chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Activities of daily living impaired, Arthralgia, Blood creatinine normal, Blood thyroid stimulating hormone normal, Borrelia burgdorferi serology negative
Clinical narrative: Symptoms:  Headache, general, Fever, Joint Pain, multiple joints.  received TYPHOID VI BOOSTER 2/23/2009 and returned to work.  Within 2 hr, she c/o soreness to rt deltoid injection site with movement (no paresthesia, weakness, or site erythema).  3 hr post vac she c/o dull achy frontal/mastoid headache that resolved within 30 min after using MOTRIN 600 mg po (no n/v, visual disturbance, dizziness, or joint pain).  As the meds wore off, the HA returned but w/inc intensity now 4-5/10.  MOTRIN would decrease the ache (2-3/10) but not alleviate.  24 -48 hours later, she c/o diffuse body joint pain (2/10) "not muscular like the flu but bone pain" first felt in bilateral shoulders and hips, then knees and elbows (48 hr post vac).  She denied any prob w/ROM or diff using extremities or walking.  2/26/09 she awoke with worsening joint pain/HA (4-5/10) being unable to get out of bed x 1 hr w/o taking NAPROXYN (eased to 2/10).  She worked 1/2 day then went home to rest.  By 2/27/09 her joint pain was 7/10 and HA's 5/10 on MOTRIN 600 mg QID.  She c/o diff walking due to stiff hip joints.  She went to work that evening where she developed a fever 101F.  She denied cp, sob, rash, n/v, diaphoresis, visual c/o, etc. self treat with MOTRIN 600 mg QID and intermittent TYLENOL. 3/2/09 she presented to medical with sore throat, sore jaw, and swollen submandublar lymph glands - diagnosed with tonsilar strep, placed on CLINDAMYCIN/MOTRIN 800mg.  Her symptoms eased with resolution of fever; however her HA and joint pain continued at 4-5/10.  She f/u with MD 3/13-26/09 for cont'd sore throat, joint pain, & ha being given 2nd dose CLINDAMYCIN.  3/30/2009 SM presented to VHC complaining of diffuse "large joint pain 4/10" with frontal/mastoid area headaches 4/10 needing - slowly improving: IE: she use to have to take MOTRIN every 6 hours, but now every 10-12 hours.  The pain does not exacerbate as the meds wear off.  Activity remains a tigger to exacerbate the pain right > left side (is right handed) limiting her ability to PT, do activities with family, etc.  Her joint pains (not like past musculoskeletal pain with exercise) average 2-3/10 daily.  Her headaches occur about every 3 days easing with MOTRIN.  4/6/2009 HA is once a week with daily improvements in joint pain t-not on any medication for 3 days.  Her right side ached more than the left.  4/20/2009: headaches completely resolved about 4/8/09.  She reported marked improvement with right shoulder, right hip, and bilateral knee aches (1/10)
Age: 29.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: C-reactive protein increased, Gait disturbance, Headache, Influenza serology negative, Injected limb mobility decreased
Clinical narrative: Symptoms:  Headache, general, Fever, Joint Pain, multiple joints.  received TYPHOID VI BOOSTER 2/23/2009 and returned to work.  Within 2 hr, she c/o soreness to rt deltoid injection site with movement (no paresthesia, weakness, or site erythema).  3 hr post vac she c/o dull achy frontal/mastoid headache that resolved within 30 min after using MOTRIN 600 mg po (no n/v, visual disturbance, dizziness, or joint pain).  As the meds wore off, the HA returned but w/inc intensity now 4-5/10.  MOTRIN would decrease the ache (2-3/10) but not alleviate.  24 -48 hours later, she c/o diffuse body joint pain (2/10) "not muscular like the flu but bone pain" first felt in bilateral shoulders and hips, then knees and elbows (48 hr post vac).  She denied any prob w/ROM or diff using extremities or walking.  2/26/09 she awoke with worsening joint pain/HA (4-5/10) being unable to get out of bed x 1 hr w/o taking NAPROXYN (eased to 2/10).  She worked 1/2 day then went home to rest.  By 2/27/09 her joint pain was 7/10 and HA's 5/10 on MOTRIN 600 mg QID.  She c/o diff walking due to stiff hip joints.  She went to work that evening where she developed a fever 101F.  She denied cp, sob, rash, n/v, diaphoresis, visual c/o, etc. self treat with MOTRIN 600 mg QID and intermittent TYLENOL. 