chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.51
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Injection site hypersensitivity, Injection site swelling, Injection site warmth
Clinical narrative: Slightly raised, reddened, and warm area measuring 2x1 1/2" on left mid lateral thigh when seen on 8/3/06 for reaction.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema multiforme, Rash, Skin ulcer
Clinical narrative: 08/05/2006 seen in office for rash circular, target lesions DX erythema multiforme. No treatment required.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Erythema, Nausea, Oedema, Pain
Clinical narrative: Left axilla red, swollen and painful 2 days following tetanus. Low grade fever hand tingling, nausea on and off left arm slightly weak.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Left axilla red, swollen and painful 2 days following tetanus. Low grade fever hand tingling, nausea on and off left arm slightly weak.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Pt was given MMR #2, DTap #5, IPV #4 on 7/31/06 pt had high fever one day after.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: LD warm swollen and fever and slight pain, mother said she did not take temp she felt warm I took temp 98.7.
Age: 0.4
Sex: M
Vaccine: HIBV, HIBV
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Infant devt. erythema few days after vaccine, at site of admin. Right thigh, then devt. bump which became crusted and more red, no abscess, tenderness, drainage or systemic signs.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Child returned for PPD reading nurse 8/7/06 noticed left arm swollen, hot to touch. Notified Dr. Nurse assistant who gave shots failed to chart sites at time given, Charted sites on 8/7/06
Age: 29.0
Sex: F
Vaccine: TYP
Symptoms: Rash
Clinical narrative: Pt woke up with rash in under arm area. Placed cortisone topical cream on area. Pt is in no pain currently.
Age: 1.29
Sex: M
Vaccine: HEPA, HIBV, MMR
Symptoms: Abnormal labour, Coma, Febrile convulsion, Pyrexia
Clinical narrative: Had MMR/HIB/HepA on 7/15/06. Was unresponsive for 15-20 minutes on 8/4/06 after spiking a fever of 103. Diagnosed as febrile seizure.
Sex: M
Vaccine: HEP, TDAP
Symptoms: Injection site pain
Clinical narrative: Left arm pain at injection site. Increasing and ongoing pain. Seen in EW for f/u care.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Eyelid oedema, Swelling face, Urticaria
Clinical narrative: Patient received Hep vaccine and within 1 minute had swollen lip, eyelid and welts on arms, lets and chest. Patient given 1 1/2 tsp Benadryl.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Blister
Clinical narrative: Local reaction with blistering 9x9 cm area with multiple blisters measuring 2x2cm.
Age: 30.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Tetanus shot resulted in severe swelling and pain.  Swelling is 4 inches down the shoulder and stands and inch / inch and a half high.  This is still apparent at day 4 after the shot was administered.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: High fever, headache, large local reaction (arm swelling, redness, tenderness).
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt. c/o redness and pain in injection site of arm.
