chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Musculoskeletal pain, Oedema peripheral, Purulence, White blood cell count
Clinical narrative: Rt shoulder pain, swollen, swelling into fingers, cannot close fist or lift arm, redness over deltoid. Ultrasound showed huge glenohumeral joint effusion, tapped it = WBC 86K, 90% poly. No organism seen. Surgery - Irrigation & debridement of shoulder - 20mL purulent material.  11/21/2008  MR received for DOS 10/8-10/2008 with DX: Right septic shoulder. Pt presented after several ER and PMD visits with c/o severe R shoulder pain.  Pt had pain immediately after injection with worsening pain, swelling into the fingers, and inability to lift arm and close fist. PE (+) for R deltoid swelling and erythema, decreased ROM.  Shoulder was tapped following presence of joint effusion on US and placed on abx. Dramatic improvement by POD#1.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching in both arms 2pm 10/28/08.  Hives by 9:00 PM 10/28/08.  Pt. saw dermatologist 4: w 10/28/08; prescribed topical steroid;  Pt called MD at 9:00 PM 10/28/08: prescribed oral steroid.
Age: 22.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Erythema, Feeling of body temperature change, Nausea, Pain, Skin warm
Clinical narrative: Got Flu/pneu shot 10/8/08, one day later 10/9/08- redness, pain, warm to touch, felt hot & cold for 2 days, nausea, 10 cm of erythema that is swollen, hot touch and red.  Utlrasound showed no abscess- gave SXT for 7 days.
Age: 22.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Swelling, Ultrasound scan normal
Clinical narrative: Got Flu/pneu shot 10/8/08, one day later 10/9/08- redness, pain, warm to touch, felt hot & cold for 2 days, nausea, 10 cm of erythema that is swollen, hot touch and red.  Utlrasound showed no abscess- gave SXT for 7 days.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus
Clinical narrative: This was pt 1st flu vaccine.  She c/o itching at injection site L Deltoid.  There was no redness or swelling- just itch-  The itching was intermittent but lessening- still present as of 10/30/08 evening.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Dizziness, Nausea, Rash, Skin warm, Vomiting
Clinical narrative: Rash to ABD & face 20 min after inj.  30 min. after rash appeared man gave BENADRYL apx. 3 tap.  Last night pt felt warm to touch.  Pt with c/o of nausea-dizziness + vomit.  Rash subsided 15 min after BENADRYL given.  Pt still has rash this AM again BENADRYL given- Pt ok.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 10/25/08- 10pm redness & warm at injection site R arm, pain at site when lying on R side. 10/26/08 redness moved to inside of arm 5x5" area.  10/27/08 seen by MD dermatologist- Rx given for Z Pak (AZITHROMYCIN x 5 days) 10/30/08- area faded & almost gone.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Urticaria
Clinical narrative: Pt reported hives and dizziness approximately 1500pm on 10/30/08 after receiving vaccine on 10/30/08 AM. Took Benadryl by mouth and Benadryl cream to hives. Symptoms improved in approximately 30 minutes.
Age: 45.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chills, Erythema, Fatigue, Headache, Hypersensitivity
Clinical narrative: L upper arm swollen, reddened after patchy non-raised rash.  Painful arm. L forearm and L side feels like a stiff neck.  Has headache.  Received VACC.  on 10/27- no problem.  Sore arm on 10/28.  More painful on 10/29 and also involving neck + forearm, plus rash + swelling, headache.  On 10/30/08 had generalized malaise, chills, fatigue.  L Deltoid, trapezius sore + HA present.  Still has neck + trapezius muscular stiffness + pain and also headache as of 10/31/08.  Taking PREDNISONE dose pack and BENADRYL.  Physician dx'd localized allergic reaction.
Age: 45.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Malaise, Musculoskeletal stiffness, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: L upper arm swollen, reddened after patchy non-raised rash.  Painful arm. L forearm and L side feels like a stiff neck.  Has headache.  Received VACC.  on 10/27- no problem.  Sore arm on 10/28.  More painful on 10/29 and also involving neck + forearm, plus rash + swelling, headache.  On 10/30/08 had generalized malaise, chills, fatigue.  L Deltoid, trapezius sore + HA present.  Still has neck + trapezius muscular stiffness + pain and also headache as of 10/31/08.  Taking PREDNISONE dose pack and BENADRYL.  Physician dx'd localized allergic reaction.
Age: 45.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Back pain, Chills, Erythema, Fatigue, Flushing
Clinical narrative: L upper arm swollen, reddened after patchy non-raised rash.  Painful arm. L forearm and L side feels like a stiff neck.  Has headache.  Received VACC.  on 10/27- no problem.  Sore arm on 10/28.  More painful on 10/29 and also involving neck + forearm, plus rash + swelling, headache.  On 10/30/08 had generalized malaise, chills, fatigue.  L Deltoid, trapezius sore + HA present.  Still has neck + trapezius muscular stiffness + pain and also headache as of 10/31/08.  Taking PREDNISONE dose pack and BENADRYL.  Physician dx'd localized allergic reaction.
