chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Sinus arrest
Clinical narrative: On 12-8-09 received H1N1 vaccine left arm. 12-9-09 AM fatigue. 12-10-09 nasal congestion. 12-11-09 sinus and chest congestion. 12-12-09 AM laryngitis. Seen 12-13-09 chest congestion 12-14-09 and 12-15-09 coughing up yellow sputum. Never had fever. Temp today 98.7. She took Tylenol for symptoms.
Age: 84.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Rash macular
Clinical narrative: Woke up on Saturday 12/12/09 - I had red blotches the size of a silver dollar on my left side of face with occasional itching. On 12/13/09 the blotches showed up on my right side of my face. On 12/14/2009 The blotches appeared on my forehead with occasional itching. It is not raised, and I plan on seeing my Medical Doctor. This vaccine H1N1 is the only thing different. Patient denies any shortness of breath, pain, or fever at this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1), HEPA, TDAP
Symptoms: Cold compress therapy, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: L upper arm firm, swollen and tender. Not hot to touch. Cool compresses, ibuprofen 800mg TID, rest.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: "None stated".
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Incorrect dose administered, Pyrexia
Clinical narrative: 7 yo given dose #2 of H1N1 vaccine. However, parent took child to PMD on 11/26/09 for dose #2 of vaccine and child did not inform school. Mom said he had fever on night of 12/14/09.
Age: 34.0
Sex: F
Vaccine: FLUN3
Symptoms: Fatigue, Headache, Migraine, Rhinorrhoea, Sneezing
Clinical narrative: Received vaccine on Tuesday -> symptoms started on Friday but got more severe on Saturday & Sunday. Symptoms included constant sneezing, severe headache, fatigue, running nose migraine medicine on Sunday was helpful to headache.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Incorrect dose administered
Clinical narrative: None. Pt was adamant that he didn't receive the Zostavax. It was ordered by Dr and given. When charted it was discovered that pt had received the vaccine in April 2009.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Wheezing
Clinical narrative: Pt developed wheezing about 5' after the shot. But responded to PULMICORT AND Alb. H
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, DTAP, IPV
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Wheezing
Clinical narrative: Pt developed wheezing about 5' after the shot. But responded to PULMICORT AND Alb. H
Age: 1.06
Sex: F
Vaccine: DTAPIPVHIB, FLU(H1N1), FLU3, MMR, PNC, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: 7 days after VARICELLA vaccination pt developed c
Age: 0.18
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Emotional distress, Irritability
Clinical narrative: Pt had severe crying, irritability and inconsolability for approximately 72 hours post vaccine.
Age: 17.0
Sex: U
Vaccine: HEP, TDAP
Symptoms: Vomiting
Clinical narrative: Developed vomiting with liquid & solids the day after receiving vaccine. Continued for 7 days. No fever, diarrhea.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Injection site reaction, Malaise, Pain in extremity, Paraesthesia
Clinical narrative: Sore and painful at vaccination site. Left upper arm leading to persistent shoulder and elbow pain and tingling; concurrently its pain/flare right thumb IP R>L 1st metatarsal; less so all toes. Also general malaise, this symptom subsiding.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood glucose normal, Fall, Muscle twitching, Oxygen supplementation, Pallor
Clinical narrative: Approx 930 am child rcvd shot them ambulated to holding area. Student fell to floor, twitching noted face down - was out for only 15-20 sec. Pale in color Log rolled onto back and was able to answer questions, name, date. Resps even and unlabored. USS - 121/8 86 Resp 24 SaO2 96% - O2 with non - rebreaths placed on child 935 EMS was activated - no bumps - noted to head mother notified - to come to hospital. (L) deltoids - no redness or swelling at vaccine site. Continued to monitor - elevated legs and child continued to answer questions, ate cereal for breakfast and mothers name. 940 EMS arrived - US - 108/67, 101, resp - 24, SaO2 100% on O2 temp 98 finger stick 101 - child sat up and able to ambulate to chair. 952 mom arrived - recommended by hospital staff for mom f/u with ER. but mom called her doctor who advised may take to clinic. Mom decided to take child to doctors office - 1005 - mom left with child via w/c to take to doctors office child alert and oriented x3. 1002 - health care provider - reported to health dept. 12/15/09 4:12pm call made by RN F/U call to childs home spoke to dad, very limited information given to nurse - stated patient is doing okay.
