chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Red blood cell count, Serology positive, Stupor, Tremor, Urinary incontinence
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: White blood cell count normal
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Bacterial test negative, Blood chloride decreased, Blood cortisol decreased, Blood creatinine decreased, Blood homocysteine
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Blood potassium decreased, Blood sodium decreased, Blood urea decreased, Body temperature increased, Borrelia burgdorferi serology
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: CSF cell count normal, CSF glucose increased, CSF protein increased, CSF white blood cell count increased, Computerised tomogram abnormal
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Culture negative, Culture throat negative, Disturbance in attention, Dyspnoea, Enterovirus serology test negative
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Epstein-Barr virus antibody positive, Full blood count, Glasgow coma scale, Gram stain negative, Granulocyte count increased
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Grip strength decreased, Haematocrit decreased, Haemoglobin decreased, Headache, Incontinence
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Laboratory test abnormal, Lethargy, Leukoencephalomyelitis, Lumbar puncture, Lymphocyte percentage
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Mechanical ventilation, Memory impairment, Metapneumovirus infection, Monocyte percentage increased, Muscular weakness
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Musculoskeletal stiffness, Neurological examination normal, Nuclear magnetic resonance imaging abnormal, Parvovirus B19 serology, Polymerase chain reaction
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Red blood cells CSF positive, Respiratory syncytial virus serology, Rhinorrhoea, Sensory loss, Syncope
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Unresponsive to stimuli, Varicella zoster serology negative, Viral test negative, Virus serology test negative, White blood cell count normal
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Antibody test negative, Blood chloride decreased, Blood cortisol decreased, Blood creatinine decreased, Blood culture negative
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Blood glucose increased, Blood immunoglobulin M, Blood potassium decreased, Blood sodium decreased, Blood urea decreased
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Body temperature increased, Borrelia burgdorferi serology positive, CSF cell count increased, Chest X-ray normal, Computerised tomogram abnormal
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Culture negative, Culture throat negative, Disturbance in attention, Dyspnoea, Epstein-Barr virus antibody positive
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Glasgow coma scale, Gram stain negative, Haematocrit normal, Haemoglobin decreased, Headache
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Herpes simplex serology, Incontinence, Lethargy, Leukoencephalomyelitis, Lumbar puncture
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Lymphocyte percentage, Mechanical ventilation, Meningitis, Monocyte percentage increased, Muscular weakness
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Musculoskeletal stiffness, Mycoplasma serology, Neurological examination normal, Nuclear magnetic resonance imaging abnormal, Parvovirus B19 serology
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Pharyngolaryngeal pain, Productive cough, Protein total increased, Pyrexia, Rash pruritic
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Red blood cell count increased, Respiratory tract congestion, Rhinorrhoea, Sensory loss, Syncope
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: Syphilis test negative, Tonsillar hypertrophy, Unresponsive to stimuli, Varicella zoster serology negative, Viral infection
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 19.0
Sex: M
Vaccine: FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF, FLUN3, HEPAB, IPV, TD, YF
Symptoms: White blood cell count increased, White blood cell count normal, Yellow fever
Clinical narrative: Patient admitted for Acute disseminated encephalomyelitis.   1/29/08 Case closed w/medical records that accompanied report which reveal that patient experienced sore throat, congestion & persistent cough when seen 10/8/07.  Treated symptomatically & improved initially.  Returned to clinic on 10/16/07 w/urticarial rash thought to be caused by fabric softener & resolved with change.  Then received multiple vax on 10/16/07.  Returned to clinic 10/19/07 w/worsening cough, fever, sore throat & nasal discharge.  Tx symptomatically & improved.  On 10/26/07 patient had HA, neck stiffness, slurred speech, confusion, collapsed, was stuporous, incontinent of urine & falling asleep on his feet.  Taken to ER & transferred to higher level of care.  Temp in ER 103.2.  Had LP in ER which showed CSF WBC 2240 w/82% polys.  Admitted 10/26-11/5/2007 in ICU.  Was stiff, unresponsive to stimuli, wringing his hands & shaking.  Tx w/IV antibiotics, antivirals & steroids & placed in isolation.  ID & neuro consults done.  Gradually improved & was d/c to home w/ID & Neuro outpatient f/u.  ID outpatient vs of 11/20 revealed patient quite weak w/mild stiff neck, numbness of hands, weak grip, memory & concentration problems.  Neuro outpatient vs of 11/21 revealed patient continued to improve but concerned about cognitive function.  Referred for neuropsych & congnitive rehab.  As of 11/30, had weakness of bilateral extremities, more in legs, weak hand grasp, decreased sensation in fingers, easy fatigue & some difficulty w/memory & concentration. FINAL DX: ADEM.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Redness 6cm x 5cm in (R) deltoid area. No induration/blisters noted.
