chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Muscle swelling, Oedema peripheral, Rash erythematous, Skin warm
Clinical narrative: 10-11 Into HD C/O swelling in bicep and tricep has hot red rash over the area & now swelling is progressing down to wrist. Hx acute lymphocytic leukemia Dr suggested put ice on it, elevate over heart, not drive, take Benadryl & see own HCP ASAP. Spoke to him a couple days later and the swelling was gradually going away.
Age: 0.38
Sex: F
Vaccine: DTPIHI
Symptoms: Gastroenteritis viral, Vomiting
Clinical narrative: She could not keep her food down for an entire day. She basically threw up within a minute of eating. It resolved after 24 hours, there were no other symptoms which is why I do not think it was the flu.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Headache, Hyperhidrosis, Myalgia
Clinical narrative: Pt. began to experience a little shortness of breath, then had chills and sweating.  Also had headache and muscle aches. Fell asleep and woke up feeling fine next morning.  Experienced same symptoms with last influenza immunization.
Age: 63.0
Sex: M
Vaccine: HEP, IPV, RAB
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Itchy red rash to trunk and stomach. Pt said that he first notice rash on 1/24/2011. States he has a positive history of rashes and has sensitive skin. Per patient, "I always have rashes." Given 50 mg Benadryl po now today (1/27/2011).
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Convulsion, Urticaria
Clinical narrative: urticaria noted 20 min after injection, seizures also noted
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness, Paraesthesia, Upper respiratory tract infection
Clinical narrative: Upper respiratory virus, developed Guillain Barre.  Numbness and tingling and weakness in all four extremities.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Blood glucose normal, Hypoaesthesia facial, Injection site pain, Neck pain, Neurological examination normal
Clinical narrative: Pain at injection site within hours of vaccination.  Continued and radiated into neck for 2 weeks. No redness or swelling.  After 2 weeks pain subsided began having vertigo which has continued.  Today 1/27/10 developed numbness in face.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Thyroid function test normal, Vertigo
Clinical narrative: Pain at injection site within hours of vaccination.  Continued and radiated into neck for 2 weeks. No redness or swelling.  After 2 weeks pain subsided began having vertigo which has continued.  Today 1/27/10 developed numbness in face.
Age: 1.15
Sex: M
Vaccine: DTAP, FLU3, HIBV, MMR
Symptoms: Rash, Rash vesicular, Viral rash
Clinical narrative: Child has measles like rash, vs viral exanthum, vs strep rash.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Lethargy, Mononucleosis heterophile test negative, Pain, Pyrexia
Clinical narrative: Fever, chills, lethargy, body aches. No treatment given by primary MD.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: 5in x 3 in red bullseye that was hot to touch, red and swollen for 2 days.  Slowly resolving after 2nd day, not hot, only red and swollen.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Hypertension, Influenza, Influenza A virus test positive, Laboratory test abnormal
Clinical narrative: Patient presented to OB triage w/ URI symptoms; sore throat; cough productive of white sputum; fever; tachycardiac and hypertensive. Tx (1) Supportive Therapy, (2) Start TAMIFLU, (3) Labs for preeclampsia. Vaccine Failure.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Polymerase chain reaction, Productive cough, Pyrexia, Tachycardia
Clinical narrative: Patient presented to OB triage w/ URI symptoms; sore throat; cough productive of white sputum; fever; tachycardiac and hypertensive. Tx (1) Supportive Therapy, (2) Start TAMIFLU, (3) Labs for preeclampsia. Vaccine Failure.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination failure
Clinical narrative: Patient presented to OB triage w/ URI symptoms; sore throat; cough productive of white sputum; fever; tachycardiac and hypertensive. Tx (1) Supportive Therapy, (2) Start TAMIFLU, (3) Labs for preeclampsia. Vaccine Failure.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchitis, Chills, Influenza, Influenza A virus test positive, Laboratory test abnormal
Clinical narrative: (1) Pt with a 3 day hx on arrival to ED 01/05/11 w/ productive cough; malaise and chills. (2) CXR: Cont. w/ ZITHROMAX 500 to cover for Acute Bronchitis. Vaccine Failure.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Polymerase chain reaction, Productive cough, Vaccination failure
