chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Swelling and tenderness, hard lump in arm, slight bruising 5 days later. Applied ice to area.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Syncope
Clinical narrative: Fainted on 11/16/2009. Lightheaded on 11-19-2009. No prev. condition w/fainting.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: Patient came in from prenatal visit and stated she was given active seasonal FLUMIST at health center. Dr felt we should report. 11/20/09 Medical records received for date 6/11/09 to 11/17/09. OB records. Pt states given H1N1 flumist given approx 11/14/09. Pt pregnant EDC 1/26/10. On 11/17/09 (+)FM, no complications noted.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Injection site swelling, Pain in extremity
Clinical narrative: Painful swelling right shoulder upper third right arm post vaccination 3cm x 4cm (given on 11/16/09). Follow up on 11/23/09.
Age: 59.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Malaise, Tremor, Visual impairment
Clinical narrative: Day after shots dizzy-vision issues due to dizzy symptoms. Overall sick feeling. Weakness. No joint pain but shaky feeling. 24 hrs for most symptoms-72 hrs overall.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Pain
Clinical narrative: Pain in L deltoid muscle daily since injection. Pain with range of motion. I had it checked by my PCP and she thought it was a result of the H1N1. I continue to have pain every day.
Age: 37.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Dizziness, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: Pt states he has had headache, dizziness, sore throat, cough and muscle aches since H1N1 vaccination. On 11/19/09 T = 97.6 BP 110/74 at 109/72 AP=64.
Age: 34.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral
Clinical narrative: R hand swelling post H1N1 vaccine. BENADRYL 25mg po given at 9:20am. I spoke with pt on 11-19-09 and pt took one dose of BENADRYL last pm. He stated hand swelling subsided to a dime size area between thumb and index finger.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Flushing, Heart rate increased, Rash macular
Clinical narrative: Returned to clinic complaining dizziness and lightheadedness. BP 134/76 P-74 irreg - At 1115 AM BP 110/70 - 120 irregular. Had a few red blotches on neck & face was flushed. BP remained good - AP remained between 120 & 100 Transferred to hospital. Pt received BENADRYL & CORTISONE. Heart rate remained elevated - was normal on 11-14-09 & pt was discharged 11/23/2009 ED records for 11/13/2009, patient presents with c/o's dizziness, hives, itchy rash. IV Solumedrol and Zantac. Was tacchycardic which resolved.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Nuclear magnetic resonance imaging abnormal, Tendon rupture
Clinical narrative: 1 wk after injection, pain at site which extended to acromion and worsening over 1 wk. MRI shows labral tear and minor tendon tear of deltoid.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Fatigue, Nausea, Photophobia, Stress
Clinical narrative: Nausea with vomiting x 4 from 1800 11/17 to 11/18 1500. C/o fatigue with light sensitivity. 97.9 - 84 - 16 - 108/75 98% O2 c/o increased stress & anxiety - college student concerned about grades. Meused present Injection site WNL
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Nausea with vomiting x 4 from 1800 11/17 to 11/18 1500. C/o fatigue with light sensitivity. 97.9 - 84 - 16 - 108/75 98% O2 c/o increased stress & anxiety - college student concerned about grades. Meused present Injection site WNL
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Headache, Hyperhidrosis, Pain, Vision blurred
Clinical narrative: The night of receiving vaccine had bad headaches. On 11/14 she had chills, sweats, body aches, no fever. Reports new onset of blurred vision L-eye. Eval by eye doctor 11/16. Is on prednisone drops.
Sex: F
Vaccine: FLUX
Symptoms: Death, Drug exposure during pregnancy
Clinical narrative: Report received on 17-NOV-2009 from a daughter of a patient regarding a claim in litigation. The female patient (date of birth unknown) received the "flu shot" (manufacturer and lot # not provided) on an unspecified date in 2009. On 07-SEP-2009, the patient died possibly due to the flu shot. No further information was provided.
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Chills, Fatigue, Malaise, Muscular weakness
Clinical narrative: A Phase II Study in Healty Adult and Elderly Populations to assess the Safety and Immunogenicity of a Sonofi Pasteur H1N1 Influenza Vaccine administered at different dose levels given with and without GlaxcoSmithKline AS03 adjuvant. Subject: 70EHC050. Initial report received on 01 November 2009 from the investigator. This report was received from a phase II trial with investigational product H1N1. The following information was received by email: SAE Terms: Weakness in Legs, Muscle aches, Joint Pain, Fatigue. Onset Date: 17 October 2009. Causality not reported / unknown. Seriousness Criteria: not reported. The subject received a first dose of study vaccine on 08 October 2009. Nine days post-vaccination, on 17 October 2009, she experienced weakness in legs, muscle aches, joint pain, and fatigue. She also reported mild myalgia, chills, arthralgia, and mild to moderate malaise on her memory aid. No local reactions were reported. Medical history included an ear infection, pneumonia, kidney stones, hypothyroidism, degenerative back arthritis, right breast cancer, and a vaginal yeast infection. Concomitant medications included SYNTHROID, ACTONEL, ARIMIDEX, NAPROXEN, calcium, vitamin D, multivitamin, MUCINEX, echinachea, and AMIBIEN. Investigator assessment of causality had not been provided at the time of the report.
