chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Echocardiogram, Electrocardiogram, Labyrinthitis, Nuclear magnetic resonance imaging, Ultrasound Doppler
Clinical narrative: Sudden onset Extreme Vertigo/Balance Disorder causing inabilty to walk. When EMT arrived BP was 220/140. Transported to Hospital by ambulance. In ER BP was down to 190/110 and contnued down over the next several hours to 155/90. MRI and CAT scan were administered to eliminate stroke as cause. Ultimately, the ER Physician decided it was most likely Labrynthitis and administered Meclizine. After 30 minutes with no improvement, Valium was also administered and I had just a small improvement in Vertigo. Was admitted to Hospital. By 8:00 AM (12 hours after onset) the next morning, Vertigo had subsided and BP was back to my normal range of 120/70. Was released at 3:30 PM with instructions to obtain a followup Echocardiogram and Carotid Ultrasound to eliminate TIA as cause.
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Vertigo
Clinical narrative: Sudden onset Extreme Vertigo/Balance Disorder causing inabilty to walk. When EMT arrived BP was 220/140. Transported to Hospital by ambulance. In ER BP was down to 190/110 and contnued down over the next several hours to 155/90. MRI and CAT scan were administered to eliminate stroke as cause. Ultimately, the ER Physician decided it was most likely Labrynthitis and administered Meclizine. After 30 minutes with no improvement, Valium was also administered and I had just a small improvement in Vertigo. Was admitted to Hospital. By 8:00 AM (12 hours after onset) the next morning, Vertigo had subsided and BP was back to my normal range of 120/70. Was released at 3:30 PM with instructions to obtain a followup Echocardiogram and Carotid Ultrasound to eliminate TIA as cause.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea, Pyrexia, Urticaria
Clinical narrative: Hives on trunk and extremities; tightness of chest and SOB within 10 minuts of vaccination.  Febrile with within 24 hrs.
Age: 62.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blepharospasm, Dizziness, Nausea, Neck pain
Clinical narrative: Nausea and dizziness, pain in right side of neck, eye twitching from nerve in my eye.  Symptoms lasted for two days.
Age: 0.57
Sex: F
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: None @ the time report filed
Age: 12.0
Sex: F
Vaccine: FLU(H1N1), FLUN3, HEPA, HPV4
Symptoms: Abdominal pain, Syncope, Throat irritation, Tinnitus
Clinical narrative: Patient to lab for blood draw post vaccine, syncopal episode outside lab, patient alert c/o abdominal pain, ringing in ears, throat "feels like bleeding". Patient stayed at office for observation x30 minutes v/s monitored, patient denied sx and released home with parent.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Rash erythematous
Clinical narrative: 1035 After approx 10 min of receiving shot, noted redness to R deltoid with redness to neck area. No resp. difficulty or other c/o. VS - 100/78, pulse 102, T 98.3. 1040 administered 1 shot of liq. BENADRYL. Tolerated well. 1047 rechecked redness, gone to neck area. 122/75, 98, T 97.7. 1110 all redness resolved. Released to mom and dad.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Body temperature increased, Feeling jittery
Clinical narrative: 1:30 P Ret to immunization station with c/o feeling "jittery". A + D x 3. No c/o SOB or no distress noted. BP 164/109, SaO2 99%, pulse 90, T-98.4-no localized redness to L deltoid-allowed to rest-BP decreased 151/94-to f/u with Dr.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus
Clinical narrative: C/o itching to arms/forehead. 99.4, 125/63, 90, 20 O2 sat - 98% No rash noted to body. L deltoid band aid dry & intact, no redness, no swelling.
Age: 1.13
Sex: M
Vaccine: FLU3, MMR
Symptoms: Blood product transfusion, Full blood count, Haemoglobin decreased, Idiopathic thrombocytopenic purpura, Petechiae
Clinical narrative: Petechiae, purpura. ITP 23 days following MMR. Platelet count 2K. Given IVIG.
Age: 1.13
Sex: M
Vaccine: FLU3, MMR
Symptoms: Platelet count decreased, Prothrombin time, Purpura
Clinical narrative: Petechiae, purpura. ITP 23 days following MMR. Platelet count 2K. Given IVIG.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Injection site swelling, Injection site urticaria
Clinical narrative: Raised pale 1 cm wheal come up within a few seconds after VARICELLA SQ shot in L arm. Administered 1 tsp of BENADRYL Orally and applied cool pack to arm.
Age: 15.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Flushing, Lacrimation increased, Oxygen supplementation, Pharyngeal oedema, Pruritus
Clinical narrative: Urticaria, facial flushing, teary eyes, sensation of throat swelling, pruritus of arms. Tx: epinephrine, prednisone, O2.
