chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Optic nerve disorder, Optic neuritis, Visual acuity reduced, Visual field tests abnormal
Clinical narrative: Gradual loss of vision in left eye.  Went to see eye Dr. 10/22/10 and tests showed reduced field of vision.  Following weekend eyesight deteriorated even further.  Went to see eye Dr. again on 10/27/10 because of further loss of eyesight.  Patient estimated 60% of vision loss.  Eye exams showed significant degradation of eyesight in eye vision and field of vision testing.  Dr. ordered MRI for 10/28/10 and MRI came back negative.  Following week had further decrease in eye sight and eye Dr. ordered second MRI and that was done 11/2/10.  This MRI showed inflammation of the optic nerve.  Diagnosis was Optic Neuritis.  Treatment was IV steroids for three days (11/4/10, 11/5/10 and 11/6/10) with follow on oral steroids for 2 weeks.  Eye exam on 12/1/10 patient has seen some improvement in eye sight (from 20/300 to 20/50) and field of vision has shown some improvement.  Patient has not seen any additional improvement since 20/50 eye test on 12/1/10.  Field of vision is still distorted.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Mobility decreased, Pain in extremity, Skin warm
Clinical narrative: Arm was EXTREMELY sore, warm to the touch, unable to lift it; however has not continued to improve.  I have been using ibuprofen (800mg) around the clock.
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Acne, Rash erythematous, Rash morbilliform
Clinical narrative: Pimply/puffy red rash began on face and spread over chest, thighs, arms and back. Baby is covered in spots.
Age: 2.0
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Blood culture negative, C-reactive protein normal, Full blood count normal, Injection site erythema, Injection site swelling
Clinical narrative: Entire thigh swelling on side where PCV-13 was administered. Also erythema and warmth.  No fevers. Admitted to Hospital for possible cellulitis on 1/1/2010, discharged 1/3/2010.
Age: 2.0
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Injection site warmth
Clinical narrative: Entire thigh swelling on side where PCV-13 was administered. Also erythema and warmth.  No fevers. Admitted to Hospital for possible cellulitis on 1/1/2010, discharged 1/3/2010.
Age: 61.0
Sex: F
Vaccine: VARCEL
Symptoms: Blood culture positive, Erythema, Polymerase chain reaction, Pyrexia, Rash
Clinical narrative: Rash to back, chest and abdomen. Some lesions vesicular, though all small and with erythematous macular base. Also with fever. Started on Valtrex. PCR of lesion negative for VZV--little fluid obtained.  After 4 days of Valtrex, patient was improving and was switched to optical steroid cream. She continued to improve. At the time of presentation to the hospital for the above, she had blood cultures that turned positive for Streptococcus.
Age: 61.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash macular, Rash vesicular, Skin lesion, Streptococcal infection, Streptococcus test positive
Clinical narrative: Rash to back, chest and abdomen. Some lesions vesicular, though all small and with erythematous macular base. Also with fever. Started on Valtrex. PCR of lesion negative for VZV--little fluid obtained.  After 4 days of Valtrex, patient was improving and was switched to optical steroid cream. She continued to improve. At the time of presentation to the hospital for the above, she had blood cultures that turned positive for Streptococcus.
Age: 61.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella virus test negative, White blood cell count increased
Clinical narrative: Rash to back, chest and abdomen. Some lesions vesicular, though all small and with erythematous macular base. Also with fever. Started on Valtrex. PCR of lesion negative for VZV--little fluid obtained.  After 4 days of Valtrex, patient was improving and was switched to optical steroid cream. She continued to improve. At the time of presentation to the hospital for the above, she had blood cultures that turned positive for Streptococcus.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count normal, Laboratory test normal, Nausea, Pallor, Pharyngeal oedema
Clinical narrative: Pale ant & post L neckfullness throat local pain nausea & vomit.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Pale ant & post L neckfullness throat local pain nausea & vomit.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Syncope
Clinical narrative: Syncope O2 by mask.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Ataxia, Audiogram, Autoimmune disorder, Brain stem auditory evoked response, Coordination abnormal
Clinical narrative: Hearing loss, vertigo, diplopia, dysphagia, facial numbness, gait ataxia. Receiving IVIG infusions, etc. 1. Autoimmune mediated sensorineural hearing loss that progressed to Guillain Barre Miller-Fisher variant. 2. Diplopia, dysphagia, vertigo, tinnitus, decreased facial sensation bilaterally involving V1, V2, and V3 regions, dysphagia, bilateral upper extremity numbness consistent with C2-T1, vestibular symptoms with vertigo, gait ataxia, and decreased coordination. 3. Influenza vaccination given on 11/5/2010, _____strain. Examination is notable for decreased hearing on the right to near absent and markedly diminished on the left. Immune mediated sensorineural hearing loss. For its neuroprotective effects, we will prescribe tiagabine 4 mg t.i.d. , minocycline 100 mg b.i.d. For potential fluid etiology, she will be given furosemide 40 mg q.a.m. and for potential spitochetal disease such as lyme disease, we will add Pen-Vee K 500 mg q.i.d. x 7 days. We will also add fluconazole for dexamethasone. I will continue to monitor her progress.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Deafness, Deafness neurosensory, Diplopia, Dysphagia, Gait disturbance
