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Found 1677 cases where Vaccine is FLU(H1N1) or FLUN(H1N1) or FLUX(H1N1) and Serious and Submission Date on/before '2015-09-30'

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Table

   
AgeVaccine CountCountPercent
< 3 Years11478.77%
2291.73%
3150.89%
4181.07%
570.42%
610.06%
total21712.94%
3-6 Years1845.01%
2100.6%
450.3%
510.06%
total1005.96%
6-9 Years1563.34%
250.3%
310.06%
410.06%
total633.76%
9-12 Years1523.1%
2100.6%
total623.7%
12-17 Years1553.28%
2130.78%
310.06%
510.06%
610.06%
total714.23%
17-44 Years146127.49%
2583.46%
360.36%
460.36%
560.36%
total53732.02%
44-65 Years130418.13%
2603.58%
340.24%
420.12%
510.06%
total37122.12%
65-75 Years1915.43%
2150.89%
total1066.32%
75+ Years1714.23%
2130.78%
total845.01%
Unknown1452.68%
2191.13%
320.12%
total663.94%
TOTAL1677100%

Case Details

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VAERS ID:360456 (history)  Vaccinated:2009-10-08
Age:29.0  Onset:2009-10-10, Days after vaccination: 2
Gender:Female  Submitted:2009-10-12, Days after onset: 2
Location:Minnesota  Entered:2009-10-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: HCW Employee had just ended a prescribed course of Prednisone on 10/5/09 and had recently been away from work (HCW) for approx. 10 days due to ILI.
Preexisting Conditions: Employee neglected to share with vaccinator that she had been diagnosed with exercise induced asthma as a child. Screening tool was also used and this did not trigger acknowledgement of this history by the employee. 10/13/09 ED/Outpatient Clinic records received service dates 9/30/09 to 10/11/00. Postinfectious cough. Anxiety. Patient presented with runny nose, congestion, coughing, fever, body aches and fatigue. Short of breath. Exercise induced asthma.
Diagnostic Lab Data: 10/13/09 ED/Outpatient Clinic records received service dates 9/30/09 to 10/11/09 10/13/09 PCP medical records from 9/15/09 to 9/30/09 hospital records 10/11/09 to 10/13/09. LABS and DIAGNOSTICS: Rapid FLU A/B Antigen (-). CBC - WNL. CHEM - WNL. DIMER - WNL. Pulse Ox 93% Room Air 97% on O2. LABS and DIAGNOSTICS: O2 Sat 95% on room air. CBC - Neut 82% (H) Lymph 7% (L) Hemoglobin 16.4 g/dL (H) MCH 32 pg (H). Blood culture - No growth. Chest X-ray - WNL.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE))MEDIMMUNE VACCINES, INC.500756P0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anxiety, Asthenia, Blood culture negative, Chest X-ray normal, Chest pain, Chills, Condition aggravated, Cough, Dizziness, Dyspnoea, Fibrin D dimer normal, Full blood count normal, Haemoglobin increased, Headache, Influenza like illness, Influenza serology negative, Laboratory test normal, Lymphocyte percentage decreased, Mean cell haemoglobin increased, Nausea, Neutrophil percentage increased, Oxygen saturation decreased, Painful respiration, Pharyngeal erythema, Productive cough, Pyrexia, Respiratory distress, Respiratory rate increased, Rhinorrhoea, Sinus disorder, Sputum discoloured, Tachycardia, Viral test negative, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)
Write-up: Please note that this individual is a HCW. Developed fever, SOB, N/V with coughing, headache. Initial episode of ILI began on 10/1 (out from work until 10/8. Saw physician 1 week ago (10/5)for follow-up after having been on Prednisone, Albuterol and Codiene cough medication and received clearance to return to work. Stated since receiving the H1N1 FluMist vaccine on 10/8 her symptoms worsened. 10/13/09 ED/Outpatient Clinic records received service dates 9/30/09 to 10/11/09 Assessment: H1N1 Suspected. Patient presents with fever, productive cough, weakness, chills, shortness of breath, runny nose, sinus drainage, hurts to breath, headache, vomiting. Mild erythema pharynx. Respiratory distress, rapid respiratory rate, tachycardia. 10/13/09 PCP medical records from 9/15/09 to 9/30/09 hospital records 10/11/09 to 10/13/09. Assessment: Influenza like illness. Patient presents with anxiety, productive cough with yellow sputum, fatigue. Dizzy spells. Chest pain. Admitted for influenza like illness, respiratory distress and tachycardia. Shortness of breath with activity. Head pain. 10/29/2009 Discharge summary received for DOS 10/11-10/12. Final DX not provided. Brief discharge summary noting multiple treatment meds including prednisone, Duoneb, and Tamiflu. Pateint to rtc in 5-10 days for follow-up

