chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Abdominal pain, Biopsy small intestine, C-reactive protein increased, Ileitis, Pyrexia
Clinical narrative: Generalized abdominal pain and fever that continued for 6 hours; went to local ED.  Outside abdominal CT showed moderate inflammation of distal ileum, no abscess, no appendicitis.  Transferred to hospital: wbc 14K w/slight left shift.  ESR 44, CRP 266.  Symptoms improved with IVF over 48 hours; sent home.  Recurrent fever and abdominal pain 2 days after d/c and was readmitted.  Inflammatory markers were down but CT of abdomen showed persistent but less ileal edema.  Managed with IVF and narcotics.  Symptoms slowly resolved over 4 days.  Colonoscopy was wnl; ileal biopsy was negative.  Went home on progressive bland diet.
Age: 16.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Red blood cell sedimentation rate increased, White blood cell count increased
Clinical narrative: Generalized abdominal pain and fever that continued for 6 hours; went to local ED.  Outside abdominal CT showed moderate inflammation of distal ileum, no abscess, no appendicitis.  Transferred to hospital: wbc 14K w/slight left shift.  ESR 44, CRP 266.  Symptoms improved with IVF over 48 hours; sent home.  Recurrent fever and abdominal pain 2 days after d/c and was readmitted.  Inflammatory markers were down but CT of abdomen showed persistent but less ileal edema.  Managed with IVF and narcotics.  Symptoms slowly resolved over 4 days.  Colonoscopy was wnl; ileal biopsy was negative.  Went home on progressive bland diet.
Age: 15.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Headache, Pyrexia
Clinical narrative: Pt. developed fever 103 and headache within five hours of receiving vaccines.
Age: 11.0
Sex: M
Vaccine: HPV4, MEN, TDAP
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Notes itchy swollen R upper arm on R.  (site of HPV and Menactra vaccines) and smaller area on L upper arm (TDAP site).
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Haemorrhage, Ultrasound scan abnormal, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a registered nurse as part of the pregnancy registry for GARDASIL, concerning a 24 year old Rh negative female patient with no known drug allergies, history of 4 pregnancies: 3 elective abortions (no dates provided), 1 live birth and a LEEP procedure on 07-DEC-2009 who "elsewhere about 3 years ago" was vaccinated with the first dose of GARDASIL and on 12/28/2009 was vaccinated with the second dose of GARDASIL (Lot# 663454/0672Y). The patient had an "UCG" test positive at home, an ultrasound was performed on 22-APR-2010 and showed a nonviable pregnancy. The nurse reported that the patient started bleeding on 22-APR-2010 (also reported as mid April) and was diagnosed with a spontaneous abortion. LMP: 12-FEB-2010; estimated due date 19-NOV-2010. The products of conception were examined in the office but not sent to the lab The event was not considered disabling or life threatening; there was no hospitalization. The patient had recovered. Upon internal review spontaneous abortion was considered to be other important medical event. Additional information is not expected.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Borrelia test negative, Computerised tomogram abdomen abnormal, Computerised tomogram abnormal, Epstein-Barr virus test negative
Clinical narrative: Information has been received from a laboratory technician, concerning her 19 year old daughter, with no pertinent medical history and no known drug allergies, who on 08-JAN-2008, was vaccinated with the first dose of GARDASIL (dose and route not provided) (lot number 659657/1487U). On 06-MAR-2008, the patient received the second dose of GARDASIL (dose and route not provided) (lot number 659657/1487U). On 15-JUL-2008, the patient received the third dose of GARDASIL (dose and route not provided) (lot number 660389/1968U). Concomitant therapy included hormonal contraceptives (unspecified). There were not concomitant vaccines administered. On 28-DEC-2008, the patient experienced neck stiffness which eventually became a swollen neck. On approximately 08-JAN-2009, "after the first week and a half", the patient had night sweats with a fever. On 15-JAN-2009, "a week after the nights and fever" the patient broke out with a septic rash on her legs, then went to urgent care. On 15-JAN-2009, the patient got a computed axial tomography scan on her neck and found enlarged lymph nodes. On 16-JAN-2009, the patient got a computed axial tomography scan of the abdomen and showed enlarged lymph nodes and pericardial "infusion". On 26-JAN-2009, "the end of January", the patient was hospitalized for 5 days because her left leg was swollen and the patient could not walk on it. The patient's feet and toes were swollen as well. On 27-JAN-2009, the patient ended up having an ultrasound (also reported as