Clinical narrative: Hearing loss, vertigo, diplopia, dysphagia, facial numbness, gait ataxia. Receiving IVIG infusions, etc. 1. Autoimmune mediated sensorineural hearing loss that progressed to Guillain Barre Miller-Fisher variant. 2. Diplopia, dysphagia, vertigo, tinnitus, decreased facial sensation bilaterally involving V1, V2, and V3 regions, dysphagia, bilateral upper extremity numbness consistent with C2-T1, vestibular symptoms with vertigo, gait ataxia, and decreased coordination. 3. Influenza vaccination given on 11/5/2010, _____strain. Examination is notable for decreased hearing on the right to near absent and markedly diminished on the left. Immune mediated sensorineural hearing loss. For its neuroprotective effects, we will prescribe tiagabine 4 mg t.i.d. , minocycline 100 mg b.i.d. For potential fluid etiology, she will be given furosemide 40 mg q.a.m. and for potential spitochetal disease such as lyme disease, we will add Pen-Vee K 500 mg q.i.d. x 7 days. We will also add fluconazole for dexamethasone. I will continue to monitor her progress.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Hypoacusis, Hypoaesthesia, Hypoaesthesia facial, Immunoglobulin therapy
Clinical narrative: Hearing loss, vertigo, diplopia, dysphagia, facial numbness, gait ataxia. Receiving IVIG infusions, etc. 1. Autoimmune mediated sensorineural hearing loss that progressed to Guillain Barre Miller-Fisher variant. 2. Diplopia, dysphagia, vertigo, tinnitus, decreased facial sensation bilaterally involving V1, V2, and V3 regions, dysphagia, bilateral upper extremity numbness consistent with C2-T1, vestibular symptoms with vertigo, gait ataxia, and decreased coordination. 3. Influenza vaccination given on 11/5/2010, _____strain. Examination is notable for decreased hearing on the right to near absent and markedly diminished on the left. Immune mediated sensorineural hearing loss. For its neuroprotective effects, we will prescribe tiagabine 4 mg t.i.d. , minocycline 100 mg b.i.d. For potential fluid etiology, she will be given furosemide 40 mg q.a.m. and for potential spitochetal disease such as lyme disease, we will add Pen-Vee K 500 mg q.i.d. x 7 days. We will also add fluconazole for dexamethasone. I will continue to monitor her progress.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Miller Fisher syndrome, Neurological examination, Sensory loss, Tinnitus, Vertigo
Clinical narrative: Hearing loss, vertigo, diplopia, dysphagia, facial numbness, gait ataxia. Receiving IVIG infusions, etc. 1. Autoimmune mediated sensorineural hearing loss that progressed to Guillain Barre Miller-Fisher variant. 2. Diplopia, dysphagia, vertigo, tinnitus, decreased facial sensation bilaterally involving V1, V2, and V3 regions, dysphagia, bilateral upper extremity numbness consistent with C2-T1, vestibular symptoms with vertigo, gait ataxia, and decreased coordination. 3. Influenza vaccination given on 11/5/2010, _____strain. Examination is notable for decreased hearing on the right to near absent and markedly diminished on the left. Immune mediated sensorineural hearing loss. For its neuroprotective effects, we will prescribe tiagabine 4 mg t.i.d. , minocycline 100 mg b.i.d. For potential fluid etiology, she will be given furosemide 40 mg q.a.m. and for potential spitochetal disease such as lyme disease, we will add Pen-Vee K 500 mg q.i.d. x 7 days. We will also add fluconazole for dexamethasone. I will continue to monitor her progress.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Vestibular disorder
Clinical narrative: Hearing loss, vertigo, diplopia, dysphagia, facial numbness, gait ataxia. Receiving IVIG infusions, etc. 1. Autoimmune mediated sensorineural hearing loss that progressed to Guillain Barre Miller-Fisher variant. 2. Diplopia, dysphagia, vertigo, tinnitus, decreased facial sensation bilaterally involving V1, V2, and V3 regions, dysphagia, bilateral upper extremity numbness consistent with C2-T1, vestibular symptoms with vertigo, gait ataxia, and decreased coordination. 3. Influenza vaccination given on 11/5/2010, _____strain. Examination is notable for decreased hearing on the right to near absent and markedly diminished on the left. Immune mediated sensorineural hearing loss. For its neuroprotective effects, we will prescribe tiagabine 4 mg t.i.d. , minocycline 100 mg b.i.d. For potential fluid etiology, she will be given furosemide 40 mg q.a.m. and for potential spitochetal disease such as lyme disease, we will add Pen-Vee K 500 mg q.i.d. x 7 days. We will also add fluconazole for dexamethasone. I will continue to monitor her progress.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Myalgia, Pyrexia, Skin warm
Clinical narrative: 30 minutes after flu shot, patient felt warm as though he had a fever, progressed to chills and muscle aches.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Constipation
Clinical narrative: Severe constipation within 8 hours of injection.
