chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: M
Vaccine: UNK
Symptoms: Cardiac function test, Coma, Crying, Cyanosis, Dyspnoea
Clinical narrative: Mother states she took him to hospital for immunisation in the hospital where he started crying through the day and night. The following day at mid day, he went into a coma. She sought help from a nearby clinic where the doctors revealed that he had acute pneumonia. "Watching him breathe as if it was his last was so traumatising that felt like I was losing my baby". After four days of improvement the condition worsened. She took him to hospital where he was put on oxygen for four days after which doctors confirmed that he had a heart problem. He usually turns blue and it is said there' a deficiency of oxygen. The lips are also bluish and transferred to different parts of the body. They were referred to another Hospital after the scans on the heart and was later diagnosed with cyanotic heart disease and need open heart surgery.
Age: 0.2
Sex: M
Vaccine: UNK
Symptoms: Heart disease congenital, Pneumonia
Clinical narrative: Mother states she took him to hospital for immunisation in the hospital where he started crying through the day and night. The following day at mid day, he went into a coma. She sought help from a nearby clinic where the doctors revealed that he had acute pneumonia. "Watching him breathe as if it was his last was so traumatising that felt like I was losing my baby". After four days of improvement the condition worsened. She took him to hospital where he was put on oxygen for four days after which doctors confirmed that he had a heart problem. He usually turns blue and it is said there' a deficiency of oxygen. The lips are also bluish and transferred to different parts of the body. They were referred to another Hospital after the scans on the heart and was later diagnosed with cyanotic heart disease and need open heart surgery.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash erythematous
Clinical narrative: GARDASIL vaccine dose # 2 given 4-21-10 (Had dose # 1 7/20/07) - pt. returned to office 4/26/10 with rash (red, itching) on both arms, elbow, legs, top of (R) foot, back. - Tx w/ BENADRYL.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Computerised tomogram head, Computerised tomogram normal, Headache
Clinical narrative: Severe frontal and bitemporal headache 10 min after receiving Tdap. H/A subsided after 15 mins. Intermittent H/A has persisted since, ongoing for 2 wks.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Just letting you know that the child received early Dtap, extra PCV. Mom assured this nurse that child got only one set of imm. with PCP but actually got 2 thus child receive extra doses.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Rash papular
Clinical narrative: Big rash and bump
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: HIBERIX (GSK LOT AHIBC243AA EXP 4/6/12) FOR 15 MONTHS AND OLDER WAS GIVEN AT AGE 4 MONTHS.
Age: 25.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest pain, Dizziness, Injection site pain
Clinical narrative: PATIENT RECEIVED H1N1 VACCINE AT 2 PM RTC 4 PM COMPLAINING OF PAIN FROM UPPER RIGHT ARM TO RIGHT CHEST ABOVE BREAST.  FEELING LIGHT HEADED.
Age: 1.04
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site vesicles, Skin lesion
Clinical narrative: Blister-like lesion to right thigh area, 3-4mm with surrounding erythema. No fluctuance, not increasing in size X2 weeks.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Erythema with swelling to injection site, warm to touch and hard.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MEN, TDAP, VARCEL
Symptoms: Chest discomfort, Hypersensitivity, Swelling face, Temperature intolerance, Urticaria
Clinical narrative: PATIENT BROKE OUT IN HIVES ALL OVER HER BODY ON 4/7 AND BENADRYL GIVEN EVERY 6 HOURS.  TODAY SHE WOKE UP WITH HER FACE SWOLLEN AND TOLD HER FATHER THAT SHE FELT LIKE SOMEONE WAS STANDING ON HER CHEST.  I ADVISED THE FATHER TO TAKE HER TO THE ER IMMEDIATELY.  ON 4/12, I CALLED THE FATHER TO CHECK ON PATIENT.  HE REPORTED THAT HE TOOK HIS DAUGHTER TO THE ER AT MEDICAL CTR AND THE PHYSICIAN AT THE HOSPITAL TOLD HIM THAT SHE HAD AN ALLERGIC REACTION TO THE HPV VACCINE.  THE PHYSICIAN TOLD HIM TO CONTINUE BENADRYL.  ON 3/31 PATIENT WAS TREATED FOR STREP THROAT AND WAS GIVEN AMOXICILLIN.  SHE WAS STILL ON THE TREATMENT WHEN THE VACCINE WAS GIVEN.  HE REPORTED THAT HE HAD TOLD THE PHYSICIAN ABOUT THE TREATMENT FOR STREP THROAT.  THE FATHER REPORTED THAT THE SWELLING TO HIS DAUGHTER'S FACE SUBSIDED BY SATURDAY 4/10.  THE HIVES SUBSIDED BY THE NEXT DAY.  HE STATES SHE IS STILL SENSITIVE TO HEAT.  I TOLD THE FATHER I WOULD REPORT THIS TO MEDICAL DIRECTOR FOR ADVICE ON GIVING FOLLOWUP VACCINES.  DR ADVISED TO GIVE FOLLOWUP VACCINES ON SEPARATE VISITS AND GIVE BENADRYL FOR REACTION.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia facial, Swelling face
Clinical narrative: Patient complaint of numbness and swelling of her left side of the face after a month of H1N1 vaccine administration. Patient went to Hospital for the said symptom on 12/09/2009.