VAERS ID:360786 (history)  Vaccinated:2009-10-12
Age:47.0  Onset:2009-10-12, Days after vaccination: 0
Gender:Male  Submitted:2009-10-14, Days after onset: 2
Location:North Carolina  Entered:2009-10-14
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no.
Preexisting Conditions: none. 10/14/09 ED records received service date 10/12/09. Occasional alcohol use.
Diagnostic Lab Data: 10/14/09 ED records received service date 10/12/09. LABS and DIAGNOSTICS: Puls Ox 100% Room Air. Labs: CBC, CMP, Lipid profile and UA for wellness visit 10/20/2009
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE))MEDIMMUNE VACCINES, INC.500754P0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Allergy to vaccine, Hypersensitivity, Pharyngeal oedema, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Throat and tongue swelling. I was treated in the ER for allergic reaction. Received IV benadryl, solumedrol and Tagamet. Released after 2 and one half hours. 10/14/09 ED records received service date 10/12/09. Assessment: Allergic reaction to FluMist. Patient complained of throat swelling. Later said he felt better and was discharged. 10/20/2009 PCP records for wellness visit 10/20/2009 L

VAERS ID:361270 (history)  Vaccinated:2009-10-15
Age:5.0  Onset:2009-10-15, Days after vaccination: 0
Gender:Male  Submitted:2009-10-16, Days after onset: 1
Location:Connecticut  Entered:2009-10-16
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Upper respiratory
Preexisting Conditions: None. 10/23/2009 records from PCP and ED visit date 10/15/2009 received. PMH: Otitis Media, dizziness 2'' middle ear effusions. Allergies: Bactrim and Keflex
Diagnostic Lab Data: 10/23/2009 records from PCP and ED visit date 10/15/2009 received. Lab : none 10/23/2009 records from PCP and ED visit date 10/15/2009 received. Dx studies: CXR and Xrays of neck normal
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE))MEDIMMUNE VACCINES, INC.500757P0IN 
Administered by: Public     Purchased by: Public
Symptoms: Chest X-ray normal, Croup infectious, Dyspnoea, Stridor, Tachypnoea, Vomiting, X-ray normal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (broad)
Write-up: 4 hours after vaccine -pt had severe strider - received EPONEPHRINE and ambulance transport to ED. Dx spasmoodic croup 10/23/2009 records from PCP and ED visit date 10/15/2009 received. Patient presented post vaccination with c/o''s croupy cough, difficulty breathing, loud stridor, vomiting and tachypnea. Tx''d with O2, racemic Epinephrine neb, and oral Decadron with resolution of sx$g DC Dx: Acute Croup

