chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), SMALL, FLU(H1N1), SMALL
Symptoms: C-reactive protein decreased, C-reactive protein normal, Chest X-ray normal, Chest X-ray normal, Chest discomfort
Clinical narrative: Primary smallpox vaccinee who reports normal progression of the smallpox vaccination site on his left upper arm. He received the H1N1 vaccine IM and denies and unusual or prolonged symptoms at the vaccination site. On the evening of vaccine receipt, patient reported shortness of breath with exertion. (This was following a 6-mile run that afternoon.) He also experienced a headache. The next a.m. (1/7/2010), after patient had been awake for a little while, he noted non-exertlonal chest tightness and non-radiating pain on the right side of his chest. He notes the pain was worse with deep breaths, but did not note any change it the chest pain with positional changes. He noted some lightheadedness with position changes and his headache continued. He mentioned this to his supervisor and was told to rest, so he engaged in minimal activity for most of that day. On the a.m. of 1/8/2010, patient noted chest pain and tightness and continued to experience a headache after he awoke, so he sought evaluation of his symptoms. His headache was treated with VICODIN and a Medrol-pack and he was also given BENADRYL and placed on 24 hour quarters. He returned for evaluation on 1/12/2010, and he was still having some chest tightness and pressure (3/10), but his headache was resolved. He had an abnormal ECG (incidental finding of WPW), so he was instructed to return on 15 Jan and INDOCIN was prescribed. When he returned on 15 Jan, his symptoms had significantly improved, but he still reported mild chest tightness with deep breaths and his repeat ECG showed WPW. Cardiology was consulted and patient was given a profile and scheduled for an ECHO with subsequent Cardiology follow-up in early February. (pending) When I spoke to patient on 22 Jan 2010, patient denied any chest pain or tightness, but was experiencing some mild shortness of breath and fatigue. He reported that he had been experiencing headaches daily over the past 10 days. He reports a history of migraine headaches which started when he was in 10th grade. His migraine headaches were often preceded by visual changes in his right eye ("see squiggly line") and were usually accompanied by nausea and photophobia. He had treated these headaches with IMITREX in high school, but more recently, if recognized early, he would usually treat with EXCEDRIN migraine and rest in a cool, dark room. He had a period of about 1 year following high school where had had no migraine headache, but then they gradually returned. Over the past year, he usually experienced 1 headache per month. He describes the headaches that he experienced after his recent vaccine receipt as being similar in character to his migraine headaches and respond to Excedrin Migraine, but return the following morning. Patient denies previously experiencing prolonged headache syndromes or exacerbation of migraines following previous vaccinations.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), SMALL, FLU(H1N1), SMALL
Symptoms: Chest pain, Dizziness, Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal
Clinical narrative: Primary smallpox vaccinee who reports normal progression of the smallpox vaccination site on his left upper arm. He received the H1N1 vaccine IM and denies and unusual or prolonged symptoms at the vaccination site. On the evening of vaccine receipt, patient reported shortness of breath with exertion. (This was following a 6-mile run that afternoon.) He also experienced a headache. The next a.m. (1/7/2010), after patient had been awake for a little while, he noted non-exertlonal chest tightness and non-radiating pain on the right side of his chest. He notes the pain was worse with deep breaths, but did not note any change it the chest pain with positional changes. He noted some lightheadedness with position changes and his headache continued. He mentioned this to his supervisor and was told to rest, so he engaged in minimal activity for most of that day. On the a.m. of 1/8/2010, patient noted chest pain and tightness and continued to experience a headache after he awoke, so he sought evaluation of his symptoms. His headache was treated with VICODIN and a Medrol-pack and he was also given BENADRYL and placed on 24 hour quarters. He returned for evaluation on 1/12/2010, and he was still having some chest tightness and pressure (3/10), but his headache was resolved. He had an abnormal ECG (incidental finding of WPW), so he was instructed to return on 15 Jan and INDOCIN was prescribed. When he returned on 15 Jan, his symptoms had significantly improved, but he still reported mild chest tightness with deep breaths and his repeat ECG showed WPW. Cardiology was consulted and patient was given a profile and scheduled for an ECHO with subsequent Cardiology follow-up in early February. (pending) When I spoke to patient on 22 Jan 2010, patient denied any chest pain or tightness, but was experiencing some mild shortness of breath and fatigue. He reported that he had been experiencing headaches daily over the past 10 days. He reports a history of migraine headaches which started when he was in 10th grade. His migraine headaches were often preceded by visual changes in his right eye ("see squiggly line") and were usually accompanied by nausea and photophobia. He had treated these headaches with IMITREX in high school, but more recently, if recognized early, he would usually treat with EXCEDRIN migraine and rest in a cool, dark room. He had a period of about 1 year following high school where had had no migraine headache, but then they gradually returned. Over the past year, he usually experienced 1 headache per month. He describes the headaches that he experienced after his recent vaccine receipt as being similar in character to his migraine headaches and respond to Excedrin Migraine, but return the following morning. Patient denies previously experiencing prolonged headache syndromes or exacerbation of migraines following previous vaccinations.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), SMALL, FLU(H1N1), SMALL
Symptoms: Fatigue, Headache, No reaction on previous exposure to drug, Red blood cell sedimentation rate normal, Sinus bradycardia
