chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain, Pain in extremity, X-ray limb
Clinical narrative: Upper left arm pain when lifting arm or turning into certain positions. Pain between range of motion of 30-60 degrees active and passive. Duration 3 1/2 weeks. Heat application, exercises, Metrol Dos Pak currently.
Age: 15.0
Sex: U
Vaccine: FLU(H1N1), FLUN3
Symptoms: Unevaluable event
Clinical narrative: None stated. Medical record and discharge summary received for DOS 10/270/09-10/29-09. Final DX: Diabetic Keto acidosis, Probable Viral Syndrome, Attention Deficit Disorder.  S/P vaccine presented in ED with nausea, vomiting. hyperglycemia, DKA. CO2 17. (+) serum acetone. Sugars in 200s.  Dropped to 58 before D/c. Resolved. D/C to home. Follow up with endocrine.  ICD9 codes: 799.9
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient has lingering pain in deltoid/ upper arm.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: High fever 103.8. MOTRIN and TYLENOL. Fever returned to normal 12-15 hrs later (after vaccine).
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dysphonia
Clinical narrative: Hoarseness when speaking-day after vaccine. No treatment necessary at present.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug, Rash erythematous, Rash pruritic, Swelling
Clinical narrative: The patient came to the office with rash for 11 days.  She received the flu vaccine on 10-15-09 and was seen in the office on 10-28-09. The rash was red raised and itching. The rash came on her the next day. Has taken flu shot yearly and has never had a reaction. Rash itches and states it is driving her crazy. Denies fever or chills. No acute joint pains or muscle aches. No shortness of breath, difficulty breathing, or difficulty swallowing. Except for the flu shot patient denies any change in personal hygiene items, medications, or food. No other acute complaints.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure, Eye irritation, Nausea, Pruritus, Tongue disorder
Clinical narrative: 8:40am received vaccine. 8:50 stated tongue thick, "burning" around eyelids, itchy face that went to arms, upper thighs. At 10:25 am patient took 25mg Diphenhydramine. 10:35am eyelids better, tongue better. 11am felt nausea, gave crackers; 11:10am better; 11:15am itchy resolved, nausea gone.
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia facial, Paraesthesia
Clinical narrative: Patient experienced tingling in the left hand and arm for approximately 20 minutes after getting shot. He also had a numbing feeling along left side of face and jaw that lasted about an hour. No treatment needed.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt came in this weekend complaining her arm still hurts & states I gave the shot too high in the arm.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Developed Shingles treated with (LIDODERM Patches; Famciclovir 500mg.
Age: 1.05
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Lethargy, Pyrexia, Rash, Rash erythematous
Clinical narrative: Red bumps on face, fever 102, lethargic. All happened 7 days after vaccine was given.
Age: 0.01
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Itchy neck and scalp with raised red bumps on neck.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Aggression, Ataxia, Blood test normal, CSF test normal, CSF virus no organisms observed
Clinical narrative: patient also received H1N1 at agency in County (flu clinic?) on 10/26/09 at approximately 5 pm. he had recieved the general flu inactivated shot on 10/22/09 at Dr's office. Per mother he developed some cheek redness and slight puffy lips after the H1N1 inactivated shot given on 10/26/09. On Friday 10/30/09 he developed emesis and was seen in ER on 10/31/09 where he was given prescription for phenergan suppositories. Mother gave 2 suppositories 4 hours apart and did not think he felt better so returned to local ER. There patient noted to be comabative, ataxix, and confused. he was given shot of benadryl. He was admitted to their hospital. he was transferred to ourhospital on 11/2/09 after remaining obtunded with response to pain only. he was admitted to our hospital on 10/2/09 where complete work up was undertaken and is negative to date. he started coming out of his obtundation slowly. he is being discharged today 11/5/09 with close follow-up with his primary care physician. His obtundation is felt to be related to an uknown ingestion.  11/10/09 Medical records and Discharge summary received for DOS 11/2/09-11/6/09.  Final DX: Toxic metabolic encephalopathy, hypertension, elevated TSH elevated creatinine.   Vaccine 1 week before. Facial flushing. H/O steroid therapy. Vomiting. Seen in ED. D/C to home.  Vomiting persisted. Low grade temp. Hypertensive.    Sleepy and unresponsive. Back to ED. Episode of thrashing. Possible Phenergan allergy. Benadryl admin. Completely unresponsive. Tachycardia. Increased WBC.  EEG abn. Patient and family recent food poisoning. Clonidine withdrawal likely cause of hypertension.  Increased creat due to acyclovir. At time of d/c patient responsive, normal tone, moved all extrems. Walking.  12/15/09 ED records received for DOS 10/31/09. Pt. presented with abdominal pain, vomiting. Tx. with phenergan supp. Discharged home. DX: Gastritis
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Confusional state, Depressed level of consciousness, Drug screen negative, Erythema, Laboratory test normal
