chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Stopped in clinic 8/28/09, no office visit. Employee looked at arm (sm red, warm area at inj site). Advised cool pack and antihistamine and follow up if worsening sx's occur.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Ankle fracture, Fall, Hypotension
Clinical narrative: Became hypotensive, fell & broke ankle at home, evening, after receiving flu vaccine at 11:30 that morning.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Death, No adverse event
Clinical narrative: Pt had no obvious reaction to the vaccine. 10/23/09 Death certificate received. DOD 9/20/09. Cardiogenic shock, Hypoxic encephalopathy. Ventricular fibrillation.   11/17/09:  Discharge Summary and Medical Records received for date of service 9/20/09:  Final Dx:  Out of hospital cardiac arrest, ventricular fibrillation, cardiogenic shock, severe hypoxic encephalopathy, respiratory failure.  Assessment:  Experienced sudden onset severe chest pain at home.  Ambulance arrived and found pt. in ventricular fibrillation.  Received 2 shocks en route to hospital and upon arrival was intubated with additional CPR and defibrillations.  Major vasopressors were administered for support of blood pressure.  CPK was 3000.  Admitted to ICU and maintained on maximal support for 12 hours including ventilation, temporary pacemaker and major vasorpressors at high doses.  No urinary output.  Pupils fixed and unresponsive.  Pt. eventually experienced cardiac arrest and died after DNR was signed.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: 5 cm diam. itching, redness, induration at the site; started about 24 hours after injection; DTAP & IPV administered in that arm; today less induration, still itching & erythema.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Aphthous stomatitis, Lip swelling, Oral pain, Rash generalised, Toothache
Clinical narrative: Pt experienced lip swelling, total body rash and aphthous ulcers and tooth and mouth pain.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eye swelling, Pruritus, Rhinitis, Rhinorrhoea
Clinical narrative: 6 hours s/p vaccine patient experienced pruritis, hives on extremities, cough & coryza, rhinorrhea, orbital swelling.  Symptoms persisted for 24 hours, gradually subsiding.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 6 hours s/p vaccine patient experienced pruritis, hives on extremities, cough & coryza, rhinorrhea, orbital swelling.  Symptoms persisted for 24 hours, gradually subsiding.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Angioedema, No reaction on previous exposure to drug
Clinical narrative: 4 days of giant hives. Used BENADRYL to control them. I have had yearly flu shots all my life and never had a reaction before.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Hypotension
Clinical narrative: Became hypotensive in evening after receiving flu vaccine earlier in the day, was admitted to hospital for shortness of breath, hypotension and vague chest discomfort. 11/30/09 ER recs received for date 9/10/09. DX: SOB, chest pain. Presenting sx: pt. c/o SOB and chest pain, cough x 1 ½ months, bilat lower rib pain. Assessment: productive cough, wheezing.
Age: 1.25
Sex: M
Vaccine: HEPA, PNC
Symptoms: Head banging, Insomnia, Muscle spasms, Pyrexia
Clinical narrative: low grade fever, hitting head and saying "ouch", laid on floor and did body spasms, body spasms throughout the evening, no sleep (these symptoms occured for one week), fever got higher and higher everyday - then on the 9th day he had 104.5 deg. fever - that's when we rushed him to the e.r.  he stayed overnight for testing.  after all kinds of tests - they could not find anything (however they refused to say that it was due to the immunizations, so they said it may be a virus).  no tests proved this, but all documentation showed it when we were released. 11/13/2009 MR and DC summary for 9/10-11/2009. Patient admitted with c/o's fever, lethargy. No DC Dx noted.
Age: 6.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal discomfort, Fatigue, Pyrexia
Clinical narrative: Fever, stomach discomfort and fatigue
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Chills, Fatigue, Injection site inflammation, Injection site swelling
Clinical narrative: Started with mild body aches and fatigue and inflamation & swelling at the injection site.  This was the day after receiving the Tetanus vaccine.  On Friday the 16th I along with the avove effects I also developes swollen glands, hives, chills and a temperature of 102.6 at which point I started a recement of Tylenol and Benedryl which reduced the fever and inflamation. Continued to run a mild fever on Saturday the 17th of 100.4 which subsided completely by Sunday the 18th.  To date I still have very minor glandular swelling & swelling at injection site.  All other symptoms have disappeared
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Pain, Pyrexia, Urticaria
Clinical narrative: Started with mild body aches and fatigue and inflamation & swelling at the injection site.  This was the day after receiving the Tetanus vaccine.  On Friday the 16th I along with the avove effects I also developes swollen glands, hives, chills and a temperature of 102.6 at which point I started a recement of Tylenol and Benedryl which reduced the fever and inflamation. Continued to run a mild fever on Saturday the 17th of 100.4 which subsided completely by Sunday the 18th.  To date I still have very minor glandular swelling & swelling at injection site.  All other symptoms have disappeared
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count, Henoch-Schonlein purpura, Metabolic function test, Red blood cell sedimentation rate
