chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Wheelchair user, Wheezing
Clinical narrative: This is second febrile episode since administration of H1N1 nasal spray on 12/08/2009.  First febrile episode has already been previously reported to VAERS system.  On 01/01/2010: 9:30 AM: Scratchy throat, stuffy nose with clear drainage, increased coughing. 3:48 PM: Sleepy and tired and took nap.  10:32 PM:  Complained of feeling very hot inside but showed no signs of sweating. By 12:38 am (January 2nd, 2010) had chills, sore throat, severe nasal stuffiness, axillary temperature of 99.4. Triaminic Day Time Cold and Cough medicine administered.  01/02/2010:  4:12 PM: While eating dinner, patient complained of sudden onset of parietal headache and had chills.  Axillary temperature 102.4, apical pulse 101, respirations 18 and shallow with decreased air exchange at the bases bilaterally.  He was so weak his father had to hold him up to walk from the kitchen table to the bedroom.  Patient was assisted by his dad and I to lay down on the bed.  Triaminic Multi-Symptom Fever administered.  Cold packs placed on forehead and abdomen.  Takara Detox Foot Patch applied to the nape of  his neck as a desparate measure to try and clear out toxins from his body.  We did not apply it to his feet because we expected him to be up and walking again.  Patient was told to drink water and he drank another half cup. 10:32 PM: Takara Detox Foot Patches applied to the underside of all toes. 01/03/2010:  11:50 AM: Myoclonic jerking noted while walking in kitchen. 5:01 PM: Fever 102.2 axillary.  Chills but no sweating.  Heart rate 89, irregularly irregular.  Respirations 18 and clear, unlabored.  Triaminic Multi-symptom Fever administered.  Continuing to drink a lot as instructed by me and pediatrician.  Voided clear, pale yellow urine.  01/04/2010:  6:00 A.M.:  Complained of starting to feel hot inside again. He feels warm to the touch. Triaminic Multi-symptom Fever medicine administered.  1:30 PM: Seen by pediatrician.  Discharge diagnoses: pharyngitis and couth. I asked pediatrician if patient officially has asthma diagnosis and she says yes.  Discharge medications:  Singulair one tablet at bedtime, in addition to his p.r.n. albuterol. Throat culture taken. Nasal tests for RSV and H1N1 done and negative.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Acoustic stimulation tests, Activities of daily living impaired, Allodynia, Blood thyroid stimulating hormone decreased, Borrelia test negative
Clinical narrative: This is second febrile episode since administration of H1N1 nasal spray on 12/08/2009.  First febrile episode has already been previously reported to VAERS system.  On 01/01/2010: 9:30 AM: Scratchy throat, stuffy nose with clear drainage, increased coughing. 3:48 PM: Sleepy and tired and took nap.  10:32 PM:  Complained of feeling very hot inside but showed no signs of sweating. By 12:38 am (January 2nd, 2010) had chills, sore throat, severe nasal stuffiness, axillary temperature of 99.4. Triaminic Day Time Cold and Cough medicine administered.  01/02/2010:  4:12 PM: While eating dinner, patient complained of sudden onset of parietal headache and had chills.  Axillary temperature 102.4, apical pulse 101, respirations 18 and shallow with decreased air exchange at the bases bilaterally.  He was so weak his father had to hold him up to walk from the kitchen table to the bedroom.  Patient was assisted by his dad and I to lay down on the bed.  Triaminic Multi-Symptom Fever administered.  Cold packs placed on forehead and abdomen.  Takara Detox Foot Patch applied to the nape of  his neck as a desparate measure to try and clear out toxins from his body.  We did not apply it to his feet because we expected him to be up and walking again.  Patient was told to drink water and he drank another half cup. 10:32 PM: Takara Detox Foot Patches applied to the underside of all toes. 01/03/2010:  11:50 AM: Myoclonic jerking noted while walking in kitchen. 5:01 PM: Fever 102.2 axillary.  Chills but no sweating.  Heart rate 89, irregularly irregular.  Respirations 18 and clear, unlabored.  Triaminic Multi-symptom Fever administered.  Continuing to drink a lot as instructed by me and pediatrician.  Voided clear, pale yellow urine.  01/04/2010:  6:00 A.M.:  Complained of starting to feel hot inside again. He feels warm to the touch. Triaminic Multi-symptom Fever medicine administered.  1:30 PM: Seen by pediatrician.  Discharge diagnoses: pharyngitis and couth. I asked pediatrician if patient officially has asthma diagnosis and she says yes.  Discharge medications:  Singulair one tablet at bedtime, in addition to his p.r.n. albuterol. Throat culture taken. Nasal tests for RSV and H1N1 done and negative.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Cognitive disorder, Detoxification, Dysaesthesia, Electroencephalogram normal, Emotional distress
Clinical narrative: This is second febrile episode since administration of H1N1 nasal spray on 12/08/2009.  First febrile episode has already been previously reported to VAERS system.  On 01/01/2010: 9:30 AM: Scratchy throat, stuffy nose with clear drainage, increased coughing. 3:48 PM: Sleepy and tired and took nap.  10:32 PM:  Complained of feeling very hot inside but showed no signs of sweating. By 12:38 am (January 2nd, 2010) had chills, sore throat, severe nasal stuffiness, axillary temperature of 99.4. Triaminic Day Time Cold and Cough medicine administered.  01/02/2010:  4:12 PM: While eating dinner, patient complained of sudden onset of parietal headache and had chills.  Axillary temperature 102.4, apical pulse 101, respirations 18 and shallow with decreased air exchange at the bases bilaterally.  He was so weak his father had to hold him up to walk from the kitchen table to the bedroom.  Patient was assisted by his dad and I to lay down on the bed.  Triaminic Multi-Symptom Fever administered.  Cold packs placed on forehead and abdomen.  Takara Detox Foot Patch applied to the nape of  his neck as a desparate measure to try and clear out toxins from his body.  