chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 6.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Injection site swelling, Injection site warmth, Pain
Clinical narrative: MOTHER REPORTED SWELLING IN ARM AND BROUGHT CHILD BACK TO HEALTH DEPARTMENT. DTAP/IPV (KINRIX) WAS GIVEN IN RIGHT ARM. NOTED MODERATED SWELLING AND WARMTH IN DELTOID AREA IN THIS ARM. CHILD COMPLAINED OF PAIN.  FINGERS IN THIS AREM ARE WARM AND FLEXIBLE WITH GOOD MOBILITY AND RADIAL AND BRACHIAL PULSES FELT. ORAL TEMP 93.3 F. INSTRUCTED TO CONTINUE TYLENOL AND APPLY ICE PACK TO AREA PER DR'S ORDER. PATIENT DID NOT COMPLAIN OF ITCHING.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Facial pain, Myalgia
Clinical narrative: Pain in pectoral and trapezeus muscles; facial pain.
Age: 21.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Dizzy, light-headed, pale, sweaty. Reclined, observed for 1 hr; discharged ambulatory by physician.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Fatigue, Feeling cold, Feeling hot
Clinical narrative: Felt sudden sensation of being hot, weak/tired, light headed, then later finger tips felt cool, lips/face area had sensation, and felt some nausea.  Symptoms lasted about 1 to 1.5 hours and still have a tired feeling.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea
Clinical narrative: Felt sudden sensation of being hot, weak/tired, light headed, then later finger tips felt cool, lips/face area had sensation, and felt some nausea.  Symptoms lasted about 1 to 1.5 hours and still have a tired feeling.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever of 101 at onset and reached 104.7.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Runny nose, fever, aches and cough.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Fluvirin w/ Thimerosal given to OB pt. EDC = 12/09/09. Pt does NOT have an OBGYN. Pt notified on 11/5/09. Denies any adverse effects. Pt NOT hospitalized after receiving H1N1 vaccine. 11/18/09 Medical records received for date 11/2/09 and 11/9/09 DX: IUP Assessment: WNL
Age: 59.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives; respiratory symptoms denied.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Eye swelling, Urticaria
Clinical narrative: Hives present on body from head to navel area; swelling around both eyes; mother notified and instructed to take child to emergency room for further evaluation.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Heart rate increased, Nausea, Palpitations
Clinical narrative: Started getting a headache, dizzy, nausea about an hour after vaccination.  Approximately 30 minutes later, started getting hives around ankles and wrists.  Increased heart rate and palpatations.  Hives starting on right side of neck behind ear, starting around 2pm on 11/13/2009.  Took Benadryl to help with itching but with no positive results.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Started getting a headache, dizzy, nausea about an hour after vaccination.  Approximately 30 minutes later, started getting hives around ankles and wrists.  Increased heart rate and palpatations.  Hives starting on right side of neck behind ear, starting around 2pm on 11/13/2009.  Took Benadryl to help with itching but with no positive results.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Hyperhidrosis, Pallor, Visual impairment
Clinical narrative: Lightheaded, dizzy, "seeing spots", sweaty, pale. Observed for 1 hr; oral fluids and food, discharged by physician.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives/welts on left arm lasting about 24 hours.
Age: 4.0
Sex: F
Vaccine: DTIPV, HEP, MMR, VARCEL
Symptoms: Rash generalised
Clinical narrative: Rash all over body, no fever noted
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Feeling abnormal, Injection site haematoma, Pruritus
Clinical narrative: Redness, Itching, Very Swollen - all signs still present one week later-11/09/2009. Almost 2 weeks later-11/12/2009, still  present "pink" and bruise in the vaccination site.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Asthenia, Dyspnoea, Heart rate increased
Clinical narrative: Weakness, heart beating fast, trouble breathing, stomach pain.
Age: 1.42
Sex: F
Vaccine: FLU3
Symptoms: Cough, Nasal congestion, Pyrexia
Clinical narrative: FEVER, COUGH, NASAL CONGESTION. ANTIPYRETIC
Age: 18.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Hyperhidrosis, Pallor, Presyncope
Clinical narrative: Near faint, pale, sweaty. Reclined, rest for 1 hr, discharged by physician.
Age: 51.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Inappropriate schedule of drug administration, No adverse event
Clinical narrative: PATIENT TOO OLD FOR H1N1 FLUMIST, BUT STILL INSISTED ON GETTING IT. OKAY'D BY DOCTOR. PATIENT REMAINS HEALTHY AND NO ADVERSE EFFECTS FROM VACCINE.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Erythema, Injection site erythema, Injection site oedema, Injection site pruritus
Clinical narrative: C/o Lt upper arm itching. Area red, warm to touch. No signs of respiratory distress.  Ice pack to reduce edema, Benadryl 50 mg po.  Client returned to School nurse office 10 minutes after receiving Benadryl with c/o of neck and chest redness with chest tightness.  After 15 minutes, client states no further discomfort.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site warmth
Clinical narrative: C/o Lt upper arm itching. Area red, warm to touch. No signs of respiratory distress.  Ice pack to reduce edema, Benadryl 50 mg po.  Client returned to School nurse office 10 minutes after receiving Benadryl with c/o of neck and chest redness with chest tightness.  After 15 minutes, client states no further discomfort.