Clinical narrative: Henoch Schonlein purpura, onset 10/12/09.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Condition aggravated, Migraine, Nausea
Clinical narrative: Developed Migraine and Nausea. Nausea lasted for 4 hours. Has hx. of migraines and has prescription for Imitrex. Took Imitrex with onset of migraine
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms, Musculoskeletal pain, Nerve injury, Pain in extremity, Vaccination complication
Clinical narrative: Employee's right arm became sore, with muscle spasms to arm.  Orthopedic physician informed employee that vaccine got into nerves.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Convulsion, Respiratory arrest
Clinical narrative: Full respiratory arrest on 3-27-09.  Seizure prior to arrest.  Discharged 4-11-09 with DNR & hospice.  10/23/09:  Medical Records and Discharge Summary received for dates of service 3/27/09 to 4/11/09.  Discharge Diagnoses:  Full cardiopulmonary arrest requiring 30 minutes of cardiopulmonary resuscitation.  Likely seizure activity.  Markedly abnormal EEG findings.  Post resuscitation respiratory failure requiring intubation.  Hyponatremia.  Elevated transaminases, likely related to shock liver.  Chronic tracheal colonization with Pseudomonas.  Anemia requiring transfusion of packed red blood cells.  Nutritional deficiency addressed by nasogastric feeds.  Medical stress on the family. Assessment:  Developed some upper respiratory tract sx. on 3/25, seen for 6 month well child check and immunizations on 3/26.  Found the morning of 3/27 with his eyes rolled back, arms flexed, legs extended with labored breathing and generalized unresponsiveness, he was afebrile but sweating.  The baby became apneic and unresponsive in the car on the way to the hospital, no rescue breathing was done.  He arrived at the ED pulse less and CPR was initiated immediately.  CPR continued for 30 minutes with the subsequent resumption of spontaneous circulation.  On clinical exam there was always evidence of severe anoxic encephalopathy.  The child was intubated due to poor gag reflex and cough as well as pooling of oral secretions.  The baby was eventually extubated and a Do Not Resuscitate order put in place.  MRI consistent with diffuse anoxic injury in both hemispheres.  Initial EEG was quite abnormal, a second was more abnormal.  There was no overt seizure activity, the patient was maintained on Dilantin and an EEG on 4/06 noted no seizure activity.  The prognosis is that the child will likely make no developmental progress and will require a lifetime of complete custodial care. The baby was discharged to home hospice care with an out of hospital Do Not Resuscitate order.   10/28/2009 records from Neuro Consult 10/1/2009. PE: + for vision and hearing abnormalities, neuro exam noted abnormal tone, hypertonicity, poor suck, and encephalopathycic, patient with a flat demeanor. EEG done 10/1 still consistent with severe encephalopathy, no seizure activity noted. Etiology still unclear for encephalopathy, have recommended mitochondrial dysfunction studies. Prognosis for any meaningful neurological recovery is poor. Tx: Dilantin x 1 yr and if still no seizure activity can be weaned off medication. DC
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, No reaction on previous exposure to drug, Rash, Urticaria
Clinical narrative: Pt claims that she had hives 2 hours after the flu shot from left back shoulder to her left arm (elbow). Pt said she took 2 (BENADRYL 25 mg) 2 hours ago (7:00 PM 10/9/09) and she already feels better and she thinks it was an allergy. Pt said no spread of rashes anymore and sore injected area but it is getting better by taking BENADRYL. She had flu shot with the same manufacturer with no adverse effects.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: KINRIX given Right arm on 10/6/09. Pt. mother called on 10/8/09 stating there is a red warm area size of mothers hand at site and pt. c/o itch there no fever or other Sx's. Mother instructed to use otc BENADRYL and anti-inflammatory like IBUPROFEN. on 10/12/09 mother states area is better.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Vomiting, Vomiting in pregnancy
Clinical narrative: Patient vomited 9/23 am. Patient is currently pregnant and also experiencing morning sickness.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Left Deltoid approx 14 hours after receiving TST/PPD and TDaP patient stated injection site was sore, warm and itchy but felt it was normal/expected. 24 hours after injection patient was complaining of increased pain, swelling and itchy systemically. Patient went to ED on 10/14/09 - BENADRYL.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Pain, Pyrexia
Clinical narrative: 10/8/09 Flu shot give at 1300-1830 had diarrhea, body aches. 1930 chills and fever. Through noc temp went to 103.8. Taking ALEVE. 10/9/09 temp down in AM, 99.3 at 11 AM.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Confusional state, Disorientation
Clinical narrative: Pt developed disorientation and mental confusion for 5-6 days following influenza vaccination.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Monoplegia, Pain, Paralysis
Clinical narrative: 5 days after receiving seasonal flu vaccine in L deltoid, c/o of increasing pain (sharp, shooting) from L deltoid to L elbow with some incidents of paralysis to L elbow. Advised to visit physician. Did not hurt to touch, but strenuous use (lifting heavy objects) would cause pain. Cancelled appt with physician
Age: 29.0
Sex: M
Vaccine: HEPAB, MNQ, TYP
Symptoms: Lymphadenopathy
Clinical narrative: On 10/12/09 patient called indicating that he received 3 immunizations on 10/7/09. Noticed R axillary lymph node swollen on 10/10/09 and R side of the chest. Denies fever, vomiting, nausea, CP or SOB. Denied skin discoloration. Using calamine lotion.
