chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Disability, Dizziness, Eating disorder, Electroencephalogram, Electromyogram
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Facial palsy, Gastrointestinal disorder, Gene mutation identification test, Hair metal test, Headache
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Local swelling, Loss of control of legs, Lumbar puncture, Mental disorder, Nausea
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nervous system disorder, Neuropathy peripheral, Pain, Pain of skin, Paraesthesia
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Photophobia, Pupillary disorder, Skin burning sensation, Swelling face, Syncope
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urine analysis
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Computerised tomogram, Electromyogram, Lumbar puncture, Myalgia
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Swelling
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse advent, Adacel given to child age 10 years 9.5 mos of age.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Drug hypersensitivity, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: 6/26/2008 1pm Pt states was walking to her room and doesn't remember anything and woke up on the floor.  6/28/2008 Also, complains of right arm red, swollen, sore, tingling on and off, blotchy white rash around injection site, lightheaded on and off and nausea on and off.  Saw doctor on 6/30/2008 mom states doctor says it was a local reaction. Ice the area, take benadryl and motrin.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site swelling, Local reaction, Nausea, Paraesthesia, Rash macular
Clinical narrative: 6/26/2008 1pm Pt states was walking to her room and doesn't remember anything and woke up on the floor.  6/28/2008 Also, complains of right arm red, swollen, sore, tingling on and off, blotchy white rash around injection site, lightheaded on and off and nausea on and off.  Saw doctor on 6/30/2008 mom states doctor says it was a local reaction. Ice the area, take benadryl and motrin.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: 6/26/2008 1pm Pt states was walking to her room and doesn't remember anything and woke up on the floor.  6/28/2008 Also, complains of right arm red, swollen, sore, tingling on and off, blotchy white rash around injection site, lightheaded on and off and nausea on and off.  Saw doctor on 6/30/2008 mom states doctor says it was a local reaction. Ice the area, take benadryl and motrin.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: infected with Shingles virus
Age: 53.0
Sex: F
Vaccine: MEN
Symptoms: Incorrect route of drug administration
Clinical narrative: Meningococcal Vaccine, Menomune, was given IM instead of SQ.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse reaction.  Adacel given to 10year 9.5 month old female.  Given in Vaccine clinic, pt was not seen by physician that day.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Aura, CSF immunoglobulin increased, Cognitive disorder, Convulsion, Electrocardiogram ambulatory normal
Clinical narrative: Patient is on our inpatient service, currently on hospital day 13, admitted with 7 week history of limbic encephalopathy of unknown etiology.  Symptoms inlcude 7 week history of episodes of palpitations and an olfactory aura, often followed by headache.  Clinically, she demonstrates severe impairment in ability to form new long-term memories. 8/21/08-records received for DOS 6/19-7/2/08-DC DX: Limbic encephalopathy of unknown etiology. Presented with tachycardia and or pallor in setting of memory dysfunction. C/O episodes of fatigue, tachycardia associated with intermittent and occasional shortness of breath, pallor and dazed expression, nausea. Memory changes. On 5/12 presented to ED and diagnosed with questionable supraventricular tachycardia.  Seen by neurologist for headaches. Personality changes increased laughter and hyperphasia and weight gain. Treated with IVIG. 1/25/2010 Persisted, severe cognitive impairments particulary memory. Unable to return to regular school.  Personality change as well. Follow-up Information 15-OCT-2008: 1st doses HPV 1-28-08. 2nd doses HPV 3-25-08. 3rd doses Pt was hospitalized was not administered.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electroencephalogram abnormal, Encephalopathy, Feeling abnormal, Headache, Memory impairment
