chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Chills, Dyspnoea, Hyperhidrosis, Loss of consciousness
Clinical narrative: States driving home 4:30 PM, began to feel tickle in throat.  Further he drove, became worse and began having difficult breathing (he did stop to vote).  Had chills , shaky, temp 103 degrees.  Called PMD--advised to take Tylenol/ibuprofen q 2 hours.  When fever broke, increased sweats.  Went to door to get fresh air and passed out (BP 85/60--wife is RN)  No appetite.  Stayed home next day and felt fine.  Returned to work 11/6/2008 with no problems.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Throat irritation, Tremor
Clinical narrative: States driving home 4:30 PM, began to feel tickle in throat.  Further he drove, became worse and began having difficult breathing (he did stop to vote).  Had chills , shaky, temp 103 degrees.  Called PMD--advised to take Tylenol/ibuprofen q 2 hours.  When fever broke, increased sweats.  Went to door to get fresh air and passed out (BP 85/60--wife is RN)  No appetite.  Stayed home next day and felt fine.  Returned to work 11/6/2008 with no problems.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count normal, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received flu shot on 11/06/08.  The next day (11/07/08) around 11 am, left arm was hot, red, painful and swollen to 1 inch above elbow. Saw dr around  1 pm and was placed on antibiotics, Benedryl and Tylenol.  On 11/08/08 swelling spread into the chest area and down past the elbow of left arm. Area was hot, red and painful.  Saw Dr.at 11 am on 11/08/08. Placed on steroid medication.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Hypoaesthesia, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Pt admitted 11-10 with generalized weakness and numbness to entire body and extremities. MRI , neurology consultation 11/24/08-records received for DOS 11/10-11/14/08-DC DX: Paresthesia. Hiccup. Generalized numbness involved arms, legs, chest and abdomen began on 11/7/08-Weak feeling barely able to weight bear. Unable to urinate or defecate without pushing hard. Seen on 11/8/08 for viral illness. At time of discharge able to move bowels but bladder weakness remains.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Central nervous system lesion, Multiple sclerosis, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: MULTIPLE SCLEROSIS-FLU VACCINE IN JANUARY, AND CAME DOWN WITH MS IN MARCH-HIT ME RUNNING WENT STRAIGHT TO PROGRESSIVE-
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient developed hives several hours after receiving flu vaccine which persisted for 30 hours and subsequently resolved.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: NONE
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: NONE
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hypersensitivity, Injection site erythema, Injection site haematoma, Injection site pain
Clinical narrative: On 10 Nov 08, pt administered flu vaccine administered in right arm.  Mother states was more painful than usual.  Noted rash/bruise around injection area.  last night noted redness & vein distention in triceps region. - SOB. Assessed by NP Dykstra; allergic reaction; given benadryl
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Vasodilatation
Clinical narrative: On 10 Nov 08, pt administered flu vaccine administered in right arm.  Mother states was more painful than usual.  Noted rash/bruise around injection area.  last night noted redness & vein distention in triceps region. - SOB. Assessed by NP Dykstra; allergic reaction; given benadryl
Age: 12.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP
Symptoms: Head injury, Loss of consciousness, Malaise, Pallor, Syncope
Clinical narrative: PATIENT WAS STANDING AT THE CHECK-OUT AREA AFTER RECEIVING IMMUNIZATIONS, AND FAINTED FALLING BACKWARDS, HITTING THE BACK OF HIS HEAD.  LOSS OF CONSCIOUSNESS WAS ESTIMATED AT APPROXIMATELY 10-15 SECONDS.  PATIENT WAS UNAWARE HE HAD FAINTED BUT WAS ABLE TO VERBALIZE WHERE HE WAS AND THAT HE HAD JUST RECEIVED VACCINATIONS.  HIS COLOR WAS PALE AND HE STATED HE FELT "SICK TO HIS STOMACH."  AFTER LYING FOR APPROXIMATELY 10 MINUTES, PT SAT UP.  HIS CONDITION CONTINUED TO IMPROVE, LOOKING MORE AWARE,REGAINING HIS NORMAL COLOR, AND BECOMING MORE VERBAL.  AFTER APPROX 10 MINUTES OF SITTING, PT WAS HELPED TO A STANDING POSITION.  ALMOST IMMEDIATELY, THE PT STATED HE AGAIN BEGAN TO FEEL FAINT AND COLOR AGAIN APPEARED PALE. HE WAS HELPED TO A LYING POSITION, AND VITAL SIGNS WERE CHECKED.  ALL VS WERE WITHIN NORMAL LIMITS. PT HAD NO C/O HEADACHE, NO VOMITING, NO HEAD LACERATION, NO SEIZURE ACTIVITY, NO C/O NECK OR BACK PAIN, AND VS REMAINED WNL.  DUE TO PROLONGED RECOVERY AFTER FAINTING AND RISK OF CLOSED HEAD INJURY SECONDARY TO FALL, PARAMEDICS WERE CALLED.  PT WAS ULTIMATELY TRANSPORTED TO HOSPITAL FOR FURTHER EVALUATION.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Wheezing
Clinical narrative: Pt has been coughing and wheezing since the day after she got her flu mist.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PPV
Symptoms: Intensive care, Pyrexia
Clinical narrative: Patient had an appointment to get immunized by Dr. for the first time.  A total of six shots were administered to patient on 09/08/2008.  After approximately two weeks patient was taken to her family doctor and diagnosed with pneumonia.  She was hospitalized for 4 days. Ater two days of being released she had a relapse. She was taken to back to the Hospital and immediately put into ICU.  She stayed in ICU for about 3 days. She was then allowed to move to a private room.  She was diagnosed with a bad lung infection by her pediatrician that admitted.  She was leased within 2 days after coming out of ICU.  On November 4th patient developed a high fever(104) and was taken to her family doctor because i(mom) was out of town at the moment.  She was again put on Antibiotics and is still on that medication.  She was scheduled to return to her pediatrician on 11/07/08 to follow up on six more shots.  The school nurse then put her out of school because she's not up to date on her shots. She now has an appointment on 11/13/08.  i am very concerned about her taking so many shots in so little time. Her immune system is so low that she can't stay well enough to stay in school for at least a week. Now they want to give her more shots. I don't feel comfortable with that and i will try to fight it off as much as i can.  I don't want to gamble with my child's life just so she can catch up with her shots and stay in school.  I'll home school her if i have to.  I almost lost her once, i don't want her to be put in that situation again. 1/20/09-records received for DOS 10/6/10/908-DC DX: Respiratory distress, resolved. Hypoxia, resolved. Reactive airway disease. Vomiting, resolved. Dehydration, resolved.  Day prior to admission developed difficulty breathing, shortness of breath, vomiting, lethargy with fever of 104.
