chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling, Swelling face, Urticaria
Clinical narrative: A report was received from a health professional on 11/23/01, concerning a 65 year old male patient who experienced an urticarial rash, swollen lips and swollen eyes, 1 day after receiving the Fluvirin vaccine on 11/13/01. The patient had no record of previous vaccination. At the time of report, the patient had recovered. There was insufficient information to determine the reporter's causality assessment.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Malaise
Clinical narrative: A report was received from a health professional on 11/26/01, concerning a female patient of unknown demography, who experienced dizziness and malaise 30 to 40 minutes after receiving an influenza vaccine on 11/26/01. The patient recovered without any treatment on 11/26/01, 2 to 3 hours after receiving Fluvirin. The patient had never previously received an influenza vaccine. There was insufficient information to determine the reporter's causality assessment.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Monarthritis
Clinical narrative: An ASPP was received from the MCA on 11/26/2001, concerning a 44 year old female patient who experienced left elbow monoarthritis within 48 hours of receiving Fluvirin  on 10/22/2001. The patient had received an influenza vaccine previously (brand unspecified), and had experienced a mild flu-like illness. On 10/24/2001 the patient was diagnosed with left elbow monoarthritis. There was insufficient information to determine the reporters causality assessment.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: A report was received from a health professional on 11/19/2001 regarding a 44 year old female patient who was inadvertently given last year's Fluvirin vaccine on an unknown date. There was no adverse event reported. There was insufficient information to determine the reporter's causality assessment.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: A report was received from a health professional on 11/20/2001 regarding a 40 year old female patient who was inadvertently given last year's Fluvirin vaccine on 11/20/2001. There was no adverse event reported. There was insufficient information to determine the reporter's causality assessment.
Sex: U
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: A report was received from a health professional on 22 November 2001 regarding a patient (demography not reported) who was inadvertently given expired Fluvirin vaccine (expired in June 2001) on 16 November 2001.  There was no adverse event reported.  There was insufficient information to determine the reporter's causality assessment.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: A report was received from a health professional on 29 November 2001 regarding a 76 year old female patient who experienced systemic rash on 28 November 2001 after receiving fluvirin vaccine on 27 November 2001.  On 28 November 2001, the patient developed a rash approximately 24 hours after vaccination.  It was raised, pruritic and located on the trunk, scalp and face.  The patient was treated with Atarax.  The patient had a history of coronary artery disease, hypertension, osteoporosis and hyperlipidemia.  At the, time of reporting the patient had recovered.   The reporter has assessed the relationship of the study medication to the event as probable.
Age: 34.0
Sex: U
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Hypersensitivity
Clinical narrative: A report was received from a patient on 30 November 2001.  The patient, a 34 year old female, experienced an allergic reaction 45 minutes after receiving Fluvirin batch # E73110LA, E72410LA or E71810LA, on 08 December 2001.  On 08 December 2001, (forty-five minutes after the influenza vaccine was administered), the patient experienced shortness of breath, increased heart rate, dizziness, hand and facial tingling, and urination every 10-15 minutes.  The patient was seen in emergency services that day, was diagnosed, with having an allergic reaction to the influenza vaccine, and was prescribed a medication (unknown) for relaxation.  The patient subsequently underwent extensive pulmonary, cardiac, and blood tests through her primary care physician, which were within normal ranges.  At the time of report the patient continued to experience some dizziness and tightness of the chest.  The patient was referred to an allergist about one month prior to report (approximately 1 November 2001) for allergy testing.
Age: 97.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: A report was received from a health professional on 30 November 2001 regarding a 97 year old male patient who had received Begrivac on 12 October 2001, and Fluvirin on 20 November 2001.  The reporter stated that while the patient experienced Parkinsonian symptoms beginning in December 2001 this was unrelated to the vaccines and the patient seemed to have suffered no ill effects from having two influenza vaccines.  At the time of reporting the patient had not recovered.  There was insufficient information to determine the reporter's causality assessment.
Age: 71.0
Sex: U
Vaccine: FLU3
Symptoms: Amnesia, Vision blurred
Clinical narrative: An Anonymised Single Patient Print was received from the MCA on 26 November 2001 regarding a 71 year old female patient who experienced amnesia and blurred vision on 10 October 2001 after receiving fluvirin vaccine on the same day.  On 10 October 2001, the patient had blurred vision and temporary amnesia lasting approximately 2 hours.  The patient recovered and the reported did not consider the events to be serious.  There was insufficient information to determine the reporter's causality assessment.
