chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Cheilitis, Pruritus, Urticaria
Clinical narrative: Pt c/o itching at noon and developed 1/2 dollar-sized hives over arms,back, knees. Lips appeared raw. No swelling of airway or difficulty breathing. Pt's Mom called a local pharmacist who instructed mother give Benadryl 2 tabs for next 3-4 days. Mother gave child 4 doses; hives resolved by 11/15/09 except on knees;resolved today. Mom instructed to report reaction to MD-done. Child to be seen at school by Nurse Practitioner for general eval school based clinic.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Dyspnoea, Fatigue
Clinical narrative: Felt tired and started coughing and having difficulty breathing
Age: 87.0
Sex: M
Vaccine: FLUX
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Erythema, swelling of arm, redness.
Age: 1.08
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Gianotti-Crosti syndrome
Clinical narrative: Rash - diagnosed 11/16/09 as Gionatti-Costi.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Arthritis, Injected limb mobility decreased, Injection site erythema, Injection site swelling, Joint swelling
Clinical narrative: Later in the day following vaccination began having inflammation in the thumb joint, and wrist. Five days after vaccination patient continued to experience swelling, redness at site, and was unable to lift arm above shoulder without pain. Now she has painful base of index finger with joint swelling
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Pain in extremity
Clinical narrative: Later in the day following vaccination began having inflammation in the thumb joint, and wrist. Five days after vaccination patient continued to experience swelling, redness at site, and was unable to lift arm above shoulder without pain. Now she has painful base of index finger with joint swelling
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Joint range of motion decreased
Clinical narrative: Later in the day following vaccination began having inflammation in the thumb joint, and wrist. Five days after vaccination patient continued to experience swelling, redness at site, and was unable to lift arm above shoulder without pain. Now she has painful base of index finger with joint swelling
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Laboratory test
Clinical narrative: Later in the day following vaccination began having inflammation in the thumb joint, and wrist. Five days after vaccination patient continued to experience swelling, redness at site, and was unable to lift arm above shoulder without pain. Now she has painful base of index finger with joint swelling
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Epistaxis
Clinical narrative: With in 5 minutes of administering H1N1 mist, pt had a nose bleed from rt nostril.  Stopped in 10 minutes after applying pressure to nose.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Rash, Swelling
Clinical narrative: Rash on anterior neck with linear swelling.  Did not affect airway.  "severe" headache occipital which did not respond to ibuprofen
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rhinorrhoea, Vomiting
Clinical narrative: Vomiting mucous every 20 minutes for 2 hours then was fine. No fever.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Migraine
Clinical narrative: Visual migraine immediately after injection, then 3 migraines daily x3 days.
Age: 18.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cardiac arrest, Chest X-ray abnormal, Death, Resuscitation
Clinical narrative: Patient had sudden cardiac arrest and had CPR from onset, was picked up by EMS and transported to hospital and pronounced dead at approx 11:30 PM.  12/16/09 Report of death received for 11/03/09.  Decedent fell on the floor while in a social gathering.  No pulse, CPR performed by school nurse for 10 mins until EMS came. Decedent had emesis while compressions were performed. EMS started ACLS, intubation, 3 IV lines, 4 Epi, 3 Atropine and 1 amp Bicarb. Sinus rhythm established 1 time, but lost. CPR unsuccessful. Decendent pronounced dead.   12/16/09 Autopsy results revealed no visible internal signs of trauma. All systems autopsy: normal. Teeth in poor condition. Cardiovascular system: myocardium: focal areas of fibrosis, atrial; bulges in atrial and ventricular muscular fee walls, interventricular septum 3cm thick. Pathologist opinion: Hypertrophic cardiomyopathy (790gr). Heart severely congested and lungs heavy with possible aspiration.  12/24/09 Toxicology report received. This report showed that no drugs were used.  01/04/09 Medical/dental record received for DOS 10/29/09. Debridement performed. Anesthesia used. Moderate to heavy generalized bleeding. Tx: Chlorhexidine gluconate oral rinse. DX: Gingivitis, periodontal disease.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea
Clinical narrative: Vaccinated at school complained of Dizziness and nausea started about 3/4 hour after shot durring basket ball practice and lasted about 24 hours. Never passed out or vometed and did eat meals. Nothing else
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: Received shingles shot on 9/8/2009. My arm has ached constantly since vaccine was given. At first it would wake me up throbbing so bad. I have not been able to use that arm since without causing terrific pain.  I have taken 2 rounds of prednisone (1 was a 5 day dose pack the other was a 15 day supply). I called the doctor today 11/16/2009 to see what else can be done. I have heard that the shot should only be given in the flab part of the arm and not in the muscle. Does anyone know anything about this?  If you do email me. If anyone knows something that will make the pain in the muscle of my arm go away I would appreciate knowing. The pain is constant but worse when I use that arm.
Age: 13.0
Sex: F
Vaccine: UNK
Symptoms: Bradycardia, Confusional state, Convulsion, Disturbance in attention, Dyspnoea
Clinical narrative: 3rd dose 2/4/08  Extreme reaction 5/29/08 confusion, extreme fatigue, difficulty breathing, feeling of throat closing, non-epileptic seizures, inability to focus, light sensitivity, bradychardia and tachycardia, temporary loss of memory
Age: 13.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Memory impairment, Photophobia, Tachycardia, Throat tightness
Clinical narrative: 3rd dose 2/4/08  Extreme reaction 5/29/08 confusion, extreme fatigue, difficulty breathing, feeling of throat closing, non-epileptic seizures, inability to focus, light sensitivity, bradychardia and tachycardia, temporary loss of memory
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1), HIBV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 4x4 cm induration and redness at site of Hib. Rx: Ibuprofen; Diphenhydramine.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dyspnoea, Rash pruritic, Urticaria
Clinical narrative: Became Dyspneic and lightheaded.  Covered in hives and severely pruritic.