Clinical narrative: patient also received H1N1 at agency in County (flu clinic?) on 10/26/09 at approximately 5 pm. he had recieved the general flu inactivated shot on 10/22/09 at Dr's office. Per mother he developed some cheek redness and slight puffy lips after the H1N1 inactivated shot given on 10/26/09. On Friday 10/30/09 he developed emesis and was seen in ER on 10/31/09 where he was given prescription for phenergan suppositories. Mother gave 2 suppositories 4 hours apart and did not think he felt better so returned to local ER. There patient noted to be comabative, ataxix, and confused. he was given shot of benadryl. He was admitted to their hospital. he was transferred to ourhospital on 11/2/09 after remaining obtunded with response to pain only. he was admitted to our hospital on 10/2/09 where complete work up was undertaken and is negative to date. he started coming out of his obtundation slowly. he is being discharged today 11/5/09 with close follow-up with his primary care physician. His obtundation is felt to be related to an uknown ingestion.  11/10/09 Medical records and Discharge summary received for DOS 11/2/09-11/6/09.  Final DX: Toxic metabolic encephalopathy, hypertension, elevated TSH elevated creatinine.   Vaccine 1 week before. Facial flushing. H/O steroid therapy. Vomiting. Seen in ED. D/C to home.  Vomiting persisted. Low grade temp. Hypertensive.    Sleepy and unresponsive. Back to ED. Episode of thrashing. Possible Phenergan allergy. Benadryl admin. Completely unresponsive. Tachycardia. Increased WBC.  EEG abn. Patient and family recent food poisoning. Clonidine withdrawal likely cause of hypertension.  Increased creat due to acyclovir. At time of d/c patient responsive, normal tone, moved all extrems. Walking.  12/15/09 ED records received for DOS 10/31/09. Pt. presented with abdominal pain, vomiting. Tx. with phenergan supp. Discharged home. DX: Gastritis
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Lip swelling, Nuclear magnetic resonance imaging normal, Urine analysis normal, Vomiting
Clinical narrative: patient also received H1N1 at agency in County (flu clinic?) on 10/26/09 at approximately 5 pm. he had recieved the general flu inactivated shot on 10/22/09 at Dr's office. Per mother he developed some cheek redness and slight puffy lips after the H1N1 inactivated shot given on 10/26/09. On Friday 10/30/09 he developed emesis and was seen in ER on 10/31/09 where he was given prescription for phenergan suppositories. Mother gave 2 suppositories 4 hours apart and did not think he felt better so returned to local ER. There patient noted to be comabative, ataxix, and confused. he was given shot of benadryl. He was admitted to their hospital. he was transferred to ourhospital on 11/2/09 after remaining obtunded with response to pain only. he was admitted to our hospital on 10/2/09 where complete work up was undertaken and is negative to date. he started coming out of his obtundation slowly. he is being discharged today 11/5/09 with close follow-up with his primary care physician. His obtundation is felt to be related to an uknown ingestion.  11/10/09 Medical records and Discharge summary received for DOS 11/2/09-11/6/09.  Final DX: Toxic metabolic encephalopathy, hypertension, elevated TSH elevated creatinine.   Vaccine 1 week before. Facial flushing. H/O steroid therapy. Vomiting. Seen in ED. D/C to home.  Vomiting persisted. Low grade temp. Hypertensive.    Sleepy and unresponsive. Back to ED. Episode of thrashing. Possible Phenergan allergy. Benadryl admin. Completely unresponsive. Tachycardia. Increased WBC.  EEG abn. Patient and family recent food poisoning. Clonidine withdrawal likely cause of hypertension.  Increased creat due to acyclovir. At time of d/c patient responsive, normal tone, moved all extrems. Walking.  12/15/09 ED records received for DOS 10/31/09. Pt. presented with abdominal pain, vomiting. Tx. with phenergan supp. Discharged home. DX: Gastritis
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Wrong drug administered
Clinical narrative: Pt. came to the site location to receive a flu shot but instead the nurse administered pneumonia.
Age: 0.61
Sex: F
Vaccine: DTAPIPVHIB, FLU(H1N1), FLU3, PNC, RV5
Symptoms: Full blood count, Pyrexia, Viral infection, Vomiting
Clinical narrative: Very high fever around 106 and vomiting. Dr. feels likely onset of viral infection not vaccine reaction.
Age: 74.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Condition aggravated, Hypertension
Clinical narrative: Hypertension, BP 214 mmHg systolic 11/12/2009 VA MR for 11/6/2009, patient with hx of controlled HTN, reporting  increased HTN post vaccine . BP> 210, given clonidine with good results in office, advised to stay on current HTN meds, has a BP device to monitor blood pressure. and instructed in low Na diet.
Age: 74.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood pressure increased, Hypertension
Clinical narrative: Hypertension, BP 214 mmHg systolic 11/12/2009 VA MR for 11/6/2009, patient with hx of controlled HTN, reporting  increased HTN post vaccine . BP> 210, given clonidine with good results in office, advised to stay on current HTN meds, has a BP device to monitor blood pressure. and instructed in low Na diet.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Dizziness, Myalgia, Nausea, Pyrexia
Clinical narrative: Started with Muscle aches and fever like chill but no fever through the night. Following day I was Nauseous and very dizzy throughout the day but has mostly subsided except for stomach ache on day two.
Age: 10.0
Sex: M
Vaccine: UNK
Symptoms: Feeling hot, Somnolence, Vision blurred
Clinical narrative: Ten min after shot, patient began feeling drowsy slightly blurred vision, slightly overheated but no fever. Did not eat lunch today.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Pt received Influenza vaccine on 9/30/09 @ about 10 am. RTC on 10/1/09 at 17:00 with erythematous edematous skin rxn  about 6x4cm in size at injection site. Site tender to palpitation. No other s/s or rxn. VSS. No Hx of  previous rxn or hx allergy to eggs Tx TYLENOL, BENADRYL, cold compress.  Reinjected 10/05/09 by Dr pt seen. 10/5 mild bruise present, otherwise no sx. Pt as sx were commonly.
