chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Allergy test negative, Hypersensitivity, Idiopathic urticaria, Pruritus, Urticaria
Clinical narrative: Initial report received on 07 December 2009 from a consumer, who is the patient's parent. A 33 month old female patient, with allergies to OMNICET, BACTRIM, and formaldehyde, received a first left thigh intramuscular injection of Influenza A (H1N1) 2009 Monovalent Vaccine - No Preservative (lot number UT014FA) on 23 October 2009. Two hours post-vaccination, the patient developed itching and broke out in hives. She was given ZYRTEC, which resolved the symptoms. However, for the following two weeks, the hives continued to return after the ZYRTEC wore off. The patient's pediatrician felt that this was a possible allergy to something else. The patient was seen by an ENT the week previous to the report. The patient had not been evaluated by an allergist, but she was to have allergy testing on 08 December 2009. At the time of the report, the patient had not recovered. Follow-up information received on 14 December 2009 from a consumer, who is the patient's parent. At the time of the report, the patient still had hives.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Viral upper respiratory tract infection
Clinical narrative: Initial report received on 07 December 2009 from a consumer, who is the patient's parent. A 33 month old female patient, with allergies to OMNICET, BACTRIM, and formaldehyde, received a first left thigh intramuscular injection of Influenza A (H1N1) 2009 Monovalent Vaccine - No Preservative (lot number UT014FA) on 23 October 2009. Two hours post-vaccination, the patient developed itching and broke out in hives. She was given ZYRTEC, which resolved the symptoms. However, for the following two weeks, the hives continued to return after the ZYRTEC wore off. The patient's pediatrician felt that this was a possible allergy to something else. The patient was seen by an ENT the week previous to the report. The patient had not been evaluated by an allergist, but she was to have allergy testing on 08 December 2009. At the time of the report, the patient had not recovered. Follow-up information received on 14 December 2009 from a consumer, who is the patient's parent. At the time of the report, the patient still had hives.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1), IPV
Symptoms: Urticaria
Clinical narrative: Initial report received on 08 December 2009 from a healthcare professional. A 5 year old male patient, with no medical history and no illness at the time of vaccination, received a left deltoid intramuscular injection of H1N1 (lot number UP009AA0 on 04 November 2009 and a right deltoid intramuscular injection of IPOL (lot number not reported) on 02 November 2009. On 18 November 2009, the patient developed hives which were widespread over his body. The patient was taken to the ER. He followed-up with a physician and was seen by an allergist who felt that is was a delayed reaction to vaccination. Reported medications were ZYRTEC, ORAPRED and ALLEGRA; however it was not specified if these were concomitant medications or treatment for the hives. At the time of the report, the patient was improving.
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives. This patient experienced another event which is captured in case number 209-05563.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tinnitus
Clinical narrative: A 49 year old female patient with allergies to BEXTRA and CARTIA and hypertension, atrial fibrillation, hyperglycemia, hyperlipidemia experienced tinnitus or "ringing in the ears" after receiving H1N1 (lot number UP053AA) on 15 December 2009. The patient was noted to have been on LIPITOR, coumadin, DIGOXIN, TOPROL XL, "ALTASE"' hydrochlorothiazide. Recovery status was unknown. List of Documents held by Sender: none.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1), FLUN3
Symptoms: Headache, Urticaria
Clinical narrative: Initial report received on 16 December 2009 from a health care professional. An 11 year old female patient developed a headache and hives after receiving H1N1 2009 monovalent vaccine-preservative
Age: 70.0
Sex: M
Vaccine: PPV, TD
Symptoms: Dizziness, Injection site cellulitis, Nausea, Pyrexia, Vomiting
Clinical narrative: Ten hours after Td shot patient developed cellulitis at the injection site, as well as fever, dizziness, nausea and vomiting. Patient went to ER to rule out heart attack. Patient was administered fluids and released. Patient completely recovered in couple of days.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Injection site cellulitis, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient developed cellulitis at the injection site, as well as fever, dizziness, nausea and vomiting. Patient went to ER to rule out heart attack. Patient was administered fluids and released. Patient recovered in couple of days.
Age: 46.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Myalgia
Clinical narrative: Patient experienced myalgia all over his body and fleeting dizziness. Dizziness lasted couple of seconds; patient did not have any symptoms of a local reaction. Follow up obtained on 04/08/09; Patient's doctor presumes that patient recovered as he did not come back for follow up appointment and did not return calls from the doctor's office.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site nodule
Clinical narrative: Patient developed cellulitis of the arm and a nodule at injection site. Follow up on 04/08/09, 04/22/09, 04/30/09: All attempts to obtain follow up information regarding patient's recovery status failed.
Age: 42.0
Sex: M
Vaccine: BCG, TD
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: The patient experienced pain and redness at Td injection site; also reported chills and possible fever (temp. not taken); TYLENOL was taken. The following day the patient returned to the health center for urgent care - the injection site was swollen, red hardened and warm to touch (no fever); patient also complained of pain. Cold packs were applied to the injection site.
