chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 08/14/10 In AM observed redness, tenderness & swelling on Lt Arm. Started warm compress x 3-5 min then did cold compress x 5 min. Pt states redness goes down to elbow, measured site at 5" wide & 6" long, advised pt to call & go see her Dr.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Burning sensation, Hyperhidrosis, Pallor, Pruritus, Urticaria
Clinical narrative: 10-15 min after admin of vaccine pt. looked pale, diaphoretic, itchy (hives), wheezing, and c/o (B) feet burning. 911 called, SQ epi given.  Pt discharged from ER a few hours later.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Wheezing
Clinical narrative: 10-15 min after admin of vaccine pt. looked pale, diaphoretic, itchy (hives), wheezing, and c/o (B) feet burning. 911 called, SQ epi given.  Pt discharged from ER a few hours later.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Syncope
Clinical narrative: Within a minute after receiving HPV patient felt faint and then had a syncopal episode. Dr. was called into room. We placed her on exam table with her legs elevated. Within 5-10 seconds she regained consciousness, was able to talk. Vitals taken-states she feels better.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Dysphonia
Clinical narrative: Mom reported at next OV to writer that she didn't want ROTATEQ as 24 hours after last shots pt had extreme hoarseness, "would cry and no sound came out". Called nurse and saw MD 1 week later. NO meds or tx given.
Age: 32.0
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Fever, 101, nausea, no vomiting, chills, rigors
Age: 62.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Dyspnoea, Erythema, Full blood count, Laboratory test, Microbiology test normal
Clinical narrative: Had pneumonia vaccination Wednesday 5/5/2010 at 10:23 to left deltoid. Wednesday night left arm began hurting, swelling and turning red. The patient walk in to his primary clinic Friday 5/07/2010 because he developed of shortness of breathe and wheezing along with redness and swelling of his arm. Provider summary was patient face and extremities was red, his lungs was wheezing, slight dyspnea and Tachypnea. Patient was transport to local hospital emergency for intervention treatment.
Age: 62.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Oedema peripheral, Pain in extremity, Tachypnoea, Wheezing
Clinical narrative: Had pneumonia vaccination Wednesday 5/5/2010 at 10:23 to left deltoid. Wednesday night left arm began hurting, swelling and turning red. The patient walk in to his primary clinic Friday 5/07/2010 because he developed of shortness of breathe and wheezing along with redness and swelling of his arm. Provider summary was patient face and extremities was red, his lungs was wheezing, slight dyspnea and Tachypnea. Patient was transport to local hospital emergency for intervention treatment.
Age: 62.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Culture negative, Dyspnoea, Erythema, Full blood count, Metabolic function test
Clinical narrative: Had pneumonia vaccination Wednesday 5/5/2010 at 10:23 to left deltoid. Wednesday night left arm began hurting, swelling and turning red. The patient walk in to his primary clinic Friday 5/07/2010 because he developed of shortness of breathe and wheezing along with redness and swelling of his arm. Provider summary was patient face and extremities was red, his lungs was wheezing, slight dyspnea and Tachypnea. Patient was transport to local hospital emergency for intervention treatment.
Age: 62.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Microbiology test normal, Oedema peripheral, Pain in extremity, Tachycardia, Tachypnoea
Clinical narrative: Had pneumonia vaccination Wednesday 5/5/2010 at 10:23 to left deltoid. Wednesday night left arm began hurting, swelling and turning red. The patient walk in to his primary clinic Friday 5/07/2010 because he developed of shortness of breathe and wheezing along with redness and swelling of his arm. Provider summary was patient face and extremities was red, his lungs was wheezing, slight dyspnea and Tachypnea. Patient was transport to local hospital emergency for intervention treatment.
Age: 62.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Wheezing
Clinical narrative: Had pneumonia vaccination Wednesday 5/5/2010 at 10:23 to left deltoid. Wednesday night left arm began hurting, swelling and turning red. The patient walk in to his primary clinic Friday 5/07/2010 because he developed of shortness of breathe and wheezing along with redness and swelling of his arm. Provider summary was patient face and extremities was red, his lungs was wheezing, slight dyspnea and Tachypnea. Patient was transport to local hospital emergency for intervention treatment.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Consciousness fluctuating, Lethargy, Pyrexia, Vomiting
Clinical narrative: Fever 103R, in/out of consciousness, vomiting, lethargic.
Age: 1.52
Sex: M
Vaccine: HEPA
Symptoms: Chest X-ray abnormal, Febrile convulsion, Grand mal convulsion, Lymphocyte percentage decreased, Neutrophil percentage increased
Clinical narrative: FEBRILE SEIZURE LASTING 1 MINUTE. FEVER 102.2, TONIC CLONIC SEIZURE BY DESCRIPTION. RHINORRHEA EARLIER THIS DAY. BILATERAL PNEUMONIA SEEN ON CHEST XRAY. PATIENT PLACED ON AUGMENTIN.
