chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Amnesia, Confusional state, Disorientation, Headache, Injection site pain
Clinical narrative: 2 days post vaccination had severe muscle ache at site of injection, progressed to full body ache, h/a sever with pressure, confusion and disorientaion, short term memory loss.  No fever or seizure.  Severe lethargy.
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Lethargy, Myalgia, Pain
Clinical narrative: 2 days post vaccination had severe muscle ache at site of injection, progressed to full body ache, h/a sever with pressure, confusion and disorientaion, short term memory loss.  No fever or seizure.  Severe lethargy.
Age: 9.0
Sex: F
Vaccine: FLUX
Symptoms: Arthritis reactive, Blood test normal, Condition aggravated, Culture throat positive, Culture urine negative
Clinical narrative: Woke up complaining of leg weakness, sore throat and a headache. Slept most of the day, around 6pm stated she could not breathe gave albuterol nebulizer.  During sleep around (10:15pm) heard chronic wheezing gave anyother albuterol treatment and 2 teaspoon of prednisone. Wheezing was still uncontrollable so I paged asthma clinic, the on call doctor called back and advice to give another albuterol and if systems continue to bring to ER.  Took daughter to ER at approximately 12am. She was admitted in PICU on continuous treatment and discharged on 10-29-09. On 11/05/09 took patient ER as her legs below knee to toes were freezing cold and she was screaming of intense pain.  She was admitted from 11/06/09-11/13/09. Since discharge patient continues to have intense pain and legs get cold.  I give her Motrin 2 teaspoon for the pain.  12/08/09 and 12/09/09 MR and DC summary for DOS 10/26/09-10/29/09 Final DX: reactive arthritis.   And Group A strep throat.  Pt c/o 1 day hx of cough, hoarseness, wheezing, sore throat, bilateral leg pain, stridor, positive substernal retractions, decreased breath sounds with poor air entry. Pt in stable condition, weakness in both legs, decreased ROM, diffuse tenderness from hips to toes. Tx: prednisone, Albuterol, Solumedrol, PCN for Grp A streptococcus infection.  12/08/09 and 12/09/09 Neurological consult for DOS 11/05/09. DX: Peripheral neuropathy following vaccination.   Pt c/o ankle, pain in legs, and weakness in legs for 10 days.  Pt had sore throat, dysesthesias, wheezing, SOB, and cough. Legs pain described more severe on R than L leg. Pain started on thigh and later on moved to ankle and joints. Tx: Gabapentin, ibuprofen.
Age: 9.0
Sex: F
Vaccine: FLUX
Symptoms: Dysaesthesia, Dyspnoea, Headache, Hypersomnia, Intensive care
Clinical narrative: Woke up complaining of leg weakness, sore throat and a headache. Slept most of the day, around 6pm stated she could not breathe gave albuterol nebulizer.  During sleep around (10:15pm) heard chronic wheezing gave anyother albuterol treatment and 2 teaspoon of prednisone. Wheezing was still uncontrollable so I paged asthma clinic, the on call doctor called back and advice to give another albuterol and if systems continue to bring to ER.  Took daughter to ER at approximately 12am. She was admitted in PICU on continuous treatment and discharged on 10-29-09. On 11/05/09 took patient ER as her legs below knee to toes were freezing cold and she was screaming of intense pain.  She was admitted from 11/06/09-11/13/09. Since discharge patient continues to have intense pain and legs get cold.  I give her Motrin 2 teaspoon for the pain.  12/08/09 and 12/09/09 MR and DC summary for DOS 10/26/09-10/29/09 Final DX: reactive arthritis.   And Group A strep throat.  Pt c/o 1 day hx of cough, hoarseness, wheezing, sore throat, bilateral leg pain, stridor, positive substernal retractions, decreased breath sounds with poor air entry. Pt in stable condition, weakness in both legs, decreased ROM, diffuse tenderness from hips to toes. Tx: prednisone, Albuterol, Solumedrol, PCN for Grp A streptococcus infection.  12/08/09 and 12/09/09 Neurological consult for DOS 11/05/09. DX: Peripheral neuropathy following vaccination.   Pt c/o ankle, pain in legs, and weakness in legs for 10 days.  Pt had sore throat, dysesthesias, wheezing, SOB, and cough. Legs pain described more severe on R than L leg. Pain started on thigh and later on moved to ankle and joints. Tx: Gabapentin, ibuprofen.
Age: 9.0
Sex: F
Vaccine: FLUX
Symptoms: Muscular weakness, Neuropathy peripheral, Nuclear magnetic resonance imaging normal, Oropharyngeal pain, Pain
Clinical narrative: Woke up complaining of leg weakness, sore throat and a headache. Slept most of the day, around 6pm stated she could not breathe gave albuterol nebulizer.  During sleep around (10:15pm) heard chronic wheezing gave anyother albuterol treatment and 2 teaspoon of prednisone. Wheezing was still uncontrollable so I paged asthma clinic, the on call doctor called back and advice to give another albuterol and if systems continue to bring to ER.  Took daughter to ER at approximately 12am. She was admitted in PICU on continuous treatment and discharged on 10-29-09. On 11/05/09 took patient ER as her legs below knee to toes were freezing cold and she was screaming of intense pain.  She was admitted from 11/06/09-11/13/09. Since discharge patient continues to have intense pain and legs get cold.  I give her Motrin 2 teaspoon for the pain.  12/08/09 and 12/09/09 MR and DC summary for DOS 10/26/09-10/29/09 Final DX: reactive arthritis.   And Group A strep throat.  Pt c/o 1 day hx of cough, hoarseness, wheezing, sore throat, bilateral leg pain, stridor, positive substernal retractions, decreased breath sounds with poor air entry. Pt in stable condition, weakness in both legs, decreased ROM, diffuse tenderness from hips to toes. Tx: prednisone, Albuterol, Solumedrol, PCN for Grp A streptococcus infection.  12/08/09 and 12/09/09 Neurological consult for DOS 11/05/09. DX: Peripheral neuropathy following vaccination.   Pt c/o ankle, pain in legs, and weakness in legs for 10 days.  Pt had sore throat, dysesthesias, wheezing, SOB, and cough. Legs pain described more severe on R than L leg. Pain started on thigh and later on moved to ankle and joints. Tx: Gabapentin, ibuprofen.