Age: 42.0
Sex: M
Vaccine: BCG, TD
Symptoms: Injection site warmth
Clinical narrative: The patient experienced pain and redness at Td injection site; also reported chills and possible fever (temp. not taken); TYLENOL was taken. The following day the patient returned to the health center for urgent care - the injection site was swollen, red hardened and warm to touch (no fever); patient also complained of pain. Cold packs were applied to the injection site.
Age: 70.0
Sex: F
Vaccine: TD
Symptoms: Immediate post-injection reaction, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: After receiving Td vaccine, patient's arm became very swollen, patient experienced arm pain and minor fever. Patient's was seen at the ER for the arm swelling. The reaction resolved within couple of days.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: After receiving Td vaccine, patient's arm became very swollen, patient experienced arm pain and minor fever. Patient was seen by the doctor for the adverse reaction. The reaction resolved within couple of days.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient called drs. office on 06/12/09 to report redness in area of the injection and that area was warm to the touch. The drs office called back patient immediately but patient could not be reached. Patient did not show up for their next appointment (scheduled for 06/16/09).
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site discolouration, Injection site induration
Clinical narrative: 3 cm area of pink induration on the right upper arm.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis
Clinical narrative: Patient treated for cellulitis.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis
Clinical narrative: Cellulitis of arm - patient was given antibiotics
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient received Td vaccination on 09/25/09 and developed redness and swelling at injection site, as well as a fever that lasted two days. Patient saw the doctor on 09/28/09. Patient recovered.
Age: 38.0
Sex: M
Vaccine: MMR, TD
Symptoms: Injection site swelling, Pain
Clinical narrative: Patient received TD on 09/03/2009 and developed swelling at the injection site and body aches the following day.  The patient returned to the doctor on 09/08/09 and his symptoms had resolved.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Confusional state, Delusion, Derealisation, Disturbance in attention
Clinical narrative: Confusion, word usage problems, flight of ideas, lack of concentration, within 2 days total manic episode, delusions, did not realize we were her parents, etc.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Flight of ideas, Laboratory test, Mania, Scan brain, Speech disorder
Clinical narrative: Confusion, word usage problems, flight of ideas, lack of concentration, within 2 days total manic episode, delusions, did not realize we were her parents, etc.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Thyroid function test
Clinical narrative: Confusion, word usage problems, flight of ideas, lack of concentration, within 2 days total manic episode, delusions, did not realize we were her parents, etc.
Age: 34.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Induced labour, Ultrasound Doppler, Ultrasound scan abnormal
Clinical narrative: Miscarried baby. Baby's heartbeat stopped and miscarriage & delivery were induced.
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: 48-72 hr after H1N1 developed myalgia, headaches, fever, sore throat. Rested today.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Mother brought child in for H1N1 shot at public clinic 10/27/09. Filled out yellow sheet which was filed with that schools papers. She brought the child in for 2nd shot at public clinic in Nov. 17, 2009. There was a message sent out the night before that if your child had received the vaccine elsewhere to let the school know. Parent did not call school so child received 3rd H1N1 at school 12/14/09. No problems noted, no s/s of adverse rxn.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: Fatigue, Fever, chills, sore throat, muscle aches, coughing, sneezing, diarrhea. NAUSEA. HEADACHES.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Pyrexia, Sneezing
Clinical narrative: Fatigue, Fever, chills, sore throat, muscle aches, coughing, sneezing, diarrhea. NAUSEA. HEADACHES.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthropod bite, Blood test normal, Pruritus, Rash papular
Clinical narrative: 1 week or so after vaccine, patient complained of itching mom reports - small bump on inside then outside of elbow sporadic in nature, a couple of spots on extremities of 1 or 2 on the trunk. She treated with hydrocortisone cream. Reports tick bite last summer with negative blood titers. Reports recent change in fabric softener.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Red, raised, itchy rash on trunk.
Age: 0.62
Sex: M
Vaccine: DTAPIPVHIB, HEPA, PNC
Symptoms: Wrong drug administered
Clinical narrative: Hepatitis A vaccine given instead of Hepatitis B. Patient notified to return for Hepatitis B vaccine.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Second H1N1 vaccination given too early after first at Dr. office. DOH gave third vaccination at H1N1 clinic to make up for early second shot.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: mild hives and itching on upper thighs, torso, shoulders and underarms, no treatment, verified it was not anything else.
