chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: This patient an 82-year-old female comes to the emergency department mainly complaining of right arm pain. She had her pneumococcal vaccine shot today around 12 o'clock and then several hours later started to develop right arm pain particularly in the shoulder where she got her shot, that was followed with episode of nauseousness and dizziness which she said she felt a little lightheaded. She denied any chest pain, palpitation, shortness of breath with it. Positive nausea with no vomiting. She denied any other symptoms with the exception of that. Her shoulder pain is worse with movement and she has trouble lifting her arm because of that discomfort. She only weighs 100 pounds, does not have a lot of subcutaneous tissue and/or muscle of that shoulder. She denies any redness, fevers, paraesthesias or weakness. No focal complains. Heart: No chest pain or tachycardia. Lungs: No wheezing or shortness of breath. Abdomen: Positive nausea, no vomiting. No diarrhea or constipation or abdominal pain. GU: No hematuria or dysuria. Remainder of systems reviewed are negative except as above. Nursing notes noted. Vital signs: Blood pressure 162/68, heart rate of 91, respiratory of 18, temperature 35.9. She is 96: on room air. Constitutional: She is alert, oriented x3, nontoxic, afebrile. Answering questions appropriately, acting appropriate for age, in no acute distress. HEENT: Pupils are equal, round, react to light. Extraocular muscles are intact. Mucous membranes are moist. Neck is supple without lymphadenopathy. There is no meningismus. Chest: Regular rate, no S3, S4 or murmurs. Lungs are clear to auscultation bilaterally. No wheeze, rhonchi or rales, no tachypnea, no retractions, no stridor. Abdomen is soft, nontender, nondistended with positive bowel sounds in all 4 quadrants. Extremities: No clubbing, cyanosis or edema. Right upper extremity there is marked tenderness to palpation over the lateral aspect of the right shoulder, there is sign of where her injection was but there is no erythema, no ecchymosis, no swelling, just significant tenderness to palpation there. Grip strength is +5/5 bilaterally. Neurologic: She is moving all 4 extremities. There are no gross focal neurologic deficits. Decreased range of motion secondary to pain in the right upper extremity but no focal weakness. Skin warm and dry. She was given a small dose of MORPHINE, as well as ZOFRAN and she was reevaluated. She was markedly improved. She denied any nauseousness. She was still complaining of pain in her right arm and understands that that is going to be probably like that for the next 2 to 3 days. Return if any worsening symptoms or any other concerns. Right arm pain suspect secondary to pneumococcal vaccine possible adverse reaction.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test normal, Computerised tomogram normal, Convulsion, Electroencephalogram normal, Intensive care
Clinical narrative: Onset seizures suddenly 5/2/09 while skating, treated 5 hrs at ER then transferred to Ped ICU x 4 days episodes. Had 2 more seizure episodes 5/18/09, 6/2/09. ER visits, DILANTIN used and d/c 6/6/09.  11/23/2009 HR and DC summary for 5/2-5/6/2009. Dx conversion disorder  Patient with seizure-like activity with rt sided tremors and slurred speech. Tx: IV Ativan and Dilantin, ABX and Acyclovir. Psych consult impression was conversion disorder
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging normal
Clinical narrative: Onset seizures suddenly 5/2/09 while skating, treated 5 hrs at ER then transferred to Ped ICU x 4 days episodes. Had 2 more seizure episodes 5/18/09, 6/2/09. ER visits, DILANTIN used and d/c 6/6/09.  11/23/2009 HR and DC summary for 5/2-5/6/2009. Dx conversion disorder  Patient with seizure-like activity with rt sided tremors and slurred speech. Tx: IV Ativan and Dilantin, ABX and Acyclovir. Psych consult impression was conversion disorder
Age: 35.0
Sex: M
Vaccine: FLUX
Symptoms: Myalgia
Clinical narrative: Muscle pain from shoulder going to the neck up to the back of the ear.
