chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: M
Vaccine: HEPAB, MNQ, TYP, YF
Symptoms: Pallor, Paraesthesia, Posture abnormal, Tremor, Vision blurred
Clinical narrative: Pt. stated he felt funny, arm tingling & feeling weird face started turning pale after last shot (TYPHOID). Got pt. water then his (L) arm jerked and black-out for 5-10 sec. or less. After woke up in chair (pt. just slouched down when blackout) Ask if if have shortness of breath/rash/swelling - he said no but he did loss/blurred vision before going out called 911 & paramedic came - 4-5 min. later. They (BP, HR  mild diaphoresis progressed to general shaking. Prior to paramedic arrival PT told me he did not eat anything yet & seem anxious when discussing shots said he's not fond of shot. Gave pt. orange juice & 2 reeces pieces & slowly pt improved w/color back on face & vision or this hot/sweaty w arm tingling pt also ate a sandwich & drink gatorade & sat in chair for observation ~ 15 min before ok to walk back to work. F/U w/pt @ 7:15 ON 12/21/09 & pt. said he's fine arm is fine, (no tingling) not sore from shot, which is normal.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Diarrhoea, Dizziness, Pain, Pyrexia
Clinical narrative: Pt developed severe diarrhea, vomiting, light-headedness, & chills hours after receiving H1N1 vaccine on 12/09/09. On 12/20/09 this pt experienced body ache and fever of 100.3.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Pt developed severe diarrhea, vomiting, light-headedness, & chills hours after receiving H1N1 vaccine on 12/09/09. On 12/20/09 this pt experienced body ache and fever of 100.3.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site abscess
Clinical narrative: Abscess at injection site.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Feeling cold, Feeling hot, Vomiting
Clinical narrative: Vomiting, diarrhea, chilled, head hot, cloth was warm.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Dizziness, Infection, Lymphadenopathy, Nausea
Clinical narrative: Received H1N1 vaccine on 12-15-09. Left Arm became swollen. Employee developed nausea, dizziness, and felt faint. Employee developed infection in her lymph nodes and had swelling from left side of neck to left armpit.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Swelling
Clinical narrative: Received H1N1 vaccine on 12-15-09. Left Arm became swollen. Employee developed nausea, dizziness, and felt faint. Employee developed infection in her lymph nodes and had swelling from left side of neck to left armpit.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: CSF protein increased, Guillain-Barre syndrome, Hyperreflexia, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: A 60 year old male, was admitted from the Clinic on 17Dec09 for progressively-worsening upper and lower extremity weakness. The patient has a glomus tumor at the base of the skull and a history of non-Hodgkins lymphoma in the past.  He received seasonal influenza immunization 10/02/2009: Vaccine:  Influenza  0.5 ml (IM)          Site: Left deltoid         Manufacturer:    CSL Biotherapie          Lot #:     08049111A          Expiration Date:     Jun 30,2010  No evidence that the patient received the H1N1 novel or "swine" flu vaccine.  We are currently attempting to determine whether or not the patient received the H1N1 vaccine from a community source.  He was subsequently admitted on 28Oct09 with history of possible TIA.  At that time, he reported shooting pains in the right lower extremity for 6 weeks' duration, with acute onset of numbness in the right upper extremity, particularly the medial forearm and 4/5 digits.  In addition, he stated he noted numbness in the right face and right thigh, but denied dysarthria, weakness otherwise, or gait disturbance.  He was discharged on 28Oct09 without a definitive diagnosis having been made.    The patient had symptoms in the interval from 28Oct to 17Dec.  The symptoms gradually worsened and on admission he had right-sided paresis with reflexes brisk on the right and normal on left.  A lumbar puncture revealed significantly elevated cerebrospinal fluid protein, which is typically indicative of an inflammatory/immunologic reaction in the spinal meninges or spinal nerves which can be consistent with several conditions.  The clinical picture in this case includes Guillain-Barre Syndrome which has been reported as a rare adverse reaction from the seasonal and the "swine" H1N1 influenza or vaccination for those conditions, and also as a parA-neoplastic syndrome associated with the immunologic disorders related to ongoing cancerous processes or the direct physical effects of tumor masses on the nervous system.   The non-Hodgkins lymphoma, the glomus tumor, and/or either the seasonal or the H1N1 vaccine could be etiologic to a GBS-like syndrome.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Immune system disorder, Inflammation, Lumbar puncture abnormal, Muscular weakness, Pain in extremity
Clinical narrative: A 60 year old male, was admitted from the Clinic on 17Dec09 for progressively-worsening upper and lower extremity weakness. The patient has a glomus tumor at the base of the skull and a history of non-Hodgkins lymphoma in the past.  He received seasonal influenza immunization 10/02/2009: Vaccine:  Influenza  0.5 ml (IM)          Site: Left deltoid         Manufacturer:    CSL Biotherapie          Lot #:     08049111A          Expiration Date:     Jun 30,2010  No evidence that the patient received the H1N1 novel or "swine" flu vaccine.  We are currently attempting to determine whether or not the patient received the H1N1 vaccine from a community source.  He was subsequently admitted on 28Oct09 with history of possible TIA.  At that time, he reported shooting pains in the right lower extremity for 6 weeks' duration, with acute onset of numbness in the right upper extremity, particularly the medial forearm and 4/5 digits.  In addition, he stated he noted numbness in the right face and right thigh, but denied dysarthria, weakness otherwise, or gait disturbance.  He was discharged on 28Oct09 without a definitive diagnosis having been made.    The patient had symptoms in the interval from 28Oct to 17Dec.  The symptoms gradually worsened and on admission he had right-sided paresis with reflexes brisk on the right and normal on left.  A lumbar puncture revealed significantly elevated cerebrospinal fluid protein, which is typically indicative of an inflammatory/immunologic reaction in the spinal meninges or spinal nerves which can be consistent with several conditions.  The clinical picture in this case includes Guillain-Barre Syndrome which has been reported as a rare adverse reaction from the seasonal and the "swine" H1N1 influenza or vaccination for those conditions, and also as a parA-neoplastic syndrome associated with the immunologic disorders related to ongoing cancerous processes or the direct physical effects of tumor masses on the nervous system.   The non-Hodgkins lymphoma, the glomus tumor, and/or either the seasonal or the H1N1 vaccine could be etiologic to a GBS-like syndrome.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Paraneoplastic syndrome, Paresis
