chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Chlamydia identification test negative, Drug exposure during pregnancy, Pregnancy test positive, Smear cervix normal
Clinical narrative: LPN calls FBVHC  on 29OCT09 re 23 y/o AD female SM who inadvertently received GARDASIL vaccine on 30SEP09 and the Live Intranasal Flumist vaccine on 08OCT09 before the SM knew she was pregnant. As of 29OCT09, when the SM's OB Intake/Registration was performed the SM was at 6 weeks, 3 days gestation / LMP 12SEP09 / EDC 19JUN2010. Age at first pregnancy: 20 years. Gravida 3, para 0 and 2 abortions/miscarrages one at 9 weeks and one at 5 months. No previous ectopic pregnancies. No h/o congenital malformations. No DES taken during pregnancy. Baby's father is 24 y/o. The SM currently denies any evidence of adverse events following immunizations received no spotting, cramping, pelvic or abdominal pain reported. Denies N or V. NKDA. The SM is scheduled to be seen at OB-GYN on 07DEC09 for specialty consult s/p vaccine exposure as noted above. SM advised to notify PCM of any new onset of spotting, pelvic or abdominal cramping or pain. Intractable N or B fever > 101F or any other changes in health status. FBVHC provided patient with online resources for MERCK GARDISIL PREGNANCY REGISTRY and will F/U with SM periodically throughout pregnancy to inquire re progress and reporting of any adverse events up through the delivery of the baby. Symptoms: Amenorthea.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash erythematous
Clinical narrative: noticed a fine, red rash on both arms and both legs with itching sensation.
Age: 60.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Muscular weakness, Myalgia, Nausea, Pyrexia
Clinical narrative: Mild nausea; dizziness; slight wheezing; muscle pain & weakness; low-grade fever.
Age: 60.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Wheezing
Clinical narrative: Mild nausea; dizziness; slight wheezing; muscle pain & weakness; low-grade fever.
Age: 6.0
Sex: M
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Blood test, Visual impairment
Clinical narrative: About 5pm, my son received the seasonal shot and the H1N1 vaccine (nasal spray). About an hour later, half-way through his homework, he stated, "Mommy, I can't see anything on the paper".  Then, I had given him his sight word list and he could not identify any of the words on the list.  An hour before the vaccine, he zipped right through his sight word list.  Now, he can't read any of the words on the list. He stated that he sees lines in the words.  I immediately took him to the urgent care center and the pediatrician was concerned and told us to go to the ER.  The doctor examined his eyes and had blood work done, which came back normal.  He referred us to an ophthalmologist, and his appointment is tomorrow.  Prior to the vaccines, he did math homework and read through the sight word list with no problems.  About an hour after he was vaccinated, he could not read the same exact word list that was given to him before the vaccine injection and nasal spray.  The next morning, I asked him to read something on my computer and he stated that he could not see the words.  About 20 minutes later, I asked him to read a book, he could not read the book for the first two pages and then was able to read the book with ease.  That night, I gave him a book that he was not familiar with and he read it with no problems. This morning, he was not able to read any sight words.  He seems like his vision comes and goes and he instead of seeing "lines" he said that he can't see the words. He had the seasonal vaccine (nasal spray) last year with no problem.  I truly believe that the H1N1 vaccine caused my son adverse events and his symptoms have not improved. He has never complained about his vision in the past and has never had any side effects to prior vaccinations.  11/9/09:  Emergency Department Records received for dates of service 11/2/09 to 11/3/09.  Dx:  Blurred Vision.  Assessment:  Presents to ED with difficulty reading.  States, "  I see lines."  Vision Left eye 20/40, Right eye 20/40, Both eyes 20/40. Follow up arranged with opthomologist for the am.      11/9/09:  ICD Codes received:  368.8
Age: 32.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Rash erythematous, Rash generalised, Urticaria
Clinical narrative: Noticed whelps on right wrist.  When patient woke up on 10/29/09 she had a bright red, raised rash on both hands, both arms and all over her trunk with intense itching.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Pain in extremity, Pyrexia
Clinical narrative: Vaccinated 10-8-09. Developed arm pain and fever. Went to hospital. Diagnosed w/ cellulitis per doctor.
Age: 54.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Rash, Rash pruritic
Clinical narrative: A fine red rash appeared on my lower legs, then upper arms and backside. Nothing on my chest or stomach. Itchy, it will flair up then settle down, still visable.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Flushing, Pruritus, Skin burning sensation
Clinical narrative: Experienced flushed feeling, redness over entire body, itching. Was instructed by Dr. to take BENADRYL and TYLENOL, which she did. The sunburn feeling lasted 2 days, itching was relieved in 1 day.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: Dizziness within 15 minutes of vaccine administration. Duration approx. 24 hours.
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Nasal congestion, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: Nasal Congestion, increased mucous production, cough, sore throat then fever started 6:00 PM 10/25/2009. Symptomatic treatment eg. Motrin, Tylenol, Musenex DM, Theraflu at night
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Eye pruritus, Headache, Vomiting
Clinical narrative: APPROX 2 HOURS AFTER INJECTION, PT C/O ITCHY EYES, HEADACHE ALL OVER AND EMESIS FOR 2-3 HOURS.  SPOKE WITH THE DOCTOR ON CALL AND SENT TO EMERGENCY ROOM.  PT TREATED WITH ANTI-EMETICS, VITAL SIGNS STABLE AND PATIENT WAS DISCHARGED
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Chills, Cough, Pyrexia, Rash generalised
Clinical narrative: 10/26/2009 Severe other                   10/26 vomited x 2 weak 10/26/2009 Severe other                   10/26 PM cough, respiratory distress fever/chills 10/27/2009 Sever other                      10/27 Red rash, entire body fever12/10/2009  PCP records from 10/28-11/7/2009, patient with c/o's fever, rash , fatigue, cough, groin swelling and poor appetite. Tx'd with ABX initially then steroids when rash didn't clear.
