chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Feeling achy. Site of injection red and swollen.
Age: 1.08
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Generalised erythema, Swelling
Clinical narrative: On 2/27/2012 mom reported that child was taken to the Emergency Room on the evening of 1/30/2012 with complaint of redness and swelling all over his body. Mom says that he was treated with Benadryl and was able to go home the same night. The redness to skin lasted for 4 days.
Age: 9.0
Sex: M
Vaccine: HEP, HEPA, VARCEL
Symptoms: Activities of daily living impaired, Varicella post vaccine
Clinical narrative: Appearance of classic chickenpox rash yesterday, was told to stay at home and not come to school for a week.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Got vaccine on 2/28 and arm became red and warm (8cm) area.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left leg red and swollen. Hydrocortisone started on 03/16/2012.
Age: 0.35
Sex: F
Vaccine: DTAP, FLU3, HIBV, IPV, PNC13
Symptoms: Injection site discolouration
Clinical narrative: 2 black dots noted on childs left thigh where Dtap and IPV had been administered on 12/16/11.
Age: 19.0
Sex: M
Vaccine: TTOX
Symptoms: Dizziness
Clinical narrative: C/O DIZZINESS WHILE STANDING. IMMUNIZATION GIVEN AFTER PLASMAPHERSIS. SEATED IN NURSE'S OFFICE, GIVEN WATER, BP/P AT 2:47 125/72P49. DIZZINESS GONE IN ABOUT 3 MINS. FELT FINE. NO REDNESS OR PAIN AT INJECTION SITE. 3:03PM BP141/92 P51. LEFT AT 3:05PM WITH NO FURTHER COMPLAINTS.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site discolouration
Clinical narrative: Black dot noted on each thigh where previous vaccines had been given.  Muliple vaccines given since 10/2011 - 1/12/2011.  Assuming most recent vaccines have caused his tatooing affect.
Age: 0.28
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Injection site discolouration
Clinical narrative: Two black dots noted on the left thigh where previous vaccines had been administered.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: RASH ABOUT 3 INCH CIRCLE.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Abscess, Adverse drug reaction, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: RED RASH, WARM TO TOUCH, SORE AT INJECTION SITE WITHIN 3 WEEKS LARGE BUMP APPEARED AND MORE TENDER A WEEK AFTER THAT BUMP GREW LARGER AND EVEN MORE TENDER/SORE.
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Rash erythematous
Clinical narrative: RED RASH, WARM TO TOUCH, SORE AT INJECTION SITE WITHIN 3 WEEKS LARGE BUMP APPEARED AND MORE TENDER A WEEK AFTER THAT BUMP GREW LARGER AND EVEN MORE TENDER/SORE.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Deep vein thrombosis, Erythema, Injection site swelling, Pharyngeal oedema, Rash
Clinical narrative: Started with a mild facial rash & a little throat swelling.  Over next two days my arm swelled at injection sight, then increased to swelling of the neck, back and most of the upper arm with redness, heat and extreme pain.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Swelling, White blood cell count normal
Clinical narrative: Started with a mild facial rash & a little throat swelling.  Over next two days my arm swelled at injection sight, then increased to swelling of the neck, back and most of the upper arm with redness, heat and extreme pain.
Age: 1.77
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Fever of 104.8 gave Advil. Diarrhea extra fluids.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Hyperhidrosis, Pallor, Presyncope
Clinical narrative: About 5 minutes after receiving imms became pale & diaphoretic & near syncopal. Had to lie down & drink cold water & rest for episode to resolve.
Age: 0.31
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Breath holding, Chills, Cyanosis, Tremor
Clinical narrative: Had breath holding spell, face turned blue and she had some shivering and tremors.
Age: 0.88
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pt had the vaccine on 12/16/11 left deltoid since then about 2-3 days after injection started to have a "cramping" pain from the injection site to the elbow along the outside of the arm. Sometimes improves if she rubs the area. Worse when lying on that side or reaching around to hook bra strap. No numbness, tingling & loss of strength, or sx involving the forearm no pain at rest. Otherwise feels well.
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site discomfort, Injection site pain, Pain
Clinical narrative: If I move my arm (the one that received the vaccine) I get a shooting pain right where the shot went in. It doesn't happen everytime I use my arm but it is becoming more frequent. It hurts so bad I have to stop whatever I am doing until the pain subsides which is after a few seconds. It has been months since I have had this pain but for the past week it has come back and is very uncomfortable.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal distension, Angiogram, Arrhythmia, Benign intracranial hypertension, Chest X-ray
Clinical narrative: Extreme lethargy and malaise, headaches, low fever. Has progressed over the past 13 months to include altered cognitive function, paresthesias of legs, arms, head, occasional heart racing and irregular rhythm, weak legs with soreness, abdonimal bloating with some vaginal gas, deep leg pain, irregular meses, cold intolerant, vision disturbances all at present time (over 13 months since third Gardasil injection).
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Cognitive disorder, Electromyogram, Exudative retinopathy, Headache, Laboratory test
Clinical narrative: Extreme lethargy and malaise, headaches, low fever. Has progressed over the past 13 months to include altered cognitive function, paresthesias of legs, arms, head, occasional heart racing and irregular rhythm, weak legs with soreness, abdonimal bloating with some vaginal gas, deep leg pain, irregular meses, cold intolerant, vision disturbances all at present time (over 13 months since third Gardasil injection).