Age: 53.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Injection site warmth, Pain
Clinical narrative: R deltoid/bicep-red, hot to touch, sore muscle, increased pain with movement, red streak noted. Seeking med tx.
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PPV
Symptoms: Crying, Decreased appetite, Irritability, Lethargy, Pyrexia
Clinical narrative: My son was given his vaccinations on November 2, 2009 at around 9am. He was vaccinated for hib, hep b, polio, pneumococcal, and DTAP. On November 3, 2009, he became very fussy and quite lathargic. About two in the afternoon he had developed a fever of 102.1 and started developing a rash as well on his face and tummy area. It took about one hour for the fever to break. He did not want to eat any formula or cereal but would drink water. By the end of the night he seemed a little better. The morning of 11-4-09 however, he became extremely fussy. Crying inconsolably and still not eating. He had a little of the rash left but no fever.  He cried from about six thirty am until close to two thirty pm. Finally at about 3pm on the fourth, I finally got him to eat four oz of a formula bottle, mind you this is a child who normally eats at least 8oz at all feedings. So far he seems a little better "knock on wood" but the day is not over. I thought that I should report this because my child is just not himself.
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PPV
Symptoms: Rash
Clinical narrative: My son was given his vaccinations on November 2, 2009 at around 9am. He was vaccinated for hib, hep b, polio, pneumococcal, and DTAP. On November 3, 2009, he became very fussy and quite lathargic. About two in the afternoon he had developed a fever of 102.1 and started developing a rash as well on his face and tummy area. It took about one hour for the fever to break. He did not want to eat any formula or cereal but would drink water. By the end of the night he seemed a little better. The morning of 11-4-09 however, he became extremely fussy. Crying inconsolably and still not eating. He had a little of the rash left but no fever.  He cried from about six thirty am until close to two thirty pm. Finally at about 3pm on the fourth, I finally got him to eat four oz of a formula bottle, mind you this is a child who normally eats at least 8oz at all feedings. So far he seems a little better "knock on wood" but the day is not over. I thought that I should report this because my child is just not himself.
Age: 15.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Burning sensation, Injection site urticaria, Throat irritation, Urticaria
Clinical narrative: Hives started at injection site on upper right arm and spread down to elbow. Then hives appeared on left upper arm, not as severe as hives on right arm. Her throat, down by the base of her neck, started to burn as if she had swallowed something hot. A few hives appeared on her throat.  She took one Benadryl at about 7:10 pm. It was not getting better after 30 minutes so she took another benadryl. The throat burning went away after about 30 minutes and the hives went away about 20 minutes after the 2nd benadryl.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye swelling, Pruritus generalised, Rhinorrhoea, Urticaria
Clinical narrative: Itching eyes and body, swollen eyes, hives on inside of right eye, face, shoulders, runny nose. Took 50 mg Benedryl by mouth at 2:30 PM and every 8 hours for 36 hours.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Arrived to car and began having headache and muscle body aches. Began having fatigue and fever later in day and through night. Took 1000 mg of Tylenol during the night.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Pruritus generalised, Rash generalised
Clinical narrative: STARTED ITCHING AT SITE.  LATER PROGRESSED TO FINE RASH OVER ENTIRE BODY.  EXTREME ITCHING ALL OVER.  UNABLE TO CONTROL WITH OTC MEDS. WENT TO FREE STANDING CLINIC THE NEXT DAY-RECEIVED CORTISONE INJECTIONS X 2 AND TOLD TO TAKE ANTIHISTAMINE
Sex: U
Vaccine: FLU3
Symptoms: Syringe issue
Clinical narrative: Fluvarix injection Prefilled syringe Lot Aflua470ca, one syringe was defective, syringe was broken.
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Herpes zoster
Clinical narrative: Received H1N1 vaccine 10/23/09, contracted shingles 10/31/09
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Alopecia, Pruritus, Rash
Clinical narrative: I had a shingle shot. 1 I had a rash on my waist in a cluster. 2 Spots all over my body. 3 Hair loss. 4 Itching. 5 It lasted for at least a month.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Influenza, Influenza serology positive, Pyrexia
Clinical narrative: Fever 103 - hx of asthma.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Angioedema, Flushing, Urticaria
Clinical narrative: Day after vaccine developed hives and angioedema of hands, forearms, feet and ankles and facial flushing - symptoms persist despite steroid therapy that began on 11-2-09 and seen again 11-5-09.  11/13/09:  Primary Care Records received from dates of service 11/2/09 to 11/5/09.  Angioedema, hives, possible allergic reaction to H1N1. Assessment:  Presents with painful, swollen area on hands , forearms, feet and ankles bilaterally.  Seen 3 days later with same and flushing of face.  Prednisone therapy begun on 11/2/09, Zyrtec added on 11/5.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Biopsy kidney abnormal, Blood creatinine increased, Fluid retention, Glomerulonephritis minimal lesion, Heart rate increased
Clinical narrative: Had a regular flu shot at Community Health Center. A day later feet, ankles and legs begin to swell with fluid. The second day the fluid begin to be in hands and arms. The third day my skin was "drum tight". On Sunday evening, Sept. 13, went to emergency room at hospital with high blood pressure, high pulse rate, concern for possible heart problem. Cardiologist recognized a different problem and brought in a kidney specialist. A needle biopsy of the kidney on Tuesday, Sept. 15, resulted in identification of the problem on Wednesday, Sept. 16. The diagnosis was Minimal Change Disease, which caused protein to "leak" from the kidney resulting in the edema. Had six albumin IV3, a was placed on 60mg of Prednisone, plus three high blood pressure medication, diuretic heart beat regulator drug, warfarin, and two other medicines. Many blood samples taken during hospitalization, all of which showed problems with protein and creatinine. Was released from the hospital on Monday, Sept. 28. Swelling initially went down after another 10 days at home, with continued high dosage of Prednisone. Was taken off diuretic and Prednisone was reduced to 30 mg /day. Other drugs have ba : some reduction in dosage. Complete blood test on Friday, October 10, shows most all blood date to be within range. Expect continued reduction in medication dosage over the next two months. I will take no more flu shots. One week with the flu is much better than two weeks in the hospital and several months of blood tests, doctor appointments, medication with significant side effects.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Hypertension, Joint swelling, Oedema, Oedema peripheral, Protein total increased
