Vomiting

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 # 338640
INFLUENZA (FLUMIST) side effect was reported on 01/28/2009. Female patient, child 8.0 years of age, was vaccinated with INFLUENZA (FLUMIST). After vaccination, patient experienced the following side effects: abasia, acute disseminated encephalomyelitis, anion gap increased, antibody test negative, aphasia"Pt has received FLUMIST in previous years. Received FLUMIST 1/15/09. Seen in ER 1/17/09 for presumed viral illness. Admitted to PICU 1/19/09 with encephalomyelitis. 3/25/09 Received hospital medical records of 1/19-2/9/2009. FINAL DX: viral meningeal encephalitis Records reveal patient experienced pharyngitis before Christmas, tx w/oral antibiotics, improved then relapsed & tx w/second round of oral antibiotics. Improved & given flu shot. Developed sore throat, cough, fever, runny nose& URI s/s again. Seen in ER 1/17 & dx w/viral syndrome. D/C to home then developed dizziness, falls, HA, emesis, eye deviation to right, sudden onset of inability to walk or talk. Episodes of unresponsiveness thought to be seizures. Neuro & ID consults done. Admitted PICU. Tx w/IV antibiotics, antivirals, steroids, antiseizure meds w/limited improvement. Feeding tube inserted. Labs & clinical status improved slowly but remained nonverbal w/very limited movement & unable to walk unassisted w/unsteady gait. Transferred to rehab.". None PMH: hypocalcemia resolved; fever requiring hospitalization; developmental delays & in special ed class. Had received flu shot prior years w/o reaction. Family hx: congenital heart defect."Bact'l cultures (-). Viral panel (-). DFA (-). MRI c/w acute disseminated encephalomyelitis LABS:WBC 7.9(N), lymphs 27.7(L). Creatinine 0.42(L), anion gap 17(H). CSF: RBC 130(H), WBC 520(H), lymphs 92(H), monos 5(L), glucose 51(N) & pr" . Patient was hospitalized Patient recovered.

INFLUENZA (FLUMIST) Side Effects Report # 345407
INFLUENZA (FLUMIST) side effect was reported on 05/01/2009. Female patient, child 11.0 years of age, was vaccinated with INFLUENZA (FLUMIST). After vaccination, patient experienced the following side effects: abdominal pain, abdominal pain upper, anorexia, biopsy intestine normal, biopsy oesophagus abnormal"Vomiting, indegestion, lack of appetite, weightloss, dizziness, abdominal pain, fever, fainting, listlessness and nausea. This lasted from date of vaccine in January until end of March.She went to the Pediatrician three times, the Pediatric Gastroenteroligist, a Chiropractor and a surgeon. She underwent two blood tests, had a stool sample, an ultrasound and a Endosopy with no results found. She took several anti nausea vmiting medicines, took over the counter medications for her nausea and indigestion. 5/5/05 Records received DOS 1/7/09 to 3/7/09. Includes immunization records. FINAL DIAGNOSIS: Post vaccination: Flu-like symptoms, fever, chills, nausea and vomiting. Diarrhea. Later developed epigastric pain. Foul smelling flatus. LABS: MCV low, Abdominal Ultrasound WNL 5/11/09 Gastroenterology records received DOS 2/9/09 to 2/19/09. FINAL DIAGNOSIS: Abdominal pain, nausea, vomiting Post vaccination: Flu-like symptoms, fever, chills, nausea and vomiting which subsided, followed one week later with recurrence of nausea, and development of epigastric abdominal pain, diarrhea. Progressed to persistant vomiting, epigastric pain, and severe nausea. Frequent foul smelling flatus.". None"Lactose intolerance, nocternal enuresis, hypothyroidism""Ultrasound, Endoscopy, Blood tests and stool sample 5/5/05 Records received DOS 1/7/09 to 3/7/09. LABS: MCV low, Abdominal Ultrasound WNL 5/11/09 Gastroenterology records received DOS 2/9/09 to 2/19/09. LABS and DIAGNOSTICS: Endoscopy" . During the same period patient was treated with None. Patient recovered.