chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Pruritus, Urticaria
Clinical narrative: Chest pain, itching, hive, TX Prednisone 10mg, Albuterol inhaler 2 Puffs.
Age: 0.17
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, PNC
Symptoms: Medication error
Clinical narrative: Hepatitis A given instead of Hep B
Age: 0.13
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Musculoskeletal stiffness, Opisthotonus, Salivary hypersecretion
Clinical narrative: 10/12 4:30am child given H2O and burped,mother then heard noise and came back to the baby with back arches, foaming at moth (saliva, not food or milk) and Stiff. Mother picked up baby and gently shook her and she relaxed. She then had another similar stiffening episode. Total time about 5 minutes.  MR from Pediatrcian received which revealed that 2 days following vax with Pediarix, Prevnar, and HIB, infant was found by mother not breathing.  She was stiff, with back arched, and foaming at the mouth.  Infant would breathe when shaken, but would intermittantly stop.  911 was called. In the hospital pediatric GI, Neuro, and Cardiac work ups were negative.  Infant was D/C'd home on an apnea monitor. No further episodes noted. Hospital MR received for admission as above for an ALTE. Discharge DX: R/O seizure vs. apnea vs. reflux vs. arrythmia.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Oedema, Pain, Paraesthesia
Clinical narrative: Sensation of swelling in neck and left deltoid area, tingling and sharp pain in left foot. Tingling in right hand. Referred to neurologist today.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: Pt given injection in the superior anterior portion of right deltoid. Pt heard crunching sound. Pain has gradually worsened.
Age: 78.0
Sex: F
Vaccine: TD
Symptoms: Discomfort, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Redness, warmth, slight swelling of large part of right upper arm. Discomfort since 10/11/06 (date of injection), erythema developed 10/16/06.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: HIVES & ITCHING OVER ENTIRE BODY.  STARTED FRIDAY, 10-17-06 @ 11 PM.  CALLED PHYSICIAN ON SUNDAY.  PHYSICIAN DETERMINED THAT IT WAS A REACTION TO THE INFLUENZA VACCINATION.  PATIENT WAS GIVEN A PRESCRIPTION FOR A 10 DAY REGIME OF PREDNISONE.  THE WELTS FELT WARM, BUT THERE WAS NO GENERALIZED FEVER.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Computerised tomogram normal, Dizziness, Dysarthria, Dyspepsia
Clinical narrative: 10/27/06 sudden onset of severe dizziness, nausea, headache, heartburn, muscle weakness UE and LE. Admitted to hospital X 2 nights for w/u12/08/06 Received medical records from hospital reveal patient experienced dizziness, spinning sensation, heartburn, nausea, right ear pain, headache, slurred speech & heaviness of arms & legs. Admitted to hospital on 10/27/06. Consults by ENT, neuro which revealed nystagmus even in primary position of gaze & tympanic membrane changes right ear.  Improved with treatment of antibiotics, antinausea & anti vertigo meds.  D/C to home on 10/29/06.   Final Dx: Vertigo & sinusitis, both improving.  Per annual follow up report: Permant damage to right inner ear. Per 60 day follow up: She has recovered fro the most part and returned to work approx 1 month ago. She continues to have mild balance problems.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Headache, Impaired work ability, Muscular weakness, Nausea
Clinical narrative: 10/27/06 sudden onset of severe dizziness, nausea, headache, heartburn, muscle weakness UE and LE. Admitted to hospital X 2 nights for w/u12/08/06 Received medical records from hospital reveal patient experienced dizziness, spinning sensation, heartburn, nausea, right ear pain, headache, slurred speech & heaviness of arms & legs. Admitted to hospital on 10/27/06. Consults by ENT, neuro which revealed nystagmus even in primary position of gaze & tympanic membrane changes right ear.  Improved with treatment of antibiotics, antinausea & anti vertigo meds.  D/C to home on 10/29/06.   Final Dx: Vertigo & sinusitis, both improving.  Per annual follow up report: Permant damage to right inner ear. Per 60 day follow up: She has recovered fro the most part and returned to work approx 1 month ago. She continues to have mild balance problems.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging brain normal, Nystagmus, Sensation of heaviness, Sinusitis
Clinical narrative: 10/27/06 sudden onset of severe dizziness, nausea, headache, heartburn, muscle weakness UE and LE. Admitted to hospital X 2 nights for w/u12/08/06 Received medical records from hospital reveal patient experienced dizziness, spinning sensation, heartburn, nausea, right ear pain, headache, slurred speech & heaviness of arms & legs. Admitted to hospital on 10/27/06. Consults by ENT, neuro which revealed nystagmus even in primary position of gaze & tympanic membrane changes right ear.  Improved with treatment of antibiotics, antinausea & anti vertigo meds.  D/C to home on 10/29/06.   Final Dx: Vertigo & sinusitis, both improving.  Per annual follow up report: Permant damage to right inner ear. Per 60 day follow up: She has recovered fro the most part and returned to work approx 1 month ago. She continues to have mild balance problems.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Vertigo, White blood cell count increased
Clinical narrative: 10/27/06 sudden onset of severe dizziness, nausea, headache, heartburn, muscle weakness UE and LE. Admitted to hospital X 2 nights for w/u12/08/06 Received medical records from hospital reveal patient experienced dizziness, spinning sensation, heartburn, nausea, right ear pain, headache, slurred speech & heaviness of arms & legs. Admitted to hospital on 10/27/06. Consults by ENT, neuro which revealed nystagmus even in primary position of gaze & tympanic membrane changes right ear.  Improved with treatment of antibiotics, antinausea & anti vertigo meds.  D/C to home on 10/29/06.   Final Dx: Vertigo & sinusitis, both improving.  Per annual follow up report: Permant damage to right inner ear. Per 60 day follow up: She has recovered fro the most part and returned to work approx 1 month ago. She continues to have mild balance problems.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Feeling cold