Age: 15.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Received a telephone call today 10-14-09 from parent stating she had to rush child to ER after receiving vaccines. Mother states child broke out in hives all over body. Given Vistaril injection in ER and sent home with Oral Vistaril and Steroid dose pack. Mother states, bumps on lower legs look like chicken pox. Instructed mom to take child to PCP for evaluation and proper diagnosis.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Blood test, Chest X-ray, Pyrexia, Urine analysis
Clinical narrative: Pt had fever of 101.7 12 hours after vaccine given. Take to ER, blood, urine, CXR done. IM antibiotics given. Pt. seen in follow-up next day - fine.
Age: 1.02
Sex: M
Vaccine: FLU3
Symptoms: Electroencephalogram normal, Musculoskeletal stiffness, Opisthotonus, Tremor
Clinical narrative: On 9-15-09 - arched back, body got stiff, shook. On 9-20-09 looked like convulsing, looked up i cleared his fists, shook.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Pain and swelling of hands and feet - mild but uncomfortable - no 1 or at  injection site inflammation swelling or discomfort no rash, fever or other symptoms.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenopia, Blood test, Diplopia, Dysphagia, Headache
Clinical narrative: June 17 received the shingles vaccine. June 25 sore throat. I thought the sore throat would go away but by the following Saturday it was really so i went to a local Prima Care. Being a Saturday my regular doctor's office was not open. Anti biotic was prescribed. By July 2 I was still in misery, could not swallow, head ache, ache sort of miserable all over. Went to my geriatric doctor where throat herpes was diagnosed on left side of my throat and Vostrex was prescribed. The throat gradually got better over the next 2 weeks. July 12th while driving to church I realized I was experiencing double vision. I kept me left eve closed and finished the trip using only my right eye. July 13th- went to ophthalmologist for eye exam. He found nothing wrong with eyes and sent me to neurologist. July 14th-MRI of head and neck showed no brain dysfunction. I have attached a copy of the MRI results. During the next several weeks i revisited all 3 doctors at one time or another for various blood tests and exams to try to diagnosed the reason for the double vision problem. None of the doctors could find any reason for the throat herpes or the double vision and finally came to the conclusion that I experienced a reaction to the shingles vaccine. Around September 20th the double vision was longer evident except for a few minutes upon awakening in the morning or when my eyes would tire. I have an appointment in two weeks with my ophthalmologist; hopefully he will agree with me that my eye problem, the double vision, is now a thing of the past.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes virus infection, Immunisation reaction, Nuclear magnetic resonance imaging normal, Oropharyngeal pain, Pain
Clinical narrative: June 17 received the shingles vaccine. June 25 sore throat. I thought the sore throat would go away but by the following Saturday it was really so i went to a local Prima Care. Being a Saturday my regular doctor's office was not open. Anti biotic was prescribed. By July 2 I was still in misery, could not swallow, head ache, ache sort of miserable all over. Went to my geriatric doctor where throat herpes was diagnosed on left side of my throat and Vostrex was prescribed. The throat gradually got better over the next 2 weeks. July 12th while driving to church I realized I was experiencing double vision. I kept me left eve closed and finished the trip using only my right eye. July 13th- went to ophthalmologist for eye exam. He found nothing wrong with eyes and sent me to neurologist. July 14th-MRI of head and neck showed no brain dysfunction. I have attached a copy of the MRI results. During the next several weeks i revisited all 3 doctors at one time or another for various blood tests and exams to try to diagnosed the reason for the double vision problem. None of the doctors could find any reason for the throat herpes or the double vision and finally came to the conclusion that I experienced a reaction to the shingles vaccine. Around September 20th the double vision was longer evident except for a few minutes upon awakening in the morning or when my eyes would tire. I have an appointment in two weeks with my ophthalmologist; hopefully he will agree with me that my eye problem, the double vision, is now a thing of the past.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Received flu shot Tues - 10-6-09.  That night redness on site size of quarter, by Friday 10-9-09 redness increased to 6" X 4" spreading around to inside of arm.  Painful to touch.  A little better than yesterday 10-8-09.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash, Pyrexia, Rash
Clinical narrative: Febrile, erythema @ injection site, rash spread from site down to elbow on Left arm - Sx onset 10/7/09. Temp 99.9.
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, HEPA, PNC
Symptoms: Urticaria
Clinical narrative: 08-13-2009 during well child visit to clinic patient given 6 vaccines. Parent states onset of symptoms 8-19-09. Hives all over body - torso, bilateral arms, legs. Parent treating with otc BENADRYL - parent instructed by nurse practioner to continue with otc BENADRYL. Parent states reaction resolved 08-22-09 with out further intervention.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient felt pain at injection site at the time of injections and states pain is still there at night. Told patient local pain is normal and called pt later to see if ok. Stated she still had a little pain. Instructed her to take TYLENOL. To this date she says she still feels pain.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injected limb mobility decreased, Neuralgia, Pain in extremity
Clinical narrative: Unable to move arm above shoulder height, arm pain for 3 day, weakness, possible nerve pain.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Diarrhoea, Headache, Lacrimation increased, Malaise
Clinical narrative: Fever 103 F orally, dry cough, watery eyes, headache, nasal congestion, malaise, diarrhea.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: Fever 103 F orally, dry cough, watery eyes, headache, nasal congestion, malaise, diarrhea.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Muscle spasms
Clinical narrative: Aches, tired, weak, muscle cramp, chills, fever, wheezing, nausea, dizzy.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Pain, Pyrexia, Wheezing
Clinical narrative: Aches, tired, weak, muscle cramp, chills, fever, wheezing, nausea, dizzy.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Since the injection I've had pain at the site lasting for the first week. Then it began to get better for a week or so and then it would come back with the same intensity and hurt for a few days and then get better. This has occurred twice in the last month.
