chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: This spontaneous report as received from registered nurse refers to an unspecified number of patients of unknown age and gender. On an unknown date, the patients were vaccinated with GARDASIL (dose, concentration, lot number and expiration date were not provided). The reporter stated that on an unknown date, an unspecified facility had not calibrate their thermometer in the refrigerator that was storing GARDASIL vaccine for approximately 10 months. During a recent audit by the health department, it was revealed that the GARDASIL vaccine had been exposed to 47F to 50F for this period of time. It was knot known whether or not any of the patients who received these improperly stored doses of GARDASIL vaccine had experienced any adverse effects. This is one of several reports received from same source. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Incorrect storage of drug
Clinical narrative: This spontaneous report as received from registered nurse refers to an unspecified number of patients of unknown age and gender. On an unknown ate, the patients were vaccinated with PNEUMOVAX23 (dose, concentration, lot number and expiration date were not provided). The reporter stated that on an unknown date, an unspecified facility had not calibrate their thermometer in the refrigerator that was storing PNEUMOVAX23 vaccine for approximately 10 months. During a recent audit by the health department, it was revealed that the PNEUMOVAX23 vaccine had been exposed to 47F to 50F for this period of time. It was not known whether or not any of the patients who received these improperly stored doses of PNEUMOVAX23 vaccine had experienced any adverse effects. This is one of several reports received from same source. Additional information has been requested.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Asthenia, Hypotonia, Lethargy, Mobility decreased
Clinical narrative: Became feverish and all muscles became totally incapacitated. Unable to get up, roll over or walk. This went on for about 36 hours. Afterwards felt weak and lethargic.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Became feverish and all muscles became totally incapacitated. Unable to get up, roll over or walk. This went on for about 36 hours. Afterwards felt weak and lethargic.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site vesicles
Clinical narrative: Pt developed redness, swelling, and firmness encompassing left upper arm. She also developed blisters around the injection site. No sign of infection and treated with Benadryl.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Given flu shot 10/28 afternoon. Rash on chin that evening. Hives went away without treatment. Returned following AM on hand and eye. BENADRYL given and hives improved.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Soft tissue injury
Clinical narrative: Ongoing pain at injection site left deltoid: flu shot received: soft tissue injury. 4 weeks since injection now warmth, erythema edema at site when reported on 10-21-13 currently receiving OT.
Age: 0.48
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Injection site pain, Pyrexia, Vomiting
Clinical narrative: Child started fever, vomiting hours after vaccine were given, child also has pain in (R) leg.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Rash, Rash erythematous
Clinical narrative: Zoster vaccine and other vaccines given at same time. Two weeks later rash and red dots began under arm, spread to chest, lasted (so far) 2 months. Seems like a mild case of chicken pox or shingles.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Zoster vaccine and other vaccines given at same time. Two weeks later rash and red dots began under arm, spread to chest, lasted (so far) 2 months. Seems like a mild case of chicken pox or shingles.
Age: 1.43
Sex: M
Vaccine: FLU3
Symptoms: C-reactive protein increased, Epstein-Barr virus test negative, Gianotti-Crosti syndrome, Laboratory test normal, Lymphocyte percentage decreased
Clinical narrative: Monday 10/21/13 received flu vaccine (sl. congestion) prior but no other symptoms. On 10/23/13 developed low grade fever. The next day started with rash, runny nose, seen office 10/24/13 and again 10/25/13 - blood work and modest lymphocytosis. Covered with BENADRYL and amoxicillin. Seen again 10/28/13. Dx with Gianotti-Crosti linked with influenza virus vaccine.
Age: 1.43
Sex: M
Vaccine: FLU3
Symptoms: Lymphocytosis, Metabolic function test normal, Monocyte percentage, Mycoplasma test, Neutrophil percentage decreased
Clinical narrative: Monday 10/21/13 received flu vaccine (sl. congestion) prior but no other symptoms. On 10/23/13 developed low grade fever. The next day started with rash, runny nose, seen office 10/24/13 and again 10/25/13 - blood work and modest lymphocytosis. Covered with BENADRYL and amoxicillin. Seen again 10/28/13. Dx with Gianotti-Crosti linked with influenza virus vaccine.
Age: 1.43
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Rash, Rhinorrhoea, Varicella virus test negative, White blood cell count increased
Clinical narrative: Monday 10/21/13 received flu vaccine (sl. congestion) prior but no other symptoms. On 10/23/13 developed low grade fever. The next day started with rash, runny nose, seen office 10/24/13 and again 10/25/13 - blood work and modest lymphocytosis. Covered with BENADRYL and amoxicillin. Seen again 10/28/13. Dx with Gianotti-Crosti linked with influenza virus vaccine.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Fatigue, Myalgia, Pruritus generalised
Clinical narrative: Pt report generalized muscle aches and tiredness. Then post 2+ hr immunization awaken with difficulties breathing, shortness of breath and itchy over body. Pt treated self with nebulizer treatments which decreased her difficulties in breath. Itching resolved in 2 days.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR
Symptoms: Decreased appetite, Diarrhoea, Feeling abnormal, Pyrexia, Somnolence
Clinical narrative: Received MMR on 10/18/13 along with DTaP, Hib and Flu. Mother states since then has been "absolutely miserable wants to sleep". Fever up to 105 (rectal) x3 days, starting 10-26-13. Had loose stools. Hive like rash on 10/26/13 on arms, legs, back and stomach; tried to scratch it. Decreased appetite x6 days. Acetaminophen with benefit.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR
Symptoms: Urticaria
Clinical narrative: Received MMR on 10/18/13 along with DTaP, Hib and Flu. Mother states since then has been "absolutely miserable wants to sleep". Fever up to 105 (rectal) x3 days, starting 10-26-13. Had loose stools. Hive like rash on 10/26/13 on arms, legs, back and stomach; tried to scratch it. Decreased appetite x6 days. Acetaminophen with benefit.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV4, MNQ
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pruritus, Skin warm
Clinical narrative: Pt noticed sl. swelling 10/24. On 10/25 large area of swelling, red, hot to touch. Advised ice. 10/26 area now swollen shoulder to elbow, but cool and pink. Itching. Advised BENADRYL 10/27 some improvement noted.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV4, MNQ
Symptoms: Swelling
Clinical narrative: Pt noticed sl. swelling 10/24. On 10/25 large area of swelling, red, hot to touch. Advised ice. 10/26 area now swollen shoulder to elbow, but cool and pink. Itching. Advised BENADRYL 10/27 some improvement noted.