We did not apply it to his feet because we expected him to be up and walking again.  Patient was told to drink water and he drank another half cup. 10:32 PM: Takara Detox Foot Patches applied to the underside of all toes. 01/03/2010:  11:50 AM: Myoclonic jerking noted while walking in kitchen. 5:01 PM: Fever 102.2 axillary.  Chills but no sweating.  Heart rate 89, irregularly irregular.  Respirations 18 and clear, unlabored.  Triaminic Multi-symptom Fever administered.  Continuing to drink a lot as instructed by me and pediatrician.  Voided clear, pale yellow urine.  01/04/2010:  6:00 A.M.:  Complained of starting to feel hot inside again. He feels warm to the touch. Triaminic Multi-symptom Fever medicine administered.  1:30 PM: Seen by pediatrician.  Discharge diagnoses: pharyngitis and couth. I asked pediatrician if patient officially has asthma diagnosis and she says yes.  Discharge medications:  Singulair one tablet at bedtime, in addition to his p.r.n. albuterol. Throat culture taken. Nasal tests for RSV and H1N1 done and negative.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Fatigue, Frustration, Hypothyroidism, Irritability, Learning disability
Clinical narrative: This is second febrile episode since administration of H1N1 nasal spray on 12/08/2009.  First febrile episode has already been previously reported to VAERS system.  On 01/01/2010: 9:30 AM: Scratchy throat, stuffy nose with clear drainage, increased coughing. 3:48 PM: Sleepy and tired and took nap.  10:32 PM:  Complained of feeling very hot inside but showed no signs of sweating. By 12:38 am (January 2nd, 2010) had chills, sore throat, severe nasal stuffiness, axillary temperature of 99.4. Triaminic Day Time Cold and Cough medicine administered.  01/02/2010:  4:12 PM: While eating dinner, patient complained of sudden onset of parietal headache and had chills.  Axillary temperature 102.4, apical pulse 101, respirations 18 and shallow with decreased air exchange at the bases bilaterally.  He was so weak his father had to hold him up to walk from the kitchen table to the bedroom.  Patient was assisted by his dad and I to lay down on the bed.  Triaminic Multi-Symptom Fever administered.  Cold packs placed on forehead and abdomen.  Takara Detox Foot Patch applied to the nape of  his neck as a desparate measure to try and clear out toxins from his body.  We did not apply it to his feet because we expected him to be up and walking again.  Patient was told to drink water and he drank another half cup. 10:32 PM: Takara Detox Foot Patches applied to the underside of all toes. 01/03/2010:  11:50 AM: Myoclonic jerking noted while walking in kitchen. 5:01 PM: Fever 102.2 axillary.  Chills but no sweating.  Heart rate 89, irregularly irregular.  Respirations 18 and clear, unlabored.  Triaminic Multi-symptom Fever administered.  Continuing to drink a lot as instructed by me and pediatrician.  Voided clear, pale yellow urine.  01/04/2010:  6:00 A.M.:  Complained of starting to feel hot inside again. He feels warm to the touch. Triaminic Multi-symptom Fever medicine administered.  1:30 PM: Seen by pediatrician.  Discharge diagnoses: pharyngitis and couth. I asked pediatrician if patient officially has asthma diagnosis and she says yes.  Discharge medications:  Singulair one tablet at bedtime, in addition to his p.r.n. albuterol. Throat culture taken. Nasal tests for RSV and H1N1 done and negative.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Mental impairment, Metal poisoning, Mood altered, Nerve conduction studies normal, Neuropsychological test abnormal
Clinical narrative: This is second febrile episode since administration of H1N1 nasal spray on 12/08/2009.  First febrile episode has already been previously reported to VAERS system.  On 01/01/2010: 9:30 AM: Scratchy throat, stuffy nose with clear drainage, increased coughing. 3:48 PM: Sleepy and tired and took nap.  10:32 PM:  Complained of feeling very hot inside but showed no signs of sweating. By 12:38 am (January 2nd, 2010) had chills, sore throat, severe nasal stuffiness, axillary temperature of 99.4. Triaminic Day Time Cold and Cough medicine administered.  01/02/2010:  4:12 PM: While eating dinner, patient complained of sudden onset of parietal headache and had chills.  Axillary temperature 102.4, apical pulse 101, respirations 18 and shallow with decreased air exchange at the bases bilaterally.  He was so weak his father had to hold him up to walk from the kitchen table to the bedroom.  Patient was assisted by his dad and I to lay down on the bed.  Triaminic Multi-Symptom Fever administered.  Cold packs placed on forehead and abdomen.  Takara Detox Foot Patch applied to the nape of  his neck as a desparate measure to try and clear out toxins from his body.  We did not apply it to his feet because we expected him to be up and walking again.  Patient was told to drink water and he drank another half cup. 10:32 PM: Takara Detox Foot Patches applied to the underside of all toes. 01/03/2010:  11:50 AM: Myoclonic jerking noted while walking in kitchen. 5:01 PM: Fever 102.2 axillary.  Chills but no sweating.  Heart rate 89, irregularly irregular.  Respirations 18 and clear, unlabored.  Triaminic Multi-symptom Fever administered.  Continuing to drink a lot as instructed by me and pediatrician.  Voided clear, pale yellow urine.  01/04/2010:  6:00 A.M.:  Complained of starting to feel hot inside again. He feels warm to the touch. Triaminic Multi-symptom Fever medicine administered.  1:30 PM: Seen by pediatrician.  Discharge diagnoses: pharyngitis and couth. I asked pediatrician if patient officially has asthma diagnosis and she says yes.  Discharge medications:  Singulair one tablet at bedtime, in addition to his p.r.n. albuterol. Throat culture taken. Nasal tests for RSV and H1N1 done and negative.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Pallor, Somatoform disorder, Staring, Urine mercury abnormal, Weight increased
