chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: F
Vaccine: ANTH, FLU(H1N1), SMALL, YF, ANTH, FLU(H1N1), SMALL, YF
Symptoms: Neutrophil count normal, Neutrophil percentage, Nuclear magnetic resonance imaging brain abnormal, Pain, Platelet count normal
Clinical narrative: Pt received multiple vaccines in preparation for a job and initial had flu-like symptoms that progressed to chronic fatigue, myalgias, arthralgias, weakness, memory loss and headaches. She was seen by rheumatology in June 2010 and diagnosed with fibromyalgia. On 11/24/09 she received AVA #1, H1N1, yellow fever and primary SPV in preparation for a job in Jan. Within 4-8 hrs, she felt she had come down with the flu (body aches, malaise, fatigue). Stayed in bed the next day because she continued to feel poorly. Discussed with MD and was told it would resolve in a month's time and to treat symptomatically. Into December noticed increase of symptoms including muscle and joint aches, increasing fatigue, generalized weakness, disruption to sleep pattern, mental fog (forgetfulness, poor concentration) HA on R side of head. Left for job in Jan 2010. She continued to have symptoms at time of job, feeling like she a really bad case of the flu, had to force herself to go to work, couldn't sleep at night, hard time working due to poor concentration and forgetfulness, difficulty walking due to muscle and joint pain and weakness. Pt received AVA #2 on 1/30/10 and she felt as if she had a worsening of her symptoms, especially increasing joint and muscle pain and fatigue, more disruption to her sleep cycle. She was sent back from job in Feb 1010 because she was unable to function at her job. Was told at one time that her symptoms were due to depression. Saw a rheumatologist in June and was diagnosed with fibromyalgia. Has seen neurology for HA, which got progressively worse.
Age: 30.0
Sex: F
Vaccine: ANTH, FLU(H1N1), SMALL, YF, ANTH, FLU(H1N1), SMALL, YF
Symptoms: Protein total normal, Red blood cell count normal, Red blood cell sedimentation rate increased, Red cell distribution width normal, Rheumatoid factor negative
Clinical narrative: Pt received multiple vaccines in preparation for a job and initial had flu-like symptoms that progressed to chronic fatigue, myalgias, arthralgias, weakness, memory loss and headaches. She was seen by rheumatology in June 2010 and diagnosed with fibromyalgia. On 11/24/09 she received AVA #1, H1N1, yellow fever and primary SPV in preparation for a job in Jan. Within 4-8 hrs, she felt she had come down with the flu (body aches, malaise, fatigue). Stayed in bed the next day because she continued to feel poorly. Discussed with MD and was told it would resolve in a month's time and to treat symptomatically. Into December noticed increase of symptoms including muscle and joint aches, increasing fatigue, generalized weakness, disruption to sleep pattern, mental fog (forgetfulness, poor concentration) HA on R side of head. Left for job in Jan 2010. She continued to have symptoms at time of job, feeling like she a really bad case of the flu, had to force herself to go to work, couldn't sleep at night, hard time working due to poor concentration and forgetfulness, difficulty walking due to muscle and joint pain and weakness. Pt received AVA #2 on 1/30/10 and she felt as if she had a worsening of her symptoms, especially increasing joint and muscle pain and fatigue, more disruption to her sleep cycle. She was sent back from job in Feb 1010 because she was unable to function at her job. Was told at one time that her symptoms were due to depression. Saw a rheumatologist in June and was diagnosed with fibromyalgia. Has seen neurology for HA, which got progressively worse.
