chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Dyspnoea, Heart rate increased, Immediate post-injection reaction, Urticaria
Clinical narrative: Several hours after vaccination, patient developed urticarial rash on forearm of vaccinated arm. Later that evening, developed trouble breathing, anxiety and rapid pulse. Took several doses of diphenhydramine. Symptoms resolved by the next day.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: SM developed redness, swelling, pain at injection site approx 24 hrs post vaccination during deployment. Resolved over 2 week period. Symptoms: Edema @ injection site 50-120mm, Erythema, Pain
Age: 17.0
Sex: F
Vaccine: ANTH
Symptoms: Local reaction
Clinical narrative: SM developed large local reaction from shoulder to elbow in R arm approx 12 hrs after receiving her second AVA SQ during her deployment. From time of onset of symptoms to resolution was approx 2 weeks.
Age: 42.0
Sex: M
Vaccine: HEPAB
Symptoms: Bone pain, Mobility decreased, Pain
Clinical narrative: Vaccine given 1-20-10. Severe pain "bone deep" on 1-23-10. Reported 1-25-10 to nurse. Is taking 800mg ibuprofen 2x day. "Is helping." Cannot use L arm still.
Age: 18.0
Sex: M
Vaccine: FLUN3
Symptoms: Chest pain, Dyspnoea, Laboratory test normal
Clinical narrative: SM developed intermittent chest pain and SOB starting on the 19 of Nov with a very brief episode and then no recurrence until 25th Nov. Chest pain not related to exertion. SM is noting SOB with climbing stairs and during PT.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema
Clinical narrative: Patient did not inform us about reaction right away, she informed us on 1-22-10-she states turned red the next day.
Age: 42.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Rash macular
Clinical narrative: 1/2 hour after vaccine given, forearms and hands became red and blotchy, back also red
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Diarrhoea, Gait disturbance, Gaze palsy, Loss of consciousness
Clinical narrative: Stomach cramps, diarrhea, vomiting.  Had an episode after vomiting where her eyes rolled back and she staggered and collapsed.  She remained conscious.  Mother reports that she was wide awake and "wired" that evening.  Illness lasted on and off for about 12 hours and then resolved.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Syncope, Vomiting
Clinical narrative: Stomach cramps, diarrhea, vomiting.  Had an episode after vomiting where her eyes rolled back and she staggered and collapsed.  She remained conscious.  Mother reports that she was wide awake and "wired" that evening.  Illness lasted on and off for about 12 hours and then resolved.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphonia, Dyspnoea, Myalgia, Nasopharyngitis, Wheezing
Clinical narrative: Started having body aches, hoarseness, wheezing, and hard time breathing, alot of cold symptoms
Age: 0.31
Sex: F
Vaccine: HIBV, IPV
Symptoms: Crying, Hypersomnia, Irritability, Pyrexia, Unresponsive to stimuli
Clinical narrative: Slept for 2 days, had to be awakened to feed, fussy irritable mild fever with Tylenol given x1 with good response. Mother noticed rubbing of head and face and lost ability to console oneself and lost ability to suck thumb. Feels cry is more high pitched and not vocalizing as much as before vaccine.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Cough, Drug exposure during pregnancy, Fatigue, Myalgia
Clinical narrative: Developed burning, dry cough, muscle aches, fatigue, slight sore throat, sinus congestion.  Prescribed two different antibiotics (Keflex and then Z-pak) with continued dry, burning cough, chest and sinus congestion, fatigue to date (25 January 2010).  35 weeks pregnant at present.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Sinus congestion
Clinical narrative: Developed burning, dry cough, muscle aches, fatigue, slight sore throat, sinus congestion.  Prescribed two different antibiotics (Keflex and then Z-pak) with continued dry, burning cough, chest and sinus congestion, fatigue to date (25 January 2010).  35 weeks pregnant at present.
Age: 38.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test, Dizziness, Fatigue, Feeling hot, Urine analysis
Clinical narrative: About 2 hours after I received the shot, I started feeling tired and a warm sensation on my face. The following days I was feeling light-headed and on 01/17/10 about 10:00 PM I became extremely dizzy and I was rushed to the emergency room at Hospital. The doctor diagnosed me with Vertigo. I never had that before. After that I've been feeling tired till this day.
Age: 38.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Vertigo
Clinical narrative: About 2 hours after I received the shot, I started feeling tired and a warm sensation on my face. The following days I was feeling light-headed and on 01/17/10 about 10:00 PM I became extremely dizzy and I was rushed to the emergency room at Hospital. The doctor diagnosed me with Vertigo. I never had that before. After that I've been feeling tired till this day.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swollen, redness, and pain of 1 day,  No SOB, No rash, no respiratory difficulty, no signs of distress
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Limb discomfort
Clinical narrative: On 1/12 pt had pain at the injection site, radiating to bicep and rotator area wtih constant pain 5 on a scale of 10.  On 1/13 pain increased to a 7 out of 10 and on 1/14 pt could not lift arm.  On 1/15 pt packed shoulder in ice and took Advil with relief. On 1/16 pain decreased to a 6 out of 10 and kept decreasing until 1/22 on which day there was no pain noted just tenderness at the site.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Infection, Limb discomfort, Pain in extremity
Clinical narrative: Pt stated when she received the H1N1 shot she felt it hit the bone.  Her arm became painful even after a few days.  Pt stated she went to her MD and he said it was a "bad shot" and she had an infection deep in her arm .  Patient is still having problems with the arm it has been placed in a sling and she will be given physical therapy.
Age: 12.0
Sex: M
Vaccine: MEN
Symptoms: Rash erythematous
Clinical narrative: 2 CM RAISED REDDENED AREA
Age: 25.0
Sex: F
Vaccine: MMR
Symptoms: Injection site pain, Vaccination error
Clinical narrative: MMR #2 (or possibly 3) given IM in left deltoid in error; pt stated it hurt more than any other shot she had ever received
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUN(H1N1), MMR
Symptoms: Erythema, Induration, Injection site swelling, Pain
Clinical narrative: Swelling at site of vaccine at time of injection-resolved and returned. C/O pain earlier but not current - red & hard advised to come in for eval.
