chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: MEN
Symptoms: Amnesia, Arthralgia, C-reactive protein, Chest X-ray normal, Dyspnoea
Clinical narrative: Initial report received on 02 July 2009 from a nurse. A 63-year-old female patient, who has a concurrent medical history of Lupus, had received an intramuscular right deltoid injection of MENOMUNE A/C/Y?W-135 (lot number UF501AA) on 18 June 2009. Prior to vaccination, the patient had laboratory data that revealed a positive ANA test (date not reported). The patient had not received any other vaccinations within four weeks of 18 June 2009. Six days post-vaccination on 24 June 2009, the patient reported she required medical evaluation for symptoms of profound fatigue which caused symptoms of nausea, memory loss, mild headache and shortness of breath. As a result, the patient has experienced "loss of work." Treatments received were not reported. Subsequently, a chest x-ray was completed that was a negative. A CBC (complete blood count) and Chemistry panel were completed; however the results of these tests were not reported. At the time of this report, the patient had nor recovered. Follow up information received on 27 July 2009 from a health care professional. The reporter stated that the patient received MENOMUNE A/C/Y?W-135 (lot number UF501AA) and the diluent used was from lot number UE961AD. The patient's date of service for ANA, CXR, CBC, UA, Chem Panel, Sed rate, CRP, CMP was on 29 June 2009. CXR was negative, Besides arthralgia, currently the patient is asymptomatic regarding her lupus and is not requiring any particular meds or treatment. Concomitant therapy included DIOVAN, SYNTHROID, ZOLOFT, and steroid shots in her hip. The onset date of the patient's symptoms began 24 June 2009. On 30 June 2009 the patient began to miss work. this continued intermittently from 30 June to 21 July and is currently off from work. On 06 July 2009 the patient stated the headaches, nauseam shortness of breath, and memory loss had improved. As of 13 July 2009 the patient was improving, therefore the workers compensation case was closed. On 16 July 2009 the patient had profound fatigue and was referred back to her primary care physician. The patient was not hospitalized or evaluated by a neurologist. The patient was referred only to her PCP. The final diagnosis was fatigue. Recovery status was currently being evaluated since the patient was off work. MRI may be performed. Document held by sender: None.
Age: 63.0
Sex: F
Vaccine: MEN
Symptoms: Fatigue, Full blood count, Headache, Impaired work ability, Laboratory test
Clinical narrative: Initial report received on 02 July 2009 from a nurse. A 63-year-old female patient, who has a concurrent medical history of Lupus, had received an intramuscular right deltoid injection of MENOMUNE A/C/Y?W-135 (lot number UF501AA) on 18 June 2009. Prior to vaccination, the patient had laboratory data that revealed a positive ANA test (date not reported). The patient had not received any other vaccinations within four weeks of 18 June 2009. Six days post-vaccination on 24 June 2009, the patient reported she required medical evaluation for symptoms of profound fatigue which caused symptoms of nausea, memory loss, mild headache and shortness of breath. As a result, the patient has experienced "loss of work." Treatments received were not reported. Subsequently, a chest x-ray was completed that was a negative. A CBC (complete blood count) and Chemistry panel were completed; however the results of these tests were not reported. At the time of this report, the patient had nor recovered. Follow up information received on 27 July 2009 from a health care professional. The reporter stated that the patient received MENOMUNE A/C/Y?W-135 (lot number UF501AA) and the diluent used was from lot number UE961AD. The patient's date of service for ANA, CXR, CBC, UA, Chem Panel, Sed rate, CRP, CMP was on 29 June 2009. CXR was negative, Besides arthralgia, currently the patient is asymptomatic regarding her lupus and is not requiring any particular meds or treatment. Concomitant therapy included DIOVAN, SYNTHROID, ZOLOFT, and steroid shots in her hip. The onset date of the patient's symptoms began 24 June 2009. On 30 June 2009 the patient began to miss work. this continued intermittently from 30 June to 21 July and is currently off from work. On 06 July 2009 the patient stated the headaches, nauseam shortness of breath, and memory loss had improved. As of 13 July 2009 the patient was improving, therefore the workers compensation case was closed. On 16 July 2009 the patient had profound fatigue and was referred back to her primary care physician. The patient was not hospitalized or evaluated by a neurologist. The patient was referred only to her PCP. The final diagnosis was fatigue. Recovery status was currently being evaluated since the patient was off work. MRI may be performed. Document held by sender: None.
