chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Head deformity, Headache, Intensive care, Miller Fisher syndrome, Motor dysfunction
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 11 year old female patient with no pertinent medical history who on 13-MAY-2009 was vaccinated intramuscularly into the right arm with the third dose of GARDASIL (Lot # 659054/0315Y). On 27-MAY-2009, the patient experienced congestion; on 02-JUN-2009 patient had fever and leg pain; on 06-JUN-2009 the patient experienced headache and vomiting and on 10-JUN-2009, the patient experienced broad-based gait, facial weakness? and asymmetry. On an unspecified date, there were several exams performed; cerebrospinal fluid total protein was elevated, head computed axial tomography and magnetic resonance imaging were normal. The patient required an emergency room visit. The listing indicated that one or more of the events required hospitalization. The original reporting source was not provided. The VAERS ID # is 349128-1. Additional information has been received from a registered nurse concerning an 11 year old female patient who on 13-MAY-2009 at 4:00 pm was vaccinated with the third dose of GARDASIL. No other concomitant medications. On 27-MAY-2009 (previously reported as 31-MAY-2009) at 12:30 the patient went to the physician's office with a "virus" the she went into a sinus infection and then got a stomach virus all back to back over 2 weeks. Then she presented neurological dysfunctions in her facial muscles, speech, mouth motor skills, severe changes in her walking gait, extreme fatigue and dehydration. The patient was taken to the emergency room, and within 36 hours she was discharged with MILLER-FISHER syndrome. She went to the intensive care unit for several days and stayed in the hospital for two weeks. As of 15-JUN-2009, the patient was still recovering after intravenous immunoglobulin and involved in physical, occupational and speech therapies multiple times per week and was still on liquid thickeners. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center and was released.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Nervous system disorder, Nuclear magnetic resonance imaging normal, Pain in extremity, Pyrexia, Respiratory tract congestion
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 11 year old female patient with no pertinent medical history who on 13-MAY-2009 was vaccinated intramuscularly into the right arm with the third dose of GARDASIL (Lot # 659054/0315Y). On 27-MAY-2009, the patient experienced congestion; on 02-JUN-2009 patient had fever and leg pain; on 06-JUN-2009 the patient experienced headache and vomiting and on 10-JUN-2009, the patient experienced broad-based gait, facial weakness? and asymmetry. On an unspecified date, there were several exams performed; cerebrospinal fluid total protein was elevated, head computed axial tomography and magnetic resonance imaging were normal. The patient required an emergency room visit. The listing indicated that one or more of the events required hospitalization. The original reporting source was not provided. The VAERS ID # is 349128-1. Additional information has been received from a registered nurse concerning an 11 year old female patient who on 13-MAY-2009 at 4:00 pm was vaccinated with the third dose of GARDASIL. No other concomitant medications. On 27-MAY-2009 (previously reported as 31-MAY-2009) at 12:30 the patient went to the physician's office with a "virus" the she went into a sinus infection and then got a stomach virus all back to back over 2 weeks. Then she presented neurological dysfunctions in her facial muscles, speech, mouth motor skills, severe changes in her walking gait, extreme fatigue and dehydration. The patient was taken to the emergency room, and within 36 hours she was discharged with MILLER-FISHER syndrome. She went to the intensive care unit for several days and stayed in the hospital for two weeks. As of 15-JUN-2009, the patient was still recovering after intravenous immunoglobulin and involved in physical, occupational and speech therapies multiple times per week and was still on liquid thickeners. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center and was released.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Sinusitis, Speech disorder, Viral infection, Vomiting
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 11 year old female patient with no pertinent medical history who on 13-MAY-2009 was vaccinated intramuscularly into the right arm with the third dose of GARDASIL (Lot # 659054/0315Y). On 27-MAY-2009, the patient experienced congestion; on 02-JUN-2009 patient had fever and leg pain; on 06-JUN-2009 the patient experienced headache and vomiting and on 10-JUN-2009, the patient experienced broad-based gait, facial weakness? and asymmetry. On an unspecified date, there were several exams performed; cerebrospinal fluid total protein was elevated, head computed axial tomography and magnetic resonance imaging were normal. The patient required an emergency room visit. The listing indicated that one or more of the events required hospitalization. The original reporting source was not provided. The VAERS ID # is 349128-1. Additional information has been received from a registered nurse concerning an 11 year old female patient who on 13-MAY-2009 at 4:00 pm was vaccinated with the third dose of GARDASIL. No other concomitant medications. On 27-MAY-2009 (previously reported as 31-MAY-2009) at 12:30 the patient went to the physician's office with a "virus" the she went into a sinus infection and then got a stomach virus all back to back over 2 weeks. Then she presented neurological dysfunctions in her facial muscles, speech, mouth motor skills, severe changes in her walking gait, extreme fatigue and dehydration. The patient was taken to the emergency room, and within 36 hours she was discharged with MILLER-FISHER syndrome. She went to the intensive care unit for several days and stayed in the hospital for two weeks. As of 15-JUN-2009, the patient was still recovering after intravenous immunoglobulin and involved in physical, occupational and speech therapies multiple times per week and was still on liquid thickeners. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center and was released.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Unevaluable event
