chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Skin irritation, Swelling face
Clinical narrative: Vaccinated in left leg. Right outer ear swollen, red, hot at 9:30. Stated head hurt and was scratching back of neck, forehead and ear. Mom says face looked puffy, hands and feet look puffy. Called UNC Nurse line and gave recommended dosage of children's diphenhydramine. Signs and symptoms gone by next morning.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Erythema, Eye swelling, Swelling face
Clinical narrative: PARENTS REPORT CHILD WITH MILD SWELLING OF FACE NEAR EYES.  FACE WITH SLIGHT REDNESS AND SWELLING AROUND EYES DR. CALLED.  BENADRYL 12.5MG (5CC) GIVEN TO 4 YR OLD AT 4:50PM.  CLIENT RECOVERED. NO DIFFICULT BREATHING NOTED.  CLEINT LEFT CLINIC AT 5:20 PM AND REDNESS AND SWELLING SUBSIDING. 9/2/09 CALL TO PARENT CLIENT FULLY RECOVERED.
Age: 56.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Malaise, Myalgia, Vertigo positional
Clinical narrative: Dizziness & myalgias and malaise; Dizziness mimicked BPPV, and worsend over 3-4 days, mild myalgias abated over 2 days, malaise 3 days-mild. Dizziness became quite remarkable
Age: 2.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Dyspnoea, Eye swelling, Eyelid oedema, Ocular hyperaemia
Clinical narrative: PARENT REPORTED AT 5:30 PM HE NOTICED SWELLING AROUND HIS DAUGHTER'S EYES.  HE RETURNED TO CLINIC AT 5:45PM CLIENT PRESENTED WITH SWELLING AND REDNESS AROUND EYES AND EYE LIDS ALSO WITH SWELLING.  CLIENT GIVEN 25 MG OF BENADRYL PO FATHER ALSO REPORTS CLIENT HAVING SLIGHT PROBLEM BREATHING.  DR NOTIFIED PER PHONE. 911 CALLED.  CLIENT TRANSPORTED TO HOSPITAL.  CLIENT REMAINED ALERT.  CLIENT SEEN IN ER AND ASSESSMENT DONE.  CLIENT SENT HOME WITH PREDNISONE RD.  MOTHER REPORTS PATIENT IS ACTIVE AND NOW HERSELF. SHE IS GIVING PREDNISONE 15 MG/ML 1 TSP 2X DAILY FOR 3 DAYS.  CLIENT TO BE FOLLOWED BY PRIVATE PHYSICIAN.
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever, headache, body aches, stomach ache, vomiting, sore throat.
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Fever, headache, body aches, stomach ache, vomiting, sore throat.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Urticaria
Clinical narrative: 2 hours after child received H1N1 injectable vaccine in left thigh, mom noticed a red, hives type rash on buttocks and lower back. No other symptoms noted. Carried child to PCP and was given BENADRYL and a steroid liquid PO for 5 days.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye pain, Headache, Nausea
Clinical narrative: On 10/22/09 at 12:30 HA present (vice-like grip on eyes and around head). Contacted provider via phone-placed on MEDROL dose pack-would become nauseated if sitting up from lying position-daily thru 10/26/09 HA decreased on 10/27/09 slight pressure behind eyes otherwise no other s/s.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site irritation, Throat irritation
Clinical narrative: Administered H1N1 immunization to patient. Within 15 min. patient developed skin irritation on arm where injection was given that steadily advanced. Noticed irritation in throat as well. Relieved after taking oral BENADRYL 50 mgm.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dysarthria, Tongue spasm
Clinical narrative: On 10/26/09 at approximately 4:15 PM, mother noticed that patient's speech was slurred and tongue quivering. Episode lasted approximately 30 minutes.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: Client was given H1N1 nasal mist and she is 18 weeks pregnant but did not state that she was pregnant before given the vaccination. Client referred to physician. 11/2/2009 record from OB-GYN MD 10/21/2009 confirming a + PG test, there are no records addressing any side effects of vaccine which was given 10/23/2009. This record does state patient is 18 weeks pregnant, received H1 N1 vaccine at health department, did not notify of pregnancy before receiving vaccine.
Age: 21.0
Sex: M
Vaccine: FLUN(H1N1), MNQ, TDAP
Symptoms: Balance disorder, Depressed level of consciousness, Gait disturbance, Staring
Clinical narrative: 1 1/2 hours after administration, disequilibrium, stumbling, staring, slow to answer questions but oriented x 3. Spontaneous resolution.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Pyrexia
Clinical narrative: mom reports fever of 103 and cough
Age: 28.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Eyelid disorder, Eyelid oedema, Facial palsy
Clinical narrative: Left eyelid droopiness/?swelling; over the next few days, pt developed a right sided Bell's palsy 11/10/2009 MD records from 10/29/2009 ov. Patient with c/o's rt eye irritation and droopiness, lopsided smile. DX Bell's palsy. RX'd eye gtts, prednisone and Acyclovir. F/up 1 week.
Age: 49.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Headache, Lethargy, Urticaria
Clinical narrative: Developed hives on arms and chest. Experienced headache, diarrhea, and lethargy.
Age: 1.07
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Abnormal behaviour, Anger, Diet refusal, Fatigue, Gait disturbance
Clinical narrative: Fever, Anger, Screaming, Difficulty walking, Wouldn't eat, Exhausted but couldn't sleep, Very passive about putting saline in his nose and using nasal bulb, He would sit like a statue on my lap and blankly stare at my face for over 30 minutes at a time.  Normally he puts up a pretty good fight to get to hold him.  This all lasted 4 days.
