chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Pyrexia, Rhinorrhoea, Streptococcus test negative, Throat irritation
Clinical narrative: Started extremely abruptly with scratchy throat and burning chest. Went into asthma attack, then stuffy head and runny nose, chills, fever, body aches, racing heart, high blood pressure, nausea, vomiting, weakness, dizzy, extremely bloodshot eyes.  Had to go to ER.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Upper respiratory tract congestion, Vomiting
Clinical narrative: Started extremely abruptly with scratchy throat and burning chest. Went into asthma attack, then stuffy head and runny nose, chills, fever, body aches, racing heart, high blood pressure, nausea, vomiting, weakness, dizzy, extremely bloodshot eyes.  Had to go to ER.
Age: 0.36
Sex: M
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: This is a 4 1/2-month-old male infant vaccinated in a study who had hematochezia reported to the study PI on 11/3/2010 by study report card submission.  The patient had some reported blood in his stool 2 to 4 episodes per day, from 10/23/2010 to 10/27/2010. The mother had changed the patient's formula prior to that. The patient's primary Dr. changed the patient to prosoybee formula on 10/22/2010 a soy-based formula, and the blood in the stool stopped on 10/27/2010.  This appeared to be unrelated to vaccine dose #2 administered from 10/1/10.  This AE resolved completely by 10/27/10 and did not recur.  This AE appeared to be related to the formula change.  This serves as the initial and final report as there was no recurrence.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site joint pain, Injection site pain
Clinical narrative: LEFT DELTOID AND JOINT(SHOULDER)PAIN
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Red, painful, itchy sore at inoculation site
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: No pain the day of the shot. Pain started that night in the lower part of the arm by the elbow. Pain continued to get worse and now can hardly move arm up in the air. Can't put on jacket. Hurts with use of arm...takes breath away and flinch. Ibuprofen does not touch the pain.
Age: 38.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Arthralgia, Fatigue, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever 102.3F; fatigue, myalgias/arthralgias; nausea
Age: 38.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Streptococcus test, Streptococcus test negative
Clinical narrative: Fever 102.3F; fatigue, myalgias/arthralgias; nausea
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Pain
Clinical narrative: Has pain in shoulder with limited range of motion. Slightly sore after exertion. Never had pain like this before after a shot. Got progressively worse over 2 weeks. Pain is 5/10 with use. Favoring right arm to eliminate pain in left arm.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Pyrexia, Vomiting
Clinical narrative: Chills, fever 101.5 degree, vomiting, red spot at injection site the size of a 50 cent piece.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Hot flush, Nausea, Pain
Clinical narrative: Spent 3 days in bed with chills, hot flashes, nausea, aches
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site pain, Varicella post vaccine
Clinical narrative: C/O pain at injection site for 3 days, then about 1 month later developed approx. 25 pox that appear to look like chicken pox.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Pain in jaw
Clinical narrative: Left side jaw pain and red raised itchy rash at injection site and down arm to elbow.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Oedema, Oedema peripheral, Tenderness
Clinical narrative: 12/08/2010: R shoulder is swollen and markedly tender to palpation.  No ecchymosis, no erythema, no lymphangitis 12/10/2010: right arm: +erythema, +edema, +tender mod size tattoo of flowers over upper/lateral aspect measures 2 cm larger than left at 11 cm above olecranon erythema from distal aspect of deltoid nearly to elbow, and nearly  circumferential with region over triceps spared -- margins marked tender over areas of erythema, also over deltoid and inguinal region,  though no palpable nodes
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Chills, Condition aggravated, Dizziness, Dyspnoea
Clinical narrative: Arm swelling, red, head started to hurt, started to throw up...had cold chills and ran a fever. Could not drive, felt dizzy. My asthma was awful...hard to breathe. I took aspirin and stayed in bed.  This continued until EXACTLY 5:00 on 12/16/2010.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Headache, Impaired driving ability, Oedema peripheral, Pyrexia
Clinical narrative: Arm swelling, red, head started to hurt, started to throw up...had cold chills and ran a fever. Could not drive, felt dizzy. My asthma was awful...hard to breathe. I took aspirin and stayed in bed.  This continued until EXACTLY 5:00 on 12/16/2010.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Arm swelling, red, head started to hurt, started to throw up...had cold chills and ran a fever. Could not drive, felt dizzy. My asthma was awful...hard to breathe. I took aspirin and stayed in bed.  This continued until EXACTLY 5:00 on 12/16/2010.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Blood test, Hypoaesthesia, Joint range of motion decreased
Clinical narrative: Shoulder sore and over a period of a few weeks had progressed to frozen shoulder with muscle spasms and loss of ability to raise left arm to side and behind back.  Numbness and tingling to left thumb and index finger.  Unable to use left arm for lifting more than 5# for 10 months then was very weak.  Went thru several months of physical therapy and one shoulder manipulation procedure along with numerous anti-inflammatory drugs.  Over the course of 2 years the shoulder pain has progressed to other joints and I am now seeing a rheumatologist for this.  I am still unable to use my left arm to its full potential due to the limited range of motion which has resulted from the flu shot.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms, Musculoskeletal pain, Nuclear magnetic resonance imaging, Paraesthesia, Periarthritis
Clinical narrative: Shoulder sore and over a period of a few weeks had progressed to frozen shoulder with muscle spasms and loss of ability to raise left arm to side and behind back.  Numbness and tingling to left thumb and index finger.  Unable to use left arm for lifting more than 5# for 10 months then was very weak.  Went thru several months of physical therapy and one shoulder manipulation procedure along with numerous anti-inflammatory drugs.  Over the course of 2 years the shoulder pain has progressed to other joints and I am now seeing a rheumatologist for this.  I am still unable to use my left arm to its full potential due to the limited range of motion which has resulted from the flu shot.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray
Clinical narrative: Shoulder sore and over a period of a few weeks had progressed to frozen shoulder with muscle spasms and loss of ability to raise left arm to side and behind back.  Numbness and tingling to left thumb and index finger.  Unable to use left arm for lifting more than 5# for 10 months then was very weak.  Went thru several months of physical therapy and one shoulder manipulation procedure along with numerous anti-inflammatory drugs.  Over the course of 2 years the shoulder pain has progressed to other joints and I am now seeing a rheumatologist for this.  I am still unable to use my left arm to its full potential due to the limited range of motion which has resulted from the flu shot.