Age: 9.0
Sex: F
Vaccine: FLUX
Symptoms: Peripheral coldness, Screaming, Streptococcal identification test positive, Wheezing, X-ray limb
Clinical narrative: Woke up complaining of leg weakness, sore throat and a headache. Slept most of the day, around 6pm stated she could not breathe gave albuterol nebulizer.  During sleep around (10:15pm) heard chronic wheezing gave anyother albuterol treatment and 2 teaspoon of prednisone. Wheezing was still uncontrollable so I paged asthma clinic, the on call doctor called back and advice to give another albuterol and if systems continue to bring to ER.  Took daughter to ER at approximately 12am. She was admitted in PICU on continuous treatment and discharged on 10-29-09. On 11/05/09 took patient ER as her legs below knee to toes were freezing cold and she was screaming of intense pain.  She was admitted from 11/06/09-11/13/09. Since discharge patient continues to have intense pain and legs get cold.  I give her Motrin 2 teaspoon for the pain.  12/08/09 and 12/09/09 MR and DC summary for DOS 10/26/09-10/29/09 Final DX: reactive arthritis.   And Group A strep throat.  Pt c/o 1 day hx of cough, hoarseness, wheezing, sore throat, bilateral leg pain, stridor, positive substernal retractions, decreased breath sounds with poor air entry. Pt in stable condition, weakness in both legs, decreased ROM, diffuse tenderness from hips to toes. Tx: prednisone, Albuterol, Solumedrol, PCN for Grp A streptococcus infection.  12/08/09 and 12/09/09 Neurological consult for DOS 11/05/09. DX: Peripheral neuropathy following vaccination.   Pt c/o ankle, pain in legs, and weakness in legs for 10 days.  Pt had sore throat, dysesthesias, wheezing, SOB, and cough. Legs pain described more severe on R than L leg. Pain started on thigh and later on moved to ankle and joints. Tx: Gabapentin, ibuprofen.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Aphonia, Dyspepsia, Fatigue, Headache, Lethargy
Clinical narrative: extreme nausea, burning sensation down throat and into stomach, throat tightening, loss of voice, headache, lethargy, fatigue, paleness.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Nausea, Pallor, Throat irritation, Throat tightness
Clinical narrative: extreme nausea, burning sensation down throat and into stomach, throat tightening, loss of voice, headache, lethargy, fatigue, paleness.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HIBV, PNC, RV5
Symptoms: Unevaluable event, Wrong drug administered
Clinical narrative: Child was given combination vaccine pentacel (dtap,hib,ipv) and also given separate Haemophilus conjugate vaccine
Age: 50.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Asthenia, Chills, Erythema, Mobility decreased, Oedema peripheral
Clinical narrative: My arm was very swollen, red, hot to the touch, painful, could not lift.Then I went into 36 hour of chills, heart racing, fever of 101.5 to 102, paleness, weakness. I still do not have my full stamina back. It was bad. I have never had a reaction like this to a flu shot, and may consider, not getting the swine flu shot this year, or the regular flu shot next year, contrary to recommendations. My arm is still swollen,and feels like I have a bad sunburn,and now it is spreading down my arm. My doctor said to ride it all out, as they were hearing of many reaction. If I had to do it over, I would have gone in for the office visit or ER. I probably should have been admitted. Tylenol was of only short mild comfort, and the fever spiked again.Being on coumidin, made this all very difficult, as I can not take asprin, and very limited Tylenol. The shot this year, was too scary for comfort. I wonder when I will feel completely better.
Age: 50.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Pain in extremity, Palpitations, Pyrexia, Skin warm
Clinical narrative: My arm was very swollen, red, hot to the touch, painful, could not lift.Then I went into 36 hour of chills, heart racing, fever of 101.5 to 102, paleness, weakness. I still do not have my full stamina back. It was bad. I have never had a reaction like this to a flu shot, and may consider, not getting the swine flu shot this year, or the regular flu shot next year, contrary to recommendations. My arm is still swollen,and feels like I have a bad sunburn,and now it is spreading down my arm. My doctor said to ride it all out, as they were hearing of many reaction. If I had to do it over, I would have gone in for the office visit or ER. I probably should have been admitted. Tylenol was of only short mild comfort, and the fever spiked again.Being on coumidin, made this all very difficult, as I can not take asprin, and very limited Tylenol. The shot this year, was too scary for comfort. I wonder when I will feel completely better.