Age: 7.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Adverse event, Inappropriate schedule of drug administration
Clinical narrative: Adverse Event. Child received 2 intranasal H1N1 vaccines and 2 seasonal injectable vaccines in the same day.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Drug exposure during pregnancy, Facial paresis, Headache, Muscular weakness
Clinical narrative: Tingling/pin prick feeling on both hands, and both sides of the face.  Progressed quickly & over weeks to sever headaches, muscle soarness, muscle weakness in hands face, jaw.  Tingling occured in both legs, more so on the left sife of the body.  Soar back, shoulders and neck.  Still experiencing symptoms 6 weeks later.  11/20 and 11/27/09:  Hospital and medical records received for date of service 10/2/09 to 10/30/09.  Dx:  Paresthesia,  facial neuralgia.  Assessment: Pregnant Gravida 2, Para 1, presents with tingling in face, arms and down leg, soreness at injection site, stiff/achy neck and back. Heaviness of right arm. Sharp pin prick sensation to right side of face, when she touches her face it doesn't feel normal.   Nares red and sore, slight swollen glands in neck and behind ear.  Normal neurological exam.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Myalgia, Neck pain, Paraesthesia
Clinical narrative: Tingling/pin prick feeling on both hands, and both sides of the face.  Progressed quickly & over weeks to sever headaches, muscle soarness, muscle weakness in hands face, jaw.  Tingling occured in both legs, more so on the left sife of the body.  Soar back, shoulders and neck.  Still experiencing symptoms 6 weeks later.  11/20 and 11/27/09:  Hospital and medical records received for date of service 10/2/09 to 10/30/09.  Dx:  Paresthesia,  facial neuralgia.  Assessment: Pregnant Gravida 2, Para 1, presents with tingling in face, arms and down leg, soreness at injection site, stiff/achy neck and back. Heaviness of right arm. Sharp pin prick sensation to right side of face, when she touches her face it doesn't feel normal.   Nares red and sore, slight swollen glands in neck and behind ear.  Normal neurological exam.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Burning sensation, Idiopathic thrombocytopenic purpura, Platelet count decreased, Rash
Clinical narrative: Diagnosis idiopathic thrombocytopenia - platelets dropped to 5,000 - rash present and burning. 11/17/09 DC summary and Hospital records received for DOS 11/03/09-11/04/09. DX: Immune thrombocytopenia, anemia secondary to GI bleeding Pt. admitted for low platelet count, bruising, decreased appetite, pallor, cough, blood blisters in mouth and blood in stool. Received platelet transfusion prior to admission.Received IgG. Platelet count improved with treatment; DC with f/u
Age: 49.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site papule, Pain
Clinical narrative: 19:00 on 11/13/09, (1) day after administration of vaccine, papule formed. Papule burst and cause localized pain. Injection site papule.
Age: 18.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Feeling abnormal, Headache, Nausea, Pallor, Posture abnormal
Clinical narrative: About 25-40 min after receiving H1N1, student returned to imm. area c/o nausea, feeling groggy, HA. Alert, oriented to time, place, person, speech slow. Slouching in chair, pale, 110/64, P 92, R 16. Guardian notified to come to school. Child monitored x approx 60 min., did not worsen, did not improve, did not want to be evaluated in local walk-in, got out of chair abruptly and left.
Age: 18.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Somnolence, Speech disorder
Clinical narrative: About 25-40 min after receiving H1N1, student returned to imm. area c/o nausea, feeling groggy, HA. Alert, oriented to time, place, person, speech slow. Slouching in chair, pale, 110/64, P 92, R 16. Guardian notified to come to school. Child monitored x approx 60 min., did not worsen, did not improve, did not want to be evaluated in local walk-in, got out of chair abruptly and left.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Dyspnoea, Feeling abnormal, Headache, Loss of consciousness
Clinical narrative: Received H1N1 FLUMIST MED500805P. Approx 1 HR later c/o H/A. Teacher noted student was "zoning in and out" during class. Student passed out, weakness, c/o diff breathing, EMS called, transported to ER per ambulance. Weak, shaky, pale. EMT reports PAC's and PVC's noted on rhthym strip. Student at that time was feeling better. Disch from ER 7:00 PM.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pallor, Supraventricular extrasystoles, Tremor, Ventricular extrasystoles
Clinical narrative: Received H1N1 FLUMIST MED500805P. Approx 1 HR later c/o H/A. Teacher noted student was "zoning in and out" during class. Student passed out, weakness, c/o diff breathing, EMS called, transported to ER per ambulance. Weak, shaky, pale. EMT reports PAC's and PVC's noted on rhthym strip. Student at that time was feeling better. Disch from ER 7:00 PM.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Loss of consciousness, Visual impairment
Clinical narrative: Felt light headed, saw spots, laid down passed out.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Pallor
Clinical narrative: Approx. 10am child in for varicella vaccine. SQ injection given. Child received vaccine fine, when parent and child went up front there was a call for "nurse up front." I was the firs to come to the scene, the  patient/child sitting up in moms arms, eyes open and lips pale. Child sat in wheelchair to the back and given juice and crackers. She felt better within a couple of minutes no knot was noted but ice patient was given. Instructed to have breakfast before vaccination in the future.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Bronchial hyperreactivity, Condition aggravated, Respiratory distress
Clinical narrative: Resp. distress, RAD exacerbation secondary to vaccines. Albuterol via neb with O2.  Ipratropium via neb with O2. ORAPRED 30 mg x 1. Admitted to hospital. 11/18/09:  Hospital records received for dates of service 11/2/09 to 11/4/09. Final Dx:  Viral pneumonia in the RML, Asthma exacerbation, respiratory distress with hypoxia, perineal and perianal puritus, constipation.   Assessment:  Presented with a 2-day hx. of rhinorrhea, sneezing, wheezing, increased work of breathing, difficulty speaking in full sentences, productive cough.  O2 sats. in peds. office in low 90's, tachypnea and decreased oral intake. Orapred initiated.  IV fluids given for dehydration.  On day of D/C was in good condition, D/C to home.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Laboratory test, Malaise, Myalgia, Oedema peripheral, Pain in extremity
