chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose increased, Flushing, Nausea, Pallor, Throat irritation
Clinical narrative: First time  flu shot 5mins after injection patient became very pale and felt nausea. Face became very flushed = hives around face and neck complained of throat feeling itchy and tight. Epi given and called 911.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness, Urticaria
Clinical narrative: First time  flu shot 5mins after injection patient became very pale and felt nausea. Face became very flushed = hives around face and neck complained of throat feeling itchy and tight. Epi given and called 911.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Limb discomfort, Pain in extremity, Pruritus
Clinical narrative: Itching in upper arm 8 hours after injection. Upper arm "dull ache/pressure" 24 hours after injection. Dull ache and pressure down into forearm 36 hours after vaccine.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Raised red spots on my body which itch. Tolerable in day time, worse at night after going to bed. 1% Hydrocortisone cream, Bio freeze and ice. Situation still exists. BENADRYL recommended. Not taken due to potential drowsiness.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Rash maculo-papular
Clinical narrative: Soreness at injection site with 3.75 x 3.5 cm warm, pink raised area at site.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site reaction
Clinical narrative: The consumer had flu shot and had some problems where the shot was given. Patient complained of mobility problems in that arm.
Age: 1.74
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Cellulitis, Erythema
Clinical narrative: Shot noon 9/28. Erythema that night. 9/29 cellutitis like reaction 3x3cm. 9/30 continued to worsen with increased diameter. Started OMNICEF. 10/1 improving, playing, better.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pt woke at 23:30 with fever of 102.1 and had 6 episodes of vomiting.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Diarrhoea, Eye discharge, Nausea
Clinical narrative: 10/2/09 14:00-FLUZONE received. 19:00-developed coughing x 3 hrs. 10/3/09 01:00 woke up with wheezing and tightness in chest and eyes crusted shut. All day stomach churning-slight diarrhea. PM felt fine.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: 10/2/09 14:00-FLUZONE received. 19:00-developed coughing x 3 hrs. 10/3/09 01:00 woke up with wheezing and tightness in chest and eyes crusted shut. All day stomach churning-slight diarrhea. PM felt fine.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pruritus, Rash
Clinical narrative: Sore throat itching rash on trunk, legs and arms.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling / numbness in arm after leaving store and came back. Went away by later that evening when we checked on patient.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Patient inadvertently given a 3rd dose of Varicella. Observed. No adverse reaction noted. Time course: 11:00 Am- 4:15 AM.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: About 10 minutes after vaccination, patient stated her Right hand felt, "like it was asleep". It resolved completely about  60-90min later.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness, pain locally, extreme rt thigh. No care needed. Resolved.
Age: 86.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Contusion, Pain in extremity
Clinical narrative: Patient reports bruise and pain on left arm from immunization for 10 days.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Headache, Local swelling, Nausea, Oedema peripheral
Clinical narrative: L arm swollen, red, hot to touch, nausea, headache, swelling up into the neck then face.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Physical examination, Skin warm, Swelling face
Clinical narrative: L arm swollen, red, hot to touch, nausea, headache, swelling up into the neck then face.
Age: 3.0
Sex: M
Vaccine: HIBV
Symptoms: Cellulitis, Erythema, Swelling, Tension
Clinical narrative: Shot 9/28 12:00. Erythema evening. 9/29 Cellulitis like reaction. 9/30 12 x 18 cm red, tense, swollen. But child playing, started OMNICEF. 10/1/09 Definitely better.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: Swelling, hurting, rash on my muscle of arm. Couldn't move arm on Friday eve. Oct 2. 2009
Age: 5.0
Sex: F
Vaccine: FLUN3
Symptoms: Abasia, Blood glucose decreased, Cyanosis, Dizziness, Heart rate decreased
Clinical narrative: Dizzy, wobbly-couldn't walk, pale, lips turned blue. Heart rate dropped low had irregular heart beat. Sugar low immediately following mist (going for 2nd opinion).
Age: 5.0
Sex: F
Vaccine: FLUN3
Symptoms: Heart rate irregular, Pallor
Clinical narrative: Dizzy, wobbly-couldn't walk, pale, lips turned blue. Heart rate dropped low had irregular heart beat. Sugar low immediately following mist (going for 2nd opinion).
Age: 1.08
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Flushing, Injection site erythema, Injection site urticaria, Rash papular
Clinical narrative: PER MOM,"BRIGHT RED WELT" QUARTER SIZED ON AREA WHERE VARICELLA VACINE GIVEN; FACE AND BOTTOM ALSO "FLUSHED". 10/11/09 - PIMPLE LIKE AREAS ERUPTED ON BODY, BUT PER DAD, GONE TODAY 10/12/09
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: Fever, headache, dizziness. Taking 400mg. Motrin every four hours and drinking lots of fluids. Fever has broken twice, but escalates without the meds.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Headache, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, chills, headache, runny nose.Treating with Motrin,fluids, and rest.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt was given Pneumovax per Dr.'s verbal order.  This would be 3rd dose, previous administration dates were 1998, and 2008 and pt was given this today 10/12/2009.  Dr. was notified of this error.
