chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Muscle spasms, Musculoskeletal pain, Retching, Tremor, Vomiting
Clinical narrative: Severe shoulder pain, frozen shoulder, nearly fainted multiple times, profuse sweating, chills, muscle cramps in hands and one calf, dry heaves, vomit, shakiness,big BM. Husband fanned me, put cool rag on head and neck, called sister who is an RN and took two Advil every two hours.Went back to bed for several hours often getting up with the same symptoms minus the BM.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse reactions.  Immunization took place in Child Care Center.  Child care provider brought child to me to immunize and I administered inactivated H1N1 vaccine.  Received call from Child Care Provider approximately an hour later that she had "brought the wrong patient" and that there was a second patient who had given consent for the H1N1 vaccine.  I called patient's primary care provider who informed me that she had already received two doses of LAIV H1N1 - 10/15/09 and 11/11/09.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Incorrect dose administered
Clinical narrative: Realized that pregnant 30 year old patient had received 2 H1N1 vaccines.12/02/09 Medical records received.  OB records for date range 10/10-12/12. EDC 12/28/09.  + fetal movement.    .
Age: 41.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Balance disorder, Headache, Laboratory test normal, Muscle spasms, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Increasing headaches. Vision altered L eye not tracking 2 right eye. Balance off L pupil larger than right multiple muscle cramps.
Age: 41.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pupils unequal, Visual impairment
Clinical narrative: Increasing headaches. Vision altered L eye not tracking 2 right eye. Balance off L pupil larger than right multiple muscle cramps.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Flushing, Pruritus, Rash, Vaccination complication
Clinical narrative: Pt. stated adverse event onset 24 hrs post vaccination.  Pt seen for unrealated medical follow-up on 11/18/09 @ 13:30.  No signs or symptoms of adverse reaction noted by PA. Pt did not report any adverse reactions.  Pt also seen by in-house phlebotomist on 11/20/09 at 08:00.  No signs or symptoms seen by phlebotomist or reported by Pt during venipuncture. Pt was seen by PA on 11/25/09 at 09:30 for vaccination reaction. Symptoms included flushing, itchy, rash spreading from upper chest to neck and lower face, jaw.  Pt states this presentation was improved from earlier. Exact date referred to is unknown. Pt stated onset was 24 hours after injection. Treated w/ Vistaril, 50mg, IM.  Advised to use OTC Benadryl 25 to 50mg and return to clinic or ED if symptoms worsen.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUN(H1N1), MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash, Skin warm
Clinical narrative: Red irregular rash; diffusely... itching and warm; no treatment.
Age: 50.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Back pain, Blood test normal, Herpes zoster
Clinical narrative: Back pain 11/16 - 11/19. Shingles appeared 11/20. Valtrex presc by Dr. 11/23/09. Just had blood work all ok, not under stress, not sick.  Is there any connect or other reports of persons getting shingles from the H1N1 Flu "Injection". I understand anyone can get them that has had pocks but I find this a little suspicious with the timing of my outbreak.  Thank you.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Swelling face, Urticaria
Clinical narrative: HIVES AND FACIAL SWELLING.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Rash generalised
Clinical narrative: Mom states pt started with redness at injection site and then rash started on trunk and spread "pretty much" all over body.  Would go away with Benadryl and return with in a few hours.  Pt still had rash at office visit on 11/25.
Age: 4.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Immediate post-injection reaction, Pyrexia
Clinical narrative: Fever immediately after the H1N1 Mist that lasted overnight and went away the following morning.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 65.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect route of drug administration, Injection site pain, Pain, Pyrexia
Clinical narrative: Mother called and said her daughter was given a H1N1 flu vaccination in her bicep, not her deltoid. Child had pain at the injection site as a result. Also c/o low-grade fever and body aches on 11/23/09. On 11/24/09 - pain at injection site.
Age: 36.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Flushing, Pruritus
Clinical narrative: Flush, itchy face; Benadryl injection.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye pruritus, Lacrimation increased, Ocular hyperaemia, Rhinorrhoea
Clinical narrative: Eyes, itchy, watery, red. Nose, runny, clear secretion. Up for the past five weeks. Started on Astelin 137 mcg spray. Patanol 0.1% solution started 11/23/09.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Dyspnoea
Clinical narrative: Received H1N1 vaccine, while waiting developed a cough, then progressed to shortness of breath. EMS evaluated. Parent refused transport, EMS escorted out building.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Oropharyngeal pain
Clinical narrative: Pt C/O HA and sore throat.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Asthma, C-reactive protein increased, Dyspnoea, Full blood count, Respiratory distress
Clinical narrative: Pt received FLUMIST H1N1 on 11/20/09 at 7 PM. That evening started having some difficulty breathing that worsened on 11/21. Seen 11/21/09 at ER for respiratory distress. Rx'd as asthmatic. Hospitalized until 11/23/09. 12/02/09 and 12/08/09. Discharge summary, ED and hospital records received for DOS 11/22/09-11/23/09. Pt. presented with respiratory distress and  wheezing which began on 11/21 after receiving vaccination.  Also reported multiple episodes of vomiting.   Symptoms worsened upon awakening and was brought to ED. Treated with nebulizers and  oxygen administration to keep saturations in mid 90's. Admitted to hospital for respiratory management, IV steroids, continued nebulizer treatments, and Tamiflu. Improved and stable at discharge. DC DX: resolved wheezing; history of eczema, suspected allergies
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus, Rash
Clinical narrative: 20 minutes after injection, student complained of mild itching at injection site - slight rash noted. No swelling or pain.