Age: 1.14
Sex: F
Vaccine: FLU3, FLUN(H1N1), MMR
Symptoms: Inappropriate schedule of drug administration, Pyrexia, Rash
Clinical narrative: Inadvertently gave FLUMIST to child < 2 yrs of age. Child is healthy with no chronic illness. Developed rash 12/12. Had fever 12/10. No other symptoms.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Intra-uterine death
Clinical narrative: Patient was approx 5 wks preg. at time of vaccination. Went on for routine follow-up with her ob/gyn 11/28/09 ultrasound revealed embryo was not alive. Pt has hx of 2 prior miscarriages.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Facial palsy
Clinical narrative: Patient concerned that development of Bells Palsy on 12/6/09 may have been due to flu shot (H1N1) give on 11/6/09.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthropod bite, Body temperature increased, Full blood count, Metabolic function test, Rash generalised
Clinical narrative: Onset 4:30 pm itchy rash to face, chest, back, upper arms, under arms. Temp 101.1 at 11:00pm. Today generalized rash. Concurrent therapy Bactrim, Cephalexin for insect bite, allergy to cats. TX: Kenalog, CLARINEX.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash pruritic, Urine analysis
Clinical narrative: Onset 4:30 pm itchy rash to face, chest, back, upper arms, under arms. Temp 101.1 at 11:00pm. Today generalized rash. Concurrent therapy Bactrim, Cephalexin for insect bite, allergy to cats. TX: Kenalog, CLARINEX.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Facial palsy
Clinical narrative: Clinical dx by private MD as BELLS Palsy within 35-36 hrs of immunization.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Facial palsy, Panic reaction
Clinical narrative: Clinical dx by private MD as BELLS Palsy within 35-36 hrs of immunization.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Clinical narrative: Prescribing information states vaccine indicated for persons 4 years of age and older.
Age: 0.94
Sex: M
Vaccine: DTAP, FLU3, FLUN(H1N1), IPV
Symptoms: Incorrect drug dosage form administered
Clinical narrative: Prescribing information states influenza A (H1N1) is indicated JT for individuals age 2-49.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1), FLU3, PPV
Symptoms: Chills, Dizziness, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Pt. complained of dizziness, excessive pain in arms, hands and legs. Also, "tingling" and occasional "numb" feeling in legs. Also developed "chills" 3 days after vaccination. Evaluated by PMD x 2 and also had numerous other medical problems noted at visits. No pain at injection site-only in extremities. No signs of local reaction or swelling, etc.
Age: 1.42
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Diarrhoea, Pyrexia
Clinical narrative: 12/02 Diahrrea started 4 1/2 hrs. after H1N1; 12/3 fever next day- Doesn't know how high but high enough -She gave her Tylenol. Sudsided after 2 days. Diahrrea continues; cough; severe yesterday- Bad enough daycare would not take her today.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Hypersensitivity, Lip oedema, Lip swelling, Pruritus
Clinical narrative: At 10:45 notified of reaction to vaccine in school clinic.  Upon arrival to the clinic, student was sitting, no respiratory distress noted.  Red blotches noted on trunk, neck, face.  School RN noted the pulse ox to be 86% (her normal baseline, HX of heart disease)and a pulse in the 110's.  Informed mother was in route.  The blotches increased in area and small hives began to appear.  No change in vitals, or respiratory status.  Mother came and transported student to Urgent care where mother states she received Benadryl,and Solu-Medrol.  Upon arrival to Urgent Care mother states lips were swollen.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash macular, Urticaria, Vaccination complication
Clinical narrative: At 10:45 notified of reaction to vaccine in school clinic.  Upon arrival to the clinic, student was sitting, no respiratory distress noted.  Red blotches noted on trunk, neck, face.  School RN noted the pulse ox to be 86% (her normal baseline, HX of heart disease)and a pulse in the 110's.  Informed mother was in route.  The blotches increased in area and small hives began to appear.  No change in vitals, or respiratory status.  Mother came and transported student to Urgent care where mother states she received Benadryl,and Solu-Medrol.  Upon arrival to Urgent Care mother states lips were swollen.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Fatigue
Clinical narrative: 5-10 min. after receiving vaccine, felt my energy level completely drop--stayed down all evening and most of next day/next evening...still exhausted the following day, but not as bad.
