chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Itchy watery eyes, sneezing, coughing and wheezing and later on, fever. Took 2 benadryl and inhaler (albuterol)
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling jittery, Pallor, Tremor, Urticaria
Clinical narrative: Recieved vaccine; waited 15 minutes; left facility and was 1/2 mile away per car when child noted appearance of hives.  Returned to vaccine clinic.  Given Epinephrine IM in Rt. Deltoid at 12:35pm.  911 called.  Child shakey.  States "I feel like I took 5 energy drinks all at once.  Color pale.  Covered with blanket.  B/P 122/68 and radial pulse=104.   Hives noted to be fading.  At 12:45 emergency personel had arrived and child transferred to local ER.  Client given prescriptions for steroid, prilosec and an allergy pill.   Released to home around 3:00pm on 10/20.  However, the child broke out in hives again the next day and continued to suffer sporadic hive breakouts for a few days.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Patient received the injection of Gardasil and within seconds fainted.  Within a minute the patient was again alert.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Burning sensation, Dyskinesia, Ear discomfort, Facial palsy
Clinical narrative: States within 24 hours of getting vaccine she began having headaches and feeling weak.  The headaches would wake her up at night.  Then her Right ear began burning and moving down into her face.  Within 4 days of injection her right eye began tearing and running down her face, and she was unable to keep food in the right side of her mouth.  Right side of mouth also drooping. Saw doctor on 11-2-09 and was diagnosed with Bells Palsey and put on steriods.  States doctor told her it was from the H1N1 vaccine and symptoms should be reported to vaccine provider.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Influenza, Lacrimation increased
Clinical narrative: States within 24 hours of getting vaccine she began having headaches and feeling weak.  The headaches would wake her up at night.  Then her Right ear began burning and moving down into her face.  Within 4 days of injection her right eye began tearing and running down her face, and she was unable to keep food in the right side of her mouth.  Right side of mouth also drooping. Saw doctor on 11-2-09 and was diagnosed with Bells Palsey and put on steriods.  States doctor told her it was from the H1N1 vaccine and symptoms should be reported to vaccine provider.
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Eyelid oedema, Lip swelling, Oral pruritus, Pruritus
Clinical narrative: (+) severe itching around nose, in nose, mouth, upper lip, cheeks. (+) redness cheeks/around mouth and nose -> "like sunburn". (+) swelling upper lip and (L) upper eyelid. Pt. treated with BENADRYL/MEDROL Dosepak.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Cardiac flutter, Confusional state, Dizziness, Palpitations
Clinical narrative: Received injection 11/3/09 at 12:30pm states on drive home became very dizzy and confused and heart started racing and then starting fluttering like it was missing a beat. Felt like she was not getting O2 to brain. Left arm became cold and joints in both fingers ached. Eyelid felt very heavy. Lasted 3 1/2 hours.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Peripheral coldness, Sensation of heaviness
Clinical narrative: Received injection 11/3/09 at 12:30pm states on drive home became very dizzy and confused and heart started racing and then starting fluttering like it was missing a beat. Felt like she was not getting O2 to brain. Left arm became cold and joints in both fingers ached. Eyelid felt very heavy. Lasted 3 1/2 hours.
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Body temperature decreased, Full blood count, Nausea, Rash
Clinical narrative: 11/3/09 Complained of rash-hivelike, nausea and vomiting and stomach ache. Temperature 96.1. Given Benadryl and Prochloperozire for nausea.
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Vomiting
Clinical narrative: 11/3/09 Complained of rash-hivelike, nausea and vomiting and stomach ache. Temperature 96.1. Given Benadryl and Prochloperozire for nausea.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cold sweat, Depressed level of consciousness, Dizziness, Hypotonia, Pallor
Clinical narrative: Vaccine administered within 1-2min pt. start to wretch/no vomit, became clammy, pale, dizzy, eyes glazed, HR 82-96, RR 16-22, afebrile. Loss of tone, slight delay in response to questions. No loss of consciousness. Given juice, milk. Pediatrician called; instructed to monitor and attempt to feed patient. If no return to baseline within 30 min to call 911. Pt returned to baseline with improved tone and dizziness subsided = 1/2 hour. Color improved. Fully back to baseline within 2 1/2 hours.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Retching
Clinical narrative: Vaccine administered within 1-2min pt. start to wretch/no vomit, became clammy, pale, dizzy, eyes glazed, HR 82-96, RR 16-22, afebrile. Loss of tone, slight delay in response to questions. No loss of consciousness. Given juice, milk. Pediatrician called; instructed to monitor and attempt to feed patient. If no return to baseline within 30 min to call 911. Pt returned to baseline with improved tone and dizziness subsided = 1/2 hour. Color improved. Fully back to baseline within 2 1/2 hours.
Age: 52.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Allergy to vaccine, Injection site ulcer, Pyrexia, Rash
Clinical narrative: H1N1 - Left arm - allergic reaction - open sore at injection site, rash on entire left arm, neck, fever.
Age: 40.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Intermittent tingling/numbness on one side of mouth/lips, "lightheaded" lasted 3 days post-immunization.
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Rash
Clinical narrative: Itching and rash on both lower arms 2 hours after receiving MedImmune Nasal H1N1 vaccine, lot 500756P.
