chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Patient reported her whole right side of her body felt a tingling sensation on 11/21/09 starting at 2:00 pm after receiving the H1N1 vaccine. Patient reported she called her physician on 11/22/09 but was not seen by him.
Age: 16.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Headache, Hypersomnia, Lethargy, Malaise, Somnolence
Clinical narrative: Approx 2 hours after receiving the vaccine he felt lethargic with headache and malaise.  He fell asleep on his desk at school (this child has never done that before) and then came home feeling lethargic, went to bed and slept for a total of 19 hours straight.  He had no other neurologic symptoms, no respiratory symptoms, and felt well the following day.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthma, Condition aggravated
Clinical narrative: Complained of having an asthma attack. Monitored for 30 minutes, gave IM Benedryl 25 mg, then evaluated at ER by physician. Child did not have rescue inhaler with him at school, and parents could not be reached by telephone.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site pain, International normalised ratio, Prothrombin time
Clinical narrative: patient awoke to find upper arm from above injection site to elbow ecchymotic, with firm painful area at site of injection.  Patient did see personal physician 11/24/09.
Age: 34.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: Accidentally given nasal mist H1N1, and is pregnant. Left clinic with no complaints. T/C x 2 - no answer.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash papular
Clinical narrative: Received vaccination about 0900 & began itching about 1400. BENADRYL given at 1500. Sent to doctor's office at 1600. Denies any resp. distress. Diffuse red, non-raised rash noted to neck, arms & truck.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Catheterisation cardiac normal, Chest pain, Condition aggravated, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: May be a duplicate said he thought report filed in 2003 10/31/03, Flu vaccine (IM). Around 11/4/03, developed flu-like sx's. 11/8/03, felt winded. 11/10/03, progressed to SOB and mild chest pain. 11/14/03, awoke w/crushing CP ->ER-> admitted to Medical Center. April 2004, recurrence CP w/viral type sx's (no eval), self tx'd with NSAIDS with resolution. No recurrence since then.  12/3/09 Medical records received for date 11/18/09. DX: myocarditis, pericarditis. Medical records from VHC.  Pt states received flu vax 10/31/03, experienced chest pain, winded, SOB 11/10/03, crushing chest pain 11/14/03. Pt dx w/ myocarditis in <30days post vaccination. This form was from VHC for consult to have waiver for influenza and H1N1 vax due to h/o. VHC recommended a grant for waiver due to adverse event. Pt is military.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Enzyme abnormality, Influenza like illness
Clinical narrative: May be a duplicate said he thought report filed in 2003 10/31/03, Flu vaccine (IM). Around 11/4/03, developed flu-like sx's. 11/8/03, felt winded. 11/10/03, progressed to SOB and mild chest pain. 11/14/03, awoke w/crushing CP ->ER-> admitted to Medical Center. April 2004, recurrence CP w/viral type sx's (no eval), self tx'd with NSAIDS with resolution. No recurrence since then.  12/3/09 Medical records received for date 11/18/09. DX: myocarditis, pericarditis. Medical records from VHC.  Pt states received flu vax 10/31/03, experienced chest pain, winded, SOB 11/10/03, crushing chest pain 11/14/03. Pt dx w/ myocarditis in <30days post vaccination. This form was from VHC for consult to have waiver for influenza and H1N1 vax due to h/o. VHC recommended a grant for waiver due to adverse event. Pt is military.
Age: 18.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Pain, Photophobia
Clinical narrative: Patient complains of severe headache on 11-20-09 at 4:00 am with throbbing pain in head and sensitive to light. Patient states OTC TYLENOL or MOTRIN would not stop pain. Headache lasted 5 1/2 hours. Pt has appt with clinic 11-25-09 at 9:00 am for evaluation. C/O headache  4 hrs/day after FLUMIST given.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral, Paraesthesia
Clinical narrative: C/o of tingling down both arms. Notified at 225 pm. Stated tingling occurred shortly after returning to dept and persisted with swelling of hands sent & reported to ED/EH for evaluation. Denied any further symptoms following day.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Swelling face
Clinical narrative: Face swollen, headache, dizzy.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Loss of consciousness, Pallor, Vomiting
Clinical narrative: As mother and child were leaving the clinic, the child became pale and passed out. She then vomited. Allowed her to sit quietly and observed.  Called 911 who observed but then she was allowed to go home with mother.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Injection site itching, swelling.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Immediate post-injection reaction, Pruritus, Urticaria
Clinical narrative: Developed hives and itching, and shortness of breath almost immediately after taking injection at the school based clinic.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Balance disorder, Blood calcium increased, Blood creatine phosphokinase normal
