chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Fatigue, Immediate post-injection reaction, Lymph node pain
Clinical narrative: Patient states her arm hurt immediately after the vaccine was given and as time progressed she had swelling and tenderness in the lymph nodes radiating to the right breast, she also states she developed a froggy sounding voice that still continues as of 10/19/2009. She did not seek medical attendion until 10/19/2009 and was told it was a coincidental reaction that she now had a cough and tired achy feeling. Phergan cough syrup was prescribed by the provider.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Patient states her arm hurt immediately after the vaccine was given and as time progressed she had swelling and tenderness in the lymph nodes radiating to the right breast, she also states she developed a froggy sounding voice that still continues as of 10/19/2009. She did not seek medical attendion until 10/19/2009 and was told it was a coincidental reaction that she now had a cough and tired achy feeling. Phergan cough syrup was prescribed by the provider.
Age: 48.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: FEVER, CHILLS, HEADACHE  SUGGESTED TREATING WITH MOTRIN
Age: 47.0
Sex: M
Vaccine: FLU3, HEPA, MMR
Symptoms: Parotid gland enlargement
Clinical narrative: swelling of left parotid gland
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: RIGHT ARM-4 TO 5 INCH AREA OF REDNESS
Age: 25.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Fatigue, Loss of consciousness
Clinical narrative: Dizziness and feeling sick to my stomach and feeling like I was going to pass out. Slight blacking out. Lasted around 5 minutes. Followed by general weakness and fatigue and some tingling in extremities. Lasted for about 2 hours.
Age: 25.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Paraesthesia
Clinical narrative: Dizziness and feeling sick to my stomach and feeling like I was going to pass out. Slight blacking out. Lasted around 5 minutes. Followed by general weakness and fatigue and some tingling in extremities. Lasted for about 2 hours.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Condition aggravated, Dizziness, Epistaxis, Hypertension
Clinical narrative: DIZZINESS, HTN EPISODE, NOSE BLEED
Age: 29.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Diarrhoea, Fatigue, Headache, Hot flush, Nausea
Clinical narrative: Nausea, headache, fatigue, hot flashes-(no actual fever), diarrhea. No treatment required.
Age: 0.65
Sex: F
Vaccine: FLUX
Symptoms: Childhood disintegrative disorder, Disturbance in social behaviour, Speech disorder developmental
Clinical narrative: Gradually lost language and social responsiveness over 6 months
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash macular, Vaccination failure, Varicella post vaccine
Clinical narrative: DEVELOPED VARICELLA LESIONS 4 DAYS AFTER RECEIVING VARIVAX
Age: 34.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest pain, Dyspnoea, Influenza, Pain, Palpitations
Clinical narrative: At 4:30 p.m. I felt like I couldn't breathe very well and it got progressively worse.  By 10 p.m. every breath was labored and my heart was racing.  I also felt body aches and chest pain.  10/23/2009 Medical records received for DOS 10/05/2009.  FINAL DX: Possible urinary tract infection, atypical chest pain. Presented in ER with worsening chest pain noted as moderate in intensity and radiating to the upper back. Worsened by cough and deep breaths.  (+) Nausea.  (+) Wheezing. Seen 1wk prior by PCP and treated for UTI. Still reports SP pain and difficulty urinating and mild HA (resolved). (+) Body aches.  PE noted tachycardia, tachypnea, mild decreased air movement bilat. Mildly tender SP area.  Felt better with tx. Tx impirically for infection. Discharged to home.
Age: 34.0
Sex: F
Vaccine: FLUN3
Symptoms: Viral test positive
Clinical narrative: At 4:30 p.m. I felt like I couldn't breathe very well and it got progressively worse.  By 10 p.m. every breath was labored and my heart was racing.  I also felt body aches and chest pain.  10/23/2009 Medical records received for DOS 10/05/2009.  FINAL DX: Possible urinary tract infection, atypical chest pain. Presented in ER with worsening chest pain noted as moderate in intensity and radiating to the upper back. Worsened by cough and deep breaths.  (+) Nausea.  (+) Wheezing. Seen 1wk prior by PCP and treated for UTI. Still reports SP pain and difficulty urinating and mild HA (resolved). (+) Body aches.  PE noted tachycardia, tachypnea, mild decreased air movement bilat. Mildly tender SP area.  Felt better with tx. Tx impirically for infection. Discharged to home.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Abdominal pain upper, Ear pain, Headache, Pyrexia, Vomiting
Clinical narrative: FEVER, HEADACHE, STOMACHACHE, VOMITING EAR ACHE
Age: 83.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Condition aggravated, Guillain-Barre syndrome, Neuropathy peripheral
Clinical narrative: This case was reported by a pharmacist and described the occurrence of Guillain-Barre syndrome in an 83-year-old female subject who was vaccinated with FLULAVAL, (GlaxoSmithKline).  Concurrent medical conditions included neuropathy.  On 15 September 2009 the subject received 1st dose of FLULAVAL (.5 ml, unknown, left arm).  On 14 October 2009, 29 days after vaccination with FLULAVAL, the subject experienced Guillain-Barre syndrome.  On an unspecified date, at an unspecified time after vaccination with FLULAVAL, the subject experienced progressive neuropathy with demyelination.  The subject was hospitalised and the pharmacist considered the events were disabling, life threatening and clinically significant (or requiring intervention).  At the time of reporting the outcome of the progressing neuropathy with demyelination was unspecified.  Guillain-Barre syndrome was unresolved at the time of reporting.  On 15 October 2009, a health care professional (pharmacist) reported that a patient was vaccinated for seasonal influenza with FLULAVAL on 15 September 2009 at a private doctor's office.  The patient was admitted to the hospital on 14 October 2009 with progressing neuropathy with demyelination.  The neurologist diagnosed the patient with Guillain-Barre syndrome.  Any information on the progression of illness prior to the hospitalization is not known at time of report.  10/22/2009 received DC summary for hospital stay 10/14-10/21/2009. DC DX: Demyelinating inflammatory acute polyneuropathy, GBS   Patient presents with hx of c/o's numbness/tingling and weakness in all extremities that was progressive in nature. Seen by neurologist, evaluated with EMG which was abnormal. PE: noted decreased sensation to pinprick fingertips and toes, DTR's absent. Tx: IV IGG, po Neurontin   ICD-9 codes: 357.0, 276.1, 492.8, 401.9, 250.00, 272.4, 427.31, v12.54, 414.00, v45.81, v58.61, v58.63, 305.1, 412
Age: 83.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Electromyogram, Muscular weakness