Age: 0.64
Sex: M
Vaccine: DTAPIPVHIB, HEP
Symptoms: Erythema, Induration, Purulent discharge
Clinical narrative: Area started to get hard and red. Family member squeezed area and pus came out.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Oropharyngeal pain, Pain, Vomiting
Clinical narrative: C/o sore throat, body aches, vomiting, difficulty breathing 2 hours after rec flu shot. 10/20/10 feeling better.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Feeling cold, Pain in extremity
Clinical narrative: 1:00P arm began to hurt, 3:30P became very tired, began shivering, shaking felt very cold. Remained cold until 7P went to bed 9pm - woke 6A next day with no arm discomfort and feeling fine.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling, Pruritus
Clinical narrative: Within seconds after administering the vaccine, injection site became red, swollen and bruised. Pt. c/o itchiness. Ice applied. Pt. went home mom gave BENADRYL and applied cream to area. 12/14/10 follow up phone call. Area just bruised.
Age: 4.0
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Syncope
Clinical narrative: Immunization given patient fainted after administration patient seen by MD. Patient had BP taken. Patient rested for 20-30 min before sent home.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Diarrhoea, Injection site erythema, Injection site swelling
Clinical narrative: Fever, redness, & swelling at site extending down arm to elbow, pain, joint pain, chills, diarrhea.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, redness, & swelling at site extending down arm to elbow, pain, joint pain, chills, diarrhea.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Computerised tomogram, Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: 12/08/10 shingles vaccine given 12/10/10 CT scan with dye 12/15/10 PM started with red raised rash over entire body, burning & itching. No SOB or respiratory sx at all.
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Asthenia, Dyspnoea, Feeling cold, Head discomfort
Clinical narrative: Hot flashes in face (no fever) coldness weakness, upset stomach, slight discomfort in head, very shortness of breath (small amount) palpitation of heart (still feel it a little). 12-7-10 pain in muscle where shot given. 12-7-10 still feel shot not given in muscle flushed in face little of a palpitation of heart 12-10-10.
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Hot flush, Injection site reaction, Myalgia, Palpitations
Clinical narrative: Hot flashes in face (no fever) coldness weakness, upset stomach, slight discomfort in head, very shortness of breath (small amount) palpitation of heart (still feel it a little). 12-7-10 pain in muscle where shot given. 12-7-10 still feel shot not given in muscle flushed in face little of a palpitation of heart 12-10-10.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Convulsion, Pain in extremity, Pyrexia, Unresponsive to stimuli, Vomiting projectile
Clinical narrative: 12-7-10 patient received DTP/AP, Hep B, PREVNAR, Polio at health department 12-9-10 mother state c/o pain in arm, fever 103, seizure, projectile vomiting, and became unresponsive. Pt taken to ED via ambulance. 12-10-10 patient saw PCP on F/up from ED visit.
Age: 0.45
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient given PEDIARIX, which contains Hep B. Also given Hep B vaccine. No symptoms noted.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Moderate-severe urticarial rash - occurred few hours after (first) flu shot. No respiratory symptoms noted. Improved with oral steroids, but more so with oral antihistamines (BENADRYL & ATARAX).
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Convulsion, Injection site erythema, Loss of consciousness, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Moderate redness, swelling, and warmth at vaccination site - same day. Convulsive episode with LOC that night prompting ER visit to hosp.
Age: 61.0
Sex: F
Vaccine: VARCEL
Symptoms: Dizziness, Headache, Nausea, Wrong drug administered
Clinical narrative: Pt received VARIVAX instead of ZOSTAVAX. She experienced headache, dizziness, nauseated, faint feeling.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Lymphadenopathy
Clinical narrative: Lymphadenopathy R cervical & submand. nodes torticolis TYLENOL & Ibuprofen.
