chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Flushing, Headache, Nausea, No reaction on previous exposure to drug
Clinical narrative: Started with a headache, dizziness, feeling flushed nausea and vomiting. Vomited approx 2 cups of stomach contents. No problem with previous shot. Felt okay today. Took Motrin for headache. ? empty stomach last meal was 7 am.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Started with a headache, dizziness, feeling flushed nausea and vomiting. Vomited approx 2 cups of stomach contents. No problem with previous shot. Felt okay today. Took Motrin for headache. ? empty stomach last meal was 7 am.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red swollen L arm ~ 3-4 inches in diameter at shot site improving after 2 days.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Received vaccine H1N1 at 1300 12-1-09. 1600 began itching on hips. 1900 hives on hips, Abd. 2030 Hives on buttocks- Applied HYDROCORTISONE oint. BENADRYL 25mg PO. 12-2-09 Hives to hips and stomach -> ZYRTEC 1 tab daily per MD.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Lacrimation increased, Myalgia, Pain in extremity, Rhinorrhoea
Clinical narrative: The injected vaccine burned when it was going in. Her eyes teared up and had a runny nose all day. The initial injection did not hurt, but the arm still hurts today (12/3/09), but not at the injection site. The muscle of the arm hurts, when she presses on it.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Injection site reaction, Myalgia
Clinical narrative: fatigue and prolonged myalgia near injection site
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Hypertension, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Right Side of Face numb, Right arm slightly numb. Two days later I had a high blood pressure reading taken at home 138/96 (very high for me). After three days the symptoms went away.  Today 12/3/2009 the right face is numb again - prompting me to make this report.  No other symptoms.  I have not taken my blood pressure again.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Pt was administered H1N1 vaccine at 10:00AM. The injection was administered into the left deltoid. At 10:10AM she reported numbness in left arm, tingling on the left side of body down to her foot. She was seen in the emergency room, treated with steroids and released. Follow up attempts were unsuccessful
Age: 15.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Teen was give Dtap instead of Tdap, was informed by State vaccine nurse consultant to fill out Vaers
Age: 0.83
Sex: M
Vaccine: FLUX
Symptoms: Blood electrolytes, Convulsion, Electroencephalogram normal
Clinical narrative: Generalized seizure, duration 3 and 1/2 minutes, observation
Age: 1.08
Sex: F
Vaccine: DTAP, HIBV, PPV
Symptoms: Blood test, Eyes sunken, Irritability, Listless, Pyrexia
Clinical narrative: Xaiah had a slight fever of about 100 or 101 degrees since the time the shots were given. On february fourth the fever went up to 103 degrees.  She became completely lifeless; still with hollow eyes. She had been fussy the whole week but suddenly she wasn't even fussy any more.  For one week her fever was between 103 and 105 degrees.  Cold baths were administered frequently and she constantly had cold rags on her head. Tylenol and Motriin were rotated. the fever would only drop to 102 for thirty minutes before jumping up again.  She began screaming for long random periods of time. She would just start screaming uncontrollobly, nothing could soothe her.  The screaming bouts would  last about thirty minutes. The screaming fits lasted for a couple months and slowly began to slow down.  For the time being she has recovered but not sure of any possible future outcomes.
Age: 1.08
Sex: F
Vaccine: DTAP, HIBV, PPV
Symptoms: Screaming, Urine analysis
Clinical narrative: Xaiah had a slight fever of about 100 or 101 degrees since the time the shots were given. On february fourth the fever went up to 103 degrees.  She became completely lifeless; still with hollow eyes. She had been fussy the whole week but suddenly she wasn't even fussy any more.  For one week her fever was between 103 and 105 degrees.  Cold baths were administered frequently and she constantly had cold rags on her head. Tylenol and Motriin were rotated. the fever would only drop to 102 for thirty minutes before jumping up again.  She began screaming for long random periods of time. She would just start screaming uncontrollobly, nothing could soothe her.  The screaming bouts would  last about thirty minutes. The screaming fits lasted for a couple months and slowly began to slow down.  For the time being she has recovered but not sure of any possible future outcomes.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cheilitis, Eyelid oedema
Clinical narrative: Employee was administered H1N1 vaccine in left deltoid on 10/28/09 and one day later she experienced swelling of her eyelids and redness around her lips. She is following up with her primary care physician. Followup attempts unsuccessful.
Age: 11.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness
Clinical narrative: PERSISTENT DIZZINESS ON ASSUMING UPRIGHT POSITION.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest pain, Cough, Feeling cold, Hyperventilation, Syncope
Clinical narrative: Patient received vaccination and held in holding area for 20 minutes. Patient sent back to class where she complained of chest pain to teacher. Patient sent to school nurse, who then sent her to nurse that administered vaccine (employed by provider). Patient collapsed in hallway en route to nurse that administered vaccine. Nurse with provider contacted 911. Student was responsive, coughing, hyperventilating, and stated she was cold. Paramedics arrived and transported to hospital. 12/4/2009 ED records for 11/30/2009 patient with c/o's chest pain, fainting, dizziness, cough and pain in knees. Tx: Ibuprofen, cardiac monitoring,  f/up with cardiology
Age: 21.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Headache, Musculoskeletal stiffness, Neck pain, Pain
Clinical narrative: Headache, aches all over body, stiff neck with pain. Symptons occured 2 weeks after vaccinations. Both seasonal and H1N1 were given at the same time.
