chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Intensive care, Laboratory test, X-ray
Clinical narrative: Rapid, irregular heartbeat - atrial fibrillation -continued after getting up in am - heart rate 155 bpm.  Visit to urgent care center, referred to Hospital.  Medically reduced heart rate, cardio conversion needed to convert back to normal rhythm.  Spent 36 hours in ED and CCU units of hospital.  Many tests, labs, xrays, electrocardiograms completed to assess heart normalcy. 11/2/09:  Hospital Records and Discharge Summary received for dates of service 10/25/09 to 10/26/09.  Dx:  Atrial fibrillation with rapid ventricular rate. Assessment:  Presented with 14 hour hx. of palpitations prior to admission.  Found in A.fib with a rate of 150.  Started on Lovenox and a Cardizem drip and her rate quickly improved while she maintained A. fib.  No hx. of heart disease.  Received H1N1 vaccine 4 hrs. prior to onset of sx.  Successfully cardioverted on 10/26/09 and discharged home on Aspirin. ICD 9 Codes:  427.31, 493.90.
Age: 21.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Headache, Loss of consciousness
Clinical narrative: Black out/Light headedness/Dizzness/Headache
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Lacrimation increased, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: Wheezing,cough,sensation of throat constriction, sore throat, watery eyes, extremely stuffy nose, body aches
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Throat tightness, Wheezing
Clinical narrative: Wheezing,cough,sensation of throat constriction, sore throat, watery eyes, extremely stuffy nose, body aches
Age: 50.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Asthma, Headache, Nausea, Pain, Vomiting
Clinical narrative: Asthma attack went to clinic needed nebulizer as inhaler not helping (have not had and attack like this in two years. by 10/31/2009 9am developed severe headache and Nausea and vomiting that lasted til 5pm that night. feel somewhat better on 11/1/2009 just achy all over
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: Severe dizziness
Age: 18.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Sore throat, feeling achy, 101 degree fever, chills Taking Tylenol Multisymptom caplets
Age: 10.0
Sex: M
Vaccine: HEP
Symptoms: Decreased appetite, Lethargy, Pyrexia, Restlessness, Vomiting
Clinical narrative: Child devloped a fever (101 degrees Fahrenheit). Vomiting one time. Restlessness. Lasted over 24 hours. Continues to be lethargic at this time with no appetite.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Palpitations
Clinical narrative: Five or six times throughout the day I had a racing heartbeat and once or twice I felt light-headed.  11/3/09:  Vaccine record received, lot number updated in VAERS, manufacturer not provided.   11/3/09:  Prenatal records received, patient is a G3 P1 with an EDD of 12/07/09, no mention is made of an adverse event in the records.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthma
Clinical narrative: Asthma attack, inhaler, cold air outside, oral steroid. 11/13/09:  Primary Care record received for date of service 11/2/09.  Dx:  Cough variant asthma. Assessment:  Presents with congestion and drainage.  Productive at times.  The course has progressively worsened.  It is of moderate intensity with no obvious aggravating factors.  No fever.  Pt. is mouth breathing.  Has vomited once from coughing. Frequent dry, hacking cough.  SpO2 98% on room air.  Prescribed Orapred, Flovent HFA and albuterol.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Muscle spasms, Pain
Clinical narrative: Diarrhea, cramps, aches.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: DEVELPED A LOW GRADE FEVER AT SCHOOL AND WAS SENT HOME. 10/31/09 STARTED DEVELOPING A RASH ON ARMS LEGS BACK AND TORSO AREAS. PROBABLY ABOUT 20 SPOTS, GIVEN BENEDRYL TO STOP THE REACTION AND THE ITCHING.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1), FLUN3
Symptoms: Urticaria
Clinical narrative: HIVES 11/9 and 11/10/2009 received vaccine records and MD records from 11/2/2009. This was a telephonic message stating patient's mother called to state that child had developed hives post vaccination. Tx: Dr rx'd Zyrtec.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal discomfort, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever lasting more than 2 days.  Average temperature 102.7 Sore throat.  Abdominal Discomfort
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Urticaria
Clinical narrative: HIVES 11/2/2009 records from OB-GYN MD stating  patient called to MD office stating had hives post vaccination, patient took Benadryl and hives cleared.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Asthenia, Blood test, Dysstasia, Gait disturbance, Hyperhidrosis
Clinical narrative: On thursday night I started experiencing some tingling in my back. I did not think much of it, but I decided not to go to work. I am a pharmacist so on friday when I went to work I started sweating and was weak I could barely stang. I went home to rest after cosulting with my physician to rest. I went home to rest and stated experiencing tingling and numbness in my left and right arm. I called the health department that gave me the vaccination and they said noone has complained of that side effect. I received the LAIV H1N1. Icalled my physician again who told me to take Benadryl. On saturday I only had tingling on my right arm so I felt more secure and decided not to go to the ER. Around 4 A.M i woke up with no felling on my right arm and a horrible tingling sensation. My husband encouraged me to rest and rubed my arm. When I woke up I could barely walk and was hobling. My whole right side is tingling and numb. I went to the ER where they performed a CT scan and blood work. Everything looked okay so they sent me home to be evaluated by my doctor on Monday and possible referral to a neurologist if I am not improving.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: On thursday night I started experiencing some tingling in my back. I did not think much of it, but I decided not to go to work. I am a pharmacist so on friday when I went to work I started sweating and was weak I could barely stang. I went home to rest after cosulting with my physician to rest. I went home to rest and stated experiencing tingling and numbness in my left and right arm. I called the health department that gave me the vaccination and they said noone has complained of that side effect. I received the LAIV H1N1. Icalled my physician again who told me to take Benadryl. On saturday I only had tingling on my right arm so I felt more secure and decided not to go to the ER. Around 4 A.M i woke up with no felling on my right arm and a horrible tingling sensation. My husband encouraged me to rest and rubed my arm. When I woke up I could barely walk and was hobling. My whole right side is tingling and numb. I went to the ER where they performed a CT scan and blood work. Everything looked okay so they sent me home to be evaluated by my doctor on Monday and possible referral to a neurologist if I am not improving.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood test normal, Chills, Computerised tomogram normal, Diarrhoea, Fatigue