sonogram) of the left leg, and showed swelling but no blood clots. On 30-JAN-2009, the patient had a magnetic resonance imaging of the ankle and calf and the result was negative. The patient was also tested for Guillain-Barre and Epstein-Barr virus and both were negative. Prescription treatment included pain medications (unspecified), steroids (unspecified) and antibiotics (unspecified). The patient sought chiropractic care and was seen by a rheumatologist. No diagnosis was made. On an unknown date, the patient initiated a peripherally inserted central catheter line for antibiotics (unspecified). At the time of reporting, the patient was still recovering (also reported as "mostly recovered"), although the patient still occasionally had swollen joints. The reporting laboratory technician considered swollen left leg, feet and toes as disabling since the patient could not walk for a period of time and then needed to wear a special boot. Additional information has been requested. On 26-JAN-2009, the patient was admitted to Medical Center.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Gait disturbance, Joint swelling, Laboratory test normal, Local swelling, Lymphadenopathy
Clinical narrative: Information has been received from a laboratory technician, concerning her 19 year old daughter, with no pertinent medical history and no known drug allergies, who on 08-JAN-2008, was vaccinated with the first dose of GARDASIL (dose and route not provided) (lot number 659657/1487U). On 06-MAR-2008, the patient received the second dose of GARDASIL (dose and route not provided) (lot number 659657/1487U). On 15-JUL-2008, the patient received the third dose of GARDASIL (dose and route not provided) (lot number 660389/1968U). Concomitant therapy included hormonal contraceptives (unspecified). There were not concomitant vaccines administered. On 28-DEC-2008, the patient experienced neck stiffness which eventually became a swollen neck. On approximately 08-JAN-2009, "after the first week and a half", the patient had night sweats with a fever. On 15-JAN-2009, "a week after the nights and fever" the patient broke out with a septic rash on her legs, then went to urgent care. On 15-JAN-2009, the patient got a computed axial tomography scan on her neck and found enlarged lymph nodes. On 16-JAN-2009, the patient got a computed axial tomography scan of the abdomen and showed enlarged lymph nodes and pericardial "infusion". On 26-JAN-2009, "the end of January", the patient was hospitalized for 5 days because her left leg was swollen and the patient could not walk on it. The patient's feet and toes were swollen as well. On 27-JAN-2009, the patient ended up having an ultrasound (also reported as sonogram) of the left leg, and showed swelling but no blood clots. On 30-JAN-2009, the patient had a magnetic resonance imaging of the ankle and calf and the result was negative. The patient was also tested for Guillain-Barre and Epstein-Barr virus and both were negative. Prescription treatment included pain medications (unspecified), steroids (unspecified) and antibiotics (unspecified). The patient sought chiropractic care and was seen by a rheumatologist. No diagnosis was made. On an unknown date, the patient initiated a peripherally inserted central catheter line for antibiotics (unspecified). At the time of reporting, the patient was still recovering (also reported as "mostly recovered"), although the patient still occasionally had swollen joints. The reporting laboratory technician considered swollen left leg, feet and toes as disabling since the patient could not walk for a period of time and then needed to wear a special boot. Additional information has been requested. On 26-JAN-2009, the patient was admitted to Medical Center.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal stiffness, Night sweats, Nuclear magnetic resonance imaging normal, Oedema peripheral, Pericardial effusion
Clinical narrative: Information has been received from a laboratory technician, concerning her 19 year old daughter, with no pertinent medical history and no known drug allergies, who on 08-JAN-2008, was vaccinated with the first dose of GARDASIL (dose and route not provided) (lot number 659657/1487U). On 06-MAR-2008, the patient received the second dose of GARDASIL (dose and route not provided) (lot number 659657/1487U). On 15-JUL-2008, the patient received the third dose of GARDASIL (dose and route not provided) (lot number 660389/1968U). Concomitant therapy included hormonal contraceptives (unspecified). There were not concomitant vaccines administered. On 28-DEC-2008, the patient experienced neck stiffness which eventually became a swollen neck. On approximately 08-JAN-2009, "after the first week and a half", the patient had night sweats with a fever. On 15-JAN-2009, "a week after the nights and fever" the patient broke out with a septic rash on her legs, then