chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Convulsion, Syncope
Clinical narrative: 9:40 AM TDAP, MMR ADM.  FEW SECONDS LATER CLIENT HAD FAINTING EPISODE MILD SEIZURE LIKE ACTIVITY LASTING 20 SECONDS.  NO INJURY OCCURRED.  JUST LEANED AGAINST MOTHER AFTERWARDS WAS ORIENTED TO DOB, TIME AND PLACE.  REFERRED TO PHYSICIAN DID NOT GO,  MONITORED 30 MINUTES.  PHONE AT 1:30PM AT HOME.  EATING AND DOING WELL. NO FURTHER PROBLEMS
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Blood culture negative, CSF test normal, Computerised tomogram normal, Diarrhoea
Clinical narrative: Patient first became ill 10/09/09 reporting a fever (101 F) and diarrhea. Patient became fatigued and achy. Patient developed a non-pruritic rash above the knees and distal that resolved spontaneously after about a week. Most notably she was extremely sore down the back of her legs. 10/12/09 the patient presented to Dr. Patient reported that she was instructed to continue Advil and APAP. Leg pain continued to worsen throughout the week. The patient began to notice some weakness and numbness starting at her feet and moving up to thighs and mid abdomen. Pt denied neck stiffness. Patient presented to ER and was admitted 10/18/09. Primary diagnosis was Guillain Barre Syndrome likely related to influenza vaccine, recent diarrhea illness or both. IVIG was infused for 5 days per hospital protocol. 10/25/09 the patient's strength was a little better. Patient passed physical therapy with stairs. Back and leg pain continued and was treated with Vicodin and Neurontin. 11/5/2009 MR and DC summary for 10/19-10/25/2009. DC DX GBS  Patient with c/o's fever,diarrhea, weakness, numbness/tingling of lower extremities. PE: noted decreased sensation, reduced/absent reflexes, decreased strength in LE's. Tx: initially IV ABX and Antivirals, then IV IGG.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Guillain-Barre syndrome, Hypoaesthesia, Malaise, Muscular weakness
Clinical narrative: Patient first became ill 10/09/09 reporting a fever (101 F) and diarrhea. Patient became fatigued and achy. Patient developed a non-pruritic rash above the knees and distal that resolved spontaneously after about a week. Most notably she was extremely sore down the back of her legs. 10/12/09 the patient presented to Dr. Patient reported that she was instructed to continue Advil and APAP. Leg pain continued to worsen throughout the week. The patient began to notice some weakness and numbness starting at her feet and moving up to thighs and mid abdomen. Pt denied neck stiffness. Patient presented to ER and was admitted 10/18/09. Primary diagnosis was Guillain Barre Syndrome likely related to influenza vaccine, recent diarrhea illness or both. IVIG was infused for 5 days per hospital protocol. 10/25/09 the patient's strength was a little better. Patient passed physical therapy with stairs. Back and leg pain continued and was treated with Vicodin and Neurontin. 11/5/2009 MR and DC summary for 10/19-10/25/2009. DC DX GBS  Patient with c/o's fever,diarrhea, weakness, numbness/tingling of lower extremities. PE: noted decreased sensation, reduced/absent reflexes, decreased strength in LE's. Tx: initially IV ABX and Antivirals, then IV IGG.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging normal, Pain, Pain in extremity, Pyrexia, Rash
Clinical narrative: Patient first became ill 10/09/09 reporting a fever (101 F) and diarrhea. Patient became fatigued and achy. Patient developed a non-pruritic rash above the knees and distal that resolved spontaneously after about a week. Most notably she was extremely sore down the back of her legs. 10/12/09 the patient presented to Dr. Patient reported that she was instructed to continue Advil and APAP. Leg pain continued to worsen throughout the week. The patient began to notice some weakness and numbness starting at her feet and moving up to thighs and mid abdomen. Pt denied neck stiffness. Patient presented to ER and was admitted 10/18/09. Primary diagnosis was Guillain Barre Syndrome likely related to influenza vaccine, recent diarrhea illness or both. IVIG was infused for 5 days per hospital protocol. 10/25/09 the patient's strength was a little better. Patient passed physical therapy with stairs. Back and leg pain continued and was treated with Vicodin and Neurontin. 11/5/2009 MR and DC summary for 10/19-10/25/2009. DC DX GBS  Patient with c/o's fever,diarrhea, weakness, numbness/tingling of lower extremities. PE: noted decreased sensation, reduced/absent reflexes, decreased strength in LE's. Tx: initially IV ABX and Antivirals, then IV IGG.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination complication, White blood cell count normal
Clinical narrative: Patient first became ill 10/09/09 reporting a fever (101 F) and diarrhea. Patient became fatigued and achy. Patient developed a non-pruritic rash above the knees and distal that resolved spontaneously after about a week. Most notably she was extremely sore down the back of her legs. 10/12/09 the patient presented to Dr. Patient reported that she was instructed to continue Advil and APAP. Leg pain continued to worsen throughout the week. The patient began to notice some weakness and numbness starting at her feet and moving up to thighs and mid abdomen. Pt denied neck stiffness. Patient presented to ER and was admitted 10/18/09. Primary diagnosis was Guillain Barre Syndrome likely related to influenza vaccine, recent diarrhea illness or both. IVIG was infused for 5 days per hospital protocol. 10/25/09 the patient's strength was a little better. Patient passed physical therapy with stairs. Back and leg pain continued and was treated with Vicodin and Neurontin. 11/5/2009 MR and DC summary for 10/19-10/25/2009. DC DX GBS  Patient with c/o's fever,diarrhea, weakness, numbness/tingling of lower extremities. PE: noted decreased sensation, reduced/absent reflexes, decreased strength in LE's. Tx: initially IV ABX and Antivirals, then IV IGG.