Age: 0.49
Sex: M
Vaccine: DTAPHEPBIP, FLU(H1N1), HIBV, PNC
Symptoms: Tic
Clinical narrative: New onset tic right shoulder otherwise neurologically normal
Age: 62.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling abnormal, Impaired driving ability
Clinical narrative: One half hour after patient received H1N1 shot, he called back complaining of dizziness felt woozy and just did not feel right. Could not drive to MD so ambulance dispatched to evaluate.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contusion, Henoch-Schonlein purpura, Oedema peripheral, Pyrexia, Rash generalised
Clinical narrative: Later that day on 12/11/09 when the pt received the 2nd dose, the pt had bruising and swelling in both legs. On Monday 12/14/09 the pt had high fever with vomiting. On Tuesday 12/15/09 the pt developed spots all over her body. Pt was seen by ER and also by her PCP Dr. where she was dx with Henoch Schonlein Purpura.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Later that day on 12/11/09 when the pt received the 2nd dose, the pt had bruising and swelling in both legs. On Monday 12/14/09 the pt had high fever with vomiting. On Tuesday 12/15/09 the pt developed spots all over her body. Pt was seen by ER and also by her PCP Dr. where she was dx with Henoch Schonlein Purpura.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Chills, Myalgia, Paraesthesia, Pyrexia
Clinical narrative: Lower back pain started on 12/20 then on 12/21 had fever (99.4), chills, aching muscles for 3-4 days. On 12/26 both arms started tingling and right arm is still tingling 01/05/2010.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Neck pain, Rash papular, Rash pruritic, Urticaria
Clinical narrative: Pt awoke and noticed red raised "sore" area to R lower neck.  Reported it to Manager at worksite. On exam, 2x3/4 inch urticaria noted to R neck, nickel sized are to R ant chest. Pt denies itchiness. Red papular rash noted to posterior mid neck that was reported as itchy.  Advised to contact PCP, who advised Benadryl.  Pt reported improvement following Benadryl and over the next few days.  Note: Pt reports widespread similar episode in 1974 following swine flu vaccine but at no other time since. Reports no similar episode following annual influenza vaccine.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dyspnoea, Hypertension
Clinical narrative: Light-headedness, short of breath, high blood pressure relieved with rest and food at home.  Was given epinephrine at the site, and EMTs were called.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Rash papular
Clinical narrative: Pt reports to clinic on 10-29-09 stating that he experienced rash several days after injection on 10-23-09.  Impression is that skin anterior chest with papular erythematous eruption extending into upper abdomen.  No treatment was given.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Decreased appetite, Mononucleosis heterophile test positive, Neuralgia, Pallor
Clinical narrative: No fever. Tingling in hand, neck and back. Pain on nerve endings, pale, no appetite, and weak.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: No fever. Tingling in hand, neck and back. Pain on nerve endings, pale, no appetite, and weak.
Age: 41.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Neuropathy peripheral
Clinical narrative: Pt. had received vaccine 12/5/09 at H1N1 public clinic. He had the vaccine on 12/5/09 but did not report the rxn till 12/31/09 to the Health Dept. He stated to Dr. after the shot he had a pain in his elbow after he had already went to the Dr., he also stated he is unable to tell if it is getting better. He still is having neuropathy in the elbow. Dr. informed to keep a watchful eye on the situation and report any D's or concerns within one month. Pt. has ROM in all ext. with no problems.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Flushing, Immediate post-injection reaction, Rash erythematous, Tremor
Clinical narrative: The child was receiving 2 vaccines on same day. She received TDAP first without complaint. She received GARDASIL second and immediately became flushed, developed red rash on neck & shaking. She was alert the entire time.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abdominal infection, Abdominal pain, Blood pressure decreased
Clinical narrative: Initial repot received from a consumer on 21 Dec 2009: This patient with a medical history of brain tumor, which was removed and rendered damage to her pituitary gland, received Fluvirin (H1N1 Influenza virus vaccine), (lot no # 102044P1) 0.5ml, IM on 03 Dec 2009. The patient experienced a sharp pain on her right abdomen that persistently grew worse on 17 Dec 2009. The patient's blood pressure dropped to 82/42 (units unspecified) on 18 Dec 2009. She was advised to go to emergency room and there the patient was found to have a large amount of fluid in her abdomen (size of a sauce jar). It was reported that, the attending physician had never seen anything like this before and said that it could be either due to viral infection or possibly linked to the vaccination. the outcome of the events is subsiding but not completely resolved.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abdominal pain, Blood pressure decreased, Localised intraabdominal fluid collection, Pain
Clinical narrative: Initial repot received from a consumer on 21 Dec 2009: This patient with a medical history of brain tumor, which was removed and rendered damage to her pituitary gland, received Fluvirin (H1N1 Influenza virus vaccine), (lot no # 102044P1) 0.5ml, IM on 03 Dec 2009. The patient experienced a sharp pain on her right abdomen that persistently grew worse on 17 Dec 2009. The patient's blood pressure dropped to 82/42 (units unspecified) on 18 Dec 2009. She was advised to go to emergency room and there the patient was found to have a large amount of fluid in her abdomen (size of a sauce jar). It was reported that, the attending physician had never seen anything like this before and said that it could be either due to viral infection or possibly linked to the vaccination. the outcome of the events is subsiding but not completely resolved.
Age: 84.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral, Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Pt got rash-red-itchy approx 48 hrs after injection. Started on bilat legs then by that night (thurs) included arms, back, chest and bilat hands were swollen. Called PCP 12-18-09 and instructed to take BENADRYL. Came back to clinic 12-21-09 and referred to PCP. Seen PCP 12-22-09 and given shot "for itchy". Dr stated probably shouldn't get flu shots anymore. Pt did have seasonal in 9-4-09 and for several yrs rec'd annually.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Heart rate increased, Paraesthesia
Clinical narrative: Upper body tingling, increased heart rate.