Age: 39.0
Sex: U
Vaccine: FLU3
Symptoms: Pain, Swelling
Clinical narrative: Shooting pain & swelling x 1 wk.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Movement disorder, Neck pain, Oedema peripheral
Clinical narrative: Unable to move arm secondary pain - swelling, redness at injection site - pain travel up to neck & down fingers - low grade fever - headache.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Unable to move arm secondary pain - swelling, redness at injection site - pain travel up to neck & down fingers - low grade fever - headache.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Incorrect dose administered
Clinical narrative: Patient given PEDIARIX which contains Polio. Also received dose of Polio. No symptoms noted.
Age: 1.29
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Blister, Rash
Clinical narrative: 10 minutes after receiving vaccines. Dad returned to my office reporting rash bilat on cheeks. Rash noted at nape of neck also rash varies in size not raised, small vesicle looking area in center. Observed x 15 minutes & rash subsided.
Sex: U
Vaccine: FLU3
Symptoms: Coombs positive haemolytic anaemia
Clinical narrative: Initial report received from a physician on 03 Dec 2010: This patient vaccinated with FLUVIRIN (batch number unspecified) intramuscularly in Oct 2010 (date unspecified). In Nov 2010 (date unspecified), the patient developed Coomb's positive hemolytic anemia. The outcome of the event was reported as condition unchanged (persistent).
Age: 18.0
Sex: M
Vaccine: HPV4, MNQ
Symptoms: Dyskinesia, Fall, Syncope, Vision blurred
Clinical narrative: Brief fainting spell and jerking x once observed. Pt. fell on floor after receiving vaccine. States he did not hit his head on chair that he fell against & states no other injuries. Pt. allowed to lay down in exam room x 45 min. Pt. states he also had blurry vision. No other complaints voiced.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: 7 x 7 cellulitis on (L) leg.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Activities of daily living impaired, Pain, Pain in extremity, Pyrexia
Clinical narrative: Pt called 12/16/10 approximately 0900 to report bad reaction to vaccine. Reports the left arm sore as of 2:00p 12/15 - hurts to move it. Fever of 101 degrees at 7:30p 12/15 - took 12/16 off work as hurts "all over". Denies any hardness, redness or soreness at (L) arm site however. Treated w/XS BAYER aspirin & rec f/u 12/17 of not improving.
Age: 95.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Musculoskeletal stiffness
Clinical narrative: Patient became very stiff when son came home the next day she was unable to move. Son took her to then emergency room.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Ear discomfort, Eye swelling, Furuncle, Lacrimation increased, Pruritus
Clinical narrative: Initial health care professional report received on 15 Nov 2010: This patient was vaccinated with FLUVIRIN (batch 111783P1A), at a dose of 0.5ml intramuscularly on 27 Oct 2010. the patient developed redness, swelling and itching of both ears on 31 Oct 2010. the patient also developed painful boil in right ear and swelling of eyelids. The patient was also diagnosed with sinusitis for which the patient was treated with Amoxicillin for 7 days. The sinusitis resolved. The outcome of the other events were reported as ongoing. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) intramuscularly on 27 Oct 2010. She presented with redness, burning and swelling of both ears on 01 Nov 2010. Two days later, the patient presented with painful boil in right ear, sinusitis and swelling of right eye on 03 Nov 2010. The patient recovered from burning, redness and swelling of both ears and painful boil in right ear on 11 Nov 2010. Right eye swelling and sinusitis were resolved on 12 Nov 2010 and 16 Nov 2010, respectively. The reporter assessed all events as medically significant.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Sinusitis
Clinical narrative: Initial health care professional report received on 15 Nov 2010: This patient was vaccinated with FLUVIRIN (batch 111783P1A), at a dose of 0.5ml intramuscularly on 27 Oct 2010. the patient developed redness, swelling and itching of both ears on 31 Oct 2010. the patient also developed painful boil in right ear and swelling of eyelids. The patient was also diagnosed with sinusitis for which the patient was treated with Amoxicillin for 7 days. The sinusitis resolved. The outcome of the other events were reported as ongoing. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) intramuscularly on 27 Oct 2010. She presented with redness, burning and swelling of both ears on 01 Nov 2010. Two days later, the patient presented with painful boil in right ear, sinusitis and swelling of right eye on 03 Nov 2010. The patient recovered from burning, redness and swelling of both ears and painful boil in right ear on 11 Nov 2010. Right eye swelling and sinusitis were resolved on 12 Nov 2010 and 16 Nov 2010, respectively. The reporter assessed all events as medically significant.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Auricular swelling, Ear discomfort, Ear pain, Erythema, Eye swelling
Clinical narrative: Initial health care professional report received on 15 Nov 2010: This patient was vaccinated with FLUVIRIN (batch 111783P1A), at a dose of 0.5ml intramuscularly on 27 Oct 2010. the patient developed redness, swelling and itching of both ears on 31 Oct 2010. the patient also developed painful boil in right ear and swelling of eyelids. The patient was also diagnosed with sinusitis for which the patient was treated with Amoxicillin for 7 days. The sinusitis resolved. The outcome of the other events were reported as ongoing. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) intramuscularly on 27 Oct 2010. She presented with redness, burning and swelling of both ears on 01 Nov 2010. Two days later, the patient presented with painful boil in right ear, sinusitis and swelling of right eye on 03 Nov 2010. The patient recovered from burning, redness and swelling of both ears and painful boil in right ear on 11 Nov 2010. Right eye swelling and sinusitis were resolved on 12 Nov 2010 and 16 Nov 2010, respectively. The reporter assessed all events as medically significant.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Eyelid oedema, Furuncle, Pruritus, Sinusitis
Clinical narrative: Initial health care professional report received on 15 Nov 2010: This patient was vaccinated with FLUVIRIN (batch 111783P1A), at a dose of 0.5ml intramuscularly on 27 Oct 2010. the patient developed redness, swelling and itching of both ears on 31 Oct 2010. the patient also developed painful boil in right ear and swelling of eyelids. The patient was also diagnosed with sinusitis for which the patient was treated with Amoxicillin for 7 days. The sinusitis resolved. The outcome of the other events were reported as ongoing. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) intramuscularly on 27 Oct 2010. She presented with redness, burning and swelling of both ears on 01 Nov 2010. Two days later, the patient presented with painful boil in right ear, sinusitis and swelling of right eye on 03 Nov 2010. The patient recovered from burning, redness and swelling of both ears and painful boil in right ear on 11 Nov 2010. Right eye swelling and sinusitis were resolved on 12 Nov 2010 and 16 Nov 2010, respectively. The reporter assessed all events as medically significant.