Clinical narrative: A 60 year old male, was admitted from the Clinic on 17Dec09 for progressively-worsening upper and lower extremity weakness. The patient has a glomus tumor at the base of the skull and a history of non-Hodgkins lymphoma in the past.  He received seasonal influenza immunization 10/02/2009: Vaccine:  Influenza  0.5 ml (IM)          Site: Left deltoid         Manufacturer:    CSL Biotherapie          Lot #:     08049111A          Expiration Date:     Jun 30,2010  No evidence that the patient received the H1N1 novel or "swine" flu vaccine.  We are currently attempting to determine whether or not the patient received the H1N1 vaccine from a community source.  He was subsequently admitted on 28Oct09 with history of possible TIA.  At that time, he reported shooting pains in the right lower extremity for 6 weeks' duration, with acute onset of numbness in the right upper extremity, particularly the medial forearm and 4/5 digits.  In addition, he stated he noted numbness in the right face and right thigh, but denied dysarthria, weakness otherwise, or gait disturbance.  He was discharged on 28Oct09 without a definitive diagnosis having been made.    The patient had symptoms in the interval from 28Oct to 17Dec.  The symptoms gradually worsened and on admission he had right-sided paresis with reflexes brisk on the right and normal on left.  A lumbar puncture revealed significantly elevated cerebrospinal fluid protein, which is typically indicative of an inflammatory/immunologic reaction in the spinal meninges or spinal nerves which can be consistent with several conditions.  The clinical picture in this case includes Guillain-Barre Syndrome which has been reported as a rare adverse reaction from the seasonal and the "swine" H1N1 influenza or vaccination for those conditions, and also as a parA-neoplastic syndrome associated with the immunologic disorders related to ongoing cancerous processes or the direct physical effects of tumor masses on the nervous system.   The non-Hodgkins lymphoma, the glomus tumor, and/or either the seasonal or the H1N1 vaccine could be etiologic to a GBS-like syndrome.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, CSF protein increased, Guillain-Barre syndrome
Clinical narrative: A 60 year old male, was admitted from the Clinic on 17Dec09 for progressively-worsening upper and lower extremity weakness. The patient has a glomus tumor at the base of the skull and a history of non-Hodgkins lymphoma in the past.  He received seasonal influenza immunization 10/02/2009: Vaccine:  Influenza  0.5 ml (IM)          Site: Left deltoid         Manufacturer:    CSL Biotherapie          Lot #:     08049111A          Expiration Date:     Jun 30,2010  No evidence that the patient received the H1N1 novel or "swine" flu vaccine.  We are currently attempting to determine whether or not the patient received the H1N1 vaccine from a community source.  He was subsequently admitted on 28Oct09 with history of possible TIA.  At that time, he reported shooting pains in the right lower extremity for 6 weeks' duration, with acute onset of numbness in the right upper extremity, particularly the medial forearm and 4/5 digits.  In addition, he stated he noted numbness in the right face and right thigh, but denied dysarthria, weakness otherwise, or gait disturbance.  He was discharged on 28Oct09 without a definitive diagnosis having been made.    The patient had symptoms in the interval from 28Oct to 17Dec.  The symptoms gradually worsened and on admission he had right-sided paresis with reflexes brisk on the right and normal on left.  A lumbar puncture revealed significantly elevated cerebrospinal fluid protein, which is typically indicative of an inflammatory/immunologic reaction in the spinal meninges or spinal nerves which can be consistent with several conditions.  The clinical picture in this case includes Guillain-Barre Syndrome which has been reported as a rare adverse reaction from the seasonal and the "swine" H1N1 influenza or vaccination for those conditions, and also as a parA-neoplastic syndrome associated with the immunologic disorders related to ongoing cancerous processes or the direct physical effects of tumor masses on the nervous system.   The non-Hodgkins lymphoma, the glomus tumor, and/or either the seasonal or the H1N1 vaccine could be etiologic to a GBS-like syndrome.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: CSF protein increased, Guillain-Barre syndrome, Hyperreflexia, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Patient reports weakness that started two weeks after vaccination and has progressed.  He was admitted to the hospital on 12-17-2009 for workup of progressive weakness and has a presumed diagnosis of Guillan-Barre.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Immune system disorder, Inflammation, Lumbar puncture abnormal, Muscular weakness, Pain in extremity
Clinical narrative: Patient reports weakness that started two weeks after vaccination and has progressed.  He was admitted to the hospital on 12-17-2009 for workup of progressive weakness and has a presumed diagnosis of Guillan-Barre.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Paraneoplastic syndrome, Paresis
Clinical narrative: Patient reports weakness that started two weeks after vaccination and has progressed.  He was admitted to the hospital on 12-17-2009 for workup of progressive weakness and has a presumed diagnosis of Guillan-Barre.