Age: 50.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Asthenia, C-reactive protein, Fatigue, Full blood count, Injected limb mobility decreased
Clinical narrative: My arm was very swollen, red, hot to the touch, painful, could not lift.Then I went into 36 hour of chills, heart racing, fever of 101.5 to 102, paleness, weakness. I still do not have my full stamina back. It was bad. I have never had a reaction like this to a flu shot, and may consider, not getting the swine flu shot this year, or the regular flu shot next year, contrary to recommendations. My arm is still swollen,and feels like I have a bad sunburn,and now it is spreading down my arm. My doctor said to ride it all out, as they were hearing of many reaction. If I had to do it over, I would have gone in for the office visit or ER. I probably should have been admitted. Tylenol was of only short mild comfort, and the fever spiked again.Being on coumidin, made this all very difficult, as I can not take asprin, and very limited Tylenol. The shot this year, was too scary for comfort. I wonder when I will feel completely better.
Age: 50.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: My arm was very swollen, red, hot to the touch, painful, could not lift.Then I went into 36 hour of chills, heart racing, fever of 101.5 to 102, paleness, weakness. I still do not have my full stamina back. It was bad. I have never had a reaction like this to a flu shot, and may consider, not getting the swine flu shot this year, or the regular flu shot next year, contrary to recommendations. My arm is still swollen,and feels like I have a bad sunburn,and now it is spreading down my arm. My doctor said to ride it all out, as they were hearing of many reaction. If I had to do it over, I would have gone in for the office visit or ER. I probably should have been admitted. Tylenol was of only short mild comfort, and the fever spiked again.Being on coumidin, made this all very difficult, as I can not take asprin, and very limited Tylenol. The shot this year, was too scary for comfort. I wonder when I will feel completely better.
Age: 50.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Pyrexia, Red blood cell sedimentation rate, X-ray
Clinical narrative: My arm was very swollen, red, hot to the touch, painful, could not lift.Then I went into 36 hour of chills, heart racing, fever of 101.5 to 102, paleness, weakness. I still do not have my full stamina back. It was bad. I have never had a reaction like this to a flu shot, and may consider, not getting the swine flu shot this year, or the regular flu shot next year, contrary to recommendations. My arm is still swollen,and feels like I have a bad sunburn,and now it is spreading down my arm. My doctor said to ride it all out, as they were hearing of many reaction. If I had to do it over, I would have gone in for the office visit or ER. I probably should have been admitted. Tylenol was of only short mild comfort, and the fever spiked again.Being on coumidin, made this all very difficult, as I can not take asprin, and very limited Tylenol. The shot this year, was too scary for comfort. I wonder when I will feel completely better.
Age: 56.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chills, Decreased appetite, Fatigue, Injection site pain, Myalgia
Clinical narrative: pain at injection site, fever, chills, anorexia, muscle aches, extreme exhaustion, productive cough
Age: 56.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Productive cough, Pyrexia
Clinical narrative: pain at injection site, fever, chills, anorexia, muscle aches, extreme exhaustion, productive cough
Age: 30.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain, Fatigue, Headache, Paraesthesia
Clinical narrative: At 2:30pm, I became very fatigued and had a headache.  By 4:30pm, I began having abdominal cramps on my upper left abdomen and had tingling in my extremities as well as my stomache.
Age: 3.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Body temperature increased, Dyspnoea, Fluid intake reduced, Hypophagia, Pain
Clinical narrative: Wouldn't eat or drink much since 1:30 pm, he said his body hurt all over, fever, rapid breathing, told me he couldn't breathe a couple times. Temp was at 102.8 and gave him childrens tylenol at 7:39 pm.  Temp was at 103.1 at 10:05pm and gave him Tylenol 11:40pm. This continued throughout the night.  Went to give him another dose of Tylenol at 3:39 AM and his body had cooled down significantly.  Throughout this time had been speaking with advice nurse and she had me count his breathing when he was awake and when he was asleep.
Age: 3.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Respiratory rate increased
Clinical narrative: Wouldn't eat or drink much since 1:30 pm, he said his body hurt all over, fever, rapid breathing, told me he couldn't breathe a couple times. Temp was at 102.8 and gave him childrens tylenol at 7:39 pm.  Temp was at 103.1 at 10:05pm and gave him Tylenol 11:40pm. This continued throughout the night.  Went to give him another dose of Tylenol at 3:39 AM and his body had cooled down significantly.  Throughout this time had been speaking with advice nurse and she had me count his breathing when he was awake and when he was asleep.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash, Local swelling
Clinical narrative: local swelling, rash & itching at injection site.
Age: 34.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Drug exposure during pregnancy, Foetal heart rate decreased, Intra-uterine death
Clinical narrative: Low fetal heart rate on 10/19/2009 followed by fetal death by 10/29/2009
Age: 30.0
Sex: F
Vaccine: FLU(H1N1), FLUX
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Foetal heart rate abnormal, Ultrasound scan abnormal, Uterine dilation and curettage
Clinical narrative: missed miscarriage, no fetal heartbeat on ultrasound, D&C performed
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: injection site reaction, ~1.5 inch in diameter, hard, red, warm to touch, itchy
Age: 26.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Intra-uterine death
Clinical narrative: SHE JUST FOUND OUT SHE WAS PREGNANT, WORKS AT A HOSPITAL, WAS TOLD THAT PREG WOMEN ARE AT RISK. sHE GOT THIS SHOT TO PROTECT HER BABY NOT KNOWING THAT THERE HAS BEEN NO TESTING ON PREGNANT WOMEN OR FETUSES.WHAT SHE THOUGHT WAS A GOOD THING TURNED OUT TO B THE WORST. THE GOV KILLED HER BABY.
