chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.6
Sex: F
Vaccine: FLU3, HEPA, HIBV
Symptoms: Electroencephalogram, Grand mal convulsion, Streptococcal identification test
Clinical narrative: generalised tonic clonic seizure for 6 min 11/5/09 Vaccination record received, medical records received for date 10/30/09. DX: febrile seizure.  ER f/u exam from febrile seizure and pharyngitis. Pt. being seen in ofice for ER f/u dx tonic clonic seizure and post ictal sleep. Assessment: PE WNL afebrile. 11/5/09 Vaccination record received, medical records received for date   11/16/09 Medical records recieved for DOS 1/30. Final DX:febrile seizure, pharyngitis. fever, 102.9 r.  Infant w/eyes rolling back, body jerking, warm to touch.  Grabbing head. Tonic clonic seizure. 4-5min long. Post ictal 10-15 min. Back to baseline. D/C to home.  ICD9 Codes: 780.31A
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: Trouble breathing, high heart rate.and dizziness.
Age: 39.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Burning sensation, Herpes zoster, Paraesthesia, Rash
Clinical narrative: Felt a tingling burning sensation in the middle of the night around the bottom of my breast and around my back, a few days later I had a rash. I'm going to go to the Dr. Monday. I think the shot broke down my immune system, while I was stressed out over something and therefore caused me to have the Shingles. I've been stressed out on and off all my life so far and been on Zoloft for 10 years and have never had Shingles.
Age: 11.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Hives from head to ankles.  Itching. Reddness. Benadryl 25mg po.  No other signs or symptoms.  Resolving, may meed to administer a second dose or seek family doctor if unresolved.  Monitoring closely.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Diarrhoea, Influenza, Influenza serology positive, Pyrexia
Clinical narrative: Diarrhea began the following day (Thursday) with a slight fever of 99.3 and continued on through Friday with the fever slightly escalating. By Saturday morning diarrhea had stopped but fever got to heights of 103.8 - 104.2. Returned to the doctors office on Sunday 10/25/2009 because could not get fever to stay down for more than three hours at a time. Was prescribed Tamiflu for five days and instructed to alternate between Tylenol and Advil to regulate fever. Three days later both my 13 yr old daughter and I were diagnosed with the Flu and had to be treated with Tamiflu as well.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pruritus generalised, Somnolence
Clinical narrative: Pt received seasonal flu vaccine at 4:45 pm-Pt called pharmacy at 5:55 pm to report itching all over-pt said itching had started approximately 25 minutes prior to calling pharmacy-gave pt #2 25mg diphenhydramine-pt states she has epi-pen with her. Pt displayed no rash on body or at injection site-just feels itchy all over-has no problem with breathing. Checked on patient at 6:35pm-states not itching as much and a little sleepy. Checked on patient at 6:55 pm-states not as itchy as before and that she is fine-no rash observed. Checked on patient 7:15 pm-just her face itches a little - no rash or difficulty breathing-pt states she feels fine. Called pt on 10-31-09 at 9:15 am-pt has no itching, no rash, nothing at injection site-she reported having a headache.
Age: 1.58
Sex: M
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Pruritus generalised, Rash generalised
Clinical narrative: An 18 month old child was brought to clinic by parents to state child appears to have rash & itching all over body. Observation was made on child & there was rash & itching all over the body, parents informed to take him to the hospital. As per father child received a Hep B vaccine & reacted the same way, yet no mention before administrating vaccine not documented on questionnaire form.
Age: 13.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pt received his sister HPV. 0.3 ML.  He was to get the flu - no adverse reactions at time of immuz.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Malaise, Nausea, Skin warm
Clinical narrative: General malaise, some chills, redness at injection site 11cm x 8cm, site hand and warm to touch, no itch, no discharge, no fever, some nausea.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site pain
Clinical narrative: Injection site area still very sore with some black and blue areas. It has been 27 days since the injection.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Red rash at the site of injection.  On left arm.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Heart rate increased, Myalgia, Nausea
Clinical narrative: Severe headache , muscle aches , nausea , dizziness , and fast heart rate.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Blood test, Crying, Fear, Urine analysis
Clinical narrative: Crying complaining of abdominal pain and cramps  fear
Age: 6.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Body temperature increased, Cough, Oropharyngeal pain, Pain, Vomiting
Clinical narrative: 102 Temp, coughing, sore throat, vomiting.  He also appears to be in pain when he is awake.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site movement impairment, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: Injection site swelling, a constriction feeling in the arm, hard lump occurred warmness. Used cold pack and gave BENADRYL.
Age: 0.52
Sex: F
Vaccine: FLU3
Symptoms: Cough, Irritability, Rhinorrhoea, Urticaria
Clinical narrative: Pt rec. seasonal influenza IM vaccine on 10/29/09 @ 08:45.  Mom called office at 14:00, Pt with generalized hives, fussiness, coughing, increased mucus production.  Advised mom to take pt to ED.  11/05/09 and 04/01/10 MR received for DOS 10/30/09. DX: Medication adverse effect, persistent vomiting. Pt c/o vomiting, diarrhea, cramping. Tx: Zofran. Pt with clear liquid diet. Pt discharged home.