Age: 67.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Body temperature increased, Pain, Rash vesicular
Clinical narrative: Pt developed burning pain in (R) hip 12/24, which persisted & radiated to (R) groin. She saw me 12/30/10 with rash c/w zoster. T. 99.4.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Herpes zoster, Musculoskeletal pain
Clinical narrative: Low back and upper butt pain started on and continues. Diagnosed with shingles on 12-28-10 - taking 1000 mg. Valacyclovir.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Blood albumin decreased, Blood calcium increased, Blood creatine phosphokinase increased, Blood creatinine normal, Blood glucose increased
Clinical narrative: Pt received a flu shot on 10/19/2010. He went to see ARNP on 11/17/2010 with c/o tingling and numbness in his feet, from his ankles down. Pt stated that these symptoms started approx a week ago. He also c/o some visual disturbances at times; left lower lip numbness. He was also experiencing some difficulty with walking d/t the numbness. He had just returned from a trip the day before he went to doctor. His wife stated that she had to assist him with walking while on their trip. Labs were done after doctor visit: CBC, CMP, TSH, D-Dimer, UA, HgA1C and a CT of his head was also ordered to rule out a CVA. Family requested that he follow up with a neurologist. Neurology consult was done on 11/23/2010. He had an MRI done that showed multilevel spinal stenosis. His CBC, Sed rate, Creatinine, T4, TSB and B12 were all normal. His Glucose was mildly elevated along with his BUN. Calcium levels were elevated. Albumin level down and his CPK was elevated. He was sent to a rehabilitation facility where his condition continued to decline. He returned to the neurologist on 12/07/2010 where he had a lumbar puncture done with the results being normal. The doctors felt he had acute inflammatory demyelinating polyradiculoneuropathy and chronic inflammatory demyelinating polyneuropathy. An EMG was conducted that showed significant demyelination. Patient has NKDA. Diagnosis: DM II, HTN, BPH. Currently medications: ASA 81 mg PO daily, Vit DS 1000unit PO daily, SENSIPAR 30mg PO BID, PEPCID 20mg PO BID, PROSCAR 5mg PO daily, NEURONTIN 100mg PO daily, Heparin 5000units sq every 12 hours, PRIVIGEN (IG) 40gram IV every Monday and Thursday, MIRALAX 17grams every day, Hydrocodone5/325mg PO 2 tabs every 6 hours as need for pain, MOM 30cc PO prn daily at HS, LEVAQUIN 500mg PO daily for 5 days (starting 12/28- has UTI), Metformin 500mg PO BID.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Blood thyroid stimulating hormone normal, Blood urea increased, Chronic inflammatory demyelinating polyradiculoneuropathy, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: Pt received a flu shot on 10/19/2010. He went to see ARNP on 11/17/2010 with c/o tingling and numbness in his feet, from his ankles down. Pt stated that these symptoms started approx a week ago. He also c/o some visual disturbances at times; left lower lip numbness. He was also experiencing some difficulty with walking d/t the numbness. He had just returned from a trip the day before he went to doctor. His wife stated that she had to assist him with walking while on their trip. Labs were done after doctor visit: CBC, CMP, TSH, D-Dimer, UA, HgA1C and a CT of his head was also ordered to rule out a CVA. Family requested that he follow up with a neurologist. Neurology consult was done on 11/23/2010. He had an MRI done that showed multilevel spinal stenosis. His CBC, Sed rate, Creatinine, T4, TSB and B12 were all normal. His Glucose was mildly elevated along with his BUN. Calcium levels were elevated. Albumin level down and his CPK was elevated. He was sent to a rehabilitation facility where his condition continued to decline. He returned to the neurologist on 12/07/2010 where he had a lumbar puncture done with the results being normal. The doctors felt he had acute inflammatory demyelinating polyradiculoneuropathy and chronic inflammatory demyelinating polyneuropathy. An EMG was conducted that showed significant demyelination. Patient has NKDA. Diagnosis: DM II, HTN, BPH. Currently medications: ASA 81 mg PO daily, Vit DS 1000unit PO daily, SENSIPAR 30mg PO BID, PEPCID 20mg PO BID, PROSCAR 5mg PO daily, NEURONTIN 100mg PO daily, Heparin 5000units sq every 12 hours, PRIVIGEN (IG) 40gram IV every Monday and Thursday, MIRALAX 17grams every day, Hydrocodone5/325mg PO 2 tabs every 6 hours as need for pain, MOM 30cc PO prn daily at HS, LEVAQUIN 500mg PO daily for 5 days (starting 12/28- has UTI), Metformin 500mg PO BID.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Electromyogram abnormal, Fibrin D dimer, Full blood count normal, Gait disturbance, Glycosylated haemoglobin
Clinical narrative: Pt received a flu shot on 10/19/2010. He went to see ARNP on 11/17/2010 with c/o tingling and numbness in his feet, from his ankles down. Pt stated that these symptoms started approx a week ago. He also c/o some visual disturbances at times; left lower lip numbness. He was also experiencing some difficulty with walking d/t the numbness. He had just returned from a trip the day before he went to doctor. His wife stated that she had to assist him with walking while on their trip. Labs were done after doctor visit: CBC, CMP, TSH, D-Dimer, UA, HgA1C and a CT of his head was also ordered to rule out a CVA. Family requested that he follow up with a neurologist. Neurology consult was done on 11/23/2010. He had an MRI done that showed multilevel spinal stenosis. His CBC, Sed rate, Creatinine, T4, TSB and B12 were all normal. His Glucose was mildly elevated along with his BUN. Calcium levels were elevated. Albumin level down and his CPK was elevated. He was sent to a rehabilitation facility where his condition continued to decline. He returned to the neurologist on 12/07/2010 where he had a lumbar puncture done with the results being normal. The doctors felt he had acute inflammatory demyelinating polyradiculoneuropathy and chronic inflammatory demyelinating polyneuropathy. An EMG was conducted that showed significant demyelination. Patient has NKDA. Diagnosis: DM II, HTN, BPH. Currently medications: ASA 81 mg PO daily, Vit DS 1000unit PO daily, SENSIPAR 30mg PO BID, PEPCID 20mg PO BID, PROSCAR 5mg PO daily, NEURONTIN 100mg PO daily, Heparin 5000units sq every 12 hours, PRIVIGEN (IG) 40gram IV every Monday and Thursday, MIRALAX 17grams every day, Hydrocodone5/325mg PO 2 tabs every 6 hours as need for pain, MOM 30cc PO prn daily at HS, LEVAQUIN 500mg PO daily for 5 days (starting 12/28- has UTI), Metformin 500mg PO BID.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Hypertension, Hypoaesthesia, Hypoaesthesia oral, Laboratory test normal
