chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Mechanical ventilation
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Methicillin-resistant staphylococcal aureus test positive, Mobility decreased, Monocyte count decreased, Monocyte percentage, Muscular weakness
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Nausea, Neutrophil count, Neutrophil count normal, Neutrophil percentage increased, Nitrite urine absent
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Normochromic normocytic anaemia, Nuclear magnetic resonance imaging brain abnormal, Parenteral nutrition, Platelet count normal, Productive cough
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Protein total normal, Protein urine, Proteinuria, Pyrexia, Red blood cell count normal
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Red cell distribution width normal, Respiratory failure, Respiratory tract congestion, Rhinorrhoea, Urine analysis
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Urine ketone body present, Viral infection, Vomiting, White blood cell count decreased
Clinical narrative: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN -->tube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc'd on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx'd MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --> CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site macule, Injection site rash, Sensation of heaviness
Clinical narrative: Rash, erythennous macula in right deltoid area. With heaviness to depomedrol.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Oedema peripheral
Clinical narrative: swelling of arm and limited range of motion
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea
Clinical narrative: Labored breathing, shortness of breath, gasping for air.
Age: 9.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Pyrexia
Clinical narrative: Cough, fever of 101.8, lethargy, cough syrup and Motrin.
Age: 6.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Pyrexia, Vomiting
Clinical narrative: Fever of 102.00, cough, vomiting.
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Swollen tongue
Clinical narrative: Pt. was given H1N1 nasal vaccine at hospital clinic. Came back 15 minutes later reporting thickening of tongue and itching. Pt was sent to ED and administered Benadryl. Symptoms subsided.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Bone pain, Diarrhoea, Drug exposure during pregnancy, Headache, Myalgia
Clinical narrative: SEVERE DIARRHEA, MUSCLE AND BONE PAIN, SEVERE HEADACHE 11/23/2009 OB-GYN records for visits 8/2009 to 11/16/2009. Records do state that 6 days post vaccine patient with c/o's dizziness, no other sx noted. no tx noted
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Approximately 4 hours post vaccine, parent reports c/o sore throat. Fever (101-102F) developed, persisting to next day (none in early am, then recurrence around 10am 11/6), treated with Tylenol by family. h/o family illnesses earlier in the week.
Age: 16.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: Intranasal Flu Mist given to Pregnant Teen.  No immediate adverse effects. Advised client to inform medical provider ASAP.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea
Clinical narrative: c/o nausea several hours following vaccine administration. Rest, sips of water, gradually resolved.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Local reaction, Pruritus
Clinical narrative: Patient began noticing on 11/05/09 redness around site of injection- by morning of 11/06/09 the redness had begun spreading and the area was itching- patient reported to me at 1pm on 11/06/09 and I referred to her primary healthcare provider for evaluation- healthcare provider agreed it was a localized allergic reaction and antihistamine treatment was started
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Intra-uterine death
Clinical narrative: Fetal demise (in utero death of baby) 11/25/09:  Hospital OB records received for date of service 11/10/09.  Dx:  Stillbirth.  Gravida 5, Para 0 at 25 weeks gestation delivered stillborn infant in the vertex position, gender female.  Nuchal cord x 2.  Apgar scores 0 and 0. Birth weight 448 grams.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphonia, Dyspnoea, Heart rate increased, Oropharyngeal pain, Wheezing
Clinical narrative: Experienced severe inspiratory and expiratory wheezing, difficulty breathing, sore throat and hoarseness. Went to the emergency dept., vitals were stable, no fever, received breathing treatment, prednisone and Zithromax PO and was discharged with scrips for both meds. to continue. Then the early hours of Monday 11/8/09 same events but worse than previous, arrived at the same ED at 03:00 am . HR in the 150's, bp 169/92, no fever. Over the course of 4 hours received 3 breathing treatment and Solu-Medrol IV. Chest X-Ray was taken; no abnormalities noted. Discharged home, instructions to continue meds. and use Albuterol inhaler q4h. Folow up with primary care physician.