Age: 64.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Diarrhoea, Dizziness, Headache, Muscle spasms
Clinical narrative: Experienced lightheadness and severe weakness causing patient to sit down on ground at gas station.  Attendant called 911 and transported to hospital via ambulance.  Had vitals taken but left ER after 2 1/2 hr wait to see Dr. as "feeling better". Once home, during the night developed severe leg cramps with spasms in feet and knees. On 12/2 experienced mild nausea with some lightheadness but developed severe headache during the day. Called today 12/3 as currently experiencing nausea, loose stools (X3).  Headache has subsided but lightheadness continues and is not affected by change in position.  Has panic attacks and takes Klonopin for treatment.  Took a dose today.
Age: 64.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea
Clinical narrative: Experienced lightheadness and severe weakness causing patient to sit down on ground at gas station.  Attendant called 911 and transported to hospital via ambulance.  Had vitals taken but left ER after 2 1/2 hr wait to see Dr. as "feeling better". Once home, during the night developed severe leg cramps with spasms in feet and knees. On 12/2 experienced mild nausea with some lightheadness but developed severe headache during the day. Called today 12/3 as currently experiencing nausea, loose stools (X3).  Headache has subsided but lightheadness continues and is not affected by change in position.  Has panic attacks and takes Klonopin for treatment.  Took a dose today.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Contusion, Induration, Pruritus
Clinical narrative: Pt noticed raised area on R upper arm, itchy at approx 7 PM while at dance class. Mother noted 4-5 1" areas with depth approx 1/4"-1/2" on both upper arms and one 2" raised area on R upper arm. Mother administered BENADRYL which was effective. All of this happened on 11-19-09. The morning of 11-20-09 pt had no raised areas but the spot on the right arm that had been the worst had residual bruise.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Axillary pain, Breast pain, Pain in extremity
Clinical narrative: Symptoms started soon after (same day) getting vaccine. C/O right arm pain from neck to hand and right breast pain including axilla.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Asthenia, Diarrhoea, Dizziness, Dysphonia
Clinical narrative: Stomach/fever 99 after 2 1/2 weeks, (wheezing). Serious lung (lungs filled w/fluid-heart same, diarrhea, dizziness, racing heart, serious fatigue and weakness, horrible pain-trouble walking and talking-hoarseness, headache, eyes and trouble breathing w/mucous. No sleep, pain!!  12/04/09 ED records for DOS 11/10/09. DX Acute bronchitis   Pt c/o distress, pain, anxious, SOB, chest pain, and back pain. On physical exam: Neuro: wnl; rash red, urticaria under B breasts. Tx: decadron. Pt improved and discharged home with Tylenol and antibiotics.  12/04/09 ED records for DOS 11/27/09 DX: Flu like symptoms. Pt presented with fever, cough, and sputum, headaches. Pt improved and discharged home.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Fatigue, Gait disturbance, Headache, Insomnia
Clinical narrative: Stomach/fever 99 after 2 1/2 weeks, (wheezing). Serious lung (lungs filled w/fluid-heart same, diarrhea, dizziness, racing heart, serious fatigue and weakness, horrible pain-trouble walking and talking-hoarseness, headache, eyes and trouble breathing w/mucous. No sleep, pain!!  12/04/09 ED records for DOS 11/10/09. DX Acute bronchitis   Pt c/o distress, pain, anxious, SOB, chest pain, and back pain. On physical exam: Neuro: wnl; rash red, urticaria under B breasts. Tx: decadron. Pt improved and discharged home with Tylenol and antibiotics.  12/04/09 ED records for DOS 11/27/09 DX: Flu like symptoms. Pt presented with fever, cough, and sputum, headaches. Pt improved and discharged home.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Palpitations, Pulmonary oedema, Pyrexia, Rhinorrhoea
Clinical narrative: Stomach/fever 99 after 2 1/2 weeks, (wheezing). Serious lung (lungs filled w/fluid-heart same, diarrhea, dizziness, racing heart, serious fatigue and weakness, horrible pain-trouble walking and talking-hoarseness, headache, eyes and trouble breathing w/mucous. No sleep, pain!!  12/04/09 ED records for DOS 11/10/09. DX Acute bronchitis   Pt c/o distress, pain, anxious, SOB, chest pain, and back pain. On physical exam: Neuro: wnl; rash red, urticaria under B breasts. Tx: decadron. Pt improved and discharged home with Tylenol and antibiotics.  12/04/09 ED records for DOS 11/27/09 DX: Flu like symptoms. Pt presented with fever, cough, and sputum, headaches. Pt improved and discharged home.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Visual impairment, Wheezing