3/2/09 she presented to medical with sore throat, sore jaw, and swollen submandublar lymph glands - diagnosed with tonsilar strep, placed on CLINDAMYCIN/MOTRIN 800mg.  Her symptoms eased with resolution of fever; however her HA and joint pain continued at 4-5/10.  She f/u with MD 3/13-26/09 for cont'd sore throat, joint pain, & ha being given 2nd dose CLINDAMYCIN.  3/30/2009 SM presented to VHC complaining of diffuse "large joint pain 4/10" with frontal/mastoid area headaches 4/10 needing - slowly improving: IE: she use to have to take MOTRIN every 6 hours, but now every 10-12 hours.  The pain does not exacerbate as the meds wear off.  Activity remains a tigger to exacerbate the pain right > left side (is right handed) limiting her ability to PT, do activities with family, etc.  Her joint pains (not like past musculoskeletal pain with exercise) average 2-3/10 daily.  Her headaches occur about every 3 days easing with MOTRIN.  4/6/2009 HA is once a week with daily improvements in joint pain t-not on any medication for 3 days.  Her right side ached more than the left.  4/20/2009: headaches completely resolved about 4/8/09.  She reported marked improvement with right shoulder, right hip, and bilateral knee aches (1/10)
Age: 29.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Injection site pain, Joint stiffness, Laboratory test abnormal, Lymphadenopathy, Lymphocyte percentage decreased
Clinical narrative: Symptoms:  Headache, general, Fever, Joint Pain, multiple joints.  received TYPHOID VI BOOSTER 2/23/2009 and returned to work.  Within 2 hr, she c/o soreness to rt deltoid injection site with movement (no paresthesia, weakness, or site erythema).  3 hr post vac she c/o dull achy frontal/mastoid headache that resolved within 30 min after using MOTRIN 600 mg po (no n/v, visual disturbance, dizziness, or joint pain).  As the meds wore off, the HA returned but w/inc intensity now 4-5/10.  MOTRIN would decrease the ache (2-3/10) but not alleviate.  24 -48 hours later, she c/o diffuse body joint pain (2/10) "not muscular like the flu but bone pain" first felt in bilateral shoulders and hips, then knees and elbows (48 hr post vac).  She denied any prob w/ROM or diff using extremities or walking.  2/26/09 she awoke with worsening joint pain/HA (4-5/10) being unable to get out of bed x 1 hr w/o taking NAPROXYN (eased to 2/10).  She worked 1/2 day then went home to rest.  By 2/27/09 her joint pain was 7/10 and HA's 5/10 on MOTRIN 600 mg QID.  She c/o diff walking due to stiff hip joints.  She went to work that evening where she developed a fever 101F.  She denied cp, sob, rash, n/v, diaphoresis, visual c/o, etc. self treat with MOTRIN 600 mg QID and intermittent TYLENOL. 3/2/09 she presented to medical with sore throat, sore jaw, and swollen submandublar lymph glands - diagnosed with tonsilar strep, placed on CLINDAMYCIN/MOTRIN 800mg.  Her symptoms eased with resolution of fever; however her HA and joint pain continued at 4-5/10.  She f/u with MD 3/13-26/09 for cont'd sore throat, joint pain, & ha being given 2nd dose CLINDAMYCIN.  3/30/2009 SM presented to VHC complaining of diffuse "large joint pain 4/10" with frontal/mastoid area headaches 4/10 needing - slowly improving: IE: she use to have to take MOTRIN every 6 hours, but now every 10-12 hours.  The pain does not exacerbate as the meds wear off.  Activity remains a tigger to exacerbate the pain right > left side (is right handed) limiting her ability to PT, do activities with family, etc.  Her joint pains (not like past musculoskeletal pain with exercise) average 2-3/10 daily.  Her headaches occur about every 3 days easing with MOTRIN.  4/6/2009 HA is once a week with daily improvements in joint pain t-not on any medication for 3 days.  Her right side ached more than the left.  4/20/2009: headaches completely resolved about 4/8/09.  She reported marked improvement with right shoulder, right hip, and bilateral knee aches (1/10)
Age: 29.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Myoglobin blood, Myoglobin urine present, Neutrophil percentage increased, Oropharyngeal pain, Pain in jaw