Age: 39.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Burning sensation, Cheilitis, Fatigue, Headache, Nasal congestion
Clinical narrative: Initial report received from a nurse on 19 Nov 2010: This patient had medical history of nasal congestion one day before vaccination with FLUVIRIN. She was vaccinated with seasonal FLUVIRIN (batch number 111783P1A) 0.5 mL intramuscularly on 27 Oct 2010. She experienced arm pain, tenderness, sniffles, congestion, tiredness and bumps on her lips and inside her mouth. Her tongue had unusual texture. She experienced some tenderness in the lips. The outcome of the events was unchanged in condition. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) on 27 Oct 2010. The patient had little nasal congestion before vaccination with FLUVIRIN. She experienced arm pain, headache, congestion and tiredness on 27 Oct 2010. The patient presented with swelling and redness of gums and lips on 30 Oct 2010. Texture of lips became rough and it was sensitive to salty and spicy food. The patient recovered from arm pain, headache, congestion and tiredness on 29 Oct 2010. Outcome for other events was not reported.
Age: 39.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity, Tenderness
Clinical narrative: Initial report received from a nurse on 19 Nov 2010: This patient had medical history of nasal congestion one day before vaccination with FLUVIRIN. She was vaccinated with seasonal FLUVIRIN (batch number 111783P1A) 0.5 mL intramuscularly on 27 Oct 2010. She experienced arm pain, tenderness, sniffles, congestion, tiredness and bumps on her lips and inside her mouth. Her tongue had unusual texture. She experienced some tenderness in the lips. The outcome of the events was unchanged in condition. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) on 27 Oct 2010. The patient had little nasal congestion before vaccination with FLUVIRIN. She experienced arm pain, headache, congestion and tiredness on 27 Oct 2010. The patient presented with swelling and redness of gums and lips on 30 Oct 2010. Texture of lips became rough and it was sensitive to salty and spicy food. The patient recovered from arm pain, headache, congestion and tiredness on 29 Oct 2010. Outcome for other events was not reported.
Age: 39.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chapped lips, Cheilitis, Fatigue, Gingival erythema, Gingival swelling
Clinical narrative: Initial report received from a nurse on 19 Nov 2010: This patient had medical history of nasal congestion one day before vaccination with FLUVIRIN. She was vaccinated with seasonal FLUVIRIN (batch number 111783P1A) 0.5 mL intramuscularly on 27 Oct 2010. She experienced arm pain, tenderness, sniffles, congestion, tiredness and bumps on her lips and inside her mouth. Her tongue had unusual texture. She experienced some tenderness in the lips. The outcome of the events was unchanged in condition. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) on 27 Oct 2010. The patient had little nasal congestion before vaccination with FLUVIRIN. She experienced arm pain, headache, congestion and tiredness on 27 Oct 2010. The patient presented with swelling and redness of gums and lips on 30 Oct 2010. Texture of lips became rough and it was sensitive to salty and spicy food. The patient recovered from arm pain, headache, congestion and tiredness on 29 Oct 2010. Outcome for other events was not reported.
Age: 39.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Lip disorder, Lip pain, Lip swelling, Oral disorder
Clinical narrative: Initial report received from a nurse on 19 Nov 2010: This patient had medical history of nasal congestion one day before vaccination with FLUVIRIN. She was vaccinated with seasonal FLUVIRIN (batch number 111783P1A) 0.5 mL intramuscularly on 27 Oct 2010. She experienced arm pain, tenderness, sniffles, congestion, tiredness and bumps on her lips and inside her mouth. Her tongue had unusual texture. She experienced some tenderness in the lips. The outcome of the events was unchanged in condition. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) on 27 Oct 2010. The patient had little nasal congestion before vaccination with FLUVIRIN. She experienced arm pain, headache, congestion and tiredness on 27 Oct 2010. The patient presented with swelling and redness of gums and lips on 30 Oct 2010. Texture of lips became rough and it was sensitive to salty and spicy food. The patient recovered from arm pain, headache, congestion and tiredness on 29 Oct 2010. Outcome for other events was not reported.
