chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HPV4
Symptoms: Headache, Laboratory test normal, Nuclear magnetic resonance imaging brain normal, Occipital neuralgia, Stress
Clinical narrative: This spontaneous report was received from a physician regarding a female patient of unknown age. No medical history and concurrent conditions were reported. On 04-NOV-2014, the patient was vaccinated with the first dose of GARDASIL (dose and frequency were unknown). On 13-JAN-2015, the patient was vaccinated with second dose of GARDASIL. On an unspecified date in 2015 after vaccination with the second dose of GARDASIL, the patient experienced occasional headaches and abdominal pain. On 23-MAY-2015, the patient was presented with viral gastritis. On 26-MAY-2015, the patient was vaccinated with the third dose of GARDASIL. After vaccinated with the third dose, the patient reported increased in the occasional headaches and abdominal pain. The patient's mother stated that "all hell broke loose" after the third dose. The patient's mother also reported that the patient's abdominal pain become so severe that she spent a lot of time in the fetal position to ease the pain and the headaches became dehabilitating. The patient was taken to several physicians included a neurologist, gastroenterologist, and a pediatric surgeon. The physician noted that the patient had many diagnostic tests completed including abdominal ultrasound, blood work and MRI of the brain and all were reported to be within normal limits. On an unspecified date in 2015, the patient had undergone abdominal CT scan which showed constipation. The patient began a gluten free diet (date unspecified), although her celiac test was negative on 08-JUN-2015. This diet improved the abdominal symptoms although if the patient does intake a food product with gluten, the abdominal pain was back and the patient has brain fog. On an unspecified date in 2015, the patient visited the pediatric neurologist and was diagnosed with occipital neuralgia. Treatment provided to the patient for occipital neuralgia included TOPAMAX. The patient was under the care of the homeopathic physician who diagnosed the patient "leaky gut syndrome". On an unspecified date in 2015, the patient's gynecologist diagnosed the patient with amenorrhea, however, the gynecologist suggested that this was secondary due to stress. The physician also noted the patient's hair was thinning as well. Additionally the physician also mentioned that the only other related occurrence during this time frame- was a bout of viral gastritis diagnosed on 23-MAY-2015. The outcome of all the events was reported as not recovered. The relatedness of all the events with GARDASIL was not reported. No product quality complaint was reported. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound abdomen normal
Clinical narrative: This spontaneous report was received from a physician regarding a female patient of unknown age. No medical history and concurrent conditions were reported. On 04-NOV-2014, the patient was vaccinated with the first dose of GARDASIL (dose and frequency were unknown). On 13-JAN-2015, the patient was vaccinated with second dose of GARDASIL. On an unspecified date in 2015 after vaccination with the second dose of GARDASIL, the patient experienced occasional headaches and abdominal pain. On 23-MAY-2015, the patient was presented with viral gastritis. On 26-MAY-2015, the patient was vaccinated with the third dose of GARDASIL. After vaccinated with the third dose, the patient reported increased in the occasional headaches and abdominal pain. The patient's mother stated that "all hell broke loose" after the third dose. The patient's mother also reported that the patient's abdominal pain become so severe that she spent a lot of time in the fetal position to ease the pain and the headaches became dehabilitating. The patient was taken to several physicians included a neurologist, gastroenterologist, and a pediatric surgeon. The physician noted that the patient had many diagnostic tests completed including abdominal ultrasound, blood work and MRI of the brain and all were reported to be within normal limits. On an unspecified date in 2015, the patient had undergone abdominal CT scan which showed constipation. The patient began a gluten free diet (date unspecified), although her celiac test was negative on 08-JUN-2015. This diet improved the abdominal symptoms although if the patient does intake a food product with gluten, the abdominal pain was back and the patient has brain fog. On an unspecified date in 2015, the patient visited the pediatric neurologist and was diagnosed with occipital neuralgia. Treatment provided to the patient for occipital neuralgia included TOPAMAX. The patient was under the care of the homeopathic physician who diagnosed the patient "leaky gut syndrome". On an unspecified date in 2015, the patient's gynecologist diagnosed the patient with amenorrhea, however, the gynecologist suggested that this was secondary due to stress. The physician also noted the patient's hair was thinning as well. Additionally the physician also mentioned that the only other related occurrence during this time frame- was a bout of viral gastritis diagnosed on 23-MAY-2015. The outcome of all the events was reported as not recovered. The relatedness of all the events with GARDASIL was not reported. No product quality complaint was reported. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a nurse refers to a patient of unknown age and gender. The patient was administered the three doses in the GARDASIL series on 28-AUG-2015, 30-OCT-2015 and 01-DEC-2015 respectively. The timing between the second and third doses was outside the labeled recommendations in the GARDASIL prescribing information. No adverse effect was reported. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Pneumonia pneumococcal
Clinical narrative: This spontaneous report as received from a pharmacist via Pfizer field representative refers to a female patient of unknown age. The patient's medical history and concurrent condition were not reported. On an unknown date approximately in August 2015 (also reported as "about tow months ago")/September 2015, the patient was vaccinated with a dose of PNEUMOVAX 23/PNEUMOVAX or PREVENAR 13 (concentration, dose, route of administration and lot number were not reported). The reporting pharmacist was not sure which vaccine was administered: PNEUMOVAX 23/PNEUMOVAX or PREVENAR 13. No concomitant medication was reported. On an unknown date in September 2015 (reported as "two months ago"), after receiving the vaccine, the patient experienced pneumococcal pneumonia. The outcome of the event was unknown. The relatedness between the event and PNEUMOVAX 23/PNEUMOVAX was not reported. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: FLUC3, HEP
Symptoms: Rash, Rash erythematous, Rash generalised
Clinical narrative: Fine generalized red rash over face arms and trunk.