Clinical narrative: Symptoms:  Headache, general, Fever, Joint Pain, multiple joints.  received TYPHOID VI BOOSTER 2/23/2009 and returned to work.  Within 2 hr, she c/o soreness to rt deltoid injection site with movement (no paresthesia, weakness, or site erythema).  3 hr post vac she c/o dull achy frontal/mastoid headache that resolved within 30 min after using MOTRIN 600 mg po (no n/v, visual disturbance, dizziness, or joint pain).  As the meds wore off, the HA returned but w/inc intensity now 4-5/10.  MOTRIN would decrease the ache (2-3/10) but not alleviate.  24 -48 hours later, she c/o diffuse body joint pain (2/10) "not muscular like the flu but bone pain" first felt in bilateral shoulders and hips, then knees and elbows (48 hr post vac).  She denied any prob w/ROM or diff using extremities or walking.  2/26/09 she awoke with worsening joint pain/HA (4-5/10) being unable to get out of bed x 1 hr w/o taking NAPROXYN (eased to 2/10).  She worked 1/2 day then went home to rest.  By 2/27/09 her joint pain was 7/10 and HA's 5/10 on MOTRIN 600 mg QID.  She c/o diff walking due to stiff hip joints.  She went to work that evening where she developed a fever 101F.  She denied cp, sob, rash, n/v, diaphoresis, visual c/o, etc. self treat with MOTRIN 600 mg QID and intermittent TYLENOL. 3/2/09 she presented to medical with sore throat, sore jaw, and swollen submandublar lymph glands - diagnosed with tonsilar strep, placed on CLINDAMYCIN/MOTRIN 800mg.  Her symptoms eased with resolution of fever; however her HA and joint pain continued at 4-5/10.  She f/u with MD 3/13-26/09 for cont'd sore throat, joint pain, & ha being given 2nd dose CLINDAMYCIN.  3/30/2009 SM presented to VHC complaining of diffuse "large joint pain 4/10" with frontal/mastoid area headaches 4/10 needing - slowly improving: IE: she use to have to take MOTRIN every 6 hours, but now every 10-12 hours.  The pain does not exacerbate as the meds wear off.  Activity remains a tigger to exacerbate the pain right > left side (is right handed) limiting her ability to PT, do activities with family, etc.  Her joint pains (not like past musculoskeletal pain with exercise) average 2-3/10 daily.  Her headaches occur about every 3 days easing with MOTRIN.  4/6/2009 HA is once a week with daily improvements in joint pain t-not on any medication for 3 days.  Her right side ached more than the left.  4/20/2009: headaches completely resolved about 4/8/09.  She reported marked improvement with right shoulder, right hip, and bilateral knee aches (1/10)
Age: 29.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Pharyngitis streptococcal, Pyrexia, Red blood cell sedimentation rate increased, Rheumatoid factor negative, Streptococcal identification test
Clinical narrative: Symptoms:  Headache, general, Fever, Joint Pain, multiple joints.  received TYPHOID VI BOOSTER 2/23/2009 and returned to work.  Within 2 hr, she c/o soreness to rt deltoid injection site with movement (no paresthesia, weakness, or site erythema).  3 hr post vac she c/o dull achy frontal/mastoid headache that resolved within 30 min after using MOTRIN 600 mg po (no n/v, visual disturbance, dizziness, or joint pain).  As the meds wore off, the HA returned but w/inc intensity now 4-5/10.  MOTRIN would decrease the ache (2-3/10) but not alleviate.  24 -48 hours later, she c/o diffuse body joint pain (2/10) "not muscular like the flu but bone pain" first felt in bilateral shoulders and hips, then knees and elbows (48 hr post vac).  She denied any prob w/ROM or diff using extremities or walking.  2/26/09 she awoke with worsening joint pain/HA (4-5/10) being unable to get out of bed x 1 hr w/o taking NAPROXYN (eased to 2/10).  She worked 1/2 day then went home to rest.  By 2/27/09 her joint pain was 7/10 and HA's 5/10 on MOTRIN 600 mg QID.  She c/o diff walking due to stiff hip joints.  She went to work that evening where she developed a fever 101F.  She denied cp, sob, rash, n/v, diaphoresis, visual c/o, etc. self treat with MOTRIN 600 mg QID and intermittent TYLENOL. 3/2/09 she presented to medical with sore throat, sore jaw, and swollen submandublar lymph glands - diagnosed with tonsilar strep, placed on CLINDAMYCIN/MOTRIN 800mg.  Her symptoms eased with resolution of fever; however her HA and joint pain continued at 4-5/10.  She f/u with MD 3/13-26/09 for cont'd sore throat, joint pain, & ha being given 2nd dose CLINDAMYCIN.  