chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.41
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Baby began to run a fever of 101F. Then baby lost appetite. Then baby developed a 1" diameter welt at location of injection on uppermost LT. Very red and angry looking and very hard. Symptoms continued until 11/25/09 and family came back to get assessment from PH Department. Injection was either the PCV7 or the ACTHIB. Family stated that breathing was not affected. Family stated that baby did develop diarrhea on 11/24/09 and it continued for about 12 hours.
Age: 56.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Axillary pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and painful lymph nodes in axilla and neck.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Anaphylactic reaction, Rash, Rash erythematous
Clinical narrative: RASH, SKIN ERUPTION AND REDNESS. 12/8/09 ER records received for date 11/30/09. DX: urticaria Chief c/o diffused rash, throat closing after H1N1 vax. Pt states h/o reaction to seasonal/flu vax.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Anaphylactic reaction, Erythema, Rash
Clinical narrative: RASH, SKIN ERUPTION AND REDNESS. 12/8/09 ER records received for date 11/30/09. DX: urticaria Chief c/o diffused rash, throat closing after H1N1 vax. Pt states h/o reaction to seasonal/flu vax.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Anaphylactic reaction, Rash, Rash erythematous
Clinical narrative: Rash in the skin, redness.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Anaphylactic reaction, Erythema, Rash
Clinical narrative: Rash in the skin, redness.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal pain, Swelling
Clinical narrative: Swelling left Axillary area and Left Shoulder Pain.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Pain
Clinical narrative: Pt with severe body aches, sudden onset. Sx lasted through the night.  Pt took 800mg of Ibuprofen at 8:00AM on 11/17/2009 and sx were better.  Completely resolved by the afternoon of 11/17/09.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Paraesthesia
Clinical narrative: TINGLING AND PRICKING SENSATION ON LOWER AND UPPER EXTREMETIES. ANXIETY.
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Laboratory test, Movement disorder
Clinical narrative: Feet became numb and traveled up the body and eventually completely rendered my husband unmovable with Guillain-Barre Syndrome.  12/01/09 DC summary, ED and hospital records received for DOS 10/06/08-10/17/08. Pt. woke with loss of sensation to distal lower extremities. Numbness progressed up legs throughout the day and by following evening pt. had significant loss of sensation to midabdomen level.  Pt. presented to the ED at this point and was admitted. Neurology consult obtained and a 5-day course of intravenous gamma globulin was completed. Pt. developed progressive respiratory distress, was transferred to ICU, was  intubated and trached. Pt. was unable to be weaned from mechanical ventilation and transferred in stable condition to subacute facility. DC DX: Ascending paralysis secondary to peripheral neuropathy secondary to acute Guillain-Barre syndrome; acute respiratory failure seondary to ventilatory failure; surgical tracheostomy 12/08/09, 12/09/09, 12/11/09  Discharge summary and medical records received for DOS 10/17/08-04/08/09.  Pt. transferred for chronic respiratory failure, ventilator management.  Gastroenterology consult obtained and gastrostomy tube placed.  Pt. was becoming anemic and hematology consult obtained;  Rheumatology consult for elevated sedimentation rate and multiple problems. Pt. underwent 7 bronchoscopies where left lung collapse was noted. Treated with multiple antibiotics. Persistent conjunctivitis and possible need for surgical intervention in additon to ongoing need for bronchoscopy and multiple episodes of sepsis and septic shock prompted transfer to acute care. DC DX:  Guilian-Barre syndrome; acute respiratory failure; hypertension; s/p gastrostomy tube; diabetes mellitus type 2; fungal UTI; pneumonia; sepsis; conjunctivitis; congestive heart failure; malnutrition 12/11/09 DC Summary and Hospital records received for DOS 05/16/09-06/15/09. Transferred to neuro intensive care care for further evaluation and testing; infectious disease consult for drug resisistant infection; opthalmology consult for  bilateral corneal erosions; wound care for stage IV decubitus (coccyx). Transferred to less acute facility for possible vantilator weaning.  DC DX: Axonal polyneuropathy secondary to vasculitis, respiratory failure; glucose intolerance.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Induced labour
Clinical narrative: Took H1N1 vaccine because I was pregnant. The baby's heart beat was heard on 11/03/09. On 11/10/09 the heart had stopped beating. Baby was miscarried by induced labor on 11/18/09.