Age: 39.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity, Rash, Respiratory tract congestion, Rhinorrhoea, Tenderness
Clinical narrative: Initial report received from a nurse on 19 Nov 2010: This patient had medical history of nasal congestion one day before vaccination with FLUVIRIN. She was vaccinated with seasonal FLUVIRIN (batch number 111783P1A) 0.5 mL intramuscularly on 27 Oct 2010. She experienced arm pain, tenderness, sniffles, congestion, tiredness and bumps on her lips and inside her mouth. Her tongue had unusual texture. She experienced some tenderness in the lips. The outcome of the events was unchanged in condition. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) on 27 Oct 2010. The patient had little nasal congestion before vaccination with FLUVIRIN. She experienced arm pain, headache, congestion and tiredness on 27 Oct 2010. The patient presented with swelling and redness of gums and lips on 30 Oct 2010. Texture of lips became rough and it was sensitive to salty and spicy food. The patient recovered from arm pain, headache, congestion and tiredness on 29 Oct 2010. Outcome for other events was not reported.
Age: 39.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Tongue disorder
Clinical narrative: Initial report received from a nurse on 19 Nov 2010: This patient had medical history of nasal congestion one day before vaccination with FLUVIRIN. She was vaccinated with seasonal FLUVIRIN (batch number 111783P1A) 0.5 mL intramuscularly on 27 Oct 2010. She experienced arm pain, tenderness, sniffles, congestion, tiredness and bumps on her lips and inside her mouth. Her tongue had unusual texture. She experienced some tenderness in the lips. The outcome of the events was unchanged in condition. Follow up report received from the nurse on 07 Dec 2010: The patient was vaccinated with FLUVIRIN (batch number 111783P1A, expiry date 31 Mar 2011) on 27 Oct 2010. The patient had little nasal congestion before vaccination with FLUVIRIN. She experienced arm pain, headache, congestion and tiredness on 27 Oct 2010. The patient presented with swelling and redness of gums and lips on 30 Oct 2010. Texture of lips became rough and it was sensitive to salty and spicy food. The patient recovered from arm pain, headache, congestion and tiredness on 29 Oct 2010. Outcome for other events was not reported.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Received the shot. It was very painful. 5min later took ADVIL that night and has gotten worse since. Has seen her doctor. Prescribed Z-pack. Has pain, difficulty with movement. Can't lift arm above head. Unable to lift, push, pull or raise arm.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Received the shot. It was very painful. 5min later took ADVIL that night and has gotten worse since. Has seen her doctor. Prescribed Z-pack. Has pain, difficulty with movement. Can't lift arm above head. Unable to lift, push, pull or raise arm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Biopsy tongue, Computerised tomogram, Dyspnoea, Fatigue, Laboratory test
Clinical narrative: Pt. received a flu immunization Oct. 4, 2010 - has received every year, also received H1N1 in the past on Oct. 6, 2010 pt. woke up with a sore throat Oct. 7, 2010 fever, - pt is not recovered she has been hospitalized twice (once for 3 days, 2nd time 1 week) had to be transported by ambulance, has had 2 MRI's, 6 CT's Multiple Lab's - 5 and S -> re-occurring fevers, airway obstruction and constriction, shortness of breath, lymph nodes swollen to the size of eggs, a symmetrical tongue swelling, constant sore throat, fatigue, achy, respiratory stridor. Pt. has been to multiple Dr's - immunologist, oncologist, tongue biopsy. Pt. said all the Dr's are stumped - they don't know what is wrong with her or how to help her - she will be going to the clinic in the next month - request by her Dr's. Pt is very concerned as she is not improving, she indicates nothing has changed in her life except the FLUZONE vaccination on Oct. 4, 2010. Pt. indicated it is fine if we need to contact her for hospitalization information or test results. Pt is a paramedic - works in the ER.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Nuclear magnetic resonance imaging, Obstructive airways disorder, Oropharyngeal pain, Pain
Clinical narrative: Pt. received a flu immunization Oct. 4, 2010 - has received every year, also received H1N1 in the past on Oct. 6, 2010 pt. woke up with a sore throat Oct. 7, 2010 fever, - pt is not recovered she has been hospitalized twice (once for 3 days, 2nd time 1 week) had to be transported by ambulance, has had 2 MRI's, 6 CT's Multiple Lab's - 5 and S -> re-occurring fevers, airway obstruction and constriction, shortness of breath, lymph nodes swollen to the size of eggs, a symmetrical tongue swelling, constant sore throat, fatigue, achy, respiratory stridor. Pt. has been to multiple Dr's - immunologist, oncologist, tongue biopsy. Pt. said all the Dr's are stumped - they don't know what is wrong with her or how to help her - she will be going to the clinic in the next month - request by her Dr's. Pt is very concerned as she is not improving, she indicates nothing has changed in her life except the FLUZONE vaccination on Oct. 4, 2010. Pt. indicated it is fine if we need to contact her for hospitalization information or test results. Pt is a paramedic - works in the ER.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Stridor, Swollen tongue
