chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Loss of consciousness, Presyncope, Syncope, Vomiting
Clinical narrative: Child rec'd H1N1 injection @ 9:48A @ 9:52A passed out, came to within a few seconds and was A and B x 3. Appx 2 min later she vomited, was taken to MR and 911 was called.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Apnoea, Bradycardia, Loss of consciousness, Vomiting
Clinical narrative: Child rec'd H1N1 injection @ 9:48A @ 9:52A passed out, came to within a few seconds and was A and B x 3. Appx 2 min later she vomited, was taken to MR and 911 was called.
Age: 54.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: SWELLING, WARM AND PAIN AT SITE
Age: 3.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever of about 101 (+ or - 2 degrees because our thermometer wasn't working right) for about 3 days.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Mobility decreased, Myalgia
Clinical narrative: Severe muscle ache in arm that shot was given in,inability to lift same arm for 24 hours  Called doctor & he prescribed motrin 800 which helped a little,but now there is redness & swelling in the affected area!
Age: 0.24
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Feeling abnormal, Headache, Malaise
Clinical narrative: Patient started to feel a dull headache start around 2:15. Within an hour, the headache went from a 2 to a 7 on a 1-10 pain scale. Two ibuprofen pills were used to alleviate the pain, but for the rest of the evening, the patient felt unsettled. Patient felt "out of it." Patient left work early because he wasn't feeling well.
Age: 32.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Fatigue, Rash, Urticaria
Clinical narrative: Hives, rash, tiredness.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: Rash - chest ; pt given Hytone Lotion 2.5%
Age: 64.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Haematoma, Inflammation, Pain
Clinical narrative: Upon injection patient developed a hematoma. Complained of pain, no SOB or allergy. Inflammation went down & patient said she felt ok. Waited 15 min before she left.
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray, Chills, Cough, Dyspnoea, Eosinophil percentage increased
Clinical narrative: Cough started 12-8-09 chest x-ray on AMOXICILLIN x 10 days H1N1 on 12-18-09 cough and SOB started 12-19-09 tired intermittent fever/chills mild throat tenderness sinus drainage Eosinophils elevated could be isolated to H1N1. Prednisone taken and COMBIVENT
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Pyrexia, Sinus operation, White blood cell count normal
Clinical narrative: Cough started 12-8-09 chest x-ray on AMOXICILLIN x 10 days H1N1 on 12-18-09 cough and SOB started 12-19-09 tired intermittent fever/chills mild throat tenderness sinus drainage Eosinophils elevated could be isolated to H1N1. Prednisone taken and COMBIVENT
Age: 10.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Syncope
Clinical narrative: 1045 Flu Mist, 11:15 c/o headache. Fainted at 1:15.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye rolling, Head injury, Syncope
Clinical narrative: 10:15 Received injection, 10:45 fainted and hit back of head on carpet, eyes rolled back in head.
Age: 64.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Neuralgia
Clinical narrative: Nerve pain below muscle lasted 4 to 5 days.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Cellulitis, Inflammation, Pain, Skin warm
Clinical narrative: Hot painful inflamed area. 70x55mm. Sent to hospital. Dx: cellulitis. Tx: Cephalexin.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Abdominal pain, Urticaria
Clinical narrative: Mom states Pt woke up around 3am with abdominal pain and covered in hives. Pt went to ER and given SOLU-MEDROL 125mg and Benadryl. Sent home with Rx for prednisone & told to take Benadryl three time today.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Mobility decreased, Pain in extremity
Clinical narrative: Her arm hurts and states cannot move above shoulder x 3 wks. Has been taking ibuprofen 80, was told to work it to get soreness out. Will call in a couple of days if not better will refer to physician. She contacted physician who told her to continue ibuprofen and previously prescribed muscle relaxant
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: L arm swollen, hot to touch, hard at site and itchy.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Loss of consciousness, Syncope
Clinical narrative: Pt was given inj of vaccine at 11:15 Right deltoid. Pt "fainted or seized", lost consciousness. 11:20 BP 96/60, P 60, R 20, passed out. 11:25 BP 100/62, P 62, R 16, BENADRYL 50 mg IM. 11:30 BP 100/58, P 60, R 18, passed out, seizure?. 11:35 BP 100/52, P 64, R 18, passed out?/seizure. 11:40 EMT arrived. Sent to ED, stabilized-called ED to state unclear if seizure or syncope. No EEG done in ER. Followed up next day "doing fine". Suggest possible follow up with neurologist.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: Headaches, dizziness & fever.
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Lacrimation increased, Pruritus, Rhinorrhoea, Sneezing
Clinical narrative: 5 days of sneezing, running nose, watering eyes and itching of nose and eyes-antihistamine, ZYRTEC.
Age: 87.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Sinus congestion, Upper respiratory tract congestion
Clinical narrative: onset of cough/congestion/chest and sinus - prescribed Z pack
Age: 68.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Feeling abnormal, Feeling of body temperature change, Pain
Clinical narrative: Felt "terrible" after shot. C/o feeling " hot and cold, achy."
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pharyngeal oedema
Clinical narrative: Patient developed swelling in her throat 20 min after injection. Dr called in to see patient .25mg Benadryl was ordered and given to patient orally with water. Patient waited additional 15 min and symptoms did not worsen. Patient left clinic with husband.
