chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dry eye, Feeling jittery, Hypoaesthesia, Insomnia, Malaise
Clinical narrative: I am continuing to experience autoimmune responses from the H1N1 vaccine that I received on 12/7/09.  These symptoms include:  dry eyes, muscle fatigue, swollen/heavy feeling face and neck, loss of appetite, difficulty concentrating/sleeping, tingling numbness in feet and hands/arms, some loss of coordination, jitteriness (difficulty sitting still), different smelling urine, and generally feeling very unwell.  These symptoms have persisted for 3.5 weeks now.  I did not have any of these symptoms prior to receiving this vaccine on 12/7/09.  In fact, the symptoms started just hours after receiving the vaccine, and they continued to get worse.  Prior to this, I was a very busy mother of 3, working part-time, biking up to 20 miles/day, etc. I have had a number of tests, including a CT Scan, 4 blood tests, and a spinal tap.  The results so far are suggestive of Systemic Lupus and Sjogren's Syndrome.  2 ANA tests show titers of 160:1, and 80:1, with homogeneous and speckled patterns.  The Sjogren's SS-B value is 3.8.  I am following up with a rheumatologist, but I cannot get an appointment until mid-late January.  I am hoping that I will not have long-term systemic damage from this while I am waiting.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscle fatigue, Paraesthesia, Sjogren's syndrome, Swelling face, Systemic lupus erythematosus
Clinical narrative: I am continuing to experience autoimmune responses from the H1N1 vaccine that I received on 12/7/09.  These symptoms include:  dry eyes, muscle fatigue, swollen/heavy feeling face and neck, loss of appetite, difficulty concentrating/sleeping, tingling numbness in feet and hands/arms, some loss of coordination, jitteriness (difficulty sitting still), different smelling urine, and generally feeling very unwell.  These symptoms have persisted for 3.5 weeks now.  I did not have any of these symptoms prior to receiving this vaccine on 12/7/09.  In fact, the symptoms started just hours after receiving the vaccine, and they continued to get worse.  Prior to this, I was a very busy mother of 3, working part-time, biking up to 20 miles/day, etc. I have had a number of tests, including a CT Scan, 4 blood tests, and a spinal tap.  The results so far are suggestive of Systemic Lupus and Sjogren's Syndrome.  2 ANA tests show titers of 160:1, and 80:1, with homogeneous and speckled patterns.  The Sjogren's SS-B value is 3.8.  I am following up with a rheumatologist, but I cannot get an appointment until mid-late January.  I am hoping that I will not have long-term systemic damage from this while I am waiting.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urine odour abnormal
Clinical narrative: I am continuing to experience autoimmune responses from the H1N1 vaccine that I received on 12/7/09.  These symptoms include:  dry eyes, muscle fatigue, swollen/heavy feeling face and neck, loss of appetite, difficulty concentrating/sleeping, tingling numbness in feet and hands/arms, some loss of coordination, jitteriness (difficulty sitting still), different smelling urine, and generally feeling very unwell.  These symptoms have persisted for 3.5 weeks now.  I did not have any of these symptoms prior to receiving this vaccine on 12/7/09.  In fact, the symptoms started just hours after receiving the vaccine, and they continued to get worse.  Prior to this, I was a very busy mother of 3, working part-time, biking up to 20 miles/day, etc. I have had a number of tests, including a CT Scan, 4 blood tests, and a spinal tap.  The results so far are suggestive of Systemic Lupus and Sjogren's Syndrome.  2 ANA tests show titers of 160:1, and 80:1, with homogeneous and speckled patterns.  The Sjogren's SS-B value is 3.8.  I am following up with a rheumatologist, but I cannot get an appointment until mid-late January.  I am hoping that I will not have long-term systemic damage from this while I am waiting.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Dyspnoea, Mouth ulceration, Oedema peripheral, Swollen tongue
Clinical narrative: Pt had ulcers erupt on her tongue and lips: tongue was swollen as well as some hand swelling: pt felt slightly short of breath with exertion-pt took Benadryl twice and symptoms resolved.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Extrasystoles, Myalgia, Oropharyngeal pain
Clinical narrative: Muscle ache; sore throat; "heart skipping" (patient has experienced this before vaccine).
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Cardiac enzymes normal, Chest discomfort, Laboratory test normal
Clinical narrative: About 24 hrs after receiving H1N1 injection vaccine; he developed colicky centralized heavy sensation in chest. He was admitted to hospital and R/O fu MI.   12/30/09:  Hospital and primary care records received for dates of service 12/17/09 to 12/29/09.  Dx:  Atypical chest pain.  Developed retrosternal chest pain with pressure associated with some SOB.  Presented to the ED and given nitroglycerin and pain partially resolved but did not go away completely so pt. was admitted for chest pain, r/o ACS.  Discharged the next day on Aspirin and Simvastatin.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1), VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: On 12/11/09 - patient's mother called to report a local reaction at injection site of VARIVAX vaccine given to patient on 12/8/09. Mother only wanted it reported to facility-that area was reddened, swollen (approx. the size of a tangerine) with itchiness - and at time of phone call to us - resolving - patient's mother refused offered appoint. for patient to be seen.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Eye discharge, Fatigue, Nausea
Clinical narrative: Mattery eye, nausea, weakness and fatigue. Eye Sx abated end of day; other Sx X 36 hours.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Eye haemorrhage, Pneumonia, Throat irritation
Clinical narrative: Began with scratchy throat that progressed into coughing so hard that she broke a blood vessel in her eye.  Went to physician received medication 7 days post vaccine went back to physician because still coughing and dx with pneumonia.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Temp 99'O' 2 inch diameter reddened raised area, warm to touch on R deltoid.  Motrin given per parent.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration
Clinical narrative: Immunization was administered intramuscularly-should have been SQ. No adverse reaction.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Diarrhoea, Pyrexia, Rash macular, Upper respiratory tract infection
Clinical narrative: Pt. received MMR vaccine on 12/12/09. On 12/22/09 developed macular rash on chest. Which spread to back, groin and face. Also developed mild URI sx including low-grade fever and mild diarrhea. In office on 12/22 pt. febrile. Mother very concerned this was adverse reaction to vaccine.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Skin nodule, Tenderness
Clinical narrative: The next day - know appeared, bright red bulls eye, very tender. BENADRYL given. Taken to pediatrician. slowly improving.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration
Clinical narrative: Immunization was administered intramuscular - should of been SQ. No adverse reaction.