Age: 0.79
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Irritability, Pyrexia
Clinical narrative: Parent reported fever of 102 degrees F and increased fussiness for 3 days following vaccine.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, FLU(H1N1), HIBV, PNC, RV5
Symptoms: Cough, Incorrect dose administered, Pyrexia, Rash, Vomiting
Clinical narrative: 2 1/2 days after vaccination baby presented with vomiting. Then next day vomiting with low grade fever. Then next day cough with rash on trunk 1st, head, extremities. Baby received double -dose H1N1 vaccine.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Agitation, Ear pain, Otorrhoea
Clinical narrative: My son was awakened by severe ear pain and agitation, telling me his ear hurt.  I administered children's Dimetapp and children's Tylenol, then warm compresses to the right ear.  By the following day, his ear was discharging clear, yellow liquid and blood.  His physician prescribed antibiotic ear drops for 7 days/ 3 times per day. I think it was Ofloxacin.
Age: 46.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: Hives rash just below armpits under each arm.  Areas were 2 inches square.
Age: 44.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Condition aggravated, Convulsion
Clinical narrative: UNUSUAL SEIZURE--NOT LIKE NORMAL PATTERN --STOOD UP AND WOULD NOT SIT DOWN --RECOVERED WELL THOUGH NO TREATMENT OTHER THAN SOMEONE WITH ME UNTIL i CAME AROUND .i HAD NOT HAD A SEIZURE IN 7 MTHS.
Age: 32.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest discomfort, Disorientation, Dizziness, Pallor
Clinical narrative: 1/23/10 12:20pm client said felt dizzy 3 minutes after receiving H1N1 nasal mist but went home and returned to clinic in 2hrs with dizziness, pale, anterior chest tightness, feeling of disorientation. BP 110/80, P80, Ox3, lungs clear, given BENADRYL .25cc, 25 mg IM with reduction in symptoms, no swelling or rash seen. 12:45pm - recovered and sent hom with instructions to go to ER if returns, no egg vaccines. 1/25/10 called client - fully recovered but felt dizzy x 24 hours.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Dizziness, Fatigue, Feeling hot, Headache
Clinical narrative: This 22 yo presented for follow up evaluation of adverse events to H1N1 Mist vaccine received on 1/7/2010. Initial eval was by PCP 3 hours after vaccination on 1/7/10. SM received H1N1 vaccine approximately 0830 on 7 Jan 2010. Upon arrival and prior to vaccine receipt, SM requested SIQ prior to vaccination reporting "she always gets sick" after her vaccinations. She remembers feeling ill prior to her shot with "cold symptoms" to include body aches and malaise. Approximately one hour later, she began to feel nauseated, her vision became prism like, felt dizzy with sudden sharp stabbing frontal sinus-like headache that extended to back of head and felt hot all over. The headache was 8/10 pain scale. She sat down returning to medical about 1100 hr. Here she complained of headache, nausea, pressure in head, body aches, and left leg tingling/twitching abd pain, rash, pruritis, congestion or any other signs of allergic reaction.. She advised this headache was similar to past "barometric" headaches experienced since childhood and common to past "flu shot reactions". She described her left leg tingling/twitching being located along the lateral left leg between hip/knee while sitting driving. She denied any difficulty walking. Her exam was unremarkable with the physician diagnosing with headache. She refused any medication for her headache and was given SIQ for 24 hours. She reported her headache, malaise, and fatigue lasted for <24 hours resolving while asleep. Her leg twitching lasted <8 hours with spontaneous resolution. As of 14 Jan 2010 interview she reported no reoccurrence of the above symptoms. Symptoms: nausea w/o vomiting, headache, general and Paresthesia.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Malaise, Muscle twitching, Nausea, Pain, Paraesthesia
Clinical narrative: This 22 yo presented for follow up evaluation of adverse events to H1N1 Mist vaccine received on 1/7/2010. Initial eval was by PCP 3 hours after vaccination on 1/7/10. SM received H1N1 vaccine approximately 0830 on 7 Jan 2010. Upon arrival and prior to vaccine receipt, SM requested SIQ prior to vaccination reporting "she always gets sick" after her vaccinations. She remembers feeling ill prior to her shot with "cold symptoms" to include body aches and malaise. Approximately one hour later, she began to feel nauseated, her vision became prism like, felt dizzy with sudden sharp stabbing frontal sinus-like headache that extended to back of head and felt hot all over. The headache was 8/10 pain scale. She sat down returning to medical about 1100 hr. Here she complained of headache, nausea, pressure in head, body aches, and left leg tingling/twitching abd pain, rash, pruritis, congestion or any other signs of allergic reaction.. She advised this headache was similar to past "barometric" headaches experienced since childhood and common to past "flu shot reactions". She described her left leg tingling/twitching being located along the lateral left leg between hip/knee while sitting driving. She denied any difficulty walking. Her exam was unremarkable with the physician diagnosing with headache. She refused any medication for her headache and was given SIQ for 24 hours. She reported her headache, malaise, and fatigue lasted for <24 hours resolving while asleep. Her leg twitching lasted <8 hours with spontaneous resolution. As of 14 Jan 2010 interview she reported no reoccurrence of the above symptoms. Symptoms: nausea w/o vomiting, headache, general and Paresthesia.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash, Upper respiratory tract congestion, Vaccine positive rechallenge, Visual impairment
Clinical narrative: This 22 yo presented for follow up evaluation of adverse events to H1N1 Mist vaccine received on 1/7/2010. Initial eval was by PCP 3 hours after vaccination on 1/7/10. SM received H1N1 vaccine approximately 0830 on 7 Jan 2010. Upon arrival and prior to vaccine receipt, SM requested SIQ prior to vaccination reporting "she always gets sick" after her vaccinations. She remembers feeling ill prior to her shot with "cold symptoms" to include body aches and malaise. Approximately one hour later, she began to feel nauseated, her vision became prism like, felt dizzy with sudden sharp stabbing frontal sinus-like headache that extended to back of head and felt hot all over. The headache was 8/10 pain scale. She sat down returning to medical about 1100 hr. Here she complained of headache, nausea, pressure in head, body aches, and left leg tingling/twitching abd pain, rash, pruritis, congestion or any other signs of allergic reaction.. She advised this headache was similar to past "barometric" headaches experienced since childhood and common to past "flu shot reactions". She described her left leg tingling/twitching being located along the lateral left leg between hip/knee while sitting driving. She denied any difficulty walking. Her exam was unremarkable with the physician diagnosing with headache. She refused any medication for her headache and was given SIQ for 24 hours. She reported her headache, malaise, and fatigue lasted for <24 hours resolving while asleep. Her leg twitching lasted <8 hours with spontaneous resolution. As of 14 Jan 2010 interview she reported no reoccurrence of the above symptoms. Symptoms: nausea w/o vomiting, headache, general and Paresthesia.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Dizziness
Clinical narrative: inj - light headed walked BP 120/unable 82P ate and drank no H/A, N/V no lightheaded this morning  took this am - PROTONIX, chlor Trimeton, vitamin 12/0 anxiety with shots
Age: 2.0
Sex: M
Vaccine: FLU(H1N1), HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None reported child age 30 months given vaccine labeled 48 month and up.
