chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site reaction, Local reaction
Clinical narrative: Local reaction to injection site (cellulitis) treated with cephalexin. Resolved within 5 days.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Pyrexia
Clinical narrative: Local cellalitis at injection site, fever. Treated with Cephalexin. Resolved in 5 days.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Atrial fibrillation, Blood glucose increased, Cardiac arrest, Cardiac failure congestive, Cardiogenic shock
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Catheterisation cardiac abnormal, Chest X-ray abnormal, Chest pain, Clostridium difficile colitis, Computerised tomogram abnormal
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Computerised tomogram normal, Cough, Echocardiogram abnormal, Ejection fraction, Electrocardiogram abnormal
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Electrocardiogram normal, Embolism, Endotracheal intubation, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Hyperhidrosis, Hypotension, Implantable defibrillator insertion, Intensive care, Myocardial infarction
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Myocardial infarction, Myocardial ischaemia, Nuclear magnetic resonance imaging abnormal, Oedema, Pneumonia
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pneumonia aspiration, Rales, Refraction disorder, Shock, Syncope
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Troponin increased, Ultrasound Doppler normal, Unresponsive to stimuli, Upper gastrointestinal haemorrhage, Ventricular tachycardia
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 45.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: White blood cell count increased
Clinical narrative: Sudden cardiac arrest secondary cardiac embolism. Remains intubated and in CCU.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site anaesthesia, Paraesthesia, Tremor
Clinical narrative: During observation period approximatly 5 minutes after recieving injection in Left arm student c/o of numbness and tingling of Right arm with a notable tremor of Right arm. VSS. Sent to ER for evaluation.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma
Clinical narrative: asthma exacerbation
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis
Clinical narrative: Local Cellulits @ injection site, started day after imm. administered. Treated with cephalexin then changed to Bactrim. Resolved in 8 days.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash macular, Rash papular, Skin test, Streptococcal identification test
Clinical narrative: Blotches about 1-1/2 inches appeared on stomach. Dressed in less clothing. 11-19-09 blotches get much bigger. Small dots also appear. Blotches and dots spread to back, groin, ears. Very raised red appearance. Contacted doctor and dermatologist. Doctor suspected medical reaction.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Computerised tomogram normal, Confusional state, Convulsion, Electrocardiogram normal, Incoherent
Clinical narrative: After H1N1 vaccine was administered, pt had a seizure.  It lasted for approx. 3 mins.  After wards he was incoherent & confused until paramedics showed up.  He was taken to medical center -   DILANTIN level was normal, EKG & CT were o.k. 12/3/09 ER records received for date 11/19/09. DX: seizure Presented to ER via EMS. Seizure resolved, no post-ictal noted. Injury to tongue(+), witnessed seizure w/ LOC, generalized motor activity, post-ictal confusion. Pt states received H1N1 vax same day. Assessment: tongue abrasion on both L and R side.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Toxicologic test normal
Clinical narrative: After H1N1 vaccine was administered, pt had a seizure.  It lasted for approx. 3 mins.  After wards he was incoherent & confused until paramedics showed up.  He was taken to medical center -   DILANTIN level was normal, EKG & CT were o.k. 12/3/09 ER records received for date 11/19/09. DX: seizure Presented to ER via EMS. Seizure resolved, no post-ictal noted. Injury to tongue(+), witnessed seizure w/ LOC, generalized motor activity, post-ictal confusion. Pt states received H1N1 vax same day. Assessment: tongue abrasion on both L and R side.
Age: 1.42
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: H1N1 vaccine given 0.5 cc IM dose needed 0.25 cc IM.
Age: 1.42
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: H1N1 vaccine given 0.5cc IM dose needed 0.25cc IM.
Age: 5.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: 8:30-9am Kindergarten student received TIV flu shot. 11:00 Complained of nausea/vomiting .  11:15 Temp 99 Pulse 88 R= 24. Mother notified. I took student home at 11:45 Instructed to TC MD if symptoms persist.