Age: 45.0
Sex: F
Vaccine: VARCEL
Symptoms: Influenza like illness, Mental disorder, Sick relative
Clinical narrative: Flu like symptoms.  C/O mental/physical "Ups and Downs" and after second VZV injection "partner" also has same sypmtoms.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injected limb mobility decreased, Myalgia, Pyrexia
Clinical narrative: Few hours post vaccine muscle pain, red splotches under arm, low grade fever.  48 hours post vaccine band of red splotches encircling arm.  Fever spiked 102 degrees 24 hours post vaccine.  Lack of mobility in shoulder for 48 hours.
Age: 50.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Diplopia, Hypoaesthesia, Neck pain
Clinical narrative: Double vision pain at base of neck / brainstem. Numbness in toes and legs, Esp. left leg.  11/06/09 Medical records recieved for DOS 11/06/09: Neuro consult visit. Facial numbness. Resolved in 2 days. Vertical diplopia and binocular vision persists. Tilting head to L helps. Parasthesia persist  bil feet and legs,  spread to hands and forearms bil. Limb pain and weakness, unsteadiness, bladder fx disturbance. Action tremor bil UE w/finger to nose testing.  All other neuro PE WNL.  10/28/09 Medical records received for dates 10/8/09 to 10/12/09. Pt seen by neurologist. DX: postvaccinal encephalomyelopathy, rt. 4th cranial nerve dysfunction, action tremor and myelopathy. Presenting sx: pt. states received flu vax 9/30, on 10/1 c/o vertical diplopia with binocular vision, 10/4 c/o tingling parethesia bilat legs and feet. Assessment: WNL, evidence of previous back surgery. Diagnostics ordered. ICD9 code 341.20      11/06/09 Medical records recieved for DOS 11/06/09: Neuro consult visit. Facial numbness. Resolved in 2 days. Vertical diplopia and binocular vision persists. Tilting head to L helps. Parasthesia persist  bil feet and legs,  spread to hands and forearms bil. Limb pain and weakness, unsteadiness, bladder fx disturbance. Action tremor bil UE w/finger to nose testing.  All other neuro PE WNL.   12/10/09 Hospital records received. Service date 10/19/09. Patient presents with c/o pressure in head and base of skull, vision diminished, double vision. Paraparesis.
Age: 50.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood test, Computerised tomogram, Diplopia, Fatigue, Headache
Clinical narrative: Double vision pain at base of neck / brainstem. Numbness in toes and legs, Esp. left leg.  11/06/09 Medical records recieved for DOS 11/06/09: Neuro consult visit. Facial numbness. Resolved in 2 days. Vertical diplopia and binocular vision persists. Tilting head to L helps. Parasthesia persist  bil feet and legs,  spread to hands and forearms bil. Limb pain and weakness, unsteadiness, bladder fx disturbance. Action tremor bil UE w/finger to nose testing.  All other neuro PE WNL.  10/28/09 Medical records received for dates 10/8/09 to 10/12/09. Pt seen by neurologist. DX: postvaccinal encephalomyelopathy, rt. 4th cranial nerve dysfunction, action tremor and myelopathy. Presenting sx: pt. states received flu vax 9/30, on 10/1 c/o vertical diplopia with binocular vision, 10/4 c/o tingling parethesia bilat legs and feet. Assessment: WNL, evidence of previous back surgery. Diagnostics ordered. ICD9 code 341.20      11/06/09 Medical records recieved for DOS 11/06/09: Neuro consult visit. Facial numbness. Resolved in 2 days. Vertical diplopia and binocular vision persists. Tilting head to L helps. Parasthesia persist  bil feet and legs,  spread to hands and forearms bil. Limb pain and weakness, unsteadiness, bladder fx disturbance. Action tremor bil UE w/finger to nose testing.  All other neuro PE WNL.   12/10/09 Hospital records received. Service date 10/19/09. Patient presents with c/o pressure in head and base of skull, vision diminished, double vision. Paraparesis.
Age: 50.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia, Lumbar puncture, Muscle spasms, Muscular weakness, Nausea
Clinical narrative: Double vision pain at base of neck / brainstem. Numbness in toes and legs, Esp. left leg.  11/06/09 Medical records recieved for DOS 11/06/09: Neuro consult visit. Facial numbness. Resolved in 2 days. Vertical diplopia and binocular vision persists. Tilting head to L helps. Parasthesia persist  bil feet and legs,  spread to hands and forearms bil. Limb pain and weakness, unsteadiness, bladder fx disturbance. Action tremor bil UE w/finger to nose testing.  All other neuro PE WNL.  10/28/09 Medical records received for dates 10/8/09 to 10/12/09. Pt seen by neurologist. DX: postvaccinal encephalomyelopathy, rt. 4th cranial nerve dysfunction, action tremor and myelopathy. Presenting sx: pt. states received flu vax 9/30, on 10/1 c/o vertical diplopia with binocular vision, 10/4 c/o tingling parethesia bilat legs and feet. Assessment: WNL, evidence of previous back surgery. Diagnostics ordered. ICD9 code 341.20      11/06/09 Medical records recieved for DOS 11/06/09: Neuro consult visit. Facial numbness. Resolved in 2 days. Vertical diplopia and binocular vision persists. Tilting head to L helps. Parasthesia persist  bil feet and legs,  spread to hands and forearms bil. Limb pain and weakness, unsteadiness, bladder fx disturbance. Action tremor bil UE w/finger to nose testing.  All other neuro PE WNL.   12/10/09 Hospital records received. Service date 10/19/09. Patient presents with c/o pressure in head and base of skull, vision diminished, double vision. Paraparesis.