Age: 13.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Blood cholesterol normal, Haemoglobin decreased, Hyperhidrosis, Syncope
Clinical narrative: Syncope, diaphoresis.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: (L) deltoid - light pink felt itchy approx 10 min after injection. Applied ice 10 min - redness went away, itching still felt. BENADRYL 25mg PO with H20. States upset stomach last weekend. States no sleep last night.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Eye discharge, Oropharyngeal pain
Clinical narrative: Sore throat, eye discharge, chills patient took OTC diphenhydramine.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Dyspnoea, Headache, Influenza, Oropharyngeal pain
Clinical narrative: Vaccine administered at 11AM. Severe flu symptoms began at 4PM (5 hours later) - difficulty breathing as throat tightened (found rescue inhaler outdated and used, it relieved) rapid palpitations of heart, back pain, runny nose, sore throat, severe headache. Took aspirin and 5 hour nap. Feels much better but still mild symptoms. Never had adverse event with influenza vaccine in past.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Palpitations, Rhinorrhoea, Throat tightness
Clinical narrative: Vaccine administered at 11AM. Severe flu symptoms began at 4PM (5 hours later) - difficulty breathing as throat tightened (found rescue inhaler outdated and used, it relieved) rapid palpitations of heart, back pain, runny nose, sore throat, severe headache. Took aspirin and 5 hour nap. Feels much better but still mild symptoms. Never had adverse event with influenza vaccine in past.
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Feeling cold, Headache, Injection site pain
Clinical narrative: 9:45 PM experienced extreme pain at site and headache. Fever 99 degrees. Extreme shivering - freezing, teeth chattering - uncontrollable vomiting x 4. Took TYLENOL ex strength; heating pad, ice next day very tired.
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: 9:45 PM experienced extreme pain at site and headache. Fever 99 degrees. Extreme shivering - freezing, teeth chattering - uncontrollable vomiting x 4. Took TYLENOL ex strength; heating pad, ice next day very tired.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Injection site swelling, Palpitations
Clinical narrative: Pt developed swelling at injection site reported palpitation and of "feeling strange".
Age: 14.0
Sex: F
Vaccine: FLUN4
Symptoms: Chills, Headache, Insomnia, Nausea
Clinical narrative: Received Quadrivalent FLUMIST vaccine on 10/29/13. About 3-4 hours after she started with HA - on sides, not frontal - persisted HA despite of ibuprofen 400 mg given at time of initial symptom - woke up with the headache and had it through the night (brief sleep). Associated nausea, no vomiting. Had chills but no fever, no rash. HA resolved over night on 10/30/13.
Age: 21.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: Patient was at front desk about to leave office profusely sweating, lips white. That was around 4:40 PM. Patient taken into room placed on table given water, benadryl.
Age: 10.0
Sex: F
Vaccine: FLUN4
Symptoms: Headache, Nausea, Oropharyngeal pain
Clinical narrative: Received vaccine on 10/29/13 - and about 2.5 h after she started with sudden onset of generalized headache (less on forehead), had some nausea - no vomiting, treated with ibuprofen 400 mg  - poor response; no fever or body aching, no rash. She had some sore throat but resolved with ibuprofen. HA lasted until time she fell asleep on 10/30/13 at night. Woke up fine on 10/31/13.
