chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Syncope, Tachycardia, Thyroid function test, Thyroxine increased
Clinical narrative: Fever, nausea, vomiting for nearly 2.5 weeks. Tachycardia began, 06/30/08. She also has episodes of syncope with no warning since 01/22/09, multiple episodes a day 2-3 days a week. Has generalized malaise as well, recurrent bladder infections.  11/03/09 Vacccine records received.  11/09/09 ICD9 Codes and medical records received for DOS 1/24/08 and 1/28/08. FInal DX: Gastroenteritis , dehydrartion.   Patient presented for IV fluids per NP orders. Vomiting. WBC WNL  D/C to home with parents.  Supportive care.   ICD9 Codes: 611.72 (lump or mass in breast), 276.51 (dehydration), 558.9 (noninf gastroenteritis NEC).
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Fever, nausea, vomiting for nearly 2.5 weeks. Tachycardia began, 06/30/08. She also has episodes of syncope with no warning since 01/22/09, multiple episodes a day 2-3 days a week. Has generalized malaise as well, recurrent bladder infections.  11/03/09 Vacccine records received.  11/09/09 ICD9 Codes and medical records received for DOS 1/24/08 and 1/28/08. FInal DX: Gastroenteritis , dehydrartion.   Patient presented for IV fluids per NP orders. Vomiting. WBC WNL  D/C to home with parents.  Supportive care.   ICD9 Codes: 611.72 (lump or mass in breast), 276.51 (dehydration), 558.9 (noninf gastroenteritis NEC).
Age: 1.1
Sex: M
Vaccine: FLU3
Symptoms: Adverse reaction, Syncope
Clinical narrative: Faint reaction to flu vaccine. No hives no wheezing.
Age: 32.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Myalgia, Pruritus
Clinical narrative: Patient developed muscle aches and severe itching a week after having H1N1 vaccine. Patient has not seen a doctor. Patient has soaked in a tub of cold water for relief of itching.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: 3-4 days of sore throat, aches, cough fever 102-103 degrees  x 2 days
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site pruritus
Clinical narrative: Received injection of ZOSTAVAX on 10/26/2006 after 12 hours had reaction at injection site, red and anger with pain. Now after 72 hours have enlarged reddened area with some bruising at the site the area is about 3 1/2 inches by 1 1/2in. Site has begun to itch am looking for a healing as an RN this is the first time I have ever had an injection reaction.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site reaction
Clinical narrative: 5x6cm area left dorso lat mid thigh
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Atelectasis, Lobar pneumonia, Pneumonia, Pyrexia
Clinical narrative: Patient admitted to hospital on 10/31/09 for right upper lobe pneumonia/atelectasis. She had fever on 10/24/09 to 101F and fever to 105F on 10/25/09 for which she was seen at ER where nasal swab was perfomed and she was given tamiflu. She followed up with her primary physician who felt she had a pneumonia and gave her 3 days of rocephin followed by augmentin. However, she did not improve with continued fevers so she was admitted for futher evaluation and management. She never required oxgyen. She did have right upper lobe atelectasis and clinically a pneumonia. She was discharged on 11/2/09 to complete 10 day course of antibiotics. She will complete a 5 day course of tamiflu.  11/02. FInal DX: Pneumonia, Goldenhaur Syndrome Pateint developed fever one day post vaccine. fever increased to 105.ONe dose Tamiflu.   IM abx given at PMD office x3. Persistent fever, chills, night sweats. Breath sounds decreased R side. Dyspnea.  Flu test neg.  11/16/2009 MR and DC summary for 10/31-11/02/2009.Dx Pneumonia patient with c/o's fever, CXR abnormal. Tx: IV ABX
Age: 51.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Blood test normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal, Fatigue
Clinical narrative: Extremely tired, weak extremities, dizziness.
Age: 51.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Muscular weakness, Urine analysis normal
Clinical narrative: Extremely tired, weak extremities, dizziness.
Age: 51.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Asthenia, Cardiac enzymes normal, Computerised tomogram normal, Dizziness, Fatigue
Clinical narrative: Extremely tired, weak extremities, dizziness.
Age: 51.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Full blood count normal, Gait disturbance, Hypoaesthesia, Laboratory test normal, Oxygen saturation
Clinical narrative: Extremely tired, weak extremities, dizziness.
Age: 51.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Red blood cell sedimentation rate normal, Urine analysis normal
Clinical narrative: Extremely tired, weak extremities, dizziness.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Insomnia, Pain in extremity, Paraesthesia
Clinical narrative: When she recieved the flu shot she felt okay. She had a little twinge but nothing else. Over the next few weeks she developed pain in her arm and had difficulty raising the arm above the shoulder. She has trouble sleeping as the arm is painful especially when rolling over on it. It is like a shock pain that "takes her breath away". The pain is improving and arm movement as well but not completely better.