Age: 68.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 29.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal discomfort
Clinical narrative: Rundown, stomach discomfort - felt like someone sat on my chest for 2 days - By day 4 I was recovered - I don't have a spleen I could tell my body was fighting it off.
Age: 58.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache
Clinical narrative: Complaint of bad headache across his forehead. Temperature 98.6. No wheezing or complaint of shortness of breath. Apical 94 BP 124/82 10:10 AM.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abnormal behaviour, Altered state of consciousness
Clinical narrative: Went into a trance. Could not hear, speak, or talk for about 5-10 min. Acted strange and did not know who his family were. Transported to the ER where the doctor said he had seen it before and it had lead to death. Advised parents to watch him for a week.
Age: 49.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Computerised tomogram, Dizziness, Dyskinesia, Echocardiogram, Excessive eye blinking
Clinical narrative: The next two evenings I came home from work exhausted, where I had to rest on the couch all evening.  On the morning of the 23rd I woke up with my right eye not being able to open all the way.  It was blinking frequently too.  Within 45 minutes my right side of my mouth was drawn like I was having a stroke.  An ambulance was called and my blood pressure was high.  At the hospital I was thought to possibly have Bell's palsy.  The next day the tinkling moved to the left.  My left forehead wouldn't wrinkle, my left eye wouldn't blink, and my mouth was drawn.  That puzzled the doctors because it moved to the other side.  They thought I might be experiencing Guillain Barre, but they didn't have a test to find out.  They recommended I start steroids and acyclovir.  Also, they suggested port placement and begin one plasma exchange.  Then the next day they would get me transferred to Hospital for a Blink Test.  At 12:15Am on Oct. 26 I was admitted to hospital.  They immediately said I didn't have GBS, but had bilateral Bell's palsy.  I was finally diagnosed with left side Bell's Palsy.  On Nov. 6 I started getting dizzy and nausea set in (vertigo).  I was treated with medi meclizine and ondansetron.  Then when that didn't take care of it I was put on transderm.  I am still experiencing problems.  I have a follow-up appointment on Dec. 3 at hospital.  I was asked to also put my influenza Oct. 7 notes here: Glaxo-Smith-Kline AFLUA460BA and CPT CODE: 90658.  12/02/09 DC summary for DOS 11/26/09-11/28/09 Final DX: L Bell's palsy, anxiety, essential HTA   Pt c/o R side sensory symptoms.  Pt has droopy face and partial numbness of L side. Bell's palsy confirmed. Pt had left facial twitching. GBS ruled out. tx: steroids, acyclovir.
Age: 49.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Eye movement disorder, Facial palsy, Fatigue, Hypertension, Lumbar puncture
Clinical narrative: The next two evenings I came home from work exhausted, where I had to rest on the couch all evening.  On the morning of the 23rd I woke up with my right eye not being able to open all the way.  It was blinking frequently too.  Within 45 minutes my right side of my mouth was drawn like I was having a stroke.  An ambulance was called and my blood pressure was high.  At the hospital I was thought to possibly have Bell's palsy.  The next day the tinkling moved to the left.  My left forehead wouldn't wrinkle, my left eye wouldn't blink, and my mouth was drawn.  That puzzled the doctors because it moved to the other side.  They thought I might be experiencing Guillain Barre, but they didn't have a test to find out.  They recommended I start steroids and acyclovir.  Also, they suggested port placement and begin one plasma exchange.  Then the next day they would get me transferred to Hospital for a Blink Test.  At 12:15Am on Oct. 26 I was admitted to hospital.  They immediately said I didn't have GBS, but had bilateral Bell's palsy.  I was finally diagnosed with left side Bell's Palsy.  On Nov. 6 I started getting dizzy and nausea set in (vertigo).  I was treated with medi meclizine and ondansetron.  Then when that didn't take care of it I was put on transderm.  I am still experiencing problems.  I have a follow-up appointment on Dec. 3 at hospital.  I was asked to also put my influenza Oct. 7 notes here: Glaxo-Smith-Kline AFLUA460BA and CPT CODE: 90658.  12/02/09 DC summary for DOS 11/26/09-11/28/09 Final DX: L Bell's palsy, anxiety, essential HTA   Pt c/o R side sensory symptoms.  Pt has droopy face and partial numbness of L side. Bell's palsy confirmed. Pt had left facial twitching. GBS ruled out. tx: steroids, acyclovir.