Age: 48.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Flushing, Pruritus
Clinical narrative: Facial flushing and sensed diffuse itching. No hives or rash. Treated with one dose of diphenhydramine (reaction consistent with response to allergy shots, and treatment chosen was usual treatment for those occurences) with no recurrence.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia, Rash, Streptococcal identification test
Clinical narrative: Aching, fever through weekend.  On Monday November 2nd, employee broke out in a fine rash on trunk, arms, legs.
Age: 30.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Auricular swelling, Local swelling, Oedema peripheral, Urticaria
Clinical narrative: Hives broke out on my torso, hips, arms and neck. Upon waking up in the morning my hands, arms, neck and ears are swollen. I took 1 Zyrtec before bed.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Ear pain, Neck pain, Swelling face
Clinical narrative: Face including left eye, nose and cheek and started to swell. She said her ear and neck hurt also.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Erythema, Eye swelling, Neck pain, Ocular hyperaemia, Pruritus
Clinical narrative: Face including left eye, nose and cheek and started to swell. She said her ear and neck hurt also.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Swelling face
Clinical narrative: Face including left eye, nose and cheek and started to swell. She said her ear and neck hurt also.
Age: 82.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Swollen tongue, Throat irritation
Clinical narrative: REPORTED SWELLING OF TONGUE AND UNUSUAL SENSATION IN THROUGHT TO EMERGENCY ROOM STAFF AT MEDICAL CENTER ON 11/07/2009, APPARENTLY ADMITTED FOR OBSERVATION AND DISCHARGED ON 11/08/2009.  UNKNOWN TREATMENT.  PATIENT DID NOT REPORT ANY PROBLEMS IMMEDIATELY FOLLOWING INJECTION. 11/10/09 Medical records received for dates 11/7/09 to 11/8/09. Hospital DX: Anaphylaxis. Presented to ER with c/o tongue swelling x1 day ago after H1N1 vax. worse this day, throat feels swollen c/o difficulty swallowing. Assessment: mild distress, tongue swelling with left side worse. Admitted.
Age: 6.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Dyskinesia, Tic
Clinical narrative: One day after receiving vaccine, pt developed motor and verbal tics. Pt has been referred to neurologist.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUN(H1N1), MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: On 11-2-09 pt was given Imms-KINRIX on L arm and MMR/Varicella on R arm. He was brought into office on 11-4-09 due to redness, heat and swelling of left arm. Evaluated by CFNP -Advised to apply ice to site and take ibuprofen. Redness covered most of upper arm.
Age: 13.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Dizziness, Headache, Nausea
Clinical narrative: Client woke 10/19/09 with cough, severe HA, nausea, no vomiting. Temporal temperature of 102 degrees F, dizziness. Ibuprofen and TYLENOL given. Fever resolved late pm. 10/19/09. 10/20/09- No fever, "hacking" cough, HA, dizziness, sore throat in the a.m.
Age: 13.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Oropharyngeal pain
Clinical narrative: Client woke 10/19/09 with cough, severe HA, nausea, no vomiting. Temporal temperature of 102 degrees F, dizziness. Ibuprofen and TYLENOL given. Fever resolved late pm. 10/19/09. 10/20/09- No fever, "hacking" cough, HA, dizziness, sore throat in the a.m.