Clinical narrative: Patient is on our inpatient service, currently on hospital day 13, admitted with 7 week history of limbic encephalopathy of unknown etiology.  Symptoms inlcude 7 week history of episodes of palpitations and an olfactory aura, often followed by headache.  Clinically, she demonstrates severe impairment in ability to form new long-term memories. 8/21/08-records received for DOS 6/19-7/2/08-DC DX: Limbic encephalopathy of unknown etiology. Presented with tachycardia and or pallor in setting of memory dysfunction. C/O episodes of fatigue, tachycardia associated with intermittent and occasional shortness of breath, pallor and dazed expression, nausea. Memory changes. On 5/12 presented to ED and diagnosed with questionable supraventricular tachycardia.  Seen by neurologist for headaches. Personality changes increased laughter and hyperphasia and weight gain. Treated with IVIG. 1/25/2010 Persisted, severe cognitive impairments particulary memory. Unable to return to regular school.  Personality change as well. Follow-up Information 15-OCT-2008: 1st doses HPV 1-28-08. 2nd doses HPV 3-25-08. 3rd doses Pt was hospitalized was not administered.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nuclear magnetic resonance imaging abnormal, Palpitations, Supraventricular tachycardia
Clinical narrative: Patient is on our inpatient service, currently on hospital day 13, admitted with 7 week history of limbic encephalopathy of unknown etiology.  Symptoms inlcude 7 week history of episodes of palpitations and an olfactory aura, often followed by headache.  Clinically, she demonstrates severe impairment in ability to form new long-term memories. 8/21/08-records received for DOS 6/19-7/2/08-DC DX: Limbic encephalopathy of unknown etiology. Presented with tachycardia and or pallor in setting of memory dysfunction. C/O episodes of fatigue, tachycardia associated with intermittent and occasional shortness of breath, pallor and dazed expression, nausea. Memory changes. On 5/12 presented to ED and diagnosed with questionable supraventricular tachycardia.  Seen by neurologist for headaches. Personality changes increased laughter and hyperphasia and weight gain. Treated with IVIG. 1/25/2010 Persisted, severe cognitive impairments particulary memory. Unable to return to regular school.  Personality change as well. Follow-up Information 15-OCT-2008: 1st doses HPV 1-28-08. 2nd doses HPV 3-25-08. 3rd doses Pt was hospitalized was not administered.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Amnesia, Dizziness, Encephalopathy, Headache, Intelligence test
Clinical narrative: Patient is on our inpatient service, currently on hospital day 13, admitted with 7 week history of limbic encephalopathy of unknown etiology.  Symptoms inlcude 7 week history of episodes of palpitations and an olfactory aura, often followed by headache.  Clinically, she demonstrates severe impairment in ability to form new long-term memories. 8/21/08-records received for DOS 6/19-7/2/08-DC DX: Limbic encephalopathy of unknown etiology. Presented with tachycardia and or pallor in setting of memory dysfunction. C/O episodes of fatigue, tachycardia associated with intermittent and occasional shortness of breath, pallor and dazed expression, nausea. Memory changes. On 5/12 presented to ED and diagnosed with questionable supraventricular tachycardia.  Seen by neurologist for headaches. Personality changes increased laughter and hyperphasia and weight gain. Treated with IVIG. 1/25/2010 Persisted, severe cognitive impairments particulary memory. Unable to return to regular school.  Personality change as well. Follow-up Information 15-OCT-2008: 1st doses HPV 1-28-08. 2nd doses HPV 3-25-08. 3rd doses Pt was hospitalized was not administered.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Myalgia, Nausea, Palpitations
Clinical narrative: Patient is on our inpatient service, currently on hospital day 13, admitted with 7 week history of limbic encephalopathy of unknown etiology.  Symptoms inlcude 7 week history of episodes of palpitations and an olfactory aura, often followed by headache.  Clinically, she demonstrates severe impairment in ability to form new long-term memories. 8/21/08-records received for DOS 6/19-7/2/08-DC DX: Limbic encephalopathy of unknown etiology. Presented with tachycardia and or pallor in setting of memory dysfunction. C/O episodes of fatigue, tachycardia associated with intermittent and occasional shortness of breath, pallor and dazed expression, nausea. Memory changes. On 5/12 presented to ED and diagnosed with questionable supraventricular tachycardia.  Seen by neurologist for headaches. Personality changes increased laughter and hyperphasia and weight gain. Treated with IVIG. 1/25/2010 Persisted, severe cognitive impairments particulary memory. Unable to return to regular school.  Personality change as well. Follow-up Information 15-OCT-2008: 1st doses HPV 1-28-08. 2nd doses HPV 3-25-08. 3rd doses Pt was hospitalized was not administered.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: pt reported redness, warmth and swelling to injection site the next day. symptoms lasted about 5 days
