chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Presyncope, Red blood cell sedimentation rate, Thirst, Thyroid function test, Visual impairment
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vitamin B12
Clinical narrative: Gardasil #1 (1423X) given in right arm on 4/23/09. Adverse reactions symptoms began 4/24/09 exhibited by: dizziness, headache, stomach pain, nausea, chest pains, shortness of breath, pins/needle sensations to feet, burning of skin, nerve pain to right elbow, fatigue, muscle weakness to legs, nausea, swollen lymph nodes to neck.  Physician contacted 4/28/09 because this was felt to be in direct relation to the vaccine. She felt it was viral.  6/03/09  Same physician seen due to symptoms becoming more severe.  Lab work drawn to rule out Mono due to swollen lymph nodes. 6/08/09  Pediatric Neurologist seen who confirmed that the symptoms were directly related to the Gardasil injection. Diagnosed peripheral neuropathy.  6/17/09 Medical and immunization records received DOS 4/23/09 to 6/3/09. Assessment: Pain & tingling, fatigue, lymphadenopathy.  Patient presented with fatigue, headache, dizzy, chest pain, tingly feeling in arms and legs, pale, tender cervical lymph nodes. Referral to neurologist.  LABS and DIAGNOSTICS: Planned CBC, ESR, CRP, Electrolytes, EBV, IgG, IgM.  8/3/09 Consultant medical records received DOS 12/12/08 to 6/29/09. Assessment: New onset symptoms after Gardasil. Patient presents with dizziness and waves of nausea. Chest pain, shortness of breath, and intermittent bifrontal headaches. Tingling of feet and hands with associated pain. Burning sensation in hands and quadraceps muscles. Off balance. Back pain. EB Virus pending. Neuropathic type pain - ulnar region. Allodynic pain. Tender in C2 to C6. Heart rate 74 and standing heart rate 100. Flat affect and dysphoric mood.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Pt c/o redness, swelling of about 3 inches.  Slight itchiness.  Slightly sore.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Drooling, Dyspnoea, Injection site swelling, Loss of consciousness, Staring
Clinical narrative: Drunk stare, drooling, swelling of injection site. SOB, passed out completely. No response X 10 min. This occurred several hours after the injection went ER.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Unresponsive to stimuli
Clinical narrative: Drunk stare, drooling, swelling of injection site. SOB, passed out completely. No response X 10 min. This occurred several hours after the injection went ER.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Hypersensitivity, Injection site joint pain, Rash, Urticaria
Clinical narrative: Severe rash on arms and hives + joint pain, left arm.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Full blood count normal, Influenza serology negative, Laboratory test normal, Mononucleosis heterophile test negative
Clinical narrative: Within 24 hours of vaccine c/o sore throat -  light headiness
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Oropharyngeal pain, Streptococcal identification test negative
Clinical narrative: Within 24 hours of vaccine c/o sore throat -  light headiness
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Hypophagia, Irritability, Pyrexia
Clinical narrative: Fever even with TYLENOL, fussiness, decreased eating
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 104 degrees about 12 hours after immunizations
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Arm swollen 2X NL size, Red, hot vesicules around injection site had given Benadryl in ER.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site urticaria, Myalgia, Pyrexia
Clinical narrative: Fever 102 - large hives at site of injection - myalgias and arthralgias
Age: 15.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 1 day after the immunization, child developed ~ 2" red raised tender area surrounding VARIVAX site - no vesicules - now it brown skin surrounding site.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Erythematous swelling, right deltoid area. Day after shot was given.
Age: 22.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Headache
Clinical narrative: A 22 year old male patient received a first time dose of MENACTRA (lot number U2816AA) intramuscularly in the right deltoid on 05 May 2009.  On 06 May 2009 the patient reported feeling dizzy and his "head felt like it was full of fluid".  The symptoms were still present at the time of the report.  List of Documents held by Sender:  none.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: This non serious case was received on 08 May 2009 from a health care professional.  A 12 year old female patient received a second dose of ADACEL (lot number C3068AA) intramuscularly in the left deltoid and MENACTRA (lot number U2869AA) intramuscularly in the right deltoid on 07 May 2009.  On 08 May 2009 the patient developed a fever, headache, and dizziness.  The recovery status was not reported.  Follow up information received on 26 May 2009 from a health care professional who reported that the patient recovered.  No further information was provided.  List of Documents held by Sender:  none.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash generalised
Clinical narrative: Rash started on (L) ear - Spread down face and trunk with a fine, flat, red rash that continued down his body - No fevers noted.
Age: 38.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Arthralgia, Fatigue, Injection site nodule, Lymphadenopathy, Malaise
Clinical narrative: Description: persistent, progressive arthralgias/myalgias post vaccinations. Symptom: Nodule, subcutaneous Start: 2/13/2003 Comment: L arm vaccine site. Symptom: Muscle Pain Start: 3/19/2003. Symptom: Joint Pain, multiple joints Start: 3/19/2003. Symptom: Lymphadenopathy, axillary Start: 3/19/2003 Comment: right side. Symptom: Fatigue, Malaise >60 Days Start: 2/13/2003.
