chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Injection site pain, Nuclear magnetic resonance imaging normal
Clinical narrative: Pt. complaining of shoulder pain. Pt states vaccine was given too high on her arm. Pain was ongoing for two weeks. Pt went to PCP and had MRI.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling under vaccine of and redness started. Gave MOTRIN. no GI, neuro, resp, issue. MD
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Musculoskeletal pain, Musculoskeletal stiffness, Ultrasound scan normal
Clinical narrative: Receiving outpatient rehab. for treatment of L shldr. pain, stiffness & weakness. Treatment consists of hot packs, electrical stimulation, therapeutic exercise and manual treatment to increase L shdr mobility.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient stated arm was really sore where injection given when did follow up call on 11/3/09.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Dizziness, Vision blurred
Clinical narrative: Felt dizzy, blurry vision which turned to foggy vision. BP 100/60 pulse 80 R 24. Mother took student home to rest. Mother will call primary doctor if symptoms persists or worsen. 3pm telephone call with mother pt recovered.
Age: 13.0
Sex: M
Vaccine: FLUN3
Symptoms: Dizziness, Muscular weakness
Clinical narrative: Feels light headiness and weakness to legs. BP 100/76 P 84 R 28. Mother took student home to rest. 3:00pm tl 2 mother-pt. recovered.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Fall, Head injury
Clinical narrative: Student received the influenza (TIV) vaccine. After leaving the clinic while waiting in line at the exit table, student fell backwards on cement, hit her head and sustained a lump on the back of her head.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Headache, Herpes zoster, Musculoskeletal stiffness, Nausea
Clinical narrative: 2 wks. after innoculation - head ache, stiff neck, mild nausea, general body aches, shingles rash (non painful) down left side from arm pit to hip and across upper abdomen with tingling sensation, low grade fever, faint feeling. Symptoms cleared (except rash) 10/15/09. Rash continues to slowing fade but still visible as of 11/03/09. Saw Dr 10/19/09.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Paraesthesia, Pyrexia, Rash
Clinical narrative: 2 wks. after innoculation - head ache, stiff neck, mild nausea, general body aches, shingles rash (non painful) down left side from arm pit to hip and across upper abdomen with tingling sensation, low grade fever, faint feeling. Symptoms cleared (except rash) 10/15/09. Rash continues to slowing fade but still visible as of 11/03/09. Saw Dr 10/19/09.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pyrexia, Vomiting
Clinical narrative: Patient's mom stated her arm was really sore where injection given when did follow-up call on 11/3/09. Also, mom said patient ran fever and threw up on 11/2/09, but no fever 11/3/09.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Choking
Clinical narrative: Infant started to choke after first few drops on vaccine, stopped and repositioned infant, patted back, allowed infant to recover for a few minutes. Slowly administrated remaining amount. Mom stated infant had similar episode with feed. Instructed mom to keep infant upright after feeds and vaccines.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: Had shot around 2 PM by 8 pm arm (left) was so soar by bed time, could not sleep on that side. Woke up next day could not lift my arm 1" off my side it lasted 3hrs.
Age: 20.0
Sex: U
Vaccine: FLUN3
Symptoms: Chills, Ear pain, Nausea, Oropharyngeal pain, Pain
Clinical narrative: Patient developed chills/body aches/nauseous/sore throat and ear pain
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Headache, Influenza serology negative, Nausea, Pyrexia
Clinical narrative: Severe headache, fever 102.? per mom, nausea and diarrhea beginning "about 23 hours" after vaccine-began suddenly. Began vomiting Sunday evening. Low grade fever Tuesday-no fever Wednesday. "Better" per mom Wednesday following vaccine.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Severe headache, fever 102.? per mom, nausea and diarrhea beginning "about 23 hours" after vaccine-began suddenly. Began vomiting Sunday evening. Low grade fever Tuesday-no fever Wednesday. "Better" per mom Wednesday following vaccine.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Full blood count, Pyrexia
Clinical narrative: Fever above 103 degrees 8 days after H1N1 mist.
Age: 0.75
Sex: U
Vaccine: FLU(H1N1), FLU3
Symptoms: Full blood count, Pyrexia
Clinical narrative: Fever up to 104.6.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Tingling, muscle weakness, numbness starting in arm that received injection; symptoms progressed to other arm and some tingling in both legs. As of 11/4 symptoms are starting to diminish.   Progress report: As of 11/17/09, patient's numbness and tingling is still present in all extremities but gradually resolving.
Age: 41.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Flushing, Hypophagia, Injection site swelling, Myalgia
Clinical narrative: Nausea day of injection. Face flushing, mid trunk with rash, raised injection site. Episodes of nausea day after. Severe nausea and emesis, muscle aches and weakness 2 days after. Unable to tolerate intake until 21:00 that noc.
Age: 41.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea, Rash, Vomiting
Clinical narrative: Nausea day of injection. Face flushing, mid trunk with rash, raised injection site. Episodes of nausea day after. Severe nausea and emesis, muscle aches and weakness 2 days after. Unable to tolerate intake until 21:00 that noc.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Dizziness, Vision blurred
Clinical narrative: C/O dizziness, blurry vision, weakness. VS 138/70, pulse 82, resp 18.
