chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Blood creatine phosphokinase, Blood product transfusion, Gait disturbance, Guillain-Barre syndrome, Hyperaesthesia
Clinical narrative: Guillain-Barre Syndrome. Sx: Pain on lower extremities, very tender to touch and weakness and difficulty walking. Pt was given an IVIG treatment. 12/3/09 DC summary received for date 1/7/09 to 1/11/09. DX: abnormality of gait, pain in limb, polyneuritis. SX: acute onset of limb pain, weakness, gait disturbance.Assessment: very early in course of acute onset of GBS/AIDP.  Hospital course received IVIG. Pt improved at dc. 12/7/09 Medical records received for dates 1/7/09 to 1/14/09. DX: GBS. Chief c/o leg pain. Pt parent states pt woke up w/ severe bilat leg pain and would not walk. Pt parent states unusual gait and weakness. Pt had febrile illness x2wks ago. Assessment: mild trunk weakness, proximal weakness. 1/14/09 DX: GBS f/u. Pt was admitted for GBS received IVIG. Pt was readmitted on 1/12/09 for HA, vomiting, abdominal pain. Pt stable on this day. Parent feels GBS related to seasonal flu vax on 11/8/08.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness, Pain in extremity, Red blood cell sedimentation rate, Tenderness
Clinical narrative: Guillain-Barre Syndrome. Sx: Pain on lower extremities, very tender to touch and weakness and difficulty walking. Pt was given an IVIG treatment. 12/3/09 DC summary received for date 1/7/09 to 1/11/09. DX: abnormality of gait, pain in limb, polyneuritis. SX: acute onset of limb pain, weakness, gait disturbance.Assessment: very early in course of acute onset of GBS/AIDP.  Hospital course received IVIG. Pt improved at dc. 12/7/09 Medical records received for dates 1/7/09 to 1/14/09. DX: GBS. Chief c/o leg pain. Pt parent states pt woke up w/ severe bilat leg pain and would not walk. Pt parent states unusual gait and weakness. Pt had febrile illness x2wks ago. Assessment: mild trunk weakness, proximal weakness. 1/14/09 DX: GBS f/u. Pt was admitted for GBS received IVIG. Pt was readmitted on 1/12/09 for HA, vomiting, abdominal pain. Pt stable on this day. Parent feels GBS related to seasonal flu vax on 11/8/08.
Sex: M
Vaccine: HEP
Symptoms: Sudden infant death syndrome
Clinical narrative: SIDS death 9-28-09 - went to hospital. 12/4/09 Autopsy report received. DOD 9/28/09. Final Cause of Death: Sudden unexpected death of a neonate while bed-sharing with adults. Additional information abstracted: History that decedent was placed on bed for sleep between his father and mother. That mother found decendent unresponsive when she awoke and that neither parent was covering the decedent. That cardiopulmonary resusitation was performed by parents and EMS. No lethal traumatic injuries. No evidence of a lethal natural disease process. Body weight 10-25th percentile for age; body length 25-50th percentile for age. Organ weights consistent with 3-week-old neonate. No history of medical conditions.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Large reddened area on right upper leg.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Blister, Injection site erythema, Injection site warmth, Oedema peripheral, Pruritus
Clinical narrative: Pt developed redness, warmth 8-27-09 at MMR site, itching, swelling, developed 8-28-09. Developed blister and oozing. On site on 8-31-09. Came to health Dept on 9-1-09 for assessment noted approx 1cm red revised area with blistery surface, no Benadryl at this time - Her surrounding swelling, hot to touch. Referred.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Secretion discharge
Clinical narrative: Pt developed redness, warmth 8-27-09 at MMR site, itching, swelling, developed 8-28-09. Developed blister and oozing. On site on 8-31-09. Came to health Dept on 9-1-09 for assessment noted approx 1cm red revised area with blistery surface, no Benadryl at this time - Her surrounding swelling, hot to touch. Referred.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Adverse reaction, Feeling abnormal, Hyperhidrosis, Loss of consciousness
Clinical narrative: Mother states after left clinic child became diaphoretic and stated felt bad, after got home (~15 mins) child passed out - child woke up and felt better. ~45 mins later, mother took her to dentist and she passed out again. Mother then tool her to ER - Dr stated it was an adverse reaction
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Weakness, fever (101 degree F), nausea 09/18/09.  Sore throat on 09/17/09 dizziness, headache.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Weakness, fever (101 degree F), nausea 09/18/09.  Sore throat on 09/17/09 dizziness, headache.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Dyskinesia, Partial seizures
Clinical narrative: Seizure in arms and legs uncontrollable.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Hyperaesthesia, Oedema peripheral, Pain in extremity
Clinical narrative: Arm was swollen and red. Painful to the touch. The day after injection, she went to doctor and was treated with antibiotics ad steroids.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: Vaccines administered prior to results of pregnancy test. No symptoms at present time.
Age: 52.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Erythema, Pruritus
Clinical narrative: Friday (9-17-09 evening facial area above upper lip extending to above eyes and from left of eyes to right side of face redness with some itching. Redness in bend of left arm. No redness or itching at injection site. Started BENADRYL 50mg q 4 hrs. Sat. am Sun had BENADRYL injection symptoms improving.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Dyspnoea, No reaction on previous exposure to drug, Pharyngeal oedema, Throat irritation
Clinical narrative: Sensation of a swollen throat, itchiness in the throat and a hoarse voice. Slight dyspnea. To ER: IV-SOLU-MEDROL 125 mg; ZYRTEC 10 mg PO; Rx given for: Prednisone and ZYRTEC. In ER 1 hr for observation following tx.