Age: 50.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Double vision pain at base of neck / brainstem. Numbness in toes and legs, Esp. left leg.  11/06/09 Medical records recieved for DOS 11/06/09: Neuro consult visit. Facial numbness. Resolved in 2 days. Vertical diplopia and binocular vision persists. Tilting head to L helps. Parasthesia persist  bil feet and legs,  spread to hands and forearms bil. Limb pain and weakness, unsteadiness, bladder fx disturbance. Action tremor bil UE w/finger to nose testing.  All other neuro PE WNL.  10/28/09 Medical records received for dates 10/8/09 to 10/12/09. Pt seen by neurologist. DX: postvaccinal encephalomyelopathy, rt. 4th cranial nerve dysfunction, action tremor and myelopathy. Presenting sx: pt. states received flu vax 9/30, on 10/1 c/o vertical diplopia with binocular vision, 10/4 c/o tingling parethesia bilat legs and feet. Assessment: WNL, evidence of previous back surgery. Diagnostics ordered. ICD9 code 341.20      11/06/09 Medical records recieved for DOS 11/06/09: Neuro consult visit. Facial numbness. Resolved in 2 days. Vertical diplopia and binocular vision persists. Tilting head to L helps. Parasthesia persist  bil feet and legs,  spread to hands and forearms bil. Limb pain and weakness, unsteadiness, bladder fx disturbance. Action tremor bil UE w/finger to nose testing.  All other neuro PE WNL.   12/10/09 Hospital records received. Service date 10/19/09. Patient presents with c/o pressure in head and base of skull, vision diminished, double vision. Paraparesis.
Age: 1.15
Sex: M
Vaccine: MMR
Symptoms: Borrelia burgdorferi serology negative, Full blood count normal, Laboratory test normal, Mononucleosis heterophile test negative, Pyrexia
Clinical narrative: Fever 105.6 2.5hrs after vaccination nightly fever for 5 days after- 101-103f. Fever all day/ all night for days 5-10; 102-104f no other symptoms.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased, Tremor
Clinical narrative: 1 hour after vaccine administered pt, complained of tightness in chest, hand shaking, increased pulse and difficulty breathing - she had her own EPI-PEN with her so gave it to herself in left thigh.  Clinic RN called 911 and EMT transferred pt. to hospital.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Induration, Oedema peripheral
Clinical narrative: Vaccines given 8-18-09-reaction started 8/19/09-to outer aspect of Rt arm-red, swollen, measured 11 cm x 12 cm induration. Patient instructed to use warm packs on arm. Area marked by NP with black marker. Patient returned to clinic 8-20-09. Marked decrease in swelling. Returned 8-21-09 prescribed KEFLEX. Returned to clinic 8-24-09, reaction resolved.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Local reaction, Oedema peripheral
Clinical narrative: Large local reaction - swollen left arm. Prescribed ELOCOR and antihistamine.
Age: 39.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema
Clinical narrative: Pt seen 3 days after injection.  Had area of erythema of 7 1/2 X 12 cm on biceps left arm, site used for PNEUMOVAX.
Age: 16.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Headache, Oropharyngeal pain, Pyrexia, Vomiting
Clinical narrative: About 3 days after H1N1 Flu Vax he developed cough sore throat headache, and active fever. He also vomited 3 times with no diarrhea.
Age: 52.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching, hives all over body.  While at clinic was treated with 50 mg BENADRYL.  Took 2 more BENADRYL doses 50 mg at home on same date, 10-20-09.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Abdominal discomfort, Haematochezia, Occult blood positive
Clinical narrative: Streaks of blood in stool starting 10-8-09 X 3 days.  Abdominal discomfort.  Blood in stool again 10-13-09.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose normal, Dizziness, Dyspnoea, Visual impairment
Clinical narrative: Pt returned to pharmacy saying she was dizzy and vision impaired and couldn't catch her breath. We called 911, sat her down. She said she hadn't eaten in that day. We gave her a Pepsi. She felt better. EMS personnel checked her out. Blood glucose level was 72 after soda. Stayed 5 min longer and went home.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Disorientation, Fall, Nervousness
Clinical narrative: 911 was called and patient was taken to ER. Patient came into received flu shot pursuant to appointment. Upon exiting the store she fell. This form is completed to document the incident. However, it is not believed to be due to vaccine, since pt was disoriented and confused in the store patient also was shaking throughout her presence in the store.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Ocular hyperaemia
Clinical narrative: Fatigue, chills, red eyes.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Asthenia
Clinical narrative: Sick to stomach. Intestinal discomfort and extreme weakness.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Echocardiogram, Laboratory test, Pallor, Unresponsive to stimuli
Clinical narrative: Approximately 2.5 hrs after vaccination, child in car in parking lot, mother noted ashen face and not responsive although child was breathing-appeared to have "fainted". Mother called 911-afebrile.
