chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Temperature 102.8 fahrenheit with warm, red, raised area at injection site.  Seen by primary care doctor on 10/05 and started on Amoxicillin.  Improved, but still low grade temp (100.6) on 10/6 in the evening.  Arm still red at injection site.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Joint swelling, Lip swelling, Muscular weakness, Nausea, Pyrexia
Clinical narrative: Started at 430pm with hives and swollen lips, writer took 50 mg benadryl.  Next morning 6:00 AM started with  nausea, vomiting, fever 101.5f, swollen joints and very weak muscles.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urticaria, Vomiting
Clinical narrative: Started at 430pm with hives and swollen lips, writer took 50 mg benadryl.  Next morning 6:00 AM started with  nausea, vomiting, fever 101.5f, swollen joints and very weak muscles.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Back pain, Body temperature increased, Myalgia, Nausea, Urticaria
Clinical narrative: Started at 430pm with hives and swollen lips, writer took 50 mg benadryl.  Next morning 6:00 AM started with  nausea, vomiting, fever 101.5f, swollen joints and very weak muscles.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Vomiting
Clinical narrative: Started at 430pm with hives and swollen lips, writer took 50 mg benadryl.  Next morning 6:00 AM started with  nausea, vomiting, fever 101.5f, swollen joints and very weak muscles.
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: Vaccine was given to patient yesterday. Today patient has redness on his left arm, very sore and very hot.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Body temperature increased, Dyspnoea, Fatigue, Headache, Migraine
Clinical narrative: Had 3rd HEP B injected on 9/25/2009 at approximately 6pm at 9:30 pm complaint of migraine, tiredness, nausea and soreness in neck and behind ears. On 09/26/2009 reported temperature of 101.1 shortness of breathe along with symptoms listed above. 9/27/2009 temperature 99.2 and above symptoms same except with decrease nausea being totally resolved. 9/28/2009 temperature 98.8 with all symptoms decreased greatly. 9/30/2009 reported of feeling completely well no complaint of any kind. (Reported history of migraines with medication prescribed.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Neck pain
Clinical narrative: Had 3rd HEP B injected on 9/25/2009 at approximately 6pm at 9:30 pm complaint of migraine, tiredness, nausea and soreness in neck and behind ears. On 09/26/2009 reported temperature of 101.1 shortness of breathe along with symptoms listed above. 9/27/2009 temperature 99.2 and above symptoms same except with decrease nausea being totally resolved. 9/28/2009 temperature 98.8 with all symptoms decreased greatly. 9/30/2009 reported of feeling completely well no complaint of any kind. (Reported history of migraines with medication prescribed.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache
Clinical narrative: Dizziness and headache started 20 mins after administration of vaccine.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling and pain in right deltoid area approximately 6 hours after injection. Patient reports pain at time of injection. Pain and swelling getting worse. Nurse said to ice down arm and take TYLENOL.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Erythema, Skin warm
Clinical narrative: ERythematous to arm warm to touch.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, no treatment needed. Started day after injection.
Age: 1.01
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Livedo reticularis
Clinical narrative: Generalized bright pink mottling of skin within 3-5 min of receiving PREVNAR #4 and VARICELLA #1. Mainly extremities. No edema. Pt given BENADRYL 1/2 tsp. PO with resolution of skin reactions within 15-20 min. No obvious distress to pt.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV
Symptoms: Rash erythematous
Clinical narrative: Administered injection 09:05. At 09:15 mom noticed red rash from chin to all parts of the body and legs. No respiratory or itchy-resolves in 10 minutes. Dr gave BENADRYL before he can chew it up was gone.
Age: 20.0
Sex: M
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pruritus, Skin discolouration
Clinical narrative: Itching discoloration extreme swelling of arm.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Musculoskeletal stiffness, Swelling
Clinical narrative: Red, swollen, stiff.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site swelling
Clinical narrative: Reddish quarter size swelling at injection site 11 days after injection.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: L distal bicep erythema of 13 cm not indurated, distal arm look good. No fever, no cough. Local reaction representing resolved immunity.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Employee states several hours p vaccine-developed chills, bodyaches and fever of 103 C 8:30 AM Approx-12 hrs p vaccine-fever lasted 9/23/09 Started returning to normal-late that evening.
Age: 42.0
Sex: F
Vaccine: ANTH
Symptoms: Antibody test positive, Asthenia, Fatigue, Lethargy, Malaise
Clinical narrative: Developed Type 1 Diabetes at age 43. This is the 10th case of type 1 in adults that service members have reported. Will go to serum repository to see if she had the autoantibodies before receiving the vaccine. If she did or did not, it still does not prove causality. Symptoms: Fatigue, Malaise >60 Days, Lethargic, Weight loss, unexpected, Weakness, Nausea w/o vomiting, polydipsia, polyuria. 10/15/09 Medical records received for dates 5/05/09 to 10/08/09. DX: DM 1. Presenting symptoms: Pt believes her DX of DM 1  is a result of receiving vaccines. Denies any family history and denies any previous symptoms except frequent urination. Pt was seen in 11/08 and 12/08 and glucose levels were elevated. In Dec. 08, pt admitted to ICU for DKA. OV 5/5/09 DX: DM 1 f/u, Bacterial vaginosis, congenital deformity hip. OV 8/4/09 and 10/8/09 DX: f/u DM 1.
