chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Epistaxis
Clinical narrative: She had a significant nose bleed first within 18 hours and then a less significant one within 36 hours of administration of the H1N1 nasal mist.
Age: 1.26
Sex: F
Vaccine: DTAP, FLU(H1N1), HIBV, IPV, PNC
Symptoms: Incorrect dose administered
Clinical narrative: 0.5ml H1N1 administered to child less than 36 mos instead of 0.25ml
Age: 2.0
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPA
Symptoms: Incorrect dose administered
Clinical narrative: 0.5ml H1N1 administrated to child less than 36 mos instead of 0.25ml.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Gait disturbance, Hypoaesthesia, Muscular weakness
Clinical narrative: 11/4/09-Right knee sore. Limping after raking. 11/18/09 Received weakness to arms and legs. Limping. Numbness to arms "like carpal tunnel."
Age: 1.9
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPA
Symptoms: Incorrect dose administered
Clinical narrative: 0.5ml H1N1 vaccine was administered to a 22 month old instead of 0.25ml.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: 0.5ml H1N1 was administrated to patient less than 36 mos instead of 0.25ml.
Age: 1.51
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Cough, Cyanosis, Rash generalised, Urticaria
Clinical narrative: Given H1N1 on 11-13-09. Developed hives 11-15-09. Seen in ER-T-101 degrees. To MD on 11-16. Full body rash. T-102? 11-17-developed a cough, cyanosis, hands, feet & torso. Returned to ED. Transferred to another hospital.12/2/2009 MR, DC summary for 11/18/2009. Patient with c/o's increasing fever and maculopapular rash and seen in another hospital ED on 11/15/2009 and dx'd with Acute otitis media, tx'd with Azithromycin which worsened the rash and caused periorbital edema. Patient went to PCP and dx'd with erythema multiform and given Benadryl. Brought to ED on 11/18/2009 when edema increased and noted purplish discoloration, Tx: IVF, IV Solumedrol, Benadryl. DX Stevens Johnson syndrome.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: 0.5ml H1N1 administered to child less than 36 mos instead of 0.25ml
Age: 1.55
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug dispensing error
Clinical narrative: 0.5ml H1N1 was administered to a patient less than 36 months instead of 0.25ml
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Head injury, Lethargy, Lip haemorrhage, Loss of consciousness
Clinical narrative: 5 mins after receiving H1N1 injectable vaccine, student passed out. Was sitting at cafeteria table eating snack. Student hit head on floor, left forehead reddened. Also has 1/4 "scratch to left side of chin. Bleeding noted on inside of bottom lip. Denied nausea diaphoretic, pale. Alert & oriented x 3. PERL, denied HA, dizziness, blurred vision. Able to walk without assistance. Student lethargic for approximately 10 minutes. Was left in supine position with feet elevated & ice pack to forehead until able to sit up. Family arrived and took student home. Recovered.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Scratch
Clinical narrative: 5 mins after receiving H1N1 injectable vaccine, student passed out. Was sitting at cafeteria table eating snack. Student hit head on floor, left forehead reddened. Also has 1/4 "scratch to left side of chin. Bleeding noted on inside of bottom lip. Denied nausea diaphoretic, pale. Alert & oriented x 3. PERL, denied HA, dizziness, blurred vision. Able to walk without assistance. Student lethargic for approximately 10 minutes. Was left in supine position with feet elevated & ice pack to forehead until able to sit up. Family arrived and took student home. Recovered.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphagia, Lymphadenopathy, Oropharyngeal pain, Throat tightness, Upper respiratory tract infection
Clinical narrative: C/o high cervical adenopathy bilateral > on left-sore throat at URI 5x felt external pressure on throat -swallowing difficulty.
Age: 1.63
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: 0.5ml H1N1 given to child less than 36 mos instead of 0.25ml.
Age: 1.03
Sex: F
Vaccine: FLU(H1N1), HEPA, MMR, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: 0.5ml H1N1 vaccine was administered to a 12 month old instead of 0.25ml
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Fatigue
Clinical narrative: Student stated "I am feeling tired after having the nasal spray H1N1."
Age: 47.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chest X-ray normal, Chest pain, Computerised tomogram normal, Confusional state, Drug screen negative
Clinical narrative: Patient had chest pain, became sweaty, got confused within 1/2 hr - 45 mins of getting H1N1 FLUMIST. He was admitted on observation basis with altered mental status. He had CT head, CBC, urinalysis, chest X-ray, urine drug screen - all unremarkable. 11/25/2009 MR and ED records for 11/17-11/18/2009. Patient with c/o's atypical chest pain, dizziness, diaphoresis, and headache. no etiology found from labs and dx tests. 11/25/09 DC summary received for DOS 11/17-11/18/09. Patient presented with transient altered mental status after receiving vaccine. Felt lightheaded and diaphoretic.  Arrived at hospital c/o/ headache and dizziness. Admitted for overhight observation and slowly improved. DC DX: transient altered mental status; depression; anxiety
Age: 47.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Full blood count normal, Hyperhidrosis, Mental status changes, Urine analysis normal
Clinical narrative: Patient had chest pain, became sweaty, got confused within 1/2 hr - 45 mins of getting H1N1 FLUMIST. He was admitted on observation basis with altered mental status. He had CT head, CBC, urinalysis, chest X-ray, urine drug screen - all unremarkable. 11/25/2009 MR and ED records for 11/17-11/18/2009. Patient with c/o's atypical chest pain, dizziness, diaphoresis, and headache. no etiology found from labs and dx tests. 11/25/09 DC summary received for DOS 11/17-11/18/09. Patient presented with transient altered mental status after receiving vaccine. Felt lightheaded and diaphoretic.  Arrived at hospital c/o/ headache and dizziness. Admitted for overhight observation and slowly improved. DC DX: transient altered mental status; depression; anxiety
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Syncope, Vaccination complication
Clinical narrative: Reacts with any shot he receives, he fainted, very quick respons no add'l med. intervention needed.
