chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4, MNQ
Symptoms: Abasia, Arthralgia, Back pain, Juvenile arthritis, Musculoskeletal pain
Clinical narrative: Information has been received from a nurse practitioner concerning her 18 year old daughter who on 29-AUG-2007 was vaccinated with her first dose of GARDASIL. Concomitant therapy included MENACTRA. On approximately 05-SEP-2007 the patient experienced lower back, butt, pelvis and hip pain. The patient was hospitalized from 28-DEC-2008 to 31-DEC-2008 because she could not walk. She had since been diagnosed with juvenile rheumatoid arthritis. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4, MNQ
Symptoms: Pelvic pain
Clinical narrative: Information has been received from a nurse practitioner concerning her 18 year old daughter who on 29-AUG-2007 was vaccinated with her first dose of GARDASIL. Concomitant therapy included MENACTRA. On approximately 05-SEP-2007 the patient experienced lower back, butt, pelvis and hip pain. The patient was hospitalized from 28-DEC-2008 to 31-DEC-2008 because she could not walk. She had since been diagnosed with juvenile rheumatoid arthritis. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4, MNQ
Symptoms: Abasia, Arthralgia, Back pain, Gait disturbance, Inflammation
Clinical narrative: Information has been received from a nurse practitioner concerning her 18 year old daughter who on 29-AUG-2007 was vaccinated with her first dose of GARDASIL. Concomitant therapy included MENACTRA. On approximately 05-SEP-2007 the patient experienced lower back, butt, pelvis and hip pain. The patient was hospitalized from 28-DEC-2008 to 31-DEC-2008 because she could not walk. She had since been diagnosed with juvenile rheumatoid arthritis. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4, MNQ
Symptoms: Juvenile arthritis, Laboratory test, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Pain in jaw
Clinical narrative: Information has been received from a nurse practitioner concerning her 18 year old daughter who on 29-AUG-2007 was vaccinated with her first dose of GARDASIL. Concomitant therapy included MENACTRA. On approximately 05-SEP-2007 the patient experienced lower back, butt, pelvis and hip pain. The patient was hospitalized from 28-DEC-2008 to 31-DEC-2008 because she could not walk. She had since been diagnosed with juvenile rheumatoid arthritis. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Electrocardiogram, Epilepsy, Gait disturbance, Muscle spasms
Clinical narrative: Information has been received from a consumer concerning her approximately 12 month old son with allergic reaction to antibiotics who in 2001 was vaccinated with MMR II. Within a week of receiving the vaccine the patient experienced mild fever and then he started having seizures. Since then, the patient had been having seizures and he was taking medications for it. In 2004 the patient was diagnosed of epilepsy. The patient had ECG and other unspecified tests performed. On 21-JAN-2009 the patient experienced seizures again and was hospitalized for 1 night for observation. It was also reported the patient would experience leg cramps sometime that  makes him have difficulty walking. At the time of reporting, the patient had not yet recovered from epilepsy. Upon internal review, seizures was considered to be an other important medical event. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Information has been received from a consumer concerning her approximately 12 month old son with allergic reaction to antibiotics who in 2001 was vaccinated with MMR II. Within a week of receiving the vaccine the patient experienced mild fever and then he started having seizures. Since then, the patient had been having seizures and he was taking medications for it. In 2004 the patient was diagnosed of epilepsy. The patient had ECG and other unspecified tests performed. On 21-JAN-2009 the patient experienced seizures again and was hospitalized for 1 night for observation. It was also reported the patient would experience leg cramps sometime that  makes him have difficulty walking. At the time of reporting, the patient had not yet recovered from epilepsy. Upon internal review, seizures was considered to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Aphasia, Autism, Blood test normal, Gastric disorder, Psychomotor hyperactivity
Clinical narrative: Information has been received from a consumer concerning, the patient's mother, her son (a twin, who also had the same experiences reported in WAES# 0905USA01034) with penicillin allergy who some time in 1999 was vaccinated with MMR II (dose, route and lot number not reported). There was no concomitant medication. The mother stated that after receiving the vaccine the patient had 104 degree fever, was making no eye contact, excessive activity, did not speak, had stomach issues and the in May-2000 at the age of 2 1/2 year old, was diagnosed with autism. The mother reported that the patient had genetic blood work done which came back negative and he was allergic to penicillin (manufacturer unspecified) and she also reported that the patient had made progress with 40 hours of therapy a week and she was unsure if the patient received any other vaccine at the time, he received MMR II. It was unspecified if the patient sought medical attention. Upon internal review, autism was determined to be an other important medical event. Additional information is not expected.
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Social avoidant behaviour
Clinical narrative: Information has been received from a consumer concerning, the patient's mother, her son (a twin, who also had the same experiences reported in WAES# 0905USA01034) with penicillin allergy who some time in 1999 was vaccinated with MMR II (dose, route and lot number not reported). There was no concomitant medication. The mother stated that after receiving the vaccine the patient had 104 degree fever, was making no eye contact, excessive activity, did not speak, had stomach issues and the in May-2000 at the age of 2 1/2 year old, was diagnosed with autism. The mother reported that the patient had genetic blood work done which came back negative and he was allergic to penicillin (manufacturer unspecified) and she also reported that the patient had made progress with 40 hours of therapy a week and she was unsure if the patient received any other vaccine at the time, he received MMR II. It was unspecified if the patient sought medical attention. Upon internal review, autism was determined to be an other important medical event. Additional information is not expected.
