chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Chest X-ray normal, Computerised tomogram abnormal, Cough, Eczema, Oedema mucosal
Clinical narrative: Information has been received from a nurse practitioner concerning her 13 year old niece with seasonal allergy and no medical history who on approximately 17-OCT-2011 ("three weeks ago") was vaccinated intramuscularly with her 2nd dose of 0.5ml GARDASIL (Lot number not reported). There was no concomitant medication. Since the administration of the dose, the patient had a persistent fever of 104F. The patient was seen in physician's office to seek medical attention. Her physician prescribed her a Z pack and AUGMENTIN which had not helped her. Also a CT of her sinuses showed that her mucous membranes were severely swollen. Patient was "on her way to the hospital" at the time of the call. The patient was not recovered at the time of the report. The patient's fever of 104F and mucous membranes severely swollen were considered to be life threatening. Follow up information has been received from a nurse. She did say, however, that the 2nd GARDASIL was given concomitantly with a flu shot (no details known), and that her niece had gone to two different emergency rooms. She said she would call her niece's pediatrician to get the lot #. Later the nurse called back to provide her niece's name and birth date. She provided the pediatrician's name, address and telephone number. On 09-NOV-2011, a call was then place to the pediatrician. Her medical assistant pulled the chart and provided the following: The 1st dose of GARDASIL given on 03-AUG-2011, lot # 0626AA. The 2nd dose of GARDASIL administered on 14-OCT-2011, (lot number on validation exp date 28-JUN-2012); concomitantly the patient received FLUARIX (lot number AFLUA634AA). On 19-OCT-2011, the patient presented at the office with a fever, sore throat, cough, and eczema; a rapid strep test was negative, Z pack was prescribed. On 25-OCT-2011, the patient was seen in the office again with persistent fever; sent for a chest x-ray which was normal; prescribed albuterol. On 02-NOV-2011, the patient went to emergency room for unknown origin. On 04-NOV-2011, the CT of the sinuses was performed. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Oropharyngeal pain, Pyrexia, Streptococcus test, Streptococcus test negative
Clinical narrative: Information has been received from a nurse practitioner concerning her 13 year old niece with seasonal allergy and no medical history who on approximately 17-OCT-2011 ("three weeks ago") was vaccinated intramuscularly with her 2nd dose of 0.5ml GARDASIL (Lot number not reported). There was no concomitant medication. Since the administration of the dose, the patient had a persistent fever of 104F. The patient was seen in physician's office to seek medical attention. Her physician prescribed her a Z pack and AUGMENTIN which had not helped her. Also a CT of her sinuses showed that her mucous membranes were severely swollen. Patient was "on her way to the hospital" at the time of the call. The patient was not recovered at the time of the report. The patient's fever of 104F and mucous membranes severely swollen were considered to be life threatening. Follow up information has been received from a nurse. She did say, however, that the 2nd GARDASIL was given concomitantly with a flu shot (no details known), and that her niece had gone to two different emergency rooms. She said she would call her niece's pediatrician to get the lot #. Later the nurse called back to provide her niece's name and birth date. She provided the pediatrician's name, address and telephone number. On 09-NOV-2011, a call was then place to the pediatrician. Her medical assistant pulled the chart and provided the following: The 1st dose of GARDASIL given on 03-AUG-2011, lot # 0626AA. The 2nd dose of GARDASIL administered on 14-OCT-2011, (lot number on validation exp date 28-JUN-2012); concomitantly the patient received FLUARIX (lot number AFLUA634AA). On 19-OCT-2011, the patient presented at the office with a fever, sore throat, cough, and eczema; a rapid strep test was negative, Z pack was prescribed. On 25-OCT-2011, the patient was seen in the office again with persistent fever; sent for a chest x-ray which was normal; prescribed albuterol. On 02-NOV-2011, the patient went to emergency room for unknown origin. On 04-NOV-2011, the CT of the sinuses was performed. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Bone sarcoma, Chemotherapy
Clinical narrative: Information has been received from a pharmacist concerning a female patient who on unspecified dates were vaccinated with the first and second doses of GARDASIL (lot number and expiration unspecified). The patient was now going through chemotherapy for osteosarcoma. Pharmacist was not sure if osteosarcoma was a pre-existing condition for this patient prior to GARDASIL administration. Pharmacist did not have much information for this patient. It was unspecified if the patient sought medical attention. At the time of the report, the patient's outcome was unknown. Upon internal review, osteosarcoma was considered to be an other important medical event. Additional information has been requested.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Decreased appetite, Insomnia, Nausea, Salivary hypersecretion
Clinical narrative: Pt. recv'd flu vaccine on 11/11/2011. The following day the pt. experienced increased saliva, nausea, anorexia. During the evening until Sunday 11/13/11. Pt. had extreme chills, could not sleep at all. Eventually, Monday morning, the pts. side effects begin to all go away.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Influenza vaccine left medial head deltoid - within 20 minutes fullness tingling - no pain - no numbness - paresis - paralysis medial head left deltoid and long head left biceps.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Patient states that after receiving a PNEUMOVAX on 10/29/2011, her left arm was extremely swollen & tender. Her doctor prescribed a 10 day course of KEFLEX 500 mg, 1 TID for possible infection.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Chills, Injected limb mobility decreased, Injection site erythema, Injection site pain