Age: 40.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Blood thyroid stimulating hormone, Chest discomfort, Palpitations
Clinical narrative: Reports feelings of chest tightness, heart racing and palpitations which have been off and on since receiving the H1N1 and Seasonal flu vaccine on the same date.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Herpes zoster
Clinical narrative: Shingles (confirmed by Hospital on 11/18/09).  12/4/09 OB/GYN consultant records received. Service date 7/9/09 to 12/3/09. OB visits.  12/1/09 ED records received, service dates 11/18/09. Assessment: Shingles. Patient presents with rash around (R) breast going around to back, abdomen. Tingling feeling. Itching. Feels like back is on fire. Zoster rash.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Dizziness, Hyperhidrosis, Pruritus
Clinical narrative: Waited 10 minutes after shot, on way out started to itch, sweaty, "feeling lightheaded" c/o chills.  Vitals monitored.  EMS already present on scene for clinic, transported to ER for further evaluation.
Age: 16.0
Sex: M
Vaccine: HEP, IPV
Symptoms: Asthenia, Dizziness
Clinical narrative: Pt became very weak. Pt stated he felt as if he was going to pass out.  Pt assisted to lying postion.  Ammonia Inhalant adminstered.  Easily aroused  B/P 100/60 lying down.  ANRP called to assist and access.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, IPV, PPV
Symptoms: Arthralgia, Irritability, Personality change, Platelet count decreased, Pyrexia
Clinical narrative: CHILD WAS VACCINATED ON 11/10/09 WITH POLIO, HEP B, DTAP, AND PNEUMOCOCCAL.  PATIENT BECAME UNUSUALLY FUSSY AND OUT OF CHARACTER.  SHE PREFERRED TO CRAWL INSTEAD OF WALK.  DEVELOPED LOW GRADE FEVER, CRIED OFF AND ON ALL NIGHT AS WAS RESTLESS.  GRANDMOTHER CALLED POSION CONTROL HOTLINE BECAUSE DOCTOR'S OFFICE WAS CLOSED. PATIENT WORSENED THURS AND FRIDAY SO GRANDMOTHER TOOK HER TO PRIVATE DOCTOR.  DR. FELT THAT PNEUMOCOCCAL VACCINE WAS CAUSING PATIENT'S JOINT PAIN.  PATIENT HAS BEEN IN HIS CARE SINCE SHE WAS 5 MONTHS OLD.  PATIENT HAD IMMUNE SYSTEM ISSUES AT BIRTH WITH LOW PLATELET COUNT.  DOCTOR HELD OFF IMMUNIZATIONS UNTIL JUNE 2007 DUE TO LOW WEIGHT ISSUES.  DOCTOR FELT PATIENT SHOULD NOT HAVE 4 SHOTS SIMULTANEOUSLY AGAIN.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, IPV, PPV
Symptoms: Restlessness
Clinical narrative: CHILD WAS VACCINATED ON 11/10/09 WITH POLIO, HEP B, DTAP, AND PNEUMOCOCCAL.  PATIENT BECAME UNUSUALLY FUSSY AND OUT OF CHARACTER.  SHE PREFERRED TO CRAWL INSTEAD OF WALK.  DEVELOPED LOW GRADE FEVER, CRIED OFF AND ON ALL NIGHT AS WAS RESTLESS.  GRANDMOTHER CALLED POSION CONTROL HOTLINE BECAUSE DOCTOR'S OFFICE WAS CLOSED. PATIENT WORSENED THURS AND FRIDAY SO GRANDMOTHER TOOK HER TO PRIVATE DOCTOR.  DR. FELT THAT PNEUMOCOCCAL VACCINE WAS CAUSING PATIENT'S JOINT PAIN.  PATIENT HAS BEEN IN HIS CARE SINCE SHE WAS 5 MONTHS OLD.  PATIENT HAD IMMUNE SYSTEM ISSUES AT BIRTH WITH LOW PLATELET COUNT.  DOCTOR HELD OFF IMMUNIZATIONS UNTIL JUNE 2007 DUE TO LOW WEIGHT ISSUES.  DOCTOR FELT PATIENT SHOULD NOT HAVE 4 SHOTS SIMULTANEOUSLY AGAIN.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Feeling abnormal, Pruritus
Clinical narrative: 10 minutes after shot neck itched on way out.  "Felt scratchy after drinking gatorade".  Lungs clear VS taken, pulse O2 100%.  Discharged per MD.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1), FLUX(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: CHILD WAS GIVEN BOTH H1N1 NASAL MIST AND H1N1 VACCINE BY INJECTION ABOUT 1.5 HOURS BEFORE CALL TO POISON CONTROL CENTER.  CHILD IS ASYMPTOMATIC AT TIME OF REPORT TO POISON CONTROL CENTER.  MOTHER WAS NERVOUS ABOUT POSSIBLE OUTCOMES AND WANTED MORE INFORMATION. MOTHER SAID NURSE CALLED THEIR HOME TO NOTIFY THEM OF MISTAKE.