Age: 62.0
Sex: U
Vaccine: TDAP
Symptoms: Mobility decreased, Musculoskeletal pain, Nuclear magnetic resonance imaging, Surgery
Clinical narrative: Severe left shoulder pain. Unable to move arm - Required surgery. Will send MRI --> operative report. (+) crystals found in specimen. 11/4/09 Medical records received for dates 9/8/09 and 9/15/09. Orthopedic consult. DX: Left shoulder effusion. Inflammatory arthritis. Presenting SX: left shoulder pain, pt. states began after vax given in left arm on 8/20/09. Pt. presented to PCP w/ c/o shoulder pain, pt referred to specialist. Pt had surgery on shoulder that showed there were crystalline arthropathy.  Orthopedic MD theory states opinion as being pt. received vax, which entered her glenohumeral joint and caused this inflammatory arthritis. Pt recovered.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Limb immobilisation, Pain in extremity
Clinical narrative: Pt stated he got arm soreness 1 week after vaccine administration.  (1st week he was pain free) & 1 mo. after vaccine admin, he can only raise his arm up to 90 degrees.  Stated he did not have pain or swelling upon receiving the vaccine.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea
Clinical narrative: After an hour & a half I started feeling very short of breath. When I took a deep breath I got a pain in my chest. This continued for 2 hours. I called my doctor & she suggested if it got worse to go to the ER. I got better without going to the ER within 2 hours.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Emotional distress, Irritability
Clinical narrative: Extremely irritable and inconsolable off and on for 3 days.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Severe pain for 3 days on arm.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Swelling, redness, more swelling below injection site.
Age: 5.0
Sex: M
Vaccine: PPV
Symptoms: Influenza, Injection site erythema, Injection site swelling
Clinical narrative: Rt delt. slightly red./ swollen. - 10/30/09.  Febrile started 10/29/09 6 PM.  Conglomerate with symptoms of flu.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Blindness transient, Syncope
Clinical narrative: Started to feel weak, fainted-unable to see 5 sec lasted about 20 seconds. Has not eaten at all today. Only drank 16 oz seltzer water. Got up by self-sat/rested for 15 minutes.
Age: 21.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Lymphadenopathy, Oral disorder
Clinical narrative: Received inhaled vaccine in am seen at 4pm with swollen glands and purpurish lesions on tonsils and uvula.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blister, Erythema, Pruritus, Pyrexia, Rash macular
Clinical narrative: Fever (101 PO) 72 hours after vaccine (responded to acetaminophen) and rash: red macular lesions (5-15 mm) with central vesicle over trunk. Some pruritis ->treated with antihist.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Skin lesion
Clinical narrative: Fever (101 PO) 72 hours after vaccine (responded to acetaminophen) and rash: red macular lesions (5-15 mm) with central vesicle over trunk. Some pruritis ->treated with antihist.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Flushing, Injection site haematoma, Injection site rash, Pruritus
Clinical narrative: Admin 10/19/09 sub Q. Bruise at administration - no flesh broken in 24hrs - more bruising and some itching.  By 10/21/09 rash appeared extending from injection in oblong shape @ 3-4" wide towards elbow. Rash itching, tender. Flushing experienced on upper torso. BENADRYL OTC responded symptoms. Fading away - slight redness still on 10/30/09. (Did have poison Ivy at time of administration).
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: Admin 10/19/09 sub Q. Bruise at administration - no flesh broken in 24hrs - more bruising and some itching.  By 10/21/09 rash appeared extending from injection in oblong shape @ 3-4" wide towards elbow. Rash itching, tender. Flushing experienced on upper torso. BENADRYL OTC responded symptoms. Fading away - slight redness still on 10/30/09. (Did have poison Ivy at time of administration).
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Convulsion, Pallor
Clinical narrative: Pt was given Hep A #2 immunization an then got HPV #2 vaccine. At that point she became limp & pale. The nurse laid her down & called for her. She was doing fine when I checked into the room. The nurse said  it appeared she had a mini seizure that lasted approx 10-15 seconds. No treatment needed. Pt recovered spontaneously.
Age: 1.97
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR
Symptoms: Injection site erythema, Local reaction
Clinical narrative: Pt had large local reaction to immunization on R anterior thigh where PENTACEL was given. Large patch of erythema of 20cm that resolved over several days w/benadryl.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site scar
Clinical narrative: Patient received the first injection of Gardasil and at the injection site, extreme scar tissue and it seems like the muscle has huge divot to the bone in it. Patient has been to the doctor and a dermatologist and they are contacting the company that makes the drug.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Erythema, Induration
Clinical narrative: School nurse notified of 4 X 4" red, indurated and blistered area of right arm.  Temp = 98.4.  Referred to family practice MD of choice.
Age: 30.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Influenza serology negative, Nausea
Clinical narrative: 4:30 AM Vomiting, Stomach Cramps, Nausea 5:30 AM Vomiting, Stomach Cramps, Nausea, Diarrhea 12:00 PM Pepto Bismol (524mg bismuth subsalicylate) 15:00 PM Woke-up with nausea, headache, diarrhea which continued off and on for the rest of the day. 600 mg ibuprophen taken. 23:30 PM Ibuprophen 600 mg and Imodium (loperamide HCl 4 mg) taken
Age: 30.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Vomiting
Clinical narrative: 4:30 AM Vomiting, Stomach Cramps, Nausea 5:30 AM Vomiting, Stomach Cramps, Nausea, Diarrhea 12:00 PM Pepto Bismol (524mg bismuth subsalicylate) 15:00 PM Woke-up with nausea, headache, diarrhea which continued off and on for the rest of the day. 600 mg ibuprophen taken. 23:30 PM Ibuprophen 600 mg and Imodium (loperamide HCl 4 mg) taken
Age: 66.0
Sex: M
Vaccine: FLUX, PPV, VARCEL
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Chills and fever up to 103 degrees for 4 days. Swelling, redness and pain at injection site. Skin peeling two weeks later.