Clinical narrative: Stomach/fever 99 after 2 1/2 weeks, (wheezing). Serious lung (lungs filled w/fluid-heart same, diarrhea, dizziness, racing heart, serious fatigue and weakness, horrible pain-trouble walking and talking-hoarseness, headache, eyes and trouble breathing w/mucous. No sleep, pain!!  12/04/09 ED records for DOS 11/10/09. DX Acute bronchitis   Pt c/o distress, pain, anxious, SOB, chest pain, and back pain. On physical exam: Neuro: wnl; rash red, urticaria under B breasts. Tx: decadron. Pt improved and discharged home with Tylenol and antibiotics.  12/04/09 ED records for DOS 11/27/09 DX: Flu like symptoms. Pt presented with fever, cough, and sputum, headaches. Pt improved and discharged home.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Cough, Decreased appetite, Diarrhoea, Dizziness
Clinical narrative: Headache, nasal congestion, cough, sore throat, fever, nausea, abd. pain, LBM, poor appetite, body pains, dizziness, hoarseness of voice, clear, white phlegm. TX: MUCINEX D; Z-pak; TYLENOL; CEPACOL.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphonia, Headache, Increased upper airway secretion, Nasal congestion, Nausea
Clinical narrative: Headache, nasal congestion, cough, sore throat, fever, nausea, abd. pain, LBM, poor appetite, body pains, dizziness, hoarseness of voice, clear, white phlegm. TX: MUCINEX D; Z-pak; TYLENOL; CEPACOL.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Headache, nasal congestion, cough, sore throat, fever, nausea, abd. pain, LBM, poor appetite, body pains, dizziness, hoarseness of voice, clear, white phlegm. TX: MUCINEX D; Z-pak; TYLENOL; CEPACOL.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash, Skin hyperpigmentation, Skin swelling
Clinical narrative: Received H1N1 11-16-09, on 11-17-09 woke up with tattoos raised & itchy. Started taking Benadryl, did not help. Saw HC provider 11-23-09, inspection revealed 12 cm hyperpigmented annular area on left L.E 1, 1 cm hyperpigmented annular area over sternum. Few discrete 3-5 mm hyperpigmented patches on left UE rash remains with itching.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: Facial Rash x 1hr pt denied shortness of breath or wheezing. The pt had the H1N1 vaccine 2-3 hrs before rash occurred.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: redness, warm area at site of injection, approximately 3 by 5 inches
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site anaesthesia, Injection site pain, Injection site reaction, Paraesthesia
Clinical narrative: Complaint of extremely sore at injection site as well as numbness and tingling down arm-pronounced numbness and tingling in arm if injection area was touched lasting 2-4 weeks post injection
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Throat irritation, Vaccination complication
Clinical narrative: Pt. received inactivated H1N1 vaccine.  Was held as she'd never had a flu shot before.  Approx. 6 minutes after vaccine developed heaviness of chest & funny feeling in throat.  No hives, wheezing or difficulty breathing.  Ambulance called and transported her to Medical Center.  MD gave Benadryl, Solu-Medrol, Pepcid p.o. and prednisone.  Diagnosis:  Reaction to H1N1 Vaccine.  Patient states had similiar reactions when taking Toradol and a certain brand of oral Acetaminophen. Was treated and released.
Age: 28.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Urticaria
Clinical narrative: Generalized urticarial eruption trunk/upper extremities w/o angioedema, wheezing or shortness of breath.  Pt treated w/ 50 mg IM Benadryl and observation.  Released to duty in good condition 2 hrs later.
Age: 82.0
Sex: F
Vaccine: TD
Symptoms: Decreased appetite, Injection site pain, Lethargy, Pyrexia
Clinical narrative: Pt lethargic, fever, loss of appetite and localized pain at site of injection on day after vaccine (Td) in left upper arm, IM, 12-2-09 3:00pm.
Age: 45.0
Sex: F
Vaccine: VARCEL
Symptoms: Cardiac enzymes normal, Electrocardiogram normal, Erythema, Fatigue, Heart rate irregular
Clinical narrative: VARICELLA vaccine # 2 given 11-24-09 with site redness/swelling. 11-25-09 onset "irregular heart rate", fatigue; 11-28-09 presents to ER c/o: irregular heart rate. Diagnosed with participation - probably due to immune response from work- related immunizations. 12-3-09 presents to ER again with same complaint.   12/11/09 & 12/15/09:  ED and Hospital Records and follow up consult for dates of service 12/7/09  Dx:  Palpitations, symptomatic PVC's.  Presents with c/o irregular heart beart, missing beats x 1 day after second varicella vaccine, anxious, exertional dyspnea, chest heaviness.  Discharged in good condition.