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Local reaction
Clinical narrative: Local reaction(reddness) at site of varicella injectio.  Appeared the next morning and was still noticable 3 days later when pt returned to clinic for TB Skin test reading. Recommended warm compresses and tylenol.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dry mouth, Dyspnoea, Fatigue, Feeling hot
Clinical narrative: SHORTNESS OF BREATH, TACHYCARDIA, FEELING HOT, PALENESS, WEAKNESS, PAIN AT INJECTION SITE, BLURRED VISION, VERTIGO, DRY MOUTH (APPROXIMATELY 15 MINUTES AFTER INJECTION)TIREDNESS, CONGESTION, AND LOW FEVER (LASTING ABOUT 2 DAYS)
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Pallor, Pyrexia, Tachycardia, Upper respiratory tract congestion
Clinical narrative: SHORTNESS OF BREATH, TACHYCARDIA, FEELING HOT, PALENESS, WEAKNESS, PAIN AT INJECTION SITE, BLURRED VISION, VERTIGO, DRY MOUTH (APPROXIMATELY 15 MINUTES AFTER INJECTION)TIREDNESS, CONGESTION, AND LOW FEVER (LASTING ABOUT 2 DAYS)
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Vertigo, Vision blurred
Clinical narrative: SHORTNESS OF BREATH, TACHYCARDIA, FEELING HOT, PALENESS, WEAKNESS, PAIN AT INJECTION SITE, BLURRED VISION, VERTIGO, DRY MOUTH (APPROXIMATELY 15 MINUTES AFTER INJECTION)TIREDNESS, CONGESTION, AND LOW FEVER (LASTING ABOUT 2 DAYS)
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Deafness, Dizziness, Dyspnoea, Heart rate decreased
Clinical narrative: -Extreme shortness of breath, difficulty breathing.                                       -Extreme lightheadedness, weakness, and dizziness.                                       -Loss of vision and hearing.                                         -Low pulse rate: 54 after reaction compared to 75 during normal exam.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Visual acuity reduced transiently
Clinical narrative: -Extreme shortness of breath, difficulty breathing.                                       -Extreme lightheadedness, weakness, and dizziness.                                       -Loss of vision and hearing.                                         -Low pulse rate: 54 after reaction compared to 75 during normal exam.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R Deltoid 4mmx3mm Red and Swollen, Warm to the touch
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Cold sweat, Dizziness, Heart rate decreased, Pallor
Clinical narrative: Client stated she had not yet eaten today, given cookies while waiting for immunizations.  Client became light-headed within one minute after receiving immunization.  Assisted to supine position in chair (gravity chair).  Given juice to sip. 11:01 am  Pulse 60, skin slightly clammy, slightly pale.  Given juice to sip.    11:04 am BP 110/66 11:07 am  BP 112/64, pulse 60.  States feels better, skin no longer clammy, color improving, continues in reclining position.  11:10 am Pulse 64. Finished juice. Given a sucker.  Assisted to sitting position in gravity chair.  Tolerated well.  11:12 am  BP 110/56, pulse 72.  States feels good.  Color continues to improve, skin warm and dry.   11:14 am Ambulated to lobby with assistance, tolerated well, no c/o of light-headedness or other problem.  Mom instructed to wait in lobby for 10 minutes and okay to leave if patient was feeling well in 10 minutes. 5:37 pm P/C to client's residence, spoke with Mom: states patient did not have any more problems since she left the HD and she is feeling fine now.  Instructed to call PCP/HCHD prn.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5
Symptoms: Eosinophilia, Lymphadenitis
Clinical narrative: mesenteric lymphadenitis resulting in bowel obstruction and emergent surgery. 7/14/08-records received for DOS 9/3/07-DX: Intussusception. Presented to ED with C/O vomiting began last night.
