chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Enuresis, Syncope
Clinical narrative: Syncope, enuresis. No loss of consciousness.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Miscarriage of pregnancy. 11/30/09 Medical records from OB office received for DOS 11/19/2009  Presented with vaginal bleeding and cramping. G 1, P 0, 5 weeks gestation. DX: Abortion spontaneous/complete
Age: 1.77
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Pruritus, Rash, Respiratory tract congestion, Urticaria
Clinical narrative: Mom noted hives around mouth while eating pancakes approx. 30 minutes after vaccine administration. Was not sure if pancakes had dairy (pt is allergic to dairy) These hives fades.  4 hours after vaccine mom noted hives and itching to abdomen, and the groin area was reddened.  She also noted some congestion.  Rash and redness faded after bath.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site swelling
Clinical narrative: Heavy swelling around the area the drug was administered. I could not raise my arm that evening. The next morning the arm felt improved so I went to work and that evening the swelling grew to the entire upper arm with very deep redness. I went to a clinic and was given a sulfa antibiotic. The area of the redness was marked with a marker and I was told to see my family doctor if the redness moved. The next morning the redness was shifting down the inside of the arm so I returned to Dr.
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Wheezing
Clinical narrative: First time episode of wheezing requiring medical attention, albuterol and systemic steroids.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Student with complaint of pain and numbness in right arm and right leg. Call to parent, parent picked up and sought medical care.
Age: 53.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chills, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Sore throat, shivering, fever (next morning on 11/23/09 at 6:30 AM), headache.
Age: 10.0
Sex: F
Vaccine: FLUX
Symptoms: Blindness, Confusional state, Fall, Gaze palsy, Immediate post-injection reaction
Clinical narrative: Patient is a 10yr old female who came to a pediatric flu shot clinic that was held Wed., 11/18/2009 from 4-7pm.  They waited in line ~1.5hrs prior to getting vaccinated.  While waiting in line patient kept herself busy doing homework.  They did not have supper prior to coming to clinic. Immediately post vaccination while they were leaving, patient told Mom "I cannot see". She then dropped to the floor. Her eyes were rolled back in her head and she was twitching. After a few minutes she came to and was very confused and panicky. She was put on a stretcher to lie down for about 40 min. to an hour.  Then Mom slowly got her up and let her feet dangle before standing up. Patient also complained that the injection site arm (as well as her spine) was tingling. Mom describes patient as a very hypersensitive child who is very in tune with her body.  We question whether this is a true adverse reaction to the vaccine vs a vasovagal response to the injection itself.  Mom has herself also passed out post injection. Patient has not had any problems with previous routine vaccinations.  Her most recent vaccincation was varicella 2/2007 (7yrs old) and prior to that would've been her pre-KG shots in 8/2004 (5yrs old).
Age: 10.0
Sex: F
Vaccine: FLUX
Symptoms: Muscle twitching, No reaction on previous exposure to drug, Paraesthesia
Clinical narrative: Patient is a 10yr old female who came to a pediatric flu shot clinic that was held Wed., 11/18/2009 from 4-7pm.  They waited in line ~1.5hrs prior to getting vaccinated.  While waiting in line patient kept herself busy doing homework.  They did not have supper prior to coming to clinic. Immediately post vaccination while they were leaving, patient told Mom "I cannot see". She then dropped to the floor. Her eyes were rolled back in her head and she was twitching. After a few minutes she came to and was very confused and panicky. She was put on a stretcher to lie down for about 40 min. to an hour.  Then Mom slowly got her up and let her feet dangle before standing up. Patient also complained that the injection site arm (as well as her spine) was tingling. Mom describes patient as a very hypersensitive child who is very in tune with her body.  We question whether this is a true adverse reaction to the vaccine vs a vasovagal response to the injection itself.  Mom has herself also passed out post injection. Patient has not had any problems with previous routine vaccinations.  Her most recent vaccincation was varicella 2/2007 (7yrs old) and prior to that would've been her pre-KG shots in 8/2004 (5yrs old).
Age: 15.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Head injury, Loss of consciousness
Clinical narrative: Student received vaccine, passed out, hit head on floor, positive loss of consciousness, positive seizure like activity, EMS called, student transported to hospital, regained consciousness prior to transport. 11/25/09 , 12/11/09 and 12/17/09:  ED and hospital Records received for date of service 11/19/09.  Dx:  Seizure, concussion with LOC.  Presented after syncope with LOC, hit head with fall, experienced urinary incontinence.  Nursing staff saw seizure activity.  No postictal state, few bouts of emesis. N & V and headache.
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Herpes virus infection
Clinical narrative: Received H1N1 Mist on 11/6/09. Trigeminal Herpes started 11/14/09. Diagnosed by MD on 11/17/09 and Antiviral started.
Age: 59.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Person who received vaccine attended a public H1N1 vaccine session. Person was given the LAIV (Nasal mist) because of age should have given the multi-dose injection.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blister, Erythema, Inflammation, Pain, Pruritus
Clinical narrative: 2 hrs post injection c/o itching & hurt red inflamed blisters Rt. armpit & left bend of elbow one blister on back.  Parent tx'd with steroid cream.
Age: 48.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Gait disturbance, Vertigo
Clinical narrative: Dizziness, room spinning. Unsteady gait, bumping into walls. Still ongoing, no treatment prescribed yet, waiting for my doctor to call me back. I just am reporting this. I reported to Novartis Vaccines, Vaers, and left message for clinic. Waiting for calls from everyone.
