chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: R/T/TDAD 11/13/09 patient presented L upper arm, c/o itching and redness @ injection site approximately 2" diameter. Reddened area, warm to touch T 97 degrees, P 68, B/P 112/72
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Nausea, Pain
Clinical narrative: Mild problems: soreness at injection site and nausea, some aching on the following day throughout body.
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Myalgia, Pain
Clinical narrative: Mild problems; muscle aches and soreness through entire body.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Oropharyngeal pain, Pain, Pain of skin, Paraesthesia
Clinical narrative: Numb feet and hands, proceed to prickle, pins, hurt above both knees, then thighs, buttocks, pain, now all the way to waist line. Latest scalp sore to touch and had sore throat yesterday. No temp.  11/23/09 Medical records received for DOS 11/16/09 and 11/24/09.   Final DX: severe reaction to H1N1 flu shot (10/22/09). Hypertension benign C/O swollen painful joints, heart palpitations, tingling and pinprick/discomfort  in thighs, ascending to buttocks/waist.  Patient had stress r/to CA tx and job. Hypertension.   ICD9 Codes: 782.0, E948.8, 401.1
Age: 18.0
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPA, PPV
Symptoms: Band neutrophil percentage, Blood culture negative, Cellulitis, Chills, Granulocyte count increased
Clinical narrative: Developed rigors, fever, pneumonia (+) Influenza A, as well as L thigh swelling, redness pain c/w cellulitis -> hospitalized for pulmonary status as well as IV Abx.  11/17/09:  Discharge Summary recieved for dates of service 11/4/09 to 11/7/09.  Final Dx:  Influenza A-Rule out H1N1, Bronchitis with clinical right middle lobe pneumonia, asthma exacerbation-improved, resolving chest pain, possible LVH on echocardiogram-r/o LVH, boarderline diabetes mellitus, left thigh cellulitis, leukocytosis with left shift-sepsis ruled out.   Assessment:  Dx. in office with viral syndrome and frontal sinusitis and treated with Zithromax for 7 days and prednisone for 5 days. Returned to the office with c/o two weeks of congestion, chills, HA, productive cough RUQ and LUQ abdominal pain, decreased appetite and sore throat and diagnosed with bronchitis with decreased apical breath sounds and probable influenza. On date of admission presented with c/o substernal chest pain and SOB, fever, headache, neck and back stiffness, fatigue and nausea. Rigors, decreased R sided breath sounds and a respiratory rate of 34 were noted.  Cultures obtained and pt. placed on IV fluids with Levaquin IV and Tamiflu, Advair, Singulair and ceftin.  Nebulizer tx. Q 6 hrs, increased to Q 4 hrs.  SpO2 remained 98-100% on room air.   Temp. ranged from 98.0 to 102.8. Lungs with RML rhonchi and crackles. Prednisone therapy initiated.  C/o increased L thigh pain at injection site of Pneumovax with erythema and warmth to touch.  Rocephin and warm compresses initiated.  Discharged on 11/7 on 2500 kcal ADA diet, warm compresses to L thigh 3 x daily.
Age: 18.0
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPA, PPV
Symptoms: Influenza, Influenza serology positive, Injection site cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Developed rigors, fever, pneumonia (+) Influenza A, as well as L thigh swelling, redness pain c/w cellulitis -> hospitalized for pulmonary status as well as IV Abx.  11/17/09:  Discharge Summary recieved for dates of service 11/4/09 to 11/7/09.  Final Dx:  Influenza A-Rule out H1N1, Bronchitis with clinical right middle lobe pneumonia, asthma exacerbation-improved, resolving chest pain, possible LVH on echocardiogram-r/o LVH, boarderline diabetes mellitus, left thigh cellulitis, leukocytosis with left shift-sepsis ruled out.   Assessment:  Dx. in office with viral syndrome and frontal sinusitis and treated with Zithromax for 7 days and prednisone for 5 days. Returned to the office with c/o two weeks of congestion, chills, HA, productive cough RUQ and LUQ abdominal pain, decreased appetite and sore throat and diagnosed with bronchitis with decreased apical breath sounds and probable influenza. On date of admission presented with c/o substernal chest pain and SOB, fever, headache, neck and back stiffness, fatigue and nausea. Rigors, decreased R sided breath sounds and a respiratory rate of 34 were noted.  Cultures obtained and pt. placed on IV fluids with Levaquin IV and Tamiflu, Advair, Singulair and ceftin.  Nebulizer tx. Q 6 hrs, increased to Q 4 hrs.  SpO2 remained 98-100% on room air.   Temp. ranged from 98.0 to 102.8. Lungs with RML rhonchi and crackles. Prednisone therapy initiated.  C/o increased L thigh pain at injection site of Pneumovax with erythema and warmth to touch.  Rocephin and warm compresses initiated.  Discharged on 11/7 on 2500 kcal ADA diet, warm compresses to L thigh 3 x daily.