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Lethargy, Malaise, Menstruation irregular, Muscular weakness, Nuclear magnetic resonance imaging
Clinical narrative: Extreme lethargy and malaise, headaches, low fever. Has progressed over the past 13 months to include altered cognitive function, paresthesias of legs, arms, head, occasional heart racing and irregular rhythm, weak legs with soreness, abdonimal bloating with some vaginal gas, deep leg pain, irregular meses, cold intolerant, vision disturbances all at present time (over 13 months since third Gardasil injection).
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Ocular neoplasm, Pain in extremity, Palpitations, Paraesthesia, Pyrexia
Clinical narrative: Extreme lethargy and malaise, headaches, low fever. Has progressed over the past 13 months to include altered cognitive function, paresthesias of legs, arms, head, occasional heart racing and irregular rhythm, weak legs with soreness, abdonimal bloating with some vaginal gas, deep leg pain, irregular meses, cold intolerant, vision disturbances all at present time (over 13 months since third Gardasil injection).
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Temperature intolerance, Thyroiditis, Vaginal flatulence, Visual impairment
Clinical narrative: Extreme lethargy and malaise, headaches, low fever. Has progressed over the past 13 months to include altered cognitive function, paresthesias of legs, arms, head, occasional heart racing and irregular rhythm, weak legs with soreness, abdonimal bloating with some vaginal gas, deep leg pain, irregular meses, cold intolerant, vision disturbances all at present time (over 13 months since third Gardasil injection).
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Lethargy, Somnolence, Syncope
Clinical narrative: Fainted about 10 minutes after injection but 7 days later, patient was extremely lethargic with fatigue and somnolence for about 3 days.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea onset same day of vaccine administration.
Age: 25.0
Sex: F
Vaccine: TTOX
Symptoms: Chills, Gait disturbance, Pain in jaw, Pyrexia
Clinical narrative: 103 degree fever and chills; pain in the left side of jaw, pain and difficulty when walking. Treatment: 1600mg of Ibuprofen...I am still experiencing pain in my left jaw, especially when I am eating.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, CSF protein increased, Cholecystectomy, Computerised tomogram, Dysuria
Clinical narrative: Started with back pain, possible kidney infection per urgent care. Went to ER multiple times for uncontrolled pain. During this time, blood pressure was extremely high and started to have difficulty urinating. Had several labs run, ultrasounds, CTs to determine possible cause of pain. On 2/10/12, PCP thought it was possible gall bladder problem, underwent HIDA scan, which indicated possible poor functioning of gall bladder causing pain.  Developed bilateral facial weakness, had gall bladder removed on 2/10/12. Starting 2/13/12-2/16/12 underwent several rounds of MRIs, had lumbar puncture. Final diagnosis of Guillain-Barre syndrome. Was hospitalized for IVIG treatment on 2/17/12-2/20/12.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Facial paresis, Gallbladder non-functioning, Guillain-Barre syndrome, Hepatobiliary scan, Hypertension
Clinical narrative: Started with back pain, possible kidney infection per urgent care. Went to ER multiple times for uncontrolled pain. During this time, blood pressure was extremely high and started to have difficulty urinating. Had several labs run, ultrasounds, CTs to determine possible cause of pain. On 2/10/12, PCP thought it was possible gall bladder problem, underwent HIDA scan, which indicated possible poor functioning of gall bladder causing pain.  Developed bilateral facial weakness, had gall bladder removed on 2/10/12. Starting 2/13/12-2/16/12 underwent several rounds of MRIs, had lumbar puncture. Final diagnosis of Guillain-Barre syndrome. Was hospitalized for IVIG treatment on 2/17/12-2/20/12.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Immunoglobulin therapy, Laboratory test, Lumbar puncture abnormal, Nuclear magnetic resonance imaging brain abnormal, Pain
Clinical narrative: Started with back pain, possible kidney infection per urgent care. Went to ER multiple times for uncontrolled pain. During this time, blood pressure was extremely high and started to have difficulty urinating. Had several labs run, ultrasounds, CTs to determine possible cause of pain. On 2/10/12, PCP thought it was possible gall bladder problem, underwent HIDA scan, which indicated possible poor functioning of gall bladder causing pain.  Developed bilateral facial weakness, had gall bladder removed on 2/10/12. Starting 2/13/12-2/16/12 underwent several rounds of MRIs, had lumbar puncture. Final diagnosis of Guillain-Barre syndrome. Was hospitalized for IVIG treatment on 2/17/12-2/20/12.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Ultrasound abdomen
Clinical narrative: Started with back pain, possible kidney infection per urgent care. Went to ER multiple times for uncontrolled pain. During this time, blood pressure was extremely high and started to have difficulty urinating. Had several labs run, ultrasounds, CTs to determine possible cause of pain. On 2/10/12, PCP thought it was possible gall bladder problem, underwent HIDA scan, which indicated possible poor functioning of gall bladder causing pain.  Developed bilateral facial weakness, had gall bladder removed on 2/10/12. Starting 2/13/12-2/16/12 underwent several rounds of MRIs, had lumbar puncture. Final diagnosis of Guillain-Barre syndrome. Was hospitalized for IVIG treatment on 2/17/12-2/20/12.