Sex: M
Vaccine: MMR
Symptoms: Aphasia, Autism, Blood test normal, Gastric disorder, Psychomotor hyperactivity
Clinical narrative: Information has been received from a consumer, the patient's mother, concerning her son (a twin, who also had the same experiences reported in WAES# 0905USA01035) with penicillin allergy who some times in 1999 was vaccinated with MMR II (dose, route and lot number not reported). There was no concomitant medication. The mother stated that after receiving the vaccine the patient had 104 degree fever, was making no eye contact, excessive activity, did not speak, had stomach issues and the in May-2000 at the age of 2 1/2 year old, was diagnosed with autism. The mother reported that the patient had genetic blood work done which came back negative and he was allergic to penicillin (manufacturer unspecified) and she also reported that the patient had made progress with 40 hours of therapy a week and she was unsure if the patient received any other vaccine at the time, he received MMR II. It was unspecified if the patient sought medical attention. Upon internal review, autism was determined to be an other important medical event. Additional information is not expected.
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Social avoidant behaviour
Clinical narrative: Information has been received from a consumer, the patient's mother, concerning her son (a twin, who also had the same experiences reported in WAES# 0905USA01035) with penicillin allergy who some times in 1999 was vaccinated with MMR II (dose, route and lot number not reported). There was no concomitant medication. The mother stated that after receiving the vaccine the patient had 104 degree fever, was making no eye contact, excessive activity, did not speak, had stomach issues and the in May-2000 at the age of 2 1/2 year old, was diagnosed with autism. The mother reported that the patient had genetic blood work done which came back negative and he was allergic to penicillin (manufacturer unspecified) and she also reported that the patient had made progress with 40 hours of therapy a week and she was unsure if the patient received any other vaccine at the time, he received MMR II. It was unspecified if the patient sought medical attention. Upon internal review, autism was determined to be an other important medical event. Additional information is not expected.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Blood test, Diarrhoea, Haematochezia, Rotavirus test
Clinical narrative: Information has been received from a Registered Nurse concerning a 2 month old male who on 30-APR-2009 was vaccinated orally with the first 2 ml dose of ROTATEQ (lot number was not provided).  On 04-MAY-2009 the patient experienced blood in the stool and diarrhea.  Unspecified medical attention was sought.  Tests for blood and rotavirus were performed.  On an unspecified date the patient recovered.  Upon internal review, blood in the stool was determined to be an other important medical event.  Additional information has been requested.
Age: 0.6
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Rotavirus infection, Rotavirus test positive, Vomiting
Clinical narrative: Diagnosed with rotavirus on 4/30/09 at 6:38. Was taken to hospital by mother after vomiting & diarrhea for 2 days. Was admitted to hosp & tested for rotavirus.   8/3/09 Hospital records received DOS 4/29/09 to 4/30/09. Assessment: Rotavirus gastroenteritis and dehydration. Patient presented with fever, diarrhea, and vomiting. Decrease in energy level. Rhinorrhea. Impacted cerumen.  8/13/09 ICD-9 Codes: 008.61 Viral enteritis due to Rotavirus,  276.51 Dehydration.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Blood product transfusion, Fall, Gait disturbance, Hypotonia
Clinical narrative: 5-day(s) hospitalization for IVIG - extreme weight loss. Tripping, falling, loss of muscle mass, inability to walk without assistance. Now is in a wheelchair of which pain up feet legs, thigh persist. All of symptoms like respiratory breathing problems began in December of 2008. Had several doctor visits. 6/9/09 MR received for DOS 3/11-15/09 with DX: Guillain-Barre Syndrome- Acute Inflammatory Demyelinating Polyradiculopathy. Pt initially presented to pcp in 12/2008 with c/o low back and buttock pain and progressive weakness.  Initially thought to be a neuropathy (pt with DM typeII) however with increasing LE weakness pt referred to neuro. Admitted for IVIG. Recent 50 lb wt loss-unintentional. PE (+) for 0-4/5 strength of LEs, UEs WNL. absent-diminished reflexes in LEs. Sensory loss in LEs as well. Ataxic gait with bilateral foot drop. Follow-up: Unable to walk without assistance, except for small baby steps w/ assistance. Cannot go up stairs at all. Bowels shows incontinence, she still has extreme nerve pain - and has to have prescription drugs for pain, has to constantly fight a cold, she is also very sensitive to regular temperatures  gets too cold easy. Cannot stand more than 30 minutes. Has nerve pain in fingers, hands, legs, diaphragm. The atty that we picked from the list we were given from federal courts, has not made any strides - is there any other compensation for my mother's loss of ability to work full time, or even drive her (inability to) own car?
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Respiratory disorder, Weight decreased, Wheelchair user
Clinical narrative: 5-day(s) hospitalization for IVIG - extreme weight loss. Tripping, falling, loss of muscle mass, inability to walk without assistance. Now is in a wheelchair of which pain up feet legs, thigh persist. All of symptoms like respiratory breathing problems began in December of 2008. Had several doctor visits. 6/9/09 MR received for DOS 3/11-15/09 with DX: Guillain-Barre Syndrome- Acute Inflammatory Demyelinating Polyradiculopathy. Pt initially presented to pcp in 12/2008 with c/o low back and buttock pain and progressive weakness.  Initially thought to be a neuropathy (pt with DM typeII) however with increasing LE weakness pt referred to neuro. Admitted for IVIG. Recent 50 lb wt loss-unintentional. PE (+) for 0-4/5 strength of LEs, UEs WNL. absent-diminished reflexes in LEs. Sensory loss in LEs as well. Ataxic gait with bilateral foot drop. Follow-up: Unable to walk without assistance, except for small baby steps w/ assistance. Cannot go up stairs at all. Bowels shows incontinence, she still has extreme nerve pain - and has to have prescription drugs for pain, has to constantly fight a cold, she is also very sensitive to regular temperatures  gets too cold easy. Cannot stand more than 30 minutes. Has nerve pain in fingers, hands, legs, diaphragm. The atty that we picked from the list we were given from federal courts, has not made any strides - is there any other compensation for my mother's loss of ability to work full time, or even drive her (inability to) own car?
