chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Acute polyneuropathy, C-reactive protein normal, CSF pressure normal, CSF test normal, Demyelinating polyneuropathy
Clinical narrative: Acute Idiopathic Demyelinating Polyneuropathy. 10/20/09 Hospital / ED records received service dates 10/19/09 to 10/20/09. Assessement: Acute idiopathic demyelinating polyneuropathy, Guillain-Barre Syndrome. Patient developed tingling in toes this morning which progressed with numbness to above the ankles. Presented at ED with absent sensation bilateral feet, progressing to a level between the feet and the patella. Occipital headache. Achilles and patellar reflexes absent. IVIG initiated. Transported to another facility.  10/21/09:  ED records, discharge summary received for dates of service 10/19/09-10/20/09. No new information. 10/23/09:  Vaccine record and primary care visit documents received for date of service 9/30/09.  VAERS updated at this time. 12/9/09 DC summary received for dates 10/20/09 to 10/23/09. DX: GBS. Presenting c/o leg weakness/numbness, finger numbness. Presented to ER x1day ago w/ sudden onset of sx in the setting of a viral URI and flu vax x3wks ago. Pt c/o HA. Numbness has progressivly climbed up the leg and now trouble walking. ER documents absent reflexes below the knee. IVIG given x2days. pt stable improved at dc.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count normal, Metabolic function test normal, Red blood cell sedimentation rate normal
Clinical narrative: Acute Idiopathic Demyelinating Polyneuropathy. 10/20/09 Hospital / ED records received service dates 10/19/09 to 10/20/09. Assessement: Acute idiopathic demyelinating polyneuropathy, Guillain-Barre Syndrome. Patient developed tingling in toes this morning which progressed with numbness to above the ankles. Presented at ED with absent sensation bilateral feet, progressing to a level between the feet and the patella. Occipital headache. Achilles and patellar reflexes absent. IVIG initiated. Transported to another facility.  10/21/09:  ED records, discharge summary received for dates of service 10/19/09-10/20/09. No new information. 10/23/09:  Vaccine record and primary care visit documents received for date of service 9/30/09.  VAERS updated at this time. 12/9/09 DC summary received for dates 10/20/09 to 10/23/09. DX: GBS. Presenting c/o leg weakness/numbness, finger numbness. Presented to ER x1day ago w/ sudden onset of sx in the setting of a viral URI and flu vax x3wks ago. Pt c/o HA. Numbness has progressivly climbed up the leg and now trouble walking. ER documents absent reflexes below the knee. IVIG given x2days. pt stable improved at dc.
Age: 15.0
Sex: F
Vaccine: HEP, PNC
Symptoms: Anxiety, Bipolar I disorder, Blister, Condition aggravated, Confusional state
Clinical narrative: Almost immediately: sudden loss of consciousness, prolonged loss of consciousness, difficulty to rouse, fever, rash with clear blisters, headache, dizziness/vertigo, confusion. Blisters and rash recurred for about a month, causing lots of peeling when they disappeared, only to reappear somewhere else. Dyslexia, anxiety, and emotional problems were exacerbated and remain so to this day. Severe bipolar depression was triggered a year later and is now managed with medication. Chemical allergies causing a similar rash and blisters appeared six years later.
Age: 15.0
Sex: F
Vaccine: HEP, PNC
Symptoms: Depressed level of consciousness, Dizziness, Dyslexia, Emotional disorder, Headache
Clinical narrative: Almost immediately: sudden loss of consciousness, prolonged loss of consciousness, difficulty to rouse, fever, rash with clear blisters, headache, dizziness/vertigo, confusion. Blisters and rash recurred for about a month, causing lots of peeling when they disappeared, only to reappear somewhere else. Dyslexia, anxiety, and emotional problems were exacerbated and remain so to this day. Severe bipolar depression was triggered a year later and is now managed with medication. Chemical allergies causing a similar rash and blisters appeared six years later.
Age: 15.0
Sex: F
Vaccine: HEP, PNC
Symptoms: Immediate post-injection reaction, Loss of consciousness, Pyrexia, Rash, Skin exfoliation
Clinical narrative: Almost immediately: sudden loss of consciousness, prolonged loss of consciousness, difficulty to rouse, fever, rash with clear blisters, headache, dizziness/vertigo, confusion. Blisters and rash recurred for about a month, causing lots of peeling when they disappeared, only to reappear somewhere else. Dyslexia, anxiety, and emotional problems were exacerbated and remain so to this day. Severe bipolar depression was triggered a year later and is now managed with medication. Chemical allergies causing a similar rash and blisters appeared six years later.
Age: 15.0
Sex: F
Vaccine: HEP, PNC
Symptoms: Vertigo
Clinical narrative: Almost immediately: sudden loss of consciousness, prolonged loss of consciousness, difficulty to rouse, fever, rash with clear blisters, headache, dizziness/vertigo, confusion. Blisters and rash recurred for about a month, causing lots of peeling when they disappeared, only to reappear somewhere else. Dyslexia, anxiety, and emotional problems were exacerbated and remain so to this day. Severe bipolar depression was triggered a year later and is now managed with medication. Chemical allergies causing a similar rash and blisters appeared six years later.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Pain, Pyrexia
Clinical narrative: Severe body aches.  fever.  joint pain.  joint pain has lessened but not gone away.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Upper respiratory tract infection, Wheezing
Clinical narrative: Significant URI Sm, paroxysmal cough, patient report of wheeze over next 2-3 days.  However of note, probably contact in waiting room with countless flu A positive individuals or fomites(presumed H1N1) in clinic day of administration of vaccine.