VAERS ID:361353 (history)  Vaccinated:2009-10-08
Age:9.0  Onset:2009-10-14, Days after vaccination: 6
Gender:Female  Submitted:2009-10-16, Days after onset: 2
Location:California  Entered:2009-10-16
Life Threatening? No
Died? Yes
   Date died: 2009-10-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Limping
Preexisting Conditions: H/O Leukemia 2002; Down''s Syndrome. 1022/09 PCP /Nursing medical records received, service dates 11/11/03 to 10/14/09. Down Syndrome. Cough, fever. Frequent colds. Discharge from eyes. Vomiting and diarrhea. Lymphadenopathy. Foot pain. CBC abnormal.
Diagnostic Lab Data: CBC: 2.5, 7.5, 21.3, 207; Sed rate 125. 10/20/09 ER records received service date 10/14/09. LABS and Diagnostics: EEG - Asystole. CHEM - Glucose 107 mg/dL (H) Calcium 3.5 mg/dL (L) Albumin 3.4 g/dL (L) Alk Phos 170 U/L (L). CBC - WBC 2.5 Thou/uL (L) RBC 2.57 Mill/uL (L) HGB 7.5 g/dL (L) HCT 27.3% (L) RDW 16.4% (H) Neut ABS 565 cells/uL (L) Mono ABS 33 cells/uL (L) Eosin 3 cells/uL (L)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3203AA2IMLA
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE))MEDIMMUNE VACCINES, INC.500751P0IN 
Administered by: Private     Purchased by: Unknown
Symptoms: Blood alkaline phosphatase normal, Blood glucose normal, Death, Full blood count abnormal, Haematocrit decreased, Haemoglobin decreased, Immunohistochemistry, Neisseria test positive, Pupil fixed, Red blood cell sedimentation rate increased
SMQs:, Haematopoietic erythropenia (broad), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad)
Write-up: None Stated. On 10/19/09, the PCP stated that coroner called him and told him that he found consolidation of the lungs on autopsy. Autopsy report is not complete yet. 10/20/09 ER records received service date 10/14/09. Assessment: Cardiac arrest. CPR initiated. Pupils fixed and dilated. Apnea, pale. Rigor, lividity. 1022/09 PCP /Nursing medical records received, service dates 11/11/03 to 10/14/09. Assessment: Death. Office staff unable to contact patient''s family, eventually visited patient''s home. learnd that patient was found dead at home and taken to ER. 11/3/09 Additional ER records received for service date 10/14/09. Found supine on floor at home apneic and pulseless. Cardiac arrest. CPR initiated. 12/8/09 Autopsy received. Pronounced dead on 10/13/2009 Final cause of death: Pneumococcal Pneumonia. Pandemic Influenza A. Additional Information Abstracted: Other contributing conditions - Leukopenia, history of leukemia, Down syndrome. Drug Screen Heart Blood: Dextromethorphan <0.10 ug/ml, Promethazine 0.11 ug/ml. /ksk 12/28/09 Pathology report received. Receipt date 10/23/2009. Sign out date 12/21/2009. Diagnosis: Lung - Diffuse alveolar damage and bronchopneumonia. Immunohistochemical and molecular evidence of novel influenza A H1N1. Immunohistochemical and molecular evidence of Streptococcus pneumoniae. Immunohistochemical evidence of Neisseria meningitidis without molecular confirmation. No immunohistochemical evidence of Group A Streptococcus or Haemophilus influenzae. All follow-up attempts have been completed per company SOPs. No further information available.

VAERS ID:361844 (history)  Vaccinated:2009-10-17
Age:38.0  Onset:2009-10-17, Days after vaccination: 0
Gender:Female  Submitted:2009-10-20, Days after onset: 3
Location:Iowa  Entered:2009-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: CYMBALTA; LYRICA-stopped using; multivitamin
Current Illness: None
Preexisting Conditions: Fibromyalgia; hx MVA; 3 C-sections
Diagnostic Lab Data: WBC-3.7;blood c/s-negative; UA-clear; chloride 107
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE))MEDIMMUNE VACCINES, INC.500763P IN 
Administered by: Other     Purchased by: Other
Symptoms: Blood chloride increased, Blood culture negative, Chest discomfort, Fatigue, Headache, Influenza serology negative, Pain, Pyrexia, Urine analysis normal, Vomiting, White blood cell count decreased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Received intranasal vaccine-4 hrs later began to get a headache and chest discomfort as well as achy all over. Fever 102-103. Headache became severe. Aches all over, fatigued, vomiting. Has not been around ill people-no one in household ill. Her rapid test for Influenza was negative for A and B.