Age: 1.52
Sex: M
Vaccine: HEPA
Symptoms: Pneumonia, Pyrexia, Rhinorrhoea, White blood cell count normal
Clinical narrative: FEBRILE SEIZURE LASTING 1 MINUTE. FEVER 102.2, TONIC CLONIC SEIZURE BY DESCRIPTION. RHINORRHEA EARLIER THIS DAY. BILATERAL PNEUMONIA SEEN ON CHEST XRAY. PATIENT PLACED ON AUGMENTIN.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: General fever, then Saturday, fever at site, seen at ER on Saturday.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: Right thigh red, hot packs.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Rash, redness, swelling localized at bilateral injection sites on 8/20 developed into intense itching on both injection sites 8/21/10. Symptoms relieved by 8/22/10.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Blood culture negative, Petechiae, Rash
Clinical narrative: Received MMRV, Dtap, IPV about 12:05. Returned to office 1:30pm with rash on his l forehead, back of neck, ankles and wrists- looking like petechiae. Child did not appear ill. Because he had just received immunizations and presented with petechiae, he was sent to the Hospital for evaluation. He was admitted for blood cultures and treated with antibiotics x48 hours for possible meningococemia.  He did well and was discharged in 48 hrs with blood cultures negative at 48 hrs.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Anxiety, Aphasia, Arrhythmia, Asthenia
Clinical narrative: Information has been received from a physician concerning her 15 year old daughter with no pertinent medical history or drug allergies who in September 2009, was vaccinated with a first dose of GARDASIL (lot # not reported). No concomitant medications were reported. It was reported that in September 2009, very soon after the injection of GARDASIL, the patient developed fatigue and nausea. When the patient was on leaving the physician's office she experienced syncope. The patient began having symptoms of high fever, headache and sore muscles. The patient was lethargic for months after she received GARDASIL. In June 2010 the patient had chest pain and went to the Emergency Room where she was diagnosed with anxiety. The EKG showed arrhythmias. The patient became weak and had to quit the Track Team at school. In June 2010 the patient was tired and lethargic and began to forget things. Approximately three weeks ago, in approximately August 2010, the patient developed a tremor in her left hand and she was unable to speak. The patient developed chronic seizures with chorea. On 08-AUG-2010 the patient was admitted to hospital. On 15-AUG-2010 the patient developed a stroke and was non verbal. The patient was diagnosed with drug induced systemic lupus erythematous with chorea. It was reported that there was central nervous system (CNS) involvement and the patient had vasculitis of the brain. The physician did not report what type of diagnostic testing the patient had received. The patient was being treated with ten different medications reported as follows: intravenous immune globulin (IVIG), antibiotics, anti hypertensive medications due to kidney involvement and high doses of IV prednisone. The physician stated that today, on 17-AUG-2010, the patient was to begin chemotherapy with IV cytotoxin for a duration of 24 hours. Currently, the patient had her voice back and was able to move all of her extremities except the left arm. As of 16-AUG-2010 the patient had not recovered from drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias. The patient was presently in hospital. The reporter felt that drug induced systemic lupus erythematosus with chorea was related to therapy with GARDASIL. Drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias were considered to be disabling, another important medical event and immediately life-threatening. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Cerebrovascular accident, Chest pain, Chorea, Convulsion, Electrocardiogram abnormal
Clinical narrative: Information has been received from a physician concerning her 15 year old daughter with no pertinent medical history or drug allergies who in September 2009, was vaccinated with a first dose of GARDASIL (lot # not reported). No concomitant medications were reported. It was reported that in September 2009, very soon after the injection of GARDASIL, the patient developed fatigue and nausea. When the patient was on leaving the physician's office she experienced syncope. The patient began having symptoms of high fever, headache and sore muscles. The patient was lethargic for months after she received GARDASIL. In June 2010 the patient had chest pain and went to the Emergency Room where she was diagnosed with anxiety. The EKG showed arrhythmias. The patient became weak and had to quit the Track Team at school. In June 2010 the patient was tired and lethargic and began to forget things. Approximately three weeks ago, in approximately August 2010, the patient developed a tremor in her left hand and she was unable to speak. The patient developed chronic seizures with chorea. On 08-AUG-2010 the patient was admitted to hospital. On 15-AUG-2010 the patient developed a stroke and was non verbal. The patient was diagnosed with drug induced systemic lupus erythematous with chorea. It was reported that there was central nervous system (CNS) involvement and the patient had vasculitis of the brain. The physician did not report what type of diagnostic testing the patient had received. The patient was being treated with ten different medications reported as follows: intravenous immune globulin (IVIG), antibiotics, anti hypertensive medications due to kidney involvement and high doses of IV prednisone. The physician stated that today, on 17-AUG-2010, the patient was to begin chemotherapy with IV cytotoxin for a duration of 24 hours. Currently, the patient had her voice back and was able to move all of her extremities except the left arm. As of 16-AUG-2010 the patient had not recovered from drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias. The patient was presently in hospital. The reporter felt that drug induced systemic lupus erythematosus with chorea was related to therapy with GARDASIL. Drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias were considered to be disabling, another important medical event and immediately life-threatening. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Headache, Immunoglobulin therapy, Lethargy, Lupus-like syndrome