Clinical narrative: This is second febrile episode since administration of H1N1 nasal spray on 12/08/2009.  First febrile episode has already been previously reported to VAERS system.  On 01/01/2010: 9:30 AM: Scratchy throat, stuffy nose with clear drainage, increased coughing. 3:48 PM: Sleepy and tired and took nap.  10:32 PM:  Complained of feeling very hot inside but showed no signs of sweating. By 12:38 am (January 2nd, 2010) had chills, sore throat, severe nasal stuffiness, axillary temperature of 99.4. Triaminic Day Time Cold and Cough medicine administered.  01/02/2010:  4:12 PM: While eating dinner, patient complained of sudden onset of parietal headache and had chills.  Axillary temperature 102.4, apical pulse 101, respirations 18 and shallow with decreased air exchange at the bases bilaterally.  He was so weak his father had to hold him up to walk from the kitchen table to the bedroom.  Patient was assisted by his dad and I to lay down on the bed.  Triaminic Multi-Symptom Fever administered.  Cold packs placed on forehead and abdomen.  Takara Detox Foot Patch applied to the nape of  his neck as a desparate measure to try and clear out toxins from his body.  We did not apply it to his feet because we expected him to be up and walking again.  Patient was told to drink water and he drank another half cup. 10:32 PM: Takara Detox Foot Patches applied to the underside of all toes. 01/03/2010:  11:50 AM: Myoclonic jerking noted while walking in kitchen. 5:01 PM: Fever 102.2 axillary.  Chills but no sweating.  Heart rate 89, irregularly irregular.  Respirations 18 and clear, unlabored.  Triaminic Multi-symptom Fever administered.  Continuing to drink a lot as instructed by me and pediatrician.  Voided clear, pale yellow urine.  01/04/2010:  6:00 A.M.:  Complained of starting to feel hot inside again. He feels warm to the touch. Triaminic Multi-symptom Fever medicine administered.  1:30 PM: Seen by pediatrician.  Discharge diagnoses: pharyngitis and couth. I asked pediatrician if patient officially has asthma diagnosis and she says yes.  Discharge medications:  Singulair one tablet at bedtime, in addition to his p.r.n. albuterol. Throat culture taken. Nasal tests for RSV and H1N1 done and negative.
Age: 9.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Wheelchair user, Yawning
Clinical narrative: This is second febrile episode since administration of H1N1 nasal spray on 12/08/2009.  First febrile episode has already been previously reported to VAERS system.  On 01/01/2010: 9:30 AM: Scratchy throat, stuffy nose with clear drainage, increased coughing. 3:48 PM: Sleepy and tired and took nap.  10:32 PM:  Complained of feeling very hot inside but showed no signs of sweating. By 12:38 am (January 2nd, 2010) had chills, sore throat, severe nasal stuffiness, axillary temperature of 99.4. Triaminic Day Time Cold and Cough medicine administered.  01/02/2010:  4:12 PM: While eating dinner, patient complained of sudden onset of parietal headache and had chills.  Axillary temperature 102.4, apical pulse 101, respirations 18 and shallow with decreased air exchange at the bases bilaterally.  He was so weak his father had to hold him up to walk from the kitchen table to the bedroom.  Patient was assisted by his dad and I to lay down on the bed.  Triaminic Multi-Symptom Fever administered.  Cold packs placed on forehead and abdomen.  Takara Detox Foot Patch applied to the nape of  his neck as a desparate measure to try and clear out toxins from his body.  We did not apply it to his feet because we expected him to be up and walking again.  Patient was told to drink water and he drank another half cup. 10:32 PM: Takara Detox Foot Patches applied to the underside of all toes. 01/03/2010:  11:50 AM: Myoclonic jerking noted while walking in kitchen. 5:01 PM: Fever 102.2 axillary.  Chills but no sweating.  Heart rate 89, irregularly irregular.  Respirations 18 and clear, unlabored.  Triaminic Multi-symptom Fever administered.  Continuing to drink a lot as instructed by me and pediatrician.  Voided clear, pale yellow urine.  01/04/2010:  6:00 A.M.:  Complained of starting to feel hot inside again. He feels warm to the touch. Triaminic Multi-symptom Fever medicine administered.  1:30 PM: Seen by pediatrician.  Discharge diagnoses: pharyngitis and couth. I asked pediatrician if patient officially has asthma diagnosis and she says yes.  Discharge medications:  Singulair one tablet at bedtime, in addition to his p.r.n. albuterol. Throat culture taken. Nasal tests for RSV and H1N1 done and negative.
Age: 21.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Dizziness, Dry skin, Erythema, Feeling abnormal, Feeling cold
Clinical narrative: PATIENT BECAME LIGHTHEADED, SHAKING, FELT FUNNY, HEART BEATING HARDER, SLUSHED, SKIN COOL, FACE WARM.  ESCORTED BACK TO EXAM TOOM FROM LOBBY, DID NOT WANT TO LIE DOWN.  SAT IN CHAIR.  ENCOURAGED TO RELAX.  NO SIGNS OF DIFFICULTY BREATHING, NO COMPLAINTS OF NAUSEA OR VOMITING, HEADACHE, OR OTHER ADVERSE REACTIONS.  BLOOD PRESSURE TAKEN, QUESTIONED PATIENT ABOUT SYMPTOMS AND PAST MEDICAL HISTORY.  PATEINT STATED HAS NOT HAD ANY PROBLEMS WTIH VACCINATIONS IN THE PAST BUT DOES HAVE POSITIONAL ORTHOSTATIC HYPERTENSION.  REPEATED BLOOD PRESSURE 123/87, P 110, STANDING 16:50. NO FURTHER SIGNS OR COMPLAINTS VOICED.  FLUSHING DECREASED, COLOR PINK, SKIN COOL AND DRY.  PATIENT WAS ALLOWED TO LEAVE FACILITY FOLLOWING RESOLUTION OF SYMPTOMS.  PRIOR TO INJECTIONS BEING GIVEN THE SCREENING QUESTIONNAIRE WAS COMPLETED BY PATIENT WITH NO ADVERSE REACTIONS REPORTED BY PATIENT PREVIOUSLY.  PATIENT QUESTIONED AGAIN BY NURSE PRIOR TO NASAL INHALATION BEING ADMINISTERED.  PATIENT WAS GIVEN NASAL H1N1 LAIV WITHOUT ILL AFFECT, WAS PROMPTED ON ANY HISTORY OF PREVIOUS ALLERGIES TO MEDICATION OR FOODS AND DIDN'T RECALL UNTIL PROMPTED AFTER INCIDENT OCCURRED.  PATIENT HAS HISTORY OF SEIZURES DIAGNOSIS THEN STATES TO NURSES THAT SHE DID HAVE SIMILIAR ISSUES BEFORE BUT DIDN'T KNOW IT WAS DUE TO ANY MEDICATION BUT HER DOCTOR KNEW.  THIS RN WALEKD THE PATIENT TO CAR AND REPORTED EPSIODE.