Age: 49.0
Sex: M
Vaccine: FLUC3
Symptoms: Guillain-Barre syndrome, Neurological symptom
Clinical narrative: Case number PHHY2015US159838, is an initial literature report received on 24 Nov 2015. The author assessed the adverse events after FLUCELVAX reported to the Vaccine Adverse Events Reporting System (VAERS). This report refers to a 49-year-old male patient. Medical history was not reported. Concomitant medication was not reported. The patient was vaccinated with FLUCELVAX (batch number: not reported) on an unknown date. Six days after vaccination, the patient had onset of neurological symptoms described as Guillain-Barre syndrome (GBS). Final outcome of the event was not reported. The author considered the report to be serious and met Brighton level criteria 1. The author stated that during the first two influenza seasons (2013/2014 and 2014/2015) following licensure of FLUCELVAX, approximately 5.6 million doses of vaccine were distributed in a specific country and the crude reporting rate for GBS cases was 0.7 per million doses distributed. Moreover, there was no disproportionate reporting for GBS was observed in the present study using Empirical Bayesian (EB) data mining. The author concluded the article stating that the review of VAERS reports did not identify any concerning pattern of adverse events after FLUCELVAX. Injection site and systemic reactions were the most commonly reported adverse events. Reports following FLUCELVAX in persons less than 18 years highlight the need for education of healthcare providers regarding approved FLUCELVAX use.
Age: 1.2
Sex: U
Vaccine: VARCEL, HEPA, MMR, VARCEL
Symptoms: Laboratory test, Malaise, Skin lesion
Clinical narrative: Information has been received from a medical assistant referring to a 14 month old patient of unknown gender. The patient had no drug reaction/allergies. On 26-OCT-2015 the patient was vaccinated with a dose of VARIVAX (Merck) (lot # L007226 with expired date 17-MAR-2017, subcutaneous). No concomitant medication was taken. On an unknown date in 2015, the patient had been sick and was admitted to a hospital. On 01-NOV-2015, the patient developed a lesion in an unspecified area right before discharge. An option to test the lesion was given and performed on an unspecified date. The test result for the lesion was still pending. No treatment was given. Varicella zoster virus (VZV) packet was declined. At the time of reporting, the patient was recovering. Additional information has been requested.
Age: 1.2
Sex: U
Vaccine: VARCEL, HEPA, MMR, VARCEL
Symptoms: Acute respiratory distress syndrome, Cough, Genital lesion, Intensive care, Mechanical ventilation
Clinical narrative: Information has been received from a medical assistant referring to a 14 month old patient of unknown gender. The patient had no drug reaction/allergies. On 26-OCT-2015 the patient was vaccinated with a dose of VARIVAX (Merck) (lot # L007226 with expired date 17-MAR-2017, subcutaneous). No concomitant medication was taken. On an unknown date in 2015, the patient had been sick and was admitted to a hospital. On 01-NOV-2015, the patient developed a lesion in an unspecified area right before discharge. An option to test the lesion was given and performed on an unspecified date. The test result for the lesion was still pending. No treatment was given. Varicella zoster virus (VZV) packet was declined. At the time of reporting, the patient was recovering. Additional information has been requested.
Age: 1.2
Sex: U
Vaccine: VARCEL, HEPA, MMR, VARCEL
Symptoms: Pneumomediastinum, Pneumothorax, Polymerase chain reaction positive, Pyrexia, Rash papular
Clinical narrative: Information has been received from a medical assistant referring to a 14 month old patient of unknown gender. The patient had no drug reaction/allergies. On 26-OCT-2015 the patient was vaccinated with a dose of VARIVAX (Merck) (lot # L007226 with expired date 17-MAR-2017, subcutaneous). No concomitant medication was taken. On an unknown date in 2015, the patient had been sick and was admitted to a hospital. On 01-NOV-2015, the patient developed a lesion in an unspecified area right before discharge. An option to test the lesion was given and performed on an unspecified date. The test result for the lesion was still pending. No treatment was given. Varicella zoster virus (VZV) packet was declined. At the time of reporting, the patient was recovering. Additional information has been requested.
Age: 1.2
Sex: U
Vaccine: VARCEL, HEPA, MMR, VARCEL
Symptoms: Respiratory syncytial virus bronchiolitis, Respiratory tract congestion, Skin lesion, Varicella post vaccine, Varicella virus test positive
Clinical narrative: Information has been received from a medical assistant referring to a 14 month old patient of unknown gender. The patient had no drug reaction/allergies. On 26-OCT-2015 the patient was vaccinated with a dose of VARIVAX (Merck) (lot # L007226 with expired date 17-MAR-2017, subcutaneous). No concomitant medication was taken. On an unknown date in 2015, the patient had been sick and was admitted to a hospital. On 01-NOV-2015, the patient developed a lesion in an unspecified area right before discharge. An option to test the lesion was given and performed on an unspecified date. The test result for the lesion was still pending. No treatment was given. Varicella zoster virus (VZV) packet was declined. At the time of reporting, the patient was recovering. Additional information has been requested.