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Respiratory distress, Vomiting
Clinical narrative: 10/26/2009 Severe other                   10/26 vomited x 2 weak 10/26/2009 Severe other                   10/26 PM cough, respiratory distress fever/chills 10/27/2009 Sever other                      10/27 Red rash, entire body fever12/10/2009  PCP records from 10/28-11/7/2009, patient with c/o's fever, rash , fatigue, cough, groin swelling and poor appetite. Tx'd with ABX initially then steroids when rash didn't clear.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Fatigue, Headache, Pharyngeal oedema
Clinical narrative: PATIENT REFERS HEADACHE, EDEMA IN THROAT THAT LASTED FOR 1 1/2 DAYS. ALSO REFERS BURNING SENSATION IN RIGHT ARM AND RIGHT LEG AND FATIGUE.  PATIENT REFERS THAT SHE TOOK NAPROXEN THREE TIMES.
Age: 0.94
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Pallor, Rash erythematous, Rash macular
Clinical narrative: ACCORDING TO FAMILY, ABOUT 15-20 MINUTES AFTER RECEIVED INFLUENZA IMMUNZATION ON 10/22/08, DEVELOPED RASH.  WENT TO ER AND WAS TOLD ALLERGIC REACTION AND PRESCRIBED BENADRYL, PREDNISONE.  WHEN SEEN IN FOLLOWUP ON 10/23/08 HAD SPLOTCHY, BLANCHING ERYTHEMATOUS RASH ON FACE, CHEST, UPPER EXTREMITIES.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Patient complained of diffuse itching, without rash and described it as an 'internal' itch which lasted several hours. Patient took Benadryl with positive results.
Age: 1.32
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphonia, Erythema, Pyrexia, Urticaria, Wheezing
Clinical narrative: H1N1 vaccine was injected around 10:20 AM. We waited 10 minutes before leaving. Daycare called around 11:15 AM same day to report that she had bright red hives all over her legs, arms, abdomen, and face. After consultation with public health department, 1/2 tsp of children's Benadryl was given. Hives persisted into the next day (11/3/09). Benadryl continued to be given appr. every 6 hours. She had a fever of 101 degrees the morning of 11/3/09. Motrin was given. She napped from 12:30 PM to 4:30 PM. When she woke up from her nap she had a temperature of 101.7 degrees, the hives where almost entirely gone but she was wheezing and hoarse. More Motrin was given. Fever has not been back over 101 since yesterday evening but is still wheezing and hoarse. 11/10/09 Medical records received for date 11/6/09. DX: Acute otitis media. Presenting SX: fever x4days, nasal discharge, cough. Assessment: Rt.& left ear erythematous.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Computerised tomogram, Lymphadenopathy, Nuclear magnetic resonance imaging
Clinical narrative: LYMPHADENOPATHY..SWELLING OF THE LYMPH GLANDS IN THE UPPER NECK AREA THAT STAYED FOR 3 WEEKS..
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: complained of dizziness, lightheadedness, followed by headache
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: VERY RED NODULE-SIZE GOLF BALL RIGHT ARM.  10/27/08 STILL RED AND SORE TODAY.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Malaise, Myalgia, Pyrexia
Clinical narrative: Severe weakness, low grade fever, muscle pain not feeling well.
Age: 62.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: VER RED SORE ARM WHERE INJECTION WAS GIVEN WITH ZOSTER SIZE OF GOLF BALL PER TC
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Vaccination failure
Clinical narrative: I received an immunization for shingles in 2007- In 2008, while on an overseas trip, I came down with shingles in spite of the shot. I would like this to be recorded somewhere for statistical purposes, as a failure for the shot.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Decreased appetite, Dizziness, Feeling cold, Flushing, Pallor
Clinical narrative: Narrative: Patient reported to nurse 5-10 minutes after getting pneumococcal injection (at 9-05am 8/19/09) stating felt flushed, then turned pale and cool to the touch. Stated felt tingly in his stomach. Also stated that he had not eaten anything since 5-30pm the previous day. After sitting with the nurse for 10 minutes, he state he felt fine and continued on to his next appointment. Symptoms: Symptoms: 1. Dizziness. 2. Flushing, then pale and cool to the touch.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Paraesthesia
Clinical narrative: Narrative: Patient reported to nurse 5-10 minutes after getting pneumococcal injection (at 9-05am 8/19/09) stating felt flushed, then turned pale and cool to the touch. Stated felt tingly in his stomach. Also stated that he had not eaten anything since 5-30pm the previous day. After sitting with the nurse for 10 minutes, he state he felt fine and continued on to his next appointment. Symptoms: Symptoms: 1. Dizziness. 2. Flushing, then pale and cool to the touch.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Blood test, Blood test abnormal, Food allergy
Clinical narrative: I received a seasonal flu shot on 10/14/2009. On 10/16/2009, after eating a seafood Cobb salad for lunch at a restaurant, I went into anaphylaxis and was taken by ambulance to the emergency room at hospital. Blood tests run at the hospital allergy clinic on 10/20/2009 came back positive for an egg allergy. I have never a food allergy before. I am wondering if there is any chance that the flu shot I had two days prior to this episode could have triggered something that caused this sudden allergic response to eggs. 10/16/2009 was the first time I ate eggs or anything containing eggs after the flu shot. I tested negative for seafood and cheese allergies - the other potential allergens in the lunch I ate prior to going into anaphylaxis-.   11/25/09 Medical records received for DOS 10/16/09.  Final DX: Allergic reaction  C/O throat closing/throat tightness s/p eating seafood. Facial erythema.  Mild uvular edema. Difficulty swallowing. Jittery. Relieved by steroids. D/C to home.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Lip swelling, Pharyngeal oedema
Clinical narrative: swelling lips, throat with in two hours of shot, had to return to ER a second time because symptoms returned
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Muscular weakness, Pain
