chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.68
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tachycardia, Tachypnoea, Unresponsive to stimuli
Clinical narrative: 3/7/2010 21 mo. female presented to ED in middle of febrile seizure: unresponsive with tonic movements of upper and lower extremities, not rhythmic in nature. Periorbital cyanosis - given 100% O2. Temperature elevated to 102.5. Initial exam positive for tachycardia, tachypnea, diffuse but symmetric hyperreflexia with clonus in bilateral ankles. Seizure broke with lorazepam; was also given fosphenytoin. Seized 30 min. total. Sent home with rectal diastat.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: Redness on left leg the size of an orange.
Age: 29.0
Sex: F
Vaccine: TDAP, TYP
Symptoms: Alopecia, Condition aggravated, Dengue fever, Foreign travel
Clinical narrative: Was seen by Infectious disease for f/u of living in foreign country x 4 years. Had had dengue fever x 2 during this time. In preparation of going back to foreign country, was updated w/TDAP & oral typhoid. Approximately 1 week later began to notice substantial hair loss in shower.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site red, swollen, painful, itchy and hot per patient. Patient went to hospital to have site checked.
Age: 1.42
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Area around injection edematous, warm to the touch, erythema measuring 10cm x 5cm. Area on left thigh of LE.
Age: 0.75
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Patients father recalled a Varicella vaccine on 12/20/10. Broke out in a rash (60 spots) beginning of January. Patient presents with varicella looking rash on 1-18-11. Dr. felt that this should be reported.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Arthritis, Blood test, Chest pain, Electromyogram abnormal, Fatigue
Clinical narrative: Initially began as pain in the are and increased trying to lift the arm  Could not raise arm over head.  Progressed to numbness and tingling in arm and knot at the injection area.  Arm would become hot as well. Pain had radiated down but then progressed to radiating up to neck and Left chest area. Also experienced general aches and pains with fatigue.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site nodule, Mobility decreased, Neck pain, Pain
Clinical narrative: Initially began as pain in the are and increased trying to lift the arm  Could not raise arm over head.  Progressed to numbness and tingling in arm and knot at the injection area.  Arm would become hot as well. Pain had radiated down but then progressed to radiating up to neck and Left chest area. Also experienced general aches and pains with fatigue.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia, Skin warm, X-ray abnormal
Clinical narrative: Initially began as pain in the are and increased trying to lift the arm  Could not raise arm over head.  Progressed to numbness and tingling in arm and knot at the injection area.  Arm would become hot as well. Pain had radiated down but then progressed to radiating up to neck and Left chest area. Also experienced general aches and pains with fatigue.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Rash erythematous, Varicella post vaccine
Clinical narrative: Patient broke out in red bumps that started out on her stomach then spread to other places.  On 01/28/11, I took patient to the doctor's office.  She was running a 101 degree temperature.  Doctor stated she had a mild case of chicken pox.  Patient's only exposure to chicken pox, that we know of, was from the vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Right thigh pain.  Positive for pruritis and rash.  3 inch area of mild erythema.  No warmth or induration.  No s/s of infection.
Age: 25.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Induration, Nodule, Pain in extremity
Clinical narrative: Bulls eye red mark with hard knob in center about the size of golf ball. Very painfully, can't lay on that side of my arm.
Age: 0.26
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Crying, Injection site erythema, Injection site swelling
Clinical narrative: Patients leg swelled and became red, patient was inconsolable. We treated with Benadryl and dexamethasone. Watched pt until we were comfortable with him leaving which was about 1 hour.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash erythematous
Clinical narrative: Shortly after administration of immunization, child developed an erythematous eruption of face and trunk.  The exact time course is not clear from the history.  According to mother, patient has had similar skin eruptions prompted by eating eggs.  The family did not report this to us until 1/28/2011, when the child was evaluated for an unrelated problem and was noted to have the rash, which was resolving spontaneously per family.
Age: 54.0
Sex: M
Vaccine: ANTH
Symptoms: Disturbance in attention, Insomnia, Pain, Tremor, Weight increased
Clinical narrative: In 2003 a requirement for me to deploy to a foreign country to work at a store, I was required by the DOD to get the entire series of anthrax vaccinations. I am hearing now from co-workers and friends who were on active duty at that time that the vaccine was in fact not good for me and could have some adverse and permanent effects or damage. I have been experiencing problems concentrating, insomnia, intermittent shaking of hands and arms, weight gain, body aches. I am now just finding out about this so I have had no testing done as of yet.
