chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pain, Paraesthesia, Pyrexia
Clinical narrative: Starting at about 4 hours after the shot had a headache.  At 6 hours after mild fever began and severe body ache and eyes very dry and red.  At around 7 hours began to have sore throat which was not listed under symptom.  Tingling in nose as if I have to sneeze but am unable.  Very tired and irritable.  Today is the next day and I feel all these symptoms at once.  It is nearly as bad as actually having the flu.  Not recovered yet but I suspect I will. Don't know who manufactured it but I had to enter something or I couldn't complete the form.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Epistaxis
Clinical narrative: Mild nosebleed - self-treated by pinching nose with Kleenex
Age: 20.0
Sex: M
Vaccine: TDAP
Symptoms: Blood creatine phosphokinase MB increased, Electrocardiogram ST segment elevation, Myocarditis
Clinical narrative: Pericarditis and Myocarditis diagnosed 9/21/09 9/28/09 Medical records received from Date of service 9/21/09 to 9/23/09: Admit from ER for abrupt onset of chest pain increased cardiac markers, EKG changes. Patient presented to ED the previous day with malaise, fever, flu like sx but left before seen. DX: Acute pericarditis, myocarditis, Iron Deficiency anemia, . ICD9 codes: 420.90, 429.0, 280.9, 305.1
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain, Pain, Pain in extremity
Clinical narrative: Constant ache in arm between elbow and shoulder.  Tender at injection area. Can't raise my arm without pain.  I am seeing my physician 9/24/09. Vaccination was given by pharmacist.
Age: 47.0
Sex: M
Vaccine: FLUN3
Symptoms: Paraesthesia
Clinical narrative: Tingling on left side of face, started approximately 5 minutes after receiving the flumist - lasted about 12 hours.   Tingling did not fluctuate - face was not hot, just tingly.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Dysphagia, Dysphonia, Ear pain, Epistaxis, Eyelid margin crusting
Clinical narrative: My son first developed an inability to swallow then profuse and frequent nosebleeds (throughout the eight days he was quarantined to his room). While this was going on he began crying that his ears hurt. Once tended to, he awoke the next morning to his eyes crusted over. He was horse and lethargic, achy and had a high fever.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Lethargy, Pain, Pyrexia
Clinical narrative: My son first developed an inability to swallow then profuse and frequent nosebleeds (throughout the eight days he was quarantined to his room). While this was going on he began crying that his ears hurt. Once tended to, he awoke the next morning to his eyes crusted over. He was horse and lethargic, achy and had a high fever.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Area around injection site red, swollen,very painful and warm to touch
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Nausea, Pruritus, Urticaria
Clinical narrative: Hives throughout body within 6-7 hours after seasonal influenza vaccination.  C/O itching, headach, nausea, along with hives.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Erythema, Local reaction
Clinical narrative: Severe local reaction, erythema. Benadryl 25mg q 4-6 hrs as needed
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Localized reaction, Redness at site
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Hypoaesthesia, Immediate post-injection reaction, Pain in extremity
Clinical narrative: First injection of the hepatitis B vaccine series given to individual by employee health nurse. Vaccine offered by employer, she works in a Long Term Care facility. Immediately after the injection, individual felt a light numbness in the right upper arm, from the elbow to the shoulder. She also felt pain in the arm, radiating to the right shoulder blade. She is still having pain in the arm and shoulder blade when she moves it, especially when moving arm above head and while lying on the arm.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Developed redness and swelling at injection site next day 9/17/09 then fever 103. Instructed per phone conversation with Advil and Benadryl. Went to ER 9/19/09 and treated Keflex 500 qid Benadryl 25-50 q 4-6 hour. Seen at physician office 9/21/09 Keflex 500 qid X 3 additional days. Diagnosed with Cellulitis.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site rash, Injection site urticaria, Rash erythematous
Clinical narrative: A bad burn like rash with whelps around the vaccine site.
Age: 1.42
Sex: M
Vaccine: FLUN3
Symptoms: Wrong drug administered
Clinical narrative: This child was signed up by administrative staff for the FluMist which was not age appropriate. Vaccine was given to this 17 month old by an RN that was volunteering (MRC Volunteer) at our flu immunization clinic. Reported to our Medical Director. No adverse events noted. Attempting to notify the patients parent at this time. Will boost with Pediatric Fluzone.
Age: 19.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis for 3-5 days per patients mom. Whom is a LNP, cellutis only presented on left deltoid
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: urticarial rash
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Rash
Clinical narrative: Patient received vaccinations stated below. Mother noted rash on 8/29/09 on abd., back, and neck in the morning. No distress reported. Visit to ER on 8/29/09. ER gave Benadryl. Patient was released. Visit to doctor on 9/01/09. No new tx.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous
Clinical narrative: received flu vaccine on 9/18/09. that same afternoon c/o itching. today (9/23/09)reports to health center c/o fine red rash and increase itching to neck, upper chest, ears and B/L forearms. Benadryl 25 mg po, benadryl cream, Medrol dose pak.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: Patient states via email "Got my flu shot Friday a.m. and by late Friday night I started with a rash, which continues today (9/21).  Little itchy bumps.  Seems to like my joints.  Started on the elbows, then to knees, today ankles and wrists starting to itch.
Age: 1.25
Sex: F
Vaccine: DTPPHIB, FLU3, PNC
Symptoms: Cough, Dyskinesia, Fatigue, Feeling abnormal, Foaming at mouth
Clinical narrative: Received Pentacel, Prevnar and Fluzone vaccines in morning - that afternoon, developed fever.  8pm-ish, eyes rolled back and little foaming at mouth and both arms and legs jerking - lasted about one minute and then tired - given Tylenol and soon thereafter to bed.  At about midnight, again, felt hot, eyes rolled back, "whole body" jerking; vomited once during event but no choking or gagging - lasted about 10 minutes and then tired.  Next day, little "not herself" but otherwise well.  She has had a little runny nose and cough for a couple of days.Brother with hx of many febrile seizures (none b/o vaccines) so parents didn't seek medical care - called next day (today) to report and brought to office for evaluation; exam non-focal; does have Otitis media with effusion but no signs of acute infection.
