chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Death
Clinical narrative: Admitted to hospital 11/13/09. Expired 11/23/09. Doctor's note state pt received H1N1 and Seasonal flu vaccine 3 days prior to admission.  11/25/09 Hospital records received service dates 11/13//09 to 11/22/09. Assessment: Pneumonia, diphtheria Patient presents with cough and shortness of breath. Body aches, yellow sputum, right-sided chest pain with deep inspiration. Sore throat. Fever. Intubated and mechanically ventilated.   1/6/2010 Hospital discharge summary received. Service dates 11/13/09 to 11/23/09. Assessment: Severe bilateral pneumonia with adult respiratory distress syndrome. Respiratory failure with hypoxemia, sepsis, diarrhea,  acute renal failure, hypernatremia, hypoalbuminemia.  Patient seen at ED and diagnosed with pneumonia. Seen at PCP office later that day and admitted to hospital. Intensive care, intubation, ventilator.  High fever, hypotension, resusitation. Patient expired.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Lethargy, Ocular hyperaemia, Pyrexia, Somnolence
Clinical narrative: Increased sleeping, eyes have red rings around them, low grade fevers, lethargic.
Age: 34.0
Sex: F
Vaccine: FLU3, FLUX(H1N1)
Symptoms: Headache, Musculoskeletal stiffness, Neck pain, Pain in extremity
Clinical narrative: Received H1N1 in Rt arm & seasonal vaccine in the Lt arm 11/2/09 @ 4 pm. Woke up 11/4/09 morning & had severe pain posterior lower neck radiating to Rt. arm & up the back of her head. Went to her Dr 11/5 and was off work until 11/16. Had severe pain that whole time. Could not use right hand because it caused pain. Began physical therapy 11/11 & is still continuing 11/24. Neck has remained stiff-cannot move without pain.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Joint stiffness, Laboratory test, Musculoskeletal pain
Clinical narrative: joint pain in all extremities, fingers, wrists, shoulders, toes, ankles, knees. pain began after second shot, worsened and spread after third and final shot. had knee surgery to remove scar tissue (of unknown origin) in left knee on 12/16/2008. Pain and swelling of joints continued and worsened over time. Patient diagnosed with rheumatoid arthritis on 07/14/2009. Is now being treated for RA with medication and observation. Pain persists and worsens everyday and has become a daily struggle.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Condition aggravated, Joint swelling, Knee operation, Rheumatoid arthritis
Clinical narrative: joint pain in all extremities, fingers, wrists, shoulders, toes, ankles, knees. pain began after second shot, worsened and spread after third and final shot. had knee surgery to remove scar tissue (of unknown origin) in left knee on 12/16/2008. Pain and swelling of joints continued and worsened over time. Patient diagnosed with rheumatoid arthritis on 07/14/2009. Is now being treated for RA with medication and observation. Pain persists and worsens everyday and has become a daily struggle.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Dehydration, Guillain-Barre syndrome, Viral infection
Clinical narrative: 31 year old male, admitted to the Medical Center for rehabilitation post Guillain Barre.  He presented 3 weeks before admission (10/29/09) to Hospital with acute upper and lower extremity weakness associated with diplopia.  He was diagnosed with Guillain Barre and treated with IVIG for 5 days.  During his hospitalization, he had 3 seizure-like episodes. He describes them as his arms locking up, his feet plantar flex, his back arches, his eyes roll, dyspnea, with consciousness preserved, but unable to communicate, and "feels that he is going to die."  He was transferred to another Hospital for further evaluation.  Apparently the impression was pseudoseizures, perhaps anxiety induced.  Patient relates stress and uncertainty since his episode of Guillain Barre.  A plain CT head was unremarkable, as were serum chemistries, other than an asymptomatic elevation of AST/ALT, thought to be due to IVIG.  He was put on Keppra, which was later tapered off.  In the medical center he participated in inpatient rehab, both PT/OT with fair progress. On 11/5/09, he complained of worsening weakness in B/L LL, with burning pain in both of his thighs.  Neurology suggested to transfer to acute medicine, monitor for clinical worsening, respiratory status  decline.  MRI were ordered which showed no focal lesions of the cervical or thoracic cord.  No abnormal intrathecal enhancement on postcontrast images. Pt completed 4 days of IVIG without complication.  He also complained of unilateral headache with some numbness of his right side of his face.  He was started on sumatriptan by the primary team for migraines with good improvement.  The patient continued to have significant episodes of anxiety and was given alprazolam for the same.  He was then transferred back to the inpatient rehab floor for continued therapy.  He participated well and was subsequently dischared under stable condition.  11/30, 12/01 and  12/02/09 Medical records and discharge summary received for DOS 10/12/09-10/29/09. Final DX: Guillain-Barre syndrome s/to flu vaccnine most likely status post IVIG.  R/O seizure disorder.  Presented w/fever, viral syndrome. Myalgias, pain. Tingling in extrems. Strength decreased. Arthralgias. blurry/dble vision. Facial twitching. Ophthalmoplegia.  DX Guillain-Barre, tx w/IVIG andreleased w/ much improvement.  Returned w/seizure disorder. ng, unresponsive to verbal stim.  Fully aware but could not answer. No post ictal. Seizures began w/HA L side, numbness and tingling L side face, Eye rolling, thrashi Psudoseizures triggered by anxiety attacks. Stable. D/C to extended care.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Alanine aminotransferase increased, Anxiety, Aspartate aminotransferase increased, Blood product transfusion, Burning sensation