Age: 38.0
Sex: M
Vaccine: ANTH, FLUN4
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness, induration, swelling around injection site approximately 140mm in diameter.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test normal, Injection site bruising, Nausea, Pregnancy test urine negative, Pyrexia
Clinical narrative: Small bruising in the area of the flu shot site. Nausea - all day since 7am. Vomiting - 3pm and 6pm. Fever - 3:30pm (99.4), 5:00pm (100.3), 6:00pm (101). Took two Tylenol at 5:30pm then vomited 1/2 hour later. Went to ER at 6:30pm - received IV drip and Zofran.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Urine analysis normal, Vomiting
Clinical narrative: Small bruising in the area of the flu shot site. Nausea - all day since 7am. Vomiting - 3pm and 6pm. Fever - 3:30pm (99.4), 5:00pm (100.3), 6:00pm (101). Took two Tylenol at 5:30pm then vomited 1/2 hour later. Went to ER at 6:30pm - received IV drip and Zofran.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site scab, Injection site swelling, Injection site vesicles
Clinical narrative: On this date two immunizations were given.  There was no reaction from the Influenza in the left arm.  The reaction came in the right arm from the Pneumococcal vaccine.  The area around the injection site (on the right arm) became very swollen, very red and very hot and extremely painful to touch.   Patient had mild fever.  By 10/06 the area had formed a very large blister (size of a dime) and had many smaller blisters around it.  This lasted for almost two weeks, although redness, pain and swelling went down within a week and a half.  By 10/18/2013 the blisters had resolved, scabbed and the scab had fallen off.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: On this date two immunizations were given.  There was no reaction from the Influenza in the left arm.  The reaction came in the right arm from the Pneumococcal vaccine.  The area around the injection site (on the right arm) became very swollen, very red and very hot and extremely painful to touch.   Patient had mild fever.  By 10/06 the area had formed a very large blister (size of a dime) and had many smaller blisters around it.  This lasted for almost two weeks, although redness, pain and swelling went down within a week and a half.  By 10/18/2013 the blisters had resolved, scabbed and the scab had fallen off.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, MMR, PPV
Symptoms: Nausea, Oral mucosal blistering, Pyrexia, Vomiting
Clinical narrative: Fever, nausea, vomiting, and blisters on the inside of his mouth.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Heart rate increased, Hypotension
Clinical narrative: Chills and extreme shivering. Low temperature (97) moving to above 101. Increased heart rate (55->100). Better by 7:00 PM.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Left arm pain.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash, Swelling face
Clinical narrative: Rash and itch with swelling along the left side of her face.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dyspnoea, Insomnia, Loss of consciousness, Migraine
Clinical narrative: Within 45 min of receiving the shot I felt nauseous & like I was going to faint. I also developed a migraine and shortness of breath shortly after. Later, while at a business, I passed out. I also was unable to sleep the entire night due to my nausea & shortness of breath. I am feeling the same way today (except I have not actually passed out-yet anyway).
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea
Clinical narrative: Within 45 min of receiving the shot I felt nauseous & like I was going to faint. I also developed a migraine and shortness of breath shortly after. Later, while at a business, I passed out. I also was unable to sleep the entire night due to my nausea & shortness of breath. I am feeling the same way today (except I have not actually passed out-yet anyway).
Age: 56.0
Sex: M
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injection site anaesthesia, Myelitis transverse, Pruritus
Clinical narrative: According to the patient this report may have been submitted by MD seen at time of adverse event. It was reported that the client began to develop itchiness after the immunization was given. Soon after numbness began to develop in the left shoulder and continued down the arm.  Client reports that the numbness was on the left side down to his waist. Client reported having been seen at another facility where he was diagnosed with transverse myelitis and given IV Solumedrol during hospital stay. Client reports having improved with only numbness in the left fingertips as of today. Client states he was sent home with a prescription for steroids PO. Follow-up scheduled.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Induration, Local swelling, Pain, Pruritus, Skin warm
Clinical narrative: Localized swelling, hardness, warm to touch, itching, pain. Affected area is approximately 4x4 inches wide and raised.
Age: 21.0
Sex: M
Vaccine: FLU3, HPV4, PPV
Symptoms: Rash pustular
Clinical narrative: Sparse fine papulopustular rash upper chest and upper back upper arms. Nothing at the site of injections.
Age: 35.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site pain, Musculoskeletal disorder, Pain in extremity
Clinical narrative: Initial phone voicemail contact on 10/14/13 at 4:18pm: Patient called stating her arm is sore due to a Tdap she received 10/11/13.  Nurse left message for patient to return call. On 10/15/13 patient "Returned call regarding arm pain from Tdap.  States she cannot use her arm at all.  OTC pain relievers offer no relief.  Transferred to scheduling for office visit. Office visit on 10/16/13 notes by provider:  Notes pain in right upper arm after Tdap 10-11-13, denies erythema, edema, numbness,  or weakness.  No fever or chills.  No SOB, throat tightness.  Has used Motrin X1 with minor relief. To use warm washcloth to right upper arm 15 min 5 X a day for 4 days.  Can take ibuprofen 200 mg tabs, 3 at a time 3X a day with food.  Do range of motion exercises with right arm 3X a day. On 10/31/13  I called patient and she said plan of care helped.  Arm completely back to normal on the 22nd.  It started about 5pm that afternoon of the shot and next day couldn't use her arm.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site discolouration, Injection site induration, Myalgia, Pain, Rash
Clinical narrative: Soreness near injection site; muscle soreness and stiffness in upper arm (injection site); skin discoloration at injection site; skin rash developed 2 days later, persisting for 9 days.  Treated with OTC topical meds.
Age: 1.01
Sex: F
Vaccine: FLUX, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Red rash noted all over face, neck, shoulders, backs of hands and wrists, tops of feet and ankle area, some on back. Some were small red spots only, some were red and slightly raised. Did not appear to be itchy or bothersome to baby. No fever. By 5:45am on 11/5/13, rash developed even more on face, legs, back, and groin. Spots redder than previous day. No pustules observed.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Few small, flat, red spots on arms, trunk and legs.  Not itchy. Employee saw his PCP and dermatologist. Today spots are increased in number and itchy.  Employee will call and obtain a clearance from dermatologist to work.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Fever, chills, nausea, excessive vomiting, lower back aches, body aches, headache, exhaustion, dizziness, diarrhea, sensitivity to light, etc.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Nausea, Pain, Photophobia, Pyrexia
Clinical narrative: Fever, chills, nausea, excessive vomiting, lower back aches, body aches, headache, exhaustion, dizziness, diarrhea, sensitivity to light, etc.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: Fever, chills, nausea, excessive vomiting, lower back aches, body aches, headache, exhaustion, dizziness, diarrhea, sensitivity to light, etc.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Guillain-Barre syndrome, Lethargy, Lumbar puncture abnormal, Myalgia
Clinical narrative: 24 hours after receiving flu vaccine developed myalgias, weakness and lethargy. Called and spoke to Provider about management of symptoms, told to come in for acute visit if no improvement in symptoms. Patient did not call for appointment until 11/1/13 with continued symptoms as noted above. Provider and patient discussed possibility of Guillian-Barre' syndrome. After discussing, parties agreed to try a course of steroids to see if that helped his symptoms. Patient ended up being hospitalized with confirmed Guillian Barre' syndrome by lumbar puncture.