Age: 45.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Headache, Hypersensitivity, Injection site haematoma, Injection site pain, Injection site swelling
Clinical narrative: L upper arm swollen, reddened after patchy non-raised rash.  Painful arm. L forearm and L side feels like a stiff neck.  Has headache.  Received VACC.  on 10/27- no problem.  Sore arm on 10/28.  More painful on 10/29 and also involving neck + forearm, plus rash + swelling, headache.  On 10/30/08 had generalized malaise, chills, fatigue.  L Deltoid, trapezius sore + HA present.  Still has neck + trapezius muscular stiffness + pain and also headache as of 10/31/08.  Taking PREDNISONE dose pack and BENADRYL.  Physician dx'd localized allergic reaction.
Age: 45.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Malaise, Musculoskeletal stiffness, Myalgia, Neck pain, Pain in extremity
Clinical narrative: L upper arm swollen, reddened after patchy non-raised rash.  Painful arm. L forearm and L side feels like a stiff neck.  Has headache.  Received VACC.  on 10/27- no problem.  Sore arm on 10/28.  More painful on 10/29 and also involving neck + forearm, plus rash + swelling, headache.  On 10/30/08 had generalized malaise, chills, fatigue.  L Deltoid, trapezius sore + HA present.  Still has neck + trapezius muscular stiffness + pain and also headache as of 10/31/08.  Taking PREDNISONE dose pack and BENADRYL.  Physician dx'd localized allergic reaction.
Age: 45.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Rash
Clinical narrative: L upper arm swollen, reddened after patchy non-raised rash.  Painful arm. L forearm and L side feels like a stiff neck.  Has headache.  Received VACC.  on 10/27- no problem.  Sore arm on 10/28.  More painful on 10/29 and also involving neck + forearm, plus rash + swelling, headache.  On 10/30/08 had generalized malaise, chills, fatigue.  L Deltoid, trapezius sore + HA present.  Still has neck + trapezius muscular stiffness + pain and also headache as of 10/31/08.  Taking PREDNISONE dose pack and BENADRYL.  Physician dx'd localized allergic reaction.
Age: 10.0
Sex: U
Vaccine: VARCEL, VARZOS
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: On June 4, 2008 in our immunization clinic, six children received their second dose of varicella. We are assuming one of them received a ZOSTAVAX instead of VARIVAX due to the count at the end of the day. All parents of the children were reached by 06/11/2008. None of the children had any adverse reactions, even a local one at the site of the VARIVAX. Since we are not positive that one of these children received a ZOSTAVAX, we are only giving you the names and birthdays of these children as instructed by the Immunization Program, If you need more information, please contact me. I called CDC on 6/11/08. In response to this situation, there was no specific answer in the literature, but the "expert" that was consulted stated that the dose of ZOSTAVAX, if given, should be "counted". Follow-up Information: 6/4/08 Between 1-4 PM may have given Zostavax instead of Varivax. No adverse reaction.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: Patient was given a flu shot.  Immunized & unsure if the syringe was filled with FLUVIRIN or air (0.5 ml)
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Injection site swelling and pain
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity, Tenderness
Clinical narrative: Severly sore arm, could not raise arm for approx. 3 days.  When laying down there is no comfortable position even when laying on opposite side.  IBUPROFEN, NAPROXEN sod.  did not help.  Also complained of sharp pains + tenderness.
Age: 4.0
Sex: U
Vaccine: VARCEL, VARZOS
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: On June 4, 2008 in our immunization clinic, six children received their second dose of VARICELLA.  We are assuming one of them received a ZOSTAVAX instead of VARIVAX due to the count at the end of the day.  All parent of the children were reached by 06/11/2008.  None of the children had any adverse reactions, even a local one at the site of the VARIVAX.  Since were are not positive that one of these children received a ZOSTAVAX, we are only giving you the names and birthdays of these children as instructed by the state Immunization Program.  If you need more information, please contact me.  I called CDC on 6/11/08.  In response to this situation, there was no specific answer in the literature, but the "expert" that was consulted stated that the dose of ZOSTAVAX, if given, should be "counted". Follow-up Information:  6/4/08 Between 1-4 PM may have given Zostavax instead of Varivax. No adverse reaction.
Age: 5.0
Sex: U
Vaccine: VARCEL, VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: On June 4, 2008 in our immunization clinic, six children received their second dose of VARICELLA.  We are assuming one of them received a ZOSTAVAX instead of VARIVAX due to the count at the end of the day.  All parents of the children were reached by 06/11/2008.  None of the children had any adverse reactions, even a local one at the site of the VARIVAX.  Since we are not positive that one of these children received a ZOSTAVAX, we are only giving you the names and birthdays of these children as instructed by the state Immunization Program.  If you need more information, please contact me.  I called CDC on 6/11/08.  In response to this situation, there was no specific answer in the literature, but the "expert" that was consulted stated that the dose of ZOSTAVAX, if given, should be "counted".
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Lethargy, Road traffic accident, Somnolence
Clinical narrative: Received Influenza vaccine (IM) 10/9/2008 at about 1530 hrs; was well day of and prior to vaccination. Within 40 minutes following immunization, felt extreme drowsiness while driving her car, fell asleep at the wheel, resulting in MVA. She was not injured in accident. Went home, took 4 hr nap and awoke about 2030 hrs feeling fine. No other associated systemic symptoms, no local injection site reactions; no prior vaccine-associated reactions; no meds; no significant past medical history reported. Was not seen by medical provider for evaluation. Symptoms: Lethargic.