Age: 45.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Swelling, Varicella post vaccine
Clinical narrative: VARICELLA vaccine # 2 given 11-24-09 with site redness/swelling. 11-25-09 onset "irregular heart rate", fatigue; 11-28-09 presents to ER c/o: irregular heart rate. Diagnosed with participation - probably due to immune response from work- related immunizations. 12-3-09 presents to ER again with same complaint.   12/11/09 & 12/15/09:  ED and Hospital Records and follow up consult for dates of service 12/7/09  Dx:  Palpitations, symptomatic PVC's.  Presents with c/o irregular heart beart, missing beats x 1 day after second varicella vaccine, anxious, exertional dyspnea, chest heaviness.  Discharged in good condition.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis, Laboratory test, Muscular weakness, Nausea
Clinical narrative: 4 days after receiving flu vaccine, noticed muscle pain in legs which progressed to arms and hands and a few days later. When arms/hands affected, muscle weakness was the problem. Experienced pain in legs until moving, then pain was manageable. Tried using Tramadol for pain. After 7days flu vaccine had nausea, lightheadedness,-sweats --> ER symptoms were starting to get worse.   12/08/09 DC summary received for DOS 11/13/09  11/18/09. Final DX GBS and hyperlipidemia.  Pt presented with ascending paralysis, unable to walk well, arms and legs getting weak. On examination: sensory intact, weak grips, muscle ache and later on during hospitalization lower neck pain. Tx: immunoglobulin gamma and Tramadol; Pt's muscle strength improved and Pt started to ambulate and had no respiratory distress. Pt discharged home with a follow up appointment with a neurologist.  12/08/09 ED and DC summary received for DOS 11/13/09  11/18/09. Final DX GBS and hyperlipidemia.  Pt presented with ascending paralysis, unable to walk well, arms and legs getting weak. On examination: sensory intact, weak grips, muscle ache and later on during hospitalization lower neck pain. Tx: immunoglobulin gamma and Tramadol; Pt's muscle strength improved and Pt started to ambulate and had no respiratory distress. Pt discharged home with a follow up appointment with a neurologist.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: 4 days after receiving flu vaccine, noticed muscle pain in legs which progressed to arms and hands and a few days later. When arms/hands affected, muscle weakness was the problem. Experienced pain in legs until moving, then pain was manageable. Tried using Tramadol for pain. After 7days flu vaccine had nausea, lightheadedness,-sweats --> ER symptoms were starting to get worse.   12/08/09 DC summary received for DOS 11/13/09  11/18/09. Final DX GBS and hyperlipidemia.  Pt presented with ascending paralysis, unable to walk well, arms and legs getting weak. On examination: sensory intact, weak grips, muscle ache and later on during hospitalization lower neck pain. Tx: immunoglobulin gamma and Tramadol; Pt's muscle strength improved and Pt started to ambulate and had no respiratory distress. Pt discharged home with a follow up appointment with a neurologist.  12/08/09 ED and DC summary received for DOS 11/13/09  11/18/09. Final DX GBS and hyperlipidemia.  Pt presented with ascending paralysis, unable to walk well, arms and legs getting weak. On examination: sensory intact, weak grips, muscle ache and later on during hospitalization lower neck pain. Tx: immunoglobulin gamma and Tramadol; Pt's muscle strength improved and Pt started to ambulate and had no respiratory distress. Pt discharged home with a follow up appointment with a neurologist.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Single hive on left hand, itching and redness on back, abdomen, and upper thighs.  Given diphenhydramine 25 mg iv x1 with full resolution of sx.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Asthenia, Fatigue, Headache, Impaired work ability
Clinical narrative: Headache, body aches, joint discomfort, naseau, extreme fatigue, lethargy, weakness. Had to miss 1 1/2 days of work!
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Lethargy, Nausea, Pain
Clinical narrative: Headache, body aches, joint discomfort, naseau, extreme fatigue, lethargy, weakness. Had to miss 1 1/2 days of work!
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood test, Lumbar puncture, Nuclear magnetic resonance imaging, Optic nerve disorder, Papilloedema
Clinical narrative: VISION PROBLEMS, SWOLLEN OPTIC NERVE, PAPILLEDEMA. WENT TO SPECIALISTS AND STARTED TESTING. HAD EYE EXAMS, ULTRASOUNDS OF EYES, SPINAL TAP, MRI, BLOOD WORK AND VISUAL FIELD. POSSIBLE OTHER TEST 12/04/09 Opthalmology records received for DOS 04/11/08-09/19/08.  Pt.  presents with difficulty with hand work x 1-2 weeks DX: papilledema 12/04/09 Medical records received for DOS 04/11/08, 04/16/08, 04/18/08, 04/29/08 12/04/09 Neuro-opthalmology records received for DOS 06/18/08 DX: visual fields enlarged blind spot, right eye; bilateral optic nerve drusen 12/04/09 PCP records received for DOS 03/09/07-07/10/09.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Ultrasound scan, Visual field tests, Visual impairment
Clinical narrative: VISION PROBLEMS, SWOLLEN OPTIC NERVE, PAPILLEDEMA. WENT TO SPECIALISTS AND STARTED TESTING. HAD EYE EXAMS, ULTRASOUNDS OF EYES, SPINAL TAP, MRI, BLOOD WORK AND VISUAL FIELD. POSSIBLE OTHER TEST 12/04/09 Opthalmology records received for DOS 04/11/08-09/19/08.  Pt.  presents with difficulty with hand work x 1-2 weeks DX: papilledema 12/04/09 Medical records received for DOS 04/11/08, 04/16/08, 04/18/08, 04/29/08 12/04/09 Neuro-opthalmology records received for DOS 06/18/08 DX: visual fields enlarged blind spot, right eye; bilateral optic nerve drusen 12/04/09 PCP records received for DOS 03/09/07-07/10/09.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Computerised tomogram, Electroencephalogram, Grand mal convulsion
Clinical narrative: Obtained H1N1 vaccine 11/25/2009. On 11/26/2009 about 1330 hrs. Suffered gran mall seizure & was transported to hospital via ambulance. He reported to hospital I had H1N1. On 11-30-09 followed up w/nuerologist who asked me to report to proper authorities.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Dizziness, Malaise, Rash erythematous
Clinical narrative: 13 minutes after receiving nasal vaccine the student c/o feeling well- dizziness, weakness, red rash noted on upper chest, cheek, face, and arm. Student was alert and responsive x3. No respiratory distress no facial swelling and lungs were clear. Students mother came and took her to ER.