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal distension, Antinuclear antibody negative, Chills, Coagulation test normal, Computerised tomogram thorax normal
Clinical narrative: Bilateral crushing arm pain in hands, forearm, and biceps. Hypertension(never had before) 150/90, tachycardia and SOB with very minimal exertion. Bilateral shoulder and neck pain. Caudication in knees, left calf and left foot as well as intermittent in both testicles. Nausea, bloating, reflux, and loss of appetite. Severe occipital and temporal headaches, pre-syncopal episodes concurrent with chills coming on. Ear ringing and fatigue in whole body. Cspine MRI negative. Echo negative. Ct chest arterial and venous phases negative. Venogram negative. All labs normal. EMG scheduled for tomorrow. Tachycardia intermittent, longest was 6 hours, hr 110-125, my wife, a critical care nurse practitioner was monitoring. EKG normal (tachycardia was gone by the time ED at hospital administered it).
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Decreased appetite, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Fatigue
Clinical narrative: Bilateral crushing arm pain in hands, forearm, and biceps. Hypertension(never had before) 150/90, tachycardia and SOB with very minimal exertion. Bilateral shoulder and neck pain. Caudication in knees, left calf and left foot as well as intermittent in both testicles. Nausea, bloating, reflux, and loss of appetite. Severe occipital and temporal headaches, pre-syncopal episodes concurrent with chills coming on. Ear ringing and fatigue in whole body. Cspine MRI negative. Echo negative. Ct chest arterial and venous phases negative. Venogram negative. All labs normal. EMG scheduled for tomorrow. Tachycardia intermittent, longest was 6 hours, hr 110-125, my wife, a critical care nurse practitioner was monitoring. EKG normal (tachycardia was gone by the time ED at hospital administered it).
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Full blood count normal, Gastrooesophageal reflux disease, Headache, Hypertension, Injection site pain
Clinical narrative: Bilateral crushing arm pain in hands, forearm, and biceps. Hypertension(never had before) 150/90, tachycardia and SOB with very minimal exertion. Bilateral shoulder and neck pain. Caudication in knees, left calf and left foot as well as intermittent in both testicles. Nausea, bloating, reflux, and loss of appetite. Severe occipital and temporal headaches, pre-syncopal episodes concurrent with chills coming on. Ear ringing and fatigue in whole body. Cspine MRI negative. Echo negative. Ct chest arterial and venous phases negative. Venogram negative. All labs normal. EMG scheduled for tomorrow. Tachycardia intermittent, longest was 6 hours, hr 110-125, my wife, a critical care nurse practitioner was monitoring. EKG normal (tachycardia was gone by the time ED at hospital administered it).
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Nausea, Neck pain, Nuclear magnetic resonance imaging spinal normal, Pain in extremity
Clinical narrative: Bilateral crushing arm pain in hands, forearm, and biceps. Hypertension(never had before) 150/90, tachycardia and SOB with very minimal exertion. Bilateral shoulder and neck pain. Caudication in knees, left calf and left foot as well as intermittent in both testicles. Nausea, bloating, reflux, and loss of appetite. Severe occipital and temporal headaches, pre-syncopal episodes concurrent with chills coming on. Ear ringing and fatigue in whole body. Cspine MRI negative. Echo negative. Ct chest arterial and venous phases negative. Venogram negative. All labs normal. EMG scheduled for tomorrow. Tachycardia intermittent, longest was 6 hours, hr 110-125, my wife, a critical care nurse practitioner was monitoring. EKG normal (tachycardia was gone by the time ED at hospital administered it).
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Presyncope, Red blood cell sedimentation rate normal, Tachycardia, Testicular pain, Tinnitus
Clinical narrative: Bilateral crushing arm pain in hands, forearm, and biceps. Hypertension(never had before) 150/90, tachycardia and SOB with very minimal exertion. Bilateral shoulder and neck pain. Caudication in knees, left calf and left foot as well as intermittent in both testicles. Nausea, bloating, reflux, and loss of appetite. Severe occipital and temporal headaches, pre-syncopal episodes concurrent with chills coming on. Ear ringing and fatigue in whole body. Cspine MRI negative. Echo negative. Ct chest arterial and venous phases negative. Venogram negative. All labs normal. EMG scheduled for tomorrow. Tachycardia intermittent, longest was 6 hours, hr 110-125, my wife, a critical care nurse practitioner was monitoring. EKG normal (tachycardia was gone by the time ED at hospital administered it).