Clinical narrative: Primary smallpox vaccinee who reports normal progression of the smallpox vaccination site on his left upper arm. He received the H1N1 vaccine IM and denies and unusual or prolonged symptoms at the vaccination site. On the evening of vaccine receipt, patient reported shortness of breath with exertion. (This was following a 6-mile run that afternoon.) He also experienced a headache. The next a.m. (1/7/2010), after patient had been awake for a little while, he noted non-exertlonal chest tightness and non-radiating pain on the right side of his chest. He notes the pain was worse with deep breaths, but did not note any change it the chest pain with positional changes. He noted some lightheadedness with position changes and his headache continued. He mentioned this to his supervisor and was told to rest, so he engaged in minimal activity for most of that day. On the a.m. of 1/8/2010, patient noted chest pain and tightness and continued to experience a headache after he awoke, so he sought evaluation of his symptoms. His headache was treated with VICODIN and a Medrol-pack and he was also given BENADRYL and placed on 24 hour quarters. He returned for evaluation on 1/12/2010, and he was still having some chest tightness and pressure (3/10), but his headache was resolved. He had an abnormal ECG (incidental finding of WPW), so he was instructed to return on 15 Jan and INDOCIN was prescribed. When he returned on 15 Jan, his symptoms had significantly improved, but he still reported mild chest tightness with deep breaths and his repeat ECG showed WPW. Cardiology was consulted and patient was given a profile and scheduled for an ECHO with subsequent Cardiology follow-up in early February. (pending) When I spoke to patient on 22 Jan 2010, patient denied any chest pain or tightness, but was experiencing some mild shortness of breath and fatigue. He reported that he had been experiencing headaches daily over the past 10 days. He reports a history of migraine headaches which started when he was in 10th grade. His migraine headaches were often preceded by visual changes in his right eye ("see squiggly line") and were usually accompanied by nausea and photophobia. He had treated these headaches with IMITREX in high school, but more recently, if recognized early, he would usually treat with EXCEDRIN migraine and rest in a cool, dark room. He had a period of about 1 year following high school where had had no migraine headache, but then they gradually returned. Over the past year, he usually experienced 1 headache per month. He describes the headaches that he experienced after his recent vaccine receipt as being similar in character to his migraine headaches and respond to Excedrin Migraine, but return the following morning. Patient denies previously experiencing prolonged headache syndromes or exacerbation of migraines following previous vaccinations.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), SMALL, FLU(H1N1), SMALL
Symptoms: Troponin I, Troponin I, Visual impairment, Wolff-Parkinson-White syndrome
Clinical narrative: Primary smallpox vaccinee who reports normal progression of the smallpox vaccination site on his left upper arm. He received the H1N1 vaccine IM and denies and unusual or prolonged symptoms at the vaccination site. On the evening of vaccine receipt, patient reported shortness of breath with exertion. (This was following a 6-mile run that afternoon.) He also experienced a headache. The next a.m. (1/7/2010), after patient had been awake for a little while, he noted non-exertlonal chest tightness and non-radiating pain on the right side of his chest. He notes the pain was worse with deep breaths, but did not note any change it the chest pain with positional changes. He noted some lightheadedness with position changes and his headache continued. He mentioned this to his supervisor and was told to rest, so he engaged in minimal activity for most of that day. On the a.m. of 1/8/2010, patient noted chest pain and tightness and continued to experience a headache after he awoke, so he sought evaluation of his symptoms. His headache was treated with VICODIN and a Medrol-pack and he was also given BENADRYL and placed on 24 hour quarters. He returned for evaluation on 1/12/2010, and he was still having some chest tightness and pressure (3/10), but his headache was resolved. He had an abnormal ECG (incidental finding of WPW), so he was instructed to return on 15 Jan and INDOCIN was prescribed. When he returned on 15 Jan, his symptoms had significantly improved, but he still reported mild chest tightness with deep breaths and his repeat ECG showed WPW. Cardiology was consulted and patient was given a profile and scheduled for an ECHO with subsequent Cardiology follow-up in early February. (pending) When I spoke to patient on 22 Jan 2010, patient denied any chest pain or tightness, but was experiencing some mild shortness of breath and fatigue. He reported that he had been experiencing headaches daily over the past 10 days. He reports a history of migraine headaches which started when he was in 10th grade. His migraine headaches were often preceded by visual changes in his right eye ("see squiggly line") and were usually accompanied by nausea and photophobia. He had treated these headaches with IMITREX in high school, but more recently, if recognized early, he would usually treat with EXCEDRIN migraine and rest in a cool, dark room. He had a period of about 1 year following high school where had had no migraine headache, but then they gradually returned. Over the past year, he usually experienced 1 headache per month. He describes the headaches that he experienced after his recent vaccine receipt as being similar in character to his migraine headaches and respond to Excedrin Migraine, but return the following morning. Patient denies previously experiencing prolonged headache syndromes or exacerbation of migraines following previous vaccinations.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), SMALL, FLU(H1N1), SMALL