Age: 57.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cerebrovascular accident, Computerised tomogram, Laboratory test, Nuclear magnetic resonance imaging
Clinical narrative: Stroke.  11/05/09 Medical records and ICD9 Codes received for DOS 10/30. Final DX: Clumsiness of upper extremity, hypertension, speech disturbance, hepatitis C, TIA.  Patient developed R sided numbness and weakness. Diff walking and talking.  Progressed to slurred speech and R facial droop. Unequal hand grip. R side weaker.  H/O Hep C. Jaundice. Hypertensive and bradycardic. Acute CVA w/R sided weakness/numbness and slurred speech. L hemispheric cerebrovascular accident with secondary carotid occlusion.  ICD9 Codes: 070.51, 250.01, 435.9, 437.2, 781.3, 784.5, 070.51, 250.00, 250.01, 272.4, 401.1, 401.9, 427.89, 437.2, 696.1, 781.3, 784.5, 787.6, V12.59, V13.8, V45.99
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Cheilitis
Clinical narrative: sores on lip
Age: 1.03
Sex: F
Vaccine: FLUX, HEPA, MMR, PNC, VARCEL
Symptoms: Blister
Clinical narrative: VESICULAR LESIONS, 6-7, ON FACE, TRUNK AND 1 LEG OCCURRED.  19 DAYS AFTER IMMUNIZATIONS, AFEBRILE.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Injection site pain, Syncope
Clinical narrative: CLIENT EXPERIENCED SYNCOPE ON 11/02/09.  NO PREVIOUS SYNCOPAL EPISODES. MILD DIZZINESS 11/03/09. C/O MILD SORENESS AT SITE OF INJECTION. CLIENT EVALUATED BY PRIVATE MD ON 11/03/09 WITH NO COMPLICATIONS.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Dizziness, Erythema, Injection site erythema, Tachycardia
Clinical narrative: Patient received H1N1 vaccine at school.  Experienced redness at injection site, then felt dizzy and weak.  Redness spread throughout body.  Epinephrine 0.3 mg was given, followed by epinephrine 0.2 mg a few minutes later.  Patient was brought to the emergency department experiencing shaking and tachycardic.  Unable to determine if ED presentation is due to vaccine or epinephrine. 11/9/09 & 11/13/09:  Emergency Department record received for date of service 11/4/09.  Dx:  Headache, tremor, redness after vaccine injection. Assessment:  Presented with shaking all over, some flushing of face and arms, occasional crossing of the eyes, possibly some nausea, no vomiting.  Given epi. on scene of H1N1 vaccine which precipitated more spasms and a headache.  CT Scan of head with no evidence of acute intercranial pathology. Steroids administered.  Discharged on prednisone, Benadryl, return to ED if trouble breathing or swallowing, to take one day off of work.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Tremor
Clinical narrative: Patient received H1N1 vaccine at school.  Experienced redness at injection site, then felt dizzy and weak.  Redness spread throughout body.  Epinephrine 0.3 mg was given, followed by epinephrine 0.2 mg a few minutes later.  Patient was brought to the emergency department experiencing shaking and tachycardic.  Unable to determine if ED presentation is due to vaccine or epinephrine. 11/9/09 & 11/13/09:  Emergency Department record received for date of service 11/4/09.  Dx:  Headache, tremor, redness after vaccine injection. Assessment:  Presented with shaking all over, some flushing of face and arms, occasional crossing of the eyes, possibly some nausea, no vomiting.  Given epi. on scene of H1N1 vaccine which precipitated more spasms and a headache.  CT Scan of head with no evidence of acute intercranial pathology. Steroids administered.  Discharged on prednisone, Benadryl, return to ED if trouble breathing or swallowing, to take one day off of work.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Blood glucose increased, Diplopia, Dizziness, Injection site erythema, Injection site swelling
Clinical narrative: Patient received H1N1 vaccine at school.  Experienced redness at injection site, then felt dizzy and weak.  Redness spread throughout body.  Epinephrine 0.3 mg was given, followed by epinephrine 0.2 mg a few minutes later.  Patient was brought to the emergency department experiencing shaking and tachycardic.  Unable to determine if ED presentation is due to vaccine or epinephrine. 11/9/09 & 11/13/09:  Emergency Department record received for date of service 11/4/09.  Dx:  Headache, tremor, redness after vaccine injection. Assessment:  Presented with shaking all over, some flushing of face and arms, occasional crossing of the eyes, possibly some nausea, no vomiting.  Given epi. on scene of H1N1 vaccine which precipitated more spasms and a headache.  CT Scan of head with no evidence of acute intercranial pathology. Steroids administered.  Discharged on prednisone, Benadryl, return to ED if trouble breathing or swallowing, to take one day off of work.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Loss of consciousness, Paraesthesia, Rash erythematous, Rash macular, Retching
Clinical narrative: Patient received H1N1 vaccine at school.  Experienced redness at injection site, then felt dizzy and weak.  Redness spread throughout body.  Epinephrine 0.3 mg was given, followed by epinephrine 0.2 mg a few minutes later.  Patient was brought to the emergency department experiencing shaking and tachycardic.  Unable to determine if ED presentation is due to vaccine or epinephrine. 11/9/09 & 11/13/09:  Emergency Department record received for date of service 11/4/09.  Dx:  Headache, tremor, redness after vaccine injection. Assessment:  Presented with shaking all over, some flushing of face and arms, occasional crossing of the eyes, possibly some nausea, no vomiting.  Given epi. on scene of H1N1 vaccine which precipitated more spasms and a headache.  CT Scan of head with no evidence of acute intercranial pathology. Steroids administered.  Discharged on prednisone, Benadryl, return to ED if trouble breathing or swallowing, to take one day off of work.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Sensation of heaviness, Similar reaction on previous exposure to drug, Unresponsive to stimuli
Clinical narrative: Patient received H1N1 vaccine at school.  Experienced redness at injection site, then felt dizzy and weak.  Redness spread throughout body.  Epinephrine 0.3 mg was given, followed by epinephrine 0.2 mg a few minutes later.  Patient was brought to the emergency department experiencing shaking and tachycardic.  Unable to determine if ED presentation is due to vaccine or epinephrine. 11/9/09 & 11/13/09:  Emergency Department record received for date of service 11/4/09.  Dx:  Headache, tremor, redness after vaccine injection. Assessment:  Presented with shaking all over, some flushing of face and arms, occasional crossing of the eyes, possibly some nausea, no vomiting.  Given epi. on scene of H1N1 vaccine which precipitated more spasms and a headache.  CT Scan of head with no evidence of acute intercranial pathology. Steroids administered.  Discharged on prednisone, Benadryl, return to ED if trouble breathing or swallowing, to take one day off of work.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Throat irritation, Urticaria
Clinical narrative: hives all over her body (chest, arms, legs, back) and she said her throat "tickled".