Age: 1.07
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Approx 10 min past receiving Proquad injection, patient had red, hard area size of 50 cent peice on left upper arm.  No other symptoms observed x 20 min; upon departure from clinic, all hardened area had subsided.  Still slightly red area size of dime noted on ar. Instructed mom and grandmom if patient had any other problmes or signs of reaction to take child to hospital.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMRV
Symptoms: Blood culture negative, Body temperature increased, Brain oedema, Cerebral haemorrhage, Chills
Clinical narrative: Patient was well until 7/31 when she developed low grade temps.  She spiked to 103.5 on 8/1 and was seen on 8/2 complaining of emesis on 7/31 and rhinorrhea x 2-3 days.  She was diagnosed with a right OM and was started on amoxicillin.  She appeared better late on 8/2 and seemed fine on 8/3 in the morning.  She had a temp of 101 when the mother left for work around 9 AM.  By 12 PM the patient was noted to be somewhat lethargic.  She began to develop some cyanosis of her hands and feet as well as what were probably rigors.  By 1 PM the patient's caregiver took her temp and noted it to be 107.6 rectally.  EMS was called.  The patient arrived in the ER obtunded, with a temp of 107.5, BP of 60's/20's, O2 saturation of only 90% on 100% by mask.  She was intubated in the ER and started on dopamine.  Initial CBC showed WBC=2 with ANC=390, Hgb approx 8.5 and plt approx 60.  Broad spectrum antibiotics were begun and blood, urine, and CSF cx were obtained.  All cultures have been negative.  An MRI obtained on 8/7 revealed changes consistent with ADEM.  Steroids were begun on 8/6 following a CT scan that was also suggestive of ADEM and IVIG was given starting on 8/7.  The patient has become more responsive since the steroids and IVIG although she is still intubated and sedated.  She does have left ptosis and left abducens nerve palsy as well as hypertonia of her lower extremities bilaterally. 02/27/07-DC report received: DX:ADEM complicated by spasms and diffuse neurologic sequelae. R/L Hydronephrosis, UTI resolved. Respiratory distress Intubated 8/14 and extubated 8/18/06. Ophthalmology consult 10/20/06-observed series during exam. 60 day Follow-up Information 13-NOV-2006: Possible seizure disorder, Glosal developmental delay (Several ADEM
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMRV
Symptoms: Culture urine negative, Cyanosis, Encephalitis, Endotracheal intubation, Eyelid ptosis
Clinical narrative: Patient was well until 7/31 when she developed low grade temps.  She spiked to 103.5 on 8/1 and was seen on 8/2 complaining of emesis on 7/31 and rhinorrhea x 2-3 days.  She was diagnosed with a right OM and was started on amoxicillin.  She appeared better late on 8/2 and seemed fine on 8/3 in the morning.  She had a temp of 101 when the mother left for work around 9 AM.  By 12 PM the patient was noted to be somewhat lethargic.  She began to develop some cyanosis of her hands and feet as well as what were probably rigors.  By 1 PM the patient's caregiver took her temp and noted it to be 107.6 rectally.  EMS was called.  The patient arrived in the ER obtunded, with a temp of 107.5, BP of 60's/20's, O2 saturation of only 90% on 100% by mask.  She was intubated in the ER and started on dopamine.  Initial CBC showed WBC=2 with ANC=390, Hgb approx 8.5 and plt approx 60.  Broad spectrum antibiotics were begun and blood, urine, and CSF cx were obtained.  All cultures have been negative.  An MRI obtained on 8/7 revealed changes consistent with ADEM.  Steroids were begun on 8/6 following a CT scan that was also suggestive of ADEM and IVIG was given starting on 8/7.  The patient has become more responsive since the steroids and IVIG although she is still intubated and sedated.  She does have left ptosis and left abducens nerve palsy as well as hypertonia of her lower extremities bilaterally. 02/27/07-DC report received: DX:ADEM complicated by spasms and diffuse neurologic sequelae. R/L Hydronephrosis, UTI resolved. Respiratory distress Intubated 8/14 and extubated 8/18/06. Ophthalmology consult 10/20/06-observed series during exam. 60 day Follow-up Information 13-NOV-2006: Possible seizure disorder, Glosal developmental delay (Several ADEM
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMRV
Symptoms: Haemoglobin decreased, Hypertonia, Lethargy, Otitis media, Paralysis
Clinical narrative: Patient was well until 7/31 when she developed low grade temps.  She spiked to 103.5 on 8/1 and was seen on 8/2 complaining of emesis on 7/31 and rhinorrhea x 2-3 days.  She was diagnosed with a right OM and was started on amoxicillin.  She appeared better late on 8/2 and seemed fine on 8/3 in the morning.  She had a temp of 101 when the mother left for work around 9 AM.  By 12 PM the patient was noted to be somewhat lethargic.  She began to develop some cyanosis of her hands and feet as well as what were probably rigors.  By 1 PM the patient's caregiver took her temp and noted it to be 107.6 rectally.  EMS was called.  The patient arrived in the ER obtunded, with a temp of 107.5, BP of 60's/20's, O2 saturation of only 90% on 100% by mask.  She was intubated in the ER and started on dopamine.  Initial CBC showed WBC=2 with ANC=390, Hgb approx 8.5 and plt approx 60.  Broad spectrum antibiotics were begun and blood, urine, and CSF cx were obtained.  