Age: 15.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Sensory disturbance, Urticaria
Clinical narrative: Urticaria, facial flushing, teary eyes, sensation of throat swelling, pruritus of arms. Tx: epinephrine, prednisone, O2.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: On 12-11-09, patient reported localized redness and warmth about 1-2 inches in diameter at the injection site. Patient denied fever, feverish symptoms or pain upon questioning. The localized redness was of an irregularly defined border. Her arm was also sore as patient expected. Doctor will see the patient on 12/10/09 to follow up. Treated with Keflex 500mg-one capsule three times daily as per doctor prescribed by phone (6pm 12-9-09) MD consulted for patient to continue antibiotics, monitor improvement and contact her in a few days. Patient was instructed to start applying Hydrocortisone 1% cream for redness and antibiotics for infection treatment. MD will culture if no improvement. Patient contacted pharmacy on 12/10 4:30 to report plan and that she notes improvement in appearance.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Activities of daily living impaired, Arthralgia, Back pain, Blood immunoglobulin G, Burning sensation
Clinical narrative: Began with left hip pain before Thanksgiving (before 11/26/09), proceeded to shoot down lower leg, extend across back and into right leg. 12/9/09 legs buckled while diapering child, difficult coming to feet, hands with increaed tingling and burning, more difficult to open jars.  Difficulty voiding, so is intermittently catheterizing, some slow down in bowel function.  Diagnosed by neurologist with transverse myelitis.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: CSF glucose decreased, CSF lymphocyte count increased, CSF protein increased, CSF white blood cell count increased, Catheter placement
Clinical narrative: Began with left hip pain before Thanksgiving (before 11/26/09), proceeded to shoot down lower leg, extend across back and into right leg. 12/9/09 legs buckled while diapering child, difficult coming to feet, hands with increaed tingling and burning, more difficult to open jars.  Difficulty voiding, so is intermittently catheterizing, some slow down in bowel function.  Diagnosed by neurologist with transverse myelitis.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dysstasia, Dysuria, Intestinal functional disorder, Lymphocyte count increased, Mycoplasma serology positive
Clinical narrative: Began with left hip pain before Thanksgiving (before 11/26/09), proceeded to shoot down lower leg, extend across back and into right leg. 12/9/09 legs buckled while diapering child, difficult coming to feet, hands with increaed tingling and burning, more difficult to open jars.  Difficulty voiding, so is intermittently catheterizing, some slow down in bowel function.  Diagnosed by neurologist with transverse myelitis.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Pain, Pain in extremity
Clinical narrative: Began with left hip pain before Thanksgiving (before 11/26/09), proceeded to shoot down lower leg, extend across back and into right leg. 12/9/09 legs buckled while diapering child, difficult coming to feet, hands with increaed tingling and burning, more difficult to open jars.  Difficulty voiding, so is intermittently catheterizing, some slow down in bowel function.  Diagnosed by neurologist with transverse myelitis.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Paraesthesia, White blood cell count increased
Clinical narrative: Began with left hip pain before Thanksgiving (before 11/26/09), proceeded to shoot down lower leg, extend across back and into right leg. 12/9/09 legs buckled while diapering child, difficult coming to feet, hands with increaed tingling and burning, more difficult to open jars.  Difficulty voiding, so is intermittently catheterizing, some slow down in bowel function.  Diagnosed by neurologist with transverse myelitis.
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Diarrhoea, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: Wheezing, sneezing, fever, coughing, runny nose, diarrhea, headaches, sore throat, aching body
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia, Rhinorrhoea, Sneezing, Wheezing
Clinical narrative: Wheezing, sneezing, fever, coughing, runny nose, diarrhea, headaches, sore throat, aching body
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Influenza like illness, Multiple sclerosis, Myalgia, Neurological symptom, Oropharyngeal pain
Clinical narrative: Patient has pre-existing multiple sclerosis. Developed new neurological symptoms consistent with flare of multiple sclerosis 5 days after vaccine administered. Also flu-like symptoms with fever, myalgias and sore throat. Seen by neurologist. Treated with TAMIFLU, IV and oral steroids. Slowly improving over 2 weeks time.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Patient has pre-existing multiple sclerosis. Developed new neurological symptoms consistent with flare of multiple sclerosis 5 days after vaccine administered. Also flu-like symptoms with fever, myalgias and sore throat. Seen by neurologist. Treated with TAMIFLU, IV and oral steroids. Slowly improving over 2 weeks time.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Nausea, Oropharyngeal pain
Clinical narrative: H1N1 Vaccinations were done in the High School. Patient reported to the school Nurses office c/o sore throat and cough. Had just eaten lunch. No signs of local reaction at injection site. Then stated felt nauseous. B/P 102/64 P 64/min, Pulse Ox- 99%, resp.-20/min MD consulted. Mother notified. Sending child to ER via ambulance. Mother arrives- mother feels this is result of acid reflux and asthma. 11/2/2009 mother reported to school nurse that patient vomited in ER afternoon of 10/30/2009, and felt better. No further symptoms.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Syncope
Clinical narrative: Fainting, nausea
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLUN(H1N1)
Symptoms: Haemophilus infection, Oropharyngeal pain, Pyrexia, Respiratory distress
Clinical narrative: 12/8/2009: patient given Flumist H1N1 vaccine at approximately 10 am.  Later that evening complained of sore throat. 12/9/2009: throat worse per patient and family, had a fever (100.5 - 102.8 at home) and over the course of the day had respiratory distress (retractions, not moving air, no cough present) and still sore throat (respiratory distress started at ~11 am).  Tried steam which didn't help and by 8 pm went to ED due to increasing respiratory distress.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLUN(H1N1)
Symptoms: Bacterial tracheitis, Bronchoscopy abnormal, Dyspnoea, Endotracheal intubation, Haemophilus infection