Age: 31.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Influenza like illness, Nausea, No reaction on previous exposure to drug
Clinical narrative: Pt given two vaccine in Left arm on 11/10/2008. Has received flu vaccine yearly for last 9 years without reaction. At this time, Also received pnemovax vaccine. Within 24 hours, red, raised area to arm with flu like symptoms consisting of fever, chills, nausea and body aches.
Age: 31.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain, Pyrexia
Clinical narrative: Pt given two vaccine in Left arm on 11/10/2008. Has received flu vaccine yearly for last 9 years without reaction. At this time, Also received pnemovax vaccine. Within 24 hours, red, raised area to arm with flu like symptoms consisting of fever, chills, nausea and body aches.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Malaise, Pain, Pain in extremity
Clinical narrative: Severe malaise, body aches, joint pain, extremely sore arm, but no fever or redness
Age: 1.01
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Blood test, Cognitive disorder, Crying, Muscle twitching
Clinical narrative: Uncontrollable crying 3 days after.  No recognition of parents.  New arm twitch shoulder raises to cheek uncontrollably.
Age: 1.42
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Convulsion, Erythema, Pyrexia, Rash papular
Clinical narrative: Seizure, high fever, red papular rash consistant with MMR rash
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Zostavax administered subcutaneously, back of right arm on 10/28/08. (Needle was changed between drawing up and administering.)Pt returned to clinic 10/31/08 to show a local reaction of mild erythema on the back of R arm extending from elbow almost to wrist measuring 22cm L x 12cm width. A raised red area of induration at site measured 5cm L x 7cm W. The area of induration was warm to touch. Pt stated the erythema was better than it had been the day prior.  Pt had been hot-packing, and advised to take Ibuprofen per her friend that was a nurse.  Pt afebrile - no oozing from site. Advised pt to see her MD if area did not cont to improve, if increased pain or if began to run a fever. Called the pt 11/5/08: She stated area of erythema completely resolved except one tiny area of induration left at site. Symptoms never became worse, so did not seek medical attention with her primary care MD
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Myalgia, Pain, Pain in extremity
Clinical narrative: I had my flu shot on October 6, 2008.  We held an onsite flu clinic for all staff.  Five weeks later I still have pain in my arm.  It hurts when I reach up or lay on the arm.  The pain is a shooting or jabbing pain.  On a scale of 1  5, it is a 3 (last week it was a 5).  The shot site has no redness or swelling.  Basically I am experiencing muscle pain.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Insomnia, Night sweats, Pollakiuria
Clinical narrative: received vaccination at 6 pm. At 10 pm chills, fever, night sweats, frequent urination (hourly), shortness of breath (severe), no sleep. Sleep about 4 am until 8:30 am.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: received vaccination at 6 pm. At 10 pm chills, fever, night sweats, frequent urination (hourly), shortness of breath (severe), no sleep. Sleep about 4 am until 8:30 am.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLUN3, HPV4, UNK
Symptoms: Fall, Immediate post-injection reaction, Mouth injury, Syncope, Tooth injury
Clinical narrative: Patient was given Gardasil, Influenza Vac and PPD. Few minutes after the injections patient fainted and fell to the floor. Mother and the medical assistant were in room. Patient sustained a laceration to her left upper lip and her one incisor broke. Patient needed treatment for laceration at the emergency room after she was transported by paramedics. She also required dental treatment. Full dental treatment has not been done yet. She has seen the dentist, she had xrays. She needs a crown, a root canal in the affected tooth. 12/11/08-records received for DOS 10/28/08-immediately after receipt of vaccine fainted, fell and broke her upper lip and front left incisor. Fainting a second time. Seen in ED. 12/17/08-ER records received for DOS 10/28/08-syncope-lip laceration. loose teeth.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLUN3, HPV4, UNK
Symptoms: X-ray
Clinical narrative: Patient was given Gardasil, Influenza Vac and PPD. Few minutes after the injections patient fainted and fell to the floor. Mother and the medical assistant were in room. Patient sustained a laceration to her left upper lip and her one incisor broke. Patient needed treatment for laceration at the emergency room after she was transported by paramedics. She also required dental treatment. Full dental treatment has not been done yet. She has seen the dentist, she had xrays. She needs a crown, a root canal in the affected tooth. 12/11/08-records received for DOS 10/28/08-immediately after receipt of vaccine fainted, fell and broke her upper lip and front left incisor. Fainting a second time. Seen in ED. 12/17/08-ER records received for DOS 10/28/08-syncope-lip laceration. loose teeth.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLUN3, HPV4, UNK
Symptoms: Fall, Loss of consciousness, Oxygen supplementation, Suture insertion, Syncope
Clinical narrative: Patient was given Gardasil, Influenza Vac and PPD. Few minutes after the injections patient fainted and fell to the floor. Mother and the medical assistant were in room. Patient sustained a laceration to her left upper lip and her one incisor broke. Patient needed treatment for laceration at the emergency room after she was transported by paramedics. She also required dental treatment. Full dental treatment has not been done yet. She has seen the dentist, she had xrays. She needs a crown, a root canal in the affected tooth. 12/11/08-records received for DOS 10/28/08-immediately after receipt of vaccine fainted, fell and broke her upper lip and front left incisor. Fainting a second time. Seen in ED. 12/17/08-ER records received for DOS 10/28/08-syncope-lip laceration. loose teeth.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLUN3, HPV4, UNK