Age: 28.0
Sex: F
Vaccine: VARZOS
Symptoms: Accidental exposure, Drug exposure during pregnancy, Eye irritation
Clinical narrative: NURSE HAD SHINGLES (ZOSTER) VACCINE SPLASHED IN HER EYE.  SHE IS ALSO PREGNANT.  SOME OCULAR IRRITATION ON FOLLOW-UP.  NURSE WANTED TO REPORT ACCIDENTAL EXPOSURE BECAUSE SHE IS PREGNANT.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Multiple allergies, Palpitations, Rash
Clinical narrative: RASH ON TRUNK AND HEART RACING
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye swelling, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: No rash, but itchy skin, low grade fever, swelling around the eyes, sore arm. Dr. prescribed orthotamivir and Benadryl.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cold sweat, Dizziness, Hyperhidrosis
Clinical narrative: Dizziness, sweaty and clammy. Patient was told to lie down for several minutes.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Inflammation, Pruritus
Clinical narrative: Itchy sore site, difficulty breathing.
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event, X-ray normal
Clinical narrative: Thought to have broken a needle but after sending child with parent to ER for x-ray, found out needle/syringe was of retractable type.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Bradycardia, Lethargy, Purpura, Syncope, Unresponsive to stimuli
Clinical narrative: Color purple,enylis syncope, lethargic, diminished response to voice, bradycardic, cap refill 4 secs. Laid down with legs raised, ice pack, blow by 02. Rescue called <10 min.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Malaise, Pyrexia
Clinical narrative: Per pt's mother, pt was sick last week. Came to clinic today with no fever, received vaccine w/out incident. Pt went home and developed a fever of 102.3 degrees F by 6pm. Mom returned to clinic to seek advice. Per medical control, mom was advised to bring pt to ER for evaluation. Did not bring to E.R. per mother. Breathing fine all night - kept home from school D/T general malaise. Fine now. Does not plan to have him vac. with # 2 dose.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Musculoskeletal pain, Nausea, Pruritus
Clinical narrative: Itch and brief pain to left shoulder for < 2 min followed by nausea and stomach ache
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Eye pruritus, Sneezing, Throat irritation
Clinical narrative: Started to complain of itchy eyes and throat within 5 minutes of injection, started sneezing, seen by Dr, 2 tsp (25 mg) liquid BENADRYL administered at 645 pm by nurse - 1900 - Pt with worsening Sx - facial erythema - difficulty swallowing due to itchy throat - EMS called for Tx - X-ray. 11/19/09 T.C. to mother - Child taken to hospital and treated with IV/ steroids at hospital - sent home and returned to school next day.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Food allergy, Rash pruritic
Clinical narrative: Itchy rash on abd and back noted while in waiting area. Given 37.5 mg PO BENADRYL elixir-rash resolved w/in 30 min. Checked with med control and sent pt home w/mother w/instructions to call pediatrician prior to any more vaccines.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Eye pruritus, Eye swelling
Clinical narrative: Both eyes swelled and became itchy. 2 tsps of BENADRYL were administered.
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Vaccine administered at school clinic, 11/6/09, at approximately 6:50 PM. Mother noticed a few hives on several parts of childs body at 7:30. Called her MD - gave Benadryl and advised by physician to take Zyrtex. Parent called school today (11/9/09). Adivsed not to get 2 vaccine.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Paraesthesia
Clinical narrative: L arm tingling / dizziness. Resolved with < 10 min time. BENADRYL 12.5 mg PO for Pt's emotional support.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea, Pallor, Vomiting
Clinical narrative: Child c/o nausea "sick to stomach" color pale. Alert VSS
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: C/O tingling feeling on left side of neck that resolved after applying ice pack for 10 minutes.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Pallor
Clinical narrative: pale color, dizzy. Placed supine, MD assessed; lungs clear without wheezing, without swelling of lips, given juice. Responded well to tx. Discharged by MD with parents.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cold sweat, Feeling cold, Pallor
Clinical narrative: 1-2 min following injection, patient felt cool, clammy, no s/s of dizziness, no fainting, + nausea, - vomiting, color pale. 6:20 sitting up, verbal, good skin color, no N/V, no dizziness.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash
Clinical narrative: Facial rash itchy 15 min after administration - Given 50 mg BENADRYL elixir P.O. after 30 min all rash and itchiness resolved. Father told to call 911 if signs returned and check in w/school nurse tomorrow.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Vomiting
Clinical narrative: Child vomited 3 times within 1-2 hours of receiving vaccine. Mom returned to office, child had abd pain on exam. Rx ZOFRAN.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Syncopal episode 5 minutes after receiving H1N1 vaccine. Pt supine w/ legs up - 1.
Age: 32.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Confusional state, Feeling abnormal, Hyperhidrosis, Pain
Clinical narrative: 10/25 at aprox 7pm I have some confusion & a hard time getting my words out. "Just not feeling right". By the am of 10/26 I had chills then sweats off and on. Body aches & felt like something was eating me from the inside out. Called Dr at 7:50pm. They said wait until 10/27 Am to come in. I felt better by then.