Age: 15.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Loss of consciousness
Clinical narrative: Youth passed out 10 minutes after receiving vaccine.  Youth reports not anxious.  Has passed out in years past.  Youth came too within minutes (1-3 minutes).
Age: 51.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Eustachian tube disorder, Tinnitus
Clinical narrative: Congested Eustachian tubes, tinnitus
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chills, Decreased appetite, Headache, Influenza like illness, Lethargy
Clinical narrative: Severe headache, lethargia, nauseau, chills.  Vomited at 4 PM and again at 5 PM.  Ached all over like the flu.  Unable to eat dinner.  Still achy and nauseous the next morning and ate lightly.  Given 2 1/2 teasons Ibupropen at 9 PM 12/14 and slept all night.  Given same doseage at 8:30 AM today and again an 12:30 PM.  Felt better by 10: AM.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: Severe headache, lethargia, nauseau, chills.  Vomited at 4 PM and again at 5 PM.  Ached all over like the flu.  Unable to eat dinner.  Still achy and nauseous the next morning and ate lightly.  Given 2 1/2 teasons Ibupropen at 9 PM 12/14 and slept all night.  Given same doseage at 8:30 AM today and again an 12:30 PM.  Felt better by 10: AM.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Pharyngeal oedema, Tongue disorder, Tremor
Clinical narrative: Swollen throat, bumps on tongue, tightness in chest, and extremity tremors.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Chills, Erythema, Fatigue, Hyperhidrosis
Clinical narrative: A doughnut sized red and puffy raised area occurred immediately after the H1N1 shot but subsided after 5 minutes.  Later that night became very ill with temp of 102.5, chills, aches, sweating and not feeling well.  Felt like the flu he says. Was ill all weekend.  Returned to MD 12/15/09.  Much better today (12/15/09) but still has joint pains and fatigue.  Able to eat today.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Influenza like illness, Malaise, Pain, Pyrexia
Clinical narrative: A doughnut sized red and puffy raised area occurred immediately after the H1N1 shot but subsided after 5 minutes.  Later that night became very ill with temp of 102.5, chills, aches, sweating and not feeling well.  Felt like the flu he says. Was ill all weekend.  Returned to MD 12/15/09.  Much better today (12/15/09) but still has joint pains and fatigue.  Able to eat today.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Skin swelling
Clinical narrative: A doughnut sized red and puffy raised area occurred immediately after the H1N1 shot but subsided after 5 minutes.  Later that night became very ill with temp of 102.5, chills, aches, sweating and not feeling well.  Felt like the flu he says. Was ill all weekend.  Returned to MD 12/15/09.  Much better today (12/15/09) but still has joint pains and fatigue.  Able to eat today.
Age: 29.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Abdominal pain upper, Asthenia, Chills, Decreased appetite, Dizziness
Clinical narrative: Hard time breathing, dizziness, cold shivering/shaking for approximately 3 hours, nausea, vomiting, stomach cramps, loss of appetite, tired, weak, extreme soreness and pain of body, 81 heartbeats a minute, approximately 7 hours later developed low grade fever 99.8. Symptoms gone, other than tired/weakness, withing 11 hours.
Age: 29.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Dyspnoea, Fatigue, Feeling cold, Nausea, Pain
Clinical narrative: Hard time breathing, dizziness, cold shivering/shaking for approximately 3 hours, nausea, vomiting, stomach cramps, loss of appetite, tired, weak, extreme soreness and pain of body, 81 heartbeats a minute, approximately 7 hours later developed low grade fever 99.8. Symptoms gone, other than tired/weakness, withing 11 hours.
