chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Hospitalized 1/05/10 with Guillian-Barre by PCP. 1/6/10->1/9/10.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Mass, Swelling
Clinical narrative: Swelling and lump developed approx. 5inch lump w/ surrounding redness. Swelling decreased overtime w/ ice.
Age: 27.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Nausea, Urticaria, Vomiting
Clinical narrative: Pt had her third GARDISIL 11/17/09. She called the next day to report that on 11/18 AM, she awoke with nausea, soon followed by vomiting. When she got up, she was "lightheaded." Later in the day she developed hives on arms and thighs. Stated that sx are resolving. Told her to take BENADRYL 50 mg now. If hives get worse or throat swells, has difficulty breathing call 911 or have roommate take her to ER.
Age: 27.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Nausea, No reaction on previous exposure to drug, Urticaria, Vomiting
Clinical narrative: Pt had her third GARDISIL 11/17/09. She called the next day to report that on 11/18 AM, she awoke with nausea, soon followed by vomiting. When she got up, she was "lightheaded." Later in the day she developed hives on arms and thighs. Stated that sx are resolving. Told her to take BENADRYL 50 mg now. If hives get worse or throat swells, has difficulty breathing call 911 or have roommate take her to ER.
Age: 1.27
Sex: M
Vaccine: HBHEPB, MMRV
Symptoms: Autism spectrum disorder, Developmental delay, Motor dysfunction, Speech disorder developmental
Clinical narrative: Motor development slowed (called clinic 1 1/2 months after shot) - Dec 2006. Language development slowed (clinic contacted 10/2007). Autism spectrum disorder diagnosed Aug 2008. Self stimulatory behaviors emerged around age 18 mons.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Erythema, Injection site induration, Injection site pain
Clinical narrative: Left arm from elbow to shoulder hard and painful - also red "bands" noted. Lasted about 4 days.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure increased, Hemiplegia, Hypoaesthesia
Clinical narrative: Developed "paralysis, numbness to right side (arm and hand)" with symptoms improving to arm but not hand. Client reports elevated blood pressure. Symptoms noted since 1/20/2010 or near this date client reports. Reports began taking ARAVA 1/20/2010. Follow-up Information 2/18/2010: Adverse event onset date and time unknown. Client reports having contacted physician, unknown whether or not an actual appointment was made.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Redness and sensitivity at local injection site, persisting > 4 months after flu shot. Per patient, had tried applying ice pack on arm. Also took Aspirin for pain.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Hives occurring 3 hrs after vaccine - Took BENADRYL. Better next day.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 3rd dose given in error. Mother notified on 1/21/10. Asked her to call us if he had any side effects as discussed on 1/21/10.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1), TDAP
Symptoms: Rash erythematous, Rash pruritic, Wheezing
Clinical narrative: A red itchy rash on upper chest and approximately 30 min of wheezing. Pt. used BENADRYL - 2 doses and did not have to have any other doses (within 2 hrs of onset of Sx.).
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient received the vaccination on 1/7/10.  A few weeks later she started having pain in her arm.  The pain is radiating into her shoulder area.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Local swelling, Urticaria
Clinical narrative: localized swelling, hive appeared after injection was given, along with redness around hive.
Age: 5.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Cough, Skin reaction, Urticaria
Clinical narrative: After administration of VARICELLA and flu vaccine patient developed a slight cough and skin reaction with hives. Pulse Ox remained 98-99 % with resp. of 40 and pulse of 100-120. No wheezing was present and Benadryl was administered and patient transported to ER by 911.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Fatigue, Rhinorrhoea, Salivary hypersecretion, Sinus headache
Clinical narrative: Friday, throat felt "on fire"-mucous, sinus, nose, throat clear, on occasion yellowish. Increased salivation-for 2 wks->to be a rest: dry->productive cough. Exhaustion.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation
Clinical narrative: Friday, throat felt "on fire"-mucous, sinus, nose, throat clear, on occasion yellowish. Increased salivation-for 2 wks->to be a rest: dry->productive cough. Exhaustion.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Induration, Local reaction
Clinical narrative: Large local reaction - redness of 3/4 length of arm with local induration.
Age: 53.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Influenza like illness, Myalgia, Pyrexia
Clinical narrative: Developed severe flu-like symptoms - muscle aches, 102 + fever for 48 hours, gradually improved over 72 hours.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Migraine
Clinical narrative: Seizures and migraine headaches. ER several times. Hospitalized 4 days for tests - MRI, EEG - diagnosis of seizure disorder - had no problem before GARDASIL.