Clinical narrative: Patients reports arm swelling/sore. Muscle ache with prolong Sx of malaise. Multiple courses of steroid.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Full blood count normal, Gait disturbance, Laboratory test normal, Pain, Pain in extremity
Clinical narrative: Throbbing pain Bil thighs and upper arms, Tingling hands and fingers. Provider noted slight hesitation in step. Neuro intact but sent to Hospital to R/O GBS.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Throbbing pain Bil thighs and upper arms, Tingling hands and fingers. Provider noted slight hesitation in step. Neuro intact but sent to Hospital to R/O GBS.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Parent stated" her leg is swollen, painful to the touch and slight fever, I called Peds and they told me to place cool wash cloths for 15-20 min. It was not getting better so I took her back to the Health Department to see if someone could see her." Patient seen in the Pediatric Department on 11/16/2009 by "PAC Temp. 99.2 HR 108 RESP. 16 Patient recieved vaccine in right upper thigh 3 days ago subsquently she developed redness swelling tenderness in right thigh temp. 100.3 2 days ago and yesterday none today. Plan: continue Motrin every 6 hours D/C warm Compress rtc in 2 days for repaeat eval or sooner if worsens."
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Patient c/o severe pain and fever the night of injection. The pain was below the injection site right deltoid and had swelling below deltoid to right elbow. Is recovering now.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Akinesia, Pain, Pain in extremity, Tenderness
Clinical narrative: Pt. unable to move legs, tender calves to touch, too much pain to walk.  11/18/09 Medical records received for Dos 11/10/09.  Final DX: Myositis S/P vaccine tender calves to touch, painful to walk. Recurrent in March. Urine clear. High myoglobin and CK. ICD 9 Codes: 729.1
Age: 64.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Developed pain, swelling, heat, fever, area injection site.
Age: 2.0
Sex: M
Vaccine: FLUX, FLUN(H1N1)
Symptoms: Computerised tomogram, Convulsion, Laboratory test
Clinical narrative: A serious spontaneous report of seizures was received from a non-health professional concerning a 26-month-old male, subsequent to H1N1, Intranasal. The patient had heart murmur when he was born. The patient never received flu vaccine before and never experienced seizure. No concomitant medications have been reported for this patient. There was no family history of seizures. On 25-Oct-2009, the patient received first dose of H1N1, Intranasal for an unknown indication. On 27-Oct-2009, the patient experienced shaking of his body that lasted a few seconds, which occurred again on the same day, then the child was taken to the emergency room for evaluation and testing. The patient was sent for CT scan and some lab work. At the time of the report, the patient has had no further seizures, had been scheduled (on an unknown date) to undergo an electroencephalogram and was to be seen by a neurologist within a month. The reporter stated that there was no further information available. The outcome of the event was resolved. Additional information was received on 11-Nov-2009 and incorporated into the narrative. Additional information about further evaluation of progression, frequency and outcome of the event and additional scheduled investigation was included.  12/01/09 ER notes for DOS 11/27/09  DX: Tonic clonic seizures. Pt received H1N1 vaccine and within 48 hrs later developed tonic clonic seizures. Pt underwent brain CT scan.  Upon neurological examination, Pt was alert and oriented. Pt discharged home in stable condition and to follow up with a neurologist if needed.
Age: 2.0
Sex: M
Vaccine: FLUX, FLUN(H1N1)
Symptoms: Computerised tomogram, Convulsion, Laboratory test
Clinical narrative: A serious spontaneous report of seizures was received from a non-health professional concerning a 26-month-old male, subsequent to H1N1, Intranasal. The patient had a heart murmur when he was born. The patient never received flu vaccine before and never experienced seizure. No concomitant medications was reported. On 25-Oct-2009, the patient received first dose of H1N1, Intranasal for an unknown indication. On 27-Oct-2009, the patient experienced seizures. The patient was sent to emergency room for CT scan and some lab work. The reporter stated that there was no further information available and the patient was planned to send to a neurologist. The outcome of the event was unknown.
Age: 1.23
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Influenza, Influenza serology positive, Lethargy, Malaise, Wrong drug administered
Clinical narrative: A serious, spontaneous report on 14-month-old was "inadvertently given FluMist" lethargy, very ill and Influenza B has been received from a physician concerning a 14 month old female patient, subsequent to receiving FluMist. The patient's medical history and concomitant medications were not reported. The patient received FluMist on approximately 07-October-2009. The patient was inadvertently given FluMist. Subsequently, the patient became very ill. On 14-Oct-2008 the patient tested positive for Influenza B. As of 03-Nov-2009, the patient was still very ill and lethargic. On an unknown date, the patient was hospitalized. Encephalitis was ruled out and the reporter indicated they "still don't know what's going on with the patient". The events were ongoing.11/17 and 11/24/2009 ED records for 10/7-10/9 and 10/24-10/26/2009. Patient with c/o's fever , dehydration, decreased appetite and lethargy. Tx: IVF for rehydration. On 10/26 transferred to another facility for continued care. 11/30/2009 MR, DC summary for 10/26/2009-11/3/2009, patient with fever, diarrhea, change in mental status. Tx: LP,  IV ABX, Acyclovir, Tamiflu DC Dx: Dehydration, Viral encephalopathy, Septic shock Follow-up: 19FEB2010: per MI conventions, mnfr for other vaccines not collected.