Age: 1.2
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Dyspnoea, Eye movement disorder, Skin discolouration
Clinical narrative: Patient had a seizure which consisted of both her upper and lower body convulsing.  I started talking to her and I could see her face turning dark purple.  Her eyes were shaking. Seizure lasted a little over a minute.  She had not had a seizure for about a month and has never turned purple and couldn't breathe with one before. She has not had any other adverse signs since. Followed up with Dr. on Monday and was unable to make contact. He did leave message on answering machine.  Did discuss with school nurse too.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Angioedema, Cough, Drug exposure during pregnancy, Hot flush, Nausea
Clinical narrative: Pt felt fine day of appt 11/24/09. Received vaccine, reports feeling funny and hot flashes same day in the evening. Next day, 11/25 developed cough, throat itching. Overnight 11/25, tongue swelling, coughing and n/v. Came to ED 11/26 when syptoms did not improve. Diagnosed with angioedema. Treated with steroids, diphenhydramine, and famotidine. Did not require intubation. Pt improved 11/27 and was discharged to home.  12/01/09 ED, H&P for DOS 11/26/09-11/27/09 Final DX: Angioedema  Pt c/o tongue swelling, throat swelling, wheezing, fatigue, cough, and had not felt fetal movements for 2d. Pt admitted for observation. tx: solumedrol, Benadryl, Zofran, Tylenol, Morphine. Pt discharged in fair condition.  12/01/09 ED records for DOS 11/26/09-11/27/09: FHR: 152 BPM, BP: 128/72 mmHg, glucose: 110 mg/dl.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Swollen tongue, Throat irritation, Vomiting
Clinical narrative: Pt felt fine day of appt 11/24/09. Received vaccine, reports feeling funny and hot flashes same day in the evening. Next day, 11/25 developed cough, throat itching. Overnight 11/25, tongue swelling, coughing and n/v. Came to ED 11/26 when syptoms did not improve. Diagnosed with angioedema. Treated with steroids, diphenhydramine, and famotidine. Did not require intubation. Pt improved 11/27 and was discharged to home.  12/01/09 ED, H&P for DOS 11/26/09-11/27/09 Final DX: Angioedema  Pt c/o tongue swelling, throat swelling, wheezing, fatigue, cough, and had not felt fetal movements for 2d. Pt admitted for observation. tx: solumedrol, Benadryl, Zofran, Tylenol, Morphine. Pt discharged in fair condition.  12/01/09 ED records for DOS 11/26/09-11/27/09: FHR: 152 BPM, BP: 128/72 mmHg, glucose: 110 mg/dl.
Age: 44.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Hives/itchy bumps on neck/chin/face and head. Recieved both H1N1 and reg seasonal Flu Shot.
Age: 69.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cold sweat, Death, Malaise, Pyrexia, Somnolence
Clinical narrative: Wife called home health and said pt wasn't feeling well, was more drowsy than usual.  HH Aide visited at 9:15 AM.  He was afebrile and respirations were 36.  Skin was cold and clammy.  Aide encouraged daughter to take him to ER.  Daughter stated she thought he might get to feeling better and that if he didn't get better or if he seemed worse, she would take him.  RN talked to wife later in afternoon around 3:00 PM and wife reported he had eaten some and seemed to be feeling a little better.  When his wife went to wake him early Thursday AM , she could not arouse him and she called 911. When they responded the coroner was called.  12/3/09 Death Certificate received. DOD 11/26/09. Final Cause of Death: Myocardial Infarction, NOS & Chronic Pulmonary Disease, Dementia, Stroke (CVA).
Age: 69.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Tachypnoea
Clinical narrative: Wife called home health and said pt wasn't feeling well, was more drowsy than usual.  HH Aide visited at 9:15 AM.  He was afebrile and respirations were 36.  Skin was cold and clammy.  Aide encouraged daughter to take him to ER.  Daughter stated she thought he might get to feeling better and that if he didn't get better or if he seemed worse, she would take him.  RN talked to wife later in afternoon around 3:00 PM and wife reported he had eaten some and seemed to be feeling a little better.  When his wife went to wake him early Thursday AM , she could not arouse him and she called 911. When they responded the coroner was called.  12/3/09 Death Certificate received. DOD 11/26/09. Final Cause of Death: Myocardial Infarction, NOS & Chronic Pulmonary Disease, Dementia, Stroke (CVA).