Clinical narrative: 15" after rec inj pt became silly and laughing uncontrollably. Eyes rolled up in her head and appeared drunk. This lasted into eve. In AM pt woke up without incident. All above per pt mom -A.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Abnormal behaviour, Feeling drunk, Gaze palsy
Clinical narrative: 15" after rec inj pt became silly and laughing uncontrollably. Eyes rolled up in her head and appeared drunk. This lasted into eve. In AM pt woke up without incident. All above per pt mom -A.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Joint swelling, Lip swelling, Muscular weakness, Nausea, Pyrexia
Clinical narrative: NAUSEA,VOMITING,BACK PAIN,TEMP-100.3F,MUSCLE ACHES. HIVES THAT EVENING ZOFRAN FOR NAUSEA
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urticaria, Vomiting
Clinical narrative: NAUSEA,VOMITING,BACK PAIN,TEMP-100.3F,MUSCLE ACHES. HIVES THAT EVENING ZOFRAN FOR NAUSEA
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Back pain, Body temperature increased, Myalgia, Nausea, Urticaria
Clinical narrative: NAUSEA,VOMITING,BACK PAIN,TEMP-100.3F,MUSCLE ACHES. HIVES THAT EVENING ZOFRAN FOR NAUSEA
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Vomiting
Clinical narrative: NAUSEA,VOMITING,BACK PAIN,TEMP-100.3F,MUSCLE ACHES. HIVES THAT EVENING ZOFRAN FOR NAUSEA
Age: 78.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Dyspnoea, Headache
Clinical narrative: Symptoms started at 3:00 pm yesterday felt weak, had trouble breathing, dizziness, headache.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count, Metabolic function test, Pain in extremity, Rash vesicular, Skin lesion
Clinical narrative: Received FLUARIX vaccine 09/21/09. Presented to ER with painful vesicular eruptions on left upper extremity (vesicles with surrounding erythema). Date of ER visit 10/04/09. T 99.4. Treatment-cover lesions as needed for drainage, follow up with primary care physician 10/05/09.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Skin plaque
Clinical narrative: Lg erythematous plaque with induration distal Left deltoid, lat triceps area, is tender - 15cm x 8cm.
Age: 0.53
Sex: M
Vaccine: FLU3
Symptoms: Drooling, Hypersensitivity, Swelling face, Urticaria
Clinical narrative: Facial swelling, drooling, hives.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Lymphadenopathy, Musculoskeletal stiffness
Clinical narrative: Complained of swollen lymph nodes on R side of neck, stiff neck and soreness under R armpit.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Throat irritation, Throat tightness
Clinical narrative: Employee presented to employer seasonal flu vaccination clinic. Requested/inquired if vaccine was "preservative free" confirmed vaccine "preservative free". Received vaccination 10/02/09 at 0900, around 10:00 AM experienced sore throat - scratchy feeling - slight tightness. Took BENADRYL 50 mg P.O. with relief of symptom.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Rash
Clinical narrative: Pt presented for seasonal flu vaccination clinic. Received flu vaccine about 0845. At 10:00 am noticed redden rash covering both arms. Presented to ED. Given BENADRYL PO with relief of rash.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Cerebrovascular accident, Facial palsy, Hypoaesthesia facial, Muscular weakness
Clinical narrative: Pt states had flu shot 5 days ago. Next day developing facial numbness and (R) side of arms weakness and facial droop. Went to ER 10/5/09 (pt thought it was a reaction to shot and would subside). Medical Records and Discharge Summary received 10/13/09. Dates of Service 10/5/09 to 10/8/09.  Dx:  Acute Cerebrovascular Accident, Hypertension, Diabetes, Smoker. Presenting Sx:  Pt. presented with right-sided weakness, facial drooping and slurred speech for a few days prior to admission, and 5 days after having a flu shot. As symptoms progressed, it became difficult for pt. to walk on his R leg.  The patient medicated himself at home with 162 mg of aspirin the day prior to admission and his speech began to improve and the weakness to subside.  The patient was started on full dose aspirin in the ED. Since admission the patients right sided weakness progressively improved, the slurred speech completely resolved. The patient did not reveal any weakness on his right side for 18 hours prior to discharge.  The patient was ambulating without difficulty.   Consultation with a neurologist with  the advice to control HTN, and smoking cessation. Patient to continue on aspirin therapy and antihypertensives.  Pt. to f/u with PCP in 3 days.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal stiffness, Neck pain
Clinical narrative: Patient received flu vaccine at apx 11:15 a.m. 10-2-09 in Left deltoid. Sore that evening. 10-3-09 arm sore and lt neck soar/stiff. 10-4-09 stiffness and ache lt neck, lt arm, left side of back to waist. Couldn't turn head to left until 10-7-09. Off work for 3 days.
Age: 10.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Gait disturbance, Muscular weakness, Reflex test normal, Sensation of heaviness
Clinical narrative: Pt was seen on 10/5/09 after receiving FLUMIST and varicella vaccine on 10/2/09. She c/o B both arms and both leg weakness. She describes a feeling of a weight on them. The arm symptoms improved through the day but leg symptoms persisted and weakness. Was not stable on exam. Lower extremity reflexes were normal.
