chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: SMALL
Symptoms: Unevaluable event
Clinical narrative: Initial report was received via a search of the scientific literature on 08 February 2012. Since 2002, approximately 40,000 civilians and 2.1 million other personnel have been vaccinated against smallpox. The vaccine contains live vaccinia virus that can be transferred through physical contact. This report summarized numbers, rates and characteristics of contact vaccinia cases that presented between December 2001 and March 2011. Cases were identified from reports in adverse event reporting systems and peer-reviewed literature. One hundred fifteen cases of vaccinia transmission through contact were identified (5.4 per 100, 000 vaccinees); 52 reports (45%) noted laboratory confirmation. Three-quarters of vaccinees, but fewer than 8% of contact vaccinia cases, were described as other. Most cases were household or intimate contacts (n = 86, 75 percent) or wrestling partners (n = 18, 16%) of vaccinees. Nearly all cases manifested mild local skin reactions; of 14 hospitalized cases, one was life-threatening. The authors further noted that of the 115 contact transfer cases, 104 were secondary and 7 were tertiary (source was unknown for four). Fifty three (46%) cases presented in 2003, 17 in 2004, and 5 to 9 in each subsequent year. Cases were residents of 29 states; 2 cases involved other overseas. There were 95 adults, 3 adolescents (16-17 years) and 17 children (average age: 4). Eighty-two percent (n = 78) of affected adults were 18-29 years old, and more than two-thirds (n = 67) of adult/adolescent cases were females. Eight (47%) affected children were greater than or equal to two years old. Twenty-six contact cases (23%) were identified as civilians or were under the minimum age for enlistment. Nine others(8%), all male, were infected after contact with other members. In nearly three quarters (n = 85) of the cases, the source was a other vaccinee. For the other 30 cases, the status of the source was not reported. Civilian cases with secondary vaccinia infections did not transmit the virus to tertiary cases (n = 5); however no report specified a civilian as the original source of infection. Most contact vaccinia cases were adult/adolescent women (n = 67) or children (n = 17) who lived in the same household and/or shared a bed with a vaccinee or a vaccinee's contact. Of adult/adolescent female cases, most (n = 57) were described as intimate partners or were wives of vaccinees or secondary contacts. The others were household members (n = 3), healthcare workers (n = 2), or of unknown relationship to the source (n = 2). All child cases were contacts of parents or caregivers who were either vaccinees or secondary cases. Outcomes were not reported. Documents held by sender: None.
Age: 10.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Patient' s mom called 2/21/12. Stated daughter received shots (Var, Tdap, meningitis) on 2/16/12. Had hives 2/17/12, "swollen shoulder", "no fever". Hives have resolved, continues with slight swelling on arm. Patient is in school today.
Age: 0.53
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC13, RV5
Symptoms: Body temperature increased, Injection site erythema
Clinical narrative: Small red area on left lower thigh, temp up to 103 responded to TYLENOL but up and down today. Plan: TYLENOL/MOTRIN prn will f/u by phone tonight & tomorrow.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema
Clinical narrative: 2/4/12 - Red, raised blisters scattered over torso & back & on face. No drainage. 2/6/12 - MD Rx: Silvadene cream to blisters on chest & back at 9A & 9p x 14 days.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Drug eruption, Hypersensitivity, Injection site coldness, Injection site erythema, Rash
Clinical narrative: Tdap given on 2-6-12 in (R) deltoid IM - tolerated well. No reaction: noted while in clinic. Called 9 days later stating she had a reaction to the vaccine. Went to ER & was diagnosed with localized allergic reaction with skin rash secondary to drug. (Paper attached) - Upon evaluation of site on 2-17-12 to redness - noted -cool to touch.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Vaccination complication
Clinical narrative: Tdap given on 2-6-12 in (R) deltoid IM - tolerated well. No reaction: noted while in clinic. Called 9 days later stating she had a reaction to the vaccine. Went to ER & was diagnosed with localized allergic reaction with skin rash secondary to drug. (Paper attached) - Upon evaluation of site on 2-17-12 to redness - noted -cool to touch.
Age: 22.0
Sex: M
Vaccine: TDAP
Symptoms: Malaise, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Pt. c/o tactile fever approx. 6-8hrs after Tdap vaccine given associated with "stiffness" in general with malaise. Taking ZPAK for pertussis exposure.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: 2/09 - Pt called w/ c/o redness, edema & warmth down left arm. Took BENADRYL & cold compress w/no change in sx given rx for oral prednisone and flu in office on 2/10/12.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Pt presented to office on 2/10/12 with c/o left arm redness, edema, and warmth. States it started on 2/08. Pt was given 80mg DEPO-MEDROL in office after Dr evaluated.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash pruritic, Swelling
Clinical narrative: Red, swollen, itchy rash appeared 24 hours after injection. Pt presented to clinic for care on Tues.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Red itchy area at injection site at time of vaccination, day later injection site had red swelling that was warm to touch with itchiness. Pt saw their PCP but no action was needed.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA
Symptoms: Injection site erythema, Injection site swelling, Pain, Pallor
Clinical narrative: (L) arm from shoulder to elbow swollen 3x size erythematous blanching to touch. Achy non painful from elbow/shoulder.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Mom reports (L) arm at site itchy, red, warm. MD Report: local reaction for 4 days from KINRIX was as big as 4 or 5 cm x 3, raised, warm, itchy no other s/e. Treatment: ice packs & BENADRYL.