Clinical narrative: 12/8/2009: patient given Flumist H1N1 vaccine at approximately 10 am.  Later that evening complained of sore throat. 12/9/2009: throat worse per patient and family, had a fever (100.5 - 102.8 at home) and over the course of the day had respiratory distress (retractions, not moving air, no cough present) and still sore throat (respiratory distress started at ~11 am).  Tried steam which didn't help and by 8 pm went to ED due to increasing respiratory distress.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLUN(H1N1)
Symptoms: Inflammation, Intensive care, Oropharyngeal pain, Pyrexia
Clinical narrative: 12/8/2009: patient given Flumist H1N1 vaccine at approximately 10 am.  Later that evening complained of sore throat. 12/9/2009: throat worse per patient and family, had a fever (100.5 - 102.8 at home) and over the course of the day had respiratory distress (retractions, not moving air, no cough present) and still sore throat (respiratory distress started at ~11 am).  Tried steam which didn't help and by 8 pm went to ED due to increasing respiratory distress.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenopia, Dizziness, Ocular hyperaemia, Pruritus
Clinical narrative: Vaccination Clinic at High School. Child reported to school nurse c/o dizziness. No lunch or breakfast eaten. B/P 118/76, P - 72/ min. child given food- felt better. 12:15 PM c/o dizziness again. B/P 94/62, P 72/min R 20/MIN. 12:30 PM c/o itching both arms at inner elbow area- no change in skin condition on arms. States her eyes feel "heavy".  Redness noted of eyes. Parent had been notified. Parent to take child to private MD. 11/2/2009 parent reported to school nurse that child was not taken to MD. Ate lunch at home and felt better. No more symptoms. Child in school 11/2/2009.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash pruritic
Clinical narrative: Pruritis, rash.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Acute respiratory distress syndrome, Malaise, Obstructive airways disorder, Pyrexia, Rash
Clinical narrative: Acute respiratory distress, airway compromise, fever, rash (neck, arms, front, back, abd., face), malaise
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus, Injection site scab
Clinical narrative: About 3-4 days after receiving injection, patient noticed an itchy area and scab at site of injection. It itched for weeks although the scab was gone in a matter of days.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Pruritus generalised, Rash
Clinical narrative: Patient recieved the H1N1 vaccine (nasal) on 12/10/2009.  We noticed a rash starting on her stomach and face 12/12/2009. This rash spread throughout her body including her back, face, ears, stomach, legs & neck which also caused her to itch all over her body.  Patient was seen by her doctor on 12/14/2009 she is currently being treated with Benadryl every 4-6 hours.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Diarrhoea, Rash erythematous, Rash maculo-papular, Urticaria
Clinical narrative: Patient recieved the H1N1 vaccine (nasal) on 12/10/2009.  We noticed a rash starting on her stomach and face 12/12/2009. This rash spread throughout her body including her back, face, ears, stomach, legs & neck which also caused her to itch all over her body.  Patient was seen by her doctor on 12/14/2009 she is currently being treated with Benadryl every 4-6 hours.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abnormal behaviour, Distractibility, Headache, Immediate post-injection reaction
Clinical narrative: Almost immediately after receiving vaccine, child developed headache, school applied an icepack.  Mom states headache was severe, child had to hold her head, Mom gave her Melt Away tabs for headache.  On day 2, Tues, both mom and child's teacher began to notice behavior changes and child being off-task.  Could not sit & finish homework with mom.  On day 3 and 4, child received notes home from teacher that child was talkative & off-task.  No focus, distracted, & unable to complete work.  This behavior has continued & mom is having trouble knowing how to treat situation.  Child was sent to principal's office for first time ever recently.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Immediate post-injection reaction, Injection site pain, Pain in extremity
Clinical narrative: After receiving Tdap shot, employee reports sharp pain to left arm, with activity. No swelling noted. Left arm injection site is tender to touch. Pain level is 2/10.
Age: 11.0
Sex: F
Vaccine: FLU3, MNQ, TDAP, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness and swelling of L arm from middle of upper arm to elbow. Warm to touch.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left upper arm/ biceps with mild redness and swelling below vaccination sites.  Mild tenderness to touch, FROM.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Cold sweat, Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Within 2 min after HPV given nauseated, dizzy, clammy. Stood up walked into next rm passed out before getting onto bed. Out for 2-3 min. Layed on bed for 10 min then sat up and ate crackers & water.
Age: 57.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Death
Clinical narrative: Notified by patient's co-worker that patient had passed away. 12/15/09 Death Certificate received. DOD 12/08/2009. Cause of Death: Myocardial Infaction. Atherosclerotic Coronary Vascular Disease.
Age: 18.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea
Clinical narrative: Felt nauseous and dizzy after receiving vaccine (IM) Hx of fainting after immunizations.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea
Clinical narrative: Nausea after vaccine.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Latex allergy
Clinical narrative: Swollen and sore at injection site. Bandaid around skin when removed 12/9/09. Site hard and raised 1 cm. allergic to band aid, latex - reported 12/9/09.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Cough, Full blood count normal, Pyrexia
Clinical narrative: 11:30 received H1N1 nasal spray vaccine 1:30 had chills cough - temperature 104.5
Age: 12.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Decreased appetite, Headache
Clinical narrative: Did have a headache and no appetite the morning of 12/01/2009.  He did go to school and received a nasal H1N1 in the early morning. He did take Tylenol sometime during the morning, but his headache was worse by noon.  His temp by mid afternoon was 101 degrees. No complaints of headache.  He was given more Tylenol and went to sleep.  His temp between 8 pm and 9 pm was taken again and was 104.4 degrees.  He was given ibuprofen which did not bring his temp down.  He was given another dose of Tylenol and went to sleep.  His temp the morning of 12/02/2009 was normal.