Age: 22.0
Sex: F
Vaccine: HEPAB
Symptoms: Eye pain, Eye swelling
Clinical narrative: On 1-26-10 patient got 1st TWINRIX injection to finish her Hep B series of 3. No previous allergies or reactions. States as soon as she had the injection she felt pain in her left eye but didn't say anything because she had felt something like that in the past. Felt pain through the rest of the day. When she woke this morning (1-27-2010), her eye was swollen (left eye) . Encouraged patient to seek treatment, called again at 10A (to patient) and she states she will monitor it herself. Encouraged again to go to Emergency Room or other doctor. 2-1-10 swelling now gone after 2-3 days. Patient called today.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Erythema, Pyrexia, Skin warm, Swelling
Clinical narrative: Arm became red, swollen and hot to touch. Dizzy and fever for 24-48 hours.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1), FLU3, TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Golf ball swelling that was a bit tender over her deltoid. No redness or warmth that gradually decreased in size. 2 days after injection it was grape size with no redness or warmth. The injection hurt when given but second reaction in pt and so wanted to report it.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen (R) upper arm with redness approx 12 cm dia.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Burning sensation, Fatigue, Myalgia, Pain, Pruritus
Clinical narrative: Mon- GARDASIL #3 & HepA #2 shots. Tues- Itching, soreness, ibuprofen 2/200mg, didn't help. Wed- Burning-whole body ached, ibuprofen didn't help. Thurs- Burning, muscle aches, exhausted, will increase to 600mg ibuprofen.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Abdominal pain, Intussusception, Surgery, Ultrasound abdomen abnormal
Clinical narrative: Intussusception-surgery, hospitalization 6 days after vaccines patient with abd pain, emesis.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Abdominal pain, Apnoea, Appendicectomy, Barium enema, Endotracheal intubation
Clinical narrative: Intussusception-surgery, hospitalization 6 days after vaccines patient with abd pain, emesis.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Explorative laparotomy, Intussusception, Lymphadenopathy, Muscle spasms, Nausea
Clinical narrative: Intussusception-surgery, hospitalization 6 days after vaccines patient with abd pain, emesis.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Surgery, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Intussusception-surgery, hospitalization 6 days after vaccines patient with abd pain, emesis.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration, Incorrect drug dosage form administered
Clinical narrative: Administered Novartis H1N1 (4 years and older) vaccine 0.25mL IM right deltoid. Should have given Sanofi Pasteur H1N1 (6mo and older) 0.5mL IM. No sign or symptoms distress noted.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration, Incorrect drug dosage form administered
Clinical narrative: Administered Novartis H1N1 (4 yrs and older) vaccine 0.25 mL IM right deltoid. Should have given Sanofi Pasteur 0.5mL IM for ages 6 months and older. No signs or symptoms of distress noted.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4 yrs and older) vaccine 0.25mL IM right deltoid. Should have given Sanofi Pasteur H1N1 (6 mo and older) 0.5mL IM. No signs or symptoms of distress noted.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4yrs and older) vaccine 0.25mL IM right deltoid - Should have given Sanofi Pasteur 0.5mL IM for ages 6 months and older.
Age: 1.22
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4 yrs and older) vaccine 0.25mL IM left deltoid. Should have given Sanofi Pasteur H1N1 (6 mo and older) 0.25mL IM. No signs or symptoms of distress noted.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4 yrs & older) vaccine 0.25ml IM right deltoid. Should have given Sanofi Pasteur H1N1 (6mo & older) 0.25ml IM. No signs or symptoms of distress noted.
Age: 1.24
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4 yrs and older) vaccine 0.25mL IM, right deltoid. Should have given Sanofi Pasteur H1N1 (6 mo and older) 0.25 mL IM. No signs or symptoms distress noted.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4 yrs & older) vaccine 0.25 mL IM right deltoid.  Should have given Sanofi Pasteur H1N1 (6 mo & older) 0.25 mL IM.  No signs or symptoms distress noted.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4yrs and older) vaccine 0.25 mL IM right deltoid. Should have given Sanofi Pasteur H1N1 (6mo and older) 0.25 ml IM. No signs or symptoms of distress noted.
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Congenital anomaly, Drug exposure during pregnancy
Clinical narrative: Information has been received from Merck Pregnancy Registry for GARDASIL from a Nurse practitioner concerning an 18 year old female with AUGMENTIN allergy and no pertinent medical history who on 06-OCT-2008 was vaccinated with first dose of GARDASIL (Lot # not reported). Concomitant therapy included ZOFRAN. On 08-DEC-2008 she received second dose of GARDASIL (Lot # not reported). When she received second dose of vaccine she was pregnant. Patient had last menstrual period on 13-NOV-2008. Estimated date of delivery was 29-AUG-2009. The nurse practitioner reported that the mother delivered a female that has been diagnosed with Laryngomalacia. According to the nurse practitioner, a few days after the birth, the mother brought the baby into the Emergency Room at their hospital with stridor and the baby was transported to a Department of Otolaryngology in a university for care. She said she was told "the baby has extra tissue in the throat", and "along with the stridor which was related to the laryngomalacia, the baby has had reflux and pneumonia at some point too." The nurse practitioner added that it was congenital, but did not state who provided that information. The nurse practitioner added that the baby was gaining weight appropriately. At the time of the report the baby's status was unknown. The infant's laryngomalacia was considered a congenital anomaly. The mother's experience is reported is WAES 0901USA03985. Additional information has been requested.
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received from Merck Pregnancy Registry for GARDASIL from a Nurse practitioner concerning an 18 year old female with AUGMENTIN allergy and no pertinent medical history who on 06-OCT-2008 was vaccinated with first dose of GARDASIL (Lot # not reported). Concomitant therapy included ZOFRAN. On 08-DEC-2008 she received second dose of GARDASIL (Lot # not reported). When she received second dose of vaccine she was pregnant. Patient had last menstrual period on 13-NOV-2008. Estimated date of delivery was 29-AUG-2009. The nurse practitioner reported that the mother delivered a female that has been diagnosed with Laryngomalacia. According to the nurse practitioner, a few days after the birth, the mother brought the baby into the Emergency Room at their hospital with stridor and the baby was transported to a Department of Otolaryngology in a university for care. She said she was told "the baby has extra tissue in the throat", and "along with the stridor which was related to the laryngomalacia, the baby has had reflux and pneumonia at some point too." The nurse practitioner added that it was congenital, but did not state who provided that information. The nurse practitioner added that the baby was gaining weight appropriately. At the time of the report the baby's status was unknown. The infant's laryngomalacia was considered a congenital anomaly. The mother's experience is reported is WAES 0901USA03985. Additional information has been requested.