3/30/2009 SM presented to VHC complaining of diffuse "large joint pain 4/10" with frontal/mastoid area headaches 4/10 needing - slowly improving: IE: she use to have to take MOTRIN every 6 hours, but now every 10-12 hours.  The pain does not exacerbate as the meds wear off.  Activity remains a tigger to exacerbate the pain right > left side (is right handed) limiting her ability to PT, do activities with family, etc.  Her joint pains (not like past musculoskeletal pain with exercise) average 2-3/10 daily.  Her headaches occur about every 3 days easing with MOTRIN.  4/6/2009 HA is once a week with daily improvements in joint pain t-not on any medication for 3 days.  Her right side ached more than the left.  4/20/2009: headaches completely resolved about 4/8/09.  She reported marked improvement with right shoulder, right hip, and bilateral knee aches (1/10)
Age: 29.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Streptococcal identification test positive, Thyroxine free normal, Tonsillar disorder, White blood cell count increased
Clinical narrative: Symptoms:  Headache, general, Fever, Joint Pain, multiple joints.  received TYPHOID VI BOOSTER 2/23/2009 and returned to work.  Within 2 hr, she c/o soreness to rt deltoid injection site with movement (no paresthesia, weakness, or site erythema).  3 hr post vac she c/o dull achy frontal/mastoid headache that resolved within 30 min after using MOTRIN 600 mg po (no n/v, visual disturbance, dizziness, or joint pain).  As the meds wore off, the HA returned but w/inc intensity now 4-5/10.  MOTRIN would decrease the ache (2-3/10) but not alleviate.  24 -48 hours later, she c/o diffuse body joint pain (2/10) "not muscular like the flu but bone pain" first felt in bilateral shoulders and hips, then knees and elbows (48 hr post vac).  She denied any prob w/ROM or diff using extremities or walking.  2/26/09 she awoke with worsening joint pain/HA (4-5/10) being unable to get out of bed x 1 hr w/o taking NAPROXYN (eased to 2/10).  She worked 1/2 day then went home to rest.  By 2/27/09 her joint pain was 7/10 and HA's 5/10 on MOTRIN 600 mg QID.  She c/o diff walking due to stiff hip joints.  She went to work that evening where she developed a fever 101F.  She denied cp, sob, rash, n/v, diaphoresis, visual c/o, etc. self treat with MOTRIN 600 mg QID and intermittent TYLENOL. 3/2/09 she presented to medical with sore throat, sore jaw, and swollen submandublar lymph glands - diagnosed with tonsilar strep, placed on CLINDAMYCIN/MOTRIN 800mg.  Her symptoms eased with resolution of fever; however her HA and joint pain continued at 4-5/10.  She f/u with MD 3/13-26/09 for cont'd sore throat, joint pain, & ha being given 2nd dose CLINDAMYCIN.  3/30/2009 SM presented to VHC complaining of diffuse "large joint pain 4/10" with frontal/mastoid area headaches 4/10 needing - slowly improving: IE: she use to have to take MOTRIN every 6 hours, but now every 10-12 hours.  The pain does not exacerbate as the meds wear off.  Activity remains a tigger to exacerbate the pain right > left side (is right handed) limiting her ability to PT, do activities with family, etc.  Her joint pains (not like past musculoskeletal pain with exercise) average 2-3/10 daily.  Her headaches occur about every 3 days easing with MOTRIN.  4/6/2009 HA is once a week with daily improvements in joint pain t-not on any medication for 3 days.  Her right side ached more than the left.  4/20/2009: headaches completely resolved about 4/8/09.  She reported marked improvement with right shoulder, right hip, and bilateral knee aches (1/10)
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Anaphylactic reaction, Eye swelling, Hypoventilation, Swollen tongue
Clinical narrative: Administered 4:05pm. Reacted at 4:20pm with anaphylaxis - Left eye swelling, shallow breathing, no airway edema, +tongue swelling. Given Epinephrine 0.15mg IM, Benadryl 1mg/kg po, Orapred 2mg/kg. Called and sent to ER for further observation.
Age: 18.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain
Clinical narrative: WITHIN 24 HOURS OF IMMUNIZATION, SHARP PAIN AND TENDERNESS DEVELOPED IN RIGHT SHOULDER ABOVE WHERE IMMUNIZATION WAS PLACED; NO FEVERS, FEELS WELL OTHERWISE, NO SHORTNESS OF BREATH. AREA 20X20CM TENDER TO PALPATION AROUND RIGHT SHOULDER.