Age: 11.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP
Symptoms: Blood pressure decreased, Dizziness, Syncope, Vision blurred
Clinical narrative: Patient became dizzy- light headed and blurred visoin. Patient experienced syncopal episode and blood pressure dropped to 90/48. Patient was laid down and feet elevated. Juice given and patient recovered feeling after ~ 15 minutes.
Age: 19.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Asthenia, Blood creatine phosphokinase normal, Muscular weakness, Musculoskeletal pain
Clinical narrative: Patient received GARDASIL vaccine at medical clinic on 8/10/09 has ongoing pain left shoulder x 6 weeks after injection. Arm strength weaker on left. No relief with ibuprofen or TYLENOL. 10/ 19/09 Received medical records from date 9/24/09. DX: injection site reaction, myofacial pain, pharyngitis. SX: pt presented to office with c/o left shoulder pain and weakness since last HPV vaccine 8/10/09. c/o right side neck gland tender, sore throat. Assessment: Normal ROM left arm, decreased strength left arm, tender over left deltoid, (-)redness, (-)swelling, (+)mild enlargement right pharyngeal tonsil.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of left arm below injection site. Patient states reaction has lessened in severity over last two days.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: - Pain going down left arm - Swelling in hand - Gave oral BENADRYL - Instructed to acp cold compress per verbal conversation w/Dr. at ER
Age: 4.0
Sex: F
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Erythema multiforme, Urticaria
Clinical narrative: Erythema multiforme and urticaria 8 days post vaccination. Treated with BENADRYL and oral steroids.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Erythema, Feeling abnormal, Hypoaesthesia, Lip swelling
Clinical narrative: - Weird sensation - passing out feeling.  - Right jaw upper lip swollen - numb, tingly - face was red used eye pack, took BENADRYL.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: - Weird sensation - passing out feeling.  - Right jaw upper lip swollen - numb, tingly - face was red used eye pack, took BENADRYL.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Received 4 shots on 9-16-09. Upon waking 9-18-09 Left arm very swollen/hard/red. Mom took to urgent care later (9-18-09) - prescribed 2 antibiotics and told to use cool cloth off and on. 9-21-09 - TC to mom - child doing just fine.
Age: 21.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Influenza like illness, Injection site erythema, Injection site pain, Oropharyngeal pain
Clinical narrative: 9/11/09-Red and sore at PNEUMOCOCCAL administration site - Also, fever 100.5F and sore throat - Primary care visit diagnosed with influenza like illness. 9/11/09 - Emergency room visit - treated for Cellulitis. 9/14/09- Primary care visit for cellulitis- at flu and PNEUMOCOCCAL sites.
Age: 21.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: 9/11/09-Red and sore at PNEUMOCOCCAL administration site - Also, fever 100.5F and sore throat - Primary care visit diagnosed with influenza like illness. 9/11/09 - Emergency room visit - treated for Cellulitis. 9/14/09- Primary care visit for cellulitis- at flu and PNEUMOCOCCAL sites.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Soreness to Left arm 20 and 21st, home on the 22nd however on the 23rd extremely painful, red and swollen. Tx. warm compress, Ibuprofen (OTC) 200mg tabs, 2 tabs 3 times daily for 3 to 5 days.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site irritation, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warm to the touch, around area were shot administered.  Irritation for one day.  Symptoms lasted 3 days:  Warm cloth put over area to help with swelling.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling at injection site. Tender to touch, and slightly warm.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Headache, Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: Generalized muscle aches, low grade temp (99.5 - 100 degrees) headache for 12 hr after injection.  Localized redness, swelling ( 3" long X 1" wide area) at injection site, started day of injection, lasted 4-5 days.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Erythema, Mass, Skin warm, Swelling
Clinical narrative: Redness, swelling, tender, lump hot to touch.  Cramping in stomach.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: Redness, swelling, tender, lump hot to touch.  Cramping in stomach.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Significant redness and swelling to injection site.  Tender to touch lasted 3-4 days.  Took MOTRIN for discomfort.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Depression
Clinical narrative: A serious clinical trial report of Grade 3 depression was received from an Investigator concerning a 17 year-old female, subject number (2018007) who is enrolled in a study. The subject's past medical history and concomitant medications were not reported. The subject received one dose of MEDI3414 or placebo on 17-Aug-2009 intranasally. On 13-Sep-2009 the subject was hospitalized for depression. The event of depression was reported as ongoing. The Study Investigator reported the causality of the depression to MEDI3414 or placebo as none.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Muscle contractions involuntary, Vaccine positive rechallenge