Clinical narrative: Painful reaction began within 2 hrs, 10/25. Used ice packs and took MOTRIN regularly. Called EHP nurse 10/27 - switched to heat to area, massages. Called EHP nurse 11/1 and 11/4. Fever 103 degrees, chills, arm red and firm shoulder to elbow (R) can't move it, can't lift, can't sleep, can't bathe. Called Dr - ref. to ER but didn't go. Improvement began 11/2 in gradual increments. Stopped MOTRIN on weekend of 11/5. Afebrile (without MOTRIN) 11/7. Now "brownish rash" (R) arm but full ROM. So edema - erythema. No pain unless inj. site touched.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site reaction, Insomnia, Pyrexia, Rash, Skin tightness
Clinical narrative: Painful reaction began within 2 hrs, 10/25. Used ice packs and took MOTRIN regularly. Called EHP nurse 10/27 - switched to heat to area, massages. Called EHP nurse 11/1 and 11/4. Fever 103 degrees, chills, arm red and firm shoulder to elbow (R) can't move it, can't lift, can't sleep, can't bathe. Called Dr - ref. to ER but didn't go. Improvement began 11/2 in gradual increments. Stopped MOTRIN on weekend of 11/5. Afebrile (without MOTRIN) 11/7. Now "brownish rash" (R) arm but full ROM. So edema - erythema. No pain unless inj. site touched.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Insomnia, Pyrexia
Clinical narrative: Fever, insomnia.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Patient states she had extreme nausea & vomiting. No rash, no fever, no injection site reaction. In hospital during day & evening. Full recovery by next day.
Age: 35.0
Sex: M
Vaccine: FLUN3
Symptoms: Throat tightness
Clinical narrative: At 600 p.m. his throat started tightening up and stayed tight until the following morning wound 1200 (noon).
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Vaccine given on 10/4/11. Pt. said her upper arm is still sore as if she has just been given the flu shot.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Rash macular
Clinical narrative: Itching around injection site and down arm toward elbow. Patient says area that itched turn red and blotchy. Started itching 2 days after injection occurred and still itches (11 days later).
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Syncope post vaccination - pt. hit head on the way down - EMS responded within 10 minutes & pt. stable enough for EMS to release.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Infection, Injection site nodule, Injection site reaction, Lymphadenopathy
Clinical narrative: Patient reported that her left arm "bubbled up" at area around the injection site. On 11/7/11, she told me that the bubble became a "small knot" and that it continued to go up her arm so that on 11/13/11 she had a "big soft painful knot" at the base of her left side on neck - she went to the ER, was treated with antibiotics, pain med and PHENERGAN. Reported had "infected lymph node" the site appears fine at this time, client denies any problem with arm currently.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Neuralgia, Pain in extremity
Clinical narrative: "Nervy" pain in left arm following flu shot.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling, Lacrimation increased
Clinical narrative: Approximately 2 hours after flu shot patient's (L) eye was swollen shut and (R) eye was watering. He did not take any medication or seek medical attention. The next am the swelling in eye was gone.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Decreased appetite, Dehydration, Dizziness, Heart rate increased
Clinical narrative: 8 days = high temp/fever/chills/aching/flu like symptoms/dehydrated/loss of appetite/dizzy sporadic shooting pain/high heart rate (118 Bpm) (intermittent).
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness, Pain, Pyrexia
Clinical narrative: 8 days = high temp/fever/chills/aching/flu like symptoms/dehydrated/loss of appetite/dizzy sporadic shooting pain/high heart rate (118 Bpm) (intermittent).
Age: 93.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthenia, Balance disorder, Blood test normal, Chest X-ray normal, Electrocardiogram normal
Clinical narrative: Woke 9/18/11 with racing heart, itchy eyes, weakness and balance concerns. Went to ER. Also saw MD 10/31. Getting better but still weak. Reports otherwise healthy with some arthritis. Plays golf regularly including yesterday, but weak now.
Age: 93.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Eye pruritus, Palpitations
Clinical narrative: Woke 9/18/11 with racing heart, itchy eyes, weakness and balance concerns. Went to ER. Also saw MD 10/31. Getting better but still weak. Reports otherwise healthy with some arthritis. Plays golf regularly including yesterday, but weak now.
Age: 17.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Influenza like illness, Injection site rash, Rash generalised, Rash pruritic
Clinical narrative: The evening after injection given pt developed rash at injection site. Next evening rash spread to entire body and became itchy. 48 hrs after inject pt developed flu-like symptoms.
Age: 17.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest discomfort, Chills, Dizziness, Pain, Pruritus
Clinical narrative: The evening after injection given pt developed rash at injection site. Next evening rash spread to entire body and became itchy. 48 hrs after inject pt developed flu-like symptoms.
Age: 17.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: The evening after injection given pt developed rash at injection site. Next evening rash spread to entire body and became itchy. 48 hrs after inject pt developed flu-like symptoms.