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Myalgia
Clinical narrative: A Phase II Study in Healty Adult and Elderly Populations to assess the Safety and Immunogenicity of a Sonofi Pasteur H1N1 Influenza Vaccine administered at different dose levels given with and without GlaxcoSmithKline AS03 adjuvant. Subject: 70EHC050. Initial report received on 01 November 2009 from the investigator. This report was received from a phase II trial with investigational product H1N1. The following information was received by email: SAE Terms: Weakness in Legs, Muscle aches, Joint Pain, Fatigue. Onset Date: 17 October 2009. Causality not reported / unknown. Seriousness Criteria: not reported. The subject received a first dose of study vaccine on 08 October 2009. Nine days post-vaccination, on 17 October 2009, she experienced weakness in legs, muscle aches, joint pain, and fatigue. She also reported mild myalgia, chills, arthralgia, and mild to moderate malaise on her memory aid. No local reactions were reported. Medical history included an ear infection, pneumonia, kidney stones, hypothyroidism, degenerative back arthritis, right breast cancer, and a vaginal yeast infection. Concomitant medications included SYNTHROID, ACTONEL, ARIMIDEX, NAPROXEN, calcium, vitamin D, multivitamin, MUCINEX, echinachea, and AMIBIEN. Investigator assessment of causality had not been provided at the time of the report.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, No reaction on previous exposure to drug, Premature labour, Visual acuity reduced, Visual impairment
Clinical narrative: Initial report was received 06 November 2009 from a consumer who is also the patient. A 32-year-old pregnant female patient had received an injection of FLUZONE SV (lot number, route and site not reported) on 30 October 2008 and four days later, she developed decreased vision in her right eye which progressively worsened. On 07 November 2008, she went to the emergency room and had a "cat scan' performed. On 08 November 2009, she returned to the emergency room where she was evaluated by a ophthalmologist and had an MRI performed. She was then hospitalized for five days and received intravenous steroids as corrective treatment. The patient has had ongoing tests and visual problems since 03 November 2008. According to the patient, due to the stress of her visual problem, her baby was born two months premature (also reported as 10 weeks premature) on 03 February 2009; the baby weighed three pounds four ounces. The EDC (expected ate of confinement) had been 06 April 2009. The patient had been taking prenatal vitamins concomitantly and she had not received any other vaccines within four weeks of FLUZONE SV. The patient had no concurrent illness, no medical conditions and no known allergies at the time of vaccination. The patient had previously received one dose of FLUZONE when she was 24 years of age with no adverse events experienced. At the time of the report, the patient had not recovered. Documents held by sender: None.  11/20 and 11/24/2009  ED record for 11/7/2008. Dx blurred vision rt eye Patient with c/o's blurred vision rt eye, headache and eye pain.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood culture negative, Depressed level of consciousness, Diarrhoea, Differential white blood cell count abnormal, Fluid replacement
Clinical narrative: Initial report received on 13 November 2009 from a company representative after speaking with a pediatrician about a 2-month-old female patient who received PENTACEL, PREVNAR and ROTARIX on the same day. That evening, the patient was very sleepy and mother reported a decrease in feeding. The infant was difficult to rouse the next morning so the parents returned to the doctor's office. The patient seemed more responsive upon examination and no treatment was prescribed. However, patient developed a fever later that evening and was taken to the emergency room. Laboratory results included CBC suggestive of viral differential (WBC count approximately 10,000 with 45-50% Leukocytes). Serum culture was negative. Patient was noted to have a "grunting respiration." Patient was treated with acetaminophen and released. Two days after vaccination, the patient seemed to be improving according to her parents. On the morning of the third day post-vaccination, the patient was irritable, not feeding and continued to make grunting sounds with respiration. The patient was admitted to the hospital and developed diarrhea. Patient was treated with bowel rest, Intravenous fluids, and PEDIALYTE. The patient was discharged the following day. The physician was told by the parent that the infant had recovered. Documents held by sender: None. 11/25/2009 PCP records for 11/7/2009 and MR for 11/9-11/11/2009. Dc Dx vaccine reaction Patient with sx of persistent fever, diarrhea, excessive sleep, poor appetite, increased irritability, and gas. TX: IVF, IV ABX, Tylenol and Mylicon.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Full blood count abnormal, Grunting, Hypophagia, Irritability, Pyrexia
Clinical narrative: Initial report received on 13 November 2009 from a company representative after speaking with a pediatrician about a 2-month-old female patient who received PENTACEL, PREVNAR and ROTARIX on the same day. That evening, the patient was very sleepy and mother reported a decrease in feeding. The infant was difficult to rouse the next morning so the parents returned to the doctor's office. The patient seemed more responsive upon examination and no treatment was prescribed. However, patient developed a fever later that evening and was taken to the emergency room. Laboratory results included CBC suggestive of viral differential (WBC count approximately 10,000 with 45-50% Leukocytes). Serum culture was negative. Patient was noted to have a "grunting respiration." Patient was treated with acetaminophen and released. Two days after vaccination, the patient seemed to be improving according to her parents. On the morning of the third day post-vaccination, the patient was irritable, not feeding and continued to make grunting sounds with respiration. The patient was admitted to the hospital and developed diarrhea. Patient was treated with bowel rest, Intravenous fluids, and PEDIALYTE. The patient was discharged the following day. The physician was told by the parent that the infant had recovered. Documents held by sender: None. 11/25/2009 PCP records for 11/7/2009 and MR for 11/9-11/11/2009. Dc Dx vaccine reaction Patient with sx of persistent fever, diarrhea, excessive sleep, poor appetite, increased irritability, and gas. TX: IVF, IV ABX, Tylenol and Mylicon.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Respiration abnormal, White blood cell count normal