Clinical narrative: Information has been received from a consumer concerning his 21 year old daughter with TEGRETOL allergy who in May 2007, was vaccinated with the first dose of GARDASIL (lot number not reported). Two months later, in approximately July 2007, the patient experienced her first seizure. On an unspecified date the patient was vaccinated with the second dose of GARDASIL (lot number not reported). Two months after the second dose the patient experienced another seizure. On an unspecified date the patient was vaccinated with the third dose of GARDASIL (lot number not reported). After the third dose, the patient still experienced seizures. It was reported that "at one point, she was taken to the emergency room because her roommates were worried about her" and "most recently the left side of her body has been locking up and contracting, and last night (20-SEP-2009) it spread to her right side". There were some office visits. Unspecified lab studies performed, and no result provided. At the time of the report, the patient not recovered. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Cough, Fatigue, Heart rate increased, Pyrexia
Clinical narrative: A few hours after receiving vaccine began to feel weak and mild fatique, then a cough started.the next day felt worse with a low grade fever; on second day was completely washed out with a fever - stayed in bed all day. On the third day, felt better and the fever subsided, took my pulse and it was 100 - normally 70. It's the rapid pulse that concerns me. TWill call the Doctor as soon as his office opens.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Computerised tomogram, Headache, Laboratory test, Nuclear magnetic resonance imaging
Clinical narrative: ON 2/16/09 PATIENT HAD A SEVERE HEADACHE, WAS SEEN IN DOYLESTOWN HOSPITAL, PARIENT HAD HAD A HEADACHE EVER SINCE. IS SEEING FAMILY PHYSICIAN, A NEUROLOGIST AND HAS SEEN 2 ENT PHYSICIANS. HAS HAD ANTIBIOTICS, CT SCAN, MRI AND LAB TESTING.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Hypoaesthesia, Paraesthesia, Sensory loss
Clinical narrative: numbness and tingling in fingers and feet, dizziness, blurred vision that progressed to shortness of breath, rash, tongue swelling and inability to feel legs
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue, Vision blurred
Clinical narrative: numbness and tingling in fingers and feet, dizziness, blurred vision that progressed to shortness of breath, rash, tongue swelling and inability to feel legs
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Enuresis, Glucose tolerance test
Clinical narrative: Patient started to display diabetes symptoms (bedwetting) in July.   10/07/09 Received hospital medical records for 8/28-8/30/2009. FINAL DX: new onset diabetes mellitus type 1. Records reveal patient experienced increased bedwetting x 2-3 mo, tiredness, increased sleeping, increased thirst & polydipsia x 3 wks w/2# wt loss.  Hyperglycemic.  Endocrine consult done.  Tx w/DM diet & insulin.  Stabilized & d/c home on continued insulin & diet w/endocrine follow up. 12/3/2009 PCP records for ov's 8/23-11/24/2009. Patient with c/o's fever, fatigue, cough, poor appetite. Tx'd with abx, dx'd with URI and Otitis Media (bilateral)  12/29/09 Immunization Record received for DOS 06/27/2007-11/15/2008. Hep A received 06/12/2008 (1 of 2).
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm, Urticaria
Clinical narrative: Patient suffered fist size welts which were red and hot on his arms and legs.  He had pain in the arms and legs.  Hives occurred under his arms, on his back, legs, and arms.  Severe itching occurred with this for 5 days.  He was treated with Prednisone and Ranitidine.  He has NO history of egg allergies.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Blood test abnormal, Chills, Colonoscopy normal
Clinical narrative: 11/15/07 - high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing, trouble walking, 11/17/07 ambulance to ER, collapsed when tried to stand, hospitalization, could not walk within 2-3 days, said had pneumonia and viral infection, have physical therapy since then to go from wheel chair, to walker and now trying to go to cane. Still cannot stand but short time or walk but short distances with aid, can't bend, constant pain shoulders to feet, have trouble bathing and dressing, some numbness that comes and goes, need help with preparing food, have tremors, been to numerous doctors diagnosed with Guillian Barre Syndrome by Dr. at Medical Center and Dr. of Neurology.  Sensory AIDP GBS.Records received 10/8/09, Date of Service: 9/10/09  Date of Assessment 9/10/09, Follow up Neuro consult:  Findings most compatible with a predominantly sensory variant of Guillian-Barre Syndrome (GBS) with residual persistent neuropathic pain likely secondary to that process with some contribution from an underlying diabetic polyneuropathy.    On 11/15/07 patient experienced high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing and trouble walking.  On 11/17/07 seen in the ER where he collapsed upon trying to stand.  Hospitalized and could not walk within 2-3 days.  Was said to have pneumonia and a viral infection.  He is still unable to stand for long, or walk long distances.  He cannot bend.  C/O constant pain from shoulders to feet.Has trouble with ADL's.  He has numbness that comes and goes as well as tremors.  He was hospitalized for 5 days.  Has been diagnosed by numerous doctors with GBS or Sensory AIDP GBS.  He was treated with IVIG twice a week for one month.  Current review of systems is significant for poor energy, fatigue, change in appetite, joint pain, joint swelling, weakness, back and neck pain, insomnia, poor balance, numbness and tingling and tremors.    10/12/09 Medical records received for Neurology consults from date range 3/3/08 to 6/2/09. DX 3/3/08 Leg weakness, some parethesias, lower extremity weakness greater than upper extremity weakness, preserved reflexes. Impression:Could have GBS verses CIDP.  Primary symptoms: weakness in legs. 3/18/09 Neurological consult f/u: DX: weakness and gait disturbance. Impression: Not consistent with CIDP or GBS. SX: weakness in lower extremities.  6/26/08 and 12/3/08 No change in DX/Impression from previous visit.  SX: F/U visits for leg weakness pain increasing up to shoulders. Pt now using wheelchair. Pt stated has had extensive workup including IVIG treatment. 3/3/09 DX/Impression: not clear what problem is, it still has a flavor of CIDP.  SX: weakness and pain still, rib pain, right leg stronger than left. Walking with cane and walker.  6/2/09 F/U Impression: pt doing somewhat better. SX: some increase in strength noted in lower extremities.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Computerised tomogram normal, Diarrhoea, Dyspnoea, Dysstasia, Electromyogram abnormal