Age: 1.05
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Injection site rash
Clinical narrative: Mom states that morning of 10.22.09 patient had small rash at site of vaccination (VARICELLA) on his right thigh.  Rash was not there night before. He has no fever. Little bit of a runny nose, but he has had that.  No other signs of illness. Mom was told to watch for high fevers, weakness, behavior changes, difficulty breathing (addressed in handout) and call if these occur. Rash resolved in a few days with no treatment.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Oedema peripheral, Palmar erythema, Rash erythematous, Skin exfoliation
Clinical narrative: Child developed small flat red rash on hands @ 5pm that progressed into redness, swelling and warmth of both hands by 7pm. Child did not have any other symptoms such as fever, systemic rash, aches, tingling, etc... Patient went to ER at 11pm and given Prednisone 1 tsp and Benadryl 1 tsp x 4 days. Swelling has now subsided by 11/11/09 and child has reddened, cracked hands, but no other sequelae.  Patient saw her pediatrician on 11/8/09.
Age: 18.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Pain
Clinical narrative: I got the vaccine in my right shoulder, the morning after I woke up and my hip was very sore and throbbing. When I got out of bed and stood up it became a sharp pain. I took I.B Profurien but it did not help. The throbbing is still going on today and I am a little worried because I got the shot in my shoulder not my hip.
Age: 50.0
Sex: M
Vaccine: FLUN(H1N1)
Clinical narrative: Patient 49 years of age and received the flu mist.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Herpes zoster
Clinical narrative: Outbreak of Herpes Zoster, involving Left face, eyelid, forehead and scalp. Began Valtrex on day 2.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Fever of 102 degrees, aches in legs.
Age: 12.0
Sex: F
Vaccine: FLU3, FLUN(H1N1), HPV4
Symptoms: Dizziness, Pallor
Clinical narrative: BECAME PALE AND LIGHT HEADED WITHIN 10 MINUTES OF ADMINISTERING VACCINE.  LAID DOWN ON FLOOR WITH COOL COMPRESS TO FOREHEAD.  MOTHER PRESENT.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Erythema, Headache, Oropharyngeal pain, Pruritus
Clinical narrative: Within one hour after injection felt lightheaded. Next day headache sore throat. Several hours later red flat areas on legs, legs itchy.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash macular
Clinical narrative: Within one hour after injection felt lightheaded. Next day headache sore throat. Several hours later red flat areas on legs, legs itchy.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Flushing, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Developed pain, red, hot injection site within minutes of vaccine ( Left Deltoid). C/O chirpy cough and generalized itching of arm and leg, VS WNL, lungs clear, face flushed, 2 small hives noted on chest. Benadryl 50 mg po,  EPI .3 by EPI PEN. Transported to local hospital for observation. Released 1 hour later.
Age: 13.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: Developed pain, red, hot injection site within minutes of vaccine ( Left Deltoid). C/O chirpy cough and generalized itching of arm and leg, VS WNL, lungs clear, face flushed, 2 small hives noted on chest. Benadryl 50 mg po,  EPI .3 by EPI PEN. Transported to local hospital for observation. Released 1 hour later.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Condition aggravated, Dizziness, Feeling abnormal, Hypoaesthesia facial
Clinical narrative: Patient reports feeling numbness and tingling sensation to left side of face approximately 40 minutes after vaccine. Reports numb sensation worsened with feeling described as "feeling after dental anesthesia".  Pt reported to vaccine adminstrator the above reactions at 1:45 pm.  After reporting symptoms she started to feel a bit anxious and faint, but recovered shortly.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Patient reports feeling numbness and tingling sensation to left side of face approximately 40 minutes after vaccine. Reports numb sensation worsened with feeling described as "feeling after dental anesthesia".  Pt reported to vaccine adminstrator the above reactions at 1:45 pm.  After reporting symptoms she started to feel a bit anxious and faint, but recovered shortly.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Excoriation, Rash maculo-papular
Clinical narrative: Fine maculopapular rash covering upper arm; few excoriations; no calor; no drainage.
Age: 29.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cytomegalovirus test negative, Dyspepsia, Epstein-Barr virus test negative, Full blood count normal, Helicobacter pylori identification test negative
Clinical narrative: Hives, pruritus, heartburn. Prednisone 60mg, Benadryl, med w/ 1 dose pack, Zyrtec, Rahitidine.
Age: 29.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Metabolic function test, Pruritus, Urticaria
Clinical narrative: Hives, pruritus, heartburn. Prednisone 60mg, Benadryl, med w/ 1 dose pack, Zyrtec, Rahitidine.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Pt was given MMR in L thigh. approx 5 min after injection pt came back with small hives on cheeks, ears, shoulder blades and injection site. 1/2 tsp BENADRYL given.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Cellulitis, Ultrasound scan
Clinical narrative: Arm cellulitis - left to right after flu vaccine - R/O abscess
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Pruritus, Rash
Clinical narrative: 20-30 minutes after H1N1 vaccine given in L arm-employee felt dizzy, itchiness in chest and body chest tightness and SOB with rash and wheezing. Went to ER. Given ALBUTEROL treatment, O2, BENADRYL and SOLUMEDROL.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Wheezing
Clinical narrative: 20-30 minutes after H1N1 vaccine given in L arm-employee felt dizzy, itchiness in chest and body chest tightness and SOB with rash and wheezing. Went to ER. Given ALBUTEROL treatment, O2, BENADRYL and SOLUMEDROL.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Autopsy, Cardiac arrest, Cardioversion, Death, Endotracheal intubation
Clinical narrative: Arrived to ED at 1214 via EMS. In asystole and CPR in progress. Intubated and defibrillated in field. Interosseous IV started in ED. Epinephrine, bicarb, and glucose administered. Code stopped at 1236.  11/17/09 PCP medical records and ED records received service date 11/5/09. Assessment: Cardiopulmonary arrest. Child presented for H1N1 vaccination with nasal congestion and oxygen via nasal cannula. No mention from mother of concerns, no noticeable distress from child. Later at home grandmother heard O2 Oximeter beep, found child unresponsive and not breathing. Mother performed CPR. EMS started ACLS, intubated, and defibrillated. Interosseous IV. Pupils on admission Fixed and dilated. No spontaneous respirations. No cardiac activity - asystole. No pulse. No blood pressure. Skin cyanotic and cool. Code terminated. Deceased.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Resuscitation
Clinical narrative: Arrived to ED at 1214 via EMS. In asystole and CPR in progress. Intubated and defibrillated in field. Interosseous IV started in ED. Epinephrine, bicarb, and glucose administered. Code stopped at 1236.  11/17/09 PCP medical records and ED records received service date 11/5/09. Assessment: Cardiopulmonary arrest. Child presented for H1N1 vaccination with nasal congestion and oxygen via nasal cannula. No mention from mother of concerns, no noticeable distress from child. Later at home grandmother heard O2 Oximeter beep, found child unresponsive and not breathing. Mother performed CPR. EMS started ACLS, intubated, and defibrillated. Interosseous IV. Pupils on admission Fixed and dilated. No spontaneous respirations. No cardiac activity - asystole. No pulse. No blood pressure. Skin cyanotic and cool. Code terminated. Deceased.