Age: 64.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Woke up with a very swollen and red and hot left arm. Ask pharmisist at Walgreens and she said ice packs and Tylenol for pain.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Migraine, Sluggishness
Clinical narrative: She complained of a headache--she explained that she started feeling "sluggish" about 3:00 PM and by 5:00 PM, she had a headache.  Later that evening, it developed into a "full-blown" migraine.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia, Urticaria
Clinical narrative: Hives developed on his face at 1PM the same day as flumist was given. He continued to have hives on his face, back, arms, buttocks, and hands until 10/07/2009.  The last hives developed around 5:30 PM on 10/07/2009.  The hives were treated with Benadryl after speaking with the pediatricians office.  He developed a fever of 101 the morning of 10/07/2009.  We took him to the pediatrician office on Thursday.
Age: 27.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Paraesthesia
Clinical narrative: Redness, swelling, warmth at the site (left shoulder), with tingling of parts of left arm.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Fatigue, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Woke up with extreme weakness and fatigue.  Numbness began Thurs 10/1. Hospitalized.  Symptoms worsened until Wed 10/7.  Symptoms were presumptive Guillain-Barre Syndrome. Although treating physician did not confirm diagnosis because she did not manifest all classic symptoms and spinal fluid did not reach diagnostic levels. She was treated based on symptoms including 5 treatments of high-dose immunoglobulin therapy.  11/2/09 Hospital records and discharge summary received service dates 10/5/09 to 10/11/09. Assessment: Guillain-Barre syndrome. Hypertension possibly secondary to Guillain-Barre syndrome. Possible Addison's disease.  Post vaccination injections of corticosteroids to shoulder and foot for degenerative arthritis/tendonitis. Augmentin for presumed sinus infection. Patient presents with general weakness and fatigue for one week. Body aches, tingling skin. Numbness around knees. Paresthesias, which seemed to be ascending with possible paralysis of larger muscles. Shortness of breath. Decreased sensation ankles and toes. Wide-based gait.  Tx w/IVIG, improved & d/c to home.   ICD-9 Codes: 357.0 Acute infective polyneuritis, 401.9 Essential hypertension, 280.9 Iron deficiency anemia, V12.51 Personal history of venous thrombosis and embolism, V58.66 Long-term (current) use of aspirin.
Age: 22.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Headache, Vision blurred, Visual impairment, Vomiting
Clinical narrative: Dark spots in vision field, blurred vision, severe headache, vomiting, fatigue.
Age: 0.83
Sex: M
Vaccine: FLU3, PNC
Symptoms: Breath holding, Crying
Clinical narrative: RN gave injection x2 to right thigh and patient initially held breath for 2 seconds while crying then appeared to have approx. 3-5 seconds seizure-like activity then back to baseline activity (ie. crying). Vital signs stable patient crying. Mother reports patient has never had a seizure however Mother has hx of seizures.  Nurse practitioner evaulated patient and recommended to take pt. to ER/PCP for for further follow-up.  No other vaccines given.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Asthma, Chest discomfort, Cough, Fatigue, Nasal congestion
Clinical narrative: Twelve hours after administration, he began experiencing an exacerbation in asthma symptoms.  He started having a "hacky cough" and chest tightness, as well as nasal congestion.  At 24 hours, he was wheezing and felt fatigued.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Wheezing
Clinical narrative: Twelve hours after administration, he began experiencing an exacerbation in asthma symptoms.  He started having a "hacky cough" and chest tightness, as well as nasal congestion.  At 24 hours, he was wheezing and felt fatigued.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: CSF protein increased, Guillain-Barre syndrome
Clinical narrative: Patient given vaccine at a flu employee clinic here at the central office. The patient was eventually admitted into the hospital and diagnosed with Guillain Barre Syndrome.  10/21/2009 DC summary received for dates 10/5-10/9/2009. DC DX's: GBS, HTN and Chronic Back Pain   Patient admitted for 1 week hx of sx of progressive weakness, numbness  of lower extremities and difficulty walking     10/26/2009 rec ED and MR for 10/5/10/9/2009. Dx GBS  Neuro consult on PE reflexes were absent patellas and ankles bilaterally, decreased sensation to temp and pinprick bilateral LE's.  LP, TX: IVIG
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: pt. received a flu shot at the school flu clinic with written permission by mother.  When I went to enter it in the database it showed the pt. had received one 2 days earlier at PCP.  I talked with both parents today via interpreter.  They stated pt. had no adverse effects and is healthy.  This reported to pts. PMD.
