chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.27
Sex: M
Vaccine: FLU3
Symptoms: Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Patient (my son) developed a 5x6 in warm, indurated, painful area just below and distal to the injection site, but not circumferential on day 2.  Treated with cold compresses and eventually resolved 6 days after first appeared.  No associated fevers, sensation intact, no concern for compartment syndrome.  Myself (a pediatrician) monitored him carefully at home.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia
Clinical narrative: Multiple incapacitating polyarthralgias needing steroid therapy to resolve
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Pruritus
Clinical narrative: Tight cough with itching. Epi given, transported to hospital VS- BP 138/84 P 88 R 20.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Axillary pain, Injection site erythema, Injection site pain, Injection site swelling, Musculoskeletal pain
Clinical narrative: Aching in L shoulderx 3 weeks. Swelling which was red and tender in axilla on L where seasonal influenza injection was given in deltoid x 1 week.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Rotator cuff syndrome
Clinical narrative: Aching in L shoulderx 3 weeks. Swelling which was red and tender in axilla on L where seasonal influenza injection was given in deltoid x 1 week.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness
Clinical narrative: After receiving vaccine c/o extreme dizziness, weakness. BP 100/60, P 80 min. Given oxygen by EMS with no improvement. Taken to hospital for evaluation.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Hypoaesthesia, Immediate post-injection reaction, Injection site erythema, Injection site mass
Clinical narrative: Immediate burning at site of injection- lump & redness x 2 days. Lethargy beginning evening of injection thru present time-pain bilat.  hips to knee & shoulders to elbow (hips worse area)-continues at present with occas. numbness of hips.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Lethargy, Musculoskeletal pain
Clinical narrative: Immediate burning at site of injection- lump & redness x 2 days. Lethargy beginning evening of injection thru present time-pain bilat.  hips to knee & shoulders to elbow (hips worse area)-continues at present with occas. numbness of hips.
Age: 44.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site induration, Lymphadenopathy, Tenderness
Clinical narrative: Pt developed erythema induration at site of injection w/in 24 hour of admin. followed by axillary tenderness and associated supraclavicular adenopathy.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local reaction-L deltoid-edema and erythema.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Ear discomfort, Nasal congestion, Throat tightness
Clinical narrative: Within 15 minutes of receiving vaccine pt complained of nose, throat & ears closing up. Also c/o tightening in chest.
Age: 53.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Activated partial thromboplastin time, Angiogram, Blood glucose, Burning sensation, Facial palsy
Clinical narrative: 2 days after H1N1 vaccination developed URI for 2 weeks. On 11/9/09 felt burning on L side of face-Bell's palsy diagnosed. Given steroids, FAMVIR, and eye moistening drops. 11/20/09 Medical records received for date 11/10/09. DX: Bells Palsy. Presenting SX: c/o  facial numbness, eye burning.
Age: 53.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Full blood count, Metabolic function test, Nuclear magnetic resonance imaging, Prothrombin time, Upper respiratory tract infection
Clinical narrative: 2 days after H1N1 vaccination developed URI for 2 weeks. On 11/9/09 felt burning on L side of face-Bell's palsy diagnosed. Given steroids, FAMVIR, and eye moistening drops. 11/20/09 Medical records received for date 11/10/09. DX: Bells Palsy. Presenting SX: c/o  facial numbness, eye burning.
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Ataxia, Dizziness, Intensive care, Laboratory test normal, Presyncope
Clinical narrative: Dizziness, near syncope and ataxia. Seen at Hospital 3:00 PM and transferred to PICU. 11/18, 11/19 and 11/23/2009 MR/Dc summary for 11/16-11/19/2009. DC DX ataxia and vaccine reaction.  Patient lethargic with sx of ataxia. Tx: IV ABX and Acyclovir. LP.
Age: 94.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: FEVER OF 101 DEGREES, GENERAL ACHES, AND RIGORS.
Age: 30.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Dizziness, Dyspnoea, Headache, Musculoskeletal stiffness
Clinical narrative: Neck stiffness, dizziness, head pain, dry cough and difficult breathing. VS BP 140/80 P 70 R 16. 0.3 epi, transferred to ED.
Age: 45.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site urticaria
Clinical narrative: Unknown reaction to anternox bilaterally.