Age: 21.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient received FLUMIST for H1N1 and did not know she was pregnant at the time.  12/7/09 Medical records received for date 11/30/09. DX: pregnancy. Pt states pregnant and unsure of dates. Assessment: no fetal heart tone heard. Will order US.
Age: 1.4
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Rash
Clinical narrative: Fever began 11/10/09 around noon and lasted until next morning.  TYLENOL given with no results.  Ibuprophen given & broke fever.  Fever 103 at highest point.  Rash to right leg - bumpy not vescular not red, just raised.  Still has some but only to right leg.
Age: 32.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Pallor, Thirst, Tremor
Clinical narrative: 6:10pm Light head, shaky about 5 min after flu mist. Pale, thirsty BP 140/88. 6:20 10 min BP 120/80, feeling better, color better.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pruritus, Injection site rash, Rash generalised
Clinical narrative: Rash on L arm around site, itchy, spread full body by 11/12/09 - taking ZYRTEC and BENADRYL.
Age: 46.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: H1N1 mass immun clinic at local school. This employee took injection stated within minutes finger on both hands tingly and numb - 1 hr later - still numb - no other c/o injection site fine - went to ER bold reaction - no meds given. Better now but finger "stiff" when tries to bend.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Injection site pain, Paraesthesia
Clinical narrative: She received the H1N1 influenza vaccination to the left deltoid at approximately 1000 11/2/09. She immediately developed tingling sensations in the left 4th and 5th fingers. No weakness or numbness. She experienced some achiness in the left deltoid. She was seen by doctor at 14:30 11/2/09. No treatment prescribed except heat application PRN and ibuprofen or TYLENOL PRN.
Age: 8.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Hypoaesthesia, Pain in extremity, Walking disability
Clinical narrative: The patient received the H1N1 flu vaccine on 11/09/09. On 11/112/09 the patient had severe pain in both legs. The patient experience numbness in legs that would not allow her to walk. The patient was taken to the emergency room where she was monitored and 3 hours later the patient recovered.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Dyspnoea, Hyperhidrosis, Pallor
Clinical narrative: Approximately 10 minutes after the vaccine I got SOB, could feel my heart pounding. Felt like I was going to faint. I was diaphoretic and pale.  I just happened to be with a physician who monitored my pulse which was rapid but quickly slowed back down to a normal rate. Occurred over several minutes and subsided without any intervention.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Palpitations
Clinical narrative: Approximately 10 minutes after the vaccine I got SOB, could feel my heart pounding. Felt like I was going to faint. I was diaphoretic and pale.  I just happened to be with a physician who monitored my pulse which was rapid but quickly slowed back down to a normal rate. Occurred over several minutes and subsided without any intervention.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Diarrhoea, Dizziness, Hyperhidrosis, Malaise
Clinical narrative: Severe nausea and vomiting (6-7 episodes of vomiting), fever and chills (temperature to 95.2), diaphoresis, pallor, 4-5 episoes of profuse watery diarrhea, malaise, light-headedness, pre-syncope.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nausea, Pallor, Presyncope, Pyrexia, Vomiting
Clinical narrative: Severe nausea and vomiting (6-7 episodes of vomiting), fever and chills (temperature to 95.2), diaphoresis, pallor, 4-5 episoes of profuse watery diarrhea, malaise, light-headedness, pre-syncope.