Clinical narrative: Had a regular flu shot at Community Health Center. A day later feet, ankles and legs begin to swell with fluid. The second day the fluid begin to be in hands and arms. The third day my skin was "drum tight". On Sunday evening, Sept. 13, went to emergency room at hospital with high blood pressure, high pulse rate, concern for possible heart problem. Cardiologist recognized a different problem and brought in a kidney specialist. A needle biopsy of the kidney on Tuesday, Sept. 15, resulted in identification of the problem on Wednesday, Sept. 16. The diagnosis was Minimal Change Disease, which caused protein to "leak" from the kidney resulting in the edema. Had six albumin IV3, a was placed on 60mg of Prednisone, plus three high blood pressure medication, diuretic heart beat regulator drug, warfarin, and two other medicines. Many blood samples taken during hospitalization, all of which showed problems with protein and creatinine. Was released from the hospital on Monday, Sept. 28. Swelling initially went down after another 10 days at home, with continued high dosage of Prednisone. Was taken off diuretic and Prednisone was reduced to 30 mg /day. Other drugs have ba : some reduction in dosage. Complete blood test on Friday, October 10, shows most all blood date to be within range. Expect continued reduction in medication dosage over the next two months. I will take no more flu shots. One week with the flu is much better than two weeks in the hospital and several months of blood tests, doctor appointments, medication with significant side effects.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Skin tightness
Clinical narrative: Had a regular flu shot at Community Health Center. A day later feet, ankles and legs begin to swell with fluid. The second day the fluid begin to be in hands and arms. The third day my skin was "drum tight". On Sunday evening, Sept. 13, went to emergency room at hospital with high blood pressure, high pulse rate, concern for possible heart problem. Cardiologist recognized a different problem and brought in a kidney specialist. A needle biopsy of the kidney on Tuesday, Sept. 15, resulted in identification of the problem on Wednesday, Sept. 16. The diagnosis was Minimal Change Disease, which caused protein to "leak" from the kidney resulting in the edema. Had six albumin IV3, a was placed on 60mg of Prednisone, plus three high blood pressure medication, diuretic heart beat regulator drug, warfarin, and two other medicines. Many blood samples taken during hospitalization, all of which showed problems with protein and creatinine. Was released from the hospital on Monday, Sept. 28. Swelling initially went down after another 10 days at home, with continued high dosage of Prednisone. Was taken off diuretic and Prednisone was reduced to 30 mg /day. Other drugs have ba : some reduction in dosage. Complete blood test on Friday, October 10, shows most all blood date to be within range. Expect continued reduction in medication dosage over the next two months. I will take no more flu shots. One week with the flu is much better than two weeks in the hospital and several months of blood tests, doctor appointments, medication with significant side effects.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Influenza
Clinical narrative: 11-2-09 - No symptoms.  Received vaccine. 11-3-09 - No symptoms. 11-4-09 at 5PM 100.3 T, 9P 104 degrees. 11-5-09 AM 100 degrees increased before noon 104 degrees - 102 no treatment.  Received a call fron the nurse stating that the patience's fever returned on 11/06/09 and the patience was taken to his doctor and was DX with the flu. The doctor prescribed Tamaflu for the patient.
Age: 44.0
Sex: M
Vaccine: TTOX
Symptoms: Guillain-Barre syndrome
Clinical narrative: Patient developed Guillain-Barre syndrome, beginning on 10/31 with diagnosis made at UVA on 11/4/9.  11/16/09 Medical records recieved for DOS: 11/3/09. MVAx10 days prior and tetanus vaccine. Progressive ascending weakness. Sensory loss UE/LE, w/areflexia. Dizziness, dry cough, body aches. Back and shoulder pain. Tingling hands/feet. CSF protein high. EMG abn.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Cough, Diarrhoea, Malaise, Nausea
Clinical narrative: Nausea, body aches and diarrhea on the 15th.  On the 16th, I developed sore throat, cough, chills, fever and malaise.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Nausea, body aches and diarrhea on the 15th.  On the 16th, I developed sore throat, cough, chills, fever and malaise.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Allergy test positive, Dermatitis, Rash, Reaction to preservatives
Clinical narrative: I received 2 PPD test, a hepatitis B booster (for low titer), an IM seasonal flu vaccine, and nasal H1N1 within approx 2 months of each other.  Recurring periocular dermatitis led to patch testing and this was highly reactive for thimerosal.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Chills, Dysphonia, Headache, Pain
Clinical narrative: Became ill with fever, chills, headache and body aches.  Symptoms became increasingly worse until 2AM and then broke out with full body hives.  Continued through the night with hives, hoarse voice and chest tightness.  Took ibuprofen and Benadryl until symptoms subsided evening of 10/21/09.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Urticaria
Clinical narrative: Became ill with fever, chills, headache and body aches.  Symptoms became increasingly worse until 2AM and then broke out with full body hives.  Continued through the night with hives, hoarse voice and chest tightness.  Took ibuprofen and Benadryl until symptoms subsided evening of 10/21/09.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Contusion, Lymphadenitis, Skin warm, Tenderness, Ultrasound scan
Clinical narrative: Warm, tender lump on Rt. Deltoid 11x14 cm, bruise
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Ear pain, Headache, Loss of consciousness, Nausea, Oropharyngeal pain
Clinical narrative: 10-28-09 - H1N1 LA IV administered. 11-1-09 - C/O fever 102-103 per mother. 11-4-09 - Fever subsided; c/o ear, throat pain - seen by PCP. 11-5-09 - Started on Z-Pack - teen passed out taking pills - mom reported to PCP - currently c/o nausea and headache.