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Dysphonia, Dyspnoea
Clinical narrative: Client received Td injection at the ER for an injury at approx 1:00 p.m.  He left the ER and was admitted to Medical Center at approx 1:55 having difficulty in breathing and hoarseness.  3cc epi, 50 of Benadryl and 125 mg of Solumedrol administered and client recovered and was dismiss at approx 3:30 p.m.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Neck pain
Clinical narrative: Patient complains of pain throughout her shoulder and neck area.  She did report that she never experienced redness, swelling, or heat at the injection site.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Abasia, Blood product transfusion, Fall, Guillain-Barre syndrome, Muscular weakness
Clinical narrative: Patient developed bilateral lower extremity weakness.  Fell and then unable to ambulate. Seen by neurologist who suspected Guillain-Barre. Weakness worsened and developed paresthesia in both feet over following week. Admitted 10/31 and began IVIG treatment 11/1/09.  11/3/09 Hospital records and discharge summary received service dates 10/1/09 to 10/14/09. Assessment: Bilateral lower extremity weakness, probably Guillain-Barre syndrome. Patient presents with a a sudden onset of bilateral lower extremity weakness after a fall. Vague lumbar pain and bilateral leg paresthesias. Gait apraxia. Constipation. Paresthesias both hands.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Paraesthesia
Clinical narrative: Patient developed bilateral lower extremity weakness.  Fell and then unable to ambulate. Seen by neurologist who suspected Guillain-Barre. Weakness worsened and developed paresthesia in both feet over following week. Admitted 10/31 and began IVIG treatment 11/1/09.  11/3/09 Hospital records and discharge summary received service dates 10/1/09 to 10/14/09. Assessment: Bilateral lower extremity weakness, probably Guillain-Barre syndrome. Patient presents with a a sudden onset of bilateral lower extremity weakness after a fall. Vague lumbar pain and bilateral leg paresthesias. Gait apraxia. Constipation. Paresthesias both hands.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Dizziness, Dyspnoea, Gait disturbance, Headache
Clinical narrative: Heart palpitations - s.o.b approx 9-24-09 - saw cardiologist - medication headache dizziness - confusion - unsteady gait.  To start physical therapy 10-27-09 for weakness right side 11/10/09 DC summary and medical records received for 10/24/09. DX: gait disturbance, mild deficits in short term memory, HA. Pt admitted from ER w/ c/o lightheadedness, gait disturbance, cognitive deficits. Pt. declined most care options including rehab and additional diagnostics. Assessment: lightheadedness (+), unsteady gait, memory impairment.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Hemiparesis, Palpitations
Clinical narrative: Heart palpitations - s.o.b approx 9-24-09 - saw cardiologist - medication headache dizziness - confusion - unsteady gait.  To start physical therapy 10-27-09 for weakness right side 11/10/09 DC summary and medical records received for 10/24/09. DX: gait disturbance, mild deficits in short term memory, HA. Pt admitted from ER w/ c/o lightheadedness, gait disturbance, cognitive deficits. Pt. declined most care options including rehab and additional diagnostics. Assessment: lightheadedness (+), unsteady gait, memory impairment.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Burning sensation, Immunisation reaction, Laboratory test normal, Paraesthesia
Clinical narrative: Pt complained of burning and tingling sensations throughout legs, arms, face.  Also complained of weakness upon standing.  Went to local physician the next day.  Labs were done which were all negative. Physician states it is a reaction to the H1N1 vaccine. No treatment. Pt referred to a neurologist.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Rash
Clinical narrative: at 3:40 PM mom noticed rash on the face, checked further no other rash areas.  Rash under eyes, nose and temple.  Treatment with benadryl and cold wash cloths relieves symptoms.
Age: 0.5
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Incorrect dose administered
Clinical narrative: .05ml given to 6 month infant instructed mother and grandmother of the vaccine error. Clent sat in facility for 20min to ensure no complications. Incident occured at 11:30am on 11/02/2009
Age: 46.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Injection site erythema, Injection site papule, Injection site pruritus
Clinical narrative: 4"x5" Scattered papular eruption, left deltoid (near injection site).  Erythematous. Puritic
Age: 46.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Injection site pruritus, Rash erythematous
Clinical narrative: 4"x5" Scattered papular eruption, left deltoid (near injection site).  Erythematous. Puritic
Age: 46.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: 4"x5" Scattered papular eruption, left deltoid (near injection site).  Erythematous. Puritic
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Flushing, Rash macular
Clinical narrative: Child given vaccine at public clinic.  No history of previous flu shot.  Was sitting in waiting area at the time vaccine was given.  Approx 10 minutes later mother reported child had flushed cheeks.  15-20 minutes later blotchy areas observed in back and shoulders.  Sent to ER where Dr. gave benadryl.  Child recovered.
Age: 1.92
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Balance disorder, Coordination abnormal, Dysstasia, Epilepsy, Fall
Clinical narrative: began falling frequently-balance/coordination appeared off and would topple over while walking. Additionally,legs appeared to "buckle" @ knees at times while walking resulting in falling. did not appear to be in pain, did not appear disoriented, was alert, and was not irritable. Is diagnosed w/ epilepsy, however has been seizure free for over 1 1/2 years and no signs/symptoms of seizure activity appeared present during this time period. The symptoms lasted from Saturday afternoon until about 5 PM the next day on Sunday-woke up from a nap Sunday evening,got up and appeared perfectly fine-no longer appeared to be having problems w/ balance/coordination, knees weren't "buckeling" and wasn't falling.
Age: 1.92
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Joint lock
Clinical narrative: began falling frequently-balance/coordination appeared off and would topple over while walking. Additionally,legs appeared to "buckle" @ knees at times while walking resulting in falling. did not appear to be in pain, did not appear disoriented, was alert, and was not irritable. Is diagnosed w/ epilepsy, however has been seizure free for over 1 1/2 years and no signs/symptoms of seizure activity appeared present during this time period. The symptoms lasted from Saturday afternoon until about 5 PM the next day on Sunday-woke up from a nap Sunday evening,got up and appeared perfectly fine-no longer appeared to be having problems w/ balance/coordination, knees weren't "buckeling" and wasn't falling.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: Student reported to School Nurses office C/O dizziness for the previous  1 Hr. C/o headache at 11:50 AM. Dizziness ceased at 12 noon. Stepfather states patient has history of migraines. Patient transported to local ER by stepfather per Dr. instructions.
Age: 44.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Decreased appetite, Diarrhoea, Fatigue, Influenza
Clinical narrative: I am an internal medicine physician. I experienced a classic syndrome for acute influenza. I had sudden severe cough and fever to 102.5F. Fever spikes occurred repeatedly over next 60 hours. Diarrhea, nausea, anorexia, prostration, severe myalgias. Started Relenza 24 hours after symptom onset, and I think it did help. Was able to return to work today 11-2-09 with some residual cough and diarrhea.