Age: 32.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Speech disorder
Clinical narrative: 10/25 at aprox 7pm I have some confusion & a hard time getting my words out. "Just not feeling right". By the am of 10/26 I had chills then sweats off and on. Body aches & felt like something was eating me from the inside out. Called Dr at 7:50pm. They said wait until 10/27 Am to come in. I felt better by then.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Muscular weakness, Throat irritation
Clinical narrative: Numbness/ weakness vaccinated arm. Itchy throat. 11/18- school RN spoke with mother that night (11/3) - child given BENADRYL @ clinic - no symptoms at all that night and he has been in school ever since.
Age: 83.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure fluctuation
Clinical narrative: My blood pressure is always good but after the shot on Friday, the following Sunday and Monday it went up and stayed up for these 2 days and then got back to normal.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Vomiting
Clinical narrative: In class, dizzy, vomit.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, C-reactive protein abnormal, Diarrhoea, Differential white blood cell count abnormal, Full blood count abnormal
Clinical narrative: Patient received H1N1 nasal mist vaccine on 10/26/09. On 11/5/09, pt. hospitalized for 1 week history of fever, abdominal pain diarrhea and vomiting. Appendicitis was ruled out, pt. discharged 11/7/09 - The same day 11/7, pt developed purpuric rash with bloody stools; readmitted to hospital with presumed diagnosis of HSP (vasculitis). Discharged home = 11/10/09. 12/07/09 DC summary and hospital records received for DOS 11/05/09-11/10/09.  Pt. presented intially with abdominal pain, diarrhea, vomiting. Appendicitis ruled out by surgery and discharged home with presumptive diagnosis of HSP.  Later developed purpuric rash on buttocks, thighs ears, neck and feet bilaterally and grossly grossly bloody stools. Readmitted, treated with prednisone which helped abd. pain. GI consult obtained. Stools became negative for blood.  DC home to f/u with PCP.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Haematochezia, Henoch-Schonlein purpura, Liver function test abnormal, Purpura, Pyrexia
Clinical narrative: Patient received H1N1 nasal mist vaccine on 10/26/09. On 11/5/09, pt. hospitalized for 1 week history of fever, abdominal pain diarrhea and vomiting. Appendicitis was ruled out, pt. discharged 11/7/09 - The same day 11/7, pt developed purpuric rash with bloody stools; readmitted to hospital with presumed diagnosis of HSP (vasculitis). Discharged home = 11/10/09. 12/07/09 DC summary and hospital records received for DOS 11/05/09-11/10/09.  Pt. presented intially with abdominal pain, diarrhea, vomiting. Appendicitis ruled out by surgery and discharged home with presumptive diagnosis of HSP.  Later developed purpuric rash on buttocks, thighs ears, neck and feet bilaterally and grossly grossly bloody stools. Readmitted, treated with prednisone which helped abd. pain. GI consult obtained. Stools became negative for blood.  DC home to f/u with PCP.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Red blood cell sedimentation rate abnormal, Urinary system X-ray, Urine analysis abnormal, Vomiting
Clinical narrative: Patient received H1N1 nasal mist vaccine on 10/26/09. On 11/5/09, pt. hospitalized for 1 week history of fever, abdominal pain diarrhea and vomiting. Appendicitis was ruled out, pt. discharged 11/7/09 - The same day 11/7, pt developed purpuric rash with bloody stools; readmitted to hospital with presumed diagnosis of HSP (vasculitis). Discharged home = 11/10/09. 12/07/09 DC summary and hospital records received for DOS 11/05/09-11/10/09.  Pt. presented intially with abdominal pain, diarrhea, vomiting. Appendicitis ruled out by surgery and discharged home with presumptive diagnosis of HSP.  Later developed purpuric rash on buttocks, thighs ears, neck and feet bilaterally and grossly grossly bloody stools. Readmitted, treated with prednisone which helped abd. pain. GI consult obtained. Stools became negative for blood.  DC home to f/u with PCP.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Hyperaesthesia, Hypoaesthesia, Pain
Clinical narrative: L arm throbbing, numbness and sensitivity from shoulder to elbow, dizziness. Home with mom.
Age: 0.85
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Streptococcal identification test negative
Clinical narrative: Fever to 103.5 48hrs after H1N1 (inactivated) vaccine administered.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea
Clinical narrative: Left once then returned w/diff breathing. Pt then denied w/secondary question. 112/65 P100 R Home w/mom.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Urticaria
Clinical narrative: Received both seasonal flu and H1N1 on 11/16/09. Developed hives > 24 hrs later.