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Anxiety, Diarrhoea, Feeling hot, Hypoaesthesia, Muscle twitching
Clinical narrative: Initial report received from a consumer on 23 Dec 2010: This patient was vaccinated with first dose of post-exposure series of RABAVERT (batch number unknown) on 16 Dec 2010. Same day, the patient suffered from fever, diarrhea and feelings of anxiety at night. These symptoms never abated. She was vaccinated with second dose of RABAVERT on 19 Dec 2010. Immediately after vaccination, she experienced diarrhea, anxiety, muscles twitching and swollen tongue. She felt like her body being "on fire". The symptoms worsened at time of this report and she was taking treatment (unspecified) at local emergency room. Follow up information received from the consumer on 19 Jan 2010: The patient had medical history of hypothyroidism, allergies and gastro-esophageal reflux disease (GERD). The patient also received HYPERRAB (1620 U) and intramuscularly on 16 Dec 2010. The patient also experienced palpitation and decreased sensation in lower extremities on 19 Dec 2010. Palpitations and diarrhoea resolved on 26 Dec 2010 while tongue swelling and decreased sensation were improving. The physician assessed tongues swelling, palpitations, muscle twitching, and diarrhea and decreased sensation in lower extremities as medically significant and related to RABAVERT.
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Palpitations, Pyrexia, Sensory loss, Swollen tongue
Clinical narrative: Initial report received from a consumer on 23 Dec 2010: This patient was vaccinated with first dose of post-exposure series of RABAVERT (batch number unknown) on 16 Dec 2010. Same day, the patient suffered from fever, diarrhea and feelings of anxiety at night. These symptoms never abated. She was vaccinated with second dose of RABAVERT on 19 Dec 2010. Immediately after vaccination, she experienced diarrhea, anxiety, muscles twitching and swollen tongue. She felt like her body being "on fire". The symptoms worsened at time of this report and she was taking treatment (unspecified) at local emergency room. Follow up information received from the consumer on 19 Jan 2010: The patient had medical history of hypothyroidism, allergies and gastro-esophageal reflux disease (GERD). The patient also received HYPERRAB (1620 U) and intramuscularly on 16 Dec 2010. The patient also experienced palpitation and decreased sensation in lower extremities on 19 Dec 2010. Palpitations and diarrhoea resolved on 26 Dec 2010 while tongue swelling and decreased sensation were improving. The physician assessed tongues swelling, palpitations, muscle twitching, and diarrhea and decreased sensation in lower extremities as medically significant and related to RABAVERT.
Age: 67.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Guillain-Barre syndrome, Pain in extremity
Clinical narrative: Severe Pain in both feet
Age: 67.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Severe Pain in both feet
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Electrocardiogram normal
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Hilar lymphadenopathy, Injection site pain, Laboratory test normal, Lymphadenopathy, Musculoskeletal chest pain
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Myositis, Resuscitation, Tenderness, Troponin
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Inflammation, Laboratory test normal, Myositis, Pain in extremity
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Troponin
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood gases, Cardiac enzymes, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Dyspnoea, Electrocardiogram, Full blood count, Laboratory test
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Blood gases normal, Chest X-ray normal, Chest pain, Computerised tomogram abnormal
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Dyspnoea, Electrocardiogram normal, Hilar lymphadenopathy, Injection site pain, Lymphadenopathy
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Mediastinal disorder, Myositis, Tenderness, Troponin normal
Clinical narrative: Jan 13, 2011 to EMT awakened during the night with shortness of breath and right upper chest pain & pressure. IV fluids TORADOL 30mg IV, Morphine 4mg IV x2. RTD with PERCOCET and MOTRIN.
Age: 1.55
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13
Symptoms: Crying, Electroencephalogram normal, Grand mal convulsion, Postictal state, Pyrexia
Clinical narrative: 18 mo or 33-34 week preemie in her USOH until 12/8/10. Pt received catch up immunizations. Pt was put to bed at 10pm. At 0300 awoke crying. Parents noticed tactile temp, but good UUP. Parents gave TYLENOL 0.8ml x1. Shortly afterwards parents noticed a 15 min seizure (generalized tonic/clonic). 911 called. Sz ceased prior to arrival of ambulance. Pt post -ictal , then normal by time of admission. In house pt had staring spell for 5-6 seconds. Pt observed and released. Ibuprofen given to decrease fever.