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Asthenia, Cough, Dermatitis contact, Dysphonia
Clinical narrative: Sharp pain in both shoulders, Left more than Right. Left shoulder joint and muscle pain persisting still. Interrupting sleep, and coming in waves throughout the day; Not responding well to Tylenol, Ibuprofen or Vicodin. Reported to administering RN, my Chiropractor (2 visits since onset) and my Physician. 01/29/2010 follow up - hoarseness kdr. 1/29/2010 follow up- weakness in arm, wrist and hand. pain in the upper  back. on 12/23/09 i received a diagnosis of parsonage-turner syndrome (brachial nerve injury). 1/15/10 - developed flu-like symptoms or sore throat, runny rose and coughing up yellowish-green sputum. i also noticed that i developed a 1 x 3/4 eruption on the front of my shoulder, near what i call the epicenter of the l shoulder nerve pain.  yesterday a dermatologist diagnosed this  as a wider area rash on my trunk as contact dermatitis and prescribed a steroidal ointment to apply to these areas. they are improving. kdr/
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Influenza like illness, Injection site pain, Musculoskeletal pain, Myalgia, Neuralgic amyotrophy
Clinical narrative: Sharp pain in both shoulders, Left more than Right. Left shoulder joint and muscle pain persisting still. Interrupting sleep, and coming in waves throughout the day; Not responding well to Tylenol, Ibuprofen or Vicodin. Reported to administering RN, my Chiropractor (2 visits since onset) and my Physician. 01/29/2010 follow up - hoarseness kdr. 1/29/2010 follow up- weakness in arm, wrist and hand. pain in the upper  back. on 12/23/09 i received a diagnosis of parsonage-turner syndrome (brachial nerve injury). 1/15/10 - developed flu-like symptoms or sore throat, runny rose and coughing up yellowish-green sputum. i also noticed that i developed a 1 x 3/4 eruption on the front of my shoulder, near what i call the epicenter of the l shoulder nerve pain.  yesterday a dermatologist diagnosed this  as a wider area rash on my trunk as contact dermatitis and prescribed a steroidal ointment to apply to these areas. they are improving. kdr/
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Rhinorrhoea, Sleep disorder
Clinical narrative: Sharp pain in both shoulders, Left more than Right. Left shoulder joint and muscle pain persisting still. Interrupting sleep, and coming in waves throughout the day; Not responding well to Tylenol, Ibuprofen or Vicodin. Reported to administering RN, my Chiropractor (2 visits since onset) and my Physician. 01/29/2010 follow up - hoarseness kdr. 1/29/2010 follow up- weakness in arm, wrist and hand. pain in the upper  back. on 12/23/09 i received a diagnosis of parsonage-turner syndrome (brachial nerve injury). 1/15/10 - developed flu-like symptoms or sore throat, runny rose and coughing up yellowish-green sputum. i also noticed that i developed a 1 x 3/4 eruption on the front of my shoulder, near what i call the epicenter of the l shoulder nerve pain.  yesterday a dermatologist diagnosed this  as a wider area rash on my trunk as contact dermatitis and prescribed a steroidal ointment to apply to these areas. they are improving. kdr/
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cyanosis, Dry skin, Hyperhidrosis, Pallor, Skin warm
Clinical narrative: Approximately 15 minutes after receiving H1N1 injection, child was brought to nurse by teacher.  Child was pale, lips cyanotic, diaphoretic, but alert and responssive to verbal stimuli.  Child was laid flat on the floor with legs elevated, removed jacket and shoes, sponged face and neck with wet paper towels and waved ammonia inhalant under his nose.  BP was 72/50.  Within a few minutes child responded and became more verbal, skin warm and dry, color returned to normal with pink cheeks and no cyanosis noted.  Child was given some Coke to drink and returned to his classroom after being observed for about 20 more minutes.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus
Clinical narrative: Per patient, internal itch @ site of injection for approximately 25 minutes.  Normal vitals:  BP 120/70 left arm, 120/80 right arm, pulse 76.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling cold, Hypoaesthesia, Injection site reaction, Onychalgia, Pain in extremity
Clinical narrative: Pt had H1N1 vacc on 12/4/09 and 2 days later felt her R thumb was numb and achy on the nail bed, then R arm was sore and the thumb looked blotched and tingly. The 2nd finger on the nail bed was achy as well. The pt took ADVIL and FLEXERIL and used warm compresses that helped some. Last night did not take FLEXERIL and woke up with a feeling of having a vice around her upper arm with numbness and tingling to hand and fingers with thumb feeling cold and numb. Pt broke out with fever.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Physical examination abnormal, Pyrexia, Rash macular
Clinical narrative: Pt had H1N1 vacc on 12/4/09 and 2 days later felt her R thumb was numb and achy on the nail bed, then R arm was sore and the thumb looked blotched and tingly. The 2nd finger on the nail bed was achy as well. The pt took ADVIL and FLEXERIL and used warm compresses that helped some. Last night did not take FLEXERIL and woke up with a feeling of having a vice around her upper arm with numbness and tingling to hand and fingers with thumb feeling cold and numb. Pt broke out with fever.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Reported being awakened from sleep with severe stomach pain, diarrhea and vomiting. Vomited x 12 (twelve) into the morning, became pale, diaphoresis and felt faint, lasted until 12 noon 11/24/09.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Sleep disorder, Vomiting
Clinical narrative: Reported being awakened from sleep with severe stomach pain, diarrhea and vomiting. Vomited x 12 (twelve) into the morning, became pale, diaphoresis and felt faint, lasted until 12 noon 11/24/09.