Age: 71.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dehydration, Headache, Nausea, Syncope
Clinical narrative: Received vaccine at 1:45pm. States at 9pm nausea, headache, fainted. Seen at Urgent Care given IV fluids for dehydration on 1/23/10. She and neighbor with similar symptoms.
Age: 85.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Cough, Diarrhoea, Dizziness, Nausea
Clinical narrative: States began feeling dizzy, cough, nausea at 4:00 pm. At night fever, chills, ache on 1/23/2010 diarrhea. States vaccine gave her flu & no one else should get the vaccine.
Age: 85.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia
Clinical narrative: States began feeling dizzy, cough, nausea at 4:00 pm. At night fever, chills, ache on 1/23/2010 diarrhea. States vaccine gave her flu & no one else should get the vaccine.
Age: 68.0
Sex: F
Vaccine: FLUX(H1N1), PPV, VARZOS
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Given 3 immunizations. Left arm with 2, developed redness and swelling on large area of vaccinated arm. MD was consulted. Prescribed antibiotics to take and home care treatment. Return if s/sx don't improve.
Age: 24.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Nausea, Vomiting
Clinical narrative: vomit, nausea, chills
Age: 52.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Hypoaesthesia
Clinical narrative: Numbness in left outer calf area
Age: 50.0
Sex: F
Vaccine: TTOX
Symptoms: Blood test, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: Trouble breathing, feeling of throat swelling, dizziness.  Took Benadryl three times that night and missed work the next day due to dizziness, shortness of breath.  Hands and feet were swollen.  Continued to take allergy medicine and Motrin for pain.  Swelling progressed through whole body along with muscle spasms, soreness and fatigue.  It has been nine months now since the vaccine and I still have these symptoms.  I have been to internists & cardiologists all who can find nothing in the tests that lead to a diagnosis.
Age: 50.0
Sex: F
Vaccine: TTOX
Symptoms: Fatigue, Impaired work ability, Muscle spasms, Oedema peripheral, Pain
Clinical narrative: Trouble breathing, feeling of throat swelling, dizziness.  Took Benadryl three times that night and missed work the next day due to dizziness, shortness of breath.  Hands and feet were swollen.  Continued to take allergy medicine and Motrin for pain.  Swelling progressed through whole body along with muscle spasms, soreness and fatigue.  It has been nine months now since the vaccine and I still have these symptoms.  I have been to internists & cardiologists all who can find nothing in the tests that lead to a diagnosis.
Age: 50.0
Sex: F
Vaccine: TTOX
Symptoms: Pharyngeal oedema, Swelling, Thermogram, Ultrasound scan
Clinical narrative: Trouble breathing, feeling of throat swelling, dizziness.  Took Benadryl three times that night and missed work the next day due to dizziness, shortness of breath.  Hands and feet were swollen.  Continued to take allergy medicine and Motrin for pain.  Swelling progressed through whole body along with muscle spasms, soreness and fatigue.  It has been nine months now since the vaccine and I still have these symptoms.  I have been to internists & cardiologists all who can find nothing in the tests that lead to a diagnosis.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, RV5
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site in RIGHT thigh
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: C/O severe headache, febrile x's 2 days, headache continued along with fever, nausea and vomiting...was taken to family physician the following Monday, and was started on an antibiotic, seemed to feel ok while on antibiotic, as soon as it was completed, became febrile again, saw MD, and was started on a second antibiotic, took a total of approx 3 weeks to be symptom free.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Fall, Head injury, Loss of consciousness, Road traffic accident, Scan
Clinical narrative: Motorcycle accident-Passed out while driving motorcycle and fell off bike, hit head onto ground. was seen by ER. Subsuquent visits with Physicians; 12/17/09, 1/11/10. Was told passed out due to H1N1 vaccine.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: X-ray
Clinical narrative: Motorcycle accident-Passed out while driving motorcycle and fell off bike, hit head onto ground. was seen by ER. Subsuquent visits with Physicians; 12/17/09, 1/11/10. Was told passed out due to H1N1 vaccine.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Acute disseminated encephalomyelitis, Blood test, Central nervous system lesion, Concussion, Electroencephalogram
Clinical narrative: Motorcycle accident-Passed out while driving motorcycle and fell off bike, hit head onto ground. was seen by ER. Subsuquent visits with Physicians; 12/17/09, 1/11/10. Was told passed out due to H1N1 vaccine.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Encephalitis, Impaired work ability, Injury, Loss of consciousness, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Motorcycle accident-Passed out while driving motorcycle and fell off bike, hit head onto ground. was seen by ER. Subsuquent visits with Physicians; 12/17/09, 1/11/10. Was told passed out due to H1N1 vaccine.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Road traffic accident
Clinical narrative: Motorcycle accident-Passed out while driving motorcycle and fell off bike, hit head onto ground. was seen by ER. Subsuquent visits with Physicians; 12/17/09, 1/11/10. Was told passed out due to H1N1 vaccine.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test, Computerised tomogram, Guillain-Barre syndrome, Joint range of motion decreased, Pain
Clinical narrative: 11/3/09 pt. w/paralysis from neck down requiring ER visit via EMS transport. Paralysis lasted 10 days w/progression to walker. At present, pt remains on walker at times w/some limited range of motion and painful mobility in all four extremities. PMD suspects Guillain-Barre Syndrome. Has referred patient to Neurologist and prescribed pain medicine.
