chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.92
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Diet refusal, Eye swelling, Hypersensitivity, Hypophagia
Clinical narrative: Complaining of pain at injection site by 8pm on 10/20.  Severe allergic reaction noticed next morning 8am on 10/21.  Fever, severe hives and rashes all over body, swollen eyes, wheezing.  Rash and fever got worse.  Doctor gave Benadryl at 10am then Steroids that afternoon around 6pm.  Rash and fever got worse, went to ER at 9:30pm.  Rash then covered entire body, fever was 103.  ER Dr. gave him IV of morphine, steroids, benadryl and tagamet (to ease stomach pain from steriods)  Baby refused to eat or drink.  ER DR. gave him fluids in IV.  We were discharged at 2am after the rash was retreating and his fever was back to normal.  Baby has new rash spots on 11/22 but no fever.  He is very pale and still won't eat.  He's on steroids, Tagamet, Benadryl and Tylenol w/ codeine to help him sleep and not itch the rash.
Age: 1.92
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Pallor, Pyrexia, Rash generalised, Urticaria
Clinical narrative: Complaining of pain at injection site by 8pm on 10/20.  Severe allergic reaction noticed next morning 8am on 10/21.  Fever, severe hives and rashes all over body, swollen eyes, wheezing.  Rash and fever got worse.  Doctor gave Benadryl at 10am then Steroids that afternoon around 6pm.  Rash and fever got worse, went to ER at 9:30pm.  Rash then covered entire body, fever was 103.  ER Dr. gave him IV of morphine, steroids, benadryl and tagamet (to ease stomach pain from steriods)  Baby refused to eat or drink.  ER DR. gave him fluids in IV.  We were discharged at 2am after the rash was retreating and his fever was back to normal.  Baby has new rash spots on 11/22 but no fever.  He is very pale and still won't eat.  He's on steroids, Tagamet, Benadryl and Tylenol w/ codeine to help him sleep and not itch the rash.
Age: 1.92
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Wheezing
Clinical narrative: Complaining of pain at injection site by 8pm on 10/20.  Severe allergic reaction noticed next morning 8am on 10/21.  Fever, severe hives and rashes all over body, swollen eyes, wheezing.  Rash and fever got worse.  Doctor gave Benadryl at 10am then Steroids that afternoon around 6pm.  Rash and fever got worse, went to ER at 9:30pm.  Rash then covered entire body, fever was 103.  ER Dr. gave him IV of morphine, steroids, benadryl and tagamet (to ease stomach pain from steriods)  Baby refused to eat or drink.  ER DR. gave him fluids in IV.  We were discharged at 2am after the rash was retreating and his fever was back to normal.  Baby has new rash spots on 11/22 but no fever.  He is very pale and still won't eat.  He's on steroids, Tagamet, Benadryl and Tylenol w/ codeine to help him sleep and not itch the rash.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Bacterial test negative, Blood test normal, Urticaria
Clinical narrative: Hives on entire body - no place not covered with hives - treated initially with Benadryl at home without success and went to the ER on 10-20-09 at 8:30am  10/23/09 ED records received service date 10/20/09. Assessement: Urticaria. Patient presents with generalized hives.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Eye disorder, Pyrexia
Clinical narrative: sent home by school nurse with 102 fever and glassy eyes.  vaccine administered 6pm 10/20 but computer wouldnt accept time.
Age: 35.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site rash, Pruritus generalised, Rash generalised, Skin warm
Clinical narrative: Rash at injection site; very warm to touch. Rash noted on abdomen, chest, back of neck.  Itching all over
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Dizziness, Dyspnoea, Hyperhidrosis
Clinical narrative: Pt became lightheaded, diaphoretic within 5 min of vaccination. Increase in anxiety. C/o SOB but able to move air without cyanosis, wheezing or stridor.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Face began to itch; raised rash on face/circumoral; No swelling at or around injection site.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Skin papilloma
Clinical narrative: Over 70 warts developed on her arms and legs 11/3/09:  Vaccine record received, VAERS updated.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Immediate post-injection reaction, Limb discomfort, Nausea, Pain
Clinical narrative: Immediate pain that last 3 days. Nauseated,tired. Arm was very sore and the pain radiated from the upper deltoid area down into the hand. Also after the 3rd day she had some irritation into the right leg and felt it was very achy as if the right half of her body was affected and not to the left.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Immediate pain that last 3 days. Nauseated,tired. Arm was very sore and the pain radiated from the upper deltoid area down into the hand. Also after the 3rd day she had some irritation into the right leg and felt it was very achy as if the right half of her body was affected and not to the left.
Age: 46.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Musculoskeletal discomfort, Myalgia, Pain in extremity, Restless legs syndrome
Clinical narrative: EXTREME MUSCLE ACHES AND PAIN IN RIGHT ARM, JOINT PAIN IN HIPS, RESTLESS MUSCLES IN LEGS
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Muscular weakness
Clinical narrative: Patient complained of headache and weak legs
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Nerve injury, Pain in extremity, Physiotherapy
Clinical narrative: Pt. presented 10/20/09 with complaints of L arm pain since injection 10/5/09.  Was informed by private physician a nerve was damaged during injection.  Pain is constant; rated 7-8 on scale of 1-10 and physical therapy has been ordered. Pt. states a topical gel was ordered, but she refuses to use it due to the side effects.  Denies red, raised warm area at injection site; pain surrounds axilla.  Pt. pointed to axillary junction and arm. No x-ray, MRI or further testing ordered.
