chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMR, PNC13, VARCEL
Symptoms: Vomiting
Clinical narrative: PT. STOOD UP AND IMMEDIATELY BECAME WEAK AND LISTLESS. PT HAD ONE PERIOD OF VOMITING AFTER WHICH PT SLIGHTLY LETHARGIC AND UNRESPONSIVE FOR A PERIOD OF APPOXIMATELY 10 MINUTES.    AFTERWHICH, PT BEGAN TO BECOME ALERT AND RESPONSIVE TO STIMULI, "WOULD YOU LIKE THIS STICKER?" PT TOOK FROM MEDICAL ASSISTANT'S HAND. EMT ARRIVED ON SITE AT APPROXIMATELY 4:40 PM. PT SITTING UP AND DRINKING WATER AT THIS TIME. MOTHER LEFT THE DECISION TO TAKE CHILD TO EMERGENCY ROOM TO MEDICAL STAFF AND CHILD WAS TAKEN TO EMERGENCY ROOM VIA AMBULANCE.
Age: 51.0
Sex: F
Vaccine: TTOX
Symptoms: Dysphagia, Hypersensitivity, Muscle rigidity, Muscle swelling, Muscle tightness
Clinical narrative: Noticed a swelling and tightness of neck muscle (sternocleidomastoid) on right side accompanied with difficulty swallowing and swelling in the throat on right side.  Right shoulder muscle rigid and tight.  Symptoms continued reaching maximum intensity in the evening of 9/21/2011 at 8 p.m.  By 9/22/2011 in the morning, the symptoms were same in intensity as when they started.  I called my doctor at 12 noon and left a message.  She returned the call at 2:30 p.m. on 9/22/2011 and stated that these were not normal side effects of the tetanus toxoid vaccine; they sounded like an allergic reaction.  She suggested taking Benadryl.  By 4:30 p.m. the symptoms were mostly gone with some sensation of tightness in the throat persisting until 2 a.m. 9/23/2011.
Age: 51.0
Sex: F
Vaccine: TTOX
Symptoms: Pharyngeal oedema
Clinical narrative: Noticed a swelling and tightness of neck muscle (sternocleidomastoid) on right side accompanied with difficulty swallowing and swelling in the throat on right side.  Right shoulder muscle rigid and tight.  Symptoms continued reaching maximum intensity in the evening of 9/21/2011 at 8 p.m.  By 9/22/2011 in the morning, the symptoms were same in intensity as when they started.  I called my doctor at 12 noon and left a message.  She returned the call at 2:30 p.m. on 9/22/2011 and stated that these were not normal side effects of the tetanus toxoid vaccine; they sounded like an allergic reaction.  She suggested taking Benadryl.  By 4:30 p.m. the symptoms were mostly gone with some sensation of tightness in the throat persisting until 2 a.m. 9/23/2011.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Pain, Swelling
Clinical narrative: PT had vaccine given 2 days ago 48 hours ago. Pt's Mother noted sore and swollen in the morning aroung 6am the swelling is growing. Not too pain full now. Exams: Left deltoid erythema and induration 10x10 cm (Adverse effects of other and unspecified viral and rickettsial vaccines influenza vacc)
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Asthma, Erythema, Pruritus, Pyrexia, Wheezing
Clinical narrative: wheezing, asthma, itching, fever, redness in chest area and neck
Age: 0.52
Sex: F
Vaccine: DTAPH, PPV, RV5
Symptoms: Abdominal pain, Candida nappy rash, Crying, Culture stool, Decreased appetite
Clinical narrative: 9/21/11: severe abdominal pain that came on and subsided in waves, inconsolable crying, lethargy, disinterest in food, sleepiness, fussiness, significant blood in stool; symptoms grew worse over course of four hours and then began to improve somewhat; was taken to ER where ultrasound was performed at 10:00 PM that did not detect blockage 9/22/11: Numerous green stools throughout day indicative of diarrhea; took her to pediatrician for follow-up exam following ER visit; submitted stool sample for culture testing 9/23/11: Return of inconsolable crying in the afternoon around 3:30 PM, diarrhea worsened, persistent diarrhea caused severe and painful red diaper rash accompanied by yeast infection; treated with frequent hydration with nursing and anti-fungal/petroleum jelly applied to bottom to aid diaper rash
Age: 0.52
Sex: F
Vaccine: DTAPH, PPV, RV5
Symptoms: Diarrhoea, Erythema, Faeces discoloured, Frequent bowel movements, Haematochezia
Clinical narrative: 9/21/11: severe abdominal pain that came on and subsided in waves, inconsolable crying, lethargy, disinterest in food, sleepiness, fussiness, significant blood in stool; symptoms grew worse over course of four hours and then began to improve somewhat; was taken to ER where ultrasound was performed at 10:00 PM that did not detect blockage 9/22/11: Numerous green stools throughout day indicative of diarrhea; took her to pediatrician for follow-up exam following ER visit; submitted stool sample for culture testing 9/23/11: Return of inconsolable crying in the afternoon around 3:30 PM, diarrhea worsened, persistent diarrhea caused severe and painful red diaper rash accompanied by yeast infection; treated with frequent hydration with nursing and anti-fungal/petroleum jelly applied to bottom to aid diaper rash
Age: 0.52
Sex: F
Vaccine: DTAPH, PPV, RV5
Symptoms: Irritability, Lethargy, Pain of skin, Somnolence, Ultrasound abdomen normal
