chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.22
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomiting and a fever of 104 degrees.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling, Paraesthesia, Peripheral coldness
Clinical narrative: Symptoms: Pain, swelling, hives, numbness, tingling, coldness to left arm from site up into shoulder and down to thumb. Thumb turned deep purple. Began 36-48 hours after shot and continued for additional 24 hours. Treatment: ice and Ibuprofen.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Skin discolouration, Urticaria
Clinical narrative: Symptoms: Pain, swelling, hives, numbness, tingling, coldness to left arm from site up into shoulder and down to thumb. Thumb turned deep purple. Began 36-48 hours after shot and continued for additional 24 hours. Treatment: ice and Ibuprofen.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: AM of 2/6/05 right arm became swollen, red, and warm to touch
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Dx with varicella 2/3/05.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Reported by mother but no seen, swelling, redness and heat-reported 2/3/05. Visualized a 2cm diameter of redness and swelling that is warm to touch. Left deltoid.
Age: 1.05
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Patient developed urticaria less than 24 hours after vaccine administration.
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Rash papular
Clinical narrative: Developed almost confluent spots (papular) on
Age: 14.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Received Booster 1/31/2005, 25 hours c/o swelling, redness and heat, ice and ibuprofen Tx reported and seen 2/3/05.
Age: 1.02
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Rash developed 9 days after administration started with macular papular rash at site on right leg then spread-right leg most involved but other areas noted. No vesicles. Follow up 03/01/05: Symptoms still present on 01/28/05, when seen in clinic.
Age: 2.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Urticaria, Wheezing
Clinical narrative: Telephone call from ER at 13:30. Pt had hives, wheezing treated with Benadryl, Orapred and Neb x 1, cleared well. Dc'd home with Orapred for 2-3 days Benadryl prn.
Age: 7.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Diarrhoea, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Right arm erythema, pain and swelling distal to pneumococcal 23 vaccine injection site. Fever to 103 over weekend with emesis/diarrhea per telephone call to provider. Pt admitted for IV antibiotics.
Age: 7.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Vomiting
Clinical narrative: Right arm erythema, pain and swelling distal to pneumococcal 23 vaccine injection site. Fever to 103 over weekend with emesis/diarrhea per telephone call to provider. Pt admitted for IV antibiotics.
Age: 7.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Cellulitis, Injection site erythema, Pyrexia, Vomiting
Clinical narrative: Right arm erythema, pain and swelling distal to pneumococcal 23 vaccine injection site. Fever to 103 over weekend with emesis/diarrhea per telephone call to provider. Pt admitted for IV antibiotics.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site oedema, Pyrexia
Clinical narrative: Left upper arm from shoulder to elbow is red and swollen. Pt has temp of 100 per mother. Watch for increasing symptoms and if temp doesn't resolve with Tylenol. To be seen if not improving over the next 24 hrs. To use ice, Motrin, Tylenol as directed.
Age: 0.54
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Injection site erythema, Rash maculo-papular
Clinical narrative: Had shots at around 10AM, at 3PM mother noted fine red raised rash on torso, neck, some on back.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Chills, Feeling hot, Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: Red, feverish induration at right deltoid site with red 7" streak extending downward from site, slight warmth c/o muscular tenderness to touch, slight chill with fever 24 hrs after injection relieved with Tylenol.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Tenderness
Clinical narrative: Red, feverish induration at right deltoid site with red 7" streak extending downward from site, slight warmth c/o muscular tenderness to touch, slight chill with fever 24 hrs after injection relieved with Tylenol.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash
Clinical narrative: 01/16/2005 Pt noticed rash on back and c/o itching soon developed rash all over. 01/19/05 TC to PHN. Mom said had called PMD's office was told to use Benadryl but still has rash (welt like). Advised to call PMD again. Child was seen by doctor and given Allegra and Cimetidine TC to mom. 1/26/05 still has rash (worse when he gets hot).
Age: 18.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Rash maculo-papular
Clinical narrative: Developed red raised rash Friday evening after bathing in bath product (playing with sister in tub) but showered afterward. Rash got worse, has been taking Benadryl x 3 day without relief. Saw Dr. Rx for Prednisone 20mg and Claritin 60mg qd as directed.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Hyperaemia, Injection site mass
Clinical narrative: Large area of induration with hyperemic border measuring 15x20cm warm to touch.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Face oedema, Hypoxia, Pruritus, Wheezing
Clinical narrative: 12:15PM Varivax given observed in nurses office, 12:40 c/o swollen upper lip, itching, to nurses office, 12:45 3 chewable Benadryl tablets admin orally, wheezing becoming worse. Took 2 puffs of albuterol inhaler, 12:50 1st dose Epi-pen given Left thigh, 911 called, 12:55 police arrived O2 started wheezing subsided some, 1:05 Ambulance arrived, transported to hospital.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Discharge Summary states SIDS. Autopsy Report received on 2/16/2005 confirms SIDS.
Age: 1.09
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Apnoea, Bradycardia, Breath holding, Laboratory test abnormal, Pallor
Clinical narrative: Pt received 3 vaccines. While crying immediately after the last one, he had what resembled a "breath-holding spell". He turned grey and became apneic and bradycardic. He  required CPR for resuscitation.