Age: 49.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Nausea, Paraesthesia, Vertigo
Clinical narrative: The next two evenings I came home from work exhausted, where I had to rest on the couch all evening.  On the morning of the 23rd I woke up with my right eye not being able to open all the way.  It was blinking frequently too.  Within 45 minutes my right side of my mouth was drawn like I was having a stroke.  An ambulance was called and my blood pressure was high.  At the hospital I was thought to possibly have Bell's palsy.  The next day the tinkling moved to the left.  My left forehead wouldn't wrinkle, my left eye wouldn't blink, and my mouth was drawn.  That puzzled the doctors because it moved to the other side.  They thought I might be experiencing Guillain Barre, but they didn't have a test to find out.  They recommended I start steroids and acyclovir.  Also, they suggested port placement and begin one plasma exchange.  Then the next day they would get me transferred to Hospital for a Blink Test.  At 12:15Am on Oct. 26 I was admitted to hospital.  They immediately said I didn't have GBS, but had bilateral Bell's palsy.  I was finally diagnosed with left side Bell's Palsy.  On Nov. 6 I started getting dizzy and nausea set in (vertigo).  I was treated with medi meclizine and ondansetron.  Then when that didn't take care of it I was put on transderm.  I am still experiencing problems.  I have a follow-up appointment on Dec. 3 at hospital.  I was asked to also put my influenza Oct. 7 notes here: Glaxo-Smith-Kline AFLUA460BA and CPT CODE: 90658.  12/02/09 DC summary for DOS 11/26/09-11/28/09 Final DX: L Bell's palsy, anxiety, essential HTA   Pt c/o R side sensory symptoms.  Pt has droopy face and partial numbness of L side. Bell's palsy confirmed. Pt had left facial twitching. GBS ruled out. tx: steroids, acyclovir.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1), FLUN3
Symptoms: Incorrect dose administered
Clinical narrative: RECEIVED 0.25ML OF H1N1 VACCINE INSTEAD OF 0.5ML. THIS WAS BOOSTER DOSE.  PER SANOFI, IT ISN'T NECESSARY TO REDOSE.
Age: 11.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives & Welts all over his body. Went to the Doctor 2 times. Treated by steroids and Benadryl.
Age: 8.0
Sex: M
Vaccine: FLUX
Symptoms: Oedema peripheral
Clinical narrative: Patient received flu shot on LA, swelling on left arm began the next day without fevers per father. Edema of whole (L) arm.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chest discomfort, Hypoaesthesia, Hypokinesia, Muscle tightness
Clinical narrative: Severe throbbing pain down L. arm to fingers, numbness and weakness in L. arm and hand, severe pain L. shoulder, L. neck, upper L. back, tightness in L. neck and L. chest. Pain and limitation in range of motion L. arm and shoulder.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Musculoskeletal pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Severe throbbing pain down L. arm to fingers, numbness and weakness in L. arm and hand, severe pain L. shoulder, L. neck, upper L. back, tightness in L. neck and L. chest. Pain and limitation in range of motion L. arm and shoulder.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Eye pruritus, Paraesthesia oral, Rash generalised
Clinical narrative: Fine red rash all over 11/23/09 at 1200, ongoing, mouth tingling, itchy eyes. Benadryl only for treatment.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Nausea, Syncope, Vision blurred
Clinical narrative: 5 minutes after injections pt states she had blurred vision and nauseous & pt had syncope. Patient had full recovery by 10:40.
Age: 0.38
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Culture stool, Diarrhoea
Clinical narrative: Diarrhea.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Full blood count, Haematochezia, Metabolic function test, Urine analysis
Clinical narrative: Per mom pt developed blood in her stool 2 days after vaccination. Pt was seen in the ER and in our office. Pt's symptoms resolved per mom on 11/25.
Age: 1.03
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Shingles.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Body temperature increased, Diarrhoea, Dyspnoea, Hyperhidrosis
Clinical narrative: Per patient on 11/20/09 started having soft/loose stools sometimes normal stools, low grade temp, perspiring, feels weak, shortness of breath. Manually uses Albuterol inhaler in morning having to use it more. Arm aches down to elbow. Receives the flu shot every year and never had a problem. Hasn't taken anything to treat the symptoms.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Per patient on 11/20/09 started having soft/loose stools sometimes normal stools, low grade temp, perspiring, feels weak, shortness of breath. Manually uses Albuterol inhaler in morning having to use it more. Arm aches down to elbow. Receives the flu shot every year and never had a problem. Hasn't taken anything to treat the symptoms.
Age: 58.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site macule
Clinical narrative: Patient visited pharmacy 11/19/2009 and stated there was still a red spot (approx size of dime) at injection site. Vaccine was given 10/7/09. Referred her to primary physician and told her she could apply either BENADRYL or hydrocortisone cream to injection site.
Age: 58.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema
Clinical narrative: Patient visited pharmacy 11/19/2009 and stated there was still a red spot (approx size of dime) at injection site. Vaccine was given 10/7/09. Referred her to primary physician and told her she could apply either BENADRYL or hydrocortisone cream to injection site.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Pain in extremity, Physiotherapy
Clinical narrative: Arm hurts, she has a hard time lifting it up its painful. MD sent her to physical therapy and nerve test.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Fainted 5 min after HPV vaccine in our office.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: The patient has had no adverse reaction to the shingles vaccination; However, the patient's daughter, age 43, contracted a severe rash on 10/20/09. The daughter subsequently sought care at an Urgent Care Facility and the rash was diagnosed as shingles on 10/30/09. The patient's daughter had recurring pain. The patient had previously been diagnosed with Type II Diabetes, high cholesterol, high blood pressure and osteopenia prior to receiving the vaccination.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1), HEP
Symptoms: Asthenia, Chest pain, Nausea, Vomiting
Clinical narrative: Nausea and felt weak with chest pains and vomiting 5 min after vaccine given. 12/7/09 ER records received for dates 11/23/09. DX: vomiting. Chief c/o weakness, vomiting 2min after H1N1 vax. Pt states received Hep B dose 3 same day. Pt appeared in no distress. Pt states presently feeling fine.  12/14/09 ER records duplicate of 12/7/09 records received.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: No adverse reaction. Pt. will need to get the MMR and varicella repeated. Mother notified.