Clinical narrative: Information has been received from a physician concerning her 15 year old daughter with no pertinent medical history or drug allergies who in September 2009, was vaccinated with a first dose of GARDASIL (lot # not reported). No concomitant medications were reported. It was reported that in September 2009, very soon after the injection of GARDASIL, the patient developed fatigue and nausea. When the patient was on leaving the physician's office she experienced syncope. The patient began having symptoms of high fever, headache and sore muscles. The patient was lethargic for months after she received GARDASIL. In June 2010 the patient had chest pain and went to the Emergency Room where she was diagnosed with anxiety. The EKG showed arrhythmias. The patient became weak and had to quit the Track Team at school. In June 2010 the patient was tired and lethargic and began to forget things. Approximately three weeks ago, in approximately August 2010, the patient developed a tremor in her left hand and she was unable to speak. The patient developed chronic seizures with chorea. On 08-AUG-2010 the patient was admitted to hospital. On 15-AUG-2010 the patient developed a stroke and was non verbal. The patient was diagnosed with drug induced systemic lupus erythematous with chorea. It was reported that there was central nervous system (CNS) involvement and the patient had vasculitis of the brain. The physician did not report what type of diagnostic testing the patient had received. The patient was being treated with ten different medications reported as follows: intravenous immune globulin (IVIG), antibiotics, anti hypertensive medications due to kidney involvement and high doses of IV prednisone. The physician stated that today, on 17-AUG-2010, the patient was to begin chemotherapy with IV cytotoxin for a duration of 24 hours. Currently, the patient had her voice back and was able to move all of her extremities except the left arm. As of 16-AUG-2010 the patient had not recovered from drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias. The patient was presently in hospital. The reporter felt that drug induced systemic lupus erythematosus with chorea was related to therapy with GARDASIL. Drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias were considered to be disabling, another important medical event and immediately life-threatening. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Memory impairment, Myalgia, Nausea, Nervous system disorder, Pyrexia
Clinical narrative: Information has been received from a physician concerning her 15 year old daughter with no pertinent medical history or drug allergies who in September 2009, was vaccinated with a first dose of GARDASIL (lot # not reported). No concomitant medications were reported. It was reported that in September 2009, very soon after the injection of GARDASIL, the patient developed fatigue and nausea. When the patient was on leaving the physician's office she experienced syncope. The patient began having symptoms of high fever, headache and sore muscles. The patient was lethargic for months after she received GARDASIL. In June 2010 the patient had chest pain and went to the Emergency Room where she was diagnosed with anxiety. The EKG showed arrhythmias. The patient became weak and had to quit the Track Team at school. In June 2010 the patient was tired and lethargic and began to forget things. Approximately three weeks ago, in approximately August 2010, the patient developed a tremor in her left hand and she was unable to speak. The patient developed chronic seizures with chorea. On 08-AUG-2010 the patient was admitted to hospital. On 15-AUG-2010 the patient developed a stroke and was non verbal. The patient was diagnosed with drug induced systemic lupus erythematous with chorea. It was reported that there was central nervous system (CNS) involvement and the patient had vasculitis of the brain. The physician did not report what type of diagnostic testing the patient had received. The patient was being treated with ten different medications reported as follows: intravenous immune globulin (IVIG), antibiotics, anti hypertensive medications due to kidney involvement and high doses of IV prednisone. The physician stated that today, on 17-AUG-2010, the patient was to begin chemotherapy with IV cytotoxin for a duration of 24 hours. Currently, the patient had her voice back and was able to move all of her extremities except the left arm. As of 16-AUG-2010 the patient had not recovered from drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias. The patient was presently in hospital. The reporter felt that drug induced systemic lupus erythematosus with chorea was related to therapy with GARDASIL. Drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias were considered to be disabling, another important medical event and immediately life-threatening. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Renal disorder, Syncope, Systemic lupus erythematosus, Tremor, Vasculitis cerebral
Clinical narrative: Information has been received from a physician concerning her 15 year old daughter with no pertinent medical history or drug allergies who in September 2009, was vaccinated with a first dose of GARDASIL (lot # not reported). No concomitant medications were reported. It was reported that in September 2009, very soon after the injection of GARDASIL, the patient developed fatigue and nausea. When the patient was on leaving the physician's office she experienced syncope. The patient began having symptoms of high fever, headache and sore muscles. The patient was lethargic for months after she received GARDASIL. In June 2010 the patient had chest pain and went to the Emergency Room where she was diagnosed with anxiety. The EKG showed arrhythmias. The patient became weak and had to quit the Track Team at school. In June 2010 the patient was tired and lethargic and began to forget things. Approximately three weeks ago, in approximately August 2010, the patient developed a tremor in her left hand and she was unable to speak. The patient developed chronic seizures with chorea. On 08-AUG-2010 the patient was admitted to hospital. On 15-AUG-2010 the patient developed a stroke and was non verbal. The patient was diagnosed with drug induced systemic lupus erythematous with chorea. It was reported that there was central nervous system (CNS) involvement and the patient had vasculitis of the brain. The physician did not report what type of diagnostic testing the patient had received. The patient was being treated with ten different medications reported as follows: intravenous immune globulin (IVIG), antibiotics, anti hypertensive medications due to kidney involvement and high doses of IV prednisone. The physician stated that today, on 17-AUG-2010, the patient was to begin chemotherapy with IV cytotoxin for a duration of 24 hours. Currently, the patient had her voice back and was able to move all of her extremities except the left arm. As of 16-AUG-2010 the patient had not recovered from drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias. The patient was presently in hospital. The reporter felt that drug induced systemic lupus erythematosus with chorea was related to therapy with GARDASIL. Drug induced systemic lupus erythematosus with chorea, anxiety and arrhythmias were considered to be disabling, another important medical event and immediately life-threatening. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Diarrhoea, Diet refusal, Encephalopathy, Hypersensitivity, Immune system disorder
Clinical narrative: March 17, 2008, broke out in rash on head, then moved down body, arms, and legs. Rash was accompanied by fevers ranging from 103.5-104, spots in mouth, he would not eat or drink, lethargic, diarrhea started that evening, visited ER next day as we were out town, and when Pediatricians office finally called back, they said not to worry, give Tylenol for fever and Benadryl for rash, but he was ok. They did not even document in his chart about the reaction.  I have pictures of the reaction, phone call records, ER visit records, so I have proof of the reaction without their documentation in his chart. ER dr where we were said it was just an allergic reaction of some unknown origin, refused to do labs, and said it would go away.  Said the rash, diarrhea, and spots in mouth were a reaction to some virus he was fighting off. Yes, it was the MEASLES virus!