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Ecchymosis, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: A 33 year old female, with a medical history of an epidermoid tumor of the brain, received the 2nd dose of Anthrax vaccine (lot # FAV048B) pm 04/12/01. No other vaccines were given at that time. The patient received the 1st dose of Anthrax vaccine on 03/27/01 with no reaction. Concomitant medications reported were Paxil and Ortho-Tricyclen. On 04/14/01, the patient experienced induration (150mm x 150MM), edema, pruritus, erythema and heat at the injection site (left deltoid). On 04/14/01, the patient noted redness, itching, swelling and heat at the injection site. By 04/18/01, the area of induration reached 150mm x 150mm with an area (60mm x 60mm) of purple discoloration surrounding the center of the injection site. At this time, the patient began applying ice to the area four times a day for fifteen minutes. On 04/19/01, the patient was seen by medical personnel and was treated with Benadryl, po, and instructed to continue to apply ice to the area as stated above. This treatment regimen continued through 04/22/01, with symptoms steadily improving. Marked improvement was seen by the medical personnel when the patient was seen again on 04/24/01 as noted by decreasing redness, size, itching and heat. On 04/25/01, the area was nearly invisible and by 05/01/01, all symptoms had resolved.
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: A 33 year old female, with a medical history of an epidermoid tumor of the brain, received the 2nd dose of Anthrax vaccine (lot # FAV048B) pm 04/12/01. No other vaccines were given at that time. The patient received the 1st dose of Anthrax vaccine on 03/27/01 with no reaction. Concomitant medications reported were Paxil and Ortho-Tricyclen. On 04/14/01, the patient experienced induration (150mm x 150MM), edema, pruritus, erythema and heat at the injection site (left deltoid). On 04/14/01, the patient noted redness, itching, swelling and heat at the injection site. By 04/18/01, the area of induration reached 150mm x 150mm with an area (60mm x 60mm) of purple discoloration surrounding the center of the injection site. At this time, the patient began applying ice to the area four times a day for fifteen minutes. On 04/19/01, the patient was seen by medical personnel and was treated with Benadryl, po, and instructed to continue to apply ice to the area as stated above. This treatment regimen continued through 04/22/01, with symptoms steadily improving. Marked improvement was seen by the medical personnel when the patient was seen again on 04/24/01 as noted by decreasing redness, size, itching and heat. On 04/25/01, the area was nearly invisible and by 05/01/01, all symptoms had resolved.
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: A 33 year old female, with a medical history of an epidermoid brain tumor, received the 3rd dose of Anthrax vaccine (lot Fav0489) on 05/02/2001.  No other vaccines were given at that time.  The patient received the 2nd dose of Anthrax vaccine on 04/12/2001 and experienced a local reaction.  Concomitant medications reported were Paxil and Orthotricycline.  On 05/03/2001, the patient experienced swelling, redness, heat, and induration in the right upper arm. On 05/03/2001, the patient noted induration, swelling, heat, and redness in the right upper arm and was to be seen later that day at a local hospital for treatment advice. The patient was seen by a physician who prescribed Allegra, two times a day for 5 days, and application of ice to the area as tolerated for fifteen minutes each treatment, for 3 days.  By 05/09/2001, the patient reports all symptoms have resolved.
Age: 50.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Lymphadenopathy, Malaise, Pharyngolaryngeal pain, Pruritus
Clinical narrative: A 50 year old male received the 8th dose of Anthrax vaccine on 04/19/2001.  No other vaccines were given on this date.  The 7th dose of Anthrax vaccine was given on 04/13/2000.  The patient had no previous reaction for the Anthrax vaccine.  Concomitant medication reported was Lipitor, once a day, by mouth, for high cholesterol.  On 04/19/2001, the patient experienced a hive like rash on the left upper arm and experienced malaise, sore throat, and swollen neck glands 24 hours post vaccination. Six hours post vaccination on 04/19/2001, the patient noted six hive like areas on the left upper arm which were red, itchy, and raised.  24 hours post-vaccination, the patient experienced malaise, sore throat, and swollen neck glands.  Four days after the vaccination, the two remaining spots were barely visible and the itching had completely subsided.  The sore throat and swollen neck glands resolved after 7 days.  By 05/10/2001, the patient had completely recovered.