Clinical narrative: pain at injection site, weakness and achiness in left arm where injection was administered. symptoms began 1 hour after injection administration. treated with ibuprofen and warm soaks.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Guillain-Barre syndrome, Muscle spasms, Neurological examination, Paraesthesia
Clinical narrative: Parestesias in lowe extremities ascending without muscle weakness. Evaluated by Neurologist who diagnosed sensory Guillan Barre Syndrome. Symptoms are ongoing with paresthesias involving at times whole body and some muscle cramping in lower extremities  11/06/09 Neurological consultation medical records received service date 11/04/09. Assessment: Mild sensory form of Guillain-Barre syndrome.  Patient developed tingling in toes moving up the feet, fluctuating in intensity. Similar feeling in lower lip which did not recur. Neurologial exam is completely normal.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Guillain-Barre syndrome
Clinical narrative: Parestesias in lowe extremities ascending without muscle weakness. Evaluated by Neurologist who diagnosed sensory Guillan Barre Syndrome. Symptoms are ongoing with paresthesias involving at times whole body and some muscle cramping in lower extremities  11/06/09 Neurological consultation medical records received service date 11/04/09. Assessment: Mild sensory form of Guillain-Barre syndrome.  Patient developed tingling in toes moving up the feet, fluctuating in intensity. Similar feeling in lower lip which did not recur. Neurologial exam is completely normal.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Guillain-Barre syndrome, Muscle spasms, Paraesthesia, Type 1 diabetes mellitus
Clinical narrative: Parestesias in lowe extremities ascending without muscle weakness. Evaluated by Neurologist who diagnosed sensory Guillan Barre Syndrome. Symptoms are ongoing with paresthesias involving at times whole body and some muscle cramping in lower extremities  11/06/09 Neurological consultation medical records received service date 11/04/09. Assessment: Mild sensory form of Guillain-Barre syndrome.  Patient developed tingling in toes moving up the feet, fluctuating in intensity. Similar feeling in lower lip which did not recur. Neurologial exam is completely normal.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Nausea, Postnasal drip, Respiratory tract congestion, Sinus congestion
Clinical narrative: Sinus congestions, chest congestion, nausea, post nasal drip
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Asthenia, Dizziness, Loss of consciousness, Nausea
Clinical narrative: Nausea, vomiting, dizziness, stomach cramps, fever, weakness, passed out.  11/20/09:  PCP records received for date of service 11/5/09.  Dx:  Gastroenteritis.  Assessment:  Presents with 7 day hx. of GI sx., abd. pain, cramps, N/V, passed out and fell down stairs as she was dizzy.  Hasn't been eating, having emesis and diarrhea 2-3 times/day.  Also experiencing burning in the chest. Getting better now.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, dizziness, stomach cramps, fever, weakness, passed out.  11/20/09:  PCP records received for date of service 11/5/09.  Dx:  Gastroenteritis.  Assessment:  Presents with 7 day hx. of GI sx., abd. pain, cramps, N/V, passed out and fell down stairs as she was dizzy.  Hasn't been eating, having emesis and diarrhea 2-3 times/day.  Also experiencing burning in the chest. Getting better now.
Age: 62.0
Sex: F
Vaccine: FLUX, TD, VARZOS
Symptoms: Balance disorder, Blister, Rash erythematous
Clinical narrative: 12:40 RED PINPOINT AREAS ON RIGHT ARM STARTED WITH 2" THEN 3" TOOK BENADRYL 24 MG AT 1:10.  1:15 DOTS GROWING IN SIZE, LOOK LIKE SMALL BLISTERS.  "I FELT OFF BALANCE."
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Fatigue, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Fatigue, cough, body aches, stuffy/runny nose, fever. Symptoms ran from Tuesday to Sunday.  Prescribed Tamiflu on Thursday and started taking it on Thurday @ 4:00 pm. She started feeling a little better by Saturday and had no more fever by Saturday.  Today Wednesday she still has a little chest/cough congestion.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Upper respiratory tract congestion
Clinical narrative: Fatigue, cough, body aches, stuffy/runny nose, fever. Symptoms ran from Tuesday to Sunday.  Prescribed Tamiflu on Thursday and started taking it on Thurday @ 4:00 pm. She started feeling a little better by Saturday and had no more fever by Saturday.  Today Wednesday she still has a little chest/cough congestion.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Convulsion, Fall, Head injury, Loss of consciousness
Clinical narrative: Syncope episode vs seizure < 5 min after administration of influenza vaccine. Pt fell and hit head while still at office. Doctor evaluated, ice compress applied. Mom reported loss of consciousness x 10-15 sec. Minimal confusion after fall. At home, mom reported increased confusion. Pt reevaluated on 10/22 and 10/26.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Syncope episode vs seizure < 5 min after administration of influenza vaccine. Pt fell and hit head while still at office. Doctor evaluated, ice compress applied. Mom reported loss of consciousness x 10-15 sec. Minimal confusion after fall. At home, mom reported increased confusion. Pt reevaluated on 10/22 and 10/26.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Nausea-vomiting-EXTREME fatigue, chills-fever 100.6-all symptoms lasted 24 hours-sleepiness for 24 hours-headache.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Somnolence, Vomiting
Clinical narrative: Nausea-vomiting-EXTREME fatigue, chills-fever 100.6-all symptoms lasted 24 hours-sleepiness for 24 hours-headache.
Age: 0.76
Sex: F
Vaccine: FLU3, PNC
Symptoms: Ear infection, Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: Patient developed temperature of 102.2 within 8 hours if immunization temp 102-103 for 12 hours. Pt given Tylenol every 6 - decreased temp to 99.4. Pt had some response with 1st dose of PREVNAR - also had underlying ear infection. Low - grade fever.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Eye swelling, Swelling face
Clinical narrative: GARDASIL given on 10-27-09. Mother calls 10-29-09 and states patient had puffy face and eyes the afternoon of 10-27-09. States c/o chest tightness either late PM 10-27 or 10-28 and continues today. BENADRYL 25 mg TID and go to ER for increased sx.