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Lethargy, Malnutrition, Metabolic disorder, Oral disorder, Pyrexia
Clinical narrative: March 17, 2008, broke out in rash on head, then moved down body, arms, and legs. Rash was accompanied by fevers ranging from 103.5-104, spots in mouth, he would not eat or drink, lethargic, diarrhea started that evening, visited ER next day as we were out town, and when Pediatricians office finally called back, they said not to worry, give Tylenol for fever and Benadryl for rash, but he was ok. They did not even document in his chart about the reaction.  I have pictures of the reaction, phone call records, ER visit records, so I have proof of the reaction without their documentation in his chart. ER dr where we were said it was just an allergic reaction of some unknown origin, refused to do labs, and said it would go away.  Said the rash, diarrhea, and spots in mouth were a reaction to some virus he was fighting off. Yes, it was the MEASLES virus!
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: March 17, 2008, broke out in rash on head, then moved down body, arms, and legs. Rash was accompanied by fevers ranging from 103.5-104, spots in mouth, he would not eat or drink, lethargic, diarrhea started that evening, visited ER next day as we were out town, and when Pediatricians office finally called back, they said not to worry, give Tylenol for fever and Benadryl for rash, but he was ok. They did not even document in his chart about the reaction.  I have pictures of the reaction, phone call records, ER visit records, so I have proof of the reaction without their documentation in his chart. ER dr where we were said it was just an allergic reaction of some unknown origin, refused to do labs, and said it would go away.  Said the rash, diarrhea, and spots in mouth were a reaction to some virus he was fighting off. Yes, it was the MEASLES virus!
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Neuralgia, Rash vesicular
Clinical narrative: Neuralgia across left side of head leading to eye indicative of beginning of shingles type rash.
Age: 43.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Back pain, Discomfort, Injection site erythema, Injection site induration, Injection site rash
Clinical narrative: Patient awoke on 8/11 with a quarter sized red area on the back side of the upper portion of his right arm where the vaccine had been subcutaneously administered. Over the course of the day he developed fever and body aches; especially his low back. By the end of the day the red area was 3 inches by 3 inches and swollen. He was taking Tylenol 500mg for his discomfort. On 8/12 at 3 PM he came back to the clinic and the red area was warm, hard and 4 inches by 4 inches. On 8/13 called patient at 12:30 PM and he said the fever and aches were gone, but his arm was more swollen. Advised him to see a doctor before the weekend. Called client on Sat. afternoon and he said the doctor told him he just had to wait until it cleared up on its own. He said he had red spots from his elbow to shoulder. He was advised to alternate Tylenol with Motrin and use cool packs to decrease the swelling.
Age: 43.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Injection site swelling, Injection site warmth, Pain, Pyrexia
Clinical narrative: Patient awoke on 8/11 with a quarter sized red area on the back side of the upper portion of his right arm where the vaccine had been subcutaneously administered. Over the course of the day he developed fever and body aches; especially his low back. By the end of the day the red area was 3 inches by 3 inches and swollen. He was taking Tylenol 500mg for his discomfort. On 8/12 at 3 PM he came back to the clinic and the red area was warm, hard and 4 inches by 4 inches. On 8/13 called patient at 12:30 PM and he said the fever and aches were gone, but his arm was more swollen. Advised him to see a doctor before the weekend. Called client on Sat. afternoon and he said the doctor told him he just had to wait until it cleared up on its own. He said he had red spots from his elbow to shoulder. He was advised to alternate Tylenol with Motrin and use cool packs to decrease the swelling.
Age: 14.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Parent called and stated pt. had "swelling and soreness", and "an egg shaped lump" on his right arm, at the injection site.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red, hot to touch, swollen and tender right arm. Started on Keflex for cellulitis.