Age: 38.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Myalgia
Clinical narrative: Description: persistent, progressive arthralgias/myalgias post vaccinations. Symptom: Nodule, subcutaneous Start: 2/13/2003 Comment: L arm vaccine site. Symptom: Muscle Pain Start: 3/19/2003. Symptom: Joint Pain, multiple joints Start: 3/19/2003. Symptom: Lymphadenopathy, axillary Start: 3/19/2003 Comment: right side. Symptom: Fatigue, Malaise >60 Days Start: 2/13/2003.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Haematochezia, Mucous stools, Nasopharyngitis
Clinical narrative: This information was originally reported to Merck by a physician. It was received from Merck on 03 June 2009. The following narrative is verbatim from that report: "Information has been received from a physician concerning a 9 week old male with no pertinent medical history reported who on 13-MAY-2009 was vaccinated orally with first dose of ROTATEQ (dose and lot number not provided). Secondary suspect therapy included HEP B (manufacturer unknown), PENTACEL and PREVENAR. The physician reported that the patient's mother brought the patient to the office because he had been having "stool with blood and stringy mucous in it for the past three weeks" (also reported as 22-MAY-2009). The mother also reported that the patient was recovering from a cold. The patient sought unspecified medical attention." "Upon internal review stool with blood was considered to be an other important medical event." "Additional information has been requested".
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Fall, Immediate post-injection reaction, Malaise, Syncope
Clinical narrative: Patient had  syncope episode immediately after MENACTRA vaccine + HGB blood draw. Pt was sitting on exam table and stated. I didn't feel good, I don't like the sight of blood" and then fell to side lying position on table immune X 2-35 seconds. Recovered /drank juice / stable vs & left office in stable condition.
Age: 24.0
Sex: F
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Headache, Injection site erythema, Injection site pain, Pain
Clinical narrative: Within 4 hours, fever (up to 101 deg. F) headache, bodyaches, redness and soreness at site. Bodyaches, fever and headache intermittent for 2 1/2 more days following injection.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Blood culture negative, Haemoglobin decreased, Petechiae, Platelet count normal, Purpura
Clinical narrative: Petechiae and small purpuric areas on R lower leg.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: White blood cell count
Clinical narrative: Petechiae and small purpuric areas on R lower leg.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Started 24-36 hours after vaccine (R) deltoid.  Swelling at injection site according to mother- 3 1/2 in high 2 1/2 in wide.  Described red firm- like 2 golf balls one on top of other No blister, No seepage cleared 36 hours after topical ice- gone by office visit.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Information has been received from a staff member in a physician's office concerning a 46 year old female who on 13-APR-2009, at 9:40, was vaccinated IM with the first dose of PNEUMOVAX 23 (lot #: 662667/1435X). It was reported that according to the patient on 13-APR-2009 the patient experienced severe swelling, warmth and erythema. Severe swelling, warmth and erythema were considered to be disabling. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning two of her friend's children who on an unknown date were vaccinated with MMR II and developed autism. The patients' final outcome was not reported. Attempts to verify the existence of identifiable patients have been unsuccessful. Upon internal review autism was considered to be another important medical event. This is one of two reports received from the same source. No further information is available.
Age: 58.0
Sex: M
Vaccine: DT
Symptoms: Impaired work ability, Insomnia, Monoplegia, Pain in extremity, Skin discolouration
Clinical narrative: Initial report received on 29 May 2009 from a health care professional. A 58 year old male patient received DECAVAC intramuscularly in the left deltoid (lot number U2590AA) on 28 April 2009. A few days after the vaccination, the patient complained of soreness, pain in the left arm which got progressively worse. he reported having some paralysis in the left arm. Black spots appeared on his left leg and abdomen. He experienced loss of sleep for two nights. He was unable to work due to arm paralysis for two days. He was seen in the emergency room, however the diagnosis, treatment, and recovery status were all unknown. No further information was provided. List of Documents held by Sender: None.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Confusional state, Crying, Headache, Hypertension
Clinical narrative: Initial report received on 05 June 2009 from a health care professional. A 47 year old female patient who delivered twins vaginally on 02 June 2009 received ADACEL (lot number not known) on 03 June 2009. Route, site of administration, and number of previous doses were not reported. Concomitant therapy included PITOCIN, TYLENOL with CODEINE, and MOTRIN. It was not known if the patient received an epidural during the delivery. On 03 June 2009 the patient was discharged to home. The patient began crying, complained of chills, severe headache, high blood pressure, confusion, and was not following commands (specific onset of symptoms was not provided). The patient was readmitted to the hospital (date not specified) with possible seizure activity and possible encephalopathy. The patient was not recovered at the time of the report. List of Documents held by Sender: None.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Unresponsive to stimuli
Clinical narrative: Initial report received on 05 June 2009 from a health care professional. A 47 year old female patient who delivered twins vaginally on 02 June 2009 received ADACEL (lot number not known) on 03 June 2009. Route, site of administration, and number of previous doses were not reported. Concomitant therapy included PITOCIN, TYLENOL with CODEINE, and MOTRIN. It was not known if the patient received an epidural during the delivery. On 03 June 2009 the patient was discharged to home. The patient began crying, complained of chills, severe headache, high blood pressure, confusion, and was not following commands (specific onset of symptoms was not provided). The patient was readmitted to the hospital (date not specified) with possible seizure activity and possible encephalopathy. The patient was not recovered at the time of the report. List of Documents held by Sender: None.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Received MMR II and HAVRIX vaccine on (R) thigh, and Dtap, VARIVAX and IPV on (L) thigh. Noted large area of swelling and redness on (R) thigh today. Fever of 101 degree. Has 10X18 cm erythematous plaque over (R) upper thigh. Given KEFLEX po and BENADRYL po, F/u tomorrow.