Age: 1.1
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site rash, Rash
Clinical narrative: Child was administered seasonal flu and H1N1 at clinic on 12-16-09. Mother states child woke up w/rash on arms and legs on 12-21. Took child to emergency room and attending physician prescribed BENADRYL. Mom asked if rash could be due to shots; was told is possible.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Oropharyngeal pain, Pyrexia
Clinical narrative: High fever 104 degrees 2 days after vaccine, dry cough and sore throat.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Pyrexia, Rhinorrhoea
Clinical narrative: High fever 102 degrees 2 days after vaccine, cough, runny nose.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphonia, Eye pruritus, Eyelid oedema, Oropharyngeal pain, Pruritus
Clinical narrative: Rash, severe itching, itching of eyes, swelling of face, hoarseness, swelling of eyelids, mild fever, sore throat for 3-4 days took Benadryl.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Rash, Swelling face
Clinical narrative: Rash, severe itching, itching of eyes, swelling of face, hoarseness, swelling of eyelids, mild fever, sore throat for 3-4 days took Benadryl.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Grip strength, Injection site discomfort, Muscular weakness
Clinical narrative: Patient received H1N1 vaccine on 12/2/09. Next morning at 7:30 when she woke up noticed arm discomfort in right area that received the vaccine. Arm discomfort became worse as the days progressed. Also had arm weakness and loss of range in motion. Saw family doctor to prescribed Neurontin which has made improvement.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Patient had vaccine as described below, 2 hours later developed generalized hives, particularly on left side of body. These came and went over the next 4 days with no other symptoms. He is fine since.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Gait disturbance, Somnolence
Clinical narrative: Child was sleepy on 12-9-09 - EMT called due to child walking "funny" - was examined. Mother took child to pediatrican - was told not due to vaccine.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Depressed level of consciousness, Gait disturbance, Somnolence
Clinical narrative: Pt. had injection of H1N1 on 12-9-09. On 12-10-09 felt drowsy and sleepy. Could not awaken child well from nap - couldn't walk well - was examined by EMT and was told child was okay - finished our day at school. No further problems.
Age: 70.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash pruritic
Clinical narrative: Pt states he got a rash, starting at wrists, spread to arms, legs, and trunk. It is itchy-feels better with CALADRYL. Could be unrelated but wanted to report.
Age: 53.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Facial palsy
Clinical narrative: Awoke 11/13/09 Bell's Palsy left side - went to urgent care - Rx-steroids, Valtrex, Neurontin. Still on Neurontin. Previously has had episode of Bell's Palsy 4 times.
Age: 0.91
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea
Clinical narrative: My son had diarrhea that started the day after his initial H1N1 vaccination.  He had no fever and no other symptoms (eg, vomiting).  He was otherwise well.  The loose stools were frequent (up to 5 times daily) for four days.  He was eating and drinking well and required no medical intervention.
Age: 5.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Severe scratching.  Hives from injection sight across back at shoulder blade level, to other arm.  Then spread as follows:  hives across lower back and buttocks, then inner thighs, then ankles and feet, then neck and across face.  As new hives appeared, established hives remained.  Hives resolved within ten minutes of administration of 1 benadryl allergy fastmelt.  Skin remained itchy. Hives returned 24 hours later.  same pattern, but as they spread across body, first would resolve as new errupted...no benadryl given.  Third night hives again less severe, but benadryl given because itching was interfereing with sleep.  Fourth day slight hives.  No more incidents after this.  Skin was itchy even when hives not present during first four days.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling and numbness in left arm hand and left side of face injection was in left upper arm.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: She got the vaccine on 12/10/09. She awoke with itching and hives on Dec. 13, 14, 15, & 16. Each morning she took a Benadryl which relieved it. On 12/17 she took a Benadryl early and never had any itching or hives. She never had any more problems.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness the size of a half dollar at injection site.  Soreness at injection site.  No itching.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Child awoke on 12-16-09 with vomiting
Age: 71.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Heart rate increased
Clinical narrative: Blood pressure went up to 162/109, heart rate went up to 142 for 3 hours, took extra blood pressure pill and drank water, back to normal in 3 hours.