Clinical narrative: 9/21/11: severe abdominal pain that came on and subsided in waves, inconsolable crying, lethargy, disinterest in food, sleepiness, fussiness, significant blood in stool; symptoms grew worse over course of four hours and then began to improve somewhat; was taken to ER where ultrasound was performed at 10:00 PM that did not detect blockage 9/22/11: Numerous green stools throughout day indicative of diarrhea; took her to pediatrician for follow-up exam following ER visit; submitted stool sample for culture testing 9/23/11: Return of inconsolable crying in the afternoon around 3:30 PM, diarrhea worsened, persistent diarrhea caused severe and painful red diaper rash accompanied by yeast infection; treated with frequent hydration with nursing and anti-fungal/petroleum jelly applied to bottom to aid diaper rash
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site rash, Injection site warmth, Throat irritation
Clinical narrative: Large, warm rash (10-15 cm) on shoulder near injection site, states throat felt funny but airway was not compromised. Prednisone 10 mg. Rx given by Dr.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Burning sensation, Dizziness, Eczema, Erythema, Throat tightness
Clinical narrative: MENACTRA given in (R) arm and GARDASIL # 1 given in (L) arm at 0930. 1000 - leaving our office - face very red. Noon - Mom calls - child at school - "dizzy" - went home to rest. Woke up with face burning and tightness in throat. Went to ER around 1900 see attached ER report.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Wheezing
Clinical narrative: MENACTRA given in (R) arm and GARDASIL # 1 given in (L) arm at 0930. 1000 - leaving our office - face very red. Noon - Mom calls - child at school - "dizzy" - went home to rest. Woke up with face burning and tightness in throat. Went to ER around 1900 see attached ER report.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site pain, Injection site swelling, Nausea, Vomiting
Clinical narrative: Pain and swelling at site within 30 minutes of injection, nausea, vomiting, severe headache.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient states after administration of PNEUMOVAX she initially had no problem however during the night she began to feel pain and slight swelling at the injection site. She explained that the pain grew more severe to the point that it was so severe that she could not move her arm normally. At the time of the call she said it was improving and complained of no other system involvement at time of call explained she was improving.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Vomiting
Clinical narrative: Fussiness and vomiting within 24 hours of receiving vaccines.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pain in extremity, Vomiting
Clinical narrative: Sore arm 9/22/11 - 9/23/11. Headache 9/23/11. Vomited sx starting at 11:30 am to 4:30 pm.
Age: 1.09
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Coordination abnormal, Cough, Diet refusal, Differential white blood cell count, Disorientation
Clinical narrative: Encephalopathy. On 9/14/2010, patient was no longer able to walk forward w/o falling (poor muscle coordination), refused to eat or speak, was unresponsive when name was called or spoken to (looked lost and totally disconnected), started walking backwards, had a fever over 104 degrees, runny nose and cough.
Age: 1.09
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Dissociation, Encephalopathy, Fall, Full blood count, Gait disturbance
Clinical narrative: Encephalopathy. On 9/14/2010, patient was no longer able to walk forward w/o falling (poor muscle coordination), refused to eat or speak, was unresponsive when name was called or spoken to (looked lost and totally disconnected), started walking backwards, had a fever over 104 degrees, runny nose and cough.
Age: 1.09
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Metabolic function test, Pyrexia, Rhinorrhoea, Speech disorder, Unresponsive to stimuli
Clinical narrative: Encephalopathy. On 9/14/2010, patient was no longer able to walk forward w/o falling (poor muscle coordination), refused to eat or speak, was unresponsive when name was called or spoken to (looked lost and totally disconnected), started walking backwards, had a fever over 104 degrees, runny nose and cough.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Onset day of vaccination continuing and worsening until next day. Vomiting, injection site swollen, fever. Patient was recommended fluid intake (electrolytes), BENADRYL.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Blood magnesium decreased, Cellulitis
Clinical narrative: Cellulitis developed in forearm at injection site - treating with KEFLEX & steroids.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site papule, Injection site swelling, Injection site warmth
Clinical narrative: At injection site large papular red bump with excess swelling - hard & warm to touch.