Clinical narrative: Initial report received on 13 November 2009 from a company representative after speaking with a pediatrician about a 2-month-old female patient who received PENTACEL, PREVNAR and ROTARIX on the same day. That evening, the patient was very sleepy and mother reported a decrease in feeding. The infant was difficult to rouse the next morning so the parents returned to the doctor's office. The patient seemed more responsive upon examination and no treatment was prescribed. However, patient developed a fever later that evening and was taken to the emergency room. Laboratory results included CBC suggestive of viral differential (WBC count approximately 10,000 with 45-50% Leukocytes). Serum culture was negative. Patient was noted to have a "grunting respiration." Patient was treated with acetaminophen and released. Two days after vaccination, the patient seemed to be improving according to her parents. On the morning of the third day post-vaccination, the patient was irritable, not feeding and continued to make grunting sounds with respiration. The patient was admitted to the hospital and developed diarrhea. Patient was treated with bowel rest, Intravenous fluids, and PEDIALYTE. The patient was discharged the following day. The physician was told by the parent that the infant had recovered. Documents held by sender: None. 11/25/2009 PCP records for 11/7/2009 and MR for 11/9-11/11/2009. Dc Dx vaccine reaction Patient with sx of persistent fever, diarrhea, excessive sleep, poor appetite, increased irritability, and gas. TX: IVF, IV ABX, Tylenol and Mylicon.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood culture negative, C-reactive protein normal, Decreased activity, Decreased appetite, Diarrhoea
Clinical narrative: Initial report received on 13 November 2009 from a company representative after speaking with a pediatrician about a 2-month-old female patient who received PENTACEL, PREVNAR and ROTARIX on the same day. That evening, the patient was very sleepy and mother reported a decrease in feeding. The infant was difficult to rouse the next morning so the parents returned to the doctor's office. The patient seemed more responsive upon examination and no treatment was prescribed. However, patient developed a fever later that evening and was taken to the emergency room. Laboratory results included CBC suggestive of viral differential (WBC count approximately 10,000 with 45-50% Leukocytes). Serum culture was negative. Patient was noted to have a "grunting respiration." Patient was treated with acetaminophen and released. Two days after vaccination, the patient seemed to be improving according to her parents. On the morning of the third day post-vaccination, the patient was irritable, not feeding and continued to make grunting sounds with respiration. The patient was admitted to the hospital and developed diarrhea. Patient was treated with bowel rest, Intravenous fluids, and PEDIALYTE. The patient was discharged the following day. The physician was told by the parent that the infant had recovered. Documents held by sender: None. 11/25/2009 PCP records for 11/7/2009 and MR for 11/9-11/11/2009. Dc Dx vaccine reaction Patient with sx of persistent fever, diarrhea, excessive sleep, poor appetite, increased irritability, and gas. TX: IVF, IV ABX, Tylenol and Mylicon.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Differential white blood cell count normal, Discomfort, Full blood count normal, Grunting, Hypersomnia
Clinical narrative: Initial report received on 13 November 2009 from a company representative after speaking with a pediatrician about a 2-month-old female patient who received PENTACEL, PREVNAR and ROTARIX on the same day. That evening, the patient was very sleepy and mother reported a decrease in feeding. The infant was difficult to rouse the next morning so the parents returned to the doctor's office. The patient seemed more responsive upon examination and no treatment was prescribed. However, patient developed a fever later that evening and was taken to the emergency room. Laboratory results included CBC suggestive of viral differential (WBC count approximately 10,000 with 45-50% Leukocytes). Serum culture was negative. Patient was noted to have a "grunting respiration." Patient was treated with acetaminophen and released. Two days after vaccination, the patient seemed to be improving according to her parents. On the morning of the third day post-vaccination, the patient was irritable, not feeding and continued to make grunting sounds with respiration. The patient was admitted to the hospital and developed diarrhea. Patient was treated with bowel rest, Intravenous fluids, and PEDIALYTE. The patient was discharged the following day. The physician was told by the parent that the infant had recovered. Documents held by sender: None. 11/25/2009 PCP records for 11/7/2009 and MR for 11/9-11/11/2009. Dc Dx vaccine reaction Patient with sx of persistent fever, diarrhea, excessive sleep, poor appetite, increased irritability, and gas. TX: IVF, IV ABX, Tylenol and Mylicon.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Hypophagia, Irritability, Lethargy, Metabolic function test normal, Pyrexia
Clinical narrative: Initial report received on 13 November 2009 from a company representative after speaking with a pediatrician about a 2-month-old female patient who received PENTACEL, PREVNAR and ROTARIX on the same day. That evening, the patient was very sleepy and mother reported a decrease in feeding. The infant was difficult to rouse the next morning so the parents returned to the doctor's office. The patient seemed more responsive upon examination and no treatment was prescribed. However, patient developed a fever later that evening and was taken to the emergency room. Laboratory results included CBC suggestive of viral differential (WBC count approximately 10,000 with 45-50% Leukocytes). Serum culture was negative. Patient was noted to have a "grunting respiration." Patient was treated with acetaminophen and released. Two days after vaccination, the patient seemed to be improving according to her parents. On the morning of the third day post-vaccination, the patient was irritable, not feeding and continued to make grunting sounds with respiration. The patient was admitted to the hospital and developed diarrhea. Patient was treated with bowel rest, Intravenous fluids, and PEDIALYTE. The patient was discharged the following day. The physician was told by the parent that the infant had recovered. Documents held by sender: None. 11/25/2009 PCP records for 11/7/2009 and MR for 11/9-11/11/2009. Dc Dx vaccine reaction Patient with sx of persistent fever, diarrhea, excessive sleep, poor appetite, increased irritability, and gas. TX: IVF, IV ABX, Tylenol and Mylicon.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Somnolence