Age: 63.0
Sex: F
Vaccine: MEN
Symptoms: Nausea, Red blood cell sedimentation rate, Urine analysis
Clinical narrative: Initial report received on 02 July 2009 from a nurse. A 63-year-old female patient, who has a concurrent medical history of Lupus, had received an intramuscular right deltoid injection of MENOMUNE A/C/Y?W-135 (lot number UF501AA) on 18 June 2009. Prior to vaccination, the patient had laboratory data that revealed a positive ANA test (date not reported). The patient had not received any other vaccinations within four weeks of 18 June 2009. Six days post-vaccination on 24 June 2009, the patient reported she required medical evaluation for symptoms of profound fatigue which caused symptoms of nausea, memory loss, mild headache and shortness of breath. As a result, the patient has experienced "loss of work." Treatments received were not reported. Subsequently, a chest x-ray was completed that was a negative. A CBC (complete blood count) and Chemistry panel were completed; however the results of these tests were not reported. At the time of this report, the patient had nor recovered. Follow up information received on 27 July 2009 from a health care professional. The reporter stated that the patient received MENOMUNE A/C/Y?W-135 (lot number UF501AA) and the diluent used was from lot number UE961AD. The patient's date of service for ANA, CXR, CBC, UA, Chem Panel, Sed rate, CRP, CMP was on 29 June 2009. CXR was negative, Besides arthralgia, currently the patient is asymptomatic regarding her lupus and is not requiring any particular meds or treatment. Concomitant therapy included DIOVAN, SYNTHROID, ZOLOFT, and steroid shots in her hip. The onset date of the patient's symptoms began 24 June 2009. On 30 June 2009 the patient began to miss work. this continued intermittently from 30 June to 21 July and is currently off from work. On 06 July 2009 the patient stated the headaches, nauseam shortness of breath, and memory loss had improved. As of 13 July 2009 the patient was improving, therefore the workers compensation case was closed. On 16 July 2009 the patient had profound fatigue and was referred back to her primary care physician. The patient was not hospitalized or evaluated by a neurologist. The patient was referred only to her PCP. The final diagnosis was fatigue. Recovery status was currently being evaluated since the patient was off work. MRI may be performed. Document held by sender: None.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood test normal, Convulsion, Laboratory test abnormal, Liver function test normal, Muscle spasms
Clinical narrative: 11/19 - Rec'd H1N1 nasal spray at 4:30pm 11/20 - 5:00 am awoke to mild seizures characterized by uncontrollable shaking, muscle tensing and relaxing, spasms and shaking episodes which lasted less than one minute, then recurs again with no loss of consciousness, mother reports "looked like somebody with Parkinson's disease." Ceased at about 6:30-7:00 am. Subsequently entered ER at 8:00 am. Given a prescription for one anti-histamine medication at the ER, single blood draw was negative. Another episode of seizures recurred again on this day. 11/23 - saw family doctor, blood and urinalysis done, positive for protein in urine, dxg with tremors. 11/24 -second urinalysis results normal 11/26-Episode of seizure recurred 11/29-MRI results normal, blood, thyroid, liver, kidney panel all normal, dxg with tremors.  Tremors have been constant since 11/20, seizures less frequent. Trying to see a neurologist. No history of seizures or tremors prior to vaccination.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Nuclear magnetic resonance imaging normal, Protein urine, Protein urine present, Renal function test normal, Thyroid function test normal
Clinical narrative: 11/19 - Rec'd H1N1 nasal spray at 4:30pm 11/20 - 5:00 am awoke to mild seizures characterized by uncontrollable shaking, muscle tensing and relaxing, spasms and shaking episodes which lasted less than one minute, then recurs again with no loss of consciousness, mother reports "looked like somebody with Parkinson's disease." Ceased at about 6:30-7:00 am. Subsequently entered ER at 8:00 am. Given a prescription for one anti-histamine medication at the ER, single blood draw was negative. Another episode of seizures recurred again on this day. 11/23 - saw family doctor, blood and urinalysis done, positive for protein in urine, dxg with tremors. 11/24 -second urinalysis results normal 11/26-Episode of seizure recurred 11/29-MRI results normal, blood, thyroid, liver, kidney panel all normal, dxg with tremors.  Tremors have been constant since 11/20, seizures less frequent. Trying to see a neurologist. No history of seizures or tremors prior to vaccination.
Age: 24.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Tremor, Urine analysis
Clinical narrative: 11/19 - Rec'd H1N1 nasal spray at 4:30pm 11/20 - 5:00 am awoke to mild seizures characterized by uncontrollable shaking, muscle tensing and relaxing, spasms and shaking episodes which lasted less than one minute, then recurs again with no loss of consciousness, mother reports "looked like somebody with Parkinson's disease." Ceased at about 6:30-7:00 am. Subsequently entered ER at 8:00 am. Given a prescription for one anti-histamine medication at the ER, single blood draw was negative. Another episode of seizures recurred again on this day. 11/23 - saw family doctor, blood and urinalysis done, positive for protein in urine, dxg with tremors. 11/24 -second urinalysis results normal 11/26-Episode of seizure recurred 11/29-MRI results normal, blood, thyroid, liver, kidney panel all normal, dxg with tremors.  Tremors have been constant since 11/20, seizures less frequent. Trying to see a neurologist. No history of seizures or tremors prior to vaccination.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Activities of daily living impaired, Gait disturbance, Headache, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Red painful eyes extremely swollen, the whites were red for around 2 months off and on. Sore throat, neck, back, legs, ankles, chest, hand, arms, knees, all extremely swollen. Excrutiating pain everywhere, severe headaches! Also stabbing pains all over my body I STILL SUFFER WITH THAT! My hands were so swollen I couldnt even hold a toothbrush or wash myself. I could not walk up or down the stairs, It was so painful, I STILL STRUGGLE with BAD DAYS AND GETTING UP AND OFF THE FLOOR. No one should have to endure this. Extremely weak. Hands were numb.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Swelling
Clinical narrative: Red painful eyes extremely swollen, the whites were red for around 2 months off and on. Sore throat, neck, back, legs, ankles, chest, hand, arms, knees, all extremely swollen. Excrutiating pain everywhere, severe headaches! Also stabbing pains all over my body I STILL SUFFER WITH THAT! My hands were so swollen I couldnt even hold a toothbrush or wash myself. I could not walk up or down the stairs, It was so painful, I STILL STRUGGLE with BAD DAYS AND GETTING UP AND OFF THE FLOOR. No one should have to endure this. Extremely weak. Hands were numb.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Eye pain, Eye swelling, Gait disturbance, Headache
Clinical narrative: Red painful eyes extremely swollen, the whites were red for around 2 months off and on. Sore throat, neck, back, legs, ankles, chest, hand, arms, knees, all extremely swollen. Excrutiating pain everywhere, severe headaches! Also stabbing pains all over my body I STILL SUFFER WITH THAT! My hands were so swollen I couldnt even hold a toothbrush or wash myself. I could not walk up or down the stairs, It was so painful, I STILL STRUGGLE with BAD DAYS AND GETTING UP AND OFF THE FLOOR. No one should have to endure this. Extremely weak. Hands were numb.