Age: 42.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Polydipsia, Polyuria, Type 1 diabetes mellitus, Weight decreased
Clinical narrative: Developed Type 1 Diabetes at age 43. This is the 10th case of type 1 in adults that service members have reported. Will go to serum repository to see if she had the autoantibodies before receiving the vaccine. If she did or did not, it still does not prove causality. Symptoms: Fatigue, Malaise >60 Days, Lethargic, Weight loss, unexpected, Weakness, Nausea w/o vomiting, polydipsia, polyuria. 10/15/09 Medical records received for dates 5/05/09 to 10/08/09. DX: DM 1. Presenting symptoms: Pt believes her DX of DM 1  is a result of receiving vaccines. Denies any family history and denies any previous symptoms except frequent urination. Pt was seen in 11/08 and 12/08 and glucose levels were elevated. In Dec. 08, pt admitted to ICU for DKA. OV 5/5/09 DX: DM 1 f/u, Bacterial vaginosis, congenital deformity hip. OV 8/4/09 and 10/8/09 DX: f/u DM 1.
Age: 24.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Pain at injection site 2 days 101+ fever at 9 hrs post vaccination followed by chills & aches unresolved w 200mg ibuprofen.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Initial insomnia, Injected limb mobility decreased, Nausea, Pain
Clinical narrative: 10/6 at 18:00-queasy, vomit, then 3 times of diarrhea. 10/7-couple bouts of diarrhea, sore arm, trouble lifting because sore. Trouble sleeping.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Vomiting
Clinical narrative: 10/6 at 18:00-queasy, vomit, then 3 times of diarrhea. 10/7-couple bouts of diarrhea, sore arm, trouble lifting because sore. Trouble sleeping.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose, Disorientation, Hyperventilation, Loss of consciousness
Clinical narrative: Patient hyperventilated after vaccination, pt experienced brief period of unconsciousness/unaware of surroundings. After 1 to 2 minutes patient came around and began to cry paramedics were called vital checks pt okay.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Hive like rash on face x 45 minutes noted by mother. Resolved with no treatment. She also had congestion, cough, conjunctivitis prior and during administration of vaccine. No fever.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: Shot on left deltoid - right inside ear itches & red patch under right arm pit itching & spreading down the arm. Pt advised to seek urgent care -  CLARITN - HC 1% cr - ice - fluids.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Red inflammation approximately 8cc diameter right below PNEUMOVAX injection site. No reaction at site of FLUVIRIN injection. Referred to MD, advised to use BENADRYL and ice packs by MD. Improving as of 9/26/09 with no increase and no pain.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Pallor, Vomiting
Clinical narrative: Patient stood up after 10 min post receiving vaccine shot. She started walking out of store. Felt dizzy/lightheaded. Patient threw up and was escorted by mother back to pharmacy. Patient did not lose consciousness or fall. Patient got sick again while sitting at pharmacy. EMS was notified and showed up promptly. Patient was woozy and pale, but was released after EMS evaluated her and contacted her physician.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Hypersensitivity, Palpitations, Urticaria
Clinical narrative: 4 hrs-post vaccination-severe allergic reaction-massive hives, rampaging heart, chest pain, trouble breathing. Call Dr, took Benadryl, friend attended. All subsided after 3 days. Not allergic to eggs.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling itching at injection site within 6 hours of administration. Used MOTRIN, TYLENOL and warm compresses. Patient was seen by medical doctor 2 days after injection and was recommended to take BENADRYL.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Dizziness, Nasopharyngitis
Clinical narrative: 9/26/09 Reports temp 101 degrees with chills and dizziness at 20:00. 9/27/09 Temp 99.3 degrees. Encourage fluids at 07:30. Temp 98.2 degrees. States has feeling of a "cold". Had fluids in PM and 7-8 hours sleep. 9/28/09 Reports all signs and symptoms resolved.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Epistaxis, Haematochezia, Tinnitus
Clinical narrative: 19:30 10-1-09 Ears ringing. 20:30 10-1-09 Bloody nose, bloody stool.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Pt reported a rash on right hand, in between thumb and right index finger. She said it itched and area appeared red, about the size of a quarter in diameter. Pt stayed in store for 20 minutes, symptoms improved and left home. I called her 30 minutes after at home, pt said she was OK.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Pain, Swelling, Tenderness
Clinical narrative: Shingles shot 3/19/09 - arm turned red and swollen 3/20 painful to the touch (lasted 30 day) - bruse mark and tender to touch (3 nts) - bruse mark and tender to touch (7 nts) (but I still have tenderness & bruse).
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Syncope
Clinical narrative: PT feeling dizzy one minute aft administration. Went out of Rx. RPH speaking to pt and she fainted lowered her to floor. Conscious after about 5 seconds asked her if she was breathing OK...ans yes sweating.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site urticaria, Injection site warmth
Clinical narrative: Red, welt at immunization site about 2 inches in diameter. Very warm and hard to the touch.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Eyelid oedema, Lip swelling
Clinical narrative: FIVE SEPARATE INCIDENTS OF LIP & EYELID SWELLING STARTING 36 HRS AFTER SHOT. LAST INCIDENT 9/17/2009. TODAY IS 9/29/09.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pt called complaining of inability to raise arm without pain. Recommended 2nd dose of ASPIRIN and follow up with PCP if no improvement 9/29/09. (Right arm).
