chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: TDAP, TD
Symptoms: Abdominal pain, Asthenia, Dizziness, Dyspnoea, Feeling cold
Clinical narrative: Began to get shakey. Extremely shakey by 7:00 PM. Needed to go to bed by 8:00 PM. Severe shaking, sweating, cold feeling all over. Area where shot was given in left arm very sore. Woke with excruciating abdominal pains at 2:00 AM. No vomiting, no diahrea, just extreme gas abdominal pains. Had to sit on toilet. Thought I'd pass out. Called to husband to get up and come to my help. Asked him to get me my inhaler with spacer. Took inhaler. I had to do special breathing technique to prevent passing out. Could barely talk or breathe. After 20 min. went to bed. Took peak flow. Only 430 even after alotted time for medication to work, so I was a lot lower than that before taking inhaler. Next morning, weak. Gas pains. Weak for about one day.
Age: 50.0
Sex: F
Vaccine: TDAP, TD
Symptoms: Flatulence, Hyperhidrosis, Injection site pain, Peak expiratory flow rate decreased, Tremor
Clinical narrative: Began to get shakey. Extremely shakey by 7:00 PM. Needed to go to bed by 8:00 PM. Severe shaking, sweating, cold feeling all over. Area where shot was given in left arm very sore. Woke with excruciating abdominal pains at 2:00 AM. No vomiting, no diahrea, just extreme gas abdominal pains. Had to sit on toilet. Thought I'd pass out. Called to husband to get up and come to my help. Asked him to get me my inhaler with spacer. Took inhaler. I had to do special breathing technique to prevent passing out. Could barely talk or breathe. After 20 min. went to bed. Took peak flow. Only 430 even after alotted time for medication to work, so I was a lot lower than that before taking inhaler. Next morning, weak. Gas pains. Weak for about one day.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pain, Petechiae, Pyrexia
Clinical narrative: Lots of itching noted on right leg and then noticed rash on both thighs more on the left looked like "purple dots blood blisters" itching decreased.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pruritus, Rash
Clinical narrative: Lots of itching noted on right leg and then noticed rash on both thighs more on the left looked like "purple dots blood blisters" itching decreased.
Age: 3.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Headache, Influenza serology negative, Lethargy, Pain, Pyrexia
Clinical narrative: Fever extending for 3 days, at times quite high.  Initial aching legs.  Headache.  General lethargy.  Still not completely recovered as of 11/8/2009, although no fever at present.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Disorientation, Dizziness, Erythema, Headache, Hypersensitivity
Clinical narrative: Dizziness, disoriented, hot, headache. Injection site soreness, stiff and unable to lift arm above shoulder. (started 1 hour after injection/ rested through out day). General achiness and and stiff muscles in neck, shoulder and arms, fever. (started 1 hour after injection and continued for the following 2 days / took oxycodone on evening of 10/13/2009 to ease pain and sleep). 10/20/2009- started to notice extreme heat (like sunburn) in chest area between breasts and on inner sides of breasts. Redness. 10/21/2009-current. Extreme itchy, hot, bumpy (almost gritty looking), moist skin, hypersensitivity. When scratched it turns into a raised red rash. Constant itch and penetrates intense heat. Sensitive and reacts to hot water and causes another extreme itchiness. Did not spread anywhere else on chest. (treated with 2 containers of otc Benadryl anti-itch creams. No change in rash/limited itch relief) 11/01/2009- current. Both under eye lids began to itch and 2 red patches have appeared on the under eye sensitive skin area. By 11/02 it was too sore to touch or treat. Left alone and careful not to let anything irritate the dry red patches. 11/04/2009 - used pHisoderm anti-blemish wash with salicylic acid and it seemed to start to heal. Raised areas became flat and redness started to go away. Itch seemed to improve. Lasted 1 day. Flared up again on 11/5 but itch does seem to be improving still. Red patchy areas are now flatter and less bumpy appearing. Dr. Appt. is scheduled for 11/16/2009.  NOTE: I was given the seasonal flu shot.    Fluvirin Prefilled Syringe 0.5ML Novartis. NDC # 66521-0112-02 REF # 09293391464902   I suspect an adverse reaction to thimerosal is the cause. I was not asked about egg allergy (not aware of any) and there was no information about preservative-free injections. I had no idea that it existed or didn't exist.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness, Pain, Pruritus