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: Complaints of headache & dizziness while waiting 15 minutes after receiving the nasal spray.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Borrelia burgdorferi serology negative, Computerised tomogram normal, Echocardiogram normal, Facial palsy, Facial paresis
Clinical narrative: 11/7/09 eating chicken lip swollen, (L) facial weakness to urgent care. Dx Bell's palsy, CT head-neg, treated with prednisone & VALTREX. Did develop (R) arm & leg weakness not seek treatment until 11/12 - to ER. 11/13 admit to hosp - Tx with SOLUMEDROL 1 gm IV daily.  11/30/09 DS for DOS 11/13/09  11/17/09.  Final DX: Encephalitis.  Pt was hospitalized with a 5 days hx of facial diplegia most prominent on the left, tongue movement and weakness, dysarthria, and right hemiparesis.  Upon physical examination Pt had hyperreflexia throughout with a positive left Babinski.   Pt's physician considered the diagnosis of brain stem encephalitis although WBC was normal.  TX was given with Solu-Medrol.  Pt discharged with 81mg Aspirin.  Pt's improved partially and will be followed up if the neurological symptoms reappear.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: HIV antibody negative, Lip swelling, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal
Clinical narrative: 11/7/09 eating chicken lip swollen, (L) facial weakness to urgent care. Dx Bell's palsy, CT head-neg, treated with prednisone & VALTREX. Did develop (R) arm & leg weakness not seek treatment until 11/12 - to ER. 11/13 admit to hosp - Tx with SOLUMEDROL 1 gm IV daily.  11/30/09 DS for DOS 11/13/09  11/17/09.  Final DX: Encephalitis.  Pt was hospitalized with a 5 days hx of facial diplegia most prominent on the left, tongue movement and weakness, dysarthria, and right hemiparesis.  Upon physical examination Pt had hyperreflexia throughout with a positive left Babinski.   Pt's physician considered the diagnosis of brain stem encephalitis although WBC was normal.  TX was given with Solu-Medrol.  Pt discharged with 81mg Aspirin.  Pt's improved partially and will be followed up if the neurological symptoms reappear.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash generalised
Clinical narrative: Pt developed total body rash evening of vaccine. Pt not seen Dr the rash in office.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Injection site mass
Clinical narrative: 0.5 cc of Novartis lot #102127P1 influenza (H1N1) vaccine was given in L deltoid location, no blood aspirated prior to injection. Immediately about 1 inch and 1/4 sized bump at injection site noted. Patient denies pain or heat. Vitals taken, pt kept for 20 minutes for aspiration.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: Complaints of headache, dizziness, and nausea while waiting 15 minutes after receiving the flu shot. Reportedly had one episode of vomiting.
Age: 74.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Myalgia, Pain, Pyrexia
Clinical narrative: Vaccination given 11/05/09 around 3:00 pm. No reaction until 11/06/09 around 7:00 pm, when I developed fever, aching. and muscle pain which lasted for 3 days. Felt weak for 3 more days.
Age: 30.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Erythema, Pruritus, Rash papular, Urticaria
Clinical narrative: Developed hives on thighs, ankles, elbows 11/05/09. Itching, red, looked like mosquito bites. Had dizziness night before, could hardly stand up. Took BENADRYL several times and it helped. Rash finally gone around 11/17/09. Never had a fever. Dizziness did not recur. No N+V, no headache complaints.
Age: 1.54
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Patient was inadvertently given 0.5ml of H1N1 monovalent shot instead of 0.25ml
Age: 67.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received intranasal vaccine rather than injectable
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Grand mal convulsion
Clinical narrative: She had a grand mal seizure 2 1/2 hours after medication was administered.  11/30/09 DS for DOS 11/05/09.  Final DX: Pneumonia and generalized nonconvulsive epilepsy.  Pt received H1N1 vaccine on 11/05/09 and 2.5 hrs after Pt had 5 seizures and a grand mal seizure which had not occurred before.  The following week, Pt had more seizures and a poor level functioning.  On 11/25/09, Pt presented to PCP with respiratory symptoms of increased cough for the last few months which got worse the last few days, increased congestion and lots of thick green mucus.  Pt coughed and vomited, but still had lots of mucus that was suctioned frequently by Pt's mother. On physical examination, Pt had significant upper airway congestion, drool and foam from the mouth, intermittent seizures, mild tachypnea, rales of right base, wet rhonci on all lungs.  Pt's physician considered Pt's condition improved and back to her baseline number and type of seizures.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Diarrhoea, Dizziness, Fluid replacement, Nasopharyngitis
Clinical narrative: 11/10/09 Dizzy immediately after, nausea x 1 wk. Seen in ER 11/18/09, IV fluids, ZOFRAN. Pt became more ill with vomiting and cough 5 days after vaccine, diarrhea, cold symptoms, cough, congestion.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Respiratory tract congestion, Vomiting
Clinical narrative: 11/10/09 Dizzy immediately after, nausea x 1 wk. Seen in ER 11/18/09, IV fluids, ZOFRAN. Pt became more ill with vomiting and cough 5 days after vaccine, diarrhea, cold symptoms, cough, congestion.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Palpitations
Clinical narrative: Approximately 5.5 hours after administration of H1N1 vaccine, patient had three episodes of palpitations within a one hour period. No further palpitations after one hour.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Immediate post-injection reaction, Injection site erythema, Injection site pain, Skin warm
Clinical narrative: Immediate began burning at site. Circle and red at site and hot 5 hours later @ 3" in diameter. Hives at neck and then hands at night went away and came back 11-14-2009. Hives on legs ears and neck red. 11-16 - red on palm.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Immediate began burning at site. Circle and red at site and hot 5 hours later @ 3" in diameter. Hives at neck and then hands at night went away and came back 11-14-2009. Hives on legs ears and neck red. 11-16 - red on palm.
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cheilitis, Lip pain, Lip swelling
Clinical narrative: Vaccinated - 4pm 11/11. Awakened with swollen lips next couple mornings. Lips painful, irritated. Started 11/12 9:30 a.m.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Gait disturbance, Vision blurred
Clinical narrative: Flu vaccine approximately 8:45am today. Approximtely 1 hour later, dizzy, blurry vision, unable to walk in steady straight line. No LOC, no N/V.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site rash
Clinical narrative: Inflamed rash at injection site.