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Hypoaesthesia, Ocular hyperaemia, Oropharyngeal pain, Pain, Swelling
Clinical narrative: Red painful eyes extremely swollen, the whites were red for around 2 months off and on. Sore throat, neck, back, legs, ankles, chest, hand, arms, knees, all extremely swollen. Excrutiating pain everywhere, severe headaches! Also stabbing pains all over my body I STILL SUFFER WITH THAT! My hands were so swollen I couldnt even hold a toothbrush or wash myself. I could not walk up or down the stairs, It was so painful, I STILL STRUGGLE with BAD DAYS AND GETTING UP AND OFF THE FLOOR. No one should have to endure this. Extremely weak. Hands were numb.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Feeling cold, Hyperhidrosis, Hypoglycaemia, Nausea
Clinical narrative: At 2:26 sweat, dizziness, chills, nausea, and numbness in the knees. 6 months pregnant (GTT PT Ab5 e/st) EDC 3/10/10.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Chills, Dizziness, Drug exposure during pregnancy, Hyperhidrosis, Hypoaesthesia
Clinical narrative: At 2:26 sweat, dizziness, chills, nausea, and numbness in the knees. 6 months pregnant (GTT PT Ab5 e/st) EDC 3/10/10.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Hypoglycaemia, Nausea
Clinical narrative: At 2:26 sweat, dizziness, chills, nausea, and numbness in the knees. 6 months pregnant (GTT PT Ab5 e/st) EDC 3/10/10.
Age: 39.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Arthralgia, Cough, Immediate post-injection reaction, Pain in extremity, Rhinorrhoea
Clinical narrative: The patient received the vaccination 5-6 inches from top of shoulder in the AM. That evening her arm was sore as it usually is after a flu vaccine. Ever since then she has had pain in her arm. It is painful when she puts her arm behind her and reaches for things. She reported the pain as 5 on pain scale of 0-10. The pain shoots toward her elbow. Also arm felt week, not as strong as usual. She has no diagnosis of atrophy.
Age: 39.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Muscular weakness, Pain, Pain in extremity
Clinical narrative: The patient received the vaccination 5-6 inches from top of shoulder in the AM. That evening her arm was sore as it usually is after a flu vaccine. Ever since then she has had pain in her arm. It is painful when she puts her arm behind her and reaches for things. She reported the pain as 5 on pain scale of 0-10. The pain shoots toward her elbow. Also arm felt week, not as strong as usual. She has no diagnosis of atrophy.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RVX, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Dyskinesia
Clinical narrative: Persistent inconsolable crying/fussiness and refusal to feed, 1 episode of few jerking movements of pulling/flexing extremities, no LOC or lethargy or fever.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RVX, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Disseminated intravascular coagulation, Dyskinesia, Irritability
Clinical narrative: Persistent inconsolable crying/fussiness and refusal to feed, 1 episode of few jerking movements of pulling/flexing extremities, no LOC or lethargy or fever.
Age: 1.69
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Autopsy, Brain death, Death, Life support, Respiratory arrest
Clinical narrative: DEATH.   (Toddler was napping in crib during day.  Parent found child in full arrest.  (Unclear if he'd be seizing prior.)  CPR/EMS achieved pulse with full interventions but pt was brain dead and life-support was withdrawn within 8 hours of resuscitation.
Age: 31.0
Sex: M
Vaccine: DTAP
Symptoms: Pain, Paraesthesia
Clinical narrative: 1. Pain on left arm when walking, standing, sitting moving my body around and when showering fillings of shocking on my left arm, and electricity flowing then my hands, fingers and when inhales in and out of my mouth. Famvir 250mg, Acyclovir 400mg, male enhancing sex tab.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Patient had open heart surgery (Oct. 21, 2009) and was hospitalized for 10 days. Prior to leaving the hospital, he received the seasonal flu shot and pneumonia shot. While in rehab, he required re-hospitalization due to Guillain Barre syndrome.
Age: 32.0
Sex: M
Vaccine: HIBV, MNQ, PPV
Symptoms: Chest pain, Pain in extremity, Pancreatic carcinoma
Clinical narrative: Client phone call 1/15/10 to this interviewer - had chest pain 1 day after getting shots. Pain on left side chest and arm. Described no dyspnea or diaphoresis states pain "off and on" unable to define number of episodes per day. States improved when lying down. Has not seen physician or gone to ER. Advised to contact physician and got to ER if further symptoms.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Erythema multiforme, Joint swelling, Malaise, Pyrexia
Clinical narrative: Severe sickness - like illness with fever, joint pain, ankle swelling, urticarial/erythema multiform type rash.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: Severe sickness - like illness with fever, joint pain, ankle swelling, urticarial/erythema multiform type rash.
