chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Injection site cellulitis, Rash erythematous, Rash generalised
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415110. A 20-year-old male patient, who had no current illnesses and no medical history, received on 10 January 2011 a left arm percutaneous injection of ACAM2000 (invalid lot number DVO1C01). Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. On 19 January 2011, 9 days after vaccination, the patient developed noticeable 2 red "dots" on his right wrist with progression to body wide "red dots" by the end of the day. There was no pruritus and no drainage. The patient also had cellulitis extending from the site of smallpox vaccine which was approximately 9 centimeters by 5 centimeters. The patient was seen in the Emergency Room and was treated with 1 gram of vancomycin and 1 gram of ANCEF. The patient was sent home with SEPTRA and prednisone. The patient had no laboratory testing performed since the diagnosis was made on physical exam. The patient was later instructed at the "BAS" not to take the prednisone. The outcome was reported as recovered. Documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Arthralgia, Blood culture, Dizziness, Full blood count normal, Injection site erythema
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415110. A 20-year-old male patient, who had no current illnesses and no medical history, received on 10 January 2011 a left arm percutaneous injection of ACAM2000 (invalid lot number DVO1C01). Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. On 19 January 2011, 9 days after vaccination, the patient developed noticeable 2 red "dots" on his right wrist with progression to body wide "red dots" by the end of the day. There was no pruritus and no drainage. The patient also had cellulitis extending from the site of smallpox vaccine which was approximately 9 centimeters by 5 centimeters. The patient was seen in the Emergency Room and was treated with 1 gram of vancomycin and 1 gram of ANCEF. The patient was sent home with SEPTRA and prednisone. The patient had no laboratory testing performed since the diagnosis was made on physical exam. The patient was later instructed at the "BAS" not to take the prednisone. The outcome was reported as recovered. Documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Injection site pain, Neck pain, Pallor, Rash, Skin warm
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415110. A 20-year-old male patient, who had no current illnesses and no medical history, received on 10 January 2011 a left arm percutaneous injection of ACAM2000 (invalid lot number DVO1C01). Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. On 19 January 2011, 9 days after vaccination, the patient developed noticeable 2 red "dots" on his right wrist with progression to body wide "red dots" by the end of the day. There was no pruritus and no drainage. The patient also had cellulitis extending from the site of smallpox vaccine which was approximately 9 centimeters by 5 centimeters. The patient was seen in the Emergency Room and was treated with 1 gram of vancomycin and 1 gram of ANCEF. The patient was sent home with SEPTRA and prednisone. The patient had no laboratory testing performed since the diagnosis was made on physical exam. The patient was later instructed at the "BAS" not to take the prednisone. The outcome was reported as recovered. Documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Arthralgia, Dizziness, Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415110. A 20-year-old male patient, who had no current illnesses and no medical history, received on 10 January 2011 a left arm percutaneous injection of ACAM2000 (invalid lot number DVO1C01). Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. On 19 January 2011, 9 days after vaccination, the patient developed noticeable 2 red "dots" on his right wrist with progression to body wide "red dots" by the end of the day. There was no pruritus and no drainage. The patient also had cellulitis extending from the site of smallpox vaccine which was approximately 9 centimeters by 5 centimeters. The patient was seen in the Emergency Room and was treated with 1 gram of vancomycin and 1 gram of ANCEF. The patient was sent home with SEPTRA and prednisone. The patient had no laboratory testing performed since the diagnosis was made on physical exam. The patient was later instructed at the "BAS" not to take the prednisone. The outcome was reported as recovered. Documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Neck pain, Rash generalised
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415110. A 20-year-old male patient, who had no current illnesses and no medical history, received on 10 January 2011 a left arm percutaneous injection of ACAM2000 (invalid lot number DVO1C01). Although the manufacturer was reported as unknown in this case, ACAM2000 was the only licensed smallpox vaccine at the time of the patient's vaccination. On 19 January 2011, 9 days after vaccination, the patient developed noticeable 2 red "dots" on his right wrist with progression to body wide "red dots" by the end of the day. There was no pruritus and no drainage. The patient also had cellulitis extending from the site of smallpox vaccine which was approximately 9 centimeters by 5 centimeters. The patient was seen in the Emergency Room and was treated with 1 gram of vancomycin and 1 gram of ANCEF. The patient was sent home with SEPTRA and prednisone. The patient had no laboratory testing performed since the diagnosis was made on physical exam. The patient was later instructed at the "BAS" not to take the prednisone. The outcome was reported as recovered. Documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Injection site cellulitis, Rash erythematous
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415179. A 20-year-old male patient received first left arm injection of ACAM2000 (lot number reported as DV0C01, not a valid sanofi pasteur lot number) on 10 January 2011. On 20 January 2011, 10 days post-vaccination, he developed a generalized rash which began on his right wrist and spread. He complained of lightheadedness and feeling warm, and was noted to have a non-itchy, blanching rash, neck pain, and joint pain. He also had pain and erythema at the smallpox inoculation site on the left deltoid. The patient subsequently recovered on an unspecified date.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Injection site cellulitis, Rash erythematous, Rash generalised
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415179. A 20-year-old male patient received first left arm injection of ACAM2000 (lot number reported as DV0C01, not a valid sanofi pasteur lot number) on 10 January 2011. On 20 January 2011, 10 days post-vaccination, he developed a generalized rash which began on his right wrist and spread. He complained of lightheadedness and feeling warm, and was noted to have a non-itchy, blanching rash, neck pain, and joint pain. He also had pain and erythema at the smallpox inoculation site on the left deltoid. The patient subsequently recovered on an unspecified date.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Arthralgia, Blood culture, Dizziness, Full blood count normal, Injection site erythema
