chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray, Dyspnoea, Vomiting, Wheezing
Clinical narrative: Wheezing, difficulty breathing, vomiting x2:  24 hours.  Emergency Room tx:  albuterol nebulizer, oral steroids.
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chest X-ray, Chills, Cough, Impaired work ability, Influenza serology positive
Clinical narrative: Fever of 103, chills, cough, sore throat, body aches. Had tests done, chest x-ray. Missed 2 weeks of work.
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever of 103, chills, cough, sore throat, body aches. Had tests done, chest x-ray. Missed 2 weeks of work.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLUN3, FLUX(H1N1)
Symptoms: Abasia, Joint effusion, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Synovitis
Clinical narrative: Hip and knee pain bilaterally, eventually unable to walk, admitted to hospital.  Work up negative except for bilateral hip effusions on MRI.  Likely transient synovitis, no evidence of septic joint.  Improved with physical therapy and naproxen. 12/1/2009 PCP records for 11/8, 11/12/2009. and 11/14/2009. Patient initially presented on 11/8/2009 with c/o's rt knee pain and fever this progressed to bilateral knee pain and swelling on 11/12/2009. Xrays and labs were wnl, rx'd Naprosyn,  returned on 11/14/2009 with c/o's lt hip and thigh pain, rx'd tylenol w/codeine 12/2, 3 and 12/4/2009 MR and DC summary for 11/15-11/19/2009 patient admitted with migratory joint pain, labs and dx studies failed to reveal any cause, Tx: pain meds and PT, dc'd with home PT 12/7/2009 Dc summary for 11/15/2009, patient trasferred to another facility for inpatient stay. Dx: polyarthritis. 12/4/09 Medical records received for DOS 11/16/09. Final DX: Polyarthritis, arthritis of multiple joints Persistent joint pain. Worse R side. Sever w/external internal rotation. Cannot ambulate due to pain. Too painful to be carried. Joint swelling decreased. Neuro PE WNL. Fourth visit in one week for this issue. Possible secondary gain. CBC WNL.  ICD9: 716.99
Age: 8.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLUN3, FLUX(H1N1)
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Hip and knee pain bilaterally, eventually unable to walk, admitted to hospital.  Work up negative except for bilateral hip effusions on MRI.  Likely transient synovitis, no evidence of septic joint.  Improved with physical therapy and naproxen. 12/1/2009 PCP records for 11/8, 11/12/2009. and 11/14/2009. Patient initially presented on 11/8/2009 with c/o's rt knee pain and fever this progressed to bilateral knee pain and swelling on 11/12/2009. Xrays and labs were wnl, rx'd Naprosyn,  returned on 11/14/2009 with c/o's lt hip and thigh pain, rx'd tylenol w/codeine 12/2, 3 and 12/4/2009 MR and DC summary for 11/15-11/19/2009 patient admitted with migratory joint pain, labs and dx studies failed to reveal any cause, Tx: pain meds and PT, dc'd with home PT 12/7/2009 Dc summary for 11/15/2009, patient trasferred to another facility for inpatient stay. Dx: polyarthritis. 12/4/09 Medical records received for DOS 11/16/09. Final DX: Polyarthritis, arthritis of multiple joints Persistent joint pain. Worse R side. Sever w/external internal rotation. Cannot ambulate due to pain. Too painful to be carried. Joint swelling decreased. Neuro PE WNL. Fourth visit in one week for this issue. Possible secondary gain. CBC WNL.  ICD9: 716.99
Age: 8.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLUN3, FLUX(H1N1)
Symptoms: Arthralgia, Immobile, Laboratory test, Pain in extremity
Clinical narrative: Hip and knee pain bilaterally, eventually unable to walk, admitted to hospital.  Work up negative except for bilateral hip effusions on MRI.  Likely transient synovitis, no evidence of septic joint.  Improved with physical therapy and naproxen. 12/1/2009 PCP records for 11/8, 11/12/2009. and 11/14/2009. Patient initially presented on 11/8/2009 with c/o's rt knee pain and fever this progressed to bilateral knee pain and swelling on 11/12/2009. Xrays and labs were wnl, rx'd Naprosyn,  returned on 11/14/2009 with c/o's lt hip and thigh pain, rx'd tylenol w/codeine 12/2, 3 and 12/4/2009 MR and DC summary for 11/15-11/19/2009 patient admitted with migratory joint pain, labs and dx studies failed to reveal any cause, Tx: pain meds and PT, dc'd with home PT 12/7/2009 Dc summary for 11/15/2009, patient trasferred to another facility for inpatient stay. Dx: polyarthritis. 12/4/09 Medical records received for DOS 11/16/09. Final DX: Polyarthritis, arthritis of multiple joints Persistent joint pain. Worse R side. Sever w/external internal rotation. Cannot ambulate due to pain. Too painful to be carried. Joint swelling decreased. Neuro PE WNL. Fourth visit in one week for this issue. Possible secondary gain. CBC WNL.  ICD9: 716.99
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Premature labour, Smear cervix, Ultrasound scan, Urine analysis
Clinical narrative: Acute onset of frequent uterine contractions. This had not occurred previously in this pregnancy or during my previous pregnancy. Contractions continued to increase in intensity and frequency for two weeks following vaccination. At this point gradual improvement has been evident and freqency and intensity of contractions has declined. It is still necessary to limit my activity to keep contractions to a minimum.  11/30/09 Medical records received for DOS  10/29-11/12/09 and includes additional OB records. 18 weeks gestation.  Contractions.  Belly hard. U/S showed 18 week and 1 day viable IUP. No anomalies. Contractions stop w/rest.  H/O SAB.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Ultrasound abdomen
Clinical narrative: Miscarriage. 12/04/09 Antenatal record received for DOS 10/27/09. IUP: 6 weeks. EDD: 06/18/10; Additional record for DOS  11/23/09:  Diagnosis: missed SAB.