Age: 16.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Child was given VARIVAX lot # Merck 0059Y exp 1/8/11, 9/10/09 seen in office 10/1/09 documented VARICELLA.
Age: 15.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Burning sensation, Cough, Lung disorder, Throat irritation
Clinical narrative: patient began complaining of throat burning, lungs burning that feels like after she is running.  She also has a dry cough.  No fever.  Asked mother to just monitor symptoms, and let us know if they don't resolve or they get worse.
Age: 62.0
Sex: M
Vaccine: DTAP
Symptoms: Pallor, Rash macular
Clinical narrative: reddish macular lesion, well circumscribed, 10 inches by 4 inches on  ventral aspect of left arm. No tenderness or warmth, no induration of skin.  Blanches with pressure. No axillary LN.
Age: 39.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dysphonia, Throat tightness
Clinical narrative: hoarseness and tightness in the throat
Age: 53.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Heart rate increased, Urticaria
Clinical narrative: Redness, increased heart rate, slight hives
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint injury, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Osteoarthritis
Clinical narrative: This 58 year old female Army reservist received an annual intramuscular influenza vaccine 10 Oct 2008. She reported site was sore that day with no remembered nausea, weakness, paresthesia, sensory changes, fevers or headaches. Over the next several days she reported an increasing dull ache to left shoulder/arm with pain lifting (unable to lift >25 lbs), throwing ball or pull arm forward when reaching back. She stated the pain was to the injection site with associated pain to anterior shoulder about midway between top of shoulder and axilla. She denied any injury or trauma. There are no visible divots or indentations to the injection site, no skin changes, lesions nodules or visible deformities to muscle group. As of 04 Sept 2009, she complains of reoccurring dull ache to left shoulder that worsens with activity (lifting, pulling as above). Evaluation by her PCP with ultrasound of injection site in Dec08/Jan09 for possible abscess was negative. She has used a chiropractor for 4 months with initial relief (few min to hours) but symptoms return.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Rotator cuff syndrome, Tendon rupture, Tendonitis, Ultrasound scan normal
Clinical narrative: This 58 year old female Army reservist received an annual intramuscular influenza vaccine 10 Oct 2008. She reported site was sore that day with no remembered nausea, weakness, paresthesia, sensory changes, fevers or headaches. Over the next several days she reported an increasing dull ache to left shoulder/arm with pain lifting (unable to lift >25 lbs), throwing ball or pull arm forward when reaching back. She stated the pain was to the injection site with associated pain to anterior shoulder about midway between top of shoulder and axilla. She denied any injury or trauma. There are no visible divots or indentations to the injection site, no skin changes, lesions nodules or visible deformities to muscle group. As of 04 Sept 2009, she complains of reoccurring dull ache to left shoulder that worsens with activity (lifting, pulling as above). Evaluation by her PCP with ultrasound of injection site in Dec08/Jan09 for possible abscess was negative. She has used a chiropractor for 4 months with initial relief (few min to hours) but symptoms return.
Age: 29.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Basophil count decreased, Basophil percentage, Dermatitis bullous, Eosinophil count increased, Eosinophil percentage increased
Clinical narrative: SM developed scattered erythematous papules on stomach and upper legs approx 9 days post vaccination with primary SPV and AVA. Also received FLUMIST same time. Lesions became diffuse on upper legs, stomach and arms within 48 hrs and very pruritic. Many of the lesion were bullous in nature.
Age: 29.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Full blood count, Haematocrit normal, Haemoglobin normal, Lymphocyte count normal, Lymphocyte percentage
Clinical narrative: SM developed scattered erythematous papules on stomach and upper legs approx 9 days post vaccination with primary SPV and AVA. Also received FLUMIST same time. Lesions became diffuse on upper legs, stomach and arms within 48 hrs and very pruritic. Many of the lesion were bullous in nature.
Age: 29.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Mean cell haemoglobin concentration, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased, Monocyte count normal
Clinical narrative: SM developed scattered erythematous papules on stomach and upper legs approx 9 days post vaccination with primary SPV and AVA. Also received FLUMIST same time. Lesions became diffuse on upper legs, stomach and arms within 48 hrs and very pruritic. Many of the lesion were bullous in nature.
Age: 29.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Monocyte percentage increased, Neutrophil count normal, Neutrophil percentage, Platelet count normal, Rash erythematous
Clinical narrative: SM developed scattered erythematous papules on stomach and upper legs approx 9 days post vaccination with primary SPV and AVA. Also received FLUMIST same time. Lesions became diffuse on upper legs, stomach and arms within 48 hrs and very pruritic. Many of the lesion were bullous in nature.