Clinical narrative: This case was reported by a pharmacist and described the occurrence of Guillain-Barre syndrome in an 83-year-old female subject who was vaccinated with FLULAVAL, (GlaxoSmithKline).  Concurrent medical conditions included neuropathy.  On 15 September 2009 the subject received 1st dose of FLULAVAL (.5 ml, unknown, left arm).  On 14 October 2009, 29 days after vaccination with FLULAVAL, the subject experienced Guillain-Barre syndrome.  On an unspecified date, at an unspecified time after vaccination with FLULAVAL, the subject experienced progressive neuropathy with demyelination.  The subject was hospitalised and the pharmacist considered the events were disabling, life threatening and clinically significant (or requiring intervention).  At the time of reporting the outcome of the progressing neuropathy with demyelination was unspecified.  Guillain-Barre syndrome was unresolved at the time of reporting.  On 15 October 2009, a health care professional (pharmacist) reported that a patient was vaccinated for seasonal influenza with FLULAVAL on 15 September 2009 at a private doctor's office.  The patient was admitted to the hospital on 14 October 2009 with progressing neuropathy with demyelination.  The neurologist diagnosed the patient with Guillain-Barre syndrome.  Any information on the progression of illness prior to the hospitalization is not known at time of report.  10/22/2009 received DC summary for hospital stay 10/14-10/21/2009. DC DX: Demyelinating inflammatory acute polyneuropathy, GBS   Patient presents with hx of c/o's numbness/tingling and weakness in all extremities that was progressive in nature. Seen by neurologist, evaluated with EMG which was abnormal. PE: noted decreased sensation to pinprick fingertips and toes, DTR's absent. Tx: IV IGG, po Neurontin   ICD-9 codes: 357.0, 276.1, 492.8, 401.9, 250.00, 272.4, 427.31, v12.54, 414.00, v45.81, v58.61, v58.63, 305.1, 412
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Acute disseminated encephalomyelitis, Electroencephalogram abnormal
Clinical narrative: Acute disseminated encephalomyelitis.
Age: 47.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal distension, Flatulence, Flushing, Hiccups, Hyperhidrosis
Clinical narrative: i hour post vaccination describes feeling distended, gassy, hiccups for 15 minutes followed by flush and sweats.  To OHS where placed on O2 with rebreather bag; BP 140/90, O2 Sats continued at 93 and removed from o2. Observed for 1 hour 30 minutes.  breath sounds clear, respirations 1, Temp 98.1.  Released to home per Taxi.  Referred to PMD.
Age: 49.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: patient began to feel sick a few hours after getting the vaccine and developed a large area of swelling, warmth, tendnerness and erythema surrounding the injection site a few hours after administration.  Area grew to about 10x16 cm.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Dyspnoea, Electrocardiogram, Flushing, Hypoaesthesia
Clinical narrative: Onset of severe pain in left (injection) arm (from above elbow to hand) and numbness in fingers; followed by difficulty breathing; severe flushing (head and upper thorax); fainting.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity, Syncope, X-ray
Clinical narrative: Onset of severe pain in left (injection) arm (from above elbow to hand) and numbness in fingers; followed by difficulty breathing; severe flushing (head and upper thorax); fainting.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Injected limb mobility decreased, Musculoskeletal pain, Pain in extremity
Clinical narrative: My left arm received the shot.  It has been sore since I received it.  Now the soreness is in the back of my underarm and at the top of my shoulder blade.  I can lift my arm up not even half way since I took the shot.  If I try to lift my arm up any further it hurts really bad.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised, Skin discolouration
Clinical narrative: Vaccine administered on 10/4/09. Patient called pharmacy on 10/6/09 and states had black spots and red rash over body. Went to see Dr. on 4th day. Was treated with ice pack and Tylenol. Black patches was present for more than 7 days.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Paraesthesia oral
Clinical narrative: Called after vaccine administered around 7:20 pm stating she felt tingling in the lips. Patient took BENADRYL. At some point she passed out and an Ambulance took her to the hospital. After many attempts to contact patient for more info, unsuccessful.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Rash erythematous, Rash macular
Clinical narrative: Had a rash that started on her legs with intense itching.  The rash was very red and blotchy (she said it looked strange), somewhat raised.  It moved up to her neck and back.  She asked her boss, who is a physician and he gave her an allergy medication.  She did not know the name.  She did say it was not Benadryl.  She said she had the rash for a couple of days and continued to take the medication for that time.  She has no known allergies
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Death
Clinical narrative: patient found dead in the morning by his son.  presumed cardiac cause of death, although flu vaccine given 10/12/09 seems unlikely as a cause, it can not be excluded. Autopsy  is not planned.  12/31/09 Death Certificate received. DOD 10/15/09. Cause of Death: Unknown. Other conditions: End Stage Kidney Failure. Cardiomyopathy.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Decreased appetite, Diarrhoea, Headache, Hypokinesia
Clinical narrative: Headache, severe nausea, loose stools, hand cramps, unable to move fingers, loss of appetite, weakness
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle spasms, Nausea
Clinical narrative: Headache, severe nausea, loose stools, hand cramps, unable to move fingers, loss of appetite, weakness
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Heart rate increased, Paraesthesia oral
Clinical narrative: Felt funny, dizzy took a bath around 2:00pm and then really started feeling bad and realized tht I had broke out in Hives all over.  Took Benadryl every 4 hours (4-25 mg tablests) Having trouble catching my breath, pulse was very fast.  Felt a little better on 10-18-09.  Went to work 10-19-09 can't take as much Benadryl at work feeling bad again. ears itch, eyes itch and toungue feels prickly.  Will be going to the doctor after work.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Felt funny, dizzy took a bath around 2:00pm and then really started feeling bad and realized tht I had broke out in Hives all over.  Took Benadryl every 4 hours (4-25 mg tablests) Having trouble catching my breath, pulse was very fast.  Felt a little better on 10-18-09.  Went to work 10-19-09 can't take as much Benadryl at work feeling bad again. ears itch, eyes itch and toungue feels prickly.  Will be going to the doctor after work.