Age: 44.0
Sex: M
Vaccine: DT
Symptoms: Body temperature increased, Dyspnoea, Erythema, Fatigue, Full blood count
Clinical narrative: Patient received DT on 6/1/09. Started feeling ill 6/2/09; i.e. HA, fatigue, red sore arm. On 6/3/09 had significant episode of dyspnea with headache and sore neck. Temp 99 degree on 6/5/09 and large local patch at injection sire. Started PREDNISONE on 685/09. Recovered by 6/8/09.
Age: 44.0
Sex: M
Vaccine: DT
Symptoms: Headache, Injection site rash, Malaise, Metabolic function test normal, Neck pain
Clinical narrative: Patient received DT on 6/1/09. Started feeling ill 6/2/09; i.e. HA, fatigue, red sore arm. On 6/3/09 had significant episode of dyspnea with headache and sore neck. Temp 99 degree on 6/5/09 and large local patch at injection sire. Started PREDNISONE on 685/09. Recovered by 6/8/09.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Vaccines given 5/26/2009.  Left leg appeared red, warm to touch and painful when touched.  Mom noticed this on 6/9/09.  Subsequent appt. 6/6/09.  On 6/5 area involved = 1 1/2 inches 6/6 area 3 cm X 3 cm child also had temp on 6/5 - 6/6 : (101. degree) ax. 6/6/09 started on axb. for 10 days
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site swelling
Clinical narrative: "Tennis ball" sized area around injection site. Dr believes it is a shingles lesion. Being treated with Acyclovir.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Fatigue, Pruritus, Pyrexia, Thirst
Clinical narrative: Noticed low fever, broke out in tiny hives (scalp, tummy, back, not legs). Hives light not raised, itchy. Fatigue, diarrhea, very thirsty. Now only has a couple of hives left. Did not take BENADRYL.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Noticed low fever, broke out in tiny hives (scalp, tummy, back, not legs). Hives light not raised, itchy. Fatigue, diarrhea, very thirsty. Now only has a couple of hives left. Did not take BENADRYL.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Headache, Injected limb mobility decreased, Injection site lymphadenopathy, Injection site mass
Clinical narrative: Headache within 2 hours. Had fasting blood test on 6/1/09. Arm was swollen at injection site, lump, fever 102, nausea, stomach ache, vomiting, swollen lymph glands. Injection site swollen 2-3 times normal size. Arms were not working, spasms on left arm, doctor put arm on sling on 6/1. 6/7/09 back to normal.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Lymphadenopathy, Muscle spasms, Nausea, Pyrexia
Clinical narrative: Headache within 2 hours. Had fasting blood test on 6/1/09. Arm was swollen at injection site, lump, fever 102, nausea, stomach ache, vomiting, swollen lymph glands. Injection site swollen 2-3 times normal size. Arms were not working, spasms on left arm, doctor put arm on sling on 6/1. 6/7/09 back to normal.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Headache within 2 hours. Had fasting blood test on 6/1/09. Arm was swollen at injection site, lump, fever 102, nausea, stomach ache, vomiting, swollen lymph glands. Injection site swollen 2-3 times normal size. Arms were not working, spasms on left arm, doctor put arm on sling on 6/1. 6/7/09 back to normal.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fall, Head injury, Presyncope, Syncope
Clinical narrative: Patient had severe vaso response and fainted at check out window approximately 8 minutes after receiving vaccine.  She fell hard and hit the floor with her head.  An ambulance was called due to the magnitude that she hit her head and it took her quite a long time (roughly 10 minutes) to completely come to and know her surroundings.  She had a very large knot on her forehead/temple area and we felt the need for the ER to evaluate the head for any trauma associated with the fall.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fall, Head injury, Loss of consciousness, Presyncope
Clinical narrative: Patient had severe vaso response and fainted at check out window approximately 8 minutes after receiving vaccine.  She fell hard and hit the floor with her head.  An ambulance was called due to the magnitude that she hit her head and it took her quite a long time (roughly 10 minutes) to completely come to and know her surroundings.  She had a very large knot on her forehead/temple area and we felt the need for the ER to evaluate the head for any trauma associated with the fall.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Right upper extremity cellulitis.  Swollen, red, warm to touch.  Painful to patient at administration site.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: International normalised ratio normal, Prothrombin time normal, Ultrasound Doppler normal
Clinical narrative: Right upper extremity cellulitis.  Swollen, red, warm to touch.  Painful to patient at administration site.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Rash erythematous, Skin warm