Age: 18.0
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPA, PPV
Symptoms: Injection site swelling, Lymphocyte percentage decreased, Pneumonia, Pyrexia, White blood cell count increased
Clinical narrative: Developed rigors, fever, pneumonia (+) Influenza A, as well as L thigh swelling, redness pain c/w cellulitis -> hospitalized for pulmonary status as well as IV Abx.  11/17/09:  Discharge Summary recieved for dates of service 11/4/09 to 11/7/09.  Final Dx:  Influenza A-Rule out H1N1, Bronchitis with clinical right middle lobe pneumonia, asthma exacerbation-improved, resolving chest pain, possible LVH on echocardiogram-r/o LVH, boarderline diabetes mellitus, left thigh cellulitis, leukocytosis with left shift-sepsis ruled out.   Assessment:  Dx. in office with viral syndrome and frontal sinusitis and treated with Zithromax for 7 days and prednisone for 5 days. Returned to the office with c/o two weeks of congestion, chills, HA, productive cough RUQ and LUQ abdominal pain, decreased appetite and sore throat and diagnosed with bronchitis with decreased apical breath sounds and probable influenza. On date of admission presented with c/o substernal chest pain and SOB, fever, headache, neck and back stiffness, fatigue and nausea. Rigors, decreased R sided breath sounds and a respiratory rate of 34 were noted.  Cultures obtained and pt. placed on IV fluids with Levaquin IV and Tamiflu, Advair, Singulair and ceftin.  Nebulizer tx. Q 6 hrs, increased to Q 4 hrs.  SpO2 remained 98-100% on room air.   Temp. ranged from 98.0 to 102.8. Lungs with RML rhonchi and crackles. Prednisone therapy initiated.  C/o increased L thigh pain at injection site of Pneumovax with erythema and warmth to touch.  Rocephin and warm compresses initiated.  Discharged on 11/7 on 2500 kcal ADA diet, warm compresses to L thigh 3 x daily.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Child reported to a clinic with local reaction in (R) deltoid. Red/swollen at the injection site. The doctor at the clinic called and reported reaction to our clinic.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Cough, Pain in extremity, Pyrexia
Clinical narrative: Got nasal mist 11am on Sat. First complained about stomach ache around 7PM Sunday, then overnight was coughing, had 101 fever and complained of leg pain.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye pain, Pain in extremity, Pain in jaw, Visual impairment
Clinical narrative: Vision changes in left eye, vision field changes smaller view, pain in jaw, eye, and radiating down left arm.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Eye discharge, Nasal congestion, Ocular hyperaemia, Oedema mouth
Clinical narrative: Started with cough about 1/5 hours later, achy.  At 3 hours eyes were bloodshot and had facial/mouth swelling.  Had pain/parestiesisas in mouth and teeth.  Mucous build up in eyes.  Took benadryl, Aspirin, and Oxycodone for pain.  Woke next AM to no pain but still had gum and facial swelling.  Felt "stuffy" most of day but all symptoms resolved.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Oral pain, Paraesthesia oral, Swelling face
Clinical narrative: Started with cough about 1/5 hours later, achy.  At 3 hours eyes were bloodshot and had facial/mouth swelling.  Had pain/parestiesisas in mouth and teeth.  Mucous build up in eyes.  Took benadryl, Aspirin, and Oxycodone for pain.  Woke next AM to no pain but still had gum and facial swelling.  Felt "stuffy" most of day but all symptoms resolved.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Chills, Headache, Pain
Clinical narrative: Body aches, chills, upset stomach, headache, still sick 2 days later but improving.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Vomiting
Clinical narrative: Vomiting, elevated tempature.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Aphasia, Dizziness, Dysgeusia
Clinical narrative: Received H1N1 injection at 1:30 PM.  At 1:45 PM felt a wave of dizziness with difficulty formulating words.  PB was taken by nurse and was 131/99 with HR of 70.  Also complained of an unusual taste in her mouth.  Describes it as a medicine taste.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Lip swelling
Clinical narrative: Client had H1N1 mist.  One hour after vaccination, upper lip under nose became red and swollen.  Mom did not treat with anything.  Swelling decreased but slightly red next morning.  Patient did not complain of pain.  Reported by mom.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cardiac enzymes normal, Chest X-ray normal, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: Tachycardia; shortness of breath; dizziness experienced driving after leaving Hospital. I went to the ER. Cardiac workup negative. Symptoms resolved. Fatigue/dizziness for 3 days.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Tachycardia
Clinical narrative: Tachycardia; shortness of breath; dizziness experienced driving after leaving Hospital. I went to the ER. Cardiac workup negative. Symptoms resolved. Fatigue/dizziness for 3 days.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Nausea, Pallor
Clinical narrative: Became nauseated.  Color pale, also reported feeling anxious. Placed supine with legs elevated, monitored for 30 minutes and offered something to eat.  Fully recovered after 30 minutes.
Age: 1.33
Sex: M
Vaccine: MMR
Symptoms: Rash generalised
Clinical narrative: Full body rash, understood to be typical within 7 to 12 days of receiving the MMR.