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness
Clinical narrative: Lightheaded.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: Complaints of lightheadedness.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Pruritus, Rash
Clinical narrative: Rash on left arm w/complaints of itchiness and SOB.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness
Clinical narrative: Fainted after IM. H/O fainting.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Prickly feeling down left arm.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Cushing's syndrome, Hypoaesthesia, Nervous system disorder
Clinical narrative: Neurological problems, numbness in her toes of both feet, pt states numbness increased after flu shot and has not gotten better. And has not been to Dr. 09-04-2009 Hx of Cushing disease surgery R/T Cushing disease.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Vision blurred
Clinical narrative: Abd cramping, blurry vision.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus, Rash, Rash papular
Clinical narrative: Fine, red itchy papular rash on mid chest and upper abdomen. No rash elsewhere on body. No temp, no headache, no trouble swallowing, no shortness of breath.  No neurological changes, no change in consciousness. Treatment: antihistamine over the counter.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Headache, Malaise, Myalgia, Nausea
Clinical narrative: Nausea, vomiting, and fever, shaking chills, myalgia headache, malaise - 3hrs. Post-vaccination, lasted 4 hrs.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Tremor, Vomiting
Clinical narrative: Nausea, vomiting, and fever, shaking chills, myalgia headache, malaise - 3hrs. Post-vaccination, lasted 4 hrs.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Intranasal hypoaesthesia
Clinical narrative: c/o SOB, slight numbness @ nasal area.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Student complained of generalized itching to entire body one hour after receiving flu shot at her school flu clinic. No hives. No redness. No respiratory distress noted. Vital signs stable. BENADRYL was given IM. Student rested and informed itching less than before.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dizziness
Clinical narrative: Lightheaded, chest tightness
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain
Clinical narrative: Abd cramping.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site movement impairment, Injection site swelling, Injection site warmth, Swelling
Clinical narrative: Child & Grandparent presented on 10-16-09 at 4:30pm. Grandma noticed swelling on 10-10-09, and child held arm still. Grandma reported to Fm. Dr. on 10-16-09 and stated Dr instructed her to go back to the Health Dept. on observation on 10-16-09 child's upper deltoid was swollen with dark warm discoloration.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: none
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None stated
Age: 10.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Cough, Dysphonia, Fatigue, Malaise
Clinical narrative: Mom states client got ill after receiving vaccine. Denies redness and swelling at injection site. Mom states client c/o dry cough, weakness, fatigue, fatigue, nausea, vomiting, hoarse voice and facial rash. Encourage mom to seek emergency TX if difficulty breathing or dizziness.
Age: 10.0
Sex: F
Vaccine: MMR
Symptoms: Nausea, Rash, Vomiting
Clinical narrative: Mom states client got ill after receiving vaccine. Denies redness and swelling at injection site. Mom states client c/o dry cough, weakness, fatigue, fatigue, nausea, vomiting, hoarse voice and facial rash. Encourage mom to seek emergency TX if difficulty breathing or dizziness.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: RD-sore, stiffness, redness and warm to touch after flu shot. Warm compresses and TYLENOL done by client.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pain in extremity
Clinical narrative: States arm she received flu shot in started aching yesterday called clinic and said arm now red, swollen and warm to touch (10-01-09) at 11:20 am.
Age: 50.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Eyelid oedema, Urticaria
Clinical narrative: Symptoms noticed upon waking.  Urticaria involving face (left side mainly), right AC fossa, glans penis.  Mild left upper eyelid edema.  Treated with Xyzal 5mg daily.
Age: 50.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Eye swelling, Rash, Swelling face, Urticaria
Clinical narrative: Symptoms noticed upon waking.  Urticaria involving face (left side mainly), right AC fossa, glans penis.  Mild left upper eyelid edema.  Treated with Xyzal 5mg daily.
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Chest discomfort, Lip swelling, Pruritus, Urticaria
Clinical narrative: Itchy palms and feeling on fire, then 48 hours later developed urticaria over body and sense of tight chest.  Swollen lips on 11/12/09.  12/10/09 PCP medical records received. Service date 11/14/09 Assessment: Idiopathic urticaria that could be related to H1N1 vaccine or black tea. Patient presents with rash all over body. Awoke with itchy palms and feeling of being on fire. Was drinking black tea. Entire body with hives, bottom lip swelled. Went to ER tx with steroid injection. Now urticarial rash on forearms, arms, legs, torso.   12/11/09 ED records received. Service dates 9/29/09 to 11/12/09. Assessment: Allergic Reaction Patient presents with rash, hives, lower lip swelling. Angioedema. Skin rash with erythema. Not feeling well. IV Steroids.
Age: 26.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Rash erythematous, Rash pruritic
Clinical narrative: Was told by coworkers face looked red after vaccination, then itchy red raised rash on forearms; resolved next day; pt stated used Benadryl cream.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyskinesia, Electroencephalogram normal, Feeling abnormal, Nuclear magnetic resonance imaging brain abnormal, Speech disorder