Age: 66.0
Sex: M
Vaccine: FLUX, PPV, VARCEL
Symptoms: Skin exfoliation
Clinical narrative: Chills and fever up to 103 degrees for 4 days. Swelling, redness and pain at injection site. Skin peeling two weeks later.
Age: 0.26
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Erythema, Flushing, Pain
Clinical narrative: Intense, extremely painful, red flushing starting at head & face, down to toes. Dizziness along with it. No sweating, no hives, no itching, no breathing problems. Felt like passing out. After about 10 min husb. called 911. Vitals ok, though they didn't check temp. I took Benadryl & symptoms quickly resolved, though face was reddish about 24 hours & had 1 minor flushing next day. I had NEVER experienced anything like this. These were NOT hot flashes.
Age: 57.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blood pressure increased, Migraine, Nausea
Clinical narrative: Extreme migraine headache.  Blood pressure spiked very high.  Nausea.
Age: 78.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Blood test, C-reactive protein increased, Muscular weakness
Clinical narrative: severe weakness in arms and legs, called MD, saw MD on 10/8., LAbs drawn, sent to another MD on 10/10 11/9/09: Rheumatology consult received for date of service 11/2/09.  DX:  Polyarticular synovitis, elevated ESR, elevated CRP.  Assessment:  Presents in wheelchair with c/o pain after flu shot.  Having difficulty performing ADL's.  Occasional blurry vision, shakes and tremors secondary to pain.  Bilateral shoulders with positive impingement sign, negative drop sign.  Bilateral hands with MCP and PIP synovitis, unable to make fists bilaterally.  Bilateral knees with synovitis. Bilateral knee arthrocentesis performed with Depo Medrol and Lidocaine injected. Placed on prednisone taper.  No evidence of GBS.  To RTC in one week.      11/25/09 Hosp. records received for date 10/30/09 to 9/3/09. Operative report from date 9/1. DX: left hip osteoarthritis. Surgery: left total hip arthroplastying .  ER visit on 10/30/09 w/ c/o weakness,  hurting all over, swelling left hand and foot, poor appetite. Pt states started after receiving the flu shot x3-4wks ago. Assessment: (+)weakness, (+)leg swelling, (+)tremors focal weakness,(+)hand edematous, abnormal muscle tone. DX: musculo-skeletal pain, tremors, generalized weakness.
Age: 78.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Activities of daily living impaired, Asthenia, C-reactive protein increased, Gait disturbance, Muscular weakness
Clinical narrative: severe weakness in arms and legs, called MD, saw MD on 10/8., LAbs drawn, sent to another MD on 10/10 11/9/09: Rheumatology consult received for date of service 11/2/09.  DX:  Polyarticular synovitis, elevated ESR, elevated CRP.  Assessment:  Presents in wheelchair with c/o pain after flu shot.  Having difficulty performing ADL's.  Occasional blurry vision, shakes and tremors secondary to pain.  Bilateral shoulders with positive impingement sign, negative drop sign.  Bilateral hands with MCP and PIP synovitis, unable to make fists bilaterally.  Bilateral knees with synovitis. Bilateral knee arthrocentesis performed with Depo Medrol and Lidocaine injected. Placed on prednisone taper.  No evidence of GBS.  To RTC in one week.      11/25/09 Hosp. records received for date 10/30/09 to 9/3/09. Operative report from date 9/1. DX: left hip osteoarthritis. Surgery: left total hip arthroplastying .  ER visit on 10/30/09 w/ c/o weakness,  hurting all over, swelling left hand and foot, poor appetite. Pt states started after receiving the flu shot x3-4wks ago. Assessment: (+)weakness, (+)leg swelling, (+)tremors focal weakness,(+)hand edematous, abnormal muscle tone. DX: musculo-skeletal pain, tremors, generalized weakness.
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Uvulitis
Clinical narrative: Uvulitis 11/6/2009 received vaccine records DC  11/13/09 Medical records recieved for DOS 10/31/09.  Final DX: Uvulitis. Woke up w/ swollen neck and throat . phlegm.1 day s/p vaccine.  Steroid therapy. D/C to  home.  Allergies: sulfa
Age: 39.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Discomfort, Lymphadenopathy, Oedema peripheral
Clinical narrative: Swollen lymph nodes cervical and axillary on the left side - where Tdap (Adacel) and Pneumovax 23 were given.  10/29-10/31 mild generalized swelling and discomfort entire left arm, nodes remain swollen.  No reaction in right arm where seasonal flu shot given; last year flu shot given left arm and cervical lymph node swollen X 1 week
Age: 31.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rash
Clinical narrative: Rash on arms hands neck and mouth.
Age: 33.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Musculoskeletal stiffness, Oropharyngeal pain, Pain
Clinical narrative: Sore throat, Severe neck and back stiffness. Overall soreness.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea
Clinical narrative: Diarrhea lasting several days still continues.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Immunisation reaction, Oedema peripheral, Pruritus, Urticaria
Clinical narrative: MOM STATES 10/29/2009 AT BREAKFAST CHILD HAD ITCHING, HIVES AND SWELLING OF HANDS AND FEET. MOM GAVE BENDADRYL, TOOK CHILD TO EMERGENCY ROOM AND WAS TOLD IT WAS PROBABLY FROM THE H1N1 VACCINE. MOM CALLS 10/30/2009 AFTERNOON AND STATES CHILD HAS SMALL AMT OF SWELLING AND HIVES ON HANDS BUT FEET ARE WORSE WITH SWELLING AND HIVES. MOM WAS INSTRUCTED TO GIVE BENADRYL AT THE ER. 11/6/09:  ED Records received for date of service 10/29/09.  Dx:  Gastroenteritis. Assessment:  Presented with a 6 day history of Abd. pain N&V and diarrhea.  Pt. had returned to school and was given the H1N1 vaccine the day before presenting in the ED.  A rash (hives) was noted the morning of the visit, treated with Benadryl at home and resolved.  The hives re-appeared on the hands and feet in the ED and Benadryl was again given.