Clinical narrative: On 10/21/2006, at 11:30am, received his flu shot.  At 3:00pm he states that he began to feel cold, chills, sweats, vomiting, dizzy, and weak.  He states that this continued until 9:00pm, and he then began to feel better, but still tired and weak.  Stated that he stayed in bed and rested, with out symptoms, until 10/23/2006, 7:00am, and stated that he then felt normal.  He states that he did not call or see a doctor during this time.  States that he believes that it is due to the flu shot, as he had the flu shot two years ago and had a similar reaction.  States that he will be discussing this with his MD, and will not get another flu shot.  States that he did not get the flu shot last year.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Similar reaction on previous exposure to drug, Vomiting
Clinical narrative: On 10/21/2006, at 11:30am, received his flu shot.  At 3:00pm he states that he began to feel cold, chills, sweats, vomiting, dizzy, and weak.  He states that this continued until 9:00pm, and he then began to feel better, but still tired and weak.  Stated that he stayed in bed and rested, with out symptoms, until 10/23/2006, 7:00am, and stated that he then felt normal.  He states that he did not call or see a doctor during this time.  States that he believes that it is due to the flu shot, as he had the flu shot two years ago and had a similar reaction.  States that he will be discussing this with his MD, and will not get another flu shot.  States that he did not get the flu shot last year.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Medication error
Clinical narrative: NO ADVERSE REACTIONS HAVE BEEN OBSERVED AT THIS POINT.  INFLUENZA SHOT ADMINISTERED TO INFANT LESS THAN 6 MONTHS OF AGE.
Age: 1.54
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site vesicles, Pyrexia, Swelling
Clinical narrative: Onset of swelling in r upper arm extending to 50% of right upper limb within 24 hours of immunization, associated fever. After 24 hours developed blisters in same area. Seen in Emergency room. Treated with Prednisone, Benadryl and antibiotics with improvement.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Bone pain, Chills, Dizziness, Nausea, Pyrexia
Clinical narrative: On awakening the following morning client reported having chills, nausea, dizziness, fever and his "bones" felt sore. He went to hospital emergency room were he said his temperature was recorded at 103F and he said the doctor told him it was a reaction to the flu vaccine. He was given IV fluids and antibiotics and told to take Motrin or Tylenol for fever and report to own doctor if he did not feel better.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Chills, Headache, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: A 4cm area, raised with induration. swelling traveled down arm to elbow to length of 15 cm. hot to the touch and tender. No drainage noted. Area of arm affected is front upper arm from site of injection to elbow. Assumed to be the pneumococcal vaccine injection. Pt further states that sx started with mild flu like symptoms: ha, fever, body aches, chills, and got progressively worse as day progressed.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Injection site warmth, Pain, Pyrexia
Clinical narrative: A 4cm area, raised with induration. swelling traveled down arm to elbow to length of 15 cm. hot to the touch and tender. No drainage noted. Area of arm affected is front upper arm from site of injection to elbow. Assumed to be the pneumococcal vaccine injection. Pt further states that sx started with mild flu like symptoms: ha, fever, body aches, chills, and got progressively worse as day progressed.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Hearing impaired, Neck pain, Pain
Clinical narrative: The patient complained of pain in the right arm which progressed to her neck and back. She also reported a loss of hearing in both ears for approximately one hour. However, the patient does wear hearing aids in both ears. The patient reports to us 8 days after receiving the vaccine and everything is resolved with no current complaints. She states that she feels completely fine now.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Pharyngolaryngeal pain, Tachycardia
Clinical narrative: Influenza Vaccine given around noon on 10/30/06.  No allergy to eggs or eggs products.  This was her 1st flu vaccine.  Symptoms began around 1455.  Presented to the E.D. at 1740 with Tachycardia, eye redness, and itchy sore throat.  Solu Medrol 100mg. IV and Benadryl 25mg. IV.  Breathing treatment X1.  Observed until 0200 on 10/31/06, then discharged.
Age: 29.0
Sex: M
Vaccine: FLUN3
Symptoms: Muscular weakness, Myalgia, Rash, Urticaria
Clinical narrative: Hives and rash broke out over thighs and torso.  Also, I experienced muscle fatigue and aches.
Age: 1.19
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Lacrimation increased, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: Patient vaccinated with Proquad on 10/17/06.  On 10/27/06 patient started with fever and rash which started on the hairline.  The next day the rash spread to the face and torso.  By day two the rash was from head to toe.  The rash did start to resolve on day three.  The patient also had watery eyes and runny nose.  Mom notified physician on 10/27/06.  No treatment was given.