Age: 30.0
Sex: F
Vaccine: ANTH, FLU(H1N1), SMALL, YF, ANTH, FLU(H1N1), SMALL, YF
Symptoms: Scan normal, Sleep disorder, Total cholesterol/HDL ratio, White blood cell count decreased, Whole body scan
Clinical narrative: Pt received multiple vaccines in preparation for a job and initial had flu-like symptoms that progressed to chronic fatigue, myalgias, arthralgias, weakness, memory loss and headaches. She was seen by rheumatology in June 2010 and diagnosed with fibromyalgia. On 11/24/09 she received AVA #1, H1N1, yellow fever and primary SPV in preparation for a job in Jan. Within 4-8 hrs, she felt she had come down with the flu (body aches, malaise, fatigue). Stayed in bed the next day because she continued to feel poorly. Discussed with MD and was told it would resolve in a month's time and to treat symptomatically. Into December noticed increase of symptoms including muscle and joint aches, increasing fatigue, generalized weakness, disruption to sleep pattern, mental fog (forgetfulness, poor concentration) HA on R side of head. Left for job in Jan 2010. She continued to have symptoms at time of job, feeling like she a really bad case of the flu, had to force herself to go to work, couldn't sleep at night, hard time working due to poor concentration and forgetfulness, difficulty walking due to muscle and joint pain and weakness. Pt received AVA #2 on 1/30/10 and she felt as if she had a worsening of her symptoms, especially increasing joint and muscle pain and fatigue, more disruption to her sleep cycle. She was sent back from job in Feb 1010 because she was unable to function at her job. Was told at one time that her symptoms were due to depression. Saw a rheumatologist in June and was diagnosed with fibromyalgia. Has seen neurology for HA, which got progressively worse.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Adenovirus test, Alanine aminotransferase normal, Antibody test negative, Aspartate aminotransferase increased, Basophil percentage decreased
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Blood creatinine normal, Blood culture negative, Blood glucose increased, Blood potassium normal, Blood sodium normal
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Blood urea normal, Brudzinski's sign, CSF glucose normal, CSF lymphocyte count normal, CSF protein increased
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: CSF virus no organisms observed, CSF white blood cell count increased, Carbon dioxide normal, Chest X-ray normal, Computerised tomogram head
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Computerised tomogram normal, Cytomegalovirus test negative, Enterovirus test negative, Eosinophil percentage, Epstein-Barr virus test negative
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Fatigue, HIV test negative, Haematocrit normal, Haemoglobin normal, Headache
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Herpes simplex serology negative, Kernig's sign, Lethargy, Lumbar puncture, Lymphocyte percentage decreased
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Meningitis aseptic, Monocyte percentage, Musculoskeletal stiffness, Nausea, Neutrophil percentage increased
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Nuchal rigidity, Nuclear magnetic resonance imaging brain normal, Pain, Platelet count normal, Polymerase chain reaction
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Protein total normal, Pyrexia, Red blood cell count increased, Red blood cells CSF positive, Treponema test negative
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Troponin I increased, Vertigo, Viral infection, Viral test negative, Vomiting
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 18.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: White blood cell count increased
Clinical narrative: 18 y.o. was vaccinated with SPV, AVA and typhoid on 8/17/11. On 8/25 he reported with c/o fever (102), H&V, lethargy. Treated with MOTRIN and Phenergan. Temp spiked to 103.4 and he returned for IV fluid and more Phenergan. Spinal tap was done at this time. Early on 8/26 he was transferred to ED with temp of 104. Diagnosed with vial syndrome and discharged after treatment. Later the same day he was sent to a different ED for further work up and evaluation. He was admitted to r/o encephalitis vs meningitis. Admitted 8/26 with h/o of high fevers, vertigo, N&V, fatigue and more recent symptoms of HA and stiff neck. Received DECADRON and ROCEPHIN in ED prior to admission. Spinal tap was done as well. Labs and diagnostics included MRI, HSV, CMV, enterovirus, Epstein, adenovirus, smallpox PCR, Lyme, HIV and syphillis. Was on Acyclovir and Ceftriaxone while awaiting test results. Some nuchal rigidity especially to R, Kernig's and Brudzinski's elicited minimal pain, neuro exam otherwise negative. Symptoms greatly improved. Pt. d/c'd on 8/29/11 on Doxycycline. D/C diagnosis: lymphocytic meningitis.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Biopsy skin abnormal, Dyspnoea, Erythema multiforme, Rash, Rash maculo-papular
Clinical narrative: 51 yo with h/o depression, PTSD, and poorly-controlled DM presents to the ER with SOB and rash. He relates that he received the flu vaccine yesterday and shortly thereafter began to feel tightness in his throat and SOB. Today, he also noticed diffuse maculo-papular, mildly pruritic rash on his back, chest, abdomen, face, and upper legs. He denies new exposures. Apart from getting flu shot there was no other new medications. The patient has been getting flu shot every year without any reactions in the past. Symptoms: Erythema Multiforme & dyspnea. Treatment: Methylprednisolone, diphenhydramine, ranitidine.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Rash pruritic, Throat tightness
Clinical narrative: 51 yo with h/o depression, PTSD, and poorly-controlled DM presents to the ER with SOB and rash. He relates that he received the flu vaccine yesterday and shortly thereafter began to feel tightness in his throat and SOB. Today, he also noticed diffuse maculo-papular, mildly pruritic rash on his back, chest, abdomen, face, and upper legs. He denies new exposures. Apart from getting flu shot there was no other new medications. The patient has been getting flu shot every year without any reactions in the past. Symptoms: Erythema Multiforme & dyspnea. Treatment: Methylprednisolone, diphenhydramine, ranitidine.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Macule, Papule, Rash
Clinical narrative: Rash which occurred day after he received his flu vax on 9/9. Small erythematous papules and some erythematous maculat areas as well on neck, upper arms, trunk and proximal thighs.