Age: 29.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Pyrexia, Tremor, Vomiting
Clinical narrative: Hard time breathing, dizziness, cold shivering/shaking for approximately 3 hours, nausea, vomiting, stomach cramps, loss of appetite, tired, weak, extreme soreness and pain of body, 81 heartbeats a minute, approximately 7 hours later developed low grade fever 99.8. Symptoms gone, other than tired/weakness, withing 11 hours.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: DIFFICULY BREATHING, CHEST TIGHTNESS, 25 MG OF BENADRYL GIVEN IN LEFT DELTOID. 0.5CC epi given 1:1000 sc left inferior arm.
Age: 41.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy, Incorrect drug dosage form administered
Clinical narrative: Vaccine administrator realized that patient was pregnant and she shouldn't hve given the live, intranasal vaccine.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Patient presented with urticarial rash on chest, arms, and back.  Was given IV benadryl and IV solumedrol in ED and was discharged with PO benadryl.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Electromyogram abnormal, Facial pain, Muscle injury, Nerve injury
Clinical narrative: Pt states three days after the shot she started experiencing sharp pain in her arms, elbows and knees.  The pain progressed and her extremities became tingly.  The pain moved to her face and her Neurologist did a MRI that was negative.  They also did an EMG that was positive for muscle and nerve damage.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Pt states three days after the shot she started experiencing sharp pain in her arms, elbows and knees.  The pain progressed and her extremities became tingly.  The pain moved to her face and her Neurologist did a MRI that was negative.  They also did an EMG that was positive for muscle and nerve damage.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pyrexia
Clinical narrative: Low grade fever, nasal congestion, sore throat, cough, "head cold"
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Chills, Cough, Pain, Pyrexia
Clinical narrative: fever (101 degree F), wheezing, cough, chest hurts when she breathes, chills, body ache.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Wheezing
Clinical narrative: fever (101 degree F), wheezing, cough, chest hurts when she breathes, chills, body ache.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site papule, Injection site pruritus
Clinical narrative: Injection site on upper left arm was red and itchy with bumps.  Reddened area was apprx 3-4 inches long and 2 1/2 inches wide.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Muscle spasms, Pain
Clinical narrative: muscle cramps in bilateral calves, toes, fingers.   Pain in trunk and thorax.  Occurred mostly at rest and with changing positions
Age: 51.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Discomfort, Hypoaesthesia, Joint range of motion decreased, Pain
Clinical narrative: Employee complained of discomfort at time of IM injection of 2nd Hepatitis B vaccine. States pain has persisited since vaccinated. Dull ache in deltoid area at the beginning. Dull ache has continued to progress and involve whole deltoid muscle and symptoms of numbness developed. Numbness is down arm, but is concentrated above and below the elbow. Denies numbness and stingling in hand. States there has been a developing decrease range of motion of the shoulder area and feels pain when trying to reach behind. ROM pain noticed with dressing. After the IM injection, states she has been taking a total of 800 mg ibuprophen 2 (200 mg) once in am and once in pm. Has tappered ibuprophen to 2 (200 mg) in evening. If ibuprophen not taking, pain comes back. When taking ibuprophen pain is relieved.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Blood pressure increased, Cold compress therapy, Injection site induration
Clinical narrative: Injection site became hard.  Ice pack applied.Person has Hx of anxiety attacks in health care situations.  Feels anxious.  3:17 PM:  B/P 160/100 3:22 B/P 144/98.  Person evaluated by paramedic, released.
Age: 1.17
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: 4-5 hours after vaccine asministration, child developed a rash on the face.  Pediatrician notified.  Instruced to observe child.  Respirations OK, Behaviour as usual.
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood test, Computerised tomogram normal, Ear pain, Facial palsy, Headache
Clinical narrative: Symptoms began with a headache on 12/10/09 and patient was diagnosed on 12/31/09 with Bell's Palsy at the E.R.
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Hypoaesthesia facial, Muscular weakness, Ocular hyperaemia, Paraesthesia
Clinical narrative: Symptoms began with a headache on 12/10/09 and patient was diagnosed on 12/31/09 with Bell's Palsy at the E.R.