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthma, Wrong drug administered
Clinical narrative: Patient is asthmatic and received the LAIV vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Severe swelling in whole arm around vaccination site; reddness/tenderness
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Drug dispensing error
Clinical narrative: Child was a 3 year old (BD 03/14/06) and received a 4 year old and above vaccine.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Bronchitis, Erythema, Injection site abscess, Laboratory test, Limb discomfort
Clinical narrative: Upper arm was sore, swollen & red during the day. Fever of 101 - 103 started at approx 7:00pm, continued for several days as injection site grew in size and got blotchy, very hot & red. Went to Urgent care and was treated for a cellulitis with Rocephin & amoxicillin at urgent care.  Fever continued for two more weeks, again treated with Rocephin & zithromycin for bronchitis but fever and body aches continue to return. Patient is still recovering.  It has been a month since vaccine and is still having problems with infections.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Pyrexia, Rash macular, Swelling
Clinical narrative: Upper arm was sore, swollen & red during the day. Fever of 101 - 103 started at approx 7:00pm, continued for several days as injection site grew in size and got blotchy, very hot & red. Went to Urgent care and was treated for a cellulitis with Rocephin & amoxicillin at urgent care.  Fever continued for two more weeks, again treated with Rocephin & zithromycin for bronchitis but fever and body aches continue to return. Patient is still recovering.  It has been a month since vaccine and is still having problems with infections.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Dizziness, Electrocardiogram ambulatory, Hyperhidrosis, Nuclear magnetic resonance imaging
Clinical narrative: Vacc administered L arm by me. No local reaction immediate. On 11/22/09 started with low, chills, sweat-dizziness and nystagmus.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nystagmus, Urine analysis
Clinical narrative: Vacc administered L arm by me. No local reaction immediate. On 11/22/09 started with low, chills, sweat-dizziness and nystagmus.
Age: 64.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: About 7 hours after the injection, patient experienced hives and itching. (side of back and under arm pits). Patient was given I.V. Prednisolone and BENADRYL in ER. All symptoms have subsided within 12 hours.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Rash pruritic
Clinical narrative: SIGNS AND SYMPTOMS INCLUDE: REDNESS, RASH, ITCHING. TIME COURSE: LASTED 5 DAYS. NO TREATMENT PER PATIENT
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Haemorrhage, Ultrasound scan abnormal
Clinical narrative: The symptoms began about 1 to 2 weeks after the H1N1 vaccine was given on November 24, 2009, which ultimately lead to my miscarriage. During my first prenatal doctors appointment, on Dec. 7th, I should have been 6 weeks along. When the doctor did an ultrasound they said they couldnt see an embryo and that I was probably only 4.5 weeks along, which did not add up. About 2 week later, on December 22, I began heavy bleeding. On December 23, I had another ultrasound which confirmed the pregnancy was no longer viable.  I am in a mom's group and over the past month 4 of us found out we were pregnant and all of us miscarried, and all us of received the H1N1 vaccine. This is more than a coincidence.  12/31/09:  Prenatal records received for dates of service 12/11/09 to 12/23/09.  Dx:  Failed intrauterine pregnancy.    Gravida 1, Para 0, LMP:  10/31/09.  Transvaginal US shows failed intrauterine pregnancy with hemorrhagic byproducts identified within the endometrial cavity.
Age: 82.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abasia, Arthralgia, Pain in extremity
Clinical narrative: Left Hip pain and thigh pain so severe cannot walk.