All cultures have been negative.  An MRI obtained on 8/7 revealed changes consistent with ADEM.  Steroids were begun on 8/6 following a CT scan that was also suggestive of ADEM and IVIG was given starting on 8/7.  The patient has become more responsive since the steroids and IVIG although she is still intubated and sedated.  She does have left ptosis and left abducens nerve palsy as well as hypertonia of her lower extremities bilaterally. 02/27/07-DC report received: DX:ADEM complicated by spasms and diffuse neurologic sequelae. R/L Hydronephrosis, UTI resolved. Respiratory distress Intubated 8/14 and extubated 8/18/06. Ophthalmology consult 10/20/06-observed series during exam. 60 day Follow-up Information 13-NOV-2006: Possible seizure disorder, Glosal developmental delay (Several ADEM
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMRV
Symptoms: Platelet count decreased, Pyrexia, Rhinorrhoea, Vomiting, White blood cell count decreased
Clinical narrative: Patient was well until 7/31 when she developed low grade temps.  She spiked to 103.5 on 8/1 and was seen on 8/2 complaining of emesis on 7/31 and rhinorrhea x 2-3 days.  She was diagnosed with a right OM and was started on amoxicillin.  She appeared better late on 8/2 and seemed fine on 8/3 in the morning.  She had a temp of 101 when the mother left for work around 9 AM.  By 12 PM the patient was noted to be somewhat lethargic.  She began to develop some cyanosis of her hands and feet as well as what were probably rigors.  By 1 PM the patient's caregiver took her temp and noted it to be 107.6 rectally.  EMS was called.  The patient arrived in the ER obtunded, with a temp of 107.5, BP of 60's/20's, O2 saturation of only 90% on 100% by mask.  She was intubated in the ER and started on dopamine.  Initial CBC showed WBC=2 with ANC=390, Hgb approx 8.5 and plt approx 60.  Broad spectrum antibiotics were begun and blood, urine, and CSF cx were obtained.  All cultures have been negative.  An MRI obtained on 8/7 revealed changes consistent with ADEM.  Steroids were begun on 8/6 following a CT scan that was also suggestive of ADEM and IVIG was given starting on 8/7.  The patient has become more responsive since the steroids and IVIG although she is still intubated and sedated.  She does have left ptosis and left abducens nerve palsy as well as hypertonia of her lower extremities bilaterally. 02/27/07-DC report received: DX:ADEM complicated by spasms and diffuse neurologic sequelae. R/L Hydronephrosis, UTI resolved. Respiratory distress Intubated 8/14 and extubated 8/18/06. Ophthalmology consult 10/20/06-observed series during exam. 60 day Follow-up Information 13-NOV-2006: Possible seizure disorder, Glosal developmental delay (Several ADEM
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Anxiety, Arrhythmia, Arthritis, Asthenia, Back pain
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Bradycardia, Chest pain, Cough, Depression, Dermatitis
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Difficulty in walking, Dysphagia, Dyspnoea, Fatigue, Fibromyalgia
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Flatulence, Gastritis, Gastrointestinal disorder, Headache, Hyperacusis
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Hypertension, Hypertrophy, Hyperventilation, Hypoaesthesia, Ileus
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Immune system disorder, Influenza like illness, Insomnia, Irritability, Joint stiffness
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Joint swelling, Laryngitis, Lymphocytosis, Malaise, Mood swings
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Muscle spasms, Nausea, Neuralgia, Neuritis, Osteoarthritis
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Paraesthesia, Peripheral vascular disorder, Retching, Shoulder pain, Sinusitis
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Thermal burn, Thirst, Throat tightness, Urinary tract infection, Vomiting
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 18.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Weight decreased, Weight increased
Clinical narrative: Abdomen: burning sensation, Mood Anxiety, heart arrhythmia, arthritis, arthrosis, blood pressure: high, Blood, high cpk levels, bowels: irritable, Bradycardia: Sinus, Costochondritis, cough, Cramp-s legs, Major depression, dermatitis, digestive gagging, Digestive nausea, throwing up, digestive problems, Dyspahagia, dyspnea, energy loss, fatigue chronic, fibromyalgia, flatulence (passing gas), flulike symptoms, gastritis, headaches: migraines, hearing: poor tolerance for loud noises, heart angina, hypertension, Hyperventilation, hypertophy, immune system: autoimmune disorder, infection: chronic to include ear and sinus, infection: constant, sleep: insomnia, joint: stiffness, laryngitis, malaise, Lymphocytosis, neurological: depression, mood swings, anxious, angry, irritable, neuralgia, Neuritis, numbness and tingling: fingers, pain: legs, pain: right shoulder, hips and leg, pain: Right hip and chest, pain: going, pain: back, respiratory shortness of breath, sleep: problems, swelling: joints, tendon disorder, thirst: increased, throat: swelling and closing, tiredness, Urinary infection, vascular disease, peripheral, vision problems, vomiting, walking trouble, walking difficulty, weakness, weigh gain, weight loss, illeus, elevated sed rate, rheumatic fever.