Age: 43.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Abscess, Axillary pain, Body temperature, Erythema, Injection site erythema
Clinical narrative: Pt developed 99 degree temp, malaise, nausea onset next day after vaccines.  Also dev. redness and swelling at L arm injection site within 25 min.  Well defined sterile abscess with mild overlying erythema observed.  1/2 reported to be less sore than on days prior.  Also mild c/o soreness in L axilla without palpable nodes.  Temp 98.4 on DOS.  To f/u in 7-10 days.
Age: 43.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site swelling, Malaise, Nausea
Clinical narrative: Pt developed 99 degree temp, malaise, nausea onset next day after vaccines.  Also dev. redness and swelling at L arm injection site within 25 min.  Well defined sterile abscess with mild overlying erythema observed.  1/2 reported to be less sore than on days prior.  Also mild c/o soreness in L axilla without palpable nodes.  Temp 98.4 on DOS.  To f/u in 7-10 days.
Age: 1.3
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blood culture negative, Body temperature increased, Chest X-ray normal, Full blood count normal, Lethargy
Clinical narrative: Mom states child lethargic around 5:30 pm, 6 pm while strapped in highchair-arms straight out, whole body shaking (probably lasted 20-30 seconds).  911 called-ambulance to hospital.  Postictal "came to quite quickly".  1-15-08-11:30 flu with pediatrician, temp 101 degrees ear.  1-16-08-3 family members with fevers, runny nose.
Age: 1.3
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Metabolic function test normal, Muscle rigidity, Nervousness, Urine analysis normal
Clinical narrative: Mom states child lethargic around 5:30 pm, 6 pm while strapped in highchair-arms straight out, whole body shaking (probably lasted 20-30 seconds).  911 called-ambulance to hospital.  Postictal "came to quite quickly".  1-15-08-11:30 flu with pediatrician, temp 101 degrees ear.  1-16-08-3 family members with fevers, runny nose.
Age: 26.0
Sex: F
Vaccine: YF
Symptoms: Injection site swelling, Lymphadenopathy, Pruritus
Clinical narrative: Itching started on Saturday evening.  Constant generalized itching.  Patient tried Benadryl which made itching worse.  Swelling at injection site - possible lymph node enlargement.  Amlactin cream applied to skin has helped per patient.  No hives, no fever, no difficulty breathing.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Headache, Syncope
Clinical narrative: Patient appeared very anxious & verbalized nervousness prior to vaccines.  Three vaccines given without difficulty.  Patient was standing & talking to her mother when she fainted to the floor without apparent injury.  She did complain of a headache for about 10-15 after incident.  Staff remained with patient until she felt better (about 20 minutes).  Client left clinic with her mother & sister.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood calcium decreased, Hypocalcaemia, Muscle twitching, Paraesthesia, Speech disorder
Clinical narrative: Twitching started 1/21 in lower eyelids, also complained of tingling spread to face and hands; felt she couldn't move her upper lip and altered speech.  Symptoms most of evening.  Awoke 1/22 - face felt normal but hands (L) numb and tingling, thumb flexed.  Still complained of tingling on visit - sent to neurology.1/29/08-records received for DOS 1/24/08- DX: Hypocalcemia. Pseudohypoparathyroidism. C/O hand and leg tingling. Perioral and bilateral hand tingling and eyelid twitching. Started 4 days PTA developed episodic periorbital nonradiation nonpainful tingling. Pins and needls sensation in hands as well as numbness of left hand. Lockin up of fingers in flexed position.