chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Abasia, Acute disseminated encephalomyelitis, Asthenia, Autonomic nervous system imbalance, Body temperature increased
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: CSF oligoclonal band absent, Chills, Clonus, Convulsion, Coordination abnormal
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Dyskinesia, Fatigue, Headache, Hemicephalalgia, Hyperreflexia
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Lethargy, Lumbar puncture normal, Mental status changes, Nuclear magnetic resonance imaging abnormal, Pyrexia
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Acute disseminated encephalomyelitis, Ataxia, Central nervous system lesion, Fatigue, Headache
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4, MNQ, TDAP, HPV4
Symptoms: Lumbar puncture normal, Nuclear magnetic resonance imaging abnormal, Pyrexia, Tachycardia
Clinical narrative: Mental status changes starting 7 days after immunization with fever, headache, lethargy, inability to walk, discoordination, signs of autonomic instability (BP/pulse).  Two events of brief seizure with mouth pulling to the left separated by 30 minutes occurring on one day about 1 month following onset of symptoms.  Fatigue, intermittent tachycardia, left-sided headache and general weakness have persisted, although improved over the past 3 months.  She has diffuse, symmetric hyperreflexia in all extremities with 1-beat clonus of the right ankle. Diagnosis of ADEM was made.  No treatment given.  12/23/2009 Clinic note received for DOS 11/18/2009. DX: Post Vaccine ADEEM Patient presented complaint of tachycardia lasting 3 to 4 days, pain in leg, episode of right hand shaking for a few minutes, episode of rapid trembling, shortness of breath and increased headache and fatigue. Assessment: No evidence of recurrence of demyelinating lesion, re-current symptoms are residual from first attack.   12/23/2009 Neurology consult, clinic note and MRI report received for DOS 07/14/2009-11/18/2009. DX: ADEM One week after receiving Gardasil vaccine, patient developed high fever, tachycardia and unsteady gait. Patient was hospitalized (2 days) for headache and tachycardia and was treated with antibiotics. Due to persistent fatigue, patient was re-admitted and diagnostic tests were performed. All symptoms improved. Patient still has fatigue and notes twitching on arms, legs and face. Gait has returned to normal. 01/06/2010 Hospital H&P, consults and diagnostic tests received for DOS 07/13/09- 07/14/09 and laboratory tests received for DOS 06/05/09. DX: Lethargy, Headache, Weakness. Poss. Acute Demyelinating Encephalomyelitis. Patient c/o increasing weakness, pressure in the head when moving, passed out two days earlier, headach. Neurologic examinaton noted hyperreflexia with sustained clonus.
Age: 2.0
Sex: F
Vaccine: FLUX, HEPA, TTOX, VARCEL
Symptoms: Erythema, Pyrexia, Rash generalised
Clinical narrative: Patient ran fever of 100-102 for 3 days. Treated successfully with Tylenol. Moderate rash appeared on day 5 after onset of initial fever. Rash covered trunk, limbs, and face, was red and spotty but not raised or weepy.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Dyspnoea, No reaction on previous exposure to drug, Vision blurred
Clinical narrative: Roughly 10 minutes after injection, felt "wave" of dizziness which then lead to extreme blurriness, some difficulty breathing, clammy skin all over.  Extreme blurriness only lasted for a couple minutes, but basically could not see anything. (could see light outside, but no definition)  Rest of reaction lasted approximately 10-15 minutes. Never had reaction to previous flu shots and this is the fourth one I've received at this very location.  Only difference I've noticed when looking at previous paperwork is that all the other times I received the preservative-free shot while this time I got the one with preservatives because the other was not available.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Gait disturbance, Muscular weakness, Paraesthesia, Visual impairment
Clinical narrative: Approximately 4 hours after vaccine administered patient reported:Visual changes including letters appearing in different sizes, unsteady gait, muscle weakness and unusual sensation in hands while typing. Patient went to emergency room for evaluation. Patient was contacted on 9/10/09 and symptoms resolved.
Age: 20.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Hypotension, Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Patient was sitting receiving vaccinations - immunizations for Typhoid Fever, Yellow Fever, and Hepatitis A on September 8, 2009 when he fainted and when awoken by nurses calling his name was lying on the floor.  He was unconscious for a brief time. He had low blood pressure.  The nurse reported that this is a common occurrence but that patient had recovered well and was being monitored before being released from the clinic.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Itchy arms and chest. No hives or bumps.Benadryl 25 mg, PO given.