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Venogram normal
Clinical narrative: Bilateral crushing arm pain in hands, forearm, and biceps. Hypertension(never had before) 150/90, tachycardia and SOB with very minimal exertion. Bilateral shoulder and neck pain. Caudication in knees, left calf and left foot as well as intermittent in both testicles. Nausea, bloating, reflux, and loss of appetite. Severe occipital and temporal headaches, pre-syncopal episodes concurrent with chills coming on. Ear ringing and fatigue in whole body. Cspine MRI negative. Echo negative. Ct chest arterial and venous phases negative. Venogram negative. All labs normal. EMG scheduled for tomorrow. Tachycardia intermittent, longest was 6 hours, hr 110-125, my wife, a critical care nurse practitioner was monitoring. EKG normal (tachycardia was gone by the time ED at hospital administered it).
Age: 0.38
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC13, RV1
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: 4 month old was given a 0.25ml flu injection due to not looking up the DOB during a trial change to the immunization clinic.  Parent claimed child was receiving flu shot and immunization was given before computer information was looked up.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: Pain in left shoulder/arm (injection was to left arm). Not sore to the touch, but painful to lay on, esp first night. 4 weeks later, still some pain when laying on it and ALL THAT TIME sharp pain when reaching behind my back. [Shoulder injury related to vaccine administration (SIRVA)].
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Injection site nodule, Pain
Clinical narrative: Pain in left shoulder/arm (injection was to left arm). Not sore to the touch, but painful to lay on, esp first night. 4 weeks later, still some pain when laying on it and ALL THAT TIME sharp pain when reaching behind my back. [Shoulder injury related to vaccine administration (SIRVA)].
Age: 57.0
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Coagulation time prolonged, Guillain-Barre syndrome, Immunoglobulin therapy, Liver function test abnormal
Clinical narrative: Weakness, progressive.  Guillain Barre. Admitted to local hospital, treated with immune therapy.  Went to rehab then home.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Local reaction
Clinical narrative: Local reaction.  Large, red, hot, itchy area at site of injection.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pain
Clinical narrative: Patient is experiencing muscle pain for over 2 weeks. She explained that it didn't hurt upon administration but was sore over the next several days. She says it does not hurt unless is lifts her arms to put on.
Age: 56.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Rash erythematous
Clinical narrative: Large red colored rash on right arm, 10 x 5cm. Rash shape is irregular. Rash palpation is elevated.
Age: 25.0
Sex: M
Vaccine: FLUN4
Symptoms: Urticaria
Clinical narrative: HIVES STARTING ON FOREARMS AND SPREADING TO ENTIRE BODY.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Redness pain and itching at injection site and from left shoulder down to left elbow area. Patient treated with Cephalexin BID for 10 days.
Age: 14.0
Sex: F
Vaccine: FLUX, HPV4, MEN, TDAP, VARCEL
Symptoms: Abdominal pain upper, Fibromyalgia, Gastritis, Immediate post-injection reaction, Injection site pain
Clinical narrative: Pain at injection site, black out, severe migraine, stomach hurting.
Age: 14.0
Sex: F
Vaccine: FLUX, HPV4, MEN, TDAP, VARCEL
Symptoms: Irritable bowel syndrome, Loss of consciousness, Migraine, Ovarian cyst, Pain in extremity
Clinical narrative: Pain at injection site, black out, severe migraine, stomach hurting.
Age: 14.0
Sex: F
Vaccine: FLUX, HPV4, MEN, TDAP, VARCEL
Symptoms: Ulcer
Clinical narrative: Pain at injection site, black out, severe migraine, stomach hurting.
Age: 29.0
Sex: M
Vaccine: FLUN4, TD
Symptoms: Dyspnoea
Clinical narrative: Client was given Flumist. On 10/31/2013, she then was at her Doctors for a check up and he told her to never get Flumist again. After she got the Flumist, she had to use her inhaler bid for one week.  When asked if she had any problems with the first Flumist, client stated no. She recieved Flumist once before on 11/17/2011, she also said she went to ER after that time and had trouble breathing due to asthma.