Age: 1.23
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Blood culture negative, Computerised tomogram normal, Dehydration, Electroencephalogram normal, Encephalitis viral
Clinical narrative: A serious, spontaneous report on 14-month-old was "inadvertently given FluMist" lethargy, very ill and Influenza B has been received from a physician concerning a 14 month old female patient, subsequent to receiving FluMist. The patient's medical history and concomitant medications were not reported. The patient received FluMist on approximately 07-October-2009. The patient was inadvertently given FluMist. Subsequently, the patient became very ill. On 14-Oct-2008 the patient tested positive for Influenza B. As of 03-Nov-2009, the patient was still very ill and lethargic. On an unknown date, the patient was hospitalized. Encephalitis was ruled out and the reporter indicated they "still don't know what's going on with the patient". The events were ongoing.11/17 and 11/24/2009 ED records for 10/7-10/9 and 10/24-10/26/2009. Patient with c/o's fever , dehydration, decreased appetite and lethargy. Tx: IVF for rehydration. On 10/26 transferred to another facility for continued care. 11/30/2009 MR, DC summary for 10/26/2009-11/3/2009, patient with fever, diarrhea, change in mental status. Tx: LP,  IV ABX, Acyclovir, Tamiflu DC Dx: Dehydration, Viral encephalopathy, Septic shock Follow-up: 19FEB2010: per MI conventions, mnfr for other vaccines not collected.
Age: 1.23
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Influenza, Influenza serology positive, Lethargy, Lumbar puncture normal, Malaise
Clinical narrative: A serious, spontaneous report on 14-month-old was "inadvertently given FluMist" lethargy, very ill and Influenza B has been received from a physician concerning a 14 month old female patient, subsequent to receiving FluMist. The patient's medical history and concomitant medications were not reported. The patient received FluMist on approximately 07-October-2009. The patient was inadvertently given FluMist. Subsequently, the patient became very ill. On 14-Oct-2008 the patient tested positive for Influenza B. As of 03-Nov-2009, the patient was still very ill and lethargic. On an unknown date, the patient was hospitalized. Encephalitis was ruled out and the reporter indicated they "still don't know what's going on with the patient". The events were ongoing.11/17 and 11/24/2009 ED records for 10/7-10/9 and 10/24-10/26/2009. Patient with c/o's fever , dehydration, decreased appetite and lethargy. Tx: IVF for rehydration. On 10/26 transferred to another facility for continued care. 11/30/2009 MR, DC summary for 10/26/2009-11/3/2009, patient with fever, diarrhea, change in mental status. Tx: LP,  IV ABX, Acyclovir, Tamiflu DC Dx: Dehydration, Viral encephalopathy, Septic shock Follow-up: 19FEB2010: per MI conventions, mnfr for other vaccines not collected.
Age: 1.23
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Mental status changes, Pyrexia, Septic shock, Somnolence, Vomiting
Clinical narrative: A serious, spontaneous report on 14-month-old was "inadvertently given FluMist" lethargy, very ill and Influenza B has been received from a physician concerning a 14 month old female patient, subsequent to receiving FluMist. The patient's medical history and concomitant medications were not reported. The patient received FluMist on approximately 07-October-2009. The patient was inadvertently given FluMist. Subsequently, the patient became very ill. On 14-Oct-2008 the patient tested positive for Influenza B. As of 03-Nov-2009, the patient was still very ill and lethargic. On an unknown date, the patient was hospitalized. Encephalitis was ruled out and the reporter indicated they "still don't know what's going on with the patient". The events were ongoing.11/17 and 11/24/2009 ED records for 10/7-10/9 and 10/24-10/26/2009. Patient with c/o's fever , dehydration, decreased appetite and lethargy. Tx: IVF for rehydration. On 10/26 transferred to another facility for continued care. 11/30/2009 MR, DC summary for 10/26/2009-11/3/2009, patient with fever, diarrhea, change in mental status. Tx: LP,  IV ABX, Acyclovir, Tamiflu DC Dx: Dehydration, Viral encephalopathy, Septic shock Follow-up: 19FEB2010: per MI conventions, mnfr for other vaccines not collected.
Age: 1.23
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Wrong drug administered
Clinical narrative: A serious, spontaneous report on 14-month-old was "inadvertently given FluMist" lethargy, very ill and Influenza B has been received from a physician concerning a 14 month old female patient, subsequent to receiving FluMist. The patient's medical history and concomitant medications were not reported. The patient received FluMist on approximately 07-October-2009. The patient was inadvertently given FluMist. Subsequently, the patient became very ill. On 14-Oct-2008 the patient tested positive for Influenza B. As of 03-Nov-2009, the patient was still very ill and lethargic. On an unknown date, the patient was hospitalized. Encephalitis was ruled out and the reporter indicated they "still don't know what's going on with the patient". The events were ongoing.11/17 and 11/24/2009 ED records for 10/7-10/9 and 10/24-10/26/2009. Patient with c/o's fever , dehydration, decreased appetite and lethargy. Tx: IVF for rehydration. On 10/26 transferred to another facility for continued care. 11/30/2009 MR, DC summary for 10/26/2009-11/3/2009, patient with fever, diarrhea, change in mental status. Tx: LP,  IV ABX, Acyclovir, Tamiflu DC Dx: Dehydration, Viral encephalopathy, Septic shock Follow-up: 19FEB2010: per MI conventions, mnfr for other vaccines not collected.
