chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Confusional state, Crying, Eosinophil percentage, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient transported to ED for evaluation by EMS. Patient was at the PCP's office where she received dose # 2 of H1N1 Influenza. Approximately 15 minutes after the immunization was administered (IM in the left thigh), the patient was seated in the back seat of the car. Mother noted that the patient's face was stiffened and "contorted", her eyes were opened - but fixed straight ahead. She was not responding to verbal or physical stimulation. She was breathing well on her own. Either removed her from the car, noting her body was not rigid or stiff, but she was not responsive. EMS arrived, IV access was established, and the patient was given 25 mg of IV BENADRYL for concern for dystonic reaction. EMS noted that the patient's jaw was firmly clenched and they were unable to open the patient's mouth. There was no tonic clonic activity. Within a minute of BENADRYL administration, the facial contortion resolved. The patient was then crying, confused, and did not seem to react to her parents appropriately. There was no LOC or deterioration in cardio-respiratory status per EMS. No rash. Patient was otherwise well. No fever, runny nose, no history of allergic reactions or anaphylaxis. Patient has had H1N1 Influenza # 1 6 weeks ago without issues and there has been no previous reaction to vaccinations. Re-evaluation after nap (2 hours): Marked improvement in mental status with return with baseline mental. Patient subjectively feels much better. No further deterioration in neurologic or cardio-respiratory status in ED. Consultation with Neurology. Unclear if this was dystonic reaction vs. seizure. Likely a reaction to vaccination. Patient to follow-up as an outpatient for consultation and EEG. Would defer future Influenza vaccination. Consultation with PCP. PCP's office will file adverse reaction with VAERS (as they have vaccine maker and lot number information).
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Jaw disorder, Laboratory test normal, Lymphocyte percentage, Mean cell haemoglobin concentration, Mean cell haemoglobin normal
Clinical narrative: Patient transported to ED for evaluation by EMS. Patient was at the PCP's office where she received dose # 2 of H1N1 Influenza. Approximately 15 minutes after the immunization was administered (IM in the left thigh), the patient was seated in the back seat of the car. Mother noted that the patient's face was stiffened and "contorted", her eyes were opened - but fixed straight ahead. She was not responding to verbal or physical stimulation. She was breathing well on her own. Either removed her from the car, noting her body was not rigid or stiff, but she was not responsive. EMS arrived, IV access was established, and the patient was given 25 mg of IV BENADRYL for concern for dystonic reaction. EMS noted that the patient's jaw was firmly clenched and they were unable to open the patient's mouth. There was no tonic clonic activity. Within a minute of BENADRYL administration, the facial contortion resolved. The patient was then crying, confused, and did not seem to react to her parents appropriately. There was no LOC or deterioration in cardio-respiratory status per EMS. No rash. Patient was otherwise well. No fever, runny nose, no history of allergic reactions or anaphylaxis. Patient has had H1N1 Influenza # 1 6 weeks ago without issues and there has been no previous reaction to vaccinations. Re-evaluation after nap (2 hours): Marked improvement in mental status with return with baseline mental. Patient subjectively feels much better. No further deterioration in neurologic or cardio-respiratory status in ED. Consultation with Neurology. Unclear if this was dystonic reaction vs. seizure. Likely a reaction to vaccination. Patient to follow-up as an outpatient for consultation and EEG. Would defer future Influenza vaccination. Consultation with PCP. PCP's office will file adverse reaction with VAERS (as they have vaccine maker and lot number information).
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Mean cell volume normal, Monocyte percentage decreased, Musculoskeletal stiffness, Neutrophil count normal, No reaction on previous exposure to drug
Clinical narrative: Patient transported to ED for evaluation by EMS. Patient was at the PCP's office where she received dose # 2 of H1N1 Influenza. Approximately 15 minutes after the immunization was administered (IM in the left thigh), the patient was seated in the back seat of the car. Mother noted that the patient's face was stiffened and "contorted", her eyes were opened - but fixed straight ahead. She was not responding to verbal or physical stimulation. She was breathing well on her own. Either removed her from the car, noting her body was not rigid or stiff, but she was not responsive. EMS arrived, IV access was established, and the patient was given 25 mg of IV BENADRYL for concern for dystonic reaction. EMS noted that the patient's jaw was firmly clenched and they were unable to open the patient's mouth. There was no tonic clonic activity. Within a minute of BENADRYL administration, the facial contortion resolved. The patient was then crying, confused, and did not seem to react to her parents appropriately. There was no LOC or deterioration in cardio-respiratory status per EMS. No rash. Patient was otherwise well. No fever, runny nose, no history of allergic reactions or anaphylaxis. Patient has had H1N1 Influenza # 1 6 weeks ago without issues and there has been no previous reaction to vaccinations. Re-evaluation after nap (2 hours): Marked improvement in mental status with return with baseline mental. Patient subjectively feels much better. No further deterioration in neurologic or cardio-respiratory status in ED. Consultation with Neurology. Unclear if this was dystonic reaction vs. seizure. Likely a reaction to vaccination. Patient to follow-up as an outpatient for consultation and EEG. Would defer future Influenza vaccination. Consultation with PCP. PCP's office will file adverse reaction with VAERS (as they have vaccine maker and lot number information).
