chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Condition aggravated, Hypertension, Oedema peripheral, Pain in extremity
Clinical narrative: Patient was vaccinated in the left arm. FLUVIRIN and PNEUMOVAX given - 18 1/2 inches apart. There was no reaction at time of vaccination. The same day midnight patient developed pain, swelling. Next day she went to a clinic and got oral prednisone which did not help and patient was admitted to hospital on 9/28/09 suspecting possible phlebitis. IV antibiotic steroid was administered.   10/12/09 Hospital Records and Discharge Summary received service dates 9/28/09 to 9/29/09. Assessment: Left arm cellulitis, hypertension. Presents with left arm pain, redness and swelling. Pain radiates to neck. Admitted to hospital because of left arm cellulitis. Blood pressure uncontrolled on admission.   10/12/09 ICD-9 Codes: 999.39 Infection following oth infusion injection transfusion or vacc, 682.3 Cellulitis of arm, E879.8 Abn React-Procedure NEC, 401.9 Hypertension NOS, 414.9 Coronary atherosclerosis of native coronary vessel, V45.82 Percutaneous translum corn angioplasty status, V15.82 History of tobacco use.
Age: 1.86
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Parotitis, Swelling face
Clinical narrative: Swelling L side of face in area of parotid. Dx: parotitis. Rx: KEFLEX 250/5 1 tsp TID x 7days.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Varicella post vaccine
Clinical narrative: Pt RECEIVED 6 IMMUNIZATIONS ON MON 8/24/09 including VARICELLA vaccine. Child woke up with Little Red bumps all over his body. Father instructed to send child to ER. Child diagnosed with mild case of Chicken Pox (At Urgent Care R.P.) 8/28/09 Child is doing fine.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Guillian-barre syndrome from shot was down to the nerve coating and numbness.  10/20/09 Hospital records received for date of service 8/25-8/28. Discharge DX: Guillain-Barre syndrome.  Records reveal patient presented in ER with progressive ascending weakness of LE approx. 3 days after receiving vaccine.  Progressed to wheelchair bound. LP (+) isolated abnormality of elevated protein. EMG abnormal. IVIG  x3 days with dramatic improvement.  Discharged to inpatient rehab.  10/20/09 Hospital records received for date of service 8/28-9/05. Discharge DX: Acute inflammatory demyelinating polyradiculoneuropathy, neuropathic pain, hemolytic anemia secondary to IVIG. Records reveal account of inpatient rehab. Strength UE 4/5 bilaterally, LE 3/5-45. Developed neuropathic pain. Developed hemolytic anemia secondary to IVIG. No free circulating antibody. HCT stabilized at 23 and HGB at 8.8. INR and platelets stable at 463,000. Able to ambulate with supervision at discharge. To follow up with PCP and hematology.  10/20/2009 Electrophysiologic Diagnostic Consult and labs received for DOS 08/19-10/05. Diagnosis of GBS and/or AIDP confirmed. Notes patient had mild SX 1 week before admin of vaccine and SX increased thereafter.
Age: 11.0
Sex: U
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Headache, Immunisation reaction, Influenza, Pain in extremity
Clinical narrative: 11:00 am spoke with mom said pt got FLUMIST on 9-16-09. Pt has been c/o stomach pain, ache arms, headache, runny nose no fever no diarrhea. Mom's concern pt has flu? some symptoms. Mom would also like to know if its due to the "FLUMIST". 9/16/09 - Notify parent. It could be a minor reaction. Since the vaccine is a live, weakened virus - it can cause minor symptoms resembling the flu, not the actual flu. If questions remain - I can answer questions. Please initiate VAERS report. 12:00 p.m. spoke with mom inform her it could be a minor reaction from FLUMIST per Dr. Inform mom, if pt's symptoms worsen or Pt gets fever to call us back to schedule app. Mom verbally understood and agree.
Age: 11.0
Sex: U
Vaccine: FLUN3
Symptoms: Rhinorrhoea
Clinical narrative: 11:00 am spoke with mom said pt got FLUMIST on 9-16-09. Pt has been c/o stomach pain, ache arms, headache, runny nose no fever no diarrhea. Mom's concern pt has flu? some symptoms. Mom would also like to know if its due to the "FLUMIST". 9/16/09 - Notify parent. It could be a minor reaction. Since the vaccine is a live, weakened virus - it can cause minor symptoms resembling the flu, not the actual flu. If questions remain - I can answer questions. Please initiate VAERS report. 12:00 p.m. spoke with mom inform her it could be a minor reaction from FLUMIST per Dr. Inform mom, if pt's symptoms worsen or Pt gets fever to call us back to schedule app. Mom verbally understood and agree.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Loss of consciousness
Clinical narrative: Patient lost consciousness after injection. Revived after use of ammonia inhalant-soon. Denies injury or any problem.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, HEP, HIBV, PNC, RV5
Symptoms: Depressed level of consciousness, Pyrexia, Rash, Skin warm
Clinical narrative: Rash-pin head bumps face, back, arms, legs & chest area. Sparse. -per history of mother went to ER when unable to arouse & high fever "hot to touch".