Age: 1.82
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4 yrs and older) vaccine 0.25 mL IM, right deltoid. Should have given Sanofi Pasteur H1N1 (6 months and older) 0.25 mL IM. No signs or symptoms of distress noted.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: Administered Novartis H1N1 (4 yrs and older) vaccine 0.25 mL IM, right deltoid. Should have given Sanofi Pasteur H1N1 (6 months and older) 0.25 mL IM. No signs or symptoms of distress noted.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration, Incorrect dose administered
Clinical narrative: Administered Novartis H1N1 (4 yrs and older) vaccine 0.25 mL IM Right deltoid. Should have given Sanofi Pasteur H1N1 (6 months and older) 0.25 mL IM. No signs or symptoms distress noted.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Beta haemolytic streptococcal infection, Caesarean section, Drug exposure during pregnancy, Pregnancy test positive, Ultrasound scan
Clinical narrative: Information has been received from a nurse for the pregnancy registry for GARDASIL concerning a 17 year old female patient with history of anger issues, who on 03-DEC-2008 was vaccinated with the second dose of GARDASIL (Lot 660553/0070X). Concomitant therapy included HAVRIX and hormonal contraceptives (unspecified). Nurse reported that a patient who is now pregnant received her second dose of GARDASIL on 03-DEC-2008. Nurse reported that the patient had received her first dose of GARDASIL over a year ago. A pregnancy test on 22-SEP-2008 was negative and a pregnancy test on 08-OCT-2008 was positive. At the time of the report the patient had a confirmation test done (sonogram). No specific adverse event was reported related to the pregnancy. The patient sought unspecified medical attention. Follow up information has been received from a physician who reported that on 24-JUN-2009 the patient delivered by C-section due to bradycardia a male healthy baby at 41 weeks of gestation. The baby's weigh was 7 pounds 4.6 oz. The physician also reported that on an unknown date the patient experienced a group b streptococcus infection. The patient present status was unknown. Upon internal review C-section due to bradycardia was considered to be other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Initial and follow-up information has been received from an office manager who reported that she received an email from a friend concerning a girl who was vaccinated with a dose of GARDASIL and began having seizure episodes within weeks of getting the shot. The office manager reported that she knew nothing of the patient or situation except through the email which was circulated to her. Upon internal review, seizure episodes was considered an other important medical event. Attempts to verify the existence of an identifiable patient have been unsuccessful. This is one of several reports from the same source. Additional information is not expected.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Stomatitis, Urticaria
Clinical narrative: Woke up with hives & sores in mouth. Sought Medical Doctor 1/18/2010, 1/22/2010, 1/25, 2010 and Neurologist 1/25/2010, 2/1/2010, MRI's 1/28/2010, 1/29/2010, Dizzy Center 2/3/2010. Continuing Therapy and ENT and Neurologist.
Age: 41.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Arthralgia, Back pain, Insomnia, Musculoskeletal pain, Neck pain
Clinical narrative: Pain in shoulders, neck, back and elbows. On 01/12/2010 patient reported that the pain is geting worse.  Has been taking Motrin but it is not helping.  Unable to sleep because of the pain. On 02/05/2010 patient still has pain especially in shoulders and elbows. Has not gone to doctor-states she doesn't have time due to working and going to school.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site reaction, Skin lesion
Clinical narrative: satellite lesions appeared after pt applied moisturizer to vaccine site; area clean, applied dressing, started Bactrim f/u 3 days. further education provided
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Blood test, Chills, Electrocardiogram, Feeling cold, Skin discolouration
Clinical narrative: Very white in the face, chilling and shivering from being cold. Heart rate 140.  Went to MD, Ekg, blood work done, injected with Benadryl.  After he went home, he slept for 13 hours.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Fatigue, Haematology test abnormal, Headache, Pyrexia
Clinical narrative: headache, low grade fever, coughing, fatigue
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Diarrhoea
Clinical narrative: Upset stomach, diarrhea
Age: 4.0
Sex: F
Vaccine: DTAP, FLU(H1N1), FLUX, HEPA, MMR, VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Noticed spots on her back at bathtime on 2/04/2010. This morning they had spread.