Age: 29.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Rash papular, Red blood cell count normal, Red cell distribution width normal, Urine analysis normal, White blood cell count normal
Clinical narrative: SM developed scattered erythematous papules on stomach and upper legs approx 9 days post vaccination with primary SPV and AVA. Also received FLUMIST same time. Lesions became diffuse on upper legs, stomach and arms within 48 hrs and very pruritic. Many of the lesion were bullous in nature.
Sex: M
Vaccine: FLU3
Symptoms: Influenza, Influenza serology positive
Clinical narrative: Initial report received 08 October 2009 from a health care professional. A male patient (age not reported), had received an injection of FLUZONE (lot number, route, site and date of administration unknown), and an unknown amount of time later, the patient had a flu test that was positive for "possibly H1N1". At the time of the report, the type of flu test and strain which tested positive were unknown. The patient's past medical history, usage of concomitant medications, concurrent illness status, and recovery status were all unknown at the time of the report. No further information was provided at the time of the report. Documents held by sender: None.
Sex: U
Vaccine: FLU3
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Initial case received from a health care professional on 08 October 2009, via another manufacturer. A patient experienced wheezing and shortness of breath after receiving FLUZONE (lot not reported) on 23 September 2009. Four hours post-vaccination, the patient became short of breath and was wheezing. The events recovered after two and one-half hours. No additional information was provided. Additional documents held by sender: None.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Arrhythmia
Clinical narrative: Information has been received from a health professional who reported that a male with a family history of ventricular arrhythmia, on an unspecified date was vaccinated with GARDASIL. Subsequently the patient experienced an unspecified arrhythmia arrhythmia. On an unspecified date the patient died. The cause of death was not reported. This is one of several reports received from the same source. No further information is available.  10/29/09 Medical records received for date 9/18/09. DX: episodic chest pain, dyspnea, and syncope. Ectopic atrial tachycardia documented on one occasion. Presenting SX: chest pain, syncope f/u eval.  Pt states most recent episodes x2 9/09. Pt. states develops chest pain shortness of breath, then syncope, pulse taken, 160bpm. Pt states feel increase in HR with these episodes. Pt parent states sx. began in 5/09 after gardasil vax. Assessment: cardiac:WNL will order holter monitor.  12/9/09-it was learned that the pt did NOT die.
Sex: U
Vaccine: HPV4
Symptoms: Death
Clinical narrative: Information has been received from an office manager and a consumer who reported that she had seen reports of deaths following GARDASIL on television. This is one of two cases from the same source. This is a hearsay report in the absence of an identifiable patient. All telephone attempts to obtain follow up information have been unsuccessful.
Sex: F
Vaccine: VARZOS
Symptoms: Neurological symptom
Clinical narrative: Information has been received from a physician assistant concerning a 60 years or older female who was vaccinated with a dose of ZOSTAVAX (Merck) (0.65ml) on an unspecified date. One week later, the patient had an onset of neurological symptoms similar to Guillain-Barre syndrome. The patient was hospitalized at an unspecified hospital. The reporter stated that the AE "got better" but did not say if the patient had fully recovered or not. Additional information has been requested.
Age: 28.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Fall, Muscular weakness
Clinical narrative: On October 17 & 18 had 5 episodes where my knees went weak & felt like jelly causing me to fall to the ground. Only lasted a few seconds & there was no numbness at all. Just felt like jelly and gave out. Called local hospital (I was out of town) and talked to Doc on call. Told me if it got worse to come to ED otherwise report the employer as possible reaction to H1N1 vaccine.
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Computerised tomogram normal, Headache, Hypoaesthesia, Scan brain
Clinical narrative: Headache, pinching frontal, severe. Right arm numbness and hand numbness.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy
Clinical narrative: H1N1 mist was provided to pt during early pregnancy. Provider was not aware pt. was pregnant at the time she administered vaccine. Pt. not "late"on menstrual cycle at time of administration.
Age: 73.0
Sex: U
Vaccine: FLUX
Symptoms: Injected limb mobility decreased
Clinical narrative: Can not raise or move my left arm up and down, side to side from 9-18-09.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Drug exposure during pregnancy, Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: FLUVAX given 2pm 10/15/09; at 3pm on 10/16/09 - severe pain of entire arm left side where injection given pain and stiffness to L shoulder making movement difficult - no strength in arm. Upper arm swollen no redness. Also had burning sensation. 10/17/09 - swelling reduced, less pain 10/18/09 - resolved.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Musculoskeletal pain, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: FLUVAX given 2pm 10/15/09; at 3pm on 10/16/09 - severe pain of entire arm left side where injection given pain and stiffness to L shoulder making movement difficult - no strength in arm. Upper arm swollen no redness. Also had burning sensation. 10/17/09 - swelling reduced, less pain 10/18/09 - resolved.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Fatigue, Joint stiffness, Musculoskeletal stiffness
Clinical narrative: Received flu shot, 8-9 hours later developed achy joints, generalized fatigue. 3 days post, hips became stiff, sore. Over next 4-5 days, developed diffuse joint pain with stiffness all over body. No fever, no N/V. Advil.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Hyperventilation, Mental disorder, Nervousness
Clinical narrative: 4 hours after receiving flu shot experienced heavy breathing, fatigue, nervous, tired and dizzy. 1 hive above knee, advised to go to ER. Did not go - said she felt better.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 4 hours after receiving flu shot experienced heavy breathing, fatigue, nervous, tired and dizzy. 1 hive above knee, advised to go to ER. Did not go - said she felt better.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Fatigue, Immediate post-injection reaction
Clinical narrative: Immediately after receiving shot, c/o feeling "woozy" passed after 20 mins.  That evening pt c/o feeling exhausted, dizzy, weak - continued next morning.  Patient went to ED & received IV fluids.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: 10/15/09 seen in office for redness, pain, swelling of L arm, itchy, afebrile. Tx: ice, MOTRIN. 10/16/09 T-100.6, redness and swelling increased and is itchy. Swelling from shoulder to proximal forearm, area warm and indurated. No streaking, normal pulses, tx: clindamycin.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: 10/15/09 seen in office for redness, pain, swelling of L arm, itchy, afebrile. Tx: ice, MOTRIN. 10/16/09 T-100.6, redness and swelling increased and is itchy. Swelling from shoulder to proximal forearm, area warm and indurated. No streaking, normal pulses, tx: clindamycin.