Age: 1.25
Sex: F
Vaccine: DTPPHIB, FLU3, PNC
Symptoms: Gaze palsy, Middle ear effusion, Otitis media, Pyrexia, Rhinorrhoea
Clinical narrative: Received Pentacel, Prevnar and Fluzone vaccines in morning - that afternoon, developed fever.  8pm-ish, eyes rolled back and little foaming at mouth and both arms and legs jerking - lasted about one minute and then tired - given Tylenol and soon thereafter to bed.  At about midnight, again, felt hot, eyes rolled back, "whole body" jerking; vomited once during event but no choking or gagging - lasted about 10 minutes and then tired.  Next day, little "not herself" but otherwise well.  She has had a little runny nose and cough for a couple of days.Brother with hx of many febrile seizures (none b/o vaccines) so parents didn't seek medical care - called next day (today) to report and brought to office for evaluation; exam non-focal; does have Otitis media with effusion but no signs of acute infection.
Age: 1.25
Sex: F
Vaccine: DTPPHIB, FLU3, PNC
Symptoms: Skin warm, Vomiting
Clinical narrative: Received Pentacel, Prevnar and Fluzone vaccines in morning - that afternoon, developed fever.  8pm-ish, eyes rolled back and little foaming at mouth and both arms and legs jerking - lasted about one minute and then tired - given Tylenol and soon thereafter to bed.  At about midnight, again, felt hot, eyes rolled back, "whole body" jerking; vomited once during event but no choking or gagging - lasted about 10 minutes and then tired.  Next day, little "not herself" but otherwise well.  She has had a little runny nose and cough for a couple of days.Brother with hx of many febrile seizures (none b/o vaccines) so parents didn't seek medical care - called next day (today) to report and brought to office for evaluation; exam non-focal; does have Otitis media with effusion but no signs of acute infection.
Age: 15.0
Sex: F
Vaccine: FLUN3, HPV4, TDAP
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Pt was asked if there was any chance she could be pregnant due to late menses.  She replied, "No, my periods are always funky."  During visit, HCG was done and it was positive for pregnancy.  So far, no known adverse reactions.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Loss of consciousness, Postictal state, Presyncope, Tonic clonic movements
Clinical narrative: Patient with history of chilhood seizure.  Seizure free since 4 years of age. Patient had vaso-vagal episode briefly lost consciousness and had 5 to 6 seconds of clonic-tonic jerking arms and legs. Patient had post-ictal state for 2 hrs.  10/05/09 Received PCP medical records which included Neuro consults of 1998. FINAL DX: Generalized tonic seizure disorder. Records reveal that patient initially experienced night time seizure activity 4/98 followed by vomiting x 1 w/congestion & cough but no fever.  Dx w/bronchitis & tx w/antibiotics.  After 2nd abnormal EEG, started on antiseizure meds & did well.  10/6/09 Received Neuro medical records of 10/2/09. FINAL DX: syncopal attacks, likely vagal; hx of generalized seizrue disorder in childhood, treated & idiopathic; dysmenorrhea.  Referred for EEG & if abnormal, an MRI.  No further medical records available.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Condition aggravated, Electroencephalogram, Grand mal convulsion, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient with history of chilhood seizure.  Seizure free since 4 years of age. Patient had vaso-vagal episode briefly lost consciousness and had 5 to 6 seconds of clonic-tonic jerking arms and legs. Patient had post-ictal state for 2 hrs.  10/05/09 Received PCP medical records which included Neuro consults of 1998. FINAL DX: Generalized tonic seizure disorder. Records reveal that patient initially experienced night time seizure activity 4/98 followed by vomiting x 1 w/congestion & cough but no fever.  Dx w/bronchitis & tx w/antibiotics.  After 2nd abnormal EEG, started on antiseizure meds & did well.  10/6/09 Received Neuro medical records of 10/2/09. FINAL DX: syncopal attacks, likely vagal; hx of generalized seizrue disorder in childhood, treated & idiopathic; dysmenorrhea.  Referred for EEG & if abnormal, an MRI.  No further medical records available.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: Patient with history of chilhood seizure.  Seizure free since 4 years of age. Patient had vaso-vagal episode briefly lost consciousness and had 5 to 6 seconds of clonic-tonic jerking arms and legs. Patient had post-ictal state for 2 hrs.  10/05/09 Received PCP medical records which included Neuro consults of 1998. FINAL DX: Generalized tonic seizure disorder. Records reveal that patient initially experienced night time seizure activity 4/98 followed by vomiting x 1 w/congestion & cough but no fever.  Dx w/bronchitis & tx w/antibiotics.  After 2nd abnormal EEG, started on antiseizure meds & did well.  10/6/09 Received Neuro medical records of 10/2/09. FINAL DX: syncopal attacks, likely vagal; hx of generalized seizrue disorder in childhood, treated & idiopathic; dysmenorrhea.  Referred for EEG & if abnormal, an MRI.  No further medical records available.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Limb discomfort, Local reaction, Pruritus, Skin burning sensation
Clinical narrative: Pt went to ER on 08/13/2009 for local reaction of right  arm. Pt was treated with Benadryl 25mg IM, prednisone 40mg po, Zantac 150mg po. Today, pt c/o right arm numbness, burning, itching, and soreness.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Aggression, Anger, Injection site inflammation, Injection site rash, Injection site swelling
Clinical narrative: Child is classified with Aspergers Syndrome Disorder. Tdap Booster/Vaccine administered on 12/11/2008. Site of vaccine severely swollen and inflammed (appearance of rash); parents noticed 2 days after being administered. At school, child's exhibited a high level of behavioral violent anger issues from 12/13/08 to present. Reviewed manufacturer's (Adacel) insert, which indicated the following side-effect: "easily angered and annoyed."
Age: 1.0
Sex: F
Vaccine: FLUX, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash generalised
Clinical narrative: About 10 days after her mmr vaccine she started having fevers ranging from 99.9-103.3 for about 2 days then on twelfth day after vacc we started seeing small red bumps on face and spread lightly over body, 1 day later the amount of spots has tripled and are bigger in size.  She is uncomfortable but the fevers are at least gone.