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: 10-28-09 - H1N1 LA IV administered. 11-1-09 - C/O fever 102-103 per mother. 11-4-09 - Fever subsided; c/o ear, throat pain - seen by PCP. 11-5-09 - Started on Z-Pack - teen passed out taking pills - mom reported to PCP - currently c/o nausea and headache.
Age: 63.0
Sex: M
Vaccine: FLUX
Symptoms: Bedridden, Diarrhoea, Gastrointestinal infection, Malaise
Clinical narrative: Per nursing patient states he was very ill with severe GI symptoms and bedridden for 2 weeks following flu vaccine. Symptoms: 1. Diarrhea.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1), FLU3, PPV
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Vaccine received at 9 am on 10/17/2009 and at about 5 or 6 pm she had stiffness and soreness in the left shoulder to neck.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Rash macular, Rash pruritic, Skin warm
Clinical narrative: 10/29 - Red macular rash.  Itchy, warm to touch.  11/01 - Red blotchy, itchy rash, warm to touch.  Disappeared on own.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea, Pallor, Paraesthesia
Clinical narrative: Tingling to upper arms, neck, and face; pale, faint-like feeling, nausea.  11/24/09 Medical records received for DOS 11/6. S/P vaccine BP decreased, resp increased, dizziness.  Tingling hands and chest area. Pale, lips white, radial pulse not felt.
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea, Tremor, Visual impairment
Clinical narrative: Headache, tremor, nausea.  "Falling star" in Rt eye.  Recovered completely in 24 hrs.
Age: 0.64
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Convulsion, Pyrexia
Clinical narrative: Received H1N1 and Influenza vaccine on 11/4/09.  Developed fever and had brief convulsion lasting.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Swelling (palm sized) redness, hot and hard to touch.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Skin warm, Urticaria
Clinical narrative: Received call in PHN office from mother on 11/5/09 @ 11:21. Mother stated pt. received flu shot during POD exercise on 10/28/09 at school and had a reaction. Pt got off the school bus at 16:20 and complained of his neck itching and it felt warm. Pt developed hives on the front of his neck. Mother treated with hydrocortisone cream. In few days the hives had resolved. Pt did not go to ER. Instructed mother to have pt see provider prior to next administration of vaccine.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Erythema, Headache, Oedema peripheral, Pain in extremity
Clinical narrative: Headache, dizziness. Right deltoid swelling with red, pain to touch and high temp. Low grade fever at 99.5F.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Headache, dizziness. Right deltoid swelling with red, pain to touch and high temp. Low grade fever at 99.5F.
Age: 37.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Mobility decreased, Neck pain
Clinical narrative: Severe neck pain radiating up the neck on the side that the vaccine was administered, limiting range of motion.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Given H1N1 flu mist after had already had injectable H1N1 vaccine on 11/02/2009, no adverse reactions noted since time of 2nd vaccination.  Notified mother, mother called family doctor, who, in turn, notified the State Health Department. Nurse also gathered information from CDC help line.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Feeling hot, Limb discomfort, Oedema peripheral
Clinical narrative: Pt. stated she had to see a MD on Sat., Oct. 24,2009 d/t discomfort in her left arm. Pt. had heat, erythema, and swelling on L arm. Area raised.She states the MD told her she had cellulitis in hr left arm. She states that it is still read and raised and that the upper part is now brown color. She states MD gave her a deadron shot: Rocephin shot, and augmentin antibiotics. She states she has had a low grad fever. 11/04/2009- P/c to pt. today. She states she has recovered & her arm is fine.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Skin discolouration
Clinical narrative: Pt. stated she had to see a MD on Sat., Oct. 24,2009 d/t discomfort in her left arm. Pt. had heat, erythema, and swelling on L arm. Area raised.She states the MD told her she had cellulitis in hr left arm. She states that it is still read and raised and that the upper part is now brown color. She states MD gave her a deadron shot: Rocephin shot, and augmentin antibiotics. She states she has had a low grad fever. 11/04/2009- P/c to pt. today. She states she has recovered & her arm is fine.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dizziness, Palpitations
Clinical narrative: PATIENT COMPLAINS OF RACING HEART, DIZZINESS THAT SHE CAN'T CONTROL AND HEAVINESS IN HER CHEST SINCE ADMINISTRATION OF THE VACCINE.  BLOOD PRESSURE AND PULSE ARE NORMAL AND THERE IS NO WHEEZING, LUNGS ARE CLEAR.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Dizziness, Dyspepsia, Fatigue, Headache
Clinical narrative: 1ST DIZZINESS/LIGHTHEADNESS/FATIGUE/TIREDNESS, RAISED SMALL RED BUMPS AT SIGHT OF INJECTION/SORENESS, THEN ABT 1 HR LATER A SMALL HEADACHE/NECKACHE/ CONTINUING THRU NIGHT AND INTO NEXT MORNING AND AFTERNOON/EVENING AT WORK AND AT HOME/SOME LIGHT DIARRHEA/STOMACH INDIGESTION ON MORNING OF DAY AFTER VACCINATION