Age: 1.2
Sex: U
Vaccine: VARCEL, HEPA, MMR, VARCEL
Symptoms: Wheezing
Clinical narrative: Information has been received from a medical assistant referring to a 14 month old patient of unknown gender. The patient had no drug reaction/allergies. On 26-OCT-2015 the patient was vaccinated with a dose of VARIVAX (Merck) (lot # L007226 with expired date 17-MAR-2017, subcutaneous). No concomitant medication was taken. On an unknown date in 2015, the patient had been sick and was admitted to a hospital. On 01-NOV-2015, the patient developed a lesion in an unspecified area right before discharge. An option to test the lesion was given and performed on an unspecified date. The test result for the lesion was still pending. No treatment was given. Varicella zoster virus (VZV) packet was declined. At the time of reporting, the patient was recovering. Additional information has been requested.
Sex: U
Vaccine: HPV9
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report as received from a nurse refers to a unknown number of patients of unknown age and gender. The patient's pertinent medical history and concurrent conditions were not reported. No previous drug reactions or allergies were reported. On an unknown date the patients were inadvertently vaccinated with improperly stored with GARDASIL 9 (strength, dose, frequency and route were not reported) (incorrect product storage). No concomitant medication were reported. No adverse effects were reported. There was no product quality complaint. This is one of the two reports received from the same reporter (Case # 1512USA004100). Additional information is not expected as the reporter did not wish further contact.
Age: 44.0
Sex: M
Vaccine: FLUC3
Symptoms: Guillain-Barre syndrome, Neurological symptom
Clinical narrative: Case number PHHY2015US159839 is an initial literature report received on 24 Nov 2015. The author assessed the adverse events after FLUCELVAX reported to the Vaccine Adverse Events Reporting System (VAERS). This report refers to a 44 year old male patient. Past medical history and concomitant medications were not reported. The patient was vaccinated with FLUCELVAX (batch number: not reported) on an unknown date. It was reported that nine days after vaccination, the patient had onset of neurological symptom which was further described as Guillain Barre syndrome (GBS). GBS developed met Brighton criteria level 3. The outcome of the event was not reported. The report was reported as serious. The author stated that during the first two influenza seasons (2013-2014 and 2014-2015) following licensure of FLUCELVAX, approximately 5.6 million doses of vaccine were distributed in a specific country and the crude reporting rate for GBS cases was 0.7 per million doses distributed. Moreover, no disproportionate reporting for GBS was observed in the present study using Empirical Bayesian (EB) data mining. The author concluded the article stating that the review of VAERS reports did not identify any concerning pattern of adverse events after FLUCELVAX. Injection site and systemic reactions were the most commonly reported adverse events. Reports following FLUCELVAX in persons less than 18 years highlight the need for education of healthcare providers regarding approved FLUCELVAX use.
Sex: U
Vaccine: HPV4
Symptoms: Expired product administered, Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a certified medical assistant refers to a patient of unknown age and gender. On 02-DEC-2015 during the same office visit, the patient was vaccinated with two doses of GARDASIL lot # K005083, expiration date: 04-NOV-2015, intramuscularly, one in the left arm and one in the right arm. These are the only doses of GARDASIL this patient has ever been administered. No adverse effect was reported. Additional information has been requested.
Sex: M
Vaccine: VARZOS
Symptoms: Drug administered at inappropriate site, No adverse event
Clinical narrative: This spontaneous report as received from a registered nurse refers to her husband, a male patient of an unknown age. The patient's concurrent conditions and medical history were not reported. On an unknown date, the patient was vaccinated with a dose of ZOSTAVAX (unknown date, dose and strength) in the back of the upper arm instead of in the deltoid region of the upper arm which is outside the labeled recommendations in the ZOSTAVAX prescribing information. No adverse effect was reported. The outcome of the event was unknown. Causality assessment was not provided. Additional information has been requested.
Sex: U
Vaccine: HPV9
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a registered nurse via a company representative refers to a patient of unknown age and gender. No patient's concurrent conditions, medical history or concomitant medications were reported. On an unknown date, the patient was vaccinated with GARDASIL 9 (strength, dose, route of administration, lot#, expiry date were not provided), a first dose in the series. On an unknown date, reported as "three months later", patient received second dose in the series of GARDASIL 9. No adverse effects were reported. Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Juvenile idiopathic arthritis, Rheumatic disorder
Clinical narrative: Possibly precipitated rheumatic disease possibly systemic JRA.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, PNC13, VARCEL
Symptoms: Breath holding, Crying, Loss of consciousness, Seizure, Vomiting
Clinical narrative: Pt had vaccines and acted fine, stable, walked out of clinic. Mom denied fever stating, "he ate dinner and slept fine last night." Mom said next day he was crying, held his breath, passed out and then had a seizure for 30 sec. Mother states he vomited on way to clinic. was placed on O2 and monitored. Mom states pt had a cold prior to vaccines w/croupy cough.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Body temperature increased, Cellulitis, Injection site swelling
Clinical narrative: 12/2 - low grade temp. 12/6 - swelling at injection site cellulitis.
Sex: U
Vaccine: MMR
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report as received from a nurse refers to a unknown number of patients of unknown age and gender. The patient's pertinent medical history and concurrent conditions were not reported. No previous drug reactions or allergies were reported. On an unknown date the patients were inadvertently vaccinated with improperly stored with M-M-R II (strength, dose, frequency and route were not reported). No concomitant medication were reported. No adverse effects were reported. There was no product quality complaint. This is one of the two reports received from the same reporter (Case # 1512USA002869). Additional information is not expected as the reporter did not wish further contact.
