chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: TTOX
Symptoms: Blood thyroid stimulating hormone, Fatigue, Full blood count, Insomnia, Lyme disease
Clinical narrative: Patient is a 40 yrs. female who complains of muscle twitches . She received Tetanus toxoid (TD) last Sunday, 12/2/07 for laceration on chin. (TD 182, Biologic) . In the first five days she felt tired, fatigued. She was here for stitch removal last Friday.  Friday- called UC- muscle spasm in both feet, upto calf Muscle movement, feels Twitches Today- tired, did not sleep last night, Feels muscle twitches all over the body, no seizures. Feeling scared may be tetanus or side effect. No allergies to any vaccines in past. No significant allergic reaction in past.No CP, SOB, difficulty breathing, no difficulty swallowing. No N, V, diarrhea, constipation, No fever, chills TAken Trimethoprim on Sunday for presumptive UTI.
Age: 40.0
Sex: F
Vaccine: TTOX
Symptoms: Muscle spasms, Muscle twitching
Clinical narrative: Patient is a 40 yrs. female who complains of muscle twitches . She received Tetanus toxoid (TD) last Sunday, 12/2/07 for laceration on chin. (TD 182, Biologic) . In the first five days she felt tired, fatigued. She was here for stitch removal last Friday.  Friday- called UC- muscle spasm in both feet, upto calf Muscle movement, feels Twitches Today- tired, did not sleep last night, Feels muscle twitches all over the body, no seizures. Feeling scared may be tetanus or side effect. No allergies to any vaccines in past. No significant allergic reaction in past.No CP, SOB, difficulty breathing, no difficulty swallowing. No N, V, diarrhea, constipation, No fever, chills TAken Trimethoprim on Sunday for presumptive UTI.
Age: 28.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Erythema, Local reaction, Oedema peripheral
Clinical narrative: Smallpox vaccine given 30Nov07. Patient states his Left arm began swelling a few days after injection date.  When he came in to have us view his localized reaction, the swelling and redness  in the area was encompassing his entire deltoid.  His swelling/redness was radiating to near his elbow area. Tricep area not affected.
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Anxiety, Dyspnoea, Hyperventilation, Hypoaesthesia, Nausea
Clinical narrative: approximately 2 hours after admin of Engerix B, he returned to the clinic reported shortness of breath, numbness and tingling in extremities, and nausea.  He was transferred to the ER where he was given Benadryl, Solu-Medrol, Pepcid and Phenergan.  The ER doc noted he was hyperventilating and "A large component of his symptoms are anxiety related."
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: approximately 2 hours after admin of Engerix B, he returned to the clinic reported shortness of breath, numbness and tingling in extremities, and nausea.  He was transferred to the ER where he was given Benadryl, Solu-Medrol, Pepcid and Phenergan.  The ER doc noted he was hyperventilating and "A large component of his symptoms are anxiety related."
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Petechiae
Clinical narrative: petechiae over torso. (number 11) do not recall date of onset post vax, sorry (number 12) still show signs of petechiae
Sex: F
Vaccine: FLU3
Symptoms: Iritis
Clinical narrative: We received on 29 NOV 2007 from the Regulatory Agency the following information: A 50 or 51-year-old female patient was vaccinated with influenza virus vaccine (manufacturer unknown) in 2006. She developed iritis. The outcome seems to be improved. No further details reported. See also case no. MA2007-1573 (2006/2007). After influenza vaccination in 2007 the patient also experienced iritis (see case nos. MA2007-1571 and MA2007-1572). Company assessment: Seriousness criterion: medically significant. Causality: insufficient data. We have not enough medical details to assess the case definitely. Expectedness assessment according to manufacturer label: The described symptom is unexpected after vaccination with Fluvirin. No change in benefit-risk-ratio. No measures necessary. Regulatory no. ADR 20189179
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Iritis, Vaccine positive rechallenge
Clinical narrative: We received on 29 NOV 2007 from the regulatory agency the following information: A 51-year-old female patient was vaccinated with influenza virus vaccine (manufacturer unknown) on 10 NOV 2007. On 13 NOV 2007 she developed iritis. The outcome is unknown. Vaccination history: The patient experienced iritis after vaccination in 2006 (see case nos. MA2007-1573 and MA2007-1574). See also case no. MA2007-1571 (200/2008). Company assessment: Seriousness criterion: medically significant. Causality: insufficient data. Initial iritis has been reported after first flu immunization and the same symptoms reappeared after the second flu vaccination. Iritis is known to be present in the context of rheumatoid dispositions, also in the context of HLA B27 disorders. There are literature reports on iritis after vaccinations. However, literature review showed controverse data on iritis/uveitis after flu vaccination. Data on the subject's medical history or epicrisis are insufficient to ultimately judge the case. Expectedness assessment according to manufacturer label: The described symptom is unexpected after vaccination with Fluvirin. No change in benefit-risk-ratio. No measures necessary. Regulatory authority no. ADR 20189179 It seems to be unlikely that Fluvirin was used as the vaccine was not distributed to the foreign market in this season.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Full blood count, Oedema peripheral, Pyrexia