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Platelet count normal, Protein total normal, Prothrombin time normal, Pupil fixed, Red blood cell count normal
Clinical narrative: Patient transported to ED for evaluation by EMS. Patient was at the PCP's office where she received dose # 2 of H1N1 Influenza. Approximately 15 minutes after the immunization was administered (IM in the left thigh), the patient was seated in the back seat of the car. Mother noted that the patient's face was stiffened and "contorted", her eyes were opened - but fixed straight ahead. She was not responding to verbal or physical stimulation. She was breathing well on her own. Either removed her from the car, noting her body was not rigid or stiff, but she was not responsive. EMS arrived, IV access was established, and the patient was given 25 mg of IV BENADRYL for concern for dystonic reaction. EMS noted that the patient's jaw was firmly clenched and they were unable to open the patient's mouth. There was no tonic clonic activity. Within a minute of BENADRYL administration, the facial contortion resolved. The patient was then crying, confused, and did not seem to react to her parents appropriately. There was no LOC or deterioration in cardio-respiratory status per EMS. No rash. Patient was otherwise well. No fever, runny nose, no history of allergic reactions or anaphylaxis. Patient has had H1N1 Influenza # 1 6 weeks ago without issues and there has been no previous reaction to vaccinations. Re-evaluation after nap (2 hours): Marked improvement in mental status with return with baseline mental. Patient subjectively feels much better. No further deterioration in neurologic or cardio-respiratory status in ED. Consultation with Neurology. Unclear if this was dystonic reaction vs. seizure. Likely a reaction to vaccination. Patient to follow-up as an outpatient for consultation and EEG. Would defer future Influenza vaccination. Consultation with PCP. PCP's office will file adverse reaction with VAERS (as they have vaccine maker and lot number information).
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Red cell distribution width normal, Unresponsive to stimuli, Urine analysis normal, White blood cell count increased
Clinical narrative: Patient transported to ED for evaluation by EMS. Patient was at the PCP's office where she received dose # 2 of H1N1 Influenza. Approximately 15 minutes after the immunization was administered (IM in the left thigh), the patient was seated in the back seat of the car. Mother noted that the patient's face was stiffened and "contorted", her eyes were opened - but fixed straight ahead. She was not responding to verbal or physical stimulation. She was breathing well on her own. Either removed her from the car, noting her body was not rigid or stiff, but she was not responsive. EMS arrived, IV access was established, and the patient was given 25 mg of IV BENADRYL for concern for dystonic reaction. EMS noted that the patient's jaw was firmly clenched and they were unable to open the patient's mouth. There was no tonic clonic activity. Within a minute of BENADRYL administration, the facial contortion resolved. The patient was then crying, confused, and did not seem to react to her parents appropriately. There was no LOC or deterioration in cardio-respiratory status per EMS. No rash. Patient was otherwise well. No fever, runny nose, no history of allergic reactions or anaphylaxis. Patient has had H1N1 Influenza # 1 6 weeks ago without issues and there has been no previous reaction to vaccinations. Re-evaluation after nap (2 hours): Marked improvement in mental status with return with baseline mental. Patient subjectively feels much better. No further deterioration in neurologic or cardio-respiratory status in ED. Consultation with Neurology. Unclear if this was dystonic reaction vs. seizure. Likely a reaction to vaccination. Patient to follow-up as an outpatient for consultation and EEG. Would defer future Influenza vaccination. Consultation with PCP. PCP's office will file adverse reaction with VAERS (as they have vaccine maker and lot number information).
Age: 20.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Throat irritation
Clinical narrative: Patient stated, "my throat feels thick," at 1400 hr. R/R 24, HR 82 - 911 called - patient remained alert and oriented - no resp. distress EMS arrived 1410 patient refused transport to hospital.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cold sweat, Diarrhoea, Ear pain, Oropharyngeal pain
Clinical narrative: Administered at 8:00 pm 1/7/2010. 1/7 10:00 pm diarrhea 1/8/2010 8:00 am severe body aches, chills, clammy -  did not take temperature 1/8/2010 8:00 pm ear ache, sore throat for only 2 hours. Legs hurt.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Administered at 8:00 pm 1/7/2010. 1/7 10:00 pm diarrhea 1/8/2010 8:00 am severe body aches, chills, clammy -  did not take temperature 1/8/2010 8:00 pm ear ache, sore throat for only 2 hours. Legs hurt.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Disorientation, Dizziness, Heart rate increased, Syncope
Clinical narrative: Pt experience dizziness and fainting upon minutes after receiving H1N1 vaccine. 911 was called. BP of pt. checked adn found to be 116/78, with fast pulse. Pt. talking and smiling but a little disoriented. Taken to ER for observation.
