chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Funisitis, Infection, Labour complication, Specific gravity urine normal, Ultrasound scan normal
Clinical narrative: Information has been received from a nurse for the Pregnancy Registry for GARDASIL concerning a 21 year old female with no medical history or drug allergy who on 05-DEC-2008 was vaccinated with the second dose of GARDASIL (0947X). There was no concomitant medication. The patient's LMP was on 14-NOV-2008 and then the patient came into the clinic to receive the second dose of GARDASIL. Before the second dose of GARDASIL the patient was given a pregnancy test which came back negative and therefore the patient was given the second dose of GARDASIL. The patient came back into the clinic on 29-JAN 2009 and the patient found out she was pregnant. The nurse reported that the patient was approximately about a week to three weeks pregnant at the time she received the second dose of GARDASIL on 05-DEC-2008. No AE involved. The patient performed urine pregnancy test. The patient sought medical attention. Follow up information has been received from a registered nurse, concerning the patient with no illness at the time of vaccination or no pre-existing allergies or birth defects on 13-AUG-2008 received the first dose of GARDASIL and on 05-DEC-2008 AM received the second dose of GARDASIL IM on deltoid. The patient with 5 previous pregnancies had 1 full term delivery at 42 weeks from LMP, no pre-term delivery, 1 spontaneous abortions at 16 weeks from LMP, 3 elective terminations at unknown weeks from LMP and no fetal death. There was no birth defects in previous pregnancies. It was unknown if there any infant complications in previous pregnancies. Concomitant therapy included vitamins (unspecified). On 05-DEC-2008 the patient did a colposcopy pasts due for the second dose of GARDASIL. On 05-DEC-2008 pregnancy test was negative - specific gravity of urine was 1.025. The patient returned to office on 29-JAN-2009 and pregnancy test positive. On 23-MAR-2009 the patient did ultrasound for fetal structure scan and results indicated no abnormal findings. On 02-JUL-2009 the patient was treated with KEFLEX 500 mg 4 x/day for 7 days for infection and MONISTAT vaginal suppository x 7 days for yeast. And on 23-JUL-2009 the patient was treated with KEFLEX 500 mg 4 x/day for 7 days for infection. On 15-AUG-2009 the patient delivered a normal boy at 39 weeks from LMP. The boy weight 3628gm, length 15cm, Apgar score 8/9 and head circumference 33. The baby developed tachypnea and presumed sepsis. Course of IV antibiotics for 10 days, the baby was discharged on 25-AUG-2009. The patient developed perianal abscess/troakd during pregnancy. The patient developed severe chorioamnionitis, acute vasculitis and funisitis of umbilical cord during labor/delivery. All prenatal testing were normal during pregnancy. At the time of the report, the outcome of the patient was unknown. No further information is available. The baby's experience has been captured in WAES 0902USA02182B1.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Urine human chorionic gonadotropin positive, Vasculitis
Clinical narrative: Information has been received from a nurse for the Pregnancy Registry for GARDASIL concerning a 21 year old female with no medical history or drug allergy who on 05-DEC-2008 was vaccinated with the second dose of GARDASIL (0947X). There was no concomitant medication. The patient's LMP was on 14-NOV-2008 and then the patient came into the clinic to receive the second dose of GARDASIL. Before the second dose of GARDASIL the patient was given a pregnancy test which came back negative and therefore the patient was given the second dose of GARDASIL. The patient came back into the clinic on 29-JAN 2009 and the patient found out she was pregnant. The nurse reported that the patient was approximately about a week to three weeks pregnant at the time she received the second dose of GARDASIL on 05-DEC-2008. No AE involved. The patient performed urine pregnancy test. The patient sought medical attention. Follow up information has been received from a registered nurse, concerning the patient with no illness at the time of vaccination or no pre-existing allergies or birth defects on 13-AUG-2008 received the first dose of GARDASIL and on 05-DEC-2008 AM received the second dose of GARDASIL IM on deltoid. The patient with 5 previous pregnancies had 1 full term delivery at 42 weeks from LMP, no pre-term delivery, 1 spontaneous abortions at 16 weeks from LMP, 3 elective terminations at unknown weeks from LMP and no fetal death. There was no birth defects in previous pregnancies. It was unknown if there any infant complications in previous pregnancies. Concomitant therapy included vitamins (unspecified). On 05-DEC-2008 the patient did a colposcopy pasts due for the second dose of GARDASIL. On 05-DEC-2008 pregnancy test was negative - specific gravity of urine was 1.025. The patient returned to office on 29-JAN-2009 and pregnancy test positive. On 23-MAR-2009 the patient did ultrasound for fetal structure scan and results indicated no abnormal findings. On 02-JUL-2009 the patient was treated with KEFLEX 500 mg 4 x/day for 7 days for infection and MONISTAT vaginal suppository x 7 days for yeast. And on 23-JUL-2009 the patient was treated with KEFLEX 500 mg 4 x/day for 7 days for infection. On 15-AUG-2009 the patient delivered a normal boy at 39 weeks from LMP. The boy weight 3628gm, length 15cm, Apgar score 8/9 and head circumference 33. The baby developed tachypnea and presumed sepsis. Course of IV antibiotics for 10 days, the baby was discharged on 25-AUG-2009. The patient developed perianal abscess/troakd during pregnancy. The patient developed severe chorioamnionitis, acute vasculitis and funisitis of umbilical cord during labor/delivery. All prenatal testing were normal during pregnancy. At the time of the report, the outcome of the patient was unknown. No further information is available. The baby's experience has been captured in WAES 0902USA02182B1.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pruritus generalised, Wheezing
Clinical narrative: The pt developed severe generalized itching, mild wheezing and HA within 30 min of receiving FLUZONE 0.5 ml IM on 10/2/09. The pt presented to ED and was given Albuterol hhn, ATROVENT hhn and BENADRYL 50 mg IV. Symptoms resolved.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Impaired work ability, Measles antibody positive, Pyrexia, Rash erythematous
Clinical narrative: - fever (100), chills, truncal rash, itchy, red - discontinued adalimumab  & methotrexate for 1 week and stayed home from work 1 week - rash c/w measles vaccine strain.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Rash pruritic
Clinical narrative: - fever (100), chills, truncal rash, itchy, red - discontinued adalimumab  & methotrexate for 1 week and stayed home from work 1 week - rash c/w measles vaccine strain.