Clinical narrative: (1) Pt with a 3 day hx on arrival to ED 01/05/11 w/ productive cough; malaise and chills. (2) CXR: Cont. w/ ZITHROMAX 500 to cover for Acute Bronchitis. Vaccine Failure.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Influenza, Influenza A virus test positive, Laboratory test abnormal, Nasal congestion
Clinical narrative: Nasal Congestion and sore throat; fever. Vaccine Failure.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Polymerase chain reaction, Pyrexia, Vaccination failure
Clinical narrative: Nasal Congestion and sore throat; fever. Vaccine Failure.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Influenza, Influenza B virus test positive, Nasal congestion, Throat irritation
Clinical narrative: Dry cough, nasal congestion, scratchy throat. Vaccine failure.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination failure
Clinical narrative: Dry cough, nasal congestion, scratchy throat. Vaccine failure.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Foetal disorder, Influenza, Influenza A virus test positive, Influenza like illness
Clinical narrative: Pt. presented on 01/08/11 (31 5/7 wks pregnant) to MD triage with fever 101.1, tachycardia (maternal and fetal); flu-like symptoms. Tx: Started treatment with TAMIFLU; monitor on L&D; provide supportive care. Vaccine failure.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Polymerase chain reaction, Pyrexia, Tachycardia, Vaccination failure
Clinical narrative: Pt. presented on 01/08/11 (31 5/7 wks pregnant) to MD triage with fever 101.1, tachycardia (maternal and fetal); flu-like symptoms. Tx: Started treatment with TAMIFLU; monitor on L&D; provide supportive care. Vaccine failure.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Culture throat, Drug exposure during pregnancy, Full blood count, Influenza
Clinical narrative: (URI) Upper Respiratory Infection; fever; Body aches; Nasal Congestion; cough; sore throat. Fever 101 degrees. Tx: (1) IV Bolus then maintenance fluids. (2) CBC BMP (Complete Blood Count) (Basic Metabolic Panel). (3) Flu Swab and Throat Culture. Vaccine Failure.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza B virus test positive, Laboratory test abnormal, Metabolic function test, Nasal congestion, Oropharyngeal pain
Clinical narrative: (URI) Upper Respiratory Infection; fever; Body aches; Nasal Congestion; cough; sore throat. Fever 101 degrees. Tx: (1) IV Bolus then maintenance fluids. (2) CBC BMP (Complete Blood Count) (Basic Metabolic Panel). (3) Flu Swab and Throat Culture. Vaccine Failure.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Polymerase chain reaction, Pyrexia, Upper respiratory tract infection, Vaccination failure
Clinical narrative: (URI) Upper Respiratory Infection; fever; Body aches; Nasal Congestion; cough; sore throat. Fever 101 degrees. Tx: (1) IV Bolus then maintenance fluids. (2) CBC BMP (Complete Blood Count) (Basic Metabolic Panel). (3) Flu Swab and Throat Culture. Vaccine Failure.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray, Cough, Culture, Culture throat, Drug exposure during pregnancy
Clinical narrative: Sore throat, nasal congestion and cough. Upper respiratory infection and subchorionic hematoma. Tx Plan: (1) Admit to L&D; (2) Put on Electronic fetal monitor (EFM); (3) Cultures taken for inf. antigens, Respiratory DFA, throat culture, chest x-ray; (4) Patient on IV fluids. Vaccine failure.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Foetal monitoring, Influenza, Influenza A virus test positive, Nasal congestion, Oropharyngeal pain
Clinical narrative: Sore throat, nasal congestion and cough. Upper respiratory infection and subchorionic hematoma. Tx Plan: (1) Admit to L&D; (2) Put on Electronic fetal monitor (EFM); (3) Cultures taken for inf. antigens, Respiratory DFA, throat culture, chest x-ray; (4) Patient on IV fluids. Vaccine failure.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Polymerase chain reaction, Retroplacental haematoma, Upper respiratory tract infection, Vaccination failure
Clinical narrative: Sore throat, nasal congestion and cough. Upper respiratory infection and subchorionic hematoma. Tx Plan: (1) Admit to L&D; (2) Put on Electronic fetal monitor (EFM); (3) Cultures taken for inf. antigens, Respiratory DFA, throat culture, chest x-ray; (4) Patient on IV fluids. Vaccine failure.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Paralysis