Age: 24.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: I got very itchy and developed hives and a rash over my chest, arms, and back. This lasted for about 5 hours.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthma, Blood glucose increased, Dyspnoea, Full blood count abnormal, Headache
Clinical narrative: Came to HD for H1N1 vaccine, IM given. Client went to her truck & came back into health dept. SOB with audible wheezing with whistling. 911 called. Taken she walked to clinic room with O2 applied- Epi given.  12/22/09 Hospital ER records received for DOS 11/18/09. Dx: Allergic reaction, Asthma with acute exacerbation precipitated by vac. Patient at local health dept and received H1N1 and after injection c/o SOB and wheezing. Received epie injection. Presented with shortness of breath, wheezing, headache with blurred vision, photophobia and nausea. Treated with dexamethasone, diphenhydramine, ketorolac, promethazine, budesonide nebulizer susp. and albuterol-ipratropium. Discharged.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypersensitivity, Influenza serology negative, Nausea, Oxygen saturation decreased, Phonophobia
Clinical narrative: Came to HD for H1N1 vaccine, IM given. Client went to her truck & came back into health dept. SOB with audible wheezing with whistling. 911 called. Taken she walked to clinic room with O2 applied- Epi given.  12/22/09 Hospital ER records received for DOS 11/18/09. Dx: Allergic reaction, Asthma with acute exacerbation precipitated by vac. Patient at local health dept and received H1N1 and after injection c/o SOB and wheezing. Received epie injection. Presented with shortness of breath, wheezing, headache with blurred vision, photophobia and nausea. Treated with dexamethasone, diphenhydramine, ketorolac, promethazine, budesonide nebulizer susp. and albuterol-ipratropium. Discharged.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Streptococcal identification test negative, Vision blurred, Wheezing
Clinical narrative: Came to HD for H1N1 vaccine, IM given. Client went to her truck & came back into health dept. SOB with audible wheezing with whistling. 911 called. Taken she walked to clinic room with O2 applied- Epi given.  12/22/09 Hospital ER records received for DOS 11/18/09. Dx: Allergic reaction, Asthma with acute exacerbation precipitated by vac. Patient at local health dept and received H1N1 and after injection c/o SOB and wheezing. Received epie injection. Presented with shortness of breath, wheezing, headache with blurred vision, photophobia and nausea. Treated with dexamethasone, diphenhydramine, ketorolac, promethazine, budesonide nebulizer susp. and albuterol-ipratropium. Discharged.
Age: 36.0
Sex: F
Vaccine: VARCEL
Symptoms: Caesarean section, Herpes zoster, Malaise, Polymerase chain reaction, Postpartum state
Clinical narrative: Varicella vesicles - approx 100 located mostly in trunk and extremities; low grade fever, malaise and post partum woman delivered c-section given vaccine prior to discharge from hospital.
Age: 36.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Varicella zoster virus serology positive
Clinical narrative: Varicella vesicles - approx 100 located mostly in trunk and extremities; low grade fever, malaise and post partum woman delivered c-section given vaccine prior to discharge from hospital.
Age: 14.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None reported
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Chills, Cough, Flushing, Throat tightness
Clinical narrative: Approx 12 hours later, airway tightening, chills. Prior) started coughing, flushed, hives. Hx asthma) used albuterol inhaler 2 puffs. 45 mins later able to take 2 BENADRYL-felt better.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Approx 12 hours later, airway tightening, chills. Prior) started coughing, flushed, hives. Hx asthma) used albuterol inhaler 2 puffs. 45 mins later able to take 2 BENADRYL-felt better.
Age: 49.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Swelling, Tenderness
Clinical narrative: She has slight swelling to the left axilla to the left side of the breast. No heat warmth or redness. The area is tender.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Myalgia
Clinical narrative: Pt still feeling soreness, muscle tenderness in arm where vaccine was administered.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Pruritus, Rash, Syncope
Clinical narrative: Rash to face, arms and legs. ITCHY. Dizziness, Syncopal episode
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Abortion threatened, Drug exposure during pregnancy, Vaginal haemorrhage
Clinical narrative: Abdominal cramps and vaginal bleeding diagnosed as threatened abortion in ER. 1/20, 11/24 and 11/30 Medical records received for DOS 11/15/09 Final DX: threatened abortion Presented w/pelvic cramping and dark red vaginal bleeding w/some clots.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Swollen tongue, Urticaria
Clinical narrative: Hives and swelling of tongue. 12/4/2009 records from Allergy MD, most recent visit 11/16/2009 with c/o's urticaria, swelling of face and tongue, headaches, cough and wheezing. Tx'd benadryl  12/9/2009 PCP visit 11/13/2009 patient with c/o's rash. itching Rx'd benadryl
Age: 9.0
Sex: M
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Pruritus, Rash, Swelling face, Swollen tongue
Clinical narrative: Hives and swelling of tongue. 12/4/2009 records from Allergy MD, most recent visit 11/16/2009 with c/o's urticaria, swelling of face and tongue, headaches, cough and wheezing. Tx'd benadryl  12/9/2009 PCP visit 11/13/2009 patient with c/o's rash. itching Rx'd benadryl
Age: 14.0
Sex: F
Vaccine: HPVX
Symptoms: Fatigue, Menstrual disorder, Urticaria
Clinical narrative: I'm not even sure if it related to the vaccine. I'm trying to figure this out. Large red welts buttocks and back torso area. extremely tired. lasted approx. 1hr. noted same on feet. few on legs. gave benadryl, but seemed to be fading prior to dose. next day in school noticed red raised "welts" on fingers. also went away. not sure if this is something to be concerned about, esp. since vaccine was the only most recent change. menses was 21days not 28.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: No known adverse event - patient was given live, attentuated 2009 H1N1 influenza vaccine and then disclosed that she was pregnant.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dysphagia, Swelling face, Swollen tongue, Vomiting
Clinical narrative: VOMITED 2 TIMES, SWELLING OF FACE AND TONGUE, DIFFICULTY SWALLOWING.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Lumbar puncture, Muscular weakness
Clinical narrative: Had numbness and fatigue of muscles in arms and legs.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Malaise, Sensation of foreign body
Clinical narrative: child c/o feeling like something stick in her throat. C/o also generally not feeling well. ZYRTEC liquid 5 mg PO administered. Denies SOB, itching, tongue swelling, etc. Sx subsided after 30 min.
Age: 15.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: Rash that progressed into hives by 11/17/2009; shot epidefrine and Atarax oral; Atarax and Zyrtec prescribed.