Clinical narrative: Patient received the H1N1 vaccine on 10/21. (Vaccine was not given within this facility) On 10/22 he did not feel right and by Friday was having significant tremors and difficulty speaking. He does not remember this, but family member described as "thrashing his arms." He was seen here in the ER the eve of 10/22, was admitted and evaluated by Neurology then discharged around 6 pm 10/24. He was brought back to ED a couple of hours after discharge because he had further problem speaking and the shakes. He has no prior history of seizures, but does have some underlying tremors in his fingers chronically. Possible reaction to the H1N1 vaccine. 11/24/2009 MR and DC summary for 10/23-24/2009, patient with  LOC, difficulty walking and with speech, tonic-clonic movements. Neiro consult, started on Topamax 12/16/2009 OP Neurology MD visit for 11/19/2009 revealed that patient had been taking high doses of Ultram and neurologist felt the generalized seizure activity could be related, patient did have another seizure episode early November 2009, repat EEG and MRI Brain were wnl, will be seeing a Psychiatrist for his increased anxiety which was the reason for taking the Ultram, told not to drive for 3 months and will RTC 3/201012/31/2009 DC summary and consult records for 10/24-10/26/2009, patient returned to ER on 10/24/2009 with c/o's altered mental status, expressive aphasia, rt sided tremors.  01/07/10 PCP medical records received. Service dates 10/07/09 Post hospitalization - fine tremor. Cold feet, mild Raynaud's.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Tremor
Clinical narrative: Patient received the H1N1 vaccine on 10/21. (Vaccine was not given within this facility) On 10/22 he did not feel right and by Friday was having significant tremors and difficulty speaking. He does not remember this, but family member described as "thrashing his arms." He was seen here in the ER the eve of 10/22, was admitted and evaluated by Neurology then discharged around 6 pm 10/24. He was brought back to ED a couple of hours after discharge because he had further problem speaking and the shakes. He has no prior history of seizures, but does have some underlying tremors in his fingers chronically. Possible reaction to the H1N1 vaccine. 11/24/2009 MR and DC summary for 10/23-24/2009, patient with  LOC, difficulty walking and with speech, tonic-clonic movements. Neiro consult, started on Topamax 12/16/2009 OP Neurology MD visit for 11/19/2009 revealed that patient had been taking high doses of Ultram and neurologist felt the generalized seizure activity could be related, patient did have another seizure episode early November 2009, repat EEG and MRI Brain were wnl, will be seeing a Psychiatrist for his increased anxiety which was the reason for taking the Ultram, told not to drive for 3 months and will RTC 3/201012/31/2009 DC summary and consult records for 10/24-10/26/2009, patient returned to ER on 10/24/2009 with c/o's altered mental status, expressive aphasia, rt sided tremors.  01/07/10 PCP medical records received. Service dates 10/07/09 Post hospitalization - fine tremor. Cold feet, mild Raynaud's.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Abnormal behaviour, Chills, Decreased appetite, Disorientation
Clinical narrative: Symptoms started slowly, milder in character. On 11/17/2009 symptoms were increasing in character and severity with mild headache, muscle ache, sore throat, and congestion. From 11/18/2009 through 11/19/2009, symptoms were severe including high fever (105 degrees F), severe muscle aches, moderate to severe fluctuating headache, stomach ache, sore throat, congestion, and loss of appetite. On the evening of 11/18/2009 my husband described that I had an episode of disorientation, abnormal behavior, and high fever lasting from just before midnight to approximately 03:00 AM on 11/19/2009. Severe symptoms continued on 11/19/2009 with slight improvement as the day progressed. Symptoms improved on 11/20/2009 and included sore throat, loss of appetite, chills, and stomach ache.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Myalgia, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Symptoms started slowly, milder in character. On 11/17/2009 symptoms were increasing in character and severity with mild headache, muscle ache, sore throat, and congestion. From 11/18/2009 through 11/19/2009, symptoms were severe including high fever (105 degrees F), severe muscle aches, moderate to severe fluctuating headache, stomach ache, sore throat, congestion, and loss of appetite. On the evening of 11/18/2009 my husband described that I had an episode of disorientation, abnormal behavior, and high fever lasting from just before midnight to approximately 03:00 AM on 11/19/2009. Severe symptoms continued on 11/19/2009 with slight improvement as the day progressed. Symptoms improved on 11/20/2009 and included sore throat, loss of appetite, chills, and stomach ache.
Age: 32.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: No adverse events reports by client or observed by RN.
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Facial palsy, Herpes zoster
Clinical narrative: I got the vaccine on Monday 11/09/09, on Monday 11/16/09 I developed Bell's Palsy. They are both -Bell's Palsy and Shingles - caused by the same virus. My question is did the vaccine cause my Bell's Palsy? I also had just gotten over a sinus infection and have had Bell's Palsy before in 1982.   11/24 and 11/25 Medical records recieved for DOS 11/17-11/24 Final DX: Bell's palsy L side facial weakness. Seizures. Eye discomfort, dryness. L eye ptosis. Altered taste sensation, facial pain. Stable. Improving. ICD9 codes:  351.0, 374.31, 345.80, 070.54
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Generalized hives on trunk, arms, and legs 15 minutes following injection of ZOSTAVAX. Not listed as a side effect-only hives at injection site. Chills and headache -listed as a possible side effect.
Age: 0.4
Sex: F
Vaccine: RV5
Symptoms: Body temperature increased
Clinical narrative: 4 mo 13 day infant with no medical problems was vaccinated on 10/19/09 with oral rotavirus vaccine -RotaTeq-R--, standard dose, 2 ml. On 10/21/09 the infant's mother related the child had a rectal temperature of 101.5 degrees F. She had a rectal 98.9 degree temp on 10/21 and no temperature on 10/21. This was a mild AE on the protocol. This AE may have been related to the vaccine. The patient recovered without effects. This serves as the initial and 15 day report.