Age: 32.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Malaise
Clinical narrative: Within 5 minutes of administration of vaccine intranasally patient became ill. Symptoms included light-head, perspiring, clammy feeling. Patient remained alert. Paramedics where called and patient was transported to hospital.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: 10:00 a.m. after vaccine given 10/26/09, pt. complained of arm pain, more so than usual-compared to when other vaccines given. At 1:00 pm, patient returned to clinic; states after vaccines given arms painful numbness in 2,3,4,5th digits of hands R hand more than L
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Haematemesis, Nasal discomfort, Respiratory tract congestion, Swelling
Clinical narrative: Pt rec'd H1N1 FluMist y/d and developed nasal itching, congestion and swelling that night. No difficulty breathing. Bloody emesis x 1 later that night.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Chest pain, Eye irritation
Clinical narrative: Pt c/o burning of neck-up to eyes felt like she was burning in chest behind eyes and back of neck. Epi given with EMS per pt. Recovered quickly.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Blood test, Computerised tomogram, Convulsion, Gaze palsy, Metabolic function test
Clinical narrative: 9-23-09 Morning after immunization one seizure at daycare (twitching movements & eye rolling back) taken to ER. Three more episoded in ER, Tx of fosphenytoin & ATIVAN. IV fluids Distributed at .45 cc/hour oxygen. ROCEPHIN 700 mg IV every 12 hours. Discharged 9-24-09 pt on KEPPRA 150 mg two times daily prior to admit increased 240 following admit.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Muscle twitching, Urine analysis
Clinical narrative: 9-23-09 Morning after immunization one seizure at daycare (twitching movements & eye rolling back) taken to ER. Three more episoded in ER, Tx of fosphenytoin & ATIVAN. IV fluids Distributed at .45 cc/hour oxygen. ROCEPHIN 700 mg IV every 12 hours. Discharged 9-24-09 pt on KEPPRA 150 mg two times daily prior to admit increased 240 following admit.
Age: 40.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Erythema, Paraesthesia oral
Clinical narrative: Pt became red faced and shortness of breath noted shortly after given pneumonia shot c/o mouth tingling -to hospital with EMS
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: After 2 hrs of mist application, severe headache (worst I've ever had), body ache, and high fever. Lasted approx 6hrs, then ok.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin irritation
Clinical narrative: Patient reported small red spots on breasts. A little itchy. Not painful. Worsened with bra irritation.
Age: 55.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Myalgia
Clinical narrative: Significant muscle aches (myalgia) and joint pain of all joints: lasted 48 hrs. (gradual onset). Peaked during the night 10/25/09 until AM. Called MD, rec NSAIDS-call if worsened.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Throat tightness, Vision blurred
Clinical narrative: Had flu shot, 30 seconds after pneumonia shot could feel throat closing, things went hazy. EMTs called, Epi given, transported to hospital. At hospital from 2:00pm to 12:00 midnight.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1), FLU3, PPV
Symptoms: Erythema, Pyrexia
Clinical narrative: Redness on arm 50 mm and fever x 2 hrs.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt received DTAP Rt upper IM and Flu vaccine Rt lower IM on 9-30-09 about 4:30pm. Mom called the office about 4:00 pm on 10-1-09 and stated area was 1/4"-1/2" raised and hard. about 1 1/2 inches in diameter and red. Warm to touch. She will call office on 10-02-09 if pt has a change and gets worse.
Age: 0.89
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site urticaria, Pyrexia
Clinical narrative: Pt with fever. Shortly after went to ED with hives at injection site. Tolerated seasonal flu shot weeks earlier.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain
Clinical narrative: Abdominal pain.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Chills, Diarrhoea
Clinical narrative: Client complained of upset stomach, diarrhea, chills after receiving influenza vaccine. Not first flu vaccination.
Age: 41.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Corneal reflex decreased, Facial palsy, Hypoaesthesia facial, Mastication disorder
Clinical narrative: 10/28/09 Rt side face felt numb-some trouble chewing. 10/29/09 Rt side face not working-rt eye slow to blink-rt side mouth droops when smiles-probable Bell's palsy.
Age: 20.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Headache, body ache. Fever since last night 102 degree F. Temp today 100.2 degree F.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Nausea, Skin warm
Clinical narrative: c/o "nausea, felt warm and sick to stomach". after vaccination, not first flu shot.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Rash, Rash macular, Urticaria
Clinical narrative: Hives (red blotches to entire body-fades with BENADRYL). Rash started on 10/24/09.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Feeling cold, Malaise
Clinical narrative: c/o "chills - really sick. Exhausted, run down, freezing" after vaccination. Not her first flu shot.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Flushing, Urticaria
Clinical narrative: Started with hives at 12:00 noon. Worse now, face flushed. No difficulty breathing (3:30 PM) on way home from work. Will stop by to buy BENADRYL and call to report result. BENADRYL relieved symptoms.