Age: 33.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Back pain, Malaise, Musculoskeletal stiffness
Clinical narrative: Mild back pain/stiffness, malaise.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, C-reactive protein increased, Cough, Eosinophil count increased, Full blood count
Clinical narrative: Fever, cough, congestion. Patient received H1N1 11/10/2009, developed fever 11/11/2009, then developed congestion and yellow discharge according to mother. Temp in office 11/13/2009 100.1 oral.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Monocyte count increased, Neutrophil count decreased, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Fever, cough, congestion. Patient received H1N1 11/10/2009, developed fever 11/11/2009, then developed congestion and yellow discharge according to mother. Temp in office 11/13/2009 100.1 oral.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: White blood cell count normal
Clinical narrative: Fever, cough, congestion. Patient received H1N1 11/10/2009, developed fever 11/11/2009, then developed congestion and yellow discharge according to mother. Temp in office 11/13/2009 100.1 oral.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Back pain, Local swelling, Nausea, Neck pain
Clinical narrative: Soreness at base of neck (swollen and tender) aching in elbows, knee, hip and back. 30min after receiving injection became nauseated but no vomiting. Soreness began next  morning in neck and joints. States no tenderness or pain 11/06/2009.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tenderness
Clinical narrative: Soreness at base of neck (swollen and tender) aching in elbows, knee, hip and back. 30min after receiving injection became nauseated but no vomiting. Soreness began next  morning in neck and joints. States no tenderness or pain 11/06/2009.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Joint swelling, Muscle fatigue, Nausea, Vomiting
Clinical narrative: Severe muscle fatigue, joint pain & swelling x 48 hrs nausea/vomitting x 24 hrs.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Erythema, Feeling abnormal, Pulse pressure increased, Respiratory rate increased
Clinical narrative: Redness, hives, shortness of breath indicated a change in state of feeling. "Strange" bounding pulse. Rapid respirations. Transported to Emergency Room. 11/16/2009 ED record for 11/11/2009, Dx allergic reaction   patient with c/o's rash. Tx : benadryl, pepcid and prednisone as discharge meds.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Stridor, Urticaria
Clinical narrative: Redness, hives, shortness of breath indicated a change in state of feeling. "Strange" bounding pulse. Rapid respirations. Transported to Emergency Room. 11/16/2009 ED record for 11/11/2009, Dx allergic reaction   patient with c/o's rash. Tx : benadryl, pepcid and prednisone as discharge meds.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Dizziness, Hypoaesthesia, Injected limb mobility decreased, Injection site induration
Clinical narrative: Patient c/o dizziness right after vaccination lasting only a short time then approx 20 min later left arm felt "numb" and "heavy", reported she couldn't  move arm. however did not report this at time of event. This lasted approx 1 1/2 - 2 hours. Symptoms resolved. Went on with daily school activity - 17:00 same date no symptoms, 19:30 c/o sickness, dizziness, and a feeling of "burning" in L arm, full ROM. TYLENOL was encouraged to be taken. 23:45 c/o throat tightness, however breathing without difficulty. AM no symptoms. Decreased 11/12/09 L arm anterior sore to touch and firm @ injection site.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Malaise, Pain in extremity, Sensation of heaviness, Throat tightness
Clinical narrative: Patient c/o dizziness right after vaccination lasting only a short time then approx 20 min later left arm felt "numb" and "heavy", reported she couldn't  move arm. however did not report this at time of event. This lasted approx 1 1/2 - 2 hours. Symptoms resolved. Went on with daily school activity - 17:00 same date no symptoms, 19:30 c/o sickness, dizziness, and a feeling of "burning" in L arm, full ROM. TYLENOL was encouraged to be taken. 23:45 c/o throat tightness, however breathing without difficulty. AM no symptoms. Decreased 11/12/09 L arm anterior sore to touch and firm @ injection site.
Sex: U
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest discomfort, Dizziness, Dyspnoea, Feeling abnormal
Clinical narrative: See attached.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling drunk, Injection site pain, Muscle spasms, Pallor, Wheezing
Clinical narrative: See attached.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Insomnia, Pruritus, Rash
Clinical narrative: Received a seasonal flu shot in his Left arm during a school flu clinic at 10:30 AM. When he came home from school, his mother noticed a rash on his face, neck, chest, and abdomen. His 8 yr old sister had a similar reaction to a shot (flu) given same day. Unable to slep at bedtime, he was taken to the ER. Benadryl prescribed by the ER doctor. Took a dose at 9:00 PM at home and slept through the night. Had a recurrent episode of itchy skin the next day and responded well with a 2nd dose of Benadryl.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Insomnia, Pruritus, Rash
Clinical narrative: Received a flu vaccine in her R arm. When she came home from school mother said had a "rash from the top of her neck to the bottom of her stomach". No problems until bedtime when her skin began to itch and she could not sleep. (her  6 year old brother ad a similar reaction following the injection). The ER doctor prescribed BENADRYL. A dose of 25mg of BENADRYL was given at 9:00 pm and child slept through the night. The next morning she developed itchiness again. Mom picked her up at 11:00. A second dose of BENADRYL resolved the itchiness.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Disorientation, Syncope, Vomiting
Clinical narrative: Fainted after receiving her shot; disoriented for 10-15 seconds; vomited after that.  EMT called for transport to hospital.
Age: 16.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Erythema, Hypersomnia, Injection site erythema, Injection site swelling
Clinical narrative: injection site is larger than adult's hand with a circle of redness and heat.  fever of 102, severe aches and pains, lethargic, listless, sleeping non-stop for 48 hours, red swollen throat,
Age: 16.0
Sex: F
Vaccine: PPV
Symptoms: Lethargy, Pain, Pharyngeal oedema
Clinical narrative: injection site is larger than adult's hand with a circle of redness and heat.  fever of 102, severe aches and pains, lethargic, listless, sleeping non-stop for 48 hours, red swollen throat,
Age: 43.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Migraine, Nausea, Vomiting
Clinical narrative: Severe migraine with nausea and vomitting lasting for 48 hours
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: persistent high fever 104, severe nausea and vomiting, and headache
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Skin tightness
Clinical narrative: Client stated "my face feels tight" pointing to cheek area on both sides of face.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Bone pain, Chest discomfort, Dizziness, Hypoaesthesia, Musculoskeletal pain
Clinical narrative: c/o terrible pain "to the bone" in left arm, fingers getting numb, pain went up left shoulder chest heavy feeling faint, feeling as if a heart attack.  12/01/09 ED notes for DOS 11/18/09. Impression: Adverse reaction for H1N1 vaccine, persistent weakness, lighheadedness and near syncope  Pt c/o passing out several times and lethargy. Pt developed anaphylactic reaction.  Pt had HTA, tachycardia. Tx: steroids, IV fluids, NS. Pt c/o continuing fatigue, abdominal cramps, poor appetite, syncope, abdominal cramps, nausea and unsteady gait.   12/02/09 PCP notes for DOS 11/19/09.  Impression: No acute cardiopulmonary disease. Pt c/o fatigue, congestion, nausea, insomnia and mild chest pain. 12/14/09 Received ER records of 11/13/09. Records reveal patient seen for chest discomfort & tightness, left arm & neck pain/numbness, lightheadness, HTN w/BP 189/103 , heart rate 140 , blood sugar 69.  Tx w/IV benadryl, steroids, labetalol, toprol.  Stabilized & d/c to home.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling abnormal, Headache
Clinical narrative: State had headache when arriving at the health department felt "goofy headed, like I was going to fall out". States this happened again while shoppping about 6:30 PM and lasted around 20 minutes.  Client reported her symptoms to the health department today at 10:30 AM.