Age: 19.0
Sex: F
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Blister, Injection site rash
Clinical narrative: Vaccinia inoculation in L upper arm; rash surrounding site approx 10cm, vesicles on R hand and forearm, L forearm, bilateral legs possibly d/t self-inoculation, possibly systemic response.
Age: 19.0
Sex: F
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Blister, Injection site rash, Post vaccination autoinoculation
Clinical narrative: Vaccinia inoculation in L upper arm; rash surrounding site approx 10cm, vesicles on R hand and forearm, L forearm, bilateral legs possibly d/t self-inoculation, possibly systemic response.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Erythematous, hot, induration on both thighs and left upper arm. Afebrile. Prescribed Bactrim and Benadryl by MD.
Age: 2.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Body temperature increased, Contusion, Crying, Erythema, Feeling hot
Clinical narrative: Large red knot with bruising and heat noted. Still watching at home low grade temp temp baby crying and c/o pain to site.
Age: 2.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site pain, Mass
Clinical narrative: Large red knot with bruising and heat noted. Still watching at home low grade temp temp baby crying and c/o pain to site.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pruritus, Mass
Clinical narrative: Itching at injection site.  Redness.  Headache.  Lump under skin.  Lasting for a week.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Vaccination site cellulitis
Clinical narrative: Patient woke up and noticed swelling, tenderness, redness and site being itchy. Patient reported to medical and was evaluated by staff at 0651 am. Patient then returned to medical at 0800 am and was re-evaluated by staff. Patient was diagnosed with localized cellulitis to the area of vaccination. Patient treated with Naproxen 500 mg Take 1 tab PO Q12, Benadryl 25mg Take 1 Cap PO Q6, Bactrim DS Take 1 Tab PO Q12, and Tylenol #3 Take 1-2 tabs PO Q6 PRN pain.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Developed shingles right front side and back of rib cage.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient says her arm started to hurt at injection site about one month after administration.  No redness, or lumps were apparent.  Nothing was unusual for first month after administration.
Age: 23.0
Sex: M
Vaccine: TTOX
Symptoms: Rash
Clinical narrative: SIGNS AND SYMPTOMS INCLUDE 3 INCH RASH ON ABDOMEN AT THE UMBILICUs 6 days post immunization.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Induration, Injection site cellulitis, Oedema, Pain
Clinical narrative: Pt presented with second occurrence of tenderness to palpitation, induration, edema, pain and redness distally to elbow. Patient was diagnosed with localized cellulitis to vaccination site by staff.  Patient treated with Motrin 800mg 1 tab PO Q8hrs PRN, Allegra 60mg 1 tab PO TID, and Septra DS 800mg/60mg 1 tab PO BID.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Tenderness
Clinical narrative: Pt presented with second occurrence of tenderness to palpitation, induration, edema, pain and redness distally to elbow. Patient was diagnosed with localized cellulitis to vaccination site by staff.  Patient treated with Motrin 800mg 1 tab PO Q8hrs PRN, Allegra 60mg 1 tab PO TID, and Septra DS 800mg/60mg 1 tab PO BID.
Age: 1.51
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Fatigue, Injection site urticaria, Insomnia, Irritability, Urticaria
Clinical narrative: Hives around injections site on front of right thigh, back of right thigh and right buttocks.  Also on back of arm. Pediatrician recommended administering 1/2 tsp Benadryl every 4-6 hours.  Administered one 1/2 tsp dose of Benadryl at 12:30AM.  Hives went away after first dose within 4-6 hours.  No additional Benadryl administered.  Increased fussiness and inability to take typical/routine afternoon nap the day vaccine was received.  Slept 1.5 hours longer than typically sleeps at night after receiving the vaccine.  Unusually tired the day after (3/18/12) receiving the vaccine (3/17/12).
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain
Clinical narrative: Painful shoulder.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: Measles like rash and fever 9 days after receiving MMR.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Diffuse rash noted on back of neck & cheeks. 7.5 mL BENADRYL given p.o.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Myalgia, Pain in extremity
Clinical narrative: Initial report was received from a consumer, who was also the patient, on 06 March 2012. A 43-year-old female patient had received a dose one intramuscular injection in the left deltoid of ADACEL, sanofi pasteur Ltd. (lot number not reported) on 23 February 2012. On 23 February 2012, the patient experienced muscle soreness in the left arm for a few days after the vaccine and went to the emergency room (ER). The patient had no movement/severe pain in the left arm since then and was getting worse so the patient went back to the ER. There was no redness at the injection site. The patient had no illness at the time of vaccination and no reported adverse events to prior vaccinations. The patient received no other vaccinations within four weeks of ADACEL and took no concomitant medications. The patient's past medical history included allergies to sulfa, codeine, ibuprofen and PROCARDIA. No further information was available at the time of the report. The patient's outcome was not recovered. Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pain in extremity
Clinical narrative: Both vaccines given left deltoid region; several hours later arm pain, redness at site. Next AM itchy at site, sore to touch -> worse swell, itch, pain, redness later that eve, referred to emergency room. Dx ? allergic reaction vs early cellulitis. Afebrile. Rx: oral steroids, po clindamycin.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Culture negative, Injection site erythema, Injection site swelling, Injection site warmth, Ultrasound scan normal
Clinical narrative: Swelling, redness, warmth on patient's right leg.