Age: 66.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia
Clinical narrative: Called Dr regarding numbness in right hand (fingers) noticed upon waking the morning of the 24th. Will follow up if symptoms persist.
Age: 62.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain, Skin lesion
Clinical narrative: Pt developed painful lesions on L trunk and back on 12/15/09. Pt encouraged to seek treatment/care.
Age: 73.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Immediate post-injection reaction, Nausea, Vomiting
Clinical narrative: After receiving vaccine, became dizzy with nausea & vomiting which persisted. Called physician & received script for compazine suppositories. On 12/23, Pt stated symptoms continued, felt weak, N&V. Not able to keep food/fluids down. On 12/24 pt. stated feeling much better & able to tolerate fluids.
Age: 61.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Chills, Diarrhoea, Ear pain, Fatigue
Clinical narrative: Faint 11-25-2009 1 PM. Headache, hair drenching sweats, chills, sore throat, last 2-3 days had an earache and diarrhea and nausea, extreme fatigue, joint and muscle aches.
Age: 61.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Headache, Hyperhidrosis, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Faint 11-25-2009 1 PM. Headache, hair drenching sweats, chills, sore throat, last 2-3 days had an earache and diarrhea and nausea, extreme fatigue, joint and muscle aches.
Age: 61.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Faint 11-25-2009 1 PM. Headache, hair drenching sweats, chills, sore throat, last 2-3 days had an earache and diarrhea and nausea, extreme fatigue, joint and muscle aches.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Back pain, Rash
Clinical narrative: Patient presents today to be seen by Dr. Complaining of low back pain on left side. Rash consistent with shingles.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Biopsy, Rash, Rash pruritic, White blood cell count increased
Clinical narrative: Pt developed a rash that started on arms (worse on arm shot given) very itchy. Spread to neck, face - (more on side shot given) and then hands - few on torso. None on legs or feet. Saw PCP, then saw urgent care when spread to face - Prednisone, ATARAX given - on 11/7. Saw dermatologist - blood work and biopsy done. Saw dermatologist again - not much improvement, saw dermatologist a 3rd time - felt it was getting better.
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Vaccine adm at about 1:38, felt dizzy, lightheaded - sat down drank water. Cont. to work although still lightheaded. Did not tell MSA. Left center with a friend driving. At about 3 PM began having trouble breathing -took 1 puff ALBUTEROL inhaler and fell asleep. Still feels light headed today. R deltoid with no tenderness, redness or swelling. Offered him the oppty to seek medical advice. Left for home by bus.
Age: 63.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Condition aggravated, Epidural anaesthesia, Fibromyalgia, Headache, Insomnia
Clinical narrative: Brought on flair-up of fibromyalgia, symptoms include: muscle weakness and ache in neck, shoulders, upper arms, and back. Also headaches and sleeplessness. This has also set off back and leg problems-the symptom of the spinal stenosis. I have had an epidural for the back and leg issues, but unless I take TYLENOL 4 times a day I am in a lot of pain. Medication has been increased for the fibromyalgia.
Age: 63.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Muscular weakness, Myalgia, Pain
Clinical narrative: Brought on flair-up of fibromyalgia, symptoms include: muscle weakness and ache in neck, shoulders, upper arms, and back. Also headaches and sleeplessness. This has also set off back and leg problems-the symptom of the spinal stenosis. I have had an epidural for the back and leg issues, but unless I take TYLENOL 4 times a day I am in a lot of pain. Medication has been increased for the fibromyalgia.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1), FLUN3, FLUN3
Symptoms: Wrong drug administered
Clinical narrative: No adverse events reported. Given FLUMIST nasal vaccine 2009-2010 approximately 3pm 2/21/09. On 4:45pm 2/22/09 patient doing great! (per husband). Greater than or equal to age 49.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1), FLUN3, FLUN3
Symptoms: Inappropriate schedule of drug administration, Unevaluable event
Clinical narrative: No adverse events reported. Given FLUMIST nasal vaccine 2009-2010 approximately 3pm 2/21/09. On 4:45pm 2/22/09 patient doing great! (per husband). Greater than or equal to age 49.
Age: 1.25
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Next day pat had knot on injection site (R) thigh where PREVNAR vaccine was admin. Mom stated was red and swollen.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Headache, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: -sore throat -fever -headache -abdominal pain - nausea
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Injection site vesicles, Pyrexia
Clinical narrative: Apx. 4-5 hours after vaccine, employee states began having fever of 104. F. Upon awakening following morning fever was gone and noticed 2 blisters apx 1" away on each side injection site. Blisters then scabbed apx. Sunday 12-27-09.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Nasal congestion, Wheezing
Clinical narrative: Pt. developed wheezing & severe stuffy nose 3 1/2 hrs. after vaccine administered. She was seen after hours at local clinic & given BENADRYL. She called next am to report & stated symptoms resolved.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Mydriasis, Nausea, Oedema
Clinical narrative: headache little bit for 2-3 hours edema - lasted 1 day (24 hours) eye - pupil - dilate. last about 2 hours nausea - still have nausea
Age: 61.0
Sex: F
Vaccine: FLUX(H1N1), PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pyrexia, Swelling
Clinical narrative: Redness and swelling of left deltoid, had fever x 3 days. Dx: Cellulitis L arm secondary to PNEUMOVAX vaccine.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Cough, Hyperhidrosis, Rash erythematous, Skin exfoliation
Clinical narrative: Per patient: rash on face (peeling, red) burning cough sweating referred him to see doctor 12-16-09
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Ultrasound scan
Clinical narrative: Information has been received from a physician concerning a female who on an unspecified date was vaccinated with the first dose of PNEUMOVAX (lot number not reported). Subsequently, in 2009 the patient experienced severe arm pain. The patient had an ultrasound because for 4 weeks the patient had a disabling arm pain. The patient called the physician. At the time of report, the outcome of the patient was not reported. This is one of several reports from the same source. Additional information has been requested.