Age: 0.01
Sex: F
Vaccine: HEP
Symptoms: Sudden infant death syndrome
Clinical narrative: Full-term, healthy baby with no symptoms and no risk factors died within days of receiving HepB vaccine.  Extensive second autopsy by SIDS specialist/pathologist found no cause of death and no abnormalities; death was attributed to SIDS.2/20/07 Received autopsy report which reveals COD as consistent with SIDS.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy, Pharyngitis, Pyrexia, Upper respiratory tract infection
Clinical narrative: Patient presented 7 days after vaccination with left sided Bell's palsy. Referred to neurology after being placed on oral steroids. Left face flaccid, DX Bell's Palsey. Neuro referral provided. 11/17/06-continues with normal sensation. Slight decrease ton of Left?Right with 4/5 strength. DX: bell's Palsy, fever, pharnygitis-strep, URI.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Decreased appetite, Dehydration, Diarrhoea haemorrhagic, Intestinal obstruction
Clinical narrative: Pt. is a 2 mo infant that recived his immunizations on 10/25/06 (pediarix, HiB, PCV and Rotateq).  He had 2 days with reported fever, improved by day 3, on day 5 his parents noticed irritability, decreased appetite and also reported 2 emesis and one epysode of diarrhea with blood and mucus.  They presented to our office where I found a sick looking infant, lethargic and mildly dehydrated.  On physical exam he had abdominal pain.  Abdominal films revealed several air-fluid levels and distention.  Pt was admitted to hospital, I ordered an abdominal CT which was suggestive of intussusception, this was confirmed with gastrographin enema which also reduced it.  Pt did well after intervention, recovered and was discharged the following day.  11/01/2006: MR received from PCP revealing well baby exam of October 25, 2006 where infant received Pediarix, pneumococcal vaccine, and Rotateq./pc 11/3/2006: MR received from overnight hospital stay documenting fever for several days post vax which resolved, and infant was doing well. Five days post vax infant became irritable and lethargic, with poor appetite, and was noted to have had one episode of bloody stool the day prior, and continued to have mucus in his stool.  Infant was admitted to the hospital at this time to R/O intussusception. Gastrographin enema was performed which reduced the intussusception, and was confirmed by Abdominal X-ray the next day.  Infant was discharged. No d/C summary dictated./pc  Report received from pediatrician revealing F/U exam for intussusception on 11/2/2006: no fever, no vomiting, increased appetite. Stool to be sent to CDC for analysis/pc
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Irritability, Lethargy, Leukocytosis, Pyrexia
Clinical narrative: Pt. is a 2 mo infant that recived his immunizations on 10/25/06 (pediarix, HiB, PCV and Rotateq).  He had 2 days with reported fever, improved by day 3, on day 5 his parents noticed irritability, decreased appetite and also reported 2 emesis and one epysode of diarrhea with blood and mucus.  They presented to our office where I found a sick looking infant, lethargic and mildly dehydrated.  On physical exam he had abdominal pain.  Abdominal films revealed several air-fluid levels and distention.  Pt was admitted to hospital, I ordered an abdominal CT which was suggestive of intussusception, this was confirmed with gastrographin enema which also reduced it.  Pt did well after intervention, recovered and was discharged the following day.  11/01/2006: MR received from PCP revealing well baby exam of October 25, 2006 where infant received Pediarix, pneumococcal vaccine, and Rotateq./pc 11/3/2006: MR received from overnight hospital stay documenting fever for several days post vax which resolved, and infant was doing well. Five days post vax infant became irritable and lethargic, with poor appetite, and was noted to have had one episode of bloody stool the day prior, and continued to have mucus in his stool.  Infant was admitted to the hospital at this time to R/O intussusception. Gastrographin enema was performed which reduced the intussusception, and was confirmed by Abdominal X-ray the next day.  Infant was discharged. No d/C summary dictated./pc  Report received from pediatrician revealing F/U exam for intussusception on 11/2/2006: no fever, no vomiting, increased appetite. Stool to be sent to CDC for analysis/pc
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Pt. is a 2 mo infant that recived his immunizations on 10/25/06 (pediarix, HiB, PCV and Rotateq).  He had 2 days with reported fever, improved by day 3, on day 5 his parents noticed irritability, decreased appetite and also reported 2 emesis and one epysode of diarrhea with blood and mucus.  They presented to our office where I found a sick looking infant, lethargic and mildly dehydrated.  On physical exam he had abdominal pain.  Abdominal films revealed several air-fluid levels and distention.  Pt was admitted to hospital, I ordered an abdominal CT which was suggestive of intussusception, this was confirmed with gastrographin enema which also reduced it.  Pt did well after intervention, recovered and was discharged the following day.  11/01/2006: MR received from PCP revealing well baby exam of October 25, 2006 where infant received Pediarix, pneumococcal vaccine, and Rotateq./pc 11/3/2006: MR received from overnight hospital stay documenting fever for several days post vax which resolved, and infant was doing well. Five days post vax infant became irritable and lethargic, with poor appetite, and was noted to have had one episode of bloody stool the day prior, and continued to have mucus in his stool.  Infant was admitted to the hospital at this time to R/O intussusception. Gastrographin enema was performed which reduced the intussusception, and was confirmed by Abdominal X-ray the next day.  Infant was discharged. No d/C summary dictated./pc  Report received from pediatrician revealing F/U exam for intussusception on 11/2/2006: no fever, no vomiting, increased appetite. Stool to be sent to CDC for analysis/pc
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal distension, Abdominal pain, Decreased appetite, Dehydration, Diarrhoea haemorrhagic