Clinical narrative: 11/27/07 Received VARIVAX L upper arm.  11/29/07 L upper arm, almost whole L upper arm erythematous & swollen (+) fever.  11/30/07 Admitted for L upper arm cellulitis.12/21/07-records received for DOS 11/30/07-DX DX: Cellulitis of left arm. Day after receiving vaccination, C/O pain, swelling and erythema which continued to increase. Fever 101.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest X-ray abnormal, Dizziness, Feeling abnormal, Feeling hot
Clinical narrative: 10/20/07 c/o feeling bad, hot, headache, weak, dizzy, fever of 102 degrees, wheezing - 10/22/07 - Pt saw Dr. for viral infection-was given Rocephin shot - was given Cipro and Atuss 10/24/07-Pt not feeling better - returned to Dr. and was hospitalized for pneumonia improved but still having problems with wheezing.  12/20/2007 MR received for DOS 10/24-29/2007 with D/C DX:  Pneumonia.  Hypertension.  Diabetes Mellitus Type II. Chronic Kidney Disease.  hx of Breast CA with radiation.  Hypothyroidism.  Hyperlipidemia. Pt presented for direct admit from MD's office with c/o fever, cough, SOB and wheezing. Had previously txd with IM Rocephin and Cipro without resolution of sx. Pt txd with abx, steroids, nebs, and O2 prn.  Blood sugar elevations throughout admission.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pneumonia, Pyrexia, Viral infection, Wheezing
Clinical narrative: 10/20/07 c/o feeling bad, hot, headache, weak, dizzy, fever of 102 degrees, wheezing - 10/22/07 - Pt saw Dr. for viral infection-was given Rocephin shot - was given Cipro and Atuss 10/24/07-Pt not feeling better - returned to Dr. and was hospitalized for pneumonia improved but still having problems with wheezing.  12/20/2007 MR received for DOS 10/24-29/2007 with D/C DX:  Pneumonia.  Hypertension.  Diabetes Mellitus Type II. Chronic Kidney Disease.  hx of Breast CA with radiation.  Hypothyroidism.  Hyperlipidemia. Pt presented for direct admit from MD's office with c/o fever, cough, SOB and wheezing. Had previously txd with IM Rocephin and Cipro without resolution of sx. Pt txd with abx, steroids, nebs, and O2 prn.  Blood sugar elevations throughout admission.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Left arm redness, tenderness and swelling.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Pain in extremity
Clinical narrative: Pt. states no medical care during this time.  11-30-07 Pt. states on 11-18-07 noted 2 very small red areas on upper Rt. arm.  Pt. states area was about 1/2" above inj. site and 2nd red area was approx. 2" below inj. site.  In 24 hrs pt. states red areas gone.  Pt. states that 3 days after inj. received pt. noticed red discoloration and soreness on Rt underarm extending down to elbow, lasting approx. 7 to 10 days.  Pt. has no redness or soreness on this day.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, PNC
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Received 3 vaccines at well check-up on 12-3-07.  About 24 hours later developed a diffuse red raised urticarial rash and mother took to ER.  She received IM dexamethasone, oral Benadryl.  She was sent home on oral Benadryl & oral Prednisolone.  On 12-7-07 mother reports no more rash.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Ear pain, Headache, Pruritus, Rash
Clinical narrative: 10/2 took shot, head started itching, pains in top head & ear.  10/25 broken out on head & ear pain-sharp, blisters.  12/5 still broken out on head & face.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site urticaria, Pyrexia
Clinical narrative: Fever of 101 on Dec 3 & 4.  Hives on left arm around injection site.  Hives still present during RN visit on Dec 6.  Still recovering but improving.  Pt. seen by Dr Dec. 6, 07.
Age: 2.0
Sex: F
Vaccine: FLU3, TYP
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Wheezing/increased WOB 1 day after vaccine.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash, Varicella
Clinical narrative: 2 days after I received the vaccine, I broke out with a rash. This rash spread to other parts of my body. I went to my GP. She diagnosed chicken pox. It lasted 2 1/2 weeks.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Rash generalised, Varicella
Clinical narrative: 2 days after I received the vaccine, I broke out with a rash. This rash spread to other parts of my body. I went to my GP. She diagnosed chicken pox. It lasted 2 1/2 weeks.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Induration, Injection site swelling, Pruritus
Clinical narrative: One day following administration of Menactra (MCV4) developed some swelling around site. The next day developed erythema 6"x5", induration 3"x4" and some itching-Ibuprofen-ice
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Gait disturbance, Mobility decreased, Pain in extremity, Respiratory tract congestion
Clinical narrative: Awaken from sleep with onset of severe pain in anterior thighs and difficulty moving legs.  After ambulating with difficulty for approx 30 minutes pain gradually subsided.  Experienced a lot of respiratory congestion in AM (clear mucous) which lasted for 3 weeks and resulting in absence from work for 2 days 4 days later.
Age: 43.0
Sex: M
Vaccine: HEPAB
Symptoms: Dysphonia
Clinical narrative: Patient came to clinic complaining of a hoarse voice, that started 11/27/07. Patient came in complaining 11/28/07. Have not received further complaints or contact.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Metrorrhagia
Clinical narrative: Client complains of continuous spotting after receiving 1st dose of Gardasil.