Age: 60.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paralysis, Scan brain, Spinal X-ray, Walking aid user, X-ray limb
Clinical narrative: 11/3/09 pt. w/paralysis from neck down requiring ER visit via EMS transport. Paralysis lasted 10 days w/progression to walker. At present, pt remains on walker at times w/some limited range of motion and painful mobility in all four extremities. PMD suspects Guillain-Barre Syndrome. Has referred patient to Neurologist and prescribed pain medicine.
Age: 65.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Biopsy lymph gland normal, Full blood count, Herpes zoster, Lymphadenopathy, Skin lesion
Clinical narrative: Patient states on January 3 she noticed an enlarged lymph node under her right arm, she had received her H1N1 Injection in her right arm , 3 weeks prior. She went to her PMD and the lymph node was removed, she is awaiting biopsy report, initial report stated it was not melanoma. Her PMD had told his patient that the enlarged lymph node was not related to the H1N1 vaccine, patient is awaiting call from oncologist concerning biopsy results.  She states she contacted the H1N1 information line asking about enlarged lymph nodes trying to rule out possible causes for the enlargement. Patient states she did have a viral infection in October 2009, diagnosed by her PMD after she recovered from the illness she received a seasonal flu shot and pneumonia shot in November but she cannot remember the date. She also notes she has developed lesions on both hands that look like shingles. She plans to discuss with her PMD.
Age: 65.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: White blood cell count normal
Clinical narrative: Patient states on January 3 she noticed an enlarged lymph node under her right arm, she had received her H1N1 Injection in her right arm , 3 weeks prior. She went to her PMD and the lymph node was removed, she is awaiting biopsy report, initial report stated it was not melanoma. Her PMD had told his patient that the enlarged lymph node was not related to the H1N1 vaccine, patient is awaiting call from oncologist concerning biopsy results.  She states she contacted the H1N1 information line asking about enlarged lymph nodes trying to rule out possible causes for the enlargement. Patient states she did have a viral infection in October 2009, diagnosed by her PMD after she recovered from the illness she received a seasonal flu shot and pneumonia shot in November but she cannot remember the date. She also notes she has developed lesions on both hands that look like shingles. She plans to discuss with her PMD.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Vertigo
Clinical narrative: REC'D VACCINE IN AM AND BY EVENING HAD SEVERE VERTIGO AND NAUSEA, LAST ALMOST 24 HOURS.  NO OTHER SYMPTOMS & FEELS FINE NOW.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Cough, Pyrexia, Wheezing
Clinical narrative: fever of 103.7 and severe cough with wheezing
Age: 5.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Cough, Pain in extremity
Clinical narrative: fever of 103.7 and severe cough with wheezing
Age: 47.0
Sex: M
Vaccine: FLU(H1N1), PPV
Symptoms: Headache, Hyperhidrosis, Pain in extremity, Pyrexia
Clinical narrative: LEFT ARM PAIN WITHIN HR. 4-5 HRS AFTER VACC, HAD SEVERE HA FOR 4 DAYS UNRELIEVED BY ADVIL AND HIGH TEMP(NOT TAKEN)WITH PROFUSE DIAPHORESIS FOR 36 HRS.
Age: 3.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia, Vomiting
Clinical narrative: Left arm where vaccine was administered was red, hot and swollen.  He was vomiting and had a low-grade fever - about 100.0 F.
Age: 75.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Headache, Pain, Pyrexia, Sinusitis, Upper respiratory tract congestion
Clinical narrative: Spoke with patient's wife, she is reluctant to give out information over the phone, she states her husband went to the doctor on 1/8/2009 with symptoms of a sinus infection, congestion. He was diagnosed with a sinus infection by his Physician (name refused by wife) and placed on an antibiotic, (name refused). He received the H1N1 vaccine injection while at the Physician's office. The next morning he woke with a headache, low grade fever (lasting for 2-3 days) and body aches all over. He continued to take the antibiotic and the headaches and bodyaches continued for a week. He is asymptomatic now. Wife is refusing to give any additional information, even after explaining VAERS reporting to CDC .
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Epistaxis
Clinical narrative: epistaxis
Age: 59.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Herpes zoster, Pain, Rash, Varicella
Clinical narrative: Rash next day, then 3rd day rash an sore. Went to hospital and they said it was shingles could have been activated by the H1N1 from where I had Chickenpox.