Age: 17.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Influenza like illness, Injection site rash, Rash generalised, Rash pruritic
Clinical narrative: Vaccine was given 11/7/11, on 11/8/11 she developed a rash and itching. She took BENADRYL - rash resolved by 11/9/11. Pt seen 11/9/11 c/o chest tightness, fever, chills, achy, lightheaded.
Age: 17.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest discomfort, Chills, Dizziness, Pain, Pruritus
Clinical narrative: Vaccine was given 11/7/11, on 11/8/11 she developed a rash and itching. She took BENADRYL - rash resolved by 11/9/11. Pt seen 11/9/11 c/o chest tightness, fever, chills, achy, lightheaded.
Age: 17.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: Vaccine was given 11/7/11, on 11/8/11 she developed a rash and itching. She took BENADRYL - rash resolved by 11/9/11. Pt seen 11/9/11 c/o chest tightness, fever, chills, achy, lightheaded.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Injection site pain, Pain, Skin reaction
Clinical narrative: Administered vaccine 10-31-11, sx developed on 11/4/11 burning pain at inj site, intermittent pain per patient. Felt "like a branding sensation going into the muscle". Tx - recommended APAP - call MD especially if sx linger or increase. Complaint made 11/8/11. Localized only sx in left arm.
Age: 31.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Feeling abnormal, Headache, Nausea, Night sweats
Clinical narrative: Monday 10/31/2011 - received vaccine - felt bad next day then felt a little better - began having weakness on Thursday - Friday drenching sweats at night, severe HA at base of skull and feeling of something in his throat and nausea - these symptoms have prevailed since then (11/08/2011).
Age: 31.0
Sex: M
Vaccine: FLUX
Symptoms: Sensation of foreign body
Clinical narrative: Monday 10/31/2011 - received vaccine - felt bad next day then felt a little better - began having weakness on Thursday - Friday drenching sweats at night, severe HA at base of skull and feeling of something in his throat and nausea - these symptoms have prevailed since then (11/08/2011).
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: FLUZONE (0.5cc IM (L) thigh) given on 11/7/11. Dad reports via phone call that "patient has hives" on 11/9/11 at 1600.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Influenza like illness, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt returned to pharmacy a week later expressing concern he experienced flu-like symptoms, injection site was swollen, "hard as a rock", hot to touch, lasted approximated 30 hours.
Age: 67.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain
Clinical narrative: Received flu shot 3 weeks ago (10/19/2011) injection site still sore; discolored area (light) surrounded by reddened area still present.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Nasal congestion
Clinical narrative: Onset of dyspnea approx 3 hours after injection. Pt had managed was not breathing and nasal congestion as well. O2 Sat 97% RA. She was tx with KENALOG 40 mg IM with rapid improvement of symptoms. Discharge home with albuterol\HFA and BENADRYL instructing.
Age: 11.0
Sex: F
Vaccine: DTP, FLU3
Symptoms: Demyelination, Encephalomyelitis, Myelitis transverse, Nuclear magnetic resonance imaging spinal cord abnormal, Spinal disorder
Clinical narrative: Acute demyelinating encephalomyelitis vs. transverse myelitis.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Biopsy muscle, Inclusion body myositis, Muscular weakness
Clinical narrative: Inclusion body myositis! Muscle weakness: over approximately 10 years! Website lists Hep B vaccine as suspect. Progressive and degenerative!
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Tremor
Clinical narrative: Tremors/weakness x3 wks. Dizziness x2 wks.
Age: 13.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Abdominal pain upper, Erythema, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Patient developed redness, swelling, and pain over lateral aspect of left arm on the afternoon of 11/4/11, which has worsened through 11/7/11 and measures approx. 8cm x 5cm on 11/7/11 with warmth and erythema, no drainage or fluctuance. Developed fever on 11/4/11 pm, peaked at 103.6 degrees F PO on 11/5/11, 38.1 degrees C PO on 11/7/11. Complaining of arm pain, stomach pain. Treatment with MOTRIN, BENADRYL, and cool compresses.
Age: 13.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Skin warm
Clinical narrative: Patient developed redness, swelling, and pain over lateral aspect of left arm on the afternoon of 11/4/11, which has worsened through 11/7/11 and measures approx. 8cm x 5cm on 11/7/11 with warmth and erythema, no drainage or fluctuance. Developed fever on 11/4/11 pm, peaked at 103.6 degrees F PO on 11/5/11, 38.1 degrees C PO on 11/7/11. Complaining of arm pain, stomach pain. Treatment with MOTRIN, BENADRYL, and cool compresses.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site pain, Injection site pruritus, Lip swelling, Throat tightness
Clinical narrative: Within 2-3 minutes of injection, intense itching and burning sensation at site. Ice applied immediately. Within 1.5 hr throat constricted, lasting approximately 7-8 minutes. Hematoma at injection site 2 days after injection. Lip swelling day of injection.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Right arm swollen & red, hot & sore.
Age: 0.15
Sex: M
Vaccine: DTAPIPVHIB, RV5
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Pt w/fever, diarrhea & vomiting.