Clinical narrative: 31 year old male, admitted to the Medical Center for rehabilitation post Guillain Barre.  He presented 3 weeks before admission (10/29/09) to Hospital with acute upper and lower extremity weakness associated with diplopia.  He was diagnosed with Guillain Barre and treated with IVIG for 5 days.  During his hospitalization, he had 3 seizure-like episodes. He describes them as his arms locking up, his feet plantar flex, his back arches, his eyes roll, dyspnea, with consciousness preserved, but unable to communicate, and "feels that he is going to die."  He was transferred to another Hospital for further evaluation.  Apparently the impression was pseudoseizures, perhaps anxiety induced.  Patient relates stress and uncertainty since his episode of Guillain Barre.  A plain CT head was unremarkable, as were serum chemistries, other than an asymptomatic elevation of AST/ALT, thought to be due to IVIG.  He was put on Keppra, which was later tapered off.  In the medical center he participated in inpatient rehab, both PT/OT with fair progress. On 11/5/09, he complained of worsening weakness in B/L LL, with burning pain in both of his thighs.  Neurology suggested to transfer to acute medicine, monitor for clinical worsening, respiratory status  decline.  MRI were ordered which showed no focal lesions of the cervical or thoracic cord.  No abnormal intrathecal enhancement on postcontrast images. Pt completed 4 days of IVIG without complication.  He also complained of unilateral headache with some numbness of his right side of his face.  He was started on sumatriptan by the primary team for migraines with good improvement.  The patient continued to have significant episodes of anxiety and was given alprazolam for the same.  He was then transferred back to the inpatient rehab floor for continued therapy.  He participated well and was subsequently dischared under stable condition.  11/30, 12/01 and  12/02/09 Medical records and discharge summary received for DOS 10/12/09-10/29/09. Final DX: Guillain-Barre syndrome s/to flu vaccnine most likely status post IVIG.  R/O seizure disorder.  Presented w/fever, viral syndrome. Myalgias, pain. Tingling in extrems. Strength decreased. Arthralgias. blurry/dble vision. Facial twitching. Ophthalmoplegia.  DX Guillain-Barre, tx w/IVIG andreleased w/ much improvement.  Returned w/seizure disorder. ng, unresponsive to verbal stim.  Fully aware but could not answer. No post ictal. Seizures began w/HA L side, numbness and tingling L side face, Eye rolling, thrashi Psudoseizures triggered by anxiety attacks. Stable. D/C to extended care.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Communication disorder, Condition aggravated, Conversion disorder, Convulsion, Diplopia
Clinical narrative: 31 year old male, admitted to the Medical Center for rehabilitation post Guillain Barre.  He presented 3 weeks before admission (10/29/09) to Hospital with acute upper and lower extremity weakness associated with diplopia.  He was diagnosed with Guillain Barre and treated with IVIG for 5 days.  During his hospitalization, he had 3 seizure-like episodes. He describes them as his arms locking up, his feet plantar flex, his back arches, his eyes roll, dyspnea, with consciousness preserved, but unable to communicate, and "feels that he is going to die."  He was transferred to another Hospital for further evaluation.  Apparently the impression was pseudoseizures, perhaps anxiety induced.  Patient relates stress and uncertainty since his episode of Guillain Barre.  A plain CT head was unremarkable, as were serum chemistries, other than an asymptomatic elevation of AST/ALT, thought to be due to IVIG.  He was put on Keppra, which was later tapered off.  In the medical center he participated in inpatient rehab, both PT/OT with fair progress. On 11/5/09, he complained of worsening weakness in B/L LL, with burning pain in both of his thighs.  Neurology suggested to transfer to acute medicine, monitor for clinical worsening, respiratory status  decline.  MRI were ordered which showed no focal lesions of the cervical or thoracic cord.  No abnormal intrathecal enhancement on postcontrast images. Pt completed 4 days of IVIG without complication.  He also complained of unilateral headache with some numbness of his right side of his face.  He was started on sumatriptan by the primary team for migraines with good improvement.  The patient continued to have significant episodes of anxiety and was given alprazolam for the same.  He was then transferred back to the inpatient rehab floor for continued therapy.  He participated well and was subsequently dischared under stable condition.  11/30, 12/01 and  12/02/09 Medical records and discharge summary received for DOS 10/12/09-10/29/09. Final DX: Guillain-Barre syndrome s/to flu vaccnine most likely status post IVIG.  R/O seizure disorder.  Presented w/fever, viral syndrome. Myalgias, pain. Tingling in extrems. Strength decreased. Arthralgias. blurry/dble vision. Facial twitching. Ophthalmoplegia.  DX Guillain-Barre, tx w/IVIG andreleased w/ much improvement.  Returned w/seizure disorder. ng, unresponsive to verbal stim.  Fully aware but could not answer. No post ictal. Seizures began w/HA L side, numbness and tingling L side face, Eye rolling, thrashi Psudoseizures triggered by anxiety attacks. Stable. D/C to extended care.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Dyskinesia, Dyspnoea, Extensor plantar response, Feeling abnormal, Gaze palsy
Clinical narrative: 31 year old male, admitted to the Medical Center for rehabilitation post Guillain Barre.  He presented 3 weeks before admission (10/29/09) to Hospital with acute upper and lower extremity weakness associated with diplopia.  He was diagnosed with Guillain Barre and treated with IVIG for 5 days.  During his hospitalization, he had 3 seizure-like episodes. He describes them as his arms locking up, his feet plantar flex, his back arches, his eyes roll, dyspnea, with consciousness preserved, but unable to communicate, and "feels that he is going to die."  He was transferred to another Hospital for further evaluation.  Apparently the impression was pseudoseizures, perhaps anxiety induced.  Patient relates stress and uncertainty since his episode of Guillain Barre.  A plain CT head was unremarkable, as were serum chemistries, other than an asymptomatic elevation of AST/ALT, thought to be due to IVIG.  He was put on Keppra, which was later tapered off.  