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed redness, swelling, warmth, pain at site of injection- approximately 2 hrs. after injection.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site erythema, Injection site infection, Injection site swelling, Injection site warmth
Clinical narrative: At 8pm, day after shot was given. Patient had a round swollen area about 3.5 inches in circumfrance that was red warm at injection site left. ER doc said it was infected & put patient on Zithromax for 3 days. Redness went away but area is still discolored.
Age: 61.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Malaise, Pyrexia
Clinical narrative: Injection site reaction. 5 cm area of erythema, tender to palpation. Also with subjective fever/malaise. Occurred 1 day after vaccination was given. R deltoid. Treated with CLARITAN, ACETAMINOPHEN, and topical HALOG cream.
Age: 49.0
Sex: U
Vaccine: ANTH, FLUN3, HEP, SMALL, TDAP, TYP
Symptoms: Dermatitis, Eczema
Clinical narrative: Developed 'classic' ezcema on antecubital fossa and chest 7 days after multiple vaccines including smallpox prior to deployment. Denied history of atopic derm but has had outbreaks of other types of rashes on chest. Symptoms: Dermatitis, focal.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Auricular swelling, Lip swelling, Oedema peripheral, Pruritus, Rash
Clinical narrative: Temperture None, Lips Swollen, itching on face and lips, then Jowl began to swell, fingers and hands started swelling and behind ears. Saw PA 10/3/09 @ 9:00 AM.  Treatment was given and started Methylprednisolone Tablets 4mg 21 count and patient started Benadryl on 10/2/09 after returned to Health Dept. clinic and stated she was going to see her Dr. ASAP or go to ER.  10/7/09 here to complete VAERS report now having hive like rash started on 10/2/09 and continues to worsen, Referred back to Dr. today ASAP.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Temperture None, Lips Swollen, itching on face and lips, then Jowl began to swell, fingers and hands started swelling and behind ears. Saw PA 10/3/09 @ 9:00 AM.  Treatment was given and started Methylprednisolone Tablets 4mg 21 count and patient started Benadryl on 10/2/09 after returned to Health Dept. clinic and stated she was going to see her Dr. ASAP or go to ER.  10/7/09 here to complete VAERS report now having hive like rash started on 10/2/09 and continues to worsen, Referred back to Dr. today ASAP.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Right arm swollen.  Ice Compress, Motrin 3 tsp every 6 hours
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt had severe swelling and redness of arm--not at site but from above elbow to below elbow; treated with oral antibiotics and prednisone
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling jittery, Insomnia, Malaise, Pain
Clinical narrative: Had chills, fever of 102. Had Tylenol.  Next day fever of 101 with malaise, body ache. Had insomnia, hyperactivity and jittery x 3 days.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Psychomotor hyperactivity, Pyrexia
Clinical narrative: Had chills, fever of 102. Had Tylenol.  Next day fever of 101 with malaise, body ache. Had insomnia, hyperactivity and jittery x 3 days.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Similar reaction on previous exposure to drug
Clinical narrative: Patient states that after every annual flu vaccine she has ever received, she has an asthma attack.  This was the quickest she had ever had one after a flu shot.  After Albuterol MDI, pt was fine after 10 minutes.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Abnormal dreams, Dizziness, Dyspnoea, Headache, Pallor
Clinical narrative: dizzy,pale from 11:00-12:00, then shortness of breath with increased rate of respirations, headache began which lasted rest of the day, had very weird/strange dreams that night
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory rate increased
Clinical narrative: dizzy,pale from 11:00-12:00, then shortness of breath with increased rate of respirations, headache began which lasted rest of the day, had very weird/strange dreams that night
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Pt's left arm became mildly swollen and mildly warm to touch
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Pain in extremity
Clinical narrative: Left arm pain  Benadryl, 1 tsp every 6 hours Motrin, 2 tsp every 6 hours
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Band neutrophil count increased, Bronchitis, C-reactive protein increased, Chest X-ray, Eosinophil percentage
Clinical narrative: Vomiting on 10/3 with 102 fever, seen by PMD with normal labs.  Dosing with Ibuprofen and cold packs to continue. 10/4 Temp to 104, swelling at site with redness and pain, unable to bear weight.  Phone call to ID 10/4 and 10/5.  10/5 continuation and came to ER 10/6, admitted, with high WBC and CRP and respiratory distress.  Influenza neg, CXR bronchitis.  11/2/2009 records from 10/6-10/10/2009 and Infectious Disease Consult 10/15/2009.Dx RAD  Patient admitted with c/o's nausea, vomiting, fever,pain, swelling and redness rt thigh(inj site)  Tx: O2, Resp tx's , steroids, IV ABX.  Labs: Mycoplasma titer, Chlamydia, Diptheria/Tetanus AB, Influenza, Blood cultures:  Negative, CBC: WBC 23.6,  CRP 25, ESR 92 all High, Strep test neg Dx studies: CXR perivascular bronchial marking  ICD-9 codes: 682.6, 276.2, 999.5, 518.0, 238.71, 493.00, 799.02, 288.62, 564.00, 472.0