Clinical narrative: Dizziness, disoriented, hot, headache. Injection site soreness, stiff and unable to lift arm above shoulder. (started 1 hour after injection/ rested through out day). General achiness and and stiff muscles in neck, shoulder and arms, fever. (started 1 hour after injection and continued for the following 2 days / took oxycodone on evening of 10/13/2009 to ease pain and sleep). 10/20/2009- started to notice extreme heat (like sunburn) in chest area between breasts and on inner sides of breasts. Redness. 10/21/2009-current. Extreme itchy, hot, bumpy (almost gritty looking), moist skin, hypersensitivity. When scratched it turns into a raised red rash. Constant itch and penetrates intense heat. Sensitive and reacts to hot water and causes another extreme itchiness. Did not spread anywhere else on chest. (treated with 2 containers of otc Benadryl anti-itch creams. No change in rash/limited itch relief) 11/01/2009- current. Both under eye lids began to itch and 2 red patches have appeared on the under eye sensitive skin area. By 11/02 it was too sore to touch or treat. Left alone and careful not to let anything irritate the dry red patches. 11/04/2009 - used pHisoderm anti-blemish wash with salicylic acid and it seemed to start to heal. Raised areas became flat and redness started to go away. Itch seemed to improve. Lasted 1 day. Flared up again on 11/5 but itch does seem to be improving still. Red patchy areas are now flatter and less bumpy appearing. Dr. Appt. is scheduled for 11/16/2009.  NOTE: I was given the seasonal flu shot.    Fluvirin Prefilled Syringe 0.5ML Novartis. NDC # 66521-0112-02 REF # 09293391464902   I suspect an adverse reaction to thimerosal is the cause. I was not asked about egg allergy (not aware of any) and there was no information about preservative-free injections. I had no idea that it existed or didn't exist.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash erythematous, Skin warm
Clinical narrative: Dizziness, disoriented, hot, headache. Injection site soreness, stiff and unable to lift arm above shoulder. (started 1 hour after injection/ rested through out day). General achiness and and stiff muscles in neck, shoulder and arms, fever. (started 1 hour after injection and continued for the following 2 days / took oxycodone on evening of 10/13/2009 to ease pain and sleep). 10/20/2009- started to notice extreme heat (like sunburn) in chest area between breasts and on inner sides of breasts. Redness. 10/21/2009-current. Extreme itchy, hot, bumpy (almost gritty looking), moist skin, hypersensitivity. When scratched it turns into a raised red rash. Constant itch and penetrates intense heat. Sensitive and reacts to hot water and causes another extreme itchiness. Did not spread anywhere else on chest. (treated with 2 containers of otc Benadryl anti-itch creams. No change in rash/limited itch relief) 11/01/2009- current. Both under eye lids began to itch and 2 red patches have appeared on the under eye sensitive skin area. By 11/02 it was too sore to touch or treat. Left alone and careful not to let anything irritate the dry red patches. 11/04/2009 - used pHisoderm anti-blemish wash with salicylic acid and it seemed to start to heal. Raised areas became flat and redness started to go away. Itch seemed to improve. Lasted 1 day. Flared up again on 11/5 but itch does seem to be improving still. Red patchy areas are now flatter and less bumpy appearing. Dr. Appt. is scheduled for 11/16/2009.  NOTE: I was given the seasonal flu shot.    Fluvirin Prefilled Syringe 0.5ML Novartis. NDC # 66521-0112-02 REF # 09293391464902   I suspect an adverse reaction to thimerosal is the cause. I was not asked about egg allergy (not aware of any) and there was no information about preservative-free injections. I had no idea that it existed or didn't exist.