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: Information has been received from a registered nurse concerning a male patient whose mother on 13-AUG-2008 received the first dose of GARDASIL and on 05-DEC-2008 AM received the second dose of GARDASIL IM on deltoid. The patient was delivered on 15-AUG-2009, at 39 weeks from LMP. The patient weight 3628gm, length 51cm, Apgar score 8/9 and head circumference 33. Subsequently the baby developed tachypnea and presumed sepsis and was hospitalized. Course of IV antibiotics for 10 days. The baby was discharged on 25-AUG-2009. At the time of the report the outcome of the patient was unknown. No further information is available. The mother's experience has been captured in WAES0902USA02182.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash erythematous, Rash pustular, Sciatica
Clinical narrative: Patient has dried pustules following sciatic nerve and red rash from waist-left buttock following sciatic nerve. Dx shingles-no pain pustules dried.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Epstein-Barr virus infection, Epstein-Barr virus test positive, Fatigue, Thyroid function test
Clinical narrative: Information has been received from a physician concerning an 18 year old female patient with fatigue, depression and insomnia who was vaccinated with the first, second and third dose of GARDASIL on 06-AUG-2007, 06-NOV-2007 and 04-MAR-2008 respectively. Concomitant therapy included ZOLOFT, SEROQUEL and maybe CORTEF. The physician reported that after the third dose vaccination with GARDASIL, the patient experienced chronic fatigue and EPSTEIN-BARR syndrome. The physician also reported that about two weeks after the vaccination, on approximately 18-MAR-2008, the patient was diagnosed with EPSTEIN-BARR syndrome. Thyroid test( results not provided) and EPSTEIN BARR test were performed. The EPSTEIN-BARR test was positive. The patient sought medical attention in the office. It was reported that the patient was unable to attend her last semester of high school due to fatigue. At the time of the report the patient had not recovered. All telephone attempts to obtain follow-up information have been unsuccessful. The patient's chronic fatigue and EPSTEIN BARR syndrome were considered to be disabling by the physician. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Adverse event, Disability, Impaired work ability
Clinical narrative: Information has been received from a consumer that read an article "maybe last summer" concerning a female patient who on an unspecified date was vaccinated with a dose of GARDASIL (route and lot # unknown) and she was "messed up". The consumer did not remember what specific adverse effects the patient experienced but the patient could no longer work. At time of this report the patient outcome was unknown. Mess up/adverse event was considered to be disabling. Attempts are being made to verify the existence of an identifiable patient and reporter. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Guillain-Barre syndrome
Clinical narrative: Information has been received from a physician concerning a patient who on an unspecified date, was vaccinated with ZOSTAVAX (Merck). The physician reported that on an unspecified date, the patient developed Guillain Barre Syndrome after received ZOSTAVAX (Merck). At the time of the report, the patient outcome was unknown. Upon internal review, Guillain Barre Syndrome was determined to be an other important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her 4 year old son with no medical history or drug allergies who on an unspecified date was vaccinated with his first 0.5ml MMR II (lot# not reported). There was no concomitant therapy. On an unspecified date the patient was diagnosed with autism. Unspecified medical attention was sought. At the time of the report, the patient had not recovered. Upon internal review, autism was determined to be an other important medical event. No further information is available.
Age: 21.0
Sex: F
Vaccine: ANTH, FLUX
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Syncope
Clinical narrative: SM was 5 wks pregnant when she received AVA #2. She was asked at time of vaccination if she was pregnant, but no testing was done. She found out later the same day she was pregnant when she was treated for a fainting spell. Symptoms: Amenorrhea.
Age: 52.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site reaction, Injection site urticaria, Malaise, Pyrexia
Clinical narrative: Patients reports a baseball-sized welt and localized reaction at the injection site. He has had fever x 3days and has not felt well. This was his first pneumonia vaccine.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Injection site pain, Oedema peripheral
Clinical narrative: Beginning about 6 to 7 hours after administration developed pain radiating from right arm from injection site, fingers of right hand became swollen. Swelling persisted into 12/22 with decreased strength of hand. Hand returned to normal 12/23 but still pain upper arm at site of injection.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Eyelid oedema, Lip swelling, Throat irritation
Clinical narrative: Pt c/o swelling of her upper lip and eyelids and scratching sensation in her throat when she swallows started 2 hrs after getting flu vaccine.