Age: 1.55
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13
Symptoms: Staring
Clinical narrative: 18 mo or 33-34 week preemie in her USOH until 12/8/10. Pt received catch up immunizations. Pt was put to bed at 10pm. At 0300 awoke crying. Parents noticed tactile temp, but good UUP. Parents gave TYLENOL 0.8ml x1. Shortly afterwards parents noticed a 15 min seizure (generalized tonic/clonic). 911 called. Sz ceased prior to arrival of ambulance. Pt post -ictal , then normal by time of admission. In house pt had staring spell for 5-6 seconds. Pt observed and released. Ibuprofen given to decrease fever.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Local swelling
Clinical narrative: Swelling, pain and redness at injection site. Joint and back pain, chills, muscle weakness. Treatment prednisone, Benadryl, ibuprofen.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Neck pain, Pain, Pain in extremity
Clinical narrative: Swelling, pain and redness at injection site. Joint and back pain, chills, muscle weakness. Treatment prednisone, Benadryl, ibuprofen.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Arthralgia, Back pain, Chills, Injection site erythema, Injection site pain
Clinical narrative: Swelling, pain and redness at injection site. Joint and back pain, chills, muscle weakness. Treatment prednisone, Benadryl, ibuprofen.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Injection site swelling, Muscular weakness
Clinical narrative: Swelling, pain and redness at injection site. Joint and back pain, chills, muscle weakness. Treatment prednisone, Benadryl, ibuprofen.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Family reported that pt developed redness, swelling & itching on (B) thighs after shots were given on 1/11/11. Pt seen in office 1/14/11. Noted to have 3-4cm raised red patch on (R) anterior thigh & 1 1/2 cm area on (L) anterior thigh. Prescribed Triamcinolone cream for itching. Pt to only get one shot in each limb at a time in the future.
Age: 0.17
Sex: M
Vaccine: HEP, HIBV, PNC13, RV5, DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Burning sensation, Crying, Unresponsive to stimuli
Clinical narrative: At approximately 6:47pm, pt w/MOC returned to clinic with concerns that pt "not responding". Noted unresponsive to touch stimuli, bluing around lips. Pulse ox at 82%, O2 via mask placed at 100%, 911 dispatched, assessed by doctor. At approximately 6:51pm pt pink, crying, PO at 98%, HR 150's.
Age: 0.17
Sex: M
Vaccine: HEP, HIBV, PNC13, RV5, DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying, Cyanosis, Unresponsive to stimuli
Clinical narrative: At approximately 6:47pm, pt w/MOC returned to clinic with concerns that pt "not responding". Noted unresponsive to touch stimuli, bluing around lips. Pulse ox at 82%, O2 via mask placed at 100%, 911 dispatched, assessed by doctor. At approximately 6:51pm pt pink, crying, PO at 98%, HR 150's.
Age: 0.09
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 4 week yr old infant was accidentally given the vaccines listed below. The infant had no signs or symptoms of distress. Also evaluated at hospital.
Age: 2.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site rash, Injection site swelling, Irritability, Pyrexia
Clinical narrative: He bacame irritable, had a low grade fever.  The next morning he had was irritable, had a fever, and a rash and swelling at the injection site.  This continued all day.  The fever has continued, the irritable behavior has continued, his cheeks are red, he has a rash on his face, the rash and swelling at the injection site is worse.
Age: 2.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: He bacame irritable, had a low grade fever.  The next morning he had was irritable, had a fever, and a rash and swelling at the injection site.  This continued all day.  The fever has continued, the irritable behavior has continued, his cheeks are red, he has a rash on his face, the rash and swelling at the injection site is worse.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Rash, Rash generalised
Clinical narrative: On November 24,2010 at night, I noticed skin rashes all over my body. Since the Doctor offices are close for the Thanksgiving holiday I took some Benadryl capsule and watched for severe reaction to see if I need to the emergency room.That Monday Novemeber 29,2010. I called Dr's office and ask if he could see me that day and got an appointment for 2:00 p.m. He gave me a steroid injection and cortisone pills to take and took it until it was finish.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Facial pain, Headache, Laboratory test, Muscle spasms
Clinical narrative: First onset consisted of severe headache, facial pain, muscle spasms in the neck and upper back. Pain moved throughout the back region and mainly settled in the face, neck and upper back. Daily ongoing headaches and pain have persisted for over 15 months. Treatment has consisted of multiple medications, physcial therapy, multiple test with multiple physicians/ specialists.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain
Clinical narrative: First onset consisted of severe headache, facial pain, muscle spasms in the neck and upper back. Pain moved throughout the back region and mainly settled in the face, neck and upper back. Daily ongoing headaches and pain have persisted for over 15 months. Treatment has consisted of multiple medications, physcial therapy, multiple test with multiple physicians/ specialists.
Age: 26.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Dizziness, Pallor, Skin warm
Clinical narrative: 1045 - c/o dizziness. Laid on floor with feet elevated. Pale, skin warm, dry. BP 78/50, p-72. A & O, speaking banana/coffee this am. 1048 - 84/58 - sitting up 1050 - BP 90/64, P-60.
Age: 14.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Local erythema around site of injection on (L) upper extremity.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site vesicles, Skin reaction
Clinical narrative: Large, dark red oval skin reaction at injection site. Blisters around edge of spot.