Age: 1.01
Sex: F
Vaccine: MMRV
Symptoms: Blood test, Dehydration, Diet refusal, Dysphagia, Fluid replacement
Clinical narrative: My baby started to get fever on Monday night 11/16/2009 around 7pm, and the fever went up to 105 degree (rectal taken at the hospital by Tuesday night 9pm).  She continued to have fever for the next 4 days from 102-103 (armpit temp).  She developed red raised rashes on Tuesday morning, but just a few spots on her face and a few on the side of her abdominal, but the rashes were all over her body by Wednesday, covering her from head to toes.  She couldn't swallow and refused to eat or drink because of the rashes/swollen throat. We took her to the hospital the second time on Thursday, concern of her dehydration.  The hospital did blood work and the result was negative for virus or any other illnesses.  The pediatrician at the hospital said my daughter had a adverse reaction to the MMR shot.  She gave her IV, Tylenol and Magic Mouth Wash to help reduce her uncomfort in mouth.  The fever was finally gone by Friday night 11/20/2009 and the rash started to fade little bit on the face, then her upper body by Saturday afternoon 11/21/20009.
Age: 1.01
Sex: F
Vaccine: MMRV
Symptoms: Oral pain, Pharyngeal oedema, Pyrexia, Rash erythematous, Rash generalised
Clinical narrative: My baby started to get fever on Monday night 11/16/2009 around 7pm, and the fever went up to 105 degree (rectal taken at the hospital by Tuesday night 9pm).  She continued to have fever for the next 4 days from 102-103 (armpit temp).  She developed red raised rashes on Tuesday morning, but just a few spots on her face and a few on the side of her abdominal, but the rashes were all over her body by Wednesday, covering her from head to toes.  She couldn't swallow and refused to eat or drink because of the rashes/swollen throat. We took her to the hospital the second time on Thursday, concern of her dehydration.  The hospital did blood work and the result was negative for virus or any other illnesses.  The pediatrician at the hospital said my daughter had a adverse reaction to the MMR shot.  She gave her IV, Tylenol and Magic Mouth Wash to help reduce her uncomfort in mouth.  The fever was finally gone by Friday night 11/20/2009 and the rash started to fade little bit on the face, then her upper body by Saturday afternoon 11/21/20009.
Age: 1.01
Sex: F
Vaccine: MMRV
Symptoms: Rash macular, Vaccination complication
Clinical narrative: My baby started to get fever on Monday night 11/16/2009 around 7pm, and the fever went up to 105 degree (rectal taken at the hospital by Tuesday night 9pm).  She continued to have fever for the next 4 days from 102-103 (armpit temp).  She developed red raised rashes on Tuesday morning, but just a few spots on her face and a few on the side of her abdominal, but the rashes were all over her body by Wednesday, covering her from head to toes.  She couldn't swallow and refused to eat or drink because of the rashes/swollen throat. We took her to the hospital the second time on Thursday, concern of her dehydration.  The hospital did blood work and the result was negative for virus or any other illnesses.  The pediatrician at the hospital said my daughter had a adverse reaction to the MMR shot.  She gave her IV, Tylenol and Magic Mouth Wash to help reduce her uncomfort in mouth.  The fever was finally gone by Friday night 11/20/2009 and the rash started to fade little bit on the face, then her upper body by Saturday afternoon 11/21/20009.
Age: 1.92
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Eschar, Induration
Clinical narrative: 7 days after H1N1 vaccine administered, pt presented with 2x2cm induration and central 1 mm eschar. Tx with KEFLEX, f/u in 4 days. At f/u, no eryth, firm nodule, no tenderness.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site rash, Rash
Clinical narrative: Child developed shingles like rash at site of H1N1 vaccine spread to dermatome on same side of trunk.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blindness, Hyperhidrosis, Hypotension, Syncope
Clinical narrative: Pt became faint, sweaty, and "I cannot see". Immediately seated pt with head down - water and crax and peanut butter given as she felt better. BP 78/50. P60. Had pt recline. BP 80/50. P-52. Pt had very little breakfast.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Musculoskeletal stiffness, Pain, Rash pruritic
Clinical narrative: 1.Patient has rash along right side of neck, and top of back, noticed Wednesday. Patient wondering if its a reaction to the Shingles vaccine he had on Monday. 2.Woke up with stiff neck Tuesday, went to bed Tuesday night used a heating pad for about 15 min, stiff neck now gone. 3. Rash itchy, or painful. Herpes Zoster without complication - 053.9 (Primary).
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Joint swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Received flu vaccine 9/22 pm c/o pain swelling down arm 2-3 hours later with pain & swelling to wrist.
Age: 8.0
Sex: M
Vaccine: FLU3, FLUN3
Symptoms: Unevaluable event
Clinical narrative: Pt given Influenza injection and mist this date. Was supposed to receive H1N1 injection no adverse reaction.
