chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Nausea, Neck pain
Clinical narrative: Initial report received on 13 November 2007 from a health care professional. A 35-year-old female patient, with no concurrent illnesses, or pre-existing medical conditions, had received a right deltoid dose of Decavac, lot number U1961EA, on 06 November 2007. The route of administration was not provided. The following day, the patient presented to the emergency room with complaint of headache, neck pain, temperature of 101.5 degrees Fahrenheit, nausea, and diarrhea. She was treated with intravenous fluids, Rocephin, and Toradol, and was diagnosed with viral gastroenteritis. A lumbar puncture was completed and was negative for meningitis. The patient was discharged to home the same day with Vicodin for her headache. At the time of this report, it was "unknown" if the patient had fully recovered. The reporter for this case is the same as for case 2007-03867.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Intercostal retraction, Oxygen supplementation, Stridor
Clinical narrative: This case was received from a health professional on 07 November 2007. Seriousness Criteria: Other-Medically Significant A four-year-old male patient with no reported medical history received Fluzone (lot number U2448AA) on 23 October 2007; route and site were not reported. Within ten minutes of vaccination, the patient developed stridor and sternal retractions while still at his physician's office. He was treated with oxygen, breathing treatment, steroid injection, and Benadryl. He fully recovered after approximately 90 minutes. Per the reporter, the patient had received Fluzone in previous years. No additional information was provided.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Blood test, Cardiac stress test, Chest pain, Electrocardiogram
Clinical narrative: I had the shot on Friday, Oct 19th in the am- I went to turn over and got terrible pain in left chest-back and arm. Went to the hospital at 2:00 pm and was released from the hospital the following Tuesday at 2:00 pm.  01/02/2008 MR received for DOS 10/21-23/2007 with  dx chest pain likely costochondritis vs muscle strain. Pt initially noted sharp pain and pressure over L breast.  Pain radiated into L arm to elbow. Pain also noted in back and L side.  No other sx (SOB, diaphoresis, nausea etc) noted.  Pain improved with heat and Motrin.  PE (+) for tenderness to palpation along L breast and L lateral chest wall. (+) Alopecia x 1 yr, (+) dark pigmentation on cheekbones and under eyes. Dry mucous membranes.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: I had the shot on Friday, Oct 19th in the am- I went to turn over and got terrible pain in left chest-back and arm. Went to the hospital at 2:00 pm and was released from the hospital the following Tuesday at 2:00 pm.  01/02/2008 MR received for DOS 10/21-23/2007 with  dx chest pain likely costochondritis vs muscle strain. Pt initially noted sharp pain and pressure over L breast.  Pain radiated into L arm to elbow. Pain also noted in back and L side.  No other sx (SOB, diaphoresis, nausea etc) noted.  Pain improved with heat and Motrin.  PE (+) for tenderness to palpation along L breast and L lateral chest wall. (+) Alopecia x 1 yr, (+) dark pigmentation on cheekbones and under eyes. Dry mucous membranes.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Hypokinesia, Immediate post-injection reaction, Pain in extremity
Clinical narrative: Pt began complaining of severe pain in her right arm immediately after receiving vaccination. Within 5 minutes she began complaining of difficulty breathing and was treated with 2 Epi-pens, O2, Solu-Medrol and Ranitidine, after she resumed normal breathing. She continued to have pain and reduced movement in right arm.  1/8/08 Reviewed medical records which reveal patient experienced severe pain in contralateral right arm immediately s/p vax.  Difficulty breathing, tachycardia.  Tx w/epi, steroids, antihistamine.  Breathing improved but severe right arm pain & hyperesthesia continued & was unable to move right fingers.  Shoulder edema & curcular deltoid mass.  No reaction on previous anthrax vax x 3.    FINAL DX: anaphylactic shock due to serum
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood culture negative, CSF culture negative, Convulsion, Full blood count normal, Laboratory test normal
Clinical narrative: Prolonged Seizure less than 24 hours after administration.  12/17/2007 MR received for DOS 11/14-15/2007 with D/C Dx: Seizure, prolonged.  Hx of recent admin of routine 4 month vaccinations.  Fever, resolved.  ER record also received for 12/05/2007 with DX: Pediatric fever with likely febrile seizure. On 11/14/07 infant presented to ER with generalized seizure activity.  Clonic seizure activity and blinking continue despite initial dose of Diastat.  VS WNL including a temp of 98.7'F. No further seizure activity but temp went up to 102'F 1 day post seizure. Infant returned on 12/5/07 with recurrent seizure.  Pt had temp of 100.8'F.  Pt continued with some myoclonic jerking then became post ictal. EEG to be obtained at a later time.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Abasia, Blood pressure decreased, Blood test, Computerised tomogram, Disorientation