Age: 59.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, CSF protein increased, Guillain-Barre syndrome
Clinical narrative: Patient reports weakness that started two weeks after vaccination and has progressed.  He was admitted to the hospital on 12-17-2009 for workup of progressive weakness and has a presumed diagnosis of Guillan-Barre.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Muscular weakness, Musculoskeletal pain, Rash generalised
Clinical narrative: PATIENT REFERRED SHE DEVELOPED GENERALIZED SKIN RASH 15 MINUTES AFTER VACCINATION PLUS CHEST AND RIGHT SHOULDER PAIN. SHE ALSO COMPLAINED OF UPPER EXTREMITIES WEAKNESS. PATIENT IS ADMITTED TO THE HOSPITAL.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dizziness, Lumbar puncture normal, Neck pain
Clinical narrative: PATIENT REFERS 4 DAYS AFTER VACCINATION STARTED WITH CHEST OPPRESSION, NECK PAIN AND DIZZINESS. PATIENT IS ADMITTED TO THE HOSPITAL.
Age: 34.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on full body, since 4 days
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Eye swelling, Heart rate increased
Clinical narrative: Vomiting, hives, coughing, trouble breathing, blood shot/swollen eyes, rapid heart rate...vomiting started almost instantly then the rest of the symptoms came with in 15 minutes, I rushed him to the hospital and he was given a shot of Benadryl and steroid and was sent home with steroids and Benadryl...anaphylactic response to H1N1 vaccine with no history of adverse affects from any other vaccine.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, No reaction on previous exposure to drug, Ocular hyperaemia, Urticaria, Vomiting
Clinical narrative: Vomiting, hives, coughing, trouble breathing, blood shot/swollen eyes, rapid heart rate...vomiting started almost instantly then the rest of the symptoms came with in 15 minutes, I rushed him to the hospital and he was given a shot of Benadryl and steroid and was sent home with steroids and Benadryl...anaphylactic response to H1N1 vaccine with no history of adverse affects from any other vaccine.
Age: 55.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Fatigue, Headache, Malaise, Nasal congestion
Clinical narrative: Woke up the 20th with a headache, took aspirin. Aspirin didn't help, waited 4 hrs then took generic otc sinus & allergy. Took edge off but then started head congestion, scratchy throat, feverish & tired. Got up on the 21st feeling quite sick; head congested, throat sore, aching all over and weak. Spoke to personal physicians office & explained to them that I received the H1N1 vaccine the 18th. They said I was having a reaction to the shot & that the symptoms should go away in a couple days. Started taking Thera-flu that evening to help alleviate the symptoms and sleep. Today the 22nd, still feeling the same as day before & taking Thera-flu. If symptoms don't improve in a couple days, will seek medical attention.
Age: 55.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Skin warm, Throat irritation
Clinical narrative: Woke up the 20th with a headache, took aspirin. Aspirin didn't help, waited 4 hrs then took generic otc sinus & allergy. Took edge off but then started head congestion, scratchy throat, feverish & tired. Got up on the 21st feeling quite sick; head congested, throat sore, aching all over and weak. Spoke to personal physicians office & explained to them that I received the H1N1 vaccine the 18th. They said I was having a reaction to the shot & that the symptoms should go away in a couple days. Started taking Thera-flu that evening to help alleviate the symptoms and sleep. Today the 22nd, still feeling the same as day before & taking Thera-flu. If symptoms don't improve in a couple days, will seek medical attention.
Age: 1.33
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Medication was not FDA approve for this age group.
Age: 58.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Rash macular
Clinical narrative: Patient called to inform me he is experiencing red blotchy quarter-sized spots on his legs, front and back of torso, and neck. He said they are not real itchy but they just look bad. He had an appointment with his dermatologist that day.  12-21-09
Age: 1.42
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Medication was not FDA approved for this age group.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: Medication was not FDA appoved for this age group.
Age: 33.0
Sex: M
Vaccine: HEPAB
Symptoms: Abdominal pain, Dizziness, Headache, Nausea
Clinical narrative: Patient was dizzy, nauseated, abdominal pain, headache.
Age: 1.29
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Crying, Injection site pain
Clinical narrative: She went to bed at 8:00 PM and had been acting normal since receiving the vaccination. She woke up at 9:45 crying uncontrollably, which is very unusual. We gave her Tylenol and she fell back to sleep around 10:15. She woke up again at about 12:15 AM crying uncontrollably again. She eventually fell back to sleep at about 1:30. I suspect that she had pain at the injection site.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Eye swelling, Swelling face
Clinical narrative: One hour after immunization given, low grade temperature, eyes, face became swollen.  Symptoms subsided by next day.  Refused treatment.