Symptoms: Tooth injury
Clinical narrative: Patient was given Gardasil, Influenza Vac and PPD. Few minutes after the injections patient fainted and fell to the floor. Mother and the medical assistant were in room. Patient sustained a laceration to her left upper lip and her one incisor broke. Patient needed treatment for laceration at the emergency room after she was transported by paramedics. She also required dental treatment. Full dental treatment has not been done yet. She has seen the dentist, she had xrays. She needs a crown, a root canal in the affected tooth. 12/11/08-records received for DOS 10/28/08-immediately after receipt of vaccine fainted, fell and broke her upper lip and front left incisor. Fainting a second time. Seen in ED. 12/17/08-ER records received for DOS 10/28/08-syncope-lip laceration. loose teeth.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Incorrect dose administered
Clinical narrative: NONE
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: NONE
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: NONE
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: ADMINISTERED ADULT ONLY
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eye irritation, Eye pruritus, Hypersensitivity, Throat tightness
Clinical narrative: Patient states her eyes started itching and burning at approx. 10:30 a.m., 2 1/2 hours after flu shot was administered.  At 11:00 a.m., at the start of her lunch, she reported her throat tightening and was having trouble breathing. 911 was called and she was taken to ER.  The ER doctor dismissed the allergic reaction being caused by the flu vaccine.  However, the next day, patient was seen by her primary doctor and he told her the reaction was caused by the flu vaccine and told her to not receive the vaccine in the future. She reports her lunch was familiar foods and that she did not eat anything unusual. 11/13/08-records received for DOS 11/6/08-presented to PCP office day after vaccine and visit to ED. Two hours after receiving flu shot tongue was swelling and C/O SOB. Seen in ED examined and no treatment rendered. PE in PCP office normal. Assessment: Flu shot reaction.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Erythema, Inflammation, Pain, Rhinorrhoea
Clinical narrative: red, inflamed area under nose; painful reaction to runny nose.
Age: 1.1
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site haematoma
Clinical narrative: My daughter was talking until she recieved her 12 months shot then she stopped. She also had a great big bruise where the shot was giving, it was there for months. There is still a little discoloriation where that spot was.  2/17/09 Received PCP vaccine records & medical records of 4/16/08-1/23/2009 FINAL DX: autistic disorder; eczema; developmental speech disorder Records reveal patient in good health on 4/16/08.  RTC 9/22/08 to discuss speech loss & hearing concerns x approx 4-6 mo.  Referred for speech/hearing eval. & if found wnl to refer for autism eval.  Seen in ER & PCP office 9/26 for viral gastroenteritis.  RTC 10/20 & referred to developmental clinic for likely autism. RTC 12/22/08 for AOM, URI.  RTC 1/23/09 for new onset eczema x 1 mo.  4/28/09 Received Behavioral Clinic medical records of 11/13/08-2/14/2009. FINAL DX: autism spectrum disorder; mixed expressive-receptive language disorder; developmental delays.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Muscular weakness, Myelitis, Nerve conduction studies abnormal, Neurological examination abnormal
Clinical narrative: myelitis, left leg numbness and weakness, started 9 days after influenza vaccination.  Syndrome confirmed by neurologist and neurosurgeon.  Treatment: Steroids
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging abnormal
Clinical narrative: myelitis, left leg numbness and weakness, started 9 days after influenza vaccination.  Syndrome confirmed by neurologist and neurosurgeon.  Treatment: Steroids
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Immediate post-injection reaction, Injection site discolouration, Joint range of motion decreased, Musculoskeletal pain, Neck pain
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of radiating pain in arm in a 46-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). The subject's medical history included hypertension. Concurrent medical conditions included latex allergy. On 12 August 2008 at 15:00 the subject received 1st dose of ENGERIX B at 20 mcg in the right arm. On 12 August 2008, immediately after vaccination with ENGERIX B, the subject experienced pain in her arm that radiated up to her shoulder and neck. This pain resulted in a less than 30 percent range of motion in the arm that received the vaccine also with an onset of 12 August 2008. The following day, on 13 August 2008, the subject developed injection site discoloration (black and blue mark at injection site) which resolved on an unknown date. The subject additionally developed a facial rash on an unspecified date for which she has seen two dermatologist, but not her primary care physician. The rash was reported as resolved with no date provided. The radiating pain and decreased range of motion were reportedly worse at the time of reporting. The healthcare professional considered the events were disabling.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Pain in extremity, Rash
