chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: HBHEPB, IPV, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Dtap ordered; Tdap given - child scheduled to return ASAP to receive Dtap per CDC instructions.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Chest discomfort, Dyspnoea, Urticaria
Clinical narrative: Patient calls on phone 2-26-08 stating she had hives several hours after injection.  She took Benadryl and used hydrocortisone cream.  By the next morning these were better.  She then developed some intermittent chest discomfort and shortness of air.  Instructed patient to go to ER.  Patient did not go.  Spoke to her on 2-27-08, was better.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema
Clinical narrative: Redness Left Deltoid - injection site treated as cellulitis with Clindamycin 150mg 1 tid x 1 week
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Headache, Injection site erythema
Clinical narrative: Tender, sore, heat at site, redness 2 1/2" x 4" oval, HA, tiredness, stomach ache, loose stools x 2 days.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: Tender, sore, heat at site, redness 2 1/2" x 4" oval, HA, tiredness, stomach ache, loose stools x 2 days.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Hyperhidrosis, Throat tightness
Clinical narrative: Diaphoresis, lightheadedness, tightening of throat.
Age: 10.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Rash erythematous, Swelling
Clinical narrative: Erythematous patch with mild swelling to left deltoid.  No treatment given.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Musculoskeletal pain, Oedema peripheral, Pain in extremity, Rheumatoid arthritis
Clinical narrative: Left hand swollen and painful in morning following flu shot.  Then right hand next day, continuing and included shoulders and still have symptoms as of 3-5-08.  Been seen by doctor's on 4 occasions.  Diagnosis of R.A. - meds - Prednisone and Methotrexate.  Not able to work.  No previous RA.  Vaccine given in left shoulder or upper arm.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, Decreased appetite, Full blood count normal, Injection site erythema, Injection site warmth
Clinical narrative: Red, warm spot on right thigh noted sd after immunizations done.  Baby presented with low appetite, but no fever.  Treated with oral antibiotic, Keflex and recovered after incident.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Labia enlarged, Vaginal swelling
Clinical narrative: 1st Vaccine given approx. 1900 hrs. At approx 2130the pt began c/o severely swollen labia. (-) difficulty breathing, hives or flushing. Benadryl 50mg PO given. 02/12/2010 Initial and follow up information has been received from a nurse concerning her 20 year old daugher with no medical history and no known drug reaction or allergies on 01-MAR-2009 was vaccinated IM in the left deltoid with the first 0.5 ml dose of GARDASIL. There was no concomitant medication. On 03-MAR-2008 the patient experienced swelling of the vagina and labia. The patient begun to experience the swelling two hours after receiving the vaccination. The swelling was reduced with the administration at 50 mg Benadryl. Swelling persisted for 24 hours. Patient did not seek medical attention. Patient outcome was recovered on 05-MAR-2008. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Genital swelling, Vaginal swelling
Clinical narrative: 1st Vaccine given approx. 1900 hrs. At approx 2130the pt began c/o severely swollen labia. (-) difficulty breathing, hives or flushing. Benadryl 50mg PO given. 02/12/2010 Initial and follow up information has been received from a nurse concerning her 20 year old daugher with no medical history and no known drug reaction or allergies on 01-MAR-2009 was vaccinated IM in the left deltoid with the first 0.5 ml dose of GARDASIL. There was no concomitant medication. On 03-MAR-2008 the patient experienced swelling of the vagina and labia. The patient begun to experience the swelling two hours after receiving the vaccination. The swelling was reduced with the administration at 50 mg Benadryl. Swelling persisted for 24 hours. Patient did not seek medical attention. Patient outcome was recovered on 05-MAR-2008. Additional information has been requested.
Age: 38.0
Sex: M
Vaccine: TDAP
Symptoms: Myalgia
Clinical narrative: Symptoms began approximately 12 hours after injection myalgia.
Age: 13.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Patient received vaccines on 2/26/08.  Patient returned to clinic on 2/28/08 with area of induration (1 1/2") and redness at site of varicella vaccine.
Age: 1.01
Sex: F
Vaccine: DTAPHEPBIP, MMR, PNC, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Red and swollen at site with fever.