Clinical narrative: Pt received a flu shot on 10/19/2010. He went to see ARNP on 11/17/2010 with c/o tingling and numbness in his feet, from his ankles down. Pt stated that these symptoms started approx a week ago. He also c/o some visual disturbances at times; left lower lip numbness. He was also experiencing some difficulty with walking d/t the numbness. He had just returned from a trip the day before he went to doctor. His wife stated that she had to assist him with walking while on their trip. Labs were done after doctor visit: CBC, CMP, TSH, D-Dimer, UA, HgA1C and a CT of his head was also ordered to rule out a CVA. Family requested that he follow up with a neurologist. Neurology consult was done on 11/23/2010. He had an MRI done that showed multilevel spinal stenosis. His CBC, Sed rate, Creatinine, T4, TSB and B12 were all normal. His Glucose was mildly elevated along with his BUN. Calcium levels were elevated. Albumin level down and his CPK was elevated. He was sent to a rehabilitation facility where his condition continued to decline. He returned to the neurologist on 12/07/2010 where he had a lumbar puncture done with the results being normal. The doctors felt he had acute inflammatory demyelinating polyradiculoneuropathy and chronic inflammatory demyelinating polyneuropathy. An EMG was conducted that showed significant demyelination. Patient has NKDA. Diagnosis: DM II, HTN, BPH. Currently medications: ASA 81 mg PO daily, Vit DS 1000unit PO daily, SENSIPAR 30mg PO BID, PEPCID 20mg PO BID, PROSCAR 5mg PO daily, NEURONTIN 100mg PO daily, Heparin 5000units sq every 12 hours, PRIVIGEN (IG) 40gram IV every Monday and Thursday, MIRALAX 17grams every day, Hydrocodone5/325mg PO 2 tabs every 6 hours as need for pain, MOM 30cc PO prn daily at HS, LEVAQUIN 500mg PO daily for 5 days (starting 12/28- has UTI), Metformin 500mg PO BID.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Lumbar puncture normal, Metabolic function test, Nuclear magnetic resonance imaging spinal cord abnormal, Paraesthesia, Red blood cell sedimentation rate normal
Clinical narrative: Pt received a flu shot on 10/19/2010. He went to see ARNP on 11/17/2010 with c/o tingling and numbness in his feet, from his ankles down. Pt stated that these symptoms started approx a week ago. He also c/o some visual disturbances at times; left lower lip numbness. He was also experiencing some difficulty with walking d/t the numbness. He had just returned from a trip the day before he went to doctor. His wife stated that she had to assist him with walking while on their trip. Labs were done after doctor visit: CBC, CMP, TSH, D-Dimer, UA, HgA1C and a CT of his head was also ordered to rule out a CVA. Family requested that he follow up with a neurologist. Neurology consult was done on 11/23/2010. He had an MRI done that showed multilevel spinal stenosis. His CBC, Sed rate, Creatinine, T4, TSB and B12 were all normal. His Glucose was mildly elevated along with his BUN. Calcium levels were elevated. Albumin level down and his CPK was elevated. He was sent to a rehabilitation facility where his condition continued to decline. He returned to the neurologist on 12/07/2010 where he had a lumbar puncture done with the results being normal. The doctors felt he had acute inflammatory demyelinating polyradiculoneuropathy and chronic inflammatory demyelinating polyneuropathy. An EMG was conducted that showed significant demyelination. Patient has NKDA. Diagnosis: DM II, HTN, BPH. Currently medications: ASA 81 mg PO daily, Vit DS 1000unit PO daily, SENSIPAR 30mg PO BID, PEPCID 20mg PO BID, PROSCAR 5mg PO daily, NEURONTIN 100mg PO daily, Heparin 5000units sq every 12 hours, PRIVIGEN (IG) 40gram IV every Monday and Thursday, MIRALAX 17grams every day, Hydrocodone5/325mg PO 2 tabs every 6 hours as need for pain, MOM 30cc PO prn daily at HS, LEVAQUIN 500mg PO daily for 5 days (starting 12/28- has UTI), Metformin 500mg PO BID.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Spinal column stenosis, Thyroxine, Type 2 diabetes mellitus, Urine analysis, Visual impairment
Clinical narrative: Pt received a flu shot on 10/19/2010. He went to see ARNP on 11/17/2010 with c/o tingling and numbness in his feet, from his ankles down. Pt stated that these symptoms started approx a week ago. He also c/o some visual disturbances at times; left lower lip numbness. He was also experiencing some difficulty with walking d/t the numbness. He had just returned from a trip the day before he went to doctor. His wife stated that she had to assist him with walking while on their trip. Labs were done after doctor visit: CBC, CMP, TSH, D-Dimer, UA, HgA1C and a CT of his head was also ordered to rule out a CVA. Family requested that he follow up with a neurologist. Neurology consult was done on 11/23/2010. He had an MRI done that showed multilevel spinal stenosis. His CBC, Sed rate, Creatinine, T4, TSB and B12 were all normal. His Glucose was mildly elevated along with his BUN. Calcium levels were elevated. Albumin level down and his CPK was elevated. He was sent to a rehabilitation facility where his condition continued to decline. He returned to the neurologist on 12/07/2010 where he had a lumbar puncture done with the results being normal. The doctors felt he had acute inflammatory demyelinating polyradiculoneuropathy and chronic inflammatory demyelinating polyneuropathy. An EMG was conducted that showed significant demyelination. Patient has NKDA. Diagnosis: DM II, HTN, BPH. Currently medications: ASA 81 mg PO daily, Vit DS 1000unit PO daily, SENSIPAR 30mg PO BID, PEPCID 20mg PO BID, PROSCAR 5mg PO daily, NEURONTIN 100mg PO daily, Heparin 5000units sq every 12 hours, PRIVIGEN (IG) 40gram IV every Monday and Thursday, MIRALAX 17grams every day, Hydrocodone5/325mg PO 2 tabs every 6 hours as need for pain, MOM 30cc PO prn daily at HS, LEVAQUIN 500mg PO daily for 5 days (starting 12/28- has UTI), Metformin 500mg PO BID.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Vitamin B12 normal