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Haematocrit decreased, Haemoglobin decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Vomiting on 10/3 with 102 fever, seen by PMD with normal labs.  Dosing with Ibuprofen and cold packs to continue. 10/4 Temp to 104, swelling at site with redness and pain, unable to bear weight.  Phone call to ID 10/4 and 10/5.  10/5 continuation and came to ER 10/6, admitted, with high WBC and CRP and respiratory distress.  Influenza neg, CXR bronchitis.  11/2/2009 records from 10/6-10/10/2009 and Infectious Disease Consult 10/15/2009.Dx RAD  Patient admitted with c/o's nausea, vomiting, fever,pain, swelling and redness rt thigh(inj site)  Tx: O2, Resp tx's , steroids, IV ABX.  Labs: Mycoplasma titer, Chlamydia, Diptheria/Tetanus AB, Influenza, Blood cultures:  Negative, CBC: WBC 23.6,  CRP 25, ESR 92 all High, Strep test neg Dx studies: CXR perivascular bronchial marking  ICD-9 codes: 682.6, 276.2, 999.5, 518.0, 238.71, 493.00, 799.02, 288.62, 564.00, 472.0
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count increased
Clinical narrative: Vomiting on 10/3 with 102 fever, seen by PMD with normal labs.  Dosing with Ibuprofen and cold packs to continue. 10/4 Temp to 104, swelling at site with redness and pain, unable to bear weight.  Phone call to ID 10/4 and 10/5.  10/5 continuation and came to ER 10/6, admitted, with high WBC and CRP and respiratory distress.  Influenza neg, CXR bronchitis.  11/2/2009 records from 10/6-10/10/2009 and Infectious Disease Consult 10/15/2009.Dx RAD  Patient admitted with c/o's nausea, vomiting, fever,pain, swelling and redness rt thigh(inj site)  Tx: O2, Resp tx's , steroids, IV ABX.  Labs: Mycoplasma titer, Chlamydia, Diptheria/Tetanus AB, Influenza, Blood cultures:  Negative, CBC: WBC 23.6,  CRP 25, ESR 92 all High, Strep test neg Dx studies: CXR perivascular bronchial marking  ICD-9 codes: 682.6, 276.2, 999.5, 518.0, 238.71, 493.00, 799.02, 288.62, 564.00, 472.0
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Platelet count, Pyrexia, Red blood cell count decreased
Clinical narrative: Vomiting on 10/3 with 102 fever, seen by PMD with normal labs.  Dosing with Ibuprofen and cold packs to continue. 10/4 Temp to 104, swelling at site with redness and pain, unable to bear weight.  Phone call to ID 10/4 and 10/5.  10/5 continuation and came to ER 10/6, admitted, with high WBC and CRP and respiratory distress.  Influenza neg, CXR bronchitis.  11/2/2009 records from 10/6-10/10/2009 and Infectious Disease Consult 10/15/2009.Dx RAD  Patient admitted with c/o's nausea, vomiting, fever,pain, swelling and redness rt thigh(inj site)  Tx: O2, Resp tx's , steroids, IV ABX.  Labs: Mycoplasma titer, Chlamydia, Diptheria/Tetanus AB, Influenza, Blood cultures:  Negative, CBC: WBC 23.6,  CRP 25, ESR 92 all High, Strep test neg Dx studies: CXR perivascular bronchial marking  ICD-9 codes: 682.6, 276.2, 999.5, 518.0, 238.71, 493.00, 799.02, 288.62, 564.00, 472.0
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Red blood cell morphology, Red blood cell sedimentation rate increased, Red cell distribution width normal, Respiratory distress, Vomiting
Clinical narrative: Vomiting on 10/3 with 102 fever, seen by PMD with normal labs.  Dosing with Ibuprofen and cold packs to continue. 10/4 Temp to 104, swelling at site with redness and pain, unable to bear weight.  Phone call to ID 10/4 and 10/5.  10/5 continuation and came to ER 10/6, admitted, with high WBC and CRP and respiratory distress.  Influenza neg, CXR bronchitis.  11/2/2009 records from 10/6-10/10/2009 and Infectious Disease Consult 10/15/2009.Dx RAD  Patient admitted with c/o's nausea, vomiting, fever,pain, swelling and redness rt thigh(inj site)  Tx: O2, Resp tx's , steroids, IV ABX.  Labs: Mycoplasma titer, Chlamydia, Diptheria/Tetanus AB, Influenza, Blood cultures:  Negative, CBC: WBC 23.6,  CRP 25, ESR 92 all High, Strep test neg Dx studies: CXR perivascular bronchial marking  ICD-9 codes: 682.6, 276.2, 999.5, 518.0, 238.71, 493.00, 799.02, 288.62, 564.00, 472.0
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Weight bearing difficulty, White blood cell count increased, White blood cell morphology
Clinical narrative: Vomiting on 10/3 with 102 fever, seen by PMD with normal labs.  Dosing with Ibuprofen and cold packs to continue. 10/4 Temp to 104, swelling at site with redness and pain, unable to bear weight.  Phone call to ID 10/4 and 10/5.  10/5 continuation and came to ER 10/6, admitted, with high WBC and CRP and respiratory distress.  Influenza neg, CXR bronchitis.  11/2/2009 records from 10/6-10/10/2009 and Infectious Disease Consult 10/15/2009.Dx RAD  Patient admitted with c/o's nausea, vomiting, fever,pain, swelling and redness rt thigh(inj site)  Tx: O2, Resp tx's , steroids, IV ABX.  Labs: Mycoplasma titer, Chlamydia, Diptheria/Tetanus AB, Influenza, Blood cultures:  Negative, CBC: WBC 23.6,  CRP 25, ESR 92 all High, Strep test neg Dx studies: CXR perivascular bronchial marking  ICD-9 codes: 682.6, 276.2, 999.5, 518.0, 238.71, 493.00, 799.02, 288.62, 564.00, 472.0
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Muscular weakness, Pain in extremity
Clinical narrative: SHARP SHOOTING PAINS GOING FROM INJECTION SITE TO FINGERTIPS WHILE BEING INJECTED.  THROBBING SHARP PAIN PROGRESSIVLEY GETTING WORSE AS THE DAY WENT ON. NEXT DAY WEAKNESS IN ARM INJECTED AND SEVERE PAIN EVERY DAY. TODAY IS 10/07/2009 AND I STILL HAVE PAIN LIKE I DID THE SECOND DAY
Age: 58.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP, YF
Symptoms: Discomfort, Paraesthesia