Age: 1.25
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Influenza, Influenza serology positive, Lethargy, Malaise, Wrong drug administered
Clinical narrative: A serious, spontaneous report of 14-month-old was "inadvertently given FLUMIST", septic shock, viral encephalopathy, mental status changes, dehydration, and Influenza B has been received from a physician concerning a 14-month-old female patient, subsequent to receiving FLUMIST. The patient had no medical history. Concomitant medications included MMR vaccine given on 14-Oct-2009. The patient received FLUMIST on 14-Oct-2009 for flu prevention. The patient was not ill at the time of vaccination. On 14-Oct-2009, the patient was inadvertently given FLUMIST and subsequently became very ill. On 24-Oct-2009, the patient developed a fever 104 F, vomiting, dehydration, and tested positive for Influenza B by a nasal swab. On 24-Oct-2009, the patient was admitted to the hospital and on 26-Oct-2009, she was transferred to another hospital. She remained very ill, lethargic, sleepy, drowsy, and had an uncontrollable fever. It was initially reported the encephalitis was ruled out. A CAT scan of the brain. electroencephalography, and lumbar puncture were performed and the test results were all normal. A blood culture was taken and yielded no growth. The patient was treated with intravenous (IV) fluids, boluses, dopamine drip, nasogastric tube feedings, oseltamivir, ceftriaxone, vancomycin, and acyclovir. On 03-Nov-2009, all of the events resolved and the patient was discharged. Discharge medications included hydrocortisone and clotrimazole. Additional information was received on 05-Nov-2009 and 09-Nov-2009 an incorporated into narrative: event onset/end dates, concomitant medications, laboratory results, admission/discharge dates, diagnoses, treatment and outcome.
Age: 1.25
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Blood culture negative, Computerised tomogram normal, Dehydration, Electroencephalogram normal, Encephalitis viral
Clinical narrative: A serious, spontaneous report of 14-month-old was "inadvertently given FLUMIST", septic shock, viral encephalopathy, mental status changes, dehydration, and Influenza B has been received from a physician concerning a 14-month-old female patient, subsequent to receiving FLUMIST. The patient had no medical history. Concomitant medications included MMR vaccine given on 14-Oct-2009. The patient received FLUMIST on 14-Oct-2009 for flu prevention. The patient was not ill at the time of vaccination. On 14-Oct-2009, the patient was inadvertently given FLUMIST and subsequently became very ill. On 24-Oct-2009, the patient developed a fever 104 F, vomiting, dehydration, and tested positive for Influenza B by a nasal swab. On 24-Oct-2009, the patient was admitted to the hospital and on 26-Oct-2009, she was transferred to another hospital. She remained very ill, lethargic, sleepy, drowsy, and had an uncontrollable fever. It was initially reported the encephalitis was ruled out. A CAT scan of the brain. electroencephalography, and lumbar puncture were performed and the test results were all normal. A blood culture was taken and yielded no growth. The patient was treated with intravenous (IV) fluids, boluses, dopamine drip, nasogastric tube feedings, oseltamivir, ceftriaxone, vancomycin, and acyclovir. On 03-Nov-2009, all of the events resolved and the patient was discharged. Discharge medications included hydrocortisone and clotrimazole. Additional information was received on 05-Nov-2009 and 09-Nov-2009 an incorporated into narrative: event onset/end dates, concomitant medications, laboratory results, admission/discharge dates, diagnoses, treatment and outcome.
Age: 1.25
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Influenza, Influenza serology positive, Lethargy, Lumbar puncture normal, Malaise
Clinical narrative: A serious, spontaneous report of 14-month-old was "inadvertently given FLUMIST", septic shock, viral encephalopathy, mental status changes, dehydration, and Influenza B has been received from a physician concerning a 14-month-old female patient, subsequent to receiving FLUMIST. The patient had no medical history. Concomitant medications included MMR vaccine given on 14-Oct-2009. The patient received FLUMIST on 14-Oct-2009 for flu prevention. The patient was not ill at the time of vaccination. On 14-Oct-2009, the patient was inadvertently given FLUMIST and subsequently became very ill. On 24-Oct-2009, the patient developed a fever 104 F, vomiting, dehydration, and tested positive for Influenza B by a nasal swab. On 24-Oct-2009, the patient was admitted to the hospital and on 26-Oct-2009, she was transferred to another hospital. She remained very ill, lethargic, sleepy, drowsy, and had an uncontrollable fever. It was initially reported the encephalitis was ruled out. A CAT scan of the brain. electroencephalography, and lumbar puncture were performed and the test results were all normal. A blood culture was taken and yielded no growth. The patient was treated with intravenous (IV) fluids, boluses, dopamine drip, nasogastric tube feedings, oseltamivir, ceftriaxone, vancomycin, and acyclovir. On 03-Nov-2009, all of the events resolved and the patient was discharged. Discharge medications included hydrocortisone and clotrimazole. Additional information was received on 05-Nov-2009 and 09-Nov-2009 an incorporated into narrative: event onset/end dates, concomitant medications, laboratory results, admission/discharge dates, diagnoses, treatment and outcome.