Age: 1.07
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Insomnia, Pyrexia, Screaming, Staring
Clinical narrative: Fever, Anger, Screaming, Difficulty walking, Wouldn't eat, Exhausted but couldn't sleep, Very passive about putting saline in his nose and using nasal bulb, He would sit like a statue on my lap and blankly stare at my face for over 30 minutes at a time.  Normally he puts up a pretty good fight to get to hold him.  This all lasted 4 days.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient reports awoke with redness at the left & right of injection site. raising over the course of the day. stopped by the office at noon 10/29/2009 and was told to do cool compresses and take Benadryl 25mg 1 or 2 three times a day & use lotrisone topical.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: Developed erythema and hives on face, arms, legs and trunk
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Itchy rash; After shower it worsened; some hives; itchy rash & hives around mouth, on stomach and back; with benedryl the reaction did not progress and is being given every 6 hrs.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain upper, Antibody test normal, Arthralgia, Blood immunoglobulin G normal, Blood immunoglobulin M normal
Clinical narrative: Patient started getting severe stomach pains approx. 24 hours after Gardasil vaccine.  She threw-up violently at least 13 times. For the next 3 weeks she suffered from fatigue, joint pain, numbness and tingling in her fingertips, fevers, nausea, sore throat, skin peeling off of her hands, muscle weakness in her legs.    11/30/09:  Infectious disease consultation received for date of service 8/05/09. Dx: Viral syndrome.  Presents with c/o sore throat, fever, emesis, joint pain and tingling and stiffness of fingers following vaccination.  MD states sx. unlikely related to vaccine, rec. continue HPV series.    12/23/09 clinic records and laboratory reports received for DOS 07/28/09-07/29/09. DX: Acute Viral Pharyngitis. Patient presented with c/o sore throat, dysphagia and vomiting.  12/23/09 clinic records received for DOS 08/04/09-10/05/09. DX: Viral infection and acute pharyngitis.  Presents with c/o headaches, fever, vomiting, joint pain, body aches, sore throat, cough and decreased appetite. Plan: Ibuprofen, fluids and rest.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood test, C-reactive protein increased, Cough, Culture throat negative, Decreased appetite
Clinical narrative: Patient started getting severe stomach pains approx. 24 hours after Gardasil vaccine.  She threw-up violently at least 13 times. For the next 3 weeks she suffered from fatigue, joint pain, numbness and tingling in her fingertips, fevers, nausea, sore throat, skin peeling off of her hands, muscle weakness in her legs.    11/30/09:  Infectious disease consultation received for date of service 8/05/09. Dx: Viral syndrome.  Presents with c/o sore throat, fever, emesis, joint pain and tingling and stiffness of fingers following vaccination.  MD states sx. unlikely related to vaccine, rec. continue HPV series.    12/23/09 clinic records and laboratory reports received for DOS 07/28/09-07/29/09. DX: Acute Viral Pharyngitis. Patient presented with c/o sore throat, dysphagia and vomiting.  12/23/09 clinic records received for DOS 08/04/09-10/05/09. DX: Viral infection and acute pharyngitis.  Presents with c/o headaches, fever, vomiting, joint pain, body aches, sore throat, cough and decreased appetite. Plan: Ibuprofen, fluids and rest.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Dysphagia, Fatigue, Headache, Hypoaesthesia, Influenza serology
Clinical narrative: Patient started getting severe stomach pains approx. 24 hours after Gardasil vaccine.  She threw-up violently at least 13 times. For the next 3 weeks she suffered from fatigue, joint pain, numbness and tingling in her fingertips, fevers, nausea, sore throat, skin peeling off of her hands, muscle weakness in her legs.    11/30/09:  Infectious disease consultation received for date of service 8/05/09. Dx: Viral syndrome.  Presents with c/o sore throat, fever, emesis, joint pain and tingling and stiffness of fingers following vaccination.  MD states sx. unlikely related to vaccine, rec. continue HPV series.    12/23/09 clinic records and laboratory reports received for DOS 07/28/09-07/29/09. DX: Acute Viral Pharyngitis. Patient presented with c/o sore throat, dysphagia and vomiting.  12/23/09 clinic records received for DOS 08/04/09-10/05/09. DX: Viral infection and acute pharyngitis.  Presents with c/o headaches, fever, vomiting, joint pain, body aches, sore throat, cough and decreased appetite. Plan: Ibuprofen, fluids and rest.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Muscular weakness, Nausea, Oropharyngeal pain, Pain, Paraesthesia
Clinical narrative: Patient started getting severe stomach pains approx. 24 hours after Gardasil vaccine.  She threw-up violently at least 13 times. For the next 3 weeks she suffered from fatigue, joint pain, numbness and tingling in her fingertips, fevers, nausea, sore throat, skin peeling off of her hands, muscle weakness in her legs.    11/30/09:  Infectious disease consultation received for date of service 8/05/09. Dx: Viral syndrome.  Presents with c/o sore throat, fever, emesis, joint pain and tingling and stiffness of fingers following vaccination.  MD states sx. unlikely related to vaccine, rec. continue HPV series.    12/23/09 clinic records and laboratory reports received for DOS 07/28/09-07/29/09. DX: Acute Viral Pharyngitis. Patient presented with c/o sore throat, dysphagia and vomiting.  12/23/09 clinic records received for DOS 08/04/09-10/05/09. DX: Viral infection and acute pharyngitis.  Presents with c/o headaches, fever, vomiting, joint pain, body aches, sore throat, cough and decreased appetite. Plan: Ibuprofen, fluids and rest.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Pyrexia, Red blood cell sedimentation rate normal, Skin exfoliation, Streptococcal identification test negative, Viral infection