Age: 0.56
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Tremor
Clinical narrative: Episodes of shaking/tremoring (like chills) lasting few seconds, while awake since receiving 1st dose of H1N1 vax. No specific pattern and frequency decreased with time.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Agitation, Chest pain, Heart rate increased, Hypersensitivity, Tremor
Clinical narrative: TREMBLING, AGITATED, FAST HEART BEAT, CHEST PAIN.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Feeling cold, Hyperhidrosis, Hypoglycaemia, Nausea
Clinical narrative: HEAVY SWEATING, NAUSEA, SKIN COOL TO THE TOUCH AND NUMBNESS OF THE KNEES. SHE'S 6 MONTH PREGNANT.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Chills, Dizziness, Drug exposure during pregnancy, Hyperhidrosis, Hypoaesthesia
Clinical narrative: HEAVY SWEATING, NAUSEA, SKIN COOL TO THE TOUCH AND NUMBNESS OF THE KNEES. SHE'S 6 MONTH PREGNANT.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Hypoglycaemia, Nausea
Clinical narrative: HEAVY SWEATING, NAUSEA, SKIN COOL TO THE TOUCH AND NUMBNESS OF THE KNEES. SHE'S 6 MONTH PREGNANT.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Fever, chills, nausea, diarrhia, tired, headache.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever, chills, nausea, diarrhia, tired, headache.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Headache, Hypoaesthesia
Clinical narrative: AFTER 15 MINUTES OF OBSERVATION REFERS GENERALIZED WEAKNESS, HEADACHE AND NUMBNESS OF THE INFERIOR EXTREMETIES.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hyperhidrosis, Hypoaesthesia
Clinical narrative: NUMBNESS OF INFERIOR EXTREMITIES AND EXCESSIVE SWEATING.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Herpes zoster
Clinical narrative: Shingles (varicella-like) rash along left mid back to left abominal area
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Fall
Clinical narrative: PATIENT BECAME DIZZY AND FELL TO THE FLOOR.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injected limb mobility decreased, Injection site pain, Muscular weakness, Pain
Clinical narrative: Patient received H1N1 Vaccination at mass clinic run by the Health Department. Onset following day post vaccination, of pain in upper left arm. Painful to lift arm, extremity is weak and unable to lay on arm when sleeping. Symptoms still persisting 1/13/2010 when contacted VAERS reporter. States can only raise arm approx 45 degrees without pain. Has taken periodic pain relief medication but symptoms still persist. Advised by VAERS reporter to contact family physician for evaluation on 1/13/2010.
Age: 0.54
Sex: F
Vaccine: HEP, HIBV, IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: MEDICATION ERROR TDAP GIVEN TO 6 MONTH OLD.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test normal, Computerised tomogram head, Fall, Head injury, Pallor
Clinical narrative: Became faint, ashen/pale color to face, approximately 5 minutes after receiving vaccine, fell to floor hitting back of head on floor.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Became faint, ashen/pale color to face, approximately 5 minutes after receiving vaccine, fell to floor hitting back of head on floor.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Red-hot, itchy induration on right forearm
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure normal, Body temperature normal, Heart rate normal, Syncope
Clinical narrative: Fainted twice in a 1/2 hr. Was evaluated at the office with in 1 hr. after episodes. Normal exam.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Cough, Lethargy, Pain, Pyrexia
Clinical narrative: Cough, low-grade fever, lethargy, body aches, stomach upset and hives.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Cough, low-grade fever, lethargy, body aches, stomach upset and hives.
Age: 60.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Dizziness, nausea, chills, body ache, headache
Age: 68.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Nasal congestion, Tachycardia
Clinical narrative: Tachycardia, stuffy nose, feeling very tired
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Asthenia, Hyperventilation, Nausea
Clinical narrative: Anxious, nauseated, Hyperventilation, weak
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Immediate post-injection reaction
Clinical narrative: Almost immediately felt faint with nausea.  Next day experienced headache, fatigue, nausea, and weakness.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea
Clinical narrative: Almost immediately felt faint with nausea.  Next day experienced headache, fatigue, nausea, and weakness.
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dysgeusia, Dyspnoea, Swollen tongue, Throat tightness
Clinical narrative: After H1N1 vaccine given in left deltoid patient stood up and said he tasted something funny. He said I feel like I can't breathe and said Im not kidding I feel like its' getting tight. I grabbed the epipen and prepared to give it. Patient put out his hand to block me and said wait, its getting better. It lasted about 10-15 seconds. 911 came and took pt to the hospital. Pt was stable and in no distress. Tongues swelling had subsided. Called patient later and he had been released from ER and they did not dx him as having reaction to vaccine.
Age: 53.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Facial palsy, Hypoaesthesia facial
Clinical narrative: Facial numbness which by 12/31/2009 turned into facial paralysis (Bell's Palsy).  On a two week tapered dose of Prednisone and by 01/13/2010 the symptoms are improving.
Age: 74.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: pain in upper arm where innoculation administered.  Inability to have range of motion in arm.  6th day and symptons still exist.  Prednisone (10 mg) prescribed by primary care physician
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Pruritus
Clinical narrative: 40 minutes after receiving required H1N1, employee c/o itching and little shortness of breath.