Clinical narrative: Patient received Tdap vaccine during school Tdap clinic on 5/13/09.  On 5/18/09 PHN received phone call from school nurse.  She reports patient's arm is swollen and warm to touch with a red rash about 3/4 the circumference of swollen area.  Rash is about 1 and 1/2" in diameter.  Left arm involved.  Patient saw her PCP.  No treatment indicated.  PCP dx immune response to vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Swelling to right thigh 5 cm around and warm to the touch and redness.  Mom stated child had fever as high as 102 F - temp today 98.5.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Neck pain
Clinical narrative: Pt received Hep B #2 dose on 06/08/09. She had a little redness at the site and went to bed. She woke in the middle of the night with neck pain. The pain has progressively gotten worse. She stated that her neck is not stiff and she has full range of motion. I advised her to seek medical attention from her MD. Also gave her phone number to the Health Center. Will follow up with her tomorrow.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Dehydration, Rotavirus test positive
Clinical narrative: vomiting and diarrhea, dehydration. Vaccine given at another facility. do not have lot information.  6/18/09 ER records received DOS 6/10/09 to 6/11/09. Assessment: Acute febrile illness. Patient presented with projectile vomiting after meals, fever. Watery smelly greenish diarrhea. Decreased wet diapers. Decreased activity level. Hyperactive bowel sounds. Cap refill prolonged.   7/02/09 Medical records received 6/1/09 to 6/16/09. Assessment: Recovering from diarrhea.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Nausea, Skull X-ray, Tremor, Vomiting
Clinical narrative: Parent called clinic approximately 2 hours after receiving Menactra Vaccine stating client complaining of headache and shaking. Advised to follow up with MD or go to ER. Called client 2 days after incident she states she had headache- progressively got worse, shaking all over and nausea with vomitting shortly after receiving immunization. Went to ER had head X-Ray to R/O sinusitus. Client was told by ER staff she either had a Migraine (no previous Hx) or a reaction to Menactra. Received 2 shots in ER and symptoms gradully disapated.
Age: 32.0
Sex: M
Vaccine: HEPAB
Symptoms: Death
Clinical narrative: Client received Twinrix vaccination on 5-26-09. Clt's wife called Health Department 6-9-09 inquiring about services she received and mentioned in passing that her husband passed away on 5-28-09. "No one knows what happened" was quoted by the wife.  7/7/09 Autopsy report received. Cause of death is Diphenhydramine intoxication.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Client was given an adolescent dose of Hep B in lieu of the adult dose.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Abnormal behaviour, Fear, Hallucination, Headache, Pyrexia
Clinical narrative: Patient's mother reported patient had fevers and headache pain since immunizations on 12/15/2008. Patient had high fever and also seemed to be having hallucinations the night of 12/15/2008 in which he was running up and down stairs and swatting at things.  On Tuesday morning (12/16/2008), patient was taken by an ambulance to ER because his behavior was out of control per Mom. He had a rapid strep test done there, which was negative. Mom also reported one more brief episode on Tuesday night (12/16/2008) lasting only 3 minutes where patient seemed very afraid.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Streptococcal identification test negative
Clinical narrative: Patient's mother reported patient had fevers and headache pain since immunizations on 12/15/2008. Patient had high fever and also seemed to be having hallucinations the night of 12/15/2008 in which he was running up and down stairs and swatting at things.  On Tuesday morning (12/16/2008), patient was taken by an ambulance to ER because his behavior was out of control per Mom. He had a rapid strep test done there, which was negative. Mom also reported one more brief episode on Tuesday night (12/16/2008) lasting only 3 minutes where patient seemed very afraid.
Age: 1.6
Sex: F
Vaccine: IPV, MMR, PNC
Symptoms: Blister, Dermatitis contact, Gianotti-Crosti syndrome, Hepatic enzyme increased, Platelet count increased
Clinical narrative: This child was given shots 05/06/09.  On 5/11/09 the mother noticed a rash on her face which she best describes as looking like heat rash.  On 5/13/09 the rash spread down her arms and onto her feet small blisters noted. Then she took the child to a local ER where they diagnosed the illness as hand foot and mouth disease or chickenpox.  On 05/18/09 the child did not appear to be getting better so the mother took her to her regular MD who diagnosed poison ivy.  On 05/23/09 the rash still did not seem to be getting better with prescribed prednisone cream so the mother returned to the local ER.  This time they ran blood tests which concluded high liver enzymes and elevated platelet count. The local ER referred her to a dermatologist.  On 05/23/09 the child was seen by a dermatologist who diagnoised the illness as Gianotti Crosti Syndrome, a rare illness, associated with rash and elevated liver enzymes.  Some information available on the internet associated the MMR vaccine with the illness.