Age: 1.25
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Mental status changes, Pyrexia, Septic shock, Somnolence, Vomiting
Clinical narrative: A serious, spontaneous report of 14-month-old was "inadvertently given FLUMIST", septic shock, viral encephalopathy, mental status changes, dehydration, and Influenza B has been received from a physician concerning a 14-month-old female patient, subsequent to receiving FLUMIST. The patient had no medical history. Concomitant medications included MMR vaccine given on 14-Oct-2009. The patient received FLUMIST on 14-Oct-2009 for flu prevention. The patient was not ill at the time of vaccination. On 14-Oct-2009, the patient was inadvertently given FLUMIST and subsequently became very ill. On 24-Oct-2009, the patient developed a fever 104 F, vomiting, dehydration, and tested positive for Influenza B by a nasal swab. On 24-Oct-2009, the patient was admitted to the hospital and on 26-Oct-2009, she was transferred to another hospital. She remained very ill, lethargic, sleepy, drowsy, and had an uncontrollable fever. It was initially reported the encephalitis was ruled out. A CAT scan of the brain. electroencephalography, and lumbar puncture were performed and the test results were all normal. A blood culture was taken and yielded no growth. The patient was treated with intravenous (IV) fluids, boluses, dopamine drip, nasogastric tube feedings, oseltamivir, ceftriaxone, vancomycin, and acyclovir. On 03-Nov-2009, all of the events resolved and the patient was discharged. Discharge medications included hydrocortisone and clotrimazole. Additional information was received on 05-Nov-2009 and 09-Nov-2009 an incorporated into narrative: event onset/end dates, concomitant medications, laboratory results, admission/discharge dates, diagnoses, treatment and outcome.
Age: 1.25
Sex: F
Vaccine: FLUN3, FLUN3, MMR
Symptoms: Wrong drug administered
Clinical narrative: A serious, spontaneous report of 14-month-old was "inadvertently given FLUMIST", septic shock, viral encephalopathy, mental status changes, dehydration, and Influenza B has been received from a physician concerning a 14-month-old female patient, subsequent to receiving FLUMIST. The patient had no medical history. Concomitant medications included MMR vaccine given on 14-Oct-2009. The patient received FLUMIST on 14-Oct-2009 for flu prevention. The patient was not ill at the time of vaccination. On 14-Oct-2009, the patient was inadvertently given FLUMIST and subsequently became very ill. On 24-Oct-2009, the patient developed a fever 104 F, vomiting, dehydration, and tested positive for Influenza B by a nasal swab. On 24-Oct-2009, the patient was admitted to the hospital and on 26-Oct-2009, she was transferred to another hospital. She remained very ill, lethargic, sleepy, drowsy, and had an uncontrollable fever. It was initially reported the encephalitis was ruled out. A CAT scan of the brain. electroencephalography, and lumbar puncture were performed and the test results were all normal. A blood culture was taken and yielded no growth. The patient was treated with intravenous (IV) fluids, boluses, dopamine drip, nasogastric tube feedings, oseltamivir, ceftriaxone, vancomycin, and acyclovir. On 03-Nov-2009, all of the events resolved and the patient was discharged. Discharge medications included hydrocortisone and clotrimazole. Additional information was received on 05-Nov-2009 and 09-Nov-2009 an incorporated into narrative: event onset/end dates, concomitant medications, laboratory results, admission/discharge dates, diagnoses, treatment and outcome.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pain in extremity, Pallor
Clinical narrative: Within 2-5 minutes of receiving H1N1 injection to R deltoid, pt began experiencing pain up and down arm along with feeling dizzy, pale, sweaty, did not improve 30 minutes supine in clinic. + nausea, no vomiting. Taken via ambulance to ED, given IVF, states she is recovered 11/16. She verifies correct IV location.
Age: 48.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Facial palsy
Clinical narrative: 2 days after receiving vaccine he developed Bells Palsy. 11/18/09 Medical records received for DOS 11/09/09. Final DX: Bell's Palsy. Progress notes. Two days s/p vaccine. L side facial paralysis, L mouth droop, L eyelid decreased movement w/blinking. Sensation decreased L side.  ICD 9 COdes: 250.0, 251.0, 135.0, 401.9, 272, 586
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, No adverse event
Clinical narrative: Pregnant, received intranasal done in my office-no ill effects thus far.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1), HPV4
Symptoms: Facial palsy, Facial paresis, Tinnitus
Clinical narrative: (Bells Palsy) 11/4/09 left facial palsy - weakness left eyelid, nose mouth on left side, ringing left ear began 24 hours after vaccine. Treated 11/01 with ZITHROMAX administered for strep throat, appeared resolved 11/3/09. 11/20/09 Medical records received for DOS 11/03/09- 11/13/09. Final DX: Bell's Palsy Facial weakness s/p flu nasal mist vaccine and Gardasil #1.  Buzzing in L ear. L eye not closed, weakness mouth and nasal L side. DX strep throat 2 days prior to vaccine.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood creatine phosphokinase, Blood thyroid stimulating hormone, Dizziness, Dyspnoea, Full blood count
Clinical narrative: 8hrs leg pain (weakness, decreased 6 days) bilaterally - brief SOB episode (6 hrs), 6 days bilateral weakness, hands, 6 days vertigo, 6 days sensation of wanting to pass out, 2 days headache, floaters both eyes.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Metabolic function test, Muscular weakness, Myodesopsia, Pain in extremity
Clinical narrative: 8hrs leg pain (weakness, decreased 6 days) bilaterally - brief SOB episode (6 hrs), 6 days bilateral weakness, hands, 6 days vertigo, 6 days sensation of wanting to pass out, 2 days headache, floaters both eyes.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vertigo
Clinical narrative: 8hrs leg pain (weakness, decreased 6 days) bilaterally - brief SOB episode (6 hrs), 6 days bilateral weakness, hands, 6 days vertigo, 6 days sensation of wanting to pass out, 2 days headache, floaters both eyes.
Age: 45.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Nasal congestion
Clinical narrative: Got intranasal on Fri 11/13/2009. Vomiting @ 8:-8:30pm, chills, sweat, head congestion, running nose, headache x2 days. Groggy and fatigue. Took MOTRIN for HA.