Age: 5.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and Vomitting several times after. Not able to keep anything down.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: CSF protein normal, Electromyogram abnormal, Guillain-Barre syndrome
Clinical narrative: Guillain-Barre Syndrome.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: Reported to military sick call two hours after vaccination with headache and dizziness. Examined by a health care provider. Advised to increase fluid intake and not to participate in physical activity until recovered.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Pt developed edema, erythema, and itching on left upper arm, elbow area, and proximal area of left forearm.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea, Pain
Clinical narrative: PT C/O HEADACHE AND NAUSEA 10 MINUTES AFTER BEING VACCINATED WITH INACTIVATED H1N1. HEADACHE GOT PROGRESSIVELY WORSE TO A 7.5/10. PT REPORTED TO THE MEDICAL TREATMENT FACILITY AT 10:52 AM FOR TREATMENT WAS EVALUATED BY THE PHYSICIAN ON DUTY AND GIVEN ACETAMINOPHEN PO 325MG TABLETS TO TAKE 1-2 BY MOUTH EVERY 4-6 HOURS PRN FOR PAIN. PT WAS GIVEN 48 HOURS SICK TIME (SIQ).
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Post vaccination autoinoculation
Clinical narrative: Small Pox lesions on left side of face below the eye and esion on right temple.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Skin lesion
Clinical narrative: Small Pox lesions on left side of face below the eye and esion on right temple.
Age: 29.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Herpes zoster, Rash
Clinical narrative: Rash, appearance of shingles right side rib area. Did not present until 1 week after symptoms at which time treatment given was Valtrex 1gm po q8 hours 21 tabs given.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Intra-uterine death
Clinical narrative: Fetal demise on 01/04/2040 at 16 weeks gestation.  Mother is concerned that the H1N1 vaccination is responsible for the fetal demise.
Age: 54.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient > 50 given H1N1 Flu Mist
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood test, Pyrexia, Skin discolouration, Streptococcal identification test positive, White blood cell count normal
Clinical narrative: Child developed mild fever 101 degrees two days after vaccination. She was treated at home with childrens Tylenol. Four to five days later her fever increased to 104-105 degrees with mild discoloration of extremities, mottled, purple. Blood drawn WBC's normal. Child sent home. Fever persisted. Saw private physician. Another blood draw revealed streptococcus.
Age: 0.76
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Patient given two doses of H1N1 vaccine on the same day.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash, Vertigo positional
Clinical narrative: 15 minutes after receiving the H1N1 injection, patient became vertiginous.  Vertigo is positional. Also developed facial rash on 01/11/2010.  Patient came to see PCP on 01/11/2010.
Age: 59.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient >50 given H1N1 Flu Mist
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Nausea, Pyrexia
Clinical narrative: Redness and swelling to right deltoid area and complaint of pain to right upper arm. Keflex 500 mg every 12 hours for 10 days prescribed. Send to ER for worsening symptoms such as worsening pain, fever, nausea, vomited, increase in swelling or redness.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: Redness and swelling to right deltoid area and complaint of pain to right upper arm. Keflex 500 mg every 12 hours for 10 days prescribed. Send to ER for worsening symptoms such as worsening pain, fever, nausea, vomited, increase in swelling or redness.
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC, RV5
Symptoms: Convulsion
Clinical narrative: Pt received 6 mo. vaccines 09-25-2009 and 24 hours after vaccinations was admitted to hospital with seizures per Dr.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Rash
Clinical narrative: Four inch line of blisters and raised rash on right side of back at waist and lower rib cage.
Age: 1.17
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Crying, Mobility decreased
Clinical narrative: Mother of child called back to clinic At 11am and stated child was crying non-stop and not moving legs. Came in to Dr. and was checked. No rashes or reaction noted at sites. Possible joint tenderness. Mom called back at 3pm and said child was now crawling and no longer crying.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Palpitations
Clinical narrative: A couple of hours after my HINI vaccine I began to be dizzy and I could feel my heart pounding fast when I went to bed that night.  The next day I was fine.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Allergy to vaccine, Pruritus, Urticaria
Clinical narrative: HAD ALLERGIC TYPE REACTION TO VACCINE.  HAS ITCHING AND HIVES.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus
Clinical narrative: Itching and redness  Pt was given diphenhydramine 50mg and watched for 45 minutes.  Itching and redness was reduced and pt was counseled to watch carefully and seek medical assistance.
Age: 35.0
Sex: F
Vaccine: TTOX
Symptoms: Headache, Injection site pain
Clinical narrative: headache and sore around injection site
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea
Clinical narrative: NAUSEA, DIZZINESS.
Age: 18.0
Sex: F
Vaccine: HPVX
Symptoms: Convulsion, Dizziness, Loss of consciousness, Vomiting
Clinical narrative: Light headed, vomit, passed out, convulsed all within 60 seconds. She woke up feeling fine, ate a popcicle, water and walked out fine.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Flushing, Immediate post-injection reaction
Clinical narrative: PATIENT BEGAN HAVING FLUSHING IMMEDIATELY AFTER RECEIVING ADDITIONALLY SHE BEGAN TO HAVE A PERSISTENT COUGH APPROX. 5 MIN. POST INJECTION.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1), FLUN(H1N1)
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: Administered H1N1 injection and H1N1 flumist simultaneously.  Mistakenly thought H1N1 injection was seasonal injection
Age: 62.0
Sex: F
Vaccine: FLUN(H1N1), PPV, TDAP, VARZOS
Symptoms: Asthenia, Cellulitis, Erythema, Fatigue, Full blood count
Clinical narrative: Complaints of fatigue, no energy and "feeling ill" since injection on telephone call and appointment was scheduled.  At  1/8/2009 visit to provider noted red streaks, skin erythema and tenderness 3 x 4 inches.  Patient complains of headache. Dr. diagnosed a cellulitis and Rx Keflex which was switched to Augmentin 24 hours later due to increase in induration.