Clinical narrative: Pt. is a 2 mo infant that recived his immunizations on 10/25/06 (pediarix, HiB, PCV and Rotateq).  He had 2 days with reported fever, improved by day 3, on day 5 his parents noticed irritability, decreased appetite and also reported 2 emesis and one epysode of diarrhea with blood and mucus.  They presented to our office where I found a sick looking infant, lethargic and mildly dehydrated.  On physical exam he had abdominal pain.  Abdominal films revealed several air-fluid levels and distention.  Pt was admitted to hospital, I ordered an abdominal CT which was suggestive of intussusception, this was confirmed with gastrographin enema which also reduced it.  Pt did well after intervention, recovered and was discharged the following day.  11/01/2006: MR received from PCP revealing well baby exam of October 25, 2006 where infant received Pediarix, pneumococcal vaccine, and Rotateq./pc 11/3/2006: MR received from overnight hospital stay documenting fever for several days post vax which resolved, and infant was doing well. Five days post vax infant became irritable and lethargic, with poor appetite, and was noted to have had one episode of bloody stool the day prior, and continued to have mucus in his stool.  Infant was admitted to the hospital at this time to R/O intussusception. Gastrographin enema was performed which reduced the intussusception, and was confirmed by Abdominal X-ray the next day.  Infant was discharged. No d/C summary dictated./pc  Report received from pediatrician revealing F/U exam for intussusception on 11/2/2006: no fever, no vomiting, increased appetite. Stool to be sent to CDC for analysis/pc
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Irritability, Lethargy, Vomiting
Clinical narrative: Pt. is a 2 mo infant that recived his immunizations on 10/25/06 (pediarix, HiB, PCV and Rotateq).  He had 2 days with reported fever, improved by day 3, on day 5 his parents noticed irritability, decreased appetite and also reported 2 emesis and one epysode of diarrhea with blood and mucus.  They presented to our office where I found a sick looking infant, lethargic and mildly dehydrated.  On physical exam he had abdominal pain.  Abdominal films revealed several air-fluid levels and distention.  Pt was admitted to hospital, I ordered an abdominal CT which was suggestive of intussusception, this was confirmed with gastrographin enema which also reduced it.  Pt did well after intervention, recovered and was discharged the following day.  11/01/2006: MR received from PCP revealing well baby exam of October 25, 2006 where infant received Pediarix, pneumococcal vaccine, and Rotateq./pc 11/3/2006: MR received from overnight hospital stay documenting fever for several days post vax which resolved, and infant was doing well. Five days post vax infant became irritable and lethargic, with poor appetite, and was noted to have had one episode of bloody stool the day prior, and continued to have mucus in his stool.  Infant was admitted to the hospital at this time to R/O intussusception. Gastrographin enema was performed which reduced the intussusception, and was confirmed by Abdominal X-ray the next day.  Infant was discharged. No d/C summary dictated./pc  Report received from pediatrician revealing F/U exam for intussusception on 11/2/2006: no fever, no vomiting, increased appetite. Stool to be sent to CDC for analysis/pc
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC
Symptoms: Pyrexia, White blood cell disorder
Clinical narrative: Starting 4 days after vaccination, baby experienced a high fever that precipitated a doctor visit.  Doctor reported that immune system may have been suppressed by vaccination.  Baby experienced high fever again, with emergency room visits, five days, then seven days from immunization.  emergency room physician prescribed cefprozil.  9 days from immunization, baby experienced high fever again, 104.4, and was taken back to administrating pediatrician, who took her off of the cefprozil, and told parents that per white blood count baby should be better in 2 days.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Abasia, Arthralgia, Gait disturbance, Pain
Clinical narrative: Knee pain resulting in limping, inability to walk without pain. spoke with nurse regarding status of patient, improving with decreased complaint of soreness and stiffness. No complaints of weakness or neurological symptoms.   11/3/06-records received from physician office support phone conversation of 11/2/06.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Shoulder pain
Clinical narrative: Pain in left shoulder.  Tdap given high on left shoulder and limited ROM and caused pain.  Had PT to regain strength and increase mobility.
Age: 36.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Decreased appetite, Nausea, Neck pain, Pain, Pyrexia
Clinical narrative: I RECEIVED THE FLU VACINATION AND A PNUEMONIA VACINCATION IN THE LEFT SHOULDER AT THE SAME TIME. AROUND 1:30PM ON 10/27/06. ABOUT 2 HOURS AFTER THE SHOTS MY ARM BECAME INCREASINGLY SORE.  THE SORENESS STARTED IN THE SHOULDER BUT OVER THE COURSE OF THE EVENING SPREAD TO THE ENTIRE LEFT ARM, ARMPIT, LEFT SIDE OF TORSO AND LEFT SIDE OF NECK UP TO BELOW THE LEFT EAR. I HAD LOW FEVER ON THE EVENING OF THE SHOT AND THE FOLLOWING MORNING AND NAUSEA (HOWEVER NO VOMITING).  I HAVE NOT HAD MUCH OF AN APPETITE FOR THE LAST 3 DAYS BUT THE OTHER SYMTOMS HAVE IMPROVED. SHOTS WERE GIVEN BY VISITING NURSES - PAID FOR BY MY EMPLOYER.
Age: 36.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Shoulder pain, Vomiting
Clinical narrative: I RECEIVED THE FLU VACINATION AND A PNUEMONIA VACINCATION IN THE LEFT SHOULDER AT THE SAME TIME. AROUND 1:30PM ON 10/27/06. ABOUT 2 HOURS AFTER THE SHOTS MY ARM BECAME INCREASINGLY SORE.  THE SORENESS STARTED IN THE SHOULDER BUT OVER THE COURSE OF THE EVENING SPREAD TO THE ENTIRE LEFT ARM, ARMPIT, LEFT SIDE OF TORSO AND LEFT SIDE OF NECK UP TO BELOW THE LEFT EAR. I HAD LOW FEVER ON THE EVENING OF THE SHOT AND THE FOLLOWING MORNING AND NAUSEA (HOWEVER NO VOMITING).  I HAVE NOT HAD MUCH OF AN APPETITE FOR THE LAST 3 DAYS BUT THE OTHER SYMTOMS HAVE IMPROVED. SHOTS WERE GIVEN BY VISITING NURSES - PAID FOR BY MY EMPLOYER.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache
Clinical narrative: Headache after administration of Flu Mist (nasal flu vaccine)- occurred immediately after vaccination. Tylenol given. Resolved within 24 hours.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Within 20 minutes of receiving vaccine, felt itching and redness with warmth to site of vaccination, left deltoid.