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chills, Malaise, Nausea, Vomiting
Clinical narrative: Patient had a brief episode of severe vomiting and nausea, chills and malaise lasting 24 hours.  She feels fine now - no treatment was necessary.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1), FLU3, FLUX, FLUX(H1N1)
Symptoms: Throat tightness, Urticaria
Clinical narrative: 24 hrs post vaccination - 11/18/09 - Hives on neck, upper body -> Re'cd with BENADRYL & PREDNSONE.  11/19/09 - Increase eruptions over whole body with throat constriction.  Treated in ER with IV EPI & NEPHRINE with good effect. 12/01/09  Hospital  and ED records received for DOS 11/20-11/24/09. Pt. presented to ED with hives all over body one day after vaccination. Treated with epinephrine, solumedrol, pepcid and benadryl and discharged in am.  Later same day developed lip swelling, itching, throat tightening and cough and returned to ER and admitted. Treated with IV steroids, and antihistamines, H2 blockers. Dermatology and allergy consults completed. Lip and throat tightening resolved. Episodes of urticaria continued but less severe upon discharge. DX: allergic reaction, hyperglycemia
Age: 30.0
Sex: F
Vaccine: FLU(H1N1), FLU3, FLUX, FLUX(H1N1)
Symptoms: Angioedema, Hypersensitivity, Hypotension, Rash, Urticaria
Clinical narrative: 24 hrs post vaccination - 11/18/09 - Hives on neck, upper body -> Re'cd with BENADRYL & PREDNSONE.  11/19/09 - Increase eruptions over whole body with throat constriction.  Treated in ER with IV EPI & NEPHRINE with good effect. 12/01/09  Hospital  and ED records received for DOS 11/20-11/24/09. Pt. presented to ED with hives all over body one day after vaccination. Treated with epinephrine, solumedrol, pepcid and benadryl and discharged in am.  Later same day developed lip swelling, itching, throat tightening and cough and returned to ER and admitted. Treated with IV steroids, and antihistamines, H2 blockers. Dermatology and allergy consults completed. Lip and throat tightening resolved. Episodes of urticaria continued but less severe upon discharge. DX: allergic reaction, hyperglycemia
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Ear discomfort, Hypoacusis, Tinnitus
Clinical narrative: My right ear developed a progresssive pressure/muffling similar to getting water in the ear over a 2 hour period. By 5:00 PM I felt almost 90% deaf in the right ear. Over the next two days the pressure and sensation reduced and went away, but leaving a high pitched tone in right ear, continues to present. Went to ENT 11/5/09 and evaluated with Audiology testing. Recommend to follow-up in one month to assess.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Musculoskeletal pain, Pain in extremity, Rotator cuff syndrome
Clinical narrative: Flu shot received 10/19/09.  C/o left arm soreness on 10/26/09, seen by physician who recommended rest, ice, ibuprofen and myoflex.  11/11/09 c/o left shoulder pain, seen by physician and referred to orthopedic surgeon for evaluation.  11/12/09 ortho dx: L rotator cuff tendonitis/bursitis.  Cortisone injection to L shoulder and therapeutic shoulder exercises.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Onset 20 min following injection, although not reported to nurse or teacher.  Developed hives on inner thighs bilaterally.  Benadryl and hydrocortisone cream applied with resolution.  History of hives following Augmentin and possibly Ceclor. No allergy to eggs.  Physician notified by phone, no visit.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Blood pressure decreased, Dizziness, Presyncope, Tonic clonic movements, Vomiting
Clinical narrative: Brief (5-10 seconds) tonic - clonic movements of the arm followed by vaso-vagal reaction including drop in blood pressure to 73/43 and HR 53 with steady increase to normal.  Pt also had emesis.  She left clinic when stable, but then about 2 hrs later her mother returned for copies of note prior to taking pt to ER with repeated emesis and dizziness.
Age: 47.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain upper, Decreased appetite, Diarrhoea, Malaise, Nausea
Clinical narrative: day 1 - nausea without vomiting, malaise, pain in lower stomach area, fever 98.5F to 100.7F. - not able to eat any food, drank plenty of water.  day 2 - watery stool, light malaise, fever 97.9F to 100.2F then during night time fever 98.2F to 99.1F  day 3 - fever 97.0F at 7:10 AM
Age: 47.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: day 1 - nausea without vomiting, malaise, pain in lower stomach area, fever 98.5F to 100.7F. - not able to eat any food, drank plenty of water.  day 2 - watery stool, light malaise, fever 97.9F to 100.2F then during night time fever 98.2F to 99.1F  day 3 - fever 97.0F at 7:10 AM
Age: 2.0
Sex: M
Vaccine: DTAPIPVHIB, FLUN3, HEP, MMR, PNC, VARCEL
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: swollen tender upper left arm shoulder to elbow
Age: 1.39
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Child was given Novartis Vaccine only approved for children ages 4 years and up. No adverse reaction reported.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain lower, Decreased appetite, Dehydration, Listless, Malaise
Clinical narrative: Had H1N1 vaccine on 11/17. On 11/18, moderate - severe LLQ abdominal pain, malaise, and decreased appetite. Pt dehydrated and listless on exam. TYLENOL given was sent to ER for IV fluids. Vomited 1x on way to ER. Symptoms resolved in ER no IV given in ER pt alert active wit no symptoms in office on 11/19/2009.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Streptococcal identification test negative, Vomiting
Clinical narrative: Had H1N1 vaccine on 11/17. On 11/18, moderate - severe LLQ abdominal pain, malaise, and decreased appetite. Pt dehydrated and listless on exam. TYLENOL given was sent to ER for IV fluids. Vomited 1x on way to ER. Symptoms resolved in ER no IV given in ER pt alert active wit no symptoms in office on 11/19/2009.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Large hot, red area at injection site
Age: 53.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Diarrhoea
Clinical narrative: Severe Diarrhea.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Computerised tomogram normal, Convulsion
Clinical narrative: 11/11/09 Am Seizure at daycare. Was transported by EMS to ER. Was evaluated and released. 11/13/2009 Had second seizure at daycare. Taken to ER and evaluated. Had head CT while there. Was sent home on Keppra and scheduled follow up with Neurology.  11/23/09 Medical records received for DOS 11/8/09 and 11/13/09. Final DX: Primary Seizure Disorder Seizure x2. Second occurred on playground. GTC x30 sec. Post ictal x45 min. Incontinent.  Concurrent ear infection, cough. Afebrile. Repeated startle response w/loss of tone in ED. PE WNL. D/C to home w/Diastat. refer to Neuro. : CT head neg. Bld wrk unremarkable. Diags ordered. ICD9 Codes: 780.39.  11/24/09 Medical records received for date 11/8/09.  Neuro consult. DX: epilepsy. Pt seen for 2 episodes of seizure activity. Assessment: WNL.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Hypoaesthesia, Hypoaesthesia facial, Swelling face
Clinical narrative: 11-17-09 numbness to right side of body. Woke up with swollen face. Better on 11-18-09. Face  numb, right side.  11/23/09:  Prenatal records received for dates of service 11/18/09 to 11/23/09.  Pregnant pt. c/o feeling numb on right side of body with facial swelling and facial numbness day after receiving H1N1 injection.  By 11/23/09 felt well, normal.