Age: 0.13
Sex: F
Vaccine: DTPPHIB, HEP, PNC, RV5
Symptoms: Crying, Irritability
Clinical narrative: Persistent crying and irritability for 2 days after vaccination.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site irritation, Injection site pain, Injection site swelling
Clinical narrative: Within moments of injection, the site became very sore and irritated.  Within24 hours the site was very swollen, red, and tender to the touch.  The swelling was almost twice the size of the muscle on the arm.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient became dizzy approx 2 hours after receiving flu shot. Patient passed out and was taken to ER. Patient was told it could have been a vaccine related side effect.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Nausea
Clinical narrative: localized swelling, tenderness,redness at injection site, mild nausea
Age: 1.42
Sex: F
Vaccine: FLU3
Symptoms: Grand mal convulsion, Pyrexia
Clinical narrative: After receiving Flu vaccine developed fever 101 then had two episodes of generalized tonic seizures.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Malaise, Nausea, Paraesthesia
Clinical narrative: Pt called at 8:10pm and complained of Dizziness, Nausea, and overall not feeling well. Recommended 50mg of benadryl at 8:15pm.  Called Pt back at 8:55pm to check on Pt. Pt complained of a Tingling sensation in leg but not feeling any worse.  No Hives reported, Throat and Breathing was alryght.  Pt was recommended to monitor his condition and if condition worsened, to seek medical attention
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Culture stool, Diarrhoea, Faeces discoloured, Parasite blood test, Parasite stool test
Clinical narrative: Green watery bowel movements 3-4 per day
Age: 29.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: SORE THROAT, FEVER BODY ACHE, HEAD ACHE
Age: 1.83
Sex: M
Vaccine: FLU3
Symptoms: Depressed level of consciousness, Dyspnoea, Erythema, Gaze palsy, Lethargy
Clinical narrative: Had a flu shot around 8:30 AM, then was acting totally normal and went to the park and played. Mom states that he went down for a nap around 10:30-12:30 PM. He woke up screaming, red and had a runny nose. Dad states that when he woke up he was having a hard time breathing. House is being painted right now. Now very lethargic. Came to pediatricians offc around 5:00 PM. On the way to the office his eyes rolled back and he fell asleep and was hard to wake up. Mom was shaking him to try and wake him up and that didn't work. Woke up when they took him out of his car seat. Was diagnosed with Altered Mental Status, as well as change in sensorium following a vaccine.
Age: 1.83
Sex: M
Vaccine: FLU3
Symptoms: Mental status changes, Rhinorrhoea, Screaming
Clinical narrative: Had a flu shot around 8:30 AM, then was acting totally normal and went to the park and played. Mom states that he went down for a nap around 10:30-12:30 PM. He woke up screaming, red and had a runny nose. Dad states that when he woke up he was having a hard time breathing. House is being painted right now. Now very lethargic. Came to pediatricians offc around 5:00 PM. On the way to the office his eyes rolled back and he fell asleep and was hard to wake up. Mom was shaking him to try and wake him up and that didn't work. Woke up when they took him out of his car seat. Was diagnosed with Altered Mental Status, as well as change in sensorium following a vaccine.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure fluctuation, Dizziness, Feeling abnormal, Muscular weakness
Clinical narrative: Husband said pt said heart felt diff-pt said legs felt weak,faint and felt like she needed to use her inhaler-called 911-had her lay down-since felt faint-lady at 911 said she could use inhaler and not to give anything since paramedics were almost there-pt bp rate varied
Age: 6.0
Sex: M
Vaccine: FLUX
Symptoms: Hypersensitivity, Injection site erythema, Injection site inflammation, Injection site swelling, No reaction on previous exposure to drug
Clinical narrative: Patient recieved flu vaccine 10/6/09. 48 hrs after injection, patients left arm was still inflammed around injection site (left bicep and around upper arm). Symptoms consisted of  swollen, redness and inflammation which left arm was bigger than other arm. No fever or other serious symptoms associated with injection. Patient was given Predisone injection 10/8/08 and predisone dose po qd, day after to reduce inflamation. Prior to MD visit on 10/8/08, parents administered loratidine 5ml, benedryl gel, later cortisone cream which did not reduce inflamation. Parents had also contacted after hours md service which was advised to seek md for visit.
Age: 47.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Death
Clinical narrative: None stated. 11/30/09 Death Certificate Received. DOD 10/03/2009. Final Cause of Death: Acute Methadone Toxicity. Additional Information - Underlying conditions: Constrictive Atherosclerotic Artery Disease.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1), FLUN3
Symptoms: Cough, Nasal congestion, Rhinorrhoea
Clinical narrative: Pt returned to clinic on 10/9/09 complaining of runny nose and cough for three days and was diagnosed with nasal congestion and
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Cold sweat, Hyperhidrosis, Nasopharyngitis
Clinical narrative: Diaphoretic, chest pain, cold, clammy, 8-10 minutes after leaving store.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Pyrexia, Skin warm
Clinical narrative: L arm became edematous. Red and hot last night. Pt c/o pain also and fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received injection on 9/29/2009 and on 10/1/09. Mom called stating patient had redness and swelling and warm on injection site right thigh. Patient was seen that day and treated with Keflex x 10 days.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Flushing, Urticaria, Vertigo
Clinical narrative: Had vaccine at 15:00. Urticaria, flushing, vertigo, weakness at 15:15.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warm, hard area patient left leg vaccine site.
Age: 27.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Convulsion, Immediate post-injection reaction
Clinical narrative: Seizure lasted 15 seconds after shot, started seizure started right after shot, resolved without meds.
Age: 27.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Convulsion
Clinical narrative: Seizure lasted 15 seconds after shot, started seizure started right after shot, resolved without meds.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Pt had syncope event aprrox 8 minutes after receiving vaccine. Paramedics called and cleared (pt) by paramedics. Pt fell and hit back of head on floor. Pt breathing OK and no other signs of discomfort on initial analysis (after fainting).