Age: 14.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature normal, Flushing, Throat tightness
Clinical narrative: Student/Patient stated her cheeks became flushed.  She returned to the clinic where she was evaluated by a nurse.  She denied any other symptoms at that time.  Her cheeks were visibly flushed.  Temperature was normal.  About 30 minutes later she stated she thought her throat felt a little tight.  She was given 25 mg of Benadry po.  Parent was contacted. She was observed for another 30 minutes - 45 minutes. Her cheeks returned to a normal color, she stated her throat was no longer tight.  Denied any further symptoms.  Upon follow-up with student a few days later, she stated she had no further complications.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Dizziness, Feeling abnormal, Pallor, Pyrexia
Clinical narrative: "Felt dizzy at school".  Later in the evening while shopping with grandmother, "felt bad".  Grandmother stated child became pale and dizzy.  Temp 100.5 orally.  Grandmother phoned pediatrician hotline who instructed her to give Motrin for comfort and fever reduction.
Age: 48.0
Sex: M
Vaccine: HEPAB
Symptoms: Activities of daily living impaired, Condition aggravated, Headache, Impaired work ability, Injection site pain
Clinical narrative: INITAL PAIN FROM INJECTION TRANSFERRED TO SHOULDER PAIN AROUND THE INJECTION SITE FOR SEVERAL DAYS AFTER VACCINATION, THEN PROGRESSED TO SEVERE SHOULDER & NECK PAIN, AND HEADACHES VIRTUALLY EVERY DAY SINCE.  NOW AFTER 45 DAYS THE NECK AND SHOULDER PAIN ARE GETTING MORE SEVERE DAY BY DAY, AFFECTING EVERYDAY ACTIVITIES, SLEEP, AND MY ABILITY TO SIT IN FRONT OF A COMPUTER AND WORK A FULL DAY
Age: 48.0
Sex: M
Vaccine: HEPAB
Symptoms: Neck pain
Clinical narrative: INITAL PAIN FROM INJECTION TRANSFERRED TO SHOULDER PAIN AROUND THE INJECTION SITE FOR SEVERAL DAYS AFTER VACCINATION, THEN PROGRESSED TO SEVERE SHOULDER & NECK PAIN, AND HEADACHES VIRTUALLY EVERY DAY SINCE.  NOW AFTER 45 DAYS THE NECK AND SHOULDER PAIN ARE GETTING MORE SEVERE DAY BY DAY, AFFECTING EVERYDAY ACTIVITIES, SLEEP, AND MY ABILITY TO SIT IN FRONT OF A COMPUTER AND WORK A FULL DAY
Age: 37.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Audiogram abnormal, Sudden hearing loss, Tinnitus
Clinical narrative: Sudden onset of tinnitus in right ear with sudden hearing loss 11/18/09 Medical records received for date 11/11/09. DX: tinnitus, hearing loss rt. ear, vertigo. Pt. presented w/ c/o ringing in rt. ear. drainage and off balance,H1N1 vax and seasonal vax 11/5. Pt states later the same day sudden hearing loss/ringing in rt. ear occured. Referred for hearing test which was WNL.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Audiogram, Computerised tomogram, Deafness unilateral, Nuclear magnetic resonance imaging
Clinical narrative: Employee (post doc biochem researcher) received seasonal flu vaccine (Fluvirin 972163P) on 10/20 and developed sudden hearing loss in R ear on 10/22. Followed by ENT, started on oral prednisone.  Seen at Occupational Health to document the event. Hearing loss is recovering slowly - not completely back to normal yet.
Age: 34.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: Started with mild sore throat. From 11/10/09, severe sore throat, nasal congestion, bodayache, fever, runny nose, headache and dizziness.  Took, Theraflu x 2, saline gargle x 3, vit c tabs, paracetamol 500mg x1, steam inhalation x2 / per day.
