chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Diarrhoea, Dyspnoea, Laboratory test abnormal, Nausea, Rash
Clinical narrative: Pneumovax injection given 6/23/04. Rash developed on same day, and worsened through 6/27/04. Patient developed swelling on 6/24/04. Patient developed nausea, vomiting, diarrhea on 6/24/04. Patient experienced shortness of breath on 6/25/04. Patient was admitted to hospital on 6/27/04 for intractable nausea and vomiting. Patient reports no other new medications started recently.  Nurse follow up on 09/16/04 states: "Review of d/c summary confirms previously coded symptoms. "
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Swelling, Vomiting
Clinical narrative: Pneumovax injection given 6/23/04. Rash developed on same day, and worsened through 6/27/04. Patient developed swelling on 6/24/04. Patient developed nausea, vomiting, diarrhea on 6/24/04. Patient experienced shortness of breath on 6/25/04. Patient was admitted to hospital on 6/27/04 for intractable nausea and vomiting. Patient reports no other new medications started recently.  Nurse follow up on 09/16/04 states: "Review of d/c summary confirms previously coded symptoms. "
Age: 51.0
Sex: F
Vaccine: TD, TD
Symptoms: Contusion, Dizziness, Fall, Feeling hot, Injection site pain
Clinical narrative: After vaccination, pain started immediately at site of vaccination. Doctor recommended that patient takes Tylenol when arrives at home. Patient only took one dose of Tylenol because nausea started after first dose. Nausea and pain in arm kept getting worse and by evening, patient was not able to eat or drink. At about 11 PM, patient also started feeling really warm/hot and vomited fiercely off an don throughout the night. Patient was tossing and turning all night. At about 5 AM, when woke up, patient felt really dizzy and fell against a wall and bruised her eye, mouth and fainted. When came to, patient called her daughter who in turn contacted her mom's doctor and the doctor told them to take the patient to the ER (it was about 7:30 AM). In ER, patient was given medication for nausea and Vicodin for the pain. At about 4:30 PM, patient was moved from the ER to a room. Patient was released the next afternoon (about 4:30 PM). By Monday evening, pain on arm had lessened and the dizziness and nausea had diminished by next day of when patient was released.  Nurse follow up on 08/04/04 states: "Vaso-vagal syncope; arm pain."
Age: 51.0
Sex: F
Vaccine: TD, TD
Symptoms: Nausea, Oral intake reduced, Pain, Sleep disorder, Syncope
Clinical narrative: After vaccination, pain started immediately at site of vaccination. Doctor recommended that patient takes Tylenol when arrives at home. Patient only took one dose of Tylenol because nausea started after first dose. Nausea and pain in arm kept getting worse and by evening, patient was not able to eat or drink. At about 11 PM, patient also started feeling really warm/hot and vomited fiercely off an don throughout the night. Patient was tossing and turning all night. At about 5 AM, when woke up, patient felt really dizzy and fell against a wall and bruised her eye, mouth and fainted. When came to, patient called her daughter who in turn contacted her mom's doctor and the doctor told them to take the patient to the ER (it was about 7:30 AM). In ER, patient was given medication for nausea and Vicodin for the pain. At about 4:30 PM, patient was moved from the ER to a room. Patient was released the next afternoon (about 4:30 PM). By Monday evening, pain on arm had lessened and the dizziness and nausea had diminished by next day of when patient was released.  Nurse follow up on 08/04/04 states: "Vaso-vagal syncope; arm pain."
Age: 51.0
Sex: F
Vaccine: TD, TD
Symptoms: Vomiting
Clinical narrative: After vaccination, pain started immediately at site of vaccination. Doctor recommended that patient takes Tylenol when arrives at home. Patient only took one dose of Tylenol because nausea started after first dose. Nausea and pain in arm kept getting worse and by evening, patient was not able to eat or drink. At about 11 PM, patient also started feeling really warm/hot and vomited fiercely off an don throughout the night. Patient was tossing and turning all night. At about 5 AM, when woke up, patient felt really dizzy and fell against a wall and bruised her eye, mouth and fainted. When came to, patient called her daughter who in turn contacted her mom's doctor and the doctor told them to take the patient to the ER (it was about 7:30 AM). In ER, patient was given medication for nausea and Vicodin for the pain. At about 4:30 PM, patient was moved from the ER to a room. Patient was released the next afternoon (about 4:30 PM). By Monday evening, pain on arm had lessened and the dizziness and nausea had diminished by next day of when patient was released.  Nurse follow up on 08/04/04 states: "Vaso-vagal syncope; arm pain."