Age: 44.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: I am an internal medicine physician. I experienced a classic syndrome for acute influenza. I had sudden severe cough and fever to 102.5F. Fever spikes occurred repeatedly over next 60 hours. Diarrhea, nausea, anorexia, prostration, severe myalgias. Started Relenza 24 hours after symptom onset, and I think it did help. Was able to return to work today 11-2-09 with some residual cough and diarrhea.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Cough, Dyspnoea, Headache, Pain
Clinical narrative: Tingling arm, headache. difficulty breathing, chest felt like it has a 20 pound weight on it, needle like pain when breathing out, coughing
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Tingling arm, headache. difficulty breathing, chest felt like it has a 20 pound weight on it, needle like pain when breathing out, coughing
Age: 35.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Intra-uterine death
Clinical narrative: Discovered Intra-uterine Fetal Demise.  Probably occurred 1 week prior. 11/05/09 Medical records received for DOS 9/22/09-10/20/09. OB/GYN notes.  Patient noted reduced fetal activity. No FHT found on exam in office.  Fetal demise at 14 wks 4 days. Uterine fundal height 13 wks. LMP 08/07/09. G3, P2, Proceeded with D&C.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Glossodynia, Rash, Swollen tongue, Tongue discolouration
Clinical narrative: TONGUE TURNED WHITE ANE SWELLED UP.  RED RASH AND HIVES ON FACE CHEST, ARMS & STINGING ON MY TONGUE.  WITHIN 1 HOUR OF INJECTION HAD SYMTOMS AND TOOK BENADRYL  WHEN THAT WORE OFF WAS MUCH WORSE AND REQUIRED GOING TO EMERGENCY DOCTOR CENTER
Age: 30.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: A FEW MIN. AFTER  I TOOK THE SHOT, MY BODY STARTED ITCHING..THE SECOND DAY I WOKE UP WITH ALOT OF SMALL RED ITCHY BUMPS ALL OVER MY BODY, IM THINKING THEIR HIVES
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site pruritus, Pain in extremity
Clinical narrative: PATIENT REPORTS NO REACTIONS TO INJECTION UNTIL 24 HOURS PST VACCINATION. LEFT ARM BECAME ITCHY AND PAINFUL WITH LARGE REDNESS NOTED AT SITE AND EXTENDING BEYOND. AREA REDNESS HAS DECREASED SINCE 11/12/2008. USED TYLENOL AND CORTISONE OINTMENT WITH RELIEF NOTED.  HAS APPT WITH PRIMARY MD ON 11/21.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: PATIENT REPORTS NO REACTIONS TO INJECTION UNTIL 24 HOURS PST VACCINATION. LEFT ARM BECAME ITCHY AND PAINFUL WITH LARGE REDNESS NOTED AT SITE AND EXTENDING BEYOND. AREA REDNESS HAS DECREASED SINCE 11/12/2008. USED TYLENOL AND CORTISONE OINTMENT WITH RELIEF NOTED.  HAS APPT WITH PRIMARY MD ON 11/21.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Patient reports syncopal episode - resolved without any further treatmetn
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Diarrhoea, Mucous stools, Occult blood positive, Ultrasound abdomen
Clinical narrative: Patient initially developed diarrhea on 10/24.  On 10/25 he developed vomiting. On 10/26 he continued to vomit and had excesssive crying and mucous in his stools. He was seen in my office on 10/27 and was found to have guaic postive stools. He was admitted to the hospital for observation with concerns that he had experienced an intussuception.  He did well and was discharged the next day. 11/12/09 DC summary and Medical records received for dates 10/27/09 to 10/28/09. DX: gastroenteritis. Presenting sx: received rotavirus vax, following few days developed loose stools, emesis, and irritability. Assessment: BS(+), non distended.
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Urinary system X-ray, Vomiting
Clinical narrative: Patient initially developed diarrhea on 10/24.  On 10/25 he developed vomiting. On 10/26 he continued to vomit and had excesssive crying and mucous in his stools. He was seen in my office on 10/27 and was found to have guaic postive stools. He was admitted to the hospital for observation with concerns that he had experienced an intussuception.  He did well and was discharged the next day. 11/12/09 DC summary and Medical records received for dates 10/27/09 to 10/28/09. DX: gastroenteritis. Presenting sx: received rotavirus vax, following few days developed loose stools, emesis, and irritability. Assessment: BS(+), non distended.
Age: 2.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Respiratory rate increased, Wheezing
Clinical narrative: WHEEZING. BREATHING HEAVY & FAST.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: PATIENT ARRIVED FOR HPV #2, STATED LAST MENSTRUAL PERIOD WAS LAST DAY OF MAY 2009 AND SHE WAS NOT PREGNANT.  COPY OF CONSENT MAILED.  MOTHER INFORM TODAY 7/17/09 AT 11:15 AM PATIENT WAS PREGNANT.  MOTHER REQUEST TO BE PLACE IN THE LIST OF HPV BY MERCK.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: When she received the flu shot it seemed like a normal flu shot. It hurt a couple of days as it usually does. As the days went by, her arm began to hurt more. She had limited arm movement, she had trouble bringing her arm above her head or move it to the back. As of 10/23/09 it was feeling a bit better but not back to normal.
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash generalised, Urticaria
Clinical narrative: Hives. Rash covering entire body. Itchy.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Eye pain, Headache
Clinical narrative: Severe headache mostly on right side of head and right eye
Age: 59.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Bronchitis, Fatigue, Hypersomnia, Malaise
Clinical narrative: Very weak and tired the next day after the shot.  Went home sick and slept the entire day.  Three days after the shot came down with heavy bronchitis.  Patient stated he was also aware of two other people with similiar symptoms but not nearly as bad as his.