Age: 50.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: A 50 year old male received the 8th dose of Anthrax vaccine on 04/19/2001.  No other vaccines were given on this date.  The 7th dose of Anthrax vaccine was given on 04/13/2000.  The patient had no previous reaction for the Anthrax vaccine.  Concomitant medication reported was Lipitor, once a day, by mouth, for high cholesterol.  On 04/19/2001, the patient experienced a hive like rash on the left upper arm and experienced malaise, sore throat, and swollen neck glands 24 hours post vaccination. Six hours post vaccination on 04/19/2001, the patient noted six hive like areas on the left upper arm which were red, itchy, and raised.  24 hours post-vaccination, the patient experienced malaise, sore throat, and swollen neck glands.  Four days after the vaccination, the two remaining spots were barely visible and the itching had completely subsided.  The sore throat and swollen neck glands resolved after 7 days.  By 05/10/2001, the patient had completely recovered.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Nausea, Swelling, Tenderness
Clinical narrative: A 20 Year old female with no previous medical conditions, received the 1st dose of Anthrax vaccine on 05/30/2001.  The patient was taking no concomitant medications at the time of the event. On 05/31/2001 the patient experienced erythema, induration, tenderness, slight warmness, and nausea of moderate intensity for approximately 12 hours.  Subsequently, on 06/05/2001, the patient developed a swollen, tender node on the left side of the neck.  The patient took one dose of Tylenol on 06/05/2001 for the soreness in the left neck.  As of 06/09/25001 all symptoms have resolved.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Lymphadenopathy, Malaise, Pain, Pyrexia
Clinical narrative: A 31 year old male with no previous medical conditions received the 2nd dose of Anthrax vaccine on 01/21/2001.  Concomitant medications at the time of the vent and the patients previous reactions to vaccines are unknown.  The patient was not ill at the time of the vaccination, but was exposed to a daughter with a strep infection prior to the immunization. On 01/21/2001, 8 hours after the Anthrax immunization, the patient noted symptoms of a flu-like syndrome; malaise, body aches, chills and a temperature of 104 degrees.  He was treated with Ibuprofen and Tylenol.  On 01/23/2001, he was seen in the clinic with a temperature of 99 degrees, bilaterally clear tympanic membranes, beefy red tonsils, swollen uvula, white patches on the tonsils, and bilateral swelling of the cervical lymph nodes.  The patient was diagnosed with strep infection of the tonsils and began treatment with Amoxicillin 500 mg.  On 01/31/2001, the patient stated he was asymptomatic.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site warmth, Pruritus
Clinical narrative: A 25 year old male with no previous medical conditions, received the 3rd dose of Anthrax vaccine on 09/11/2001.  There were no other vaccines given on this date and no concomitant medications at the time of the event.  The patient did not have an illness at the time of the vaccination and has no history of reactions to previous vaccinations. The day of the vaccination, the patient experienced redness, itching, and heat at the injection site.  three days later, the injection site reached a maximum of 6x3 inches.  The patient took Benadryl with questionable relief and all symptoms resolved within 8 days.  On 09/18/2001 the patient recovered with no residual symptoms.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Nonspecific reaction
Clinical narrative: A 24 year old female with a history of environmental allergies, received the 4th dose of Anthrax vaccine on 09/25/2001.  There were no other vaccines given on this date and the patient had no illness at the time of the vaccination.  This patient had a previous reaction of injection site inflammation to AVA at the 3rd dose.  The only concomitant medication reported at the time of the event was birth control pills.
Age: 53.0
Sex: F
Vaccine: ANTH
Symptoms: Fatigue, Headache, Injection site erythema, Injection site swelling, Neck pain
Clinical narrative: A 53 year old female with no previous medical conditions, received the 11th dose of Anthrax vaccine on 07/13/2001.  No other vaccines were given on this date.  Concomitant medications at the time of the event included Synthroid, Paxil, Allegra and Testeraca.  The patient did not have any illness at the time of the vaccination and had no history of reactions to previous vaccinations. Two hours post vaccination, the patient experienced headache and fatigue that persisted for 4 days and left sided neck pain that lasted 24 hours.  The patient also experienced redness, itching, and swelling at the injection site that measured at a maximum 2x1-5/8 in diameter.  The headaches were treated with Tylenol and Ibuprofen, but they did not change in intensity.  The neck pain resolved on 07/14/2001 and the headache and fatigue resolved 07/16/2001.  The redness, itching, and swelling at the injection site resolved on 07/17/2001.
Age: 53.0
Sex: F
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: A 53 year old female with no previous medical conditions, received the 11th dose of Anthrax vaccine on 07/13/2001.  No other vaccines were given on this date.  Concomitant medications at the time of the event included Synthroid, Paxil, Allegra and Testeraca.  The patient did not have any illness at the time of the vaccination and had no history of reactions to previous vaccinations. Two hours post vaccination, the patient experienced headache and fatigue that persisted for 4 days and left sided neck pain that lasted 24 hours.  The patient also experienced redness, itching, and swelling at the injection site that measured at a maximum 2x1-5/8 in diameter.  The headaches were treated with Tylenol and Ibuprofen, but they did not change in intensity.  The neck pain resolved on 07/14/2001 and the headache and fatigue resolved 07/16/2001.  The redness, itching, and swelling at the injection site resolved on 07/17/2001.
