chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Vaccination complication
Clinical narrative: On 01-27-2011 patient presented to a Health Department Drive-thru flu clinic. Immunization administered by SN participating in event. On 01-28-2011, pt presented to Health Department stating she had a reaction to the vaccine. Left arm had diffuse redness over entire deltoid. Pt went to Urgent Care - told reaction was normal for type of vaccine given.
Sex: F
Vaccine: FLUX
Symptoms: Influenza
Clinical narrative: Initial report received from a health care professional on 20 January 2011.  A female patient (date of birth not reported) with no reported medical history, had received a dose of INFLUENZA (Trade name, manufacturer name, lot number, route and site of administration not reported) on an unspecified day in October 2010.  In January 2011, the patient was diagnosed with Influenza A subtype H3N2.  The reporter did not have any other information regarding vaccination, and declined to provide name and contact information for the patient.  Patient's recovery status was not reported.  Documents held by sender: None.
Age: 1.61
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Chest X-ray normal, Cough, Nasopharyngitis, Pertussis, Polymerase chain reaction
Clinical narrative: This is one case in a series of 12 cases received during the surveillance period from 01 January 2010 to 21 January 2011. Initial report received on 21 January 2011 from the Investigator participating in the above-mentioned post-marketing observational surveillance study under the reference number M5A16. A case of pertussis disease in a four-year-old female subject (initial not collected) was identified by the investigator based on review of data. The subject's vaccine history included 2 doses of TRIPEDIA; lot number U1891BA received on 06 September 2006 and lot number U1813BA received on 01 November 2006; and 2 doses of DAPTACEL; lot number C2552AA received on 12 January 2007 and lot number C2799AA received on 13 February 2008 (routes and sites of administration not reported). The subject developed cold-like symptoms, and on 21 August 2010, approximately 30 months after the last dose, she developed a paroxysmal cough without whoop or posttussive vomiting. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 03 September 2010. Chest x-ray findings were negative for pneumonia. Corrective treatment consisted of Azithromycin for 5 days starting on 03 September 2010. The subject was not hospitalized. At the time of final contact on 01 November 2010, the subject's cough had been resolved. The duration of the cough was reported at that time as 53 days. Investigator causality assessment is not reported as per protocol. Documents held by sender: None.
Age: 1.61
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Sleep disorder
Clinical narrative: This is one case in a series of 12 cases received during the surveillance period from 01 January 2010 to 21 January 2011. Initial report received on 21 January 2011 from the Investigator participating in the above-mentioned post-marketing observational surveillance study under the reference number M5A16. A case of pertussis disease in a four-year-old female subject (initial not collected) was identified by the investigator based on review of data. The subject's vaccine history included 2 doses of TRIPEDIA; lot number U1891BA received on 06 September 2006 and lot number U1813BA received on 01 November 2006; and 2 doses of DAPTACEL; lot number C2552AA received on 12 January 2007 and lot number C2799AA received on 13 February 2008 (routes and sites of administration not reported). The subject developed cold-like symptoms, and on 21 August 2010, approximately 30 months after the last dose, she developed a paroxysmal cough without whoop or posttussive vomiting. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 03 September 2010. Chest x-ray findings were negative for pneumonia. Corrective treatment consisted of Azithromycin for 5 days starting on 03 September 2010. The subject was not hospitalized. At the time of final contact on 01 November 2010, the subject's cough had been resolved. The duration of the cough was reported at that time as 53 days. Investigator causality assessment is not reported as per protocol. Documents held by sender: None.
Age: 1.61
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Chest X-ray, Cough, Nasopharyngitis, Pertussis, Polymerase chain reaction
Clinical narrative: This is one case in a series of 12 cases received during the surveillance period from 01 January 2010 to 21 January 2011. Initial report received on 21 January 2011 from the Investigator participating in the above-mentioned post-marketing observational surveillance study under the reference number M5A16. A case of pertussis disease in a four-year-old female subject (initial not collected) was identified by the investigator based on review of data. The subject's vaccine history included 2 doses of TRIPEDIA; lot number U1891BA received on 06 September 2006 and lot number U1813BA received on 01 November 2006; and 2 doses of DAPTACEL; lot number C2552AA received on 12 January 2007 and lot number C2799AA received on 13 February 2008 (routes and sites of administration not reported). The subject developed cold-like symptoms, and on 21 August 2010, approximately 30 months after the last dose, she developed a paroxysmal cough without whoop or posttussive vomiting. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 03 September 2010. Chest x-ray findings were negative for pneumonia. Corrective treatment consisted of Azithromycin for 5 days starting on 03 September 2010. The subject was not hospitalized. At the time of final contact on 01 November 2010, the subject's cough had been resolved. The duration of the cough was reported at that time as 53 days. Investigator causality assessment is not reported as per protocol. Documents held by sender: None.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Febrile convulsion, Neurological decompensation
Clinical narrative: Initial report was received from a consumer, who is also the patient's parent on 20 and 24 January 2011.  A two year-old female patient with no reported past medical history, had received a dose of FLUZONE (unspecified) on 20 November 2010.  The lot number, route and site of administration were unknown.  On 15 January 2011 the patient experienced a febrile seizure and an undetermined amount of "neurological stress" as a result of the seizure.  Treatments were not reported.  The patient has no family history of febrile seizures.  The parent reports the patient had "no other problems, was doing much better and almost back to old self".  Documents held by sender: none.