Age: 8.0
Sex: U
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Diarrhoea, Pyrexia, Sneezing
Clinical narrative: A few hours after receiving the vaccine at school, she developed sneezing and abdominal cramping. By the next day, symptoms had progressed to fever of 102 and mild diarrhea. Did not require medical evaluation; symptoms resolved after 4 days.
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Back pain, Feeling of body temperature change, Headache, Hypoaesthesia, Insomnia
Clinical narrative: 11-30-09 Monday-got swine flu shot at around 1000. 12-1-09 Tuesday night-started having mild headache and body ache. 12-2-09 Wednesday morning-had major headache on upper head to around neck at around 0600. Spread to shoulder blade area then to most of the back by midday with tingling on both arms and legs. Body ache and muscle pain throughout day and irritating feeling on shoulder and trapezius area (feels like someone stretching or pulling off muscle). Took meds ibuprofen and TYLENOL around the clock. Felt ok at nighttime and able to sleep for 4 hours. 12-3-09 Thursday am at around 0500-mild body ache and lingering pain to left shoulder and rib area. Went to work but had to come back home around 1100 due to increase body ache and pain. Pain spreading to  different area of the back. Took meds around the clock and use cream and back support to control pain. Unable to sleep due to irritating feeling around back area. 12-4-09 Friday AM-had heavy headache again with back pain and tingling to arms and legs again. Got better by midday and lingering pain to left rib area. Saw chiropractor at around 4 PM and body aches and pain improved along with ibuprofen and TYLENOL. Went to party around 6 PM with just mild body ache and felt ok for about 4 hours and able to move and dance without discomfort. Continue use of back support and ICY HOT. 12-5-09 Saturday AM. Around 1 AM. Intense body aches and pain to lower back. Unable to sleep until took combination of ibuprofen and TYLENOL. Slept for 4 hours. Continue with irritating feeling on back. Different areas at different times. 12-6-09 Sunday morning-lower body aches and hot and cold feeling around neck. Continue with ibuprofen and TYLENOL with ICY HOT cream and back support. Able to take naps and felt better by around 2 PM. Able to drive and felt ok. Only mild aches by 8 PM. 12-7-09 Monday at around 1 AM-mild body aches again with irritating feeling. Unable to sleep. Took meds, ICY HOT. Able to sleep for 2 hours. Continue with mild to moderate pain to left rib area and lower back with mild numbness to legs and hands. Continue taking TYLENOL and ibuprofen, ICY HOT and back support at times. Able to take a nap for about an hour. Continue with aches and pain. Able to sleep for 6 hours with hydrocodone and TYLENOL. 12-8-09 Tuesday at around 0600. Mild body ache and lingering pain to left side of back (tolerable and less pain). Ibuprofen at 0800.
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal chest pain, Musculoskeletal pain, Myalgia, Pain, Paraesthesia
Clinical narrative: 11-30-09 Monday-got swine flu shot at around 1000. 12-1-09 Tuesday night-started having mild headache and body ache. 12-2-09 Wednesday morning-had major headache on upper head to around neck at around 0600. Spread to shoulder blade area then to most of the back by midday with tingling on both arms and legs. Body ache and muscle pain throughout day and irritating feeling on shoulder and trapezius area (feels like someone stretching or pulling off muscle). Took meds ibuprofen and TYLENOL around the clock. Felt ok at nighttime and able to sleep for 4 hours. 12-3-09 Thursday am at around 0500-mild body ache and lingering pain to left shoulder and rib area. Went to work but had to come back home around 1100 due to increase body ache and pain. Pain spreading to  different area of the back. Took meds around the clock and use cream and back support to control pain. Unable to sleep due to irritating feeling around back area. 12-4-09 Friday AM-had heavy headache again with back pain and tingling to arms and legs again. Got better by midday and lingering pain to left rib area. Saw chiropractor at around 4 PM and body aches and pain improved along with ibuprofen and TYLENOL. Went to party around 6 PM with just mild body ache and felt ok for about 4 hours and able to move and dance without discomfort. Continue use of back support and ICY HOT. 12-5-09 Saturday AM. Around 1 AM. Intense body aches and pain to lower back. Unable to sleep until took combination of ibuprofen and TYLENOL. Slept for 4 hours. Continue with irritating feeling on back. Different areas at different times. 12-6-09 Sunday morning-lower body aches and hot and cold feeling around neck. Continue with ibuprofen and TYLENOL with ICY HOT cream and back support. Able to take naps and felt better by around 2 PM. Able to drive and felt ok. Only mild aches by 8 PM. 12-7-09 Monday at around 1 AM-mild body aches again with irritating feeling. Unable to sleep. Took meds, ICY HOT. Able to sleep for 2 hours. Continue with mild to moderate pain to left rib area and lower back with mild numbness to legs and hands. Continue taking TYLENOL and ibuprofen, ICY HOT and back support at times. Able to take a nap for about an hour. Continue with aches and pain. Able to sleep for 6 hours with hydrocodone and TYLENOL. 12-8-09 Tuesday at around 0600. Mild body ache and lingering pain to left side of back (tolerable and less pain). Ibuprofen at 0800.