Age: 25.0
Sex: M
Vaccine: HEP
Symptoms: Flushing, Pruritus, Urticaria
Clinical narrative: One-half hour after administration the patient presented with pruritic hives on stomach and armpits. Also c/o facial flushing. He was treated with 50mg Diphenhydramine IM with good symptom control/near resolution.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site infection, Injection site pain, Lymphadenopathy
Clinical narrative: Erythema at injection site.  Also infected site.  Pt was prescribed Keflex x 1 week.  Left cervical lymph node swollen.  Pain at injection site.
Age: 25.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Rash
Clinical narrative: Small bumps on chest, back, arms, stomach.
Age: 19.0
Sex: M
Vaccine: HEPA, SMALL, SMALL
Symptoms: Hepatic enzyme abnormal, Injection site necrosis, Rash, Vomiting
Clinical narrative: Seen on 7/27/06 for follow up s/p Smallpox vaccination reaction per ER notes. Facial rash present as well as persistent vomiting per report. History of Liver enzymes being elevated as well. No lab report available for those test results. Repeat LFTS and CBC done in ER see below. Smallpox vaccination site with 2 1/2 cm necrotic area that was gently debrided in the ER and new antibiotic ointment was applied. Ordered to advance diet as tolerated and follow up the next day. Medical notes also indicate possible heat injury during this time. It is unclear if initial visit to ER was heat related or smallpox vaccine adverse event. The initial ER report was not available for review.
Age: 19.0
Sex: M
Vaccine: HEPA, SMALL, SMALL
Symptoms: Rash, Vomiting
Clinical narrative: Seen on 7/27/06 for follow up s/p Smallpox vaccination reaction per ER notes. Facial rash present as well as persistent vomiting per report. History of Liver enzymes being elevated as well. No lab report available for those test results. Repeat LFTS and CBC done in ER see below. Smallpox vaccination site with 2 1/2 cm necrotic area that was gently debrided in the ER and new antibiotic ointment was applied. Ordered to advance diet as tolerated and follow up the next day. Medical notes also indicate possible heat injury during this time. It is unclear if initial visit to ER was heat related or smallpox vaccine adverse event. The initial ER report was not available for review.
Age: 21.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Dizziness, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Presented on 7/24/06 with c/o n/v, dizziness, fever, achiness x 24 hours. Diagnosed as vaccine reaction vs. acute viral syndrome. Quarters x 24 hours and push fluids. Tylenol prn.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: HIVES SEVERAL HOURS AFTER INJECTIONS.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Patient came in the date following vaccinations due to arm edema and erythema.  The area was hot to touch, and the patient did not complain of itching.  The patient was given prescriptions for Keflex and Benadryl.