Age: 62.0
Sex: F
Vaccine: PPV, TDAP, VARZOS
Symptoms: Arthralgia, Dyspnoea, Impetigo, Myalgia, Rash erythematous
Clinical narrative: Evening of shot, pt had 3 x 6 cm zoster like rash with surrounding erythematous ----, also had SOB, joint/muscle pain and tactile fever, and honey crusted lesions of abdomen. All sx.
Age: 62.0
Sex: F
Vaccine: PPV, TDAP, VARZOS
Symptoms: Rash vesicular, Scab, Skin lesion, Skin warm, Urticaria
Clinical narrative: Evening of shot, pt had 3 x 6 cm zoster like rash with surrounding erythematous ----, also had SOB, joint/muscle pain and tactile fever, and honey crusted lesions of abdomen. All sx.
Age: 8.0
Sex: M
Vaccine: FLUN3
Symptoms: Body temperature increased, Computerised tomogram head, Erythema, Rash papular, Staphylococcal infection
Clinical narrative: Pt develop red raised pimples on checks; upper lip and chin approx - 7-8. No c/o pruritus or draining. Two days later pt developed 103 degrees - head scan 2 days. Pt assessed by PMD unsure if this is a virus - 12-15-09 MD diagnosed as staph infection.
Age: 0.34
Sex: F
Vaccine: DTAP, RV5
Symptoms: Gianotti-Crosti syndrome, Rash papular
Clinical narrative: Within 24 hrs of vaccine patient developed rash on buttocks, symmetrical, papular. Rash then spread to upper legs, anterior and behind knees within the next 24 hours. Rash consistent with Gianotti Crosti.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm vaccine is given 12/10/09. Patient returned 12/11/09 with redness and swelling to injection site.
Age: 15.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache
Clinical narrative: Headaches
Age: 17.0
Sex: F
Vaccine: FLUN3
Symptoms: Sneezing
Clinical narrative: Sneezing.
Age: 14.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Headache
Clinical narrative: Headache.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Apparent life threatening event, Bradycardia, Cardiovascular insufficiency, Heart rate abnormal, Hypotonia
Clinical narrative: Pt became lethargic and pale 5 minutes after vaccines; hypotonic, bradycardic. EMS activated. Started on O2 and stimulated baby. Transferred to ER then to tertiary care.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Hypotonic-hyporesponsive episode, Immediate post-injection reaction, Lethargy, Pallor, Pneumocardiogram
Clinical narrative: Pt became lethargic and pale 5 minutes after vaccines; hypotonic, bradycardic. EMS activated. Started on O2 and stimulated baby. Transferred to ER then to tertiary care.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Nausea, Pyrexia
Clinical narrative: 3 AM after receiving vaccine pt woke having an asthma attack-used her inhaler-had a fever of 101.5-used cool compress-also nauseated- talked with her 12/22 730pm- doing fine now.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Cough, Influenza, Malaise, Pain
Clinical narrative: Flu symptoms 1 day later achy malaise and cough.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Balance disorder, Gait disturbance, Headache, Impaired work ability
Clinical narrative: Initial report received from a consumer who is also a health care professional on 14 Dec 2009. This patient received Fluvirin(H1N1 influenza virus vaccine) first dose for immunization against swine flu on 30 Oct 2009. The patient reported that three days following vaccination, the patient developed serious reactions like general weakness, gait abnormality and loss of balance. The patient did not have any medical history of asthma or immunosuppression. The patient contacted his ENT specialist to inquire whether it was related to ear ache or vestibular nerve damage. The ENT specialist prescribed Methyl Prednisolone (manufacturer unknown) and ear drops with Diazepam (manufacturer unknown). The patient's condition improved for a few days but the symptoms reappeared again with loss of balance (gait problems), because of which he could hardly walk without support. The patient contacted a neurologist who assessed that the reaction as related to the swine flu vaccine. The patient's condition remained the same for almost four weeks. Recently the patient also presented with mild headache on both side of tempo parietal region. The patient also reported that because of the illness he switched to part time job. The  patient expressed his concerns for immediate treatment since he may develop neurological deficits if untreated.
Age: 49.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Injection site erythema, Injection site warmth, Pain, Swelling
Clinical narrative: Pt reports pain and swelling began approximately 5 days after receiving influenza vaccine. Pt did have other multiple ailments. R delt 15x10 cm erythema heat. Front pains wrist and knee
Age: 3.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Cough, Dyspnoea, Pyrexia
Clinical narrative: Eleven days and 10 days after #1 and #2 FLUMIST, developed hard barking cough in early AM hours. Fever up to 101 degrees at highest. No body aches, HA. PMD. Breathing tx's initiated, TID x 2 days, then BID x 2 days. Client recovered after 4 days. No further tx or medication needed. Like breathing "through a straw". No other family members ill.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site swelling, Pruritus generalised, Urticaria
Clinical narrative: Itching all over, swelling and bruising at vaccine site, 1 day later small hives over body with itching. Call her Doctor, advised BENADRYL.