Age: 24.0
Sex: F
Vaccine: HEP, TDAP, VARCEL
Symptoms: Erythema, Headache, Injection site induration, Pain in extremity, Pruritus
Clinical narrative: Pt received TDaP and varicella in L arm on Tuesday 9/8. Pt reports significant HA and low-grade fever that night; itching started on morning of 9/9 and small, circular rash that developed increased irritation, redness, and pain in subcutaneous fat area of arm. Presents today with approx 4inch circular area od induration at varicella administration site.
Age: 24.0
Sex: F
Vaccine: HEP, TDAP, VARCEL
Symptoms: Pyrexia, Rash, Skin irritation
Clinical narrative: Pt received TDaP and varicella in L arm on Tuesday 9/8. Pt reports significant HA and low-grade fever that night; itching started on morning of 9/9 and small, circular rash that developed increased irritation, redness, and pain in subcutaneous fat area of arm. Presents today with approx 4inch circular area od induration at varicella administration site.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Blood pressure increased, Cough, Dysphagia, Dysphonia, Feeling abnormal
Clinical narrative: Influenza shot was received at 3:25 pm.  Around 5:30, a cough began.  Around 6:30 hoarseness and a "funny feeling" began in the throat.  By 7:30 was thinking of going to the hospital.  Call Hospital at 8:00 and was instructed to take benadryl.  Took 2-25 ml pills around 8:10.  Call hospital again around 8:30 to report difficulty swallowing.  Arrived at hospital around 8:50.  Elevated blood pressure and shaking on arrival.  Admitted to ER and received a breathing treatment and steroid shot.  Dismissed from hospital around 10:15.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Hypersensitivity, Throat irritation, Tremor
Clinical narrative: Influenza shot was received at 3:25 pm.  Around 5:30, a cough began.  Around 6:30 hoarseness and a "funny feeling" began in the throat.  By 7:30 was thinking of going to the hospital.  Call Hospital at 8:00 and was instructed to take benadryl.  Took 2-25 ml pills around 8:10.  Call hospital again around 8:30 to report difficulty swallowing.  Arrived at hospital around 8:50.  Elevated blood pressure and shaking on arrival.  Admitted to ER and received a breathing treatment and steroid shot.  Dismissed from hospital around 10:15.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness and soreness at site
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: vomiting, nausea, diarehha, chills, body aches, headaches within four hours of receiving vaccine
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: vomiting, nausea, diarehha, chills, body aches, headaches within four hours of receiving vaccine
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal distension, Alopecia, Anxiety, Candidiasis, Cystitis
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Depression, Disturbance in attention, Dyspepsia, Fatigue, Fungal infection
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Gastric disorder, Headache, Laboratory test abnormal, Memory impairment, Menstruation irregular
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Myalgia, Premenstrual syndrome, Systemic candida, Vision blurred
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal distension, Abdominal pain lower, Abdominal pain upper, Alopecia, Anxiety
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Bowel movement irregularity, Candidiasis, Cervical dysplasia, Colitis, Constipation
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cystitis, Depression, Diarrhoea, Disturbance in attention, Dizziness
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspepsia, Dysplastic naevus syndrome, Dysuria, Fatigue, Feeling abnormal
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fungal infection, Gastric disorder, Gastrooesophageal reflux disease, Headache, Irritable bowel syndrome
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Joint injury, Laboratory test abnormal, Melanocytic naevus, Memory impairment, Menstruation irregular
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Micturition urgency, Mucous stools, Myalgia, Oropharyngeal pain, Pelvic pain
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pollakiuria, Premenstrual syndrome, Sinusitis, Tenderness, Urinary tract infection
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Visual impairment
Clinical narrative: Symptoms began with hair loss two months after first shot, progressed to stomach problems, indigestion, bloating, menstrual irregularities, PMS Symtoms very bad, yeast infection, bladder infection, extreme fatigue, extreme headaches, muscle aches, foggy vision, foggy memory, inability to concentrate, depression, anxiety.  We are currently treating her for Systemic Candidias.  9/18/09 PCP medical records received DOS 10/2/06 to 6/27/08. Assessment: Cystitis. Irritable bowel syndrome alternating type. GERD. Patient presents with urinary urgency, dysuria, and frequency. Hypogastric tenderness. Nevus on shoulder. Dysplastic Nevus. Multiple benign nevi. Sinus infection, stomach ache, constipation, feeling run down, sore throat. UTI. Diarrhea. Ankle injury. Bloating. Dizziness, 'spacy', hair loss. Mucous in stool. Pelvic pain. LGSIL. Abnormal bowel movement pattern. Inflammation of colon.