Age: 1.1
Sex: M
Vaccine: DTAP, HEPA, MMRV, PPV, VARCEL
Symptoms: Erythema, Inappropriate schedule of drug administration, Pyrexia, Rash, Rash macular
Clinical narrative: Mom called today at 10am and stated the following: Child had vaccines on 06-23-2008 Monday, fever started Friday 06-27-2008, fever broke the evening of Monday 06-30-2008, rash, red and splotchy, non-fluid filled: on trunk and forehead started forming the early morning hours of Tuesday 07-01-2008.  Mom called PMD at 9am and L/M with PMD re: what to do.  I told parent to continue trying to contact PMD since some ointments can help with any itching or tenderness that may be caused by the rash.  I told her that this is related to the mmr vaccine and it is a rare by non-fatal side effect.  I also told her to keep the child at home, avoid any pregnant family members (none per parent), avoid unvaccinated members of the family until rash subsides.  Has babysitter come to home, will check to make sure she is UTD with MMR vaccinations.  Mom very worried, gave reassurance that this is rare but non-fatal side effect.  continue to monitor rash and follow up with pmd as soon as able.  Urgent care available through insurance after 5pm today.  Evaluation by pmd is very important to health of child.  Called parent at 2pm and at 3:30pm by no answer and no machine for messages.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: loc >2 MIN, SIEZURE LIKE ACTIVITY < 1 MIN, PT. SENT TO ER VIA EMS AFTER MD EVAL.
Age: 1.5
Sex: M
Vaccine: HEPA, MMR
Symptoms: Blood test normal, Febrile convulsion, Pyrexia
Clinical narrative: fever of 104.5 & 2 febrile seizures 8 days from vaccine.Taken to ER and checked for several things - blood work - results normal, other infection - given antibiotic, IV fluids - released 4 hours later when temp. was down.   Dr. also diagnosed a possible ear infection - not sure which was the cause.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Clinical narrative: None stated. 7/15/08-records received dor DOS 6/30/08-DX:adverse vaccine reaction. monitored overnight. Presented to ED in afternoon with C/O pale, shaky and not acting normally per parents. Fussy.
Age: 3.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Blood product transfusion, CSF protein increased, Guillain-Barre syndrome, Motor dysfunction, Muscular weakness
Clinical narrative: Generalized muscle weakness/motor weakness. Admitted to hospital and diagnosed with Guillain Barre Syndrome. Given IVIG and Neurontin.  7/18/08 MR received for DOS 6/20-23/2008 with D/C DX:  Guillain-Barre Syndrome. Pt presented with 2 week hx of muscle pain, shaking movements, and difficulty walking. Pt had 1 day of fever and diarrhea which occurred 4 days after Hep A vax, 1 week prior to onset of current sx. 3 lb wt loss with decreased energy and appetitite.  PE (+) for irritability, decreased strength and decreased/absent reflexes. Bilateral dysdiadochokinesia noted. Tx with IVIG with improvement noted.
Age: 3.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Blood test, Diarrhoea, Fatigue, Guillain-Barre syndrome, Lumbar puncture
Clinical narrative: Generalized muscle weakness/motor weakness. Admitted to hospital and diagnosed with Guillain Barre Syndrome. Given IVIG and Neurontin.  7/18/08 MR received for DOS 6/20-23/2008 with D/C DX:  Guillain-Barre Syndrome. Pt presented with 2 week hx of muscle pain, shaking movements, and difficulty walking. Pt had 1 day of fever and diarrhea which occurred 4 days after Hep A vax, 1 week prior to onset of current sx. 3 lb wt loss with decreased energy and appetitite.  PE (+) for irritability, decreased strength and decreased/absent reflexes. Bilateral dysdiadochokinesia noted. Tx with IVIG with improvement noted.