Symptoms: Blood test normal, C-reactive protein normal, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: Primary smallpox vaccinee who reports normal progression of the smallpox vaccination site on his left upper arm. He received the H1N1 vaccine IM and denies and unusual or prolonged symptoms at the vaccination site. On the evening of vaccine receipt, patient reported shortness of breath with exertion. (This was following a 6-mile run that afternoon.) He also experienced a headache. The next a.m. (1/7/2010), after patient had been awake for a little while, he noted non-exertlonal chest tightness and non-radiating pain on the right side of his chest. He notes the pain was worse with deep breaths, but did not note any change it the chest pain with positional changes. He noted some lightheadedness with position changes and his headache continued. He mentioned this to his supervisor and was told to rest, so he engaged in minimal activity for most of that day. On the a.m. of 1/8/2010, patient noted chest pain and tightness and continued to experience a headache after he awoke, so he sought evaluation of his symptoms. His headache was treated with VICODIN and a Medrol-pack and he was also given BENADRYL and placed on 24 hour quarters. He returned for evaluation on 1/12/2010, and he was still having some chest tightness and pressure (3/10), but his headache was resolved. He had an abnormal ECG (incidental finding of WPW), so he was instructed to return on 15 Jan and INDOCIN was prescribed. When he returned on 15 Jan, his symptoms had significantly improved, but he still reported mild chest tightness with deep breaths and his repeat ECG showed WPW. Cardiology was consulted and patient was given a profile and scheduled for an ECHO with subsequent Cardiology follow-up in early February. (pending) When I spoke to patient on 22 Jan 2010, patient denied any chest pain or tightness, but was experiencing some mild shortness of breath and fatigue. He reported that he had been experiencing headaches daily over the past 10 days. He reports a history of migraine headaches which started when he was in 10th grade. His migraine headaches were often preceded by visual changes in his right eye ("see squiggly line") and were usually accompanied by nausea and photophobia. He had treated these headaches with IMITREX in high school, but more recently, if recognized early, he would usually treat with EXCEDRIN migraine and rest in a cool, dark room. He had a period of about 1 year following high school where had had no migraine headache, but then they gradually returned. Over the past year, he usually experienced 1 headache per month. He describes the headaches that he experienced after his recent vaccine receipt as being similar in character to his migraine headaches and respond to Excedrin Migraine, but return the following morning. Patient denies previously experiencing prolonged headache syndromes or exacerbation of migraines following previous vaccinations.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), SMALL, FLU(H1N1), SMALL
Symptoms: Dizziness, Dyspnoea, Dyspnoea exertional, Electrocardiogram abnormal, Fatigue
Clinical narrative: Primary smallpox vaccinee who reports normal progression of the smallpox vaccination site on his left upper arm. He received the H1N1 vaccine IM and denies and unusual or prolonged symptoms at the vaccination site. On the evening of vaccine receipt, patient reported shortness of breath with exertion. (This was following a 6-mile run that afternoon.) He also experienced a headache. The next a.m. (1/7/2010), after patient had been awake for a little while, he noted non-exertlonal chest tightness and non-radiating pain on the right side of his chest. He notes the pain was worse with deep breaths, but did not note any change it the chest pain with positional changes. He noted some lightheadedness with position changes and his headache continued. He mentioned this to his supervisor and was told to rest, so he engaged in minimal activity for most of that day. On the a.m. of 1/8/2010, patient noted chest pain and tightness and continued to experience a headache after he awoke, so he sought evaluation of his symptoms. His headache was treated with VICODIN and a Medrol-pack and he was also given BENADRYL and placed on 24 hour quarters. He returned for evaluation on 1/12/2010, and he was still having some chest tightness and pressure (3/10), but his headache was resolved. He had an abnormal ECG (incidental finding of WPW), so he was instructed to return on 15 Jan and INDOCIN was prescribed. When he returned on 15 Jan, his symptoms had significantly improved, but he still reported mild chest tightness with deep breaths and his repeat ECG showed WPW. Cardiology was consulted and patient was given a profile and scheduled for an ECHO with subsequent Cardiology follow-up in early February. (pending) When I spoke to patient on 22 Jan 2010, patient denied any chest pain or tightness, but was experiencing some mild shortness of breath and fatigue. He reported that he had been experiencing headaches daily over the past 10 days. He reports a history of migraine headaches which started when he was in 10th grade. His migraine headaches were often preceded by visual changes in his right eye ("see squiggly line") and were usually accompanied by nausea and photophobia. He had treated these headaches with IMITREX in high school, but more recently, if recognized early, he would usually treat with EXCEDRIN migraine and rest in a cool, dark room. He had a period of about 1 year following high school where had had no migraine headache, but then they gradually returned. Over the past year, he usually experienced 1 headache per month. He describes the headaches that he experienced after his recent vaccine receipt as being similar in character to his migraine headaches and respond to Excedrin Migraine, but return the following morning. Patient denies previously experiencing prolonged headache syndromes or exacerbation of migraines following previous vaccinations.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), SMALL, FLU(H1N1), SMALL
Symptoms: Headache, Painful respiration, Red blood cell sedimentation rate normal, Sinus bradycardia, Troponin I
Clinical narrative: Primary smallpox vaccinee who reports normal progression of the smallpox vaccination site on his left upper arm. He received the H1N1 vaccine IM and denies and unusual or prolonged symptoms at the vaccination site. On the evening of vaccine receipt, patient reported shortness of breath with exertion. (This was following a 6-mile run that afternoon.) He also experienced a headache. The next a.m. (1/7/2010), after patient had been awake for a little while, he noted non-exertlonal chest tightness and non-radiating pain on the right side of his chest. He notes the pain was worse with deep breaths, but did not note any change it the chest pain with positional changes. He noted some lightheadedness with position changes and his headache continued. He mentioned this to his supervisor and was told to rest, so he engaged in minimal activity for most of that day. On the a.m. of 1/8/2010, patient noted chest pain and tightness and continued to experience a headache after he awoke, so he sought evaluation of his