Age: 1.01
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Bladder catheterisation, Blood test, Culture urine, Pyrexia
Clinical narrative: High fever up to 103.7 on 11/2/11. Treated with 400 mg ROCEPHIN IM and TYLENOL/MOTRIN.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Tenderness
Clinical narrative: Left arm sore that night and next day - when waking up 11-10-11. Redness 3" x 6 " very tender to touch. No fever.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain
Clinical narrative: Chest pain x2 hours post injection, subsided, pt didn't seek medical attention, pt with h/o MVP, heart rate never above 60 bpm - on beta blockers. Pt reported when calling office on another unrelated call.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Dizziness, Hot flush, Nausea
Clinical narrative: Vomiting, nausea, diarrhea approx. 13 hours after vaccine was received. Chills and heat flashes also. Dizziness, too.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Vomiting, nausea, diarrhea approx. 13 hours after vaccine was received. Chills and heat flashes also. Dizziness, too.
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Narcolepsy
Clinical narrative: Case numbers PHEH2011US008723 is a combined initial and follow up spontaneous reports received from a consumer and a physician on 03 Nov 2011 and 07 Nov 2011 respectively. This case refers to an adult female patient. She was vaccinated with flu shot (batch number: unknown) and 2009 H1N1 shot (batch number: unknown) provided by Novartis in the fall of 2009. She received both these vaccines intramuscularly. It was also reported that she received both flu shot and H1N1 shot at the Novartis Headquarters. In Jan 2010 she was diagnosed with Narcolepsy. The outcome of the event was not reported. Upon follow up, the treating physician confirmed that, the patient did not receive flu shot in his office, hence no more information was available.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUX, IPV, MMR, VARCEL
Symptoms: Fatigue, Injection site swelling, Lymphadenitis, Pyrexia, Rash papular
Clinical narrative: Fine papular rash on both deltoids 9/1/11. Swelling of deltoids 9/6/11; Fever, fatigue cervical lymphadenitis R/L; parotid/submental R > L 9/2/11  - 9/6/11 Treated with amoxicillin and AUGMENTIN.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain of skin, Rash
Clinical narrative: Possible allergic reaction 6" plate sized rash on back. Started 7 days later after vaccine. Skin is tender at rash, headache.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Mass, Rash
Clinical narrative: Rash on chest, back, abdomen, swollen (blister) mass on back, took BENADRYL and went to ER where they gave her steroids.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Day after vaccination pt called to report swelling at injection site and redness 4-6" in diameter w/ mild fever - left deltoid.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Cyanosis, Immediate post-injection reaction, Induration
Clinical narrative: Patient had a hard ball that was bluish and swollen immediately after vaccination. Swelling went down before patient left pharmacy.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Eye pruritus, Myalgia, Pharyngeal oedema
Clinical narrative: Patient received influenza vaccine on 10/28/11 and called pharmacy to report the following symptoms: swollen throat, sore muscles, chest tightening and itchy eyes.
Age: 52.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Xcess swelling abrupt redness & edema at arm.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Oedema peripheral, Pain in extremity
Clinical narrative: Quarter sized bruise at injection site. Arm ache - still sore 3 weeks later. Applied ice & ADVIL - which reduced pain & swelling.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain
Clinical narrative: Employee states the pain in her back near her (L) shoulder blade begin the very next morning after receiving a flu shot in her (L) arm. She takes OTC EXCEDRIN, but states it's only minor relief. She has not seen a physician for the pain/discomfort as of 11/8/11. She reports feeling a knot in her back.
Age: 20.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Syncope
Clinical narrative: Fainted 3 mins after injection.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Erythema, Pruritus, Swelling
Clinical narrative: Bruise, swell, erythema and itching started late evening the day of shot itching started day after shot.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Pain, Rash macular
Clinical narrative: Pt experienced pain radiating up & down her left arm where injection was given. Red blotch 1 - 1/2 inch in diameter around injection.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Blepharospasm, Blood pressure increased, Cold sweat, Cyanosis, Dizziness
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of seizure-like activity in a 57-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). Last year the subject was vaccinated with H1N1 (non-GSK) and experienced injection site redness. Concurrent medical conditions included penicillin allergy. There were no concurrent medications. It was reported that the subject received H1N1 (non-GSK) last year (2010) and an unspecified amount of time following, developed redness around the injection site and "felt funny". The subject commented that the events were mild enough that she did not do anything about them. Later, on 14 October 2011 at 08:00 the subject received a dose of (1st dose of the season) of FLUARIX at 0.5 ml in the left arm. On 14 October 2011, 30 minutes after vaccination with FLUARIX, the subject experienced seizure-like activity, eyesight quivering (vision was shaky and shifting from side to side), body shakes, looked pale, blue mouth triangle and clamminess. The subject also experienced elevated blood pressure. The subject was hospitalised and the healthcare professional considered the events were life threatening and clinically significant (or requiring intervention). The time to onset of elevated blood pressure was not specifically indicated, however, it began prior to the subject being released from the hospital. The subject was treated with BENADRYL and betamethasone and was sent home. At the time of reporting the subject still had elevated blood pressure, but the other events were resolved. The subject additionally reported that "the other day" she experienced some dizziness. Outcome of dizziness was not reported. In the reporter's opinion, the events of seizure-like activity, eyesight quivering, body shakes, looked pale, blue mouth triangle and clamminess were probably related to vaccination with FLUARIX.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pallor, Seizure like phenomena, Tremor, Visual impairment