Age: 1.59
Sex: M
Vaccine: MMR
Symptoms: Dermatitis atopic, Eczema, Erythema
Clinical narrative: Started with just red cheeks where he looked like he was slapped. Turned into full body eczema / atopic dermatitis - covering chest, stomach, back, shoulders, legs and face over the following two days.  Stayed for three weeks. Had to use steroid cream.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Lightheaded, dizzy, mild nausea and headache.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Upper extremity mass
Clinical narrative: Arm became red warm to touch and lump appeared continued to get worse over next few days MD seen on 10/4/2013 prescribed antibiotic and said he thinks something was in the vaccine vial.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Petechiae, Pruritus
Clinical narrative: Petechial rash on left side of face and both sides upper back region with itching, worse on right side than left.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Injection site pain, Pyrexia
Clinical narrative: Fever for 24-hrs, localized tenderness at site of injection, discomfort in the cervical and thoracic regions.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Hypoaesthesia, Nerve injury, Paraesthesia
Clinical narrative: For 3 days post vaccination, their was numbness and tingling in the arm and hand that had received the injection.  The emergency room MD said the shot had been given too high and the brachial nerve had been hit with the needle.  Symptoms reversed after 3 days without treatment.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Left triceps region swollen, red, tight, warm to touch. Red area 5 inches in circumference and tender lasting 7 days through 10/24. Also, general body aches, joint aches, and abnormally tired.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site warmth, Pain
Clinical narrative: Left triceps region swollen, red, tight, warm to touch. Red area 5 inches in circumference and tender lasting 7 days through 10/24. Also, general body aches, joint aches, and abnormally tired.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Heart rate increased, Pain
Clinical narrative: First flu shot received, she felt pulse beating at her inner elbow.  Passed after waiting 20 minutes.  Felt a little tired and achy the next day.  Advised by hotline nurse to take Tylenol or Advil.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Neck pain, Pain in extremity, Paraesthesia
Clinical narrative: Sharp pain in left arm into left side of neck. When reported on 10/24, she claimed her feet were tingling that day and attributed it to the flu vaccine obtained on 10/17.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Headache, Hypertension, Nausea
Clinical narrative: High Blood Pressure (144/105), dizziness, nausea, severe headache.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Hyperhidrosis, Injection site discomfort, Injection site erythema
Clinical narrative: APPROX ONE HOUR AFTER INJECTION LEFT SIDED HEADACHE.  24 HOURS AFTER INJECTION HEADACHE, NAUSEA, CHILLS, SWEATS, AND 101.0F FEVER.  LASTED 36 HOURS.NO SORE THROAT, COUGH, RUNNY NOSE, OR JOINT PAIN.  LOCALIZED INJECTION SITE ERYTHEMA, DISCOMFORT, & WARMTH.  ERYTHEMA FROM ELBOW TO DELTOID AREA OF LEFT ARM.  NO LESIONS.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site warmth, Nausea, Pyrexia
Clinical narrative: APPROX ONE HOUR AFTER INJECTION LEFT SIDED HEADACHE.  24 HOURS AFTER INJECTION HEADACHE, NAUSEA, CHILLS, SWEATS, AND 101.0F FEVER.  LASTED 36 HOURS.NO SORE THROAT, COUGH, RUNNY NOSE, OR JOINT PAIN.  LOCALIZED INJECTION SITE ERYTHEMA, DISCOMFORT, & WARMTH.  ERYTHEMA FROM ELBOW TO DELTOID AREA OF LEFT ARM.  NO LESIONS.
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Intensive care, Pericardial drainage, Pericardial effusion, Pericarditis
Clinical narrative: Large pericardial effusion who had to be admitted to the ICU and a pericardiocentethesis was performed.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood test normal, Decreased appetite, Dehydration, Fatigue
Clinical narrative: Fever 100 degrees F., aches and pains, insomnia for the next 3 nights, fatigue, malaise, anorexia, dehydration, weakness.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Insomnia, Malaise, Pain, Pyrexia
Clinical narrative: Fever 100 degrees F., aches and pains, insomnia for the next 3 nights, fatigue, malaise, anorexia, dehydration, weakness.
Age: 53.0
Sex: M
Vaccine: FLU4, PNC10
Symptoms: Erythema, Pain in extremity, Pyrexia
Clinical narrative: Red arm, very painful, fever up to 103.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Infection, Injection site erythema, Injection site warmth
Clinical narrative: Went to ER 24 hours after injection with redness and heat at site, was prescribed clindamycin for infection.  Patient fully recovered.
Age: 17.0
Sex: M
Vaccine: FLU3, HEPA, HPV4
Symptoms: Convulsion, Fall, Gaze palsy, Pallor
Clinical narrative: Pt was given 3 vaccines, pt turned pale, pt set in chair had fell back, eyes rolled back into head and looked like having seizure. Went and got Dr to evaluate and within 2 minutes pt was alert and was made to lay down for 20 minutes and given water. Dr re-evaluated and pt was released.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Chills, Dizziness
Clinical narrative: Got flu shot yesterday (10/30/13) and today was dizzy, lost balance, had chills.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Myalgia
Clinical narrative: This spontaneous report refers to a 71 year old male patient with diabetes and no drug reactions reporting on himself. On 10-OCT-2013 the patient was vaccinated with ZOSTAVAX VIAL 19400 PFU (dose, concentration and lot number were not reported). Concomitant therapies included LANTUS, metformin, ramipril, amlodipine besylate and ZIAC. On 11-OCT-2013, the patient experienced joint and muscle pain on his upper left leg after receiving ZOSTAVAX. The patient sought medical attention, he spoke with his physician on the phone. No treatment was given for the events. Lab diagnostics studies were not performed. The outcome of the events was reported as improve, on therapy. Additional information has been requested.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Lymphadenopathy, Rash, Rash erythematous
Clinical narrative: Small quarter size rash appeared under right eye, red, raised and bumpy. Not painful or itchy. Pt said it was already improved slightly on 11/5. Swollen lymph node on left side, not painful also appeared on 11/4. Pt had not yet treated with anything besides BENADRYL.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Lymphadenopathy, Rash
Clinical narrative: Small quarter size rash appeared under right eye, red, raised and bumpy. Not painful or itchy. Pt said it was already improved slightly on 11/5. Swollen lymph node on left side, not painful also appeared on 11/4. Pt had not yet treated with anything besides BENADRYL.
Age: 82.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Chills, Pyrexia
Clinical narrative: Fever, shivering, treatment with Tylenol.