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Myalgia, Pyrexia
Clinical narrative: Severe muscle aches three days after injection along with fever one day; lasted 4-5 days then 2-3 days ago began with severe muscle aches. Treated self with Ibuprofen and able to work.  Placed on Cipro by Primary provider today 11-18-09.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test, Crying, Headache, Pain, Scan brain
Clinical narrative: Developed headache around 2pm. Mom gave Ibuprofen at 3:30. Was crying out with pain by 6pm. Took to ER. Scan and bloodwork done: treated w/DEMEROL and headache subsiding by 9pm.
Age: 37.0
Sex: M
Vaccine: YF
Symptoms: Urticaria
Clinical narrative: Broke out in hives. Took BENADRYL and the hives slowly went away. The patient just let us know about this.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Staring
Clinical narrative: Possible sz activity about 2 - 2 1/2 hours after vaccines administered. H/o sz. since infant. This episode, student "stared" for about 2 mins. Emergency personnel and Dad notified. Student transported to hosp. ER via ambulance.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Blood test normal, Chills, Cough, Dysphagia
Clinical narrative: Sore throat, inflamed tonsils, cough, runny nose and post nasal drip, headache, difficulty swallowing and breathing, chills, overall weakness.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Headache, Oropharyngeal pain, Postnasal drip, Rhinorrhoea
Clinical narrative: Sore throat, inflamed tonsils, cough, runny nose and post nasal drip, headache, difficulty swallowing and breathing, chills, overall weakness.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Tonsillar inflammation
Clinical narrative: Sore throat, inflamed tonsils, cough, runny nose and post nasal drip, headache, difficulty swallowing and breathing, chills, overall weakness.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: Patient felt dizzy and numbness in left arm & left leg following the administration of H1N1 vaccine IM. Patient observed & rested for 45 minutes. Given juice. Symptoms resolved and patient went to lunch and then back to class.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1), FLUX
Symptoms: Stridor, Throat tightness, Wheezing
Clinical narrative: Throat closing, wheezing, stridor. 11/18/09 medical records and discharge summary received for DOS 11/02-11/03 FInal DX: Ananphylaxis presumably secondary to influenza vaccine. Episode of throat tightening, stridorous breathing. Steroid and neb tx. Resolved. D/C w/epi-pen.
Age: 1.32
Sex: F
Vaccine: FLU3, HIBV, PNC, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: It appears 15 month old who was suppose to get Dtap- received Tdap- lot # for vaccine as recorded in chart was for Tdap although Dtap recorded as immunization given. No adverse reaction.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Communication disorder, Dyskinesia
Clinical narrative: Pt seen in office 11/16/09. Mother states baby received vaccines on 11/6/09 and since then  baby has had constant lateral motion/jerking of head and is not vocalizing as she used to. Appointment set up with neurologist for 11/19/09.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Cough, Drug exposure during pregnancy, Fatigue, Influenza serology negative
Clinical narrative: On Friday, November 6th 2009 in the Medical Dept. the H1N1 vaccine provided by the Dept. of Health was administered to a 37 y.o. 12 week pregnant woman. She carries the diagnosis of undifferentiated autoimmune disease and had received the approval of the vaccine by her obstetrician. She lives with a 3 1/2 y.o. son who is healthy and received the first of the two H1N1 vaccines from his pediatrician. Day 1 and 2 after the vaccine the patent complained of fatigue. Day 3 coughing, sneezing and fever to 101. Day 4: she felt weak and claims to have passed out. Day 5: 103 fever, PMD advised Tylenol and cold compresses. Day 7: MD tested her in the office for influenza (regular) and was told it was negative. Placed on ZITHROMAX for possible bacterial infection of the lungs. Day 8, 9: fever broke, felt better, still fatigued.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Loss of consciousness, Pyrexia, Sneezing
Clinical narrative: On Friday, November 6th 2009 in the Medical Dept. the H1N1 vaccine provided by the Dept. of Health was administered to a 37 y.o. 12 week pregnant woman. She carries the diagnosis of undifferentiated autoimmune disease and had received the approval of the vaccine by her obstetrician. She lives with a 3 1/2 y.o. son who is healthy and received the first of the two H1N1 vaccines from his pediatrician. Day 1 and 2 after the vaccine the patent complained of fatigue. Day 3 coughing, sneezing and fever to 101. Day 4: she felt weak and claims to have passed out. Day 5: 103 fever, PMD advised Tylenol and cold compresses. Day 7: MD tested her in the office for influenza (regular) and was told it was negative. Placed on ZITHROMAX for possible bacterial infection of the lungs. Day 8, 9: fever broke, felt better, still fatigued.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia
Clinical narrative: Numbness to left arm down to wrist.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Pallor, Rash erythematous
Clinical narrative: Pt had erythematous blanching rash 5 hrs post vaccine - resolved on own/ with Benadryl.