symptoms. His headache was treated with VICODIN and a Medrol-pack and he was also given BENADRYL and placed on 24 hour quarters. He returned for evaluation on 1/12/2010, and he was still having some chest tightness and pressure (3/10), but his headache was resolved. He had an abnormal ECG (incidental finding of WPW), so he was instructed to return on 15 Jan and INDOCIN was prescribed. When he returned on 15 Jan, his symptoms had significantly improved, but he still reported mild chest tightness with deep breaths and his repeat ECG showed WPW. Cardiology was consulted and patient was given a profile and scheduled for an ECHO with subsequent Cardiology follow-up in early February. (pending) When I spoke to patient on 22 Jan 2010, patient denied any chest pain or tightness, but was experiencing some mild shortness of breath and fatigue. He reported that he had been experiencing headaches daily over the past 10 days. He reports a history of migraine headaches which started when he was in 10th grade. His migraine headaches were often preceded by visual changes in his right eye ("see squiggly line") and were usually accompanied by nausea and photophobia. He had treated these headaches with IMITREX in high school, but more recently, if recognized early, he would usually treat with EXCEDRIN migraine and rest in a cool, dark room. He had a period of about 1 year following high school where had had no migraine headache, but then they gradually returned. Over the past year, he usually experienced 1 headache per month. He describes the headaches that he experienced after his recent vaccine receipt as being similar in character to his migraine headaches and respond to Excedrin Migraine, but return the following morning. Patient denies previously experiencing prolonged headache syndromes or exacerbation of migraines following previous vaccinations.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), SMALL, FLU(H1N1), SMALL
Symptoms: Wolff-Parkinson-White syndrome
Clinical narrative: Primary smallpox vaccinee who reports normal progression of the smallpox vaccination site on his left upper arm. He received the H1N1 vaccine IM and denies and unusual or prolonged symptoms at the vaccination site. On the evening of vaccine receipt, patient reported shortness of breath with exertion. (This was following a 6-mile run that afternoon.) He also experienced a headache. The next a.m. (1/7/2010), after patient had been awake for a little while, he noted non-exertlonal chest tightness and non-radiating pain on the right side of his chest. He notes the pain was worse with deep breaths, but did not note any change it the chest pain with positional changes. He noted some lightheadedness with position changes and his headache continued. He mentioned this to his supervisor and was told to rest, so he engaged in minimal activity for most of that day. On the a.m. of 1/8/2010, patient noted chest pain and tightness and continued to experience a headache after he awoke, so he sought evaluation of his symptoms. His headache was treated with VICODIN and a Medrol-pack and he was also given BENADRYL and placed on 24 hour quarters. He returned for evaluation on 1/12/2010, and he was still having some chest tightness and pressure (3/10), but his headache was resolved. He had an abnormal ECG (incidental finding of WPW), so he was instructed to return on 15 Jan and INDOCIN was prescribed. When he returned on 15 Jan, his symptoms had significantly improved, but he still reported mild chest tightness with deep breaths and his repeat ECG showed WPW. Cardiology was consulted and patient was given a profile and scheduled for an ECHO with subsequent Cardiology follow-up in early February. (pending) When I spoke to patient on 22 Jan 2010, patient denied any chest pain or tightness, but was experiencing some mild shortness of breath and fatigue. He reported that he had been experiencing headaches daily over the past 10 days. He reports a history of migraine headaches which started when he was in 10th grade. His migraine headaches were often preceded by visual changes in his right eye ("see squiggly line") and were usually accompanied by nausea and photophobia. He had treated these headaches with IMITREX in high school, but more recently, if recognized early, he would usually treat with EXCEDRIN migraine and rest in a cool, dark room. He had a period of about 1 year following high school where had had no migraine headache, but then they gradually returned. Over the past year, he usually experienced 1 headache per month. He describes the headaches that he experienced after his recent vaccine receipt as being similar in character to his migraine headaches and respond to Excedrin Migraine, but return the following morning. Patient denies previously experiencing prolonged headache syndromes or exacerbation of migraines following previous vaccinations.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Pain in extremity, Skin lesion
Clinical narrative: Arm pain started 1/26/10 opposite arm vaccine given in - Pain continued ER visit 1/28/10 - shingles but no lesions - started on NAPROSYN 1/28/10 Lesions started Sat ZOVIRAX and TYLENOL with Codeine called in 1/30/10
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Injection site pain, Muscular weakness, Musculoskeletal pain
Clinical narrative: Information was received from a PharmD on 04-DEC-2009, regarding a liability claim. A 31 year old female received AFLURIA (lot# 07849111A) on 01-OCT-2009. The patient complained of shoulder pain that persisted. No further information was provided. Follow-up information was received from the initial reporter on 21-DEC-2009. The famel was vaccinated with AFLURIA IM in the right deltoid. She was pregnant and had no illness at the time of vaccination. Concomitant therapy included fluoxetine and alprazolam. She experienced right arm pain (deltoid) at the injection site. The female had weakness of the (right) arm which was ongoing 7 weeks later. Treatment included NSAIDS (non-steroidal anti-inflammatory drugs) and steroid therapy. Patient recovery status was listed as "much better". Additional information has been requested. Follow-up was received from the PharmD on 29-JAN-2010. The PharmD reported the female miscarried in Oct-2009 or Nov-2009. Concomitant therapy included alprazolam 0.5 mg daily PRN and fluoxetine 40 mg once daily. Information was sent to the patient but the patient did not return any information. Based on this information, the case has been changed to serious. Additional information is not expected.