Clinical narrative: Coworker presented at pharmacy indicating that around Christmas, patient was known to have been admitted to a clinic with paralysis from the waist down and that it was mentioned to be possibly related to the flu shot. Spouse came to pharmacy 1/27/11 to confirm.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC13, RV5
Symptoms: Apnoea, Convulsion, Electroencephalogram, Hypotonia, Nuclear magnetic resonance imaging
Clinical narrative: New onset seizure day of vaccination. Apnea, hypotonia with post-ictal state. Seizure activity lasting up to 2 minutes; multiple episodes over next several days.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC13, RV5
Symptoms: Postictal state
Clinical narrative: New onset seizure day of vaccination. Apnea, hypotonia with post-ictal state. Seizure activity lasting up to 2 minutes; multiple episodes over next several days.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Blood creatine phosphokinase increased, Dermatomyositis, Myalgia, Rash
Clinical narrative: Dermatomyositis triggered by the flu shot. CPK's in 2-9K range treated with steroids.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient received the flu shot at 10:10 AM on 1/24/11. It was his 2nd dose this year. About 15 min. after receiving it he broke out in hives on his forehead & on his chest. No SOB. He was given BENADRYL 25 mg po with improvement in hives.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Eye irritation, Headache, Lacrimation increased, Pain
Clinical narrative: Body aches, watery & burning eyes, headache.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Influenza, Influenza A virus test positive, Influenza like illness, Polymerase chain reaction
Clinical narrative: Flu-like symptoms. Vaccine failure.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination failure
Clinical narrative: Flu-like symptoms. Vaccine failure.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Drug exposure during pregnancy, Influenza, Influenza A virus test positive, Pyrexia
Clinical narrative: Fever and cough. Vaccine failure.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination failure
Clinical narrative: Fever and cough. Vaccine failure.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Drug exposure during pregnancy, Influenza, Influenza A virus test positive
Clinical narrative: Body aches, cough, chills and sinus drainage. Vaccine failure.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Paranasal sinus hypersecretion, Polymerase chain reaction, Vaccination failure
Clinical narrative: Body aches, cough, chills and sinus drainage. Vaccine failure.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Influenza, Influenza A virus test positive, Myalgia, Polymerase chain reaction
Clinical narrative: Patient presented w/complaint of myalgia, subjective fevers at home. Mildly tachycardic. Tachycardia resolved with fluid bolus. Patient G/POAO at 40 wod. Tx: 1) Proceed with misoprostol induction of labor. 2) Start TAMIFLU. 3) IV fluids. 4) Anticipate SVD. Vaccine failure.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Tachycardia, Vaccination failure
Clinical narrative: Patient presented w/complaint of myalgia, subjective fevers at home. Mildly tachycardic. Tachycardia resolved with fluid bolus. Patient G/POAO at 40 wod. Tx: 1) Proceed with misoprostol induction of labor. 2) Start TAMIFLU. 3) IV fluids. 4) Anticipate SVD. Vaccine failure.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Drug exposure during pregnancy, Influenza, Influenza A virus test positive, Influenza like illness
Clinical narrative: (1) Patient presented to triage on 1/7/11 w/a one day hx of "flu-like" symptoms; body aches, chills; nasal drainage. Findings: fever. Maternal/fetal tachycardia. Elevated BP. (2) Pt (1) starting TAMIFLU; CXR; IV fluids; HTN eval; anticipate SVD - Resp isolation.  Vaccine failure.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Polymerase chain reaction, Sinus operation, Tachycardia, Urticaria
Clinical narrative: (1) Patient presented to triage on 1/7/11 w/a one day hx of "flu-like" symptoms; body aches, chills; nasal drainage. Findings: fever. Maternal/fetal tachycardia. Elevated BP. (2) Pt (1) starting TAMIFLU; CXR; IV fluids; HTN eval; anticipate SVD - Resp isolation.  Vaccine failure.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination failure
Clinical narrative: (1) Patient presented to triage on 1/7/11 w/a one day hx of "flu-like" symptoms; body aches, chills; nasal drainage. Findings: fever. Maternal/fetal tachycardia. Elevated BP. (2) Pt (1) starting TAMIFLU; CXR; IV fluids; HTN eval; anticipate SVD - Resp isolation.  Vaccine failure.