Age: 1.6
Sex: F
Vaccine: DTAPH, FLU3, PNC
Symptoms: Erythema, Local reaction
Clinical narrative: (R) thigh w/ 3x4 cm area erythema distal to injection site, injection site w/o erythema or induration or DC. C/W large local reaction.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Blood folate normal, Full blood count normal, Laboratory test normal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal
Clinical narrative: symmetrical parasthesis in (both) feet
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Paraesthesia, Thyroid function test normal, Vitamin B12 normal
Clinical narrative: symmetrical parasthesis in (both) feet
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Diffuse rash.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Inflammation, Rash, Rash pustular
Clinical narrative: Oozing, inflamed rash, drs. said it was fixed localized drug eruption on forehead, face, neck, and chest; bright red pustules filled with fluid, swollen eyes, and rash itself created swelling of skin - treated with cortisone pills and creams - rash present for 6-7 weeks.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Pt reports that on the evening after vaccination had ??? febrile seizure, increased temp 103 F and went to ER. NO reaction at 2M/4M.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Neurological examination, Paraesthesia, Sensation of heaviness
Clinical narrative: 11-6-07 Extreme heaviness, felt and could see movements across (RO) trapesius and down arm-bilateral. Imm. believed approx 3 min, then disappeared. Started again AM 11/20. Took Motrin, 1 bid, Nyquil. Numbness and tingling bilat hands/fingers. (L) residual numbness/tingles
Age: 28.0
Sex: M
Vaccine: FLUN3
Symptoms: Burning sensation, Erythema, Headache, Inflammation, Pruritus
Clinical narrative: 2 days since vaccination, inflammation/burning intensely/itchiness/redness/headache.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Injection site erythema, Injection site swelling, Malaise, Pyrexia
Clinical narrative: Fever to 103.  Local redness and swelling at site of injection with pneuovax.  Malaise, headache started within 6 hours on injection.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dizziness, Erythema, Immediate post-injection reaction, Local reaction, Pruritus
Clinical narrative: Severe local reaction. Immediate redness, large 8x6" redness, itchy. Then 5d later developed 10-12 papular pink bumps, not vesicles, intensely itchy. Client felt faint shortly after getting injection.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Severe local reaction. Immediate redness, large 8x6" redness, itchy. Then 5d later developed 10-12 papular pink bumps, not vesicles, intensely itchy. Client felt faint shortly after getting injection.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Oedema peripheral, Pain in extremity
Clinical narrative: Pt reported to clinic the day after vaccination saying when he woke up his arm was swollen and painful. On exam patient had large area above and below inj site of redness and warmth. No shortness of breath-Rx'd with ice packs observation
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Bone pain, Headache, Hypoaesthesia oral, Nausea, Paraesthesia oral
Clinical narrative: States 15 minutes after administration of vaccine, mouth began to feel numb & tingly; lasted about 1 hour.  Headache then started at back of head & aching down entire spine.  Shortly after, began to feel nauseous & vomited.  Felt fine at 4:15pm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: States 15 minutes after administration of vaccine, mouth began to feel numb & tingly; lasted about 1 hour.  Headache then started at back of head & aching down entire spine.  Shortly after, began to feel nauseous & vomited.  Felt fine at 4:15pm.
Age: 1.7
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Cyanosis, Febrile convulsion, Respiratory arrest
Clinical narrative: Parents states blue color not breathing with seizure per ER? Febrile seizure 0030 Tempt 102.1 Dx at ER pulse Ox in ER 99%
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Dizziness, Fall, Heart rate increased, Syncope
Clinical narrative: Received IM injections x2 ambulated out of exam room to front desk, became dizzy and fainted, fell forward to floor in prone position.  Regained consciousness immediately after hitting floor.  Fainting spell happened 5-10 minutes after injections.  Anxious about injections.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain, Rash
Clinical narrative: Left arm swelling, rash, some pain seen just above elbow to hand.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Injection site erythema, Injection site urticaria, Injection site warmth
Clinical narrative: 10 cm diameter erythematous, hot wheal around injection site on L thigh where received DTaP.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Chest pain, Fall, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Was given Tdap vaccine Oct 26, 2007, approximately 11-9-07 began to have chest and arm to elbow on left side pain. Went to ER on 11-14-07-CR. heart and was given Toradol 30 mg w/no relief-On 11-16-07 return visit to ER. As he fell and couldn't feel his legs-regained feeling and another inj. of Toradol w/Norelid-Is now on Oxycodone, Valium, Naproxen, Neurontin w/no relief of pain
Age: 1.1
Sex: F
Vaccine: MMRV
Symptoms: Herpes zoster
Clinical narrative: Shingles CU
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Client was given 1/2 cc dose of Flu vaccine (Flulaval by GSK) by mistake instead of the vaccine indicated to be given to a child
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: (L) arm with swelling and itching - 15x12 cm area. No limitation in motion - no fever.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture, Culture urine, Full blood count, Irritability, Pyrexia
Clinical narrative: Onset of fevers up to 103 for 4 days. Assoc with irritability. Evaluated in Primary Care Office x 2. CBC reassuring. Bld Culture, urine culture, sent R/O infectious cause of fever.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain, Tenderness
Clinical narrative: Left arm swelling, tenderness, pain inside and outside.  Red, adverse reaction, swollen, itchy, around injection site (see other VAERS).
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Lip swelling, Urticaria
Clinical narrative: Allergic reaction, hives; started approx 30 hrs after vaccine; went to ER 4 days after vaccine after swelling in lips.  Hives from head to toe.