Age: 39.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Dysphagia, Dysphonia, Skin warm, Urticaria
Clinical narrative: Patient receieved the Flu Mist around 4:45 PM approximately 15 minutes later stated that her head and face were hot and started tp break out in hives and voice became Raspy. Hotness on head and face was coming and going along with hives. Approximately 9:30 Pm was starting to have difficulty with swalling and was light head and seek medical attention at ER. Patient was treated with Benadryl 50 mg and a injection of Solu-Medrol. Then sent home to rest. Patient was able to return to work on 10/22/09.  10/26/09:  Emergency Department Records received for date of service 10/22/09. Assessment:  Developed throat tightness and hives after nasal H1N1 flu vaccine.  Presented to the ED with c/o fever, headache and hives as well as some residual throat tightness.  Medicated with Solumedrol IM.  Discharged to home feeling better, will take Benadryl PRN.
Age: 1.1
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: There has been NO ADVERSE EVENTS FROM THIS IMMUNIZATION.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Rash
Clinical narrative: Patient complained of redness and swelling to arm at the site of the vaccination.  Said she had a rash.
Age: 0.75
Sex: M
Vaccine: FLU3
Symptoms: Eyelid oedema, Rash
Clinical narrative: swelling of upper and lower eyelids. mom gave benedry rash on face
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Antibody test negative, Chest X-ray abnormal, Condition aggravated, Cough, Croup infectious
Clinical narrative: Started croupy cough at 3am,followed by fever. Was fine during the day but at 9:50pm,awakened from sleep stidorous,dyspneic,tachypneic, intercostal and supraclavicular muscle retraction---called 911--brought to ER--admitted to PICU for Severe Croup r/o Tracheitis. Discharged within less than 24 hrs of admission Final Diagnosis: Influenza B, Croup.  10/26/09:  Hospital Records and Discharge Summary received for dates of service 10/19/09 to 10/20/09.  Dx: Croup, Influenza B.  Assessment:  Presents with fever and respiratory distress, mild rhinorrhea, throat pain, hoarse voice, T max 102.  Mother describes stridor increased WOB and writhing.  Treated in the ED with 2 racemic epinepherine nebs and decadron.  Wheezing was noted and he was given 2 combination albuterol/atrovent nebs followed by 1 hr. of continuous albuterol with excellent response.  There was a concern of bacterial tracheitis, so the pt. was given ceftriaxone.  Continued on cool mist overnight and continued to have barky cough.     ICD 9 Codes:  487.1, 382.9.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Dyspnoea, Influenza, Influenza serology negative, Influenza serology positive, Intensive care
Clinical narrative: Started croupy cough at 3am,followed by fever. Was fine during the day but at 9:50pm,awakened from sleep stidorous,dyspneic,tachypneic, intercostal and supraclavicular muscle retraction---called 911--brought to ER--admitted to PICU for Severe Croup r/o Tracheitis. Discharged within less than 24 hrs of admission Final Diagnosis: Influenza B, Croup.  10/26/09:  Hospital Records and Discharge Summary received for dates of service 10/19/09 to 10/20/09.  Dx: Croup, Influenza B.  Assessment:  Presents with fever and respiratory distress, mild rhinorrhea, throat pain, hoarse voice, T max 102.  Mother describes stridor increased WOB and writhing.  Treated in the ED with 2 racemic epinepherine nebs and decadron.  Wheezing was noted and he was given 2 combination albuterol/atrovent nebs followed by 1 hr. of continuous albuterol with excellent response.  There was a concern of bacterial tracheitis, so the pt. was given ceftriaxone.  Continued on cool mist overnight and continued to have barky cough.     ICD 9 Codes:  487.1, 382.9.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia, Stridor, Tachypnoea, Use of accessory respiratory muscles
Clinical narrative: Started croupy cough at 3am,followed by fever. Was fine during the day but at 9:50pm,awakened from sleep stidorous,dyspneic,tachypneic, intercostal and supraclavicular muscle retraction---called 911--brought to ER--admitted to PICU for Severe Croup r/o Tracheitis. Discharged within less than 24 hrs of admission Final Diagnosis: Influenza B, Croup.  10/26/09:  Hospital Records and Discharge Summary received for dates of service 10/19/09 to 10/20/09.  Dx: Croup, Influenza B.  Assessment:  Presents with fever and respiratory distress, mild rhinorrhea, throat pain, hoarse voice, T max 102.  Mother describes stridor increased WOB and writhing.  Treated in the ED with 2 racemic epinepherine nebs and decadron.  Wheezing was noted and he was given 2 combination albuterol/atrovent nebs followed by 1 hr. of continuous albuterol with excellent response.  There was a concern of bacterial tracheitis, so the pt. was given ceftriaxone.  Continued on cool mist overnight and continued to have barky cough.     ICD 9 Codes:  487.1, 382.9.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Electrocardiogram normal, Nausea, Sensation of pressure
Clinical narrative: upper anterior chest discomfort, internal poking/pressure sensation almost continuous, also has mild additional tightness across same area which is more intermittant, no SOB, cough, fever or palpitations, symptoms not affected by movement, breathing or exercise, injection given in left deltoid, injection site nontender, not red or swollen, has had mild nausea at bedtime but no vomiting or diarrhea, all symptoms gradually abating
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1)
Clinical narrative: NO ADVERSE EVENT
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: rash "spots" all over body within 5 mins of receiving the vaccine (Fluzone). Reported to physician, medications given, symptoms resolved.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Pain
Clinical narrative: VERY extreme chills that woke me up from my sleep.  My body ached to a point that I could not get up till 2:30 AM where I took my temperature which was 102.6F.  I am pretty sure that my temperature was higher than that as my chills had subsided enough to find my thomometer.  Slowly my temperature went down till it was normal by 2:00 PM on the same date.  I did not call medical help as I was able to breathe clearly and I monitored my body temperature and felt that it was improving over time.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Cough, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: Patient had acute cough, fever, sore throat,chills, and fatigue.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Papilloma viral infection, Smear cervix normal, Surgery
Clinical narrative: The dates are estimated. I had never had HPV, and all of a sudden, after the shot I had it. No new sexual partners. My first thought was it was from the vaccine. 10/28/2009 records from OB-GYN. Patient with + HPV on pap smear 7/2008, patient had surgery to remove, had no other sx.