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of radiating pain in arm in a 46-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). The subject's medical history included hypertension. Concurrent medical conditions included latex allergy. On 12 August 2008 at 15:00 the subject received 1st dose of ENGERIX B at 20 mcg in the right arm. On 12 August 2008, immediately after vaccination with ENGERIX B, the subject experienced pain in her arm that radiated up to her shoulder and neck. This pain resulted in a less than 30 percent range of motion in the arm that received the vaccine also with an onset of 12 August 2008. The following day, on 13 August 2008, the subject developed injection site discoloration (black and blue mark at injection site) which resolved on an unknown date. The subject additionally developed a facial rash on an unspecified date for which she has seen two dermatologist, but not her primary care physician. The rash was reported as resolved with no date provided. The radiating pain and decreased range of motion were reportedly worse at the time of reporting. The healthcare professional considered the events were disabling.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Condition aggravated, Immediate post-injection reaction, Injection site erythema, Injection site pain
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of injection site redness in a 60-year-old female subject who was vaccinated with INFLUENZA vaccine (manufacturer unspecified) and FLULAVAL (GlaxoSmithKline).  Concurrent medical conditions included lactose intolerance and neck pain.  Concurrent medications included SYNTHROID.  In early October 2008, on a day around 09:00 or 10:00, the subject received a dose of FLULAVAL at 0.5 ml in the left arm.  Immediately after vaccination with FLULAVAL, the subject experienced injection site pain that radiated down her arm to her wrist.  As a result of the pain, the subject also had difficulty sleeping and was unable to knit.  The subject also experienced neck pain exacerbation.  The healthcare professional considered the events were disabling.  At the time of reporting the events were worse with the exception of pain radiating down the arm for which the outcome was not specified.  The healthcare professional considered the events were possibly related to vaccination with FLULAVAL, again with the exception of pain radiating down the arm which was not specified.  It was additionally mentioned that the subject experience injection site redness and injection site swelling following an unknown flu vaccination two years prior (2006).  The outcome of the events was not reported.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Insomnia, Neck pain, Pain, Pain in extremity
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of injection site redness in a 60-year-old female subject who was vaccinated with INFLUENZA vaccine (manufacturer unspecified) and FLULAVAL (GlaxoSmithKline).  Concurrent medical conditions included lactose intolerance and neck pain.  Concurrent medications included SYNTHROID.  In early October 2008, on a day around 09:00 or 10:00, the subject received a dose of FLULAVAL at 0.5 ml in the left arm.  Immediately after vaccination with FLULAVAL, the subject experienced injection site pain that radiated down her arm to her wrist.  As a result of the pain, the subject also had difficulty sleeping and was unable to knit.  The subject also experienced neck pain exacerbation.  The healthcare professional considered the events were disabling.  At the time of reporting the events were worse with the exception of pain radiating down the arm for which the outcome was not specified.  The healthcare professional considered the events were possibly related to vaccination with FLULAVAL, again with the exception of pain radiating down the arm which was not specified.  It was additionally mentioned that the subject experience injection site redness and injection site swelling following an unknown flu vaccination two years prior (2006).  The outcome of the events was not reported.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Agitation, Condition aggravated, Dyskinesia, Hypotonia, Repetitive speech
Clinical narrative: A serious spontaneous important medical event of autistic type symptoms has been received from a consumer concerning a seven-year old male. The patient had a medical history of autism; no concomitant medications were provided. On 16-Oct-2008, the patient received a dose of FLUMIST. On 17-Oct-2008, the patient experienced autistic type symptoms (arms flopping, repeated vocal sounds, more than normal agitation, and unusual movement of his head and neck) one day after receiving FLUMIST. Per the mother, these symptoms have been present for the last two weeks and there was an unsuccessful attempt to reach the patient's physician. Outcome for the events was not provided by the reporter. The reporter thinks that "FLUMIST might be the cause of these symptoms".  The following information was received for this case: 1) Pt's date of birth is May 5, 2001. 2) Lot number is not available. This information was submitted on Nov 21, 2008.
Age: 17.0
Sex: M
Vaccine: FLUN3
Symptoms: Chest tube insertion, Collapse of lung, Pneumothorax
Clinical narrative: 45 hours after receiving the vaccine, my son had a lung collapse while sitting in class. He was sent by ambulance to hospital where he was diagnosed with a spontaneous pneumothorax. He had a chest tube inserted. After 7 days, without healing, he was sent to another hospital.  5/11/09-Medical records received for DOS 11/3/08 to 11/7/09. FINAL DIAGNOSIS: Resolved Pneumothorax Transferred to this hospital, after stepping on chest tube, for definitive management of persistant pneumothorax.  Air leak. Decreased breath sounds on right, chest pain. Fever, tachycardia.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Blood immunoglobulin G increased, Chest X-ray, Hypoaesthesia, Neuromyelitis optica