Clinical narrative: Pt received a flu shot on 10/19/2010. He went to see ARNP on 11/17/2010 with c/o tingling and numbness in his feet, from his ankles down. Pt stated that these symptoms started approx a week ago. He also c/o some visual disturbances at times; left lower lip numbness. He was also experiencing some difficulty with walking d/t the numbness. He had just returned from a trip the day before he went to doctor. His wife stated that she had to assist him with walking while on their trip. Labs were done after doctor visit: CBC, CMP, TSH, D-Dimer, UA, HgA1C and a CT of his head was also ordered to rule out a CVA. Family requested that he follow up with a neurologist. Neurology consult was done on 11/23/2010. He had an MRI done that showed multilevel spinal stenosis. His CBC, Sed rate, Creatinine, T4, TSB and B12 were all normal. His Glucose was mildly elevated along with his BUN. Calcium levels were elevated. Albumin level down and his CPK was elevated. He was sent to a rehabilitation facility where his condition continued to decline. He returned to the neurologist on 12/07/2010 where he had a lumbar puncture done with the results being normal. The doctors felt he had acute inflammatory demyelinating polyradiculoneuropathy and chronic inflammatory demyelinating polyneuropathy. An EMG was conducted that showed significant demyelination. Patient has NKDA. Diagnosis: DM II, HTN, BPH. Currently medications: ASA 81 mg PO daily, Vit DS 1000unit PO daily, SENSIPAR 30mg PO BID, PEPCID 20mg PO BID, PROSCAR 5mg PO daily, NEURONTIN 100mg PO daily, Heparin 5000units sq every 12 hours, PRIVIGEN (IG) 40gram IV every Monday and Thursday, MIRALAX 17grams every day, Hydrocodone5/325mg PO 2 tabs every 6 hours as need for pain, MOM 30cc PO prn daily at HS, LEVAQUIN 500mg PO daily for 5 days (starting 12/28- has UTI), Metformin 500mg PO BID.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperaesthesia, Injection site pruritus, Oedema peripheral, Rash
Clinical narrative: Administered 12/29/10. Rash, swelling in arm started. 3rd day (12/31) worse when touched such as putting on clothes. - Itchy back of Rt upper arm.
Age: 35.0
Sex: M
Vaccine: MMR, TDAP, VARCEL
Symptoms: Food allergy, Rash
Clinical narrative: MMR, VAR, TDAP given 12-1-10 - a.m. Rash developed 12-3-10 around 11:00 a.m. Clt. ate eggs 12-3-10 at 9:00 a.m. Has had rash previously after eating eggs & suspected allergy.
Age: 16.0
Sex: M
Vaccine: HPV4
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Mother reports approx. 24 hours after receiving vaccine child reported having SOB, and heart palpitations. Mother picked up child from school then took him to a walk in urgent care clinic and that clinic referred them to the ER due to child c/o SOB. Mother states child was only there approx. 1 hour with 30 minutes of oxygen no other testing was done and child felt fine & was d/c'd.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Given varicella (L) arm on 12/21/10 came in 12/22/10 with redness & swelling at inj. site length 3 cm width 2 cm.
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster, Injection site rash
Clinical narrative: Rash on (L) arm x 12/26/10. Zoster in C6 dermatome in left arm where vaccine given 6/11/08.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site pruritus, Injection site urticaria
Clinical narrative: TDAP & MENACTRA given (L) arm 12-3-10 developed hives 2d. late at injection sites & elbow to shoulder only, mildly itchy (-) fever (-) pain. sx resolved with BENADRYL.
Age: 31.0
Sex: M
Vaccine: HEPAB
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Fatigue, Hearing impaired
Clinical narrative: Experience loose stools, diarrhea, sweating, fatigue, weakness, abdominal pain, tinnitus, hearing changes after his second vaccination.
Age: 31.0
Sex: M
Vaccine: HEPAB
Symptoms: Hyperhidrosis, Tinnitus
Clinical narrative: Experience loose stools, diarrhea, sweating, fatigue, weakness, abdominal pain, tinnitus, hearing changes after his second vaccination.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling and increased warmth up to 5 cm x 3 cm started BACTRIM for possible local rxn and cellulitis.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Injection site swelling
Clinical narrative: This case was reported by a healthcare professional, via a GSK representative and described the occurrence of swelling injection site in a 4-month-old male subject who was vaccinated with PEDIARIX, (GlaxoSmithKline). Concurrent vaccination included HIB (non-gsk); Sanofi given on 9 March 2010; ROTARIX; GlaxoSmithKline given on 9 March 2010; pneumococcal vaccines (non-gsk); Wyeth labs given on 9 March 2010. On 8 March 2010 the subject received 2nd dose of PEDIARIX (.5 ml, unknown route, right thigh). On 9 March 2010, 1 day after vaccination with PEDIARIX, the subject experienced swelling injection site. The subject's right leg swelled to approximately twice the normal size. The subject was seen by a physician on 10 March 2010. On 11 March 2010, the event was resolved. The healthcare professional considered the event was probably related to vaccination with PEDIARIX.