Age: 1.6
Sex: F
Vaccine: IPV, MMR, PNC
Symptoms: Rash
Clinical narrative: This child was given shots 05/06/09.  On 5/11/09 the mother noticed a rash on her face which she best describes as looking like heat rash.  On 5/13/09 the rash spread down her arms and onto her feet small blisters noted. Then she took the child to a local ER where they diagnosed the illness as hand foot and mouth disease or chickenpox.  On 05/18/09 the child did not appear to be getting better so the mother took her to her regular MD who diagnosed poison ivy.  On 05/23/09 the rash still did not seem to be getting better with prescribed prednisone cream so the mother returned to the local ER.  This time they ran blood tests which concluded high liver enzymes and elevated platelet count. The local ER referred her to a dermatologist.  On 05/23/09 the child was seen by a dermatologist who diagnoised the illness as Gianotti Crosti Syndrome, a rare illness, associated with rash and elevated liver enzymes.  Some information available on the internet associated the MMR vaccine with the illness.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Rash, Rash papular
Clinical narrative: 10 to 12 red papules. Red base withe yelllowish vesicles. Rash noticed 48 hours ago. Mom was using cortisone cream. Per Drs order patient was to avoid contact with others until blisters are gone or scabbed.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Pain
Clinical narrative: VACCINE GIVEN ON THURSDAY, JUNE 4, 2009.  SUNDAY A.M. WHEN I AWAKENED MY BODY WAS HURTING ALL OVER, AND MY SKIN HURT!! I WAS WEAK. I TOOK 2 EXTRA STRENGTH TYLENOL AND RESTED & SLEPT THE ENTIRE DAY.  SINCE IT WAS SUNDAY I DID NOT SEEK MEDICAL HELP OR NOTIFY THE PHARMACIST.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: EDEMA, ERYTHEMA 1"X 2" TO RIGHT DELTOID. TX-ICE PACK PRN PAIN AND BENADRYL FOR AGE PRN ITCH.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Anaphylactic reaction, Irritability, Urticaria, Vomiting, Wheezing
Clinical narrative: Anaphylaxis (w/in 30 min, irritability, vomiting, hives, wheezing).  EPI SQ x1, albuterol/atrovent neb, decadron IM, prednisolone x5 days.  6/12/09 Medical records received DOS 6/8/09.  Assessment: Vaccine anaphylaxis. Post vaccination: Inconsolable, vomiting, wheezing, fussy, angry. Hives on abdomen, back, face. Nares congested.
Age: 1.33
Sex: F
Vaccine: DTAP, PNC
Symptoms: Abnormal behaviour, Hypokinesia, Staring
Clinical narrative: After child received DTaP and Prevnar vaccine in January at age 16 months, parents state child was often quiet, less active than usual, and often stared blankly for one week.  After nearly exactly one week, child seemed to 'snap out of it', became herself, and has acted 'normally' since.  No medical care was sought at the time, and family only mentioned the event now at age 21 months at a well visit.
Age: 1.6
Sex: F
Vaccine: HEPA, IPV, MMR, HEPA, IPV, MMR
Symptoms: Body temperature increased, Cough, Cytomegalovirus test, Epstein-Barr virus antibody, Herpes simplex serology negative
Clinical narrative: Vaccines given 5/20/09. Vomited starting 5/28. Temp to 104.6 starting 5/29. Mild rash, cough also. Developed severe red rash 5/29 - eventually spreading to entire body and red macules/patches with confluent areas on face, arms. Fever lasted 5-6 days and then subsided and rash improved. She also was treated at the same time for an ear infection with amoxicillin.   7/16/09 Hospital records received DOS 5/31/09 to 6/1/09. Assessment: Rash, Fever. Presented with maculopapular erythematous rash all over trunk, face and extremities. Itchy. Fever, discomfort. Fussy. Cervical lymphadenopathy. 9/1/09-ICD-9 codes 782.1 and 780.60.
Age: 1.6
Sex: F
Vaccine: HEPA, IPV, MMR, HEPA, IPV, MMR
Symptoms: Measles antibody negative, Mycoplasma serology, Rash erythematous, Rash macular, Rhinovirus infection
Clinical narrative: Vaccines given 5/20/09. Vomited starting 5/28. Temp to 104.6 starting 5/29. Mild rash, cough also. Developed severe red rash 5/29 - eventually spreading to entire body and red macules/patches with confluent areas on face, arms. Fever lasted 5-6 days and then subsided and rash improved. She also was treated at the same time for an ear infection with amoxicillin.   7/16/09 Hospital records received DOS 5/31/09 to 6/1/09. Assessment: Rash, Fever. Presented with maculopapular erythematous rash all over trunk, face and extremities. Itchy. Fever, discomfort. Fussy. Cervical lymphadenopathy. 9/1/09-ICD-9 codes 782.1 and 780.60.
Age: 1.6
Sex: F
Vaccine: HEPA, IPV, MMR, HEPA, IPV, MMR
Symptoms: Viral test negative, Vomiting
Clinical narrative: Vaccines given 5/20/09. Vomited starting 5/28. Temp to 104.6 starting 5/29. Mild rash, cough also. Developed severe red rash 5/29 - eventually spreading to entire body and red macules/patches with confluent areas on face, arms. Fever lasted 5-6 days and then subsided and rash improved. She also was treated at the same time for an ear infection with amoxicillin.   7/16/09 Hospital records received DOS 5/31/09 to 6/1/09. Assessment: Rash, Fever. Presented with maculopapular erythematous rash all over trunk, face and extremities. Itchy. Fever, discomfort. Fussy. Cervical lymphadenopathy. 9/1/09-ICD-9 codes 782.1 and 780.60.