Age: 74.0
Sex: F
Vaccine: DT
Symptoms: Erythema
Clinical narrative: Erythema 6 1/2 inch local reaction. No anaphylaxis.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Pt stated (L) arm swollen, red, warm to touch, painful, fever 102 degrees - called on-call MD was advised to take Ibuprofen to bring fever down. Fever came down that night & was sx free at time of phone call at 0930.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis - extreme redness, swelling, heat, pain, left upper arm.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, PNC13
Symptoms: Injection site erythema, Injection site urticaria, Injection site warmth, Pyrexia, Vomiting
Clinical narrative: Fever 103 degrees x 1 da - inj. site red & warm. Hives. Vomiting. TYLENOL and BENADRYL given.
Age: 0.12
Sex: M
Vaccine: PNC13, RV5
Symptoms: Haematochezia, Mucous stools
Clinical narrative: Tiny speck of blood in mucousy stool; black flecks in stool.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Chills, Pyrexia
Clinical narrative: Fever, chills, profound weakness 8.5 hour after vaccine given.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site haematoma, Injection site swelling, Vaccination complication
Clinical narrative: Swollen right arm with bruising. Mild vaccine reaction ice to affected area.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: Fever - 105 degree - relief with MOTRIN no other sxs.
Age: 0.42
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Crying, Irritability, Urticaria
Clinical narrative: 5 month old infant developed hives on forehead minutes after being vaccinated. Pt. was crying & irritable. VSS. Pt given BENADRYL 12.5mg/tsp 1/2tsp PO x 1. Pt sent home. Pt had same vaccines in Nov with no reported adverse rxn. Not sure if rxn was sec. to vaccine versus stress.
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever >103 degrees x 1da - hives.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Blood cholesterol normal, Blood triglycerides normal, C-reactive protein increased, Chest X-ray normal, Chest pain
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Drug screen negative, Dyspnoea, Echocardiogram, Electrocardiogram T wave inversion, Electrocardiogram abnormal
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Fibrin D dimer normal, Full blood count normal, High density lipoprotein decreased, Hypoaesthesia, Laboratory test normal
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Limb discomfort, Lipids, Low density lipoprotein normal, Metabolic function test normal, Pain
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Pain in jaw, Paraesthesia, Red blood cell sedimentation rate normal, Sensation of pressure, Tenderness
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Troponin I increased, Troponin T increased
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Blood cholesterol normal, Blood triglycerides normal, C-reactive protein, Chest X-ray normal, Chest discomfort
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Drug screen negative, Dyspnoea, Electrocardiogram T wave abnormal, Electrocardiogram T wave inversion
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Electrocardiogram abnormal, Fibrin D dimer normal, Full blood count normal, High density lipoprotein decreased, Hypoaesthesia
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Limb discomfort, Low density lipoprotein normal, Metabolic function test, Metabolic function test normal, Myalgia
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Neck pain, Pain in extremity, Pain in jaw, Paraesthesia, Pulmonary oedema
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Red blood cell sedimentation rate normal, Sensation of pressure, Tenderness, Troponin I increased, Troponin T increased
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Echocardiogram normal, Electrocardiogram abnormal, Myocarditis, Nuclear magnetic resonance imaging abnormal, Troponin I increased
Clinical narrative: 22 y/o male who according to clinical entry dated 1/18/2011 reported "pressure to left pectoral muscle...radiates down left arm and left side of neck and jaw". Pain progressively worse over the course of four days and worst on 1/17/2011 when he was awakened at 0300 with "squeezing type pain that radiated down left arm and jaw and was associated with shortness of breath". VS and PE from 1/18 at presentation: 124/92, P 88, R 20, HT 71", WT 175, BMI 24.41, Lungs WNL. Per ED note on 1/18/2011 - onset of CP on early a.m. of 1/16/2011. Left arm felt kind of numb. Had tingling in the left side of his neck. Pain lasted 2-3 hours. He took some TYLENOL which helped and the pain went down from a 10 to a 6, and then later, he took some ibuprofen. Later that evening, the pain came back. He took more ADVIL, and then yesterday (1/17), the pain was up and down. Pain kind of worse if he was laying or leaning to the left. On a.m. of 1/18, pain was about 2-3/10, when he sought care at clinic where he was transferred to ER. He was given NTG enroute with eradication of pain. He also had been given four 81 mg ASA. PE: Heart sounded normal with no rub or murmur. Lungs clear. Chest wall was nontender. LUE) with SPV site not dramatically abnormal; axilla somewhat tender. Pt given LOVENOX 80 mg sub-q and nitro drip initially started, but dc'd in ED. Patient transferred and admitted to healthcare.