Age: 23.0
Sex: M
Vaccine: MNQ
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Had MCV4 vaccine on 8Dec 09; that same day began feeling sick- felt hot, feverish, swollen neck glands, red/swollen/tender deltoid at injection site. Area red + swollen 5 inches in diameter. Rx: TYELENOL/MOTRIN cool compression.
Age: 23.0
Sex: M
Vaccine: MNQ
Symptoms: Malaise, Pyrexia
Clinical narrative: Had MCV4 vaccine on 8Dec 09; that same day began feeling sick- felt hot, feverish, swollen neck glands, red/swollen/tender deltoid at injection site. Area red + swollen 5 inches in diameter. Rx: TYELENOL/MOTRIN cool compression.
Age: 40.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Feeling hot, Headache, Injection site erythema, Injection site pain
Clinical narrative: Patient returned 2 days after MCV4 vaccine with c/o redness, swelling and pain to injection site. Also had aching into entire left shoulder and upper left body. Felt hot, had headache & lightheaded. Tx-Tylenol, Motrin, cool packs- report to ER if worse.
Age: 40.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site swelling, Pain
Clinical narrative: Patient returned 2 days after MCV4 vaccine with c/o redness, swelling and pain to injection site. Also had aching into entire left shoulder and upper left body. Felt hot, had headache & lightheaded. Tx-Tylenol, Motrin, cool packs- report to ER if worse.
Sex: F
Vaccine: FLU3
Symptoms: Body tinea, Pruritus
Clinical narrative: Ring worm type sores 3-four days after injection. Itching and continues breakouts for two weeks.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Pallor
Clinical narrative: After giving both vaccines, pt became dizzy, skin pale & clammy. BP 80/60, P 64. Placed in lying position with legs & feet elevated. BP 84/60 (5 minutes later). Pt given cold water to drink. Said she had not had food this a.m. BP 100/64, P75. Pulse OX 98. Pt feeling better within 10" of incident, given PB crackers to eat. Did not want to go home when offered.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 11.0
Sex: F
Vaccine: FLUN3
Symptoms: Epistaxis
Clinical narrative: Child states she had a small nosebleed after receiving the nasal mist. Upon assessment there is no visible blood in either nare.
Age: 1.03
Sex: U
Vaccine: FLU3, MMR, VARCEL
Symptoms: Generalised erythema, Pyrexia, Rash, Upper respiratory tract infection
Clinical narrative: Fever -  low grade temperature and erythematous generalized, clairaudant exanthema from face to trunk / extremities,  more prominent on trunk. He also had an URI since 12/13/09. Patient seen today (12/17/09).
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Rash erythematous, Skin discolouration, Skin irritation, Swelling
Clinical narrative: Received shingles vaccine 11/27/2009, developed a painful irritated rash on left side of forehead-now with new area on left temporal area, rash red, raised, purple.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Antibody test positive, Urticaria chronic
Clinical narrative: Had flu shot by CSL preservative free, two days later developed what is now chronic urticaria.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Eye pain, Injection site swelling, Pain
Clinical narrative: SX: Chills, body aches, "eye' aches, fever 102 degrees swelling at injection. - Urgent care diagnosed as cellulitis. - Patient received IV antibiotics and subsequent oral antibiotics.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: SX: Chills, body aches, "eye' aches, fever 102 degrees swelling at injection. - Urgent care diagnosed as cellulitis. - Patient received IV antibiotics and subsequent oral antibiotics.
Age: 7.0
Sex: M
Vaccine: UNK
Symptoms: Body temperature increased
Clinical narrative: Temp 103.2.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dyskinesia, Feeling abnormal, Feeling cold, Malaise
Clinical narrative: Noted vertigo with change in head or body position.  Increased when head was tilted back or especially when first lying down, the room would spin for a few seconds and then it would stop.  If I tilted my head back, I could not keep it back long enough to see if it would resolve without feeling sick or feeling like I would fall.  Although I feel like the vertigo has resolved, I still don't feel like myself, stiff neck, chilling, lack of energy.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal stiffness, Vertigo
Clinical narrative: Noted vertigo with change in head or body position.  Increased when head was tilted back or especially when first lying down, the room would spin for a few seconds and then it would stop.  If I tilted my head back, I could not keep it back long enough to see if it would resolve without feeling sick or feeling like I would fall.  Although I feel like the vertigo has resolved, I still don't feel like myself, stiff neck, chilling, lack of energy.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea, Nausea, Oropharyngeal pain
Clinical narrative: Pt stated that she has tightness of chest, sore throat and difficulty with breathing while waiting 15 mins after receiving HINI vaccine. She was alert and oriented, complaiined of nausea with no vomiting. She denies fever, chills or diarrhea. Epi-pen injected. EMS arrived on scene for transport within 6 mins of Epi-pen administration. Pt transported to L & M Hospital by ambulance.
Age: 47.0
Sex: M
Vaccine: MMR, TD
Symptoms: Chest pain, Dysphagia, Electrocardiogram, Laboratory test, Lymphadenopathy
Clinical narrative: States throat and glands began swelling about 24 hours after receiving a MMR vaccine. Difficulty swallowing and eating. No fever but complains of throat burning and pain or hurting in chest area.