Age: 5.0
Sex: M
Vaccine: DT
Symptoms: Headache, Injection site induration, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: On 09/21/09 at 5:30 pm received DT injection. Went home and an hour or two later he started crying with his arm hurting. Mom didn't see anything then. Repeated 3-4 times during night. AT 9:30 next morning still complaining of arm hurting, mom didn't see anything and went to school. That afternoon still complained after school. At 9:30 on Tuesday night mom was giving him a shower and saw his arm was swollen baseball size and was hot and hard to touch. C/o headache, called dr. Temp 100 degrees. Went to Children's, given Motrin. On 09/23/09 the size of his arm still swollen but lessened still warm to touch, slight fever but not complaining as much. Mom given prescription for bendryl.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Angioedema, Chest pain, Fibrin D dimer increased, Lip swelling, Nasal congestion
Clinical narrative: SUBJECT: CALL TO FEE DEPT               R'CVD. CALL W/VOICEMAIL MSG.@ 1:16PM, CALL RETURNED AT 2:38PM AND WAS INFORMED BY UR NURSE, THAT THIS PATIENT HAD A SERIOUS REACTION AFTER THE FLU SHOT HERE YESTERDAY. S/S CONSISTED OF HIVES OVER HIS BODY, ANGIOEDEMA, LIPS AND NASAL SWELLING AND CHEST PAIN. HE WAS TREATED AS SUCH: IV SOLUMEDROL, IV BENADRYL, IV TAGAMET, IVF, DUONEBS FOR WHEEZING (DID NOT PROGRESS TO STRIDOR). HIS CP IS BEING RULED OUT, HE IS TO HAVE A STRESS TEST. PATIENT ALSO HAS ELEVATED D-DIMER.  PATIENT HAS BEEN PROGRESSED TO PO MEDS WITH THE EXCEPTION OF STILL BEING ON IV SOLUMEDROL.  9/29/09 Hospital and  ED records, DC summary, received DOS 9/22/09 to 9/23/09.  Assessment: Atypical chest pain, asthma exacerbation, allergic reaction. Patient developed hives on arms, legs, back, buttocks, groin area, and abdomen. Lips and nose began to swell.   ICD-9 Codes: 708.0 Allergic urticaria, 493.22 Chronic obstructive asthma with acute exacerbation, E949.6 Viral/rickettsial vaccine causing adverse effects, 309.9 Uspecified adjustment reaction, 786.59 Chest pain, 355.9 Mononeuritis of unspecified site, 272.4 Unspecified hyperlipidemia, 600.00 Hypertrophy (benign) of prostate.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria, Wheezing
Clinical narrative: SUBJECT: CALL TO FEE DEPT               R'CVD. CALL W/VOICEMAIL MSG.@ 1:16PM, CALL RETURNED AT 2:38PM AND WAS INFORMED BY UR NURSE, THAT THIS PATIENT HAD A SERIOUS REACTION AFTER THE FLU SHOT HERE YESTERDAY. S/S CONSISTED OF HIVES OVER HIS BODY, ANGIOEDEMA, LIPS AND NASAL SWELLING AND CHEST PAIN. HE WAS TREATED AS SUCH: IV SOLUMEDROL, IV BENADRYL, IV TAGAMET, IVF, DUONEBS FOR WHEEZING (DID NOT PROGRESS TO STRIDOR). HIS CP IS BEING RULED OUT, HE IS TO HAVE A STRESS TEST. PATIENT ALSO HAS ELEVATED D-DIMER.  PATIENT HAS BEEN PROGRESSED TO PO MEDS WITH THE EXCEPTION OF STILL BEING ON IV SOLUMEDROL.  9/29/09 Hospital and  ED records, DC summary, received DOS 9/22/09 to 9/23/09.  Assessment: Atypical chest pain, asthma exacerbation, allergic reaction. Patient developed hives on arms, legs, back, buttocks, groin area, and abdomen. Lips and nose began to swell.   ICD-9 Codes: 708.0 Allergic urticaria, 493.22 Chronic obstructive asthma with acute exacerbation, E949.6 Viral/rickettsial vaccine causing adverse effects, 309.9 Uspecified adjustment reaction, 786.59 Chest pain, 355.9 Mononeuritis of unspecified site, 272.4 Unspecified hyperlipidemia, 600.00 Hypertrophy (benign) of prostate.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Injection site urticaria, No reaction on previous exposure to drug, Oedema peripheral, Pruritus
Clinical narrative: Patient was given a flu shot (Fluzone) in her left deltoid on 9/18/09 late morning/early afternoon. Stated she has had several flu shots in the past without problems. That evening after supper she began "feeling itchy" all over. Around midnight she stated she developed hives "all over". Stated her left arm swelled to double it's normal size from the elbow to shoulder with large hives at the injection site.  She stated she also had some difficulty swallowing.  She stated she has had allergic reactions to medications in the past and did have an epi-pen that she did not use.  She stated she took Benadryl several times for her symptoms.  She was seeing her medical provider for an unrelated reason on 9/21/09 and did notify her of above, stated at the time of her visit she had one hive remaining at the site of her injection.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient was given a flu shot (Fluzone) in her left deltoid on 9/18/09 late morning/early afternoon. Stated she has had several flu shots in the past without problems. That evening after supper she began "feeling itchy" all over. Around midnight she stated she developed hives "all over". Stated her left arm swelled to double it's normal size from the elbow to shoulder with large hives at the injection site.  She stated she also had some difficulty swallowing.  She stated she has had allergic reactions to medications in the past and did have an epi-pen that she did not use.  She stated she took Benadryl several times for her symptoms.  She was seeing her medical provider for an unrelated reason on 9/21/09 and did notify her of above, stated at the time of her visit she had one hive remaining at the site of her injection.
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest pain, Dizziness, Dyspnoea, Immediate post-injection reaction
Clinical narrative: Immediate chest pain, difficulty breathing, dizziness, seizure-like activity. Medical records/DC summary received 10/9/2009 for 9/22-9/23/2009.  DC Dx reaction to flu shot, "Pseudoseizures". 48 y/o received seasonal influenza 9/22/2009 and developed chest pain, SOB, dizziness and seizure like activity. To ED, evaluated per Neuro with final DX of reaction to flu shot, "pseudoseizures".
