chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Anion gap normal, Autoimmune thyroiditis, Basophil count decreased, Blood thyroid stimulating hormone increased, Body temperature
Clinical narrative: Information received on 20 October 2009 from another manufacturer (report number WAES 0908USA04293) whose initial reporter was a physician. "Information has been received from a physician concerning a 13 year old female who in 2008 was vaccinated with GARDASIL. The patient completed the series of GARDASIL in 2008 and was recently diagnosed with Autoimmune Thyroiditis (2009). The patient sought her pediatrician. At the time of the reporting, the patient had not recovered from the event. Follow up information received on 06-OCT-2009 from a physician via medical records indicated that the patient was female student, with no medical history, known allergies or illness at the time of vaccination. The patient's family history included hypothyroidism and polycystic ovary syndrome (mother), aniridia (brother), and hypothyroidism (paternal grandmother). On 26-NOV-2008 the patient was vaccinated with a third dose of GARDASIL (lot # 660557/0072X), intramuscularly into the left arm. Secondary suspect vaccination given on the same day included a third dose of FLUZONE, (lot # U2760AA), intramuscularly into the right arm. The patient presented with her mother in the physician's office on 19-MAY-2009, complaining of feeling tired, muscle aches and requiring long naps. She has been experiencing these symptoms for the last couple of months (end of school year). The myalgias were generalized and most pronounced in her knees, hips, and shoulders. TYLENOL helps some. She has been sleeping well-getting 8 hours of sleep without significant interruption. She generally feels well rested in the morning. She has not been short of breath and she denies fever, chills, night sweats, nausea, vomiting. She started her menstrual periods last July and they have been irregular. Her mother noticed that the fatigue and body aches were more pronounced just prior to her most recent menstruation, She had no urinary problems and she denied increase thirst. She grew approximately 2 inches in height in the past year. The physician exam was within normal limits. The patient developed hypothyroidism diagnosed on 19-MAY-2009 with symptoms beginning in March 2009 (approximately). The patient had a complete blood cell count, comprehensive metabolic panel and serum hormone test of 12,060 UIU/ml (high), normal 0.400-5.100, done on 19-MAY-2009. Patient's mother was notified and instructed to make an appointment with a child endocrinologist to evaluate hypothyroidism. The patient was not in any thyroid medication. On 30-JUL-2009, the patient was evaluated for hypothyroidism. There was no goiter. The patient's mother reported that the symptoms have somewhat improved despite no treatment. Patient scheduled for additional blood tests to evaluate need for her to start taking Levothyroxine. The reporting physician considered the hypothyroidism to be an other important medical event. No further information is available."
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Eosinophil count normal, Fatigue, Hypothyroidism, Lymphocyte count normal, Menstruation irregular
Clinical narrative: Information received on 20 October 2009 from another manufacturer (report number WAES 0908USA04293) whose initial reporter was a physician. "Information has been received from a physician concerning a 13 year old female who in 2008 was vaccinated with GARDASIL. The patient completed the series of GARDASIL in 2008 and was recently diagnosed with Autoimmune Thyroiditis (2009). The patient sought her pediatrician. At the time of the reporting, the patient had not recovered from the event. Follow up information received on 06-OCT-2009 from a physician via medical records indicated that the patient was female student, with no medical history, known allergies or illness at the time of vaccination. The patient's family history included hypothyroidism and polycystic ovary syndrome (mother), aniridia (brother), and hypothyroidism (paternal grandmother). On 26-NOV-2008 the patient was vaccinated with a third dose of GARDASIL (lot # 660557/0072X), intramuscularly into the left arm. Secondary suspect vaccination given on the same day included a third dose of FLUZONE, (lot # U2760AA), intramuscularly into the right arm. The patient presented with her mother in the physician's office on 19-MAY-2009, complaining of feeling tired, muscle aches and requiring long naps. She has been experiencing these symptoms for the last couple of months (end of school year). The myalgias were generalized and most pronounced in her knees, hips, and shoulders. TYLENOL helps some. She has been sleeping well-getting 8 hours of sleep without significant interruption. She generally feels well rested in the morning. She has not been short of breath and she denies fever, chills, night sweats, nausea, vomiting. She started her menstrual periods last July and they have been irregular. Her mother noticed that the fatigue and body aches were more pronounced just prior to her most recent menstruation, She had no urinary problems and she denied increase thirst. She grew approximately 2 inches in height in the past year. The physician exam was within normal limits. The patient developed hypothyroidism diagnosed on 19-MAY-2009 with symptoms beginning in March 2009 (approximately). The patient had a complete blood cell count, comprehensive metabolic panel and serum hormone test of 12,060 UIU/ml (high), normal 0.400-5.100, done on 19-MAY-2009. Patient's mother was notified and instructed to make an appointment with a child endocrinologist to evaluate hypothyroidism. The patient was not in any thyroid medication. On 30-JUL-2009, the patient was evaluated for hypothyroidism. There was no goiter. The patient's mother reported that the symptoms have somewhat improved despite no treatment. Patient scheduled for additional blood tests to evaluate need for her to start taking Levothyroxine. The reporting physician considered the hypothyroidism to be an other important medical event. No further information is available."