Age: 51.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Grip strength decreased, Muscular weakness, Night sweats, Tremor
Clinical narrative: My right arm became week and I was having tremors in my right hand and my hand was weak, I couldn't really grip very strongly. This happen on the way home, so it was within an hour or so after I got the shot. I went to my physical therapist the next day (for my left shoulder not connected to vaccine) and he was testing my strength in both arms my right arm had about half as much as my left. I am right handed and am a very strong woman so this was very unusual for me. I did get my flu shot in my right arm because my left shoulder was already hurting. I then started experiencing severe night sweats which I had never in my life before. This went for around 2-3 weeks several nights per week. I have had a complete hysterectomy and I am on daily hormones and have been on the same ones for years so I am not and will never go through menopause. Just as suddenly as they started the night seats just stopped. But I continue to have weakness in my arm and hand, the tremors in my hand are better but are still there and I mean all the time not just every once in awhile. It almost feels like my arm and hand had a stroke. Everything else is fine.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Asthma, Injection site urticaria, Pruritus, Rash pruritic
Clinical narrative: History of Present Illness: Pt c/o of rash on L bicep as a reaction to a Td shot she recieved 1 wk ago. States rash is itchy and coarse. Urticarial reaction on upper outer arm. Past Medical History: Reviewed history from 05/12/2009 and no changes required: Current Problems: CML HYPERTENSION, BENIGN (ICD-401.1), ATYPICAL DUCTAL HYPERPLASIA LEFT BREAST (ICD-238.3), P  PLANTAR FASCIITIS (ICD-728.71), OBESITY (ICD-278.00), OSTEOPOROSIS (ICD-733.00), REACTIVE AIRWAY DISEASE (ICD-493.90), DYSPNEA ON EXERTION (ICD-786.09), HIP PAIN, RIGHT (ICD-719.45), SLEEP APNEA (ICD-780.57), GERD (ICD-530.81), CHEST PAIN (ICD-786.50), HYPERLIPIDEMIA (ICD-272.4), CATARACT (ICD-366.9), MUSCLE SPASM (ICD-728.85) Family History: Reviewed history from 10/16/2007 and no changes required: FH Asthma, FH Colon CA, FH Coronary disease, FH Diabetes, FH Hyperlipidemia, FH Hypertension, FH Thyroid disease, FH Multiple Myeloma Social History: Reviewed history from 10/16/2007 and no changes required: Married Vital Signs: Patient Profile: 73 Year Old Female Height: 64.5 inches (163.83 cm) Weight: 172 pounds (78.18 kg) BMI: 29.17 Temp: 98 degrees F (36.67 degrees C) oral Pulse rate: 72 / minute Pulse rhythm: regular BP sitting: 118 / 78  (right arm) Cuff size: regular  Physical Exam General: alert and in no apparent distress;  Skin: urticarial region on L outer arm. No evidence of cellulitis Impression & Recommendations: Problem # 1:  Minor dx of URTICARIA (ICD-708.9) Return if not resolved 3-4 d Orders: 99213 Exp (CPT-99213) Patient Instructions: 1)  Return to clinic as needed. Precautions given regarding worsening or nonresolving symptoms.  Prescriptions: HYDROXYZINE HCL 25 MG TABS (HYDROXYZINE HCL) 1 by mouth 4 times a day as needed for itching  #60 x 0 New Asthma Problem: Minor dx of URTICARIA (ICD-708.9)
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Blood creatine phosphokinase, Differential white blood cell count, Dyspnoea
Clinical narrative: Visit Type:  Acute Visit CC:  poss shot reaction. History of Present Illness: Pt c/o poss reaction to Tdap recieved friday. States joint pn began in knees friday PM and has moved up the body, progressively getting worse. Pt c/o SOB, HA, N&V, and a general weakness.  Acute Visit History: The patient complains of headache and vomiting.  She denies cough, diarrhea, and fever.   Past Medical History: Reviewed history from 07/16/2008 and no changes required: MIGRAINE (ICD-346.90), FEMALE INFERTILITY (ICD-628.9), OBESITY (ICD-278.00), METABOLIC SYNDROME X (ICD-277.7), HYPERLIPIDEMIA (ICD-272.4), BACK PAIN (ICD-724.5), UTI (ICD-599.0)  Family History: Reviewed history from 05/14/2009 and no changes required: FH Alcoholism, FH Heart disease, other, FH Hyperlipidemia, FH Hypertension, RA - father, aunt and grandfather  Social History: Reviewed history from 04/28/2009 and no changes required: Married, Homemaker, 3 kids  Risk Factors:  Tobacco use:  never Passive smoke exposure:  yes Drug use:  no HIV high-risk behavior:  no Caffeine use:  0 drinks per day Alcohol use:  no Exercise:  yes    Times per week:  3    Type:  stationary bike Seatbelt use:  100 % Sun Exposure:  occasionally  Family History Risk Factors: Family History of MI in females < 65 years old:  no, Family History of MI in males < 55 years old:  yes  Vital Signs: Patient Profile: 37 Year Old Female Height: 65 inches (165.10 cm) Weight: 243.4 pounds (110.64 kg) BMI: 40.65 Temp: 98.6 degrees F (37.00 degrees C) oral Pulse rate: 76 / minute Pulse rhythm: regular BP sitting: 118 / 78  (left arm) Cuff size: large  Physical Exam General: appears ill but non-toxic.   Ears: TM's and ear canals normal;  Nose: nasal mucosa normal;  Mouth: mouth and throat clear;  Neck: no masses or abnormal cervical nodes;  Lungs: breathing non-labored, clear to auscultation bilaterally;  Heart: regular rate and rhythm, normal S1/S2 without gallop, murmur, click or rub;  Neurologic: DTR's 1+ B at patellar  Impression & Recommendations: Problem # 1:  MYALGIA (ICD-729.1)  Her updated medication list for this problem includes: Advil 200 Mg Tabs (Ibuprofen) ..... 