Age: 3.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, PNC
Symptoms: Body temperature increased, Vomiting
Clinical narrative: Vomited x 2 approx 1 1/2 hours after receiving vaccines. Temp 102.6 upon return to office 3 hr. after vaccines.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Headache, Nausea, Rash
Clinical narrative: T-DAP given on 1/25/11. On 1/26/11 felt nauseated, headache, dizzy, and rash on left arm. Slight headache & dizzy on 1/27/11. No rash or swelling of arm. No treatment.
Sex: U
Vaccine: FLUX
Symptoms: Anaphylactic reaction
Clinical narrative: This case was reported in a literature article and described the occurrence of anaphylaxis in a subject of unspecified age and gender who was vaccinated with INFLUENZA (unspecified), manufacturer unspecified. Concurrent medical conditions included allergy (this was discovered after the occurrence of the anaphylactic reaction). No egg allergy was reported in this patient. Previous and/or concurrent vaccination included MMR; manufacturer unspecified. On an unspecified date the subject received unspecified dose of INFLUENZA. At an unspecified time after vaccination with INFLUENZA (either on the day after vaccination or on the day after the administration of multiple vaccines), the subject experienced anaphylaxis. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified. Influenza virus infection causes substantial morbidity in children with an attendant need for healthcare utilization, school absenteeism, and secondary illness in families. Also, influenza virus can rarely lead to death in children with underlying medical conditions and in children who are otherwise healthy. Vaccination against influenza virus is the primary method for preventing influenza and its complications. The committee recommendations for influenza vaccination of children have expanded from the long-standing recommendation to vaccinate high-risk children aged 6 months, to vaccinating all 6- to 23-month-olds (2004), 2- to 4-year-olds (2006), and 5- to 18-year-olds (2008). The objective of the authors was to identify new or unexpected adverse events (AEs) after trivalent inactivated vaccine (TIV) in children. Methods: analysis of reports after TIV to the Vaccine Adverse Event Reporting System from 1990-2006 in children aged 2 to 17 years, and from the 2008-2009 influenza season in children ages 5 to 17 years. The techniques were used to identify new or unexpected AEs during 1990-2006. Results: During 1990-2006, the Vaccine Adverse Event Reporting System received 2054 reports of children aged 2 to 17 years with a peak in the 2003-2004 influenza season, In 2006-2009, 506 reports describing 5 to 17 year olds were received. The serious reports of tests performed after TIV were approximately 10% of all reports from 2001-2006, and 6% of the reports in the 2008-2009 season. The data showed an increased proportion of medication errors and Guillain Barre Syndrome (GBS). The findings of GBS could not be interpreted as causally related to vaccination. Among 201 reports of medication error, 94% had no AE reported other than the medication error itself. Conclusion: In this analysis, we found no unexpected AEs. Our review of medication error and GBS reports suggests that ongoing monitoring in these areas is appropriate.
Age: 4.0
Sex: U
Vaccine: FLUX
Symptoms: Anaphylactic reaction, Chest discomfort, Erythema, Respiratory disorder, Skin reaction
Clinical narrative: This case was reported in a literature article and described the occurrence of anaphylaxis in a 4-year-old subject of unspecified gender who was vaccinated with influenza virus vaccine (unspecified), manufacturer unspecified. The subject did not receive any concomitant vaccine. No egg allergy was reported in this patient. On an unspecified date the subject received unspecified dose of Influenza vaccine (unspecified) (unknown). Less than one day after vaccination with Influenza vaccine (unspecified), the subject experienced anaphylaxis with respiration problem (chest tightness or wheezing) and skin reactions. The patient was either hospitalised or treated at the emergency ward and further referred for allergy testing. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the events was unspecified. This case is linked to cases B0695522A and B0695523A. It was not possible to attribute some of the information provided in the article to one or the other patient. Therefore this report contains only the generic information. All other details can be read in the article.
Age: 4.0
Sex: U
Vaccine: FLUX
Symptoms: Urticaria, Wheezing
Clinical narrative: This case was reported in a literature article and described the occurrence of anaphylaxis in a 4-year-old subject of unspecified gender who was vaccinated with influenza virus vaccine (unspecified), manufacturer unspecified. The subject did not receive any concomitant vaccine. No egg allergy was reported in this patient. On an unspecified date the subject received unspecified dose of Influenza vaccine (unspecified) (unknown). Less than one day after vaccination with Influenza vaccine (unspecified), the subject experienced anaphylaxis with respiration problem (chest tightness or wheezing) and skin reactions. The patient was either hospitalised or treated at the emergency ward and further referred for allergy testing. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the events was unspecified. This case is linked to cases B0695522A and B0695523A. It was not possible to attribute some of the information provided in the article to one or the other patient. Therefore this report contains only the generic information. All other details can be read in the article.