Age: 1.12
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site warmth
Clinical narrative: VACCINES GIVEN ON 3/25/10.  MOM NOTICED A RED KNOT WHEN HE GOT THE SHOT BUT IT CLEARED UP.  ON 4/1/10 MOM NOTES THAT KNOT RETURNED ABOUT THE SIZE OF A HALF DOLLAR.  IT WAS RED, HOT, HARD IN THE AREA THAT HEPATITIS A WAS GIVEN.
Age: 38.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: He had a red swollen arm after pneumonia shot and was in hospital + 1 wk.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Electrocardiogram normal, Pericarditis, Troponin increased
Clinical narrative: This study case was received from the investigator on 23 April 2010. A 38 year-old male subject with a medical history significant for high blood pressure and elevated cholesterol received the following vaccines on 06 July 2009: ACAM2000 (lot number not reported.); TYPHIM VI (lot number not reported) and anthrax (manufacturer and lot number not reported). Eighteen days post vaccination the subject was diagnosed with acute pericarditis, unspecified. It was also reported that on 17 July 2009 the subject had an abnormal troponin (actual result was 00.81) and a normal electrocardiogram. No other information was provided. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender: None.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Acute myocardial infarction, Electrocardiogram abnormal
Clinical narrative: This report was received from the investigator trial on 23 April 2010. A 33 year-old male subject with a history of chest pain received the following vaccines on 24 June 2009: ACAM2000, lot number not reported); Typhim Vi (lot number not reported); and Anthrax vaccine (other manufacturer and lot number not reported). Fifteen days after vaccination, the subject was diagnosed with an acute myocardial infarction of the inferolateral wall. The subject's record also included ICD-9 code 410.9: acute myocardial infarction, unspecified site with the same diagnosis date. Nine days after vaccination the subject had an abnormal electrocardiogram. The outcome was not reported. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: FLUX, SMALL, ANTH, FLU3, SMALL
Symptoms: Acute myocardial infarction, Echocardiogram normal, Electrocardiogram abnormal, Troponin I increased
Clinical narrative: This report was received from the investigator in a trial on 23 April 2010. A 20 year-old male subject with a history of chest pain and headaches received the following vaccines on 02 April 2009: ACAM2000 (lot number not reported); influenza split virus vaccine (manufacturer unknown, lot number not reported); and anthrax vaccine (other manufacturer and lot number not reported). Five days after vaccination, the subject was diagnosed with an acute myocardial infarction, subendocardial infarction. The subject's record also included ICD-9 code 410.9: acute myocardial infarction, subendocardial infarction, unspecified site with the same diagnosis date. The subject had the following investigations: an electrocardiogram on 14 April 2009 reported as abnormal; a Troponin I level on 20 April 2009 reported as 0.04, abnormal; and an echocardiogram on 08 May 2009 reported as normal. The outcome was not reported. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender: None.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Throat irritation
Clinical narrative: Throat itching
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Nausea, Pain, Pyrexia
Clinical narrative: Swelling and redness at injection site, pain as well with nausea, vomiting and fever within 12 hours lasting until seen on 3/29/10.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: Swelling and redness at injection site, pain as well with nausea, vomiting and fever within 12 hours lasting until seen on 3/29/10.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Decreased appetite, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Vomiting and inappetence after vaccine, irritable and difficulty staying asleep. Right leg had red 4 cm raised red band that was hard and tender to the touch.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Irritability, Sleep disorder, Vomiting
Clinical narrative: Vomiting and inappetence after vaccine, irritable and difficulty staying asleep. Right leg had red 4 cm raised red band that was hard and tender to the touch.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Repeated vomiting from following an (6 o'clock) lasting 16hrs. No fever or diarrhea. No one else sick at home.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Contusion, Henoch-Schonlein purpura, Skin discolouration
Clinical narrative: Information has been received from a physician concerning a 15 year old female patient, who on 09-SEP-2008, was vaccinated with the first dose 0.5 mL dose of GARDASIL vaccine (route and lot number not provided). On 12-SEP-2008, the patient experienced purple bruising around the legs and ankles. The patient went to an infectious disease specialist and was diagnosed with Henoch-Schonlein purpura (HSP) (form of purpura). It was reported that therapy with GARDASIL was discontinued and the patient received only the first dose. The patient's outcome was unknown at the time of reporting. The patient sought medical attention through an infectious disease specialist. Upon internal review, Henoch-Schonlein purpura was considered to be an other important medical event. Additional information has been requested.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Condition aggravated, Hypertension, Pain, Pain in extremity
Clinical narrative: Client awoke 4/12/10 extreme body pain both thighs and upper arms and weakness which lasted 7-10 days states high BP x 10 days. Saw MD 4/14/10. Started TYLENOL TID on 4/14/10 - helped some with pain. No fever until 4/21/10. Still c/o hamstring pain.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia
Clinical narrative: Client awoke 4/12/10 extreme body pain both thighs and upper arms and weakness which lasted 7-10 days states high BP x 10 days. Saw MD 4/14/10. Started TYLENOL TID on 4/14/10 - helped some with pain. No fever until 4/21/10. Still c/o hamstring pain.