went to urgent care. On 15-JAN-2009, the patient got a computed axial tomography scan on her neck and found enlarged lymph nodes. On 16-JAN-2009, the patient got a computed axial tomography scan of the abdomen and showed enlarged lymph nodes and pericardial "infusion". On 26-JAN-2009, "the end of January", the patient was hospitalized for 5 days because her left leg was swollen and the patient could not walk on it. The patient's feet and toes were swollen as well. On 27-JAN-2009, the patient ended up having an ultrasound (also reported as sonogram) of the left leg, and showed swelling but no blood clots. On 30-JAN-2009, the patient had a magnetic resonance imaging of the ankle and calf and the result was negative. The patient was also tested for Guillain-Barre and Epstein-Barr virus and both were negative. Prescription treatment included pain medications (unspecified), steroids (unspecified) and antibiotics (unspecified). The patient sought chiropractic care and was seen by a rheumatologist. No diagnosis was made. On an unknown date, the patient initiated a peripherally inserted central catheter line for antibiotics (unspecified). At the time of reporting, the patient was still recovering (also reported as "mostly recovered"), although the patient still occasionally had swollen joints. The reporting laboratory technician considered swollen left leg, feet and toes as disabling since the patient could not walk for a period of time and then needed to wear a special boot. Additional information has been requested. On 26-JAN-2009, the patient was admitted to Medical Center.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Septic rash, Ultrasound scan abnormal
Clinical narrative: Information has been received from a laboratory technician, concerning her 19 year old daughter, with no pertinent medical history and no known drug allergies, who on 08-JAN-2008, was vaccinated with the first dose of GARDASIL (dose and route not provided) (lot number 659657/1487U). On 06-MAR-2008, the patient received the second dose of GARDASIL (dose and route not provided) (lot number 659657/1487U). On 15-JUL-2008, the patient received the third dose of GARDASIL (dose and route not provided) (lot number 660389/1968U). Concomitant therapy included hormonal contraceptives (unspecified). There were not concomitant vaccines administered. On 28-DEC-2008, the patient experienced neck stiffness which eventually became a swollen neck. On approximately 08-JAN-2009, "after the first week and a half", the patient had night sweats with a fever. On 15-JAN-2009, "a week after the nights and fever" the patient broke out with a septic rash on her legs, then went to urgent care. On 15-JAN-2009, the patient got a computed axial tomography scan on her neck and found enlarged lymph nodes. On 16-JAN-2009, the patient got a computed axial tomography scan of the abdomen and showed enlarged lymph nodes and pericardial "infusion". On 26-JAN-2009, "the end of January", the patient was hospitalized for 5 days because her left leg was swollen and the patient could not walk on it. The patient's feet and toes were swollen as well. On 27-JAN-2009, the patient ended up having an ultrasound (also reported as sonogram) of the left leg, and showed swelling but no blood clots. On 30-JAN-2009, the patient had a magnetic resonance imaging of the ankle and calf and the result was negative. The patient was also tested for Guillain-Barre and Epstein-Barr virus and both were negative. Prescription treatment included pain medications (unspecified), steroids (unspecified) and antibiotics (unspecified). The patient sought chiropractic care and was seen by a rheumatologist. No diagnosis was made. On an unknown date, the patient initiated a peripherally inserted central catheter line for antibiotics (unspecified). At the time of reporting, the patient was still recovering (also reported as "mostly recovered"), although the patient still occasionally had swollen joints. The reporting laboratory technician considered swollen left leg, feet and toes as disabling since the patient could not walk for a period of time and then needed to wear a special boot. Additional information has been requested. On 26-JAN-2009, the patient was admitted to Medical Center.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Acoustic stimulation tests normal, Activities of daily living impaired, Alanine aminotransferase normal, Anion gap normal, Aspartate aminotransferase normal
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Balance disorder, Basophil count normal, Bedridden, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood folate increased, Blood glucose increased
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood glucose normal, Blood osmolarity increased, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood thyroid stimulating hormone normal, Blood urea normal, Carbon dioxide normal, Cerumen impaction, Eosinophil count normal