Age: 2.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Croup infectious, Cyanosis, Laryngeal stenosis, Pyrexia
Clinical narrative: Vaccine H1N1 FLUMIST given 11/13. Pt developed fever and croupy cough 11/14. Symptoms worsened with severe croup and respiratory distress with cyanosis requiring emergency admission and treatment.  12/4/2009 ED/MR records for 11/15-16/2009 patient with c/o's fever, croupy cough, wheezing, poor appetite, runny nose, lethargy, respiratory distress with cyanosis. Tx: resp therapy with nebs, steroids, sx resolved. Dc Dx: Croup
Age: 2.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Respiratory distress, X-ray abnormal
Clinical narrative: Vaccine H1N1 FLUMIST given 11/13. Pt developed fever and croupy cough 11/14. Symptoms worsened with severe croup and respiratory distress with cyanosis requiring emergency admission and treatment.  12/4/2009 ED/MR records for 11/15-16/2009 patient with c/o's fever, croupy cough, wheezing, poor appetite, runny nose, lethargy, respiratory distress with cyanosis. Tx: resp therapy with nebs, steroids, sx resolved. Dc Dx: Croup
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Pregnancy test positive, Urine human chorionic gonadotropin positive
Clinical narrative: Pt was given GARDASIL #2 on 11-17-09. She returned to the clinic on 11/23/09 & had a positive Pregnancy test.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Serum sickness
Clinical narrative: Serum sickness. H1N1 administered at school.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abasia, Blood pressure increased, Burning sensation, Chest pain, Dyspepsia
Clinical narrative: Day 1 - paresthesias hands and feet. Day 2 - weakness left. Day 4 - shallow breathing, continued leg weakness, shortness of breath, fatigue, tremors, burning sensation in arms and legs - unable to ambulate secondary weakness, labile BP - elevated blood pressure with orthostatic hypotension, burning chest/back indigestion - Physical therapy. Placed on blood pressure meds and and reflex.   12/8/09 and 12/9/09 Discharge summary and hospital records received for dates of service 10/27/09 to 10/30/09.  Dx:  Paresthesias of the extremities with hypertension.  Presented with increased weakness of left foot. Tingling of hands and feet, SOB, HA.  Burning of upper arm across face.  Increased heart rate and blood pressure with flushing.  Paresthesias with subjective dyspnea, fatigue.  Feeling of shaking chills with no fever.  IVIg initiated.  GBS eventually ruled out.    12/21/09:  Hospital records received for dates of service 11/3/09 to 11/5/09.  Dx:  Dysautonomia features.  Uncontrolled HTN.  Cannot R/O Conversion D/O.  Multi systematic and symptomatic condition without evidence of objective evidence of neurologic disorder. Presents with hx of dysthesia, involuntary motor movements and spells that evolved after seasonal flu shot and H1N1 injections.  C/o feeling cold, clammy, weak in lower extremities, rapidly migrating numbness and burning sensation from both extremities up toward torso, shoulders and back.  Low grade fever and hot flashes as well as uncontrolled blood pressure.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Fatigue, Hypokalaemia, Hypoventilation, Lumbar puncture
Clinical narrative: Day 1 - paresthesias hands and feet. Day 2 - weakness left. Day 4 - shallow breathing, continued leg weakness, shortness of breath, fatigue, tremors, burning sensation in arms and legs - unable to ambulate secondary weakness, labile BP - elevated blood pressure with orthostatic hypotension, burning chest/back indigestion - Physical therapy. Placed on blood pressure meds and and reflex.   12/8/09 and 12/9/09 Discharge summary and hospital records received for dates of service 10/27/09 to 10/30/09.  Dx:  Paresthesias of the extremities with hypertension.  Presented with increased weakness of left foot. Tingling of hands and feet, SOB, HA.  Burning of upper arm across face.  Increased heart rate and blood pressure with flushing.  Paresthesias with subjective dyspnea, fatigue.  Feeling of shaking chills with no fever.  IVIg initiated.  GBS eventually ruled out.    12/21/09:  Hospital records received for dates of service 11/3/09 to 11/5/09.  Dx:  Dysautonomia features.  Uncontrolled HTN.  Cannot R/O Conversion D/O.  Multi systematic and symptomatic condition without evidence of objective evidence of neurologic disorder. Presents with hx of dysthesia, involuntary motor movements and spells that evolved after seasonal flu shot and H1N1 injections.  C/o feeling cold, clammy, weak in lower extremities, rapidly migrating numbness and burning sensation from both extremities up toward torso, shoulders and back.  Low grade fever and hot flashes as well as uncontrolled blood pressure.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Lumbar puncture normal, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Orthostatic hypotension, Paraesthesia
