chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Death, Dyspnoea, Influenza like illness
Clinical narrative: Patient got sick with flu like symptoms on 10/24 around 1PM, went to hospital with trouble breathing around 9PM, was pronounced deceased at 1AM on 10/25.  10/27/09 ER and hospital records received service date 10/25/09. Assessment: Death due to septic shock secondary to infection of unknown source. Asplenia. Patient had nausea, vomiting, chills, stomach cramping, diarrhea, tachypnea, hypotension, diaphoresis for one day. Limited oral intake. Became cyanotic around lips, fingernails, and toenails. Presented to ER hypotensive, hypoxic, no longer breathing. Tachycardia. Cardiac arrest presenting as pulseless electrical activity (PEA). Hyperacidemia. Resusitation. Intubated and transported to ICU. Bilateral infiltrates consistent with acute respiratory distress syndrome. End-organ damage including kidneys and brain. Repeated PEA. No pulse. Mottling of head and extremities. Overwhelming sepsis and septic shock. Patient expired. 11/02/09:  Primary Care Records received for date of service 10/9/09.  Seasonal flu vaccine record received VAERS updated.  Assessment:  Presented with vaginal bleeding x 3 weeks, had hx. of D&C in 08 2/2 heavy vaginal bleeding.  Also presented with a cold that started 5 days prior, afebrile at visit.  Seasonal Flu vaccine given.  11/05/09 Diagnostic/lab results received.  IDPB Test results: Lung section shows increased interstitial inflammatory infiltrates. Heart section shows focal interstitial edema and extravasation. No evidence of myocarditis.  Liver section shows increased portal infiltrates and dilated sinusoids with Kupffer cell hyperplasia.   Special stains: Scattered gram-positive cocci in lung, heart and liver.   Immunohistochemical Assays: (+) Strep penumoniae in lung, heart and liver. (-) for influenza virus.   PCR Assays: Negative for 2009 pandemic H1N1 influenza A virus.  PCR for penumoniae pending.   12/14/09 Autopsy Records receivedI. DOD 10/25/09. Final Cause of Death: Streptococcus Pneumonia Sepsis. II. Hemolytic Anemia with Splenectomy.  Additional information abstracted: Arteriovenous malformation of brain. Cholecystectomy remote. Blood cultures (+) for streptococcus pneumonias.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Blood test, Computerised tomogram, Hemicephalalgia, Hypoaesthesia facial
Clinical narrative: Terrific Headache on left side of head, numbness on left side of my face, sick to stomach   10/28/09:  Hospital Records and Discharge Summary received for dates of admission from 10/19/09 to 10/20/09.  Dx:  Migraines. Assessment:  Presented with sudden onset left-sided facial paresthesia shortly after receiving a flu shot.  Denies fever, chills, night sweats, vomiting or diarrhea.  Has chronic left leg numbness which is unchanged this episode.  No facial droop.  When numbness started pt. felt a "fluttery feeling" in her heart. A 2D echo was done, and was normal.  Stroke was ruled out.  Neurology consulted, comfortable with dx. of migraine and discharge to home.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging, Ultrasound scan
Clinical narrative: Terrific Headache on left side of head, numbness on left side of my face, sick to stomach   10/28/09:  Hospital Records and Discharge Summary received for dates of admission from 10/19/09 to 10/20/09.  Dx:  Migraines. Assessment:  Presented with sudden onset left-sided facial paresthesia shortly after receiving a flu shot.  Denies fever, chills, night sweats, vomiting or diarrhea.  Has chronic left leg numbness which is unchanged this episode.  No facial droop.  When numbness started pt. felt a "fluttery feeling" in her heart. A 2D echo was done, and was normal.  Stroke was ruled out.  Neurology consulted, comfortable with dx. of migraine and discharge to home.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: RASH.
Age: 16.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Epistaxis
Clinical narrative: Serious nosebleed following administration of H1N1 LAIV to right nostril. 4 hours after health department administered H1N1 LAIV into right nostril, 16 y/o develop nasal anterior bleed. No previous history of nose bleeds. No blood pressure issues. Bleed was spontaneous, and not the result of blowing nose. No clotting problems or other medical issues in this patient. Lot # 500776P with expiration of 26 JAN 2010.
Age: 20.0
Sex: U
Vaccine: HPV4
Symptoms: Anxiety, Blood test, Disorientation, Disturbance in attention, Dizziness
Clinical narrative: Disoriented, numbness in body, lack of concentration, dizzy, high anxiety.
Age: 20.0
Sex: U
Vaccine: HPV4
Symptoms: Hypoaesthesia, Nuclear magnetic resonance imaging
Clinical narrative: Disoriented, numbness in body, lack of concentration, dizzy, high anxiety.