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Cheilitis
Clinical narrative: sores to lips
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient received FLUVIRIN shot-shortly after developed rash about size of a silver dollar-sold her some HC 1% creme-called a few days later-rash gone. Feeling fine. Not allergic to eggs.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Ultrasound scan vagina abnormal, Uterine dilation and curettage
Clinical narrative: On Wednesday, October 28, 2009, I went to my local health department to get my H1N1 vaccine. Everything went well, or so I thought. The next day, October 29, 2009, I had an appointment with my OB/GYN for a regular check-up. We talked, laughed, etc. and before I left, the nurse practitioner told me she needed to do an ultrasound to hear the baby's heart rate before I could go home. I was 8 weeks pregnant, by the way, so the heart rate could not be heard on the doppler. Anyway, she did the abdominal ultrasound and could not find a heart rate. So, she did the transvaginal ultrasound just to make sure. We could see the baby and the baby was measuring 8 weeks, but there was no heart rate. This was a COMPLETE shock because I was not experiencing any spotting, cramping, etc. So, to say the least, I was totally devastated that I had lost my baby. On Friday, October 30, 2009, I had a suction D&C. I do not know if the H1N1 vaccine was the cause of the miscarriage, but I wanted to let you know that I did have a miscarriage after receiving the vaccine.  11/6/09:  Operative Report received for date of service 10/30/09:  Dx:  Missed abortion.   Assessment:  Suction Dilation and Curettage:  10 week size uterus.  Products of Conception were sent to pathology.  Less than 200 ml blood loss. 11/9/09:  Ob/GYN records received for dates of service 10/15/09 to 10/29/09:  Assessment:  No heart beat on doppler, no color flow.  Schedule for D & C.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthenia, CSF protein increased, Computerised tomogram normal, Guillain-Barre syndrome, Laboratory test normal
Clinical narrative: Gradually developing ascending weakness culminating in admission to hospital and diagnosis of Guillain-Barre syndrome on 10-30-09.  11/23/09 Discharge summary, ED, hospital records received. Service dates 10/31/09 to 11/02/09. Assessment: Guillain-Barre syndrome.  Child has been sick 2 weeks. complained of right hip pain the day prior to admission. Now complains of weakness in legs and arms, wide gait. Absent ankle / knee jerks. Tired, irritable, stumbling and falling. IVIG administration. Dehydration. Decreased weakness, improved ambulation. Discharged.  ICD-9 Codes: 357.0, 276.51, V13.61, V45.89, V15.86.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema multiforme, Skin lesion
Clinical narrative: 10/16/2009 and 10/17/2009: ED visits for skin lesions on thighs, breasts, spine, head, scalp, back, neck, legs, groin, top of feed.  Diagnosed by dermatologist on 10/21/2009 as erythema multiforms related to seasonal influenza vaccine
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Swelling face, Urticaria
Clinical narrative: Diffuse urticaria across entire body, mild facial swelling approximately 24 hrs after injection.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Caesarean section, Drug exposure during pregnancy, Infection, Premature labour
Clinical narrative: Severe right-side abdominal pain (intermittent). Vomiting (started 10/8, early AM). White blood cells consistent with infection. I was 35 weeks pregnant and my baby was delivered via cesarean. 11/30/09 DC summary and hosp recs received for dates 10/8/09 to 10/12/09. DX: s/p c-section for breech presentation, s/p appendectomy. Presenting sx: 35wks gestation w/ severe RLQ pain, fever, abnormal labs. Assessment: pt was monitored for several hours, pain increased, pt taken to OR for appendectomy and C/S.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Severe right-side abdominal pain (intermittent). Vomiting (started 10/8, early AM). White blood cells consistent with infection. I was 35 weeks pregnant and my baby was delivered via cesarean. 11/30/09 DC summary and hosp recs received for dates 10/8/09 to 10/12/09. DX: s/p c-section for breech presentation, s/p appendectomy. Presenting sx: 35wks gestation w/ severe RLQ pain, fever, abnormal labs. Assessment: pt was monitored for several hours, pain increased, pt taken to OR for appendectomy and C/S.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Red shoulder and arm (rt). C/o pain day after injection.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Dysphagia, Feeling jittery
Clinical narrative: Dizzy, jittery, hard to swallow, hollow feeling in chest-0.5 mg epinephrine given IM and medic called. transported to hospital.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Ultrasound scan
Clinical narrative: Flu vaccine (FLUVIRIN) was given to patient on 11.02.09 Rt arm. Pt noticed swelling, pain local site on 11.3.09 was seen by one doctor 11.6.09. Lt w swelling, erythema, pain local site and previous BCG scar adjacent to vaccine site 5-6 cm away from flu vaccine site is swollen, erythematous.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Injection site raised approx 1cm and approx 2cm in diameter per pt. Warm to touch on 9-23-09. Spoke to pt and she stated area has went away. Not seen in office.