Age: 1.6
Sex: F
Vaccine: HEPA, IPV, MMR, HEPA, IPV, MMR
Symptoms: Blood culture negative, Blood glucose increased, C-reactive protein increased, Cough, Cytomegalovirus test negative
Clinical narrative: Vaccines given 5/20/09. Vomited starting 5/28. Temp to 104.6 starting 5/29. Mild rash, cough also. Developed severe red rash 5/29 - eventually spreading to entire body and red macules/patches with confluent areas on face, arms. Fever lasted 5-6 days and then subsided and rash improved. She also was treated at the same time for an ear infection with amoxicillin.   7/16/09 Hospital records received DOS 5/31/09 to 6/1/09. Assessment: Rash, Fever. Presented with maculopapular erythematous rash all over trunk, face and extremities. Itchy. Fever, discomfort. Fussy. Cervical lymphadenopathy. 9/1/09-ICD-9 codes 782.1 and 780.60.
Age: 1.6
Sex: F
Vaccine: HEPA, IPV, MMR, HEPA, IPV, MMR
Symptoms: Eosinophil percentage increased, Epstein-Barr virus test negative, Herpes simplex serology negative, Irritability, Lymphadenopathy
Clinical narrative: Vaccines given 5/20/09. Vomited starting 5/28. Temp to 104.6 starting 5/29. Mild rash, cough also. Developed severe red rash 5/29 - eventually spreading to entire body and red macules/patches with confluent areas on face, arms. Fever lasted 5-6 days and then subsided and rash improved. She also was treated at the same time for an ear infection with amoxicillin.   7/16/09 Hospital records received DOS 5/31/09 to 6/1/09. Assessment: Rash, Fever. Presented with maculopapular erythematous rash all over trunk, face and extremities. Itchy. Fever, discomfort. Fussy. Cervical lymphadenopathy. 9/1/09-ICD-9 codes 782.1 and 780.60.
Age: 1.6
Sex: F
Vaccine: HEPA, IPV, MMR, HEPA, IPV, MMR
Symptoms: Lymphocyte count normal, Lymphocyte percentage, Mycoplasma serology, Pharyngeal erythema, Polymerase chain reaction
Clinical narrative: Vaccines given 5/20/09. Vomited starting 5/28. Temp to 104.6 starting 5/29. Mild rash, cough also. Developed severe red rash 5/29 - eventually spreading to entire body and red macules/patches with confluent areas on face, arms. Fever lasted 5-6 days and then subsided and rash improved. She also was treated at the same time for an ear infection with amoxicillin.   7/16/09 Hospital records received DOS 5/31/09 to 6/1/09. Assessment: Rash, Fever. Presented with maculopapular erythematous rash all over trunk, face and extremities. Itchy. Fever, discomfort. Fussy. Cervical lymphadenopathy. 9/1/09-ICD-9 codes 782.1 and 780.60.
Age: 1.6
Sex: F
Vaccine: HEPA, IPV, MMR, HEPA, IPV, MMR
Symptoms: Pyrexia, Rash generalised, Rash morbilliform, Rash papular, Red blood cell sedimentation rate normal
Clinical narrative: Vaccines given 5/20/09. Vomited starting 5/28. Temp to 104.6 starting 5/29. Mild rash, cough also. Developed severe red rash 5/29 - eventually spreading to entire body and red macules/patches with confluent areas on face, arms. Fever lasted 5-6 days and then subsided and rash improved. She also was treated at the same time for an ear infection with amoxicillin.   7/16/09 Hospital records received DOS 5/31/09 to 6/1/09. Assessment: Rash, Fever. Presented with maculopapular erythematous rash all over trunk, face and extremities. Itchy. Fever, discomfort. Fussy. Cervical lymphadenopathy. 9/1/09-ICD-9 codes 782.1 and 780.60.
Age: 1.6
Sex: F
Vaccine: HEPA, IPV, MMR, HEPA, IPV, MMR
Symptoms: Respiratory tract congestion, Rhinorrhoea, Viral rash, Vomiting
Clinical narrative: Vaccines given 5/20/09. Vomited starting 5/28. Temp to 104.6 starting 5/29. Mild rash, cough also. Developed severe red rash 5/29 - eventually spreading to entire body and red macules/patches with confluent areas on face, arms. Fever lasted 5-6 days and then subsided and rash improved. She also was treated at the same time for an ear infection with amoxicillin.   7/16/09 Hospital records received DOS 5/31/09 to 6/1/09. Assessment: Rash, Fever. Presented with maculopapular erythematous rash all over trunk, face and extremities. Itchy. Fever, discomfort. Fussy. Cervical lymphadenopathy. 9/1/09-ICD-9 codes 782.1 and 780.60.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Bacterial test, Blood test abnormal, Fall, Full blood count, Hypokalaemia
Clinical narrative: Rash beginning on bilateral arms. On and off x 1 wk. Rash down bilateral legs and cont. on arms x 3-4 days. Began with rash to face and neck 6-8-09 comes and goes. Rash seized yesterday began again today.  7/24/09 ER records received DOS 6/3/09 and 6/22/09. Assessment: Hives/Urticaria. Hypokalemia, bulemia. Patient presents on 6/3/09 with an itchy urticarial rash on arms, legs and trunk, of one month duration. On 6/22/09 c/o syncope X2, feels weak, falling. Lightheadedness, trouble with vision. Collapsed.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Mean cell haemoglobin, Rash, Syncope, Urine phosphate decreased, Urticaria
Clinical narrative: Rash beginning on bilateral arms. On and off x 1 wk. Rash down bilateral legs and cont. on arms x 3-4 days. Began with rash to face and neck 6-8-09 comes and goes. Rash seized yesterday began again today.  7/24/09 ER records received DOS 6/3/09 and 6/22/09. Assessment: Hives/Urticaria. Hypokalemia, bulemia. Patient presents on 6/3/09 with an itchy urticarial rash on arms, legs and trunk, of one month duration. On 6/22/09 c/o syncope X2, feels weak, falling. Lightheadedness, trouble with vision. Collapsed.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Visual impairment