Age: 41.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dysphagia, Immediate post-injection reaction, Injection site pain, Sensation of foreign body, Throat tightness
Clinical narrative: 1527 employee was administered varicella #1 on left SQ/upper arm, patient immediately complained of pain in arm but stated she felt fine. 1528 employee was administered MMR #2 on right SQ/upper arm and immediately complained of pain, I asked if she felt okay and explained signs and symptoms of anaphylaxis reactions and asked if she was experiencing any of them. she asked for a cup of water and stated she felt as if she couldn't swallow.  I grabbed a nurse and proceeded to give her water as requested.  Nurse tried getting BP but was unsuccessful with reading so we immediatly helped her into a wheelchair and rushed her straight to ED. 1340-1345 the employee checked into ED and proceeded explanation of symptoms she was experiencing.  She began to go into detail about possibly having previous reaction as a small child and being hesitant to receive 2nd MMR.  As she continues to slowly sip water, she states her throat felt tight as if she had to burp or something would possibly come up.  She states she felt a knot, ball, or lump in her throat.  She also stated moreso on left side of throat/neck area, she felt tightness..she goes on to say  "something just isn't right".
Age: 7.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Arm redness, swelling, warmth.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: Severe chills, shaking, fever (was 101.4 when measured later that morning.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac flutter, Dizziness, Feeling hot, Nausea, Pain
Clinical narrative: Started to feel nauseous and achy, felt that way for nearly 2 days. The following day felt like hear was fluttering, felt really hot and ears started ringing; felt like was going to pass out lasting 15-20 seconds.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Tinnitus
Clinical narrative: Started to feel nauseous and achy, felt that way for nearly 2 days. The following day felt like hear was fluttering, felt really hot and ears started ringing; felt like was going to pass out lasting 15-20 seconds.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Headache, Oedema peripheral, Pyrexia
Clinical narrative: Swelling & redness of arm; headache; low grade fever.
Age: 9.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Immunizations given 1/16/12.  Developed 2-inch diameter reddened, swollen area on left arm deltoid area.  No fever. Father to bring patient to see M.D. 1/18/2012.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Crying, Gaze palsy, Screaming, Vomiting
Clinical narrative: Vomiting, screaming, crying, possible seizure, eyes rolled to back of head.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle tightness, Neck pain, Pain in extremity, Sensory disturbance, Tension
Clinical narrative: When first given injection, felt "zinger" go up left arm into neck area. In the days following injection, had pain, tightness, tense feeling in left neck and arm area.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness postural, Nausea
Clinical narrative: About 12 hours after the vaccination, became lightheaded when I layed down and sat up or any change in position. Felt slightly nauseated with the dizziness, lasted for 12 hours and then resolved.
Age: 39.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 1 inch by 2 inch round erythema area on left upper arm where injection of varicella vaccine was given.
Age: 23.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Maternal exposure during pregnancy, Stillbirth
Clinical narrative: HAD A STILL BORN CHILD AT 31 WKS.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Dermatitis acneiform, Pruritus, Rash
Clinical narrative: Rash on back, shoulders, abdomen mainly on right side. Slightly itchy "pimple looking".  No treatment at this time but has a follow up appt with doc on 1/23/2011.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Headache, Injected limb mobility decreased, Injection site pain, Nausea
Clinical narrative: Fatigue, nausea, vomiting, soreness at injection site/ inability to raise injected arm, headache.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Fatigue, nausea, vomiting, soreness at injection site/ inability to raise injected arm, headache.