Age: 44.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Bone pain, Headache, Insomnia, Pyrexia
Clinical narrative: About Two hrs after the shot I had extreme pain in my bones and a fever. Had a difficult time sleeping and had a headache.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Itching hands and feet with red bumps, sent to ER. Given Benadryl and Prednisone. Discharged from ER on same day. Rash lasted 2 days, itching 4-5
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Pain, Pyrexia, Vomiting
Clinical narrative: Temp: 105.0 F, Vomiting x 3/24 hrs, body aches for 24 hrs. Low grade fever (100.0 F)x 3 days.  Treatment: Tylnol 500mg, Po, Q4H
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Oral herpes
Clinical narrative: "cold sore" 2cm on Left side of face next to lip
Age: 47.0
Sex: F
Vaccine: TYP
Symptoms: Urticaria
Clinical narrative: Contact hives
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: She started running a hot temperature out of no where and vomiting.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Tremor
Clinical narrative: Pt reports hand tremors, unable to steady hands while eating, food falling off fork.  Took 50mg Benadryl, tremors less noticeable since then.  However still has slight tremor noted on office visit 11/13/09. 11/19/2009 OB-GYN records report that on 11/14/2009 patient c/o'd tremors in hands post vaccine, took Benadryl po
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Patient had syncopal episode
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Influenza like illness, Vomiting
Clinical narrative: ILI, vomiting.  NO ELEVATED TEMPATURE.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Bronchial disorder, Bronchospasm, Oropharyngeal pain, Wheezing
Clinical narrative: c/o sharp pain in throat; pulse 102; 12:25--wheezing,bronchospasms-right greater than left;  12:35--Temp 101.2 F.; 1240  increased wheezing, bilateral, posterior; 1250--taken by ambulance to Dorchester General Hospital;  received nebulizer treatment  1430--discharged from hospital ED--diagnosis of bronchial irritation
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Lymphadenopathy, Musculoskeletal pain
Clinical narrative: Shoulder aching with swollen lymph nodes in Left side of neck
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea, Photophobia, Vomiting
Clinical narrative: She stated that she received the H1N1 vaccine around 1430 on Monday, 11/09/09, and that night started having severe headaches, nausea, vomiting which lasted all of Tuesday and subsided on early Wednesday morning (after midnight).  She stated that the headaches were worse when she stood up and around bright light so she stayed in bed in a dark room.  She denied any more headaches since it subsided Wednesday morning.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Balance disorder, Dizziness, Hemiparesis, Muscle spasms, Nuclear magnetic resonance imaging
Clinical narrative: Daughter states mother woke up at 4:50 a.m. with leg cramp in left leg.  Got out of bed to work cramp out and when she started out of bed, she felt something was wrong - balance was off, things "swaying", noticed tingling in face and lips and weakness in left arm & left leg.  States mom said she was able to look in mirror and was able to smile at that time and didn't see mouth drooping to one side or the other.  EMS called and she was taken to KDMC (Ashland, KY). 11/16/09:  ED & Hospital Records received for dates of service 10/31/09 to 11/4/09.  Dx:  TIA, Atypical Chest Pain, HTN, Hyperlipidemia, Tobacco Abuse, Diabetes mellitus. Assessment:  Awoke with leg cramp, tried to stand and could not control the left side of body, felt heaviness in left arm and leg, ataxia of gait and slurring of speech at onset.  Also had some left periorbital numbness in the face.  Sx. had improved by the time of presentation to ED.  Pt. reports some shooting chest pains lasting a few minutes a few days prior to admission and occurring occasionally.  Family member reports a similar episode of decreased arm function 2 months lasting 30 min. and resolving spontaneously.  Smokes 2 packs per day x 48 years.   BP 152/72.  12/01/09 DC summary and rehab consultations for DOS: 11/04/09-11/24/09  DX: Right basal ganglia infarct with left hemiparesis; Patient c/o left-sided weakness, admitted to rehabilitation unit to address mobility and self-care deficits via PT. OT and speech therapy.  Able to ambulate with large base quad cane by discharge;Stable status.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Daughter states mother woke up at 4:50 a.m. with leg cramp in left leg.  Got out of bed to work cramp out and when she started out of bed, she felt something was wrong - balance was off, things "swaying", noticed tingling in face and lips and weakness in left arm & left leg.  States mom said she was able to look in mirror and was able to smile at that time and didn't see mouth drooping to one side or the other.  EMS called and she was taken to KDMC (Ashland, KY). 11/16/09:  ED & Hospital Records received for dates of service 10/31/09 to 11/4/09.  Dx:  TIA, Atypical Chest Pain, HTN, Hyperlipidemia, Tobacco Abuse, Diabetes mellitus. Assessment:  Awoke with leg cramp, tried to stand and could not control the left side of body, felt heaviness in left arm and leg, ataxia of gait and slurring of speech at onset.  Also had some left periorbital numbness in the face.  Sx. had improved by the time of presentation to ED.  Pt. reports some shooting chest pains lasting a few minutes a few days prior to admission and occurring occasionally.  Family member reports a similar episode of decreased arm function 2 months lasting 30 min. and resolving spontaneously.  Smokes 2 packs per day x 48 years.   BP 152/72.  12/01/09 DC summary and rehab consultations for DOS: 11/04/09-11/24/09  DX: Right basal ganglia infarct with left hemiparesis; Patient c/o left-sided weakness, admitted to rehabilitation unit to address mobility and self-care deficits via PT. OT and speech therapy.  Able to ambulate with large base quad cane by discharge;Stable status.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Diarrhoea, Nausea
Clinical narrative: nausea and diarrhea
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: C-reactive protein increased, Epstein-Barr virus antibody positive, Mononucleosis heterophile test negative, Myalgia, Pain
Clinical narrative: Muscle pain, ache, soreness - progressing.  Labs done on 11-9-09: EBV 1.3   C-react protein 78.1    Mono (-).
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abnormal behaviour, Depressed level of consciousness, Dizziness, Electrocardiogram, Electrocardiogram ST segment elevation
Clinical narrative: Received Laiv entered waiting area looking glassy eyed, dazed.  Student walked with assistance to a cot, stating he was very dizzy,pale, diaphoretic, 110/60, p88, r12 shallow, denied shortness of breath, lung sounds clear,  monitored X 10 minutes, no improvement, oriented to time and place but remained glassy eyed, slow and dizzy. Staring straight ahead, witnesses advised this student's behavior  was very abnormal for him.   Parent notified, 911 called.  Student sent via ambulance to War Memorial Hospital for evaluation.  Student was monitored at War Memorial and was reported by ER  that he did not need further treatment.  Student was "fine" after 2 hours. Reporter received a call from an EMT infroming her that the patient had to be sent to emergency room. An EKG/Inverted T-waves was run and the patient had ST Elivation.