Clinical narrative: Patient started getting severe stomach pains approx. 24 hours after Gardasil vaccine.  She threw-up violently at least 13 times. For the next 3 weeks she suffered from fatigue, joint pain, numbness and tingling in her fingertips, fevers, nausea, sore throat, skin peeling off of her hands, muscle weakness in her legs.    11/30/09:  Infectious disease consultation received for date of service 8/05/09. Dx: Viral syndrome.  Presents with c/o sore throat, fever, emesis, joint pain and tingling and stiffness of fingers following vaccination.  MD states sx. unlikely related to vaccine, rec. continue HPV series.    12/23/09 clinic records and laboratory reports received for DOS 07/28/09-07/29/09. DX: Acute Viral Pharyngitis. Patient presented with c/o sore throat, dysphagia and vomiting.  12/23/09 clinic records received for DOS 08/04/09-10/05/09. DX: Viral infection and acute pharyngitis.  Presents with c/o headaches, fever, vomiting, joint pain, body aches, sore throat, cough and decreased appetite. Plan: Ibuprofen, fluids and rest.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Viral pharyngitis, Virus serology test, Vomiting, White blood cell count increased
Clinical narrative: Patient started getting severe stomach pains approx. 24 hours after Gardasil vaccine.  She threw-up violently at least 13 times. For the next 3 weeks she suffered from fatigue, joint pain, numbness and tingling in her fingertips, fevers, nausea, sore throat, skin peeling off of her hands, muscle weakness in her legs.    11/30/09:  Infectious disease consultation received for date of service 8/05/09. Dx: Viral syndrome.  Presents with c/o sore throat, fever, emesis, joint pain and tingling and stiffness of fingers following vaccination.  MD states sx. unlikely related to vaccine, rec. continue HPV series.    12/23/09 clinic records and laboratory reports received for DOS 07/28/09-07/29/09. DX: Acute Viral Pharyngitis. Patient presented with c/o sore throat, dysphagia and vomiting.  12/23/09 clinic records received for DOS 08/04/09-10/05/09. DX: Viral infection and acute pharyngitis.  Presents with c/o headaches, fever, vomiting, joint pain, body aches, sore throat, cough and decreased appetite. Plan: Ibuprofen, fluids and rest.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: hives
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Blood pressure decreased, Cyanosis, Dizziness, Pallor
Clinical narrative: The 25 year old was very apprehensive- stated that her daughter was goig to receive the vaccine for the first time.  The 25 yr old received the nasal spray vaccine first- then held her daughter for the vaccine (nasal)- the child got down from the mother's lap and that's when the mother (25 year old) appeared to be having a reaction and the nurse sat her back in the chair.  This was approx 10 minutes after receiving the H1N1 live viral nasal spray vaccine, she became pale, cyanotic around the lips and face, having weakness, dizzinesss. Her BP was 80/50.  She was held at the clinic until 7:30 pm and her BP was up to 90/50.  She was recommended to go to the hospital ED but she refused and wanted to go home.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest discomfort, Fatigue, Headache, Oropharyngeal pain, Wheezing
Clinical narrative: Heavy chest, weazing, headache, very tired, slight soar throat  I slept 12 hours two nights after.
Age: 11.0
Sex: F
Vaccine: MEN
Symptoms: Hypoaesthesia, Oedema peripheral, Pyrexia
Clinical narrative: SWOLLEN ARM, NUMBNESS IN LIMBS, FEVER
Age: 17.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal X-ray, Abdominal pain, Cough, Culture throat negative, Diarrhoea
Clinical narrative: Woke up the day after receiving FluMist with abdominal pain, headache, and cough.  He's now developed some diarrhea and lightheadedness.  Questionable subjective fever.
Age: 17.0
Sex: M
Vaccine: FLUN3
Symptoms: Dizziness, Headache, Influenza serology negative, Pyrexia, Streptococcal identification test negative
Clinical narrative: Woke up the day after receiving FluMist with abdominal pain, headache, and cough.  He's now developed some diarrhea and lightheadedness.  Questionable subjective fever.
Age: 17.0
Sex: M
Vaccine: FLUN3
Symptoms: X-ray normal
Clinical narrative: Woke up the day after receiving FluMist with abdominal pain, headache, and cough.  He's now developed some diarrhea and lightheadedness.  Questionable subjective fever.
Age: 0.33
Sex: F
Vaccine: DTAP
Symptoms: Discomfort, Pyrexia
Clinical narrative: Patient had a fever that went up and down for 7 days following the vaccine. The highest fever taken was 102.8 under the arm. If patient seemed uncomfortable, infant Tylenol was given in the proper dosage. No other obvious symptoms.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Rash
Clinical narrative: local erythema and rashspreading medially from site of injection, worsening over the ensuing 48 hours.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Chest X-ray normal, Culture urine negative, Emotional distress, Influenza serology negative
Clinical narrative: Developed fever to 103, vomiting, abdominal and leg pain.  She was in so much distress that she was evaluated in the Emergency Room.  I just spoke with Mom and she said that patient is doing much better.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pain in extremity, Pyrexia, Streptococcal identification test negative, Vomiting
Clinical narrative: Developed fever to 103, vomiting, abdominal and leg pain.  She was in so much distress that she was evaluated in the Emergency Room.  I just spoke with Mom and she said that patient is doing much better.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Decreased appetite, Pyrexia, Sinusitis
Clinical narrative: Fever x 1 day, cough x 2 days, sinusitis, decreased appetite,
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: child received 2 doses of H1N1. The first was a spray on 10/7/09, injection was 10/16/09. Pt. has no adverse events as of 10/29/09
Age: 0.69
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Heart rate increased
Clinical narrative: A headache woke me up and was with me all day with Tylenol alternating with Motrin.  Also had rapid heart rate that was also felt palpating with the throbbing headache.  No fever, cough, or body aches other than headache.