Age: 1.92
Sex: M
Vaccine: FLUX, HEPA, MMR
Symptoms: Diarrhoea, Irritability
Clinical narrative: Cranky and severe diarrhea for 24 hours.
Age: 9.0
Sex: F
Vaccine: FLUX, HEPA, VARCEL
Symptoms: Diarrhoea, Malaise
Clinical narrative: Felt sick and had severe diarrhea for 24 hours.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: Itchy, small, spotty, bumpy, rash on back.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Eye discharge, Ocular hyperaemia, Pain
Clinical narrative: Redness and discharge both eyes associated with body aches x 2 days.
Age: 11.0
Sex: M
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Epistaxis
Clinical narrative: Patient devloped a nose bleed after vaccine
Age: 30.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Dyspnoea, Hypersensitivity, Urticaria, Wheezing
Clinical narrative: SYMPTOMS CONSISTENT WITH ALLERGIC REACTION TO INCLUDE HIVES, WHEEZING AND TROUBLE BREATHING.
Age: 30.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Obstructive airways disorder, Pruritus, Urticaria
Clinical narrative: SYMPTOMS CONSISTENT WITH ALLERGIC REACTION TO INCLUDE HIVES, WHEEZING AND TROUBLE BREATHING.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Dizziness, Fall, Headache, Vomiting
Clinical narrative: Got severe dizziness to the point of falling down & not being able to walk, vomiting, and severe headache
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Abnormal behaviour, Aggression, Anger, Arthralgia, Back pain
Clinical narrative: Same day vaccinated 7/22/09 : pale, heart racing, dizziness, nauseated. 7/30/2009: Extreme anger, staring, irritable, screaming, aggressive, combative without being provoted.  08/01/2009: Temp 104, joint pain, low back pain, hand and feet pain, sore throat, headache, eyes burning. Lower grade fever (99 - 100), back pain  through 3 - 4 days. 08/06/2009: Screaming, out of control behavior, back pain 08/20/2009: back pain, pain in right foot
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Dizziness, Eye irritation, Headache, Irritability
Clinical narrative: Same day vaccinated 7/22/09 : pale, heart racing, dizziness, nauseated. 7/30/2009: Extreme anger, staring, irritable, screaming, aggressive, combative without being provoted.  08/01/2009: Temp 104, joint pain, low back pain, hand and feet pain, sore throat, headache, eyes burning. Lower grade fever (99 - 100), back pain  through 3 - 4 days. 08/06/2009: Screaming, out of control behavior, back pain 08/20/2009: back pain, pain in right foot
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Nausea, Oropharyngeal pain, Pain in extremity, Pallor, Palpitations
Clinical narrative: Same day vaccinated 7/22/09 : pale, heart racing, dizziness, nauseated. 7/30/2009: Extreme anger, staring, irritable, screaming, aggressive, combative without being provoted.  08/01/2009: Temp 104, joint pain, low back pain, hand and feet pain, sore throat, headache, eyes burning. Lower grade fever (99 - 100), back pain  through 3 - 4 days. 08/06/2009: Screaming, out of control behavior, back pain 08/20/2009: back pain, pain in right foot
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Pyrexia, Screaming, Staring
Clinical narrative: Same day vaccinated 7/22/09 : pale, heart racing, dizziness, nauseated. 7/30/2009: Extreme anger, staring, irritable, screaming, aggressive, combative without being provoted.  08/01/2009: Temp 104, joint pain, low back pain, hand and feet pain, sore throat, headache, eyes burning. Lower grade fever (99 - 100), back pain  through 3 - 4 days. 08/06/2009: Screaming, out of control behavior, back pain 08/20/2009: back pain, pain in right foot
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: patient broke out in a rash
Age: 16.0
Sex: F
Vaccine: HEP, HEPA, MNQ, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient Pregnant at time of vaccination approx 32 weeks
Age: 1.02
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Body temperature increased, Injection site pain
Clinical narrative: 4:30 pm temp of 101.2, 11:30 pm temp of 105.1 extreme tenderness at injection sites, 7:00 am temp of 104.2 extreme tenderness at injection site
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Influenza like illness
Clinical narrative: Woke up with flu like symptoms. Patient wanted to have it documented as a result of the injection because he read it on line.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Local reaction, Pain in extremity, Urticaria
Clinical narrative: Local site reaction less than 10mm redness, sore and under arm soreness. 3rd day onset of hives. Benedryl given along with steroids.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Diarrhoea, Dyspnoea, Flushing, Urticaria
Clinical narrative: Reports shortness of breath while eating dinner out.  Had to come outside and leaned against his car thinking he may pass out.  No loss of consciousness.  Episode lasted a couple of minutes.  He then experienced diarrhea and stomach ache on 10/04/2009 followed by flushing in his face and hives over his torso, thighs, neck and arms.  He took Benadryl on 10/06/2009 and symptoms began to resolve.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Spoke with mom of patient and she called to report that patient has a quarter sized redness around the administration site that feels feverish just to the area.  Looked on VIS and it does list it as a mild problem.  Advised mom to monitor and call if develops any worsening or other symptoms.  Also advised mom to use OTC pain medication and rotate warm compresses with ice packs.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Arm pain that resolved and then recurred after three weeks post vaccination
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Pyrexia
Clinical narrative: Chills, fever of 101 F
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Fatigue, Headache, Pain, Throat irritation
Clinical narrative: Fatigue, achiness, horrible headache and horrible cough, rough throat, no fever.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Started Swollen and Sore, By 4pm hurting into muscle and felt like into the bone. Pain from injection site to finger tips, left arm. Pain continued all night.