Sex: U
Vaccine: RV5
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report as received from a healthcare worker refers to the patients of unknown age and gender with no medical history reported. On an unknown date in approximately 2015 (reported as since 12-MAY-2015), an unspecified number of patients had been vaccinated with doses of improperly stored ROTATEQ, orally, lot # K006458, expiry date: 24-FEB-2016 (dose was not reported). No concomitant medications were reported. No adverse events were reported. Product quality complaint (PQC) was not reported. This is one of the several reports received from the same reporter. Additional information has been requested.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Serum sickness
Clinical narrative: Developed serum sickness on 11/30/15. Of note she was on her 10th day of CEFDINIR. Treated with ORAPRED. CEFDINIR discontinued.
Age: 11.0
Sex: F
Vaccine: HPV9, MEN, TDAP
Symptoms: Face injury, Fall, Nasal discomfort, Swelling, Syncope
Clinical narrative: This spontaneous report as received from a physician via a field representative refers to an 11 year old female patient. No concurrent conditions, medical history or allergy/drug reactions were reported. On 30-OCT-2015, the patient was vaccinated with the first dose of GARDASIL 9 intramuscularly, 0.5 ml, (lot # was not provided). Other suspect therapies included unspecified meningococcal vaccine (lot #, dose, manufacturer and route were not reported) and BOOSTRIX vaccine (lot #, dose and route were not reported) given during the same vaccination session. The patient's concomitant medications were not reported. On the same day (30-OCT-2015), the patient started to faint. The physician had turned to speak with the child's parent, and when she turned back to the patient, the patient was beginning to fall towards the floor. The physician reported that she caught the patient on her way down to the floor. The next day, it was reported by the patient's parent that the patient's nose was swollen and sore. The physician speculated that the patient's nose must have "bumped into her" when she caught the patient to keep her from falling onto the floor. The outcome of the events was unknown. There were no product quality complaints (PQC) involved. These adverse events have not been reported to Vaccine Adverse Event Reporting System (VAERS). The reporter's causality assessment was not provided. No further information was available. This is one of the two reports from the same reporter. Additional information has been requested.
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Mobility decreased, Pain
Clinical narrative: Pain and soreness following administration x 2 months. Impaired movement of arm continued to present.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Loss of consciousness, Palpitations
Clinical narrative: Passed out heart pounding. Blood pressure rocketed. Transferred to hospital.
Sex: U
Vaccine: RV5
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a healthcare professional concerning an unknown number of patients of unknown age and gender. In November 2015, the patients received improperly stored ROTATEQ lot # reported as L00889, expiration date: 04-DEC-2016 (dose and route were not reported). No adverse effect reported. This is one of two reported received from the same source. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: MENB
Symptoms: Headache, Pyrexia
Clinical narrative: Fever/headache. Seen in ER.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Neuralgia
Clinical narrative: Vaccine was administered to high in the deltoid muscle.  Pt experiencing nerve pain at time of injection.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Discomfort, Impaired work ability, Injection site pain, Insomnia, Mobility decreased
Clinical narrative: Pain in shoulder of injection site. Pain increased over the next several hours. Went to Emergency Room at 12:15 AM on 11/20/2015. Given Naproxen and Tylenol and a prescription for additional Naproxen DR 500 MG Tablets QTY: 20. Also given 3 Oxycodone/APAP5/325mg (Percocet) to take as needed. I took one Oxycodone and the pain eased up enough for me to sleep that night. I could not work the next day. I could not lift my arm or use it. Gradually over the next few days I was able to raise my arm more and more until I could raise it above my head without extreme pain. Now, over 2 weeks later my arm is still sore. I continue to have trouble sleeping at night. My right shoulder is painful, sore, aching in the morning. A hot shower eases the discomfort. I took the naproxen for five or six days, and continue to take 1 at night. I also have taken ibuprofen. I called Doctor and reported the adverse reaction on the morning of 11/20/2015. I called again a few days later requesting something to help me sleep through the night. I was told to take Tylenol PM. It does not help with the pain and makes me groggy in the morning.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Somnolence
Clinical narrative: Pain in shoulder of injection site. Pain increased over the next several hours. Went to Emergency Room at 12:15 AM on 11/20/2015. Given Naproxen and Tylenol and a prescription for additional Naproxen DR 500 MG Tablets QTY: 20. Also given 3 Oxycodone/APAP5/325mg (Percocet) to take as needed. I took one Oxycodone and the pain eased up enough for me to sleep that night. I could not work the next day. I could not lift my arm or use it. Gradually over the next few days I was able to raise my arm more and more until I could raise it above my head without extreme pain. Now, over 2 weeks later my arm is still sore. I continue to have trouble sleeping at night. My right shoulder is painful, sore, aching in the morning. A hot shower eases the discomfort. I took the naproxen for five or six days, and continue to take 1 at night. I also have taken ibuprofen. I called Doctor and reported the adverse reaction on the morning of 11/20/2015. I called again a few days later requesting something to help me sleep through the night. I was told to take Tylenol PM. It does not help with the pain and makes me groggy in the morning.
Age: 1.19
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: HYPEREMIC MACULAR RASH ON FACE, TORSO (FRONT AND BACK).