Age: 31.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache, Neck pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Sore throat on 10/19 in the AM - no treatment. Headache and neck pain starting on 10/21. Severe headache, neck pain, and fever on 10/22.  Went to doctor on 10/22.  Doctor sent patient to ER.  CT scan, blood work, and lumbar puncture done in ER.  Given MS 6 mg, Zofran 4 mg X 2, Phenergan 25 mg, 2 gm Rocephin; all IV. Headache and neck pain continued for next 3 days.  CBC done on 10/26.  Patient returned to ER because of severe head ache. Blood patch to lumbar puncture site was done on 10/26 to correct leaking spinal fluid from lumbar puncture.  Patient's headache was still present but pain was much less.  Patient said symptoms subsided completely on 10/29.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Decreased appetite, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Developed chills PM of 10-26-06. Headache for 24 hours starting 10-28-06. Decreased appetite. 10-28-06 patient noted a 4X4 inch red swollen area right upper arm at injection site. 10-31-06 patient states she is feeling better. Still with small amount of redness and swelling at injection site.
Age: 1.1
Sex: M
Vaccine: FLU3, MMRV, PNC
Symptoms: Blister
Clinical narrative: Pts mom states that child has fluid filled blisters appearing all over body. Confirmed by hospital staff. Started 10/30/06.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling, Urticaria
Clinical narrative: Pt. and mom returned to clinic on 10-31-06 at approx. 6:50pm and reported "hives starling on upperback and chest them spreading to trunk and down arms and legs on Sat., 10-28-06 and swollen eyes on Sun, 10-29-06. Denies SOB, Denies redness or swelling at L deltoid injection site. Mother says hives resolved with Benadryl No redness or swelling observed at L deltoid by NP.
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Started showing signs of hives, ichy rash all over body (legs, arms, buttocks, face, shoulders, and back) approx 15-20 minutes after administration of flu doseage. Returned to the doctors immediately and was told to administer 1 tsp of Children's Bendryl every 4-6 hours until symtoms were relieved.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Rash, Urticaria, Wheezing
Clinical narrative: Hives, rash, wheezing, chest pain, SOB.
Age: 35.0
Sex: M
Vaccine: FLUN3
Symptoms: Dermatitis, Haematocrit decreased, Haemoglobin decreased, Laboratory test abnormal, Platelet count decreased
Clinical narrative: Developed total body rash with itching 4 hours after receiving FluMist. Case complicated by a 3 week viral illness that had just resolved and pt had taken Levaquin for 3 days and stopped the medication 2- days before receiving the vaccine. Dermatitis, Diffuse, generalized.
Age: 35.0
Sex: M
Vaccine: FLUN3
Symptoms: Rash pruritic, Red blood cell count decreased
Clinical narrative: Developed total body rash with itching 4 hours after receiving FluMist. Case complicated by a 3 week viral illness that had just resolved and pt had taken Levaquin for 3 days and stopped the medication 2- days before receiving the vaccine. Dermatitis, Diffuse, generalized.
Age: 7.0
Sex: F
Vaccine: FLUN3
Symptoms: Erythema, Rash, Rash erythematous, Urticaria
Clinical narrative: 12:15 c/o red, raised rash with hives right forearm, small red area left arm, 4pm back of right hand red rash, per mom saw Dr pm 10/26/06, spoke to mom 10/27/06 reports Dr above symptoms were related to a local reaction from something other the FluMist, rash gone next day after Benadryl, Child in school.
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Arthralgia, Asthenia
Clinical narrative: Leg pain (left) and hand weakness, developed in morning after vaccine
Age: 33.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site nodule
Clinical narrative: Left deltoid injection site reaction. 3cm tender nodule subdermal improved on follow up. By 10/20/06 nodule decreased 15mm.
Age: 33.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site nodule, Injection site reaction
Clinical narrative: Left deltoid injection site reaction. 3cm tender nodule subdermal improved on follow up. By 10/20/06 nodule decreased 15mm.
Age: 1.26
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR
Symptoms: Rash
Clinical narrative: Broke out in rash within 24 hours of receiving vaccines, rash on trunk and face.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Fever 104 degree within 8 hours of receiving shot.
Age: 0.13
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Temperature 102 degree all night.  1/18/07 Received medical records from hospital which reveal patient seen 10/30/06 in ER for fever 102.2, cough & vomiting following vax day before.  LP done in ER & patient to be admitted for acute pyrexia & r/o sepsis.  Received multiple IV antibiotics in ER.  Parent refused admit & patient was d/c to home AMA.
Age: 0.57
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Erythema
Clinical narrative: 1/2 dollar size red area on both left and right thighs.
Age: 5.0
Sex: M
Vaccine: HBHEPB, MMRV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Patient stated day of vaccine arm very sore when still complaining the next day.  Mother noticed red, swollen arm, temperature increase 100.6. Site worse over next 2 days. (ProQuad vaccine). 5 days later red decrease, still very sore, decrease temperature.