Age: 12.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Anxiety, Injection site erythema, Injection site swelling, Muscle twitching, Pain
Clinical narrative: At 10:15 AM patient's mother brought her back to the nurse. Her left arm was red and puffy around injection site. Patient appeared anxious and worried.  Her mother stated that after her flu shot 2 years ago she had some redness and puffiness but not to this degree. Mother said she had given her Tylenol and Benadryl around 10:00. By 10:30 AM the redness was decreasing and patient appeared calmer. By 11:00 AM redness was about 1" in diameter.  Mother felt better and left patient at school.  Right arm showed no reaction at all.  Called mother back on Oct 28th and left message to return call if further symptoms. Mother returned call on Nov 5th, stating when patient came home about 2:30 she complained of a lot of pain and her muscle felt like it kept twitching. Redness and puffiness around injection site returned. Upper arm seemed swollen. Took Tylenol every 4-6 hours for the next two days but did not take any more Benadryl. States right arm never did have a reaction. By Sunday Oct 27th pain and redness resolved. States hand, fingers and arm functioning normally. Denies tingling or numbness.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site pruritus, Injection site streaking, Injection site warmth
Clinical narrative: Patient returned to administering nurse shortly after vaccination with red injection site that was warm and itchy.  50 mg IM Benadryl given at site of injection.  Symptoms subsided after 30 minutes.  Patient reported to employee health in 24 hours with red arm accompanied by heat and streaking.  Diagnosis was cellulitis and clindamycin prescribed.  Patient is fully recovered.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Diarrhoea, Pain, Pain in extremity
Clinical narrative: DIARRHEA, BODY ACHES, SEVERE SORENESS IN ARM THAT INJECTION WAS GIVEN.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Convulsion
Clinical narrative: Within 24 hours of receiving the Tdap vaccine patient had first ever seizure resulting in hospitalization for 4 days.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram head, Lumbar puncture, Myelitis transverse, Nuclear magnetic resonance imaging spinal
Clinical narrative: Hospitalized 10/31/13 - 11/5/13 for acute transverse myelitis due to flu shot given 10/14/13 at another facility.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure abnormal, Diarrhoea, Dizziness, Dysgeusia
Clinical narrative: Received flu shot about 12:30 pm 10/09/2013. Abt 4-5 hrs later, face turned red and hot. Next AM face, neck and throat swollen and nasty taste in mouth lasting for abt 2 weeks. Called office, advised to get BENADRYL. On 10-11 ER gave me oral steroids and prescrip for Prednisone. A few days later noticed BP became irregular, dizzy, weak, out of breath and a few days later had diarrhea for 5 days with some nausea. On 10-18 ER again and admitted, white blood cells elevated, given strong antibiotics intravenously. Started to feel a little better on 10-29-13. 11/03/2013, 11/04 and 11/05 face still swollen for 1-2 hours upon waking up but easing up. Temperatures in the first 2 weeks from 96.6 to 99.6. EKG - normal, BP - abnormal, white blood count high.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Electrocardiogram normal, Erythema, Feeling hot, Local swelling
Clinical narrative: Received flu shot about 12:30 pm 10/09/2013. Abt 4-5 hrs later, face turned red and hot. Next AM face, neck and throat swollen and nasty taste in mouth lasting for abt 2 weeks. Called office, advised to get BENADRYL. On 10-11 ER gave me oral steroids and prescrip for Prednisone. A few days later noticed BP became irregular, dizzy, weak, out of breath and a few days later had diarrhea for 5 days with some nausea. On 10-18 ER again and admitted, white blood cells elevated, given strong antibiotics intravenously. Started to feel a little better on 10-29-13. 11/03/2013, 11/04 and 11/05 face still swollen for 1-2 hours upon waking up but easing up. Temperatures in the first 2 weeks from 96.6 to 99.6. EKG - normal, BP - abnormal, white blood count high.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Pharyngeal oedema, Swelling face, White blood cell count increased
Clinical narrative: Received flu shot about 12:30 pm 10/09/2013. Abt 4-5 hrs later, face turned red and hot. Next AM face, neck and throat swollen and nasty taste in mouth lasting for abt 2 weeks. Called office, advised to get BENADRYL. On 10-11 ER gave me oral steroids and prescrip for Prednisone. A few days later noticed BP became irregular, dizzy, weak, out of breath and a few days later had diarrhea for 5 days with some nausea. On 10-18 ER again and admitted, white blood cells elevated, given strong antibiotics intravenously. Started to feel a little better on 10-29-13. 11/03/2013, 11/04 and 11/05 face still swollen for 1-2 hours upon waking up but easing up. Temperatures in the first 2 weeks from 96.6 to 99.6. EKG - normal, BP - abnormal, white blood count high.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLUN4, MMRV
Symptoms: Abasia, Abdominal pain upper, Activities of daily living impaired, Acute disseminated encephalomyelitis, Back pain