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest pain, Convulsion, Dizziness, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal
Clinical narrative: Immediate chest pain, difficulty breathing, dizziness, seizure-like activity. Medical records/DC summary received 10/9/2009 for 9/22-9/23/2009.  DC Dx reaction to flu shot, "Pseudoseizures". 48 y/o received seasonal influenza 9/22/2009 and developed chest pain, SOB, dizziness and seizure like activity. To ED, evaluated per Neuro with final DX of reaction to flu shot, "pseudoseizures".
Age: 48.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Electroencephalogram normal
Clinical narrative: Immediate chest pain, difficulty breathing, dizziness, seizure-like activity. Medical records/DC summary received 10/9/2009 for 9/22-9/23/2009.  DC Dx reaction to flu shot, "Pseudoseizures". 48 y/o received seasonal influenza 9/22/2009 and developed chest pain, SOB, dizziness and seizure like activity. To ED, evaluated per Neuro with final DX of reaction to flu shot, "pseudoseizures".
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain, Paraesthesia, Pruritus
Clinical narrative: Vaccine administered on 9/21/09 to left deltoid. Symptoms began early morning on 9/22/09 with numbness, tingling, and itching to left hand radiating up left forearm. It comes and goes. Feels similiar to a bee sting with itching and throbbing feeling. Seems to move up and down arm.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain lower, Blood test normal, Chest discomfort, Computerised tomogram abnormal, Dysphagia
Clinical narrative: 2ND HPV VACCINE GIVEN ON 4/2/09. ON 7/9/09 CLIENT HAD HIVES FROM HEAD TO TOE INCLUDING ARMS, LEGS, AND TRUNK. HIVES ALSO INSIDE HER MOUTH. SHE WENT TO E.R. AND RECEIVED A CORTISONE INJECTION. ETIOLOGY OF THE HIVES UNKNOWN BY PHYSICIAN. ON 7/10/09 SHE SEEN PCP WHO OBTAINED LAB WORK AND MEDROL DOSE PACKET PRESCRIBED BUT CLIENT WAS UNABLE TO SWALLOW PILLS. 7/11/09 WENT TO E.R. R/T HIVES TO LIPS AND MOUTH AND PT. WAS HAVING DIFFICULTY BREATHING FEELING TIGHTNESS TO CHEST. SHE WAS GIVEN EPINEPHRINE AT THE E.R.-THEN ALL SYMPTOMS RESOLVED WITHIN 48 HOURS. THEN ON 8/20/09 CLIENT RECEIVED HER 3RD HPV INJECTION. ON 9/5/09 CLIENT EXPERIENCED LOWER RT. ABDOMINAL PAIN AND BLOATING. ALSO HAD 3 MENSES IN 9/09 AND REPORTS IS USUALLY REGULAR WITH MENSES OCCURRING EVERY 28-30 DAYS. THE 2ND WEEK OF SEPT./09 SHE WENT TO CARE AND SEEN PHYSICIAN WHO ORDERED AN ABDOMINAL CT SCAN SHOWING FECAL IMPACTION. THE CLIENT TOOK MAGCITRATE WITHOUT RESULTS. CLIENT STATES SHE NORMALLY HAS REGULAR BOWEL MOVEMENTS. HER ABDOMINAL PAIN CONTINUED EVEN AFTER HAVING A BOWEL MOVEMENTS. TWO DAYS LATER SHE WENT TO URGENT CARE AND HAD LAB OBTAINED TESTING HER URINE AND BLOOD WHICH SHE REPORTS CAME BACK NORMAL. SHE REPORTS THE SEVERE ABDOMINAL PAIN CONTINUED. ON 9/22/09 CLIENT COMPLAINED OF LT. ARM PAIN AT THE HPV INJECTION SITE AND HAVING 1 SMALL HIVE AT THE INJECTION SITE WHICH WAS NOTICED BY HER MOTHER-LATER IN THE DAY THERE WAS A RAISED INDURATION GREATER THAN 1CM PALPATED AT THE INJECTION SITE. CLIENT ALSO REPORTS ON 9/22/09 HAVING A RASH TO BOTH UPPER THIGHS, TIGHTNESS IN HER CHEST, AND DIFFICULTY BREATHING. CLIENT PLANS TO FOLLOW-UP WITH HER PCP AND WILL REQUEST AN ABDOMINAL ULTRA SOUND.  9/28/09 Urgent care records received DOS 9/16/09. Assessment: Abdominal pain, constipation. Patient presents with abdominal pain of one week duration. 10/19/09 Primary care records received for dates of service 8/28/97 to 7/9/09 Assessment:  Seen for hives on 7/9/09. Right lower abdominal pain and sore throat on 9/25/09.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Faecaloma, Injection site induration, Injection site pain, Injection site urticaria
Clinical narrative: 2ND HPV VACCINE GIVEN ON 4/2/09. ON 7/9/09 CLIENT HAD HIVES FROM HEAD TO TOE INCLUDING ARMS, LEGS, AND TRUNK. HIVES ALSO INSIDE HER MOUTH. SHE WENT TO E.R. AND RECEIVED A CORTISONE INJECTION. ETIOLOGY OF THE HIVES UNKNOWN BY PHYSICIAN. ON 7/10/09 SHE SEEN PCP WHO OBTAINED LAB WORK AND MEDROL DOSE PACKET PRESCRIBED BUT CLIENT WAS UNABLE TO SWALLOW PILLS. 7/11/09 WENT TO E.R. R/T HIVES TO LIPS AND MOUTH AND PT. WAS HAVING DIFFICULTY BREATHING FEELING TIGHTNESS TO CHEST. SHE WAS GIVEN EPINEPHRINE AT THE E.R.