Age: 12.0
Sex: F
Vaccine: HEPA
Symptoms: Fatigue, Headache, Tremor, Vomiting
Clinical narrative: Fatigue, vomiting, tremors, headache.
Age: 10.0
Sex: M
Vaccine: DTAP
Symptoms: Abdominal pain upper, Headache
Clinical narrative: MY SON WAS AND STILL COMPLAINS OF SEVERE HEADACHES AND STOMACH PAIN. HE IS OFTEN IN THE NURSE OFFICE OR HAVING TO COME HOME FROM SCHOOL BECAUSE OF THIS. IT'S OFTEN AND THROUGHOUT THE DAY BOTH MORNING AND NIGHT.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: Unknown - patient will need to be contacted for further post vaccine medical treatment issues.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Eyelid oedema, Feeling hot, Full blood count normal, Lethargy, Pyrexia
Clinical narrative: Upon wakening, I noticed she was hot and took her temperature rectally (103.1). She was administered 1/875mL of Motrin. An hour later, her fever was reduced, but came back quickly and at 10:45AM it was 102.3 again. She was lethargic with puffy eyes.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Injection site joint pain, Ultrasound scan normal
Clinical narrative: I'm not sure of the exact date, but within a few days I was having a severe burning pain in my shoulder where I got the tenanus/whooping cough booster.  After 2 weeks the doctor had me come in and ordered an ultrasound to see if I had a blood clot.  The tissue looked fine.  It's been nearly 5 months now and I still have trouble taking off my shirt, holding my baby, and other day to day activities.  The pain has subsided substantially but still is bothersome.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Extreme pain in my arm. The pain got so bad that I was unable to move my arm at all. Was placed on a steroid treatment which helped until I was off of the steroid and the horrible pain returned. I was put back on another steroid treatment which again worked while I was on it, but the pain is returning again.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient & mother report right arm (deltoid) 3" L x 3" W red, swollen, & warm to touch. 2" down from shoulder bone.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Nasopharyngitis, Paraesthesia
Clinical narrative: Approximately after two weeks after vaccination a bad head cold, tingling in hands & feet. 48 hrs after had no feeling in leg muscles.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site pain, Skin warm, Tenderness
Clinical narrative: Patient noticed soreness in (L) arm this morning at site of varicella vaccine (given on 1/17/12). Arm noted to be warm, tender to touch with area of redness measuring 60 mm x 75 mm. No fever. No itching. Patient seen by NP who prescribed cortico-steroid cream.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: Had symptom the next day. Pain and redness on right arm. No fever.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia, Skin mass
Clinical narrative: Swelling & red from shoulder to elbow. Sore & feverish. Very painful. Went to ER on 12-25th, sent home with SEPTRA & VICODIN Rx. Admitted to hospital 12-26; IV vancomycin; discharged on 30th. Given SEPTRA Rx. Still has knots under skin.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Patient felt faint and had to lie down for about 10 min. after receiving flu vaccine.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: 7 Days after MMR and Hep A were given in left upper thigh, child developed swelling & redness. No fever. No limited motion. She did not cry when topical medication applied. Taken to acute care-walk in center 1-14-12 and given SEPTRA. Parent informed at that visit to go to PCP for "form to be completed".
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Football shaped rash appeared day after injection 5 inch x 3 inch in size near site of injection after 7 days rash is finally fading.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Electrocardiogram normal, Oropharyngeal pain, Paraesthesia oral
Clinical narrative: Pt. called office 12-7-11 at 3:56 PM with c/o sore throat with possible swelling, tightness in chest, lips tingling. Instructed to go to nearest ER. In ER given BENADRYL 25mg IM and SOLUMEDROL 125mg IM. EKG done. Ex given for PREDNISONE taper dose.