Age: 14.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cold sweat, Dizziness, Headache
Clinical narrative: Shortly after receiving the mist H1N1 he felt dizzy, had headaches to come and go, and cold sweats. Keep home from school following day. Gave him ALEVE for headache. He was feeling better on day 2.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Hives on his body, no reaction at injection site. Presented to school nurse following day & Adm. BENADRYL.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Drug hypersensitivity, Erythema, Nausea, Oedema peripheral
Clinical narrative: Nausea; diarrhea, arm red and puffy. Patient reported x1 week later. No Tx. Patient states mother allergic to Tetanus.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Chills, Myalgia, Nausea, Pyrexia
Clinical narrative: 12/01/09 6:30 pm chills, subjective fevers, 2 episodes of nausea and vomiting with myalgias and arthralgias. 12/02/09 Awoke with fever 100.4. 12/02/09 Appointment in clinic 8:55 am /no further nausea or vomiting, feels better injection site no erythema or exudate nontender. T 97.6. Plan rest, push fluids, Tylenol, return as needed.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: 12/01/09 6:30 pm chills, subjective fevers, 2 episodes of nausea and vomiting with myalgias and arthralgias. 12/02/09 Awoke with fever 100.4. 12/02/09 Appointment in clinic 8:55 am /no further nausea or vomiting, feels better injection site no erythema or exudate nontender. T 97.6. Plan rest, push fluids, Tylenol, return as needed.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Cellulitis, Erythema, Injection site erythema, Injection site pain
Clinical narrative: 11/30/09 pm hours, soreness. 12/1 pain increased at injection site, during night of 12/1 Fever 101.0 oral. Redness at site. 12/2/09 At clinic visit Temp 101.9. Left upper arm redness, warm and tender to the touch. Cellulitis slightly raised irregular shaped lesion 3x4 cm with smaller 2x1cm firmer area superior aspect of erythema. Treatment: Bactrim DS 1 BID x20, Tylenol, Advil.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia, Rash, Tenderness
Clinical narrative: 11/30/09 pm hours, soreness. 12/1 pain increased at injection site, during night of 12/1 Fever 101.0 oral. Redness at site. 12/2/09 At clinic visit Temp 101.9. Left upper arm redness, warm and tender to the touch. Cellulitis slightly raised irregular shaped lesion 3x4 cm with smaller 2x1cm firmer area superior aspect of erythema. Treatment: Bactrim DS 1 BID x20, Tylenol, Advil.
Age: 0.96
Sex: F
Vaccine: DTAPHEPBIP, FLU(H1N1), FLU3, PNC
Symptoms: Crying, Screaming
Clinical narrative: Child becomes inconsolable 24 hours following vaccination. No rash, fever, itching, swelling, nausea, vomiting were observed. Symptoms resolved after 8 hrs. Crying was described as screaming/wailing.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Immediate post-injection reaction, Paraesthesia oral, Pruritus generalised
Clinical narrative: Had just received H1N1 Live Nasal Mist v c/o itching all over, her lip tingling within 5".
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blister, Excoriation, Rash
Clinical narrative: Rash 3-4 cm sq area (bandage reaction). Excoriated, dried ruptured vesicles. Not red, not swollen, nontender. No lymphadenitis.
Age: 73.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Asthenia, Chills, Cold sweat
Clinical narrative: Weakness, chills, cold sweats, GI upset, no energy
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Blood test, Computerised tomogram, Crying, Dysstasia, Nuclear magnetic resonance imaging
Clinical narrative: A serious spontaneous report from an internet article of unable to stand and pain has been received from a non-healthcare professional concerning a male child subsequent to Influenza A (H1N1) Monovalent vaccine, live, intranasal. The patient's medical history and concomitant medications were not reported. The patient received Influenza A (H1N1) Monovalent vaccine, live, intranasal on 13-Nov-2009. Per the reporter on 14-Nov-2009 at 6:30 AM the mother was awakened by the patient who was found lying on the floor crying and unable to stand with her help. The reporter stated the patient was experiencing agonizing pain. X-rays, computerized tomography, magnetic resonance image and blood work were performed but the results were not reported. The outcome of the events was not reported. The reporter stated that after the tests the physicians believed the events were most likely caused by Influenza A (H1N1) Monovalent vaccine, live, intranasal.
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pain, X-ray
Clinical narrative: A serious spontaneous report from an internet article of unable to stand and pain has been received from a non-healthcare professional concerning a male child subsequent to Influenza A (H1N1) Monovalent vaccine, live, intranasal. The patient's medical history and concomitant medications were not reported. The patient received Influenza A (H1N1) Monovalent vaccine, live, intranasal on 13-Nov-2009. Per the reporter on 14-Nov-2009 at 6:30 AM the mother was awakened by the patient who was found lying on the floor crying and unable to stand with her help. The reporter stated the patient was experiencing agonizing pain. X-rays, computerized tomography, magnetic resonance image and blood work were performed but the results were not reported. The outcome of the events was not reported. The reporter stated that after the tests the physicians believed the events were most likely caused by Influenza A (H1N1) Monovalent vaccine, live, intranasal.
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Convulsion, Vaccination complication
Clinical narrative: A serious spontaneous report of got H1N1 and then had seizure has been received from a company representative/non health professional concerning a male child, subsequent to H1N1, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 23-Nov-2009; the patient received H1N1, Intranasal for an unknown indication. Within three minutes post vaccination, the patient began to seize. The patient was subsequently taken to the emergency room where the physician determined that the seizure was attributed to the H1N1 LAIV. The outcome for the reported event was unknown.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Flushing, Skin warm
Clinical narrative: Face red flushed warm.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Eye swelling
Clinical narrative: Patient brought in by father due to swelling on her eyeballs. She have H1N1 Flu mist 10/25/09 with no reaction.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Lip swelling, Pruritus, Sneezing
Clinical narrative: 1/2 hour after receiving intranasal live attenuated 2009 H1N1 vaccine sudden sneezing fit. Prior to going to bed felt "itchiness" above upper lips. When awake @ 0200 - lip swollen and itchy. At 0830 swelling between nose and upper lip decreasing.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Vomiting
Clinical narrative: Student referred to medical room to see school nurse for c/o sore throat after vaccination. Reportedly vomited later that evening at home.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough
Clinical narrative: Dad called, child had mild cough and temperature ranging from 101-99.