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Pruritus, Rash
Clinical narrative: A 24 year old female with no medical conditions received the 2nd dose of Anthrax vaccine on 01/21/2001.  The patient was not ill at the time of the vaccination was taking no concomitant medications at the time of the event.  The patient experienced a local reaction to the 1st dose of Anthrax vaccine. On 01/22/2001, 24 hours after the immunization, the patient noted a rash consisting of tiny red dots on the inside of the thighs and groin, behind the knees, under the arms and breasts, and in the bend of the elbows.  The areas were very itchy; scratching did not exacerbate the examination on 02/03/2001.  The patient did not initially take medication to treat the rash.  Benadryl was subsequently prescribed on 02/03/2001.  The patient also noted a full felling over the left ovary for several days.  The start of her menses coincided with relief of this pain.  The outcome of this events is unknown at this time.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Subject, a 29 year old female, with history of 5 previous Anthrax vaccines developed pain and swelling at the injection site on 01Jun00 following a vaccination with Anthrax vaccine. lot number FAV047 on 31May00. There were no concomitant medications or vaccines administered. The pt had a 10cm x 10cm area of induration and edema. The area continued to be tender 48 hours post vaccine. She was seen by a physician. Treatment was not indicated and outcome is unk.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Injection site inflammation, Injection site oedema, Pruritus
Clinical narrative: The subject, a 29 year old female, with a history of high blood pressure, environmental allergies experienced swelling, pruritic, redness and inflammation of the right arm on 13Jun00 following a fifth vaccination with Anthrax vaccine lot number FAV048B on 13Jun00. No other vaccinations were received. Concomitant medications reported were Micronor, Allegra, Ziac, and Daily Vitamins. No pain was associated with the events. The events resolved within 4 to 5 days. There were no treatment drugs to report. The committee cases assessment form was not provided. Additional information will be provided as it becomes available. Reported on 09Feb01.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: A 38 year old male, with no significant medical history, received second dose Anthrax vaccine (lot FAV048B) on 11Oct00. On 13Oct00, he awoke with swollen, red, hot, and itchy upper right arm. He was seen by physician on that date and given prescriptions for Allegra and Benadryl. On 14Oct00, the symptoms spread to the elbow and on 15Oct they spread to the fore arm. On 16Oct00, the entire arm and hand were involved with soreness at that point. The subject was seen by the physician. The Allegra was discontinued and Zyrtec was prescribed. Starting on 18Oct00, the symptoms gradually improved until the subject was completely recovered on 24Oct00. Anthrax vaccine history included first dose given on 26Sep00, lot FAV048B.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Subject, a 29 year old female, with a history of 4 previous Anthrax vaccinations, developed redness, swelling and pain at the injection site after receiving Anthrax vaccination number 5 (no lot number provided) on 06Jun00. She was seen again after 24 hrs and the symptoms had begun to improve. No committee assessment form was provided but medical notes states that the subject recovered. No other vaccination information was provided. There were no concomitant medications to report. The pt was treated with Ancef, Keflex, Motrin and Tylenol. Additional information will be provided, as it becomes available.  Reported on: 08Feb01.
Age: 30.0
Sex: F
Vaccine: ANTH, MEN, TYP
Symptoms: Injection site erythema, Myalgia, Pyrexia
Clinical narrative: Subject, a 29 year old female, with a history of gastroesophageal reflux disease, migraine headache, irritable bowel syndrome, experienced redness at injection site, fever to 101.4, erythema 7.5-8 cm surrounding the injection site and myalgias on 12Apr00 following a vaccination with Anthrax Vaccine lot number FAV048B on 12Apr00. Other vaccinations received were Typhoid vaccine and Meningococcal vaccine on 03Apr00. Concomitant medications were Prilosec, Midrin, and Donnatal. There were no treatment drugs to report. The committee case assessment form was not provided. Additional information will be provided, as it becomes available.  Reported on: 08Feb01.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Lethargy, Sensation of pressure
Clinical narrative: Subject, a 28 year old male with a history of 5 previous dosings of the Anthrax vaccine developed headache pressure behind the eyes and was described as having no energy on 01/5/00 after receiving an Anthrax vaccination (lot FAV048B) on the same day. No other vaccinations were administered with this dosing and no concomitant medications or treatment were noted. The pt was said to be recovered from this event. Additional information will be provided, as it becomes available. Reported on: 08Feb01.
Sex: U
Vaccine: ANTH
Symptoms: Muscle twitching
Clinical narrative: A subject, age and sex not reported, received  the 5th dose of Anthrax vaccine (Lot FAV047) on an unspecified date and experienced the event of muscle twitching for one week, in the arm opposite to the one where injection was given. Date of onset of event, date of vaccination, outcome, and treatment are unk. No further information in known. Follow up attempts were unsuccessful.
Sex: M
Vaccine: ANTH
Symptoms: Aggression
Clinical narrative: Case of a male (unk age), experienced increased aggressiveness post administration of the 2nd dosing of the Anthrax vaccine on 24Mar00 (lot FAV047). On 01Mar00, the pt was administered his initial dose of the Anthrax vaccine. No medical history, treatment,  concomitant therapy or pt recovery status was indicated. Additional information will be provided, as it becomes available. Reported on: 09Feb01.
Age: 19.0
Sex: M
Vaccine: ANTH, RAB
Symptoms: Anorexia, Lethargy, Myalgia
Clinical narrative: Subject, an 18 year old male with a history of 1 previous dose of Anthrax vaccine developed body aches, loss of energy and loss of appetite on 25Jan00 following a vaccination with Anthrax on the same date. The pt had received prior Anthrax vaccine on 06Jan00 and Rabies vaccine on 20Jan00. Treatment information was not provided. The event resolved on an unspecified date.
Age: 57.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus, Rash
Clinical narrative: 3 days after vaccination abrupt appearance of non elevated plaques left ankle where several months ago, she had a non displaced fibula fracture. Mildly pruritic. No spread. No fever, No buccal mucosa involuntary.
Age: 10.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema
Clinical narrative: 10cm erythema over right arm where inj given.