Age: 2.0
Sex: M
Vaccine: DPP, HIBV, IPV
Symptoms: Asthenia, Cold sweat, Crying, Decreased appetite, Disturbance in attention
Clinical narrative: Fussiness, Tiredness and poor appetite, Non-Stop cry for more than 3 hours, complains of pain in the nose, Difficulty breathing, wheezing, paleness, weakness, hot one minute & ice cold the next or clammy, fast heart beat then slow heart beat, dizziness off & on again, speech impaired, no longer able to focus, impaired sleep
Age: 2.0
Sex: M
Vaccine: DPP, HIBV, IPV
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling cold, Feeling hot
Clinical narrative: Fussiness, Tiredness and poor appetite, Non-Stop cry for more than 3 hours, complains of pain in the nose, Difficulty breathing, wheezing, paleness, weakness, hot one minute & ice cold the next or clammy, fast heart beat then slow heart beat, dizziness off & on again, speech impaired, no longer able to focus, impaired sleep
Age: 2.0
Sex: M
Vaccine: DPP, HIBV, IPV
Symptoms: Heart rate irregular, Irritability, Pallor, Rhinalgia, Sleep disorder
Clinical narrative: Fussiness, Tiredness and poor appetite, Non-Stop cry for more than 3 hours, complains of pain in the nose, Difficulty breathing, wheezing, paleness, weakness, hot one minute & ice cold the next or clammy, fast heart beat then slow heart beat, dizziness off & on again, speech impaired, no longer able to focus, impaired sleep
Age: 2.0
Sex: M
Vaccine: DPP, HIBV, IPV
Symptoms: Speech disorder, Wheezing
Clinical narrative: Fussiness, Tiredness and poor appetite, Non-Stop cry for more than 3 hours, complains of pain in the nose, Difficulty breathing, wheezing, paleness, weakness, hot one minute & ice cold the next or clammy, fast heart beat then slow heart beat, dizziness off & on again, speech impaired, no longer able to focus, impaired sleep
Sex: M
Vaccine: MMR
Symptoms: Febrile convulsion, Paralysis
Clinical narrative: Information has been received from a consumer concerning her husband who in approximately 1970, was vaccinated with MMR II. The consumer reported that her husband had febrile convulsions and paralysis after receiving the vaccine as a child in the 1970's. The patient's outcome was unknown. Upon internal review, paralysis and febrile convulsions were determined to be an other important medical events. Additional information has been requested.
Sex: M
Vaccine: MU
Symptoms: Deafness
Clinical narrative: Information has been received from a female consumer who stated that her uncle received on an unspecified date an unspecified MUMPSVAX (manufacturer unknown) during an outbreak situation and became deaf. As of 05-JAN-2009 the outcome of the patient was unknown. Upon internal review, deafness was considered to be an Other Important Medical Event. Additional information is not expected.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Local reaction, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Information has been received from a physician assistant concerning a 61 year old female patient with codeine allergy, post menopausal, lipid and anxiety disorder who on 20-APR-2009 was vaccinated with PNEUMOVAX (Lot Number 662664/0981X) 0.5 mL IM on the right deltoid. Concomitant therapy included simvastatin, BUSPAR and ESTRATEST H.S. On 21-APR-2009, the patient had a very impressive local reaction that was the size of a baseball. The patient had a fever and myalgia. The patient had arm pain that was so severe, the patient could not lift the right arm. The patient was treated with prednisone. The patient improved within 24 to 48 hours after being on prednisone. The patient sought medical attention at office visit. The reporter felt the patient's pain in extremity, local reaction, myalgia, fever, and injected limb mobility decreased were disabling and other important medical events. This is a one of several reports received from the same source. The reporter requested that a lot check be performed on reported lot number. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Convulsion, Dyskinesia, Foaming at mouth, Gaze palsy
Clinical narrative: Information has been received from a nurse concerning a her great-niece 13 year old female with no known allergies or medical history reported, who on 28-APR-2009 was vaccinated with her first dose of GARDASIL (dose, route of administration and lot number not reported). There was no concomitant medication. The nurse reported, the patient two seizures soon after receiving her first dose of the vaccine. The first seizure was described as violent jerking, stiffness, frothing at the mouth, tongue deviated to the right and eyes rolled back lasting five minutes. The patient experienced a second seizure within the hour as she was being escorted from the office. The patient was transported home by her mother and was recovering, although still "weak and pale". The patient sought unspecified medical attention. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal stiffness, Pallor, Tongue paralysis