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Syncope
Clinical narrative: Fainting spell for about 2mins. Woke up with wheezing and need to clea throat.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nervousness, Syncope
Clinical narrative: Episode of syncope x 30-40 seconds immediately after vaccination with H1N1 vaccine.  Patient was nervous and has a history of a previous fainting spell while watching blood being drawn from a family pet. Placed supine with feet elevated. Given po fluids/food as she had not eaten dinner prior to clinic. EMS summoned to monitor vital signs. Recovered and sent home with parent 45 minutes after event.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Pt. experienced difficulty breathing, chest congestion, increase mucous-started about one hr after immunization.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Cough, Drug exposure during pregnancy, Dyspnoea, Fatigue
Clinical narrative: While waiting for bus one hour & 45 minutes after shot- chills, fatigue- went home took Tylenol, slept 2 hours- felt better, that evening (Mon) congestion, cough. 11/19/09 shortness of breath, cough. Told to call doctor clinic. 12/8-12/9/2009 OB records ov's 11/2009, patient with c/o's productive cough, SOB post vaccine, started on Tamiflu with no improvement, seen 11/24/2009 and started on ABX.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Respiratory tract congestion
Clinical narrative: While waiting for bus one hour & 45 minutes after shot- chills, fatigue- went home took Tylenol, slept 2 hours- felt better, that evening (Mon) congestion, cough. 11/19/09 shortness of breath, cough. Told to call doctor clinic. 12/8-12/9/2009 OB records ov's 11/2009, patient with c/o's productive cough, SOB post vaccine, started on Tamiflu with no improvement, seen 11/24/2009 and started on ABX.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Medication error, Unevaluable event
Clinical narrative: No adverse events to report. Pt received the H1N1 mist on 11/9/09 & then received the H1N1 vaccine on 11/11/09 at Hospital per signed parental consent form.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus
Clinical narrative: Client complained of intense itching of head within hour of vaccine injection lasting several hours - (??) began subsiding after shower at home.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Streptococcal identification test negative
Clinical narrative: Fever, body aches, sore throat.
Age: 2.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Rash papular, Stomatitis
Clinical narrative: Macular papular rash and stomatitis on 10/29/2009. No fever. No hives. May have been caused by a viral illness but I am reporting it due to time frame.
Age: 28.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Feeling abnormal
Clinical narrative: "Felt foggy" and weak.
Age: 41.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Aphonia, Impaired work ability, Laryngitis, Oropharyngeal pain, Throat tightness
Clinical narrative: Laryngitis - lost voice. Tight feeling. Sore throat (burning). Missed 2 days of work (RN). No fever, no shortness of breath, no wheezing, no cough.
Age: 0.54
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1), FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Rotavirus given at 6 months where had not gotten previous doses (1st dose by accident) no reaction.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral, Rash
Clinical narrative: Pt states that a couple days after getting vaccine fingers of both hands swelled up and developed rash on hands, wrists, ankles and hips. Treated with Benadryl and "anti-itch cream".
Age: 10.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Dizziness, Dysstasia, Vomiting
Clinical narrative: Received intranasal vaccine 11/13/09. Had weakness, dizziness at 4pm that afternoon. Severe episode of vomiting, couldn't stand up for ~ 15-20min. Drank Gatorade and felt better. No subsequent vomiting.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Sore throat, fever 103.5 by thermometer. Started 11/16/09 injection given 11/12/09 H1N1.
Age: 13.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Pt had nausea, vomiting, and dizziness 1 day post seasonal flu vaccination.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye pain, Headache, Pain
Clinical narrative: "Splitting headache, frontal and occipital" not relieved by otc medications lasting from 11/12 pm until 11/15 pm.  Orbital pain "globes hurt" from 11/12 pm until 11/18 pm not relieved by otc pain meds.  No loss of vision or other visual symptoms. OTC meds included Tylenol and ibuprofen.  Symptoms resolved spontaneously without sequela.  Exam by this physician performed on 11/19 revealed no abnormalities.
Age: 52.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Back pain, Vomiting
Clinical narrative: Vomiting, back aches -both sides of lower back.
Age: 19.0
Sex: F
Vaccine: FLUN3, TDAP
Symptoms: Culture, Gram stain, Injection site extravasation, Injection site mass, Injection site pain
Clinical narrative: Initially had lump and pain at the site of the Tdap injection which according to the patient lasted until approx. 11/18/2009 when some liquid came out of the area of the injection site.  Seen by Dr. on 11/19/2009 and culture of the serous fluid from the wound performed and approx. 1-2 mm small hole was observed at the injection site on the right deltoid.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Nausea, Pain, Vomiting
Clinical narrative: Vomiting; nausea; temperature=99.2; Body aches; vaccination on 11/11/2009 at 2:00pm. Symptoms started at 9:00pm; "Red" color in vomit; went to hospital; out of school x1 day.