Age: 0.83
Sex: U
Vaccine: FLU3, FLUN(H1N1)
Symptoms: No adverse event, Vaccination error
Clinical narrative: Nursing administered H1N1 Intranasal Flu Vaccine to a 10 mth-1 day old child. By history patient well at time and until 11/2/09 when last spoke to parents. Patient remains well.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Crying, Emotional distress, Epistaxis, Hyperhidrosis
Clinical narrative: CHILD WAS CRYING VERY HARD JUST BEFORE VACCINE ADMINISTRATION. PERSPIRING AND JUMPING ON MOM'S LAP.  REFUSED TO BE CONSOLED AT THIS TIME. H1N1 VACCINE WAS ADM. INTRANASALLY.  AFTER BEING ADMINISTERED VACCINE CHILD CONTINUED TO CRY AND WAS INCONSOLABLE. PERSPIRING AND UPSET. AT APPROX 6:33 NOTED A STREAM OF BLOOD COMING FROM RT. NOSTRIL. MOM WIPED CHILD NOSE AND HELD HER ON HER LAP TO CONSOLE AND QUIET HER.  REQUESTED THAT THE CHILD REMAIN IN THE CLINIC FOR OBSERVATION FOR A APPROX. 15-30 MIN. AT 7:45PM CHILD WAS QUIET AND NO FURTHER BLEEDING EPISODES. I DID NOTE CHILD PICKED HER NOSE WHEN FIRST ENTERING THE THE TREATMENT ROOM. FAMILY ALLOWED TO LEAVE THE CLINIC. A CALL TO FAMILY ON 11/10/09 TO ENQUIRE ABOUT NOSE BLEED NO ANSWER TO PHONE. I LEFT A MESSAGE ON ANSWERING MACHINE FOR MOM TO CALL ME AND ASKED ABOUT FURTHER EPISODES OF NOSE BLEEDING.  I WILL FOLLOW UP CALL IN A DAY OR TWO IF NO ANSWER.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Condition aggravated, Dyspnoea, Palpitations, Sinus tachycardia
Clinical narrative: 31 y.o female employee, had acute shortness of breath, palpitations while at work (nursing) referred by cardiology fellow for eval to ED. On arrival patient very anxious appearing, sinus tach in the 150's, some shortness of breath. Reports that just had H1N1 flu shot given  1hr prior to this having had the H1N1 vaccination on the floor. Denies  fever/chills, chest pain. Denies ever having such symptoms before.  11/16/09 Medical records received for DOS 11/7/09. Final DX:  presented with acute SOB, palpitations, anxious, 1hr s/p vaccine.  Sinus tachycardia of unknown etiology. Vagal vs anxiety. Improved at d/c. Stable.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Headache, Influenza, Influenza serology positive, Musculoskeletal stiffness
Clinical narrative: Patient developed dizziness, fever 99, headache and stiff neck. She vomited once. She went to hospital. She was tested positive for flu and was given Tamiflu.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient developed dizziness, fever 99, headache and stiff neck. She vomited once. She went to hospital. She was tested positive for flu and was given Tamiflu.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Laboratory test abnormal
Clinical narrative: Miscarriage 11/13/09 Medical records received for date 10/16/09. Annual GYN exam WNL pt. desire pregnancy G1P1. 12/3/09 Medical records received for date 11/6/09.  DX: miscarriage. Pt called OB offices to state pt is 7 weeks pregnant and began bleeding x1 day ago. Bleeding now increased. Pt. states received H1N1 vax x1 day ago, sx. began shortly after vax.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Low grade fever on 11/6 (~101 degrees) and in am 11/7. Rapid fever spike to 103+ on 11/7 at 3 pm precipitating febrile seizure. 11/12/2009 Ed records for 11/7/2009, patient with c/o's fever, febrile seizure activity and cough. Tx: Tylenol. DC DX febrile seizures
Age: 43.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Burning sensation, Chest pain, Cough, Disturbance in attention, Fatigue
Clinical narrative: Severe malaise, fatigue, poor concentration, head and neck ache, myalgia, rhinorrhea, deep cough, chest pain, progressively worsening over a course of a week with development of burning nerve root pain to right upper chest, axilla, and right scapular region consistent with onset of shingles.
Age: 43.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Malaise, Myalgia, Neck pain, Neuralgia
Clinical narrative: Severe malaise, fatigue, poor concentration, head and neck ache, myalgia, rhinorrhea, deep cough, chest pain, progressively worsening over a course of a week with development of burning nerve root pain to right upper chest, axilla, and right scapular region consistent with onset of shingles.
Age: 43.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rhinorrhoea
Clinical narrative: Severe malaise, fatigue, poor concentration, head and neck ache, myalgia, rhinorrhea, deep cough, chest pain, progressively worsening over a course of a week with development of burning nerve root pain to right upper chest, axilla, and right scapular region consistent with onset of shingles.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cardiac enzymes normal, Computerised tomogram normal, Cyanosis, Dizziness, Dyspnoea
Clinical narrative: Dizziness, tachycardia, blue hands/fingers, HTN, SOB. 11/12/08: Hospital Records received for dates of service 10/26/09 to 10/27/09 Final Dx:  SOB with no clear etiology and cyanosis of hands without any clear etiology.   Assessment: Presents with gradual increase in SOB for 2 wks . with less than normal activity.  She began to have some chest pain, exacerbated by activity and came into the ER. Having palpitations and hands were cyanotic.  Admitted to ICU for telemetry monitoring.  Echo showed relatively normal LV function.   Chest pain improved, cardiac enzymes remained WNL.  CT Angio, no pulmonary embolism.  Discharged to follow up in the office. ICD 9 Codes:  427.85, 786.50, 443.89, 785.1.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypertension, Laboratory test normal, Tachycardia, X-ray normal
Clinical narrative: Dizziness, tachycardia, blue hands/fingers, HTN, SOB. 11/12/08: Hospital Records received for dates of service 10/26/09 to 10/27/09 Final Dx:  SOB with no clear etiology and cyanosis of hands without any clear etiology.   Assessment: Presents with gradual increase in SOB for 2 wks . with less than normal activity.  She began to have some chest pain, exacerbated by activity and came into the ER. Having palpitations and hands were cyanotic.  Admitted to ICU for telemetry monitoring.  Echo showed relatively normal LV function.   Chest pain improved, cardiac enzymes remained WNL.  CT Angio, no pulmonary embolism.  Discharged to follow up in the office. ICD 9 Codes:  427.85, 786.50, 443.89, 785.1.