Clinical narrative: Initial report received on 13 November 2009 from a company representative after speaking with a pediatrician about a 2-month-old female patient who received PENTACEL, PREVNAR and ROTARIX on the same day. That evening, the patient was very sleepy and mother reported a decrease in feeding. The infant was difficult to rouse the next morning so the parents returned to the doctor's office. The patient seemed more responsive upon examination and no treatment was prescribed. However, patient developed a fever later that evening and was taken to the emergency room. Laboratory results included CBC suggestive of viral differential (WBC count approximately 10,000 with 45-50% Leukocytes). Serum culture was negative. Patient was noted to have a "grunting respiration." Patient was treated with acetaminophen and released. Two days after vaccination, the patient seemed to be improving according to her parents. On the morning of the third day post-vaccination, the patient was irritable, not feeding and continued to make grunting sounds with respiration. The patient was admitted to the hospital and developed diarrhea. Patient was treated with bowel rest, Intravenous fluids, and PEDIALYTE. The patient was discharged the following day. The physician was told by the parent that the infant had recovered. Documents held by sender: None. 11/25/2009 PCP records for 11/7/2009 and MR for 11/9-11/11/2009. Dc Dx vaccine reaction Patient with sx of persistent fever, diarrhea, excessive sleep, poor appetite, increased irritability, and gas. TX: IVF, IV ABX, Tylenol and Mylicon.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Lumbar puncture, Muscular weakness
Clinical narrative: Initial report received on 31 October 2009 from the investigator for the above-mentioned trial. This report was received from a phase II trial with investigational product H1N1 or H1N1 GSK AS03 ADJ. for which sanofi pasteur is not the sponsor. The following information was received via e-mail: SAE Term: Possible neuropathy. Onset date: Not reported. Causality: Unknown, not provided. Seriousness Criteria: Unknown, not provided. "A 21-year-old male subject was withdrawn from the study because of reactogenicity. Information has become available that he was prescribed meclizine and "prochlorperazine" for one week reportedly for reactogenicity. For reasons that are unclear at this time he had a medical work up including a lumbar puncture on 12 or 13 October 2009. He continues to report arm weakness in the arm where the vaccination was given." Additional information is expected from the sponsor of the trial.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Flushing, Pruritus, Rash macular, Urticaria
Clinical narrative: Patient's husband called office after hours, at about 10pm, and spoke to Nurse Practitioner on call.  He reported to her that his wife had "become red and blotchy, with hives developing with horrendous itching." Additionally, he stated that she had not eaten or done anything differently throughout the day.  Prior to calling the office, the patient's husband had given the patient Benadryl 50 mg orally.  He was advised by the nurse practitioner that if there was any respiratory distress she should seek immediate emergency medical attention.  The patient's husband was contacted this morning, and stated that the Benadryl helped the hives and the itching after about an hour.  No additional doses of Benadryl nor emergency medical care were necessary.  This morning, everything was back to normal.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: When patient came home after having the H1N1 flu mist at school he had hives all over his body. His mother phoned their doctor and was instructed to administer Benadryl.  By Sunday, hives was not improving so they went to an urgent care where Hydralazine was prescribed and as of Monday patient was improving.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Feeling abnormal, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: Within 30 minutes she started feeling bad, coughing, congested, sore throat, body aches, headache, rash up both arms and across chest. NO Fever. Lasting from 2:30 Thursday November 12 until Friday evening November 13, 2009. Urgent care gave augmentum and sent her home.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Rash, Respiratory tract congestion, Streptococcal identification test negative
Clinical narrative: Within 30 minutes she started feeling bad, coughing, congested, sore throat, body aches, headache, rash up both arms and across chest. NO Fever. Lasting from 2:30 Thursday November 12 until Friday evening November 13, 2009. Urgent care gave augmentum and sent her home.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Blister, Erythema, Rash, Rash pruritic, Swelling
Clinical narrative: redness & swelling (now resolved), blister like rash, mildly itchy, recurring, relieved with Benadryl, also resolves spontaneously after several hours
Age: 70.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Paraesthesia, Rash
Clinical narrative: Rash- burning tingling under skin, neck, rt. forearm, under arm.  Rest of body tingling.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Asthenia, Nausea, Vomiting
Clinical narrative: One hour after receiving injection nausea, weakness and vomiting x 2.  Went home and vomited x 1.  On 11/19/2009 still nauseated, has abdominal pain, weak.  Telephone consult with Dr.'s office says observe and keep hydrated.  Stomach flu is going around per M.D.'s office so not sure if it's from injection or community acquired.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Neuralgia, Paraesthesia
Clinical narrative: Patient began experiencing tingling in his thigh area and has developed into progressive neuropathic pain in his arms and legs.