Age: 34.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Biopsy site unspecified abnormal, Blood test abnormal, Chest X-ray abnormal, Computerised tomogram abnormal, Cough
Clinical narrative: Approximately one year later, I developed a terrible cough that would not go away. I thought it was allergies. I also noticed that my lymph nodes were swollen. As I became pregnant, I could not have any tests done to see what was going on. I gave birth to my son in November 2008, and immediately had a chest x-ray, which led to a PET scan, and biopsy. These results confirmed the diagnosis of Hodgkin's Lymphoma.
Age: 34.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Drug exposure before pregnancy, Hodgkin's disease, Lymphadenopathy, Positron emission tomogram abnormal
Clinical narrative: Approximately one year later, I developed a terrible cough that would not go away. I thought it was allergies. I also noticed that my lymph nodes were swollen. As I became pregnant, I could not have any tests done to see what was going on. I gave birth to my son in November 2008, and immediately had a chest x-ray, which led to a PET scan, and biopsy. These results confirmed the diagnosis of Hodgkin's Lymphoma.
Age: 34.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Biopsy site unspecified abnormal, Blood test, Chest X-ray abnormal, Chest pain, Condition aggravated
Clinical narrative: Approximately one year later, I developed a terrible cough that would not go away. I thought it was allergies. I also noticed that my lymph nodes were swollen. As I became pregnant, I could not have any tests done to see what was going on. I gave birth to my son in November 2008, and immediately had a chest x-ray, which led to a PET scan, and biopsy. These results confirmed the diagnosis of Hodgkin's Lymphoma.
Age: 34.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cough, Drug exposure before pregnancy, Ear congestion, Facial pain, Gastrooesophageal reflux disease
Clinical narrative: Approximately one year later, I developed a terrible cough that would not go away. I thought it was allergies. I also noticed that my lymph nodes were swollen. As I became pregnant, I could not have any tests done to see what was going on. I gave birth to my son in November 2008, and immediately had a chest x-ray, which led to a PET scan, and biopsy. These results confirmed the diagnosis of Hodgkin's Lymphoma.
Age: 34.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Haematocrit decreased, Haemoglobin normal, Hodgkin's disease, Lymphadenopathy, Migraine
Clinical narrative: Approximately one year later, I developed a terrible cough that would not go away. I thought it was allergies. I also noticed that my lymph nodes were swollen. As I became pregnant, I could not have any tests done to see what was going on. I gave birth to my son in November 2008, and immediately had a chest x-ray, which led to a PET scan, and biopsy. These results confirmed the diagnosis of Hodgkin's Lymphoma.
Age: 34.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nasopharyngitis, Nausea, Palpitations, Positron emission tomogram abnormal, Rhinitis allergic
Clinical narrative: Approximately one year later, I developed a terrible cough that would not go away. I thought it was allergies. I also noticed that my lymph nodes were swollen. As I became pregnant, I could not have any tests done to see what was going on. I gave birth to my son in November 2008, and immediately had a chest x-ray, which led to a PET scan, and biopsy. These results confirmed the diagnosis of Hodgkin's Lymphoma.
Age: 34.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Sinus headache, Urinary tract infection
Clinical narrative: Approximately one year later, I developed a terrible cough that would not go away. I thought it was allergies. I also noticed that my lymph nodes were swollen. As I became pregnant, I could not have any tests done to see what was going on. I gave birth to my son in November 2008, and immediately had a chest x-ray, which led to a PET scan, and biopsy. These results confirmed the diagnosis of Hodgkin's Lymphoma.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Rash, erythema - localized to injection site.
Age: 11.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Epistaxis, Headache, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: sore throat, red eyes, bloody nose, head ache, coughing, high fever
Age: 11.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: sore throat, red eyes, bloody nose, head ache, coughing, high fever
Age: 67.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chills, Dizziness, Erythema, Fatigue, Headache
Clinical narrative: Dizziness, light headed, headache, fever, chills, rapid heart beat, fatigue, aches, red and swollen arm 3"x5".  It is now the third day and the symptoms have largely subsided.  Although, this morning I slept under a single sheet and sweated.  I was able to moderate the headaches and fever with Tylenol.
Age: 67.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Heart rate increased, Hyperhidrosis, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Dizziness, light headed, headache, fever, chills, rapid heart beat, fatigue, aches, red and swollen arm 3"x5".  It is now the third day and the symptoms have largely subsided.  Although, this morning I slept under a single sheet and sweated.  I was able to moderate the headaches and fever with Tylenol.