Age: 26.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Chest discomfort, Chills, Cough, Headache, Pain in extremity
Clinical narrative: Tightness in chest cough, Achy arms, legs.  At 1AM chills, achy arms, legs, head ache low grade fever.  6AM low grade fever, and head ache.  10am fever was gone still had head ache
Age: 26.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Pyrexia
Clinical narrative: Tightness in chest cough, Achy arms, legs.  At 1AM chills, achy arms, legs, head ache low grade fever.  6AM low grade fever, and head ache.  10am fever was gone still had head ache
Age: 64.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dyspnoea, Heart rate increased
Clinical narrative: The following occurred two and half hours after receiving H1N1 shot 12/15/09. Difficulty breathing, rapid heart beat, the patient never experienced any heart problems prior to the vaccine. 12/31/09, 1/4/10, 1/6/10 Records received for ED, Hospital records and cardiology consult for dates of service 12/15/09 to 12/28/09.  Dx:  Atrial fibrillation with rapid ventricular rate.  Two hours after H1N1 vaccine experienced chest tightness, SOB and palpitations. Took Benadryl and presented to ED in atrial fibrillation with ventricular rate of 147.  Given Cardizem bolus and then drip.  Experienced improvement of sx. of chest tightness,SOB, palpitations and control of heart rate. Successfully cardioverted and started on heparin.  Discharged on coumadin and Lovenox.  Followed up on 12/28/09 for persistent hypertension.  Norvasc added to regimen.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Grip strength decreased, Hypoaesthesia, Injection site erythema, Injection site haematoma, Injection site warmth
Clinical narrative: Pt states received H1N1 flu vaccine approx 2:15 PM 12-11-09, 15 min later arm, injection site, was hot and slightly red. By 12-12 AM upper arm sore-12-12 PM throbbing, 12-13 AM arm heavy, fell asleep with tingling down to fingertips. Numbness 12-13 dropped cell phone. 12/14, 12/15 and 12/16 continues to have tingling down arm into fingertips and throbbing in shoulder. 12-16 Pt reports hand slightly swollen. 12-16 pt into health unit, small bruise at injection site noted, grip slightly less in left hand. No redness or heat seen or felt in upper arms.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral, Pain, Pain in extremity, Paraesthesia, Sensation of heaviness
Clinical narrative: Pt states received H1N1 flu vaccine approx 2:15 PM 12-11-09, 15 min later arm, injection site, was hot and slightly red. By 12-12 AM upper arm sore-12-12 PM throbbing, 12-13 AM arm heavy, fell asleep with tingling down to fingertips. Numbness 12-13 dropped cell phone. 12/14, 12/15 and 12/16 continues to have tingling down arm into fingertips and throbbing in shoulder. 12-16 Pt reports hand slightly swollen. 12-16 pt into health unit, small bruise at injection site noted, grip slightly less in left hand. No redness or heat seen or felt in upper arms.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1), FLU3, FLUN(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: During mass flu school clinic mom stated "previous flu shot" RN gave H1N1 nasal spray- child told mom, mom then stated "previous flu shot" was really nasal mist seasonal. Child was sent back through vaccination line was given H1N1 injection and seasonal injection.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Dizziness, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: Student c/o itching and warmth to L arm along with pain after H1N1 injection. Ice applied and mom notified. VS monitored. Cough began and student placed in supine position with feet elevated. BENADRYL given after itching and warmth noted. C/O dizziness - continued to monitor VS. C/O CP and nausea.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Paraesthesia
Clinical narrative: Approx 10 min after receiving H1N1 inj. student c/o tingling in both arms vs. WNL, inj site slightly red, no swelling, c/o mild pain. Ice pack applied to site, pursed - lip breathing encouraged. ROM performed both arms. Sx improved & student returned to class. Returned to nurse 2 hrs later - parent notified & will check @ home.
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Dizziness, Nausea
Clinical narrative: Student c/o nausea, weakness, and dizziness aprox 10 min after receiving vaccine. No SOA, LCTA bilat. vs WNL. Placed in supine position with feet elevated. Began c/o sleepiness. Pt mom notified by PC of pt condition. Left with dad @ 13:25.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Immediate post-injection reaction, Injection site discomfort, Loss of consciousness
Clinical narrative: Approx. 15 minutes after injection-student became lightheaded-dizzy-c/o soreness @ injection site. Reclined student on floor. Vitals-148/79, P-90, Temp 98.3. Ice to site. LOC-alert x 3. VS rechecked after 20 minutes-B/P-115/81, P-102. Call made to mother-gave report of student and condition after injection. Student reported sx decreased-"feeling better". Requested to RTC. RTC with instructions to return to nursing office if complications arise.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthma, Chest pain, Dizziness
Clinical narrative: Approx 10:25 c/o feeling light headed, dizzy - chest pains. Student asthmatic with inhaler. and food, drink AM. Color good no SOB. nausea, vitals - 94/70 P-100 R-20. Student reclined - given PB crackers and sprite; 10:45 -sitting up = eating drinking - talking w/o difficulty. Reports mild improvement in dizziness. 11:00 98/68, P64, RR 16. Student reports feeling better and says she feels she can stay at school. Call made to mother to report condition, reaction to vaccine. Returned to class = instruction to see school nurse if sx's reoccur.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: At 9:10 c/o feeling lightheaded, dizzy, finger of left hand tingling, radiation to elbow. Mild soreness at injections site. Vitals 97.2, 140/90, P 75. Student reports nerve damage to hand-does not receive shots in arm. Did not report this to nurse at time of injection. Redness and swelling at injections site. Student reclined to floor. Lungs clear, bilaterally to site (+) breakfast. Reports taking Flexeril for pulled stomach muscles. 9:30 B/P 140/75 P 72. Student reports Sx's. Mother called-notified of Sx's-reaction to vaccine. Mother to pick up for home. 9:50 B/P 130/80 P 80.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Vision blurred
Clinical narrative: Student c/o dizziness and poor focus with H1N1 shot. Monitored VS, O2 applied, controlled breathing techniques utilized. Parents notified and picked up student for transport.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Chest discomfort, Feeling hot, Loss of consciousness, Presyncope
Clinical narrative: 10:10 Pt. c/o feeling hot, symptoms progressed to heaviness feeling in chest; 10:25 LOC few seconds, revived 10:30 LOC x 1 min, revived 10:35 LOC x 1 minute, revived, 10:40 LOC - utilized ammonia inhalant to revive. oxygen @ 64 min. EMS notified. B/p 150/100. 10:50 EMS arrived transported to local ER B/p 150/110. Approx. 2 1/2 hrs later, student returned to school with parent. "Feeling ok." ER discharge dX - anxiety/vasovagal reaction.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Dizziness
Clinical narrative: 10:15 C/O chest pain after vaccine (H1N1) also C/O dizziness. Reports "always has chest pains after shots". Did not report this info to nurse @ time of vaccination. Ate breakfast, with fluids, lungs clear to auscultation----. Reclined to floor - sprite offered po. Encouraged to do paused breathing. Rested x 15 minutes. Student sat upright - reported Sx's decreased to return to class. Returned to class with instruction to see school nurse if Sx's reoccur.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Peripheral coldness
Clinical narrative: Student c/o paresthesias and coldness L arm and fingers after vaccine. No localized reaction @ injection site. Good ROM BUE, grip strength + and equal bilat., CRT brisk.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dry skin, Skin warm
Clinical narrative: Pt c/o being hot light headed @ 15-20 min after injection VS WNL. Drank soft drink without difficulty. Skin pink/dry. Child back to class (no further distress).