Age: 4.0
Sex: F
Vaccine: IPV, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Approximately an 18 x 12 area on L upper deltoid. Arm very red and swollen. Non-tender.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Dysphonia, Throat tightness
Clinical narrative: Developed throat tightness and hoarse voice and anxiety approx. 45 minutes following receiving the seasonal flu vaccine. Went to ER and eval. by MD. Received BENADRYL x 1 50 mg PO and symptoms resolved within 15 minutes.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient states she developed hives 2 days after the shot. Shot administered 10/12 and hives developed 10/14. They lasted for 7 days. She went to an MD on 10/26 for some lingering hives.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site swelling, Nausea, Pain, Pyrexia
Clinical narrative: 11-11-09 - fever, body aches, nausea, fever reported at 100.9 oral. 11-12-09 - fever gone, left upper arm swollen.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Chest pain, Chills, Dyspnoea
Clinical narrative: Pt c/o SOB, anxiety, chills, did not resolve. Mother with pt. Pt c/o chest pain. Transferred to hospital with mother.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Injection site pain, Urticaria
Clinical narrative: Hive on chest, face, back. Partially resolved after admin of diphenhydramine 30 mg  po. Pain at injection site. Hospital EMS
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Adverse event
Clinical narrative: Hive on chest, face, back. Partially resolved after admin of diphenhydramine 30 mg  po. Pain at injection site. Hospital EMS
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Injection site pain, Urticaria
Clinical narrative: This event occur within 15 of immunization at Clinic - treated at Clinic of ENT's - went to hospital for observation. Spoke to mother - child back in school. "Ok" (very little English)
Age: 10.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Adverse event
Clinical narrative: This event occur within 15 of immunization at Clinic - treated at Clinic of ENT's - went to hospital for observation. Spoke to mother - child back in school. "Ok" (very little English)
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hyperhidrosis, Vomiting
Clinical narrative: Child vomited and was diaphoretic.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus
Clinical narrative: Face became itchy 15 min after vaccination. Given 25mg BENADRYL ELIXIR PO after 30 min no itchiness felt by patient. Waited another 10 min. Sent home told to call 911 if symptoms return.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oropharyngeal pain, Throat tightness
Clinical narrative: Throat is sore, feels like throat may be closing.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea
Clinical narrative: Trouble breathing
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: Rash L arm, hand and a little on R arm. BENADRYL melt-a-away given. Rash resolved quickly.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthma, Throat tightness
Clinical narrative: Throat felt like it was closing - has asthma - pt took 2 puffs.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site rash, Rash
Clinical narrative: Rash to site and rash to anterior trunk. Liquid Benadryl 37.5 mg given and sent to hospital.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Paraesthesia
Clinical narrative: Arm hurts when she moves it. Tingling
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Mom called 2 days later. C/O site "itchy -  rash". Mom called on 11/9 - said had itchy -  slight rash. Mom rubbed her down with the alcohol.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever 99.8
Age: 6.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Approx. 7x7cm area warm, red, raised right thigh.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: Headache
Age: 1.0
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Pyrexia, Rash
Clinical narrative: Pt had a small red lump on L thigh 8 days after vaccines given. With fever, without pain. Pt also had small rash on face.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Tingling sensation to middle of Pt's back.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Balance disorder, Dizziness
Clinical narrative: Pt C/O of dizziness and she is unsteady on her feet
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral
Clinical narrative: Right lower extremity edema (3 t pitting) developing within 12 hours of influenza vaccine. No redness or pain. Slowly resolved over course of several weeks.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Throat irritation
Clinical narrative: "My throat feels warm" without other signs/symptoms. Resolved in under 10 minutes time. BENADRYL 25mg PO.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis, Hypoventilation, Pallor, Posture abnormal
Clinical narrative: After approximately 5 minutes of flu shot injection, patient was slouched over, dizzy, sweaty, pale, and had shallow breathing (trouble breathing. EPIPEN (3mg) was administered. (Patient stated she had trouble breathing)
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dermatitis contact, Injection site erythema, Injection site urticaria
Clinical narrative: Redness/Hives @ site. Resolved with Benadryl 25 mg PO after 10 min time, med vs bandaid adhesive reaction.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: NKA.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: 5 PM-11/5 Thursday-Friday night 11/6 8:30 PM-starting to itch arms and legs, bottom and 1 on face-hives-10 P BENADRYL by MD order. Cleared by 8 AM Sat. Sat 11/7 9 PM-wake up itching-arms, legs, bottom, some hives on face, BENADRYL. Sunday AM 11/8-1 more dose BENADRYL.
Age: 24.0
Sex: F
Vaccine: FLUN3
Symptoms: Dyspnoea, Pruritus, Rash erythematous, Urticaria
Clinical narrative: Woke up with very red rash and hives all over body, difficulty breathing. Took 50mg BENADRYL. Gradually getting worse itching and shortness of breath. Was finally given epinephrine shot at 2am. Symptoms of rash disappeared immediately.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, erythema & swelling of left arm surrounding location of the pneumococcal vaccine. This resolved with local steroid cream and antihistamine.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Axillary pain, Musculoskeletal discomfort, Stomatitis
Clinical narrative: Discomfort R side back of neck, axillae area R within 12 hours of shot/vaccine - lasted 1-2 days, then discomfort on roof of mouth.