Age: 1.5
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Aphasia, Diarrhoea, Fluid intake reduced, Hypophagia, Influenza serology negative
Clinical narrative: Started with a mild fever and crankiness. Later during the day fever increased, and she slept all day. Awake for maybe an hour the whole day. By Wednesday the fever had increased to 104. Not taking food or liquid. Slept all day, not speaking or signing, not very responsive. Diarrhea on Wednesday, throwing up Tuesday and Wednesday, fever not breaking with Tylenol. Contacted nurse on Tuesday and advised that symptoms still seemed mild. Wednesday took her back to the doctor.
Age: 1.5
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Irritability, Loss of consciousness, Pyrexia, Somnolence, Vomiting
Clinical narrative: Started with a mild fever and crankiness. Later during the day fever increased, and she slept all day. Awake for maybe an hour the whole day. By Wednesday the fever had increased to 104. Not taking food or liquid. Slept all day, not speaking or signing, not very responsive. Diarrhea on Wednesday, throwing up Tuesday and Wednesday, fever not breaking with Tylenol. Contacted nurse on Tuesday and advised that symptoms still seemed mild. Wednesday took her back to the doctor.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Flank pain, Groin pain, Herpes zoster, Rash
Clinical narrative: On 11/19 I noticed onset of Right flank pain. On 11/21 I sought treatment at an urgent care clinic and was placed on Cipro for possible UTI and flexoril for poss lumbar sprain. On 11/23 the pain was worsening and radiating to my groin. New onset of a rash was noted on right hip and right abdomen. I sought treament by my PCP and was diagnosed with Shingles. I was placed on Valtrex and Vicodin for treatment.
Age: 57.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dry mouth, Dysphagia, Heart rate increased, Pharyngeal hypoaesthesia, Sensory disturbance
Clinical narrative: Very rapid heart rate and a feeling in the back of my throat as if it were becoming numb.  I had a difficult time swallowing; mouth was very dry.  I was fortunate to have a bottled water in the car as I drove home to keep sipping on.  The heart rate corrected itself within a half hour of onset but my throat continued to feel numb for at least five hours after onset. I have had seasonal flu shots for years with no reaction.  I belive that this was definitely injection-related.
Age: 1.33
Sex: M
Vaccine: MMR
Symptoms: Aphasia, Dermatitis diaper, Developmental delay, Malaise, Rhinorrhoea
Clinical narrative: Several symptoms over a period of weeks to a month - loss of early speech, withdrawal, diaper rash, loss of immunity (always sick with runny nose). Resulted in & continues to result in several developmental & speech delays.
Age: 1.33
Sex: M
Vaccine: MMR
Symptoms: Speech disorder developmental, Withdrawal syndrome
Clinical narrative: Several symptoms over a period of weeks to a month - loss of early speech, withdrawal, diaper rash, loss of immunity (always sick with runny nose). Resulted in & continues to result in several developmental & speech delays.
Age: 15.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: Very Sore throat, hacking cough, blocked nose - went to Dr. who diagnosed it as a cold on 11/25.  Went to Clinic at on 11/26.  Prescribed amoxycillin plus Benzonatate for cough and Lidocaine gargle.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Miscarriage.
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rash pruritic
Clinical narrative: Woke up with very itchy hive-like rash on arms and face, but no fever.
Age: 30.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Oropharyngeal pain, Wheezing
Clinical narrative: Sore throat followed by progressive cough and wheezing, symptoms continue to be present for over 1 week.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose decreased, Immediate post-injection reaction, Malaise
Clinical narrative: Initial case report received from a pharmacist on 13 NOV 2009. An 81-year-old male patient was vaccinated i.m with 0.5ml FLUVIRIN 2009/2010 (influenza virus vaccine, batch no. 98448P1) on 12 NOV 2009. Immediately after vaccination the patient became ill and was reported with a blood sugar close to 0 mg/dl. He was admitted to hospital, where his blood sugar was treated and subsequently improved. The patient had recovered at time of this report.
Age: 93.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose decreased, Immediate post-injection reaction, Malaise
Clinical narrative: Initial case report received from a pharmacist on 13 NOV 2009. A 93-year-old female patient was vaccinated i.m with 0.5ml FLUVIRIN 2009/2010 (batch no. 98448P1) on 12 NOV 2009 Immediately after the vaccination the patient became ill and was reported with a blood sugar close to 0mg/dl. She was admitted to hospital where blood sugar was treated and subsequently improved. The patient had recovered at time of this report.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Anxiety, Urticaria
Clinical narrative: urticaria anxiety
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Malaise, Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: Sore throat, malaise, fever, cough, congestion;  given Tylenol 500mg, two tabs every 4-6 hrs.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Anal fissure, Culture stool negative, Haematochezia, Occult blood positive
Clinical narrative: Mother noted initial blood in stool with diaper change on 10/22 at 11 am.  Spoke with triage nurse and appointment the same day.  Did not come to appointment.  Called again 10/27/09 with continued complaint of blood in stools. Was seen by physician 10/27/09 and had positive hemocult stool with suspected anal fissure and instructed to use vaseline with diaper changes.  Physician spoke with mother on 11/2/09 to notify her that stool culture was negative.  Mother reported no further blood in stool at that time.