Clinical narrative: On 9/30/09 client reported that 1 week post administration of vaccines she felt like "pins and needles" in both legs, arms, shoulders and hip but not trunk area."felt like she was going to jump out of her skin" and it was "intermittent day to day". Areas affected had increased but the intensity of discomfort had decreased. Client stated she also received a flu shot on 9/23/09 from her work and it seemed to increase the problem somewhat. Client saw her primary MD on 10/1/09 and was Rx'd steroids and reported feeling better on 10/2/09 but still c/o parathesis in legs, arms were better and was able to sleep. On 10/7/09 client reports not doing much better, has been referred to Neurologist and further testing is pending. 10/13/09 Medical record received for date of service 9/23/09.   Pt. was administered Afluria vaccine (0.5 cc in left deltoid).  Risks and benefits of influenza vaccine discussed and information sheet given.   10/16/09 Medical records received for date of service 10/8/09. DX:  Normal study without electrophysiological evidence of neuropathy or GBS. Assessment:   Pt. presented with sx. of restlessness, anxiety, vague sense of muscle fatigue and muscle pain as well as an inability to sleep associated with parasthesias in varying distributions in her body.  Motor exam showed normal strength in limbs and normal neck flexor muscle strength.  Reflexes were physiologic but grading at 1+ in UE's, trace in LE's.  Normal gait, heel walking, getting up from one knee and tandem gait.  Sensory exam normal.  Likely that sx. reflect some kind of nonspecific vaccination reaction coupled with considerable anxiety.   NC studies normal.  Pt. reassured.   10/23/09 Received MR from date 10/08/09. Neurology consult. Pt. presented with same symptoms as previous entry. Assessment: Sensory exam WNL, Nerve conduct test WNL. DX: nonspecific vaccine reaction. Impression: symptoms will probably resolve.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Tremor, Urticaria
Clinical narrative: HIVES X 2 WEEKS, TREMORS IN LEFT LEGX3WEEKS
Age: 62.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: The patient recieved her pneumococcal vaccine for the first time on Friday 10/02/2009 in her right arm. She received her seasonal influenza vaccine in her left arm on the same day. She noteded redness at the injection site following administration of the pneumococcal vaccine. The redness worsed over the next few days. The site became swollen and warm to touch with some discomnfort with movement. She presented to the Emergency Department on Tuesday 10/6/2009 following a motor vehicle accident. She complained of itching around the injection site. The swelling extended to just above her elbow. There was no redness, swelling, or discomfort in her left arm (site of influenza injection)
Age: 62.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Pain, Road traffic accident
Clinical narrative: The patient recieved her pneumococcal vaccine for the first time on Friday 10/02/2009 in her right arm. She received her seasonal influenza vaccine in her left arm on the same day. She noteded redness at the injection site following administration of the pneumococcal vaccine. The redness worsed over the next few days. The site became swollen and warm to touch with some discomnfort with movement. She presented to the Emergency Department on Tuesday 10/6/2009 following a motor vehicle accident. She complained of itching around the injection site. The swelling extended to just above her elbow. There was no redness, swelling, or discomfort in her left arm (site of influenza injection)
Age: 62.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: The patient recieved her pneumococcal vaccine for the first time on Friday 10/02/2009 in her right arm. She received her seasonal influenza vaccine in her left arm on the same day. She noteded redness at the injection site following administration of the pneumococcal vaccine. The redness worsed over the next few days. The site became swollen and warm to touch with some discomnfort with movement. She presented to the Emergency Department on Tuesday 10/6/2009 following a motor vehicle accident. She complained of itching around the injection site. The swelling extended to just above her elbow. There was no redness, swelling, or discomfort in her left arm (site of influenza injection)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Chills, Dyspnoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: RIGHT ARM WITH REDDNESS, SWELLING, WARM TO TOUCH.  CHILLS AND DIFFICULTY BREATHING
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Intensive care, Pancreatitis
Clinical narrative: Diagnosed with pancreatitis 10/6/09 here at Emergency Room.  No obvious other cause of the pancreatitis. 10/13/2009 received hospital records for 10/6-10/10/2009.  DC DX Acute Pancreatitis.  Patient presented with c/o's epigastric pain, chills, and  nausea. Received vaccine 10/2/2009. Admitted to ICU for monitoring,
Age: 12.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Fall, Head injury, Hyperhidrosis, Loss of consciousness
Clinical narrative: After receiving the vaccine the client fell to the floor backwards, striking his head on the ceramic tile floor.He was assessed immediately and found to be unconscious for approximately 30 seconds and was incontinent of urine. When he regained consciousness he was "dizzy and nauseated", very pale and diaphoretic but oriented to person, place and time. He continued lying down with an ice pack to his head for 30 minutes after which time his father took him to the emergency room.