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Immediate post-injection reaction, Muscular weakness, Musculoskeletal pain, Neck pain
Clinical narrative: Client reports dizziness, weakness, and pain in L hand, arm, neck and shoulder immediately after receiving H1N1 vaccine. Left clinic and went to work. Went to ER about 3 hrs. after immunization. Was given medication for pain and advised to report to Health Dept. which administered vaccine.
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity
Clinical narrative: Client reports dizziness, weakness, and pain in L hand, arm, neck and shoulder immediately after receiving H1N1 vaccine. Left clinic and went to work. Went to ER about 3 hrs. after immunization. Was given medication for pain and advised to report to Health Dept. which administered vaccine.
Age: 0.35
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Depressed level of consciousness, Dyskinesia, Febrile convulsion, Gaze palsy, Posture abnormal
Clinical narrative: Approximately 6 hrs post shot, mom picked her up, she threw her head back, eyes rolled back and body jerking. Lasted few seconds but was "out of it" for approximately 15min. Called ambulance, taken to ER. Dx - febrile seizure.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Axillary pain, Injected limb mobility decreased, Injection site pain
Clinical narrative: Received IM injection H1N1 L deltoid area, c/o pain upper deltoid and axillary area on movement. Painful movement L arm started the next day after vaccine. Healthcare worker referred to neurology clinic and orthopedic clinic. Healthcare worker reported to on 11/23/09 with c/o pain. Neurology clinic r/o nerve damage and orthopedic clinic evaluation pending.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: Patient reports 3 inch red rash which started 2 days after injection (live vaccines - side effects mimic natural infection) and feels like her entire arm will be consumed. She is in same pain and wants to consult with you.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Laboratory test normal, Musculoskeletal pain, Neck pain
Clinical narrative: Pain into shoulder worsened over 2 day period & into base of neck, red & swollen no fever-treated by PMD with antibiotics. Told had "cellulitis".
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin disorder
Clinical narrative: Patient contacted immunizer on 11/06/2009 regarding "egg shaped" raised area below injection site. Followed up 11/11/2009 - still prevalent. Patient had contacted PCP for evaluation.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Antinuclear antibody negative, C-reactive protein normal, Myalgia, Red blood cell sedimentation rate normal, Rheumatoid factor
Clinical narrative: Severe Myalgia - bilateral, upper arms
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Rheumatoid factor negative
Clinical narrative: Severe Myalgia - bilateral, upper arms
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: Student came to nurses office to say she had rash after vaccine given on 11/5. The child report this to me the day after vaccine - had rash. Mom gave child BENADRYL. I saw her on 11/6 - no reaction.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Headache, Heart rate increased, Nausea
Clinical narrative: Pt given seasonal influenza injection in clinic @ 2am. About 5 hrs later, developed sudden chill with HA and slight nausea. Also had a fast pulse. Had a friend take her to the hospital ER - denied tightness in the throat or SOB. First influenza injection. BP 122/68, P 82.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Limb discomfort, Swelling
Clinical narrative: About 8 hrs after vaccine administered - swelling was noted with redness, warm to touch and area measure 10.5x 9cm. Can use arm with discomfort.
Age: 15.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Flushing
Clinical narrative: Several hours following vaccine felt flushed, had stomach ache, fatigue and dizziness. Had not eaten/or drank since 7am. T=99.4. Gave fluids, rested and contacted parent. TC 11/10/09 - spoke to patient - without temp/feels much better, still home from school today.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Pt. developed urticaria on face/arms.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1), MNQ, TDAP
Symptoms: Blood pressure decreased, Cold compress therapy, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Child lost consciousness for < 1 min. after receiving vaccines. Required monitoring, laying supine, cool compresses, and a popsicle. Blood pressure was low. Child required approx. 30 mins. to recover fully, blood pressure to return to normal.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nasopharyngitis, Nausea, Vomiting
Clinical narrative: Nausea and vomiting 10 min post vaccine - has cold S/S PRIOR to vaccination.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Facial hives. 11/19/09 saw his own pediatrician in follw-up. No residual. No add'l treatment.
Age: 22.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Rash
Clinical narrative: Rash appeared on same arm that was inoculated. Severe erythema from deltoid and spread to elbow. No evidence of respiratory distress. Rash appeared 24 hours post vaccination.
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: "None stated".
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Malaise, Pain
Clinical narrative: Pt received single steroid injection 9/24/09 and then vaccinated with Zostovox 5 wks later on 10/29/09. Began to feel poorly 2d later and developed classic shingles rash on 11/5/09. Was seen at local walk-in clinic and treated with VALTREX x 1 1/2 weeks. Rash is resolving and pain has decreased by 50%.
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Approximately 12 hours after being given the shot, I experienced nausea, headache, vomiting and a temperature of 100.2.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Seasonal flu injection given, site immediately red and swollen (egg-size) hard, no neat. Observed ct for 20 min. Home to take BENADRYL, apply heat, F/U with PCP if worse, watch for swelling in throat. CHeck with PCP if should continue recieving flu shots.
Age: 16.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Throat irritation
Clinical narrative: Mother reports after leaving clinic child had itching of the throat and neck.  Denied difficulty breathing or swelling.  Mother treated at home with OTC Benadryl. Symptoms subsided after tx with Benadryl.