Age: 62.0
Sex: F
Vaccine: FLUN(H1N1), PPV, TDAP, VARZOS
Symptoms: Haematocrit decreased, Haemoglobin decreased, Headache, Induration, Injection site streaking
Clinical narrative: Complaints of fatigue, no energy and "feeling ill" since injection on telephone call and appointment was scheduled.  At  1/8/2009 visit to provider noted red streaks, skin erythema and tenderness 3 x 4 inches.  Patient complains of headache. Dr. diagnosed a cellulitis and Rx Keflex which was switched to Augmentin 24 hours later due to increase in induration.
Age: 62.0
Sex: F
Vaccine: FLUN(H1N1), PPV, TDAP, VARZOS
Symptoms: Malaise, Mean cell haemoglobin concentration normal, Mean cell volume increased, Mean cell volume normal, Platelet count normal
Clinical narrative: Complaints of fatigue, no energy and "feeling ill" since injection on telephone call and appointment was scheduled.  At  1/8/2009 visit to provider noted red streaks, skin erythema and tenderness 3 x 4 inches.  Patient complains of headache. Dr. diagnosed a cellulitis and Rx Keflex which was switched to Augmentin 24 hours later due to increase in induration.
Age: 62.0
Sex: F
Vaccine: FLUN(H1N1), PPV, TDAP, VARZOS
Symptoms: Red blood cell count decreased, Red cell distribution width normal, Tenderness, White blood cell count increased
Clinical narrative: Complaints of fatigue, no energy and "feeling ill" since injection on telephone call and appointment was scheduled.  At  1/8/2009 visit to provider noted red streaks, skin erythema and tenderness 3 x 4 inches.  Patient complains of headache. Dr. diagnosed a cellulitis and Rx Keflex which was switched to Augmentin 24 hours later due to increase in induration.
Age: 64.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthritis, Back pain, Balance disorder, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Admitted to hospital with extremity numbness, tingling, back pain and unsteadiness-states 2 weeks ago first noted numbness/tingling in finger tips-Received H1N1 12/21/09; leg weakness. Feet flop when he walks; CSF unsuccessful due to arthritis; GBS.
Age: 64.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Admitted to hospital with extremity numbness, tingling, back pain and unsteadiness-states 2 weeks ago first noted numbness/tingling in finger tips-Received H1N1 12/21/09; leg weakness. Feet flop when he walks; CSF unsuccessful due to arthritis; GBS.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Arthralgia, Full blood count normal, Headache, Laboratory test normal, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Bodyaches, headache developed 24 hours after vaccination.  Left hip pain and difficulty bearing weight began the following day, 19/30/09.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Pain, Red blood cell sedimentation rate normal, Weight bearing difficulty
Clinical narrative: Bodyaches, headache developed 24 hours after vaccination.  Left hip pain and difficulty bearing weight began the following day, 19/30/09.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1), VARZOS
Symptoms: Inflammation, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt received the Zostavax vaccine on Saturday 1/9/10 and contacted the pharmacy the next day about her adverse event. She reported severe swelling, redness, pain and warnmth at the injection site which had worsened. The affected area was originally a 2x2 in area, but it expanded and appeared to be moving distally towards her elbow over the next 24 hours.  Pt took Benadryll and used an ice pack on Monday evening which did seem to decrease the redness, inflammation and pain. As of Thursday (1/13), the swelling and pain had dissipated significntly and the area was still itchy, but it was no longer raised or warm and pt's husband reported there was just a "pinkish tinge" to the skin.  Pt also received H1N1 vaccine at the same time in the opposite arm. Also, the Zostavax vaccine was from a brand new package with a different lot # from previous Zostavax vaccines.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest discomfort, Dysphagia, Dysphonia, Laryngitis, Throat tightness
Clinical narrative: Patient began experiencing tightness in her chest, throat felt tight, slight change in voice/laryngitis, some difficulty swallowing approximately 30 minutes after flu mist had been administered.  Pt denied shortness of breath, swelling of her tongue or throat, increased anxiety or change in rash or itching. Patient came to Health Center approximately 2 hours after receiving vaccine and was seen by Triage nurse.  Patient stated that her symptoms were resolving. Vital signs were immediately assessed and found to be in normal ranges except for rapid pulse (106 bpm). Dr was consulted. Patient remained with the triage nurse for 45 minutes and was monitored while symptoms continued to resolve. No medications were administered. Patient was given information regarding systemic reactions and parameters for follow up.  Patient was discharged to home.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abasia, Activities of daily living impaired, Back pain, Blood product transfusion, Blood test
Clinical narrative: Tips of all 10 fingers were numb - pins and needles.  Continued balance of day/night. Next day the bottoms of both feet were partially numb.  By 10/23/09 weakness was spreading into my feet.  At approx. 9:00 PM I began to feel a pain across my back at bra-level in addition to 2" +/- on either side of my bra.  Pain/numbness continued on Saturday and was progressively worse.  My daughter took me to the ER for the 1st of 4 trips before they would finally admit me, still without a diagnosis. I was finally admitted to hospital on the 4th trip to the ER, where they didn't know what to do with me or what was wrong with me.  They finally admitted me with a diagnosis of a UTI for want of a better diagnosis.  I was "housed" on the indigent care floor in mortal pain and being unable to move anything from my toes to my neck.  Luckily, a  PA from the Neurology Dept. happened onto my file and knew instantly what was wrong with me and took the file and later, me to the NIU where I stayed until Nov. 9, 2009.  While in the NIU, a 5-day regimen of IVIG was given to me and slowly my recovery began.  Was moved upstairs to Rehab where I had to learn to walk, stand, write, do household chores, etc.   The paralysis began to subside and after much therapy I was released from the hospital on Dec. 14, 2009.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dysgraphia, Hypoaesthesia, Intensive care, Mobility decreased, Muscular weakness