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injection site reaction, Skin disorder
Clinical narrative: Depression in skin near injection site 3 cm x 1 cm. Noticed 1-2 days after H1N1 vaccination.
Age: 22.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abasia, Asthenia, Blood glucose normal, Dysstasia, Electrocardiogram normal
Clinical narrative: Patient Complained of like being drunk feeling very weak and like something went direct to his brain. He did not faint but it was hard to get him to talk. Vital signs were stable but he was unable to stand up or walk. He was taken by ambulance to ERD and was diagnosed as vasovagal reaction.
Age: 22.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Feeling abnormal, Feeling drunk, Presyncope, Unresponsive to stimuli
Clinical narrative: Patient Complained of like being drunk feeling very weak and like something went direct to his brain. He did not faint but it was hard to get him to talk. Vital signs were stable but he was unable to stand up or walk. He was taken by ambulance to ERD and was diagnosed as vasovagal reaction.
Age: 0.42
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration, Unevaluable event, Wrong drug administered
Clinical narrative: PTE ADMINSTERD THE WRONG TYPE OF VACCINE
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Erythema, Generalised oedema, Lip exfoliation, Pain
Clinical narrative: Swelling of face and body, stinging and burning sensation of skin, diffuse erythema, peeling of lips, no resp. issues.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Swelling face
Clinical narrative: Swelling of face and body, stinging and burning sensation of skin, diffuse erythema, peeling of lips, no resp. issues.
Age: 18.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Electrocardiogram, Influenza, Pyrexia
Clinical narrative: Swine Flu Symptoms. High grade fever 102.00. Inability to breathe. Treated with ibuprofen fever reducer and empiric inhaler usage.  12/07/09 and 12/31/09 MR and DC summary received for 11/12/09-12/22/09.  Elective tracheostomy. Pt tolerated procedure well. Pt with pneumonia of L lung base. Pt improved and discharged home in stable condition.  12/31/09 Consult received for DOS 12/14/09. F/U visit after elective tracheostomy. Pt breathing comfortably. Wound healing well. Flexible laryngoscopy and bronchoscopy: Bronchoscopy showed: no distal obstructions and patent main stem bronchi.
Age: 12.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain upper, Urticaria
Clinical narrative: MOTHER REPORTS CHILD HAD HIVES AND STOMACH ACHE. STATES SHE GAVE HIM BENADRYL AND S/S RESOLVED WITHIN 12 HRS.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous
Clinical narrative: Mother reported child broke out with red raised rash didn't c/o itching, difficulty swallowing or breathing difficulties. No c/o swelling.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Muscle spasms, Paraesthesia
Clinical narrative: Started as charlie horse in left leg by next day; Saturday left calf was totally knotted up this continued until Monday night when the right calf knotted up along with tingling and numbness upon awakening and muscle knotting in my biceps as well by Tuesday morning. This was very scary and the muscle cramping/knotting is continuing as of 2:00 PM Tuesay; today The 10th of November.
Age: 56.0
Sex: M
Vaccine: FLU(H1N1)
Clinical narrative: Sudden memory loss for approx 2 hours required 4 days hospitalization. No treatment.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Vaccine administer 11/02/09. Pt woke and noticed disseminated small papules from ankle to calves, pruritic.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: None at this time.   11/30/09:  Prenatal records received for dates of service 10/23/09 to present.  Dx: Pregnancy  This Gravida 2 Para 1 with no obstetrical problems noted at this time.
Age: 36.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Dyspnoea, Pneumonia, Pyrexia
Clinical narrative: Two days after vaccine received, developed fever, chills, trouble breathing. Went to Urgent Care center. Treatment-nebulizer and IM steroid injection. Currently has pneumonia.