Age: 79.0
Sex: U
Vaccine: FLU3
Symptoms: Pneumonia, Sepsis, Urinary tract infection
Clinical narrative: A report was received from a health professional on 11Dec01 regarding a 78 year old female pt who experienced urinary tract infection (14Nov01), pneumonia (23Nov01), sepsis (unk date) and subsequently died on 06Dec01 after receiving Fluvirin vaccine on 12Nov01. The pt's medical history included Non insulin diabetes mellitus, hypertension, chronic obstructive pulmonary disease, bipolar disorder, glaucoma, anxiety and right hip replacement. The pt was also receiving brimonidine, tartrate, alprazolam, artificial tears, ascorbic acid, clavulin, amphebutamone hydrochloride, docusate sodium, famotidine, ferrous sulfate, furosemide, levothyroxine sodium, rofecoxib, sertraline hydrochloride, olanzapine, cetirizine hydrochloride, paracetamol and insulin. On 12Nov01, the pt received Fluvirin vaccine. Two days later, the pt was hospitalized for urinary tract infection, which resolved on 19Nov01. Then the pt was admitted to hospital for pneumonia on 23Nov01 and discharged on 28Nov01. On 06Dec01, the pt was re-admitted to hospital for an unk reason and died secondary to sepsis on the same day. No death certificate was available. The pt had received a flu vaccine last year without any problem. The reporter has assessed the relationship of study medication to the events as unrelated.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated
Clinical narrative: A report was received on 1/2/02 concerning a 76 year old male patient who experienced COPD exacerbation 6 days after receiving Fluvirin vaccine on 11/10/98. The causality assessment was stated as possible. (OMIC)
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated
Clinical narrative: A report was received on 1/2/02 concerning a 72 year old male patient who experienced COPD exacerbation 7 days after receiving Fluvirin vaccine on 10/23/98. The event was considered serious (OMIC).
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated
Clinical narrative: A report was received on 1/2/02 concerning a 77 year old male patient who experienced COPD exacerbation on 3/22/99 after receiving Fluvirin vaccine on 10/29/98. The event was considered serious (OMIC).
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated
Clinical narrative: A report was received on 1/2/02 concerning a 75 year old male patient who experienced COPD exacerbation (OMIC) 5 days after receiving Fluvirin vaccine on 12/9/98. The event was considered serious.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness
Clinical narrative: A report was received on 01/02/02, from an unknown source concerning a 27 year old male patient who experienced influenza like illness the same day as he was administered Fluvirin vaccine on 12/04/98.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: A report was received on 1/2/02 concerning a 51 year old male patient who was hospitalized on 12/19/98 after a visit to the emergency room with Guillain Barre Syndrome which was considered life threatening after receiving Fluvirin vaccine on 10/27/98. (OMIC)
Age: 23.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Rash papular
Clinical narrative: Patient is 23-year-old male with complaints of a rash noticed since this morning.  The rash began yesterday that he thought was just an occasional rash but upon awakening this morning, he noticed that they had spread.  No fevers or chills.  No nausea or vomiting.  He has been feeling okay despite being vaccinated for smallpox.  He is currently day 10 after the vaccination.  He reports the wound is starting to heal.    O:  GEN:  WDWN male NAD  alert and oriented X 3  HEENT: pharynx clear, conjunctiva clear,  neck supple without adenopathy.  LUNGS: clear with good air movement.  CV: RSR without murmurs or gallops.   SKIN:  scattered salmon colored papules at lower arms bilaterally and on the back of his neck.   MEDICATIONS: 1. None  PMH: 1. None  MED ALLERGIES: 1. NKDA  Social History: Non-smoker ETOH  occasional  Family History: No family history of problems with vaccines  Vaccine History:  No history of problems with vaccines  A/ generalized vaccinia - folliculitis (erythema multiforme)
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Coma, Convulsion, Encephalitis, Encephalopathy, Immune system disorder
Clinical narrative: Pt developed fever 10 days after immunization, then had fever for 21 days, hospitalized 10-4-00 then transferred to another hospital on 10-8-00 due to seizures and encephalopathy. MRI showed white matter changes consistent with acute disseminated encephalomyelitis (ADEM).  Pt treated with Solumedrol (20 mg/kg x 5 day) then prednisone taper.  Improved markedly on steroids.  Returned to baseline.  Developed complex partial seizures in April 2004, is now on Lamictal and seizure-free but school performance has declined. Discharge Summary received on 3/11/2005 states nystagmus, vomiting, autoimmune disorder, and unresponsive.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Laboratory test abnormal, Nystagmus, Pyrexia, Vomiting
Clinical narrative: Pt developed fever 10 days after immunization, then had fever for 21 days, hospitalized 10-4-00 then transferred to another hospital on 10-8-00 due to seizures and encephalopathy. MRI showed white matter changes consistent with acute disseminated encephalomyelitis (ADEM).  Pt treated with Solumedrol (20 mg/kg x 5 day) then prednisone taper.  Improved markedly on steroids.  Returned to baseline.  Developed complex partial seizures in April 2004, is now on Lamictal and seizure-free but school performance has declined. Discharge Summary received on 3/11/2005 states nystagmus, vomiting, autoimmune disorder, and unresponsive.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Required return to physician.  Upper arm red, warm to touch, and moderately swollen.  Treated with Z-pak for URI.  Changed to cephalexin.  Temp of 101 day following immunization, with chills and aches and pains.
Age: 85.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site oedema, Injection site pain
Clinical narrative: Injection received prior day, returned to doctor for swollen, sore injection site.  Arm warm to touch, red, examined by physician, ordered antibiotics.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Onset of redness and swelling at vaccine site 48 hours after vaccination
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Anaemia, Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling of arm around vaccination site.