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Monocyte count increased, Myalgia, Neutrophil count decreased, Respiratory rate
Clinical narrative: Information received on 20 October 2009 from another manufacturer (report number WAES 0908USA04293) whose initial reporter was a physician. "Information has been received from a physician concerning a 13 year old female who in 2008 was vaccinated with GARDASIL. The patient completed the series of GARDASIL in 2008 and was recently diagnosed with Autoimmune Thyroiditis (2009). The patient sought her pediatrician. At the time of the reporting, the patient had not recovered from the event. Follow up information received on 06-OCT-2009 from a physician via medical records indicated that the patient was female student, with no medical history, known allergies or illness at the time of vaccination. The patient's family history included hypothyroidism and polycystic ovary syndrome (mother), aniridia (brother), and hypothyroidism (paternal grandmother). On 26-NOV-2008 the patient was vaccinated with a third dose of GARDASIL (lot # 660557/0072X), intramuscularly into the left arm. Secondary suspect vaccination given on the same day included a third dose of FLUZONE, (lot # U2760AA), intramuscularly into the right arm. The patient presented with her mother in the physician's office on 19-MAY-2009, complaining of feeling tired, muscle aches and requiring long naps. She has been experiencing these symptoms for the last couple of months (end of school year). The myalgias were generalized and most pronounced in her knees, hips, and shoulders. TYLENOL helps some. She has been sleeping well-getting 8 hours of sleep without significant interruption. She generally feels well rested in the morning. She has not been short of breath and she denies fever, chills, night sweats, nausea, vomiting. She started her menstrual periods last July and they have been irregular. Her mother noticed that the fatigue and body aches were more pronounced just prior to her most recent menstruation, She had no urinary problems and she denied increase thirst. She grew approximately 2 inches in height in the past year. The physician exam was within normal limits. The patient developed hypothyroidism diagnosed on 19-MAY-2009 with symptoms beginning in March 2009 (approximately). The patient had a complete blood cell count, comprehensive metabolic panel and serum hormone test of 12,060 UIU/ml (high), normal 0.400-5.100, done on 19-MAY-2009. Patient's mother was notified and instructed to make an appointment with a child endocrinologist to evaluate hypothyroidism. The patient was not in any thyroid medication. On 30-JUL-2009, the patient was evaluated for hypothyroidism. There was no goiter. The patient's mother reported that the symptoms have somewhat improved despite no treatment. Patient scheduled for additional blood tests to evaluate need for her to start taking Levothyroxine. The reporting physician considered the hypothyroidism to be an other important medical event. No further information is available."
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Anion gap normal, Arthralgia, Autoimmune thyroiditis, Basophil percentage decreased, Blood thyroid stimulating hormone increased
Clinical narrative: Information received on 20 October 2009 from another manufacturer (report number WAES 0908USA04293) whose initial reporter was a physician. "Information has been received from a physician concerning a 13 year old female who in 2008 was vaccinated with GARDASIL. The patient completed the series of GARDASIL in 2008 and was recently diagnosed with Autoimmune Thyroiditis (2009). The patient sought her pediatrician. At the time of the reporting, the patient had not recovered from the event. Follow up information received on 06-OCT-2009 from a physician via medical records indicated that the patient was female student, with no medical history, known allergies or illness at the time of vaccination. The patient's family history included hypothyroidism and polycystic ovary syndrome (mother), aniridia (brother), and hypothyroidism (paternal grandmother). On 26-NOV-2008 the patient was vaccinated with a third dose of GARDASIL (lot # 660557/0072X), intramuscularly into the left arm. Secondary suspect vaccination given on the same day included a third dose of FLUZONE, (lot # U2760AA), intramuscularly into the right arm. The patient presented with her mother in the physician's office on 19-MAY-2009, complaining of feeling tired, muscle aches and requiring long naps. She has been experiencing these symptoms for the last couple of months (end of school year). The myalgias were generalized and most pronounced in her knees, hips, and shoulders. TYLENOL helps some. She has been sleeping well-getting 8 hours of sleep without significant interruption. She generally feels well rested in the morning. She has not been short of breath and she denies fever, chills, night sweats, nausea, vomiting. She started her menstrual periods last July and they have been irregular. Her mother noticed that the fatigue and body aches were more pronounced just prior to her most recent menstruation, She had no urinary problems and she denied increase thirst. She grew approximately 2 inches in height in the past year. The physician exam was within normal limits. The patient developed hypothyroidism diagnosed on 19-MAY-2009 with symptoms beginning in March 2009 (approximately). The patient had a complete blood cell count, comprehensive metabolic panel and serum hormone test of 12,060 UIU/ml (high), normal 0.400-5.100, done on 19-MAY-2009. Patient's mother was notified and instructed to make an appointment with a child endocrinologist to evaluate hypothyroidism. The patient was not in any thyroid medication. On 30-JUL-2009, the patient was evaluated for hypothyroidism. There was no goiter. The patient's mother reported that the symptoms have somewhat improved despite no treatment. Patient scheduled for additional blood tests to evaluate need for her to start taking Levothyroxine. The reporting physician considered the hypothyroidism to be an other important medical event. No further information is available."