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Facial palsy
Clinical narrative: Symptoms began with a headache on 12/10/09 and patient was diagnosed on 12/31/09 with Bell's Palsy at the E.R.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood thyroid stimulating hormone, Culture throat, Fatigue, Full blood count, Headache
Clinical narrative: developed headache, myalgias, fatigue.   The headache resolved however the myalgias, "exhaustion", fatigue persisted for 2 weeks
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Myalgia
Clinical narrative: developed headache, myalgias, fatigue.   The headache resolved however the myalgias, "exhaustion", fatigue persisted for 2 weeks
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Hands are swollen, tender to the touch, entire palms and fingers are red. From wrist to fingertips.
Age: 10.0
Sex: F
Vaccine: DTP
Symptoms: Nodule, Rash
Clinical narrative: Rash on torso - front and back and neck; some of the nodules have a jagged edge; few have a center eye;
Age: 48.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Pain
Clinical narrative: Chills/ Body aches lasted 2 days started 1 day after vaccine
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Condition aggravated, Grand mal convulsion, Petit mal epilepsy
Clinical narrative: At 3:17 PM child had a petit mal seizure lasting appx 30 sec; at 9:30 PM she had 3 grand mal seizures each lasting 15-20 seconds each.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Neck pain
Clinical narrative: Vaccine 10/23/09 at 140 pm and adverse event 10/25/09 AM.  Woman is unsure if laid on her neck wrong or if from vaccine.  All sx resolved in 2 days. On 11/9 sx returned.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea
Clinical narrative: 3 episodes of diarrhea each morning for 3 days.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: Dizziness lasting for 35-40 minutes, Laying down improves symptoms.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Anxiety, Blood calcium, Blood electrolytes, Blood magnesium, Condition aggravated
Clinical narrative: Severe exacerbation of anxiety, increase in hyperactivity, distractibility and mood swings. Deterioration of handwriting and fine motor skills.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Distractibility, Dysgraphia, Fine motor delay, Full blood count, Liver function test
Clinical narrative: Severe exacerbation of anxiety, increase in hyperactivity, distractibility and mood swings. Deterioration of handwriting and fine motor skills.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Mood swings, Psychomotor hyperactivity, Thyroid function test
Clinical narrative: Severe exacerbation of anxiety, increase in hyperactivity, distractibility and mood swings. Deterioration of handwriting and fine motor skills.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood test, Dysarthria, Dyskinesia, Gait disturbance
Clinical narrative: Severe exacerbation of anxiety, increase in hyperactivity, distractibility and mood swings. Deterioration of handwriting and fine motor skills.
Age: 43.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dry skin, Headache, Nausea, Skin warm
Clinical narrative: At 14:32, client was referred over from post care station following H1N1 mist vaccination at 14:09. Client reported HA and nausea after mist administration. Assessment findings: Skin warm and dry to touch. No signs of rash on torso. Vitals WDL. At 14:46. patient reports no dizziness; c/o nausea. Client requested discharge home. Client's husband states he will drive client home. Both client and husband verbalize understanding of symptoms to watch for. Client has no difficulty breathing or swallowing. Client discharged.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Cough, Dyspnoea, Oropharyngeal pain, Pain
Clinical narrative: High fever, sore throat, coughing, aches and pains all over, weakness, trouble breathing.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: High fever, sore throat, coughing, aches and pains all over, weakness, trouble breathing.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Full blood count abnormal, Injection site pain, Injection site swelling, Metabolic function test normal
Clinical narrative: Pain and swelling at injection site; fever; developed cellulitus; required 10 days of IV antibiotic therapy (currenlty undergoing treatment).
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Monocyte count increased, Neutrophil count increased, Neutrophil percentage increased, Pyrexia, White blood cell count increased
Clinical narrative: Pain and swelling at injection site; fever; developed cellulitus; required 10 days of IV antibiotic therapy (currenlty undergoing treatment).