-THEN ALL SYMPTOMS RESOLVED WITHIN 48 HOURS. THEN ON 8/20/09 CLIENT RECEIVED HER 3RD HPV INJECTION. ON 9/5/09 CLIENT EXPERIENCED LOWER RT. ABDOMINAL PAIN AND BLOATING. ALSO HAD 3 MENSES IN 9/09 AND REPORTS IS USUALLY REGULAR WITH MENSES OCCURRING EVERY 28-30 DAYS. THE 2ND WEEK OF SEPT./09 SHE WENT TO CARE AND SEEN PHYSICIAN WHO ORDERED AN ABDOMINAL CT SCAN SHOWING FECAL IMPACTION. THE CLIENT TOOK MAGCITRATE WITHOUT RESULTS. CLIENT STATES SHE NORMALLY HAS REGULAR BOWEL MOVEMENTS. HER ABDOMINAL PAIN CONTINUED EVEN AFTER HAVING A BOWEL MOVEMENTS. TWO DAYS LATER SHE WENT TO URGENT CARE AND HAD LAB OBTAINED TESTING HER URINE AND BLOOD WHICH SHE REPORTS CAME BACK NORMAL. SHE REPORTS THE SEVERE ABDOMINAL PAIN CONTINUED. ON 9/22/09 CLIENT COMPLAINED OF LT. ARM PAIN AT THE HPV INJECTION SITE AND HAVING 1 SMALL HIVE AT THE INJECTION SITE WHICH WAS NOTICED BY HER MOTHER-LATER IN THE DAY THERE WAS A RAISED INDURATION GREATER THAN 1CM PALPATED AT THE INJECTION SITE. CLIENT ALSO REPORTS ON 9/22/09 HAVING A RASH TO BOTH UPPER THIGHS, TIGHTNESS IN HER CHEST, AND DIFFICULTY BREATHING. CLIENT PLANS TO FOLLOW-UP WITH HER PCP AND WILL REQUEST AN ABDOMINAL ULTRA SOUND.  9/28/09 Urgent care records received DOS 9/16/09. Assessment: Abdominal pain, constipation. Patient presents with abdominal pain of one week duration. 10/19/09 Primary care records received for dates of service 8/28/97 to 7/9/09 Assessment:  Seen for hives on 7/9/09. Right lower abdominal pain and sore throat on 9/25/09.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Menstruation irregular, Rash, Urine analysis normal, Urticaria
Clinical narrative: 2ND HPV VACCINE GIVEN ON 4/2/09. ON 7/9/09 CLIENT HAD HIVES FROM HEAD TO TOE INCLUDING ARMS, LEGS, AND TRUNK. HIVES ALSO INSIDE HER MOUTH. SHE WENT TO E.R. AND RECEIVED A CORTISONE INJECTION. ETIOLOGY OF THE HIVES UNKNOWN BY PHYSICIAN. ON 7/10/09 SHE SEEN PCP WHO OBTAINED LAB WORK AND MEDROL DOSE PACKET PRESCRIBED BUT CLIENT WAS UNABLE TO SWALLOW PILLS. 7/11/09 WENT TO E.R. R/T HIVES TO LIPS AND MOUTH AND PT. WAS HAVING DIFFICULTY BREATHING FEELING TIGHTNESS TO CHEST. SHE WAS GIVEN EPINEPHRINE AT THE E.R.-THEN ALL SYMPTOMS RESOLVED WITHIN 48 HOURS. THEN ON 8/20/09 CLIENT RECEIVED HER 3RD HPV INJECTION. ON 9/5/09 CLIENT EXPERIENCED LOWER RT. ABDOMINAL PAIN AND BLOATING. ALSO HAD 3 MENSES IN 9/09 AND REPORTS IS USUALLY REGULAR WITH MENSES OCCURRING EVERY 28-30 DAYS. THE 2ND WEEK OF SEPT./09 SHE WENT TO CARE AND SEEN PHYSICIAN WHO ORDERED AN ABDOMINAL CT SCAN SHOWING FECAL IMPACTION. THE CLIENT TOOK MAGCITRATE WITHOUT RESULTS. CLIENT STATES SHE NORMALLY HAS REGULAR BOWEL MOVEMENTS. HER ABDOMINAL PAIN CONTINUED EVEN AFTER HAVING A BOWEL MOVEMENTS. TWO DAYS LATER SHE WENT TO URGENT CARE AND HAD LAB OBTAINED TESTING HER URINE AND BLOOD WHICH SHE REPORTS CAME BACK NORMAL. SHE REPORTS THE SEVERE ABDOMINAL PAIN CONTINUED. ON 9/22/09 CLIENT COMPLAINED OF LT. ARM PAIN AT THE HPV INJECTION SITE AND HAVING 1 SMALL HIVE AT THE INJECTION SITE WHICH WAS NOTICED BY HER MOTHER-LATER IN THE DAY THERE WAS A RAISED INDURATION GREATER THAN 1CM PALPATED AT THE INJECTION SITE. CLIENT ALSO REPORTS ON 9/22/09 HAVING A RASH TO BOTH UPPER THIGHS, TIGHTNESS IN HER CHEST, AND DIFFICULTY BREATHING. CLIENT PLANS TO FOLLOW-UP WITH HER PCP AND WILL REQUEST AN ABDOMINAL ULTRA SOUND.  9/28/09 Urgent care records received DOS 9/16/09. Assessment: Abdominal pain, constipation. Patient presents with abdominal pain of one week duration. 10/19/09 Primary care records received for dates of service 8/28/97 to 7/9/09 Assessment:  Seen for hives on 7/9/09. Right lower abdominal pain and sore throat on 9/25/09.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Dyspnoea, Heart rate increased, Hypertension, Pruritus
Clinical narrative: Rapid heart rate, high blood pressure, itching of tongue and back of throat, hoarseness, slight wheezing, and difficulty breathing.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation, Wheezing
Clinical narrative: Rapid heart rate, high blood pressure, itching of tongue and back of throat, hoarseness, slight wheezing, and difficulty breathing.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Blood test, Chest X-ray, Dysphagia, Dyspnoea, Heart rate increased
Clinical narrative: At approx 10:15 pm experienced fast pulse, difficulty breathing and swallowing. Called 911 and was taken to Emergency Room. Treated with intravenous saline fluid, oxygen, steroids, Benadryl, anti-nausea due to vomiting, breathing treatment, Tylenol & Motrin for fever. Released at approx 4:30 am. Given prescription for Prednisone 20mg; ciprofloxacin eye drops.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Vomiting
Clinical narrative: At approx 10:15 pm experienced fast pulse, difficulty breathing and swallowing. Called 911 and was taken to Emergency Room. Treated with intravenous saline fluid, oxygen, steroids, Benadryl, anti-nausea due to vomiting, breathing treatment, Tylenol & Motrin for fever. Released at approx 4:30 am. Given prescription for Prednisone 20mg; ciprofloxacin eye drops.
