chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Lymphocyte morphology abnormal, Lymphocyte percentage increased, Metabolic function test normal, Monocyte percentage, Myoclonus
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Neutrophil percentage decreased, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging normal, Pituitary tumour benign, Platelet count normal
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Protein total normal, Red blood cell sedimentation rate increased, Scan brain, Sinus arrhythmia, Sinus bradycardia
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Syncope, Thyroxine free normal, Urine analysis normal, Urine ketone body present, Vanillyl mandelic acid urine
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Vision blurred, White blood cell count decreased
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Akinesia, Arthralgia, Ataxia, Dyskinesia, Erythema
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Fatigue, Feeling abnormal, Gait disturbance, Movement disorder, Personality change
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Posture abnormal, Skin warm, Syncope, Thirst, Tinnitus
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Vibratory sense increased
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Abasia, Abdominal pain, Abnormal behaviour, Activities of daily living impaired, Anger
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Apnoea, Arthralgia, Arthralgia, Asthenia, Asthma
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Ataxia, Autonomic nervous system imbalance, Binocular eye movement disorder, Blood glucose increased, Bone pain
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Bradycardia, Central nervous system lesion, Chills, Conversion disorder, Cough
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Crying, Depression, Diet refusal, Disorientation, Disturbance in attention
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Dizziness, Dry eye, Dyskinesia, Dysphagia, Dyspnoea
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Dyspnoea, Electrocardiogram QT prolonged, Electrocardiogram abnormal, Emotional disorder, Energy increased
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Enuresis, Eye pain, Eye pain, Eye swelling, Faecal incontinence
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Fatigue, Feeling abnormal, Feeling hot, Flat affect, Foreign body sensation in eyes
Clinical narrative: This is a continuation of worsening of symptoms since the original VAERS 372246-1 was filed on 12/08/2009.  01/08/2010--Severe parietal headache, severe dizziness, blurry vision, ataxic gait, myoclonic jerks, galloping heart rhythm to auscultation, 12-lead EKG with sinus bradycardia with sinus arrhythmia and (HR down to 48 beats per minute and up to 170 beats minute) and showing borderline prolonged QT interval. Hospitalized.  Attending MD notes pt's left eye does not converge.  Her assessment is that pt has dysautonomia and not a primary cardiac problem.  No treatment instituted.  1/09/2010--MRI shows MRI report reveals intrasellar lesion that has displaced pt's pituitary gland away from mideline and caused it to bulge upward.  The MRI report says "The appearance is suggestive of an adenoma that has perhaps undergone necrosis.  It could also represent Rathke's cleft cyst or even rarer intrasellar craniopharyngioma....Findings could represent necrotic adenoma or perhaps Rathke's cleft cyst."    01/12/2010:  Team of physicians agree that patients with pituitary lesions do not have ataxic gait and therefore pt must be experiencing conversion disorder and his problems are not related to the H1N1 vaccine nor the pituitary lesion.  I (patient's mother) disagree but physicians overrule me and discharge pt without any treatment and without biopsy of lesion.  I was told lesion was benign spot on the brain and was not shown the report results even though my husband and I both had asked to see all tests and results and my husband had asked to see the MRI film itself.  I went and obtained patient's complete medical record to file his report because physicians had withheld information from me.  02/06/2010:  All above symptoms continues, and on 02/06/2010, pt fainted and was revived by family member. Pulse barely palpable and was 50.  Then pt had myoclonic jerks after fainting spell.  02/17/2009:  Pt seen in pediatrician's office for follow-up and pediatrician noted pulse still down to 50 beats per minute.  Pt complaining of dizziness and headache.  Diagnoses:  pituitary adenoma, dysautonomia.  Plan:  Follow up with cardiologist to consider starting florinef.  Continue to have follow up with neurosurgeon, ophthalmologist, endocrinologist, neurologists in child neurology and dysautonomia.  Pending appointments to see endocrinologist for additional test results and to be evaluated by peds neurologist and dysautonomia expert.