Age: 1.78
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash generalised, Vaccine positive rechallenge
Clinical narrative: Got Rashes all over body & face three times starting 12/7/2009. The first H1N1 was given on 11/20/2009. The second booster shot was given on 12/21/2009 and rashes started appearing again 12/25/2009. It has appeared thrice since my daughter was administered booster shot.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash pruritic
Clinical narrative: Itchy rash first developed on arms below the elbow..did not extend to fingers or hands.  After a week, rash appeared on legs below the knee and all over feet.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, CSF protein increased, Guillain-Barre syndrome
Clinical narrative: Progressive weakness.  Diagnosed with Guillain Barre Syndrome.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Anxiety, Erythema, Eyelid oedema, Pruritus
Clinical narrative: H1N1 vaccine administered IM to left deltoid, within 30 seconds developed left arm itching, red face with bilateral eyelid swelling, tachycardia at 170 bpm, itching in the throat, abdominal cramping and aprehension. Benadryl 25mg IM adminstered, 911 call, child transported to ER by EMS in stable condition. Epi never given. 12/31/09:  Discharge summary and hospital records received for dates of service 12/29/09 to 12/30/09.  Dx:  Nonsustained tachycardia, resolved.  Likely anxiety attack.  Allergic reaction resolved.  Developed itchiness and redness at injection site, brought to ED for further evaluation and found to be tachycardic to 180.  Admitted to PICU for further management.  Anxiety noted with each episode of tachycardia.  EKG and Echo. Negative.  It was decided that tachycardia was due to anxiety and panic attacks, so patient was discharged to home after initiation of IV Solumedrol and transition to Orapred for treatment of allergic reaction.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tachycardia, Throat irritation
Clinical narrative: H1N1 vaccine administered IM to left deltoid, within 30 seconds developed left arm itching, red face with bilateral eyelid swelling, tachycardia at 170 bpm, itching in the throat, abdominal cramping and aprehension. Benadryl 25mg IM adminstered, 911 call, child transported to ER by EMS in stable condition. Epi never given. 12/31/09:  Discharge summary and hospital records received for dates of service 12/29/09 to 12/30/09.  Dx:  Nonsustained tachycardia, resolved.  Likely anxiety attack.  Allergic reaction resolved.  Developed itchiness and redness at injection site, brought to ED for further evaluation and found to be tachycardic to 180.  Admitted to PICU for further management.  Anxiety noted with each episode of tachycardia.  EKG and Echo. Negative.  It was decided that tachycardia was due to anxiety and panic attacks, so patient was discharged to home after initiation of IV Solumedrol and transition to Orapred for treatment of allergic reaction.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Bronchitis, Chest X-ray, Dizziness, Dyspnoea
Clinical narrative: Felt dizzy and short of breath. While driving lights were blurry. Went to ER and got breathing treatment, discovered had bronchitis in airways, had tingling also.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Vision blurred
Clinical narrative: Felt dizzy and short of breath. While driving lights were blurry. Went to ER and got breathing treatment, discovered had bronchitis in airways, had tingling also.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash papular
Clinical narrative: 12 month vaccination given, 15  minutes after shots noticed fine raised red rash in face. Observed for 15 minutes notice started to spread. BENADRYL IM given per protocol.
Age: 58.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Injection site anaesthesia, Paraesthesia
Clinical narrative: Persistent numbness and tingling from to of left shoulder to tip of fingers lasting hours at time.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema
Clinical narrative: Mild erythema @ site approx: 3 in by 5 in patch no difficulty or shortness of breath. No itching or burning or flaking no other s/s
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Acoustic stimulation tests, Deafness, Tinnitus
Clinical narrative: Partial -40%- sudden hearing loss with low ringing that occurred within 24 hours of H1N1 vaccine injection received at Health Services.
Age: 64.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever 100 degrees - 101 degrees beginning PM of 11-17-09 continuing through 11-24-09. Was seen by Dr 11-24-09 and received Rx for ZITHROMAX 11-25-09 - Improved.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Body temperature increased, Erythema, Movement disorder, Pain in extremity, Skin warm
Clinical narrative: area is red, warm to touch, painful to move arm, temp 99.4 to 101.0
Age: 50.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chills, Headache, Palpitations
Clinical narrative: strong headache, heart pulpetation, shivering
Age: 0.97
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: H1N1 mist administered to child 11 mos 19 days. misadministration to wrong age
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Laboratory test normal, Pain in extremity
Clinical narrative: Head and leg pains after H1N1 vaccine.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Dizziness, Dyspnoea, Injection site erythema, Injection site swelling
Clinical narrative: Pt initially developed redness and swelling at injection site of seasonal flu vaccine in right arm, which worsened 12/30/09. 12/31/09 the redness and swelling began to subside but he became light headed, dizzy, and developed intermittent shortness of breath.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1), VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 2.8 cm area of erythema & induration left upper arm 2 days after VARIVAX administration.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity, Rash generalised, Rash papular
Clinical narrative: Call made to pt reg her message stating approx 2 hours after pt received H1N1 vaccine, yesterday 12/20/09, pt developed rash all over body. No report of difficulty breathing, no noted edema. Rash is bright red and raised. Denies pruritis. C/o pain on bottom of feet only. Pt cont w/rash today, is doing well. Parents sent to pt to gym where he has been going daily while on holiday school break. Parents gave BENADRYL last PM and this AM. Rash conts today, is slightly better. Mom instructed to make sure gym aware of rash and possible reason for rash. Child must be monitored. Mom verbalizes understanding and states gym is aware and will call her/911 if needed.
Age: 0.98
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Around 4:30pm on 11/17/2009 My daughter started to break out with hives all over her face and body.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood creatine phosphokinase increased, Rhabdomyolysis
Clinical narrative: Rhabdomyolysis
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: I miscarried at 6 weeks and 4 days.  It was right after the vaccine I miscarried.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Information has been received from a 16 year old female consumer with no drug reactions/allergies and a history of asthma, for GARDASIL, a Pregnancy Registry product. It was reported that on 03-JUL-2009 the patient was vaccinated with the first dose of series of GARDASIL. There was no concomitant medication. The patient reported that at the end of July 2009 she found out she was pregnant. The consumer reported that on 04-Aug-2009 she had terminated the pregnancy and had recovered. The consumer reported that she had not received any additional doses of GARDASIL. No adverse event was involved. It was reported that therapy with GARDASIL was discontinued and that the patient recovered on an unspecified date while on therapy. Therapy with GARDASIL was not reintroduced. The patient sought unspecified medical attention. No laboratory diagnostics studies were performed. Upon internal review abortion induced was considered to be an other important medical event. Additional information has been requested.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Exfoliative rash, Pyrexia, Tremor
Clinical narrative: Had shakes and Temp of 102 degrees-2 red spots size of 2 eggs-rash dry and scaly down to elbow-okay the next AM.