1-2 by mouth with food or milk prn Hydrocodone-acetaminophen 5-325 Mg Tabs (Hydrocodone-acetaminophen) ..... 1-2 by mouth every 4-6 hours as needed for pain Cyclobenzaprine Hcl 10 Mg Tabs (Cyclobenzaprine hcl) ..... 1 by mouth 3 times a day as needed for muscle spasm or pain  Orders: CBC w/diff (CPT-85025), CMP (CPT-80053), Sed Rate (CPT-85651), CPK (CPT-82550), 99214 Detail (CPT-99214)  Patient Instructions: 1)  Return to clinic as needed. Precautions given regarding worsening or nonresolving symptoms. To ER if sig worse Prescriptions: HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS (HYDROCODONE-ACETAMINOPHEN) 1-2 by mouth every 4-6 hours as needed for pain  #20 x 0
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Full blood count, Headache, Muscle spasms, Myalgia, Nausea
Clinical narrative: Visit Type:  Acute Visit CC:  poss shot reaction. History of Present Illness: Pt c/o poss reaction to Tdap recieved friday. States joint pn began in knees friday PM and has moved up the body, progressively getting worse. Pt c/o SOB, HA, N&V, and a general weakness.  Acute Visit History: The patient complains of headache and vomiting.  She denies cough, diarrhea, and fever.   Past Medical History: Reviewed history from 07/16/2008 and no changes required: MIGRAINE (ICD-346.90), FEMALE INFERTILITY (ICD-628.9), OBESITY (ICD-278.00), METABOLIC SYNDROME X (ICD-277.7), HYPERLIPIDEMIA (ICD-272.4), BACK PAIN (ICD-724.5), UTI (ICD-599.0)  Family History: Reviewed history from 05/14/2009 and no changes required: FH Alcoholism, FH Heart disease, other, FH Hyperlipidemia, FH Hypertension, RA - father, aunt and grandfather  Social History: Reviewed history from 04/28/2009 and no changes required: Married, Homemaker, 3 kids  Risk Factors:  Tobacco use:  never Passive smoke exposure:  yes Drug use:  no HIV high-risk behavior:  no Caffeine use:  0 drinks per day Alcohol use:  no Exercise:  yes    Times per week:  3    Type:  stationary bike Seatbelt use:  100 % Sun Exposure:  occasionally  Family History Risk Factors: Family History of MI in females < 65 years old:  no, Family History of MI in males < 55 years old:  yes  Vital Signs: Patient Profile: 37 Year Old Female Height: 65 inches (165.10 cm) Weight: 243.4 pounds (110.64 kg) BMI: 40.65 Temp: 98.6 degrees F (37.00 degrees C) oral Pulse rate: 76 / minute Pulse rhythm: regular BP sitting: 118 / 78  (left arm) Cuff size: large  Physical Exam General: appears ill but non-toxic.   Ears: TM's and ear canals normal;  Nose: nasal mucosa normal;  Mouth: mouth and throat clear;  Neck: no masses or abnormal cervical nodes;  Lungs: breathing non-labored, clear to auscultation bilaterally;  Heart: regular rate and rhythm, normal S1/S2 without gallop, murmur, click or rub;  Neurologic: DTR's 1+ B at patellar  Impression & Recommendations: Problem # 1:  MYALGIA (ICD-729.1)  Her updated medication list for this problem includes: Advil 200 Mg Tabs (Ibuprofen) ..... 1-2 by mouth with food or milk prn Hydrocodone-acetaminophen 5-325 Mg Tabs (Hydrocodone-acetaminophen) ..... 1-2 by mouth every 4-6 hours as needed for pain Cyclobenzaprine Hcl 10 Mg Tabs (Cyclobenzaprine hcl) ..... 1 by mouth 3 times a day as needed for muscle spasm or pain  Orders: CBC w/diff (CPT-85025), CMP (CPT-80053), Sed Rate (CPT-85651), CPK (CPT-82550), 99214 Detail (CPT-99214)  Patient Instructions: 1)  Return to clinic as needed. Precautions given regarding worsening or nonresolving symptoms. To ER if sig worse Prescriptions: HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS (HYDROCODONE-ACETAMINOPHEN) 1-2 by mouth every 4-6 hours as needed for pain  #20 x 0
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Red blood cell sedimentation rate, Vomiting
Clinical narrative: Visit Type:  Acute Visit CC:  poss shot reaction. History of Present Illness: Pt c/o poss reaction to Tdap recieved friday. States joint pn began in knees friday PM and has moved up the body, progressively getting worse. Pt c/o SOB, HA, N&V, and a general weakness.  Acute Visit History: The patient complains of headache and vomiting.  She denies cough, diarrhea, and fever.   Past Medical History: Reviewed history from 07/16/2008 and no changes required: MIGRAINE (ICD-346.90), FEMALE INFERTILITY (ICD-628.9), OBESITY (ICD-278.00), METABOLIC SYNDROME X (ICD-277.7), HYPERLIPIDEMIA (ICD-272.4), BACK PAIN (ICD-724.5), UTI (ICD-599.0)  Family History: Reviewed history from 05/14/2009 and no changes required: FH Alcoholism, FH Heart disease, other, FH Hyperlipidemia, FH Hypertension, RA - father, aunt and grandfather  Social History: Reviewed history from 04/28/2009 and no changes required: Married, Homemaker, 3 kids  Risk Factors:  Tobacco use:  never Passive smoke exposure:  yes Drug use:  no HIV high-risk behavior:  no Caffeine use:  0 drinks per day Alcohol use:  no Exercise:  yes    Times per week:  3    Type:  stationary bike Seatbelt use:  100 % Sun Exposure:  occasionally  Family History Risk Factors: Family History of MI in females < 65 years old:  no, Family History of MI in males < 55 years old:  yes  Vital Signs: Patient Profile: 37 Year Old Female Height: 65 inches (165.10 cm) Weight: 243.4 pounds (110.64 kg) BMI: 40.65 Temp: 98.6 degrees F (37.00 degrees C) oral Pulse rate: 76 / minute Pulse rhythm: regular BP sitting: 118 / 78  (left arm) Cuff size: large  Physical Exam General: appears ill but non-toxic.   