Age: 34.0
Sex: M
Vaccine: FLUX
Symptoms: Diarrhoea, Fatigue, Gastrointestinal pain, Pain, Pyrexia
Clinical narrative: Intestinal cramping, somewhat loose stool, body aches and pains, fever ranging from 99.7 to 101, fatigue.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Disorientation, Dizziness, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: Pain,swelling,red blotchy rash at injection site. Fever(102.2F), severe headache,body(muscle) aches,light headedness, disorientation and perfuse persperation.Treatment was bed rest, hydration and Vicodin 750/500 every 6 hrs.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: Pain,swelling,red blotchy rash at injection site. Fever(102.2F), severe headache,body(muscle) aches,light headedness, disorientation and perfuse persperation.Treatment was bed rest, hydration and Vicodin 750/500 every 6 hrs.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Rash macular
Clinical narrative: Pain,swelling,red blotchy rash at injection site. Fever(102.2F), severe headache,body(muscle) aches,light headedness, disorientation and perfuse persperation.Treatment was bed rest, hydration and Vicodin 750/500 every 6 hrs.
Age: 74.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Heart rate increased, Oedema
Clinical narrative: arm edema and erythema + elevated pulse occurred in the evening following the PCV injection
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Rash macular, Rash pruritic, Urticaria
Clinical narrative: Hive-like, blotchy, itchy rash on face, arms and trunk
Age: 20.0
Sex: U
Vaccine: FLU3
Symptoms: Oedema peripheral
Clinical narrative: arm swelled and she went to physican and he recommended reporting the incident
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Lumbar puncture
Clinical narrative: Suspected GUILLAIN BARRE - treatment / workup pending.  11/23/09 Extensive ED, hospital, and rehab records received. Multiple evaluations. Service dates 9/18/09 to 10/12/09. Assessment: Guillain-Barre Syndrome. Patient seen in ED several days prior and dx'd with neuropathy. Now presents for pain control of ongoing leg pain of 14 days duration. Myalgias, appears uncomfortable. Lower extremity pitting edema. calves tender. ROM limited. Severe pain in feet, ankles, gastrocs worsened by movement. Weakness in legs. Decreased reflexes. Joint swelling. Renal insufficiency, anemia. Breath sounds diminished. Abdomen tender, distended. Nausea. Bruises to extremities. Urinary frequency. Several days later develops softness in voice, dyspnea, unable to walk, pain in hands. Respiratory failure, hospital acquired pneumonia. Fevers. Intubated / ICU. Delirium. Atrial fibrillation. PEG tube.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Brain scan normal, Electroencephalogram, Grand mal convulsion, Nuclear magnetic resonance imaging brain normal, Scan brain
Clinical narrative: Seizures/new onset (tonic-clonic)  10/12/2009 MR and DC records received for  9/18/2009. Patient presenting with sx of new onset of seizure with tonic/clonic activity, foaming of the mouth and biting of the tongue. There was no B/B incontinence and no fam hx of seizure disorder. PE was normal, admitted for observation and studies 9/18/2009, DC'd 9/21/2009, DC DX  Seizures new onset, R/O reaction to menigoccal vaccine.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm ,red, swollen, warm. 10cm X 12 cm area of erythema. No fever, nausea or vomiting. No tachycardia, palpitations or shortness of breath. No hives.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Nausea, Rash, Tachycardia
Clinical narrative: 5 min after - Hot, chest and neck started to break out in diffuse rash. To ER lightheaded, nausea, tachy (HR 130) - emesis - hives.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria, Vomiting
Clinical narrative: 5 min after - Hot, chest and neck started to break out in diffuse rash. To ER lightheaded, nausea, tachy (HR 130) - emesis - hives.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Injection given into (L) deltoid IM. 24 hrs later there was a large swelling 150% of normal arm circumference, hot painful with some radiation to (L) shoulder. No abscess or drainage or necrosis, no sign of infection.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle tightness
Clinical narrative: "My muscles tightened up, I took a BENADRYL and relaxed" - "Never had to leave work for this reaction"
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Arm is hurting at shot site 9 days later. She says she cannot lift arm very high because of pain. Later she called and said the pain was so bad she is going to the E.R. advice giving by her physician.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: At PNEUMOVAX site: 10cm x 10cm area of redness warmth and induration fever 101.7 max, low 100.3. Tx: rest, IB QID, Benadryl 50mg q6 prm.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Dizziness, Fall, Mouth injury, Syncope
Clinical narrative: Ten minutes after receiving influenza vaccine felt dizzy and syncopal, he fell to the ground and bruised nose and cut lip. He was given O2  then transferred to ER and given IV fluids.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Malaise, Oedema, Oedema peripheral
Clinical narrative: Pt experienced mouth sores, swollen tongue, led edema the evening of vaccination. Called physician. Complained of significant swelling/pain in injection site, swollen tongue,,edema, subjective fever, and malaise which required office visit on 9/22/2009 - Patient reported BEANDRYL was relieving symptoms to a degree - is recovering.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Stomatitis, Swollen tongue
Clinical narrative: Pt experienced mouth sores, swollen tongue, led edema the evening of vaccination. Called physician. Complained of significant swelling/pain in injection site, swollen tongue,,edema, subjective fever, and malaise which required office visit on 9/22/2009 - Patient reported BEANDRYL was relieving symptoms to a degree - is recovering.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient reported swelling, soreness and redness on upper left arm for 2 days, after injection was given.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: First episode of herpes zoster one week after administration of the vaccine.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Dysgeusia
Clinical narrative: Metallic taste in mouth starting approximately 5 minutes after vaccine and persisted at least 24 hours.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose increased, Chest discomfort, Dizziness, Nausea, Pallor
Clinical narrative: 5:30 vaccine administered. Dizziness, nausea, felt like vomiting, pallor - 5 minutes following injection - lasted for 30-45 minutes - Heavy chest started about 15 minutes following injection EMT checked vitals.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Respiration abnormal
Clinical narrative: 5:30 vaccine administered. Dizziness, nausea, felt like vomiting, pallor - 5 minutes following injection - lasted for 30-45 minutes - Heavy chest started about 15 minutes following injection EMT checked vitals.