Clinical narrative: PT RECEIVED THE H1N1 VACCINE AT THE STATE DEPARTMENT ON STATED DATE. ON 11/14, RASH AND REDNESS ON FACE, TINGLING IN FOREARMS/HANDS, PERIORAL TINGLING. OVER NEXT FEW DAYS DEVELOP DYSESTHESIAS OF FEET, THEN PROGRESSED TO WEAKNESS. THEN FEELING UNSTEADY AND REQUIRES EFFORT TO STOP FROM FALLING. PATIENT WAS ADMITTED ON 11/23. PRIMARY CARE PROVIDER AND NEUROLOGIST SUSPECT GUILLAIN-BARRE SYNDROME. 12/04/09  Discharge summary and hospital records received for DOS 11/23/09-12/01/09.  Pt. presented with tingling in arms and legs, weakess and fatigue that gradually progessed over 2 weeks since receiving H1N1 vaccination. Neurology consult obtained. Treated with steroids and Neurontin for pain titration. Motor function improved, but paresthesias and dysesthesias persisted at time of transfer to rehabilitatave facililty. DC DX: Questionable Guillain-Barre syndrome secondary to H1N1 vaccine.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood thyroid stimulating hormone normal, Blood urea normal
Clinical narrative: PT RECEIVED THE H1N1 VACCINE AT THE STATE DEPARTMENT ON STATED DATE. ON 11/14, RASH AND REDNESS ON FACE, TINGLING IN FOREARMS/HANDS, PERIORAL TINGLING. OVER NEXT FEW DAYS DEVELOP DYSESTHESIAS OF FEET, THEN PROGRESSED TO WEAKNESS. THEN FEELING UNSTEADY AND REQUIRES EFFORT TO STOP FROM FALLING. PATIENT WAS ADMITTED ON 11/23. PRIMARY CARE PROVIDER AND NEUROLOGIST SUSPECT GUILLAIN-BARRE SYNDROME. 12/04/09  Discharge summary and hospital records received for DOS 11/23/09-12/01/09.  Pt. presented with tingling in arms and legs, weakess and fatigue that gradually progessed over 2 weeks since receiving H1N1 vaccination. Neurology consult obtained. Treated with steroids and Neurontin for pain titration. Motor function improved, but paresthesias and dysesthesias persisted at time of transfer to rehabilitatave facililty. DC DX: Questionable Guillain-Barre syndrome secondary to H1N1 vaccine.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: CSF glucose normal, CSF lymphocyte count normal, CSF protein increased, CSF white blood cell count increased, Dysaesthesia
Clinical narrative: PT RECEIVED THE H1N1 VACCINE AT THE STATE DEPARTMENT ON STATED DATE. ON 11/14, RASH AND REDNESS ON FACE, TINGLING IN FOREARMS/HANDS, PERIORAL TINGLING. OVER NEXT FEW DAYS DEVELOP DYSESTHESIAS OF FEET, THEN PROGRESSED TO WEAKNESS. THEN FEELING UNSTEADY AND REQUIRES EFFORT TO STOP FROM FALLING. PATIENT WAS ADMITTED ON 11/23. PRIMARY CARE PROVIDER AND NEUROLOGIST SUSPECT GUILLAIN-BARRE SYNDROME. 12/04/09  Discharge summary and hospital records received for DOS 11/23/09-12/01/09.  Pt. presented with tingling in arms and legs, weakess and fatigue that gradually progessed over 2 weeks since receiving H1N1 vaccination. Neurology consult obtained. Treated with steroids and Neurontin for pain titration. Motor function improved, but paresthesias and dysesthesias persisted at time of transfer to rehabilitatave facililty. DC DX: Questionable Guillain-Barre syndrome secondary to H1N1 vaccine.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Haemoglobin normal, Muscular weakness, Paraesthesia, Paraesthesia oral
Clinical narrative: PT RECEIVED THE H1N1 VACCINE AT THE STATE DEPARTMENT ON STATED DATE. ON 11/14, RASH AND REDNESS ON FACE, TINGLING IN FOREARMS/HANDS, PERIORAL TINGLING. OVER NEXT FEW DAYS DEVELOP DYSESTHESIAS OF FEET, THEN PROGRESSED TO WEAKNESS. THEN FEELING UNSTEADY AND REQUIRES EFFORT TO STOP FROM FALLING. PATIENT WAS ADMITTED ON 11/23. PRIMARY CARE PROVIDER AND NEUROLOGIST SUSPECT GUILLAIN-BARRE SYNDROME. 12/04/09  Discharge summary and hospital records received for DOS 11/23/09-12/01/09.  Pt. presented with tingling in arms and legs, weakess and fatigue that gradually progessed over 2 weeks since receiving H1N1 vaccination. Neurology consult obtained. Treated with steroids and Neurontin for pain titration. Motor function improved, but paresthesias and dysesthesias persisted at time of transfer to rehabilitatave facililty. DC DX: Questionable Guillain-Barre syndrome secondary to H1N1 vaccine.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Platelet count normal, Rash, Red blood cells CSF positive, White blood cell count increased
Clinical narrative: PT RECEIVED THE H1N1 VACCINE AT THE STATE DEPARTMENT ON STATED DATE. ON 11/14, RASH AND REDNESS ON FACE, TINGLING IN FOREARMS/HANDS, PERIORAL TINGLING. OVER NEXT FEW DAYS DEVELOP DYSESTHESIAS OF FEET, THEN PROGRESSED TO WEAKNESS. THEN FEELING UNSTEADY AND REQUIRES EFFORT TO STOP FROM FALLING. PATIENT WAS ADMITTED ON 11/23. PRIMARY CARE PROVIDER AND NEUROLOGIST SUSPECT GUILLAIN-BARRE SYNDROME. 12/04/09  Discharge summary and hospital records received for DOS 11/23/09-12/01/09.  Pt. presented with tingling in arms and legs, weakess and fatigue that gradually progessed over 2 weeks since receiving H1N1 vaccination. Neurology consult obtained. Treated with steroids and Neurontin for pain titration. Motor function improved, but paresthesias and dysesthesias persisted at time of transfer to rehabilitatave facililty. DC DX: Questionable Guillain-Barre syndrome secondary to H1N1 vaccine.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea, Pain
Clinical narrative: Generalized body aches 24 hrs after injection.  Generalized body aches and slight nausea 48 hours after injections. No fever, No other complaints.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Osteoarthritis