Age: 9.0
Sex: F
Vaccine: HEPA, HEPA, VARCEL
Symptoms: Dizziness, Headache, Pallor
Clinical narrative: As soon as Hep A was given IM on right arm, turned really pale and got dizzy.  Color eventually came back but dizziness persisted for at least 30 minutes.  The following day had headache and dizziness.
Age: 9.0
Sex: F
Vaccine: HEPA, HEPA, VARCEL
Symptoms: Dizziness, Headache, Pain in extremity, Pallor
Clinical narrative: As soon as Hep A was given IM on right arm, turned really pale and got dizzy.  Color eventually came back but dizziness persisted for at least 30 minutes.  The following day had headache and dizziness.
Age: 9.0
Sex: F
Vaccine: HEPA, HEPA, VARCEL
Symptoms: Dizziness, Headache, Pallor
Clinical narrative: As soon as Hep A was given IM on right arm, really pale and got dizzy.  Color eventually came back but dizziness persisted for at least 30 minutes.  The following day had headache and dizziness.  Headache and sore arm the next day (3-4-08).  Fully recovered 3-5-08.
Age: 9.0
Sex: F
Vaccine: HEPA, HEPA, VARCEL
Symptoms: Dizziness, Headache, Pain in extremity, Pallor
Clinical narrative: As soon as Hep A was given IM on right arm, really pale and got dizzy.  Color eventually came back but dizziness persisted for at least 30 minutes.  The following day had headache and dizziness.  Headache and sore arm the next day (3-4-08).  Fully recovered 3-5-08.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Pain in extremity
Clinical narrative: Patient had pain in left leg right after shot.  This a.m. (3/6/08) developed redness, 9cm x 6.5cm.  Treated with Keflex.
Age: 62.0
Sex: M
Vaccine: UNK
Symptoms: Rash, Skin lesion
Clinical narrative: Patient developed rash on both arms 1 week post vaccine injection. He tried hydrocodone and rash got worse. When he came for f/u several weeks later, I saw the rash but at that time the lesions were in advanced process of healing.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient stated swelling began at injection site and pain, redness a few hours after injection.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Injection site rash
Clinical narrative: Non-indurated erythema eruption with some rippling of the surface with true classic dew drops on a rose petal in somewhat of an irregular area about 2 x 2 1/2cm on right lateral thigh.  Patient afebrile, LSC (Rash on injection site or varicella injection).
Age: 1.51
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Rash
Clinical narrative: Began with rash 3/5.  Got worse.  Came for evaluation 3/6.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Myalgia
Clinical narrative: Tenderness right deltoid muscle, no erythema.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Mass, Pyrexia, Rash papular
Clinical narrative: Red papules on right thigh noted 8 days after immunization.  Then developed fever 101.3, large, red, tender lump.  Treated with oral Keflex.  Patient was instructed to call or return if not improving in 1-2 days.
Age: 48.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema, Pain, Pain in extremity, Skin warm
Clinical narrative: Night of vaccine - right arm sore, achy.  Then back of neck got very hot - looked red.  Today better.  Skin - negative.  Neck - normal.  Lungs - clear.  Heart - normal.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: 24 hours after vaccine administration, patient's left lateral mid-thigh has 4 x 5cm area of erythema, induration, warmth and tenderness.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Dyskinesia, Injection site erythema, Injection site warmth
Clinical narrative: Injection site red, warm.  Inconsolable crying, would not eat, kicking affected leg less vigorously.  Treated with Acetaminophen, cool compress.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Hypoaesthesia
Clinical narrative: Numbness in left arm and redness 24 hrs after shot given. I was seen by doctor he said to report this.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Erythema, Mass
Clinical narrative: On 3/9/08 I was administered the anthrax shot (left arm) in 24 hour window the following symptoms occurred red lump, joint aches.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Influenza, Injection site mass, Pain, Upper respiratory tract infection