Age: 45.0
Sex: F
Vaccine: DTAP, FLUX, HEPAB, MMR
Symptoms: Burning sensation, Dizziness, Feeling abnormal, Injection site pain, Palpitations
Clinical narrative: Work as RN at UCSF, required shot for us,at time of injection burned and pain sensation shot down entire arm, told normal. within 5 minutes got dizzy, heart raced, "felt very strange" shakey.
Age: 45.0
Sex: F
Vaccine: DTAP, FLUX, HEPAB, MMR
Symptoms: Tremor
Clinical narrative: Work as RN at UCSF, required shot for us,at time of injection burned and pain sensation shot down entire arm, told normal. within 5 minutes got dizzy, heart raced, "felt very strange" shakey.
Age: 0.92
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: Fever detected at approx 5 am, may have onset earlier during the night; runny nose as well
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Pruritus generalised
Clinical narrative: soreness at injection site, swelling, intense itching at site, itching spread all over my body, felt like it was under my skin every where it would spread from place to place, in my eyes etc ...
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Describes dull arm pain at site of injection lasting 6 weeks. No site reaction or infection. Just pain.
Age: 6.0
Sex: M
Vaccine: FLU3, FLUN(H1N1), HEPA
Symptoms: Asthma
Clinical narrative: Asthma attack.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Blindness, Cataract operation, Herpes zoster ophthalmic, Polymerase chain reaction, Skin lesion
Clinical narrative: Pt received the ZOSTAVAX in mid-August. In early September he developed diffuse lesions on his body and was diagnosed with chicken pox. He states he had that for a while and then recovered. In early October he surgery for cataract removal on the right eye. He's scheduled to have surgery on the left eye some time this month. He states however in the last three days he's developed significant worsening of his vision. He has now total loss of vision in the right eye and progressive loss of vision on the left. He has since been diagnosed with VZV of the eye with over 6 million copies in the retinal fluid.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Varicella, Viral DNA test positive, Visual impairment
Clinical narrative: Pt received the ZOSTAVAX in mid-August. In early September he developed diffuse lesions on his body and was diagnosed with chicken pox. He states he had that for a while and then recovered. In early October he surgery for cataract removal on the right eye. He's scheduled to have surgery on the left eye some time this month. He states however in the last three days he's developed significant worsening of his vision. He has now total loss of vision in the right eye and progressive loss of vision on the left. He has since been diagnosed with VZV of the eye with over 6 million copies in the retinal fluid.
Age: 68.0
Sex: M
Vaccine: FLUX
Symptoms: Haematuria, Rash erythematous, Rash papular, Similar reaction on previous exposure to drug, Skin exfoliation
Clinical narrative: 68yo presents with sore rash on legs and back. Rash occurred about three days after receiving a flu shot. A similar event occurred a year ago, again after receiving a flu shot. Assessment - red papules, coalescing with raised border lesions, vasculitis. Trace hematuria noted. Patient advised not to take the flu vaccine. Symptoms: 1. Skin rash, 2. vasculitis, red papules. Treatment drugs used: fluocinonide, dose: 0.05 units, freq: bid, route: top.
Age: 68.0
Sex: M
Vaccine: FLUX
Symptoms: Skin hyperpigmentation, Urine analysis abnormal, Vasculitis
Clinical narrative: 68yo presents with sore rash on legs and back. Rash occurred about three days after receiving a flu shot. A similar event occurred a year ago, again after receiving a flu shot. Assessment - red papules, coalescing with raised border lesions, vasculitis. Trace hematuria noted. Patient advised not to take the flu vaccine. Symptoms: 1. Skin rash, 2. vasculitis, red papules. Treatment drugs used: fluocinonide, dose: 0.05 units, freq: bid, route: top.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Gastrooesophageal reflux disease, Headache
Clinical narrative: 25 yo reports an adverse reaction to her HPV vaccine. Patient developed a headache for a week after having the vaccine. In addition patient had complaints of GERD symptoms. Patient refused to take next dose of HPV.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Erythema, Hypersensitivity, Inflammation, Myalgia
Clinical narrative: 57 yo presents with symptoms after receiving a pneumococcal vaccine. Patient reports developing hives and blotchiness to skin, dyspnea which resolved, and myalgias. Patient was given BENADRYL and MEDROL pak.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Pruritus, Rash macular, Urticaria
Clinical narrative: 57 yo presents with symptoms after receiving a pneumococcal vaccine. Patient reports developing hives and blotchiness to skin, dyspnea which resolved, and myalgias. Patient was given BENADRYL and MEDROL pak.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Diarrhoea, Epistaxis, Gingival swelling, Headache
Clinical narrative: 48yo presents with c/o possible reaction to flu shot. Patient received flu shot on 10/07/2008 and 2 days later developed facial swelling, swollen gums, muscle aches, diarrhea, cough, headache and right sides spontaneous nasal epistaxis. Patient also receiving lisinopril 10mg po qd. Facial swelling thought to be associated with lisinopril. Lisinopril was discontinued. Symptoms: 1. facial swelling, body aches, diarrhea, cough, headache and spontaneous nasal epistaxis. 12/08/09 ED Records received for DOS 10/07/09. Pt presented with SOB and palpitations attibuted to lisinopril that was taken that morning.  States history of previous reactions to lisinopril. DX: tachycardia; r/o dehydration, r/o lisinopril reaction  12/08/09  PCP Records received for DOS 10/14/09.  Pt c/o facial swelling , body aches, diarrhea, cough, headaches, epistaxis attributed to flu shot received  1 week ago. DX: r/o viral gastroenteritis; r/o allergy to lisinopril