Age: 34.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: Started with mild sore throat. From 11/10/09, severe sore throat, nasal congestion, bodayache, fever, runny nose, headache and dizziness.  Took, Theraflu x 2, saline gargle x 3, vit c tabs, paracetamol 500mg x1, steam inhalation x2 / per day.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Throat tightness
Clinical narrative: States "felt dizzy and throat felt like it was closing".  Benadryl 25 mg given by mouth.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Started with soreness distal to the injection site, approx 1/2 way down the upper arm, and it became hard, hot, red and inflamed.  Used an alcohol rub with some good effect.  Two days later the redness/heat/soreness spread to the ulnar region of the elbow with soft tissue swelling
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: Started with soreness distal to the injection site, approx 1/2 way down the upper arm, and it became hard, hot, red and inflamed.  Used an alcohol rub with some good effect.  Two days later the redness/heat/soreness spread to the ulnar region of the elbow with soft tissue swelling
Age: 64.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Cough, Fatigue, Headache, Myalgia
Clinical narrative: scratchy throat, sore throat, cough, low grade fever, severe headache, muscle and joint pain, fatigue
Age: 64.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Oropharyngeal pain, Pyrexia, Throat irritation
Clinical narrative: scratchy throat, sore throat, cough, low grade fever, severe headache, muscle and joint pain, fatigue
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Acne, Arthropod bite, Asthenia, Convulsion
Clinical narrative: seizure, headache,dizziness, weakness, stomach discomfort  12/17/09 clinic records received for DOS 07/31/07and 6/18/08 and vaccination list record received for DOS 12/09/1993 thr 06/18/2008. DX: Well Adolescent Care, Acne 07/31/07 office note docu. sports physical with unlimited participation. 06/18/08 office note notes c/o not sleeping well and insect bite X 1wk. Parent concerned about excessive sleep and sweats alot. Acne on face and upper back. Prescriptions given:clindamycin phosphate 1% TOP, benzoyl peroxide 6% TOP and differin 0.1% TOP. Vaccination rec reflect patient received HPV on 07/31/07, 10/09/07 and 06/18/08.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Headache, Hyperhidrosis, Hypersomnia, Sleep disorder
Clinical narrative: seizure, headache,dizziness, weakness, stomach discomfort  12/17/09 clinic records received for DOS 07/31/07and 6/18/08 and vaccination list record received for DOS 12/09/1993 thr 06/18/2008. DX: Well Adolescent Care, Acne 07/31/07 office note docu. sports physical with unlimited participation. 06/18/08 office note notes c/o not sleeping well and insect bite X 1wk. Parent concerned about excessive sleep and sweats alot. Acne on face and upper back. Prescriptions given:clindamycin phosphate 1% TOP, benzoyl peroxide 6% TOP and differin 0.1% TOP. Vaccination rec reflect patient received HPV on 07/31/07, 10/09/07 and 06/18/08.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Throat tightness
Clinical narrative: "Throat felt tight, like it was closing".  Benadryl 25 mg by mouth repeated X 1 30 minutes later.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Ear discomfort, Erythema, Eye pruritus, Ocular hyperaemia, Rash macular
Clinical narrative: Employee complained of a runny nose and itchy eyes about 15 minutes after receiving vaccine.  Then her ears and throat began itching.  Skin around her eyes became red.  37.5 mg of Benadryl po given.  She went home that afternoon and took her allegra and singulair.  She states around 2 pm the itchy eys and ears returned and she took more Benadryl.  She states she continued taking Benadryl through Sunday when symptoms would return; states her eyes remained red and blotchy until Sunday.  Today, Monday 11/16/2009 she states she is back to normal with no residual effects.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rhinorrhoea, Throat irritation
Clinical narrative: Employee complained of a runny nose and itchy eyes about 15 minutes after receiving vaccine.  Then her ears and throat began itching.  Skin around her eyes became red.  37.5 mg of Benadryl po given.  She went home that afternoon and took her allegra and singulair.  She states around 2 pm the itchy eys and ears returned and she took more Benadryl.  She states she continued taking Benadryl through Sunday when symptoms would return; states her eyes remained red and blotchy until Sunday.  Today, Monday 11/16/2009 she states she is back to normal with no residual effects.
Age: 15.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenopia, Chest discomfort, Cold sweat, Dizziness, Dysphonia
Clinical narrative: Student returned to imms area approximately 40 min. after receiving Injectable H1N1 stating he was very "dizzy, chest is heavy".  Assisted to cot, placed supine, skin cool and clammy, eyes were dull PER, "my voice feels thick, I don't talk like this".  Oriented to person, time, place.  Parent notified.  student remained pale and dizzy, shallow respirations X 45 minutes, began to feel better, parent did not come to school, student requested to return to class,"feeling fine now".  Permission to return to class given.
Age: 15.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pallor, Respiration abnormal
Clinical narrative: Student returned to imms area approximately 40 min. after receiving Injectable H1N1 stating he was very "dizzy, chest is heavy".  Assisted to cot, placed supine, skin cool and clammy, eyes were dull PER, "my voice feels thick, I don't talk like this".  Oriented to person, time, place.  Parent notified.  student remained pale and dizzy, shallow respirations X 45 minutes, began to feel better, parent did not come to school, student requested to return to class,"feeling fine now".  Permission to return to class given.
Age: 8.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Back part of left arm was swollen approximately 3 inches in diameter, red, and hot to touch.  Gave benadryl 2 1/2 teaspoons q 6 hours, applied cool compress for 10 mins off for 30 mins through out the night.
Age: 58.0
Sex: M
Vaccine: FLUN(H1N1)
Clinical narrative: The client did not experience any adverse events following vaccination but did receive the Live Attenuated Intranasal H1N1 vaccine (FluMist) which is not indicated for his age group or for those with pre-existing conditions.
Age: 54.0
Sex: M
Vaccine: HEPA, MNQ, YF
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Brief period of dizziness and shortness of breath.  Symptoms resolved within minutes without treatment; did not reoccur.
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Influenza, Nasopharyngitis, Nausea, Oropharyngeal pain
Clinical narrative: Sore throat, developed into cold symptoms, subsided and then developed into flu with fever for a week.  Cough continued for over 2 weeks.  Mother of patient developed flu 5 days following vaccine, with fever for 4 days, nausea, cough.