Age: 62.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Chills, Dyspnoea, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: 13 hours post immunization- fever 100-102 degrees, sweat, chills, SOB, & nausea. 9-30-09 seen by Dr. 10-5-09 seen by another Dr.   10/28/2009 Medical records and discharge summary received for DOS 10/13-10/15. FINAL DX: Multisystem illness with fever, hepatic and pulmonary involvement, Possible bronchiolitis obliterans, No significant coronary artery disease as determined by cardiac catheterization, History of gout, Recurrent urinary tract infections without evidence of ongoing infection.  H/O of recurrent UTIs with fever beginning 9/09. Varicella and flu vaccines 9/22/09. Shortly after had SOB and diaphoresis with activity. EKG normal. PFTs showed decreased vital capacity. Improvement with bronchodilator.  Fever but neg blood cx. Neg pyuria.  Increased transaminase and CRP.  Pulmonary CT angiogram neg. Elevated LVEDP. Arthralgia. Discharged to home with planned pulmonary follow-up.   11/02/09 Medical records received for DOS 10/05-10/21. CLinic notes and lab results.   COntinued to have fevers up to 102 and diaphoresis. SOB on exertion. EKG no acute ischemic changes. Blood cx neg, CXR neg. UA + bacteria and blood. Change to broad specturm abx.  Decreased lung fx r/t immune or autoimune  status. Coronary artery workup neg. Improved. Gradually increasing activity.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives over entire body 2 hours post-vaccine administration. BENADRYL 50mg PO administered.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue
Clinical narrative: Severe fatigue x 1 day.
Age: 1.55
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Blood culture negative, Chest X-ray normal, Culture throat negative, Culture urine negative, Lethargy
Clinical narrative: Fever 105, lethargy developed within 24 hrs of vaccine administration.
Age: 1.55
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Pyrexia
Clinical narrative: Fever 105, lethargy developed within 24 hrs of vaccine administration.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling abnormal, Feeling jittery, Headache, Pallor, Tremor
Clinical narrative: Started feeling "jittery" and shakey. Headache, pale - "not felling myself".
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Oropharyngeal pain, Rhinorrhoea, Sneezing
Clinical narrative: Runny nose, cough, sneezing, sore throat. - Mother to call physician
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Runny nose, achy, headache. It lasted 7 days and running a fever.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue
Clinical narrative: Sudden on set severe fatigue lasting 3 hrs - better after drinking bottle of mountain dew.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Headache
Clinical narrative: Started with feeling dizzy, shaky, nausea, weakness, muscle aches, vomiting, diarrhea, sore throat, fever, chills, headache x 5 days. Sore arm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Pain in extremity, Pyrexia
Clinical narrative: Started with feeling dizzy, shaky, nausea, weakness, muscle aches, vomiting, diarrhea, sore throat, fever, chills, headache x 5 days. Sore arm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor, Vomiting
Clinical narrative: Started with feeling dizzy, shaky, nausea, weakness, muscle aches, vomiting, diarrhea, sore throat, fever, chills, headache x 5 days. Sore arm.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: General muscle aching x 2 days.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Started with h.a., progressed to N/V and muscle aches x 2 days.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain
Clinical narrative: General body aching, worse from knees down, nausea.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: General body aches.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Headache, Myalgia, Rhinorrhoea
Clinical narrative: Headache, joint & muscle aches.  Runny nose.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: General body Aches - lasted until 10/9/09.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Myalgia, Pyrexia, Vomiting
Clinical narrative: Chills, h.a., vomiting, fever 101.9, muscle aches. H.A. lasted 3 days-other sx.-lasted 3 days.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Ear discomfort, Pruritus, Rhonchi, Throat irritation
Clinical narrative: 1555 C/o burning ears and back of throat itching on phone. 1600 BENADRYL 25mg PO. 1604 C/o ears itching, difficulty swallowing, audible rhonchi with stethoscope. BP 180/110, HR-84, R-24 - Epinephrine 1:1000 0.3ml subcutaneous. 1642 swallowing without difficulty, no SOB, feels much better; given 25mg BENADRYL to take orally when arrives at home.  10/30/09:  Primary Care Records received for date of service 10/19/09. Assessment:  Called clinic to c/o burning ears and itching at back of throat.  Took 25 mg. Benadryl PO.  Denied allergy to eggs, feathers or chickens.  Did not recall any allergic reaction to any childhood vaccine.  Came back c/o of swallowing difficulties.  Nurse could hear rales without stethoscope.  PB elevated at 180/110.  Denied SOB.  Ears began to itch, no hives were noted. Epinepherine 1:1000 0.3 ml SQ was given.  Pt. stated short time later that swallowing had improved.  Given Benadryl 25-50 mg to take Q 4-6 hrs. PRN at home.  One additional Benadryl was taken when the patient arrived at home.  No itching or hives the next morning.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Bronchospasm
Clinical narrative: Acute onset of bronchospasm within 24 hours of H1N1 flumist.  10/28/09 and 10/29/9 Medical records records received for DOS 10/23. C/O Trouble breathing.  Child developed SOB /wheeze. On PE  mild exp wheeze bilat  1 day s/p vaccine. Fever 99.3. O2 sat 89% (at school). Nebulized x3 at school. Discharged to home. Routine care. RTC as needed.