Age: 49.0
Sex: F
Vaccine: DTP, FLUX, FLUX(H1N1)
Symptoms: Asthenia, Chest discomfort, Dizziness, Headache, Malaise
Clinical narrative: Clogged Sinuses, Headache, Body aches, dizziness, weakness, general ill feeling, chest tickles, little wheezing when exhaling
Age: 49.0
Sex: F
Vaccine: DTP, FLUX, FLUX(H1N1)
Symptoms: Pain, Sinus congestion, Wheezing
Clinical narrative: Clogged Sinuses, Headache, Body aches, dizziness, weakness, general ill feeling, chest tickles, little wheezing when exhaling
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Limb discomfort, Musculoskeletal pain, Neck pain, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Appr. 1 1/2-22k after flu shot, began to have neck and right shoulder pain all down arm with numbness/tingling. Then by the 1st week of November unable to lift right arm all way up and constant pain from neck all the way down shoulder and arm.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Appr. 1 1/2-22k after flu shot, began to have neck and right shoulder pain all down arm with numbness/tingling. Then by the 1st week of November unable to lift right arm all way up and constant pain from neck all the way down shoulder and arm.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Central nervous system lesion, Electroencephalogram normal, Electromyogram normal, Muscle tightness, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Patient experienced "vibrations in her head" within 24 hrs of having received the H1N1 vaccine. She also experienced tingling in her neck, left arm, & left leg. At times, her symptoms became intense, and she felt tightness in her face/neck at its worst point. On 1/4/2010, patient reported that all of her symptoms had been "easing off" for approximately 2 weeks. She is being seen by a neurologist.
Age: 37.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nuclear magnetic resonance imaging normal, Paraesthesia, Sensory disturbance, Skin tightness
Clinical narrative: Patient experienced "vibrations in her head" within 24 hrs of having received the H1N1 vaccine. She also experienced tingling in her neck, left arm, & left leg. At times, her symptoms became intense, and she felt tightness in her face/neck at its worst point. On 1/4/2010, patient reported that all of her symptoms had been "easing off" for approximately 2 weeks. She is being seen by a neurologist.
Age: 49.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Swollen tongue
Clinical narrative: C/O ITCHY FACE, FEELING OF TONGUE SWELLING  NO RASH OBSERVED  VITAL SIGNS WNL  GIVEN DIPHENHYDRAMINE 50MG PO PER STANDING ORDER  PATIENT REFUSED TRANSPORT TO ER, TRANSPORTED HOME BY FRIEND WITHOUT INCIDENT FOLLOW UP CALL TO PATIENT ON 1/19:  PATIENT "FELT FINE" AFTER 1 HOUR, NO RECURRENCE OF SXS
Age: 42.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Increasing flu like symptoms over the course of the first day including aches and pains, fever, nausea. The next day I was very sick with the same symptoms with the addition of diarrhea. I took Tylenol once in the morning. I was somewhat better by the third day and well by the fourth.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Pruritus
Clinical narrative: patient c/o of feeling itchy at 4:10 PM; c/o chest tightness and heaviness 4:20 PM. Patient given Benadryl 50mg p.o. 4:12 PM; lungs were clear, O2 Sat:
Age: 79.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Fatigue, Heart rate increased, Malaise
Clinical narrative: C/O EXTREME FATIGUE AND WEAKNESS, MALAISE  PULSE HIGH ACCORDING TO SPOUSE PATIENT FELT BETTER BY END OF DAY DID NOT SEEK MEDICAL ATTENTION
Age: 28.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Headache, Myalgia, Pyrexia, Sinus congestion
Clinical narrative: Low fever, aching muscles, headache, sinus congestion and cough.
Age: 41.0
Sex: F
Vaccine: DTAP, HIBV, MEN, PPV
Symptoms: Dizziness, Flushing, Heart rate increased, Injection site erythema, Pyrexia
Clinical narrative: rapid heart rate, dizziness, instant fever of 100.2, flushed, red spot on injection site
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood product transfusion, Blood test abnormal, Injection site haematoma, Platelet count decreased, Platelet transfusion
Clinical narrative: 12/20/09- Bruising on the Left deltoid area.  Saw Md on 12/22/09, sent to ER, bloodwork done Platelets fell to 2,000. Pt. received Platelets, and globulin. Admitted for 2days. Received prednisone and more globulin. 1/19/10 still being monitored at home.
Age: 45.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Headache, Pain, Rash generalised, Rash morbilliform
Clinical narrative: headache, body aches, sweats, then 3 days later, on 1/18/10, he got a body rash, which I examined on 1/20/10, which looks like a morbilliform rash on the whole body, sparing the face, palms, and soles.
Age: 6.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever - Tmax 103 (decreased with anti-fever meds) x 1.5 days
Age: 34.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hyperhidrosis, Nausea, Pruritus, Vomiting
Clinical narrative: pruritis, nausea, vomiting, diaphoresis
Age: 4.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever x 1.5 days. T max 102 - fever went down with anti-fever meds.