Age: 0.12
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PPV, RVX
Symptoms: Dyskinesia, Movement disorder
Clinical narrative: This case was reported by a physician and described the occurrence of seizure-like episode in a 6-week-old subject of unspecified gender who was vaccinated with PEDIARIX (GlaxoSmithKline). Concurrent vaccination included 10 valent pneumococcal conjugate vaccine; manufacturer unspecified given on 7 December 2009; HIB; manufacturer unspecified given on 7 December 2009; live attenuated human rotavirus vaccine; manufacturer unspecified given on 7 December 2009. On 7 December 2009 the subject received 1st dose of PEDIARIX (details unknown). On 7 December 2009, at night less than one day after vaccination with PEDIARIX, the subject experienced seizure-like episode, of moving head and jerking for approximately 15 minutes. This case was assessed as medically serious by GSK. At the time of reporting the events were resolved. The physician considered the events were probably related to vaccination with PEDIARIX.
Age: 0.2
Sex: U
Vaccine: DTAPHEPBIP, OPV
Symptoms: Accidental overdose, Pyrexia
Clinical narrative: This case was reported by a consumer and described the occurrence of fever in a 2-month-old subject of unspecified gender who was vaccinated with PEDIARIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent vaccination included live attenuated oral poliomyelitis vaccine (manufacturer unspecified) given on an unspecified date, but the same day as PEDIARIX. On an unspecified date the subject received unspecified dose of PEDIARIX (unknown). At an unspecified time after vaccination with PEDIARIX, the subject experienced fever and accidental asymptomatic overdose. The child received a dose of oral polio vaccine the same day. At the time of reporting the outcome of fever was unspecified.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Device malfunction, Injury, Injury associated with device, Product quality issue, Syringe issue
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of needle stick injury in a 4-month-old male subject who was vaccinated with PEDIARIX (GlaxoSmithKline). Concurrent vaccination included HIB (non-gsk); Sanofi Pasteur MSD given on 3 May 2010; pneumococcal vaccines (non-gsk); Wyeth Labs given on 3 May 2010; ROTATEQ (non-gsk); Merck given on 3 May 2010. On 3 May 2010 at 11:45 the subject received 2nd dose of PEDIARIX (unknown route, right thigh), and experienced needle stick injury and pharmaceutical product complaint. The plunger came out of the syringe while in the subject's thigh. It was reported that it had not been checked whether the plunger was screwed in tightly prior to administration. The product was discarded and therefore not available for return. At the time of reporting the outcome of the events was unspecified. This case was reported as a product complaint and is one of two cases from a doctor's office reporting that the plunger came out of the syringe for two PEDIARIX prefilled syringes with the same lot number (see case A0859174A for details of the other case). Follow-up information received from healthcare professional on 11 June 2010: PEDIARIX (.5 ml) was administered intramuscularly. The healthcare professional reported the diagnosis as plunger malfunction. The events resolved on 03 May 2010. The events did not recur following subsequent administration.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Device malfunction, Injury associated with device, Product quality issue
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of needle stick injury in a 2-month-old female subject who was vaccinated with PEDIARIX (GlaxoSmithKline). Concurrent vaccination included HIB (non-gsk); Sanofi Pasteur MSD given on 11 May 2010; pneumococcal vaccines (non-gsk); Wyeth Labs on 11 May 2010; ROTATEQ (non-gsk); Merck given on 11 May 2010. On 11 May 2010 at 12:00 the subject received 1st dose of PEDIARIX (unknown route, left thigh), and experienced needle stick injury and pharmaceutical product complaint. The plunger came out of the syringe while in the subject's thigh during aspiration. It was reported that it had not been checked whether the plunger was screwed in tightly prior to administration. The product was discarded and therefore not available for return. At the time of reporting the outcome of the events was unspecified. This case was reported as a product complaint and is one of two cases from a doctor's office reporting that the plunger came out of the syringe for two PEDIARIX prefilled syringes with the same lot number (see case A0859171A for details of the other case). Follow-up information received from healthcare professional on 11 June 2010: PEDIARIX (.5 ml) was administered intramuscularly. The healthcare professional reported the diagnosis as plunger malfunction. The events resolved on 03 May 2010. The events did not recur following subsequent administration.
Age: 0.41
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of injection site redness in a 5-month-old male subject who was vaccinated with PEDIARIX (GlaxoSmithKline), (non-gsk) PREVNAR. Concurrent medical conditions included esophageal reflux, microtia and ventricular septal defect. Relevant medical history included: "bilateral microtia with absent ear, EAC small muscular VSD, esophageal reflux". The reporter was unable to clarify the medical history details. Concurrent vaccination included HIB (non-gsk); Sanofi; unknown given on 13 May 2010. Concurrent medications included AXID and PREVACID. On 13 May 2010 at 16:20 the subject received 2nd dose of PEDIARIX (.5 ml, unknown route, left thigh). On 13 May 2010 the subject received 2nd dose of PREVNAR (unknown route, right thigh). Less than one week after vaccination with PEDIARIX and PREVNAR (either 13 May 2010 or 14 May 2010), the subject experienced injection site redness, swelling injection site and fever (rectal temperature of 102.2 degrees Fahrenheit). The subject was treated with warm compress and TYLENOL. At the time of reporting the events were unresolved. The healthcare professional considered the events were possibly related to vaccination with PEDIARIX and PREVNAR.