Clinical narrative: Pt. received a flu immunization Oct. 4, 2010 - has received every year, also received H1N1 in the past on Oct. 6, 2010 pt. woke up with a sore throat Oct. 7, 2010 fever, - pt is not recovered she has been hospitalized twice (once for 3 days, 2nd time 1 week) had to be transported by ambulance, has had 2 MRI's, 6 CT's Multiple Lab's - 5 and S -> re-occurring fevers, airway obstruction and constriction, shortness of breath, lymph nodes swollen to the size of eggs, a symmetrical tongue swelling, constant sore throat, fatigue, achy, respiratory stridor. Pt. has been to multiple Dr's - immunologist, oncologist, tongue biopsy. Pt. said all the Dr's are stumped - they don't know what is wrong with her or how to help her - she will be going to the clinic in the next month - request by her Dr's. Pt is very concerned as she is not improving, she indicates nothing has changed in her life except the FLUZONE vaccination on Oct. 4, 2010. Pt. indicated it is fine if we need to contact her for hospitalization information or test results. Pt is a paramedic - works in the ER.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Body Aches, Headache, Fatigue, Chills
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose abnormal, Blood pressure abnormal, Dizziness, Malaise, Type 1 diabetes mellitus
Clinical narrative: After receiving flu shot pt walked out of the exam room but pt was stating he did not feel good. The pt was dizzy and taken to a chair to sit down. The pt is a diabetic so the pt's blood glucose was checked and was out of range as well as having a blood pressure out of range. The pt was given glucose tablets and after 10 min the pts BP and BG was within normal limits and physician released pt. to home.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Body temperature increased
Clinical narrative: Temp of 103.2 per day care advised ibuprofen & watch for increased 5x or concerns.
Age: 13.0
Sex: F
Vaccine: FLU3, MNQ, TDAP
Symptoms: Dizziness, Dyskinesia, Loss of consciousness, Pallor
Clinical narrative: Patient received shots -> sent to the laboratory for urinalysis & hemoglobin & hematocrit. Feels dizzy while in the bathroom. When she sat down to have her finger prick for Hemoglobin, she slid to the (L) side and passed out her (R) arm from shoulder down were jerking, face pale as per witness; lasted for less than one minute, no incontinence; child said she seem to feel that she was shaking but not sure was brought to the exam room & laid on her back she was coherent, not to seem to be post-ictal. VS were stable, did not eat breakfast - was given granola & Pedialyte popsicle = feeling better after few minutes -> discharged home. FF up call 12/16/10 -> doing well no other passing out episodes.
Age: 38.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Musculoskeletal pain
Clinical narrative: Nausea and severe pain in left shoulder/arm, where flu shot was administered.  Swelling/high heat/severe pain of arm - from shoulder to elbow began at same time, and has continued through this moment (it is currently: 12/17/2010 at 8:00 AM).  There may be a slight dissipation now of the pain (or I may simply be getting accustomed to the pain) -- but not of the swelling, redness or heat. There has been no/no shortness of breath.  But the swelling, heat and pain in the arm are still the same and my elbow is sagging now from the swelling.  Incidentally, I received the pneumonia vaccine at the same time in my right arm, and have had no reaction at all to that.
Age: 38.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Nausea
Clinical narrative: Nausea and severe pain in left shoulder/arm, where flu shot was administered.  Swelling/high heat/severe pain of arm - from shoulder to elbow began at same time, and has continued through this moment (it is currently: 12/17/2010 at 8:00 AM).  There may be a slight dissipation now of the pain (or I may simply be getting accustomed to the pain) -- but not of the swelling, redness or heat. There has been no/no shortness of breath.  But the swelling, heat and pain in the arm are still the same and my elbow is sagging now from the swelling.  Incidentally, I received the pneumonia vaccine at the same time in my right arm, and have had no reaction at all to that.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal stiffness, Neck pain, Pain in extremity, Swelling
Clinical narrative: Pt had a TDAP (ADACEL) on 12/14/10 she had pain in her (Lt) arm that evening. When she woke up on 12/15/10 she had pain in neck, left side of back and it seems to be increasing with stiffness. 12/17/10 called us to report - suggest she call her doctor or go to urgent care center. Advised her to call us back to let us know what MD says. Told her to ask for nurse.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging abnormal, Radial nerve palsy
Clinical narrative: Influenza vaccine (inactivated injectable) given in left triceps muscle resulting in 0% extention of left wrist (radial nerve palsy) within 24 hours on injection on 10/22/2010.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Ventricular tachycardia, Vomiting
Clinical narrative: 5 PM following flu shot on 12/10/10 8:45AM pt had -> vomiting, T 100.3 -> midnt multiple V T 103 parent phoned us 12/13/10 to report this -> next am (12/11/10) he fine no fever no V.