Age: 1.33
Sex: M
Vaccine: FLU3
Symptoms: Breath holding, Convulsion, Electroencephalogram normal, Gait disturbance, Muscle rigidity
Clinical narrative: Patient had a new onset seizure that lasted for nearly 1 hour.  The seizure occurred at day care after the patient had a breath holding spell.  The patient went rigid, had doll's eyes, and his eyes were fixed.  No tonic/clonic activity was present.  The patient received 4 doses of lorazepam 0.1mg IV push a few minutes apart.  The patient began to come out of the seizure after the last two doses.  Patient had an EEG done that was read as normal.  He was started on phenobarbital 25mg BID.  The patient had a little trouble walking during his hospital stay, which was considered to be a fairly normal manifestation after a prolonged seizure.  The patient had received the seasonal influenza vaccine on 10/08/2009. 11/2/09 DC summary and hospital records received for dates 10/12/09 to 10/14/09. DX: prolonged seizure. Presented to ER with acute onset of seizure. Entire duration lasting 1 1/2hrs. No clonic tonic activity, (+)rigid, (+)eyes fixed. Flu vax 3 days prior. Pt medicated in ER and admitted. On d/c date developed rash on abdomen, d/c in stable condition. ICD9 codes 780.39, 782.1, 786.9
Age: 1.33
Sex: M
Vaccine: FLU3
Symptoms: Pupil fixed, Streptococcal identification test negative
Clinical narrative: Patient had a new onset seizure that lasted for nearly 1 hour.  The seizure occurred at day care after the patient had a breath holding spell.  The patient went rigid, had doll's eyes, and his eyes were fixed.  No tonic/clonic activity was present.  The patient received 4 doses of lorazepam 0.1mg IV push a few minutes apart.  The patient began to come out of the seizure after the last two doses.  Patient had an EEG done that was read as normal.  He was started on phenobarbital 25mg BID.  The patient had a little trouble walking during his hospital stay, which was considered to be a fairly normal manifestation after a prolonged seizure.  The patient had received the seasonal influenza vaccine on 10/08/2009. 11/2/09 DC summary and hospital records received for dates 10/12/09 to 10/14/09. DX: prolonged seizure. Presented to ER with acute onset of seizure. Entire duration lasting 1 1/2hrs. No clonic tonic activity, (+)rigid, (+)eyes fixed. Flu vax 3 days prior. Pt medicated in ER and admitted. On d/c date developed rash on abdomen, d/c in stable condition. ICD9 codes 780.39, 782.1, 786.9
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Bed rest, Chills, Fatigue
Clinical narrative: severe chills, extreme weakness/fatigue  No treatment- bedrest
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Per patient she developed rash all over body 2 days after receiving Fluvirin (0.5 ml) shot according to patient  rash comes and goes away everyday. 12/2/09 Medical records received for date 10/19/09. DX: urticaria/hives. Presented w/ c/o recurrent hives w/ itch.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Mechanical ventilation
Clinical narrative: Pt reported to be at hospital on vent since Oct 2 2009 with Guillain-Barre syndrome.  10/21/09 Hospital records DC summary received service dates 10/2/09 to 10/20/09. Assessment: Death due to sepsis, respiratory failure, disseminated intravasular coagulopathy, acute renal failure, cirrhosis. Patient presented with hx of lower extremity weakness progressing to all four extremities. Was admitted to another facility where he became short of breath and hypoxic, intubated and developed ARDS. Neurological exam - areflexia severe axonal senserimotor polyneuropathy.Tranferred to MSU service for plasma exchange. Multiple infections including ventilator aquired pneumonia. DIC. Bloody stools. Metabolic acidosis, DNR, death.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Rash pruritic, Urticaria
Clinical narrative: 4 y/o previously healthy boy with history of erythema multiforme reaction to penicillin (3/16/09) took H1N1 FLUMIST 10/15/09 and developed itchy hive like rash 10/18/09. Seen in clinic 10/19 for hives (some almost erythema multiforme appearing).
Age: 0.53
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No vaccine related effects noted. Client given Novartis, preservative-free vaccine, cleared for 4 y/o and older.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Oropharyngeal pain, Rash
Clinical narrative: rash and mild sore throat
Age: 36.0
Sex: F
Vaccine: FLUN3, TDAP
Symptoms: Eye swelling, Hypersensitivity, Hyposmia, Rhinorrhoea, Sneezing
Clinical narrative: Nonstop runny nose, nonstop sneezing, wheezing, puffy eyes, no sense of smell or taste, overall allergies-type reaction to a degree I've never before experienced for following 36 hours.