Age: 23.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: Arm pain, soreness at injection site, 1/19/11 - 1/31/11 symptoms started 1/19/11 continued few days, resolved for a few days then returned. Pt's example: unable to take off sweater with vaccinated arm without hurting bad.
Age: 23.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Arm pain, soreness at injection site, 1/19/11 - 1/31/11 symptoms started 1/19/11 continued few days, resolved for a few days then returned. Pt's example: unable to take off sweater with vaccinated arm without hurting bad.
Age: 19.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: Hand itching and red given Benadryl Liquid 25mg PO at 3PM and capsule to take every 6 hours if needed student to Follow up if any worsening of symptoms but never returned
Age: 19.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Erythema, Heart rate increased, Paraesthesia, Pruritus
Clinical narrative: Hand itching and red given Benadryl Liquid 25mg PO at 3PM and capsule to take every 6 hours if needed student to Follow up if any worsening of symptoms but never returned
Age: 19.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Rash, Reaction to colouring
Clinical narrative: Hand itching and red given Benadryl Liquid 25mg PO at 3PM and capsule to take every 6 hours if needed student to Follow up if any worsening of symptoms but never returned
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Chills, Dizziness, Headache, Nasal congestion
Clinical narrative: Slight dizziness and lightheaded.  Abdominal pain and nausea.  Later complained of plugged nose.  States she had a bad Headache, chills during the night. C/O arm soreness following day.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pain in extremity
Clinical narrative: Slight dizziness and lightheaded.  Abdominal pain and nausea.  Later complained of plugged nose.  States she had a bad Headache, chills during the night. C/O arm soreness following day.
Age: 42.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Fasciotomy, Hypoaesthesia, Muscle injury, Myositis, Nerve injury
Clinical narrative: Arm began to swell and went numb within 24- 48 hours. Steroids and antibiotics were administered the following week. When steroids were discontinued the swelling, numbness and tingling spread throughout body and to legs and feet. Fasciotomies were performed on arms and legs: a total of 8 cuts. 9 weeks was spent in hospitals and rehab facilities. Permanant nerve and muscle damage is present. Still under Doctors supervision. Muscle and Nerve deterioration causing muscle inflammation that resulted in 8 fasciotomy incisions.
Age: 42.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Oedema peripheral, Paraesthesia
Clinical narrative: Arm began to swell and went numb within 24- 48 hours. Steroids and antibiotics were administered the following week. When steroids were discontinued the swelling, numbness and tingling spread throughout body and to legs and feet. Fasciotomies were performed on arms and legs: a total of 8 cuts. 9 weeks was spent in hospitals and rehab facilities. Permanant nerve and muscle damage is present. Still under Doctors supervision. Muscle and Nerve deterioration causing muscle inflammation that resulted in 8 fasciotomy incisions.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Brain stem auditory evoked response, Dizziness, Headache, Laboratory test, Nuclear magnetic resonance imaging brain
Clinical narrative: Sunday Sept 19 at 2:00 pm sudden hearing loss, headache, dizziness.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Sudden hearing loss
Clinical narrative: Sunday Sept 19 at 2:00 pm sudden hearing loss, headache, dizziness.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Pyrexia
Clinical narrative: Pt experiencing high fevers around 102 degrees and extreme fatigue. Did not get of bed the entire day after receiving vaccination pt was told to continue TYLENOL for fever and follow up w/Dr Monday if still have symptoms.