Age: 0.17
Sex: F
Vaccine: RV1
Symptoms: Pyrexia, Vomiting
Clinical narrative: Had high fever and vomiting after rotavirus vaccine on 10/28/09->10/29/09.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Platelet count decreased
Clinical narrative: Had pre op testing for surgery on Jan 6, 2010.  Platelet levels found to be low @ 120,000. [down from physical done in October, 2 days after immunization].  Redraw of platelet count 11 days later (12/28/09) shows level now down to 105,000. Asymptomatic other than blood count.  Seen by Hematologist suggests H1N1 vaccine is only new addition in last 2 months and I have an immune thrombocytopenia.  Redraw of blood and further testing to be done Monday 1/4/2010.
Age: 3.0
Sex: F
Vaccine: FLUX, HEP, VARCEL
Symptoms: Blepharospasm, Excessive eye blinking
Clinical narrative: Novina presented with rapid eye blinking and twitching of the muscles surrounding the eyes a few days after receiving vaccines. Both eyes are affected. She has multiple episodes daily, some very pronounced.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Chest discomfort, Chest pain, Cough, Dysphonia, Feeling abnormal
Clinical narrative: Patient received both H1N1 and Seasonal vaccines at 12:25 PM. Didn't experience AE until approximately 4pm when patient began feeling unusual - Unusual feelings included: voice changes, coughing, lower neck and chest pains and tightening. Was taken to hospital and treated with IV BENADRYL & SOLU-MEDROL.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Neck pain
Clinical narrative: Patient received both H1N1 and Seasonal vaccines at 12:25 PM. Didn't experience AE until approximately 4pm when patient began feeling unusual - Unusual feelings included: voice changes, coughing, lower neck and chest pains and tightening. Was taken to hospital and treated with IV BENADRYL & SOLU-MEDROL.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives over arms and upper throat, neck.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Back pain, Dyspnoea, Dyspnoea exertional
Clinical narrative: 12/3/2009 Pat. is exhausted, sob, palpitations, has a viral infection since last Tuesday. Also back spasms. Did not check blood sugars. Her joints hurt due to inability of getting shots, as she has this viral infection. Is not on prednisone. 12/6/2009 "Extreme weakness in my hips and shoulders." It is bilateral. It has been going on for a number of days. She has had no fever or chills. She has also had no specific injury, although, she did fall and injure her right ankle, which seems relatively minor on further questioning and quick exam. Her chief complaint is as above. Further questioning that she has had some significant dyspnea on exertion. The patient states that she seemed to get the flu several weeks ago and had a headache, which was gradual in onset and no stiff neck or fever then that was right before Thanksgiving. By the day following Thanksgiving, she started to note dyspnea on exertion. It was not sudden and it did not occur at rest. There is no chest pain, pressure, and heavy. Because of this, she was seen in this Emergency Department and she was on a Z-PAK for probable sinus problems from her headache. She was subsequently seen two days ago and placed on doxycycline despite what the chart says. The patient also has some migratory back pain more in the low back now. There is no specific weakness, numbness, tingling, or any bowel or bladder symptoms. She does, however, have some tingling in both arms and legs primarily distally in the feet and hands. There is no weakness and there is no true numbness. There is no asymmetry. Although, the patient was treated with antibiotics, she has not had any real cough, or sputum production, or bronchitis or pneumonia symptoms. There is also no other head cold, unusual sinus, or progressive ENT symptoms. No bladder or bowel.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Muscle spasms, Palpitations, Paraesthesia
Clinical narrative: 12/3/2009 Pat. is exhausted, sob, palpitations, has a viral infection since last Tuesday. Also back spasms. Did not check blood sugars. Her joints hurt due to inability of getting shots, as she has this viral infection. Is not on prednisone. 12/6/2009 "Extreme weakness in my hips and shoulders." It is bilateral. It has been going on for a number of days. She has had no fever or chills. She has also had no specific injury, although, she did fall and injure her right ankle, which seems relatively minor on further questioning and quick exam. Her chief complaint is as above. Further questioning that she has had some significant dyspnea on exertion. The patient states that she seemed to get the flu several weeks ago and had a headache, which was gradual in onset and no stiff neck or fever then that was right before Thanksgiving. By the day following Thanksgiving, she started to note dyspnea on exertion. It was not sudden and it did not occur at rest. There is no chest pain, pressure, and heavy. Because of this, she was seen in this Emergency Department and she was on a Z-PAK for probable sinus problems from her headache. She was subsequently seen two days ago and placed on doxycycline despite what the chart says. The patient also has some migratory back pain more in the low back now. There is no specific weakness, numbness, tingling, or any bowel or bladder symptoms. She does, however, have some tingling in both arms and legs primarily distally in the feet and hands. There is no weakness and there is no true numbness. There is no asymmetry. Although, the patient was treated with antibiotics, she has not had any real cough, or sputum production, or bronchitis or pneumonia symptoms. There is also no other head cold, unusual sinus, or progressive ENT symptoms. No bladder or bowel.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia
Clinical narrative: Father called that child was sick with fever after vaccination
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Fainted after H1N1 injection.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Pt received H1N1 injection, post inoculation student experienced nausea and vomiting.