Age: 7.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Ear pain, Respiratory tract congestion
Clinical narrative: Heavy Cough... Congestion... by 8pm Ear ache
Age: 9.0
Sex: F
Vaccine: FLUX(H1N1), VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Area at injection site was red, swollen, hot, and painful. The swollen area started out at aprrox 3 cm and by 11/06/09 had grown to approx tennis ball size. The doctor started my daughter on antibiotics to treat cellulitis.
Age: 25.0
Sex: M
Vaccine: FLUN3, TDAP
Symptoms: Fall, Heart rate normal, Loss of consciousness
Clinical narrative: Given FLUMIST and passed out & fell. Medic on site 10:10 11/05/09 assessed pulse 72 rep normal. Had soldier lay flat till AOx4 and no dizzy 10:50 am.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site vesicles
Clinical narrative: Raised blister at injection site 3-4 mm x 7-8 mm.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: Arm swelled x 2 days.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: Pt received seasonal Flu injection 10-27-2009. On 10-28-09 Pt. noticed a rash, raised, on both arms, chest, neck and right leg. Also stated having a low grade fever. Was seen by Dr. was prescribed METHYLPAED - NISOLENE. Patient called Health Dept. 11-5-09. Arms, chest, better, Rt leg continues to spread rash.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Atrial fibrillation, Condition aggravated, Dizziness, Fatigue, Nausea
Clinical narrative: Fatigue, nausea, dizziness, heart palpatations, afib. Went to bed: took baby aspirin and heart medicine.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Palpitations
Clinical narrative: Fatigue, nausea, dizziness, heart palpatations, afib. Went to bed: took baby aspirin and heart medicine.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody increased, Antinuclear antibody positive, Pain, Raynaud's phenomenon, White blood cell count decreased
Clinical narrative: The winter following her Gardasil series the patient developed significant Raynaud's Disease. Bloodwork included a + ANA and + RNP antibodies and low white count. So far she has not developed symptoms of SLE or mixed connective tissue disease, apart from general aching, but ANA has been elevated as high as 1:1280 speckled. THere is no family history of autoimmune disorders. Her Raynaud's symptoms continue to be very significant and she is on daily Procardia XL 30 mg, year round. 11/13/09 Medical/lab/ vax records received. OV 10/20/08 DX: Reynaud's syndrome.  PE WNL.
Age: 11.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Dyspnoea, Nausea, Pallor, Wheezing
Clinical narrative: From about 10:30-11:30 patient was nauseous, dizzy, wheezing, had trouble breathing & was pale with black rings under eyes. Gave him Benadryl and he was fine within an hour.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Agitation, Computerised tomogram normal, Delirium, Gait disturbance, Incoherent
Clinical narrative: Patient developed progressively worsening delirium that progressed to requiring hospitalization.  Patient was incoherent, unsteady gait and incredibly agitated on presentation to dialysis unit.  12/29/09 DC summary and consult notes received for DOS 08/11/09-08/20/09. DX: Altered mental status sec to uremia from ESRD.  Pt presented with altered mental status s/p HD, V/N, fatigue, inability ADL, lethargic, hallucinations, low BP, peripheral edema. Neurology consult: metabolic encephalopathy s/p HD. tx continued: HD for ESRD. Pt discharged home in stable condition.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Thrombocytopenia
Clinical narrative: Patient developed progressively worsening delirium that progressed to requiring hospitalization.  Patient was incoherent, unsteady gait and incredibly agitated on presentation to dialysis unit.  12/29/09 DC summary and consult notes received for DOS 08/11/09-08/20/09. DX: Altered mental status sec to uremia from ESRD.  Pt presented with altered mental status s/p HD, V/N, fatigue, inability ADL, lethargic, hallucinations, low BP, peripheral edema. Neurology consult: metabolic encephalopathy s/p HD. tx continued: HD for ESRD. Pt discharged home in stable condition.