Clinical narrative: Rash beginning on bilateral arms. On and off x 1 wk. Rash down bilateral legs and cont. on arms x 3-4 days. Began with rash to face and neck 6-8-09 comes and goes. Rash seized yesterday began again today.  7/24/09 ER records received DOS 6/3/09 and 6/22/09. Assessment: Hives/Urticaria. Hypokalemia, bulemia. Patient presents on 6/3/09 with an itchy urticarial rash on arms, legs and trunk, of one month duration. On 6/22/09 c/o syncope X2, feels weak, falling. Lightheadedness, trouble with vision. Collapsed.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Activated partial thromboplastin time, Differential white blood cell count, Full blood count, Haematochezia, Prothrombin time
Clinical narrative: Bloody stools 24 hours after administration of ROTOVIRUS - continuous for 6 d
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt had flu vaccine on 1-23-09. Since that date until present date pt c/o pain in rt deltoid area- no swelling, edema or temperature noted.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Antinuclear antibody increased, Arthralgia, Back pain, Joint swelling
Clinical narrative: Diagnose Juvenile Rheumatoid Arthritis-> seen at medical center. Tx Prednisone, Methotrexate, LEUCOVORIN. 1/09 started having back pain, unilateral shoulder, arm pain, followed by progressive knee pain and swelling, limitation of activity.  8/4/09 Rheumatology consult records received DOS 3/5/09 to 5/15/09. Assessment: Polyarticular Juvenile Rheumatoid Arthritis. Patient presented with pain in back, knees, shoulders, ankles, feet, elbows and wrists. Pain started in back and then started involving other joints. Difficulty with range of motion and activities in school. Involves 1 or 2 joints for 2-3 joints then moves on to a different joint. She has noticed swelling in knees and hands. Recent URI, fever, chills, sore throat, and cough. Posterior pharynx has erythema with mucus. Wamth of elbows with synovial boggy tissue. Swollen MCP joints. Right hip decreased ROM and pain. Warm both ankles. Synovitis PIP joints. Swelling of knees. Slight scoliosis. Pes planus. Later refusing to walk. Screams when leg or foot touched. Difficulty with ADLs. Chiropractic treatment. Physical therapy. Nearsighted. Rash on arms. Itchy rash on foot. Anxious, depressed affect. Cervical lymphadenopathy. Uses wheelchair.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Juvenile arthritis, Musculoskeletal pain, Pain in extremity, Rheumatoid factor increased
Clinical narrative: Diagnose Juvenile Rheumatoid Arthritis-> seen at medical center. Tx Prednisone, Methotrexate, LEUCOVORIN. 1/09 started having back pain, unilateral shoulder, arm pain, followed by progressive knee pain and swelling, limitation of activity.  8/4/09 Rheumatology consult records received DOS 3/5/09 to 5/15/09. Assessment: Polyarticular Juvenile Rheumatoid Arthritis. Patient presented with pain in back, knees, shoulders, ankles, feet, elbows and wrists. Pain started in back and then started involving other joints. Difficulty with range of motion and activities in school. Involves 1 or 2 joints for 2-3 joints then moves on to a different joint. She has noticed swelling in knees and hands. Recent URI, fever, chills, sore throat, and cough. Posterior pharynx has erythema with mucus. Wamth of elbows with synovial boggy tissue. Swollen MCP joints. Right hip decreased ROM and pain. Warm both ankles. Synovitis PIP joints. Swelling of knees. Slight scoliosis. Pes planus. Later refusing to walk. Screams when leg or foot touched. Difficulty with ADLs. Chiropractic treatment. Physical therapy. Nearsighted. Rash on arms. Itchy rash on foot. Anxious, depressed affect. Cervical lymphadenopathy. Uses wheelchair.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site scab, Injection site swelling, Injection site vesicles
Clinical narrative: 7 days following inj - inj site slowly turned red and swollen "looked like a spider bite" x 1wk- Cont. to get red and turned into a calloused blister appearance - hard to touch - size of pencil eraser + scabbed over x 2wks. Still has a mark "looks as if it will leave a scar".
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Irritability, Lacrimation increased, Pyrexia, Rash generalised
Clinical narrative: Approx. 30 minutes after receiving vaccine, child broke out in rash. It started above his eye lids, and in the anticubital fossa of both arms, then progressed all over his body. He had fever and was cranky. No redness at injection site. Also watery eyes. No meds given, but was seen by PMD.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Inflammation, redness and tenderness to left shoulder area measuring 5cm by 5cm. Pt treated oral Antibiotics.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: About 5 mins after rec'vg all imm. appeared fine; started to stand then fainted x 20-30 secs. Revived w/cool water compress & light stimulation. Remained lying then sitting x 15 more minutes then home w/mom. Sustained no injury.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Redness started (L) thigh increased on 24 hr and worsened in 48 hr, gotten better, no trouble.