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Erythema, Nausea, Peripheral swelling, Pyrexia
Clinical narrative: Within 10 hours of getting vaccine she developed chills, fever, nausea and her arm was hot, red and swollen.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Skin warm
Clinical narrative: Within 10 hours of getting vaccine she developed chills, fever, nausea and her arm was hot, red and swollen.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Influenza like illness, Injection site erythema, Injection site pruritus, Vaccination site rash
Clinical narrative: I developed a 3" by 4" red, itchy, warm to touch rash, at vaccination site, with a mild headache and flu like symptoms. I called the pharmacy, and they recommended Benadryl, which I have been taking since then. As of today, my left inner arm still itch.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site warmth
Clinical narrative: I developed a 3" by 4" red, itchy, warm to touch rash, at vaccination site, with a mild headache and flu like symptoms. I called the pharmacy, and they recommended Benadryl, which I have been taking since then. As of today, my left inner arm still itch.
Age: 56.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site redness and swelling with itching, heat, and soreness. Dia 4 inches witnessed by reporter ar 9 am 12/07/2015.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site warmth, Stomatitis
Clinical narrative: Developed sores in mouth and headache.  Area of injection was red, hot and swollen.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Rash
Clinical narrative: Patient has a rash near injection site.  Patient says rash is improving.
Age: 68.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Pain, Swelling, Tenderness
Clinical narrative: Swelling, about size of baseball. Redness. Pain, tender to touch, arm movement against clothing painful.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Chills, Electrocardiogram abnormal, Headache, Heart rate abnormal, Heart rate increased
Clinical narrative: Chills, fever, extreme headache.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Pyrexia
Clinical narrative: Chills, fever, extreme headache.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Bacterial test positive, Blood bilirubin increased, Blood calcium normal
Clinical narrative: PATIENT IS A 2 MONTH OLD FEMALE WHO PRESENTS TO THE EMERGENCY DEPARTMENT FOLLOWING A SEIZURE AT HOME JUST PRIOR TO ARRIVAL.  HER MOTHER STATES THAT SHE HAD HER IMMUNIZATIONS EARLIER TODAY, RETURNED HOME AND TOOK A NAP.  SHE WOKE HER UP TO CHANGE HER AND GIVE HER A BOTTLE, AND WHILE SHE WAS CHANGING HER DIAPER, SHE BECAME RIGID WITH SHAKING AND JERKING OF HER ARMS AND LEGS.  SHE BECAME UNRESPONSIVE WITH FOAMING AT THE MOUTH, AND HER MOTHER CALLED 911.  PATIENT WAS CRYING EN ROUTE TO THE HOSPITAL WITH NORMAL VITAL SIGNS.  HER MOTHER STATES THAT SHE IS OTHERWISE HEALTHY.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: PATIENT IS A 2 MONTH OLD FEMALE WHO PRESENTS TO THE EMERGENCY DEPARTMENT FOLLOWING A SEIZURE AT HOME JUST PRIOR TO ARRIVAL.  HER MOTHER STATES THAT SHE HAD HER IMMUNIZATIONS EARLIER TODAY, RETURNED HOME AND TOOK A NAP.  SHE WOKE HER UP TO CHANGE HER AND GIVE HER A BOTTLE, AND WHILE SHE WAS CHANGING HER DIAPER, SHE BECAME RIGID WITH SHAKING AND JERKING OF HER ARMS AND LEGS.  SHE BECAME UNRESPONSIVE WITH FOAMING AT THE MOUTH, AND HER MOTHER CALLED 911.  PATIENT WAS CRYING EN ROUTE TO THE HOSPITAL WITH NORMAL VITAL SIGNS.  HER MOTHER STATES THAT SHE IS OTHERWISE HEALTHY.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Blood urea normal, C-reactive protein normal, Computerised tomogram head normal, Crying, Dyskinesia
Clinical narrative: PATIENT IS A 2 MONTH OLD FEMALE WHO PRESENTS TO THE EMERGENCY DEPARTMENT FOLLOWING A SEIZURE AT HOME JUST PRIOR TO ARRIVAL.  HER MOTHER STATES THAT SHE HAD HER IMMUNIZATIONS EARLIER TODAY, RETURNED HOME AND TOOK A NAP.  SHE WOKE HER UP TO CHANGE HER AND GIVE HER A BOTTLE, AND WHILE SHE WAS CHANGING HER DIAPER, SHE BECAME RIGID WITH SHAKING AND JERKING OF HER ARMS AND LEGS.  SHE BECAME UNRESPONSIVE WITH FOAMING AT THE MOUTH, AND HER MOTHER CALLED 911.  PATIENT WAS CRYING EN ROUTE TO THE HOSPITAL WITH NORMAL VITAL SIGNS.  HER MOTHER STATES THAT SHE IS OTHERWISE HEALTHY.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Foaming at mouth, Haematocrit normal, Haemoglobin normal, Muscle rigidity, Nitrite urine absent