Clinical narrative: Received shot 10-4-07, 10-10-07 became dizzy nauseated, sweating, blood pressure dropped, ringing in the ears and sensitive to lights, 10-12-07 vomiting/ unable to walk, went to hospital. Cat Scan, MRI, IV's, bloodtest. Went to ear specialist and had hearing checked 10-19-07 broke out in red, lumpy, painful rash that was itchy later. It lasted 2 weeks. 11-16-07 I'm still dizzy but slowly getting better. On October 4, 2007 I received the Zostavax vaccine at doctor's office 10-10-07 I was shopping and I began to get real warm, sweat, and was very dizzy and nauseated. It lasted 6 hours. 10-11-07 the nausea started later in the day and lasted around 5 hours. I had a terrible ringing in my ears and lights were really hard on my eyes. My blood pressure kept dropping. The lights made more disoriented. 10-12-07 with-in 1/2 hour after getting up in the morning I was so dizzy and vomiting I could not function at all. I was taken to the emergency room. They took blood test, Cat Scan and put in IV's. The doctor ordered an MRI and had me admitted to the hospital for over night. I left the hospital on 10-13-07 even though I was still having problems. I went for a check up with the doctor on 10-15-07 and she sent me to see an ear specialist for inner ear problems. He recommended I go for therapy. Before my appointment on 10-23-07 I had more side effects. On 10-19-07 I broke out in a red, itchy, lumpy rash. It feels like a bad sun burn. It extends from ears all the way to my stomach. It is the worst on my neck and chest. I'm slowly regaining my balance and being in well lit areas isn't as bad on my eyes now. I was told I was probably contagious so I'm home bound until this clears up. This has been a very expensive side effect with all the testing, doctors, hospital and ambulance.  12/4/07 Reviewed ENT medical records which reveal patient seen 10/16/07 for continued vertigo which originally had been spinning & now was severe imbalance along w/continued tinnitus, photophobia & nausea/vomiting minimally controlled by meds.  Audiogram revealed bilat symmetric sensorineural hearing loss. FINAL DX: vestibular neuronitis; uncompensated vestibular insult; vertigo; imbalance.12/4/07 Reviewed hospital medical records which reveal patient experienced nausea & vertigo x several days.  Admitted 10/12-10/13/2007.  Tx w/antibiotics, antinausea & antivertigo meds as well as ASA. FINAL DX: vertigo, secondary to vestibulopathy; chronic small vessel ischemic changes on brain MRI; & history of HTN.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Erythema, Hyperhidrosis, Nausea, Nuclear magnetic resonance imaging
Clinical narrative: Received shot 10-4-07, 10-10-07 became dizzy nauseated, sweating, blood pressure dropped, ringing in the ears and sensitive to lights, 10-12-07 vomiting/ unable to walk, went to hospital. Cat Scan, MRI, IV's, bloodtest. Went to ear specialist and had hearing checked 10-19-07 broke out in red, lumpy, painful rash that was itchy later. It lasted 2 weeks. 11-16-07 I'm still dizzy but slowly getting better. On October 4, 2007 I received the Zostavax vaccine at doctor's office 10-10-07 I was shopping and I began to get real warm, sweat, and was very dizzy and nauseated. It lasted 6 hours. 10-11-07 the nausea started later in the day and lasted around 5 hours. I had a terrible ringing in my ears and lights were really hard on my eyes. My blood pressure kept dropping. The lights made more disoriented. 10-12-07 with-in 1/2 hour after getting up in the morning I was so dizzy and vomiting I could not function at all. I was taken to the emergency room. They took blood test, Cat Scan and put in IV's. The doctor ordered an MRI and had me admitted to the hospital for over night. I left the hospital on 10-13-07 even though I was still having problems. I went for a check up with the doctor on 10-15-07 and she sent me to see an ear specialist for inner ear problems. He recommended I go for therapy. Before my appointment on 10-23-07 I had more side effects. On 10-19-07 I broke out in a red, itchy, lumpy rash. It feels like a bad sun burn. It extends from ears all the way to my stomach. It is the worst on my neck and chest. I'm slowly regaining my balance and being in well lit areas isn't as bad on my eyes now. I was told I was probably contagious so I'm home bound until this clears up. This has been a very expensive side effect with all the testing, doctors, hospital and ambulance.  12/4/07 Reviewed ENT medical records which reveal patient seen 10/16/07 for continued vertigo which originally had been spinning & now was severe imbalance along w/continued tinnitus, photophobia & nausea/vomiting minimally controlled by meds.  Audiogram revealed bilat symmetric sensorineural hearing loss. FINAL DX: vestibular neuronitis; uncompensated vestibular insult; vertigo; imbalance.12/4/07 Reviewed hospital medical records which reveal patient experienced nausea & vertigo x several days.  Admitted 10/12-10/13/2007.  Tx w/antibiotics, antinausea & antivertigo meds as well as ASA. FINAL DX: vertigo, secondary to vestibulopathy; chronic small vessel ischemic changes on brain MRI; & history of HTN.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Photophobia, Photosensitivity reaction, Pruritus, Rash
Clinical narrative: Received shot 10-4-07, 10-10-07 became dizzy nauseated, sweating, blood pressure dropped, ringing in the ears and sensitive to lights, 10-12-07 vomiting/ unable to walk, went to hospital. Cat Scan, MRI, IV's, bloodtest. Went to ear specialist and had hearing checked 10-19-07 broke out in red, lumpy, painful rash that was itchy later. It lasted 2 weeks. 11-16-07 I'm still dizzy but slowly getting better. On October 4, 2007 I received the Zostavax vaccine at doctor's office 10-10-07 I was shopping and I began to get real warm, sweat, and was very dizzy and nauseated. It lasted 6 hours. 10-11-07 the nausea started later in the day and lasted around 5 hours. I had a terrible ringing in my ears and lights were really hard on my eyes. My blood pressure kept dropping. The lights made more disoriented. 10-12-07 with-in 1/2 hour after getting up in the morning I was so dizzy and vomiting I could not function at all. I was taken to the emergency room. They took blood test, Cat Scan and put in IV's. The doctor ordered an MRI and had me admitted to the hospital for over night. I left the hospital on 10-13-07 even though I was still having problems. I went for a check up with the doctor on 10-15-07 and she sent me to see an ear specialist for inner ear problems. He recommended I go for therapy. Before my appointment on 10-23-07 I had more side effects. On 10-19-07 I broke out in a red, itchy, lumpy rash. It feels like a bad sun burn. It extends from ears all the way to my stomach. It is the worst on my neck and chest. I'm slowly regaining my balance and being in well lit areas isn't as bad on my eyes now. I was told I was probably contagious so I'm home bound until this clears up. This has been a very expensive side effect with all the testing, doctors, hospital and ambulance.  