Age: 27.0
Sex: M
Vaccine: FLUX
Symptoms: Hypersensitivity, Rash papular
Clinical narrative: Wake up and had alot of bumps on my right arm, back, and face. I went to the ER and I had a all reaction to something in the flu shot that I had got on 10/07/2009 and the doctor at the hospital prescripted Benadryl for me to start taking.
Age: 1.94
Sex: M
Vaccine: FLUX
Symptoms: Rash erythematous, Rash generalised
Clinical narrative: Broke out in rash of red spots all over the body. I could not feel the bumps though.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Abnormal behaviour, Amnesia, Feeling drunk
Clinical narrative: Per mother via translator, child making crazy statements; not himself; acting drunk for approx 3hrs.  Symptoms resolved without any further problems; however child does not have a memory of the 3 hours with symptoms
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Cold sweat, Feeling hot, Headache, Hypoaesthesia
Clinical narrative: Woke with cold sweats, felt warm, severe headache, pain in shoulders, arms, legs, stiff neck. Fine flat red rash on torso, thighs, stomach, back. Tingling, numbness in legs.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Pain in extremity, Paraesthesia, Rash
Clinical narrative: Woke with cold sweats, felt warm, severe headache, pain in shoulders, arms, legs, stiff neck. Fine flat red rash on torso, thighs, stomach, back. Tingling, numbness in legs.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Pain in extremity
Clinical narrative: Pt mother c/o soreness on R arm after vaccination . Pt mother states that Pt c/o redness at injection site of varicella vaccine larger than a quarter but smaller than a half dollar piece, some soreness at injection site.  Pt denies fever, rash, seizure, weakness, behavior changes, difficulty breathing, hoarseness, wheezing, hives, paleness, weakness, Tachycardia, dizziness. Offered appointment, pt mother has the VIS for Chickenpox States that red spot is not firm. States that she will continue to monitor vaccine spot and will call if she becomes concerned.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Dysphagia, Headache, Lymphadenopathy, Odynophagia, Pharyngeal oedema
Clinical narrative: On 10/5 around 1130AM I received my annual flu shot in my left arm and my prescription for Vitamin D 50000 UNIT Oral Capsule to Take 1 Capsule Weekly for my deficiency. The only reaction I seemed to have from the flu shot was a slight headache that afternoon and evening (no medication taken). Around 2pm I ate lunch (mixed greens/vegs, grilled chicken). Around 9pm I took one capsule of the VitD, with calcium lactate and magnesium oxide tablets (normal daily supplements), while eating a snack mix of baked fruit and nuts & yogurt pieces. Within one hour my throat swelled up--swollen lymph gland on left side, under jaw. Painful to eat/swallow/touch. Still swollen and tender 2 days later.  I've never had a reaction to the yearly flu shots I get; nor did I react to the same VitD regimen I had previously in May 2008. I don't have any allergies; have never had a swollen gland before.  My doctor prescribed Methylprednisolone 4MG DOSTRI for 6 days.  I began the medication on 10/07/2009 and have experienced significant reduction in the swelling and tenderness.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Tenderness
Clinical narrative: On 10/5 around 1130AM I received my annual flu shot in my left arm and my prescription for Vitamin D 50000 UNIT Oral Capsule to Take 1 Capsule Weekly for my deficiency. The only reaction I seemed to have from the flu shot was a slight headache that afternoon and evening (no medication taken). Around 2pm I ate lunch (mixed greens/vegs, grilled chicken). Around 9pm I took one capsule of the VitD, with calcium lactate and magnesium oxide tablets (normal daily supplements), while eating a snack mix of baked fruit and nuts & yogurt pieces. Within one hour my throat swelled up--swollen lymph gland on left side, under jaw. Painful to eat/swallow/touch. Still swollen and tender 2 days later.  I've never had a reaction to the yearly flu shots I get; nor did I react to the same VitD regimen I had previously in May 2008. I don't have any allergies; have never had a swollen gland before.  My doctor prescribed Methylprednisolone 4MG DOSTRI for 6 days.  I began the medication on 10/07/2009 and have experienced significant reduction in the swelling and tenderness.
Age: 38.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Lip swelling, Throat tightness, Urticaria
Clinical narrative: Hives all over body along with swelling of lips and throat tightness. Pt took Benedryl and Advil, Benedryl helped.