Age: 1.02
Sex: F
Vaccine: DTAP, FLU(H1N1), HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Eye swelling, Pyrexia, Rash generalised, Swelling face, Urticaria
Clinical narrative: Swelling of eyes and face, beginning approx 30 min after vaccine administration along with large red whelps and rash from head to toe.  Benadryl given and pcp notified. Swelling began to decrease at 7 pm, rash began to fade around 10 pm. Child ran fever of 103 the next day that was controlled with Motrin and Tylenol alternately. Child is currently rash and fever free.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Death
Clinical narrative: Death, SIDS
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain upper, Swelling face, Vomiting
Clinical narrative: Patient was seen for a 4 year well check. She received routine vaccinations (as above)->Patient complained of stomach pain and vomited within 20 minutes and had facial swelling.->IM dexamethasone given with BENADRYL-resolved in 3 hours.
Age: 62.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Injection site swelling, Unresponsive to stimuli
Clinical narrative: Patient was given H1N1 vaccine at approximately 0930 in right deltoid. The area did bleed a little and immediately started swelling at injection site. Subject became unresponsive.
Age: 45.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Angiogram normal, Asthenia, Blood creatine phosphokinase normal, Blood glucose increased, Blood potassium decreased
Clinical narrative: Pt recd IM H1N1 vaccine 12/9/09 then w/in 48 hours developed R sided facial pain and weakness, evaluated in ER w/head CT ? blood tests normal; ultimately rec'd w/u for stroke given risk factors when neg = Bell's Palsy
Age: 45.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test normal, Blood urea decreased, Cardiac enzymes normal, Chest pain, Computerised tomogram head
Clinical narrative: Pt recd IM H1N1 vaccine 12/9/09 then w/in 48 hours developed R sided facial pain and weakness, evaluated in ER w/head CT ? blood tests normal; ultimately rec'd w/u for stroke given risk factors when neg = Bell's Palsy
Age: 45.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Computerised tomogram normal, Electrocardiogram abnormal, Facial pain, Facial palsy, Facial paresis
Clinical narrative: Pt recd IM H1N1 vaccine 12/9/09 then w/in 48 hours developed R sided facial pain and weakness, evaluated in ER w/head CT ? blood tests normal; ultimately rec'd w/u for stroke given risk factors when neg = Bell's Palsy
Age: 45.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Hypoaesthesia facial, Migraine, Musculoskeletal pain, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Pt recd IM H1N1 vaccine 12/9/09 then w/in 48 hours developed R sided facial pain and weakness, evaluated in ER w/head CT ? blood tests normal; ultimately rec'd w/u for stroke given risk factors when neg = Bell's Palsy
Age: 45.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Red blood cell sedimentation rate normal, Scan brain, Sensory loss, Speech disorder
Clinical narrative: Pt recd IM H1N1 vaccine 12/9/09 then w/in 48 hours developed R sided facial pain and weakness, evaluated in ER w/head CT ? blood tests normal; ultimately rec'd w/u for stroke given risk factors when neg = Bell's Palsy
Age: 45.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Ultrasound Doppler abnormal, Vision blurred
Clinical narrative: Pt recd IM H1N1 vaccine 12/9/09 then w/in 48 hours developed R sided facial pain and weakness, evaluated in ER w/head CT ? blood tests normal; ultimately rec'd w/u for stroke given risk factors when neg = Bell's Palsy
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphonia, Dyspnoea, Throat irritation, Tremor
Clinical narrative: Started with hoarseness, throat itchy, progressed to labored breathing, shaky. Sought medical attention approx 4-5 hrs after vaccination. Treated at ER with prednisone, Benadryl.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood culture positive, Cardiac arrest, Death, Diarrhoea, Endotracheal intubation
Clinical narrative: 12/16 2130. Presented to ED 12/16 with fever 104.8. Treated with TYLENOL and discharged to home. Returned to ED on 12/17-0615 - altered Mental Status, diarrhea, Rash, T 99.8 - Cardiac arrest - Intubation, code Meds, ROCEPHIN, Vancomycin, acyclovir. Transferred.  12/30/09 Preliminary autopsy report. DOD 12/17/09. Cause of Death: None provided. Additional information abstracted: Cerebrospinal fluid positive for gram negative diplococci on gram stain.  12/30/09 Preliminary autopsy report. DOD 12/17/09. Cause of Death: None provided. Additional information abstracted: Cerebrospinal fluid positive for gram negative diplococci on gram stain. \ksk  12/31/09 ED consultation records received. Service date 12/17/09. Assessment: Thrombocytopenia, purpuric rash, cardiopulmonary respiratory arrest, shock with septic and hypovolemic metabolic acidosis, hematemesis, screen for meningococcemia. Child presented to the ED the previous evening with a temperature of 104.8 F was medicated for fever and discharged. This AM presents with a purpuric rash all extremities. Diarrhea, lethargic. Decreased level of consciousness. Intubated and attempted to stabilize for air transport. Abdominal distention. Blood-tinged mucus fluid from nose and mouth. Full CPR. Pulseless electrical activity.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Meningococcal infection, Mental status changes, Pyrexia, Rash, Streptococcal identification test negative