Age: 40.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Chest discomfort
Clinical narrative: Chest tightness-Went to emergency room department and was given an albuterol nmt and 60 mg of prednisone,
Age: 40.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Chest tightness-Went to emergency room department and was given an albuterol nmt and 60 mg of prednisone,
Age: 7.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Chills, Cough, Influenza serology positive, Pyrexia, Vomiting
Clinical narrative: Fever, chills, vomiting, cough.
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chills, Eye irritation, Eye pain, Headache, Nasal congestion
Clinical narrative: The evening of my shot I felt like I was getting a cold. Nose stuffed, chills, etc., but when I woke up, I felt nauseated and felt two hard lumps beneath my tongue, not PART of the tongue, but a short space from the bottom gumline.  I could feel it with my tongue and also see it in the mirror. Still don't know what this is. I ate a banana and again feel nauseated and my eyes are hurting...like burning and headache as well.
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Nasopharyngitis, Nausea, Oral disorder
Clinical narrative: The evening of my shot I felt like I was getting a cold. Nose stuffed, chills, etc., but when I woke up, I felt nauseated and felt two hard lumps beneath my tongue, not PART of the tongue, but a short space from the bottom gumline.  I could feel it with my tongue and also see it in the mirror. Still don't know what this is. I ate a banana and again feel nauseated and my eyes are hurting...like burning and headache as well.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), TDAP
Symptoms: Erythema, Neuralgia, Oedema peripheral, Paraesthesia
Clinical narrative: pain, erythema, extensive limb swelling, ulnar nerve pain with left pinky tingling (pt is anesthesiologist and describes pain as neuropathic) 11/9/2009 Ed records for 10/31/2009. DC Dx reaction to vaccine Patient with c/o's lt shoulder pain, paresthesias, rash and itching at injection site.  Dc'd with Prednisone/Lortab
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia
Clinical narrative: I now have numbness in my fingertips. It is bad in 3 fingers. Still there after 2 days. 11/9/09 Vaccination record received and updated.
Age: 74.0
Sex: M
Vaccine: UNK
Symptoms: Activities of daily living impaired, Back pain, Insomnia, Neck pain, Pain in extremity
Clinical narrative: The vaccine is PPV. Extreme pain in my left arm, neck and back. Could not sleep for the last 48 hours and could not do my daily routing work.
Age: 38.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Headache, Lymphadenopathy, Pain, Pharyngitis streptococcal
Clinical narrative: Enlarged lymph nodes, body aches, chills, fever, & headache.  Strep throat.
Age: 38.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Streptococcal identification test positive
Clinical narrative: Enlarged lymph nodes, body aches, chills, fever, & headache.  Strep throat.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test abnormal, Nausea, Pain, Pancreatitis, Vomiting
Clinical narrative: NAUSEA, PAIN STARTED ABOUT 6 PM, THEN VOMITING 12/28/09 Discharge summary, ED and Hospital records received for DOS 10/28/09-11/05/09. Pt. presented to ED with LUQ abdominal pain, nausea and vomiting and found to have high lipase and admitted. Ureteric stent placement for ureteric stone. Discharged stable to f/u with PCP. DC DX: Left renal calculi s/p removal and stenting; acute pancreatitis, resolved.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site anaesthesia, Injection site reaction, Paraesthesia
Clinical narrative: Tingling at injection site, radiating down to fingertips [some numbness]
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Paraesthesia
Clinical narrative: Patient desribed tingling in one foot -- affecteing big toe and adjacent two toes [no numbness]
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Blood test, Dysphonia, Eye pain, Feeling abnormal
Clinical narrative: Patient desribed tingling in one foot -- affecteing big toe and adjacent two toes [no numbness]
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Hypoaesthesia, Musculoskeletal discomfort, Paraesthesia, Tremor
Clinical narrative: Patient desribed tingling in one foot -- affecteing big toe and adjacent two toes [no numbness]
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: No reaction on previous exposure to drug, Urticaria
Clinical narrative: Developed hives on face, neck, chest and upper back. Took Zyrtec within 20 minutes of onset of symptoms. Hives lasted approximately 2 hours. No lip swelling or breathing difficulty. I have never developed an adverse reaction with seasonal influenza vaccines previously.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest X-ray normal, Cough, Ear infection, Eye discharge, Influenza serology negative
Clinical narrative: Sudden onset High Fever 103, immediately gave children's Tylenol, alternated Children's Tylenol & Children's Motrin Q4H. By 4am Sunday morning, fever was 103 even with medicine. Other symptoms at this time runny nose, congestion, violent coughing, vomiting (mostly mucus), lathargy, one eye looked a little infected with greenish discharge. High fever lasted until Tuesday around 8:00pm. (4 days) Was giving Tylenol/Motrin Q 3 hours Sunday-Tuesday as recommended by ER doctor.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Lethargy, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Vomiting
Clinical narrative: Sudden onset High Fever 103, immediately gave children's Tylenol, alternated Children's Tylenol & Children's Motrin Q4H. By 4am Sunday morning, fever was 103 even with medicine. Other symptoms at this time runny nose, congestion, violent coughing, vomiting (mostly mucus), lathargy, one eye looked a little infected with greenish discharge. High fever lasted until Tuesday around 8:00pm. (4 days) Was giving Tylenol/Motrin Q 3 hours Sunday-Tuesday as recommended by ER doctor.