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of seizure-like activity in a 57-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). Last year the subject was vaccinated with H1N1 (non-GSK) and experienced injection site redness. Concurrent medical conditions included penicillin allergy. There were no concurrent medications. It was reported that the subject received H1N1 (non-GSK) last year (2010) and an unspecified amount of time following, developed redness around the injection site and "felt funny". The subject commented that the events were mild enough that she did not do anything about them. Later, on 14 October 2011 at 08:00 the subject received a dose of (1st dose of the season) of FLUARIX at 0.5 ml in the left arm. On 14 October 2011, 30 minutes after vaccination with FLUARIX, the subject experienced seizure-like activity, eyesight quivering (vision was shaky and shifting from side to side), body shakes, looked pale, blue mouth triangle and clamminess. The subject also experienced elevated blood pressure. The subject was hospitalised and the healthcare professional considered the events were life threatening and clinically significant (or requiring intervention). The time to onset of elevated blood pressure was not specifically indicated, however, it began prior to the subject being released from the hospital. The subject was treated with BENADRYL and betamethasone and was sent home. At the time of reporting the subject still had elevated blood pressure, but the other events were resolved. The subject additionally reported that "the other day" she experienced some dizziness. Outcome of dizziness was not reported. In the reporter's opinion, the events of seizure-like activity, eyesight quivering, body shakes, looked pale, blue mouth triangle and clamminess were probably related to vaccination with FLUARIX.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Varicella virus test positive
Clinical narrative: Two wks after receiving vaccine developed a rash on her neck that tested positive for varicella.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Condition aggravated, Convulsion, Endotracheal intubation, Pyrexia
Clinical narrative: 9 days post MMR vaccine - had seizure with fever - lasted 20 min & longer. Was intubated, transferred to Hospital by helicopter.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Headache, Pyrexia
Clinical narrative: My daughter developed a fever ranging from 101 - 104 and a headache. She was weak during times the fever was real high. She seemed out of it. Fever lasted for 3 days.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain
Clinical narrative: Employee received (L) deltoid IM flu vaccine injection on 10/3/11. Patient reported "significant" (L) shoulder area pain near original injection site 1 month later. Evaluated by PCP who prescribed medicine. Currently asymptomatic denies pain as palpitation. No mass. No redness, no lumps.
Age: 0.17
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Neuralgia, Pain, Pain in extremity
Clinical narrative: Woke up the following day with pain in shoulder - somewhat relieved by ibuprofen. Has pain from neck to fingers. calls it a throbbing pain that never goes away. Went to clinic to see nurse practitioner and described it as nerve pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Eye swelling, Urticaria
Clinical narrative: Patient developed urticaria & eye swelling 24 hours following vaccines. Patient also has history of recurrent urticaria to unidentified allergen has been referred to an allergist. Patient was also exposed to new family cat and dog during same time frame & ha: continued to develop urticaria incontinently.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling abnormal
Clinical narrative: 3-5mins after vaccine (ZOSTAVAX) administered she complained of "funny feeling" to (R) ant neck radiating to (R) of her nose. BENADRYL & EPI administered to some relief. Pt went to ER via EMS walked to stretcher.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Swelling, erythema & heat. Body aches. 1st time ever received vaccine.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, FLU3, PNC13
Symptoms: Crying, Pyrexia, Urine analysis normal, White blood cell count increased
Clinical narrative: Patient began with fever, excessive crying, elevated white count at 24.6. Received ROCEPHIN IM following AUGMENTIN x 10 days.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site rash
Clinical narrative: Pt's mother brought pt to office on 11-14-11 for illness not R/T adverse event. Mother mentioned during course of visit that pt had a rash at injection site since date of injection on 10-28-11. Noted on (L) thigh. No induration no erythema.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Middle insomnia, Pain in extremity
Clinical narrative: Patient received flu shot 10/25/11 complains of arm pain from shoulder to elbow, wakes up pt at night - treating for OTC pain meds & heat.
Age: 25.0
Sex: F
Vaccine: HEPAB, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: (L) tricep w/red, warm, induration area, no fluctuance.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Local reaction
Clinical narrative: Local reactions/redness/sore arm - right upper arm. No treatment needed 7cm x 7cm area.
Age: 85.0
Sex: M
Vaccine: PPV
Symptoms: Blood pressure systolic increased, Dizziness, Headache, Heart rate increased, Injection site pain
Clinical narrative: Slight headache near left temple short duration; rapid heart beat, short duration, sore area of shot, then up to shoulder. Lightheaded for brief moment 3 times. Blood pressure systolic 113 then up to 170 for 24 hrs.