Sex: U
Vaccine: TYP
Symptoms: Unevaluable event
Clinical narrative: No data given.
Age: 0.8
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Gave PEDIARIX but didn't need a dose of DTaP or IPV.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Redness -"Kiwi size"- approx. 3-4 in diameter. Swelling - 1/4 in -raised, painful Afebrile.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Abnormal behaviour, Crying, Hallucination, auditory, Obsessive-compulsive disorder
Clinical narrative: Seen in clinic 1 week after vaccine 6-9-09. According to dad 1 day after receiving the vaccine her attitude changed she became compulsive, says she hears sounds in her head, desire to see people's private parts - has been crying. No fever, no headache no vomiting.
Age: 60.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site warmth, Pain in extremity
Clinical narrative: Arm sore next day with increased redness and knot under site. Tx with ice. 6/10/09 Pt was seen in office today with pain left arm, firm nodule at injection site, warm to touch - erythematous.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Activated partial thromboplastin time, Antineutrophil cytoplasmic antibody negative, Asthenia, Bleeding time prolonged, Blood arsenic normal
Clinical narrative: Description: 11/10/98. Received anthrax vaccine #1- denies problems. 11/24/98. Received anthrax vaccine #2- denies problems. 12/11/98. Received anthrax vaccine #3- pt. states 4 wks after receiving the vaccine, noticed that he was "tripping over repeatedly over right foot"- occurred once a week- no change in sx intensity/frequency until April '99. April '99. "It would happen every time I walk"- bilat (R>L)- "but I got used to it"- attributed tripping to his military boots- pt. also started to experience "tingling" of his feet (occurred only after running, R>L) and constant burning and numbness (1/10, R>L)- radiating up to bilat knees- by August '99, foot drop had dissipated completely- no change noted in frequency/severity of above mentioned peripheral neuropathy sxs. 8/20/99. Received anthrax vaccine #4- states 2 wks after receiving the anthrax vaccination- noticed reoccurrence of foot drop- occurring QOD- and worsening of sxs of neuropathy (3/10). 3/13/00. Received anthrax vaccine #5- states 2 wks after receiving the anthrax vaccination- noticed constant paresthesis of feet (3/10)- no change in severity of foot drop and other peripheral neuropathy sxs. 7/6/05. Pt. seen by his Case Manager- states foot drop persists- occurs QD "most of the times when I am walking"- also c/o persistent paresthesis (3-4/10), numbness (4/10), burning sensation (5/10), of bilat feet (R>L)- notes sxs increase in intensity "only first minutes" after exercise (6-7/10). Since 2004, states noticed above peripheral neuropathy sxs radiating above bilat knees- denies any stiffness or imbalance- no c/o limited ROM- denies any h/o trauma or injury to his legs- no h/o lumbar injury/surgery/pain- states is taking NEURONTIN for his sxs- denies any alleviating factors- h/o congenital flat feet- pt. also states has began to notice mild bilat hand weakness.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Blood lead normal, Blood mercury normal, Blood thyroid stimulating hormone, Borrelia burgdorferi serology positive, Burning sensation
Clinical narrative: Description: 11/10/98. Received anthrax vaccine #1- denies problems. 11/24/98. Received anthrax vaccine #2- denies problems. 12/11/98. Received anthrax vaccine #3- pt. states 4 wks after receiving the vaccine, noticed that he was "tripping over repeatedly over right foot"- occurred once a week- no change in sx intensity/frequency until April '99. April '99. "It would happen every time I walk"- bilat (R>L)- "but I got used to it"- attributed tripping to his military boots- pt. also started to experience "tingling" of his feet (occurred only after running, R>L) and constant burning and numbness (1/10, R>L)- radiating up to bilat knees- by August '99, foot drop had dissipated completely- no change noted in frequency/severity of above mentioned peripheral neuropathy sxs. 8/20/99. Received anthrax vaccine #4- states 2 wks after receiving the anthrax vaccination- noticed reoccurrence of foot drop- occurring QOD- and worsening of sxs of neuropathy (3/10). 3/13/00. Received anthrax vaccine #5- states 2 wks after receiving the anthrax vaccination- noticed constant paresthesis of feet (3/10)- no change in severity of foot drop and other peripheral neuropathy sxs. 7/6/05. Pt. seen by his Case Manager- states foot drop persists- occurs QD "most of the times when I am walking"- also c/o persistent paresthesis (3-4/10), numbness (4/10), burning sensation (5/10), of bilat feet (R>L)- notes sxs increase in intensity "only first minutes" after exercise (6-7/10). Since 2004, states noticed above peripheral neuropathy sxs radiating above bilat knees- denies any stiffness or imbalance- no c/o limited ROM- denies any h/o trauma or injury to his legs- no h/o lumbar injury/surgery/pain- states is taking NEURONTIN for his sxs- denies any alleviating factors- h/o congenital flat feet- pt. also states has began to notice mild bilat hand weakness.