Age: 11.0
Sex: F
Vaccine: FLUX, MNQ, TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: pain,swelling, & redness to right arm began on 10/21/09. No fever, numbness, or tingleing to right arm. Patient placed ice to right arm; no medicines were given for symptom relief.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP
Symptoms: Body temperature increased, Hypersomnia, Lethargy
Clinical narrative: baby was given the DTaP + Hep B Vaccine.  lethargic (slept a lot more than usual) and body temperature got to 99.8. These symptoms persisted Monday evening and Tuesday.  Seemed to "come out of it" on Wednesday.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Antibody test positive, Antiphospholipid antibodies, Blood test, Lumbar puncture, Miller Fisher syndrome
Clinical narrative: tingling in feet, muscle weakness, hives, fever.  Eventually diagnosed with a subclinical case of Miller-Fisher Syndrome.   10/26/09: Discharge Summary received for Dates of Service 10/18/09 to 10/20/09.  Final Dx:  Possibly rare mild Miller Fisher variant of Guillain Barre syndrome.  Had flu shot 1 month ago. Assessment:  Admitted for generalized weakness and "funny feeling" in right knee.  Had LP at end of September, with same sx. as when she had a fall at end of Sept.  Neurology consulted.  Seen by neurologist on 10/7/09, neuro. exam WNL.  Nerve conduction velocity studies were OK on 10/15/09.  Borderline elevation in granulocyte GQ1B antibody for Miller Fisher variant of GBS.  Brisk tendon jerk on the knee, otherwise neuro. exam unremarkable.  No ataxia or gait problems.  Discharged to home to f/u with neuro. and PCP.  10/26/09 ICD 9 Codes Received:  357.0, 493.90. 12/22/09 Additional medical records received for DOS 10/07/09-12/09/09.(PCP and neurologist) Motor strength improving.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Paraesthesia, Pyrexia
Clinical narrative: tingling in feet, muscle weakness, hives, fever.  Eventually diagnosed with a subclinical case of Miller-Fisher Syndrome.   10/26/09: Discharge Summary received for Dates of Service 10/18/09 to 10/20/09.  Final Dx:  Possibly rare mild Miller Fisher variant of Guillain Barre syndrome.  Had flu shot 1 month ago. Assessment:  Admitted for generalized weakness and "funny feeling" in right knee.  Had LP at end of September, with same sx. as when she had a fall at end of Sept.  Neurology consulted.  Seen by neurologist on 10/7/09, neuro. exam WNL.  Nerve conduction velocity studies were OK on 10/15/09.  Borderline elevation in granulocyte GQ1B antibody for Miller Fisher variant of GBS.  Brisk tendon jerk on the knee, otherwise neuro. exam unremarkable.  No ataxia or gait problems.  Discharged to home to f/u with neuro. and PCP.  10/26/09 ICD 9 Codes Received:  357.0, 493.90. 12/22/09 Additional medical records received for DOS 10/07/09-12/09/09.(PCP and neurologist) Motor strength improving.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Scan brain, Urticaria
Clinical narrative: tingling in feet, muscle weakness, hives, fever.  Eventually diagnosed with a subclinical case of Miller-Fisher Syndrome.   10/26/09: Discharge Summary received for Dates of Service 10/18/09 to 10/20/09.  Final Dx:  Possibly rare mild Miller Fisher variant of Guillain Barre syndrome.  Had flu shot 1 month ago. Assessment:  Admitted for generalized weakness and "funny feeling" in right knee.  Had LP at end of September, with same sx. as when she had a fall at end of Sept.  Neurology consulted.  Seen by neurologist on 10/7/09, neuro. exam WNL.  Nerve conduction velocity studies were OK on 10/15/09.  Borderline elevation in granulocyte GQ1B antibody for Miller Fisher variant of GBS.  Brisk tendon jerk on the knee, otherwise neuro. exam unremarkable.  No ataxia or gait problems.  Discharged to home to f/u with neuro. and PCP.  10/26/09 ICD 9 Codes Received:  357.0, 493.90. 12/22/09 Additional medical records received for DOS 10/07/09-12/09/09.(PCP and neurologist) Motor strength improving.