Age: 0.97
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Decreased appetite, Malaise, Rash generalised
Clinical narrative: Mother of child called to state developed a red rash over entire body 11/19/09, was seen by PCP.  States was diagnosed by PCP as a reaction to the H1N1 vaccine.  Patient not feeling well and is not eating as much as normal per described by mother.  Mother notes no environmental changes other than received H1N1 vaccine 11/16/09.
Age: 38.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus generalised
Clinical narrative: Pt has erythemic, pruritic papules & vesicles on anterior and posterior trunk, neck, face, & scalp.
Age: 38.0
Sex: F
Vaccine: TDAP, UNK
Symptoms: Injection site pain, Injection site swelling, Pain
Clinical narrative: Bump at injection site.  Painful & swollen.  Hurts to move arm in certain directions.  Arm locks up.
Age: 55.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Lymphadenopathy
Clinical narrative: Contacted patient to advise late on booster dose of MMR. States developed swelling in lymph nodes by left ear after receiving shot. She also had a headache. She tried. BENADRYL with no relief: went to emergency room 7 days later: was given VICODIN for pain.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Death
Clinical narrative: Death - cause of death not confirmed by medical examiner.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Discomfort, Hypoaesthesia, Lymphadenitis, Pain in extremity
Clinical narrative: C/o sore arm 10/09-rec'd vaccine on 10/7 - took ibuprofen to decrease discomfort noticed increased numb increased pain in right arm - noticed softball size swelling in both armpits as seen in the ER & tx'd with IV fluids & INTERFERON - seen per neurologist & dc'd - no other meds or tx given - last of swelling gone by 10/23/09.   11/25/09 Medical records received for DOS 10/09/09.  ED records. Final DX: Flu vaccine reaction, extremity parasthesias.   C/O swelling bil axillae, weakness, parasthesias, 2 days s/p vaccine.  Light headed. Poor sensation bil feet. Neg patellar reflexes.
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dyskinesia, Eye rolling, Gaze palsy, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Immediately after vaccine eyes rolled back loss consciousness, arms jerked. Vaccine was administered by health dept at her school.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Injection site swelling
Clinical narrative: Seen 11/16 with swollen left arm from axilla -> mid forearm, tender SI: warmth to touch.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pt given shot at 3:30 PM 11-18-09.  Pt reported vomiting at approx 1:00 AM the next morning & was seen at 11: AM at doctor's office 11-19-09.  Spiked 101.2 fever 11-19-09 and that broke before midnight.  Phone call to mother at noon 11-20-09 pt is well.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Anxiety, Bronchospasm, Chest discomfort, Cough, Nasal congestion
Clinical narrative: 10 minute after receiving intranasal H1N1 Pt developed chest tightness, nasal irritation, congestion, sore throat & bronchiospastic cough alone with anxiety. 11/23/09 Medical records received for date 11/20/09. DX: allergic rhinitis, asthma, acute bronchospasms. Pt. presented w/ request for H1N1 vax per parent. Vax given intranasal. Pt parent called back within 10 minutes to state pt. is having difficulty breathing. Pt not previously seen at this office. Pt parent admits pt has currently had runny nose, sore throat and cough.  Assessment: observed to have bronchospastic cough.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Nasal discomfort, Oropharyngeal pain
Clinical narrative: 10 minute after receiving intranasal H1N1 Pt developed chest tightness, nasal irritation, congestion, sore throat & bronchiospastic cough alone with anxiety. 11/23/09 Medical records received for date 11/20/09. DX: allergic rhinitis, asthma, acute bronchospasms. Pt. presented w/ request for H1N1 vax per parent. Vax given intranasal. Pt parent called back within 10 minutes to state pt. is having difficulty breathing. Pt not previously seen at this office. Pt parent admits pt has currently had runny nose, sore throat and cough.  Assessment: observed to have bronchospastic cough.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus
Clinical narrative: 5 min after injection c/o itchy from shoulder to fingertips and erythema without resp signs and symptoms. 10 min later 50mg BENADRYL given QID x 3d. Prednisone 60mg everyday x3d given. BP 120/80 no acute distress.
Age: 11.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Bilateral upper arm erythema and edema began day after immunizations administered. Given BENADRYL in office.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Limb immobilisation
Clinical narrative: Sore right arm immediately and progressed to difficulty moving arm.  Most painful at night.  Patient iced, used heat, massage acupuncture.  Then went to primary care provider who prescribed physical therapy.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Diarrhoea, Headache, Tachycardia
Clinical narrative: Tachycardia, diarrhea, headache.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Condition aggravated, Urticaria
Clinical narrative: Mom states on 10-20-09 approx 30 min. after breakfast child developed hives on face, arms, trunk of body.  Hives lasted about 14 1/2 hrs and then goes away.  Returned in like manner after every meal.  Has occurred for eight days.  Pt went to see PMD who prescribed ZYRTEC.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: Sx of rash on lips - occurring approximately 20 min after vaccine.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Crying, Dyspnoea, Tremor
Clinical narrative: Within one hour from vaccine child complained of stomach pain, crying nonstop, shaking, c/o difficulty breathing. Mom administered albuterol nebulizer treatment and 1 1/2 tsp BENADRYL. Child's symptoms resolved after both txmts.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal discomfort
Clinical narrative: Pain at left shoulder x1 month.