Age: 66.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Nausea, Pruritus generalised, Rash generalised, Vomiting
Clinical narrative: Patient received H1N1 vaccination Friday Oct 30 night and developed rash and itching generalized on Saturday. On Sunday, developed nausea, diarrhea and vomiting.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Dry skin, Headache, Malaise, Skin warm
Clinical narrative: Patient received the vaccine at 11:00 AM. At 12:00 PM reports to school nurse that he felt "sick". Temp 102 degrees F, skin warm and dry, alert and oriented x 3. RR=28, pulse=120. Denies difficulty breathing or swallowing. No localized reaction at injection site. No hives. Complains of headache. Has a history of peanut allergies.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Paraesthesia
Clinical narrative: Employee received H1N1 injection on 10/27/09. Reports arm (L deltoid) was sore. Thought it would resolve. Decided to notify employee health on 11/10/09 as symptoms continued to worsen. Reports pain in arm and "sharp" pain/tingling from shoulder to fingers. Not resolved with TYLENOL, MOTRIN. Employee has made appointment with PCP for 11/10/09.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: Child reported to mother on 10/28/09 "bumps" on arms. Mother gave CLARITIN. Morning on 10/29-"hives" on face, spreading to stomach, back. "Arms are bad." Mother phoned medical provider. Is now administering BENADRYL. No wheezing or respiratory problems. Temp 99 10/30. PC to medical provider-child treated with OMNICEF 10/6 for URI. Child was not seen by provider following hive breakout. PC to mother-hives improving.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood electrolytes, Cyanosis, Peripheral vascular disorder, Thyroid function test
Clinical narrative: Child reported to school nurse with "blue" and cold hands. R hand blue to wrist, L hand fingertips only. No pain, adequate pulses. To medical provider same afternoon-did not feel the blue/cold was reaction to vaccine. Labs drawn.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Headache, Malaise, Oedema peripheral, Pyrexia
Clinical narrative: Pt received PNEUMOVAX and H1N1 vaccines on 11/9/09. Later that evening, developed swelling of arm, fever of 103 degrees, headache and malaise. Pt has rheumatoid arthritis and lupus and is on immune suppressants.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1), FLUN(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: None-monitored for over 1 hour at site (school). Mother instructed on Monday next 24 hrs.-f/u PCP/ER.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Nausea, Swelling face, Vomiting
Clinical narrative: Severe H/A, dizziness, N&V check facial swelling.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea, No reaction on previous exposure to drug, Vomiting
Clinical narrative: I received the H1N1 injectable vaccine on Tuesday, Oct. 20th. I requested the injectable due to my recently being diagnosed with Interstitial Cystitis. I felt OK Tuesday evening, went to bed at 21:00. I woke up at 05:00 Wednesday with a bad headache. Because of the medications I was on for my I.C. (ELMIRON 100 mg tid and ELAVIL 30 mg qd and PYRIDIUM prn) I could not take anything for the headache. I got to work at 08:30 and continued to work with the headache getting progressively worse. At 14:30, I left for a GYN appointment. While driving I became nauseated and had to pull over to vomit x 2. I decided I was not in any shape for the GYN visit and instead drove to my home. I cancelled the GYN visit and called someone to alert her of my illness. We discussed whether or not it was related to the vaccine, as both headache and nausea were listed on the handout as possible side effects. I had no further vomiting, but continued with a severe headache until I fell asleep about 20:30 with a hot pack on my neck. We discussed that I would call her cell phone and leave a message, and I would call my own physician if I was not better Thursday morning. I woke up at 05:15 Thursday and the headache was gone. I have had no further symptoms since. I am not sure if it was related to the vaccine, as it may have been in combination with my I.C. I did not have this reaction with the seasonal flu shot I had received  09/22.
Age: 8.0
Sex: M
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Injection site swelling
Clinical narrative: (R) upper arm to elbow swelled. To ER Sat 10/17.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Dysphonia, Fatigue, Pyrexia, Wheezing
Clinical narrative: In afternoon, was very tired. Started having chills at about 7 PM, followed by fever that gradually rose to 102.5 degrees overnight. During night, also developed wheezing/hoarseness. At about 8 AM fever reduced to 99.8 degrees but wheezing persisted. Took to Dr., who prescribed inhaler treatment.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Decreased appetite, Disturbance in attention, Vomiting
Clinical narrative: Vomit x 1, low appetite, inattentive.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abasia, Activities of daily living impaired, Arthralgia, Contusion, Erythema
Clinical narrative: Inactivated H1N1 vaccine administered on 11/2/09. Symptoms began 24 hr. later-elbows, knees, hands, feet were hurting-no swelling, pain: 5 on 1-10 scale. 11/4 Morning-pain in hands and feet only pain: 2. 11/4 Lunchtime-pain and swelling in ankle to toes and wrist to fingertips-skin red with underlying bruising and pain to a 5. Couldn't walk, couldn't hold pencil, couldn't button, shoes didn't fit. Given BENADRYL, ibuprofen and took her Urgent Care. Redness left hands, feet, legs after medication. Felt at Urgent Care this might be reaction to H1N1. 11/5 Woke with a raised, red strip from eyebrow to lips on R side of face, hive-like. No itching or pain. Resolved with BENADRYL. C/o being tired during last 3 days. No difficulty with breathing, no nausea, no fever.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Joint swelling, Pain, Skin disorder, Urticaria
Clinical narrative: Inactivated H1N1 vaccine administered on 11/2/09. Symptoms began 24 hr. later-elbows, knees, hands, feet were hurting-no swelling, pain: 5 on 1-10 scale. 11/4 Morning-pain in hands and feet only pain: 2. 11/4 Lunchtime-pain and swelling in ankle to toes and wrist to fingertips-skin red with underlying bruising and pain to a 5. Couldn't walk, couldn't hold pencil, couldn't button, shoes didn't fit. Given BENADRYL, ibuprofen and took her Urgent Care. Redness left hands, feet, legs after medication. Felt at Urgent Care this might be reaction to H1N1. 11/5 Woke with a raised, red strip from eyebrow to lips on R side of face, hive-like. No itching or pain. Resolved with BENADRYL. C/o being tired during last 3 days. No difficulty with breathing, no nausea, no fever.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Dizziness, Feeling abnormal, Oropharyngeal pain, Paraesthesia
Clinical narrative: 11/3/09 Received mist at 3:30 PM-30 min later c/o throat hurting (no trouble breathing), later throat hurt; woke up at 2 AM crying-throat sore-ibuprofen at 2 AM-temp up 102.9, comes down to 100.9. Has called Dr. Spoke to mom 11/4. 11/5 Mom stated child's temp was down and still responding to ibuprofen. C/o feeling wobbly and dizzy on 11/5 AM. Also c/o tingling in fingers "a little bit ago". Encouraged mom to keep an eye on her and to keep in touch with Doctor.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: No adverse event
Clinical narrative: None stated
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: Headache
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray, Face and mouth X-ray, Peak expiratory flow rate, Wheezing
Clinical narrative: Wheezing 24 hours after H1N1 vaccine given. No prior history of wheezing.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), HIBV
Symptoms: Full blood count, Urticaria
Clinical narrative: Hives. Tx: ATARAX, epinephrine.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye swelling, Pruritus generalised, Rash
Clinical narrative: Patient had generalized itching, facial swelling, eyes swollen bilaterally, and facial rash-began on 10/23 and resolved on 10/27/09.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Activities of daily living impaired, Headache, Pain in extremity
Clinical narrative: Mom reports on 10/26/09 that child started having sharp pains in head 1 day after receiving FLUMIST. States pains are sharp, cause him to abruptly stop activity. Has to lie down when pain occurs. Also had pain in legs for 2-3 days, but this has subsided. Pain in head continues. Advised see PCP.