Age: 1.02
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash
Clinical narrative: H1N1 was given 11-2-09 - pt called 9 AM on 11-3-09 and stated that this morning she saw a rash to arms and buttocks and legs. States that the rash was red fine bumps accompanied by itching. Encouraged pt to call her doctor. Mother states that the rash went away the same day.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Pruritus generalised, Rash generalised
Clinical narrative: Rash all over body and itching 24 hrs after. Tingling of both hands 72 hrs after.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Headache, Hemiplegia, Hypoaesthesia, Laboratory test abnormal
Clinical narrative: Friday - Nausea, headache Friday night - Muscle cramping all over body Saturday - Right sided paralysis and tingling in feet Sunday - Feet tingling and paralysis Monday - Pain in back and feet tingling, muscle weakness, numbness, and also in my right hand Tuesday - Same Wednesday - Same, but more painful Today - Same, more painful
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscle spasms, Muscular weakness, Nausea, Neurological examination abnormal, Paraesthesia
Clinical narrative: Friday - Nausea, headache Friday night - Muscle cramping all over body Saturday - Right sided paralysis and tingling in feet Sunday - Feet tingling and paralysis Monday - Pain in back and feet tingling, muscle weakness, numbness, and also in my right hand Tuesday - Same Wednesday - Same, but more painful Today - Same, more painful
Age: 27.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Burning sensation, Rhinorrhoea
Clinical narrative: Rhinorrhea, already taking Zyrtec for environmental allergies for about 1 year consistently with no allergy symptoms noted during that period.  Recieved seasonal flu vaccine IM on Oct 27, 2009 at 1300 hrs with no noted side effects.  On Nov 3, 2009 at 1200 hrs, recieved H1N1 flu vaccine IM.  In the PM on Nov 3, started feeling a "burning" feeling in upper nairs.  On Nov 5, 2009, woke up with a severe runny nose that will not go away.  Up to date on all vaccinations to include being on Active Duty for 8 years and having recieved all standard vaccines for deployment, to include all Anthrax vaccine shots.  No other symptoms presently noted.
Age: 16.0
Sex: F
Vaccine: FLUN3
Symptoms: CSF protein normal, Influenza, Muscular weakness
Clinical narrative: flu symptoms followed by leg weakness, suspicious for guillain-barre syndrome.  11/09/09 ED records received service date 11/3/09. Assessment: Post vaccination leg weakness but not consistent with Guillain-Barrie at this time. Patient has had flu symptoms for one week. Developed myalgias and arthralgias which seemed to resolve, but has been having shaky tremulous legs since that time.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Electromyogram, Hypoaesthesia, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Patient stated that almost immediately after the shot, she had a feeling of pain going down her left arm in what the doctor described as the distribution of the radial nerve.  The patient also described that her arm felt heavier, there was tingling in her thumb, the front and back of her arm hurt.  She said she could not hold a cup or book in her left hand.  Also arm was hard to straighten.  She had EMG studies and physical therapy.  In May 2009 she continued to complain of pain and was referred for an electrodiagnostic medicine consult in June 2009.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Paraesthesia, Physiotherapy, Sensation of heaviness
Clinical narrative: Patient stated that almost immediately after the shot, she had a feeling of pain going down her left arm in what the doctor described as the distribution of the radial nerve.  The patient also described that her arm felt heavier, there was tingling in her thumb, the front and back of her arm hurt.  She said she could not hold a cup or book in her left hand.  Also arm was hard to straighten.  She had EMG studies and physical therapy.  In May 2009 she continued to complain of pain and was referred for an electrodiagnostic medicine consult in June 2009.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Eye pruritus, Haemoptysis, Heart rate increased
Clinical narrative: Severe itchy eyes, cough with blood in phlegm, rapid heartbeat, trouble breathing.
Age: 6.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Body temperature increased, Fatigue
Clinical narrative: Zoe was sent home from school with a 102.5 temperature, she was very tired and went to sleep when she arrive home, I gave her childrens acetaminophen
Age: 42.0
Sex: M
Vaccine: FLUN(H1N1), FLUX
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: fatigue, headache, muscle ache - especially abdominal muscle ache, slight fever. These have lasted for 4 days so far. No treatment given other than bed rest.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Ocular hyperaemia, Pyrexia
Clinical narrative: the ran a fever of 102 and was very tired with redness in her eyes, I gave her childrens acetaminophen
Age: 62.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Client developed high fever, chills, headache, body aches that lasted one day
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Influenza like illness
Clinical narrative: Got H1N1 Shot. Now I feel like I have the flu.