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Eosinophil count normal, Fatigue, Hypersomnia, Hypothyroidism, Lymphocyte count normal
Clinical narrative: Information received on 20 October 2009 from another manufacturer (report number WAES 0908USA04293) whose initial reporter was a physician. "Information has been received from a physician concerning a 13 year old female who in 2008 was vaccinated with GARDASIL. The patient completed the series of GARDASIL in 2008 and was recently diagnosed with Autoimmune Thyroiditis (2009). The patient sought her pediatrician. At the time of the reporting, the patient had not recovered from the event. Follow up information received on 06-OCT-2009 from a physician via medical records indicated that the patient was female student, with no medical history, known allergies or illness at the time of vaccination. The patient's family history included hypothyroidism and polycystic ovary syndrome (mother), aniridia (brother), and hypothyroidism (paternal grandmother). On 26-NOV-2008 the patient was vaccinated with a third dose of GARDASIL (lot # 660557/0072X), intramuscularly into the left arm. Secondary suspect vaccination given on the same day included a third dose of FLUZONE, (lot # U2760AA), intramuscularly into the right arm. The patient presented with her mother in the physician's office on 19-MAY-2009, complaining of feeling tired, muscle aches and requiring long naps. She has been experiencing these symptoms for the last couple of months (end of school year). The myalgias were generalized and most pronounced in her knees, hips, and shoulders. TYLENOL helps some. She has been sleeping well-getting 8 hours of sleep without significant interruption. She generally feels well rested in the morning. She has not been short of breath and she denies fever, chills, night sweats, nausea, vomiting. She started her menstrual periods last July and they have been irregular. Her mother noticed that the fatigue and body aches were more pronounced just prior to her most recent menstruation, She had no urinary problems and she denied increase thirst. She grew approximately 2 inches in height in the past year. The physician exam was within normal limits. The patient developed hypothyroidism diagnosed on 19-MAY-2009 with symptoms beginning in March 2009 (approximately). The patient had a complete blood cell count, comprehensive metabolic panel and serum hormone test of 12,060 UIU/ml (high), normal 0.400-5.100, done on 19-MAY-2009. Patient's mother was notified and instructed to make an appointment with a child endocrinologist to evaluate hypothyroidism. The patient was not in any thyroid medication. On 30-JUL-2009, the patient was evaluated for hypothyroidism. There was no goiter. The patient's mother reported that the symptoms have somewhat improved despite no treatment. Patient scheduled for additional blood tests to evaluate need for her to start taking Levothyroxine. The reporting physician considered the hypothyroidism to be an other important medical event. No further information is available."
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Menstruation irregular, Monocyte percentage increased, Myalgia, Neutrophil percentage decreased, Pain
Clinical narrative: Information received on 20 October 2009 from another manufacturer (report number WAES 0908USA04293) whose initial reporter was a physician. "Information has been received from a physician concerning a 13 year old female who in 2008 was vaccinated with GARDASIL. The patient completed the series of GARDASIL in 2008 and was recently diagnosed with Autoimmune Thyroiditis (2009). The patient sought her pediatrician. At the time of the reporting, the patient had not recovered from the event. Follow up information received on 06-OCT-2009 from a physician via medical records indicated that the patient was female student, with no medical history, known allergies or illness at the time of vaccination. The patient's family history included hypothyroidism and polycystic ovary syndrome (mother), aniridia (brother), and hypothyroidism (paternal grandmother). On 26-NOV-2008 the patient was vaccinated with a third dose of GARDASIL (lot # 660557/0072X), intramuscularly into the left arm. Secondary suspect vaccination given on the same day included a third dose of FLUZONE, (lot # U2760AA), intramuscularly into the right arm. The patient presented with her mother in the physician's office on 19-MAY-2009, complaining of feeling tired, muscle aches and requiring long naps. She has been experiencing these symptoms for the last couple of months (end of school year). The myalgias were generalized and most pronounced in her knees, hips, and shoulders. TYLENOL helps some. She has been sleeping well-getting 8 hours of sleep without significant interruption. She generally feels well rested in the morning. She has not been short of breath and she denies fever, chills, night sweats, nausea, vomiting. She started her menstrual periods last July and they have been irregular. Her mother noticed that the fatigue and body aches were more pronounced just prior to her most recent menstruation, She had no urinary problems and she denied increase thirst. She grew approximately 2 inches in height in the past year. The physician exam was within normal limits. The patient developed hypothyroidism diagnosed on 19-MAY-2009 with symptoms beginning in March 2009 (approximately). The patient had a complete blood cell count, comprehensive metabolic panel and serum hormone test of 12,060 UIU/ml (high), normal 0.400-5.100, done on 19-MAY-2009. Patient's mother was notified and instructed to make an appointment with a child endocrinologist to evaluate hypothyroidism. The patient was not in any thyroid medication. On 30-JUL-2009, the patient was evaluated for hypothyroidism. There was no goiter. The patient's mother reported that the symptoms have somewhat improved despite no treatment. Patient scheduled for additional blood tests to evaluate need for her to start taking Levothyroxine. The reporting physician considered the hypothyroidism to be an other important medical event. No further information is available."