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Biopsy, Blood test abnormal, Erythema, Oedema peripheral
Clinical narrative: Noticed hands swelling, redness on palms, joint pain
Age: 52.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pityriasis rubra pilaris
Clinical narrative: Noticed hands swelling, redness on palms, joint pain
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Laboratory test normal, Pyrexia
Clinical narrative: FEVER 105 AT NIGHT X 7 DAYS
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Malaise
Clinical narrative: FEELING VERY TIRED AND SICK FEELINGS IN MY BODY.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Drug exposure during pregnancy, Fatigue, Haemorrhage, Intra-uterine death
Clinical narrative: Got H1N1 vaccine on 10/20/2009. Was 6 weeks pregnant. Got an upper respiratory tract infection (cough runny nose, malaise, fatigue) day after vaccination, but was otherwise doing fine until 11/29/09 when she started bleeding and had a miscarriage. Sought care at ER. D&C done today. Was 10 weeks pregnant. Dr thinks embryo stopped growing around 6 weeks, a 1st trimester termination of pregnancy in 2004. No other pregnancies. Took influenza vaccine 7 years ago. No problems. Does not think miscarriage is due to flu vaccine.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Malaise, Rhinorrhoea, Upper respiratory tract infection, Uterine dilation and curettage
Clinical narrative: Got H1N1 vaccine on 10/20/2009. Was 6 weeks pregnant. Got an upper respiratory tract infection (cough runny nose, malaise, fatigue) day after vaccination, but was otherwise doing fine until 11/29/09 when she started bleeding and had a miscarriage. Sought care at ER. D&C done today. Was 10 weeks pregnant. Dr thinks embryo stopped growing around 6 weeks, a 1st trimester termination of pregnancy in 2004. No other pregnancies. Took influenza vaccine 7 years ago. No problems. Does not think miscarriage is due to flu vaccine.
Age: 32.0
Sex: F
Vaccine: DTIPV, HEP, RAB, TYP
Symptoms: Abortion induced, Drug exposure during pregnancy, Foetal disorder
Clinical narrative: On 13 JUL 2007 we received from the Regulatory Agency the following information: A 32-year-old female patient was vaccinated with Rabies Virus vaccine (manufacturer and date of vaccination unknown). Further suspect vaccinations (same day?) included ENGERIX B, REVAXIS and Typhoid. Patient was likely to be conceiving just at the time of the second dose of vaccines. The fetus has trisomy 21 (DOWN's syndrome) and a cardiac abnormality. Patient has had a termination of pregnancy. After internal discussion on 24 JUL 2007 was decided to create an additional case for the fetus (see case MA2007-0753). We received a follow-up information from the Regulatory Agency on 06 AUG 2007 without new information. We received a follow-up information from the Regulatory Agency on 07 AUG 2007 without new information. Reference no. GB-MHRA-ADR 20139770. No. ADR20139770-001. The case was previously recorded as MA2007-0709. Follow up health authority report received on 09 Dec 2009: No new information reported.
Age: 23.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: The patient complained of tingling and numbness in her lips and face. She reported that the symptoms started within 10 minutes of receiving the vaccine. Her symptoms were present for one day.
Age: 37.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rash, Urticaria
Clinical narrative: She received H1N1 shot in her left arm and did not have pain or swelling at the injection site. The next morning, she noticed multiple, raised rashes on both her upper arms. When she consulted a doctor, it was diagnosed as hives. She was prescribed anti-histamines which did not relieve her symptoms. Then she was prescribed steroids which worked. It took 4-5 days from the onset of hives to relief of symptoms. She does not have any chronic condition and she has not experienced any adverse reactions associated with vaccines earlier.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Diarrhoea, Fatigue, Irritability, Nasal congestion, Oropharyngeal pain
Clinical narrative: Patient developed fever, fatigue, irritability, sore throat, nasal congestion, diarrhea and vomiting two days post-vaccination. She was brought in for medical care and the doctor thought the child had H1N1 infection although she was never tested.
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient developed fever, fatigue, irritability, sore throat, nasal congestion, diarrhea and vomiting two days post-vaccination. She was brought in for medical care and the doctor thought the child had H1N1 infection although she was never tested.
Age: 38.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Pain in extremity
Clinical narrative: L arm pain since Dec 9th. Had seasonal flu and H1N1 vaccines that day. The H1N1 was given in L deltoid. Denies egg allergy.
Age: 17.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Drug exposure during pregnancy, Induced labour, Pre-eclampsia, Ultrasound scan
Clinical narrative: Information has been received from a physician concerning a 17 year old female patient with no pertinent medical history and no known allergies who on 12-NOV-2009 was vaccinated with a 0.5ml IM dose of GARDASIL (Lot# 663453/0249Y) and a meningitis vaccine (manufacturer unspecified) while pregnant (third trimester). There was no concomitant medication. On 12-NOV-2009 an ultrasound test was performed which showed the patient was 31 weeks of gestation. Her due date was 13-DEC-2009. Subsequently the patient experienced preeclampsia and was admitted in the hospital. Labor was induced and the child was healthy. At the time of the report the patient had recovered. The reporting physician considered preeclampsia to be immediately life-threatening. A lot check has been initiated. Additional information has been requested.
Age: 35.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injected limb mobility decreased, Injection site discolouration, Injection site haematoma, Pain in extremity
Clinical narrative: The patient was vaccinated in the Am in right arm. She noted soreness after receiving her vaccination. That evening her right arm was extremely sore and she noticed a 3 in. in diameter raised purplish, black bruise over the vaccination site. Over the next few days, the hematoma/ bruise grew to 5 in. in diameter. She reported having significant pain in lifting her right arm. The problem took over weeks to resolve.