Clinical narrative: Tips of all 10 fingers were numb - pins and needles.  Continued balance of day/night. Next day the bottoms of both feet were partially numb.  By 10/23/09 weakness was spreading into my feet.  At approx. 9:00 PM I began to feel a pain across my back at bra-level in addition to 2" +/- on either side of my bra.  Pain/numbness continued on Saturday and was progressively worse.  My daughter took me to the ER for the 1st of 4 trips before they would finally admit me, still without a diagnosis. I was finally admitted to hospital on the 4th trip to the ER, where they didn't know what to do with me or what was wrong with me.  They finally admitted me with a diagnosis of a UTI for want of a better diagnosis.  I was "housed" on the indigent care floor in mortal pain and being unable to move anything from my toes to my neck.  Luckily, a  PA from the Neurology Dept. happened onto my file and knew instantly what was wrong with me and took the file and later, me to the NIU where I stayed until Nov. 9, 2009.  While in the NIU, a 5-day regimen of IVIG was given to me and slowly my recovery began.  Was moved upstairs to Rehab where I had to learn to walk, stand, write, do household chores, etc.   The paralysis began to subside and after much therapy I was released from the hospital on Dec. 14, 2009.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Nuclear magnetic resonance imaging, Pain, Paraesthesia, Paralysis, Urinary tract infection
Clinical narrative: Tips of all 10 fingers were numb - pins and needles.  Continued balance of day/night. Next day the bottoms of both feet were partially numb.  By 10/23/09 weakness was spreading into my feet.  At approx. 9:00 PM I began to feel a pain across my back at bra-level in addition to 2" +/- on either side of my bra.  Pain/numbness continued on Saturday and was progressively worse.  My daughter took me to the ER for the 1st of 4 trips before they would finally admit me, still without a diagnosis. I was finally admitted to hospital on the 4th trip to the ER, where they didn't know what to do with me or what was wrong with me.  They finally admitted me with a diagnosis of a UTI for want of a better diagnosis.  I was "housed" on the indigent care floor in mortal pain and being unable to move anything from my toes to my neck.  Luckily, a  PA from the Neurology Dept. happened onto my file and knew instantly what was wrong with me and took the file and later, me to the NIU where I stayed until Nov. 9, 2009.  While in the NIU, a 5-day regimen of IVIG was given to me and slowly my recovery began.  Was moved upstairs to Rehab where I had to learn to walk, stand, write, do household chores, etc.   The paralysis began to subside and after much therapy I was released from the hospital on Dec. 14, 2009.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: X-ray
Clinical narrative: Tips of all 10 fingers were numb - pins and needles.  Continued balance of day/night. Next day the bottoms of both feet were partially numb.  By 10/23/09 weakness was spreading into my feet.  At approx. 9:00 PM I began to feel a pain across my back at bra-level in addition to 2" +/- on either side of my bra.  Pain/numbness continued on Saturday and was progressively worse.  My daughter took me to the ER for the 1st of 4 trips before they would finally admit me, still without a diagnosis. I was finally admitted to hospital on the 4th trip to the ER, where they didn't know what to do with me or what was wrong with me.  They finally admitted me with a diagnosis of a UTI for want of a better diagnosis.  I was "housed" on the indigent care floor in mortal pain and being unable to move anything from my toes to my neck.  Luckily, a  PA from the Neurology Dept. happened onto my file and knew instantly what was wrong with me and took the file and later, me to the NIU where I stayed until Nov. 9, 2009.  While in the NIU, a 5-day regimen of IVIG was given to me and slowly my recovery began.  Was moved upstairs to Rehab where I had to learn to walk, stand, write, do household chores, etc.   The paralysis began to subside and after much therapy I was released from the hospital on Dec. 14, 2009.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Discomfort, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Tips of all 10 fingers were numb - pins and needles.  Continued balance of day/night. Next day the bottoms of both feet were partially numb.  By 10/23/09 weakness was spreading into my feet.  At approx. 9:00 PM I began to feel a pain across my back at bra-level in addition to 2" +/- on either side of my bra.  Pain/numbness continued on Saturday and was progressively worse.  My daughter took me to the ER for the 1st of 4 trips before they would finally admit me, still without a diagnosis. I was finally admitted to hospital on the 4th trip to the ER, where they didn't know what to do with me or what was wrong with me.  They finally admitted me with a diagnosis of a UTI for want of a better diagnosis.  I was "housed" on the indigent care floor in mortal pain and being unable to move anything from my toes to my neck.  Luckily, a  PA from the Neurology Dept. happened onto my file and knew instantly what was wrong with me and took the file and later, me to the NIU where I stayed until Nov. 9, 2009.  While in the NIU, a 5-day regimen of IVIG was given to me and slowly my recovery began.  Was moved upstairs to Rehab where I had to learn to walk, stand, write, do household chores, etc.   The paralysis began to subside and after much therapy I was released from the hospital on Dec. 14, 2009.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Hypoaesthesia oral, Salivary hypersecretion
Clinical narrative: Patient reported feeling dizzy and lightheaded accompanied by a feeling of numbness in the mouth and thickened saliva.