Age: 60.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Musculoskeletal pain
Clinical narrative: Moderate to severe pain in muscles from shoulder (injection site) to spine and neck. Difficult to lift arm above shoulder height-pain began about 48 hrs after injection and continues 3 weeks later. Pain not abated with ibuprofen, ALEVE or ASPIRIN
Age: 60.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Myalgia, Neck pain
Clinical narrative: Moderate to severe pain in muscles from shoulder (injection site) to spine and neck. Difficult to lift arm above shoulder height-pain began about 48 hrs after injection and continues 3 weeks later. Pain not abated with ibuprofen, ALEVE or ASPIRIN
Age: 23.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pruritus, Urticaria
Clinical narrative: Large red welt with pruritis at the site of varicella vaccine injection (upper left arm), duration of 7 days post-administration.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia
Clinical narrative: BODY ACHES, LEG ACHES IN AM. BY 3:00 PM HAD FEVER CONTINUING FEVER THROUGH NIGHT.
Age: 49.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: cough, congestion, temperature, body ache
Age: 42.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Fever and onset of extreme pain in neck shoulder arm and hand.
Age: 2.0
Sex: M
Vaccine: FLUN3, HEPA
Symptoms: Balance disorder, Dysphonia, Pyrexia, Respiratory rate increased, Vomiting
Clinical narrative: hoarseness, fever 103.4, fast breathng, was off balance,vomitng adminstered ibu 5g @ 9:15 AM  fever declined and held @ approx 99.8 - 101.2 most of day - 7:30PM fever returned 102.9 and tylenol or ibu not effectve.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Blood test, Depressed level of consciousness, Fatigue, Lethargy, Muscular weakness
Clinical narrative: Extreme Fatigue.  Lethargic reaction. Extreme Weakness in joints and muscles.  Almost non responsive.  Emergency room visit resulting in IV, antibiotic injections and short stay in hospital.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Streptococcal identification test
Clinical narrative: Extreme Fatigue.  Lethargic reaction. Extreme Weakness in joints and muscles.  Almost non responsive.  Emergency room visit resulting in IV, antibiotic injections and short stay in hospital.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness
Clinical narrative: Patient feeling faint, dizzy, weak. Blood pressure monitored, 911 called. EMT examined and released him to return home with parent.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Vaccine for influenza injected 10/4/09. Experiencing Rt deltoid pain with activity that started 10/18/09. Pain is sharp and stabbing, intermittent. Alleviated with rest. No known injury or illness. Evaluated 10/22/09 and normal exam resulted. To try ibuprofen, TYLENOL, heat and ice.
Sex: U
Vaccine: FLU3
Symptoms: Cold sweat, Convulsion, Dizziness, Pallor, Syncope
Clinical narrative: Fainted and then had convulsions for about 5 seconds, pale, clammy, dizzy. 6:20pm, symptoms resolved quickly. Call 911 patient refused.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysphagia, Dyspnoea, Eye pruritus, Flushing
Clinical narrative: Vaccinated at 1:00pm. 2:00pm - flushed, dizzy, eyes itchy and red. 7:00pm - face, chest, legs red and itchy. Difficulty with breathing and swallowing; wheezing. Given oral BENADRAYL @ county medical unit. Seen @ urgent care - liquid BENADRYL and inhaler. Tx to hospital ER - IV, Epi and Steroid. Symptoms improved. BP improved. sent home.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Pruritus generalised, Wheezing
Clinical narrative: Vaccinated at 1:00pm. 2:00pm - flushed, dizzy, eyes itchy and red. 7:00pm - face, chest, legs red and itchy. Difficulty with breathing and swallowing; wheezing. Given oral BENADRAYL @ county medical unit. Seen @ urgent care - liquid BENADRYL and inhaler. Tx to hospital ER - IV, Epi and Steroid. Symptoms improved. BP improved. sent home.
Age: 1.21
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash generalised, Rash morbilliform
Clinical narrative: Measles like rash all over the body. Patient is not sick or act sick. No fever.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Chills, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Dizziness, pale, chills, sweating a lot, abdominal pain. Got pulse 72. BP 115/87.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: L arm pain 3 weeks after injection -> L deltoid.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: Patient developed rash around the ankles; hives on both knees. Knees turned red and arms. Severe itching. Patient is waiting to see doctor. Patient is self prescribing ALCOMETASOME/Dipropionate 0.5%.
Age: 53.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Incorrect dose administered
Clinical narrative: Received 2 flu shots at the same time.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain upper, Flushing, Muscle tightness
Clinical narrative: Flushing of face, neck area a few minutes after the shot. Flushing did go away after 10 minutes. Patient also experienced muscle tightness around back (spinal cord) 15 minutes after shot. Pt felt well enough to return home with her husband. Pt later informed us she did go to emergency room b/c of stomach pain. Returned home after few hours. No treatment was given by ER.
Age: 5.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Vaccine administered 10/22/09. Patient seen 10/24/09 with erythema/ edema/ warmth, pain @ vaccine site. Treated w/ AUGEMNTIN for cellulitis. Erythema at site 2 inches diameter.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: 48 hours post imm, hives on cheeks, neck, wrist and chest per maternal report via phone.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Confusional state, Nausea, Tachypnoea
Clinical narrative: Pt noted nausea, "queasy", feeling after H1N1 vaccine. Was starting to eat lunch at the time. Alleged to be confused-tachypneic on arrival at ER. Vs all stable, pulse ox 100%, observed for several hrs.
Age: 5.0
Sex: F
Vaccine: DTP, VARCEL
Clinical narrative: Patient was given the Adacel injection versus the Infarix.  Adacel is not indicated for ages below 10 years.