Age: 25.0
Sex: M
Vaccine: YF
Symptoms: Cold sweat, Loss of consciousness, Malaise
Clinical narrative: Pt given YF in clinic. Pt did not wait 15min: CHM. Pt called at 2:12pm. Pt stated as  he was driving home he began having cold sweats and pulled over on side of road. Pt said he then blacked out for 10-15 min in his car. Pt felt it was better to drive home than head back to clinic because he was closer to his house. Talked to patient at 1431, reports he got Yellow Fever vaccine felt ok & was driving home felt sick pulled over to the side of the road and had LOC approximately 10 min came to & drove home. Advised to have his wife drive him to ER.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody increased, Arthralgia, Blood count normal, Hypoaesthesia, Laboratory test normal
Clinical narrative: Tingling, hand numbness, venous insufficiency with lower ext swelling. Muscle aches, joint pains. Most improved except leg swelling, VI. Mild joint pain.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Myalgia, Oedema peripheral, Paraesthesia, Thyroid function test normal, Venous insufficiency
Clinical narrative: Tingling, hand numbness, venous insufficiency with lower ext swelling. Muscle aches, joint pains. Most improved except leg swelling, VI. Mild joint pain.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray, Computerised tomogram, Dysphagia, Eating disorder, Heart rate increased
Clinical narrative: Given flu shot in afternoon. Normal activities until dinner time (about 3 hours). Then developed difficulty eating - throat clogging up. Then complaining of feeling very unwell. Heart beat extremely rapid (daughter who is an M.D. checked him w. stethoscope). Decided to take him to E.R. Difficulty getting him in car. Finally diagnosed w. a blood clot in R. lung. Hospitalized 3 days then to nursing home for 30 days. He also developed a severe rash which still plagues him.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test, Malaise, Nuclear magnetic resonance imaging, Pulmonary embolism, Rash
Clinical narrative: Given flu shot in afternoon. Normal activities until dinner time (about 3 hours). Then developed difficulty eating - throat clogging up. Then complaining of feeling very unwell. Heart beat extremely rapid (daughter who is an M.D. checked him w. stethoscope). Decided to take him to E.R. Difficulty getting him in car. Finally diagnosed w. a blood clot in R. lung. Hospitalized 3 days then to nursing home for 30 days. He also developed a severe rash which still plagues him.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Throat tightness, Thrombosis
Clinical narrative: Given flu shot in afternoon. Normal activities until dinner time (about 3 hours). Then developed difficulty eating - throat clogging up. Then complaining of feeling very unwell. Heart beat extremely rapid (daughter who is an M.D. checked him w. stethoscope). Decided to take him to E.R. Difficulty getting him in car. Finally diagnosed w. a blood clot in R. lung. Hospitalized 3 days then to nursing home for 30 days. He also developed a severe rash which still plagues him.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: CSF immunoglobulin increased, Cluster headache, Guillain-Barre syndrome, Lumbar puncture abnormal, Multiple sclerosis
Clinical narrative: Sudden onset bilateral lower extremity paresthesias and loss of sensation began night of 9 Jan 11 on soles of feet. By 10 AM 1-13-11 encompassed sacrum/suprapubic area. No loss of sphincter control. Minimal pain - ambulatory. No intercurrent illnesses. Loss of pin prick-brush sensation to soles, dorsal surface feet - lower legs.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Pain, Paraesthesia, Sensory loss
Clinical narrative: Sudden onset bilateral lower extremity paresthesias and loss of sensation began night of 9 Jan 11 on soles of feet. By 10 AM 1-13-11 encompassed sacrum/suprapubic area. No loss of sphincter control. Minimal pain - ambulatory. No intercurrent illnesses. Loss of pin prick-brush sensation to soles, dorsal surface feet - lower legs.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Lethargy, Pain, Pyrexia, Tenderness
Clinical narrative: Rcvd vaccine (PNEUMOVAX) on 1/10/11. Next day severe redness, tenderness. Increasing pain, fever and lethargy. To hospital by ambulance on 1/12/11. Tx'd with IV abx and released on 1/16/11. Will require cont'd IV tx x 3-4 weeks (Pt. statement).
Age: 0.54
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC13, RV5
Symptoms: CSF test normal, Nuclear magnetic resonance imaging normal, Partial seizures
Clinical narrative: 1 day post vaccination had focal seizure. Subsequently had seizure that required Phenobarbital load and 2 day hospitalization no fever.
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Abdominal discomfort, Activities of daily living impaired, Asthenia, Axillary pain, Chills
Clinical narrative: It did not hurt when I was given the shot (January 6, 2011), but I began feeling a little dizzy, weak, and sick to my stomach just after I left the hospital (around 6:00 PM). I ate, went home, and went to bed. When I got up the next morning, I didn't feel too bad until around 10:45 AM when I suddenly felt like I was going to pass out and/or throw up. I was aching all over and felt like I was freezing to death. I was pale, sweaty and clammy. My right arm was hurting so bad I could not move it. My shoulder and armpit area were excruciatingly throbbing and it radiated down my entire right arm to my hand. I had nausea, vomiting and severe chills. I could not get out of bed, eat or drink all day! Then before I could finish this report, I came down with the flu again 12 days later (January 18, 2011). It started with a severe headache and nausea but quickly escalated to vomiting and diarrhea every hour or two for 36 hours. I also was having body aches, fever, chills, stomach cramps and churning, dizziness and weakness. This is day number 5, and I am still having nausea and diarrhea, weakness, chills and I am extremely weak. I have had absolutely no appetite! I have forced myself to eat ice chips and sip cold water, and have been able to force and hold down some fruit, crackers and cereal. I still have a severe headache that has been relentless. I have not had the flu in many years, so this has been very hard on my body!