Age: 32.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Torticollis
Clinical narrative: Severe torticollis. Treatment-warm compresses and MOTRIN.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling
Clinical narrative: Pain, tenderness, and swelling at injection site resulting in cellulitis starting at injection site and spreading down to elbow.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthma
Clinical narrative: Asthma Flare Up used Albuterol with relief
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling
Clinical narrative: Pain, tenderness, and swelling at injection site resulting in cellulitis from the injection site down below the elbow.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Pyrexia
Clinical narrative: Fever and cough. Fever began 1 day after receiving the H1n1 flu mist. it lasted 4 days. highest point being on day two, registering 103.6 under the arm (104.6 if you add a degree to that). Cough is still ongoing.
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash generalised
Clinical narrative: Severe rash head to toe, itching
Age: 76.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 66.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discomfort, Musculoskeletal stiffness, Pain
Clinical narrative: 10/14/09 Immunization given - no adverse effects. 10/20/09 upon arising - discomfort /stiffness of right deltoid- entire muscle, more evident with movement.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site anaesthesia
Clinical narrative: Pt. felt numbness on the arm of injection when got home and wasn't relief until next day. The sensation comes on and off sporadically since the day of vaccination. No treatment so far.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site joint pain, Pain
Clinical narrative: No pain @ time of insertion. Next day noticed pain with movement of (Rt) shoulder. Continues today (10/26/09) to have pain with any cross over type movement of Rt arm. Pain with dressing, baking, cleaning.
Age: 15.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Herpes zoster, Pain
Clinical narrative: Shingles, Herpes Zoster on forehead severe pain. ? Varicella disease mild yrs ago.
Age: 9.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Pain, Rash, Rash pruritic
Clinical narrative: Pt received the H1N1 mist at our office on 10-15-09. 2 days later had a red bump then spread into a rash that hurt and itched. Mom waited until 10-23-09 to report to us. Told pt to use BENADRYL q 8 hrs. Mom answered no to all questions.
Age: 41.0
Sex: M
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Lymphadenopathy
Clinical narrative: Pt is experiencing swollen, hard glands under the armpits. Pt says his lymph nodes are going "nuts."
Age: 35.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives on arms with urticaria.  11/09/09 Medical records recioeved for DOS 10/23/09. FInal DX: Allergic reaction to FLumist.  Hospital employee presetned w/itching of UE. s/p vaccine.
Age: 14.0
Sex: M
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Dyspnoea
Clinical narrative: Mother of pt. That pt on 10/22/09-son states he had two random occasions at school that he found it harder to breathe, causing him to pause and put effort into ea breath. States instances were brief and not to extent that he was alarmed enough to seek medical care-no other episodes to date.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Fluid intake reduced, Vomiting
Clinical narrative: Per TC 9:35 AM 10/23/09 from grandmother caring for child. Relates began vomiting at 1:00 AM. Vomited 3 times during the night and now 3 times this morning. Unable to keep liquids down. Had called physician and was told to call vaccine administrator. Instructed to recall physician and ask if needs to go to the ER. TC to caretaker 10:10-to see doctor at 11:10 today.
Age: 48.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: 10-25-09-Wife noticed red rash on R side of neck, flat, occasionally itchy. Pt uses over the counter cortisone cream. No trouble breathing. No new detergent or soap used. No different foods. No allergies. Advised to check with PMD.
Age: 42.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Chest discomfort, Pruritus generalised
Clinical narrative: Vaccinated at work pharmacist experienced tightness in chest beginning 10/21 approximately 6hrs after injection. Off and on up to today - 10-26. All over body itching beginning 10-24 hrs till today - still itches.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site rash, Pyrexia
Clinical narrative: Fever and Rash on left leg at DTAP site.
Age: 45.0
Sex: F
Vaccine: FLUN3
Symptoms: Feeling hot, Hypoaesthesia, Paraesthesia
Clinical narrative: Had FLUMIST on Oct 19. On Oct 19 started feeling hot and on the Oct 20 the right side of face felt tingly (like novocaine wearing off) tingling increases and decreases. Oct 21 the right fore finger and left big toe feel tingly and forefinger also feels numb.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Echocardiogram normal, Electrocardiogram normal, Fatigue, Pain in extremity, Palpitations
Clinical narrative: Heart palpitations began 6 hrs after vaccination. Last 2-3 hrs/day for two days. Sore arm 4 days; fatigue several days.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Allergy test negative, Local reaction
Clinical narrative: Large local reaction after receiving Flu shot. Pt has hx of egg allergy.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Blood glucose increased, Guillain-Barre syndrome, Intensive care, Lumbar puncture abnormal
Clinical narrative: Beginning signs of Guillain-Barre including vomiting, weakness, elevated blood sugar. I was admitted to ICU, then transferred to another hospital and diagnosed with Guillain-Barre 3 weeks later.  Remained in hospital until Dec 27th.  Continued in a wheelchair for another 3 months, then therapy through the summer.  10/27/09 Hospital records received. Service dates 10/16/95 to 10/27/95.  Provide only medications list.  12/22/09 DC summary and hospital records received for date 11/30/95 to 12/21/95. Physical rehab dc summary DX: s/p GBS, type 1 DM, orthostatic HTN, neutrogenic bowel, decreased functional debility, muscle spasms. Pt was admitted to hosp. 10/26/95 for diabetic ketoacidosis, periorbital numbness, paresthesias. 10/26/95 pt had weakness and loss of reflexes.Pt dx w/ GBS 10/27/95. Assessment: weakness, bilat upper extremity tremors observed, rt side weakness. Rehab course improved orthostatic HTN, DM controlled. Pt able to perform ADL's independently with some supervision.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting, Wheelchair user