Age: 20.0
Sex: M
Vaccine: FLUN3
Symptoms: Infection
Clinical narrative: Spread a little bit around the infected area, need to use separate bandages.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Fatigue, Feeling cold, Malaise, Pain in extremity
Clinical narrative: Stabbing pain left 5th toe pain pm of 11/13/09 that went throughout night. Woke patient up out of sleep. 11/14/09 cooling sensation left half of body with overall feeling of "fatigue" and sick. 11/15/09. Cool sensation on R/L upper body with joint pain mostly left ankle/knee up through 11/15.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Eye swelling, Local reaction, Sneezing
Clinical narrative: Patient received H1N1 flumist at approx. 1:15pm on 10/30/09. Family noted pt. began sneezing and had some swelling around eyes was taken to PCP was diagnosed as local reaction and given prescription for pediapred 6.7mg/5mL 2 tsp BID x5 days, and OTC BENADRYL.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea
Clinical narrative: Headache, nausea, pulse - 76. Sat down, had a snack.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Bronchitis, Contraindication to vaccination, Cough, Croup infectious, Wheezing
Clinical narrative: Croup & bronchitis. Wheezing and coughing started on day of vaccine administration.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: Lightheaded. Headache - sat down. Pulse - 102.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Nausea, Pallor
Clinical narrative: Felt faint, nauseated, pale, pulse 68, laid down, elevated feet, rested, still felt weak, laid down in nurse's office.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Patient developed a red pin point rash all over her body. Dx: Urticaria. Tx: Prednisone 20mg  qd x4days. Patient currently BID for strep throat.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: Lightheaded, headache, pulse 62. Sat down-put head down.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Vertigo
Clinical narrative: Vertigo-pt rested-recovered.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Tremor
Clinical narrative: Headache, shaky, pulse -80, sat down - put head down
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vertigo
Clinical narrative: Vertigo - Rested - Recovered.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Dizzy-lightheaded-occurred 1st, nausea, H/A, pulse 82-sat down, had a snack.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Tingling in legs after receiving shot. Initial pulse 45, after 2min heart rate 60. Laid down, feet elevated, felt better after resting.
Age: 51.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives-4 hours after vaccine. BENADRYL as needed. Last breakout 13 days later.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Fainted after shot, pulse 60, laid down feet elevated, rested, pulse 60, drank juice, felt better.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug hypersensitivity, Pyrexia, Rhinorrhoea
Clinical narrative: 102 fever, runny nose. Lasted 3 days.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Pyrexia, Rhinorrhoea
Clinical narrative: 102 fever runny nose cough
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Crying, Dizziness, Emotional distress, Fall, Tremor
Clinical narrative: Received H1N1 vaccine injection immediately felt dizzy & shaky fell to floor from a sitting position. Patient crying & upset Vital signs normal no mental status changes. given juice as patent had no eaten breakfast. Observed by a nurse for 1 hour and symptoms resolved and returned to class.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Fall, Fatigue, Hypotonia, Tonic clonic movements
Clinical narrative: Client received H1N1 vaccine in school setting.  Received the shot and returned to the classroom.  Teacher reported client fell to the floor and started jerking in a tonic clonic seizure like manner.  The tonic clonic activity lasted approximately 20 seconds.  After the seizure like activity, client reported he was tired and it was observed by the school nurse that he had a flaccid muscle response.  Client showed awareness of time, place, person and location within 3 minutes.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Dysstasia
Clinical narrative: Gradual onset of right knee intraarticular joint pain, began about 7 hours after the N1N1 IM vaccine administered in the left deltoid. (lot# UPO 21AA Sanofi exp. 4-9-2011). Spontaneous right knee pain increasing in severity until trouble weight bearing. Monoarthritis. Hurts with passive motion, flexing and extending, and weight bearing.   No recent injury or unusual other activity. Afebrile. Mild pain radiating to right hip, but may be due to altered mechanics.  800 mg Ibuprofen q 6 hours and rest and elevation has not yet helped in 1 day. Otherwise healthy 37 year old female with no other health problems.  No other medications, other than MVI.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Throat irritation
Clinical narrative: Within 10 minutes after receiving the H1N1 vaccination injection, red rash appeared on the left arm. Patient complained of an itchy throat. Patient given 1 teaspoon of Benadryl and rash resolved. Returned to class
Age: 75.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Patient started having extreme joint aching.  Took Tylenol and thought would go away.  Did not go away and after 3 days she went to see her physician.  He said to continue to take Tylenol and it should go away.  It has been 12 days and pain has not let up.  Pain is unrelenting and particularly bad in right arm and wrist.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyskinesia, Ear pain, Headache, Lymphadenopathy, Productive cough
Clinical narrative: coughing excessively,mucous from mouth, extreme ear and head pain, swollen lymph nodes, difficult open mouth all the way.
Age: 3.0
Sex: F
Vaccine: FLU3
Clinical narrative: Novartis 2009 H1N1 administered to 3 year old patient.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Diarrhoea, Vomiting
Clinical narrative: Within minutes of getting the nasal spray H1N1 vaccine, my son reported a stomach ache. Within an hour and a half of getting the vaccine, he was vomiting. He contiuned to vomit over the next 5 hours. At the end of this time he had a couple of loose bowel movements.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough
Clinical narrative: COUGHING TREATMENT GIVEN XOPENEX .63 NEBULIZER TV, 1 TEASPOON BENADRYL.  PATIENT ADMITTED TO MEDICAL CENTER.  11/20/09:  Hospital records received for date of service 11/2/09 to 11/3/09.  Dx: Acute bronchospasm. Presented with persistent cough, observed overnight, improved and discharged in the am.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillian-Barre syndrome. 11/20/09 and 11/23/09 DC summaries and hospital records received service dates 10/26/09 to 10/31/09. Assessment: Guillain-Barre. Presented with a 24-hour history of facial weakness and numbness on the left side of his face. Continued to have progressive weakness and difficulty with mobility both sides. IVIG. Some difficulty with swallowing. Patient noted to be drooling. Expiratory wheezing. Speech slurred. Unsteady gait. Iron difficiency anemia. Headache.   11/24/09 Flu questionnaire revealed additional PMH: COPD
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea, Pyrexia
Clinical narrative: N & F 48 hours after vaccine about 40. Nausea and fever lasted for four hours. Onset 48 hours after H1N1 vaccine given. No treatment. Unknown temperature.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Flushing, Headache, Heart rate decreased, Nausea
Clinical narrative: Felt faint, headache, nausea, laid down, elevated feet, pulse 40, rested, pulse rechecked 68, drank juice, still flushed but reports feeling better.