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: Sore throat, developed into cold symptoms, subsided and then developed into flu with fever for a week.  Cough continued for over 2 weeks.  Mother of patient developed flu 5 days following vaccine, with fever for 4 days, nausea, cough.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Pruritus, Rash
Clinical narrative: Patient is a 4 Y female here with mother for evaluation of a rash.  Mom states that she first noticed a few spots on her back on 11/1/09.  They spots start out light pink and then develop a little blister on them.  The spots are itchy at times, but overall, do not bother her.  She has otherwise been acting completely well.  She has not had a fever, congestion, cough, sore throat, headache or earache.  She has not had any nausea, vomiting or diarrhea.  She has been eating and drinking as usual.  No urinary symptoms. She has slowly developed more lesions, primarily on her back, neck and a few on her face.  No new lotions, soaps or detergents.  No one else at home with a rash.  She has been attending preschool per usual.  The last new spots were noticed three days ago. No specific ill exposures known.  She did have Varicella Vaccine 9/06.  Her second one is due next year.
Age: 1.92
Sex: F
Vaccine: UNK
Symptoms: Cough, Nasal congestion, Pyrexia, Respiratory tract infection
Clinical narrative: Had fever 2 days after vaccination, which went away after 24 hours. Was followed immediately by congestion and coughing. Was diagnosed as respiratory tract infection by pediatrician exactly 7 days after the vaccination. All this happened within 7 days of the vaccine. May or may not be caused by vaccine, but she was healthy before the vaccination.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral
Clinical narrative: Swollen left hand
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Generalised erythema, Pruritus generalised
Clinical narrative: Patient alleges she developed generalized itching and redness. No urticaria.
Age: 11.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Pyrexia
Clinical narrative: Developed a fever of 103.6, 36 hours post vaccination. Fever resolved in 24 hours. Developed a cough which also resolved spontaneously.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Blepharospasm, Body temperature increased, Chest discomfort, Disturbance in attention
Clinical narrative: "45 minutes after shot, felt hot, temp 100.4. Headache, leg numbness, swelling of fingers, eye twitching, heavy chest, back ache, lack of concentration."
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Headache, Hypoaesthesia, Oedema peripheral
Clinical narrative: "45 minutes after shot, felt hot, temp 100.4. Headache, leg numbness, swelling of fingers, eye twitching, heavy chest, back ache, lack of concentration."
Age: 37.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Diarrhea over 7 days, blood in stool.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives, mild starting 24-48 hours after H1N1 vaccine. No resp. involvement.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Contusion, Musculoskeletal pain, Oedema, Pain in extremity, Paraesthesia
Clinical narrative: Sharp pain from left side of shoulder radiating to 4th and 5th digits. Bruising and edema noted at the hypothenar eminence 10-29->11/7/09, but tingling and pain are still present.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Uncomplicated urticaria - periperal only 1-2 hours after vaccination. Treated with oral BENADRYL.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash pruritic, Urticaria
Clinical narrative: 6 hours after receiving H1N1 inactivated vaccine left arm developed pruvitic hives left arm, right arm, and chest.
Age: 54.0
Sex: M
Vaccine: FLUN(H1N1)
Clinical narrative: No adverse affects. Pt was given the FLUMIST H1N1 and should have gotten  the shot instead.
Age: 62.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea
Clinical narrative: Wife called and reported patient became short of breath Saturday 11/07/2009 after receiving H1N1 vaccine on Thursday 11/05/2009. Wife states "husband was cleaning gutter Saturday am when he became very short of breath".
Age: 63.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Malaise, Myalgia, Pyrexia
Clinical narrative: Obtained H1N1 in hospital 11/4 within a few hours myalgias, fever, felt "ill". fever resolved in 24 hours. Myalgia improving
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pain in extremity
Clinical narrative: Pain in left arm biceps 2 days after vaccine no outward sign of swelling or redness. Pain is on movement no loss of muscle strength.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dysstasia, Headache, Vertigo positional, Vomiting
Clinical narrative: 30 minutes after H1N1 injectable became dizzy with headache, nauseated and vomiting, could not stand. Transferred to the ER. Dx with benign paroxysmal vertigo. Rx with MECLIZINE and VALIUM, ZOFRAN and VALIUM.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hot flush, Hyperhidrosis, Pain, Pyrexia, Rash
Clinical narrative: Hot flashes, rash on face, shaking, runny nose, sweating, fever, body aches.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rhinorrhoea, Tremor
Clinical narrative: Hot flashes, rash on face, shaking, runny nose, sweating, fever, body aches.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Injection site pruritus, Pruritus, Urticaria
Clinical narrative: Approximately 10 minutes after injection, patient complained of itchiness at injection site and itch face. She was given 25mg Benadryl by mouth. 5 minutes later patient complained of hives and was sent to ER for evaluation. Patient is 23 weeks pregnant. 11/18 and 11/20/2009 ED record for 11/4/2009 and OB-GYN records. Pregnant patient with c/o's redness, itching and hives. Tx: IV benadryl. Dx allergic reaction
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Neck pain, Pain in extremity, Urticaria
Clinical narrative: H1N1 vaccine given IM in the late afternoon. Pt experienced hives and pain legs, arms and neck.
Age: 12.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Headache, Vomiting
Clinical narrative: Student recives H1N1 FLUMIST at approximately 1415 on 11/12/09. At 0800 on 11/13/09 student presented with vomiting and 100.4F temperature. Student was sent home for emesis and increased temp. At 1019 98.6 ty. Unsure of status on the weekend. 11/16/09 0730 student seen for c/o HA.