Age: 39.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Muscle spasms, Nausea, Rhinorrhoea
Clinical narrative: Headache, Nausea, Runny Nose, Cramps
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Rash
Clinical narrative: rash on belly and legs diarrhea
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Dyspnoea, Swollen tongue
Clinical narrative: PATIENT NOTICED SWELLING OF THE TONGUE BUT NO ITCHING OR FEVER.  SHE TOOK BENADRYL AND SOME ROCOLA.  SHE ALSO NOTICED TROUBLE BREATHING, BUT SAID IT WAS DUE TO POSSIBILITY OF ANXIETY.  SHE THEN FELT BETTER AND WAS OK.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased
Clinical narrative: Fever of approx 99-100 for approx 1 hr
Age: 46.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Injection site anaesthesia, Injection site pain
Clinical narrative: I have noticed that the arm that I received the H1N1 vaccine in has begun to ache and be numb.  Numbness from shoulder down to finger tips.  This has gone on for several days....
Age: 4.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site movement impairment, Injection site pain
Clinical narrative: at 3pm -initially -Sore at sight, muscle sore, not moving arm by 6pm- swelling at vaccination site, pain in arm, redness, slight swelling 8:30 AM (10/31) large hard bump at vacination site, soreness, redness
Age: 4.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site swelling, Myalgia
Clinical narrative: at 3pm -initially -Sore at sight, muscle sore, not moving arm by 6pm- swelling at vaccination site, pain in arm, redness, slight swelling 8:30 AM (10/31) large hard bump at vacination site, soreness, redness
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Asthenia, Diarrhoea, Fatigue, Syncope
Clinical narrative: Tightness in abdomen, violent vomiting, diarreha, fainting, weakness, fatigue  11/03/09 Vaccine record received. 11/05/09 Medical records received for DOS 10/30/09. Patient developed nausea, diar and vomiting several hours s/p vaccine.  Hot and cold flashes. ED visit. All bld wrk WNL. Fluid replacement and antiemetics. Felt better. D/c to home.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Tightness in abdomen, violent vomiting, diarreha, fainting, weakness, fatigue  11/03/09 Vaccine record received. 11/05/09 Medical records received for DOS 10/30/09. Patient developed nausea, diar and vomiting several hours s/p vaccine.  Hot and cold flashes. ED visit. All bld wrk WNL. Fluid replacement and antiemetics. Felt better. D/c to home.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling hot, Presyncope
Clinical narrative: Near Syncope Warm  Dizzy
Age: 37.0
Sex: M
Vaccine: DTP
Symptoms: Auricular swelling, Nasal oedema, Rash
Clinical narrative: Swelling around ears and nose, red rash on neck with raised red bumps, swelling of both right nostril and both ears, bumps behind one ear
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Asthenia, Chest discomfort, Dyspnoea, Fatigue
Clinical narrative: I started to feel extremely weak and tired.  I was completely fine previously.  I'd have to sit when just standing. Lifting my arms would make me feel weak.  In a day I was having severe headaches, body aches, weakness, and slept with the flu for 5 days.  I went back to work and after a day I was again feeling exhausted, my nose started to run, I was feeling achy now in the joints, my chest felt tight and it felt as though harder to breath.  A few times I've wheezed.  My doctor has said the flu shot is the reason for this, before I thought I just had flu like symptoms and now it seems I have the full flu.  I keep feeling run down and worse.  It doesn't improve.  I've had Vitamin A, D, and astralgus along with my normal supplements.  These helped alot along with rest, but I'm not improving, I am feeling much worse.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Influenza, Pain, Rhinorrhoea, Somnolence
Clinical narrative: I started to feel extremely weak and tired.  I was completely fine previously.  I'd have to sit when just standing. Lifting my arms would make me feel weak.  In a day I was having severe headaches, body aches, weakness, and slept with the flu for 5 days.  I went back to work and after a day I was again feeling exhausted, my nose started to run, I was feeling achy now in the joints, my chest felt tight and it felt as though harder to breath.  A few times I've wheezed.  My doctor has said the flu shot is the reason for this, before I thought I just had flu like symptoms and now it seems I have the full flu.  I keep feeling run down and worse.  It doesn't improve.  I've had Vitamin A, D, and astralgus along with my normal supplements.  These helped alot along with rest, but I'm not improving, I am feeling much worse.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Wheezing
Clinical narrative: I started to feel extremely weak and tired.  I was completely fine previously.  I'd have to sit when just standing. Lifting my arms would make me feel weak.  In a day I was having severe headaches, body aches, weakness, and slept with the flu for 5 days.  I went back to work and after a day I was again feeling exhausted, my nose started to run, I was feeling achy now in the joints, my chest felt tight and it felt as though harder to breath.  A few times I've wheezed.  My doctor has said the flu shot is the reason for this, before I thought I just had flu like symptoms and now it seems I have the full flu.  I keep feeling run down and worse.  It doesn't improve.  I've had Vitamin A, D, and astralgus along with my normal supplements.  These helped alot along with rest, but I'm not improving, I am feeling much worse.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Diplopia, Myasthenia gravis, Vaccine positive rechallenge
Clinical narrative: on 10/16 Return of symptoms - Double Vision-  of Myastenia Gravis  - which had been previously under control with 7.5 mg of Prdenisone daily. required dose increse to 20mg to re gain control  11/13 and 11/24/09 Medical records receoved. PCP notes for DOS range 7/20/09 through 11/23/09. C/O problems after vaccine.  Diplopia returned.  Steroid tx. Back to baseline.