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pain, Neck pain
Clinical narrative: 1ST DIZZINESS/LIGHTHEADNESS/FATIGUE/TIREDNESS, RAISED SMALL RED BUMPS AT SIGHT OF INJECTION/SORENESS, THEN ABT 1 HR LATER A SMALL HEADACHE/NECKACHE/ CONTINUING THRU NIGHT AND INTO NEXT MORNING AND AFTERNOON/EVENING AT WORK AND AT HOME/SOME LIGHT DIARRHEA/STOMACH INDIGESTION ON MORNING OF DAY AFTER VACCINATION
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Palpitations
Clinical narrative: DIZZINESS, RACING HEART
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Influenza like illness, Injected limb mobility decreased, Injection site swelling, Lethargy
Clinical narrative: Swollen arm at injection site, unable to lift using injected arm.  Pt began with flu like symptoms and was down in bed for 2-3 days.  Fatigue, lethargy, body aches.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain
Clinical narrative: Swollen arm at injection site, unable to lift using injected arm.  Pt began with flu like symptoms and was down in bed for 2-3 days.  Fatigue, lethargy, body aches.
Age: 3.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Rhinorrhoea, Urticaria
Clinical narrative: FEVER RUNNY NOSE HIVES
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Woke up on 10/29/2009 with swelling and redness of R upper arm.  Area was painful and itchy.
Age: 22.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Condition aggravated, Gait disturbance, Muscular weakness, Pain, Rash
Clinical narrative: Received injection in left arm, started getting weak quad muscles, harder to walk. Left quad started weakening first, now both. The symptoms have worsened and my muscles are weak making it hard to walk without pain. Also a rash developed on my left upper thigh. I am able to walk but it is sore like I have been jogging for hours and pulled muscles.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Soreness, edema, erythema
Age: 2.0
Sex: M
Vaccine: HEP, HIBV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever and vomiting
Age: 0.57
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site papule, Injection site swelling
Clinical narrative: Mom states child had vaccines (11/3/09). Site was red & swollen and 2 days later bumps (circular red raised) came up on legs, especially her left leg.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pain
Clinical narrative: On about 4pm 10/26/09 received 0.5 ml PNEUMOVAX in left deltoid. Achiness within 1 1/2 hours after shot and redness and swelling- firm- 3" below injection site and 5 1/2" L x 5 " width-slight warmth @ site (redness site-no temperature
Age: 39.0
Sex: F
Vaccine: FLU(H1N1), FLU3, PPV
Symptoms: Erythema, Induration, Tenderness
Clinical narrative: Rt arm erythema with induration 5 x 6 cm. Pt has no fever. C/o tenderness in Rt arm.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Local indurated, erythemators reaction @ MMR site, occuring 1 wk with immun. administr. Ice, MOTRIN, topical steroids recommended.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rashes (hives) all over her body x 2 wks after receiving the H1N1 (Novel) injection. Pt using anti-itching cream to relieve itchiness.
Age: 34.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Hypersensitivity, Injection site erythema
Clinical narrative: Erythema 13cmx5cm on R upper arm surrounding injection site no itching no respiratory symptoms.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nasopharyngitis, Nausea, Palpitations, Vertigo
Clinical narrative: Received H1N1 vaccination about 12:30 PM at about 14:00 noted dizziness, feeling off balance, vertigo, palpitations and nausea. Was seen in the Emergency Department at 16:22, symptoms were mild-improving. Stated "had head cold 2 weeks ago", given antibiotic. Symptoms completely relieved/resolved.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying
Clinical narrative: About an hour after vaccination, infant cried for twenty-five minutes. Mother gave Tylenol dose and crying stopped.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Chest X-ray, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: Numbness around left eye, fingers and feet, felt dizzy and short of breath. Code called - given epinephrine, pepcid, benadryl, solumedrol and oxygen at site where reaction occurred (hospital cafeteria). Transferred to ED for further evalaution, monitored and discharged home.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Full blood count, Hypoaesthesia, Hypoaesthesia facial, Metabolic function test, Pregnancy test
Clinical narrative: Numbness around left eye, fingers and feet, felt dizzy and short of breath. Code called - given epinephrine, pepcid, benadryl, solumedrol and oxygen at site where reaction occurred (hospital cafeteria). Transferred to ED for further evalaution, monitored and discharged home.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Prothrombin time, Troponin
Clinical narrative: Numbness around left eye, fingers and feet, felt dizzy and short of breath. Code called - given epinephrine, pepcid, benadryl, solumedrol and oxygen at site where reaction occurred (hospital cafeteria). Transferred to ED for further evalaution, monitored and discharged home.