Age: 37.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Rec'd Tdap I.M and MMR S.Q. in left arm on 08/10/2006.  Area was immediately sore, but on 08/13/2006 became extremely sore, red, swollen and hot to the touch, from shoulder area, extending to elbow. Aleve did not relieve symptoms.  Client has not seen PMD.  Client has insurance and planned to be seen today for evaluation.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash macular, Urticaria
Clinical narrative: Generalized large red macules of varying sizes on trunk 1cm-10cm in diameter with 3mm papules and welts scattered over body. Benadryl 1/2 tsp now and every 6 hrs. Pt to follow-up in 1-2 days. Go to E.R if worse.
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Mild diarrhea for 1-2 days starting day following oral administration of rotateq.  5-6 watery stools per day, no dehydration or other clinical symptoms.  Diarrhea resolved in appx 36 hours.
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Swelling, redness and induration of left thigh, no fever, warm to palpation. Tx Prednisolone x Augmentin x 10d. Pt received Hep A and Hib on LL, Dtap and PCV RL.
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Fatigue, Feeling hot, Rash, Skin ulcer
Clinical narrative: 12 days after receiving Dtap, MMR, Hib, Varivax and Prevnar. Child developed (5) red spots on face, child was tired and felt warm to touch. Temp not taken. Rash spread (1) lesion on stomach, 6 on back of butt, on wrist band and a few above penis. No blisters, no scabs. 8/15 rash is improved and only found above penis.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Right arm became red, erythematous, swollen and tender.
Age: 49.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Tenderness
Clinical narrative: 8/15/06 pt c/o tenderness on back of both knees, soreness and pain on both shins down to ankles and pain to both shoulder blades x 1 wk after 1 week the vaccine was given on 7/31/06.
Age: 26.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Rash vesicular
Clinical narrative: Presented on 7/25/06 with vesicular rash present to the R hand, elbow, finger and L hand. Had smallpox vaccination 7/6/06. Smallpox vaccination site observed and not healed. Referred to dermatologist as provider was unable to aspirate fluid from vesicles.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Chills, Headache, Injection site erythema, Injection site reaction
Clinical narrative: Patient presented on 6/23/06 with c/o fever, chills, HA, body aches. Afebrile at time of visit. L arm smallpox vaccination site with medium size pustule, no drainage. Tender erythema approximately 7cm in diameter. Reported that Sunday site had some streaking present. Axillary negative LAD noted. Diagnoses probable early cellulitis at injection site. Tylenol prn, Quarters x 24 hours. Hydrate and hot showers, RTC in am for reeval.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Pyrexia, Skin striae
Clinical narrative: Patient presented on 6/23/06 with c/o fever, chills, HA, body aches. Afebrile at time of visit. L arm smallpox vaccination site with medium size pustule, no drainage. Tender erythema approximately 7cm in diameter. Reported that Sunday site had some streaking present. Axillary negative LAD noted. Diagnoses probable early cellulitis at injection site. Tylenol prn, Quarters x 24 hours. Hydrate and hot showers, RTC in am for reeval.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypokinesia, Tremor
Clinical narrative: Patient began exhibiting peculiar motor activity such as rapid tilting of the head to one side and generalized tremors following first set of immunizations.
Age: 25.0
Sex: M
Vaccine: HEP, SMALL, TYP
Symptoms: Asthenia, Dizziness, Headache, Laboratory test abnormal, Lethargy
Clinical narrative: Presented to ER on 8/2/06 with c/o weakness and dizziness. Had received 2L of IV fluids prior to being transported to hospital by medic. Reported that he had been at the clinic earlier in the week with similar c/o. Review of systems noted patient reporting weakness and lethargy as well as muscle soreness and HA. Temp 100.1 at time of visit. Diagnosed as smallpox vaccine reaction. Received IV Toradol for HA, quarters x 24 hours, patient education on inflammatory process related to smallpox vaccination.