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Pallor, Restlessness
Clinical narrative: After administering the H1N1 intranasal child suddenly experienced body weakness appeared pale sthat he does not feel well became restless EPIPEN a0.3 mg given 911 called. Was evaluated at hospital and released.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever temp 102
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Erythema, Injection site rash
Clinical narrative: varicella type rash at injection site, dime sized patch with redness
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain upper, Chills, Cough, Hyperhidrosis, Nausea
Clinical narrative: Coughing, sore throat, soreness on arm where shot administered, nausea fever 101.2 chills, sweats ache all over. Stomach pains.
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Coughing, sore throat, soreness on arm where shot administered, nausea fever 101.2 chills, sweats ache all over. Stomach pains.
Age: 73.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Chills, Feeling cold, Vomiting
Clinical narrative: 1 1/2 later after shot, he started feeling cold, weak, vomited 1 time, chills, lasted 1-2 days.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Syncope
Clinical narrative: Approximately 10 minutes after receiving live H1n1 intranasal vaccine patient was with parents at front entrance and fainted. She regained consciousness upon sitting. Paramedics checked her vital signs and released her with no treatment. Parents say she faints at shot but never at Flu Mist as she had it before.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash generalised
Clinical narrative: All over body rash lasting approx. 30-45mins > treatment: 50mg BENADRYL.
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Akinesia, Cough, Hyperhidrosis, Influenza like illness, Musculoskeletal chest pain
Clinical narrative: Nausea, sore throat, fever, sweating profusely, extreme rib pain, coughing, left jaw locked, flu-like aches, left arm gave out. Time = current on going, not yet recovered.
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Oropharyngeal pain, Pyrexia, Trismus
Clinical narrative: Nausea, sore throat, fever, sweating profusely, extreme rib pain, coughing, left jaw locked, flu-like aches, left arm gave out. Time = current on going, not yet recovered.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: About an hour after the patient received the H1N1 vaccine, she called us concerned that her L hand (same as arm given shot) was tingling. Later (about 3 hr) we f/u and the sx was the same.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Within 1 hr of receiving the H1N1 vaccine, his wife called concerned b/c his L hand (same arm given shot) was tingling. Later (~3hrs) we followed/up and there was no improvement in the symptom.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: W/in 15 min of immunization, pt fainted. She "came to" quickly and was able to sit up, felt light headed & nauseated. No rash, SOB, itching/swelling, etc.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: 15 min after receiving the H1N1 vaccine, pt returned, stating he was dizzy. There was no improvement after drinking Gatorade, sitting w/feet up.
Age: 88.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Disorientation, Lip swelling, Swollen tongue
Clinical narrative: Felt disoriented soon after injection but that cleared within 5 minutes. On arising next AM, tongue and lips were swollen. primary MD advised 2 Benadryl - Urgent Care RX'd Zantac 150, Xyzal and Prednisone
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Intranasal administered at approx 10:40 a.m., about 20 min later she complained of desire to vomit Epipen junior was administered by school nurse.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pain, Pyrexia
Clinical narrative: Received H1N1 LAIV 11/16/09,as reported by parent had onset of fever 100.4 with body aches on 11/18/2009, returned to school on 11/20/09, well.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLUN3
Symptoms: Fall, Head deformity, Syncope
Clinical narrative: After vaccine given child fainted hit face
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray normal, Chest discomfort, Cough, Dyspnoea, Wheezing
Clinical narrative: AT A FAMILY GET-TOGETHER, I WAS LAUGHING AND IT SET OFF COUGHING SPASMS THAT WOULD NOT STOP.  I WAS VERY SOB AND WAS WHEEZING, SO I USED MY RESCUE INHALER.  I CONTINUED TO EXPERIENCE WHEEZING AND SOB THROUGH CHRISTMAS (I AM A NURSE AND DID NOT WANT TO GO TO ER), SO MY DOC STARTED ME ON MEDROL DOSE PAK ON SATURDAY (12/26/2009), IN ADDITION TO BREATHING TREATMENTS WITH ALBUTEROL AND ATROVENT.  WHEN SPEAKING WITH MY DOC ON MONDAY (12/28/2009), I NOTIFIED HER THAT ONLY S/SX WHERE SOB AND WHEEZING, NO CONGESTION, RUNNY NOSE, FEVER, BODY ACHES, SORE THROAT, NAUSEA, VOMITING NOR DIARRHEA.  DUE TO MY ASTHMA AND PNEUMONIA HISTORY, SHE PRESCRIBED AUGMENTIN 875MG BID AND MUCINEX-D.  NO IMPROVEMENT TUESDAY (12/29) AND MY DOC WAS SICK AND UNABLE TO SEE ME, SO I WENT TO ER.  