Age: 0.88
Sex: F
Vaccine: FLU(H1N1), HIBV
Symptoms: Crying, Feeling abnormal, Otitis media acute
Clinical narrative: Persistent crying and misery starting around 2 days after vaccine and lasting 7 days. 3 days after vax dx ADM but recheck 7 days after vax ears normal and baby miserable.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: Rash at injection site noted. No pain, itching or redness noted at site.  Rash resolved in 3 days.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Nasal congestion, Rash, Rhinorrhoea
Clinical narrative: Oval Rash Spot that is 95% resolved in 3 days.  Note a little itching and discomfort upon touching site. Also noted a runny nose and congestion a few days after injection.  Took Benadryl which helped the runny nose.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Patient developed an itchy rash on her neck, chest, and back.  The rash developed while sleeping and she woke up and took Claritin.  The rash persisted in the morning and she took another Claritin without relief.  She reported to the clinic at 11 am, at which time I noted a faint urticarial rash on her back, neck, and chest.  I prescribed Depo-Medrol 80 mg IM and recommended she take Zyrtec 10 mg daily, with instructions to see me if the rash did not improve.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain
Clinical narrative: Pain in right arm top of shoulder joint to about 4 inches down arm; range of motion not affected; no treatment or visit to PMD as of the time of this report.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Facial palsy, Facial paresis, Hypoaesthesia oral, Lacrimation increased
Clinical narrative: Patient reported to clinic on 12/22/09 with 2 days history of right side facial tingling and weakness, eye droop and tearing, right sided tongue numbness. Diagnoses as mild Bell's palsy.  Treated with 10 days prednisone and eye lubricating drops. 1/7/2010 OB records, ED note  patient pregnant,  EDC 4/7/2010 with c/o's rt facial droop and facial numbness, Dx'd as bell's palsy, tx'd with steroids
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Patient reported to clinic on 12/22/09 with 2 days history of right side facial tingling and weakness, eye droop and tearing, right sided tongue numbness. Diagnoses as mild Bell's palsy.  Treated with 10 days prednisone and eye lubricating drops. 1/7/2010 OB records, ED note  patient pregnant,  EDC 4/7/2010 with c/o's rt facial droop and facial numbness, Dx'd as bell's palsy, tx'd with steroids
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Henoch-Schonlein purpura, Nasopharyngitis, Vomiting
Clinical narrative: vomiting, onset of cold-like symptoms, then onset of abdominal pain
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: redness at injection site site was hard when touched
Age: 16.0
Sex: F
Vaccine: HEP, HPVX
Symptoms: Alopecia, Dehydration, Headache
Clinical narrative: Daughter was getting ready for school noticed hair shedding and had headaches throughout the day. This has continued to happen along with dehydration since then. She has completely lost all her hair and currently wearing a wig to school.
Age: 46.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Flushing, Throat irritation
Clinical narrative: After the injection, patient stated he could feel something in the back of his throat and his face became flushed.  No diaphoresis noted.  BP: 134/92, P: 68, regular.  He was clearing his throat but able to converse appropriately.  Vital signs at 1:08 were BP: 128/92 with P: 64 and regular.  Facial flushing continued with reports of feeling hot.  Water was administered and sips were taken with encouragement.  Family in the room stated throat clearing (which continued) was not unusual for him.  Good capillary refill on hands.  Conversation was appropriate.  Vital signs at 1:12 were BP: 138/92 with P: of 72 and regular.  He reported feeling better and facial flushing was decreased.  He reported he had not eaten yet for the day and had a piece of chocolate between the most recent two vital signs.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Injection site mass
Clinical narrative: 12/29/09 evening, bruise, 12/30/09 2:30 PM, lump present at site, 12/31/09 7:30 AM, lump increased to nickel size with redness, 90mm redness present. No pain at present time. (Measured transverse to arm).