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415179. A 20-year-old male patient received first left arm injection of ACAM2000 (lot number reported as DV0C01, not a valid sanofi pasteur lot number) on 10 January 2011. On 20 January 2011, 10 days post-vaccination, he developed a generalized rash which began on his right wrist and spread. He complained of lightheadedness and feeling warm, and was noted to have a non-itchy, blanching rash, neck pain, and joint pain. He also had pain and erythema at the smallpox inoculation site on the left deltoid. The patient subsequently recovered on an unspecified date.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Injection site pain, Neck pain, Pallor, Rash, Skin warm
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415179. A 20-year-old male patient received first left arm injection of ACAM2000 (lot number reported as DV0C01, not a valid sanofi pasteur lot number) on 10 January 2011. On 20 January 2011, 10 days post-vaccination, he developed a generalized rash which began on his right wrist and spread. He complained of lightheadedness and feeling warm, and was noted to have a non-itchy, blanching rash, neck pain, and joint pain. He also had pain and erythema at the smallpox inoculation site on the left deltoid. The patient subsequently recovered on an unspecified date.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Arthralgia, Dizziness, Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415179. A 20-year-old male patient received first left arm injection of ACAM2000 (lot number reported as DV0C01, not a valid sanofi pasteur lot number) on 10 January 2011. On 20 January 2011, 10 days post-vaccination, he developed a generalized rash which began on his right wrist and spread. He complained of lightheadedness and feeling warm, and was noted to have a non-itchy, blanching rash, neck pain, and joint pain. He also had pain and erythema at the smallpox inoculation site on the left deltoid. The patient subsequently recovered on an unspecified date.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL, SMALL, SMALL
Symptoms: Neck pain, Rash generalised
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415179. A 20-year-old male patient received first left arm injection of ACAM2000 (lot number reported as DV0C01, not a valid sanofi pasteur lot number) on 10 January 2011. On 20 January 2011, 10 days post-vaccination, he developed a generalized rash which began on his right wrist and spread. He complained of lightheadedness and feeling warm, and was noted to have a non-itchy, blanching rash, neck pain, and joint pain. He also had pain and erythema at the smallpox inoculation site on the left deltoid. The patient subsequently recovered on an unspecified date.
Age: 25.0
Sex: F
Vaccine: FLUN3, SMALL, FLUN3, SMALL
Symptoms: Cellulitis, Lymphadenopathy, Myalgia, Pruritus, Rash pustular
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415116. A 20-year-old male patient received the following vaccines on 11 January 2011: ACAM2000 (lot number VV04003A), and intranasal FLUMIST (MedImmune, lot number 501057P). The patient had a history of smallpox as a child in another country, and hypertension. He was taking hydrochlorothiazide and enalapril concomitantly. On 19 January 2011, 10 days post-vaccination, he developed lymphadenopathy, pruritus, and myalgia; he also developed a "pustule/cellulitis" near the right eye and right groin. Outcome was unknown.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, ANTH, SMALL
Symptoms: Troponin I increased, Troponin T increased
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
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: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415598. A 22-year-old male patient received the following vaccinations on 04 January 2011: ACAM2000 (lot number VV04003A) and BIOTHRAX (Emergent Biosolutions (also reported as Michigan DPH), lot number FAV248). The patient was not taking any medications, had no relevant medical history, and was not ill at the time of vaccination. The patient reported pressure to the left pectoral muscle, radiating down the left arm and left side of neck and jaw (onset date reported as 16 January 2011). The patient described the pain initially as a "10". He treated the symptoms with TYLENOL and ADVIL on 16 January 2011 with some relief of pain "down to a 6"; however the pain returned later. Symptoms became progressively worse over four days and on 17 January 2011 he was awakened with a squeezing pain radiating down the left arm and jaw and associated with numbness and shortness of breath. He presented to a clinic on 18 January 2011, where his vital signs were noted to be stable and lungs within normal limits. He was transferred to an emergency department from the clinic, and given nitroglycerin en route with eradication of pain. He was also treated with 81mg aspirin x4. A physical exam revealed normal heart sounds with no rubs or murmurs, clear lungs, chest wall nontender. Axilla was somewhat tender. Events included hypoesthesia, limb discomfort, pain, pain in jaw, paresthesia, pulmonary edema, sensation of pressure, and tenderness. Additional treatment included LOVENOX 80mg subcutaneously, and nitroglycerin drip in the emergency department. CBC and CMP were normal, urine drug screen negative, D-dimer less than 100. Troponin-I levels were elevated at 0.59. Cholesterol was 129, triglycerides 88, HDL 41, LDL 70, CRP 1.4, ESR 14. Subsequent Troponin T levels were 0.59, 0.34, and 0.2. ECG report showed normal sinus rhythm with rightward axis, T-wave abnormality, "consider anterolateral ischemia". Chest x-ray was unremarkable. Another ECG on 19 January 2011 showed no PR depression, normal axis, and symmetrical T-wave inversion in V4 to V6. Compared to previous ECG, T-wave inversions had resolved. The event had not resolved at the time of the report. There may be a discrepancy between the event date field and the onset date information in the free text narrative field in the data reported. Latency has been calculated using the event date. Documents held by sender: None.
Age: 38.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest discomfort, Electrocardiogram, Injection site erythema, Paraesthesia
Clinical narrative: This case was received on 18 March 2011 via a third party query tool search on the VAERS database, under reference number 415649. A 38-year-old male patient received ACAM2000 (lot number not reported) on 14 January 2011. The patient had a history of hypertension. On 24 January 2011, 10 days post-vaccination, he developed an 8 x 11cm area of diffuse erythema on the left upper arm around the inoculation site. He complained of intermittent tingling in the left hand and fingers, and a sensation of chest tightness. An electrocardiogram was performed; results were not reported. Recovery was unknown.