Clinical narrative: On thursday night I started experiencing some tingling in my back. I did not think much of it, but I decided not to go to work. I am a pharmacist so on friday when I went to work I started sweating and was weak I could barely stang. I went home to rest after cosulting with my physician to rest. I went home to rest and stated experiencing tingling and numbness in my left and right arm. I called the health department that gave me the vaccination and they said noone has complained of that side effect. I received the LAIV H1N1. Icalled my physician again who told me to take Benadryl. On saturday I only had tingling on my right arm so I felt more secure and decided not to go to the ER. Around 4 A.M i woke up with no felling on my right arm and a horrible tingling sensation. My husband encouraged me to rest and rubed my arm. When I woke up I could barely walk and was hobling. My whole right side is tingling and numb. I went to the ER where they performed a CT scan and blood work. Everything looked okay so they sent me home to be evaluated by my doctor on Monday and possible referral to a neurologist if I am not improving.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Gait disturbance, Hypoaesthesia, Hypokinesia, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: On thursday night I started experiencing some tingling in my back. I did not think much of it, but I decided not to go to work. I am a pharmacist so on friday when I went to work I started sweating and was weak I could barely stang. I went home to rest after cosulting with my physician to rest. I went home to rest and stated experiencing tingling and numbness in my left and right arm. I called the health department that gave me the vaccination and they said noone has complained of that side effect. I received the LAIV H1N1. Icalled my physician again who told me to take Benadryl. On saturday I only had tingling on my right arm so I felt more secure and decided not to go to the ER. Around 4 A.M i woke up with no felling on my right arm and a horrible tingling sensation. My husband encouraged me to rest and rubed my arm. When I woke up I could barely walk and was hobling. My whole right side is tingling and numb. I went to the ER where they performed a CT scan and blood work. Everything looked okay so they sent me home to be evaluated by my doctor on Monday and possible referral to a neurologist if I am not improving.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Anxiety, Asthenia, Blood test normal, Chills, Computerised tomogram normal
Clinical narrative: On thursday night I started experiencing some tingling in my back. I did not think much of it, but I decided not to go to work. I am a pharmacist so on friday when I went to work I started sweating and was weak I could barely stang. I went home to rest after cosulting with my physician to rest. I went home to rest and stated experiencing tingling and numbness in my left and right arm. I called the health department that gave me the vaccination and they said noone has complained of that side effect. I received the LAIV H1N1. Icalled my physician again who told me to take Benadryl. On saturday I only had tingling on my right arm so I felt more secure and decided not to go to the ER. Around 4 A.M i woke up with no felling on my right arm and a horrible tingling sensation. My husband encouraged me to rest and rubed my arm. When I woke up I could barely walk and was hobling. My whole right side is tingling and numb. I went to the ER where they performed a CT scan and blood work. Everything looked okay so they sent me home to be evaluated by my doctor on Monday and possible referral to a neurologist if I am not improving.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Fatigue, Gait disturbance, Hemiparesis, Hypoaesthesia, Influenza
Clinical narrative: On thursday night I started experiencing some tingling in my back. I did not think much of it, but I decided not to go to work. I am a pharmacist so on friday when I went to work I started sweating and was weak I could barely stang. I went home to rest after cosulting with my physician to rest. I went home to rest and stated experiencing tingling and numbness in my left and right arm. I called the health department that gave me the vaccination and they said noone has complained of that side effect. I received the LAIV H1N1. Icalled my physician again who told me to take Benadryl. On saturday I only had tingling on my right arm so I felt more secure and decided not to go to the ER. Around 4 A.M i woke up with no felling on my right arm and a horrible tingling sensation. My husband encouraged me to rest and rubed my arm. When I woke up I could barely walk and was hobling. My whole right side is tingling and numb. I went to the ER where they performed a CT scan and blood work. Everything looked okay so they sent me home to be evaluated by my doctor on Monday and possible referral to a neurologist if I am not improving.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Paraesthesia, Scan brain
Clinical narrative: On thursday night I started experiencing some tingling in my back. I did not think much of it, but I decided not to go to work. I am a pharmacist so on friday when I went to work I started sweating and was weak I could barely stang. I went home to rest after cosulting with my physician to rest. I went home to rest and stated experiencing tingling and numbness in my left and right arm. I called the health department that gave me the vaccination and they said noone has complained of that side effect. I received the LAIV H1N1. Icalled my physician again who told me to take Benadryl. On saturday I only had tingling on my right arm so I felt more secure and decided not to go to the ER. Around 4 A.M i woke up with no felling on my right arm and a horrible tingling sensation. My husband encouraged me to rest and rubed my arm. When I woke up I could barely walk and was hobling. My whole right side is tingling and numb. I went to the ER where they performed a CT scan and blood work. Everything looked okay so they sent me home to be evaluated by my doctor on Monday and possible referral to a neurologist if I am not improving.