Age: 1.89
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Mother documented wrong age & incorrect DOB. Child was too young not two years old.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: Developed 103-104 fever 12-16 hours after receiving H1N1 vaccine (live). Also has cough & congestion. No treatment other than symptomatic treatment with TYLENOL/ADVIL, flds, etc. Sibling given H1N1 same day. No fever until 4 days after receiving vaccine.
Age: 18.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site extending from biceps to shoulder.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Disorientation, Erythema, Headache, Oedema peripheral, Oropharyngeal pain
Clinical narrative: Patient is experiencing a red swollen arm that is warm to the touch. She explained that also has a sore throat, head hurts, feels disoriented.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: Patient is experiencing a red swollen arm that is warm to the touch. She explained that also has a sore throat, head hurts, feels disoriented.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: Redness @ injection site, pain in axilla area severe. injection site warm to touch, feeling achy, fatigued.
Age: 19.0
Sex: U
Vaccine: ANTH, FLUX(H1N1)
Symptoms: Abdominal pain upper, Blister, Haemorrhage, Headache, Rash
Clinical narrative: Headache, stomach ache, rash 2in diameter. Rash got blisters and bleed.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pharyngeal oedema, Pyrexia, Similar reaction on previous exposure to drug, Swollen tongue
Clinical narrative: Pt indicated feeling of swelling in her throat and her tongue.  She took BENADRYL 50 mg PO.  Swelling of the tongue persisted on 10/10/09.  She did not seek medical care.  Pt. has had vaccine (influenza) for several yrs with symptoms of chills and low grade fever.  This is the first yr that she has received a vaccine containing THIMEROSOL.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Myalgia, Pyrexia, Tremor
Clinical narrative: Per phone, reported chills with severe shaking, muscle aches, cough, fever (unconfirmed with thermometer). States "I was going to go to the ER".
Age: 66.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Swelling of arm at site of injection & extending around the arm, down to the elbow.  Fever 99.7 degrees F.  * Right arm swelled (no swelling of left).
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Loss of consciousness
Clinical narrative: Child passed out. Elevated legs, blood pressure taken. O2 sat 99%, pulse 118, HR 110/60.
Age: 1.14
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 2 x 2 cm raised, red, warmed, well defined area on left anterior thigh. No treatment.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Abasia, Crying, Full blood count, Hyperaesthesia, Pain in extremity
Clinical narrative: Left leg pain. Patient would not walk on her leg, cries when leg is touched.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Red blood cell sedimentation rate, X-ray, X-ray limb
Clinical narrative: Left leg pain. Patient would not walk on her leg, cries when leg is touched.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Injection site cellulitis
Clinical narrative: Received VARICELLA 10-12-09 left arm.  Now has cellulitis 10.4 cm X 10.1 cm area.  Rx BENADRYL & CLINDAMYCIN.
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Hyperhidrosis, Pallor
Clinical narrative: 915 gave patient H1N1 spray - while giving sibling N/S H1N1 I noticed patient very pale - complained of stomach ache - laid down & put cool cloth on forehead - BP 90/60, HR-80 - diaphoretic - T-97.4 ax. 9:30 recovered & went home. Mom thought anxiety attack.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Burning sensation, Pruritus, Skin exfoliation
Clinical narrative: I received the shingles shot on 8/27/09 - by 9/1/09 I had blisters on my hands and feet-the skin came off toes and hands-I still have this as of 10/13/09. The Dr. gave me Ciclopirax Cream for this condition, under my left shoulder blade, inside, it burns and itches terribly.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Chest X-ray, Loss of consciousness
Clinical narrative: Passed out on the floor in a restaurant
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Blood pressure decreased, Feeling hot, Flushing, Hyperhidrosis, Pallor
Clinical narrative: The mother stated the child complained of feeling hot, became flushed and diaphoretic, and consequently vomited.  After vomiting, the pt was pale.  Blood pressure after incident 85/52 and BP 30 later was 98/58
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Vomiting
Clinical narrative: The mother stated the child complained of feeling hot, became flushed and diaphoretic, and consequently vomited.  After vomiting, the pt was pale.  Blood pressure after incident 85/52 and BP 30 later was 98/58
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Herpes zoster, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: First noticed on 10/16/09 At injection site, Redness, pain, itching, Swelling, warmth, headache and an outbreak of shingles
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: First noticed on 10/16/09 At injection site, Redness, pain, itching, Swelling, warmth, headache and an outbreak of shingles
Age: 40.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Pain, Pyrexia
Clinical narrative: fever, body aches weak
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: Began with fever after receiving H1N1 intranasal vaccine on Friday, fever 103 Monday, 10/19, vomitting began Tuesday, 10/20--referred to pediatrician for eval.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1), FLUX
Symptoms: Swelling face, Urticaria
Clinical narrative: My son woke up with one side of his face swollen, and his face and parts of his body (arm, back, groin area, legs) in hives. We administered Benadryl (as per the pediatrician's order) and also put calamine lotion on the rash. During the remainder of the day and onto yesterday morning the hives would sporadically appear and disappear.