Age: 1.5
Sex: M
Vaccine: FLU(H1N1)
Symptoms: No adverse event
Clinical narrative: No adverse reaction per telephone ?
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), HEPA
Symptoms: Urticaria
Clinical narrative: Patient received on 11/11/2009 for H1N1 oral hepatitis A-broke out in hives 11/12/2009 no Hx of egg allergy.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Cough, Decreased activity, Nasal congestion, Pyrexia
Clinical narrative: My 3-year-old daughter got a H1N1 vaccine of nasal spray preparation on 11/07/2009 at the doctor's office. Medimmune is the manufacturer of the vaccine. She developed a slight fever of 100.2F at night and had a stuffed nose. She could fall asleep after being given half spoon of liquid MOTRIN -J and J product-. The next day, she did not have fever and running nose but looked less active and energetic than usual. She had cough with little production. At the following two nights of 11/08 and 11/09, she continued to have fever of about 100.2 - 100.3F with stuffed nose. We  took her to see a doctor on 11/12. The doctor found her body temperature of 100.2F without other bothers. No actions taken by the doctor. Since then. My daughter has been getting better and almost back to normal today 11/18.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Myalgia, Nausea, Neck pain, Tinnitus
Clinical narrative: Dizziness, ears ringing, muscle pain, nausea, neck pain.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Headache, Joint range of motion decreased, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: Pt's arm became stiff; felt hot behind her ears, then muscles of arms/legs and neck became stiff. Had cramps of calves. Neck felt quite stiff and led to limited ROM of neck and headache.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash
Clinical narrative: RASH, NO DISTRESS, MONITOR, TOPICAL STEROID.
Age: 20.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Erythema of eyelid, Pruritus, Swelling, Urticaria
Clinical narrative: Itchy nose, Swelling/redness to eye lids, Hives, Seen At PCP Office 11/18/2009. Given dose of solu-medrol.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient came into clinic because she just found out that she was pregnant and was concerned about the baby.
Age: 0.17
Sex: M
Vaccine: 6VAX-F, PPV, RVX
Symptoms: Abdominal pain upper, Body temperature increased, Diarrhoea, Irritability, Peripheral coldness
Clinical narrative: Severe runny nose/congestion, stomach cramping, severe diarrhea, low temperature (really cold hands and feet) irritability, rash on face
Age: 0.17
Sex: M
Vaccine: 6VAX-F, PPV, RVX
Symptoms: Rash, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Severe runny nose/congestion, stomach cramping, severe diarrhea, low temperature (really cold hands and feet) irritability, rash on face
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Myalgia, Rash
Clinical narrative: 1 wk after vaccine-rash on chest 12 day after vaccine-general fatigue and muscle aches-rash.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Eye swelling, Headache, Pruritus, Rash
Clinical narrative: Headache, severe itching, shaky, rash on face & neck in evening-on 11/17/09 rash spread to abdomen & legs-eyes swollen mild shortness of breath. Perednisone, x 6 days, DECADRON 4mg IM, BENADRYL 25mg po.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tremor
Clinical narrative: Headache, severe itching, shaky, rash on face & neck in evening-on 11/17/09 rash spread to abdomen & legs-eyes swollen mild shortness of breath. Perednisone, x 6 days, DECADRON 4mg IM, BENADRYL 25mg po.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Influenza
Clinical narrative: Initial report received on 04 November 2009 from a consumer, who is also the patient's mother. The reporter also noted that the patient's sister experienced a non-serious adverse event following vaccination; this event is captured in case number 2009-04730. A three-year-old male patient was diagnosed with Influenza A after receiving H1N1 2009 MONOVALENT - Preservative (lot not reported) on 24 October 2009. According to the patient's mother, the patient was diagnosed with Influenza A via a swab test 48 hours post-vaccination. No additional information was reported. Documents held by sender: None.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, FLUN(H1N1), IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Left arm swelled up, turned red, and got hot to touch. After 3-4 days swelling went away. Fever lasted 24 hours, and went away with TYLENOL.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Balance disorder, Dizziness, Pain in extremity, Pyrexia, Rash generalised
Clinical narrative: 11/11/09 generalized rash. 11/16/09 seen ER off balance, fever, dizzy. 11/18/09 fever hands achy.
Sex: U
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a nurse practitioner concerning a patient who on an unspecified date was vaccinated with a dose of GARDASIL (lot number not available). Subsequently, on an unspecified date the patient experienced seizures after the vaccination. Unspecified medical attention was sought. It was unknown if there were lab studies performed. The outcome of the patient was not reported. Upon internal review, seizures was determined to be an other important medical event. Additional information has been requested.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Migraine, Neck pain
Clinical narrative: Pt states aprox. 6hrs after injection had a neck ache, back ache, and a "migraine" headache. The neck/back ache went away the next day, but headache remained.