Age: 43.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood pressure increased, Palpitations, Sensation of heaviness
Clinical narrative: H1N1 mist administered. Pt c/o heart palpitations, arms feeling heavy, B/P 160/110, P 80. Pt to clinic for evaluation by MD.
Age: 43.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Palpitations, Sensation of heaviness
Clinical narrative: H1N1 mist administered. Pt c/o heart palpitations, arms feeling heavy, B/P 160/110, P 80. Pt to clinic for evaluation by MD.
Age: 43.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood pressure increased, Palpitations, Sensation of heaviness
Clinical narrative: H1N1 Mist administered; pt complained of heart palpatations, arms feeling heavy.  BP:  160/110, P80.  Pt to clinic for evaluation by MD
Age: 43.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Palpitations, Sensation of heaviness
Clinical narrative: H1N1 Mist administered; pt complained of heart palpatations, arms feeling heavy.  BP:  160/110, P80.  Pt to clinic for evaluation by MD
Age: 18.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Feeling hot, Nausea, Pallor
Clinical narrative: Patient c/o feeling hot, nauseous, and like he was going to faint while in waiting area, after receiving H1N1, brought to cot in clinic area, pt pale, EMT called, message left for mother. Evaluated by EMT, refused transport.
Age: 18.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Feeling hot, Nausea, Pallor
Clinical narrative: Patient complained of feeling hot, nauseaus, and like he was goint to faint while in waiting area, after receiving H1N1 vaccine.  Brough to cot in clinic area, pt pale, EMT called, message left for mother.  Evaluated by EMT, refused transport.
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Myalgia, Pain, Pain in extremity, Vaccination complication
Clinical narrative: Vaccinated on 10-28-09-on 11-2-09 symptoms began muscle aches and pains in legs. Also ran an elevated temperature. Pain in legs continues and saw MD and was told it was a reaction to H1N1 shot. Still c/o pain in lower legs when walking stairs.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: Reports dizziness more than 24 hours after H1N1 vaccination, had syncopal episode 1.5 months earlier 24 hours after seasonal flu vaccination according to mother.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Activities of daily living impaired, Cellulitis, Chills, Headache, Injection site erythema
Clinical narrative: Symptoms include Cellulitis, up to 104 degree fever, chills, night sweats, headache and out of work since Friday 11/6.  The redness  starts at the injection sight wraps around my entire arm and down below my elbow.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Night sweats, Pyrexia
Clinical narrative: Symptoms include Cellulitis, up to 104 degree fever, chills, night sweats, headache and out of work since Friday 11/6.  The redness  starts at the injection sight wraps around my entire arm and down below my elbow.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site discomfort, Injection site inflammation, Injection site pustule
Clinical narrative: NOTICED A SMALL PUSTULE WITH INFLAMMATION AND DISCOMFORT AT INJECTION SITE. 11/09/2009 INFLAMMATION RESOLVED BUT A LINE OF DEMARCATION NOTICED APPROX. 1 1/2 INCH AROUND INJ. SITE.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash erythematous, Rash pruritic, Swelling
Clinical narrative: About 3-4 days post vaccination the patient noticed a large bilateral red rash, slightly raised on his mid back.  The rash does not burn/tingle, but is very pruritic.  He has used Gold Bond cream for some relief from the itch.  The rash is still present and pruritic as of 11/9/2009.  Since the rash has not improved over 3 weeks time, I suggested he make an appointment with his Primary Care Provider.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Heart rate increased, Oropharyngeal pain, Pyrexia, Rash
Clinical narrative: Fever 101.8, Sore throat, HA, Vomiting, Pulse 110, rash on chest.  Feels ok on 11-10-2009.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Fever 101.8, Sore throat, HA, Vomiting, Pulse 110, rash on chest.  Feels ok on 11-10-2009.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Rash pruritic
Clinical narrative: Pt describes a gradual onset of a pruitic rash starting on his neck, moving to his chest, abdomen, back , bilat arms and legs.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Diagnosed by Dr, Guillain - Barre Syndrome.  11/12/09 Neurological consultation received service dates 10/29/2009 to 11/4/2009. Assessment: Generalized demyelinating polyneuropathy. Findings consistant with Guillain-Barre' Sundrome. Patient presents with weakness and sensory loss in the lower extremities. Ascending paresthesias. Absent deep tendon reflexes. Loss of position sense bilaterally, vibratory sense reduced in feet. Uses walker.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Nausea
Clinical narrative: Patient received flu shot 9-12-09. She states she has felt nauseated and has flu like symptoms since that time.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Nausea
Clinical narrative: Patient received flu shot 9/12/09. She states she has felt nauseated and has flu like symptoms since that time.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pyrexia
Clinical narrative: Fever, chills for 24 hours. No treatment.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia
Clinical narrative: Hoarse sounding cough, raspy voice. No treatment. Lasted 24 hours
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pruritus generalised
Clinical narrative: Itching all over, nausea for about 10 hours -BENADRYL 100mg (total) and 1 PEPCID - symptoms relieved with medication.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Low grade fever x 2 weeks.