Age: 85.0
Sex: M
Vaccine: PPV
Symptoms: Musculoskeletal pain
Clinical narrative: Slight headache near left temple short duration; rapid heart beat, short duration, sore area of shot, then up to shoulder. Lightheaded for brief moment 3 times. Blood pressure systolic 113 then up to 170 for 24 hrs.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Localised infection
Clinical narrative: Red area size of a bar of soap, on antibiotics, then grew to 8-9 inches in (L) leg. Saw Dr. prescribed steroid. Dx was localized infection following injection.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Pain in extremity, Urticaria
Clinical narrative: Pt received PNEUMOVAX vaccine on 11-7-11. Pt stated she woke up that night with arm pain and welts started to appear on her arm the next day. Pt contacted our office on 11-8-11 and was seen right away by the dr. After examination, he determined this was a true allergic reaction, pt was advised to take BENADRYL and TYLENOL.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MMR, MNQ
Symptoms: Fall, Head injury, Seizure like phenomena, Syncope, Urinary incontinence
Clinical narrative: Pt received her GARDASIL (HPV) shot, pt fainted & fell forward off the table, hitting face down & whole body on the floor. Pt had urinary incontinence while transferring back to the table. MD & RN's notified. VS & BS check done by the 2 assessing RN's. Pt also noted to have seizure-like activity.
Age: 63.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: CSF protein increased, Demyelinating polyneuropathy, Electromyogram abnormal, Headache, Hypoaesthesia
Clinical narrative: 3/17/09 - developed numbness/tingling/headache - found to have CIDP as of 9/19/11 - still with symptoms of CIDP - got better with treatment - IVIG.
Age: 63.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Immunoglobulin therapy, Injection site haematoma, Nerve conduction studies abnormal, Paraesthesia
Clinical narrative: 3/17/09 - developed numbness/tingling/headache - found to have CIDP as of 9/19/11 - still with symptoms of CIDP - got better with treatment - IVIG.
Age: 0.55
Sex: F
Vaccine: DTAPHEPBIP, PNC13
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Localized rxn on Lt thigh.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Mobility decreased, Musculoskeletal stiffness
Clinical narrative: Spine stiffness. Difficulty turning head. Neck and shoulder stiff.
Age: 2.0
Sex: F
Vaccine: DTAPIPV, HIBV
Symptoms: Drug administered to patient of inappropriate age, No adverse event, Wrong drug administered
Clinical narrative: No adverse events, sx or signs noted. Pt. given KINRIX & HIB in place of PENTACEL due to PENTACEL being out of stock. Misread age limitations on KINRIX.
Age: 49.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Feeling abnormal, Heart rate increased, Tremor
Clinical narrative: Became trembly, shaky, rapid heartbeat, thought I was going to black out.
Age: 1.53
Sex: M
Vaccine: HEPA
Symptoms: Vomiting
Clinical narrative: Severe vomiting within 1 to 1/2 hrs. of getting vaccine (Hepatitis A # 1).
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Bradyphrenia, Dizziness, Feeling hot, Migraine, Muscular weakness
Clinical narrative: Within approx. (1) hr post vaccine, developed feeling of "fainting", blurred vision, hot sensation in body, hrt racing, "fuzzy thinking skills, & motor weakness within 2 hrs developed intense migraine. Lasting 24 hrs. S/S finally resolved within 48-22 hrs.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Vision blurred
Clinical narrative: Within approx. (1) hr post vaccine, developed feeling of "fainting", blurred vision, hot sensation in body, hrt racing, "fuzzy thinking skills, & motor weakness within 2 hrs developed intense migraine. Lasting 24 hrs. S/S finally resolved within 48-22 hrs.
Age: 16.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Hyperaesthesia, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: (R) upper arm, red swollen, "hot" to touch and extremely sensitive to touch - painful. The swollen site where Varicella given was about size of an orange and the redness extended from there to elbow.
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Injection site warmth, Local swelling, Pain, Pyrexia
Clinical narrative: Pt with fever w/swollen area 4" by 4". Upper (L) arm with profuse heat at site. Redness extends beyond the raised swollen area. Fever to 101 degrees w/body aches.
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Joint swelling, Pyrexia
Clinical narrative: Swollen, painful joints (particularly knee caps & joints). Low grade fever 99.7 started ground 3:00 p. 11-1-11. By 5:00 p. Same day, fever 101 & at 8:00 p. fever 102. Temperature not back to normal until late p.m. on 11-4-11. Joint pain less, but not gone as is swelling of the joints.
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Erythema, Local reaction
Clinical narrative: Pt has localized reaction. Erythema. No warmth 2 x 1 cm.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reported an egg size & shape red area at site of injection that itched for several days after injection.
Age: 85.0
Sex: M
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Full body hives within 30 min of vaccine administration. Treatment - BENADRYL 12.5 mg IV x1, hydrocortisone 100 mg IV x 1.