Ears: TM's and ear canals normal;  Nose: nasal mucosa normal;  Mouth: mouth and throat clear;  Neck: no masses or abnormal cervical nodes;  Lungs: breathing non-labored, clear to auscultation bilaterally;  Heart: regular rate and rhythm, normal S1/S2 without gallop, murmur, click or rub;  Neurologic: DTR's 1+ B at patellar  Impression & Recommendations: Problem # 1:  MYALGIA (ICD-729.1)  Her updated medication list for this problem includes: Advil 200 Mg Tabs (Ibuprofen) ..... 1-2 by mouth with food or milk prn Hydrocodone-acetaminophen 5-325 Mg Tabs (Hydrocodone-acetaminophen) ..... 1-2 by mouth every 4-6 hours as needed for pain Cyclobenzaprine Hcl 10 Mg Tabs (Cyclobenzaprine hcl) ..... 1 by mouth 3 times a day as needed for muscle spasm or pain  Orders: CBC w/diff (CPT-85025), CMP (CPT-80053), Sed Rate (CPT-85651), CPK (CPT-82550), 99214 Detail (CPT-99214)  Patient Instructions: 1)  Return to clinic as needed. Precautions given regarding worsening or nonresolving symptoms. To ER if sig worse Prescriptions: HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS (HYDROCODONE-ACETAMINOPHEN) 1-2 by mouth every 4-6 hours as needed for pain  #20 x 0
Age: 5.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Erythema, Pallor, Rash macular
Clinical narrative: Patient developed reddish blanching macules on his anterior chest
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Blood creatine phosphokinase, Dyspnoea, Full blood count
Clinical narrative: Visit Type:  Acute Visit CC:  poss shot reaction.  History of Present Illness: Pt c/o poss reaction to Tdap recieved friday. States joint pn began in knees friday PM and has moved up the body, progressively getting worse. Pt c/o SOB, HA, N&V, and a general weakness.  Acute Visit History: The patient complains of headache and vomiting.  She denies cough, diarrhea, and fever.    Past Medical History: Reviewed history from 07/16/2008 and no changes required: MIGRAINE (ICD-346.90), FEMALE INFERTILITY (ICD-628.9), OBESITY (ICD-278.00), METABOLIC SYNDROME X (ICD-277.7), HYPERLIPIDEMIA (ICD-272.4), BACK PAIN (ICD-724.5), UTI (ICD-599.0)  Family History: Reviewed history from 05/14/2009 and no changes required: FH Alcoholism, FH Heart disease, other, FH Hyperlipidemia, FH Hypertension, RA - father, aunt and grandfather  Social History: Reviewed history from 04/28/2009 and no changes required: Married, Homemaker, 3 kids  Risk Factors:  Tobacco use:  never Passive smoke exposure:  yes Drug use:  no HIV high-risk behavior:  no Caffeine use:  0 drinks per day Alcohol use:  no Exercise:  yes    Times per week:  3    Type:  stationary bike Seatbelt use:  100 % Sun Exposure:  occasionally  Family History Risk Factors: Family History of MI in females < 65 years old:  no, Family History of MI in males < 55 years old:  yes  Vital Signs: Patient Profile: 37 Year Old Female Height: 65 inches (165.10 cm) Weight: 243.4 pounds (110.64 kg) BMI: 40.65 Temp: 98.6 degrees F (37.00 degrees C) oral Pulse rate: 76 / minute Pulse rhythm: regular BP sitting: 118 / 78  (left arm) Cuff size: large  Physical Exam General: appears ill but non-toxic.   Ears: TM's and ear canals normal;  Nose: nasal mucosa normal;  Mouth: mouth and throat clear;  Neck: no masses or abnormal cervical nodes;  Lungs: breathing non-labored, clear to auscultation bilaterally;  Heart: regular rate and rhythm, normal S1/S2 without gallop, murmur, click or rub;  Neurologic: DTR's 1+ B at patellar  Impression & Recommendations: Problem # 1:  MYALGIA (ICD-729.1)  Her updated medication list for this problem includes: Advil 200 Mg Tabs (Ibuprofen) ..... 1-2 by mouth with food or milk prn Hydrocodone-acetaminophen 5-325 Mg Tabs (Hydrocodone-acetaminophen) ..... 1-2 by mouth every 4-6 hours as needed for pain Cyclobenzaprine Hcl 10 Mg Tabs (Cyclobenzaprine hcl) ..... 1 by mouth 3 times a day as needed for muscle spasm or pain  Orders: CBC w/diff (CPT-85025), CMP (CPT-80053), Sed Rate (CPT-85651), CPK (CPT-82550), 99214 Detail (CPT-99214)   Patient Instructions: 1)  Return to clinic as needed. Precautions given regarding worsening or nonresolving symptoms. To ER if sig worse Prescriptions: HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS (HYDROCODONE-ACETAMINOPHEN) 1-2 by mouth every 4-6 hours as needed for pain  #20 x 0
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Metabolic function test, Myalgia, Nausea, Red blood cell sedimentation rate