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer (a pharmacy technician) concerning her son who in 2005 was vaccinated with a dose of MMR II (dose, route, and lot# not reported). In the past summer of 2009, the patient was diagnosed with autism. At the time of the report, the patient's outcome was unknown. Upon internal review, autism was determined to be an other important medical event. No further information is available.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Chest discomfort, Cough, Physical examination, Pulmonary congestion, Throat tightness
Clinical narrative: PC from pt 2 1:45pm. Reports that she has tightening in throat; denies SOB. Also reports having some chest congestion and cough that start 2 hours after flu administered. Was seen by her PCP. Was given Steroid/Ihhaler to help with with wheezing. Resolved completely with 24 hours.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Wheezing
Clinical narrative: PC from pt 2 1:45pm. Reports that she has tightening in throat; denies SOB. Also reports having some chest congestion and cough that start 2 hours after flu administered. Was seen by her PCP. Was given Steroid/Ihhaler to help with with wheezing. Resolved completely with 24 hours.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Body temperature increased, Brain injury, Coma, Disability, Hypersensitivity
Clinical narrative: Information has been received via email from a consumer concerning her step sister who on an unspecified date was vaccinated with a dose of MMR II (dose, route and lot number not reported). The consumer reported that the step-sister's daughter suffered an allergic reaction, a fever of 106 and went into a coma after vaccination which resulted in brain damage and left her mentally disabled. At the time of the report the outcome of the patient was unknown. It was unspecified if the patient sought medical attention. Upon internal review, coma was determined to be an other important medical event. Mentally disabled and brain damage were considered to be disabling. Additional information has been requested.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Mental disorder, Pyrexia
Clinical narrative: Information has been received via email from a consumer concerning her step sister who on an unspecified date was vaccinated with a dose of MMR II (dose, route and lot number not reported). The consumer reported that the step-sister's daughter suffered an allergic reaction, a fever of 106 and went into a coma after vaccination which resulted in brain damage and left her mentally disabled. At the time of the report the outcome of the patient was unknown. It was unspecified if the patient sought medical attention. Upon internal review, coma was determined to be an other important medical event. Mentally disabled and brain damage were considered to be disabling. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Blindness, Paralysis
Clinical narrative: Information has been received from a medical assistant who heard from a physician's assistant concerning some patients who were vaccinated with unspecified dose of GARDASIL (lot#, route and site of administration not reported). Subsequently, the patients became blind and paralyzed. At the time of this report, the patient's outcomes were unknown. Upon internal review, blind and paralyzed were considered to be other important medical events. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.
Age: 35.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Eye swelling, Nausea, Ocular hyperaemia, Rash
Clinical narrative: Rash left breast. Red swollen eyes, nauseated at times, some dizziness.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dermatitis allergic, Eye swelling, Lip swelling, Rash
Clinical narrative: Swelling of lips & eyes.  Skin rash localized to trunk/proximal extremities and face. Dx Acute Allergic Dermatitis. Patient took Benadryl 50MG 0700.  ED treatment with Epinephrine 1:10,000 0.3 SQ X1, Famotidine Inj Pepcid 20MG IV once, Methyprednisolone Inj Solu-Medrol 125 MG IV once. 12/7/2009 ED records for 11/21/2009, patient with c/o's rash on trunk and face, swelling of lips and eyes, Tx: IV solu-Medrol, Pepcid and epinephrine. sx resolved. DC Dx allergic reaction Wrong dose is lsted. Incorrectly listed as 6 dose. Correct dose should be 1 dose. Patient takes 2 types of medicine. Fosama and Nexium.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vaccination error
Clinical narrative: Child came to get Seasonal Influenza vaccination and instead she got one dose of H1N1 injectable injection when she had already received one dose of H1N1 at School the day before 11/10/2009.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Chills, Hypoaesthesia, Musculoskeletal pain, Oropharyngeal pain, Rash
Clinical narrative: C/O NUMBNESS TO LEGS "THEY FELT ASLEEP" A SHARP PAIN TO LEFT SHOULDER TO RIGHT SHOULDER-SHARP PAIN TO THROAT-11/12/09-STATES RASH TO LEGS- CHILLS WHEN TO DOCTOR DX WITH URINARY TRACT INFECTION.
Age: 39.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Urinary tract infection, Urine analysis abnormal
Clinical narrative: C/O NUMBNESS TO LEGS "THEY FELT ASLEEP" A SHARP PAIN TO LEFT SHOULDER TO RIGHT SHOULDER-SHARP PAIN TO THROAT-11/12/09-STATES RASH TO LEGS- CHILLS WHEN TO DOCTOR DX WITH URINARY TRACT INFECTION.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Pain, Pyrexia, Skin disorder
Clinical narrative: Fever of 102.3 axillary, lasting until 11-18-2009 pm, along with body aches. Multiple flat red dots begining on 11-18-2009 a.m. on back, stomach, chest, bottom, progressing to face by 9:00 am 11-20-09. Instructed parent to call primary medical provider.
Age: 18.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Abnormal behaviour, Aphasia, Computerised tomogram normal, Convulsion, Electroencephalogram
Clinical narrative: Teachers reported strange actions (trying to eat puzzle, talking incoherently then not talking all, acted as if eevrything in slow motion), took to ER where actions were same, had a large seizure at 3:30-4:00pm, admitted to icu, placed on ventilator, started having small trembling seizures, placed on seizure & sedations meds, seizure cycles were broken around 1:00 am on 11/14/2009. 11/25/09 DC summary and hosp. records received for dates 11/13/09 to 11/16/09. DX: seizure, respiratory failure, epilepsy. Pt presented w/ status epilepticus and respiratory failure, was intubated in ER, seizure resolved w/ med tx. Pt returned to what is patients baseline norm. Upon dc pt stable. Parent states received H1N1 vax this day. Assessment once admitted noted to be febrile, all tests (-).