Clinical narrative: 11/15/07 - high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing, trouble walking, 11/17/07 ambulance to ER, collapsed when tried to stand, hospitalization, could not walk within 2-3 days, said had pneumonia and viral infection, have physical therapy since then to go from wheel chair, to walker and now trying to go to cane. Still cannot stand but short time or walk but short distances with aid, can't bend, constant pain shoulders to feet, have trouble bathing and dressing, some numbness that comes and goes, need help with preparing food, have tremors, been to numerous doctors diagnosed with Guillian Barre Syndrome by Dr. at Medical Center and Dr. of Neurology.  Sensory AIDP GBS.Records received 10/8/09, Date of Service: 9/10/09  Date of Assessment 9/10/09, Follow up Neuro consult:  Findings most compatible with a predominantly sensory variant of Guillian-Barre Syndrome (GBS) with residual persistent neuropathic pain likely secondary to that process with some contribution from an underlying diabetic polyneuropathy.    On 11/15/07 patient experienced high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing and trouble walking.  On 11/17/07 seen in the ER where he collapsed upon trying to stand.  Hospitalized and could not walk within 2-3 days.  Was said to have pneumonia and a viral infection.  He is still unable to stand for long, or walk long distances.  He cannot bend.  C/O constant pain from shoulders to feet.Has trouble with ADL's.  He has numbness that comes and goes as well as tremors.  He was hospitalized for 5 days.  Has been diagnosed by numerous doctors with GBS or Sensory AIDP GBS.  He was treated with IVIG twice a week for one month.  Current review of systems is significant for poor energy, fatigue, change in appetite, joint pain, joint swelling, weakness, back and neck pain, insomnia, poor balance, numbness and tingling and tremors.    10/12/09 Medical records received for Neurology consults from date range 3/3/08 to 6/2/09. DX 3/3/08 Leg weakness, some parethesias, lower extremity weakness greater than upper extremity weakness, preserved reflexes. Impression:Could have GBS verses CIDP.  Primary symptoms: weakness in legs. 3/18/09 Neurological consult f/u: DX: weakness and gait disturbance. Impression: Not consistent with CIDP or GBS. SX: weakness in lower extremities.  6/26/08 and 12/3/08 No change in DX/Impression from previous visit.  SX: F/U visits for leg weakness pain increasing up to shoulders. Pt now using wheelchair. Pt stated has had extensive workup including IVIG treatment. 3/3/09 DX/Impression: not clear what problem is, it still has a flavor of CIDP.  SX: weakness and pain still, rib pain, right leg stronger than left. Walking with cane and walker.  6/2/09 F/U Impression: pt doing somewhat better. SX: some increase in strength noted in lower extremities.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Gait disturbance, Guillain-Barre syndrome, Headache, Hypoaesthesia, Immunoglobulins normal
Clinical narrative: 11/15/07 - high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing, trouble walking, 11/17/07 ambulance to ER, collapsed when tried to stand, hospitalization, could not walk within 2-3 days, said had pneumonia and viral infection, have physical therapy since then to go from wheel chair, to walker and now trying to go to cane. Still cannot stand but short time or walk but short distances with aid, can't bend, constant pain shoulders to feet, have trouble bathing and dressing, some numbness that comes and goes, need help with preparing food, have tremors, been to numerous doctors diagnosed with Guillian Barre Syndrome by Dr. at Medical Center and Dr. of Neurology.  Sensory AIDP GBS.Records received 10/8/09, Date of Service: 9/10/09  Date of Assessment 9/10/09, Follow up Neuro consult:  Findings most compatible with a predominantly sensory variant of Guillian-Barre Syndrome (GBS) with residual persistent neuropathic pain likely secondary to that process with some contribution from an underlying diabetic polyneuropathy.    On 11/15/07 patient experienced high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing and trouble walking.  On 11/17/07 seen in the ER where he collapsed upon trying to stand.  Hospitalized and could not walk within 2-3 days.  Was said to have pneumonia and a viral infection.  He is still unable to stand for long, or walk long distances.  He cannot bend.  C/O constant pain from shoulders to feet.Has trouble with ADL's.  He has numbness that comes and goes as well as tremors.  He was hospitalized for 5 days.  Has been diagnosed by numerous doctors with GBS or Sensory AIDP GBS.  He was treated with IVIG twice a week for one month.  Current review of systems is significant for poor energy, fatigue, change in appetite, joint pain, joint swelling, weakness, back and neck pain, insomnia, poor balance, numbness and tingling and tremors.    10/12/09 Medical records received for Neurology consults from date range 3/3/08 to 6/2/09. DX 3/3/08 Leg weakness, some parethesias, lower extremity weakness greater than upper extremity weakness, preserved reflexes. Impression:Could have GBS verses CIDP.  Primary symptoms: weakness in legs. 3/18/09 Neurological consult f/u: DX: weakness and gait disturbance. Impression: Not consistent with CIDP or GBS. SX: weakness in lower extremities.  6/26/08 and 12/3/08 No change in DX/Impression from previous visit.  SX: F/U visits for leg weakness pain increasing up to shoulders. Pt now using wheelchair. Pt stated has had extensive workup including IVIG treatment. 3/3/09 DX/Impression: not clear what problem is, it still has a flavor of CIDP.  SX: weakness and pain still, rib pain, right leg stronger than left. Walking with cane and walker.  6/2/09 F/U Impression: pt doing somewhat better. SX: some increase in strength noted in lower extremities.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Lumbar puncture abnormal, Nerve conduction studies abnormal, Pain, Pneumonia, Positron emission tomogram normal