Age: 47.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness
Clinical narrative: Had an episode of dizziness at work the day after administration.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Dyspnoea, Hypersensitivity, Laboratory test, Throat tightness
Clinical narrative: Received the H1N1 shot in office on 10-21-09. Several hours later around 6 PM she had onset of chest pain, SOB, and gasping for air. Felt like her throat was closing up. She was taken to Emergency Room and treated for allergic reaction. 11/17 and 11/20 medical records received for DOS 10/21/09-10/23/09 Final DX: Allergic reaction and URI, asthmatic bronchitis. 1 day S/P vaccine C/O diff breathing, sore throat, chest pain. Neb tx. Abx tx. Admit. CXR neg
Age: 6.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Abdominal pain upper, Chromatopsia, Nausea, Pyrexia
Clinical narrative: Patient told mom that everything was "kind of gray" after he received vaccines at school. School took temp and it was ok. He finished school day without any other problems. Vision was ok when he arrived home from school. He woke up at 12:45 with a fever greater than 104 degrees he states that his stomach hurt, nauseated before bedtime but did not throw up. Mom gave TYLENO/MOTRIN and a tepid bath/. Temp down to 100 degrees in about 1 and 1/2 hours. No fever complaints after this.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Condition aggravated, Grand mal convulsion
Clinical narrative: Pt with H/O epilepsy had several large grand mal seizures within hours of H1N1 shot and seasonal flu. 11/18/09 Medical records received for date 11/9/09. Pt. parent called to MD office stating pt had both flu vax x1wk prior. Pt now experiencing seizures daily. Pt has h/o seizures but parent states these seizures are different. Parent took pt to ER seizure med levels taken and per parent WNL.   .
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Hot flush, Injection site pruritus, Injection site warmth
Clinical narrative: Patient reports mild itching to L arm. Feels like hot flashes, slight dizziness. S/SX ongoing for hot +, itching at site. No hives. No SOB. Site appears fine. No flushed. at 09:30-symptoms resolving.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Condition aggravated, Dyspnoea
Clinical narrative: Patient states had increase shortness of breath on Saturday following her getting her H1N1 vaccine on Thursday. Has history of COPD. Her husband also had increase in shortness of breath on Saturday following his H1N1 on Thursday.
Age: 51.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dysarthria, Feeling drunk, Headache, Pruritus
Clinical narrative: At 10:05 dizzy, lightheaded, headache, "felt drunk." Noted: drowsy in appearance, eyes at half most "slurred speech" Doctor at site. At 11:20 patient reports feeling well improved. Only itching and headache remains. Its family bring Atarax for patient.
Age: 51.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Somnolence
Clinical narrative: At 10:05 dizzy, lightheaded, headache, "felt drunk." Noted: drowsy in appearance, eyes at half most "slurred speech" Doctor at site. At 11:20 patient reports feeling well improved. Only itching and headache remains. Its family bring Atarax for patient.
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Back pain, Diarrhoea, Fatigue, Nausea, Pyrexia
Clinical narrative: Tiredness w/i 1 hr. of shot 11/2. 11/3 next morning: nauseas, back pain, vomitting 102.5 fever, diarrhea, sick for 3 days.
Age: 59.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Vomiting
Clinical narrative: Tiredness w/i 1 hr. of shot 11/2. 11/3 next morning: nauseas, back pain, vomitting 102.5 fever, diarrhea, sick for 3 days.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Emotional distress, Hypersomnia, Pruritus
Clinical narrative: Sleeping a lot, emotional, itchy, no rash, no fever, no appetite.
Age: 2.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Mother or patient reports hives noted on child's face one hour after receiving vaccine. Advised 1 1/2 tsp BENADRYL (12.5mg/5ml). Will proceed to ER for any difficulty breathing. Parents did not administer BENADRYL or schedule recommended follow up in office.
Age: 23.0
Sex: F
Vaccine: FLU3, FLUX(H1N1), PPV
Symptoms: Asthenia, Body temperature increased, Chest discomfort, Chills, Fatigue
Clinical narrative: Racing heart HR . 100 BPM, L arm tenderness -even at rest "weak" feeling chest, fever 100.8 and 11/7/09, fatigue nausea chills. Seen in the office 11/9/09 - temp 100.4 HR 100 BP 110/60 erythema of L distal upper arm.
Age: 23.0
Sex: F
Vaccine: FLU3, FLUX(H1N1), PPV
Symptoms: Influenza serology negative, Injection site erythema, Injection site pain, Nausea, Palpitations
Clinical narrative: Racing heart HR . 100 BPM, L arm tenderness -even at rest "weak" feeling chest, fever 100.8 and 11/7/09, fatigue nausea chills. Seen in the office 11/9/09 - temp 100.4 HR 100 BP 110/60 erythema of L distal upper arm.