Clinical narrative: 12/16 2130. Presented to ED 12/16 with fever 104.8. Treated with TYLENOL and discharged to home. Returned to ED on 12/17-0615 - altered Mental Status, diarrhea, Rash, T 99.8 - Cardiac arrest - Intubation, code Meds, ROCEPHIN, Vancomycin, acyclovir. Transferred.  12/30/09 Preliminary autopsy report. DOD 12/17/09. Cause of Death: None provided. Additional information abstracted: Cerebrospinal fluid positive for gram negative diplococci on gram stain.  12/30/09 Preliminary autopsy report. DOD 12/17/09. Cause of Death: None provided. Additional information abstracted: Cerebrospinal fluid positive for gram negative diplococci on gram stain. \ksk  12/31/09 ED consultation records received. Service date 12/17/09. Assessment: Thrombocytopenia, purpuric rash, cardiopulmonary respiratory arrest, shock with septic and hypovolemic metabolic acidosis, hematemesis, screen for meningococcemia. Child presented to the ED the previous evening with a temperature of 104.8 F was medicated for fever and discharged. This AM presents with a purpuric rash all extremities. Diarrhea, lethargic. Decreased level of consciousness. Intubated and attempted to stabilize for air transport. Abdominal distention. Blood-tinged mucus fluid from nose and mouth. Full CPR. Pulseless electrical activity.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Facial palsy, Hypoaesthesia facial, Immediate post-injection reaction, Paraesthesia
Clinical narrative: Bell's Palsy developed within 15 minutes (doctor diagnosed) 2 hours later
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Body temperature normal, Cellulitis, Injection site discharge, Injection site erythema, Injection site swelling
Clinical narrative: 12-15-09 swelling, redness at injection site-clear fluid leakage-saw physician who recommended Benadryl/Tylenol PRN Temp 99-101 degrees. 12-16-09 Dx of Cellulitis-Rx with Cephalexin.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pallor, Pruritus, Rash erythematous
Clinical narrative: Erythematous rash diffuse, blanchable, itching. L shoulder R wrist, back
Age: 23.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Received H1N1 injection @ 8pm, at 9pm started having repeated episodes of vomiting and diarrhea. Numerous calls were made to above number and messages left to contact MO H1N1 information line - no return calls were received. No additional information is available.
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chest discomfort, Dyspnoea, Speech disorder
Clinical narrative: 2 days after receiving H1N1 - chest tightness shortness of breath, "cannot breath", hard to speak. Not like prior asthma attacks. Numerous calls & messages left - no return calls No additional information available.
Age: 41.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Feeling hot, Flushing
Clinical narrative: Felt flushed/hot without change in oral temp.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Injection site reaction, Paraesthesia
Clinical narrative: Tingling and pain at site of injection, radiating down left arm.
Age: 69.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Body temperature increased, Hypersensitivity, Rash maculo-papular
Clinical narrative: Maculopapular exanthem - delayed hypersensitivity rash. T - 101.3
Sex: M
Vaccine: HEPA, HIBV, IPV, VARCEL
Symptoms: Abnormal behaviour, Body temperature increased, Irritability, Rash, Rash erythematous
Clinical narrative: T 99.7 930pm on 12.16/2009 rash started 12/17/09 330 pm. T 103.8 ax at 1000PM 12-17/09. Irritable beginning 12/17/09 at 300pm diffuse erythematous rash on trunk. Pt screams, pulls mothers hair, etc. Has intermittent periods of play, smiling, etc.
Sex: M
Vaccine: HEPA, HIBV, IPV, VARCEL
Symptoms: Screaming
Clinical narrative: T 99.7 930pm on 12.16/2009 rash started 12/17/09 330 pm. T 103.8 ax at 1000PM 12-17/09. Irritable beginning 12/17/09 at 300pm diffuse erythematous rash on trunk. Pt screams, pulls mothers hair, etc. Has intermittent periods of play, smiling, etc.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Shots given on 11/30/09 - came to clinic on 12/3/09 - noted lg. red, swollen area on L upper thigh where Dtap and polio were given.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Lymphadenopathy
Clinical narrative: Small splotchy erythematous area on left thigh. Not warm. Began 1 day after vaccine enlarged inguinal node.
Age: 1.65
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug administration error
Clinical narrative: Administered live H1N1 nasal spray vaccine instead of inactivated H1N1 vaccine.
Age: 33.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Pt. reports got shots on Fri, Dec 4 and on Sat, Dec 5th arm very sore, decreased ROM. On 12/7/09 - "hurts so bad can barley lift it".
Age: 80.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Client received nasal mist H1N1 and should have received injection due to age.
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity
Clinical narrative: Client complains of severe pain in right arm starting the day after the injection was given, not relieved by pain meds, and is not getting better.
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Feeling cold, Hypoaesthesia oral, Lip swelling
Clinical narrative: Lips cold and numb and swelling.
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Dizziness, Fatigue, Headache, Nasal congestion
Clinical narrative: Runny nose, nasal stuffiness, sore throat, cough, lightheadedness, tiredness, headaches.
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Runny nose, nasal stuffiness, sore throat, cough, lightheadedness, tiredness, headaches.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Cough, Diarrhoea, Ear pain, Fatigue
Clinical narrative: Fever Headache, earache Sore Throat General aches, pains Fatigue, weakness Stuffy nose, runny nose Sneezing Dry cough  Stomach symptoms: nausea, vomiting, and diarrhea
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Nasal congestion, Nausea, Oropharyngeal pain, Pain
Clinical narrative: Fever Headache, earache Sore Throat General aches, pains Fatigue, weakness Stuffy nose, runny nose Sneezing Dry cough  Stomach symptoms: nausea, vomiting, and diarrhea
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Rhinorrhoea, Sneezing, Vomiting
Clinical narrative: Fever Headache, earache Sore Throat General aches, pains Fatigue, weakness Stuffy nose, runny nose Sneezing Dry cough  Stomach symptoms: nausea, vomiting, and diarrhea
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Swelling pain redness, cellulitis tx w/ KEPLEX.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Swelling face
Clinical narrative: Given H1N1 on 11/23/09. Patient's husband called today to report patient has had facial swelling since last week, denies other problems. Swelling eventually goes down but now getting worse. Referred to Emergency Room.