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Malaise, Palpitations
Clinical narrative: Student c/o "heart pounding" and not feeling well after H1N1 vaccine. Did not eat b'fast and got sick riding bus this a.m. No SOB, rash or itching reported. Sprite and crackers given and student feeling better.
Age: 44.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Flushing, Rash
Clinical narrative: Within 5 min he developed a rash, had facial flushing and become lightheaded.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling abnormal, Immediate post-injection reaction, Syncope
Clinical narrative: Had a small faint immediately after the H1N1 flu shot was taken. Now it is been 9 days after the shot, the faint (dizzy) still remains and I am not feeling normal, but I have never fainted or vomited.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child was 3 years old  (DOB 06/04/2006) and received a 4 years and above vaccine.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site pain, Injection site swelling
Clinical narrative: patient stated she has localized heat, swelling and pain at the injection site and that she had an appointment with her PCP the next day.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child was a 3 year old (DOB 01/09/2006) and received a 4 years old and above vaccine.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child was 3 years old (DOB 05/29/2006) and received a vaccine for 4 years and older.
Age: 44.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Condition aggravated, Musculoskeletal pain, Tenderness, Tendonitis
Clinical narrative: Patient reports increased pain in left shoulder one day after receiving injection.  Previously did have diagnosed tendinitis in left shoulder.  Pain and tenderness now subsiding.
Age: 49.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chills, Decreased appetite, Nausea, Pyrexia, Weight decreased
Clinical narrative: Chills and Fever (101) started on Dec. 04, 2009.  Then had fever of 102 from Dec. 5 through Dec. 7, 2009. Other symptoms: nausea, loss of appetite, weight loss. No respiratory symptoms noted.
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: No adverse event. Wrong vaccine given to newborn. Instead of Hep B, the baby received TdaP (adacel)
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: No adverse event. Baby rec'd Tdap (Adacel) instead of Hep B Vac
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: 5 inch by 3 inch red raised tear drop burning, itching rash at the injection site
Age: 29.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Borrelia burgdorferi serology, Computerised tomogram normal, Dysgeusia, Facial palsy, Paraesthesia oral
Clinical narrative: Tingling in tongue and alteration of taste with rapid progression to Bell's Palsy following LAV H1N1 Vaccine.
Age: 14.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Laryngitis, Myalgia, Pharyngitis, Pyrexia, Streptococcal identification test
Clinical narrative: 2 days developed fever to 102, muscle aches, pharyngitis, and laryngitis.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Dry skin, Erythema, Musculoskeletal stiffness, Skin disorder, Skin wrinkling
Clinical narrative: Left hand felt stiff and then became red, wrinkly, and dry with small amount of skin chafing, no symptoms in right hand. - vaccination was administered in left arm
Age: 55.0
Sex: F
Vaccine: PER, TD
Symptoms: Cough, Dyspnoea, Erythema, Hyperglycaemia, Oedema peripheral
Clinical narrative: Time listed above is approximate.  Started having allergic reactions the day of the injection. Arm swelled up to twice its size, had a bright red knot on arm the size of a golfball, very painful, sugar went up, had low grade fevers on and off for the past month or so. The most frightening reaction was when I laid down to sleep I suddenly couldn't breathe and my chest was wheezing very loud. Coughed continually from 11 PM to 4 AM. It keeps cropping back up. Had another episode last night (12/30), was so bad, I almost called 911 because I couldn't get any oxygen.