Age: 0.06
Sex: M
Vaccine: FLU(H1N1)
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was issued wrong vaccine. No adverse reaction.
Age: 59.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Headache, Hypoaesthesia, Nausea, Vomiting
Clinical narrative: Severe chills. Tips of fingers numb. Nausea / vomiting and headache.
Age: 30.0
Sex: M
Vaccine: FLUX
Symptoms: Heart rate increased, Pain, Pyrexia
Clinical narrative: Heart beating fast, low grade fever, soreness and body ache. Patient has not seen a doctor but is going to schedule an appointment.
Sex: F
Vaccine: FLUX
Symptoms: Lymphadenopathy, Neck pain
Clinical narrative: We received the following information via our legal contractor on 15 OCT 2009: A female patient was vaccinated with influenza vaccine (manufacturer or batch no. unknown) on an unspecified date. The patient complained about swollen glands in her throat and soreness in her neck. She was transported by ambulance to the hospital. Interval between vaccination and onset of the symptoms or outcome is unknown. Claim no.: 30090950992-0001.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Joint range of motion decreased, Periarthritis
Clinical narrative: Improperly administered (too high). Resulted in R shoulder required treatment and physical therapy due to limited ROM.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Oedema peripheral, Pain in extremity
Clinical narrative: Onset of symptoms > 12hr <24hrs after receiving INFUENZA vaccine  (seasonal 2009 - 2010). Numbness and pain Rt ulnar distraction including mild edema of arm, wrist and hand.
Age: 19.0
Sex: F
Vaccine: ANTH, FLUN3, HEPA, SMALL, TYP
Symptoms: Pruritus, Rash, Skin lesion
Clinical narrative: 19 y/o wm ADSM presents as a referral from WAMC ED for skin rash after multiple vaccinations, including primary SPV.  Symptoms: rash, diffuse, pruritus, lesions, patch.  11/09/09:  Medical record received for date of service 10/26/09.  Vaccination record also received.  Dx:  Skin disorder exanthem. Assessment:  Presents with c/o rash.  Pt. has several small acne-like pimples scattered about on the forearms, calves, thighs and back.  The left elbow is significant for hypertrophied.  Scaly area of skin with associated macerated areas and signs of superficial, secondary infection.  The removed bandage was noted to have darkish, purulent material adhering to it.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Apraxia, Blood urea abnormal, Brain scan normal, CSF culture negative, CSF test normal
Clinical narrative: Associate presented to employee health office on 10/26/09 at 930 AM stated after receiving H1N1 vaccine on 10/23 "didn't feel well" was told on Saturday at kids birthday party by a physician friend that she has facial drooping, Guillain Barre & should go home & rest. States today she has bilateral facial numbness. Received seasonal Flu vaccine on 9/15/09. Seen again in office 10/27/09 Bilat LE numbness tingling. Appointment made with neurologist. 10/28/09:  ED Records received for date of service 10/26/09, Medical Record received for date of service 10/28/09.   Assessment:  Presented with 3 day history of numbness on both sides of the face to ED, two days later seen and noted very mild tingling in both legs. Unable to close eyes completely.  Arms and legs feel weak.  No difficulty chewing or swallowing.  Unable to walk up or down stairs.  Wide based gait. Presentation suspicious for AIDP/GBS.   Labs and Diagnostics:  Pending.  11/5/2009 records for 10/28/2009, patient with c/o's progressive weakness, facial numbness, rt facial droop. Tx: toradol Iv, observation, LP.  Patient was seen 10/28/2009 at 10:45sm by neurologist for bilateral facial numbness. Patient is now being sent to hospital for further testing. 12/3/09 DC summary and medical records received for dates 10/28/09 to 11/2/09. DX: generalized weakness, post LP HA. Pt was transferred to hosp. w/ h/o POTS syndrome, c/o LE weakness, then facial numbness after H1N1 vax on 10/23. On 10/25 pt. c/o whole body tingling that progressively worsened. Pt was eval. At local ER and dc. On 10/28 pt f/u w/ neurologist was referred back to hosp. for direct admission with symptoms consistent w/ GBS according to pt. neurologist. Later was reassessed and neurologist felt not consistent with GBS. Pt improved over course of stay. DC stable.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Computerised tomogram, Facial palsy, Gait disturbance, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Associate presented to employee health office on 10/26/09 at 930 AM stated after receiving H1N1 vaccine on 10/23 "didn't feel well" was told on Saturday at kids birthday party by a physician friend that she has facial drooping, Guillain Barre & should go home & rest. States today she has bilateral facial numbness. Received seasonal Flu vaccine on 9/15/09. Seen again in office 10/27/09 Bilat LE numbness tingling. Appointment made with neurologist. 10/28/09:  ED Records received for date of service 10/26/09, Medical Record received for date of service 10/28/09.   Assessment:  Presented with 3 day history of numbness on both sides of the face to ED, two days later seen and noted very mild tingling in both legs. Unable to close eyes completely.  Arms and legs feel weak.  No difficulty chewing or swallowing.  Unable to walk up or down stairs.  Wide based gait. Presentation suspicious for AIDP/GBS.   Labs and Diagnostics:  Pending.  11/5/2009 records for 10/28/2009, patient with c/o's progressive weakness, facial numbness, rt facial droop. Tx: toradol Iv, observation, LP.  Patient was seen 10/28/2009 at 10:45sm by neurologist for bilateral facial numbness. Patient is now being sent to hospital for further testing. 12/3/09 DC summary and medical records received for dates 10/28/09 to 11/2/09. DX: generalized weakness, post LP HA. Pt was transferred to hosp. w/ h/o POTS syndrome, c/o LE weakness, then facial numbness after H1N1 vax on 10/23. On 10/25 pt. c/o whole body tingling that progressively worsened. Pt was eval. At local ER and dc. On 10/28 pt f/u w/ neurologist was referred back to hosp. for direct admission with symptoms consistent w/ GBS according to pt. neurologist. Later was reassessed and neurologist felt not consistent with GBS. Pt improved over course of stay. DC stable.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Intervertebral disc protrusion, Malaise, Medical observation, Muscular weakness, Nervous system disorder