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cold sweat, Decreased appetite, Diarrhoea, Dizziness, Feeling cold
Clinical narrative: It did not hurt when I was given the shot (January 6, 2011), but I began feeling a little dizzy, weak, and sick to my stomach just after I left the hospital (around 6:00 PM). I ate, went home, and went to bed. When I got up the next morning, I didn't feel too bad until around 10:45 AM when I suddenly felt like I was going to pass out and/or throw up. I was aching all over and felt like I was freezing to death. I was pale, sweaty and clammy. My right arm was hurting so bad I could not move it. My shoulder and armpit area were excruciatingly throbbing and it radiated down my entire right arm to my hand. I had nausea, vomiting and severe chills. I could not get out of bed, eat or drink all day! Then before I could finish this report, I came down with the flu again 12 days later (January 18, 2011). It started with a severe headache and nausea but quickly escalated to vomiting and diarrhea every hour or two for 36 hours. I also was having body aches, fever, chills, stomach cramps and churning, dizziness and weakness. This is day number 5, and I am still having nausea and diarrhea, weakness, chills and I am extremely weak. I have had absolutely no appetite! I have forced myself to eat ice chips and sip cold water, and have been able to force and hold down some fruit, crackers and cereal. I still have a severe headache that has been relentless. I have not had the flu in many years, so this has been very hard on my body!
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Headache, Hyperhidrosis, Hypophagia, Influenza, Mobility decreased
Clinical narrative: It did not hurt when I was given the shot (January 6, 2011), but I began feeling a little dizzy, weak, and sick to my stomach just after I left the hospital (around 6:00 PM). I ate, went home, and went to bed. When I got up the next morning, I didn't feel too bad until around 10:45 AM when I suddenly felt like I was going to pass out and/or throw up. I was aching all over and felt like I was freezing to death. I was pale, sweaty and clammy. My right arm was hurting so bad I could not move it. My shoulder and armpit area were excruciatingly throbbing and it radiated down my entire right arm to my hand. I had nausea, vomiting and severe chills. I could not get out of bed, eat or drink all day! Then before I could finish this report, I came down with the flu again 12 days later (January 18, 2011). It started with a severe headache and nausea but quickly escalated to vomiting and diarrhea every hour or two for 36 hours. I also was having body aches, fever, chills, stomach cramps and churning, dizziness and weakness. This is day number 5, and I am still having nausea and diarrhea, weakness, chills and I am extremely weak. I have had absolutely no appetite! I have forced myself to eat ice chips and sip cold water, and have been able to force and hold down some fruit, crackers and cereal. I still have a severe headache that has been relentless. I have not had the flu in many years, so this has been very hard on my body!
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Musculoskeletal pain, Nausea, Pain, Pain in extremity, Pallor
Clinical narrative: It did not hurt when I was given the shot (January 6, 2011), but I began feeling a little dizzy, weak, and sick to my stomach just after I left the hospital (around 6:00 PM). I ate, went home, and went to bed. When I got up the next morning, I didn't feel too bad until around 10:45 AM when I suddenly felt like I was going to pass out and/or throw up. I was aching all over and felt like I was freezing to death. I was pale, sweaty and clammy. My right arm was hurting so bad I could not move it. My shoulder and armpit area were excruciatingly throbbing and it radiated down my entire right arm to my hand. I had nausea, vomiting and severe chills. I could not get out of bed, eat or drink all day! Then before I could finish this report, I came down with the flu again 12 days later (January 18, 2011). It started with a severe headache and nausea but quickly escalated to vomiting and diarrhea every hour or two for 36 hours. I also was having body aches, fever, chills, stomach cramps and churning, dizziness and weakness. This is day number 5, and I am still having nausea and diarrhea, weakness, chills and I am extremely weak. I have had absolutely no appetite! I have forced myself to eat ice chips and sip cold water, and have been able to force and hold down some fruit, crackers and cereal. I still have a severe headache that has been relentless. I have not had the flu in many years, so this has been very hard on my body!
Age: 58.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Vomiting
Clinical narrative: It did not hurt when I was given the shot (January 6, 2011), but I began feeling a little dizzy, weak, and sick to my stomach just after I left the hospital (around 6:00 PM). I ate, went home, and went to bed. When I got up the next morning, I didn't feel too bad until around 10:45 AM when I suddenly felt like I was going to pass out and/or throw up. I was aching all over and felt like I was freezing to death. I was pale, sweaty and clammy. My right arm was hurting so bad I could not move it. My shoulder and armpit area were excruciatingly throbbing and it radiated down my entire right arm to my hand. I had nausea, vomiting and severe chills. I could not get out of bed, eat or drink all day! Then before I could finish this report, I came down with the flu again 12 days later (January 18, 2011). It started with a severe headache and nausea but quickly escalated to vomiting and diarrhea every hour or two for 36 hours. I also was having body aches, fever, chills, stomach cramps and churning, dizziness and weakness. This is day number 5, and I am still having nausea and diarrhea, weakness, chills and I am extremely weak. I have had absolutely no appetite! I have forced myself to eat ice chips and sip cold water, and have been able to force and hold down some fruit, crackers and cereal. I still have a severe headache that has been relentless. I have not had the flu in many years, so this has been very hard on my body!