Age: 55.0
Sex: F
Vaccine: PER, TD
Symptoms: Pain in extremity, Pyrexia, Vaccination complication, Wheezing
Clinical narrative: Time listed above is approximate.  Started having allergic reactions the day of the injection. Arm swelled up to twice its size, had a bright red knot on arm the size of a golfball, very painful, sugar went up, had low grade fevers on and off for the past month or so. The most frightening reaction was when I laid down to sleep I suddenly couldn't breathe and my chest was wheezing very loud. Coughed continually from 11 PM to 4 AM. It keeps cropping back up. Had another episode last night (12/30), was so bad, I almost called 911 because I couldn't get any oxygen.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Culture positive, Herpes zoster, Rash
Clinical narrative: Rash appeared, taken to doctor on day 3, sample was cultured and found to be Shingles.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Local reaction
Clinical narrative: Patient experienced reaction to 2009 and 2006 INFLUENZA vaccines. Patient  did NOT experience reaction to 2008 or 2007 vaccines.  PLEASE NOTE THAT  THIS IS A LOCAL REACTION, NOT A SYSTEMIC REACTION.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Pyrexia, Rash erythematous
Clinical narrative: 12/16/09: c/o fever, itching and pain at site of injection. Four inch radius of redness around injection site. 12/17/09: patient was seen by PA-C who states that patient has a vesicular, very erythemic; 4cm macule with surrounding erythmatous pink area over most of the upper arm post-aspect.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash macular, Rash vesicular, Skin discolouration
Clinical narrative: 12/16/09: c/o fever, itching and pain at site of injection. Four inch radius of redness around injection site. 12/17/09: patient was seen by PA-C who states that patient has a vesicular, very erythemic; 4cm macule with surrounding erythmatous pink area over most of the upper arm post-aspect.
Age: 70.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Death, Myocardial infarction
Clinical narrative: Patient reported cold-like symptoms (congestion and sneezing) and was seen for that and for blood in his semen. He was given H1N1 vaccine and was released. The next morning he was found dead of a suspected heart attack.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Student say she felt dizzy c/o pain to both temples, c/o abdominal pain, c/o nausea feeling tired vaccine given at 10:50 AM at 3PM came to medical office B/P 108/69 T97.9 HR 84 regular, RR17, A+Ox3 no pallor pupils equal reactive to light.
Age: 49.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Epistaxis
Clinical narrative: Patient complained of nose bleed Friday she received vaccine. Vaccine was administered in the morning, her nose bleed started that evening.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: Headaches x 3 days.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Vomiting
Clinical narrative: Immediately after injection, child vomited x 1. Child was crying hard and had hx of reflux. Comfort measures, recommended diet (BRAT) provided.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Loss of consciousness, Presyncope, Syncope, Vomiting
Clinical narrative: Child received H1N1 injection at 9:48 am and at 9:52 passed out. Came to within a few seconds and was A&OX3. Approximately 5 min later she vomited and was taken to medical room and 911 called. Was evaluated at ER and discharged with diagnosis of Syncope-Vasovagal.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Apnoea, Bradycardia, Loss of consciousness, Vomiting
Clinical narrative: Child received H1N1 injection at 9:48 am and at 9:52 passed out. Came to within a few seconds and was A&OX3. Approximately 5 min later she vomited and was taken to medical room and 911 called. Was evaluated at ER and discharged with diagnosis of Syncope-Vasovagal.
Age: 81.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Asthenia, Cough, Decreased appetite, Diarrhoea
Clinical narrative: DEC 2 started with a sore throat, worsened next day, saw my Dr. third day with cough. Symptoms worsened with ache, no energy sick stomach, diarrhea. No high temp, in fact temp @ 95 light headed & dizzy. Couldn't eat.
Age: 81.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Oropharyngeal pain, Pain
Clinical narrative: DEC 2 started with a sore throat, worsened next day, saw my Dr. third day with cough. Symptoms worsened with ache, no energy sick stomach, diarrhea. No high temp, in fact temp @ 95 light headed & dizzy. Couldn't eat.
Age: 0.9
Sex: F
Vaccine: DTAPIPVHIB, HIBV, IPV
Symptoms: Convulsion, Irritability
Clinical narrative: Mom called and patient had had a seizure lasting about 10 seconds. Mom stated fussy then seized no fever, known hx of seizure disorder, abnormal EEG, sees doctor at hospital. Doc says to have vaccine no tx'ment.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest pain, Cough, Nasopharyngitis, Pneumonia, Pyrexia
Clinical narrative: S/s of "cold w/3 days absence from school no meds. Than cough and chest pain began on 11/27/2009 low grade fever began on 11/30 on 12/4/09 was diagnosed with pneumonia was treated w/AZITHRO than on 12/8/09 was put on PO AUGMENTIN
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: Student c/o dizziness after H1N1 vaccine given. Sprite given, but student continues to c/o dizziness. Mom called. Student left with mom in no apparent distress.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Mother claimed that child developed hives on and off for 2 days after receiving the H1N1 vaccine for the whole week. Mother called the doctor who told her to give child BENADRYL and it helped.
Age: 18.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Induration, Pain in extremity, Pruritus
Clinical narrative: Client reports she had varicella and HPV immunizations given in L arm on 12-28-09. On Tues. approx 9 PM, bandaids removed and noticed redness. Pain in back of upper arm; above elbow is sore also. States has hard knot, size of 3" circle towards back of arm. Itching also in area of bandaids.
Age: 79.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood product transfusion, Electromyogram abnormal, Endotracheal intubation, Fatigue, Guillain-Barre syndrome
Clinical narrative: Patient presented to the emergency department on 12/13/09 with 2-3 days of fatigue and lower extremity weakness.  The patient was admitted to the hospital and experienced progressive ascending paralysis with subsequent respiratory distress which required intubation on 12/15/09.  Per the immunology physicians note on 12/17, diagnosis was Acute Inflammatory Demyelinating neuropathy consistent with Guillain-Barre Syndrome.  The patient received a course of five plasmapheresis treatments, followed by one treatment of IVIG.