Clinical narrative: One week after getting vaccine, patient was diagnosed with URI & Flu.  Now presents with severe body aches for one week, especially of face, shoulder and thighs.  Has a quarter to half dollar size red lump at site of injection today.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Musculoskeletal stiffness
Clinical narrative: 8:50 AM Pt received Tdap, PPD screen, MCV4, HPV#1.  Pt then stated that she felt light headed.  Pt then had stiffening of of upper body for 1-2 second.  Pt aware after incident.  Pt able to follow commands, gives name of sibling to call and #.  Pt aware of where she is at.  No breakfast ingestion taken prior to vaccination.  Blood glucose post vaccination 141, BP 100/60, HR 64, RR 16.  Pt being observed.  No recourse at this time.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Asthenia, Gait disturbance, Hypoaesthesia
Clinical narrative: Chills 2 days after vaccines.  Weak feeling in joints 3 days after vaccines with difficulty climbing stairs.  Numb feeling (normal sensory exam) in trunk and upper limbs 4 & 5 days after vaccines.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Pruritus, Pyrexia
Clinical narrative: Severe/moderate itching, redness over entire thigh area, fever to touch.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Injection site bruising, Injection site mass, Pruritus, Rash
Clinical narrative: KNOT, BRUISE APPEARING 24 HRS AFTER SUBCUTANEOUS INJECTION  BACK OF RIGHT ARM ALSO RASH WITH SMALL BLISTERS ON WRIST OF SMALL ARM, OCCASIONAL ITCHING.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling abnormal, Hypoaesthesia, Nausea, Paraesthesia, Pruritus
Clinical narrative: 07:49AM Patient given 3rd HPV/Gardasil vaccine. Patient left after vaccination due to working 13 1/2 hrs. last night.  08:10 Patient presented back to front desk with complaints of itching and "not feeling right".  08:10AM RN's x3 responded to call to front. Patient having itching, welts over face, arms, spreading to neck and back. Complaints of nausea followed by vomiting x1. Patient reports numbness and tingling. 08:12AM Diphenhydramine 50mg/ml given IM. 08:13AM EMS phoned per front desk staff. 08:17AM Epinephrine 1:1000, 0.30mg administered IM. EMS arrived 08:19AM. Patient transported to the emergency room. Family with patient for transport.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria, Vomiting
Clinical narrative: 07:49AM Patient given 3rd HPV/Gardasil vaccine. Patient left after vaccination due to working 13 1/2 hrs. last night.  08:10 Patient presented back to front desk with complaints of itching and "not feeling right".  08:10AM RN's x3 responded to call to front. Patient having itching, welts over face, arms, spreading to neck and back. Complaints of nausea followed by vomiting x1. Patient reports numbness and tingling. 08:12AM Diphenhydramine 50mg/ml given IM. 08:13AM EMS phoned per front desk staff. 08:17AM Epinephrine 1:1000, 0.30mg administered IM. EMS arrived 08:19AM. Patient transported to the emergency room. Family with patient for transport.
Age: 31.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Patient had 2 shots on the arm on Friday morning and, in the evening felt itchy, sore, bump as well as hot red on the vaccinated right arm. No lymph glands and he got better on Monday 3/10/2008.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Abasia, Asthenia, Blood product transfusion, CSF glucose normal, CSF protein increased
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: CSF white blood cell count, Electromyogram abnormal, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulins
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Intubation, Lumbar puncture, Mechanical ventilation, Nerve conduction studies abnormal, Nuclear magnetic resonance imaging normal
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Paraesthesia, Plasmapheresis, Red blood cells CSF positive, Urine analysis abnormal, Urine analysis normal
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Wheelchair user
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Abasia, Asthenia, Back pain, Blood product transfusion, Dysphonia