Age: 1.67
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling
Clinical narrative: The leg that was injected with the DTAP shot swelled to double its size and stayed that way for an entire 6 weeks.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Headache, Influenza like illness, Nausea
Clinical narrative: Pt had mild flu like symptoms, including sniffling, mild nausea, headaches, weakness, and dizziness.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: Pt had mild flu like symptoms, including sniffling, mild nausea, headaches, weakness, and dizziness.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Menstruation irregular, Pain
Clinical narrative: After having all three HPV shots, my daughter starting having irregular periods, every two - three weeks. This went on for over a year before we decided to put her on birth control pills. She was very regular before this. She was also achy and tired more often after the three rounds of shots. That still has not gone away. Doctor says neither of these symptoms can be linked to shots for sure.
Age: 39.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Disorientation, Dizziness, Fatigue
Clinical narrative: warm rush of liquid through arm, dizziness, felt faint and disoriented and then extremely tired - symptoms lasted until approx. 4 pm
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Hypomenorrhoea, Menorrhagia
Clinical narrative: I experience back pain and light bleeding period. The symptom has been presented from 01/13/11 until today 01/30/11. Which I think, it should not be my period schedule. My period is pretty normal and never last long.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Urticaria, Wheezing
Clinical narrative: Left arm erythema and with urticaria over the body. I also had slight wheezing that resolved with albuterol MDI. The erythema lasted over a week and the urticaria resolved with an epi pen. I am ER nurse so I took care of myself without an ER visit.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cold sweat, Dizziness, Headache, Heart rate increased, Pallor
Clinical narrative: Pt developed a headache in AM 01/21/2011 which was constant for following three days and nights. On the evening of the fourth day post Zostavax (01/24/2011)@ 6:30 PM, Pt complianed of feeling that she was going to pass-out, became pale and clammy, began shaking uncontrollably and her heart rate increased from a normal 118/75, Pulse 80 to 220/110 Pulse 132 heart was bounding. She was admitted to ED.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Palpitations, Tremor
Clinical narrative: Pt developed a headache in AM 01/21/2011 which was constant for following three days and nights. On the evening of the fourth day post Zostavax (01/24/2011)@ 6:30 PM, Pt complianed of feeling that she was going to pass-out, became pale and clammy, began shaking uncontrollably and her heart rate increased from a normal 118/75, Pulse 80 to 220/110 Pulse 132 heart was bounding. She was admitted to ED.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood test normal, Chest X-ray normal, Dizziness, Echocardiogram normal, Feeling abnormal
Clinical narrative: Pt developed a headache in AM 01/21/2011 which was constant for following three days and nights. On the evening of the fourth day post Zostavax (01/24/2011)@ 6:30 PM, Pt complianed of feeling that she was going to pass-out, became pale and clammy, began shaking uncontrollably and her heart rate increased from a normal 118/75, Pulse 80 to 220/110 Pulse 132 heart was bounding. She was admitted to ED.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Haematology test normal, Headache, Hypertension, Injection site erythema, Injection site swelling
Clinical narrative: Pt developed a headache in AM 01/21/2011 which was constant for following three days and nights. On the evening of the fourth day post Zostavax (01/24/2011)@ 6:30 PM, Pt complianed of feeling that she was going to pass-out, became pale and clammy, began shaking uncontrollably and her heart rate increased from a normal 118/75, Pulse 80 to 220/110 Pulse 132 heart was bounding. She was admitted to ED.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Lumbar puncture normal, Palpitations, Ultrasound Doppler, Ultrasound scan normal
Clinical narrative: Pt developed a headache in AM 01/21/2011 which was constant for following three days and nights. On the evening of the fourth day post Zostavax (01/24/2011)@ 6:30 PM, Pt complianed of feeling that she was going to pass-out, became pale and clammy, began shaking uncontrollably and her heart rate increased from a normal 118/75, Pulse 80 to 220/110 Pulse 132 heart was bounding. She was admitted to ED.
Age: 1.07
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: low grade fever (101), rash on abdomen and face, fussy
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Speech disorder
Clinical narrative: Trouble pronouncing "s" and "t" letters sometimes only. We observed this after we took the flu shot.
Age: 41.0
Sex: M
Vaccine: DTAP
Symptoms: Chills, Confusional state, Fatigue, Injected limb mobility decreased, Injection site erythema
Clinical narrative: Redness, pain, and swelling at site of injection, limiting arm mobility; followed by 36 hours of intermittent fever, chills, ringing in ears, fatigue, and confusion. If these continue to 48 hours, will consult physician.
Age: 41.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Tinnitus
Clinical narrative: Redness, pain, and swelling at site of injection, limiting arm mobility; followed by 36 hours of intermittent fever, chills, ringing in ears, fatigue, and confusion. If these continue to 48 hours, will consult physician.