Age: 79.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscular weakness, Nerve conduction studies abnormal, Respiratory distress
Clinical narrative: Patient presented to the emergency department on 12/13/09 with 2-3 days of fatigue and lower extremity weakness.  The patient was admitted to the hospital and experienced progressive ascending paralysis with subsequent respiratory distress which required intubation on 12/15/09.  Per the immunology physicians note on 12/17, diagnosis was Acute Inflammatory Demyelinating neuropathy consistent with Guillain-Barre Syndrome.  The patient received a course of five plasmapheresis treatments, followed by one treatment of IVIG.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Injection site nodule, Pain in extremity
Clinical narrative: PATIENT DEVELOPED REDDENED 3MM KNOT IN LEFT DELTOID POST VACCINATION.  NO OTHER REACTION NOTED. SCHOOL NURSE APPLIED ICE TO AREA FOR 30 MINUTES.  KNOT DECREASED TO 2MM.  NO REDNESS NOTED AT 10:20 AM.  STUDENT VERBALIZED THAT HE HAS A SORE ARM.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling in right arm (whole arm).....come and goes..since the 19th Next day 20th numbness moved to left arm and fingertips comes and goes.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: PATIENT VOMITED A SMALL AMOUNT OF CLEAR LIQUID AFTER BEING VACCINATED. DENIED DIZZINESS OR HEADACHE.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Biopsy skin abnormal, Blood test abnormal, Chills, Cutaneous lupus erythematosus, Erythema
Clinical narrative: Fever Avg 100.5 Deg with chills and general malaise. Duration: 22 days. Quarter-sized red-raised plaques appeared on both arms.  Final diagnosis by multiple specialists: Cutaneous Lupus
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Oedema peripheral, Pyrexia
Clinical narrative: Fever Avg 100.5 Deg with chills and general malaise. Duration: 22 days. Quarter-sized red-raised plaques appeared on both arms.  Final diagnosis by multiple specialists: Cutaneous Lupus
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fall, Flushing, Head injury, Skin warm, Syncope
Clinical narrative: AT 9:30 AM HAD SYNCOPE EPISODE AND FELL AND HIT BACK OF HEAD.  SKIN FLUSHED, WARM, BP.130/60, AP. 98 RRR, MONITORED AND CONDITION RETURNED TO NORMAL.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red, swollen, 10 x 10 cm tender patch on left upper arm at vaccine site
Age: 46.0
Sex: F
Vaccine: FLU(H1N1), FLUN3
Symptoms: Blood product transfusion, Burning sensation, Computerised tomogram, Confusional state, Diarrhoea
Clinical narrative: Pain in legs moving upward throughout body within two days also affected hand movement. Leg paralysis leading to hospitalization. From then on headaches body spasms, burning sensation in extremities. Extreme Pain, confusion, nausea, diarrhea, unconfirmed diagnosis of GBS treated with pain medication and intravenous immunoglobulin.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1), FLUN3
Symptoms: Headache, Hypokinesia, Lumbar puncture, Monoplegia, Muscle spasms
Clinical narrative: Pain in legs moving upward throughout body within two days also affected hand movement. Leg paralysis leading to hospitalization. From then on headaches body spasms, burning sensation in extremities. Extreme Pain, confusion, nausea, diarrhea, unconfirmed diagnosis of GBS treated with pain medication and intravenous immunoglobulin.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1), FLUN3
Symptoms: Nausea, Nuclear magnetic resonance imaging, Pain, Pain in extremity, X-ray
Clinical narrative: Pain in legs moving upward throughout body within two days also affected hand movement. Leg paralysis leading to hospitalization. From then on headaches body spasms, burning sensation in extremities. Extreme Pain, confusion, nausea, diarrhea, unconfirmed diagnosis of GBS treated with pain medication and intravenous immunoglobulin.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Malaise, Urticaria
Clinical narrative: c/o "feeling funny" "I'm having a reaction to the shot" "I have hives in my ears, in my hair and my head itches". Given Benadryl and sent to the ER via ambulance. No apparent shortness of breath., R 20 and easy/unlabored.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: MOTHER WENT TO MD OFFICE. CHILD DEVELOPED HIVES ON FACE AND BACK AFTER H1N1 VACCINATION. CHILD RECEIVED BENADRYL IM AT MD OFFICE.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: FEVER, SEVERE CHILLS AND BODY ACHES
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: MOTHER CALLED AND REPORTED CHILD DEVELOPED HIVES FROM HEAD TO TOE 24 HOURS AFTER RECEIVING H1N1 VACCINE. NO OTHER SYMPTOMS WITH HIVES.  CHILD TAKEN TO PRIMARY MEDICAL DOCTOR. CHILD GIVEN BENADRYL. FOLLOW-UP PHONE CALL TO MOTHER REPORTS CHILD IS FINE AND HAD NO OTHER PROBLEMS.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: inj 12/16/09 -Developed soreness 5 hours post injection. Increased pain with some swelling the following day. 12/18 2:30 am, woke up w/some pain and swelling and redness halfway down the inside of arm. The swelling was down to elbow.  -Most likely chemical reaction but cant R/O cellulitis. CEPHALEXIN 550 mg QID x 10 days
Age: 48.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Influenza like illness, Pollakiuria, Skin warm
Clinical narrative: Flu like symptoms. Feels warm all over body. Frequent urination. Seen by doctor during employment physical on 12-28-2009.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Electromyogram, Hypoaesthesia, Pain in extremity
Clinical narrative: 1) numbness in hand at time of injection on 11-19-09, left hand 2) numbness and extreme pain in left hand continuous since 11-22-09 still being evaluated
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Skin test negative
Clinical narrative: 24 hours after injection, pt had redness, warmth and swelling from injection site down to elbow, but not above injection site.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, White blood cell count increased
Clinical narrative: Well pt became febrile (103.4) severe hours after vaccine admin.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain
Clinical narrative: Pain from shoulder to fingers.