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Electromyogram abnormal, Endotracheal intubation, Eyelid ptosis, Fall, Gait disturbance
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Gastrointestinal tube insertion, Gastrooesophageal reflux disease, Grip strength decreased, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Hypoaesthesia oral, Intensive care, Mechanical ventilation, Myalgia, Pain in jaw
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Paraesthesia, Paraesthesia oral, Pharyngitis, Plasmapheresis, Rash pruritic
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Tracheitis, Weight decreased, Wheelchair user
Clinical narrative: 15 YO FEMALE HOSPITALIZED 12/26/07 FOR GUILLAIN-BARRE SYNDROME. PRIOR TO ADMISSION SHE HAD A ONE WEEK HISTORY OF NUMBNESS AND TINGLING TO HER EXTREMITIES WITH PROGRESSIVE WEAKNESS. TREATMENT INCLUDED A PROLONGED PERIOD OF INTUBATION AND VENTALTOR SUPPORT, PLASMAPHERESIS, AND IVIG. SHE WAS TRANSFERRED TO REHABILITATION UNIT 1/17/08 AND REMAINS HOSPITALIZED THERE TO DATE. THEY ANTICIPATE POSSIBLE DISCHARGE TO HOME HIS FRIDAY. PATIENT REMAINS IN A WHEELCHAIR AT THIS POINT AND IS UNABLE TO AMBULATE ON HER OWN. 3/19/08-records received for DOS 12/26/17-01/17/08-DC DX: Guillain-Barre syndrome. Presented with several day history of progressive numbness and tingling and weakness. Symptoms began six days prior to admission with right fifth digit numbness. Four days prior to admission pharyngitis and numbness and tingling in lips. Three days prior to admission increasing generalized weakness. Two days prior to admission increasingly hoarse. Day of admission demonstrated a wide based gait, holding onto wall to walk. Fell in bathtub and was unable to get up. Decreased grip strength. Ten pound weight loss one week prior to admission. Some symptoms of acid reflux and global myalgias, jaw pain, back pain. Pruritic rash on face. Required ICU care, intubation. Intravenous immunoglobulin. PT and OT. NG tube feeding. Bilateral ptosis. Developed tracheitis.  7/07/2008 Neuro consult dated 3/24/2008. pt with hx of axonal GBS, now with episodes of altered consciousness and jerking potentially related to seizure activity vs syncopal events vs pseudoseizures.  Pt d/c 3/14/08 from rehab for GBS dx. C/o fatigue and weakness by 3/22/08 and then had an episode of "being out of it" and passing out with abnormal eye movements. Concern for seizure based on jerking noted. Pt has had/has neurogenic bladder and bowel, neuropathic pain, dysphagia, depression, autonomic instability r/t GBS.  PE (+) for constricted affect, and decreased tone, bulk and strength. Unable to walk-in a w/c. Absent reflexes.
Age: 25.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm is sore, swollen, indurated, erythematous and warm.
Age: 37.0
Sex: M
Vaccine: ANTH, FLUN3, TYP
Symptoms: Headache, Injection site pain, Injection site swelling, Nausea, Vomiting
Clinical narrative: Pt reported onset of nausea, vomiting, L arm pain with swelling, headache one day following receiving anthrax vaccination. Symptoms lasted until 3/10/08.
Age: 24.0
Sex: U
Vaccine: HPV4
Symptoms: Muscle spasms, Muscle twitching
Clinical narrative: Patient reports muscle spasms or twitching which began occurring 1 wk after injection.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Convulsion, Gaze palsy, Immediate post-injection reaction, Syncope, Vaccine positive rechallenge
Clinical narrative: My daughter fainted immediately after administration of the vaccine.  Her eyes rolled back, and her body had mild convulsing, followed by fainting.  I have just found out about your reporting system, therefore the delay in reporting.  My daughter has had 2 shots of the HPV Vaccine, and fainted following both.  She has had all other childhood vaccines and many travel vaccines and never fainted.  I believe both HPV vaccines were Gardasil, but this should be confirmed with physician.  The first HPV vaccine 12/06 was administered with an additional DTap vaccine; HPV Vaccine #2 was administered alone and again produced faintness.  Both times injection was given in upper arm-- can't recall which side.
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Rash generalised
Clinical narrative: Rash all over my body. Huge bumps.