Age: 28.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Blister, Injection site mass, Nodule, Rash generalised
Clinical narrative: Pt called 4/21/10 stating 3 days ago noted a 2" golf ball like lump in left lower inj site.  Also has rash all over - "zit-like", and knots on head.  Has not been to PMD.  PHN advised Pt. to go to PMD asap.  Pt complied & went to PMD.  PMD stated it was normal reaction to shots.  Pt further explains - few of raised bumps have clear filled blisters.  Face, head, arms, trunk, None on legs.  Has Rx for BENADRYL.  C/o HA 4/17, 4/18.
Age: 55.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Blister, Herpes zoster, Lethargy, Post herpetic neuralgia, Rash
Clinical narrative: Lethargy, blistering rash (ZOSTER); lasted through December.  Patient still experiences postherpetic neuralgia.
Age: 55.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Headache, Herpes zoster, Lethargy, Post herpetic neuralgia, Skin tightness
Clinical narrative: Lethargy, blistering rash (ZOSTER); lasted through December.  Patient still experiences postherpetic neuralgia.
Age: 15.0
Sex: M
Vaccine: HEPA, HPV4, MEN
Symptoms: Eye pain, Fatigue, Sensation of heaviness
Clinical narrative: Mother called to report pt woke up 4-22-10 8 AM with "pain" to eyes and both legs felt like lead and fatigue. Reviewed VIS. Advised mother to take pt to see healthcare provider this AM. Will call her back 4/27/10.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever - 101, hives - neck and trunk - BENADRYL 12.5 mg every 6 hours - TYLENOL.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Muscle spasms, Wrong drug administered
Clinical narrative: Pt was supposed to receive ped. DT & was given DTAP.  Father came in with Pt. & did not tell nurse supposed to get ped DT.  No reaction reported.  Previously rec. "4" DTAP's.  Father reported "spasms", none since 6 mo. old.
Age: 0.77
Sex: F
Vaccine: HEP, PNC
Symptoms: Abdominal pain upper, Flatulence, Irritability, Pyrexia, Rash erythematous
Clinical narrative: Mother states child fussy has red dots on feet & hands bad stomach ache 4AM to 630AM. Passed a lot of gas had slight fever. Temp not taken gave TYLENOL about 11 to 1130AM intends to discuss with MD.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Blood culture, Culture urine, Differential white blood cell count, Full blood count, Pyrexia
Clinical narrative: Fever x 4 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 13 X 10 cm.  Red warm raised area around DTAP administration site right thigh.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 14 cm x 8 cm swollen, erythematous lesion on (R) upper thigh - warm to touch.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Skin warm, Tenderness, Urticaria
Clinical narrative: Sudden onset of hives on face after receiving shots. Few on right shoulder inferior to 2 bandaids covering MMR/Varivax shots. Started with redness/warmth 1 day ago to left arm. Increased in redness today 7.5cm x 8.5cm, some tenderness and hardness.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: Patient has a rash at the site of injection. She does not have itching or pain - just a slight rash. She will call her MD if it gets worse or doesn't go away.
Age: 3.0
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Abasia, Induration, Injection site pain, Screaming, Skin warm
Clinical narrative: Parent stated S/Sx started on the evening of the vaccine. Pt C/o not being able to walk d/t pain in R leg where vaccine given. Screaming in pain today 4/29 and can't walk.  Injection site is painful, no redness, warm to touch, and hard where vaccine was given on R leg.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site pain, Injection site swelling, Nausea
Clinical narrative: TC on 4/28 by patient to Public Health Nurse, of raised area 1 inch in diameter and tender to touch at site of injection, also tired and slightly nauseated.  Instructed to do warm compresses and Ibuprofen.  TC on 4/29 to patient and she states raised area smaller and no longer tender, much improved.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Tinnitus
Age: 68.0
Sex: M
Vaccine: TD, VARZOS
Symptoms: Diarrhoea
Clinical narrative: Diarrhea q 2 hours x 4 days, as 4-29-10, improved but still several times q day, slowly recovering.
Age: 17.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Chest discomfort, Chills, Dizziness, Dry throat, Headache
Clinical narrative: Patient's mom reported that fever began on the evening of 4/27/10. By 04/28/10 patient had fever of 102 degrees, chills, dizziness, headache, chest tightness and dry throat. Patient referred to MD for treatment. Pt. contacted MD. Called today for follow-up and Sx. are resolving.