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dizziness, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Client woke with cough, sore throat, HA, nausea, no vomiting and femoral fever of 100 degree F, dizziness. Ibuprofen and TYLENOL given. 10/20/09 a.m. No fever; "Hacking" cough, sore throat and mild HA persist.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Within 1 hr after vaccine - developed generalized - hives without dyspnea and dysphagia. given CORTICOSTREROID and antihistamine - resolution
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test normal, Computerised tomogram normal, Full blood count normal, Grand mal convulsion
Clinical narrative: Generalized tonic clonic seizure.  Final DX; Generalized seizure, resolved, lymnphocytosis, Recent URI Tonic clonic sz <1 min. Short post ictal. All diags neg. Increased lymphocytes, viral illness. Phenergan for recent URI, cough.  Neuro PE neg. D/C to home stable.  Refer to neuro. Abnormal EEG. Complex partial seizure. MRI ordered. ICD9 Codes: 780.39  12/17/09  ED  Medical records received for DOS 10/27/09
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eustachian tube dysfunction, Herpes zoster, Hypoaesthesia, Hypoaesthesia facial, Hypoaesthesia oral
Clinical narrative: H1N1 vaccine 10.27. Tues, Wed -10/28 - numbness upper Rt arm, lip and fingers. Thurs - shoulder Rt temple, rt cheek, rt side, chin, under rt ear-sm lump, sensitive to chew rt side teeth. 10-30 called MD, home care. Vaccine # to ref anyone else having reaction. Set 10-31 doctor office. dx with Shingles? VATTREXIL-sleep 1-2 -ENT- eustachian tube involvement. PREDNISONE, NASONEX. 11-3 itch, tired. 11-4 nose numbness going away, 11-5-drying up face. 11-6 neck nodule almost gone.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Mastication disorder, Nodule
Clinical narrative: H1N1 vaccine 10.27. Tues, Wed -10/28 - numbness upper Rt arm, lip and fingers. Thurs - shoulder Rt temple, rt cheek, rt side, chin, under rt ear-sm lump, sensitive to chew rt side teeth. 10-30 called MD, home care. Vaccine # to ref anyone else having reaction. Set 10-31 doctor office. dx with Shingles? VATTREXIL-sleep 1-2 -ENT- eustachian tube involvement. PREDNISONE, NASONEX. 11-3 itch, tired. 11-4 nose numbness going away, 11-5-drying up face. 11-6 neck nodule almost gone.
Age: 0.62
Sex: F
Vaccine: FLU3
Symptoms: Hypotonia, Tension
Clinical narrative: At 1:20 pm got Flu vaccine, slept for ~ 3 hrs. Seemed tense approx every 30 sec the described as "limp" and this would last several seconds. This occured over 2 1/2 hr period then completely resolved. No further issue.
Age: 21.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Headache, Malaise
Clinical narrative: SOB / midsternal CP 20 minute after H1N1 vaccine. Progressed to malaise -HA
Age: 0.28
Sex: F
Vaccine: PNC
Symptoms: Death, Sudden infant death syndrome
Clinical narrative: Pt received her 1st PCV vaccine on 9/9/09 and passed on 9/10/09. The circumstances surrounding her demise are unclear at moment. Dx as SID.  12/18/09 Autopsy Received. DOD 9/20/09. Cause of Death: Sudden Explained Infant Death. Additional Information Abstracted: Final Other Significant Conditions - Bed Sharing With Adult.
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: 7:48 Flu shot given.  7:49 Patient passed out / potential seizing??  7:50 administered EPIPEN.  Patient began coming back to awareness very shortly after EPIPEN.  Patient refused to go with ambulance crew.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: Headache x 24 hours
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Asthenia, Dizziness, Fatigue, Injection site erythema
Clinical narrative: Fever 103- 104 degrees x 3days. Generalized joint pain, dizziness, fatigue, weakness. Pain swelling, redness Lt arm (injection site) from shoulder to elbow lasting 6 days
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever 103- 104 degrees x 3days. Generalized joint pain, dizziness, fatigue, weakness. Pain swelling, redness Lt arm (injection site) from shoulder to elbow lasting 6 days
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Myelitis transverse
Clinical narrative: Transverse Myelitis.  11/23 and 12/01/09 Medical records and discharge summary recieved for DOS 10/12-10/18.  Final DX:  Acute disseminated encephalomyelitis, most likely s/to flu vaccine.  Hypertension uncontrolled.  GERD, Dyslipidemia.  Myalgias s/to statins, improved.  D/C to home.  C/O diplopia, balance problems, burning skin. Muscle weakness and pain. Tachycardia, hypertension. Reflexes 2/4 bil proximal and distal. MRI + acute demyelinating encephalomyolitis probably s/to vaccine. IV steroid tx, immediate improvement.  ICD9 Codes:  760.79, 789.02, 784.0, 368.8, 780.4, 401.9, 305.1, 401.9, 728.87, 784.0, 434.91, 066.0
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Red man syndrome
Clinical narrative: Pt have flu booster (seasonal) 0.5 mls in right deltoid on 10/27/09. Dad noticed (R) deltoid swelling, redness and itching 10/25/09 am, seen in office - prescribed BENADRYL. Came back that afternoon -. more redness. Prescribed AUGMENTIN. Worsened in ER 10/29/09 given vancomycin -> has red man reaction then admitted to hosp.  11/10/2009 ED records for 10/28/2009, patient with c/o's rt arm swelling and redness. Tx: IVF, IV Vancomycin (which patient had a reaction to), Benadryl, Dx rt arm cellulitis. ICD-9 codes 682.3, 995.5, 995.27, 729.81, 729.5, 698.9
Age: 64.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tachycardia
Clinical narrative: Tachycardia-160 rates/min for 2-3 minutes. Then better. Decreased to 92/min.