Age: 86.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site haematoma, Injection site pain, Injection site swelling
Clinical narrative: Patient presented to pharmacy on 1-28-11 with pain, swelling and bruising of left arm. Also, patient has difficulty raising arm above certain point. These symptoms started at injection site and now at elbow area. Patient has seen family Dr. and has been put on steroids and pain medication. If no improvement, will be sent to orthopedic Dr. for further evaluation and surgery possible.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Injection site pain, Nervous system disorder
Clinical narrative: Patient reported localized pain at the time of the injection, she massaged it to reduce the pain (I didn't realize). Feelings of faintness; at night time electric jolts on nerves in toe, legs; recovered the following day.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Ear pain, Eye infection, Fatigue
Clinical narrative: Joint soreness, tiredness, ear ache eyes infected. I will never take another flu shot. I always have still have tiredness and infection.
Age: 17.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out ater shots given for a short time (Less than 30 sec).
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out after shots given for a short time (less than 30 sec).
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: redness/warm/swelling- lt thigh 3.25 in by 6.25 in
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Expired drug administered
Clinical narrative: Upon patient leaving clinic, noted that expiration date on IPV vaccine was 1/23/11 and date was 1/28/11.  Date was checked prior to administering and written down but thought to expire in January the following year.  Representative from state vaccine program called.  Told that child needs to be re-vaccinated.  Grandparent called 1/31/11 for follow-up and child is doing well.  Notified that vaccine would have to be given again, and grandparent is agreeable to re-administering vaccine at next visit.
Age: 1.54
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Muscular weakness, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: acute left arm pain, swelling, numbness and tingling in the little finger and ring finger 01/31/2011 noted symptoms of weakness in the left arm
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Paraesthesia
Clinical narrative: acute left arm pain, swelling, numbness and tingling in the little finger and ring finger 01/31/2011 noted symptoms of weakness in the left arm
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right upper thigh swollen, red, warm to touch. Child denies pain in the area. Patient has been using BENADRYL.
Age: 66.0
Sex: F
Vaccine: PPV, TDAP, VARZOS
Symptoms: Chest pain, Injection site pain, Injection site swelling, Joint range of motion decreased, Myalgia
Clinical narrative: Pain - swelling at site of vaccine (L) deltoid. Pain in muscles of shoulder - back and chest persistent after 5 weeks. Range of motion decreased - pain all down (L) arm to wrist.
Age: 66.0
Sex: F
Vaccine: PPV, TDAP, VARZOS
Symptoms: Pain in extremity
Clinical narrative: Pain - swelling at site of vaccine (L) deltoid. Pain in muscles of shoulder - back and chest persistent after 5 weeks. Range of motion decreased - pain all down (L) arm to wrist.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Hypoaesthesia facial, Lumbar puncture, Muscular weakness
Clinical narrative: Numbness hands, feet, face, weakness lower extremities, hospitalized - diagnosed with Guillain-Barre sd. Tx, plasmapheresis, IV, steroids.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Plasmapheresis
Clinical narrative: Numbness hands, feet, face, weakness lower extremities, hospitalized - diagnosed with Guillain-Barre sd. Tx, plasmapheresis, IV, steroids.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: Ribs on left side feel very sensitive with tingling sensations.
Age: 37.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest X-ray, Chest discomfort, Palpitations
Clinical narrative: Pt with tightness and palpitation of chest, sudden onset this AM 0815 seen by Medical Clinic. Pt given Chest X-ray then sent to another facility to follow up for xanthym.
Age: 37.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest X-ray, Chest discomfort, Palpitations, Rash
Clinical narrative: Pt with tightness and palpitation of chest, sudden onset this AM 0815 seen by Medical Clinic. Pt given Chest X-ray then sent to another facility to follow up for xanthym.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Painful red area on (L) arm. Told to watch for signs of infection (Temp, area warm to touch, swelling etc.) call if symptoms change or worsen.
Age: 1.57
Sex: F
Vaccine: DTAP, FLU3, MMR
Symptoms: Febrile convulsion, Full blood count normal
Clinical narrative: FEBRILE SEIZURE 24 HOURS AFTER IMMUNIZATIONS
Age: 10.0
Sex: M
Vaccine: MMRV
Symptoms: Cough, Headache, Oropharyngeal pain, Pruritus, Rash
Clinical narrative: Pt c/o rash x 2 days on both arms and shoulders. Other s/s include sore throat, cough, headaches and itching. Rx given Oraped 15mg/5ml 4 tsp daily #100 ml and Benadryl Allergy Childrens 12.5 mg chew 1 every 6 hrs. prn for itching.
Age: 12.0
Sex: M
Vaccine: HPV4
Symptoms: Asthenia, Chills, Dizziness, Nausea, Pallor
Clinical narrative: He developed a fever, chills, nausea and weakness.  We gave him Advil and put him to bed.  The next morning the fever was at 102.6.  It went down to 99.8 after more Advil, but then spiked up to 103.6 at around 5:00Pm on 1/29/2011.  He continued to have nausea, chills, weakness and dizziness in addition to fever.  The fever was gone by 1/30/2011 and he was pale and weak, but recovering.