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Erythema, Injection site erythema, Injection site pain
Clinical narrative: 2200 - 9-15. 9-15-09 - Presented to E.D. with pain, swelling, redness @ injection site into L supraclavicular region of neck. Also complaining of chest tightness and shortness of breath. BENADRYL and MOTRIN given in E.D. Flu vaccine given 9-14.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Local swelling, Neck pain
Clinical narrative: 2200 - 9-15. 9-15-09 - Presented to E.D. with pain, swelling, redness @ injection site into L supraclavicular region of neck. Also complaining of chest tightness and shortness of breath. BENADRYL and MOTRIN given in E.D. Flu vaccine given 9-14.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Neck pain, Pain
Clinical narrative: Patient Complained of Pain in injection site, shooting up to neck 24 hrs after injection. Told to put ice on area and take Ibuprofen Followed up 48ho later and they said they felt better.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Guideline stated that child should be given preservative free flu vaccine and pharmacy define child as anyone who is under 18 yrs, so FLUVIRIN which has preservative should not be given to the patient.  No adverse reaction per father also, had sister at Dr's office related to incidence.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea/vomiting.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Crohn's disease
Clinical narrative: Shortly after receiving the HPV vaccine Patient was diagnosed with Crohns Disease. We have no history in out family.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site haemorrhage, Injection site induration, Injection site nodule
Clinical narrative: After giving the flu shot, the pt started bleeding.  After a few moments, I rechecked for bleeding and noticed that the area where I injected had become hard and formed a nodule.  I monitored the patient and after he said he felt fine I told him to go his PCP.  See attachment: After giving the flu shot in the L deltoid to the patient around 12:00 pm, he started bleeding.  I wiped it up with a cotton ball and placed a band-aid over it.  I then proceeded to give him PNEUMOVAX on the R deltoid.  I re-checked the patient's L deltoid to see if it was bleeding.  It was no longer bleeding, but the area where I injected the vaccine was now hard and developing a nodule.  I instructed the pt to stay in the pharmacy waiting room and to alert me if he was feeling adverse effects like dizziness, rash, difficulty breathing etc.  After fifteen minutes, I re-checked the L deltoid and the area still felt hard, yet no more bleeding.  The patient stated that he felt fine and did not feel any different.  I told him to go see his primary care provider so his doctor could inspect the area.  Pt seemed reluctant to go, but I continued to tell him the importance of seeing his doctor.
Age: 1.26
Sex: F
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash vesicular
Clinical narrative: Patient spiked a 101.5 degree fever on 9/22/09.  She developed red bumps on her trunk noted after her bath today 9/22/09.  She has small vesicles on the trunk.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site rash, Rash macular
Clinical narrative: Macular rash on injection arm (3) - 2 upper arm. 1 at elbow - rash appeared 24 -48 hrs after injection.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Headache, Myalgia, Pain in extremity
Clinical narrative: Arm Pain Muscle Aches. Diarrhea Headache
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Lip swelling
Clinical narrative: Vaccine administered 9/16/09 at 12:45 pm.  Patient noticed slight swelling of upper lip that evening.  It got progressively worse.  He sought medical attention the following day.  Patient was prescribed PREDNISONE + BENADRYL.   Patient back to normal at this time.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Eyelid disorder, Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: On Aug 6 2009, I received the TDAP vaccine, on Aug 6 2009 fever 101 degrees, chills and body aches along with arm soreness could not move arm for approximately 1 week.  Had fever, chills and body aches until Sunday Aug 9 2009.  On Aug 8 2008 at 2:40 A. M. could not open left eye on Aug 12 2009 I could not open my RT eye after I had woken up from falling asleep.  Not opening of either eye this has been occurring for approximately 3 weeks, every 3rd or 5th day this occurs after I woken up after falling asleep.  Since September 2, 2009 cannot open both eyes after I woken up from falling asleep.  On September 24, 2009, could not open both of my eyes, had to use my fingers to open both of my eyes aster I woken up from falling asleep. If there are more questions or information at VAERS may need call patient.  As of this time I can not receive my MMR shot due to the fact that I am having a problem with he TDAP vaccine.  the reason that I need the MMR shot is for my clinician with out the MMR shot I will not be able to do my clinicals and will automatically fail my EMT-Basic course. Update: I am still having problems opening my eyes after I woken up from sleeping.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: On Aug 6 2009, I received the TDAP vaccine, on Aug 6 2009 fever 101 degrees, chills and body aches along with arm soreness could not move arm for approximately 1 week.  Had fever, chills and body aches until Sunday Aug 9 2009.  On Aug 8 2008 at 2:40 A. M. could not open left eye on Aug 12 2009 I could not open my RT eye after I had woken up from falling asleep.  Not opening of either eye this has been occurring for approximately 3 weeks, every 3rd or 5th day this occurs after I woken up after falling asleep.  Since September 2, 2009 cannot open both eyes after I woken up from falling asleep.  On September 24, 2009, could not open both of my eyes, had to use my fingers to open both of my eyes aster I woken up from falling asleep. If there are more questions or information at VAERS may need call patient.  As of this time I can not receive my MMR shot due to the fact that I am having a problem with he TDAP vaccine.  the reason that I need the MMR shot is for my clinician with out the MMR shot I will not be able to do my clinicals and will automatically fail my EMT-Basic course. Update: I am still having problems opening my eyes after I woken up from sleeping.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Headache, Lacrimation increased, Pyrexia, Retching
Clinical narrative: Vaccinated at 10. At 12 developed runny nose, sneezing, difficulty breathing, gagging, runny eyes, fever and headache. Symptoms resolved except the headache in 24 hours. PCP notified.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: Vaccinated at 10. At 12 developed runny nose, sneezing, difficulty breathing, gagging, runny eyes, fever and headache. Symptoms resolved except the headache in 24 hours. PCP notified.
Age: 3.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Culture negative, Pruritus, Rash, Streptococcal identification test negative
Clinical narrative: Noticed flesh colored rash 9-23-9 in groin on forehead & behind ears. + itch Strep cx-
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Pruritus generalised, Vomiting
Clinical narrative: Itching and vomitting.  Received BENADRYL, PEPCID & Solu-Medrol in the Emergency Dept of the hospital. Severe vomiting, itching all over.
Age: 46.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pruritus
Clinical narrative: Itching of limbs and back.  Benadryl IM administered in the Emergency Dept of Coney Island Hospital
Age: 46.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Pruritus
Clinical narrative: Itching of limbs and back.  Benadryl IM administered in the Emergency Dept of Coney Island Hospital
Age: 12.0
Sex: F
Vaccine: FLU3, HEPA, MNQ, TDAP
Symptoms: Blood test normal, Convulsion, Staring
Clinical narrative: patient recieved vaccines as listed, then 2 hours later, had a seizure at school that consisted of staring into space, no tonic-clonic activity.  Does have an underlying seizure disorder, but hadn't had seizures in 2 years.  Was given rectal diastat- transported to ER for somnolence and monitoring.  Had valproic acid level checked - level 53 (normal 50-100) and had increased dose.  Discharged around 4 hours later stable and fully recovered 10/9/09 Received medical records from date 9/23/09 DC DX: Seizure.  Presenting symptoms: Parent stated pt was at school after receiving 4 vaccines in the morning had a staring episode where she was unresponsive. Parent states no seizures in 2 years. Pt c/o feeling tired in ER. Exam WNL.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Blood culture, Blood test, Culture urine, Differential white blood cell count, Full blood count
Clinical narrative: Pt. reports that she became violently ill with nausea/vomiting approx. 6 hours after influenza injection.  She went to the ER 1 hour after becoming ill and was given IV hydration and nausea medications.  She reports that she "shook all over", as with a fever, but had no thermometer.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Metabolic function test, Nausea, Tremor, Vomiting
Clinical narrative: Pt. reports that she became violently ill with nausea/vomiting approx. 6 hours after influenza injection.  She went to the ER 1 hour after becoming ill and was given IV hydration and nausea medications.  She reports that she "shook all over", as with a fever, but had no thermometer.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Anxiety, Delusional perception, Fear, Obsessive-compulsive disorder, Psychiatric evaluation
Clinical narrative: About a week after receiving vaccine series, my son began exhibiting signs of acute anxiety/fears (hypochondria, fear of bugs, fear of getting in trouble, fear of hurting someone, fear of the end of the world) and had some delusional thoughts. He also had some regressive behavior (attachment to stuffed animals, sleeping with three night lights). He has seen the pediatrician, a psychologist and psychiatrist. The fears have subsided greatly but some remain. It's unclear whether they will come back strong.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Regressive behaviour
Clinical narrative: About a week after receiving vaccine series, my son began exhibiting signs of acute anxiety/fears (hypochondria, fear of bugs, fear of getting in trouble, fear of hurting someone, fear of the end of the world) and had some delusional thoughts. He also had some regressive behavior (attachment to stuffed animals, sleeping with three night lights). He has seen the pediatrician, a psychologist and psychiatrist. The fears have subsided greatly but some remain. It's unclear whether they will come back strong.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Pyrexia
Clinical narrative: FEVER 101.0 HIGHEST, TAKEN BY PARENTS, ORALY. FEVER INCREASES AT NIGHT. SLIGHT COUGH.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eyelid oedema, Rash pruritic, Urticaria
Clinical narrative: Ten minutes after receiving the vaccine,  she developed a pruritic urticarial rash.  She took Benadry 25mg by mouth and symptions resolved.  When she awakened the next morning the rash and itching had recurred and she had swelling of the eyelids and a sensation of trouble breathing.  On exam she had a widespread urticarial rash.  Her throat was normal and her lungs were clear.  Her O2 saturation was 98% and vital signs were normal.  After a PO dose of Benadryl 25mg,  her symptoms resolved within 10 minutes.  She was observed for about an hour, then discharged with a Prednisone 10 mg,  6 day taper(60,50,40,30,20,10)  At a follow-up call several hours later she was feeling fine.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Rash generalised, Rash papular, Rash pruritic
Clinical narrative: Patient received flu vaccine and the next day developed papular rash to hands, legs, across  trunk.  Very pruretic. Was treated with diphenhydramine 50mg by mouth with no relief.  Next day developed spread over entire body.  Given two IM dexamethasone shots that day.  Elected not to give dexamethasone dose pack as patient HIV +, did not want to lessen immunity any further.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Induration, Local reaction, Pain
Clinical narrative: Local reaction with induration, erythema and pain 8 x 18 cm
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Injection site erythema, Pain, Pyrexia
Clinical narrative: Received shot Friday night, Sat. OK, Sunday very tired, SUnday night, fever reaching 101.9 for several hours, body aches, chills. Fever broke during the night. Monday a little tired. A four iinch diameter red area on shot site.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness, Urticaria
Clinical narrative: Developed hives to extremities and tightness to throat.  Treated at Emergency Room.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Injection site urticaria
Clinical narrative: Patient received a large welt down her arm on the side the pneumovax was given.  Patient's discharge was held until the next day. 10/1/09 D/C Summary received.  Pt in hospital for GI bleed received Pneumovax and developed redness and pain in the Left deltoid which was resolved at the time of d/c.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Conjunctival hyperaemia, Conjunctival oedema, Fatigue, Hyperhidrosis
Clinical narrative: 2 hrs after vaccine: red edematous conjunctivae with arthragias, sweats, fever 100.5, fatigue,laryngitis, rhinnorhea. Improved in less than 24 hours. Treated with ibuprofen, benadry and 40 mg prednisone.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Laryngitis, Pyrexia, Rhinorrhoea
Clinical narrative: 2 hrs after vaccine: red edematous conjunctivae with arthragias, sweats, fever 100.5, fatigue,laryngitis, rhinnorhea. Improved in less than 24 hours. Treated with ibuprofen, benadry and 40 mg prednisone.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Burning sensation, Fatigue, Myalgia
Clinical narrative: One day post flu vax, experienced temps 100.0 - 100.3 F nightly, extreme fatigue, muscular aching w/ burning sensation.  Has continued thru today.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspepsia, Dyspnoea
Clinical narrative: Heartburn and dyspnea
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Delirium, Gait disturbance, Laboratory test normal, Pyrexia
Clinical narrative: Very high fever, confusion, delirium, unable to recognize family, unable to walk on her own. She was taken to the ER for evaluation.  Then she was given Acetaminophen for the fever and labs were drawn.
Age: 36.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Reaction to preservatives
Clinical narrative: Patient received Tdap vaccine 9/24/09.  Significant swelling, pain, and erythema at injection site.  Symptoms did not become less severe after 5 days.  Patient was told these symptoms were due to the preservative in tetanus portion of the Tdap vaccine.
Age: 30.0
Sex: U
Vaccine: FLUX
Symptoms: Confusional state, Dizziness, Injection site exfoliation
Clinical narrative: Dizziness and confusion.  Four days later the skin around the injection site started sloughing.  There was no discoloration of the skin anywhere, nor any drainage.  The circumference was the size of a pen cap. The top to layers of skin came right off when I rubbed it.  The area around the site was unaffected.  The nurse didn't contaminate the needle and properly cleansed the injection site with alcohol.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Fatigue, Headache, Hypersomnia, Oropharyngeal pain
Clinical narrative: Shot was given on Wednesday late afternoon or early evening.  By following morning I had a severely sore scratchy throat, painful sinus pressure, headache, dizziness, and extreme fatigue.  I slept most of the day Thursday, Friday, Saturday and Sunday. By late afternoon on Monday I began to feel some what better.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Sinus headache, Throat irritation
Clinical narrative: Shot was given on Wednesday late afternoon or early evening.  By following morning I had a severely sore scratchy throat, painful sinus pressure, headache, dizziness, and extreme fatigue.  I slept most of the day Thursday, Friday, Saturday and Sunday. By late afternoon on Monday I began to feel some what better.
Age: 9.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Patient received shot late afternoon or early evening on Wednesday.  She began to run a fever the following morning.  Her fever was 102 degrees from Thursday morning (24th) until Friday evening (25th).  She was felt achey, tired, and had a sore throat.  She began to feel much better by Sunday morning.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Blood creatinine increased, Blood urea increased, Rash, White blood cell count increased
Clinical narrative: Developed rash chest and back. No Dyspnea. Taken to ER by Unit member. Post smallpox vaccination on 9/16/09. 12/29/09 PCP Medical records received for DOS 09/29/09. Follow-up visit to Hospitalization 9/25/-9/28/09.  Skin rash resolving. On Doxycycline. 12/31/09 Discharge Summary and Hospital records received for DOS 9/25-9/28/09. Pt. presented with fever, itching and  rash on his torso and back. Admitted for observation, ID consult and placed on isolation.  Rash improved upon discharge.  DC DX: adverse reaction to smallpox vaccine; resolving rhabdomyolysis
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site rash, Injection site urticaria, Rash macular, Urticaria
Clinical narrative: Maruck/Urticarial rash at injection site and same onto chest
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Non noted.  Adult flu vaccine given, ALFLURIA for over 18ys.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash pustular, Swollen tongue
Clinical narrative: Pt got FLUZONE and ZOSTAVAX shot 9/10/09 @ 11:30-11:32 am.  Came back to pharmacy 9/29/09 stating she got a rash on stomach 5 days after shot; it disappeared then re-appeared next day with pustules also experienced tongue swelling on one side of tongue for 12 hours.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Head injury, Vomiting
Clinical narrative: Pt was given flu shot in L delt. said she was fine to leave on her own.  She went to the front desk to check out and apparently became faint- she hit her head on the wall-(I did not witness this event)-911 was called Pt was taken to ER. She vomited.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Very swollen and painful arm from mid-biceps to shoulder.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Dizziness-First experienced PM after received seasonal flu shot about 10 AM 9/26/09-Dizziness has increased since then-ER visit in PM 9/28/09.  9/29/09 2:30 PM Pt reports resolved.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: severe leg muscle pain x 5 days severe headache and fatigue x 2 days swelling the size of a half dollar at injection site - red, hot - painful.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Myalgia
Clinical narrative: severe leg muscle pain x 5 days severe headache and fatigue x 2 days swelling the size of a half dollar at injection site - red, hot - painful.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Pallor, Rash macular, Rash papular
Clinical narrative: Macular/papular rash-diffuse entire body, + blanching-temp. 100, day 12 following vaccines.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Malaise, Rash, Rash vesicular
Clinical narrative: Received vaccine AM of 9/8/09.  Complained of headache that afternoon.  Today (9/29/09) she reports that she has not felt well and that she broke out in a "rash" on 9/25/09.  She did visit MD has "chicken pox" like
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Rash generalised
Clinical narrative: Body rash all over and itching. SOLU-MEDROL 250 mg IM X 1 on 9/28/09, BENADRYL 50 mg IM x 1 on 9/28/09.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: Patient experienced excruciating pain in arm several hours after PNEUMOVAX administration.  Patient still has some soreness and has been using ALEVE; EXCEDRIN; ice and a heating pad.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Wrong drug administered
Clinical narrative: No symptoms. Pregnant woman was given FLUVIRIN instead of AFLURIA.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: Patient experienced excruciating pain in arm several hours after PNEUMOVAX administration. Patient still has some soreness and has been using ALEVE, EXCEDRIN, ice and a heating pad.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia
Clinical narrative: Numbness of mid arm area-more than 24hrs.
Age: 85.0
Sex: U
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Patient reported feeling "lightheaded" after FLUVIRIN injection. After 10minutes she felt "better" and needed to leave. We called her @ 9am the next morning and she said she was "back to normal" after eating dinner.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea & vomiting 2 days after injection-Recovered by 3rd day.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling abnormal, Headache, Pyrexia
Clinical narrative: Fever, chills, "felt out of it", headache.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Pain, Paraesthesia
Clinical narrative: Pt described burning sensation following shot. Returned to pharmacy after 10 min. had tingling & shooting pains down arm into hand. She did not want to visit dr. Ice applied and instructed to take OTC pain relievers.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Nausea, Pain, Swelling
Clinical narrative: Swelling, nausea, soreness, headaches.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Decreased appetite, Malaise, Nausea, Vomiting
Clinical narrative: Malaise 1 day after nausea/vomiting 2 days after some vomiting but able to eat 3 days after.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Influenza like illness, Pain, Tremor
Clinical narrative: I have received flu shots for years and never had the severe reaction as of 9/10/09. That night I awoke to chills and severe shaking, body soreness and flu like symptoms.  The shaking lasted for 1/2 hour.  No energy the following day and body soreness.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Diarrhoea, Oedema peripheral, Pyrexia
Clinical narrative: Arm swollen & fever about 102, diarrhea. 5 days later symptoms subsided. Pt came in 1 1/2 weeks later to report symptoms.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Hyperventilation, Loss of consciousness, Pallor
Clinical narrative: Loss of consciousness after FLUVIRIN given, came around quickly, very pale and sweating, deep breaths, moved her to the floor, rested, got up, went to restroom to wash face, sat another 15 minutes.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Induration, Lymphadenopathy
Clinical narrative: Patient called next morning to state her neck glands (lymph node) swollen felt hard and she put warm compress on it. Reported swelling went down and resolved. Denies fever, chills, denies short of breath or any other symptoms.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Fatigue, Headache, Loss of consciousness, Nausea
Clinical narrative: 09-17-09 Within a few minutes of vaccine administration, client lost consciousness. After being placed in recumbant position, consciousness regained. After 15 minutes left clinic with mother. Mother reported H.A., nausea and tiredness in afternoon. During a visit to the optometrist the next day, lost consciousness again and transported to ER.
Age: 69.0
Sex: U
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: After receiving shot, patient experienced redness and swelling at injection site immediately.  She only reported allergies to penicillin or dye.  With further questioning she said she was allergic to latex.  We immediately had patient place a cold compress on the swelling.  She felt better within 20 minutes.  She was instructed to take BENADRYL OTC 25mg q6h if needed. A follow up call to patient was made 3 hours later.  She said the arm felt fine but fir a small bump.  The Pharmacist wore latex gloves and the patient was allergic to latex.  The VAER may have been from the latex gloves and not from the flu-shot.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Morning after getting FLUZONE, developed fever, sore throat, congestion, body aches, dizziness.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site reaction, Muscle contractions involuntary
Clinical narrative: Fasiculations around injection site started 30 minutes after injection.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Diarrhoea, Dizziness, Dry mouth, Dysphonia
Clinical narrative: Vaccine given 9/24/09. Diarrhea started at 01:00, 9-25-09. Patient was nauseated, no vomiting. Felt weak and dizzy. Mouth and mucous membranes appear dry. Slight headache, SOB, hoarseness and wheezing. Pulse at 104. Also c/o fatigue. Refused treatment.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Fatigue, Headache, Mucosal dryness, Nausea
Clinical narrative: Vaccine given 9/24/09. Diarrhea started at 01:00, 9-25-09. Patient was nauseated, no vomiting. Felt weak and dizzy. Mouth and mucous membranes appear dry. Slight headache, SOB, hoarseness and wheezing. Pulse at 104. Also c/o fatigue. Refused treatment.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Vaccine given 9/24/09. Diarrhea started at 01:00, 9-25-09. Patient was nauseated, no vomiting. Felt weak and dizzy. Mouth and mucous membranes appear dry. Slight headache, SOB, hoarseness and wheezing. Pulse at 104. Also c/o fatigue. Refused treatment.
Age: 71.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Condition aggravated, Rash
Clinical narrative: Administered inactivated vaccine (Influenza) L arm and Shingles vaccine R arm.  Rash noted after administration of Inactivated vaccine.  Rash noted to Rt arm & then Lt arm.  Benadryl 50mg IM given.  Pt axox3.  Blood Pres 160/80, Temp 98.2, Pulse 72, Res 18, Pulse Ox 98%.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain got worst on site of injection (right arm) at 9 pm (administered 2:30 pm 9/22/09), and by 12:00 AM patient cannot move her right arm anymore, went to ER and was given VICODIN. She was able to move her right arm a little bit this afternoon only 9/23/09 5:30pm), and still taking pain med. she will be seeing her MD in 48 hrs. Still in process, observing.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Pt received flu vaccine. I recommended she stay for 20 minutes after. While in waiting area her daughter approached me said she was having chest pains and feeling short of breath. I took her BP which was 185/77 then called Drs office who advised me to refer her the ER
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Eye discharge, Eyelid oedema, Pain, Wheezing
Clinical narrative: Wheezing, swollen eyelids with discharge, chills, body aches.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Pt felt asleep for 2 sec, shake Pt arousal A+O x 3. Orange juice given, put student on examination bed, presently smiling and talking with friend. Pt reported every time she takes immunization or given blood she past out and it normal. Instructed student to see MD.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site haematoma, Injection site induration, Injection site inflammation, Injection site swelling
Clinical narrative: Patients injection site immediately bruised and became inflammed. The site was swollen and very hard. Pharmacist placed an ice pack on site until the swelling went away. Bruise remained.
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Lymph node pain, Lymphadenopathy, Pain, Swelling
Clinical narrative: Swollen, extremely tender lymph node in R axillary region, with general aches to body. Node appears nickel to quarter size in diameter, raised area. Will see PCP tomorrow if ice and HYDROCORTISONE cream continues to not work.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Asthenia, Body temperature increased, Cough, Flushing
Clinical narrative: Pt reports headache, T-100, Pain @ ankles & knees, swelling at (R) side of neck, vague weakness, symptoms starting 9-23-09 AM. Also pain at injection site. After injection, nurse commented on "flushing"-pt states she was like that before." 9/25/09 Spoke-client who saw Dr yesterday. Client states Dr said she had infection that started prior to vaccine that she was unaware of. Started on antibiotics & feels slightly better today. Coughing up yellow phlegm.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Increased upper airway secretion, Injection site pain, Local swelling
Clinical narrative: Pt reports headache, T-100, Pain @ ankles & knees, swelling at (R) side of neck, vague weakness, symptoms starting 9-23-09 AM. Also pain at injection site. After injection, nurse commented on "flushing"-pt states she was like that before." 9/25/09 Spoke-client who saw Dr yesterday. Client states Dr said she had infection that started prior to vaccine that she was unaware of. Started on antibiotics & feels slightly better today. Coughing up yellow phlegm.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arthralgia, Asthenia, Body temperature normal, Cough, Flushing
Clinical narrative: Pt reports headache, T-100, Pain @ ankles & knees, swelling at (R) side of neck, vague weakness, symptoms starting 9-23-09 AM. Also pain at injection site. After injection, nurse commented on "flushing"-pt states she was like that before." 9/25/09 Spoke-client who saw Dr yesterday. Client states Dr said she had infection that started prior to vaccine that she was unaware of. Started on antibiotics & feels slightly better today. Coughing up yellow phlegm.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Increased upper airway secretion, Infection, Injection site pain, Local swelling
Clinical narrative: Pt reports headache, T-100, Pain @ ankles & knees, swelling at (R) side of neck, vague weakness, symptoms starting 9-23-09 AM. Also pain at injection site. After injection, nurse commented on "flushing"-pt states she was like that before." 9/25/09 Spoke-client who saw Dr yesterday. Client states Dr said she had infection that started prior to vaccine that she was unaware of. Started on antibiotics & feels slightly better today. Coughing up yellow phlegm.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Father states that after vaccination left arm became red and swollen.  He returned to clinic 4 days later, positive swelling & erythema of left arm.  Father states the redness and swelling had gotten a little better.  Advised warm compresses to the area 3 times a day.  Patient to return to clinic on 9/30/09 for PPD reading and F/U.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 1 1/2 cm of induration-2 x 5 cm area of pink area surrounding site of vaccine.
Age: 12.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Diarrhoea, Headache, Pyrexia
Clinical narrative: Febrile illness, headache, < diarrhea starting 5 days after injection.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling
Clinical narrative: Received phone call, 4 hours after vaccination, from patient complaining of swelling at site of injection of PNEUMOVAX. Patient has put ice on site of injection and taken BENADRYL. Patient calling Dr. in morning.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, No adverse event, Pregnancy test positive
Clinical narrative: Patient received GARDSIL 8/24/09 and returned to clinic 9/8/09 and had positive urine pregnancy test.  No testing done 8/24/09.  LMP 7/24/09. No physical adverse reaction/symptoms.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Muscular weakness, Pyrexia, Vomiting
Clinical narrative: Numbness of Rt upper extremities immediately. Later with weakness + numbness of right lower extremities last for about a day. Fever and vomiting the next afternoon. Rt UE numbness resolved 3 hrs later. Still a little weakness in Rt. leg.
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pruritus, Injection site rash, Rash pruritic
Clinical narrative: (noted 48 hrs post inj) Itchy Rash originating at injection site, moving down left arm, around thorax (upper back, upper chest, down right arm).  Treated with PREDNISONE 72hrs later rash was mostly gone itch remained another 24 hrs.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Eye discharge, Ocular hyperaemia
Clinical narrative: A couple hours after taking flu shot she states her eyes suddenly turned red and matted up and started feeling a tightness in chest.  Waited until 3:30 pm to go to clinic to see dr.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hyperhidrosis, Palpitations, Pyrexia
Clinical narrative: The evening of the day dose was administered pt experienced sweats, fever, difficulty breathing and racing heart. She self treated with Benadryl and symptoms resolved that night.
Age: 0.37
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Wrong technique in drug usage process
Clinical narrative: None. Just gave dilutent.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Gave patient the AFLURIA vaccine instead of FLUVIRIN.  No adverse events reported.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Head injury, Syncope
Clinical narrative: 5 to 7 minutes after giving pt immunization, he fainted and hit head on tile floor. Pt felt dizzy. He sat down, drank water, and put ice on forehead. After 15 minutes he was fine.
Age: 56.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, Movement disorder, Musculoskeletal pain, Pain in extremity
Clinical narrative: Unable to lift arms and legs. Pain in hands, arms, legs, shoulders, hips.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Musculoskeletal pain
Clinical narrative: Pt got vaccine 9/10 (Thurs). Went to ER following Tues. Had pain (extreme) in upper shoulder, and felt some pain in chest. Thought it might be heart attack but everything ok. Concluded due to flu shot. Stated pain was extreme.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injection site anaesthesia
Clinical narrative: Sxs began 2 day's after receiving TDAP vaccine. Received TDAP 7/22/09. (L) arm numbness. (L) Hand.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Incorrect dose administered, Skin warm, Tenderness
Clinical narrative: Pt has 10 cm x 13 cm area erythema, warmth and tenderness below injection R deltoid. Possibly adm. 5 x dose ie.  2.5 cc as opposed to .5 cc IM.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Asthenia, Body temperature increased, Diarrhoea, Dizziness
Clinical narrative: Face became very red/hot: temp of 99.7.  Felt bad/fatigued.  Nauseated, no vomiting.  Had 2 diarrhea stools and abd cramping.  Felt better am 9/25/09-Then abd cramping and sweating started at 0830 9-25-09.  Also was lightheaded/weak.  Sent home.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Fatigue, Feeling abnormal, Hyperhidrosis, Nausea
Clinical narrative: Face became very red/hot: temp of 99.7.  Felt bad/fatigued.  Nauseated, no vomiting.  Had 2 diarrhea stools and abd cramping.  Felt better am 9/25/09-Then abd cramping and sweating started at 0830 9-25-09.  Also was lightheaded/weak.  Sent home.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: Face became very red/hot: temp of 99.7.  Felt bad/fatigued.  Nauseated, no vomiting.  Had 2 diarrhea stools and abd cramping.  Felt better am 9/25/09-Then abd cramping and sweating started at 0830 9-25-09.  Also was lightheaded/weak.  Sent home.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Nasal congestion, Rash, Sinus congestion, Swelling
Clinical narrative: Left arm, rash and redness, started about 3 hrs after immunization, continued with swelling and nose and sinus congestion.
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Headache, Ocular hyperaemia, Rhinorrhoea, Sneezing
Clinical narrative: Vaccine at 2pm developed runny nose, sneezing, trouble breathing, vomiting, red eyes and headache, symptoms resolved in 24 hours. PCP called. Mother had identical reaction.
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Vaccine at 2pm developed runny nose, sneezing, trouble breathing, vomiting, red eyes and headache, symptoms resolved in 24 hours. PCP called. Mother had identical reaction.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Wrong drug administered
Clinical narrative: There were no signs or symptoms I compared his vaccine reports and they are missing info and extra vaccine was given.  Please call me regarding this matter.
Age: 20.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Rash, Skin warm, Swelling
Clinical narrative: red rash, raised areas, hot to touch
Age: 1.01
Sex: F
Vaccine: PNC
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme diagnosed 9/21/09 Seen in ER 9/21/09, 9/22/09. Seen in office 9/23/09.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: Pt presents with right arm & forearm swollen & red warm streaking & pain. Pt sent immediately to ER.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Erythema, Feeling jittery, Hyperhidrosis, Injection site oedema
Clinical narrative: Pt felt jittery, dizzy, shakey and vomited 1 hour post vaccine. Developed itchy throat, itchy skin, erythema and blotching bilat. arms.  Diaphoretic. No resp. Sxs.  Injection site tender warm and edematous.  Pt had also increased her dose of VYVANCE from 30 to 50mg at 10:30 same morning.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site warmth, Pruritus, Rash macular, Throat irritation
Clinical narrative: Pt felt jittery, dizzy, shakey and vomited 1 hour post vaccine. Developed itchy throat, itchy skin, erythema and blotching bilat. arms.  Diaphoretic. No resp. Sxs.  Injection site tender warm and edematous.  Pt had also increased her dose of VYVANCE from 30 to 50mg at 10:30 same morning.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor, Vomiting
Clinical narrative: Pt felt jittery, dizzy, shakey and vomited 1 hour post vaccine. Developed itchy throat, itchy skin, erythema and blotching bilat. arms.  Diaphoretic. No resp. Sxs.  Injection site tender warm and edematous.  Pt had also increased her dose of VYVANCE from 30 to 50mg at 10:30 same morning.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Vomiting
Clinical narrative: Severe vomiting.
Age: 32.0
Sex: F
Vaccine: ANTH, FLU3, SMALL
Symptoms: Adverse drug reaction, Anxiety, Blood thyroid stimulating hormone, C-reactive protein normal, Cardiac enzymes normal
Clinical narrative: 32 y/o female developed SOB & chest tightness onset 12 days following receipt SPV, AVA 2, & inactivated influenza vaccines given 9/10/2009.  Pt first noted mild difficulty getting deep breath and tightness in chest on 9/22 which worsened by 9/23 accompanied by feelings of anxiousness due to difficulty breathing; symptoms not related to exertion or position; no coughing; wheezing or actual chest pain.  Pt was well prior to & day of vaccinations; denied antecedent viral illness, exposure to sick contacts, inhalants, recent travel; no cardiac, asthma. psychological smoking history; no prior vaccine-related reactions.  She is instructor with adult students in classroom setting.  PMHx significant for LTBI s/p completion 4 month course RIFAMPIN in early Aug 2009; pt had taken 2 doses of MEFLOQUIN (9/14 & 9/21) malaria prophy in preparation for scheduled deployment planned in early Oct.  She was medically evaluated in military ED 9/23/2009.  PE was reported as tachypneic respiratory exam otherwise benign, BP 147/83, HR 100, Temp 96.9, O2 set 100%; pt was felt to be low risk for pulmonary embolism per XX; phosphorous level noted low & treated with neutrophos; also given ATIVAN 0.5mg for anxiety; symptoms improved prior to d/c; final impression; doubtful deployment.  On 9/24 pt reported symptoms improved but not completely resolved, no new symptoms.  Cardiac panel, ESR, CRP-hs wnl 9//24.  Over phone f/u 9/28, pt says she saw her own private physician that AM with normal baseline spirometry in office and was advised to use inhaler prn symptoms - no opportunity to use thus far. On 9/28/2009 pt also saw MTF OCC Med physician who thought she had possible idiosyncratic reaction to MEFLOQUINE and recommended she remain off medication and use DOXY for malaria prophy.  Diagnosis: dyspnea, hypophosphatemia, idiosyncratic reaction to drug.  Symptoms: dyspnea, chest tightness.
Age: 32.0
Sex: F
Vaccine: ANTH, FLU3, SMALL
Symptoms: Chest X-ray, Chest discomfort, Dyspnoea, Electrocardiogram, Full blood count
Clinical narrative: 32 y/o female developed SOB & chest tightness onset 12 days following receipt SPV, AVA 2, & inactivated influenza vaccines given 9/10/2009.  Pt first noted mild difficulty getting deep breath and tightness in chest on 9/22 which worsened by 9/23 accompanied by feelings of anxiousness due to difficulty breathing; symptoms not related to exertion or position; no coughing; wheezing or actual chest pain.  Pt was well prior to & day of vaccinations; denied antecedent viral illness, exposure to sick contacts, inhalants, recent travel; no cardiac, asthma. psychological smoking history; no prior vaccine-related reactions.  She is instructor with adult students in classroom setting.  PMHx significant for LTBI s/p completion 4 month course RIFAMPIN in early Aug 2009; pt had taken 2 doses of MEFLOQUIN (9/14 & 9/21) malaria prophy in preparation for scheduled deployment planned in early Oct.  She was medically evaluated in military ED 9/23/2009.  PE was reported as tachypneic respiratory exam otherwise benign, BP 147/83, HR 100, Temp 96.9, O2 set 100%; pt was felt to be low risk for pulmonary embolism per XX; phosphorous level noted low & treated with neutrophos; also given ATIVAN 0.5mg for anxiety; symptoms improved prior to d/c; final impression; doubtful deployment.  On 9/24 pt reported symptoms improved but not completely resolved, no new symptoms.  Cardiac panel, ESR, CRP-hs wnl 9//24.  Over phone f/u 9/28, pt says she saw her own private physician that AM with normal baseline spirometry in office and was advised to use inhaler prn symptoms - no opportunity to use thus far. On 9/28/2009 pt also saw MTF OCC Med physician who thought she had possible idiosyncratic reaction to MEFLOQUINE and recommended she remain off medication and use DOXY for malaria prophy.  Diagnosis: dyspnea, hypophosphatemia, idiosyncratic reaction to drug.  Symptoms: dyspnea, chest tightness.