Age: 33.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Local reaction, Nausea, Pyrexia, Vomiting
Clinical narrative: very large localized reaction approx 15 x 17 cm fever, chills, nausea and vomiting
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure, Nausea, Salivary hypersecretion, Tinnitus
Clinical narrative: Patient left Walgreens after immunization and returned to her work.  She called at 5 pm stating that she was salivating, nauseous and had ringing in her ears.  No shortness of breath or swelling or itching.  Told her to contact physician which she did.  I called her back at 5:30 or so and nurse had told her to monitor symptoms and call 911 if much worse.  She came to store at 7 pm and I checked her blood pressure which was 129/91.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Oedema peripheral, Pain, Rash, Swelling face, Urticaria
Clinical narrative: Vaccines given Friday at 2:00 pm, that evening feet started swelling, rash on feet and chest, hands - given Benedryl.  Seen in office Sunday, 12/2/07 - Hives, continue antihistamine.  Recheck 12/4 as fingers, toes painful, throbbing, face puffy but no shortness of breath, no fever or other illness.  Continue antihistamine.  Improved, still recovering.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMRV
Symptoms: Erythema, Pyrexia, Swelling, Tenderness
Clinical narrative: localized erythema, swelling, tenderness and fever that developed over approx 36 hours. Seen in ER and treated with Benadryl
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Local reaction, Pruritus, Urticaria
Clinical narrative: Flu shot right deltoid 11/14.  Within 24 hours had local reaction, redness, itching, some whole body hives.  No anaphylaxis, no shortness of breath.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Unevaluable event
Clinical narrative: See Notes.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: 10-26-07 Client took flu shot, went home, later that afternoon broke out in hives on abdomen, arms, legs, hands, hands swollen, client took Benadryl per self - did not go to see doctor. 10-30-07 Called clinic to report reaction.
Age: 47.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Asthma, Immunisation reaction, Obstructive airways disorder
Clinical narrative: Client stated that after 45 min of receiving vaccine, she felt her airway closing. She then went to Dr, and she was told to breathe in a paper bag and use her inhaler. She said Dr said she had a reaction to vaccine. Client stated it felt like an asthma attack.
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Rash
Clinical narrative: 15 mins. after vaccines given broke out in rash on upper arm, upper chest. no other symptoms. Advised to given Benadryl if gets worse to call MD
Age: 19.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Body temperature increased, Cold sweat, Feeling abnormal, Pain
Clinical narrative: States received immunization 8/16/07 pm.  Last night started feeling bad, achy all over, clammy, temperature (no thermometer).  Father is EMT, said she was okay.  Mother wants to take to hospital.  I asked if she felt that bad and she said yes.  I told her to go ahead and I would check with her tomorrow.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Rash, Skin nodule
Clinical narrative: 10/23/07 Client call to report to nurse that she developed red hard painful bumps over her body after her #2 Gardasil. Went to medical center for exam and treatment. Given steroids and antihistamines.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Child was given .5ml Flu vaccine and should have been given .25ml. This vaccine was private stock manufactured by manufacturer to be used for ages 6 months and up. We were out of VFC flu so we used our private stock.
Age: 12.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Client was in for update of immunizations. Clerk checked 11-14-07 GRITS and failed to see that client had received MCV4 and Tdap 1-9-07. When the billing clerk was inputting data into the computer and checking to be sure data had transferred to GRITS she found that these immunizations were replicated.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Ear infection, Headache, Musculoskeletal stiffness, Pharyngolaryngeal pain, Sinus congestion
Clinical narrative: Patient had flu vaccine given on Tuesday, 10-23-07.  Phoned 10-25-07 and spoke with someone.  Symptoms are headache, sore throat, stopped up (stuffy nose, neck stiff) but had an appointment to doctor's office at 3:00 pm, 10-25-07.  I phoned back, no answer.  Called 10-26-07 am.  Client stated she saw the doctor.  She had an ear infection, sinus problems and sore throat.  Doctor told her it probably came from flu shot.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ, TDAP
Symptoms: Headache, Hypoaesthesia, Injection site pain, Nausea, Paraesthesia
Clinical narrative: Pt. c/o soreness (R) arm, numbness and tingling "down to finger-Headache began within hours has gradually gotten worse-On 10-11-07 began having nausea/vomiting-had to leave school-Advised see MD. 10/15/07-Flu with mother-did not see Dr. states found out 2 people client was with over weekend had headache, MV also-mother now feels she had "a bug"
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: Pt. c/o soreness (R) arm, numbness and tingling "down to finger-Headache began within hours has gradually gotten worse-On 10-11-07 began having nausea/vomiting-had to leave school-Advised see MD. 10/15/07-Flu with mother-did not see Dr. states found out 2 people client was with over weekend had headache, MV also-mother now feels she had "a bug"
Age: 0.7
Sex: F
Vaccine: FLU3
Symptoms: Somnolence
Clinical narrative: pt became very sleepy, parents had difficulty arousing her and waking her up. This lasted for several hours. Mom called MD. through the answering service.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: right injection site swelled up size of golf ball, sore arm, painful to move arm (right arm) 11-29-07
Age: 1.04
Sex: M
Vaccine: HEP, HEPA, MMRV
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: On 12-5-07, came for next set of immunizations.  When questioned, mother stated child had a rash after August set of immunizations. Patient awoke on 8/18/07 Sat morning with a red, bumpy rash all over back, chest & arms, to parts of legs. Rash lasted 7-10days we were on vacation , slight fever.