Age: 21.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Flushing, Palpitations, Skin warm, Tremor
Clinical narrative: PATIENT BECAME LIGHTHEADED, SHAKING, FELT FUNNY, HEART BEATING HARDER, SLUSHED, SKIN COOL, FACE WARM.  ESCORTED BACK TO EXAM TOOM FROM LOBBY, DID NOT WANT TO LIE DOWN.  SAT IN CHAIR.  ENCOURAGED TO RELAX.  NO SIGNS OF DIFFICULTY BREATHING, NO COMPLAINTS OF NAUSEA OR VOMITING, HEADACHE, OR OTHER ADVERSE REACTIONS.  BLOOD PRESSURE TAKEN, QUESTIONED PATIENT ABOUT SYMPTOMS AND PAST MEDICAL HISTORY.  PATEINT STATED HAS NOT HAD ANY PROBLEMS WTIH VACCINATIONS IN THE PAST BUT DOES HAVE POSITIONAL ORTHOSTATIC HYPERTENSION.  REPEATED BLOOD PRESSURE 123/87, P 110, STANDING 16:50. NO FURTHER SIGNS OR COMPLAINTS VOICED.  FLUSHING DECREASED, COLOR PINK, SKIN COOL AND DRY.  PATIENT WAS ALLOWED TO LEAVE FACILITY FOLLOWING RESOLUTION OF SYMPTOMS.  PRIOR TO INJECTIONS BEING GIVEN THE SCREENING QUESTIONNAIRE WAS COMPLETED BY PATIENT WITH NO ADVERSE REACTIONS REPORTED BY PATIENT PREVIOUSLY.  PATIENT QUESTIONED AGAIN BY NURSE PRIOR TO NASAL INHALATION BEING ADMINISTERED.  PATIENT WAS GIVEN NASAL H1N1 LAIV WITHOUT ILL AFFECT, WAS PROMPTED ON ANY HISTORY OF PREVIOUS ALLERGIES TO MEDICATION OR FOODS AND DIDN'T RECALL UNTIL PROMPTED AFTER INCIDENT OCCURRED.  PATIENT HAS HISTORY OF SEIZURES DIAGNOSIS THEN STATES TO NURSES THAT SHE DID HAVE SIMILIAR ISSUES BEFORE BUT DIDN'T KNOW IT WAS DUE TO ANY MEDICATION BUT HER DOCTOR KNEW.  THIS RN WALEKD THE PATIENT TO CAR AND REPORTED EPSIODE.
Age: 57.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Death
Clinical narrative: NOTIFIED BY PATIENT'S CO-WORKER THAT PATIENT PASSED AWAY.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pt stated approx 24 hrs after injection he experienced pain @ site of injection (localized). No relief with meds, massage or change in posture. Continues to have pain @ site.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Chills, Dehydration, Diarrhoea, Dizziness
Clinical narrative: 5 hours after receiving Adacell (I estimated actual time of vaccine), patient developed fever to 103, chills,body aches all over and nausea, vomitting and diarrhea.  Vomitted 19 times, with frequent diarrhea that lasted 12 hours (6PM - 6AM per patient)The following AM she developed a severe headache L temple then to whole head, throbbing.(No history of HA's) and was light headed and still had sore shoulders and back.  I examined her 12/31/09 at 6PM. BP sitting 128/72 P70, standing BP108/palp T-99.5F orally ENT: few red spots post pharynx, no exudates, oral- 3 red diffuse spots 3-5mm, without ulceration, tongue-geographic with bright red patches, raw appearing. Neck: 3cm ant LN's mildly tender, FROM with mild stiffness. Lungs clear, Cor: RRR, no m,r,g. Abd: soft nontender, no HSM,Ext: no edema, Skin: fine mac -pap rash ant thorax- unclear if it was atrue rash or her skin texture/ sun damage - she hadn't noticed it but agreed it was a little red. Neuro: nonfocal, DTR's brisk, symmetrical, very mild Brudzinski with neck pain on raising legs.  I felt she did have an adverse reaction to the vaccine and that her current headache was due to a combination of the reaction and dehydration.  Hydration with Gatoraide, chicken soup was recommended, with no further treatment unless symptoms failed to improve.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Musculoskeletal pain, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: 5 hours after receiving Adacell (I estimated actual time of vaccine), patient developed fever to 103, chills,body aches all over and nausea, vomitting and diarrhea.  Vomitted 19 times, with frequent diarrhea that lasted 12 hours (6PM - 6AM per patient)The following AM she developed a severe headache L temple then to whole head, throbbing.(No history of HA's) and was light headed and still had sore shoulders and back.  I examined her 12/31/09 at 6PM. BP sitting 128/72 P70, standing BP108/palp T-99.5F orally ENT: few red spots post pharynx, no exudates, oral- 3 red diffuse spots 3-5mm, without ulceration, tongue-geographic with bright red patches, raw appearing. Neck: 3cm ant LN's mildly tender, FROM with mild stiffness. Lungs clear, Cor: RRR, no m,r,g. Abd: soft nontender, no HSM,Ext: no edema, Skin: fine mac -pap rash ant thorax- unclear if it was atrue rash or her skin texture/ sun damage - she hadn't noticed it but agreed it was a little red. Neuro: nonfocal, DTR's brisk, symmetrical, very mild Brudzinski with neck pain on raising legs.  I felt she did have an adverse reaction to the vaccine and that her current headache was due to a combination of the reaction and dehydration.  Hydration with Gatoraide, chicken soup was recommended, with no further treatment unless symptoms failed to improve.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Tenderness, Vomiting
Clinical narrative: 5 hours after receiving Adacell (I estimated actual time of vaccine), patient developed fever to 103, chills,body aches all over and nausea, vomitting and diarrhea.  Vomitted 19 times, with frequent diarrhea that lasted 12 hours (6PM - 6AM per patient)The following AM she developed a severe headache L temple then to whole head, throbbing.(No history of HA's) and was light headed and still had sore shoulders and back.  I examined her 12/31/09 at 6PM. BP sitting 128/72 P70, standing BP108/palp T-99.5F orally ENT: few red spots post pharynx, no exudates, oral- 3 red diffuse spots 3-5mm, without ulceration, tongue-geographic with bright red patches, raw appearing. Neck: 3cm ant LN's mildly tender, FROM with mild stiffness. Lungs clear, Cor: RRR, no m,r,g. Abd: soft nontender, no HSM,Ext: no edema, Skin: fine mac -pap rash ant thorax- unclear if it was atrue rash or her skin texture/ sun damage - she hadn't noticed it but agreed it was a little red. Neuro: nonfocal, DTR's brisk, symmetrical, very mild Brudzinski with neck pain on raising legs.  I felt she did have an adverse reaction to the vaccine and that her current headache was due to a combination of the reaction and dehydration.  Hydration with Gatoraide, chicken soup was recommended, with no further treatment unless symptoms failed to improve.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Foetal disorder, Intra-uterine death, Uterine dilation and curettage
