescribed oral antibiotics, BENADRYL, MOTRIN.
Age: 13.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Call patient dad who said skin was bumpy for a day or two but has gone away. No treatment.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope vasovagal
Clinical narrative: Patient experienced a vasovagal response to HPV. Duration was 4-6 seconds. BP at 09:30 60/40 pulse-50, at 9:45 62/40 p-52, BP at 10:00 72/40 p-60 and at 10:15 80/44 p-68.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Chicken pox rash site 2/2/09 - No other symptoms.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Urticaria, Wheezing
Clinical narrative: c/o right arm & chest with + urticarial patches + 2 cm swelling @ injection site  lungs clear- no wheezing  Given SOLUMEDROL 125 mg IM.  ALBUTEROL NEB TX.  EPI 0.3cc SQ After EPI rash almost completely resolved
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood culture negative, CSF culture negative, CSF pressure, Computerised tomogram normal, Culture urine negative
Clinical narrative: Sleeping and lethargic and poor feeding.  Hospitalized - Hydrated.  1/17/09 MR received for DOS 1/29-30/2009 with D/C Dx: Sleepiness after immunizations. VP shunt for congenital hydrocephalus. Pt presented with 2 day hx of sleepiness and eating poorly. PE (+) for sleepiness otherwise WNL. Admitted to r/o shunt malfunction. Remained intermittantly somnolent with periods of activity, but improving. D/C home.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Lethargy, Somnolence
Clinical narrative: Sleeping and lethargic and poor feeding.  Hospitalized - Hydrated.  1/17/09 MR received for DOS 1/29-30/2009 with D/C Dx: Sleepiness after immunizations. VP shunt for congenital hydrocephalus. Pt presented with 2 day hx of sleepiness and eating poorly. PE (+) for sleepiness otherwise WNL. Admitted to r/o shunt malfunction. Remained intermittantly somnolent with periods of activity, but improving. D/C home.
Age: 1.6
Sex: M
Vaccine: FLU3, PNC, TDAP
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No adverse reactions known patient was sent a letter by mail. Patient has no working phone number.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blister, Conjunctivitis infective, Eye discharge, Eyelid oedema, Ocular hyperaemia
Clinical narrative: Pt noted right eye to be a "little pink".  Went to station and was prescribed VIROPTIC and ILOTYCIN drops.  01/26/2009 the right eye was worse (swollen eye lid, discharge (greenish), pustules on the eye lid--seen by optometry- Treated with VIGAMOX QUID; VIROPTIC Q2H;  ACYCLOVIR PO 5 times/day;  Seen by Ophthalmology on 1/28/2009-culture/PCR obtained.  Examined by optometry on 1/20/09 and ophthamolgy 2/5/09.  Symptoms: Red eyes, Pain, Lesions, Vesicle.  3/3/09 MR received for optometry visit 1/30/09 with dx: Vaccinia OD from localized vaccination.  Smallpox vaccination reaction.  Pt presented with 1 wk hx of eye pain, redness, discharge, itching and photophobia after spreading from recent smallpox vax. PE (+) for crusting, scabbing pustules along the lash margin. TX with viroptic.  Reports some R ear pain as well.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash pustular
Clinical narrative: Pt noted right eye to be a "little pink".  Went to station and was prescribed VIROPTIC and ILOTYCIN drops.  01/26/2009 the right eye was worse (swollen eye lid, discharge (greenish), pustules on the eye lid--seen by optometry- Treated with VIGAMOX QUID; VIROPTIC Q2H;  ACYCLOVIR PO 5 times/day;  Seen by Ophthalmology on 1/28/2009-culture/PCR obtained.  Examined by optometry on 1/20/09 and ophthamolgy 2/5/09.  Symptoms: Red eyes, Pain, Lesions, Vesicle.  3/3/09 MR received for optometry visit 1/30/09 with dx: Vaccinia OD from localized vaccination.  Smallpox vaccination reaction.  Pt presented with 1 wk hx of eye pain, redness, discharge, itching and photophobia after spreading from recent smallpox vax. PE (+) for crusting, scabbing pustules along the lash margin. TX with viroptic.  Reports some R ear pain as well.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Conjunctivitis infective, Ear pain, Eye discharge, Eye pain, Eye pruritus