Age: 1.49
Sex: F
Vaccine: DTAPIPVHIB, MMR, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: L Thigh warm to touch, erythematous, non-tender. Firm. Cool compress / TYLENOL. Edematous: 10cm x 8cm area.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: 11-2-09 vaccinated with H1N1 vaccine at 4:30 PM. Developed hives on chest and forearms at 9:30 PM-advised by doctor on 11-3-09 to take BENADRYL PO until hives resolved.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Received H1N1 on 10-19-09. Miscarried 10-28-09. Received seasonal flu shot approx 2 wks prior.  11/17/09:  Prenatal records received.  DX:  SAB Assessment:  This G3 P1, LMP 8/17/09, EDC 5/24/10 experienced a spontaneous abortion on 10/28/09.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anaphylactic reaction, Dysphagia, Face oedema
Clinical narrative: Anaphylaxis, facial edema, diff swallowing.  11/10/09 Medical records received for DOS 11/3/09. ED Assessment: Allergic Rxn to H1N1 vaccine. Anaphylaxis s/p vaccine on way home. Facial swelling. Swollen lips, cough, itching, rash. Facial pain.  ED visit, epi, steroids. Benadryl.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough
Clinical narrative: 915 am had flu mist, 930 am complaints of "croupy cough." Parent with child states has diagnosis of "croupy cough" when ill. Color fair, mom states child does not have asthma but does have albuterol inhaler for "croupy cough." Child taken home at 940 am for albuterol inhaler and follow-up call to PMD.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Drug exposure during pregnancy, Migraine, Nausea, Pyrexia
Clinical narrative: Severe migraine, chills, fever, nausea, vomiting lasting 2 days. 11/16/09 Medical records received for date 10/23/09 to 10/27/09. OB record. Pt received vax at OB visit on 10/23/09. Pt. called 10/27/09 MD stated "got really sick" vision loss, felt flush, delusional, nausea, HA.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Severe migraine, chills, fever, nausea, vomiting lasting 2 days. 11/16/09 Medical records received for date 10/23/09 to 10/27/09. OB record. Pt received vax at OB visit on 10/23/09. Pt. called 10/27/09 MD stated "got really sick" vision loss, felt flush, delusional, nausea, HA.
Age: 45.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Dyskinesia, Eye swelling, Local swelling, Oral pruritus
Clinical narrative: 10:00 - Flu mist given. 10:35am sl gag, coughing x 30 minutes. 2:30pm eyes puffy, hives over chest and back, mouth itchy, tongue fat, denies breathing difficulty. 3:45pm mouth stiff, "neck fat". 5pm to Dr. office received "shot" and oral prednisone. Follow up appointment 11/6/09.
Age: 45.0
Sex: M
Vaccine: FLUN3
Symptoms: Retching, Swollen tongue, Urticaria
Clinical narrative: 10:00 - Flu mist given. 10:35am sl gag, coughing x 30 minutes. 2:30pm eyes puffy, hives over chest and back, mouth itchy, tongue fat, denies breathing difficulty. 3:45pm mouth stiff, "neck fat". 5pm to Dr. office received "shot" and oral prednisone. Follow up appointment 11/6/09.