Clinical narrative: Associate presented to employee health office on 10/26/09 at 930 AM stated after receiving H1N1 vaccine on 10/23 "didn't feel well" was told on Saturday at kids birthday party by a physician friend that she has facial drooping, Guillain Barre & should go home & rest. States today she has bilateral facial numbness. Received seasonal Flu vaccine on 9/15/09. Seen again in office 10/27/09 Bilat LE numbness tingling. Appointment made with neurologist. 10/28/09:  ED Records received for date of service 10/26/09, Medical Record received for date of service 10/28/09.   Assessment:  Presented with 3 day history of numbness on both sides of the face to ED, two days later seen and noted very mild tingling in both legs. Unable to close eyes completely.  Arms and legs feel weak.  No difficulty chewing or swallowing.  Unable to walk up or down stairs.  Wide based gait. Presentation suspicious for AIDP/GBS.   Labs and Diagnostics:  Pending.  11/5/2009 records for 10/28/2009, patient with c/o's progressive weakness, facial numbness, rt facial droop. Tx: toradol Iv, observation, LP.  Patient was seen 10/28/2009 at 10:45sm by neurologist for bilateral facial numbness. Patient is now being sent to hospital for further testing. 12/3/09 DC summary and medical records received for dates 10/28/09 to 11/2/09. DX: generalized weakness, post LP HA. Pt was transferred to hosp. w/ h/o POTS syndrome, c/o LE weakness, then facial numbness after H1N1 vax on 10/23. On 10/25 pt. c/o whole body tingling that progressively worsened. Pt was eval. At local ER and dc. On 10/28 pt f/u w/ neurologist was referred back to hosp. for direct admission with symptoms consistent w/ GBS according to pt. neurologist. Later was reassessed and neurologist felt not consistent with GBS. Pt improved over course of stay. DC stable.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Associate presented to employee health office on 10/26/09 at 930 AM stated after receiving H1N1 vaccine on 10/23 "didn't feel well" was told on Saturday at kids birthday party by a physician friend that she has facial drooping, Guillain Barre & should go home & rest. States today she has bilateral facial numbness. Received seasonal Flu vaccine on 9/15/09. Seen again in office 10/27/09 Bilat LE numbness tingling. Appointment made with neurologist. 10/28/09:  ED Records received for date of service 10/26/09, Medical Record received for date of service 10/28/09.   Assessment:  Presented with 3 day history of numbness on both sides of the face to ED, two days later seen and noted very mild tingling in both legs. Unable to close eyes completely.  Arms and legs feel weak.  No difficulty chewing or swallowing.  Unable to walk up or down stairs.  Wide based gait. Presentation suspicious for AIDP/GBS.   Labs and Diagnostics:  Pending.  11/5/2009 records for 10/28/2009, patient with c/o's progressive weakness, facial numbness, rt facial droop. Tx: toradol Iv, observation, LP.  Patient was seen 10/28/2009 at 10:45sm by neurologist for bilateral facial numbness. Patient is now being sent to hospital for further testing. 12/3/09 DC summary and medical records received for dates 10/28/09 to 11/2/09. DX: generalized weakness, post LP HA. Pt was transferred to hosp. w/ h/o POTS syndrome, c/o LE weakness, then facial numbness after H1N1 vax on 10/23. On 10/25 pt. c/o whole body tingling that progressively worsened. Pt was eval. At local ER and dc. On 10/28 pt f/u w/ neurologist was referred back to hosp. for direct admission with symptoms consistent w/ GBS according to pt. neurologist. Later was reassessed and neurologist felt not consistent with GBS. Pt improved over course of stay. DC stable.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthma, Computerised tomogram, Facial palsy, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Associate presented to employee health office on 10/26/09 at 930 AM stated after receiving H1N1 vaccine on 10/23 "didn't feel well" was told on Saturday at kids birthday party by a physician friend that she has facial drooping, Guillain Barre & should go home & rest. States today she has bilateral facial numbness. Received seasonal Flu vaccine on 9/15/09. Seen again in office 10/27/09 Bilat LE numbness tingling. Appointment made with neurologist. 10/28/09:  ED Records received for date of service 10/26/09, Medical Record received for date of service 10/28/09.   Assessment:  Presented with 3 day history of numbness on both sides of the face to ED, two days later seen and noted very mild tingling in both legs. Unable to close eyes completely.  Arms and legs feel weak.  No difficulty chewing or swallowing.  Unable to walk up or down stairs.  Wide based gait. Presentation suspicious for AIDP/GBS.   Labs and Diagnostics:  Pending.  11/5/2009 records for 10/28/2009, patient with c/o's progressive weakness, facial numbness, rt facial droop. Tx: toradol Iv, observation, LP.  Patient was seen 10/28/2009 at 10:45sm by neurologist for bilateral facial numbness. Patient is now being sent to hospital for further testing. 12/3/09 DC summary and medical records received for dates 10/28/09 to 11/2/09. DX: generalized weakness, post LP HA. Pt was transferred to hosp. w/ h/o POTS syndrome, c/o LE weakness, then facial numbness after H1N1 vax on 10/23. On 10/25 pt. c/o whole body tingling that progressively worsened. Pt was eval. At local ER and dc. On 10/28 pt f/u w/ neurologist was referred back to hosp. for direct admission with symptoms consistent w/ GBS according to pt. neurologist. Later was reassessed and neurologist felt not consistent with GBS. Pt improved over course of stay. DC stable.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Hypoaesthesia facial, Malaise, Paraesthesia, Supraventricular tachycardia