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Pt received IM dose of FLUVIRIN 2009-2010 at 10:16. Reported back to pharmacist after 15 minutes that throat felt tight, could breathe but didn't feel like he could take a really deep breath. Offered to monitor further but pt declined. Went to walk-in clinic. Called pt at 16:30 for follow up and he said he was fine.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness, pain at site of injection.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain
Clinical narrative: Patient called next day to inform me that patient had severe abdominal cramps. She also mentioned that her boy also has abdominal cramps even though he didn't get the vaccine. She thinks it might be from the bad clams that they had or the vaccine.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Balance disorder, Pain, Skin warm
Clinical narrative: Felt warm, but did not take temp. Body aches and weak was out of balance.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash pruritic
Clinical narrative: Received FLUZONE U3176FA on 9/29/2009. Developed itch rash on abdomen, 10/2 which spread 10/3 and 10/4 to back, arms, chest.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Incorrect dose administered
Clinical narrative: Patient was inadvertently given a 2nd dose of MENACTRA spoke with manufacturer with concerns. No prescription needed.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash, Pruritus, Pruritus generalised
Clinical narrative: Rash redness at site with itching all over. Complaint of Pruritus (generalized) BENEDRYL 25mg x2.
Age: 51.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Arthralgia, Joint range of motion decreased, Joint swelling
Clinical narrative: 1 day after PNEUMONIA AND FLU vaccination in right deltoid, developed swollen, painful right elbow. Limited range of motion. Symptoms improving slowly at day 6.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Hot flush
Clinical narrative: Vaccine administered at 0800, started having "hot flashes" at approximately 12 noon followed by difficulty swallowing to emergency room at 1330 treated with IV solution MEDROL, IV PEPSID, IV BENADRYL.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Day after vaccine was administrated the area became red, swollen to the size of palm, hard & painful.  Denied fever.  2 days following area was white with a red ring.  Today symptoms resolved.  Mom treated with cool compresses.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site rash, Pruritus, Rash
Clinical narrative: Pt with rash on arms, upper chest & back.  Started 2 days ago, day after flu shot.  Started right arm first where flu shot given.  Rash itches.  Received PREDNISONE orapned 10 mg.  1 tab, by mouth every twice daily. BENADRYL and advised to use AVEENO bath when necessary to relieve itching.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia facial, Muscular weakness, Pain
Clinical narrative: "Received FLU shots on 9/18/2009 at 0700. Later that day - sore arm, scratchy throat, achy feeling, "Several days later - now had repeated numbness that came- went to L arm and face and lower legs and scalp area. Progress to dizziness when standing and weakness to lower extremities. Continued weakness, numbness, dizziness as of 10/09/2009. 10/22/2009 records from PCP. Patient with sx of arm soreness, arthralgias, numbness/tingling of bilateral LE's, fatigue, weakness and dizziness. PE was normal, Tx: Medrol dose pak. Patient referred to neurologist when sx became progressive. 12/09/09 Neurology records received for DOS 10/16/09. Pt presented with intermittent numbness and tingling sensation of arms and legs and constant muscle weakness of arms and legs x 1 month. Assessment: large myelinated fiber neuropathy in a glove stocking distribution
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Throat irritation
Clinical narrative: "Received FLU shots on 9/18/2009 at 0700. Later that day - sore arm, scratchy throat, achy feeling, "Several days later - now had repeated numbness that came- went to L arm and face and lower legs and scalp area. Progress to dizziness when standing and weakness to lower extremities. Continued weakness, numbness, dizziness as of 10/09/2009. 10/22/2009 records from PCP. Patient with sx of arm soreness, arthralgias, numbness/tingling of bilateral LE's, fatigue, weakness and dizziness. PE was normal, Tx: Medrol dose pak. Patient referred to neurologist when sx became progressive. 12/09/09 Neurology records received for DOS 10/16/09. Pt presented with intermittent numbness and tingling sensation of arms and legs and constant muscle weakness of arms and legs x 1 month. Assessment: large myelinated fiber neuropathy in a glove stocking distribution
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid swollen, red, hot to touch no treatment needed.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling
Clinical narrative: Noticed swelling around eyes 3-5 hours after getting flu shot. Went to bed that evening and swelling was game when he woke up. Has had flu shot previously.
Age: 2.0
Sex: M
Vaccine: DTAPIPV, FLUN3
Symptoms: Injection site irritation, Injection site oedema
Clinical narrative: 41/2 wx4 long area of edema and irritation on left arm. Childrens BENADRYL 12.5mg given po x one per day and ice applied.
Age: 0.32
Sex: F
Vaccine: DTAPIPVHIB, PPV, RV5
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, painful to touch to right leg. Mother applied cool compress site with great improvement upon return to clinic for reevaluation.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Urticaria
Clinical narrative: 9/28 1) Hoarseness with in 3-4 hours hives developed on 10/1/09, to arms, legs, face & neck, few on back.  Tx 1 BENADRYL gel to skin, 2. BENADRYL 25 mg - 1 pill X 3/24 hr.  BENADRYL taken for 48 hours - worked sat 10/3 & 10/4 with hives still present but 0 itching & resolving.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Injection site erythema, Injection site warmth, Pain
Clinical narrative: 1day after flu shot > (flu IM U3196AA Pasteur 6/10) given in right deltoid. Pain, flushing - 7cm x 10 cm  area of redness and warmth right deltoid.