Age: 49.0
Sex: M
Vaccine: HEP
Symptoms: Audiogram abnormal, Tinnitus
Clinical narrative: Acute onset tinnitus which continues to this date. Treatment/Evaluation has been sought by 3 Physician Speacialists with audiomety evaluation.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Biopsy cervix abnormal, Cervical dysplasia, Fungal infection, Infectious mononucleosis, Pharyngitis streptococcal
Clinical narrative: TOOK GARDASIL VACCINE FEB 2007 WHEN I WAS 25. I WAS A VIRGIN AND HAD NO PRIOR ABNORMAL PAPS OR HEALTH PROBLEMS. MY LEG DEVELOPED A HUNDRED PINPOINT WARTS JUNE/JULY 2007 AND WENT TO DERMATOLOGIST. TOOK 1 1/2 YEARS TO GO AWAY. MY FIRST ABNORMAL PAP SMEAR  WAS THAT FALL, SEPT 2007. BIOPSY SHOWED MILD DYSPLASIA. WENT AWAY AFTER 6 MONTHS BUT MILD DYSPLASIA CAME BACK IN SEPT. 2009. NEED SURGERY NOW TO REMOVE PRECANCER CELLS IN CERVIX. ALSO DEVELOPED MONO, STREP THROAT SEVERAL TIMES, URINARY TRACT INFECTIONS, AND FIRST YEAST INFECTION SINCE TAKING VACCINE SHORTLY AFTER. NEVER FELT THE SAME SINCE.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Precancerous cells present, Skin papilloma, Smear cervix abnormal, Surgery, Urinary tract infection
Clinical narrative: TOOK GARDASIL VACCINE FEB 2007 WHEN I WAS 25. I WAS A VIRGIN AND HAD NO PRIOR ABNORMAL PAPS OR HEALTH PROBLEMS. MY LEG DEVELOPED A HUNDRED PINPOINT WARTS JUNE/JULY 2007 AND WENT TO DERMATOLOGIST. TOOK 1 1/2 YEARS TO GO AWAY. MY FIRST ABNORMAL PAP SMEAR  WAS THAT FALL, SEPT 2007. BIOPSY SHOWED MILD DYSPLASIA. WENT AWAY AFTER 6 MONTHS BUT MILD DYSPLASIA CAME BACK IN SEPT. 2009. NEED SURGERY NOW TO REMOVE PRECANCER CELLS IN CERVIX. ALSO DEVELOPED MONO, STREP THROAT SEVERAL TIMES, URINARY TRACT INFECTIONS, AND FIRST YEAST INFECTION SINCE TAKING VACCINE SHORTLY AFTER. NEVER FELT THE SAME SINCE.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Cerebral venous thrombosis
Clinical narrative: Patient developed a cerebral venous thrombosis post vaccination. Patient hospitalized and placed on coumadin for 6 months. 11/24/09 ER records received for date 4/24/09 to 4/25/09. DX: venus sinus thrombosis, mononucleosis. Pt Presented w/ left sided transverse sinus thrombosis via CT scan results. SX: HA x2wks, N&V, flu like symptoms, cervical lymphadenopathy on left side. Assessment: (+)HA, otherwise WNL. Pt started on anticoag. tx and dc following day stable.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Allergy test, Blood test, Facial pain, Rash, Vaccine positive rechallenge
Clinical narrative: pt states she developed "severe and painful breakout to face" approximately one day after the second dose varicella. has been to several physicians and had blood tests. breakout has not resolved. states she had 1-2 bumps to face after varicella #1 dose. However, after Var#2 dose, multiple bumps all over face. (face only affected area).
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Injected limb mobility decreased, Injection site induration, Injection site pain, Pain
Clinical narrative: 4 mm area of induration on L upper arm patient reports soreness and aching with movement some discomfort without movement.
Age: 67.0
Sex: F
Vaccine: PPV, FLU3
Symptoms: Dysphonia
Clinical narrative: Hoarseness in throat after receiving pneumonia vaccine.
Age: 67.0
Sex: F
Vaccine: PPV, FLU3
Symptoms: Dysphonia, No reaction on previous exposure to drug, Tongue disorder
Clinical narrative: Hoarseness in throat after receiving pneumonia vaccine.
Age: 67.0
Sex: F
Vaccine: PPV, FLU3
Symptoms: Dysphonia
Clinical narrative: Hoarseness in throat and tongue felt thicker than usual within 1-1 1/2 hrs of receiving 2009 flu vaccine. (Have received flu vaccine for years w/ no adverse effects).
Age: 67.0
Sex: F
Vaccine: PPV, FLU3
Symptoms: Dysphonia, No reaction on previous exposure to drug, Tongue disorder
Clinical narrative: Hoarseness in throat and tongue felt thicker than usual within 1-1 1/2 hrs of receiving 2009 flu vaccine. (Have received flu vaccine for years w/ no adverse effects).
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: severe dizziness
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Insomnia
Clinical narrative: After Fluzone 0.5 IM 10/5/09 parents note increased anxiety, increased insomnia. Now 4 wks later slowly improving.
Age: 0.48
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash erythematous, Rash macular, Similar reaction on previous exposure to drug
Clinical narrative: Day after immunizations, developed diffuse erythematous, fine macular rash of abdomen, legs, cheeks. No urticaria, no respiratory sx's. no v/d. No fever or irritability. Mon reports similar rcn with immunizations at 2 or 4 months. Also had given dose of TYLENOL.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Lymphadenopathy, Musculoskeletal pain
Clinical narrative: Pain in shoulder and deltoid L arm. L axillary lymph node swelling.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Pallor, Rash pruritic, Skin lesion
Clinical narrative: 4 hours after Influenza vaccine developed puritic rash on buttocks in distribution of where Aspercream was being used for buttocks pain. Lesion raised, blanching,...midline. Shot in arm. No lesion hives. Possible contact reaction to Aspercream. Tolerated for year prior to shot.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Tachycardia
Clinical narrative: Dizzy and lightheaded and some tachycardia approximately 5 min. after getting vaccine. Continued off and on about 3 hrs. Went away and returned in the evening on 11/3/09, Day of shot.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient was approx 4 weeks pregnant when received vaccine and started to miscarry following day. 11/6/2009 and 11/9/2009 lab results and OB-GYN visit for 11/3/2009. Patient with c/o's intermittent bright red bleeding in first trimester. Pelvic exam noted a friable cervix. Tx: repeat labs ,rest
Age: 58.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Anaemia, Blood chloride decreased, Blood creatinine normal, Blood sodium normal, Blood urea normal
Clinical narrative: On 10/27/09 Pt presents after flu shot achy, hot and cold, sore throat, nausea, fever. On L arm she had an indurated 4 cm area pinkish without clear edges. Labs showed Na 134 L shift WBC high nl and Anemia. Pt said she felt better on 11/3/09. 11/4/09 admitted with pneumonia.