Age: 47.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Migraine
Clinical narrative: Migraine unresponsive to home medication regimen.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Nasopharyngitis, Pyrexia, Rhinorrhoea
Clinical narrative: Patient had what appeared to be a cold, runny nose and intermittent fever to 100.4.  This continued until 11/2/09, when the fever stopped.  Nasal drainage still excessive, so he was taken to primary care physician.  They mentioned that it might be a response to the flu mist vaccine.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dyspnoea, Influenza serology positive, Pyrexia, Respiratory distress
Clinical narrative: Onset of Fever, Cough, Congestion on 11/5/09 a.m. with increasing work of breathing during the day.  Seen in clinic 5:00 p.m. with tachypnea, wheezing and moderate respiratory distress.  Albuterol neb x 2 administered in clinic and admitted to Hospital for further management11/6/2009 Admission note for date 11/6/2009. Patient admitted with c/o's respiratory distress, fever, anorexia and tachypnea. Tx: IV Steroids, Protonix, Resp Tx's w/albuterol. 11/10/09 DC summary received from date 11/7/09.  DX: Influenza A,  RAD. SX: admitted on 11/5/09 with acute onset of respiratory distress. Received flumist H1N1. Developed progressive tachypnea, dyspneathe, fever, anorexia. Assessment: prolonged expiratory phase.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Respiratory tract congestion, Tachypnoea, Wheezing
Clinical narrative: Onset of Fever, Cough, Congestion on 11/5/09 a.m. with increasing work of breathing during the day.  Seen in clinic 5:00 p.m. with tachypnea, wheezing and moderate respiratory distress.  Albuterol neb x 2 administered in clinic and admitted to Hospital for further management11/6/2009 Admission note for date 11/6/2009. Patient admitted with c/o's respiratory distress, fever, anorexia and tachypnea. Tx: IV Steroids, Protonix, Resp Tx's w/albuterol. 11/10/09 DC summary received from date 11/7/09.  DX: Influenza A,  RAD. SX: admitted on 11/5/09 with acute onset of respiratory distress. Received flumist H1N1. Developed progressive tachypnea, dyspneathe, fever, anorexia. Assessment: prolonged expiratory phase.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Eye pruritus, Eye swelling, Fatigue, Feeling cold
Clinical narrative: I got hives sporadically on my body. My eyes got swollen and red and were itchy. My throat felt sore and scratchy, and then it felt as if there was a lump in my throat.  I felt heaviness in my chest, and I was wheezing.  I felt very tired and I was cold.  I didn't receive medical attention because in the morning the symptoms had alleviated.  I still had a little of heaviness on the chest, but it got better as the day progressed.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Ocular hyperaemia, Oropharyngeal pain, Sensation of foreign body, Throat irritation, Urticaria
Clinical narrative: I got hives sporadically on my body. My eyes got swollen and red and were itchy. My throat felt sore and scratchy, and then it felt as if there was a lump in my throat.  I felt heaviness in my chest, and I was wheezing.  I felt very tired and I was cold.  I didn't receive medical attention because in the morning the symptoms had alleviated.  I still had a little of heaviness on the chest, but it got better as the day progressed.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Wheezing
Clinical narrative: I got hives sporadically on my body. My eyes got swollen and red and were itchy. My throat felt sore and scratchy, and then it felt as if there was a lump in my throat.  I felt heaviness in my chest, and I was wheezing.  I felt very tired and I was cold.  I didn't receive medical attention because in the morning the symptoms had alleviated.  I still had a little of heaviness on the chest, but it got better as the day progressed.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Bursitis, Erythema, Immediate post-injection reaction, Injection site pain, Injection site swelling
Clinical narrative: PATIENT REPORTED, IMMDIATE PAIN IN LEFT SHOULDER POST INJECTION. MARBLE SIZE RED NODULE, SWELLING AND PAIN IN LEFT ARM TO ELBOW, AND INTO LEFT HAND LATER THAT NIGHT.  PAIN BECAME WORSE OVER NEXT WEEK, AND SAW MD. PATIENT STATED MD DX WAS BURSITIS & TENDONITIS.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Nodule, Nuclear magnetic resonance imaging, Oedema peripheral, Pain in extremity, Tendonitis
Clinical narrative: PATIENT REPORTED, IMMDIATE PAIN IN LEFT SHOULDER POST INJECTION. MARBLE SIZE RED NODULE, SWELLING AND PAIN IN LEFT ARM TO ELBOW, AND INTO LEFT HAND LATER THAT NIGHT.  PAIN BECAME WORSE OVER NEXT WEEK, AND SAW MD. PATIENT STATED MD DX WAS BURSITIS & TENDONITIS.