Age: 17.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Pyrexia
Clinical narrative: Patient's mom reported that fever began on the evening of 4/27/10. By 04/28/10 patient had fever of 102 degrees, chills, dizziness, headache, chest tightness and dry throat. Patient referred to MD for treatment. Pt. contacted MD. Called today for follow-up and Sx. are resolving.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Clinical narrative: Patient had a seizure.
Age: 0.53
Sex: F
Vaccine: PNC13
Symptoms: Crying, Injection site nodule, No reaction on previous exposure to drug
Clinical narrative: Crying, knot in muscle of leg where injection given.  Did not have previous persistent crying with 2 and 4mo imms.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), HEPA, HIBV, VARCEL
Symptoms: Brain death, Brain operation, Cerebral haemorrhage, Crying, Death
Clinical narrative: My daughter was sick. She was complaining about pain in her stomach, she was vomiting for previuos 4 days. So I decided to take her to her pediatrician and check what is wrong with her. Instead she was given 5 vaccines at her pediatrician office. He said that she is fine. She was given second dose of H1N1, HIB, Hepatitis A, varicella and tuberculosis shot. Since this time she was uncontrollable crying and she was being in constant pain. She could not keep the food. She was throwing up. The next day she collapsed, she stop breathing, she was unconscious. My wife call the ambulance. In a hospital doctors said that she had bleeding on one side of her brain. They transfer her from one hospital to another. She was still unconscious but moving her limbs. The next day morning doctors decided to perform surgery on her brain because of the bleeding. She never came out from that. The brain was dead. She was dead...
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), HEPA, HIBV, VARCEL
Symptoms: Dyspnoea, Loss of consciousness, Pain, Syncope, Vomiting
Clinical narrative: My daughter was sick. She was complaining about pain in her stomach, she was vomiting for previuos 4 days. So I decided to take her to her pediatrician and check what is wrong with her. Instead she was given 5 vaccines at her pediatrician office. He said that she is fine. She was given second dose of H1N1, HIB, Hepatitis A, varicella and tuberculosis shot. Since this time she was uncontrollable crying and she was being in constant pain. She could not keep the food. She was throwing up. The next day she collapsed, she stop breathing, she was unconscious. My wife call the ambulance. In a hospital doctors said that she had bleeding on one side of her brain. They transfer her from one hospital to another. She was still unconscious but moving her limbs. The next day morning doctors decided to perform surgery on her brain because of the bleeding. She never came out from that. The brain was dead. She was dead...
Age: 18.0
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Vomiting
Clinical narrative: fever, vomiting throughout day
Age: 0.01
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Exfoliative rash, Pyrexia, Rash macular
Clinical narrative: Fever, temp of 103.7, treated by alternating Tylenol and ibuprofen. The following Tuesday April 20 a flat scaly rash developed across face, chest and arms.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Gait disturbance, Injection site pain, Irritability
Clinical narrative: Parent called nurse triage line patient's R leg is very sore and limping. Patient is very upset about the pain. Parent will watch if S/sx of cellulitis to come in.  To treat with Tylenol/ice PRN.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Local reaction, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Arm sore for 3-4 days (woke her at night when she rolled onto it), also felt "icky & woozy".  Now swollen, itchy and warm.  Dr. feels it is a localized allergic reaction.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Arm sore for 3-4 days (woke her at night when she rolled onto it), also felt "icky & woozy".  Now swollen, itchy and warm.  Dr. feels it is a localized allergic reaction.
Age: 0.16
Sex: F
Vaccine: HIBV, MMR, RV5
Symptoms: Crying, Diet refusal, Flatulence, Frequent bowel movements, Gastrooesophageal reflux disease
Clinical narrative: Screaming and crying that day and refused to eat that day. After that she started with gastro symtpoms that she didn't have prior (vomiting, extreme gas, crying, acid reflux, excessive bowel movements).
Age: 0.16
Sex: F
Vaccine: HIBV, MMR, RV5
Symptoms: Screaming, Vomiting
Clinical narrative: Screaming and crying that day and refused to eat that day. After that she started with gastro symtpoms that she didn't have prior (vomiting, extreme gas, crying, acid reflux, excessive bowel movements).