Age: 30.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dysgeusia
Clinical narrative: Persistent metallic taste.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1), HEP, HIBV
Symptoms: Ataxia, Blood culture negative, CSF culture negative, CSF test normal, Culture urine negative
Clinical narrative: Pt awoke on morning of admission (11/25/09) with jerking movements of head and ataxic gait of abrupt onset, which slowly resolved through 48 hour hospitalization.  12/2/2009 hospital records and discharge summary received. Service dates 11/25/09 to 11/26/09. Assessment: Acute ataxia, movement disorder. Patient presents with an acute onset of unsteady gait with multiple episodes of back/head extension. Fussy. Tympanic membrane bulging. Nonfocal neurologic exam. No evidence of infection. To follow-up as outpatient. Discharged.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1), HEP, HIBV
Symptoms: Dyskinesia, Electroencephalogram normal, Laboratory test normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Pt awoke on morning of admission (11/25/09) with jerking movements of head and ataxic gait of abrupt onset, which slowly resolved through 48 hour hospitalization.  12/2/2009 hospital records and discharge summary received. Service dates 11/25/09 to 11/26/09. Assessment: Acute ataxia, movement disorder. Patient presents with an acute onset of unsteady gait with multiple episodes of back/head extension. Fussy. Tympanic membrane bulging. Nonfocal neurologic exam. No evidence of infection. To follow-up as outpatient. Discharged.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood immunoglobulin G normal, Cough, Dry throat, Impaired work ability, Mononucleosis heterophile test
Clinical narrative: H1N1 vaccine 11-5-09. On 11-16-09, reported that on 11-6-09 developed sore throat, "terrible cough", fever to 103+ "never felt so terrible". States she had a slight red scratchy throat on day of shot - had a physical that a.m. and states her doctor said OK to get shot that day. Off work x 1 week. Fever 3 days.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Neutrophil count, Oropharyngeal pain, Pharyngeal erythema, Pneumonia, Pyrexia
Clinical narrative: H1N1 vaccine 11-5-09. On 11-16-09, reported that on 11-6-09 developed sore throat, "terrible cough", fever to 103+ "never felt so terrible". States she had a slight red scratchy throat on day of shot - had a physical that a.m. and states her doctor said OK to get shot that day. Off work x 1 week. Fever 3 days.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Throat irritation, White blood cell count
Clinical narrative: H1N1 vaccine 11-5-09. On 11-16-09, reported that on 11-6-09 developed sore throat, "terrible cough", fever to 103+ "never felt so terrible". States she had a slight red scratchy throat on day of shot - had a physical that a.m. and states her doctor said OK to get shot that day. Off work x 1 week. Fever 3 days.
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Neuritis, Vertigo
Clinical narrative: Initial report received on 20 November 2009 from a pharmacist. A female patient received an injection of Influenza A (H1N1) - Preservative (lot number and date of administration not reported), and on an unspecified date post-vaccination she developed vertigo and possible vestibular neuritis. No additional information was reported. Documents held by sender: None.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Pt c/o dizziness AM!  Shortness of breath X 2 day.
Age: 0.96
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: My daughter is 11 months old and received the Novartis H1N1 vaccination.  I think she received the full adult dose.  She should have received the Sanofi brand since she is <4 years old.  Did well.  No treatment needed thus far.  Would like to know if she needs revaccination.