Clinical narrative: 9/21/13 fever 100.2, stomach pain. 9/22/13 - 10/10/13 - very sleepy, several naps, not active. 9/26/13 - not feeling well, runny nose no fever. 10/7/13 - sent home from school, fever 100.1. 10/9/13 - sent home from school, can't stay awake, uneasy on feet. 10/9/13 - went to primary care seen nurse practitioner. Labs (mono, strep, WBC, RBC) negative results. Sent home. 10/10/13 - no fever, unable to walk, unable to stand, unable to sit up without falling, balance off, not talking much. Took to ER. Seen Dr. Lab work, urine sample, nasal sample, EKG, chest x-ray (pneumonia), CT head (normal), spinal tap (fluid not clear). Admitted to hospital. 10/11/13 - ran on IV fluids and antibiotics for pneumonia. Received a call from primary care strep (+). 10/12/13 - MRI brain, T-spine, L-spine. Neurologist diagnosed A.D.E.M. Spinal cord inflamed, brain inflamed. Treated with IVIG (5 treatments x1 per day). 10/13/13 - 2nd treatment IVIG. Unable to walk, sit up, tired pain in lower back. 10/14/13 - 3rd treatment IVIG. Able to sit up with little help. OT and PT. 10/15/13 - 4th treatment IVIG. Able to walk with some help, balance still off. 10/16/13 - 5th treatment IVIG. Able to walk with little help, balance off some. OT and PT. 10/17/13 - stable, able to go home, must be under supervision. 10/21/13 - f/u w/neurologist cleared to go to school no restrictions.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLUN4, MMRV
Symptoms: Balance disorder, CSF test abnormal, Central nervous system inflammation, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: 9/21/13 fever 100.2, stomach pain. 9/22/13 - 10/10/13 - very sleepy, several naps, not active. 9/26/13 - not feeling well, runny nose no fever. 10/7/13 - sent home from school, fever 100.1. 10/9/13 - sent home from school, can't stay awake, uneasy on feet. 10/9/13 - went to primary care seen nurse practitioner. Labs (mono, strep, WBC, RBC) negative results. Sent home. 10/10/13 - no fever, unable to walk, unable to stand, unable to sit up without falling, balance off, not talking much. Took to ER. Seen Dr. Lab work, urine sample, nasal sample, EKG, chest x-ray (pneumonia), CT head (normal), spinal tap (fluid not clear). Admitted to hospital. 10/11/13 - ran on IV fluids and antibiotics for pneumonia. Received a call from primary care strep (+). 10/12/13 - MRI brain, T-spine, L-spine. Neurologist diagnosed A.D.E.M. Spinal cord inflamed, brain inflamed. Treated with IVIG (5 treatments x1 per day). 10/13/13 - 2nd treatment IVIG. Unable to walk, sit up, tired pain in lower back. 10/14/13 - 3rd treatment IVIG. Able to sit up with little help. OT and PT. 10/15/13 - 4th treatment IVIG. Able to walk with some help, balance still off. 10/16/13 - 5th treatment IVIG. Able to walk with little help, balance off some. OT and PT. 10/17/13 - stable, able to go home, must be under supervision. 10/21/13 - f/u w/neurologist cleared to go to school no restrictions.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLUN4, MMRV
Symptoms: Decreased activity, Dysstasia, Electrocardiogram, Fatigue, Gait disturbance
Clinical narrative: 9/21/13 fever 100.2, stomach pain. 9/22/13 - 10/10/13 - very sleepy, several naps, not active. 9/26/13 - not feeling well, runny nose no fever. 10/7/13 - sent home from school, fever 100.1. 10/9/13 - sent home from school, can't stay awake, uneasy on feet. 10/9/13 - went to primary care seen nurse practitioner. Labs (mono, strep, WBC, RBC) negative results. Sent home. 10/10/13 - no fever, unable to walk, unable to stand, unable to sit up without falling, balance off, not talking much. Took to ER. Seen Dr. Lab work, urine sample, nasal sample, EKG, chest x-ray (pneumonia), CT head (normal), spinal tap (fluid not clear). Admitted to hospital. 10/11/13 - ran on IV fluids and antibiotics for pneumonia. Received a call from primary care strep (+). 10/12/13 - MRI brain, T-spine, L-spine. Neurologist diagnosed A.D.E.M. Spinal cord inflamed, brain inflamed. Treated with IVIG (5 treatments x1 per day). 10/13/13 - 2nd treatment IVIG. Unable to walk, sit up, tired pain in lower back. 10/14/13 - 3rd treatment IVIG. Able to sit up with little help. OT and PT. 10/15/13 - 4th treatment IVIG. Able to walk with some help, balance still off. 10/16/13 - 5th treatment IVIG. Able to walk with little help, balance off some. OT and PT. 10/17/13 - stable, able to go home, must be under supervision. 10/21/13 - f/u w/neurologist cleared to go to school no restrictions.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLUN4, MMRV
Symptoms: Immunoglobulin therapy, Malaise, Mononucleosis heterophile test negative, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal abnormal
Clinical narrative: 9/21/13 fever 100.2, stomach pain. 9/22/13 - 10/10/13 - very sleepy, several naps, not active. 9/26/13 - not feeling well, runny nose no fever. 10/7/13 - sent home from school, fever 100.1. 10/9/13 - sent home from school, can't stay awake, uneasy on feet. 10/9/13 - went to primary care seen nurse practitioner. Labs (mono, strep, WBC, RBC) negative results. Sent home. 10/10/13 - no fever, unable to walk, unable to stand, unable to sit up without falling, balance off, not talking much. Took to ER. Seen Dr. Lab work, urine sample, nasal sample, EKG, chest x-ray (pneumonia), CT head (normal), spinal tap (fluid not clear). Admitted to hospital. 10/11/13 - ran on IV fluids and antibiotics for pneumonia. Received a call from primary care strep (+). 10/12/13 - MRI brain, T-spine, L-spine. Neurologist diagnosed A.D.E.M. Spinal cord inflamed, brain inflamed. Treated with IVIG (5 treatments x1 per day). 10/13/13 - 2nd treatment IVIG. Unable to walk, sit up, tired pain in lower back. 10/14/13 - 3rd treatment IVIG. Able to sit up with little help. OT and PT. 10/15/13 - 4th treatment IVIG. Able to walk with some help, balance still off. 10/16/13 - 5th treatment IVIG. Able to walk with little help, balance off some. OT and PT. 10/17/13 - stable, able to go home, must be under supervision. 10/21/13 - f/u w/neurologist cleared to go to school no restrictions.