Age: 5.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Activities of daily living impaired, Dyspnoea, Wheezing
Clinical narrative: Had to go to the ER. Woke with wheezing & difficulty breathing. Missed a week of school. Has been wheezing all week. 11/30/2009 ED record 11/15-11/16/2009,DC DX Rhinitis   patient with c/o's SOB, cough, and wheezing, rx's bronchodilator and Zyrtec. ICD-9 code 460.0
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash
Clinical narrative: Rash, itching, bumps on neck.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus
Clinical narrative: Redness and itching of bilateral wrists.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Abnormal behaviour
Clinical narrative: Behavior changes. Abdominal pain.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Hot flush, Nausea, Pharyngeal oedema
Clinical narrative: Headache-36hrs - Ibuprofen. Nausea - 12hrs. Burning flashes - 1 HR. Swollen throat - 36hrs.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Condition aggravated, Dyspnoea, Ear infection, Headache
Clinical narrative: After injection on 11/13 headache. 11/14 - feeling of lethargy - without  headache. 11/15 - Not feeling @all. Increased lethargy, congested and irritated throat. 11/16 - woke up with dyspnea, chest heaviness. Employee went to MD and received breathing Txs. steroid pack, ROCEPHIN injection. Dx with R ear infection.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Lethargy, Malaise, Nasal congestion, Respiratory tract congestion, Throat irritation
Clinical narrative: After injection on 11/13 headache. 11/14 - feeling of lethargy - without  headache. 11/15 - Not feeling @all. Increased lethargy, congested and irritated throat. 11/16 - woke up with dyspnea, chest heaviness. Employee went to MD and received breathing Txs. steroid pack, ROCEPHIN injection. Dx with R ear infection.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Posture abnormal, Tremor
Clinical narrative: Pt's head went down. He picked it back up. He had a blank stare on his face and started shaking (like a convulsion). Called 911. Pt came out of it. Asked what had happened, said he felt a little dizzy. Pt left with his mother from the store after paramedics arrived to check on him.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pt. complained of pain at injection site several days of the injection. Talked to manager after this.
Age: 1.26
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Rash erythematous, Rash papular
Clinical narrative: Fever x2 days post vaccination, erythematous / papular rash, after fever subsided for one day erythematous on trunk, papular on extremities.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Patient felt dizzy. Carefully and safely got patient to the floor in lying position. Called 911. When paramedics arrived patient said she was fine. Patient was able to leave store on her own.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Limb discomfort, Muscular weakness, Pain
Clinical narrative: Patient called on 10-29 and said that on 10-14 she was unable to lift her arm. She said that while these sx were better, she was now experiencing shooting pains down her arm. I instructed her to call dr.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Palpitations
Clinical narrative: c/o fast/hard HR, HR auscuitated, reg + strong rate of 66, no trouble breathing monitored.
Age: 16.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthma, Contraindication to vaccination
Clinical narrative: Client received a seasonal FluMist intranasally. Once the family had returned home and read the VIS, they discovered that asthma is a contraindication. Client had no bad reactions, but his parents wanted us to know he has asthma.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash papular
Clinical narrative: Small raised dots around mouth. Not itchy/irritating, rechecked 1 hr later, without change. Msg left for mother. No difficulty breathing/no mouth involvement.
Age: 6.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Culture throat negative, Pityriasis rosea, Rash, Streptococcal identification test
Clinical narrative: 2 days post vaccination patient broke out in a rash on torso and arm/legs, resembling and dx as pityriasis rosea
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Sore, swelling, redness. Pt. took 1 MOTRIN.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Ageusia, Anosmia, Middle ear effusion
Clinical narrative: 10/28/09 - rec'd Intranasal vaccine. On 10/29/09 lost sense of smell and taste, no treatment, fluid R ear. Taking decongestant. 11/11/09 - saw PCP. Taste improved, smell still decreased.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None reported.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Eye swelling, Fluid replacement, Headache, Upper respiratory tract infection
Clinical narrative: Mother reported that child c/o pounding headache when picked up from school 10/28/09. A few hours later headache intensified, Temp 103 degrees, eyes swollen, vomiting, unable to keep food down. Child was admitted to hospital 10/29/09. Received IV fluids. Dx URI. D/C 10/30/09. 11/23/09 Hosp. recs received for dates 10/29/09 to 10/30/09. DX: viral syndrome. Presenting SX: N/V, fever, fatigue, HA, sore throat. Pt. parent states received H1N1 vax x1 day ago. Seen in ER 10/26 for c/o chest pain. Resolved in ER. Normal EKG.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Viral infection, Vomiting
Clinical narrative: Mother reported that child c/o pounding headache when picked up from school 10/28/09. A few hours later headache intensified, Temp 103 degrees, eyes swollen, vomiting, unable to keep food down. Child was admitted to hospital 10/29/09. Received IV fluids. Dx URI. D/C 10/30/09. 11/23/09 Hosp. recs received for dates 10/29/09 to 10/30/09. DX: viral syndrome. Presenting SX: N/V, fever, fatigue, HA, sore throat. Pt. parent states received H1N1 vax x1 day ago. Seen in ER 10/26 for c/o chest pain. Resolved in ER. Normal EKG.
Age: 0.95
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Depressed level of consciousness, Somnolence
Clinical narrative: Patient's father stated that when his wife picked patient up from daycare she did not look good, kept on opening and closing her eyes as though she was falling asleep. Mom tried to arouse her in the backseat of car. She was very hard to wake.   11/25/09:  ED Records received for date of service 11/12/09:  Dx: Syncope  Presented to ED after child went limp and unresponsive in the car, unresponisve to stimuli x 5 min.  Admitted to the peds. unit for monitoring. 11/12/09:  Hospital progress note received for date of service 11/13/09.  Dx: RSV. Plan to discharge later in day if remains clinically well.