Age: 53.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Incorrect route of drug administration
Clinical narrative: Misadministration of H1N1 vaccine. She was given the intranasal vaccine instead of intramuscular vaccine. No adverse reaction noted/reported.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site erythema, Injection site pain, Tendonitis
Clinical narrative: Received injection/ Dad's report at shoulder area. Immediately was sore, with redness no swelling on warmth noted Thursday evening, increased pain, unable to move L arm sore into Thursday, started ADVIL 2 X day. Slight relief. No further improvement after 3 - 4 days. Referred to orthopedic MD; dx tendinitis, pt 2 x wk. Has not been able to have PTd/ to opening only 1 x 2 wk. Dad feels she is not recovering.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Condition aggravated, Convulsion, Tremor
Clinical narrative: Patient began to seize with generalized tremors.Unable to stop with administration of Diastat 5mg per rectum.  911 called and medics arrived to transport to hospital.   1/4/10:  Hospital records received for dates of service 12/16/09 to 12/22/09.  Dx:  status epilepticus  Pt. had a tonic clonic seizure at nursing home where she lives shortly after Pneumovax shot.  Also had one episode of vomiting.  Given Ativan, diazepam and phenytoin.  She continued to seize in the ED, no longer generalized tonic clonic seizures but partial seizures with unresponsiveness.  Intubated and sedated in the ED. Duration of seizures 45 minutes.  Put on versed drip which stopped the seizure. Developed dysphagia, underwent modified barium swallow.  Discharged on pureed diet with speech therapy.  Discharged back to the nursing home on Keppra.
Age: 43.0
Sex: F
Vaccine: DTAP
Symptoms: Dysphonia, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Patient C/O feeling warm, had a 102.4 fever; headache; bodyache; fatigue; hoarse voice; and nausea and vomiting. Patient also had arm pain at the site of injection. The patient took Advil for the fever and body aches.
Age: 43.0
Sex: F
Vaccine: DTAP
Symptoms: Pain, Pyrexia, Skin warm, Vomiting
Clinical narrative: Patient C/O feeling warm, had a 102.4 fever; headache; bodyache; fatigue; hoarse voice; and nausea and vomiting. Patient also had arm pain at the site of injection. The patient took Advil for the fever and body aches.
Age: 81.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dysphagia, Dysphonia, Dyspnoea, Heart rate increased
Clinical narrative: shortness of breath, difficulty swallowing, hoarsness, rapid heart rate
Age: 68.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood product transfusion, Clumsiness, Guillain-Barre syndrome, Monoplegia, Muscular weakness
Clinical narrative: Started with weakness and clumsiness in R arm.  Progressed to loss of use of arms and legs.  Neurology says "GBS symptoms, possibly vaccine related".  Currently being treated with IVIG.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Computerised tomogram normal, Convulsion, Gaze palsy, Joint stiffness, Somnolence
Clinical narrative: APPROXIMATELY 4 MINUTES AFTER RECEIVING H1N1 VACCINATION. PATIENT TALKING TO PEER. PATIENT WAS SITTING IN CHAIR THEN SLUMPED OVER WITH EYES ROLLED BACK,ARMS AND LEGS BECAME STIFF WITH FISTS CLENCED AND TURNED INWARD. THIS POSTURE LASTED APPROXIMATELY 20-30SECONDS. PATIENT BECOME LUCID AND SAID "OK". AUNT AT PATIENT'S SIDE, TALKING TO PATIENT. PATIENT WAS SITTING THEN BEGAN HAVING EPISODE OF QUESTIONABLE SEIZURE-LIKE ACTIVITY FOR 30-45 SECONDS. BP.72/? HEART RATE64 RESPIRATORY RATE 20. EMS(911) CALLED VITAL SIGN RECHECK BP.92/58 HR.64 RR20, PATIENT ALERT AND ORIENTED TO TIME, PLACE, AND PERSON, WITH STABLE VITAL SIGNS.PATIENT SLEEPY UPON EMS ARRIVAL FOR TRANSFER TO SELF REGIONAL HEALTHCARE SYSTEM - EMERGENCY ROOM
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Chest pain, Hypoaesthesia, Paraesthesia
Clinical narrative: C/o numbness and tingling in left arm , then chest pain. The chest pain subsided after a short while and cna didnt seek medicxal attention. Cna reported for work on 12-30-09 and no longer had chest pain but didnt feew herself. She was complaining of generalized weakness. She was advised to go to the ER for eval. Cna declined but did call her PCP and was left to go see pcp.