Age: 9.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Pyrexia
Clinical narrative: fever, fatigue
Age: 46.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal discomfort, Asthenia, Back pain, Dizziness, Injection site pain
Clinical narrative: Extreme pain in injection arm so strong, from my upper back, and down to my thumb, I almost passed out, and it would not let up, I put heat on it for 8 hours and took Tylenol, I became sick to my stomach, and throw up all the way home in my car, the next day I was total wiped out, and today 10/31/09, I feel like fainting all day, and I am weak all day.
Age: 46.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pain, Vomiting
Clinical narrative: Extreme pain in injection arm so strong, from my upper back, and down to my thumb, I almost passed out, and it would not let up, I put heat on it for 8 hours and took Tylenol, I became sick to my stomach, and throw up all the way home in my car, the next day I was total wiped out, and today 10/31/09, I feel like fainting all day, and I am weak all day.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Feeling hot, Nausea, Pallor, Vision blurred
Clinical narrative: Dizzinez, sensation of hot, nausea, blurry vision, pallor, suething. Low blood pressure measured after sympoms started to improve: 105/50, heart rate: 60. I drunk 600 ml of water and eat salt food. Recovered by 4:15 PM.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Impaired work ability, Vertigo
Clinical narrative: Severe case of vertigo upon arising.  Got Dr. appointment 10/13/09.  He prescribed meclizine.  Caused loss of income due to inability to work.
Age: 28.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Headache, Myalgia, Oropharyngeal pain
Clinical narrative: Sore throat, muscle aches, headache.
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever 101.8 without antipyretics, 10/31/2009 10:15 PM fever of 102.8 without Tylenol/Advil.
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cold sweat, Diarrhoea, Pallor, Somnolence, Vomiting
Clinical narrative: Initial vomiting, twice, then very pale and diarrhea following about three times.  Very sleepy.  Clamy, no fever.  Went back to bed around 11:15, no symptoms so far since going to back to bed.
Age: 75.0
Sex: M
Vaccine: FLUX
Symptoms: Body temperature increased, Malaise, Myalgia
Clinical narrative: Severe myalgia, began with muscles of neck, thigh. Over next 3 days also involved legs, arms.  Difficult to rise from supine position; had to used my hands to flex my thighs.  Malaise.  Never had anything as generalized as this before,  Temp of 100.4 F.  on 10/26.  NO OTHER SYMPTOMS.  Started to improve on 10/29.  Almost totally resolved by 10/31.  Ibuprofen, Tylenol did not help.
Age: 30.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Abdominal discomfort, Arthralgia, Headache, Malaise, Myalgia
Clinical narrative: fever (100/F), severe arthralgia, myalgia, malaise, mild stomach distress, headache. fever lasted ~ 16 hours. other symptoms ~ 20 hours. malaise 2 days. no one in house sick (including 2 1/2 year old), no coworkers sick.
Age: 30.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: fever (100/F), severe arthralgia, myalgia, malaise, mild stomach distress, headache. fever lasted ~ 16 hours. other symptoms ~ 20 hours. malaise 2 days. no one in house sick (including 2 1/2 year old), no coworkers sick.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anosmia, Nasal congestion
Clinical narrative: I have not been able to smell . I first became aware of this on the morning of 10/31/2009. My nasal passges became completely clogged the evening of the vaccination. I have no smell sensation. This could potentially be a vary dangerous conditon as many life  threatening conditons can be detected through the sense of smell.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1), FLUX
Symptoms: Full blood count, Injection site swelling
Clinical narrative: SWELLING AT BOTH INJECTION SITES
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Lymphadenopathy, Myalgia
Clinical narrative: Supraclavicular, posterior cervical lymphadenopathy with myalgias.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Angiogram, Blood test, Computerised tomogram, Deep vein thrombosis, Dyspnoea
Clinical narrative: Difficulty breathing; more comfortable sitting up than lying down; ended up hospitalized with pericarditis on 10/24/09 11:30 AM blood clot developed in right leg calf 11/9/09 Vaccine record received. 11/10/09 Hospital records received for dates 10/24/09. DX: chest pain Assessment: mild distress, thoracic back pain. Presented with c/o chest pain, back pain, vomiting, diaphoretic.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Electrocardiogram, Pericarditis, X-ray
Clinical narrative: Difficulty breathing; more comfortable sitting up than lying down; ended up hospitalized with pericarditis on 10/24/09 11:30 AM blood clot developed in right leg calf 11/9/09 Vaccine record received. 11/10/09 Hospital records received for dates 10/24/09. DX: chest pain Assessment: mild distress, thoracic back pain. Presented with c/o chest pain, back pain, vomiting, diaphoretic.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Asthenia, Diarrhoea, Diet refusal, Headache
Clinical narrative: severe vomiting and uncontrolable diarrehia, stomach pains, body aches, chills, headache, weekness, fever, unable to eat or drink for 12 hours.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: severe vomiting and uncontrolable diarrehia, stomach pains, body aches, chills, headache, weekness, fever, unable to eat or drink for 12 hours.