Age: 1.0
Sex: M
Vaccine: FLU3, HIBV, PNC, VARCEL
Symptoms: Injection site haemorrhage, Irritability, Pyrexia
Clinical narrative: Tylenol was given by mother at 5 pm. Woke up with a high fever and fussiness. Mother took baby to the Emergency Room. Temperature was 105.4 at hospital then temp declined to 98.9 prior to leaving. Mother stopped by the clinic today so doctor could look at the injection site, the site where Prevnar was given was ecchymotic.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Injection site bruising, Malaise, Muscular weakness, Neuropathy
Clinical narrative: 11/2/07 - injected with flu vaccine, 11/3/07 - malaise, 11/4/07 - muscle tremor, muscle weakness, sluggish movement of injected arm.  Burning sensation down arm intermittently.  11/5/07 - same.  11/6/07 - came to hospital, injection site bruised.  Location of injection site textbook perfect.  Referred to MD.  No insurance - tried urgent care and ER denied access.  Refuses MRH.  Plans to go to CCC on Thursday.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Sluggishness, Tremor
Clinical narrative: 11/2/07 - injected with flu vaccine, 11/3/07 - malaise, 11/4/07 - muscle tremor, muscle weakness, sluggish movement of injected arm.  Burning sensation down arm intermittently.  11/5/07 - same.  11/6/07 - came to hospital, injection site bruised.  Location of injection site textbook perfect.  Referred to MD.  No insurance - tried urgent care and ER denied access.  Refuses MRH.  Plans to go to CCC on Thursday.
Age: 1.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site rash, Rash, Urticaria
Clinical narrative: Mild rash to back and to leg around where shot was administered ((L) thigh). ?Beginnings of several hives to back. Rx for Benadryl given.
Age: 4.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, No adverse reaction
Clinical narrative: Pt had no symptoms, wrong vaccine given. Pt received Tdap instead of 5th DTaP. No reaction.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Palmar erythema
Clinical narrative: 3 wks post vaccination developed palmer erythema which became deep vesicles
Age: 4.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, No adverse reaction, Wrong drug administered
Clinical narrative: Pt had no symptoms. Wrong vaccine given. Pt received Tdap instead of 5th DTaP. No reaction.
Age: 0.8
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Pt came in for 2nd dose of flu shot. Pt was supposed to receive .25 cc. Received .50cc instead
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphemia, Speech rehabilitation
Clinical narrative: stuttering after Fluzone Influenza Virs Vaccine
Age: 0.2
Sex: M
Vaccine: DTP, HBHEPB, IPV, PNC, RV5
Symptoms: Culture urine negative, Full blood count, Pyrexia
Clinical narrative: Fever 105.4 8 hrs after vaccines given. Pt evaluated at ER - worked up for infection (neg). No treatment rendered.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Expired drug administered
Clinical narrative: Vaccine administered 15 days post expiration date of 11/15/07 on 11/30/07. Discovered by charge nurse on monthly inventory of VFC vaccines. Info reported to the health dept and manufacturer as well as physician.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy
Clinical narrative: Facial paralysis developed 15-17 days post immunization.  Private MD Dx. Bells Palsy and tx with Antivirals x 7 days
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Had flu vaccine and pneumonia vaccine 12/10/07. Received call on 12/11/07 said pts arm was very red and slightly swollen where the vaccine given warm to touch. Pt says slightly painful. Redness extends from elbow to shoulder.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Rash and itchiness within one hour after administration of influenza vaccine.  Patient given Benadryl 25 mg by mouth per mother.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Red patch on Rt. thigh at injection site 8x10 cm.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Furuncle, Pyrexia, Rash pustular, Skin nodule
Clinical narrative: Mom stated 3 days after getting shots she noticed pustular nodule on leg. Now she has been having other boils coming up on legs and draining pus. Had a boil a couple of days prior to getting shots. Fever noted last night.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Oedema, Pallor, Pruritus
Clinical narrative: Local reaction within 24 hours of Varivax #2 administered on 12/7/07.  Redness/swelling/tenderness at site, 1" x 1" within 24 hours then increased sxs locally at 48 hours, on 12/10/07 site measured 4 3/4" long x 3" wide: erythema, edema, pallor with c/o pruritus, tenderness improving; no vesicles; no fever; pt. not ill.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Swelling, Tenderness
Clinical narrative: Local reaction within 24 hours of Varivax #2 administered on 12/7/07.  Redness/swelling/tenderness at site, 1" x 1" within 24 hours then increased sxs locally at 48 hours, on 12/10/07 site measured 4 3/4" long x 3" wide: erythema, edema, pallor with c/o pruritus, tenderness improving; no vesicles; no fever; pt. not ill.
Age: 1.2
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Crying, Irritability, Pyrexia, Rash, Urticaria
Clinical narrative: Rash, neck, scalp, throat, groin, trunk of body, hives, fever 101.0, irritability, excessive crying.
Age: 1.69
Sex: F
Vaccine: DTAPHEPBIP, HIBV, VARCEL
Symptoms: Culture, Pyrexia, Skin lesion, Varicella
Clinical narrative: Vaccine given on 11/28/07.  Child broke out with chickenpox on 12/2/07.  95-100 lesions.  Slight fever.  Resulted in trip to hospital.  Culture of lesion cat scan to CDC on 12/7/07.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Cough, Erythema, Headache, Pyrexia, Skin warm
Clinical narrative: Rt arm (on back of arm) redness 4x5 cm and warm. Fever 101.7. H/A, cough. Tx: Augmentin, Xopenex.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Streptococcal identification test negative, White blood cell count increased
Clinical narrative: Rt arm (on back of arm) redness 4x5 cm and warm. Fever 101.7. H/A, cough. Tx: Augmentin, Xopenex.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Blood pressure, Eye swelling, Rash, Wheezing
Clinical narrative: Rash developed on face, swollen eyes, wheezing, blood pressure was taken (94/60), epi pen administered, monitored for 15 minutes, follow-up appointment.