Clinical narrative: 11/15/07 - high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing, trouble walking, 11/17/07 ambulance to ER, collapsed when tried to stand, hospitalization, could not walk within 2-3 days, said had pneumonia and viral infection, have physical therapy since then to go from wheel chair, to walker and now trying to go to cane. Still cannot stand but short time or walk but short distances with aid, can't bend, constant pain shoulders to feet, have trouble bathing and dressing, some numbness that comes and goes, need help with preparing food, have tremors, been to numerous doctors diagnosed with Guillian Barre Syndrome by Dr. at Medical Center and Dr. of Neurology.  Sensory AIDP GBS.Records received 10/8/09, Date of Service: 9/10/09  Date of Assessment 9/10/09, Follow up Neuro consult:  Findings most compatible with a predominantly sensory variant of Guillian-Barre Syndrome (GBS) with residual persistent neuropathic pain likely secondary to that process with some contribution from an underlying diabetic polyneuropathy.    On 11/15/07 patient experienced high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing and trouble walking.  On 11/17/07 seen in the ER where he collapsed upon trying to stand.  Hospitalized and could not walk within 2-3 days.  Was said to have pneumonia and a viral infection.  He is still unable to stand for long, or walk long distances.  He cannot bend.  C/O constant pain from shoulders to feet.Has trouble with ADL's.  He has numbness that comes and goes as well as tremors.  He was hospitalized for 5 days.  Has been diagnosed by numerous doctors with GBS or Sensory AIDP GBS.  He was treated with IVIG twice a week for one month.  Current review of systems is significant for poor energy, fatigue, change in appetite, joint pain, joint swelling, weakness, back and neck pain, insomnia, poor balance, numbness and tingling and tremors.    10/12/09 Medical records received for Neurology consults from date range 3/3/08 to 6/2/09. DX 3/3/08 Leg weakness, some parethesias, lower extremity weakness greater than upper extremity weakness, preserved reflexes. Impression:Could have GBS verses CIDP.  Primary symptoms: weakness in legs. 3/18/09 Neurological consult f/u: DX: weakness and gait disturbance. Impression: Not consistent with CIDP or GBS. SX: weakness in lower extremities.  6/26/08 and 12/3/08 No change in DX/Impression from previous visit.  SX: F/U visits for leg weakness pain increasing up to shoulders. Pt now using wheelchair. Pt stated has had extensive workup including IVIG treatment. 3/3/09 DX/Impression: not clear what problem is, it still has a flavor of CIDP.  SX: weakness and pain still, rib pain, right leg stronger than left. Walking with cane and walker.  6/2/09 F/U Impression: pt doing somewhat better. SX: some increase in strength noted in lower extremities.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Syncope, Tremor, Ultrasound scan normal, Urine analysis normal
Clinical narrative: 11/15/07 - high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing, trouble walking, 11/17/07 ambulance to ER, collapsed when tried to stand, hospitalization, could not walk within 2-3 days, said had pneumonia and viral infection, have physical therapy since then to go from wheel chair, to walker and now trying to go to cane. Still cannot stand but short time or walk but short distances with aid, can't bend, constant pain shoulders to feet, have trouble bathing and dressing, some numbness that comes and goes, need help with preparing food, have tremors, been to numerous doctors diagnosed with Guillian Barre Syndrome by Dr. at Medical Center and Dr. of Neurology.  Sensory AIDP GBS.Records received 10/8/09, Date of Service: 9/10/09  Date of Assessment 9/10/09, Follow up Neuro consult:  Findings most compatible with a predominantly sensory variant of Guillian-Barre Syndrome (GBS) with residual persistent neuropathic pain likely secondary to that process with some contribution from an underlying diabetic polyneuropathy.    On 11/15/07 patient experienced high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing and trouble walking.  On 11/17/07 seen in the ER where he collapsed upon trying to stand.  Hospitalized and could not walk within 2-3 days.  Was said to have pneumonia and a viral infection.  He is still unable to stand for long, or walk long distances.  He cannot bend.  C/O constant pain from shoulders to feet.Has trouble with ADL's.  He has numbness that comes and goes as well as tremors.  He was hospitalized for 5 days.  Has been diagnosed by numerous doctors with GBS or Sensory AIDP GBS.  He was treated with IVIG twice a week for one month.  Current review of systems is significant for poor energy, fatigue, change in appetite, joint pain, joint swelling, weakness, back and neck pain, insomnia, poor balance, numbness and tingling and tremors.    10/12/09 Medical records received for Neurology consults from date range 3/3/08 to 6/2/09. DX 3/3/08 Leg weakness, some parethesias, lower extremity weakness greater than upper extremity weakness, preserved reflexes. Impression:Could have GBS verses CIDP.  Primary symptoms: weakness in legs. 3/18/09 Neurological consult f/u: DX: weakness and gait disturbance. Impression: Not consistent with CIDP or GBS. SX: weakness in lower extremities.  6/26/08 and 12/3/08 No change in DX/Impression from previous visit.  SX: F/U visits for leg weakness pain increasing up to shoulders. Pt now using wheelchair. Pt stated has had extensive workup including IVIG treatment. 3/3/09 DX/Impression: not clear what problem is, it still has a flavor of CIDP.  SX: weakness and pain still, rib pain, right leg stronger than left. Walking with cane and walker.  6/2/09 F/U Impression: pt doing somewhat better. SX: some increase in strength noted in lower extremities.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Viral infection, Vision blurred, Walking aid user, Wheelchair user, X-ray normal