Age: 2.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Agitation, Body temperature increased, Dyspnoea, Influenza serology, Livedo reticularis
Clinical narrative: trouble breathing, elevated body temperature, skin mottling, agatation, congestion
Age: 2.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Physical examination, Respiratory tract congestion, X-ray
Clinical narrative: trouble breathing, elevated body temperature, skin mottling, agatation, congestion
Age: 41.0
Sex: M
Vaccine: FLUX
Symptoms: Palpitations
Clinical narrative: heart palpatations for 8 days
Age: 1.03
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Cough, Decreased appetite, Rhinorrhoea
Clinical narrative: 6/26/09 AT 0930AM DAD CALLED REPORTED CHILD RECEIVED IMM ON 6/23/09.  PATIENT HAD COUGH, RUNNY NOSE AND LOSS OF APPETITE THAT STARTED ON 6/24/09.  NURSE INSTRUCTED TO TAKE BABY TO HOSPITAL FOR MD EVALUATION.  DR WHO IS COVERING FOR ORIGINAL DR NOTIFIED.
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Alanine aminotransferase increased, Blood calcium decreased, Chest X-ray normal, Computerised tomogram normal, Convulsion
Clinical narrative: During the 15 minute waiting period, patient stiffened up and lost conciousness. He bit his tongue, sat to the floor and shook for approximately 4 minutes according to his wife. His spouse called for help because her husband was not feeling good. Patient was found lying on the floor, vital signs assessed all within normal ranges, rescue (911) was called to the scene then patient was taken to Emergency Department. Patient was awake, alert and oriented to self, place and time upon awakening.  11/13/2009 Hospital records received for dates of service 10/29/2009 -10/31/2009. Discharge Diagnosis: Seizure versus possible reaction to H1N1 vaccine    Patient received H1N1 vaccination and shortly thereafter the wife reported that the patient stiffened up while sitting in a chair and lost consciousness. He bit his tongue and shook for approximately four minutes. The patient reported that he could hear other people and knew where he was. The patient had no prior history of seizure. On admission, the patient was alert and orientated times 3 with no focal neuro defects, normal cognitive function and normal gait. Neurology consultation recommended that no indication for an antiepileptic drug even if we think that this does represent a new-onset seizure and he is okay for discharge home with follow-up with primary care physician./REM
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Electroencephalogram normal, Feeling abnormal, Haematocrit decreased, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: During the 15 minute waiting period, patient stiffened up and lost conciousness. He bit his tongue, sat to the floor and shook for approximately 4 minutes according to his wife. His spouse called for help because her husband was not feeling good. Patient was found lying on the floor, vital signs assessed all within normal ranges, rescue (911) was called to the scene then patient was taken to Emergency Department. Patient was awake, alert and oriented to self, place and time upon awakening.  11/13/2009 Hospital records received for dates of service 10/29/2009 -10/31/2009. Discharge Diagnosis: Seizure versus possible reaction to H1N1 vaccine    Patient received H1N1 vaccination and shortly thereafter the wife reported that the patient stiffened up while sitting in a chair and lost consciousness. He bit his tongue and shook for approximately four minutes. The patient reported that he could hear other people and knew where he was. The patient had no prior history of seizure. On admission, the patient was alert and orientated times 3 with no focal neuro defects, normal cognitive function and normal gait. Neurology consultation recommended that no indication for an antiepileptic drug even if we think that this does represent a new-onset seizure and he is okay for discharge home with follow-up with primary care physician./REM
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Neurological examination, Nuclear magnetic resonance imaging normal, Syncope, Tongue biting, Toxicologic test normal
Clinical narrative: During the 15 minute waiting period, patient stiffened up and lost conciousness. He bit his tongue, sat to the floor and shook for approximately 4 minutes according to his wife. His spouse called for help because her husband was not feeling good. Patient was found lying on the floor, vital signs assessed all within normal ranges, rescue (911) was called to the scene then patient was taken to Emergency Department. Patient was awake, alert and oriented to self, place and time upon awakening.  11/13/2009 Hospital records received for dates of service 10/29/2009 -10/31/2009. Discharge Diagnosis: Seizure versus possible reaction to H1N1 vaccine    Patient received H1N1 vaccination and shortly thereafter the wife reported that the patient stiffened up while sitting in a chair and lost consciousness. He bit his tongue and shook for approximately four minutes. The patient reported that he could hear other people and knew where he was. The patient had no prior history of seizure. On admission, the patient was alert and orientated times 3 with no focal neuro defects, normal cognitive function and normal gait. Neurology consultation recommended that no indication for an antiepileptic drug even if we think that this does represent a new-onset seizure and he is okay for discharge home with follow-up with primary care physician./REM
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Tremor, Urine analysis abnormal, Vaccination complication