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Swelling face
Clinical narrative: 48yo presents with c/o possible reaction to flu shot. Patient received flu shot on 10/07/2008 and 2 days later developed facial swelling, swollen gums, muscle aches, diarrhea, cough, headache and right sides spontaneous nasal epistaxis. Patient also receiving lisinopril 10mg po qd. Facial swelling thought to be associated with lisinopril. Lisinopril was discontinued. Symptoms: 1. facial swelling, body aches, diarrhea, cough, headache and spontaneous nasal epistaxis. 12/08/09 ED Records received for DOS 10/07/09. Pt presented with SOB and palpitations attibuted to lisinopril that was taken that morning.  States history of previous reactions to lisinopril. DX: tachycardia; r/o dehydration, r/o lisinopril reaction  12/08/09  PCP Records received for DOS 10/14/09.  Pt c/o facial swelling , body aches, diarrhea, cough, headaches, epistaxis attributed to flu shot received  1 week ago. DX: r/o viral gastroenteritis; r/o allergy to lisinopril
Age: 51.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Client received inhaled live vaccine off label - age related - No reported adverse event.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Hyperhidrosis, Hypoaesthesia facial
Clinical narrative: Sweating, heart palpitations, shaky, dizzy, stomach cramping, numbness in injection arm, feeling of exhaustion, numbness periodically in face, especially around eyes and lips.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site anaesthesia, Palpitations, Tremor
Clinical narrative: Sweating, heart palpitations, shaky, dizzy, stomach cramping, numbness in injection arm, feeling of exhaustion, numbness periodically in face, especially around eyes and lips.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Pyrexia, Vomiting
Clinical narrative: tired, vomit, fever(102F) those symptoms occur next day.
Age: 29.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Urticaria
Clinical narrative: There were hives all over her body for about 15 min. before I got there and administered anti allergens. Symptoms lasted for about 1 hour after.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Arrhythmia, Chest X-ray abnormal, Electrocardiogram, Rash
Clinical narrative: On 11/15/09 I noticed a rash on my childs face, arms and legs. On 11/19/09 my son was seen by his physician and a heart arrythmia was identified. My child has now been referred to a cardiologist and an allergist.
Age: 32.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Urticaria
Clinical narrative: Hive all over their body. I administered anti allergens and the symptoms went away after about 30 min.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Malaise, Nausea, Pain
Clinical narrative: received injection at 12:45 pm. waited in lobby for 15 mins. after injection. approx. 2:00pm began to feel sick to stomach & light headed.  by 6pm was very sick to stomach, dizzy,very weak & feverish with all over body aches. lasted for approx. 1 1/2 days and missed work due to this.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Skin warm
Clinical narrative: received injection at 12:45 pm. waited in lobby for 15 mins. after injection. approx. 2:00pm began to feel sick to stomach & light headed.  by 6pm was very sick to stomach, dizzy,very weak & feverish with all over body aches. lasted for approx. 1 1/2 days and missed work due to this.
Age: 3.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Fatigue, Irritability, Pyrexia, Rhinorrhoea
Clinical narrative: Cough, runny nose, irritability, tiredness. Later developed high fever
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: mild urticarial rash trunk and neck at 11:00 AM day following vaccine. No wheezing and no rection at injection site
Age: 6.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Pain in jaw
Clinical narrative: Jaw pain on right side of mandible
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLUN3
Symptoms: Bronchospasm, Chest X-ray, Dyspnoea
Clinical narrative: Difficulty breathing after receiving seasonal flu mist and H1N1 shot.  Required 3x hospital visits.  Received 2x breathing treatments, prescribed rescue inhaler and steriods for broch. spasms 11/24 and 12/4/2009 ED records for 11/18/2009, Dx acute Bronchitis patient with c/o's SOB, chest pain. Tx: resp tx's with nebs
Age: 12.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Chills, Cough, Dizziness, Dyspnoea, Lethargy
Clinical narrative: difficulty breathing, wheezing, cough, paleness, fast heart beat, dizziness, weakness in legs and felt like legs going to give away with walking, chills, lethargic
Age: 12.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Muscular weakness, Pallor, Palpitations, Wheezing
Clinical narrative: difficulty breathing, wheezing, cough, paleness, fast heart beat, dizziness, weakness in legs and felt like legs going to give away with walking, chills, lethargic
Age: 35.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthenia, Guillain-Barre syndrome, Pain in extremity, Wheelchair user
Clinical narrative: Developed Guillain-Barre shortly after receiving the flu via inhaled mist and  for which he was hospitalized and continues to have minimal leg strength (in a wheelchair) and pain in arms/legs. 11/25/2009 MD, Hospital , ED records for 9/25-10/1/2009.Dc Dx GBS Patient with c/o's inability to urinate, numbness in legs and tingling in extremities. Admitted to ICU, tx: IVF, LP, IVIG
Age: 21.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Large hives, itchy.  Low dose prednisone and benadryl for treatment.  Still have haves 3 weeks later all over body.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Pyrexia
Clinical narrative: Maybe this is not an adverse event. The evening after the H1N1 nasal vaccine, the chil began to have fever and headache. She may coincidentally have another virus.