12/4/07 Reviewed ENT medical records which reveal patient seen 10/16/07 for continued vertigo which originally had been spinning & now was severe imbalance along w/continued tinnitus, photophobia & nausea/vomiting minimally controlled by meds.  Audiogram revealed bilat symmetric sensorineural hearing loss. FINAL DX: vestibular neuronitis; uncompensated vestibular insult; vertigo; imbalance.12/4/07 Reviewed hospital medical records which reveal patient experienced nausea & vertigo x several days.  Admitted 10/12-10/13/2007.  Tx w/antibiotics, antinausea & antivertigo meds as well as ASA. FINAL DX: vertigo, secondary to vestibulopathy; chronic small vessel ischemic changes on brain MRI; & history of HTN.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Tinnitus, Vomiting
Clinical narrative: Received shot 10-4-07, 10-10-07 became dizzy nauseated, sweating, blood pressure dropped, ringing in the ears and sensitive to lights, 10-12-07 vomiting/ unable to walk, went to hospital. Cat Scan, MRI, IV's, bloodtest. Went to ear specialist and had hearing checked 10-19-07 broke out in red, lumpy, painful rash that was itchy later. It lasted 2 weeks. 11-16-07 I'm still dizzy but slowly getting better. On October 4, 2007 I received the Zostavax vaccine at doctor's office 10-10-07 I was shopping and I began to get real warm, sweat, and was very dizzy and nauseated. It lasted 6 hours. 10-11-07 the nausea started later in the day and lasted around 5 hours. I had a terrible ringing in my ears and lights were really hard on my eyes. My blood pressure kept dropping. The lights made more disoriented. 10-12-07 with-in 1/2 hour after getting up in the morning I was so dizzy and vomiting I could not function at all. I was taken to the emergency room. They took blood test, Cat Scan and put in IV's. The doctor ordered an MRI and had me admitted to the hospital for over night. I left the hospital on 10-13-07 even though I was still having problems. I went for a check up with the doctor on 10-15-07 and she sent me to see an ear specialist for inner ear problems. He recommended I go for therapy. Before my appointment on 10-23-07 I had more side effects. On 10-19-07 I broke out in a red, itchy, lumpy rash. It feels like a bad sun burn. It extends from ears all the way to my stomach. It is the worst on my neck and chest. I'm slowly regaining my balance and being in well lit areas isn't as bad on my eyes now. I was told I was probably contagious so I'm home bound until this clears up. This has been a very expensive side effect with all the testing, doctors, hospital and ambulance.  12/4/07 Reviewed ENT medical records which reveal patient seen 10/16/07 for continued vertigo which originally had been spinning & now was severe imbalance along w/continued tinnitus, photophobia & nausea/vomiting minimally controlled by meds.  Audiogram revealed bilat symmetric sensorineural hearing loss. FINAL DX: vestibular neuronitis; uncompensated vestibular insult; vertigo; imbalance.12/4/07 Reviewed hospital medical records which reveal patient experienced nausea & vertigo x several days.  Admitted 10/12-10/13/2007.  Tx w/antibiotics, antinausea & antivertigo meds as well as ASA. FINAL DX: vertigo, secondary to vestibulopathy; chronic small vessel ischemic changes on brain MRI; & history of HTN.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blood electrolytes normal, Convulsion, Electroencephalogram, Lumbar puncture, Nuclear magnetic resonance imaging
Clinical narrative: Had 2 seizures, requiring Life Flight to ER 1 wk after 12 m vaccines. Fever associated with second. Unknown with first.  12/06/2007 MR received for DOS 10/7-9/2007 with D/C DX: Seizure.  Pt presented after transfer from local facility following several episodes of generalized tonic-clonic seizure with cyanosis, as well as multiple staring episodes followed by a post-ictal state.  Temp 101 in ER.  Pt had been having congestion and cough x weeks.  Parents thought first episode was a choking episode and gave back blows.  PE (+) for swollen nasal turbinates and congestion.  Bruising on back from back blows. Circular rash on abdomen (x1 week). No further episodes and d/c home
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Had 2 seizures, requiring Life Flight to ER 1 wk after 12 m vaccines. Fever associated with second. Unknown with first.  12/06/2007 MR received for DOS 10/7-9/2007 with D/C DX: Seizure.  Pt presented after transfer from local facility following several episodes of generalized tonic-clonic seizure with cyanosis, as well as multiple staring episodes followed by a post-ictal state.  Temp 101 in ER.  Pt had been having congestion and cough x weeks.  Parents thought first episode was a choking episode and gave back blows.  PE (+) for swollen nasal turbinates and congestion.  Bruising on back from back blows. Circular rash on abdomen (x1 week). No further episodes and d/c home
Age: 3.0
Sex: M
Vaccine: FLU3, PNC, VARCEL
Symptoms: Blood test normal, Computerised tomogram normal, Convulsion, Epilepsy, Loss of consciousness
Clinical narrative: Child sleeping in car seat - quickly went unconscious as his mother observed - taken to ER - had seizures x 2. Diagnosed with new onset epilepsy by Dr. Meds: Trileptal, Clonazepam; Diastat prn.   12/4/07 Reviewed hospital medical records which reveal patient experienced unresponsiveness.  Seen at outlying ER where clonic seizure activity was noted.  Transferred to higher level of care.  Tx w/antiseizure meds FINAL DX:cryptogenic complex partial seizure disorder stable on meds.