Age: 1.39
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: CSF test abnormal, Cellulitis, Laboratory test abnormal, Leukocytosis, Musculoskeletal stiffness
Clinical narrative: Patient vaccinated on 1/28/05 On 2/6/04 developed L thigh cellulitis and high fever with stiff neck.  Patient discharged 2/9/05 and readmitted 2/9/05 with rule out ventricular abscess Information from discharge summary sttes varicella; Medical records sttes rash. msv Information from Discharge summary states varicella. Information from medical record states rash. msv
Age: 1.39
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia, Rash, Viral infection
Clinical narrative: Patient vaccinated on 1/28/05 On 2/6/04 developed L thigh cellulitis and high fever with stiff neck.  Patient discharged 2/9/05 and readmitted 2/9/05 with rule out ventricular abscess Information from discharge summary sttes varicella; Medical records sttes rash. msv Information from Discharge summary states varicella. Information from medical record states rash. msv
Age: 7.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Rash papular, Rash pruritic, Skin ulcer
Clinical narrative: Patient presented with rash.  Some papular, some scabbed lesions to scalp, trunk, upper thighs, arms-  Total number lesions approx 15 to 20.  Patient also with 1 posterior auricular node  on right side.  Rash noted on 2/7/05.  Patient without other symptoms.  No fever, otherwise well.  Rash is pruritic.
Age: 0.58
Sex: F
Vaccine: TTOX
Symptoms: Unevaluable event
Clinical narrative: No signs and symptoms of adverse reactions, pt examined by physican, advised of adverse reactions and precautions and released without limitations.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia, Rash, Wheezing
Clinical narrative: (Per parent) She was extremely irritable.  She was wheezy, broke out in a rash and had a temperature of 101.3.  Child was born premature.
Age: 44.0
Sex: M
Vaccine: TTOX
Symptoms: Gastrointestinal disorder, Haematochezia, Nervous system disorder, Shoulder pain, Skin ulcer
Clinical narrative: 1) Steady, severe aching pain in center to upper right shoulder and pain into right upper arm. 2) Unaccounted for weight loss and bloody stools. Steady and unknown weight loss form 210lbs to 158 lbs over 8 months.   3) Chronic neurologic and gastro problems which I experience to this day. 4) Walnut sized hole (2.8 x 1.9 x 3.6 cm)in right hip bone w/lesions at injection site per MRI dtd 4/28/03. 5) Blood CRP recorded at 3.53mg/l on 5/29/03 (Normal range 0.00 to 0.55)
Age: 44.0
Sex: M
Vaccine: TTOX
Symptoms: Weight decreased
Clinical narrative: 1) Steady, severe aching pain in center to upper right shoulder and pain into right upper arm. 2) Unaccounted for weight loss and bloody stools. Steady and unknown weight loss form 210lbs to 158 lbs over 8 months.   3) Chronic neurologic and gastro problems which I experience to this day. 4) Walnut sized hole (2.8 x 1.9 x 3.6 cm)in right hip bone w/lesions at injection site per MRI dtd 4/28/03. 5) Blood CRP recorded at 3.53mg/l on 5/29/03 (Normal range 0.00 to 0.55)
Age: 58.0
Sex: M
Vaccine: HEP, IPV, TYP
Symptoms: Coma, Hepatic failure
Clinical narrative: This case was reported by a nurse and described the occurrence of acute liver failure in a 58 year old male patient who received hepatitis B vaccine recombinant. The patient's medical history included hepatitis A in 1997, from which he had recovered with no known sequelae, and high blood pressure. Concurrent medications included Norvasc. On 1/11/05, the patient received the first dose of Engerix B (lot # AHBVB004AA). On 1/11/05, the patient also received injections of poliomyelitis virus vaccine and typhoid vaccine. Approximately 23 days following the administration of the immunizations, on 2/3/05, the patient experienced acute liver failure and a coma and was hospitalized. The immunization series with Engerix B was discontinued. The events were ongoing at the time of initial reporting, on 2/7/05. The nurse considered the events to have nothing to do with vaccination with Engerix B.
Age: 62.0
Sex: F
Vaccine: FLUX, PPV, TTOX
Symptoms: Hot flush, Injection site pain, Pain in extremity, Pyrexia
Clinical narrative: Went for flu for heel pain, otherwise healthy. Woke up next morning with 102 temp. Took ibuprofen, by that night, temp 103. Arm very painful. Talked to Dr's office and they said to take ibuprofen or go to ER if fever persists. Still has hot flashes, but feeling better.
Age: 1.25
Sex: M
Vaccine: DTAPH
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling of night thigh
Age: 0.43
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Pneumonia
Clinical narrative: Do not know. Autopsy Report received which revealed COD as acute bronchopneumonia.
Age: 19.0
Sex: F
Vaccine: ANTH
Symptoms: Chest pain, Oedema, Tenderness
Clinical narrative: Left arm slightly swollen. Tenderness to her shoulder and with her chest.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Pruritus, Rash maculo-papular
Clinical narrative: Approx 6 mos after shot #6 (24Sep95) a raised rash formed on left upper interior side of arm. Rash red, itchy. It also was some type of rash for right arm same spot. Rash on right arm resolved, left is not. Pt saw provider on 24May and was given a hydrocortisone type cream to apply shortly after and seemed rash appeared in proximity to left axilla area. This rash was on part of the arm. Pt has refilled cream x1 and rash is still present. However rash does not always itch. Pt also states possible spread to inner thigh area, but not as severe.