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Adjustment disorder, Anxiety, Asthenia, Blood glucose increased, Computerised tomogram normal
Clinical narrative: This 42 year old medically discharged male reservist reported receipt of two ANTHRAX vaccinations in 2003 as part of pre-deployment readiness. AVA #1 was administered 28 Jan 2003 with no reported or remembered adverse events. On 01 Feb 2003 he received his primary smallpox, typhoid, yellow fever, meningococcal and hepatitis B #1 vaccinations. On 14 Feb 2003 he received  AVA #2, again with no reported adverse events to any of the above vaccinations. April 2003, injured his right knee running. Records note evaluation completed (records requested) documenting bone bruise of the medial tibial plateau. By November he was complaining of chronic popping and locking with pain about patella and tingling to right knee. He was treated with MOTRIN, use of brace and cane prn. On 2/6/04 providers document mild degenerative joint changes per MRI right knee R>L (see below paragraphs). Counseling was also initiated for complaints of hopelessness, feeling down, depressed, being on guard around others, watchful and super alert. Approximately 6 months (July 2003) post vaccination he reported sleeping prob (snored then stopped breathing, then gasped and snored again) and he was restless. He would awaken tired and exhausted after 3-8 hours of sleep. A sleep study evaluation diagnosed with sleep apnea and placed on CPAP (per patient - records requested). In 2005 he complained of new onset hypertension with mood changes, increased irritability (snaps at people for no reason), and problems with CPAP (not helping sleep, increased fatigue). In May 2007 he moved from one place to another being off CPAP for six months. He advised his moods were initially fine but gradually worsened with increased fatigue, irritability, low energy, low concentration and depression. He concurrently stopped his ATENOLOL as it made his sleep apnea worse. He presented to medical where his CPAP was reinstated and he was started on WELLBUTRIN and ATIVAN and BP meds changed to ADALAT. He was given a diagnosis of adjustment disorder with mixed anxiety and depressed mood. He admitted to improvement of all symptoms over next 2 months but stopped meds after sleep problems appeared to resolve (with CPAP). Sleep apnea.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Depressed mood, Disturbance in attention, Fatigue, Full blood count normal, Hypertension
Clinical narrative: This 42 year old medically discharged male reservist reported receipt of two ANTHRAX vaccinations in 2003 as part of pre-deployment readiness. AVA #1 was administered 28 Jan 2003 with no reported or remembered adverse events. On 01 Feb 2003 he received his primary smallpox, typhoid, yellow fever, meningococcal and hepatitis B #1 vaccinations. On 14 Feb 2003 he received  AVA #2, again with no reported adverse events to any of the above vaccinations. April 2003, injured his right knee running. Records note evaluation completed (records requested) documenting bone bruise of the medial tibial plateau. By November he was complaining of chronic popping and locking with pain about patella and tingling to right knee. He was treated with MOTRIN, use of brace and cane prn. On 2/6/04 providers document mild degenerative joint changes per MRI right knee R>L (see below paragraphs). Counseling was also initiated for complaints of hopelessness, feeling down, depressed, being on guard around others, watchful and super alert. Approximately 6 months (July 2003) post vaccination he reported sleeping prob (snored then stopped breathing, then gasped and snored again) and he was restless. He would awaken tired and exhausted after 3-8 hours of sleep. A sleep study evaluation diagnosed with sleep apnea and placed on CPAP (per patient - records requested). In 2005 he complained of new onset hypertension with mood changes, increased irritability (snaps at people for no reason), and problems with CPAP (not helping sleep, increased fatigue). In May 2007 he moved from one place to another being off CPAP for six months. He advised his moods were initially fine but gradually worsened with increased fatigue, irritability, low energy, low concentration and depression. He concurrently stopped his ATENOLOL as it made his sleep apnea worse. He presented to medical where his CPAP was reinstated and he was started on WELLBUTRIN and ATIVAN and BP meds changed to ADALAT. He was given a diagnosis of adjustment disorder with mixed anxiety and depressed mood. He admitted to improvement of all symptoms over next 2 months but stopped meds after sleep problems appeared to resolve (with CPAP). Sleep apnea.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Irritability postvaccinal, Laboratory test abnormal, Lipids abnormal, No reaction on previous exposure to drug, Osteoarthritis
Clinical narrative: This 42 year old medically discharged male reservist reported receipt of two ANTHRAX vaccinations in 2003 as part of pre-deployment readiness. AVA #1 was administered 28 Jan 2003 with no reported or remembered adverse events. On 01 Feb 2003 he received his primary smallpox, typhoid, yellow fever, meningococcal and hepatitis B #1 vaccinations. On 14 Feb 2003 he received  AVA #2, again with no reported adverse events to any of the above vaccinations. April 2003, injured his right knee running. Records note evaluation completed (records requested) documenting bone bruise of the medial tibial plateau. By November he was complaining of chronic popping and locking with pain about patella and tingling to right knee. He was treated with MOTRIN, use of brace and cane prn. On 2/6/04 providers document mild degenerative joint changes per MRI right knee R>L (see below paragraphs). Counseling was also initiated for complaints of hopelessness, feeling down, depressed, being on guard around others, watchful and super alert. Approximately 6 months (July 2003) post vaccination he reported sleeping prob (snored then stopped breathing, then gasped and snored again) and he was restless. He would awaken tired and exhausted after 3-8 hours of sleep. A sleep study evaluation diagnosed with sleep apnea and placed on CPAP (per patient - records requested). In 2005 he complained of new onset hypertension with mood changes, increased irritability (snaps at people for no reason), and problems with CPAP (not helping sleep, increased fatigue). In May 2007 he moved from one place to another being off CPAP for six months. He advised his moods were initially fine but gradually worsened with increased fatigue, irritability, low energy, low concentration and depression. He concurrently stopped his ATENOLOL as it made his sleep apnea worse. He presented to medical where his CPAP was reinstated and he was started on WELLBUTRIN and ATIVAN and BP meds changed to ADALAT. He was given a diagnosis of adjustment disorder with mixed anxiety and depressed mood. He admitted to improvement of all symptoms over next 2 months but stopped meds after sleep problems appeared to resolve (with CPAP). Sleep apnea.