Age: 54.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Racing heart and difficulity breathing. Started within a few minutes, never got real severe, stayed the same and better a few hours later. Just went home. Would have seen a DR if got worse.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal distension, Vomiting
Clinical narrative: Has Severe Bloating and Vomited Once then was all right.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Blood culture, Dysphonia, Electrocardiogram, Fatigue, Generalised oedema
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Injection site swelling, Injection site urticaria, Laboratory test, Lumbar puncture, Myalgia
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Oedema, Pyrexia, Scan brain, Vomiting
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Abdominal discomfort, Arthralgia, Blood culture, Computerised tomogram, Condition aggravated
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Confusional state, Culture, Culture urine, Decreased appetite, Delirium
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Dysphonia, Dysstasia, Headache, Injection site erythema, Injection site swelling
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Injection site urticaria, Joint swelling, Oedema, Oedema peripheral, Pain
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Pyrexia, Saliva analysis, Screaming, Spinal fusion surgery, Stress
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Urine analysis abnormal, Vomiting
Clinical narrative: 11/21 PM developed localized swelling + hives to injection site. 11/22 AM awoke with generalized edema, muscle aches, fatigue, hoarseness. 11/24 AM developed 104 fever, delirium, vomiting. Taken to hospital - underwent lab work w/ blood cultures, ECG, head CT scan unsuccessful lumbar puncture (due to previous spinal fusion). Admitted to hospital w/ encephalopathy (per husband). Discharged 11/26/09, states Dr's Inpatient treated by Primary physician Dr said had a reaction to vaccine.  12/01/09 ED and Consult notes for DOS 11/24/09 - 11/26/09 -  DX: Febrile infection or possible viral meningitis  Pt developed injection site reaction with hives and later was weak, lethargic, had fever, and vomiting. Neuro exam: L side weakness and confused. tx: Rocephin and Vancomycin.  CSF unsucessful due to prior spinal surgeries and risk of bleeding. Fever resolved and Pt was more alert.  Pt discharged home.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Chills, Hyperhidrosis, Hypoaesthesia oral, Lacrimation increased
Clinical narrative: Initial report received on 16 November 2009 from a consumer's spouse. A 50-year-old male patient, who has seasonal allergies, had received an intramuscular right deltoid injection of FLUZONE 2009-2010 (lot number U3260EA) on 09 November 2009. Four hours post-vaccination the patient complained of a "weird feeling in throat" so he took BENADRYL 50mg. Both eyes became blood shot and were tearing. His lower lip became numb and his tongue was swollen. The patient went to the emergency room. At that time, his blood pressure was increased (reading not provided) and he was administered SOLUMEDROL, PEPCID and "saline." The patient then developed chills and sweats. By the next morning, all symptoms had resolved. Documents held by sender: None.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Swollen tongue, Throat irritation
Clinical narrative: Initial report received on 16 November 2009 from a consumer's spouse. A 50-year-old male patient, who has seasonal allergies, had received an intramuscular right deltoid injection of FLUZONE 2009-2010 (lot number U3260EA) on 09 November 2009. Four hours post-vaccination the patient complained of a "weird feeling in throat" so he took BENADRYL 50mg. Both eyes became blood shot and were tearing. His lower lip became numb and his tongue was swollen. The patient went to the emergency room. At that time, his blood pressure was increased (reading not provided) and he was administered SOLUMEDROL, PEPCID and "saline." The patient then developed chills and sweats. By the next morning, all symptoms had resolved. Documents held by sender: None.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Local reaction, Pruritus, Urticaria
Clinical narrative: Local reaction - urticaria - pair/pruritic X 4 days, resolved by day 7.
Age: 8.0
Sex: U
Vaccine: FLU(H1N1), FLU3
Symptoms: Incorrect dose administered, Unevaluable event
Clinical narrative: Patient was given 5mg when it should have been 25mg.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Fall, Syncope
Clinical narrative: Initial report received from a health care professional on 16 November 2009. An eight-year-old male patient (date of birth reported as 03 March 2001) with a medical history of asthma, had received a second dose of left deltoid injection of FLUZONE, lot number U2513AA on 10 December 2007 and that same day upon standing after receiving the vaccine, the patient fainted and fell to the floor. The patient had previously received a first dose of FLUZONE (lot number, route and site not reported) on 09 November 2007. The patient had no concurrent illness and he had been taking Albuterol concomitantly at the time of vaccination. The reporter noted that the event required an emergency room or doctor's visit (not specified) and the patient recovered. The reporter for this case is the same as for case number 2009-04495. Documents held by sender: None.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Gave 3rd shot, patient fainted from sitting position on table. Doctor notified. B/P 110/70. Patient rested on table for 15 min until felt better. Left office without difficulty.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Initial report was received from a health care professional on 16 November 2009. It involves one patient in a cluster of seven patients who experienced adverse events following vaccination with FLUZONE SV 2009-2010, lot number U3193AA. The other events are found in case numbers 2009-04035, 2009-05006, 2009-05008, 2009-05009, 2009-05010, 2009-50011. A 33-year-old female patient received an intramuscular left deltoid injection of FLUZONE SV 2009-2010 (lot number U3193AA) on 11 September 2009. Twelve hours post-vaccination, she experienced a sore scratchy throat, fever, chest congestion, and wheezing. She also developed a four to five inch injection site reaction which was red and swollen. Over the next one to two days she was treated with an antibiotic, SOLUMEDROL, and XOPENEX. Ice was applied to the injection site. The event recovered after a week to a week and a half. Documents held by sender: None.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation, Wheezing
Clinical narrative: Initial report was received from a health care professional on 16 November 2009. It involves one patient in a cluster of seven patients who experienced adverse events following vaccination with FLUZONE SV 2009-2010, lot number U3193AA. The other events are found in case numbers 2009-04035, 2009-05006, 2009-05008, 2009-05009, 2009-05010, 2009-50011. A 33-year-old female patient received an intramuscular left deltoid injection of FLUZONE SV 2009-2010 (lot number U3193AA) on 11 September 2009. Twelve hours post-vaccination, she experienced a sore scratchy throat, fever, chest congestion, and wheezing. She also developed a four to five inch injection site reaction which was red and swollen. Over the next one to two days she was treated with an antibiotic, SOLUMEDROL, and XOPENEX. Ice was applied to the injection site. The event recovered after a week to a week and a half. Documents held by sender: None.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Erythema, Irritability, Mood swings, Urticaria
Clinical narrative: 24 hours after vaccinations mother noticed redness and hives over cheeks - no dyspnea or dysphagia. No swelling of tongue or lips - Hives responded to BENADRYL. Has had episodes of moodiness and fussiness - ? vaccines or BENADRYL.