Age: 44.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Blood test normal, Condition aggravated, Convulsion, Headache, Road traffic accident
Clinical narrative: Had A Seizure while driving...had not had a seizure during the day for 8 years Hit a light post with my car and damaged vehicle driving at approx. 25 MPH 11/2/09:  Hospital records received for dates of stay 10/29/09 to 10/30/09. Dx:  Breakthrough Seizure Disorder, History of Seizure, Motor Vehicle Accident.  Assessment: Epileptic patient maintained seizure free on Tegretol x 8 years, received H1N1 vaccine and had a seizure while driving his car the following day.  Accident was at low speed and pt. was unhurt.  Monitored in the hospital overnight and discharged to home.  Keppra started BID.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Back pain, Borrelia burgdorferi serology, Computerised tomogram normal, Full blood count normal, Headache
Clinical narrative: light headedness, dizzy, nausea  head pain began soon after and has been severe and constant to present date
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Immunology test, Nausea, Neck pain, Red blood cell sedimentation rate normal
Clinical narrative: light headedness, dizzy, nausea  head pain began soon after and has been severe and constant to present date
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Angiogram, Blood test, Computerised tomogram, Dizziness, Headache
Clinical narrative: light headedness, dizzy, nausea  head pain began soon after and has been severe and constant to present date
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Nuclear magnetic resonance imaging
Clinical narrative: light headedness, dizzy, nausea  head pain began soon after and has been severe and constant to present date
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4
Symptoms: Convulsion, Headache, Syncope
Clinical narrative: Information has been received from a physician concerning a female patient who fainting and possible seizure. The patient recovered on an unspecified date. The patient sought unspecified medical attention. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.  11/24/09 and 11/25/09 MR and Vaccine record received for DOS 10/14/09 S/P vaccine, Pt experienced fainting, seizure for 8 sec and severe headache. Pt recovered. 11/24/09 MR for DOS 10/14/09:   12/01/09: VAERS report received. 12/01/09 Medical records received for DOS 10/07/09 - 10/14/09. Syncope after vaccine. Very brief tonic clonic movements. Upon  PE alert, neuro  exam neg.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL, HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a physician concerning a female patient who fainting and possible seizure. The patient recovered on an unspecified date. The patient sought unspecified medical attention. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.  11/24/09 and 11/25/09 MR and Vaccine record received for DOS 10/14/09 S/P vaccine, Pt experienced fainting, seizure for 8 sec and severe headache. Pt recovered. 11/24/09 MR for DOS 10/14/09:   12/01/09: VAERS report received. 12/01/09 Medical records received for DOS 10/07/09 - 10/14/09. Syncope after vaccine. Very brief tonic clonic movements. Upon  PE alert, neuro  exam neg.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Joint range of motion decreased, Myalgia
Clinical narrative: Extreme soreness/stiffness in right shoulder(injection site)radiates down arm. loss of full range motion in right arm. called pharmacy said should go away use ice and ibuprofen. Has been more than 2 weeks still have same problem worsens at night eases up slowly throughout day. Have yet to visit doctor no insurance was thinking about E.R. but still waiting for it to just go away.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pain, Injection site reaction, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Extreme soreness/stiffness in right shoulder(injection site)radiates down arm. loss of full range motion in right arm. called pharmacy said should go away use ice and ibuprofen. Has been more than 2 weeks still have same problem worsens at night eases up slowly throughout day. Have yet to visit doctor no insurance was thinking about E.R. but still waiting for it to just go away.