Age: 14.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Varicella (SQ) and Meningococcal vaccines administered (IM) left arm. School nurse called to report child in her office c/o pain at injection site nurse assessment noted hard knot, edema and redness at posterior left arm where varicella vaccine administered currently using OTC (ibuprofen) for discomfort. Referred to PMD for tx.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Myalgia, Pyrexia, Rhinorrhoea, Sneezing
Clinical narrative: Fever, myalgias sneezing, rhinorrhea, cough.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at site of injection.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and tenderness of R upper arm.
Age: 1.68
Sex: F
Vaccine: FLU3, HEP, HIBV, PNC
Symptoms: No adverse event
Clinical narrative: None at this time.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea
Clinical narrative: Donor complains of being dizzy and nauseous. No medications given.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Anxiety, Chest discomfort, Throat irritation
Clinical narrative: Within 5 minutes-itchy throat, chest tightness. Gave diphenhydramine 50 mg. Observed for 25 minutes. EMS said no signs of anaphylaxis, just anxiety. BP: 130/80. Resp. rate: 16. Pulse: 62. Went to ER and given O2 and BENADRYL.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Disorientation, Dyspnoea, Fatigue, Gait disturbance
Clinical narrative: Injury date 9/15/2009 - short of breath 9am Friday went to work still tired and SOB. Saturday felt more SOB not able to walk up/down halls w/o stopping. Chest hurting and felt disoriented 2am went to WLED got breathing TX. Sunday 4pm still SOB. Came to MCOH w/symptoms of SOB, PFT, 02 sat, XANAX, DX mild Gilliam - Barre reaction by Dr.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Oxygen saturation normal, Pulmonary function test
Clinical narrative: Injury date 9/15/2009 - short of breath 9am Friday went to work still tired and SOB. Saturday felt more SOB not able to walk up/down halls w/o stopping. Chest hurting and felt disoriented 2am went to WLED got breathing TX. Sunday 4pm still SOB. Came to MCOH w/symptoms of SOB, PFT, 02 sat, XANAX, DX mild Gilliam - Barre reaction by Dr.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Rash
Clinical narrative: Pt received Varicella Immunization on 9/15/09. Pt returned to office on 9/22/09 with red bumps on legs, back and face. Mother reported on 9/23/09 that bumps are now vesicles.
Age: 41.0
Sex: M
Vaccine: VARCEL
Symptoms: Anaemia haemolytic autoimmune, Blood product transfusion, Dyspnoea exertional, Haemoglobin decreased, Headache
Clinical narrative: 41 yoM w/hx of allo-BMT for t-cell ALL 2005. PTA on 5/29/09, pt noted new DOE, HAs, and jaundice. Pt had normal CBC in late April and rec'd VARIVAX vaccine on 5/12/09. Pt was initially presented w/hgb 7.9.. at onc(5/21) w/warm autoimmune hemolytic anemia with no clear etiology started on prednisone 80mg daily, increased to 100mg qd but w/little improvement. On 5/29, hgb was 4.9. Based on timing of VARIVAX adm and onset of hemolytic anemia, this ADE is probably 2/2 VARIVAX between 1995-1998, there are 2 cases of aplastic anemia in pts<18 yrs. However. No hemolytic anemia was reported in any age groups. On adm. pt rec'd methylprednisolone 100mg IV daily (5/30-6/1) and two doses of IVIG 1g/kg/day (5/30-6/1), & 2 units PRBC on 5/30. On on 6/1, Hgb was 6.4.   10/22/09:  Discharge Summary and Medical Records received for Dates of Service 5/29/09 to 6/1/09.  Dx:  Hemolytic anemia of unclear etiology. Assessment:  Presented with new onset of weakness, dyspnea on exertion, headache and jaundice.  Had a normal CBC on 4/22/09.  Started on pulse steroids and 2 doses of IVIG.  Given a total of 3 units packed red blood cells.  Hemoglobin and T. Bilirubin levels improved with treatment.  On day of discharge patient was feeling well. Follow up blood work ordered x2 week of discharge to determine if need for further transfusions.     1/20/09 Medical records received for DOS 5/12/09.  Hospital AE form. Notes hemolytic anemia probably related to Varivax vaccine based on timing. HGB at d/c increased to 6.4 from 4.9 @ admission.  /dsb  11/24/09 Medical records received for DOS 42/2-5/12.. Well visit notes w/routine labs. No immunity to Varicella noted.  ICD9 Codes: 204.10
Age: 41.0
Sex: M
Vaccine: VARCEL
Symptoms: Jaundice
Clinical narrative: 41 yoM w/hx of allo-BMT for t-cell ALL 2005. PTA on 5/29/09, pt noted new DOE, HAs, and jaundice. Pt had normal CBC in late April and rec'd VARIVAX vaccine on 5/12/09. Pt was initially presented w/hgb 7.9.. at onc(5/21) w/warm autoimmune hemolytic anemia with no clear etiology started on prednisone 80mg daily, increased to 100mg qd but w/little improvement. On 5/29, hgb was 4.9. Based on timing of VARIVAX adm and onset of hemolytic anemia, this ADE is probably 2/2 VARIVAX between 1995-1998, there are 2 cases of aplastic anemia in pts<18 yrs. However. No hemolytic anemia was reported in any age groups. On adm. pt rec'd methylprednisolone 100mg IV daily (5/30-6/1) and two doses of IVIG 1g/kg/day (5/30-6/1), & 2 units PRBC on 5/30. On on 6/1, Hgb was 6.4.   10/22/09:  Discharge Summary and Medical Records received for Dates of Service 5/29/09 to 6/1/09.  Dx:  Hemolytic anemia of unclear etiology. Assessment:  Presented with new onset of weakness, dyspnea on exertion, headache and jaundice.  Had a normal CBC on 4/22/09.  Started on pulse steroids and 2 doses of IVIG.  Given a total of 3 units packed red blood cells.  Hemoglobin and T. Bilirubin levels improved with treatment.  On day of discharge patient was feeling well. Follow up blood work ordered x2 week of discharge to determine if need for further transfusions.     1/20/09 Medical records received for DOS 5/12/09.  Hospital AE form. Notes hemolytic anemia probably related to Varivax vaccine based on timing. HGB at d/c increased to 6.4 from 4.9 @ admission.  /dsb  11/24/09 Medical records received for DOS 42/2-5/12.. Well visit notes w/routine labs. No immunity to Varicella noted.  ICD9 Codes: 204.10
Age: 2.0
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large red, warmth & swelling bil upper arms.  LD.  8 X 8 cm.  RD.  5 X 5 cm.