Clinical narrative: I was 5 weeks 2 days pregnant when I recieved the vaccine, at 11 weeks 4 days pregnant I was informed the baby had died sometime in the 9th week. During the ultrasound the doctor informed us that the baby had some malformations.
Age: 64.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: CSF protein increased, Guillain-Barre syndrome, Lumbar puncture abnormal
Clinical narrative: Vaccines-seasonal flu and PNEUMOVAX -16OCT09, per VA records. Diagnosed with Guillain Barre Syndrome 12/29/09 at hospital.
Age: 1.54
Sex: F
Vaccine: FLU(H1N1), FLU3, HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Flu dose of 0.5ml given instead of 0.25ml.
Age: 40.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 77.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site haematoma, Injection site pain
Clinical narrative: Information has been received from a healthcare worker concerning a 77 year old female patient with no drug allergies or reactions who on 02-APR-2009 was vaccinated with a 0.65 ml dose of ZOSTAVAX (Merck) into her left arm. Concomitant therapy included aspirin. On  02-APR-2009 the patient experienced severe bruising and pain at the injection site in the upper deltoid area of the left arm. The patient saw physician regarding the sore arm immediately after receiving the injection. At the time of the reporting, the patient was recovering. It was also reported that the patient sought medical attention via pharmacy visit. It was considered to be disabling since the patient was unable to use the left arm and still sore at the injection site. Additional information is not available.
Age: 77.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Contusion, Injection site pain
Clinical narrative: Information has been received from a healthcare worker concerning a 77 year old female patient with no drug allergies or reactions who on 02-APR-2009 was vaccinated with a 0.65 ml dose of ZOSTAVAX (Merck) into her left arm. Concomitant therapy included aspirin. On  02-APR-2009 the patient experienced severe bruising and pain at the injection site in the upper deltoid area of the left arm. The patient saw physician regarding the sore arm immediately after receiving the injection. At the time of the reporting, the patient was recovering. It was also reported that the patient sought medical attention via pharmacy visit. It was considered to be disabling since the patient was unable to use the left arm and still sore at the injection site. Additional information is not available.
Sex: U
Vaccine: PPV
Symptoms: Decreased appetite, Fatigue, Muscular weakness, Weight decreased
Clinical narrative: Information has been received from a doctor of pharmacy concerning a patient who on an unknown date was vaccinated with a dose PNEUMOVAX. On an unknown date, 2 hours post-vaccination, the patient developed extreme fatigue. It was reported that the patient also developed muscle weakness, so that "could not pick up a carton of milk" and experienced extreme weight loss of 45 pounds in one month. The pharmacist stated that the patient attributed the weight loss due to decrease of appetite after being vaccinated with PNEUMOVAX. On an unknown date, the patient was hospitalized due to the patient's adverse effects. At the time of reporting the patient had not recovered. No further information is available.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1), PPV
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Information has been received from registered nurse concerning a 48 year old female patient with deep vein thrombosis, a pulmonary embolism, BACTRIM allergy and AUGMENTIN allergy, who on 22-DEC-2009 was vaccinated subcutaneously in the right arm with a 0.5 ml dose of PNEUMOVAX 23 (lot number 664864/1365Y). The same day the patient was vaccinated in the left arm with a dose of H1N1. Concomitant therapy included COUMADIN, TYLENOL and FLONASE. On 22-DEC-2009 the patient experienced localized red, circular, hot, itching and some swelling reaction. The nurses believed that intervention to prevent serious criteria were BENADRYL 25 mg every 6 hours, over the counter steroid creams to affected area and cold compresses. At the time of the report the patient was recovering. The patient called the nurse. No laboratory diagnostics studies were performed. Follow up information has been received from the nurse who reported that the lot # for the H1N1 was 102147P1. The nurse reported that she had spoken with the patient by phone on 28-DEC-2009. The symptoms had decreased, but the patient was still recovering. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Haematochezia, Incorrect route of drug administration
Clinical narrative: Information has been received from a registered nurse concerning an approximately 2 months old male patient who on 14-AUG-2009 and on 22-OCT-2009 was vaccinated by mouth with a 2mL first and second dose ROTATEQ (first dose lot # 664400/0616Y) respectively. On 22-DEC-2009 at the age of 6 months, the patient was accidentally administered with the third dose of ROTATEQ into one of his nostrils instead of his mouth. On 22-DEC-2009, the patient concomitantly received a dose of PEDIARIX. On an unknown date in 2009 the patient had blood in his stools. It was unknown if the patient had blood in his stools before or after receiving ROTATEQ. It was unknown if laboratory or diagnostic tests were performed. On 22-DEC-2009, the patient was doing fine while at a clinic at the time of vaccination. The blood in his stool resolved on an unknown date. As of 22-DEC-2009 it was unknown if the patient continued on ROTATEQ. Upon internal review "blood in stools" was considered to be an other important medical event. This is one of two reports concerning the same patient (WAES # 0912USA03642). Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Generalised oedema, Oedema peripheral, Pain