Age: 2.0
Sex: F
Vaccine: DTPPHIB, HEP, HEPA, MMR, PNC, VARCEL, DTPPHIB, HEP, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site reaction
Clinical narrative: MOM CALLED, REPORTED CHILD (ILLEGIBLE WORD) ON RIGHT LEG THAT SHOTS WERE GIVEN.  NURSE INSTRUCTED TO TAKE CHILD TO ER FOR DRS EVALUATION AND NOTIFY CLINIC FOR FOLLOW-UP.  MOM STATED CONTACTED PCP STATED TO GIVE MOTRIN AND OBSERVE.  IMPROVING PER MOM.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Cough, Hypoaesthesia, Influenza like illness, Listless
Clinical narrative: woke up sore, achy.  dry cough.  fever.  sneezing.  weak.   next day, felt as though i had the flu.  stayed in bed all day.  very weak and achy.  sneezing.    this lasted about 7 days.   over past three weeks since the initial week with sneezing and coughing, i have been incredibly achy and sore in particular areas of my body.  forearms, shoulders, hips, butt, knees and occasionally my wrists.  also, some numbness in my hands and left calf.    as an fyi.  i am very fit and active and never feel aches, pains or lethargy of any sort.  this is an extremely unusual way for me to feel.    listless and no energy and keep thinking it will go away, but now that it has been close to a month post the flu shot, i am becoming very concerned that there is a correlation between the shot and this pathology.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pyrexia, Sneezing
Clinical narrative: woke up sore, achy.  dry cough.  fever.  sneezing.  weak.   next day, felt as though i had the flu.  stayed in bed all day.  very weak and achy.  sneezing.    this lasted about 7 days.   over past three weeks since the initial week with sneezing and coughing, i have been incredibly achy and sore in particular areas of my body.  forearms, shoulders, hips, butt, knees and occasionally my wrists.  also, some numbness in my hands and left calf.    as an fyi.  i am very fit and active and never feel aches, pains or lethargy of any sort.  this is an extremely unusual way for me to feel.    listless and no energy and keep thinking it will go away, but now that it has been close to a month post the flu shot, i am becoming very concerned that there is a correlation between the shot and this pathology.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abdominal pain upper, Blood test, Headache, Lethargy, Muscle spasms
Clinical narrative: Severe stomach cramps, headache for 18 hours, lethargic, vomiting, 103.6 fever, muscle spasams in legs.  11/5/09:  Vaccine record received, VAERS updated. 11/6/09:  Record from Florida Poison Information Center Network on 11/1/09 documenting a call from the mother of a patient who received the H1N1 vaccine and developed muscle aches, fever and abdominal pain.  Florida Poison Information referred them to a local ED where they were seen and the child was diagnosed with:  Abdominal pain & Pediatric Viral Syndrome.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: Severe stomach cramps, headache for 18 hours, lethargic, vomiting, 103.6 fever, muscle spasams in legs.  11/5/09:  Vaccine record received, VAERS updated. 11/6/09:  Record from Florida Poison Information Center Network on 11/1/09 documenting a call from the mother of a patient who received the H1N1 vaccine and developed muscle aches, fever and abdominal pain.  Florida Poison Information referred them to a local ED where they were seen and the child was diagnosed with:  Abdominal pain & Pediatric Viral Syndrome.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abdominal pain upper, Full blood count, Headache, Muscle spasms, Pyrexia
Clinical narrative: Severe stomach cramps, headache for 18 hours, lethargic, vomiting, 103.6 fever, muscle spasams in legs.  11/5/09:  Vaccine record received, VAERS updated. 11/6/09:  Record from Florida Poison Information Center Network on 11/1/09 documenting a call from the mother of a patient who received the H1N1 vaccine and developed muscle aches, fever and abdominal pain.  Florida Poison Information referred them to a local ED where they were seen and the child was diagnosed with:  Abdominal pain & Pediatric Viral Syndrome.
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Pyrexia
Clinical narrative: Started running high fever between 103 and 104 degrees. Coughing.
Age: 4.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Pyrexia
Clinical narrative: Running high fever with a cough.
Age: 3.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Pyrexia
Clinical narrative: Running fever over 104 degrees, coughing.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1), FLUN3
Symptoms: Urticaria
Clinical narrative: Hives from head to ankles. Tx BENDADRY. < 1 hr. after vaccine. Hives still as of 11/02/2009
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Decreased appetite, Headache, Oropharyngeal pain
Clinical narrative: 10/28/09 H1N1 vaccine give to student in school via nasal spray. 10/30 student c/o headache, sore throat and poor appetite since 10/28/09. T 98 degrees, lungs clear. Throat is normal. NAD. SN called mother to inform her of students complaints and nasal assessment. Mother also informed of report to VAERS.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Condition aggravated, Cough, Febrile convulsion, Pyrexia
Clinical narrative: H1N1 LAIV on 10/29. Developed fever and cough later that day. Febrile sz 10/30 0300 (known hx feb. sz).
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Syncope
Clinical narrative: Reported feeling nauseous following vaccination and then fainted. Responsive within minutes, cold compress applied to forehead. Remained supine for approx. 30 minutes then returned to classroom.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Paleness, Dizziness, weakness, sweats.  No treatment went home to bed.
Age: 16.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: Within 30 minutes of receiving LAIV, patient experienced pervasive achiness.  She complained of fatigue about 4 hours later.  At 10:00 AM on 10/31/09 she awoke with a fever of 103.2, headache, and nasal congestion.  She was examined by the pediatrician at 11:00 AM.  Dr. prescribed Tamiflu and Tylenol for the fever. She ran a low-grade fever (99 - 100) through 11/1/09.   Nasal congestion, cough, and sore throat are still evident.