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: Patient reported dizziness at 13:20. Vitals WDL. Patient placed in recumbant position. Patient stated she felt much better.
Age: 46.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Back pain, Bone pain, Dysstasia, Fatigue, Gait disturbance
Clinical narrative: 12/09/09 Felt very tired at 7:30 PM, fell asleep, woke up at 9:30 PM with pain in spine and left lower back. 12/10/09 spine and back pain a getting worse, difficult to sit up, walk, or get out of bed. 12/11/09 spine and back pain still uncomfortable. 12/12/09 spine and back pain still uncomfortable. 12/13/09 spine and back pain little better. 12/14/09 spine and back pain slowly getting better.
Age: 46.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Mobility decreased
Clinical narrative: 12/09/09 Felt very tired at 7:30 PM, fell asleep, woke up at 9:30 PM with pain in spine and left lower back. 12/10/09 spine and back pain a getting worse, difficult to sit up, walk, or get out of bed. 12/11/09 spine and back pain still uncomfortable. 12/12/09 spine and back pain still uncomfortable. 12/13/09 spine and back pain little better. 12/14/09 spine and back pain slowly getting better.
Age: 6.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: High fever, last 3 days.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Cough
Clinical narrative: Deep cough that began approx. 2 hrs after vaccine administration.  Took dextromethorphan-containing cough syrup and diphenhydramine 25 mg orally.
Age: 0.5
Sex: M
Vaccine: DTAP, FLUX, HEP, HIBV, IPV, PPV
Symptoms: Body temperature increased, Eye swelling, Irritability, Rash, Swelling face
Clinical narrative: Entire left side of face swollen, large rash on face (not the same as the "drool" rash he had at the time) over left cheek and left eye, eye swollen shut, very fussy, low grade temperature. Tried to bring him in for an after hour's sick visit, was denied visit and told to "give benedryl"
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Hyperaesthesia, Hypoaesthesia, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: I felt pain at the injection site soon after being vaccinated, and that day developed a hard lump under the injection site that was painful to touch. Over the next 7 days I also developed a large red rash, about 5 inches in diameter over the deltoid/injection site. The rash is warm, it itches and the my arm feels numb. No treatment has been undertaken.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site rash, Pruritus, Skin warm
Clinical narrative: I felt pain at the injection site soon after being vaccinated, and that day developed a hard lump under the injection site that was painful to touch. Over the next 7 days I also developed a large red rash, about 5 inches in diameter over the deltoid/injection site. The rash is warm, it itches and the my arm feels numb. No treatment has been undertaken.
Age: 1.4
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Crying, Erythema, Excoriation, Irritability, Pruritus
Clinical narrative: Crying and very fussy. next day 12/10/2009 around 12:00 pm she started to get a rash on her armpit and i took her clothes off she was crying a lot in a couple hours it started to get worse I went to mobile clinic but they were full  then i went to another clinic were they give her the shot they said it was provably something us to take her to the doctor then I toked her to a Health Center they took her inside by then the rash has spread on her body the doctor administer benadryl and then in little time the rash got better and it stop spreading the next day her armpit skin peel off like if it was a burn and were she got red it got like if was a burn it feels rough she itches but she is much better
Age: 1.4
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rash, Skin exfoliation
Clinical narrative: Crying and very fussy. next day 12/10/2009 around 12:00 pm she started to get a rash on her armpit and i took her clothes off she was crying a lot in a couple hours it started to get worse I went to mobile clinic but they were full  then i went to another clinic were they give her the shot they said it was provably something us to take her to the doctor then I toked her to a Health Center they took her inside by then the rash has spread on her body the doctor administer benadryl and then in little time the rash got better and it stop spreading the next day her armpit skin peel off like if it was a burn and were she got red it got like if was a burn it feels rough she itches but she is much better
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, Complement factor C3, Complement factor C4, Full blood count normal
Clinical narrative: Urticaria above the waist over upper back and mid chest.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Liver function test normal, Red blood cell sedimentation rate normal, Urticaria
Clinical narrative: Urticaria above the waist over upper back and mid chest.