Clinical narrative: PATIENT IS A 2 MONTH OLD FEMALE WHO PRESENTS TO THE EMERGENCY DEPARTMENT FOLLOWING A SEIZURE AT HOME JUST PRIOR TO ARRIVAL.  HER MOTHER STATES THAT SHE HAD HER IMMUNIZATIONS EARLIER TODAY, RETURNED HOME AND TOOK A NAP.  SHE WOKE HER UP TO CHANGE HER AND GIVE HER A BOTTLE, AND WHILE SHE WAS CHANGING HER DIAPER, SHE BECAME RIGID WITH SHAKING AND JERKING OF HER ARMS AND LEGS.  SHE BECAME UNRESPONSIVE WITH FOAMING AT THE MOUTH, AND HER MOTHER CALLED 911.  PATIENT WAS CRYING EN ROUTE TO THE HOSPITAL WITH NORMAL VITAL SIGNS.  HER MOTHER STATES THAT SHE IS OTHERWISE HEALTHY.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Platelet count normal, Seizure, Tremor, Unresponsive to stimuli, Urine leukocyte esterase
Clinical narrative: PATIENT IS A 2 MONTH OLD FEMALE WHO PRESENTS TO THE EMERGENCY DEPARTMENT FOLLOWING A SEIZURE AT HOME JUST PRIOR TO ARRIVAL.  HER MOTHER STATES THAT SHE HAD HER IMMUNIZATIONS EARLIER TODAY, RETURNED HOME AND TOOK A NAP.  SHE WOKE HER UP TO CHANGE HER AND GIVE HER A BOTTLE, AND WHILE SHE WAS CHANGING HER DIAPER, SHE BECAME RIGID WITH SHAKING AND JERKING OF HER ARMS AND LEGS.  SHE BECAME UNRESPONSIVE WITH FOAMING AT THE MOUTH, AND HER MOTHER CALLED 911.  PATIENT WAS CRYING EN ROUTE TO THE HOSPITAL WITH NORMAL VITAL SIGNS.  HER MOTHER STATES THAT SHE IS OTHERWISE HEALTHY.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: White blood cell count normal, White blood cells urine positive
Clinical narrative: PATIENT IS A 2 MONTH OLD FEMALE WHO PRESENTS TO THE EMERGENCY DEPARTMENT FOLLOWING A SEIZURE AT HOME JUST PRIOR TO ARRIVAL.  HER MOTHER STATES THAT SHE HAD HER IMMUNIZATIONS EARLIER TODAY, RETURNED HOME AND TOOK A NAP.  SHE WOKE HER UP TO CHANGE HER AND GIVE HER A BOTTLE, AND WHILE SHE WAS CHANGING HER DIAPER, SHE BECAME RIGID WITH SHAKING AND JERKING OF HER ARMS AND LEGS.  SHE BECAME UNRESPONSIVE WITH FOAMING AT THE MOUTH, AND HER MOTHER CALLED 911.  PATIENT WAS CRYING EN ROUTE TO THE HOSPITAL WITH NORMAL VITAL SIGNS.  HER MOTHER STATES THAT SHE IS OTHERWISE HEALTHY.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Swelling, redness and pain; redness extending from under axilla, back of arm to just above the elbow. Area warm to the touch.
Age: 55.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site is swollen, red, and hot to touch.  Pt also c/o chills, stating he "feels like he has the flu".
Age: 77.0
Sex: F
Vaccine: PNC13, TDAP, FLU3, TDAP
Symptoms: Pain in extremity
Clinical narrative: INTENSE PAIN TO LEFT ARM. TDAP AND PCV13 GIVEN IN SAME MUSCLE AT SAME TIME. SHE WENT TO DR AND GOT A CORTISONE SHOT ON 11/15/15. STILL PAINFUL.
Age: 77.0
Sex: F
Vaccine: PNC13, TDAP, FLU3, TDAP
Symptoms: Injected limb mobility decreased, Myalgia
Clinical narrative: INTENSE PAIN TO LEFT ARM. TDAP AND PCV13 GIVEN IN SAME MUSCLE AT SAME TIME. SHE WENT TO DR AND GOT A CORTISONE SHOT ON 11/15/15. STILL PAINFUL.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site discolouration, Injection site haemorrhage, Mobility decreased, Muscular weakness
Clinical narrative: Sore arm, was shot high on my deltoid muscle. Immediately the pharmacist said I bled and it was black and blue. Now have weak arm and limited motion ever since that day. It is Dec. 8, 2015.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Sore arm, was shot high on my deltoid muscle. Immediately the pharmacist said I bled and it was black and blue. Now have weak arm and limited motion ever since that day. It is Dec. 8, 2015.
Age: 1.03
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Blood electrolytes, Full blood count, Generalised tonic-clonic seizure, Pyrexia, Seizure
Clinical narrative: Fever at 17:00 of 100.6.  Seizure lasting up to 5 minutes at 17:30.  Generalized tonic-clonic seizure.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash
Clinical narrative: Redness left side of neck. No itch, pain, discomfort. Rash became extended to mid portion of neck.  Took otc Benadryl. Pt was also given Pneumovax vaccine.
Age: 70.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient says her arm was extremely sore.  She feels like the muscle is torn.  She thinks she may have loss of motion and drops things easily.
Age: 24.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Chills, Dizziness, Myalgia, Pain, Pyrexia
Clinical narrative: Following administration of the influenza and pneumococcal conjugate vaccine, patient did develop dizziness, muscle aches, chills, fever and soreness.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Malaise, Muscular weakness, Myalgia
Clinical narrative: General sickness, Pain in Deltoid muscle and Shoulder joint, Painful to lift arm, physical weakness. To date (12/8/2015) painful to lift left arm, arm weakness and general weakness.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: General sickness, Pain in Deltoid muscle and Shoulder joint, Painful to lift arm, physical weakness. To date (12/8/2015) painful to lift left arm, arm weakness and general weakness.