Clinical narrative: Day 1 - paresthesias hands and feet. Day 2 - weakness left. Day 4 - shallow breathing, continued leg weakness, shortness of breath, fatigue, tremors, burning sensation in arms and legs - unable to ambulate secondary weakness, labile BP - elevated blood pressure with orthostatic hypotension, burning chest/back indigestion - Physical therapy. Placed on blood pressure meds and and reflex.   12/8/09 and 12/9/09 Discharge summary and hospital records received for dates of service 10/27/09 to 10/30/09.  Dx:  Paresthesias of the extremities with hypertension.  Presented with increased weakness of left foot. Tingling of hands and feet, SOB, HA.  Burning of upper arm across face.  Increased heart rate and blood pressure with flushing.  Paresthesias with subjective dyspnea, fatigue.  Feeling of shaking chills with no fever.  IVIg initiated.  GBS eventually ruled out.    12/21/09:  Hospital records received for dates of service 11/3/09 to 11/5/09.  Dx:  Dysautonomia features.  Uncontrolled HTN.  Cannot R/O Conversion D/O.  Multi systematic and symptomatic condition without evidence of objective evidence of neurologic disorder. Presents with hx of dysthesia, involuntary motor movements and spells that evolved after seasonal flu shot and H1N1 injections.  C/o feeling cold, clammy, weak in lower extremities, rapidly migrating numbness and burning sensation from both extremities up toward torso, shoulders and back.  Low grade fever and hot flashes as well as uncontrolled blood pressure.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Physiotherapy, Tremor
Clinical narrative: Day 1 - paresthesias hands and feet. Day 2 - weakness left. Day 4 - shallow breathing, continued leg weakness, shortness of breath, fatigue, tremors, burning sensation in arms and legs - unable to ambulate secondary weakness, labile BP - elevated blood pressure with orthostatic hypotension, burning chest/back indigestion - Physical therapy. Placed on blood pressure meds and and reflex.   12/8/09 and 12/9/09 Discharge summary and hospital records received for dates of service 10/27/09 to 10/30/09.  Dx:  Paresthesias of the extremities with hypertension.  Presented with increased weakness of left foot. Tingling of hands and feet, SOB, HA.  Burning of upper arm across face.  Increased heart rate and blood pressure with flushing.  Paresthesias with subjective dyspnea, fatigue.  Feeling of shaking chills with no fever.  IVIg initiated.  GBS eventually ruled out.    12/21/09:  Hospital records received for dates of service 11/3/09 to 11/5/09.  Dx:  Dysautonomia features.  Uncontrolled HTN.  Cannot R/O Conversion D/O.  Multi systematic and symptomatic condition without evidence of objective evidence of neurologic disorder. Presents with hx of dysthesia, involuntary motor movements and spells that evolved after seasonal flu shot and H1N1 injections.  C/o feeling cold, clammy, weak in lower extremities, rapidly migrating numbness and burning sensation from both extremities up toward torso, shoulders and back.  Low grade fever and hot flashes as well as uncontrolled blood pressure.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Pt complained of itching on left arm with swelling and itching primarily in left hand. Onset occurred approximately 5 hrs after injection. She stated that there was no pain, swelling or itching at the injection site. Was given a steroid shot 2 BENADRYLs an Rx for a dosepak in ER.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain in extremity
Clinical narrative: Arm severely swelled and turned red and very hot and sore to touch.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Body temperature increased, Bronchospasm, Chills, Cough, Dehydration
Clinical narrative: She received the vaccine the morning of 17 Sept 09 and was well at the time. By the next morning she had rhinorrhea, nasal congestion and cough. 48 hours after the vaccine she developed fever and chills and headache and then as the week progressed she developed wheezing, and temps to 103.5.  She did not seek treatment until 23 Sep 09 when her hands and feet began to swell. By this time the temp and wheezing had subsided but she could not wear her rings and her shoes were tight due to edema. She states she gained > 10 lb of fluid weight. She received conservative tx and 72 hours quarters. Will do full evaluation before she is given the H1N1 vaccine. Symptoms: Fatigue; malaise > 60 days, chills, dry, bronchospasm, nasal drainage, fever, headache, migraine.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Fatigue, Headache, Malaise, Migraine, Nasal congestion
Clinical narrative: She received the vaccine the morning of 17 Sept 09 and was well at the time. By the next morning she had rhinorrhea, nasal congestion and cough. 48 hours after the vaccine she developed fever and chills and headache and then as the week progressed she developed wheezing, and temps to 103.5.  She did not seek treatment until 23 Sep 09 when her hands and feet began to swell. By this time the temp and wheezing had subsided but she could not wear her rings and her shoes were tight due to edema. She states she gained > 10 lb of fluid weight. She received conservative tx and 72 hours quarters. Will do full evaluation before she is given the H1N1 vaccine. Symptoms: Fatigue; malaise > 60 days, chills, dry, bronchospasm, nasal drainage, fever, headache, migraine.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Oedema, Oedema peripheral, Pyrexia, Rhinorrhoea, Weight increased
Clinical narrative: She received the vaccine the morning of 17 Sept 09 and was well at the time. By the next morning she had rhinorrhea, nasal congestion and cough. 48 hours after the vaccine she developed fever and chills and headache and then as the week progressed she developed wheezing, and temps to 103.5.  She did not seek treatment until 23 Sep 09 when her hands and feet began to swell. By this time the temp and wheezing had subsided but she could not wear her rings and her shoes were tight due to edema. She states she gained > 10 lb of fluid weight. She received conservative tx and 72 hours quarters. Will do full evaluation before she is given the H1N1 vaccine. Symptoms: Fatigue; malaise > 60 days, chills, dry, bronchospasm, nasal drainage, fever, headache, migraine.