Age: 58.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Feeling of body temperature change, Induration, Nausea, Oropharyngeal pain, Pain
Clinical narrative: On 10/27/09 Pt presents after flu shot achy, hot and cold, sore throat, nausea, fever. On L arm she had an indurated 4 cm area pinkish without clear edges. Labs showed Na 134 L shift WBC high nl and Anemia. Pt said she felt better on 11/3/09. 11/4/09 admitted with pneumonia.
Age: 58.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Pneumonia, Pyrexia, White blood cell count increased
Clinical narrative: On 10/27/09 Pt presents after flu shot achy, hot and cold, sore throat, nausea, fever. On L arm she had an indurated 4 cm area pinkish without clear edges. Labs showed Na 134 L shift WBC high nl and Anemia. Pt said she felt better on 11/3/09. 11/4/09 admitted with pneumonia.
Age: 58.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Blood test, Chest X-ray, Cough, Dizziness, Electrocardiogram
Clinical narrative: On 10/27/09 Pt presents after flu shot achy, hot and cold, sore throat, nausea, fever. On L arm she had an indurated 4 cm area pinkish without clear edges. Labs showed Na 134 L shift WBC high nl and Anemia. Pt said she felt better on 11/3/09. 11/4/09 admitted with pneumonia.
Age: 58.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Loss of consciousness, Malaise
Clinical narrative: On 10/27/09 Pt presents after flu shot achy, hot and cold, sore throat, nausea, fever. On L arm she had an indurated 4 cm area pinkish without clear edges. Labs showed Na 134 L shift WBC high nl and Anemia. Pt said she felt better on 11/3/09. 11/4/09 admitted with pneumonia.
Age: 58.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Paraesthesia, Pneumonia, Pyrexia
Clinical narrative: On 10/27/09 Pt presents after flu shot achy, hot and cold, sore throat, nausea, fever. On L arm she had an indurated 4 cm area pinkish without clear edges. Labs showed Na 134 L shift WBC high nl and Anemia. Pt said she felt better on 11/3/09. 11/4/09 admitted with pneumonia.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis
Clinical narrative: Complained of excess sweating. BP 124/84 P80 regular. Denies nausea, dizziness.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Headache, Rhinorrhoea
Clinical narrative: Pt called 10/29 in AM states think she had a rxn. T 99.9 night of 1/28. 98.8 in am 10/29 states headache, cough, running nose.
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder
Clinical narrative: Employee states "equilibrium feels off". Set down, ate (had not had breakfast).
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Throat tightness
Clinical narrative: Received Fluval vaccine at 12:30 pm 11/2/2009. At 6:00 pm noted chest tightness and throat tight. Refused to go to ER. 9:30 pm felt better. No treatment. Not further problem.
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Epistaxis, Headache
Clinical narrative: On Friday 10/16/09 within 10 minutes of getting intranasal vax. pt. developed a headache which lasted a "couple of days"  On Sunday 10/18 she found a dried blood crust in her nose.  On Mon. 10/19 She began having intermittent dropping nose bleeds which ended on Wed 10/21.  No pain right after - vax - no bad taste.  Denied ever having nose bleed before.  Denied sinus problems.  This event was first reported by pt. on 10/10 follow up call to pt 10/27.  Call returned by pt on 11/5/09.  Details obtained.
Age: 77.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Death, International normalised ratio, Myocardial infarction, Prothrombin time
Clinical narrative: 77 y/o with Afib and lung cancer given H1N1 (Sanofi) on 11/3/09- Died. 11/5/09-prob. heart attack.   11/06/09 Medical records received. DOS 08/21/08-03/24/09.  PCP office notes.  Visits note looked well, unremarkable PEs with well healed surgical scars, clear bronchial to minimal wheeze, CBCs WNL w/some low 02 sats (92% on R/A). Extrems trace PTE, until 03/24/09. DX bad cold w/ white mucus and cough. Nausea, low grade fever. Lung sounds benign. Mild leukocytosis, possible infection. Tx Levaquin. 4/28/09 Congestion continued, thick mucus, worse since pneumonia. Bronchial w/minimal wheezes. CBC WNL. EKG sinus rhythm, systolic murmur.  Subsequent visits showed 02 sat 91%, weight loss.  11/03 occasional SOB, H1N1 vaccine given.    Labs & Diags EKG- normal, sinus mechanism, bradycardia 48.    12/17/09 Death Certificate received. DOD 11/05/09. Cause of Death. Myocardial infarction. Other information abstracted: Other medical conditions - lung cancer, atrial fibrillation.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Pt had red rash with knot about 0.5inch wide by one inch long. Pt went to walkin clinic at emergency room. No c/o site hurting. No fever noted. Pt prescribed MOTRIN, BENADRYL and Methylprednisone pack.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Lt. arm and hand tingling resolved after approximately 2 1/2 hrs.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Musculoskeletal pain, X-ray limb normal
Clinical narrative: Patient developed soreness/pain in shoulder immediately after receiving vaccine. Pt continues to have pain despite anti-inflammatory medications, CORTISONE shot.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Emotional disorder, Movement disorder, Rash erythematous, Rhinorrhoea, Throat irritation
Clinical narrative: Red dots on legs and forearms, throat clearing, sniffing, hand splaying bilaterally, emotional, BENADRYL, hydrocortisone cream both topical.