Age: 12.0
Sex: M
Vaccine: FLUX
Symptoms: Nausea, Pallor, Urinary incontinence
Clinical narrative: After receiving the vaccine the client fell to the floor backwards, striking his head on the ceramic tile floor.He was assessed immediately and found to be unconscious for approximately 30 seconds and was incontinent of urine. When he regained consciousness he was "dizzy and nauseated", very pale and diaphoretic but oriented to person, place and time. He continued lying down with an ice pack to his head for 30 minutes after which time his father took him to the emergency room.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Mother here at clinic today reporting local 5.5cm x 8.5cm reaction to left arm where Varivax vaccine was given SQ on Monday. Site noted with redness, edema, and heat at site. Mother circled the redness yesterday with a pen and the redness has increased in size. Reported to Dr. who reports to instruct mother to alternate heat and ice and take Motrin for swelling and discomfort. Call immediately and report and red streaking. Mother verbalized understanding.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Ear discomfort, Headache, Musculoskeletal stiffness, Nausea, Neck pain
Clinical narrative: At 3:00 PM client fellt stiffness and pain in the back of her neck.  Went up the back of head and had severe pain (headache) and frontal sinus cavities, upper teeth and pressure in her ears.  At 3:30 pm she took 650 mg of aspirin without relief.  One hour later had nausea.  She layed in bed at around 8 PM she started feeling better.  No reddness, itching, or rash at injection site.  No problems breathing.  States she had had twelve prior flu vaccines with no reactions.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug, Sinus headache, Toothache
Clinical narrative: At 3:00 PM client fellt stiffness and pain in the back of her neck.  Went up the back of head and had severe pain (headache) and frontal sinus cavities, upper teeth and pressure in her ears.  At 3:30 pm she took 650 mg of aspirin without relief.  One hour later had nausea.  She layed in bed at around 8 PM she started feeling better.  No reddness, itching, or rash at injection site.  No problems breathing.  States she had had twelve prior flu vaccines with no reactions.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Fear of needles, Nausea, Pallor, Syncope
Clinical narrative: Client became "lightheaded" and pale. He proceeded to lay down on the floor but did not hit his head or lose consciousness. No c/o nausea; alert & oriented x 3. Client stated he "did not like needles and has fainted before after a shot. He was responsive at all times post initial 5-10- seconds of limited ability to verbally respond to commands. Fluids given w/o c/o nausea. Remained reclining for 30 minutes after which time he was discharged home with wife.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Unresponsive to stimuli
Clinical narrative: Client became "lightheaded" and pale. He proceeded to lay down on the floor but did not hit his head or lose consciousness. No c/o nausea; alert & oriented x 3. Client stated he "did not like needles and has fainted before after a shot. He was responsive at all times post initial 5-10- seconds of limited ability to verbally respond to commands. Fluids given w/o c/o nausea. Remained reclining for 30 minutes after which time he was discharged home with wife.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hypoventilation, Nausea, Oxygen saturation, Tremor
Clinical narrative: pt had dizziness, shaky and nausea and went to local emergency room. pt also had shallow breathing with tremors.
Age: 3.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Pyrexia, Rhinorrhoea, Sinusitis
Clinical narrative: Running nose, constant dry coughing, and low grade fever. Turned into sinus infection on 4th day. Still having runny noise and constant cough 8 days after vaccine.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Developed pain and redness as site with marked induration of subcutaneous tissues (aprox 2 x 2 cm) with redness and warmth of overlying skin.  Marked margins and observed for 3-4 hours and erythema progressing.  Started on oral bactrim and flagyl
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Bone pain, Injection site pain, Myalgia, Pain
Clinical narrative: Got flu shot Tues. 9/29 right deltoid; Thursday right should got severe joint pain which progressed to bone and muscle aches all over.  Felt achy all over, similiar to his first episode of rheumatoid arthritis.   Lasted 24 hours.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: was given flu shot and within 5 minutes arm began to itch.  it became red and swollen
Age: 24.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site macule, Rash generalised
Clinical narrative: Total body rash, erythematous macules, upper arms and legs, largest approx 5cm in diameter at injection site
Age: 12.0
Sex: F
Vaccine: DTP
Symptoms: Type 1 diabetes mellitus
Clinical narrative: Diagnosed with Type 1 diabetes on 9/3/09.  10/16/09 Medical Records received for Dates of Service 5/17/07-10/2/09.  Dx: New onset Type 1 diabetes mellitus. Assessment:  Seen by PCP for well child visit.  Routine urinalysis revealed urine glucose of 2000+.  Denies frequent urination, no weight loss, pt. does "drink all the time," c/o being thirsty a lot.  Levemir 5 units given in office.  Referral made to endocrinologist.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: red,pruritic,generalized  rash
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV, RVX
Symptoms: Crying
Clinical narrative: uncontrollable crying for several hours even after 2 doses of Tylenol
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Pruritus, Rash, Urticaria
Clinical narrative: malaise, urticaria, itching, rash
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache
Clinical narrative: Began w/headache and chills approx. 10 PM, no fever.  Chills continued till approx 2:30 AM; headache finally subsided approx 9:30 AM after taking 600 mg OTC ibuprofen at 8:30 AM.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Local swelling, Pharyngeal oedema, Swelling face
Clinical narrative: Swelling of face, neck, and throat.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Death, Leukaemia, Lymphoma
Clinical narrative: Information has been received from a consumer concerning his approximately 78 year old wife with lymphoma diagnosed in February 2007. The patient was underwent chemotherapy and radiation. In December 2007 she experienced a recurrent lymphoma and was prescribed oral chemotherapy from January 2008 to May 2008. In October 2008 she was vaccinated with a dose of ZOSTAVAX (Merck) (lot # not reported). Several weeks later, she was diagnosed with leukemia and experienced recurrence of lymphoma. On an unspecified date she was hospitalized. She received unspecified treatment which was unsuccessful. The patient died on 01-JAN-2009. The cause of death were Lymphoma and leukemia. No further information is available.  10/13/09 Hospital records and DC summary received for dates 12/11/08 to 12/23/08. DC DX: Lower back pain-resolved, fever-resolved, UTI-resolved, dental abscess, malnutrition. Presenting SX: pt c/o pain in back and both hips. Assessment: Pt found to have fever. Pt treated for current medical conditions and acute conditions and DC to rehab facility.    10/15/09 Medical records received for date of service 10/9/08.  Shingles (Zostavax) vaccine administered on 10/9/08.  Physician reports that pt. did not call office to report an adverse reaction.  10/21/09 Death Certificate DOD 1/1/2009. Myelodysplastic syndrome. Acute myelogenous leukemia. Anemia.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Asperger's disorder, Blood test, Convulsion, Electroencephalogram abnormal, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a consumer concerning her 5 year old daughter with penicillin and foods allergies who on 16-JUL-1999 was vaccinated with the first dose of MMR (lot number 630109/0121J) and on 05-JUN-2003 was vaccinated with the second dose of MMR II (lot number 645267/0101N). Concomitant therapy included natural medications. Concomitant vaccination on 05-JUN-200 included DTaP (unspecified), poliovirus vaccine, OPV-MERIEUX and tuberculin purified protein derivative. On 09-JUN-2003 (also reported as 4 days later) the patient experienced a seizure. She was taken to the emergency room and had an MRI and blood tests. She was later released. She then saw a neurologist and continued with appointments for 2.5 years. No medication was required. No further seizures noted, however, she continued to have EEG's (electroencephalograms) which still showed seizure activity for 5 years after the initial episode. She was recently diagnosed with Asperger's Disease. The consumer also mentioned the patient had no adverse reaction after the first dose of the vaccine in 1999. On an unspecified date the patient recovered. Upon internal review, seizure and Asperger's Disease were determined to be other important events. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a consumer concerning her 5 year old daughter with penicillin and foods allergies who on 16-JUL-1999 was vaccinated with the first dose of MMR (lot number 630109/0121J) and on 05-JUN-2003 was vaccinated with the second dose of MMR II (lot number 645267/0101N). Concomitant therapy included natural medications. Concomitant vaccination on 05-JUN-200 included DTaP (unspecified), poliovirus vaccine, OPV-MERIEUX and tuberculin purified protein derivative. On 09-JUN-2003 (also reported as 4 days later) the patient experienced a seizure. She was taken to the emergency room and had an MRI and blood tests. She was later released. She then saw a neurologist and continued with appointments for 2.5 years. No medication was required. No further seizures noted, however, she continued to have EEG's (electroencephalograms) which still showed seizure activity for 5 years after the initial episode. She was recently diagnosed with Asperger's Disease. The consumer also mentioned the patient had no adverse reaction after the first dose of the vaccine in 1999. On an unspecified date the patient recovered. Upon internal review, seizure and Asperger's Disease were determined to be other important events. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Decreased appetite, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Information has been received from a physician concerning a female who on 02-JUL-2009 was vaccinated intramuscularly with a dose of GARDASIL (lot no. not reported). After vaccination, on an unknown date, the patient started experiencing flu like symptoms and had swelling in her groin area. Subsequently, the patient recovered. Follow     up information has been received from a licensed practical nurse who regarding a 17 year old female at 134 pounds weight and 52 inches with drug allergies to AUGMENTIN, OMNICEF, BACTRIM who on 02-JUL-2009 was vaccinated intramuscularly in the right deltoid with her first dose of GARDASIL (Lot#661954/1131X) at 11:50 am. It was reported that 5 - 7 days following GARDASIL first injection on 07-JUL-2009, the patient experienced cervical lymphadenopathy, sore throat, headache, dizziness, fever (TM 102.3), hives, nausea, diarrhea and loss of appetite. On an unknown date some symptoms dissipated but the patient had prolonged (10 weeks) of out cervical lymphadenopathy, fatigue and dizziness. Extensive work-up by a hematologist, ENT (ears, nose, and throat), infectious disease and endocrinology. At the time of the report the patient was improving. the liscensed practical nurse considered the patient's experience to be disabling. Additional information has been requested. 10/19/2009 records from PCP, ENT, Hematologist  and Endocrinologist visits. Patient 5 days post vaccine had sx of: cervical lymphadenopathy, headache, sore throat, fever, urticaria, nausea, diarrhea, dizziness , malaise, fatigue and anorexia. Initially dx'd with strep pharyngitis and was on ABX x 2 and Medrol dose pak,  lymph node size decreased at first but then rebounded and have continued to enlarge since then. PE notes tender , mobile bilateral enlarged cervical lymph nodes appox 2-3 cm. ED visit 9/10/2009: sx frequent urination, hematuria. DC Dx UTI, Tx'd with ABX/Pyridium. Final Dx: Hashimoto's Thyroiditis, Viral lymphadenitis with mono-like illness.  Tx: modify activities/rest. 11/5/2009 records from OB-GYN MD 5-8/2009, with c/o's amenorrhea