Age: 29.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Full blood count, Skin discolouration
Clinical narrative: MANCHAS DE COLOR VIOLETA Y ROSADAS ALREDEDOR DEL ABDOMEN IZQUIERDO, OMBLIGO, AXILA Y ESPALDA.  FUI REFERIDA AL FONDO DEL SEGURO DEL ESTADO DONDE SE ME HA ADMINISTRADO DIFERENTES MEDICAMENTOS SIN NINGUN RESULTADO.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Cough, Pyrexia, Wheezing
Clinical narrative: Coughing increased 1/21/10 and child complained of arm hurting 7am 1/22/10 but family didn't understand these could be symptoms. Teacher left vm on mother's cell at 10:13am asking if child had Asthma. Mother did not call back, sleeping until 2pm (9th month of pregnancy)-school did not call father.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Cough, Pain in extremity
Clinical narrative: Coughing increased 1/21/10 and child complained of arm hurting 7am 1/22/10 but family didn't understand these could be symptoms. Teacher left vm on mother's cell at 10:13am asking if child had Asthma. Mother did not call back, sleeping until 2pm (9th month of pregnancy)-school did not call father.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood arsenic normal, Blood glucose increased, Blood mercury normal, CSF glucose increased, CSF protein increased
Clinical narrative: About a month after receiving vaccine started having abnormal numbness and weakness in hands/feet, dizziness, and falling more often. Has a h/o CVA and diabetic peripheral neuropathy, mild, diagnosis based on CSF, EMG/NCV, MRI findings and clinical exam. Clinically improving, normal upper extremity reflexes, still areflexic in lower extremities. Arsenic, led, mercury levels not elevated. IFF without monoclonal bands. No signs respiratory insufficiency with stable FVC (2.71, -> 2.31, -> 2.5L -> 2.4L) and NIF stable (- 60 -> -45 -> 45 -> -70 cm water). Never received IVIg. Albuterol/Ipratropium
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: CSF white blood cell count negative, Electrophoresis normal, Fall, Guillain-Barre syndrome, Paraesthesia
Clinical narrative: About a month after receiving vaccine started having abnormal numbness and weakness in hands/feet, dizziness, and falling more often. Has a h/o CVA and diabetic peripheral neuropathy, mild, diagnosis based on CSF, EMG/NCV, MRI findings and clinical exam. Clinically improving, normal upper extremity reflexes, still areflexic in lower extremities. Arsenic, led, mercury levels not elevated. IFF without monoclonal bands. No signs respiratory insufficiency with stable FVC (2.71, -> 2.31, -> 2.5L -> 2.4L) and NIF stable (- 60 -> -45 -> 45 -> -70 cm water). Never received IVIg. Albuterol/Ipratropium
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Red blood cells CSF positive, Syphilis test negative
Clinical narrative: About a month after receiving vaccine started having abnormal numbness and weakness in hands/feet, dizziness, and falling more often. Has a h/o CVA and diabetic peripheral neuropathy, mild, diagnosis based on CSF, EMG/NCV, MRI findings and clinical exam. Clinically improving, normal upper extremity reflexes, still areflexic in lower extremities. Arsenic, led, mercury levels not elevated. IFF without monoclonal bands. No signs respiratory insufficiency with stable FVC (2.71, -> 2.31, -> 2.5L -> 2.4L) and NIF stable (- 60 -> -45 -> 45 -> -70 cm water). Never received IVIg. Albuterol/Ipratropium
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Areflexia, Blood arsenic normal, Blood lead normal, Blood mercury normal, CSF bacteria no organisms observed
Clinical narrative: About a month after receiving vaccine started having abnormal numbness and weakness in hands/feet, dizziness, and falling more often. Has a h/o CVA and diabetic peripheral neuropathy, mild, diagnosis based on CSF, EMG/NCV, MRI findings and clinical exam. Clinically improving, normal upper extremity reflexes, still areflexic in lower extremities. Arsenic, led, mercury levels not elevated. IFF without monoclonal bands. No signs respiratory insufficiency with stable FVC (2.71, -> 2.31, -> 2.5L -> 2.4L) and NIF stable (- 60 -> -45 -> 45 -> -70 cm water). Never received IVIg. Albuterol/Ipratropium
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: CSF glucose increased, CSF protein increased, CSF white blood cell count negative, Condition aggravated, Dizziness
Clinical narrative: About a month after receiving vaccine started having abnormal numbness and weakness in hands/feet, dizziness, and falling more often. Has a h/o CVA and diabetic peripheral neuropathy, mild, diagnosis based on CSF, EMG/NCV, MRI findings and clinical exam. Clinically improving, normal upper extremity reflexes, still areflexic in lower extremities. Arsenic, led, mercury levels not elevated. IFF without monoclonal bands. No signs respiratory insufficiency with stable FVC (2.71, -> 2.31, -> 2.5L -> 2.4L) and NIF stable (- 60 -> -45 -> 45 -> -70 cm water). Never received IVIg. Albuterol/Ipratropium
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Electrophoresis normal, Fall, Guillain-Barre syndrome, Hypoaesthesia, Immunology test
Clinical narrative: About a month after receiving vaccine started having abnormal numbness and weakness in hands/feet, dizziness, and falling more often. Has a h/o CVA and diabetic peripheral neuropathy, mild, diagnosis based on CSF, EMG/NCV, MRI findings and clinical exam. Clinically improving, normal upper extremity reflexes, still areflexic in lower extremities. Arsenic, led, mercury levels not elevated. IFF without monoclonal bands. No signs respiratory insufficiency with stable FVC (2.71, -> 2.31, -> 2.5L -> 2.4L) and NIF stable (- 60 -> -45 -> 45 -> -70 cm water). Never received IVIg. Albuterol/Ipratropium