Age: 0.93
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Nursing administered ROTAVIRUS vaccine for first time to an 11 mth old child. Patient was well on the day of occurrence (10/26/09) and until 11/2/09 when last spoke to parents (MD spoke to parents). MD called parents 11/2/09 - patient remains well since vaccine.
Sex: U
Vaccine: FLUX
Symptoms: Depression, Fatigue, Headache, Mood altered, Sluggishness
Clinical narrative: Headache for 1 week, fatigue for 1 week. Mood changes as well, felt more sluggish and depressed for 2 weeks since vaccine. Headaches were constant (bilateral) 4-10 in severity, unrelieved by NSAID.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Laboratory test normal, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: 10/30/09 cough, runny nose 10/31/09 fever 3:00-4:00pm 11/1/09 "spots" on body in pm 11/2/09 Dr. reports "hives on abdomen, face, L and R arm ic fever 99.5 degrees and cough.  11/3/09 Hives improving - temp 97.6 degrees.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: 10/30/09 cough, runny nose 10/31/09 fever 3:00-4:00pm 11/1/09 "spots" on body in pm 11/2/09 Dr. reports "hives on abdomen, face, L and R arm ic fever 99.5 degrees and cough.  11/3/09 Hives improving - temp 97.6 degrees.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal discomfort, Feeling abnormal, Gait disturbance, Headache, Memory impairment
Clinical narrative: Patient called pharmacy on 10/22/09 to report his adverse event. He experienced a "rush" from head to toe shortly after receiving the shot on 10/13/09 but did not report to the immunizer. Three days after receiving the shot 10/16/09 - he reports experiencing headache, impaired memory, unstable walking & upset stomach.
Age: 24.0
Sex: F
Vaccine: TTOX
Symptoms: Abdominal pain upper
Clinical narrative: "I was at work on 10/29/09 - when my stomach started to hurt. After a short while it felt better."
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test normal, Electroencephalogram normal, Endotracheal intubation, Grand mal convulsion, Intensive care
Clinical narrative: TONIC CLONIC SEIZURE WITH STATUS EPILEPTICUS X 1 HOUR.  PATIENT TRANSPORTED TO HOSP VIA AMBULANCE WHERE HE WAS INTUBATED AND PUT ON A VENTILATOR. TRANSPORTED TO ANOTHER HOSPITAL AND ADMITTED TO ICU.  11/12 and 11/17/09 Medical records and discharge summary received for DOS 11/7/09.  Final DX: Status epileptics.   Facial puckering assoc w/emesis x1. Full body shaking. Intubated. Acidosis. PICU. Head CT WNL. CXR R LL pneumonia. CSR RBC (+). Resp failure. Status epileptics. Back to baseline.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Lumbar puncture normal, Mechanical ventilation, Nuclear magnetic resonance imaging normal, Status epilepticus
Clinical narrative: TONIC CLONIC SEIZURE WITH STATUS EPILEPTICUS X 1 HOUR.  PATIENT TRANSPORTED TO HOSP VIA AMBULANCE WHERE HE WAS INTUBATED AND PUT ON A VENTILATOR. TRANSPORTED TO ANOTHER HOSPITAL AND ADMITTED TO ICU.  11/12 and 11/17/09 Medical records and discharge summary received for DOS 11/7/09.  Final DX: Status epileptics.   Facial puckering assoc w/emesis x1. Full body shaking. Intubated. Acidosis. PICU. Head CT WNL. CXR R LL pneumonia. CSR RBC (+). Resp failure. Status epileptics. Back to baseline.
Age: 36.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Feeling abnormal, Somnolence
Clinical narrative: Sleepiness, foggy-headed feeling
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Reports pain and swelling at the injection site.  11/9/09 reports no improvement with ice and OTC anti-inflammatories.  Checked by Dr. put on Cefadroxil 500mg bid x 5 day.  11/10/09 improving. Recheck 11/13/2009.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Diarrhoea, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Symptoms of chills, body ache, headache, sore throat, nausea, diarrhea began 30min after receipt of vaccine.  All symptoms resolved within 24 hrs.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pain
Clinical narrative: Symptoms of chills, body ache, headache, sore throat, nausea, diarrhea began 30min after receipt of vaccine.  All symptoms resolved within 24 hrs.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red, swelling, pain and warmth to injection site. 2.5x3 inches size.