Age: 23.0
Sex: F
Vaccine: FLU3, FLUX(H1N1), PPV
Symptoms: Pyrexia
Clinical narrative: Racing heart HR . 100 BPM, L arm tenderness -even at rest "weak" feeling chest, fever 100.8 and 11/7/09, fatigue nausea chills. Seen in the office 11/9/09 - temp 100.4 HR 100 BP 110/60 erythema of L distal upper arm.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood glucose decreased, Blood glucose increased, Drug exposure during pregnancy, Dyspnoea, Erythema
Clinical narrative: Client states that 1 hour after immunization she started shaking. States "I wasn't myself". BS 62 at that time. Called OB-GYN, referred to ER. Client states "hands and my feet were blotchy and red, my cheeks were abnormally red". Client states she experienced shortness of breath. Given prescriptions for albuterol inhaler, PEPCID. No other treatments. D/C after 3 hours. Recovered quickly. States she "felt odd from the reaction" for remainder of day, but was able to perform ADL's. No lasting effects.11/17/2009 MD and ED records for 10/16/2009, pregnant patient with c/o's muscle aches, fatigue, dizziness, nasal congestion and dyspnea. BS checked and was 79, given OJ and crackers, BS normal. Patient refused any other tx. Given Rx for Pepcid and Albuterol inhaler.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling abnormal, Rash macular, Tremor
Clinical narrative: Client states that 1 hour after immunization she started shaking. States "I wasn't myself". BS 62 at that time. Called OB-GYN, referred to ER. Client states "hands and my feet were blotchy and red, my cheeks were abnormally red". Client states she experienced shortness of breath. Given prescriptions for albuterol inhaler, PEPCID. No other treatments. D/C after 3 hours. Recovered quickly. States she "felt odd from the reaction" for remainder of day, but was able to perform ADL's. No lasting effects.11/17/2009 MD and ED records for 10/16/2009, pregnant patient with c/o's muscle aches, fatigue, dizziness, nasal congestion and dyspnea. BS checked and was 79, given OJ and crackers, BS normal. Patient refused any other tx. Given Rx for Pepcid and Albuterol inhaler.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Adverse reaction, Vomiting
Clinical narrative: Mom called 11/10/09 to report adverse reaction pt vomited 5 times 11-9 9:30 pm - 11-10 4:30 am. 11/10: mom reported daughter did not have fever and was feeling better. Mom RQ we report this reaction.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Dyspnoea, Hyperhidrosis, Pain
Clinical narrative: Difficulty breathing (wheezing). Fever, paleness, weakness, dizziness Dipharia, severe body aches.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pallor, Pyrexia, Wheezing
Clinical narrative: Difficulty breathing (wheezing). Fever, paleness, weakness, dizziness Dipharia, severe body aches.
Age: 14.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Fatigue, Pain, Pyrexia, Vaccination complication
Clinical narrative: Fever, aches, fatigue for approx 30 hrs.-treated with sleep, fluid, and ibuprofen. Fever was low grade 99.5-100 degrees. This child has rarely had fevers. He's usually <98.6 degrees. I'm fairly confident he had a mild reaction to the vaccination.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Flushing
Clinical narrative: Pt c/o facial flushing, difficulty breathing at home. State felt flushing within the 20 min in our office but left without notify MD or nurse.
Age: 1.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: Pt received vaccine and developed rash approximately 24 hours after vaccine. Rash is resolving on its own. No itching noted.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Peak expiratory flow rate decreased, Post-tussive vomiting, Wheezing
Clinical narrative: On 11-7-09 received H1N1 vaccine in office at approximately 10am. That evening approx. 6pm, patient started wheezing, coughing and had post tussive emesis. Patient presented to office today was prescribed Prednisone and instructed to continue Albuterol.
Age: 0.52
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Dyskinesia, Erythema, Influenza serology negative, Tongue disorder, Urticaria
Clinical narrative: Initial case received from a health care professional on 06 November 2009. A six-month-old male infant received the following vaccines on 06 November 2009: a first intramuscular left thigh injection of PENTACEL (lot number C3479AA); a right thigh injection of PREVNAR (Wyeth, lot number D93212); and an oral dose of ROTATEQ (Merck, lot number 06514). The patient had a history of eczema, and had bilateral ear infections at the time of vaccination. Approximately 30 minutes post-vaccination, the patient returned to the office with head-to-toe hives, tongue thrusting, repetitive movements of the right arm, and bright red areas on his right ear and diaper area. He was treated with BENADRYL in the office, and transported to the emergency department. A flu test was negative. At the time of the report, the patient had not yet recovered. Documents held by sender: None.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Contusion, Full blood count, Petechiae
Clinical narrative: Patient developed extensive bruising and a petechial rash 3 days after receiving the H1N1 vaccine.  11/18 and 11/20 Medical records and discharge summary recieved for DOS 11/09 - 11/11 Idiopathic thrombocytopenia purpura S/P vaccine petechail rash LEs, bruising UE/LE. Platelets decreased. IVIG therapy. Improved. D/C to home.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea
Clinical narrative: Patient was having much difficulty breathing.  We called clinic for help.  They advised us to give her Albuterol mist treatments.  We gave her 3x into the night.  They also advised us to give her Prednisone late in the evening, which we did.  Her breathing was in control an hour later.  She has been having trouble breathing every night since then.  We have been giving her breathing treatments every evening.  She has been on Prednisone on a daily basis.  11/20 and 11/23 Pediatrician records for 11/12/2009. Dx SOB  Patient with c/o's SOB and cough.Tx: steroids
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Bone pain, Dizziness, Dyspnoea, Hypersensitivity, Lethargy
Clinical narrative: Dizziness, lethargy, couldn't hold up his head.  The next morning a rash was noted all over his body which was itchy.  Reported to his HCP. Mother reports the dx was "allergic reaction" and further flu vaccine contraindicated.  No dyspnea. Started on antihistamines.  10/29 had increased rash, some difficulty breathing and pain in the neck and spine.  Returned to Urgent Care. Prednisone started and epi pen ordered. Mother states it took another 7 dfays for pt to return to complete recovery.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Neck pain, Posture abnormal, Rash generalised, Rash pruritic
Clinical narrative: Dizziness, lethargy, couldn't hold up his head.  The next morning a rash was noted all over his body which was itchy.  Reported to his HCP. Mother reports the dx was "allergic reaction" and further flu vaccine contraindicated.  No dyspnea. Started on antihistamines.  10/29 had increased rash, some difficulty breathing and pain in the neck and spine.  Returned to Urgent Care. Prednisone started and epi pen ordered. Mother states it took another 7 dfays for pt to return to complete recovery.