Sex: U
Vaccine: HEP
Symptoms: Hepatic enzyme increased
Clinical narrative: This case was reported by a pharmacist and described the occurrence of elevated liver enzymes in a subject of unspecified age and gender who was vaccinated with ENGERIX B (GlaxoSmithKline). On 31 August 2009 the subject received 3rd dose of ENGERIX B (unknown). On 3 September 2009, 3 days after vaccination with ENGERIX B, the subject presented to the hospital with elevated liver enzymes. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified. The reporting pharmacist refused to provide contact information and would not provide further details at the time of reporting. The pharmacist was not exactly sure if it was ENGERIX B or RECOMBIVAX that was administered.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure decreased, Dizziness
Clinical narrative: Patient was given 0.5ml of Influenza vaccine, IM @ 1405 in L deltoid. Patient was starting to leave clinic and said she felt "lightheaded and dizzy", @ 1406 we had patient lay down and monitor BP x 20 minutes.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure normal, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: 1 minute after administering FLUENZA patient loss (1:00pm) consciousness for approximately 3 minutes. She was non responsive for 1 minute and not coherent for another 2 minutes. Her breathing and pulse were stable ambulance was called she was checked by an EMT and cleared to return to work. She has no lasting effects or injuries from the event to date. (3:45pm 9/6/09)
Age: 26.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Raised, red, warm to touch bilateral arm injection sites. Size of 'Golf ball'.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site extravasation, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Mother presented child for flu vaccination. Mother reports that she takes flu shot annually, with no previous reaction. Vaccine administered. Child began itching skin @ site before leaving clinic. Last eve. injection site became reddened- this A.M. area of redness @ site was 5 cm and circular. Warm and mod. firm. Mother reports she saw vaccine "run out" of injection site @ time of injection into skin. Advised application of ice pack several x today and take TYLENOL po 3 tsp. every 4 hrs prn discomfort.
Age: 56.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Left deltoid region became erythematous, warm & induration following immunization.  Systemic fatigue.  Began to improve 48 hours later. Pt believes it was @ location of PNEUMOVAX.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Arthralgia, Erythema, Headache, Malaise, Neck pain
Clinical narrative: Severe pain 2 days after injection- neck & left side of upper body down arm into elbow, symptoms/pain are continuing to increase & travel down arm.  Face showing redness/rash on cheeks & chin.  Day of vaccine:  headache, sick, slept.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pain in extremity, Rash
Clinical narrative: Severe pain 2 days after injection- neck & left side of upper body down arm into elbow, symptoms/pain are continuing to increase & travel down arm.  Face showing redness/rash on cheeks & chin.  Day of vaccine:  headache, sick, slept.
Age: 1.01
Sex: F
Vaccine: FLU3, HIBV, MMR, PNC
Symptoms: Injection site erythema, Injection site nodule, Injection site papule, Injection site swelling
Clinical narrative: Left thigh with 3 areas of raised pink sersiginous raiser border and flat center and left buttock with larger 2 inch confluent raised pink module; smaller raised pink papule her right shoulder and thigh. Started on BENADRYL 12.5mg/5ml syrup 5ml, 100q 6hrs for 2 days, follow up PRN. 9-11-09 per phone call pt much better.