Age: 16.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, No adverse event
Clinical narrative: Client recieved Flumist which is contraindicated for a client with Asthma Client did not have reaction at time of vaccination. Called CDC for possible reactions.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Ear discomfort, Pain, Throat irritation
Clinical narrative: I feel like my throat and left ear has a chemical burn. I went to my Dr.'s office at 1 pm they said that I have a irritation to my throat and gave me a pain killer. Vicodin. The pain is so great that that is not relieving the pain.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dysphonia, Headache, Immunisation reaction, Muscle tightness
Clinical narrative: Muscles in shoulder neck on L tight painful. Fever 101 in middle of night. Tightness in chest ~0800. Headache. Symptoms continued through 10/28. Saw Dr. on 10/28 diagnosis with reaction to H1N1 vaccine. On 10/29 hoarse voice, fever 100. Headache improved but still there.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Myalgia, Pyrexia
Clinical narrative: Muscles in shoulder neck on L tight painful. Fever 101 in middle of night. Tightness in chest ~0800. Headache. Symptoms continued through 10/28. Saw Dr. on 10/28 diagnosis with reaction to H1N1 vaccine. On 10/29 hoarse voice, fever 100. Headache improved but still there.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Nasal congestion, Productive cough, Rash erythematous, Rash pruritic
Clinical narrative: Pt developed stuffy nose, malaise, and productive cough of clear secretions.  Developed a light pink, itchy rash on left leg. Recommended topical OTC hydrocortisone 1% cream or ointment for rash.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives all over body gave benadryl they went away came back, gave benadryl went away came back, gave again never went away its been 4 days now still getting hives.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: I got a flu shot and the injection itself was very painful.  Since then, I have had significant pain in my left arm.  I had no mobility in my arm for about 3 days.  After two doctors visits, and 3 different kinds of pain killers, I now have movement back, however, I still have chronic pain.
Age: 4.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Eye swelling
Clinical narrative: Periorbital swelling, right sided (same side vaccine was given on).  Left eye unaffected.
Age: 1.0
Sex: M
Vaccine: FLU3
Symptoms: Skin test negative, Urticaria
Clinical narrative: hives; resoved after Benadryl given by mother
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Eye swelling, Fatigue, Migraine, Ocular hyperaemia
Clinical narrative: migraine, dizziness, blurry vision, exhaustion, red swollen eyes
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Vision blurred
Clinical narrative: migraine, dizziness, blurry vision, exhaustion, red swollen eyes
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Chills, Cough, Hypoventilation, Oropharyngeal pain
Clinical narrative: Within 30 minutes of recieving the H1N1 nasal vaccine I began feeling tightness in my throat.  It became difficult to talk in a deep breath and my throat started to feel sore.  Conditions worsened through the night and by morning I had developed a dry cough.  At 9:30 am I started having chills and by 12:00 I started running a temperature and my cough became productive.  At 12:00 noon my temperature was 102 degrees and Motrin was administered.  It is 9pm on October 29th, 2009 and symptoms have not lessened.
Age: 26.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Productive cough, Throat tightness
Clinical narrative: Within 30 minutes of recieving the H1N1 nasal vaccine I began feeling tightness in my throat.  It became difficult to talk in a deep breath and my throat started to feel sore.  Conditions worsened through the night and by morning I had developed a dry cough.  At 9:30 am I started having chills and by 12:00 I started running a temperature and my cough became productive.  At 12:00 noon my temperature was 102 degrees and Motrin was administered.  It is 9pm on October 29th, 2009 and symptoms have not lessened.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain, Joint range of motion decreased, Lethargy, Nuclear magnetic resonance imaging
Clinical narrative: Shot hurt tremendously, arm felt very lethargic, pain continued to increase during the day and night. Have had difficulty lifting arm in certain directions.  Range of motion severely diminished.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: X-ray
Clinical narrative: Shot hurt tremendously, arm felt very lethargic, pain continued to increase during the day and night. Have had difficulty lifting arm in certain directions.  Range of motion severely diminished.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated, Partial seizures with secondary generalisation
Clinical narrative: partial seizure secondarily generalized lasting about 12 minutes 11/3/2009 hospital records from ED visits 6/15/2009 and 10/20/2009. Patient presented with seizure activity, apnea, loss of consciousness, decreased mental status. Tx: on 6/15/2009 Ativan, on 1/20/2009 no tx just observed, no repeat seizure activity.  PE no neuro deficits, advised increase dose of Keppra and f/up with PCP/Neurologist. DC  Dx seizure
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Atelectasis, Chest pain, Computerised tomogram, Computerised tomogram abnormal
Clinical narrative: Pleuritic chest pain (pain with breathing/laughing) & L upper abdominal pain with radiation to clavicle/scapula.  ER visit on 10/28, CT scan dxed with small, L lung base atelectasis vs. infiltrate and small L pleural effusion. 11/18/09:  ED records received for date of service 10/22/09. Dx:  Pleuritic chest pain. Assessment:  Presents with c/o abdominal pain, hurts to breathe.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pleural effusion, Pleuritic pain, White blood cell count increased
Clinical narrative: Pleuritic chest pain (pain with breathing/laughing) & L upper abdominal pain with radiation to clavicle/scapula.  ER visit on 10/28, CT scan dxed with small, L lung base atelectasis vs. infiltrate and small L pleural effusion. 11/18/09:  ED records received for date of service 10/22/09. Dx:  Pleuritic chest pain. Assessment:  Presents with c/o abdominal pain, hurts to breathe.