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Antibody test abnormal, Laboratory test abnormal
Clinical narrative: This case was reported by a healthcare professional, via Merck, and described the occurrence of lab test abnormal in a subject of unspecified age and gender who was vaccinated with PEDIARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of PEDIARIX (details unknown). At an unspecified time after vaccination with PEDIARIX, the subject experienced lab test abnormal. The subject developed titer a hundred times the normal. The titer was not specified and no further information was provided. At the time of reporting the outcome of the event was unspecified. No further information was available.
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Pyrexia
Clinical narrative: This case was reported by a physician via sales representative and described the occurrence of fever in a subject of unspecified age and gender who was vaccinated with PEDIARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included PEDVAXHIB (non-gsk); non-GSK manufacturer; unknown given on an unspecified date; PREVNAR (non-gsk); non-GSK manufacturer; unknown; unknown given on an unspecified date. On an unspecified date the subject received 1st dose of PEDIARIX (unknown). At an unspecified time after vaccination with PEDIARIX, the subject experienced fever of 105 degrees Fahrenheit (F). At the time of reporting the outcome of the fever of 105F was unspecified.
Age: 0.39
Sex: M
Vaccine: RVX
Symptoms: Irritability, Pyrexia, Urine output decreased, Vomiting projectile
Clinical narrative: projectile vomiting after feeding, not having any wet diapers, very irritable, mild temp
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Migraine, Oropharyngeal pain, Vomiting
Clinical narrative: Client complained of severe migraine headache vomiting and sore throat x 2 days. Client did not go to the hospital. Client is doing fine at the moment she said. No treatment given.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy rash on chest/abdomen starting 12/18/10. Still remains now.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Feeling hot
Clinical narrative: Patient felt warm & weak.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: Patient felt "warm".
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: PREVNAR & PENTACEL given in (L) leg. Injection sites only 1/4 inch apart. Red, swelling warmth started approximately 12 hours later. Seen approximately 36 hours later in office - only 1 in x 1/2 in red warm swollen area - Tx with warm compress.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Drug exposure before pregnancy, Pregnancy test urine negative
Clinical narrative: Patient was seen on 11-4-10 at the Health Center at that time patient had urine preg test done which was negative. Gave last LMP as 10-15-10 - Pt then received VZV, TDAP, HVP return to clinic on 11-23-10 with positive pregnancy test report to Merck/Pregnancy Registry.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Caesarean section, Foetal disorder, Human chorionic gonadotropin positive, Maternal exposure during pregnancy
Clinical narrative: Patient was seen on 11-4-10 at the Health Center at that time patient had urine preg test done which was negative. Gave last LMP as 10-15-10 - Pt then received VZV, TDAP, HVP return to clinic on 11-23-10 with positive pregnancy test report to Merck/Pregnancy Registry.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Caesarean section, Foetal disorder, Maternal exposure during pregnancy, Neonatal disorder
Clinical narrative: Patient was seen on 11-4-10 at the Health Center at that time patient had urine preg test done which was negative. Gave last LMP as 10-15-10 - Pt then received VZV, TDAP, HVP return to clinic on 11-23-10 with positive pregnancy test report to Merck/Pregnancy Registry.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 2 days after receiving PNEUMOVAX (L) deltoid developed painful red swelling, hot, at site of injection. Prescribed PO KEFLEX for possible cellulitis.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Asthenia, Chest X-ray, Cough, Oropharyngeal pain, Pyrexia
Clinical narrative: Approx 12 hrs after imm she developed fever/cough -> 104 -> continue x 4 days, has decreased energy, no achy, URI & sore throat now with persistent cough.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Streptococcus test, Upper respiratory tract infection
Clinical narrative: Approx 12 hrs after imm she developed fever/cough -> 104 -> continue x 4 days, has decreased energy, no achy, URI & sore throat now with persistent cough.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Central nervous system lesion, Hypoaesthesia, Inflammation, Lumbar puncture abnormal, Multiple sclerosis
Clinical narrative: Numbness and tingling in legs the first day; within hours of receiving a flu shot at a work location no longer leased by my employer. Numbness and tingling increased and rose up my body each subsequent day to midsection (within 24-36 hours) and then my chest. Was seen by a neurologist within a week, and then had an MRI and Lumbar Puncture the following week. Inflammation/lesion on spine detected.  Diagnosed with multiple sclerosis on Friday, 11/17/2006. Hospitalized for a week and put on high dose steriods via an IV.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Neurological examination, Nuclear magnetic resonance imaging abnormal, Paraesthesia
Clinical narrative: Numbness and tingling in legs the first day; within hours of receiving a flu shot at a work location no longer leased by my employer. Numbness and tingling increased and rose up my body each subsequent day to midsection (within 24-36 hours) and then my chest. Was seen by a neurologist within a week, and then had an MRI and Lumbar Puncture the following week. Inflammation/lesion on spine detected.  Diagnosed with multiple sclerosis on Friday, 11/17/2006. Hospitalized for a week and put on high dose steriods via an IV.