Age: 39.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: None 11/6/09 Medical records received for date 10/29/09. Pt 37 weeks pregnant arrived to L&D for PIH workup. Pt. c/o HA daily, occasional left flank pain. Pt. states past 10 days fetus will "shake" 4-5 times a day for 10-20 sec. Assessment WNL. Plans to return to L&D on 11/4 for induction.
Age: 1.28
Sex: F
Vaccine: VARCEL
Symptoms: Cyanosis, Immediate post-injection reaction, Injection site erythema, Injection site swelling, Respiratory rate increased
Clinical narrative: Pt given varicella in Left thigh. Had almost immediate swelling and redness of soft tissue. She increased Resp Rate to 18 and lips turned cyanotic. 911 called & O2NC2L given. No seizure. Resolved in 5 min.
Age: 39.0
Sex: U
Vaccine: FLU3
Symptoms: Musculoskeletal pain
Clinical narrative: L Shoulder pain. Just reported on 11/2/09!
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site inflammation, Injection site oedema
Clinical narrative: Inflammation, edema at site of immunization.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site nodule, Pain
Clinical narrative: -unusual pain immediately after injection -pain persisted for 3 weeks, noted @ ROM -denies N/T and weakness -per patient palpable nodule
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling/erythema L deltoid 5 x 6 inches. Monitor clinically, ice, elevation, TYLENOL, rev 2d
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Ear infection, Injection site erythema, Injection site induration, Injection site inflammation, Irritability
Clinical narrative: Woke in am 10/27 with hard, red bump @ vaccine site on Lt thigh. Mild fever, fussy-taken to urgent care, diagnosed with ear infection started AMOXICILLIN, TYLENOL. In a.m. of 10/28 reaction had doubled in size-very inflamed with white area @ center of reaction. Fever present. Taken to ER-started on new antibiotic but advised could simply be a reaction to shot. 10/29-Infant walking on leg with no discomfort.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Woke in am 10/27 with hard, red bump @ vaccine site on Lt thigh. Mild fever, fussy-taken to urgent care, diagnosed with ear infection started AMOXICILLIN, TYLENOL. In a.m. of 10/28 reaction had doubled in size-very inflamed with white area @ center of reaction. Fever present. Taken to ER-started on new antibiotic but advised could simply be a reaction to shot. 10/29-Infant walking on leg with no discomfort.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised, Urticaria
Clinical narrative: Mild rash and hives that started on both forearms and progressed to trunk and down both legs over course of 10 days. Treated herself with 12.5mg of Benadryl without relief. Advised to see own physician and take 25-50mg. Benadryl Q6H.
Age: 11.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Abdominal discomfort, Diarrhoea, Vomiting
Clinical narrative: Upset stomach, diarrhea, vomiting, lasted about 24 hrs.
Age: 7.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives, started out looked like small bites on feet then swelled up, then a couple hives broke out on face by hair line, gave Benadryl and hives were away within a 2hour period.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Blood bicarbonate increased, Blood chloride normal, Blood creatine, Blood glucose increased
Clinical narrative: Inpatient who rec'd seasonal flu vaccine and diagnosed with Giullain Barre Syndrome. Patient in hospital as of 11/4/2009. Admitted on 10/18/2009. Patient complaints of tingling, numbness of bilateral hands and feet associated lower back paint that gradually worsened over a 3-4 day period. Symptoms progressed over several days to a level where her whole body felt numb and the tingling got worse ans she developed lower back pain. Patient also complaints of nausea and vomiting. Zofran will be given for nausea control 11/19/09 Medical records received for DOS 10/18/09. Final DX: Guillainn-Barre Syndrome, neuro-muscular respiratory failure, pseudomonas tracheobronchitis, fever.  Polyneuropathy with pain syndrome, adjustment disorder with anxiety.  S/P vaccines flu-like illness for 2 days then C/O tingling, numbness in hands and feet, low back pain. Weakness. Quadraparesis. inability to complete ADLs. Ambulatory dysfunction. LE reflexes absent.  Intubation. IVIG tx. Sputum cx +.  CSF protein increased. PEG tube.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, Condition aggravated, Electromyogram abnormal
Clinical narrative: Inpatient who rec'd seasonal flu vaccine and diagnosed with Giullain Barre Syndrome. Patient in hospital as of 11/4/2009. Admitted on 10/18/2009. Patient complaints of tingling, numbness of bilateral hands and feet associated lower back paint that gradually worsened over a 3-4 day period. Symptoms progressed over several days to a level where her whole body felt numb and the tingling got worse ans she developed lower back pain. Patient also complaints of nausea and vomiting. Zofran will be given for nausea control 11/19/09 Medical records received for DOS 10/18/09. Final DX: Guillainn-Barre Syndrome, neuro-muscular respiratory failure, pseudomonas tracheobronchitis, fever.  Polyneuropathy with pain syndrome, adjustment disorder with anxiety.  S/P vaccines flu-like illness for 2 days then C/O tingling, numbness in hands and feet, low back pain. Weakness. Quadraparesis. inability to complete ADLs. Ambulatory dysfunction. LE reflexes absent.  Intubation. IVIG tx. Sputum cx +.  CSF protein increased. PEG tube.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Haemoglobin normal, Hypoaesthesia, Nausea, Nuclear magnetic resonance imaging