Clinical narrative: During the 15 minute waiting period, patient stiffened up and lost conciousness. He bit his tongue, sat to the floor and shook for approximately 4 minutes according to his wife. His spouse called for help because her husband was not feeling good. Patient was found lying on the floor, vital signs assessed all within normal ranges, rescue (911) was called to the scene then patient was taken to Emergency Department. Patient was awake, alert and oriented to self, place and time upon awakening.  11/13/2009 Hospital records received for dates of service 10/29/2009 -10/31/2009. Discharge Diagnosis: Seizure versus possible reaction to H1N1 vaccine    Patient received H1N1 vaccination and shortly thereafter the wife reported that the patient stiffened up while sitting in a chair and lost consciousness. He bit his tongue and shook for approximately four minutes. The patient reported that he could hear other people and knew where he was. The patient had no prior history of seizure. On admission, the patient was alert and orientated times 3 with no focal neuro defects, normal cognitive function and normal gait. Neurology consultation recommended that no indication for an antiepileptic drug even if we think that this does represent a new-onset seizure and he is okay for discharge home with follow-up with primary care physician./REM
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Muscular weakness, Radiculitis brachial
Clinical narrative: Left upper arm weakness experienced while exercising. Patient could not lift left arm above head. Diagnosed with Acute Brachial Neuritis by primary care physician.  12/02/09 Office visit for DOS 09/28/09. DX: Muscle weakness, brachia neuritis or radiculitis. Pt c/o muscle weakness in upper limbs.  Review of systems: negative.  tx: bystolic. Pt scheduled for follow up visit in 1 mo.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Injection site erythema, Pruritus, Skin warm
Clinical narrative: About 10 minutes after leaving H. D. pt. began to itch.  Later that evening she felt sick to her stomach.   The following day (Tuesday) the sick stomach continued and on Wed. she developed redness around the inj. site and fever in the arm.  Thur. still had redness in arm but not hot.Pt. took Tylenol, rested and applied Benadryl cream to arm.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Pain in extremity, Tendon disorder, X-ray normal
Clinical narrative: When she recieved the flu shot she did did not have any pain. That night she said her arm was achy but not out of the ordinary. Over the next 2 weeks she had increasing pain so went to see an orthopedic physician. He felt she may have damage to the tendon. An x-ray was done but they could not see anything. She worried there was something wrong with the needle as it retracted into the syringe as it was suppose to do. She has been in pain and has difficulty doing tasks such as dressing herself. The physician ordered physical therapy. She has been been through 4-5 sessions. The therapist stated that he/she could isolate which tendon was affected due to her limitations. The therapy does not seem to be helping. She is still in pain. The physician may be giving her a cortisone shot at the next office visit.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Fall, Herpes zoster, Hip surgery, Injected limb mobility decreased
Clinical narrative: CLIENT CALLED AND LEFT A MESSAGE ON 2/5/09 REPORTING A SIDE EFFECT OF SHINGLES SHOT SHE HAD RECEIVED IN OCTOBER.  WE WERE OUT OF THE OFFICE BOTH 2/5 AND 2/6.  I CALLED CLIENT BACK OTDAY AROUND 12:30 (2/9) SHE CLAIMES THAT SHE HAS HAD PROBLEMS WITH HER RIGHT ARM EVER SINCE INJECTION IN OCTOBER.  CLAIMES THAT HER ARM WAS SORE AT THE INJECTION SITE FOR A COUPLE OF DAYS BUT CLAIMS THEN PAIN RADIATED TO HER ROTATOR CUFF AND DOWN HER ARM.  DENIES HAVING IT EVALUATED BY A DR. SINCE INJECTION TILL PRESENT.  CLAIMES SHE DOES NOT LIKE DRS. STATE INJECTION WAS GIVEN IN RIGHT ARM BUT OUR RECORDS INDICATE IT WAS LEFT ARM.  CLIENT DECLARES IT WAS HER RT ARM WHERE THE INJECTION WAS ADMIN.  CLAIMS THAT SHE HAS LOST ALMOST ALL FUNCTION OF HER RT ARM.  CAN'T SLEEP ON IT AND HAS A HARD TIME PLAYING THE PIANO.  STATED SHE WAITED SO LONG TO CALL BECAUSE SHE THOUGHT IT WOULD GET BETTER.  I EXPLAINED THAT THE INJECTION WAS ADMINISTERED SQ AND THAT SQ INJECTIONS IT IS REALLY UNLIKELY TO HIT A NERVE.  NOT WITH IM INJECTIONS IF NOT ADMIN RIGHT, THE POTENTIAL TO HIT A NERVE WAS THERE.  I ENCOURAGED HER SEVERAL TIMES THAT SHE NEEDED TO BE EVALUATED BY A DR.  SHE WENT ON TO TELL ME THAT SHE DOESN'T CARE FOR DOCTORS AND THAT OVER THE PAST YEAR SHE HAS FALLEN SEVERAL TIMES. ONE FALL RESULTED IN LEFT HIP SURGERY AND THAT WHILE IN THE HOSPITAL, SOMEBODY DID/CAUSED HER MORE INJURY THAT SHOULD HAVE BEEN PREVENTED.  THAT'S ONE REASON WHY SHE DOES NOT LIKE DRS.  I ENCOURAGED HER AGAIN TO SEE HER DR TO BE EVALUATED BUT CLIENT SEEMED REAL RELUCTANT.  I EXPLAINED THAT THERE WAS REALLY NOTHING I COULD DO BUT THAT I WOULD DOCUMNET IT ON HER RECORD.  CLIENT SEEMED UPSET THAT I COULD NOT DO ANYTHING FOR HER.  I DID TELL HER THAT I WAS NOT AWARE OF ANY SIDE EFFECTS AS A RESULT OF THE SHINGLES SHOT SIMILAR TO HERS.  I DID TELL HER TO CALL BACK IF SYMPTOMS PERSIST BUT THAT SHE REALLY DID NEED TO SEE HER DR.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: CLIENT CALLED AND LEFT A MESSAGE ON 2/5/09 REPORTING A SIDE EFFECT OF SHINGLES SHOT SHE HAD RECEIVED IN OCTOBER.  WE WERE OUT OF THE OFFICE BOTH 2/5 AND 2/6.  I CALLED CLIENT BACK OTDAY AROUND 12:30 (2/9) SHE CLAIMES THAT SHE HAS HAD PROBLEMS WITH HER RIGHT ARM EVER SINCE INJECTION IN OCTOBER.  CLAIMES THAT HER ARM WAS SORE AT THE INJECTION SITE FOR A COUPLE OF DAYS BUT CLAIMS THEN PAIN RADIATED TO HER ROTATOR CUFF AND DOWN HER ARM.  DENIES HAVING IT EVALUATED BY A DR. SINCE INJECTION TILL PRESENT.  CLAIMES SHE DOES NOT LIKE DRS. STATE INJECTION WAS GIVEN IN RIGHT ARM BUT OUR RECORDS INDICATE IT WAS LEFT ARM.  