Age: 13.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Regurgitation, Skin warm, Tremor
Clinical narrative: Could not stop trembling/shaking for about half hour, felt feverish but had no fever.  He did feel warm. He thought he was going to vomit, but did not, only spit up a little.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain
Clinical narrative: sore throat    took 500mg tylenol
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Cold sweat, Dizziness, Erythema, Flushing
Clinical narrative: Received vaccine at about 10:00 am, approximately 20 minutes later I began to feel flushing and clammy, at about 12:00 pm I noticed nausea, dizziness and weakness, at about 2:00 pm my hands became visibly red and tingling.  At about 5:00 pm the tingling of the arms worsened and traveled to my legs.  On 11-20-09 visited the ED were I received meclizine and ondansetron.  The nausea and dizziness improved but the tingling and pain in the limbs still persists.
Age: 29.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Pain in extremity, Paraesthesia
Clinical narrative: Received vaccine at about 10:00 am, approximately 20 minutes later I began to feel flushing and clammy, at about 12:00 pm I noticed nausea, dizziness and weakness, at about 2:00 pm my hands became visibly red and tingling.  At about 5:00 pm the tingling of the arms worsened and traveled to my legs.  On 11-20-09 visited the ED were I received meclizine and ondansetron.  The nausea and dizziness improved but the tingling and pain in the limbs still persists.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypokinesia, Myalgia
Clinical narrative: muscle pain in arm where injection was given...unable to lift arm and rotate forward and back
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Tinnitus
Clinical narrative: minutes after vaccination tinnitus and syncope
Age: 0.92
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: high fever of 103 treated with ibuprofen
Age: 73.0
Sex: M
Vaccine: FLUX
Symptoms: Fatigue, Feeling abnormal
Clinical narrative: feeling lousy, tired
Age: 20.0
Sex: M
Vaccine: FLU3, HEP, HEPA
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient received 3 immunizations. Upon receipt of 3rd immunization became unresponsive for approx. 30 sec-1 min. T-98, P-74 R-18 B/P-120/52.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea, Pruritus, Rash
Clinical narrative: Chest heaviness, shortness of breath, rash, itchy skin to arms, and torso. 12/14/09 Medical clinic records received for DOS 11/21/09. Pt. presented with fatigue; history of SOB, resolving; and diffuse rash to arms and torso. Tx. with steroid. DX: allergic reaction-vaccination
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chills, Oropharyngeal pain, Pyrexia
Clinical narrative: Pt. developed sore throat approximately 48 hours after given H1N1 Flu Mist.  On 11/20, he developed fever (101.5) and chills and sent home from school.  Took him to pediatrician same day and told it may be a side effect.  On 11/21, fever normal.
Age: 6.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Injection site rash
Clinical narrative: Noticed bumpy rash on arm where shot was injected.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Cough, Headache, Lethargy, Pain
Clinical narrative: Fever above 101 degrees, headache, body aches, lethargy, dry cough, stomach pain. All symptoms still present at this time. Treating as flu with rest, liquids, Motrin/Tylenol, etc. Will probably require a dr visit.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever above 101 degrees, headache, body aches, lethargy, dry cough, stomach pain. All symptoms still present at this time. Treating as flu with rest, liquids, Motrin/Tylenol, etc. Will probably require a dr visit.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: Hives/Rash Benadryl Given
Age: 15.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Patient developed urticaria (hives) 15 minutes after receiving H1N1 intranasal vaccine at unknown clinic and then came to the ED.
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cold sweat, Diarrhoea, Dysphonia, Erythema, Pruritus
Clinical narrative: Itchy red hives on face and arms, hoarseness of voice, cold sweat, diarrhea.
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Itchy red hives on face and arms, hoarseness of voice, cold sweat, diarrhea.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Erythema, Urticaria
Clinical narrative: REDNESS OF NECK AND HIVES FOR 3 DAYS NOW. AM TAKING TO THE DR BECAUSE WONT GO AWAY.
Age: 10.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Urticaria
Clinical narrative: Small Hives on forearms.  Provided one chewable children's Benadryl.  Hives seemed to recede a bit but still noticable 24 hours later.
Age: 1.62
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Injection site induration, Injection site rash, Injection site warmth
Clinical narrative: She had a baseball size red rash around the injection sight. Rash was stiff and hot to the touch.  I took her to the DR and she was diagnosed with cellulitis.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1), FLUN(H1N1)
Symptoms: Accidental exposure, Chills, Influenza, Oropharyngeal pain, Pain
Clinical narrative: On 11/14/2009 I developed a sore throat. On 11/15/2009 I developed a constant runny nose along with a sore throat. On 11/16/2009 same symptoms, and on 11/17/2009 fever 100.4 body aches and chills. I went to my physician who examined me and stated I had congestion in both lungs also and had swine flu symptoms. I did not wear a respirator while giving the flumist and my physican state I innoculated my self over and over again giving the flumist to the public. I am taking a z-pak, cough medication and vitamin C and D.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1), FLUN(H1N1)
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: On 11/14/2009 I developed a sore throat. On 11/15/2009 I developed a constant runny nose along with a sore throat. On 11/16/2009 same symptoms, and on 11/17/2009 fever 100.4 body aches and chills. I went to my physician who examined me and stated I had congestion in both lungs also and had swine flu symptoms. I did not wear a respirator while giving the flumist and my physican state I innoculated my self over and over again giving the flumist to the public. I am taking a z-pak, cough medication and vitamin C and D.