Age: 25.0
Sex: M
Vaccine: HEP, SMALL, TYP
Symptoms: Myalgia, Pyrexia
Clinical narrative: Presented to ER on 8/2/06 with c/o weakness and dizziness. Had received 2L of IV fluids prior to being transported to hospital by medic. Reported that he had been at the clinic earlier in the week with similar c/o. Review of systems noted patient reporting weakness and lethargy as well as muscle soreness and HA. Temp 100.1 at time of visit. Diagnosed as smallpox vaccine reaction. Received IV Toradol for HA, quarters x 24 hours, patient education on inflammatory process related to smallpox vaccination.
Age: 27.0
Sex: M
Vaccine: HEP, SMALL, TYP, SMALL
Symptoms: Injection site reaction, Pyrexia, Rash
Clinical narrative: Presented to ER on 7/15/06 with c/o smallpox vaccination site reaction. Area to upper L arm about the size of a silver dollar with smallpox lesions on the left upper arm. No other lesions present to the rest of the body. Temp 101. Plan: Change dressing, follow up on Monday, If rash spreads come in sooner.
Age: 27.0
Sex: M
Vaccine: HEP, SMALL, TYP, SMALL
Symptoms: Injection site oedema, Injection site reaction
Clinical narrative: Presented to ER on 7/15/06 with c/o smallpox vaccination site reaction. Area to upper L arm about the size of a silver dollar with smallpox lesions on the left upper arm. No other lesions present to the rest of the body. Temp 101. Plan: Change dressing, follow up on Monday, If rash spreads come in sooner.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Hyperaesthesia, Injection site erythema, Irritability, Pyrexia
Clinical narrative: pt became fussy and inconsolable roughly 3 hours after receiving Dtap, Hib,PCV7, and IPV.  Her right leg is sensitive to touch.  Her left leg has a 3 mm red area at the site of the Dtap in the left leg and a 1 cm red area to the HIB site on the left leg.  Her fever has climbed to 103.5 rectally.
Age: 61.0
Sex: F
Vaccine: TYP
Symptoms: Swelling
Clinical narrative: About 28 hours after vaccination, client had swelling in same arm from wrist down in flat part of hand and very slight swelling in same area on Left hand. Swelling appears to be getting better.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: right deltoid swelling with knot. Advised parent to given Motrin as needed for pain/swelling.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Feeling hot, Injection site swelling, Lymphadenopathy, Pyrexia
Clinical narrative: Area of injection started size of 50 cent piece as day progressed nose running, lymph nodes in neck swelled, area on left deltoid grew to 9 centimeters, hot to touch, core area 6cm, hard, looked pus like, low grade temp 99.6-99.8, chills, in bed shaking. Called in sick for work on Saturday (NICU nurse). Symptoms gone by Tuesday.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Rhinorrhoea, Tremor
Clinical narrative: Area of injection started size of 50 cent piece as day progressed nose running, lymph nodes in neck swelled, area on left deltoid grew to 9 centimeters, hot to touch, core area 6cm, hard, looked pus like, low grade temp 99.6-99.8, chills, in bed shaking. Called in sick for work on Saturday (NICU nurse). Symptoms gone by Tuesday.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Had fever complicated by febrile seizure, went to ER.
Age: 1.05
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Pt seen in office 8/15/06. Dx: shingles. Pt received Varivax 12/4/04.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site hypersensitivity, Injection site reaction, Injection site swelling, Pruritus
Clinical narrative: RT ARM 16X11CM LOCAL REACTION.  VACCINE GIVEN ON AUGUST 14TH, SYMPTOMS OF ITCHING AND SWELLING BEGAN THE EVENING OF 14TH OF AUGUST.