Age: 24.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Patient noticed sore raised area on the posterior upper part of her arm day after injection (at injection site) about the size of a 50 cent piece. Day two (11/5/09) indurated area was 10 times bigger, red and sore to touch.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Lip oedema, Paraesthesia
Clinical narrative: Edema of both lips;Tingling around mouth. Applied Neosporin to area and took 25mg.-50 mg. Benadryl on an irregular basis.Given ice pack for lips and 25m. Benadryl on 11/5/09-day it was reported.Advised to consult personal physician.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient cut left middle finger 11/4/09 - in for wound care and Tetanus update. Chart noted self reported Td 2000. Tdap updated 11/5/09. (There record noted 9/29/99 last Td record). Previous Tdap given 4/29/09. Unknown at time of visit and vaccine administration.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Fainted, no injury. Taken to clinical area for physician evaluation.
Age: 0.65
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Body temperature increased, Cough, Decreased appetite, Rhinorrhoea
Clinical narrative: high temperature (103) runny nose, no appetite, caugh
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Rash generalised
Clinical narrative: Patient states she developed a rash on her body within 24 hours of receiving vaccine. 11/10/09 Medical records receoved for DOS 11/05/09. Office notes.  Rash all over trunk s/p vaccine. Benadryl w/good effect.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye swelling, Lip swelling, Ocular hyperaemia, Photophobia
Clinical narrative: Awoke with eyes swollen shut and stuck shut. Eyes red and photophobia. Lips swollen.
Age: 28.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Rash
Clinical narrative: Rash on face and neck Itching
Age: 13.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Muscular weakness, Myalgia
Clinical narrative: Left arm muscle weakness and pain.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Convulsion
Clinical narrative: Seizure  11/9/2009 ED records from 11/4/2009. Patient presented with grand mal, tonic-clonic seizure episode. Neuro exam normal, no prior hx. Tx: IV Ativan. To f/up with Neurologist. DC DX: Grand Mal seizure
Age: 0.19
Sex: F
Vaccine: FLU(H1N1)
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: none to date; I ordered 2 month old vaccines for pt, and my medical assistant inadvertently gave pt the H1N1 influenza vaccine because her older sister was getting that vaccine that same day / time
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Loss of consciousness, Syncope
Clinical narrative: The patient had an episode of syncope after she received her H1N1 immunization at 1pm. She had not had any lunch prior. She usually experiences near - syncopal episodes when she sees blood or has blood work done but never with just a shot. She lost consciousness but was aware of person, place and time.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema multiforme, Urticaria
Clinical narrative: hives initially, then erythema multiforme minor
Age: 1.19
Sex: F
Vaccine: FLUX, MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Patient had a febrile seizure.
Age: 1.27
Sex: M
Vaccine: DTAP, HIBV, PPV
Symptoms: Pyrexia, Vaccination error, Vomiting
Clinical narrative: Patient developed a high fever and vomiting.  Symptoms started 5 hours after vaccination.
Age: 11.0
Sex: F
Vaccine: UNK
Symptoms: Local swelling
Clinical narrative: Local swelling 3 inches right deltoid.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nervous system disorder
Clinical narrative: CNS POSTURE ASSUMED, KICKING AND TIPPING HEAD BACKWARD EVERY 5-10 MINUTES FOR FIVE HOURS
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Premature rupture of membranes
Clinical narrative: Patient had preterm rupture of membranes at 10:30 pm on the same day the vaccine was administered.  She was preterm (35 3/7 wks) and weighed 1860. Mom has a history of IUGR with her first pregnancy. 11/10/09:  Hospital Labor and Delivery Records and Prenatal records received for date of service 11/5/09. Dx:  Premature delivery  Assessment:  Gravida 3 Para 1 at 35 3/7 weeks EGA presented to L&D with premature rupture of membranes on date of H1N1 vaccine administration.  Baby had reassuring HR during labor.  Apgar scores were 8 and 9 at 1 and 5 minutes respectively.  Birth weight was 1860 gms.  Placenta with 3 vessel cord.  Estimated blood loss 100 ml.  Abnormal placenta sent to pathology.   11/9/09 Medical records received for dates 11/4/09 OB records. 35wks exam WNL. c/o back pain lying down. FHR 140's.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Facial pain, Hypoaesthesia, Immediate post-injection reaction, Muscle twitching, Muscular weakness
Clinical narrative: During vaccine injection felt pain up left cheek and down back of arm.  A week later had numbness/tingling in ring and pinky finger.  Has had numbness, tingling for about 1-1/2 months now.  Arm feels weak at times and has wrist twitching sometimes at night.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: During vaccine injection felt pain up left cheek and down back of arm.  A week later had numbness/tingling in ring and pinky finger.  Has had numbness, tingling for about 1-1/2 months now.  Arm feels weak at times and has wrist twitching sometimes at night.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Started with a fever at 8:00 PM after receiving H1N1 vaccine at 3:00 PM. Also had severe body aches, headache and sore throat.  The headache and body aches has continued as of this time.  Has treated with Advil/Tylenol at the OTC doses.
Age: 33.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Dysphonia, Headache
Clinical narrative: Symptoms:  Loss of voice, cough, Moderate Headache, and Mild Temp lasting approx 24 hours. Did not require emergency treatment, took 1000mg APAP with rest.   I just wanted to report for data purposes to assist in possible reactions.
Age: 8.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Cellulitis, Erythema, Induration, Rash vesicular, Skin lesion
Clinical narrative: R arm with 2 cm vesicular lesion surrounding erythema and induration- ? cellulitis, started Benadryl and Bactrim and Motrin, seen on 10-30-09 and rechecked on 10-31 and was improving.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Irritability, Urticaria
Clinical narrative: Hives - face  and arm.  Cranky - irritable x 2 days
Age: 1.04
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC
Symptoms: C-reactive protein increased, Cellulitis, Full blood count, Red blood cell sedimentation rate increased, White blood cell count increased
Clinical narrative: Cellulitis of (R) distal arm.