Age: 76.0
Sex: F
Vaccine: RAB
Symptoms: Blood mercury normal, Blood thyroid stimulating hormone, Chills, Dizziness, Fatigue
Clinical narrative: Fatigue, low grade fever to 100, nausea, dizzy, chills, sweats, myalgias.
Age: 76.0
Sex: F
Vaccine: RAB
Symptoms: Full blood count, Hyperhidrosis, Metabolic function test, Myalgia, Nausea
Clinical narrative: Fatigue, low grade fever to 100, nausea, dizzy, chills, sweats, myalgias.
Age: 76.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia
Clinical narrative: Fatigue, low grade fever to 100, nausea, dizzy, chills, sweats, myalgias.
Age: 0.94
Sex: F
Vaccine: HIBV
Symptoms: Erythema, Skin warm
Clinical narrative: Per mom, child received HIB on 09-15-09. At home developed skin redness and hot to touch from waist up. Last until the next day (approx 24 hours).
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Electromyogram, Hypoaesthesia, Muscular weakness, Pain in extremity, Radiculitis brachial
Clinical narrative: Numbness, pain right arm and hand weakness. Began night after vaccine. increased symptoms. DX Acute Brachial Neuritis.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Herpes zoster, Pain, Rash vesicular, Skin burning sensation
Clinical narrative: I am a senior citizen, who was strongly encouraged by my primary care physician, for 2 years, to receive the ZOSTAVAX immunization. With a childhood history of chicken pox, I finally agreed to have the immunization to prevent the onset of shingles. Within two days I broke out with the shingles rash and pain, which prevented me from working for several days. When I called to report this to my physician he insisted on seeing me immediately and upon seeing the site he confirmed that I did, in fact, have shingles. As painful as the shingles were, the next most painful thing was the $180 bill from the doctor which Medicare had refused to pay. I was under the impression that people over the age of 60 were being encouraged to have the immunization. One only has to wait 5 years and then will be on Medicare. When this bit of information gets out to the public, I am guessing that many will refrain from having this $180 + "prevention."
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: I am a senior citizen, who was strongly encouraged by my primary care physician, for 2 years, to receive the ZOSTAVAX immunization. With a childhood history of chicken pox, I finally agreed to have the immunization to prevent the onset of shingles. Within two days I broke out with the shingles rash and pain, which prevented me from working for several days. When I called to report this to my physician he insisted on seeing me immediately and upon seeing the site he confirmed that I did, in fact, have shingles. As painful as the shingles were, the next most painful thing was the $180 bill from the doctor which Medicare had refused to pay. I was under the impression that people over the age of 60 were being encouraged to have the immunization. One only has to wait 5 years and then will be on Medicare. When this bit of information gets out to the public, I am guessing that many will refrain from having this $180 + "prevention."
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Burning sensation, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: I got a shingles shot at Pharmacy about 11:45 AM  I have never had a reaction to a vaccine before this.  I got a large red welt about 3 inches by 4 inches at injection site, flushing, rapid heart beat, throat closing up, burning sensation in lungs, trouble breathing, upset stomach, headache, dizzy, amd diarrhea.  I have previously gone into anaphylaxtic shock with MSG in food.  I checked with my doctor before getting the vaccine and he recommended it.  I read the literature that was available from pharmacy & the CDC before taking the injection.  Neither of them mentioned MSG in the vaccine or anything else I know I am allergic to.  I told the pharmacist what my allergies are before taking the injection.  I got a delayed reaction.  I thought I was having an allergic reaction and asthma attack so I immediately took an antihistamine and put hydrocortisone cream on the welt.  I reread the literature I was given without finding anything.  I went online and found the FDA sheet that indicated that monosodium glutamate was in the inactive ingredients in the vaccine.  I called the pharmacist when the pharmacy reopened this morning.  She recommended reporting the reaction to you.  Neither the doctor, pharmacist or myself were aware that MSG was in the inactive ingredients before I took the injection. MSG is know to cause serious reactions in many people.  Why is it necessary to include this in a vaccine?  If it is in the vaccine, could you at least list it in the CDC literature so people like me know beforehand not to take the vaccine?  It took me about an hour online to find the inactive ingredients.  Can you make all of the ingredients more easily findable for the patients and doctors? I had a bad allergic reaction for about 24 hours.  The allergic reaction and welt are gradually going away slowly after 72 hours.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Flushing, Headache, Heart rate increased, Hypersensitivity, Injection site erythema