Clinical narrative: Information has been received from a nurse concerning a her great-niece 13 year old female with no known allergies or medical history reported, who on 28-APR-2009 was vaccinated with her first dose of GARDASIL (dose, route of administration and lot number not reported). There was no concomitant medication. The nurse reported, the patient two seizures soon after receiving her first dose of the vaccine. The first seizure was described as violent jerking, stiffness, frothing at the mouth, tongue deviated to the right and eyes rolled back lasting five minutes. The patient experienced a second seizure within the hour as she was being escorted from the office. The patient was transported home by her mother and was recovering, although still "weak and pale". The patient sought unspecified medical attention. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Biopsy muscle abnormal, Myofascitis, Pain, Skin lesion
Clinical narrative: Information has been received from a physician who reported that a patient's mother told him that her 24 year old daughter, on an unspecified date was vaccinated with the third dose of GARDASIL (Lot not reported) and "shortly after vaccination" the patient complained of sore body and pain in joints and she was diagnosed with macrophagic myofascitis. It was reported that the patient could not get out of bed. She also developed skin lesions. The patient's muscle biopsy showed that the muscle contain aluminum. The physician also reported that she is no longer his patient. Additional information has been received from the physician, who stated that he "run into the patient's mother and she told him that her daughter was diagnosed with macrophagic myofascitis" at another medical center. The patient's mother stated that aluminum hydroxide was found in the patient's muscle. The physician also stated that the patient did not receive GARDASIL in his office. The physician felt that Macrophagic myofascitis and skin lesions were considered to be disabling. No additional information is expected.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm, Tenderness
Clinical narrative: left arm turned red, very sore, itchy.erythema medial aspect left uppr arm, none at outer deltoid at sited of  pneumovax injextion.Area tender, erythematous and warm, no axillary nodes
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Blood pressure increased, Dizziness, Pallor
Clinical narrative: Had Hep A vaccine--became dizzy and was lowered to the ground. BP 80/50, color pale.  Color returned quickly, BP 110/70 twenty minutes later
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Chest X-ray normal, Dyspnoea, Influenza serology negative, Pyrexia, Respiratory tract congestion
Clinical narrative: Prior to shot child had some congestion, but normal temperature.  Shot received at 9AM.  Fever first noticed at 2PM (approx. 101-102 degrees).  Treated with baby Motrin.  Approximatetly 6:30 to 7:00 PM fever spiked to 103.8 degrees accompanied by labored breathing/shortness of breath.  Treated with a second dose of Motrin.  After calling the on call doctor, we proceeded to the emergency room at Fairfax Inova hospital around 8 PM and were at the hostpital until approximately 10:30 PM.  At that time the fever lowered.  We were released and the fever continued for the following 48 hours with temperatures reaching approximately 102 degrees and continued treatment with Tylenol and Motrin.
Age: 0.9
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Blood test, Body temperature increased, Lumbar puncture, Musculoskeletal stiffness, White blood cell count increased
Clinical narrative: PATIENT PRESENTED WITH TEMP OF 104.1, STIFF NECK, & ELEVATED WBC COUNT ONE WEEK AFTER ADMINISTRATION OF IMMUNIZATIONS.  6/15/09 Hospital records DC summary received DOS 5/6/09 to 5/7/09. FINAL DIAGNOSIS: Viral Illness, NOS. Patient presents with stiff neck per parents. Fever. Anterior cervical chain lymphadenopathy.  ICD-9 Codes: Neck Pain with Fever 780.60 Viral Illness NOS 079.99
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Feeling cold, Muscle twitching, Mydriasis, Pupil fixed
Clinical narrative: CLIENT C/O BEING COLD, DIZZY, THEN MOUTH, ARMS, AND HANDS STARTING TWITCHING, ALONG WITH BIG TOE. AMBULANCE CALLED.  EYES GLAZED OVER AND DILATED AND FIXXED.  THEN UNRESPONSIVE. AMBULANCE FROM FAYETTE COUNTY HOSPITAL IN VANDALIA, IL CALLED AND CLIENT TAKEN TO ER.  5/8/09 ED records received DOS 5/5/09. FINAL DIAGNOSIS: Drug reaction Nauseated, dizzy, twitching. 'Things got dark', could not hear people. Jerky movements, lethargic. Impaired airway. Shortness of breath, tachycardia. Condition improved while in ED and discharged.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Unresponsive to stimuli
Clinical narrative: CLIENT C/O BEING COLD, DIZZY, THEN MOUTH, ARMS, AND HANDS STARTING TWITCHING, ALONG WITH BIG TOE. AMBULANCE CALLED.  EYES GLAZED OVER AND DILATED AND FIXXED.  THEN UNRESPONSIVE. AMBULANCE FROM FAYETTE COUNTY HOSPITAL IN VANDALIA, IL CALLED AND CLIENT TAKEN TO ER.  5/8/09 ED records received DOS 5/5/09. FINAL DIAGNOSIS: Drug reaction Nauseated, dizzy, twitching. 'Things got dark', could not hear people. Jerky movements, lethargic. Impaired airway. Shortness of breath, tachycardia. Condition improved while in ED and discharged.
Age: 9.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Incorrect product storage, Wrong drug administered
Clinical narrative: 9 year old female had foot stuck with pin. Had cellulitis and susuptiple to Tetnus. Physician did not have any Td on hand so administered Tdap off-label. Mother was made aware and vaccine administered after consent. No notification of any side effects. Refrigerator temperatures had previously been below freezing temperatures that had made vaccine non-viable before administration.