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Myopericarditis
Clinical narrative: 21 y/o patient seen for F/U s/p hospitalization 4-5thMay09 @ hospital for Acute Myopericarditis following receipt of primary Smallpox and Anthrax #1 vaccines on (22 Apr 09) in preparation for deployment 25May09.  5/18/09 Hospital records received DOS 5/4/09 to 5/5/09. FINAL DIAGNOSIS: Vaccinia-associated myopericarditis, chest pain secondary to myopericarditis Post vaccination: chest pain, shortness of breath, fatigue, chills.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Chills, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: 21 y/o patient seen for F/U s/p hospitalization 4-5thMay09 @ hospital for Acute Myopericarditis following receipt of primary Smallpox and Anthrax #1 vaccines on (22 Apr 09) in preparation for deployment 25May09.  5/18/09 Hospital records received DOS 5/4/09 to 5/5/09. FINAL DIAGNOSIS: Vaccinia-associated myopericarditis, chest pain secondary to myopericarditis Post vaccination: chest pain, shortness of breath, fatigue, chills.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Myopericarditis, Red blood cell sedimentation rate increased, Troponin increased
Clinical narrative: 21 y/o patient seen for F/U s/p hospitalization 4-5thMay09 @ hospital for Acute Myopericarditis following receipt of primary Smallpox and Anthrax #1 vaccines on (22 Apr 09) in preparation for deployment 25May09.  5/18/09 Hospital records received DOS 5/4/09 to 5/5/09. FINAL DIAGNOSIS: Vaccinia-associated myopericarditis, chest pain secondary to myopericarditis Post vaccination: chest pain, shortness of breath, fatigue, chills.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Chest X-ray normal, Chest pain, Dyspnoea
Clinical narrative: Pt woke up with CP and SOB in the early morning hours on 1/22/09 and got tachycardic and SOB trying to climb stairs later that day. Went to health services for evaluation and was sent to local ER and diagnosed with myopericarditis. Was hospitalized overnight and sent home on ENDOCIN. Symptoms: Chest Pain, Dyspnea (shortness of breath).   5/18/09 ED and hospital records received DOS 1/22/09 to 1/23/09 FINAL DIAGNOSIS: Myopericarditis, elevated troponin and chest pain, normal coronary arteries, normal left ventricular systolic function. Post vaccination: intermittant chest discomfort, dull ache, pain worse with deep breathing and lying flat.  5/26/09 medical records received DOS 1/22/09 to 2/3/09. FINAL DIAGNOSIS: Acute Myocarditis Post vaccination presented with chest pain, shortness of breath, tachycardia.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Myopericarditis, Tachycardia, Troponin increased
Clinical narrative: Pt woke up with CP and SOB in the early morning hours on 1/22/09 and got tachycardic and SOB trying to climb stairs later that day. Went to health services for evaluation and was sent to local ER and diagnosed with myopericarditis. Was hospitalized overnight and sent home on ENDOCIN. Symptoms: Chest Pain, Dyspnea (shortness of breath).   5/18/09 ED and hospital records received DOS 1/22/09 to 1/23/09 FINAL DIAGNOSIS: Myopericarditis, elevated troponin and chest pain, normal coronary arteries, normal left ventricular systolic function. Post vaccination: intermittant chest discomfort, dull ache, pain worse with deep breathing and lying flat.  5/26/09 medical records received DOS 1/22/09 to 2/3/09. FINAL DIAGNOSIS: Acute Myocarditis Post vaccination presented with chest pain, shortness of breath, tachycardia.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Pericardial disease, Troponin I
Clinical narrative: Pt woke up with CP and SOB in the early morning hours on 1/22/09 and got tachycardic and SOB trying to climb stairs later that day. Went to health services for evaluation and was sent to local ER and diagnosed with myopericarditis. Was hospitalized overnight and sent home on ENDOCIN. Symptoms: Chest Pain, Dyspnea (shortness of breath).   5/18/09 ED and hospital records received DOS 1/22/09 to 1/23/09 FINAL DIAGNOSIS: Myopericarditis, elevated troponin and chest pain, normal coronary arteries, normal left ventricular systolic function. Post vaccination: intermittant chest discomfort, dull ache, pain worse with deep breathing and lying flat.  5/26/09 medical records received DOS 1/22/09 to 2/3/09. FINAL DIAGNOSIS: Acute Myocarditis Post vaccination presented with chest pain, shortness of breath, tachycardia.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Blood glucose increased, Blood sodium increased, C-reactive protein increased