Age: 12.0
Sex: M
Vaccine: VARCEL, VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: On June 4, 2008 in our immunization clinic, six children received their second dose of varicella. We are assuming one of them received a ZOSTAVAX instead of VARIVAX due to the count at the end of the day. All parents of the children were reached by 06/11/2008. None of the children had any adverse reactions, even a local one at the site of the VARIVAX. Since we are not positive that one of these children received a ZOSTAVAX, we are only giving you the names and birthdays of these children as instructed by WV Immunization Program. If you need more information, please contact me. I called CDC on 06/11/2008. In response to this situation, there was no specific answer in the literature, but the "expert" that was consulted stated that the dose of ZOSTAVAX, if given, should be "counted".
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain lower, Back pain, Chest discomfort, Pyrexia
Clinical narrative: Pt received vaccine on 10-30-08 @ 830 am called on 10/31/08 9 am states had lower abdominal pain with lower back pain with chest tightness with 99.2 fever @ 230 pm the same day. Feels better today. Does not need to go to ER or do not feel need to follow up. Stated will call if any problems.
Age: 13.0
Sex: F
Vaccine: VARCEL, VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: On June 4, 2008 in our immunization clinic, six children received their second dose of VARICELLA. We are assuming one of them received a ZOSTAVAX instead of VARIVAX due to the count at the end of the day. All parents of the children were reached by 06/11/2008. None of the children had any adverse reactions, even a local one at the site of the VARIVAX. Since we are not positive that one of these children received a ZOSTAVAX, we are only giving you the names and birthdays of these children as instructed by the representative of the states Immunization Program. If you need more information, please contact me. I called CDC on 6/11/08. In response to this situation, there was no specific answer in the literature, but the "expert" that was consulted stated that the dose of ZOSTAVAX, if given, should be "counted".
Age: 7.0
Sex: M
Vaccine: VARCEL, VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: On June 4, 2008 in our immunization clinic, six children received their second dose of VARICELLA.  We are assuming one of them received a ZOSTAVAX instead of VARIVAX due to the count at the end of the day.  All parents of the children were reached by 06/11/2008.  None of the children had any adverse reactions, even a local one at the site of the VARIVAX.  Since we are not positive that one of these children received a ZOSTAVAX, we are only giving you the names and birthdays of these children as instructed by the state Immunization Program.  If you need more information, please contact me.  I called CDC on 6/11/08.  In response to this situation, there was no specific answer in the literature, but the "expert" that was consulted stated that the dose of ZOSTAVAX, if given, should be "counted".
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Cough, Dry throat, Throat irritation
Clinical narrative: States "had a mild reaction following the flu vaccine; within 15 minutes after receiving noted tickle in throat, pre asthma symptoms." Denied any SOB or chest pain. C/O dry throat and had end expiration dry cough. Took over the counter Benadryl and used Albuterol MDI. Symptoms gone 1-2 hours.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Hypoaesthesia oral, Laboratory test, Ocular hyperaemia
Clinical narrative: Had flu shot.  Approx 1-2 hours later, I developed dry hacky persistent cough.  My chest grew tight.  The cough increased in intensity & frequency.  As I was leaving, I felt my throat closing & my tongue grew numb.  My lips began to tingle & my eyes turned bright red.  I went to ER.  They listened to my chest and placed pulse ox on me.  my stats were in the 80's.  They placed a nasal canula in my face & started an IV of NaCl (I think).  They left it wide open & gave SOLUMEDROL, PEPCID & BENADRYL via IV.  Shortly, after I felt my chest opening & my throat wasn't as irritated.  After reassessment, they let me leave and placed me on PREDNOSONE (5mg)  X 3d.  B10.  It took about 10 days to completely overcome the symptoms.  I followed up w/ my doctor & he suggested / see an allergist.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Oxygen saturation decreased, Paraesthesia oral, Throat tightness
Clinical narrative: Had flu shot.  Approx 1-2 hours later, I developed dry hacky persistent cough.  My chest grew tight.  The cough increased in intensity & frequency.  As I was leaving, I felt my throat closing & my tongue grew numb.  My lips began to tingle & my eyes turned bright red.  I went to ER.  They listened to my chest and placed pulse ox on me.  my stats were in the 80's.  They placed a nasal canula in my face & started an IV of NaCl (I think).  They left it wide open & gave SOLUMEDROL, PEPCID & BENADRYL via IV.  Shortly, after I felt my chest opening & my throat wasn't as irritated.  After reassessment, they let me leave and placed me on PREDNOSONE (5mg)  X 3d.  B10.  It took about 10 days to completely overcome the symptoms.  I followed up w/ my doctor & he suggested / see an allergist.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, HEP, HIBV
Symptoms: Body temperature increased, Diarrhoea, Vomiting
Clinical narrative: Vomited X 1 in office.  Temp 105 in office } 10/29/08.  Vomited X2 10/28/08.  3 loose non-bloody stools 10/28/08.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Chills, Conjunctivitis, Headache, Myalgia