Age: 21.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blindness, Deafness, Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: + lightheadedness; + diaphoresis (upon awakening); + feeling faint (her vision started to go black and her hearing diminished before she passed out.). No feeling of warmth.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure normal, Dizziness, Heart rate normal, Loss of consciousness, Vomiting
Clinical narrative: Around 10am patient claimed to be dizzy, nauseous. She "passed out" momentarily and vomited. Pt was observed while pharmacy staff called 911. We did take pulse and BP, both were normal. Pharmacist took her to hospital, time was around 11am.
Age: 26.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: none stated
Age: 0.37
Sex: F
Vaccine: PNC
Symptoms: Insomnia, Irritability
Clinical narrative: Became fussy not herself, irritable not laughing smiling, not falling asleep occurred x 3 days and now is acting normal.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Varicella post vaccine
Clinical narrative: Patient broke out with Chicken Pox approximately 2 weeks after receiving vaccination. Chicken Pox confirmed by her doctor 3 weeks after shot received. Doctor gave her acyclovir 1 month later.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling to L thigh from hip to knee entire circumference enlarged, only tender and red @ injection site. 6cm x 6cm circle. Orapred 15mg ODT BID x5 BENADRYL 1 tsp every 6 hrs.
Age: 1.28
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large local swelling and redness 2 " in diameter all 3 injection sites.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Immunisation reaction, Injection site anaesthesia
Clinical narrative: Pt had numbness in his arm where flu shot was given, few minutes after he left the pharmacy- he called his doctor and the doctor explained to him it is a common reaction to the shot. Then pt was fine an hour after that.
Age: 32.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Am after shots 101.0 temp, hives on L deltoid only (warm, raised, to elbow) lasting 3 days. Patient also took BENADRYL. Did not seek medical attention, fully recovered.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: 11/06/2009 at 4:00 PM child notifed mother of rash between shoulder blades.  That evening the rash progressed to her chest.  On 11/08/2009 the rash progressed to underneath arms and down sides of torso.  That same day at 1:00 PM rash started up neck.  Mother describes rash as fine papular rash with itching.  Sores are not open.  Rash gets worse when she gets hot.  No fever.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L DELTOID BECAME RED AND HOT TO TOUCH.  CHILD WAS GIVEN TYLENOL AND COLD PACK APPLIED. CHILD WENT TO SCHOOL NEXT MORNING.  TEACHEER TELPHONED AT 11:00 A.M THAT L ARM @ INJECTION SITE AREA WAS RED, SWOLLEN, AND HOT TO TOUCH.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Chills, Drug exposure during pregnancy, Fatigue, Headache, Lethargy
Clinical narrative: Extreme muscle pain in thighs and neck.  Chills and headache.  Fatigue & Lethargy.  Took tylenol without relief of symptoms.  Symptoms lasted 3 days, then resolved.  Previous seasonal influenza vaccines over previous 10 years have not caused these symptoms.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Myalgia, No reaction on previous exposure to drug
Clinical narrative: Extreme muscle pain in thighs and neck.  Chills and headache.  Fatigue & Lethargy.  Took tylenol without relief of symptoms.  Symptoms lasted 3 days, then resolved.  Previous seasonal influenza vaccines over previous 10 years have not caused these symptoms.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Erythema, Flushing, Palpitations, Throat irritation
Clinical narrative: Patient complained of a flushed feeling in her neck, shoulder and arm areas at 1:00 PM and a sensation of feeling her heart beat. Areas noted to have skin redness; no uticaria or hives present. Denies any shortness of breath or difficulty breathing.  States "scratchy feeling in throat and a heaviness in chest when asked to take a deep breath."  Pulse- 122 Respirations- 18.  Benadryl 25mg po given @ 1:10 PM. EMS called and transported via ambulanced to hospital for further evaluation.
Age: 36.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Headache, Hypersomnia, Nausea, Pain
Clinical narrative: Headache, nausea, and body aches. Could not move and had to go to sleep until the next day. Still until 11/10 I get headaches mid day that are unbearable and have to take ibuprofen.
Age: 37.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Deafness, Vertigo, Vestibular neuronitis
Clinical narrative: Vestibular neuritis- loss of hearing in right ear and vertigo.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Erythema, Headache
Clinical narrative: 11-05, STARTED WITH HEADACHE. BY 11-06 AM, PT HAD A RED RING AROUND THE TIP OF HIS NOSE- WHICH TOOK 2 DAYS TO GO AWAY.  STOMACH PAINS. NO FEVER, NO COUGH, NO SORE THROAT.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Croup infectious, Dysphonia, Oropharyngeal pain, Pyrexia, Sneezing
Clinical narrative: Woke up with a sore throat, hoarseness, sneezing, croupy cough, and mild fever.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Skin lesion
Clinical narrative: Approx 24 lesions over the course of 1-2 days w/ itching.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Eye swelling, Facial pain, Herpes zoster, Ocular hyperaemia
Clinical narrative: Red, swelling of eye, itching, burning pain all over face. Puffiness under left eye corner of left eye bloodshot. Has had shingles 3 times on this eye.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Red, swelling of eye, itching, burning pain all over face. Puffiness under left eye corner of left eye bloodshot. Has had shingles 3 times on this eye.
Age: 11.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site streaking, Injection site warmth
Clinical narrative: Mom called the office at 10:38 am on 11/4/09 - stating childs rt arm, subq area was red & w/streak going up arm. Warm to touch - measured 6x2 cm - cool packs - observe.