In the medical center he participated in inpatient rehab, both PT/OT with fair progress. On 11/5/09, he complained of worsening weakness in B/L LL, with burning pain in both of his thighs.  Neurology suggested to transfer to acute medicine, monitor for clinical worsening, respiratory status  decline.  MRI were ordered which showed no focal lesions of the cervical or thoracic cord.  No abnormal intrathecal enhancement on postcontrast images. Pt completed 4 days of IVIG without complication.  He also complained of unilateral headache with some numbness of his right side of his face.  He was started on sumatriptan by the primary team for migraines with good improvement.  The patient continued to have significant episodes of anxiety and was given alprazolam for the same.  He was then transferred back to the inpatient rehab floor for continued therapy.  He participated well and was subsequently dischared under stable condition.  11/30, 12/01 and  12/02/09 Medical records and discharge summary received for DOS 10/12/09-10/29/09. Final DX: Guillain-Barre syndrome s/to flu vaccnine most likely status post IVIG.  R/O seizure disorder.  Presented w/fever, viral syndrome. Myalgias, pain. Tingling in extrems. Strength decreased. Arthralgias. blurry/dble vision. Facial twitching. Ophthalmoplegia.  DX Guillain-Barre, tx w/IVIG andreleased w/ much improvement.  Returned w/seizure disorder. ng, unresponsive to verbal stim.  Fully aware but could not answer. No post ictal. Seizures began w/HA L side, numbness and tingling L side face, Eye rolling, thrashi Psudoseizures triggered by anxiety attacks. Stable. D/C to extended care.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Guillain-Barre syndrome, Hemicephalalgia, Hypoaesthesia facial, Laboratory test normal, Muscular weakness
Clinical narrative: 31 year old male, admitted to the Medical Center for rehabilitation post Guillain Barre.  He presented 3 weeks before admission (10/29/09) to Hospital with acute upper and lower extremity weakness associated with diplopia.  He was diagnosed with Guillain Barre and treated with IVIG for 5 days.  During his hospitalization, he had 3 seizure-like episodes. He describes them as his arms locking up, his feet plantar flex, his back arches, his eyes roll, dyspnea, with consciousness preserved, but unable to communicate, and "feels that he is going to die."  He was transferred to another Hospital for further evaluation.  Apparently the impression was pseudoseizures, perhaps anxiety induced.  Patient relates stress and uncertainty since his episode of Guillain Barre.  A plain CT head was unremarkable, as were serum chemistries, other than an asymptomatic elevation of AST/ALT, thought to be due to IVIG.  He was put on Keppra, which was later tapered off.  In the medical center he participated in inpatient rehab, both PT/OT with fair progress. On 11/5/09, he complained of worsening weakness in B/L LL, with burning pain in both of his thighs.  Neurology suggested to transfer to acute medicine, monitor for clinical worsening, respiratory status  decline.  MRI were ordered which showed no focal lesions of the cervical or thoracic cord.  No abnormal intrathecal enhancement on postcontrast images. Pt completed 4 days of IVIG without complication.  He also complained of unilateral headache with some numbness of his right side of his face.  He was started on sumatriptan by the primary team for migraines with good improvement.  The patient continued to have significant episodes of anxiety and was given alprazolam for the same.  He was then transferred back to the inpatient rehab floor for continued therapy.  He participated well and was subsequently dischared under stable condition.  11/30, 12/01 and  12/02/09 Medical records and discharge summary received for DOS 10/12/09-10/29/09. Final DX: Guillain-Barre syndrome s/to flu vaccnine most likely status post IVIG.  R/O seizure disorder.  Presented w/fever, viral syndrome. Myalgias, pain. Tingling in extrems. Strength decreased. Arthralgias. blurry/dble vision. Facial twitching. Ophthalmoplegia.  DX Guillain-Barre, tx w/IVIG andreleased w/ much improvement.  Returned w/seizure disorder. ng, unresponsive to verbal stim.  Fully aware but could not answer. No post ictal. Seizures began w/HA L side, numbness and tingling L side face, Eye rolling, thrashi Psudoseizures triggered by anxiety attacks. Stable. D/C to extended care.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Nuclear magnetic resonance imaging normal, Opisthotonus, Pain in extremity, Scan brain, Stress
Clinical narrative: 31 year old male, admitted to the Medical Center for rehabilitation post Guillain Barre.  He presented 3 weeks before admission (10/29/09) to Hospital with acute upper and lower extremity weakness associated with diplopia.  He was diagnosed with Guillain Barre and treated with IVIG for 5 days.  During his hospitalization, he had 3 seizure-like episodes. He describes them as his arms locking up, his feet plantar flex, his back arches, his eyes roll, dyspnea, with consciousness preserved, but unable to communicate, and "feels that he is going to die."  He was transferred to another Hospital for further evaluation.  Apparently the impression was pseudoseizures, perhaps anxiety induced.  Patient relates stress and uncertainty since his episode of Guillain Barre.  A plain CT head was unremarkable, as were serum chemistries, other than an asymptomatic elevation of AST/ALT, thought to be due to IVIG.  He was put on Keppra, which was later tapered off.  In the medical center he participated in inpatient rehab, both PT/OT with fair progress. On 11/5/09, he complained of worsening weakness in B/L LL, with burning pain in both of his thighs.  Neurology suggested to transfer to acute medicine, monitor for clinical worsening, respiratory status  decline.  MRI were ordered which showed no focal lesions of the cervical or thoracic cord.  No abnormal intrathecal enhancement on postcontrast images. Pt completed 4 days of IVIG without complication.  He also complained of unilateral headache with some numbness of his right side of his face.  He was started on sumatriptan by the primary team for migraines with good improvement.  