Clinical narrative: 12/06-1/12/07 abdominal pain, nausea, vomiting. 1/15/07 upper GI. 3/15/07 GARDASIL #1. 3/20/07 unknown rash. 5/7/07 GARDASIL #2. 5/26/07 unknown rash. 9/14/07 GARDASIL #3. 9/24/07 unknown rash. 11/27/07 unknown rash. 2/20/08 ATTACK...left optic neuropathy, treated with prednisone over several days. Test positive for NMO IgG. 2/28/08 MRI Brain scan to determine damage to optic nerve. 3/1/08-5/18/08 prednisone treatment plan. 3/27/08 diagnosis of NMO from clinic. Discussed treatment with RITIXIMAB. 4/10/08 MRI thoracic spine, lesion discovered. 4/14/08 chest x ray. 5/16/08 leg pain, numbness. 5/20/08 hospital visit confirm diagnosis of NMO. 6/15/08-6/17/08 ATTACK...back pain/numbness in right leg/stomach numbness. 6/18/08 MRI thoracic spinal lesion confirmed. 6/18-6/22 Infusion SOLU-MEDROL 1000 mg (home). 6/22/08 ATTACK..back pain/numbness right leg/stomach numbness. 6/23/08-8/9/08 MEDROL tablet started. 7/14/08 MRI thoracic (follow up). 7/16 Infusion SOLU-MEDROL 1000 mg (hospital). 7/30/08 Infusion SOLU-MEDROL 1000 mg (hospital). 8/20/08 back pain. 8/20/08 MRI thoracic lesion noted. 10/3/08 back pain. 10/6/08 ATTACK...back pain. 10/7/08 back pain. 10/7/08-10/11/08 Infusion SOLU-MEDROL 1000mg (hospital). 10/27/08 mild back pain. 10/27/08 Infusion SOLU-MEDROL 1000mg (home). The medical team's initial evaluation, at this time, leads them to believe than the GARDASIL vaccine was the "trigger" that caused the NMO to surface. 11/24/08-records received-Neurology consult 6/20/08-3-5 episodes nausea and vomiting December 2006, symptoms resolved. Rashes after 3 Gardasil vaccinations. In February while on vacation in Mexico developed pain and decreased vision in left eye. MRI demonstrated enhancing lesion in left optic nerve, neuraxis. DX neuromyelitis optica. Three weeks ago intermittent episodes low back pain and hospitalized for severe impaction. Now C/O recurrence of back pain and numbness below waist. C/O numbness in both lower extremities left greater than right.  1/28/2010 Diagnosed with Neuromyelitis Optica (NMO) and continues to have attacks which leave spinal lesions in place. On combination of drugs to mitigate attacks.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging thoracic abnormal, Optic neuropathy, Pain in extremity
Clinical narrative: 12/06-1/12/07 abdominal pain, nausea, vomiting. 1/15/07 upper GI. 3/15/07 GARDASIL #1. 3/20/07 unknown rash. 5/7/07 GARDASIL #2. 5/26/07 unknown rash. 9/14/07 GARDASIL #3. 9/24/07 unknown rash. 11/27/07 unknown rash. 2/20/08 ATTACK...left optic neuropathy, treated with prednisone over several days. Test positive for NMO IgG. 2/28/08 MRI Brain scan to determine damage to optic nerve. 3/1/08-5/18/08 prednisone treatment plan. 3/27/08 diagnosis of NMO from clinic. Discussed treatment with RITIXIMAB. 4/10/08 MRI thoracic spine, lesion discovered. 4/14/08 chest x ray. 5/16/08 leg pain, numbness. 5/20/08 hospital visit confirm diagnosis of NMO. 6/15/08-6/17/08 ATTACK...back pain/numbness in right leg/stomach numbness. 6/18/08 MRI thoracic spinal lesion confirmed. 6/18-6/22 Infusion SOLU-MEDROL 1000 mg (home). 6/22/08 ATTACK..back pain/numbness right leg/stomach numbness. 6/23/08-8/9/08 MEDROL tablet started. 7/14/08 MRI thoracic (follow up). 7/16 Infusion SOLU-MEDROL 1000 mg (hospital). 7/30/08 Infusion SOLU-MEDROL 1000 mg (hospital). 8/20/08 back pain. 8/20/08 MRI thoracic lesion noted. 10/3/08 back pain. 10/6/08 ATTACK...back pain. 10/7/08 back pain. 10/7/08-10/11/08 Infusion SOLU-MEDROL 1000mg (hospital). 10/27/08 mild back pain. 10/27/08 Infusion SOLU-MEDROL 1000mg (home). The medical team's initial evaluation, at this time, leads them to believe than the GARDASIL vaccine was the "trigger" that caused the NMO to surface. 11/24/08-records received-Neurology consult 6/20/08-3-5 episodes nausea and vomiting December 2006, symptoms resolved. Rashes after 3 Gardasil vaccinations. In February while on vacation in Mexico developed pain and decreased vision in left eye. MRI demonstrated enhancing lesion in left optic nerve, neuraxis. DX neuromyelitis optica. Three weeks ago intermittent episodes low back pain and hospitalized for severe impaction. Now C/O recurrence of back pain and numbness below waist. C/O numbness in both lower extremities left greater than right.  1/28/2010 Diagnosed with Neuromyelitis Optica (NMO) and continues to have attacks which leave spinal lesions in place. On combination of drugs to mitigate attacks.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Spinal disorder
Clinical narrative: 12/06-1/12/07 abdominal pain, nausea, vomiting. 1/15/07 upper GI. 3/15/07 GARDASIL #1. 3/20/07 unknown rash. 5/7/07 GARDASIL #2. 5/26/07 unknown rash. 9/14/07 GARDASIL #3. 9/24/07 unknown rash. 11/27/07 unknown rash. 2/20/08 ATTACK...left optic neuropathy, treated with prednisone over several days. Test positive for NMO IgG. 2/28/08 MRI Brain scan to determine damage to optic nerve. 3/1/08-5/18/08 prednisone treatment plan. 3/27/08 diagnosis of NMO from clinic. Discussed treatment with RITIXIMAB. 4/10/08 MRI thoracic spine, lesion discovered. 4/14/08 chest x ray. 5/16/08 leg pain, numbness. 5/20/08 hospital visit confirm diagnosis of NMO. 6/15/08-6/17/08 ATTACK...back pain/numbness in right leg/stomach numbness. 6/18/08 MRI thoracic spinal lesion confirmed. 6/18-6/22 Infusion SOLU-MEDROL 1000 mg (home). 6/22/08 ATTACK..back pain/numbness right leg/stomach numbness. 6/23/08-8/9/08 MEDROL tablet started. 7/14/08 MRI thoracic (follow up). 7/16 Infusion SOLU-MEDROL 1000 mg (hospital). 7/30/08 Infusion SOLU-MEDROL 1000 mg (hospital). 8/20/08 back pain. 8/20/08 MRI thoracic lesion noted. 10/3/08 back pain. 10/6/08 ATTACK...back pain. 10/7/08 back pain. 10/7/08-10/11/08 Infusion SOLU-MEDROL 1000mg (hospital). 