AS I HAD HAD A BREATHING TREATMENT ONE HOUR PRIOR, MY VITALS WERE STABLE AND I HAD CHEST TIGHTNESS AND SLIGHT SOB, BUT NO WHEEZING.  I WAS PRESCRIBED TESSALON PEARLS FOR MY COUGH AND SENT ON MY WAY.  ON WEDNESDAY (12/30/2009), I HAD A REGULARLY SCHEDULED APPT WITH MY PULMONOLOGIST (WHOM I HAD NOT THOUGHT TO CALL), AND I WAS GIVEN BACK TO BACK NEBULIZER TREATMENTS IN OFFICE AS WELL AS HIGH-DOSE SOLUMEDROL INJECTION GIVEN IM FOR MY EXTREME SOB, WHEEZING AND CHEST TIGHTNESS AT THAT TIME.  I WAS TOLD TO DISCONTINUE MY MEDROL DOSE PAK AND TO START PREDNISONE (BRAND NAME ONLY) AT 40MG QD X 3D, 30MG QD X 3D, 20MG QD X 3D AND 10MG QD X 3D.  IF AT ANY POINT MY BREATHING GETS WORSE OR IF THERE WAS NO IMPROVEMENT, I WAS TOLD TO GO BACK TO THE ER.  I AM FINALLY EXPERIENCING SOME RELIEF FROM MY SYMPTOMS; I CONTINUE TO HAVE THE LOUD DRY COUGH AND CHEST TIGHTNESS, BUT NO SOB NOR WHEEZING THAT I'VE NOTICED TODAY.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Red rash developed on lower part of left arm from a few inches above elbow to half-way down forearm-- red blotchy rash -not raised - no itch - no reaction at site of administration on left arm - pt used otc hydrocortisone --2 applications the evening on 12/31/09 -- this was about 36hrs after injection - pt said this made some improvement in the rash - pt presented to pharmacy at 10:30 AM on Jan 1, 2010 and I witnessed the rash - instructed pt to continue wih hydrocortisone and moisturize with vaseline or Aquaphor or Eucerin- pt said he used Aveeno to moisturize - pt also was instructed to buy Benadryl tabs or caps.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Rash erythematous
Clinical narrative: Red rash developed on lower part of left arm from a few inches above elbow to half-way down forearm-- red blotchy rash -not raised - no itch - no reaction at site of administration on left arm - pt used otc hydrocortisone --2 applications the evening on 12/31/09 -- this was about 36hrs after injection - pt said this made some improvement in the rash - pt presented to pharmacy at 10:30 AM on Jan 1, 2010 and I witnessed the rash - instructed pt to continue wih hydrocortisone and moisturize with vaseline or Aquaphor or Eucerin- pt said he used Aveeno to moisturize - pt also was instructed to buy Benadryl tabs or caps.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Red rash developed on lower part of left arm from a few inches above the elbow to half-way down forearm - red blotchy rash - not raised - no itch - no reaction at site on admistration on left arm - pt started to use otc hydrocortisone - had 2 application the evening of 12/31/09 - this was about 36 hours after injection - pt said this made some improvement on rash- pt presented to pharmacy at 10:30 AM Jan 1, 2010 and I witnessed the rash -- pt said rash looked better than when 1st appeared and did not seem to be spreading - no itch and pt says he feels fine- instructed pt to continue with hydrocortisone and apply moisturizer (vaseline, eucerin, aquaphor, etc) -- pt said he was using aveeno cream - also instructed pt to but otc oral benadryl tabs or caps- pt bought benadryl - told pt if rash gets worse or not feeling well call md or go to ER. We will call Dr. on Sat Jan 2 to notify him of reaction - if Dr not in on Sat will call office on Monday Jan 4, 2010. Told pt to call us at pharmacy to let us know how he is doing.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Rash erythematous
Clinical narrative: Red rash developed on lower part of left arm from a few inches above the elbow to half-way down forearm - red blotchy rash - not raised - no itch - no reaction at site on admistration on left arm - pt started to use otc hydrocortisone - had 2 application the evening of 12/31/09 - this was about 36 hours after injection - pt said this made some improvement on rash- pt presented to pharmacy at 10:30 AM Jan 1, 2010 and I witnessed the rash -- pt said rash looked better than when 1st appeared and did not seem to be spreading - no itch and pt says he feels fine- instructed pt to continue with hydrocortisone and apply moisturizer (vaseline, eucerin, aquaphor, etc) -- pt said he was using aveeno cream - also instructed pt to but otc oral benadryl tabs or caps- pt bought benadryl - told pt if rash gets worse or not feeling well call md or go to ER. We will call Dr. on Sat Jan 2 to notify him of reaction - if Dr not in on Sat will call office on Monday Jan 4, 2010. Told pt to call us at pharmacy to let us know how he is doing.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Vaccinated on upper left arm for H1N1 on 12/30/2009.  Red rash appeared on left arm primarily on backside of upper arm, extending on underside of forearm almost to the wrist.  First noticed rash upon awakening, about 18 hours after vaccination.  No itching or discomfort, no temperature or other ill feelings.  Applied hydrocortisone and moisturizing lotion to the rash area.  Advised the pharmacist who administered the vaccine of the rash.  She recommended treatment and filed a Vaers E-Report Number E-39718.  It is 50 hours since vaccination and rash is diminishing.