Age: 51.0
Sex: F
Vaccine: TD, TD
Symptoms: Dizziness, Nausea, Pain, Syncope, Vomiting
Clinical narrative: After vaccination, pain started immediately at site of vaccination. Doctor recommended that patient takes Tylenol when arrives at home. Patient only took one dose of Tylenol because nausea started after first dose. Nausea and pain in arm kept getting worse and by evening, patient was not able to eat or drink. At about 11 PM, patient also started feeling really warm/hot and vomited fiercely off an don throughout the night. Patient was tossing and turning all night. At about 5 AM, when woke up, patient felt really dizzy and fell against a wall and bruised her eye, mouth and fainted. When came to, patient called her daughter who in turn contacted her mom's doctor and the doctor told them to take the patient to the ER (it was about 7:30 AM). In ER, patient was given medication for nausea and Vicodin for the pain. At about 4:30 PM, patient was moved from the ER to a room. Patient was released the next afternoon (about 4:30 PM). By Monday evening, pain on arm had lessened and the dizziness and nausea had diminished by next day of when patient was released.  Nurse follow up on 08/04/04 states: "Vaso-vagal syncope; arm pain."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Injection site abscess, Injection site mass, Pain
Clinical narrative: Received DTaP, IPV, Hep B/HIB left thigh. Developed a cellulitis.  Nurse follow up on 07/20/04 states: "Fever, pain, drainage at injection site, erythema, induration."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Received DTaP, IPV, Hep B/HIB left thigh. Developed a cellulitis.  Nurse follow up on 07/20/04 states: "Fever, pain, drainage at injection site, erythema, induration."
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Convulsion, Eye movement disorder
Clinical narrative: 6/28/04 11:30 AM Seizure very sudden; no fever and no apparent illness. 8:45 PM Had second seizure in hospital. First worst; rigid and eyes rolled back. 6/29/04 10:30 AM Dismissed. 6/30/04 12:35 PM Third seizure lasting 30 seconds; less rigid. Information from annual follow-up report states: Mom reports child was involved in MVA after receiving vaccines and she believes car accident and resulting head injury cause of seizures, not vaccines, PMD, neurologist agrees.  Nurse follow up on 7/20/04 states: "Complete."
Sex: F
Vaccine: FLUX
Symptoms: Lymphadenopathy, Tenderness
Clinical narrative: Tender node palpable at the base of the neck above clavicle (lymphadenopathy).
Age: 8.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Pain, Pyrexia
Clinical narrative: Day after vaccine (>24 hours) fever to 102 with focal area erythema at site. 2 day later continued fever, 6cm area induration, tension. Pain to move shoulder. No respiratory symptoms, no itching. Isolated axillary. Suspect cellulitus more than reactions.
Age: 8.0
Sex: M
Vaccine: PPV
Symptoms: Tension
Clinical narrative: Day after vaccine (>24 hours) fever to 102 with focal area erythema at site. 2 day later continued fever, 6cm area induration, tension. Pain to move shoulder. No respiratory symptoms, no itching. Isolated axillary. Suspect cellulitus more than reactions.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: right leg red, swollen and warm. No treatment.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Eye swelling, Rash maculo-papular
Clinical narrative: 12 hours after Td immunization. Broke out with red maculopapular around eyes and slight swelling of eyelids. Red splotches on cheeks. No muscle weakness. No paresthesia. No facial weakness. No dysphagia. Afebrile. Same reaction noted with amoxicillin
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling, erythema, induration left thigh around vaccine site. (IPV#4, DTaP #5).
Age: 4.75
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Swelling, Tension, Tinnitus
Clinical narrative: 6/30/04: DTAP, IPC, MMR, Varicella dose administered. DTaP: left deltoid IM: 1 day later 7/1/04: left upper arm swollen, tense, red, hot. Fever 89.3: no respiratory distress, no edema, no other symptoms.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Local redness and induration appearing 24 hours after injection and spreading for 24 hours. Area measured 8.75cmx7cm.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Swelling of entire left arm with erythema warmth to mid forearm and back to scapula.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration
Clinical narrative: Reaction induration: 45x40cm. Mother noticed induration on right deltoid 4 days after shot given 6/7/04. Noticed 6/10/04.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: redness and swelling left thigh, noticed 1 day after getting the shot.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal behaviour, Irritability, Screaming
Clinical narrative: Mom states that after 1st series of shots, child was very fussy for several days following. Mom states child also had some extended time of crying, but she was able to console child. child was not her normal self. This series,child cried for 5-6 hours. Taken to doctor at 6pm at that time child was fine. Pt recovered fully.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Screaming, Vomiting
Clinical narrative: Vomiting (3 times in 3 hours). Crying for over 3 hours (never in her life has she cried for so long).
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Child ran high fever for three days starting 11 days after shot. (MMR&Varicella) after fever went a red rash appeared over his body and lasted for 5 days. May 12 again and then June 9th again but rash only lasted 1 day.
Age: 1.25
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Convulsion, Feeling abnormal, Pyrexia
Clinical narrative: Woke up at 2:45pm with fever. Eating and drinking okay, but more unhappy. 11:30pm. Crying noticed seizure activity lasting 1 minute. Was taken to ER T-102 degrees
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Myalgia, Skin ulcer, Swelling
Clinical narrative: Immediate localized reaction following injection of right upper deltoid. Erythema, edema, warmth, muscle ache: swelling (per pt) size of lesion: now 2.5cmx2.5cm 6 days later. Use heat to arm.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: constant crying: unable to console from 9:30 until 3pm.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Oedema, Pyrexia, Tenderness
Clinical narrative: Pt c/o fever 100 day following vaccine, lasting 2 days. Redness and hardness developed at site 3 days after injection, tenderness: 2 cm of induration. Apply cold packs to arm/site: antibiotic if induration/edema increased. Did not take antibiotic.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Crying, Pyrexia
Clinical narrative: DTaP given 1:30pm 4/28/04. Tylenol given 3 times in first 24 hours. Mild fever present each time (99-100 degrees approx). At 1:30am, pt woke me up crying. Temperature taken under arm 105.8 (Thermometer read 104.8). Gave Tylenol and let him hug a cool cup of water. Also placed wt washcloth on his head. Comforted and eventually fell asleep. I woke up at 4am and pt had normal temp (99 degrees). Continued to have mild fevers for another day. Tylenol controlled them. No inflammation at injection site.