Age: 1.51
Sex: M
Vaccine: FLU3, HEPA, IPV
Symptoms: Electrocardiogram, Gaze palsy, Neurological examination, Paralysis, Petit mal epilepsy
Clinical narrative: 18 month old boy received FLUZONE -Lot U3199AA-, from multidose vial with Thimerosal, also Polio Vaccine -Lot- D0120-2-, and Hep A Vaccines -Lot VAQTA 1604X-. 2 days subsequent to the vaccine he experiences an episode of paralysis in the upper body and a gazing stare. He had opened eyes but would not respond. This episode last approximately 5 minutes. He came out of this "absence seizure" like state very slowly. It took about 20 minutes before he had his normal energy level. EMTs came to the house as the pediatrician had us call 911. We took him to hospital. He was given a neurological examination, and vitals, and EKG. No EEG was done. He was cleared with a Neurologic Consult and D/C to home.   11/09/09 Medical records received for DOS 10/20. Neurology office note. FInal DX; FIrst Seizure. Child fell to ground. limp, eyes deviated laterally(suggestive of focal onset), unresponsive. Pale, discolered around lips. Aroused at 5 min. On hour until completely conscious.  S/p 18 mos vaccines and flu vaccine. Neuro PE WNL. Recommended MRI.   12/9/09 ER recs received for date 10/1/09. DX: seizure, viral syndrome Presenting c/o: parent states pt was playing then became limp x20min, eyes were gazing. Parent states pt had rhinorrhea, cough x2-3days, 1 vomit x10 days ago.
Age: 1.51
Sex: M
Vaccine: FLU3, HEPA, IPV
Symptoms: Staring, Unresponsive to stimuli
Clinical narrative: 18 month old boy received FLUZONE -Lot U3199AA-, from multidose vial with Thimerosal, also Polio Vaccine -Lot- D0120-2-, and Hep A Vaccines -Lot VAQTA 1604X-. 2 days subsequent to the vaccine he experiences an episode of paralysis in the upper body and a gazing stare. He had opened eyes but would not respond. This episode last approximately 5 minutes. He came out of this "absence seizure" like state very slowly. It took about 20 minutes before he had his normal energy level. EMTs came to the house as the pediatrician had us call 911. We took him to hospital. He was given a neurological examination, and vitals, and EKG. No EEG was done. He was cleared with a Neurologic Consult and D/C to home.   11/09/09 Medical records received for DOS 10/20. Neurology office note. FInal DX; FIrst Seizure. Child fell to ground. limp, eyes deviated laterally(suggestive of focal onset), unresponsive. Pale, discolered around lips. Aroused at 5 min. On hour until completely conscious.  S/p 18 mos vaccines and flu vaccine. Neuro PE WNL. Recommended MRI.   12/9/09 ER recs received for date 10/1/09. DX: seizure, viral syndrome Presenting c/o: parent states pt was playing then became limp x20min, eyes were gazing. Parent states pt had rhinorrhea, cough x2-3days, 1 vomit x10 days ago.
Age: 0.6
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Convulsion, Full blood count normal
Clinical narrative: ER called and stated child had seizure last night. No prior Hx of seizures. Had 6 mo shot yesterday.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Injection site abscess, Injection site erythema, Injection site pain, Injection site swelling, Oropharyngeal pain
Clinical narrative: Noticed swelling, pain, redness at site of KINRIX. Area approx 1 1/2" diameter. Continued to swell and turn more red. Returned to Clinic on 10/8/09 site approx very swollen, c/o sore throat, body aches.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Pain
Clinical narrative: Noticed swelling, pain, redness at site of KINRIX. Area approx 1 1/2" diameter. Continued to swell and turn more red. Returned to Clinic on 10/8/09 site approx very swollen, c/o sore throat, body aches.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Lip oedema
Clinical narrative: Edema of Lower Lip.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Injection site induration, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Fever, chills, generalized body malaise, blurry vision, facial break outs (blemishes), localized soft tissue pain, induration and swelling at injection site. Admitted to hospital for observation. Pt recovered. 10/16/09 Hospital records received for dates 9/24/09 to 10/3/09. Pt seen in ER 9/24 DX: Contact Dermatitis. Presenting SX: vision changes, HA, sweating, itching after receiving Flu vaccine same day. Assessment: some burry vision noted, facial rash on forehead. tx and dc. Pt seen in ER on 9/25/09 with c/o achiness, chills, fever, decrease weight. DX: Acute URI. Assessment: WNL except erythematous rash on forehead. tx and dc. ER visits on 9/26/09 Presenting  SX: c/o right limb pain, swelling, painful lump on right pectoral area, right shoulder pain. Pt was admitted to hospital for observation and r/o testing. DX: Acute URI, myositis, asthma. Assessment: (+)right deltoid swelling, (+)induration. Pt treated and stable at time of dc. Diagnostics/Labs: CXR(-), right shoulder xray(-), EKG(-), UA (+)blood, WBC 13.6(H), PTT 24.9(L), platelets 142(L), neutrophils% 69.2(H), lymphocytes% 18.1(L),  WR CRP 27.36(H) PMH: smoker, appendectomy at age 14, dental implants at age 37. ICD9 codes: 995.3, 692.9, 465.8, 728.0, 493.90
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, chills, generalized body malaise, blurry vision, facial break outs (blemishes), localized soft tissue pain, induration and swelling at injection site. Admitted to hospital for observation. Pt recovered. 10/16/09 Hospital records received for dates 9/24/09 to 10/3/09. Pt seen in ER 9/24 DX: Contact Dermatitis. Presenting SX: vision changes, HA, sweating, itching after receiving Flu vaccine same day. Assessment: some burry vision noted, facial rash on forehead. tx and dc. Pt seen in ER on 9/25/09 with c/o achiness, chills, fever, decrease weight. DX: Acute URI. Assessment: WNL except erythematous rash on forehead. tx and dc. ER visits on 9/26/09 Presenting  SX: c/o right limb pain, swelling, painful lump on right pectoral area, right shoulder pain. Pt was admitted to hospital for observation and r/o testing. DX: Acute URI, myositis, asthma. Assessment: (+)right deltoid swelling, (+)induration. Pt treated and stable at time of dc. Diagnostics/Labs: CXR(-), right shoulder xray(-), EKG(-), UA (+)blood, WBC 13.6(H), PTT 24.9(L), platelets 142(L), neutrophils% 69.2(H), lymphocytes% 18.1(L),  WR CRP 27.36(H) PMH: smoker, appendectomy at age 14, dental implants at age 37. ICD9 codes: 995.3, 692.9, 465.8, 728.0, 493.90
Age: 1.76
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Urticaria, Wheezing
Clinical narrative: 20 minutes after vaccination patient developed generalized urticaria & wheeze. Given 4 ml of benadryl p.o. & albuterol ahol x 1. 10-15 minutes after benadryl given, hives improved, 1/2 way through the benadryl, lungs closed.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Severe pain and redness in a site of injection (significantly more severe & least expected).