Age: 80.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site infection
Clinical narrative: Infection @ injection site - including whole left arm.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Urticaria
Clinical narrative: Child given flu vaccine 10-9-09.  Developed fever for following 2 days.  Then on 10-13-09 developed urticaria.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Eye pruritus, Pruritus, Rash
Clinical narrative: Rash 1 1/2 - 2 h after flu shot.  Rash on legs, face upper body.  Eyes & neck itchy.  Slight tightness in chest.  Took BENADRYL.  Rash improved but not gone.  Advised to report to PCP.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Body temperature increased, Nausea, Oedema peripheral
Clinical narrative: Right arm swelled developed a temp, nausea for 2 days after GARDASIL vaccine. We were not notified until 10/12/09 about reaction.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling abnormal, Loss of consciousness, Muscle spasms, Tachycardia
Clinical narrative: Pt was sitting in waiting room after administration. He blacked out/ became unconscious for 3-5 sec and had minor hand spasms. He was dazed, "stunned", reported tachycardia. He remained sitting for another 15-20 min, said he felt fire and went home.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Neck pain
Clinical narrative: Received shot high upper left arm.  Began hurting in shoulder, neck, arm 2 hours later.  Worsened and I could not lift my arm without severe pain and no strength in arm.  This was 3 weeks after the shot.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Received shot high upper left arm.  Began hurting in shoulder, neck, arm 2 hours later.  Worsened and I could not lift my arm without severe pain and no strength in arm.  This was 3 weeks after the shot.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, No reaction on previous exposure to drug, Oedema peripheral, Skin warm
Clinical narrative: Swollen reddened, hot area that lasted 4 - 5 days, right after shot given. Never had this happen with any of the other flu shots I have taken.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Nausea
Clinical narrative: Pt complained of nausea and chills, dizziness. Pt advised by MD to drink fluids and rest.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Arthralgia, Chills, Gait disturbance, Lip swelling, Oedema peripheral
Clinical narrative: Chills, aching joints and low grade fever at 7pm; hives covering body by 11pm; doctor visit 10/18/09 with suggestion of Benadryl; Benadryl administered at 12:30pm and 6pm 10/18/09 - 8pm, hives still prominent, Benadryl no effect, lips began to swell rapidly; ER visit 9pm 10/18/09 - received prescription of rotinidine for 2x/day for 4 days; 10/19/09 hives 50% better, 5pm fever of 102; 7pm temp at 98.6 after a 5pm dose of Motrin; 10/20/09 hives more blotchy, bottom of feet swollen from hives, hard to walk, no fever, patient much more comfortable.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Rash macular, Urticaria
Clinical narrative: Chills, aching joints and low grade fever at 7pm; hives covering body by 11pm; doctor visit 10/18/09 with suggestion of Benadryl; Benadryl administered at 12:30pm and 6pm 10/18/09 - 8pm, hives still prominent, Benadryl no effect, lips began to swell rapidly; ER visit 9pm 10/18/09 - received prescription of rotinidine for 2x/day for 4 days; 10/19/09 hives 50% better, 5pm fever of 102; 7pm temp at 98.6 after a 5pm dose of Motrin; 10/20/09 hives more blotchy, bottom of feet swollen from hives, hard to walk, no fever, patient much more comfortable.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Vaccinee described vague numbness first in right arm, then in left.  Went to see a neurologist, who was unable to determine causality.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Skin warm
Clinical narrative: Had red and hot mark extending down flu shot side to elbow out beyond. Patient told to call doctor, he said he had prior staph infection. (Patient called when I was off and would not return my calls for further info).
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Blood creatine phosphokinase increased, Gait disturbance, Hepatic enzyme increased
Clinical narrative: sudden onset severe muscle pain all over body; progressively got worse over 7 days; 4 days of loss of fine motor skills; very difficult to walk,get out of bed, etc. symptoms lasted @ 16 days
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Motor dysfunction, Myalgia, Pain
Clinical narrative: sudden onset severe muscle pain all over body; progressively got worse over 7 days; 4 days of loss of fine motor skills; very difficult to walk,get out of bed, etc. symptoms lasted @ 16 days
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Immediate post-injection reaction, Induration, Pruritus, Skin warm
Clinical narrative: itching and redness immediately after administration; induration developed following day; 40mmx40mm induration remains, itching, redness, warmth also. Provided with cold pack. offered antihistamine.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypersomnia, Rash erythematous, Rash pruritic
Clinical narrative: Patient slept from 4:30 PM on October 19 until 7:00 AM on October 20th. When she woke up this morning, we noticed a rash on her face and stomach. It is not on her arms and a little bit on her legs. It seems to be itchy. It is a red spotty rash.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Feeling hot
Clinical narrative: Felt hot and did not look in mirror until 5 pm. It was red and about 2 1/2" round. Used ice and took ibuprofen. Stayed this way until 9/12/09 and then started to fade.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Viral infection, Vomiting
Clinical narrative: Patient got flu shot 10-13-09.  Presented to local ER 10-14-09 w/symptoms vomiting & dizziness.  Was admitted see discharge summary.  Viral syndrome.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma, Injection site nodule, Injection site warmth
Clinical narrative: Pts injection site had a large bump size of golf ball. Area red, hot, and bruised. Pt's last flu shot 2003.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Dizziness and diaphoresis.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site pain, Pain
Clinical narrative: Injection site sore, throbs at NOC, bruise x about 5 days. Warm moist pks to area. Takes BENADRYL routinely. Called Health Dept 10-9-09 et notified of reactions.