Age: 0.48
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Pain, Somnolence
Clinical narrative: Upset stomach, chills, body aches, drowsy, followed by vomiting and lose stool.
Age: 0.48
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Vomiting
Clinical narrative: Upset stomach, chills, body aches, drowsy, followed by vomiting and lose stool.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Feeling abnormal, Pain in extremity
Clinical narrative: Arm painful, feels like she fell down stairs.
Age: 1.01
Sex: F
Vaccine: FLU(H1N1), FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Oral herpes, Pyrexia
Clinical narrative: Fever for one week, 103 degrees on day 4, fever blister on face, still resent. Now gone.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Infection
Clinical narrative: Infection on same arm as injection. Pt had vaccine on 9-3-09. She reported an infection on 12-15-09.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Acute disseminated encephalomyelitis, Amnesia, Anxiety, Blood immunoglobulin G normal
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Computerised tomogram, Demyelination, Depression, Diarrhoea, Disorientation
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Echocardiogram, Electrocardiogram, Electroencephalogram, Electromyogram
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Feeling hot, Full blood count, Gait disturbance, Headache
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Immunisation reaction, Irritable bowel syndrome, Joint lock, Laboratory test
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Laboratory test normal, Loss of consciousness, Lumbar puncture, Malaise, Micturition urgency
Clinical narrative: Pt received AVA #1 on 4/30/07 without adverse effects. While overseas he received AVA #2 on 5/14/07 in the right triceps. Within 2-3 minutes he noted a burning sensation in the back of his neck immediately followed by a "massive" (12/10) right-sided frontal headache associated with N, dizziness and photophobia. The pt reported to medical on 5/16/09. He still had severe headache. Additionally, he complained of fatigue, disorientation, loss of memory, left leg numbness and one episode of diarrhea (no N, V, or fever). CBC, Chem 12, EPV IgG were normal. The pt was diagnosed with mild immunization reaction and anxiety. On 5/22/07 the pt was seen for fatigue, "crick" in his neck, inability to focus, and 2 brief episodes of abdominal pain with one episode of diarrhea. He was diagnosed with IBS and anxiety. On 6/8/07 the pt was seen for short term memory loss, fatigue, left leg numbness and new onset of "joints in hands locking up". The pt was diagnosed with depression. 8/07 the pt suffered a syncopal episode when he went from a sitting to a standing position. He was unconscious of 3-5 seconds. He had no visual changes, light headedness or palpitations prior to the event. After this event he started having intermittent "piercing" pain on the right side of his head with occasional photophobia and phonophobia (no N or V). The pt had a neurology consult (civilian) on 9/19/07 for complaints of left side weakness, headaches, gait disturbance and the recent syncopal episode. A lumbar puncture failed to yield any etiology to his problem. He was diagnosed with post infectious demyelinating disease. "The anthrax vaccination has been known to cause encephalitis and this could be the etiology of his problems". The pt states that he had a similar episode in 10/07 but was not examined. SEE NCS/EMG, EEG, MRI LS AND MRI BRAIN DONE 9/07-10/07. The pt was hospitalized from 2/27/08-3/7/08 for worsening of his left leg weakness and numbness. On 3/4/08 he had a 10 minute episode of right sided headache, LUE paresthesia, feeling hot and like his "heart was pounding". On 3/5/08 he had two hour episode of white "spots/flashes" in his right eye. The pt was treated with a 5 day course of IV SOLU-MEDROL with improvement of symptoms (return to baseline). Per neuro" "stroke workup was negative. Post viral demyelination, more likely ADEM based on MRI showing one lesion and no other white matter changes." SEE MRIs, CT, MRA, EKG ECHO, LABS DONE 2/27/08-05/20/08. Seen in neurology for follow-up on 10/6/08. Continued to complain of daily intermittent right sided headaches, left leg and arm weakness and numbness. SEE MRI 11/5/08. When seen 4/3/09 complained of slight worsening of his left sided weakness and mild urinary urgency. SEE MRIs 5/19/09-5/20/09. 10/7/09 seen by his PCM. Pt reported a syncopal episode 2 days prior. Pt state.