Age: 47.0
Sex: M
Vaccine: MMR, TD
Symptoms: Pharyngeal oedema, Throat irritation
Clinical narrative: States throat and glands began swelling about 24 hours after receiving a MMR vaccine. Difficulty swallowing and eating. No fever but complains of throat burning and pain or hurting in chest area.
Age: 1.25
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: O.5ml Fluzone in prefilled syringe was administered to an infant. Packaging and labeling look alike.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1), FLUX
Symptoms: Lip swelling, Muscle twitching, Paraesthesia, Pruritus
Clinical narrative: 30 minutes after injection had tingling in face, muscle twitching in face, and swelling on one side of the upper lip Some itching experienced that evening All symptoms resolved without treatment
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea, Pain in extremity
Clinical narrative: diaphoresis,chills,dizzy,nausea,arm soreness and became erythematous.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Rash erythematous
Clinical narrative: diaphoresis,chills,dizzy,nausea,arm soreness and became erythematous.
Age: 70.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Hypokinesia
Clinical narrative: decreased use of extremities and unable to sip from a straw. was Diagnosed with Gillian Barre syndrome.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Confusional state, Dizziness, Heart rate decreased, Hypotension, Loss of consciousness
Clinical narrative: Patient after having shot felt dizzy and nausea afterwards. She passed out in waiting room. She was brought back and laid down on bed. Blood pressure at that time 55/35 and pulse was 35. She was confused and stuperous. Patients color was very pale but eventually returned to pink after several mins and back to normal color after about 6-7 mins. Blood pressure increased to 88/55 and pulse was up to 70. After 20 mins of patient laying down she was able to sit up and carry on conversations as well as walk without difficulty. This was patients 2nd HPV and advised to not have 3rd HPV due to the reaction.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pallor, Skin discolouration, Stupor
Clinical narrative: Patient after having shot felt dizzy and nausea afterwards. She passed out in waiting room. She was brought back and laid down on bed. Blood pressure at that time 55/35 and pulse was 35. She was confused and stuperous. Patients color was very pale but eventually returned to pink after several mins and back to normal color after about 6-7 mins. Blood pressure increased to 88/55 and pulse was up to 70. After 20 mins of patient laying down she was able to sit up and carry on conversations as well as walk without difficulty. This was patients 2nd HPV and advised to not have 3rd HPV due to the reaction.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Nausea
Clinical narrative: Headache, then chills/fever; bouts of nausea; pain at the sight; joint pain and pain in R side. Symptoms seemed to peak @ 8:00 AM 12/29/2009, with fever slightly in excess of 102.  Treated somewhat effectively with ibuprofen.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Pyrexia
Clinical narrative: Headache, then chills/fever; bouts of nausea; pain at the sight; joint pain and pain in R side. Symptoms seemed to peak @ 8:00 AM 12/29/2009, with fever slightly in excess of 102.  Treated somewhat effectively with ibuprofen.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Arthralgia, Joint swelling, Rheumatoid arthritis, Surgery
Clinical narrative: Rheumatoid Arthritis starting in left food then going to the other foot. Can't walk. On medication with predisone, methotrexate. Symptoms started small now pain and severe chronic swelling in ankles. MRI and surgery showed no signs of injury.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Injection site swelling, Irritability, Musculoskeletal stiffness, Pertussis, Screaming
Clinical narrative: 12/29/2009 4:07:54 PM > had WCC and shots today at 1100.  Mom states that she was fussy just prior to shots being given.  Vomited x 4 since getting home (not just spit up), Right is swollen around injection site & seems very stiff (Pentacel given in this leg).  No fever.  Very irritable and not resting (I can hear her screaming while in another room). 12/29/2009 4:27:14 PM > apparent pertussis reaction with irritability after vaccination.  Recommend Tylenol at 0.6 cc of the infant drops every 4 hours around-the-clock x 24 hours.  Recommend lukewarm baths to help sooth the child.  Pedialyte p.r.n. this evening and advanced to regular feedings by tomorrow. 12/29/2009 4:34:59 PM > advised mom of MD rec, VU.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Vomiting
Clinical narrative: 12/29/2009 4:07:54 PM > had WCC and shots today at 1100.  Mom states that she was fussy just prior to shots being given.  Vomited x 4 since getting home (not just spit up), Right is swollen around injection site & seems very stiff (Pentacel given in this leg).  No fever.  Very irritable and not resting (I can hear her screaming while in another room). 12/29/2009 4:27:14 PM > apparent pertussis reaction with irritability after vaccination.  Recommend Tylenol at 0.6 cc of the infant drops every 4 hours around-the-clock x 24 hours.  Recommend lukewarm baths to help sooth the child.  Pedialyte p.r.n. this evening and advanced to regular feedings by tomorrow. 12/29/2009 4:34:59 PM > advised mom of MD rec, VU.
Age: 24.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives Time unknown Treated with antihistamines
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash erythematous, Skin warm
Clinical narrative: LOCAL REDNESS/RASH APPROX. 50-120 mm. NO PAIN, LOCAL ITCHING AND WARM TO TOUCH.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash generalised
Clinical narrative: generalized rash-bilat arms, chest and upper thigh. scattered not focal.