Age: 14.0
Sex: F
Vaccine: FLUN3
Symptoms: Dizziness, Feeling hot, Pallor, Paraesthesia
Clinical narrative: Appeared slightly pale. C/o little faint, tingling, "feels hot". No pain, RN had pt sit down. Provided drinking water. Waited 10 minutes then had pt. walk around - felt fine. V.S. 115/61, P=68; T=97.9.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Hydronephrosis
Clinical narrative: Information has been received from the pregnancy registry for GARDASIL from a 23 year old female patient, with no pertinent medical history and no drug reactions/allergies, who on 26-JUN-2008, was vaccinated with the first dose of GARDASIL. Concomitant therapy included cephalexin. A few days later after receiving the first dose of GARDASIL, the patient found out she was pregnant. The patient sought medical attention. The last menstrual period was six weeks from 23-JUL-2008 (approximately on 11-JUN-2008). On an unspecified date, was performed a pregnancy test resulting positive. Estimated date of delivery approximately 18-MAR-2009. No adverse reaction was reported. Follow up information received from the patient indicated that on 12-MAR-2009 she gave birth to baby girl. It was reported that the baby had "some problems"; the baby was born with hydronephrosis in her kidneys and had two surgeries. The baby was "doing fine now". Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Rash erythematous, Rash macular
Clinical narrative: Red blotch developed on side of face 8 hrs after receiving vaccine. Also red blotch on left side of chest just below arm pit. Rash was some what itchy. Seen in student health and told if it continued next day - would give BENADRYL. No wheezing or other symptoms.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: R. arm injection site raised, red swollen, hot to touch 10cm round. Arm was achey.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Dyskinesia, Fall, Gaze palsy, Musculoskeletal stiffness, Somnolence
Clinical narrative: Patient received 1st seasonal flu vaccine within 1 hr later observed jerks and patient fell. Dr picked him up and no iced eyes rolled back and stiff. This lasted about 1 min. Father states sleepy in ER. ER DID state fire on arm
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Local swelling, Nausea, Pyrexia, Rash, Vomiting
Clinical narrative: Pt states that evening after receiving PPV23 shot, he got a high fever, nausea, vomiting, then "slept for 2 days".  Developed a rash on opposite leg, and swelling of groin.  Went to another doctor and was prescribed hydrocortis cream.
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Laboratory test, Pancreatectomy, Systemic lupus erythematosus
Clinical narrative: Information has been received concerning a female patient "maybe college-age" with unspecified medical history, drug reactions or allergies, who in 2008 was vaccinated with a dose of GARDASIL (route and lot # unknown). Concomitant medication unspecified. On 17-NOV-2009, a news station reported that the patient reported that she received GARDASIL and on an unspecified date she became tired all of a sudden, she also suddenly developed lupus and her pancreas had to be taken out. She possibly might need chemotherapy in the future. Unspecified lab diagnostic studies performed. The patient sought unspecified medical attention. At the time of this report the patient had not recovered. Attempts are being made to verify the existence of an identifiable patient. No further information is available.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: She had redness and hives the size of a nickel at the site of the Varicella vaccine within 2 minutes of receiving the injection. She was given Benadryl (2tsp) observed in our for 30 minutes with no difficulties.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Laboratory test, Muscular weakness, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain
Clinical narrative: Fatigue, extremity weakness for 1 week; w/u while inpt consisted of lab work and imaging, no treatment.