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Prostatic specific antigen normal, Restlessness, Sleep apnoea syndrome, Snoring, Somnolence
Clinical narrative: This 42 year old medically discharged male reservist reported receipt of two ANTHRAX vaccinations in 2003 as part of pre-deployment readiness. AVA #1 was administered 28 Jan 2003 with no reported or remembered adverse events. On 01 Feb 2003 he received his primary smallpox, typhoid, yellow fever, meningococcal and hepatitis B #1 vaccinations. On 14 Feb 2003 he received  AVA #2, again with no reported adverse events to any of the above vaccinations. April 2003, injured his right knee running. Records note evaluation completed (records requested) documenting bone bruise of the medial tibial plateau. By November he was complaining of chronic popping and locking with pain about patella and tingling to right knee. He was treated with MOTRIN, use of brace and cane prn. On 2/6/04 providers document mild degenerative joint changes per MRI right knee R>L (see below paragraphs). Counseling was also initiated for complaints of hopelessness, feeling down, depressed, being on guard around others, watchful and super alert. Approximately 6 months (July 2003) post vaccination he reported sleeping prob (snored then stopped breathing, then gasped and snored again) and he was restless. He would awaken tired and exhausted after 3-8 hours of sleep. A sleep study evaluation diagnosed with sleep apnea and placed on CPAP (per patient - records requested). In 2005 he complained of new onset hypertension with mood changes, increased irritability (snaps at people for no reason), and problems with CPAP (not helping sleep, increased fatigue). In May 2007 he moved from one place to another being off CPAP for six months. He advised his moods were initially fine but gradually worsened with increased fatigue, irritability, low energy, low concentration and depression. He concurrently stopped his ATENOLOL as it made his sleep apnea worse. He presented to medical where his CPAP was reinstated and he was started on WELLBUTRIN and ATIVAN and BP meds changed to ADALAT. He was given a diagnosis of adjustment disorder with mixed anxiety and depressed mood. He admitted to improvement of all symptoms over next 2 months but stopped meds after sleep problems appeared to resolve (with CPAP). Sleep apnea.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Asthenia, Dry skin, Hypoaesthesia, Pallor, Paraesthesia
Clinical narrative: Paleness/weakness after vaccination, no loss of consciousness, skin warm and dry. Respirations non-labored. No AOX3 distress. Layed down, elevated feet. fluid given. Symptoms resolved. BP 100/70. 2 wks numbness/tingling - strength good, equal, no distress. Ambulates independently.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Skin warm
Clinical narrative: Paleness/weakness after vaccination, no loss of consciousness, skin warm and dry. Respirations non-labored. No AOX3 distress. Layed down, elevated feet. fluid given. Symptoms resolved. BP 100/70. 2 wks numbness/tingling - strength good, equal, no distress. Ambulates independently.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Headache, Injection site swelling, Pain in extremity, Pyrexia, Rash erythematous
Clinical narrative: L arm swollen at injection site, headache, fever of 102, vertigo, erythematous 4.5 x 4cm, arm pain.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Vertigo
Clinical narrative: L arm swollen at injection site, headache, fever of 102, vertigo, erythematous 4.5 x 4cm, arm pain.
Age: 55.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: Pt reports significant frontal headache beginning day of vaccination [12/14/09] lasting approx 3 days.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Anxiety, Blood pressure increased, Condition aggravated, Dizziness, Hypoaesthesia oral
Clinical narrative: Perhaps slight numbing of upper lips anxiety attack (dizziness, lightheaded, increased blood pressure, racing heart, shaking.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Palpitations, Tremor
Clinical narrative: Perhaps slight numbing of upper lips anxiety attack (dizziness, lightheaded, increased blood pressure, racing heart, shaking.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient became lightheaded 3 min after shot given. Had patient sit down. Passed out 3 times. Called 911, pt taken to hospital and released.
Age: 0.16
Sex: M
Vaccine: RV5
Symptoms: Apnoeic attack, Chest X-ray normal, Cyanosis, Full blood count normal, Hypotonia
Clinical narrative: 2 mo old for well check. In semi-reclined position and oral rotavirus vaccine being administered into anterior 1/2 of mouth. Infant got pale, limp, apneic, sl. cyanotic. Improved with stimulation, but then recurred. Infant did cough once and spit up a small amt of clear fluid with some mixed in formula. Initial sats about 30-40 with HR in 80's. Infant stimulated with sats increased to 80's and increased heart rate. Infant grew blow by O2 with sats=100%. Infant transported via ambulance to local ER. In ER, CXR negative, infant observed. Sats 100% on RA, no further problems. Seen in follow up the next day, no problems overnight. Stable temps, feeding well, good color. CBC and electrolytes drawn. CBC and electrolytes WNL.