Age: 0.8
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Irritability, Somnolence, Vomiting
Clinical narrative: Started fussy. Fussy & sleepy all day. Threw up at 6:15 pm.
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Activities of daily living impaired, Adverse reaction, Dyspnoea, Respiratory tract congestion, Sneezing
Clinical narrative: Constant sneezing since then, missed four days of work, constant congestion to the point of shortness of breath--that was the worst part.  As of now 10/29 still feeling adverse reactions.  Pt. did not seek medical attention for AE. 01/29/2010 - follow up - flu-like symptoms,sneezing, runny nose.
Age: 42.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dysphagia, Local swelling, Neck pain
Clinical narrative: I woke up and had swelling in the left side of my neck, like a lymph node. I went back to employee health to report it, they told me to go to my PCP or urgent care. I left work to go to urgent care and was treated with Omnicef. The next day, 10/11/2009 the swelling had increased in size, it was more painful and difficult to swallow. The next day, 10/12/2009, the swelling had not improved so I went to the emergency room and was put on another antibiotic, Cleocin. Later on that evening the swelling started to improve and over the next few days it was resolved.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Burning sensation, Muscle spasms, Myalgia, Pain
Clinical narrative: SEVERE CRAMPING, THROBBING, ACHINESS IN ALL JOINTS AND MUSCLES IN LEGS HIPS CALVES AND FEET ALONG WITH A BURNING ITCHY FEELING INSIDE MY LEGS AND HIPS.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus
Clinical narrative: SEVERE CRAMPING, THROBBING, ACHINESS IN ALL JOINTS AND MUSCLES IN LEGS HIPS CALVES AND FEET ALONG WITH A BURNING ITCHY FEELING INSIDE MY LEGS AND HIPS.
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Fever (102.5), Chills, Nausea
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient reports soreness in the right arm that radiates down arm. He states that it began right after vaccination and has not resolved yet. States that in last 10 days he has experienced slight pain and numbness in fingers of the same arm. He states he experiences significant pain when laying on shoulder and when applying downward pressure to lift himself. At the time he reported this to me (oct 27,2009) I recommended that he see his physician to evaluate his symptoms. He insisted that the vaccination was the source of his symptoms.  He has not reported back to me at this time.
Age: 18.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Headache, Pain
Clinical narrative: Body Ache, Headache
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Antiphospholipid antibodies, Cytomegalovirus test, Drug exposure during pregnancy, Intra-uterine death, Laboratory test
Clinical narrative: Intrauterine fetal demise diagnosed on 10/29/09. Last FM felt on 10/28/09. Not clear if this is related to vaccination.  Medical records received for DOS 7/09/09-11/04/09. Neg fetal movement and HT in office, Fetal demise 32 weeks. Approx 2 wks s/p vaccine. LMP 02/02/09.  EDD 11/08/09.   Prenatal care late. (+) THC use.  (+) urine E coli. (+) alcohol use. (+) Chlamydia.     11/09/09 Medical records received. Duplicate of records from 11/06/09
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Toxicologic test
Clinical narrative: Intrauterine fetal demise diagnosed on 10/29/09. Last FM felt on 10/28/09. Not clear if this is related to vaccination.  Medical records received for DOS 7/09/09-11/04/09. Neg fetal movement and HT in office, Fetal demise 32 weeks. Approx 2 wks s/p vaccine. LMP 02/02/09.  EDD 11/08/09.   Prenatal care late. (+) THC use.  (+) urine E coli. (+) alcohol use. (+) Chlamydia.     11/09/09 Medical records received. Duplicate of records from 11/06/09
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt was given a H1N1 vaccine on 10/20/09 and received a 2nd one on 10/28/09.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dysphagia, Dyspnoea, Flushing
Clinical narrative: Following administration of H1N1 vaccine to L arm pt developed SOB, flushing, weird sensation in chest, difficulty swallowing. Seen immediately in ER, given epinephrine 0.4 SQ, BENADRYL 50 mg IVP, SOLU-MEDROL 250 mg IVP, ZANTAC 50 mg IVP, 1000 cc NS. Vitals 154/90, 107, 24, 98.3.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Aspiration bone marrow, Back pain, Culture, Ear pain
Clinical narrative: Initially with sinus congestion pressure, nasal discharge ear pain progressing into low back pain with paresthesia L > R legs, then she was unable to ambulate. Initial symptoms on 10/8/09 were treated with AUGMENTIN.   11/2/09 Hospital records and discharge summary received service dates 10/20/09 to 10/31/09.  Assessment: Signs and symptoms of atypical Guillain-Barre syndrome with lower extremity weakness. E. coli urinary tract infection. Multilevel spondylosis resulting in central stenosis at L3-4 and L4-5. Left posterolateral disc herniation accentuating the central stenosis and impinging the thecal sac. Far right lateral disc herniation at L2-3. Central disc herniation at T11-T12. Diabetes mellitus. Anemia of chronic illness. COPD. Transient elevation of liver function testing. Hypothyroidism.  