Age: 36.0
Sex: F
Vaccine: FLUN3, TDAP
Symptoms: Wheezing
Clinical narrative: Nonstop runny nose, nonstop sneezing, wheezing, puffy eyes, no sense of smell or taste, overall allergies-type reaction to a degree I've never before experienced for following 36 hours.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on arms.  Advised mother to give benadryl and call if no better.  No shortness of breath, no vomiting.  Hives went away after one dose of benadryl.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Fatigue, Pyrexia, Sneezing
Clinical narrative: Fever up to 102, cough, sneezing, fatigue.  Advised to give Motrin, watch symptoms.  Call if any changes.
Age: 14.0
Sex: M
Vaccine: FLUX, FLUX(H1N1), FLU(H1N1), FLU3
Symptoms: Erythema, Eye swelling, Hypersensitivity, Rash, Swelling face
Clinical narrative: My son woke up Sunday morning after having the swine flu shot on thursday with the left side of his face red and a little swollen. By 5 o/clock sunday night it had got progressively worse now it was the whole side of his face his eye was swollen shut the redness, bumps and swelling had went all the way down his face to his neck, up in his hair line and back to his ear. I took him to the hospital I explained to them that he was not allergic to anything and that since when he woke up that morning it was like that so I didn't think it was anything he was exposed to. I told them that the only thing that was different was that he had the swine flu shot. They did not seem to think that was the problem, they said it was a definite allergic reaction but to what they didnt know, so they told me to give him Benadryl and sent him home. Well by this morning 10/19/2009 at 7:00 AM it had got alot worse. I took him to the doctors again because it did not seem to me that the Benadryl was enough. I took him to our local doctor; told him the same thing I had told the hospital the night before, he examined him and said yes knowing what I had told him and my sons history that it was a allergic reaction to the swine flu vaccination that he has got on Thursday. Dr. put him on prednisone and told me to keep giving him Benadryl every four hours. Some of the swelling has went done but his eye is still almost shut from the swelling and his face is still red. I would like to know if anyone can tell me how long is this reaction gonna last. I am really concerned since it was a vaccine.
Age: 14.0
Sex: M
Vaccine: FLUX, FLUX(H1N1), FLU(H1N1), FLU3
Symptoms: Erythema, Eye swelling, Face oedema, Ocular hyperaemia, Swelling face
Clinical narrative: My son woke up Sunday morning after having the swine flu shot on thursday with the left side of his face red and a little swollen. By 5 o/clock sunday night it had got progressively worse now it was the whole side of his face his eye was swollen shut the redness, bumps and swelling had went all the way down his face to his neck, up in his hair line and back to his ear. I took him to the hospital I explained to them that he was not allergic to anything and that since when he woke up that morning it was like that so I didn't think it was anything he was exposed to. I told them that the only thing that was different was that he had the swine flu shot. They did not seem to think that was the problem, they said it was a definite allergic reaction but to what they didnt know, so they told me to give him Benadryl and sent him home. Well by this morning 10/19/2009 at 7:00 AM it had got alot worse. I took him to the doctors again because it did not seem to me that the Benadryl was enough. I took him to our local doctor; told him the same thing I had told the hospital the night before, he examined him and said yes knowing what I had told him and my sons history that it was a allergic reaction to the swine flu vaccination that he has got on Thursday. Dr. put him on prednisone and told me to keep giving him Benadryl every four hours. Some of the swelling has went done but his eye is still almost shut from the swelling and his face is still red. I would like to know if anyone can tell me how long is this reaction gonna last. I am really concerned since it was a vaccine.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: Upper respiratory Infection  Fevers
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pt describes burning sensation in area of vaccination that comes and goes since date of vaccination.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Injection site pain, Pain
Clinical narrative: Pt reported severe/extreme pain at injection site in both arms; no redness/swelling, increased BP; "pain all over body."
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Oral disorder
Clinical narrative: Got vaccine on Tues - Friday roof of mouth felt weird. Sat had white spot on roof - Sunday same. Looked on internet and took lemon juice and yogurt. Monday all better. No evidence of problem.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Injection site warmth, Oedema peripheral, Swelling
Clinical narrative: Arm swollen and warm. 1 day after getting flu shot and PNEUMOVAX in Left deltoid treated with MOTRIN, ZYRTEC and KEFLEX. Swelling went form lower chest to tip of hand all symptoms gone by 10/18/2009.
Age: 6.0
Sex: M
Vaccine: FLUN3, HEPA, VARCEL
Symptoms: Erythema multiforme, Rash erythematous, Rash pruritic, Skin plaque
Clinical narrative: Erythema multiforme (see attached progress note). History: Patient came today at 6 years of age with complaint of from onset 2 days ago of a slightly itchy rash on both his inner thighs that has now spread to his lower extremities. The patient reports no other signs of illness. He did get immunizations on October 9 specifically the VARIVAX #2, HAVRIX #1 and FLUMIST. Exam: The patient appears to be in no distress. Examination of the skin did show a confluent erythematous irregular slightly raised rash consisting of flat round and oval plaques as well as target lesions on both inner thighs with some scant lesions on the lateral aspects of the thighs as well as the distal lower extremities consistent with erythema multiforme. Assessment: Erythema multiforme following immunizations. Plan: I provided the mother with written and verbal information on erythema multiforme and recommended topical treatments if he does develop more significant itching. A report will be submitted to VAERS. Mother was advised to contact us if the child develops involvement of mucous membranes, eyes or mouth. I advised mother that the cause of this eruption is unclear, including in this case, though it is generally benign and self-limited. Since it did occur after immunizations we will report to VAERS.