Age: 16.0
Sex: F
Vaccine: FLUN3
Symptoms: Pain, Pyrexia
Clinical narrative: Within 30 minutes of receiving LAIV, patient experienced pervasive achiness.  She complained of fatigue about 4 hours later.  At 10:00 AM on 10/31/09 she awoke with a fever of 103.2, headache, and nasal congestion.  She was examined by the pediatrician at 11:00 AM.  Dr. prescribed Tamiflu and Tylenol for the fever. She ran a low-grade fever (99 - 100) through 11/1/09.   Nasal congestion, cough, and sore throat are still evident.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood culture negative, Cellulitis, Chills, Computerised tomogram abnormal, Culture urine negative
Clinical narrative: Fever 101, chills, R deltoid at site of injection reddened,firm, warm to touch. IV abx started, 10/29 fevers >101, increased redness, tender with pain extending into R neck.   11/25/09:  Infectious disease consultation and hospital and prenatal records received for date of service 10/29/09.  Dx:  Cellulitis.  Immunized one day post partum.  Pt. with fevers, increased R arm pain, erythema and warmth of deltoid.  Positive for chills and sweats.  Started on Benadryl and antibiotic therapy.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Full blood count normal, Influenza serology negative, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Fever 101, chills, R deltoid at site of injection reddened,firm, warm to touch. IV abx started, 10/29 fevers >101, increased redness, tender with pain extending into R neck.   11/25/09:  Infectious disease consultation and hospital and prenatal records received for date of service 10/29/09.  Dx:  Cellulitis.  Immunized one day post partum.  Pt. with fevers, increased R arm pain, erythema and warmth of deltoid.  Positive for chills and sweats.  Started on Benadryl and antibiotic therapy.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Neck pain, Polymerase chain reaction, Pyrexia
Clinical narrative: Fever 101, chills, R deltoid at site of injection reddened,firm, warm to touch. IV abx started, 10/29 fevers >101, increased redness, tender with pain extending into R neck.   11/25/09:  Infectious disease consultation and hospital and prenatal records received for date of service 10/29/09.  Dx:  Cellulitis.  Immunized one day post partum.  Pt. with fevers, increased R arm pain, erythema and warmth of deltoid.  Positive for chills and sweats.  Started on Benadryl and antibiotic therapy.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1), FLU3, HEPA
Symptoms: Chest pain, Urticaria, Wheezing
Clinical narrative: Patient developed hives and wheezing and chest pain. Patient seen in the emergency room and given an Albuterol neb, Benadryl and Zantac.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Fall, Haemorrhage, Loss of consciousness, Pain in extremity, Skin laceration
Clinical narrative: Patient left Health Department with mother and sister after receiving Influenza A H1N1 injectable vaccine in left deltoid. Family went to video store to rent movie when patient complained to mother that his arm was hurting.  She instructed the child to go sit in the family vehicle, just outside the store.  He returned to his mother, inside the store in approximately 30 seconds with complaints of vertigo, and bloodied face, stating he passed out, face first.  He was taken to primary care center with facial lacerations and 3 broken teeth.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Tooth injury, Vertigo
Clinical narrative: Patient left Health Department with mother and sister after receiving Influenza A H1N1 injectable vaccine in left deltoid. Family went to video store to rent movie when patient complained to mother that his arm was hurting.  She instructed the child to go sit in the family vehicle, just outside the store.  He returned to his mother, inside the store in approximately 30 seconds with complaints of vertigo, and bloodied face, stating he passed out, face first.  He was taken to primary care center with facial lacerations and 3 broken teeth.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray, Dysphonia, Headache, Pain, Pyrexia
Clinical narrative: Voice hoarse, body aches, headache, low grade fever. Put pt on a course of LEVAQUIN 500 mg one everyday for seven days.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large area of minor swelling redness and warmth over 2 days (ant thigh) Tx with MOTRIN and ice.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Facial paresis, Malaise, Nausea, Paraesthesia
Clinical narrative: Acute severe malaise, weakness, facial weakness, sl nausea, funny sensation on back of head.  direct exposure to influenza A. Pt. c/o N/V, cough, fever, chest burning. Tamiflu given,
Age: 39.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Heart rate increased, Palpitations
Clinical narrative: HEART RATE 210, BP 180/120.PALPITATION.WENT TO ER. HR DID NOT GO DOWN UNTIL MIDNIGHT. BP WAS UP 140/110 FOR 2 DAYS.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Lacrimation increased, Pyrexia
Clinical narrative: watery eyes, fever ~ 101, very bad cough
Age: 11.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Pyrexia, Throat irritation
Clinical narrative: Had cough it scratchy throat on Fri. Sun fever to 102 degrees, now fever 99.5 degrees with no medication.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Chest X-ray normal, Cyanosis, Heart rate increased
Clinical narrative: Pt was given PEDIARIX, HIB, PCV7 and ROTATEQ in the arm. Mom called after 1:00 stated HR was @ 245 (on apnea monitor (baby is premie)) Came in HR 215 - increase 100.9 temp. Pt turned blue on exam table recovered w/in sec -Hospitalized.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Cough, Dyspnoea, Ear pain, Influenza