Clinical narrative: States approximately two hours after receiving flu vaccine noted "fever, chills, seizing chest pain, horrible sore throat, headache, conjunctivitis, muscle aches, nausea and conjunctivitis. Went to clinic for eval. Symptoms subsided within 12 hours except conjunctivitis.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: States approximately two hours after receiving flu vaccine noted "fever, chills, seizing chest pain, horrible sore throat, headache, conjunctivitis, muscle aches, nausea and conjunctivitis. Went to clinic for eval. Symptoms subsided within 12 hours except conjunctivitis.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Axillary pain, Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Patient came in reporting painful swelling of right upper arm since 10/29 evening. She took Advil every 4 hours and used ice and it has not gotten better. It is currently red, hot and swollen. Mostly inner arm from below elbow to tender axilla. Temp 98.4 at 1:20 pm. Referred to urgent care for evaluation and treatment.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Brachial plexopathy, Pain in extremity, Radiculitis brachial
Clinical narrative: Brachial Plexus Neuritis - pain in left arm - shoulder to elbow. Started 2 hours after injection.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives around mouth, on neck and moving down back itchy face. Mom gave Benadryl 25mg.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Injection site rash, Nausea, Rash
Clinical narrative: During the middle of the night (after immunization was given). Pt became dizzy/lightheaded and nauseous. She also developed a rash on her arm in which the pneumovax was given. The rash is on her left arm from shoulder to elbow.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site L thigh. Keflex 125 mg tid x 10 days
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Approx 1 1/2 weeks after vaccination started with L shoulder/arm pain. Prednisone started 10/17/08 - completed 10/28/08. Pain better while on Prednisone, but resumed pain 10/31/08.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: A few scattered papules on trunk/ext that started on 10/18/08 unsure of time no fever no problems otherwise, no tx given, RTC on 11/3/08.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Wrong drug administered
Clinical narrative: Pt was here for influenza vaccine, given DTAP that was intended for sibling at the same visit. 10/28 pt was here for Influenza vaccine, given DTAP that was intended for sibling at the same visit. 10/29-phone call to mother, child had stomach ache no vomiting no fever. 10/30-phone call to mom-fever last night, tactile, resolved this AM.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left arm from shoulder red and swollen on 10/26/08 per mother. Redness and swelling decreased on 10/27/08 to about the size of an orange.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Dyskinesia
Clinical narrative: Tongue fluttering for 24 hrs. Temp up to 103F. Spontaneously recovered.
Age: 1.6
Sex: U
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: The pt was given the Hep A vaccine on 10/23/2008 and then given another Hep A on 10-30-08.
Age: 1.2
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Rash papular, Rash vesicular
Clinical narrative: Mild rash c/w post vaccination break through case of VERICELLA 10 or less red papalar vesicular lesions on left foot, right thigh, abd, right hand and ahterun neck.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None. Please note pt got VARIVAX # 3 today. Had proquad last year and VARIVAX #1 11/12/2003
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Eye irritation, Ocular hyperaemia, Pyrexia, Respiratory tract congestion, Throat tightness
Clinical narrative: Congestion, fever, red, burning eyes, constriction in throat
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Arthropathy, Malaise, Myalgia, Pyrexia
Clinical narrative: 2 days after the administration of the vaccine, pt developed gradual left patellar tendon pain followed by diffuse muscle aches, fever, and malaise.  This then subsided and developed into an oligoarthropathy involving the left wrist and R ankle.  He has remained on NSAID treatment and rest for approx 9 days now.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pain and itching at injection site followed by severe swelling. ER doctors prescribed antihistimines and Motrin.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Immunisation reaction, Pyrexia
Clinical narrative: High fever 104 degrees and prolonged crying X 2 days after immunization at 2 and 4 month most likely pertussis reaction.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Patient given a flu shot in right arm and a pneumonia shot in his left arm on 10/29/08.  Wife called and stated patient had swelling and extreme soreness in left arm.  Follow up call on 11/1/2008, patient no longer has soreness and did not require any further medical care.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Chills, Influenza like illness, Pain
Clinical narrative: Patient reported that he he had flu-like symptoms after receiving the vaccine.  He stated that he had body aches and chills to the point that he was unable to get out of bed for 1 week after receiving vaccine.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Pt complained of hives which manifested from her armpits to her hairline.  She stated these began within 24 hours of receiving vaccine.  She visited a walk-in clinic and received a steroid shot; the hives resolved shortly after the injection.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Cough, Fatigue, Headache