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Erythema, Inflammation, Pruritus, Rash generalised
Clinical narrative: Rash all over my body. Huge bumps.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Rash erythematous, Rash maculo-papular, Rash pustular
Clinical narrative: PT NOTICED ERYTHEMIC MACULOPAPULAR LESIONS STARTING ON HIS BACK 11 DAYS AFTER VACCINATION. LESIONS SPREAD TO TRUNK, UPPER EXTREMITIES, AND NECK. ONE PUSTULE ON HIS LEFT UPPER THIGH THAT BROKE OPEN AND LESION EXPANDED BUT IS NOW RESOLVING. PT DID HAVE LOW GRADE FEVER ON DAY 10 AND 11 BUT NOW AFEBRILE. DENIES HIVES, PAIN, ITCHING OR RESPIRATORY DISTRESS.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 6 HOURS AFTER THE VACCINE WAS GIVEN PT GOT REDNESS, PRURITUS, AND SWELLING OF INJECTED RIGHT DELTOID AREA.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Dermatitis
Clinical narrative: DERMATITIS:  BLISTERS IN PUBIC AREA, SADDLE, BUTTOX, VAGINA AND UPPER LEG.  SELF ADMINISTERED:  ANTI-FUNGAL LOTION, NEOSPORIN, AND CALAMINE LOTION.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Fatigue, Injection site pain, Joint range of motion decreased, Oedema
Clinical narrative: Pt called to report.."a reaction I had to the Pneumonia shot I had yesterday".  Received injection at 1300 3/10/08 and said by 1500 she was having left arm pain that worsened and limited ROM.  Also local redness and edema reported as size of bean.  Also C/O fatigue and body aches  No reported fever...  Said she feels better today, arm less sore and red...
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Pt called to report.."a reaction I had to the Pneumonia shot I had yesterday".  Received injection at 1300 3/10/08 and said by 1500 she was having left arm pain that worsened and limited ROM.  Also local redness and edema reported as size of bean.  Also C/O fatigue and body aches  No reported fever...  Said she feels better today, arm less sore and red...
Age: 1.14
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Erythema, Rash, Skin disorder
Clinical narrative: 4 days after immunizations, developed white dots surrounded by red marks on abdomen.  5 days after imm, rash on abd. fading, more rash on sides and back.  No bruising noted. Per private provider:  not likely to be from immunizations, child Rx'd with liquid Claritin and Prednisone.  Unknown reason for rash.  7 days after imm., child still has the rash on sides and back, one spot on neck and two on arm.  Abd. rash con't to fade.  Child is "acting normal."
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: Patient received Gardasil vaccination & sat in waiting area..got lightheaded & pale & fainted about 5 minutes after receiving injection. Was VERY pale. Almost looked like she had a seizure, but came to quickly so not sure if it was. Laid on exam table. BP was 102/60. Oxygen sat was 99%. No other treatment was necessary.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: Injection site mass
Clinical narrative: Per dad, "large hard lump" on right leg at site of injection.  Denies edema or erythema. Phone call today 3/11/08.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Injection site erythema, Injection site pain, Rash, Varicella zoster virus serology positive
Clinical narrative: Patient reports redness and pain at injection site on her arm within the first 24hr of vaccination which resolved by 72hrs. She developed a rash on her L buttock and down the back of her L thigh starting 48hrs after vaccination- 3/2/08. She was examined in the office on 3/5/08 and found to have nl L arm, but classic Varicella zoster rash in a L S1 distribution. Was started on therapy with Vancyclovir that day. Culture swab of a blister was obtained.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Culture positive, Herpes zoster, Rash erythematous, Rash macular, Varicella zoster virus serology positive
Clinical narrative: Patient reports redness and pain at injection site on her arm within the first 24hr of vaccination which resolved by 72hrs. She developed a rash on her L buttock and down the back of her L thigh starting 48hrs after vaccination- 3/2/08. She was examined in the office on 3/5/08 and found to have nl L arm, but classic Varicella zoster rash in a L S1 distribution. Was started on therapy with Vancyclovir that day. Culture swab of a blister was obtained.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Left arm numbness & tingling after immunizations still persist seen by ped md and neurology.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, C-reactive protein, Chills, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Patient reports immediate pain at site of PNEUMOVAX injection, which subsequently worsened within 10 minutes of injection.  