Age: 47.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Carpal tunnel syndrome, Lymphadenopathy, Oedema peripheral, Pain
Clinical narrative: Pain in joints of fingers, hands, wrists, ankles. Swelling in fingers. Swollen lymph nodes in neck. Swelling in lymph nodes and ankle pain lasted approx 2 days. Pain/swelling in hands persisted several weeks. Pt c/o carpal tunnel sx on 12/15/04. She was advised to wear wrist splints. Presently joint pain & swelling has resolved. As of 1/6/05 pt continued to report carpal tunnel sx.
Age: 47.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Arthralgia, Joint swelling, Pain in extremity
Clinical narrative: Pain in joints of fingers, hands, wrists, ankles. Swelling in fingers. Swollen lymph nodes in neck. Swelling in lymph nodes and ankle pain lasted approx 2 days. Pain/swelling in hands persisted several weeks. Pt c/o carpal tunnel sx on 12/15/04. She was advised to wear wrist splints. Presently joint pain & swelling has resolved. As of 1/6/05 pt continued to report carpal tunnel sx.
Age: 0.09
Sex: F
Vaccine: HEP
Symptoms: Apnoea, Cardiac arrest, Dysphagia, Dyspnoea, Hypotension
Clinical narrative: Received Hep B #2 on 1/7/05 at well check and presented 1/9/05 to ER, Respiratory Arrest. Unable to resuscitate. Discharge Summary received on 2/14/2005 states unresponsive, choking, breathing stopped, difficulty breathing, loss of blood pressure and cardiac arrest. 3/4/05 Autopsy report received which revealed COD as undetermined and manner of death as undetermined.
Age: 0.09
Sex: F
Vaccine: HEP
Symptoms: Respiratory arrest, Stupor
Clinical narrative: Received Hep B #2 on 1/7/05 at well check and presented 1/9/05 to ER, Respiratory Arrest. Unable to resuscitate. Discharge Summary received on 2/14/2005 states unresponsive, choking, breathing stopped, difficulty breathing, loss of blood pressure and cardiac arrest. 3/4/05 Autopsy report received which revealed COD as undetermined and manner of death as undetermined.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Bacterial infection, Cellulitis, Injection site discolouration, Injection site erythema, Injection site oedema
Clinical narrative: Tender, swollen, erythematous, blanching area on left anterior thigh (max size: 11 x 15 cm) first noticed approximately 1 day after immunizations (cellulitis). Treatment with Clindamycin po 180 mg Q8 for 7 days. Information from Discharge summary states bacterial infection. msv
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Tenderness
Clinical narrative: Tender, swollen, erythematous, blanching area on left anterior thigh (max size: 11 x 15 cm) first noticed approximately 1 day after immunizations (cellulitis). Treatment with Clindamycin po 180 mg Q8 for 7 days. Information from Discharge summary states bacterial infection. msv
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Adverse event was ring shaped hives on the abdomen that lasted for four weeks, they gradually fade away during this 4 week period without any treatment.
Age: 0.62
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: The patient had a 50 cent size area of erythema and edema at the site of injection within minutes of injection. No systemic symptoms.
Age: 1.18
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Localized erythema and swelling of the right arm. Recovering currently.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Flu shot given on 12/17/04 , two or three days later patient developed redness at site. The patient visited her PMD and was given Cephalexin 500mg BID for 10 days. Follow up on 01/10/05, the patient states site is without complication.
Age: 1.49
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Myalgia, Myositis, Pyrexia
Clinical narrative: Patient received a flu shot IM in the left leg on 11/19/04. He developed muscle achiness, diarrhea for 1 day, and low grade fever 6 days after the vaccination. No local reaction at the injection site. Physician documented myositis, etiology viral versus influenza based. No further complication noted.
Age: 29.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: Patient experienced upper respiratory infection symptoms with a fever of 102.6.
Age: 22.0
Sex: F
Vaccine: FLUN3
Symptoms: Laboratory test abnormal, Unevaluable event
Clinical narrative: Client was given Flu-Mist, after which she found out she was pregnant. The client has had no adverse effects. Her EDC is 07/27/2005.
Age: 43.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Pharyngolaryngeal pain, Postnasal drip
Clinical narrative: This is a non serious spontaneous case from a consumer in the USA who reports experiencing post nasal drip (USA, Labelled). The reporter causality is not provided. This is a 43 year old female who experienced post nasal drip and cough approximately one week after receiving FluMist vaccine. The patient reported that the post nasal drip has been lessened but has been experiencing constant coughing and sore throat. Information from missing data report states all attempts to obtain follow-up have been unsuccessful. The patient will not give any information.
Age: 1.07
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective, Rash, Stomatitis
Clinical narrative: Two days after MMR injection, the patient was noted to have a rash from head to toe with spots in her mouth. Mom took the toddler to the ER. At the ER mom states the MD said " this is a common reaction, a mild form of measles". No medication given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Red and warm to the touch, denies pain.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cerebellar ataxia, Feeling jittery
Clinical narrative: Child experience ataxia and jitteriness 3 to 7 days after receiving varicella and MMR vaccinations. This started on 12/25/04. Child was seen in the ER on 12/31/04 and diagnosed with acute cerebellar ataxia, which is improving.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: A 2 year old developed a high fever 12/23 - 12/26 that ran up to 105.5. Patient was evaluated at an out of town clinic since family was on a trip. All test were within normal limits, patient was given Bettriaxone  IM. Follow up 12/25/04: Patient still febrile. On 12/27/04, patient developed a rash. The impression was that this was a viral illness versus vaccine fever. Follow up 12/28/04: Patient was afebrile.