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Cough, Dizziness, Nasal congestion, Oropharyngeal pain
Clinical narrative: severe fever,dizziness,drowsiness, weakness, vomiting bile, cough, nasal congestion, sore throat,
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Somnolence, Vomiting
Clinical narrative: severe fever,dizziness,drowsiness, weakness, vomiting bile, cough, nasal congestion, sore throat,
Age: 32.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Mobility decreased, Musculoskeletal stiffness, Neck pain
Clinical narrative: Sudden Stiffness in neck. In ablitity to turn neck abruptly nor look down or up. Neck Pain.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Cold sweat, Dyspnoea, Hypoaesthesia facial, Injection site anaesthesia, Injection site reaction
Clinical narrative: Heart racing,sob, tongue felt heavy, face felt numb and tingly, right arm where i received injection was numb tingly and clammy. Started to itch all over, right eye began twitching. Took and antihistamine.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Muscle twitching, Palpitations, Paraesthesia, Paraesthesia oral, Pruritus generalised
Clinical narrative: Heart racing,sob, tongue felt heavy, face felt numb and tingly, right arm where i received injection was numb tingly and clammy. Started to itch all over, right eye began twitching. Took and antihistamine.
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Gait disturbance, Headache, Lymphadenopathy, Muscle tightness
Clinical narrative: With-in 1 hour of shot I developed swelling in glands under each ear. Tightness in neck muscles. Jaw pain. About 6 hours after injection had dizziness, mild nausea, headache, and poor motor skills. I was walking as if I was dizzy. No fever. Tylenol had no positive effect. 24 hrs after shot my symptoms have NOT improved. I have had the season flu shot every year for the past 3 yrs wil no bad side effect at all.
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea, No reaction on previous exposure to drug, Pain in jaw
Clinical narrative: With-in 1 hour of shot I developed swelling in glands under each ear. Tightness in neck muscles. Jaw pain. About 6 hours after injection had dizziness, mild nausea, headache, and poor motor skills. I was walking as if I was dizzy. No fever. Tylenol had no positive effect. 24 hrs after shot my symptoms have NOT improved. I have had the season flu shot every year for the past 3 yrs wil no bad side effect at all.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Dyskinesia, Electroencephalogram abnormal, Epilepsy, Grand mal convulsion
Clinical narrative: I noticed patient begin to have jerking movements as he was going to sleep.  They were mild at first, but continued to get stronger as time progressed.  I took him to the pediatrician in January for these incidents, and he referred him to a neurologist.  Patient's seizure activity escalated to gran mal seizures in February.  He has been under a neurologist's care since March, when he was tenatively diagnosed with generalized epilepsy and must undergo more test to see the severity of his epilepsy.  We are not sure if this will result in a permanent disability or not.  Hopefully, he will heal from the injury to his nervous system.   11/10/09 Medical records received for DOS range 12/1/08-4/29/09. PMD visits and neuro consult. Final DX Seizure disorder, Upper respiratory infection.  First febrile seizure 5/2008. Viral syndrome temp 104.  12/1/08 Followup visit for OM. Vaccine given Jerking movments on awakening since 27 mos.  Increased jerking movments during sleep. Progressed to myoclonic seizures upon wakening. Then OMx2, cold and sinus. Jerking while falling asleep and awakening noted at the time, some head droop. Long term EEG abn. 2/23/09 tonic clonic non-febrile seizure. X30 secs. Postictal x20 min.  Mutltiple OM and URIs throughout records.  ICD9 Codes: 345.90, V04.81, 381.1. 381.01, 472.0. 790.8, 786.2, 388.7, 465.9, 780.31, 388.7, 307.4, 461.9
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Nervous system disorder
Clinical narrative: I noticed patient begin to have jerking movements as he was going to sleep.  They were mild at first, but continued to get stronger as time progressed.  I took him to the pediatrician in January for these incidents, and he referred him to a neurologist.  Patient's seizure activity escalated to gran mal seizures in February.  He has been under a neurologist's care since March, when he was tenatively diagnosed with generalized epilepsy and must undergo more test to see the severity of his epilepsy.  We are not sure if this will result in a permanent disability or not.  Hopefully, he will heal from the injury to his nervous system.   11/10/09 Medical records received for DOS range 12/1/08-4/29/09. PMD visits and neuro consult. Final DX Seizure disorder, Upper respiratory infection.  First febrile seizure 5/2008. Viral syndrome temp 104.  12/1/08 Followup visit for OM. Vaccine given Jerking movments on awakening since 27 mos.  Increased jerking movments during sleep. Progressed to myoclonic seizures upon wakening. Then OMx2, cold and sinus. Jerking while falling asleep and awakening noted at the time, some head droop. Long term EEG abn. 2/23/09 tonic clonic non-febrile seizure. X30 secs. Postictal x20 min.  Mutltiple OM and URIs throughout records.  ICD9 Codes: 345.90, V04.81, 381.1. 381.01, 472.0. 790.8, 786.2, 388.7, 465.9, 780.31, 388.7, 307.4, 461.9
Age: 7.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever >102 degrees. Children's Motrin administered.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Cough, Dyspnoea, Eye pruritus
Clinical narrative: Constricted breathing, hard cough, heavy chest, itchy eyes, headache, fainting, nausea, chills, body aches.  Required Benadryl to ease breathing.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Pain, Syncope
Clinical narrative: Constricted breathing, hard cough, heavy chest, itchy eyes, headache, fainting, nausea, chills, body aches.  Required Benadryl to ease breathing.
Age: 22.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Sneezing, Vomiting
Clinical narrative: Severe cough, vomiting, sneezing.