Clinical narrative: Beginning signs of Guillain-Barre including vomiting, weakness, elevated blood sugar. I was admitted to ICU, then transferred to another hospital and diagnosed with Guillain-Barre 3 weeks later.  Remained in hospital until Dec 27th.  Continued in a wheelchair for another 3 months, then therapy through the summer.  10/27/09 Hospital records received. Service dates 10/16/95 to 10/27/95.  Provide only medications list.  12/22/09 DC summary and hospital records received for date 11/30/95 to 12/21/95. Physical rehab dc summary DX: s/p GBS, type 1 DM, orthostatic HTN, neutrogenic bowel, decreased functional debility, muscle spasms. Pt was admitted to hosp. 10/26/95 for diabetic ketoacidosis, periorbital numbness, paresthesias. 10/26/95 pt had weakness and loss of reflexes.Pt dx w/ GBS 10/27/95. Assessment: weakness, bilat upper extremity tremors observed, rt side weakness. Rehab course improved orthostatic HTN, DM controlled. Pt able to perform ADL's independently with some supervision.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Rash generalised, Rash pruritic
Clinical narrative: Itchy rash covering body when I woke up the morning of 10/24/09, I took 50mg Benadryl and it went away. At 08:00pm full body rash again, took 50mg Benadryl, 125mg methylprednisone and rash was gone by 02:00am 10/25/09. Woke 10/25/09 at 09:00am and rash started to come back and by noon it was all over my body again. Continued to take Benadryl every 4 hrs and rash never cleared. 10/26/09 went to internal medicine MD and prescribed Xyzal and Prednisone taper for 10 days. After taking 60mg prednisone and Xyzal rash is gone. With rash the only other symptom I experienced was left upper quadrant abdominal pain. No difficulty breathing, nausea, vomiting, diarrhea, fevers, sore throats, or upper respiratory sx. I have had flu vaccines in the past and have never been allergic to eggs.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Erythema, Pruritus, Rash generalised
Clinical narrative: Red rash spreading all over body.  Itchy
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood test, Computerised tomogram, Hyperthyroidism, Neck pain, Neuralgia
Clinical narrative: Nerve Pain in lower left leg. Two weeks later, hyper-thyroid onset. Neck pain, and continued nerve pain. Fever.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Ultrasound scan
Clinical narrative: Nerve Pain in lower left leg. Two weeks later, hyper-thyroid onset. Neck pain, and continued nerve pain. Fever.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Nasal congestion, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: fever 102.5, sore throat, aches and stuffy nose
Age: 52.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: Redness, swelling, tenderness and warmth for the last 48 hours since receiving pneumovax.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Pruritus, Urticaria
Clinical narrative: Patient called the night of 10/25/09 to say that 3 days after getting the flu shot (10/20) she woke up in the middle of the night feeling warm with itchy hives/welts on her ankles, legs, buttocks, shoulders.  She did not have any Benadryl on hand at the time.  She did not have a fever, or any swelling of the lips or mouth.  After being up for a while, the hives/welts went away and were gone in the morning.  The next evening, she woke up with hives again, this time less severe and only on her ankles.  They went away again after being up for a while.  She didn't have anymore reactions after that.  She can't think of anything new she ate or did that she would have had an allergic reaction to except possibly Skelaxin she recieved from a different pharmacy.  She took one before bed the night of the first reaction, but did not take one the night of the second reaction.
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy, No adverse event
Clinical narrative: Patient indicated on the consent that she was not pregnant by checking the "no" box. After the nurse administered H1N1 LAIV she learned that the patient was in fact pregnant. She was given a note to take to her health care provider indicating that she had been given LAIV. 11/25/2009 MD records indicated preganat patient, EDC 4/23/2010 received H1 N1, no side effects noted.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Hepatic failure, Jaundice, Liver function test abnormal, Liver transplant, Vomiting
Clinical narrative: Development of vomiting, progressive jaundice and fulminant liver failure requiring transplant.   11/5/09:  Lab results received for date of service 10/13/09.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC, RV5
Symptoms: Diarrhoea, Physical examination, Pyrexia
Clinical narrative: Copious watery diarrhea and fever
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dysphonia, Pyrexia
Clinical narrative: Hoarseness, cough, high fever. 10/28/09 PCP note - well child visit.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dysphonia, Myalgia, Pyrexia
Clinical narrative: hoarseness, weakness, fever, muscle aches  10/30/09 ICD9 codes and  Medical records received for DOS 9/23.  ED visit DX: acute hypoxia, sever dyspnea, sinus tachycardia, hypokalemia, renal insufficiency, elevated D-dimer, r/o PE.  Patient developed weakness, nausea, vomiting x1, chills and joint pain s/p flu vaccine. Ibuprofen resolved. Later developed SOB and took nitro tab. BP dropped. 911 activated.  Presented w/pulse 119, BP 114/55. O2 sat 94% on room air and dropped to high 80's. Increased to 90 and 96 on O2. Accucheck 163.  Hypokalemia, renal insufficiency. Doppler results- thrombus L greater saphenous vein.   ICD9 Codes: 276.51, 458.9, 278.8, 401.9, 272.4, 530.81, 250.0, 799.02, 427.89, 593.9.  Medical records and ICD9 codes  received for DOS 10/24/09. Final DX: Acute sinusitis, Acute upper respiratory infection. Nasal discharge, yellow and blood tinged, cough x2 days. Teeth pain. Pain over cheek and forehead. Sinusitis.  D/C to home. Supportive care. ICD9 Codes: 461.9, 465.9.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Headache, Nausea, Pyrexia
Clinical narrative: Slight Fever, headaches, cough, nausea
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting and diarrhea
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Pyrexia, Vomiting
Clinical narrative: Fever 102  to highest 103.6, with cough on 10/25/09. On Monday 10/26/09 to daughter to MD at 10 am, had fever of 101. At 3 pm, began vomiting and fever to 102.