Age: 0.41
Sex: M
Vaccine: DTAP, HBHEPB, IPV, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Computerised tomogram abdomen, Gastrointestinal necrosis, Intestinal resection, Intussusception
Clinical narrative: 6 1/2 month developed ileocecal and ileocolic intussusception with resection of necrotic bowel. 12/3/2009 MR and DC summary for 11/10-11/15/2009. Dx Intussusception  Patient presents with projectile vomiting, unable to tolerate anything po, lethargic. Had a laparotomy with reduction and resection of intussusception.
Age: 0.41
Sex: M
Vaccine: DTAP, HBHEPB, IPV, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal distension, Fluid intake reduced, Gastrointestinal necrosis, Intussusception
Clinical narrative: 6 1/2 month developed ileocecal and ileocolic intussusception with resection of necrotic bowel. 12/3/2009 MR and DC summary for 11/10-11/15/2009. Dx Intussusception  Patient presents with projectile vomiting, unable to tolerate anything po, lethargic. Had a laparotomy with reduction and resection of intussusception.
Age: 0.41
Sex: M
Vaccine: DTAP, HBHEPB, IPV, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Lethargy, Small intestinal obstruction, Small intestinal resection, Vomiting projectile, X-ray abnormal
Clinical narrative: 6 1/2 month developed ileocecal and ileocolic intussusception with resection of necrotic bowel. 12/3/2009 MR and DC summary for 11/10-11/15/2009. Dx Intussusception  Patient presents with projectile vomiting, unable to tolerate anything po, lethargic. Had a laparotomy with reduction and resection of intussusception.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Flushing, Rash
Clinical narrative: Had H1N1 and seasonal flu vaccine at 8am on 11-19-2009. At 3pm noticed rash to chest, shoulders, back and flushing of face, ears and neck.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Peripheral coldness
Clinical narrative: C/o dizziness fingers feeling cold feeling weak after vaccination.  EMS called to evaluate.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: The student came to the health room at school at 1420 c/o 4 rash/welt marks (2 on Rt. cheek; 1 under chin; 1 on neck). Assessed: P-100 R-22 lungs CTA T-98.2. Recommended mother give BENADRYL.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray normal, Cough, Pyrexia
Clinical narrative: One day after vaccination c/o fever and cough was seen by PCP treated symptomatically improved after 3 days.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Urticaria developed 3 days after H1N1 vaccine.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Grand mal convulsion
Clinical narrative: Pt developed seizure (1st time)-New onset on 11/09/2009 generalized Tonic clonic- lasted 5 min. 2nd seizure on 11/20/2009-lasted 3 minutes- generalized Tonic clonic. Referred to ER.  11/23, 11/24 and 12/02/09  Medical records received for DOS 11/06-11/21/09 Final DX: Seizure, recurrent  Rcvd vaccine 11/6. Also dx w/contact dermatitis/allergic rxn, pharyngitis on same day.   First seizure 11/9. GTC. LOC Jerking mvnts x5 few minutes, HA, blurry vision for a few hours after.  Sleepy prior to sz.  2nd sz 11/20.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Electroencephalogram, Muscle twitching, Scan brain
Clinical narrative: Patient with R arm and face twitching a.m. of 11/17/09 which progressed to generalized seizure. transferred to Emergency Room. Treated with ATIVAN, labs and CT scan of brain WNL. No further seizures noted. To have EEG and neuro visit on 11/24.  11/24 &12/01/09 Primary care and ED records received for date of service 11/17/09.  Dx:  Generalized seizure.  Presented with R arm and facial twitching which progressed to generalized seizure.  CT scan negative.  Treated with Ativan in ED.  D/C to follow up with EEG.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea, Erythema, Injection site erythema, Pallor
Clinical narrative: Tightness in chest, blurry vision, redness at site, mild shortness of breath, pale face, redness to nose and cheeks.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rhinitis, Vision blurred
Clinical narrative: Tightness in chest, blurry vision, redness at site, mild shortness of breath, pale face, redness to nose and cheeks.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: She got hives after 30minutes of vaccination randomly. She got hives from face to feet at 10pm. I gave her BENADRYL 25mg every 4 hours and she was fine next morning.
Age: 1.3
Sex: M
Vaccine: FLU(H1N1), FLU3, HIBV, MMR, VARCEL
Symptoms: Erythema, Injection site papule, Rash maculo-papular
Clinical narrative: Rash began with small red papules on extremities. Larger red areas today. Red cheeks and ears overnite. tmax 99. sx mild, gradually worsening per mom. Seen by MD 11/20/09. Pink maculopapular rash and blotches on axillae, and thighs, smaller 3mm to 1/2cm papules scattered diffusely, rosey cheeks and external ears. Rash 10 days after MMR/VARIVAX vaccines. Sx tx reviewed, to F/U if sx worsen or persist.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Injection site pain, Injection site pruritus, Injection site urticaria, Urticaria
Clinical narrative: 5 days following receipt of the MedImmune Live attenuated H1N1 monovalent vaccine, child developed raised itchy painful welts on her lower limbs, that rapidly spread to cover her entire body.  No fever.  Notified physician and treated with OTC Benadryl with resolution of symptoms.  Had gradual resolution of symptoms over the following 5 days.  Completely well by 11/19/09.  Spoke with child's pediatrician, who verified information.
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Erythema, Pruritus, Rash
Clinical narrative: Severe rash, moderate/severe erythema, moderate itching, burning.  (Complained of mild shortness of breath, none noticed, O2 sats 99% room air.) Symptoms were severe within 15 minutes of administration, immediately sent to our ER. Treatment I.V. access, 25 mg. Benadryl IM, Benadryl 25 mg. IVP.  12/14/09 MR received for DOS 11/18/09. Pt c/o rash, SOB, pruritus. Tx: Benadryl. Dx: reaction to swine flu nasal spray. Pt discharged home in good condition.