Age: 28.0
Sex: M
Vaccine: FLU3, HEPAB
Symptoms: Cough, Headache, Malaise, Pyrexia, Respiratory tract congestion
Clinical narrative: Headache, fever, malaise, cough, congestion started 11/2, worsened daily. OTC meds. Rx PHENERGAN/CODIEINE, TYLENOL, IBUPROFEN on 11/6/09.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Syncope, Traumatic brain injury
Clinical narrative: Synopal episode after patient received vaccinations (in first 3-5 min after vaccination). Patient fall on floor and suffered CHI (concussion). Patient was taken via EMS to ED for further evaluation and observation.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister
Clinical narrative: Each -> 2 weeks: FAMVIR, VALTREX, tetracycline. Pox-like blisters/lesions: neck, chest, scalp, breast, arms, thighs, face, eyelid, abdomen - some occurring now, 6 months after vaccination.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient's mom stated his arm was really sore where injection given when did follow-up call on 11/3/09.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient complains of persistent soreness since injection at injection site. Reported to us on 10-29-09.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Hypoaesthesia, Immediate post-injection reaction, Nausea
Clinical narrative: Left arm numbness, tingling immediately after vaccine. Feeling like she had swallowed something big about 15 minutes later. 30 minutes later severe headache  (10/10), nausea, lightheadedness.  10:30 AM The patient took 400mg Motrin and then about 1 1/2 hours later 500mg Excedrin. She was able to eat lunch without difficulty. No chest pain, shortness of breath, trouble swallowing, vision changes, weakness, or decreased movement of her extremities. No loss of balance.  She states the sensation in her throat has subsided.  01:30 PM Now the headache is a 4/10. Minimally lightheaded. No nausea. No chest pain or shortness of breath. Feels like she can do her work. Her arm numbness is going away. Stable on exam. No further medications. Functions well.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Throat irritation
Clinical narrative: Left arm numbness, tingling immediately after vaccine. Feeling like she had swallowed something big about 15 minutes later. 30 minutes later severe headache  (10/10), nausea, lightheadedness.  10:30 AM The patient took 400mg Motrin and then about 1 1/2 hours later 500mg Excedrin. She was able to eat lunch without difficulty. No chest pain, shortness of breath, trouble swallowing, vision changes, weakness, or decreased movement of her extremities. No loss of balance.  She states the sensation in her throat has subsided.  01:30 PM Now the headache is a 4/10. Minimally lightheaded. No nausea. No chest pain or shortness of breath. Feels like she can do her work. Her arm numbness is going away. Stable on exam. No further medications. Functions well.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash, Throat tightness
Clinical narrative: Rash, throat tightness
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: EXCRUICIATING PAIN IN RIGHT ARM
Age: 9.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Convulsion, Influenza serology positive, Polymerase chain reaction
Clinical narrative: 1 week after receiving the H1N1 FLUMIST vaccine --> had several generalized seizures --> admitted to hospital --> seizures resolved. Had MRI showed generalized inflammation which had resolved with a repeat had MRI done 4 days later. 11/12/09 Discharge Summary received for DOS 11/02/09-11/04/09. Final DX: New onset of seizures.  Pt developed seizures 1 wk after receiving H1N1 vaccine.  Upon admission on 11/02/09, seizures began on the L side as tonic-clonic and later generalized. Post-ictal, Pt was agitated and combative. Neuro assessment with EEG showed diffuse slowing, but this was poor study due to Pt being combative.  At the time of discharge Pt was in good condition with no focal neuro deficits, but had a little unsteady gait.    11/25/09 AND 11/30/09  Medical records recieved for DOS 11/2/09-11/4/09. Final DX: Cerebritis C/O HA.  5 am found head thrashing, unresponsive to verbal stim. Incontinent.  EMS activated. GTC seizure in ambulance. L eye gaze. Perioral cyanosis. Drooling. Clenched fists. Shaking. Emesis. Sleepy and agitated after.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Dysphonia, Dyspnoea, Stridor
Clinical narrative: 15 minutes after receiving IM inj. client presented with dyspnea, hoarse voice and inspiratory stridor. Nurse adm. 5ml sq Epinephrine(1:1000u/ml) . 2 minutes later client received 1mg IM BENADRYL during convulsion period. Rescued arrived 7 min. After 911 call. Client became responsive and transported to hospital via ambulance to hospital. 11/20/09 and 12/29/09 DC summary and medical records received for date 11/9/09 to 11/10/09. DX: abdominal pain, exit hospital AMA/AWOL. Chief c/o allergic reaction and pelvic pain.US was ordered. But pt signed out AMA med recs state pt could not wait any longer. Complete assessment not performed.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Grand mal convulsion
Clinical narrative: Injected H1N1 vaccine Friday Nov 6 @ 2:45. Saturday 12:00 noon after eating lunch went to ride bike (tricycle) + mom found in Grand Mal seizure ~ 2min. later11/12/2009 Ed record for 11/7/2009, patient with c/o's seizure activity, turning cyanotic. Neuro exam was normal.  Tx: IVF, Tylenol. no DC DX noted
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Oropharyngeal pain, Rash, Rhinorrhoea
Clinical narrative: Rash, cough, sore throat, runny nose.
Age: 34.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cervix cerclage procedure, Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: None. Patient was given live vaccine during pregnancy.  11/12/09: OB/GYN Record received for date of service 10/28/09.  Dx:  S/P uterine cervical cerclage. Assessment:  This Gravida 6, Para 1, LMP 7/13/09, 15w, 2d gestational age woman is seen s/p uterine cervical cerclage.  Voices no c/o at this time.  Cervix on exam is long and closed, no mention of AE. There was no adverse event a pregnant patient was given live virus on 10/22/09 with no after effect or problems.