Age: 74.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Chills, Decreased appetite, Dyspnoea, Urticaria
Clinical narrative: Chills, joint pain, loss of appetite, hives, breathing problems, shortness of breath
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash pruritic
Clinical narrative: RASH ON BACK THEN SPREAD TO CHEST, STOMACH, ARMS AND NECK. VERY ITCHY.
Age: 57.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Ear congestion, Headache, Sinus headache, Tinnitus
Clinical narrative: Severe sinus pressure and headache. Pressure feeling in ears, fluttering in ears.
Age: 35.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Pain in extremity, Swelling face
Clinical narrative: Aching in both of her arms, swelling in her face and some loose bowel.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Convulsion
Clinical narrative: Seizure.
Age: 45.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Hives to trunk and extremities 12-26-09. Treated w/BENADRYL and prednisone taper.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Chills, Flushing, Nausea, Ocular hyperaemia, Pharyngeal oedema
Clinical narrative: Seasonal and H1N1 influenza immunizations given is separate upper extremities at 1340. Pt was observed for 30 min in clinic with no noticed side effects. both injection sites were negative for redness or induration. 1900 - Pt felt flushed, nauseated, red eyes. 2000 chills noticed tongue swelling throat swelling. BENADRYL x2 with not help. 2230 Pt went to ER - 500ml Fluid, SOLUMEDROL 125mg IV, epinephrine 1:1000 0.3 ml IM, TAGAMET 300mg IV, prednisone 40mg po x5 days. 12/29/09 itching.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Pruritus, Swollen tongue
Clinical narrative: Seasonal and H1N1 influenza immunizations given is separate upper extremities at 1340. Pt was observed for 30 min in clinic with no noticed side effects. both injection sites were negative for redness or induration. 1900 - Pt felt flushed, nauseated, red eyes. 2000 chills noticed tongue swelling throat swelling. BENADRYL x2 with not help. 2230 Pt went to ER - 500ml Fluid, SOLUMEDROL 125mg IV, epinephrine 1:1000 0.3 ml IM, TAGAMET 300mg IV, prednisone 40mg po x5 days. 12/29/09 itching.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dizziness postural, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received H1N1 vaccine approx 9:40 AM on 12/24/09. Once the patient stood up, patient felt dizzy. R.PH told her to sit down. 5 min later, R.PH gave her some water. Approx. 10 min later, R.PH checked on her. Patient felt just a little lightheaded and area of injection was red, bit swollen, and warm. RPH brought out Blood pressure monitor. Got 3 readings. Last reading was 124/107 at 10:32 AM. Pt refused epipen and will be taking BENADRYL.
Age: 43.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient received H1N1 and was instructed to wait 10 minutes. He and his dad waited in waiting room. Few minutes passed and yelled out to me b/c he was feeling dizzy, went over to check on him. Dad said that he passed out 1-2 minutes. Patient just felt sweaty. Patient had no breakfast and was a bit anxious about the shot. Took blood pressure and it was good. Patient would be with parents all day. He ate and said he was cool so patient was under blankets. Dad took blood pressure again at home and it was low. No symptoms otherwise. Dad was instructed to see/take him to a doctor if the patient felt different.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blister, Condition aggravated, Eye pain, Fatigue
Clinical narrative: Triggered severe Ramsay Hunt flare-up - floating H/A, pain eyes, blisters face, Rt neck hardened, decreased ROM, lethargy and fatigue; invaded blood vessels brain - severe livedo, decreased mental function, abn gait, loss core strength.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Gait disturbance, Headache, Herpes zoster oticus, Induration, Joint range of motion decreased
Clinical narrative: Triggered severe Ramsay Hunt flare-up - floating H/A, pain eyes, blisters face, Rt neck hardened, decreased ROM, lethargy and fatigue; invaded blood vessels brain - severe livedo, decreased mental function, abn gait, loss core strength.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Lethargy, Livedo reticularis, Mental impairment, Nuclear magnetic resonance imaging brain abnormal, Vascular injury
Clinical narrative: Triggered severe Ramsay Hunt flare-up - floating H/A, pain eyes, blisters face, Rt neck hardened, decreased ROM, lethargy and fatigue; invaded blood vessels brain - severe livedo, decreased mental function, abn gait, loss core strength.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Neuralgia
Clinical narrative: Got vaccine on 11/19/09 in Right Deltoid. On 11/27/09 patient broke out with a shingles rash on right torso and right leg. Is still recovering from rash and has nerve pain.
Age: 62.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Cellulitis, Erythema, Injection site cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Entire right arm hot, red with sharp demarcation of erythema consistently with cellulitis (right arm).
Age: 62.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Skin warm
Clinical narrative: Entire right arm hot, red with sharp demarcation of erythema consistently with cellulitis (right arm).
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema multiforme
Clinical narrative: Erythema multiforme appearing 48 hours after seasonal flu shot.
Age: 54.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: DIZZINESS, HEADACHE, NAUSEA, WEAKNESS, FATIGUE.