Age: 8.0
Sex: M
Vaccine: HEPA, IPV, VARCEL
Symptoms: Crying, Gaze palsy, Loss of consciousness, Pallor, Syncope
Clinical narrative: After receiving last injections, child looked pale in face. I (nurse) applied band-aid then child rolled eyes up and closed them. I eased child to floor and 10-15 sec later child woke up crying and asking mom what happened. I gave child orange juice and applied cool towels to face and neck. Then sat child back in chair and called supervisor - 10/8/09 8:45 AM called mother. Per mom child is much better and feel ok. MD diagnosis: Syncopal episode.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Eye pruritus, Ocular hyperaemia, Throat tightness
Clinical narrative: Eyes itchy, blurry, completely red around 4 PM patient got into shower, throat started to tighten and had difficulty breathing, hives on front of legs, wheezing, coughing, patient went to ER and was given epinephrine, SOLU-MEDROL 60 mg, BENADRYL 50 mg.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria, Vision blurred, Wheezing
Clinical narrative: Eyes itchy, blurry, completely red around 4 PM patient got into shower, throat started to tighten and had difficulty breathing, hives on front of legs, wheezing, coughing, patient went to ER and was given epinephrine, SOLU-MEDROL 60 mg, BENADRYL 50 mg.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Feeling hot, Head discomfort, Limb discomfort
Clinical narrative: Dizziness - ears warm - nausea - tired, heavy head - arm discomfort - general malaise.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Nausea, Skin warm
Clinical narrative: Dizziness - ears warm - nausea - tired, heavy head - arm discomfort - general malaise.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Full blood count, Injection site erythema, Injection site fibrosis, Injection site pain
Clinical narrative: Severe pain in a site of injection Left deltoid, developed redness, swelling, fever. Treated for Cellulitis with KEFLEX.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Severe pain in a site of injection Left deltoid, developed redness, swelling, fever. Treated for Cellulitis with KEFLEX.
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Rash pruritic
Clinical narrative: Mother reported that patient started to develop small itchy bumps on legs within hours of receiving vaccine. Rash increased. Never had wheezy or difficulty breathing. Went to ER in the early evening_given Benadryl and Prednisone. Pt was determined by ER physician 464247, to be having possible allergic reaction to FLUMIST. Mother reported improvement of symptoms within hours of being in the ER. PT was evaluated in the doctor's office 10-2-09 and rash had completely resolved.
Age: 44.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Arthralgia, Back pain, Blister, Blood cholesterol increased, Pruritus
Clinical narrative: 1-Skin discoloration 2-sleep problem 3-Joint ache 4-skin itching 5. Lower back 6. high cholslerol 7. respiratory Problem, Blister Back. I report all these condition to my VA doctor.
Age: 44.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Respiratory disorder, Skin discolouration, Sleep disorder
Clinical narrative: 1-Skin discoloration 2-sleep problem 3-Joint ache 4-skin itching 5. Lower back 6. high cholslerol 7. respiratory Problem, Blister Back. I report all these condition to my VA doctor.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Pt started with red streaking in her arm 1 day after getting the vaccine. He had the vaccine before and never had a reaction. Pt was treated with KEFLEX.
Age: 2.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 10/3/09 Evening-had fever per mom's call on 10/5/09. 10/4/09 Mom noticed son's arm was warm to the touch, hard, swollen, reddened, and painful to the touch. 10/5/09 Arm continues to be swollen, red, and hard. PHN discussed E E S Chorj; PHN advised mom to have child seen at stat  care or pcp per Dr.
Age: 2.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pyrexia
Clinical narrative: 10/3/09 Evening-had fever per mom's call on 10/5/09. 10/4/09 Mom noticed son's arm was warm to the touch, hard, swollen, reddened, and painful to the touch. 10/5/09 Arm continues to be swollen, red, and hard. PHN discussed E E S Chorj; PHN advised mom to have child seen at stat  care or pcp per Dr.