Age: 3.0
Sex: M
Vaccine: FLU3, PNC, VARCEL
Symptoms: Nuclear magnetic resonance imaging normal, Toxicologic test normal, Urine analysis normal
Clinical narrative: Child sleeping in car seat - quickly went unconscious as his mother observed - taken to ER - had seizures x 2. Diagnosed with new onset epilepsy by Dr. Meds: Trileptal, Clonazepam; Diastat prn.   12/4/07 Reviewed hospital medical records which reveal patient experienced unresponsiveness.  Seen at outlying ER where clonic seizure activity was noted.  Transferred to higher level of care.  Tx w/antiseizure meds FINAL DX:cryptogenic complex partial seizure disorder stable on meds.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Asthenia, Body temperature increased, Chest pain, Chills
Clinical narrative: Within 2 hrs. I began to feel ill, weakness, chest pain, nausea, extreme headache, body aches, chills and fever, sores in mouth. Very ill for several days. Went to ER on 10/20, again on 10/25. Temperature at that time was 104.5, BP 200+. Stayed overnight. As of 11/15/07 still have not regained strength or appetite.  12/10/2007 MR received for o/n stay10/24-25/2007 with DX: Acute Febrile Illness, assoc with malaise, myalgias, and arthralgias.  Probably a systemic viral illness.  Essential HTN.  Mild dehydration.  Chronic headaches.  Allergies to Stadol, Demerol, and Inderal.  Remote hx of melanoma.  S/P appendectomy.  Post-menopausal osteoporosis. Pt presented to ER with several day hx of fever, feeling poorly, with generalized myalgias, arthralgias, and malaise.  Pt also reports some non-exertional chest tightness. PE (+) for decreased skin turgor and dryness. Admitted for hydration and anti-pyretics with DX High fever, no obvious source, recent influenza vaccination.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Malaise, Nausea, Pain, Pyrexia
Clinical narrative: Within 2 hrs. I began to feel ill, weakness, chest pain, nausea, extreme headache, body aches, chills and fever, sores in mouth. Very ill for several days. Went to ER on 10/20, again on 10/25. Temperature at that time was 104.5, BP 200+. Stayed overnight. As of 11/15/07 still have not regained strength or appetite.  12/10/2007 MR received for o/n stay10/24-25/2007 with DX: Acute Febrile Illness, assoc with malaise, myalgias, and arthralgias.  Probably a systemic viral illness.  Essential HTN.  Mild dehydration.  Chronic headaches.  Allergies to Stadol, Demerol, and Inderal.  Remote hx of melanoma.  S/P appendectomy.  Post-menopausal osteoporosis. Pt presented to ER with several day hx of fever, feeling poorly, with generalized myalgias, arthralgias, and malaise.  Pt also reports some non-exertional chest tightness. PE (+) for decreased skin turgor and dryness. Admitted for hydration and anti-pyretics with DX High fever, no obvious source, recent influenza vaccination.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Stomatitis
Clinical narrative: Within 2 hrs. I began to feel ill, weakness, chest pain, nausea, extreme headache, body aches, chills and fever, sores in mouth. Very ill for several days. Went to ER on 10/20, again on 10/25. Temperature at that time was 104.5, BP 200+. Stayed overnight. As of 11/15/07 still have not regained strength or appetite.  12/10/2007 MR received for o/n stay10/24-25/2007 with DX: Acute Febrile Illness, assoc with malaise, myalgias, and arthralgias.  Probably a systemic viral illness.  Essential HTN.  Mild dehydration.  Chronic headaches.  Allergies to Stadol, Demerol, and Inderal.  Remote hx of melanoma.  S/P appendectomy.  Post-menopausal osteoporosis. Pt presented to ER with several day hx of fever, feeling poorly, with generalized myalgias, arthralgias, and malaise.  Pt also reports some non-exertional chest tightness. PE (+) for decreased skin turgor and dryness. Admitted for hydration and anti-pyretics with DX High fever, no obvious source, recent influenza vaccination.
Age: 55.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: CSF culture negative, CSF protein increased, Miller Fisher syndrome, Respiratory failure
Clinical narrative: Miller - Fisher Syndrome. Respiratory failure.  12/07/2007 MR received for DOS 11/18-29/2007 with DX:  Miller-Fisher Syndrome.  Pt expired on 11/29/2007.  Progress note 11/28/07 states " diagnosis of brain death due to massive intracranial hemorrhage". Pt presented to ER on 11/18/07 with fever and progressive lower extremity weakness and swelling of the R side of face associated with weakness and numbness.  Admission PE (+) for multiple superficial skin ulcers, bilateral conjunctival hemorrhage R>L, L eyelid ptosis, R-sided facial weakness motor function 2/5 in lower extremities and nystagmus. Neuro consult  11/19/07 reports that pt developed double vision, trouble walking, and weakness 2 weeks s/p vaccination.  PE (+) for 3rd and 6th cranial nerve palsy, ataxic gait, and absent DTRs. No respiratory problems at that time. Later that day pt developed agonal respirations and respiratory distress and mental status changes. Dx: Acute Respiratory Failure. Intubation was attempted and pt placed on ventilator.  On 11/22/07 pt developed fever and started on abx. By 11/23/07 pt was unresponsive and developed myoclonic activity.  On 11/29/07 pt was removed from life-support with dx of brain death due to massive intracranial hemorrhage. 12/07/2007 Death summary received as above.  Final DX:  Massive cerebrovascular accident with subarachnoid hemorrhage.  Brain dead with flat EEG and (+) apnea test.  Bactermia with enterococcus faecalis and coagulase-negative staphylococcus.  S/P comatose state.  Miller Fisher Syndrome on admission.  pemphigus vulgaris. S/P respiratory failure.  01/11/2008 Death Cert received.  Immediate COD:  Cerebrovascular Accident-Approximate interval:onset to death-hours.  Ascending Polyneuropathy-onset to death: days.  Pemphigus-onset to death:  years.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Injection site erythema, Injection site swelling, Injection site warmth, Palpitations