VAERS ID:361877 (history)  Vaccinated:2009-09-02
Age:66.0  Onset:2009-09-21, Days after vaccination: 19
Gender:Female  Submitted:2009-10-19, Days after onset: 28
Location:Texas  Entered:2009-10-20, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 13 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Dapsone
Current Illness: None
Preexisting Conditions: Asthma; Gastroesophageal reflux; "Skin condition". 10/28/09 Hospital records received service dates 9/24/09 to 10/7/09. Asthma, irritable bowel disease. Osteoporosis. GERD. Allergies - Penicillin, tetracycline. Surgeries - Rhinoplasty, cataracts, D&C, Tonsillectomy.
Diagnostic Lab Data: See attached records. 10/28/09 Hospital records received service dates 9/24/09 to 10/7/09. LABS and DIAGNOSTICS: Troponins - 50.3 (H). Cardiac Catherization - Abnormal, lateral myocarditis, mildly depressed left ventricular function. Echocardiogram - Abnormal, reduced left ventricular systolic function. Chest X-ray - Abnormal, interstitial edema. bilateral pleural effusions. EKG - Abnormal, NSR with nonspecific ST or T-wave changes. Abdominal Ultrasound - Abnormal, enlarged liver, intrahepatic biliary ductal dilatation. Urine - Yeast, bacteria.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (CSL))CSL LIMITED090100101 IJUN
Administered by: Other     Purchased by: Other
Symptoms: Myocarditis
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient received H1N1 Vaccine as part of a clinical trial on 9/2/09. She developed Myocarditis of unknown etiology with onset of symptoms 9/21/09. (See attached medical records). 10/28/09 Hospital records received service dates 9/24/09 to 10/7/09. Assessment: Non-ST segment elevation myocardial infarction Right profunda artery injury, right lower extremity ischemia. Patient with recent history of fevers, body aches, fatigue, nonproductive cough, chills, weight gain. Joint and muscle pain, weakness. Trouble talking. Transferred to a highler level facility. Bleeding from right groin. Patient developed shortness of breath. Chest pain. Fever. Became hypoxic with decreased responsiveness. Intubated. Pancytopenia. Abdomen distended. Bandemia and DCC. Edematous extremities. ARDS. Myelosuppression. Surgical procedures performed - repair of profunda artery on right side, four-compartment fasciotomy of right lower extremity. 10/28/09 ICD-9 Codes received: 786.06 Shortness of breath, 422.91 Idiopathic myocarditis, 323.9 Encephalitis, myelitis encephalomyelitis unspecified cause, 284.1 Pancytopenia, 790.6 Abnormal blood chemistry, 575.10 Cholecystitis unspecified.

VAERS ID:362087 (history)  Vaccinated:2009-10-21
Age:55.0  Onset:2009-10-21, Days after vaccination: 0
Gender:Male  Submitted:2009-10-21, Days after onset: 0
Location:Michigan  Entered:2009-10-21
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None Known
Diagnostic Lab Data: Labs: HGB 13.4(L), HCT 38.3(L), RBC 4.29(L), alanine amino T 15(L).
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI))SANOFI PASTEURUP002AA IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alanine aminotransferase decreased, Anaphylactic reaction, Asthenia, Cyanosis, Dyspnoea, Haematocrit decreased, Haemoglobin decreased, Heart rate increased, Hypersensitivity, Immediate post-injection reaction, Laryngeal oedema, Malaise, Red blood cell count decreased, Respiratory distress
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Haematopoietic erythropenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Immediately after H1N1 vaccine IM administration Pt reported not feeling well, could not breathe, obvious respiratory distress, weakness,and cyanosis, elevated heart rate epinephrine auto injection given, 911 188/104 p.160, r 34, Pt. able to speak no LOC noted, EMS located very nearby, responded within approximately 5 minutes, Pt. was improving after epi, but when asked to sit upright by EMS unable to do so, became distressed again, Pt carried to stretcher by EMS, transported to Hospital via ambulance. 10/22/09 Medical record received for date 10/21/09 Lab value only:

VAERS ID:362159 (history)  Vaccinated:2009-10-20
Age:36.0  Onset:2009-10-20, Days after vaccination: 0
Gender:Female  Submitted:2009-10-22, Days after onset: 2
Location:Pennsylvania  Entered:2009-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Patient aphasic at time of transport; co-workers related extensive medical history, including lymphoma and transient ischemic attacks (TIAs), cardiac cath. PMH: Non-Hodgkin''s Lymphoma, MI Allergies: NKDA
Diagnostic Lab Data: Unknown 10/30/09 Diagnostics/Labs received: EKG abnormal, CT head/brain abn-ill defined hypodensity within the right subinsular white matter artifactual vs. early infarction. cerebral CT angiogram abn-ischemic event in the anterior extreme of the subinsular white matter on the right, a finding of indeterminate age. MRI brain WNL, CT head represents volume averaging of CSF within right sylvian fissure. Adenoidal prominence. CXR abn-prominence of the interstitial markings in the lungs. CBC abn, lymphocytes 59.9(H), sed rate 29(H), APTT 22.3(L), BUN 4L), CL 111(H), K 5.7(H), homocysteine 3.4(L). Labs: Cardiac enzymes norm, RPR non-reactive
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI))SANOFI PASTEURUP002AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Activated partial thromboplastin time shortened, Aphasia, Blood chloride increased, Blood homocysteine, Blood potassium increased, Blood urea decreased, Cardiac enzymes normal, Cerebrovascular accident, Chest X-ray abnormal, Computerised tomogram abnormal, Dysphagia, Electrocardiogram abnormal, Facial palsy, Full blood count abnormal, Hemiparesis, Ischaemic stroke, Lymphocyte count increased, Nuclear magnetic resonance imaging brain normal, Red blood cell sedimentation rate increased, Sensory loss, Syncope, Syphilis test negative
SMQs:, Torsade de pointes/QT prolongation (broad), Haematopoietic leukopenia (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hearing impairment (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: At 4:47 PM a rapid response was called , the Team responded and the adult employee refused care. At 5:16 PM a code 99 was called and the Team responded to find an adult patient with left sided weakness and left facil droop. VS BP 151/96, HR 95, RR 26, O2Sat 99%, Galsco Coma Score 11; The patient was aphasic and unable to give a HX, co-workers related extensive history including lymphoma and TIA. Patient transported emergently with critical care transport team and physician to adult facility. 10/30/09 DC summary received for date 10/20/09 to 10/23/09. DC DX: Stroke. Pt. d/c to rehab facility. 11/5/2009 hospital records for ED 10/20/2009 and MR for 10/20-10-23/2009. Patient with c/o''s syncope, lt hemiparesis, lt facial droop, aphasia, and dysphagia. Neuro exam abnormal: sensory absent on lt, dec strength. Tx: admit, IVF, dx testing.

VAERS ID:362196 (history)  Vaccinated:2009-10-16
Age:1.52  Onset:2009-10-19, Days after vaccination: 3
Gender:Female  Submitted:2009-10-22, Days after onset: 3
Location:Utah  Entered:2009-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: No
Preexisting Conditions: None. 10/23/09 Hospital records received service dates 10/20/09 to 10/21/09. Induced delivery at 36 weeks. Phototherapy jaundice. Gastroesophageal reflux. Brief jerking of head with feeding. Rash around mouth.
Diagnostic Lab Data: Electrolytes - normal CBC - normal CSF - normal Toxicology normal CT head - normal Cultures of CSF, blood and urine all negative Viral respiratory PCR panel - negative EEG - normal 10/23/09 Hospital records received service da
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI))SANOFI PASTEURUP002AA0IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood culture negative, Blood electrolytes normal, CSF culture negative, CSF test normal, Computerised tomogram normal, Cough, Crying, Culture urine negative, Diarrhoea, Dyskinesia, Electrocardiogram abnormal, Electroencephalogram normal, Febrile convulsion, Full blood count normal, Infantile spasms, Irritability, Lymphocyte percentage decreased, Malaise, Movement disorder, Muscle spasms, Muscle twitching, Neutrophil count increased, Polymerase chain reaction, Pyrexia, Pyuria, Respiratory tract congestion, Rhinorrhoea, Screaming, Sinus tachycardia, Toxicologic test normal, Urinary sediment present, Viral test negative, White blood cells urine positive
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Convulsions (narrow), Pseudomembranous colitis (broad), Akathisia (broad), Dyskinesia (narrow), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Neonatal disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Fever, irritability, seizure-like twitching, though no loss of consciousness, and no alteration in conciousness. Had normal CBC, electrolytes, CSF, normal CT of head, normal EEG, negative viral PCR panel. Pyuria (10 WBC - negative culture) Fever and twitching movements resolved after 3 days. 10/23/09 Hospital records received service dates 10/20/09 to 10/21/09. Assessment: Pyuria, resolving movement disorder with normal EEG. Patient presents with recent hx of mild febrile illness and seizure like activity. "Crabby and sick", runny bowel movement. Woke up screaming at midnight. Jerking of whole body, then screaming/crying for several minutes. Continued to have these events. Mild congestion, runny nose, cough. 10/29/09 Discharge summary received for DOS 10/20-10/22: Final DX: Spasms. Patient presented in ED with fever and spastic-like motions. Seizure concerns. Activity present during EEG. EEG and CT brain WNL. Discharged. Follow-up with PCP and possibly neuro as needed. 11/2/09 Medical records received for date 10/21/09 Neuro consult inpt. DX: febrile seizure, infantile spasms. Assessment: WNL other than h/o. Pt. received H1N1 vax on 10/16 then experienced per parents increase in fussiness, tactile fever, and 1 loose stool. On 10/19 per parents pt experienced a 5 sec. episode of generalized jerking before falling asleep. Since this episode pt has had several more episodes per parents that are characterized by bilat. Upper extremity rhythmic shaking pt retains consciousness during episodes.