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Dyspnoea, Eye swelling, Paraesthesia, Urticaria
Clinical narrative: Breathing tightened and wheezing; left eye swelled, a few hives, hands had burning sensation and tingling
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Wheezing
Clinical narrative: Breathing tightened and wheezing; left eye swelled, a few hives, hands had burning sensation and tingling
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Contusion, Crying, Dizziness, Headache, Staring
Clinical narrative: PATIENT WAS STANDING TALKING WITH CLASSMATES AFTER RECEIVING H1N1 VACCINE. STATES STARTING FEELING DIZZY AND THE NEXT THING PATIENT REMEMBERS IS WAKING UP ON THE FLOOR. STAFF HEARD NOISE AND NOTED STUDENT LYING ON THE FLOOR,STARING INTO SPACE. NURSE TALKING TO PATIENT AND PATIENT RESPONDED VERBALLY AND CRYING SAYING HIS HEAD HURT. 2CM CONTUSION NOTED TO LEFT UPPER OCCIPITAL AREA OF HEAD. ICE PACK APPLIED BY NURSE. HEART RATE 88 RR 16 BP.88/64. PATIENT ALERT TO ORIENTED TO PLACE, PERSON AND TIME. PARENT NOTIFIED, PARENT TOOK CHILD TO PMD.  PARENT LATER RETURNED TO SCHOOL AND STATES "PHYSICIAN SAID CHILD WAS FINE"
Age: 49.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Chills, Cough, Culture throat, Fatigue, Nausea
Clinical narrative: On night of 14th, had sore throat, cough, chills, fatigue, sneezing.  One night later, had nausea lasting 2 days. On 16th and 21st, saw PMD.  10/22 returned to work.  Throat culture taken but results pending when reported event to me on 10/23.
Age: 49.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Oropharyngeal pain, Sneezing
Clinical narrative: On night of 14th, had sore throat, cough, chills, fatigue, sneezing.  One night later, had nausea lasting 2 days. On 16th and 21st, saw PMD.  10/22 returned to work.  Throat culture taken but results pending when reported event to me on 10/23.
Age: 32.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis of left arm.   12/31/09:  Discharge summary and hospital records received for dates of service 12/27/09 to 12/29/09 Dx:LUE Cellulitis, DMI (Uncontrolled), HTN, HLD, hypothyroidism, obesity  Given pneumovax and seasonal flu shot, the next day he felt chills, nausea and a local reaction around the injection site.  The area became progressively more tender, red, swollen and warm to touch.  It extended down the forearm and up into the shoulder.  Notes pain of arm with movement.  Started on IV antibiotics.  Arm continued to improve over course of admission, on day of discharge doing well with no complaints.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Chills, Pyrexia, Vomiting
Clinical narrative: fever of 103.5, severe vomiting, uncontrollable chills, lower back pain.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Furuncle, Rash
Clinical narrative: Patient's Mother describes reaction as a pus filled boil/rash in various areas of the body. Looks similar to suspected MRSA that was previously diagnosed.
Age: 5.0
Sex: F
Vaccine: FLU3, HEP, VARCEL
Symptoms: Eyelid function disorder, Facial palsy, Facial paresis
Clinical narrative: Left facial weakness, inability to close left eye.   12/31/09:  ED Records received for date of service 12/28/09.  Dx:  Bell's Palsy.  Presented with facial weakness x 5 days with gradual onset, now constant.  Also facial weakness and difficulty with speech.  Eyedrops given, instructed to sleep with eye taped shut.
Age: 37.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Herpes simplex
Clinical narrative: Twenty-four hours after receiving both the season flu vaccine and the H1N1 vaccine, the patient experienced an outbreak of herpes simplex (HSV-1) on the skin surrounding and inside the mouth.
Age: 0.22
Sex: F
Vaccine: DTAPHEPBIP, RVX
Symptoms: Cough, Diarrhoea, Irritability, Rhinorrhoea, Upper respiratory tract congestion
Clinical narrative: She had congestion, runny nose, and a cough for three days.  She also had mild diarrhea for 7 days and was fussier than normal.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea, Tremor, Vertigo, Vomiting
Clinical narrative: Pt. had severe vertigo, nausea and shaking after vaccine. Admitted to ER where BENADRYL was administered. Shaking stopped approximately 1 hour later. Patient also vomited. Symptoms started with 5 minutes of vaccine. She almost passed out.
Age: 62.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Chest pain, Pain
Clinical narrative: Chest/side pain on left side of abdomen comes and goes; shooting pain started about 5 minutes after vaccination. Blood pressure 162/85 after 10 minutes 167/91 after another 10 minutes 157/91. MD called advised ER if pain, patient declined, patient left called at 3 pm, patient ok.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Cough, Wheezing
Clinical narrative: 1. Cough Wheeze. 2. CHEST PAIN.  1/8/10 Spoke w/patient who stated she did not seek any medical treatment & has fully recovered.
Age: 4.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: This is a 4 year old female who came to our clinic for vaccine injection. Pt was to receive DTaP, however medical assistant gave Tdap. They contacted the Deputy Medical Director. Pt should continue regular vaccine schedule and still receive the 5th dose of Dtap and Tdap at age 11-12. Supervisor reviewed the 5 patient's right for med administration.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Influenza like illness
Clinical narrative: H1N1 vaccine. Flu-like symptoms developed with 48 hours to include; dizziness, headache, nausea, weakness, fatigue. Symptoms were self limiting and did not result in f/u care. Report also submitted to VAERS.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea
Clinical narrative: H1N1 vaccine. Flu-like symptoms developed with 48 hours to include; dizziness, headache, nausea, weakness, fatigue. Symptoms were self limiting and did not result in f/u care. Report also submitted to VAERS.
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site swelling, Pyrexia, Skin warm
Clinical narrative: Developed fever 101.4, red swollen area below injection site of PNEUMOVAX, hot to touch, pt experienced chills.