Age: 0.5
Sex: M
Vaccine: DTAP
Symptoms: Allergy test negative, Blood immunoglobulin E, Eczema, Erythema, Rash
Clinical narrative: The patient developed a rash on abdomen and behind knees. This was not seen by physician. It resolved in a few days. On 5/21/2009 The patient received another immunization (Prevnar) and had another episode of rash that according to mother was the same. This was seen be me, and was noted to be rough red plaques in popliteal fossae and on abdomen. No urticaria or target lesions. This rash also resolved after a few days. He had it again when he received his next Prevnar, 11/11/09. He has had allergy testing which was negative. He has also had some episodes of eczema without vaccine trigger. The allergist suggested that it was possible that aluminum adjuvant might have triggered the eczema-like rash, but did not consider this to be a contraindication for further immunizations. I am submitting this report at parents' request.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site nodule, Pain in extremity
Clinical narrative: Lump in the right arm. Told her to alternately apply heat and cold. And take advil. On 12/29/2009 reported her arm is still sore. she does not have full movement. Asked her what the Physcian said. She has not seen one. And requested we pay for it.
Age: 0.52
Sex: M
Vaccine: DTAPHEPBIP, FLU(H1N1), FLU3, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives developed on his face approximately 20 min following administration of vaccines. He was given 3ml of Benadryl, and hives resolved within 20 min.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Antinuclear antibody positive, Arthritis, Blood creatine phosphokinase normal, Blood uric acid normal, Borrelia burgdorferi serology negative
Clinical narrative: Woke up 11 days after TDaP vaccine with acute symmetrical arthritis in jaw, shoulders, hips, hands, feet, then moved into neck after 2 months. Taking Prednisone and pain medication, but after 2 months, prednisone lost its effectiveness at 10mg, upped dose to 12.5mg, but not working. Have Dr. Appt this week again with rheumatologist.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: C-reactive protein increased, Chest X-ray normal, Complement factor C3, Complement factor C4, Full blood count normal
Clinical narrative: Woke up 11 days after TDaP vaccine with acute symmetrical arthritis in jaw, shoulders, hips, hands, feet, then moved into neck after 2 months. Taking Prednisone and pain medication, but after 2 months, prednisone lost its effectiveness at 10mg, upped dose to 12.5mg, but not working. Have Dr. Appt this week again with rheumatologist.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Glomerular filtration rate normal, HLA marker study, Hepatitis A antibody negative, Hepatitis B antibody negative, Hepatitis C antibody negative
Clinical narrative: Woke up 11 days after TDaP vaccine with acute symmetrical arthritis in jaw, shoulders, hips, hands, feet, then moved into neck after 2 months. Taking Prednisone and pain medication, but after 2 months, prednisone lost its effectiveness at 10mg, upped dose to 12.5mg, but not working. Have Dr. Appt this week again with rheumatologist.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Laboratory test normal, Metabolic function test, Parvovirus B19 serology negative, Polyarthritis, Red blood cell sedimentation rate normal
Clinical narrative: Woke up 11 days after TDaP vaccine with acute symmetrical arthritis in jaw, shoulders, hips, hands, feet, then moved into neck after 2 months. Taking Prednisone and pain medication, but after 2 months, prednisone lost its effectiveness at 10mg, upped dose to 12.5mg, but not working. Have Dr. Appt this week again with rheumatologist.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Rheumatoid factor negative, Serum ferritin normal, Thyroid function test normal, Urine analysis normal, X-ray normal
Clinical narrative: Woke up 11 days after TDaP vaccine with acute symmetrical arthritis in jaw, shoulders, hips, hands, feet, then moved into neck after 2 months. Taking Prednisone and pain medication, but after 2 months, prednisone lost its effectiveness at 10mg, upped dose to 12.5mg, but not working. Have Dr. Appt this week again with rheumatologist.
Age: 1.08
Sex: F
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: 105 degree fever
Age: 43.0
Sex: M
Vaccine: FLU(H1N1), HEP, TD
Symptoms: Platelet count decreased, Thrombocytopenia
Clinical narrative: thrombocytopenia (platelet count = 98 / microliter on 11/10/09)
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Asthenia, Blood pressure increased, Chills, Dry mouth, Fatigue
Clinical narrative: Pt received H1N1 injection at 2:45p. Went to unit to work. Became SOB, sweaty, anxious, weak. O2 given. 911 called. transported to ER as we have no ER at this hospital.
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Headache, Heart rate increased, Increased appetite, Movement disorder, Nasopharyngitis
Clinical narrative: Pt received H1N1 injection at 2:45p. Went to unit to work. Became SOB, sweaty, anxious, weak. O2 given. 911 called. transported to ER as we have no ER at this hospital.
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Paraesthesia, Respiration abnormal, Tremor
Clinical narrative: Pt received H1N1 injection at 2:45p. Went to unit to work. Became SOB, sweaty, anxious, weak. O2 given. 911 called. transported to ER as we have no ER at this hospital.