Age: 0.23
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site papule, Injection site rash
Clinical narrative: Papular rash to bilateral thighs after immunizations that pm.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Alpha 1 foetoprotein abnormal, Drug exposure during pregnancy, Intra-uterine death, Pregnancy test positive
Clinical narrative: Initial and follow-up information has been received from Merck Pregnancy Registry for GARDASIL from a Nurse Practitioner concerning a 25 year old female patient with a history of 3 full term delivery pregnancies who on 03-DEC-2008 was vaccinated with a first dose of GARDASIL (lot # 661703/0651X) 0.5ml, intramuscularly. On 04-FEB-2009 she received second dose of GARDASIL (lot # 661954/1496X) 0.5ml, intramuscularly. There was no concomitant medication. The patient was pregnant. Pregnancy was discovered on test performed at the office before administering the third dose of GARDASIL when the patient reported missing a period. The patient had last menstrual period on 16-APR-2009. Estimate date of delivery is on 21-JAN-2010, but is subject to change with ultrasound schedule for the near future. On 16-JUL-2009, ultrasound was performed resulting 11 weeks and estimate date of delivery was changed to 04-FEB-2010. Follow up information has been received from a health care professional concerning a female patient with no concurrent medical conditions and no infections or illness during pregnancy who on12-SEP-2009 experienced a complication during pregnancy of fetal demise at 15 weeks. On an unspecified date serum alpha-fetoprotein test (AFP) was performed and showed increased risks of Down's. On 12-SEP-2009 (15 weeks from last menstrual period) the patient had spontaneous abortion (< 20 weeks) due to fetal demise. The patient did not have complication during labor/delivery. The products of conception were examined and were normal. The fetus was normal. Additional information is not expected.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound scan
Clinical narrative: Initial and follow-up information has been received from Merck Pregnancy Registry for GARDASIL from a Nurse Practitioner concerning a 25 year old female patient with a history of 3 full term delivery pregnancies who on 03-DEC-2008 was vaccinated with a first dose of GARDASIL (lot # 661703/0651X) 0.5ml, intramuscularly. On 04-FEB-2009 she received second dose of GARDASIL (lot # 661954/1496X) 0.5ml, intramuscularly. There was no concomitant medication. The patient was pregnant. Pregnancy was discovered on test performed at the office before administering the third dose of GARDASIL when the patient reported missing a period. The patient had last menstrual period on 16-APR-2009. Estimate date of delivery is on 21-JAN-2010, but is subject to change with ultrasound schedule for the near future. On 16-JUL-2009, ultrasound was performed resulting 11 weeks and estimate date of delivery was changed to 04-FEB-2010. Follow up information has been received from a health care professional concerning a female patient with no concurrent medical conditions and no infections or illness during pregnancy who on12-SEP-2009 experienced a complication during pregnancy of fetal demise at 15 weeks. On an unspecified date serum alpha-fetoprotein test (AFP) was performed and showed increased risks of Down's. On 12-SEP-2009 (15 weeks from last menstrual period) the patient had spontaneous abortion (< 20 weeks) due to fetal demise. The patient did not have complication during labor/delivery. The products of conception were examined and were normal. The fetus was normal. Additional information is not expected.
Age: 47.0
Sex: U
Vaccine: FLU3, PPV, TD
Symptoms: Chills, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: C/O heat & swelling of entire upper arm, radiating to axilla, chills & fever, This began 3-4 hours after injection of PNEUMOVA X, lasting 3 days.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site urticaria, Injection site warmth
Clinical narrative: Patient stated that on vaccination date the site was warm and a welp started.  Patient took Zyrtec and it did not progress.  Patient called on 10/8/09 to say that she has a bruise the size of a quarter at the injection site and that a new welp was developing a few inches below the injection site.  Pt states that it is not getting any worse and that she had already taken Benadryl and no action was necessary but that she wanted to let us know.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Erythema, Injection site erythema, Visual impairment
Clinical narrative: Redness to chest and left upper arm and face. Saw spots when felt lightheaded. 12/1/2009 ED record for 10/6/2009, patient with c/o's dizziness, numbness lt arm and red rash over face and neck. Rx'd benadryl BP was elevated, to f/up with PCP  Dx flu-like syndrome
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: SWELLING, ITCHING, WARMTH AND REDDNESS AT SITE
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Dyspnoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: severe pain in the arm in which vaccine was administered, (could not move the arm) high fever, difficult breathing, redness, swellness, injection site hot to the touch, chest pain.  Treatment of albuterol breathing treatment, course of steriods, course of antibiotics administered.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: severe pain in the arm in which vaccine was administered, (could not move the arm) high fever, difficult breathing, redness, swellness, injection site hot to the touch, chest pain.  Treatment of albuterol breathing treatment, course of steriods, course of antibiotics administered.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Erythema, Pruritus
Clinical narrative: Hands and feet became very reddened; burning and itching; took Benadryl 25 mg every 4-5 hours for several days, until symptoms relieved
Age: 1.35
Sex: M
Vaccine: HIBV, MMR
Symptoms: Aggression, Autism, Feeling abnormal, Measles antibody negative, Speech disorder developmental
Clinical narrative: Information has been received from a registered nurse concerning her 17 month old son with penicillin and egg allergies who on 07-APR-2005 was vaccinated intramuscularly with a first and only single dose of MMR II (lot number 647647/0991P, expired in June 2006). Concomitant vaccination included HIB vaccine (unspecified carrier). In June 2005 (also reported as within two months of getting the vaccine), the patient went from speaking 20 to 30 words to not speaking at all. The patient also started having really bad tantrums and "be spaced out" and stopped responding to his name. In January 2006 he was diagnosed with autism. It was also reported that recently he had his measles antibody titer drawn and results revealed the measles titer "5 times higher than normal". Unspecified medical attention was sought. At the time of the report, the patient had not recovered. Upon internal review, autism was determined to an other important event. Additional information has been requested.