Age: 12.0
Sex: M
Vaccine: HPV4
Symptoms: Pyrexia
Clinical narrative: He developed a fever, chills, nausea and weakness.  We gave him Advil and put him to bed.  The next morning the fever was at 102.6.  It went down to 99.8 after more Advil, but then spiked up to 103.6 at around 5:00Pm on 1/29/2011.  He continued to have nausea, chills, weakness and dizziness in addition to fever.  The fever was gone by 1/30/2011 and he was pale and weak, but recovering.
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Soft tissue infection
Clinical narrative: infection of local tissue with possible abscess formation
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Pyrexia, Ultrasound scan abnormal
Clinical narrative: infection of local tissue with possible abscess formation
Age: 26.0
Sex: M
Vaccine: SMALL, SMALL, SMALL
Symptoms: Injection site erythema, Localised infection, Lymphadenopathy, Pyrexia, Soft tissue infection
Clinical narrative: infection of local tissue with possible abscess formation
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt complained of arm soreness after injection saw Dr about a month after and received a cortisone shot. Had physical therapy for 2 weeks. Has full ROM, but still has soreness.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Incorrect route of drug administration, Injected limb mobility decreased, Tendonitis
Clinical narrative: Pt reports that by that night she could not lift her (L) arm. 2 to 3 weeks later she saw her physician who diagnosed her with chemical induced tendonitis. He reports the shot was given in the tendon. Pt took a steroid pack. She started physical therapy 2-3 times per week 12-21-10.
Age: 63.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Mobility decreased, Tendonitis
Clinical narrative: Pt reports that by that night she could not lift her (L) arm. 2 to 3 weeks later she saw her physician who diagnosed her with chemical induced tendonitis. He reports the shot was given in the tendon. Pt took a steroid pack. She started physical therapy 2-3 times per week 12-21-10.
Age: 68.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Joint range of motion decreased, Pain, Tendonitis
Clinical narrative: Pt reports she had trouble by the afternoon after the vaccine. Pt could not lift her arm (left). 2-3 weeks later she was diagnosed with tendonitis by her physician. She received a cortisone shot. Still has pain and does not have full ROM.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Foaming at mouth, Urinary incontinence
Clinical narrative: Administered influenza vaccine. 30 secs later child laid back and began convulsing for 1 min. No clonic tonic but foamed at mouth & loss of bladder control. Pt recovered and sent via ambulance to hosp for eval.
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Oedema
Clinical narrative: 10 x 5 cm area of redness & edema site painful to touch.
Age: 0.43
Sex: M
Vaccine: HIBV
Symptoms: Crying
Clinical narrative: Pt. cried inconsolably x 7 hrs after vaccine - same day.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Rash on torso and back.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Immunisation reaction, Metabolic function test
Clinical narrative: 11-22-10 - c/o fever, body aches & shaking chills 11-23-10 symptoms became extreme 11/24/10 heart racing, shortness of breath. Seen in medical center ECU. Cardiologist says it looks as if having extreme immune reaction - inflammatory process may have increased heart rate.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Palpitations, Pyrexia, Tremor
Clinical narrative: 11-22-10 - c/o fever, body aches & shaking chills 11-23-10 symptoms became extreme 11/24/10 heart racing, shortness of breath. Seen in medical center ECU. Cardiologist says it looks as if having extreme immune reaction - inflammatory process may have increased heart rate.
Age: 18.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Chest discomfort, Computerised tomogram normal, Depression, Dizziness, Feeling abnormal
Clinical narrative: Funny feeling in face numbness in face & jaw heart pounding lightheaded (L) sided chest tightness shooting pain in head depression w/all of this. Symptoms are intermittent. Heart pounding, lightheadedness, (heart) chest tightness all have subisded 1/25/11 face, jaw numbness are intermittent 1/25/11.
Age: 18.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Headache, Hypoaesthesia facial, Pain, Palpitations, Pyrexia
Clinical narrative: Funny feeling in face numbness in face & jaw heart pounding lightheaded (L) sided chest tightness shooting pain in head depression w/all of this. Symptoms are intermittent. Heart pounding, lightheadedness, (heart) chest tightness all have subisded 1/25/11 face, jaw numbness are intermittent 1/25/11.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blister, Erythema, Induration, Skin warm, Swelling
Clinical narrative: 11cm x 9 1/2cm area of heat/redness/mild swelling with central induration and approximately 10-12 central vesicles developed from time of onset (afternoon of 01/25/11) until now (15:30 1/26/11) advised cool compresses & ibuprofen.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Influenza, Injection site swelling, Pruritus, Rash erythematous
Clinical narrative: Client received TDP on 1-20-11 at approximately 11A, felt like she had flu within 15 min., 1230p had diarrhea, at 4pm felt itchy, developed red rash from shoulders up, swelling noted at injection site. At 5pm received 50 mg IM (RD) Diphenhydramine. 1-21-11 reports still itchy - took BENADRYL PO 830 1-20-11 - 11A 1-21-11.