Age: 49.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis
Clinical narrative: Possible cellulitis L shoulder to L forearm.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Injection site nodule, Irritability, Pyrexia, Vomiting
Clinical narrative: Fever, vomiting, fussy, crying.  Onset about 1 hour after injections.  Knot at injection site.  Mom took child to hospital.  Tylenol and Pedialyte, mom monitoring.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Rt upper arm swollen, tender, hard and warm, not red.  Woke up this morning this way.  So far, it's been 7 hr.  Use cool pack.  Let us know if not better.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Swelling
Clinical narrative: Local site of vaccine administration redness & swelling.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Left upper arm with large red area 6x6x8 in. Smaller red area in middle, edges marked, warm and slight tender.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Swelling, Tenderness
Clinical narrative: L upper arm had large area of redness extending from 1 inch from site of shot to elbow.  It felt alot like a sunburn, was puffy and tender to touch.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Amnesia, Headache
Clinical narrative: Starting in August/Sept of 07 after receiving my 3rd Anthrax dose I began getting horrible, agonizing headaches & short term memory loss.  I still have both!!!
Sex: U
Vaccine: UNK
Symptoms: Incorrect dose administered, Injection site pain, Injection site swelling
Clinical narrative: Mix up between DTaP and Tdap.  Several dosages were administered.  Pharmacy manager had asked pharmacy buyer to get DTaP for the employee health clinic.  Buyer ordered DTaP just the way she was asked to.  DTaP was received by pharmacy technician and placed in the refrigerator.  Employee clinic ordered the vaccine, it was dispensed by the pharmacist and administered by the RN to over 80 employees.  Adverse events were minor as reported earlier (only 2 ADR with swelling and pain at the injection site).  No other cases were reported.
Sex: U
Vaccine: UNK
Symptoms: Medication error
Clinical narrative: In the clinic nurse found pneumococcal vaccine by Merck looks very much like the BOOSTRIX%D2 combined diphtheria-tetanus-aceullular pertussis (dTpa) vaccine by GlaxoSmithKline.  The top of each vial is the same color and both are stored in the medication fridge with potential for grabbing the wrong vial in the clinic.  We have photos of both vials, they look very much alike.  Error did not reach the patient.  No direct result of the error on the patient that we are aware of.
Sex: U
Vaccine: UNK, VARCEL, VARZOS
Symptoms: Medication error, Wrong drug administered
Clinical narrative: The incorrect vaccine was given to the patient.  The patient was not harmed.  The two vaccines are the same except that Varivax is 1/14th the concentration of Zostavar.  The patient was still able to receive the correct vaccine according to the manufacturer.  This was the first time that Zostavax had been administered in our facility, even though the information had been included in a recent facility newsletter, staff were uncertain about the process for obtaining, reconstituting, and administering the vaccine.  In addition, the provider (at an outlying clinic) had entered the order incorrectly (for Varivax rather than Zostavax).  Once these issues were sorted out, there was a rush to administer the drug to the patient because he had had a long wait after a long drive to the clinic.  In haste, the wrong vial was taken from the freezer - and the two products were right next to each other in the same freezer.  The two products look similar in the sense that they are both single dose vials packaged as one vial per box.  The products have different colored packaging BUT they are in the same size box.  The two vaccines should be separated within the freezer.  There should be clear and obvious signage as to which is which.  All staff should be educated to double check orders when pulling the vaccine from the freezer to ensure that the correct one is pulled.
Sex: U
Vaccine: UNK
Symptoms: Medication error
Clinical narrative: GSK has profiled vaccine syringes.  They may have been around for awhile, but we just started using them.  The syringes feature a uniquely colored band around the plunger to differentiate between vaccines which is nice.  The thing I particularly dislike is how small the print is on the syringes.  It has to be 5 print!!!  I can't imagine how nurses feel when I myself have problems reading them upon dispensing.  The syringe on the left is a pediatric flu vaccine (FLUARIX) and the syringe on the right a DTaP (INFANRIX).  I know for vaccines the lot and exp typically needs to be recorded when administering.  So practitioners administering these are going to be interpreting the smaller print unless they happen to notice the print on the other side of the syringe.  Error did not reach the patient.