Age: 71.0
Sex: F
Vaccine: PNC13
Symptoms: Discomfort, Inflammation, Injection site pain, Injection site pruritus, Local swelling
Clinical narrative: PAIN & ITCHING AT ARM AND INJECTION SITE.  DISCOMFORT/PAIN/RASH AT LOWER BICEP AREA.  WARM TO THE TOUCH, INFLAMED. FELT SMALL BUMP AT LOWER BICEP.  NO FEVER.
Age: 71.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity, Pruritus, Rash, Skin warm
Clinical narrative: PAIN & ITCHING AT ARM AND INJECTION SITE.  DISCOMFORT/PAIN/RASH AT LOWER BICEP AREA.  WARM TO THE TOUCH, INFLAMED. FELT SMALL BUMP AT LOWER BICEP.  NO FEVER.
Age: 1.03
Sex: M
Vaccine: FLU4, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Rash papular
Clinical narrative: Cluster of small erythematous papules R upper chest and RUE lateral to axilla, worsened over next week with extension down R upper arm.
Age: 67.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Cerebrovascular accident, Hypoaesthesia, Injected limb mobility decreased, Sensory loss
Clinical narrative: Unable to use left arm.  Lost feeling and control of arm.  Same arm as injection of pneumonia and influenza vaccines.  Went to hospital, it was a stroke.  Still has little control or feeling in fingers of left hand.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination site pain
Clinical narrative: Patient reports her and her husband both having pain in the arm where injected with the vaccination for extended period of time (3 weeks).
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Feeling abnormal, Headache, Heart rate increased, Hypotension
Clinical narrative: Immediately turned red, sweaty, increased heart rate, low blood pressure. Returned to normal, we went home. A couple hours later nauseous, fever of 101.1. Have Tylenol checked an hour later fever of 104. Started to douse him with ice cold wash cloths. Did that for two hours while continuing to monitor temp. Finally came down to 100.6. Let him sleep after taking more Tylenol. Fever of 99.3 upon waking in morning with headache and yucky feeling. Upon advise of friend gave Claritin and another Tylenol. He felt better. No fever the rest of the night and none sense.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Nausea, Pyrexia
Clinical narrative: Immediately turned red, sweaty, increased heart rate, low blood pressure. Returned to normal, we went home. A couple hours later nauseous, fever of 101.1. Have Tylenol checked an hour later fever of 104. Started to douse him with ice cold wash cloths. Did that for two hours while continuing to monitor temp. Finally came down to 100.6. Let him sleep after taking more Tylenol. Fever of 99.3 upon waking in morning with headache and yucky feeling. Upon advise of friend gave Claritin and another Tylenol. He felt better. No fever the rest of the night and none sense.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Facial pain, Headache, Trigeminal neuralgia
Clinical narrative: Head ache for 2 days and severe trigeminal face pain. Like a severe one day cold also. Took Carbamezapine and went to bed. If it would have lasted more than one day would have went to hospital. A terrible experience.  I have trigeminal neuralgia so I think the shot intensified the pain tremendously.
Age: 78.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cerebrovascular accident, Computerised tomogram, Culture, Electroencephalogram, Hand-eye coordination impaired
Clinical narrative: Patient reports "vertically misaligned" vision; unable to touch nose with finger with or without eyes open; other stroke-like symptoms; incontinence; extreme lethargy; very impaired mobility.
Age: 78.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Incontinence, Laboratory test, Lethargy, Mobility decreased, Nuclear magnetic resonance imaging
Clinical narrative: Patient reports "vertically misaligned" vision; unable to touch nose with finger with or without eyes open; other stroke-like symptoms; incontinence; extreme lethargy; very impaired mobility.
Age: 78.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Nuclear magnetic resonance imaging brain, Visual impairment
Clinical narrative: Patient reports "vertically misaligned" vision; unable to touch nose with finger with or without eyes open; other stroke-like symptoms; incontinence; extreme lethargy; very impaired mobility.
Age: 78.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Electromyogram abnormal, Guillain-Barre syndrome, Mental status changes
Clinical narrative: Patient reports "vertically misaligned" vision; unable to touch nose with finger with or without eyes open; other stroke-like symptoms; incontinence; extreme lethargy; very impaired mobility.