Age: 27.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy, Unevaluable event
Clinical narrative: Client was interviewed with interpretor we failed to determine that she was pregnant at the time of nasal mist administered.
Age: 20.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Syncope
Clinical narrative: Syncopal episode lasting approx. 30 seconds. BP 80/40. P 40. Given PO fluids and carbohydrate snack, elevated feet. VS stable within 5 minutes (116/70, P 64).
Age: 0.41
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain upper, Chills
Clinical narrative: It started with minor stomach pain and within two hours it turned in to major shrills. I had to interrupt dinner, go home with an absolute chilling feeling. I went immediately to bed fully clothed and stayed that way for 4 hours.
Age: 22.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Feeling abnormal, Feeling cold, Feeling hot, Syncope
Clinical narrative: 11:50AM felt hot after receiving FLUMIST then lightheaded and dizzy at 12:10pm fainted when she awoke after about 2-3 minutes felt "out of it" very cold B/P 118/84, P 80. Laid on table did not get up on her own until 2:30pm.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pruritus, Throat tightness, Urticaria
Clinical narrative: Hives and itching and throat tightness aches and pains.  Pt took BENADRYL immediately to relieve symptoms.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Joint range of motion decreased, Sleep disorder
Clinical narrative: Severe pain in the entire deltoid regions.  Range of motion is extremely diminshed.  Pain is worse at night and excruciating upon awakening.  Pain often wakes me during sleep. *the shot was given "high" on the deltoid muscle*
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Facial pain, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Fever 102 degrees F.  Pain/ joint aches/ vomiting.  Redness/ swelling @ site of injection w/ PNEUMOVAX 23 site/ rash/ itchiness.  Pt. said when PNEUMOVAX was administered that it hurt.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Fever 102 degrees F.  Pain/ joint aches/ vomiting.  Redness/ swelling @ site of injection w/ PNEUMOVAX 23 site/ rash/ itchiness.  Pt. said when PNEUMOVAX was administered that it hurt.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray, Dyspnoea, Full blood count, Headache, Local swelling
Clinical narrative: 10/15  fever N/V Headache subsided by 10/16 10/16 - felt ill :Neck started swelling" 10/17 Visited Eastern Maine Medical Center  Lymph nodes swollen Left side shortness of breath  CBC XRay
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: 10/15  fever N/V Headache subsided by 10/16 10/16 - felt ill :Neck started swelling" 10/17 Visited Eastern Maine Medical Center  Lymph nodes swollen Left side shortness of breath  CBC XRay
Age: 93.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Haematoma, Injection site haematoma, Injection site mass, Injection site oedema
Clinical narrative: Pt was admit to hospital 9/25 for CHF. Pt rec'd pneumococcal vaccine IM in R arm 9/27. Pt rec'd influenza vaccine IM in R arm 9/26. Pt developed 3+ edema, with bruising and swelling on R arm/shoulder, rx'd cleocin for cellulitis, warm compresses, ultrasound showed complex mass either hematoma vs abscess. 9/30 surgical consult, but I&D was not needed. At time of discharge on 10/5, pt arm/shoulder was improved, pain improved, but the hematoma still remained but is expected to resolve in a few weeks.  10/21/2009 Medical records and discharge summary received for DOS 9/25-10/05. FINAL DX: Acute diastolic congestive heart failure, severe mitral regurgitation and moderate tricuspid regurgitation, right upper extremity hematoma and edema, improved, chromic mild hypothyroid anemia, hypertension with a history of orthostatic hypotension, history of prostate cancer status post prostatectomy followed by radiation, coronary artery disease status post coronary artery bypass graft 30-40 years ago, history of bilateral carotid endartarectomy, iron deficiency anemia status post transfusion on unit packed red blood cells, mild acute renal failure, creatinine stable at 1.4, history of heme-positive stools   Admit through ER on 9/25 with increasing resp rate and SOB. Status post previous admit for gastroenteritis and possible aspiration pneumonia.  Resp rate 30-40.  O2 sat on room air 88%.  Resp rate decreased to 20 on non-rebreather.  Hypoxia and CHF improved w/tx and stable on 2L 02 nasal cannula. Normal ejection fraction. Continued mild hypertension. Heme (+) stools continued. HGB stable with one unit. Plan to monitor anemia status. R shoulder edema resolved. R shoulder hematoma resolving. Assessed baseline mild hypothermia. No s&sx sepsis.   To be discharged to skilled nursing facility rehab.