Age: 37.0
Sex: F
Vaccine: FLUN3
Symptoms: Wheezing
Clinical narrative: She received the vaccine the morning of 17 Sept 09 and was well at the time. By the next morning she had rhinorrhea, nasal congestion and cough. 48 hours after the vaccine she developed fever and chills and headache and then as the week progressed she developed wheezing, and temps to 103.5.  She did not seek treatment until 23 Sep 09 when her hands and feet began to swell. By this time the temp and wheezing had subsided but she could not wear her rings and her shoes were tight due to edema. She states she gained > 10 lb of fluid weight. She received conservative tx and 72 hours quarters. Will do full evaluation before she is given the H1N1 vaccine. Symptoms: Fatigue; malaise > 60 days, chills, dry, bronchospasm, nasal drainage, fever, headache, migraine.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema, edema at the site of immunization, right thigh -8cms in length.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Flatulence, Injection site erythema, Injection site swelling, Screaming
Clinical narrative: Erythema, edema at the site of immunization, right thigh -8cms in length.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Ear pain, Facial paresis
Clinical narrative: Went to family doctor 11/20/09 to report onset of S/S. 11/18/09. Pain behind left ear. Right side facial weakness was assessed by Doctor who's name we do not know however Doctor wants questions to him.
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Eyelid oedema, Urticaria
Clinical narrative: Urticaria and edema of eyelid developed the night after patient received vaccine.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain, Pain
Clinical narrative: Patient states having pain/soreness and tenderness in same arm as injection site. Also pain is radiating to shoulder blade making it difficult for her to move her arm.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Eyelid disorder, Oedema peripheral, Rash macular, Swelling face
Clinical narrative: One eye shut close. Swelling of face and hands. Red spots on face. I am not sure vaccine caused this reaction.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness, Vaccination complication
Clinical narrative: Pt reports throat feels tight. Reports h/o "rxn" after GARDASIL. Taken BENADRYL 50 mg x 1.  Observed x 45 min. Vitals stable. Pt returned home. Called pt 2 hours later - doing better. No resp/skin issues. Sister vaccinated (latex allergy as well) without incident.
Age: 9.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Oxygen saturation decreased, Urticaria
Clinical narrative: Within minutes of receiving MMR II and VARIVAX boosters patient had hives from head to toe, HR 145, O2 sats 90%. Not true anaphylaxis, BENADRYL given with improved clinical status in 30 minutes. Required doctors visit.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Erythema, Feeling hot, Vision blurred
Clinical narrative: 1:45 'p shot felt very weak & dizzy felt hot and face was very red. Pt. ad taken inhaler 'p shot as she felt wheezy. (Went away with inhaler. Eyes were very blurry 1:55 p 120 B/P 162/92 R-24 2:04 p 76 B/P 138/90 R-18 2:13 - took H2 ORSOGAR - feeling better 11/23/09 @ 2:13 vitals - p. 88 R 16 B/P 138/93
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: 1:45 'p shot felt very weak & dizzy felt hot and face was very red. Pt. ad taken inhaler 'p shot as she felt wheezy. (Went away with inhaler. Eyes were very blurry 1:55 p 120 B/P 162/92 R-24 2:04 p 76 B/P 138/90 R-18 2:13 - took H2 ORSOGAR - feeling better 11/23/09 @ 2:13 vitals - p. 88 R 16 B/P 138/93
Age: 5.0
Sex: F
Vaccine: FLUN3
Symptoms: Body temperature increased, Rash erythematous
Clinical narrative: Temp 102.3 degrees with blotchy red areas on upper chest & lower neck. Given 25mg BENADRYL po & 1 1/2 tsp TYLENOL.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Urticaria, Vomiting
Clinical narrative: H1N1 vaccine given 11/12/09. Pt states she developed hives on face, chin, lips, forehead 11/16, N/V for 12 hrs.
Age: 35.0
Sex: U
Vaccine: FLUX(H1N1)
Symptoms: Adverse reaction, Dyspnoea, Fear
Clinical narrative: On 11-16-2009 I got a shot for 2009 H1N1. After shot I went to class and I have reaction. I feel like difficult to breath and I ran back to Health care at my school. I was very scared for myself.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Blood culture, Chills, Full blood count, Hyperhidrosis, Pyrexia
Clinical narrative: Starting 48 hours later from injection had fever (101.3), sweats and chills for 9 days. ADVIL only given. 7 days of BACTRIM DS as thought be a urine infection.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Urinary tract infection, Urine analysis
Clinical narrative: Starting 48 hours later from injection had fever (101.3), sweats and chills for 9 days. ADVIL only given. 7 days of BACTRIM DS as thought be a urine infection.
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None Stated.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Culture, Dacryostenosis acquired, Eye pain, Eye swelling
Clinical narrative: Received H1N1 mist on 10-26-09 and developed left eye blocked tear duct on Tuesday night (within 48 hours). Went to doctor & Dx with blocked tear duct and infection. Tx with antibiotic and steroid. Returned to doctor on 11/2/09 for increased swelling and pain-required lancing and drained. 11/19/09 Returned to office and eye drained again. Continued on antibiotic. No infection at present 11/23/09.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Neuralgia, Sarcoidosis
Clinical narrative: nausea, nerve pain flare up of sarcoidosis
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Muscle tightness, Presyncope
Clinical narrative: Post injection pt waited in lobby. Stated jaw & chest felt tight. Assessed Bp 130/80 p. 68 BSat 108. Pt stated she had not eaten today. Gave H2O & granola bar. In 15 min reassessed Bpat 114/76 P. 70. Stated felt better. Referred to her doc. Dr called & stated the tx was for VASO/VAGEL reaction.