Age: 30.0
Sex: M
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Rash that started on scalp and spread to entire body except for face and neck, started on 28Aug and continues locally on fingers, outbreaks on arms and legs.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash pruritic, Viral infection
Clinical narrative: Itchy rash and varicella
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site reaction, Oedema peripheral
Clinical narrative: 48 hours after vaccination entire legs (bilaterally), red, swollen, hot from thighs to ankles. Brought to doctor 4 days after vaccine because of streaking on right leg near vaccine site. Both sites with firm masses under skin.
Age: 45.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Pruritus
Clinical narrative: Presented to office with a 5"x4" area that is pruritic with erythema on left thigh where vaccine had been given 48 hours prior. Second case today. Consulted pediatric doctor for second opinion, treated with Atarax.
Age: 1.13
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: 36 hours after receiving immunizations, patient developed a fever. Seizures ensued and patient was taken to the emergency room. Child is now afebrile.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Pallor
Clinical narrative: Presented to urgent care with 5"x4" area of blanching erythema, swelling minimal. No fevers, chills or streaking. Treated for cellulitis with Keflex.
Age: 97.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Lung disorder, Nasal congestion, Pneumonia
Clinical narrative: Patient was healthy for her age when vaccine was administered on 10/06/04.  On 10/11/04, patient was admitted to Hospital for respiratory distress.  Later diagnosis was pneumonia of an unknown itology.  Her main symptoms were a deep cough, extreme respiratory congestion, chills, high fever, etc.  Radiology confirmed presence of fluid on lungs.  Patient was given intraveneous antibiotics as well as Lasix to try and improve her condition. She did not respond to antibiotics and expired on 10/15/04.  No further information was given on Death Certificate or dischage summary, both rec'd on 03/02/2005.
Age: 97.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Respiratory distress
Clinical narrative: Patient was healthy for her age when vaccine was administered on 10/06/04.  On 10/11/04, patient was admitted to Hospital for respiratory distress.  Later diagnosis was pneumonia of an unknown itology.  Her main symptoms were a deep cough, extreme respiratory congestion, chills, high fever, etc.  Radiology confirmed presence of fluid on lungs.  Patient was given intraveneous antibiotics as well as Lasix to try and improve her condition. She did not respond to antibiotics and expired on 10/15/04.  No further information was given on Death Certificate or dischage summary, both rec'd on 03/02/2005.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Drug toxicity, Endocrine disorder, Gastrointestinal disorder, Immune system disorder, Viral infection
Clinical narrative: Diagnosed at 26 months with PDDNOS.  Confirmed mercury toxicity, mitochondrial disorder, measles, immune dysfunction, gut dysbiosis by board certified pediatrician, board certified medical doctor, board certified pediatric neurologist, board certified neurologist and psychologist between 42 months and 53 months.   Currently being treated with DAN! protocol to support immune system and repair gut dysbiosis and chelation to remove mercury poisoning caused by thimerosal in vaccines.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Disturbance in attention, Dizziness, Fatigue, Nausea
Clinical narrative: Within 4 hours of vaccine administration, I began to feel slight dizziness, moderate fatigue, and an increasing lack of concentration and focus on my work.  I left work early and experienced symptoms of car sickness, stomach nausea, on my way home.  The above symptoms continued to varying degrees for the next two days, enough so that I knew I would be unable to function normally at work.  I slept and/or rested in bed for a great portion of each of those days.  The symptoms passed by noon of the third day.
Age: 30.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Conjunctivitis, Injection site rash, Keratitis, Myalgia, Skin ulcer
Clinical narrative: Information has been received from a physician concerning a 30 year old female, with allergic rhinitis and no drug reactions or allergies, who on 7/30/04 was vaccinated with a dose of varicella virus vaccine live (lot # 646673/0708N). Concomitant vaccine given on the same day included MMR. There was no other concomitant medication. On 8/15/04, the patient experienced myalgia, rash at site and lesions on chest and arms. On 8/23/04 the patient saw the doctor for conjunctivitis and on 8/25/04 she saw an opthalmologist who noted a lesion on her nose and eye. She was diagnosed with keratouveitis related to varicella virus vaccine live. The patient was treated with valacyclovir hydrochloride. Subsequently the patient recovered. There was no laboratory or diagnostic tests performed. Unspecified medical attention was sought. No product quality complaint was involved. The reporter felt that the patient's keratouveitis was related to therapy with varicella virus vaccine live. The myalgia, rash at the injection site, lesions on chest and arms, and keratouveitis were considered by the reporter to be other important medical events (OMIC). Additional information has been requested.