Age: 62.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Rash
Clinical narrative: Patient's husband was in for an injection and stated last evening his wife had a slight rash on both arms from elbows to wrist.  Was not raised nor welted nor itchy. Rash is gone now.  Patient stopped by and showed me her arms.  No other problems.  Rash present less than 20 hours.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Throat tightness
Clinical narrative: Donor was injected with 1 cc of Rabies vaccine (RabAvert). Stated that (12) minutes after inj was given her throat became slightly constricted. Still was able to talk and have a patent airway. States that it stayed slightly constricted for 2-3 min and returned back to normal.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Chills, Injection site nodule, Myalgia, Swelling
Clinical narrative: 24 hrs after had chills, confusion, exhaustion, lasted 12 hrs. 48 hrs see above lasted 18 hours.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Chills, Confusional state, Fatigue
Clinical narrative: 24 hrs after had chills, confusion, exhaustion, lasted 12 hrs. 48 hrs see above lasted 18 hours.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Hypokinesia, Injection site pain
Clinical narrative: Pt had pneumovax 23 injection at 7:30pm began experiencing sever pain in her left arm. The pain continued all night. Came to Dr in am with c/o unable to move her arm with out severe pain. There is no swelling or erythema at the site. Pt was hospitalized to rule out other etiology.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Electrocardiogram normal, Hypokinesia, Injection site pain
Clinical narrative: Pt had pneumovax 23 injection at 7:30pm began experiencing sever pain in her left arm. The pain continued all night. Came to Dr in am with c/o unable to move her arm with out severe pain. There is no swelling or erythema at the site. Pt was hospitalized to rule out other etiology.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cellulitis
Clinical narrative: Mild cellulitis. Patient started on Keflex.
Age: 0.79
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 10/24/06 from a health care professional. A 10 month old male pt, with no current illnesses, allergies, or past medical history, but who was taking either Zantac or Prevacid (reporter was unsure), had received a first 0.25ml dose, left thigh, IM injection of Fluzone, lot number U2168BA, on 10/20/06. Within 24 hours post immunization, the pt developed left sided facial drooping that would not elevate with smiling, and his left eye would not stay open. He was medically evaluated and diagnosed with Bells Palsy. Diagnostic and treatments received were not reported. The pt had previously received, 15 days prior to this vaccination, a third dose, right thigh IM injection of Hep B vaccine lot number AHBVB301A, on 10/5/06. At the time of this report, the pt had not recovered.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Fall, Flat affect, Hypoaesthesia, Myelitis transverse
Clinical narrative: A 60 year old female pt, with no known past medical history, had received an IM, left deltoid injection of Fluzone SV 2006-2007, lot number U2195AA, on 10/4/06. Eight days post vaccination, the pts whole leg went numb. She began to fall, but the felling in her leg returned. Four days after that, she experienced no feeling from her waist down and from both elbows to both hands. She was subsequently admitted to the hospital on 10/16/06. the admitting diagnosis was rule out Guillain Barre syndrome or transverse myelitis. However, per the reporter, it was determined not to be Guillain Barre syndrome. The final diagnosis had not yet been determined. Relevant diagnostic testing included a MRI and lumbar puncture which were negative. The pt was discharged from the hospital on 10/18/06 and was scheduled to follow up with a neurologist and to have an EMG. A Medrol dose pack was prescribed upon discharge. At the time of this report, the pt had not recovered.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Back pain, Bronchitis acute, Depression, Hepatitis C virus, Pain
Clinical narrative: Acute Bronchitis (see copy)  Intial report contained record of a sick visit for acute bronchitis (cough, green sputum) on 11 May 2005. Txd with antibiotics, decongestants and cough medicine. Released without limitations. DX: Acute Bronchitis.  MR received from the VA. 2 Visits 2003 and then beginning May 2006.  F/U 08/2003 same, with normal labs.  Several visits between 05/2006 and 09/2006 for various c/o including marital problems, sleep disorder, depression, and  left wrist pain upon returning from Gulf War, also backache and varicocele (no tx needed).
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Sleep disorder, Varicose vein
Clinical narrative: Acute Bronchitis (see copy)  Intial report contained record of a sick visit for acute bronchitis (cough, green sputum) on 11 May 2005. Txd with antibiotics, decongestants and cough medicine. Released without limitations. DX: Acute Bronchitis.  MR received from the VA. 2 Visits 2003 and then beginning May 2006.  F/U 08/2003 same, with normal labs.  Several visits between 05/2006 and 09/2006 for various c/o including marital problems, sleep disorder, depression, and  left wrist pain upon returning from Gulf War, also backache and varicocele (no tx needed).
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Autoimmune thrombocytopenia, Blood product transfusion, Contusion, Immune system disorder, Petechiae
Clinical narrative: Onset of bruising and petechiae 18 days after vaccines.  MR received from pediatrician revealing a normal well baby exam on Oct. 4,2006 where child received Proquad vax.  On 10/24/2006 child presents with petechiae all over the body as well as multiple bruises.  PE WNL on 10/26/2006 except for multiple bruises and petechiae over   Two days later, increased bruising and petechiae are noted. Admitted for IVIG-Carimune per protocol. Assessment: ITP. DX: Immune Mediated Thrombocytopenia.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Face oedema, Hyperhidrosis, Ocular hyperaemia
Clinical narrative: dizziness, diaphoresis, chest tightness, hives on torso, itching, throat tightness, swollen lips, bloodshot eyes. Took benadryl and prednisone.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Throat tightness, Urticaria
Clinical narrative: dizziness, diaphoresis, chest tightness, hives on torso, itching, throat tightness, swollen lips, bloodshot eyes. Took benadryl and prednisone.
