chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Echocardiogram normal, Hypoaesthesia, Hypoaesthesia facial, Nuclear magnetic resonance imaging normal, Ultrasound scan normal
Clinical narrative: Left arm just above elbow to fingers went numb as well as the left side of face.  Emergency room, Neurology all were seen with numerous tests done that was inconclusive until told that she had the FluMist 4 days prior.11/17-11/19/2009 MR received for 10/18-10/19/2009. Patient with c/o's numbness/tingling lt side of face, lt forearm and hand. Neuro exam noted loss of sensation LUE and face, Tx ASA. Dx TIA
Age: 6.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Abasia, Abdominal pain upper, Dizziness, Headache, Hypotonia
Clinical narrative: Received H1N1 vaccine @ approximately 1:05 pm @ school.  Went to observation area to eat snack.  School nurse noted client on floor - stated looked like "seizure activity".  School nurse carried client to sick room.  Client proceeded to vomit.  BP 92/72; P96; R18.  Alert, oriented, able to move all 4 extremities on command.  Placed in reclining position with feet elevated.  Parent arrived - client taken home.  Alert, oriented & responding to questions & commands.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Laboratory test normal, Pallor, Syncope, Vomiting
Clinical narrative: Received H1N1 vaccine @ approximately 1:05 pm @ school.  Went to observation area to eat snack.  School nurse noted client on floor - stated looked like "seizure activity".  School nurse carried client to sick room.  Client proceeded to vomit.  BP 92/72; P96; R18.  Alert, oriented, able to move all 4 extremities on command.  Placed in reclining position with feet elevated.  Parent arrived - client taken home.  Alert, oriented & responding to questions & commands.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Convulsion, Vomiting
Clinical narrative: Received H1N1 vaccine @ approximately 1:05 pm @ school.  Went to observation area to eat snack.  School nurse noted client on floor - stated looked like "seizure activity".  School nurse carried client to sick room.  Client proceeded to vomit.  BP 92/72; P96; R18.  Alert, oriented, able to move all 4 extremities on command.  Placed in reclining position with feet elevated.  Parent arrived - client taken home.  Alert, oriented & responding to questions & commands.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Asthenia, Blood test, Dysstasia, Gait disturbance, Hyperhidrosis
Clinical narrative: A serious spontaneous report of right sided weakness, left arm, right arm and back was tingly and numb and non-serious report of feeling tired, chills and flu has been received from a pharmacist concerning herself, a 33-year-old female, subsequent to H1N1 2009 Monovalent Vaccine Live, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 28-Oct-2009, the patient received H1N1 2009 Monovalent Vaccine Live, Intranasal for an unspecified indication. On the morning of 29-Oct-2009, the patient's left arm, right arm, and back felt tingly, she felt tired and chills began. She called her physician and was instructed to stay home from work that day. On 30-Oct-2009, she called her physician's office again, and reported that the chills had resolved, but she felt no better, and was prescribed diphenhydramine, was instructed to rest, as they believed she was exhausted, and to call if she was not better in a few days. On 31-Oct-2009, the numbness and tingling continued on her right side, but overall she began to feel better. On 01-Nov-2009, at 4 am, she was unable to feel her arms and was numb and tingly. By 7 am, she had difficulty in walking, which she described as "hobbling" and right sided weakness and she went to emergency room. A CT scan of the brain was done and was found to be negative, and routine blood-work (test names unknown) were also done and all were within normal limits. She was asked by the emergency room physician if she was anxious, and she replied that she was because she was scared regarding what was wrong with her. At that time, she was given a dose of alprazolam for her anxiety, and was prescribed pregabalin 75 mg every bed time for 14-days, and sent home with no diagnosis. Initially she began to feel better, and by 02-Nov-2009, she no longer felt tired. On 05-Nov-2009, the patient's right sided weakness, left and right arm numbness, and tingling had not improved, so she called her physician's office, spoke with the physician's assistant, was instructed to take the rest of the week off, and to be seen in the office the following day. On 06-Nov-2009, she was seen, reported no pain, but did inform the physician's assistant that after five days of dosing with pregabalin she felt it was not working for her. The physician's assistant told the patient that she may have a weaken case of the H1N1 flu, and stated that she might have to see a neurologist if she did not improve. On the night of 08-Nov-2009, the patient began to feel worse and was seen in the physician's office on the morning of 09-Nov-2009 by the attending physician. At the time of report she had scheduled to visit a neurologist for the right sided weakness. The patient recovered from the events of felt tired and chills. The outcome for the right sided weakness and left arm right arm, back was tingly and numb and flu was not resolved.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: A serious spontaneous report of right sided weakness, left arm, right arm and back was tingly and numb and non-serious report of feeling tired, chills and flu has been received from a pharmacist concerning herself, a 33-year-old female, subsequent to H1N1 2009 Monovalent Vaccine Live, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 28-Oct-2009, the patient received H1N1 2009 Monovalent Vaccine Live, Intranasal for an unspecified indication. On the morning of 29-Oct-2009, the patient's left arm, right arm, and back felt tingly, she felt tired and chills began. She called her physician and was instructed to stay home from work that day. On 30-Oct-2009, she called her physician's office again, and reported that the chills had resolved, but she felt no better, and was prescribed diphenhydramine, was instructed to rest, as they believed she was exhausted, and to call if she was not better in a few days. On 31-Oct-2009, the numbness and tingling continued on her right side, but overall she began to feel better. On 01-Nov-2009, at 4 am, she was unable to feel her arms and was numb and tingly. By 7 am, she had difficulty in walking, which she described as "hobbling" and right sided weakness and she went to emergency room. A CT scan of the brain was done and was found to be negative, and routine blood-work (test names