CLIENT DECLARES IT WAS HER RT ARM WHERE THE INJECTION WAS ADMIN.  CLAIMS THAT SHE HAS LOST ALMOST ALL FUNCTION OF HER RT ARM.  CAN'T SLEEP ON IT AND HAS A HARD TIME PLAYING THE PIANO.  STATED SHE WAITED SO LONG TO CALL BECAUSE SHE THOUGHT IT WOULD GET BETTER.  I EXPLAINED THAT THE INJECTION WAS ADMINISTERED SQ AND THAT SQ INJECTIONS IT IS REALLY UNLIKELY TO HIT A NERVE.  NOT WITH IM INJECTIONS IF NOT ADMIN RIGHT, THE POTENTIAL TO HIT A NERVE WAS THERE.  I ENCOURAGED HER SEVERAL TIMES THAT SHE NEEDED TO BE EVALUATED BY A DR.  SHE WENT ON TO TELL ME THAT SHE DOESN'T CARE FOR DOCTORS AND THAT OVER THE PAST YEAR SHE HAS FALLEN SEVERAL TIMES. ONE FALL RESULTED IN LEFT HIP SURGERY AND THAT WHILE IN THE HOSPITAL, SOMEBODY DID/CAUSED HER MORE INJURY THAT SHOULD HAVE BEEN PREVENTED.  THAT'S ONE REASON WHY SHE DOES NOT LIKE DRS.  I ENCOURAGED HER AGAIN TO SEE HER DR TO BE EVALUATED BUT CLIENT SEEMED REAL RELUCTANT.  I EXPLAINED THAT THERE WAS REALLY NOTHING I COULD DO BUT THAT I WOULD DOCUMNET IT ON HER RECORD.  CLIENT SEEMED UPSET THAT I COULD NOT DO ANYTHING FOR HER.  I DID TELL HER THAT I WAS NOT AWARE OF ANY SIDE EFFECTS AS A RESULT OF THE SHINGLES SHOT SIMILAR TO HERS.  I DID TELL HER TO CALL BACK IF SYMPTOMS PERSIST BUT THAT SHE REALLY DID NEED TO SEE HER DR.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Dyspnoea, Injection site pain, Pain in extremity
Clinical narrative: Employee called her work unit to say she went shopping after receiving H1N1, employee had finished working night tour, received vaccine at 8:30 am, while driving home at 10:30 experienced chest pain, pain in left arm (received vaccine in left arm) difficulty breathing, called 911 went via ambulance to Hospital called at 2:30 pm to notify of condition will remain for observation for 24 hours as per employee. 11/3/2009 records from ED date 11/2/2009. Patient with c/o's lt sided chest pain that radiated into lt shoulder, arm, neck and jaw, also c/o's SOB and anxiety. Tx: Telemetry, Lopressor, ASA.Nitro paste.Cardiology consult neg. Dc Dx Chest pain, SOB.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy
Clinical narrative: After vaccination, patient reported that she was pregnant.   12/16/09 Medical records received for DOS  10/27/09. Included are OB/GYN notes. Final DX: Acute non-specific HA, medication reaction C/O  HA. 25 weeks gestation. HA 1 hr s/p nasal mist.  OB notes show pregnancy unremarkable thus far.
Age: 22.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Renal pain
Clinical narrative: Severe pain in my sides around kidneys.  Very weak feeling.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Biopsy skin, Pruritus generalised, Rash, Rash papular
Clinical narrative: Started out looking like pimples on my right hip (injection site was left arm).  By noon (3 hours later) there were about 15 spots that looked like mosquito bites.  By 6 PM, the spots had spread up my side and down my entire right arm.  By 9 PM, I had spots on my left side and left arm.  I also had spots on my right eyelid, right ear, scalp, and both knees.  I went to a dermatologist at 10:00 AM the following day (10/26/09) and he had never seen a reaction like that.  The other 3 doctors in the practice were also stumped.  They did a biopsy in case it didn't go away.  The doctor called an infectious disease doctor who said that I could be reacting to an impurity in the vaccine.  I took Benadryl and Claritin, they did not help at all.  I put Benadryl cream on the itchiest spots (right ear, both wrists, right eyelid, and knees) and it helped a little bit.  The rash was completely gone by Thursday (10/29/09).  11/03/09 and 11//4/09 Medical records received for DOS 10/23 and 10/26. OB/GYN office notes.  Rash and pruritus developed 36 hours  s/p vaccine starting on hip and progressing to trunk, extrems and ears. Also ate zucchini for the first time pre-eruption.   11/6/09 Medical records received, Dermatology pathology report: Consistent with hypersensitivity urticarial reaction.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Axillary pain, Immediate post-injection reaction, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: IMMEDIATELY AFTER VACCINE ADMINISTRATION, BEGAN EXPERIENCING PAIN AT INJECTION SITE WHICH INTENSIFIED AS THE DAY PRORGESSED.  BY NIGHT, PAIN WAS TO ARMPIT, HAD WEAKNESS TO ARM AND HAND, WARMTH AT INJECTION SITE AND REDNESS, SWELLING, AND A LUMP; FOUR DAYS LATER HAD TO SCHEDULE AN APPT WITH HER PMD DUE TO EXCRUCIATING PAIN.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site swelling, Injection site warmth, Muscular weakness
Clinical narrative: IMMEDIATELY AFTER VACCINE ADMINISTRATION, BEGAN EXPERIENCING PAIN AT INJECTION SITE WHICH INTENSIFIED AS THE DAY PRORGESSED.  BY NIGHT, PAIN WAS TO ARMPIT, HAD WEAKNESS TO ARM AND HAND, WARMTH AT INJECTION SITE AND REDNESS, SWELLING, AND A LUMP; FOUR DAYS LATER HAD TO SCHEDULE AN APPT WITH HER PMD DUE TO EXCRUCIATING PAIN.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site rash, Rash generalised
Clinical narrative: Widespread rash on trunk and arms. Timing suspicious for rxn to H1N1 vaccine. Little change in rash with Benadryl.  72 hours after onset, still present
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Pain, Pain in extremity, Wrong technique in drug usage process
Clinical narrative: When she recieved the flu shot, she thought nothing of it. After 2 days her arm became very painful. For the last 3 weeks she had lots of pain and had difficulty with range of motion, lifting arm over her head, undressing and sleeping as it would hurt when she rolled over on the arm. She went to a physician who said the shot was not properly placed, thinking the nurse must have hit a nerve. The physician prescribed time, aspirin and tylenol. As of 10/27/09 it was far better.