Age: 10.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Urticaria
Clinical narrative: Developed pain at the injection site within 12 hours and was swollen and red in large area (about 10 cm, looked like large welt but was not itchy, hurt to touch.) Took 1 week to resolve.
Age: 1.01
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Parent reports he noticed redness and swelling on the patient's right thigh upon awakening on 12/12/2009. Upon evaluation the doctor observed an approximately 2cm induration with 3-4cm erythema and swelling of right thigh.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Autoimmune disorder, Blood test abnormal, Decreased appetite, Fatigue
Clinical narrative: Upset stomach at 8:00 PM on the first night, extreme fatique next AM (12/10/09) - fatique continued for 2 days, about 8:30 PM 12/10/2009 I started having tingles and cold sensations though my body on the opposite side as shot given.  Has continued and moved around the body.  Still have symptons at it is 12/14/2009.  Saw Doc.. auto-immune reaction more then likey doing blood work. Watch for GBS signs... still tired also and have no desire to eat.  Lost 8 lbs since wednesday.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling cold, Paraesthesia, Weight decreased
Clinical narrative: Upset stomach at 8:00 PM on the first night, extreme fatique next AM (12/10/09) - fatique continued for 2 days, about 8:30 PM 12/10/2009 I started having tingles and cold sensations though my body on the opposite side as shot given.  Has continued and moved around the body.  Still have symptons at it is 12/14/2009.  Saw Doc.. auto-immune reaction more then likey doing blood work. Watch for GBS signs... still tired also and have no desire to eat.  Lost 8 lbs since wednesday.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Hypoaesthesia, Tachycardia
Clinical narrative: c/o headache, tachacardia, and numb diaphragm.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Choking sensation, Dizziness, Dyspnoea, Throat tightness
Clinical narrative: After receiving seasonal flu vaccination, went back to work area. Approximently 3 hours later, came back to clinic area and complained of feeling dizzy and having a tight lump in chest, described of throat choking. No wheezing noted. Client observed. 3:20 PM-BP 102/64. 3:35 PM-BP 110/78. Nurse Practioner called. She advised the Registered Nurse at clinic location to administer eppy. Breathing difficulty continued. Eppy pen of 0.3mg given in Left Anterior thigh. 911 called. Breathing and tightness in throat improved almost immediately. Paramedics arrived and client was transported to area hopsital.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash, Rash erythematous, Scab
Clinical narrative: 2 days after receiving H1N1 injection noticed a flat rash on her chest and neck.  Started red in color then turned dark with a scab appearance.  Progressed to arms, stomach.  Rash is "getting better".  Denies rash below waist.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Irritability, Throat irritation
Clinical narrative: Dry cough, scratchy throat, irritability.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Body temperature increased, Lethargy, Pyrexia, Somnolence
Clinical narrative: Received H1N1 injection & waited 15 min. without incident.  After returning to classroom, teacher reported child was sleepy & lethargic.  No breathing problems.  VS good, Temp 100.2 & c/o stomach hurting.  Referred to private MD.  In school next day with no problems.
Age: 46.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Chills, Feeling abnormal, Pyrexia
Clinical narrative: Awoke with chills and fever.  Took 2 ibuprofen.  Took temperature at 2am and had 101, so I took 2 more ibuprofen.  Fever broke.  I felt bad all day 12/12/2009, but was back to normal by 12/13/2009.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Hypoaesthesia facial, Vaccination complication, Vision blurred
Clinical narrative: c/o numbness under left eye & on left side of face & teeth one hour after receiving vaccine.  Vision in left eye "seems blurry".  No other symptoms - referred to personal physician.  Reported to work next day (school employee).  States MD said she had a chemical reaction to vaccine.
Age: 74.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cardiac enzymes increased, Chest pain
Clinical narrative: Left clinic, went to drive thru at bank, then drove to store, just a few minutes after arrival at store started having chest pain; drove to emergency dept, cardiac enzymes slightly eleveated, was admitted for overnight observation; states pain was relieved with Nitro patch.  Was discharged the next day, has follow-up with cardiologist.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Rash macular, Tenderness
Clinical narrative: Red blotchy feet, tenderness.  Patient then admitted into the hospital on 11/28/2009.  Discharged on 12/02/2009 patient states that her private physician attributes hospitalization to H1N1 vaccine.  We are awaiting receipt of patient's medical records.