Age: 4.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Vomiting
Clinical narrative: vomiting Started around 11pm. One initial round of vomiting, then an additional round about 15 minutes later.
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Developed facial rash 6-8 hours after receiving H1N1 nasal vaccine. C/o erythema and pruritus. Pt put on prednisone 20 mg x 7 days; BENADRYL 25 mg x today.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Headache, Myalgia, Vomiting
Clinical narrative: Muscle aches and pains, 11/05/09 vomiting & diarrhea 11/06/09 headache.
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Back pain, Erythema of eyelid, Eye pain, Eye pruritus
Clinical narrative: Mild headache started 1:30 pm, then mild backache & uneasy stomach itching to R eye Thurs evening - Friday 11/6/09, R eye sore & still itching. Saturday 11/7 R eye swollen shut, sore, & itching. Sunday 11/8, states more swollen shut. Applied cold compress Fri evening, Saturday, & Sunday. Monday 11/9, R eyelid pink/red in color & swollen. Eye visible.
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Eye swelling, Eyelid oedema, Headache
Clinical narrative: Mild headache started 1:30 pm, then mild backache & uneasy stomach itching to R eye Thurs evening - Friday 11/6/09, R eye sore & still itching. Saturday 11/7 R eye swollen shut, sore, & itching. Sunday 11/8, states more swollen shut. Applied cold compress Fri evening, Saturday, & Sunday. Monday 11/9, R eyelid pink/red in color & swollen. Eye visible.
Sex: U
Vaccine: PPV
Symptoms: Death, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a registered nurse concerning an elderly patient who on an unspecified date was vaccinated with a second dose of PNEUMOVAX 23 (lot#, route and site of administration not reported). The first and second doses were reported to be given "approximately 6 months apart". On an unspecified date, the patient died but many months after receiving the second vaccination. The nurse stated that the patient was administered PNEUMOVAX 23 vaccine prior to discharge from a local hospital. The reporting nurse insisted that it had nothing to do with PNEUMOVAX 23 vaccine and death was from old "age". This is one of several reports from the same source. Additional information has been requested.
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Eyelid oedema, Pruritus, Rash
Clinical narrative: Started with rash around eyes, around nose to upper lip just below nose.  Swelling to my lower eye lids began saturday 11/07/2009.  I used Benadryl 25mg PO for the reaction.  Then I used hydrocortisone cream to aleviate itchyness.  Swelling continued sunday and was worse Monday today.  Itchyness has diminished however the swelling around my eyes appear worse.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Hypersomnia, Incoherent
Clinical narrative: Dizziness, weakness, incoherent, slept for most of 11/07/2009.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Fatigue, Pain
Clinical narrative: Aching, coughing, overwhelming fatigue.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Chills, Cough, Dizziness, Flushing
Clinical narrative: Flu-like symptoms: temperature 101.5 from 11/06 1:00PM to 11/08 3:00AM; lethargy; general malaise, flushed cheeks, chills, complained of dizziness, some coughing. She has mostly recovered at this time, but congestion remains.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Influenza like illness, Lethargy, Malaise
Clinical narrative: Flu-like symptoms: temperature 101.5 from 11/06 1:00PM to 11/08 3:00AM; lethargy; general malaise, flushed cheeks, chills, complained of dizziness, some coughing. She has mostly recovered at this time, but congestion remains.
Age: 1.52
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pt was administered H1N1 Flu Mist instead of injection at parents' request.  Pt was less than 2 years old at time of administration.  No adverse reaction occured, no tx administered.