Age: 15.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Immediate post-injection reaction, Injection site swelling, Injection site warmth
Clinical narrative: 10/16/09 @ 4:00 PM patient given flu vaccine.  Within the minute patient mention lump & hotness.  Immediately called Dr. for observation on left arm.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Erythema and minimal induration at injection site approximately equal to 3" x 3" - warm to touch.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Myalgia
Clinical narrative: Tenderness R deltoid->cervical musculature R side.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: There is pain of the injection site for 2 weeks.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site discolouration
Clinical narrative: After FLUVIRIN immunization, Pt developed "black arm" - same arm as immunization - Pt has been to Emergency Department an primary physician - D/c Warfarin therapy.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Abasia, Hypoaesthesia, Pain in extremity
Clinical narrative: Arm started hurting after injection. Legs went numb and now unable to walk.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Patient is complaining of soreness and stiffness of arm.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: (R) arm - swelling, erythremia, warmth, tenderness to touch around injection site Pt stated pain 9- on 1-10 scale.
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Heart rate increased, Myalgia, Urticaria
Clinical narrative: Patient reports to clinic today with difficulty breathing, hives, complaint of muscle tenderness, and racy heart. Pt denies any history of these symptoms which started 9/15/09. Pt got vaccine 9/13/09. Pt symptom progressed 9/16/09 and she was seen in ER. Pt presents today bc she is not better.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Blood test, Body temperature increased, Decreased appetite, Dehydration, Injection site erythema
Clinical narrative: Cold symptoms. Arm where vaccine received extremely red, swollen, tender. Pain radiates from shoulder to elbow. Lethargy. Loss appetite. Dehydrated. Temperature went up - 102 degrees. Went to Emergency Room Friday afternoon.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Lethargy, Nasopharyngitis, Urine analysis
Clinical narrative: Cold symptoms. Arm where vaccine received extremely red, swollen, tender. Pain radiates from shoulder to elbow. Lethargy. Loss appetite. Dehydrated. Temperature went up - 102 degrees. Went to Emergency Room Friday afternoon.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia
Clinical narrative: I had the ZOSTAVAX vaccine for shingles prevention 7/12/09. 1 week later my feet went numb. I have been to 3 drs. & 2 neurologists & get no help. I talked to Merck & got a phone number for a co. that has an antidote, but they would only talk to a dr. So no help...Merck ref #1-2757171900.
Age: 1.06
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Anorexia, Body temperature increased, Diarrhoea, Dyskinesia, Electroencephalogram
Clinical narrative: Had 1 yr shots on 6-18-09 administered by prior pediatrician on 6-25-09 pt had seizure like activity and fever per history and rash. MRI and EEG performed.
Age: 1.06
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site rash, Muscle twitching, Nuclear magnetic resonance imaging, Rash
Clinical narrative: Had 1 yr shots on 6-18-09 administered by prior pediatrician on 6-25-09 pt had seizure like activity and fever per history and rash. MRI and EEG performed.
Age: 1.06
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, HEPA, MMR, PNC, VARCEL
Symptoms: Convulsion, Electroencephalogram, Nuclear magnetic resonance imaging, Pyrexia, Rash
Clinical narrative: Had 1 yr shots on 6-18-09 administered by prior pediatrician on 6-25-09 pt had seizure like activity and fever per history and rash. MRI and EEG performed.
Sex: F
Vaccine: HPV4, HPV4, MNQ
Symptoms: Complex regional pain syndrome
Clinical narrative: Initial report was received 12 October 2009 from another manufacturer, report number WAES 0909USA04030. The initial reporter to this manufacturer had been a health care professional. This manufacturer also received follow-up information from a registered nurse, and the patient's mother. Verbatim from the report: "Information has been received from a physician concerning a 16 or 17 year old female who was vaccinated with a dose of GARDASIL. Subsequently the patient experienced reflex sympathic dystrophy within 1 day of administration of the vaccine. The patient was hospitalized for 1 month. The name of the hospital, dates of hospitalization, or patient specific information was not available. At the reporting time the patient had not recovered. Follow up information was received from the patient's mother and a registered nurse, the patient's mother reported the patient's date of birth and stated that the patient had no known drug allergies and had no significant medical history prior to the GARDASIL injection and was on no concomitant medications at the time of vaccination. The mother also stated that her daughter started to experience symptoms on 01-OCT-2007 and on 11-OCT-2007 she was diagnosed with reflex sympathic dystrophy and was hospitalized for 10 days as an inpatient. Upon her discharge the patient was treated with outpatient therapy (PT) from 8 am to 5 pm daily for left lower extremity weakness and pain associated with the reflex sympathic dystrophy. The patient's symptoms had not fully resolved, as the mother reported that she has "manageable flare-ups" which require PT and/or time at the gym, have occurred off and on since her disease onset to as recently as this school year. The registered nurse reported that GARDASIL was given on 10-AUG-2007 (Lot # 658282 / 0929U). The patient also received MENACTRA on the same date. The NP who is also the patient's mother noted that she was unsure of GARDASIL association with her daughter's experiences and will not have her daughter complete the series. Reflex sympathic dystrophy was considered to be disabling. No further information is available." Documents held by sender: None.