Age: 18.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Intensive care, Mechanical ventilation, Speech disorder
Clinical narrative: Teachers reported strange actions (trying to eat puzzle, talking incoherently then not talking all, acted as if eevrything in slow motion), took to ER where actions were same, had a large seizure at 3:30-4:00pm, admitted to icu, placed on ventilator, started having small trembling seizures, placed on seizure & sedations meds, seizure cycles were broken around 1:00 am on 11/14/2009. 11/25/09 DC summary and hosp. records received for dates 11/13/09 to 11/16/09. DX: seizure, respiratory failure, epilepsy. Pt presented w/ status epilepticus and respiratory failure, was intubated in ER, seizure resolved w/ med tx. Pt returned to what is patients baseline norm. Upon dc pt stable. Parent states received H1N1 vax this day. Assessment once admitted noted to be febrile, all tests (-).
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Choking, Dyspnoea
Clinical narrative: Choking, difficulty breathing by patient report. Paramedics called and patient transported to ER. Observed in ER with no intervention and released 45 minutes later.
Age: 1.48
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased
Clinical narrative: 11-16-09 9:45 am -auxillary temp 102.2. 11-16-09 11:00 am rectal temp 101.4. 11-16-09 6:45 pm-rectal temp 99.8.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Arthritis bacterial, Culture negative, Microbiology test normal, Surgery
Clinical narrative: Information has been received from a resident concerning a 73 year old male patient with no known drug allergies and with osteoarthritis in his left shoulder, degenerative joint disease, osteoarthritis of cervical region, aortic stenosis, hypertension, hyperlipidaemia and back pain, who on 28-OCT-2009 was vaccinated intramuscularly in the left deltoid with a 0.5ml dose of PNEUMOVAX (lot # 662268/1134Y). This was the first known dose of PNEUMOVAX for the patient. Concomitant therapy included trazodone HCl, EFFEXOR, LOVAZA, aspirin, vitamins (unspecified), cyanocobalamin, ubidicarenone, LIPITOR, COREG, UROXATRAL, PLAVIX and PERCOCET. On 28-OCT-2009 the patient developed Pseudo septic arthritis of the left shoulder after receiving PNEUMOVAX. As a result the patient was currently still in an unspecified hospital where he underwent shoulder surgery: open drainage; lots of pus but culture was negative. The date of admission was unknown. At the time of the report the patient had not recovered. The patient sought medical attention (office). The patient's septic arthritis was considered to be temporarily disabling and to be an other important medical event by the reporter (Intervention to prevent serious criteria: surgery). Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abnormal sensation in eye, Dizziness
Clinical narrative: Dizzy and eyes felt funny
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Pneumonia
Clinical narrative: Information has been received from a 69 year old female with sulfonamide allergy ("a rash from sulfa in the 1970's") and a history of sarcoidosis who has been vaccinated with a dose of PNEUMOVAX 23 (manufacturer unknown) twice. The patient still got pneumonia every year, which would "last for about a couple of months" and she had to be in the hospital for a week each time she got pneumonia. This is one of two reports concerning the same patient. Additional information has been requested. Patient has been hospitalized at hospital on various occasions for pneumonia.
Age: 4.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash
Clinical narrative: 11/12th rash on face from nose to mouth noted by grandparent and daycare teacher. No fever.
Age: 13.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pallor, Rash, Rash maculo-papular
Clinical narrative: Left facial rash, looks like contact dermatitis. Pink blanching, maculopapular, confluent left ear and neck.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphonia, Influenza, Musculoskeletal stiffness, Pyrexia, Wheezing
Clinical narrative: Patient phoned 3 days post vaccine. Reported, received H1N1 vaccine on 11-14-09. Woke up next am with hoarseness, wheezing, fever, and stiff neck. Has inhaler used albuterol inhaler did not seek any medical care, rested, patient started feeling better she states on 11-17-09.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Culture urine negative, Erythema multiforme, Streptococcal identification test negative
Clinical narrative: Erythema multiforme. Treated with Benadryl, topical steroids.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: No adverse event. VAERS completed for documention.
Age: 1.49
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC
Symptoms: Pyrexia, Somnolence
Clinical narrative: 10/20/09 Pt seen in office for recheck of URI-off antibiotics, given Pentacel-Prevnar-Seasonal Influenza vaccines. 10/22/09 Call to office this AM from mother-child not herself-very sleepy-low grade temp during night-afebrile in AM. Seen at hospital Em. Rm. Dx's ? reaction to imms. 10/23/09 Follow up office visit-resolved mental status change S/P vaccines.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Induration, Pain in extremity
Clinical narrative: LA sore since injection. 11/16 LA was red about 4 in in diameter w/induration. 11/17 slight redness 3" x 1" w/ 1" induration > saw MD 11/17. Left arm: Tdap
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Loss of consciousness, Mental status changes
Clinical narrative: Several hours after vaccines administered, patient transported to ER by parents. "Unable to wake the patient."
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Chest pain, Infection, Oedema peripheral, Rash
Clinical narrative: Received TC from mom. She was in ER with client requesting list of vaccines given 10/14/09. Client had rash on both arms. Chest pain and swelling in both arms. 10/20/09 TC to mom. She stated ER/MD said client had infection in both arms. L arm was worse. Placed on CEFTIN tabs x 7 days.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Wrong drug administered
Clinical narrative: Pt given Influenza mist instead of H1N1 mist. Had previously received the seasonal mist.
Age: 30.0
Sex: U
Vaccine: FLU3
Symptoms: Influenza like illness, Injection site pain
Clinical narrative: Severe flu like symptoms 12 hours after injection and persistent pain at injection site 2 months after vaccination.