Age: 62.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Pt saw her PCP due to red, inflamed area around injection site. MD believes may be infection. Pt is to monitor and return to MD.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Flushing, Headache, Injection site erythema, Injection site nodule
Clinical narrative: Patient received vaccination 9/20/11. Reported redness on arm 9/21/11 stated there was a hard nodule at injection site, the arm was red onto the elbow and hot to touch. The patient reported 9/23/11 that she was flushed & had a headache. Was going to physician at 2pm. At this time, 9/23/11, the patient reported taking an expired prescription of Prednisone 20mg 1/2 tablet at 4pm then a full tablet at 7pm on 9/22/11. Otherwise only Aspirin & TYLENOL.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth
Clinical narrative: Patient received vaccination 9/20/11. Reported redness on arm 9/21/11 stated there was a hard nodule at injection site, the arm was red onto the elbow and hot to touch. The patient reported 9/23/11 that she was flushed & had a headache. Was going to physician at 2pm. At this time, 9/23/11, the patient reported taking an expired prescription of Prednisone 20mg 1/2 tablet at 4pm then a full tablet at 7pm on 9/22/11. Otherwise only Aspirin & TYLENOL.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Vomiting
Clinical narrative: Pt states vomited x2, dizziness, and chest discomfort after vaccinated for influenza. Pt laying - resting in exam room 45 min later - pt stated feeling better.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Fatigue, Headache, Malaise, Pyrexia
Clinical narrative: Same day onset of sluggishness and feeling sick. 3 days after receiving vaccination: debilitating back pain, low grade fever, headache, fatigue.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Sluggishness
Clinical narrative: Same day onset of sluggishness and feeling sick. 3 days after receiving vaccination: debilitating back pain, low grade fever, headache, fatigue.
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Balance disorder, Blindness, Feelings of worthlessness, Weight decreased
Clinical narrative: Case number PHEH2011US04184 is an initial spontaneous report received from a consumer on 14 Sep 2011: This report refers to a male patient of unknown age group. He was given a "flu" shot (manufacturer and batch number; unknown) about ten years ago on an unspecified date. He stated that the flu shot had "about killed him". Since two weeks after vaccination, he became a weakling and now he could not see, could not balance and was worthless to everybody. He weighed 200 pounds at the time of vaccination and now he weighed 150 pounds. No further information was provided.
Age: 52.0
Sex: F
Vaccine: RAB
Symptoms: Cataract, Diplopia, Dizziness, Fatigue, General physical health deterioration
Clinical narrative: Case number PHHY2011CA81189 is an initial spontaneous report received from a consumer on 09 Sep 2011. This case refers to a 52-year-old female patient. The patient got bitten by a rabbit and 20 days after she was vaccinated with RABAVERT vaccine (batch number: unknown). She did not receive RIG. Her white blood cell decreased in the last year (current value 3). She had blurred vision that varied to double vision and also had cataracts. She also experienced sore throat, fatigue and fever (value of 101). She was faint and dizzy on unspecified date. The patient was fit before but now she had difficulty coping with work and her condition declined over 1 year. She would be tested for lupus. Her glycaemia was ok. The event outcome was not reported.
Age: 52.0
Sex: F
Vaccine: RAB
Symptoms: Impaired work ability, Oropharyngeal pain, Pyrexia, Syncope, Vision blurred
Clinical narrative: Case number PHHY2011CA81189 is an initial spontaneous report received from a consumer on 09 Sep 2011. This case refers to a 52-year-old female patient. The patient got bitten by a rabbit and 20 days after she was vaccinated with RABAVERT vaccine (batch number: unknown). She did not receive RIG. Her white blood cell decreased in the last year (current value 3). She had blurred vision that varied to double vision and also had cataracts. She also experienced sore throat, fatigue and fever (value of 101). She was faint and dizzy on unspecified date. The patient was fit before but now she had difficulty coping with work and her condition declined over 1 year. She would be tested for lupus. Her glycaemia was ok. The event outcome was not reported.
Age: 52.0
Sex: F
Vaccine: RAB
Symptoms: White blood cell count decreased
Clinical narrative: Case number PHHY2011CA81189 is an initial spontaneous report received from a consumer on 09 Sep 2011. This case refers to a 52-year-old female patient. The patient got bitten by a rabbit and 20 days after she was vaccinated with RABAVERT vaccine (batch number: unknown). She did not receive RIG. Her white blood cell decreased in the last year (current value 3). She had blurred vision that varied to double vision and also had cataracts. She also experienced sore throat, fatigue and fever (value of 101). She was faint and dizzy on unspecified date. The patient was fit before but now she had difficulty coping with work and her condition declined over 1 year. She would be tested for lupus. Her glycaemia was ok. The event outcome was not reported.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Intussusception, X-ray
Clinical narrative: Given 1st set of vaccines 9-16-11, including ROTATEQ. Seen at hosp. ER for intussusception 9-21-11.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Computerised tomogram head, Computerised tomogram normal, Coordination abnormal, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: On 8/28 he developed discoordination (he was walking into walls). Was sent to hospital and diagnosed with a type of GUILLAIN BARRE Syndrome.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Nuclear magnetic resonance imaging normal, Streptococcus test positive
Clinical narrative: On 8/28 he developed discoordination (he was walking into walls). Was sent to hospital and diagnosed with a type of GUILLAIN BARRE Syndrome.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient described redness, swelling of left arm down to elbow, same evening of vaccine.  Went to emergency room, was given KEFLEX for possible infection. Symptoms resolved over next 4 days.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Loss of consciousness, Tremor
Clinical narrative: Pt had shot (flu) at 12:35 pm on 9/19/11. Pt said at sundown he got shaky, passed out had a temp 101 degrees, EMT came and monitor him for 45 mins.