Age: 1.03
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Pruritus, Rash generalised, Rash morbilliform
Clinical narrative: Child with generalized morbiliform rash now over entire body with mild itching.  Started on arms and trunk and spread to entire body.  No fever.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Unevaluable event
Clinical narrative: 0
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PAIN SWELLING AND REDNESS AT SITE OF INJECTION HOT TO THE TOUCH
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Cold sweat, Feeling hot, Heart rate increased, Pallor
Clinical narrative: chest pressure, paleness, clammy, hot, faster heart beat, fainting - layed down, clammyness subsided, heart beat and chest pressure continued less severe for 4 more hours. - chest pressure returned briefly 6:00 pm 02/04/2010
Age: 86.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Confusional state, Decreased appetite, Dehydration, Diarrhoea
Clinical narrative: Extreme diarrhea, decreased appetite, fatigue, abdominal cramping, dehydration, and confusion. ``12/2010 MR and DC summary for 11/12-11/17/2009, Dx Pseudoembranous Colitis  patient with severe diarrhea and dehydration,  B&B incontinence,  PE noted distended abdomen, hyperactive BS, UTI,  tx: IVF, Cipro/Flagyl, patient DC'd to OP Rehab due to deconditioned state
Age: 86.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue
Clinical narrative: Extreme diarrhea, decreased appetite, fatigue, abdominal cramping, dehydration, and confusion. ``12/2010 MR and DC summary for 11/12-11/17/2009, Dx Pseudoembranous Colitis  patient with severe diarrhea and dehydration,  B&B incontinence,  PE noted distended abdomen, hyperactive BS, UTI,  tx: IVF, Cipro/Flagyl, patient DC'd to OP Rehab due to deconditioned state
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site erythema, Muscle swelling
Clinical narrative: Red spot at injection sight, swelling of arm muscle, arm turned red and hot over night, arm very sore to move. Used hot wet compress on sight, took aspirin. Lasted about 4 days.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Autoimmune hepatitis
Clinical narrative: DIAGNOSED WITH AUTO IMMUNE HEPATITIS
Age: 60.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Feeling abnormal, Pain, Rash generalised
Clinical narrative: Experienced pain, "high'like" feeling, rash over body
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site pain, Injection site rash
Clinical narrative: Patient developed a quarter size rash around the injection site. The rash is pink in color and painful.
Age: 68.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Formication, Pruritus, Rash
Clinical narrative: Woke up due to itching and crawling sensation on skin. Developed rash around eyes and on face.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye disorder, Facial palsy, Headache, Hypoaesthesia facial
Clinical narrative: pt c/o severe pain in her (r) head, numb (r) face two days.   O: (r) eye doesn't open as well (L) eye, flattening of the (r)    nasal facial grove. these signs/symptoms noted in accupuncture clinic.  Pt. seen in Emergency Department the following day with loss of nasal facial grove, facial pain & difficulty in opening eye noted. Dx of Bells Palsy made & patient started on course of acyclovir & prednisone.
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Eye swelling, Rash erythematous
Clinical narrative: DEVELOPED RED, RAISED RASH BETWEEN EYEBROWS, THAT SPREAD TO FOREHEAD 10-12NOON.  DENIED ANY ITCHING.   EYE SWELLED THAT EVENING.  TOOK BENADRYL 50 MGS X 2 DAYS-- NOT EFFECTIVE.  WENT TO ER SUNDAY AM.  GIVEN PREDNISONE 10 MG X 5 DAYS, AND HYDROXYZINE HCL 25 MG 1-2 EVERY 4-6 HRS.  STATED THAT 24 HRS AFTER PREDNISONE, FELT MUCH BETTER.
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood heavy metal normal, Computerised tomogram normal, Cytomegalovirus antibody positive, Dysgeusia, Epstein-Barr virus antibody negative
Clinical narrative: Patient first notice when trying to bowl and had trouble holding the ball. Pt had progressive bilateral weakness in limbs, first in upper extremities then in lower limbs also, weakness greater in upper extremities.  Pt reported developing metallic taste in mouth - water/foods tasted unpleasant - this started on 1/20.  Onset of numbness and tingling in hands and feet on 1/21.  CT and MRI scans were essentially normal.
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Grip strength decreased, Hypoaesthesia, Mononucleosis heterophile test negative, Muscular weakness, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Patient first notice when trying to bowl and had trouble holding the ball. Pt had progressive bilateral weakness in limbs, first in upper extremities then in lower limbs also, weakness greater in upper extremities.  Pt reported developing metallic taste in mouth - water/foods tasted unpleasant - this started on 1/20.  Onset of numbness and tingling in hands and feet on 1/21.  CT and MRI scans were essentially normal.
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nuclear magnetic resonance imaging normal, Paraesthesia, Ultrasound abdomen normal
Clinical narrative: Patient first notice when trying to bowl and had trouble holding the ball. Pt had progressive bilateral weakness in limbs, first in upper extremities then in lower limbs also, weakness greater in upper extremities.  Pt reported developing metallic taste in mouth - water/foods tasted unpleasant - this started on 1/20.  Onset of numbness and tingling in hands and feet on 1/21.  CT and MRI scans were essentially normal.