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Pruritus, Rash, Skin warm
Clinical narrative: 10/14 normal soreness 10/16 approximately 7cm red, hot area for 2-3 days. Then small bumps with itching. Two small spots with itching still.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 10/14 normal soreness 10/16 approximately 7cm red, hot area for 2-3 days. Then small bumps with itching. Two small spots with itching still.
Age: 0.51
Sex: F
Vaccine: FLU3, PPV, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Pt given PNEUMOVAX 23. No complications or adverse events.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Induration, Musculoskeletal pain, Neck mass, Neck pain, Pain
Clinical narrative: Given a flu shot on Tuesday. Called Thursday afternoon to report that it was sore & the pain has been on into her shoulder & neck. She also developed some bumps in her neck. It sounded to me like these were probably lymph nodes but I asked her to please come in for me to view what she was talking about. She was not able to come until today. She said things have improved & there was only one lump left about size of a pea - hard, tender & mobile in low neck just above clavicle. I told her I would report it & also check back with her next week. I said there was no way to know if this was due to the shot or something else but it was good things were improving. She has had no fever or other symptoms. Told her to see her MD if things got worse or if this didn't resolve in a couple weeks, though I did say that lymph nodes to take a while to get make to normal. Called again 1/24/11. Lump gone - disappeared over weekend.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: Given a flu shot on Tuesday. Called Thursday afternoon to report that it was sore & the pain has been on into her shoulder & neck. She also developed some bumps in her neck. It sounded to me like these were probably lymph nodes but I asked her to please come in for me to view what she was talking about. She was not able to come until today. She said things have improved & there was only one lump left about size of a pea - hard, tender & mobile in low neck just above clavicle. I told her I would report it & also check back with her next week. I said there was no way to know if this was due to the shot or something else but it was good things were improving. She has had no fever or other symptoms. Told her to see her MD if things got worse or if this didn't resolve in a couple weeks, though I did say that lymph nodes to take a while to get make to normal. Called again 1/24/11. Lump gone - disappeared over weekend.
Age: 4.0
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Injection site erythema, Vaccination site swelling
Clinical narrative: Moderate swelling & redness at site of vaccination (DTAP vaccine given in left arm).
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Excessive swelling of (L) arm, redness, tender to the touch. Lasted 3 days. Recommended antihistamine. Improved.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Syncope
Clinical narrative: Received the flu shot. Stated that she was fine. Left area and fainted about 10 minutes later. Has had a history of fainting when given a shot (never had flu shot before). Paramedics arrived and verified that the patient was ok. She had regained consciousness shortly after fainting. No treatment given.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Ligament pain, Pain in extremity
Clinical narrative: Patient complained about sore arm - specifically the ligament area. Pain persists.
Age: 1.01
Sex: M
Vaccine: FLU3, IPV, MMR, VARCEL
Symptoms: Electroencephalogram, Febrile convulsion
Clinical narrative: Febrile Seizure
Age: 1.47
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC13
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red/warm area on upper RT thigh at site of DTaP and Influenza.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Migraine
Clinical narrative: 24 hrs after 3rd GARDASIL, pt. developed severe migraine that persisted for 5 days despite multiple medications (triptan, narcotics, ibuprofen, acetaminophen, then valproate).
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Joint range of motion decreased, Mobility decreased, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Pain in upper left arm for several weeks. Gradually become more sore and moved into the shoulder area. Within the next 2 months, the pain in shoulder was excruciating. Could not raise my left arm, pain interrupted sleep. Went to orthopedic doctor who diagnosed it as "Frozen Shoulder"  Adhesive Capsulitis and gave me an injection of cortisone and suggested physical therapy. The exteme pain was helped by the injection but the range of motion did not improve until many more months of physical therapy and two more cortisone injections.  All told the duration was over a year and my range of motion of pretty much restored, but there is still some pain when stretching the shoulder joint.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Periarthritis, Sleep disorder
Clinical narrative: Pain in upper left arm for several weeks. Gradually become more sore and moved into the shoulder area. Within the next 2 months, the pain in shoulder was excruciating. Could not raise my left arm, pain interrupted sleep. Went to orthopedic doctor who diagnosed it as "Frozen Shoulder"  Adhesive Capsulitis and gave me an injection of cortisone and suggested physical therapy. The exteme pain was helped by the injection but the range of motion did not improve until many more months of physical therapy and two more cortisone injections.  All told the duration was over a year and my range of motion of pretty much restored, but there is still some pain when stretching the shoulder joint.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Endotracheal intubation, Guillain-Barre syndrome, Intensive care, Muscular weakness
Clinical narrative: Nausea and vomiting followed by progresive weakness in hands & feet progressed proximally. Unable to walk to hospital 1/26/11 where intubated/ICU. Transferred to another clinic. Diagnosis of GBS. patients husband describes patient as having frequent sinus problems and frequent colds from exposure to children (schoolteacher). Does not recall a specific viral illness or cold prior to vaccination.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting followed by progresive weakness in hands & feet progressed proximally. Unable to walk to hospital 1/26/11 where intubated/ICU. Transferred to another clinic. Diagnosis of GBS. patients husband describes patient as having frequent sinus problems and frequent colds from exposure to children (schoolteacher). Does not recall a specific viral illness or cold prior to vaccination.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Rash generalised, Rash papular, Rash pruritic, Skin exfoliation
Clinical narrative: Fine papular widespread rash, very pruritic - onset 2 days after HPV & MENACTRA. Fingers & hands peeled 2 months afterwards. (-) fever.