Sex: U
Vaccine: HPV4
Symptoms: Blindness, Paralysis
Clinical narrative: Information has been received from a medical assistant who heard from a physician's assistant concerning some patients who were vaccinated with unspecified doses of GARDASIL (lot#, route and site of administration not reported). Subsequently, the patients became blind and paralyzed. At the time of this report, the patient's outcome were unknown. Follow up information has been received from a physician's assistant who stated that one of her patients stated that she did not want receive GARDASIL because she had heard someone became paralyzed after receiving GARDASIL. Upon internal review, being paralyzed was considered to be an other important medical event. Attempts to verify the existence of an identifiable patient have been unsuccessful. This is one of several reports from the same source. Additional information is not expected.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Patient had redness and hives the size of (2) 25 cent pieces at the injection site within 5 minutes of receiving the injection. Patient was given BENADRYL (qtsp) and observed in our office for 30 minutes without any difficulties.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Pt had redness and hives the size of (2) 25 cent pieces at the injection site of the VARICELLA vaccine within 5-7 minutes of receiving the vaccine injection.  Pt was given 2 tap of BENADRYL and observed in our office for 30 minutes with no difficulties.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Condition aggravated, Hypoaesthesia, Lower respiratory tract infection, Paraesthesia
Clinical narrative: Initial report received on 12 November 2009 from a health care professional. This case (involving a 49-year-old female) is part of a cluster of three cases received from the same reporter with the same product and lot-number. Information regarding the other two patients is reported in cases 2009-04810 and 2009-04931. A 49-year-old female patient, who had no concurrent illness, but has allergy to sulfa and Penicillin, and a history of "MVP" (mitral valve prolapse) and left hip pain (etiology not reported), had received an intramuscular left deltoid injection of Influenza A (H1N1) 2009 Monovalent vaccine-Preservative (lot number UP009AA) on 10 November 2009. A few hours post-vaccination, the patient developed intermittent numbness and tingling in the left shoulder, arm, hand, and fingers especially the thumb. The patient also experienced aggravation of her left hip pain brought on by the vaccine, and a chest cold without productive cough (date not reported). The patient required a doctor visit; however, no relevant diagnostic tests or laboratory data were performed. It was not reported whether the patient required any treatment. The patient is currently being seen by an occupational health doctor. At the time of this report, the patient had not recovered. Documents held by sender: None.   12/3/2009 PCP notes from 11/12 and 12/3/2009, patient with c/o's lt shoulder, hand, arm and hip numbness/tingling. Rx'd prednisone. Sx resolved as of 12/3/2009.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Peripheral coldness
Clinical narrative: 10:15 am Pt complained of cool hands and warm head after vaccine administered. 10:20 am suggested to go to urgent care per doctor. Pt decided to wait and see if symptoms got worse but believes they are getting better, hand are warming up. 10:52 am checked on pt, symptoms with hands are gone. Head still feels warm to him. Advised to call student health  concern line w/any changes.
Age: 70.0
Sex: M
Vaccine: PPV, TD, VARZOS
Symptoms: Abdominal discomfort, Chills, Lethargy, Palpitations, Pyrexia
Clinical narrative: Pt. contacted clinic and stated that on the second day of vaccination he developed fever 101.2, chills, lethargic, pulse was 96 and BP 131/79.  His stomach felt uncomfortable.  The third day his heart went up and felt his heart pounding.  After the fourth day symptoms tapered off and he feels okay today on 11/09/2009.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site urticaria
Clinical narrative: Hives on inj arm four hours later
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Feeling hot, Flushing, Heart rate irregular