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt. stated that area was reddened hot & swollen for 4 days after shot given.  Hadn't had a flu shot in over 7 years.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Rash
Clinical narrative: 3 or 4 little bumps on outside edge of each axilla right side worse, no bumps on left - just redness & soreness "biting - stinging" almost gone as of today (10/20/2009) no fever.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient had pain in her left arm a couple (2) hours after receiving the injection. She states it was so bad she went to the chiropractor, who did nothing. Then she got a prescription for IBU 800 mg/TID. Then the next day she got a cortisone shot in her left shoulder. She is feeling better today-(10/12/09).
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Hyperhidrosis, Hypoaesthesia, Injection site swelling, Pain
Clinical narrative: All muscles and lymph nodes (stabbing pains) in knees, elbows, feet, hands and back. I am still feeling stabbing and tingling in muscles, L foot is partially numb. 2nd day after vaccination I had chest congestion and headache. Still feeling stabbing in knees and hands. Swollen Lt arm at injection. Dr's office told me to take ADVIL and I cannot take it because of sensitivity. The date is now 10/12/09 I can't afford to visit doctors office but still have congestion, cough, sweating sputum in nose and chest.
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Paraesthesia, Upper respiratory tract congestion
Clinical narrative: All muscles and lymph nodes (stabbing pains) in knees, elbows, feet, hands and back. I am still feeling stabbing and tingling in muscles, L foot is partially numb. 2nd day after vaccination I had chest congestion and headache. Still feeling stabbing in knees and hands. Swollen Lt arm at injection. Dr's office told me to take ADVIL and I cannot take it because of sensitivity. The date is now 10/12/09 I can't afford to visit doctors office but still have congestion, cough, sweating sputum in nose and chest.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HEP, HIBV, PNC
Symptoms: Unevaluable event, Wrong drug administered
Clinical narrative: PEDIARIX given instead of PENTACEL with HepB. Patient given HIB.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Pain, Sensation of foreign body, Swollen tongue
Clinical narrative: h/a; swollen tongue - felt like a marble at back of tongue; body aches
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous, Tenderness
Clinical narrative: Rash all over chest. Large red. Few areas on other body. Itchy. Also w/arm tenderness. Onset 10/9/09 mild. 10/10/09 spotty and really red.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Gait disturbance, Muscular weakness, Oedema peripheral, Skin warm
Clinical narrative: Received flu shot about 2:00 PM.  At 6:00 PM, I began to shake very hard from head to toe.  I couldn't walk or hold anything in my hands.  My husband was home.  Got in my recliner.  Was really bad.  I knew it had to be the shot.  About 9:00 it slowly started to leave from head to toe.  Then it was gone.  The next day my arm was red, swollen & fevered.  That was ok that evening.  Doctor was out of town.  I spent most of the day - 9/30/09 in my recliner.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Received flu shot about 2:00 PM.  At 6:00 PM, I began to shake very hard from head to toe.  I couldn't walk or hold anything in my hands.  My husband was home.  Got in my recliner.  Was really bad.  I knew it had to be the shot.  About 9:00 it slowly started to leave from head to toe.  Then it was gone.  The next day my arm was red, swollen & fevered.  That was ok that evening.  Doctor was out of town.  I spent most of the day - 9/30/09 in my recliner.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye swelling, Pain, Swelling face
Clinical narrative: Eight days after vaccine, noticed irritation on face - in p.m. Next morning face and eyes swollen, stinging-continued till 10/01/09 when went to ER. Put on PREDNISONE for 20 20 days- no difficulty breathing.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Severe, itchy, red rash on body in 6 hours time. Recommend BENADRYL and see physicians care.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 8 hrs post injection, arm started to turn red and hot; next morning, arm sore and very red and swollen all above elbow. Three days later, still swollen-moved to elbow. Right arm.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of drug administration, Unevaluable event
Clinical narrative: None. Pt given Adult Hep B instead of pediatric Hep B. There was no adverse event: This was a 17 year old getting an adult dose of Hep B. No adverse event noted.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Pruritus generalised
Clinical narrative: Flu vaccine 10-14-09 evening. LEXAPRO taken 10-15-09 for first time *swollen upper lip; body itchiness since am 10-15-09 **given PREDISONE 10 mg
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Dermatitis contact, Eye swelling, Oral pruritus, Pruritus, Rash