Age: 1.58
Sex: F
Vaccine: HEPA, HIBV, PNC13
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis on (L) thigh 7 cm x 5 cm reported on 1/13/12. Patient was treated with KEFLEX 125 mg/5m. 5ml PO tid for 7 days & warm compress.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain upon injection. Pt. complains of immobility of arm where shot was administered. Can't  lift arm using shoulder for 2 weeks. Able to move side to side. Referred to physician for evaluation. Possibly brachial neuritis.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Pt c/o (L) shoulder pain and stiffness starting 2 days after vaccination. After several days, couldn't raise arm above shoulder level. No pain at time of shot. Day after shot had mild soreness (L) arm. Denied pain, swelling at injection site. Resolved with NSAIDS after 10 days.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Influenza like illness, Lymphadenopathy, Psoriasis, Rash
Clinical narrative: Four days after shot broke out in rash on knees that has not gone away in 9 months since shot.  She has been to two dermatologists who both diagnosed her with psoriasis, which continues to spread on her body. Her skin was beautiful prior to receiving the shot. She did not get the two remaining shots.  At time of shot she was dizzy. Had flu like syptoms for several days including very sore glands. Then psoriasis appeared.
Age: 44.0
Sex: M
Vaccine: RAB
Symptoms: Disturbance in attention, Dizziness, Headache, Personality change, Visual impairment
Clinical narrative: A review of a VAERS report # 441170-1 dated 2 Nov 2011 reported headache, dizzy, vision, and inability to concentrate following vaccination with polio virus on 20 Oct 2001. Date of sx onset it not reported. Per review the SM was required to receive rabies prophylaxis. He received the immunoglobulin and rabies # 1 on 05 Oct 11, rabies #2 on 08 Oct 11 and # 3 on 20 Oct 11. Two days post # 3, he developed a headache and personality changes, with complete resolution by the end of the month. Phone contact was made with SM today and he reported that all symptoms have resolved and he has documented that he received his rabies # 4. Previous VAERS reflected wrong immunization and wrong date.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1, DTAPHEPBIP, HIBV, PPV, RV1, DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Death
Clinical narrative: unknown
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1, DTAPHEPBIP, HIBV, PPV, RV1, DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Death, Unevaluable event
Clinical narrative: unknown
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARZOS, VARCEL, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Pt was given shingles vaccine (ZOSTAVAX) along with varicella vaccine (VARIVAX).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARZOS, VARCEL, VARZOS
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Pt was given shingles vaccine (ZOSTAVAX) along with varicella vaccine (VARIVAX).
Age: 34.0
Sex: F
Vaccine: FLUX, TD
Symptoms: Hypoaesthesia, Pain
Clinical narrative: Severe pain and numbness if I lay on the side the shot was administered.
Age: 41.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Headache, Injection site induration, Injection site nodule, Injection site pruritus, Injection site swelling
Clinical narrative: Per patient report right arm (Varicella site) displayed hard knot, warmth, and swelling several hours after receiving vaccine. Site became intensely itchy & patient states HA & nausea developed. This continued 4 days. Patient called this RN 1/17/12. Arm at this time reported to be itchy other symptoms gone.
Age: 41.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site warmth, Nausea, Pruritus
Clinical narrative: Per patient report right arm (Varicella site) displayed hard knot, warmth, and swelling several hours after receiving vaccine. Site became intensely itchy & patient states HA & nausea developed. This continued 4 days. Patient called this RN 1/17/12. Arm at this time reported to be itchy other symptoms gone.
Age: 12.0
Sex: F
Vaccine: HPV2
Symptoms: Erythema, Skin warm
Clinical narrative: Redness, warm to the touch.
Age: 3.0
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Several vaccines given on 1/13/2012 at 3pm on 1/14/12 (L) thigh, v. red swollen, hard, & hot - approx 5 cm x 4 cm. (R) thigh 1 1/2 cm dia red, firm, hot, swollen area.
Age: 12.0
Sex: F
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Local swelling, Pain in extremity, Skin warm
Clinical narrative: Rec'd Imms on 1/9/12. Presented to office with sore (R) arm with red, swollen areas, on deltoid & on lower arm that started 1/10/12. Red areas warm to touch. Pt was taking BENADRYL. Dr. ordered KEFLEX 250 mg qid x 5 days for mild cellulitis.