Age: 0.65
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Irritability, Tremor, Wheezing
Clinical narrative: Child was coughing, fussy, wheezing, shakey parent took her to the ER.  Triaged at 2316, Vitals were stable.  O2 sats 98%.  No interventions were provided during the visit, observation of status only.  Physician recommended to defer further doses of the H1N1 vaccine due to likely reaction.  Pt. was discharged from ER at 00:23.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Swelling
Clinical narrative: RED, SWELLING..BENADRYL Q 4-6 HRS PRN
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Injection site anaesthesia, Injection site erythema, Injection site swelling, Paraesthesia
Clinical narrative: Site of injections was red/ swollen. Arm was also numb/tingling.
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Feeling abnormal, Feeling jittery, Heart rate increased
Clinical narrative: Fast heart beat, jittery, fidgety "too much caffeine" feeling. Slight dizziness.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Muscle spasms
Clinical narrative: Complained of soreness of injection arm, red hot swollen from site to wrist, worse the next morning with muscle spasms to ER received steroid injection.
Age: 1.39
Sex: F
Vaccine: FLUN(H1N1), FLUX
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: SWINE FLU MIST GIVEN INADVERTANTLY TO LESS THAN 2 YEAR OLD
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Mobility decreased
Clinical narrative: Pain and swelling at injection site which continued to worsen.  On 19 Nov 09 patient noted marked swelling, erythema, and induration at injection site, increased pain in arm and hand and difficult ROM.  Patient has had 6 previous anthrax shots without problem; first booster caused increased swelling and redness, but nothing like this reaction.  Patient given acetaminophen.  On 20 Nov 09, swelling slightly greater, unchanged erythema and induration, but much better ROM and less pain in hand/fingers.  Patient given Allegra and Prednisone and designated as medically exempt from further anthrax injections.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Pain in extremity
Clinical narrative: Pain and swelling at injection site which continued to worsen.  On 19 Nov 09 patient noted marked swelling, erythema, and induration at injection site, increased pain in arm and hand and difficult ROM.  Patient has had 6 previous anthrax shots without problem; first booster caused increased swelling and redness, but nothing like this reaction.  Patient given acetaminophen.  On 20 Nov 09, swelling slightly greater, unchanged erythema and induration, but much better ROM and less pain in hand/fingers.  Patient given Allegra and Prednisone and designated as medically exempt from further anthrax injections.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test normal, Drug exposure during pregnancy, Hypoaesthesia, Injection site anaesthesia, Injection site reaction
Clinical narrative: Tingling/ Numbness in the middle of the upper outer left arm, 2 inches or so below the injection site. Sensation moved up into shoulder and into upper forearm. Sensation felt on occassion on left cheekbone and jawline. Persisted for 12 hours. 12/02/09 ED Records received for DOS 11/17/09. Pt., who is 30 weeks pregant, presented with left arm tingling, radiating to l shoulder and face. Discharged stable. DX: Paresthesias 12/02/09 prenatal records received for DOS 6/23/09-11/12/09. Pt requesting vaccine on 11/12/09.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Ultrasound scan normal, Urine analysis abnormal
Clinical narrative: Tingling/ Numbness in the middle of the upper outer left arm, 2 inches or so below the injection site. Sensation moved up into shoulder and into upper forearm. Sensation felt on occassion on left cheekbone and jawline. Persisted for 12 hours. 12/02/09 ED Records received for DOS 11/17/09. Pt., who is 30 weeks pregant, presented with left arm tingling, radiating to l shoulder and face. Discharged stable. DX: Paresthesias 12/02/09 prenatal records received for DOS 6/23/09-11/12/09. Pt requesting vaccine on 11/12/09.
Age: 36.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Injection site pain, Neck pain
Clinical narrative: Severe neck pain, originated from site of injection on L arm, lasted 1 day; severe small joint pains on 11-16-09.
Age: 44.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blepharospasm
Clinical narrative: Constant eye twitching/ Both eyes worse in left.
Sex: F
Vaccine: FLU3
Symptoms: Apgar score normal, Convulsion, Foetal heart rate abnormal, Intensive care
Clinical narrative: Initial case report received from a physician and registered nurse via Vaccine Adverse Event Reporting System (VAERS), on 06 NOV 2009. A 2-day-old female patient experienced a seizure-like episode and was transferred to a neonatal intensive care unit (NICU) on 03 JUN 2009. The outcome was unknown at time of this report. Medical history: The patient's mother was vaccinated with FLUVIRIN (batch no. unknown) on 1 MAR 2008. A caesarean section due to non-reassuring fetal heart rate was performed on 01 JUN 2009. The baby's apgar scores were 7 at one minute, 8 at five minutes and 9 at ten minutes.
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Subcutaneous nodule
Clinical narrative: Local erythema, subcutaneous nodule on upper extremity.