Age: 66.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Cough, Pneumonia
Clinical narrative: Cough and LUQ pain without fever reported to Dr. on 2-2-2010. Treated for probable pneumonia with Levaquin and Guiatuss. This Health Department requested on 2-4-2010 to complete VAERS by Dr. as possible reaction to H1N1 vaccine.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Pruritus, Red blood cell sedimentation rate increased, Urticaria
Clinical narrative: Severe pruritus with whelps one day prior to receiving vaccine followed by severe arthralgias of knees and hips.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Diarrhoea, Dysstasia, Gait disturbance, Influenza
Clinical narrative: Per patient on January 28, 2010 :aches and pains all over and progressively worsened to the flu, vomiting, diarrhea and fever (101.2 temp.) After about 6 weeks, the pain left most areas of her body, but remained in the left hip and the patient still had difficulty standing and walking over the course of this issue.  Patient recently went to a physiologist and was told that the muscle is inflamed.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Myositis, Pain, Pyrexia, Vomiting
Clinical narrative: Per patient on January 28, 2010 :aches and pains all over and progressively worsened to the flu, vomiting, diarrhea and fever (101.2 temp.) After about 6 weeks, the pain left most areas of her body, but remained in the left hip and the patient still had difficulty standing and walking over the course of this issue.  Patient recently went to a physiologist and was told that the muscle is inflamed.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Blood test normal, Groin pain, Musculoskeletal pain, Nuclear magnetic resonance imaging normal, Pain in extremity
Clinical narrative: Leg pain and arm pain, groin, butt, tingling in mouth, tingling in feet, hand tremors. All of this occurs 24hr a day.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Paraesthesia, Paraesthesia oral, Tremor
Clinical narrative: Leg pain and arm pain, groin, butt, tingling in mouth, tingling in feet, hand tremors. All of this occurs 24hr a day.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Eye irritation, Headache, Lacrimation increased, Myalgia
Clinical narrative: Started with cough/mild chest congestion, followed shortly after by scratchy/watery eyes.  By 2:00PM fever, scratchy throat, nausea.  By 4:00 PM extreme headache and muscle aches.  All lasting through 2/3/10 and starting to subside by 2/4/10 mid-afternoon.  2/5/10 all symptoms gone.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Pyrexia, Throat irritation, Upper respiratory tract congestion
Clinical narrative: Started with cough/mild chest congestion, followed shortly after by scratchy/watery eyes.  By 2:00PM fever, scratchy throat, nausea.  By 4:00 PM extreme headache and muscle aches.  All lasting through 2/3/10 and starting to subside by 2/4/10 mid-afternoon.  2/5/10 all symptoms gone.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1), MNQ
Symptoms: Musculoskeletal stiffness, Skin irritation
Clinical narrative: Stiff muscles, Local irritation to neck and shoulder.
Age: 12.0
Sex: M
Vaccine: RAB
Symptoms: Complement factor C3, Complement factor C4, Dizziness, Full blood count, Headache
Clinical narrative: Approximately 8 hrs after pt received RabAvert and RIg, pt developed headaches, nausea, muscles aches, chest pain (musculoskeletal), and dizziness.  Symptoms persisted over next 5 days but continued to improve.  On 5 Feb 2010, a second dose was given of RabAvert as HDCV not available and the above symptoms returned in approx 10 min.  Pt treated symptomatically for pain and nausea.
Age: 12.0
Sex: M
Vaccine: RAB
Symptoms: Immune complex assay, Musculoskeletal chest pain, Myalgia, Nausea, Pain
Clinical narrative: Approximately 8 hrs after pt received RabAvert and RIg, pt developed headaches, nausea, muscles aches, chest pain (musculoskeletal), and dizziness.  Symptoms persisted over next 5 days but continued to improve.  On 5 Feb 2010, a second dose was given of RabAvert as HDCV not available and the above symptoms returned in approx 10 min.  Pt treated symptomatically for pain and nausea.
Age: 12.0
Sex: M
Vaccine: RAB
Symptoms: Urine analysis
Clinical narrative: Approximately 8 hrs after pt received RabAvert and RIg, pt developed headaches, nausea, muscles aches, chest pain (musculoskeletal), and dizziness.  Symptoms persisted over next 5 days but continued to improve.  On 5 Feb 2010, a second dose was given of RabAvert as HDCV not available and the above symptoms returned in approx 10 min.  Pt treated symptomatically for pain and nausea.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspepsia, Nausea, Parosmia
Clinical narrative: Patient complains that for 3 days following vacination she was inundated with a constant oregano smell. This smell caused nausea, dyspepsia.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Headache, Injection site discolouration, Injection site erythema, Injection site swelling
Clinical narrative: Headache (intermittent, 01/16/10) Swelling and redness at injection site (1/17/10) Tingling in entire left arm coincident with swelling (intermittent) Recent onset (1/31/10) intermittent shortness of breath and pain in left shoulder and arm. Area of mildly hyperpigmented patch around injection site. (Note:  all above related historically)
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal pain, Pain in extremity, Paraesthesia
Clinical narrative: Headache (intermittent, 01/16/10) Swelling and redness at injection site (1/17/10) Tingling in entire left arm coincident with swelling (intermittent) Recent onset (1/31/10) intermittent shortness of breath and pain in left shoulder and arm. Area of mildly hyperpigmented patch around injection site. (Note:  all above related historically)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patients right leg is red and swollen from the thigh to the knee.
Age: 2.0
Sex: F
Vaccine: FLUX, HIBV
Symptoms: Arthralgia
Clinical narrative: Left knee pain
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling in left deltoid after kinrix and VZV immunizations.  resolving after 48hrs.  No pain or limitation of movement.
Age: 38.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Fatigue, Headache, Oropharyngeal pain, Pain, Wheezing
Clinical narrative: fatigue, body aches, sore throat, headache, wheezing  lasted around 36 hours
Age: 40.0
Sex: F
Vaccine: TTOX
Symptoms: Diet refusal, Pain, Pyrexia
Clinical narrative: Fever 102-104F, severe pain in the entire body, head, knees, spine, especially abdominal area. The condition like that lasted for 2 days and the patient didn't eat and stayed in bed. The patient decided not to call for any medical help due to the lack of trust that more damage will not be caused to her.