Age: 8.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Asthenia, Blood glucose, Haemoglobin, Hyperhidrosis, Hypotension
Clinical narrative: Vaccines were administrated 24 hrs before onset of event. While playing at PE at school, pt felt weak, with some weakening of his legs which were shaky. Became pale and sweaty. Mother picked him up at school and brought him to the office. Exam revealed some pallor with low BP (82/56). Observe/push fluids & add salt to diet.
Age: 8.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Muscular weakness, Oxygen saturation, Pallor, Tremor
Clinical narrative: Vaccines were administrated 24 hrs before onset of event. While playing at PE at school, pt felt weak, with some weakening of his legs which were shaky. Became pale and sweaty. Mother picked him up at school and brought him to the office. Exam revealed some pallor with low BP (82/56). Observe/push fluids & add salt to diet.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Convulsion
Clinical narrative: Pt developed her first generalized seizure on 10/6/08. She continued to have subsequent generalized seizures that were controlled with KEPPRA. 12/21/09 ED records received for DOS 10/06/08. Pt. reports facial twitching in the early evening.  Mom reported awakening to noise from patient's room and found pt. with eyes rolled back in her head and having seizure. Brought to ED for evaluation. Discharged home to f/u with neurologist. DX: possible seizure activity 01/04/10 Neurology records for DOS 10/06/08 Pt. has history of seizure and left frontal and thalamic stroke at birth who was seizure free for 14 years until 10/04/08 Impression: focal seizure disorder with secondary generalization secondary to a cerebral infarct suffered at the time of birth
Age: 74.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site inflammation
Clinical narrative: Manled red inflammation @ inj site induration approx 2 1/2" x 3 1/2 - 4" - L arm. Slowly reduced & slight discoloring post 3 wks.
Age: 69.0
Sex: F
Vaccine: FLUX(H1N1), PPV
Symptoms: Arthralgia, Chills, Hypokinesia, Myalgia, Pyrexia
Clinical narrative: Took shot about 3:45p.m. 11-12-09. Started running fever 9:30p.m. 11-12-09. Had chills and joint and muscle pain for 3 days. Fever broke 11-15-09. Had one big hive just above elbow. Couldn't raise arm. Fever was 101.6, down to 100.
Age: 69.0
Sex: F
Vaccine: FLUX(H1N1), PPV
Symptoms: Urticaria
Clinical narrative: Took shot about 3:45p.m. 11-12-09. Started running fever 9:30p.m. 11-12-09. Had chills and joint and muscle pain for 3 days. Fever broke 11-15-09. Had one big hive just above elbow. Couldn't raise arm. Fever was 101.6, down to 100.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Staring, Unresponsive to stimuli
Clinical narrative: Patient approached my station and appeared to be extremely nervous. I had her sit in a chair before administering her H1N1 vacc. She stated she was "scared" I administered vacc immediately observed patient staring and no response on command. EMS assisted patient to a COT and paramedics transported. Pt had brain injury this summer (2009) per school nurse.  12/02 and 12/07 Medical records and discharge summary for DOS 111/5-11/6.  Final DX: Syncope, developemental dealay (NOS)  C/O seizure like episode immediatley s/p vaccine.  Had awarness but could only   stare. Transient dizziness after.  No post ictal. Macular papular rash neck and sternum. Exzema. Syncope vs seizure w/LOC.  PE wnl.  D/C to home.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Abnormal loss of weight, Frequent bowel movements, Injection site pain, Injection site warmth
Clinical narrative: I received the seasonal flu vaccine on 10/03/2009 @ 9:22 a.m. My vital signs: weight 207 lbs. Body temp 98.6 F. My symptoms @ the injection site was sharp pain and a warm feeling. 1 hour later it was very warm, which subsided gradually. The pain at the injection site, I took as being normal. At 5:30 pm, the same day, I had a bowel movement, followed buy a bowel movement every hour, up until 1:30 am the next day. At 3:30 a.m. the same day it started till 12:00 pm. The same day, I called the clinic and spoke with a representative, he advised me, if this continues for the next three days, then see my medical doctor. I had appointment with my medical doctor on 10/7/2009. At his office, I weighed in @ 196 lbs. This, I found highly unusual because in the clinic, I weighed in @ 207 lbs. He advised me to see my primary medical doctor. On Friday 10/9/2009, my weight was 194 lbs. At this time my primary medical doctor advise me to report this to Vaccine Adverse Event Reporting System. My weight leveled off at 192 lbs. Today is November 2, 2009 12:02 pm EST. My last entry for Adverse Reactions is I still have a reminder of soreness at the injection site, which sort of resembles the feeling when you receive a tetanus shot. This is more annoying than marked pain. But, I find this most unusual because this local reaction at the injections site, should have ended. No treatment was done, except to observe. A series of tests was done to out other causes.
Age: 1.13
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Ataxia, Gait disturbance, Nuclear magnetic resonance imaging normal, Otitis media, Tympanometry
Clinical narrative: Onset trouble walking described by grandfather-"drunken sailor" after emesis at 05:00 waking patient. Ataxia improved at 24 hrs. then resolved by 48 hrs. Had serous otitis presumed to be otitis media and treated with antibiotic.
Age: 1.13
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Onset trouble walking described by grandfather-"drunken sailor" after emesis at 05:00 waking patient. Ataxia improved at 24 hrs. then resolved by 48 hrs. Had serous otitis presumed to be otitis media and treated with antibiotic.