Age: 0.7
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Infant given injection dose of 0.5 cc. of H1N1 Inactivated Flu Injection instead of 0.25 cc.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Allergy test positive, Anaphylactic shock, Blood immunoglobulin E increased
Clinical narrative: Information has been received from internet concerning a 4 year old male patient with history of peanut allergy with anaphylaxis, who on an unspecified date was vaccinated with a dose of PROQUAD (Merck) (Lot number not reported). Subsequently just minutes after being vaccinated the boy experienced anaphylactic shock. Subsequently allergy tests revealed significant hypersensitivity to porcine gelatin (IgE >20 kU/L). It was unknown if the patient sought medical attention. At the time of the report the patient's status was unknown. The reporter felt that anaphylactic shock was strongly related to gelatin in therapy with PROQUAD (Merck). Upon internal review anaphylactic shock was considered to be other important medical event. This is one of several reports received from the same source. No further information is available.
Age: 33.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: My extremities broke out in itchy hives (near knees, calves, elbows).
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Pruritus, Rash
Clinical narrative: Developed rashes, itchiness.  And today, 11/19/2009, she complained of chest tightness.
Age: 4.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Chest X-ray, Chills, Cough, Decreased appetite, Dyspnoea
Clinical narrative: 11/09 at 8 Pm was clearing throat 11/10 clearing throat and mucousy cough 11/11 developed fever 102.4 axillary, runny nose, cough, congestion 11/12 fever to 103 chills, complained could not breathe, lethargic, no appetite 11/13 Taken to ER diagnosed with viral URI;  took to ED at 7 PM due to lethargy diagnosed with pneumonia, sent home on zithromax 11/14 taken back to ED with temp to 104, trouble breathing, did aerosal tx 11/15 last fever 101.8 As of 11/18 sx resolved except for cough, reevaluated 11/19 in family Practice
Age: 4.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Increased upper airway secretion, Influenza serology, Lethargy, Pneumonia, Productive cough
Clinical narrative: 11/09 at 8 Pm was clearing throat 11/10 clearing throat and mucousy cough 11/11 developed fever 102.4 axillary, runny nose, cough, congestion 11/12 fever to 103 chills, complained could not breathe, lethargic, no appetite 11/13 Taken to ER diagnosed with viral URI;  took to ED at 7 PM due to lethargy diagnosed with pneumonia, sent home on zithromax 11/14 taken back to ED with temp to 104, trouble breathing, did aerosal tx 11/15 last fever 101.8 As of 11/18 sx resolved except for cough, reevaluated 11/19 in family Practice
Age: 4.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, Throat irritation, Viral upper respiratory tract infection
Clinical narrative: 11/09 at 8 Pm was clearing throat 11/10 clearing throat and mucousy cough 11/11 developed fever 102.4 axillary, runny nose, cough, congestion 11/12 fever to 103 chills, complained could not breathe, lethargic, no appetite 11/13 Taken to ER diagnosed with viral URI;  took to ED at 7 PM due to lethargy diagnosed with pneumonia, sent home on zithromax 11/14 taken back to ED with temp to 104, trouble breathing, did aerosal tx 11/15 last fever 101.8 As of 11/18 sx resolved except for cough, reevaluated 11/19 in family Practice
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Rash, Skin burning sensation
Clinical narrative: Rash (to right hand) burning, tingling under skin.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Apparent life threatening event, Cyanosis, Oral discharge, Respiratory arrest, Rhinorrhoea
Clinical narrative: ALTE-patient noted to be blue, not breathing, with mucus discharge at mouth and nose.  Recovered spontaneousley s/p back blows by father w/in several seconds. 12/30/2009 MR for 11/19-11/21/2009 Discharge Diagnosis: 1. Apparent life-threatening event. 2. Rule out sepsis. Patient admitted with episode of choking and cyanosis, runny nose and congestion. Tx: IVF, IV ABX, Pulse ox, LP done, Ped neuro consult
Age: 45.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dysphonia, Parosmia
Clinical narrative: Had smell in nose of "Rotten eggs" for about 4 hours then started hoarse, raspy voice which has gone on now for three days. No throat pain reported.