Age: 28.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, No adverse event
Clinical narrative: No adverse symptoms.  Flumist given instead of injectable H1N1 to pregnant client. H1N1 - pregnancy 11/2/09:  Prenatal records received for dates of service 7/27/09 to 10/28/09. Dx:  Pregnant pt. at 29 weeks gestation received LAIV H1N1 vaccine EDD: 1/5/10  Assessment:  As above.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea
Clinical narrative: Shortness of Breath, better if she lies down
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Chest X-ray normal, Culture urine negative, Haematology test normal, Pyrexia, Urine analysis normal
Clinical narrative: Fever 102.6, parents tool patient to ER. Pt had cxr, ua/cx, bloodwork taken. All appear to be normal. Seen by Dr. today (10/22/09) for f.u ER.
Age: 7.0
Sex: F
Vaccine: FLUX
Symptoms: Blood magnesium normal, Computerised tomogram normal, Convulsion, Dyskinesia, Electrocardiogram normal
Clinical narrative: Pt was seated on mother's lap getting seasoal flu vaccine, almost immediately lost conciousness and fell forward out of mom's lap, hit her head on floor and began having seizure. Pt was jerking arms and legs and moving head. Pt regained conciousness approximately 15 seconds later and was brought by EMS to Hospital. There her EKG, Head CT, BMP and Mg blood tests were all negative and normal.
Age: 7.0
Sex: F
Vaccine: FLUX
Symptoms: Fall, Head injury, Immediate post-injection reaction, Loss of consciousness, Metabolic function test
Clinical narrative: Pt was seated on mother's lap getting seasoal flu vaccine, almost immediately lost conciousness and fell forward out of mom's lap, hit her head on floor and began having seizure. Pt was jerking arms and legs and moving head. Pt regained conciousness approximately 15 seconds later and was brought by EMS to Hospital. There her EKG, Head CT, BMP and Mg blood tests were all negative and normal.
Age: 2.0
Sex: M
Vaccine: FLU3, FLUN(H1N1), HIBV
Symptoms: Abasia
Clinical narrative: unable to walk
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Dizziness, Headache, Hyperhidrosis, Pain
Clinical narrative: Near-syncopal episode. Weakness, dizziness, diaphoresis, headache, body aches.
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Presyncope
Clinical narrative: Near-syncopal episode. Weakness, dizziness, diaphoresis, headache, body aches.
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: dizziness, bad headache that lasted all day
Age: 25.0
Sex: M
Vaccine: FLUX
Symptoms: Asthma, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: Began the morning with a sore throat, and increased asthma symptoms (Asthma symptoms usually present ONLY following exercise). Use of albuterol inhaler relieved asthma symptoms. Developed diffuse myalgia around 3pm. Mild headache developed around 8pm.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Bedridden, Headache, Oropharyngeal pain, Pyrexia, Tonsillar hypertrophy
Clinical narrative: Swollen tonsils, sore throat, fever of 101 and higher throughout the night and next two days. Also, severe headache that prevent me from leaving the bed. I took Aleve and Tylenol alternating. Fever finally broke on 10/22/2009 around noon. However sore throat and swollen tonsils persist.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Malaise, Pyrexia, Tremor
Clinical narrative: I started to get the chills and proceeded to bed where I could not stop shaking and my fever was 100 degrees.  It lasted all night long.  The next day the fever was gone but I had a headache and felt run over by a bus all day.
Age: 20.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blood calcium normal, Blood magnesium decreased, Blood potassium decreased, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: 2 hours after left deltoid injection, developed left lateral upper arm and left facial numbness/tingling along with left orbicularis muscular twitching/fasiculations.
Age: 20.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Muscle twitching, Paraesthesia
Clinical narrative: 2 hours after left deltoid injection, developed left lateral upper arm and left facial numbness/tingling along with left orbicularis muscular twitching/fasiculations.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysgeusia, Hot flush
Clinical narrative: Hot flashes, unusual taste in her mouth.  10/26/09 OB records received 11/2006 to 10/26/09. Assessment: Morbid obesity. Baby is active.