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Muscular weakness, Neuropathy peripheral, Red blood cells CSF positive, Syphilis test negative
Clinical narrative: About a month after receiving vaccine started having abnormal numbness and weakness in hands/feet, dizziness, and falling more often. Has a h/o CVA and diabetic peripheral neuropathy, mild, diagnosis based on CSF, EMG/NCV, MRI findings and clinical exam. Clinically improving, normal upper extremity reflexes, still areflexic in lower extremities. Arsenic, led, mercury levels not elevated. IFF without monoclonal bands. No signs respiratory insufficiency with stable FVC (2.71, -> 2.31, -> 2.5L -> 2.4L) and NIF stable (- 60 -> -45 -> 45 -> -70 cm water). Never received IVIg. Albuterol/Ipratropium
Age: 25.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Dyspnoea, Erythema, Flushing, Injection site erythema, Injection site reaction
Clinical narrative: Pt received H1N1 vaccine and developed redness at the injection site and SOA. Treated with SOLU-MEDROL, ATIVAN, PO/IM BENADRYL.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Nervousness, Paraesthesia
Clinical narrative: Pt received H1N1 vaccine and developed redness at the injection site and SOA. Treated with SOLU-MEDROL, ATIVAN, PO/IM BENADRYL.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Injection site erythema
Clinical narrative: Pt received H1N1 vaccine and developed redness at the injection site and SOA. Treated with SOLU-MEDROL, ATIVAN, PO/IM BENADRYL.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Fatigue, Flushing, Headache, Hyperhidrosis
Clinical narrative: Started experiencing fatigue and general aches around 8:00 PM on a Friday night. Woke up at 2:00 AM with a low-grade fever, flushed skin, and sweating. Woke up again at 5:00 AM with chills and trembling. This same cycle repeated itself at about the same times each day for three days, after which the fevers stopped. I experienced four days of chills only, a stiff neck, and severe headaches. At this point I spoke with the doctor who recommended taking two Motrin 30 minutes before bed to help control body temperature and aches. This brought relief. All symptoms finally subsided after another three days of rest and fluids.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Musculoskeletal stiffness, Pain, Pyrexia, Tremor
Clinical narrative: Started experiencing fatigue and general aches around 8:00 PM on a Friday night. Woke up at 2:00 AM with a low-grade fever, flushed skin, and sweating. Woke up again at 5:00 AM with chills and trembling. This same cycle repeated itself at about the same times each day for three days, after which the fevers stopped. I experienced four days of chills only, a stiff neck, and severe headaches. At this point I spoke with the doctor who recommended taking two Motrin 30 minutes before bed to help control body temperature and aches. This brought relief. All symptoms finally subsided after another three days of rest and fluids.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain, Asthenia, Chills, Diarrhoea
Clinical narrative: Felt weak after vaccination, but left facility believing it was hypoglycemia to eat. Hours later had chills for 3-4 hours, and abdominal cramps and diarrhea for 3 days.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Injection site pain, Malaise, Pyrexia
Clinical narrative: General pain at injection site.  On 02/01/2010 became fever, dizziness, general malaise.  Continues on 02/02/2010.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Epistaxis
Clinical narrative: CHILD DEVELOPED A NOSE BLEED AFTER RECEIVING H1N1 NASAL SPRAY. CHILD'S TEMP WAS 100.0. PARENT STATED NOSE BLEEDS ARE COMMON. CHILD SENT HOME W/ PARENT DUE TO ELEVATED TEMP. F/U W/ PARENT [FOC] WHO STATED CHILD IS FINE.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: 7cm by 7cm area of redness on left upper arm. Was given Benadryl.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PPV, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Haematochezia, Rash, Rash macular, Skin warm
Clinical narrative: after vaccines mom bundled child up and placed in car seat, so approx 5 min after vaccine child's face only broke out(blotchy & warm to touch)had child wait for 20 min, blotchness subsided with no resp. distress.  Initial report received on 29 March 2010 from a healthcare professional.  This case is linked to case 2010-01875.  A 4 month-old male patient received the following vaccine on 01 February 2010: an intramuscular injection in the right leg of PENTACEL (lot number reported as C3404AA/C357AA); an intramuscular injection in the right leg of PNE-IMUNE, (Wyeth, lot number E28211); and an oral dose of ROTATEQ, (Merck, lot number 1442Y).  Five minutes after vaccination the patient's face became blotchy and was warm to the touch.  The patient remained in the healthcare professional's office for 20 minutes and the symptoms subsided.  No respiratory distress was noted.  The patient also experienced a bloody bowel movement.  The onset date was not reported.  No medical history was noted and the patient was not ill at the time of vaccination.  The patient recovered.  List of documents held by sender: none.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PPV, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Rash macular, Skin warm