Age: 0.6
Sex: M
Vaccine: FLU3, FLUN(H1N1), HIBV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: NONE H1N1 intranasal vaccine given to patient before the age of 2 years dose misadministration
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redness and raised area L deltoid injection site No warmth or swelling. No pain noted
Age: 15.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Facial palsy, Movement disorder
Clinical narrative: Nick could not move the right side of his face, so we took him to the ER and he was diagnosed with Bells Palsy. Today is the 6th day of having it and he still can't move the right side of his face very well. He is currently on steriods and valtrex to treat it and we had a follow up appt yesterday & the Dr said if it is not showing improvement by Monday, he might need some reahabilitation for it. We have no idea if it was caused by the nasal vaccine (10 days earlier). 11/30/09 Records received for DOS 11/15/09 (ER Visit). Dx: Bell's Palsy.  C/O numbness right side of face. Discharged with instructions for eye care and F/u with PCP.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Purpura
Clinical narrative: TINY, PIN POINT BUMPS
Age: 0.75
Sex: F
Vaccine: FLUN(H1N1), HIBV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: VACCINE GIEVEN UNDER AGE FROM INDICATED FOR FLU MIST
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: she came to me and sait her arm keeps on iching bad i looked and she had hives but not bad about 7 of them a couple on her arm and under her arm pit so i gave her benadril for the inching she havent complained it going away she have alittle bit of hives left
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash generalised
Clinical narrative: Patient reports she developed a rash around the right axillary area of her body approximately 2 hours after receiving the 2009 H1N1 vaccine IM in her right deltoid muscle. She reports the rash continued to spread until it covered her entire body. She denied having any respiratory symptoms. She went to a local emergency room where the ER doctor told her she had an "allergic reaction" to the 2009 H1N1 vaccine and she was given a "steroid injection" and a presccription for oral medrol. Patient has received the seasonal influenza vaccine in the past without any allergic response. Her rash was not present by the time she reported the incident and she did not fill the prescription for the oral medrol as prescribed.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: HIVES ON SCALP ONSET IS APPROX BUT I HAVE HAD THEM FOR ABOUT 3 WEEKS, COULD BE COINCIDENTAL TO INJECTION
Age: 63.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Burning sensation, Headache, Oropharyngeal pain, Productive cough
Clinical narrative: Sore throat,coughing up mucus, low grade headache, lack of energy, sinus-stuffy and burning No temperature.
Age: 63.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Sinus congestion
Clinical narrative: Sore throat,coughing up mucus, low grade headache, lack of energy, sinus-stuffy and burning No temperature.
Age: 14.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Injection site pain, Nausea
Clinical narrative: within 3 minutes of getting the shot I got tired and had nausia after a hour I developed moderate pain in teh arm that I received the flu shot with
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: site of injection red and painful, worse next day, improved after 24 hours
Age: 18.0
Sex: F
Vaccine: FLUN3, HPV4
Symptoms: Incontinence, Nervousness, Pallor, Syncope
Clinical narrative: Following the administration of seasonal flumist, Gardasil, and PPD Mantoux test, patient became faint, pale, shaky, and incontinent. She did not lose consciousness or fall. Patient assisted to lie down with feet elevated, drink two juice boxes, cool rags placed on forehead and neck. Within 2 minutes, patient returned to normal color, and no longer was faint or dizzy. Paitient instructed to sit in chair and remain seated for 15 minutes prior to leaving clinic. Upon leaving clinic, patient continued to be free of dizziness or faintness, and kept normal coloring.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Lymph node pain, Lymphadenitis
Clinical narrative: Axillary Lymphadenitis. Swelling, tenderness of axillary lymph node. No cervical lymphadenopathy. Woke up and noticed day after injection in the side he got the injection in. No reaction at the deltoid site of injection. No fever. No chills. Mild malaise only.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Injection site pain, Pallor
Clinical narrative: Patient left the health department and went to store with her sister.  Stated her right arm at injection site started hurting while she was shopping and continued to be increasingly painful.  Patient reported taking an Aleve around 2:30 PM without relief.  Patient returned to Health Department at 3:15 PM, expressing severe pain to right upper arm with any movement.  Noted shortness of breath.  Patient stated pain makes it hard to get her breath.  Blood pressure 154/80.  Advised patient to see her physician as this facility has no in house physician.  She stated her physician was not in town today and she did not feel like she could drive.  Did not want her daughter called.  Voiced being dizzy and light-headed, turned pale and became diaphoretic.  Place in lying position on exam table, applied cool wash cloth to forehead. Pulse 74, respirations 20.  Ambulance was called.  Patient's daughter was notified, and came to health department.  Patient was transported to Hospital by ambulance at approximately 4:00 PM.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Pyrexia, Vomiting
Clinical narrative: low grade fever, vomiting, coughing
Age: 56.0
Sex: M
Vaccine: FLU(H1N1), FLUX
Symptoms: Rash papular, Urticaria
Clinical narrative: I noticed hives over right groin arae 2 by 7 cm red papules. I had no itching.  They resolves 11/21/2009 with no treatment.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Cough, Crying, Fatigue, Rhinorrhoea
Clinical narrative: Patient presented hives on her torso, back and hips.  It decreased in severity until evening, when it spread to her shoulders, arms, legs, torso, back, and chin.  She spent all night crying and complained of stomach pains.  The hives left at 8:20 on 11/20/09.  She now has a cough, a runny nose, is tired, and cried during her nap.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Patient presented hives on her torso, back and hips.  It decreased in severity until evening, when it spread to her shoulders, arms, legs, torso, back, and chin.  She spent all night crying and complained of stomach pains.  The hives left at 8:20 on 11/20/09.  She now has a cough, a runny nose, is tired, and cried during her nap.