Age: 57.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus
Clinical narrative: Itching at site, left deltoid when H1N1 vaccine given
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness postural, Paraesthesia
Clinical narrative: Dizziness when standing. Tingling whole body. VS @ 12181 82,18, 1 Sat 99%.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Affective disorder, Anxiety, Personality change, Strabismus, Tic
Clinical narrative: Profound eye motor tic with crossing of eyes, mood lability, personality change, anxiety.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Rash pruritic, Vaccinia virus infection
Clinical narrative: Small pruritic patch on left inner thigh initially, then diffuse rash over next few days, especially on posterior aspect of bilateral axillae and inner thighs.  Primary vaccine site healing well.  No systemic sxs reported.  Not toxic looking.  Diagnosed with generalized vaccinia (mild) and treated with supportive care:  Hydroxizine 25-50mg qid prn for pruritis and Zantac 150mg bid prn.  Pt to follow-up in 24 hours for recheck.  Educated on Erythema Multiforme.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Herpes zoster
Clinical narrative: Shingles on left flank.  Treated with Acyclovir five times per day for ten days.
Age: 11.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Vision blurred
Clinical narrative: Blurred vision.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on chest and back. Progressing to my back.
Age: 29.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Chills, Hot flush, Influenza like illness, Pain
Clinical narrative: FLU LIKE SYMPTOMS, CHILLS, HOT FLASHES, ACHES
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: residual pain at the injection site without any notation of swelling or other reactions
Age: 14.0
Sex: M
Vaccine: FLU(H1N1), FLU3, TDAP
Symptoms: Blood creatine phosphokinase increased, Pain in extremity
Clinical narrative: Bilateral pain in lower extremities below the knees.  11/30/09 ED notes received for DOS 11/20/09 - Final DX: Rhabdomyolysis and presumed postviral myositis. On 11/19/09, Pt c/o lower leg pain bilaterally, swelling and macular rash. On examination: bilateral edema with tenderness to deep palpation below the knees bilaterally. Pt developed difficulty urinating, inability to walk due to pain; tx: IV D5 normal saline. Pt discharged.  12/01/09 H&P and MR received DOS 11/22/09  11/24/09. DX: rhabdomyolysis, myoglobinuria, possible viral infection or post vaccination associated myositis. Pt continues c/o pain in legs and arms, which is described as pressure pain. Pt c/o fevers, rash in arms, swollen legs. On examination: no fever, Pt ill-appearing, swelling of LE, tachycardia. According to Dr. this event was not of oncologic origin. tx: Tylenol, morphine, IV fluids. Pt's condition improved. Pt was able to ambulate. Pt discharged with ibuprofen prn and scheduled for physical therapy. 12/29/2009 DC summary for 11/22-11/28/2009, patient transferred to this facility after increased need for O2 and decreased urine output, CXR noted fluid overload and was tx'd with diuretics, Infectious Disease could not find etiology for rhabdomyolysis, work-up for reoccurrence of ALL was negative, Rheumatology work-up was negative, PT consulted to assist in ambulation DC Dx Rhabdomyolysis
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Vomiting 11/23. Vomiting 11/25. Vomiting 11/27. Told by DR office this is due to vaccine.
Age: 51.0
Sex: M
Vaccine: FLU3, HEP, HEPA
Symptoms: Asthenia, Bone pain, Fatigue, Muscular weakness, Neck pain
Clinical narrative: Initially (09/29/09), severe pain from base of skull down through the spinal cord to the sacrum. Muscle weakness and unable to hold head up at end of day. Weak and exhausted. Neurologist have run test and prescribed physical therapy 3x q/week. Meet with neurologist on 11/30/09 for test outcome. As of 11/27/09, patient still has a dull throbbing pain in left arm, pain in neck (between 4 & 5 on 1-10 pain scale), difficulty sitting for any length of time, fatigue at end of day, decreased energy level. 12/04/09 Neurology records received for DOS 10/26/09. Pt presented with left arm numbness, neck pain x 4 weeks.  Assessment: cervical radiculitis  12/04/09 Medical Clinic records received for DOS 10/03/09. Pt. c/o redness, swelling,pain, inflammation in left arm. Treated with Decadron IM. Neurology referral.  DX: reaction to immunization left arm, allergic to hep B. 12/04/09 Medical Clinic records received for DOS 10/15/09. Pt. complaining of left arm pain, neck pain. left arm weakness, neck stiffness. neurology referral.  DX: left arm radiculopathy.  12/07/09 Medical records received for DOS 10/26/09. CXR report. 12/08/09 Medical Records received for DOS 11/10/09 labs and diagnostics.
Age: 51.0
Sex: M
Vaccine: FLU3, HEP, HEPA
Symptoms: Pain, Pain in extremity, Posture abnormal
Clinical narrative: Initially (09/29/09), severe pain from base of skull down through the spinal cord to the sacrum. Muscle weakness and unable to hold head up at end of day. Weak and exhausted. Neurologist have run test and prescribed physical therapy 3x q/week. Meet with neurologist on 11/30/09 for test outcome. As of 11/27/09, patient still has a dull throbbing pain in left arm, pain in neck (between 4 & 5 on 1-10 pain scale), difficulty sitting for any length of time, fatigue at end of day, decreased energy level. 12/04/09 Neurology records received for DOS 10/26/09. Pt presented with left arm numbness, neck pain x 4 weeks.  Assessment: cervical radiculitis  12/04/09 Medical Clinic records received for DOS 10/03/09. Pt. c/o redness, swelling,pain, inflammation in left arm. Treated with Decadron IM. Neurology referral.  DX: reaction to immunization left arm, allergic to hep B. 12/04/09 Medical Clinic records received for DOS 10/15/09. Pt. complaining of left arm pain, neck pain. left arm weakness, neck stiffness. neurology referral.  DX: left arm radiculopathy.  12/07/09 Medical records received for DOS 10/26/09. CXR report. 12/08/09 Medical Records received for DOS 11/10/09 labs and diagnostics.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, FLUN(H1N1), MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: MMR's Varivax R deltoid 12 x 16cm non tender erythema and swelling. DTap; Influenza L deltoid 10 x 7cm non tender and swelling 3 day post immunization. Parents state that swelling started a few hours after injections.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction
Clinical narrative: Pulling sensation left deltoid where infection was given. Had some reaction 2 years ago in right deltoid.