Age: 0.38
Sex: M
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Flu shot given at 4 mons of age.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Dizziness, Headache, Injection site swelling, Oedema peripheral
Clinical narrative: Entire left arm swollen. Dizzy spells. Headaches.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hypotension
Clinical narrative: Dizziness, hypotension within minutes after injection. Trendelenburg position for 20 minutes. BP stabilized.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Patient called 2 1/2 weeks after receiving flu shot to say that since the evening after the vaccination he was experiencing pain in that shoulder, and instead of getting better, the pain was actually increasing and now causing decreased range of motion.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt had seizure with fever w/in 24 hours of receiving immunizations.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Chills, Headache, Myalgia
Clinical narrative: Chills, myalgias, arthralgias, severe headache, possible cellulitis of RUE.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, Erythema, Musculoskeletal pain, Urticaria
Clinical narrative: Red hives & pain around the shoulder area & under the arm of injection site.
Age: 1.01
Sex: M
Vaccine: FLUX, HEP, HIBV
Symptoms: Convulsion, Pyrexia
Clinical narrative: After developing a fever 24 hours following the vaccinations, patient was treated regularly with Tylenol and Motrin.  At 3:15 on 9/22, he had a seizure which lasted for at least a minute.  His mother responded when she heard an odd noise coming from his room, so the total length of the seizure is unknown.  911 was called, and he was taken by ambulance to Hospital.  He was given oxygen, and concentrated Tylenol to take the fever back down.  He was release after 2 hours of observation.  We followed up with his pediatrician on the afternoon of 9/22 who informed us there may potential be link to the high fever and the vaccinations.
Age: 0.15
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Intussusception, Surgery, Vitello-intestinal duct remnant, Vomiting
Clinical narrative: Vomiting after every feeding for 2 days. Vomiting even without any liquids or feedings. Baby was hospitalize with an IV and the intussusception was found once she started vomiting bios and they did an internal exam. She had emergency surgery 30 hours after first symptoms.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives all over body
Age: 46.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: fever to 104, chills and rigors, redness and tenderness of L deltoid where shot administered
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Aphonia, Asthenia, Chills, Cough, Headache
Clinical narrative: Headache, vomiting. Then after 2 days fever, cough, chills, voice box inflammation, and lost voice for 3 days, now 3 weeks past still irritated throat and dry cough, weakness and headache. Next week will go to the doctor.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Larynx irritation, Pyrexia, Throat irritation, Vomiting
Clinical narrative: Headache, vomiting. Then after 2 days fever, cough, chills, voice box inflammation, and lost voice for 3 days, now 3 weeks past still irritated throat and dry cough, weakness and headache. Next week will go to the doctor.
Age: 2.0
Sex: F
Vaccine: FLUX, HEPA
Symptoms: Crying, Pallor, Pyrexia, Vomiting
Clinical narrative: 104 degree fever, pale, vomiting repeatedly, crying and difficult to console. Unable to keep anything down orally.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Gait disturbance, Laboratory test, Motor dysfunction, Oedema peripheral
Clinical narrative: Joints very achy and painful, especially knees.  Swelling hand, arms, feet and legs up to knees.  Difficulty in walking or closing hands, manual dexterity.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Feeling cold, Pyrexia
Clinical narrative: Severe chills for about 20 minutes followed by fever for about 30 minutes. Drank orange juice and cold. Applied cold compress. Went to bed about 9:30 PM and slept uninterrupted till about 7 AM.
Age: 63.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Injection site: red, hot, itchy and painful. Influenza and pneumonia vaccine given in same syringe.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth, Pain
Clinical narrative: Awoke at 4am, 9/20/11, severe pain, heat and redness at injection site (left upper arm). Knot as big as a softball. Went to ER - Rx - ice & ibuprofen. By 8pm that evening, swelling increased to size of grapefruit with increased pain, swelling and redness. Went to Urgent Care - prescribed Keflex, prednisone, Benadryl and ibuprofen and additional cool compresses.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Hyperhidrosis, Muscle spasms
Clinical narrative: Sweating, shortness of breath, sweating, back spasms. 911 called. Patient refused transport, reported feeling better.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Myalgia
Clinical narrative: chills, myalgia
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Dx'd by PCP with cellulits
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea
Clinical narrative: An hour after vaccine administration, felt dizziness and light headedness and nausea.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV, DTAPIPVHIB, PNC13, RV5
Symptoms: Barium double contrast, Blood test, Enterovirus test, Middle insomnia, Pain
Clinical narrative: Child woke up screaming in pain.  Rocked baby back to sleep.  Woke up twice more that night screaming.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV, DTAPIPVHIB, PNC13, RV5
Symptoms: Screaming, Ultrasound scan, Viral test, X-ray
Clinical narrative: Child woke up screaming in pain.  Rocked baby back to sleep.  Woke up twice more that night screaming.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV, DTAPIPVHIB, PNC13, RV5
Symptoms: Intussusception
Clinical narrative: Child woke up screaming in pain.  Rocked baby back to sleep.  Woke up twice more that night screaming.