Age: 3.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Neurological examination, Pyrexia
Clinical narrative: Generalized muscle weakness/motor weakness. Admitted to hospital and diagnosed with Guillain Barre Syndrome. Given IVIG and Neurontin.  7/18/08 MR received for DOS 6/20-23/2008 with D/C DX:  Guillain-Barre Syndrome. Pt presented with 2 week hx of muscle pain, shaking movements, and difficulty walking. Pt had 1 day of fever and diarrhea which occurred 4 days after Hep A vax, 1 week prior to onset of current sx. 3 lb wt loss with decreased energy and appetitite.  PE (+) for irritability, decreased strength and decreased/absent reflexes. Bilateral dysdiadochokinesia noted. Tx with IVIG with improvement noted.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, Body temperature increased, Culture stool negative, Culture urine negative, Diarrhoea
Clinical narrative: Axillary temp to 102.3 F 1 1/2 hrs after 1st set of immunizations. Re-examined 6 hours after immunization. No apparent source for fever. She was admitted for overnight observation. Vomiting x 1. Diarrhea on two occasions after admission. Blood/urine and stool studies - negative. 7/2/08-records received for DOS 4/22/08-DX:Fever without a source. Hour after immunizations spike a temperature to 102.3. Admitted overnight for observation.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Axillary temp to 102.3 F 1 1/2 hrs after 1st set of immunizations. Re-examined 6 hours after immunization. No apparent source for fever. She was admitted for overnight observation. Vomiting x 1. Diarrhea on two occasions after admission. Blood/urine and stool studies - negative. 7/2/08-records received for DOS 4/22/08-DX:Fever without a source. Hour after immunizations spike a temperature to 102.3. Admitted overnight for observation.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 14cm x 14cm area of erythema and warmth over area where vaccine was given
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Brachial plexopathy, Radiculitis brachial
Clinical narrative: Brachial plexus neuritis same arm as injection site.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Bradycardia, Dizziness, Hyperhidrosis, Hypotension, Oxygen supplementation
Clinical narrative: 2-3 minutes after receiving inj Menactra, patient became diaphoretic pale, bradycardic, dizzy, hypotensive requiring prolonged assistance of approximately 45 minutes or so.  911 was called - transferred to ER.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pallor
Clinical narrative: 2-3 minutes after receiving inj Menactra, patient became diaphoretic pale, bradycardic, dizzy, hypotensive requiring prolonged assistance of approximately 45 minutes or so.  911 was called - transferred to ER.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Computerised tomogram normal, Syncope
Clinical narrative: 2 episodes of syncope while at doctors office after receiving GARDASIL and MENACTRA vaccine.  Was fine prior to getting vaccinated.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability
Clinical narrative: 5/1/08 Patient received her 2 months shot.  Patient was intermittently irritable for the next 5-7 days.  More treated patient with Motrin.
Age: 38.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Asthenia, Nausea, Pain, Pain in extremity, White blood cell count decreased
Clinical narrative: 38 y.o. female previously healthy, received yellow fever vaccine and TWINRIX (Hep A&B) vaccines on May 16, 2008 presents today complaining of generalized muscle aches and weakness.  Reports she felt well after the vaccines until 5/21/08 when she developed pain in right arm, and mild achy all over.  She contacted me yesterday because she was concerned she was feeling worse, nauseated, and overall not improving.  She denies any fever or sweats.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Eye swelling, Headache, Nausea, Swelling face, Vomiting
Clinical narrative: 3 hours after vaccine - states felt swelling around eyes, "hard to keep eyes open". Following AM awoke with nausea and vomiting (x3) and facial swelling. Also complained of headache. Treatment at urgent care - given IV hydration, BENADRYL and ZOFRAN with relief of symptoms.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Vomiting
Clinical narrative: Several hours after 2nd set of immunizations ran fever 101.4deg, F axillary and vomited 4 to 5 times - No diarrhea. Tylenol had been given prior to vaccination and every 4 hours afterwards
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Discomfort, Erythema, Induration, Skin nodule
Clinical narrative: Right arm with redness, very firm, hot 3 cm nodule over right deltoid, started on 6/26/08 but increased discomfort on 6/30/08
Age: 13.0
Sex: F
Vaccine: DTAP, HEPA, HPV4, MNQ
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Tdap indicated due to age, DTaP ordered and given. Discussed with RN BSN at Health Center per CDC no ill effects, still counts as valid immunization. Instructed to complete VAERS Report.
Age: 21.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Injection site swollen, hard, reddened, fevered 7"-8" around site. Difficulty moving (arm (R)). Petechia noted at site approx 2" x 1" diameter. Needle site visible at reddened.