Age: 1.0
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Redness and swelling at injection sites on both thighs; 2-3 isolated hives on chest / back. Tylenol and cold packs to immunization sites and observation.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Injection site pain, Joint range of motion decreased
Clinical narrative: 1-2 weeks after influenza vaccine was administered patient started with sharp pain in L Lateral Shoulder.Patient states "Shoulder feels cold". Patient having limited ROM.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Nervousness, Pallor, Swollen tongue, Tremor
Clinical narrative: Patient shaky nervous at time of injection. Nervous/shaky immediately following injection. Became pale, EMT called as precaution, vitals stable, however tongue appeared swollen, negative hives, negative lungs, negative vitals. Pt transported to hospital as precaution. Pt received SOLUMEDROL 125mg IV x 1 and sent home with BENADRYL 1 PO for any symptoms. Patient reports no further symptoms. Please document seasonal flu vaccine allergy.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Patient received vaccine at 12 pm, then eats large meal (after 24 hour fast) returns at 1 pm with N/V/HA. Negative lungs, negative hives. EMT evaluates pt vitals WNL, did relaxation techniques. Pt sent home from work with no further issues, ENT questions panic attack?
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia
Clinical narrative: Pt c/o increasing numbness down arm after receiving last four anthrax vaccinations.  Last vaccination on 19 May 09, pt experienced two episodes of numbness down his right arm over a 24 hour period.
Age: 52.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Upper respiratory tract infection, Vertigo
Clinical narrative: Pt had nausea 2.5h s/p injection. Following day had vertigo and mild upper resp symptoms.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Pyrexia
Clinical narrative: Chronic low grade feeling : 99.f - 100.4; Severe Fatigue  Taking Asprin
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site swelling
Clinical narrative: 10 1/2 yr. with 36 hours of getting vaccine.  Injection site swollen to size of softball, resolved w/ in 48 hours.  No redness.
Age: 18.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Blood electrolytes, Dyskinesia, Hypoaesthesia oral, Laboratory test
Clinical narrative: 12/5/09 complaint of involuntary hand movements, tongue no movement, abdominal pain. Rx PREDNISONE, ATARAX. Treatment in emergency dept, 12/5/09 and 12/6/09.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Child received H1N1 vaccine at a school clinic. Denied any allergies completed by mother. Child came home itching with hives on face, chest, abdomen and arms. Given cold bath only. Resolved when awakened in morning. Mother signed consent for child to receive H1N1 # 2 but related above incident and 2nd dose not given.
Age: 11.0
Sex: M
Vaccine: TDAP, MMR, VARCEL
Symptoms: Death, Varicella post vaccine
Clinical narrative: Initial case received from a health care professional on 10 December 2009. An 11-year-old male patient developed chickenpox and died after receiving ADACEL (lot not reported) and VARIVAX (Merck, lot number 0630X410). The patient, who was HIV positive, received VARIVAX on 20 August 2008 and developed chickenpox (start date reported as August 2008). On 16 September 2008 he received ADACEL, and developed chickenpox again. He was seen in his physician's office on 28 November 2008 and was admitted to the hospital at that time. He later died (date of death not reported). No additional information was reported. Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: TDAP, MMR, VARCEL
Symptoms: AIDS related complication, Death
Clinical narrative: Initial case received from a health care professional on 10 December 2009. An 11-year-old male patient developed chickenpox and died after receiving ADACEL (lot not reported) and VARIVAX (Merck, lot number 0630X410). The patient, who was HIV positive, received VARIVAX on 20 August 2008 and developed chickenpox (start date reported as August 2008). On 16 September 2008 he received ADACEL, and developed chickenpox again. He was seen in his physician's office on 28 November 2008 and was admitted to the hospital at that time. He later died (date of death not reported). No additional information was reported. Documents held by sender: None.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Burning sensation, Diarrhoea, Headache, Injection site erythema
Clinical narrative: Local erythema and soreness at left deltoid burning sensation approximately 3 days. Nausea, vomiting x3-4hrs, loose stool, HA, joints hurt x1 1/2-2days-improving now vaccine site somewhat low on deltoid.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Nausea, Vomiting
Clinical narrative: Local erythema and soreness at left deltoid burning sensation approximately 3 days. Nausea, vomiting x3-4hrs, loose stool, HA, joints hurt x1 1/2-2days-improving now vaccine site somewhat low on deltoid.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1), FLU3, PPV
Symptoms: Pyrexia, Rash erythematous, Skin warm, Tenderness
Clinical narrative: L arm erythematous patch, warmth and tenderness, grew to 10 x 10 cm then slowly improving. Had fever day after immunization. Still has rash but improving
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient presented in our office with c/o vaccine reaction to H1N1. Injection site swollen, itchy and erythematous. Mom reports symptoms resolved by 12/6/09.
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: C/O headache and dizziness.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Throat irritation
Clinical narrative: Complained his throat felt funny. Asked to explain and he said "scratchy." Went to class after monitored x 45min with no problems.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Vomiting X 1 5 min. after vaccine.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Profuse sweating, nausea and dizziness.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Throat irritation, Throat tightness
Clinical narrative: 5-10 minutes following influenza A monovalent vaccine (H1N1) tightness in throat, lasting approx 5 min. Itching over body w/itching in throat starting at approx 1300. sent for medical evaluation at clinic.