Age: 1.01
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Mildly crusted macules/papules scattered over body.
Age: 1.01
Sex: U
Vaccine: HBPV, MMR, VARCEL
Symptoms: Blister, Skin ulcer
Clinical narrative: Multiple healing small crusts all over. A few drying vesicles at hairline a large on at the occipital area. Probably <50 lesions.
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Infection
Clinical narrative: Mild case of varicella. No Treatment.
Age: 33.0
Sex: M
Vaccine: RAB
Symptoms: Injection site erythema, Pruritus, Rash erythematous
Clinical narrative: Had bright red rash on face and trunk. Left deltoid had large reddened area. Patient had itching. Patient was given Benadryl, Pepcid, Solumedrol and was discharged with prescription for Pepcid and Methyl Prednisolone.
Age: 5.0
Sex: F
Vaccine: DTAP, OPV, VARCEL
Symptoms: Pruritus, Pyrexia, Rash papular, Skin disorder
Clinical narrative: Patient seen in office 01/08/2005 by Dr.  Diagnosed with atypical varicella.  Had scattered papules and pustules on torso with low-grade fever and itching.  Patient was previously vaccinated on 03/20/1998 for varicella.
Age: 1.02
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection site became red and swollen and remained red and swollen until 01/07/2005.  Warm compresses applied to site.  No fever noted by mother.  No complaint of pain.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: Patient had Hepatitis B vaccine 10/20/2004.  Rash and whelps started 10/28/2004 and had to go to ER for Cortisone shot and Vistaril for itching.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site haemorrhage
Clinical narrative: 7.5 x 11 cm warm indurated erythematous with mild eccymosis at injection site of right thigh.
Age: 74.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Injection site hypersensitivity, Pruritus
Clinical narrative: Routine TD given 12/22.  A day or two later, she noted hive in the area of the shot.  This itched and stared to fade, then a flat red area appeared below the area of the hive.  There was no pain.  There was no fever.  She noted no swollen glands in her right axilla.  Her previous tetanus shot prior to this one was in 08/94; she does not remember any problems with it.  The other concern is the right upper arm.  She has two erythematous areas; the upper one is fading, it is approximately 10 x 9 cm.  The bottom area is a little brighter, but not raised, not tender to palpation, approximately 12 x 3 cm.  Her problem list is reviewed and update. O: On exam, vita signs are as noted.  Note the patient is afebrile. A: This appears to be allergic in nature and not infectious.  The axilla is negative for any adenopathy as is the supra and subclavicular areas. P: Hydrocortisone applied locally.  Report to state filed.
Age: 1.03
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Pruritus, Skin ulcer
Clinical narrative: Less 20 lesions itching No Fever
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain, Pruritus, Swelling
Clinical narrative: On 12/21/04, that PM a 3x5" welt had began. 12/22/04, the size of the welt had increased to 6x10", down over the elbow. The welt was a scarlet color, swollen, hot to touch and very sore to the touch also. 12/27/04, the swelling and redness decreased, there was positive pruritis.
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: On 12/21/04, that PM a 3x5" welt had began. 12/22/04, the size of the welt had increased to 6x10", down over the elbow. The welt was a scarlet color, swollen, hot to touch and very sore to the touch also. 12/27/04, the swelling and redness decreased, there was positive pruritis.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: Patient received vaccination on 12/16/2004. On 12/20/04, the patient called doctors office reporting nausea, generalized myalgia, a large local area of reaction at the injection site, also malaise and feeling very ill. Patient had to miss work and go to bed. On 12/27/04 the doctor office followed up with the patient, who reported body as a whole symptoms have gone but sill has tenderness at the injection site. The injection site local reaction was also very large and extreme with blotching, heat, redness and swelling at the time of first report of reaction. This information is per patient, patient was not examined.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Myalgia, Nausea, Rash macular
Clinical narrative: Patient received vaccination on 12/16/2004. On 12/20/04, the patient called doctors office reporting nausea, generalized myalgia, a large local area of reaction at the injection site, also malaise and feeling very ill. Patient had to miss work and go to bed. On 12/27/04 the doctor office followed up with the patient, who reported body as a whole symptoms have gone but sill has tenderness at the injection site. The injection site local reaction was also very large and extreme with blotching, heat, redness and swelling at the time of first report of reaction. This information is per patient, patient was not examined.
Age: 1.75
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Musculoskeletal stiffness
Clinical narrative: Mom states he just stands there stiff legged not wanting to walk or move his legs. Usually he's running all over the place." His legs look normal, no redness or swelling. He has no fever and acting fine. " I will check with mom on 09/27/04, after the weekend. Phoned mom on 9/27/04, she reports child is fine, started running around per usual the evening of 09/24/04.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported a small amount of redness and swelling approximately 4 hours after receiving injection. Approximately 10 hours past injection, patient described erythema, warmth, hardness and swelling from shoulder to elbow on left arm slightly below injection site. Symptoms to resolve within 18 hours after injection. Treated with cold pack and Tylenol.