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Student developed rash redness and itching to ears, neck, back, arms and legs.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blepharitis
Clinical narrative: Mom brought child in to the nurses office today 11/2/2009 at 11:00 am c/o left upper eyelide displayed "slight inflammation referred to pediatrician for evaluation.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Nasal discomfort
Clinical narrative: 11:17 complaining of inside of nose itching (had nasal vaccine) 11:30 stated no itching itching inside of nose anymore 11:40 difficulty breathing EMS called and patient taken to ER
Age: 26.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Presyncope
Clinical narrative: Dizzy pre-syncopal given Epi Pen 911 called.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cold sweat, Fall, Laceration, Lethargy, Pallor
Clinical narrative: Approx 10 min after H1N1 vaccine was administered attempted to walk she fell resulting in laceration to her chin. Student was noted to be lethargic clammy and plae, BP 80/50. EPI PEN Jr administered by nurse. 911 call and dsng applied to chin.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Decreased appetite, Dizziness, Headache, Hypoaesthesia, Loss of consciousness
Clinical narrative: severe headache that day. Went to ER that night for treatment.  The following Friday, November 6th, went back to ER with numbness on right side of her back that continues to come and go.  Has also had periods when she loses consciousness for short periods of time.  Has no appetite and has lost weight as a result.  Has dizziness and lightheadedness that also comes and goes. Has had follow up visit with PMD.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Weight decreased
Clinical narrative: severe headache that day. Went to ER that night for treatment.  The following Friday, November 6th, went back to ER with numbness on right side of her back that continues to come and go.  Has also had periods when she loses consciousness for short periods of time.  Has no appetite and has lost weight as a result.  Has dizziness and lightheadedness that also comes and goes. Has had follow up visit with PMD.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test normal, Discomfort, Hypoaesthesia facial, Muscle spasms, Paraesthesia
Clinical narrative: reports cramping (R) calf several times between 11/29-11/30.  On 12/1/09 noted discomfort (R) neck and shoulder.  On 12/2/09 upon rising noted numbness and tingling (R) side of face x 1/2 hour.  As of 3pm this date (12/3/09) there have been no other symptoms noted by employee.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Ultrasound Doppler
Clinical narrative: reports cramping (R) calf several times between 11/29-11/30.  On 12/1/09 noted discomfort (R) neck and shoulder.  On 12/2/09 upon rising noted numbness and tingling (R) side of face x 1/2 hour.  As of 3pm this date (12/3/09) there have been no other symptoms noted by employee.
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain, Culture stool negative, Decreased appetite, Dehydration, Diarrhoea
Clinical narrative: Abdominal cramping at 11:30 PM woke me up.  I was fine when I went to bed.  By midnight loose stools had begun.  By 1:00 am severe diarrhea and vomiting started simultaniously.  It continued throughout the night and by the time the urgent care center opened at 8:00 am I needed two bags of IV fluid for rehydration.  I was also given two shots into IV to calm nausea.  Even after two shots into IV, I vomited at the urgent care center.  This was Saturday morning.  The doctor gave me a prescription for sublingual pills for nausea and, while the nausea remained, I did not throw up any more.  I had a low fever off and on but not a constant fever.  I felt terrible throughout the weekend and went to my primary care doctor on Monday morning.  He prescribed 3 days of CIPRO and told me I had to force liquids or I would wind up in the hospital for IV fluids as I was dehydrated.  It was Wednesday before my appetite returned and the following Monday before the fatigue was gone.
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Feeling abnormal, Fluid replacement, Nausea, Pyrexia
Clinical narrative: Abdominal cramping at 11:30 PM woke me up.  I was fine when I went to bed.  By midnight loose stools had begun.  By 1:00 am severe diarrhea and vomiting started simultaniously.  It continued throughout the night and by the time the urgent care center opened at 8:00 am I needed two bags of IV fluid for rehydration.  I was also given two shots into IV to calm nausea.  Even after two shots into IV, I vomited at the urgent care center.  This was Saturday morning.  The doctor gave me a prescription for sublingual pills for nausea and, while the nausea remained, I did not throw up any more.  I had a low fever off and on but not a constant fever.  I felt terrible throughout the weekend and went to my primary care doctor on Monday morning.  He prescribed 3 days of CIPRO and told me I had to force liquids or I would wind up in the hospital for IV fluids as I was dehydrated.  It was Wednesday before my appetite returned and the following Monday before the fatigue was gone.