Over the next few days, the site became red, hard, and warm and the area of involved tissue increased to a maximum size of about 6 inches around the injection site by 3/8.  About 24 hours after the injection, the patient developed joint pains (knees, elbows, back), chills (no documented fever) and nausea that resolved within 36 hours after the injection.  Patient denies rash otherwise, including lateral hands and feet.  On 3/9, the pain had somewhat improved, but the patient developed numbness and paresthesias in her left fingers and toes, which prompted her to seek medical attention at the NNMC ED.  She was given a prescription for septra and released.  She has been using ibuprofen as needed for the pain.  Patient reports last vaccine was about 20 years ago.  Contacted on 5/11/08 and this a.m. numbness and tingling had resolved.  Redness, warmth and tenderness has decreased to 70% of what was previously noted.  Edema at injection site > 120 mm not beyond elbow decreased ROM and pain.  Erythema extended about 6' surrounding vaccine site.  Tenderness at pneumonia vaccine site (not flu vaccine site).  Paresthesia primarily left pinky and thumb; resolved by 3/11/08.  Joint pain, multiple joints, knees, elbows, back.  Nausea without vomiting.  Chills. FOLLOW UP REPORT: Contacted patient on 4/21/08. She reports vaccine site of her left upper arm has returned to normal. The sensation has returned in her left pinky finger. She denies systemic symptoms.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Patient reports immediate pain at site of PNEUMOVAX injection, which subsequently worsened within 10 minutes of injection.  Over the next few days, the site became red, hard, and warm and the area of involved tissue increased to a maximum size of about 6 inches around the injection site by 3/8.  About 24 hours after the injection, the patient developed joint pains (knees, elbows, back), chills (no documented fever) and nausea that resolved within 36 hours after the injection.  Patient denies rash otherwise, including lateral hands and feet.  On 3/9, the pain had somewhat improved, but the patient developed numbness and paresthesias in her left fingers and toes, which prompted her to seek medical attention at the NNMC ED.  She was given a prescription for septra and released.  She has been using ibuprofen as needed for the pain.  Patient reports last vaccine was about 20 years ago.  Contacted on 5/11/08 and this a.m. numbness and tingling had resolved.  Redness, warmth and tenderness has decreased to 70% of what was previously noted.  Edema at injection site > 120 mm not beyond elbow decreased ROM and pain.  Erythema extended about 6' surrounding vaccine site.  Tenderness at pneumonia vaccine site (not flu vaccine site).  Paresthesia primarily left pinky and thumb; resolved by 3/11/08.  Joint pain, multiple joints, knees, elbows, back.  Nausea without vomiting.  Chills. FOLLOW UP REPORT: Contacted patient on 4/21/08. She reports vaccine site of her left upper arm has returned to normal. The sensation has returned in her left pinky finger. She denies systemic symptoms.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Injection site warmth, Nausea, Pain, Paraesthesia
Clinical narrative: Patient reports immediate pain at site of PNEUMOVAX injection, which subsequently worsened within 10 minutes of injection.  Over the next few days, the site became red, hard, and warm and the area of involved tissue increased to a maximum size of about 6 inches around the injection site by 3/8.  About 24 hours after the injection, the patient developed joint pains (knees, elbows, back), chills (no documented fever) and nausea that resolved within 36 hours after the injection.  Patient denies rash otherwise, including lateral hands and feet.  On 3/9, the pain had somewhat improved, but the patient developed numbness and paresthesias in her left fingers and toes, which prompted her to seek medical attention at the NNMC ED.  She was given a prescription for septra and released.  She has been using ibuprofen as needed for the pain.  Patient reports last vaccine was about 20 years ago.  Contacted on 5/11/08 and this a.m. numbness and tingling had resolved.  Redness, warmth and tenderness has decreased to 70% of what was previously noted.  Edema at injection site > 120 mm not beyond elbow decreased ROM and pain.  Erythema extended about 6' surrounding vaccine site.  Tenderness at pneumonia vaccine site (not flu vaccine site).  Paresthesia primarily left pinky and thumb; resolved by 3/11/08.  Joint pain, multiple joints, knees, elbows, back.  Nausea without vomiting.  Chills. FOLLOW UP REPORT: Contacted patient on 4/21/08. She reports vaccine site of her left upper arm has returned to normal. The sensation has returned in her left pinky finger. She denies systemic symptoms.