Age: 28.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chest pain
Clinical narrative: Chest pain like if you have a chest cold. Like deep down in. It's now 9:55PM and I still have the chest pain.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injected limb mobility decreased, Injection site pain, Muscular weakness, Musculoskeletal pain, Periarthritis
Clinical narrative: Right shoulder/arm pain - progressing to diagnosis of calcific tendonitis and then to a diagnosis of adhesive capsulitis.  Over past two-three days swelling at sight of injection (right deltoid) with no fever/redness... still with significant pain in the right shoulder/deltoid - unable to abduct arm (this is one month later from time of initial injection) - patient did receive cortisone injection same day as initial complaint and then a second one 3 weeks ago - with minimal improvement in symptoms - patient continues with stabbing/"twisting" pain in right deltoid and weakness to abduction of arm.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: X-ray limb
Clinical narrative: Right shoulder/arm pain - progressing to diagnosis of calcific tendonitis and then to a diagnosis of adhesive capsulitis.  Over past two-three days swelling at sight of injection (right deltoid) with no fever/redness... still with significant pain in the right shoulder/deltoid - unable to abduct arm (this is one month later from time of initial injection) - patient did receive cortisone injection same day as initial complaint and then a second one 3 weeks ago - with minimal improvement in symptoms - patient continues with stabbing/"twisting" pain in right deltoid and weakness to abduction of arm.
Age: 56.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Piloerection, Pruritus, Rash
Clinical narrative: Can only describe as 'goose bumps' that itch - so am calling it a rash on arms, with more on upper arms and some on front of thighs.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Fainting took place less than one minute after receiving the vaccine and lasted about 1 minute.
Age: 15.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Feeling hot, Nausea, Tremor
Clinical narrative: Felt feverish, felt like he wanted to throw up, small amount of shaking.
Age: 10.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Myalgia, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: Body aches, muscle soreness, sore throat, chest congestion and cough, with symptoms increasing over past 7 days and not resolving.
Age: 13.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Diarrhoea, Mouth ulceration, Pyrexia, Rash, Vomiting
Clinical narrative: Rash on thighs, spread diffusely 11/21/09.  Ulcers in mouth.  Vomiting and diarrhea.  High fever (104.3).
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Condition aggravated, Dyspnoea, Eye swelling, Throat irritation
Clinical narrative: Shortness of breath, tingly sensation in nose accompanied with sneezing, throat constriction, and bloodred, itchy eyes with yellowish discharge about 15 minutes after shot was administered. Was given a shot of epinephrine on right arm and a shot of Benadryl on right hip area. 11/24/09 Medical records received for date 11/18/09. DX: allergic reaction. Pt. presented w/ c/o itchy throat, swollen teary eyes, unable to breath. Pt states received H1N1 vax approx 45min prior. Assessment: pt distressed, red throat, swelling of eyes. Pt tx with epi, benadryl IM. Pt escorted back to room when stable. Pt seen following day and pt states felt better.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Dyspnoea, Eye discharge, Eye pruritus, Ocular hyperaemia, Paraesthesia
Clinical narrative: Shortness of breath, tingly sensation in nose accompanied with sneezing, throat constriction, and bloodred, itchy eyes with yellowish discharge about 15 minutes after shot was administered. Was given a shot of epinephrine on right arm and a shot of Benadryl on right hip area. 11/24/09 Medical records received for date 11/18/09. DX: allergic reaction. Pt. presented w/ c/o itchy throat, swollen teary eyes, unable to breath. Pt states received H1N1 vax approx 45min prior. Assessment: pt distressed, red throat, swelling of eyes. Pt tx with epi, benadryl IM. Pt escorted back to room when stable. Pt seen following day and pt states felt better.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Sneezing, Throat tightness
Clinical narrative: Shortness of breath, tingly sensation in nose accompanied with sneezing, throat constriction, and bloodred, itchy eyes with yellowish discharge about 15 minutes after shot was administered. Was given a shot of epinephrine on right arm and a shot of Benadryl on right hip area. 11/24/09 Medical records received for date 11/18/09. DX: allergic reaction. Pt. presented w/ c/o itchy throat, swollen teary eyes, unable to breath. Pt states received H1N1 vax approx 45min prior. Assessment: pt distressed, red throat, swelling of eyes. Pt tx with epi, benadryl IM. Pt escorted back to room when stable. Pt seen following day and pt states felt better.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Pyrexia, Vomiting
Clinical narrative: Stomache aches, fever of 101.7 (oral), vomiting.
Age: 4.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives all over body, gave Benadryl.
Age: 18.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Dizziness, Urine analysis normal
Clinical narrative: Severe abdominal pain lasting about two hours; dizziness. Required emergency room visit.
Age: 14.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Diarrhoea haemorrhagic, Muscle spasms, Presyncope
Clinical narrative: Started having cramping, bloody diarrhea, near syncope.
Age: 6.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Allergy to plants, Blister, Herpes zoster, Injection site pain, Injection site pruritus
Clinical narrative: Burning, itching on leg with vaccine injection on first day, resulting in a red rash the following evening and developing into blisters.  Dr. diagnosed with Shingles on Saturday Nov. 21, 2009 at 11AM and prescribed Acyclovir to be taken for 5 days.
Age: 6.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rash erythematous
Clinical narrative: Burning, itching on leg with vaccine injection on first day, resulting in a red rash the following evening and developing into blisters.  Dr. diagnosed with Shingles on Saturday Nov. 21, 2009 at 11AM and prescribed Acyclovir to be taken for 5 days.