Clinical narrative: 11/15/07 - high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing, trouble walking, 11/17/07 ambulance to ER, collapsed when tried to stand, hospitalization, could not walk within 2-3 days, said had pneumonia and viral infection, have physical therapy since then to go from wheel chair, to walker and now trying to go to cane. Still cannot stand but short time or walk but short distances with aid, can't bend, constant pain shoulders to feet, have trouble bathing and dressing, some numbness that comes and goes, need help with preparing food, have tremors, been to numerous doctors diagnosed with Guillian Barre Syndrome by Dr. at Medical Center and Dr. of Neurology.  Sensory AIDP GBS.Records received 10/8/09, Date of Service: 9/10/09  Date of Assessment 9/10/09, Follow up Neuro consult:  Findings most compatible with a predominantly sensory variant of Guillian-Barre Syndrome (GBS) with residual persistent neuropathic pain likely secondary to that process with some contribution from an underlying diabetic polyneuropathy.    On 11/15/07 patient experienced high fever, severe headache, shaking chills, diarrhea, weakness, blurred vision, trouble breathing and trouble walking.  On 11/17/07 seen in the ER where he collapsed upon trying to stand.  Hospitalized and could not walk within 2-3 days.  Was said to have pneumonia and a viral infection.  He is still unable to stand for long, or walk long distances.  He cannot bend.  C/O constant pain from shoulders to feet.Has trouble with ADL's.  He has numbness that comes and goes as well as tremors.  He was hospitalized for 5 days.  Has been diagnosed by numerous doctors with GBS or Sensory AIDP GBS.  He was treated with IVIG twice a week for one month.  Current review of systems is significant for poor energy, fatigue, change in appetite, joint pain, joint swelling, weakness, back and neck pain, insomnia, poor balance, numbness and tingling and tremors.    10/12/09 Medical records received for Neurology consults from date range 3/3/08 to 6/2/09. DX 3/3/08 Leg weakness, some parethesias, lower extremity weakness greater than upper extremity weakness, preserved reflexes. Impression:Could have GBS verses CIDP.  Primary symptoms: weakness in legs. 3/18/09 Neurological consult f/u: DX: weakness and gait disturbance. Impression: Not consistent with CIDP or GBS. SX: weakness in lower extremities.  6/26/08 and 12/3/08 No change in DX/Impression from previous visit.  SX: F/U visits for leg weakness pain increasing up to shoulders. Pt now using wheelchair. Pt stated has had extensive workup including IVIG treatment. 3/3/09 DX/Impression: not clear what problem is, it still has a flavor of CIDP.  SX: weakness and pain still, rib pain, right leg stronger than left. Walking with cane and walker.  6/2/09 F/U Impression: pt doing somewhat better. SX: some increase in strength noted in lower extremities.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash developed under arms and on trunk on 9-26-09 after received Influenza vaccine on 9-25-09. Rash seems to be "drying up".
Age: 2.0
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Intestinal functional disorder, Rash generalised
Clinical narrative: Mother called on 9/17/2009 left message stating "child broke out in red rash head to toe and bowels swollen after receiving vaccines on 9/16/2009."  Mother says child would not eat and was crying and hurting to stomach approx. 8 pm on 9/16/09 so she took him to ER and they found the rash on his body and told her his bowels were swollen.  ER did not give any treatment to this patient.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Prolonged fever 104 to 104.8 started on day of immunizations for 1 week.Monitor and treat with tylenol and ibuprofen, follow up office visit the day of and 4-1-09. Follow up phone calls.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hyperaesthesia, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient woke up on 9/19/2009 with upper arm very sensitive.  As the day progressed, upper arm got warm, red and swollen (in the area where the shot was adminsitered).  Patient seen by provate MD on 9/20/2009 put on prednisone 4mg x 6 doses in decreasing doses (Sun - 24mg, Mon - 20mg, Tues - 16mg, Wed - 12mg, Fri. - 8mg, Sat- 4mg. Then D/C).
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Computerised tomogram, Laboratory test, Muscular weakness, Pulmonary embolism
Clinical narrative: Patient had mulitple ER visits and admissions.  Pt with pulmonary embolus, muscle weakness and arthritic type pain.  10/5/09 Hospital records, discharge summary, ER visits, service dates 1/3/09 to 1/9/09. Assessment: Pulmonary embolism, generalized weakness, insomnia. Patient relates recent hx of leg pains and weakness in extremities. PCP suspected GBS and referred to ER but patient refused. Developed dry cough. Patient now presents with 1 week history of generalized weakness and 1 day of palpitations. Heart rate of 100 to 110. Right ankle swelling.  Returns to ER with fever and bilateral ear pain.  Assessment: Sinusitis, fever, elevated liver enzymes. General myalgias, nasal congestion, and mild facial discomfort.  ICD-9 Codes: 780.60 Fever unspecified, 794.8 ABN Liver Function Study, 401.9 Hypertension NOS, V12.51 HX-Ven Thrombus/Embolus, 272.4 Hyperlipidemia NEC/NOS, 427.0 Parox Atrial Tachycardia, 401.9 Pulmonary Embolism/Infarct, 780.79 Other Malaise & Fatigue, 272.0 Hypercholesterolemia, 716.95 Arthropathy NOS-Pelvis, 780.53 Insomnia Unspecified.   12/07/09 ED notes for DOS 01/19/09: DX: Fever of unknown origin, pulmonary embolism, hypertension, and transient muscle weakness. Pt presented with ho fever for 2 wks, tachycardia, tachypneic, weak and pale. At the time of ED visit, Pt's temperature was normal due to Pt taking Advil. On examination: sinus pressure, Pt looking very ill.  Tx: Vancomycin and Zosyn.   12/07/09 DC summary for DOS 01/21/09  01/28/09 Final DX: Pulmonary embolism, hypertension, fever, coagulopathy. Pt presented with fevers of unknown origin and fatigue. Pt r/o for infectious disease. Pt believed to have microcytic anemia. Tx; Coumadin, Lovenox.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Ultrasound scan