Clinical narrative: Oct.15th got flu shot. Oct 16th experienced weakness, fever, cough, sore throat, headache, really bad chills, muscle ache, fatigue. October 18 - 19 fever was 102. Mucus. Sneezing. As of Nov 1., no fever, but still weak.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sneezing
Clinical narrative: Oct.15th got flu shot. Oct 16th experienced weakness, fever, cough, sore throat, headache, really bad chills, muscle ache, fatigue. October 18 - 19 fever was 102. Mucus. Sneezing. As of Nov 1., no fever, but still weak.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Flushing, Immediate post-injection reaction, Nausea
Clinical narrative: (1215) Approximately 5 minutes after recieving flu vaccination client appearing flushed,with c/o dizziness, nausea, tightening of chest; V/S taken 147/83 P 100 RR 26-28 911 Call activiated and Epinephrine 1:1000 1 mg SC (R) UE; Notified supervisor, area health officer and family;(1217) Paramedics to scene; Relative arrived;(1250) Transported to Hospital via paramedic transport.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Neck pain, Pain of skin, Paraesthesia, Rash vesicular
Clinical narrative: Pt states  had vaccine 8/08.  Sincew 10/27 has had sore neck and head on Rt.  This AM awoke with vasicular leisons on Scalp where pain is.  Some mild tingling of Rt Eye.  No pain at this time.   Prescribed Valtrex 1000mg BID X 7 days.  Told if she gets any pain in eye she must go to ER or return here or her PCP as soon as possible.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Amenorrhoea, Anorexia, Chest discomfort, Dyspepsia
Clinical narrative: 9/21-missed period for the month. 3 weeks after receiving the shot I began feeling a tightness in my chest and abdomen this has continued ever since. 10/30/08- possible seizure.  The following symptoms I have experienced since 10/24/08- My digestive tract does not seem to be working properly.  I am not hungry and when I eat food does not get digested properly.  My stomach feels like it is in a knot. My heart is beating irregularly, at times very fast, and there is a tightness around my chest and heart. It is difficult to breath.  11/03/08 Spoke with office MA. Seen 10/27/08 for amenorrhea and pelvic pain. 11/24/08 MR received from PCP for several OVs beginning 10/29/08 with c/o abdominal discomfort, ill feeling, and fatigue. PE (+) for tearfulness, poor eye contact.  Assessment:  Pain, abdominal, generalized, acute.  Nausea w/ vomiting.  Dizziness/vertigo NOS, acute.  Depressive d/o. Returned 10/31/08 with c/o dizziness and feeling unwell x 5 days. Missed last period but currently menstuating. Feels dizzy after eating with slow digestion.  Feeling cold, some nausea. Assessment:  nausea, alone with dizziness.  Etiology unclear. Returned 11/3/08 with for f/u with c/o feeling unwell x 2 months since HPV vax. Currently bilateral flank pain and bilateral lower abd pain.  Feeling heartrate changes, slower then faster. HR = 110bpm. One episode last week of body shaking, no LOC. Tx by EMS with O2. Upon PE pt is anxious.  Asessment:  Pain, abdominal, generalized.  Palpitations, acute.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Heart rate irregular, Stomach discomfort
Clinical narrative: 9/21-missed period for the month. 3 weeks after receiving the shot I began feeling a tightness in my chest and abdomen this has continued ever since. 10/30/08- possible seizure.  The following symptoms I have experienced since 10/24/08- My digestive tract does not seem to be working properly.  I am not hungry and when I eat food does not get digested properly.  My stomach feels like it is in a knot. My heart is beating irregularly, at times very fast, and there is a tightness around my chest and heart. It is difficult to breath.  11/03/08 Spoke with office MA. Seen 10/27/08 for amenorrhea and pelvic pain. 11/24/08 MR received from PCP for several OVs beginning 10/29/08 with c/o abdominal discomfort, ill feeling, and fatigue. PE (+) for tearfulness, poor eye contact.  Assessment:  Pain, abdominal, generalized, acute.  Nausea w/ vomiting.  Dizziness/vertigo NOS, acute.  Depressive d/o. Returned 10/31/08 with c/o dizziness and feeling unwell x 5 days. Missed last period but currently menstuating. Feels dizzy after eating with slow digestion.  Feeling cold, some nausea. Assessment:  nausea, alone with dizziness.  Etiology unclear. Returned 11/3/08 with for f/u with c/o feeling unwell x 2 months since HPV vax. Currently bilateral flank pain and bilateral lower abd pain.  Feeling heartrate changes, slower then faster. HR = 110bpm. One episode last week of body shaking, no LOC. Tx by EMS with O2. Upon PE pt is anxious.  Asessment:  Pain, abdominal, generalized.  Palpitations, acute.
Age: 53.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Fever in one day, so far has lasted 4 days.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Facial palsy, Fatigue, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: First week = Flu like Sx, Fever, muscle ache, tired(lasting about a week or so). While still on a "Z-Pack", I developed Bell's Palsey. It was detected early and treated with steroids, therefore lasting only about 1 month. Exact Date of flu shot and Dx of Bells palsey are not known. Middle of Oct = flu shot, Middle of Nov. = Bells Palsey Dx.  11/11/08 Reviewed ENT medical records of 11/28-12/07/20007. FINAL DX: Bell's palsy Records reveal patient experienced right side tongue numbness, decreased taste, right facial & mouth weakness.  Exam revealed unable to completely close right eye, right facial weakness.  Tx w/steroids & artificial tears.