Age: 0.68
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Crying, Culture throat, Irritability
Clinical narrative: Irritable, Crying then fever 103.5.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Condition aggravated, Dyspnoea, Eye swelling, Throat irritation
Clinical narrative: Difficulty breathing Swollen eyes Itchy Throat symptoms escalated at time passed 1:1000 epi 0.5 cc given IM right DT follows with Benadryl 50 mg (1 cc) IM right UG and Prednisone 40 mg PO. Patient was given PO Claritin & Bendryl at discharge. 11/24/09 Medical records received for date 11/18/09. DX: allergic reaction. Pt. presented w/ c/o itchy throat, swollen teary eyes, unable to breath. Pt states received H1N1 vax approx 45min prior. Assessment: pt distressed, red throat, swelling of eyes. Pt tx with epi, benadryl IM. Pt escorted back to room when stable. Pt seen following day and pt states felt better.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Dyspnoea, Eye discharge, Eye pruritus, Ocular hyperaemia, Paraesthesia
Clinical narrative: Difficulty breathing Swollen eyes Itchy Throat symptoms escalated at time passed 1:1000 epi 0.5 cc given IM right DT follows with Benadryl 50 mg (1 cc) IM right UG and Prednisone 40 mg PO. Patient was given PO Claritin & Bendryl at discharge. 11/24/09 Medical records received for date 11/18/09. DX: allergic reaction. Pt. presented w/ c/o itchy throat, swollen teary eyes, unable to breath. Pt states received H1N1 vax approx 45min prior. Assessment: pt distressed, red throat, swelling of eyes. Pt tx with epi, benadryl IM. Pt escorted back to room when stable. Pt seen following day and pt states felt better.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Sneezing, Throat tightness
Clinical narrative: Difficulty breathing Swollen eyes Itchy Throat symptoms escalated at time passed 1:1000 epi 0.5 cc given IM right DT follows with Benadryl 50 mg (1 cc) IM right UG and Prednisone 40 mg PO. Patient was given PO Claritin & Bendryl at discharge. 11/24/09 Medical records received for date 11/18/09. DX: allergic reaction. Pt. presented w/ c/o itchy throat, swollen teary eyes, unable to breath. Pt states received H1N1 vax approx 45min prior. Assessment: pt distressed, red throat, swelling of eyes. Pt tx with epi, benadryl IM. Pt escorted back to room when stable. Pt seen following day and pt states felt better.
Age: 31.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site reaction, Muscular weakness, Nuclear magnetic resonance imaging
Clinical narrative: Pt. reports 48 hours after receiving vaccine she developed Left deltoid pain with subsequent weakness. Has diminished ROM.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Injected limb mobility decreased, Pain in extremity
Clinical narrative: burning sensation in arm after recieving flu shot.  moderate to severe sharp pain in arm with limited range of motion.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Biopsy muscle, Biopsy muscle abnormal, Haematocrit decreased, Inflammation
Clinical narrative: Nov 13, pain started in arms then went into legs. Nov 14, weakness with the pain, couldn't get off the toilet without help and later couldn't walk and was admitted to hosp with severe soft tissue pain and weakness of hands, arms and legs- weak grasp, could not lift leg of the bed, later mild inflammation of wrists, Sed rate 98 mm/ hr  Inf A& B and Inf A PCR neg.  Muscle biopsy left thigh pending, rapid improvement in 3 days after diaphoresis and weaknees has resolved and myalgias are greatly improved.   11/20, 11/23. 11/30/09 Medical records and discharge summary received for DOS 11/15-11/19. Final DX: Acute myositis and myalgia with weakness possibly related to H1N1 vaccine. C/O progressive profound weakness, strength 3/5.  4/5 dorsiflexion and plantar flexion bil. Extreme diff lifting arms and legs. Myalgia. Chills. Fever 101. WBC increased. EMG abn.       ICD9 Codes: 367.1, 780.79R, 780.60BW, 729.1, 367.31  12/22/09 operative report received for DOS 11/17/09. DX: Inflammatory myopathy Left deep muscle biopsy of psoas muscle. Muscle visualized as markedly abnormal and surgeon noted muscle strength was markedly abnormal. Patient tolerated procedure well. Specimens taken to pathology.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Influenza serology negative, Mobility decreased, Muscle disorder, Muscular weakness, Myopathy
Clinical narrative: Nov 13, pain started in arms then went into legs. Nov 14, weakness with the pain, couldn't get off the toilet without help and later couldn't walk and was admitted to hosp with severe soft tissue pain and weakness of hands, arms and legs- weak grasp, could not lift leg of the bed, later mild inflammation of wrists, Sed rate 98 mm/ hr  Inf A& B and Inf A PCR neg.  Muscle biopsy left thigh pending, rapid improvement in 3 days after diaphoresis and weaknees has resolved and myalgias are greatly improved.   11/20, 11/23. 11/30/09 Medical records and discharge summary received for DOS 11/15-11/19. Final DX: Acute myositis and myalgia with weakness possibly related to H1N1 vaccine. C/O progressive profound weakness, strength 3/5.  4/5 dorsiflexion and plantar flexion bil. Extreme diff lifting arms and legs. Myalgia. Chills. Fever 101. WBC increased. EMG abn.       ICD9 Codes: 367.1, 780.79R, 780.60BW, 729.1, 367.31  12/22/09 operative report received for DOS 11/17/09. DX: Inflammatory myopathy Left deep muscle biopsy of psoas muscle. Muscle visualized as markedly abnormal and surgeon noted muscle strength was markedly abnormal. Patient tolerated procedure well. Specimens taken to pathology.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity, Polymerase chain reaction, Red blood cell sedimentation rate increased, Soft tissue disorder, Walking disability