Age: 32.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Headache, Injection site pain, Malaise, Rhinorrhoea
Clinical narrative: Headache, malaise, runny nose, sore injection site
Age: 16.0
Sex: M
Vaccine: HPV4
Symptoms: Dyspnoea, Fatigue, Paraesthesia, Urticaria
Clinical narrative: Hives, fatigue, shortness of breath, brief episodes of tingling in feet
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Dose of vaccine was provided subcutaneous route instead of intramuscular route.  Extreme pain, redness, swelling and tenderness at site x 24 hours.
Age: 38.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Headache, Injection site pain, Muscle spasms, Nausea, Pyrexia
Clinical narrative: Headache, Fever, Nausea, leg Cramps/Aches, pain in the injection site
Age: 38.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Unevaluable event
Clinical narrative: none reported
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PPV, RV1
Symptoms: Crying, Fatigue
Clinical narrative: Shortly after receiving the shots she became exhausted. Then when she woke she was inconsolable; crying without stopping in agony with her back arched. She had a lot of difficultly calming down and cried intermittently in a high pitched cry for hours.  She fell asleep again around 7:30 PM after a dose of Tylenol given at 4:00 PM and a warm bath at 5:15 PM.
Age: 0.35
Sex: F
Vaccine: DTAPIPVHIB, HEP, PPV, RVX
Symptoms: Body temperature increased
Clinical narrative: Left dr office at about 12 noon within few hrs baby developed a temperature of 100.2 gave some Tylenol then by 11pm the temperature was 104.2 with no other symptoms with or following the temperature medicated with Tylenol again and gave bath called Drs office the following morning.
Age: 45.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Bone pain, Induration, Pain, Swelling, Tenderness
Clinical narrative: Golf ball size swelling hard to touch pain radiating to axilla and down arm deep bone pain with tenderness to ribs in area: Treatment rested arm/Motrin
Age: 37.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Back pain, Cough, Dysstasia, Fatigue, Night sweats
Clinical narrative: 12/2/09 Received H1N1 vaccine by mouth/no preservatives. Within 7 days of vaccine, lower back pain. 12/25/09 low grade fever 100-102 degrees and night sweat. Night sweat continued for additional 5 days.  Coughing ensued.  Then fatigue with pins & needles/tingling/numbness in both thighs first, then both feet.  Could not stand in the on feet first thing in the morning.  When eventually able to stand, had difficulty walking (only able to take small steps).  Pins & needles/tingling/numbness ascended to both arms/hands.  On 1/29/10 pins & needles/tingling/numbness reached face and tongue.  Checked into Hospital Emergency at approx. 10pm that night.  Series of tests were done- including spinal tap and CAT Scan. On 1/30/10 admitted hospital for inpatient treatment of 4 cycles of IVIG.  Discharged from hospital on 2/3/10.  Currently undergoing home physical therapy.  Prescribed for outpatient nurse visits.  Taking prescriptive pain killer (morphine).  Vomiting.
Age: 37.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Pyrexia, Vomiting
Clinical narrative: 12/2/09 Received H1N1 vaccine by mouth/no preservatives. Within 7 days of vaccine, lower back pain. 12/25/09 low grade fever 100-102 degrees and night sweat. Night sweat continued for additional 5 days.  Coughing ensued.  Then fatigue with pins & needles/tingling/numbness in both thighs first, then both feet.  Could not stand in the on feet first thing in the morning.  When eventually able to stand, had difficulty walking (only able to take small steps).  Pins & needles/tingling/numbness ascended to both arms/hands.  On 1/29/10 pins & needles/tingling/numbness reached face and tongue.  Checked into Hospital Emergency at approx. 10pm that night.  Series of tests were done- including spinal tap and CAT Scan. On 1/30/10 admitted hospital for inpatient treatment of 4 cycles of IVIG.  Discharged from hospital on 2/3/10.  Currently undergoing home physical therapy.  Prescribed for outpatient nurse visits.  Taking prescriptive pain killer (morphine).  Vomiting.
Age: 42.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chest pain, Chills, Fatigue, Pyrexia, Rash
Clinical narrative: Fatigue, fever/chills, diseminated rash, vomiting, and chest pain.
Age: 42.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Vomiting
Clinical narrative: Fatigue, fever/chills, diseminated rash, vomiting, and chest pain.
Age: 42.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Arthralgia, Blood albumin decreased, Blood cholesterol increased, Blood glucose increased, Blood potassium increased
Clinical narrative: Fatigue, fever/chills, diseminated rash, vomiting, and chest pain.
Age: 42.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Blood sodium decreased, C-reactive protein increased, Chest pain, Chills, Echocardiogram abnormal
Clinical narrative: Fatigue, fever/chills, diseminated rash, vomiting, and chest pain.
Age: 42.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Fatigue, Haematocrit decreased, Haemoglobin decreased, Lymphocyte count decreased, Myalgia
Clinical narrative: Fatigue, fever/chills, diseminated rash, vomiting, and chest pain.
Age: 42.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Neutrophil count increased, Platelet count increased, Protein total decreased, Pyrexia, Rash
Clinical narrative: Fatigue, fever/chills, diseminated rash, vomiting, and chest pain.