Clinical narrative: 3 d after vaccine admin c/o pain hands/ fingers, toes, elbows. Already had heberdens nodes c/w OA; She believes these larger now. No other new med. No constitutional Sxs.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Patient admitted for spontaneous abortion 12 weeks into pregnancy. She had received the H1N1 vaccine approximately 1 week earlier. She is Gravida 8, Para 4 - 0- 3- 4. The attending asked that this report be filed at the patients demands. 12/8 and 12/9/2009 MR, ED records for 11/20/2009, operative reports for 11/18 and 11/21/2009. Patient was 12 weeks pregnant, had US done on 11/16/2009 which noted no FHT, patient had a D&C on 11/18/2009. Presented to ED on 11/20/2009 with c/o's fever, malaise, nausea/vomiting and severe abdominal pain, a repeat Pelvic US was done which noted retained products of conception, a repeat D&C was done, and tx'd with IV ABX 12/31/2009 OB-GYN prenatal visits.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Ultrasound scan, Uterine dilation and curettage
Clinical narrative: Patient admitted for spontaneous abortion 12 weeks into pregnancy. She had received the H1N1 vaccine approximately 1 week earlier. She is Gravida 8, Para 4 - 0- 3- 4. The attending asked that this report be filed at the patients demands. 12/8 and 12/9/2009 MR, ED records for 11/20/2009, operative reports for 11/18 and 11/21/2009. Patient was 12 weeks pregnant, had US done on 11/16/2009 which noted no FHT, patient had a D&C on 11/18/2009. Presented to ED on 11/20/2009 with c/o's fever, malaise, nausea/vomiting and severe abdominal pain, a repeat Pelvic US was done which noted retained products of conception, a repeat D&C was done, and tx'd with IV ABX 12/31/2009 OB-GYN prenatal visits.
Age: 9.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Feeling hot, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: My daughter received the H1N1 vaccine on the 17th of this month. The next morning I found a rash on her thigh just below the injection site. She said that it hurt and it was itching, and it felt warm to the touch. I phoned the nurse who administered the vaccination to see if this was a known reaction. She stated that she was not aware of any localized rashes from the vaccine. She asked questions, and it was determined that neither one of us knew what had caused this reaction, but the nurse felt that it was possibly contact dermatitis. My daughter still has the rash on her thigh today, however it has spaced itself out more bumps are no longer really close together. This is the only area on her body that this occurred. I just wanted to make the organization aware of this reaction, as I believe it is due to the vaccination. My daughter is scheduled to have the next injection in a month, we will see if this rash appears again. I should also add that my other 2 daughters received the vaccine the same day in the arm without any rashing.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Muscular weakness, Swelling, Urticaria
Clinical narrative: Mom reports pt. started w/faint red spots on lower limbs on 11/23/09, spots spread only from waist down, reports weakness and swelling in hands and feet/legs.  12/03/09 MR received for DOS 11/28/09. DX: Pt c/o rash, purpura, painfull swelling in joints. Tx: prednisone. DX: HenochSchönlein purpura.  12/14/09 Vaccine record received for 11/17/09.  12/14/09 MR received for 11/25/09. Pt was seen in clinic for rash, bilateral rash in legs, muscle weakness. Pt was alert in examination. Systems review: negative.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Generalised oedema, Headache, Nausea, Swelling
Clinical narrative: Developed headache, nausea, generalized body swelling 5-20 minutes after shot given - denied shortness of breath, wheezing, or other respiratory symptoms - did not seek medical treatment. Starting swelling is resolving on its own - Denied allergies of previous adverse reactions to vaccines until after reaction occurred.
Age: 61.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Patient developed nausea and vomiting 45 minutes after receiving H1N1 vaccine. Given Phenergan and APAP with resolution of sx.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Headache, Migraine
Clinical narrative: Employee had migraines not relieved by IMITREX after vaccination. No additional treatment was needed.
Age: 72.0
Sex: F
Vaccine: HIBV
Symptoms: Anaphylactic reaction, Pruritus
Clinical narrative: Patient was administered ACTHIB vaccine approximately 1430 on 11/03/2009. According to RN, patient had an anaphylactic reaction within 1 hour of vaccine. However, the patient was started on PCA DILAUDID that morning; therefore anaphylaxis due to DILAUDID cannot be ruled out. Patient was given Methylprednisolone 125 mg IVP around 1500 and again at 22:00. Patient was given cimetidine 300 mg IV once at 15:00. Pt recovered from anaphylaxis with this regimen but had residual symptoms. She complained of itching for 4 days and was given diphenhydramine 12.5 mg prn to treat. Patient was switched from DILAUDID to morphine due to possibility that DILAUDID caused the reaction. There was no cross reactivity reported and she has received morphine for several days with no adverse reactions, DILAUDID was not reintroduced.