Age: 27.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Impaired driving ability, Nausea, Somnolence
Clinical narrative: Nausea, dizziness, lightheaded, drowsy. Symptoms lasted a couple of days. Patient stated he also drove off the road on 10-14-09.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling of body temperature change, Injection site pain, Malaise, Nausea
Clinical narrative: c/o "out sick next day. Vomited, chills, nausea, hot/cold, lot of pain at injection site" after vaccination.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: c/o "out sick next day. Vomited, chills, nausea, hot/cold, lot of pain at injection site" after vaccination.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood glucose increased, Drug exposure during pregnancy, Haematocrit decreased, Syncope
Clinical narrative: After injection pt fainted - ?anxiety or hypoglycemia. No rash or shortness of breath. Pt was 30 wks preg. O2 given BP 60/40 Pulse 42. Pt recovered. Taken to hospital for fetal monitoring.  11/10/09 Medical records received for date 10/30/09. DX: syncope after H1N1 vax. Pt. sent to hosp. for fetal monitoring 30wks gestation. Assessment: FHR(+) WNL. Pt. denies and c/o. DC home.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Rash, Urticaria, Vomiting
Clinical narrative: Vomited about 10 min. after vaccine and continued to vomit intermittently for 5 hrs. Developed hive-like rash on trunk and extremities within 1 hour of vaccine which persisted about 5 hrs.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: c/o :Lots of pain at injection site, lasted several days: after vaccination.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Chest X-ray normal, Headache, Myalgia, Pyrexia
Clinical narrative: Employee reports after receiving H1N1 and seasonal flu vaccine on 10-21-09, 4 days later was treated in emergency room for fever, myalgias and HA.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Fatigue, Injection site pain, Insomnia
Clinical narrative: c/o "up most of the night. Fever, chills, nausea. Much pain at injection site - for several days. Exhausted but went to work and felt weak" after vaccination.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia
Clinical narrative: c/o "up most of the night. Fever, chills, nausea. Much pain at injection site - for several days. Exhausted but went to work and felt weak" after vaccination.
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Anaphylactic shock, Dyspnoea, Fatigue
Clinical narrative: Pt reports felt short of breath 10-15 minutes after leaving clinic - went to hospital ER. Pt states she had "extreme anaphylactic shock". Pt. states she was transferred to hospital where she stayed for 4 days. Home on 10/19. Still very tired and remains short of breath - on steroids & inhalers - being followed by her primary physician.  11/4/09 Hospital records received service dates 10/15/09 to 10/18/09. Assessment: Allergic reaction to FluMist with anaphylaxis. Pleurisy with pleuritic chest pain. Asthma, acute exacerbation. Urinary tract infection, E. Coli. Patient became extremely short of breath 10-15 minutes after receiving nasal flu vaccine. Sharp left-sided chest pain. Hoarse. Difficulty swallowing. Alternate sweating and feeling cold. Diminshed breath sounds. Morbid obesity. Tobacco abuse disorder.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Excruciating pain night after injection of PNEUMONIA shot from shoulder to wrist.  Abated next day.  Sore spot for about a week.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Chest X-ray normal, Chest discomfort, Cough, Dyspnoea, Ocular hyperaemia
Clinical narrative: 10 AM burning in throat, chest heaviness. 1 PM wheezing, coughing, shortness of breath, eyes bloodshot.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Throat irritation, Wheezing
Clinical narrative: 10 AM burning in throat, chest heaviness. 1 PM wheezing, coughing, shortness of breath, eyes bloodshot.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain
Clinical narrative: Pain at the injection site. Shoulder pain since the date of shot. MD gave prescription for anti-inflammatory. MD told patient it may be tendinitis from injection.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Breast tenderness, Hyperhidrosis, Nausea, Pain, Tenderness
Clinical narrative: Flu vaccine given IM in L arm. c/o soreness, tenderness L arm and L side of L breast. Also c/o sweats, nausea. Symptoms began 6-8 hrs after injection lasted for 48 hours.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash to all extremities. Seen by PMD was told to use AVEENO bath and anti-itch cream.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site discolouration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 5"x6" swelling on arm with dark center core 2"x2" - hot and tender - location of VARIVAX sub q. administration.
Age: 29.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Feeling hot, Flushing, Immediate post-injection reaction, Malaise
Clinical narrative: Pt felt hot and weak 10 mins after nasal vaccine given. At 11 AM wife chose to transport husb to PC MD for evaluation since he was still feeling hot and weak when he stood up. Patient came into clinic for H1N1 vaccine with his family, wife and son. They were eligible today because they have a child under the age of 6 months in their household. The wife and son were given the H1N1 injection, but because he was healthy, the nurse offered the mist. He took the mist, and reported that immediately he felt weak and hot. He went outside to the cool fall air and said he felt better there, but his wife felt he needed to be inside where he could be watched, so he came back in and sat down in the chair. 10:45 AM I was called and I asked him back to the clinic and had him lay down on the exam table. BP 144/82, face flushed. Pt. stated that he felt better and wanted to sit up, but as soon as he sat up he c/o feeling hot and weak. I had him lay down again and called our health officer. He came in and assessed him, suggested he remain in the clinic for another 15 minutes. Patient was given water to drink. His wife took their son to her mother's because he was hungry. 11:00 AM She came back and he attempted to sit up. His BP was then 172/98 when sitting up. He does not have a primary care physician. The wife and Dr. discussed sending him to Emergency Room as he was still was feeling ill via EMS but she preferred to transport him there or clinic. 11:20 AM Phone call from wife asking why we gave mist to her husband when they have small children in the household. She had been told at clinic that he should not have been given the live vaccine because they have small children in household. I explained that we are following the recommendations from CDC who supplies the vaccine to the country.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting 48 hrs after FLUMIST.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Crying, Insomnia, Irritability, Screaming
Clinical narrative: Excessive crying - screaming throughout the evening with shot given at 4:30 pm.  Difficult to sleep - up x2 after down for the noc. Crying episodes lasting 30 min x2. Child was fretful - finally quieted after walking. Nightly episodes have continued from that initial noc.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: 10/24/09 Itching started on calf area bilateral. 10/25/09 Calves covered in welts/hives in AM. By that evening, entire lower half of body covered in hives. From lower abd/lower back down to calves.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: 2 days after vaccination (13-13-09) noticed soreness in muscle of arm. Pain still comes and goes. Tx with ADVIL with heat.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Vomiting
Clinical narrative: Pt started vomiting not long after receiving vaccination and called office to inform doctor. A prescription was called in for PHENERGAN and pt is doing much better, no more vomiting. 11/5/09 OB records received for dates 6/30/09 to 10/9/09.EDC: 2/15/09. G3P1 No information provided pertaining to H1N1 vaccine.