Age: 53.0
Sex: M
Vaccine: TTOX
Symptoms: Hypokinesia, Joint range of motion decreased, Pain, Shoulder pain
Clinical narrative: Left upper arm status post tetanus vaccine 9/13/06 and left shoulder pain 1 week after. Pain 6 out of 10 severity; dull, achy and intermittent aggravated with arm movement. Pain is resolved with rest.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pallor, Sensation of heaviness, Urticaria
Clinical narrative: Received the vaccination at 0730 10/31/06.  within 1/2 hour started to feel flu like symptoms.  She continued to feel sick to her stomach, became pale.  She reported her arms and legs felt like cement and she had trouble lifting them.  After one hour she had hives.  She was seen by the Dr. by 1000. Dr. did physical and gave benadryl.  She was seen again on 11/1/06 to clear to return to work.
Age: 1.26
Sex: F
Vaccine: DTAPH
Symptoms: Apnoea, Coma, Cyanosis, Eye movement disorder, Pallor
Clinical narrative: After shot pt immediatly became pale, apneic, then dusky. Pt's eyes rolled up, pt unresponsive. Stimulation given, pt started breathing in 90 seconds. Pt sao2 4 min after episode 99% pt recovered with no additional treatment.
Age: 80.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Feeling hot, Pain
Clinical narrative: @ 5:00pm on 103106, Patient noticed L arm painful upon movement, no swelling or redness, began to chill but did not take temp. arm so painful patient took a Lortab, and went to bed at 9:00pm. Slept well. This AM arm still sore upon movement and is slightly warm to touch. Still no redness or swelling. Patient took another Lortab this AM. Feels no need to see DR.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and pain at injection site occurred ~6 hours after injection.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Angioneurotic oedema, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: 10/30/06; 15-30 minutes post vaccination experienced pain in arm radiating to elbow and chest.  Developed redness on chest, red "blotches" on arm & neck; shortness of breath, wheezing & tightness of chest.  See in emergency department within an hour from vaccination.  Treated with Solucortef, Benadryl and after approx 4 hours discharged home.  Around 8:30pm began experiencing same type of symptoms, tightness of chest and wheezing.  Returned to ED at 8:53pm.  Treated with Albuteral sulfate, SoluMedrol, Benadryl and Decadron.  Admitted as in-patient 10/30/06.  Still in-patient as of this report.  11/7/06 Received medical records from hospital  which reveal patient admitted 10/31/06-11/1/06.  Patient became flushed, warm, sick & nauseated with swelling of back & neck pain & swelling within 30 min of flu vax.  Seen in ER & released.  Returned to ER approx 4 hours later with flushing & tight throat.  Admitted for observation.  Received IV steroids & antihistamines.  Had another episode of flushing & throat tightening while hospitalized.  Received additional steroids with improvement.  D/C home on tapering steroids, pepcid & benadryl.  Was referred for allergy testing. LABS: All WNL. Dx: adverse reaction to medical vaccine & early anaphylactic reaction secondary to AE./ss
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Hot flush, Nausea, Pain, Rash macular
Clinical narrative: 10/30/06; 15-30 minutes post vaccination experienced pain in arm radiating to elbow and chest.  Developed redness on chest, red "blotches" on arm & neck; shortness of breath, wheezing & tightness of chest.  See in emergency department within an hour from vaccination.  Treated with Solucortef, Benadryl and after approx 4 hours discharged home.  Around 8:30pm began experiencing same type of symptoms, tightness of chest and wheezing.  Returned to ED at 8:53pm.  Treated with Albuteral sulfate, SoluMedrol, Benadryl and Decadron.  Admitted as in-patient 10/30/06.  Still in-patient as of this report.  11/7/06 Received medical records from hospital  which reveal patient admitted 10/31/06-11/1/06.  Patient became flushed, warm, sick & nauseated with swelling of back & neck pain & swelling within 30 min of flu vax.  Seen in ER & released.  Returned to ER approx 4 hours later with flushing & tight throat.  Admitted for observation.  Received IV steroids & antihistamines.  Had another episode of flushing & throat tightening while hospitalized.  Received additional steroids with improvement.  D/C home on tapering steroids, pepcid & benadryl.  Was referred for allergy testing. LABS: All WNL. Dx: adverse reaction to medical vaccine & early anaphylactic reaction secondary to AE./ss
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination complication, Wheezing
Clinical narrative: 10/30/06; 15-30 minutes post vaccination experienced pain in arm radiating to elbow and chest.  Developed redness on chest, red "blotches" on arm & neck; shortness of breath, wheezing & tightness of chest.  See in emergency department within an hour from vaccination.  Treated with Solucortef, Benadryl and after approx 4 hours discharged home.  Around 8:30pm began experiencing same type of symptoms, tightness of chest and wheezing.  Returned to ED at 8:53pm.  Treated with Albuteral sulfate, SoluMedrol, Benadryl and Decadron.  Admitted as in-patient 10/30/06.  Still in-patient as of this report.  11/7/06 Received medical records from hospital  which reveal patient admitted 10/31/06-11/1/06.  Patient became flushed, warm, sick & nauseated with swelling of back & neck pain & swelling within 30 min of flu vax.  Seen in ER & released.  Returned to ER approx 4 hours later with flushing & tight throat.  Admitted for observation.  Received IV steroids & antihistamines.  Had another episode of flushing & throat tightening while hospitalized.  Received additional steroids with improvement.  D/C home on tapering steroids, pepcid & benadryl.  Was referred for allergy testing. LABS: All WNL. Dx: adverse reaction to medical vaccine & early anaphylactic reaction secondary to AE./ss
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Next day developed moderate redness and swelling in arm with fever.