Age: 69.0
Sex: M
Vaccine: PPV, TTOX
Symptoms: Injection site swelling, Oedema peripheral
Clinical narrative: Patient with swelling of most of upper arm (injection given R deltoid) and additionally swollen in R hand (had to remove rings).  Swelling lasted x 3 days.  No treatment was given--he used ice and elevated it.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Vaccine administered 08/14/06. Patient brought to ER 08/15/06 with fever of 102 and diarrhea (about 15 diarrheal diapers)- recieved IV rehydration.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Erythema, Injection site hypersensitivity, Injection site pain, Injection site swelling
Clinical narrative: Pt received Varicella Vaccine (2nd dose) on 8/14/2006 around 10:30 AM.  Patient had a headache that afternoon.  Patient awoke the following morning with itching around his injection site, which progressed to pain and swelling.  Pt returned to our office on 8/15/06 at 1630 and he had a 6 cm X 6 cm swollen, pink-red firm mildly tender and warm patch on his upper right arm with a cluster of vesicles in the center.  The vesicles appeared to be more like those one sees secondary to edema rather than varicella-like.  Pt was given Ibuprofen by his mother prior to the 2nd office visit, and was instructed to take Benadryl liquid 12.5mg to 25 mg q 6-8 hours prn, and to continue to take Tylenol or Ibuprofen as needed for pain.  And he was instructed to apply ice/cool packs prn to the affected area.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus
Clinical narrative: Pt received Varicella Vaccine (2nd dose) on 8/14/2006 around 10:30 AM.  Patient had a headache that afternoon.  Patient awoke the following morning with itching around his injection site, which progressed to pain and swelling.  Pt returned to our office on 8/15/06 at 1630 and he had a 6 cm X 6 cm swollen, pink-red firm mildly tender and warm patch on his upper right arm with a cluster of vesicles in the center.  The vesicles appeared to be more like those one sees secondary to edema rather than varicella-like.  Pt was given Ibuprofen by his mother prior to the 2nd office visit, and was instructed to take Benadryl liquid 12.5mg to 25 mg q 6-8 hours prn, and to continue to take Tylenol or Ibuprofen as needed for pain.  And he was instructed to apply ice/cool packs prn to the affected area.
Age: 17.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Pain, Pallor, Pyrexia
Clinical narrative: Patient called stating 1 1/2 hrs after receiving Adacel and Hep B#1 that her right side hurt. Her back, leg, and arm had  increased pain when sitting.  Otherwise felt ok.  Seemed calm on phone and answered questions without hesitation.   2:45 pm Mother called and stated she went home and her daughter looked pale, "white as a sheet" stated that she continued to hurt and had temperature.  At present she was not having difficulty breathing but did earlier.  PHN advised that she go to dr or ER to be evaluated.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Injection site vesicles, Keloid scar, Rash, Rash macular
Clinical narrative: This 30 yo received her primary SMPX on 10/19/04 to her left deltoid with normal blistering, scabbing that fell off @ day 40. Denies any robust take or arm paresthesia.  When scab fell off, she noted a firm mole-like blister to site that does not drain, but DOES itch. No erythema to site, just the "blister" See attached pictures.  Blister has never resolved and has remained as is for one year.  Is tender to touch if bumped or hit otherwise no complaints. Received anthrax #1 and influenza same day to right arm. She reported 2 weeks following her AVA, smallpox and influenza vaccine developing flat non-raised pruritic red blotchy spots and hives to her chest and torso area upon awakening one morning. The rash lasted for over 2 hours. She was treated with IM Benadryl. She stated the rash returned 2-3 days later and was again treated with oral Benadryl x 2 before resolution. She has had no reoccurrence but did remember similar rash experience approximately 10 1/2 years ago when using Duravent for a cold. She denied any new foods, detergents, deodorants, clothing, etc. Assessment: Hypertrophic scar formation vs Dermatofibroma vs keloid formation at smallpox vaccination site.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Skin hypertrophy, Skin nodule, Urticaria