Age: 55.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Rash
Clinical narrative: 11/19 1/2 hour after injection pt felt dizzy, ate, went 8:30 home and laid down. At 3:30 am woke up with rash on abdomen and back - red pin point - now resolved.
Age: 45.0
Sex: M
Vaccine: FLUX
Symptoms: Muscle enzyme increased, Musculoskeletal pain, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: SEVERE PAIN IN ARMS, LEGS, NECK, SHOULDER, FOREARMS,HANDS,FINGERS. LOW GRADE FEVER COMES AND GOES.  THIS HAS GONE ON CONTINUALLY SINCE THE SHOT AND HAS PERSISTED FOR MORE THAN 8 WEEKS. I HAVE SEEN A PHYSICIAN WHO DID BLOOD WORK ON ME AND DETERMINED THAT MY MUSCLE ENZYMES WERE DOUBLE WHAT THEY SHOULD BE AND SENT ME TO A RHEUMATOLOGIST.  I AM STILL WAINTING FOR THAT APPOINTMENT.  MEANWHILE, I HAVE RECIEVED TWO ROUNDS OF HIGH DOSE PREDINISONE WHICH HELPED SOMEWHAT WHILE I WAS ON THEM BUT STOPPED IMMEDIATELY UPON CESSATION OF THE DRUG.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site inflammation, Injection site warmth, Local reaction, Oedema peripheral
Clinical narrative: Left leg, lg. local reaction; rash; heat to injection site; inflamed; knot, left leg edema.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Left leg, lg. local reaction; rash; heat to injection site; inflamed; knot, left leg edema.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Bedridden, Decreased appetite, Fatigue, Muscle spasms
Clinical narrative: Pt received Menactra and Adacel 11/18/09 as part of routine physical exam. Later that day, pt became fatigued. By 11/19/09 pt felt too weak and tired to get out of bed - also experienced shooting pain and muscle spasms in her arms and legs. Legs felt heavy - to get out of bed no fever also c/o decreased appetite.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain, Sensation of heaviness
Clinical narrative: Pt received Menactra and Adacel 11/18/09 as part of routine physical exam. Later that day, pt became fatigued. By 11/19/09 pt felt too weak and tired to get out of bed - also experienced shooting pain and muscle spasms in her arms and legs. Legs felt heavy - to get out of bed no fever also c/o decreased appetite.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Auricular swelling, Cheilitis, Chills, Ear pain, Lip swelling
Clinical narrative: Runny nose, chills, fever, took Day Quil. 11/24 lymph nodes and ear swollen, hard in excruciating pain. 11/26 when woke up lip huge, bumps under lip.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Lymphadenopathy, Pyrexia, Rhinorrhoea
Clinical narrative: Runny nose, chills, fever, took Day Quil. 11/24 lymph nodes and ear swollen, hard in excruciating pain. 11/26 when woke up lip huge, bumps under lip.
Age: 1.14
Sex: M
Vaccine: FLU(H1N1), FLU3, MMR, VARCEL
Symptoms: Food allergy, Local swelling, Stridor, Swelling face, Urticaria
Clinical narrative: Acute facial and neck swelling. Vomiting, hives, stridor.  12/03/09 MR received for DOS 11/18/09, 11/25/09. DX: Allergic reaction.  On 11/18/09, Pt had an allergic reaction with face and arms swelling, hives, trouble breathing and vomiting.  swelling, tx: Epipen, Benadryl.  On 11/25/09, Pt experienced fever, R ear draining, and wheezing.
Age: 1.14
Sex: M
Vaccine: FLU(H1N1), FLU3, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Acute facial and neck swelling. Vomiting, hives, stridor.  12/03/09 MR received for DOS 11/18/09, 11/25/09. DX: Allergic reaction.  On 11/18/09, Pt had an allergic reaction with face and arms swelling, hives, trouble breathing and vomiting.  swelling, tx: Epipen, Benadryl.  On 11/25/09, Pt experienced fever, R ear draining, and wheezing.
Age: 0.73
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray, Full blood count, Influenza serology, Pyrexia
Clinical narrative: High fever to "105.0 F" per mom 11-7-09. Seen at emergency room 11-8-09 (evening). Work-up essentially -. Fever resolved.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dysphonia, Haemoptysis, Pyrexia
Clinical narrative: Received FLUMIST on 11/13/09, developed Fever up to 104F x 4 days, associated with severe cough, mild hemoptysis, hoarse voice.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye swelling, Pruritus, Rash papular
Clinical narrative: Got H1N1 injection on 11/24/09. On 11/25/09 nod periorbital swelling and red papules on arm (x4) and felt itchy but no hives. No medication given and symptoms almost gone by 11/27/09.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: Hives/rash from waist to ankles. BENADRYL. Symptoms began 3 days after shot. May not be connected to shot.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Asthenia, Hypoaesthesia, Musculoskeletal pain, Pain in extremity
Clinical narrative: Experienced paresthesis and achiness of feet, then legs, then hands, and arms progressing over 9 days.  Today, on day 10 hips and shoulders also painful.  Weakness and pain worse on exertion.  Numbness and tingling most concentrated in hands and feet, lower arms and legs.  12/1/09 Medical records received, service dates 11/24/09 to 12/1/09. Assessment: Muscle weakness, fatigue, paresthesias, and aching. Patient complains of body aches, presents with tingling, numbness, and migratory paresthesias. Worried re Guillain Barre. Numbness and tingling soles of feet, aching in feet. Weakness of dorsiflexion of left big toe. Numbness progessed to thighs, tingling numbness in hands, forearms. Feels cold all over. Weakness, fatigue. Choked on food, liquid, dysphagia. Clonus (L) foot. Decreased pinprick perception (L) lower extremity. Hyperreflexia. Caffeinated beverages. Continues to have pain in feet and legs, also shoulders and hips.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Experienced paresthesis and achiness of feet, then legs, then hands, and arms progressing over 9 days.  Today, on day 10 hips and shoulders also painful.  Weakness and pain worse on exertion.  Numbness and tingling most concentrated in hands and feet, lower arms and legs.  12/1/09 Medical records received, service dates 11/24/09 to 12/1/09. Assessment: Muscle weakness, fatigue, paresthesias, and aching. Patient complains of body aches, presents with tingling, numbness, and migratory paresthesias. Worried re Guillain Barre. Numbness and tingling soles of feet, aching in feet. Weakness of dorsiflexion of left big toe. Numbness progessed to thighs, tingling numbness in hands, forearms. Feels cold all over. Weakness, fatigue. Choked on food, liquid, dysphagia. Clonus (L) foot. Decreased pinprick perception (L) lower extremity. Hyperreflexia. Caffeinated beverages. Continues to have pain in feet and legs, also shoulders and hips.