Age: 1.87
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Pt received 2nd dose of H1N1 preservative free vaccine at 1145 AM in R thigh IM. Pt experienced "hives" later that evening and was taken to local ER. at approx 9 pm. Pt was discharged with Dx of scattered urticaria with Rx of children's BENADRYL PO 12.5 mg/ml, 2 ml q6h.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Pt felt faint.  Appeared pale & diaphoresis.  Evaluation by EMS, given juice & food.  Pt recovered & was instructed to mention SX when receiving future vaccines.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Adverse event, Asthenia, Blood glucose, Blood test normal, Body temperature decreased
Clinical narrative: The adverse events were unusual paleness and weakness, fast heartbeat and dizziness, low blood pressure, low temperature, the time of course was for 5-10 minutes, sodium chloride was administered as a treatment into venoses.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Fluid replacement, Heart rate increased, Hypotension, Pallor
Clinical narrative: The adverse events were unusual paleness and weakness, fast heartbeat and dizziness, low blood pressure, low temperature, the time of course was for 5-10 minutes, sodium chloride was administered as a treatment into venoses.
Age: 27.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: Pt came in on 11/3/09 for cough. Was found to be eligible for H1N1 nasal vaccine. Pt was given vaccine on 11/3/09. On 11/6/09 pt returned to office c/o numbness/tingling in teeth, feet and hands. Pt stated these where sx he experienced prior to getting the H1N1 vaccine but did not state he had them on the day of receiving the vaccine. Pt currently in Rehab Center.
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: CSF test normal, Electromyogram abnormal, Guillain-Barre syndrome, Muscular weakness
Clinical narrative: Patient developed Guillain Barre Syndrome. Proximal upper and lower extremity weakness.  12/15/09 and 12/17/09 HMO PCP Medical records and hospital records received. Service dates 11/30/09 to 12/13/09. Assessment: Botulism vs Guillain-Barre Syndrome. Patient presents with progressive muscle weakness, recently ate uncooked salmon and peanuts, drank honey. Headaches. Difficulty walking, chewing, swallowing, and dressing. Unable to raise arms. Chills. Decreased strength facial muscles, proximal muscles shoulders and lower extremities. Reflexes decreased. Numbness feet and hands. Slurred speech. Facial droop. Botulism Trivalent Antitoxin administered. Fall. Plasmapheresis. IVIG. Unable to tolerate IVIG. Using Walker Tachycardia when ambulating.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Aphasia, Convulsion, Eye movement disorder, Gait disturbance
Clinical narrative: 11/5/09 H1N1 UT014AA (IM); 11/9/09 difficult walking. Mother took child to chiropractor-walking improved by 11/15/09 child would "cross" eye involuntarily for several days. 11/24 lost speech-appeared to have seizure. 11/25 went to urgent care at hospital to see doctor.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Aggression, Amnesia, Pain in extremity, Regressive behaviour, Screaming
Clinical narrative: 11/5/09 c/o pain in legs 11/24/09. Observed aggressive behavior 11/10/09. q day -screaming - not seen by MD 1 day memory loss & regression - observed Dec 2, 09.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Amnesia, Dyspnoea, Headache, Hypoaesthesia, Muscular weakness
Clinical narrative: 11/10/09 weakness in both legs & arms increased in left arm, tingling & numbness in hand & feet. 1st 2 weeks shooting pain down legs - now gone. Some memory loss - shaky & SOB continues. Has not been seen by MD headache x 3 wks.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Paraesthesia, Tremor
Clinical narrative: 11/10/09 weakness in both legs & arms increased in left arm, tingling & numbness in hand & feet. 1st 2 weeks shooting pain down legs - now gone. Some memory loss - shaky & SOB continues. Has not been seen by MD headache x 3 wks.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Bone pain, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: 12/12/09-received H1N1 inj-RA-IM. 12/13/09-pain in right collar bone noted in morning. 12/13/09-10pm-rash on face from bottom of nose to bottom of chin (both sides). 12/14/09-9am- right arm swelling/pain treatment per patient-Benadryl x1/Tylenol at 3pm 12/14.
Age: 7.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Pallor, Palpitations, Pyrexia, Streptococcal identification test negative
Clinical narrative: Night after receiving nasal spray vaccine, high fever 103 degrees, fatigue, paleness, palpitations.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Acidosis, Anaemia, Atrioventricular block, Blood creatinine increased
Clinical narrative: Onset of abdominal pain and arm pain that night; on 12/12/09 she woke up with "black" vision that resolved when she laid down, worsened abdominal pain, vomiting, and multiple episodes of syncope. She was seen in the ED at about 12:00 and found to have HR 58, normal BP, treated for presumed UTI and discharged. Her pain worsened over the next few hours and she had perioral cyanosis when she vomited. She went back to the ED around 20:00 and was found to have HR in the 20s-30s with worsening hemodynamic instability.  EKG showed complete heart block. Echo showed dilated cardiomyopathy. Intubated, started on epinephrine drip and transcutaneous pacing and transferred to PICU.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood glucose increased, Blood lactic acid increased, Blood urea increased, Bradycardia, Cardiac arrest
Clinical narrative: Onset of abdominal pain and arm pain that night; on 12/12/09 she woke up with "black" vision that resolved when she laid down, worsened abdominal pain, vomiting, and multiple episodes of syncope. She was seen in the ED at about 12:00 and found to have HR 58, normal BP, treated for presumed UTI and discharged. Her pain worsened over the next few hours and she had perioral cyanosis when she vomited. She went back to the ED around 20:00 and was found to have HR in the 20s-30s with worsening hemodynamic instability.  EKG showed complete heart block. Echo showed dilated cardiomyopathy. Intubated, started on epinephrine drip and transcutaneous pacing and transferred to PICU.