Age: 21.0
Sex: M
Vaccine: HEPAB
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Nausea, vomiting and dizziness started when he got home.  No treatment administered currently advised patient to contact his private physician.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Muscle tightness
Clinical narrative: MOTHER STATES HE HAD A HARD LUMP AND A 3" BRIGHT RED CIRCLE AT THE INJECTION SITE, ALONG WITH MUSCLE TIGHTNESS IN THE AREA.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Dizziness, Feeling hot, Injection site haematoma
Clinical narrative: After injection to left Deltoid employee reports large bruise at injection site and feeling hot, dizzy. Bruising measures approximately 50 x 70 mm. NP prescribed antibiotics for cellulitis.
Age: 67.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Biopsy bone marrow, Biopsy lymph gland, Haematology test, Haemodynamic instability, Infection
Clinical narrative: Developed supraclavicular lymphadenopathy, followed by general lymphadenopathy and persistent fevers.  Has continued to have persistent fevers and lymphadenopathy since.  Currently ill with multiple medical problems related to frequent infections, hemodynamic compromise, renal failure over the past few months.
Age: 67.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Laboratory test normal, Lymphadenopathy, Pyrexia, Renal failure
Clinical narrative: Developed supraclavicular lymphadenopathy, followed by general lymphadenopathy and persistent fevers.  Has continued to have persistent fevers and lymphadenopathy since.  Currently ill with multiple medical problems related to frequent infections, hemodynamic compromise, renal failure over the past few months.
Age: 11.0
Sex: M
Vaccine: MEN, TDAP, VARCEL
Symptoms: Fall, Memory impairment
Clinical narrative: Was sitting in chair. Stood up. Fell on floor. Said he thinks he fell asleep.  Did not remember falling.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: enlarged lymph node right axillary region with tenderness, no fever
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, HPV4, PNC13
Symptoms: Wrong drug administered
Clinical narrative: Wrong vaccine administered.  Order was for Hep b and Gardisil was given.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle atrophy
Clinical narrative: Right UE atrophy and deficit
Age: 27.0
Sex: F
Vaccine: HEPAB, MMR, TDAP
Symptoms: Back pain, Injection site erythema, Injection site pain, Injection site swelling, Neck pain
Clinical narrative: TDAP AND MMR ADM. BY PHARMAJET NEEDLE-FREE INJECTION SYSTEM ON 8/18/2010 AND RETURENED ON 8/20/2010 C/O PAIN ON UPPER R ARM (LOCATION TDAP ADM.) RADIATING TO RIGHT SIDE OF NECK AND UPPER BACK. LOCAL ERYTHEMA AND SWELLING ON R UPPER ARM. SKIN WARM TO TOUCH. PT TAKEN ADVIL FOR PAIN CONTROL AS NOTED BY EXAMINATING NURSE PRACTIONER.
Age: 27.0
Sex: F
Vaccine: HEPAB, MMR, TDAP
Symptoms: Skin warm
Clinical narrative: TDAP AND MMR ADM. BY PHARMAJET NEEDLE-FREE INJECTION SYSTEM ON 8/18/2010 AND RETURENED ON 8/20/2010 C/O PAIN ON UPPER R ARM (LOCATION TDAP ADM.) RADIATING TO RIGHT SIDE OF NECK AND UPPER BACK. LOCAL ERYTHEMA AND SWELLING ON R UPPER ARM. SKIN WARM TO TOUCH. PT TAKEN ADVIL FOR PAIN CONTROL AS NOTED BY EXAMINATING NURSE PRACTIONER.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Hypoaesthesia, Nuclear magnetic resonance imaging, Pain
Clinical narrative: Numbness, throbbing of arm
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Injection site erythema.
Age: 24.0
Sex: M
Vaccine: TTOX
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives starting next AM with some pruritis bilateraly to thighs X4 days.
Age: 43.0
Sex: M
Vaccine: MMR
Symptoms: Insomnia, Pain in extremity
Clinical narrative: Severe pain in legs, unable to sleep
Age: 73.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Diplegia, Guillain-Barre syndrome
Clinical narrative: Guillain-Barre Syndrome - with weakness and partial paralysis of legs.
Age: 73.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Diplegia, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Guillain-Barre Syndrome - with weakness and partial paralysis of legs.