Age: 25.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: APPROX. 45 MIN. AFTER I RECEIVED THE 2009 H1N1 VACCINE, I BEGAN TO FEEL THE FOLLOWING SYMPTOMS: -DIZZINESS -LIGHTHEADED -NAUSEA -SWEATING -CHILLS -WEAKNESS -PALENESS  TREATMENT RECEIVED: I WAS TRANSPORTED TO HOSPITAL AT APPROX. 1815HRS 11/21/2009. I WAS GIVEN 1 DOSE OF IBUPROFEN AND 3 LITERS OF IV FLUIDS. AFTER TREATMENT, I STILL HAD MOST OF THE SYMPTOMS LISTED ABOVE. THE MOST SIGNIFICANT SYMPTOM WAS THE DIZZINESS. HOSPITAL STAFF WAS NOT CONCERNED ABOUT ANY POSSIBLE REACTION TO THE H1N1 VACCINE, NOR DID ANY OF THE TREATMENT I WAS GIVEN HELP. I WAS RELEASED FROM THE HOSPITAL AT APPROX. 0000HRS ON 12/22/2009. MOST OF THE SYMPTOMS LISTED ABOVE WERE GONE BY 1200HRS. ON 12/22/2009. ON 11/23/2009 I WAS SEEN BY MY PRIMARY CARE PYSICIAN (PCP) FOR EVALUATION. NO MEDICINE WAS GIVEN OR PRESCRIBED. DAYS AFTER THE EVENT I STILL FELT WEAK AND TIRED WITH SOME MINOR HEADACHES.
Age: 25.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Hyperhidrosis, Nausea, Pallor
Clinical narrative: APPROX. 45 MIN. AFTER I RECEIVED THE 2009 H1N1 VACCINE, I BEGAN TO FEEL THE FOLLOWING SYMPTOMS: -DIZZINESS -LIGHTHEADED -NAUSEA -SWEATING -CHILLS -WEAKNESS -PALENESS  TREATMENT RECEIVED: I WAS TRANSPORTED TO HOSPITAL AT APPROX. 1815HRS 11/21/2009. I WAS GIVEN 1 DOSE OF IBUPROFEN AND 3 LITERS OF IV FLUIDS. AFTER TREATMENT, I STILL HAD MOST OF THE SYMPTOMS LISTED ABOVE. THE MOST SIGNIFICANT SYMPTOM WAS THE DIZZINESS. HOSPITAL STAFF WAS NOT CONCERNED ABOUT ANY POSSIBLE REACTION TO THE H1N1 VACCINE, NOR DID ANY OF THE TREATMENT I WAS GIVEN HELP. I WAS RELEASED FROM THE HOSPITAL AT APPROX. 0000HRS ON 12/22/2009. MOST OF THE SYMPTOMS LISTED ABOVE WERE GONE BY 1200HRS. ON 12/22/2009. ON 11/23/2009 I WAS SEEN BY MY PRIMARY CARE PYSICIAN (PCP) FOR EVALUATION. NO MEDICINE WAS GIVEN OR PRESCRIBED. DAYS AFTER THE EVENT I STILL FELT WEAK AND TIRED WITH SOME MINOR HEADACHES.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Anaphylactic reaction, Blood test, Dyspnoea, Injection site erythema, Injection site pain
Clinical narrative: Anaphylaxis - throat closed, rash on face and upper body, swollen, red, and tender shot site, difficulty breathing.  Admitted to urgent care - Benadryl IV and cortisone IV.  Transferred to hospital for overnight care and observation at Medical Center.  Benadryl IV until 11/11/09.  12/01/09 MR records received for DOS 11/09/09-11/10/09. Pt admitted for a scheduled surgery for pelvic organ prolapse, dyspareunia, urinary incontinence. Pt recovered from surgery, eating regular diet, passing flatus, able to ambulate. Pt discharged home in stable condition.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Rash, Throat tightness
Clinical narrative: Anaphylaxis - throat closed, rash on face and upper body, swollen, red, and tender shot site, difficulty breathing.  Admitted to urgent care - Benadryl IV and cortisone IV.  Transferred to hospital for overnight care and observation at Medical Center.  Benadryl IV until 11/11/09.  12/01/09 MR records received for DOS 11/09/09-11/10/09. Pt admitted for a scheduled surgery for pelvic organ prolapse, dyspareunia, urinary incontinence. Pt recovered from surgery, eating regular diet, passing flatus, able to ambulate. Pt discharged home in stable condition.