Clinical narrative: Initial report received 13 November 2009 from a consumer, who is also the patient. A 58-year-old female patient with a history of multiple drug allergies, had received an injection of H1N1 2009 vaccine - Preservative (lot number, route and site not reported) on 13 November 2009 and approximately 45 minutes later, she felt weak, dizzy, flushed, hot, sweaty, "felt like eyes dilated", and her heart was pounding. Three hours later she continued to feel weak, hot and shaky, and her heart slowed down to sometimes feel like it skipped a beat. The patient contacted her health care provider, but was not evaluated. The patient stated that she would call her health care provider back if her symptoms worsened or "if they continued to last". The patient had previously received a Flu vaccination (manufacturer, lot number, route and site not reported) during October 2009. At the time of the report, the patient had not recovered. Documents held by sender: None.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hyperhidrosis, Mydriasis, Palpitations, Tremor
Clinical narrative: Initial report received 13 November 2009 from a consumer, who is also the patient. A 58-year-old female patient with a history of multiple drug allergies, had received an injection of H1N1 2009 vaccine - Preservative (lot number, route and site not reported) on 13 November 2009 and approximately 45 minutes later, she felt weak, dizzy, flushed, hot, sweaty, "felt like eyes dilated", and her heart was pounding. Three hours later she continued to feel weak, hot and shaky, and her heart slowed down to sometimes feel like it skipped a beat. The patient contacted her health care provider, but was not evaluated. The patient stated that she would call her health care provider back if her symptoms worsened or "if they continued to last". The patient had previously received a Flu vaccination (manufacturer, lot number, route and site not reported) during October 2009. At the time of the report, the patient had not recovered. Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Swelling
Clinical narrative: 8 cm X 7 cm redness swollen, 0 fever, TDAP on left side noticed the same day.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Facial nerve disorder, Facial palsy, Hypoaesthesia oral
Clinical narrative: Initial case received from a health care professional on 13 November 2009. A nine-year-old female patient received a first deltoid injection of INFLUENZA A H1N1 2009 MONOVALENT VACCINE - Preservative (lot number UP008AA) on 31 October 2009, and later was diagnosed with Bell's Palsy. The patient had a history of allergies to SEPTRA and AUGMENTIN, and had no reported illness at the time of vaccination. She had also received FLUZONE SV 2009-2010 (lot not reported) on an unknown date, sometime within the four weeks prior to 31 October 2009. On 12 November 2009, 12 days post-vaccination, the patient was seen by her physician with complaints of lip numbness on the left side which progressed to absent function of the left facial nerve. She was diagnosed with Bell's Palsy. Outcome was unknown at the time of the report. Documents held by sender: None. 12/02/09 Medical records received for DOS 11/04/09, 11/12/09, 11/27/09. Pt. presents with numbness on left side of lips. Had fever, pharyngitis one week ago and vaccine two weeks ago. Assessment: Bells Palsy
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache
Clinical narrative: Student went to health room just before 11am, after clinic finished student reported had headache right after got flu nasal spray but didn't say anything, went to class & recess, in health room, HR R&R 84/min,  breaths 12/min. lungs clear, no wheeze. Had water, rested, went back class.
Age: 49.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Herpes zoster, Injection site pain, Pain in extremity, Rash erythematous
Clinical narrative: Initial report received on 13 November 2009 and 16 November 2009 from a nurse, who is also the patient. A 49-year-old female patient received a first intramuscular left deltoid injection of Influenza A (H1N1) 2009 Monovalent Vaccine - Preservative (lot number UP009AA) on 19 October 2009. On 11 November 2009, 23 days post-vaccination, the patient experienced pain in her entire left arm. Her left index finger was described as having linear red bumps, which was diagnosed by an emergency room physician as shingles. The patient had a history of catamenial pneumothorax and allergies to penicillin and COMPAZINE, and was taking SINGULAIR, ACTIVELLA, ALLEGRA, Vitamin D, and LUPRON concomitantly. AT the time of the report, the event was still ongoing. Documents held by sender: None.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Headache, Immobile, Malaise, Myalgia
Clinical narrative: I had a fever, felt nauseated and my body was temporarily immobilized, couldn't move for 2 hrs. Pt. had fever (101.7), chills, myalgia, malaise and a mild headache. Symptoms resolved in 48 hours.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Pyrexia
Clinical narrative: I had a fever, felt nauseated and my body was temporarily immobilized, couldn't move for 2 hrs. Pt. had fever (101.7), chills, myalgia, malaise and a mild headache. Symptoms resolved in 48 hours.