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Headache, Hypertonia, Hypotonia, Syncope
Clinical narrative: Fainted 10 min later with tonic/clonic movements x 15sec. Vomiting x 1. 24 hours of headache, vomiting, dizziness. Treated with Phenergan, Tylenol, rest, clear liquids
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Vomiting
Clinical narrative: Fainted 10 min later with tonic/clonic movements x 15sec. Vomiting x 1. 24 hours of headache, vomiting, dizziness. Treated with Phenergan, Tylenol, rest, clear liquids
Age: 4.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Viral infection
Clinical narrative: Chickenpox disease- >100 pox lesions seen on day 1 of illness in office.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site mass, Injection site reaction, Swelling
Clinical narrative: Presents to clinic with left upper arm swelling and redness noted. Area hard and warm to touch. Received DTaP in Left upper arm on 6/28/04. Dx: Imm reaction. Tx: Ice and Benadryl
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Rash pruritic
Clinical narrative: Red itchy rash with pain
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass, Rash erythematous
Clinical narrative: Received #5 DTaP 6/22/04. On 6/23/04 mother noticed a red bump at the site on pt's right leg. It got progressively worse. Red rash size of coffee cup saucer 4 days later. Continues to be red 6 days post injection.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Injection site mass, Pruritus, Swelling
Clinical narrative: Received Immunizations on 06/29/2004 in on 6/30/2004 parent noticed site of injection was warm/red/itchy and hard in afternoon. On 7/1/04 mother noticed that it was white around the shot with a red ring on the outside. Still tender and swollen.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Tenderness
Clinical narrative: Received Immunizations on 06/29/2004 in on 6/30/2004 parent noticed site of injection was warm/red/itchy and hard in afternoon. On 7/1/04 mother noticed that it was white around the shot with a red ring on the outside. Still tender and swollen.
Age: 1.17
Sex: F
Vaccine: VARCEL
Symptoms: Skin ulcer
Clinical narrative: Breakthrough with lesions. Temp of 101 on 06/25/04 treated with Tylenol. More lesions formed over the next two days around mouth- in mouth, on tongue, neck and arm. Saw Dr 6/28-Benadryl and Tylenol and Ibuprofen
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Laryngospasm, Myalgia, Pain, Pharyngolaryngeal pain
Clinical narrative: Temp 101.8 7/6/04 (Inoculated for yellow fever on 07/01/04) x2days Body ache, Headache- Pain level 9 on 1-10 scale Sore throat, throat swollen (7/1/04 fever decreased feeling better)
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Temp 101.8 7/6/04 (Inoculated for yellow fever on 07/01/04) x2days Body ache, Headache- Pain level 9 on 1-10 scale Sore throat, throat swollen (7/1/04 fever decreased feeling better)
Age: 2.0
Sex: F
Vaccine: ANTH
Symptoms: Lethargy, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Developed body aches, fever, nausea and emesis within 6 hours post vaccination with #2 in Anthrax Series. Symptoms lasted approx. 12 hours with residual lethargy and mild nausea the following day. Fully recovered.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Erythema
Clinical narrative: Patient had Varicella shot on June 24th 2004 and 4 days ago has had Varicella like rash in the area of immunization.  Erythema, fine crusted scab in the left arm,  Diagnose: Adverse effect to Varicella Vaccine  Plan: Warm Compresses prn and Tylenol
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cardiac arrest, Respiratory arrest, Sudden infant death syndrome
Clinical narrative: Baby cosleeping with mom found in cardiorespiratory arrest by mom.  Nurse follow up on 07/12/04 states: "None."  Nurse follow up on 08/30/04 states: "SIDS."
Age: 61.0
Sex: F
Vaccine: TD, TD
Symptoms: Contusion, Dizziness, Fall, Feeling hot, Injection site pain
Clinical narrative: Shortly after receiving the vaccine in the morning, she developed left arm pain. She was advised to take Tylenol and apply cold compresses. Late that night she developed recurrent nausea and vomiting. Early the next morning stood up, felt lightheaded and had a brief syncopal episode. Transferred to ER. Admitted for about 36 hours. Given IV hydration and pain meds. Symptoms improved and she was discharged home. No documented fevers, respiratory distress, angioedema or anaphylaxis.
Age: 61.0
Sex: F
Vaccine: TD, TD
Symptoms: Nausea, Oral intake reduced, Pain, Sleep disorder, Syncope
Clinical narrative: Shortly after receiving the vaccine in the morning, she developed left arm pain. She was advised to take Tylenol and apply cold compresses. Late that night she developed recurrent nausea and vomiting. Early the next morning stood up, felt lightheaded and had a brief syncopal episode. Transferred to ER. Admitted for about 36 hours. Given IV hydration and pain meds. Symptoms improved and she was discharged home. No documented fevers, respiratory distress, angioedema or anaphylaxis.