Age: 0.16
Sex: M
Vaccine: RV5
Symptoms: Laboratory test normal, Pallor, Vomiting
Clinical narrative: 2 mo old for well check. In semi-reclined position and oral rotavirus vaccine being administered into anterior 1/2 of mouth. Infant got pale, limp, apneic, sl. cyanotic. Improved with stimulation, but then recurred. Infant did cough once and spit up a small amt of clear fluid with some mixed in formula. Initial sats about 30-40 with HR in 80's. Infant stimulated with sats increased to 80's and increased heart rate. Infant grew blow by O2 with sats=100%. Infant transported via ambulance to local ER. In ER, CXR negative, infant observed. Sats 100% on RA, no further problems. Seen in follow up the next day, no problems overnight. Stable temps, feeding well, good color. CBC and electrolytes drawn. CBC and electrolytes WNL.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Pt felt faint, was pale and sweaty, laid down, refused PO 2 hours nausea, EMT placed on oxygen, rested x 20 minutes no better checked over sx get by ambulance to ER, at ER throat swelling and tx allergic reaction. Rx with Epipen, steroids IV fluids, ER x 6 hours. 12/27/09 - much better after problems with steroid psychosis, sx anxiety x several days.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pharyngeal oedema
Clinical narrative: Pt felt faint, was pale and sweaty, laid down, refused PO 2 hours nausea, EMT placed on oxygen, rested x 20 minutes no better checked over sx get by ambulance to ER, at ER throat swelling and tx allergic reaction. Rx with Epipen, steroids IV fluids, ER x 6 hours. 12/27/09 - much better after problems with steroid psychosis, sx anxiety x several days.
Age: 62.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received live H1N1 nasal vaccine and is over the recommended age limit.
Age: 1.57
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Encephalitis, Intensive care, Mechanical ventilation, Nuclear magnetic resonance imaging abnormal
Clinical narrative: 10 days-following vaccination, patient became ill with encephalitic like syndrome requiring ventilation and ICU care. AbnL MRI, neg. Viral studies. See attached records. Follow up received on JAN 11 2010 - Onset; Day of admission. The onset of illness documented in the faxed records from hospital where child was initially taken with stupor and ataxia, and subsequently transferred to Childrens Hosp. Medical Center the same day.
Age: 1.8
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Febrile convulsion, Immediate post-injection reaction
Clinical narrative: "Febrile 25z within 24 hrs of H1N1 Vx"
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: Patient received H1N1 vaccine.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Intestinal resection, Intussusception
Clinical narrative: Intussusception - Surgical reduction/resection of small piece of intestine.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Imaging procedure, Intestinal resection, Intussusception, Nausea, Vomiting
Clinical narrative: Intussusception - Surgical reduction/resection of small piece of intestine.
Age: 72.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Malaise, Nausea, Vomiting
Clinical narrative: Woke up very dizzy. Became nauseated. Vomited. Ill all day!
Age: 64.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea, Tremor
Clinical narrative: Pt received H1N1 injection at dr. visit. 5 mins. after administration pt started c/o dizziness, nausea, and shakiness. Pt was told to lay down with feet in air, reported feeling better. Glucola given to pt, also noticed improvement.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Pyrexia
Clinical narrative: Mother called and states child had fever of 104 degrees and TYLENOL given -fever decreased to 101 degrees -
Age: 1.27
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Blood glucose decreased, Hypoglycaemia, Shock
Clinical narrative: Sudden onset of hypoglycemia and shock requiring hospitalization. Etiology not determined.
Age: 50.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Herpes zoster, Injection site erythema, Injection site pain, Injection site pustule
Clinical narrative: Raised, painful, erythematous pustules at injection site Medical diagnosis - shingles Rx valacyclovir 1 gm three times daily
Age: 57.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Herpes zoster
Clinical narrative: Pt developed Herpes Zoster 2 days after receiving H1N1 vaccination. Treated with VALTREX and VICODIN.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Ear discomfort, Flushing, Rash, Skin warm
Clinical narrative: 2 hours post vaccination began to feel flushed and warm. Developed rash on neck and upper chest. She went home took ZYRTEC, went to bed. This morning on awaking client felt burning sensation in chest, neck and ears. Rash at upper chest and neck. Seen by doctor-given ZYRTEC tab po, KENALOG 60 mg x 1 and Prednisone 20mg daily x 3 days.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Back pain, Chest pain, Computerised tomogram, Dehydration
Clinical narrative: Shot given on Wed. Friday AM became ill with body aches, severe H/A, neck pain, chest pain, back pain, decreased abdominal pain, increased cramping, leg weakness, dehydration. Pt is also pregnant.  1/6/2010 ED records for 12/25/2009, patient  17 weeks pregnant with c/o's SOB, myalgias, fever, nasal congestion, headaches , myalgias and adominal cramping. Tx: IVF, IV Zofran, albuterol tx, DC DX post vaccination syndrome