The patient continued to have significant episodes of anxiety and was given alprazolam for the same.  He was then transferred back to the inpatient rehab floor for continued therapy.  He participated well and was subsequently dischared under stable condition.  11/30, 12/01 and  12/02/09 Medical records and discharge summary received for DOS 10/12/09-10/29/09. Final DX: Guillain-Barre syndrome s/to flu vaccnine most likely status post IVIG.  R/O seizure disorder.  Presented w/fever, viral syndrome. Myalgias, pain. Tingling in extrems. Strength decreased. Arthralgias. blurry/dble vision. Facial twitching. Ophthalmoplegia.  DX Guillain-Barre, tx w/IVIG andreleased w/ much improvement.  Returned w/seizure disorder. ng, unresponsive to verbal stim.  Fully aware but could not answer. No post ictal. Seizures began w/HA L side, numbness and tingling L side face, Eye rolling, thrashi Psudoseizures triggered by anxiety attacks. Stable. D/C to extended care.
Age: 31.0
Sex: M
Vaccine: FLUN3, FLUN3, FLUN3
Symptoms: Blood product transfusion, Diplopia, Guillain-Barre syndrome, Muscular weakness
Clinical narrative: 31 year old male, admitted to the Medical Center for rehabilitation post Guillain Barre.  He presented 3 weeks before admission (10/29/09) to Hospital with acute upper and lower extremity weakness associated with diplopia.  He was diagnosed with Guillain Barre and treated with IVIG for 5 days.  During his hospitalization, he had 3 seizure-like episodes. He describes them as his arms locking up, his feet plantar flex, his back arches, his eyes roll, dyspnea, with consciousness preserved, but unable to communicate, and "feels that he is going to die."  He was transferred to another Hospital for further evaluation.  Apparently the impression was pseudoseizures, perhaps anxiety induced.  Patient relates stress and uncertainty since his episode of Guillain Barre.  A plain CT head was unremarkable, as were serum chemistries, other than an asymptomatic elevation of AST/ALT, thought to be due to IVIG.  He was put on Keppra, which was later tapered off.  In the medical center he participated in inpatient rehab, both PT/OT with fair progress. On 11/5/09, he complained of worsening weakness in B/L LL, with burning pain in both of his thighs.  Neurology suggested to transfer to acute medicine, monitor for clinical worsening, respiratory status  decline.  MRI were ordered which showed no focal lesions of the cervical or thoracic cord.  No abnormal intrathecal enhancement on postcontrast images. Pt completed 4 days of IVIG without complication.  He also complained of unilateral headache with some numbness of his right side of his face.  He was started on sumatriptan by the primary team for migraines with good improvement.  The patient continued to have significant episodes of anxiety and was given alprazolam for the same.  He was then transferred back to the inpatient rehab floor for continued therapy.  He participated well and was subsequently dischared under stable condition.  11/30, 12/01 and  12/02/09 Medical records and discharge summary received for DOS 10/12/09-10/29/09. Final DX: Guillain-Barre syndrome s/to flu vaccnine most likely status post IVIG.  R/O seizure disorder.  Presented w/fever, viral syndrome. Myalgias, pain. Tingling in extrems. Strength decreased. Arthralgias. blurry/dble vision. Facial twitching. Ophthalmoplegia.  DX Guillain-Barre, tx w/IVIG andreleased w/ much improvement.  Returned w/seizure disorder. ng, unresponsive to verbal stim.  Fully aware but could not answer. No post ictal. Seizures began w/HA L side, numbness and tingling L side face, Eye rolling, thrashi Psudoseizures triggered by anxiety attacks. Stable. D/C to extended care.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Beginning on 11/21/09 patient stated that "everything hurt" and she "felt like I had the flu". Pain started in her shoulders and went down to her fingers bilaterally with swelling in the right hand. Elbows hurt the worst with joint pain in the fingers. Also had pain from knees down to feet. By 8:00 PM had a fever of 101. Swelling continued the next few days with fever of 99.7 at night. Tx with Tylenol. By 11/23 the swelling started to go down a bit and by 11/24 it was minial. She stated that she still had the continual painful feeling all over, but worse in the extremities and worse on the right side. Her personal physician gave her a referral to see a Neurologist with an appt. scheduled 11/25/2009.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Arthralgia, Body temperature increased, Influenza like illness, Musculoskeletal pain, Oedema peripheral
Clinical narrative: Beginning on 11/21/09 patient stated that "everything hurt" and she "felt like I had the flu". Pain started in her shoulders and went down to her fingers bilaterally with swelling in the right hand. Elbows hurt the worst with joint pain in the fingers. Also had pain from knees down to feet. By 8:00 PM had a fever of 101. Swelling continued the next few days with fever of 99.7 at night. Tx with Tylenol. By 11/23 the swelling started to go down a bit and by 11/24 it was minial. She stated that she still had the continual painful feeling all over, but worse in the extremities and worse on the right side. Her personal physician gave her a referral to see a Neurologist with an appt. scheduled 11/25/2009.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pain, Pyrexia
Clinical narrative: Beginning on 11/21/09 patient stated that "everything hurt" and she "felt like I had the flu". Pain started in her shoulders and went down to her fingers bilaterally with swelling in the right hand. Elbows hurt the worst with joint pain in the fingers. Also had pain from knees down to feet. By 8:00 PM had a fever of 101. Swelling continued the next few days with fever of 99.7 at night. Tx with Tylenol. By 11/23 the swelling started to go down a bit and by 11/24 it was minial. She stated that she still had the continual painful feeling all over, but worse in the extremities and worse on the right side. Her personal physician gave her a referral to see a Neurologist with an appt. scheduled 11/25/2009.