Clinical narrative: Pt woke up with CP and SOB in the early morning hours on 1/22/09 and got tachycardic and SOB trying to climb stairs later that day. Went to health services for evaluation and was sent to local ER and diagnosed with myopericarditis. Was hospitalized overnight and sent home on ENDOCIN. Symptoms: Chest Pain, Dyspnea (shortness of breath).   5/18/09 ED and hospital records received DOS 1/22/09 to 1/23/09 FINAL DIAGNOSIS: Myopericarditis, elevated troponin and chest pain, normal coronary arteries, normal left ventricular systolic function. Post vaccination: intermittant chest discomfort, dull ache, pain worse with deep breathing and lying flat.  5/26/09 medical records received DOS 1/22/09 to 2/3/09. FINAL DIAGNOSIS: Acute Myocarditis Post vaccination presented with chest pain, shortness of breath, tachycardia.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Hyperventilation
Clinical narrative: Pt woke up with CP and SOB in the early morning hours on 1/22/09 and got tachycardic and SOB trying to climb stairs later that day. Went to health services for evaluation and was sent to local ER and diagnosed with myopericarditis. Was hospitalized overnight and sent home on ENDOCIN. Symptoms: Chest Pain, Dyspnea (shortness of breath).   5/18/09 ED and hospital records received DOS 1/22/09 to 1/23/09 FINAL DIAGNOSIS: Myopericarditis, elevated troponin and chest pain, normal coronary arteries, normal left ventricular systolic function. Post vaccination: intermittant chest discomfort, dull ache, pain worse with deep breathing and lying flat.  5/26/09 medical records received DOS 1/22/09 to 2/3/09. FINAL DIAGNOSIS: Acute Myocarditis Post vaccination presented with chest pain, shortness of breath, tachycardia.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Lymphocyte percentage decreased, Monocyte count normal, Myopericarditis, Neutrophil count increased, Neutrophil percentage increased
Clinical narrative: Pt woke up with CP and SOB in the early morning hours on 1/22/09 and got tachycardic and SOB trying to climb stairs later that day. Went to health services for evaluation and was sent to local ER and diagnosed with myopericarditis. Was hospitalized overnight and sent home on ENDOCIN. Symptoms: Chest Pain, Dyspnea (shortness of breath).   5/18/09 ED and hospital records received DOS 1/22/09 to 1/23/09 FINAL DIAGNOSIS: Myopericarditis, elevated troponin and chest pain, normal coronary arteries, normal left ventricular systolic function. Post vaccination: intermittant chest discomfort, dull ache, pain worse with deep breathing and lying flat.  5/26/09 medical records received DOS 1/22/09 to 2/3/09. FINAL DIAGNOSIS: Acute Myocarditis Post vaccination presented with chest pain, shortness of breath, tachycardia.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Red blood cell sedimentation rate increased, Tachycardia, Troponin increased, White blood cell count increased, X-ray normal
Clinical narrative: Pt woke up with CP and SOB in the early morning hours on 1/22/09 and got tachycardic and SOB trying to climb stairs later that day. Went to health services for evaluation and was sent to local ER and diagnosed with myopericarditis. Was hospitalized overnight and sent home on ENDOCIN. Symptoms: Chest Pain, Dyspnea (shortness of breath).   5/18/09 ED and hospital records received DOS 1/22/09 to 1/23/09 FINAL DIAGNOSIS: Myopericarditis, elevated troponin and chest pain, normal coronary arteries, normal left ventricular systolic function. Post vaccination: intermittant chest discomfort, dull ache, pain worse with deep breathing and lying flat.  5/26/09 medical records received DOS 1/22/09 to 2/3/09. FINAL DIAGNOSIS: Acute Myocarditis Post vaccination presented with chest pain, shortness of breath, tachycardia.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Cardiac function test, Chest pain, Oral herpes, Sleep disorder
Clinical narrative: "Cold sore on lower lip within 48 hours of injection." Upper chest pain waking pt. @ 0300 1 wk after injection. No cause or change of routine other than Zoster vaccination one wk prior. Cardiologist discharged with dx. possible pleurisy.5/26/09-records received for DOS 4/22-4/24/09-presented to ED with C/O CP, awoke with chest pressure, felt weak. Shortness of breath. ICD-9 786.59 chest pain.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Rt. arm red, slightly warm to touch, area was 1 1/2 inches wide x 3 inches in length.
Age: 0.8
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anorexia, Full blood count, Irritability, Pyrexia
Clinical narrative: Patient c/o fever 102,less of appetite, and fussiness.
Age: 0.42
Sex: M
Vaccine: DTAP, RV1
Symptoms: Culture stool, Diarrhoea, Haematochezia, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Patient given Rotarix vaccine. On first dose of Rotarix, my baby had symptoms of vomiting, blood in stools. These symptoms stopped after giving antibiotic. Same symtoms recurred again the next month - Again antiobiotic treatment. On second dose of Rotarix, again blood in stools, loose motions and fever.