Age: 61.0
Sex: F
Vaccine: TD, TD
Symptoms: Vomiting
Clinical narrative: Shortly after receiving the vaccine in the morning, she developed left arm pain. She was advised to take Tylenol and apply cold compresses. Late that night she developed recurrent nausea and vomiting. Early the next morning stood up, felt lightheaded and had a brief syncopal episode. Transferred to ER. Admitted for about 36 hours. Given IV hydration and pain meds. Symptoms improved and she was discharged home. No documented fevers, respiratory distress, angioedema or anaphylaxis.
Age: 61.0
Sex: F
Vaccine: TD, TD
Symptoms: Dizziness, Nausea, Pain, Syncope, Vomiting
Clinical narrative: Shortly after receiving the vaccine in the morning, she developed left arm pain. She was advised to take Tylenol and apply cold compresses. Late that night she developed recurrent nausea and vomiting. Early the next morning stood up, felt lightheaded and had a brief syncopal episode. Transferred to ER. Admitted for about 36 hours. Given IV hydration and pain meds. Symptoms improved and she was discharged home. No documented fevers, respiratory distress, angioedema or anaphylaxis.
Age: 11.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Abscess, Cellulitis, Erythema, Injection site mass, Laboratory test abnormal
Clinical narrative: High fever, pain, swelling, cellulitis like reaction, scarring.  Nurse follow up on 07/21/04 states: "erythema, induration, rash, draining site, pustules."
Age: 11.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Pain, Pyrexia, Swelling, White blood cell count increased
Clinical narrative: High fever, pain, swelling, cellulitis like reaction, scarring.  Nurse follow up on 07/21/04 states: "erythema, induration, rash, draining site, pustules."
Age: 11.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: High fever, pain, swelling, cellulitis like reaction, scarring.  Nurse follow up on 07/21/04 states: "erythema, induration, rash, draining site, pustules."
Age: 11.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: High fever, pain, swelling, cellulitis like reaction, scarring.  Nurse follow up on 07/21/04 states: "erythema, induration, rash, draining site, pustules."
Age: 11.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Cellulitis, Injection site reaction, Pyrexia
Clinical narrative: High fever, pain, swelling, cellulitis like reaction, scarring.  Nurse follow up on 07/21/04 states: "erythema, induration, rash, draining site, pustules."
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Swelling
Clinical narrative: 4 month old AF received DTaP, Hib, IPV and Prevnar. About 5 min after injection. Pt developed redness most part of face- esp B cheek and forehead, also patches of redness on top of head and swelling or induration
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Pruritus, Urticaria
Clinical narrative: The night following the vaccine pt broke out in welts (nickel to quarter size), itching, relieved with Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site inflammation
Clinical narrative: Redness extending down from IM injection to elbow pt describes it as a blotch, no medicines administered mother states began 6/15/04 and is now fading. Instructed to move arm, give ibuprofen as directed, go to ER if worsens and call clinic when called 6/17/04. Pt denies pain/fever, slight inflammation noted by mother.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia, Injection site erythema, Injection site oedema, Paraesthesia
Clinical narrative: Pt c/o numbness and tingling to throat and tongue after Td. Local swelling and redness to injection site noted. 25mg IM Benadryl given after Benadryl given denies s/s after 10 min. Pt feels fine s/s gone.
Age: 1.33
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site mass
Clinical narrative: Right leg- 7cm induration, redness 10 min after injection 06/8/04 15:45. No respiratory distress. 12.5mg Benadryl PO and ice applied to area, observed x 45min. Swelling and induration decreased 6/9/04 in F/U visit.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Local arm reaction began 36 hrs after injection.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Attenuated chickenpox 07/01/04
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Injection site mass, Rash maculo-papular
Clinical narrative: Nodule left at site of injection right anterior thigh. Slight raised irregular macular. Some almost papular areas present on both thighs and upper arms. Scattered areas, fewer on trunk.
Age: 13.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever 101-101.9. Vomiting on 7/8/04 0600 x4
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Face oedema, Hypersensitivity
Clinical narrative: Dad called our office around Noon in 7/2/04. He stated that pt's eye and mouth are swelling. He was concerned that pt may be having an adverse reaction to an immunization. I advised dad to take the child to the ER. The pt was seen in the ER at 1:45PM 7/2/04. Dx allergic reaction; improving.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Few vesicular lesions appeared 4 days after injection left thigh at injection site. 1/2 on peri, 1/2 on right arm and 1/2 on right lower leg. No fever;no itching. Requirements to parent given, Mild varicella vs. infect sites
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Mom describes "red, swollen, warm to touch area" on left arm where vaccines where administered approx. size of a fist.
Age: 2.0
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Abscess, Difficulty in walking, Erythema
Clinical narrative: Abscess left thigh, soft to touch, pt does not wince when touched, has 3 erythematous areas on top according to mom had this bump since 7 mos old then said had it after 4 mos ago. Bump she said got bigger last week and pt refusing to walk.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Received varicella vaccine 6/23/04. Right arm 6/24/04 developed erythema to site. 6/25/04 seen with 5 1/2" x 4 1/4" erythematous area right outer arm. Afebrile. Tx: ice, Benadryl, elevation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Pt was given DTaP on 7/6/04. Mom brought him in c/o erythema to left deltoid s/p DTaP x 2 days. Evaluated by MD. Recommended ice to arm. Tylenol PRN, if Sx worsen return to clinic
Age: 0.75
Sex: F
Vaccine: DTAP, PNC
Symptoms: Erythema, Feeling hot, Urticaria
Clinical narrative: 2x1 inch rectangle red welt, warm to touch. Tx: Zyrtec, cold compress.