Clinical narrative: This 32 yr old female presents with a cough and wheeze.  She has some shortness of breath, chills, sneezing, stuffiness and slight ear pain.  she is achy as well and gagging from the cough.  She has a low grade fever as well. She was diagnosed with H1N1 virus based on a positive rapid influenza swab in the office. She was treated with tamiflu and a proair inhaler. 11/2/09 Primary Care Records received for date of service 10/29/09.  DX:  H1N1 Assessment:  Pregnant female presented with cough and wheezing x 1 day.  Also some SOB, chills, sneezing, stuffiness, runny nose, low grade fever and slight ear pain as well as achy feeling and gagging on cough.  Mucosa of pharynx inflammed.  Instructed to increase PO fluids and given Tamiflu, Guiatuss with Codeine and Pro Air HFA.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Influenza serology positive, Pain, Respiratory tract congestion, Retching, Sneezing
Clinical narrative: This 32 yr old female presents with a cough and wheeze.  She has some shortness of breath, chills, sneezing, stuffiness and slight ear pain.  she is achy as well and gagging from the cough.  She has a low grade fever as well. She was diagnosed with H1N1 virus based on a positive rapid influenza swab in the office. She was treated with tamiflu and a proair inhaler. 11/2/09 Primary Care Records received for date of service 10/29/09.  DX:  H1N1 Assessment:  Pregnant female presented with cough and wheezing x 1 day.  Also some SOB, chills, sneezing, stuffiness, runny nose, low grade fever and slight ear pain as well as achy feeling and gagging on cough.  Mucosa of pharynx inflammed.  Instructed to increase PO fluids and given Tamiflu, Guiatuss with Codeine and Pro Air HFA.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Wheezing
Clinical narrative: This 32 yr old female presents with a cough and wheeze.  She has some shortness of breath, chills, sneezing, stuffiness and slight ear pain.  she is achy as well and gagging from the cough.  She has a low grade fever as well. She was diagnosed with H1N1 virus based on a positive rapid influenza swab in the office. She was treated with tamiflu and a proair inhaler. 11/2/09 Primary Care Records received for date of service 10/29/09.  DX:  H1N1 Assessment:  Pregnant female presented with cough and wheezing x 1 day.  Also some SOB, chills, sneezing, stuffiness, runny nose, low grade fever and slight ear pain as well as achy feeling and gagging on cough.  Mucosa of pharynx inflammed.  Instructed to increase PO fluids and given Tamiflu, Guiatuss with Codeine and Pro Air HFA.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Right arm became sore, painful and weak
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Cough, Fatigue, Pyrexia
Clinical narrative: Within 2 hours after shot, coughing, fatigue, 30 hrs later, chills and fever. Treating at home.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Nausea, Pharyngeal oedema, Vomiting
Clinical narrative: Nausea, vomiting, feels throat swelling, dizzy.  11/17/09 ER record received for DOS 10/29/09. DX: Allergic reaction (mild)  Pt c/o throat swelling, dizziness, nausea and vomiting; tx: Benadryl. Symptoms resolved.
Age: 1.27
Sex: M
Vaccine: FLUN(H1N1)
Clinical narrative: Given nasal H1N1 influenza vaccine by mistake. No treatment needed, follow up call revealed no ill effects.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site urticaria, Pruritus, Urticaria
Clinical narrative: Hives on arm. Shot was given-on entire arm but more by injection site. They itched-went away in 2 days.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging, Paraesthesia
Clinical narrative: Approximately 1 week after receiving seasonal flu shot developed "pins and needles" feeling all over body subsequently developed. 11/4/09 DC summary and medical records received for dates 10/10/09 to 10/19/09.  DX: facial diplegia. C/o facial numbness, unable to smile, close eyes,  tingling over body, chest tightness,  IVIG tx x5 days with improvement. 12/23/09 Additional Hospital records received for DOS 10/10/09-10/19/09  Neurology consult obtained for bilateral facial weakness. Treated with prednisone and IVIg DC DX: probable polyneuritis, Hypertension ; hyperlipidemia
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Somnolence, Vomiting
Clinical narrative: Approximately 4-5 mins after flu vaccine was given she began to fell drozy, light headed then began vomiting. BP 130/100, HR 100, No difficultly breathing or rash noted. EMS called and sent to ED.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Convulsion, Eye rolling, Musculoskeletal stiffness
Clinical narrative: At the end of breastfeeding, mother noted patient's eyes rolled back, he became stiff, started to shake upper and lower extremities symmetrically with seizure lasting less than one minute. A second seizure occurred the same day, one on 10/17, one on 10/24, two on 10/26 -  all similar at the end of breastfeeding.  F/U Exam 10/27 WNL. 12/23/2009 PCP records for 10/27/2009  c/o's seizure activity, patient with several episodes of tonic-clonic activity, stiffness, eyes rolling back and unresponsiveness along with drowsiness and increased irritability post episodes. referred to Pediatric neurologist 12/23/2009 Pediatric neurologist records for 11/2/2009, Neuro exam wnl, impression was epilepsy, recommended Keppra PCP records for 11/4/2009 noted that parents wanted second opinion
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: 10-19-09 received shot. Within 2 days had swelling, redness and warm to touch.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Right arm redness 1 day after V2V vaccine given. No antihistamine given. Area red, approx 1 1/2 inches across, warm to touch, no systemic symptoms.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Nausea, Polydipsia, Vomiting
Clinical narrative: Nausea 10/24, vomiting 10/27, diarrea 10/27. Drinking lots of water
Age: 46.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Lacrimation increased, Ocular hyperaemia, Vision blurred
Clinical narrative: Flu mist given 10:00am. By 7pm that night left eye was becoming red & weeping clear fluid. By the next morning left eye was extremely red, draining clear fluid and vision blurred. Condition slowly improving. No eye injury.