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Full blood count normal, Glomerular filtration rate increased, Haematocrit normal, Haemoglobin normal, Headache
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hearing impaired, Hypoaesthesia, Impaired work ability, Inner ear disorder, Lymphocyte count normal
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count normal, Motion sickness
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscular weakness, Nausea, Neutrophil count, Neutrophil count normal, Nystagmus
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Platelet count normal, Protein total normal, Reading disorder, Red blood cell count normal
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Red blood cell sedimentation rate normal, Red cell distribution width normal, Thyroxine free normal, Vertigo, Vitamin B12 normal
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: White blood cell count normal
Clinical narrative: Hearing changes initially noticed in November (R) ear very sensitive to noise. Now bilateral ears very sensitive to noise. Vertigo started 12/26/2009 and has continued daily until present date. The vertigo consists of full blown spins, unsteadiness, sensation of head being pushed to one side or the ground, nausea, motion sickness. Unable to read or be on computer for more than a few minutes at a time. Unable to work for weeks and now only working part-time but with constant symptoms. Presented to family physician on 12/30/2009 for the vertigo. Was started on AMOXIL and Meclizine with no change in symptoms. Presented to Ear Nose and Throat specialist on 1/4/2010 at which time cerumen impaction was removed but vertigo did not resolve. Returned to family physician multiple times in January and February and the Epley Maneuver was performed without resolution. CLARITIN and VERAMYST were tried for several weeks with no change in symptoms in the interim. ENT performed ABR and hearing test with CBC, TSH and serum glucose which were all within normal limits. Symptoms moderately improved for 1 week February 15-21 and then returned with worsening symptoms on Feb 27. Symptoms were severe causing confinement to bed for 3 weeks in March. Balance testing was performed on 3/10/2010 showing significant nystagmus and conclusion of right inner ear permanent damage. VALIUM and ELAVIL were started with no resolution in symptoms after 6 weeks. Vestibular rehab was initiated with no significant improvement in symptoms after 7 weeks. I was unable to work during this time and have only been able to work part time since 3/30/2010. Symptoms are daily and have caused bed confinement on a weekly basis. Presented to Dr., an otoneurologist on 4/8/2010. He is unsure of the diagnosis and has weaned me off ELAVIL but started ROBINUL, with no significant improvement in symptoms. I will be starting TOPAMAX today but was informed that it will take up to four weeks for effectiveness to be known. Dr. is also suggesting that a neurologist be consulted. Also experienced numbness and tingling in bilateral arms and upper legs in January. this lasted about 3 weeks and has resolved. Legs felt weak during this time.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and redness.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Sudden cardiac death, Syncope
Clinical narrative: Pt collapsed and sent to ER by rescue squad. Sudden cardiac death.
Age: 67.0
Sex: U
Vaccine: FLUX(H1N1)
Symptoms: Cough, Dysuria, Influenza like illness
Clinical narrative: Received H1N1 on Dec 16, 2009. Developed chronic dry cough for several weeks. Developed flu like symptoms and couldn't urinate. Thereafter was paralyzed from chest down.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Death, Pyrexia, Toxicologic test abnormal
Clinical narrative: Death - 13 hours after Influenza A administration. Spouse had evidence of febrile event when found. spouse had been exposed to son with H1N1 (swine) continuously for 5 days in preceding 8 days before death. It was unknown at time that son had H1N1 and only became known to us 6 weeks after patient's death.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Diarrhoea, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Late Sat. night, vomiting - diarrhea. Stopped vomiting and diarrhea Sunday afternoon. Fever 101.8. TYLENOL given. Headache, nauseous and dizziness started. Fever stopped but now nausea and dizziness. Finally is able to eat today. Mother instructed to call MD. Mother thought maybe it was flu.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: Late Sat. night, vomiting - diarrhea. Stopped vomiting and diarrhea Sunday afternoon. Fever 101.8. TYLENOL given. Headache, nauseous and dizziness started. Fever stopped but now nausea and dizziness. Finally is able to eat today. Mother instructed to call MD. Mother thought maybe it was flu.