Age: 14.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Influenza, Laboratory test
Clinical narrative: Patient was diagnosed by a medical doctor on Nov. 3 as having H1N1 after receiving the mist for H1N1 on Oct. 14.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Activated partial thromboplastin time, Epistaxis, Full blood count, Nasal congestion, Prothrombin time
Clinical narrative: Patient has been having 2-3 severe nose bleeds with nasal congestion since receiving nasal H1N1 vaccine at her school on Thurs. Nov. 19th, 2009.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Atrial fibrillation, Dysphonia, Electrocardiogram abnormal, Heart rate increased, Heart rate irregular
Clinical narrative: Rapid onset of hoarseness & fast irregular heart rate. Treated in emergency room for atrial fibrillation. Kept in ER for several hours. Released home. 12/2/09 ER records received for date 11/18/09. DX: Presented to ER w/ c/o irregular HR, hoarseness pt states had H1N1 vax this day. Assessment: (+)irregular HR.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Eyelid oedema, Lacrimation increased
Clinical narrative: Patient given H1N1 vaccine, while waiting patient complained of eye lid swelling and increased tearing. EMS evaluated, began to c/o increased eye lid swelling, then began coughing. EMS administered 50 mg BENADRYL IM R arm. 12:40 transported.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Electrocardiogram, Electroencephalogram
Clinical narrative: Afebrile, tonic-clonic generalized seizure during school on 11/13/09. Duration < 1 minute.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Erythema, Injection site induration, Oedema peripheral, Pain
Clinical narrative: After injection arm became very swollen (3 inches in diameter) and red.  Swelling subsided but then an aching pain in my upper left arm started that has now progressed to my upper left back ( shoulder). It is a cronic pain that won't go away. As of 12/1/2009 I went to my doctor.  I still have a hard spot where shot was injected.  They are prescribing antibiotic and 800 mg of motring.  Also I am scheduled to get an ultra sound of the area.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Ultrasound scan
Clinical narrative: After injection arm became very swollen (3 inches in diameter) and red.  Swelling subsided but then an aching pain in my upper left arm started that has now progressed to my upper left back ( shoulder). It is a cronic pain that won't go away. As of 12/1/2009 I went to my doctor.  I still have a hard spot where shot was injected.  They are prescribing antibiotic and 800 mg of motring.  Also I am scheduled to get an ultra sound of the area.
Age: 44.0
Sex: F
Vaccine: HEPA, IPV, MEN, YF
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: site of njection warm, red, swollen, firm
Age: 39.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: CSF protein increased, CSF test abnormal, Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness
Clinical narrative: Numbness and tingling in his extremities with heaviness and a feeling of weakness. Started about 4 hours after H1N1 vaccine and has been intermittent.  12/2/09 DC summary and medical records received for date 11/30/09 to 12/2/09. DX: acute inflammatory demyelinating polyradiculopathy/GBS. Presenting c/o history: developed viral illness approx 2wks ago w/ sore throat, cough, chest tightness, chills, nasal congestion. Pt was tx for sx, then, 1wk ago received H1N1 vax and pt states within 4hrs of vax developed progressively ascending paresthesias in legs and hands and into buttocks region lasting 3 days. Pt has had numbness and tingling in extremities and persistent diarrhea. Admission assessment: pt looks slightly ill. (+)nasal congestion, cough. (+) distal weakness, distal hypo reflexes.  12/2/09 Medical records received for date 11/16/09 to 11/23/09. OV 11/16/09 DX: URI. SX: pt. c/o cold sx x5 days ago, earache, sore throat, chest tightness, loose stool, myalgias. OV 11/23/09 DX: left leg/arm tingling. SX: left leg and arm tingling x24hrs.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Sensation of heaviness
Clinical narrative: Numbness and tingling in his extremities with heaviness and a feeling of weakness. Started about 4 hours after H1N1 vaccine and has been intermittent.  12/2/09 DC summary and medical records received for date 11/30/09 to 12/2/09. DX: acute inflammatory demyelinating polyradiculopathy/GBS. Presenting c/o history: developed viral illness approx 2wks ago w/ sore throat, cough, chest tightness, chills, nasal congestion. Pt was tx for sx, then, 1wk ago received H1N1 vax and pt states within 4hrs of vax developed progressively ascending paresthesias in legs and hands and into buttocks region lasting 3 days. Pt has had numbness and tingling in extremities and persistent diarrhea. Admission assessment: pt looks slightly ill. (+)nasal congestion, cough. (+) distal weakness, distal hypo reflexes.  12/2/09 Medical records received for date 11/16/09 to 11/23/09. OV 11/16/09 DX: URI. SX: pt. c/o cold sx x5 days ago, earache, sore throat, chest tightness, loose stool, myalgias. OV 11/23/09 DX: left leg/arm tingling. SX: left leg and arm tingling x24hrs.
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Fatigue, Lymph node pain
Clinical narrative: All joints painful from hands to knees/ fatigue / underarm lymph nodes hurt. Not reported to physician yet. Taking Motrin 400 mg for pain.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Drug exposure during pregnancy, Foetal disorder, Ultrasound scan, Uterine dilation and curettage
Clinical narrative: On November 10, 2009, the date the vaccine was administered, I was 6 weeks 3 days pregnant. Five days later, on November 15 I learned the fetus may have stopped growing. A sonogram conducted November 18 showed a gestational sac aged 6 weeks 6 days. The pregnancy was determined to be no longer viable, and a D&C was performed on November 24th.  1/6/2010 ED records received. Service date 11/15/09. Assessment: Hyperemesis gravidarum. Pregnant (7 Weeks) patient presents with nausea and vomiting, sweats, weakness. Morning sickness. Subchorionic hemorrhage. Intramural (uterine) fibroids.  1/7/2010 OB/GYN records received. Service dates 11/18/09 to 11/20/09.  Assessment: "Still not a viable pregnancy."