Age: 1.26
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR
Symptoms: Rash, Urticaria
Clinical narrative: Urticaria started same day vaccines were given -  per mom. The vaccines were given @ 0945. Mom called our office @1645 to report rash. Mom was instructed to by PCP to give BENADRYL. Referral to an allergist.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Muscular weakness, Nausea, Vertigo, Vomiting
Clinical narrative: Nausea, vomiting for 2 days  Diarrhea 3 days Left upper extremity weakness and vertigo that is ongoing
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Back pain, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: PATIENT COMPLAINED STIFF NECK, PAIN IN LEFT SHOULDER BLADE, LEFT SIDE OF BACK
Age: 21.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Dizziness, Headache, Vomiting
Clinical narrative: Headache, Vomitting 20-30 minutes from 8:00 AM until 1:00PM, dizziness, body chills until administered IV fluids and Zofran.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Burning sensation, Erythema, Pruritus, Tenderness
Clinical narrative: BURNING AND ITCHY SENSATION, 3X3 INCH DIAMETER REDNESSSLIGHTLY TENDER TX-APPLY COLD COMPRESS
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Cough, Feeling abnormal, Hyperhidrosis, Immunisation reaction
Clinical narrative: C/O "feeling bad" at bedtime. During the night developed fever at 101.5 degrees F oral with chills, sweating, cough, vomiting. On 10/23 took child to physician who told mother that it was a reaction to the flu shot. Fever has resolved but child continues to cough and occasionally vomit.  Mother called as she is concerned about getting dose #2 of flu.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: C/O "feeling bad" at bedtime. During the night developed fever at 101.5 degrees F oral with chills, sweating, cough, vomiting. On 10/23 took child to physician who told mother that it was a reaction to the flu shot. Fever has resolved but child continues to cough and occasionally vomit.  Mother called as she is concerned about getting dose #2 of flu.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Myalgia, Pyrexia
Clinical narrative: Fever 104 Cough Myalgia
Age: 27.0
Sex: F
Vaccine: HEP, HEPA, MMR, TDAP
Symptoms: Arthralgia, Lymph node palpable
Clinical narrative: PATIENT REPORTED SORENESS OF JOINTS, NODE BESIDE LEFT EAR 4 DAYS AFTER RECEIVING TDAP, HEP B, MMR AND HEP A.  SHE THOUGHT PROBLEM WAS DUE TO MMR RECEIVED.  RESOLVED IN ONE WEEK 9/8/08.  STATED HER DR FRIEND SAID IT WAS OKAY TO GET A 2ND DOSE.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dizziness, Headache, Influenza serology positive, Nausea
Clinical narrative: aches and pains started on 10/17/2009. On 10/18/2009 am high fever 102.7, cough, sore throat, head ache, nausea, dizziness through 10/24/2009. Continued to have severe cough, sore throat, head ache until 10/28/2009. Continued to have cough until 11/2/2009.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: aches and pains started on 10/17/2009. On 10/18/2009 am high fever 102.7, cough, sore throat, head ache, nausea, dizziness through 10/24/2009. Continued to have severe cough, sore throat, head ache until 10/28/2009. Continued to have cough until 11/2/2009.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Eye swelling
Clinical narrative: CHILD HAD SWEELING ON AREA AROUND EYES AND POSSIBLE FACIAL SWELLING
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Facial palsy
Clinical narrative: Bells Palsy.   11/03/09 Medical records received for DOS 9/29-11/03.  Office visits.  Child developed excessive and increasing  tearing of L eye s/p vaccine. Progressed to Bell's palsy with inability to close eye and facial asymmetry.  Steroid burst tx. Continued to improve over time until complete facial symmetry and movement returned. Last visit noted viral pharyngitis unrelated to Bell's palsy.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Adverse event, Drug exposure during pregnancy, Erythema, Feeling hot, Heart rate increased
Clinical narrative: Adverse event began approximately 2 hours after vaccine was given.  Patient stated that her body and face became really hot and red.  She also felt that her pulse was racing.  She had some numbness on her left side.  All had been resolved by the next day. 11/3/09 Medical records received from OB from 5/09 to 10/28/09. OB records received. Noted pt had H1N1 vaccine. Normal pregnancy progression.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia
Clinical narrative: Adverse event began approximately 2 hours after vaccine was given.  Patient stated that her body and face became really hot and red.  She also felt that her pulse was racing.  She had some numbness on her left side.  All had been resolved by the next day. 11/3/09 Medical records received from OB from 5/09 to 10/28/09. OB records received. Noted pt had H1N1 vaccine. Normal pregnancy progression.
Age: 38.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Adverse reaction, Dysphonia, Fatigue, Heart rate increased, Malaise
Clinical narrative: H1N1 vaccine was administered at 2:15 pm on 10/30/2009 IM in the right deltoid. Injection tolerated well. Patient reported an adverse reaction on 11/2/2009 at 8 am. He noticed a rapid heart beat & fever by about 5 pm on the day of the injection. Slept well. On 10/31/2009 rapid heartbeat subsided and hoarseness in voice noted. Noticed itching, hives over most of body. Used topical Benadryl to no avail and then used OTC Benadryl 25 mg capsules x2 to some avail.  General malaise on 10/31/2009. Slept most of the day. On 11/1/2009 felt tired and rested most of the day. Continues to have hoarseness and to itch today, 11/2/2009.
Age: 38.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus generalised, Pyrexia, Urticaria
Clinical narrative: H1N1 vaccine was administered at 2:15 pm on 10/30/2009 IM in the right deltoid. Injection tolerated well. Patient reported an adverse reaction on 11/2/2009 at 8 am. He noticed a rapid heart beat & fever by about 5 pm on the day of the injection. Slept well. On 10/31/2009 rapid heartbeat subsided and hoarseness in voice noted. Noticed itching, hives over most of body. Used topical Benadryl to no avail and then used OTC Benadryl 25 mg capsules x2 to some avail.  General malaise on 10/31/2009. Slept most of the day. On 11/1/2009 felt tired and rested most of the day. Continues to have hoarseness and to itch today, 11/2/2009.