Clinical narrative: after vaccines mom bundled child up and placed in car seat, so approx 5 min after vaccine child's face only broke out(blotchy & warm to touch)had child wait for 20 min, blotchness subsided with no resp. distress.  Initial report received on 29 March 2010 from a healthcare professional.  This case is linked to case 2010-01875.  A 4 month-old male patient received the following vaccine on 01 February 2010: an intramuscular injection in the right leg of PENTACEL (lot number reported as C3404AA/C357AA); an intramuscular injection in the right leg of PNE-IMUNE, (Wyeth, lot number E28211); and an oral dose of ROTATEQ, (Merck, lot number 1442Y).  Five minutes after vaccination the patient's face became blotchy and was warm to the touch.  The patient remained in the healthcare professional's office for 20 minutes and the symptoms subsided.  No respiratory distress was noted.  The patient also experienced a bloody bowel movement.  The onset date was not reported.  No medical history was noted and the patient was not ill at the time of vaccination.  The patient recovered.  List of documents held by sender: none.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: 1-2 hrs after receiving H1N1 vaccine pt. developed itching took BENADRYL for hives - went to ER- prednisone taper x 1 wk - 2/2/10 - resolved - denies egg allergy
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain
Clinical narrative: Patient received IM injection Nov. 3rd for H1N1 and still c/o sore spot where injection was given.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Local reaction, Myalgia, Pyrexia
Clinical narrative: 21 x 17 cm local rxn of redness, warmth, tenderness, local sx may have begun early than 1-31-10 as he had T 102, myalgias dx'd as H1N1 influenza and did not specifically look at
Age: 47.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: 21 x 17 cm local rxn of redness, warmth, tenderness, local sx may have begun early than 1-31-10 as he had T 102, myalgias dx'd as H1N1 influenza and did not specifically look at
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Public Health Nurse gave MD wrong dose/type of H1N1. Patients should have received 0.25 ml preserv free and instead she gave MD 0.5 ml H1N1 with preservative. Sanofi UP013AA multi dose vaccine.
Age: 0.7
Sex: M
Vaccine: FLU(H1N1), FLU3, PNC, RV5
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: Public health nurse gave MD wrong dose/type of H1N1. Patients should have received 0.25 ml prescn and instead she gave MD 0.5 ml H1N1 with free preservative
Age: 1.83
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Public Health Nurse gave MD wrong dose/type of H1N1. Patients should have received 0.25 ml preserv free and instead she gave MD 0.5 ml H1N1 with preservative, Sanofi UP013AA multi dose vaccine.
Age: 1.37
Sex: M
Vaccine: DTAP, FLU(H1N1), HIBV
Symptoms: Incorrect dose administered
Clinical narrative: Public Health Nurse RN gave MD wrong dose/type of H1N1. Patients should have received 0.25 ml preserv and instead she gave MD 0.5 ml H1N1 with free preservative.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Public Health Nurse RN gave MD wrong dose/type of H1N1. Patients should have received 0.25 ml preserv. and instead she gave MD 0.5 ml H1N1 with free preservative.
Age: 1.62
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: Public Health nurse gave MD wrong dose/type of H1N1. Patient should have received 0.25 ml preserv.  and instead she gave MD 0.5ml H1N1 with free preservative. Sanofi UP013AA multi dose vaccine.
Age: 1.57
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: Public health nurse gave MD wrong dose/type of H1N1. Patient should have received 0.25 ml prescn and instead she gave MD 0.5 ml H1N1 with free preservative.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Hemiparesis, Hypoaesthesia
Clinical narrative: After receiving vaccine - within 20 minutes I became weak and numb on my left side. Went to GP and she said may be Guillain Barré (GB). Went to ER, admitted to hospital for tests. Neurologist ruled out GB, said live virus attached weakness on left side (pre-existing).
Age: 11.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site infection
Clinical narrative: Post vaccine infection, mild, no treatment.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Throat irritation, Urticaria
Clinical narrative: Hives on face/neck, "itchy" face, "itchy" throat. BENADRYL 30 mg PO. BENADRYL 12.5 mg PO. Symptoms not resolved->911->
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Pallor
Clinical narrative: Vaccine administered at 4:15 pm went to observation area with mother, 4:20 pm pale, anxious, mom called for help, moved to stretcher, 911 called, pt placed on o2 B/P 92/70 HR 80, EMT arrived and transported to hospital. 1/21/2010 - parent stated child was given prednisone and BENADRYL in ER hx-asthma. Dairy free now.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Induration
Clinical narrative: Redness 8 x 9.5 cm firm raised center 2 x 2 cm started 1-30-10
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Pallor, Panic attack, Wheezing
Clinical narrative: 1 - 10 min post injection - SOB/pale, bilateral wheeze. 2 - albuterol rescue inhaler x 2 - poor result 3 - 11:25 o2 via mask/albuterol neb x 1/ 911 to hosp  1/21/10 = TC "panic" attack re: parent. No problems residual pt. recovered
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Enema administration, Erythema, Fall, Syncope
Clinical narrative: Pt had single episode of syncope resulting in falling on rear of head. Pt denied SOB, pt exhibited redness (minor) to upper chest collar/long board/O2/25mg BENADRYL.