Age: 0.42
Sex: M
Vaccine: DTAP, RV1
Symptoms: Vomiting
Clinical narrative: Patient given Rotarix vaccine. On first dose of Rotarix, my baby had symptoms of vomiting, blood in stools. These symptoms stopped after giving antibiotic. Same symtoms recurred again the next month - Again antiobiotic treatment. On second dose of Rotarix, again blood in stools, loose motions and fever.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Brain injury, Epistaxis, Life support, Mouth haemorrhage
Clinical narrative: Pt was found face down in his crib approximately 30 hours after vaccine administration.  Blood was found around his nose and mouth.  Pt currently on life support and has no brain activity.  It is expected that he will not survive.  Cause has not yet been determined.  9/1/09 Autopsy report staes COD as  Cardiac arrest of undetermined etiology, four days prior to death on 5/16/09. Autopsy report also states contributory cause of death. History of prone position as found, islet cell hyperplasia of the pancreas, aspiration near the time of initial arrest.  8/14/09 Hospital records received DOS 5/12/09 - 5/16/09. Diagnosis: Cardiopulmonary arrest, seizures. Records reveal patient found by parents face down in bed and blood coming out of his nose and mouth. Parents began CPR. Transported to local hospital by EMS and was in full arrest upon arrival. Coded, pulses returned, and patient transported to this hospital. He was not responsive, pupils were fixed and dilated. Rib fractures. Noted to have abdominal distention and ileus. Became tachycardic, febrile, extremities cool. Poor peripheral perfusion. Agnonal respirations, ventiilator. Shock. Transfusions of FFP and PRBCs Seizure activity. Declared deceased and taken off ventilator.
Age: 5.0
Sex: F
Vaccine: HPVX, MEA, SMALL, HPVX, MEA, SMALL
Symptoms: Injection site rash, Injection site swelling, Rash
Clinical narrative: Received vaccination on Friday, by Saturday evening developed rash at site of injection. Two days later reaction (rash, swelling) was appro 2" x 2". At day four rash disappeared. On day 11 another rash at the site of the injection developed. Upon awakening on day 13, the rash had spread to be approx 4" x4" and red "dots" had appeared on entire body. At this point uncertain to outcome of reaction!
Age: 5.0
Sex: F
Vaccine: HPVX, MEA, SMALL, HPVX, MEA, SMALL
Symptoms: Erythema, Injection site rash, Injection site swelling, Rash generalised
Clinical narrative: Received vaccination on Friday, by Saturday evening developed rash at site of injection. Two days later reaction (rash, swelling) was appro 2" x 2". At day four rash disappeared. On day 11 another rash at the site of the injection developed. Upon awakening on day 13, the rash had spread to be approx 4" x4" and red "dots" had appeared on entire body. At this point uncertain to outcome of reaction!
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site warmth, Lymphadenopathy
Clinical narrative: Warm, red, hard 2.5 X 3 inch cellulitis, left upper deltoid with left arm pit lymph node involvement. Father is a MD and put child on Keflex. Child has fever.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Warm, red, hard 2.5 X 3 inch cellulitis, left upper deltoid with left arm pit lymph node involvement. Father is a MD and put child on Keflex. Child has fever.
Age: 5.0
Sex: M
Vaccine: DTPIPV, VARCEL
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: On 5-11-09 mom called and spoke to nurse, stated that son got imm on 5-6-09 and now has a swollen area on this left thigh that is the size of a tennis ball and complaining of itching.  patient brought into office for a evaluation, dr. noted a 7cm faint pink raised area that was slightly firm on the left thigh which is the sight in which he received the kinrix.  Dr. had pt use benadryl as needed and to call if increase in s/s.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature decreased, Headache, Hypotension, Joint stiffness, Nausea
Clinical narrative: after few hours of taking the vaccine, headache,low body temperature.next morning, low blood pressure, nausea, body ache, stiffness in right arm, this continued for whole one day. 2nd day, fever, body ache. fever continued for 3rd day.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: after few hours of taking the vaccine, headache,low body temperature.next morning, low blood pressure, nausea, body ache, stiffness in right arm, this continued for whole one day. 2nd day, fever, body ache. fever continued for 3rd day.
Age: 1.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Cough, Eye swelling, Oedema mouth, Pruritus, Swelling
Clinical narrative: Received Varicella and Hepatitis A vaccines on 5/13/09 at 1500 hr. Around 1830 hr., developed urticaria, swelling on eyes and mouth. He began coughing and scratching at neck. Was given 3.75 ml of Benadryl and taken to Urgent Care. Was given more Benadryl and a steriod shot. Was discharged at 2030. Slept well and is fine today.
Age: 1.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Urticaria
Clinical narrative: Received Varicella and Hepatitis A vaccines on 5/13/09 at 1500 hr. Around 1830 hr., developed urticaria, swelling on eyes and mouth. He began coughing and scratching at neck. Was given 3.75 ml of Benadryl and taken to Urgent Care. Was given more Benadryl and a steriod shot. Was discharged at 2030. Slept well and is fine today.