Age: 39.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Contusion, Diarrhoea, Loss of consciousness, Vomiting
Clinical narrative: Abdominal pain, vomiting, diarrhea, 12 hrs approx after taking vaccine, went to ER. Then admitted 1 day at a cost of $16,000 for none related (abdominal pain) symptoms. I have no insurance coverage and cannot pay it. The following evening I passed out causing bruises just above my eyes and returned to ER.   11/23 and 11/24/2009 MR and DC summary for 11/1-11/5/2009.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Unevaluable event
Clinical narrative: Administered PEDIARIX instead of H1N1. Had 3 children in room getting imms.
Age: 11.0
Sex: F
Vaccine: UNK
Symptoms: Headache
Clinical narrative: Complaints of headache at 1405-vital signs taken-temp= 98.6, BP=102/62, HR=86, 300mg. Ibuprofen given-stayed with nurses until 14:30- called mom left a message-feeling better reported at 1505.
Age: 28.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Pregnancy
Clinical narrative: No adverse events. Given intranasal flu vaccine but was supposed to get IM vaccine.  1/6/2010 OB Consultation records received. Service date 12/11/09. Assessment: Anemia.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Injection site anaesthesia, Nausea, Vomiting
Clinical narrative: Numbness in given arm travelled across shoulders to other arm nausea, vomiting, diarrhea.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tremor
Clinical narrative: Received vaccine on 11/2/09 2 weeks ago from today. 11/16/09 - Patient states her hands had started shaking about 1 week ago - had never noticed the shaking before.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abnormal behaviour, Aggression, Anger, Antisocial behaviour, Depressed mood
Clinical narrative: Child received H1N1 vaccine at school 5 days ago. Since then mother reports "drastic" behavior changes. Some anger, some sadness. Was hitting his brother "more than usual", "disrespectful and rude". Child is new pt to practice, per mom no underlying medical conditions. Child with no observed behavioral problems in office.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Chest pain, Dyspnoea, Flushing, Incoherent
Clinical narrative: 2 hours after vaccine, became drowsy. 4 hours after vaccine - trouble breathing, chest pain, weakness, partially incoherent, flushed face.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Somnolence
Clinical narrative: 2 hours after vaccine, became drowsy. 4 hours after vaccine - trouble breathing, chest pain, weakness, partially incoherent, flushed face.
Age: 13.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Convulsion, Electrocardiogram, Laboratory test
Clinical narrative: Seizure activity, child afebrile, 1st occurrence. 11/23/09 Medical records received for DOS 11/15/09. Final DX: Questionable seizure activity vs vasovagal episode resulting in vasovagal seizure vs hypoglycemic episode resulting in seizure-like activity. D/C to home. Refer to neuro.  Seizure like activity, foaming at mouth, shaking. Preceded by blurry vision. Unable to walk. Bld sugar 76.    .
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site rash, Pruritus, Rash maculo-papular
Clinical narrative: L arm with flesh colored maculopapular rash = 2 in diameter around site of injection. occurred = 2 days after injection. + pruritis. Tx with moisturizing and 1% hydrocortisone cream.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vaccination complication
Clinical narrative: Upon administration of H1N1 when pushing the plunger the vaccine leaked from the sides of the needle - causing an insignificant amount of vaccine to be administered.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Headache, Rash, Vomiting
Clinical narrative: Pt given H1N1 vaccination at school clinic at approximately mid-morning. At 4:30 PM, mother called office to report pt had rash on forearm to elbow. C/O headache, vomited once and had Temp of 99.5. Supervisor advised mother to take pt to Emergency room for evaluation. 11/13/09 Called mother-no answer-left message to call. 11/16-called mother-left message to call. Mother has not returned calls.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: 10:45 vaccine given. 11:15 reported redness, itching at site. 11:25 1 Benadryl po administered. 12:05 re-eval. 13:05 re-eval.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Dizziness, Headache, Nausea, Oropharyngeal pain
Clinical narrative: One hour after the vaccine he became light-headed and nauseated. In 5 hours after vaccine, he developed a headache and was very sleepy. 24 hours after vaccine, he developed a fever and sore throat and a rough loud cough. (symptoms were very).
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Somnolence
Clinical narrative: One hour after the vaccine he became light-headed and nauseated. In 5 hours after vaccine, he developed a headache and was very sleepy. 24 hours after vaccine, he developed a fever and sore throat and a rough loud cough. (symptoms were very).
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Cough, fever, body aches, mild runny nose started 3 days after H1N1 intranasal vaccine was given.
Age: 21.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Fatigue
Clinical narrative: Fatigue and cough.
Age: 14.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Pt is experiencing headache, sore throat, fever (101.7) and cough.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Nuchal rigidity, Photophobia
Clinical narrative: Intractable headache started @ 7 hours after dose with subsequent nuchal rigidity and light sensitivity starting @ 13 hours after dose. Symptoms last 46 hours.