Age: 60.0
Sex: M
Vaccine: TD, VARZOS
Symptoms: Injection site pain
Clinical narrative: 8-18-09 pt came in to office to day he was having pain @ the site of Td vaccine - L delt. 9-11-09 pt seen for  pain in L delt. As per dr, moist heat 15 min bid.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Neck mass, Neck pain
Clinical narrative: Arm sore at injection site left deltoid. Pain extended to left neck. "Lumps" on left side neck noticed 10/28/09.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest discomfort, Dyspnoea, Eye swelling, Headache, Oropharyngeal pain
Clinical narrative: Hives, short of breath, swollen Rt. eye, fever 101 degrees F, pressure on chest, headache, sore throat. TX hydroxyzine 25 mg. 11/10/2009 PCP note from 10/20/2009. Patient with c/o's rash, hives, arthralgias and eye swelling. Tx'd with Vistaril. Dx Allergic reaction. l
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Urticaria
Clinical narrative: Hives, short of breath, swollen Rt. eye, fever 101 degrees F, pressure on chest, headache, sore throat. TX hydroxyzine 25 mg. 11/10/2009 PCP note from 10/20/2009. Patient with c/o's rash, hives, arthralgias and eye swelling. Tx'd with Vistaril. Dx Allergic reaction. l
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blister, Rash pruritic
Clinical narrative: I had the H1N1 vaccine Friday, Oct. 30, 2009 at 15:30 and at 16:15 I had a rash with itching and bubbles on my arms, neck and face with severe itching at the end. I went to ER and was given BENADRYL 25 mg IV and prednisone 40 mg oral. This lasted till 18:50, after medicine kicked in.
Age: 37.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Rash
Clinical narrative: Slight headache/rash face, neck and head. Tx: Rx for hydrocortisone cream. Call PCP if not better in 5-7 days.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Fatigue, Myalgia, Nausea
Clinical narrative: Information has been received from a medical assistant, for GARDASIL, a Pregnancy Registry product, concerning a 22 year old female with penicillin allergy who on 05-DEC-2008 was vaccinated with the first dose of GARDASIL (lot number unspecified). On 03-FEB-2009 the patient received the second dose of GARDASIL (lot number unspecified). On 10-JUL-2009 the patient received the third dose of GARDASIL (lot number: 661846/1312X, 0.5ml, IM. There was no concomitant medication. The patient's last documented period was 3 months ago, in approximately April 2009; however, the patient had sporadic periods. On 23-JUL-2009, the patient was seen in the office for symptoms of body aches, fatigue, nausea, vomiting and myalgia. On 23-JUL-2009 a urine pregnancy test was conducted and the result was positive for pregnancy. HCG quantitative test was ongoing (result unknown). The patient's estimated delivery date would be on 28-JAN-2010. At the report time the patient was pregnant. Follow up information has been received from a medical assistant concerning the 22 year old female who was vaccinated with 3 doses of GARDASIL on 05-DEC-2008, 03-FEB-2009 and 10-JUL-2009 respectively. The reporter noted that the patient terminated pregnancy on an unspecified date. The patient last menstrual period was on 27-APR-2009. The estimated delivery date (EDD) would be on 01-FEB-2010. At the time of the report, the outcome was unknown. No further information is available.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Urine human chorionic gonadotropin positive, Vomiting
Clinical narrative: Information has been received from a medical assistant, for GARDASIL, a Pregnancy Registry product, concerning a 22 year old female with penicillin allergy who on 05-DEC-2008 was vaccinated with the first dose of GARDASIL (lot number unspecified). On 03-FEB-2009 the patient received the second dose of GARDASIL (lot number unspecified). On 10-JUL-2009 the patient received the third dose of GARDASIL (lot number: 661846/1312X, 0.5ml, IM. There was no concomitant medication. The patient's last documented period was 3 months ago, in approximately April 2009; however, the patient had sporadic periods. On 23-JUL-2009, the patient was seen in the office for symptoms of body aches, fatigue, nausea, vomiting and myalgia. On 23-JUL-2009 a urine pregnancy test was conducted and the result was positive for pregnancy. HCG quantitative test was ongoing (result unknown). The patient's estimated delivery date would be on 28-JAN-2010. At the report time the patient was pregnant. Follow up information has been received from a medical assistant concerning the 22 year old female who was vaccinated with 3 doses of GARDASIL on 05-DEC-2008, 03-FEB-2009 and 10-JUL-2009 respectively. The reporter noted that the patient terminated pregnancy on an unspecified date. The patient last menstrual period was on 27-APR-2009. The estimated delivery date (EDD) would be on 01-FEB-2010. At the time of the report, the outcome was unknown. No further information is available.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest X-ray, Chest discomfort, Cough, Dyspnoea, Electrocardiogram
Clinical narrative: Chest tightness, dyspnea, cough.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Fibrin D dimer
Clinical narrative: Chest tightness, dyspnea, cough.
Age: 41.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Decreased appetite, Exposure to communicable disease, Headache, Pyrexia
Clinical narrative: Vaccinated with live attenuated intranasal H1N1 vaccine on 10/08/09. On 10/11/09 I developed runny nose, headache, and scratchy throat. Cough developed over next few days. On 10/16/09 I had subjective fever and anorexia. A close contact became ill on 10/19/09 (exposed 10/15-17/09). Cough persisted until 10/24/09. My concern is that I am a healthcare professional who transmitted infection after the vaccination.