Age: 0.43
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Necrotising colitis, Surgery
Clinical narrative: Pt. received 1st dose at 5 mos. mistakenly thinking it was his 2nd dose. Given with other vaccine for 4 mos. Pt. developed necrotizing enterocolitis and had surgery.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Bruxism, Cold sweat, Dysstasia, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Vaccines given at 1250, pt tensed, gritted teeth immed. afterward & passed out onto exam table. Out x 45sec. Clammy, pale & pulse thready. BP initially 80/50. Observed child x 1 hr & did improve. Color more pink, BP 90/60. Could stand w/ help. DC'd to mom - took home. Dr. spoke with mom by phone approximately 3pm & child 100% better.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pallor, Pulse abnormal, Tension
Clinical narrative: Vaccines given at 1250, pt tensed, gritted teeth immed. afterward & passed out onto exam table. Out x 45sec. Clammy, pale & pulse thready. BP initially 80/50. Observed child x 1 hr & did improve. Color more pink, BP 90/60. Could stand w/ help. DC'd to mom - took home. Dr. spoke with mom by phone approximately 3pm & child 100% better.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm - erythema, warmth, marked swelling/induration.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Gastrointestinal infection, Injection site swelling, Local reaction, Vomiting
Clinical narrative: Pt started at 6:30pm with temp of 100 degrees F & swelling (L) deltoid. At 10:30pm temp of 103.2 with emesis x 3 during the noc. Swelling (L) deltoid increased. Applied ice pk to site & given MOTRIN. Seen by physician 8-20-10 who felt normal localized Rx & had GI virus.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Culture negative, Injection site cellulitis, Injection site discharge, Injection site erythema, Injection site induration
Clinical narrative: 8/10/10 immunizations given. 8/11/10 was seen for induration (L) thigh with redness, hot to touch, draining clear fluid. Culture neg. Placed on antibiotics. Dx - cellulitis. Culture negative - final result.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site warmth
Clinical narrative: 8/10/10 immunizations given. 8/11/10 was seen for induration (L) thigh with redness, hot to touch, draining clear fluid. Culture neg. Placed on antibiotics. Dx - cellulitis. Culture negative - final result.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: Reaction/PROQUAD Rt side swollen, redness, slight wheal. Given BENADRYL  dsed swelling/wheal was noted around point of delivery of vaccine. Redness noted around the area of delivery of vaccine.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired ZOSTAVAX was administered to a patient. Expired 08/06/2010; Administered 8/23/2010. No additional treatment given. No adverse effects noted.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site swelling
Clinical narrative: Patient experienced between golf ball and tennis ball sized swelling at site of Meningococcal vaccine.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Concussion, Convulsion, Dyskinesia, Immediate post-injection reaction, Syncope
Clinical narrative: GARDASIL # 3 and Hepatitis A #2 given IM on left deltoid at 5:30 pm on 08-20-2010. 5 seconds after giving shots, patient had syncope (+) seizure like movement x 10 seconds- Patient with one jerking movement of upper extremity - patient was given the IM immunization seated on mother's lap - she hit the left side of the lap but did not have concussion/patient made to lie down pulse ox - monitoring (+) HR (+) BP - monitored - patient made to lie down and observed in office x one hour.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Adverse event, Dizziness, Movement disorder, Syncope
Clinical narrative: GARDASIL # 3 and Hepatitis A #2 given IM on left deltoid at 5:30 pm on 08-20-2010. 5 seconds after giving shots, patient had syncope (+) seizure like movement x 10 seconds- Patient with one jerking movement of upper extremity - patient was given the IM immunization seated on mother's lap - she hit the left side of the lap but did not have concussion/patient made to lie down pulse ox - monitoring (+) HR (+) BP - monitored - patient made to lie down and observed in office x one hour.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Cellulitis, Local reaction
Clinical narrative: Large (5cm) localized reaction with secondary cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Cellulitis, Local reaction
Clinical narrative: Large (5cm) localized reaction with secondary cellulitis.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Child developed redness, swelling and rash at the injection site 2-3 days after vaccination.
Age: 3.0
Sex: U
Vaccine: PNC13
Symptoms: Gait disturbance, Pain in extremity
Clinical narrative: Pt. would not walk on (R) leg, c/o severe pain no physical abnormality seen. Improved in 48 hrs.
Age: 23.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Drug exposure during pregnancy
Clinical narrative: 23 y/o active duty pregnant female denies of any adverse reactions from the vaccines administered on 12Aug10.
Age: 1.56
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, redness, swelling, erythema, at injection site on right thigh.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site cellulitis, Injection site pallor
Clinical narrative: Small blanched area at injection site. Cellulitis approx. 4-5 inches around inj site.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Barium double contrast, Enema administration, Intussusception, Vomiting
Clinical narrative: Intussusception => vomiting 8 days after vaccines; air contrast barium enema diagnosed and reduced intussusception.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Slight induration 1x1cm (R) thigh anteriorly. No pain with palpation mild erythema no fluctuance.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Red rash to left arm from injection site to below left elbow with itching.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying
Clinical narrative: Persistent crying lasting longer than or greater than 3hours within 48 hours of vaccine being given.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Gait disturbance, Lumbar puncture, Muscular weakness
Clinical narrative: 3 weeks post flu shot in (R) deltoid experienced muscle weakness B/L legs. Has progressively gotten worse. Walks with a limp. Multiple cat scans and spinal tap-Questionable ALS?? Continues to follow up with neurologist.