Age: 11.0
Sex: M
Vaccine: DTAP, HEPA, MEN, VARCEL
Symptoms: Cough, Pertussis, Pertussis identification test positive
Clinical narrative: Patient received the Tdap shot on 08/12/08, Eight days later he started coughing. He was tested for whopping cough on 09/09/08 and put on a 5 day Z-Pac. We got a positive result on 09/15/08 and they put him on another 5 day Z-Pac. He was tested again on 10/28/08, we havent received the results yet. He is still coughing as of today 11/02/08.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Rash generalised
Clinical narrative: Patient developed a rash on her buttocks and legs 13 hours after administration.  Three days later, still with rash all over body.  She was treated with steroids and benadryl by the health center.  Rash only goes away with sleep and large dose of benadryl.  Any movement causes them to worsen
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Dizziness, Dyspnoea, Feeling abnormal, Feeling cold
Clinical narrative: On October 22, 2008 I got the Influenza Vaccine at approximately 10:30 am. Around 1:30 I started feeling dizzy and cloudy. By 3:00 pm I was feeling sore and shaky and around 4 pm I started getting very cold. I was freezing and no matter how many blankets I wrapped around myself I was still cold. My temperature spiked to 103.7 and I was still freezing and unable to move. I couldn't breath and my tongue felt odd.  By 6:30 I was unable to walk at all, my husband threw me in a cold shower and brought my temperature down at which time I took allergy pills and Tylenol and my temperature fell down to 99.9, but it kept spiking up to 101 to 103 for another 30-45 minutes at which point my temperature stabilized and I was able to move around again. I believe it was an allergic reaction as the next day I was completely fine.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Gait disturbance, Pain, Paraesthesia oral, Tremor
Clinical narrative: On October 22, 2008 I got the Influenza Vaccine at approximately 10:30 am. Around 1:30 I started feeling dizzy and cloudy. By 3:00 pm I was feeling sore and shaky and around 4 pm I started getting very cold. I was freezing and no matter how many blankets I wrapped around myself I was still cold. My temperature spiked to 103.7 and I was still freezing and unable to move. I couldn't breath and my tongue felt odd.  By 6:30 I was unable to walk at all, my husband threw me in a cold shower and brought my temperature down at which time I took allergy pills and Tylenol and my temperature fell down to 99.9, but it kept spiking up to 101 to 103 for another 30-45 minutes at which point my temperature stabilized and I was able to move around again. I believe it was an allergic reaction as the next day I was completely fine.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chiils, total body aches, fever 102.4 within 9 hours of administration
Age: 20.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Dizziness, Pallor
Clinical narrative: Pt felt "lighthead" c/o nausea.  Slightly pale in color @ 11:20am.  LOC, start feeling better after (one(11:28).  No treatment given.  No fainting occurred, no vomiting.  BP 103/58 + Sx 11:25am.
Age: 53.0
Sex: M
Vaccine: ANTH, FLU3, HEP, TYP
Symptoms: Flushing, Syncope
Clinical narrative: SQ ANTHRAX #1 given to L deltoid became flushed + fainted c/o "had" EPIPHEN administered.  B/P 148  P 80 R 22.
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Appendicectomy, Haematochezia, Intussusception, Surgery, Vomiting
Clinical narrative: Information has been received from an office manager concerning a male (age not reported) with no medical history who on 29-JUL-2008 was vaccinated PO with the third 2.0 ml dose of ROTATEQ (lot # 660376/0019X) (the dates of the first and second doses not reported). Concomitant vaccine therapy included a dose of PEDIARIX and a dose of PREVNAR. The office manager reported that on 22-SEP-2008 the patient was taken to the emergency room for severe vomiting and the patient was diagnosed with intussusception and hospitalized (discharge date not reported). A barium enema was unsuccessful at reducing the intussusception. The patient had surgery to correct the intussusception. On 06-OCT-2008, the patient was seen for follow-up and was reported as healed. Subsequently, the patient recovered from intussusception (date unspecified by the reporter). The reporter considered intussusception to be an other important medical event. A product quality complaint was not involved. This is one of 2 reports from the same source. Additional information has been requested.
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Barium enema abnormal, Intussusception, Surgery, Vomiting
Clinical narrative: Information has been received from an office manager concerning a male (age not reported) with no medical history who on 29-JUL-2008 was vaccinated PO with the third 2.0 ml dose of ROTATEQ (lot # 660376/0019X) (the dates of the first and second doses not reported). Concomitant vaccine therapy included a dose of PEDIARIX and a dose of PREVNAR. The office manager reported that on 22-SEP-2008 the patient was taken to the emergency room for severe vomiting and the patient was diagnosed with intussusception and hospitalized (discharge date not reported). A barium enema was unsuccessful at reducing the intussusception. The patient had surgery to correct the intussusception. On 06-OCT-2008, the patient was seen for follow-up and was reported as healed. Subsequently, the patient recovered from intussusception (date unspecified by the reporter). The reporter considered intussusception to be an other important medical event. A product quality complaint was not involved. This is one of 2 reports from the same source. Additional information has been requested.
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Abdominal pain, Appendicectomy, Barium enema, Enema administration, Haematochezia
Clinical narrative: Information has been received from an office manager concerning a male (age not reported) with no medical history who on 29-JUL-2008 was vaccinated PO with the third 2.0 ml dose of ROTATEQ (lot # 660376/0019X) (the dates of the first and second doses not reported). Concomitant vaccine therapy included a dose of PEDIARIX and a dose of PREVNAR. The office manager reported that on 22-SEP-2008 the patient was taken to the emergency room for severe vomiting and the patient was diagnosed with intussusception and hospitalized (discharge date not reported). A barium enema was unsuccessful at reducing the intussusception. The patient had surgery to correct the intussusception. On 06-OCT-2008, the patient was seen for follow-up and was reported as healed. Subsequently, the patient recovered from intussusception (date unspecified by the reporter). The reporter considered intussusception to be an other important medical event. A product quality complaint was not involved. This is one of 2 reports from the same source. Additional information has been requested.