Age: 0.55
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Eye disorder, Otitis media, Pyrexia
Clinical narrative: Patient had fever about 6 hours after vaccination. Patient fever reached 101 degrees, he was given Motrin. Temperature was 104.2 degrees 30 hours after vaccination, also had watery glassy eyes.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Anxiety, Disorientation, Injury, Loss of consciousness, Skin discolouration
Clinical narrative: Patient had anxiety prior to Hep A vaccine. Had history of LOC once before due to frightening event associated with blood. The child lost consciousness after receiving vaccine and she hit her head. At approximately 2:30 pm the mother called urgently to the room where the patient was waking up, disoriented and pale on the floor. She was observed (O2 saturation 97%) and discharged after 1 hour. She continued to be disoriented and ill appearing until 12/29/04, at which time she was reevaluated. There were no abnormal findings.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Entire left arm swollen, red and painful.
Age: 1.49
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Cough, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: Our daughter woke up 1/11/2005 with a runny nose.  By that evening she had developed a deep cough and had a slight temperature of 99.6.  It never went above that.  On 1/12/2005 red dots began appearing on her chest, back and groin area.  By that evening, 6:00, she had redots from her collar bones down to the bottom of her feet.  ALL OVER.  By the time we went the clinic at 8:00 and finished the exam the dots were from her forehead to the bottoms of her feet.  I actually watched them grow up her neck, behind her ears, onto her right cheek, then over to her left cheek and across her forehead during the 30 mintues we were at the clinic. During the two day period of the onset of symptoms, my daughter's attitude never changed.  Her appetite did not change.  She was her normal lovable self. Friendly and sweet to others as always.  She is very expressive and outgoing and never showed signs of suffering or discomfort.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Generalized maculopapular eruption--not erythema multiforme.
Age: 29.0
Sex: F
Vaccine: MMR, TD
Symptoms: Foetal distress syndrome, Medication error, Unintended pregnancy
Clinical narrative: MMR on 08/15/03, patient was about 4 weeks pregnant (LMP was 9/19/03). Baby delivered by c-section at 38 weeks. Fetal distress probably not related to vaccine. Baby appeared normal at hospital discharge.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Cough decreased, Headache, Hypersensitivity, Myalgia, Pain
Clinical narrative: Got the shot Monday, Jan 10, 2005 at noon. By late evening of the 11th I had aches, skin sensitivity, headache. Heavy cough started the next day. Hives developed Wednesday night. I took Tylenol. I was able to function relatively well until Saturday afternoon. I've stayed in Saturday afternoon and all day Sunday. Still have a headache, cough (from post-nasal drip?), and sore throat from coughing. I've had a moderate muscle pain all throughout.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Pharyngolaryngeal pain, Postnasal drip, Urticaria
Clinical narrative: Got the shot Monday, Jan 10, 2005 at noon. By late evening of the 11th I had aches, skin sensitivity, headache. Heavy cough started the next day. Hives developed Wednesday night. I took Tylenol. I was able to function relatively well until Saturday afternoon. I've stayed in Saturday afternoon and all day Sunday. Still have a headache, cough (from post-nasal drip?), and sore throat from coughing. I've had a moderate muscle pain all throughout.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Within 2 hours of administration of Pneumovax on January 13, 2005, pt experienced significant local reaction at site (right upper arm), with swelling, redness, itching,pain, warmth and firm to touch. Swelling was sufficient to produce tightness of shirtsleeve; hand laid over the area and noted firmness beneath entire surface of hand. RN who administered the Pneumovax contacted Health Dept. for recommendations. They recommended cold pack to area, which was done immediately. Pt was also instructed to call her Primary Physician for an appropriate antihistamine order, which she did. She took Benadryl 50mg (2-25mg gelcaps) when she got home from work. Improvement noted by the following morning, with continued improvement until area was resolved on 01/17/05.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Pruritus
Clinical narrative: Within 2 hours of administration of Pneumovax on January 13, 2005, pt experienced significant local reaction at site (right upper arm), with swelling, redness, itching,pain, warmth and firm to touch. Swelling was sufficient to produce tightness of shirtsleeve; hand laid over the area and noted firmness beneath entire surface of hand. RN who administered the Pneumovax contacted Health Dept. for recommendations. They recommended cold pack to area, which was done immediately. Pt was also instructed to call her Primary Physician for an appropriate antihistamine order, which she did. She took Benadryl 50mg (2-25mg gelcaps) when she got home from work. Improvement noted by the following morning, with continued improvement until area was resolved on 01/17/05.
Age: 0.42
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Crying, Diarrhoea, Dyskinesia, Electroencephalogram abnormal
Clinical narrative: Patient had "abnormal movements" prior to vaccines.  On day of vaccines, patient developed inconsolable crying, myoclonic jerks, eventually with eye and head deviation.  On the subsequent day, he had a single 10 minute generalized tonic-clonic seizure. Discharge Summary received on 2/02/2005 states pt experienced diarrhea.  Patient already had developmental delay prior to vaccination.