Age: 1.25
Sex: F
Vaccine: DTAP, FLU(H1N1), FLU3
Symptoms: Grand mal convulsion, Vomiting
Clinical narrative: Child had multiple vomiting 12/20/09 and developed grand mal seizure 12/21/09. She was hospitalized 12/21 - 12/24/09. She had 2 more seizures in the hospital.
Age: 15.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Feeling hot, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: 1/13/10 Mother called in to report that student had reaction to H1N1 vaccine. States student had red bumpy area size of orange at injection site. States student felt "feverish" although mother did not take temperature. Student MD notified by mother.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Nausea, lightheadedness, allowed to rest, feet up, cold compress on head. After 10 min c/o of headache, at 30 min hungry-eating snack. (At 11:00 Mom picked up to take home).
Age: 47.0
Sex: M
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Eye swelling, Heart rate increased, Pharyngeal oedema, Swollen tongue
Clinical narrative: Swelling around eyes (severe)-approx. 2 days. Swelling tongue and throat-approx. 2 hrs. Increased heart beat-approx. 2 hrs. Approx. 3 hrs after vaccine given. Treated with antihistamine.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Condition aggravated, Convulsion, Grand mal convulsion, Hyperhidrosis
Clinical narrative: Information has been received from an advanced registered nurse practitioner concerning an 18 year old female patient with history of fainted in the past after seeing needles who on 11-JAN-2010 was vaccinated with a first 0.5 ml dose of GARDASIL. The nurse practitioner reported that "as she was withdrawing the needle from the patient's arm, she went limp and went back on exam table, then seized loss of consciousness, came to conscious and reported seizure activity. She left in ambulance to a hospital (stayed in hospital was unknown) and she was stable. Neurological evaluation was negative. Follow up information has been received from an advanced registered nurse practitioner concerning the patient on 11-JAN-2009 was vaccinated with the first dose of GARDASIL (Lot # 661954/1131X), 0.5 ml, IM. The patient did not received any concomitant vaccinations at that time. When the registered nurse withdrew the GARDASIL needle from the patient. the patient became limp and had a tonic- clonic seizure with loss of consciousness that lasted about 60 seconds. The patient regained consciousness and had another tonic- clonic seizure with loss of consciousness that lasted about 40 seconds. The patient regained consciousness and was pale and diaphoretic. Oxygen was administered and the patient's blood pressure was 80/40. The paramedics were called to the office and the patient was transported to the Emergency Room (ER) at a hospital. At the time the patient refused intravenous (IV) therapy. Blood laboratory tests were drawn in the ER and the patient fainted. The patient regained consciousness and recovered. The patient was not admitted to the hospital; she was kept in the hospital for one hour and was sent home. On 12-JAN-2010 during a conversation with the registered nurse the patient reported that she had recovered. The patient had a scheduled appointment to see the advanced registered nurse practitioner on 14-JAN-2009 for routine physical. Upon internal review tonic-clonic seizure was considered an other important medical event. Additional information is not expected.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Hypotonia, Loss of consciousness, Neurological examination normal, Pallor, Syncope
Clinical narrative: Information has been received from an advanced registered nurse practitioner concerning an 18 year old female patient with history of fainted in the past after seeing needles who on 11-JAN-2010 was vaccinated with a first 0.5 ml dose of GARDASIL. The nurse practitioner reported that "as she was withdrawing the needle from the patient's arm, she went limp and went back on exam table, then seized loss of consciousness, came to conscious and reported seizure activity. She left in ambulance to a hospital (stayed in hospital was unknown) and she was stable. Neurological evaluation was negative. Follow up information has been received from an advanced registered nurse practitioner concerning the patient on 11-JAN-2009 was vaccinated with the first dose of GARDASIL (Lot # 661954/1131X), 0.5 ml, IM. The patient did not received any concomitant vaccinations at that time. When the registered nurse withdrew the GARDASIL needle from the patient. the patient became limp and had a tonic- clonic seizure with loss of consciousness that lasted about 60 seconds. The patient regained consciousness and had another tonic- clonic seizure with loss of consciousness that lasted about 40 seconds. The patient regained consciousness and was pale and diaphoretic. Oxygen was administered and the patient's blood pressure was 80/40. The paramedics were called to the office and the patient was transported to the Emergency Room (ER) at a hospital. At the time the patient refused intravenous (IV) therapy. Blood laboratory tests were drawn in the ER and the patient fainted. The patient regained consciousness and recovered. The patient was not admitted to the hospital; she was kept in the hospital for one hour and was sent home. On 12-JAN-2010 during a conversation with the registered nurse the patient reported that she had recovered. The patient had a scheduled appointment to see the advanced registered nurse practitioner on 14-JAN-2009 for routine physical. Upon internal review tonic-clonic seizure was considered an other important medical event. Additional information is not expected.
Age: 20.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash, Swelling face
Clinical narrative: Developed rash and swelling of face approximately 24 hours after dose. Took BENADRYL PO and was seen by PCP who prescribed oral steroid. Uneventful resolution of sx. No tx sought by pt until 1/8/10!
Age: 24.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Several hrs after vaccination developed an area of redness & heat on R arm at injection site. This turned into swelling & pain. On 11/20, she developed redness throughout & itching. Almost resolved by 11/25/09 & requested BENADRYL for the itching.