Age: 0.42
Sex: M
Vaccine: DTP, HEP, HIBV, PNC, RV1
Symptoms: Agitation, Crying, Decreased appetite, Discomfort, Irritability
Clinical narrative: Beginning approx. 5 hours after receiving vaccine, patient began acting extremely agitated, restless, and cried contiually and inconsolobly for two and a half hours before beginning to calm. Patient eventually stopped crying but was irritable and uncomfortable for the rest of the evening. No appetite at dinner and restless through the night. Similar events occured with first vaccinations on 11/12/2008.
Age: 0.42
Sex: M
Vaccine: DTP, HEP, HIBV, PNC, RV1
Symptoms: Restlessness, Vaccine positive rechallenge
Clinical narrative: Beginning approx. 5 hours after receiving vaccine, patient began acting extremely agitated, restless, and cried contiually and inconsolobly for two and a half hours before beginning to calm. Patient eventually stopped crying but was irritable and uncomfortable for the rest of the evening. No appetite at dinner and restless through the night. Similar events occured with first vaccinations on 11/12/2008.
Age: 23.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Activities of daily living impaired, Body temperature increased, Decreased appetite, Dehydration, Diarrhoea
Clinical narrative: Patient received nasal swine flu vaccine at 4pm Wednesday 10/21.  On 10/22 and 10/23 patient noticed unusual fatigue considering she had slept 9 hours each night and was on 200 mg/day Provigil for narcolepsy and had not experienced daytime fatigue since beginning that medication several months ago.  On Saturday 10/24, patient awoke at 8am with a basal body temperature of 98.9 (normal temp 97.8) which rose to 99.9 for the next 24 hours.  Patient also experienced multiple loose stools, and by midafternoon patient experienced five hours of severe watery diarrhea, to the point of producing external hemorrhoids (and potentially internal as well since both bright and occult blood were noted in the stool for the next 24 hours).  The diarrheal symptoms decreased in frequency after the first five hours from bowel movements every 10-15 minutes to every few hours.  Patient also complained of appetite loss and severe headaches, though noted that dehydration is her usual migraine trigger.  Fever, diarrhea, tiredness, and headaches resolved by the evening of 10/25.  The patient lost 1.5 work days due to the severity of her GI symptoms.
Age: 23.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Fatigue, Haemorrhoids, Headache, Migraine, Occult blood
Clinical narrative: Patient received nasal swine flu vaccine at 4pm Wednesday 10/21.  On 10/22 and 10/23 patient noticed unusual fatigue considering she had slept 9 hours each night and was on 200 mg/day Provigil for narcolepsy and had not experienced daytime fatigue since beginning that medication several months ago.  On Saturday 10/24, patient awoke at 8am with a basal body temperature of 98.9 (normal temp 97.8) which rose to 99.9 for the next 24 hours.  Patient also experienced multiple loose stools, and by midafternoon patient experienced five hours of severe watery diarrhea, to the point of producing external hemorrhoids (and potentially internal as well since both bright and occult blood were noted in the stool for the next 24 hours).  The diarrheal symptoms decreased in frequency after the first five hours from bowel movements every 10-15 minutes to every few hours.  Patient also complained of appetite loss and severe headaches, though noted that dehydration is her usual migraine trigger.  Fever, diarrhea, tiredness, and headaches resolved by the evening of 10/25.  The patient lost 1.5 work days due to the severity of her GI symptoms.
Age: 23.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia
Clinical narrative: Patient received nasal swine flu vaccine at 4pm Wednesday 10/21.  On 10/22 and 10/23 patient noticed unusual fatigue considering she had slept 9 hours each night and was on 200 mg/day Provigil for narcolepsy and had not experienced daytime fatigue since beginning that medication several months ago.  On Saturday 10/24, patient awoke at 8am with a basal body temperature of 98.9 (normal temp 97.8) which rose to 99.9 for the next 24 hours.  Patient also experienced multiple loose stools, and by midafternoon patient experienced five hours of severe watery diarrhea, to the point of producing external hemorrhoids (and potentially internal as well since both bright and occult blood were noted in the stool for the next 24 hours).  The diarrheal symptoms decreased in frequency after the first five hours from bowel movements every 10-15 minutes to every few hours.  Patient also complained of appetite loss and severe headaches, though noted that dehydration is her usual migraine trigger.  Fever, diarrhea, tiredness, and headaches resolved by the evening of 10/25.  The patient lost 1.5 work days due to the severity of her GI symptoms.