Clinical narrative: Inpatient who rec'd seasonal flu vaccine and diagnosed with Giullain Barre Syndrome. Patient in hospital as of 11/4/2009. Admitted on 10/18/2009. Patient complaints of tingling, numbness of bilateral hands and feet associated lower back paint that gradually worsened over a 3-4 day period. Symptoms progressed over several days to a level where her whole body felt numb and the tingling got worse ans she developed lower back pain. Patient also complaints of nausea and vomiting. Zofran will be given for nausea control 11/19/09 Medical records received for DOS 10/18/09. Final DX: Guillainn-Barre Syndrome, neuro-muscular respiratory failure, pseudomonas tracheobronchitis, fever.  Polyneuropathy with pain syndrome, adjustment disorder with anxiety.  S/P vaccines flu-like illness for 2 days then C/O tingling, numbness in hands and feet, low back pain. Weakness. Quadraparesis. inability to complete ADLs. Ambulatory dysfunction. LE reflexes absent.  Intubation. IVIG tx. Sputum cx +.  CSF protein increased. PEG tube.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Platelet count normal, Spinal X-ray, Vomiting, White blood cell count normal
Clinical narrative: Inpatient who rec'd seasonal flu vaccine and diagnosed with Giullain Barre Syndrome. Patient in hospital as of 11/4/2009. Admitted on 10/18/2009. Patient complaints of tingling, numbness of bilateral hands and feet associated lower back paint that gradually worsened over a 3-4 day period. Symptoms progressed over several days to a level where her whole body felt numb and the tingling got worse ans she developed lower back pain. Patient also complaints of nausea and vomiting. Zofran will be given for nausea control 11/19/09 Medical records received for DOS 10/18/09. Final DX: Guillainn-Barre Syndrome, neuro-muscular respiratory failure, pseudomonas tracheobronchitis, fever.  Polyneuropathy with pain syndrome, adjustment disorder with anxiety.  S/P vaccines flu-like illness for 2 days then C/O tingling, numbness in hands and feet, low back pain. Weakness. Quadraparesis. inability to complete ADLs. Ambulatory dysfunction. LE reflexes absent.  Intubation. IVIG tx. Sputum cx +.  CSF protein increased. PEG tube.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Facial palsy
Clinical narrative: Bell's Palsy
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Epistaxis, Scab
Clinical narrative: Patient started with a nose bleed. Inside of nose became crusty and filled with scabs.  Has lasted until now - 11/4/09.
Age: 40.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Fatigue, Muscular weakness, Myalgia, Rash pustular
Clinical narrative: It began with left upper extremity muscle ache and weakness.  It has been on and off since the time of onset.  Also generalized fatigue and myalgias. Two left suborbital red pustules occured same day.
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Back pain, Breast pain, Chest pain, Fatigue
Clinical narrative: Muscle and breast pain, chest pain and back pain, weakness, fatigue
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Myalgia
Clinical narrative: Muscle and breast pain, chest pain and back pain, weakness, fatigue
Age: 1.67
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea
Clinical narrative: Onset of diarrhea within 24 hours. No fever, rash or vomiting.
Age: 49.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Nausea, Oropharyngeal pain, Pain
Clinical narrative: Feeling nauseated, achy, headache and sore throat.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscular weakness
Clinical narrative: Arm felt weak with extended reaches and handling objects using left are yet on 10/29/2009
Age: 17.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Feeling abnormal, Full blood count normal, Head discomfort, Injection site erythema
Clinical narrative: First said her head felt funny and injection site hurt, by 3:50 PM injection site red, swollen and felt heat from site, said she was dizzy during school and nauseated. On 10/24/2009 woke at 10:30 AM took shower she was dizzy, nauseated and felt as if she were going to vomit. I thought these symptons would pass.  I called Dr. office on 11/01/2009 about 11:30 AM left message with nurse concerning side effects was told some patients have show to have some of her symptoms and to make appt with the doctor.  Appt with Dr. on 11/03/2009 at 4:00 PM seen Dr 5:15 PM he said her symptoms were not side effects of the flu shot and ordered blood test.  A CBC and Metabolic Profile which results called today were normal 11/04/2009 at 12:02 PM.  Now the injection site is normal but still has spells of dizziness and nausea and states her head just feels funny at times.
Age: 17.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Metabolic function test normal, Nausea
Clinical narrative: First said her head felt funny and injection site hurt, by 3:50 PM injection site red, swollen and felt heat from site, said she was dizzy during school and nauseated. On 10/24/2009 woke at 10:30 AM took shower she was dizzy, nauseated and felt as if she were going to vomit. I thought these symptons would pass.  I called Dr. office on 11/01/2009 about 11:30 AM left message with nurse concerning side effects was told some patients have show to have some of her symptoms and to make appt with the doctor.  Appt with Dr. on 11/03/2009 at 4:00 PM seen Dr 5:15 PM he said her symptoms were not side effects of the flu shot and ordered blood test.  A CBC and Metabolic Profile which results called today were normal 11/04/2009 at 12:02 PM.  Now the injection site is normal but still has spells of dizziness and nausea and states her head just feels funny at times.