Age: 24.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Pruritus
Clinical narrative: Several hrs after vaccination developed an area of redness & heat on R arm at injection site. This turned into swelling & pain. On 11/20, she developed redness throughout & itching. Almost resolved by 11/25/09 & requested BENADRYL for the itching.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia
Clinical narrative: Tingling sensation in fingers of arm which had just been vaccinated.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: No adverse event
Clinical narrative: Received 2 doses of H1N1 vaccine. Denies any adverse effects after either dose. Reports allergy to preservative so was vaccinated with preservative free pediatric dose x 2 on 11/14/09 but then came back and was vaccinated again on 12/17/09.
Age: 80.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Contusion, Haematoma
Clinical narrative: Pt was on COUMADIN when he got his shot and already had some bruising on his arm. Pt did not report symptoms to us until 1/18/10. He had seen his regular MD and MD said he had a bad hematoma but did not really treat the pt except for lowering his COUMADIN dose. MD said dose was too high.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Cough, Dyspnoea, Eye discharge, Fatigue, Pain
Clinical narrative: Symptoms began 5 hours after the vaccines were given and lasted 18 hours. Symptoms included fever, coughing, sneezing, body aches, fatigue, itching & mattering eyes, difficulty breathing.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Pruritus, Pyrexia, Sneezing
Clinical narrative: Symptoms began 5 hours after the vaccines were given and lasted 18 hours. Symptoms included fever, coughing, sneezing, body aches, fatigue, itching & mattering eyes, difficulty breathing.
Age: 0.8
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child was give Novartis product H1N1 for 4y of age and older-prefilled syringe. Error noted when entering vaccine in the state registry immunization. Follow-up: No adverse event noted. Novartis advised us to file VAERS.
Age: 0.8
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Child was give Novartis product H1N1 for 4y of age and older-prefilled syringe. Error noted when entering vaccine in the state registry immunization. Follow-up: No adverse event noted. Novartis advised us to file VAERS.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Chest discomfort, Cough, Dyspnoea, Injection site urticaria, Vomiting
Clinical narrative: Information has been received from a physician concerning a 4 year old female patient who on 27-Aug-2009 was vaccinated with a 0.5 ml dose of MMR II. Secondary suspect vaccination on 27-Aug-2009 included VARIVAX (MSD) (lot # 664693/0724Y). Concomitant vaccination on 27-Aug-2009 included KINRIX. On the same day the patient experienced shortness of breath, wheezing, tightness of the chest and hives at the injection site where the MMR II was administered. The patient recovered on the same day. Unspecified medical attention was sought. Follow up information has been received from a physician concerning a 4 year old female patient who on 27-Aug-2009 at 9:40 was vaccinated with the second 0.5 ml dose of MMR II subcutaneously into posterior of left arm. Secondary suspect vaccinations on 27-Aug-2009 included VARIVAX (second dose, lot # 664693/0724Y) subcutaneously into posterior of left arm and KINRIX (first dose, lot # AC 20B103DA) intramuscularly into the left deltoid. On the same day at 09:50 the patient began coughing, vomiting and experiencing shortness of breath, wheezing, urticarial wheal noted at site of injection. The patient was given albuterol 4 inhalations and epinephrine 1:1000 (1 mg/ml) 0.2 ml SQ. Symptom abated significantly. After 15 minutes the patient was given 0.15 ml of epinephrine and 4 inhalations of albuterol. Prescriptions were written for prendnisolone, EPIPEN JR and albuterol. Subsequently the patient recovered. Upon internal review, the adverse events treated with epinephrine were determined to be other important events. Additional information is not expected.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Wheezing
Clinical narrative: Information has been received from a physician concerning a 4 year old female patient who on 27-Aug-2009 was vaccinated with a 0.5 ml dose of MMR II. Secondary suspect vaccination on 27-Aug-2009 included VARIVAX (MSD) (lot # 664693/0724Y). Concomitant vaccination on 27-Aug-2009 included KINRIX. On the same day the patient experienced shortness of breath, wheezing, tightness of the chest and hives at the injection site where the MMR II was administered. The patient recovered on the same day. Unspecified medical attention was sought. Follow up information has been received from a physician concerning a 4 year old female patient who on 27-Aug-2009 at 9:40 was vaccinated with the second 0.5 ml dose of MMR II subcutaneously into posterior of left arm. Secondary suspect vaccinations on 27-Aug-2009 included VARIVAX (second dose, lot # 664693/0724Y) subcutaneously into posterior of left arm and KINRIX (first dose, lot # AC 20B103DA) intramuscularly into the left deltoid. On the same day at 09:50 the patient began coughing, vomiting and experiencing shortness of breath, wheezing, urticarial wheal noted at site of injection. The patient was given albuterol 4 inhalations and epinephrine 1:1000 (1 mg/ml) 0.2 ml SQ. Symptom abated significantly. After 15 minutes the patient was given 0.15 ml of epinephrine and 4 inhalations of albuterol. Prescriptions were written for prendnisolone, EPIPEN JR and albuterol. Subsequently the patient recovered. Upon internal review, the adverse events treated with epinephrine were determined to be other important events. Additional information is not expected.
Age: 21.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chills, Diarrhoea, Vomiting
Clinical narrative: 1 day post receiving H1N1 chills, severe vomiting and diarrhea. Medical Rx sought at hospital. Rx with IV for hydration and unknown Rx meds.