unknown) were also done and all were within normal limits. She was asked by the emergency room physician if she was anxious, and she replied that she was because she was scared regarding what was wrong with her. At that time, she was given a dose of alprazolam for her anxiety, and was prescribed pregabalin 75 mg every bed time for 14-days, and sent home with no diagnosis. Initially she began to feel better, and by 02-Nov-2009, she no longer felt tired. On 05-Nov-2009, the patient's right sided weakness, left and right arm numbness, and tingling had not improved, so she called her physician's office, spoke with the physician's assistant, was instructed to take the rest of the week off, and to be seen in the office the following day. On 06-Nov-2009, she was seen, reported no pain, but did inform the physician's assistant that after five days of dosing with pregabalin she felt it was not working for her. The physician's assistant told the patient that she may have a weaken case of the H1N1 flu, and stated that she might have to see a neurologist if she did not improve. On the night of 08-Nov-2009, the patient began to feel worse and was seen in the physician's office on the morning of 09-Nov-2009 by the attending physician. At the time of report she had scheduled to visit a neurologist for the right sided weakness. The patient recovered from the events of felt tired and chills. The outcome for the right sided weakness and left arm right arm, back was tingly and numb and flu was not resolved.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Blood test normal, Chills, Computerised tomogram normal, Diarrhoea, Fatigue
Clinical narrative: A serious spontaneous report of right sided weakness, left arm, right arm and back was tingly and numb and non-serious report of feeling tired, chills and flu has been received from a pharmacist concerning herself, a 33-year-old female, subsequent to H1N1 2009 Monovalent Vaccine Live, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 28-Oct-2009, the patient received H1N1 2009 Monovalent Vaccine Live, Intranasal for an unspecified indication. On the morning of 29-Oct-2009, the patient's left arm, right arm, and back felt tingly, she felt tired and chills began. She called her physician and was instructed to stay home from work that day. On 30-Oct-2009, she called her physician's office again, and reported that the chills had resolved, but she felt no better, and was prescribed diphenhydramine, was instructed to rest, as they believed she was exhausted, and to call if she was not better in a few days. On 31-Oct-2009, the numbness and tingling continued on her right side, but overall she began to feel better. On 01-Nov-2009, at 4 am, she was unable to feel her arms and was numb and tingly. By 7 am, she had difficulty in walking, which she described as "hobbling" and right sided weakness and she went to emergency room. A CT scan of the brain was done and was found to be negative, and routine blood-work (test names unknown) were also done and all were within normal limits. She was asked by the emergency room physician if she was anxious, and she replied that she was because she was scared regarding what was wrong with her. At that time, she was given a dose of alprazolam for her anxiety, and was prescribed pregabalin 75 mg every bed time for 14-days, and sent home with no diagnosis. Initially she began to feel better, and by 02-Nov-2009, she no longer felt tired. On 05-Nov-2009, the patient's right sided weakness, left and right arm numbness, and tingling had not improved, so she called her physician's office, spoke with the physician's assistant, was instructed to take the rest of the week off, and to be seen in the office the following day. On 06-Nov-2009, she was seen, reported no pain, but did inform the physician's assistant that after five days of dosing with pregabalin she felt it was not working for her. The physician's assistant told the patient that she may have a weaken case of the H1N1 flu, and stated that she might have to see a neurologist if she did not improve. On the night of 08-Nov-2009, the patient began to feel worse and was seen in the physician's office on the morning of 09-Nov-2009 by the attending physician. At the time of report she had scheduled to visit a neurologist for the right sided weakness. The patient recovered from the events of felt tired and chills. The outcome for the right sided weakness and left arm right arm, back was tingly and numb and flu was not resolved.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Gait disturbance, Hypoaesthesia, Hypokinesia, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: A serious spontaneous report of right sided weakness, left arm, right arm and back was tingly and numb and non-serious report of feeling tired, chills and flu has been received from a pharmacist concerning herself, a 33-year-old female, subsequent to H1N1 2009 Monovalent Vaccine Live, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 28-Oct-2009, the patient received H1N1 2009 Monovalent Vaccine Live, Intranasal for an unspecified indication. On the morning of 29-Oct-2009, the patient's left arm, right arm, and back felt tingly, she felt tired and chills began. She called her physician and was instructed to stay home from work that day. On 30-Oct-2009, she called her physician's office again, and reported that the chills had resolved, but she felt no better, and was prescribed diphenhydramine, was instructed to rest, as they believed she was exhausted, and to call if she was not better in a few days. On 31-Oct-2009, the numbness and tingling continued on her right side, but overall she began to feel better. On 01-Nov-2009, at 4 am, she was unable to feel her arms and was numb and tingly. By 7 am, she had difficulty in walking, which she described as "hobbling" and right sided weakness and she went to emergency room. A CT scan of the brain was done and was found to be negative, and routine blood-work (test names unknown) were also done and all were within normal limits. She was asked by the emergency room physician if she was anxious, and she replied that she was because she was scared regarding what was wrong with her. At that time, she was given a dose of alprazolam for her anxiety, and was prescribed pregabalin 75 mg every bed time for 14-days, and sent home with no diagnosis. Initially she began to feel better, and by 02-Nov-2009, she no longer felt tired. On 05-Nov-2009, the patient's right sided weakness, left and right arm numbness, and tingling had not improved, so she called her physician's office, spoke with the physician's assistant, was instructed to take the rest of the week off, and to be seen in the office the following day. On 06-Nov-2009, she was seen, reported no pain, but did inform the physician's assistant that after five days of dosing with pregabalin she felt it was not working for her. The physician's assistant told the patient that she may have a weaken case of the H1N1 flu, and stated that she might have to see a neurologist if she did not improve. On the night of 08-Nov-2009, the patient began to feel worse and was seen in the physician's office on the morning of 09-Nov-2009 by the attending physician. At the time of report she had scheduled to visit a neurologist for the right sided weakness. The patient recovered from the events of felt tired and chills. The outcome for the right sided weakness and left arm right arm, back was tingly and numb and flu was not resolved.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Anxiety, Asthenia, Blood test normal, Chills, Computerised tomogram normal