Clinical narrative: This 30 yo received her primary SMPX on 10/19/04 to her left deltoid with normal blistering, scabbing that fell off @ day 40. Denies any robust take or arm paresthesia.  When scab fell off, she noted a firm mole-like blister to site that does not drain, but DOES itch. No erythema to site, just the "blister" See attached pictures.  Blister has never resolved and has remained as is for one year.  Is tender to touch if bumped or hit otherwise no complaints. Received anthrax #1 and influenza same day to right arm. She reported 2 weeks following her AVA, smallpox and influenza vaccine developing flat non-raised pruritic red blotchy spots and hives to her chest and torso area upon awakening one morning. The rash lasted for over 2 hours. She was treated with IM Benadryl. She stated the rash returned 2-3 days later and was again treated with oral Benadryl x 2 before resolution. She has had no reoccurrence but did remember similar rash experience approximately 10 1/2 years ago when using Duravent for a cold. She denied any new foods, detergents, deodorants, clothing, etc. Assessment: Hypertrophic scar formation vs Dermatofibroma vs keloid formation at smallpox vaccination site.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP, MNQ, TDAP
Symptoms: CSF test abnormal, Guillain-Barre syndrome
Clinical narrative: Guillain Barre Syndrome following MENACTRA vaccine.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP, MNQ, TDAP
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Barre Syndrome following MENACTRA vaccine.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient experienced swelling and tenderness in the right leg 22 hours after administration of the vaccine. Swelling present from hip/groin area to the knee. Right thigh was the site of administration.  Reddness, warmth also present in the right leg. accompanied by low grade fever present after about 14 hours post vaccine. Patient was treated with a 5 day period of pediapred with the swelling and reddness dissappearing after 48 hours of medication treatment.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Pharyngeal oedema
Clinical narrative: Patient had varivax administered on 8-14-06 and that evening developed redness at the injection site. Redness worsened the following 48 hrs and she was examined at 48 hrs. Erythematous area over deltoid 2 inches in diameter. Patient complained of "swollen throat" 36 hrs after administration but had no breathing difficulty. Cool compresses and benadryl recommended.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Rash
Clinical narrative: 24 hours after injection, pt developed rash on face and trunk.
Age: 7.0
Sex: F
Vaccine: TD
Symptoms: Injection site swelling
Clinical narrative: Swollen L arm
Age: 65.0
Sex: F
Vaccine: MMR
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash the peripheral region of her legs, treated with Zyrtec and a Prednisone  boost.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Pruritus, Skin nodule
Clinical narrative: Large knot in arm, itchy, measured 9cm by 7cm.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Injection site mass, Pruritus
Clinical narrative: Large knot in arm, itchy, measured 9cm by 7cm.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, OPV, YF
Symptoms: Amnesia, Hypoaesthesia, Libido decreased, Oedema peripheral, Sensory disturbance
Clinical narrative: NUMBNESS FROM THE WAIST DOWN, LOSS OF FEELING SENSATION (GENITAL AREA), LOSS OF LIBIDO, SUDDEN LOSS OF MEMORY, SWOLLEN LEGS..ARE SOME OF THE ADVERSE EVENTS THE PATIENT IS BEING EXPERIENCING. AT THIS MOMENT PATIENT IS SEEKING TREATMENT AT THE HOSPITAL REGARDING IS LEG & WAIST(NUMBNESS) CONDITION, HIS INABILITY TO NORMALLY FUNCTION (SEXUALLY), AS WELL AS PSYCHOLOGICAL THERAPY. MOST OF THIS EVENTS ARE BEING TAKEN PLACE ONCE THE PATIENT RETURNED FROM DEPLOYMENT ON FEB 2005, AFTER SPENDING ONE YEAR ON THEATER.  02/21/2007 MR received.  Called contact in MR to request EMG full report. Multiple visits beginning 07/03/2006 through 12/10/2007. Initial visit 07/03/2006 for c/o chronic low back pain and shoulder pain.  Also reports anxiety, decreased libido and intermittant numbness over hand, leg, and shoulders. PE: normal, except left forearm scar. Impression: Chronic back and shoulder pain w/o focal neuro deficits or evidence of acute musculoskeletal disorder. Also seen by Psychiatry same day with above complaints and in addition: forgetfulness and increased irritability.  Mental Status Exam WNL except for sad mood and constricted affect. F/u 08/16/2006 for EMG/NCVS for numbness, tingling, and burning sensation in both legs accompanied by back pain.  To R/O radiculopathy vs. neuropathy. PE of 11/06/2006 notes that patient voids well, no changes in urine stream. Otherwise WNL except for a skin fungal infection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Swollen Lt Leg per mom golf size area.