Age: 29.0
Sex: M
Vaccine: TD, TD
Symptoms: Back pain, Coagulation test normal, Dyspnoea, Muscle spasms, Musculoskeletal chest pain
Clinical narrative: 4-20-09 - Rec'd adult TD at clinic. 4-27-09 Went to local ER with CP. Admitted with Dx of PE.
Age: 29.0
Sex: M
Vaccine: TD, TD
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity, Pulmonary embolism, Thrombosis
Clinical narrative: 4-20-09 - Rec'd adult TD at clinic. 4-27-09 Went to local ER with CP. Admitted with Dx of PE.
Age: 29.0
Sex: M
Vaccine: TD, TD
Symptoms: Chest pain, Computerised tomogram abnormal, International normalised ratio, Prothrombin time, Pulmonary embolism
Clinical narrative: 4-20-09 - Rec'd adult TD at clinic. 4-27-09 Went to local ER with CP. Admitted with Dx of PE.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Arthralgia, Pain in extremity, Rheumatoid arthritis
Clinical narrative: Diagnosed w/Rhemotoid Arthritis 8/09. Three shot series 10/03/07, 10/14/07 04/25/08. On going medical condition.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test abnormal, Rheumatoid arthritis
Clinical narrative: Diagnosed w/Rhemotoid Arthritis 8/09. Three shot series 10/03/07, 10/14/07 04/25/08. On going medical condition.
Age: 68.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Headache, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Low fever, significantly swelling at point of injection, bright red, throbbing, itching, bruising, severe headache cleared up in about 4-5 days.
Age: 68.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Contusion, Erythema, Headache, Injection site swelling, Pain
Clinical narrative: Low fever, significantly swelling at point of injection, bright red, throbbing, itching, bruising, severe headache cleared up in about 4-5 days.
Age: 68.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Pruritus, Pyrexia
Clinical narrative: Low fever, significantly swelling at point of injection, bright red, throbbing, itching, bruising, severe headache cleared up in about 4-5 days.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: CSF glucose increased, CSF protein increased, CSF white blood cell count negative, Endotracheal intubation, Guillain-Barre syndrome
Clinical narrative: Pt. developed Guillain-Barre 3 weeks foll. vaccination. No viral illness described. Travelled & came back from foreign country 8/23/09. D/A: 9/14/09. Intubated 9/17/09.  10/20/09 Hospital records received service dates 9/24/09 to 10/18/09. Assessment: Guillain Barre syndrome. Patient presents with intubation and respiratory failure secondary to Guillain Barre syndrome requiring plasmaphereses. Patient had presented earlier on 9/12/09 with increasing bilateral tingling and numbness, weakness, diarrhea, and was transferred for plasmaphereses. Acute symmetrical ascending flaccid paralysis. Bradycardia. Sinoatrial Node Dysfunction. Abdominal distention. Difficulty swallowing. Polyradiculopathy Immune Mediated. PT - Activities of daily life impaired. Pacemaker implantation.  10/21/09 Hospital Neurology progress notes received service dates 10/2/09 to 10/7/09. Assessment: Acute Inflammatory Demyelinating Polyradiculoneuropathy. Patient also presents with respiratory failure, autonomic dysfunction. IVIG. Undergoing plasmapheresis. Dyspnea. Dysphagia. ICD 9 Codes:  782.0, 357.0, V66.7, 401.9, 518.0, 518.81, 276.1, 344.00, 253.6,  486.0, 276.8, 780.4, 564.00.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Protein total increased, Red blood cell count decreased
Clinical narrative: Pt. developed Guillain-Barre 3 weeks foll. vaccination. No viral illness described. Travelled & came back from foreign country 8/23/09. D/A: 9/14/09. Intubated 9/17/09.  10/20/09 Hospital records received service dates 9/24/09 to 10/18/09. Assessment: Guillain Barre syndrome. Patient presents with intubation and respiratory failure secondary to Guillain Barre syndrome requiring plasmaphereses. Patient had presented earlier on 9/12/09 with increasing bilateral tingling and numbness, weakness, diarrhea, and was transferred for plasmaphereses. Acute symmetrical ascending flaccid paralysis. Bradycardia. Sinoatrial Node Dysfunction. Abdominal distention. Difficulty swallowing. Polyradiculopathy Immune Mediated. PT - Activities of daily life impaired. Pacemaker implantation.  10/21/09 Hospital Neurology progress notes received service dates 10/2/09 to 10/7/09. Assessment: Acute Inflammatory Demyelinating Polyradiculoneuropathy. Patient also presents with respiratory failure, autonomic dysfunction. IVIG. Undergoing plasmapheresis. Dyspnea. Dysphagia. ICD 9 Codes:  782.0, 357.0, V66.7, 401.9, 518.0, 518.81, 276.1, 344.00, 253.6,  486.0, 276.8, 780.4, 564.00.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal pain, Decreased appetite, Dizziness, Dyspnoea, Headache
Clinical narrative: Patient went to hospital (911) call within 3 hours after shot. Patient vomited violently, severe abdominal pain, headache, nausea, loss of appetite, rashes on chest, couldn't breathe, fever, paleness, dizzy, severe allergic reaction to shot.  9/25/09 Medical records received for service date 8/24/09: Seen in ER for N/V dizziness, abdominal pain, fatigue.  D/C DX: N/V, post vaccination, abd pain.  ICD-9 Codes: 789.03, 250.01, 999.5.