Age: 14.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on face.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood product transfusion, Eye haemorrhage, Feeling abnormal, Idiopathic thrombocytopenic purpura, Intensive care
Clinical narrative: On 10/20/09, patient reported that she had noted petechiae on her abdomen & upper chest while showering (before coming to work). She contacted facility & was advised to seek medical care from her physician. Saw patient on 10/21 & again told to pursue care through her physician. She works as RN on pediatric unit, received H1N1 vaccine as part of campaign for health care workers.  Pt was admitted to ICU at health center on 10/22/09 with a platelet count of ZERO. She had two hemorrhages in her right eye per her local optometrist when she was having persistent visual chanes. She sought care from her optometrist on 10/22/09. She was referred by the opometrist toa local ophthalmologist, but before seeing the ophthalmologist, she sought care from her family physician who ordered a CBC and oagulation studies, and admitted her immediately to the ICU. Hematologist was immediately consulted. MD was told Pt and her family that she most likely had adult idiopathic thrombocytopenia purpura. MD explained this is that most likely caused by a virus and that it may never be known if it was the nasal spray H1N1 that caused it or it it was caaused  by something else. She had a low grade fever and body aches and 'felt rough' on 10/23/2009, but other than those symptoms, had felt ill. She was started on large doses of steroids and received IV gamma globulin on 10/22/09.  Her platelet count on 10/23/09 is 8,00 according to her mother ( who also happens to be a nurse). She is to receive more gamma globulin today and mostly likely will be released from the hospital when her platelet count reaches 20,000-25,000. Pt wanted her mother to "Call reporter and let her know what's going on. If it can help the CDC to know this, I don't want anyone else going through the trauma of what we've been through. Reporter has my permission to review my chart, send infomatioin to the CDC or whatever would be helpful. I could hear Pt speaking in the background and Pt's mother called me from her room in the ICU. I told them that I'd alreay filed the VAERS report, ut would send an update to VAERS today. I have not reviewed her meical records of laboratory reports at this time and explained that I would seek a written release in order to do so. The local health department has verbally been informed  of this case also.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Malaise, Pain, Petechiae, Pyrexia
Clinical narrative: On 10/20/09, patient reported that she had noted petechiae on her abdomen & upper chest while showering (before coming to work). She contacted facility & was advised to seek medical care from her physician. Saw patient on 10/21 & again told to pursue care through her physician. She works as RN on pediatric unit, received H1N1 vaccine as part of campaign for health care workers.  Pt was admitted to ICU at health center on 10/22/09 with a platelet count of ZERO. She had two hemorrhages in her right eye per her local optometrist when she was having persistent visual chanes. She sought care from her optometrist on 10/22/09. She was referred by the opometrist toa local ophthalmologist, but before seeing the ophthalmologist, she sought care from her family physician who ordered a CBC and oagulation studies, and admitted her immediately to the ICU. Hematologist was immediately consulted. MD was told Pt and her family that she most likely had adult idiopathic thrombocytopenia purpura. MD explained this is that most likely caused by a virus and that it may never be known if it was the nasal spray H1N1 that caused it or it it was caaused  by something else. She had a low grade fever and body aches and 'felt rough' on 10/23/2009, but other than those symptoms, had felt ill. She was started on large doses of steroids and received IV gamma globulin on 10/22/09.  Her platelet count on 10/23/09 is 8,00 according to her mother ( who also happens to be a nurse). She is to receive more gamma globulin today and mostly likely will be released from the hospital when her platelet count reaches 20,000-25,000. Pt wanted her mother to "Call reporter and let her know what's going on. If it can help the CDC to know this, I don't want anyone else going through the trauma of what we've been through. Reporter has my permission to review my chart, send infomatioin to the CDC or whatever would be helpful. I could hear Pt speaking in the background and Pt's mother called me from her room in the ICU. I told them that I'd alreay filed the VAERS report, ut would send an update to VAERS today. I have not reviewed her meical records of laboratory reports at this time and explained that I would seek a written release in order to do so. The local health department has verbally been informed  of this case also.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Aspiration bone marrow, Blood lactate dehydrogenase, Computerised tomogram head, Contusion, Full blood count
Clinical narrative: On 10/20/09, patient reported that she had noted petechiae on her abdomen & upper chest while showering (before coming to work). She contacted facility & was advised to seek medical care from her physician. Saw patient on 10/21 & again told to pursue care through her physician. She works as RN on pediatric unit, received H1N1 vaccine as part of campaign for health care workers.  Pt was admitted to ICU at health center on 10/22/09 with a platelet count of ZERO. She had two hemorrhages in her right eye per her local optometrist when she was having persistent visual chanes. She sought care from her optometrist on 10/22/09. She was referred by the opometrist toa local ophthalmologist, but before seeing the ophthalmologist, she sought care from her family physician who ordered a CBC and oagulation studies, and admitted her immediately to the ICU. Hematologist was immediately consulted. MD was told Pt and her family that she most likely had adult idiopathic thrombocytopenia purpura. MD explained this is that most likely caused by a virus and that it may never be known if it was the nasal spray H1N1 that caused it or it it was caaused  by something else. She had a low grade fever and body aches and 'felt rough' on 10/23/2009, but other than those symptoms, had felt ill. She was started on large doses of steroids and received IV gamma globulin on 10/22/09.  Her platelet count on 10/23/09 is 8,00 according to her mother ( who also happens to be a nurse). She is to receive more gamma globulin today and mostly likely will be released from the hospital when her platelet count reaches 20,000-25,000. Pt wanted her mother to "Call reporter and let her know what's going on. If it can help the CDC to know this, I don't want anyone else going through the trauma of what we've been through. Reporter has my permission to review my chart, send infomatioin to the CDC or whatever would be helpful. I could hear Pt speaking in the background and Pt's mother called me from her room in the ICU. I told them that I'd alreay filed the VAERS report, ut would send an update to VAERS today. I have not reviewed her meical records of laboratory reports at this time and explained that I would seek a written release in order to do so. The local health department has verbally been informed  of this case also.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Intensive care, Metabolic function test, Pain, Pathology test, Petechiae