Age: 66.0
Sex: F
Vaccine: FLUX
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Violent vomiting & uncontrollable diarrhea.
Age: 1.05
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Febrile seizure after immun. Sent to EDfebrile seizure resolved temp was not taken in vd in ED T 103.5.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Extreme itching and hives unresolved and reappearing without BENADRYL. Contained with BENADRYL while on but reoccurring.
Age: 1.29
Sex: F
Vaccine: HIBV, MMR
Symptoms: Pyrexia
Clinical narrative: Pt had fever x 2 day 101 after last Imm 9-7-10.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Axillary mass, Erythema, Oedema peripheral, Rash
Clinical narrative: Lump, swelling, redness/rash on Rt axilla.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Fatigue, Hyperhidrosis, Immobile
Clinical narrative: Within 3 hours of injection came severe diarrhea and vomiting with sweats & chills lasting about 6 hours immbolized & exhausted.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Within 3 hours of injection came severe diarrhea and vomiting with sweats & chills lasting about 6 hours immbolized & exhausted.
Age: 0.37
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Rash & redness to (R) thigh.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Large swelling at site - approx. 3-4 inches in diameter. First few days it was hard & hot, then got softer and less red. Reaction was evident for 6 days.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Patient reported body rash (mild) 2 days after Immunization.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Influenza like illness, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling & hot, painful skin at injection site; heat & swelling & pain grew worse over few days. Flu-like symptoms (fever, headache, body ache & lethargy) for few days. TYLENOL & ZYRTEC, on Dr's advice, improved symptoms.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Lethargy, Pain, Pyrexia
Clinical narrative: Swelling & hot, painful skin at injection site; heat & swelling & pain grew worse over few days. Flu-like symptoms (fever, headache, body ache & lethargy) for few days. TYLENOL & ZYRTEC, on Dr's advice, improved symptoms.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Presents with red erythematous, swollen, circumferential, warm to touch 20cm in length area on (R) arm beginning at deltoid and ending above elbow.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Chills, Decreased appetite, Diarrhoea, Malaise
Clinical narrative: 1-12-11 Severe abdominal cramps, pain, diarrhea, nausea, vomit, chills, malaise till 5pm. 1-13-11 malaise, not able to eat. 1-14-11 ate smoothie.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: 1-12-11 Severe abdominal cramps, pain, diarrhea, nausea, vomit, chills, malaise till 5pm. 1-13-11 malaise, not able to eat. 1-14-11 ate smoothie.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injection site pain
Clinical narrative: Pain at deltoid site of injection site radiates down to fingers. Localized numbness about 2 cm circumference. Ongoing for 9 days.
Age: 0.37
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Blood culture, Body temperature increased, Culture throat, Culture urine, Full blood count
Clinical narrative: Baby seen for 4 month physical 1/25/11 and given ROTATEQ, PREVNAR 13 & PENTACEL - started with T 103.1 at 1am - in office WBC 20.4.
Age: 0.37
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: White blood cell count increased
Clinical narrative: Baby seen for 4 month physical 1/25/11 and given ROTATEQ, PREVNAR 13 & PENTACEL - started with T 103.1 at 1am - in office WBC 20.4.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 4 weeks after vaccine still c/o pain at site with 35 cm area of erythema overlying site. She came to employee health today to report symptoms. No restriction in ADL's.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 13.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt experienced loss of consciousness immediately following vaccination. Pt stabilized to floor. Pt regained consciousness within 20 sec. Vitals were taken at 1:15pm; B/P 100/60 pulse-60, RR-22. Pt recuperated laying down on floor. Pt sat up and complained of lightheadedness. Pt was laid down on floor. Vitals were taken; BP-98/60, pulse-72, RR-20 at 1:20pm. Pt. administered 50mg of fast melt BENADRYL. Pt. received H2O. Pt recuperated till 2:15pm with no complaints. Pt. advised to follow up with private MD.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Rash, multiple small patches/hives.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Nausea, Syncope
Clinical narrative: Patient received MENACTRA after being properly screened by the pharmacist. A minute later the patient was faint and felt nauseous. His BP was 68/44. He retained consciousness and the paramedics were called. He left with the paramedics. They recorded his BP as 100/70.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Pt. with syncopal episode 5 min after vaccinations. LOC less than 5 seconds then awake, drinking juice & left office ambulatory with mom.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Blood glucose normal, Dizziness
Clinical narrative: Dizziness, felt faint.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Rash
Clinical narrative: Rash (L) axilla.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Pt felt dizzy, nausea, and was sweating.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Dyspnoea, Lip swelling
Clinical narrative: Swollen upper lip, SOB.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site vesicles, Vaccination site rash
Clinical narrative: Received vaccinations on 1-17-11 came in for office visit. 1-19-11 rash with multiple blisters around vaccination site, erythema over left deltoid. Patient did come back in the office. 1-20-11 rash worse about 30 blisters on left arm patient started on medication.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Patient had itching at injection site - when observed site saw red looking rash - look like shingles - referred patient to MD.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local erythema and swelling to R-anterior thigh.