Age: 0.42
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Encephalopathy, Postictal state, Strabismus
Clinical narrative: Patient had "abnormal movements" prior to vaccines.  On day of vaccines, patient developed inconsolable crying, myoclonic jerks, eventually with eye and head deviation.  On the subsequent day, he had a single 10 minute generalized tonic-clonic seizure. Discharge Summary received on 2/02/2005 states pt experienced diarrhea.  Patient already had developmental delay prior to vaccination.
Age: 47.0
Sex: M
Vaccine: FLUN3
Symptoms: Nasal congestion, Pharyngolaryngeal pain
Clinical narrative: SORE THROAT AND NASAL CONGESTION APPROX 24 HRS AFTER RECEIVING VACCINE. SYMPTOMS LASTED APPROX 48 HRS
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: Arm red and swollen to elbow area fingers swollen next A.M.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Injection site warmth
Clinical narrative: Warm at site and upper body, face and chest sweats
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Influenza, Pyrexia, Rhinorrhoea
Clinical narrative: Patient with Positive flu symptoms, beginning approximately 1-1 1/2 after receiving shot.  A order: runny nose, sneezing, chills, bad headache, fever of 101 degrees, body aches.  Call her PCP.  No antiviral.  Bed rest no MD visit. Out of work x 4 days.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Sneezing
Clinical narrative: Patient with Positive flu symptoms, beginning approximately 1-1 1/2 after receiving shot.  A order: runny nose, sneezing, chills, bad headache, fever of 101 degrees, body aches.  Call her PCP.  No antiviral.  Bed rest no MD visit. Out of work x 4 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Left thigh swollen and red.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Swelling on shot area noted 48 hours after shot.  No fever
Sex: U
Vaccine: UNK
Symptoms: Pyrexia, Staring, Tremor
Clinical narrative: Fever. Staring. Shaking legs and arms when standing
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Bacterial infection, Decreased appetite, Drug ineffective, Fatigue
Clinical narrative: From initial information received on 1/10/05 from the patient's son regarding an adverse event, it was reported that this 74 year old female patient received FLUZONE, lot number U1552AA, administered IM on 12/10/04. Four to five days later, the patient developed fatigue, weakness, and a poor appetite and was hospitalized. She also developed influenza and a staph infection, but the onset dates were not provided. The patient's recovery status is unknown.
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Influenza
Clinical narrative: From initial information received on 1/10/05 from the patient's son regarding an adverse event, it was reported that this 74 year old female patient received FLUZONE, lot number U1552AA, administered IM on 12/10/04. Four to five days later, the patient developed fatigue, weakness, and a poor appetite and was hospitalized. She also developed influenza and a staph infection, but the onset dates were not provided. The patient's recovery status is unknown.
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anorexia, Atelectasis, Atrial fibrillation, Chest pain, Contusion
Clinical narrative: From initial information received on 1/10/05 from the patient's son regarding an adverse event, it was reported that this 74 year old female patient received FLUZONE, lot number U1552AA, administered IM on 12/10/04. Four to five days later, the patient developed fatigue, weakness, and a poor appetite and was hospitalized. She also developed influenza and a staph infection, but the onset dates were not provided. The patient's recovery status is unknown.
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Dyspnoea, Hyperglycaemia, Hyperhidrosis, Hypoalbuminaemia
Clinical narrative: From initial information received on 1/10/05 from the patient's son regarding an adverse event, it was reported that this 74 year old female patient received FLUZONE, lot number U1552AA, administered IM on 12/10/04. Four to five days later, the patient developed fatigue, weakness, and a poor appetite and was hospitalized. She also developed influenza and a staph infection, but the onset dates were not provided. The patient's recovery status is unknown.
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hyponatraemia, Laboratory test abnormal, Lethargy, Metabolic alkalosis, Myalgia
Clinical narrative: From initial information received on 1/10/05 from the patient's son regarding an adverse event, it was reported that this 74 year old female patient received FLUZONE, lot number U1552AA, administered IM on 12/10/04. Four to five days later, the patient developed fatigue, weakness, and a poor appetite and was hospitalized. She also developed influenza and a staph infection, but the onset dates were not provided. The patient's recovery status is unknown.
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Oedema peripheral, Pain, Pleural effusion, Pneumonia, Skin ulcer
Clinical narrative: From initial information received on 1/10/05 from the patient's son regarding an adverse event, it was reported that this 74 year old female patient received FLUZONE, lot number U1552AA, administered IM on 12/10/04. Four to five days later, the patient developed fatigue, weakness, and a poor appetite and was hospitalized. She also developed influenza and a staph infection, but the onset dates were not provided. The patient's recovery status is unknown.
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urinary tract infection
Clinical narrative: From initial information received on 1/10/05 from the patient's son regarding an adverse event, it was reported that this 74 year old female patient received FLUZONE, lot number U1552AA, administered IM on 12/10/04. Four to five days later, the patient developed fatigue, weakness, and a poor appetite and was hospitalized. She also developed influenza and a staph infection, but the onset dates were not provided. The patient's recovery status is unknown.