Age: 41.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rhinorrhoea, Throat irritation
Clinical narrative: Vaccinated with live attenuated intranasal H1N1 vaccine on 10/08/09. On 10/11/09 I developed runny nose, headache, and scratchy throat. Cough developed over next few days. On 10/16/09 I had subjective fever and anorexia. A close contact became ill on 10/19/09 (exposed 10/15-17/09). Cough persisted until 10/24/09. My concern is that I am a healthcare professional who transmitted infection after the vaccination.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Wheelchair user
Clinical narrative: Information has been received from a consumer concerning a female family friend who on unspecified date was vaccinated with GARDASIL (dose number, lot number not reported). The patient developed numbness and was in a wheelchair after vaccination. The patient saw a neurologist. It was unknown if there were lab studies performed. At the time of the report, the outcome of the patient was not reported. Upon internal review, being in a wheelchair was considered to be disabling. This is one of several reports from the same source. Additional information has been requested.11/23/2009 PCP records 7/23 and 5/30/2008, patient with c/o's facial numbness. rt lip numbness, jaw soreness and clenching. No tx noted. no labs noted
Age: 2.0
Sex: F
Vaccine: FLU3, FLUN(H1N1), HEPA
Symptoms: Cough, Pyrexia, Rhinorrhoea
Clinical narrative: H1N1 LAIV on 10/28. Fever and cough and clear rhinorrhea 10/29.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling, Pruritus, Rash
Clinical narrative: FLU SHOT ADMINISTERED FRIDAY AFTERNOON.  SATURDAY MORNING DEVELOPED EYE SWELLING AND IN AFTERNOON DEVELOPED RASH AND ICTHING CHEST AND KNEE
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Fatigue, Nasopharyngitis, Nausea, Pain
Clinical narrative: Started with weakness and fatigue that evening. 10/31 cold and low grade fever in the morning. by evening, fever 102.4. 11/01 body aches, nausea, fever 102.6. 11/02- 11/04 nausea, milder body ache, low grade fever, vomiting, fatigue
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: Started with weakness and fatigue that evening. 10/31 cold and low grade fever in the morning. by evening, fever 102.4. 11/01 body aches, nausea, fever 102.6. 11/02- 11/04 nausea, milder body ache, low grade fever, vomiting, fatigue
Age: 14.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Abasia, Asthenia, Chest pain, Condition aggravated, Crying
Clinical narrative: APPROXIMATELY 20 MINUTES AFTER RECEIVING VACCINE PATIENT COMPLAINING OF CHEST PAIN WITH DIFFICULTY BREATHING V/S 148-96 R20 P82 CLEAR BREATH SOUNDS ON AUSCULTATION ANTERIOR AND POSTERIOR AND RASH COMPLAINED OF TINGLING TO BOTH HANDS.  HAD PATIENT BREATHE IN PAPER BAG WITHOUT RELIEF.  CLIENT STATES CP TOO BAD TO AMBULATE.  EMS CALLED AND PATIENT TRANSFERRED TO LOCAL HOSPITAL.  PATIENT RELEASED SAME DAY FROM ER DX: PLEURISY.  11/4/08 PUBLIC HEALTH OFFICE HAD FLU CLINIC ON THIS DATE.  INFLUENZA AND MCV4 WAS PROVIDED.  PATIENT 14/8 RECEIVED INFLUENZA INJECTION TO L DELTOID AND MCV4 TO R DELTOID.  HE THEN WENT BACK TO HIS CLASSROOM.  APPROX. 20-30 MIN LATER HE CAME BACK TO C/O BURNING SUBSTERNAL CHEST PAIN AND DIFFICULTY BREATHING.  VS: 148-96 P82 R20, CLEAR BREATH SOUNDS ANTERIORLY/POSTERIORLY NO RALES, WHEEZING, RHONCHI, NO RASH.  DURING ASSESSMENT CLIENT BEGAN COMPLAINING OF NUMBNESS/TINGLING TO BOTH HAND AND FINGER.  TRIED TO GET CLIENT TO BREATHE IN BROWN PAPER BAG.  HE BEGAN TO CRY SAYING CP WAS INCREASING.  A MALE EMPLOYEE AND I TRIED TO HELP HIM TO A VEHICLE TO BE TRANSPORTED FOR EXAM BUT CLIENT STATED HE WAS TOO WEAK TO WALK SO EMS WAS NOTIFIED.  WHILE WAITING FOR EMS ARRIVAL, V/S RETAKEN BP 152/92 P90 R20 BREATHING SOUNDS REMAINED CLEAR, NO RASH NOTED TO INCREASE ABD/BACK, NOTED R HAND BEGAN TO CONTRACT AND CLIENT CONTINED TO CRY.  STAFF UNABLE TO COMFORT CLIENT.  EMS ARRIVED AT SCENE, CLIENT WAS TRANSPORTED TO ER FOR ASSESSMENT.  RECEIVED REPORT AT APPROXIMATELY 4 PM THAT CLIENT WAS RELEASED WITH WITHOUT MEDS AND DX: PLEURISY.