Clinical narrative: I got a shingles shot at Pharmacy about 11:45 AM  I have never had a reaction to a vaccine before this.  I got a large red welt about 3 inches by 4 inches at injection site, flushing, rapid heart beat, throat closing up, burning sensation in lungs, trouble breathing, upset stomach, headache, dizzy, amd diarrhea.  I have previously gone into anaphylaxtic shock with MSG in food.  I checked with my doctor before getting the vaccine and he recommended it.  I read the literature that was available from pharmacy & the CDC before taking the injection.  Neither of them mentioned MSG in the vaccine or anything else I know I am allergic to.  I told the pharmacist what my allergies are before taking the injection.  I got a delayed reaction.  I thought I was having an allergic reaction and asthma attack so I immediately took an antihistamine and put hydrocortisone cream on the welt.  I reread the literature I was given without finding anything.  I went online and found the FDA sheet that indicated that monosodium glutamate was in the inactive ingredients in the vaccine.  I called the pharmacist when the pharmacy reopened this morning.  She recommended reporting the reaction to you.  Neither the doctor, pharmacist or myself were aware that MSG was in the inactive ingredients before I took the injection. MSG is know to cause serious reactions in many people.  Why is it necessary to include this in a vaccine?  If it is in the vaccine, could you at least list it in the CDC literature so people like me know beforehand not to take the vaccine?  It took me about an hour online to find the inactive ingredients.  Can you make all of the ingredients more easily findable for the patients and doctors? I had a bad allergic reaction for about 24 hours.  The allergic reaction and welt are gradually going away slowly after 72 hours.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria, No reaction on previous exposure to drug, Throat tightness
Clinical narrative: I got a shingles shot at Pharmacy about 11:45 AM  I have never had a reaction to a vaccine before this.  I got a large red welt about 3 inches by 4 inches at injection site, flushing, rapid heart beat, throat closing up, burning sensation in lungs, trouble breathing, upset stomach, headache, dizzy, amd diarrhea.  I have previously gone into anaphylaxtic shock with MSG in food.  I checked with my doctor before getting the vaccine and he recommended it.  I read the literature that was available from pharmacy & the CDC before taking the injection.  Neither of them mentioned MSG in the vaccine or anything else I know I am allergic to.  I told the pharmacist what my allergies are before taking the injection.  I got a delayed reaction.  I thought I was having an allergic reaction and asthma attack so I immediately took an antihistamine and put hydrocortisone cream on the welt.  I reread the literature I was given without finding anything.  I went online and found the FDA sheet that indicated that monosodium glutamate was in the inactive ingredients in the vaccine.  I called the pharmacist when the pharmacy reopened this morning.  She recommended reporting the reaction to you.  Neither the doctor, pharmacist or myself were aware that MSG was in the inactive ingredients before I took the injection. MSG is know to cause serious reactions in many people.  Why is it necessary to include this in a vaccine?  If it is in the vaccine, could you at least list it in the CDC literature so people like me know beforehand not to take the vaccine?  It took me about an hour online to find the inactive ingredients.  Can you make all of the ingredients more easily findable for the patients and doctors? I had a bad allergic reaction for about 24 hours.  The allergic reaction and welt are gradually going away slowly after 72 hours.
Age: 46.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Hyperhidrosis, Paraesthesia oral, Pruritus, Wheezing
Clinical narrative: Intense itching in areas of sweating.  Arm Pits, groin, between breasts.  Lip tingling and wheezing. Itching & wheezing relieved with benadryl.  Itching continued with less severity for 36 hrs.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Pericarditis
Clinical narrative: Chest pain
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Ear discomfort, Feeling hot, Headache, Pruritus
Clinical narrative: Developed headache, ears burning, hives on trunk, neck and head with itching. Felt hot and difficulty taking deep breath. Rx Famotidine 20 mg Atarax 50mg / Solumedrol 125 mg.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Developed headache, ears burning, hives on trunk, neck and head with itching. Felt hot and difficulty taking deep breath. Rx Famotidine 20 mg Atarax 50mg / Solumedrol 125 mg.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: Swelling at site, surrounding redness 3cm red indurated. 4.5 cm surrounding erythema subjective fever headache.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Pyrexia
Clinical narrative: fever, chile,severe cough
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Cough, Dysphonia, Lacrimation increased, Pruritus
Clinical narrative: hoarseness, coughing,immediately followed by significant constriction in throat and chest, with watering eyes.  Took 2 benadryl within 30 minutes of onset of symptoms and within another 30 minutes 2 puffs from inhaler ordered by PA friend.   Severe symptoms subsided, and rest of evening and following 2 days (so far) still having watery eyes and some itching / small hives.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Throat tightness, Urticaria
Clinical narrative: hoarseness, coughing,immediately followed by significant constriction in throat and chest, with watering eyes.  Took 2 benadryl within 30 minutes of onset of symptoms and within another 30 minutes 2 puffs from inhaler ordered by PA friend.   Severe symptoms subsided, and rest of evening and following 2 days (so far) still having watery eyes and some itching / small hives.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature increased
Clinical narrative: 7/1/09 pt. seen in MC for temp 102-104. 9/1/09 pt. admit. to MC temp up to 105. 10/15/09 ER records received for date of service 7/1/09 and 7/2/09, 9/2/09. DX for ER visits: Febrile illness, URI.  Presenting symptoms: Child seen in ER on 7/1/09 with fever, cough, nasal discharge, congestion. CXR(-). Assessment: Febrile illness, URI. D/C.  Child seen in ER on 7/2/09 with fever, cough, nasal discharge, congestion. CXR(-). Assessment: Febrile illness, URI. D/C 9/2/09 Presented child to ER. Parent states received vaccinations on 9/1/09 and then pt had fever x2-4 days, cough, congestion. CXR(-). Assessment: Febrile illness, URI.