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abnormal sensation in eye, Cough, Dizziness, Respiratory tract congestion
Clinical narrative: Persistent Coughing, dizziness, Lightheadedness, congestion, still continuing to a degree, pressure behind eyes.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Injection site erythema, Injection site rash, Injection site swelling, Paraesthesia
Clinical narrative: I received a Zoster vaccine on October 7, 2009. As may happen, my upper arm became very swollen, red and rashy all the way around. This lasted about five days. More trouble was the series of clear blisters that appeared on my abdomen that itched like mad and did not go away for a week. I also now have two areas on my upper back that have been burning, and very sensitive to the touch of even the softest fabric. There does not appear to be anything visible in these areas, but the pain is very real and not subsiding. I am very healthy and have never had any reaction to any other vaccine such as the seasonal flu shot I get each year. I have no conditions that would compromise my immune system and did not have any colds or allergies at the time of my shot. I feel as if the Zoster vaccine has given me shingles instead of protecting me against them. Based on my experience, I would not have gotten the shot if I had known and I do not believe that it should be recommended for most people.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Skin burning sensation
Clinical narrative: I received a Zoster vaccine on October 7, 2009. As may happen, my upper arm became very swollen, red and rashy all the way around. This lasted about five days. More trouble was the series of clear blisters that appeared on my abdomen that itched like mad and did not go away for a week. I also now have two areas on my upper back that have been burning, and very sensitive to the touch of even the softest fabric. There does not appear to be anything visible in these areas, but the pain is very real and not subsiding. I am very healthy and have never had any reaction to any other vaccine such as the seasonal flu shot I get each year. I have no conditions that would compromise my immune system and did not have any colds or allergies at the time of my shot. I feel as if the Zoster vaccine has given me shingles instead of protecting me against them. Based on my experience, I would not have gotten the shot if I had known and I do not believe that it should be recommended for most people.
Age: 0.35
Sex: F
Vaccine: RV5
Symptoms: Blood bilirubin increased, Blood bilirubin unconjugated increased, Haemolysis, Sepsis
Clinical narrative: Trend of elevation of total and direct bilirubin levels. Pt is a 4.5 mo female infant born with Gastroschisis requiring first day of life bowel reaction surgery with colostomy. Patient had reversal of ostromy on 9/1/09. This patient has had an elevation of bilirubin levels, likely secondary to TPN cholestasis since initial evaluation. She is enrolled FDA IND #13843 study to evaluation Rotateq vaccine in infants with short Bowel Syndrome. According to her pediatric surgeons, she is not in need of a transplant of liver/sm. bowel. Bilirubin can be elevated from red blood cell hemolysis or sepsis, of which this patient has also had during this course. However, her bilirubin levels remain elevated, which can be considered normal in some SBS infants. She has received 2 doses of study vaccine: dose #1 on 7/31/09 and dose #2 on 9/25/09.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Computerised tomogram, Dyspnoea, X-ray
Clinical narrative: Pt complained of SOB and chest pain at 1:10 pm approx. 2 hours after receiving H1N1 vaccine Pt did eat chicken from KFC prior to SOB and chest pain. Pt took BENADRYL, pt went to ER for treatment.   12/07/09 & 12/16/09:  ED Records for date of service 11/23/09.   Possible reaction to influenza vaccine.  Pregnant pt. presents with SOB, L pleuritic pain, fever.  Given nebulizer/steroid treatment without improvement.  Discharged in stable condition.  Advised not to take flu vaccine again.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Local reaction, Local swelling
Clinical narrative: 4:10 pm local reaction after vaccine: swelling - redness. Ice applied right away and supervisor notified. Vital signs checked - monitored -BENADRYL given st flared in @ arm area. Swelling disappeared after 1 hr.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Influenza serology positive, Oropharyngeal pain, Pyrexia
Clinical narrative: Pt with H1N1 shot given 11/19 - started with h/a / sore throat / fever 11/20 and tested positive for influenza A 11/23.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Feeling hot, Injection site erythema
Clinical narrative: Client received H1N1 injectable vaccine at approximately 11:00 am and presented at 11:40 am stating "my upper body feels on fire" with noticeable erythema at site and injection. Along with erythema along B shoulders and back, chest. Administered CLARINEX po and ice pack.
Age: 48.0
Sex: U
Vaccine: UNK
Symptoms: Amnesia, Computerised tomogram, Pain, Pain in extremity
Clinical narrative: I had the shot at 1:30pm on 11/18/09. App 1 hr later I had memory loss for about 4 hrs. I went to the ER and was examined and had a CT scan of the head. Everything was neg. About 5hrs later I started remembering the last few hrs. 11/25/09 My Body aches all over still after 1 week my right arm hurts when I move it. It feels like when I move it it falls out of place.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Pain in extremity
Clinical narrative: 4:50 20 minutes with GARDASIL injection #1, pt c/o Left leg hurting, stating "I know I received shot in my left arm, but my leg hurts like I had the shot in my leg." Pt also c/o dizziness. BP 110/60, P76, R20. Pt had not eaten or drank anything all day. H/o hypoglycemia. Provided juice and crackers Pt felt better. Dizziness gone. At 15:15 pt discharged per Dr - leg was still painful.
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Cold compress therapy, Injection site erythema, Pruritus
Clinical narrative: L arm 6.5cm x 7.0cm focal erythema at site of yellow fever injection with associated pruritus first noticed yesterday. Current tx: Naproxen, cold compresses, ZYRTEC and atarax as directed.
Age: 49.0
Sex: F
Vaccine: FLU3, HEP, HEPA, MMR, YF
Symptoms: Contusion, Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Musculoskeletal stiffness
Clinical narrative: Left upper arm - bruise.  Immediately after shot her arm "felt like something was traveling down it and also to back of neck".  Neck felt stiff.  Nurse told her to move arm around & that it was a ice volume of vaccine.  Left lower arm - redness around site with slight itch (2X1 inch).  Noticed this on Sunday 11-22-09.  Took ALEVE.  Today informed if symptoms worsened to seek medical evaluation.  States she feels fine.