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Lethargy, Pain
Clinical narrative: Lethargic on 10/23/09 and 10/24/2009. Body aches that intensified until 10/25/2009. By 10/27/2009 the aches and lethargy had passed.
Age: 40.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Carpal tunnel syndrome, Condition aggravated, Erythema, Oedema peripheral
Clinical narrative: Swelling and aches in both hands without pre-existing trauma, joint aches in bilateral hips and knees, carpel tunnel symptoms in both hands, swelling and redness in right hand.
Age: 40.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Pain
Clinical narrative: Swelling and aches in both hands without pre-existing trauma, joint aches in bilateral hips and knees, carpel tunnel symptoms in both hands, swelling and redness in right hand.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Hypersomnia
Clinical narrative: EXTREME EXTREME EXTREME fatigue.  No other cause.  My routine, activity, and eating habits were the same as usual during these days.  I slept 10/16/09 from 3pm--10am on 10/17/09.  I continued to sleep on 10/17/09 from 12pm--7pm and then from 7pm--11am 10/18/09.
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Condition aggravated, Dyspnoea, Fatigue, Hypoventilation, Injected limb mobility decreased
Clinical narrative: Fatigue, Fever (100 degrees), Muscle soreness all over body, inability to move arm with injection, Breathing difficulty (shallow and labored). Symptoms increased and peaked 24 hours after pneumonia vaccine. Treatment - home nebulizer treatment for breathing, advil for fever and muscle pain, hot shower after breaking fever on second day by laying under heavy covers for 12 hours.
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fatigue, Fever (100 degrees), Muscle soreness all over body, inability to move arm with injection, Breathing difficulty (shallow and labored). Symptoms increased and peaked 24 hours after pneumonia vaccine. Treatment - home nebulizer treatment for breathing, advil for fever and muscle pain, hot shower after breaking fever on second day by laying under heavy covers for 12 hours.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Blood glucose normal, Blood pressure increased, Dizziness, Feeling abnormal
Clinical narrative: Lightheadedness. "Floaty feeling. Some weakness.  Vision slightly skewed. Told nurse-they called EMT and paramedics took my blood pressure which was slightly elevated. Blood sugar was normal. They gave me the option since I am pregnant to go to the hospital, but I opted to take the doc's advice to eat a substantial meal, go home and rest, and stay hydrated. Slept and felt better. Feel better-may have just been that I didn't eat a lot of protein earlier that day. AM 6.5 months pregnant and they were just being cautious which I really appreciate. The follow up by DOH, and the EMT's was really impressive and I am really thankful. 10/28/2009 routine prenatal visits
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Visual impairment
Clinical narrative: Lightheadedness. "Floaty feeling. Some weakness.  Vision slightly skewed. Told nurse-they called EMT and paramedics took my blood pressure which was slightly elevated. Blood sugar was normal. They gave me the option since I am pregnant to go to the hospital, but I opted to take the doc's advice to eat a substantial meal, go home and rest, and stay hydrated. Slept and felt better. Feel better-may have just been that I didn't eat a lot of protein earlier that day. AM 6.5 months pregnant and they were just being cautious which I really appreciate. The follow up by DOH, and the EMT's was really impressive and I am really thankful. 10/28/2009 routine prenatal visits
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Full blood count normal, Grand mal convulsion, Metabolic function test normal, Toxicologic test normal, Urine analysis normal
Clinical narrative: Generalized Tonic-Clonic Seizure for 30 seconds.  No treatment needed.  Afebrile.  No trauma. 10/28/2009 ED records from 10/26/2009. Patient with tonic-clonic seizure activity, eyes rolled back, incontinence, itching, runny nose and cough. Neuro exam WNL, no repeat seizure activity, no tx noted. DC DX New Onset Seizure ? related to H1N1 vaccine.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Body temperature increased, Dizziness, Feeling cold, Feeling hot
Clinical narrative: Developed headache that became severe around 4:00 pm. Became dizzy, weak, photophobic, and nauseous, with a temperature around 100 degrees Farenheight. Felt hot then cold. Vomited at 5:15 PM. Took two 200mg ibuprofen and took a 1 1/2 hour nap. Headache, weakness and nausea persisted but lessened over the next 24 hours. Weakness continued for about 24 more hours.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Headache, Nausea, Photophobia, Vomiting
Clinical narrative: Developed headache that became severe around 4:00 pm. Became dizzy, weak, photophobic, and nauseous, with a temperature around 100 degrees Farenheight. Felt hot then cold. Vomited at 5:15 PM. Took two 200mg ibuprofen and took a 1 1/2 hour nap. Headache, weakness and nausea persisted but lessened over the next 24 hours. Weakness continued for about 24 more hours.