Age: 10.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cyanosis, Heart rate irregular, Hyperhidrosis, Lip dry, Syncope
Clinical narrative: Client ate milk and 2 slices of bread for breakfast.  Came to school, received nasal vaccination with other class members waited 15 min, then went to physical education class.  Played soccer.  Came back to media Ctr where us and observation started VS @ 1201 BP 116/78 HR88.  Very diaphoretic and syncopal.  Had dropped beat every 15-20 beats.  Lips blue and dry.  EMS called, mom arrived and took child home - EMS then left with client.
Age: 1.99
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: 11/2/09 - Child received H1N1 monovalent vaccine.  11/3/09 - Parent notified CHN/DOH of rash on all extremities.  CHN referred client to PCP for immediate FU.  No respiratory s/s.  Parent took child to Medical CTR, ER, evening of 11/3/09.  Child treated with BENADRYL, according to parent.  11/04/09 - Hives/rash gone, but reappeared to much lesser degree that evening.
Age: 92.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abasia, Aphasia, Asthenia, Death, Dysstasia
Clinical narrative: Patient showed a marked decline in functioning starting about 12 hours after the vaccine was administered.  Pt was shaky, weak, could not put words together.  Pt's doctor was contacted on Sept 8, ruled out UTI.  Seen by doctor on Sept 24. Pt was unable to stand or use legs, so she was taken to the hospital on Oct 8. Pt was admitted to hospital Oct 8 at Hospital, admitted to hospice on Oct. 13, and passed away Oct 17.  11/9/09:  Medical records and discharge summary received for dates of service 10/8/09 to 10/13/09.  Dx:  End stage Alzheimers Dimentia, dysphagia, HTN, arthritis, hypothyroidism, scoliosis, and sundowners.   Assessment:  Presented unable to ambulate that morning, not able to communicate.  Pts. baseline is to ambulate using walker, toilet and converse but over past 3-4 weeks she has steady decline and is no longer lucid and has no insight.  Urine, blood work and CXR all used to rule out infectious process.  Patient unable to improve in any way, palliative care discussed and hospice home decided on by family for comfort care measures only.
Age: 92.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: General physical health deterioration, Tremor
Clinical narrative: Patient showed a marked decline in functioning starting about 12 hours after the vaccine was administered.  Pt was shaky, weak, could not put words together.  Pt's doctor was contacted on Sept 8, ruled out UTI.  Seen by doctor on Sept 24. Pt was unable to stand or use legs, so she was taken to the hospital on Oct 8. Pt was admitted to hospital Oct 8 at Hospital, admitted to hospice on Oct. 13, and passed away Oct 17.  11/9/09:  Medical records and discharge summary received for dates of service 10/8/09 to 10/13/09.  Dx:  End stage Alzheimers Dimentia, dysphagia, HTN, arthritis, hypothyroidism, scoliosis, and sundowners.   Assessment:  Presented unable to ambulate that morning, not able to communicate.  Pts. baseline is to ambulate using walker, toilet and converse but over past 3-4 weeks she has steady decline and is no longer lucid and has no insight.  Urine, blood work and CXR all used to rule out infectious process.  Patient unable to improve in any way, palliative care discussed and hospice home decided on by family for comfort care measures only.
Age: 92.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Computerised tomogram, Death, Nuclear magnetic resonance imaging, Phlebotomy
Clinical narrative: Patient showed a marked decline in functioning starting about 12 hours after the vaccine was administered.  Pt was shaky, weak, could not put words together.  Pt's doctor was contacted on Sept 8, ruled out UTI.  Seen by doctor on Sept 24. Pt was unable to stand or use legs, so she was taken to the hospital on Oct 8. Pt was admitted to hospital Oct 8 at Hospital, admitted to hospice on Oct. 13, and passed away Oct 17.  11/9/09:  Medical records and discharge summary received for dates of service 10/8/09 to 10/13/09.  Dx:  End stage Alzheimers Dimentia, dysphagia, HTN, arthritis, hypothyroidism, scoliosis, and sundowners.   Assessment:  Presented unable to ambulate that morning, not able to communicate.  Pts. baseline is to ambulate using walker, toilet and converse but over past 3-4 weeks she has steady decline and is no longer lucid and has no insight.  Urine, blood work and CXR all used to rule out infectious process.  Patient unable to improve in any way, palliative care discussed and hospice home decided on by family for comfort care measures only.
Age: 92.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Speech disorder, Tremor, Urine analysis
Clinical narrative: Patient showed a marked decline in functioning starting about 12 hours after the vaccine was administered.  Pt was shaky, weak, could not put words together.  Pt's doctor was contacted on Sept 8, ruled out UTI.  Seen by doctor on Sept 24. Pt was unable to stand or use legs, so she was taken to the hospital on Oct 8. Pt was admitted to hospital Oct 8 at Hospital, admitted to hospice on Oct. 13, and passed away Oct 17.  11/9/09:  Medical records and discharge summary received for dates of service 10/8/09 to 10/13/09.  Dx:  End stage Alzheimers Dimentia, dysphagia, HTN, arthritis, hypothyroidism, scoliosis, and sundowners.   Assessment:  Presented unable to ambulate that morning, not able to communicate.  Pts. baseline is to ambulate using walker, toilet and converse but over past 3-4 weeks she has steady decline and is no longer lucid and has no insight.  Urine, blood work and CXR all used to rule out infectious process.  Patient unable to improve in any way, palliative care discussed and hospice home decided on by family for comfort care measures only.