Age: 0.09
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased
Clinical narrative: Baby's temperature slightly went up to 100.5 maximum about 11hrs following vaccine.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Borrelia burgdorferi serology negative, Facial palsy, Full blood count normal, Metabolic function test normal, Neuralgia
Clinical narrative: Right extremity neuralgia followed by right Bell's palsy 1 week later. 11/12/09 Medical records received for dates 10/7/09. DX: Bells palsy  c/o facial problems can't move rt. side face, unable to smile, wink, blink. OV10/17/09 DX: bells palsy, Lyme Disease test(+) x1 wk.  Pt. c/o rt. side face sore painful, jaw pain. Assessment: mild rt. side facial weakness.
Age: 27.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Chest discomfort, Dyspnoea, Erythema, Flushing, Injection site erythema
Clinical narrative: Per Allergy note 9/23/09: Received the Influenza intramuscular injection in the left arm as well as pneumococcal intramuscular injection in the right arm on Wed, Sept 16th.  She states that during her waiting period of 15 minutes, she did not have any sxns.  However about 45 minutes post vaccination, she developed a sense of flushing and redness over her upper body, starting at her chest and rostrally to her head. She also had a sensation of mild pruritis initially.  She states that her sxns got progressively worse over the next 24-36 hrs.  48 hrs post vaccination, her sxns had progressed to facial erythema pruritis, and swelling.  She also felt she was having some tightness in her throat, and throat pain.  In addition, she began developing some SOB.  She saw her case manager, who recommended that patient go to the ER.  She did not initially go, but that afternoon around 1400 her sxns were to the point that she was seen in the ER (worsening SOB and throat tightness).  She was given BENADRYL and ZANTAC IV, as well as IV steroids.  She was noted to be wheezing per patient report and received ALBUTEROL x2.  She was observed for a few hours and discharged with PO BENADRYL 50mg q6hrs, po ZANTAC 150mg po bid, and PREDISONE 7 day taper.  That evening, she had a recurrence of SOB sxns, and was seen in the ER and received another dose of BENADRYL, steroids, and ALBUTEROL nebs x 3.  She did not receive Epinephrine.  She was discharged and instructed to continue her medications.  She states that her sxns did not progress from there, but gradually improved over the next 2 days, completely resolved 2 days ago.  She was seen yesterday by her PCM for continued throat pain and given TESSALON pearles.  Her air movement has improved, but she continues to use ALBUTEROL 2 x/day, previously not requiring any.  She describes slight heaviness of her chest.  She did not develop any abdominal sxns, dizziness, or neurologic sxns.  Her vaccine sites had mild erythema and tenderness, larger on the area of her pneumococcal vaccine. No hx of reactions to previous FLUMIST vaccines or previous IM flu vaccines.  No history of egg or gelatin allergies.  Symptoms: Pruritus, wheezing swelling (facial), dyspnea (shortness of breath), Odynophagia (burning pain w/swallowing, tightness in throat).
Age: 27.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Odynophagia, Oropharyngeal pain, Pruritus, Spirometry abnormal
Clinical narrative: Per Allergy note 9/23/09: Received the Influenza intramuscular injection in the left arm as well as pneumococcal intramuscular injection in the right arm on Wed, Sept 16th.  She states that during her waiting period of 15 minutes, she did not have any sxns.  However about 45 minutes post vaccination, she developed a sense of flushing and redness over her upper body, starting at her chest and rostrally to her head. She also had a sensation of mild pruritis initially.  She states that her sxns got progressively worse over the next 24-36 hrs.  48 hrs post vaccination, her sxns had progressed to facial erythema pruritis, and swelling.  She also felt she was having some tightness in her throat, and throat pain.  In addition, she began developing some SOB.  She saw her case manager, who recommended that patient go to the ER.  She did not initially go, but that afternoon around 1400 her sxns were to the point that she was seen in the ER (worsening SOB and throat tightness).  She was given BENADRYL and ZANTAC IV, as well as IV steroids.  She was noted to be wheezing per patient report and received ALBUTEROL x2.  She was observed for a few hours and discharged with PO BENADRYL 50mg q6hrs, po ZANTAC 150mg po bid, and PREDISONE 7 day taper.  That evening, she had a recurrence of SOB sxns, and was seen in the ER and received another dose of BENADRYL, steroids, and ALBUTEROL nebs x 3.  She did not receive Epinephrine.  She was discharged and instructed to continue her medications.  She states that her sxns did not progress from there, but gradually improved over the next 2 days, completely resolved 2 days ago.  She was seen yesterday by her PCM for continued throat pain and given TESSALON pearles.  Her air movement has improved, but she continues to use ALBUTEROL 2 x/day, previously not requiring any.  She describes slight heaviness of her chest.  She did not develop any abdominal sxns, dizziness, or neurologic sxns.  Her vaccine sites had mild erythema and tenderness, larger on the area of her pneumococcal vaccine. No hx of reactions to previous FLUMIST vaccines or previous IM flu vaccines.  No history of egg or gelatin allergies.  Symptoms: Pruritus, wheezing swelling (facial), dyspnea (shortness of breath), Odynophagia (burning pain w/swallowing, tightness in throat).