Age: 40.0
Sex: M
Vaccine: MEN, TYP, YF
Symptoms: Amnesia, Arthritis, Arthropathy, Disturbance in attention, Erectile dysfunction
Clinical narrative: Impotency. Headaches. Eye conditions. Memory loss. Lost of concentration. Joint condition. Sleep problems. Vertigo. Arthritis. Hypertension. Migraine. Otitis media.
Age: 40.0
Sex: M
Vaccine: MEN, TYP, YF
Symptoms: Eye disorder, Headache, Hypertension, Migraine, Otitis media
Clinical narrative: Impotency. Headaches. Eye conditions. Memory loss. Lost of concentration. Joint condition. Sleep problems. Vertigo. Arthritis. Hypertension. Migraine. Otitis media.
Age: 40.0
Sex: M
Vaccine: MEN, TYP, YF
Symptoms: Sleep disorder, Vertigo
Clinical narrative: Impotency. Headaches. Eye conditions. Memory loss. Lost of concentration. Joint condition. Sleep problems. Vertigo. Arthritis. Hypertension. Migraine. Otitis media.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Electromyogram normal, Injection site joint pain, Injection site pain, Nerve conduction studies abnormal, Neuralgic amyotrophy
Clinical narrative: Before I got the shot, my left arm was just fine. After I got the shot my left arm & hand has been giving me pain & suffering and limited mobility. It all started the same day I got the shot.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Nuclear magnetic resonance imaging abnormal, Rotator cuff syndrome
Clinical narrative: Before I got the shot, my left arm was just fine. After I got the shot my left arm & hand has been giving me pain & suffering and limited mobility. It all started the same day I got the shot.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Before I got the shot, my left arm was just fine. After I got the shot my left arm & hand has been giving me pain & suffering and limited mobility. It all started the same day I got the shot.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Electrocardiogram normal
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Hilar lymphadenopathy, Injection site pain, Laboratory test normal, Lymphadenopathy, Musculoskeletal chest pain
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Myositis, Resuscitation, Tenderness, Troponin
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Inflammation, Laboratory test normal, Myositis, Pain in extremity
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Troponin
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood gases, Cardiac enzymes, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Dyspnoea, Electrocardiogram, Full blood count, Laboratory test
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Blood creatine phosphokinase increased, Blood gases normal, Chest X-ray normal, Chest pain, Computerised tomogram abnormal
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Dyspnoea, Electrocardiogram normal, Hilar lymphadenopathy, Injection site pain, Lymphadenopathy
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Mediastinal disorder, Myositis, Tenderness, Troponin normal
Clinical narrative: Right arm pain/inflammation (same arm as smallpox vaccination). Pain medication given. Arm & upper chest tender to palpation. Working diagnosis: Myositis.
Age: 35.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Erythema, Extensive swelling of vaccinated limb, Local reaction, Muscle tightness, Pain
Clinical narrative: Member has fairly impressing erythema/swelling/itching.  It appears to be an extended local reaction and there are no systemic symptoms.  Member initially came to our clinic was given Benadryl and recommended compresses but due to worsening symptoms went to ER and was given IV steroids and Zantac.  Symptoms are much improved today 28 Jan 2010 but continues to have some symptoms.  I would recommend excemption from future anthrax vaccinations.
Age: 35.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Pruritus, Swelling
Clinical narrative: Member has fairly impressing erythema/swelling/itching.  It appears to be an extended local reaction and there are no systemic symptoms.  Member initially came to our clinic was given Benadryl and recommended compresses but due to worsening symptoms went to ER and was given IV steroids and Zantac.  Symptoms are much improved today 28 Jan 2010 but continues to have some symptoms.  I would recommend excemption from future anthrax vaccinations.
Age: 22.0
Sex: F
Vaccine: PER
Symptoms: Hypokinesia, Pain, Pyrexia
Clinical narrative: Fever, soreness, inability to lift arm higher than 45 degrees.