Clinical narrative: On 10/20/09, patient reported that she had noted petechiae on her abdomen & upper chest while showering (before coming to work). She contacted facility & was advised to seek medical care from her physician. Saw patient on 10/21 & again told to pursue care through her physician. She works as RN on pediatric unit, received H1N1 vaccine as part of campaign for health care workers.  Pt was admitted to ICU at health center on 10/22/09 with a platelet count of ZERO. She had two hemorrhages in her right eye per her local optometrist when she was having persistent visual chanes. She sought care from her optometrist on 10/22/09. She was referred by the opometrist toa local ophthalmologist, but before seeing the ophthalmologist, she sought care from her family physician who ordered a CBC and oagulation studies, and admitted her immediately to the ICU. Hematologist was immediately consulted. MD was told Pt and her family that she most likely had adult idiopathic thrombocytopenia purpura. MD explained this is that most likely caused by a virus and that it may never be known if it was the nasal spray H1N1 that caused it or it it was caaused  by something else. She had a low grade fever and body aches and 'felt rough' on 10/23/2009, but other than those symptoms, had felt ill. She was started on large doses of steroids and received IV gamma globulin on 10/22/09.  Her platelet count on 10/23/09 is 8,00 according to her mother ( who also happens to be a nurse). She is to receive more gamma globulin today and mostly likely will be released from the hospital when her platelet count reaches 20,000-25,000. Pt wanted her mother to "Call reporter and let her know what's going on. If it can help the CDC to know this, I don't want anyone else going through the trauma of what we've been through. Reporter has my permission to review my chart, send infomatioin to the CDC or whatever would be helpful. I could hear Pt speaking in the background and Pt's mother called me from her room in the ICU. I told them that I'd alreay filed the VAERS report, ut would send an update to VAERS today. I have not reviewed her meical records of laboratory reports at this time and explained that I would seek a written release in order to do so. The local health department has verbally been informed  of this case also.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Platelet count decreased, Pyrexia, Reticulocyte count, Visual impairment
Clinical narrative: On 10/20/09, patient reported that she had noted petechiae on her abdomen & upper chest while showering (before coming to work). She contacted facility & was advised to seek medical care from her physician. Saw patient on 10/21 & again told to pursue care through her physician. She works as RN on pediatric unit, received H1N1 vaccine as part of campaign for health care workers.  Pt was admitted to ICU at health center on 10/22/09 with a platelet count of ZERO. She had two hemorrhages in her right eye per her local optometrist when she was having persistent visual chanes. She sought care from her optometrist on 10/22/09. She was referred by the opometrist toa local ophthalmologist, but before seeing the ophthalmologist, she sought care from her family physician who ordered a CBC and oagulation studies, and admitted her immediately to the ICU. Hematologist was immediately consulted. MD was told Pt and her family that she most likely had adult idiopathic thrombocytopenia purpura. MD explained this is that most likely caused by a virus and that it may never be known if it was the nasal spray H1N1 that caused it or it it was caaused  by something else. She had a low grade fever and body aches and 'felt rough' on 10/23/2009, but other than those symptoms, had felt ill. She was started on large doses of steroids and received IV gamma globulin on 10/22/09.  Her platelet count on 10/23/09 is 8,00 according to her mother ( who also happens to be a nurse). She is to receive more gamma globulin today and mostly likely will be released from the hospital when her platelet count reaches 20,000-25,000. Pt wanted her mother to "Call reporter and let her know what's going on. If it can help the CDC to know this, I don't want anyone else going through the trauma of what we've been through. Reporter has my permission to review my chart, send infomatioin to the CDC or whatever would be helpful. I could hear Pt speaking in the background and Pt's mother called me from her room in the ICU. I told them that I'd alreay filed the VAERS report, ut would send an update to VAERS today. I have not reviewed her meical records of laboratory reports at this time and explained that I would seek a written release in order to do so. The local health department has verbally been informed  of this case also.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Diarrhoea, Lip swelling, Migraine, Oedema peripheral
Clinical narrative: Received vaccine 10.20.09 at 12:00. At 20:30 on 10.20.09 had swollen lips and fingers, a migraine, severe abdominal cramps, and diarrhea. Took an antihistamine and symptoms went away. No medical treatment.
Age: 34.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Balance disorder, Blood pressure increased, Electrocardiogram, Gait disturbance, Oxygen saturation decreased
Clinical narrative: 5 minutes after administration of nasal monovalent H1N1, developed imbalance gait, tachycardia, increased BP, decreased PO2 (90-92%), tightening of throat, decreased ability to speak. RX in ER-IV BENADRYL, ranitidine, PREDNISONE PO.  10/27/09 Dermatology consult (includes dermatology ER visit) received service dates 1/1/94 to 10/27/09. Assessment: Allergic to Nasal H1N1 flu vaccine. Anaphylaxis. Sinusitis. Patient c/o throat tightness, lost balance, anxious. Tightness in shoulders, vomited.  10/29/09 ED records received service date 10/21/09. Assessment: Allergic to Nasal H1N1 flu vaccine. Anaphylaxis. Sinusitis. Patient presents with shortness of breath and chest tightness which began within 10 minutes of vaccination.
Age: 34.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Speech disorder, Tachycardia, Throat tightness
Clinical narrative: 5 minutes after administration of nasal monovalent H1N1, developed imbalance gait, tachycardia, increased BP, decreased PO2 (90-92%), tightening of throat, decreased ability to speak. RX in ER-IV BENADRYL, ranitidine, PREDNISONE PO.  10/27/09 Dermatology consult (includes dermatology ER visit) received service dates 1/1/94 to 10/27/09. Assessment: Allergic to Nasal H1N1 flu vaccine. Anaphylaxis. Sinusitis. Patient c/o throat tightness, lost balance, anxious. Tightness in shoulders, vomited.  10/29/09 ED records received service date 10/21/09. Assessment: Allergic to Nasal H1N1 flu vaccine. Anaphylaxis. Sinusitis. Patient presents with shortness of breath and chest tightness which began within 10 minutes of vaccination.