Age: 1.25
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site urticaria, Injection site warmth
Clinical narrative: After received DTAP vaccine, got hives on the site. Size 15 cm wide x 10 cm long. Hot to touch. Ice pack to the site. BENADRYL given per MD's order.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Rash macular, Skin warm, Tenderness
Clinical narrative: Redness and splotchy rash measures 13 1/2 x 9 cm - slightly warm to touch, hot tender to palpation. No systemic symptoms.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Anxiety, Injected limb mobility decreased, Injection site pain
Clinical narrative: Left shoulder pain with decreased active ROM, tenderness but no erythema. Apprehension with passive ROM.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Ovarian cyst, Ultrasound pelvis abnormal
Clinical narrative: Pt presented at office today to report that she was advised by her midwife that her ultrasound revealed a corpus luteum indicating pt had been pregnant, but must have miscarried.  Pt reports that she passed some tissue in February but did not report it because she didn't know what it was.  She is concerned that miscarriage may have resulted from H1N1 vaccination.
Age: 12.0
Sex: U
Vaccine: DTAPIPV, HEP, HEPA, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 12 y/o received KINRIX vaccine. KINRIX is approved for ages 4-6 years.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye discharge, Eye pruritus, Eye swelling, Ocular hyperaemia, Vision blurred
Clinical narrative: Woke up with swollen, runny, reddened bilat eyes with itching, with some blurriness.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Cough, Full blood count normal, Lethargy, Pyrexia
Clinical narrative: LETHARGY, FEVER, COUGH DEVELOPED WITHIN 24 HOURS.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: headache
Age: 28.0
Sex: F
Vaccine: FLU(H1N1), TD
Symptoms: Contusion, Erythema, Pain, Pyrexia, Skin warm
Clinical narrative: Bruising, redness, warmth, low grade fever, soreness.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Left thigh induration with erythema of large area of thigh with increase temp of erythematous area. NT to palpations.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, Dizziness, Fatigue, Full blood count normal
Clinical narrative: Within 24 hours, pain in arm, dizzy, headache, fatigue, fever 100.9. Seen in office - ED - back in office. Labs are normal.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Headache, Metabolic function test, Pain in extremity, Pyrexia
Clinical narrative: Within 24 hours, pain in arm, dizzy, headache, fatigue, fever 100.9. Seen in office - ED - back in office. Labs are normal.
Sex: M
Vaccine: UNK
Symptoms: Contusion, Full blood count, Rash, Skin lesion, Viral infection
Clinical narrative: Rash, lesions 2-5 mm, scattered over upper extremities and neck; bruise like. Rash occurred 4/24 with viral syndrome. Vaccines given 4/19/10.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle twitching
Clinical narrative: Twitching of left eye.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), PNC13
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: PCV 13 administered on 4/27 in L arm. Mom returned to clinic 4/30 to have labs drawn. L arm noted to have large, red area around where PCV 13 was given ~ 3 1/2" wide x 3" tall - tender, warm and induration. H1N1 administered on 4/27 in R arm. Small red area ~ 1/2"x1/2" with 2 or 3 pinpoint raised bumps in center. No tenderness or itching. Not warm or tender today (was yesterday).
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Blood glucose abnormal, Polydipsia, Polyuria, Type 1 diabetes mellitus
Clinical narrative: Four days after vaccine polyuria & polydipsia. Dx new onset Type I diabetes.