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Electrocardiogram T wave inversion, Feeling abnormal, Hyperhidrosis, Hypoventilation, Pallor
Clinical narrative: Received Laiv entered waiting area looking glassy eyed, dazed.  Student walked with assistance to a cot, stating he was very dizzy,pale, diaphoretic, 110/60, p88, r12 shallow, denied shortness of breath, lung sounds clear,  monitored X 10 minutes, no improvement, oriented to time and place but remained glassy eyed, slow and dizzy. Staring straight ahead, witnesses advised this student's behavior  was very abnormal for him.   Parent notified, 911 called.  Student sent via ambulance to War Memorial Hospital for evaluation.  Student was monitored at War Memorial and was reported by ER  that he did not need further treatment.  Student was "fine" after 2 hours. Reporter received a call from an EMT infroming her that the patient had to be sent to emergency room. An EKG/Inverted T-waves was run and the patient had ST Elivation.
Age: 17.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Staring
Clinical narrative: Received Laiv entered waiting area looking glassy eyed, dazed.  Student walked with assistance to a cot, stating he was very dizzy,pale, diaphoretic, 110/60, p88, r12 shallow, denied shortness of breath, lung sounds clear,  monitored X 10 minutes, no improvement, oriented to time and place but remained glassy eyed, slow and dizzy. Staring straight ahead, witnesses advised this student's behavior  was very abnormal for him.   Parent notified, 911 called.  Student sent via ambulance to War Memorial Hospital for evaluation.  Student was monitored at War Memorial and was reported by ER  that he did not need further treatment.  Student was "fine" after 2 hours. Reporter received a call from an EMT infroming her that the patient had to be sent to emergency room. An EKG/Inverted T-waves was run and the patient had ST Elivation.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthma, Lip swelling, Urticaria, Wheezing
Clinical narrative: Patient states Approx. 3 hours after receiving H1N1 flu vaccine, she developed swelling of lips, reports asthma attack with wheezing, & developed hives on back of legs (both).  Treated self with EPINEPHRINE pen & ALBUTERAL inhaler & BENADRYL 25 mg by mouth.
Age: 5.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Arthralgia, C-reactive protein increased, Muscular weakness, Purpura, Red blood cell sedimentation rate increased
Clinical narrative: Arthralgias, muscle weakness, Purpura seen @ ER 24 hours after immunization.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Fluvirin w/ Thimerosal given to OB pt. EDC = 3/20/2010. Pt does NOT have an OBGYN. Pt notified on 11/5/09. Denies any adverse effects. Pt NOT hospitalized after receiving H1N1 vaccine.1  1/17/09 Medical records received. OB records.   24 week IUP.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anaphylactic reaction, Aphonia, Chest pain, Rash erythematous, Throat irritation
Clinical narrative: 11-10-09 received H1N1 vaccine 15:30. 15:45 anaphylaxis, chest pain, throat itched and felt like closing. Had red rash on face, neck, back, lost voice. Sub Q Epi given in ED with BENADRYL  IM, PROVENTIL neb tx. Oral prednisone and BENADRYL Rx'd.   11/19/09 & 11/25/09:  ED records received for date of service 11/10/09.   Dx:  Generalized Allergic Reaction secondary to vaccine, pityriasis rosea.    Assessment:  Presents 30 min. after vaccine administration with redness of chest, itching, swelling, hoarse voice (itching to throat and roof of mouth).  Mild wheezes present bilaterally. Treated with Benadryl IM and PO, Epinepherine and prednisone.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Throat tightness
Clinical narrative: 11-10-09 received H1N1 vaccine 15:30. 15:45 anaphylaxis, chest pain, throat itched and felt like closing. Had red rash on face, neck, back, lost voice. Sub Q Epi given in ED with BENADRYL  IM, PROVENTIL neb tx. Oral prednisone and BENADRYL Rx'd.   11/19/09 & 11/25/09:  ED records received for date of service 11/10/09.   Dx:  Generalized Allergic Reaction secondary to vaccine, pityriasis rosea.    Assessment:  Presents 30 min. after vaccine administration with redness of chest, itching, swelling, hoarse voice (itching to throat and roof of mouth).  Mild wheezes present bilaterally. Treated with Benadryl IM and PO, Epinepherine and prednisone.
Age: 15.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Asthenia, Cystitis, Pallor, Pyrexia, Refusal of treatment by patient
Clinical narrative: Next day after imm. patient had fever of 103-104, pale, vomiting, weakness, had dx of bladder infection that day. Refuses to take anymore HPV.
Age: 15.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Vomiting
Clinical narrative: Next day after imm. patient had fever of 103-104, pale, vomiting, weakness, had dx of bladder infection that day. Refuses to take anymore HPV.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Chromatopsia, Headache, Loss of control of legs, Pain in extremity, Pallor
Clinical narrative: Started to see bright colors mixed together and outline of things/people, legs started hurting and could not support himself. He sat down and teacher held him up. Was very pale. Went to school nurse and had sucker and two cups of water. Started to feel better after about 15 minutes except for a headache which lasted about 30 minutes.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Visual impairment
Clinical narrative: Started to see bright colors mixed together and outline of things/people, legs started hurting and could not support himself. He sat down and teacher held him up. Was very pale. Went to school nurse and had sucker and two cups of water. Started to feel better after about 15 minutes except for a headache which lasted about 30 minutes.
Age: 2.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Influenza serology negative, Lethargy, Pyrexia, Streptococcal identification test negative
Clinical narrative: High fever 103 F. Lethargic. Gave Motrin and later Tylenol.