Age: 66.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Infection, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: On 01/12/05 (two days after vaccination) patient noted her left arm was red, sore and warm to touch.  Area of redness was approximately 4" x 7".  On 01/14/05 she returned to clinic and was advised to see her PMD.  She saw her PMD on this date and was told her arm was "infected".  She was prescribed Amoxicillin/clavulanate 875/125 mg. which she has been taking.  At time of interview, 01/18/05, patient states her arm is improving.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Face oedema, Oedema peripheral, Pruritus, Urticaria
Clinical narrative: 03/07/2000, within one week of receiving his 4th vaccine developed hives, one side of his face, lips was swollen and he had hives in axilla, back and abdomen. He sought medical care and was told to keep diary of foods, soaps and other contact items. He was prescribed Benadryl which did not help. Within a week he went back to Medical and was prescribed Zyrtec, which had no affect on his symptoms. His hive episodes would last 8-10 hours and then resolve to only reoccur in a few hours to a few days. He notes that his hands would itch and swell and within a 10-30 minutes to a day.  He was deployed in November 2002. He received your 5th vaccine in theater. Within a week he had a "Serious" breakout. He states he developed swelling of face, hands, feet, and hives over his trunk. He was given Benadryl in the field. He took the Benadryl and Zyrtec together. He had these episodes approximately ever 3 days. He notes that his hands continued to itch regardless of his intervention. In January 2003, he was seen in theater by an physician. He prescribed Allegra 180mg and Zantac 150 mg and he was instructed to take them at the same time. This would relieve his symptoms for 23 hours. After 23 hours the symptoms would come back with a vengeance, much worse than before.  He was instructed to once a month stop taking the medicine and see if his symptoms return. He continued to take the medications until February 2004. When he came off the medication, his hands started itching and his feet started swelling. He restarted the Allegra by itself. By April 2004, his symptoms had mostly resolved. He continues to have some swelling of his feet and itchy hands.  He received his 6th anthrax vaccine in August 2003. Again within a week he developed hives and urticaria as described in his previous vaccinations.  He states that before and after his deployment he told the physician who attended him that he had all the above symptoms; however he was told he was fine and would receive his vaccination and deploy as scheduled. He was told he could not see an allergist because he was leaving to soon.  Currently he is symptom free. The military wants to give him his annual anthrax booster when the injunction is lifted. He is concerned that his symptoms will once again return and escalate.
Age: 0.53
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Bronchiolitis, Convulsion, Injury, Musculoskeletal stiffness, Respiratory syncytial virus infection
Clinical narrative: MOM STATES THAT HOURS AFTER SHOTS WERE GIVEN ON 1/10/2005, SHE WAS HOLDING HER AT GRANDMA'S HOUSE, THE BABY STARTED TO FEEL STIFF AND THE EYES WERE IN A DAZE.  THIS LASTED FOR ABOUT ONE MINUTE.  SHE HAD THREE MILD EPISODES OF THE SAME LATER ON THAT DAY THAT LASTED FOR FEW SECONDS.  TXT DAY AT NIGHT SHE HAD ANOTHER EPISODE THAT LASTED ANOTHER MINUTE.  SHE WAS BROUGHT TO SEE ME ON 1/12/2005 WE CALLED PEDIATRIC NEUROLOGIST TO SEE HER AND WHILE WE WERE DOIHIS MOM CALLED THE OFFICE THAT NOW SHE HAD TONIC CLONIC EPISODE.  SHE WAS DIRECTED TO THE EMERGENCY ROOM AS PER PED NEURO INSTRUCTIONS.  SINCE THIS EPISODE SHE HAS NOT HAVE ANY FURTHER.  TESTING DONE ARE N FOR LP, EEG AND HEAD CT SCAN.  SIGNIFICANTLY WE FOUND AFTERWARDS THAT SHE HAD A HEAD INJURY IN DECEMBER AROUND CHRISTMAS WITH NO LOSS OF CONSCIOUNESS. Discharge Summary received on 2/16/2005 states final diagnoses were seizures and RSV bronchiolitis.
Age: 0.53
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Staring
Clinical narrative: MOM STATES THAT HOURS AFTER SHOTS WERE GIVEN ON 1/10/2005, SHE WAS HOLDING HER AT GRANDMA'S HOUSE, THE BABY STARTED TO FEEL STIFF AND THE EYES WERE IN A DAZE.  THIS LASTED FOR ABOUT ONE MINUTE.  SHE HAD THREE MILD EPISODES OF THE SAME LATER ON THAT DAY THAT LASTED FOR FEW SECONDS.  TXT DAY AT NIGHT SHE HAD ANOTHER EPISODE THAT LASTED ANOTHER MINUTE.  SHE WAS BROUGHT TO SEE ME ON 1/12/2005 WE CALLED PEDIATRIC NEUROLOGIST TO SEE HER AND WHILE WE WERE DOIHIS MOM CALLED THE OFFICE THAT NOW SHE HAD TONIC CLONIC EPISODE.  SHE WAS DIRECTED TO THE EMERGENCY ROOM AS PER PED NEURO INSTRUCTIONS.  SINCE THIS EPISODE SHE HAS NOT HAVE ANY FURTHER.  TESTING DONE ARE N FOR LP, EEG AND HEAD CT SCAN.  SIGNIFICANTLY WE FOUND AFTERWARDS THAT SHE HAD A HEAD INJURY IN DECEMBER AROUND CHRISTMAS WITH NO LOSS OF CONSCIOUNESS. Discharge Summary received on 2/16/2005 states final diagnoses were seizures and RSV bronchiolitis.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Myalgia, Pain
Clinical narrative: Patient experienced severe and recurring pain in the left deltoid muscle for 3 months after vaccine was administered.  Patient was referred to orthopedist after 2 months, treated with methylprednisolone, treatment ongoing. Information from medical records states pain, reduced range of motion. msv
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Flushing, Nasal oedema, Urticaria
Clinical narrative: Patient received DTaP/IPV/MMR vaccines on 1/6/05 PM and within 1hour showed symptoms of nose swelling with redness and complained of small "hive" on left lateral cheek along with flushing of palms and soles.  no wheezing, no resp distress.  Subcutaneous epinephrine given at time of presentation 1:1000 .2mg single dose.  Quick resolution of all symptoms.  Advised continued Benadryl at home 2tsp po q6hrs for 3days.