Age: 12.0
Sex: F
Vaccine: TD, UNK
Symptoms: Menstruation irregular, Vaccination complication
Clinical narrative: Had first 2 periods of her life on 7/6/09 and 8/3/09 and then on 9/04 missed period.  Period returned on 10/4/09.  This is happening all of the internet and also to  a close friend's daughter.  She missed 2 periods.  This needs to be reported as a side effect of Gardasil.
Age: 39.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Arthralgia, Blood test, Eye inflammation, Lymphadenopathy, Pain
Clinical narrative: Lymph nodes on (L) side of neck became swollen and very painful. Arthritis like pain in basck of neck. Low grade fever. Rash covering face, torso, arms and thighs. Severe pain in joints of hands, wrists, knees and neck. Right eye inflammed.
Age: 39.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Pyrexia, Rash, Streptococcal identification test, Urine analysis
Clinical narrative: Lymph nodes on (L) side of neck became swollen and very painful. Arthritis like pain in basck of neck. Low grade fever. Rash covering face, torso, arms and thighs. Severe pain in joints of hands, wrists, knees and neck. Right eye inflammed.
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Body temperature increased, Chills, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: After receiving H1N1 vaccine on 10/29, a few days later I became ill with a cough, extremely sore throat, fatigue, chills, fever, worsening each day until having temps of 99.0-99.3 on nov 6th and 7th, and since then I've had a productive cough and runny nose, I've not been around anyone sick.
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: After receiving H1N1 vaccine on 10/29, a few days later I became ill with a cough, extremely sore throat, fatigue, chills, fever, worsening each day until having temps of 99.0-99.3 on nov 6th and 7th, and since then I've had a productive cough and runny nose, I've not been around anyone sick.
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Dizziness, Pain
Clinical narrative: Pt c/o chills, aching, dizziness.  No treatment, eventually symptoms resolved.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Blood test, Computerised tomogram, Echocardiogram, Electrocardiogram, Infection
Clinical narrative: Information has been received from a 72 year old female consumer with type 2 diabetes mellitus, high cholesterol, high blood pressure, osteoarthritis, penicillin allergy and sulfonamide allergy who on an unspecified date was vaccinated with her first dose of PNEUMOVAX 23 (manufacturer unknown). Her arm swelled, hurt, and was infected from her shoulder to her wrist. She was given antibiotics as treatment. On 19-OCT-2009 she was vaccinated with another dose of PNEUMOVAX 23 (manufacturer unknown), and was hospitalized on 20-OCT-2009 for the same symptoms from her shoulder to elbow. The patient had the following laboratory tests done: blood work, ultrasound of arm, echocardiogram, electrocardiograms and a computed axial tomography (results not reported). While admitted she received clindamycin, vancomycin and CIPRO. Upon discharge (25-OCT-2009) she was given doxycycline. The patient recovered on an unspecified date. Additional information has been requested.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity, Ultrasound scan, Vaccine positive rechallenge
Clinical narrative: Information has been received from a 72 year old female consumer with type 2 diabetes mellitus, high cholesterol, high blood pressure, osteoarthritis, penicillin allergy and sulfonamide allergy who on an unspecified date was vaccinated with her first dose of PNEUMOVAX 23 (manufacturer unknown). Her arm swelled, hurt, and was infected from her shoulder to her wrist. She was given antibiotics as treatment. On 19-OCT-2009 she was vaccinated with another dose of PNEUMOVAX 23 (manufacturer unknown), and was hospitalized on 20-OCT-2009 for the same symptoms from her shoulder to elbow. The patient had the following laboratory tests done: blood work, ultrasound of arm, echocardiogram, electrocardiograms and a computed axial tomography (results not reported). While admitted she received clindamycin, vancomycin and CIPRO. Upon discharge (25-OCT-2009) she was given doxycycline. The patient recovered on an unspecified date. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Activities of daily living impaired, Dehydration, Dizziness, Fatigue