Patient presented with diminishing reflexes along with progressive decline in her ambulatory ability. Unsteadiness, trouble raising left arm. Left-sided low back pain which radiated down left leg. Diminshed reflexes lower extremities. Upper thigh decreased sensation to light touch. Hematuria and urinary frequency. Insomnia, nausea.  ``11/5/09 Received Urgent Care medical records for 10/20/09. FINAL DX: lower extremity myalgia & weakness, r/o Guillian Barre syndrome Records reveal pt experienced progressively worsening low back pain w/aching radiating to bilateral legs w/weakness x 5 days, difficulty walking, near falls, difficulty standing from sitting.  Reflexes decreased bilaterally.  Sent to ER for further investigation & probable admit to hospital.  11/20/09 ED notes received service date 10/20/09. Assessment: Paresthesias in lower extremities, weakness. Pain in both hips and legs. Unable to get up from chair unassisted. Difficulty walking. Admitted for further evaluation.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging, Paraesthesia, Rhinorrhoea, Sinus congestion
Clinical narrative: Initially with sinus congestion pressure, nasal discharge ear pain progressing into low back pain with paresthesia L > R legs, then she was unable to ambulate. Initial symptoms on 10/8/09 were treated with AUGMENTIN.   11/2/09 Hospital records and discharge summary received service dates 10/20/09 to 10/31/09.  Assessment: Signs and symptoms of atypical Guillain-Barre syndrome with lower extremity weakness. E. coli urinary tract infection. Multilevel spondylosis resulting in central stenosis at L3-4 and L4-5. Left posterolateral disc herniation accentuating the central stenosis and impinging the thecal sac. Far right lateral disc herniation at L2-3. Central disc herniation at T11-T12. Diabetes mellitus. Anemia of chronic illness. COPD. Transient elevation of liver function testing. Hypothyroidism.  Patient presented with diminishing reflexes along with progressive decline in her ambulatory ability. Unsteadiness, trouble raising left arm. Left-sided low back pain which radiated down left leg. Diminshed reflexes lower extremities. Upper thigh decreased sensation to light touch. Hematuria and urinary frequency. Insomnia, nausea.  ``11/5/09 Received Urgent Care medical records for 10/20/09. FINAL DX: lower extremity myalgia & weakness, r/o Guillian Barre syndrome Records reveal pt experienced progressively worsening low back pain w/aching radiating to bilateral legs w/weakness x 5 days, difficulty walking, near falls, difficulty standing from sitting.  Reflexes decreased bilaterally.  Sent to ER for further investigation & probable admit to hospital.  11/20/09 ED notes received service date 10/20/09. Assessment: Paresthesias in lower extremities, weakness. Pain in both hips and legs. Unable to get up from chair unassisted. Difficulty walking. Admitted for further evaluation.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Sinus headache
Clinical narrative: Initially with sinus congestion pressure, nasal discharge ear pain progressing into low back pain with paresthesia L > R legs, then she was unable to ambulate. Initial symptoms on 10/8/09 were treated with AUGMENTIN.   11/2/09 Hospital records and discharge summary received service dates 10/20/09 to 10/31/09.  Assessment: Signs and symptoms of atypical Guillain-Barre syndrome with lower extremity weakness. E. coli urinary tract infection. Multilevel spondylosis resulting in central stenosis at L3-4 and L4-5. Left posterolateral disc herniation accentuating the central stenosis and impinging the thecal sac. Far right lateral disc herniation at L2-3. Central disc herniation at T11-T12. Diabetes mellitus. Anemia of chronic illness. COPD. Transient elevation of liver function testing. Hypothyroidism.  Patient presented with diminishing reflexes along with progressive decline in her ambulatory ability. Unsteadiness, trouble raising left arm. Left-sided low back pain which radiated down left leg. Diminshed reflexes lower extremities. Upper thigh decreased sensation to light touch. Hematuria and urinary frequency. Insomnia, nausea.  ``11/5/09 Received Urgent Care medical records for 10/20/09. FINAL DX: lower extremity myalgia & weakness, r/o Guillian Barre syndrome Records reveal pt experienced progressively worsening low back pain w/aching radiating to bilateral legs w/weakness x 5 days, difficulty walking, near falls, difficulty standing from sitting.  Reflexes decreased bilaterally.  Sent to ER for further investigation & probable admit to hospital.  11/20/09 ED notes received service date 10/20/09. Assessment: Paresthesias in lower extremities, weakness. Pain in both hips and legs. Unable to get up from chair unassisted. Difficulty walking. Admitted for further evaluation.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Condition aggravated, Febrile convulsion, Pyrexia
Clinical narrative: Febrile seizure with low grade Fever on 10/29/09.
Age: 16.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Chills, Influenza, Influenza serology positive, Oropharyngeal pain, Pain
Clinical narrative: 10/23/09 - Patient received Flumist. 10/26/09 - Patient had fever, body ache, chills, runny nose, sore throat -> tested positive for influenza type B, tested with Tamiflu.