Age: 0.83
Sex: F
Vaccine: DTAP
Symptoms: Cough, Pyrexia, Rhinorrhoea, Wheezing
Clinical narrative: COUGH, WHEEZE, RUNNING NOSE , LOW GRADE FEVER
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Electroencephalogram
Clinical narrative: Patient had 2 seizures on this day, had been seizure free for sometime.  11/09/09 Medical records received for DOS 9/16-11/02. ER and PMD office notes. Patient had been seizure free for 1.5 yrs. 9/16 had seizure and then several others between that date and 11/02. No other s&sx of illness except minor cold prior to one seizure.  Severe HA after 11/02 sz. Was able to speak during.   Seizure. 10 min long.  Slept next day.  Observe. Plan for b/w and EEG.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Rash
Clinical narrative: Started running low grade fever and broke ou in fine rash on trunk, did not fade after taking benadryl.  Rash still present 11-5 however fever less than 24 hours.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Flushing, No reaction on previous exposure to drug, Tachycardia, Wheezing
Clinical narrative: flushing, wheezing, tachycardia about 30 minutes after receiving vaccines. Went to the ED and received albuterol updraft, IV benadryl and solumedrol with marked improvement and sent home on oral prednisone and benadryl. Has had 5Dtap's previously and all her immunizations without any previous adverse reactions.
Age: 3.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Abnormal behaviour, Crying, Lacrimation increased, Lethargy, Pyrexia
Clinical narrative: I dropped patient off at daycare and shortly after lunch time, she was acting very emotional and not wanting to play with anyone which is not like her. She went down for her nap and by the time she woke up she had a high fever and was crying non-stop. She was responding very little when I got to the daycare. She was burning up and her eyes were glassy looking. I brought her to the ER and her fever was 102.5 (4 hours after vaccine). She had no other symptoms besides high fever (went up to 103.4 that night) and very lethargic. She started perking up after several hours but the high fever continued. It finally went down to 100-101 yesterday. She still shows no other symptoms of illness (no runny nose or cough). ER doctor said it was a probably immunization reaction. She has not yet fully recovered (as stated in Box 9).
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Injection site pain, Rash
Clinical narrative: 101 temp, redness, rash and pain at injection site.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Onset of headache, body aches, cough, sore throat and runny nose within 36 hrs of H1N1 livemist.  Had onset of fever (max 102) 72 hrs after receiving vaccine.  She (mom) had notified her doctor and treated fever with TYLENOL and MOTRIN.  We spoke 10/21/09 and child still has fever ranging 99 to 102.  Sx's continue as of 10/27/09.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rhinorrhoea
Clinical narrative: Onset of headache, body aches, cough, sore throat and runny nose within 36 hrs of H1N1 livemist.  Had onset of fever (max 102) 72 hrs after receiving vaccine.  She (mom) had notified her doctor and treated fever with TYLENOL and MOTRIN.  We spoke 10/21/09 and child still has fever ranging 99 to 102.  Sx's continue as of 10/27/09.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Arthralgia, Dizziness postural, Dyspnoea, Headache, Muscle spasms
Clinical narrative: 9-28-09  Right deltoid seasonal vaccine 5 days later muscle spasim right side. 10-30-09 H1N1 vaccine Left deltoid 48 hrs later began having trouble breathing, muscle and joint pain and stiffing . Rash headache 5 days after shot muscle spasims left side also dizziness above standing.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Musculoskeletal stiffness, Myalgia, Rash
Clinical narrative: 9-28-09  Right deltoid seasonal vaccine 5 days later muscle spasim right side. 10-30-09 H1N1 vaccine Left deltoid 48 hrs later began having trouble breathing, muscle and joint pain and stiffing . Rash headache 5 days after shot muscle spasims left side also dizziness above standing.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Dizziness, Vertigo
Clinical narrative: Extreme dizziness, and vertigo. Was incapacitated and taken to ER at AMNC for treatment. Still dealing with possible side effects.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling, redness, pain involving right upper extremity from shoulder to elbox.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Aggression, Amnesia, Blood test, Computerised tomogram, Convulsion
Clinical narrative: Started passing out at school, incoherent and did not recognize people. Was taken to hospital emergency complete blood work including drug testing done, all came back negative.  CAT scan done came back negative.  Unable to recognize family member that came to hospital and friends. While in hospital she had what we now know 3 seizures.  She becomes completely quiet, tears running down face and does not respond to any one. They released her saying it was a reaction to her asthma inhaler.  Went to pediatrician next day who thought it may be drugs but drug panel at hospital was negative.  Her personality completely changed went from outgoing and friendly, to quiet and tired.  On Wednesday September 5 she returned to the pediatrician who suggested she see a specialist she suspected patient was having seizures and her memory had still not returned.  Started seeing Dr. on Sept. 6 and he confirmed seizures put on meds.  After seizures she becomes very aggravated and mean then take a nap that can last anywhere from a couple hours to all day. There were 2 occasions she lost control of her bodily functions.  In October she started have short term memory loss and would ask the same question over and over again.  She was taken out of school and put on hospital/home studies for the remainder of her sophmore year.  She was taken off all med in the spring of 2008 and her last seizure was in Nov of 2008. 12/16/09 Medical records received for dates 9/16/07 to 3/14/08. DX: seizures. Multiple f/u appts for seizure monitoring. Pt w/ active seizure disorder. 12/17/09 ER records received for date 8/30/07.  DX not documented. SX: c/o asthma attack, parents states pt not acting right since the asthma attack. Assessment: flat affect, disoriented.  1/4/2010 Ed note for 9/20/2007, patient with c/o's dizziness, no tx noted,