Age: 15.0
Sex: F
Vaccine: FLUX, HEP, HPV4, IPV
Symptoms: Convulsion
Clinical narrative: Information has been received from a medical assistant concerning a 15 year old female patient who on an unspecified date was vaccinated with her third dose of GARDASIL (lot # 661953/1130X) and a dose of RECOMBIVAX HB (manufacturer unknown). Concomitant vaccination included Poliovirus vaccine and Influenza virus vaccine (unspecified). After receiving GARDASIL the patient experienced seizures. Unspecified medical attention was sought. Upon internal review, seizure was determined to be an other important medical event. This is one of several reports from the same source. Additional information has been requested.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1), TDAP
Symptoms: Axillary pain, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Swelling and redness at injection site. Some pain and discomfort in arm and underarm.
Age: 15.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Disorientation, Dizziness, Hyperhidrosis, Loss of consciousness, Syncope
Clinical narrative: After sitting for 5 minutes post vacc. injection, left gym, felt dizzy then returned to gym and fainted, face first with LOC x 10 seconds. Initially disoriented, then AAO x 1 hour post fainting spell. BP 90/50, 100/50. Pulse 80-88, disphoric. Rest, observed.
Age: 17.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a medical assistant concerning a 17 year old female patient who on an unspecified date was vaccinated with her second dose of GARDASIL (lot # 661953/1130X) and a dose of RECOMBIVAX HB (manufacturer unknown). After receiving the GARDASIL vaccine the patient experienced seizures. Unspecified medical attention was sought. Upon internal review, seizures were determined to be an other important medical event. This is one of several reports from the same source. Additional information has been requested.
Age: 0.52
Sex: M
Vaccine: RV5
Symptoms: Depressed level of consciousness, Dyskinesia, Hypersensitivity, No reaction on previous exposure to drug, Partial seizures
Clinical narrative: Information has been received from a registered nurse concerning a 6 month old male with no pertinent medical history and no drug allergies, who on 01-jUL-2009 was vaccinated with the first dose of ROTATEQ, on 20-AUG-2009 the second dose, and on 06-NOV-2009 a third "premetered dose" (lot # 664244/0651Y) via oral administration. The patient had been given the first dose and the second dose without any problems at another office. Concomitant therapy included PENTACEL and PREVNAR. The patient returned to the office 0.5 hour later with hives and swelling, shaking, level of consciousness was lower, tongue thrusting, and repetitive tapping of the left arm. The office called 911 and the patient was transported to the emergency room. The patient was diagnosed with an allergic reaction with focal seizure. The patient was not admitted. She was treated in the ER (treatment unknown) and released. The patient was "still working on tests" at the emergency room. The patient recovered from the event, but will be followed by a neurologist because of the focal seizure. The reporter said it was unknown if the events were caused by the vaccines. Allergic reaction with focal seizure was considered to be immediately life-threatening. No further information is available.
Age: 0.52
Sex: M
Vaccine: RV5
Symptoms: Protrusion tongue, Swelling, Tremor, Urticaria
Clinical narrative: Information has been received from a registered nurse concerning a 6 month old male with no pertinent medical history and no drug allergies, who on 01-jUL-2009 was vaccinated with the first dose of ROTATEQ, on 20-AUG-2009 the second dose, and on 06-NOV-2009 a third "premetered dose" (lot # 664244/0651Y) via oral administration. The patient had been given the first dose and the second dose without any problems at another office. Concomitant therapy included PENTACEL and PREVNAR. The patient returned to the office 0.5 hour later with hives and swelling, shaking, level of consciousness was lower, tongue thrusting, and repetitive tapping of the left arm. The office called 911 and the patient was transported to the emergency room. The patient was diagnosed with an allergic reaction with focal seizure. The patient was not admitted. She was treated in the ER (treatment unknown) and released. The patient was "still working on tests" at the emergency room. The patient recovered from the event, but will be followed by a neurologist because of the focal seizure. The reporter said it was unknown if the events were caused by the vaccines. Allergic reaction with focal seizure was considered to be immediately life-threatening. No further information is available.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Bone pain, Insomnia, Myalgia
Clinical narrative: Muscle & bone pain without fever, unable to sleep since 11/13/09. 1 wk prior rec'd seasonal flu shot. "Feels like my bones are in a vise". Diabetes/ Thyroid problems under control.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Cough, Drug exposure during pregnancy, Hypertension, Pain