Clinical narrative: Associate presented to employee health office on 10/26/09 at 930 AM stated after receiving H1N1 vaccine on 10/23 "didn't feel well" was told on Saturday at kids birthday party by a physician friend that she has facial drooping, Guillain Barre & should go home & rest. States today she has bilateral facial numbness. Received seasonal Flu vaccine on 9/15/09. Seen again in office 10/27/09 Bilat LE numbness tingling. Appointment made with neurologist. 10/28/09:  ED Records received for date of service 10/26/09, Medical Record received for date of service 10/28/09.   Assessment:  Presented with 3 day history of numbness on both sides of the face to ED, two days later seen and noted very mild tingling in both legs. Unable to close eyes completely.  Arms and legs feel weak.  No difficulty chewing or swallowing.  Unable to walk up or down stairs.  Wide based gait. Presentation suspicious for AIDP/GBS.   Labs and Diagnostics:  Pending.  11/5/2009 records for 10/28/2009, patient with c/o's progressive weakness, facial numbness, rt facial droop. Tx: toradol Iv, observation, LP.  Patient was seen 10/28/2009 at 10:45sm by neurologist for bilateral facial numbness. Patient is now being sent to hospital for further testing. 12/3/09 DC summary and medical records received for dates 10/28/09 to 11/2/09. DX: generalized weakness, post LP HA. Pt was transferred to hosp. w/ h/o POTS syndrome, c/o LE weakness, then facial numbness after H1N1 vax on 10/23. On 10/25 pt. c/o whole body tingling that progressively worsened. Pt was eval. At local ER and dc. On 10/28 pt f/u w/ neurologist was referred back to hosp. for direct admission with symptoms consistent w/ GBS according to pt. neurologist. Later was reassessed and neurologist felt not consistent with GBS. Pt improved over course of stay. DC stable.
Age: 21.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cardiac enzymes normal, Chest pain, Electrocardiogram normal, Malaise
Clinical narrative: 10 05 nurse administered FLUMIST per protocol. 10:15 pt told PHOA not feeling well c/o chest pain. Nurses responded by VS monitoring, O2 2L applied. ASA given 911 called pt remained alert and oriented. Left on stretcher with EMS.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia facial, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral, Somnolence
Clinical narrative: 2-3 minutes after receiving H1N1 FLUMIST vaccine patient started feeling tingling in lips and tip of tongue. After about 7-10 minutes lips and tip of tongue became numb, no respiratory difficulty, throat was not numb. After 15 minutes patient reported numbness progressed to lower area around lips and nasal area, still no swelling of throat or nasal passages. Phone call to Dr. at clinic describing patient symptoms, phone order given to give BENADRYL 25mg capsule and observe for 1 hour, patient aware and capsule given po at 12:40PM. 12:50PM patient states, "The numbness is still present and has moved further down tongue but still not in throat, no problems breathing" 12:50Pm spoke with FNP about present symptoms and order given to administer BENADRYL 25mg. IM now, patient aware and regards positive; BENADRYL 25mg given in (RG) IM with inst. 1:00 patient states "It seems to be a little better, the numbness is letting up a little back of tongue. Still numb lips and around face and nose." No Sxs of respitory distress. 1:10 PM. Pt states "my tongue is getting a lot better, lips and surrounding face still numb." No Sxs of respiratory distress. LE 12:40 PM BP 120/70 AP 90b/min Respirations 14 1:30 Pm BP 120/70 AP 90 b/min Respirations 15 pt states "my tongue is still tingling just @ tip, the rest of tongue is okay now, lips and surrounding face area just tingling. I am very drowsy." 1:40 PM patient states, "just a little tingling in lips, I would like to go back to work now." Discussed not driving due to drowsiness. Discussed calling if any further problems arise. Discussed contacting PMD to report this side effect.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Headache, Pain, Pyrexia
Clinical narrative: fever dizzy achey h/a
Age: 1.83
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Daughter received a double dose of H1N1 vaccine.  She was supposed to receive 0.25ml of multidose vial and received 0.5ml of multi-dose vial.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site reaction, Paraesthesia, Rash erythematous, Rash macular
Clinical narrative: Tingling at injection site began 30 min after injection, lasted 6 hours.  Developed a rash sige of an orange that is reddish/pinkish in color.  Does not itch or hurt and is flat that has lasted into the next day.  This was her first flu shot and was H1N1
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscle twitching
Clinical narrative: Patient states that she noted a visible twitching of the left eye on Sunday, 10/25/09.  States that the twitching has occurred less frequently each day after 10/25/09.  States she only noted one time on 10/26/09.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Induration, Skin warm, Swelling, Urticaria
Clinical narrative: Teardrop-shaped induration 4 inch X 3 inch which was red, swollen and hot, followed by hives over entire neck, trunk and limbs.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Hives
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dry mouth, Dyspnoea, Panic attack
Clinical narrative: reports awakening at 1 am with panic attack-sob, chest tightness, dry mouth.  Symptoms resolved within one hour and he fell back asleep.  Has never had panic attack in past.