Age: 12.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Brain injury, Immediate post-injection reaction, Staring, Unresponsive to stimuli
Clinical narrative: This is per school nurse - pt c/o SOB while in class after H1N1 vaccine - pt has hx of asthma pulse ox was 80-90%. BP-ok per school nurse. Pt has no inhaler, called mom and went to Drs for breathing tx.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Condition aggravated, Convulsion, Dizziness, Electrocardiogram normal, Loss of consciousness
Clinical narrative: This is per school nurse. Pt had seizure while in class after receiving H1N1. Pt has history of seizures. Was taken out of class. Parents call and went to hospital. Was discharged in parents care.
Age: 16.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope, Urine human chorionic gonadotropin negative
Clinical narrative: This is per school nurse. Pt had seizure while in class after receiving H1N1. Pt has history of seizures. Was taken out of class. Parents call and went to hospital. Was discharged in parents care.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Pruritus, Urticaria
Clinical narrative: Client reported itchy and tingling sensation to upper outer aspect of both thigh 5 minutes after receiving the injection. Hives present to upper outer aspect of both tights by 10-31-09. Received topical steroid cream from own PCP.
Age: 0.64
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: No adverse event
Clinical narrative: Possibly gave 0.5ml dose of H1N1 vaccine IM instead of 0.25ml.  On 10-20-09 spoke with mom and grandmother - pt was "fine".
Age: 1.8
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Medication error, Unevaluable event
Clinical narrative: None noted or reported.
Age: 7.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea
Clinical narrative: Had the shot that a.m. 11/13/09 Fri. @ 2pm school called her mom and said she was having trouble breathing. GM picked her up 3pm - said her "lungs hurt".  GM took her straight to urgent care with a RNP - gave her shot of epinephrine and watched x 45 min. Then sent home with BENADRYL PO 25mg 1 qd
Age: 62.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: About 10 days post vaccination he developed pain above deltoid on Lt now moving up shoulder to neck.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site warmth, Nausea
Clinical narrative: Evening of shot (L) arm felt sore, next day (L) upper arm was red, warm and tender. T-104 11-9-09 - To office - reddened area (L) upper arm measured 11 x 14 around injection site. Pt c/o fatigue and feeling queasy.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Evening of shot (L) arm felt sore, next day (L) upper arm was red, warm and tender. T-104 11-9-09 - To office - reddened area (L) upper arm measured 11 x 14 around injection site. Pt c/o fatigue and feeling queasy.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Dizziness, Joint stiffness
Clinical narrative: Patient received H1N1 injectible and seasonal flu injection. Approx 20 min after injection patient stiffened fists and arms and per teacher almost passes out. Did not fall or injure self. BP 98/palpated Pulse 100 RR 20.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Laboratory test, Pharyngitis, Rash generalised, Streptococcal identification test negative
Clinical narrative: Received H1N1 and seasonal flu 11-4-09 - rash all over body - 11-11-09 acute pharyngitis neg quick strep test.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Rash, Rash erythematous, Swelling face
Clinical narrative: Began with pruritis arms/legs 20min post vaccine. Today (next day). Erythematous, irregular rash on face with mild swelling around eye. Prednisolone taper given.
Age: 13.0
Sex: M
Vaccine: FLUN3
Symptoms: Unevaluable event
Clinical narrative: Pt here with mother who was not aware that pt had had H1N1 intranasal at school a few days prior and mother permitted pt to receive FLUMIST not knowing about prior H1N1 intranasal.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blister, Pruritus, Rash
Clinical narrative: The next day Sun-started with some blisters on left ankle and as day went on more blisters on buttock and up back, chest and up head. Afebrile c/o itching. No res. problems. Took Benadryl x4 days then went to doctor that cleared rash up. Had rash x13 days.-Better with prednisone.
Age: 25.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Eye irritation, Lacrimation increased, Ocular hyperaemia, Pain
Clinical narrative: At approx 6pm on 10/23/09 my eyes started to burn ferociously. It hurt to open them for about 24 hours. Both eyes watered and were blood shot.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event
Clinical narrative: None reported
Age: 0.01
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Asthenia, Decreased appetite, Fatigue, Headache, Pain
Clinical narrative: Fever of 102.5 for approximately 30 hours. Aches, pains, headaches, fatigue, loss of appetite and energy for 3 days. Missed 3 days of school.
Age: 0.01
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever of 102.5 for approximately 30 hours. Aches, pains, headaches, fatigue, loss of appetite and energy for 3 days. Missed 3 days of school.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood glucose decreased, Condition aggravated, Diabetes mellitus, Road traffic accident
Clinical narrative: Pt is diabetic. Sugar was 200 at time of vaccine and dropped to 30 one hour later. Caused automobile accident.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling cold, Headache, Nausea
Clinical narrative: Has asthma - received H1N1 injection, fine for 5 min. Reached car and became faint and c/o headache. (Didn't wait the 15 min prior to leaving) - at 5:55 c/o headache pain a 10 on level of 1-10 and nausea. Recommended he go to ER or walk in clinic. Without SOB, pulse WNL, felt cool to the touch (patient said he felt chilled)
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Mother reports child was covered in hives from evening of 11/17/09. Thighs to knees swollen. Hives on arms, shoulder, back, chest. One (lemon size on face). Benadryl .25mg po give 10pm and again 11/18/09 am. Child recovered and went to school.