Age: 55.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness
Clinical narrative: Severe dizziness
Age: 1.02
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Varicella post vaccine
Clinical narrative: Chickenpox Outbreak that presented with fewer than ten blisters and expanded to cover areas of face, arms, chest, feet, and legs. Also has passed it on to father.
Age: 36.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Day after shot had mild swelling & tenderness at site. 3 days after shot, had developed approx. 6 inch x 6 inch erythema/swelling & itching. Located a few inches distal to the injection site.
Age: 65.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 6" diameter inj. site rxn - redness, swelling, pain, tenderness. 4 days after inj.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Paraesthesia
Clinical narrative: Within five minutes after receiving FLUVIRIN patient had tingling in left arm (site of shot). Patient did not report till morning of 9/24/11. Morning of 9/24 patient also noticed tingling on (L) back side and still in left arm.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt presented w/ slight erythema on left arm 5 days after receiving injections. She insisted on having both shots in same arm due to previous surgery on other side of body. Said area was warm earlier in week, MD told her to take BENADRYL.
Age: 20.0
Sex: F
Vaccine: FLUX, HPVX, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: 3 inch round hard lump at injection site. Skin is noticeably red and raised. Very itchy, but no wheals noticeable. Painful and warm to the touch.
Age: 20.0
Sex: F
Vaccine: FLUX, HPVX, VARCEL
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: 3 inch round hard lump at injection site. Skin is noticeably red and raised. Very itchy, but no wheals noticeable. Painful and warm to the touch.
Age: 28.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Chills, Headache, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, headache, chills, weaknes
Age: 31.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthenia, Chills, Cough, Fatigue, Headache
Clinical narrative: Chills, Sore Throat, Head and Body Aches, Coughing, Weak/Tired Feelings.
Age: 31.0
Sex: M
Vaccine: FLUN3
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: Chills, Sore Throat, Head and Body Aches, Coughing, Weak/Tired Feelings.
Age: 67.0
Sex: F
Vaccine: DTP
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: redness and warmth on top 1/3 of arm, developed to cellulitis in area on 09/24/2011
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Scar, Skin papilloma, Wart excision
Clinical narrative: More than 75 warts on my daughter's left leg - between the knee and ankle.  We did not think of this as an adverse reaction at the time but May/June 2011 she went to a dermatologist to have the warts removed by laser.  It did not work and she now has about 50 more warts on the same leg in the same area.  She has has a total of 3 Gardasil shots but looking back the warts started after the first shot on 8/23/2007.
Age: 12.0
Sex: M
Vaccine: FLUX, HPV4
Symptoms: Eye swelling, Oropharyngeal pain, Rash
Clinical narrative: Rash on forarms and on legs.  Swollen eye, sore throat
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Chills, Headache, Hyperhidrosis, Injection site swelling
Clinical narrative: I knew my arm was sore but expected that from the flu shot. But when my arm was blotchy red and the site was swelling larger by early Tuesday or late Monday the 19th, I was concerned because of swelling and the pain my arm was in was almost unbearable. Striking pain and swelling just got bigger. I phoned the place where I got it right away as well as my medical providers nurse advice. All told me to be seen so I did go to urgent care where I went for 9---22, 23, 24 and here I am today still sick with this, pain in my arm, red, still swollen and my head hurts like crazy and my stomach nausea and the chills and sweats keep coming. I am very worried almost scared really. Never had this before. Physical, emotional and financial costly to me but mostly I just want help in getting this GONE and being alive without side effects and I am searching out help. Called the company who produced the vaccine and they won't help unless my primary care doctor is seeing me which I tried to get into and couldn't so I have seen consistently for the last 3 days Dr. at urgent care. It is unknown at this time 7 days in how long this will last and or the side effects and final outcome. I just want to live and even though I am considered High risk due to asthma and should get the flu shot I won't again unless my doctor insists.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Malaise, Nausea, Pain in extremity, Rash macular
Clinical narrative: I knew my arm was sore but expected that from the flu shot. But when my arm was blotchy red and the site was swelling larger by early Tuesday or late Monday the 19th, I was concerned because of swelling and the pain my arm was in was almost unbearable. Striking pain and swelling just got bigger. I phoned the place where I got it right away as well as my medical providers nurse advice. All told me to be seen so I did go to urgent care where I went for 9---22, 23, 24 and here I am today still sick with this, pain in my arm, red, still swollen and my head hurts like crazy and my stomach nausea and the chills and sweats keep coming. I am very worried almost scared really. Never had this before. Physical, emotional and financial costly to me but mostly I just want help in getting this GONE and being alive without side effects and I am searching out help. Called the company who produced the vaccine and they won't help unless my primary care doctor is seeing me which I tried to get into and couldn't so I have seen consistently for the last 3 days Dr. at urgent care. It is unknown at this time 7 days in how long this will last and or the side effects and final outcome. I just want to live and even though I am considered High risk due to asthma and should get the flu shot I won't again unless my doctor insists.