Age: 16.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: 10/23/09 - Patient received Flumist. 10/26/09 - Patient had fever, body ache, chills, runny nose, sore throat -> tested positive for influenza type B, tested with Tamiflu.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Muscular weakness, Paraesthesia
Clinical narrative: Patient experienced pain at immunization site. Patient now reports tingling in hand, unable to grasp and hold playing cards
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling & erythema of left arm.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling, Lip swelling, Urticaria
Clinical narrative: 10/16/09 received FLUVIRIN. 10/17/09 hives at underarm and groin, lip swell, eyes swell shut. 10/19/09 patient saw her doctor. Got Prednisone. 10/21/09 patient went to ER. 10/25/09 patient ate egg noodle, swollen lips/hives again. Still have symptoms.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Ecchymosis, Hypertension, International normalised ratio
Clinical narrative: Routine Influenza vaccination as requested per patient. (Extensive ecchymosis left arm) PMHx - HTN, Long Term Anticoagulation Tx for DVT/PE.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza
Clinical narrative: Patient states that have been experiencing flu symptoms since getting the shot.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site rash, Rash
Clinical narrative: Received MMR, VARICELLA, HEP A, PREVAIR, @ 1:45pm. By 1:50pm had broken out in red rash @ site of injection and on face/neck area. No labored breathing. No other sx's. Rash faded immediately on legs. Still present to face when dc'd. Kept/observed 15" afterwards.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Rash
Clinical narrative: Severe rash began on throat and face on 10/23/09. Spread down trunk in spots not every where. Did not react to BENADRYL, CLARITIN, or ZYNTEC.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Loss of consciousness, Neck pain
Clinical narrative: Patient passed out for 30 seconds, paramedics were called, patient taken to hospital for observation/exam for neck pain.
Age: 39.0
Sex: M
Vaccine: FLUN3
Symptoms: Rash, Rash papular
Clinical narrative: pt get flu mist at work on Fri 10/23. That evening he broke out in a rash across his chest, back and arms - non puntic, non-elevated pink papules. Pt toke BENADRYL OTC. Given prednisone 20 mg bid x 5 days. Gets vax yearly, first time nasal vax.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Patient fainted after receiving flu vaccine.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Fainted after flu vaccine given.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Crying, Dyspnoea, Electrocardiogram, Hypertension, Loss of consciousness
Clinical narrative: Patient had difficulties breathing, heart problems and tenderness 4 days after vaccine was given. She went to the emergency room where they gave her oxygen for the breathing and test were ran on her heart but no problems was found.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nervousness
Clinical narrative: Patient had difficulties breathing, heart problems and tenderness 4 days after vaccine was given. She went to the emergency room where they gave her oxygen for the breathing and test were ran on her heart but no problems was found.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cardiac disorder, Dyspnoea, Tenderness
Clinical narrative: Patient had difficulties breathing, heart problems and tenderness 4 days after vaccine was given. She went to the emergency room where they gave her oxygen for the breathing and test were ran on her heart but no problems was found.
Age: 60.0
Sex: F
Vaccine: ANTH, VARZOS
Symptoms: Polymyalgia rheumatica, Temporal arteritis
Clinical narrative: Information has been received from a 60 year old female nurse with no pertinent medical history and no drug allergy who on 17-SEP-2009 was vaccinated subcutaneously with a standard dose of ZOSTAVAX (Merck) (LOT# not reported). Concomitant therapy included HCTZ/triamterene, ZOLOFT, albuterol and IMITREX. Within 2 days after vaccination, the patient experienced and was diagnosed with temporal arteritis and polymyalgia rheumatica. She was seen by physician and prescribed prednisone to treat the symptoms. The labs urine analysis white, blood cell differential ("CBC diff"), erythrocyte sedimentation rate ("sedimentary") and Lyme disease enzyme-linked immunosorbent assay ("Lyme") were performed and results were pending. At this time of reporting, the patient was not recovered. Temporal arteritis and polymyalgia rheumatic were considered to be disabling due to "severe muscle pain". Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: ANTH, VARZOS
Symptoms: Borrelia burgdorferi serology, Polymyalgia rheumatica, Red blood cell sedimentation rate, Temporal arteritis, Urine analysis
Clinical narrative: Information has been received from a 60 year old female nurse with no pertinent medical history and no drug allergy who on 17-SEP-2009 was vaccinated subcutaneously with a standard dose of ZOSTAVAX (Merck) (LOT# not reported). Concomitant therapy included HCTZ/triamterene, ZOLOFT, albuterol and IMITREX. Within 2 days after vaccination, the patient experienced and was diagnosed with temporal arteritis and polymyalgia rheumatica. She was seen by physician and prescribed prednisone to treat the symptoms. The labs urine analysis white, blood cell differential ("CBC diff"), erythrocyte sedimentation rate ("sedimentary") and Lyme disease enzyme-linked immunosorbent assay ("Lyme") were performed and results were pending. At this time of reporting, the patient was not recovered. Temporal arteritis and polymyalgia rheumatic were considered to be disabling due to "severe muscle pain". Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: ANTH, VARZOS
Symptoms: White blood cell count
Clinical narrative: Information has been received from a 60 year old female nurse with no pertinent medical history and no drug allergy who on 17-SEP-2009 was vaccinated subcutaneously with a standard dose of ZOSTAVAX (Merck) (LOT# not reported). Concomitant therapy included HCTZ/triamterene, ZOLOFT, albuterol and IMITREX. Within 2 days after vaccination, the patient experienced and was diagnosed with temporal arteritis and polymyalgia rheumatica. She was seen by physician and prescribed prednisone to treat the symptoms. The labs urine analysis white, blood cell differential ("CBC diff"), erythrocyte sedimentation rate ("sedimentary") and Lyme disease enzyme-linked immunosorbent assay ("Lyme") were performed and results were pending. At this time of reporting, the patient was not recovered. Temporal arteritis and polymyalgia rheumatic were considered to be disabling due to "severe muscle pain". Additional information has been requested.