Age: 5.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Computerised tomogram, Convulsion, Muscle twitching
Clinical narrative: After she received the H1N1 shot within 48 hours at 5:20 Am early she woke husband up. He seen her leg and arm twitch and she was not responding to her name. We took her to the emergency room because she looked like she was dying. They diagnosed her as having a seizure she was out 2 hrs at least. 11/24/2009 ED records for 10/26/2009, Dx seizure  patient with seizure activity. 12/1/2009 records from Pediatric neurologist for date 11/12/2009, Dx epilepsy patient with seizure activity, unresponsive to touch, eyes rolling back. Neuro exam noted mild weakness on the rt and increased tone RU and RL extremity. Tx placed on Keppra then changed to Lamictal
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Acute respiratory failure, Chest X-ray abnormal, Cough, Death, Dyspnoea
Clinical narrative: 10/22/09 fever, cough, SOB: healthy 14 yo sib with clinical H1N1. TAMIFLU began 75 BID. 10/23/09 seen in office & at home resp decompensation admitted to PICU: BiPAP. DNI order. Bilateral severe pneumonia died approx. 1pm 10/25/09.  12/14/09 Death Certificate received. DOD 10/25/09. Cause of death: Pneumonia. Additional information abstracted: Rett Syndrome.  12/14/09 Hospital records received, service dates 10/23/09 to 10/25/09. Assessment: Medically frail with hypovolemia, respiratory distress, ABG concerning for ARDS, likely due to H1N1 infection w/ bacterial superinfection. Patient presents with increasing work of breathing, fever, and cough. O2 Tamiflu at home. Tachypnea. Wheeze, shortness of breath. Crackles, rhonchi, flaring, retractions. Decreased responsiveness. Admitted to ICU. Mechanical ventilation. Edema of feet. Expired.  12/17/09 Hospital records and discharge summary received. Service dates 10/23/09 to 10/25/09.  Assessment: Pneumonia present on admission, respiratory distress present on admission.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Intensive care, Pneumonia, Pyrexia
Clinical narrative: 10/22/09 fever, cough, SOB: healthy 14 yo sib with clinical H1N1. TAMIFLU began 75 BID. 10/23/09 seen in office & at home resp decompensation admitted to PICU: BiPAP. DNI order. Bilateral severe pneumonia died approx. 1pm 10/25/09.  12/14/09 Death Certificate received. DOD 10/25/09. Cause of death: Pneumonia. Additional information abstracted: Rett Syndrome.  12/14/09 Hospital records received, service dates 10/23/09 to 10/25/09. Assessment: Medically frail with hypovolemia, respiratory distress, ABG concerning for ARDS, likely due to H1N1 infection w/ bacterial superinfection. Patient presents with increasing work of breathing, fever, and cough. O2 Tamiflu at home. Tachypnea. Wheeze, shortness of breath. Crackles, rhonchi, flaring, retractions. Decreased responsiveness. Admitted to ICU. Mechanical ventilation. Edema of feet. Expired.  12/17/09 Hospital records and discharge summary received. Service dates 10/23/09 to 10/25/09.  Assessment: Pneumonia present on admission, respiratory distress present on admission.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus generalised
Clinical narrative: Shot given approx. 0800. Patient began to have "moderate" itching from "Head to Knee's." No c/o SOB, no rash. This "comes and goes, and is not becoming worse." She has been "itching" before and has taken BENADRYL. "Itching" started approx. 1100. Patient left at 1605. Verbal understanding to seek medical help if sx's do not go away, and or increase in severity.
Age: 12.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Body temperature increased, Petechiae, Rash
Clinical narrative: Petechiae - like rash suddenly appeared around his eyes and cheeks, not evident anywhere else. Temp 99.8 F. Denied itching, discomfort, vomiting, coughing, heavy lifting trauma. The following morning the rash was still present but faded. The rash was noted to be gone on 11/12/09.
Age: 6.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on face.
Age: 0.71
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Erythema, Skin disorder
Clinical narrative: Small flat red spots, no itching, beginning on right side of abdomen and axillary area, extending to left side by 9:00 AM and on infant's back. No fever ntoed.
Age: 71.0
Sex: F
Vaccine: FLUX
Symptoms: Blister, Erythema, Herpes zoster, Injection site reaction, Monoplegia
Clinical narrative: I got the Shingles on the exact spot where I had the injection..Red Blistering rash and severe Pain Which I still have..also the right arm is paralyzed.
Age: 71.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Rash
Clinical narrative: I got the Shingles on the exact spot where I had the injection..Red Blistering rash and severe Pain Which I still have..also the right arm is paralyzed.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching and hives post vaccination.