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Pt received 3 immunizations on 7/6/04. Site of injections on LL was red, swollen, hard and hot to touch. Viewed on 7/8/04 by RN
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Erythema, Pyrexia, Rash papular, Skin ulcer
Clinical narrative: Fever 103 F x 3 days. Diffuse fine erythematous papular lesion. No discharge no rash; mouth, foot, hand.
Age: 1.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Dermatitis bullous, Pyrexia, Somnolence
Clinical narrative: Received vaccine 6/28/04. On 7/7/04 developed fever with temp 100.4 Ax, Fuzziness, scattered areas of breaking out resembling chickenpox except areas are smaller and fewer than a normal case. Areas on face, trunk, legs, on 7/8/04 report has a few more areas than on 7/7/04. Mother at this time only giving infant Tylenol for comfort.
Age: 23.0
Sex: F
Vaccine: IPV, MEN
Symptoms: Erythema, Hypoaesthesia, Injection site reaction, Pain, Swelling
Clinical narrative: 06/29/04 pt states that 1/2 hour after leaving travel clinic her arm began to feel numb and felt discomfort at site of SQ injections on Right arm. Arm felt painful enough that the applied ice and took Tylenol in AM of 6/30/04 arm became swollen and reddened. No fever. Went to PMD, they took blood, examined site. Did not feel that it was an infection but a reaction to immunizations.
Age: 17.0
Sex: M
Vaccine: HEPA, TD, YF
Symptoms: Convulsion, Gaze palsy, Hypertonia, Stupor
Clinical narrative: Within one minute after receiving vaccinations, pt became unresponsive- eyes rolled back- all 4 extremities became very rigid and his body convulsed for approx 45 sec to 1 min. No post-dictal - atox3 within 20-30 sec following end of seizure. Staff MD and EMS responded. BP initially full seizure 70 palpable- Increase 108/50-Mother declined transport to ER. Brought child to pediatrician.
Age: 55.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Myalgia, Oedema, Pruritus
Clinical narrative: Client c/o soreness, itching and edema at left deltoid 3 days post vaccine pt stated she rubbed and scratched area until it became more swollen. She went to her PCP- he ordered Cortisone cream and left arm healed in 2 days according to pt.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pharyngolaryngeal pain, Vomiting
Clinical narrative: child received thre vaccines for k-pe, after leaving office, started vomiting in lobby downstairs on the way out.  mom states child c/p throat feeling funny.  after returning to office, temp taken 97.7, no sweling or reddness of throat noted, c/o pain of throat on palpation, chest clear no difficulty breathing noted continued to vomit while in office, arouses easily, discussed with doctor and was directed to er
Age: 68.0
Sex: M
Vaccine: FLUX
Symptoms: Acute respiratory distress syndrome, Atrial fibrillation, Guillain-Barre syndrome, Hypotension, Laboratory test abnormal
Clinical narrative: Adverse event:  Guillain-Barre syndrome presenting on 11/18/2004 in conjunction with Beta-hemolytic streptococcal pneumonia.  Individual was also post-op from craniotomy for meningioma on 11/09/1998 and had been continuously treated with IV Decadron and Mannitol since that procedure for ongoing cerebral edema.  Yeast was also present in tracheal aspirates at presentation; not cultured for campylobacter yersenia nor tested for CMV.  He developed ARDS and sepsis and despite treatment with plasmapheresis and IVIG died 66 days after presentation with multiple organ failure. Manufacturer of vaccine was Connaught, lot 0980530 or possibly 0986530.  Influenza vaccine givne IM left deltoid.  Exp 06/99.  He had had influenza vaccine for at least the preceeding 3 years.  Nurse follow up on 07/26/04 states: "atrial fib, renal failure, hypotension."
Age: 68.0
Sex: M
Vaccine: FLUX
Symptoms: Leukocytosis, Multi-organ failure, Pneumonia, Renal failure, Sepsis
Clinical narrative: Adverse event:  Guillain-Barre syndrome presenting on 11/18/2004 in conjunction with Beta-hemolytic streptococcal pneumonia.  Individual was also post-op from craniotomy for meningioma on 11/09/1998 and had been continuously treated with IV Decadron and Mannitol since that procedure for ongoing cerebral edema.  Yeast was also present in tracheal aspirates at presentation; not cultured for campylobacter yersenia nor tested for CMV.  He developed ARDS and sepsis and despite treatment with plasmapheresis and IVIG died 66 days after presentation with multiple organ failure. Manufacturer of vaccine was Connaught, lot 0980530 or possibly 0986530.  Influenza vaccine givne IM left deltoid.  Exp 06/99.  He had had influenza vaccine for at least the preceeding 3 years.  Nurse follow up on 07/26/04 states: "atrial fib, renal failure, hypotension."
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site inflammation, Injection site rash
Clinical narrative: Received smallpox vaccine on left deltoid 6 months ago.  It went through the normal progression to Jennerian scar without any problems.  Approximately one month ago, she noticed several small bumps at the site of the scar.  They have not changed in appearance or number since she first noticed them.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Fall, Loss of consciousness
Clinical narrative: within 5 minutes post-vaccination, client lost consciousness.  Was awakened with ammonia salts placed under the nares, within 30 seconds.  911 phoned, child taken to hospital.  Was released in approx 2 hours after observation.  Late entry: client did fall and hit L side of head on floor.