Age: 92.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pruritus, Scar
Clinical narrative: Itching that has lasted for 2 1/2 and months with bruising.  The vaccine has left a long white scar.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain
Clinical narrative: Shoulder sore starting morning after shot administered has continued since and pt. getting physical therapy for it.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Immediate post-injection reaction, Pain
Clinical narrative: Stabbing pain immediately following injection.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Arthralgia, Incorrect route of drug administration, Injected limb mobility decreased, Injection site pain, Myalgia
Clinical narrative: Stabbing pain immediately following injection.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: Stabbing pain immediately following injection.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient experienced left arm pain periodically after receiving Influenza vaccine on 9/24/2010.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Injection site sore to touch can't lift w/left arm hurts to lean on arm.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: Given vaccine on 12/22/10. On 12/24/10 pt noticed a painful rash on his right arm. He went to Dr.'s office on 12/27 for evaluation of the rash & was told to take BENADRYL & ZYRTEC. On 12/30 he returned to the office since the rash was worse & he was diagnosed with shingles. The patient's wife notified me of the reaction on 12/29/10.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Allergy to vaccine
Clinical narrative: Smallpox vaccine reaction - possible cellulitis.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Allergy to vaccine, Headache, Lymphocyte count decreased, Monocyte count increased, Pain
Clinical narrative: Generalized reaction to smallpox vaccine - headache, generalized achiness.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: White blood cell count, White blood cell count normal
Clinical narrative: Generalized reaction to smallpox vaccine - headache, generalized achiness.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Malaise, Pallor
Clinical narrative: After the shot patient said it was making him feel sick and when he got home he passed out in the bathroom was sweating and was pale as a ghost and was very lightheaded.
Age: 0.87
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Pyrexia, Screaming
Clinical narrative: Fever 103 degrees F woke up at 4:30am screaming.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site pain, Pain
Clinical narrative: L upper arm has hurt since receiving the influenza vaccine. (L) upper arm muscle is firm to touch; (L) arm movement is painful. Client referred to MD for further evaluation.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Excoriation, Pruritus, Urticaria
Clinical narrative: 12/29/10 Symptoms began within 24 hours, had itching,urticaria, excoriations diffusely, significant amount of hives, seen in office, given DEPO-MEDROL injection & oral steroids by ER. Plan to do allergy testing near future.
Age: 22.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Orthopox virus infection, Orthopoxvirus test positive, Polymerase chain reaction, Secondary transmission, Skin lesion
Clinical narrative: Service member received SPV on 12/4/10. Had contact with girlfriend on 12/10/10 (states he had bandaid on site). Girlfriend noticed lesion (L) calf 12/17/10. 12/28/10 sample sent for vaccinia testing ((+) orthopoxvirus).
Age: 22.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Exposure to vaccinated person, Orthopoxvirus test positive, Polymerase chain reaction, Secondary transmission, Skin lesion
Clinical narrative: Service member received SPV on 12/4/10. Had contact with girlfriend on 12/10/10 (states he had bandaid on site). Girlfriend noticed lesion (L) calf 12/17/10. 12/28/10 sample sent for vaccinia testing ((+) orthopoxvirus).
Sex: U
Vaccine: FLU3
Symptoms: Blood pressure systolic increased, Confusional state, Feeling abnormal, Restlessness
Clinical narrative: Initial spontaneous report received from a physician on 23 Dec 2010: This patient was vaccinated with FLUVIRIN (batch number 1145906) on an unknown date. Within 2 minutes after vaccination, the patient "felt peculiar" and was a little confused. The reporter stated that the patient wanted to wander around and declined sitting down but agreed to sit in the consulting cubicle. The ambulance service was called and the patient was taken to the local accident and emergency department due to increased systolic blood pressure of 200. Value of diastolic blood pressure was not reported. At the time of reporting, the patient outcome was unknown. The reporter did not provide a causality assessment.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Autopsy, Cardiac arrest, Death, Irritability
Clinical narrative: Became fussy with feeds 24 hours after vaccines given then went into cardiac arrest.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: 1 hour post vaccine, pts wrist started hurting. Pain then radiated up & down arm. Pt took a "pain medication" & an ADVIL (R). She felt better in the morning.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Epistaxis, Erythema, Nasal congestion, Swelling face
Clinical narrative: Mother states child started with slightly red, swollen (L) nose, face, eye on 12/29 - PM - On Fri 12/30/10 AM - worsened & on Sat 01/01/11 took child to ER in AM - Drs not sure why whole left side of face & eye & nose were swollen & had some nose bleed on (L) - "stuffy nose" - no resp. distress. Given BENADRYL PO Prednisone PO. Last day - 1/3/11.
Age: 51.0
Sex: F
Vaccine: DPP
Symptoms: Insomnia, Mobility decreased, Pain in extremity
Clinical narrative: Severe arm pain disrupts sleep restricted arm movement can not raise arm up pain feels like in nerve or muscle from shoulder to elbow alleviated temporarily with massage, Advil, over the counter pain relievers, and has gone on for 4 months now and is experienced on a daily basis.  I can not move my arm. No free movement to dance, raise arms, exercise with weights.
Age: 7.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Crying, Dizziness, Pallor
Clinical narrative: Patient seen in clinic for travel vaccinations, patient did fine while receiving vaccinations. Patient mother had patient put on coat and as we started to leave noticed patient looked pale, I asked patient if he felt ok patient stated " I'm ok and started to walk down hall. I followed beside patient and noticed that he still did not look good, so I had patient sit down in chair and elevated feet.  Patient started to cry and I reasured patient that he was ok; placed ice pack behind patient neck, gave some orange juice, and peanut butter crackers. After sitting for fifteen minutes had patient relax feet and then stand. Patient still felt light headed, placed patient in recliner in room three. Patient stayed in recliner for another twenty minutes took patient BP 98/60. Patient stated that he felt better, had patient slowly stand and walked patient out.