Age: 0.34
Sex: F
Vaccine: DPP
Symptoms: Convulsion
Clinical narrative: bad seizure lasted 10 minutes - has had 3 more since
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: This was the 2nd dose of H1N1 vac. It was given at 9:30 a.m. Parent called school at 1 p.m. stating that the child was complaining of nausea, vomiting and diarrhea.
Age: 0.88
Sex: M
Vaccine: FLU3, FLUN(H1N1), HEP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 1/11/2010 - spoke w/dad. No symptoms or signs for today.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, FLUN(H1N1), HEPA
Symptoms: Pruritus, Urticaria
Clinical narrative: Generalized hive plus itching at 12N. Mother gave BENADRYL OTC. - back to clinic 1:15p.m - pt less hives, advised increase fluid intake and give BENADRY more and observe for any worsening reaction to call 911 if needed or bring back to clinic.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU(H1N1), MMR, VARCEL
Symptoms: Chills, Pyrexia
Clinical narrative: Chills, fever 104.3 12 hrs. after receiving vaccines. Pt. went to E.R.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1), FLU3, PPV
Symptoms: Chills, Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Fri after pt developed chills/fever 100 and above for 1 week - Right arm very sore/tender/unusable vomiting Sat thru Tues. Went to DR on Wed - arm still swollen - told her allergic reaction to PNEUMOVAX. 1/13 - doing better - arm still tender.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1), FLU3, PPV
Symptoms: Tenderness, Vaccination complication, Vomiting
Clinical narrative: Fri after pt developed chills/fever 100 and above for 1 week - Right arm very sore/tender/unusable vomiting Sat thru Tues. Went to DR on Wed - arm still swollen - told her allergic reaction to PNEUMOVAX. 1/13 - doing better - arm still tender.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Brachial plexopathy, Electromyogram abnormal, Musculoskeletal pain, Neck pain
Clinical narrative: 12/5 in afternoon started with pain in shoulder Rt and Rt neck could not. Pain and weakness were worse on 12/6. On 12/7 saw PCP and was given a injection for pain. Was sent for MRI of neck and was referred to Neurologist at the Hospital. Doctor reported case today to agency after EMG results and she made this diagnosis of immune mediated right brachial plexopathy. Patient has less pain but still significant weakness in Rt shoulder/arm.
Age: 86.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dehydration, Dizziness, Influenza like illness, Vomiting
Clinical narrative: Dehydration, vomiting, dizziness (flu-like illness) Patient was hospitalized.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling hot, Presyncope
Clinical narrative: Patient felt hot, dizzy, light headedness and pre-syncopal. Patient put flat, BP 90/60. Did not LOC, recovered BP 120/60, HR 99. Taken by EMS to hospital.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Lip swelling
Clinical narrative: Swollen Lips - 9:45 am injection. Noted 1:30 pm swelling. DEPO MEDROL dose shot 80mg IM at 4:30 pm. Over next 3days Prednisone 10mg 3/day to 2 per day to 1 per day. ATAVAN 10mg 1 tid x 3 days.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Echocardiogram, Electrocardiogram, Electroencephalogram, Heart rate increased, Loss of consciousness
Clinical narrative: My daughter was walking down the hallway in the school and passed out.  Taking her to the Dr. the concluded that perhaps she might have been coming down with an illness.  The next day she went to school and was fine.  Evening of 01/13/2010 at 6:00PM she noticed that she had a rash on her right side from her armpit to below her hips.  Calling the nurse she said to just monitor it and take Benadryl.Passed out. Day 2 rash. Day 3 heart rate of 145. Day 9 hands drawn in. Currently having 3-4 episodes a DAY of heart of 254.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: My daughter was walking down the hallway in the school and passed out.  Taking her to the Dr. the concluded that perhaps she might have been coming down with an illness.  The next day she went to school and was fine.  Evening of 01/13/2010 at 6:00PM she noticed that she had a rash on her right side from her armpit to below her hips.  Calling the nurse she said to just monitor it and take Benadryl.Passed out. Day 2 rash. Day 3 heart rate of 145. Day 9 hands drawn in. Currently having 3-4 episodes a DAY of heart of 254.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain-Barre Syndrome, patient is currently still hospitalized.