Clinical narrative: A serious spontaneous report of right sided weakness, left arm, right arm and back was tingly and numb and non-serious report of feeling tired, chills and flu has been received from a pharmacist concerning herself, a 33-year-old female, subsequent to H1N1 2009 Monovalent Vaccine Live, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 28-Oct-2009, the patient received H1N1 2009 Monovalent Vaccine Live, Intranasal for an unspecified indication. On the morning of 29-Oct-2009, the patient's left arm, right arm, and back felt tingly, she felt tired and chills began. She called her physician and was instructed to stay home from work that day. On 30-Oct-2009, she called her physician's office again, and reported that the chills had resolved, but she felt no better, and was prescribed diphenhydramine, was instructed to rest, as they believed she was exhausted, and to call if she was not better in a few days. On 31-Oct-2009, the numbness and tingling continued on her right side, but overall she began to feel better. On 01-Nov-2009, at 4 am, she was unable to feel her arms and was numb and tingly. By 7 am, she had difficulty in walking, which she described as "hobbling" and right sided weakness and she went to emergency room. A CT scan of the brain was done and was found to be negative, and routine blood-work (test names unknown) were also done and all were within normal limits. She was asked by the emergency room physician if she was anxious, and she replied that she was because she was scared regarding what was wrong with her. At that time, she was given a dose of alprazolam for her anxiety, and was prescribed pregabalin 75 mg every bed time for 14-days, and sent home with no diagnosis. Initially she began to feel better, and by 02-Nov-2009, she no longer felt tired. On 05-Nov-2009, the patient's right sided weakness, left and right arm numbness, and tingling had not improved, so she called her physician's office, spoke with the physician's assistant, was instructed to take the rest of the week off, and to be seen in the office the following day. On 06-Nov-2009, she was seen, reported no pain, but did inform the physician's assistant that after five days of dosing with pregabalin she felt it was not working for her. The physician's assistant told the patient that she may have a weaken case of the H1N1 flu, and stated that she might have to see a neurologist if she did not improve. On the night of 08-Nov-2009, the patient began to feel worse and was seen in the physician's office on the morning of 09-Nov-2009 by the attending physician. At the time of report she had scheduled to visit a neurologist for the right sided weakness. The patient recovered from the events of felt tired and chills. The outcome for the right sided weakness and left arm right arm, back was tingly and numb and flu was not resolved.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Fatigue, Gait disturbance, Hemiparesis, Hypoaesthesia, Influenza
Clinical narrative: A serious spontaneous report of right sided weakness, left arm, right arm and back was tingly and numb and non-serious report of feeling tired, chills and flu has been received from a pharmacist concerning herself, a 33-year-old female, subsequent to H1N1 2009 Monovalent Vaccine Live, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 28-Oct-2009, the patient received H1N1 2009 Monovalent Vaccine Live, Intranasal for an unspecified indication. On the morning of 29-Oct-2009, the patient's left arm, right arm, and back felt tingly, she felt tired and chills began. She called her physician and was instructed to stay home from work that day. On 30-Oct-2009, she called her physician's office again, and reported that the chills had resolved, but she felt no better, and was prescribed diphenhydramine, was instructed to rest, as they believed she was exhausted, and to call if she was not better in a few days. On 31-Oct-2009, the numbness and tingling continued on her right side, but overall she began to feel better. On 01-Nov-2009, at 4 am, she was unable to feel her arms and was numb and tingly. By 7 am, she had difficulty in walking, which she described as "hobbling" and right sided weakness and she went to emergency room. A CT scan of the brain was done and was found to be negative, and routine blood-work (test names unknown) were also done and all were within normal limits. She was asked by the emergency room physician if she was anxious, and she replied that she was because she was scared regarding what was wrong with her. At that time, she was given a dose of alprazolam for her anxiety, and was prescribed pregabalin 75 mg every bed time for 14-days, and sent home with no diagnosis. Initially she began to feel better, and by 02-Nov-2009, she no longer felt tired. On 05-Nov-2009, the patient's right sided weakness, left and right arm numbness, and tingling had not improved, so she called her physician's office, spoke with the physician's assistant, was instructed to take the rest of the week off, and to be seen in the office the following day. On 06-Nov-2009, she was seen, reported no pain, but did inform the physician's assistant that after five days of dosing with pregabalin she felt it was not working for her. The physician's assistant told the patient that she may have a weaken case of the H1N1 flu, and stated that she might have to see a neurologist if she did not improve. On the night of 08-Nov-2009, the patient began to feel worse and was seen in the physician's office on the morning of 09-Nov-2009 by the attending physician. At the time of report she had scheduled to visit a neurologist for the right sided weakness. The patient recovered from the events of felt tired and chills. The outcome for the right sided weakness and left arm right arm, back was tingly and numb and flu was not resolved.