Age: 29.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Fatigue, Malaise, Myalgia, Nausea
Clinical narrative: # Malaise # Muscle pain # Chills # Nausea # Fatigue
Age: 54.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Balance disorder, Laboratory test, Speech disorder, Vomiting
Clinical narrative: Vomiting, speech, unsteady, hospitalization. 11/23/2009 MR, DC summary for 11/16-11/17/2009 and PCP records for 11/13/2009. DC DX change in mental staus ?etiology  Patient with c/o's change in mental status, headache and vomiting. Tx: Dilantin
Age: 53.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Urticarial rash on face, neck, trunk. Pt came to ED and received prednisone 40 mg, diphenhydramine, famotidine. She will get 3 days of prednisone (40 mg/dose) total.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Chills, Dyspnoea, Fatigue, Feeling abnormal, Pruritus
Clinical narrative: Urticarial rash on face, neck, trunk. Pt came to ED and received prednisone 40 mg, diphenhydramine, famotidine. She will get 3 days of prednisone (40 mg/dose) total.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pyrexia, Urticaria, Vision blurred
Clinical narrative: Urticarial rash on face, neck, trunk. Pt came to ED and received prednisone 40 mg, diphenhydramine, famotidine. She will get 3 days of prednisone (40 mg/dose) total.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal discomfort, Paraesthesia
Clinical narrative: WOKE UP WITH A BURNING AT THE LOCATION OF MY LIVER IT THEN RADIATED OUT TO ALL SECTIONS OF MY TORSO LASTED FOR A FEW MINUTES AN THEN SUBSIDED. IT THEN SEEMED TO SETTLE IN MY SHOULDERS AS A TINGLE ACHY FELLING AND LASTED FOR ABOUT 8 HOURS  IT WOULD COME IN WAVES AND VARY IN INTENSITY.
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: It started as diarrhea at 4:00 a.m. and around 5:00 am he started to vomit, with several vomiting episodes until 8 am. At 8 am I took his temperature, which was between 100.4 and 102.2 on a forehead thermometer. No treatment, but at 8 am he started to drink water and has kept that down. We both ate similar food last night (around 11:00 p.m.) at a friend's party, except he had one piece of fried chicken, and I didn't eat any fried chicken. At this point (10:30 a.m.) he still has a temperature between 100.4 and 102.2 but has not vomited since 8 am and he just now had a "normal" bowel movement (not diarrhea). He is complaining of aching joints.
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood test, Stress, Tremor, Urine analysis
Clinical narrative: Shaking of lower extremities every 30 seconds. Full body shaking the next day. Doctor at ER diagnosed condition as stress related without additional neurological testing. 12/7/2009 MR from ED visit 11/17/2009, patient with involuntary jerky movements of extremities, worse on the left, with head tilt, shoulder shrugs, facial movements, it was noted that patient was seen at another facility on 11/16/2009 with same sx and treated with Benadryl and Ativan with inital resolution of sx which have now returned, Neuro consult noted brisk reflexes, tx'd with Ativan 12/7/2009 Pediatric neuro OP notes for 12/3/2009, impression psychogenic tic started on Risperdal and f/up in 1 month
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Tic, Tremor
Clinical narrative: Shaking of lower extremities every 30 seconds. Full body shaking the next day. Doctor at ER diagnosed condition as stress related without additional neurological testing. 12/7/2009 MR from ED visit 11/17/2009, patient with involuntary jerky movements of extremities, worse on the left, with head tilt, shoulder shrugs, facial movements, it was noted that patient was seen at another facility on 11/16/2009 with same sx and treated with Benadryl and Ativan with inital resolution of sx which have now returned, Neuro consult noted brisk reflexes, tx'd with Ativan 12/7/2009 Pediatric neuro OP notes for 12/3/2009, impression psychogenic tic started on Risperdal and f/up in 1 month
Age: 42.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blood test, Chest X-ray, Cough, Dizziness, Dysphonia
Clinical narrative: Swollen tongue, fast heart beat, dizziness, headache, fever, cough, hoarseness.
Age: 42.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Electrocardiogram, Headache, Heart rate increased, Pyrexia, Swollen tongue
Clinical narrative: Swollen tongue, fast heart beat, dizziness, headache, fever, cough, hoarseness.
Age: 0.25
Sex: F
Vaccine: DPP, RV5
Symptoms: Diarrhoea, Gastroenteritis, Vomiting
Clinical narrative: Severe Diarrhea and vomiting x 2 days.  Continued gastroenteritis symptoms x greater than 2 weeks.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Woke up with a bad cough on Saturday (vaccine was prior Wednesday).  Says he feels fine, but has a bad cough and a sore throat.  Also slight runny nose.
Age: 0.12
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Cough, Injection site pain, Pyrexia
Clinical narrative: Patient complained about soreness in his arm at the site of the injection.  No redness or swelling was observed.  He seemed okay Friday night.  Woke up on Saturday 11/21 with a high fever 104 and cough.  I gave him a warm bath.  He drank some orange juice and had some chicken noodle soup.  I gave him alternating doses of acetaminophen and ibuprofen (2 each).  Within about 6 hours his fever dropped to just under 100.  When he woke up this morning his fever was back up around 102.  I gave him another warm bath and a dose of Acetaminophen.  I just read that he shouldn't be given acetaminophen following the vaccination so I'll switch to ibuprofen as needed.  As of 12:40 PM today Sunday 11/22 his temperature is normal.
Age: 56.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Heart rate increased, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, rapid heart rate at 11:00 pm, followed by dizziness, nausea, again vomiting pm.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Adverse reaction, Dizziness, Pruritus, Pulmonary congestion, Somnolence
Clinical narrative: First Skin itching (migrating itching, no visible hives); Then Dizziness and Lung Congestion.  I immediately took my Asthma inhaler (albuterol) and took Benadryl and Guifenesen.  The reaction ran it's course, got better, and I slept most of the day.