Age: 42.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Red blood cell count decreased, Red blood cell sedimentation rate increased, Vomiting, White blood cell count increased
Clinical narrative: Fatigue, fever/chills, diseminated rash, vomiting, and chest pain.
Age: 42.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Chills, Electrocardiogram abnormal, Pyrexia, Rash, Tachycardia
Clinical narrative: Fatigue, fever/chills, diseminated rash, vomiting, and chest pain.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus generalised, Rash macular, Urticaria
Clinical narrative: Generalized itching with red blotching and wheals >1mm to upper extremities, trunk and neck.
Age: 1.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Body temperature increased
Clinical narrative: Elevated temperature that continued to increase and reached 103.7 at 4AM.  Tylenol was given and the temperature returned to normal 02/04/2010 at 5 PM.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dizziness, Pyrexia, Upper respiratory tract congestion, Vomiting
Clinical narrative: 02/03/2010 - Wheezing with cough and dizziness. 02/04/2010 - Dizziness and vomiting with fever, wheezing, cough. 02/05/2010 - deep cough. 02/06/2010 - cough and congestion.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Wheezing
Clinical narrative: 02/03/2010 - Wheezing with cough and dizziness. 02/04/2010 - Dizziness and vomiting with fever, wheezing, cough. 02/05/2010 - deep cough. 02/06/2010 - cough and congestion.
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: C-reactive protein normal, Full blood count normal, Lymphadenopathy, Red blood cell sedimentation rate normal
Clinical narrative: Swollen inguinal nodes
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Vaginal haemorrhage
Clinical narrative: Began experiencing some minor bleeding. Upon meeting with nurse-midwife the next week (11/12/2009) an ultrasound was conducted and a "missed" miscarriage was estimated to have occurred a week earlier around the time of vaccination.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dysphagia, Hypersensitivity, Streptococcal identification test negative, Throat tightness
Clinical narrative: Patient had a difficult time swallowing his food.  He said that "his throat was closing up".  His allergic reaction to the shot lasted for 7 days. When he was seen by the doctor, they checked him for Strep Throat.  They could not find anything wrong with him.  They were aware that he just got his H1N1 shot and told us to wait it out a couple of days.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Cough, Dacryostenosis acquired, Decreased appetite, Dyspnoea, Nasal congestion
Clinical narrative: Hours after vaccination he beccame stuffy, by the next morning he was completely congested, wheezy, decreased appetite, gagging, projectile, spitting up, trouble breathing, respiration (68) coughing, blocked duct, stuffed nose, clearly sick. Took him to the dr today 2/6/10 because there has been no improvements and he has r.s.v and bronchiolitis which he was put on steroids and a nebulizer to treat. Seeing how he had just had a physical prior to hb shot and was determined to be "beautifully healthy" im convinced it was a reaction to the shot.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Respiratory syncytial virus bronchiolitis, Retching, Vomiting projectile, Wheezing
Clinical narrative: Hours after vaccination he beccame stuffy, by the next morning he was completely congested, wheezy, decreased appetite, gagging, projectile, spitting up, trouble breathing, respiration (68) coughing, blocked duct, stuffed nose, clearly sick. Took him to the dr today 2/6/10 because there has been no improvements and he has r.s.v and bronchiolitis which he was put on steroids and a nebulizer to treat. Seeing how he had just had a physical prior to hb shot and was determined to be "beautifully healthy" im convinced it was a reaction to the shot.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Palpitations, Paraesthesia, Throat tightness
Clinical narrative: racing heartbeat, dizzy/lightheaded feeling, slight tingling in arms and hands, slight tightening of throat.
Age: 26.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Oropharyngeal pain, Pyrexia
Clinical narrative: Low grade fevers (99.9 - 100.2), cough, & sore throat.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Alopecia, Axillary mass, Dysmenorrhoea, Fatigue
Clinical narrative: had flu, nov, jan, hair falling out, run down and tired, armpit lump, feverish, rapid weight loss, bad cramping with periods, colds and sore throat alot, not herself anymore, has alot of cancer systems, abdominal pain,,,her dad took her in against my will...
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling hot, Malaise, Nasopharyngitis, Oropharyngeal pain, Weight decreased
Clinical narrative: had flu, nov, jan, hair falling out, run down and tired, armpit lump, feverish, rapid weight loss, bad cramping with periods, colds and sore throat alot, not herself anymore, has alot of cancer systems, abdominal pain,,,her dad took her in against my will...