Age: 18.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Patient reported to student health services 2 days after receiving his Varicella Vaccine (04/08/2009). He present with right upper arm mild swelling and tenderness with a mild induration that was palpable at the injection site and approximately 2 cm diameter outwards/ He was treated with a 7 day course of Keflex 500 mg every 12 and instructed to use ice to reduce the swelling/ He returned to student health on 04/11/2009  for a recheck of his arm and there was great improvement
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Posturing, Syncope
Clinical narrative: Approximately 2 minutes after receiving 3rd HPV immunization, client fainted.  Client was unconscious approximately 10 seconds, for 3-5 of those seconds, client noted to have posturing like movements.  Client's hands were curving into fists at her chest, pointing toes down and head bobbing up and down.  After only 3-5 seconds of that type of movement, client regained consciousness suddenly and was alert.  When asked if she was okay, she smiled and stated "I'm okay".  Whole episode lasted approximately 10 seconds.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Anorexia, Chills, Dizziness, Fatigue
Clinical narrative: received shot in a.m. on Monday 4/29, symptoms started in the late afternoon: fatigue, pain in arm, sudden nausea, dizziness, fever of 102 degrees, body aches, body chills, loss of appetite, headaches, could not do any normal activities, bed ridden, itchy throat.  Symptoms lasted for two days, headaches and fatigue lasted for 5 days.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: received shot in a.m. on Monday 4/29, symptoms started in the late afternoon: fatigue, pain in arm, sudden nausea, dizziness, fever of 102 degrees, body aches, body chills, loss of appetite, headaches, could not do any normal activities, bed ridden, itchy throat.  Symptoms lasted for two days, headaches and fatigue lasted for 5 days.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Throat irritation
Clinical narrative: received shot in a.m. on Monday 4/29, symptoms started in the late afternoon: fatigue, pain in arm, sudden nausea, dizziness, fever of 102 degrees, body aches, body chills, loss of appetite, headaches, could not do any normal activities, bed ridden, itchy throat.  Symptoms lasted for two days, headaches and fatigue lasted for 5 days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Herpes zoster
Clinical narrative: PT REPORTS DIFFICULTY BREATHING 2 HRS AFTER INJECTION.  SHINGLES RASH ON HIPS WITHIN 12 HRS OF INJECTION AND CONTINUES AT THIS TIME
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Rash, Rash pruritic
Clinical narrative: Two days after vaccine pt. reports a "different rash at a different spot every morning and at night when I go to bed".  "I have a red ring and a big knot at the shot site"  "The rash itches like crazy." "I take Benadryl for the rash."  "the Benadryl seems to help."
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Joint stiffness, Oedema peripheral
Clinical narrative: ~ 24 hours after gardasil #1, patient reports left index and middle finger is mildly swollen and difficult to bend. Vaccine was given in the same left arm.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: RED RASH AROUND INJECTION SITE
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: SITE OF INJECTION-LEFT ARM IS SWOLLEN, WARM TO TOUCH,ITCHES AND HURTS
Age: 15.0
Sex: F
Vaccine: IPV, MMR, MNQ, TDAP
Symptoms: Blood glucose normal, Crying, Dyskinesia, Unresponsive to stimuli
Clinical narrative: Pt. received vaccines listed below at 4:30pm. After receiving vaccines, pt. was walking in the waiting room and sat down in one of the waiting room chairs.  RN noted patient to be unresponsive immediately after sitting down.  Unresponsiveness lasted approximately 4 seconds.  RN shook patient, and noted patient to have one generalized "jerk" of full body.  PAtient then began crying and talking to mother.  Patient was assisted back to exam room where she was helped onto exam table.  Head of exam table was elevated 45 degrees.  B/P was 110/70.  Apical pulse was 100.  Blood sugar was 100.  Patient stated she had not eaten all day and was offered juice of which she drank 4 ounces. Patient rested on exam table for 15 minutes.  B/P was recehcked - 108/70 - and apical pulse was 64.  Patient stated she "felt fine" through translator. Patient left clinic ambulatory without assistance, accompanied by parents.
Age: 0.5
Sex: F
Vaccine: HIBV, IPV
Symptoms: Fatigue, Lethargy, Pyrexia, Rash papular
Clinical narrative: within 3 hours of vaccine child had high fever, red bumps on her face, very lethargic when not screaming, excessively tired.
Age: 16.0
Sex: U
Vaccine: DTAP, MNQ
Symptoms: Dizziness, Headache, Malaise
Clinical narrative: She also received TdaP and menactra and felt dizzy and like she was going to faint yesterday.  Still feels "terrible" today.  Some headache but she already had headache with URI
Age: 13.0
Sex: F
Vaccine: MNQ, TTOX
Symptoms: Decreased appetite, Fatigue, Hypersomnia, Loss of consciousness, Pallor
Clinical narrative: This serious case was received on 23 April 2009 from a consumer (patient's mother). A 13 year old female patient with a history of asthma and gastric reflux received MENACTRA (lot number not reported) and Tetanus Booster (manufacturer and lot number not reported) on 20 April 2009. Concomitant therapy included Albuterol inhaler as needed. Five minutes post vaccination following administration of the second vaccine, the patient passed out momentarily, length of time was not reported. Since then, the patient has been tired, sleeping longer than usual, has decreased appetite, and is pale. Recovery status was not reported. List of Documents held by Sender: none.