Age: 49.0
Sex: F
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Anxiety, Asthenia, Dyspnoea, Hyperhidrosis
Clinical narrative: Pt received H1N1 injection at 2:45p. Went to unit to work. Became SOB, sweaty, anxious, weak. O2 given. 911 called. transported to ER as we have no ER at this hospital.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Hypoaesthesia, Muscular weakness
Clinical narrative: Student reported @ 1400 arm soreness @ injection site, weakness, and SOA. Additionally reported decreased sensation in hands/fingers. Monitored breathing and neuro status every 15-20 mins along VS. VS WNL @ all X's. Improvement in breathing and neuro noted before leaving school with dad @ 1515.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Coordination abnormal, Dyspnoea, Gait disturbance, Hypoaesthesia
Clinical narrative: Student reported @ 1400 arm soreness @ injection site, weakness, and SOA. Additionally reported decreased sensation in hands/fingers. Monitored breathing and neuro status every 15-20 mins along VS. VS WNL @ all X's. Improvement in breathing and neuro noted before leaving school with dad @ 1515.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Muscular weakness
Clinical narrative: Student reported @ 1400 arm soreness @ injection site, weakness, and SOA. Additionally reported decreased sensation in hands/fingers. Monitored breathing and neuro status every 15-20 mins along VS. VS WNL @ all X's. Improvement in breathing and neuro noted before leaving school with dad @ 1515.
Age: 17.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Dyspnoea, Injection site pain, Sensory loss
Clinical narrative: Student reported @ 1400 arm soreness @ injection site, weakness, and SOA. Additionally reported decreased sensation in hands/fingers. Monitored breathing and neuro status every 15-20 mins along VS. VS WNL @ all X's. Improvement in breathing and neuro noted before leaving school with dad @ 1515.
Age: 37.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Food allergy, Urticaria
Clinical narrative: Hives, localized systemic reaction trunk back and arms
Age: 37.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Urticaria
Clinical narrative: Hives, localized systemic reaction trunk back and arms
Age: 39.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Facial palsy, Formication, Muscle twitching, Tension
Clinical narrative: Muscles got tense and a creepy crawly sensations around the arm and up the shoulder and around to the back. Next day my eye was twitching. The next day I developed Bells Palsy. It was confirmed by my doctor who gave me meds and I have a referral to the neurologist Jan. 21st.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Bed rest, Drug exposure during pregnancy, Dyspnoea, Headache
Clinical narrative: Severe headache, then about half hour later shortness of breath, the shortness of breath left after a couple of days but my headaches were off and on till I miscarried a couple weeks later, I called my obgyn they told me to call the regular doctor I see, then they told me they couldn't do anything to call where I recieved the vaccine so I tried to call the health dept. that same day up until they closed and their line stayed busy so I finally gave up and took Tylenol, when I started spotting on Nov. 21, 2009 and was took to the E.R. I even told them about my reaction but got no response thats the night I found out of a threatened miscarriage and was put on bedrest.   12/30/09:  Obstetrical records received for date of service 11/02/09 to 12/9/09. Dx:  Missed abortion.  Gravida 4, Para 3, EDC 6/15/10 experienced a missed abortion at 11 weeks EGA, no fetal heart tones were noted on OB US.  Underwent a D & C.  Also c/o SOB at rest after H1N1 vaccine, worse with exertion.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vaginal haemorrhage
Clinical narrative: Severe headache, then about half hour later shortness of breath, the shortness of breath left after a couple of days but my headaches were off and on till I miscarried a couple weeks later, I called my obgyn they told me to call the regular doctor I see, then they told me they couldn't do anything to call where I recieved the vaccine so I tried to call the health dept. that same day up until they closed and their line stayed busy so I finally gave up and took Tylenol, when I started spotting on Nov. 21, 2009 and was took to the E.R. I even told them about my reaction but got no response thats the night I found out of a threatened miscarriage and was put on bedrest.   12/30/09:  Obstetrical records received for date of service 11/02/09 to 12/9/09. Dx:  Missed abortion.  Gravida 4, Para 3, EDC 6/15/10 experienced a missed abortion at 11 weeks EGA, no fetal heart tones were noted on OB US.  Underwent a D & C.  Also c/o SOB at rest after H1N1 vaccine, worse with exertion.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Abdominal pain upper, Diarrhoea
Clinical narrative: I started having severe abdominal pain that lasted for hours. After 45 minutes I had diarrhea and felt somewhat better but still had stomach pains. Having Celiac Sprue I was not certain of the ingredients in the vaccine as I know I did not get contaminated during the day. I can only attribute it to the H1N1 shot I received yesterday afternoon.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Antinuclear antibody positive, Autoimmune disorder, Coordination abnormal, Decreased appetite, Disturbance in attention
Clinical narrative: I am continuing to experience autoimmune responses from the H1N1 vaccine that I received on 12/7/09.  These symptoms include:  dry eyes, muscle fatigue, swollen/heavy feeling face and neck, loss of appetite, difficulty concentrating/sleeping, tingling numbness in feet and hands/arms, some loss of coordination, jitteriness (difficulty sitting still), different smelling urine, and generally feeling very unwell.  These symptoms have persisted for 3.5 weeks now.  I did not have any of these symptoms prior to receiving this vaccine on 12/7/09.  In fact, the symptoms started just hours after receiving the vaccine, and they continued to get worse.  Prior to this, I was a very busy mother of 3, working part-time, biking up to 20 miles/day, etc. I have had a number of tests, including a CT Scan, 4 blood tests, and a spinal tap.  The results so far are suggestive of Systemic Lupus and Sjogren's Syndrome.  2 ANA tests show titers of 160:1, and 80:1, with homogeneous and speckled patterns.  The Sjogren's SS-B value is 3.8.  I am following up with a rheumatologist, but I cannot get an appointment until mid-late January.  I am hoping that I will not have long-term systemic damage from this while I am waiting.