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Caesarean section, Condition aggravated, Contraindication to vaccination, Drug exposure during pregnancy, Pregnancy induced hypertension
Clinical narrative: A spontaneous report with serious event of pregnancy induced hypertension and non-serious event of inadvertent administration of H1N1 to a pregnant woman was received from a registered nurse/healthcare professional concerning a 25-year-old female, subsequent to H1N1, Intranasal. the patient had a medical history of first trimester nausea and maternal medical history included PI hypertension. The obstetrical history included two gravida and two para. The gestation period at the time of vaccination was 26 weeks and three days and the reported expected date of delivery was 27-Feb-2010. The concomitant medications included promethazine for nausea and ondansetron was prescribed for nausea later in the first trimester. The patient was also on prenatal vitamins. On 21-Nov-2009, the patient received H1N1, Intranasal for an unknown indication. The patient experienced pregnancy induced hypertension during current pregnancy on an unknown date. The patient delivered a baby boy on 10-Feb-2010 via C-section. The patient had a full term delivery and there were no complications with the delivery. The gestational age of the child was 38 weeks, weight was 8 lbs 2 oz and the neonatal status was a normal, single birth. The apgar score was 9 for both one and five minutes. The outcome of pregnancy induced hypertension was unknown and that of inadvertent administration of H1N1 to a pregnant woman was considered resolved. Additional information was received on 07-Dec-2009 and incorporated into the narrative: Medical history, obstetrical history, concomitant medication, gestation period, expected date of delivery. Additional information was received on 21-Apr-2010 and incorporated in the narrative-Adverse event of pregnancy induced hypertension was added which was considered to be a medically important event and as it is an unexpected event, the case was upgraded to be a 15-day case, reporter information, patient's medical and obstetrical history, concomitant medications, neonatal information. Other information received was patient name and address.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Wrong drug administered
Clinical narrative: A spontaneous report with serious event of pregnancy induced hypertension and non-serious event of inadvertent administration of H1N1 to a pregnant woman was received from a registered nurse/healthcare professional concerning a 25-year-old female, subsequent to H1N1, Intranasal. the patient had a medical history of first trimester nausea and maternal medical history included PI hypertension. The obstetrical history included two gravida and two para. The gestation period at the time of vaccination was 26 weeks and three days and the reported expected date of delivery was 27-Feb-2010. The concomitant medications included promethazine for nausea and ondansetron was prescribed for nausea later in the first trimester. The patient was also on prenatal vitamins. On 21-Nov-2009, the patient received H1N1, Intranasal for an unknown indication. The patient experienced pregnancy induced hypertension during current pregnancy on an unknown date. The patient delivered a baby boy on 10-Feb-2010 via C-section. The patient had a full term delivery and there were no complications with the delivery. The gestational age of the child was 38 weeks, weight was 8 lbs 2 oz and the neonatal status was a normal, single birth. The apgar score was 9 for both one and five minutes. The outcome of pregnancy induced hypertension was unknown and that of inadvertent administration of H1N1 to a pregnant woman was considered resolved. Additional information was received on 07-Dec-2009 and incorporated into the narrative: Medical history, obstetrical history, concomitant medication, gestation period, expected date of delivery. Additional information was received on 21-Apr-2010 and incorporated in the narrative-Adverse event of pregnancy induced hypertension was added which was considered to be a medically important event and as it is an unexpected event, the case was upgraded to be a 15-day case, reporter information, patient's medical and obstetrical history, concomitant medications, neonatal information. Other information received was patient name and address.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Today visit notice on (L) deltoid slight reaction on KINRIX. No warmth, no swelling about 5cm redness only - faint around the site of KINRIX administration. Upper deltoid area.
Age: 0.53
Sex: M
Vaccine: PNC
Symptoms: Hypokinesia, Muscular weakness
Clinical narrative: Gross motor movement weakened in lower limbs x 48 hrs.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema
Clinical narrative: Redness at site of injection site about 2 cm X 3 cm.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Pt has large, hot, red lump on L arm where vx was administered SQ.
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local reaction with redness and swelling to L upper thigh.
Age: 17.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Back pain, Body temperature increased, Headache, Pain
Clinical narrative: Back hurts, Temp 101, neck & body aches.  Headache - symptoms started about 10 AM.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Laboratory test
Clinical narrative: Pt received vaccine on Friday 4/16/10.  Mom was advised of adverse reactions.  Minor ache noted on Friday on L thigh.  Saturday redness and swelling occurred.  Sunday it worsened and mom took pt to urgent care.  Dx of cellulitis was given and treated with KEFLEX for 10 days.  F/U with provider on 4/20/10 cellulitis now resolved.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Heart rate increased
Clinical narrative: Weakness.  Rapid heart rate for approx. 5 hours after immunization.
Age: 10.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt has red, warm round (3 in X 4 in) spot on arm, where vaccine given.  No other symptoms reported by patient or patient's mom.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Full blood count, Henoch-Schonlein purpura, Rash, Red blood cell sedimentation rate
Clinical narrative: Flu vaccine administered on 10/1/09. Rash developed approximately  10/29/09, evolved into Henoch-Schonlein purpura with knee pain, arthralgia of wrists. Improved by 11/5/09. Remained resolved.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Urine analysis
Clinical narrative: Flu vaccine administered on 10/1/09. Rash developed approximately  10/29/09, evolved into Henoch-Schonlein purpura with knee pain, arthralgia of wrists. Improved by 11/5/09. Remained resolved.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, heat, hard to touch - 4 cm x 2 cm - L upper outer arm, L deltoid area.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Varicella post vaccine
Clinical narrative: Developed varicella despite receiving VARIVAX on 11/20/2003 and MMRV on 10/2/07.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash on left shoulder
Age: 2.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Blood test, Electroencephalogram normal, Muscle twitching, Pyrexia, Screaming
Clinical narrative: He started to have a fever at 12 pm that night and woke up alot thru out the night then I got him up at 10 am and sat him in his high chair to eat and he started to twitch and scream. I had thought that it may the chair had pinched him and I picked him up and he was still doing it for about 1 min. Then it stopped and we went on with our day. Another one happened about 2 pm and I was in the room and he started to scream. Again I went to the store with my mother and told her what was happening she said that it was just him getting scared and I told her that no it was not and then she saw it first hand. I called the doctor at that point and he said to take him in to the ER and I did and they didn't know why or what was causing it. They took blood and stool sample and gave him Tylenol and it went away for a little bit then came back. They admitted us at about 9 pm and we were there for a total of 6 days and 5 and still no doctor had any answer. He had a normal EEG and nothing then they put us on a video EEG and he had one in his sleep and we were went home with 2 diff meds to give him for them and still no answer. I was watching TV and saw the show and it sounded alot like my situation.