Age: 1.35
Sex: M
Vaccine: HIBV, MMR
Symptoms: Unresponsive to stimuli
Clinical narrative: Information has been received from a registered nurse concerning her 17 month old son with penicillin and egg allergies who on 07-APR-2005 was vaccinated intramuscularly with a first and only single dose of MMR II (lot number 647647/0991P, expired in June 2006). Concomitant vaccination included HIB vaccine (unspecified carrier). In June 2005 (also reported as within two months of getting the vaccine), the patient went from speaking 20 to 30 words to not speaking at all. The patient also started having really bad tantrums and "be spaced out" and stopped responding to his name. In January 2006 he was diagnosed with autism. It was also reported that recently he had his measles antibody titer drawn and results revealed the measles titer "5 times higher than normal". Unspecified medical attention was sought. At the time of the report, the patient had not recovered. Upon internal review, autism was determined to an other important event. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: upper left arm swollen 50% bigger, redness over half the upper arm, tender, painful, shoulder with injection site swollen to twice normal size
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Headache, Pain
Clinical narrative: Headache for three days, different than usual headaches Body aches Temperature 98.8
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Diarrhoea
Clinical narrative: Painful belly cramps and severe diarrhea.  Took imodium.  It is now around 12:30 p.m.  I still have some cramps and still have loose stools, though not as bad or as frequent as early this morning.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Disorientation, Dizziness, Feeling abnormal
Clinical narrative: About half an hour after receiving the vaccine, the employee became disoriented and giddy, felt intoxicated, and had slurred speach. Symptoms lasted for about 1 hour.
Age: 5.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oropharyngeal pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, Sore Throat, Leg Pain
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm soreness at site of injection. On 10/7/09 @ 6:00 am left arm injection site skin warm to touch with redness,and increasing swelling accompanied with Fever 102.9 'F and headache. Seek an urgent care services, DX: Cellulitis and prescribed with Clindamycin 300 mg 2x/day
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Left arm soreness at site of injection. On 10/7/09 @ 6:00 am left arm injection site skin warm to touch with redness,and increasing swelling accompanied with Fever 102.9 'F and headache. Seek an urgent care services, DX: Cellulitis and prescribed with Clindamycin 300 mg 2x/day
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Employee experienced body aches, head ache, sore throat, and fever starting two days after vaccine was administered. Symptoms lasted for 6 days.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 11 cm x 8 cm induration/reddness at injection site- Left upper arm, deltoid
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Cardiac flutter, Eye irritation, Myalgia, Oropharyngeal pain
Clinical narrative: Starting 5-6 days after administration of vaccine, employee experienced low grade fever, sore throat, joint/muscle aches, burning eyes, heart flutter/palpitation. Symptoms lasted for 2 days then resolved.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Pyrexia
Clinical narrative: Starting 5-6 days after administration of vaccine, employee experienced low grade fever, sore throat, joint/muscle aches, burning eyes, heart flutter/palpitation. Symptoms lasted for 2 days then resolved.
Age: 14.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site discolouration, Injection site reaction, Injection site swelling
Clinical narrative: Red, puffy, purple around injection site. abx given.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Abdomen scan, Asthenia, Blood pressure decreased, Blood test, Chills
Clinical narrative: At 3:30pm my body hurt all over and i felt week. Driving home I was have difficulty breating (5:00pm).  By 6pm I was so sick,hurt everywhere, chills, nausea I called the Dr.  He had seen me in the morning and I was perfectly fine.  Went to ER to make sure it was not my kidney as i only have one.  Admitted to the hospital with heart Racing, 2 EKG's, blood pressure dropping to 85 over 49, chills, fever, aches every where, dehydrated.  I recd, a CT scan of my abdomin area, Ekgs's, iv fluids and antibiotic, along with vicodine which they stopped due to only having one kidney.  Offered me morphine twice during the night.  Went home around 6pm on 10/7 (Dr said I could stay one more night).  10/16/09 Medical Records received for Date of Service 10/6/09- 10/7/09.  Dx:  Fever, unspecified.  Secondary diagnoses:  Bandemia, dehydration, symptoms involving urinary system, nonspecific abnormal serum enzyme elevation.   Assessment:  Presented with fever, chills, rigor, nausea, malaise, generalized abdominal pain and generalized body aches 2 1/2 hours after getting influenza vaccine.  Also c/o frequency and urgency of urination.  Elevated liver enzymes consistent with prerenal azotemia.  Started on ceftriaxone and admitted to the hospital for management and observation.  ICD 9 codes:  28865, 27651, 78899, 7905, 27800, V4573, V1302.