Sex: F
Vaccine: RAB
Symptoms: Fatigue, Multiple sclerosis
Clinical narrative: Initial report received on 28 April 2009 from a consumer. A female patient (demographics not reported) had received on 16 June 2008 a dose of Hep B vaccine (trade name, manufacturer name, lot number, route and site of administration not reported). Seventeen days later, on 03 July 2008, the patient received a dose of IMOVAX RABIES (lot number A0484, Sanofi Pasteur SA lot number A0484-2). At an unspecified amount of time after receiving both vaccines, the patient began experiencing fatigue and now states she has "MS" (Multiple Sclerosis). Treatment received, diagnostic tests and laboratory data performed were not reported. It was not reported whether the patient required hospitalization. The patient has not recovered. Documents held by sender: None.
Age: 1.1
Sex: M
Vaccine: PNC
Symptoms: Antibody test abnormal, Chronic sinusitis
Clinical narrative: This case was considered medically important. Information regarding PREVNAR was received from a healthcare professional regarding a male patient who experienced low titer levels, chronic sinusitis and chronic sinusitis. The patient received the fourth dose on 13-Nov-2007. The patient experienced low titer levels and chronic sinusitis on an unspecified date. The patient recovered from the chronic sinusitis. No additional information was available at the time of this report. See related case (s): US-WYE-H09220109 (adverse event, non-expedited); US-WYE-H09220209 (adverse event, non-expedited); and US-WYE-H09220309 (adverse event, non-expedited).
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Anorexia, Appetite disorder, Arthralgia, Basedow's disease, Chest pain
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Dyspnoea, Fatigue, Headache, Insomnia, Myocardial infarction
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Nausea, Palpitations, Pyrexia, Tremor, Vomiting
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Weight decreased
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Anxiety, Arthralgia, Basedow's disease, Blood cholesterol increased, Computerised tomogram abnormal
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Diplopia, Echocardiogram abnormal, Electrocardiogram abnormal, Exophthalmos, Gait disturbance
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Joint swelling, Loss of consciousness, Memory impairment, Muscle swelling, Myalgia
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Myocardial infarction, Ocular hyperaemia, Sinus disorder, Surgery, Tachycardia
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 41.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Thyroid function test abnormal, Tremor, Walking aid user, Weight decreased
Clinical narrative: See HPI: n/v fever, headaches 12-24 hours after every AVA vaccine, but had 2 episodes cp/sob after AVA #3/SMPX vac, wt loss, hungry, insomnia...dx graves disease Aug 2004 and septal MI. Symptoms: Tremors, Palpitations, Weight loss, unexpected, Chest Pain, Dyspnea (shortness of breath), Joint Pain, multiple joints, Fever, Headache, general, Fatigue.   5/8/09 medical records recieved DOS 10/2003-2006. FINAL DIAGNOSIS: Grave's disease with exophthalmos, septal MI, PTSD Post vaccine dose #1: chills, vomiting, fever, headache behind eyes. Post vaccine dose #2: headache pain behind eyes, vomiting, eyes sensitive to light, unspecified sleep disturbance. Post vaccine dose 3#: no adverse events remembered, went to bed early. 2004 MI/septal infarct. Eye sight decreasing, hand tremors. Chest pain, shortness of breath. Heart fluttered. Constantly eating difficulty sleeping. Later episode consisting of grayed out vision with loss of consciousness.  Weight loss. Septal MI confirmed. Graves disease confirmed. Multiple joint pains. Infected lymph node behind right ear. Nervous, agitated. 2005 sinus problems. Buzzing in ears, early hearing loss. Medical records have been requested. Follow-up: No known changes.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Injection site swelling, Injection site warmth
Clinical narrative: Crying inconsolable. Swelling of thigh (left) knee to hip, hot to touch. Shots given at about 1040a. Still crying presently 3pm.5/13/09-records received for DOS 5/6-5/7/09 DC DX: Resolved fussiness. Presented with C/O inconsolable crying for almost 6 hours. PE: fussy and inconsolable. Local reaction on left thigh at site of Pentacel.  6/19/09 ICD-9 codes received DOS 5/6/09 782.2 Local Superficial, E948.6 Adv Eff Perussis Vaccine.