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Vomiting
Clinical narrative: Abdominal cramping at 11:30 PM woke me up.  I was fine when I went to bed.  By midnight loose stools had begun.  By 1:00 am severe diarrhea and vomiting started simultaniously.  It continued throughout the night and by the time the urgent care center opened at 8:00 am I needed two bags of IV fluid for rehydration.  I was also given two shots into IV to calm nausea.  Even after two shots into IV, I vomited at the urgent care center.  This was Saturday morning.  The doctor gave me a prescription for sublingual pills for nausea and, while the nausea remained, I did not throw up any more.  I had a low fever off and on but not a constant fever.  I felt terrible throughout the weekend and went to my primary care doctor on Monday morning.  He prescribed 3 days of CIPRO and told me I had to force liquids or I would wind up in the hospital for IV fluids as I was dehydrated.  It was Wednesday before my appetite returned and the following Monday before the fatigue was gone.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Injection site pruritus
Clinical narrative: Extremely itchy at injection site radiating to entire left upper arm.  no redness or swelling noted treatment-benadryl 25mg 2 tabs
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Body temperature increased, Hyperhidrosis, Myalgia, Paraesthesia
Clinical narrative: muscle and joint pain, tingling in hands sweats temp 99.5
Age: 1.17
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Did not have an adverse reaction.  Patient was given an H1N1 vaccine and was given 0.5cc instead of 0.25cc for age.  No adverse reactions following administration.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Drug exposure during pregnancy, Injection site discomfort, Injection site pain, Musculoskeletal pain
Clinical narrative: -pain at injection site that began as soreness and progressed to 7/10 pain and radiated to same side shoulder, neck and back that lasted for first 48 hours -pain near injection site continued past first 48 hours and still continues 12 days after injection with moderate pain to touch and pain when lifting arm and lying on affected side
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Neck pain, Pain
Clinical narrative: -pain at injection site that began as soreness and progressed to 7/10 pain and radiated to same side shoulder, neck and back that lasted for first 48 hours -pain near injection site continued past first 48 hours and still continues 12 days after injection with moderate pain to touch and pain when lifting arm and lying on affected side
Age: 60.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Auricular swelling, Blood test normal, Pain, Pruritus, Swelling face
Clinical narrative: It started with my left ear itching.On Monday it started to swell and itch. Then went down the side of my face and swelling all the way.Itching got worse. By Thanksgiving it was hurting. Took Benadryl and Tylenol.Friday went to Dr.
Age: 54.0
Sex: F
Vaccine: DPP
Symptoms: Asthenia, Injection site mass, Limb discomfort
Clinical narrative: Lump in arm away from site of injection now muscle in uper arm very weak and uncomfortable. Hard to carry things with any weight in my left hand
Age: 39.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dyspnoea, Insomnia, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Very raw throat with burning, difficulty breathing but no mucus, not productive.  TONS of nasal and sinus drainage.  Light fever, light aches.  Difficulty sleeping.  Called DR who took notes and prescribed albuteral type inhaler and Prednisone.
Age: 39.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Throat irritation
Clinical narrative: Very raw throat with burning, difficulty breathing but no mucus, not productive.  TONS of nasal and sinus drainage.  Light fever, light aches.  Difficulty sleeping.  Called DR who took notes and prescribed albuteral type inhaler and Prednisone.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Blood pressure increased, Feeling hot, Heart rate increased, Hyperhidrosis
Clinical narrative: diaphoretic "feels hot down both arms and back and feels weak.  BP140/90 Pulse 102 seen by employee health physician
Age: 30.0
Sex: M
Vaccine: FLUX
Symptoms: Condition aggravated, Convulsion, Intensive care, Laboratory test
Clinical narrative: PATIENT WAS ADMITTED INOT ICU AT UMC EL PASO ON 10/28/2009 FOR SEIZURE ACTIVITY.  PATIENT HAS HISTORY OF SEIZURES AND WAS NOT CURRENTLY TAKING PRESCRIBED MEDICATION FOR SEIZURES.   12/8/09 and 12/14/09:  ED Record and Discharge Summary received for dates of service 10/28/09 to 11/6/09.  Dx:  Seizure Disorder, Headache, r/o MVA. r/o brain tumor, hx. cocaine abuse.   Presents with c/o clonic seizures lasting 40 mins. w/ no LOC, involuntary movements of the head and jaw, lip smacking and no bladder or bowel comprimise.  Pt. has hx. of seizures, but no seizures in past 10 years.  Also c/o right sided HA with pressure for past 3 weeks, intensity 10/10 with blurry vision and nausea and vomiting.  On day of admission pt. developed a generalized seizure with LOC and was intubated and admitted to the ICU.  Stabilized and adjusted on antiseizure meds. Discharged home in improved condition.
Age: 37.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Lacrimation increased, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Tearing & redness of right eye. Sore throat. Dizziness.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria, Wheezing
Clinical narrative: Child was developing hives on body.  Child also was wheezy sounding with breathing.  Child was taken to local hospital emergency room and given a nebulizer breathing treatment and injectable benedryl.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: PATIENT SAYS THAT HIS ARM IS STILL HURTING HIM, OVER A MONTH LATER.  HE WENT TO SEE HIS MD RECENTLY, AND THE MD BELIEVES THE FLU SHOT WAS EITHER GIVEN INCORRECTLY OR THE SYRINGE HIT A NERVE.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Diet refusal, Lethargy, Pyrexia
Clinical narrative: Child had a fever of 101 and was lethargic for 24 hours.  He did not eat for most of the day.
Age: 24.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Blood pressure increased, Bronchospasm, Palpitations
Clinical narrative: about 3-4 minutes post h1n1 nasal vaccination i experienced elevated bp, heart racing, mild brochoconstriction. resolved within 5 minutes, without any other symptoms.