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Full blood count, Hyperhidrosis, Laboratory test, Metabolic function test
Clinical narrative: Total body shakes, fever and chills and sweats. Nauseated. Symptoms initially lasted 48 hours and then intermittent following. Patient states has had symptoms over the last two weeks. Saw Personal MD yesterday and lab work today. Spoke with MD on November 16th but not an appointed visit.
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea, Pyrexia, Tremor
Clinical narrative: Total body shakes, fever and chills and sweats. Nauseated. Symptoms initially lasted 48 hours and then intermittent following. Patient states has had symptoms over the last two weeks. Saw Personal MD yesterday and lab work today. Spoke with MD on November 16th but not an appointed visit.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Lump with swelling and erythema appeared on left deltoid after DTAP immunization
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Abortion spontaneous incomplete, Drug exposure during pregnancy, Ultrasound scan vagina abnormal, Urine human chorionic gonadotropin negative
Clinical narrative: Miscarriage.  went to Emergency Room.  11/25/09 OB notes for DOS 11/17/09.  DX: Miscarriage  On 11/16/09, Pt developed vaginal bleeding, cramping and contractions. Pt admitted to ED and a transvaginal ultrasound was done.  On 11/17/09 Pt was seen by her OB. Pt miscarried on 11/19/09.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: White blood cell count increased
Clinical narrative: Miscarriage.  went to Emergency Room.  11/25/09 OB notes for DOS 11/17/09.  DX: Miscarriage  On 11/16/09, Pt developed vaginal bleeding, cramping and contractions. Pt admitted to ED and a transvaginal ultrasound was done.  On 11/17/09 Pt was seen by her OB. Pt miscarried on 11/19/09.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Developed hives on legs, trunk, buttocks. Unsure of when they began to develop - noticed around 2 AM. Administered Benadryl - hives resolved by 8 AM.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Paraesthesia
Clinical narrative: 10 minutes after shot c/o "tingling", then felt faint.  Vitals monitored, discharged 1:40 by MD.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain, Tendonitis
Clinical narrative: Patient called RN 11/9/09 and reported feeling some pain/discomfort in her shoulder which she thought might be as a result of her Flu shot administered on 10/22/09. Patient saw her Dr. on 11/13/09. Patient stated her Dr. was treating her for tendonitis.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Pruritus, Swelling
Clinical narrative: Itching right leg 10 minutes after shot.  Vitals stable, no difficulty breathing.  Warm pack applied, swelling subsiding.  Discharged per MD.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Convulsion, Fatigue, Muscle spasms, Muscle tightness, Psychomotor skills impaired
Clinical narrative: Uncontrollable arm seizures/spasms.  Last anywhere from 5-20 seconds each.  Began in upper arm.  Muscles tightened and lost control of motor skills and muscles during tremors.  Dissipated after about an hour with a few mild events following that night.  Appeared better the next morning..albeit tired.  Same event occurs one week later on 11/23/2009 at 7:00 PM.  Returned to emergency room again.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Tremor
Clinical narrative: Uncontrollable arm seizures/spasms.  Last anywhere from 5-20 seconds each.  Began in upper arm.  Muscles tightened and lost control of motor skills and muscles during tremors.  Dissipated after about an hour with a few mild events following that night.  Appeared better the next morning..albeit tired.  Same event occurs one week later on 11/23/2009 at 7:00 PM.  Returned to emergency room again.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Lip swelling, Swollen tongue, Urticaria, Wheezing
Clinical narrative: Patient developed profound lip swelling, tongue swelling, and diffuse urticara. Intermittent wheeze. Improved with administration of Benadryl within 15 minutes.  12/10/09 MR received for DOS 11/23/09. DX: Anaphylaxis. Pt presented to clinic with lip swelling, urticaria, intermittent wheeze, tx: Benadryl.  No other new episodes. To check for egg allergy.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Lip swelling, Pruritus, Rash, Urticaria
Clinical narrative: Patient developed profound lip swelling, tongue swelling, and diffuse urticara. Intermittent wheeze. Improved with administration of Benadryl within 15 minutes.  12/10/09 MR received for DOS 11/23/09. DX: Anaphylaxis. Pt presented to clinic with lip swelling, urticaria, intermittent wheeze, tx: Benadryl.  No other new episodes. To check for egg allergy.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Confusional state, Contusion, Crying, Excoriation, Fall
Clinical narrative: Patient received the vaccine while seated, got up and walked a few feet, returned to room, fainted then fell to floor hitting head; picked up by mother, placed on cart, O2 administered, head tilt/chin lift  done; HR and pulse ox monitors applied; pt responded within a minute or so, crying/confused, c/o headache, with contusion and abrasion to chin, c/o jaw pain and no stated "Am I done yet mommy?"; pt bit tongue on both sides with minimal bleeding noted, resolved quickly; pt given 150mg Ibuprofen at request of mother and po sips of water; pt rested on cart for approximatley 30-45 minutes, then left, carried by mother where pt was taken to see ED physician who is family friend for evaulation; no further recommendations from ED physician; pt taken home, ate dinner without difficulty although con't to c/o chin and jaw pain; rested; bed by 830 pm after medicated with acetaminophen; patient woke up a couple of times in night, appeared restless, returned to sleep after briefly being consoled by mother. Woke up next am without difficulty, worried about eating breakfast and hurting jaw; medicated with acetaminophen and ibuprofen; appeared to act normally except for being scared about previous events.