Clinical narrative: Fever, chills, aches, cough within 12 hours of vaccine admin. Pregnant 30 weeks. Treated with TAMIFLU 75 bid x 5 (she did take for 48 hrs). Had persistent cough. Developed severe preeclampsia. BP 220/120 at 34 weeks + Proteinuria. Individual 4# 2 ounce boy born healthy.  11/19/09:  Primary care records received for date of service 11/11/09.  Dx:  Severe preeclampsia.  Assessment:  Admitted with severe preeclampsia.  Given magnesium sulfate. Induced the next day but had C-Section for fetal distress.  Baby boy born at 4 lbs. 2 ozs.  Apgars 3 and 8 after initial positive pressure ventilation.  Discharged on labetolol.     Labs and diagnostics:  CT/MRI-some swelling of the brain.  PMH:  Allergy to PCN.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pre-eclampsia, Premature labour, Proteinuria, Pyrexia
Clinical narrative: Fever, chills, aches, cough within 12 hours of vaccine admin. Pregnant 30 weeks. Treated with TAMIFLU 75 bid x 5 (she did take for 48 hrs). Had persistent cough. Developed severe preeclampsia. BP 220/120 at 34 weeks + Proteinuria. Individual 4# 2 ounce boy born healthy.  11/19/09:  Primary care records received for date of service 11/11/09.  Dx:  Severe preeclampsia.  Assessment:  Admitted with severe preeclampsia.  Given magnesium sulfate. Induced the next day but had C-Section for fetal distress.  Baby boy born at 4 lbs. 2 ozs.  Apgars 3 and 8 after initial positive pressure ventilation.  Discharged on labetolol.     Labs and diagnostics:  CT/MRI-some swelling of the brain.  PMH:  Allergy to PCN.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Condition aggravated, Culture stool, Diarrhoea, Fluid replacement, Gait disturbance
Clinical narrative: DIARRHEA, LETHARGY AND UNSTEADY GAIT STARTED TWO HOURS AFTER RECEIVING THE IM H1N1 VACCINE LASTING UNTIL 02:00 AM THIS MORNING. SEEN IN ED WHERE HE WAS TREATED WITH IV FLUIDS. STOOL CULTURES OBTAINED. DIARRHEA STARTED AGAIN TODAY AFTER PARENT GAVE CHOCOLATE MILK IN BOTTLE. HAD APPROXIMATELY 23 STOOLS.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Lethargy
Clinical narrative: DIARRHEA, LETHARGY AND UNSTEADY GAIT STARTED TWO HOURS AFTER RECEIVING THE IM H1N1 VACCINE LASTING UNTIL 02:00 AM THIS MORNING. SEEN IN ED WHERE HE WAS TREATED WITH IV FLUIDS. STOOL CULTURES OBTAINED. DIARRHEA STARTED AGAIN TODAY AFTER PARENT GAVE CHOCOLATE MILK IN BOTTLE. HAD APPROXIMATELY 23 STOOLS.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Pain
Clinical narrative: After receiving H1N1 vaccine injection in left arm, patient complained of shooting pain down to fingers in left arm and reported a bad headache. Patient observed by school nurse and given Tylenol. Symptoms resolved and child returned to class.
Age: 1.07
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cardiac disorder, Condition aggravated, Cough, Echocardiogram, Influenza serology
Clinical narrative: Wheezing, Constant Cough- He has a breathing machine & has to have a treatment everyday. Its been causing his heart to work harder. 11/19/09 and 11/20/09 Medical records received for date 9/29/09. DX: Gastroenteritis, URI. Presenting SX: vomiting x2 days, runny nose, cough x3 days. Assessment: (+)congestion, (+)cough, (+)murmur.
Age: 1.07
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Influenza serology negative, Wheezing, X-ray
Clinical narrative: Wheezing, Constant Cough- He has a breathing machine & has to have a treatment everyday. Its been causing his heart to work harder. 11/19/09 and 11/20/09 Medical records received for date 9/29/09. DX: Gastroenteritis, URI. Presenting SX: vomiting x2 days, runny nose, cough x3 days. Assessment: (+)congestion, (+)cough, (+)murmur.
Age: 6.0
Sex: M
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Cough, Fatigue, Malaise, No reaction on previous exposure to drug, Pyrexia
Clinical narrative: Cough, high fever (104.2), malaise, fatigue.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Skin striae, Swelling
Clinical narrative: Swelling on right side of nose and on orbit with streaking on right orbit.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1), UNK
Symptoms: Dyskinesia, Extrapyramidal disorder
Clinical narrative: Extrapyramidal movements.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1), UNK
Symptoms: Dyskinesia, Extrapyramidal disorder, Tremor
Clinical narrative: Extrapyramidal movements.
Age: 1.11
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Body temperature increased, Cough, Fatigue, Insomnia, Irritability
Clinical narrative: He received his second seasonal flu vaccine and first H1N1 vaccine on Saturday.  Sunday afternoon he became cranky and was acting tired.  He started coughing that night and was up and down all night.  His temp reached 101.3 during the early morning hours.  He was very tired that day, continued to cough.  Runny nose started Monday afternoon.  We gave him Motrin starting Monday morning.  Tuesday he woke up with temp of 101.8 and he continued with chest cough and runny nose.  This morning he woke up with temp of 99.8.  We did not give him Motrin during the nights, only during the day.  He still has runny nose and cough today.  He is sleeping through the night again.  He did not react this way after his first seasonal flu vaccine. I did not report this to his doctor so you do not have my permission to contact his doctor.