Age: 47.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood test normal, Computerised tomogram normal, Dizziness, Nausea, Vertigo
Clinical narrative: Lightheaded and nausea w/in 1 hour of vaccine. Con't over rest of day and next (Wed and Thur.). Woke up Fri AM room spinning, ate toast in bed. When got up vomited. Nausea, room spinning, vomit all day. To ER in early evening, admitted x 3 days. Neg CT scan. Nml blood work. MD suspects vaccine got into ear canals. Tx = MECLAZINE, bed rest. 11/9/2009 hospital records for 10/23-10/26/2009. Patient with c/o's vertigo, nausea and vomiting. Tx: IVF, IV zofran. DC DX: Vertigo, nausea/vomiting. Dc'd home on Zofran and meclizine. ICD-9 codes 780.4, 787.01
Age: 47.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Lightheaded and nausea w/in 1 hour of vaccine. Con't over rest of day and next (Wed and Thur.). Woke up Fri AM room spinning, ate toast in bed. When got up vomited. Nausea, room spinning, vomit all day. To ER in early evening, admitted x 3 days. Neg CT scan. Nml blood work. MD suspects vaccine got into ear canals. Tx = MECLAZINE, bed rest. 11/9/2009 hospital records for 10/23-10/26/2009. Patient with c/o's vertigo, nausea and vomiting. Tx: IVF, IV zofran. DC DX: Vertigo, nausea/vomiting. Dc'd home on Zofran and meclizine. ICD-9 codes 780.4, 787.01
Age: 2.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abasia, Acute disseminated encephalomyelitis, C-reactive protein increased, Constipation, Fatigue
Clinical narrative: Patient felt "tired" after vaccination. 10/18 2300 pt. woke screaming, next day was unable to walk, treated for constipation but symptoms not resolving. 10/21 transferred to our facility and diagnosed with acute disseminating encephalomyelitis. 10/28/09 Hospital records received (includes discharge note) DOS 10/18/09, 10/19/09, 10/19/09 to 10/21/09 and 10/21 to 10/26/09. Assessment: Demyelinating disease CNS. Gait disorder ataxic.  Prior mild upper respiratory infection. Inconsolable screaming.  Diagnosed with constipation at ED on 10/18/09. Admitted on 10/19/09 for Go-lytely 'cleanout' and discharged. Patient now presents with titubation unable to stand or walk, legs stiffen. Loses balance if he sits, stands, or attempts to walk.
Age: 2.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Nuclear magnetic resonance imaging, Red blood cell sedimentation rate increased, Screaming
Clinical narrative: Patient felt "tired" after vaccination. 10/18 2300 pt. woke screaming, next day was unable to walk, treated for constipation but symptoms not resolving. 10/21 transferred to our facility and diagnosed with acute disseminating encephalomyelitis. 10/28/09 Hospital records received (includes discharge note) DOS 10/18/09, 10/19/09, 10/19/09 to 10/21/09 and 10/21 to 10/26/09. Assessment: Demyelinating disease CNS. Gait disorder ataxic.  Prior mild upper respiratory infection. Inconsolable screaming.  Diagnosed with constipation at ED on 10/18/09. Admitted on 10/19/09 for Go-lytely 'cleanout' and discharged. Patient now presents with titubation unable to stand or walk, legs stiffen. Loses balance if he sits, stands, or attempts to walk.
Age: 31.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dermatitis contact, Rash pruritic
Clinical narrative: Rash shoulders, back. Mildly pruritic. BENADRYL advised. As of 11-10-09 rash resolving. Per pt, PCP thought it was contact dermatitis possibly related to soap or detergent.
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Headache, Rash vesicular
Clinical narrative: 3 hours after pt received vaccine she began with vesicular rash near site and has spread to face. Also started with chest tightness headache 3 hrs later.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: <24hrs after receiving H1N1 vaccine in right deltoid, upper arm became inflamed, painful, red, swollen, hot to touch. Erythema extended shoulder to elbow. Tender to touch.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain, Body temperature increased, Cough, Fatigue, Headache
Clinical narrative: Initial onset abd pain abt 6-7 PM with bad headache. 1 episode of dry heaves. Temp increased middle of noc 102.8. Mom gave TYLENOL, ibuprofen. Temp range 100-103 until AM 10/19/09. Also had c/o chest hurting in eve. MOC took to MD 10/20 AM because still coughing. MD said having "serum sickness" due to vaccine (nasal mist). Still tired and cough 10/22/09. 2 brothers who had nasal mist same day-also c/o severe headache, abd pain of short duration.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Non-cardiac chest pain, Retching, Serum sickness
Clinical narrative: Initial onset abd pain abt 6-7 PM with bad headache. 1 episode of dry heaves. Temp increased middle of noc 102.8. Mom gave TYLENOL, ibuprofen. Temp range 100-103 until AM 10/19/09. Also had c/o chest hurting in eve. MOC took to MD 10/20 AM because still coughing. MD said having "serum sickness" due to vaccine (nasal mist). Still tired and cough 10/22/09. 2 brothers who had nasal mist same day-also c/o severe headache, abd pain of short duration.
Age: 18.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Hives all over body and swollen left arm 3 days after H1N1 vaccine was given.
Age: 37.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy
Clinical narrative: Client came to clinic stated she had at home positive pregnancy test, denied pregnancy at time of vaccination.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), HEPA
Symptoms: Convulsion
Clinical narrative: Pt had seizure.