Age: 2.0
Sex: M
Vaccine: FLUX, FLUX(H1N1), HIBV
Symptoms: Aphasia, Cognitive disorder, Food allergy, Fungal infection, Laboratory test abnormal
Clinical narrative: Initial report was received from an affiliate on 18 January 2011 (Key # 139115; ID 24999) who received the report from the patient's parent, who is also a health care professional. Additional information was received from the patient's parent on 25 January 2011. A two-year-old male patient had received a dose each of HIB, seasonal influenza and H1N1 influenza vaccines (manufacturers, lot numbers, routes, sites and dates of administration not reported) and a few hours after vaccination, the patient was able to talk, but could not associate words with their meaning. The patient's past medical history noted the patient had been breast fed for their first year of life and had far exceeded all milestones. The reporter stated they had been worried about vaccines and allergies with their son since birth and chose to follow an alternate vaccine schedule (two vaccines every two months instead of all at once). Between 16 and 18 months of age, the patient began to regress with language (severity not reported) and he developed OCD behaviors (described as organizing toys instead of playing with them). According to the reporter, at two years of age, the patient started talking again and was able to associate words with their meaning. An unspecified amount of time later, the patient received seasonal Influenza, H1N1 and HIB vaccines (dates not reported). A few hours post vaccination, the patient was able to talk, but could not associate words with their meaning. During the two weeks post vaccination, this continued and he regressed to just making noises. Two weeks after vaccination, the patient regressed to only humming. The patient's mother was "not sure if it was the HIB (vaccine), but definitely vaccine related". The patient was evaluated by specialists and had testing performed. He had multiple food allergies (eggs, dairy, soy and some vegetables - dates of onset not reported), his liver has decreased function to remove toxins (date of onset not reported) and he had heavy metal poisoning (specific metal not specified, date of onset not reported). Corrective treatments included chelation therapy, Probiotics due to yeast overgrowth, Glutathione (which results in some speech recovery, but speech then regressed again), N-Acetylcysteine, Multivitamins, fish oil, Vitamins A, C, D, E and K, and Methyl B12 shots (again resulting in some speech improvement at the time of the report). Outcome was not recovered. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 2.0
Sex: M
Vaccine: FLUX, FLUX(H1N1), HIBV
Symptoms: Liver function test abnormal, Metal poisoning, Milk allergy
Clinical narrative: Initial report was received from an affiliate on 18 January 2011 (Key # 139115; ID 24999) who received the report from the patient's parent, who is also a health care professional. Additional information was received from the patient's parent on 25 January 2011. A two-year-old male patient had received a dose each of HIB, seasonal influenza and H1N1 influenza vaccines (manufacturers, lot numbers, routes, sites and dates of administration not reported) and a few hours after vaccination, the patient was able to talk, but could not associate words with their meaning. The patient's past medical history noted the patient had been breast fed for their first year of life and had far exceeded all milestones. The reporter stated they had been worried about vaccines and allergies with their son since birth and chose to follow an alternate vaccine schedule (two vaccines every two months instead of all at once). Between 16 and 18 months of age, the patient began to regress with language (severity not reported) and he developed OCD behaviors (described as organizing toys instead of playing with them). According to the reporter, at two years of age, the patient started talking again and was able to associate words with their meaning. An unspecified amount of time later, the patient received seasonal Influenza, H1N1 and HIB vaccines (dates not reported). A few hours post vaccination, the patient was able to talk, but could not associate words with their meaning. During the two weeks post vaccination, this continued and he regressed to just making noises. Two weeks after vaccination, the patient regressed to only humming. The patient's mother was "not sure if it was the HIB (vaccine), but definitely vaccine related". The patient was evaluated by specialists and had testing performed. He had multiple food allergies (eggs, dairy, soy and some vegetables - dates of onset not reported), his liver has decreased function to remove toxins (date of onset not reported) and he had heavy metal poisoning (specific metal not specified, date of onset not reported). Corrective treatments included chelation therapy, Probiotics due to yeast overgrowth, Glutathione (which results in some speech recovery, but speech then regressed again), N-Acetylcysteine, Multivitamins, fish oil, Vitamins A, C, D, E and K, and Methyl B12 shots (again resulting in some speech improvement at the time of the report). Outcome was not recovered. No additional information was provided at the time of the report. Documents held by sender: None.