Age: 40.0
Sex: M
Vaccine: HEP, MNQ, SMALL, HEP, MNQ, SMALL
Symptoms: Chest pain, Electrocardiogram normal, Troponin I
Clinical narrative: Chest Pain  786.5  (5-000008)  5/19/09 medical records received DOS 1/27/09 to 2/5/09. FINAL DIAGNOSIS: Atypical chest pain, Hypertension (Systemic), Obesity Post vaccination: chest pain over left breast. ICD-9: 786.5 Chest Pain
Age: 40.0
Sex: M
Vaccine: HEP, MNQ, SMALL, HEP, MNQ, SMALL
Symptoms: Alanine aminotransferase increased, Blood chloride decreased, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood triglycerides increased
Clinical narrative: Chest Pain  786.5  (5-000008)  5/19/09 medical records received DOS 1/27/09 to 2/5/09. FINAL DIAGNOSIS: Atypical chest pain, Hypertension (Systemic), Obesity Post vaccination: chest pain over left breast. ICD-9: 786.5 Chest Pain
Age: 40.0
Sex: M
Vaccine: HEP, MNQ, SMALL, HEP, MNQ, SMALL
Symptoms: Chest pain, Electrocardiogram normal, Haemoglobin increased, Hypertension, Obesity
Clinical narrative: Chest Pain  786.5  (5-000008)  5/19/09 medical records received DOS 1/27/09 to 2/5/09. FINAL DIAGNOSIS: Atypical chest pain, Hypertension (Systemic), Obesity Post vaccination: chest pain over left breast. ICD-9: 786.5 Chest Pain
Age: 40.0
Sex: M
Vaccine: HEP, MNQ, SMALL, HEP, MNQ, SMALL
Symptoms: Total cholesterol/HDL ratio increased, Troponin I
Clinical narrative: Chest Pain  786.5  (5-000008)  5/19/09 medical records received DOS 1/27/09 to 2/5/09. FINAL DIAGNOSIS: Atypical chest pain, Hypertension (Systemic), Obesity Post vaccination: chest pain over left breast. ICD-9: 786.5 Chest Pain
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Oral discomfort
Clinical narrative: was administered Tdap, no previous allergy to Td, was being worked up for allergy - tested + seafood and almond; approx 15 minutes after vaccine developed allergy/mouth sensation, referred to ED, hospitalized for observation, discharged and had persisting sx,  now ? gelatin allergy - was getting med w/ gelatin during subsequent hosp., as of 5/11/09 still on Prednisone,antihistamine and periodic epi  5/19/09 Received hospital medical records of 4/26-5/2/2009. FINAL DX: Anaphylaxis & asthma exacerbation Records reveal patient experienced polyarthralgias, facial swelling, ANA(+) s/p HPV vaccine given 9/2008.  Tx intermittently w/steroids & plaquenil.  On 4/15/09 given TDaP vaccine due to pertussis outpbreak at her job.  Within 10 min, noted tingling & swollen lips, tongue & face w/SOB.  Tx in ER w/steroids, antihistamine.  Developed crushing chest pain & tx w/epi.  Improved but admitted overnight & had further episodes of swelling, flushing, chest tightness & puffy hands.  Saw PCP on 4/16 & began steroids.  Recurrent episodes of angioedema tx w/steroids & nebs.  On seen in urgent care & admitted to ICU 4/18-4/23 requiring epi several times for chest tightness.  Again developed flushing, facial swelling & tx as outpatient w/epi w/resolution of symptoms.  Recurred again on 4/26 & admitted.  Allergy consult done.  Stabilized & d/c to home w/allergy clinic f/u. ICD9 Codes: 999.4; E948.6; 493.90; 784.0; 796.2; 530.81; 785.0;300.00; E941.2; E939.5; V14.8; V58.65.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site warmth
Clinical narrative: sore, warm, red, bruised spot on the left arm at injection site.  Prednisone given orally.
Age: 4.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Right upper arm redden and swollen.  Child complains of pain.  Mother Bendryl.  Applied ice.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test normal, Pruritus generalised, Rash generalised
Clinical narrative: Patient presented to the emergency department complaining of generalized rash and itching. Patient was treated with benadryl and released home after her symptoms resolved.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: injection site red and swollen x 1 day, diagnosed with cellulitis at injection site, treated with Sulfatrim x 10 days
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Somnolence, Vaccine positive rechallenge
Clinical narrative: Patient reports that after receiving shot of gardasil abd menectra on 02/25/2009 she became very sleepy but not lethargic and experienced a severe headache. She didn't report this because she didn't know if it was from shots or if she was just feeling bad. Patient opted to receive second dose of Gardasil on 05/13/2009. Patient waited in lobby for 15 minutes after receiving injection per protocol. Patient reported no adverse reactions during that time. Patient was asked bymyself how she felt every 5 minutes for 15 minutes. Mom called clinic today at 16:30pm to report that patient didnt report it yesterday but 10 minutes after receiving injection she started feeling extremely sleepy and experiencing a severe headache. Patient didn't want me to know for fear that she would have to stay at clinic longer. Patient currently not feeling tired anymore but still experiencing headache. I instructed patients mother to monitor her and if symptoms worsened to seek immediate attention at the ER. Patient is treating headache with Tylenol 500mg OTC. Patient and mother voiced understanding for treatment.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Deafness, Unresponsive to stimuli
Clinical narrative: PATIENT SEEMED TO HAVE PROFOUND HEARING LOSS FOR 2 DAYS AFTER HER VACCINATIONS.  SHE DID NOT RESPOND TO HER NAME OR HER MOTHER'S VOICE.  SHE DID NOT STARTLE TO LOUD NOISES.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: pt was given hpv vaccine pt was then found to be pregnant
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Full blood count normal, Metabolic function test normal, Musculoskeletal pain, Neck pain