Age: 47.0
Sex: F
Vaccine: RAB, UNK
Symptoms: Abdominal pain, Nausea
Clinical narrative: 12 hours after receiving 1st rabies vaccine, nausea and abdominal pain, subsided and returned again the following morning and again in the afternoon. Spoke with doctor at our facility, she encouraged me to contact my physician an fill out this on-line form because I am a post weight loss surgery patient.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, at injection site. Some point tenderness. No exudate. Reported symptoms to clinic on 11 Jul 2004 (3 days post vaccination).
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Swelling face
Clinical narrative: MMR received on 6/29/04.  On Monday July 5 my back began to itch.  The itching continued until July 11, no rash was noticed.  I used Hydrocortisone Plus as needed to releive the itching and began to take Benadryl. On Friday July 9, 2004 my lips started to swell and remained swollen until Sunday, July 11.
Age: 26.0
Sex: M
Vaccine: FLUX
Symptoms: Influenza like illness, Malaise, Pyrexia
Clinical narrative: DESCRIPTION BY PHYSICIAN:  "SEVERE ILLNESS WHEN GIVEN FLU SHOT": HIGH FEVER, MALAISE
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain, Anxiety, Back pain, Blood pressure decreased, Chills
Clinical narrative: From initial information received on 4/30/03 from a nurse, regarding an adverse event occurring in the USA, it was reported that a 23 year old female patient received IMOVAX, lot number W0046, administered IM in the left deltoid on 4/28/03 at 2:00 PM. This was the third dose of Imovax the patient received following a rabies post-exposure. The patient had received IMOVAX RABIES, lot number unknown, administered IM in the deltoid on 4/24/03 as dose number two and IMOVAX RABIES, lot number unknown, administered IM in the left deltoid on 4/21/03. She also received Immunoglobulin Rabies, manufacturer and lot number unknown on 4/21/03. One day after receiving dose three, the patient called the doctor's office, complaining of headache, nausea, vomiting, abdominal pain, back pain, myalgia, malaise, chills, dizziness, numbness and tingling of extremities, and tarry stool. The patient was advised to go to the ER or visit the doctor's office. During her visit at the doctor's office, her temperature was 101 degrees, heart beat was 120 and irregular, blood pressure was 123/60. She continued with symptoms and photophobia. Her oxygen saturation was 99% room air. The patient complained of anxiety and a sense of impeding doom, as well as restless legs. The patient was evaluated by the doctor and advised to go to the emergency room for evaluation and treatment. The patient's recovery status is unknown.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Faeces discoloured, Headache, Heart rate irregular, Hypoaesthesia
Clinical narrative: From initial information received on 4/30/03 from a nurse, regarding an adverse event occurring in the USA, it was reported that a 23 year old female patient received IMOVAX, lot number W0046, administered IM in the left deltoid on 4/28/03 at 2:00 PM. This was the third dose of Imovax the patient received following a rabies post-exposure. The patient had received IMOVAX RABIES, lot number unknown, administered IM in the deltoid on 4/24/03 as dose number two and IMOVAX RABIES, lot number unknown, administered IM in the left deltoid on 4/21/03. She also received Immunoglobulin Rabies, manufacturer and lot number unknown on 4/21/03. One day after receiving dose three, the patient called the doctor's office, complaining of headache, nausea, vomiting, abdominal pain, back pain, myalgia, malaise, chills, dizziness, numbness and tingling of extremities, and tarry stool. The patient was advised to go to the ER or visit the doctor's office. During her visit at the doctor's office, her temperature was 101 degrees, heart beat was 120 and irregular, blood pressure was 123/60. She continued with symptoms and photophobia. Her oxygen saturation was 99% room air. The patient complained of anxiety and a sense of impeding doom, as well as restless legs. The patient was evaluated by the doctor and advised to go to the emergency room for evaluation and treatment. The patient's recovery status is unknown.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Malaise, Myalgia, Nausea, Paraesthesia, Photophobia
Clinical narrative: From initial information received on 4/30/03 from a nurse, regarding an adverse event occurring in the USA, it was reported that a 23 year old female patient received IMOVAX, lot number W0046, administered IM in the left deltoid on 4/28/03 at 2:00 PM. This was the third dose of Imovax the patient received following a rabies post-exposure. The patient had received IMOVAX RABIES, lot number unknown, administered IM in the deltoid on 4/24/03 as dose number two and IMOVAX RABIES, lot number unknown, administered IM in the left deltoid on 4/21/03. She also received Immunoglobulin Rabies, manufacturer and lot number unknown on 4/21/03. One day after receiving dose three, the patient called the doctor's office, complaining of headache, nausea, vomiting, abdominal pain, back pain, myalgia, malaise, chills, dizziness, numbness and tingling of extremities, and tarry stool. The patient was advised to go to the ER or visit the doctor's office. During her visit at the doctor's office, her temperature was 101 degrees, heart beat was 120 and irregular, blood pressure was 123/60. She continued with symptoms and photophobia. Her oxygen saturation was 99% room air. The patient complained of anxiety and a sense of impeding doom, as well as restless legs. The patient was evaluated by the doctor and advised to go to the emergency room for evaluation and treatment. The patient's recovery status is unknown.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia, Restless legs syndrome, Vomiting
Clinical narrative: From initial information received on 4/30/03 from a nurse, regarding an adverse event occurring in the USA, it was reported that a 23 year old female patient received IMOVAX, lot number W0046, administered IM in the left deltoid on 4/28/03 at 2:00 PM. This was the third dose of Imovax the patient received following a rabies post-exposure. The patient had received IMOVAX RABIES, lot number unknown, administered IM in the deltoid on 4/24/03 as dose number two and IMOVAX RABIES, lot number unknown, administered IM in the left deltoid on 4/21/03. She also received Immunoglobulin Rabies, manufacturer and lot number unknown on 4/21/03. One day after receiving dose three, the patient called the doctor's office, complaining of headache, nausea, vomiting, abdominal pain, back pain, myalgia, malaise, chills, dizziness, numbness and tingling of extremities, and tarry stool. The patient was advised to go to the ER or visit the doctor's office. During her visit at the doctor's office, her temperature was 101 degrees, heart beat was 120 and irregular, blood pressure was 123/60. She continued with symptoms and photophobia. Her oxygen saturation was 99% room air. The patient complained of anxiety and a sense of impeding doom, as well as restless legs. The patient was evaluated by the doctor and advised to go to the emergency room for evaluation and treatment. The patient's recovery status is unknown.