Age: 5.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Pyrexia, Streptococcal identification test negative
Clinical narrative: Fever 101.6 Headache
Age: 36.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Fluvirin w/ Thimerosal given to OB pt. LMP = 8/15/2009. EDC = 5/22/2010. Pt does NOT have an OBGYN. Pt notified on 11/09/09.  Denies any adverse effects. Pt NOT hospitalized after receiving H1N1 vaccine.  11/17/09:  Prenatal visit record received from date of service 11/2/09. Dx:  Pregnancy. Assessment:  IUP at 11 wks. 2 days.  No AE reported.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Drug exposure during pregnancy, Labour induction, Platelet count decreased, Proteinuria
Clinical narrative: Patient presented to obstetric care unit at 36+ weeks of pregnancy complaining of abdominal pain.  Ruled by provider to be unlikely due to pregnancy or gallbladder but no definative diagnosis made.  Comprehensive labs were drawn.  Lab returned showing PLT count of 152 (prior lab 8/31/09 - 210).  Patient was held for 24 hour observation and a few days later held for observation again due to decreased plts and proteinuria.  She was admitted for induction of labor the following day.  Platelets continued to decrease during that time until 11/3 when levels began to resolve. Patient was discharged without further follow-up for thrombocytopenia. 11/17/09 Hospital records received from date 10/26/09. DX: Abdominal pain. Pt c/o abdominal pain, 36 weeks pregnant. Assessment: WNL, FHR(+)
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Thrombocytopenia
Clinical narrative: Patient presented to obstetric care unit at 36+ weeks of pregnancy complaining of abdominal pain.  Ruled by provider to be unlikely due to pregnancy or gallbladder but no definative diagnosis made.  Comprehensive labs were drawn.  Lab returned showing PLT count of 152 (prior lab 8/31/09 - 210).  Patient was held for 24 hour observation and a few days later held for observation again due to decreased plts and proteinuria.  She was admitted for induction of labor the following day.  Platelets continued to decrease during that time until 11/3 when levels began to resolve. Patient was discharged without further follow-up for thrombocytopenia. 11/17/09 Hospital records received from date 10/26/09. DX: Abdominal pain. Pt c/o abdominal pain, 36 weeks pregnant. Assessment: WNL, FHR(+)
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus generalised, Urticaria
Clinical narrative: Had itching on legs that spread to face, chest arms and back. Then spread to abdomen also had hives and redness to chest.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), FLU3, TDAP, TYP
Symptoms: Asthenia, Convulsion, Loss of consciousness, Loss of control of legs, Pallor
Clinical narrative: UPON COMPLETION OF ADMINISTRATION 4:45 PM PATIENT STATED SHE WAS FEELING WEAK, AT THAT TIME PT. APPEARED PALE, LOST CONTROL OF LIMBS, AND SHOOK ARMS IN FOLDING POSITION SEIZURE LIKE MOVEMENTS. WASN'T RESPONDING ONSET BEGAN AFTER ADMINISTERING TDAP (ADACEL). HEAD WAS PUT DOWN TO BETWEEN KNEES ICE PACK AND COLD TOWELS WERE PUT ON NECK. COLD WET TOWELS ON FACE. PT GAINED CONSCIOUSNESS. AFTER 1 MINUTE.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1), FLU3, TDAP, TYP
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: UPON COMPLETION OF ADMINISTRATION 4:45 PM PATIENT STATED SHE WAS FEELING WEAK, AT THAT TIME PT. APPEARED PALE, LOST CONTROL OF LIMBS, AND SHOOK ARMS IN FOLDING POSITION SEIZURE LIKE MOVEMENTS. WASN'T RESPONDING ONSET BEGAN AFTER ADMINISTERING TDAP (ADACEL). HEAD WAS PUT DOWN TO BETWEEN KNEES ICE PACK AND COLD TOWELS WERE PUT ON NECK. COLD WET TOWELS ON FACE. PT GAINED CONSCIOUSNESS. AFTER 1 MINUTE.
Age: 19.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Seen at ER for tingling RLE and RUE. Temp 99.1 131/88, 18, 114. Physical exam wnl.  Seen in follow-up 10-30-09: 99.3, 145/93, 20, 85.  Exam wnl, paresthesias resolved.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pruritus, Injection site swelling, Pyrexia
Clinical narrative: Left arm itchy, swollen after peumovax with fever to 101 degrees
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Cough, Decreased appetite, Pyrexia
Clinical narrative: Low grade fever, increased temp throughout the week, treated with Tylenol/Motrin.  Cough, decreased appetite.  Was seen by ARNP X2, on 11/11 & 11/13.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Rhinorrhoea, Skin disorder
Clinical narrative: Large splotches on legs (hives?). Fever of 102. Sniffles.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Full blood count normal, Joint swelling, Oedema peripheral, Palpable purpura, Rash
Clinical narrative: Rash developed initially, the joint swelling of both ankles.  Rash progressed to palpable purpura and joint swelling has progressed to involve both ankles, feet, and hands.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Red blood cell sedimentation rate increased, Rheumatoid factor negative, Streptococcal identification test positive
Clinical narrative: Rash developed initially, the joint swelling of both ankles.  Rash progressed to palpable purpura and joint swelling has progressed to involve both ankles, feet, and hands.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness postural, Drug exposure during pregnancy, Heart rate increased, Tremor
Clinical narrative: Body shaking, Dizziness upon postural body changes (laying to sitting), Increased heart rate (baseline 64-70, post injection HR mid 90s).  Body shaking resolved around 12 noon.  Dizziness and increased heart rate continue.  Called into work today and will follow up with physician in AM in symptoms continue. 11/18/2009 MD records, pregnant patient with c/o's shakines, dizziness and increased heart rate post vaccine. No tx noted.