Age: 68.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Pain, Urticaria
Clinical narrative: 4 Raised Welps and sore.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Injection site discomfort, Pruritus
Clinical narrative: Patient stayed in clinic for 20 minutes post injection. She noted feeling "hot" after 15 minutes, temp 98.7 and no other symptoms.  Left for work and by 9:40 was "itchy".  Took Hydroxyzine 12.5mg with no relief then took Medrol with good relief of itching. Also noted that arm of injection felt "heavy" for the day of the injection.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site rash, Rash erythematous
Clinical narrative: Patient rpts that upper left arm was "almost immediately very painful" from shoulder to elbow.  A rash developed around site in injection, about 10mm in diameter on 2nd day. By day 9, when I saw patient, rash was flat and erythematous, 35mm in diameter.  Pt describes it as painful; pain can be controlled with Tylenol.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1), PPV
Symptoms: Blood creatinine increased, Condition aggravated, Dehydration, Headache, Pyrexia
Clinical narrative: Fever, headache, dehydration, acute worsening of renal failure, required aggressive rehydration. 12/2/09 Hospital records and DC summary received for dates 11/9/09 to 11/18/09. DX:pyelonephritis, acute renal failure. Presenting SX: fever, cough x2 days, emesis, HA. Pt received H1N1 vax x5 days ago. Assessment: cough, wheeze, HA, fever, elevated creatinine, nasal congestion, vomiting
Age: 16.0
Sex: M
Vaccine: FLU(H1N1), PPV
Symptoms: Renal failure
Clinical narrative: Fever, headache, dehydration, acute worsening of renal failure, required aggressive rehydration. 12/2/09 Hospital records and DC summary received for dates 11/9/09 to 11/18/09. DX:pyelonephritis, acute renal failure. Presenting SX: fever, cough x2 days, emesis, HA. Pt received H1N1 vax x5 days ago. Assessment: cough, wheeze, HA, fever, elevated creatinine, nasal congestion, vomiting
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives under arm above elbow, also hives inside of thighs and knee.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Borrelia burgdorferi serology negative, Facial palsy
Clinical narrative: BELL'S PALSY OF RIGHT SIDE. 12/03/09 Medical record received for DOS: 10/2/02 and 11/17/09.  DX: Bell's Palsy Pt presented with rt. sided facial weakness and inability to close rt. eye
Age: 0.85
Sex: M
Vaccine: FLU(H1N1), FLUX
Symptoms: Bronchiolitis, Intensive care, Respiratory rate increased, Staphylococcal bacteraemia, Viral test negative
Clinical narrative: Increased respiratory rate, hospitalized for apparent bronchiolitis, developed S Aureus bacteremia during hospitalization, required intensive care.  12/1/2009 and 12/9/2009 MR and DC summary for 10/20-11/4/2009. Final Dx RAD and MSSA Bactreamia Patient with c/o's difficulty breathing, cough and wheezing. CXR abnormal + for viral pneumonia, + for MSSA bactremia. TX: O2, IV ABX, Hyperalimentation, NG feeding ED visit 11/25/2009, patient with sx of seizure activity, body twitching and shaking Tx: phenobarb dosage changed
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Vomiting
Clinical narrative: dizziness, progressively worse, vomiting, so far has lasted 1 hour
Age: 3.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Catatonia, Electroencephalogram, Unresponsive to stimuli
Clinical narrative: Child was unresponsive. Limp. Did not respond to loud verbal or physical commands. Catatonic like state. Child doused with cold water and remained unresponsive. Child eventually regained consciousness approximately 10 minutes later.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Pregnancy diagnosed. Last Menstrual Period approximately 9/27/09.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on same side of body where H1N1 shot was given. Hives again broke out on Dec 2nd, and continued almost every day for one week.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Gastrointestinal haemorrhage, Gastrointestinal tube insertion, Haematemesis, Headache
Clinical narrative: Began with severe headache and fever up to 100F that was resistant to acetaminophen.  Around midnight I began with intense waves of nausea and at 4am I could no longer refrain from vomiting.  My first emesis resulted in coffee ground emesis.  Vomiting continued with multiple episodes of coffee grounds and an inability to keep any water or medication down.  In the emergency room an NG tube was place and they pumped quite a bit of blood out of my stomach.  I was admitted for two days with a GI bleed that eventually resolved on its own.  An EGD did not show any significant abnormality - the doctor felt it was a side effect of the H1N1 vaccine given the steady increase in symptoms.  11/30/09 DS for DOS 11/09/09-11/10/09: DX: Hematemesis with mild gastritis, HX of adrenal insufficiency secondary to sustained steroid use.     Pt admitted with nausea, vomiting and 12 hrs hx of hematemesis. Symptoms did not reoccur during hospitalization. Pt discharged with an interim dose of steroids and Phenergan and Zofran prn.  11/30/09 Labs and diagnostic studies: Hgb 11.2, endoscopy: mild erythema. Abdominal U/S and HIDA: negative.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Oesophagogastroduodenoscopy, Pyrexia, Ultrasound abdomen, Vaccination complication
Clinical narrative: Began with severe headache and fever up to 100F that was resistant to acetaminophen.  Around midnight I began with intense waves of nausea and at 4am I could no longer refrain from vomiting.  My first emesis resulted in coffee ground emesis.  Vomiting continued with multiple episodes of coffee grounds and an inability to keep any water or medication down.  In the emergency room an NG tube was place and they pumped quite a bit of blood out of my stomach.  I was admitted for two days with a GI bleed that eventually resolved on its own.  An EGD did not show any significant abnormality - the doctor felt it was a side effect of the H1N1 vaccine given the steady increase in symptoms.  11/30/09 DS for DOS 11/09/09-11/10/09: DX: Hematemesis with mild gastritis, HX of adrenal insufficiency secondary to sustained steroid use.     Pt admitted with nausea, vomiting and 12 hrs hx of hematemesis. Symptoms did not reoccur during hospitalization. Pt discharged with an interim dose of steroids and Phenergan and Zofran prn.  11/30/09 Labs and diagnostic studies: Hgb 11.2, endoscopy: mild erythema. Abdominal U/S and HIDA: negative.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting, X-ray