Age: 26.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injection site haematoma
Clinical narrative: Bruising at injection site.
Age: 40.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Headache, Oropharyngeal pain, Pain, Rhinorrhoea
Clinical narrative: Runny nose, body ache, severe headache, sore throat, coughing lasting for 3 days, treated with Tylenol and rest
Age: 1.05
Sex: M
Vaccine: HEPA, HIBV, IPV, MMR
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: FEVER AFTER IMMUNIZATION-FIND ERYTHEMATOUS RASH 4 DAYS AFTER IMMUNIZATION
Age: 43.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Sudden onset loud left tinnitus. Still present 5 days later.  Hearing test scheduled tomorrow.  Likely permanent according to ENT
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on face, neck,abdomen, arms, and feets. Took Benadryl 50mg by mouth. 15 to 20 minutes later hives gone.
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, Itching
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: PATIENT'S MOTHER STATED CHILD RAN A LOW GRADE FEVER FOR A SHORT TIME AFTER SHOTS.  NEXT DAY NO FEVER AND CHILD WAS FINE.  PATIENT DID NOT HAVE AN ADVERSE REACTION.  RECEIVED FLU VACCINE TOO EARLY.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: hives all over body c/o itching all over treated with IV Benadryl and Solu-Medrol
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Confusional state, Electrocardiogram normal, Electroencephalogram normal, Loss of consciousness
Clinical narrative: Child completed HPV/Gardasil series as follows 3/9/07;05/16/07;08/21/08  As of 5/2009 reported epsodes of syncope. Symptoms reported with episodes were acute confusion with loss of consciousness lasting between 30 to 60 minutes. Child reports episodes when she feels anxious or anxiety.  11/5/2009 and 11/9/2009 ED records for 5/26/2009 and Cardio/Neuro consult notes from 6/15 and 6/17/2009. Patient with c/o's syncope, mental confusion and loss of consciousness. Cardio evaluation norm, Neuro evaluation norm. DC DX Syncope Vasovagal Tx'd with Florinef  11/9/09:  Neurology Consultation received for dates of service 6/17/09 to 10/28/09:  Dx:  Pseudoseizures. Assessment:  Presents with episodes of syncope following hyperventilation, followed by periods of unconsciousness of 30 to 60 minutes during which she is unresponsive to painful stimuli.  A recovery period of 20 to 30 minutes has been marked by extensor posturing of her legs and confusion as she becomes more responsive.   11/17 and 11/18 Medical records and ICD9 codes received.  DOS 11/3-11/4. Final DX: Pseudoseizures w/anxiety component, altered mental status C/O of syncopal episode. Dizzy, HA, palpitations, nausea. LOC. Also cardiac consult 10/8/09.  Not neurally-mediated syncope. Non cardiac. Concerns for conversion reaction. ICD9 codes: 7880.970.39, 780.4, 7
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging brain normal, Syncope
Clinical narrative: Child completed HPV/Gardasil series as follows 3/9/07;05/16/07;08/21/08  As of 5/2009 reported epsodes of syncope. Symptoms reported with episodes were acute confusion with loss of consciousness lasting between 30 to 60 minutes. Child reports episodes when she feels anxious or anxiety.  11/5/2009 and 11/9/2009 ED records for 5/26/2009 and Cardio/Neuro consult notes from 6/15 and 6/17/2009. Patient with c/o's syncope, mental confusion and loss of consciousness. Cardio evaluation norm, Neuro evaluation norm. DC DX Syncope Vasovagal Tx'd with Florinef  11/9/09:  Neurology Consultation received for dates of service 6/17/09 to 10/28/09:  Dx:  Pseudoseizures. Assessment:  Presents with episodes of syncope following hyperventilation, followed by periods of unconsciousness of 30 to 60 minutes during which she is unresponsive to painful stimuli.  A recovery period of 20 to 30 minutes has been marked by extensor posturing of her legs and confusion as she becomes more responsive.   11/17 and 11/18 Medical records and ICD9 codes received.  DOS 11/3-11/4. Final DX: Pseudoseizures w/anxiety component, altered mental status C/O of syncopal episode. Dizzy, HA, palpitations, nausea. LOC. Also cardiac consult 10/8/09.  Not neurally-mediated syncope. Non cardiac. Concerns for conversion reaction. ICD9 codes: 7880.970.39, 780.4, 7
Age: 38.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Hypoaesthesia, Laboratory test, Lumbar puncture, Malaise
Clinical narrative: Stated she became ill with headache etc. As days progressed her legs became "numb" and weak. 11/3/2009 MR and DC records for 10/28-10/30/2009. Patient with c/o's weakness, numbness/tingling of extremities, SOB with exertion.  admit for obs and dx testing.DC DX: Inflammatory neuropathy  ICD-9 code 357.8
Age: 38.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Muscular weakness, X-ray
Clinical narrative: Stated she became ill with headache etc. As days progressed her legs became "numb" and weak. 11/3/2009 MR and DC records for 10/28-10/30/2009. Patient with c/o's weakness, numbness/tingling of extremities, SOB with exertion.  admit for obs and dx testing.DC DX: Inflammatory neuropathy  ICD-9 code 357.8