Clinical narrative: 11/14/07 (-) Fever, (L) arm-site of injection-Red/warm/swollen- Rx Clobetasol Cream BID 11/15/07 TC prompt-states she feels weak/shakey + having heart palpitations-went to ER-Hospitalized overnight.  12/28/07 Reviewed hospital medical records which reveal patient experienced symptomatic palpitations with lightheadedness, fatigue, DOE & nausea since 11/12/07.  Also had a local reaction to vax.  Admitted 11/15-11/16/2007.  Remained stable & d/c to home w/f/u troponin to be obtained as outpatient. FINAL DX: symptomatic sinus tachycardia.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Tremor
Clinical narrative: 11/14/07 (-) Fever, (L) arm-site of injection-Red/warm/swollen- Rx Clobetasol Cream BID 11/15/07 TC prompt-states she feels weak/shakey + having heart palpitations-went to ER-Hospitalized overnight.  12/28/07 Reviewed hospital medical records which reveal patient experienced symptomatic palpitations with lightheadedness, fatigue, DOE & nausea since 11/12/07.  Also had a local reaction to vax.  Admitted 11/15-11/16/2007.  Remained stable & d/c to home w/f/u troponin to be obtained as outpatient. FINAL DX: symptomatic sinus tachycardia.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Heart rate increased, Injection site erythema, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: 11/14/07 (-) Fever, (L) arm-site of injection-Red/warm/swollen- Rx Clobetasol Cream BID 11/15/07 TC prompt-states she feels weak/shakey + having heart palpitations-went to ER-Hospitalized overnight.  12/28/07 Reviewed hospital medical records which reveal patient experienced symptomatic palpitations with lightheadedness, fatigue, DOE & nausea since 11/12/07.  Also had a local reaction to vax.  Admitted 11/15-11/16/2007.  Remained stable & d/c to home w/f/u troponin to be obtained as outpatient. FINAL DX: symptomatic sinus tachycardia.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram, Encephalopathy, Nuclear magnetic resonance imaging brain
Clinical narrative: Developed fever 10/24/07. Seizures 11/6/07. Hospitalized in PICU 11/6 - 11/16/07. Diagnosis viral encephalopathy and seizures.  11/07/2007 MR received for an ER visit 11/2/2007 and admission DOS 11/06-16/2007 with a Primary DX: Viral Encephalopathy.  2' DX:  Seizures. Child initially presented to ER on 11/2/07 with c/o increased sleepiness, low grade fever. Pt had had abdominal pain and fever a few days ago but this was resolving. Pt lethargic and difficult to arouse on PE. DX: Hypoglycemia.  Dehydration. Given IVF with dextrose which perked pt up and pt was D/cd. Returned to ER on 11/6/07 with c/o R-sided convulsions where the head deviated to the L.  Pt had been experiencing some bizarre behaviors in recent days.  Pt was unresponsive upon EMS arrival and continued to have seizure activity in ER.  Upon PE pt was extremely agitated with slurred speech. Pt started on anti-epileptic meds.  Facial twitching and leg jerking noted during admission as well as altered mental status and agitation. Pt having difficulty with sleep, only sleeping 3-4 hrs after medication.  Pt developed a rash with itching. Pt was in PICU until 11/13/07 then transfered to medical floor, the d/c on 11/16/07.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Developed fever 10/24/07. Seizures 11/6/07. Hospitalized in PICU 11/6 - 11/16/07. Diagnosis viral encephalopathy and seizures.  11/07/2007 MR received for an ER visit 11/2/2007 and admission DOS 11/06-16/2007 with a Primary DX: Viral Encephalopathy.  2' DX:  Seizures. Child initially presented to ER on 11/2/07 with c/o increased sleepiness, low grade fever. Pt had had abdominal pain and fever a few days ago but this was resolving. Pt lethargic and difficult to arouse on PE. DX: Hypoglycemia.  Dehydration. Given IVF with dextrose which perked pt up and pt was D/cd. Returned to ER on 11/6/07 with c/o R-sided convulsions where the head deviated to the L.  Pt had been experiencing some bizarre behaviors in recent days.  Pt was unresponsive upon EMS arrival and continued to have seizure activity in ER.  Upon PE pt was extremely agitated with slurred speech. Pt started on anti-epileptic meds.  Facial twitching and leg jerking noted during admission as well as altered mental status and agitation. Pt having difficulty with sleep, only sleeping 3-4 hrs after medication.  Pt developed a rash with itching. Pt was in PICU until 11/13/07 then transfered to medical floor, the d/c on 11/16/07.
Age: 16.0
Sex: F
Vaccine: UNK
Symptoms: Anti-thyroid antibody, Antinuclear antibody, Blood thyroid stimulating hormone, Fatigue, Nodule on extremity
Clinical narrative: Received first Guardisal injection in 2/07 and developed nodules on left index finger over the knuckle. Second shot received in 4/07.  Nodules surgically removed in 6/07 and received OT.  Third shot received in 8/07 and the nodules returned. She has decreased mobility of the index finger and fatigue daily.  She has had an endocrinology workup and a rheumatology workup. 11/28/07-records received 2/18/07-date of vaccine also during exam C/O right shoulder popping. HX of thyroid autoatibodies and NL TSH. 3/3/07-continues to complain of shoulder pain and again on 4/19/07. Visit on 5/18/07-C/O left index finger lesion for 2 1/2 months. Bump on finger has increased in size since February and pain only with bending. Chest pain left sided daily for months. Tenderness. DX: Fatigue arthralgia. Questionalble bone cyst. X-ray normal. 6/24/07 allergies. Vaginitis. 9/16/07-had finger surgery DX granuloma annulare. Recent exposure to CMV. DX persistent fatigue. Asthma.