Age: 2.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Sleep disorder, Stool analysis
Clinical narrative: He started to have a fever at 12 pm that night and woke up alot thru out the night then I got him up at 10 am and sat him in his high chair to eat and he started to twitch and scream. I had thought that it may the chair had pinched him and I picked him up and he was still doing it for about 1 min. Then it stopped and we went on with our day. Another one happened about 2 pm and I was in the room and he started to scream. Again I went to the store with my mother and told her what was happening she said that it was just him getting scared and I told her that no it was not and then she saw it first hand. I called the doctor at that point and he said to take him in to the ER and I did and they didn't know why or what was causing it. They took blood and stool sample and gave him Tylenol and it went away for a little bit then came back. They admitted us at about 9 pm and we were there for a total of 6 days and 5 and still no doctor had any answer. He had a normal EEG and nothing then they put us on a video EEG and he had one in his sleep and we were went home with 2 diff meds to give him for them and still no answer. I was watching TV and saw the show and it sounded alot like my situation.
Age: 41.0
Sex: M
Vaccine: RAB
Symptoms: Abdominal pain upper, Chills, Dyspnoea, Respiratory distress
Clinical narrative: Initial health authority report (PEI2010009699) received on 27 Apr 2010: This smoker patient was vaccinated with RABIPUR (batch number 453011A) on 25 Feb 2010 at 8.00 hrs. 10 hours after vaccination, the patient presented with stomach cramp and chills and 14 hours after vaccination, the patient presented with breathlessness and distress respiratory. The patient did not hospitalize. Outcome of the event was reported as complete recovery.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Generalized edema w/ 5" diameter to injection site, IM R deltoid with associated pain, FROM.
Age: 66.0
Sex: M
Vaccine: HIBV, PPV
Symptoms: Asthenia, Balance disorder, Myalgia
Clinical narrative: Weak, unsteady, muscle pain all over body.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Erythema & edema developed about 12 hours after injection in RLE.  Positive pain.  Pt seen about 40 hours after injection and diagnosed with cellulitis.  Pt had fever per mom.
Age: 36.0
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Furuncle, Pyrexia
Clinical narrative: The pt states started running fever in the afternoon of 28th and the next morning boils started to appear. When pt. returned to clinic on 3/29 for additional vaccines she c/o of still had some.  Spoke with her 4/30/2010 they are all gone.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient given PNEUMOVAX injection on 4-27-2010 (right arm) after 24 hrs developed.  In the right arm when she received vaccine increased swelling, pain and redness which worsened after 48 hrs.  Sent pt. to ER where they treated pt. for cellulitis and started on KEFLEX 500 mg X 28 days.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pain and redness to thigh (left) warm to the touch 7 cm.
Age: 3.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pain and redness to thigh (left) warm to the touch. 9cm erythematous.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Pain in extremity, Rash pruritic
Clinical narrative: Painful itchy rash L posterior upper arm 3 x 4 cm.
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Blood culture, Blood pressure increased, Blood test, Condition aggravated
Clinical narrative: Slight fever - Elevated blood pressure - Abdominal cramps - Diarrhea - Swelling in left leg with redness and elevated temp. Needed IV antibiotics to fight infection. Treated at ER. Discharged with antibiotics and pain med. and anti-diarrhea prescription meds.
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Erythema, Infection, Oedema peripheral, Pyrexia
Clinical narrative: Slight fever - Elevated blood pressure - Abdominal cramps - Diarrhea - Swelling in left leg with redness and elevated temp. Needed IV antibiotics to fight infection. Treated at ER. Discharged with antibiotics and pain med. and anti-diarrhea prescription meds.