Clinical narrative: My 12 year old daughter received her second Gardasil shot Wednesday, September 30, 2009. She complained of her tongue itching later that night. I started giving her Zertec. The next day she was complaining of itching on her face around her eye. I gave her Zertec twice a day until Friday night when she developed a rash on the right side of her face around her eye. At that point I started giving her Benadryl every four hours. Her face was significantly swollen on the right side by Saturday night. Sunday morning, her eye was swollen nearly shut. The right side of her face was swollen so severely, she was unrecognizable from her profile. I applied cool compresses, continued Benadryl, and gave Tylenol for the discomfort. I tried to get an after-hours appointment but was told by the on-call nurse to continue the Benadryl and that unless she had blister, there was no reason to see the doctor. Monday AM her eye was completed swollen shut, and her skin was so tightly swollen the itching had subsided. I did get her a doctor's appointment that afternoon but was told it was contact dermatitis, and that it had nothing to do with the second Gardasil shot that she had five days earlier. I asked the doctor to document the possibility that it was a reaction to the shot in her records. She said it was worth noting but that she had not seen any such reactions. (I do not believe she documented it.) She prescribed 60mg of Prednisone a day for five days and told me to continue to give her the 50 mg of Benadryl every four hours. By Monday night the very raw irritable rash had spread to the other side of her face. Tuesday the swelling on the right side had lessened but her cheek and eye were still puffy and the hives were still very raw. Tuesday night the rash had spread to cover most of the left sides of her face, behind both ears toward the back of her neck, and under her chin, down her neck and onto her chest. I continued to following doctor's instructions giving her the Benadryl and Prednisone. Wednesday morning the redness had subsided some, but her was swollen shut again. Wednesday night the swelling was significantly reduced with just slight puffiness on the right cheek and eye. The hives were no longer an angry red but were still evident and itchy.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Swelling face
Clinical narrative: My 12 year old daughter received her second Gardasil shot Wednesday, September 30, 2009. She complained of her tongue itching later that night. I started giving her Zertec. The next day she was complaining of itching on her face around her eye. I gave her Zertec twice a day until Friday night when she developed a rash on the right side of her face around her eye. At that point I started giving her Benadryl every four hours. Her face was significantly swollen on the right side by Saturday night. Sunday morning, her eye was swollen nearly shut. The right side of her face was swollen so severely, she was unrecognizable from her profile. I applied cool compresses, continued Benadryl, and gave Tylenol for the discomfort. I tried to get an after-hours appointment but was told by the on-call nurse to continue the Benadryl and that unless she had blister, there was no reason to see the doctor. Monday AM her eye was completed swollen shut, and her skin was so tightly swollen the itching had subsided. I did get her a doctor's appointment that afternoon but was told it was contact dermatitis, and that it had nothing to do with the second Gardasil shot that she had five days earlier. I asked the doctor to document the possibility that it was a reaction to the shot in her records. She said it was worth noting but that she had not seen any such reactions. (I do not believe she documented it.) She prescribed 60mg of Prednisone a day for five days and told me to continue to give her the 50 mg of Benadryl every four hours. By Monday night the very raw irritable rash had spread to the other side of her face. Tuesday the swelling on the right side had lessened but her cheek and eye were still puffy and the hives were still very raw. Tuesday night the rash had spread to cover most of the left sides of her face, behind both ears toward the back of her neck, and under her chin, down her neck and onto her chest. I continued to following doctor's instructions giving her the Benadryl and Prednisone. Wednesday morning the redness had subsided some, but her was swollen shut again. Wednesday night the swelling was significantly reduced with just slight puffiness on the right cheek and eye. The hives were no longer an angry red but were still evident and itchy.
Age: 27.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site papule, Pruritus, Pyrexia, Tenderness
Clinical narrative: Lesions started  10/06/09 -at injection site- stated sl. fever - Temperature unknown. Multiple fluid filled raised bumps Rt arm/back/chest and head 4-5 days - Lesions are itchy and slightly tender - Denies fever/nausea or vomiting/headache/previous skin problem or previous hx of chickenpox.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Cough, Injection site haematoma, Injection site pain, Pyrexia
Clinical narrative: Sensitive site, dark bruise, 2 1/2" diameter, 104 degree fever the night of shot, chills. 0129/2010 follow up- fever, vomiting, large painful bruising, cough, sniffles
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Rhinorrhoea
Clinical narrative: Sensitive site, dark bruise, 2 1/2" diameter, 104 degree fever the night of shot, chills. 0129/2010 follow up- fever, vomiting, large painful bruising, cough, sniffles
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Depressed level of consciousness, Dyspnoea, Erythema, Hypoventilation, Respiration abnormal
Clinical narrative: Pt c/o SOB. This rapidly progressed to increase respiration, shallow breathing and gasping for air. Hr face was red - unable to speak and a look of panic on her face. Lower LOC - Epi injection give to (L) leg lateral. Pt recovered. Alert, event X3; O2 placed on Pt. EMT given report.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: 24 hrs after immunization, developed widespread urticaria and itching - Benadryl PO every 4 hrs - Urticaria resolved within 12 hrs.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Diarrhoea, Heart rate increased
Clinical narrative: Approx 4 hours after receiving Flu vaccine patient started with increased pulse, chills, T.102 ax, diarrhea. 10/26/27/2009 hospital records for dates 10/12-10/19/2009. Patient with initial sx of: weakness, cough, fever, diarrhea, lethargy, dehydration, difficulty urinating, hypotensive. Tx: O2 per nc, IV rehydration, IV ABX. Dc Dx UTI w/sepsis, CHF.      ICD-9 codes: 780.60, 038.49, 995.91, 599.0, 276.51, v50.61, 403.90, 585.9, 428.0, 427.31, 453.51