Clinical narrative: Information has been received from a Nurse Practitioner who on an unspecified date was vaccinated with a dose of ZOSTAVAX (Merck) (lot # not reported). Subsequently the patient reported "I did take the shingles with prob." At the time of the report, the patient's outcome was unknown. Follow up information was received from a Nurse Practitioner with seasonal allergies and no known drug allergies at that time, who experienced foot swelling without pain after the first and second doses of vaccine. The patient experienced generalised edema of all joints and increased pain after the third dose of vaccine. The reporter also stated that "this reaction happen back in 1990 - 1994?". There was no illness at the time of vaccination. The patient had recovered after eight "+" months. The reporter considered her experience to be disabling. Additional information has been requested.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Headache, Pruritus, Rash generalised
Clinical narrative: Two days after receiving H1N1 vaccine, child developed a rash all over his body, had complaints of itching, headache, some abdominal pain. No treatment required.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Severe throbbing pain for more than a month. It has been almost 2 months and there is still a dull ache. I can't lift left arm without severe pain and range of motion has been impaired.
Age: 19.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash macular, Rash papular, Rash pruritic
Clinical narrative: At 3:00 PM on 10-19-09, dollar coin-size red "blotches" appeared on the arms. Throughout the evening, night, and day on 10-20-09, the red spots spread to legs, back, belly, and neck. BENADRYL was taken and CORTISONE cream applied with no relief. Red spots described as raised and very itchy. No respiratory compromise. Spoke with patient's grandmother on 10-23-2009. Patient went to Dr. received medication, and is getting better.
Age: 0.23
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Rash macular
Clinical narrative: Approximately 20 min. after immunizations, infant's left temporal and top of scalp area was observed to be purple, blotchy appearance. No change in vital signs- HR 120's/min, Resp Rate 30's/min; no local reaction at injection site. Over course of few minutes, discoloration faded; infant playful and in no apparent distress. 12/11/09 P.C. to FA, child doing "fine".
Age: 79.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Day after received ADACEL vaccine (R) arm - arm began to be sore. Has continued to be sore since seen by MD 11/17/09 with no tx recommended. 12/14/09 pain not improved, taking ALEVE and applying ICY HOT to relieve. Often interrupts sleep. Another MD appt. recommended.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Blood test, Chest X-ray, Hypokinesia, Musculoskeletal chest pain
Clinical narrative: Pt. states 10 minutes after receiving vaccine she had severe pain from chest wall to both arms and across back. She could not bend over. Most pain on Rt side. Patient requested vaccine in L hip. She had mastectomy in 8/07, chemo and radiation 10/07/2008. Lymph nodes removed in arms. Was seen in ER on 11/4/09 and diagnosed with pleurisy and rx'd MOTRIN. She called because had no side effects with seasonal or PNE.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity, Pleurisy
Clinical narrative: Pt. states 10 minutes after receiving vaccine she had severe pain from chest wall to both arms and across back. She could not bend over. Most pain on Rt side. Patient requested vaccine in L hip. She had mastectomy in 8/07, chemo and radiation 10/07/2008. Lymph nodes removed in arms. Was seen in ER on 11/4/09 and diagnosed with pleurisy and rx'd MOTRIN. She called because had no side effects with seasonal or PNE.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster after ZOSTAVAX 11/21/2008.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt came to pharmacy and said since she had flu shot she has has intermittent pain in that arm.
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia
Clinical narrative: Numbness in extremities.
Age: 49.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood pressure increased, Dyspnoea, Urticaria
Clinical narrative: STATES HIVES ALL OVER TORSO AND LEGS AND IN HAIR STARTING FRIDAY 10/30/2009.  HAD H1N1 NASAL 10/28/2009 FEELS SOB.  BP 166/86 T98.4 P67. TOOK BENADRYL PO AND SPRAY DIDN'T HELP.  SAW HER DOCTOR.  STEROID INJECTION GIVEN.  GOT BETTER 4-5 DAYS.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood pressure increased, Tongue disorder
Clinical narrative: Person complained of "thick tongue" approximately 5 minutes after receiving the H1N1 injection. B/P 168/72
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Hypoaesthesia, Hypoaesthesia facial, Lumbar puncture normal
Clinical narrative: DIZZINESS, NUMBNESS IN ARMS AND LEGS, INTERMITTENT.  HAD NUMBNESS IN JAW AT ONE TIME.  HEADACHE.
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nuclear magnetic resonance imaging normal
Clinical narrative: DIZZINESS, NUMBNESS IN ARMS AND LEGS, INTERMITTENT.  HAD NUMBNESS IN JAW AT ONE TIME.  HEADACHE.
Age: 75.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia oral
Clinical narrative: C/o numbness of tongue, beginning day 2 after getting H1N1 immunization and lasting x4 days.