Age: 7.0
Sex: M
Vaccine: RAB
Symptoms: Rash, Somnolence
Clinical narrative: From initial information received on 04AUG2003 from a health care professional regarding an adverse event occurring in the USA, it was reported that a seven year old male patient was bitten by a stray dog on the fifth digit and the palm of the left hand on 13JUL2003 while going to a neighbor's yard to play. The puncture wounds were treated with bacitracin and covered with a dressing. On 21JUL2003 at 1:00pm, the patient received IMOVAX RABIES, lot number U1388-2, administered intra-muscularly in the left arm as the initial dose in the series. The patient had received a first post exposure series of Rabies vaccination in 2000. Approximately three hours after receiving the dose on 21JUL2003, the patient became sleepy and slept for 2.5 hours, which the mother reported as being unusual for the child. The patient also developed a rash on his face and neck. The patient denied any trouble breathing or swallowing. His mother stated that the patient did not have a fever and was acting normally other than the sleepiness. These symptoms were reported to the patient's pediatrician. The responsible physician was contacted and he advised the patient's mother to administer 50 mg of Benadryl prior to the next vaccination or get a titer done with the possibility of having to receive another dose later. The patient was not seen by the physician. The mother decided to give the patient the Benadryl and the patient was given his second dose of IMOVAX RABIES, lot number U0136-2 on 24JUL2003, which was tolerated well. He received a final dose of IMOVAX RABIES, lot not reported, on 27JUL2003. Upon his arrival home that day, the patient slept for half an hour. No fever or rash was noted. Reportedly, the patient recovered from these experiences.
Age: 58.0
Sex: F
Vaccine: RAB
Symptoms: Confusional state, Dizziness, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: From initial information received on 27AUG2003 from a patient, which was submitted and confirmed by a registered nurse regarding an adverse event occurring in the USA, it was reported that the 58 year old female patient received IMOVAX RABIE on the morning of 28JUL2003. The lot number, route , site of administration and number of previous doses were not reported. It was not reported whether the patient received the product as part of a post exposure series or as a prophylactic vaccination. Immediately following the administration of the product, the patient experienced pain at the injection site, which increased over the next 48 hours. She also experienced redness and swelling at the site of injection, which was reported as being the size of a large lesion or small orange. 24 hours after injection, the patient developed a fever of 101.6 degrees Fahrenheit and dizziness, as well as some confusion and lethargy. Reportedly the fever responded to Motrin and the patient recovered from the events. At the time of vaccination, the patient was also taking Vasotec and Lipitor. She had a history of a previous reaction to the Salk vaccine as an adolescent, which resulted in severe swelling and pain in her arm. She also has a history of allergies to rabbit fur, penicillin, ampicillin, Tylenol, Compazine, wool, feathers, horse hair and dog fur.
Age: 58.0
Sex: F
Vaccine: RAB
Symptoms: Lethargy, Pyrexia
Clinical narrative: From initial information received on 27AUG2003 from a patient, which was submitted and confirmed by a registered nurse regarding an adverse event occurring in the USA, it was reported that the 58 year old female patient received IMOVAX RABIE on the morning of 28JUL2003. The lot number, route , site of administration and number of previous doses were not reported. It was not reported whether the patient received the product as part of a post exposure series or as a prophylactic vaccination. Immediately following the administration of the product, the patient experienced pain at the injection site, which increased over the next 48 hours. She also experienced redness and swelling at the site of injection, which was reported as being the size of a large lesion or small orange. 24 hours after injection, the patient developed a fever of 101.6 degrees Fahrenheit and dizziness, as well as some confusion and lethargy. Reportedly the fever responded to Motrin and the patient recovered from the events. At the time of vaccination, the patient was also taking Vasotec and Lipitor. She had a history of a previous reaction to the Salk vaccine as an adolescent, which resulted in severe swelling and pain in her arm. She also has a history of allergies to rabbit fur, penicillin, ampicillin, Tylenol, Compazine, wool, feathers, horse hair and dog fur.