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 16.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Red and sore at site. Not cellulitis. 3 cm diameter over left deltoid, raised patch.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site infection, Oedema peripheral, Pain in extremity
Clinical narrative: Infection on the pneumonia shot (infection, (pain in extremities), (Oedema peripheral). (Erythema))
Age: 8.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Painful and red where injection was, not cellulitis.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Inflammation, Joint range of motion decreased, Pain, X-ray
Clinical narrative: Decreased range of motion. Pain and inflammation that has not resolved after one month.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1), FLUX
Symptoms: C-reactive protein increased, Erythema, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: R arm with erythema and swelling from elbow to shoulder. Erythema extends to chest. Positive warmth, tender, taught. R arm 22cm. fever 102 that day.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1), FLUX
Symptoms: Injection site swelling, Injection site warmth, Pyrexia, Red blood cell sedimentation rate increased, White blood cell count increased
Clinical narrative: R arm with erythema and swelling from elbow to shoulder. Erythema extends to chest. Positive warmth, tender, taught. R arm 22cm. fever 102 that day.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Dyskinesia, Head banging, Muscle twitching
Clinical narrative: Initial report received on 09 December 2009 from a patient's parent. A 3-year-old male patient had received a first intramuscular deltoid injection of FLUZONE No Preservative 2009-2010 (lot number UT3173G) on 21 October 2009. The patient had no concurrent illnesses at the time. Medical history includes acute respiratory distress, and possibly asthma. The patient has never received a measles mumps rubella vaccine, and additionally has not received any other vaccines in 2009. Approximately 10 days after receiving the FLUZONE vaccine, the patient developed head thrashing, facial twitching and hand to face rubbing. The patient was to be evaluated on 09 December 2009 by pediatric neurology for worsened symptoms. At the time of this report, the patient had not recovered. Documents held by sender: None.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Muscle twitching, Nerve conduction studies, Neuropathy peripheral, Paraesthesia
Clinical narrative: Initial report received on 10 December 2009 from a consumer. A 42 year old female patient with a history of CROHN'S disease (treated with mercaptopurine) developed muscle pain in her right thigh six days after receiving a right deltoid intramuscular dose of Influenza (H1N1) 2009 Monovalent Vaccine (lot number UP002AA). The day after the muscle pain began, the patient developed twitching in her legs which became widespread, including her lips. The patient also complained of pins and needles in her feet and other locations on her body. The patient went to the neurologist and was diagnosed with neuropathy. Blood work and nerve conduction study were completed, however the results were not provided. The patient was reported as not recovered. List of Documents held by the Sender: none.
Age: 3.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Fatigue, Pallor, Somnolence, Vomiting
Clinical narrative: Began to be very weak, tired and extremely pale.  At 11:30 AM vomited in car seat and fell asleep immediately upon vomiting.  Vomited several more times that day.  Extremely weak and pale.  No one else in family became ill.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash pruritic
Clinical narrative: Itchy Rash.  Treated by patient's parent with Benadryl.  Patient became drowsy after Benadryl.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Guillain-Barre syndrome, Nausea, Vomiting
Clinical narrative: Admitted to medical center from 12/13/09-12/15/09 for dizziness, nausea, vomiting.  Transferred to another medical center, then to a third medical center and diagnosed with Guillian-Barre syndrome.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Feeling cold, Injection site pain, Insomnia, Nausea
Clinical narrative: My right upper arm began aching but the nurse said with the pneumonia vaccine this might happen because the shot is administered in muscle.  I began feeling very cold and then I started shivering.  In about an hour my arm was very hot and becoming quite hard and in a couple of hours my whole arm was about double in size.  I went to bed to try to get warm but nothing helped the shivering or intense cold.  My arm was very very tender and sleeping was very difficult.  I took a couple of motrin every few hours.  This continued all day Sat & Sun later in the day the arm was not as tender and the swelling was diminishing.  Later that day I noticed that my arm was bright pink from the inflammation.  Monday the arm was almost back to its original size but was still quite pink. Today (Tuesday) my arm is still tender and somewhat pink.  I also felt nauseous during this time.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Oedema peripheral, Skin discolouration, Skin induration, Skin warm, Tenderness
Clinical narrative: My right upper arm began aching but the nurse said with the pneumonia vaccine this might happen because the shot is administered in muscle.  I began feeling very cold and then I started shivering.  In about an hour my arm was very hot and becoming quite hard and in a couple of hours my whole arm was about double in size.  I went to bed to try to get warm but nothing helped the shivering or intense cold.  My arm was very very tender and sleeping was very difficult.  I took a couple of motrin every few hours.  This continued all day Sat & Sun later in the day the arm was not as tender and the swelling was diminishing.  Later that day I noticed that my arm was bright pink from the inflammation.  Monday the arm was almost back to its original size but was still quite pink. Today (Tuesday) my arm is still tender and somewhat pink.  I also felt nauseous during this time.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Loss of consciousness, Syncope
Clinical narrative: Child fainted and was unconscious for about 1 minute.  The child also complained that her stomach hurt.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pallor, Syncope
Clinical narrative: The patient had just received her vaccination. She stood up and was waiting on her twin sister to receive hers. She fainted and her mother caught her. She was pale and came around in a few seconds.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pain in extremity
Clinical narrative: Sore entire arm-shoulder to hand. Still hurts when lifts or uses.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Death
Clinical narrative: Heart stop beating, past away.