Age: 33.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1), FLUN(H1N1)
Symptoms: Paraesthesia, Scan brain
Clinical narrative: A serious spontaneous report of right sided weakness, left arm, right arm and back was tingly and numb and non-serious report of feeling tired, chills and flu has been received from a pharmacist concerning herself, a 33-year-old female, subsequent to H1N1 2009 Monovalent Vaccine Live, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 28-Oct-2009, the patient received H1N1 2009 Monovalent Vaccine Live, Intranasal for an unspecified indication. On the morning of 29-Oct-2009, the patient's left arm, right arm, and back felt tingly, she felt tired and chills began. She called her physician and was instructed to stay home from work that day. On 30-Oct-2009, she called her physician's office again, and reported that the chills had resolved, but she felt no better, and was prescribed diphenhydramine, was instructed to rest, as they believed she was exhausted, and to call if she was not better in a few days. On 31-Oct-2009, the numbness and tingling continued on her right side, but overall she began to feel better. On 01-Nov-2009, at 4 am, she was unable to feel her arms and was numb and tingly. By 7 am, she had difficulty in walking, which she described as "hobbling" and right sided weakness and she went to emergency room. A CT scan of the brain was done and was found to be negative, and routine blood-work (test names unknown) were also done and all were within normal limits. She was asked by the emergency room physician if she was anxious, and she replied that she was because she was scared regarding what was wrong with her. At that time, she was given a dose of alprazolam for her anxiety, and was prescribed pregabalin 75 mg every bed time for 14-days, and sent home with no diagnosis. Initially she began to feel better, and by 02-Nov-2009, she no longer felt tired. On 05-Nov-2009, the patient's right sided weakness, left and right arm numbness, and tingling had not improved, so she called her physician's office, spoke with the physician's assistant, was instructed to take the rest of the week off, and to be seen in the office the following day. On 06-Nov-2009, she was seen, reported no pain, but did inform the physician's assistant that after five days of dosing with pregabalin she felt it was not working for her. The physician's assistant told the patient that she may have a weaken case of the H1N1 flu, and stated that she might have to see a neurologist if she did not improve. On the night of 08-Nov-2009, the patient began to feel worse and was seen in the physician's office on the morning of 09-Nov-2009 by the attending physician. At the time of report she had scheduled to visit a neurologist for the right sided weakness. The patient recovered from the events of felt tired and chills. The outcome for the right sided weakness and left arm right arm, back was tingly and numb and flu was not resolved.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Hypoaesthesia, Muscular weakness, Paraesthesia, Sensory disturbance
Clinical narrative: Per patient history, began to experience numbness in both hands 10 minutes after receiving injection. Thought this was anxiety; A couple of days later noted numbness of her lower extremitieswhile receiving a massage; subsequent few days noticed weakness of lower extremities; No fever, chills, headache, or sore throat; Sensory symptoms were vague and all over her body;Went to the ED on 11/04/2009; LP performed: Glucose 47; Protein 78.9; WBC 5; Gm Stain-negative and culture -no growth; Serum WBC 6.8; Sed rate 32; Admitted briefly for 23 hour ovservation; Neurology consult and ID consult; No infectious process identified per ID; Neurology notes reduced reflexes, proximal weakness, protein in CSF- possibility of superimposed anxiety versus GBS versus any acute polyradiculopathy. Patient was not treated with IVIG or plasmaphoresis. Discharged the next day. No further information available to this reviewer at this time.  Unknown site was apparent administrator of the vaccine; vaccine date is stated to the best of this reviewers information. 11/19/2009  ED hospital records for 11/4-11/5/2009. Patient with c/o's numbness/tingling in upper and lower extremities. LP noted increased protein. Dx studies were negative. Neuro exam noted proximal weakness and decreased reflexes.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: CSF glucose decreased, CSF protein increased, CSF white blood cell count negative, Haemoglobin decreased, Hypoaesthesia
Clinical narrative: Per patient history, began to experience numbness in both hands 10 minutes after receiving injection. Thought this was anxiety; A couple of days later noted numbness of her lower extremitieswhile receiving a massage; subsequent few days noticed weakness of lower extremities; No fever, chills, headache, or sore throat; Sensory symptoms were vague and all over her body;Went to the ED on 11/04/2009; LP performed: Glucose 47; Protein 78.9; WBC 5; Gm Stain-negative and culture -no growth; Serum WBC 6.8; Sed rate 32; Admitted briefly for 23 hour ovservation; Neurology consult and ID consult; No infectious process identified per ID; Neurology notes reduced reflexes, proximal weakness, protein in CSF- possibility of superimposed anxiety versus GBS versus any acute polyradiculopathy. Patient was not treated with IVIG or plasmaphoresis. Discharged the next day. No further information available to this reviewer at this time.  Unknown site was apparent administrator of the vaccine; vaccine date is stated to the best of this reviewers information. 11/19/2009  ED hospital records for 11/4-11/5/2009. Patient with c/o's numbness/tingling in upper and lower extremities. LP noted increased protein. Dx studies were negative. Neuro exam noted proximal weakness and decreased reflexes.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Hyporeflexia, Muscular weakness, Platelet count increased, Red blood cell sedimentation rate increased, Sensory disturbance