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV, PNC13
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Urticaria
Clinical narrative: Vaccines given 12 noon 1/12/12. Mother called 3 pm 1/13/12. States the right leg is red, swollen, has a hive on right cheek and can a temp of 106 in the night - given TYLENOL and sponge bath - better but about 2:30 pm 1/13 - temp going back up - 101 - referred to doctor or ER - ASAP.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Chills, Fatigue, Feeling abnormal, Feeling cold
Clinical narrative: Afternoon fatigue - dinner time felt bad couldn't warm up. Awoke with violent chills almost convulsive. Couldn't get out of bed, lasted several hours, slept and able to then get up. Next day felt mostly fine, like hangover. Next day totally fine with exception of muscle soreness from chills. Shot location tender and achy for several weeks.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Myalgia
Clinical narrative: Afternoon fatigue - dinner time felt bad couldn't warm up. Awoke with violent chills almost convulsive. Couldn't get out of bed, lasted several hours, slept and able to then get up. Next day felt mostly fine, like hangover. Next day totally fine with exception of muscle soreness from chills. Shot location tender and achy for several weeks.
Age: 79.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site pain
Clinical narrative: Needed vaccinations prior to cochlear implant surgery. As clinic location is distant from home, I had all 3 needed injected at the same time. Rt. upper arm had Tdap & influenza injections as is still remarkably painful after nearly 4 months.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site erythema, Injection site irritation, Injection site swelling, Injection site warmth
Clinical narrative: Within 24 hrs joint aches - pain level 9. Then progression of irritation at injection site: redness, swelling, warmth to deltoid muscle (remains 1-11-2012). Now joint pain at level 2; continues to take MOTRIN 800 mg.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: After flu shot, patient has had sharp pain in arm. She is unable to lift arm all the way. Patient has tried to give nerve time to heal but is still having pain in left arm.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Eyelid oedema, Pruritus, Urticaria
Clinical narrative: Patient dev. hives, swelling of eyelids, and itchiness approximately 30-60 min after vaccine administration. Returned to office (nl pulse ox, RR, BP) given BENADRYL and Prednisone, Sx improved. D/C'd with Rx of BENADRYL, Prednisone.
Age: 9.0
Sex: F
Vaccine: DTAPH, MMR, VARCEL
Symptoms: Encephalitis, Herpes zoster, Rash
Clinical narrative: Initial report was received on 05 January 2012 from another manufacturer, report number WAES 1112USA01054. The initial reporter to this manufacturer had been a health care professional. Verbatim from the report: Information has been received from a registered nurse concerning a 9 year old patient who on 25-JUN-2002 was vaccinated with a dose of VARIVAX (Merck) (Route, dose and lot number not reported). On 24-MAR-2010 the patient experienced rash. The patient was seen by pediatrician to seek medical attention. On 01-APR-2010 the patient experienced meningioencephalitis and was hospitalized and diagnosed. On 10-SEP-2010 the patient was diagnosed with shingles. At the time of the report, the patient was still recovering. This is one of several reports received from the same source. Follow up information has been received from a healthcare professional concerning the 9 year old female student with milk intolerance who on 25-JUN-2002 was vaccinated subcutaneously with the first dose of VARIVAX (Merck) (lot#: 640556/0258M) in the left thigh. Secondary suspect therapy included the first dose of MMR II (lot#: 641722/0127M, HSA) and the fourth dose of TRIHIBIT on 25-JUN-2002. On 01-APR-2010 the patient experienced zoster with secondary meningioencephalitis and was hospitalized for eight days. Subsequently, the patient recovered from zoster and secondary meningioencephalitis. There was unspecified lab performed at other institution. The adverse events of zoster and secondary meningioencephalitis were considered to be immediately life-threatening and disability by the reporter. A lot check had been initiated. Additional information is not expected." No further information was available at the time of the report. A revised version was created on 16 January 2012 due to a discrepancy in the case receipt date that was noted upon internal quality review of the initial version. Specifically, the Date Received By Mfr (Field 25 of the VAERS report) was entered as 06 Jan 2012 while the date of initial receipt by the Company was entered as 05 Jan 2012 in the Description of Adverse Event (Field 07 of the VAERS report). The correct case receipt date is 05 Jan 2012. However, the date cannot be amended in Field 07 of the VAERS report because of technical constraints (a new version can not have an earlier date than any prior version). Documents held by sender: none.