Age: 1.18
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Rash, Varicella post vaccine
Clinical narrative: Onset of rash 2/4/2012 starting on trunk and progressing to neck, face, arms, legs.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Injection site discharge, Swelling
Clinical narrative: Redness and swelling. Pus at injection site. Patient returned to pharmacy on 3/7/12.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Patient developed cellulitis which required treatment by a physician after immunization with PNEUMOVAX 23 and FLUZONE.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Antinuclear antibody negative, Arthralgia, Back pain, Borrelia test negative, C-reactive protein normal
Clinical narrative: 2/29/12 - fever, back pain, neck pain - Tx: NAPROSYN. 3/12/12 - back pain, joint pain, swollen lymph nodes-neck, fatigue. Labs ordered: EBV twice, CMV titre, ANA, CRP, ESR, Lyme titre, CMP. 3/16/12 - phone call from parent: c/o arm pain & numbness - rheumatologist referral made.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Cytomegalovirus test negative, Epstein-Barr virus antibody negative, Epstein-Barr virus test negative, Fatigue, Hypoaesthesia
Clinical narrative: 2/29/12 - fever, back pain, neck pain - Tx: NAPROSYN. 3/12/12 - back pain, joint pain, swollen lymph nodes-neck, fatigue. Labs ordered: EBV twice, CMV titre, ANA, CRP, ESR, Lyme titre, CMP. 3/16/12 - phone call from parent: c/o arm pain & numbness - rheumatologist referral made.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Lymphadenopathy, Metabolic function test normal, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: 2/29/12 - fever, back pain, neck pain - Tx: NAPROSYN. 3/12/12 - back pain, joint pain, swollen lymph nodes-neck, fatigue. Labs ordered: EBV twice, CMV titre, ANA, CRP, ESR, Lyme titre, CMP. 3/16/12 - phone call from parent: c/o arm pain & numbness - rheumatologist referral made.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Red blood cell sedimentation rate normal
Clinical narrative: 2/29/12 - fever, back pain, neck pain - Tx: NAPROSYN. 3/12/12 - back pain, joint pain, swollen lymph nodes-neck, fatigue. Labs ordered: EBV twice, CMV titre, ANA, CRP, ESR, Lyme titre, CMP. 3/16/12 - phone call from parent: c/o arm pain & numbness - rheumatologist referral made.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Antinuclear antibody negative, Arthralgia, Back pain, C-reactive protein normal, Cytomegalovirus test negative
Clinical narrative: 2/29/12 - fever, back pain, neck pain - Tx: NAPROSYN. 3/12/12 - back pain, joint pain, swollen lymph nodes-neck, fatigue. Labs ordered: EBV twice, CMV titre, ANA, CRP, ESR, Lyme titre, CMP. 3/16/12 - phone call from parent: c/o arm pain & numbness - rheumatologist referral made.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Fatigue, Hypoaesthesia, Lymphadenopathy, Metabolic function test normal, Neck pain
Clinical narrative: 2/29/12 - fever, back pain, neck pain - Tx: NAPROSYN. 3/12/12 - back pain, joint pain, swollen lymph nodes-neck, fatigue. Labs ordered: EBV twice, CMV titre, ANA, CRP, ESR, Lyme titre, CMP. 3/16/12 - phone call from parent: c/o arm pain & numbness - rheumatologist referral made.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Pain in extremity, Pyrexia, Red blood cell sedimentation rate normal, Viral test negative, Viral titre
Clinical narrative: 2/29/12 - fever, back pain, neck pain - Tx: NAPROSYN. 3/12/12 - back pain, joint pain, swollen lymph nodes-neck, fatigue. Labs ordered: EBV twice, CMV titre, ANA, CRP, ESR, Lyme titre, CMP. 3/16/12 - phone call from parent: c/o arm pain & numbness - rheumatologist referral made.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain, Amenorrhoea, Hormone level abnormal
Clinical narrative: Client was given her first HPV vaccine and the next day she had abdominal cramping but no menses. After no menses for two months, mother took client to the doctor, where client was...
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain, Amenorrhoea, Blood test abnormal, Hormone level abnormal
Clinical narrative: Client was given her first HPV vaccine and the next day she had abdominal cramping but no menses. After no menses for two months, mother took client to the doctor, where client was...