Age: 23.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Arthralgia, Dehydration, Injection site swelling, Nausea, Pyrexia
Clinical narrative: Fever of 103.5 degrees, nausea, vomiting, severe joint pain, red, swollen injection site (baseball size), probable dehydration - only urinated 1 time in 24 hours
Age: 23.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Vomiting
Clinical narrative: Fever of 103.5 degrees, nausea, vomiting, severe joint pain, red, swollen injection site (baseball size), probable dehydration - only urinated 1 time in 24 hours
Age: 23.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Dehydration, Erythema, Limb discomfort, Myalgia, Nausea
Clinical narrative: Fever of 103.5 degrees, nausea, vomiting, severe joint pain, red, swollen injection site (baseball size), probable dehydration - only urinated 1 time in 24 hours
Age: 23.0
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Pyrexia, Skin discolouration, Vomiting
Clinical narrative: Fever of 103.5 degrees, nausea, vomiting, severe joint pain, red, swollen injection site (baseball size), probable dehydration - only urinated 1 time in 24 hours
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus generalised
Clinical narrative: PATIENT BEGAN ITCHING ALL OVER HER BODY SINCE 12/1/09 AND HAS CONTINUED.  NO RASH SEEN, ONLY ITCHING.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Flushing, Throat irritation
Clinical narrative: VISITED SCHOOL NURSE SHORTLY AFTER RECEIVING VACCINE WITH COMPLAINT OF "ITCHY" THROAT, NEED TO CLEAR THROAT AND FLUSHED CHEEKS.  NO RASH NOTED TO FACE/TRUNK/EXTREMITIES.  EVEN RESP., NO WHEEZING/RALES.  NO REDNESS/EDEMA NOTED TO TONGUE/ORAL MUCOSA/TONSILS.  NO DYSPHAGIA REPORTED.  NO COMPLAINT OF STOMACH ACHE/NAUSEA.  ALERT, ORIENTED X3.  NO HEADACHE/DIZZINESS.  GIVEN BENADRYL 50 MG AT 12:08 PM PER STANDING ORDER. (DID NOT TAKE SCHEDULED ALLEGRA BEFORE SCHOOL) PARENT PICKED UP, TOOK HOME TO REST.
Age: 77.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Received H1N1 on 2/11/09.  5 days post shot, developed hot red sore arm and fever.  Symptoms remained up to 12/21/09, where slight reduction in intensity began.  Person used benadryl, ice and tylenol during symptoms.  Recovery is expected.
Age: 48.0
Sex: F
Vaccine: TTOX
Symptoms: Pain, Periarthritis, X-ray
Clinical narrative: Severe long term pain that casued frozen shoulder
Age: 0.57
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1), HEP, PNC, RV5
Symptoms: Heat therapy, Injection site swelling
Clinical narrative: GRANDMOTHER REPORTED THAT CHILD HAD DEVELOPED RAISED SWOLLEN AREA TO LEFT LEG (SITE WHERE PCV7) WAS ADMININSTERED.  ADVISED TO ADMINISTER WARMING PACKS TO SITE AT LEAST 4 TIMES PER DAY.  MD DID NOT WANT TO SEE CLIENT.
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain
Clinical narrative: SORENESS/SHARPNESS-PAIN ON DEEP INSPIRATION, NO SENSITIVE TO TOUCH, OVER THE KIDNEY AREA.  NO PAIN ON EXHALING.  PAIN DECREASED OVER THE NEXT 30 DAYS.  NO DOCTOR OR HOSPITAL VISIT.  NO PROBLEMS TODAY WHEN INTERVIEWED.
Age: 17.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Erythema, Paraesthesia, Pruritus, Rash
Clinical narrative: RED, ITCHY, PRICKLY RASH
Age: 34.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
Clinical narrative: CLIENT STATED ON QUESTIONNAIRE THAT SHE WAS NOT PREGNANT.  STATE ALSO THAT SHE HAD READ THE QUESTIONS.  WAS GIVEN NASAL H1N1 (LAIV).  CLIENT IS PREGNANT.
Age: 20.0
Sex: F
Vaccine: FLUX
Symptoms: Drug exposure during pregnancy, Headache, Nausea, Rash
Clinical narrative: PATIENT IS PREGNANT.  HAD FLU SHOT THEN AN HOUR LATER COMPLAINED OF HEADACHE AND NAUSEA, ALSO SLIGHT RASH.  4 MONTHS PREGNANT.  NEVER HAD FLU SHOT BEFORE.
Age: 61.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Arthralgia, Pain, Pyrexia
Clinical narrative: PATIENT RECEIVED H1N1 AND SEASONAL FLU VACCINES AT THE SAME TIME.  COMPLAINS OF BODY ACHES, JOINT PAIN, FEVER ONSET 2 DAYS AFTER VACCINATIONS.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Localized redness, hot to touch on L arm 2-3 days after shot.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injected limb mobility decreased, Injection site pain, Joint range of motion decreased
Clinical narrative: Received H1N1 injection in L deltoid area. Started having pain at injection site on 11-12-09. Took TYLENOL for pain and has continued taking TYLENOL since 11-12-09. Has limited ROM to L arm since injection on 11-12-09. At present, unable to left arm above shoulder level. Has continuous pain especially at night.
Age: 60.0
Sex: F
Vaccine: FLU(H1N1), FLU3, HEPAB, TDAP, TYP
Symptoms: Nasal congestion, Tongue disorder
Clinical narrative: Pt given TDAP, TYPHOID, H1N1, flu & Hep A/B injections for travel to foreign country. Pt's vaccine finished at 10:15 AM. At 10:50 AM, pt reports nose feeling stopped up & tongue thickness. Pt denies any dyspnea. Dr. administered 9cc BENADRYL (12.5 mg per 5 cc). After 10 mins of taking BENADRYL, pt reports she feels much better and her tongue no longer feels thick. Stayed with pt another 20 minutes & she reported she feels fine now. Pt called me back at 3:00pm 12/2/09 & stated feeling well.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Presyncope
Clinical narrative: 4pm pt. was given GARDASIL and BOOSTRIX I.M. pt was pre syncope, cold compress applied to forehead. Pt was moved c/o exam room - place on table and lay down. BP 80/50, P 80, 414P BP-90/60, P-580, 420P BP 92/60, P- 80, 425P -pt states she feels better, 430P BP 92/62.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt received vaccine yesterday and developed red, swelling around injection site next morning. Swelling increased as day progressed. No fever, wheeze, facial edema.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Ear discomfort, Feeling abnormal, Pain in extremity, Throat irritation
Clinical narrative: 12-16-09 Patient called and stated she had a H1N1 vaccine on Monday 12-14-09 at 12:15, at 1:30 she was at store and had chest pain (all across chest), throat itchy, ears felt weird. She said she had pain going down L arm and the right arm before having the chest pain. By Monday evening the chest pain left she still has uncomfortable feeling in throat and a "pluced ear". She has not been to a provider. Instructed her to see provider.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: 12/21/09 Notified by spouse that patient had reaction to Raster vaccine. Call to patient. Admitted to swelling, blister, pain at injection site 2 days later with red streak down arm-3". Did not see physician "It went away in a couple days."