Age: 8.0
Sex: F
Vaccine: FLUN3
Symptoms: Breath sounds abnormal, Chest discomfort, Oropharyngeal pain
Clinical narrative: Child experienced chest tightness and complaints of sore throat following FLUMIST. No wheeze with chest auscultation, breath sounds decreased. Color fair. Parent called transported child to PMD received ALBUTEROL via nebulizer and steroid shot-per parent report.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Dizziness, Head injury, Syncope
Clinical narrative: Client felt dizzy, fainted and hit head on cement. No swelling or injury noted. Student c/o L ankle pain, no swelling noted.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dyspnoea, Erythema, Nausea, Pruritus
Clinical narrative: Pt waited here 20 min after injection. Approx 45 min - 1 hr after her arm started itching and was red. She took Benadryl. 1 1/2 hrs later she had diff breathing, dizzy, nausea. She called 911. They gave her epi and an IV took to medical center. Was told to cont BENADRYL every 6-8 hrs for next few days.  11/16/09 Medical records received for DOS 10/28/09. Final DX: Allergic reaction.  S/P 1 hr vaccine c/o  dyspnea, feelig faint, itching. Diff breathing. Swelling, dizziness.  Small area red/blanching at injection site. D/C to home. Stable.
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Full blood count, Metabolic function test, Ocular hyperaemia, Pyrexia, Rash
Clinical narrative: Severe rash, red eyes, enanthem within 2 days of administration. High fever. Diagnosed with Stevens Johnson syndrome by dermatology.
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Red blood cell sedimentation rate normal, Stevens-Johnson syndrome
Clinical narrative: Severe rash, red eyes, enanthem within 2 days of administration. High fever. Diagnosed with Stevens Johnson syndrome by dermatology.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood culture negative, Blood glucose normal, Chills, Decreased appetite, Hyperhidrosis
Clinical narrative: Vaccinations site (left arm) - I received two vaccinations. 1) yearly flu 2) pneumonia. Arm became badly swollen, hot and painful to touch, high fever, chills, pain throughout my body-This cont'd for 48 hours - 2nd nite my ned was soaked w/sweat. Extremely ill, almost dialed 911. couldnt eat for 3 days-knot in my arm for a month. Still sore a month after injections/Ibuprofen for fever and pain.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Malaise, Pain
Clinical narrative: Vaccinations site (left arm) - I received two vaccinations. 1) yearly flu 2) pneumonia. Arm became badly swollen, hot and painful to touch, high fever, chills, pain throughout my body-This cont'd for 48 hours - 2nd nite my ned was soaked w/sweat. Extremely ill, almost dialed 911. couldnt eat for 3 days-knot in my arm for a month. Still sore a month after injections/Ibuprofen for fever and pain.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Vaccinations site (left arm) - I received two vaccinations. 1) yearly flu 2) pneumonia. Arm became badly swollen, hot and painful to touch, high fever, chills, pain throughout my body-This cont'd for 48 hours - 2nd nite my ned was soaked w/sweat. Extremely ill, almost dialed 911. couldnt eat for 3 days-knot in my arm for a month. Still sore a month after injections/Ibuprofen for fever and pain.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Receive flu shot on 9-30-09. C/O arm soreness for 2 days which lessened over time. Approx 1 week after shot she noticed increased soreness especially when moving in certain positions. This continues for 3 more weeks until now, when she presents at the clinic.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased
Clinical narrative: Developed reported temp of 102 degrees F within 24 hrs after H1N1 vaccine.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: R upper arm - erythematous, tender, swollen around injection site, 2" x 1 1/2" area.