Age: 0.27
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMRV
Symptoms: Haematemesis, Injection site erythema, Injection site swelling, Injection site warmth, Otorrhoea
Clinical narrative: Received PENTACEL (DTAP, IPV, HIB) left deltoid 24 hours later, his left upper arm was red, swollen, warm to touch near injection site & firm. MOTRIN & ice advised for comfort measures. 08/21/2010 sick - Fever: None. Received PENTACEL & MMRV vaccines 2 days ago and left arm became red, swelled up like a balloon and very warm to touch. Is not quite as swollen today. Did vomit one time last evening (very large amount - possibly blood). No fever noted. Still having drainage from left ear. Has history of having tube in that ear. Pt. denies any pain or odor from ear. Continue to ice left arm several times a day. Give MOTRIN every 8 hrs. for any discomfort. Also ok to give BENADRYL every 8 hrs. Monitor swelling of arm. Give ear drops twice daily for 7 days. Monitor drainage if continues follow up - RTO as needed or if drainage from ear continues. Call with any other questions and concerns.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMRV
Symptoms: Vomiting
Clinical narrative: Received PENTACEL (DTAP, IPV, HIB) left deltoid 24 hours later, his left upper arm was red, swollen, warm to touch near injection site & firm. MOTRIN & ice advised for comfort measures. 08/21/2010 sick - Fever: None. Received PENTACEL & MMRV vaccines 2 days ago and left arm became red, swelled up like a balloon and very warm to touch. Is not quite as swollen today. Did vomit one time last evening (very large amount - possibly blood). No fever noted. Still having drainage from left ear. Has history of having tube in that ear. Pt. denies any pain or odor from ear. Continue to ice left arm several times a day. Give MOTRIN every 8 hrs. for any discomfort. Also ok to give BENADRYL every 8 hrs. Monitor swelling of arm. Give ear drops twice daily for 7 days. Monitor drainage if continues follow up - RTO as needed or if drainage from ear continues. Call with any other questions and concerns.
Age: 72.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 8 x 14 cm area at site  (L) arm with redness and swelling.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Exercise electrocardiogram, Injection site pain, Swelling
Clinical narrative: Given ADACEL (TDAP) on 8/18/10 in left deltoid. ON 8/22/10 soreness, tenderness in deltoid. On 8/23/10 swelling. Not ill at this time. Worked out at gym; lifting weights on 8/22/10. Temp 98.1.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling cold, Flushing, Skin warm, Thirst, Throat tightness
Clinical narrative: Flush skin, tightness in throat. Client received vaccine at approximately 11:25 am after checkout, returned to front counter at approximately 11:45 am and reported to the Office Manager that she was experiencing tightness in her throat. Office Manager came to the back to inform this nurse. This nurse returned to the front and brought the client to the  back. The client was alert and oriented, reporting a tightness; upon swallowing. Upon assessment client throat appears normal; client was able to swallow actually asking for water. Skin was flush in appearance and very warm to touch. No respiratory distress noted. BP was 118/68 @ 11:50 am. RN was alerted to initiate protocol. Client received BENADRYL 50 mg IM at 12n, BP: 106/60. At 12:05 pm EMS was alerted due to client reporting no change in status. BP: 120/20. Client reports feeling "cold" and "very thirsty". At 12:10pm BP: 130/90 and client remains alert and oriented - attempting to call husband. Client in semi-fowler's position with cool cloth on neck cover with drapes for warmth. At 12:15 pm, BP: 120/94. At 12:20 pm EMS arrived and took over care of client. BP: 125/79, client reports no change in status since receiving BENADRYL 50 mg IM. Client departed on stretcher via ambulance to  hospital at 12:25 pm. This nurse called client at 4:45 pm. Client answered cell phone and reported that she was doing well and went home with no other problems, about twenty minutes after receiving IM Epinephrine in Emergency Room.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC13, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash.
Age: 27.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Asthenia, Differential white blood cell count, Dizziness, Loss of consciousness, Metabolic function test
Clinical narrative: Vaccines administered 7/27/2010. On 7/28/10 felt dizzy, generalized weakness, passed out in shower. Dizziness, weakness continued until at least 8/3/10.
Age: 27.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Urine analysis
Clinical narrative: Vaccines administered 7/27/2010. On 7/28/10 felt dizzy, generalized weakness, passed out in shower. Dizziness, weakness continued until at least 8/3/10.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL
Symptoms: Cough, Sneezing, Stridor, Swelling face
Clinical narrative: Pt given vaccines, left building with mom. Mom (a nurse) noted severe sneezing/cough. Brought back inside office. MD noted stridor, facial swelling. Epi pen 0.15 mg given 1045am BENADRYL, PRELONE given also. Cough resolved at 1105 AM. Stridor, sneezing again at 1130AM. Sent to ER via ambulance. Given PEPCID, PRELONE and BENADRYL in ER at 1240pm.