Age: 1.1
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Flushing, Pruritus, Rash
Clinical narrative: Child became flushed with rash on trunk, face, and legs, and begin to scratch. Administered BENADRYL .2mg IM LAT, itching
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Pt called 11/24/09 and stated she started with sweating, lightheadedness, dizziness on Saturday. No redness, warmth noted any feels better today, was just wondering if related to injection.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Influenza, Joint range of motion decreased, Musculoskeletal pain, Pain
Clinical narrative: Pain in left arm from shoulder down to elbow for about 24hrs.  Symptoms went away.  Diagnosed with Influenza A 14 days after receiving the vaccine, arm pain began again at this time and has been off and on occasionally since.  Until 11/24/09, severe arm pain from shoulder down to elbow causing limited range of motion with severe pain.  11/30/09 Vaccination records received for H1N1 administered on 10/16/09   12/01/09 OB Visit notes for DOS 11/24/09: DX: Pain in left arm from shoulder down to elbow.  Pt developed pain in left arm from shoulder down to elbow within 24hrs of receiving the H1N1 vaccine. Symptoms went away. On 11/24/09, Pt complained of arm pain again which got worse after Pt was diagnosed with influenza A causing limited range of motion.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity
Clinical narrative: Pain in left arm from shoulder down to elbow for about 24hrs.  Symptoms went away.  Diagnosed with Influenza A 14 days after receiving the vaccine, arm pain began again at this time and has been off and on occasionally since.  Until 11/24/09, severe arm pain from shoulder down to elbow causing limited range of motion with severe pain.  11/30/09 Vaccination records received for H1N1 administered on 10/16/09   12/01/09 OB Visit notes for DOS 11/24/09: DX: Pain in left arm from shoulder down to elbow.  Pt developed pain in left arm from shoulder down to elbow within 24hrs of receiving the H1N1 vaccine. Symptoms went away. On 11/24/09, Pt complained of arm pain again which got worse after Pt was diagnosed with influenza A causing limited range of motion.
Age: 2.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Pyrexia
Clinical narrative: PATIENT HAD FEVER AND FATIGUE FOLLOWING THE ADMINISTRATION OF H1N1 VACCINE.
Age: 14.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Red, itchy, rash over arms and legs. Saw MD who thought might be reaction to flumist.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Injection site swelling (golfball sized). Generalized pain and swelling from shoulder to elbow on side of injection.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood thyroid stimulating hormone, Hypoaesthesia facial, Oropharyngeal pain, Pain
Clinical narrative: Sore throat and body aches.  Numbness in lower legs, face and arm starting on 11/19/2009.  Better in the morning and worsens as day progresses.  12/07/09 MR received for DOS 11/20/09 DX: numbness bilateral extremities, transverse myelitis, facial numbness. Pt c/o sore throat, dizziness, muscle aches and numbness s/p H1N1 vaccine. Numbness is in LE, face, mouth, tongue, and body.
Age: 55.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Urticaria
Clinical narrative: Broke out with Hives on Sunday 11/22/2009.
Age: 28.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Blister, Muscle tightness, Pruritus
Clinical narrative: 6:00 am client noticied 2 blister type bumps on right side of chin area, then Saturday morning there was 12 more blister type bumps, c/o itiching and tightness in the chin.
Age: 6.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Headache, Pyrexia
Clinical narrative: High Fever 102 - Headache - Gave him Tylenol.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Ageusia, Asthenia, Computerised tomogram, Dysphagia, Dyspnoea
Clinical narrative: On 11/23/09, About 20 - 30 minutes after recieving the H1N1 vaccine had tingling from the top of the left ear going down the left jaw about 1 1/2 inches up the skin. The next day tingling was replaced by numbness. Described as the feeling you get from a shot of novacaine  at the dentists office. Today 11/25/09 numbing feeliling not as strong but has extended to the corner of her mouth on the left side and to the corner of the left eye. On Wed. night 11/25/09 she couldn't taste anything on the left side of her tongue and was giving some generalized weakness she went to bed and the next morning when she woke up she was having difficulty breathing and swallowing. She went to the ER and the physician did a neurologic assessment on her and a CT scan to rule out stroke. He felt she had possible transient localized left cranial neuritis on the left side and started her on steroid dose pack. She told the nurse at the times she has transient tingling in her hands. Other then all this she said she feels okay. No fever or sense of feeling sick. She is still working. The difficulty breathing has subsided for now but is still having trouble swallowing. Thanks.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia facial, Hypoaesthesia oral, Paraesthesia
Clinical narrative: On 11/23/09, About 20 - 30 minutes after recieving the H1N1 vaccine had tingling from the top of the left ear going down the left jaw about 1 1/2 inches up the skin. The next day tingling was replaced by numbness. Described as the feeling you get from a shot of novacaine  at the dentists office. Today 11/25/09 numbing feeliling not as strong but has extended to the corner of her mouth on the left side and to the corner of the left eye. On Wed. night 11/25/09 she couldn't taste anything on the left side of her tongue and was giving some generalized weakness she went to bed and the next morning when she woke up she was having difficulty breathing and swallowing. She went to the ER and the physician did a neurologic assessment on her and a CT scan to rule out stroke. He felt she had possible transient localized left cranial neuritis on the left side and started her on steroid dose pack. She told the nurse at the times she has transient tingling in her hands. Other then all this she said she feels okay. No fever or sense of feeling sick. She is still working. The difficulty breathing has subsided for now but is still having trouble swallowing. Thanks.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Headache, Heart rate increased, Wheezing
Clinical narrative: Elevated heart rate, 25 BPM. Trouble Breathing, Headache, wheezing. Laid down made it easier to breath, almost went to emergency room.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Itchy and red hive-like rash on legs and stomach/chest. From Monday afternoon to Tuesday evening. Gave him Benadryl, and had to give him Claritin.