Age: 5.0
Sex: M
Vaccine: DT, HEP, VARCEL
Symptoms: Adverse reaction
Clinical narrative: I have seen no signs of a reaction w/shots, but mom said he had one, & was in the hospital need information for all health facilities.
Age: 3.0
Sex: M
Vaccine: PNC13, DTAPIPV
Symptoms: Injection site swelling
Clinical narrative: (R) shoulder swelling with PCV - 13.
Age: 3.0
Sex: M
Vaccine: PNC13, DTAPIPV
Symptoms: Vaccination site swelling
Clinical narrative: (R) shoulder swelling with PCV - 13.
Age: 20.0
Sex: M
Vaccine: SMALL, YF, SMALL, YF
Symptoms: Urticaria
Clinical narrative: Vaccinia from vaccination generalized multiple raised wheals covering the front & back of pt's torso, front & back of both arms and areas the pt's head & neck. Treatment: Prednisone 10mg.
Age: 20.0
Sex: M
Vaccine: SMALL, YF, SMALL, YF
Symptoms: Urticaria, Vaccinia virus infection
Clinical narrative: Vaccinia from vaccination generalized multiple raised wheals covering the front & back of pt's torso, front & back of both arms and areas the pt's head & neck. Treatment: Prednisone 10mg.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin tightness
Clinical narrative: Right arm swelling with fever, redness, & tightness. Area larger than fist. No complaints of difficulty breathing or pain away from injection site. Pt was prescribed CLARITIN 10mg & Prednisone 20mg.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary mass, Injection site induration, Injection site warmth
Clinical narrative: Site - warm, and very firm - palpable lump under armpit started within 12 hours of injection.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Vaccination site swelling
Clinical narrative: Patient received vaccination on 1/19/2011. Parents report no fever. Patient developed redness, swelling at vaccination site. Redness and swelling continued to maximum measuring 11cm x 9cm (R) thigh  around vaccination site no groin adenopathy. KEFLEX 5 ml QID x 7 days prescribed. Parents did not follow up to appointment 2 days later to evaluate.
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: ENGERIX B give to a 19 yr old.
Age: 1.24
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Injection site erythema, Injection site induration, Pharyngeal erythema, Pharyngitis streptococcal, Respiratory tract congestion
Clinical narrative: Minimal redness around injection site < 2 mm with minimal induration on right thigh. Also has congestion & redness on pharynx (+) for strep placed on OMNICEF for strep pharyngitis.
Age: 1.24
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Streptococcus test, Streptococcus test positive
Clinical narrative: Minimal redness around injection site < 2 mm with minimal induration on right thigh. Also has congestion & redness on pharynx (+) for strep placed on OMNICEF for strep pharyngitis.
Age: 1.34
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Ataxia, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Within a few hours of getting DTAP & HIB pt started to vomit & have diarrhea, low-grade temp & ataxia.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Myelitis
Clinical narrative: Myelitis - steroids anti-inflammatories bedrest.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Injected limb mobility decreased, Injection site atrophy, Injection site pain
Clinical narrative: Site of the injection, the arm has a small concaved spot.  Limited mobility, pain.  Was seen by her physician, county health officer.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Vaccination site erythema, Vaccination site induration, Vaccination site pain
Clinical narrative: Erythema and small amount of induration at vaccine site.  Very tender to touch. 1/30/2011: States iinduration was size of golf ball.   2/1/2011: 2.5 cm by 4 cm induration. 12 cm by 12 cm erythema.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Erythema of eyelid, Eyelids pruritus, Headache, Injection site pain
Clinical narrative: Felt weak within 2 hrs of taking vaccine. Had a headache, sore arm at site of injection, red, itching eye lids for five days.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Very dizzy, blacking out  - called ambulance and they took him to evaluate.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: IZ given 1-25-11 came to clinic 1-28-11 with swollen left deltoid with vesicles. Warm tender to touch.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Diagnostic procedure, Fatigue, Injection site pain, Laboratory test
Clinical narrative: Patient reports having a sore arm at site of injection 1/14/2011. States he developed chills, fatigue, and progressive muscle weakness on 1/15/2011. States symptoms have continued to present date 2/1/2011.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Muscular weakness
Clinical narrative: Patient reports having a sore arm at site of injection 1/14/2011. States he developed chills, fatigue, and progressive muscle weakness on 1/15/2011. States symptoms have continued to present date 2/1/2011.