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of shoulder pain in a 40-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). The subject's medical history included asthma and graves' disease. Concurrent medications included ALBUTEROL, CALCIUM and multivitamin. On 14 April 2009 the subject received 1st dose of BOOSTRIX (unknown route, left arm). On 17 April 2009, 3 days after vaccination with BOOSTRIX, the subject experienced pain in left shoulder that radiated down to her neck and elbow. The subject was treated with prednisone and KEFLEX and warm compresses to arm. Blood work was drawn and an ultrasound of the left deltoid shoulder area was performed. The subject had follow-up scheduled five days from the time of reporting. At the time of reporting the events were unresolved. The healthcare professional considered the events were probably related to vaccination with BOOSTRIX. Follow up received from healthcare professional on 11 May 2009: The subject's medical history included seasonal affective disorder. It was reported that she had not received BOOSTRIX previously. The onset date of the events was changed to 19 April 2009, 5 days after vaccination with BOOSTRIX. The subject was also treated with IBUPROFEN. It was reported that complete blood count, sedimentation rate and basic metabolic profile were done on 17 April 2009. All were reported as "high norm", and basic metabolic profile was also reported as "low norm". At the time of reporting the events were improved on an unspecified date. The healthcare professional considered the events were clinically significant (or requiring intervention). The healthcare professional considered the events were related to vaccination with BOOSTRIX.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Red blood cell sedimentation rate normal, Ultrasound scan
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of shoulder pain in a 40-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). The subject's medical history included asthma and graves' disease. Concurrent medications included ALBUTEROL, CALCIUM and multivitamin. On 14 April 2009 the subject received 1st dose of BOOSTRIX (unknown route, left arm). On 17 April 2009, 3 days after vaccination with BOOSTRIX, the subject experienced pain in left shoulder that radiated down to her neck and elbow. The subject was treated with prednisone and KEFLEX and warm compresses to arm. Blood work was drawn and an ultrasound of the left deltoid shoulder area was performed. The subject had follow-up scheduled five days from the time of reporting. At the time of reporting the events were unresolved. The healthcare professional considered the events were probably related to vaccination with BOOSTRIX. Follow up received from healthcare professional on 11 May 2009: The subject's medical history included seasonal affective disorder. It was reported that she had not received BOOSTRIX previously. The onset date of the events was changed to 19 April 2009, 5 days after vaccination with BOOSTRIX. The subject was also treated with IBUPROFEN. It was reported that complete blood count, sedimentation rate and basic metabolic profile were done on 17 April 2009. All were reported as "high norm", and basic metabolic profile was also reported as "low norm". At the time of reporting the events were improved on an unspecified date. The healthcare professional considered the events were clinically significant (or requiring intervention). The healthcare professional considered the events were related to vaccination with BOOSTRIX.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture negative, Blood electrolytes normal, Cellulitis, Chills, Hallucination
Clinical narrative: - Hallucinations. - Fever, chills. - Local cellulitis.  5/15/09 Medical records received (hosp discharge summary included) DOS 4/29 and 5/1/09 to 5/3/09. FINAL DIAGNOSIS: Allergic reaction vaccine site, cellulitis, osteoporosis, endometriosis. Post vaccination chills, dizziness, body aches. Injection site tender, swollen, hard, bruised. Antibiotic injection given for cellulitis. Hallucinations led to hospitalization.  5/21/09 Hospital records received DOS 5/1/09 to 5/1/09. FINAL DIAGNOSIS: Allergic reaction vaccine site, cellulitis, osteoporosis, endometriosis. Post vaccination fever, chills, dizziness, body aches. Injection site tender, swollen, hard, bruised. Antibiotic injection given for cellulitis. Hallucinations led to hospitalization. Joint pain in shoulders and knees. Vomiting. 6/12/09 Received ICD9 Codes: 682.3 cellulitis & abscess of upper arm & forearm; 288.60 leukocytosis, NOS; 733.00 osteoporosis, NOS; V586.6, long term (current) use of aspirin.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: - Hallucinations. - Fever, chills. - Local cellulitis.  5/15/09 Medical records received (hosp discharge summary included) DOS 4/29 and 5/1/09 to 5/3/09. FINAL DIAGNOSIS: Allergic reaction vaccine site, cellulitis, osteoporosis, endometriosis. Post vaccination chills, dizziness, body aches. Injection site tender, swollen, hard, bruised. Antibiotic injection given for cellulitis. Hallucinations led to hospitalization.  5/21/09 Hospital records received DOS 5/1/09 to 5/1/09. FINAL DIAGNOSIS: Allergic reaction vaccine site, cellulitis, osteoporosis, endometriosis. Post vaccination fever, chills, dizziness, body aches. Injection site tender, swollen, hard, bruised. Antibiotic injection given for cellulitis. Hallucinations led to hospitalization. Joint pain in shoulders and knees. Vomiting. 6/12/09 Received ICD9 Codes: 682.3 cellulitis & abscess of upper arm & forearm; 288.60 leukocytosis, NOS; 733.00 osteoporosis, NOS; V586.6, long term (current) use of aspirin.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Blast cell count increased, Contusion, Decreased appetite, Haemoglobin normal, Irritability
Clinical narrative: Cranky and decreased appetite started after he received 5/1 immunizations - developed night sweats, cold symptoms, bruising - hospitalized 5/11/09 - dx leukemia.  7/23/09 Received hospital medical records for 6/9/09. FINAL DX: ALL, T-cell leukemia diagnosed 5/12/09 w/presentation WBC of 614.2 & mediastinal mass. Records reveal patient had experienced irritability, crying,  eye stye & was on oral antibiotics.  This admission for day 29 lumbar puncture, bone marrow aspiration & chemotherapy via mediport. 8/17/09 Received radiation therapy evaluation following chemotherapy. Follow-up: Parents were convinced that his immunizations caused him to develop leukemia. He has T cell ALL and he is currently on maintenance chemotherapy.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Nasopharyngitis, Night sweats, Platelet count decreased, T-cell type acute leukaemia, White blood cell count increased