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1), FLUX(H1N1)
Symptoms: Asthenia, Dizziness, Eye pruritus, Hypertension, Nausea
Clinical narrative: 1. Dizziness. 2. Nausea Vomiting. 3. Hypertension. 4. Eye itchiness/redness/weakness. Treatment Drugs Used: 1-Diphenhydramine 2-Clonidine
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1), FLUX(H1N1)
Symptoms: Ocular hyperaemia, Vomiting
Clinical narrative: 1. Dizziness. 2. Nausea Vomiting. 3. Hypertension. 4. Eye itchiness/redness/weakness. Treatment Drugs Used: 1-Diphenhydramine 2-Clonidine
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1), FLUX(H1N1)
Symptoms: Asthenia, Dizziness, Erythema, Eye pruritus, Hypertension
Clinical narrative: 1. Dizziness. 2. Nausea Vomiting. 3. Hypertension. 4. Eye itchiness/redness/weakness. Treatment Drugs Used: 1-Diphenhydramine 2-Clonidine
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1), FLUX(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: 1. Dizziness. 2. Nausea Vomiting. 3. Hypertension. 4. Eye itchiness/redness/weakness. Treatment Drugs Used: 1-Diphenhydramine 2-Clonidine
Age: 49.0
Sex: U
Vaccine: FLUX(H1N1), FLUX(H1N1)
Symptoms: Asthenia, Dizziness, Eye pruritus, Hypertension, Nausea
Clinical narrative: Symptoms: Symptoms: 1. Dizziness, 2. Nausea, Vomiting, 3. Hypertension, 4. Eye itchiness, redness, weakness. Treatment drugs used: Diphenhydramine Dose : Units: Freq: Route. 2. Clonidine Dose: Units: Freq: Rout.
Age: 49.0
Sex: U
Vaccine: FLUX(H1N1), FLUX(H1N1)
Symptoms: Ocular hyperaemia, Vomiting
Clinical narrative: Symptoms: Symptoms: 1. Dizziness, 2. Nausea, Vomiting, 3. Hypertension, 4. Eye itchiness, redness, weakness. Treatment drugs used: Diphenhydramine Dose : Units: Freq: Route. 2. Clonidine Dose: Units: Freq: Rout.
Age: 49.0
Sex: U
Vaccine: FLUX(H1N1), FLUX(H1N1)
Symptoms: Asthenia, Dizziness, Erythema, Eye pruritus, Hypertension
Clinical narrative: Symptoms: Symptoms: 1. Dizziness, 2. Nausea, Vomiting, 3. Hypertension, 4. Eye itchiness, redness, weakness. Treatment drugs used: Diphenhydramine Dose : Units: Freq: Route. 2. Clonidine Dose: Units: Freq: Rout.
Age: 49.0
Sex: U
Vaccine: FLUX(H1N1), FLUX(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Symptoms: Symptoms: 1. Dizziness, 2. Nausea, Vomiting, 3. Hypertension, 4. Eye itchiness, redness, weakness. Treatment drugs used: Diphenhydramine Dose : Units: Freq: Route. 2. Clonidine Dose: Units: Freq: Rout.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Urticaria, Vomiting
Clinical narrative: PT. c/o of pains to stomach and  H/R - PT. did vomit approx. 1045.  1046 c/o hives, hives noted on bilateral forearms - 50 mg BENADRYL PO - vomited up.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Loss of consciousness, Syncope, Vomiting
Clinical narrative: syncopal episode, positive LOC, positive vomiting, TP to ER by EMS for further eval at req of parent. Pt stable, A and O at time of transfer.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test normal, Computerised tomogram normal, Dysphagia, Dyspnoea, Hypoaesthesia
Clinical narrative: 9/17/09- Flu vaccine administered. 10/6/09 Pt. went to bed around 9 p.m. became S.O.B. & L side numb. She states she couldn't swallow; her head, arm, leg & feet. She states she continued to wall around. Her dad took her to Hospital at 9:30 they sent her to private hospital. Blood work & CAT scan all negative. They dx. possible inflammatory nerves. Gave NSAIDS & pain med. No M.D. visit since.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: Hands, arms itchy-raised hives hands, neck itchy, resp difficulty. 10:15 Mom notified of transport. Transported via rescue.
Age: 57.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Rash, Respiratory tract congestion
Clinical narrative: Pt received vaccine from outside source. Seen first time for other issues and reported rash and throat congestion after receiving vaccine. Symptoms 1. rash, 2. throat congestion.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Injection site erythema, Injection site warmth, Skin warm
Clinical narrative: Redness, hot on injection site ( L and M). Spread to L upper chest. 15 ml BENADRYL P.O. @ 5:50 pm.
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: (L) arm itching and welt noted 09:25. BENADRYL 25 mg administered 09:30. Itching subsided 09:45. Denies any other symptoms.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Acute SOB and hives post vaccination.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Dizziness, Headache, Hypotension, Nausea
Clinical narrative: H.A., nausea, low B.P. (decreased upon standing), rested - pale, dizziness, nausea increased when stood up and got ready to leave - hospital. 1/21/10 - message - mother called back. Child is fine. Anxiety hx will not get dose #2.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pallor
Clinical narrative: H.A., nausea, low B.P. (decreased upon standing), rested - pale, dizziness, nausea increased when stood up and got ready to leave - hospital. 1/21/10 - message - mother called back. Child is fine. Anxiety hx will not get dose #2.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Hyperhidrosis, Hyperventilation, Muscle spasms, Paraesthesia
Clinical narrative: Hyperventilating, unable to control breathing after 30 min diaphoretic, tingling, cramping hands.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Swelling, Urticaria, Wheezing
Clinical narrative: 5-10 minutes after vaccine, pt presented with hives & swelling of the face, spreading to arms and neck rapidly. Pt had a new onset cough with exp. wheezes present upon auscultation.