Age: 75.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Rash erythematous
Clinical narrative: Vaccinated on upper left arm for H1N1 on 12/30/2009.  Red rash appeared on left arm primarily on backside of upper arm, extending on underside of forearm almost to the wrist.  First noticed rash upon awakening, about 18 hours after vaccination.  No itching or discomfort, no temperature or other ill feelings.  Applied hydrocortisone and moisturizing lotion to the rash area.  Advised the pharmacist who administered the vaccine of the rash.  She recommended treatment and filed a Vaers E-Report Number E-39718.  It is 50 hours since vaccination and rash is diminishing.
Age: 30.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting for about 12 hours.  I was not able to keep down any food or drink.
Age: 35.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Diarrhea, Fatigue, Muscle Aches, nausea, stomach cramps, headache.
Age: 35.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Nausea
Clinical narrative: Diarrhea, Fatigue, Muscle Aches, nausea, stomach cramps, headache.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Dizziness, Fall, Joint injury, Poisoning
Clinical narrative: Between 4:30 PM and 5:15PM, I consumed several alcohol drinks for New Years Eve and became immediately intoxicated. The amount of alcohol consumed has never intoxicated me. My husband drove me home and after arriving home, became dizzy and collapsed on bathroom floor. Bruised hip and top of hand is only injuries. I have never had this happen to me before and feel it was possibly due to the recent vaccination for Shingles that caused this immediate intoxication. The paperwork provided at the time of vaccination did not say you could not consume alcohol within the few hours after receiving it but obviously it had an adverser effect on me.
Age: 44.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain, Headache, Nausea, Tremor, Vomiting
Clinical narrative: SEVERE ABDOMINAL PAIN FOLLOWED WITH NAUSEA AND VOMITING, FEEL VERY SHAKY PLUS HEADACHY
Age: 52.0
Sex: F
Vaccine: DTAP, FLUX
Symptoms: Chills, Injection site pain, Lethargy, Pain, Pyrexia
Clinical narrative: Localized pain - fever, chills, lethargy. Spent 3 days in bed sick.  Deltoid arm pain continued.  Now deltoid arm pain at injection site comes and goes - feels like a deep stabbing pain, then sore, tender.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Dizziness, Heart rate decreased, Pallor, Vomiting
Clinical narrative: Pale, felt faint, vomited. Lay down: 82/34 b/p with pulse 48, O2sat 98%,  after a few minutes, felt better, stood w/ bp of 97/60, pulse 91, left feeling well per pt.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Culture, Dysphonia, Dyspnoea, Lethargy
Clinical narrative: Severe Sore Throat, Shortness of Breath, Productive Cough, Right Side Chest pain, hoarseness, lethargy, malaise.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Malaise, Oropharyngeal pain, Productive cough, Sputum culture positive, Staphylococcal infection
Clinical narrative: Severe Sore Throat, Shortness of Breath, Productive Cough, Right Side Chest pain, hoarseness, lethargy, malaise.
Age: 24.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Lethargy, Malaise, Pyrexia
Clinical narrative: Fevers  malaise, lethargy, joint pain
Age: 12.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Chills, Diarrhoea, Malaise, Nausea, Oropharyngeal pain
Clinical narrative: Frequent loose Bowel Movements throughout day, chills, sore throat, malaise, slight nausea.
Age: 66.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Hypertension
Clinical narrative: severe headaches,with high blood pressure of 200/112 took my high pressure medication
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site urticaria, Urticaria
Clinical narrative: Hives appearing on torso and at injection site of VZV. Redness at site of HPV. Reported 7- 8 hrs after immunizations given. Child was administered wt. appropriate dose of Benadryl. No facial swelling or respiratory involvment noted. Moc reported child doing well and hives  had dissipated after Benadryl given. Moc noted that child had also been to nail salon  to have artificial nails applied after office visit and shots administered. Unknown if this event could have caused this reaction.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Complex partial seizures, Electroencephalogram, Nuclear magnetic resonance imaging, Speech disorder
Clinical narrative: My daughter started having issue, when she would speak, she would stop talking and also when she was reading she couldn't make out the words. this was happening like once in a while for several months after her HPV Vaccine.then she was getting these episode several times a day (4-6) we took her to 2 neurologists. Dr. diagnose my daughter with Partial Complex seizure and she is now taking Lamictal for the rest of her life.
Age: 62.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain upper, Migraine, Nausea, Pain in extremity
Clinical narrative: Two hours after shot, sore arm, migraine like headache (dull persistent ache that grew stronger); low level stomach ache which after 20 hours became nausea.
Age: 1.8
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Blood culture negative, Blood test normal, Febrile convulsion, Pyrexia, Rhinorrhoea
Clinical narrative: Started to get a runny nose on 12/30/2009, then on 12/31/2009 woke up with a slight low grade fever, temp not taken. At 12:00 noon child was given tylenol for fever and put down for a nap. He woke up at 3:00 and had a Febrile Seizure his rectal temperature was 103.5. This temp was taken by the ER nurse.