Age: 16.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood pressure increased, Fall, Hypoaesthesia, Loss of consciousness, Pallor
Clinical narrative: Pt. received H1N1 flumist.  Mother states pt. is terrified of shots and has passed out before, so she chose mist. Flumist administered without problems.  Brother in same room received injection. After the brother received his shot the patient stood up and started to fall. She was assisted to the floor.  While she was starting to fall, she started to pass out and her color got pale. Assisted to elevate her feet and applied cool cloth to her forehead. BP is 140/80, pulse 60, pt was aroused easily, alert and oriented and responsive. After a few minutes she was assisted to sitting position, BP rechecked 114/80.  Pt up to chair and given Sprite and crackers. Pt. stated she felt fine and wanted to go to school. Instructed to wait 20 minutes before leaving. Pt color back to normal. Telephone call later at 1:40 PM stating she had passed out at school and could not feel her hands.  Mother was instructed to go to the ER or MD for evaluation.  Followed up with mother the next morning.  She stated she did not take the child to the doctor because it would cause more anxiety for the child and she seemed to be doing fine. The child was playing outside in the yard and is doing fine per mom.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Headache, Influenza, Influenza serology positive, Pain in extremity
Clinical narrative: Sore left arm 10-28-09. Cough, headache, fever 101, 104, to 105 degrees 11-2-09. Taken to ER 11-3-09 prescribed TAMIFLU q 12 hour. Tested + for INFLUENZA A
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Sore left arm 10-28-09. Cough, headache, fever 101, 104, to 105 degrees 11-2-09. Taken to ER 11-3-09 prescribed TAMIFLU q 12 hour. Tested + for INFLUENZA A
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: none stated
Age: 56.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash
Clinical narrative: Upon awakening 11/6/09 client noticed a fine rash on chest & stomach.  Says there are Multiple little spots.  Mild itching as well.   No treatment done by client.
Age: 1.18
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, VARCEL
Symptoms: Erythema, Rash papular, Rash pustular
Clinical narrative: Pt developed mild rash over past two days. Has few scattered papules/pustules with surrounding erythema over thighs, trunk, hands, (R) ear. No fever or pruritus. Otherwise well. No treatment given. Discussed self recovery course.
Age: 41.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray, Chest discomfort, Cough, Electrocardiogram
Clinical narrative: was given the H1N1 vaccine, approx 20 min after given, my left side lung felt heavy and a cough. Was taken to our emergency room and was treated. Symptoms were gone w/in about an hour.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphonia, Throat irritation, Throat tightness
Clinical narrative: 3:45 - C/O hoarseness and fullness in throat with scratchy feeling; 3:55pm Benadryl 50mg IM, followed by NEB Rx with ALBUTEROL; 4:05pm scratching some; feels a little tighter than normal in throat. 4:10pm SOLUMEDROL 125mg IM.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: Pt developed hives bilateral arms/chest/abd and itching over whole body 4 hours after recurring Influenza A (H1N1). Pt present to office 11/06/09 hives and itching still present.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Hypoaesthesia, Nausea, Vomiting
Clinical narrative: Approx an hour after employee received flu vaccine from occupational RN she stated that she felt numbness in her left arm, nausea with vomiting x1, dizziness, and "feet hot". Vaccine given to L deltoid. Vitals taken 911 called.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Fall, Loss of consciousness, Syncope
Clinical narrative: Initial report received on 26 October 2009 from a health care professional. A cluster of patients which contains a ten year old male patient and two other unidentified patients walked approximately ten feet and fainted after receiving FLUZONE SV (lot number, route, site not reported). They regained consciousness when they fell to the floor. This reaction was similar in the three patients. Recovery status was not reported. List of Documents held by sender: none.
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal discomfort, Erythema, Heart rate increased, Pruritus, Urticaria
Clinical narrative: Pt went to the school clinic at approx 145 pm c/o itching. Secretary alerted the nurse who then saw that the pt's face was reddened with hives. Pt c/o abdominal discomfort and was assisted to the bathroom. (911 was alerted when the nurses were located) pt was given 0.4mg Epi SQ, then 40 mg BENADRYL IM, assisted to cot feet elevated, BP 110/68, pulse ox 98%, pulse 120, temp 97.8, meds were given at 155pm -157pm, squad arrived, pt transported to ER, pt was alert and oriented during event. Pt attended school next day.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Headache, Vertigo
Clinical narrative: Patient received seasonal flu shot 9/18/09. Patient experienced dizziness. Vertigo associated with head movement and headache 24 hours after shot.
Age: 3.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mother reports redness on R thigh shortly after immunization given at injection site. By morning had 15x11cm redness. warm swollen area to R thigh. Mother brought him into clinic and pt was given prescription for BENADRYL.
Age: 10.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Clinical narrative: None reported. Patient was given Adacel. Should have received Td Boostrix. Correction Td Boostrix will be given 4 weeks from November 3, 2009 on 12-01-2009. Another Td Boostrix will be given on June 1, 2010.
Age: 0.36
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Pyrexia
Clinical narrative: By parental report: fever 105.3. Took patient to ER where she was administered TYLENOL. Fever broke after 2 doses.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain
Clinical narrative: Not being able to move left arm without significant pain after receiving the vaccine.  Anti-inflammatories didn't help (which she took for a week).  She kept her arm in a sling for several days (which helped her).  When I saw her on 11/4/09, she wasn't wearing a sling anymore.  She said she is able to move her arm now with less pain but it still hurts if she raises it too high.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Disturbance in attention, Dizziness, Fear, Feeling abnormal
Clinical narrative: Warm rush, BP 180/80, felt like passing out, lightheaded. Continued feeling of being in a "tunnel" disassociated from surroundings. 1200PM 138/80.  Difficulty concentrating. Pulse 70s respirations normal, tearful, fearful, 1222pm bp down to 112/60.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Tearfulness
Clinical narrative: Warm rush, BP 180/80, felt like passing out, lightheaded. Continued feeling of being in a "tunnel" disassociated from surroundings. 1200PM 138/80.  Difficulty concentrating. Pulse 70s respirations normal, tearful, fearful, 1222pm bp down to 112/60.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: vaccine was Zostavax,large, painful, hot, red area (2 cm by 5 cm)with darker red inner area (1 cm by 2 cm)