Clinical narrative: Began with severe headache and fever up to 100F that was resistant to acetaminophen.  Around midnight I began with intense waves of nausea and at 4am I could no longer refrain from vomiting.  My first emesis resulted in coffee ground emesis.  Vomiting continued with multiple episodes of coffee grounds and an inability to keep any water or medication down.  In the emergency room an NG tube was place and they pumped quite a bit of blood out of my stomach.  I was admitted for two days with a GI bleed that eventually resolved on its own.  An EGD did not show any significant abnormality - the doctor felt it was a side effect of the H1N1 vaccine given the steady increase in symptoms.  11/30/09 DS for DOS 11/09/09-11/10/09: DX: Hematemesis with mild gastritis, HX of adrenal insufficiency secondary to sustained steroid use.     Pt admitted with nausea, vomiting and 12 hrs hx of hematemesis. Symptoms did not reoccur during hospitalization. Pt discharged with an interim dose of steroids and Phenergan and Zofran prn.  11/30/09 Labs and diagnostic studies: Hgb 11.2, endoscopy: mild erythema. Abdominal U/S and HIDA: negative.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Redness and 1/2 cm welt on right side of leg at the MMR injection site.  Patient monitored for an hour-stabile.  Benadryl provided in clinic. Motrin given to go home
Age: 8.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Asthma, Bruxism, Condition aggravated, Muscle twitching, Tremor
Clinical narrative: Our 8 year old son received the H1N1 vaccine about a week ago.  Everything was fine but his asthma symptoms have elevated severely with little to no elevated cardio. But also, the same morning of the 26th my wife noticed my son's jaw making erratic side to side movements and severe teeth grinding.  She asked him to stop it because she thought he was doing it on purpose.  He said he wasn't, he said he didn't know why it was happening.  Then a few moments later, one of his legs started to twitch violently, he also said he wasn't doing it, it was just happening. The same evening while watching TV, this scenario happened again, only I observed it.  I said why are you doing that with your jaw, he replied, "I'm not doing it."  Then his right leg started to shake uncontrollably, I witnessed it. I said what is going on with your leg, again, he said, "I don't know, I'm not doing it."  Today is the 27th the third episode has happened, at 4:45pm his jaw started to make uncontrolable side to side movements he said he can't stop it from happening. I DON'T KNOW WHAT TO DO, THIS HAS NEVER HAPPENED.  He has no history of spasms or seizures EVER!!
Age: 8.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Trismus
Clinical narrative: Our 8 year old son received the H1N1 vaccine about a week ago.  Everything was fine but his asthma symptoms have elevated severely with little to no elevated cardio. But also, the same morning of the 26th my wife noticed my son's jaw making erratic side to side movements and severe teeth grinding.  She asked him to stop it because she thought he was doing it on purpose.  He said he wasn't, he said he didn't know why it was happening.  Then a few moments later, one of his legs started to twitch violently, he also said he wasn't doing it, it was just happening. The same evening while watching TV, this scenario happened again, only I observed it.  I said why are you doing that with your jaw, he replied, "I'm not doing it."  Then his right leg started to shake uncontrollably, I witnessed it. I said what is going on with your leg, again, he said, "I don't know, I'm not doing it."  Today is the 27th the third episode has happened, at 4:45pm his jaw started to make uncontrolable side to side movements he said he can't stop it from happening. I DON'T KNOW WHAT TO DO, THIS HAS NEVER HAPPENED.  He has no history of spasms or seizures EVER!!
Age: 1.53
Sex: F
Vaccine: DTAP, IPV
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site inflammation, Rash generalised
Clinical narrative: Patient had a rash covering her body with blistering on the backs of her knees. Her right thigh and upper leg were extremely inflamed and red at least 2 inches from the injection sight-in a circle. It was very hard to touch and painful for her. This was following the DTaP shot. It has been 3 days and it is still this way.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Drug exposure during pregnancy, Induced labour, Intra-uterine death, Laboratory test
Clinical narrative: I was 22 weeks pregnant.  I work nights, I came home from work and took a nap at noon and woke up at 3:30pm with  the chills and feverish.  Started to have cramps at 4:30Pm, went to the hospital to be told my baby had died.  This was confirmed by ultrasound.  I was induced at 10:15 pm that night and delivered my baby boy approx 1hr 45 min later.  I had a normal and healthy developing pregnancy until this time.  I had an ultrasound at 9am on 11/11/09 for a routine anatomy scan...no problems detected......hours later...suffered a great loss of my pregnancy. 11/30/09 and 12/2/09 Hospital and medical records received for date 11/11/09. Medical records are OB records dated from 8/24/09 pt was10wks pregnant w/o complications at start of OB care. Pt. felt ill experienced cramping at 22wks, US confirmed no cardiac activity. Pt induced, demised male infant delivered.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscle spasms, Pyrexia, Ultrasound uterus abnormal, White blood cell count increased
Clinical narrative: I was 22 weeks pregnant.  I work nights, I came home from work and took a nap at noon and woke up at 3:30pm with  the chills and feverish.  Started to have cramps at 4:30Pm, went to the hospital to be told my baby had died.  This was confirmed by ultrasound.  I was induced at 10:15 pm that night and delivered my baby boy approx 1hr 45 min later.  I had a normal and healthy developing pregnancy until this time.  I had an ultrasound at 9am on 11/11/09 for a routine anatomy scan...no problems detected......hours later...suffered a great loss of my pregnancy. 11/30/09 and 12/2/09 Hospital and medical records received for date 11/11/09. Medical records are OB records dated from 8/24/09 pt was10wks pregnant w/o complications at start of OB care. Pt. felt ill experienced cramping at 22wks, US confirmed no cardiac activity. Pt induced, demised male infant delivered.