Age: 30.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Uveitis
Clinical narrative: Information has been received from a physician concerning a 30 year old female, with allergic rhinitis and no drug reactions or allergies, who on 7/30/04 was vaccinated with a dose of varicella virus vaccine live (lot # 646673/0708N). Concomitant vaccine given on the same day included MMR. There was no other concomitant medication. On 8/15/04, the patient experienced myalgia, rash at site and lesions on chest and arms. On 8/23/04 the patient saw the doctor for conjunctivitis and on 8/25/04 she saw an opthalmologist who noted a lesion on her nose and eye. She was diagnosed with keratouveitis related to varicella virus vaccine live. The patient was treated with valacyclovir hydrochloride. Subsequently the patient recovered. There was no laboratory or diagnostic tests performed. Unspecified medical attention was sought. No product quality complaint was involved. The reporter felt that the patient's keratouveitis was related to therapy with varicella virus vaccine live. The myalgia, rash at the injection site, lesions on chest and arms, and keratouveitis were considered by the reporter to be other important medical events (OMIC). Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Medication error, Unintended pregnancy
Clinical narrative: Information has been received from a RN through a pregnancy registry concerning a 17 year old female who on 19Apr04 was vaccinated SC with a 0.5mL dose of varicella virus vaccine live (lot #647267/1099N). Concomitant vaccination on the same day included a dose of hep B virus vaccine rHBsAg (manufacturer unk). The reporter indicated that the pt knew she was pregnant at the time of vaccination but did not disclose that information at the time because she had an abortion scheduled for 20Apr04. The pt changed her mind and did not have the abortion. She was also treated for chlamydia and received antibiotics that were not safe for her pregnancy. The name of the drug was not available. Unspecified medical attention was sought and no treatment was required. IT was noted that therapy with varicella virus vaccine live was discontinued. A product quality complaint was not involved. Follow up information was received from a RN who indicated that on 17Nov04 at 40 weeks from her LMP, the pt gave birth to a normal female infant weighing 10 pounds and 7 ounces. There were no complications, infections, or illness during pregnancy. Diagnostic tests during pregnancy included an ultrasound (results not provided). Complications during labor included a cesarean section due to failure to progress. There was no feature of congenital varicella zoster syndrome. Upon internal review, failure to progress was determined to be an other important medical event (OMIC). Information received on 29Apr04 contained the following adverse experience: Chlamydia (onset unk). No further information is expected.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Amblyopia, Diplopia, Neuralgia, Oedema peripheral, Ophthalmoplegia
Clinical narrative: 4/13/04 - 4/27/04: Swelling of arm from shoulder to elbow. 5/10/04: Developed double vision and inability to move right eye in socket. 5/30/04: Movement returned, but unable to focus. 6/12/04: Vision measured at 20/200. 10/04: Vision improved to max 20/40; uncorrectable. Medical Records received on 2/16/2005 states strabismus and amblyopia. 60 Day Follow up: Permanent 4th nerve palsy that may require surgery in adult years as it becomes more bothersome.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Paralysis, Strabismus, Visual disturbance
Clinical narrative: 4/13/04 - 4/27/04: Swelling of arm from shoulder to elbow. 5/10/04: Developed double vision and inability to move right eye in socket. 5/30/04: Movement returned, but unable to focus. 6/12/04: Vision measured at 20/200. 10/04: Vision improved to max 20/40; uncorrectable. Medical Records received on 2/16/2005 states strabismus and amblyopia. 60 Day Follow up: Permanent 4th nerve palsy that may require surgery in adult years as it becomes more bothersome.
Age: 15.0
Sex: M
Vaccine: MEN
Symptoms: Abdominal pain, Crohn's disease, Diarrhoea, Vomiting
Clinical narrative: Patient developed Crohn's Disease about 10/15/04. Started with diarrhea, vomiting, and abdominal pain. Treatment has been Imovan, Prednisone, and Flagyl.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Bacterial infection, Blister, Herpes zoster, Superinfection
Clinical narrative: Local with vesicles, superinfection with impetigo, 1-2cm pustules, diffuse, up around neck and thorax. Patient afebrile.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperglycaemia, Laboratory test abnormal, Red blood cell sedimentation rate increased, Stevens-Johnson syndrome
Clinical narrative: Steven's Johnson Syndrome.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Hypotonia, Skin discolouration
Clinical narrative: After the immunizations, patient became limp with weak cry alternating with loud cries. Change in color around lips. Vitals heart and lungs were normal. Transferred to pediatric ICU for 23 hour observation. Vitals stable. Patient went to sleep for an hour and recovered completely.
Age: 56.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pyrexia, Vomiting
Clinical narrative: Received a flu and pneumonia shot on left. Arm became red and swollen, also had emesis and high fever.
Age: 55.0
Sex: F
Vaccine: FLU3, HEPA, TD, TYP
Symptoms: Diarrhoea
Clinical narrative: 36 hours after vaccine administered, patient reported 4 hours of "explosive diarrhea", which then resolved.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Dizziness, Erythema, Feeling hot, Headache
Clinical narrative: Right arm and forearm swollen 3 times normal size. Arm is tight, warm and red, also experiencing severe pain, fever, headache, dizziness, marked weakness and muscle spasms. Symptoms were severe enough to require bed rest for 10 days and antihistamines for 3 weeks.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Muscle spasms, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Right arm and forearm swollen 3 times normal size. Arm is tight, warm and red, also experiencing severe pain, fever, headache, dizziness, marked weakness and muscle spasms. Symptoms were severe enough to require bed rest for 10 days and antihistamines for 3 weeks.
Age: 1.71
Sex: F
Vaccine: DTAP, FLU3, HBHEPB, PNC, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Urticaria rash with slight itching, involving face and body. Started about 24 hours after the administration. Atarax was used for relief.