VAERS ID:362355 (history)  Vaccinated:2009-10-10
Age:26.0  Onset:2009-10-20, Days after vaccination: 10
Gender:Female  Submitted:2009-10-22, Days after onset: 2
Location:Kansas  Entered:2009-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None known (for allergies) per patient
Diagnostic Lab Data: None available to nurse.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE))MEDIMMUNE VACCINES, INC.500763P0IN 
Administered by: Public     Purchased by: Public
Symptoms: Activated partial thromboplastin time, Blood product transfusion, Eye haemorrhage, Feeling abnormal, Full blood count, Haematoma, Idiopathic thrombocytopenic purpura, Immunoglobulin therapy, Influenza like illness, Intensive care, Malaise, Menorrhagia, Pain, Petechiae, Platelet count decreased, Prothrombin time normal, Pyrexia, Visual acuity reduced
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: On 10/20/09, patient reported that she had noted petechiae on her abdomen & upper chest while showering (before coming to work). She contacted facility & was advised to seek medical care from her physician. Saw patient on 10/21 & again told to pursue care through her physician. She works as RN on pediatric unit, received H1N1 vaccine as part of campaign for health care workers. Pt was admitted to ICU at health center on 10/22/09 with a platelet count of ZERO. She had two hemorrhages in her right eye per her local optometrist when she was having persistent visual chanes. She sought care from her optometrist on 10/22/09. She was referred by the opometrist toa local ophthalmologist, but before seeing the ophthalmologist, she sought care from her family physician who ordered a CBC and oagulation studies, and admitted her immediately to the ICU. Hematologist was immediately consulted. MD was told Pt and her family that she most likely had adult idiopathic thrombocytopenia purpura. MD explained this is that most likely caused by a virus and that it may never be known if it was the nasal spray H1N1 that caused it or it it was caaused by something else. She had a low grade fever and body aches and ''felt rough'' on 10/23/2009, but other than those symptoms, had felt ill. She was started on large doses of steroids and received IV gamma globulin on 10/22/09. Her platelet count on 10/23/09 is 8,00 according to her mother ( who also happens to be a nurse). She is to receive more gamma globulin today and mostly likely will be released from the hospital when her platelet count reaches 20,000-25,000. Pt wanted her mother to "Call reporter and let her know what''s going on. If it can help the CDC to know this, I don''t want anyone else going through the trauma of what we''ve been through. Reporter has my permission to review my chart, send infomatioin to the CDC or whatever would be helpful. I could hear Pt speaking in the background and Pt''s mother called me from her room in the ICU. I told them that I''d alreay filed the VAERS report, ut would send an update to VAERS today. I have not reviewed her meical records of laboratory reports at this time and explained that I would seek a written release in order to do so. The local health department has verbally been informed of this case also.

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