Clinical narrative: Patient had mulitple ER visits and admissions.  Pt with pulmonary embolus, muscle weakness and arthritic type pain.  10/5/09 Hospital records, discharge summary, ER visits, service dates 1/3/09 to 1/9/09. Assessment: Pulmonary embolism, generalized weakness, insomnia. Patient relates recent hx of leg pains and weakness in extremities. PCP suspected GBS and referred to ER but patient refused. Developed dry cough. Patient now presents with 1 week history of generalized weakness and 1 day of palpitations. Heart rate of 100 to 110. Right ankle swelling.  Returns to ER with fever and bilateral ear pain.  Assessment: Sinusitis, fever, elevated liver enzymes. General myalgias, nasal congestion, and mild facial discomfort.  ICD-9 Codes: 780.60 Fever unspecified, 794.8 ABN Liver Function Study, 401.9 Hypertension NOS, V12.51 HX-Ven Thrombus/Embolus, 272.4 Hyperlipidemia NEC/NOS, 427.0 Parox Atrial Tachycardia, 401.9 Pulmonary Embolism/Infarct, 780.79 Other Malaise & Fatigue, 272.0 Hypercholesterolemia, 716.95 Arthropathy NOS-Pelvis, 780.53 Insomnia Unspecified.   12/07/09 ED notes for DOS 01/19/09: DX: Fever of unknown origin, pulmonary embolism, hypertension, and transient muscle weakness. Pt presented with ho fever for 2 wks, tachycardia, tachypneic, weak and pale. At the time of ED visit, Pt's temperature was normal due to Pt taking Advil. On examination: sinus pressure, Pt looking very ill.  Tx: Vancomycin and Zosyn.   12/07/09 DC summary for DOS 01/21/09  01/28/09 Final DX: Pulmonary embolism, hypertension, fever, coagulopathy. Pt presented with fevers of unknown origin and fatigue. Pt r/o for infectious disease. Pt believed to have microcytic anemia. Tx; Coumadin, Lovenox.
Age: 5.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Within 48 hours of receiving nasal mist:  headaches, fever 100-101, stomach pain, sore throat, aches.  Our daughter is one of SIX children ages 10-14 on our BLOCK who had the same symptoms within 24 hours of getting vaccinated.
Age: 24.0
Sex: F
Vaccine: FLUN3
Symptoms: Dizziness, Nausea, Presyncope, Pruritus, Vomiting
Clinical narrative: Patient c/o mild dizziness, nausea 10 minutes after FluMist administration.  Patient had one episode of vomiting 40 minutes post FluMist Vaccination.  Patient indicated she had some initial transient itching on chest and arms which resolved within minutes.  Denied SOB, blackout, tight throat, chest pain, itching, rash, or any other symptoms.  Symptoms of dizziness and nausea resolved within the hour with bed rest.  Provider stated symptoms consistent with vasovagal phenomenon following vaccination with FluMist.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Eyelid oedema, Headache, Lip swelling, Throat irritation, Throat tightness
Clinical narrative: Pt reported thigtness in throat approx. 1 hour after vaccine given.  Then lip swelling and eye lid swelling within the next 30 minutes.  Also throat scratchy and headache. She talked to a friend that is a nurse and was told to take benadryl.  The pt took the benadryl and noted an improvment in symptoms.  Didn't see a MD.  I saw the pt on 9-25-09 and symptoms were not noted.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiac function test abnormal, Chest discomfort, Cough, Headache, Influenza like illness
Clinical narrative: Patient vaccinated 10 September 2009.  Patient reported with flu like symptoms (myalgia, low grade fever, headache) 7 days later, then complained of chest tightness and heavy pressure lasting continuously for several days that was worse with breathing and coughing four days later.  Patient receives Indomethacin 25mg po TID, and Omeprazole 20mg po QD.  He was started on lovenox, asa & integrillin during ICU admittance. 10/2/09 Hospital records received DOS 9/23/09 to 9/25/09 Assessment: Vaccine-Induced Myocarditis. Patient reports substernal chest pain. Flu-like symptoms, myalgia/low grade fever. Several days of chest tightness or pressure, worse with breathing and coughing.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Intensive care, Myalgia, Pyrexia
Clinical narrative: Patient vaccinated 10 September 2009.  Patient reported with flu like symptoms (myalgia, low grade fever, headache) 7 days later, then complained of chest tightness and heavy pressure lasting continuously for several days that was worse with breathing and coughing four days later.  Patient receives Indomethacin 25mg po TID, and Omeprazole 20mg po QD.  He was started on lovenox, asa & integrillin during ICU admittance. 10/2/09 Hospital records received DOS 9/23/09 to 9/25/09 Assessment: Vaccine-Induced Myocarditis. Patient reports substernal chest pain. Flu-like symptoms, myalgia/low grade fever. Several days of chest tightness or pressure, worse with breathing and coughing.
Age: 19.0
Sex: M
Vaccine: FLUN3
Symptoms: Dizziness, Headache, Nausea, Presyncope, Vomiting
Clinical narrative: Patient c/o mild dizziness with nausea and one episode of vomiting following FluMist vaccination.  Dizziness and nausea occurred about 15 minutes post vaccination.  Vomiting episode was approximately 50 minutes post vaccination.  Patient denied SOB, blackout, tight throat, chest pain, itching, rash, or any other symptoms.  Symptoms of dizziness and nausea resolved within the hour with bed rest, but a mild 2/10 dull, throbbing headache remained which is consistent with his typical headaches patient experiences.  Physician states symptoms consistent with vasovagal phenomenon following vaccination with FluMist.