Age: 54.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Angioedema, Oedema peripheral, Urticaria
Clinical narrative: Angioedema, bilateral hand swelling, Urticarial rash.  Treated with DEPO MEDROL & PREDNISONE TAPER.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Alopecia
Clinical narrative: Alopecia which he states began 24 hrs after second dose of Hbv. Alopecia still present
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Nausea, Vomiting
Clinical narrative: Nausea, vomiting x 10 for approx 30 min. Diarrhea followed vomiting throughout morning x 4. Remainder of day slight nausea, and tired. Soup in evening. 12-17-09 - stomach cramps.
Age: 74.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Blood test, Haematochezia
Clinical narrative: 5 days of bloody stool - 13, 14, 15, 16 of Dec and 18. Soreness or pain abdomen.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Pyrexia, Rhinorrhoea, Sinusitis
Clinical narrative: Fever, runny nose/coughing & Dx: sinusitis.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Acne, Conjunctivitis, Cough, Facial pain, Herpes zoster
Clinical narrative: 11-26-09 Fever-102 and cough. 11-27-09 11-28-09 and 11-30-09 conjunctivitis left eye (Levaquin and eye drops). 12-3-09 Numbness left side of face (nose area). 12-5-09 pimples on lips, nose face with pain severe. 12-6-09 saw MD diagnosis -> shingles. Rx with antiviral  VALACYCLOVIR 500mg Tid.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia facial, Pyrexia
Clinical narrative: 11-26-09 Fever-102 and cough. 11-27-09 11-28-09 and 11-30-09 conjunctivitis left eye (Levaquin and eye drops). 12-3-09 Numbness left side of face (nose area). 12-5-09 pimples on lips, nose face with pain severe. 12-6-09 saw MD diagnosis -> shingles. Rx with antiviral  VALACYCLOVIR 500mg Tid.
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, CSF protein increased, CSF white blood cell count negative, Guillain-Barre syndrome, Lumbar puncture
Clinical narrative: Guillain-Barre Syndrome. First onset of weakness, 10/30/2009. Pt hospitalized for GBS on 11/26/2009, discharged 12/08/2009. Case reported to California Emerging Infections Program by consulting neurologist on 12/10/2009.  12/22/09 ED and hospital records received. Multiple visits and admissions. Service dates 11/26/09 to 12/15/09 Assessment: Hypotension, pneumonia, acute kidney insufficiency. Guillain-Barre syndrome. Patient was evaluated for leg and arm weakness 10/29/09. November 2009 c/o constipation. Cough, fever, hypotensive. Erythematous rash to arms. Abdominal pain. Leg pain. Tachycardic. Low O2 saturation. Obese. Cushingoid appearance. 12/15/09 Diffuse atrophy and weakness upper and lower extremities. Bifacial weakness. Reflexes diminshed, absent at the ankles. Vibratory sense and joint position sense reduced lower extremities.
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Red blood cells CSF positive
Clinical narrative: Guillain-Barre Syndrome. First onset of weakness, 10/30/2009. Pt hospitalized for GBS on 11/26/2009, discharged 12/08/2009. Case reported to California Emerging Infections Program by consulting neurologist on 12/10/2009.  12/22/09 ED and hospital records received. Multiple visits and admissions. Service dates 11/26/09 to 12/15/09 Assessment: Hypotension, pneumonia, acute kidney insufficiency. Guillain-Barre syndrome. Patient was evaluated for leg and arm weakness 10/29/09. November 2009 c/o constipation. Cough, fever, hypotensive. Erythematous rash to arms. Abdominal pain. Leg pain. Tachycardic. Low O2 saturation. Obese. Cushingoid appearance. 12/15/09 Diffuse atrophy and weakness upper and lower extremities. Bifacial weakness. Reflexes diminshed, absent at the ankles. Vibratory sense and joint position sense reduced lower extremities.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest X-ray, Cough, Pyrexia, Vomiting, Wheezing
Clinical narrative: PATIENT WAS COUGHING AND WHEEZING. BY 2PM, HAD FEVER OF 102. GIVEN TAMIFLU AROUND 4PM WHICH SHE VOMITED. TEMP AT 4PM OF 103.2. WENT TO ER. PUT ON NEBULIZER TREATMENTS STARTED ON ZITHROMAX. THEN DISCHARGED HOME. PATIENT SHOULD HAVE RECEIVED H1N1 INJECTABLE, NOT INTRANASAL.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: PATIENT WAS COUGHING AND WHEEZING. BY 2PM, HAD FEVER OF 102. GIVEN TAMIFLU AROUND 4PM WHICH SHE VOMITED. TEMP AT 4PM OF 103.2. WENT TO ER. PUT ON NEBULIZER TREATMENTS STARTED ON ZITHROMAX. THEN DISCHARGED HOME. PATIENT SHOULD HAVE RECEIVED H1N1 INJECTABLE, NOT INTRANASAL.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity
Clinical narrative: PATIENT REFERS PAIN IN BOTH LEGS THE DAY AFTER VACCINATION.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Ultrasound scan
Clinical narrative: My CRN/midwife, and then later on that day, a perinatologist, diagnosed that the baby I was carrying suddenly stopped having a heartbeat and had died. Follow-up ultrasounds 10 days later confirmed that the baby had died. Both the midwife and perinatologist called the event "strange" because all other signs pointed to a healthy fetus and that the heart had suddenly stopped unexpectedly.  This vaccination resulted in my miscarriage. One of the major side effects of mercury poisoning is that it causes the heart to suddenly stop beating. This vaccine has never been tested on pregnant women and the only difference between this failed pregnancy and my previous successful pregnancy was this H1N1 vaccine.