Age: 22.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site irritation, Injection site pain
Clinical narrative: irritation and soreness at site.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HIBV, MMR, VARCEL
Symptoms: Eye swelling, Pruritus, Rash generalised, Swelling face
Clinical narrative: WHEN MOTHER GOT HOME AROUND 4 PM SHE NOTICED THAT CHILD'S EYES AND NOSE WERE SLIGHTLY SWOLLEN.  THEN CHILD SAID THAT SHE HAD "BUMPS" ON HER STOMACH LIKE SPONGEBOB.  SHE WAS GIVEN TYLENOL AND CALADRYL LOTION WAS APPLIED.  NO FEVER.  CHILD IS PLAYFUL NOW (8/18/09 AT 4:45PM) BUT IS COVERED (TORSO, LIMBS, FACE) WITH A FINE, GRAINY FEELING RASH.  CHILD TOUCHES IT AS IF IT ITCHES SLIGHTLY.  DOES NOT LOOK LIKE HIVES.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Injection site pain, Muscle spasms, Pain in extremity
Clinical narrative: When she got the shot she had some soreness but it went away quickly. A few days later her shoulder started to "act up". She had tendonitis in the past. A week later she had a muscle spasm in the other arm that was extremely painful. She almost went to the ER but then went away after 2 hours. The arm she had the shot in she has had lots of pain. She had very limited range of motion, unable to put on her shirt or deodorant. She went to an orthopedic physician group about the second week in October and the physician assistant thought she had torn a bicep tendon. It hurts in the front of the shoulder and when she moves her arm forward. She started physical therapy on 10/19/09. The pain keeps her up at night.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Sleep disorder, Tendon rupture
Clinical narrative: When she got the shot she had some soreness but it went away quickly. A few days later her shoulder started to "act up". She had tendonitis in the past. A week later she had a muscle spasm in the other arm that was extremely painful. She almost went to the ER but then went away after 2 hours. The arm she had the shot in she has had lots of pain. She had very limited range of motion, unable to put on her shirt or deodorant. She went to an orthopedic physician group about the second week in October and the physician assistant thought she had torn a bicep tendon. It hurts in the front of the shoulder and when she moves her arm forward. She started physical therapy on 10/19/09. The pain keeps her up at night.
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Cough, Drug exposure during pregnancy, Furuncle, Headache
Clinical narrative: Patient came to see Dr. today after doing a home pregnancy test. Pregnancy is confirmed by serum. Patient states she received a H1N1 Flumist last week at the Nursing Home where she works. 11/4/2009 PCP visit for 10/29/2009. Patient did home pregancy test which was + and verified per HCG, no c/o's at this time. Approx 5 weeks pregnant, received H1 N1 3 weeks prior. OB-GYN MD consulted and tx was observation at this time since asymptomatic. 11/6/09:  HCG Quantitative from received 11/5/09 results 0.2 (L).
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Hidradenitis, Nausea, Oropharyngeal pain, Pregnancy test positive, Vaginal haemorrhage
Clinical narrative: Patient came to see Dr. today after doing a home pregnancy test. Pregnancy is confirmed by serum. Patient states she received a H1N1 Flumist last week at the Nursing Home where she works. 11/4/2009 PCP visit for 10/29/2009. Patient did home pregancy test which was + and verified per HCG, no c/o's at this time. Approx 5 weeks pregnant, received H1 N1 3 weeks prior. OB-GYN MD consulted and tx was observation at this time since asymptomatic. 11/6/09:  HCG Quantitative from received 11/5/09 results 0.2 (L).
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Viral pharyngitis
Clinical narrative: Patient came to see Dr. today after doing a home pregnancy test. Pregnancy is confirmed by serum. Patient states she received a H1N1 Flumist last week at the Nursing Home where she works. 11/4/2009 PCP visit for 10/29/2009. Patient did home pregancy test which was + and verified per HCG, no c/o's at this time. Approx 5 weeks pregnant, received H1 N1 3 weeks prior. OB-GYN MD consulted and tx was observation at this time since asymptomatic. 11/6/09:  HCG Quantitative from received 11/5/09 results 0.2 (L).
Age: 54.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dyspnoea, Fatigue, Nasal congestion
Clinical narrative: The first 4hrs after administration of vaccine, extreme tiredness was evident, with nasal stuffiness. 24hrs after administration, shortness of breath was noted, which lasted at least 36 hours.
Age: 6.0
Sex: F
Vaccine: MMR
Symptoms: Body temperature increased, Exposure to communicable disease, Malaise
Clinical narrative: Complained of not feeling well before going to bed.  Was coughing during the night.  Woke up the next morning running a temp. of 105.7.  Injection site had no evidence of redness, swelling or discomfort.  Child has been exposed to what is beleived to be H1N1 flu.
Age: 1.37
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Erythema, Rash generalised, Urticaria
Clinical narrative: After H1N1 vaccination, hives-like rash appearing on any and all parts of body--stays on arm, leg, hand, face, etc., for about 10 minutes and then disappears. Quite red, but does not appear itchy or painful.