Age: 1.46
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Crying, Electroencephalogram normal, Gaze palsy, Musculoskeletal stiffness, Neurological examination normal
Clinical narrative: Mother observed crying spell, stiffness, rolling eyes back, episode lasted about 1-2 min, episode happened approximately 3 days after Immunization, no fever. Seen by neurology - normal exam.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Fall, Head injury, Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: Less than 1 minute after receiving shots, pt. said "I'm going down" but his mother who was between him and his sister (getting a shot by nurse) thought he didn't mean it literally. He fell back toward door, touched it with his head, then fell to floor. His color was pale when he passed out. After a few minutes, he was able to walk with help to exam room to lay down.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Facial palsy
Clinical narrative: No feeling on left side of face. Left eye won't close all the way mouth twist when talking, smiling and laughing. She is taking Prednisolone Sod PHO 15mg/5mL, ointment at night so her eye won't dry out.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Dyskinesia, Eye movement disorder, Sensory disturbance
Clinical narrative: No feeling on left side of face. Left eye won't close all the way mouth twist when talking, smiling and laughing. She is taking Prednisolone Sod PHO 15mg/5mL, ointment at night so her eye won't dry out.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Hypersensitivity, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: Tenderness, Swelling, itching, denied fever, describes knot "as size of golf ball" at site of administration. Mother states took child to facility on 8/22/10. Was told she had an allergic reaction & to take Benadryl & Motrin.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Head injury, Syncope
Clinical narrative: PATIENT FAINTED APPROXIMATELY 5 MIN AFTER RECIEVING VACCINE, PATIENT BUMPED HEAD ON CHAIR
Age: 5.0
Sex: F
Vaccine: DTAP, FLUN3, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 4 inch diameter red circle at site of injection, improving by 8/23/10.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Area where shot given is red with raised rash
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Fall, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Received vaccinations. Left clinic room about 3-5 minutes later.  Client noted to have passed out @ front window of health department.  Mother stated that she didn't sustain any injury, but fell against her and her sister before she went to the floor.  Profuse sweating, very pale.  2 nurses assisted with elevating legs and placing ice pack on nape of neck.  Remained there for more than 5 minutes.  Sips of water offered when she was alert.  Then placed in a chair in waiting room with ice pack in place for about 10 minutes.  Walked out of the office without assistance.
Age: 52.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Blood pressure increased, Body temperature increased, Chills, Dyspnoea, Feeling hot
Clinical narrative: 8/17/2010 3:00 PM Pain - Applied Ice and took 800 Mg. Ibuprofen. 4:00 PM Redness; 5:00 PM  Extreme Heat, pain, stiffness & increased redness; 7:00 800 Mg. Ibuprofen. 2:00 AM 800 Mg. Ibuprofen 8/18/2010 Continued 800 Mg. Ibuprofen every 4 hours. 5:00 PM three blue marks under bicep. Sniffing. Difficulty breathing requiring rescue Asthma Inhaler. 8/19/2010 Fever, chills, continued paid and redness. Went to Urgent Care at 5 PM. Was given a shot and Rx for MethylPREDNISolone 4MG Dspk 21. Told to take Benadryl. 8/23 Feeling better. Continuing Medications as prescribed. Slight redness and slight  itching at sight. 8/24 Recovered
Age: 52.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site discolouration, Injection site erythema, Injection site pruritus, Musculoskeletal stiffness, Pain
Clinical narrative: 8/17/2010 3:00 PM Pain - Applied Ice and took 800 Mg. Ibuprofen. 4:00 PM Redness; 5:00 PM  Extreme Heat, pain, stiffness & increased redness; 7:00 800 Mg. Ibuprofen. 2:00 AM 800 Mg. Ibuprofen 8/18/2010 Continued 800 Mg. Ibuprofen every 4 hours. 5:00 PM three blue marks under bicep. Sniffing. Difficulty breathing requiring rescue Asthma Inhaler. 8/19/2010 Fever, chills, continued paid and redness. Went to Urgent Care at 5 PM. Was given a shot and Rx for MethylPREDNISolone 4MG Dspk 21. Told to take Benadryl. 8/23 Feeling better. Continuing Medications as prescribed. Slight redness and slight  itching at sight. 8/24 Recovered
Age: 52.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: 8/17/2010 3:00 PM Pain - Applied Ice and took 800 Mg. Ibuprofen. 4:00 PM Redness; 5:00 PM  Extreme Heat, pain, stiffness & increased redness; 7:00 800 Mg. Ibuprofen. 2:00 AM 800 Mg. Ibuprofen 8/18/2010 Continued 800 Mg. Ibuprofen every 4 hours. 5:00 PM three blue marks under bicep. Sniffing. Difficulty breathing requiring rescue Asthma Inhaler. 8/19/2010 Fever, chills, continued paid and redness. Went to Urgent Care at 5 PM. Was given a shot and Rx for MethylPREDNISolone 4MG Dspk 21. Told to take Benadryl. 8/23 Feeling better. Continuing Medications as prescribed. Slight redness and slight  itching at sight. 8/24 Recovered
Age: 40.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Cellulitis, Drug toxicity, Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: Pt have fever, red area and a lump on RT deltoid.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Balance disorder, Blood lead normal, Dyskinesia, Electrocardiogram normal, Full blood count normal
Clinical narrative: Pt developed flu symptoms 10/15/2009; came in for follow up with increasing sleepiness 11/30/09 and received FLUMIST. After that time he has had an extensive work up for balance problems, abnormal movements and significant neurologic changes.
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Neurological symptom, Nuclear magnetic resonance imaging normal, Sleep study normal, Streptococcus test negative
Clinical narrative: Pt developed flu symptoms 10/15/2009; came in for follow up with increasing sleepiness 11/30/09 and received FLUMIST. After that time he has had an extensive work up for balance problems, abnormal movements and significant neurologic changes.