Age: 2.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Lacrimation increased, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: High fever, sore throat, running nose, watery eyes.
Sex: U
Vaccine: TTOX
Symptoms: Asthenia, Oedema peripheral, Tenderness
Clinical narrative: Arm swelling, tenderness decreased strength and ROM.
Age: 64.0
Sex: F
Vaccine: PPV, FLUX, PPV
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis of upper arm at site of injection.
Age: 64.0
Sex: F
Vaccine: PPV, FLUX, PPV
Symptoms: Injection site swelling, Oedema peripheral
Clinical narrative: Cellulitis of upper arm at site of injection.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Itching, redness, hives - resembles a map, on vaccine site- left arm. Itching began on 10-9-09.
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort
Clinical narrative: Chest pressure: Initial report received from a consumer on 31 Aug, 2009. A male patient, age and medical history not reported, received small pox (vaccinia) vaccine, live ACAM2000, Sanofi Pasteur Biologics Co, lot number not reported. The date of vaccination was not reported. The patient telephoned from a trip in the mountains regarding intermittent chest pressure. The patient was advised to seek medical attention per Medical Sheet. It was reported that the telephone connection was poor.  No other information was provided.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Myalgia, Palpitations, Pyrexia
Clinical narrative: Muscle aches, fever, chills, palpitations about 12 hours after vaccine.
Age: 11.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Headache, Immediate post-injection reaction
Clinical narrative: Complained of headache immediateley followint the H1N1 shot
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: After receiving shingles shot on Nov. 13, 2007 6 months later on May 9, 2008 I was diagnosed with shingles and again in July and Nov of that year.
Age: 72.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Rash, Urticaria
Clinical narrative: Vaccine administered day 8/24/09. Pneumococcal Polysaccharide Reaction; skin rash and hives. Medication take; Methylprednisolone 4mg and BENADRYL.
Age: 72.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Rash, Urticaria, Vaccination complication
Clinical narrative: Vaccine administered day 8/24/09. Pneumococcal Polysaccharide Reaction; skin rash and hives. Medication take; Methylprednisolone 4mg and BENADRYL.
Age: 9.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Abdominal discomfort, Blood test, Computerised tomogram, Headache, Nasal congestion
Clinical narrative: Patient received Flumist despite contraindication (patient on Aspirin therapy s/p surgery for Moya Moya disease 12/19/07). Patient woke up 9/20 with headache - evaluation in ED. Headache resolves within 24 hours.
Age: 9.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Urine analysis
Clinical narrative: Patient received Flumist despite contraindication (patient on Aspirin therapy s/p surgery for Moya Moya disease 12/19/07). Patient woke up 9/20 with headache - evaluation in ED. Headache resolves within 24 hours.
Age: 9.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Computerised tomogram abnormal, Contraindication to vaccination, Headache
Clinical narrative: Patient received Flumist despite contraindication (patient on Aspirin therapy s/p surgery for Moya Moya disease 12/19/07). Patient woke up 9/20 with headache - evaluation in ED. Headache resolves within 24 hours.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Eye discharge, Pharyngeal erythema, Pharyngitis, Scleral hyperaemia
Clinical narrative: Cough, sore throat, conjunctivitis
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Conjunctivitis, Cough, Oropharyngeal pain, Physical examination
Clinical narrative: Cough, sore throat, conjunctivitis
Age: 2.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 10/3/09 Evening - fever per mom 10/4/09 Arm was warm to touch, hard, swollen, reddened and painful to touch 10/5/09 Arm continues to be swollen, red, and hard.  Recommended mother have child seen at urgent care or PCP.
Age: 2.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pyrexia
Clinical narrative: 10/3/09 Evening - fever per mom 10/4/09 Arm was warm to touch, hard, swollen, reddened and painful to touch 10/5/09 Arm continues to be swollen, red, and hard.  Recommended mother have child seen at urgent care or PCP.
Age: 32.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Facial palsy
Clinical narrative: Per patient: Within 1 to 2 hrs member experienced flu like symptoms. Next day tongue numb with headache. On 9-30-09 headache worse and seen in urgent care. On 10-1-09 experience more symptoms and seen again on 10-1-09.
Age: 32.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Headache, Hypoaesthesia oral, Influenza like illness
Clinical narrative: Per patient: Within 1 to 2 hrs member experienced flu like symptoms. Next day tongue numb with headache. On 9-30-09 headache worse and seen in urgent care. On 10-1-09 experience more symptoms and seen again on 10-1-09.
Age: 13.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Urticaria
Clinical narrative: 10/3/09 1600 Developed hives - Benadryl given 10/4/09 Few hives remain 10/5/09 Resolved
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1), FLUN3
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: 90 minutes after nasal spray was administered, I started having shortness of breath, tightness in chest. A little later I also had all over itching.
Age: 42.0
Sex: F
Vaccine: FLUN(H1N1), FLUN3
Symptoms: Chest discomfort, Dyspnoea, Pruritus generalised
Clinical narrative: 90 minutes after nasal spray was administered, I started having shortness of breath, tightness in chest. A little later I also had all over itching.