Age: 92.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Tremor
Clinical narrative: Atrial Fib  12/01/09 Records received for DOS 10/15/09-10/18/09 (Hospitalization) DX: Chest pain; history of HTN; anemia of unknown etiology; thrombocytopenia; dark stool Pt presented to ER c/o chest pain. Medically treated for angina due to atrial fibrillation with RVR per Cardiology consult;  GI consult: dark stool consistent with upper GI blood loss 12/09/09 Discharge Summary received for hospitalization DOS 10/15-10/18/09. DC DX: Anemia secondary to chronic gastrointestinal blood loss from peptic ulcer disease; arteriovenous malformation, stable; atrial fibrillation, rate controlled; hypertension; coronary artery disease.  Discharged home, stable.
Age: 6.0
Sex: M
Vaccine: PNC
Symptoms: Lethargy, Muscular weakness, Pallor, Pyrexia, Rash erythematous
Clinical narrative: Patient woke up was very white/pale except for a fine red rash on both cheeks and across his nose (butterfly rash), had bilateral upper extremities tremor which affect his ability to eat with a spoon, muscle weakness, lethargic "out of it" or slow to respond to requests, low grade fever. Symptoms lasted for about 5 hours, except for the lethargy and "out of it" lasted for 1 day.
Age: 6.0
Sex: M
Vaccine: PNC
Symptoms: Serology positive, Tremor
Clinical narrative: Patient woke up was very white/pale except for a fine red rash on both cheeks and across his nose (butterfly rash), had bilateral upper extremities tremor which affect his ability to eat with a spoon, muscle weakness, lethargic "out of it" or slow to respond to requests, low grade fever. Symptoms lasted for about 5 hours, except for the lethargy and "out of it" lasted for 1 day.
Age: 1.25
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Acute disseminated encephalomyelitis, Convulsion, Intensive care, Mental status changes, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Fever for 3 days followed by seizure/altered mental status requiring hospitalization. 10 days in hospital, including 5 days in PICU.  11/2 & 11/5/09:  Hospital records and consultation reports received for dates of service 10/23/09 to 11/1/09. Dx:  Acute disseminated encephalomelitis. Assessment: A couple of days after receiving the H1N1 vaccine, and 3 days prior to admission the pt. began to have fevers up to 103.5.  On the day of admission he vomited, developed a cough and congestion and became unresponsive with arm jerking, shaking and nystagmus. Spent 5 days in the PICU. CT and MRI scans of the brain were abnormal as was an EEG.  Placed on steroids and IVIG, and made rapid improvements.  Will require speech, occupational and physical therapy for rehabilitation.  Discharged to home after 10 days.    11/9/09:  Discharge Summary and medical records received for dates of service 10/23/09 to 11/1/09.  Final Dx:  Acute disseminated encephalomelitis. Four days of IVIG and high dose steroids.  In addition to the above, NGT was placed and transitioned to enteral feeds for nutrition.  Cleared to full PO Diet by speech.  There was a concern for visual acuity and possible optic neuritis.  Seen by opthalmology who did not see any evidence of neuritis on exam.  Had a brief period of apnea requiring positive pressure on one day.  Condition on discharge stable, improving.  No restrictions on diet or physical activity.
Age: 1.25
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever for 3 days followed by seizure/altered mental status requiring hospitalization. 10 days in hospital, including 5 days in PICU.  11/2 & 11/5/09:  Hospital records and consultation reports received for dates of service 10/23/09 to 11/1/09. Dx:  Acute disseminated encephalomelitis. Assessment: A couple of days after receiving the H1N1 vaccine, and 3 days prior to admission the pt. began to have fevers up to 103.5.  On the day of admission he vomited, developed a cough and congestion and became unresponsive with arm jerking, shaking and nystagmus. Spent 5 days in the PICU. CT and MRI scans of the brain were abnormal as was an EEG.  Placed on steroids and IVIG, and made rapid improvements.  Will require speech, occupational and physical therapy for rehabilitation.  Discharged to home after 10 days.    11/9/09:  Discharge Summary and medical records received for dates of service 10/23/09 to 11/1/09.  Final Dx:  Acute disseminated encephalomelitis. Four days of IVIG and high dose steroids.  In addition to the above, NGT was placed and transitioned to enteral feeds for nutrition.  Cleared to full PO Diet by speech.  There was a concern for visual acuity and possible optic neuritis.  Seen by opthalmology who did not see any evidence of neuritis on exam.  Had a brief period of apnea requiring positive pressure on one day.  Condition on discharge stable, improving.  No restrictions on diet or physical activity.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Nasal congestion, Sinus congestion, Sneezing
Clinical narrative: sneezing, headache, dizziness, nasal and sinus congestion
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Atrial fibrillation, Cardioversion, Electrocardiogram, Heart rate increased, Heart rate irregular
Clinical narrative: Rapid, irregular heartbeat - atrial fibrillation -continued after getting up in am - heart rate 155 bpm.  Visit to urgent care center, referred to Hospital.  Medically reduced heart rate, cardio conversion needed to convert back to normal rhythm.  Spent 36 hours in ED and CCU units of hospital.  Many tests, labs, xrays, electrocardiograms completed to assess heart normalcy. 11/2/09:  Hospital Records and Discharge Summary received for dates of service 10/25/09 to 10/26/09.  Dx:  Atrial fibrillation with rapid ventricular rate. Assessment:  Presented with 14 hour hx. of palpitations prior to admission.  Found in A.fib with a rate of 150.  Started on Lovenox and a Cardizem drip and her rate quickly improved while she maintained A. fib.  No hx. of heart disease.  Received H1N1 vaccine 4 hrs. prior to onset of sx.  Successfully cardioverted on 10/26/09 and discharged home on Aspirin. ICD 9 Codes:  427.31, 493.90.