Age: 36.0
Sex: F
Vaccine: ANTH, FLUX(H1N1)
Symptoms: Arthralgia, Asthenia, Blood test, Chills, Dehydration
Clinical narrative: strong headache, shivers, fever (101.7), joint and muscle aches, dizziness, weakness, dehydration
Age: 36.0
Sex: F
Vaccine: ANTH, FLUX(H1N1)
Symptoms: Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: strong headache, shivers, fever (101.7), joint and muscle aches, dizziness, weakness, dehydration
Age: 46.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Eye pruritus, Headache, House dust allergy, Hypersensitivity
Clinical narrative: 1)constant runny nose 2)post nasal drip, pressure in sinuses 3)headache, itchy eyes, ears and throat 4)coughing 5)mild wheezing  Doctor said this was dust allergy. Symptoms still continuing as of 1/13/2009. Why would allergies suddenly become exponentially worse? I've never had this type of reaction before.
Age: 46.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Rhinorrhoea, Sinus headache, Throat irritation, Wheezing
Clinical narrative: 1)constant runny nose 2)post nasal drip, pressure in sinuses 3)headache, itchy eyes, ears and throat 4)coughing 5)mild wheezing  Doctor said this was dust allergy. Symptoms still continuing as of 1/13/2009. Why would allergies suddenly become exponentially worse? I've never had this type of reaction before.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood pressure increased, Computerised tomogram normal, Dehydration
Clinical narrative: I began having serious muscle aches that persisted for 2+ weeks.  I also had on-going headaches, and light-headedness. On November 17 I collapsed at work with severe lightheadedness, and began vomiting and my BP was 200/100.  I am an RN and I was at work and I was taken to the ER.  The diagnosis I was given was vertigo, however I had no "room spinning" or nystagmus, but my BP remained elevated.  Three days later I went to my PCP and my BP was still around 200/100.  A physical in October with my GYN doctor had a BP of 128/74 listed.  From the time I had the Seasonal vaccine-lot # U3203AA, and the H1N1 vaccine-lot # UP005AA, I had not felt well and my BP certainly explains the symptoms.  I was started on Atenolol (advanced to 75 mg/day over a couple weeks) and HCTZ. Those made me feel tired, dehydrated, and nauseated, so I was switched to Lisinopril 10 mg.  Over several weeks, my BP has dropped to the 120s-140s and the dose of lisinopril has not had to be increased. I believe there is a direct link between the H1N1 and my BP because I have taken the seasonal vaccine the last few years without any side effects.  I also had a doubling of both my SGOT and SGPT during those weeks after the vaccines.  I know this because I had routine lab work done on 10/26/09 right before getting the vaccines.  I continue under doctor's care for the HTN.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Dizziness, Electrocardiogram normal, Fatigue, Headache, Hepatic enzyme abnormal
Clinical narrative: I began having serious muscle aches that persisted for 2+ weeks.  I also had on-going headaches, and light-headedness. On November 17 I collapsed at work with severe lightheadedness, and began vomiting and my BP was 200/100.  I am an RN and I was at work and I was taken to the ER.  The diagnosis I was given was vertigo, however I had no "room spinning" or nystagmus, but my BP remained elevated.  Three days later I went to my PCP and my BP was still around 200/100.  A physical in October with my GYN doctor had a BP of 128/74 listed.  From the time I had the Seasonal vaccine-lot # U3203AA, and the H1N1 vaccine-lot # UP005AA, I had not felt well and my BP certainly explains the symptoms.  I was started on Atenolol (advanced to 75 mg/day over a couple weeks) and HCTZ. Those made me feel tired, dehydrated, and nauseated, so I was switched to Lisinopril 10 mg.  Over several weeks, my BP has dropped to the 120s-140s and the dose of lisinopril has not had to be increased. I believe there is a direct link between the H1N1 and my BP because I have taken the seasonal vaccine the last few years without any side effects.  I also had a doubling of both my SGOT and SGPT during those weeks after the vaccines.  I know this because I had routine lab work done on 10/26/09 right before getting the vaccines.  I continue under doctor's care for the HTN.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Malaise, Myalgia, Nausea, No reaction on previous exposure to drug, Syncope
Clinical narrative: I began having serious muscle aches that persisted for 2+ weeks.  I also had on-going headaches, and light-headedness. On November 17 I collapsed at work with severe lightheadedness, and began vomiting and my BP was 200/100.  I am an RN and I was at work and I was taken to the ER.  The diagnosis I was given was vertigo, however I had no "room spinning" or nystagmus, but my BP remained elevated.  Three days later I went to my PCP and my BP was still around 200/100.  A physical in October with my GYN doctor had a BP of 128/74 listed.  From the time I had the Seasonal vaccine-lot # U3203AA, and the H1N1 vaccine-lot # UP005AA, I had not felt well and my BP certainly explains the symptoms.  I was started on Atenolol (advanced to 75 mg/day over a couple weeks) and HCTZ. Those made me feel tired, dehydrated, and nauseated, so I was switched to Lisinopril 10 mg.  Over several weeks, my BP has dropped to the 120s-140s and the dose of lisinopril has not had to be increased. I believe there is a direct link between the H1N1 and my BP because I have taken the seasonal vaccine the last few years without any side effects.  I also had a doubling of both my SGOT and SGPT during those weeks after the vaccines.  I know this because I had routine lab work done on 10/26/09 right before getting the vaccines.  I continue under doctor's care for the HTN.