Age: 14.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Dyskinesia, Dyspnoea, Emotional distress, Hypoaesthesia, Paraesthesia
Clinical narrative: APPROXIMATELY 20 MINUTES AFTER RECEIVING VACCINE PATIENT COMPLAINING OF CHEST PAIN WITH DIFFICULTY BREATHING V/S 148-96 R20 P82 CLEAR BREATH SOUNDS ON AUSCULTATION ANTERIOR AND POSTERIOR AND RASH COMPLAINED OF TINGLING TO BOTH HANDS.  HAD PATIENT BREATHE IN PAPER BAG WITHOUT RELIEF.  CLIENT STATES CP TOO BAD TO AMBULATE.  EMS CALLED AND PATIENT TRANSFERRED TO LOCAL HOSPITAL.  PATIENT RELEASED SAME DAY FROM ER DX: PLEURISY.  11/4/08 PUBLIC HEALTH OFFICE HAD FLU CLINIC ON THIS DATE.  INFLUENZA AND MCV4 WAS PROVIDED.  PATIENT 14/8 RECEIVED INFLUENZA INJECTION TO L DELTOID AND MCV4 TO R DELTOID.  HE THEN WENT BACK TO HIS CLASSROOM.  APPROX. 20-30 MIN LATER HE CAME BACK TO C/O BURNING SUBSTERNAL CHEST PAIN AND DIFFICULTY BREATHING.  VS: 148-96 P82 R20, CLEAR BREATH SOUNDS ANTERIORLY/POSTERIORLY NO RALES, WHEEZING, RHONCHI, NO RASH.  DURING ASSESSMENT CLIENT BEGAN COMPLAINING OF NUMBNESS/TINGLING TO BOTH HAND AND FINGER.  TRIED TO GET CLIENT TO BREATHE IN BROWN PAPER BAG.  HE BEGAN TO CRY SAYING CP WAS INCREASING.  A MALE EMPLOYEE AND I TRIED TO HELP HIM TO A VEHICLE TO BE TRANSPORTED FOR EXAM BUT CLIENT STATED HE WAS TOO WEAK TO WALK SO EMS WAS NOTIFIED.  WHILE WAITING FOR EMS ARRIVAL, V/S RETAKEN BP 152/92 P90 R20 BREATHING SOUNDS REMAINED CLEAR, NO RASH NOTED TO INCREASE ABD/BACK, NOTED R HAND BEGAN TO CONTRACT AND CLIENT CONTINED TO CRY.  STAFF UNABLE TO COMFORT CLIENT.  EMS ARRIVED AT SCENE, CLIENT WAS TRANSPORTED TO ER FOR ASSESSMENT.  RECEIVED REPORT AT APPROXIMATELY 4 PM THAT CLIENT WAS RELEASED WITH WITHOUT MEDS AND DX: PLEURISY.
Age: 14.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Pleurisy, Rash
Clinical narrative: APPROXIMATELY 20 MINUTES AFTER RECEIVING VACCINE PATIENT COMPLAINING OF CHEST PAIN WITH DIFFICULTY BREATHING V/S 148-96 R20 P82 CLEAR BREATH SOUNDS ON AUSCULTATION ANTERIOR AND POSTERIOR AND RASH COMPLAINED OF TINGLING TO BOTH HANDS.  HAD PATIENT BREATHE IN PAPER BAG WITHOUT RELIEF.  CLIENT STATES CP TOO BAD TO AMBULATE.  EMS CALLED AND PATIENT TRANSFERRED TO LOCAL HOSPITAL.  PATIENT RELEASED SAME DAY FROM ER DX: PLEURISY.  11/4/08 PUBLIC HEALTH OFFICE HAD FLU CLINIC ON THIS DATE.  INFLUENZA AND MCV4 WAS PROVIDED.  PATIENT 14/8 RECEIVED INFLUENZA INJECTION TO L DELTOID AND MCV4 TO R DELTOID.  HE THEN WENT BACK TO HIS CLASSROOM.  APPROX. 20-30 MIN LATER HE CAME BACK TO C/O BURNING SUBSTERNAL CHEST PAIN AND DIFFICULTY BREATHING.  VS: 148-96 P82 R20, CLEAR BREATH SOUNDS ANTERIORLY/POSTERIORLY NO RALES, WHEEZING, RHONCHI, NO RASH.  DURING ASSESSMENT CLIENT BEGAN COMPLAINING OF NUMBNESS/TINGLING TO BOTH HAND AND FINGER.  TRIED TO GET CLIENT TO BREATHE IN BROWN PAPER BAG.  HE BEGAN TO CRY SAYING CP WAS INCREASING.  A MALE EMPLOYEE AND I TRIED TO HELP HIM TO A VEHICLE TO BE TRANSPORTED FOR EXAM BUT CLIENT STATED HE WAS TOO WEAK TO WALK SO EMS WAS NOTIFIED.  WHILE WAITING FOR EMS ARRIVAL, V/S RETAKEN BP 152/92 P90 R20 BREATHING SOUNDS REMAINED CLEAR, NO RASH NOTED TO INCREASE ABD/BACK, NOTED R HAND BEGAN TO CONTRACT AND CLIENT CONTINED TO CRY.  STAFF UNABLE TO COMFORT CLIENT.  EMS ARRIVED AT SCENE, CLIENT WAS TRANSPORTED TO ER FOR ASSESSMENT.  RECEIVED REPORT AT APPROXIMATELY 4 PM THAT CLIENT WAS RELEASED WITH WITHOUT MEDS AND DX: PLEURISY.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Nasal congestion, Pregnancy, Upper respiratory tract infection, Wheezing
Clinical narrative: Patient received the H1N1 nasal spray on 10/23/09 and is pregnant. She developed an upper respiratory infection on 10/31/2009. No fever. Has nasal congestion, cough and some wheezing.
Age: 0.5
Sex: M
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Baby received seasonal Fluzone for 36 mo. and older instead of flu vaccine for 6mo. to 36 mo.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Chest discomfort, Constipation, Cough, Fatigue
Clinical narrative: woke up with severe legs cramps, pain in all joints in body, fever of 101.8, sore throat, later had nausea, cough, chest heaviness,extreme fatigue, hot and cold, sweats, constipation
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling cold, Feeling hot, Hyperhidrosis, Muscle spasms, Nausea
Clinical narrative: woke up with severe legs cramps, pain in all joints in body, fever of 101.8, sore throat, later had nausea, cough, chest heaviness,extreme fatigue, hot and cold, sweats, constipation
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: woke up with severe legs cramps, pain in all joints in body, fever of 101.8, sore throat, later had nausea, cough, chest heaviness,extreme fatigue, hot and cold, sweats, constipation
Age: 58.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Facial pain, Local swelling, Neck pain, Swelling face
Clinical narrative: Swelling and pain on the left jaw and neck areas. Motrin taken for pain.