Age: 0.29
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Irritability, Rash generalised
Clinical narrative: Fussiness, developed rash all over body.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Within 24 hours of administration of PNEUMOVAX 23 Pt's arm became swollen and red, with edema extending into axilla.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Body temperature increased, Cough, Eyelid oedema, Gastric disorder, Injection site erythema
Clinical narrative: Initial report was received on 08 March 2012 from a consumer, who is also the patient's parent. A 5-year-old male patient received an injection of dose one of IPOL, sanofi pasteur SA (lot number unknown, route and site not reported) and an injection of dose four or five of DAPTACEL, sanofi pasteur Ltd. (lot number unknown, route and site not reported) on 08 March 2012 at 11:30AM. The patient's past medical history was not reported; however, the patient had allergies to "Termeric" (Turmeric) and dairy protein. The patient had no illness at the time of vaccination, took no concomitant medications and had not received any vaccinations four weeks prior to date of vaccination. On 08 March 2012 at 8:00PM, eight and one half hours after vaccination, the patient experienced a "stomach reaction", throat constriction, coughing, and temperature of 99.2 degrees Fahrenheit, puffy eyes and redness at injection site. The patient's parent stated he gave his son BENADRYL and called the healthcare professional and would seek treatment as needed. The patient's outcome was not recovered. Documents held by sender: None.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Throat tightness
Clinical narrative: Initial report was received on 08 March 2012 from a consumer, who is also the patient's parent. A 5-year-old male patient received an injection of dose one of IPOL, sanofi pasteur SA (lot number unknown, route and site not reported) and an injection of dose four or five of DAPTACEL, sanofi pasteur Ltd. (lot number unknown, route and site not reported) on 08 March 2012 at 11:30AM. The patient's past medical history was not reported; however, the patient had allergies to "Termeric" (Turmeric) and dairy protein. The patient had no illness at the time of vaccination, took no concomitant medications and had not received any vaccinations four weeks prior to date of vaccination. On 08 March 2012 at 8:00PM, eight and one half hours after vaccination, the patient experienced a "stomach reaction", throat constriction, coughing, and temperature of 99.2 degrees Fahrenheit, puffy eyes and redness at injection site. The patient's parent stated he gave his son BENADRYL and called the healthcare professional and would seek treatment as needed. The patient's outcome was not recovered. Documents held by sender: None.
Sex: F
Vaccine: HPV4
Symptoms: Maternal exposure during pregnancy, Neonatal disorder, Pre-eclampsia, Premature delivery
Clinical narrative: Information has been received via complete pregnancy questionnaire from a registered nurse (RN) concerning a male baby who was born from a currently 21 year old, female previous smoker patient with type 1 diabetes mellitus since age of 13 and an obstetric history of 1 elective termination (because of health reasons: kidney were failing) (date unspecified), who on 23-MAY-2011 was vaccinated with the first dose of GARDASIL (route not specified, lot number 666595/0992Z). Other concomitant therapy included DEPO-PROVERA, HUMALOG, LANTUS and PHENERGAN. On 28-DEC-2011 the mother delivered a premature, male baby. The baby's weight was 5 pounds 5 ounces, length 18.5, apgar score was 5 (1 minute) and 8 (5 minutes) and head circumference was 31cm. The RN reported that complications during pregnancy included pre-eclampsia. The patient had ventricular septal defect. There were no other congenital anomalies or complications during labor/delivery and no illness or infections during pregnancy. Upon internal review, ventricular septal defect is considered a congenital anomaly. The mother's experiences were captured in WAES#1109USA01051. Additional information has been requested.
Age: 23.0
Sex: M
Vaccine: HEPAB
Symptoms: Diarrhoea, Muscular weakness, Pruritus generalised, Pyrexia
Clinical narrative: Had mild fever at 8 pm. Felt weakness in all four limbs. Was itching "all over". Took Acetaminophen last night. On 3/13/12 has diarrhea, no fever, only itching occasionally on his chest. No problems at injection site according to patient. Planning to refuse future doses in the series.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 3.5cm x 3.5cm area of erythema left upper arm.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt presents to pharmacy on 3/7/12 late afternoon for ZOSTAVAX; seen by provider 3/9/12 morning for shingles or shingles like sx.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pyrexia
Clinical narrative: Injection site red, warm, firm. Child was running fever 101 - 103. Ibuprofen given - KEFLEX rx'd.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram head, Fall, Gaze palsy, Haematoma, Head injury
Clinical narrative: 5 min. after the injection, pt. got up to get water. Started twitching, stiff, some rolling of eyes & fainted. Fell & hit her head on the floor. No incontinence. Came to in a few min. 2" x 3" hematoma. Headache & vomiting.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Muscle twitching, Musculoskeletal stiffness, Syncope, Vomiting
Clinical narrative: 5 min. after the injection, pt. got up to get water. Started twitching, stiff, some rolling of eyes & fainted. Fell & hit her head on the floor. No incontinence. Came to in a few min. 2" x 3" hematoma. Headache & vomiting.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Blood immunoglobulin G increased, Coordination abnormal, Dysstasia, Guillain-Barre syndrome
Clinical narrative: Received flu vaccine 3-16-11. Began experiencing muscle weakness and lack of coordination in both legs. This increased and then could not stand or walk. This began on 5-11-11. Diagnosed with Guillain-Barre syndrome in E.R. Admitted to hospital and received treatment for 5 days.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness
Clinical narrative: Received flu vaccine 3-16-11. Began experiencing muscle weakness and lack of coordination in both legs. This increased and then could not stand or walk. This began on 5-11-11. Diagnosed with Guillain-Barre syndrome in E.R. Admitted to hospital and received treatment for 5 days.