Age: 0.64
Sex: M
Vaccine: HIBV, PPV
Symptoms: Crying, Hypersomnia, Pyrexia
Clinical narrative: Fever 102-103. Inconsolable crying. Excessive sleeping over the next 3 days.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, C-reactive protein increased, Lumbar radiculopathy, Muscle spasms
Clinical narrative: Back pain, left arm pain a day or two later, right arm pain a day or two later, thigh pain in front with occasional cramp in back of thigh, hip pain. All continued for days after and finally patient went to the doctor. Said muscles in legs were tight and gave patient muscle relaxers (Naprosen) and pain pills (Cyclobenzaprine). These did not work. Went to hospital ER on 10/23/2001. Blood work and X-rays were conducted. Blood work showed nothing, but doctors concluded patient had Lumbosacral Radiculopathy. Put on Prednisone and Vicodin. Pain was alleviated with the Prednisone until patient was slowly weaned off (2 weeks). Patient made an appointment with Spine doctor for Nov 18, but had so much pain decided to go to another Medical Aid Unit for another opinion and the doctor diagnosed patient with PMR (Polymyalgia Rheumatic). Sent for blood work and results of Sed Rate were 44 and C reactive protein were 33.8. Patient now on Prednisone once again.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Muscle tightness, Pain in extremity, Polymyalgia rheumatica, Red blood cell sedimentation rate increased, X-ray
Clinical narrative: Back pain, left arm pain a day or two later, right arm pain a day or two later, thigh pain in front with occasional cramp in back of thigh, hip pain. All continued for days after and finally patient went to the doctor. Said muscles in legs were tight and gave patient muscle relaxers (Naprosen) and pain pills (Cyclobenzaprine). These did not work. Went to hospital ER on 10/23/2001. Blood work and X-rays were conducted. Blood work showed nothing, but doctors concluded patient had Lumbosacral Radiculopathy. Put on Prednisone and Vicodin. Pain was alleviated with the Prednisone until patient was slowly weaned off (2 weeks). Patient made an appointment with Spine doctor for Nov 18, but had so much pain decided to go to another Medical Aid Unit for another opinion and the doctor diagnosed patient with PMR (Polymyalgia Rheumatic). Sent for blood work and results of Sed Rate were 44 and C reactive protein were 33.8. Patient now on Prednisone once again.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Full blood count, Injection site cellulitis, Metabolic function test
Clinical narrative: Cellulitis of L upper arm, spreading, SOB.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Injection site joint pain, Nuclear magnetic resonance imaging abnormal, Pain, Pain in extremity
Clinical narrative: Patient has continued to have pain radiating down his left shoulder and arm, subjective and objective weakness.  MRI study of shoulder suggestive of brachial neuritis.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Radiculitis brachial
Clinical narrative: Patient has continued to have pain radiating down his left shoulder and arm, subjective and objective weakness.  MRI study of shoulder suggestive of brachial neuritis.
Age: 32.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache, Nausea, Rash, Vomiting
Clinical narrative: Facial rash extending down neck, headache, nausea with emesis.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Influenza like illness, Oropharyngeal pain
Clinical narrative: Extreme sore throat, flu like symptoms, dizziness, weakness.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Anaphylactic reaction, Breast induration, Chest discomfort, Dyspnoea, Eye pruritus
Clinical narrative: Itchy watery red eyes, my chest was tighten, breast and nipples harden, throat was tighten, couldn't breathe as easy, and tongue was swollen.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Lacrimation increased, Maternal exposure during pregnancy, Nipple disorder, Ocular hyperaemia, Swollen tongue
Clinical narrative: Itchy watery red eyes, my chest was tighten, breast and nipples harden, throat was tighten, couldn't breathe as easy, and tongue was swollen.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Throat tightness
Clinical narrative: Itchy watery red eyes, my chest was tighten, breast and nipples harden, throat was tighten, couldn't breathe as easy, and tongue was swollen.
Age: 0.52
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC13, RV5
Symptoms: Body temperature increased, Irritability
Clinical narrative: VERY FUSSY, IRRITABLE, TEMP 99.0 F.  TYLENOL SEEMS TO HELP.
Age: 61.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Chills, Decreased appetite, Fatigue, Pain, Pyrexia
Clinical narrative: Pt with subjective fevers, body aches, chills, fatigue, anorexia x 2 days.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray, Cough, Increased upper airway secretion, Nasopharyngitis, Tremor
Clinical narrative: Cold, severe cough, copious phlegm, wheezing. Robitussin, Mucinex, cough suppressant w/codeine, then doxicycline, then amoxicillin.  Began to improve but after 3 1/2 days on amox., severe shaking started.  Neurologist said it looked like full-blown Parkinsons.  Stopped all meds. until some improvement in shaking occurred.  Still improving as of 11/16/2011 but not to prior condition.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Cold, severe cough, copious phlegm, wheezing. Robitussin, Mucinex, cough suppressant w/codeine, then doxicycline, then amoxicillin.  Began to improve but after 3 1/2 days on amox., severe shaking started.  Neurologist said it looked like full-blown Parkinsons.  Stopped all meds. until some improvement in shaking occurred.  Still improving as of 11/16/2011 but not to prior condition.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injected limb mobility decreased, Injection site joint pain, Pain, Paraesthesia
Clinical narrative: No radiation of pain, but does have weakness to range of motion of the shoulder, and occasional paresthesias to hand. Left shoulder with diffuse tenderness in subacromial region to palpation and range of motion, with decreased flexion and abduction due to pain, nontender elsewhere, no erythema, edema or ecchymosis, left arm nontender, with grossly normal strength and sensation.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Rotator cuff syndrome
Clinical narrative: No radiation of pain, but does have weakness to range of motion of the shoulder, and occasional paresthesias to hand. Left shoulder with diffuse tenderness in subacromial region to palpation and range of motion, with decreased flexion and abduction due to pain, nontender elsewhere, no erythema, edema or ecchymosis, left arm nontender, with grossly normal strength and sensation.