Age: 45.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Rhinorrhoea, Somnolence, Vomiting
Clinical narrative: Got intranasal on Fri 11/13/2009. Vomiting @ 8:-8:30pm, chills, sweat, head congestion, running nose, headache x2 days. Groggy and fatigue. Took MOTRIN for HA.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Confusional state, Dizziness, Dyspnoea, Fatigue, Mental status changes
Clinical narrative: Neck pain, profound fatigue, muscle weakness, dyspnea, altered mental status, confusion, lightheadedness, muscle twitching.  Tx with 5mg cortisol tid for 3d
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Muscle twitching, Muscular weakness, Neck pain
Clinical narrative: Neck pain, profound fatigue, muscle weakness, dyspnea, altered mental status, confusion, lightheadedness, muscle twitching.  Tx with 5mg cortisol tid for 3d
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea
Clinical narrative: Nausea-moderate. Headache-severe.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Diarrhoea, Lethargy, Pyrexia
Clinical narrative: lethargy, fever, diahrrea, no treatment given besides lots of sleep.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Crying, Decreased activity, Decreased appetite
Clinical narrative: MY CHILD HAS BEEN HAVING FEVER, COUGH, HEADACHE, LOSS OF APPETITE, LOOKS PALE, CRIES EVERY NOW AND THEN, AND NOT AS ACTIVE AS HE USED TO BE. HIS TEMPERATURE HAS REFUSED TO COME DOWN. HE HAS NEVER BEEN LIKE THIS SINCE HIS BIRTH. WE HAVE NO HEALTH INSURANCE AND HAVE NOT BEEN ABLE TO TAKE HIM TO SEE THE DOCTOR. WE HAVE BEEN GIVING HIM TYLENOL, BUT NO PROGRESS.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Pallor, Pyrexia
Clinical narrative: MY CHILD HAS BEEN HAVING FEVER, COUGH, HEADACHE, LOSS OF APPETITE, LOOKS PALE, CRIES EVERY NOW AND THEN, AND NOT AS ACTIVE AS HE USED TO BE. HIS TEMPERATURE HAS REFUSED TO COME DOWN. HE HAS NEVER BEEN LIKE THIS SINCE HIS BIRTH. WE HAVE NO HEALTH INSURANCE AND HAVE NOT BEEN ABLE TO TAKE HIM TO SEE THE DOCTOR. WE HAVE BEEN GIVING HIM TYLENOL, BUT NO PROGRESS.
Age: 36.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Chest pain, Cough, Dyspnoea, Eye discharge, Eye swelling
Clinical narrative: Headache, cough, chest burning, SOB, rapid heart rate, eyes swelling, eyes bloodshot, green drainage from eyes, GI upset, flushed.  No further treatment.
Age: 36.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Flushing, Gastrointestinal disorder, Headache, Heart rate increased, Ocular hyperaemia
Clinical narrative: Headache, cough, chest burning, SOB, rapid heart rate, eyes swelling, eyes bloodshot, green drainage from eyes, GI upset, flushed.  No further treatment.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dysphonia, Immunisation reaction, Influenza, Pyrexia
Clinical narrative: Developed a hoarse voice around noon time; developed fever around 6:00 PM which got progressively worse 102.5 to 103.5 Tylenol/Ibuprofen did not significantly help fever; brought it down only 0.4 degrees. Parents took child to ER. Were told that child either has the flu or could be reaction to vaccine. Child still running fever Monday 11/16/09 at 3:30 pm (101 -102.5).
Age: 1.02
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Patient presented to office with febrile illness and noted to have vesicular rash on abdomen, back, face, and legs.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Cough, Headache, Oropharyngeal pain, Pain
Clinical narrative: Symptoms: High Fever (103-104), Sore Throat, Coughing, Body Aches including Head and Stomach, Sneezing, Vomiting. Treatment: Tamiflu medicine (OSELTAMIVIR).
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Sneezing, Vomiting
Clinical narrative: Symptoms: High Fever (103-104), Sore Throat, Coughing, Body Aches including Head and Stomach, Sneezing, Vomiting. Treatment: Tamiflu medicine (OSELTAMIVIR).
Age: 39.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Dizziness, Headache, Swelling face
Clinical narrative: Client reports within 20 minutes of the vaccine she developed dizziness, severe HA and facial swelling. Client called the hotline at local hospital but was never seen. Does not have private physician at this time.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Bed rest, Condition aggravated, Dizziness, Fatigue, Headache
Clinical narrative: Client reports within 20 minutes of the vaccine she developed dizziness, severe HA and facial swelling. Client called the hotline at local hospital but was never seen. Does not have private physician at this time.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Lymphadenopathy, Pallor, Palpitations
Clinical narrative: Client reports within 20 minutes of the vaccine she developed dizziness, severe HA and facial swelling. Client called the hotline at local hospital but was never seen. Does not have private physician at this time.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Nausea, Reaction to previous exposure to any vaccine
Clinical narrative: Student became nauseated immediately after receiving IM injection of H1N1. No vomiting occurred. Student was taken to the school health room and assessed by the school nurse. School nurse informed staff that the student had had this occur in the past with other immunizations. Student ate something afterward and recovered completely.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion threatened, Bed rest, Discomfort, Drug exposure during pregnancy, Pain