Age: 36.0
Sex: F
Vaccine: HEPAB, MMR, TDAP
Symptoms: Injection site oedema
Clinical narrative: Edema noted to (L) deltoid no redness noted. Instructed pt to apply cool and warm compresses.
Sex: U
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: I send you three paper sheet related with adverse symptoms; you can receive information related with my symptoms (clinic hospital).
Age: 21.0
Sex: F
Vaccine: YF
Symptoms: Injection site reaction, Rash papular, Rash pruritic
Clinical narrative: Itchy papulovesicular rash surrounding site of injection.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysphagia, Throat tightness
Clinical narrative: Shortly after the patient received Flu vaccine she complained of tightness in her throat & the inability to swallow with no other apparent signs of distress. 0.4% normal saline was running & the patient was given oxygen, BENADRYL 50 mg IVP and SOLU-CORTEF 100 mg IVP. She tolerated the meds but felt lightheaded shortly after BENADRYL administration & still complained of throat tightness. She was admitted to urgent care for further observation. About 1 hour after meds were given her symptoms had fully resolved. The patient was monitored for 1 more hour (2 hrs total) until she was discharged. She had never received flu vaccine before.
Age: 47.0
Sex: M
Vaccine: PPV
Symptoms: Headache
Clinical narrative: Patient had severe headache in the evening after receiving PNEUMOVAX in the morning.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Vaccine site hot, red, swollen.  Patient received prescription for cephalexin.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood pressure increased, Blood test, Body temperature increased, Dyspnoea
Clinical narrative: Weakness, Pain in left arm, increased BP, difficulty breathing, increased HR, admitted to ER, increased temp., EKG and monitored for 6 hrs with no could not find any cause for symptoms.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Electrocardiogram normal, Heart rate increased, Pain in extremity
Clinical narrative: Weakness, Pain in left arm, increased BP, difficulty breathing, increased HR, admitted to ER, increased temp., EKG and monitored for 6 hrs with no could not find any cause for symptoms.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Fever, muscle aches, and headaches.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, UNK
Symptoms: Injection site discolouration, Injection site swelling, Irritability, Pyrexia, Vomiting
Clinical narrative: 3/17 SHE BECAME VERY IRRITABLE AND CRANKY ALL DAY. 3/18 6:00 AM I NOTICED HER SIGHT OF SHOTS ONE WAS VERY PURPLE AND ANOTHER NEXT TO IT WAS VERY SWOLLEN AND RED SHE BEGAN THROWING UP AT 6 AM ON 3/18/ 2012 AND RUNNING A FEVER OF 101.7 SHE COULDN'T KEEP ANYTHING DOWN NOT EVEN PEDIALYTE. ITS NOW MONDAY 3/19/2012 SHE HAS NOT THROWN UP SINCE 03/18/2012 AT 10 PM. BUT IS STILL RUNNING A FEVER OF 101.9 AND DRINKS ABOUT 3 OUNCES OF PEDIALYTE. Still have not been contacted back by her Dr yet. It's 3/19/2012 9:42 am.
Age: 63.0
Sex: F
Vaccine: HEPAB
Symptoms: Abdominal pain upper, Chills, Cyanosis, Hyperhidrosis, Mydriasis
Clinical narrative: When the vaccination needle broke the skin the client jumped and then within 30 seconds after the injection was completed the client stated that everything looked blue.  In the next minute the clients pupils dilated and she was not able to respond to verbal commands this lasted approximately 30 seconds.  Blood pressure was checked and client became responsive again.  She then started to diaphoresis and have chills.  Her face had a white pallor during the episode.  Client put her head between her knees and was encouraged to breath normally.  A cold compress was placed on her neck.  After about 10 minutes she started to feel well enough to put her head up.  She was given water to drink and continued with the cold compress.  After approximately 20 minutes the color in her face became pink again and she stopped sweating.  She complained of some stomach cramping but did not vomit during the episode.  She sat for approximately 20 more minutes, blood pressure was checked again and she continued to drink water.  Client was able to leave the clinic on her own accord.
Age: 63.0
Sex: F
Vaccine: HEPAB
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: When the vaccination needle broke the skin the client jumped and then within 30 seconds after the injection was completed the client stated that everything looked blue.  In the next minute the clients pupils dilated and she was not able to respond to verbal commands this lasted approximately 30 seconds.  Blood pressure was checked and client became responsive again.  She then started to diaphoresis and have chills.  Her face had a white pallor during the episode.  Client put her head between her knees and was encouraged to breath normally.  A cold compress was placed on her neck.  After about 10 minutes she started to feel well enough to put her head up.  She was given water to drink and continued with the cold compress.  After approximately 20 minutes the color in her face became pink again and she stopped sweating.  She complained of some stomach cramping but did not vomit during the episode.  She sat for approximately 20 more minutes, blood pressure was checked again and she continued to drink water.  Client was able to leave the clinic on her own accord.