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Electroencephalogram, Fatigue, Incoherent, Incontinence, Lacrimation increased
Clinical narrative: Started passing out at school, incoherent and did not recognize people. Was taken to hospital emergency complete blood work including drug testing done, all came back negative.  CAT scan done came back negative.  Unable to recognize family member that came to hospital and friends. While in hospital she had what we now know 3 seizures.  She becomes completely quiet, tears running down face and does not respond to any one. They released her saying it was a reaction to her asthma inhaler.  Went to pediatrician next day who thought it may be drugs but drug panel at hospital was negative.  Her personality completely changed went from outgoing and friendly, to quiet and tired.  On Wednesday September 5 she returned to the pediatrician who suggested she see a specialist she suspected patient was having seizures and her memory had still not returned.  Started seeing Dr. on Sept. 6 and he confirmed seizures put on meds.  After seizures she becomes very aggravated and mean then take a nap that can last anywhere from a couple hours to all day. There were 2 occasions she lost control of her bodily functions.  In October she started have short term memory loss and would ask the same question over and over again.  She was taken out of school and put on hospital/home studies for the remainder of her sophmore year.  She was taken off all med in the spring of 2008 and her last seizure was in Nov of 2008. 12/16/09 Medical records received for dates 9/16/07 to 3/14/08. DX: seizures. Multiple f/u appts for seizure monitoring. Pt w/ active seizure disorder. 12/17/09 ER records received for date 8/30/07.  DX not documented. SX: c/o asthma attack, parents states pt not acting right since the asthma attack. Assessment: flat affect, disoriented.  1/4/2010 Ed note for 9/20/2007, patient with c/o's dizziness, no tx noted,
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging normal, Unresponsive to stimuli
Clinical narrative: Started passing out at school, incoherent and did not recognize people. Was taken to hospital emergency complete blood work including drug testing done, all came back negative.  CAT scan done came back negative.  Unable to recognize family member that came to hospital and friends. While in hospital she had what we now know 3 seizures.  She becomes completely quiet, tears running down face and does not respond to any one. They released her saying it was a reaction to her asthma inhaler.  Went to pediatrician next day who thought it may be drugs but drug panel at hospital was negative.  Her personality completely changed went from outgoing and friendly, to quiet and tired.  On Wednesday September 5 she returned to the pediatrician who suggested she see a specialist she suspected patient was having seizures and her memory had still not returned.  Started seeing Dr. on Sept. 6 and he confirmed seizures put on meds.  After seizures she becomes very aggravated and mean then take a nap that can last anywhere from a couple hours to all day. There were 2 occasions she lost control of her bodily functions.  In October she started have short term memory loss and would ask the same question over and over again.  She was taken out of school and put on hospital/home studies for the remainder of her sophmore year.  She was taken off all med in the spring of 2008 and her last seizure was in Nov of 2008. 12/16/09 Medical records received for dates 9/16/07 to 3/14/08. DX: seizures. Multiple f/u appts for seizure monitoring. Pt w/ active seizure disorder. 12/17/09 ER records received for date 8/30/07.  DX not documented. SX: c/o asthma attack, parents states pt not acting right since the asthma attack. Assessment: flat affect, disoriented.  1/4/2010 Ed note for 9/20/2007, patient with c/o's dizziness, no tx noted,
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV1
Symptoms: Choking, Death, Irritability
Clinical narrative: Patient was fussy on 11/04/2009, he was hard to calm down in the morning at approx 4 am I awoke to sounds of him choking, I picked him up and then he was fine,  I took him to daycare that morning and received the phone call at 4:30 pm that he was being rushed to the ER.  12/22/09 Death Certificate Received, DOD 11/05/08, Cause of Death: Sudden Infant Death Syndrome (SIDS) at daycare.  12/22/09 Autopsy received. Cause of Death: Sudden Infant Death Syndrome (SIDS). Additional information abstracted: Had been fussy and more congested lately. Chronic inflammation in the large airways likely due to viral infection.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: PER MOTHER T.CALL ON 11/04/09 AT 2PM, STATED, SON RECEIVED Tdap BOOSTER ON RIGHT ARM. FOR SCHOOL REQUEST. SON STARTED COMPLAINING WITH PAIN TO (R) ARM AND ARM SWOLLEN. MON GAVE MOTRIN FOR PAIN. Sr.PHN (R.N.) RECOMMENDED ICE COLD PACK TO ARM AS TOLERATED AND CONTINUE WITH MOTRIN PER PGK. RECOMMENDATIONS. MOM AGREED. Sr.PHN FOLLOWED-UP AND TALKED WITH MOM ON11/05/09. MOM STATED, SON STILL IN VERY MUCH PAIN THAT FEELS IT IS GOING ALL THE WAY DOWN TO HIS (R) HAND AND STILL SWOLLEN. NO FEVER. Sr.PHN STILL RECOMMENDED MORE ICE AS TOLERATED AND IF S/S DID NOT DECREASED, NEEDS TO SEE PRIVATE MD OR ER OF CHOICE AND WILL BE REPORTING THIS EVENT TO VAERS SYSTEM. MOM AGREED.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: redness, warmth, and swelling of right upper arm below vaccination site
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Dizziness, Dyspnoea, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Patient stated that 3 seconds after receiving the H1N1 vaccine she started shaking, sweating, dizziness, shortness of breath, broke out in hives, her skin turned pale and she is now coughing.  She was told by her doctor to use her inhaler, nebulizer and EPI-PEN. She was given BENADRYL for itching.