Age: 55.0
Sex: M
Vaccine: FLUX
Symptoms: Erythropoiesis abnormal, Thyroiditis subacute
Clinical narrative: Initial case retrieved from the scientific literature on 06 January 2012. Verbatim from abstract: "Subacute thyroiditis (SAT) is an extremely rare complication of influenza vaccination. Several infectious agents have been related with SAT. It is also well known the association between HLA-B35 and the development of SAT. We described a case of subacute thyroiditis and dyserythropoesis occurring shortly after administration of an influenza vaccine in a 55-year-old man with history of diabetes and psoriasis, family history of autoimmunity without clinical evidence of acute viral infection prior to the onset of symptoms. We propose that, the events occurring in the patient may be explained as result of complex interactions between the individual genetic background and environmental exposure to infectious agent that generated a pro-inflammatory status, where the vaccine was the trigger for the subsequent alterations in thyroid and bone marrow. These findings highlight the importance of immunogenetic factors involved in response to vaccination that is the central theme in the growing field of 'vaccinomics'." Documents held by sender: None.
Sex: F
Vaccine: TYP
Symptoms: Flatulence
Clinical narrative: Initial report received from a consumer who was the patient, on 10 January 2012. A female patient (age and birth date not reported) received an injection (route and site not reported) of TYPHIM VI, sanofi pasteur SA lot number not reported, in April 2011 (date not provided). The patient had a history of Typhoid disease in the past. The patient had no illnesses at the time of vaccination. The patient has intestinal gas after eating ever since the vaccine. The outcome was not recovered. Documents held by sender: None.
Sex: U
Vaccine: TDAP
Symptoms: Antibody test positive, Bordetella test, Cough, Immunology test, Pertussis
Clinical narrative: Initial report was received from a health care professional on 11 January 2012. A patient (gender, age and date of birth not reported) had received an injection of ADACEL, sanofi pasteur Ltd. lot number C2998BA (route and site of administration not reported) on 09 September 2008. On an unspecified date, the patient later developed coughing. It was suspected the patient had pertussis. The patient had enzyme-linked immunosorbent assay (ELISA) testing performed. The anti-PT IgA results were below the threshold for seropositivity and the anti-PT IgG were slightly above the threshold for seropositivity. The patient possibly received a Td or Tdap vaccine (manufacturer not reported) six years earlier. Past medical history and concomitant medications were not reported. No further information was available at the time of the report. The patient's outcome was not reported. Documents held by sender: none.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Rash
Clinical narrative: Rash on pt's face. Breathing fine. All vital signs WNL. CDC called. Pt monitored 20 minutes. Rash diminished at this time.
Sex: F
Vaccine: FLU3
Symptoms: Dysgeusia, Glossitis
Clinical narrative: Initial report was received from a health care professional on 12 January 2012. A female patient (age and date of birth not reported) had received an intramuscular injection in the left deltoid of FLUZONE, sanofi pasteur Inc., lot number UH460AB on 05 October 2011. A "couple of days after the vaccination" (date not reported), the patient developed a metallic taste in her mouth and had a raw tongue like "it was burnt from something hot". The patient stated the metallic taste was subsiding but she continued to have problems with her tongue. No illness at the time of vaccination was reported. The patient had no known allergies and a medical history of high blood pressure, elevated cholesterol and gastric reflux. The patient's concomitant medications included atenolol, ibuprofen, omeprazole, amlodipine, hydrochlorothiazide, XANAX, potassium chloride, multivitamin and fish oil. No other vaccinations within four weeks of FLUZONE were reported. It was unknown if the patient had received any previous doses of influenza vaccine. No further information was available at the time of the report. The patient's outcome was not recovered. Documents held by sender: none.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Lymphadenopathy
Clinical narrative: Initial report was received on 12 January 2012 from a consumer who is also the patient. A female patient (date of birth not reported) had received "in October" FLUZONE INTRADERMAL (lot number, site and exact date of administration not reported) and a week later, experienced swollen lymph "that moved across her chest". The patient also reported that "from that time" she also has had persistent joint pain. According to the patient, the swelling had subsided but claimed to be "still feeling side effects". The patient's history was not reported. No further information was available at the time of the report. The patient's outcome was not recovered. Documents held by sender: none.