Age: 28.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough
Clinical narrative: No immediate symptoms.  Started having a dry cough 3-4 days after receiving H1N1 nasal vaccine.  Cont to have minimal cough to 11-23-2009.  Required Tussinex cough medicine to control cough.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: LEFT LEG HURT AND SWOLLEN LYMPH NODE
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cold sweat, Dyspnoea, Eye rolling, Fatigue, Gaze palsy
Clinical narrative: Immediately upon receipt of H1N1 vaccination IM, child's head fell back, eyes rolled up, went limp and unresponsive, very pale, pulse thready, heart rate WNL. After 5-6 seconds, child began gasping and regained consciousness.  He was in no respiratory distress, but was diaphoretic, clammy and pale, c/o "not feeling well" and being tired. Rescue called, paramedics assumed care of child and ultimately transported to ED.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Head lag, Heart rate normal, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Immediately upon receipt of H1N1 vaccination IM, child's head fell back, eyes rolled up, went limp and unresponsive, very pale, pulse thready, heart rate WNL. After 5-6 seconds, child began gasping and regained consciousness.  He was in no respiratory distress, but was diaphoretic, clammy and pale, c/o "not feeling well" and being tired. Rescue called, paramedics assumed care of child and ultimately transported to ED.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Malaise, Pallor, Pulse abnormal, Unresponsive to stimuli
Clinical narrative: Immediately upon receipt of H1N1 vaccination IM, child's head fell back, eyes rolled up, went limp and unresponsive, very pale, pulse thready, heart rate WNL. After 5-6 seconds, child began gasping and regained consciousness.  He was in no respiratory distress, but was diaphoretic, clammy and pale, c/o "not feeling well" and being tired. Rescue called, paramedics assumed care of child and ultimately transported to ED.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: C-reactive protein normal, Full blood count normal, Hypoaesthesia, Hypokinesia, Musculoskeletal pain
Clinical narrative: Right arm pain, heaviness, shoulder pain, limited range of motion, numbness and tingling.  Symptoms began two weeks after receiving vaccine.  Patient treated with medication.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia, Red blood cell sedimentation rate normal, Sensation of heaviness
Clinical narrative: Right arm pain, heaviness, shoulder pain, limited range of motion, numbness and tingling.  Symptoms began two weeks after receiving vaccine.  Patient treated with medication.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Back pain, Lung infiltration
Clinical narrative: Child developed wheezing & respiratory distress 30 min. after vaccine was received. She was seen in office 2 1/2 hrs later in moderate distress , O2 stats in high 80's . Administration of subcutaneous epinephrine 2 aerosol treatments of XOPENEX, & IM. SOUL-MEDROL failed to resolve it. She was transported by EMS to hospital for 3 days w/ multilobar infiltrates.  11/24/09 Medical records and discharge summary received for DOS 11/17-11/20. Final DX: Respiratory distress, hypoxemia, suspected H1N1 mist vaccine allergic reaction, multilobar atelectasis.  2 hrs S/P vaccine c/o back pain, rapid shallow breathing, stomach ache. wheezing. Tachypnea. Cough. CXR viral or atypical pneumonia. Bill atelectasis on CT. Improved w/tx. D/C to home.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Atelectasis, Back pain, Chest X-ray, Computerised tomogram abnormal, Cough
Clinical narrative: Child developed wheezing & respiratory distress 30 min. after vaccine was received. She was seen in office 2 1/2 hrs later in moderate distress , O2 stats in high 80's . Administration of subcutaneous epinephrine 2 aerosol treatments of XOPENEX, & IM. SOUL-MEDROL failed to resolve it. She was transported by EMS to hospital for 3 days w/ multilobar infiltrates.  11/24/09 Medical records and discharge summary received for DOS 11/17-11/20. Final DX: Respiratory distress, hypoxemia, suspected H1N1 mist vaccine allergic reaction, multilobar atelectasis.  2 hrs S/P vaccine c/o back pain, rapid shallow breathing, stomach ache. wheezing. Tachypnea. Cough. CXR viral or atypical pneumonia. Bill atelectasis on CT. Improved w/tx. D/C to home.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Hypoxia, Oxygen saturation decreased, Oxygen supplementation, Regurgitation, Respiratory distress
Clinical narrative: Child developed wheezing & respiratory distress 30 min. after vaccine was received. She was seen in office 2 1/2 hrs later in moderate distress , O2 stats in high 80's . Administration of subcutaneous epinephrine 2 aerosol treatments of XOPENEX, & IM. SOUL-MEDROL failed to resolve it. She was transported by EMS to hospital for 3 days w/ multilobar infiltrates.  11/24/09 Medical records and discharge summary received for DOS 11/17-11/20. Final DX: Respiratory distress, hypoxemia, suspected H1N1 mist vaccine allergic reaction, multilobar atelectasis.  2 hrs S/P vaccine c/o back pain, rapid shallow breathing, stomach ache. wheezing. Tachypnea. Cough. CXR viral or atypical pneumonia. Bill atelectasis on CT. Improved w/tx. D/C to home.
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: X-ray
Clinical narrative: Child developed wheezing & respiratory distress 30 min. after vaccine was received. She was seen in office 2 1/2 hrs later in moderate distress , O2 stats in high 80's . Administration of subcutaneous epinephrine 2 aerosol treatments of XOPENEX, & IM. SOUL-MEDROL failed to resolve it. She was transported by EMS to hospital for 3 days w/ multilobar infiltrates.  11/24/09 Medical records and discharge summary received for DOS 11/17-11/20. Final DX: Respiratory distress, hypoxemia, suspected H1N1 mist vaccine allergic reaction, multilobar atelectasis.  2 hrs S/P vaccine c/o back pain, rapid shallow breathing, stomach ache. wheezing. Tachypnea. Cough. CXR viral or atypical pneumonia. Bill atelectasis on CT. Improved w/tx. D/C to home.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Patient reported difficulty breathing within 1 hr of receiving H1N1 vaccine.  Reported SOB & wheezing, denied other symptoms - no swelling, tingling, or hives.  Patient reports history of tracheal stenosis requiring frequent surgical procedures.  Seen at local ER, then transferred to other hospital (ER record available, if needed).  11/25/2009 MR and DC summary for 10/23-10/24/2009,Dc Dx trachael stenosis  patient with a hx of subglottal stenosis presents with c/o's SOB w/out exertion. Patient was intubated and underwent a Microlaryngoscopy with dilation. IV steroids were given. Dc'd in stable condition.