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Intussusception, Surgery, Vomiting
Clinical narrative: Information has been received from an office manager concerning a male (age not reported) with no medical history who on 29-JUL-2008 was vaccinated PO with the third 2.0 ml dose of ROTATEQ (lot # 660376/0019X) (the dates of the first and second doses not reported). Concomitant vaccine therapy included a dose of PEDIARIX and a dose of PREVNAR. The office manager reported that on 22-SEP-2008 the patient was taken to the emergency room for severe vomiting and the patient was diagnosed with intussusception and hospitalized (discharge date not reported). A barium enema was unsuccessful at reducing the intussusception. The patient had surgery to correct the intussusception. On 06-OCT-2008, the patient was seen for follow-up and was reported as healed. Subsequently, the patient recovered from intussusception (date unspecified by the reporter). The reporter considered intussusception to be an other important medical event. A product quality complaint was not involved. This is one of 2 reports from the same source. Additional information has been requested.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Abdominal pain upper, Swelling face, Wheezing
Clinical narrative: Pt received vaccine and developed facial swelling and rash within 30 minutes. Wheezing and stomach pain as well. Pt was given 12.5 mg oral BENADRYL, 0.5 ml ALBUTEROL with neb, and 5mg Dexamethasone injection. His rash had resolved and only mild swelling around eyes by 3:30 pm same day. Breathing had normalized.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Abdominal pain upper, Eye swelling, Rash, Swelling face, Wheezing
Clinical narrative: Pt received vaccine and developed facial swelling and rash within 30 minutes. Wheezing and stomach pain as well. Pt was given 12.5 mg oral BENADRYL, 0.5 ml ALBUTEROL with neb, and 5mg Dexamethasone injection. His rash had resolved and only mild swelling around eyes by 3:30 pm same day. Breathing had normalized.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Eye swelling, Injection site erythema, Injection site urticaria, Rash, Rash generalised
Clinical narrative: Pt received vaccine and developed facial swelling and rash within 30 minutes. Wheezing and stomach pain as well. Pt was given 12.5 mg oral BENADRYL, 0.5 ml ALBUTEROL with neb, and 5mg Dexamethasone injection. His rash had resolved and only mild swelling around eyes by 3:30 pm same day. Breathing had normalized.
Age: 6.0
Sex: M
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Swelling face, Urticaria, Wheezing
Clinical narrative: Pt received vaccine and developed facial swelling and rash within 30 minutes. Wheezing and stomach pain as well. Pt was given 12.5 mg oral BENADRYL, 0.5 ml ALBUTEROL with neb, and 5mg Dexamethasone injection. His rash had resolved and only mild swelling around eyes by 3:30 pm same day. Breathing had normalized.
Age: 7.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: A serious, spontaneous report of idiopathic thrombocytopenia purpura (ITP) was received from a nurse concerning a seven-year-old female, subsequent to FLUMIST. Neither relevant medical history nor concomitant medications have been reported for this patient. The patient received FLUMIST, intranasal, on 25-Aug-2008. On 21-Sep-2008, the patient was admitted to the hospital with a diagnosis of idiopathic thrombocytopenia purpura. The patient is still undergoing treatment with intravenous immunoglobulin and platelet counts have ranged between 4,000 and 26,000. The parent was told by specialists that ITP is caused by virus and per the parent the only known virus before ITP was live FLUMIST. The event is considered on-going.
Age: 7.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Blood product transfusion, Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: A serious, spontaneous report of idiopathic thrombocytopenia purpura (ITP) was received from a nurse concerning a seven-year-old female, subsequent to FLUMIST. Neither relevant medical history nor concomitant medications have been reported for this patient. The patient received FLUMIST, intranasal, on 25-Aug-2008. On 21-Sep-2008, the patient was admitted to the hospital with a diagnosis of idiopathic thrombocytopenia purpura. The patient is still undergoing treatment with intravenous immunoglobulin and platelet counts have ranged between 4,000 and 26,000. The parent was told by specialists that ITP is caused by virus and per the parent the only known virus before ITP was live FLUMIST. The event is considered on-going.
Age: 0.8
Sex: U
Vaccine: FLU3, FLU3
Symptoms: Death, Laboratory test
Clinical narrative: Pt received vaccine for flu on 10/20/08 at approximately 11:00 AM. Pt died at approximately 6:00 am on 10/21/08.
Age: 0.8
Sex: U
Vaccine: FLU3, FLU3
Symptoms: Death
Clinical narrative: Pt received vaccine for flu on 10/20/08 at approximately 11:00 AM. Pt died at approximately 6:00 am on 10/21/08.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Aphasia, Asthenia, Confusional state, Dehydration, Hyperhidrosis
Clinical narrative: Pt was confused, weak legs had fever, dehydrated, sweating, couldn't talk, MD Rx chemotherapy and LUPRON shots for Pt, possible flu, or infection
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Pt was confused, weak legs had fever, dehydrated, sweating, couldn't talk, MD Rx chemotherapy and LUPRON shots for Pt, possible flu, or infection
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Injection site reaction
Clinical narrative: Cx developed localized reaction at injection site the day after vaccination for 2 days. Took antihistamine BENADRYL CA couple of doses it subsided. On October 27, cx developed blister on the scalp by the hair line and next day more blisters on adjacent area. On Oct 30, 08, dr prescribed VALTREX 1gm 3 times daily for 7 days.
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Facial palsy
Clinical narrative: Bell's palsy  (Pt is also 28 weeks pregnant)
Age: 3.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Patient develop T 100'F tired and headache X 2-3d
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: 4:32 PM 10/29/08 - Dad called , his daughter slipped off her chair at preschool onto floor and had a seizure did recover and is alert.  Dad is 15 min away - will pick her up and take her to Pediatric ER- 911 nurse called PRN
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Swelling, Tenderness
Clinical narrative: Reddened, swollen, warm area, 2x3" behind (L) arm, sl itchy, sl tender.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Generalized Erythematous pruritic rash on arms, legs, torso.