Age: 53.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, Pyrexia, Urticaria
Clinical narrative: Hives on arm, fever and joint pain
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Localized reaction- bruise-like (blue) redness, swelling, "painful" as (described by patient) around the site of vaccine.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Myalgia, Paraesthesia
Clinical narrative: Numbness in right side of face. Tingling in both hands. Very sore muscles in shoulders and neck. Getting better as of 09/24/2011. Treatment was Advil every four hours or as needed.
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Diarrhoea, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Soreness, Swelling and Redness at Shot location. Took Tylenol and used cold compress. Also developed nausea, diarrhea and cough.
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea
Clinical narrative: Soreness, Swelling and Redness at Shot location. Took Tylenol and used cold compress. Also developed nausea, diarrhea and cough.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Dyspnoea, Pyrexia
Clinical narrative: Weak and dizzy first day. Shortness of breath next 2 days, light fever.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Malaise, Pain, Pyrexia, Yawning
Clinical narrative: Aches, chills, feverish, yawning, malaise - no treatment except ibuprofen and time.
Age: 86.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chills, Fall, Head injury, Malaise, Pyrexia
Clinical narrative: Pt felt sick; fell and hit her head, had fever of 102.1 also chills.   Treatment if any is not known.
Age: 86.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chills, Fall, Pyrexia, Syncope
Clinical narrative: Pt felt sick; fell and hit her head, had fever of 102.1 also chills.   Treatment if any is not known.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling hot, Headache, Pruritus, Rash
Clinical narrative: rash on face and neck, itching, hot feeling, headache
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria
Clinical narrative: hives, large 5 inch wheal at injection site
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Gaze palsy, Hyperhidrosis
Clinical narrative: convulsions, sweating, eyes rolling back in head, no treatment given
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient experienced rash on chin and neck - three days after vaccine.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: Pt called 9-23 to state that arm she got PNEUMOVAX in was really hurting. Instructed to ice and see if got worse. Pt came to pharmacy 9-24 and arm was very red. Instructed pt to be seen at nearby walk-in clinic and let us know what happens. Pt given prednisone, ATARAX and doxycycline.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Patient called said she had uncontrol shaking that lasted about 40 minutes. She did not want to call to report except to pharmacy. She stated she has gotten flu shot for last 30 years with no problems.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt received PNEUMOVAX 9-23-11, noticed swelling, pain, erythema (R) upper arm came into ED to be evaluated.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Patient reports headaches that come & go. Her arm where she received vaccine is broken out in round red bumps which itch.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pain
Clinical narrative: Pt. husband states pt. has shortness of breath, aching, symptoms onset next day.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: Pt had severe pain at the injection site. Also big, red, swollen hive at the injection area & it run down her arm to the elbow.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pt had severe pain at the injection site at the night of the injection date. Cont. pain till next day. Advise to take some TYLENOL or MOTRIN.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: Severe pain at the injection site immediately after the shot. Cont. for 1 night & 1 day after that. Took MOTRIN not relieved.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site erythema
Clinical narrative: Allergic reaction - redness at injection site.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Arm hurt from shoulder to the hand after MOTRIN for a few days, it was better but now comes & goes. Fold arms at waist if cannot lift without strong pain.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Left arm sore. Have trouble using the arm to lift myself from sitting. Hurts at night. Bathing is a problem.