Age: 30.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Drug exposure during pregnancy, Urticaria
Clinical narrative: Severe case of hives.  I am still dealing with the hives almost 2 months later.  Have taken to prescriptions and am still taking Benadryl.  My treatment options are limited as I am pregnant.
Age: 79.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Speech disorder, Tremor
Clinical narrative: Fever 104, shaking, babbling, Tyenol given, lasted approx. 7 hours then fever broke.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Full blood count, Rash
Clinical narrative: RASH IN BOTH LEGS
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Culture wound, Injection site abscess, Injection site discomfort, Injection site erythema, Injection site pustule
Clinical narrative: Pt received H1N1 vaccine L thigh 5 days ago. A few says later developed redness, soreness, and pustule at site. No fever, no drainage. Doctor completed incision and drainage of abscess and wound culture done. Pt given Rx's: AUGMENTIN and BACTROBAN. Has follow up appt scheduled at this time, has follow up appt scheduled 12/23/09.
Age: 1.62
Sex: F
Vaccine: DTAP, FLU(H1N1), HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 60 cm x 6 cm swelling L thigh & red.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1), FLUN3, VARCEL
Symptoms: Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: 1. Pt. given nasal vaccine H1N1 per her request-D'cl from ordered injectable. 2. Varicella #2 given. Hx irregular menses, denied sexual activity, negative urine BHCG-10/09. Did not OK urine BHCG until end OV. Pt. changed her mind end of OV.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Muscle spasms, Neck pain, Pain, Pain in extremity
Clinical narrative: Pain at site of injection with shooting pains throughout the arm and spasms on the underside of same arm. No treatment for these symptoms at this time. Pain continue occasionally throughout arm radiating into neck at 22 days post injection. Advised to visit clients doctor.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Local swelling, Neck pain, Pruritus
Clinical narrative: Patient received intranasal H1N1 vaccine at approximately 10:30 AM. At approximately 1:05 PM, she called the health department explaining to RN that she was experiencing neck swelling and itching. RN immediately referred her to the emergency department. RN called the patient at approximately 1:30 and got no answer. When RN called the Hospital, there had been no patient admitted. Unable to determine course of treatment and/or outcome. Per nurse, the patient called and stated that she had swelling and pain in her neck and the patient was weak but did not go ER or dr office. The patient is not taking and medication for the reaction.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Laboratory test normal, Vision blurred
Clinical narrative: Pt started c/o blurred vision of L eye while @ sch. Mon 12/7/09 (wears glasses). Seen @ ED that evening and referred to ophthalmologist. Had vision change when examined on 12/8 - referred to PCP on 12/9/09. Due to family H/O diabetes fasting labs done 12/10 Vision has improved since 12/11/09. Has f.u. appoint with doctor on 12/18/09 - will f.u. gradually improved.
Age: 53.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypersensitivity, Pruritus, Rash erythematous
Clinical narrative: Pt had an allergic rxn to vacc. Pt c/o red bumps and itchy all over body. Pt was counseled to take BENADRYL. Rash and itching cleared up over night.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood culture negative, Chest X-ray normal, Dizziness, Full blood count normal, Injection site induration
Clinical narrative: Fever, 102 x 48 hours, malaise body aches, dizzy. Local induration where shot given L upper arm. Had pulmonary edema - 1 day before shot.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: Fever, 102 x 48 hours, malaise body aches, dizzy. Local induration where shot given L upper arm. Had pulmonary edema - 1 day before shot.
Age: 6.0
Sex: M
Vaccine: FLU3, FLUN3
Symptoms: Wrong drug administered
Clinical narrative: Pt was to receive H1N1 and seasonal vaccinations. Documentation indicates pt. was given seasonal injectable and seasonal mist. Pt brought back 12/22/09 and given H1N1 inj
Age: 1.51
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Pt. received one dose of varicella vaccine on 4/22/99. He never received a 2nd dose. Seen in ER & then in pediatric office for herpes zoster.
Age: 15.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging brain, Sensory loss
Clinical narrative: Weakness on lower extremity and progressing numbness in bilaterally extending upwards into nipple and loss of sensation to.
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Developed hives same day of H1N1 vaccination no respiratory symptoms seen 12-22 with hives lungs clean treated DECADRON 4cm IM, PREDNISONE dose pack, BENEDRYL.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dysphagia, Paraesthesia, Pruritus
Clinical narrative: Patient complained of feeling "tingly", itchy, dizziness, difficulty swallowing.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU(H1N1), FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Upper arm swelling, redness, itching after vaccinations. Started on 12/21/09.