Age: 16.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Granulocyte count increased, Injection site erythema, Injection site swelling, White blood cell count increased
Clinical narrative: 6x7 cm erythema at injection site left arm.  No temperature, swelling at injection site.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pain, Pruritus
Clinical narrative: Client c/o swelling, soreness bilateral upper areas & slight itching (L) upper arm.  Swelling started 9/8/09 pm & has increased.  Taking MOTRIN PRN & applying cool compresses.  9/10/09 815AM Edema with slight redness & warmth (L) deltoid are 14x18cm, (R) deltoid area edema 8x4cm.  T- 98.1
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Swelling
Clinical narrative: Client c/o swelling, soreness bilateral upper areas & slight itching (L) upper arm.  Swelling started 9/8/09 pm & has increased.  Taking MOTRIN PRN & applying cool compresses.  9/10/09 815AM Edema with slight redness & warmth (L) deltoid are 14x18cm, (R) deltoid area edema 8x4cm.  T- 98.1
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Haemorrhage, Immediate post-injection reaction, Local reaction, Oedema peripheral
Clinical narrative: Once I gave shot, his arm immediately swelled up, local irritation + redness w/ minimal bleeding.  Pt. did not feel dizzy or have any other adverse effects.  Pt. upon follow up 4 hours later stated swelling was down and he felt great.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood test, Cellulitis, Oedema peripheral, Pyrexia
Clinical narrative: In ER  1 am had a fever 103. Diagnosed with cellulitis. Gave antibiotics in IV and was given LEVAQUIN and Doxycycline is recovering. Also had swollen arm.
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Activities of daily living impaired, Burning sensation, Chest discomfort, Cough, Fatigue
Clinical narrative: The pt states in approx. 2005 while working on the postpartum ward as an RN she received a FLUMIST vaccination. Initially, the pt reported that she had received Influenza IM but has since recalled that it was FLUMIST. The pt states she immediately had burning in her sinuses. At the end of the shift (7PM) the pt noted that she was fatigued, had a headache, felt feverish and had nasal congestion. The next day the pt went to work and was so fatigued that she fell asleep at the nurse's station so she went home. The symptoms continued and additionally she developed a productive cough and chest discomfort when she coughed. The pt treated herself with OTC medications. The fatigue, fever, headache, nasal congestion lasted 3-4 days. The cough lasted 3-4 weeks. The pt did not seek medical attention. At the time there were no other sick family members and no co-workers who were ill with similar symptoms. Symptoms: Pain, Fatigue, Malaise >60 Days, Fever, Headache, general, Cough productive.
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Feeling hot, Headache, Immediate post-injection reaction, Malaise, Nasal congestion
Clinical narrative: The pt states in approx. 2005 while working on the postpartum ward as an RN she received a FLUMIST vaccination. Initially, the pt reported that she had received Influenza IM but has since recalled that it was FLUMIST. The pt states she immediately had burning in her sinuses. At the end of the shift (7PM) the pt noted that she was fatigued, had a headache, felt feverish and had nasal congestion. The next day the pt went to work and was so fatigued that she fell asleep at the nurse's station so she went home. The symptoms continued and additionally she developed a productive cough and chest discomfort when she coughed. The pt treated herself with OTC medications. The fatigue, fever, headache, nasal congestion lasted 3-4 days. The cough lasted 3-4 weeks. The pt did not seek medical attention. At the time there were no other sick family members and no co-workers who were ill with similar symptoms. Symptoms: Pain, Fatigue, Malaise >60 Days, Fever, Headache, general, Cough productive.
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Productive cough
Clinical narrative: The pt states in approx. 2005 while working on the postpartum ward as an RN she received a FLUMIST vaccination. Initially, the pt reported that she had received Influenza IM but has since recalled that it was FLUMIST. The pt states she immediately had burning in her sinuses. At the end of the shift (7PM) the pt noted that she was fatigued, had a headache, felt feverish and had nasal congestion. The next day the pt went to work and was so fatigued that she fell asleep at the nurse's station so she went home. The symptoms continued and additionally she developed a productive cough and chest discomfort when she coughed. The pt treated herself with OTC medications. The fatigue, fever, headache, nasal congestion lasted 3-4 days. The cough lasted 3-4 weeks. The pt did not seek medical attention. At the time there were no other sick family members and no co-workers who were ill with similar symptoms. Symptoms: Pain, Fatigue, Malaise >60 Days, Fever, Headache, general, Cough productive.
Age: 58.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase, Body temperature increased, C-reactive protein increased, Cough
Clinical narrative: Sore Throat, swollen tonsils, T 100.2, body aches and cough, Txed with PREDNISONE and TAMIFLU.