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Skin warm
Clinical narrative: Slight fever - Elevated blood pressure - Abdominal cramps - Diarrhea - Swelling in left leg with redness and elevated temp. Needed IV antibiotics to fight infection. Treated at ER. Discharged with antibiotics and pain med. and anti-diarrhea prescription meds.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Skin warm
Clinical narrative: Mother telephoned and reports localized redness, swelling and warmth.  Advised warm, moist packs and to seek medical treatment if symptoms persist or worsen.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Swelling
Clinical narrative: Mother telephoned and reports localized redness, swelling and warmth.  Advised warm, moist packs and to seek medical treatment if symptoms persist or worsen.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MEN, TDAP
Symptoms: Blood test normal, Chills, Dizziness, Electrocardiogram normal, Feeling cold
Clinical narrative: Approx 20 min after receiving injections, pt c/o feeling dizzy. No SOB no diaphoresis, however, status change noted. Pt unable to answer questions. No LOC. Hypersensitive to touch on arms. EMS called. BP 118/68. Glucose 73. Pt c/o feeling cold and shaking/shivering observed. Transported to Emergency Room via ambulance 30 min after injections given.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MEN, TDAP
Symptoms: Hyperaesthesia, Tremor, Urine analysis normal, X-ray normal
Clinical narrative: Approx 20 min after receiving injections, pt c/o feeling dizzy. No SOB no diaphoresis, however, status change noted. Pt unable to answer questions. No LOC. Hypersensitive to touch on arms. EMS called. BP 118/68. Glucose 73. Pt c/o feeling cold and shaking/shivering observed. Transported to Emergency Room via ambulance 30 min after injections given.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Syncope
Clinical narrative: On 04/30/10 patient stated fainted twice and dizzy.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Mobility decreased, Muscular weakness, Pain
Clinical narrative: Very tired. Left arm weakness, can't move arm at night very well. General body discomfort and right arm very weakened.
Age: 1.54
Sex: F
Vaccine: HEPA
Symptoms: Injection site swelling, Injection site urticaria
Clinical narrative: Hep A injection at 18 month physical. Approx. 4-6 hrs after pt started with hives and swelling at injection site which then spread to leg, abdomen and back. BENADRYL given.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Differential white blood cell count normal, Full blood count normal, Petechiae
Clinical narrative: Pt developed petechiae around eyes, zygomatic arch, and nape shortly after administration of KINRIX and VARICELLA which were given today.  CBC w/diff WNL.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Local erythema and pain left arm at injection site. Pain left shoulder/upper arm.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Pain, Pyrexia, Throat irritation
Clinical narrative: Itchy throat, tightness in chest, low grade fever, body aches.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Local erythema, pruritis, tenderness at injection site. Started w/in 1 hour of injection.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt had HEP A #2 injection in RT deltoid.  Following 2 days had localized swelling & redness.  Symptoms lessened by 3rd day.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Had first Hep B on Friday afternoon, by Saturday morning c/o right arm pain, warmth at area, stiffness radiating to neck, also right sided headache. 4/26/10 Area is red and warm.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Anion gap increased, Body temperature normal, Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Case previously recorded as MA2009-3638. Initial case report received from a physician via Vaccine Adverse Event Reporting System (VAERS), on 06 NOV 2009. A 70-year-old female patient was vaccinated with FLUVIRIN (batch no. 89684) into the left arm on 10 OCT 2008. She also received PNEUMOVAX 23 (batch no. 660685/0519X) 0.5 ml into the left arm on 04 NOV 2008. The physician reported that on 06 NOV 2008 the patient was seen at the physician's office because she had redness, swelling and pain in her left upper arm for two days. The patient had no fever or itching, her temperature was 98. The patient's left arm had erythema. Swelling warmthness, tenderness from mid deltoid to the elbow and there were tender left axillary nodes. The physician's impression was cellulitis and the patient was given ROCEPHIN i.m. into the office and was prescribed oral antibiotics (unspecified). The physician reported that the patient did not take the oral antibiotics, but instead she went to another physician who admitted her to the hospital for left arm cellulitis on 07 NOV 2008. A chest X-ray on her left arm was performed with no findings. Laboratory blood test results were normal with one exception: anion gap 16(normal range 5-14). The physician suggested correiation. Concomitant medication: Aspirin (acetylsalicylic acid), Caduet, Ambien, Alendronate sodium (MSD). The amount of data is insufficient to finally assess the causality. Unclear, if infectious case: most likely local reaction to vaccination with pneumococcal vaccine. . The physician suggested correlation. Addendum: On 13 NOV 2009 we received from Novartis Vaccines and Diagnostics the following further information: A batch review was performed. The batch review could not conclude the reason for the reported adverse reaction based on the data available. This batch was manufactured for the 2008/2009 campaign and dependent on the date of administration could have been expired. Follow up report received on 26 Apr 2010: Two requests for follow-up information were sent but no reply had been received. Hence the case was closed due to the lack of response.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Laboratory test, Lymph node pain, Tenderness
