Pain

INFLUENZA (FLUMIST) Side Effects Report # 337473
INFLUENZA (FLUMIST) side effect was reported on 01/15/2009. Male patient, child 6.0 years of age, was vaccinated with INFLUENZA (FLUMIST). After vaccination, patient experienced the following side effects: abnormal behaviour, activities of daily living impaired, affect lability, angiogram, arteriovenous malformation"Acute icshemic stroke (basilar artery thrombus). Underwent mechanical thrombectomy 11/25/08. 2/2/09 Received ER medical records of 11/19/2008. FINAL DX: acute non-specific HA Records reveal patient experienced worsening HA x 5 days w/cloudy vision left eye, fatigue, irritability & nausea. Had been seen by PCP 2 days prior & dx w/left otitis media. Tx w/oral antibiotics. Exam in ER was WNL & tx w/IVF & IV meds. Improved & d/c to home. 2/3/09 Received PCP office records of 11/17/08-1/18/2009. FINAL DX: left OM w/viral URI Records reveal patient experienced left eye vision deficit, decreased hearing left ear, left side headache, decreased appetite & energy. Tx w/oral antibiotics & would refer to Ophtho if s/s persisted. RTC 11/21 s/p ER visit w/URI & OM resolving. RTC 11/22 w/persistent but intermittent HA & had missed school. OM had resolved but tx w/oral antibiotics. Referred for MRI. RTC 1/12/09 s/p recent hospitalization for acute ischemic stroke with basilar artery thrombus occlusion s/p mechanical thrombectomy on 11/25/08 & having vomiting. Sent for urgent MRI. RTC 1/15/09 for conference. 2/09/09 Received hospital medical records of 11/24-12/3/2008. FINAL DX: acute ischemic stroke, basilar artery thrombus occlusion w/resultant bilateral posterior circulation strokes; s/p mechanical thrombectomy 11/25/08. D/C Summary mixed in with records which reveal patient had been transferred to PICU from outlying ER. Patient experienced retroorbital eye pain & HA x 10 days prior to admit. One week prior to admit had trouble catching ball from left side. Five days prior to admit had severe HA behind left eye. One day prior to admit had dizziness, vomiting, peripheral vision loss but no pain. On day of admit, had generalized pain, abnormal behavior, talking nonsense, incomplete sentences. Deficits at d/c included: right arm dysmetria w/minimal weakness, LLE dysmetria, quandrantanopia, dysarthria & left side sensory deficit, required assist to walk due to incoordination. D/C to inpatient re". PMH: URI s/s x 1 mo. Recurrent OM & ear tube insertion."LABS: WBC 20.9, ANC 17.8(H), lymphs 10.3%(l). Creatinine 0.3(L), ALK 150(L), AST 58(H). CT brain abnormal. Protein C 0.72(L), protein S antigen, free 54(L). CT angiogram abnormal & c/w acute left PCA distribution ischemic infarct. Echoc" . Patient was hospitalized Patient recovered.


INFLUENZA (FLUMIST) Side Effects Report # 339439
INFLUENZA (FLUMIST) side effect was reported on 02/02/2009. Female patient, child 8.0 years of age, was vaccinated with INFLUENZA (FLUMIST). After vaccination, patient experienced the following side effects: erythema, pain, swelling, , Swelling greater than 5cm w/ erythema & pain.. NoNoNone . During the same period patient was treated with None. Patient recovered.