Age: 41.0
Sex: M
Vaccine: FLUN3
Symptoms: Dizziness, Impaired work ability, Loss of consciousness
Clinical narrative: Felt lightheaded and dizzy in the bathroom before passing out.
Age: 33.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus
Clinical narrative: co face itching, no resp difficulty, alert and oriented
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Angioedema, Respiratory tract inflammation, Urticaria
Clinical narrative: Hives, inflammation of throat, angioedema.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscle twitching
Clinical narrative: Patient reports twitching in the periorbital area of the left eye (under the eye and above the cheek) beginning on Friday 10/23/09. States that the twitching was visible to others and very noticeable on 10/23 and has become less frequent each day after vaccination.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Large area of redness and swelling concentrated in the upper half of the left upper arm (especially the deltoid area), but involving the entire arm.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram, Laboratory test
Clinical narrative: Chest pain, shortness of breath. Took inhaler without effect. Went to ER for trearment
Age: 40.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pruritus, Pruritus generalised
Clinical narrative: TOTAL BODY ITCHING ON DAY ONE. TOOK 25 MG BENADRYL.  ON DAY 2, ITCHING AND REDNESS ONLY AROUND INJECTION SITE.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Panic attack
Clinical narrative: reports panic attack while driving.  C/O SOB, dizziness, and chest tightness.  Has remote history of panic attacks.
Age: 26.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Blood test, Computerised tomogram, Electromyogram, Hypokinesia, Migraine
Clinical narrative: Neuropathy, vomiting, migraine, loss of movement of legs for short period of time. 10/28/09 ED records received multiple service dates 10/19/09, 10/21/09, 10/24/09. Assessment: Neuropathy, hypokalemia, anxiety. Patient presents with tingling of both hands, feet, for 3 days. Returns to ED several days later with facial weakness, paresthesia, difficulty standing / walking. Dizziness, panic, trouble breathing, light-headedness, anxiety. Presents several days later with acute headache, sensitive to light, dizziness, nausea, vomiting. Nausea, (R) side numbness, 'spinning'.
Age: 26.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Neuropathy peripheral, Nuclear magnetic resonance imaging, Vomiting
Clinical narrative: Neuropathy, vomiting, migraine, loss of movement of legs for short period of time. 10/28/09 ED records received multiple service dates 10/19/09, 10/21/09, 10/24/09. Assessment: Neuropathy, hypokalemia, anxiety. Patient presents with tingling of both hands, feet, for 3 days. Returns to ED several days later with facial weakness, paresthesia, difficulty standing / walking. Dizziness, panic, trouble breathing, light-headedness, anxiety. Presents several days later with acute headache, sensitive to light, dizziness, nausea, vomiting. Nausea, (R) side numbness, 'spinning'.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Fainting
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling
Clinical narrative: numbless, extreme pain near injection site- swelling
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: Around 9 AM, I started getting chills, fever, headache, extreme tiredness,& some abdominal pain. I was also told that I was very pale throughout my face. As the day went on, my fever would come and go, however, my headache only worsened. Also, at times, I had a lot of abdominal pain, to the point where I thought I could not eat or else I would throw up. I probably slept a total of 15 to 16 hours that day. The next day (10/25), I was experiencing my pronlonged headache, as well as dizzyness for the majority of the day. I felt weak and tired. At times, my heart seemed to be beating faster than usual.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Heart rate increased, Hypersomnia, Pallor, Pyrexia
Clinical narrative: Around 9 AM, I started getting chills, fever, headache, extreme tiredness,& some abdominal pain. I was also told that I was very pale throughout my face. As the day went on, my fever would come and go, however, my headache only worsened. Also, at times, I had a lot of abdominal pain, to the point where I thought I could not eat or else I would throw up. I probably slept a total of 15 to 16 hours that day. The next day (10/25), I was experiencing my pronlonged headache, as well as dizzyness for the majority of the day. I felt weak and tired. At times, my heart seemed to be beating faster than usual.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Around 9 AM, I started getting chills, fever, headache, extreme tiredness,& some abdominal pain. I was also told that I was very pale throughout my face. As the day went on, my fever would come and go, however, my headache only worsened. Also, at times, I had a lot of abdominal pain, to the point where I thought I could not eat or else I would throw up. I probably slept a total of 15 to 16 hours that day. The next day (10/25), I was experiencing my pronlonged headache, as well as dizzyness for the majority of the day. I felt weak and tired. At times, my heart seemed to be beating faster than usual.