Age: 91.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pain in extremity, Urine output decreased
Clinical narrative: Patient said the evening of vaccination he had redness on his face and right side of body. His arms & legs were sore and he had a decrease in urination. He reported to MD next day.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Vomiting, X-ray abnormal
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 12 weeks old (also reported as 0.3 and 4 months old (contradicting information) male patient with no pertinent medical history and no previous illness who on 20-JUN-2011 was vaccinated with the second dose of ROTATEQ orally (lot number: 670241/0530AA) (dose not reported) and with the second dose of hepatitis Hib conj vaccine IM into the left leg (lot number: 666813/0254AA) (dose not reported). Concomitant vaccines included DAPTACEL IM into the right leg (AC21B285EA) and PREVNAR 13 IM into the right leg (lot number: 915671). The patient's symptoms were bilious emesis, currant jelly stools and lethargy. The patient was diagnosed with intussusception. The patient presented to office on 20-JUN-2011 for 4 month well child visit. The parents voiced no concerns. The patient was examined. On 13-JUL-2011 PCP office record and vaccine record was received for date of service 20-JUN-2011. The patient received immunizations. Plan to follow up at 6 month. Diagnosis was acute intussusception resolved. The patient presented to Emergency Room (ER) with complaining of vomiting, currant jelly stool and abdominal pain. The parents reported that on unspecified date the patient had been fussy since last PM, had been eating and drinking less, and had fever. The patient was reported to have had immunizations four days earlier. Upon ER presentation the patient's temperature was 98.6 degrees Fahrenheit. The patient was pale and was noted to be sleepy but arousable. On unspecified date, the patient received IV fluids (unspecified). The patient was diagnosed with intussusception, which was successfully reduced by barium enema. The patient was admitted for 23 hours observation. The next day, the patient was discharged home, after tolerating feeds. On unspecified date, abdominal plain film and Barium contrast enema were performed. BUN (serum blood urea nitrogen test) creat ratio was 32.3 (H). Barium enema routine and water soluble contrast enema was abnormal (contrast passed to mid-transverse colon at which point a filling defect was identified, representing the intussusception). This was reduced. Successful reduction of ileocolic intussusception was performed. The patient required an emergency room visit. The listing indicated that one or more of the events required hospitalization, was considered to be immediately life-threatening by the reporter. The original reporting source was not provided. The VAERS ID# is 427144. A lot check has been initiated. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question 670241/0530AA were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. No further information is available.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Lethargy, Pallor, Pyrexia, Somnolence, Vomiting
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 12 weeks old (also reported as 0.3 and 4 months old (contradicting information) male patient with no pertinent medical history and no previous illness who on 20-JUN-2011 was vaccinated with the second dose of ROTATEQ orally (lot number: 670241/0530AA) (dose not reported) and with the second dose of hepatitis Hib conj vaccine IM into the left leg (lot number: 666813/0254AA) (dose not reported). Concomitant vaccines included DAPTACEL IM into the right leg (AC21B285EA) and PREVNAR 13 IM into the right leg (lot number: 915671). The patient's symptoms were bilious emesis, currant jelly stools and lethargy. The patient was diagnosed with intussusception. The patient presented to office on 20-JUN-2011 for 4 month well child visit. The parents voiced no concerns. The patient was examined. On 13-JUL-2011 PCP office record and vaccine record was received for date of service 20-JUN-2011. The patient received immunizations. Plan to follow up at 6 month. Diagnosis was acute intussusception resolved. The patient presented to Emergency Room (ER) with complaining of vomiting, currant jelly stool and abdominal pain. The parents reported that on unspecified date the patient had been fussy since last PM, had been eating and drinking less, and had fever. The patient was reported to have had immunizations four days earlier. Upon ER presentation the patient's temperature was 98.6 degrees Fahrenheit. The patient was pale and was noted to be sleepy but arousable. On unspecified date, the patient received IV fluids (unspecified). The patient was diagnosed with intussusception, which was successfully reduced by barium enema. The patient was admitted for 23 hours observation. The next day, the patient was discharged home, after tolerating feeds. On unspecified date, abdominal plain film and Barium contrast enema were performed. BUN (serum blood urea nitrogen test) creat ratio was 32.3 (H). Barium enema routine and water soluble contrast enema was abnormal (contrast passed to mid-transverse colon at which point a filling defect was identified, representing the intussusception). This was reduced. Successful reduction of ileocolic intussusception was performed. The patient required an emergency room visit. The listing indicated that one or more of the events required hospitalization, was considered to be immediately life-threatening by the reporter. The original reporting source was not provided. The VAERS ID# is 427144. A lot check has been initiated. A standard lot check investigation has been finalized. All in-process quality checks for the lot number in question 670241/0530AA were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. No further information is available.
Age: 24.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Next day woke up with a medium size bruise, swelling. Went to doctor given VIS handout and recommended to take ibuprofen 800. Next day swollen even more took ibuprofen which helped on and off. Movement at work aggravated symptoms. Rash, itch had progressed over time continued. Thursday seen by specialist who recommended continuing use of ibuprofen & also gave "light duty for job". Everyday it gets worse: larger, rash, itchiness. Arm feels like sunburn continue on medication.
Age: 24.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Activities of daily living impaired, Contusion, Limb discomfort, Pruritus, Rash
Clinical narrative: Next day woke up with a medium size bruise, swelling. Went to doctor given VIS handout and recommended to take ibuprofen 800. Next day swollen even more took ibuprofen which helped on and off. Movement at work aggravated symptoms. Rash, itch had progressed over time continued. Thursday seen by specialist who recommended continuing use of ibuprofen & also gave "light duty for job". Everyday it gets worse: larger, rash, itchiness. Arm feels like sunburn continue on medication.