Age: 93.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Ultrasound scan abnormal
Clinical narrative: Pt was admit to hospital 9/25 for CHF. Pt rec'd pneumococcal vaccine IM in R arm 9/27. Pt rec'd influenza vaccine IM in R arm 9/26. Pt developed 3+ edema, with bruising and swelling on R arm/shoulder, rx'd cleocin for cellulitis, warm compresses, ultrasound showed complex mass either hematoma vs abscess. 9/30 surgical consult, but I&D was not needed. At time of discharge on 10/5, pt arm/shoulder was improved, pain improved, but the hematoma still remained but is expected to resolve in a few weeks.  10/21/2009 Medical records and discharge summary received for DOS 9/25-10/05. FINAL DX: Acute diastolic congestive heart failure, severe mitral regurgitation and moderate tricuspid regurgitation, right upper extremity hematoma and edema, improved, chromic mild hypothyroid anemia, hypertension with a history of orthostatic hypotension, history of prostate cancer status post prostatectomy followed by radiation, coronary artery disease status post coronary artery bypass graft 30-40 years ago, history of bilateral carotid endartarectomy, iron deficiency anemia status post transfusion on unit packed red blood cells, mild acute renal failure, creatinine stable at 1.4, history of heme-positive stools   Admit through ER on 9/25 with increasing resp rate and SOB. Status post previous admit for gastroenteritis and possible aspiration pneumonia.  Resp rate 30-40.  O2 sat on room air 88%.  Resp rate decreased to 20 on non-rebreather.  Hypoxia and CHF improved w/tx and stable on 2L 02 nasal cannula. Normal ejection fraction. Continued mild hypertension. Heme (+) stools continued. HGB stable with one unit. Plan to monitor anemia status. R shoulder edema resolved. R shoulder hematoma resolving. Assessed baseline mild hypothermia. No s&sx sepsis.   To be discharged to skilled nursing facility rehab.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Discomfort, Musculoskeletal discomfort, Musculoskeletal pain, Pain
Clinical narrative: As initial soreness subsided I developed aches in shoulder and neck area, especially after not moving it for a while. I also had similar discomfort in my other shoulder and left hip for a short time. I still have pain in left shoulder that is slowly improving. Rest after exercise seem to bring it on.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Localized red area at injection site
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Severe pain in arm in which flu vaccine received, pain has persisted and has required pain meds, muscle relaxers and physical therapy  11/03/09 ICD Codes Received.   11/05/09 Medical records and discharge summary received for DOS 10/11-10/14. Final DX: Anxiety disorder NOS, Joint pain, Problems related to psychosocial environment. Had flu vaccine 2 months prior and developed muscle inflammation, shoulder pain. Pain meds and steroid tx.  D/C steroids and 1 week later developed psychiatric sx. Presented in the ED with depression, suicidal ideation and feeling of crawling under the skin (.tactile hallucinations). Notes waves of depression and cold sweats. Hopelessness, irritability, decreased energy. GAF 32-40. PE WNL.  Psych admit.  Improved. GAF 60.  Prognosis guarded to good. D/C to home.  ICD9: 300, V628.4, 724, 719.41, 531.90, 305
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Vertigo
Clinical narrative: Vertigo, Nausea and headache systoms started 4-6 hours after injection lasting 2days. patient was seen in doctors office 2days after injection she reported at that time feeling better
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Productive cough, Pyrexia
Clinical narrative: Low grade Fever (not taken with a thermometer).  Had a cough productive of small amount of sputum
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Client received vaccine in right deltoid.  Experienced swelling at injection site with tenderness.  Client states enlarged axillary lymph nodes right side.  Client instructed to take pain reliever and apply warm compresses to area.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Dehydration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: In a large area (size of a bagel but not round)around the injection site was bright red and fevered, leg was swollen 1 1/2 times.  Child became dehydrated quickly. 11/13/09 Medical records received for DOS 10/16/09-10/17-09. Final DX:  Dehydration, Viral infection, Otitis Media, Angioneurotic Edema, Abnormal reaction in procedure.  Seen in ED for R thigh swelling. DX w/L OM and clinical dehydration. S/P 2-3 days vaccine. WBC increased.  Abx therapy.  Viral illness. Localized rxn. Resolved.  Normal PE.  D/C to home.  ICD9 Codes: 276.51, 079.99, 382.9, 995.1, E879.8.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Increased upper airway secretion, Nasal congestion, Nasopharyngitis
Clinical narrative: By the time we went to swim class at 4:30 his nose was signifigantly congested!  HE RECEIVED THE NASAL VACCINE, NOT NEEDLE.  By 10/17/09 he seemed to have a moderate cold.  By 10/19/09 he had a pretty bad cough (I could hear phlegm in his lungs).  He still has this cough which wakes him at night today, 10/20/09.  He has only had coughs twice in his life.  He generally developes cold symptoms without cough.  He's never had a flu in his life.  I think this moderate to severe cold with cough is directly related to the nasal vaccine.  He has had no fever so far, but it is 4 days after the vaccine, and he's still sick.  I thought this was worth reporting, since it is causing pretty bad coughing.