Clinical narrative: Per patient history, began to experience numbness in both hands 10 minutes after receiving injection. Thought this was anxiety; A couple of days later noted numbness of her lower extremitieswhile receiving a massage; subsequent few days noticed weakness of lower extremities; No fever, chills, headache, or sore throat; Sensory symptoms were vague and all over her body;Went to the ED on 11/04/2009; LP performed: Glucose 47; Protein 78.9; WBC 5; Gm Stain-negative and culture -no growth; Serum WBC 6.8; Sed rate 32; Admitted briefly for 23 hour ovservation; Neurology consult and ID consult; No infectious process identified per ID; Neurology notes reduced reflexes, proximal weakness, protein in CSF- possibility of superimposed anxiety versus GBS versus any acute polyradiculopathy. Patient was not treated with IVIG or plasmaphoresis. Discharged the next day. No further information available to this reviewer at this time.  Unknown site was apparent administrator of the vaccine; vaccine date is stated to the best of this reviewers information. 11/19/2009  ED hospital records for 11/4-11/5/2009. Patient with c/o's numbness/tingling in upper and lower extremities. LP noted increased protein. Dx studies were negative. Neuro exam noted proximal weakness and decreased reflexes.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: White blood cell count normal
Clinical narrative: Per patient history, began to experience numbness in both hands 10 minutes after receiving injection. Thought this was anxiety; A couple of days later noted numbness of her lower extremitieswhile receiving a massage; subsequent few days noticed weakness of lower extremities; No fever, chills, headache, or sore throat; Sensory symptoms were vague and all over her body;Went to the ED on 11/04/2009; LP performed: Glucose 47; Protein 78.9; WBC 5; Gm Stain-negative and culture -no growth; Serum WBC 6.8; Sed rate 32; Admitted briefly for 23 hour ovservation; Neurology consult and ID consult; No infectious process identified per ID; Neurology notes reduced reflexes, proximal weakness, protein in CSF- possibility of superimposed anxiety versus GBS versus any acute polyradiculopathy. Patient was not treated with IVIG or plasmaphoresis. Discharged the next day. No further information available to this reviewer at this time.  Unknown site was apparent administrator of the vaccine; vaccine date is stated to the best of this reviewers information. 11/19/2009  ED hospital records for 11/4-11/5/2009. Patient with c/o's numbness/tingling in upper and lower extremities. LP noted increased protein. Dx studies were negative. Neuro exam noted proximal weakness and decreased reflexes.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Body temperature increased, Hypersensitivity, Urticaria
Clinical narrative: On evening of vaccine, noticed "whelps" on legs.  Am of 10/22/09, whelps spread over body.  Temp 99.9 - took to ER - no treatment.  On 10/23/09, took to PMD - ordered benadryl po.  On am of 19/24, rash gone, no further medicine given.  PMD stated rash was allergic reaction.  No other sign or symptoms of adverse reaction.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Hypersensitivity, Rash, Urticaria
Clinical narrative: On evening of vaccine, noticed "whelps" on legs.  Am of 10/22/09, whelps spread over body.  Temp 99.9 - took to ER - no treatment.  On 10/23/09, took to PMD - ordered benadryl po.  On am of 19/24, rash gone, no further medicine given.  PMD stated rash was allergic reaction.  No other sign or symptoms of adverse reaction.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Aura, Dizziness, Grand mal convulsion, Headache, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: A serious spontaneous report of hospitalization for grand mal seizures has been received from a physician/healthcare professional concerning his 41-year-old wife, subsequent to H1N1, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 02-Nov-2009, the patient received H1N1, Intranasal for an unknown indication. After receiving H1N1, the patient experienced grand mal seizures on 09-Nov-2009. The patient was hospitalized at the time of reporting. The outcome of this event was not recovered.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Vision blurred
Clinical narrative: A serious spontaneous report of hospitalization for grand mal seizures has been received from a physician/healthcare professional concerning his 41-year-old wife, subsequent to H1N1, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 02-Nov-2009, the patient received H1N1, Intranasal for an unknown indication. After receiving H1N1, the patient experienced grand mal seizures on 09-Nov-2009. The patient was hospitalized at the time of reporting. The outcome of this event was not recovered.