Age: 50.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Flushing, Muscle tightness, Paraesthesia, Pruritus, Throat tightness
Clinical narrative: Flush (cheeks, neck), tightness in neck and throat, upper lip and nose tip tingly and itched.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria, Wound secretion
Clinical narrative: Patient noticed hives approx. 20 min post injection. Hives were itchy with an oozing center, remained itchy/oozing approximately 1 wk no previous reaction to annual seasonal influenza vaccinations. Vaccine administrator told me to report this event myself.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test normal, Nuclear magnetic resonance imaging brain normal, Vibratory sense increased
Clinical narrative: 2 days following flu shot, I began experiencing ongoing internal vibrations throughout body. Dr. has ran blood work and no other sign of illness present to correlate to such symptoms. Therefore, symptoms appear correlated to flu shot, still experiencing same symptoms.  12/01/09 PCP notes for DOS 10/26/09 and 11/19/09 DX: Chest pain, palpitations  12/02/09 and 12/03/09 ER notes for DOS 10/18/09.  DX: Muscle spasms, visual disturbances, lower extremity numbness.   Pt c/o night sweats, chest pain, heart palpitations, spasms in the whole body. Symptoms of palpitations and SOB consistent with sinus tachycardia. ECG normal. tx: Neurontin and Valium. Pt discharged home in stable condition. Pt to follow up with a neurologist.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Approximately 1 hr following vaccine/mist broke out in small (pintop) hives an bilateral arms then also large (50 cent piece) hives on shoulders, neck, back, and chest. Lasted approx. 8hrs-very itchy then slowly disappeared.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Chest discomfort, Chest pain, Headache, Hypoaesthesia
Clinical narrative: Severe muscle aches arms, legs, and neck. Numbness in feet and R arm. Headaches and low grade fever. Overall weakness. 10/10-11/13. Elevated resp. problems on 11/12. Chest pain and pressure.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Myalgia, Peak expiratory flow rate decreased, Pyrexia, Respiratory rate increased
Clinical narrative: Severe muscle aches arms, legs, and neck. Numbness in feet and R arm. Headaches and low grade fever. Overall weakness. 10/10-11/13. Elevated resp. problems on 11/12. Chest pain and pressure.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Lymph node pain
Clinical narrative: Moderate to severe left axillary (Lymph node) pain. No specific treatment.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Pruritus, Rash macular
Clinical narrative: 5-10 min. following vaccination, mother noticed reddened, blotchy cheeks and nose. Nose itches. Child alert, oriented, no wheezing, no resp. difficulty. Given H2O and observed x 30 minutes. Released to home w/instructions. F/U call to mother on 11/12/09-no further sxs.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Musculoskeletal stiffness, Neck pain, Stomatitis
Clinical narrative: Neck sore & stiff.  Sores in mouth.  Headache.
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chromatopsia, Hypoacusis, Pallor
Clinical narrative: Child c/o "everything looking black", harder to hear ("things got quiet"). Needed to sit down, was very pale. Episode began within few minutes of receiving vaccine. Child seated, given juice, rested x 20 min, felt much better - home with parent.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Balance disorder, Blood potassium decreased, Blood product transfusion, Blood test
Clinical narrative: Starting on September 14, 2009, soreness of muscles in legs, fatigue and weakness in same area. Numbness followed throughout the week. This continued until Sept. 23, 2009. On the morning of the 24th of September, I began losing my balance and falling down onto the ground until the next day I was paralyzed from the waist down. On 26th of September I was taken by an ambulance to the hospital. On September 25th, 2009, I did see my doctor at 10:30 AM. I was unable to walk. They took blood tests and I had an MRI done. They also found I had been low on Potassium. So they gave me potassium pills to take, by the morning of September 26th, 2009, I was worse and unable to get out of bed. At about 10:30 AM I was transported by ambulance to the hospital. They also transported me to another hospital and admitted me in to ICU where I stayed for five days. I was diagnosed with Guillain-Barre syndrome.   11/23/09 Hospital Records and DC summary received for DOS 9/26/09-10/01/09. Assessment: Unusual Guillain-Barre Syndrome axonal varient. Migraine headaches. Pt. presented with bilateral pain and weakness in thighs x 1-2 days; reported falling secondary to knees buckling, difficulty sitting up, and bilateral upper extremity weakness, pain in both feet and thighs, and difficulty voiding. IVIG. Headache.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated, Electromyogram, Fall, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Starting on September 14, 2009, soreness of muscles in legs, fatigue and weakness in same area. Numbness followed throughout the week. This continued until Sept. 23, 2009. On the morning of the 24th of September, I began losing my balance and falling down onto the ground until the next day I was paralyzed from the waist down. On 26th of September I was taken by an ambulance to the hospital. On September 25th, 2009, I did see my doctor at 10:30 AM. I was unable to walk. They took blood tests and I had an MRI done. They also found I had been low on Potassium. So they gave me potassium pills to take, by the morning of September 26th, 2009, I was worse and unable to get out of bed. At about 10:30 AM I was transported by ambulance to the hospital. They also transported me to another hospital and admitted me in to ICU where I stayed for five days. I was diagnosed with Guillain-Barre syndrome.   11/23/09 Hospital Records and DC summary received for DOS 9/26/09-10/01/09. Assessment: Unusual Guillain-Barre Syndrome axonal varient. Migraine headaches. Pt. presented with bilateral pain and weakness in thighs x 1-2 days; reported falling secondary to knees buckling, difficulty sitting up, and bilateral upper extremity weakness, pain in both feet and thighs, and difficulty voiding. IVIG. Headache.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Intensive care, Laboratory test, Lumbar puncture, Muscle fatigue, Muscular weakness