Age: 16.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Nausea, Pain, Rhinorrhoea
Clinical narrative: Headache, nausea, body aches and runny nose
Age: 25.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Diarrhoea, Fatigue, Paraesthesia, Vomiting
Clinical narrative: Vomiting, diarrhea, weakness, tingling, and tiredness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and warmth to touch at injection site of left arm
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Foetal-maternal haemorrhage, Intra-uterine death, Kleihauer-Betke test
Clinical narrative: Fetal Demise. Patient presented on 10/29/09 10:30 PM with decreased fetal movement since 10/28 AM and was diagnosed with intrauterine fetal demise.  Work-up to date significant for +K-B indicative of likely fetal-maternal hemorrhage as the cause. 11/5/2009 MR and DC records for 10/30-31/2009. Patient presented with c/o's no fetal movement for past day, 38 wks, EDD 11/12/2009. US verified no fetal movement. no fetal heartbeat.  Pregancy complicated with a choroid plexus and marginal cord insertion. Tx: Induced labor :Misoprostol IV then Pitocin. Fetal autopsy requested. DC Dx: stillbirth
Sex: F
Vaccine: DTAPIPVHIB, FLU3
Symptoms: Injection site erythema
Clinical narrative: Pt came in for vaccine, pt recieved MMR, VZU, Prevnar, HepH, Pentacel et Flu vaccine. Pt returned two days later for redness in LT. Pentacel et Flue were given in LT.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Agitation, Anxiety, Electrocardiogram, Electrocardiogram abnormal, Laboratory test
Clinical narrative: Pt. called approx. 15-30mins after she left Health Dept to report she did not have any problems until after she left has tingling in neck and side of face, experiencing different sensations, anxiety excitement, told her to seek immediate medical attention. Call to client next day 11/4/09 says went to Dr and he gave her 2 shots and didn't help, did EKG and it didn't look right and he put her in hospital. She is getting tests to R/o stroke - will continue to follow pt. course, she will call when she is discharged from hospital.  11/24/09 Hospital records and dc summary received for date 11/3/09 to 11/7/09 duplicate copy received 11/30/09. Reaction to vaccine, mild B12 deficiency, cervical spine C4-5 and C5-6 mild impingement, mild renal insufficiency, rt. carpal tunnel syndrome. Pt admitted to hosp. for alternating mental status, poss. allergic reaction, numbness in face, syncope. Pt. c/o receiving vax then had new onset of HA, SOB, nausea, weakness, numbness/tingling of face and arms.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Pt. called approx. 15-30mins after she left Health Dept to report she did not have any problems until after she left has tingling in neck and side of face, experiencing different sensations, anxiety excitement, told her to seek immediate medical attention. Call to client next day 11/4/09 says went to Dr and he gave her 2 shots and didn't help, did EKG and it didn't look right and he put her in hospital. She is getting tests to R/o stroke - will continue to follow pt. course, she will call when she is discharged from hospital.  11/24/09 Hospital records and dc summary received for date 11/3/09 to 11/7/09 duplicate copy received 11/30/09. Reaction to vaccine, mild B12 deficiency, cervical spine C4-5 and C5-6 mild impingement, mild renal insufficiency, rt. carpal tunnel syndrome. Pt admitted to hosp. for alternating mental status, poss. allergic reaction, numbness in face, syncope. Pt. c/o receiving vax then had new onset of HA, SOB, nausea, weakness, numbness/tingling of face and arms.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Cough, Wheezing
Clinical narrative: Increased cough, wheezing in asthmatic patient.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Headache
Clinical narrative: 10/29/09 at 10:00 AM student received intranasal H1N1 vaccination. After 12:00 PM same day she c/o headache and dizziness. Patient was examined by Dr.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Contusion, Injected limb mobility decreased, Nausea, Pain in extremity
Clinical narrative: Pt c/o pain with movement, "hurts too much too move it, hurts to the point of nausea". Pain began the following day while pt went swimming. When NP lifted arm, "It did not hurt as much," per pt. Pt diagnosed as a deep muscle bruise. Instructed to use heat PRN.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inflammation, Pain, Pruritus, Skin burning sensation, Urticaria
Clinical narrative: Hives, burning skin, inflammation, itching, pain. BENADRYL 50 mg at home started 10/29 continued till present 11/04. Prednisone PO 11/4.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Ataxia, Blood creatine phosphokinase increased, Computerised tomogram normal, Confusional state
Clinical narrative: Syncope/confusion, generalized weakness, some truncal ataxia, & possible aphasia. No clear evidence of acute cardiac etiology, nor witnessed tonic-clonic motor activity.  11/05/09 Medical records recieved for DOS 11/02/09.   Nurse working in Ed became pale and dizzy and about to faint. Helped to wheelchair. Syncope followed by confusion, decreased responsiveness, lightheaded, dizziness. Mild aphasia, fluctuating LOC. Mild truncal ataxia, limb tremor, DTR knees +2/4. H/o pontine lesion.  Flu vaccine day before.    11/17 and 11/18 Medical Records received. DOS 11/02-11/03. Final Dx: Syncope, encephalopathy, acute migraine C/O feeling dizzy, passing out. S/p 1 day vaccine. History as above.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Fibrin D dimer normal, Scan brain, Syncope, White blood cell count normal