Age: 1.11
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Lower respiratory tract infection, No reaction on previous exposure to drug, Rhinorrhoea
Clinical narrative: He received his second seasonal flu vaccine and first H1N1 vaccine on Saturday.  Sunday afternoon he became cranky and was acting tired.  He started coughing that night and was up and down all night.  His temp reached 101.3 during the early morning hours.  He was very tired that day, continued to cough.  Runny nose started Monday afternoon.  We gave him Motrin starting Monday morning.  Tuesday he woke up with temp of 101.8 and he continued with chest cough and runny nose.  This morning he woke up with temp of 99.8.  We did not give him Motrin during the nights, only during the day.  He still has runny nose and cough today.  He is sleeping through the night again.  He did not react this way after his first seasonal flu vaccine. I did not report this to his doctor so you do not have my permission to contact his doctor.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site rash, Rash erythematous
Clinical narrative: Upon waking up noticed a flat red rash on the arm that she got her H1N1 vaccine, no itching, no where else on her body. Goes up to her shoulder and down her arm. She also started to take Singulair 5 mg. that day after she was in for her vaccine. She had an appointment that day to see the doctor after she got her vaccine. Mother said she does have flare ups of allergy symptoms.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1), FLU3, PNC, RV5
Symptoms: Convulsion, Electroencephalogram abnormal, Infantile spasms
Clinical narrative: Seizures -- led to an EEG -- diagnosed with idiopathic infantile spasm. 11/19 and 11/20/2009 HR for 11/10-11/12/2009.  Dc Dx infantile spasms Patient with c/o's body jerking, seizure-like activity. LP norm. Tx: ACTH 12/8/2009 DC summary, H&P, Pediatric Neuro consult records for 11/10-11/12/2009, ICD-9 code 780.39 convulsions
Age: 14.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Headache, Vomiting
Clinical narrative: It started with headache, then started vomiting about 1 1/2 hour later.  Vomited 2 more times and continued to have a headache.  Currently at 12:30 PM on 11/18 only slight headache, and keeping soup down so far.
Age: 47.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Lip swelling, Sensory disturbance
Clinical narrative: Lips swollen and tight feeling.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash maculo-papular
Clinical narrative: Fine maculo-papular non-pruritic rash both shins, right>left. Unresponsive to Hydrocortisone 1% cream. Has persisted until today, day 5 after onset.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site urticaria, Pruritus, Urticaria
Clinical narrative: Hives in local area and down arm to finger tips and on neck and shoulder.  Itching.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: At approximately 0940 student complained to Observer that he was getting itchy.  Client evaluated possible red fine rash on lower arms, possible very faint areas to stomach and back.  Student alert and oriented in no acute distress.  0945-Pulse 72 color good alert oriented and talking given Benadryl 12ml orally.  0950- Pulse 72 responsive and talking in no distress.  0955- pulse 72 no change in status or progression of symptoms, 1000- pulse 66 no cmplaints no further itching alert and well oriented continued with redish areas on lower arms (student witn very dry skin) nothing noted on back and stomach.  1015 pulse 66 alert oreinted an very talkative 1030 turned over to School nurse to supervise awaiting parent to pick up child.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Anxiety, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, anxiety with no treatment
Age: 43.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Influenza serology negative, Malaise, Myalgia
Clinical narrative: Myalgias, Malaise, fatigue.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Pain in extremity, Paraesthesia, Paralysis
Clinical narrative: Pain in extremities, numbness, tingling, paralysis.  11/19/09 ED records received service date 11/15/09. Assessment: SOB, tingling all extremities, losing coordination. Patient presents short of breath, tingling in arms and legs, unable to control movements. Breathing labored. Skin warm, flushed. Unable to hold arms up. Transported to higher level facility.  11/23/09 Medical records received service dates 11/15/09 - 11/20/09 Assessment: Probable Guillain-Barre syndrome with possible associated neurogenic bladder. Community-acquired left lower lobe pneumonia. Three days ago patient felt prickly feeling in feet which progressed up legs. Muscle pain and achiness all over. Feet and hands became numb, muscles weak, difficulty moving hands and feet. Diaphragm sore, short of breath, painful to take deep breath. Choking, gagging, tightness in throat. Fever, chills, nonproductive cough. Urinary retention. Suprapubic discomfort. Overweignt. Decreased hand grip strength, cannot lift legs off bed, deep tendon reflexes absent. Cranial Nerve V - sensory deficit. Decreased sensation to pin prick and touch. IVIG given. Headache. Tingling and numbess resolving, strength returning. Diarrhea.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: RASH
Age: 57.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Cough, Fatigue
Clinical narrative: Coughing along with feeling weak and tired.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abortion spontaneous, Cervix haemorrhage uterine, Drug exposure during pregnancy
Clinical narrative: MISCARRAIGE AT 11 WEEKS OF PREGNANCY.  First sign of blood on 11/15 late afternoon, then major cramping on 11/16 around 8 a.m, followed by major blood discharge on 11/16 around noon. 12/07/09 ER records received for DOS 11/18/09. Pt. presented with vaginal bleeding, abdominal pain, onset three days ago. G2 P1, EDD: 06/04/10. Seen by Ob MD in office, US in office showed miscarriage, pt  told to follow up if symptoms worse. DC DX: spontaneous miscarriage-complete 12/08/09 Medical records received for DOS 11/16/09, 11/30/09. Pt. presented on 11/16/09 with h/o vaginal bleeding, which had stopped by time of exam.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pelvic pain
Clinical narrative: MISCARRAIGE AT 11 WEEKS OF PREGNANCY.  First sign of blood on 11/15 late afternoon, then major cramping on 11/16 around 8 a.m, followed by major blood discharge on 11/16 around noon. 12/07/09 ER records received for DOS 11/18/09. Pt. presented with vaginal bleeding, abdominal pain, onset three days ago. G2 P1, EDD: 06/04/10. Seen by Ob MD in office, US in office showed miscarriage, pt  told to follow up if symptoms worse. DC DX: spontaneous miscarriage-complete 12/08/09 Medical records received for DOS 11/16/09, 11/30/09. Pt. presented on 11/16/09 with h/o vaginal bleeding, which had stopped by time of exam.