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Decreased appetite, Headache, Lethargy, Nausea, Paraesthesia
Clinical narrative: She started with a low fever and by 2:30 pm of 2/5/2010 the fever was 104.9. Her feet were broke out and tingling,Headache,nausea,face had a rash,lathargic,wanted to sleep all day, no appitite. Took her to the doctor at 4:00 pm and they admitted her to the hospital for observation. They had a very hard time bringing down the fever. She was not fever free until 2/7/2010. The doctor said it was a bad reaction to the shots. Needless to say I will never be getting anymore of the immunization shots for her or my other kids ever.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pyrexia, Rash, Somnolence
Clinical narrative: She started with a low fever and by 2:30 pm of 2/5/2010 the fever was 104.9. Her feet were broke out and tingling,Headache,nausea,face had a rash,lathargic,wanted to sleep all day, no appitite. Took her to the doctor at 4:00 pm and they admitted her to the hospital for observation. They had a very hard time bringing down the fever. She was not fever free until 2/7/2010. The doctor said it was a bad reaction to the shots. Needless to say I will never be getting anymore of the immunization shots for her or my other kids ever.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: a hot red swelling at first the size of my cupped palm at vac. site- spread down my arm by 10:00 that night to elbow with the border going straight across my forearm an inch above the fold- very swollen and tight like a lobsters big claw-hurt alot and had very little mobility- by today (2 days later) swelling subsiding some-still red and swollen but can move again
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Disorientation, Dizziness, Fatigue, Insomnia, Night sweats
Clinical narrative: For 9 days following the vaccination : strong body aches, night sweats, insomnia, dizziness, disorientation. For about 2 months following the vaccination : extreme fatigue, paleness.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pallor
Clinical narrative: For 9 days following the vaccination : strong body aches, night sweats, insomnia, dizziness, disorientation. For about 2 months following the vaccination : extreme fatigue, paleness.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and pain at injection site
Age: 14.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Hypoaesthesia, Injection site pain, Muscular weakness, Pallor, Paraesthesia
Clinical narrative: APPROX 5 MINUTES AFTER INJFECTION; PATIENT REPORTS TINGLING, NUMBNESS TO HAND AND PAIN IN RIGHT ARM WHEN ATTEMPTS TO STRAIGHTEN ELBOW.  V/S 110/64, SS:20, HAND GRASP WEAKER ON RIGHT THAN LEFT.  NAILBED PINK, BLANCHING.  WARM.  IMPROVING WITH ICE APPLIED TO INJECTION SITE. NO REDNESS, NO SWELLING, HAND GRASP IMPROVING WITHIN 30 MINUTES OF APPLYING COLD PACKS, ABLE TO MOVE ARM AND STRAIGHTEN ELBOW.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Skin warm
Clinical narrative: APPROX 5 MINUTES AFTER INJFECTION; PATIENT REPORTS TINGLING, NUMBNESS TO HAND AND PAIN IN RIGHT ARM WHEN ATTEMPTS TO STRAIGHTEN ELBOW.  V/S 110/64, SS:20, HAND GRASP WEAKER ON RIGHT THAN LEFT.  NAILBED PINK, BLANCHING.  WARM.  IMPROVING WITH ICE APPLIED TO INJECTION SITE. NO REDNESS, NO SWELLING, HAND GRASP IMPROVING WITHIN 30 MINUTES OF APPLYING COLD PACKS, ABLE TO MOVE ARM AND STRAIGHTEN ELBOW.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Grip strength decreased, Hypoaesthesia, Pain in extremity, Paraesthesia, Skin warm
Clinical narrative: APPROX 5 MINUTES AFTER INJFECTION; PATIENT REPORTS TINGLING, NUMBNESS TO HAND AND PAIN IN RIGHT ARM WHEN ATTEMPTS TO STRAIGHTEN ELBOW.  V/S 110/64, SS:20, HAND GRASP WEAKER ON RIGHT THAN LEFT.  NAILBED PINK, BLANCHING.  WARM.  IMPROVING WITH ICE APPLIED TO INJECTION SITE. NO REDNESS, NO SWELLING, HAND GRASP IMPROVING WITHIN 30 MINUTES OF APPLYING COLD PACKS, ABLE TO MOVE ARM AND STRAIGHTEN ELBOW.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Initial report received on 07 December 2009 from a consumer, who is the patient's parent. A 33 month old female patient, with allergies to OMNICET, BACTRIM, and formaldehyde, received a first left thigh intramuscular injection of H1N1 2009 - No Preservative (lot number UT014FA) on 23 November 2009. Two hours post-vaccination, the patient developed itching and broke out in hives. She was given ZYRTEC, which resolved the symptoms. However, for the following two weeks, the hives continued to return after the ZYRTEC wore off. The patient's pediatrician felt that this was a possible allergy to something else. The patient was seen by an ENT the week previous to the report. The patient had not been evaluated by an allergist, but she was to have allergy testing on 08 December 2009. At the time of the report, the patient had not recovered. Follow-up information received on 14 December 2009 from a consumer, who is the patient's parent. At the time of the report, the patient still had hives. Follow-up information received on 25 January 2010 from a physician. Upon receipt of this information, it was determined that the case meets seriousness criteria, and it has been upgraded to serious. The pediatrician confirmed the patient had allergies to OMNICET and BACTRIM, but was not aware of the allergy to formaldehyde. The physician reported a diagnosis of chronic idiopathic urticaria thought to be viral induced, which was treated with ZYRTEC and then ALLEGRA BID. The patient had negative allergy testing at pediatrician's office on an unspecified date and negative testing and auto-immune testing at allergist's office on 14 January 2010. The allergist letter to the pediatrician noted that "a week prior to the onset of hives" the patient had "experienced symptoms strongly suggestive of viral upper respiratory tract infection." The allergist's impression was that the patient probably had post-viral urticaria and it seemed "unlikely that the injected, inactive H1N1 vaccination could have produced a prolonged allergic response." The pediatrician reported that as of 18 January 2010, the patient was still experiencing hives, if a dose of ALLEGRA was missed. An allergist visit is scheduled for the end of March 2010.