Age: 58.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Laboratory test, Oropharyngeal pain, Pain, Streptococcal identification test negative, Tonsillar hypertrophy
Clinical narrative: Sore Throat, swollen tonsils, T 100.2, body aches and cough, Txed with PREDNISONE and TAMIFLU.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous, Skin warm
Clinical narrative: Raised red area silver dollar size hot to touch.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Hives on both arms within 5 minutes. Resolved with BENADRYL.
Age: 3.8
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Body temperature increased, Condition aggravated, Febrile convulsion, Rash
Clinical narrative: FOC called 9/2/09. States child had positive adverse Rxn 3 days after vaccination on 8/28/09. Client with rash had spike - no fever 99 to 101 mtn. Relieved Dx MOTRIN and an occasion of febrile sz. FOC states child w/hx of febrile sz at 9 mos. old and follow up w/PMD scheduled for 9/3/09. States went to PMD 9/3 at clinic - Mom states child Ok now 9/5/09 on follow up call.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Swelled up, turned red (an area of apx, 3" in diameter) hot to touch, very sore. Dr. prescribed antibiotic.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Swelled up, turned red (an area of apx, 3" in diameter) hot to touch, very sore. Dr. prescribed antibiotic.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Fall, Head injury
Clinical narrative: Pt is a 16 year old female who suffered an injury to occiput due to loss of conciousness after receiving a gardasil and hep A vaccine at her the public clinic. Pt presented to ER vomiting copious amount and with moderate amounts of bright red blood. CT revealed a subarachnoid hemorrhage. Pt was observed overnight at the Hospital and had now acute events. Pts symptoms have now resolved w/ the exception of some musculoskeletal pain.  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Computerised tomogram abnormal, Haematemesis, Head injury, Loss of consciousness, Musculoskeletal pain
Clinical narrative: Pt is a 16 year old female who suffered an injury to occiput due to loss of conciousness after receiving a gardasil and hep A vaccine at her the public clinic. Pt presented to ER vomiting copious amount and with moderate amounts of bright red blood. CT revealed a subarachnoid hemorrhage. Pt was observed overnight at the Hospital and had now acute events. Pts symptoms have now resolved w/ the exception of some musculoskeletal pain.  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Skull fracture, Subarachnoid haemorrhage
Clinical narrative: Pt is a 16 year old female who suffered an injury to occiput due to loss of conciousness after receiving a gardasil and hep A vaccine at her the public clinic. Pt presented to ER vomiting copious amount and with moderate amounts of bright red blood. CT revealed a subarachnoid hemorrhage. Pt was observed overnight at the Hospital and had now acute events. Pts symptoms have now resolved w/ the exception of some musculoskeletal pain.  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Arthralgia, Balance disorder, Cerebral haemorrhage, Computerised tomogram abnormal, Dizziness
Clinical narrative: Pt is a 16 year old female who suffered an injury to occiput due to loss of conciousness after receiving a gardasil and hep A vaccine at her the public clinic. Pt presented to ER vomiting copious amount and with moderate amounts of bright red blood. CT revealed a subarachnoid hemorrhage. Pt was observed overnight at the Hospital and had now acute events. Pts symptoms have now resolved w/ the exception of some musculoskeletal pain.  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Fall, Gait disturbance, Haematemesis, Haematocrit normal, Haemorrhage intracranial
Clinical narrative: Pt is a 16 year old female who suffered an injury to occiput due to loss of conciousness after receiving a gardasil and hep A vaccine at her the public clinic. Pt presented to ER vomiting copious amount and with moderate amounts of bright red blood. CT revealed a subarachnoid hemorrhage. Pt was observed overnight at the Hospital and had now acute events. Pts symptoms have now resolved w/ the exception of some musculoskeletal pain.  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Head injury, Headache, Loss of consciousness, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: Pt is a 16 year old female who suffered an injury to occiput due to loss of conciousness after receiving a gardasil and hep A vaccine at her the public clinic. Pt presented to ER vomiting copious amount and with moderate amounts of bright red blood. CT revealed a subarachnoid hemorrhage. Pt was observed overnight at the Hospital and had now acute events. Pts symptoms have now resolved w/ the exception of some musculoskeletal pain.  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait.