chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLU(H1N1), FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Emer Room visit 11/8/09, patient states headache (worst in her life) for about 7 days, tingly sensation in her fingers/feet and legs with gait instability of preceding couple days. 11/10/09 Numbness increasing up legs into abdominal area, is slurring speech. Denies resp difficulties or SOB. Difficulty with left facial movement and closing her left eye. No apparent swallowing problems. Treatment ED and current admit to hospital. 11/8/09 Vancomycin 1000mg IV @ 0424. DECADRON 10mg IV @ 0416. Lumbar puncture - clear fluid obtained. CT Scan neg per PCP on Friday (11/6/09). MRI Brain and Cervical Spine. 11/8 Acyclovir 855 mg IV 3 times per day. ROCEPHIN 2 gms 1x IV. BENADRYL 25 mg PO 4x per day. Vancomycin 1500 mg IV q 12 hrs. EFFEXOR-XR 150 mg PO daily.  11/9 ROCEPHIN 1 gm x1 IV daily. 11/10 IVIG 35 gm IV daily. PRINZIDE 1 tablet daily. dcd acyclovir. dcd ROCEPHIN. dcd Vanco.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLU(H1N1), FLU3
Symptoms: C-reactive protein normal, CSF culture negative, CSF glucose normal, CSF protein increased, CSF white blood cell count increased
Clinical narrative: Emer Room visit 11/8/09, patient states headache (worst in her life) for about 7 days, tingly sensation in her fingers/feet and legs with gait instability of preceding couple days. 11/10/09 Numbness increasing up legs into abdominal area, is slurring speech. Denies resp difficulties or SOB. Difficulty with left facial movement and closing her left eye. No apparent swallowing problems. Treatment ED and current admit to hospital. 11/8/09 Vancomycin 1000mg IV @ 0424. DECADRON 10mg IV @ 0416. Lumbar puncture - clear fluid obtained. CT Scan neg per PCP on Friday (11/6/09). MRI Brain and Cervical Spine. 11/8 Acyclovir 855 mg IV 3 times per day. ROCEPHIN 2 gms 1x IV. BENADRYL 25 mg PO 4x per day. Vancomycin 1500 mg IV q 12 hrs. EFFEXOR-XR 150 mg PO daily.  11/9 ROCEPHIN 1 gm x1 IV daily. 11/10 IVIG 35 gm IV daily. PRINZIDE 1 tablet daily. dcd acyclovir. dcd ROCEPHIN. dcd Vanco.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLU(H1N1), FLU3
Symptoms: Computerised tomogram normal, Dysarthria, Facial palsy, Gait disturbance, Haematocrit normal
Clinical narrative: Emer Room visit 11/8/09, patient states headache (worst in her life) for about 7 days, tingly sensation in her fingers/feet and legs with gait instability of preceding couple days. 11/10/09 Numbness increasing up legs into abdominal area, is slurring speech. Denies resp difficulties or SOB. Difficulty with left facial movement and closing her left eye. No apparent swallowing problems. Treatment ED and current admit to hospital. 11/8/09 Vancomycin 1000mg IV @ 0424. DECADRON 10mg IV @ 0416. Lumbar puncture - clear fluid obtained. CT Scan neg per PCP on Friday (11/6/09). MRI Brain and Cervical Spine. 11/8 Acyclovir 855 mg IV 3 times per day. ROCEPHIN 2 gms 1x IV. BENADRYL 25 mg PO 4x per day. Vancomycin 1500 mg IV q 12 hrs. EFFEXOR-XR 150 mg PO daily.  11/9 ROCEPHIN 1 gm x1 IV daily. 11/10 IVIG 35 gm IV daily. PRINZIDE 1 tablet daily. dcd acyclovir. dcd ROCEPHIN. dcd Vanco.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLU(H1N1), FLU3
Symptoms: Haemoglobin normal, Headache, Hypoaesthesia, Movement disorder, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Emer Room visit 11/8/09, patient states headache (worst in her life) for about 7 days, tingly sensation in her fingers/feet and legs with gait instability of preceding couple days. 11/10/09 Numbness increasing up legs into abdominal area, is slurring speech. Denies resp difficulties or SOB. Difficulty with left facial movement and closing her left eye. No apparent swallowing problems. Treatment ED and current admit to hospital. 11/8/09 Vancomycin 1000mg IV @ 0424. DECADRON 10mg IV @ 0416. Lumbar puncture - clear fluid obtained. CT Scan neg per PCP on Friday (11/6/09). MRI Brain and Cervical Spine. 11/8 Acyclovir 855 mg IV 3 times per day. ROCEPHIN 2 gms 1x IV. BENADRYL 25 mg PO 4x per day. Vancomycin 1500 mg IV q 12 hrs. EFFEXOR-XR 150 mg PO daily.  11/9 ROCEPHIN 1 gm x1 IV daily. 11/10 IVIG 35 gm IV daily. PRINZIDE 1 tablet daily. dcd acyclovir. dcd ROCEPHIN. dcd Vanco.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLU(H1N1), FLU3
Symptoms: Nuclear magnetic resonance imaging brain normal, Paraesthesia, Platelet count normal, Red blood cell count normal, Red blood cells CSF positive
Clinical narrative: Emer Room visit 11/8/09, patient states headache (worst in her life) for about 7 days, tingly sensation in her fingers/feet and legs with gait instability of preceding couple days. 11/10/09 Numbness increasing up legs into abdominal area, is slurring speech. Denies resp difficulties or SOB. Difficulty with left facial movement and closing her left eye. No apparent swallowing problems. Treatment ED and current admit to hospital. 11/8/09 Vancomycin 1000mg IV @ 0424. DECADRON 10mg IV @ 0416. Lumbar puncture - clear fluid obtained. CT Scan neg per PCP on Friday (11/6/09). MRI Brain and Cervical Spine. 11/8 Acyclovir 855 mg IV 3 times per day. ROCEPHIN 2 gms 1x IV. BENADRYL 25 mg PO 4x per day. Vancomycin 1500 mg IV q 12 hrs. EFFEXOR-XR 150 mg PO daily.  11/9 ROCEPHIN 1 gm x1 IV daily. 11/10 IVIG 35 gm IV daily. PRINZIDE 1 tablet daily. dcd acyclovir. dcd ROCEPHIN. dcd Vanco.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLU(H1N1), FLU3
Symptoms: White blood cell count increased
Clinical narrative: Emer Room visit 11/8/09, patient states headache (worst in her life) for about 7 days, tingly sensation in her fingers/feet and legs with gait instability of preceding couple days. 11/10/09 Numbness increasing up legs into abdominal area, is slurring speech. Denies resp difficulties or SOB. Difficulty with left facial movement and closing her left eye. No apparent swallowing problems. Treatment ED and current admit to hospital. 11/8/09 Vancomycin 1000mg IV @ 0424. DECADRON 10mg IV @ 0416. Lumbar puncture - clear fluid obtained. CT Scan neg per PCP on Friday (11/6/09). MRI Brain and Cervical Spine. 11/8 Acyclovir 855 mg IV 3 times per day. ROCEPHIN 2 gms 1x IV. BENADRYL 25 mg PO 4x per day. Vancomycin 1500 mg IV q 12 hrs. EFFEXOR-XR 150 mg PO daily.  11/9 ROCEPHIN 1 gm x1 IV daily. 11/10 IVIG 35 gm IV daily. PRINZIDE 1 tablet daily. dcd acyclovir. dcd ROCEPHIN. dcd Vanco.
Age: 45.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Blood culture, Blood test, Full blood count, Nuclear magnetic resonance imaging, Red blood cell sedimentation rate
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of arm infection in a 45-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 5 November 2009 the subject received 1st dose of BOOSTRIX (unknown). On 9 November 2009, 4 days after vaccination with BOOSTRIX, the subject experienced arm infection. The subject was hospitalised. The healthcare professional reported the subject was hospitalized due to infected arm. At the time of reporting the arm infection was unresolved.    11/17/09 Medical records received. DOS 11/9/09.  Labs and Diags: Blood culture neg.
Age: 45.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Unevaluable event
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of arm infection in a 45-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 5 November 2009 the subject received 1st dose of BOOSTRIX (unknown). On 9 November 2009, 4 days after vaccination with BOOSTRIX, the subject experienced arm infection. The subject was hospitalised. The healthcare professional reported the subject was hospitalized due to infected arm. At the time of reporting the arm infection was unresolved.    11/17/09 Medical records received. DOS 11/9/09.  Labs and Diags: Blood culture neg.
Age: 45.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Infection
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of arm infection in a 45-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 5 November 2009 the subject received 1st dose of BOOSTRIX (unknown). On 9 November 2009, 4 days after vaccination with BOOSTRIX, the subject experienced arm infection. The subject was hospitalised. The healthcare professional reported the subject was hospitalized due to infected arm. At the time of reporting the arm infection was unresolved.    11/17/09 Medical records received. DOS 11/9/09.  Labs and Diags: Blood culture neg.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Convulsion
Clinical narrative: I do not know if any of this was realted to the H1N1 vaccination, but thought I would let you know-in case you ever have any other reports, similar. I received the nasal mist vaccination on Fri- and on Monday had a simple knee surgery, requiring general anesthesia. I have had general anesthesia several times during surgeries and have never had a problem. Apparently while in the recovery room I started convulsing and was transported to a trauma center, I had non-stop uncontrollable seizures for 2.5 hours and seizures for a total of 7 hours. They could not figure out why this happened. I've never had this type of reaction or had a seizure in my life. Im a healthy person on no medications. 11/18/2009 ED record for 11/2/2009. Patient with seizure activity which was immediately S/P OP orthopedic knee surgery. required intubation and IV Versed and Ativan with resolution of s/s.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Asthenia, Burning sensation, Eye pain, Eye swelling
Clinical narrative: Burning sensation down my arm (where I received my shot) with pain in my wrist, fever and soreness within hours, followed by whole body aching and muscle soreness, numbness in my face, swollen eyes that hurt and face feels swollen, headaches, weakness and tiredness, runny nose, sore throat. I have most of the symptoms even after 4 days. Will be seeing my doctor asap.  12/15/09 PCP medical records received. Service date 11/20/09. Assessment: Low Back Pain, Asthma w/o status asthmaticus, depression. Patient presents with back pain, had tingling sensations for few hours after H1N1 vaccine, now resolved. Morbidly obese. Back ROM decreased. Lower extremity joints arthritic. Benign appearing moles.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Headache, Hypoaesthesia facial, Myalgia, Oropharyngeal pain
Clinical narrative: Burning sensation down my arm (where I received my shot) with pain in my wrist, fever and soreness within hours, followed by whole body aching and muscle soreness, numbness in my face, swollen eyes that hurt and face feels swollen, headaches, weakness and tiredness, runny nose, sore throat. I have most of the symptoms even after 4 days. Will be seeing my doctor asap.  12/15/09 PCP medical records received. Service date 11/20/09. Assessment: Low Back Pain, Asthma w/o status asthmaticus, depression. Patient presents with back pain, had tingling sensations for few hours after H1N1 vaccine, now resolved. Morbidly obese. Back ROM decreased. Lower extremity joints arthritic. Benign appearing moles.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pyrexia, Rhinorrhoea, Sensory disturbance, Swelling face
Clinical narrative: Burning sensation down my arm (where I received my shot) with pain in my wrist, fever and soreness within hours, followed by whole body aching and muscle soreness, numbness in my face, swollen eyes that hurt and face feels swollen, headaches, weakness and tiredness, runny nose, sore throat. I have most of the symptoms even after 4 days. Will be seeing my doctor asap.  12/15/09 PCP medical records received. Service date 11/20/09. Assessment: Low Back Pain, Asthma w/o status asthmaticus, depression. Patient presents with back pain, had tingling sensations for few hours after H1N1 vaccine, now resolved. Morbidly obese. Back ROM decreased. Lower extremity joints arthritic. Benign appearing moles.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Eye swelling, Pruritus, Swelling, Urticaria
Clinical narrative: Severe itching, varying sized hives starting on trunk and spreading to extremities and face.  Some swelling noted to shoulder blades and left eye with redness to affected sites.  50 mg Benadryl given at onset of symptoms with visit to emergency room.  No anaphylatic episode.  Prescribed benadryl 25-50mg every 6 hours. 11/23/2009 ED records for 11/16/2009, Dx allergic reaction patient with c/o's itchy, burning rash all over his body. Tx: Benadryl
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Aggression, Anger, Anxiety, Cough, Irritability
Clinical narrative: child woke up and came downstairs, started raging over nothing.  Found him to be running low grade fever 100, chest congestion, cough, nose congestion.  Child has not recovered.  Began displaying behavioral difficulties of irritability, tantrums, raging, severe separation anxiety, personality changes, none of which were present before the vaccination
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Lower respiratory tract infection, Nasal congestion, Personality change, Pulmonary congestion, Pyrexia
Clinical narrative: child woke up and came downstairs, started raging over nothing.  Found him to be running low grade fever 100, chest congestion, cough, nose congestion.  Child has not recovered.  Began displaying behavioral difficulties of irritability, tantrums, raging, severe separation anxiety, personality changes, none of which were present before the vaccination
Age: 56.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Musculoskeletal pain, Neck pain, Pain in jaw, Syncope
Clinical narrative: My shoulder began really hurting shortly after the shot. The pain was shooting up through my neck into my jaw. About a half hour later, after I left the clinic, I fainted. I was very light-headed and fainted 3 more times, the last time at 6:30 PM. I finally began feeling normal around 7:00 PM.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site haematoma, Injection site swelling, Migraine, Pain in extremity
Clinical narrative: Ct. had mild headache prior to vaccine. Migraine developed Friday, 11/6/09 PM. 11/7/09-Ct's arm began to swell (right arm). Arm swollen from deltoid muscle to elbow. Arm is sore and is very bruised all over swollen area. Ct. has been taking OTC pain reliever. As of this time, Ct's arm is still swollen.
Age: 1.3
Sex: F
Vaccine: FLU(H1N1)
Symptoms: No adverse event
Clinical narrative: None. Called pt. on 11/12/09, child has had no adverse effect. (Given Novartis vax-off-label).
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Facial palsy, Pyrexia
Clinical narrative: Pt states she had a low grade fever on 10/20/09. On 10/25/09 noticed Lt side of face was drooping. Went to her OB-GYN provider. Diagnosed with Bell's Palsy.11/19/2009 OB GYN visit for 11/18/2009 stated facial weakness resolved, no notes for a prior visit, no tx noted.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site haematoma, Injection site swelling, Injection site warmth
Clinical narrative: On 11-2-09 got vaccines and now (11-4-09) thighs are swollen and feels warm more swollen on left side. Did have trouble getting under wear. Mom applied cool compress and gave MOTRIN. Does not act like it is bothering him. Is bruised but was told may bruise d/t move when vaccines given. Dr notified and instructed to use cool compress and RTC if concerned. 11-5-09 swelling down. Still swollen some. 11-6-09 last night looked fine.
Age: 17.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Gingival bleeding, Headache, Lip blister, Oral discomfort, Throat irritation
Clinical narrative: PATIENT REFERS A BURNING SENSATION IN MOUTH AND THROAT. AN HOUR LATER BLISTERS APPEARED IN LIPS. THREE HOURS LATER BLEEDING GUMS. NEXT DAY REFERS HAVING A BAD HEADACHE.
Age: 33.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Dizziness, Erythema, Hyperhidrosis, Rash
Clinical narrative: Within 3 minutes of receiving the H1N1 vaccine the patient/employee displayed the following symptoms: dizziness, perfuse sweating, redness, rash, chills and feeling faint. This lasted about 45 minutes. The employee didn't require treated.
Age: 29.0
Sex: M
Vaccine: FLUN3, HEP, HEPA, MMR
Symptoms: Folliculitis, Injection site erythema, Rash erythematous, Rash pruritic, Rash pustular
Clinical narrative: S: 29 y/o WM DOD IT Contractor seen FBVHC for evaluation of 2-day h/o "tiny red bumps" on neck, chest, arms, axillas, abdomen, back and near groin (not on palms of hands or soles of feet) which appeared on days #11-12 s/p receipt mandatory primary SPV in right upper arm on 29Oct09. Patient also received AVA #1, Hep A #3, Hep B #2 MMR #2 in left upper arm and Live Intranasal Influenza on 29Oct09. Patient alsow expressed concern re marked redness around primary SPV site (RUE), which he has been covering with and Occlusive Tegaderm bandage. He denied any chest pain or radiation to jaw or left arm. No acute, deep SOB. He denied any h/o eczema, psoriasis, atopic dermatitis or asthma, but he does take daily generic equivalent of Allegra for "allergies." Patient reported a h/o GERD, which has exacerbated with use of high does Ibuprofen 4 times a day s/p double, maxillary wisdom tooth extraction on 30Oct09. Patient has just finished a 10-day course of Clindamycin 300 mg po qd s/p dental extractions. Patient deploys on 12Nov09. O: Local erythema 9 cms X 10 cms RUE, surround 12 evolution. Center of pustule is still moist, secondary to occlusive tegaderm dressing-no eschar formation as yet. No red streaking or axillary LAD of rue. Fine prurtic follicular rash on neck, chest, arms, axillas, back abdomen, groin and upper inner aspect of thighs 11-12 days s/p primary SPV. Meds: Nexium 40mg po qd; allegra (generic) 180 mg po qd. Allergies: NKDA-parents both allergic to PCN PMH: significant for chronic sinus problems, IBS, GERD, tinea veriscolor, tubes in ears at 8 yrs of age, heart murmur as child. Hosp/Surgeries: Ganglion cyst removed right wrist at 17 yrs old, testicular cyst removed at 15 yrs old, Open Mumford Procedure left shoulder (2003) s/p soccer injury while AD. A: 1. Folliculitis-rash consistent with non-viral pustolosis s/p primary SPV (29Oct09); 2. Robust Take (RUE) "normal variant" s/p primary SPV 29Oct09. P: 1. Refer to WAMC DERM for consensus of opinion. Patient is already routinely taking Allegra 180mg po qd for allergies and has just finished a 10-day course of Clindamycin s/p dental extractions. 2. Reviewed site care primary SPV. Continue daily non-occlussive dressing changes-gave guaze and paper tape. If possible, leave open to air when alone in room in evening before hs. Continue OTC Ibuprofen 600-800 mg po bd with meals until erythema RUE has resolved. Continue daily Allegra 180 mg po qd as prescribed by MD. If any new onset, left-sided chest pain or deep SOB, seek medical care at ED or nearest civilian care center in theatre.
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Hypoaesthesia, Injection site anaesthesia, Injection site pain, Pain in extremity
Clinical narrative: Pain and tingling at injection site; numbness/tingling of left arm (injection arm) and hands; pain in legs; numbness of feet and legs; lightheadedness- I have not been to the physician yet. I plan to go tomorrow if conditions do not improve.
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Pain and tingling at injection site; numbness/tingling of left arm (injection arm) and hands; pain in legs; numbness of feet and legs; lightheadedness- I have not been to the physician yet. I plan to go tomorrow if conditions do not improve.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Chills, Cough, Diarrhoea, Drug exposure during pregnancy
Clinical narrative: Within a few hours post vaccination I became very nauseous and had abdominal cramping.  Also just a general feeling of being unwell.  11/13/2009 7AM still experiencing nausea and cramping and then diarrhea.  By late afternoon, 4 PM 11/13/2009, feeling very tired, nauseous, headache, body ache, sore throat, beginning to get upper respitory congestion.  11/14/2009 symptoms worsened.  Very sore throat.  Cough developed.  Approximately 4 PM 11/14/2009 developed a low grade fever and chills.  These passed within a few hours after taking a low dose of Tylenol.  11/15/2009 feeling somewhat better.  Congestion decreased, no sore throat, some muscle ache and fatigue.  Same for 11/16/2009.  Cough increased on 11/16/2009 and became progressively worse throughout the day.  By 6 PM 11/16/2009 headaches, aggrivating/non productive cough, sore throat and laryngitis.  11/17/2009 7:30 AM laryngitis, mild headache, muscle ache and deeper chest cough.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Headache, Laryngitis, Malaise, Muscle spasms
Clinical narrative: Within a few hours post vaccination I became very nauseous and had abdominal cramping.  Also just a general feeling of being unwell.  11/13/2009 7AM still experiencing nausea and cramping and then diarrhea.  By late afternoon, 4 PM 11/13/2009, feeling very tired, nauseous, headache, body ache, sore throat, beginning to get upper respitory congestion.  11/14/2009 symptoms worsened.  Very sore throat.  Cough developed.  Approximately 4 PM 11/14/2009 developed a low grade fever and chills.  These passed within a few hours after taking a low dose of Tylenol.  11/15/2009 feeling somewhat better.  Congestion decreased, no sore throat, some muscle ache and fatigue.  Same for 11/16/2009.  Cough increased on 11/16/2009 and became progressively worse throughout the day.  By 6 PM 11/16/2009 headaches, aggrivating/non productive cough, sore throat and laryngitis.  11/17/2009 7:30 AM laryngitis, mild headache, muscle ache and deeper chest cough.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Within a few hours post vaccination I became very nauseous and had abdominal cramping.  Also just a general feeling of being unwell.  11/13/2009 7AM still experiencing nausea and cramping and then diarrhea.  By late afternoon, 4 PM 11/13/2009, feeling very tired, nauseous, headache, body ache, sore throat, beginning to get upper respitory congestion.  11/14/2009 symptoms worsened.  Very sore throat.  Cough developed.  Approximately 4 PM 11/14/2009 developed a low grade fever and chills.  These passed within a few hours after taking a low dose of Tylenol.  11/15/2009 feeling somewhat better.  Congestion decreased, no sore throat, some muscle ache and fatigue.  Same for 11/16/2009.  Cough increased on 11/16/2009 and became progressively worse throughout the day.  By 6 PM 11/16/2009 headaches, aggrivating/non productive cough, sore throat and laryngitis.  11/17/2009 7:30 AM laryngitis, mild headache, muscle ache and deeper chest cough.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Respiratory tract congestion
Clinical narrative: Within a few hours post vaccination I became very nauseous and had abdominal cramping.  Also just a general feeling of being unwell.  11/13/2009 7AM still experiencing nausea and cramping and then diarrhea.  By late afternoon, 4 PM 11/13/2009, feeling very tired, nauseous, headache, body ache, sore throat, beginning to get upper respitory congestion.  11/14/2009 symptoms worsened.  Very sore throat.  Cough developed.  Approximately 4 PM 11/14/2009 developed a low grade fever and chills.  These passed within a few hours after taking a low dose of Tylenol.  11/15/2009 feeling somewhat better.  Congestion decreased, no sore throat, some muscle ache and fatigue.  Same for 11/16/2009.  Cough increased on 11/16/2009 and became progressively worse throughout the day.  By 6 PM 11/16/2009 headaches, aggrivating/non productive cough, sore throat and laryngitis.  11/17/2009 7:30 AM laryngitis, mild headache, muscle ache and deeper chest cough.
Age: 0.98
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Body temperature increased, Endotracheal intubation, Febrile convulsion, Intensive care, Lethargy
Clinical narrative: 11/09/09-second seasonal influenza vaccine administered. 11/13/09-first H1N1 vaccine administered. 11/14/09-lethargic but played in AM. Temp 101.9 axillary at 4:30 AM. 11/15/09-temp 102.4 but walking, later in evening developed febrile seizures and was intubated at hospital. Flown to another hospital and admitted to PICU.
Age: 0.98
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Viral test
Clinical narrative: 11/09/09-second seasonal influenza vaccine administered. 11/13/09-first H1N1 vaccine administered. 11/14/09-lethargic but played in AM. Temp 101.9 axillary at 4:30 AM. 11/15/09-temp 102.4 but walking, later in evening developed febrile seizures and was intubated at hospital. Flown to another hospital and admitted to PICU.
Age: 0.98
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Body temperature increased, Endotracheal intubation, Febrile convulsion, Intensive care, Lethargy
Clinical narrative: Lethargic but played in the am. Temp 101.9 axillary at 4:30 pm. On 11/15/09 temp was 102.4 but walking. Later in the evening he developed febrile seizures and was intubated at Hospital. He was med flighted to another Hospital and admitted to PICU. Viral test results are pending.  11/18 and 11/20/09 Medical records and discharge summary received. DOS 11/15-11/17 Final DX: febrile seizure, acute gastroenteritis, febrile Vomiting and diar.  Fever. Staring, then seized. Teeth clenching. Arching. Eyes deviated to L.  Hypertensive. Tachycardic. Scattered ronchi. Exposed to H1N1. Acute illness, poss viral syndrome. Status seizures in post ictal state. Intubated. Bld cx neg. Resp distress. Atypical febrile seizure.
Age: 0.98
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Viral test
Clinical narrative: Lethargic but played in the am. Temp 101.9 axillary at 4:30 pm. On 11/15/09 temp was 102.4 but walking. Later in the evening he developed febrile seizures and was intubated at Hospital. He was med flighted to another Hospital and admitted to PICU. Viral test results are pending.  11/18 and 11/20/09 Medical records and discharge summary received. DOS 11/15-11/17 Final DX: febrile seizure, acute gastroenteritis, febrile Vomiting and diar.  Fever. Staring, then seized. Teeth clenching. Arching. Eyes deviated to L.  Hypertensive. Tachycardic. Scattered ronchi. Exposed to H1N1. Acute illness, poss viral syndrome. Status seizures in post ictal state. Intubated. Bld cx neg. Resp distress. Atypical febrile seizure.
Age: 0.96
Sex: M
Vaccine: FLUN(H1N1)
Clinical narrative: 11/16/09. Foster mother stated child experienced no problems from vaccine - stated "no runny nose or anything-sis not even have to give him TYLENOL." No adverse event. Misadministration of vaccine; vaccine not licensed for this age.
Age: 1.49
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: No adverse event
Clinical narrative: Mother denied child having any problems following vaccine - mother stated she called pediatrician, to inform her H1N1 nasal mist given in error - stated Dr did not recommend antivirals - states was told to call office if child started having flu-like symptoms.
Age: 1.27
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Nasal congestion, Rash generalised
Clinical narrative: 11/16/09- Mother states child woke up in AM day after vaccine with rash-mild-over body which lasted about a day - also reported nasal congestion lasting about 2 days - denied fever- reports no current problems.
Age: 0.51
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Chest X-ray normal, Ear infection, Influenza like illness, Pyrexia
Clinical narrative: Father called health department on 11/16/09 at 9:30 AM to report two visits to hospital emergency room over weekend (11/13/09-11/15/09) due to infant with fever up to 103 degrees F. Dr. notified of above events and advised that infant be taken to emergency room for evaluation. Father stated currently en route to medical center for evaluation by pediatrician. Father phoned health department at 1:11 PM and reported infant had been admitted. Dr. reported phone call to admitting physician-stated chest x-ray negative and infant being managed for fever and flu-like symptoms-also stated infant receiving antibiotic therapy for ear infection.  11/18/09 Medical records receoved for DOS 11/16/09-11/17/09. FInal DX: Otitis media Acute (left), Influenza with respiratory syndrome, pediatric fever, post vaccinal febrile episode. 1 day S/P vaccine, fever, , lethargy decreased appetite, irritability, vomiting,  fluid L ear, cough, constipation. Improved w/tx. D/c to home. ICD9 Codes: 382.0, 487.1, 999.99, 780.6
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Barre syndrome.  12/15/09 Discharge summary, hospital records received. Service dates 11/6/09 to 11/24/09. Discharge Diagnosis: Guillain-Barre Syndrome with associated debility. Secondary Diagnosis: Hypertension, alcohol abuse, impaired glucose tolerance, hyperlipidemia, degenerative joint disease of the lumbar spine. Patient presented with progressive weakness and numbness in extremities. Started in feet and lower legs, progressed to involve hands. IVIG administration. Alcohol withdrawal with tremor, tachyardia, increased blood sugar. Mild upper respiratory infection. Superficial venous thrombosis upper forearm. Right knee injury.  12/15/09 Rehabilitation Hospital discharge report. Service dates not included. Additional information abstracted: Impairments in mobility and activities of daily living. Knee pain. Strength of lower limbs improved.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dyspnoea, Heart rate increased, Hypersensitivity, Rash macular
Clinical narrative: Blotches appeared on face and arms the morning after nasal vaccine. Became short of breath and heartbeat became rapid. See by physician which diagnosed as mild allergic reaction to H1N1 nasal vaccine. Medication was prescribed but had to be changed on 11/12/09. Child is fine now 11/16/09.
Age: 13.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Nasal congestion, Nasopharyngitis, Non-cardiac chest pain, Pain
Clinical narrative: Has H1Ni flu mist. c/o chest hurting 2-3 hrs later. Next day cold symptoms. H/A - stuffy nose -  body aches. Pain less in chest.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Student received dose 2 with this clinic within 21 days of receiving prior H1N1 vaccine per mother of student. Verbal decline form parent failed to be reinforced with paperwork: consent did not get removed. Per mom and school nurse student never showed signs or an adverse reaction to date of form being completed.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Dyspnoea exertional, Migraine, Odynophagia, Pruritus
Clinical narrative: 11-10 Developed mild "light headedness" developed fine, macular eruption on 11/11, had to abort incipient migraine (has by history) on 11-11. Rash has persisted with some itching, but no excoriation. On 11-12, onset of mild discomfort with swallowing and some ill defined tightness in upper airway -No wheezing, evertional dyspnea - Prescribed PREDNISONE 40 mg QD x 2 days then 20 mg x 3 days.
Age: 30.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash macular, Throat tightness
Clinical narrative: 11-10 Developed mild "light headedness" developed fine, macular eruption on 11/11, had to abort incipient migraine (has by history) on 11-11. Rash has persisted with some itching, but no excoriation. On 11-12, onset of mild discomfort with swallowing and some ill defined tightness in upper airway -No wheezing, evertional dyspnea - Prescribed PREDNISONE 40 mg QD x 2 days then 20 mg x 3 days.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LA - red, hot to touch, swollen 48 hours after administration.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site haematoma, Injection site inflammation, Injection site pain, Pyrexia
Clinical narrative: FEVER... IMMFLAMATION AT SIGHT OF INJECTION...RED BRUSING...SON SAID IT WAS PAINFUL
Age: 11.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Blood glucose fluctuation, Blood glucose increased, Blood test normal, Erythema, Feeling abnormal
Clinical narrative: Patient's arm was red at injection site and had a fever, we applied warm compresses and gave him ibuprofen. Monday morning his arm was really swollen and red and with the school nurse looking at his arm too once he was at school and the redness was spreading and his arm really was achy we went to the pediatrician.  The pediatrician sent us to hospital for IV antibiotics.  During these three days patient's blood sugars were high and very irregular, he felt terrible.  His arm was hot and very achy.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site erythema, Oedema peripheral, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient's arm was red at injection site and had a fever, we applied warm compresses and gave him ibuprofen. Monday morning his arm was really swollen and red and with the school nurse looking at his arm too once he was at school and the redness was spreading and his arm really was achy we went to the pediatrician.  The pediatrician sent us to hospital for IV antibiotics.  During these three days patient's blood sugars were high and very irregular, he felt terrible.  His arm was hot and very achy.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Skin warm
Clinical narrative: Patient's arm was red at injection site and had a fever, we applied warm compresses and gave him ibuprofen. Monday morning his arm was really swollen and red and with the school nurse looking at his arm too once he was at school and the redness was spreading and his arm really was achy we went to the pediatrician.  The pediatrician sent us to hospital for IV antibiotics.  During these three days patient's blood sugars were high and very irregular, he felt terrible.  His arm was hot and very achy.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Injection site urticaria, Local swelling
Clinical narrative: Regionalized rash and hives, very itchy and raised looking like bug bites around injection site, down and under arm, down side, spreading to chest and stomach. Turned to raised, hard, dry bumps almost "scab" like within a week. Still slightly present as of 11/17/2009.
Age: 7.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pruritus, Rash, Scab, Urticaria
Clinical narrative: Regionalized rash and hives, very itchy and raised looking like bug bites around injection site, down and under arm, down side, spreading to chest and stomach. Turned to raised, hard, dry bumps almost "scab" like within a week. Still slightly present as of 11/17/2009.
Age: 32.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: All of the s/s of the regular flu. I have not seeked help from my doctor yet. At this present time it is close to 48 hours post onset. I will give it one more day to see if things improve. On 11/16/2009 the fever got worse in the evening hours.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: Skin Rash
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Epistaxis
Clinical narrative: CHEST TIGHTNESS AND NOSEBLEED
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Epistaxis
Clinical narrative: NOSEBLEED
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Blood test, Convulsion, Endotracheal intubation, Skin warm, Vomiting
Clinical narrative: Child was sleeping, woke up calling for mom...mom went over child felt warm, vomited then started seizing. Seizing lasted for approximately 45 minutes. Ambulance was called and patient was transported via ambulance to Hospital. Upon arrival patient was still seizing. Pt was intubated at Hospital, stabilized and transported to another hospital where she is currently an inpatient.  Lab work has been performed and chest xray has been done at hospital. 11/25/2009 MR and DC summary for 11/17-11/19/2009,Dc Dx Complex febrile seizure, Status Epilepticus  patient with a hx of neonatal meningitis with VP shunt presents with c/o's nausea, fever, tonic-clonic convulsion brought to ED in Status epilepticus, lasting 45-60 minutes. Tx: IV valium, intubated and admitted to PICU. Dc'd on Tegretol and Diastat
Age: 36.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching, hives over arms and chest about 30 min. after receiving the H1N1 FluMist intranasal vaccine. Symptoms resolved with 2 Claritin.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Oral pruritus, Pharyngitis, Pyrexia, Streptococcal identification test negative
Clinical narrative: Within 30 - 60 min after vaccine, temp 102.  Nurse called mom to come get child.  Fever 102 all night.  To Dr. next day.  Complained of tongue itching.  Dr. said throat infection - not allergic reaction to vaccine.  Still fever Fri am (101.3) but on antibiotic - feeling better.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Activities of daily living impaired, Headache, Influenza serology negative, Lumbar puncture, Pyrexia
Clinical narrative: Got mist 11/4 around noon.  Thurs pm (2 pm) headache & fever @ school.  Not at school Fri - headache.  Kept getting worse.  Had fever, went to after hours clinic:  102.7.  Didn't have flu - "H1N1 test neg @ hospital".  Severe headache, rash when in water & fever.  Admitted to hospital Tues-Fri. 11/19/09 DC summary and MR received for dates 11/10/09 to 11/13/09. DX: Aseptic meningitis, rt. middle lobe pneumonia, sinusitis.  Pt presented w/ c/o HA, fever, rash.  Pt. states H1N1 vax 5 days ago. Assessment revealed nasal irritation, (+)pneumonia, pt. admitted for further eval. Pt. stable at DC.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash
Clinical narrative: Got mist 11/4 around noon.  Thurs pm (2 pm) headache & fever @ school.  Not at school Fri - headache.  Kept getting worse.  Had fever, went to after hours clinic:  102.7.  Didn't have flu - "H1N1 test neg @ hospital".  Severe headache, rash when in water & fever.  Admitted to hospital Tues-Fri. 11/19/09 DC summary and MR received for dates 11/10/09 to 11/13/09. DX: Aseptic meningitis, rt. middle lobe pneumonia, sinusitis.  Pt presented w/ c/o HA, fever, rash.  Pt. states H1N1 vax 5 days ago. Assessment revealed nasal irritation, (+)pneumonia, pt. admitted for further eval. Pt. stable at DC.
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Child developed a red, spotted itch rash on his torso and both arms from wrists to shoulders. His pediatrician ordered oral Benadryl and a topical cortisone cream.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Abdominal discomfort, Abdominal pain, Blood urine present, Diarrhoea, Dizziness
Clinical narrative: Immediately after the shot I got dizzy and got a headache and abdominal cramps. 30 minutes later the headache was worse, abdominal cramping worsened & turned to severe diarrhea every 20 min for the rest of the day and all night. Fever was 102.5 within hours of getting shot, 101 within an hour. Woke with raging headache, arm very swollen with redness from site to under arm with enlarged nodes. Fever still 102.5, GI upset continued. Called dr, told me to go to ER for pain shot but didnt think related to vaccine! Told to rest, drink fluids (everything I drank went right through me- I couldnt replace them as fast as they were getting lost) and take NSAIDS, ice arm. I got shot right after my monthly IV Igg infusion, very important to increase fluids afterwards, and I was losing so much, kidneys felt incredible pressure/pain and urinated blood twice. Muscle pains worse, felt horrible. Next day fever down to 101 but still with GI upset tho improved and raging headache, fatigue. Called dr who said continue fluids, rest, nsaids, no test or treatment avail unless i wanted to go to ER for IV fluids, but i had  no ride. Today is the 17th and I still awoke with raging headache and fatigue. Will call my dr re: anything else i can do.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Headache, Immediate post-injection reaction, Injection site erythema, Lymphadenopathy
Clinical narrative: Immediately after the shot I got dizzy and got a headache and abdominal cramps. 30 minutes later the headache was worse, abdominal cramping worsened & turned to severe diarrhea every 20 min for the rest of the day and all night. Fever was 102.5 within hours of getting shot, 101 within an hour. Woke with raging headache, arm very swollen with redness from site to under arm with enlarged nodes. Fever still 102.5, GI upset continued. Called dr, told me to go to ER for pain shot but didnt think related to vaccine! Told to rest, drink fluids (everything I drank went right through me- I couldnt replace them as fast as they were getting lost) and take NSAIDS, ice arm. I got shot right after my monthly IV Igg infusion, very important to increase fluids afterwards, and I was losing so much, kidneys felt incredible pressure/pain and urinated blood twice. Muscle pains worse, felt horrible. Next day fever down to 101 but still with GI upset tho improved and raging headache, fatigue. Called dr who said continue fluids, rest, nsaids, no test or treatment avail unless i wanted to go to ER for IV fluids, but i had  no ride. Today is the 17th and I still awoke with raging headache and fatigue. Will call my dr re: anything else i can do.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Myalgia, Oedema peripheral, Pyrexia, Renal pain
Clinical narrative: Immediately after the shot I got dizzy and got a headache and abdominal cramps. 30 minutes later the headache was worse, abdominal cramping worsened & turned to severe diarrhea every 20 min for the rest of the day and all night. Fever was 102.5 within hours of getting shot, 101 within an hour. Woke with raging headache, arm very swollen with redness from site to under arm with enlarged nodes. Fever still 102.5, GI upset continued. Called dr, told me to go to ER for pain shot but didnt think related to vaccine! Told to rest, drink fluids (everything I drank went right through me- I couldnt replace them as fast as they were getting lost) and take NSAIDS, ice arm. I got shot right after my monthly IV Igg infusion, very important to increase fluids afterwards, and I was losing so much, kidneys felt incredible pressure/pain and urinated blood twice. Muscle pains worse, felt horrible. Next day fever down to 101 but still with GI upset tho improved and raging headache, fatigue. Called dr who said continue fluids, rest, nsaids, no test or treatment avail unless i wanted to go to ER for IV fluids, but i had  no ride. Today is the 17th and I still awoke with raging headache and fatigue. Will call my dr re: anything else i can do.
Age: 75.0
Sex: U
Vaccine: FLU3, VARZOS
Clinical narrative: Possible GUILLIAN-BARRE per dr.  11/23/09 PCP records received for date of service 11/11/09.  Dx:  ? Guillian Barre Syndrome. Assessment:  Presents with one week hx. of dry mouth, sensitive feet, cold chills, problems with balance and waist down weakness.  Prescribed Omnicef. 12/01/09 Medical records received for DOS 11/30/09. F/U visit for ? GB syndrome Assessment: nosebleed, cough, HTN, requesting PSA test.  12/04/09 ED records received for DOS 11/17/09. Pt. presents with persistent nosebleed x 3 days. ENT consult: treated with cauterization and decongestant spray and discharged stable. DX: Acute anterior epistaxis
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Irritability, Restlessness
Clinical narrative: Child became restless and irritable the morning following vaccination. This continued for two days. Child back to normal.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site haematoma, Injection site pain, Injection site pruritus, Skin test
Clinical narrative: Patient had a large bruise and pain at injection site for 2-3 days. On the 3rd day started with itching on the left upper arm and hives on left arm. Took BENADRYL PO and applied BENADRYL cream which helped some but itching and hives some on other body parts but worse L arm have returned -persisted thru today.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient had a large bruise and pain at injection site for 2-3 days. On the 3rd day started with itching on the left upper arm and hives on left arm. Took BENADRYL PO and applied BENADRYL cream which helped some but itching and hives some on other body parts but worse L arm have returned -persisted thru today.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache
Clinical narrative: Headache.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN(H1N1), MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Rash starting around mouth. Then redness of entire face and ears. Given BENADRYL po in office and Prednisone po in office 11-16-09. Given sample of Prednisone and cont BENADRYL prn. Mom held steroid 11/17/09.
Age: 28.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Fatigue, Malaise
Clinical narrative: Slightly under the weather, tired  11/18/09 Vaccine record received for DOS 10/23/09. 12/10/09 OB notes received for multiple visits prior to DOV.
Age: 17.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Injection site pruritus, Nausea, Pruritus generalised, Pyrexia
Clinical narrative: Slight fever, itching over body and around injection site, nausea, light headed for a couple of days.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous
Clinical narrative: TWO RED STRIPES ON EACH BUTTOCKS AND RED SPOTS ON OTHER BODY PARTS STOMACH, BACK.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin increased, Gamma-glutamyltransferase increased, Neutropenia
Clinical narrative: Acute transaminitis.  Neutropenia.  Fever. 11/18/09 DC summary and hospital records received for dates 11/16/09. DX: neutropenia and fever. Presenting SX: neutropenia, fever, jaundice. Sx began 10/30 with fever, emesis, decreased appetite 48hrs post vax. Per parents, 1 week later 11/6 pt. became jaundice, a fever. Seen by PCP, found liver enzymes elevated. PCP dx w/ viral hepatitis. Sx did not improve and pt. was admitted to hospital. Assessment: (+)jaundice, (+)sore throat, (+)febrile off and on throughout day.  11/23/09 Medical records received for date 11/6/09. DX: jaundice likely viral hepatitis, thrombocytopenia, leukopenia. Chief c/o fever, stomach pain, nausea, vomiting. Pt received seasonal flumist 10/28/09. Assessment: (+)jaundice. 11/17 OV cont fevers.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Neutrophil count decreased, Pyrexia, Transaminases increased
Clinical narrative: Acute transaminitis.  Neutropenia.  Fever. 11/18/09 DC summary and hospital records received for dates 11/16/09. DX: neutropenia and fever. Presenting SX: neutropenia, fever, jaundice. Sx began 10/30 with fever, emesis, decreased appetite 48hrs post vax. Per parents, 1 week later 11/6 pt. became jaundice, a fever. Seen by PCP, found liver enzymes elevated. PCP dx w/ viral hepatitis. Sx did not improve and pt. was admitted to hospital. Assessment: (+)jaundice, (+)sore throat, (+)febrile off and on throughout day.  11/23/09 Medical records received for date 11/6/09. DX: jaundice likely viral hepatitis, thrombocytopenia, leukopenia. Chief c/o fever, stomach pain, nausea, vomiting. Pt received seasonal flumist 10/28/09. Assessment: (+)jaundice. 11/17 OV cont fevers.