Age: 31.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Grand mal convulsion
Clinical narrative: A serious spontaneous report of hospitalization for grand mal seizures has been received from a physician/healthcare professional concerning his 41-year-old wife, subsequent to H1N1, Intranasal. Neither relevant medical history nor concomitant medications have been reported for this patient. On 02-Nov-2009, the patient received H1N1, Intranasal for an unknown indication. After receiving H1N1, the patient experienced grand mal seizures on 09-Nov-2009. The patient was hospitalized at the time of reporting. The outcome of this event was not recovered.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Chest pain, Drug exposure during pregnancy, Dyspnoea, Fatigue
Clinical narrative: Had H1N1 on 10-23-09. Started to feel ill on 10-24-09. Went to Dr. on 29th and 30th. Was placed in hosp. on 11-2-09 overnight. Started to feel better 11-10-09. Symptoms N/V, aching.  11/16, 11/17. and 11/18/09 Medical records and discharge e summary recieved for DOS 11/2-11/3. Final DX: Pleurisy.  Three months gestation w/pain under left ribs. Sharp. Deep breath worsens. guarding ribs, EKG WNL, D-dimer WNL. Vomiting x3. SOB. (+) FHT. Pleurisy. Admit. Pain mgmnt. D/c to home.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Musculoskeletal pain, Pleuritic pain, Pyrexia, Vomiting
Clinical narrative: Had H1N1 on 10-23-09. Started to feel ill on 10-24-09. Went to Dr. on 29th and 30th. Was placed in hosp. on 11-2-09 overnight. Started to feel better 11-10-09. Symptoms N/V, aching.  11/16, 11/17. and 11/18/09 Medical records and discharge e summary recieved for DOS 11/2-11/3. Final DX: Pleurisy.  Three months gestation w/pain under left ribs. Sharp. Deep breath worsens. guarding ribs, EKG WNL, D-dimer WNL. Vomiting x3. SOB. (+) FHT. Pleurisy. Admit. Pain mgmnt. D/c to home.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Malaise, Nausea, Pain, Vomiting
Clinical narrative: Had H1N1 on 10-23-09. Started to feel ill on 10-24-09. Went to Dr. on 29th and 30th. Was placed in hosp. on 11-2-09 overnight. Started to feel better 11-10-09. Symptoms N/V, aching.  11/16, 11/17. and 11/18/09 Medical records and discharge e summary recieved for DOS 11/2-11/3. Final DX: Pleurisy.  Three months gestation w/pain under left ribs. Sharp. Deep breath worsens. guarding ribs, EKG WNL, D-dimer WNL. Vomiting x3. SOB. (+) FHT. Pleurisy. Admit. Pain mgmnt. D/c to home.
Age: 81.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased, Chest X-ray abnormal, Haemorrhage, Pneumonia aspiration, Snoring
Clinical narrative: Two residents received Novartis brand flu vaccine -not the H1N1 - NDC-66521-0112-10- from the same vial -Lot # =98448P1- at 11AM on 11/12/09. Within an hour of each other later that evening both residents had severe drops in their blood sugars requiring hospitalization.
Age: 81.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Unresponsive to stimuli
Clinical narrative: Two residents received Novartis brand flu vaccine -not the H1N1 - NDC-66521-0112-10- from the same vial -Lot # =98448P1- at 11AM on 11/12/09. Within an hour of each other later that evening both residents had severe drops in their blood sugars requiring hospitalization.
Age: 81.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased
Clinical narrative: Two residents received Novartis brand flu vaccine -not the H1N1 - NDC-66521-0112-10- from the same vial -Lot # =98448P1- at 11AM on 11/12/09. Within an hour of each other later that evening both residents had severe drops in their blood sugars requiring hospitalization.
Age: 93.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased, Chest X-ray abnormal, Drooling, Dyspnoea, Feeling cold
Clinical narrative: Two residents received flu vaccine-not the H1N1 from the same vial at 11am on 11/12/09/ Within an hour of each other later that evening both residents had severe drops in their blood sugars requiring hospitalization.
Age: 93.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pneumonia aspiration, Unresponsive to stimuli
Clinical narrative: Two residents received flu vaccine-not the H1N1 from the same vial at 11am on 11/12/09/ Within an hour of each other later that evening both residents had severe drops in their blood sugars requiring hospitalization.
Age: 93.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased
Clinical narrative: Two residents received flu vaccine-not the H1N1 from the same vial at 11am on 11/12/09/ Within an hour of each other later that evening both residents had severe drops in their blood sugars requiring hospitalization.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Dysphagia, Dyspnoea
Clinical narrative: Pt developed SOB, light headedness, tachycardia (HR 120) shortly after receiving the vaccine.  Treated with epinephrine, diphenhydramine, and methylprednisolone in Emergency Room.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Dysphagia, Dyspnoea, Pallor, Palpitations
Clinical narrative: Pt developed SOB, light headedness, tachycardia (HR 120) shortly after receiving the vaccine.  Treated with epinephrine, diphenhydramine, and methylprednisolone in Emergency Room.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Dizziness, Dyspnoea, Tachycardia
Clinical narrative: Pt developed SOB, light headedness, tachycardia (HR 120) shortly after receiving the vaccine.  Treated with epinephrine, diphenhydramine, and methylprednisolone in Emergency Room.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Increased upper airway secretion, Malaise, Pharyngeal oedema, Throat irritation
Clinical narrative: Inflamed throat, phlegm, general malaise, swollen larynx resulting in inability to sing.  Unknown at this time if will be permanent or if tissues will resolve issue and singing voice will return.