10/27/08 mild back pain. 10/27/08 Infusion SOLU-MEDROL 1000mg (home). The medical team's initial evaluation, at this time, leads them to believe than the GARDASIL vaccine was the "trigger" that caused the NMO to surface. 11/24/08-records received-Neurology consult 6/20/08-3-5 episodes nausea and vomiting December 2006, symptoms resolved. Rashes after 3 Gardasil vaccinations. In February while on vacation in Mexico developed pain and decreased vision in left eye. MRI demonstrated enhancing lesion in left optic nerve, neuraxis. DX neuromyelitis optica. Three weeks ago intermittent episodes low back pain and hospitalized for severe impaction. Now C/O recurrence of back pain and numbness below waist. C/O numbness in both lower extremities left greater than right.  1/28/2010 Diagnosed with Neuromyelitis Optica (NMO) and continues to have attacks which leave spinal lesions in place. On combination of drugs to mitigate attacks.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Convulsion, Pyrexia
Clinical narrative: 2 seizures in 4 m/o at 9 pm and 12 midnight. No fever until about 24 hours after vaccination/seizures. Previously well: PMH not contributory. 1/13/09-records received for DOS 10/29-10/31/08 and 11/8-11/11/08-DC DX: Siezure. Status epilepticus. Fever.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Asthenia, Back pain, Chest X-ray normal, Computerised tomogram normal
Clinical narrative: Presented with severe weakness, lower back pain, and inability to ambulate to DCH ED 10/12/08. Hx stroke 1 yr. ago and has had progressive weakness since that time .  Approx. 2 weeks ago she was unable to get up, swallow, and SOB with minimal activity. Seen by neurologist who felt presentation consist with Guillain Barre Syndrome. Influenza vaccine given on 10/01/08 records received 11/17/08-for DOS 10/12-10/20/08-DC DX: Guillain-Barre syndrome. Presented with severe weakness lower back pain, unable to ambulate. PMH: stroke 1 year ago and since that time has had weakness which has been getting progressively worse, 2 weeks ago became suddenly worse to point unable to get up, unable to swallow, shortness of breath with minimal activity. Transferred. 11/24/08-records received for DOS 10/21-10/29/08-DC DX: Guillain Barre. CAD. Diabetes Mellitus Type II, HTN, hypothyroidism. Treated with IVIG.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Dyspnoea, Dysstasia, Electromyogram abnormal, Guillain-Barre syndrome
Clinical narrative: Presented with severe weakness, lower back pain, and inability to ambulate to DCH ED 10/12/08. Hx stroke 1 yr. ago and has had progressive weakness since that time .  Approx. 2 weeks ago she was unable to get up, swallow, and SOB with minimal activity. Seen by neurologist who felt presentation consist with Guillain Barre Syndrome. Influenza vaccine given on 10/01/08 records received 11/17/08-for DOS 10/12-10/20/08-DC DX: Guillain-Barre syndrome. Presented with severe weakness lower back pain, unable to ambulate. PMH: stroke 1 year ago and since that time has had weakness which has been getting progressively worse, 2 weeks ago became suddenly worse to point unable to get up, unable to swallow, shortness of breath with minimal activity. Transferred. 11/24/08-records received for DOS 10/21-10/29/08-DC DX: Guillain Barre. CAD. Diabetes Mellitus Type II, HTN, hypothyroidism. Treated with IVIG.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Scan brain
Clinical narrative: Presented with severe weakness, lower back pain, and inability to ambulate to DCH ED 10/12/08. Hx stroke 1 yr. ago and has had progressive weakness since that time .  Approx. 2 weeks ago she was unable to get up, swallow, and SOB with minimal activity. Seen by neurologist who felt presentation consist with Guillain Barre Syndrome. Influenza vaccine given on 10/01/08 records received 11/17/08-for DOS 10/12-10/20/08-DC DX: Guillain-Barre syndrome. Presented with severe weakness lower back pain, unable to ambulate. PMH: stroke 1 year ago and since that time has had weakness which has been getting progressively worse, 2 weeks ago became suddenly worse to point unable to get up, unable to swallow, shortness of breath with minimal activity. Transferred. 11/24/08-records received for DOS 10/21-10/29/08-DC DX: Guillain Barre. CAD. Diabetes Mellitus Type II, HTN, hypothyroidism. Treated with IVIG.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None stated
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Red rash, swelling, itching and soreness of right arm from injection site to above (R) elbow after PNEUMOVAX (L) administration. Pt received PNEUMOVAX injection on 10/15/08 at about 5pm. Pt developed and experienced soreness, itching and rash at 10pm that night. Reported reaction 10/17/08
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Computerised tomogram normal, Dizziness, Headache, Nausea
Clinical narrative: On 10/30 I got the flu shot on 10/31 my body was a little sore on 11/1 my head hurt so bad I could not get out of bed. I was dizzy and I was very nauseated and was vomiting. My doctor refuses to say that I was reaction to the flu shot.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Vomiting
Clinical narrative: On 10/30 I got the flu shot on 10/31 my body was a little sore on 11/1 my head hurt so bad I could not get out of bed. I was dizzy and I was very nauseated and was vomiting. My doctor refuses to say that I was reaction to the flu shot.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Headache, Pain, Rhinorrhoea
Clinical narrative: Chills, body aches, headache, temperature (101 degrees) Yellow nasal drainage
Age: 37.0
Sex: M
Vaccine: ANTH, HEPA, MEN, TYP
Symptoms: Tremor
Clinical narrative: One day post AVA # 3 he began to experience tremors in all hands.  Initially severe and intermittent and mild.  No md evaluation.  Received AVA # 4 in 2007 without increase in tremors.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Gave FLUVIRIN instead of PNEUMOVAX 23.