Age: 0.11
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Inappropriate schedule of drug administration, Rash, Urticaria
Clinical narrative: Rash and hives 36 hours after vaccination
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLUN3
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Off label use
Clinical narrative: Pt received FLUMIST without provider knowing she was pregnant. This is an off-label use and pt's PCP was notified. No adverse reactions have yet occurred to our knowledge.
Age: 73.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: On 1/04/10 ready to give pt. injection. Patient then asked for nasal spray. Redid form and gave pt nasal spray. Nasal spray is not indicated for patients over 49 years old. Called pt. and asked him to come in for shot after calling health dept. pt said he would come in but has not shown up in 10 days.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Injection site ulcer, Skin ulcer
Clinical narrative: Rcvd H1N1 vaccination @ school clinic on 1/12/10, 1/13/10 felt tired and began small, open sores around injection site and spreading to neck and face.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Eye pruritus, Eye swelling
Clinical narrative: Anaphylaxis approximately 10-20 minutes after injection. Swelling and itching of eyes, nasal congestion, coughing, wheezing, difficulty breathing. O2 sat decreased 90% HR increased 183. Required oxygen, epinephrine, albuterol via nebulizer, transported to hospital emergency room via ambulance.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Heart rate increased, Nasal congestion, Oxygen saturation decreased, Wheezing
Clinical narrative: Anaphylaxis approximately 10-20 minutes after injection. Swelling and itching of eyes, nasal congestion, coughing, wheezing, difficulty breathing. O2 sat decreased 90% HR increased 183. Required oxygen, epinephrine, albuterol via nebulizer, transported to hospital emergency room via ambulance.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Pt received H1N1 IM at 19:00, 01/13/10. At 22:00, pt started vomiting every 15 minutes through the night and has developed diarrhea. No fever. Mom feels H1N1 vaccine caused these symptoms. No known ill contacts. The entire family received H1N1 vac yesterday. No one else is ill.
Age: 0.6
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1), FLU3, PNC, RV5
Symptoms: Dyskinesia, Loss of consciousness, Pyrexia
Clinical narrative: -abnormal rhythmic left arm movements after 6 mo imm. -began at approx 5pm 1/14/10: lasted 20-30 sec each. -low grade fever -"zoned out" at approx 5 pm 1/14/10
Age: 0.52
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Irritability, Nasal congestion, Rash erythematous, Swelling face
Clinical narrative: Foster mom reports red, raised rash on face 1/7/10-extended across cheeks, now to both temples-also c/o being fussy and "stuffy"-states on 1/9 rash progressed to arms and legs-no rash to torso-on 1/10 spoke with pharmacist-applied OTC hydrocortisone cream and states as of 1/11 rash "some better". Stated baby also on antibiotic at time of injections but d/c now-bottle discarded-does not know name of antibiotic.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Asthma, Bedridden, Bone pain, Disorientation, Dysstasia
Clinical narrative: Initial report received from a health care professional on 07 January 2010. A 62-year-old female patient with a medical history of hypothyroid, chronic fatigue (Lyme), and acne, had received a first dose intramuscular right deltoid injection of FLUZONE, lot number U3394AA and a first dose left deltoid intramuscular injection of PANDEMIC INFLUENZA VACCINE, lot number 101328 6p (invalid sanofi pasteur lot number, manufacturer unknown) on 14 December 2009 at 4:44PM, and immediately upon vaccination, she developed pain in her arms, neck, bone, muscle, tendons, neck to toes, soreness in her neck glands and a headache. She experienced additional symptoms (times to onset not reported) which included asthma, falling asleep during the day, she was emotional (on edge), felt hot all over (not hot flashes), experienced spatial disorientation - bumping into walls, and had an inability to stand (bed bound); memory, sleep (pain). According to the reporter, pain was still in her feet and hands, and worsened with exercise. It was reported that the patient was stressing over a car accident using a rental car; she was not driving (time of accident unspecified). The patient had no concurrent illness at the time of vaccination. She had been taking VALTREX, L-THYROXINE and topical hormones "E,P,T" concomitantly. The patient did not have a PCP (primary care provider) and at the time of the report she had not recovered. Documents held by sender: None.
Age: 62.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Emotional distress, Feeling hot, Headache, Immediate post-injection reaction, Injection site pain
Clinical narrative: Initial report received from a health care professional on 07 January 2010. A 62-year-old female patient with a medical history of hypothyroid, chronic fatigue (Lyme), and acne, had received a first dose intramuscular right deltoid injection of FLUZONE, lot number U3394AA and a first dose left deltoid intramuscular injection of PANDEMIC INFLUENZA VACCINE, lot number 101328 6p (invalid sanofi pasteur lot number, manufacturer unknown) on 14 December 2009 at 4:44PM, and immediately upon vaccination, she developed pain in her arms, neck, bone, muscle, tendons, neck to toes, soreness in her neck glands and a headache. She experienced additional symptoms (times to onset not reported) which included asthma, falling asleep during the day, she was emotional (on edge), felt hot all over (not hot flashes), experienced spatial disorientation - bumping into walls, and had an inability to stand (bed bound); memory, sleep (pain). According to the reporter, pain was still in her feet and hands, and worsened with exercise. It was reported that the patient was stressing over a car accident using a rental car; she was not driving (time of accident unspecified). The patient had no concurrent illness at the time of vaccination. She had been taking VALTREX, L-THYROXINE and topical hormones "E,P,T" concomitantly. The patient did not have a PCP (primary care provider) and at the time of the report she had not recovered. Documents held by sender: None.