Age: 27.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Injection site induration, Joint range of motion decreased, Oedema peripheral, Skin warm
Clinical narrative: Client stated that the redness started shortly following injection and inability to move elbow and worsening redness over the next day. Presented to clinic on 11/08/2011 in the afternoon with a 6cm x 3.5cm of induration at injection site and redness that was hot to touch with slight swelling and warm to touch to mid forearm. Client was encouraged to seek medical attention immediately due to joint involvement.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Dizziness, Erythema, Fall, Head injury
Clinical narrative: Client had just received his flu shot in the right deltoid muscle by School Nurse.  Fluzone vaccine by Sanofi, Lot # UH478AB, Exipration 6/30/12.  He stood up after receiving the injection and immediately fainted, falling to the floor and hit his head on the hard gym floor.  School Nurse assisted the client to lie on his back but stay lying down.  This nurse was called over with the Emergency Kit.  This nurse's assessment showed the client awake, alert, and orientated.  His skin was pale in color and cool to the touch.  He complained of his head hurting.  A large bump approximately 1 and 1/4 inch in diameter with redness and contusion was noted to the left forehead and eyebrow area.  No other injury noted.  Client was able to move all exremities by command.  Vital signs at 1615 hours by this nurse: Blood Pressure 98/64, Pulse 70, Respirations 24.  His pupils reacted to light quickly equal and bilaterally.  A cold pack was applied to the client's forehead.  Client was encouraged to take slow deep breaths and to stay resting on the floor for another five minutes.  Repeat vital signs at 1620 hours by this nurse: Blood Pressure 100/64, Pulse 64, Respirations 20.  His skin color was still pale, but improving.  Client was assisted to a sitting, and then a standing position.  He walked across the gym with assistance to side wall.  He sat down on a mat and still complained of being dizzy, so was laid down on the mat to rest.  His grandmother had accompanied him to the flu clinic, so the client's mom was notified of the incident at this time.  His mom stated she would come to get him.  Repeat vital signs at 1632 hours by School Nurse: Blood Pressure 90/54, Pulse 64, Respirations 20.  Client still complained of his head hurting and feeling dizzy, so he continued to stay lying down on the mat.  This nurse left to resume flu clinic duties as School Nurse stayed with the client to monitor him.  Per School Nurse there was no change in the client's condition.  Per School Nurse she spoke with the client's family about monitioring for any signs of complications and recommended seeing a doctor for any concerns.  When the client's mom arrived they left the clinic to rest at home.  11/16/11 0800 hours Per School Nurse she spoke with the client's father this morning.  He stated to her that the client does have the large bump on his forehead, but is fine otherwise and had no complications overnight.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Immediate post-injection reaction, Pallor, Peripheral coldness, Swelling face
Clinical narrative: Client had just received his flu shot in the right deltoid muscle by School Nurse.  Fluzone vaccine by Sanofi, Lot # UH478AB, Exipration 6/30/12.  He stood up after receiving the injection and immediately fainted, falling to the floor and hit his head on the hard gym floor.  School Nurse assisted the client to lie on his back but stay lying down.  This nurse was called over with the Emergency Kit.  This nurse's assessment showed the client awake, alert, and orientated.  His skin was pale in color and cool to the touch.  He complained of his head hurting.  A large bump approximately 1 and 1/4 inch in diameter with redness and contusion was noted to the left forehead and eyebrow area.  No other injury noted.  Client was able to move all exremities by command.  Vital signs at 1615 hours by this nurse: Blood Pressure 98/64, Pulse 70, Respirations 24.  His pupils reacted to light quickly equal and bilaterally.  A cold pack was applied to the client's forehead.  Client was encouraged to take slow deep breaths and to stay resting on the floor for another five minutes.  Repeat vital signs at 1620 hours by this nurse: Blood Pressure 100/64, Pulse 64, Respirations 20.  His skin color was still pale, but improving.  Client was assisted to a sitting, and then a standing position.  He walked across the gym with assistance to side wall.  He sat down on a mat and still complained of being dizzy, so was laid down on the mat to rest.  His grandmother had accompanied him to the flu clinic, so the client's mom was notified of the incident at this time.  His mom stated she would come to get him.  Repeat vital signs at 1632 hours by School Nurse: Blood Pressure 90/54, Pulse 64, Respirations 20.  Client still complained of his head hurting and feeling dizzy, so he continued to stay lying down on the mat.  This nurse left to resume flu clinic duties as School Nurse stayed with the client to monitor him.  Per School Nurse there was no change in the client's condition.  Per School Nurse she spoke with the client's family about monitioring for any signs of complications and recommended seeing a doctor for any concerns.  When the client's mom arrived they left the clinic to rest at home.  11/16/11 0800 hours Per School Nurse she spoke with the client's father this morning.  He stated to her that the client does have the large bump on his forehead, but is fine otherwise and had no complications overnight.