Age: 13.0
Sex: M
Vaccine: HPV4, VARCEL
Symptoms: Blood test normal, Cardiac monitoring normal, Computerised tomogram head normal, Echocardiogram normal, Electroencephalogram normal
Clinical narrative: Started having "brain things" initially - later described them as "blankouts" and having "pressure on his head" - increased in frequency and duration since onset - referred to Hospital in for complete workup - all WNL until symptoms subsided 12/23/11.
Age: 13.0
Sex: M
Vaccine: HPV4, VARCEL
Symptoms: Full blood count normal, Headache, Loss of consciousness, Memory impairment, Nervous system disorder
Clinical narrative: Started having "brain things" initially - later described them as "blankouts" and having "pressure on his head" - increased in frequency and duration since onset - referred to Hospital in for complete workup - all WNL until symptoms subsided 12/23/11.
Age: 13.0
Sex: M
Vaccine: HPV4, VARCEL
Symptoms: Nuclear magnetic resonance imaging brain normal
Clinical narrative: Started having "brain things" initially - later described them as "blankouts" and having "pressure on his head" - increased in frequency and duration since onset - referred to Hospital in for complete workup - all WNL until symptoms subsided 12/23/11.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Maternal exposure during pregnancy
Clinical narrative: A week after HPV immunization, the patient discovered she is pregnant.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: Woke with fever at 11:30 PM on 3/5, still feverish at 7:30 AM on 3/6, but fever gone by 10:30 AM that morning.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm swelling/deltoid region warm to touch, erythema.  No complaints of pain or discomfort, no complaints of fever.
Age: 32.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Body temperature increased, Local reaction
Clinical narrative: Pt experienced large local reaction after receiving pneumococcal and flu vaccine in the same arm. Also has been running temp of 102.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site rash, Rash
Clinical narrative: Pt with rash to R cheek, abdomen, L leg and surrounding injection site.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Swelling face, Throat tightness
Clinical narrative: Throat tightness. Facial swelling. Pt stated she took some steroids that she already had at home that were left over from a previous prescription.
Age: 1.15
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash on diaper area -- treated with reassurance, isolation from pregnant patients/unvaccinated children.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Full blood count normal, Injection site discolouration, Muscle atrophy
Clinical narrative: Event:  approximately 3x5cm area of indented atrophic muscle with hypopigmentation to right thigh (where vaccines administered); Parent noted this began to occur shortly after child received 6 month vaccine series however it was not brought to the provider's attention until the thigh was visualized at 12 month visit prior to administration of vaccines again.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Immediate post-injection reaction, Lethargy, Pallor, Somnolence, Sudden onset of sleep
Clinical narrative: Pt was given Rotateq orally as in chart. Per MA, immediately pt seemed to become lethargic and fall asleep. About 15 seconds later patient vomited vaccine and milk. Pt immediately fell asleep. I was called into the room at this time. Parents state it is not her nap time. Her older sisters has had recent URI. During her visit with me, she was very active, alert, smiling, talking, babbling. Pt had normal heart rate (134bpm), respirations (40), O2 at 96% and color. PERRL, Lungs with bilateral equal air entry free of any wheezing, stridor. Pt was asleep. She was responsive, but slightly difficult to wake up. Shortly after, she started to talk to me more, and smile.  Pentacel, Hep. B, and Prevnar was given. IM.  Per MA, mother, and grandmother, she did not cry when shots were given, but fell asleep during them. Pt was watched for approximately 10-15 minutes. EMS was then called. Pt seemed to become pale in color. She was harder to wake up. Still responsive. Vitals still similar to above. Pt was then taken to ER via EMS.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: Pt was given Rotateq orally as in chart. Per MA, immediately pt seemed to become lethargic and fall asleep. About 15 seconds later patient vomited vaccine and milk. Pt immediately fell asleep. I was called into the room at this time. Parents state it is not her nap time. Her older sisters has had recent URI. During her visit with me, she was very active, alert, smiling, talking, babbling. Pt had normal heart rate (134bpm), respirations (40), O2 at 96% and color. PERRL, Lungs with bilateral equal air entry free of any wheezing, stridor. Pt was asleep. She was responsive, but slightly difficult to wake up. Shortly after, she started to talk to me more, and smile.  Pentacel, Hep. B, and Prevnar was given. IM.  Per MA, mother, and grandmother, she did not cry when shots were given, but fell asleep during them. Pt was watched for approximately 10-15 minutes. EMS was then called. Pt seemed to become pale in color. She was harder to wake up. Still responsive. Vitals still similar to above. Pt was then taken to ER via EMS.
Age: 31.0
Sex: M
Vaccine: HEP
Symptoms: Hypoaesthesia, Swelling
Clinical narrative: Right side of body had numbness. Pt complained of hands and feet feeling swollen. Pt presented to the Clinic on 09 Mar 12 without symptoms and was told to follow-up with his PCM.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Oedema peripheral
Clinical narrative: Fever 102, chills, sweating, dizziness, swelling of hands and face, swelling in throat, headache, body ache. Tylenol and Benadryl given without effect.  Cortisone shot at doctor's office.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Pain, Pharyngeal oedema, Pyrexia, Swelling face
Clinical narrative: Fever 102, chills, sweating, dizziness, swelling of hands and face, swelling in throat, headache, body ache. Tylenol and Benadryl given without effect.  Cortisone shot at doctor's office.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Mom calls today 03-19-2012 @ 11 am.  States child has rash on face and upper torso and on her back. Fever of 101-102. Very fussy.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Burning sensation, Dry skin, Pruritus, Rash
Clinical narrative: Got rash, like dry skin, from shoulder to elbow of left arm. Sometimes it was itchy, sometimes burning. Put aloe vera on it and that helped it after a few minutes.