Clinical narrative: Nov 13, pain started in arms then went into legs. Nov 14, weakness with the pain, couldn't get off the toilet without help and later couldn't walk and was admitted to hosp with severe soft tissue pain and weakness of hands, arms and legs- weak grasp, could not lift leg of the bed, later mild inflammation of wrists, Sed rate 98 mm/ hr  Inf A& B and Inf A PCR neg.  Muscle biopsy left thigh pending, rapid improvement in 3 days after diaphoresis and weaknees has resolved and myalgias are greatly improved.   11/20, 11/23. 11/30/09 Medical records and discharge summary received for DOS 11/15-11/19. Final DX: Acute myositis and myalgia with weakness possibly related to H1N1 vaccine. C/O progressive profound weakness, strength 3/5.  4/5 dorsiflexion and plantar flexion bil. Extreme diff lifting arms and legs. Myalgia. Chills. Fever 101. WBC increased. EMG abn.       ICD9 Codes: 367.1, 780.79R, 780.60BW, 729.1, 367.31  12/22/09 operative report received for DOS 11/17/09. DX: Inflammatory myopathy Left deep muscle biopsy of psoas muscle. Muscle visualized as markedly abnormal and surgeon noted muscle strength was markedly abnormal. Patient tolerated procedure well. Specimens taken to pathology.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: White blood cell count normal
Clinical narrative: Nov 13, pain started in arms then went into legs. Nov 14, weakness with the pain, couldn't get off the toilet without help and later couldn't walk and was admitted to hosp with severe soft tissue pain and weakness of hands, arms and legs- weak grasp, could not lift leg of the bed, later mild inflammation of wrists, Sed rate 98 mm/ hr  Inf A& B and Inf A PCR neg.  Muscle biopsy left thigh pending, rapid improvement in 3 days after diaphoresis and weaknees has resolved and myalgias are greatly improved.   11/20, 11/23. 11/30/09 Medical records and discharge summary received for DOS 11/15-11/19. Final DX: Acute myositis and myalgia with weakness possibly related to H1N1 vaccine. C/O progressive profound weakness, strength 3/5.  4/5 dorsiflexion and plantar flexion bil. Extreme diff lifting arms and legs. Myalgia. Chills. Fever 101. WBC increased. EMG abn.       ICD9 Codes: 367.1, 780.79R, 780.60BW, 729.1, 367.31  12/22/09 operative report received for DOS 11/17/09. DX: Inflammatory myopathy Left deep muscle biopsy of psoas muscle. Muscle visualized as markedly abnormal and surgeon noted muscle strength was markedly abnormal. Patient tolerated procedure well. Specimens taken to pathology.
Age: 1.35
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Infant given injection of 0.5 cc. of H1N1 Inactivated Flu Injection instead of 0.25 cc.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Computerised tomogram, Herpes zoster, Pain, Ultrasound kidney
Clinical narrative: Information has been received from a 69 year old nurse with Crohn's disease and hypertension concerning herself who in 2006 was vaccinated with a dose of ZOSTAVAX (Oka/Merck). Concomitant therapy included levothyroxine sodium, paroxetine, azathioprine, TRICOR, COREG and REMICADE. On 01-NOV-2009 the nurse experienced shingles. She was evaluated in an emergency room of a hospital, but not admitted. The nurse was treated with antivirals and was taking oxycodone and LYRICA for persistent pain at the reporting time. CT scan and Ultrasound of kidneys for diagnosis of pain performed on unspecified dates and results were not provided. At the time of the report, the nurse had not recovered. Shingles was considered to be disabling. Additional information has been requested.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash papular, Rash pustular
Clinical narrative: Papules with central pustrile   mainly on lateral aspect of trunk discreet 2 days after vaccination, lasted 6 days. No fever. Treatment 11-052009, Atarax 10mg, Saline nasal spray, amoxicillin-clavularate 600mg, triamanolone topical.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dysphagia, Dyspnoea, Pallor, Paraesthesia
Clinical narrative: Received flu shot at 0910. At 0915 she c/o tingling of arms, chest tightness- epinephrine 0.5ml given, 911 activated, became SOB & very pale, after 5 minutes c/o difficulty swallowing- epinephrine again 0.3ml at 0926. EMS arrived & transported to the hospital-0930.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Flushing, Hypoaesthesia oral, Refusal of treatment by patient
Clinical narrative: Received flu and pneumonia mist at 10:45 a.m. At 11:45 a.m. returned to clinic site stating tongue was numb. Redness (flushed look) to her face. 0.5 ml EPINEPHRINE administered. EMS arrived - refused to go to the hospital.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Induration, Injected limb mobility decreased, Nausea, Oedema peripheral
Clinical narrative: Pt was in for a blood borne exposure with a metal object. Tetanus was given in L deltoid IM with alcohol cleansing of the inj. site. Returned 48 hours later with c/o L arm soreness, swelling, N/V, decreased ROM of L arm. 2-3 cm redness, 7-10 cm firmness.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Pt was in for a blood borne exposure with a metal object. Tetanus was given in L deltoid IM with alcohol cleansing of the inj. site. Returned 48 hours later with c/o L arm soreness, swelling, N/V, decreased ROM of L arm. 2-3 cm redness, 7-10 cm firmness.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Lip swelling
Clinical narrative: Bottom lip swelling, 1 hour after injection was given. Dad gave child Benadryl, no trouble breathing. Was ok after dose of Benadryl was not seen in ER.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthma, Cough, Depressed level of consciousness, Fatigue, Feeling abnormal
Clinical narrative: She received H1N1 shot RA-IM injection at 11am 11/18/09 face immediately itched mom did not tell us, took her home called office around 12:20-c/o bumps on tongue, fatigue itchy-hives started, hacking then cough-asthma flare, less alert felt miserable-911 called- Neb given-the epipen -IV started ambulance-keep 23hr holding room -ER- was given. IV ZANTAC, PREDNISONE (SOLUMEDROL), BENADRYL-D/c home 11/19/2009 with Rx PREDNISONE, ZANTAC, FLOVENT, BENADRYL, ALBUTEROL NEBS. 11/20/09:  Discharge summary and Hospital record received for dates of service 11/18/09 to 11/19/09.  Final Dx:  Severe allergic reaction, likely to influenza vaccine.   Assessment:  Presents with c/o severe allergic reaction.  Discharged on albuterol, steroids, benadryl and zantac.  To f/u with PCP.  Condition at discharge good and improved.    ICD 9 code 995.3R.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Pruritus, Tongue eruption, Urticaria