Clinical narrative: Pt noted right eye to be a "little pink".  Went to station and was prescribed VIROPTIC and ILOTYCIN drops.  01/26/2009 the right eye was worse (swollen eye lid, discharge (greenish), pustules on the eye lid--seen by optometry- Treated with VIGAMOX QUID; VIROPTIC Q2H;  ACYCLOVIR PO 5 times/day;  Seen by Ophthalmology on 1/28/2009-culture/PCR obtained.  Examined by optometry on 1/20/09 and ophthamolgy 2/5/09.  Symptoms: Red eyes, Pain, Lesions, Vesicle.  3/3/09 MR received for optometry visit 1/30/09 with dx: Vaccinia OD from localized vaccination.  Smallpox vaccination reaction.  Pt presented with 1 wk hx of eye pain, redness, discharge, itching and photophobia after spreading from recent smallpox vax. PE (+) for crusting, scabbing pustules along the lash margin. TX with viroptic.  Reports some R ear pain as well.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Eyelid margin crusting, Eyelid oedema, Ocular hyperaemia, Photophobia, Rash pustular
Clinical narrative: Pt noted right eye to be a "little pink".  Went to station and was prescribed VIROPTIC and ILOTYCIN drops.  01/26/2009 the right eye was worse (swollen eye lid, discharge (greenish), pustules on the eye lid--seen by optometry- Treated with VIGAMOX QUID; VIROPTIC Q2H;  ACYCLOVIR PO 5 times/day;  Seen by Ophthalmology on 1/28/2009-culture/PCR obtained.  Examined by optometry on 1/20/09 and ophthamolgy 2/5/09.  Symptoms: Red eyes, Pain, Lesions, Vesicle.  3/3/09 MR received for optometry visit 1/30/09 with dx: Vaccinia OD from localized vaccination.  Smallpox vaccination reaction.  Pt presented with 1 wk hx of eye pain, redness, discharge, itching and photophobia after spreading from recent smallpox vax. PE (+) for crusting, scabbing pustules along the lash margin. TX with viroptic.  Reports some R ear pain as well.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Scab, Skin lesion, Vaccinia, Virus culture positive
Clinical narrative: Pt noted right eye to be a "little pink".  Went to station and was prescribed VIROPTIC and ILOTYCIN drops.  01/26/2009 the right eye was worse (swollen eye lid, discharge (greenish), pustules on the eye lid--seen by optometry- Treated with VIGAMOX QUID; VIROPTIC Q2H;  ACYCLOVIR PO 5 times/day;  Seen by Ophthalmology on 1/28/2009-culture/PCR obtained.  Examined by optometry on 1/20/09 and ophthamolgy 2/5/09.  Symptoms: Red eyes, Pain, Lesions, Vesicle.  3/3/09 MR received for optometry visit 1/30/09 with dx: Vaccinia OD from localized vaccination.  Smallpox vaccination reaction.  Pt presented with 1 wk hx of eye pain, redness, discharge, itching and photophobia after spreading from recent smallpox vax. PE (+) for crusting, scabbing pustules along the lash margin. TX with viroptic.  Reports some R ear pain as well.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash papular, Rash vesicular
Clinical narrative: Patient developed hundreds of vesicular and papular lesions, described as "itchy", on trunk and LE.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chills, Constipation, Deafness, Diarrhoea
Clinical narrative: Since 2003, hearing loss, sleep disorders, neurological problems, headaches, muscle joint pains, fatigue, muscle spasms, recurring skin lesions, chills or fever, nausea, constipation, diarrhea, change in vision, vomiting, discogenic disease, blood in feces, stomach hernia. 2/17/09-records received-presents to clinic with nasal congestion, eye itching and increased lacrimations. Previously seen for C/O dyspepsia, tinea, back pain, disc disease, foot pain, depression, marijuana abuse, rhinitis.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Haematochezia, Headache, Hernia, Intervertebral disc disorder
Clinical narrative: Since 2003, hearing loss, sleep disorders, neurological problems, headaches, muscle joint pains, fatigue, muscle spasms, recurring skin lesions, chills or fever, nausea, constipation, diarrhea, change in vision, vomiting, discogenic disease, blood in feces, stomach hernia. 2/17/09-records received-presents to clinic with nasal congestion, eye itching and increased lacrimations. Previously seen for C/O dyspepsia, tinea, back pain, disc disease, foot pain, depression, marijuana abuse, rhinitis.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Muscle spasms, Myalgia, Nausea, Nervous system disorder, Pyrexia