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Broke out in a rash on arms & front side of chest.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Myalgia
Clinical narrative: Client complained of having swollen painful muscle in area where vaccine was administered.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Erythema
Clinical narrative: Left thigh with 5x5 erythema patch with 1x1 central induration.  No adenopathy.
Age: 1.28
Sex: F
Vaccine: DTAP, FLU3, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: This child has a red area to her right thigh that is warm to touch and slightly swollen.  Area is approximately 3x3.  Patient received immunization 01/21/2005.  Patient visited doctor on 01/23/2005 and 01/24/2005.  Still being followed up by care provider.
Age: 1.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Allergic (Urticaria) reaction. Treatment 1 - Benadryl elixir 12.5mg by mouth.  2 - Decadron 4mg
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Nonspecific reaction
Clinical narrative: Severe local reaction.
Age: 3.0
Sex: F
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Patient vaccinated 2/1/05. Presented 2/2/05 with swelling to right thigh area measuring 11cmx7.5cm. Area warm to touch. Patient had no trouble walking or moving leg; no temperature. Patient was instructed to use warm compresses to area and return to clinic for observation.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Dyspnoea, Erythema, Headache, Rash, Vomiting
Clinical narrative: 20 minutes after tetanus vaccine, developed severe headache, vomited twice.  Red, flat rash developed within 1-2 hours after immunization.  Developed slight shortness of breath within 1 hour after immunization.  Symptoms resolved after 4 days.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypokinesia, Injection site warmth, Pain
Clinical narrative: Soreness - inability to raise arm redness and heat extending approximately 2/3 of upper arm - To talk to physician today - attempted PC.
Age: 1.08
Sex: F
Vaccine: MMR, OPV, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Patient given varivax on 11/29/1999.  Seen in office 02/04/2005 with varicella infection.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Patient received immunizations at 3:50PM, to check on infant at 4:05pm parents noted rash on abdomen, trunk, neck, both cheeks, jaw line.  Patient was given 0.2 ml of Benadryl 50mg/iml vial intramuscular in left deltoid.  Checked on patient 10 minutes later rash was fading time 4:30pm.  At 4:30pm rash was gone.  Patient received other the counter Motrin prior to  immunization.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Had DTAP and IPV immunization in left arm.  Red ring developed around injection site after 3-4 days, within 1 week spread to torso and other arm, within 2 weeks spread to legs.  Initial ring faded, then subsequent ring faded over 1 month.
Age: 18.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Infection
Clinical narrative: 2 Weeks after vaccination with varicella patient broke out with Chicken Pox.  On visit to doctor patient had no history of previous Chicken Pox Disease.
Age: 3.0
Sex: M
Vaccine: HIBV
Symptoms: Erythema, Pyrexia
Clinical narrative: Fever, reddened area size of fifty cent piece. Started 24 hours after injection. Seen in office 02/07/05 for reaction to injection.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash
Clinical narrative: Rash on patient's back and stomach, itchy non-painful
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema, Oedema peripheral
Clinical narrative: Edema of arm, red hot
Age: 50.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site swelling, Joint stiffness, Joint swelling, Pain
Clinical narrative: Started with just sore arm Thursday 02/03/05 AM, then right deltoid became red/swollen at injection site on Friday- 02/04/05. Temperature also Thursday- high of 100.7. Saturday 02/05/05 patient noticed fingers slightly swollen/stiff that increased redness of injection site. Began to resolve that night then by 02/07/05 - "back to normal".
Age: 50.0
Sex: F
Vaccine: TTOX
Symptoms: Pyrexia
Clinical narrative: Started with just sore arm Thursday 02/03/05 AM, then right deltoid became red/swollen at injection site on Friday- 02/04/05. Temperature also Thursday- high of 100.7. Saturday 02/05/05 patient noticed fingers slightly swollen/stiff that increased redness of injection site. Began to resolve that night then by 02/07/05 - "back to normal".
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pruritus, Swelling
Clinical narrative: Arm quite sore after few hours of receiving vaccine with soreness moving into armpit. Swollen in armpit, itchy and sore until Sunday evening (02/06/05) then it started feeling much better 02/07/05. Arm feels fine and armpit still a little tender, but much better. Vaccine given with Dr. prescription.
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site warmth, White blood cell disorder
Clinical narrative: Right arm extensive erythema slight induration warmth, linear streaking w/ cellulitis. IV Ancef x 1 Augmentin 875mg  BID.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective
Clinical narrative: Developed Varicella after receiving Varicella Vaccine previously Vaccine administered elsewhere.
Age: 1.85
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Developed Varicella-mild case
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Severe local reaction to pneumococcal re-vaccination
Age: 45.0
Sex: M
Vaccine: RAB
Symptoms: Body temperature increased, Chest pain, Headache, Influenza like illness, Oedema peripheral
Clinical narrative: Phone call from client states he had 2nd post exposure (Rabies) vaccine on 01/13/2005. Pt c/o severe headache 3hr after vaccine. Next morning had temperature of 101 degrees Fahrenheit, flu-like symptoms, slight edema in extremeties progressing to midline chest pain and bi-lateral arm pain. No ER or DR. visit was made. Symptoms resolved in 3 days.