Clinical narrative: She received H1N1 shot RA-IM injection at 11am 11/18/09 face immediately itched mom did not tell us, took her home called office around 12:20-c/o bumps on tongue, fatigue itchy-hives started, hacking then cough-asthma flare, less alert felt miserable-911 called- Neb given-the epipen -IV started ambulance-keep 23hr holding room -ER- was given. IV ZANTAC, PREDNISONE (SOLUMEDROL), BENADRYL-D/c home 11/19/2009 with Rx PREDNISONE, ZANTAC, FLOVENT, BENADRYL, ALBUTEROL NEBS. 11/20/09:  Discharge summary and Hospital record received for dates of service 11/18/09 to 11/19/09.  Final Dx:  Severe allergic reaction, likely to influenza vaccine.   Assessment:  Presents with c/o severe allergic reaction.  Discharged on albuterol, steroids, benadryl and zantac.  To f/u with PCP.  Condition at discharge good and improved.    ICD 9 code 995.3R.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), HEP
Symptoms: Chills, Cough, Dyspnoea, Oropharyngeal pain, Pain
Clinical narrative: First time ever to receive a flu shot. Onset of sxs the evening of vaccination with sore throat, cough, chills, fever. Had shortness of breath on 11/18 with body aches. etc
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), HEP
Symptoms: Pyrexia
Clinical narrative: First time ever to receive a flu shot. Onset of sxs the evening of vaccination with sore throat, cough, chills, fever. Had shortness of breath on 11/18 with body aches. etc
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Headache, Monoplegia, Urticaria
Clinical narrative: Sore under left arm, whelped up, headache paralysis in left hand for 2 weeks so that person who administered vaccine hit the brachial nerve possibly.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Tenderness
Clinical narrative: The next evening after receiving flu shot, the underside of patient's left arm became tender to the touch and upon movement of the arm.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discolouration, Injection site papule, Injection site pruritus
Clinical narrative: Arm itchy @ injection site. Then little bumps came up with 2 large bumps  that have white centers. Extremely itchy currently. Pt has been putting hydrocortisone on the site. Took Benadryl orally 1 dose on 11/13/2009.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, headache, nausea and vomiting.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Rhinorrhoea, Wheezing
Clinical narrative: Runny nose, cough, then wheezing. Taken to hospital for wheezing and was given breathing treatment and prednisone. 11/20/09 Medial records received for date 11/18/09. DX: wheezing. Pt presented to ER. Pt parent states pt. had H1N1 vax on 11/16. Then on 11/17 pt. had runny nose then cough, low grade temp. Assessment: wheezing all lobes, global retractions, nasal flaring. Breathing tx given.
Age: 8.0
Sex: M
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: < 1 minute after Seasonal Flu vaccine administered IM to right arm; right arm developed hives and additionally did the upper torso.  Patient received 25mg Benadryl and hives subsequently resolved, No respiratory symptoms. Observed for at least 30 minutes post vaccine and did well.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Non pruritic red rash on dorsum of both hands and upper chest.  No apparent distress, no breathing difficulties, vitals normal.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Musculoskeletal pain, Skin warm, Swelling
Clinical narrative: Joint (shoulder) pain, swelling and hot to touch.
Age: 18.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: On 11/19/09, patient received H1N1 nasal spray vaccine. After administration, it was noted she is pregnant, EDC 5/16/10. She and her mother were advised of the wrong vaccine given; CDC contacted and her obstetrician notified. 11/23/2009 OB-GYN records indicate pregnant patient  EDC 5/16/10 exposed to vaccine, no sx noted at present
Age: 29.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, itching on hands and face.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Throat tightness, Trismus
Clinical narrative: Information has been received from a 23 year old female with penicillin, ibuprofen, and Amoxicillin allergy and a history of temporomandibular joint disorder who was vaccinated with GARDASIL in 2007 and in July 2007 after the third dose she went to the emergency room because her jaw locked. The therapy started at "the beginning of 2007". There was no concomitant medication. The consumer reported that she did not stay over night but they gave her anesthesia at the hospital and knocked her jaw back in place. The consumer reported that about four months ago she had her latex gloves on, since she works at a dentist office, and later that night her throat closed up and she went to the emergency room and was there for 6 hours and was given corticosteroids (manufacturer unspecified) and BENADRYL (manufacturer unspecified) and then she was fine. The consumer reported that another time her throat closed up again and at the hospital they gave her an epinephrine (manufacturer unspecified) pen and then she was fine. There were no labs and diagnostic tests performed. This is one of several reports received from the same source. Upon internal review the event of throat tightness treated with an EPI pen was considered to be an other important medical event. No further information is available.
Age: 17.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Chills, Fatigue, Influenza serology negative, Mononucleosis heterophile test positive, Myalgia
Clinical narrative: Initial system was body aches. Course of treatment was Ibuprofen.
Age: 17.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Streptococcal identification test negative
Clinical narrative: Initial system was body aches. Course of treatment was Ibuprofen.