Age: 12.0
Sex: F
Vaccine: RAB
Symptoms: Abasia, Condition aggravated, Coordination abnormal, Dizziness, Headache
Clinical narrative: staring,headache (whcih became worse as time went on)- dizzy, unable to stand or ambulater on her own
Age: 12.0
Sex: F
Vaccine: RAB
Symptoms: Staring
Clinical narrative: staring,headache (whcih became worse as time went on)- dizzy, unable to stand or ambulater on her own
Age: 31.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dermatitis, Erythema, Hypersensitivity, Pruritus, Rash
Clinical narrative: allergic reaction to the patients face. inflammation around the eyes,rash, itching, redness, acute onset.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling abnormal
Clinical narrative: PATIENT RECEIVED INJECTION WHILE STANDING, STATED THAT SHE FELT LIKE SHE WAS FLOATING, AND WAS LOWERED TO THE FLOOR BY A FAMILY FRIEND.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash to legs
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia
Clinical narrative: Student had a fever of >103.0 and then had a seizure, transferred to hospital via ambulance.  Remained in hospital overnight.  Mother stated that child has appointment with a neurologist. 11/4/09:  Vaccination record received, VAERS updated.
Age: 31.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dysgeusia
Clinical narrative: Metallic taste in mouth following h1n1 shot.  No tx warranted.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Pallor
Clinical narrative: About 15 mins after getting the vaccine became lightheaded, dizzy and was pale. Did not faint.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUN(H1N1), IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Swelling on Rt. arm. Tx. ice packs, TYLENOL or MOTRIN.
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Influenza, Influenza serology positive, Secondary transmission
Clinical narrative: Myself and husband came down with flu after 6 yr old twins got H1N1 Flumist (48 hr after). He tested positive for Influenza A and H1N1 is being sent off.
Age: 38.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Influenza, Influenza serology, Influenza serology positive, Secondary transmission
Clinical narrative: Pt came down w/Influenza A 48 hours after his twins got their H1N1 Flumist.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Influenza, Rash
Clinical narrative: 10/30/09 rash and 103 degree temp PM, approximately 7:00 PM. Call to ER. Instructed to give child BENADRYL and TYLENOL by ED physician. Mother reported rash lasted approximately 3 hrs. 11-2-09 office visit at PCP office. Dx with flu. Prescribed TAMIFLU.
Age: 1.3
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Blister, Rash, Rash generalised, Rash morbilliform, Rash papular
Clinical narrative: Diffuse marbilliform (pink tiny papules-some semi-coalescent) rash on cheeks (face) and entire trunk, some on arms and a few on legs-many in groin area. - itchy, - hives, - pustules, -vesicles.
Age: 1.3
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Rash pruritic, Rash pustular
Clinical narrative: Diffuse marbilliform (pink tiny papules-some semi-coalescent) rash on cheeks (face) and entire trunk, some on arms and a few on legs-many in groin area. - itchy, - hives, - pustules, -vesicles.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: Developed rash within 2 hours which included itching and red, blotchy rash developing to 1/2"-1" diameter-raised center. Took anti-inflammatory cream which was prescription for previous illness.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood potassium decreased, Paraesthesia, Paraesthesia oral
Clinical narrative: 4 hrs after receiving H1N1 c/o intermittent tingling L arm-(received vaccine in R arm), back of neck, shoulders, top of feet, lips and tongue. Seen by PCP and also went to ER on 10-29-09-exam normal. Follow up visit with PCP 11/2/09-no change-exam normal-will return to PCP in 1 week.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Flushing, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Swelling and pain at the site and the arm.  Patient flushed and complains of being light headed.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity
Clinical narrative: Swelling and pain at the site and the arm.  Patient flushed and complains of being light headed.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chest X-ray abnormal, Influenza serology negative, Pyrexia, Wheezing
Clinical narrative: Develeoped febrile illnes with wheeze required multiple visits, nebulized albuterol.
Age: 19.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Blood glucose normal, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: BP 98/55 P 72 11 AM PATIENT RECEIVED A HEP B (LEFT ARM) AND A HPV (RIGHT ARM) LOSS OF CONCIOUSNESS FOR APPROXIMATELY 30 SECONDS AFTER RECEIVING THE VACCINES.  HER 4 YEAR OLD DAUGHTER RECEIVED VACCINES PRIOR TO PATIENT'S INJECTIONS.  911 WAS CALLED PATIENT REFUSED TO BE TRANSPORTED.  BP 114/85 P 82 5 MINUTES LATER.
Age: 39.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: PT IS PREGNANT AND RCVD NASAL DOSE OF VACCINE
Age: 39.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Drug exposure during pregnancy, Wrong drug administered
Clinical narrative: PT IS PREGNANT AND RCVD NASAL DOSE OF VACCINE
Age: 41.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Heart rate increased, Pruritus, Urticaria
Clinical narrative: BROKE OUT IN HIVES ON HAIRLINE, EARS, FACE & ARMS. COMPLAINED OF ITCHING. NO SOB. FELT HIS HEART WAS GOING FAST. TREATED WITH ALLEGRA AND BENEDRYL WITH RELIEF. NO KNOWN ALLERGIES TO VACCINE COMPONENTS.
Age: 2.0
Sex: M
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Mother reported hives on feet and then on arms.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Skin burning sensation
Clinical narrative: Burning sensation in the skin all over his body that has lasted for 10 days now
Age: 62.0
Sex: F
Vaccine: MMR, TDAP, VARZOS
Symptoms: Oedema peripheral
Clinical narrative: 8/19/08 11:30 AM CLIENT WALKED IN REPORTED BILATERAL AXILLA SWOLLEN DUE TO IMMUNIZATIONS SHE RECEIVED ON 7/30/09.  SWELLING STARTED 2 DAYS AFTER VACCINATION ON 8/1/08 SWELLING REDUCING IN SIZE CLIENT ASSESSED BY NP.