Clinical narrative: Starting on September 14, 2009, soreness of muscles in legs, fatigue and weakness in same area. Numbness followed throughout the week. This continued until Sept. 23, 2009. On the morning of the 24th of September, I began losing my balance and falling down onto the ground until the next day I was paralyzed from the waist down. On 26th of September I was taken by an ambulance to the hospital. On September 25th, 2009, I did see my doctor at 10:30 AM. I was unable to walk. They took blood tests and I had an MRI done. They also found I had been low on Potassium. So they gave me potassium pills to take, by the morning of September 26th, 2009, I was worse and unable to get out of bed. At about 10:30 AM I was transported by ambulance to the hospital. They also transported me to another hospital and admitted me in to ICU where I stayed for five days. I was diagnosed with Guillain-Barre syndrome.   11/23/09 Hospital Records and DC summary received for DOS 9/26/09-10/01/09. Assessment: Unusual Guillain-Barre Syndrome axonal varient. Migraine headaches. Pt. presented with bilateral pain and weakness in thighs x 1-2 days; reported falling secondary to knees buckling, difficulty sitting up, and bilateral upper extremity weakness, pain in both feet and thighs, and difficulty voiding. IVIG. Headache.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Nerve conduction studies, Nuclear magnetic resonance imaging, Occupational therapy, Paralysis
Clinical narrative: Starting on September 14, 2009, soreness of muscles in legs, fatigue and weakness in same area. Numbness followed throughout the week. This continued until Sept. 23, 2009. On the morning of the 24th of September, I began losing my balance and falling down onto the ground until the next day I was paralyzed from the waist down. On 26th of September I was taken by an ambulance to the hospital. On September 25th, 2009, I did see my doctor at 10:30 AM. I was unable to walk. They took blood tests and I had an MRI done. They also found I had been low on Potassium. So they gave me potassium pills to take, by the morning of September 26th, 2009, I was worse and unable to get out of bed. At about 10:30 AM I was transported by ambulance to the hospital. They also transported me to another hospital and admitted me in to ICU where I stayed for five days. I was diagnosed with Guillain-Barre syndrome.   11/23/09 Hospital Records and DC summary received for DOS 9/26/09-10/01/09. Assessment: Unusual Guillain-Barre Syndrome axonal varient. Migraine headaches. Pt. presented with bilateral pain and weakness in thighs x 1-2 days; reported falling secondary to knees buckling, difficulty sitting up, and bilateral upper extremity weakness, pain in both feet and thighs, and difficulty voiding. IVIG. Headache.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Physiotherapy
Clinical narrative: Starting on September 14, 2009, soreness of muscles in legs, fatigue and weakness in same area. Numbness followed throughout the week. This continued until Sept. 23, 2009. On the morning of the 24th of September, I began losing my balance and falling down onto the ground until the next day I was paralyzed from the waist down. On 26th of September I was taken by an ambulance to the hospital. On September 25th, 2009, I did see my doctor at 10:30 AM. I was unable to walk. They took blood tests and I had an MRI done. They also found I had been low on Potassium. So they gave me potassium pills to take, by the morning of September 26th, 2009, I was worse and unable to get out of bed. At about 10:30 AM I was transported by ambulance to the hospital. They also transported me to another hospital and admitted me in to ICU where I stayed for five days. I was diagnosed with Guillain-Barre syndrome.   11/23/09 Hospital Records and DC summary received for DOS 9/26/09-10/01/09. Assessment: Unusual Guillain-Barre Syndrome axonal varient. Migraine headaches. Pt. presented with bilateral pain and weakness in thighs x 1-2 days; reported falling secondary to knees buckling, difficulty sitting up, and bilateral upper extremity weakness, pain in both feet and thighs, and difficulty voiding. IVIG. Headache.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Heart rate decreased, Hypotension, Pallor, Pulse pressure decreased
Clinical narrative: After seasonal flu injection in left deltoid became pale with slow HR and low BP. She complained of being 'lightheaded' after injection sitting with head down. Patient is very pale, pulse slow and weak. 1430 BP 82/50 68HR, RR22 patient feels less 'dizzy' color less pale-lips pink. 1437 BP 100/68, 72HR RR20. 1450 BP 100/68 64HR RR20. 1455 facility called regarding adverse reaction. 1515 Forms completed BP 106/72, HR 62, RR20. Patient color is good, pulse strong, no complaints 'lightheadedness'. Patient instructed to call 911 or go to an emergency facility if symptoms return.