Sex: F
Vaccine: HPV4, HPV4, MNQ
Symptoms: Complex regional pain syndrome, Muscular weakness, Pain
Clinical narrative: Initial report was received 12 October 2009 from another manufacturer, report number WAES 0909USA04030. The initial reporter to this manufacturer had been a health care professional. This manufacturer also received follow-up information from a registered nurse, and the patient's mother. Verbatim from the report: "Information has been received from a physician concerning a 16 or 17 year old female who was vaccinated with a dose of GARDASIL. Subsequently the patient experienced reflex sympathic dystrophy within 1 day of administration of the vaccine. The patient was hospitalized for 1 month. The name of the hospital, dates of hospitalization, or patient specific information was not available. At the reporting time the patient had not recovered. Follow up information was received from the patient's mother and a registered nurse, the patient's mother reported the patient's date of birth and stated that the patient had no known drug allergies and had no significant medical history prior to the GARDASIL injection and was on no concomitant medications at the time of vaccination. The mother also stated that her daughter started to experience symptoms on 01-OCT-2007 and on 11-OCT-2007 she was diagnosed with reflex sympathic dystrophy and was hospitalized for 10 days as an inpatient. Upon her discharge the patient was treated with outpatient therapy (PT) from 8 am to 5 pm daily for left lower extremity weakness and pain associated with the reflex sympathic dystrophy. The patient's symptoms had not fully resolved, as the mother reported that she has "manageable flare-ups" which require PT and/or time at the gym, have occurred off and on since her disease onset to as recently as this school year. The registered nurse reported that GARDASIL was given on 10-AUG-2007 (Lot # 658282 / 0929U). The patient also received MENACTRA on the same date. The NP who is also the patient's mother noted that she was unsure of GARDASIL association with her daughter's experiences and will not have her daughter complete the series. Reflex sympathic dystrophy was considered to be disabling. No further information is available." Documents held by sender: None.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Aphasia, Blood glucose abnormal, Breath odour, Carpal tunnel syndrome, Diarrhoea
Clinical narrative: Fever, hot face-still present, carpal tunnel pain in Rt wrist, diarrhea 2 x D, pain in injection arm Rt., inflamed spleen-lg intestines, nerve damage missing speech. Rite Aid stated to me when given flu vaccine it was mult. flu and contained mercury. Rite Aid gave lot # for a single flu strain not the lot # for my injection. Stated does not contain thimerosol in injection.  Follow-up Information: Fever - chills, muscle pain in joints and iM's site. Pain like carpal tunnel syndrome. Inflamed spleen and L small intestines. Diarreah 2 x 3 x day. Nerve damage, impared speach - some can't connect words now. Follow-up Information: 11/03/09. Still feeling hot in the face. Hotness increases with activity. Still having flu like symptoms with nausea. The nerve and speech issues that he was having has cleared.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Electrolyte imbalance, Feeling hot, Gastrointestinal disorder, Glucose urine, Inflammation
Clinical narrative: Fever, hot face-still present, carpal tunnel pain in Rt wrist, diarrhea 2 x D, pain in injection arm Rt., inflamed spleen-lg intestines, nerve damage missing speech. Rite Aid stated to me when given flu vaccine it was mult. flu and contained mercury. Rite Aid gave lot # for a single flu strain not the lot # for my injection. Stated does not contain thimerosol in injection.  Follow-up Information: Fever - chills, muscle pain in joints and iM's site. Pain like carpal tunnel syndrome. Inflamed spleen and L small intestines. Diarreah 2 x 3 x day. Nerve damage, impared speach - some can't connect words now. Follow-up Information: 11/03/09. Still feeling hot in the face. Hotness increases with activity. Still having flu like symptoms with nausea. The nerve and speech issues that he was having has cleared.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site pain, Metal poisoning, Motor dysfunction, Pyrexia, Speech disorder
Clinical narrative: Fever, hot face-still present, carpal tunnel pain in Rt wrist, diarrhea 2 x D, pain in injection arm Rt., inflamed spleen-lg intestines, nerve damage missing speech. Rite Aid stated to me when given flu vaccine it was mult. flu and contained mercury. Rite Aid gave lot # for a single flu strain not the lot # for my injection. Stated does not contain thimerosol in injection.  Follow-up Information: Fever - chills, muscle pain in joints and iM's site. Pain like carpal tunnel syndrome. Inflamed spleen and L small intestines. Diarreah 2 x 3 x day. Nerve damage, impared speach - some can't connect words now. Follow-up Information: 11/03/09. Still feeling hot in the face. Hotness increases with activity. Still having flu like symptoms with nausea. The nerve and speech issues that he was having has cleared.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Spleen disorder