Age: 28.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Oedema peripheral
Clinical narrative: Patient states she woke in the middle of the night with her arms feeling like they were asleep. Then in the morning both hands were swollen left more than right. Also states that if she raises her arms up in the air they "go to sleep and become numb". States that last night 11/29/2009 was the first night she was able to sleep through the night and today is the first day she can put her wedding ring back on. States that her hands still swell and arms go numb but is getting a little better.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: hives with yellowish center and raised border, largest 5 cm diameter, some confluent, distibuted over chest arms, ankles
Age: 1.93
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Screaming, Sleep talking
Clinical narrative: Fever of 104.6F, given OTC Tylenol every 12 hrs.  Temp WNL on Monday, but is screaming and mumpling in sleep. Had seasonal vaccine approx 2 weeks prior.  Takes Zyrtec for allergies.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eyelid disorder, Facial palsy
Clinical narrative: Initial case received from a nurse, who is also the patient's parent, on 15 November 2009. A 19-year-old female patient received a right intramuscular injection of Influenza A (H1N1) 2009 Monovalent Vaccine - Preservative (lot number UP022AA) on 12 November 2009, and three days post-vaccination complained of her right eye not closing and her lip drooping on the left side of her mouth. The patient had no other neurological symptoms. According to the reporter, the patient's gait, hand strength, and muscle strength were all normal. The patient had no medical history, and was not ill at the time of vaccination; concomitant medications included iron tablets and ibuprofen. At the time of the report, the events remained ongoing. Documents held by sender: None. 12/1/09 Medical records received for date 8/20/09 to 11/12/09. DX: rt. facial paresis, Bell's palsy.  Pt received seasonal flu vax on 8/20 and H1N1 vax on 11/12. OV on 11/16 pt. c/o rt. eyelid paralysis, unable to taste on rt. side of tongue, smile uneven, rt side facial weakness. Assessment: (+)rt side facial drooping UE, and LE strength WNL.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, FLUN3, HEPA
Symptoms: Injection site erythema, Local reaction
Clinical narrative: Red area R thigh (local reaction)
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Chills, Mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: Above person received the H1N1 vaccine, within 2 hours reported inability to lift arm, pain from elbow to hand.  Has also developed swelling to hand (R) (unable to put on rights).  Also reported no fever but constant "chills".  Has appt with orthopedic spec. on 12/4.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: X-ray abnormal
Clinical narrative: Above person received the H1N1 vaccine, within 2 hours reported inability to lift arm, pain from elbow to hand.  Has also developed swelling to hand (R) (unable to put on rights).  Also reported no fever but constant "chills".  Has appt with orthopedic spec. on 12/4.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Fatigue, Malaise, Myalgia, Pyrexia
Clinical narrative: Fatigue, coughing, low grade fever, muscle aches, malaise.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Blood test, Dystonia, Electroencephalogram, Facial palsy, Movement disorder
Clinical narrative: Weakness in legs, hands and feet curled in and right side facial droop. Dr. is calling this dystonia. Antibiotics (Rocephin and Omnicef) Benadryl and Decadron.
Age: 14.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Muscular weakness, Neurological examination, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain
Clinical narrative: Weakness in legs, hands and feet curled in and right side facial droop. Dr. is calling this dystonia. Antibiotics (Rocephin and Omnicef) Benadryl and Decadron.
Age: 50.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Body temperature increased, Chills
Clinical narrative: Received Pneumovax on 11/26/09. Chills started 11/26 pm, on 11/27, chills and temp to 102.6 F, highest reached was 103.6. Started Motrin and no fever by 11/28 pm on Motrin.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site pustule, Injection site swelling
Clinical narrative: Swelling at injection site approx.4-5 cm in size.Small pustual at both injection sites.Patient started on Augmentin.
Age: 68.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Mania, Mental disorder
Clinical narrative: Wife stated that on 10/29/09 husband was very quiet and didn't say much, then as days went on, he began to think that they had millions of dollars and was fixated on receiving millions of dollars and buying property, was taken to hospital and admitted on 11/16/09 and continues to have mental problems and fixations.  Pt. was admitted to hospital on 11/16/09 and transferred to Geriatric Psychiatric unit on 11/18/09 for "Elderly Mania". 12/01/09 Hospital records received for DOS 11/15/09-11/18/09 Pt presented with acute mental status changes including delusions of grandeur, acute anxiety and rage x 1-2 weeks, increasing in severity last 2-3 days Assessment: Acute mental status changes; mild dehydration  12/14/09 Hospital Discharge Summary received for DOS 11/16-11/18/09. Pt transferred to geropsychiatric ward for further evaluation. DC DX: acute delusional state with delusions of grandeur paranoid behavior; chronic renal insufficiency; CAD s/p CABG; hypertension; hypokalemia; history of edema; history of constipation; hyperlipidemia; B12 deficiency; osteoarthritis; peripheral artery disease of bilateral lower extremities; insomnia; COPD
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Bronchial hyperreactivity, Bronchitis, Oropharyngeal pain, Pharyngitis, Radioallergosorbent test negative
Clinical narrative: rash (about the size of a half-dollar coin) on the arm and wheezing that required treatment with albuteral & steroid inhaler