Age: 2.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: My son broke out in hives on his face, arms, legs and back.
Age: 27.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Dyskinesia, Musculoskeletal stiffness, Pyrexia
Clinical narrative: muscle stiffness 10/27/06 High fever and some slight jerking 10/28/06 High fever (101)
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Heart rate increased, Myalgia, Pyrexia
Clinical narrative: 1 degree elevation fever Muscle aches Rapid pulse -- about 100 for 12 hours
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Heart rate irregular
Clinical narrative: Near syncope: Student was vaccinated as part of meningococcal carriage study in high school auditorium.  While standing up from receiving vaccine, student reported feeling dizzy and was assisted to the floor and legs were elevated.  She was not bradycardic, but pulse was thready initially.  BP normal when cuff applied. Recovered after ~15 minutes.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain, Swelling
Clinical narrative: Swollen Left arm, soreness in bicep, swelling moved down to forearm.  It is hard to determine which shot caused the reaction.  Unfortunately, the nurse administered both shots in same arm.  Nurse was reminded of company policy to administer in different arms.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Complaints of itching redness and mild swelling app. 3 inches below injection site on right arm.  Redness, swelling and itching lasted app. 72 hours.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Hypoaesthesia, Malaise, Paraesthesia
Clinical narrative: First pt. starting c/o feeling funny, arms tingling, then lips started tingling, then got numb, tougue starting feeling funny, started coughing.
Age: 1.03
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Erythema, Rash
Clinical narrative: Mom noticed rash on trunk, diaper area, neck adn on left side of body  10-25-05 a.m. Described as red, smaller then a dime, no pus.  Took to clinic on 10/26/06.  Dr. Advised they were hives possibly from MMR/V.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: Near syncope with altered mental status.  Student vaccinated as part of meningococcal carriage study in high school gymnasium.  Student was standing in line~15 minutes after vaccination and became very pale and dizzy.  She was assisted to a mat and positioned supine with legs elevated.  Vital signs were normal.  She was awake and responsive but seemed to have slowed mentation and flat affect for ~20 minutes, after which spontaneous conversation returned.
Age: 1.02
Sex: M
Vaccine: HEP, HIBV, MMR
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash involving the whole body beginning 10-15-06.  Saw ER physician 10-15-06 and was told it was a reaction to MMR that was given 13 days prior.  No treatment prescribed adn rash was completely resolved by 10-18-06
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Eye swelling, Gait disturbance, Hypersensitivity, Paraesthesia
Clinical narrative: Allergic reaction- rash progressed quickly down entire right arm.  Arm tingling in both arms.  Complained of dizziness, blurred vision. Puffy under eyes, unable to walk straight, arm swollen. Contacted ER.  Benedryl 5 mg po given and Epinephrine 0.5 ml given L arm subq.  Pt observed for 40 minutes after epi given.  Symptoms cleared.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Vision blurred
Clinical narrative: Allergic reaction- rash progressed quickly down entire right arm.  Arm tingling in both arms.  Complained of dizziness, blurred vision. Puffy under eyes, unable to walk straight, arm swollen. Contacted ER.  Benedryl 5 mg po given and Epinephrine 0.5 ml given L arm subq.  Pt observed for 40 minutes after epi given.  Symptoms cleared.
Age: 1.89
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Pyrexia
Clinical narrative: 22 MO OLD BOY GOT HIS INFLUENZA VACCINE 10/30/06;  HE DEVELOPED FEVER OF 105F AND SEIZURES ON 10/31/06.  HE WAS TAKEN TO LOCAL HOSPITAL VIA AMBULANCE.  LAB WORK AND CT WERE NORMAL AND HE WAS DISCHARGED.  HE FOLLOWED TODAY IN CLINIC AND LOOKS NORMAL WITH A NEGATIVE EXAM AND NO FEVER. 11/7/06 Received medical records from PCP which reveal patient in good health & normal development as of 7/06.  Next vs was for flu fax on 10/30.  Last visit is 11/1 as f/u to ER visit for febrile seizures.  Labs, CT & CXR reported by PCP as WNL but   CT of brain report revealed possible mastoiditis.  Parent refused LP.  Patient was to continue on oral antibiotics./ss  12/1/06 2nd letter faxed to hospital to request medical records/ss 1/9/07 Received medical records from hospital which reveal patient seen in ER on 11/1/06 following seizure activity which included post ictal period in ambulance & ER.  Recent hx of febrile illness with rhinitis & cough.  Temp 103.6 in ER.  Treated with IM antibiotics & given oral antibiotics upon d/c to home FINAL DX:  Seizure; fever; & bronchiolitis.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia
Clinical narrative: Patient complained of Left arm numbness after receiving injection. Lasted less than 48 hours.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Confusional state, Dizziness, Dyspnoea, Heart rate increased, Swelling
Clinical narrative: SOB, DIZZINESS, CONFUSION, HIVES AT THE SITE ARM SWELLED UP, INCREASE PULSE RATE, WHEEZING.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria, Wheezing
Clinical narrative: SOB, DIZZINESS, CONFUSION, HIVES AT THE SITE ARM SWELLED UP, INCREASE PULSE RATE, WHEEZING.