Age: 27.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Swelling face, Throat tightness, Wheezing
Clinical narrative: Per Allergy note 9/23/09: Received the Influenza intramuscular injection in the left arm as well as pneumococcal intramuscular injection in the right arm on Wed, Sept 16th.  She states that during her waiting period of 15 minutes, she did not have any sxns.  However about 45 minutes post vaccination, she developed a sense of flushing and redness over her upper body, starting at her chest and rostrally to her head. She also had a sensation of mild pruritis initially.  She states that her sxns got progressively worse over the next 24-36 hrs.  48 hrs post vaccination, her sxns had progressed to facial erythema pruritis, and swelling.  She also felt she was having some tightness in her throat, and throat pain.  In addition, she began developing some SOB.  She saw her case manager, who recommended that patient go to the ER.  She did not initially go, but that afternoon around 1400 her sxns were to the point that she was seen in the ER (worsening SOB and throat tightness).  She was given BENADRYL and ZANTAC IV, as well as IV steroids.  She was noted to be wheezing per patient report and received ALBUTEROL x2.  She was observed for a few hours and discharged with PO BENADRYL 50mg q6hrs, po ZANTAC 150mg po bid, and PREDISONE 7 day taper.  That evening, she had a recurrence of SOB sxns, and was seen in the ER and received another dose of BENADRYL, steroids, and ALBUTEROL nebs x 3.  She did not receive Epinephrine.  She was discharged and instructed to continue her medications.  She states that her sxns did not progress from there, but gradually improved over the next 2 days, completely resolved 2 days ago.  She was seen yesterday by her PCM for continued throat pain and given TESSALON pearles.  Her air movement has improved, but she continues to use ALBUTEROL 2 x/day, previously not requiring any.  She describes slight heaviness of her chest.  She did not develop any abdominal sxns, dizziness, or neurologic sxns.  Her vaccine sites had mild erythema and tenderness, larger on the area of her pneumococcal vaccine. No hx of reactions to previous FLUMIST vaccines or previous IM flu vaccines.  No history of egg or gelatin allergies.  Symptoms: Pruritus, wheezing swelling (facial), dyspnea (shortness of breath), Odynophagia (burning pain w/swallowing, tightness in throat).
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Convulsion, Electroencephalogram, Muscular weakness, Nuclear magnetic resonance imaging normal
Clinical narrative: 10-309 Sz- 1st episode seizure - MRI negative - 10am. 10-12-09 Left hand weakness > given phenytoin - 7pm. 10/23/09 Medical records received for ER visits DOS 10/03 and 10/09. FINAL DIAGNOSES: Seizure disorder, left arm parasthesia. On 10/3 first time seizure w/prolonged postictal period. Witnessed by parents. Hard to awaken. H/O extremity shaking, numbness and tingling, dropping things w/o LOC. Usually in the am. PE wnl, (+) fatigue only. Discharged to home. Planned neuro follow-up.    10/9 patient returned to ER with c/o  L hand, coldness, tingling  and numbness. Subtle pain 1/3 up to elbow. Equal grasp.  Developed weakness bilat legs in ER. Phenytoin tx.  Resolved. Discharged to home.  EEG and Neuro follow-up as planned.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Itching spread next day some redness ans swelling warm to tocuh.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Intussusception, Vomiting, X-ray abnormal
Clinical narrative: Presented with vomiting. Dx: Intussusception per radiology report. Reduced and sent home.  10/20/09 PCP medical records received service dates 9/28/09 to 10/6/09. Assessment: Suspicious for bowel obstruction. Patient presents with abdominal pain and vomiting.  10/26/09 ED report received service date 10/6/09. Assessment: Vomiting (Possible small bowel obstruction). Patient presents with vomiting that started last night and is still present. Nausea and decreased oral intake. Black stools. Difficulty with urination, decreased activity, lethargic. Poor muscle tone. Sleepier that usual. Nasal discharge. Appears "sick'. Bilious vomiting. NGT placed. Transfer to higher level facility.
Age: 69.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Herpes zoster, Neuritis, Pain, Rash
Clinical narrative: Broke out with rash consistant with active herpes zoster on right T9 dermatome with pain and neuritis
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Nausea, Retching
Clinical narrative: Pt became nauseated with increased BP of 169/110 pulse 89 had dry heaves and refused ambulance. later went to ER
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Myelitis transverse
Clinical narrative: 10/1/09 pt states got flu shot for 1st time, 10/08/09 seen in Dr's office, 10/09/09 admitted to hosp. 10/26/09 Hospital records received for dates 10/9/09 to 10/13/09. DC DX: postvaccinial transverse myelitis. Presenting SX: pt. seen in ER on 10/8 c/o 4 days after flu vax began sx. of tingling and paresthesias starting in feet and eventually all of lower extremities. Pt. c/o urinary retention, HA. Assessment: WNL, bladder scan WNL. Pt d/c and returned following day,  sx. progressively getting worse. Pt. admitted, diagnostics performed pt. tx. And d/c improved stable condition.