Age: 43.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia, Lumbar puncture abnormal, Multiple sclerosis, Myelitis, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Initial report received on 20 October 2009 from a consumer. A 43 year old male patient with seasonal allergies developed tingling and numbness in the right hand with no use of the hand and tingling on the right side of the body six days after receiving FLUZONE SV 2009-2010 (lot number U3211AA) in the left arm on 15 September 2009. On 24 September 2009 (reported as 24 October) the patient was seen by a neurologist. Lab tests were negative for Lymes disease. An MRI showed inflammation in the spinal area: C2-C4 with "some spots on the brain suggestive of MS". The patient was treated with steroids intravenously for three days. The patient had a spinal tap done, results were not reported. Recovery status was not provided. List of Documents held by Sender: none. 10/28/09 Medical records received for Neuro consult on 10/1/09. DX: Rt. side sensory symptoms of undetermined cause. Presenting SX: numbness in right hand fingertips, radiating up rt. arm into rt. chest, tingling sensation, loss of fine motor control in rt. hand. Assessment: no babinski sign, 1-2 beats of clonus in each ankle. Pt. initially c/o symptoms to MD 9/29/09 Diagnostics ordered. 10/13/09 Pt. c/o more painful weakness on rt. side.
Age: 43.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Paraesthesia
Clinical narrative: Initial report received on 20 October 2009 from a consumer. A 43 year old male patient with seasonal allergies developed tingling and numbness in the right hand with no use of the hand and tingling on the right side of the body six days after receiving FLUZONE SV 2009-2010 (lot number U3211AA) in the left arm on 15 September 2009. On 24 September 2009 (reported as 24 October) the patient was seen by a neurologist. Lab tests were negative for Lymes disease. An MRI showed inflammation in the spinal area: C2-C4 with "some spots on the brain suggestive of MS". The patient was treated with steroids intravenously for three days. The patient had a spinal tap done, results were not reported. Recovery status was not provided. List of Documents held by Sender: none. 10/28/09 Medical records received for Neuro consult on 10/1/09. DX: Rt. side sensory symptoms of undetermined cause. Presenting SX: numbness in right hand fingertips, radiating up rt. arm into rt. chest, tingling sensation, loss of fine motor control in rt. hand. Assessment: no babinski sign, 1-2 beats of clonus in each ankle. Pt. initially c/o symptoms to MD 9/29/09 Diagnostics ordered. 10/13/09 Pt. c/o more painful weakness on rt. side.
Age: 43.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Borrelia burgdorferi serology negative, Hypoaesthesia, Inflammation, Lumbar puncture, Multiple sclerosis
Clinical narrative: Initial report received on 20 October 2009 from a consumer. A 43 year old male patient with seasonal allergies developed tingling and numbness in the right hand with no use of the hand and tingling on the right side of the body six days after receiving FLUZONE SV 2009-2010 (lot number U3211AA) in the left arm on 15 September 2009. On 24 September 2009 (reported as 24 October) the patient was seen by a neurologist. Lab tests were negative for Lymes disease. An MRI showed inflammation in the spinal area: C2-C4 with "some spots on the brain suggestive of MS". The patient was treated with steroids intravenously for three days. The patient had a spinal tap done, results were not reported. Recovery status was not provided. List of Documents held by Sender: none. 10/28/09 Medical records received for Neuro consult on 10/1/09. DX: Rt. side sensory symptoms of undetermined cause. Presenting SX: numbness in right hand fingertips, radiating up rt. arm into rt. chest, tingling sensation, loss of fine motor control in rt. hand. Assessment: no babinski sign, 1-2 beats of clonus in each ankle. Pt. initially c/o symptoms to MD 9/29/09 Diagnostics ordered. 10/13/09 Pt. c/o more painful weakness on rt. side.
Age: 43.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia
Clinical narrative: Initial report received on 20 October 2009 from a consumer. A 43 year old male patient with seasonal allergies developed tingling and numbness in the right hand with no use of the hand and tingling on the right side of the body six days after receiving FLUZONE SV 2009-2010 (lot number U3211AA) in the left arm on 15 September 2009. On 24 September 2009 (reported as 24 October) the patient was seen by a neurologist. Lab tests were negative for Lymes disease. An MRI showed inflammation in the spinal area: C2-C4 with "some spots on the brain suggestive of MS". The patient was treated with steroids intravenously for three days. The patient had a spinal tap done, results were not reported. Recovery status was not provided. List of Documents held by Sender: none. 10/28/09 Medical records received for Neuro consult on 10/1/09. DX: Rt. side sensory symptoms of undetermined cause. Presenting SX: numbness in right hand fingertips, radiating up rt. arm into rt. chest, tingling sensation, loss of fine motor control in rt. hand. Assessment: no babinski sign, 1-2 beats of clonus in each ankle. Pt. initially c/o symptoms to MD 9/29/09 Diagnostics ordered. 10/13/09 Pt. c/o more painful weakness on rt. side.
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Cyanosis, Dyspnoea, Heart rate increased, Immediate post-injection reaction
Clinical narrative: Initial report received on 21 October 2009 from a consumer's son.  A male patient (age and date of birth not reported) had received an injection of H1N1 2009 Monovalent Vaccine - Preservative (lot number, route and site not reported) on 21 October 2009 and immediately after vaccination, the patient went into anaphylactic shock.  The patient was not allergic to eggs and he had previously received influenza vaccine annually with no complications.  On 21 October 2009, immediately after receiving the vaccine, the patient went into anaphylactic shock.  The patient, who was also a physician, had been in his clinic at the time of the event.  The patient yelled for an EpiPen and asked his nurse to call 911.  He was admitted to the emergency room and additional Epi-Pen doses were needed to fully recover after several hours.  No additional information was provided at the time of the report.  Documents held by sender: None.