Age: 11.0
Sex: U
Vaccine: DTIPV, MMR
Symptoms: Epilepsy, Pyrexia, Status epilepticus
Clinical narrative: Case received on 30-OCT-2009, reference: NL-NVI-17641.09.006. Information has been received from a public health physician concerning an 11 year old patient with Lennox-Gastaut syndrome who on 01-OCT-2009 was vaccinated subcutaneously with a dose of MMR II (lot number not reported) (manufacturer probably "SPMSD") and intramuscularly with a dose of DT+IPV (manufacturer NVI). On 05-OCT-2009 at 16:00, 4 days after vaccination, the patient experienced epileptic fit/status epilepticus and fever in the evening. No details provided concerning hospitalization dates or duration. The patient outcome is not explicitly reported in the report, but is considered to be recovered. The primary reporter commented: According to the father, the neurologist had said that the status epilepticus was caused by the DT+IPV. To the opinion of the reporter ( a municipal public health physician) there was no causal relationship. Other business partner number included E200910744. No further information is available.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Injection site warmth, Rash pruritic
Clinical narrative: Received her vaccine at a school health clinic (not our office).  C/o itchy rash, lightheaded, warmth to site of shot.  Took 50 mg BENADRYL, took a nap, woke up with all symptoms resolved.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Pruritus
Clinical narrative: Received her vaccine at a school health clinic (not our office).  C/o itchy rash, lightheaded, warmth to site of shot.  Took 50 mg BENADRYL, took a nap, woke up with all symptoms resolved.
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Hypersensitivity, Rash generalised
Clinical narrative: Received her vaccine at a school health clinic (not our office).  C/o itchy rash, lightheaded, warmth to site of shot.  Took 50 mg BENADRYL, took a nap, woke up with all symptoms resolved.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity, Purpura, Rash macular
Clinical narrative: Quarter size lump appeared proximal to R anticubital area before leaving vacc clinic but was not shown to any staff. Arm from wrist to shoulder became blotchy when leaving and turned to a purplish red blotchiness. Pain reported full extent of arm but decrease by next day. Blotchiness gone by next day. Lump remained but decrease over next 5 days and when finally assessed by medical personnel there was very small if any, lump. Pt was given ibuprofen and ice packs on arm during the 1st evening, following vaccine.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Pruritus, Rash, Urticaria
Clinical narrative: Pt took hot shower at 10:30 PM on 11/24/2009 prior to bed, at around 1 am pt started itching on legs and felt heavy breathing, after awhile he got up and noticed hive like rash on trunk,legs and arms.  Called ER and then went into ER.  They treated him with liquid Benadryl.  When RN called him at 11:00 am 11/25/2009 pt was better but still had hives. Continue as ordered to take Benadryl.
Age: 57.0
Sex: F
Vaccine: MEN, TTOX
Symptoms: Erythema, Fatigue, Feeling hot, Headache, Incorrect dose administered
Clinical narrative: The nurse gave me a double dose of meningococcal vaccine by mistake.  I also received a tetanus vaccination.  I have never had a reaction to a tetanus vaccination, so I believe the reaction was due to the double dose of meningococcal vaccine.  That evening, I felt nauseated.  The next morning, I had a headache, whole body ache, fatigue, hot red face, and I felt sick.  Friday morning, 11/20/2009, I went back to the doctor's office.  The nurse said I had a low fever.  I felt sick all weekend, but gradually less.  On Monday, I felt almost completely better.
Age: 57.0
Sex: F
Vaccine: MEN, TTOX
Symptoms: Malaise, Nausea, Pain, Pyrexia
Clinical narrative: The nurse gave me a double dose of meningococcal vaccine by mistake.  I also received a tetanus vaccination.  I have never had a reaction to a tetanus vaccination, so I believe the reaction was due to the double dose of meningococcal vaccine.  That evening, I felt nauseated.  The next morning, I had a headache, whole body ache, fatigue, hot red face, and I felt sick.  Friday morning, 11/20/2009, I went back to the doctor's office.  The nurse said I had a low fever.  I felt sick all weekend, but gradually less.  On Monday, I felt almost completely better.
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Swelling face, Urticaria
Clinical narrative: Hives around neck and chest. Swellness of face.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Miscarriage on 11/20/09. 12/2/09 OB medical records received, no other info provided. MR encounter date 11/23/09. (+)HCG test 11/11/09 LMP 9/25/09.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient started itching and turning red on the right side where vaccine was administered.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test, Cardiac stress test, Chest pain, Electrocardiogram, Nausea
Clinical narrative: Severe pain in chest, nausea.