Clinical narrative: Fever, hot face-still present, carpal tunnel pain in Rt wrist, diarrhea 2 x D, pain in injection arm Rt., inflamed spleen-lg intestines, nerve damage missing speech. Rite Aid stated to me when given flu vaccine it was mult. flu and contained mercury. Rite Aid gave lot # for a single flu strain not the lot # for my injection. Stated does not contain thimerosol in injection.  Follow-up Information: Fever - chills, muscle pain in joints and iM's site. Pain like carpal tunnel syndrome. Inflamed spleen and L small intestines. Diarreah 2 x 3 x day. Nerve damage, impared speach - some can't connect words now. Follow-up Information: 11/03/09. Still feeling hot in the face. Hotness increases with activity. Still having flu like symptoms with nausea. The nerve and speech issues that he was having has cleared.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Aphasia, Blood glucose increased, Body temperature decreased, Carpal tunnel syndrome, Chills
Clinical narrative: Fever, hot face-still present, carpal tunnel pain in Rt wrist, diarrhea 2 x D, pain in injection arm Rt., inflamed spleen-lg intestines, nerve damage missing speech. Rite Aid stated to me when given flu vaccine it was mult. flu and contained mercury. Rite Aid gave lot # for a single flu strain not the lot # for my injection. Stated does not contain thimerosol in injection.  Follow-up Information: Fever - chills, muscle pain in joints and iM's site. Pain like carpal tunnel syndrome. Inflamed spleen and L small intestines. Diarreah 2 x 3 x day. Nerve damage, impared speach - some can't connect words now. Follow-up Information: 11/03/09. Still feeling hot in the face. Hotness increases with activity. Still having flu like symptoms with nausea. The nerve and speech issues that he was having has cleared.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Diarrhoea, Myalgia, Nerve injury, Pain in extremity, Pyrexia
Clinical narrative: Fever, hot face-still present, carpal tunnel pain in Rt wrist, diarrhea 2 x D, pain in injection arm Rt., inflamed spleen-lg intestines, nerve damage missing speech. Rite Aid stated to me when given flu vaccine it was mult. flu and contained mercury. Rite Aid gave lot # for a single flu strain not the lot # for my injection. Stated does not contain thimerosol in injection.  Follow-up Information: Fever - chills, muscle pain in joints and iM's site. Pain like carpal tunnel syndrome. Inflamed spleen and L small intestines. Diarreah 2 x 3 x day. Nerve damage, impared speach - some can't connect words now. Follow-up Information: 11/03/09. Still feeling hot in the face. Hotness increases with activity. Still having flu like symptoms with nausea. The nerve and speech issues that he was having has cleared.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Skin warm, Splenomegaly
Clinical narrative: Fever, hot face-still present, carpal tunnel pain in Rt wrist, diarrhea 2 x D, pain in injection arm Rt., inflamed spleen-lg intestines, nerve damage missing speech. Rite Aid stated to me when given flu vaccine it was mult. flu and contained mercury. Rite Aid gave lot # for a single flu strain not the lot # for my injection. Stated does not contain thimerosol in injection.  Follow-up Information: Fever - chills, muscle pain in joints and iM's site. Pain like carpal tunnel syndrome. Inflamed spleen and L small intestines. Diarreah 2 x 3 x day. Nerve damage, impared speach - some can't connect words now. Follow-up Information: 11/03/09. Still feeling hot in the face. Hotness increases with activity. Still having flu like symptoms with nausea. The nerve and speech issues that he was having has cleared.
Age: 51.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Body temperature increased, Bone pain, Chills, Headache
Clinical narrative: C/O bones aching, next day pain, progressing to worse, severe headache, shivering. Had bones aching and temp. 10/07/09. Bones aching this AM.
Age: 51.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood test, Body temperature increased, Bone pain, Chills, Computerised tomogram
Clinical narrative: C/O bones aching, next day pain, progressing to worse, severe headache, shivering. Had bones aching and temp. 10/07/09. Bones aching this AM.
Age: 51.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Headache, Influenza serology
Clinical narrative: C/O bones aching, next day pain, progressing to worse, severe headache, shivering. Had bones aching and temp. 10/07/09. Bones aching this AM.
Age: 60.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pain, Pruritus, Rash
Clinical narrative: Pt reported rash all over body. He noticed it the night after receiving vaccine and awoke with rash all over. After not improving came to pharmacy for advice. Advised to take diphenhydramine 510 mg of 4-6 hours.
Age: 60.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: No reaction on previous exposure to drug, Rash generalised
Clinical narrative: Pt reported rash all over body. He noticed it the night after receiving vaccine and awoke with rash all over. After not improving came to pharmacy for advice. Advised to take diphenhydramine 510 mg of 4-6 hours.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Croup infectious, Stridor