Age: 47.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Asthma, C-reactive protein increased, Erythema, Induration, Local swelling
Clinical narrative: 1) c/o 1/2" area red, hard, swollen, tender x 3-4 weeks 2) c/o aggravation of asthma sxs within 1-2 days of vacc.  3) c/o sxs sinusitis 4) c/o increase C-reaction protein 2 days after vaccine given.
Age: 47.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Sinusitis, Tenderness
Clinical narrative: 1) c/o 1/2" area red, hard, swollen, tender x 3-4 weeks 2) c/o aggravation of asthma sxs within 1-2 days of vacc.  3) c/o sxs sinusitis 4) c/o increase C-reaction protein 2 days after vaccine given.
Age: 0.6
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC
Symptoms: Body temperature increased, Rash, Vomiting
Clinical narrative: Temperature to 104 degrees (ax) at home <24 hrs after vaccine. vomiting lacy reticular rash on extremities.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Rash at site, itchy. Cold compresses.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Skin warm, Urticaria
Clinical narrative: (L) arm raised welt with heat and flushing down (L) arm halfway. Was given Depomedrol 80 mg IM.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Irritability, Staring
Clinical narrative: After receiving PENTACEL, PREVNAR & ROTATEQ, pt was extremely fussy, inconsolable on/off for 3-5 days with intermittent periods of blank stares.  Symptoms not routinely seen in our other patients.
Age: 13.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Mother states pt. after getting FLUMIST approx 1 hr. later starter experiencing diarrhea & vomiting, states she had the injectible flu immunization in yrs. passed & not had any s/s after injection.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site swelling, Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: Swelling @ injection site + 3 days, then decreased range of motion in shoulder joint and pain in L shoulder (aching, joint pain), not improving even with IBUPROFEN 1600mg/day
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Hypersomnia
Clinical narrative: I noticed allergy symptoms way out of control and I slept much more than usual.
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Injected limb mobility decreased, Pain in extremity
Clinical narrative: I had discomfort for 10 days.  I was unable to lift my arm for almost a week.  I am relieved to hear that others experienced the same symptoms.  The arm is still sore.  I would like to know if the shot was administered correctly or if it was the vaccine.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Headache, Musculoskeletal stiffness, Myalgia
Clinical narrative: Headache, stiff neck with myalgias - treated with Motrin.  No Kernigs/Brudinski.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Angiogram, Angiogram abnormal, Aortic stenosis, Back pain, Blood pressure increased
Clinical narrative: Diagnosed with Takayasu arteritis (rare disease). Chronic back pain 3 months after 1st vaccination. Headaches in summer 2008. Elevated B/p in June 08. 11/20/08-records received-office note 11/20/07-C/O 3 month history of mid back pain. Impression mid back strain. 10/09/08-ambulatory BP monitor-hypertension.Major component stress and anxiety. 6/24/08-C/O headaches. DX: Takayasu arteritis. Hospitalized for lower extremity edema and blotchy legs on 11/3/08. 12/31/08-records received for DOS 11/3/08-admitted after just started amlodipine with C/O ankle swelling and blotchy rash, admitted for evaluation of vaculitis. Headaches begin in June 2008 and elevated blood pressure. Eye swelling, achy legs when walking. Mild anemia with hemoglobin 10. Renal doppler showed elevated velocities but no renal artery stenosis. CT scan showed renal artery stenosis. Impression:renovascular hypertension due to bilateral renal artery stenosis,  Takayasu arteritis.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Coeliac artery stenosis, Headache, Renal artery stenosis, Subclavian artery stenosis, Takayasu's arteritis
Clinical narrative: Diagnosed with Takayasu arteritis (rare disease). Chronic back pain 3 months after 1st vaccination. Headaches in summer 2008. Elevated B/p in June 08. 11/20/08-records received-office note 11/20/07-C/O 3 month history of mid back pain. Impression mid back strain. 10/09/08-ambulatory BP monitor-hypertension.Major component stress and anxiety. 6/24/08-C/O headaches. DX: Takayasu arteritis. Hospitalized for lower extremity edema and blotchy legs on 11/3/08. 12/31/08-records received for DOS 11/3/08-admitted after just started amlodipine with C/O ankle swelling and blotchy rash, admitted for evaluation of vaculitis. Headaches begin in June 2008 and elevated blood pressure. Eye swelling, achy legs when walking. Mild anemia with hemoglobin 10. Renal doppler showed elevated velocities but no renal artery stenosis. CT scan showed renal artery stenosis. Impression:renovascular hypertension due to bilateral renal artery stenosis,  Takayasu arteritis.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Autoimmune disorder, Back pain, Eye haemorrhage, Headache, Hypertension
Clinical narrative: Diagnosed with Takayasu arteritis (rare disease). Chronic back pain 3 months after 1st vaccination. Headaches in summer 2008. Elevated B/p in June 08. 11/20/08-records received-office note 11/20/07-C/O 3 month history of mid back pain. Impression mid back strain. 10/09/08-ambulatory BP monitor-hypertension.Major component stress and anxiety. 6/24/08-C/O headaches. DX: Takayasu arteritis. Hospitalized for lower extremity edema and blotchy legs on 11/3/08. 12/31/08-records received for DOS 11/3/08-admitted after just started amlodipine with C/O ankle swelling and blotchy rash, admitted for evaluation of vaculitis. Headaches begin in June 2008 and elevated blood pressure. Eye swelling, achy legs when walking. Mild anemia with hemoglobin 10. Renal doppler showed elevated velocities but no renal artery stenosis. CT scan showed renal artery stenosis. Impression:renovascular hypertension due to bilateral renal artery stenosis,  Takayasu arteritis.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Takayasu's arteritis, Tuberculin test
Clinical narrative: Diagnosed with Takayasu arteritis (rare disease). Chronic back pain 3 months after 1st vaccination. Headaches in summer 2008. Elevated B/p in June 08. 11/20/08-records received-office note 11/20/07-C/O 3 month history of mid back pain. Impression mid back strain. 10/09/08-ambulatory BP monitor-hypertension.Major component stress and anxiety. 6/24/08-C/O headaches. DX: Takayasu arteritis. Hospitalized for lower extremity edema and blotchy legs on 11/3/08. 12/31/08-records received for DOS 11/3/08-admitted after just started amlodipine with C/O ankle swelling and blotchy rash, admitted for evaluation of vaculitis. Headaches begin in June 2008 and elevated blood pressure. Eye swelling, achy legs when walking. Mild anemia with hemoglobin 10. Renal doppler showed elevated velocities but no renal artery stenosis. CT scan showed renal artery stenosis. Impression:renovascular hypertension due to bilateral renal artery stenosis,  Takayasu arteritis.