Age: 21.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Petechiae
Clinical narrative: Injection site swollen, hard, reddened, fevered 7"-8" around site. Difficulty moving (arm (R)). Petechia noted at site approx 2" x 1" diameter. Needle site visible at reddened.
Age: 72.0
Sex: F
Vaccine: HEPA
Symptoms: Myalgia, Nausea, Night sweats, Pyrexia
Clinical narrative: Began feeling nauseated on Fri 6/27 slight fever noted only at night; sweating during the night as well c/o "aches" in muscles and shoulders. No vomiting.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Headache
Clinical narrative: Headache x one day
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness and swelling to (L) upper arm w/ redness extending to elbow - onset 24 hrs post injection. Treated with antibiotic - improved.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Hypersensitivity, Rash, Rash generalised
Clinical narrative: Allergic reaction, rash over shot area and body.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received vaccines 6/12/08, that evening left upper arm became red, hot and swollen at site of IPV. No fever or other systemic sx. Max size 10x8 cm. Area resolved spontaneously by 6/18/08
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Blood glucose increased, Fatigue, Polydipsia, Polyuria, Type 1 diabetes mellitus
Clinical narrative: Reports T1DM following vaccine receipt. Pt with normal H & P on 16 May 2007. Experienced symptoms of polydipsia, fatigue, and polyuria with sudden onset of visual changes in early July 2007. Also had about 15 lb. weight loss over 3 week period prior to diagnosis. Sought evaluation and was diagnosed with DM. Initial glucose was 358 and pt was started on Amaryl and Metformin. Insulin initiated in March 2008, but continues on Metformin. Ht 6 ft 9 in; wt 174 pounds (at time of dx).  9/26/08 Reviewed medical summary of 8/22/2008. FINAL DX:Type 1 diabetes Records reveal patient experienced initial series of anthrax vaccines 2000-2004; then had booster 5/16/2007.  Symptoms of hyperglycemia began approx 6/2007 w/polydipsia, polyuria, fatigue, weight loss, blurred vision, irritability.  Tx w/oral agents beginning 7/07 & increased to max by 3/08; started on insulin.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Visual disturbance, Weight decreased
Clinical narrative: Reports T1DM following vaccine receipt. Pt with normal H & P on 16 May 2007. Experienced symptoms of polydipsia, fatigue, and polyuria with sudden onset of visual changes in early July 2007. Also had about 15 lb. weight loss over 3 week period prior to diagnosis. Sought evaluation and was diagnosed with DM. Initial glucose was 358 and pt was started on Amaryl and Metformin. Insulin initiated in March 2008, but continues on Metformin. Ht 6 ft 9 in; wt 174 pounds (at time of dx).  9/26/08 Reviewed medical summary of 8/22/2008. FINAL DX:Type 1 diabetes Records reveal patient experienced initial series of anthrax vaccines 2000-2004; then had booster 5/16/2007.  Symptoms of hyperglycemia began approx 6/2007 w/polydipsia, polyuria, fatigue, weight loss, blurred vision, irritability.  Tx w/oral agents beginning 7/07 & increased to max by 3/08; started on insulin.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site urticaria
Clinical narrative: Patient is a 36 year old male who reports a periodic skin rash since his AVA in March 07.  A day or two after his AVA on 21 March, he reported that his arm turned warm, red and he developed a rash that extended from the vaccination site to his elbow.  He reported that the swelling cleared in about one week.  He then noted that about every week to every other week he would develop a bump in his AVA vaccination site.  He stated that it looks like a "bee sting" or a "welt" like area.  It reoccurs in the exact same spot, no fluid or drainage, or other symptoms reported.  He does note that just prior to the appearance of the lesion the area would feel warm and itchy and 20-30 minutes later the lesion would appear.  States the area is round and is not bigger than the end of his index finger.  The lesion will last approximately one day and he is now getting them approximately once per month.  The most recent episode was 28 Nov 07.  He did seek medical attention.  Has no photo's.  Denies any skin related history or current skin problems and denies problems with previous AVA.  He also denies joint or muscle pain.  Symptoms: Lesions, wheal, edema at injection site 50-120mm.