Age: 24.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Swelling
Clinical narrative: Next day woke up with a medium size bruise, swelling. Went to doctor given VIS handout and recommended to take ibuprofen 800. Next day swollen even more took ibuprofen which helped on and off. Movement at work aggravated symptoms. Rash, itch had progressed over time continued. Thursday seen by specialist who recommended continuing use of ibuprofen & also gave "light duty for job". Everyday it gets worse: larger, rash, itchiness. Arm feels like sunburn continue on medication.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dysphagia, Intensive care, Pharyngeal oedema, Swollen tongue
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of angioedema in a 64-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). The subject's medical history included angioedema due to BACTRIM and elevated creatinine. Concurrent medical conditions included elevated creatinine, high blood pressure and human immunodeficiency virus. Concurrent medications included ENALAPRIL, NORVIR, SAQUINAVIR, EPZICOM, NORVASC, LIPITOR, Ferrous sulfate, GLYBURIDE, Baby aspirin and Lorazepam. On 15 September 2011 at 10:00 the subject received unspecified dose of FLUARIX (.5 cc, unknown, left arm). On 15 September 2011, less than one day after vaccination with FLUARIX, the subject experienced trouble swallowing. On 16 September 2011, one day after vaccination with FLUARIX, the subject experienced angioedema of tongue and throat [angioedema} and trouble breathing. The subject was placed in intensive care unit (ICU) for three days due to the events of swallowing trouble, angioedema and trouble breathing. While in the hospital the subject's ENALAPRIL was discontinued. The subject was hospitalised and the healthcare professional considered the events were disabling, life threatening and clinically significant (or requiring intervention). On 18 September 2011, the swallowing trouble, angioedema and trouble breathing were resolved. The healthcare professional considered the swallowing trouble, angioedema and trouble breathing were probably related to vaccination with FLUARIX.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Angioedema, Dysphagia, Dyspnoea, Intensive care
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of angioedema in a 64-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). The subject's medical history included angioedema due to BACTRIM and elevated creatinine. Concurrent medical conditions included elevated creatinine, high blood pressure and human immunodeficiency virus. Concurrent medications included ENALAPRIL, NORVIR, SAQUINAVIR, EPZICOM, NORVASC, LIPITOR, Ferrous sulfate, GLYBURIDE, Baby aspirin and Lorazepam. On 15 September 2011 at 10:00 the subject received unspecified dose of FLUARIX (.5 cc, unknown, left arm). On 15 September 2011, less than one day after vaccination with FLUARIX, the subject experienced trouble swallowing. On 16 September 2011, one day after vaccination with FLUARIX, the subject experienced angioedema of tongue and throat [angioedema} and trouble breathing. The subject was placed in intensive care unit (ICU) for three days due to the events of swallowing trouble, angioedema and trouble breathing. While in the hospital the subject's ENALAPRIL was discontinued. The subject was hospitalised and the healthcare professional considered the events were disabling, life threatening and clinically significant (or requiring intervention). On 18 September 2011, the swallowing trouble, angioedema and trouble breathing were resolved. The healthcare professional considered the swallowing trouble, angioedema and trouble breathing were probably related to vaccination with FLUARIX.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Insomnia, Pain in extremity
Clinical narrative: Severe pain radiating down arm. Unable to lift arm above shoulder. Treated with Aleve. Unable to sleep, pain level of 10. Pain lessened as days went on but pain level is still intense on 9/25/2011 Ten days after vaccine.
Age: 18.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Blood test, Convulsion, Imaging procedure
Clinical narrative: Seizure
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Body temperature increased, Culture urine negative, Dysuria, Pyrexia, Urine analysis normal
Clinical narrative: Vaccines administered 7/13/11 mother returned 7/14/11 with c/o fever & painful urination. Temp 104. Dr. assessment was vaccination reaction.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Vaccination complication
Clinical narrative: Vaccines administered 7/13/11 mother returned 7/14/11 with c/o fever & painful urination. Temp 104. Dr. assessment was vaccination reaction.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Pyrexia
Clinical narrative: Red patches - started night of flu shot. Radiated in axillary area where shot given. Feel feverish in affected area.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Increased upper airway secretion, Ocular hyperaemia
Clinical narrative: 3 hours later developed mucus in throat, coughing, trouble breathing, red eyes. Went to urgent care and they called 911 and sent to hospital. Kept overnight and treated for reaction. Had a follow up a week later that she cancelled because she felt better.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Malaise, Pyrexia
Clinical narrative: Patient developed 105 degree fever, chills, headache. Went to hospital felt better (Friday night) went home felt okay Saturday, called Sunday morning to inform pharmacy that she may be going back to hospital because she wasn't feeling well. Called patient Sunday afternoon to follow-up she didn't call back.