Age: 48.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: RASH, ITCHING, PINK HIVES TYPE BUMPS ON SKIN  DR ADMINISTERED STEROID SHOT AND BENADRYL
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Abortion complete, Asthma, Decreased appetite, Drug exposure during pregnancy
Clinical narrative: Day after vaccine muscles were extremely sore. Three weeks later had ultrasound that showed fetal death at time and date of vaccine administered. 11/23/2009 received Immunization record received DOS 09/21/2009 - 10/19/2009. Patient received influenza (seasonal) vaccinaton on 09/21/2009 and influenza (H1N1) on 10/19/2009. 12/07/2009 received in-patient hospital records (H&P, operative report and labs) DOS 11/14/2009 -11/16/2009. Dx: Missed abortion/miscarriage Patient presented with vaginal bleeding, abdominal pain, intermittent headache, nausea and anxiety. The patient had experienced intermittent abdominal cramping throughout pregnancy, but on morning of admission, the abdominal cramping was worse and the patient experienced brownish vaginal discharge which progressed to red spotting. No fetal heartones were heard and a misoprostol induction was performed with fetal delivery (ultrasound est. 13 wks, 3 days) and then the patient underwent a suction D&C. due to retained placenta. The patient was treated with Ancef.   12/08/2009 received out-patient clinic and duplicate hospital records 09/21/2009 -12/07/2009.   Patient complaint hyper emesis, asthma symptoms. Clinic notes reflect GA 9weeks/4 days on 09/21/2009 and GA 13 weeks/4 days on 10/19/2009.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Emotional disorder, Induced labour, Intra-uterine death, Muscle spasms, Myalgia
Clinical narrative: Day after vaccine muscles were extremely sore. Three weeks later had ultrasound that showed fetal death at time and date of vaccine administered. 11/23/2009 received Immunization record received DOS 09/21/2009 - 10/19/2009. Patient received influenza (seasonal) vaccinaton on 09/21/2009 and influenza (H1N1) on 10/19/2009. 12/07/2009 received in-patient hospital records (H&P, operative report and labs) DOS 11/14/2009 -11/16/2009. Dx: Missed abortion/miscarriage Patient presented with vaginal bleeding, abdominal pain, intermittent headache, nausea and anxiety. The patient had experienced intermittent abdominal cramping throughout pregnancy, but on morning of admission, the abdominal cramping was worse and the patient experienced brownish vaginal discharge which progressed to red spotting. No fetal heartones were heard and a misoprostol induction was performed with fetal delivery (ultrasound est. 13 wks, 3 days) and then the patient underwent a suction D&C. due to retained placenta. The patient was treated with Ancef.   12/08/2009 received out-patient clinic and duplicate hospital records 09/21/2009 -12/07/2009.   Patient complaint hyper emesis, asthma symptoms. Clinic notes reflect GA 9weeks/4 days on 09/21/2009 and GA 13 weeks/4 days on 10/19/2009.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Placental disorder, Sleep disorder, Smear site unspecified abnormal, Ultrasound scan abnormal, Ultrasound uterus abnormal
Clinical narrative: Day after vaccine muscles were extremely sore. Three weeks later had ultrasound that showed fetal death at time and date of vaccine administered. 11/23/2009 received Immunization record received DOS 09/21/2009 - 10/19/2009. Patient received influenza (seasonal) vaccinaton on 09/21/2009 and influenza (H1N1) on 10/19/2009. 12/07/2009 received in-patient hospital records (H&P, operative report and labs) DOS 11/14/2009 -11/16/2009. Dx: Missed abortion/miscarriage Patient presented with vaginal bleeding, abdominal pain, intermittent headache, nausea and anxiety. The patient had experienced intermittent abdominal cramping throughout pregnancy, but on morning of admission, the abdominal cramping was worse and the patient experienced brownish vaginal discharge which progressed to red spotting. No fetal heartones were heard and a misoprostol induction was performed with fetal delivery (ultrasound est. 13 wks, 3 days) and then the patient underwent a suction D&C. due to retained placenta. The patient was treated with Ancef.   12/08/2009 received out-patient clinic and duplicate hospital records 09/21/2009 -12/07/2009.   Patient complaint hyper emesis, asthma symptoms. Clinic notes reflect GA 9weeks/4 days on 09/21/2009 and GA 13 weeks/4 days on 10/19/2009.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urine human chorionic gonadotropin negative, Uterine dilation and curettage, Vaginal haemorrhage, Vomiting
Clinical narrative: Day after vaccine muscles were extremely sore. Three weeks later had ultrasound that showed fetal death at time and date of vaccine administered. 11/23/2009 received Immunization record received DOS 09/21/2009 - 10/19/2009. Patient received influenza (seasonal) vaccinaton on 09/21/2009 and influenza (H1N1) on 10/19/2009. 12/07/2009 received in-patient hospital records (H&P, operative report and labs) DOS 11/14/2009 -11/16/2009. Dx: Missed abortion/miscarriage Patient presented with vaginal bleeding, abdominal pain, intermittent headache, nausea and anxiety. The patient had experienced intermittent abdominal cramping throughout pregnancy, but on morning of admission, the abdominal cramping was worse and the patient experienced brownish vaginal discharge which progressed to red spotting. No fetal heartones were heard and a misoprostol induction was performed with fetal delivery (ultrasound est. 13 wks, 3 days) and then the patient underwent a suction D&C. due to retained placenta. The patient was treated with Ancef.   12/08/2009 received out-patient clinic and duplicate hospital records 09/21/2009 -12/07/2009.   Patient complaint hyper emesis, asthma symptoms. Clinic notes reflect GA 9weeks/4 days on 09/21/2009 and GA 13 weeks/4 days on 10/19/2009.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Computerised tomogram abnormal, Lumbar puncture normal, Muscular weakness, Nuclear magnetic resonance imaging normal, Pain in extremity