Age: 57.0
Sex: F
Vaccine: RAB
Symptoms: Disturbance in attention, Injection site pain, Malaise, Nausea, Pain
Clinical narrative: From initial information received on 03SEP2003 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 57 year old female patient received her fourth dose of IMOVAX RABIES, lot number W0223, administered intramuscularly in the right deltoid on 15AUG2003 at 4:00pm. It was not reported whether the patient received the product as part of a pre or post exposure series. On the morning of 16AUG2003, the patient experienced a slight fever, nausea, achiness, pain at the injection site, vomiting, malaise and an inability to concentrate. Reportedly, the symptoms worsened over the course of treatment and she experienced pain at each injection site with subsequent injections. Treatment included aspirin or Tylenol every four hours and forced fluids. Reportedly, she did better after the fifth dose. The patient recovered from this event.
Age: 57.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia, Vomiting
Clinical narrative: From initial information received on 03SEP2003 from a health care professional regarding an adverse event occurring in the USA, it was reported that a 57 year old female patient received her fourth dose of IMOVAX RABIES, lot number W0223, administered intramuscularly in the right deltoid on 15AUG2003 at 4:00pm. It was not reported whether the patient received the product as part of a pre or post exposure series. On the morning of 16AUG2003, the patient experienced a slight fever, nausea, achiness, pain at the injection site, vomiting, malaise and an inability to concentrate. Reportedly, the symptoms worsened over the course of treatment and she experienced pain at each injection site with subsequent injections. Treatment included aspirin or Tylenol every four hours and forced fluids. Reportedly, she did better after the fifth dose. The patient recovered from this event.
Age: 54.0
Sex: M
Vaccine: TYP
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: From initial information received on 4/4/03 from a health department regarding an adverse event occurring in the US, it was reported that a 54 year old male patient received TYPHIM Vi, lot number U1157-2, given in his right deltoid on 4/4/03. Thirty to forty-five minutes later, the patient felt nausea and dizziness and felt faint. The patient felt like vomiting, reportedly, no sure if this occurred. About 15 minutes later, the patient better. Within the past four to six weeks, the patient also received IPOL, MMR, RABIES VACCINE, HEPATITIS A and B, and TD ADS ADULT. The lot numbers, manufacturers and route/site for all products were not reported. Reportedly, the patient recovered from these events. From additional information received on 11/20/03 through a telephone call to the reporting facility, it was reported that the patient received the vaccines in preparation for a trip overseas. TYPHIM Vi was given IM. The patient had previously received IPOL, lot number U12332, administered IM, in the left deltoid, TD ADS ADULT, lot number U0823AA, administered IM in the right deltoid, MMR, lot number 0530M, administered SC in the right deltoid, HAVRIX, lot number 770IUVHA671A4, administered IM in the left deltoid, and HEPATITIS B, lot number 0222L, administered IM in the left deltoid on 3/5/03. The patient had also received IMOVAX RABIES, lot number U0595, administered IM in the right deltoid on 3/17/03 and administered IM in the left deltoid on 3/24/03. The patient's physician's name was provided, but he no longer works at the clinic and reportedly the patient had not seen anyone else at the facility. Further information is not anticipated, this case is considered closed.
Age: 5.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Asthenia, Laboratory test abnormal, Pneumonia, Sinus bradycardia
Clinical narrative: Initially reported to Manufacturer 2/3/04. This form requested by VAERS
Age: 5.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Pneumonia, Unevaluable event
Clinical narrative: Initially reported to Manufacturer 2/3/04. This form requested by VAERS
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Otitis media, Pneumonia
Clinical narrative: She developed redness and swelling covering almost her entire left anterior thigh within 6-8 hours of receiving DTaP, IPV, and MMR.  Nurse follow up on 07/13/04 states: "No new information."  Nurse follow up on 08/09/04 states: "cellulitis; fever; vomiting; otitis media; pneumonia."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: She developed redness and swelling covering almost her entire left anterior thigh within 6-8 hours of receiving DTaP, IPV, and MMR.  Nurse follow up on 07/13/04 states: "No new information."  Nurse follow up on 08/09/04 states: "cellulitis; fever; vomiting; otitis media; pneumonia."
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Electroencephalogram abnormal, Pyrexia, Viral infection
Clinical narrative: Persistent seizures. 14 with multiple anti-convulsants. See by 2 neurologists.   Nurse follow up on 07/20/04 states: "fever, viral illness."  Per annual report-continues to require anti epileptic drugs to control seizure activity.
Sex: M
Vaccine: SMALL
Symptoms: Erythema
Clinical narrative: redness, after a min, around left shoulder to anterior axillary line pt seen in urgent care and then diagnosed
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Skin ulcer
Clinical narrative: 2"diameter, red area 1/2" ulceration at center
Sex: M
Vaccine: SMALL
Symptoms: Chills, Headache, Injection site erythema, Swelling
Clinical narrative: Swelling, erythema at injection site, headache, chills. Pt seen in urgent care and released with Tylenol
Age: 54.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Injection site mass, Injection site pain, Swelling
Clinical narrative: Redness, swelling, firm, painful in upper arm around injection site. 10x6cm area of swelling
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Pain, Pruritus, Swelling
Clinical narrative: 11x8mm swelling, erythema at shot site, red streaks, sharp pain, itching. Pt seen in urgent care and released.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site mass, Tenderness
Clinical narrative: 4x4 in area of redness, induration on right bicep area, mild tenderness. Pt seen in urgent care center, received cold compresses, NSAID