Age: 13.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Violent vomiting, diarrhea, high fever (102+)
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Muscle contracture, Nausea, Paraesthesia, Sensory disturbance
Clinical narrative: Extreme tremors, muscle contraction, tingling fingers in both hands, nausea, dizziness, continued sensitivity in muscles of arm that received vaccine. Treatment: Celebrex, lotrimine
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Tremor
Clinical narrative: Extreme tremors, muscle contraction, tingling fingers in both hands, nausea, dizziness, continued sensitivity in muscles of arm that received vaccine. Treatment: Celebrex, lotrimine
Age: 9.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Discomfort, Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Cellulitis right arm.  Pt is going to continue supportive care including Tylenol and Motrin to help with fever and discomfort.  May apply ice pack to that right arm.  Encouraged use of Benadryl to help with swelling and erythema in that area.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Full blood count normal, Nausea, Oedema peripheral, Skin warm
Clinical narrative: Pt received a PPV23 on 01/26/2011 and relates the next day upper arm was swollen and hot.  C/o nausea that afternoon of 01/27.  Told her to try Benadryl and Tylenol as well as ice, and within the hour patient went to the ER for c/o light headedness along with the other symptoms.  CBC w/diff was done and was normal.  Was given Tylenol and Benadryl and the next AM felt much better.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Blood human chorionic gonadotropin positive
Clinical narrative: positive HCG; No other reactions or events, Vaccine site in appropiate healing stage without any complications
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Myalgia, Nausea
Clinical narrative: Site injection left arm - swollen, hot, very sore.  Nauseated, extreme muscle aches, 102 Fever.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Site injection left arm - swollen, hot, very sore.  Nauseated, extreme muscle aches, 102 Fever.
Age: 20.0
Sex: F
Vaccine: TYP
Symptoms: Rash pruritic
Clinical narrative: The oral vaccine is a 7-day course of 4 pills where pills are taken on days 1, 3, 5, and 7.  I noticed slight facial itching on the 5th day of the regimen but did not connect the symptoms to the vaccine, assuming the itching had a different cause. On day 7 approximately 1 hour after taking the last dose, I felt facial itching that intensified into an itchy rash on my face, chest and arms.  I immediately took Benadryl which calmed the reaction.  I visited my physician and received a steroid injection to help with the reaction.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Visual impairment
Clinical narrative: Nausea, Seeing black spots, feeling faint
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Body temperature increased, Crying, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Unconsolable crying started, lasted for 12 hours, Leg where injection was given was red, swollen, warm to touch, temp up to 103.1
Age: 1.46
Sex: M
Vaccine: FLUX
Symptoms: Aphasia, Crying, Dysphonia, Dysstasia, Pyrexia
Clinical narrative: Patient had his seasonal flu vaccine. Patient awoke around 9 pm, crying.  When I (his mother) picked him up, I could tell he was running a high-grade fever.  I took his temperature with a temporal thermometer and it read 106F.  I looked for ibuprofen, but couldn't find any.  So, I gave him acetaminophen instead, 160mg.  He couldn't stand on his own and couldn't speak.  He sounded very hoarse, hysterically crying. I called his pediatrician, who told me to get ibuprofen for him (which I had located.)  I gave him 125mg Ibuprofen about 10 minutes after the acetaminophen.  The dr. said if his fever had not lowered in 1 hour, take him to the ER.  I took his temperature with a digital thermometer under the arm and it read 105.6F.  This ws after APAP and IBU, at about 30 to 40 minutes into this episode.  I got in a tub of luke warm water with him.  At about 45 minutes, his fever began to come down.  I alternated APAP and IBU all night.  He maintained a low-grade fever until about 24 hours post-vaccine.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache
Clinical narrative: Started getting dizzy and then all day on 02/01/2011 (the next day) I had a pretty bad headache which subsided by the evening.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cough, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Pt got Flu shot & PNEUMOVAX & next day got ST, HA & cough 2 d after vaccine had T=107, fever resolved in 1 wk & cough in 3 weeks.
Age: 3.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt returned to office with c/o left arm hard, red area, & warm to touch 2 days after receiving vaccine. Diagnosed with cellulitis and prescribed BACTRIM.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, swelling, redness at site of injection.
Age: 24.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain/redness/swelling at injection site.
Age: 35.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Swelling/pain/inflammation at injection site.
Age: 13.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Dizziness
Clinical narrative: A few minutes after received vaccines, he felt a little dizzy ("woozy") but did not faint or lose consciousness. Asked for a glass of water & felt fine afterward. Observed in office for several minutes & reported no further symptoms.