Clinical narrative: Syncope/confusion, generalized weakness, some truncal ataxia, & possible aphasia. No clear evidence of acute cardiac etiology, nor witnessed tonic-clonic motor activity.  11/05/09 Medical records recieved for DOS 11/02/09.   Nurse working in Ed became pale and dizzy and about to faint. Helped to wheelchair. Syncope followed by confusion, decreased responsiveness, lightheaded, dizziness. Mild aphasia, fluctuating LOC. Mild truncal ataxia, limb tremor, DTR knees +2/4. H/o pontine lesion.  Flu vaccine day before.    11/17 and 11/18 Medical Records received. DOS 11/02-11/03. Final Dx: Syncope, encephalopathy, acute migraine C/O feeling dizzy, passing out. S/p 1 day vaccine. History as above.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Computerised tomogram, Confusional state, Depressed level of consciousness, Disorientation, Dizziness
Clinical narrative: Syncope/confusion, generalized weakness, some truncal ataxia, & possible aphasia. No clear evidence of acute cardiac etiology, nor witnessed tonic-clonic motor activity.  11/05/09 Medical records recieved for DOS 11/02/09.   Nurse working in Ed became pale and dizzy and about to faint. Helped to wheelchair. Syncope followed by confusion, decreased responsiveness, lightheaded, dizziness. Mild aphasia, fluctuating LOC. Mild truncal ataxia, limb tremor, DTR knees +2/4. H/o pontine lesion.  Flu vaccine day before.    11/17 and 11/18 Medical Records received. DOS 11/02-11/03. Final Dx: Syncope, encephalopathy, acute migraine C/O feeling dizzy, passing out. S/p 1 day vaccine. History as above.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Nervous system disorder, Nuclear magnetic resonance imaging, Syncope
Clinical narrative: Syncope/confusion, generalized weakness, some truncal ataxia, & possible aphasia. No clear evidence of acute cardiac etiology, nor witnessed tonic-clonic motor activity.  11/05/09 Medical records recieved for DOS 11/02/09.   Nurse working in Ed became pale and dizzy and about to faint. Helped to wheelchair. Syncope followed by confusion, decreased responsiveness, lightheaded, dizziness. Mild aphasia, fluctuating LOC. Mild truncal ataxia, limb tremor, DTR knees +2/4. H/o pontine lesion.  Flu vaccine day before.    11/17 and 11/18 Medical Records received. DOS 11/02-11/03. Final Dx: Syncope, encephalopathy, acute migraine C/O feeling dizzy, passing out. S/p 1 day vaccine. History as above.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash generalised
Clinical narrative: During bath mom noted rash all over-called Dr. and he told her to use BENADRYL prn 10/29/09.
Age: 28.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity
Clinical narrative: On 10-31-09, developed joint pain in lower legs, arms and shoulder with worst pain in feet bilaterally. Pain so severe (according to patient) that she required MOTRIN for enough relief to sleep. She notified office on 11-3-09 at which time she was seen by Dr. Recommended "around the clock" TYLENOL (1000 mg Q 6 hours or TYLENOL arthritis 2-650 mg tabs Q 8 hours). Will add prednisone if no relief by 11-5-09. Has been afebrile throughout episode.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Blood oestrogen, Blood prolactin, Breast pain, Breast swelling, Chest X-ray
Clinical narrative: I had the H1N1 vaccination. I started getting a tingling sensation in my chest area and my breast. My breast started swelling 2X as large, with excrutiating pain. Since then I have been to my Gynecologist. We have done all kinds of labs (CBC, Prolactin, Thyroid, Estrogen, etc.), these have all came back normal. We have had a breast ultrasound. Then we had a MRI of the breast. Where they found all the nodes were dilated. The breasts specialists was contacted where she thought also that this could have been a reaction to the shot and everything was inflamed. A chest x-ray was done last night.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Full blood count, Inflammation, Lymphadenopathy, Nuclear magnetic resonance imaging abnormal, Paraesthesia
Clinical narrative: I had the H1N1 vaccination. I started getting a tingling sensation in my chest area and my breast. My breast started swelling 2X as large, with excrutiating pain. Since then I have been to my Gynecologist. We have done all kinds of labs (CBC, Prolactin, Thyroid, Estrogen, etc.), these have all came back normal. We have had a breast ultrasound. Then we had a MRI of the breast. Where they found all the nodes were dilated. The breasts specialists was contacted where she thought also that this could have been a reaction to the shot and everything was inflamed. A chest x-ray was done last night.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Progesterone, Thyroid function test, Ultrasound breast
Clinical narrative: I had the H1N1 vaccination. I started getting a tingling sensation in my chest area and my breast. My breast started swelling 2X as large, with excrutiating pain. Since then I have been to my Gynecologist. We have done all kinds of labs (CBC, Prolactin, Thyroid, Estrogen, etc.), these have all came back normal. We have had a breast ultrasound. Then we had a MRI of the breast. Where they found all the nodes were dilated. The breasts specialists was contacted where she thought also that this could have been a reaction to the shot and everything was inflamed. A chest x-ray was done last night.