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Realized that the patient was given the second H1N1 vaccine only 17 days after the first instead of the recomended 28.
Age: 1.08
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Acute respiratory distress syndrome, Influenza serology positive, Pyrexia, Tachycardia
Clinical narrative: Acute respiratory distress, fever, tachycardia. 12/3/ and 12/7/2009 MR and DC summary for 11/6-11/7/2009 , patient with c/o's fever, respiratory distress, tachypnea,  vomiting, diarrhea, TX: O2, Albuterol and Flovent, steroids 12/7/2009 MR for 12/1/2009, 5th visit for respiratory distress with tachypnea 12/7/2009 Pulmonary consult for 11/12/2009, recommended nectar thick feedings based on swallowing study results
Age: 18.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Asthenia, Headache, Pain
Clinical narrative: stomach ache, body aches, headache, afebrile, low energy.
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Fatigue, Hypoaesthesia, Muscular weakness, Nausea
Clinical narrative: 7-8 hours after receiving vaccine, had fatigue, nausea that resolved within a few hour.  Later that night had nightsweats but no documented fever.  Also 7-8 hour after receiving vaccine had acute onset vertigo and then hand and feet numbness, tingling, weakness.  Occurred intermittently over the next 48 hours and gradually resolved. Had hives about 7-8 hours after vaccine but was within 20 min of eating and pt has known allergic reactions to some foods (undergoing allergy eval currently).  Hives immediately resolved with Benadryl and did not recur.  No evaluations/testing done.  No treatment sought.  All sx self-resolved.
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Night sweats, Paraesthesia, Urticaria, Vertigo
Clinical narrative: 7-8 hours after receiving vaccine, had fatigue, nausea that resolved within a few hour.  Later that night had nightsweats but no documented fever.  Also 7-8 hour after receiving vaccine had acute onset vertigo and then hand and feet numbness, tingling, weakness.  Occurred intermittently over the next 48 hours and gradually resolved. Had hives about 7-8 hours after vaccine but was within 20 min of eating and pt has known allergic reactions to some foods (undergoing allergy eval currently).  Hives immediately resolved with Benadryl and did not recur.  No evaluations/testing done.  No treatment sought.  All sx self-resolved.
Age: 63.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Axillary pain, Headache, Myalgia, Oedema peripheral, Pain in extremity
Clinical narrative: Total: 48 hrs - muscle aches: Back, neck, hips started a few -> sore under arms, swollen hand hours after shot mild headache knuckles (ached also). (this pm (still painful left hand). Used Tylenol.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Breath sounds abnormal, Dyspnoea, Livedo reticularis
Clinical narrative: SOB; lung sounds diminished; arms and legs mottled.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Ultrasound scan abnormal
Clinical narrative: At 15 weeks pregnant I received the H1N1 vaccine, the next week my baby died. At 17 weeks my OB discovered my baby had no heartbeat. The baby had to be delivered resulting in a 2 day hospital stay.   12/2 & 12/3/2009 received lab studies and US report along with path report of fetal tissue of 11/12-11/15/2009.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Rash
Clinical narrative: Fine rash on torso & limbs 37 weeks pregnant - referred pt to her doctor.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain
Clinical narrative: C/o low back pain-on scale 0-10 #10- Took (3) Naproxen- started hurting 3 hrs after vaccine given-but pain #10 this am when woke up.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vertigo
Clinical narrative: C/O "Room spinning upon awakening this A.M." (11 19 09).
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Differential white blood cell count normal, Dizziness, Eye pain, Full blood count normal, Red blood cell sedimentation rate normal
Clinical narrative: Dizziness, eye pain x3 days.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Paraesthesia
Clinical narrative: 2 hours after received H1N1 vaccine right upper arm, tingly feeling felt down to right fingertips. Pain upper right arm - applied ice with some relief. Over next few days. Symptoms subsided but did not entirely go away. Pain in bicep & lower deltoid where injection given continues some days worse than others. Tingling went away 2 days later. Went to MD for another reason & mentioned pain and referred to the agency to report.  12/15/09 PCP medical records received. Service date 11/16/09. Assessment: Essential hypertension. Patient reports for DMV physical. Had developed some soreness of right shoulder after immunization injection. At present no swelling, redness, tenderness.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Drug screen negative, Glycosylated haemoglobin increased, Intra-uterine death, Protein urine present
Clinical narrative: 37 wk fetal demise - did not feel baby move for a few days. 12/3, 12/4, 12/11 Medical records and discharge summary received for DOS 11/25/09. Final dx: IUP, extremely poorly controlled diabetes, probable mild DKA Intrauterine pregnancy, fetal death.  Pre-pregnancy diabetes.  LMP 3/3/09.  EDC 12/7/09.  PE on 10/8/09  cervix closed. Vulvovaginitis. Candida. Glucose increased. 11/23 decreased fetal movement. Neg FHT.