Age: 16.0
Sex: F
Vaccine: UNK
Symptoms: Surgery
Clinical narrative: Received first Guardisal injection in 2/07 and developed nodules on left index finger over the knuckle. Second shot received in 4/07.  Nodules surgically removed in 6/07 and received OT.  Third shot received in 8/07 and the nodules returned. She has decreased mobility of the index finger and fatigue daily.  She has had an endocrinology workup and a rheumatology workup. 11/28/07-records received 2/18/07-date of vaccine also during exam C/O right shoulder popping. HX of thyroid autoatibodies and NL TSH. 3/3/07-continues to complain of shoulder pain and again on 4/19/07. Visit on 5/18/07-C/O left index finger lesion for 2 1/2 months. Bump on finger has increased in size since February and pain only with bending. Chest pain left sided daily for months. Tenderness. DX: Fatigue arthralgia. Questionalble bone cyst. X-ray normal. 6/24/07 allergies. Vaginitis. 9/16/07-had finger surgery DX granuloma annulare. Recent exposure to CMV. DX persistent fatigue. Asthma.
Age: 1.6
Sex: F
Vaccine: FLU3
Symptoms: Medication error, Wrong drug administered
Clinical narrative: Adult Novartis influenza vacc. given to child < 4 yr.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Nausea, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Rash, itching, redness Initially arm was very sore and swollen and I was nauseous. Then in about 24 hrs I developed hives, which have cont'd. Arm is still red and a little sore. Hives are still present and very itchy and red.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Rash, itching, redness Initially arm was very sore and swollen and I was nauseous. Then in about 24 hrs I developed hives, which have cont'd. Arm is still red and a little sore. Hives are still present and very itchy and red.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Injection site pain, Injection site warmth, Pain
Clinical narrative: Within hours: 102 degrees fever; chills; headache; body aches lasted 3 days; very severe arm pain (a) injection site - entire arm warm hours
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Within hours: 102 degrees fever; chills; headache; body aches lasted 3 days; very severe arm pain (a) injection site - entire arm warm hours
Age: 18.0
Sex: F
Vaccine: FLU3, HPV4, MNQ
Symptoms: Musculoskeletal pain
Clinical narrative: Received Gardasil vaccine 10/10/07. Developed shoulder pain one week later that has persisted.
Age: 0.2
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration, Medication error, Wrong drug administered
Clinical narrative: F/U shot given to 2 month old, no adverse effects
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Loss of consciousness, Musculoskeletal stiffness, Pallor
Clinical narrative: pt. came in for vaccination, pt. turned pale & was unconscious, body was very tight. pt. Stated he felt dizzy.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Swelling face
Clinical narrative: Pt received the Hepatitis A and Influenza vaccine on 11/1/07 and started getting swelling on the face 11/5/07, has given Benadryl. Was seen in office by Dr on 11/5/07 he has vaccination reaction from vaccines told pt to use Benadryl
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: PATIENT NOTED RASH DEVELOPED ALTER IN THE DAY VACCINE RECEIVED
Age: 52.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Headache, Pruritus, Throat irritation, Throat tightness
Clinical narrative: c/o scratch throat and itching at Rt cheekbone and around lt eye. Itching progressed to head and arms, head felt swollen and throat felt tight. Saw an MD who gave her a cortisone injection and prednisone tabs.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Muscle spasms, Rash
Clinical narrative: Headache, rash 11-13-07; rash is fading 11/15.  Leg cramps 11-14-07; cramps continue.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Herpes simplex serology, Herpes zoster, Injection site induration, Injection site pruritus, Injection site rash
Clinical narrative: Rash at injection site of flu vaccine-grouped vesicles and area of induration at site. -Rash/vesicles not seen anywhere else on body -appeared 3 days after injection-itchy initially but not now
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Limb discomfort, Myalgia, Tenderness
Clinical narrative: Tenderness and muscle soreness entire (R) upper arm (shoulder to elbow). No redness or fever. States discomfort began 11/12/07 and continues to present.
Age: 1.7
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Asthenia, Diet refusal, Lethargy, Pallor, Urticaria
Clinical narrative: Hives; Paleness; Weak; Lethargic; Wouldn't eat or Drink; Spoke to Pediatrician put him on Benadryl Four Times a Day.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Pain
Clinical narrative: PT. c/o lightheadedness 25 min after rec. injection (a) deltoid; BP 150/86 Pulse 88 no redness injection site. no sig, rash ; c/o feeling achey "like I am getting the flu"
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Blood pressure orthostatic, Palpitations
Clinical narrative: 11/15/07-Pt went to bed, then described that her heart was racing and she needed to get some water. Parents took pulse= 110 bpm. By morning of 11/16/07-self resolved.
Age: 13.0
Sex: M
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: 11-6-07 very red swollen size of golf ball very tender
Age: 1.0
Sex: F
Vaccine: FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: site red swollen 2.5 cm 3 cm
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Paraesthesia, Peripheral coldness
Clinical narrative: red, hot area on (L) bicep area. cool arm tingling down arm. told to alternate heat and cold to site. watch for x/s of cellulitis or worsening s/s. Call if s/s get worse.
Age: 2.0
Sex: U
Vaccine: FLU3
Symptoms: Blood culture, Culture urine, Febrile convulsion, Full blood count, Laboratory test
Clinical narrative: Seen 11/14/07 for fever that began about 8-9 pm. Fever in office 102.8. No URI symptoms. No local reaction to vaccine. On Bactrim for suspected UTI from 11/6/07. Left office had a febrile seizure. Sent to ER and had lumbar puncture, blood culture and labs.
