What happened
The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.
(-23) Northwest 1184 departed detroit (dtw) for houston (iah) with two items deferred under the minimum equipment list (MEL). The two items were the number 2 pack and the number 1 high pressure valve (hpv). During cruise flight the flight attendants reported feeling a "sudden, extremely abrupt and large change in pressurization causing our ears to pop deeply and abruptly." The captain reported that a 2,000 foot per minute descent rate in cabin pressure was observed on the aircraft instruments for about 4 seconds. The pressure change indication was accompanied by a "prv-solenoid" message on the electronic centralized aircraft monitor (ecam) system. In addition to the ear discomfort reported by the flight attendants, one passenger complained of ear pain, one passenger (a child) experienced sudden projectile vomiting, and one passenger had a "gushing nose bleed - without warning." The aircraft continued to its destination and was met at the gate by paramedics, and the passengers and flight attendants refused medical attention.
As the FAA filed it
(-23) NORTHWEST 1184 DEPARTED DETROIT (DTW) FOR HOUSTON (IAH) WITH TWO ITEMS DEFERRED UNDER THE MINIMUM EQUIPMENT LIST (MEL). THE TWO ITEMS WERE THE NUMBER 2 PACK AND THE NUMBER 1 HIGH PRESSURE VALVE (HPV). DURING CRUISE FLIGHT THE FLIGHT ATTENDANTS REPORTED FEELING A "SUDDEN, EXTREMELY ABRUPT AND LARGE CHANGE IN PRESSURIZATION CAUSING OUR EARS TO POP DEEPLY AND ABRUPTLY." THE CAPTAIN REPORTED THAT A 2,000 FOOT PER MINUTE DESCENT RATE IN CABIN PRESSURE WAS OBSERVED ON THE AIRCRAFT INSTRUMENTS FOR ABOUT 4 SECONDS. THE PRESSURE CHANGE INDICATION WAS ACCOMPANIED BY A "PRV-SOLENOID" MESSAGE ON THE ELECTRONIC CENTRALIZED AIRCRAFT MONITOR (ECAM) SYSTEM. IN ADDITION TO THE EAR DISCOMFORT REPORTED BY THE FLIGHT ATTENDANTS, ONE PASSENGER COMPLAINED OF EAR PAIN, ONE PASSENGER (A CHILD) EXPERIENCED SUDDEN PROJECTILE VOMITING, AND ONE PASSENGER HAD A "GUSHING NOSE BLEED - WITHOUT WARNING." THE AIRCRAFT CONTINUED TO ITS DESTINATION AND WAS MET AT THE GATE BY PARAMEDICS, AND THE PASSENGERS AND FLIGHT ATTENDANTS REFUSED MEDICAL ATTENTION.