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Influenza like illness, Local swelling, Lymphadenopathy, Nausea
Clinical narrative: Information has been received from a physician concerning a female who on 02-JUL-2009 was vaccinated intramuscularly with a dose of GARDASIL (lot no. not reported). After vaccination, on an unknown date, the patient started experiencing flu like symptoms and had swelling in her groin area. Subsequently, the patient recovered. Follow     up information has been received from a licensed practical nurse who regarding a 17 year old female at 134 pounds weight and 52 inches with drug allergies to AUGMENTIN, OMNICEF, BACTRIM who on 02-JUL-2009 was vaccinated intramuscularly in the right deltoid with her first dose of GARDASIL (Lot#661954/1131X) at 11:50 am. It was reported that 5 - 7 days following GARDASIL first injection on 07-JUL-2009, the patient experienced cervical lymphadenopathy, sore throat, headache, dizziness, fever (TM 102.3), hives, nausea, diarrhea and loss of appetite. On an unknown date some symptoms dissipated but the patient had prolonged (10 weeks) of out cervical lymphadenopathy, fatigue and dizziness. Extensive work-up by a hematologist, ENT (ears, nose, and throat), infectious disease and endocrinology. At the time of the report the patient was improving. the liscensed practical nurse considered the patient's experience to be disabling. Additional information has been requested. 10/19/2009 records from PCP, ENT, Hematologist  and Endocrinologist visits. Patient 5 days post vaccine had sx of: cervical lymphadenopathy, headache, sore throat, fever, urticaria, nausea, diarrhea, dizziness , malaise, fatigue and anorexia. Initially dx'd with strep pharyngitis and was on ABX x 2 and Medrol dose pak,  lymph node size decreased at first but then rebounded and have continued to enlarge since then. PE notes tender , mobile bilateral enlarged cervical lymph nodes appox 2-3 cm. ED visit 9/10/2009: sx frequent urination, hematuria. DC Dx UTI, Tx'd with ABX/Pyridium. Final Dx: Hashimoto's Thyroiditis, Viral lymphadenitis with mono-like illness.  Tx: modify activities/rest. 11/5/2009 records from OB-GYN MD 5-8/2009, with c/o's amenorrhea
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Oropharyngeal pain, Pyrexia, Urticaria
Clinical narrative: Information has been received from a physician concerning a female who on 02-JUL-2009 was vaccinated intramuscularly with a dose of GARDASIL (lot no. not reported). After vaccination, on an unknown date, the patient started experiencing flu like symptoms and had swelling in her groin area. Subsequently, the patient recovered. Follow     up information has been received from a licensed practical nurse who regarding a 17 year old female at 134 pounds weight and 52 inches with drug allergies to AUGMENTIN, OMNICEF, BACTRIM who on 02-JUL-2009 was vaccinated intramuscularly in the right deltoid with her first dose of GARDASIL (Lot#661954/1131X) at 11:50 am. It was reported that 5 - 7 days following GARDASIL first injection on 07-JUL-2009, the patient experienced cervical lymphadenopathy, sore throat, headache, dizziness, fever (TM 102.3), hives, nausea, diarrhea and loss of appetite. On an unknown date some symptoms dissipated but the patient had prolonged (10 weeks) of out cervical lymphadenopathy, fatigue and dizziness. Extensive work-up by a hematologist, ENT (ears, nose, and throat), infectious disease and endocrinology. At the time of the report the patient was improving. the liscensed practical nurse considered the patient's experience to be disabling. Additional information has been requested. 10/19/2009 records from PCP, ENT, Hematologist  and Endocrinologist visits. Patient 5 days post vaccine had sx of: cervical lymphadenopathy, headache, sore throat, fever, urticaria, nausea, diarrhea, dizziness , malaise, fatigue and anorexia. Initially dx'd with strep pharyngitis and was on ABX x 2 and Medrol dose pak,  lymph node size decreased at first but then rebounded and have continued to enlarge since then. PE notes tender , mobile bilateral enlarged cervical lymph nodes appox 2-3 cm. ED visit 9/10/2009: sx frequent urination, hematuria. DC Dx UTI, Tx'd with ABX/Pyridium. Final Dx: Hashimoto's Thyroiditis, Viral lymphadenitis with mono-like illness.  Tx: modify activities/rest. 11/5/2009 records from OB-GYN MD 5-8/2009, with c/o's amenorrhea
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Hyperhidrosis, Sensation of heaviness
Clinical narrative: Initial report received from a health care professional on 25 September 2009. A 21-year-old male with a concurrent illness of sinus congestion, had received an intramuscular left deltoid injection of FLUZONE No preservative 2009-2010, lot number U3171AA on 24 September 2009 and one day later, he developed shortness of breath, sweating and a feeling of heaviness in his left arm and leg. The patient had been sick in bed fro two days with sinus congestion prior to vaccination. The patient denied any pre-existing medical conditions and he had not been taking any concomitant medications. At the time of the report, the patient's recovery status was unknown. Documents held by sender: None.