Age: 55.0
Sex: M
Vaccine: HEPA, TD, TYP
Symptoms: Chills, Injection site erythema, Injection site swelling, Injection site urticaria, Lymphadenopathy
Clinical narrative: Awoke 9/12/09 with chills & sluggishness.  9/13/09 in AM noted arm red & swollen @ injection site L arm with swollen lymph nodes in L axilla.  Pt. felt better 9/14/09 AM but went to see PCP.  L arm noted to be red down to the elbow with red wheals @ injection site in L deltoid area.  Received shot of methylprednisone & oral course of prednisone.  Pt to return in 1 week for follow-up.  9/23 had flu - recovered without issues.
Age: 55.0
Sex: M
Vaccine: HEPA, TD, TYP
Symptoms: Sluggishness, White blood cell count
Clinical narrative: Awoke 9/12/09 with chills & sluggishness.  9/13/09 in AM noted arm red & swollen @ injection site L arm with swollen lymph nodes in L axilla.  Pt. felt better 9/14/09 AM but went to see PCP.  L arm noted to be red down to the elbow with red wheals @ injection site in L deltoid area.  Received shot of methylprednisone & oral course of prednisone.  Pt to return in 1 week for follow-up.  9/23 had flu - recovered without issues.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Asthma, Condition aggravated
Clinical narrative: asthma attack
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: Received nasal mist on 10/15/09. Developed fever on 10/17, vomited, has not had cough. Fevers up to 103.9, currently day 4 of fevers.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Cough, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: Body Aches, sore Throat, stuffy, coughing
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Epistaxis, Haematemesis
Clinical narrative: Pt began to have a severe nosebleed. Pt also began to vomit clots of blood. Provider applied Neosynephrine to a cotton ball and packed pt nose.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Chills, Myalgia, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, Chills, General Aches, joints, muscles.....head congestion, runny nose
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Sinus congestion
Clinical narrative: Fever, Chills, General Aches, joints, muscles.....head congestion, runny nose
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Ocular hyperaemia, Oedema peripheral, Pain in extremity, Swollen tongue
Clinical narrative: Swollen glands, tongue.  Red-bloodshot eyes.  Swollen arm - sore to touch.  Lasted about 24 hrs.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Computerised tomogram, Convulsion, Dizziness, No reaction on previous exposure to drug
Clinical narrative: Into clinic 10-15-09 for FLUZONE vaccine. Mother reported no allergies, had received flu shot last year. FLUZONE 0.5 ml administered IM R deltoid without problem. Child talking-no signs of distress, walked to waiting room with mother and told her he felt "dizzy". Mother had child sit down and called for nurse. Nurse arrived and had child lower head between knees. Child responded verbally to commands but kept c/o dizziness. Child lowered to floor and feet elevated. VSS=BP 130/70, P 100 reg, R 20 unlabored and even. Walked out of office with mother without assistance. PHN called mother later. Mother was concerned-took child to ER after left clinic. CT scan done, bloodwork. Impression new onset seizure and follow up with pediatrician on 10-16-09. Seen by pediatrician 10-16-09. VS MD office: BP 98/56, P 57, R 16, T 96. Pediatrician feels new onset seizure. Referred to neurologist for sleep deprived EEG and cannot rule out caused by FLUZONE.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Skin warm
Clinical narrative: Was seen in clinic 8/27/09 red, warm flat area right arm.  Advised cool pack & antihistamine & follow up if worsening symptoms occur.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Malaise
Clinical narrative: Patient reported malaise and shortness of breath; onset approximately three to four days after receiving immunization.  She followed up with her primary care physician who prescribed ADVAIR.  The doctor did not feel that symptoms were related to the vaccine, but patient is still concerned that it is.  Reported to us 10/11/09.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Ocular hyperaemia, Oropharyngeal pain, Pruritus
Clinical narrative: 63 year old c/o allergies and animal dander, s/p head injury decreased memory, c/o itching x 2days (arms, back, legs) occurred after receiving vaccine, poor historian d/t decreased memory without rash, with red eyes Sx's resolved. Went to fair 10/5/2009 - ST occurred at that time saw ENT 10/9/09 thought Sx's D/T animal dander.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Condition aggravated, Diarrhoea, Pyrexia
Clinical narrative: Received nasal mist on 10/15/09. Developed fever on 10/16/09. Has had diarrhea. Fevers present to 104 over 4 days.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Chills, Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Could not lift left arm, extreme pain in left arm, had neck stiffness and pain, also weakness, chills and fever.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Neck pain, Pyrexia
Clinical narrative: Could not lift left arm, extreme pain in left arm, had neck stiffness and pain, also weakness, chills and fever.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness and pain around injection site extending from shoulder to elbow and is also very difficulty to lift arm.  Patient also has a headache that may or may not be from this immunization.  Over night pain & swelling increased.  Counseled patient to take BENADRYL and use hydrocortisone cream and if it hadn't subsided to visit her MD for further treatment.  Called patient on 10/13/09.  She said she's getting better without taking any medication.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Pt complained shivering, aches around 11 PM. The next morning she experiences light headache and mild fever.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: CSF culture negative, Meningitis aseptic, Viral test positive
Clinical narrative: Aseptic meningitis. Hospitalized x 5 d. 12/21/09 Hosp records received for date 9/30/09 to 10/5/09. DX: viral syndrome. Pt c/o HA, pain in knees and feet, chills beginning 9/26/09. Fever on 9/27/09. HA worsening thereafter and vomited. Pt admitted through ER. Assessment: tonsils mod enlarged, (+)neck tenderness. At time of dc sx resolved. 1/4/2010 DC summary for 9/30-10/5/2009, DC Dx Viral syndrome.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Dysgeusia, Erythema, Hyperhidrosis, Obstructive airways disorder
Clinical narrative: Pt started to have his airway constrict. He had metallic taste in his mouth, face was slightly red and had a mild perspiration.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eye pain, Ocular hyperaemia, Oropharyngeal pain, Wheezing
Clinical narrative: Coughing and wheezing hours later sore throat & cough next day with red/sore eyes.  (self reported - did not seek care).