Age: 1.05
Sex: F
Vaccine: DTAP, FLU3, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Measle like rash 13 days after MMR.
Age: 0.26
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Bronchiolitis, Diarrhoea, Infantile spasms, Myoclonus
Clinical narrative: Infantile spasms, myoclonic jerks (3 days). Bronchiolitis and diarrhea (1 week and continuing).
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction, Rash erythematous
Clinical narrative: Patient received ZOSTAVAX Inj. on 3-12-12 and called on 3-13-12 stating round red rash appeared on arm at injection site. 3-14-12, pt. came back into pharm with antibiotic for cellulitis.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: The day of the shot her arm started hurting. The next day it swelled up and turned red, she had a tough time getting her ring off her fingers were swollen. Since then the pain is better; swelling is decreased.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site erythema, Pruritus
Clinical narrative: Varicella given 3/15/12. Onset of localized redness/itch on 3/15/12 pm. Improved when seen 3/19/12 with some residual erythema (L) upper arm.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site pain, Pain, Pyrexia
Clinical narrative: GARDASIL #3 given 3-14-12. Site of injection painful that day. Next day, 3-15-12, fever and various body aches. 3-16-12 and 3-17-12 no fever, but body aches. Aching would resolve after acetaminophen or ibuprofen, then return. No rash, no swelling, no nausea.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Raised erythemic area on (L) upper arm Cephalexin 500 mg TID x 10 days given Prednisone 20 mg 2 po QD x 5 days.
Age: 4.0
Sex: M
Vaccine: IPV
Symptoms: Erythema, Pain, Pyrexia
Clinical narrative: Size = 30 cm x 50 cm redness. Redness noted Sunday morning no c/o itching, swelling, redness, reding since then. No fever. No complaints except mild pain.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: On 03/14/12: Left post deltoid area 4 cm x 5 cm cellulitis rt Varicella vaccine site. Tx (1) SEPTRA DS 1 tab po BID x 10 day (2) BENADRYL 25 mg 1 tab po QID.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Vaccination site cellulitis
Clinical narrative: On 03/14/12: Left post deltoid area 4 cm x 5 cm cellulitis rt Varicella vaccine site. Tx (1) SEPTRA DS 1 tab po BID x 10 day (2) BENADRYL 25 mg 1 tab po QID.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis to upper (Lt) ext.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Erythema, Skin warm
Clinical narrative: Hot to touch, red hot tiny blisters in center.
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Erythema, Feeling hot, Pain, Pruritus, Swelling
Clinical narrative: Sore, redness, swollen, hot, itchy and painful to touch. Doctor examined.
Age: 27.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes in (L) chest area.
Age: 22.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Asthenia, Chills, Cold sweat, Confusional state, Diarrhoea
Clinical narrative: 21 y/o female who on the morning of 5 NOV 2011, around 1030, received AVA (2) vaccine in her left upper arm and Yellow Fever vaccine in her right upper arm during week-end drill. By noon on Saturday, she felt "out of it mentally" and was dizzy and clammy and had a headache. She denies rashes, facial swelling, nasal symptoms, throat tightness or itching, difficulty swallowing or breathing, chest tightness, and cough. No significant local vaccination site reactions. Within 2 hours of symptom onset, she drove to her mother's house. When she got there, she laid on the couch and noticed that her feet and hands were tingling - "felt like they fell asleep". She felt "twice as bad" as she did in OCT. She experienced vomiting and diarrhea within 2 1/2 hours of arrival at her mother's house. She experienced sweating alternating with chills. Her headache was not associated with nausea and visual changes, but she did experience photosensitivity. No nuchal rigidity. Headache pain was different from other headaches she experienced with regard to intensity and character. Patient felt dizzy and confused. She slept for 5 hours and when she awoke, she still felt weak, tired and confused. She slept through the night and the next morning she woke up feeling feverish and dizzy with a headache and nausea and vomiting, but the confusion was gone. Her mother took her to be seen at the local ER, but the wait was so long, they left without being seen. By noon, she was starting to feel a little better; the nausea and vomiting were resolved and she was able to lunch. She continued to have a headache, so she rested in a dark room that afternoon and evening. The tingling of her extremities had resolved before bedtime Sunday night. When patient awoke on Monday morning, she was feeling better but, still running a low grade fever. She rested on Monday. She returned to work on Tuesday, although she still felt tired and weak. By Wednesday, she felt back to normal. Patient reports feeling well prior to and days prior to above vaccine receipt. She denies any other possible exposures around time of above vaccine receipt. She denies allergies to medications, foods, latex, and insect stings. She was not taking any routine medications at the time of vaccine receipt. She denies any other previous vaccine reactions except for self limited flu-like symptoms, usually following flu vaccine. Denies significant medical history.