Age: 49.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Injection site pain, Musculoskeletal pain, Pain, Pain in extremity, Spinal fusion surgery
Clinical narrative: Painful right arm and shoulder. Hurts to move, to lift or throw things and is very painful to lie (sleep) on. I know pain at the  site of injection is common after vaccination, but this pain has continued even though it is now 8-weeks post vaccination and is also in my shoulder. This is not the side of my body that was in pain prior to cervical fusion surgery. Those pains are greatly reduced, but the right arm pain, that was not present prior to vaccination, has persisted.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Head injury, Loss of consciousness
Clinical narrative: Pt received H1N1 vaccination and within 1 min of standing up she lost consciousness, passed out, hit head, and regained consciousness.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Heart rate increased
Clinical narrative: Patient received H1N1 vaccine on 12-29-09. Pt states experiencing a rapid heart rate on 1-2-2010. I encouraged her to see her doctor. She states she will be calling her doctor on Monday 1-4-10.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Chills, Pain, Tremor
Clinical narrative: 102 degree temp shakes chills body aches - severe  naproxen ceterizine acetaminophen
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Chest pain, Chills, Confusional state, Convulsion
Clinical narrative: Patient was treated at hospital on the following dates: 5/7/07, 5/9/07, 10/26/07, 12/09/07, 02/05/08, 03/12/08, 04/16/08, 04/17/08, 05/08/08, 10/19/08, 11/18/08/04/01/09, 05/18/09, 05/27/09, 05/28/09 through 5/31/09, 09/03/09 9/17/09, 09/20/09, 09/23/09, 10/19/09, 10/23/09, 10/26/09 through 10/28/09, 11/17/09, 11/23/09, 11/24/09,  12/14/09, and 12/25/09 for medical issues relating to adverse reaction to the Gardasil vaccine.  She was also treated by multiple physicians on the following dates: 04/17/07, 05/16/07, 06/29/07, 10/08/08, 10/15/08, 11/13/08, 01/28/09, 02/11/09, 04/02/09, 05/12/09, 05/28/09, 06/02/09, 06/10/09, 07/02/09, 07/28/09, 08/12/09, 09/14/09, 09/21/09, 09/25/09 by two separate physicians, 10/09/09, 10/12/09, 10/19/09, 11/09/09, 11/16/09, 11/17/09, 11/23/09, 11/30/09, 12/02/09, 12/11/09, 12/14/09, and 01/01/10.  Patient was seen and treated for the following ongoing medical issues:  Fibromyalgia, environmental allergic reactions, hoarseness, coughing, shortness of breath, difficulty/pain when swallowing, continued throat pain, dizziness, repeated severe headaches, light headed, chills, overheated, excessive night sweating, lethargic, sleeping for entire day without waking rested, confusion/short term memory issues, seizures, sharp chest pains, racing heart, muscle/joint aches, hives on trunk/arms/shoulders, ringing in ears, severe depression, twisted/spastic colon, acid reflux, heartburn, weight gain. 1/4/2010 GI consult records for 9/14/2009, patient with chronic but progressively worse abdominal pain of ? etiology, increased fatigue, non-specific chest pain, change in bowel movements, alternating constipation and diarrhea, cold sweats and SOB with exertion, weakness with sensation of knees giving away
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cough, Depression, Dizziness, Dyspepsia, Dysphagia
Clinical narrative: Patient was treated at hospital on the following dates: 5/7/07, 5/9/07, 10/26/07, 12/09/07, 02/05/08, 03/12/08, 04/16/08, 04/17/08, 05/08/08, 10/19/08, 11/18/08/04/01/09, 05/18/09, 05/27/09, 05/28/09 through 5/31/09, 09/03/09 9/17/09, 09/20/09, 09/23/09, 10/19/09, 10/23/09, 10/26/09 through 10/28/09, 11/17/09, 11/23/09, 11/24/09,  12/14/09, and 12/25/09 for medical issues relating to adverse reaction to the Gardasil vaccine.  She was also treated by multiple physicians on the following dates: 04/17/07, 05/16/07, 06/29/07, 10/08/08, 10/15/08, 11/13/08, 01/28/09, 02/11/09, 04/02/09, 05/12/09, 05/28/09, 06/02/09, 06/10/09, 07/02/09, 07/28/09, 08/12/09, 09/14/09, 09/21/09, 09/25/09 by two separate physicians, 10/09/09, 10/12/09, 10/19/09, 11/09/09, 11/16/09, 11/17/09, 11/23/09, 11/30/09, 12/02/09, 12/11/09, 12/14/09, and 01/01/10.  Patient was seen and treated for the following ongoing medical issues:  Fibromyalgia, environmental allergic reactions, hoarseness, coughing, shortness of breath, difficulty/pain when swallowing, continued throat pain, dizziness, repeated severe headaches, light headed, chills, overheated, excessive night sweating, lethargic, sleeping for entire day without waking rested, confusion/short term memory issues, seizures, sharp chest pains, racing heart, muscle/joint aches, hives on trunk/arms/shoulders, ringing in ears, severe depression, twisted/spastic colon, acid reflux, heartburn, weight gain. 1/4/2010 GI consult records for 9/14/2009, patient with chronic but progressively worse abdominal pain of ? etiology, increased fatigue, non-specific chest pain, change in bowel movements, alternating constipation and diarrhea, cold sweats and SOB with exertion, weakness with sensation of knees giving away