Age: 20.0
Sex: M
Vaccine: YF
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: Patient awoke with a high fever, generalized myalgia and arthralgia on 12/04/2015. He felt a little better around 4:00pm when he was able to get up and take his temperature. It was 101.4F at that time. He gradually felt better over the next 3 days and was symptom-free on 12/08/2015 when he reported the incident to the Health Center. Patient received no medical care but was in consultation with his father who is a doctor.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient called pharmacy around 11am stating she had a bump, redness, swelling. She came to the pharmacy around 415PM and it was warm to the touch so we called the doctor and doctor wanted her to be seen.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Aphthous ulcer, Bedridden, Chest discomfort, Feeding disorder, Oropharyngeal pain
Clinical narrative: Sore throat first night. Heaviness in chest for 2 days. Triggered canker sores in mouth and throat for 1 week, could not eat. Bedridden for 7 days.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Angina pectoris, Arthralgia, Bedridden, Blood test, Bone pain
Clinical narrative: Immediate pain in arm, wrists, hands, fingers, back of knees, tops of feet. Within weeks, pain expanded from soft tissue to all joints and then started impacting heart, kidneys, liver, bone marrow and started having a fever by February. From December to February treated with prednisone 40 mg without a diagnosis. By end of February bed ridden with pain. Husband obtained a wheel chair and took me to a facility. After 11 days if testing, team of docs diagnosed me with Lupus.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Computerised tomogram, Hepatic pain, Immediate post-injection reaction, Pain, Pain in extremity
Clinical narrative: Immediate pain in arm, wrists, hands, fingers, back of knees, tops of feet. Within weeks, pain expanded from soft tissue to all joints and then started impacting heart, kidneys, liver, bone marrow and started having a fever by February. From December to February treated with prednisone 40 mg without a diagnosis. By end of February bed ridden with pain. Husband obtained a wheel chair and took me to a facility. After 11 days if testing, team of docs diagnosed me with Lupus.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Renal pain, Systemic lupus erythematosus, Ultrasound scan, Urine analysis
Clinical narrative: Immediate pain in arm, wrists, hands, fingers, back of knees, tops of feet. Within weeks, pain expanded from soft tissue to all joints and then started impacting heart, kidneys, liver, bone marrow and started having a fever by February. From December to February treated with prednisone 40 mg without a diagnosis. By end of February bed ridden with pain. Husband obtained a wheel chair and took me to a facility. After 11 days if testing, team of docs diagnosed me with Lupus.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Wheelchair user
Clinical narrative: Immediate pain in arm, wrists, hands, fingers, back of knees, tops of feet. Within weeks, pain expanded from soft tissue to all joints and then started impacting heart, kidneys, liver, bone marrow and started having a fever by February. From December to February treated with prednisone 40 mg without a diagnosis. By end of February bed ridden with pain. Husband obtained a wheel chair and took me to a facility. After 11 days if testing, team of docs diagnosed me with Lupus.
Age: 44.0
Sex: M
Vaccine: HEPAB, VARCEL
Symptoms: Blood test, Headache, Muscular weakness, Myalgia, Paraesthesia
Clinical narrative: Bad headache where my neck meets my head, severe tingling, mainly on inside of right leg that lasted months. Muscle soreness & weakness, especially in my legs. No tingling burning now over a year later but muscle weakness daily.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Hypotension, Injection site erythema, Injection site pain, Injection site warmth, Presyncope
Clinical narrative: Erythema, warmth and pain distal to site of injection by a few cm  also presyncope and transient hypotension.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea
Clinical narrative: Information has been received from a registered nurse concerning a currently 76 year old female patient with osteopenia, high blood pressure and high cholesterol. She was allergic to amoxicillin, CIPRO, aspirin, epinephrine and penicillin. On an unknown date several years ago, the patient was vaccinated with a dose of PNEUMOVAX 23 (lot#, expiration date, dose and route unspecified). Concomitant therapy was not reported. The patient developed shortness of breath since an unspecified amount of time following administration of PNEUMOVAX 23. The patient sought medical attention via an unspecified method. The outcome of the event was resolved on an unknown date. The reporter considered the shortness of breath as life threatening. Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Death, Intensive care, Unresponsive to stimuli
Clinical narrative: 11/30/15 received vaccines. Drove out of town after vaccines and was unresponsive when arriving. Remained in ICU and pronounced dead on 12/3/15.
Age: 1.92
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Condition aggravated, Seizure
Clinical narrative: Mother reported and answered "yes" to question #7 to seizures. She said he had one at 5 mo of age and is not taking meds. Immunizations were given DTAP, Hep A, and ped influenza on 11-05-15. She says the next day she saw him having a seizure and took child to ER. Dr diagnosed immunization related seizure.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Deafness unilateral
Clinical narrative: Patient reported waking up not able to hear out of his left ear 3 days after his FLUVIRIN injection. Pt has since been to 2 specialists and had 2 cortisone injections without any success in restoring his hearing.
Age: 16.0
Sex: M
Vaccine: HPV4, MNQ
Symptoms: Product reconstitution issue
Clinical narrative: Patient was only given liquid conjugate component of MENVEO.
Age: 80.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Gave PREVNAR on 12-1-15. Patient says it was sore, but on 12-8-15 started having more soreness and redness in injection area.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Swelling; redness; warmth and pain.
Age: 11.0
Sex: M
Vaccine: FLUN4, HPV9, MNQ, TDAP
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Electroencephalogram, Generalised tonic-clonic seizure
Clinical narrative: Presented to ER the next day with two tonic clonic seizures per ER note. Treated with ATIVAN and discharged home.
Age: 11.0
Sex: M
Vaccine: FLUN4, HPV9, MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging, Urine analysis
Clinical narrative: Presented to ER the next day with two tonic clonic seizures per ER note. Treated with ATIVAN and discharged home.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Myalgia, Oral mucosal blistering, Pharyngeal oedema, Rhinorrhoea
Clinical narrative: Mouth blisters, heavy chest, runny noise, muscle pain, throat swollen, thick tongue.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Tongue disorder
Clinical narrative: Mouth blisters, heavy chest, runny noise, muscle pain, throat swollen, thick tongue.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient got FLUARIX QUAD injection on 11-20-15 at approximately 10:11 am. She came back 2-3 hours later and said her arm was sore and she couldn't raise it. I told her to ice it and take NSAID. I called her next day and she said it was fine. Felt like she got shot.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site joint movement impairment, Injection site pain
Clinical narrative: Induration with tenderness to palpation of left anterior/lateral aspect of deltoid and axilla area near teres major. Decreased movement of left shoulder due to pain. Hydrocodone/acetaminophen prescribed for pain control.