Age: 39.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Nausea
Clinical narrative: Nausea, Dizziness
Age: 25.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Halo vision, Headache
Clinical narrative: I started seeing colors from my eyes as if I was light headed with no uphoria.  Now I have a slight head ache.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Generalized urticaria.  OTC antihistamine was given, which relieved symptoms temporarily.  Urticaria still continues after 48 hours.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Nausea, Oropharyngeal pain, Vomiting
Clinical narrative: Chills, nausea, sore throat. Vomited around 9 PM.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Pt woke up that morning with rash on torso and back.
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature fluctuation, Cough, Ear pain, Headache, Increased upper airway secretion
Clinical narrative: Started with cough, the next morning was coughing up gobs of phlegm, since then cough and phlegm have gotten progressively worse, also having some trouble regulating body temperature in the early morning hours, slight headache, minor ear and throat pain.
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain
Clinical narrative: Started with cough, the next morning was coughing up gobs of phlegm, since then cough and phlegm have gotten progressively worse, also having some trouble regulating body temperature in the early morning hours, slight headache, minor ear and throat pain.
Age: 69.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site pain
Clinical narrative: Vaccine administered L deltoid on 11/19/09. Burning sensation in L forearm began 11/21/09 - now resolved. Currently complains of tenderness L deltoid and L shoulder. Exam eval.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Asthenopia, Bed rest, Coma, Communication disorder, Eating disorder
Clinical narrative: Within 2 hours of vaccine I experienced complete exhaustion, fatigue and was more like a zombie state, couldn't even open my eyes from the tired feeling that came over me.  I was in the state of a coma, no eye contact, non responsive, couldn't function, complete bedrest, couldn't eat or even communicate with anyone, out of it.  12/02/09 Vaccine record received for DOS 11/18/09 and 11/19/09. Impression: Chronic sinus infection unresolved  Pt c/o sleepiness, Pt's Dr considered chronic sinusitis. Sinus examination: crusting in R and underlying purulent material in R maxillary sinus. Tx: steroids, mupirocin, tobramycin.  12/2/09 Medical records received for date 11/16/09. recurrent sinusitis. presenting w/ chronic sinus infection. Assessment: thick green mucous from nasopharynx and oropharynx.  12/2/09 Medical records received for date 12/2/09. DX: Left hip pain. OV c/o left hip pain x several months. mild chest pain, vomiting
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Feeling abnormal, Unresponsive to stimuli
Clinical narrative: Within 2 hours of vaccine I experienced complete exhaustion, fatigue and was more like a zombie state, couldn't even open my eyes from the tired feeling that came over me.  I was in the state of a coma, no eye contact, non responsive, couldn't function, complete bedrest, couldn't eat or even communicate with anyone, out of it.  12/02/09 Vaccine record received for DOS 11/18/09 and 11/19/09. Impression: Chronic sinus infection unresolved  Pt c/o sleepiness, Pt's Dr considered chronic sinusitis. Sinus examination: crusting in R and underlying purulent material in R maxillary sinus. Tx: steroids, mupirocin, tobramycin.  12/2/09 Medical records received for date 11/16/09. recurrent sinusitis. presenting w/ chronic sinus infection. Assessment: thick green mucous from nasopharynx and oropharynx.  12/2/09 Medical records received for date 12/2/09. DX: Left hip pain. OV c/o left hip pain x several months. mild chest pain, vomiting
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: Runny nose, fever, sore throat. Fever noted 105.9 degrees Fahrenheit.
Age: 32.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Chills, Lip swelling, Urticaria
Clinical narrative: I started having Hives, chills and extreme swelling of the lips. As of today 11.25.2009, I am still having hives and random swelling even though I take Zyrtec every day.
Age: 1.54
Sex: F
Vaccine: FLU(H1N1)
Symptoms: No reaction on previous exposure to drug, Urticaria
Clinical narrative: Developed hives over entire body - most concentrated over trunk.  She had receieved the seasonal influenza vaccine (single dose administration, thimerisol free) on 11/16/09 and developed hives on 11/17 -11/21.  Hives decreased during the precendent 5 days prior to H1N1 vaccine then increased significantly after H1N1 vaccination on 11/21/09. She was treated with 2.5mg po loratidine on 11/22/09 with subsequent resolution of hives.  No breathing difficulties, no wheezing, or other systemic reactions noted.  Pt had 2 seasonal influenza vaccines (primary and booster) 1 year prior without any reactions.