Clinical narrative: Information has been received from a physician and a registered nurse concerning an 18 year old female patient with shoulder injury who on 02-SEP-2008 was vaccinated with the first dose of GARDASIL (lot # 661530/0575X) and on 14-OCT-2009 received the second dose of GARDASIL (663452/0671Y). There was no concomitant therapy. On 15-OCT-2009, the next day after vaccination, the patient complained of headache, fever and general fatigue. The fever went away after about a day. The headache persisted. It was reported that there was stomach discomfort as well. On an unspecified date, the patient ended up being treated at urgent care with IV fluids for dehydration and IV TORADOL for headache. The physician stated that the patient has been out of school for this entire time and unable to drive because of dizziness and light sensitivity to the eyes. On 27-OCT-2009, the patient called to the office because she thought that she was sick with flu like symptoms. The physician also stated that the patient was debilitated and that she was sleeping 8 to 10 hours a day. It was also reported that the patient could not drive or do anymore of her normal activities. This had been ongoing for 2 weeks as of 28-OCT-2009. No laboratory or diagnostic tests were performed. At the time of reporting the patient was on around the clock pain relievers. Upon internal review the patient's experiences were considered to be disabling. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Inappropriate schedule of drug administration, Influenza like illness, Photophobia, Pyrexia
Clinical narrative: Information has been received from a physician and a registered nurse concerning an 18 year old female patient with shoulder injury who on 02-SEP-2008 was vaccinated with the first dose of GARDASIL (lot # 661530/0575X) and on 14-OCT-2009 received the second dose of GARDASIL (663452/0671Y). There was no concomitant therapy. On 15-OCT-2009, the next day after vaccination, the patient complained of headache, fever and general fatigue. The fever went away after about a day. The headache persisted. It was reported that there was stomach discomfort as well. On an unspecified date, the patient ended up being treated at urgent care with IV fluids for dehydration and IV TORADOL for headache. The physician stated that the patient has been out of school for this entire time and unable to drive because of dizziness and light sensitivity to the eyes. On 27-OCT-2009, the patient called to the office because she thought that she was sick with flu like symptoms. The physician also stated that the patient was debilitated and that she was sleeping 8 to 10 hours a day. It was also reported that the patient could not drive or do anymore of her normal activities. This had been ongoing for 2 weeks as of 28-OCT-2009. No laboratory or diagnostic tests were performed. At the time of reporting the patient was on around the clock pain relievers. Upon internal review the patient's experiences were considered to be disabling. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Somnolence
Clinical narrative: Information has been received from a physician and a registered nurse concerning an 18 year old female patient with shoulder injury who on 02-SEP-2008 was vaccinated with the first dose of GARDASIL (lot # 661530/0575X) and on 14-OCT-2009 received the second dose of GARDASIL (663452/0671Y). There was no concomitant therapy. On 15-OCT-2009, the next day after vaccination, the patient complained of headache, fever and general fatigue. The fever went away after about a day. The headache persisted. It was reported that there was stomach discomfort as well. On an unspecified date, the patient ended up being treated at urgent care with IV fluids for dehydration and IV TORADOL for headache. The physician stated that the patient has been out of school for this entire time and unable to drive because of dizziness and light sensitivity to the eyes. On 27-OCT-2009, the patient called to the office because she thought that she was sick with flu like symptoms. The physician also stated that the patient was debilitated and that she was sleeping 8 to 10 hours a day. It was also reported that the patient could not drive or do anymore of her normal activities. This had been ongoing for 2 weeks as of 28-OCT-2009. No laboratory or diagnostic tests were performed. At the time of reporting the patient was on around the clock pain relievers. Upon internal review the patient's experiences were considered to be disabling. Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Computerised tomogram, Deafness unilateral, Herpes zoster, Pain, Scan brain
Clinical narrative: Information has been received from a 61 year old female consumer with no medical history or drug allergies who in July 2008, was vaccinated with a dose of ZOSTAVAX (Merck) (lot number not reported). Concomitant therapy included gabapentin, CARDIZEM LA, PREVACID and ACTONEL. In August 2009 (also reported as two months ago), the patient experienced shingles. The shingles caused hearing loss in her right ear. She was experiencing bad pain behind and on top of her ear because of shingles. Unspecified medical attention was sought. Laboratory diagnostics studies included brain scan and computed axial tomography (CT), but the results was not reported. At the time of the report, the patient had not recovered. Upon internal review, hearing loss in her right ear was considered an other important medical event. Additional information has been requested.