Age: 0.99
Sex: M
Vaccine: CHOL, DTAP, HEP, HIBV, IPV, PER
Symptoms: Altered state of consciousness, Diarrhoea, Pyrexia, Urticaria
Clinical narrative: Pt Bad fever and hives all over his body. Following that was terrible diarrhea for months. Complete loss of self-awareness.  12/17/09 MR received for DOS 11/29/05.  Pt seen for well baby visit at 11 mos old. Pt presented to "catch up on shots" and several vaccines administered. Tx: Motrin, Tylenol.
Age: 8.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Dry skin, Rash macular, Skin discomfort
Clinical narrative: After showering I noticed a rash over his entire chest and stomach in splotches with dry sore patches. Checked Groin and underarms Confirmed there also. Not sure what the rash is at this point.
Age: 1.14
Sex: M
Vaccine: HBHEPB, MMRV, PNC
Symptoms: Autism, Breast feeding, Childhood disintegrative disorder, Decreased appetite, Feeling abnormal
Clinical narrative: Blank look stare, non-responsive, zombie/ irriatable, clingly, not hungry, only breastfeed, lost acquired skills stop talking, stop smiling, had slight fever on off for a week. 11/18/09 Medical records received for dates 2/1/07 to 4/11/08. Well child exams WNL 2/07 to 4/08. Pt had wellness exam 4/11/08 WNL received vax.
Age: 1.14
Sex: M
Vaccine: HBHEPB, MMRV, PNC
Symptoms: Irritability, Psychiatric evaluation, Pyrexia, Staring, Unresponsive to stimuli
Clinical narrative: Blank look stare, non-responsive, zombie/ irriatable, clingly, not hungry, only breastfeed, lost acquired skills stop talking, stop smiling, had slight fever on off for a week. 11/18/09 Medical records received for dates 2/1/07 to 4/11/08. Well child exams WNL 2/07 to 4/08. Pt had wellness exam 4/11/08 WNL received vax.
Age: 0.76
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Acute sinusitis, Asperger's disorder, Autism spectrum disorder, Cough, Diarrhoea
Clinical narrative: Severe fever. Treated with motrin as usual. Did have a lot of diarreah. Slept for an unusually long time the next day. 12/17/09 Pediatric Medical records received for DOS 3/17/04. 8 month well baby visit.
Age: 0.76
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Disturbance in social behaviour, Fatigue, Headache, Hypersomnia, Lacrimation increased
Clinical narrative: Severe fever. Treated with motrin as usual. Did have a lot of diarreah. Slept for an unusually long time the next day. 12/17/09 Pediatric Medical records received for DOS 3/17/04. 8 month well baby visit.
Age: 0.76
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Local swelling, Malaise, Nasal congestion, Oropharyngeal pain, Pulmonary congestion
Clinical narrative: Severe fever. Treated with motrin as usual. Did have a lot of diarreah. Slept for an unusually long time the next day. 12/17/09 Pediatric Medical records received for DOS 3/17/04. 8 month well baby visit.
Age: 0.76
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Pyrexia, Rash, Rhinorrhoea, Sinus headache, Sneezing
Clinical narrative: Severe fever. Treated with motrin as usual. Did have a lot of diarreah. Slept for an unusually long time the next day. 12/17/09 Pediatric Medical records received for DOS 3/17/04. 8 month well baby visit.
Age: 0.76
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Snoring, Upper respiratory tract infection, Urticaria
Clinical narrative: Severe fever. Treated with motrin as usual. Did have a lot of diarreah. Slept for an unusually long time the next day. 12/17/09 Pediatric Medical records received for DOS 3/17/04. 8 month well baby visit.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Several hours after my H1N1 shot was given, I began to feel a tingling sensation trickle up and down my left arm, especially in my left hand. My left deltoid was the route of administration. Four hours have passed since I first started experiencing the tingling sensation and it still is occurring.
Age: 1.25
Sex: M
Vaccine: DTAPIPV, HEP, HIBV, PPV
Symptoms: Inappropriate schedule of drug administration, Injection site cellulitis, Injection site haematoma, Pyrexia
Clinical narrative: cellulitis/hematoma at injection site, fever.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: rash
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Crying, Pyrexia, Sleep disorder, Sneezing
Clinical narrative: Inconsolable crying, sneezing, waking q2h, low grade temp.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash, Rash papular
Clinical narrative: RASH, eryth. papules on abd., paler red smaller papule innner thighs, faint eryth. on cheeks bilateral.
Age: 31.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Feeling abnormal, Immediate post-injection reaction, Pruritus, Urticaria
Clinical narrative: Immediately after receiving vaccine I felt strange, approximately 2min later I started developing hives and itching. At approx 8:30pm I took 50mg of Benadryl, hives and itching shortly resolved after approx 15min.