Age: 0.17
Sex: M
Vaccine: HIBV, PPV
Symptoms: Screaming
Clinical narrative: high pitched screaming for 1-2 hours. Treated with Tylenol.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Feeling cold, Hypoaesthesia, Paraesthesia
Clinical narrative: LEFT AND RIGHT ARMS WERE NUMB AS IF THEY WERE ASLEEP. NO FEELING IN EITHER ARM.  ARMS WERE ALSO COLD WITH TINGLING SENSATION.
Age: 31.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea
Clinical narrative: Nausea, lightheadedness.
Age: 6.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dyskinesia, Dystonia, Restlessness
Clinical narrative: Pt had dystonic reaction s/p influenza (second dose) and H1N1 flu vaccine delivered at Pt's PCP's office today at 0930am. Pt started having dystonic reactions at 1530, presented to emergency dept for c/o of uncontrolled hand wringing and restless movements of both hands.
Age: 81.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased, Chest X-ray abnormal, Haemorrhage, Pneumonia aspiration, Snoring
Clinical narrative: Patient not responding, sm amount of blood on lip, snorous breathing. O2 97%.  Sternal rub administered and 911 notified.  Patient admitted to hospital with very low blood sugar and aspiration pneumonia.  11/30/09:  Discharge summary and  hospital records received for dates of service 11/12/09 to 11/14/09.  Final Dx:  Acute metabolic encephalopathy, resolved.  Hypoglycemia, resolved.  Acute respiratory failure, resolved.  Dementia, Hypertension, Depression, Anxiety, Gout, Benign Prostatic Hyperplasia, Hx. of TIA, Vit. D deficiency, GERD, Anemia, Skin cancer.   Assessment:  Presented with low blood sugars and altered mental status, after a fall in the nursing home, D50 given by EMS. Mild respiratory distress on admission.  IV Fluids initiated and oxygen supplementation and antibiotic therapy.  Had some difficulty finding words.  Impression was that pt. was inadvertantly administered oral hypoglycemics in the nursing home.  Discharged in stable condition.
Age: 81.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient not responding, sm amount of blood on lip, snorous breathing. O2 97%.  Sternal rub administered and 911 notified.  Patient admitted to hospital with very low blood sugar and aspiration pneumonia.  11/30/09:  Discharge summary and  hospital records received for dates of service 11/12/09 to 11/14/09.  Final Dx:  Acute metabolic encephalopathy, resolved.  Hypoglycemia, resolved.  Acute respiratory failure, resolved.  Dementia, Hypertension, Depression, Anxiety, Gout, Benign Prostatic Hyperplasia, Hx. of TIA, Vit. D deficiency, GERD, Anemia, Skin cancer.   Assessment:  Presented with low blood sugars and altered mental status, after a fall in the nursing home, D50 given by EMS. Mild respiratory distress on admission.  IV Fluids initiated and oxygen supplementation and antibiotic therapy.  Had some difficulty finding words.  Impression was that pt. was inadvertantly administered oral hypoglycemics in the nursing home.  Discharged in stable condition.
Age: 81.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased
Clinical narrative: Patient not responding, sm amount of blood on lip, snorous breathing. O2 97%.  Sternal rub administered and 911 notified.  Patient admitted to hospital with very low blood sugar and aspiration pneumonia.  11/30/09:  Discharge summary and  hospital records received for dates of service 11/12/09 to 11/14/09.  Final Dx:  Acute metabolic encephalopathy, resolved.  Hypoglycemia, resolved.  Acute respiratory failure, resolved.  Dementia, Hypertension, Depression, Anxiety, Gout, Benign Prostatic Hyperplasia, Hx. of TIA, Vit. D deficiency, GERD, Anemia, Skin cancer.   Assessment:  Presented with low blood sugars and altered mental status, after a fall in the nursing home, D50 given by EMS. Mild respiratory distress on admission.  IV Fluids initiated and oxygen supplementation and antibiotic therapy.  Had some difficulty finding words.  Impression was that pt. was inadvertantly administered oral hypoglycemics in the nursing home.  Discharged in stable condition.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Pain at injection site. Complained they felt like they had an allergic reaction due to the pain.
Age: 93.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased, Chest X-ray abnormal, Drooling, Dyspnoea, Feeling cold
Clinical narrative: Respirations labored, eyes closed, skin cool to touch, excessive drooling, not responding to touch or sternum stimulation.  Resident sent to ER and admitted with low blood sugar and aspiration pneumonia.  Resident is not a diabetic. 11/16/2009 ED records for 11/12/2009, patient unresponsive and with respiratory distress. Patient found to be hypoglycemic, tx: bolus D5W, IVF, IV ABX, cardiac monitoring, IV steroids.
Age: 93.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pneumonia aspiration, Unresponsive to stimuli
Clinical narrative: Respirations labored, eyes closed, skin cool to touch, excessive drooling, not responding to touch or sternum stimulation.  Resident sent to ER and admitted with low blood sugar and aspiration pneumonia.  Resident is not a diabetic. 11/16/2009 ED records for 11/12/2009, patient unresponsive and with respiratory distress. Patient found to be hypoglycemic, tx: bolus D5W, IVF, IV ABX, cardiac monitoring, IV steroids.