Age: 58.0
Sex: F
Vaccine: FLUX
Symptoms: Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: pain in left shoulder, unable to extend arm forward, backward or upward
Age: 2.0
Sex: M
Vaccine: HEPA, HIBV, PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: After immunization had a red mark of about dime size per mom, this continued to grow and when I saw it 2 days later the area was erythematous, indurated and hot, very tender to touch. Erythema measuring around 10cm in the office.  No pus was able to be expelled.  Imms given in this leg were the PCV13 and Pedvax Hib.  Seen in clinic, child given Keflex and will f/u via phone.
Age: 71.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Immediate post-injection reaction, Injection site discolouration, Injection site swelling
Clinical narrative: Immediate purple discoloration and swelling after administering Typhim Vi, swelling increased over 10 min time to 30x45 mm with defined edges.  No other signs or symptoms while patient was in clinic.  Pt observed for 30 min post injection
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Induration, Nodule, Oedema peripheral, Pain in extremity
Clinical narrative: Noticed arm was very sore.  When I checked, it was very red, swollen, heated.  The hard knot in it was the size of my hand.  Pharmacist said it was the worse he had seen and for me to take Benadryl and Advil.   As of today, 12/15/2010 it is still very red but only the size of a 50 cent coin.  That area is still very hard and some heat in it.  Will continue medication prescribed unless you notify me to do something different.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Skin warm
Clinical narrative: Noticed arm was very sore.  When I checked, it was very red, swollen, heated.  The hard knot in it was the size of my hand.  Pharmacist said it was the worse he had seen and for me to take Benadryl and Advil.   As of today, 12/15/2010 it is still very red but only the size of a 50 cent coin.  That area is still very hard and some heat in it.  Will continue medication prescribed unless you notify me to do something different.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN3, MMR
Symptoms: Convulsion, Epilepsy, Speech disorder
Clinical narrative: seizures, epilepsy with speech disorder
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test normal, Brachial plexopathy, Electromyogram abnormal, Fatigue, Injection site pain
Clinical narrative: Patient developed arm pain at injection site with radiation distal as well as generalized fatigue and malaise. Patient was sent to Neurologist who performed several diagnostic tests. Initial screening bloodwork was stable, MEDROL DOSE PACK prescribed.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: Patient developed arm pain at injection site with radiation distal as well as generalized fatigue and malaise. Patient was sent to Neurologist who performed several diagnostic tests. Initial screening bloodwork was stable, MEDROL DOSE PACK prescribed.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMRV, PNC13
Symptoms: Pyrexia
Clinical narrative: Fevers to 104.4 12/12 -> 12/14 8 AM Temp 99.1 12/14 at 10 AM.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Painful left shoulder following influenza vaccine increasing in intensity over time affect her ability to move arm. Followed up with her provider. Receiving physical therapy.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Vertigo, Vomiting
Clinical narrative: Vertigo, chills, vomiting, and headache (still experiencing the above) treating with Meclizine & ADVIL.
Age: 4.0
Sex: M
Vaccine: FLU3, MMRV, PNC13
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Pruritus
Clinical narrative: Developed intense pruritis of left arm next day edema and erythema from shoulder to mid forearm. Pruritis and edema has persisted. No fever or respiratory problems. Pt will be sent to allergist after he recovers from this episode.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Local reaction, Oedema peripheral
Clinical narrative: Sx. localized reaction, 3 in. diameter; red, swollen area on upper arm. No treatment required.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Bacterial infection, Biopsy lung, Lung infection, Pyrexia, Rash erythematous
Clinical narrative: 1 hour later after shot, swelled up, red splotches up arm, and chest. Had 103.8 fever. I was rushed to the hospital. Given antibiotics and liquids and stabilized. My blood pressure was 55/40. Sent home, referred to specialist, with unidentified lung and intestinal bacterial infections. Still being treated, doctors still do not know what bacterial infection it is, even after being hospitalized. Biopsies taken from lungs. More tests are scheduled and please HELP with any information you can.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Rash macular, Swelling
Clinical narrative: 1 hour later after shot, swelled up, red splotches up arm, and chest. Had 103.8 fever. I was rushed to the hospital. Given antibiotics and liquids and stabilized. My blood pressure was 55/40. Sent home, referred to specialist, with unidentified lung and intestinal bacterial infections. Still being treated, doctors still do not know what bacterial infection it is, even after being hospitalized. Biopsies taken from lungs. More tests are scheduled and please HELP with any information you can.
Age: 1.0
Sex: F
Vaccine: HEP, HEPA, HIBV, MMR, OPV, PPV
Symptoms: Pyrexia
Clinical narrative: High fever (103.3 F), high fever persisted for next 3 days. Acetaminophen and ibuprofen were lowering it to about 101.7 F. Fever was jumping back up to 104.4 F by the time drug action wears out (4 - 5 hours following administration). Fever subsided on day 3. In the morning of day 4 normal temperature of 98.2 F was observed. We are still monitoring the child.