Age: 6.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Ear pain, Insomnia, Urticaria
Clinical narrative: Hives for about 25 minutes on 11/24/2009. Fine the rest of the day. Ear ache and unable to sleep 11/24/2009.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Was informed by mother after the vaccine was administered that as a child I had bad reactions w/fever and headache.  I immediatly began taking ibuprofen to ward off fever.  Went to bed around 10pm and woke up suddenly at 3am with severe chills.  Had a fever of 103.5. Took more Ibuprofen, broke fever after about 15/20 minutes.  Upon waking up at 6:30am had severe headache and low grade fever of 99.0.  I have continued to take ibuprofen to help with syptoms.
Age: 11.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Sore throat, body aches, fever lasted almost 2 days. Treated with rest, liquids, Tylenol, Motrin.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Influenza, Influenza serology positive, Pyrexia, Rhinitis
Clinical narrative: Pt given H1N1 shot 0.5ml on 11/17/09. Has hx/o liver CA and transplant. 2 days later had fever/cough, Rhinitis and on 11/20 positive for Influenza A.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dyspnoea, Headache, Immediate post-injection reaction, Rhinorrhoea
Clinical narrative: About 1 hour after H1N1 nasal vaccine administered pt developed severe headache and runny nose. Within 11/2 hour developed cough and shortness of breath. When seen in office diffuse decrease better sounds peak flow ,100 02 Sat S 94% - given Albuterol and Orapred.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Excoriation, Loss of consciousness, Syncope
Clinical narrative: Syncope after receiving immunization.  Sat in chair for about a minutes.  Then passed out.  Head hit wall by the chair bruise/abrasion on left temple.  Reported nothing eaten since lunch.  Alert talking, pupils equal & react to light.  B/P at 5:20 100/70 P 92.
Age: 0.87
Sex: M
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: Seizure.
Age: 49.0
Sex: F
Vaccine: FLUN3
Symptoms: Asthma, Chest discomfort, Dyspnoea, Wheezing
Clinical narrative: Wheezing, asthma - like symptoms, pressure in upper lungs.  Feeling out of breath.  (To Doctor on 11/20/09 : SYMBACORT & PROTIC inhalers).
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Heart rate increased, Immediate post-injection reaction, Myalgia, Oropharyngeal pain
Clinical narrative: Received at Hospital stayed 10 mins, Nasal FM given, within 20min-reports sore throat, facial swelling, fever 101, muscle aches, headache. Reported by 11/23 fever gone + headache. She also felt after shot her pulse was fast. By 11/24 - facial swelling gone continues as of 11/25 has sore throat + muscle aches. Did not go for MD follow up. No prior hx of a flu shot. No medications, no health problems, 4 children - 2FM-2-IM did fine. Referred for MD advice on further H1N1 vaccine or flu.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Swelling, Swelling face
Clinical narrative: Received at Hospital stayed 10 mins, Nasal FM given, within 20min-reports sore throat, facial swelling, fever 101, muscle aches, headache. Reported by 11/23 fever gone + headache. She also felt after shot her pulse was fast. By 11/24 - facial swelling gone continues as of 11/25 has sore throat + muscle aches. Did not go for MD follow up. No prior hx of a flu shot. No medications, no health problems, 4 children - 2FM-2-IM did fine. Referred for MD advice on further H1N1 vaccine or flu.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Culture throat, Erythema multiforme, Serum sickness, Urticaria
Clinical narrative: Onset of symptoms 11/17/09 5pm hives on trunk and extremities, progressed to generalized hives. Seen in ER and treated. Then seen by dermatologist, another ER visit, Dx erythema multiforme and serum sickness.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood electrolytes normal, Blood thyroid stimulating hormone normal, Burning sensation, C-reactive protein normal, Feeling hot
Clinical narrative: Neurological symptoms: initially lower extremity weakness & feelings of numbness. Buttocks, legs, and feet felt heavy with tingling, burning, & muscle twitching. Progressed to upper extremities with feelings of weakness, numbness, tingling and muscle twitching. Progressed to near inability to walk on the 6th day. After 9 days, extremities remain weak, with feelings of numbness, tingling and hot sensations.  11/25/09 ED, Hospital records and discharge summary received. Service dates 11/22/09 to 11/23/09. Assessment: Mild quadraparesis of uncertain etiology.  Patient felt jittery a week ago, admitted because of weakness. "Funny feeling" heels bilateral. Difficulty walking. Generalized tingling feeling. C/O back discomfort, weakness or fatigue of lower extremities. Legs feel heavy, numbness. Mild hyper-reflexia. Overweight. Reports subjective improvement and discharged.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Full blood count normal, Gait disturbance, Hypoaesthesia, Muscle twitching, Muscular weakness