Clinical narrative: Visit Type:  Acute Visit CC:  poss shot reaction.  History of Present Illness: Pt c/o poss reaction to Tdap recieved friday. States joint pn began in knees friday PM and has moved up the body, progressively getting worse. Pt c/o SOB, HA, N&V, and a general weakness.  Acute Visit History: The patient complains of headache and vomiting.  She denies cough, diarrhea, and fever.    Past Medical History: Reviewed history from 07/16/2008 and no changes required: MIGRAINE (ICD-346.90), FEMALE INFERTILITY (ICD-628.9), OBESITY (ICD-278.00), METABOLIC SYNDROME X (ICD-277.7), HYPERLIPIDEMIA (ICD-272.4), BACK PAIN (ICD-724.5), UTI (ICD-599.0)  Family History: Reviewed history from 05/14/2009 and no changes required: FH Alcoholism, FH Heart disease, other, FH Hyperlipidemia, FH Hypertension, RA - father, aunt and grandfather  Social History: Reviewed history from 04/28/2009 and no changes required: Married, Homemaker, 3 kids  Risk Factors:  Tobacco use:  never Passive smoke exposure:  yes Drug use:  no HIV high-risk behavior:  no Caffeine use:  0 drinks per day Alcohol use:  no Exercise:  yes    Times per week:  3    Type:  stationary bike Seatbelt use:  100 % Sun Exposure:  occasionally  Family History Risk Factors: Family History of MI in females < 65 years old:  no, Family History of MI in males < 55 years old:  yes  Vital Signs: Patient Profile: 37 Year Old Female Height: 65 inches (165.10 cm) Weight: 243.4 pounds (110.64 kg) BMI: 40.65 Temp: 98.6 degrees F (37.00 degrees C) oral Pulse rate: 76 / minute Pulse rhythm: regular BP sitting: 118 / 78  (left arm) Cuff size: large  Physical Exam General: appears ill but non-toxic.   Ears: TM's and ear canals normal;  Nose: nasal mucosa normal;  Mouth: mouth and throat clear;  Neck: no masses or abnormal cervical nodes;  Lungs: breathing non-labored, clear to auscultation bilaterally;  Heart: regular rate and rhythm, normal S1/S2 without gallop, murmur, click or rub;  Neurologic: DTR's 1+ B at patellar  Impression & Recommendations: Problem # 1:  MYALGIA (ICD-729.1)  Her updated medication list for this problem includes: Advil 200 Mg Tabs (Ibuprofen) ..... 1-2 by mouth with food or milk prn Hydrocodone-acetaminophen 5-325 Mg Tabs (Hydrocodone-acetaminophen) ..... 1-2 by mouth every 4-6 hours as needed for pain Cyclobenzaprine Hcl 10 Mg Tabs (Cyclobenzaprine hcl) ..... 1 by mouth 3 times a day as needed for muscle spasm or pain  Orders: CBC w/diff (CPT-85025), CMP (CPT-80053), Sed Rate (CPT-85651), CPK (CPT-82550), 99214 Detail (CPT-99214)   Patient Instructions: 1)  Return to clinic as needed. Precautions given regarding worsening or nonresolving symptoms. To ER if sig worse Prescriptions: HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS (HYDROCODONE-ACETAMINOPHEN) 1-2 by mouth every 4-6 hours as needed for pain  #20 x 0
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Visit Type:  Acute Visit CC:  poss shot reaction.  History of Present Illness: Pt c/o poss reaction to Tdap recieved friday. States joint pn began in knees friday PM and has moved up the body, progressively getting worse. Pt c/o SOB, HA, N&V, and a general weakness.  Acute Visit History: The patient complains of headache and vomiting.  She denies cough, diarrhea, and fever.    Past Medical History: Reviewed history from 07/16/2008 and no changes required: MIGRAINE (ICD-346.90), FEMALE INFERTILITY (ICD-628.9), OBESITY (ICD-278.00), METABOLIC SYNDROME X (ICD-277.7), HYPERLIPIDEMIA (ICD-272.4), BACK PAIN (ICD-724.5), UTI (ICD-599.0)  Family History: Reviewed history from 05/14/2009 and no changes required: FH Alcoholism, FH Heart disease, other, FH Hyperlipidemia, FH Hypertension, RA - father, aunt and grandfather  Social History: Reviewed history from 04/28/2009 and no changes required: Married, Homemaker, 3 kids  Risk Factors:  Tobacco use:  never Passive smoke exposure:  yes Drug use:  no HIV high-risk behavior:  no Caffeine use:  0 drinks per day Alcohol use:  no Exercise:  yes    Times per week:  3    Type:  stationary bike Seatbelt use:  100 % Sun Exposure:  occasionally  Family History Risk Factors: Family History of MI in females < 65 years old:  no, Family History of MI in males < 55 years old:  yes  Vital Signs: Patient Profile: 37 Year Old Female Height: 65 inches (165.10 cm) Weight: 243.4 pounds (110.64 kg) BMI: 40.65 Temp: 98.6 degrees F (37.00 degrees C) oral Pulse rate: 76 / minute Pulse rhythm: regular BP sitting: 118 / 78  (left arm) Cuff size: large  Physical Exam General: appears ill but non-toxic.   Ears: TM's and ear canals normal;  Nose: nasal mucosa normal;  Mouth: mouth and throat clear;  Neck: no masses or abnormal cervical nodes;  Lungs: breathing non-labored, clear to auscultation bilaterally;  Heart: regular rate and rhythm, normal S1/S2 without gallop, murmur, click or rub;  Neurologic: DTR's 1+ B at patellar  Impression & Recommendations: Problem # 1:  MYALGIA (ICD-729.1)  Her updated medication list for this problem includes: Advil 200 Mg Tabs (Ibuprofen) ..... 1-2 by mouth with food or milk prn Hydrocodone-acetaminophen 5-325 Mg Tabs (Hydrocodone-acetaminophen) ..... 1-2 by mouth every 4-6 hours as needed for pain Cyclobenzaprine Hcl 10 Mg Tabs (Cyclobenzaprine hcl) ..... 1 by mouth 3 times a day as needed for muscle spasm or pain  Orders: CBC w/diff (CPT-85025), CMP (CPT-80053), Sed Rate (CPT-85651), CPK (CPT-82550), 99214 Detail (CPT-99214)   Patient Instructions: 1)  Return to clinic as needed. Precautions given regarding worsening or nonresolving symptoms. To ER if sig worse Prescriptions: HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS (HYDROCODONE-ACETAMINOPHEN) 1-2 by mouth every 4-6 hours as needed for pain  #20 x 0
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Fatigue, Hypersomnia, Laboratory test normal, Neurological examination normal, Sensation of heaviness
Clinical narrative: 2 days post vaccination onset of fatigue and "limb heaviness".  Sleeping for up to 18 hours. Pt was not pregnant at time of vaccine-confirmed.  Only PMH. Sx resolved after 1 week.