Age: 67.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fever, 99.9F body temp. Severe shivering. Lasted until 2:00 AM. Tiredness next 24 hours.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA
Symptoms: Wrong drug administered
Clinical narrative: GAVE PT DTAP WITH HEP B AND IPV WHEN ONLY NEEDED DTAP
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Diarrhoea, Headache
Clinical narrative: Stomach ache, headache, diarrhea until about noon on 11/12/10. Had no pain in arm at all.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: By mid-morning, was nauseated, achy and by evening had chills and fever.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Headache
Clinical narrative: Temperature of 103 "O" x2 nites with temperature of 100 "o" nightly since.  Severe headache x1 night.  Denies discomfort at injection site.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: erythema, pain, tenderness, swelling, warmth, or pruritus at the injection site
Age: 0.17
Sex: F
Vaccine: DTP, HEP, HIBV, IPV, PPV, RV5
Symptoms: Crying, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: high pitch cry for 14 days, fever, vomiting (1 month), diarrhea (1 month)
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Ageusia, Ear pain, Facial pain, Hypoaesthesia oral, Lacrimation increased
Clinical narrative: Early symptoms of onset of Bell's Palsy were experienced on 12/5/2010, including numbness of left side of tongue, eye watering on left side, and ear pain on left side.  Obtained diagnosis at PCP on 12/6/2010.  At that time, partial facial paralysis on left side was what prompted me to seek care.  Treatment included 60mg Prednisone qd for one week.  Eye care as needed.  I continue to have symptoms of Bell's Palsy including lack of taste on left side of tongue, inability to close left eye fully, paralysis of parts of left side of face, pain in left side of face, twitching in left side of face, etc.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle twitching, VIIth nerve paralysis
Clinical narrative: Early symptoms of onset of Bell's Palsy were experienced on 12/5/2010, including numbness of left side of tongue, eye watering on left side, and ear pain on left side.  Obtained diagnosis at PCP on 12/6/2010.  At that time, partial facial paralysis on left side was what prompted me to seek care.  Treatment included 60mg Prednisone qd for one week.  Eye care as needed.  I continue to have symptoms of Bell's Palsy including lack of taste on left side of tongue, inability to close left eye fully, paralysis of parts of left side of face, pain in left side of face, twitching in left side of face, etc.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: Patient reported a fever and rash that developed shortly after vaccine was administered and lasted 3 to 5 days
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Rash reportedly began around his mouth, spread to neck and chest and forehead. Currently has contiguous erythema in a goatee pattern around mouth and chin, under neck, and blotchy on upper chest, with scattered spots on the head.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, VARCEL
Symptoms: Amenorrhoea, Arthralgia, Convulsion, Dysmenorrhoea, Fatigue
Clinical narrative: Multiple symptoms, including amenorrhea, dysmenorrhea, seizures, joint pain, blood in stool, HA's, N&V, lethargy, flu-like symptoms, syncope, heart palpitations, dx with chronic fatigue and fibromyalgia. Seen in ER multiple times and hospital admittance. Seen by cardiologists and neurologists. Pt remembers timeline.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, VARCEL
Symptoms: Fibromyalgia, Haematochezia, Headache, Influenza like illness, Laboratory test
Clinical narrative: Multiple symptoms, including amenorrhea, dysmenorrhea, seizures, joint pain, blood in stool, HA's, N&V, lethargy, flu-like symptoms, syncope, heart palpitations, dx with chronic fatigue and fibromyalgia. Seen in ER multiple times and hospital admittance. Seen by cardiologists and neurologists. Pt remembers timeline.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, VARCEL
Symptoms: Lethargy, Nausea, Palpitations, Syncope, Vomiting
Clinical narrative: Multiple symptoms, including amenorrhea, dysmenorrhea, seizures, joint pain, blood in stool, HA's, N&V, lethargy, flu-like symptoms, syncope, heart palpitations, dx with chronic fatigue and fibromyalgia. Seen in ER multiple times and hospital admittance. Seen by cardiologists and neurologists. Pt remembers timeline.
Age: 18.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Drug exposure during pregnancy, Wrong drug administered
Clinical narrative: TDAP vaccine inadvertently administered, had intented to administer Hepatitis B vaccine.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: red, swollen, warm and painful
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: red, swollen, painful
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Antibiotic resistant Staphylococcus test negative, Antinuclear antibody negative, Borrelia test negative, Burning sensation, CSF culture negative
Clinical narrative: Per MR: Extreme difficulty in walking; On 12/5 to 12/6 was at one facility but then on 12/6 transfer to 2nd facility (d/c on 12/21 to Rehab); Ped neuro; Ped; Treated for mycoplasma, fever for a couple of days, chronic cough, nasal congestion (11/29). Cough x 6 weeks (12/2); Weakness of first lower extremities, progressive weakness of upper extremities with tremor, extreme fatigue, c/o tingling/burning of lower extremities/milder in upper extremities. Ascending weakness, possible GBS (12/6). Weakness presumed to be steroid induced myopathy? (12/24). Referring med Dx: Progressive weakness after treatment, hospitalization for chronic cough (has asthma), no neuro dx, possible psychosocial component (12/11). Note: There have been several case reports of Mycoplasma-related rhabdomyolysis and transverse myocitis in the literature.  Pt noted to have normal reflexes which makes GBS unlikely. Steroid myopathy may be a possibility given pt has been on long.  GBS surveillance neuro consult, not GBS or variant GBS.  No comment in MR about temporal-association with vaccines.