Age: 54.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: X-ray
Clinical narrative: Severe pain in chest, nausea.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Swelling, Urticaria
Clinical narrative: Swelling and "welts" of face, welts on neck, shoulders, and arms.  Noted within 1 hour of vaccine administration, then spontaneously resolved over the next 1 hour.  No wheezing, stridor, or other respiratory difficulty.  Benadryl 12.5 mg/5 ml, 1-1/2 tsp given via g-tube in office after evaluation.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Facial palsy, Lumbar puncture, Nuclear magnetic resonance imaging brain
Clinical narrative: Right side Bell's Palsy. 2 weeks later, bilateral facial paralysis. Diagnosed as Bilateral Bell's Palsy pending further medical testing. Took one course of Famvir antiviral beginning 11/3/09, prednisone 11/20/09-11/25/09. 12/03/09 PCP records received for DOS 10/26/09,  12/10/09 Opthalmology records received for DOS 11/10-11/24/09. Pt. presents with flashing lights in both eyes. DX: myopic changes, both eyes; no  signs of tears or detachments; photopsia, both eyes; bilateral sequential 7th nerve palsies 12/14/09 Neurology records received for DOS 11/20/09, 11/24/09, 12/07/09. Pt reports slight improvement in the left side of  face; has not noticed any improvement in the sense of smell. Reports loss of sense of taste.  DX: Bilateral Bell palsy/multiple cranial neuropathies
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood test, Computerised tomogram, Convulsion, Electroencephalogram, Psychomotor skills impaired
Clinical narrative: Fainting, seizures, lost motor skills. Patient was hospitalized for two days at the neurological wing of the hospital and she was placed on some medications for depression (Note) patient has never been diagnosed for depression. (Note) no neurologocal problems were found.  11/26/09 HP Admission for DOS 11/19/09: DX: Anxiety  Pt developed pain and swelling in her right biceps at the site of H1N1 vaccine injection few hours after receiving the vaccine. At the same time Pt developed SOB, lightheadedness, and near syncope.  Seen at the ER and diagnosed with anxiety. Valium treatment provided.  Pt's status improved.  The next day in the afternoon, Pt had a new onset of lightheadedness, SOB, and felt to her knees. Pt readmitted to the ER. Pt developed eye crossing, jaw locking and inability to speak. Neurological examination was negative for any cranial nerve problem, strength normal 5/5, 3+ reflexes, volitionally jerk of leg, generalized weakness, gait WNL, and Pt unwilling to perform sophisticated testing. Physician considered these episodes nonepileptic. Pt discharged home with a low Valium dose.  12/11/09 DC Summary received for DOS 11/19/09-11/21/09. Pt. admitted with recurrent jaw clenching episodes and crossing of eyes 2 days after getting flu shot. Discharged home on antianxiety agent. DC DX: nonepileptic seizures
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Fainting, seizures, lost motor skills. Patient was hospitalized for two days at the neurological wing of the hospital and she was placed on some medications for depression (Note) patient has never been diagnosed for depression. (Note) no neurologocal problems were found.  11/26/09 HP Admission for DOS 11/19/09: DX: Anxiety  Pt developed pain and swelling in her right biceps at the site of H1N1 vaccine injection few hours after receiving the vaccine. At the same time Pt developed SOB, lightheadedness, and near syncope.  Seen at the ER and diagnosed with anxiety. Valium treatment provided.  Pt's status improved.  The next day in the afternoon, Pt had a new onset of lightheadedness, SOB, and felt to her knees. Pt readmitted to the ER. Pt developed eye crossing, jaw locking and inability to speak. Neurological examination was negative for any cranial nerve problem, strength normal 5/5, 3+ reflexes, volitionally jerk of leg, generalized weakness, gait WNL, and Pt unwilling to perform sophisticated testing. Physician considered these episodes nonepileptic. Pt discharged home with a low Valium dose.  12/11/09 DC Summary received for DOS 11/19/09-11/21/09. Pt. admitted with recurrent jaw clenching episodes and crossing of eyes 2 days after getting flu shot. Discharged home on antianxiety agent. DC DX: nonepileptic seizures
Age: 11.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abasia, Anaemia, Arthralgia, Condition aggravated, Erythema
Clinical narrative: Knee pain with inability to walk. Knee red and swollen. Fever 103 F. Treated in ER with abx. pain better on and off. Worse in evening with fevers that continued for 5 days.
Age: 11.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Joint swelling, Laboratory test, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: Knee pain with inability to walk. Knee red and swollen. Fever 103 F. Treated in ER with abx. pain better on and off. Worse in evening with fevers that continued for 5 days.
Age: 1.72
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: History given by mother vaccine given 11-16-09 9:30PM. 11-17-09 1A pt restless irritable in sleep, pt awakens. 3A - temp 101 (R) MOTRIN tsp given PO. Child restless, irritable, loss of appetite during the day. 5P pt restless irritable, loss of appetite - 1 tsp given PO. 8PM - pt went to bed & awoke 3A - 101 (R) - 1 tsp MOTRIN given PO. 11-18-09 9AM pt restless, irritable, decreased appetite, temp 100 (R). 7PM MOTRIN - 102: pt awoke 9:30PM. 11-19-09 - AM pt awoke warm to touch - MOTRIN given, pt restless. 11-20-09 - no concerns expressed by mom.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction, Pallor, Throat tightness
Clinical narrative: Just after administration of influenza vaccine IM, client experienced episode of light headedness, and tightening throat. Color was pale. She was able to breathe fine and swallow without problem.  O2 sats 96% HR 103.
Age: 30.0
Sex: F
Vaccine: ANTH, MNQ, RAB, TYP
Symptoms: Erythema, Feeling hot, Rash
Clinical narrative: Hot, red localized rash 9 x 13.5cm large ring. 75mm x 112mm darkie ring. Given Rabies, Typhoid, Meningococcal at same time. First noticed after approximately 24-36 hours slight redness. 48 hours had present reaction.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Feeling hot, Flushing, Somnolence, Urticaria
Clinical narrative: Patient returned to the clinic area about thirty minutes after taking the injection stating that she fell asleep in class, felt dizzy, and stating her face felt "hot". Had facial flushing and hives on her upper chest, neck and upper arms. Called parents, by the time they arrived less than one hour later her hives had gone away, but she still felt the same. Parents gave her oral Benadryl 25mg, and took her home. Instructed parents on what to watch for and when to seek help of the physician/ER. Denied ever having respiratory symptoms and vital signs remained stable throughout the time I spent with her.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood electrolytes normal, Blood glucose increased, Blood iron normal, Electrocardiogram abnormal, Syncope
Clinical narrative: Fainting; transported to ER for evaluation.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness and soreness at injection sight.