Age: 1.67
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood culture negative, Chest X-ray abnormal, Cough, Culture urine negative, Influenza serology negative
Clinical narrative: Cough, runny nose, nasal congestion, febrile x8 days. Temp max in ER = 105.2 degrees F. Tx/Rx = MOTRIN, TYLENOL, antibiotics for pneumonia.  12/3/09 Hospital recs received for date 11/19/09 to 11/24/09. DX: pneumonia LUL and LLL. Presented to ER w/ c/o fever x8 days, dx by PCP w/ bronchitis given abx. Pt. parent states has not improved and on this day observed pt. breathing fast, decreased PO intake, since abx started, has had some diarrhea, cough, runny nose, nasal congestion. H1N1 vax x1wk ago. Assessment: tympanic membrane red bilat, (+)nasal congestion, (+)decreased breath sounds on left. Pt admitted, tx, upon dc pt. stable with some mild diarrhea noted poss. Due to abx tx. Pt to f/u with PCP.
Age: 1.67
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nasal congestion, Pneumonia, Pyrexia, Rhinorrhoea
Clinical narrative: Cough, runny nose, nasal congestion, febrile x8 days. Temp max in ER = 105.2 degrees F. Tx/Rx = MOTRIN, TYLENOL, antibiotics for pneumonia.  12/3/09 Hospital recs received for date 11/19/09 to 11/24/09. DX: pneumonia LUL and LLL. Presented to ER w/ c/o fever x8 days, dx by PCP w/ bronchitis given abx. Pt. parent states has not improved and on this day observed pt. breathing fast, decreased PO intake, since abx started, has had some diarrhea, cough, runny nose, nasal congestion. H1N1 vax x1wk ago. Assessment: tympanic membrane red bilat, (+)nasal congestion, (+)decreased breath sounds on left. Pt admitted, tx, upon dc pt. stable with some mild diarrhea noted poss. Due to abx tx. Pt to f/u with PCP.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia
Clinical narrative: UPPER ARM SO SORE CANNOT MOVE IT
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Feeling cold, Injection site erythema, Injection site pruritus
Clinical narrative: Patient states that after she received her H1N1 vaccine that later that night she felt "tired". She states that this also continued into the next day. She also complained of redness and itching at injection site, although she could not give this RN a specific onset of these symptoms.She just states that itching and redness began a "few days after the shot" although unable to give exact time/day. She also describes the feeling of her arm feeling "cold" that comes and goes and that radiates into her neck and hip on the left side. Patient also unable to give an exact day/time for the onset of this starting. Patient also reports concern that the nurse giving the vaccine dropped the syringe in the floor, changed out the needle and replaced with a clean,capped needle. Pt still complains of intermittent itching and the "cold" feeling. She also reports that this all could be related to a car accident where she was rear-ended on 10/28/09.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Experienced hives and itching over body including face, neck, back, hip, chest and knee. Called physician and instructed to give child Equate Allery Relief (diphenhydramine hydorchloride). In the morning 12/3, they appeared to have faded but returned within 20 minutes of waking.  Repeated dose of allergy medicine and sent to school with note to school nurse. Currently (12/3 @ 3:30 pm) much improved with the exception of one on his knee.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drooling, Facial palsy, Facial paresis, Lacrimation increased
Clinical narrative: Symptoms of a peripheral left seventh nerve palsy (Bell's palsy): Unilateral left facial weakness with drooling and excessive tearing from the left eye.  12/04/09 MR received for DOS 12/02/09. Impression: L peripheral seventh nerve palsy likely secondary to Bell's palsy.  Pt c/o L face weakness, drooling, L eye tearing. On neurological exam: L side muscle tone change, but sensitivity intact. Physician considered L peripheral seventh nerve palsy likely secondary to Bell's palsy. Tx: famciclovir, prednisone, and eye drops.  Pt to follow up with a neurologist.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood creatine phosphokinase increased, Fluid replacement, Myalgia, Myositis
Clinical narrative: Severe muscle pains and throat pain. No other symtoms. Went to hospital. Diagnized as Myositis.  12/07/09 ED notes received for DOS 11/30/09 and Vaccine records received for DOS 11/16/09: DX: myositis 12/8/2009 MR and labs for 11/30/2009 DC Dx Myositis    Pt presented to ED with c/o sore throat, and muscle aches BL in thighs. On examination: congestion, myalgias, oral lesions. tx: Motrin, Tamiflu. Pt improved and discharged home.
Age: 32.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Headache, Nausea
Clinical narrative: Sometime around Noon, I started to experience a headache, stomach cramping, and light nausea, but ignored it because it wasn't that bad and I thought I might just be hungry. By 3pm my intestines began gurgling and by 5pm I had diarrhea (lasting 18 hours).  By midnight I was doubled up in cramps. At about 2am on 12/03/2009, I had experienced diarrhea, nausea, vomiting, and dizziness so bad I could hardly function. I also started running a 100.8 fever. At 5am I called my HMO's 24/7 Nurse Helpline. I was told that it's not flu, but likely a (very rare) adverse reaction to the shot itself. She pointed me to the CDC website and said to report my symptoms and if it gets any worse or if I have additional symptoms as listed on the site as "severe," to call my doctor or head to the hospital. (FYI, I've never had adverse reactions to any of the flu shots before, but she said they could start at any time in any given person of the population.) She said I could take OTC meds if I wanted to, but I decided to monitor my symptoms while letting it ride out its course.  At approximately 24 hours after the shot was administered my symptoms improved and as of 2pm today I have been able to keep down food and liquids and all symptoms (except for the dizziness) have subsided.