Age: 69.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: No adverse event
Clinical narrative: None reported. 11-3-09 call to Daycare-spoke to owner (patient's daughter), she states patient is working and is doing fine. Patient did not have any adverse reaction; patient was contacted about one week later by clinic administrator and patient said she was fine.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis, Vertigo, Vomiting
Clinical narrative: Spinning around, feeling dizzy, throwing up, sweaty.  BP: 164/100.  HR: 84.  RR: 20.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Activities of daily living impaired, Asthenia, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Daughter woke up on 10-17-09 with sore throat, congestion and very weak. She was unable to go to school for two days. It took four days before she was better.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Paraesthesia oral, Pruritus, Rash macular, Urticaria
Clinical narrative: H1N1 vaccine administered at 9 AM. Noticed feelings of itchiness and warm face, chest, neck, and arms at 10:00. About 2 PM-itchy on legs and trunk also. BENADRYL 25 mg PO at 2:30 PM and another 2:45 PM this afternoon. Also took CLARITIN 10 mg PO at 10:00 AM. Lips tingly. 4:00 PM-feeling better but still blotchy on face, chest, and arms. Next Am she reports some itching during night-hives gone.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Skin test, Urticaria
Clinical narrative: Pt has diffuse hives 2 days after Influenza vaccine.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness
Clinical narrative: Noticed increasing muscular weakness over next 4 days after receiving Influenza vaccine. Diagnosed with mild Guilliane-Barre Syndrome on 10/8.  11/19/09 Neurology consultation report received service date 10/8/09. Assessment: Diagnosis of Muscle Weakness. Diagnosis of Tremors. Patient began having muscle aches and pains 48 hours after flu shot, later weak and tired, problems walking, decrease in quadraceps strength, tremors, problems with grip. Has started improving. DTR's 1+.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood culture, C-reactive protein increased, Cellulitis, Erythema, Injection site cellulitis
Clinical narrative: Pt immunized then 24 hours later noted swollen, red thigh above knee (distal to injection site and not at all involving injection site). Did not have any pain in leg. Had low fever (100 degrees). Taken to ER with WBC=16,900 and given IV clinda then PO clinda x 10 d for presumed cellulitis. Pt c/o itching of leg. Within 48 hours-72 hours fully recovered. No previous vaccine rxns. Had influenza like illness about 2 wks prior and rv'd TAMIFLU. Had seasonal FLUMIST 6-7 wks earlier.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus, No reaction on previous exposure to drug, Pyrexia, Swelling, White blood cell count
Clinical narrative: Pt immunized then 24 hours later noted swollen, red thigh above knee (distal to injection site and not at all involving injection site). Did not have any pain in leg. Had low fever (100 degrees). Taken to ER with WBC=16,900 and given IV clinda then PO clinda x 10 d for presumed cellulitis. Pt c/o itching of leg. Within 48 hours-72 hours fully recovered. No previous vaccine rxns. Had influenza like illness about 2 wks prior and rv'd TAMIFLU. Had seasonal FLUMIST 6-7 wks earlier.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: White blood cell count increased
Clinical narrative: Pt immunized then 24 hours later noted swollen, red thigh above knee (distal to injection site and not at all involving injection site). Did not have any pain in leg. Had low fever (100 degrees). Taken to ER with WBC=16,900 and given IV clinda then PO clinda x 10 d for presumed cellulitis. Pt c/o itching of leg. Within 48 hours-72 hours fully recovered. No previous vaccine rxns. Had influenza like illness about 2 wks prior and rv'd TAMIFLU. Had seasonal FLUMIST 6-7 wks earlier.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, No reaction on previous exposure to drug, Nodule on extremity, Pain in extremity
Clinical narrative: Pain in the shoulder and down the arm, constant pain and no relief w/TYLENOL. Has had vaccine in past with no problem. Knot on arm like an egg as of 10/10/09. Pain has gotten much better not going to doctor will mention @ regular check up.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Injection site rash, Injection site swelling, Musculoskeletal pain, Neck pain
Clinical narrative: R arm achy, traveling up arm to shoulder, neck and L arm. Prickly dots at injection site, swollen. Later developed chills, fever, congestion-all lasting x 1 week.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: R arm achy, traveling up arm to shoulder, neck and L arm. Prickly dots at injection site, swollen. Later developed chills, fever, congestion-all lasting x 1 week.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hyperhidrosis, Pain, Syncope
Clinical narrative: 3 hrs. after - fainting, sweating, head ache, severe body aches.  Lasting for 2 days.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus, Injection site urticaria, Pruritus generalised, Urticaria
Clinical narrative: Hives and itching on left arm from hand up (injection arm). Itching on face, L side. BENADRYL 50 mg PO with relief.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Joint swelling, Oedema peripheral, Pruritus, Rash erythematous, Rash maculo-papular
Clinical narrative: Mom reported raised red spots to diaper area & trunk approx. 3 hrs after vaccine with itching 2 hrs. later. Improved with Benadryl per MD instructions. 10-9-09 more red spots appeared slight swelling noted to ankles & knuckles/hand started Prednisolone Dx hives per MD. Symptoms improved few hrs. after starting Prednisolone. MD uncertain viral vs. vaccine reaction MD advised no 2nd dose influenza vaccine this year.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Mom reported raised red spots to diaper area & trunk approx. 3 hrs after vaccine with itching 2 hrs. later. Improved with Benadryl per MD instructions. 10-9-09 more red spots appeared slight swelling noted to ankles & knuckles/hand started Prednisolone Dx hives per MD. Symptoms improved few hrs. after starting Prednisolone. MD uncertain viral vs. vaccine reaction MD advised no 2nd dose influenza vaccine this year.