Age: 19.0
Sex: F
Vaccine: HEP, HPV4, IPV, MNQ
Symptoms: Dizziness, Injection site pain, Pyrexia
Clinical narrative: PT CALLED TO REPORT PAIN AT INJECTION SITE, FEVERS (DID NOT MEASURE TEMP WITH A THERMOMETER) AND DIZZINESS.  HAS BEEN RESTING IN BED, TAKING ADVIL PRN, AND PUSHING FLUIDS.  DENIES CONCURRENT FLULIKE SYMPTOMS.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity
Clinical narrative: Pt had a severe localized allergic reaction
Age: 0.63
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient was seen on 25 Sept 2009 due to hives 3 days afer receiving Fluzone Free 6-35 months.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed a half dollar sized red, swollen area at injection site
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Nausea, Vomiting
Clinical narrative: The day after recieving the vacine the patient experience nausea, vomiting and a temp of 103 degrees F. Spoke with PCP and was confident it was from the vaccine
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Malaise, Migraine, Nausea, Oropharyngeal pain
Clinical narrative: I received my flu shot at approximately 9:00am on 9/26/09. I had no illness at the time of the vaccination. About 10 seconds after the vaccination I developed mild nausea and a mild non-migraine headache. About 2 hours later I developed a sore throat. That same day the nausea and headache subsided. Later that same day and all day on 9/27 I had severe malaise. On 9/28/09 I developed a migraine. I took acetaminophen (TYLENOL) for treatment on 9/26 and 9/27, and I took 2 ibuprofen (ADVIL) tablets on 9/28. I still have a migraine.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Syncope
Clinical narrative: After administering vaccination the guest was standing at the counter, feeling light-headed and proceeded to faint, recover a few seconds later and proceed to faint again.
Sex: U
Vaccine: FLUX
Symptoms: Asthenia, Chest X-ray, Chills, Cough, Dysphonia
Clinical narrative: DEVELOPED FEVER, ACHES, HEADACHE, COUGH, HOARSENESS, CHILLS, FATIQUE, 0 ENERGY. TIMEFRAME WITHIN 12 HOURS. CALLED MY DR AND THEY TOLD ME TO TAKE TYLENOL AND ETC AND IF I FELT WORSE GO TO THE EMERGENCY ROOM. NEVER GOT ANY BETTER CALLED MY DR AGAIN-NO HELP. i WOUND UP GOING TO CLINIC AND GOT EXAMINED AND THEY PUT ME ON ANTIBIOTIC LEVAQUIN --TOOK SEVERAL TESTS NEGATIVE FOR FLU--CHEST XRAY NEGATIVE FOR PNEUMONIA. I WAS FINE UNTIL I TOOK THE FLU SHOT.
Sex: U
Vaccine: FLUX
Symptoms: Fatigue, Headache, Laboratory test, Pain, Pyrexia
Clinical narrative: DEVELOPED FEVER, ACHES, HEADACHE, COUGH, HOARSENESS, CHILLS, FATIQUE, 0 ENERGY. TIMEFRAME WITHIN 12 HOURS. CALLED MY DR AND THEY TOLD ME TO TAKE TYLENOL AND ETC AND IF I FELT WORSE GO TO THE EMERGENCY ROOM. NEVER GOT ANY BETTER CALLED MY DR AGAIN-NO HELP. i WOUND UP GOING TO CLINIC AND GOT EXAMINED AND THEY PUT ME ON ANTIBIOTIC LEVAQUIN --TOOK SEVERAL TESTS NEGATIVE FOR FLU--CHEST XRAY NEGATIVE FOR PNEUMONIA. I WAS FINE UNTIL I TOOK THE FLU SHOT.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Patient received the vaccine on 9/24/2009.  She returned 24 hours later with redness surrounding the injection site. The area was warm to the touch. Patient reported severe itching at the site starting 6-8hours after the injection.  Following our advise, she followed up at an urgent care clinic.  The clinic prescribed an antibiotic and endorsed our recommendation to try diphenhydramine.  Upon follow-up on 9/28, she had not take the antibiotic or diphenhydramine due Krohn's disease.
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: Body temperature increased, Fatigue, Induration, Influenza like illness, Injection site erythema
Clinical narrative: 09/25 - awoke with flu-like symptoms, body aches, extreme fatigue, and redness, pain, and swelling in upper arm site   09/26  - flu-like symptoms continued, body aches, increasing fatigue - "dragged self out of bed", temp of 99.9, increased redness and swelling of arm site, 09/27 no aches, still fatigue, temp 99.7, on 09/28 arm still hot, red, hard, swollen, no temp, no body aches, but still quite fatigued
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Pain, Skin warm
Clinical narrative: 09/25 - awoke with flu-like symptoms, body aches, extreme fatigue, and redness, pain, and swelling in upper arm site   09/26  - flu-like symptoms continued, body aches, increasing fatigue - "dragged self out of bed", temp of 99.9, increased redness and swelling of arm site, 09/27 no aches, still fatigue, temp 99.7, on 09/28 arm still hot, red, hard, swollen, no temp, no body aches, but still quite fatigued
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: 4 hours after vaccine administration, opposite arm became red and swollen. Later, injection side became swollen and red. Seen in ER, prescribed Benadryl and Solumedrol.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever and urticaria developed 2 days after administration of FluMist.