Age: 37.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Nasal congestion, Oropharyngeal pain, Urticaria
Clinical narrative: Patient developed urticaria on face and scalp. No angioedema, wheeze, SOB, cough, flushing, or n/v/d. Pt did have slight sore throat and nasal congestion starting ~6 hours after recieving vaccine (intranasal H1N1). Urticaria treated with Claritin 10mg and resolved completely within 12 hours with no further sx noted.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Muscle spasms, Pain, Pain in extremity
Clinical narrative: Awaken by cramping down neck into shoulder blade and shoulder and sharp pain down right arm.  11/03/2009 3:20 PM continues to have cramp in neck,less pain and hurts to move neck.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Ear infection, Oropharyngeal pain, Rhinorrhoea, Sinusitis
Clinical narrative: reaction started w/ nasal ddrip, sore throat. By Tuesday, Nov. 2nd, reaction had turned into severe double ear infection and sinus infection.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal pain, Neck pain, Nuclear magnetic resonance imaging, Pain in extremity, Ultrasound scan
Clinical narrative: Patient reported to ED four days after receiving H1N1 vaccination at work for complaint of arm, shoulder and neck pain. Currently under care of neurologist for complaints. Also has ortho referral.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Started as itchy red raised spots on rt arm upon awakening 10/29/09, quickly moved to include lt arm and cont to spread to entire forearm-many in linear type fashion, to mid upper arm over next 24 hours which continued, and today noticed some on dorsum of hand. He had been out of state, came back in to see me today -I told him to if anything out of ordinary happened-I gave him rx prednisone x 5 days, recommended Benadryl at night, Zyrtec day and cool compresses which he is to start immediately. The rash almost appears like poison ivy but he denies being near any bushes/trees, started no new drugs, new lotions, soap etc.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Rash erythematous, Swelling face
Clinical narrative: face puffy, red rash across cheeks no treatment
Age: 16.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea
Clinical narrative: Patient started having a headache and nausea at 11:30 pm after receiving H1N1 vaccine at 5 PM.  The headache and nausea continued to 6:30 am on 11/3/09.  This has continued to today, 11/4/09.  The headache is in the back of his head.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Urticarial rash on face, chest, and arms 24 hours post influenza injection
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Rash
Clinical narrative: Patient was vaccinated on 10-29-09 with LAIV H1N1 intranasal. On 10/31/09 he began having a rash on his arms, from shoulders to elbows. On 11/2/09, the rash progressed to the face (cheeks, around eyes). Recommended he see a health care provider.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Hypoaesthesia
Clinical narrative: Headache one hour after vaccination, numbness left arm & leg 2:30 PM evaluation by ED physician  No treatment
Age: 51.0
Sex: M
Vaccine: TTOX
Symptoms: Asthenia, Hypoaesthesia, Mobility decreased, Musculoskeletal pain, Pain in extremity
Clinical narrative: ACKING IN SHOULDER AND ARM/ SOME LEG, REALLY BAD WHEN TRYING TO SLEEP,OR LYING DOWN, NUMBNESS IN LEFT HAND AT TIMES, FINGERS TINGLE IN LEFT HAND, WEAK ARM, TROUBLE LIFTING ARM,VERY SORE.... WHAT CAN I TAKE FOR THE PAIN?
Age: 51.0
Sex: M
Vaccine: TTOX
Symptoms: Paraesthesia
Clinical narrative: ACKING IN SHOULDER AND ARM/ SOME LEG, REALLY BAD WHEN TRYING TO SLEEP,OR LYING DOWN, NUMBNESS IN LEFT HAND AT TIMES, FINGERS TINGLE IN LEFT HAND, WEAK ARM, TROUBLE LIFTING ARM,VERY SORE.... WHAT CAN I TAKE FOR THE PAIN?
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Body temperature decreased, Cyanosis, Feeling cold, Influenza serology
Clinical narrative: ONE HOUR AFTER H1N1 BODY TEMP DECREASED 96 DEGREES TO 98 DEGREES COMPLAINING COLD INSIDE AND LIPS TURNED PURPLE.  COMPLAINED THAT WHEN INHALING IT FELT LIKE ICE.  TWO DAYS LATER BODY TEMPERATURE 100 DEGREES BACK ACHES AND CONTINUED TO INHALE COLD/ICY AIR.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Laboratory test normal
Clinical narrative: ONE HOUR AFTER H1N1 BODY TEMP DECREASED 96 DEGREES TO 98 DEGREES COMPLAINING COLD INSIDE AND LIPS TURNED PURPLE.  COMPLAINED THAT WHEN INHALING IT FELT LIKE ICE.  TWO DAYS LATER BODY TEMPERATURE 100 DEGREES BACK ACHES AND CONTINUED TO INHALE COLD/ICY AIR.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Dysphagia, Sensation of foreign body
Clinical narrative: Child complained of not being able to swollow.  Symptoms occured after vaccination with H1N1 intranasal vaccine.  Child in no accute distress alert,oriented and could speak.  10:40 Am was given Benadryl liquid 12 ml per protocol.  10:45 pulse 80, resp 15 easy non labored, 10:50 pulse 74 resp 20 breathing easy and unlabored.  Stated felling al little better but still having a hard time swollowing.  No swelling of lips or tongue, breathing easy, conblains of no throat soreness but feeling like a "lump".  11:05 pulse 76. Client talking and in no acute distress breathing easy.  Child discharged to parent at aproximately 11:15 am.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives a few hours after vaccine. BENADRYL 25 mg on 11/4/09.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Cardiac function test normal, Chest pain, Erythema, Feeling hot, Urticaria
Clinical narrative: pt reported 30-45 min post vacc. felt hot, red in face and hives.  Later developed Chest Pain
Age: 0.17
Sex: F
Vaccine: DTPPHIB, PPV
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram, Nuclear magnetic resonance imaging
Clinical narrative: Seizure, continued seizures Anti-seizure medication suggested
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Devleoped fever of 106 in 24 hours, vomiting, body aches.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Influenza, Pyrexia, Upper respiratory tract congestion
Clinical narrative: Fever of 104 F, cough and congestion.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Death
Clinical narrative: UNKNOWN.
Age: 9.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Cold sweat, Loss of consciousness, Nausea
Clinical narrative: Client received immunizations without problems. Approx. 5-10 minutes later, after her sister had received an immunization, she was sitting on mother's lap and suddenly became limp.  She was assisted to lay down on the floor by mother and myself.  Within moments her eyes opened and she said, What just happened? She was assisted to lay down on exam table and cool packs were applied to back of neck and abdomen.  She was somewhat clammy and complained of nausea.  These symptoms subsided within a few moments.  She sat up for a few minutes, then asked to lay down again due to feeling nauseous.  Again the nausea subsided and she sat for a few minutes before leaving at 5:00 p.m.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: No adverse reaction as of 3:40PM Patient given Nasal H1N1 instead of injectable.