Age: 1.01
Sex: M
Vaccine: MMR
Symptoms: Anaphylactic reaction, Dyspnoea, Vomiting
Clinical narrative: Information has been received from a consumer concerning her 7 year old son who on 12-MAY-2003, at the age of 12 months, was vaccinated with a dose of MMR II (injection, dose and lot# not reported). On 12-MAY-2003 the patient experienced anaphylactic reaction, threw up and had trouble breathing. The patient sought unspecified medical attention. On unspecified date, the patient recovered. Upon internal review, anaphylactic reaction was determined to be an other important medical event. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling hot, Tremor, Vision blurred
Clinical narrative: Dizziness, vision changes (blurry vision), warm, shakiness.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Death, Pneumonia, Polymerase chain reaction, Rash, Respiratory disorder
Clinical narrative: Patient given vaccine on 8/12/09. Hospitalized for respiratory illness/pneumonia 8/27-9/1, given steroids during hospitalization. Rash developed on 9/1/09, day of discharge. Saw patient on 9/2/09, started on oral acyclovir. DOH and hospital notified.  11/13/09 Death Certificate received DOD 11/2/09 Cause of Death: Multisystem Organ Failure, Acute Respiratory Distress Syndrome, Varicella Pneumonitis.   12/9/09 DC summary received for dates 8/27/09. DX: respiratory difficulty, bronchospasms, hypotonia. Chief c/o respiratory distress, URI x1day, fever, tachypnea, retractions. Caretaker reports pt having difficulty breathing, fever, irritable. Assessment, (+)fever, grunting, retractions, hypotonia, O2 sat 91% on 3LNC. Speech and swallow eval: oropharyngeal dysphagia. Pt improved over 3 days, stable at dc.  ER/hospital 9/5/09 to 10/29/09. DX: muscular weakness disorder, viral pneumonitis, varicella. Resp distress, fever. Parent states varicella vax 8/12/09. Varicella skin rash formed 8/31/09.EMS presented pt. to ER. Assessment: stridor, rash, fever, mild distress. Pt admitted and following day resp distress increased, grunting, increase in fever 103F, pt found to be irritable, O2 sats 92% w/ O2 therapy. Tylenol given, within 30 min temp 104.5F. One hr later pt HR 220-240bpm. Pt later stabilized but prognosis guarded.
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal discomfort, Abdominal pain upper, Alanine aminotransferase normal, Aspartate aminotransferase normal, Band neutrophil count
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Basophil count decreased, Basophil percentage decreased, Bilirubin urine, Bladder catheterisation, Blood albumin normal
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood alkaline phosphatase normal, Blood amylase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood cholesterol normal, Blood creatinine normal, Blood glucose increased, Blood lactate dehydrogenase increased, Blood lactate dehydrogenase normal
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood pH normal, Blood phosphorus decreased, Blood potassium normal, Blood product transfusion, Blood sodium normal
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood test normal, Blood urea normal, Blood uric acid decreased, Blood uric acid increased, Blood urine present
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Body temperature increased, CSF test abnormal, Carbon dioxide normal, Chills, Computerised tomogram normal
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Diplegia, Dyspnoea, Encephalitis brain stem, Endotracheal intubation, Eosinophil count decreased
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Glucose urine absent, Haematocrit normal, Haemoglobin normal, Headache, Influenza serology negative
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Intensive care, Lipase normal, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).