Sex: U
Vaccine: RV5
Symptoms: Rotavirus infection, Rotavirus test positive
Clinical narrative: Information has been received from a physician concerning a patient who on 25-MAR-2008 was vaccinated with the first dose of oral ROTATEQ (lot # reported as 1398U).  On 21-MAY-2008, the patient received the second dose of oral ROTATEQ (lot # 660425/0278X). On 06-OCT-2008 the patient was admitted to the hospital for two days for rotavirus.  Rotavirus testing came back positive for rotavirus.  The patient was given IV fluids and the symptom has resolved.  The recovered date is unknown.  No product quality complaint involved.  Additional information has been requested.
Age: 32.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Diplopia, Hallucination, auditory, Inappropriate schedule of drug administration, Vision blurred
Clinical narrative: Information has been received from a consumer concerning a 32 year old female patient with chronic fatigue syndrome and depression who on an unknown dates was vaccinated with the first and second dose of GARDASIL at a health department. Concomitant therapy included "anti-candida herbal remedy" [therapy unspecified]. The consumer reported that the patient on 01-AUG-2008 and 14-AUG-2008 said that she was hallucinating, seeing double, had blurry vision and heard voices". The consumer reported that the patient said that she "had these symptoms for 4 months which rendered her incapable to take care of her son". Additional information was not available.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug exposure during pregnancy, Foetal disorder, Ultrasound scan abnormal
Clinical narrative: Information has been received from a physician through a Merck pregnancy registry concerning an 18-year-old female, with allergy to IBUPROFEN and a positive family history of hypoplastic left heart, who on 25-JUL-2008 received a dose of VARIVAX (Merck) (lot number, route and injection site unknown) while she may have been pregnant.  Concomitant medication included hormonal contraceptives (unspecified).  The patient had a recent ultrasound done which showed the fetus has a "hypoplastic left heart" (considered as congenital anomaly).  The patient contacted the physician's office for medical attention.  There was no information about her LMP.  Her expected date of delivery was unknown.  Additional information has been requested.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Atrial fibrillation, Chest discomfort, Fatigue, Malaise, Throat irritation
Clinical narrative: Several days experienced fatigue. Not feeling well. Tuesday night - sensation of flutter in throat and chest. Got better. Wed. night - flutter sensation and felt heart beat. Diagnosed w/ atrial fibrillation. IV Heparin. Converted on the 30th, started on COUMADIN.  12/15/2008 ER records received for DOS 10/29-30/2008 with DX: Atrial Fibrillation with rapid ventricular rate.  Hypokalemia. Pt presented with c/o irregular heartbeats and chest discomfort. PE (+) for irregularly irregular heartbeat. Admitted for medication mgmt.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Anticoagulant therapy, Haemorrhage intracranial, Headache, Pain, Vomiting
Clinical narrative: Patient had the flu vaccine on 10/23/08 and was admitted to the hospital on 10/25/08 with bleeding on the brain though the patient was on medication COUMADIN which is a blood thinner. Patient had called with questions about if his symptoms could be a reaction to the flu vaccine, his symptoms were headache, vomited twice last night and feeling achy. The correct dose and route of the flu vaccine was given. patient was given the information sheet and consent to read about the flu vaccine prior to the injection.  1/23/09 MR received fro multiple admissions 10/26-11/14/2008 with DX: Large chronic subdural hematoma, 11/14-12/1/2008 with DX: Poor neurological status due to bilateral subdural hematoma and 12/1-3/2008 with D/C DX: Chronic bilaterally subdural hematomas with poor neurologic recovery. Initially presented following a seizure preceeded by 2 day hx of H/A. Subdural hematomas noted on CT and taken emergently to OR for evacuation. Pt in guarded condition, intubated with decreased LOC following procedure. Unresponsive and posturing, reflexes depressed.Was to be d/c to palliative care 11/14/08, but began to awaken and was speaking albeit confused, lasted only briefly. Little improvement from 11/14/-12/1/08 so transferred to trasitional care unit. Developed Acute Renal Failure. D/C to hospice care.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Conjunctivitis, Cough, Dyspnoea, Hypotension
Clinical narrative: 3 hours after FLUVAX: developed dyspnea, cough, conjunctivitis, rhinitis, ST so came to doctor's office. When in office, became hypotensive. Dx:anaphylaxis and treated with IM BENADRYL and Epinephrine. Ambulance pt to hospital and given IV TAGAMET and recovered.  11/7/08 Reviewed ER medical records of 10/22/2008. FINAL DX: acute allergic reaction; conjunctivitis Records reveal patient experienced eye discomfort & swelling, heat, chest tightness, cough & jaw discomfort approx 2 hours s/p vaccination.  RTC & tx w/epi, IM benadryl.  BP at that time 80/50 & transported to ER.  Improving by the time arrived in ER.  Exam in ER revealed dramatic swelling & crusting of eyes, scleral injection, tongue cramping.  Pulse ox initially was 91% & BP supine 130/76, standing 106 systolic.  No reaction to previous flu shots.