Age: 93.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased
Clinical narrative: Respirations labored, eyes closed, skin cool to touch, excessive drooling, not responding to touch or sternum stimulation.  Resident sent to ER and admitted with low blood sugar and aspiration pneumonia.  Resident is not a diabetic. 11/16/2009 ED records for 11/12/2009, patient unresponsive and with respiratory distress. Patient found to be hypoglycemic, tx: bolus D5W, IVF, IV ABX, cardiac monitoring, IV steroids.
Age: 1.38
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abnormal behaviour, Crying, Fall, Miosis, Musculoskeletal stiffness
Clinical narrative: Patient was observed to cry out and fall backward; then extremities became stiff and patient cried out again.  Pupils were observed to dilate and then constrict significantly.  Episode lasted about 1 minute after which patient fell asleep.  When patient awaoke, she was quieter than usual.
Age: 1.38
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Mydriasis, Somnolence
Clinical narrative: Patient was observed to cry out and fall backward; then extremities became stiff and patient cried out again.  Pupils were observed to dilate and then constrict significantly.  Episode lasted about 1 minute after which patient fell asleep.  When patient awaoke, she was quieter than usual.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cellulitis, Chills, Erythema, Fatigue, Nausea
Clinical narrative: ABRUPT ONSET OF NAUSEA, CHILLS, ACHINESS, AND EXTREME FATIGUE, WITHIN SEVERAL HOURS HAD FEVER OF 102, VOMITING. DURING NIGHT HAD 2 EPISODES OF SYNCOPE, IN OFFICE NEXT DAY FEVER GONE, BUT BP 82/50; LATER DEVELOPED REDNESS AND SWELLING IN LYMPHEDEMA AFFECTED LEG-TREATED FOR CELLULITIS W KEFLEX
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia, Swelling, Syncope, Vomiting
Clinical narrative: ABRUPT ONSET OF NAUSEA, CHILLS, ACHINESS, AND EXTREME FATIGUE, WITHIN SEVERAL HOURS HAD FEVER OF 102, VOMITING. DURING NIGHT HAD 2 EPISODES OF SYNCOPE, IN OFFICE NEXT DAY FEVER GONE, BUT BP 82/50; LATER DEVELOPED REDNESS AND SWELLING IN LYMPHEDEMA AFFECTED LEG-TREATED FOR CELLULITIS W KEFLEX
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Balance disorder, Dizziness, Feeling abnormal, Vision blurred
Clinical narrative: Post vaccination, pt. felt dizzy and stated that her vision was blurry. Stated felt like she was in a "fog."  No difficulty breathing, no hives present. Patient helped to lying/shock position.  No previous medical history or allergies other than low blood pressure and low blood sugar.  Patient offered a candy.  Pt. oriented x 3. No c/o of angina. Blood pressure checked At 10:20 am: 101/60 with heart rate 62 initially. BP checked at 1045: 130/93 hr 62 stated vision "ok" and hungry.  Food provided. BP check at 11:00 am: 141/90 with hr 61. Pt. stood up with assist of 2 and still unsteady.  Orthostatic bp check at 11:15am: 126/81 with hr 59.  Pt. refused to go to the hospital or to let writer call 911. Stated feeling better. Employer stated pt. could go home.  Last bp check: 130/76 with hr 64. Pt. transported via wheel chair to car and with husband.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site haematoma, Injection site pain, Musculoskeletal pain
Clinical narrative: Sore arm and shoulder. Soreness of shoulder continuing weeks later. At the time of vaccine, the person giving the injection gave it quite high on my arm. I wondered about that at the time, and the next day when a very large bruise appeared at the injection site I figured that she had done it there because she may have known that a large bruise was likely and she thought it would not be as visible higher on the arm. I had never had an injection given that close to my shoulder. The pain is like tendinitis.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Erythema, Swelling, Throat irritation
Clinical narrative: Local erythema, swelling and then developed throat itching and light-headedness.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug exposure during pregnancy
Clinical narrative: Fluvirin w/ Thimerosal given to OB pt. LMP = 2/18/09. EDC = 11/25/09. Pt does NOT have an OBGYN. Pt NOT hospitalized after receiving H1N1 vaccine.11/17/2009 OB records for 10/30 and 11/13/2009, patient c/o's nausea/vomiting, dysuria and pelvic pain on day of vaccine. Doing well next visit.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Fluvirin w/ Thimerosal given to OB pt. LMP = 2/20/2009. EDC = 12/3/2009. Pt does NOT have an OBGYN. Pt NOT hospitalized after receiving H1N1 vaccine. 11/18/09 Medical records received from date 10/26/09 and 11/9/09 DX: IUP. Assessment: WNL, normal pregnancy.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Fluvirin w/ Thimerosal given to OB pt. LMP = 09/07/2009. EDC = 6/16/2010. Pt does NOT have an OBGYN. Pt NOT hospitalized after receiving H1N1 vaccine.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Fluvirin w/ Thimerosal given to OB pt. LMP = 2/10/2009. EDC = 11/17/2009. Pt does NOT have an OBGYN. Pt NOT hospitalized after receiving H1N1 vaccine.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Angioedema, Cough, Hypoaesthesia facial, Lacrimation increased, Ocular hyperaemia
Clinical narrative: Facial numbness, tingling at first. later beefy red oropharynx. Severe cough. Angioedema, mostly sub-lingual but some tongue involvement. Red, weeping eyes.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Paraesthesia, Stomatitis, Tongue oedema
Clinical narrative: Facial numbness, tingling at first. later beefy red oropharynx. Severe cough. Angioedema, mostly sub-lingual but some tongue involvement. Red, weeping eyes.
Age: 27.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Hepatic enzyme increased, Renal failure acute
Clinical narrative: Acute Seizure, acute renal failure, increased liver enzymes.