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Full blood count, Injection site cellulitis, Injection site erythema, Injection site pain
Clinical narrative: soreness, redness at injection site on 11/25. On 11/26 woke up to severe pain, developed fever of 101.5, and chills. On 11/27 redness and swelling spread over length of upper arm with streaks going into armpit. 11/27 afternoon went to urgent care center where they diagnosed it as cellulitis with lymphadenitis which was quickly spreading (presence of peau d'orange) treatment was iv rocephin and toradol, with oral antibiotics given for 10 days.
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Injection site streaking, Injection site swelling, Lymphadenitis, Pyrexia
Clinical narrative: soreness, redness at injection site on 11/25. On 11/26 woke up to severe pain, developed fever of 101.5, and chills. On 11/27 redness and swelling spread over length of upper arm with streaks going into armpit. 11/27 afternoon went to urgent care center where they diagnosed it as cellulitis with lymphadenitis which was quickly spreading (presence of peau d'orange) treatment was iv rocephin and toradol, with oral antibiotics given for 10 days.
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: White blood cell count
Clinical narrative: soreness, redness at injection site on 11/25. On 11/26 woke up to severe pain, developed fever of 101.5, and chills. On 11/27 redness and swelling spread over length of upper arm with streaks going into armpit. 11/27 afternoon went to urgent care center where they diagnosed it as cellulitis with lymphadenitis which was quickly spreading (presence of peau d'orange) treatment was iv rocephin and toradol, with oral antibiotics given for 10 days.
Age: 33.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal pain, Urticaria, Vomiting
Clinical narrative: Since having been administered the vaccine, patient has experienced hives (waist down), severe abdominal pain (slightly below navel, right side), vomiting, etc.  Severe acute abdominal pain continues, under supervision currently of PCP.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: Vomiting, fever (101 degrees), runny nose.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Drug exposure during pregnancy, Laboratory test
Clinical narrative: I began to have pain and cramping in my stomach during the week of Monday, November 16, 2009.  The pain and cramping increased on Sunday, November 22, 2009.  I had bleeding and cramps on Wednesday, November 25, 2009.  I called my doctor and he told me to come in that morning.  I had a sonogram after which I was told that I miscarried my baby.  I was about 4 weeks pregnant. 11/30/2009 OB-GYN records and MR for 11/25/2009. Dx Missed abortion  OB records note patient pregnant with EDC 6/17/2010. on 11/25/2009 had D&C, c/o' uterine cramping, US verified non viable fetus.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Abasia, Arthralgia, Delirium, Dizziness, Eye rolling
Clinical narrative: On Thursday Oct. 1st, I answered the clinic phone for a "question about vaccinations" per front desk. The phone call was from mother. She reported that she brought her 16 year old daughter to hospital for "immunizations." Mother reported that daughter was given Hepatitis A, HPV, and Meningitis vaccine at about 5pm on Tuesday 09/29/09. Mother commented " they talked to me into getting the meningitis one." She said that daughter got "dizzy" right away and had commented that she felt the meningitis shot "in elbow." Mom reported that daughter said her knees hurt on the way home and was rubbing her knees and legs in the car. Mother took daughter to the ER at around 9pm. She said that daughter was "delirious", she "couldn't walk or talk" and her "eyes were rolling back in her head." Mom denies fever, respiratory distress or seizure activity in her daughter at that time. Pt was admitted to hospital on 09/29/09 and kept for 24 hours while "tests" were run. Mother stated that doctor was called in "consult" and that her daughter's MRI showed "fluid in the brain". Her symtomology resolved spontaneously according to her mother, "going backwards" with the last symptoms resolving first and finally the pain in legs, knees, and her arm resolving. Mother said that doctor told her this could only happen if the meningitis vaccine had been give "direct IV". At this time mother is mainly concerned because daughter's arm bled and she didn't know if that meant the shot went into her vein or not. I reassured mother that bleeding from the injection site after an immunization is not uncommon and does not mean that the vaccine accessed the vein. She seemed to be calmer after that, talking a little slower and with less emphasis. I told her I would check with my superior and call her back. Discussed the reaction with PNP. She suggested I file VAERS report and encourage mother to do the same. Called mother at home and asked if she still had the VIS sheets given at time of daughter's vaccinations. She did, I asked her to look at the back of the sheet under number 6 (What if there is a severe reaction?) and 7 (How can I learn more?). I told her I would be filing a VAERS for the three vaccinations daughter received on 9/29/09. Mother said she "knows" it was the meningitis vaccine. I encourage her to file a VAERS as she sees fit. At this time I asked her how pt was doing today and she replied, "Oh, she's back at school. That girl is tough as nails and never gets sick, that's why we were so scared the other night". I told mother I would be calling to follow up on pt. 10/2/09 (Fri pm). Called mother to see how her daughter is doing. Mother reports daughter is "fine" and tonight is homecoming and she has to run and "get stuff". Gave mother the number of the clinic as well as my name and number and told her to call us if any other untoward reactions occur for daughter. 12/8/2009 ED records for 9/30/2009, patient with c/o's dizziness, loss of balance and slurred speech.