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Aphasia, Death, Dyspnoea, Oxygen saturation decreased
Clinical narrative: difficulty breathing, unable to talk, was taken to hospital via ambulance, O2 sat 88%  later died.  12/7/09 Death Certificate recieved. DOD 11/9/09. Cause of Death: Chronic Obstructive Lung Disease. Additional information abstracted - Other significant conditions: ASHD; GI bleed.   11/25 and  12/4 Medical records and discharge summary received.  DOS 10/23/09 Final DX: Acute on chronic congestive heart failure likely s/to a combination of diastolic dysfunction, severe HTN and valvular heart disease. COPD, New onset of atrial fibrillation, CAD s/p coronary artery bypass grafting 2006. PVD with h/o moderate carotid disease, HTN, DM type 2, Valvular heart disease w/moderate to severe mitral regurgitation and moderate pulmonary hypertension by echocardiogram. C/O fatigue, SOB, dizziness, edema. Lethargy. Breathless. Bil carotid bruits. ICU. D/C. Poor prognosis.    DOS 11/02 Final DX: Acute renal failure, suspect patient was prerenal azotemia w/eleveated blood urea nitrogen to creatanine ratio related to diuretics, poor oral intake, and congestive heart failure.  Hypokalemia related acute renal failure in setting of medications which can increase potassium.  Bradycardia likely related to hypokalemia in addition to medication which can slow heart rate.  Now s/p pacemaker placement. Hypotension r/to symptomatic bradycardia, anemia, underlying CHF w/ bil pleural effusions, respiratory failure w/adequate gas exchange.  Admit for malignant hypertension and COPD, improved and was D/C to home. Prognosis poor.   5 days later c/o  lethargy, hypotension, bradycardia, intubated.  BP 90/60.  Decreased breath sounds bil. 3rd degree AV block, acute renal failure. Hypokalemia. Multiorgan failure.  Acute resp failure. UTI.
Age: 29.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Asthenia, Headache, Malaise, Nausea
Clinical narrative: Headache, Nausea, feeling of unwellness/weakness.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abasia, Aphasia, Chills, Dysarthria, Dyspnoea
Clinical narrative: Chills, aching, progressed to pin-pricks, slurred speech unsteady gait. Further, progressed S.O.B, lips swelling.  No Benadryl at home. Called 911, waited 7:30 am then went by POV to ER. Patient unable to walk  or talk upon arrival to ER.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Gait disturbance, Lip swelling, Pain
Clinical narrative: Chills, aching, progressed to pin-pricks, slurred speech unsteady gait. Further, progressed S.O.B, lips swelling.  No Benadryl at home. Called 911, waited 7:30 am then went by POV to ER. Patient unable to walk  or talk upon arrival to ER.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Burning sensation, Eyelid oedema, Pruritus
Clinical narrative: Sever swelling/edema of eyelid skin, with some itching/burning related. Note condition has worsened since onset.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Dysgeusia, Pain in extremity, Paraesthesia
Clinical narrative: Within 2-5 mins after shot, pt c/o tasting medicine-like taste in mouth, tingling sensation that spread from R elbow up R shoulder across head and left neck to left shoulder and lasted less than 1 min. R hand to elbow soreness.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Nausea, Pain
Clinical narrative: 6 hrs after receiving shot severe chills, nausea and aching with temp 103 which resolved in 12-18 hrs
Age: 6.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Sore throat and headache on 11/12/09. On 11/13/09, developed fever in addition to severe sore throat and headache.  Seen by pediatrician on 11/13/09 and informed the symptoms were a reaction to the H1N1 nasal spray.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache, Pruritus, Urticaria
Clinical narrative: On 11/14/09 at around 10 am, she complained of a headache.  On 11/15/09, she complained of itching and I found large hives on her trunk (around 6 PM).  It resolved with oral Benadryl and cortisone cream.
Age: 41.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Episodic Heart Racing with mild shortness of breath.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Insomnia, Pyrexia, Vomiting
Clinical narrative: Very high fever (no measurement), vomiting, lack of sleep, fever gone in AM  99-100 following noon
Age: 63.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Dry mouth, Hyperhidrosis, Nausea, Tremor
Clinical narrative: PATIENT PRESENTED WITH TREMBLING, SWEATING, NAUSEA AND DRY MOUTH. RECEIVED OXYGEN AND OTHER MEDICATIONS ORDERED BY THE MD. WAS TRANSPORTED TO THE EMERGENCY ROOM.
Age: 63.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Chills, Dry mouth, Hyperhidrosis, Nausea, Oxygen supplementation
Clinical narrative: PATIENT PRESENTED WITH TREMBLING, SWEATING, NAUSEA AND DRY MOUTH. RECEIVED OXYGEN AND OTHER MEDICATIONS ORDERED BY THE MD. WAS TRANSPORTED TO THE EMERGENCY ROOM.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Febrile convulsion, Nephrotic syndrome, Protein urine present, Pyrexia
Clinical narrative: Pt given hep A shot on 10/30/09. The night of 10/31/09 she had a fever to 106 and a febrile seizure and developed nephrotic syndrome. She is currently on oral steroids and followed by nephrologist.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site pain, Injection site warmth, Swelling, Tremor
Clinical narrative: On the second day after her vaccination she had headaches and tremors. The 3rd day she had swelling and her skin was very hot at the injection site. It is still tender to the touch. She took Benadryl, 1 tablet every 4 hours and it has helped relieve the reaction.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: NAUSEA AND VOMITING
Age: 18.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy
Clinical narrative: Pregnant patient given H1N1 live intranasal vaccine.
Age: 1.64
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Cough, Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: Fever 102, vomiting, runny nose, cough.