Age: 2.0
Sex: U
Vaccine: FLU3
Symptoms: Lumbar puncture, Urine analysis
Clinical narrative: Seen 11/14/07 for fever that began about 8-9 pm. Fever in office 102.8. No URI symptoms. No local reaction to vaccine. On Bactrim for suspected UTI from 11/6/07. Left office had a febrile seizure. Sent to ER and had lumbar puncture, blood culture and labs.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Nausea, Pain, Pyrexia, Tremor
Clinical narrative: Body aches, nausea, fever, weak, shakey the day following the meningococcal vaccine
Age: 0.4
Sex: M
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Diarrhoea, Sinus congestion, Vomiting
Clinical narrative: 8/17/07 started w/sinus cold, 2 days later vomiting. After feeding, then diarrhea x 7 days. 9/28/07 started w/sinus cold, then diarrhea x 4 days
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Myalgia, Nausea
Clinical narrative: Myalgia, Nausea, headache, chills, diarrhea x 10 days.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Sleep apnoea syndrome
Clinical narrative: Myalgia, Nausea, headache, chills, diarrhea x 10 days.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Blood iron decreased, Pyrexia, Rash
Clinical narrative: She began a slight fever 5 days after vaccination that lasted about 6 days and ranged from 99.9 F to 101.9 F I treated her with motrin twice during that period. 11 days after the vac. and the day when her fever went away, she was covered in a light rash starting in her diaper waist band area and within 3 hours spread up her back, front to her arms and neck. Also the next day she had a low Iron Screen 10.3
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Differential white blood cell count, Mass, Red blood cell sedimentation rate increased, Tenderness, Ultrasound scan
Clinical narrative: 3cm diameter tender, firm mass over (L) pre auricular area . Ibuprofen for pain. Labs +  ultrasound of area.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Lethargy, Nausea, Pyrexia
Clinical narrative: Nausea, vomiting, diarrhea, lethargy, fever, chills.  Out of work x7 days.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Nausea, vomiting, diarrhea, lethargy, fever, chills.  Out of work x7 days.
Age: 4.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Rash vesicular, Scab
Clinical narrative: Mother called on 11/15/07 stating child had 9-10 "chicken pox looking areas" on stomach, shoulder, side and neck. Did not have a temperature. Inst. mom to call MD T.C. to mom 11/16/07 x 2 message left. T.L to mom 11/17/07-Areas scabbed over mom called MD -no visit made. Mom states child is fine today
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Paraesthesia, Pharyngolaryngeal pain, Rash
Clinical narrative: 10 hours after receiving flu vaccine, noted a severe throat pain and noted tingling to (L) arm earlier in the evening. Awoke today with a red rash to the injected arm, spreading from deltoid to hand. The client reports the sore throat has persisted. Denies Respiratory distress. Sore throat continues this afternoon; redness to arm is gone.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Soon after flu vaccine, evolved swelling and pain of deltoid - pain radiates at times to hand persisted for 2 days - went to outpatient facility. Came to my office 4 days later; swelling lessened.
Age: 90.0
Sex: F
Vaccine: TDAP
Symptoms: Medication error, Wrong drug administered
Clinical narrative: Tdap given to pt >65
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Fatigue, Influenza like illness, Pain, Pyrexia
Clinical narrative: From time vaccine administered, after two days, I began to run a high fever 104 degrees.  Had general flu like symptoms, ached all over.  After one day fever left but am still experiencing general fatigue & persistent cough.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt given Zostavax vaccine 7/2007 and again 11/2007. Pt reports no problems at this time
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Developed shingles after having received Zostavax within the past year.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Myalgia, Rash generalised, Stomatitis
Clinical narrative: Joint and Muscle pain; BUMPS/RASH ON BODY, HANDS, LEGS; MOUTH SORES - FOR N 7 days post flu injection (No FEVER)
Age: 93.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Sore arm 7 days after vaccination. treatment ibuprofen and ice
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Musculoskeletal stiffness, Tremor
Clinical narrative: About 09:00 AM had flu and pneumococcal vaccine administered. Both arms were stiff. About 1200 noon, pt started to get tremor in left arm that slowly worsened and spread through left torso section. Pt went to ER at about 1800 and was given Diazepam and Hydrocodone and the tremor subsided. Follow up call given on 11/14/07 and pt said has recovered.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Pyrexia, Skin warm
Clinical narrative: Redness at site began the day of injection (1 hour), warm to touch - size 3 inches in diameter. Began fever on day of injection - high 102.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Hypoaesthesia, Injection site induration, Injection site pain, Pain
Clinical narrative: 11/1 (2 days after injection): noticed hard and tender at site, (L) deltoid; progressed to axillary soreness and gradually developed numbness/tingling in arm and hand. 11/8: "Throbbing pain". 11/3: pain persisted, "skin hurt"; tingling in arm and medial aspect (L) foot. To MD and was given Tylenol with codeine and Cephalexin. 11/6: Symptoms better, not gone, intermittent pain with tingling. Will return to MD if not resolved when medicine completed.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: 11/1 (2 days after injection): noticed hard and tender at site, (L) deltoid; progressed to axillary soreness and gradually developed numbness/tingling in arm and hand. 11/8: "Throbbing pain". 11/3: pain persisted, "skin hurt"; tingling in arm and medial aspect (L) foot. To MD and was given Tylenol with codeine and Cephalexin. 11/6: Symptoms better, not gone, intermittent pain with tingling. Will return to MD if not resolved when medicine completed.
Age: 18.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Pt states noted swelling, redness, soreness at injection site (R) arm morning after receiving shot - VZV vaccination - increasing to about 4" hard red area - rash (red) under side of arm - elbow up mid arm. No pox, warm to touch - lymph node enlarged inside (R) arm, still swollen to elbow Friday 11/9/07 - some tingling in (R) finger ? due to swelling at elbow.