Age: 51.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blood pressure increased, Blood test, Hypoaesthesia, Hypoaesthesia oral, Laboratory test
Clinical narrative: Day 1 late afternoon: noticed swelling and broken blood vessels around bridge of nose.  Awoke day 2 7am with numbness of whole nose.  Numbness spread to palate, tongue & lips by late morning. Felt ill and shaky.  Spread later to sides of face around jawline. Checked myself for stroke. Blood pressure was elevated 140/100, came down near normal by end of the day 110/80.  Day 3, numbness reduced in nose, still in tongue and lips.  Day 4: saw family doctor, tested for stroke: negative. Took blood for testing, don't have results yet. Blood pressure back to normal: 100/60. Still have a little intermittent numbness in tongue and lips.
Age: 51.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Malaise, Swelling, Tremor, Vascular injury
Clinical narrative: Day 1 late afternoon: noticed swelling and broken blood vessels around bridge of nose.  Awoke day 2 7am with numbness of whole nose.  Numbness spread to palate, tongue & lips by late morning. Felt ill and shaky.  Spread later to sides of face around jawline. Checked myself for stroke. Blood pressure was elevated 140/100, came down near normal by end of the day 110/80.  Day 3, numbness reduced in nose, still in tongue and lips.  Day 4: saw family doctor, tested for stroke: negative. Took blood for testing, don't have results yet. Blood pressure back to normal: 100/60. Still have a little intermittent numbness in tongue and lips.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Headache, Nausea
Clinical narrative: 10 week pregnant female (EDC 5/23/10) with complaint of headache and nausea approximately 2 hours after receiving H1N1 vaccination.  BP checked by family member and "OK" as stated by patient. Patient still c/o headache 2 days later, despite taking Tylenol.  Has since seen prenatal provider for evaluation and currently reporting no headache or nausea.  12/1/09 OB/GYN consult records received. Service dates 10/2/09 to 11/21/09. OB Visits. 12/15/09:  OB/GYN consult records received for dates of service 10/16/09 to 10/21/09. OB Visits.
Age: 24.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Injection site rash
Clinical narrative: Rash develop at site of injection and then progressed to opposite upper arm and then to back of legs and torso; no other symptoms presented.  11/30/09 OB A & P Assessment notes for DOS 11/25/09: DX: Rash   38 weeks pregnant Pt developed rash and pruritus.  Pt reported use of new detergent at the same time.  Maculopapular rash bilaterally on lateral aspect of upper arms, torso and behind knees and thighs bilaterally.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood pressure normal, Dysphagia, Heart rate normal, Pallor, Pharyngeal oedema
Clinical narrative: Employee began to have difficulty swallowing after receiving the H1N1  LIVE Intranasal Vaccine. Became gradually worse. Color pale, BP and P were normal.  Could speak, but  stated her throat felt like it was swelling. She was given one dose of an EPIPEN with good results at 3:00 pm. Monitored and sent home for the day stayed home the next day but returned on Friday the 11/20/2009 with no complaints.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Accidental exposure, Activities of daily living impaired, Bed rest, Dizziness, Impaired work ability
Clinical narrative: NAUSEA AND DIZZINESS, ONSET LESS THAN TWO HOURS FOLLOWING INJECTION.  PATIENT STATES NURSE GAVE TWO INJECTIONS, DUE TO NEEDLE FAILURE, VACCINE LEAKING DOWN ARM AFTER FIRST INJECTION.  UNABLE TO RETURN TO WORK AT HOSPITAL DUE TO SYMPTOMS.  HOME ON BED REST. 24 HOURS LATER, S/S HAVE NOT RESOLVED.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Needle issue
Clinical narrative: NAUSEA AND DIZZINESS, ONSET LESS THAN TWO HOURS FOLLOWING INJECTION.  PATIENT STATES NURSE GAVE TWO INJECTIONS, DUE TO NEEDLE FAILURE, VACCINE LEAKING DOWN ARM AFTER FIRST INJECTION.  UNABLE TO RETURN TO WORK AT HOSPITAL DUE TO SYMPTOMS.  HOME ON BED REST. 24 HOURS LATER, S/S HAVE NOT RESOLVED.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site reaction, Laboratory test, Musculoskeletal stiffness, Myalgia, Sleep disorder
Clinical narrative: 2 days after flu shot, woke up with muscle pain and stiffness in left arm and should (site of shot).  Nightly for about 1 week after first episode,continued to be awakened by muscle pain expanding to right arm, shoulder, then in buttocks and down back of both legs.  Took 200 mg Ibuprofin each night with some relief.  Seemed to "loosen up during the daytime and worsen at night.  Approximately, lweek after symptoms started saw new MD who did an exam, drew blood and checked prostate.  At a 2nd MD visit to obtain lab results, all labs were WNL.  Client started taking "Miricle Mix", something he found on the internet, which seems to be helping "a little".  3rd MD visit planned after Thanksgiving.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: White blood cell count normal
Clinical narrative: 2 days after flu shot, woke up with muscle pain and stiffness in left arm and should (site of shot).  Nightly for about 1 week after first episode,continued to be awakened by muscle pain expanding to right arm, shoulder, then in buttocks and down back of both legs.  Took 200 mg Ibuprofin each night with some relief.  Seemed to "loosen up during the daytime and worsen at night.  Approximately, lweek after symptoms started saw new MD who did an exam, drew blood and checked prostate.  At a 2nd MD visit to obtain lab results, all labs were WNL.  Client started taking "Miricle Mix", something he found on the internet, which seems to be helping "a little".  3rd MD visit planned after Thanksgiving.