Age: 34.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Dizziness, Dyspnoea, Full blood count, Hyperhidrosis, Hypertension
Clinical narrative: 5 minutes after administration of nasal monovalent H1N1, developed imbalance gait, tachycardia, increased BP, decreased PO2 (90-92%), tightening of throat, decreased ability to speak. RX in ER-IV BENADRYL, ranitidine, PREDNISONE PO.  10/27/09 Dermatology consult (includes dermatology ER visit) received service dates 1/1/94 to 10/27/09. Assessment: Allergic to Nasal H1N1 flu vaccine. Anaphylaxis. Sinusitis. Patient c/o throat tightness, lost balance, anxious. Tightness in shoulders, vomited.  10/29/09 ED records received service date 10/21/09. Assessment: Allergic to Nasal H1N1 flu vaccine. Anaphylaxis. Sinusitis. Patient presents with shortness of breath and chest tightness which began within 10 minutes of vaccination.
Age: 34.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Laboratory test, Palpitations, Tachycardia, Vomiting
Clinical narrative: 5 minutes after administration of nasal monovalent H1N1, developed imbalance gait, tachycardia, increased BP, decreased PO2 (90-92%), tightening of throat, decreased ability to speak. RX in ER-IV BENADRYL, ranitidine, PREDNISONE PO.  10/27/09 Dermatology consult (includes dermatology ER visit) received service dates 1/1/94 to 10/27/09. Assessment: Allergic to Nasal H1N1 flu vaccine. Anaphylaxis. Sinusitis. Patient c/o throat tightness, lost balance, anxious. Tightness in shoulders, vomited.  10/29/09 ED records received service date 10/21/09. Assessment: Allergic to Nasal H1N1 flu vaccine. Anaphylaxis. Sinusitis. Patient presents with shortness of breath and chest tightness which began within 10 minutes of vaccination.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Dizziness, Hot flush, Hypersensitivity, Pruritus
Clinical narrative: 20 min. after injection, itchiness, tightness of throat, hot flashes, dizzy, increased BP 130/97. Taken to ED. PO BENADRYL, PREDNISONE, SOLUMEDROL.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Throat tightness
Clinical narrative: 20 min. after injection, itchiness, tightness of throat, hot flashes, dizzy, increased BP 130/97. Taken to ED. PO BENADRYL, PREDNISONE, SOLUMEDROL.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Vomited x1. "Appears to be recovering" per mother.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting-Saturday 3/17 x2 in AM. Diarrhea since Friday PM (denies blood in stool).
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Blood uric acid, Dizziness, Full blood count
Clinical narrative: Immediately after she received H1N1 vaccine, she states her left arm went completely numb for 15-20 min and afterwards became very sore, and started becoming very dizzy and light headed with heart racing. Noted resting heart rate 122. 10/26/09 Medical records received for date 10/22/09. Presenting SX: Pt. is 34wks pregnant with c/o receiving H1N1 vaccine and immed had arm numbness lasting 20min. Then site of vax became sore, pt c/o dizziness. Assessment: increase BP, HR increased.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Heart rate increased, Hypoaesthesia, Immediate post-injection reaction, Laboratory test, Pain in extremity
Clinical narrative: Immediately after she received H1N1 vaccine, she states her left arm went completely numb for 15-20 min and afterwards became very sore, and started becoming very dizzy and light headed with heart racing. Noted resting heart rate 122. 10/26/09 Medical records received for date 10/22/09. Presenting SX: Pt. is 34wks pregnant with c/o receiving H1N1 vaccine and immed had arm numbness lasting 20min. Then site of vax became sore, pt c/o dizziness. Assessment: increase BP, HR increased.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Palpitations
Clinical narrative: Immediately after she received H1N1 vaccine, she states her left arm went completely numb for 15-20 min and afterwards became very sore, and started becoming very dizzy and light headed with heart racing. Noted resting heart rate 122. 10/26/09 Medical records received for date 10/22/09. Presenting SX: Pt. is 34wks pregnant with c/o receiving H1N1 vaccine and immed had arm numbness lasting 20min. Then site of vax became sore, pt c/o dizziness. Assessment: increase BP, HR increased.
Age: 43.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Chills, Nausea
Clinical narrative: 9:00am pt with vital signs (137/89), pt in complaining weakness, nausea, shivering. Keeping in observation. Pt denies any history of disease or current medication.
Age: 18.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Aggression, Cough, Crying, Delirium, Delusion
Clinical narrative: High fever, Delirium. 10/26/09 Medical records received for date 10/4/09. DX: Fever, delirium, poss. Flu vax rx. Presenting SX: pt received flu vaccine earlier in day and later c/o fever, delirium, trouble breathing, feel cold. Assessment: chronically abnormal looking left ear (usual for pt.), recent URI at time of flu vaccination. Pt. treated with antipyretics and abx. Fever reduced, delirium resolved, pt stable and dc.  12/30/2009 clinic progress notes and hospital records received for DOS 10/03/09-10/22/09. DX: Fever, delirium, possible Flu. Patient felt fine, and then received flu shot in afternoon. Later while with friends, felt sick and showed signs of delirium. Upon emergency room presentation that evening, patient was crying, fighting, mumbling and had delusions. Temperature up to 104 degrees Fahrenheit. Patient admitted and treated with Tylenol, ibuprofen and IV Rocephin. Given sponge bath. Delirium resolved. Patient noted to have mild cough, mild headache and mild sore throat (patient's family sick w/cough, HA, fever, ST). The next day, patient was discharged. Follow-up clinic note: non-acute. Examination: joint swelling, muscle tenderness. No treatment prescribed.