Clinical narrative: Case previously recorded as MA2009-3638. Initial case report received from a physician via Vaccine Adverse Event Reporting System (VAERS), on 06 NOV 2009. A 70-year-old female patient was vaccinated with FLUVIRIN (batch no. 89684) into the left arm on 10 OCT 2008. She also received PNEUMOVAX 23 (batch no. 660685/0519X) 0.5 ml into the left arm on 04 NOV 2008. The physician reported that on 06 NOV 2008 the patient was seen at the physician's office because she had redness, swelling and pain in her left upper arm for two days. The patient had no fever or itching, her temperature was 98. The patient's left arm had erythema. Swelling warmthness, tenderness from mid deltoid to the elbow and there were tender left axillary nodes. The physician's impression was cellulitis and the patient was given ROCEPHIN i.m. into the office and was prescribed oral antibiotics (unspecified). The physician reported that the patient did not take the oral antibiotics, but instead she went to another physician who admitted her to the hospital for left arm cellulitis on 07 NOV 2008. A chest X-ray on her left arm was performed with no findings. Laboratory blood test results were normal with one exception: anion gap 16(normal range 5-14). The physician suggested correiation. Concomitant medication: Aspirin (acetylsalicylic acid), Caduet, Ambien, Alendronate sodium (MSD). The amount of data is insufficient to finally assess the causality. Unclear, if infectious case: most likely local reaction to vaccination with pneumococcal vaccine. . The physician suggested correlation. Addendum: On 13 NOV 2009 we received from Novartis Vaccines and Diagnostics the following further information: A batch review was performed. The batch review could not conclude the reason for the reported adverse reaction based on the data available. This batch was manufactured for the 2008/2009 campaign and dependent on the date of administration could have been expired. Follow up report received on 26 Apr 2010: Two requests for follow-up information were sent but no reply had been received. Hence the case was closed due to the lack of response.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray limb normal
Clinical narrative: Case previously recorded as MA2009-3638. Initial case report received from a physician via Vaccine Adverse Event Reporting System (VAERS), on 06 NOV 2009. A 70-year-old female patient was vaccinated with FLUVIRIN (batch no. 89684) into the left arm on 10 OCT 2008. She also received PNEUMOVAX 23 (batch no. 660685/0519X) 0.5 ml into the left arm on 04 NOV 2008. The physician reported that on 06 NOV 2008 the patient was seen at the physician's office because she had redness, swelling and pain in her left upper arm for two days. The patient had no fever or itching, her temperature was 98. The patient's left arm had erythema. Swelling warmthness, tenderness from mid deltoid to the elbow and there were tender left axillary nodes. The physician's impression was cellulitis and the patient was given ROCEPHIN i.m. into the office and was prescribed oral antibiotics (unspecified). The physician reported that the patient did not take the oral antibiotics, but instead she went to another physician who admitted her to the hospital for left arm cellulitis on 07 NOV 2008. A chest X-ray on her left arm was performed with no findings. Laboratory blood test results were normal with one exception: anion gap 16(normal range 5-14). The physician suggested correiation. Concomitant medication: Aspirin (acetylsalicylic acid), Caduet, Ambien, Alendronate sodium (MSD). The amount of data is insufficient to finally assess the causality. Unclear, if infectious case: most likely local reaction to vaccination with pneumococcal vaccine. . The physician suggested correlation. Addendum: On 13 NOV 2009 we received from Novartis Vaccines and Diagnostics the following further information: A batch review was performed. The batch review could not conclude the reason for the reported adverse reaction based on the data available. This batch was manufactured for the 2008/2009 campaign and dependent on the date of administration could have been expired. Follow up report received on 26 Apr 2010: Two requests for follow-up information were sent but no reply had been received. Hence the case was closed due to the lack of response.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pallor, Pyrexia
Clinical narrative: Pt. received vaccines at 1 pm. Mother states by evening her arm was red and swollen. This morning pt. has a temp of 101 degrees Rt arm is red, swollen and hard. Mother has been giving her MOTRIN. Pt. is pale and vomiting. Instructed mom to continue monitoring temp. Administer MOTRIN and BENADRYL due to pt. history of allergies.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Pt. received vaccines at 1 pm. Mother states by evening her arm was red and swollen. This morning pt. has a temp of 101 degrees Rt arm is red, swollen and hard. Mother has been giving her MOTRIN. Pt. is pale and vomiting. Instructed mom to continue monitoring temp. Administer MOTRIN and BENADRYL due to pt. history of allergies.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Croup infectious, Intensive care, Lobar pneumonia, Otitis media acute, Pneumonia
Clinical narrative: Initially started as fever and teething. Then diagnosed with RML PNA and AOM. Then was hospitalized twice for severe viral croup/ stridor /tracheomalacia on 4/6/2010. This initial hospitalization included an PICU stay.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Stridor, Teething, Tracheomalacia, Viral infection
Clinical narrative: Initially started as fever and teething. Then diagnosed with RML PNA and AOM. Then was hospitalized twice for severe viral croup/ stridor /tracheomalacia on 4/6/2010. This initial hospitalization included an PICU stay.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Asthenia, Chills, Cough, Dyspnoea, Pallor
Clinical narrative: fever of 101 degrees/chills x 3 hours difficulty breathing/coughing x 1 hour paleness/weakness x 12 hours
Age: 29.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Pyrexia
Clinical narrative: fever of 101 degrees/chills x 3 hours difficulty breathing/coughing x 1 hour paleness/weakness x 12 hours