Age: 80.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Asthenia, Chest X-ray abnormal, Death, Haemorrhage
Clinical narrative: On 12/2 at 10:00am, patient attended an appt w/ Dr. as a follow-up for previous stroke monitoring. The doctor administered a mini-check up and with a series of cognitive exercises.  They ended their appt and planned for another follow-up appt. in January or February of 2004. The next day, patient was taken to an 1:30 afternoon appt at her regular physician.  She saw him for a brief 10 minutes as he administered a flu innoculation in her upper left arm.  On Saturday, 12/6/03, patient started experiencing chest congestion, but was alert and keeping to her normal holiday schedule. On Tuesday, 12/9/03, pateint started  experiencing stomache upset, throwing-up, lethargy and aches and pains. She took to her bed.  On wednesday eve, 12/10,after not being able to retain any food, soup of liquids, her children got her ready to take to the hospital. On Thursday morn, patientwas alert, coherent, but  very weak and her  family made attempts to drive her quickly to Emegency Room for treatment.  She went downhill and expired the following morning. 12/26/07-records received for DOS 12/11-12/12/03-Final diagnosis:massive hematemesis and or hemoptysis secondary to coumadin.  Presented to ED with increased shortness of breath, nausea and hemoptysis. Since then had progressive loss of energy. Increasing confusion and agitation. Nonproductive cough. Intubated and sent to ICU. Unsuccessful bronchoscopy. Upper GI bleeding secondary to coumadin and shocked liver. Massive pulmonary hemorrhage with multiple organ damage and coma. Pupils fixed and dilated, unreactive to light. No babinski. Acute oliguric renal failure most likely secondary to hypoxia. Severe metabolic acidosis with increased anion gap most likely seconary to lactic acidosis, hypokalemia. DOD 12/12/03 at 4:10 p.m. 2/19/08-record received-final cause of death pneumonia. Diabetes Mellitus
Age: 80.0
Sex: F
Vaccine: FLUX
Symptoms: Lethargy, Pain, Pulmonary congestion, Stomach discomfort, Surgery
Clinical narrative: On 12/2 at 10:00am, patient attended an appt w/ Dr. as a follow-up for previous stroke monitoring. The doctor administered a mini-check up and with a series of cognitive exercises.  They ended their appt and planned for another follow-up appt. in January or February of 2004. The next day, patient was taken to an 1:30 afternoon appt at her regular physician.  She saw him for a brief 10 minutes as he administered a flu innoculation in her upper left arm.  On Saturday, 12/6/03, patient started experiencing chest congestion, but was alert and keeping to her normal holiday schedule. On Tuesday, 12/9/03, pateint started  experiencing stomache upset, throwing-up, lethargy and aches and pains. She took to her bed.  On wednesday eve, 12/10,after not being able to retain any food, soup of liquids, her children got her ready to take to the hospital. On Thursday morn, patientwas alert, coherent, but  very weak and her  family made attempts to drive her quickly to Emegency Room for treatment.  She went downhill and expired the following morning. 12/26/07-records received for DOS 12/11-12/12/03-Final diagnosis:massive hematemesis and or hemoptysis secondary to coumadin.  Presented to ED with increased shortness of breath, nausea and hemoptysis. Since then had progressive loss of energy. Increasing confusion and agitation. Nonproductive cough. Intubated and sent to ICU. Unsuccessful bronchoscopy. Upper GI bleeding secondary to coumadin and shocked liver. Massive pulmonary hemorrhage with multiple organ damage and coma. Pupils fixed and dilated, unreactive to light. No babinski. Acute oliguric renal failure most likely secondary to hypoxia. Severe metabolic acidosis with increased anion gap most likely seconary to lactic acidosis, hypokalemia. DOD 12/12/03 at 4:10 p.m. 2/19/08-record received-final cause of death pneumonia. Diabetes Mellitus
Age: 80.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: On 12/2 at 10:00am, patient attended an appt w/ Dr. as a follow-up for previous stroke monitoring. The doctor administered a mini-check up and with a series of cognitive exercises.  They ended their appt and planned for another follow-up appt. in January or February of 2004. The next day, patient was taken to an 1:30 afternoon appt at her regular physician.  She saw him for a brief 10 minutes as he administered a flu innoculation in her upper left arm.  On Saturday, 12/6/03, patient started experiencing chest congestion, but was alert and keeping to her normal holiday schedule. On Tuesday, 12/9/03, pateint started  experiencing stomache upset, throwing-up, lethargy and aches and pains. She took to her bed.  On wednesday eve, 12/10,after not being able to retain any food, soup of liquids, her children got her ready to take to the hospital. On Thursday morn, patientwas alert, coherent, but  very weak and her  family made attempts to drive her quickly to Emegency Room for treatment.  She went downhill and expired the following morning. 12/26/07-records received for DOS 12/11-12/12/03-Final diagnosis:massive hematemesis and or hemoptysis secondary to coumadin.  Presented to ED with increased shortness of breath, nausea and hemoptysis. Since then had progressive loss of energy. Increasing confusion and agitation. Nonproductive cough. Intubated and sent to ICU. Unsuccessful bronchoscopy. Upper GI bleeding secondary to coumadin and shocked liver. Massive pulmonary hemorrhage with multiple organ damage and coma. Pupils fixed and dilated, unreactive to light. No babinski. Acute oliguric renal failure most likely secondary to hypoxia. Severe metabolic acidosis with increased anion gap most likely seconary to lactic acidosis, hypokalemia. DOD 12/12/03 at 4:10 p.m. 2/19/08-record received-final cause of death pneumonia. Diabetes Mellitus
Age: 34.0
Sex: M
Vaccine: DTP
Symptoms: Chills, Fatigue, Injection site erythema, Injection site warmth, Tremor
Clinical narrative: patient presents to Occupational Health to receive Adacel Vaccine -- returns 2 days later with erythema/fever at site, complains of fatigue, chills, feeling shaky -- given Keflex 500 bid x 10 days to rule out infection
Age: 79.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Computerised tomogram normal, Deafness, Nausea, Nuclear magnetic resonance imaging normal, Vertigo
Clinical narrative: About 12-18 hours after injection, sudden onset of nausea, vertigo, and hearing loss. 10/15/2007 Started taking Antivert 25mg by mouth three times a day for 20 days. When symptoms of nausea, vertigo, and hearing loss, she went to the ER and was referred to an ENT. Doctor determined a sudden onset right vestibular cochlear insult with significant hearing loss. 11/29 Still having problems, noise and pressure still in right ear.