Clinical narrative: Cranky and decreased appetite started after he received 5/1 immunizations - developed night sweats, cold symptoms, bruising - hospitalized 5/11/09 - dx leukemia.  7/23/09 Received hospital medical records for 6/9/09. FINAL DX: ALL, T-cell leukemia diagnosed 5/12/09 w/presentation WBC of 614.2 & mediastinal mass. Records reveal patient had experienced irritability, crying,  eye stye & was on oral antibiotics.  This admission for day 29 lumbar puncture, bone marrow aspiration & chemotherapy via mediport. 8/17/09 Received radiation therapy evaluation following chemotherapy. Follow-up: Parents were convinced that his immunizations caused him to develop leukemia. He has T cell ALL and he is currently on maintenance chemotherapy.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Blood product transfusion, Contusion, Epistaxis, Haemorrhage, Platelet count decreased
Clinical narrative: Patient presented to hospital with 1-day history of bleeding, bruising and low platelets. History included epistaxis, left elbow bruise and a platelet count of 2,000 in her primary care physicians office on 5/12/2009. Patient was admitted to hospital on 5/12/09 and received 10g IVIG that evening. On the morning of 5/14/09, Pt had responded with a platelet count of 49,000, and was subsequently discharged.  8/3/09 Hospital records received DOS 5/12/09 to 5/14/09. Assessment: Idiopathic Thrombocytopenic Purpura. Parents noted dried blood in child's nostrils, started to bleed when cleaned. Bruise on left elbow. Presented with bleeding, bruising, and low platelets. Fussy. Petechiae of lips, oral mucosa, pharyngeal mucosa, extremities, and trunk. IVIG given.  9/14/09 ICD-9 Codes Received: 287.31 Immune thrombocytopenia purpura, 287.5 Thrombocytopenia unspecified.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: R arm swelling, redness within 48 of receiving DTAP R deltoid.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Myalgia
Clinical narrative: Developed redness, swelling locally in Rt. deltoid where administered. Systemic chills without fever, myalgias.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site induration
Clinical narrative: Pt received Varicella vaccine (lot #0336Y) SC in L lateral thigh on 5/4/09, as well as Hep A vaccine IM. Separate areas of induration found on L thigh as probable injection sites. Induration greater on lateral aspect, site of Varicella vaccine.
Age: 10.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Crying, Dyspnoea, Eye swelling, Heart rate increased, Respiratory rate increased
Clinical narrative: Pt. received vaccines TDAP, Hep A + VARIVAX @ 2:30 pm, Pt waited 15 min after vaccines. Pt was fine. It was around 3:07 pm when Pt came to Doctor - stated she could not breath anymore + left eye swelling was noted. Pt crying vs taken Bp 120/76 P-102 R-33 T-986 applied via nasal Cannula Benadryl 25mg PO given Still C/o SOB. 911 called transported to ER via ambulance.
Age: 11.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, pain, warmth at injection site.  Patient seen at clinic and back in primary physician's office.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Pallor
Clinical narrative: 1 inch X 1 1/4 inch upper arm redness, blanches, not warm, no streaking c/w immunization reaction
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Urticaria- Erythematous Wheals all over body + itchiness TX: Benadryl 25mg to tabs PO 4-6 Hrs for itchiness.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mom noted redness, heat and swelling yesterday. Area red hot, 0 induration noted, minimal swelling to site. Approx 12cm across. No itching or pain.
Age: 1.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site vesicles, Scab
Clinical narrative: On 5/3/09 Mother noticed L arm red @ injection site. 5/4/09 blisters on L upper arm with redness + tenderness at the base. Mom called child's Dr + he had, Motrin + anti itch cream. Blisters became crusts, then scabs.
Age: 22.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy
Clinical narrative: 22 y/o pregnant female, ADSM, reports receiving Flu Mist vaccine on 17 October 2008 despite being 38 weeks gestation. The service member decided to call the VHC for further information on the risks of the vaccine to her baby.
Age: 1.2
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site reaction
Clinical narrative: Local allergic reaction at site of injection.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Rash papular
Clinical narrative: 21 y/o AD female presents for walk-in appt, with "itchy, little red bumps that look like mosquito bites" on arms, chest, abdomen and back 10-days s/p receipt SPV right deltoid (3/10/09). Noticed first itchy red papule behind right elbow on 3/16/09, then one on same forearm. No accompanying fever or malaise. Pruritic red papules spread to chest, abdomen and today has several discrete pustular papules on her back, which do not resemble a primary jennerian pustule. She has been performing careful daily dressing changes and wound care-covering jennerian Pustule with band aid till scab forms and falls off, wearing long sleeves, changing band aid daily, disposing dressing in sealed plastic bag and washing hands to avoid auto - inoculation. I reviewed principles of preventing transmission to others in close contact, as SM's female partner accompanied SM to visit. Both patient an partner deny hx of eczema or psoriasis. No children present in household. No showering together, etc.
Age: 45.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal pain, Arthralgia, Dizziness, Full blood count normal, Laboratory test normal
Clinical narrative: 45 y/o  male, ADSM, is referred to the  Transition Unit for several day h/o nausea and vomiting associated with his receipt of Flu Mist vaccine on 28 Oct 08. Symptoms : Nausea w/ vomiting abdominal pain, Dizziness, joint pain, isolated.
Age: 45.0
Sex: M
Vaccine: FLUN3
Symptoms: Nausea, Urine analysis normal, Vomiting, X-ray normal
Clinical narrative: 45 y/o  male, ADSM, is referred to the  Transition Unit for several day h/o nausea and vomiting associated with his receipt of Flu Mist vaccine on 28 Oct 08. Symptoms : Nausea w/ vomiting abdominal pain, Dizziness, joint pain, isolated.