Age: 74.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Back pain, Chills, Dysarthria, Pyrexia
Clinical narrative: Chills, fever, slurred speech, lower back pain started approx 2 PM. Pt went to Dr.'s office about 1:00 PM for L knee pain. States got two injections, not sure what they were, poss. anti-inflammatory and pain. Symptoms started approx an hour later. Pt states she took TYLENOL and drank fluids and her symptoms improved. No other tx required. Pt is doing well.
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Fatigue, Hypoaesthesia, Nausea
Clinical narrative: Patient received H1N1 inj. vaccination 11/18/09. 24 hrs. later. according to mother, he had sensation of being "unable to feel his legs," nausea, dizziness. Remained able to walk normally. Taken to physician who recommended mother call HD to report adverse effect. Weakness, numbness in legs, fatigue persisted x 24 hrs then resolved completely. (RN called Dr, spoke with nurse: All symptoms resolved when seen by Dr.)
Age: 13.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Sensory loss
Clinical narrative: Patient received H1N1 inj. vaccination 11/18/09. 24 hrs. later. according to mother, he had sensation of being "unable to feel his legs," nausea, dizziness. Remained able to walk normally. Taken to physician who recommended mother call HD to report adverse effect. Weakness, numbness in legs, fatigue persisted x 24 hrs then resolved completely. (RN called Dr, spoke with nurse: All symptoms resolved when seen by Dr.)
Age: 32.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Arthralgia, Condition aggravated, Fibromyalgia, Pain
Clinical narrative: Reports within 8-10 hrs after receiving vaccine felt achy all over. Progressed to sharp pain in joints, especially shoulder. Has not returned follow-up calls so recommended appt with MD, possible tx. unknown. 12/22/09 Reports MD thinks exacerb. of fibromyalgia due to vaccine and "other things". "Feeling much better now."
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pharyngeal oedema, Pyrexia, Throat irritation
Clinical narrative: 1050 am c/o of thickness in throat, denied SOB and cough - T97.1, ZYRTEC 5mg PO liquid administered 1110am continues to c/o slight tickle in throat, ZYRTEC 5mg PO liquid administered (second dose) 1120am reported that she felt also fever, no SOB and cough reported.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: 12/29/09 - Hives and itching (minimal) in evening 12/30/09 - Increase in hives/itching, contacted doctor. Told to take BENADRYL ore ZYRTEC when she goes home.  12/31/09 increase hives, itching, severe body aches - went to see doctor received CORTISONE injection 1/4/2010 returned to work given FLEXARIL for body aches
Age: 69.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blister, Rash, Rash erythematous
Clinical narrative: Patient was given an H1N1 vaccine at her request last week and within 24 hours, she developed a blistering rash that was bilateral on her chest and on her upper extremities. She went to see Dr., her primary physician, who gave her some oral corticosteroid to take and she is better by Monday (today), but the rash still is there. She has a history of having had an adverse reaction to a number of medications (penicillin, sulfa, ZITHROMAX, ASMANEX) in the past. She is on a number of medications today that have been chronic for her, but they are unchanged. This is probably a result of the H1N1 vaccine. Nothing else has changed. Pictures are taken to document that there are one or two clear blisters on an erythematous base that are still visible. Much of the rest of it is resolving. It is not terribly pruritic and it does not hurt. It is not painful. She was not given any other medications and then she will be seen for a scheduled follow-up visit.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Rash macular
Clinical narrative: 11/13/09 child woke up from nap with blotchy red spots on chest, back, arms. Temp 99.9 degrees F. No wheezing, SOB or dyspnea. Child's MD recommended BENADRYL and MOTRIN. Rash resolved in 3-4 days, fever gone.
Age: 8.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash pruritic
Clinical narrative: Broke out with rash next morning (12/5/09) on one side of belly and leg (same side). Mother reports rash "looked like chickenpox" at first but looks like " regular rash" and itchy by the date of the report to the child's physician. Did respond to follow-up phone calls, so tx and response unknown.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Induration, Pain, Skin induration, Skin mass, Skin warm
Clinical narrative: Received T.C. from patient stating her left arm had a hard raised lump that was hot to touch about 3 hr after injection pain is improved. T.C. to directory assistance for phone number-no listing (11/20/09).
Age: 66.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Swelling
Clinical narrative: Received T.C. from patient stating her left arm had a hard raised lump that was hot to touch about 3 hr after injection pain is improved. T.C. to directory assistance for phone number-no listing (11/20/09).
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Movement disorder, Musculoskeletal stiffness, Neck pain
Clinical narrative: Stiff and sore neck, unable to turn head
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash macular
Clinical narrative: macular rash
Age: 62.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Chills, Dizziness, Ear pain, Headache
Clinical narrative: Muscles aches, uncontrollable chills, weak, feverish; within 3-6 hours after injection then headache, congestion, ear aches; red eyes, dizzy within 4 days after injection. Still weak and headaches, etc. after 13 days. Follow-up information received Jan 19, 2010. Patient states was not able to obtain the manufacturer of this H1N1 vaccine. St Mary's Immunization Clinic told patient reactions were "normal" for a new vaccine she had never had.