Clinical narrative: CROUP SOUNDING COUGH-WITHIN 3-5 MINUTES..HE COULD NOT BREATHE, OR EVEN TRIED CRYING-HE WAS NOT ABLE TO GET AIR IN HIS LUNGS..TURNED ON SHOWER FOR STEAM, BUT TOO LATE FOR ANY RELIEF..STARTED TURNING BLUE/GRAY. ALSO VOMITED GETTING INTO THE AMBULANCE...CALLED 911..HAD BEEN TAKEN BY AMBULANCE TO CLOSEST EMERGENCY FACILITY..IN ROUTE A MEDIC DID ADMINISTER A NEBULIZER TREATMENT-STARTED TO COME AROUND..DID HAVE 2 MORE TREATMENTS WHILE WE REMAINED AT THE CLINIC-ALSO DR. DID HAVE X-RAYS DONE TO CHECK FOR ANY OBSTRUCTION-NOTHING BUT SIGNS OF CROUP..WAITING FOR DR.S DECISION TO ADMIT HIM IN THE HOSPITAL OR DECIDE IF STABLE ENOUGH TO GO HOME...FINALLY WE WERE RELEASED TO GO HOME @ 6:00 AM FRIDAY MORNING TO FOLLOW-UP WITH OUR PEDIATRICIAN..PEDIATRICIAN DID PRESCRIBE A STERIOD MEDICATION FOR 3 DAYS FOLLOWING..PATIENT STILL HAS A COUGH (NOT CROUP SOUNDING) AT THIS POINT IN TIME. 10/23/2009 records from PCP and ED visit date 10/15/2009 received. Patient presented post vaccination with c/o's croupy cough, difficulty breathing, loud stridor, vomiting and tachypnea. Tx'd with O2, racemic Epinephrine neb, and oral Decadron with resolution of sx. Dx: Acute Croup
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Condition aggravated, Cough, Croup infectious, Cyanosis, Dyspnoea
Clinical narrative: CROUP SOUNDING COUGH-WITHIN 3-5 MINUTES..HE COULD NOT BREATHE, OR EVEN TRIED CRYING-HE WAS NOT ABLE TO GET AIR IN HIS LUNGS..TURNED ON SHOWER FOR STEAM, BUT TOO LATE FOR ANY RELIEF..STARTED TURNING BLUE/GRAY. ALSO VOMITED GETTING INTO THE AMBULANCE...CALLED 911..HAD BEEN TAKEN BY AMBULANCE TO CLOSEST EMERGENCY FACILITY..IN ROUTE A MEDIC DID ADMINISTER A NEBULIZER TREATMENT-STARTED TO COME AROUND..DID HAVE 2 MORE TREATMENTS WHILE WE REMAINED AT THE CLINIC-ALSO DR. DID HAVE X-RAYS DONE TO CHECK FOR ANY OBSTRUCTION-NOTHING BUT SIGNS OF CROUP..WAITING FOR DR.S DECISION TO ADMIT HIM IN THE HOSPITAL OR DECIDE IF STABLE ENOUGH TO GO HOME...FINALLY WE WERE RELEASED TO GO HOME @ 6:00 AM FRIDAY MORNING TO FOLLOW-UP WITH OUR PEDIATRICIAN..PEDIATRICIAN DID PRESCRIBE A STERIOD MEDICATION FOR 3 DAYS FOLLOWING..PATIENT STILL HAS A COUGH (NOT CROUP SOUNDING) AT THIS POINT IN TIME. 10/23/2009 records from PCP and ED visit date 10/15/2009 received. Patient presented post vaccination with c/o's croupy cough, difficulty breathing, loud stridor, vomiting and tachypnea. Tx'd with O2, racemic Epinephrine neb, and oral Decadron with resolution of sx. Dx: Acute Croup
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Vomiting, X-ray normal
Clinical narrative: CROUP SOUNDING COUGH-WITHIN 3-5 MINUTES..HE COULD NOT BREATHE, OR EVEN TRIED CRYING-HE WAS NOT ABLE TO GET AIR IN HIS LUNGS..TURNED ON SHOWER FOR STEAM, BUT TOO LATE FOR ANY RELIEF..STARTED TURNING BLUE/GRAY. ALSO VOMITED GETTING INTO THE AMBULANCE...CALLED 911..HAD BEEN TAKEN BY AMBULANCE TO CLOSEST EMERGENCY FACILITY..IN ROUTE A MEDIC DID ADMINISTER A NEBULIZER TREATMENT-STARTED TO COME AROUND..DID HAVE 2 MORE TREATMENTS WHILE WE REMAINED AT THE CLINIC-ALSO DR. DID HAVE X-RAYS DONE TO CHECK FOR ANY OBSTRUCTION-NOTHING BUT SIGNS OF CROUP..WAITING FOR DR.S DECISION TO ADMIT HIM IN THE HOSPITAL OR DECIDE IF STABLE ENOUGH TO GO HOME...FINALLY WE WERE RELEASED TO GO HOME @ 6:00 AM FRIDAY MORNING TO FOLLOW-UP WITH OUR PEDIATRICIAN..PEDIATRICIAN DID PRESCRIBE A STERIOD MEDICATION FOR 3 DAYS FOLLOWING..PATIENT STILL HAS A COUGH (NOT CROUP SOUNDING) AT THIS POINT IN TIME. 10/23/2009 records from PCP and ED visit date 10/15/2009 received. Patient presented post vaccination with c/o's croupy cough, difficulty breathing, loud stridor, vomiting and tachypnea. Tx'd with O2, racemic Epinephrine neb, and oral Decadron with resolution of sx. Dx: Acute Croup
Age: 14.0
Sex: M
Vaccine: FLUX, FLUX(H1N1), FLU(H1N1), FLU3
Symptoms: Erythema, Eye swelling, Hypersensitivity, Rash, Swelling face
Clinical narrative: Awoke 10/18/09 AM with redness & slight swelling to right side of face & right eye.  By same PM right-sided facial edema had increased to scalp area & right eye swollen closed.  Taken to ER & treated with Benadryl.  10/19/09 AM facial edema worsened & seen by local MD, treated with steroids & Benadryl.  Per phone consult 10/20/09 with Dr.:  reaction may not be from H1N1 injection due to time delay from injection until s/s.  Denied any local reaction or any other adverse s/s, NO respiratory distress involved.
Age: 14.0
Sex: M
Vaccine: FLUX, FLUX(H1N1), FLU(H1N1), FLU3
Symptoms: Erythema, Eye swelling, Face oedema, Ocular hyperaemia, Swelling face
Clinical narrative: Awoke 10/18/09 AM with redness & slight swelling to right side of face & right eye.  By same PM right-sided facial edema had increased to scalp area & right eye swollen closed.  Taken to ER & treated with Benadryl.  10/19/09 AM facial edema worsened & seen by local MD, treated with steroids & Benadryl.  Per phone consult 10/20/09 with Dr.:  reaction may not be from H1N1 injection due to time delay from injection until s/s.  Denied any local reaction or any other adverse s/s, NO respiratory distress involved.
Age: 0.92
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Laboratory test abnormal, Pyrexia, Ultrasound scan, Weight bearing difficulty
Clinical narrative: Fever (99-102.5); couldn't bear weight on injected leg; high white blood cell count; high inflammatory marker count 11/5/09 Medical records received for date 10/17/09 to 10/18/09.DX: myalgia. Chief c/o parents states has fever, and refusing to bear weight L. leg after receiving vax.
Age: 0.92
Sex: M
Vaccine: FLU3
Symptoms: White blood cell count increased, X-ray
Clinical narrative: Fever (99-102.5); couldn't bear weight on injected leg; high white blood cell count; high inflammatory marker count 11/5/09 Medical records received for date 10/17/09 to 10/18/09.DX: myalgia. Chief c/o parents states has fever, and refusing to bear weight L. leg after receiving vax.