Age: 79.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Computerised tomogram normal, Deafness unilateral, Ear discomfort, Nausea, Nuclear magnetic resonance imaging normal
Clinical narrative: About 12-18 hours after injection, sudden onset of nausea, vertigo, and hearing loss. 10/15/2007 Started taking Antivert 25mg by mouth three times a day for 20 days. When symptoms of nausea, vertigo, and hearing loss, she went to the ER and was referred to an ENT. Doctor determined a sudden onset right vestibular cochlear insult with significant hearing loss. 11/29 Still having problems, noise and pressure still in right ear.
Age: 79.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Thyroid function test normal, Tinnitus, Vertigo
Clinical narrative: About 12-18 hours after injection, sudden onset of nausea, vertigo, and hearing loss. 10/15/2007 Started taking Antivert 25mg by mouth three times a day for 20 days. When symptoms of nausea, vertigo, and hearing loss, she went to the ER and was referred to an ENT. Doctor determined a sudden onset right vestibular cochlear insult with significant hearing loss. 11/29 Still having problems, noise and pressure still in right ear.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Guillain-Barre syndrome, Lumbar puncture
Clinical narrative: Patient presented with GBS/AIDP (weakness/numbness) to Hospital, transferred from other facility.  Patietn received IVIG at other facility.  01/11/2008 Vaccine info obtained from Tag-2 reort and updated in database. 01/09/2008 MR received for DOS 11/25-12/03/2007 with DX: Guillain-Barre Syndrome.   Pt presented to ER with numbness of all extremities, increasing low back pain with sciatica, generalized weakness, ataxia, balance problems and walking difficulty. By hospital day 2 pt was unable to walk and was choking on fluids. Neuro consult notes dysphagia, upper and lower extremity weakness, absent reflexes of the lower extremities, no sensory level. Pt progressed to respiratory failure requiring intubation.  Txd with IVIG.  Pt transfered to higher level of care.   01/28/2008 MR received for DOS 12/03/2007-01/18/2008 with D/C DX:  Guillain Barre Syndrome.  Respiratory Failure s/p trach.  Renal Failure.  HCAP Pneumonia. Pt transfered from above facility where pt had not shown improvement on IVIG. Txd with Plasmapheresis.  Txd for MRSA and Klebsiella pneumonia. Pt had some autonomic instability 2' GBS. HTN and SVT controlled with meds. Pt developed decubitus ulcer stage II.  Renal failure was 2' to sepsis requiring hemodialysis. Renal function improved. Elevated glucose with infections. Anemia txd with iron.  Neck spasms tx with baclofen, robaxin, and ativan.  Pt failed swallow test.  Speaking through Passy Muir valve only during brief episode where CPAP is tolerated. D/Cd in fair condition to Long Term Care Hospital. 2/11/2008 Final Progress note received for 11/25/07 admission.  Assessment DX:  Guillain-Barre Syndrome, progressive, not responding with IVIG or immunoglobulin.  Myositis with hyper CPK and possible myocarditis.  Hyperbilirubinemia and acute liver abnormality likely from autoimmune.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Albumin CSF increased, Collapse of lung, Dialysis, Life support, Lumbar puncture
Clinical narrative: Patient presented with GBS/AIDP (weakness/numbness) to Hospital, transferred from other facility.  Patietn received IVIG at other facility.  01/11/2008 Vaccine info obtained from Tag-2 reort and updated in database. 01/09/2008 MR received for DOS 11/25-12/03/2007 with DX: Guillain-Barre Syndrome.   Pt presented to ER with numbness of all extremities, increasing low back pain with sciatica, generalized weakness, ataxia, balance problems and walking difficulty. By hospital day 2 pt was unable to walk and was choking on fluids. Neuro consult notes dysphagia, upper and lower extremity weakness, absent reflexes of the lower extremities, no sensory level. Pt progressed to respiratory failure requiring intubation.  Txd with IVIG.  Pt transfered to higher level of care.   01/28/2008 MR received for DOS 12/03/2007-01/18/2008 with D/C DX:  Guillain Barre Syndrome.  Respiratory Failure s/p trach.  Renal Failure.  HCAP Pneumonia. Pt transfered from above facility where pt had not shown improvement on IVIG. Txd with Plasmapheresis.  Txd for MRSA and Klebsiella pneumonia. Pt had some autonomic instability 2' GBS. HTN and SVT controlled with meds. Pt developed decubitus ulcer stage II.  Renal failure was 2' to sepsis requiring hemodialysis. Renal function improved. Elevated glucose with infections. Anemia txd with iron.  Neck spasms tx with baclofen, robaxin, and ativan.  Pt failed swallow test.  Speaking through Passy Muir valve only during brief episode where CPAP is tolerated. D/Cd in fair condition to Long Term Care Hospital. 2/11/2008 Final Progress note received for 11/25/07 admission.  Assessment DX:  Guillain-Barre Syndrome, progressive, not responding with IVIG or immunoglobulin.  Myositis with hyper CPK and possible myocarditis.  Hyperbilirubinemia and acute liver abnormality likely from autoimmune.