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Cough, Hyperhidrosis, Increased upper airway secretion, Lymphadenopathy
Clinical narrative: Rash on left side body within a couple of minutes felt achy all over hands hurt-painful-felt feverish-chills then sweats-nausea-throat hurts-head hurts stuffed up-coughed up phlem-lymp nodes swollen right arm & under-blood sugars high-weak. 7 1/2 days on Tylenol & Robitussin pacifying it still sick on 10/14.09 allergic to itching. Note: my mom had same flu shot & is fine-done together. Treatment saw Dr at same facility nex day on 10-7-09 at 10:30 am, because I had no fever to her, low thyroid, when my temp gets up 98.0 & higher I feel feverish - new regulations that no treatment can be given - so I'm suffering.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Nausea, Oropharyngeal pain, Pain, Pain in extremity, Rash
Clinical narrative: Rash on left side body within a couple of minutes felt achy all over hands hurt-painful-felt feverish-chills then sweats-nausea-throat hurts-head hurts stuffed up-coughed up phlem-lymp nodes swollen right arm & under-blood sugars high-weak. 7 1/2 days on Tylenol & Robitussin pacifying it still sick on 10/14.09 allergic to itching. Note: my mom had same flu shot & is fine-done together. Treatment saw Dr at same facility nex day on 10-7-09 at 10:30 am, because I had no fever to her, low thyroid, when my temp gets up 98.0 & higher I feel feverish - new regulations that no treatment can be given - so I'm suffering.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Skin warm
Clinical narrative: Rash on left side body within a couple of minutes felt achy all over hands hurt-painful-felt feverish-chills then sweats-nausea-throat hurts-head hurts stuffed up-coughed up phlem-lymp nodes swollen right arm & under-blood sugars high-weak. 7 1/2 days on Tylenol & Robitussin pacifying it still sick on 10/14.09 allergic to itching. Note: my mom had same flu shot & is fine-done together. Treatment saw Dr at same facility nex day on 10-7-09 at 10:30 am, because I had no fever to her, low thyroid, when my temp gets up 98.0 & higher I feel feverish - new regulations that no treatment can be given - so I'm suffering.
Age: 4.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Feeling abnormal, Immediate post-injection reaction, Pallor
Clinical narrative: Immediately after administering FLU MIST intranasally pt had episode of perioral pallor-child stating to mom I feel funny in mouth and ears. Holding ears-very pale. EPI given 0.15 IM-stating feels better in 2 min.-gave BENADRYL 25 mg and ORAPRED. 12/29/2009 PCP records stating patient with c/o's pallor, feeling funny in mouth and ears immediately after vaccine, given epi, benadryl, rx'd orapred, sx resolved.
Age: 4.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Activities of daily living impaired, Anaphylactic reaction, Crying, Cyanosis, Eye swelling
Clinical narrative: Immediately after administering FLU MIST intranasally pt had episode of perioral pallor-child stating to mom I feel funny in mouth and ears. Holding ears-very pale. EPI given 0.15 IM-stating feels better in 2 min.-gave BENADRYL 25 mg and ORAPRED. 12/29/2009 PCP records stating patient with c/o's pallor, feeling funny in mouth and ears immediately after vaccine, given epi, benadryl, rx'd orapred, sx resolved.
Age: 4.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Feeling abnormal, Feeling hot, Nasopharyngitis, Pallor, Pyrexia
Clinical narrative: Immediately after administering FLU MIST intranasally pt had episode of perioral pallor-child stating to mom I feel funny in mouth and ears. Holding ears-very pale. EPI given 0.15 IM-stating feels better in 2 min.-gave BENADRYL 25 mg and ORAPRED. 12/29/2009 PCP records stating patient with c/o's pallor, feeling funny in mouth and ears immediately after vaccine, given epi, benadryl, rx'd orapred, sx resolved.
Age: 4.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Skin warm, Tinnitus
Clinical narrative: Immediately after administering FLU MIST intranasally pt had episode of perioral pallor-child stating to mom I feel funny in mouth and ears. Holding ears-very pale. EPI given 0.15 IM-stating feels better in 2 min.-gave BENADRYL 25 mg and ORAPRED. 12/29/2009 PCP records stating patient with c/o's pallor, feeling funny in mouth and ears immediately after vaccine, given epi, benadryl, rx'd orapred, sx resolved.