Age: 18.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Full blood count, Headache, Influenza, Joint swelling, Malaise
Clinical narrative: High fever, Delirium. 10/26/09 Medical records received for date 10/4/09. DX: Fever, delirium, poss. Flu vax rx. Presenting SX: pt received flu vaccine earlier in day and later c/o fever, delirium, trouble breathing, feel cold. Assessment: chronically abnormal looking left ear (usual for pt.), recent URI at time of flu vaccination. Pt. treated with antipyretics and abx. Fever reduced, delirium resolved, pt stable and dc.  12/30/2009 clinic progress notes and hospital records received for DOS 10/03/09-10/22/09. DX: Fever, delirium, possible Flu. Patient felt fine, and then received flu shot in afternoon. Later while with friends, felt sick and showed signs of delirium. Upon emergency room presentation that evening, patient was crying, fighting, mumbling and had delusions. Temperature up to 104 degrees Fahrenheit. Patient admitted and treated with Tylenol, ibuprofen and IV Rocephin. Given sponge bath. Delirium resolved. Patient noted to have mild cough, mild headache and mild sore throat (patient's family sick w/cough, HA, fever, ST). The next day, patient was discharged. Follow-up clinic note: non-acute. Examination: joint swelling, muscle tenderness. No treatment prescribed.
Age: 18.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Metabolic function test, Myalgia, Oropharyngeal pain, Pyrexia, Speech disorder
Clinical narrative: High fever, Delirium. 10/26/09 Medical records received for date 10/4/09. DX: Fever, delirium, poss. Flu vax rx. Presenting SX: pt received flu vaccine earlier in day and later c/o fever, delirium, trouble breathing, feel cold. Assessment: chronically abnormal looking left ear (usual for pt.), recent URI at time of flu vaccination. Pt. treated with antipyretics and abx. Fever reduced, delirium resolved, pt stable and dc.  12/30/2009 clinic progress notes and hospital records received for DOS 10/03/09-10/22/09. DX: Fever, delirium, possible Flu. Patient felt fine, and then received flu shot in afternoon. Later while with friends, felt sick and showed signs of delirium. Upon emergency room presentation that evening, patient was crying, fighting, mumbling and had delusions. Temperature up to 104 degrees Fahrenheit. Patient admitted and treated with Tylenol, ibuprofen and IV Rocephin. Given sponge bath. Delirium resolved. Patient noted to have mild cough, mild headache and mild sore throat (patient's family sick w/cough, HA, fever, ST). The next day, patient was discharged. Follow-up clinic note: non-acute. Examination: joint swelling, muscle tenderness. No treatment prescribed.
Age: 18.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Aggression, Cough, Crying, Delirium, Feeling hot
Clinical narrative: High fever, Delirium. 10/26/09 Medical records received for date 10/4/09. DX: Fever, delirium, poss. Flu vax rx. Presenting SX: pt received flu vaccine earlier in day and later c/o fever, delirium, trouble breathing, feel cold. Assessment: chronically abnormal looking left ear (usual for pt.), recent URI at time of flu vaccination. Pt. treated with antipyretics and abx. Fever reduced, delirium resolved, pt stable and dc.  12/30/2009 clinic progress notes and hospital records received for DOS 10/03/09-10/22/09. DX: Fever, delirium, possible Flu. Patient felt fine, and then received flu shot in afternoon. Later while with friends, felt sick and showed signs of delirium. Upon emergency room presentation that evening, patient was crying, fighting, mumbling and had delusions. Temperature up to 104 degrees Fahrenheit. Patient admitted and treated with Tylenol, ibuprofen and IV Rocephin. Given sponge bath. Delirium resolved. Patient noted to have mild cough, mild headache and mild sore throat (patient's family sick w/cough, HA, fever, ST). The next day, patient was discharged. Follow-up clinic note: non-acute. Examination: joint swelling, muscle tenderness. No treatment prescribed.
Age: 18.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Headache, Malaise, Oropharyngeal pain, Pyrexia, Tympanic membrane hyperaemia
Clinical narrative: High fever, Delirium. 10/26/09 Medical records received for date 10/4/09. DX: Fever, delirium, poss. Flu vax rx. Presenting SX: pt received flu vaccine earlier in day and later c/o fever, delirium, trouble breathing, feel cold. Assessment: chronically abnormal looking left ear (usual for pt.), recent URI at time of flu vaccination. Pt. treated with antipyretics and abx. Fever reduced, delirium resolved, pt stable and dc.  12/30/2009 clinic progress notes and hospital records received for DOS 10/03/09-10/22/09. DX: Fever, delirium, possible Flu. Patient felt fine, and then received flu shot in afternoon. Later while with friends, felt sick and showed signs of delirium. Upon emergency room presentation that evening, patient was crying, fighting, mumbling and had delusions. Temperature up to 104 degrees Fahrenheit. Patient admitted and treated with Tylenol, ibuprofen and IV Rocephin. Given sponge bath. Delirium resolved. Patient noted to have mild cough, mild headache and mild sore throat (patient's family sick w/cough, HA, fever, ST). The next day, patient was discharged. Follow-up clinic note: non-acute. Examination: joint swelling, muscle tenderness. No treatment prescribed.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoglycaemia, Metabolic function test
Clinical narrative: Hypoglycemia: Blood sugar 17 admitted to hospital for 23 hours