Clinical narrative: Neurological symptoms: initially lower extremity weakness & feelings of numbness. Buttocks, legs, and feet felt heavy with tingling, burning, & muscle twitching. Progressed to upper extremities with feelings of weakness, numbness, tingling and muscle twitching. Progressed to near inability to walk on the 6th day. After 9 days, extremities remain weak, with feelings of numbness, tingling and hot sensations.  11/25/09 ED, Hospital records and discharge summary received. Service dates 11/22/09 to 11/23/09. Assessment: Mild quadraparesis of uncertain etiology.  Patient felt jittery a week ago, admitted because of weakness. "Funny feeling" heels bilateral. Difficulty walking. Generalized tingling feeling. C/O back discomfort, weakness or fatigue of lower extremities. Legs feel heavy, numbness. Mild hyper-reflexia. Overweight. Reports subjective improvement and discharged.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Neurological symptom, Paraesthesia, Sensation of heaviness
Clinical narrative: Neurological symptoms: initially lower extremity weakness & feelings of numbness. Buttocks, legs, and feet felt heavy with tingling, burning, & muscle twitching. Progressed to upper extremities with feelings of weakness, numbness, tingling and muscle twitching. Progressed to near inability to walk on the 6th day. After 9 days, extremities remain weak, with feelings of numbness, tingling and hot sensations.  11/25/09 ED, Hospital records and discharge summary received. Service dates 11/22/09 to 11/23/09. Assessment: Mild quadraparesis of uncertain etiology.  Patient felt jittery a week ago, admitted because of weakness. "Funny feeling" heels bilateral. Difficulty walking. Generalized tingling feeling. C/O back discomfort, weakness or fatigue of lower extremities. Legs feel heavy, numbness. Mild hyper-reflexia. Overweight. Reports subjective improvement and discharged.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, No adverse event
Clinical narrative: No adverse event; patient pregnant. 12/01/09 Medical records received for DOS range 9/25-11/26.   22 week IUP.  G3 P2 .  LMP 6/16/09. EDD 3/24/10.  Currently treated for depression and PTSD w/psychotherapy and Risperdal.  HSV suppression. SAB precautions.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Headache, Hypoaesthesia, Musculoskeletal pain, Paraesthesia
Clinical narrative: Numbness and tingling in the left arm.  Pain accross the shoulders and below the shoulder blades and starting to make the left arm tingle and feel numb.  Mild headache.  Feel very tired.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Clinical narrative: None 12/2/2009 OB prenatal records received, no side effects noted from vaccine
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pyrexia
Clinical narrative: Right thigh swollen, red and warm to touch and fever 99.6.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: Tinnitus
Clinical narrative: A very loud ringing in both of my ears, Tinitis. This loud ringing lasted for about 1 week. Now, 11/25/2009, I still have ringing in my right ear. The ENT doctor said that he had never heard of this type of side effect from the vaccine. I just thought that I would send the info to you just for your records.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood glucose increased, Complex partial seizures
Clinical narrative: Child appeared to expierence a complex partial seizure which lasted approx. 20 seconds.  Vitals were within normal range 911 was notified  blood sugar was 127 she had not eaten parents were recommended to take her to her doctor  mother stated that this has happened before with shots.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure abnormal, Dizziness, Hyperhidrosis, Oxygen supplementation, Respiratory rate increased
Clinical narrative: Patient was diaphoretic with hives around neck, face, and back. Breathing fast. Indicated that she had the vaccine (shot) a few minutes before. Also felt dizzy and light headed. An Epi Pen was prepared ("yellow" as requested by patient and as indicated by patient's weight). Paramedics were called as patient felt like she was going to pass out. She was placed on the floor. The hives improved soon after the Epi Pen was administered and her breathing slowed. Blood pressure was 164/40. Paramedics started O2 and took her to ER.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Patient was diaphoretic with hives around neck, face, and back. Breathing fast. Indicated that she had the vaccine (shot) a few minutes before. Also felt dizzy and light headed. An Epi Pen was prepared ("yellow" as requested by patient and as indicated by patient's weight). Paramedics were called as patient felt like she was going to pass out. She was placed on the floor. The hives improved soon after the Epi Pen was administered and her breathing slowed. Blood pressure was 164/40. Paramedics started O2 and took her to ER.
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Injection site erythema, Injection site haematoma, Injection site pain, Injection site rash
Clinical narrative: Within one hour of vaccination began having headache that lasted several days.  Within 2 hours of vaccination began having painful bruising of arm where received injection from elbow to shoulder and red-raised rash covering area.  Rash, bruising and pain lasted approximately one week.  Did not see a physician for this, however was diagnosed with strep on 11/23/09.
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Streptococcal infection
Clinical narrative: Within one hour of vaccination began having headache that lasted several days.  Within 2 hours of vaccination began having painful bruising of arm where received injection from elbow to shoulder and red-raised rash covering area.  Rash, bruising and pain lasted approximately one week.  Did not see a physician for this, however was diagnosed with strep on 11/23/09.