Age: 15.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site rash, Pruritus, Rash maculo-papular
Clinical narrative: Given vaccine 10-23-09 pm. 2 days later (10-25-09) started to develop rash on L deltoid (where shot was given) and down onto forearm scattered macular papular rash. Itchy. Still has rash 10-26-09
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Tremor, Vaccination complication, Vibratory sense increased
Clinical narrative: c/o multiple episodes lasting 5-6 minutes up to 3-4 x day of "vibrating" sensation in left arm. The patient is a 72 year old female who presents with a complaint of allergic reaction. Allergic reaction notes: Pt got ZOSTAVAX 6 days ago, she is reporting episodes, up to 3-4 x a day, lasting up to 6 minutes, a "vibrating" sensation, "like I was holding a pipe that got hit." It has always been in the left hand (shot in left shoulder), but one occais was in both hands. She can't find any position that makes it better or worse, can happen at rest, or with any motion. Possible Zostavax complication.
Age: 10.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Body temperature increased, Headache, Influenza serology positive
Clinical narrative: 11/7/09 father called health department-rec'd FLUMIST at school clinic. Following day c/o headache, low grade temp. 99?. 5 AM, 11/1 increased 102 degrees. West to Dr 11/2-tested + A-told to report to HD.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Chest X-ray, Chest discomfort, Headache, Influenza serology
Clinical narrative: Pt started with soreness in jaw and neck, back and body aches, fever (102), headaches less than 24 hours after vaccine. C/o chest tightness and rib pain a couple of days later. visited physician. Dx pneumonia. 11/18 and 11/24/2009 PCP records for 11/2 and 11/9/2009. Dx pneumonia  Patient with c/o's fever and chills. CXR noted RML infiltrates. Tx: Tamiflu, Z-pak Repeat CXR noted RML infiltrate improved
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal chest pain, Neck pain, Pain, Pain in jaw, Pneumonia
Clinical narrative: Pt started with soreness in jaw and neck, back and body aches, fever (102), headaches less than 24 hours after vaccine. C/o chest tightness and rib pain a couple of days later. visited physician. Dx pneumonia. 11/18 and 11/24/2009 PCP records for 11/2 and 11/9/2009. Dx pneumonia  Patient with c/o's fever and chills. CXR noted RML infiltrates. Tx: Tamiflu, Z-pak Repeat CXR noted RML infiltrate improved
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Pt started with soreness in jaw and neck, back and body aches, fever (102), headaches less than 24 hours after vaccine. C/o chest tightness and rib pain a couple of days later. visited physician. Dx pneumonia. 11/18 and 11/24/2009 PCP records for 11/2 and 11/9/2009. Dx pneumonia  Patient with c/o's fever and chills. CXR noted RML infiltrates. Tx: Tamiflu, Z-pak Repeat CXR noted RML infiltrate improved
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash, Pruritus, Rash vesicular, Skin lesion
Clinical narrative: He contacted the office on 10/21 to say he had a "rash" on his R upper arm.  He has 10 lesions that look like drying chicken pox on his upper right arm.  They are spaced 2-3 inches apart.  There 2 on lower arm and 1 on his R thumbs.  They are very itchy - no pain.  No fever of other illness.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Hyperhidrosis, Injection site pain, Mydriasis, Pallor
Clinical narrative: Teacher saw child lying on floor on her back, jerking her head and one shoulder for about 10 sec- Nurse observed child lying on floor; was pale, diaphoretic with pupils equally dilated; responsive. Incident happened about 5 min after child received H1N1-Im injection pain only at injection site.  Vitals @13:40 T-98, P-72, R-16, BP 90/60.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash face, arms, torso. Given steroids, Benadryl & Cimetadine.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, Chest discomfort, Headache, Nausea
Clinical narrative: Chest tightness, neck pain (headache), joint pain, shoulders, knees, hips, back pain, nausea.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain
Clinical narrative: Chest tightness, neck pain (headache), joint pain, shoulders, knees, hips, back pain, nausea.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Influenza, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L arm red, swollen, with fever in it - body aches all over, feverish feeling. Very tired feeling. Starting of fever blisters on lip beginning 10/26/09. Flu for 1 wk. Temp maximum @ 101.3 with meds. Sore throat; multiple fever blisters. 11/3 local reaction (arm) resolving.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Local reaction, Malaise, Oral herpes, Oropharyngeal pain, Pain
Clinical narrative: L arm red, swollen, with fever in it - body aches all over, feverish feeling. Very tired feeling. Starting of fever blisters on lip beginning 10/26/09. Flu for 1 wk. Temp maximum @ 101.3 with meds. Sore throat; multiple fever blisters. 11/3 local reaction (arm) resolving.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: -arm felt pains 1 wk after vaccination went to MD gave antibiotic. arm pain still there. No fever. -MD sending to neurologist. Patient saw neurologist and said didn't hit nerve. But can do tests if patient wants. went primary care MD.
Age: 1.0
Sex: M
Vaccine: FLU(H1N1), FLU3, MMR, VARCEL
Symptoms: Abdominal pain, Abnormal behaviour, Excessive eye blinking, Pyrexia, Rash
Clinical narrative: Patient developed fever on 10/28-treated with OTC meds. He developed a rash on 10/29 located on trunk and face. Eye blinking occurred as well as abdominal pain. Behavioral changes all sx resolved by 11/2/09.
Age: 26.0
Sex: U
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: T/C from patient - seen 11/6/09 in ER at the hospital, for fever, swelling, reddness and pain (L) upper arm - Given IV antibiotics and fluids. Sent home with PO. KEFLEX - 11/9/09 - having reaction from medication and will see PCP today.
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Dizziness, Fatigue
Clinical narrative: Feels tired and dizzy right after mist given at 9:02am. 9:30 dizziness resolved. Still feels tired. BP 90/68, P 80.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Feeling abnormal, Pain, Pyrexia
Clinical narrative: Patients states that same day of vaccine injection felt "terrible", achy, fever, chills. Client went to ER. Did not call.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Cough, Headache, Nasal congestion, Pain
Clinical narrative: Body ache, chest congestion, chills, cough, fever, headache, nasal congestion.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: Body ache, chest congestion, chills, cough, fever, headache, nasal congestion.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: 2 days after vaccine welps on back, stomach and neck.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: Entire left arm ached starting immediately after vaccine administration. Pain was so bad it awoke the patient from sleep that night. Pain resolved 3 days later, but required  over-the-counter TYLENOL and MOTRIN for pain tolerance.
Age: 56.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Muscle pain, fever, nausea.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Injection site urticaria, Lip swelling, Urticaria
Clinical narrative: 10:00 a.m. A pinpoint size hive noticed on right deltoid where vaccine administered. hives spread to ankles, arms, face, and inside of lips. Lips became swollen, dizziness. Visited ER on 11/5/09. Treated with BENADRYL and PREDNISONE.
Age: 48.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Arthralgia, Myalgia
Clinical narrative: Severe pain in hip joints, elbow, knees and ankles. Muscles also tender and sore.
Age: 64.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: No adverse event
Clinical narrative: No adverse reactions from out of age range, chronic conditions, receipt of nasal vaccine.
Age: 52.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: No adverse event
Clinical narrative: No adverse reactions from out of age range, chronic conditions, receipt of nasal vaccine.
Age: 0.48
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: Hard bump on site area, redness swelling.