Clinical narrative: Body Aches, Fever, went to MD 10/27/2009 given Tylenol 3 for discomfort.  On 10/28/2009 tried to miscarry due to dehydration and fever.  On bedrest for 3 days.  Doing fine now. 11/24/09 Medical records received for dates 10/28/09. DX: Pre term labor 32 wks gest. Presenting c/o receiving H1N1 vax approx 5 days ago per pt. 3 days later pt. states c/o severe body aches, now presenting with consistent uterine contractions every 5 min. Pt. is 32wks pregnant, G4 P2. Assessment: pt. appears pale, uncomfortable, (+)pre-term labor. Pt sent to L&D for eval.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Body Aches, Fever, went to MD 10/27/2009 given Tylenol 3 for discomfort.  On 10/28/2009 tried to miscarry due to dehydration and fever.  On bedrest for 3 days.  Doing fine now. 11/24/09 Medical records received for dates 10/28/09. DX: Pre term labor 32 wks gest. Presenting c/o receiving H1N1 vax approx 5 days ago per pt. 3 days later pt. states c/o severe body aches, now presenting with consistent uterine contractions every 5 min. Pt. is 32wks pregnant, G4 P2. Assessment: pt. appears pale, uncomfortable, (+)pre-term labor. Pt sent to L&D for eval.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Immediate post-injection reaction, Injection site haematoma, Injection site pain, Insomnia
Clinical narrative: CLIENT STATES ON 10/29/2009 AT APPROXIMATELY 10:00 AM SHE RECEIVED A FLU SHOT TO HER LT. ARM LESS THAN ONE FINGER LENGTH BELOW THE ACROMION PROCESS. SHE STATES IMMEDIATELY AFTER RECEIVING THE INJECTION SHE FELT BURNING AND PAIN AT THE SITE. THERE WAS BRUISING AT THE SITE THE NEXT DAY AND THE ARM WAS STILL HURTING. ON 10/31/2009 THE LT. SHOULDER STARTED TO HURT AND ON A SCALE OF 1 TO 10 WITH 10 THE WORSE CLIENT RATES THE PAIN AS A 10. CLIENT STATES IT HURT TO MOVE HER LT. ARM AND LT. SHOULDER FELT STIFF. SHE STATES SHE HAD TROUBLE SLEEPING AND TOOK TYLENOL AND IBUPROFEN WHICH DID NOT HELP. SHE STATES SHE ALSO USED TIGER BALM PATCHES WHICH WORKED FOR A SHORT TIME ONLY. ON 11/13/2009 CLIENT STATES SHE WENT TO THE CLINIC AND SEEN PHYSICIAN WHO DIAGNOSED HER AS HAVING SUBACROMIAL BURSITIS BUT NO X-RAY OR DIAGNOSTIC TESTING WAS DONE. CLIENT STATES THE PHYSICIAN COULD NOT DETERMINE IF THE CONDITION WAS CAUSED  BY THE INJECTION OR NOT. CLIENT RECEIVED A STEROIDAL INJECTION TO THE LT. SHOULDER ON 11/13/09. ON 11/16/09 CLIENT RATES THE LT. SHOULDER PAIN A 5 OR 6 WITH 10 THE WORSE.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Joint stiffness, Pain, Wrong technique in drug usage process
Clinical narrative: CLIENT STATES ON 10/29/2009 AT APPROXIMATELY 10:00 AM SHE RECEIVED A FLU SHOT TO HER LT. ARM LESS THAN ONE FINGER LENGTH BELOW THE ACROMION PROCESS. SHE STATES IMMEDIATELY AFTER RECEIVING THE INJECTION SHE FELT BURNING AND PAIN AT THE SITE. THERE WAS BRUISING AT THE SITE THE NEXT DAY AND THE ARM WAS STILL HURTING. ON 10/31/2009 THE LT. SHOULDER STARTED TO HURT AND ON A SCALE OF 1 TO 10 WITH 10 THE WORSE CLIENT RATES THE PAIN AS A 10. CLIENT STATES IT HURT TO MOVE HER LT. ARM AND LT. SHOULDER FELT STIFF. SHE STATES SHE HAD TROUBLE SLEEPING AND TOOK TYLENOL AND IBUPROFEN WHICH DID NOT HELP. SHE STATES SHE ALSO USED TIGER BALM PATCHES WHICH WORKED FOR A SHORT TIME ONLY. ON 11/13/2009 CLIENT STATES SHE WENT TO THE CLINIC AND SEEN PHYSICIAN WHO DIAGNOSED HER AS HAVING SUBACROMIAL BURSITIS BUT NO X-RAY OR DIAGNOSTIC TESTING WAS DONE. CLIENT STATES THE PHYSICIAN COULD NOT DETERMINE IF THE CONDITION WAS CAUSED  BY THE INJECTION OR NOT. CLIENT RECEIVED A STEROIDAL INJECTION TO THE LT. SHOULDER ON 11/13/09. ON 11/16/09 CLIENT RATES THE LT. SHOULDER PAIN A 5 OR 6 WITH 10 THE WORSE.
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Dizziness
Clinical narrative: Faculty member stated that while she was eating lunch (30 minutes after having received the H1N1 vaccine) she began to feel dizzy. School nurse took patient's blood pressure, which was initially 170/100 @ 1:20 PM; 152/90 @ 1:25 PM; and 132/70 @ 1:30 PM (faculty member was lying on L side on health room bed). She (the faculty member) stated that she had been out of her BP medication and "did not have any to take this morning."
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Chills, Diarrhoea, Migraine, Rhinorrhoea
Clinical narrative: Severe joint pain, chills, diarrhea, migraine headache, runny nose. Symptoms lasted approx. 48 hrs, with residual joint pain (less painful) for 5 days.
Age: 51.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Herpes zoster, Pain of skin
Clinical narrative: Severe skin pain on torso and lower back; diagnosed with shingles six days later after symptoms got worse and visit to physician became necessary.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Red, indurated lesion at the injection site 3cm in diameter.  No evidence of cellulitis and it is not warm to touch.  Ice pack applied.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity
Clinical narrative: Pain B/L anterior distal thighs and Proximal anterior knees.
Age: 29.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Headache, Nausea, Pallor
Clinical narrative: Severe Headache, Dizziness. Pale and Nausea. Passed within 2Hrs after side affect took place. Took Tylenol 500MG x2 and the the headache subsided. Slept and awoke feeling great.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Child developed urticaria on hands, arms, feet, legs, trunk, and face. Hands were swollen. Hives essentially resolved with Benadryl.