Clinical narrative: Since 2003, hearing loss, sleep disorders, neurological problems, headaches, muscle joint pains, fatigue, muscle spasms, recurring skin lesions, chills or fever, nausea, constipation, diarrhea, change in vision, vomiting, discogenic disease, blood in feces, stomach hernia. 2/17/09-records received-presents to clinic with nasal congestion, eye itching and increased lacrimations. Previously seen for C/O dyspepsia, tinea, back pain, disc disease, foot pain, depression, marijuana abuse, rhinitis.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Skin lesion, Sleep disorder, Visual impairment, Vomiting
Clinical narrative: Since 2003, hearing loss, sleep disorders, neurological problems, headaches, muscle joint pains, fatigue, muscle spasms, recurring skin lesions, chills or fever, nausea, constipation, diarrhea, change in vision, vomiting, discogenic disease, blood in feces, stomach hernia. 2/17/09-records received-presents to clinic with nasal congestion, eye itching and increased lacrimations. Previously seen for C/O dyspepsia, tinea, back pain, disc disease, foot pain, depression, marijuana abuse, rhinitis.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Affective disorder, Alcohol abuse, Arthralgia, Asthma, Chills
Clinical narrative: 2003-present, hearing loss, scoliosis, sinus,high blood pressure, tinittus, rhinitis, sleep disorder, headaches, muscles joint pain, muscles spasm, recurring skin lesions, fatigue, constipation, diarrhea, discogenic disease, blood in feces, chills, vision problems, PTSC, treatment in hospital. 3/3/09-records received-11/27/07-alcohol abuse, substance induced mood disorder, PTSD, insomnia, depressive symptoms. Chronic hypertension, persistent front headache associated with dizziness, lightheadness and diaphoresis. Fever, some photophobia and nausea. Possible blast trauma. Nightmares, hearing voices at night. Subjective tinnitus, acute sinusitis. Facet joint pain lumbar spine.  Follow-up: muscle aches, asthma, pre-diabetes, depression. I want to get better.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Constipation, Deafness, Depressed mood, Diarrhoea, Fatigue
Clinical narrative: 2003-present, hearing loss, scoliosis, sinus,high blood pressure, tinittus, rhinitis, sleep disorder, headaches, muscles joint pain, muscles spasm, recurring skin lesions, fatigue, constipation, diarrhea, discogenic disease, blood in feces, chills, vision problems, PTSC, treatment in hospital. 3/3/09-records received-11/27/07-alcohol abuse, substance induced mood disorder, PTSD, insomnia, depressive symptoms. Chronic hypertension, persistent front headache associated with dizziness, lightheadness and diaphoresis. Fever, some photophobia and nausea. Possible blast trauma. Nightmares, hearing voices at night. Subjective tinnitus, acute sinusitis. Facet joint pain lumbar spine.  Follow-up: muscle aches, asthma, pre-diabetes, depression. I want to get better.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Glucose tolerance impaired, Haematochezia, Headache, Hypertension, Insomnia
Clinical narrative: 2003-present, hearing loss, scoliosis, sinus,high blood pressure, tinittus, rhinitis, sleep disorder, headaches, muscles joint pain, muscles spasm, recurring skin lesions, fatigue, constipation, diarrhea, discogenic disease, blood in feces, chills, vision problems, PTSC, treatment in hospital. 3/3/09-records received-11/27/07-alcohol abuse, substance induced mood disorder, PTSD, insomnia, depressive symptoms. Chronic hypertension, persistent front headache associated with dizziness, lightheadness and diaphoresis. Fever, some photophobia and nausea. Possible blast trauma. Nightmares, hearing voices at night. Subjective tinnitus, acute sinusitis. Facet joint pain lumbar spine.  Follow-up: muscle aches, asthma, pre-diabetes, depression. I want to get better.