Age: 18.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Oedema peripheral, Paraesthesia, Rash, Skin warm
Clinical narrative: Pt states noted swelling, redness, soreness at injection site (R) arm morning after receiving shot - VZV vaccination - increasing to about 4" hard red area - rash (red) under side of arm - elbow up mid arm. No pox, warm to touch - lymph node enlarged inside (R) arm, still swollen to elbow Friday 11/9/07 - some tingling in (R) finger ? due to swelling at elbow.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal erythema
Clinical narrative: Redness around throat but no trouble breathing. No fainting. Notified primary MD already and followed up with pt at home: pt was instructed to use Benadryl OTC for few days per primary MD.
Age: 64.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Skin warm
Clinical narrative: (L) upper arm - medial erythema with increased temp of skin or lymphangitis - not around the site of injection.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Feeling hot, Headache, Injection site pain, Injection site swelling
Clinical narrative: Rec'd vaccine on 10/17/07 at 10:45 am, at 6:50 PM that day (10/17/07) began with headache, body aches, joint pain, teeth pain, and nausea; injection site swollen (2" in diameter) and tender; felt feverish; felt the same on 10/18/07 and headache became migraine; migraine continued to 10/19/07 and resolved 10/19/07 PM.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Migraine, Nausea, Pain
Clinical narrative: Rec'd vaccine on 10/17/07 at 10:45 am, at 6:50 PM that day (10/17/07) began with headache, body aches, joint pain, teeth pain, and nausea; injection site swollen (2" in diameter) and tender; felt feverish; felt the same on 10/18/07 and headache became migraine; migraine continued to 10/19/07 and resolved 10/19/07 PM.
Age: 82.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Client states soreness noted in right deltoid in the evening. The following day, swelling was noted. Physician office visit on 11-8-07. Rx sulfamethoxazole b.i.d. By report date patients state soreness is gone and swelling is minimal.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Fatigue, Myalgia, Pain in extremity
Clinical narrative: Temp 102, chills, dry heaves, arm very sore w/in 2-3 hours, myalgia w/in 7 hours. 2nd and 3rd day fatigue only.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Retching
Clinical narrative: Temp 102, chills, dry heaves, arm very sore w/in 2-3 hours, myalgia w/in 7 hours. 2nd and 3rd day fatigue only.
Age: 40.0
Sex: F
Vaccine: FLU3, MMR, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Induration, Skin warm
Clinical narrative: (L) upper arm are of redness with induration and warmth 3.5 x 2.5 cm - no pain with palpation, area marked. Treated with Keflex 500mg. Dx: Cellulitis. F/up in 24 hours or sooner if s/s worsen.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Basophil count normal, Blood culture negative, Chills, Dysphonia, Eosinophil count normal
Clinical narrative: See attachment; 11/07/2007, 2:00 p.m. - chills and fever temp 101, 2 tabs tylenlol 500mg every 6 hours; 11/08/2007 - chills and fever temp 101, muscle aches; 11/09/2007 - chills and fever 102, muscle ache and headache, alternating 2 tabs tylenol 500 mg and 2 tabs motrin 800 mg every 6 hours; 11/10/2007 - chills and fever temp 102, muscle ache, headache, hoarseness; 11/11/2007 - chills and fever temp 102, muscle ache, headache, hoarseness; 11/12/2007 - chills and fever temp 102, muscle ache, headache, hoarseness, and small and large hives appearing on hand, arms, and front, back, and sides of body. 11/13/2007, 5:00 a.m. - chills and fever temp 101, muscle ache, headache, hoarsenss; small and large hives connecting which made both arms and hands large and puffy with hives; face and eyes with large and puffy with hives. 8:00 a.m. went to hospital emergency room at Community Hospital. Given pain medication and benadryl through I.V.. Hives subsides. Diagnosed "flu shot side effects,". 11/14/2007 to 11/17/2007 - sick in bed, stayed home, and continued to take medications prescribed by doctor, 2 tabs benadryl every 4 hours, 1 tab motrin 800 mg 3 times daily. 11/18/2007 - fully recovered. 11/19/2007 - back to work.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Haematocrit normal, Haemoglobin normal, Headache, Injection site reaction, Lymphocyte count decreased
Clinical narrative: See attachment; 11/07/2007, 2:00 p.m. - chills and fever temp 101, 2 tabs tylenlol 500mg every 6 hours; 11/08/2007 - chills and fever temp 101, muscle aches; 11/09/2007 - chills and fever 102, muscle ache and headache, alternating 2 tabs tylenol 500 mg and 2 tabs motrin 800 mg every 6 hours; 11/10/2007 - chills and fever temp 102, muscle ache, headache, hoarseness; 11/11/2007 - chills and fever temp 102, muscle ache, headache, hoarseness; 11/12/2007 - chills and fever temp 102, muscle ache, headache, hoarseness, and small and large hives appearing on hand, arms, and front, back, and sides of body. 11/13/2007, 5:00 a.m. - chills and fever temp 101, muscle ache, headache, hoarsenss; small and large hives connecting which made both arms and hands large and puffy with hives; face and eyes with large and puffy with hives. 8:00 a.m. went to hospital emergency room at Community Hospital. Given pain medication and benadryl through I.V.. Hives subsides. Diagnosed "flu shot side effects,". 11/14/2007 to 11/17/2007 - sick in bed, stayed home, and continued to take medications prescribed by doctor, 2 tabs benadryl every 4 hours, 1 tab motrin 800 mg 3 times daily. 11/18/2007 - fully recovered. 11/19/2007 - back to work.