Clinical narrative: Pt presented to ED on 11/15/09 complaining of pain and weakness in extremities over the last two weeks.  She had received her H1N1 vaccine approx. 3 weeks before presenting.  She was admitted to the hospital for ascending weakness. Remains hospitalized.   11/23/2009 and 12/4/09 - Hospital records and discharge summaries received. Service dates 11/15/09 to 11/21/09. Discharge Diagnoses Include: Paresthesias, myalgias, weakness, paraparesis, nausea, coagulopathy, depression/anxiety, insomnia, pneumonia, and superficial venous thrombosis. Patient presents having noted pain and weakness in extremities. Left side weaker than right. Weakness occurs primarily at night, pain worse after rest. Numbness feet and fingers. Mild headache. Single episode of bladder incontinence. Tingling sensation lower extremities. Unsteady gait. Concerns regarding Guillian-Barre Syndrome. "Popping" sensation in muscles. Developed respiratory distress and anxiety. Pleuritic chest pain. Fever.   01/05/2010 PCP Medical records received. Service dates 11/14/09 to 12/15/09. Assessment: Presumed GBS. Patient presents with pain and weakness in extremities. Crawling sensation in extremities. Loss of bladder control. Hospitalized. Follow-up visits. Using walker. Short of breath. Continued difficulty with activities of daily life.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Virus culture
Clinical narrative: Pt presented to ED on 11/15/09 complaining of pain and weakness in extremities over the last two weeks.  She had received her H1N1 vaccine approx. 3 weeks before presenting.  She was admitted to the hospital for ascending weakness. Remains hospitalized.   11/23/2009 and 12/4/09 - Hospital records and discharge summaries received. Service dates 11/15/09 to 11/21/09. Discharge Diagnoses Include: Paresthesias, myalgias, weakness, paraparesis, nausea, coagulopathy, depression/anxiety, insomnia, pneumonia, and superficial venous thrombosis. Patient presents having noted pain and weakness in extremities. Left side weaker than right. Weakness occurs primarily at night, pain worse after rest. Numbness feet and fingers. Mild headache. Single episode of bladder incontinence. Tingling sensation lower extremities. Unsteady gait. Concerns regarding Guillian-Barre Syndrome. "Popping" sensation in muscles. Developed respiratory distress and anxiety. Pleuritic chest pain. Fever.   01/05/2010 PCP Medical records received. Service dates 11/14/09 to 12/15/09. Assessment: Presumed GBS. Patient presents with pain and weakness in extremities. Crawling sensation in extremities. Loss of bladder control. Hospitalized. Follow-up visits. Using walker. Short of breath. Continued difficulty with activities of daily life.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Blood test abnormal, Computerised tomogram abnormal, Electromyogram abnormal, Grip strength decreased, Guillain-Barre syndrome
Clinical narrative: Pt presented to ED on 11/15/09 complaining of pain and weakness in extremities over the last two weeks.  She had received her H1N1 vaccine approx. 3 weeks before presenting.  She was admitted to the hospital for ascending weakness. Remains hospitalized.   11/23/2009 and 12/4/09 - Hospital records and discharge summaries received. Service dates 11/15/09 to 11/21/09. Discharge Diagnoses Include: Paresthesias, myalgias, weakness, paraparesis, nausea, coagulopathy, depression/anxiety, insomnia, pneumonia, and superficial venous thrombosis. Patient presents having noted pain and weakness in extremities. Left side weaker than right. Weakness occurs primarily at night, pain worse after rest. Numbness feet and fingers. Mild headache. Single episode of bladder incontinence. Tingling sensation lower extremities. Unsteady gait. Concerns regarding Guillian-Barre Syndrome. "Popping" sensation in muscles. Developed respiratory distress and anxiety. Pleuritic chest pain. Fever.   01/05/2010 PCP Medical records received. Service dates 11/14/09 to 12/15/09. Assessment: Presumed GBS. Patient presents with pain and weakness in extremities. Crawling sensation in extremities. Loss of bladder control. Hospitalized. Follow-up visits. Using walker. Short of breath. Continued difficulty with activities of daily life.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Lumbar puncture abnormal, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Paraesthesia
Clinical narrative: Pt presented to ED on 11/15/09 complaining of pain and weakness in extremities over the last two weeks.  She had received her H1N1 vaccine approx. 3 weeks before presenting.  She was admitted to the hospital for ascending weakness. Remains hospitalized.   11/23/2009 and 12/4/09 - Hospital records and discharge summaries received. Service dates 11/15/09 to 11/21/09. Discharge Diagnoses Include: Paresthesias, myalgias, weakness, paraparesis, nausea, coagulopathy, depression/anxiety, insomnia, pneumonia, and superficial venous thrombosis. Patient presents having noted pain and weakness in extremities. Left side weaker than right. Weakness occurs primarily at night, pain worse after rest. Numbness feet and fingers. Mild headache. Single episode of bladder incontinence. Tingling sensation lower extremities. Unsteady gait. Concerns regarding Guillian-Barre Syndrome. "Popping" sensation in muscles. Developed respiratory distress and anxiety. Pleuritic chest pain. Fever.   01/05/2010 PCP Medical records received. Service dates 11/14/09 to 12/15/09. Assessment: Presumed GBS. Patient presents with pain and weakness in extremities. Crawling sensation in extremities. Loss of bladder control. Hospitalized. Follow-up visits. Using walker. Short of breath. Continued difficulty with activities of daily life.