Age: 63.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Death
Clinical narrative: Pt went to the gym and died from a heart attack/stroke?? within 24hrs of obtaining H1N1 injection.  12/22/09 ED records received. Service dates 11/23/09 to 11/24/09. Assessment: Cardiac arrest. EMS called because of chest pain, arrested on route to ED. Intubation. Resusitation.  Ventricular Fibrillation. Patient presents in cardiac arrest. Radial pulses absent. Pupils fixed and dilated. Skin mottled, clammy, temperature is cool. Pronounced expired
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Injected limb mobility decreased, Insomnia, Joint range of motion decreased, Musculoskeletal stiffness
Clinical narrative: Approx. 3 hours after receiving my flu vaccne, my left arm started to get stiff and sore. Knew this was normal, so I took Tylenol and applied an ice pack. Pain only worsened and did not go away. On 10/26/2009, I saw a dr. who prscribed Prednisone. I took that for one week and the pain went away, but returned when I tapered off the meds. Went back on Pred for another week, but again pain returned when finished with the meds. The pain is so bad I can't sleep at night, and it throbs all day long. Saw Dr. again and he diagnosed Myositis, and said I will need physical therapy to keep my shoulder from encapsulating and losing all range of motion. As of now, my range of motion is very limited and if I don't use my arm, it will freeze permanently due to scar tissue formation.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Myositis, Pain in extremity
Clinical narrative: Approx. 3 hours after receiving my flu vaccne, my left arm started to get stiff and sore. Knew this was normal, so I took Tylenol and applied an ice pack. Pain only worsened and did not go away. On 10/26/2009, I saw a dr. who prscribed Prednisone. I took that for one week and the pain went away, but returned when I tapered off the meds. Went back on Pred for another week, but again pain returned when finished with the meds. The pain is so bad I can't sleep at night, and it throbs all day long. Saw Dr. again and he diagnosed Myositis, and said I will need physical therapy to keep my shoulder from encapsulating and losing all range of motion. As of now, my range of motion is very limited and if I don't use my arm, it will freeze permanently due to scar tissue formation.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Eye disorder, Glossodynia, Headache
Clinical narrative: Tongue felt a little swollen and sore. Started to cough and eyes were teary and glassy.  Chills.  T=102.  Headache.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Lacrimation increased, Pyrexia, Swollen tongue
Clinical narrative: Tongue felt a little swollen and sore. Started to cough and eyes were teary and glassy.  Chills.  T=102.  Headache.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), MMR, VARCEL
Symptoms: Rash erythematous, Rash papular
Clinical narrative: 11/22 small red bumpy rash on RLQ abdomen , about 8 small bumps. c/o itchy. 11/23 -bump on neck. 11/24 - more bumps on arm about 3. Rash on belly fading. No meds given.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Chills, Dizziness, Dysstasia, Eye disorder
Clinical narrative: Developed chills as if getting a fever.  Felt tired and cold from the afternoon throughout the following night.  In the am, when I got up I became distinctly nauseous and dizzy and could not stand for long.  Went immediately to lie down.  Slept most of the day; keeping my eyes open hurt my head.  The next night was better although I went through cycles of sweating during the night.  That morning I felt better but after showering became too tired to go to work.  Rested all day.  3rd night ok, am at work now with a fuzzy head and I feel weak, but I should be able to function.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Feeling abnormal, Feeling cold, Impaired work ability, Nausea
Clinical narrative: Developed chills as if getting a fever.  Felt tired and cold from the afternoon throughout the following night.  In the am, when I got up I became distinctly nauseous and dizzy and could not stand for long.  Went immediately to lie down.  Slept most of the day; keeping my eyes open hurt my head.  The next night was better although I went through cycles of sweating during the night.  That morning I felt better but after showering became too tired to go to work.  Rested all day.  3rd night ok, am at work now with a fuzzy head and I feel weak, but I should be able to function.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Night sweats, Somnolence
Clinical narrative: Developed chills as if getting a fever.  Felt tired and cold from the afternoon throughout the following night.  In the am, when I got up I became distinctly nauseous and dizzy and could not stand for long.  Went immediately to lie down.  Slept most of the day; keeping my eyes open hurt my head.  The next night was better although I went through cycles of sweating during the night.  That morning I felt better but after showering became too tired to go to work.  Rested all day.  3rd night ok, am at work now with a fuzzy head and I feel weak, but I should be able to function.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Headache, fever ~37.5 degree, occasional vomiting.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion missed, Drug exposure during pregnancy, Ultrasound uterus abnormal, Uterine dilation and curettage
Clinical narrative: Went for normal prenatal ultrasound at 11weeks 4days pregnant at OB office and found that my baby was only measuring  8weeks 3days  which is when i recieved my H1N1 vaccine!!!  I suffered a missed miscarriage and had to have a d&c because of it. 12/1/09 medical records received for DOS 11/13-12/1/09 OB telephone notes. Final DX: Fetal demise, partial hydatidiform mole.  On U/S fetal demise at approx 8 weeks.  Previous ultrasound at initial visit showed fetal growth appropx 1 week behind.  Molar pregnancy. D&C.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Diarrhoea, Fatigue, Feeling abnormal, Influenza
Clinical narrative: Felt like my body was fighting something off.  Extremely tired, upset stomach.  That evening had a fever and diarrhea, nausea, Sat morning still had those symptoms but sore throat and burning congested chest.  Today is the seventh day since being vaccinated and hopefully will be better.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Influenza serology positive, Nausea, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Felt like my body was fighting something off.  Extremely tired, upset stomach.  That evening had a fever and diarrhea, nausea, Sat morning still had those symptoms but sore throat and burning congested chest.  Today is the seventh day since being vaccinated and hopefully will be better.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Throat irritation, Vaccination complication
Clinical narrative: Felt like my body was fighting something off.  Extremely tired, upset stomach.  That evening had a fever and diarrhea, nausea, Sat morning still had those symptoms but sore throat and burning congested chest.  Today is the seventh day since being vaccinated and hopefully will be better.
Age: 30.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Syncope
Clinical narrative: Headaches, lightheadedness, fainting, muscle aches, fatigue.
Age: 30.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Abortion spontaneous, Contraindication to vaccination, Drug exposure during pregnancy, Vaginal haemorrhage
Clinical narrative: 7 Weeks pregnant - spotting started at 12:15pm.  Pregnancy lost 11:30 PM.