Age: 0.29
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Cyanosis, Heart rate increased, Musculoskeletal stiffness, Oral intake reduced
Clinical narrative: Sudden, severe, persistent crying.  Blue feet and dusky legs and abdomen.  Lips color was ok. Loud, non stop crying.  Did not respond to any comfort measures, change of position, change of clothing, feeding, pacifiers.  Gave Tylenol dose that MD recommended.  Took to MD office.  Total crying non-stop for about 2.5 hours.  Body was stiff.  Temp was only 97.7.  Eyes appeared glassy during worst of crying episode. Very very loud non stop crying.  Refused to eat.
Age: 0.29
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Staring
Clinical narrative: Sudden, severe, persistent crying.  Blue feet and dusky legs and abdomen.  Lips color was ok. Loud, non stop crying.  Did not respond to any comfort measures, change of position, change of clothing, feeding, pacifiers.  Gave Tylenol dose that MD recommended.  Took to MD office.  Total crying non-stop for about 2.5 hours.  Body was stiff.  Temp was only 97.7.  Eyes appeared glassy during worst of crying episode. Very very loud non stop crying.  Refused to eat.
Age: 0.21
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Approximately 10 hours after shots given, child had a seizure. Then 2 more seizures within the next 6 hours. Child admitted to hospital next day. No other seizures noted. Put on Phenobarbital.
Age: 1.04
Sex: F
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Convulsion, Drooling, Dyskinesia, Electroencephalogram abnormal
Clinical narrative: At about 8 AM on 8/26/04, patient was found having seizure activity, primarily on the right side with repetitive movements of right upper and lower extremities and drooling. She was taken to ER at 9 AM. Gave phenobarbital and stopped the seizure. She was admitted to hospital for work up.
Age: 1.04
Sex: F
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Convulsion, Drooling, Postictal state
Clinical narrative: At about 8 AM on 8/26/04, patient was found having seizure activity, primarily on the right side with repetitive movements of right upper and lower extremities and drooling. She was taken to ER at 9 AM. Gave phenobarbital and stopped the seizure. She was admitted to hospital for work up.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Injection site pain, Neck pain, Pain
Clinical narrative: Patient was given the flu vaccine in her left upper arm at 08:30 on 12/08/2004. Reports the injection was more painful than usual. After returning to work had increasing radiating pain in shoulder, neck and chest. Not relieved with heat/cold, Ibuprofen or vicodin.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Injection site induration, Pruritus, Skin discolouration
Clinical narrative: Left arm - deltoid area: Hot to the touch, red and purple color, hard, swollen, itchy
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Left arm - deltoid area: Hot to the touch, red and purple color, hard, swollen, itchy
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Patient received Flu shot on 01/10/2005 -returned on 01/12/2005 with approximately 2" X 3" red/warm/raised area at location of injection. Seen by doctor who prescribed Benadryl pills and ointment or Amoxicillin 250 mg BID for 5 days.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Flushing, Hyperhidrosis, Paraesthesia, Rash erythematous
Clinical narrative: Raised rash on arms, facial flush, sweating, c/o feeling hot and prickly, doses of epinephrine
Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Viral infection
Clinical narrative: Developed varicella
Age: 1.97
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Generalized hives, told to give Benadryl
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Erythema, Injection site oedema, Skin discolouration, Urticaria
Clinical narrative: Pt noticed 2 hives (red, raised area 1 1/2-2) with mild swelling of hive area only, on left bicep and very small discoloration described as appearing like a bruise on inner aspect of left elbow in evening on 12/1/04. Did not feel ill. No self treatment. Did not consult medical provider. States all discoloration, swelling/hives resolved by AM of 12/2/04.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia
Clinical narrative: C/o not able to lift right arm above shoulder area last 5 days. Injection site did not show: inflammation, discharge, bruising, per pt.
Age: 0.38
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Tremor
Clinical narrative: On 12/15/04 at 6PM Pt began having mild tremor of head lasting approx 45 seconds. At 6:02PM again noted head tremor lasting approx 60 seconds.