Sex: M
Vaccine: HPVX
Symptoms: Chest pain, Troponin
Clinical narrative: Admitted to hospital telemetry unit via ambulance late in the evening of 10/29/08. Patients chief complaint: chest pain. Troponin levels normal. No further information is available at this time.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dyspnoea, Fatigue, Flushing, Ocular hyperaemia
Clinical narrative: Fatigue, weakness, body aches, shortness of breath, eyes blood shot and face flushed. Pt received shot at 10AM and came to center at 16:45. Pt Received EPI 1:1000 and IM, Benadryl 25 mg IM. Felt better then rebounded over the next hour. Received Benadryl 50mg IM x EPI 1:1000 SC solumerol 125.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Pain
Clinical narrative: Fatigue, weakness, body aches, shortness of breath, eyes blood shot and face flushed. Pt received shot at 10AM and came to center at 16:45. Pt Received EPI 1:1000 and IM, Benadryl 25 mg IM. Felt better then rebounded over the next hour. Received Benadryl 50mg IM x EPI 1:1000 SC solumerol 125.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Rash, Tremor, Vomiting
Clinical narrative: Mom states- last night subject was shaking turned blue, alert oriented, vomited and felt better, no fever-  Had flu shot rashes in the day? if it was from the shot.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchospasm, Flushing, Rash
Clinical narrative: Rash bilateral arms and feels flushed to neck, arms, chest and legs.  To ER.  Bronchospasms x 1/2 hr.  ER - IV - Solumedrol, Benadryl and Epinephrine.  Then Steroids x 4 days and Zyrtec TID, Zantac TID and Benadryl PRN.  In ER x 2 hours.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Caused hives on left arm (short site) and red rash on chest
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Asthenia, Dizziness, Hypertension, Lethargy
Clinical narrative: Client received FLULAVAL 3:42 P.M. 11/10/08. At 3:34 on 11/10/08-client reported feeling weak, lightheaded and was unable to walk, sitting on floor at hallway of store. I found client to be lethargic with generalized weakness. No angioedema, swollen lips, tongue and uvula. No urticaria or erythema. No wheezing, Lung CT. A Bilaterally.3:44pm ran b/p 170/110, pulse - 92, Resp - 20, Temp - 98.5. 911 called and Paramedics sent client to ER for evaluation at 3:47PM 11/10/2008.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Injection site rash, Malaise, Pruritus, Rash vesicular
Clinical narrative: Several (5-6) bumps (shingle like) in small area surrounding injection site- Very itchy (continues 4 days later). Does not feel well- no fever no appetite.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Bacteraemia, Injection site inflammation, Pain in extremity, Pyrexia
Clinical narrative: Started having sore R arm Friday PM.  Had fever of 104 degrees Saturday.  Went to Hospital ER 11/9 AM.  Said she had 2 IV's with antibiotics. Was informed she had; Bacteria in her Blood- Not UTI.  Is on AUGMENTIN - 11/12/08 still has 4 inch round inflamed area surrounding pneumonia injection site.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pt states that approximately 2-3 hrs after receiving PNEUMOVAX during the Monday 11/10/08 Immunization clinic, pt's could not lift R arm and R arm was "sore". Today, 11/12/08 patient states arm is "fine now"
Age: 0.7
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Wrong drug administered
Clinical narrative: Was given VAQTA instead of RECOMBIVAX HB
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Rec'd FLULAVAL on 11/7/08.  Noted on Tuesday, 11/11/08 upon awakening that she was itching, noted "whelp" on chest, back, arms, face, buttocks, thighs (back) states her POP was not able to see here 11/11/08 + did go to ER, just stayed at home, did not take med.  except routine meds.  Reported to OHC 11/12/08.
Age: 11.0
Sex: F
Vaccine: DT, HPV4, MNQ
Symptoms: Arthralgia
Clinical narrative: Patient C/O bilateral ankle, wrist and knee pain. 1/16/2009 MR received from PCP. Pt in for 11yr WCC and vaccines 6/28/07. Well child with normal G&D with Dx: Exercise Induced asthma. Several sick visits for asthma exacerbations and cough and sore throats that year. At 12 yr exam 5/7/08, reports H/As, bilateral wrist, knee, and ankle pain and swelling. PE WNL Impression: Migraine H/A.