Age: 60.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: On 10/31/2011 patient received INFLUENZA vaccine and pneumococcal vaccine. Patient still c/o arm pain on 2/23/2012 .
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Chest X-ray normal, Cough, Culture negative, Laboratory test abnormal, Nasopharyngitis
Clinical narrative: Initial report received on 16 February 2012 from the Investigator participating in a study under the reference number M5A16. A case of pertussis disease in a 2-year-old female subject was identified by the investigator based on review of data from the database. The subject had previously received 3 doses of PENTACEL; dose 1 lot number C3542AA received on 25 January 2010, dose 2 lot number C3589AA received on 25 March 2011 and dose 3 lot number C3607AA received on 24 May 2010 (route and site of administration not reported). The subject developed a cough on 26 December 2011, approximately 1 year and 7 months after the last dose. On 29 December 2011, the subject developed cold-like symptoms and then a paroxysmal cough with whoop on 31 December 2011. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 04 January 2012 and negative culture on 04 January 2012. Chest x-ray findings were negative for pneumonia. The patient was not hospitalized. Corrective treatments consisted of azithromycin starting on 05 January 2012 for 5 days. At the time of final contact on 12 February 2012, the subject's cough was still persisting. The duration of the cough was reported at that time as 48 days. According to the investigator, this case was epidemiologically linked to a laboratory confirmed case. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Pertussis, Polymerase chain reaction, Sleep disorder
Clinical narrative: Initial report received on 16 February 2012 from the Investigator participating in a study under the reference number M5A16. A case of pertussis disease in a 2-year-old female subject was identified by the investigator based on review of data from the database. The subject had previously received 3 doses of PENTACEL; dose 1 lot number C3542AA received on 25 January 2010, dose 2 lot number C3589AA received on 25 March 2011 and dose 3 lot number C3607AA received on 24 May 2010 (route and site of administration not reported). The subject developed a cough on 26 December 2011, approximately 1 year and 7 months after the last dose. On 29 December 2011, the subject developed cold-like symptoms and then a paroxysmal cough with whoop on 31 December 2011. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 04 January 2012 and negative culture on 04 January 2012. Chest x-ray findings were negative for pneumonia. The patient was not hospitalized. Corrective treatments consisted of azithromycin starting on 05 January 2012 for 5 days. At the time of final contact on 12 February 2012, the subject's cough was still persisting. The duration of the cough was reported at that time as 48 days. According to the investigator, this case was epidemiologically linked to a laboratory confirmed case. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Electrocardiogram, Flushing, Full blood count, Hyperhidrosis
Clinical narrative: 2/20/2012 1105 AM Hepatitis B vaccine (ENGERIX B GlaxoSmithKline) Lot AHBVC004AA Exp 8/23/13. 20mcg/1ml given IM deltoid - second dose in series of 3 - given at 1020AM by hospital employee health nurse. Within 45 min after injection pt. became flushed and started sweating. Fine red rash developed over arms and torso, No c/o of SOB. ZYRTEC, BENADRYL 225, Epi 0.5cc. Return visit 1925PM recurring symptoms. Throat tightness - trouble breathing. Admitted for observation.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Laboratory test, Rash, Rash erythematous, Throat tightness
Clinical narrative: 2/20/2012 1105 AM Hepatitis B vaccine (ENGERIX B GlaxoSmithKline) Lot AHBVC004AA Exp 8/23/13. 20mcg/1ml given IM deltoid - second dose in series of 3 - given at 1020AM by hospital employee health nurse. Within 45 min after injection pt. became flushed and started sweating. Fine red rash developed over arms and torso, No c/o of SOB. ZYRTEC, BENADRYL 225, Epi 0.5cc. Return visit 1925PM recurring symptoms. Throat tightness - trouble breathing. Admitted for observation.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Smear cervix abnormal
Clinical narrative: Information has been received from a certified medical assistant concerning a 25 year old female patient with no drug allergies or allergies who on 03-AUG-2011, was vaccinated with the first dose of GARDASIL (route, dose and lot number not reported). On 21-SEP-2011, the patient had a seizure. On approximately 30-NOV-2011 (date reported as 31-NOV-2011), was vaccinated with the second dose of GARDASIL (route, dose and lot number not reported). There were no concomitant medications. On 05-DEC-2011, the patient had another seizure. The healthcare worker reported that the patient visited the physician because of an abnormal PAP smear (date of abnormal PAP smear unspecified also reported as medical history). Healthcare worker stated that patient reported she was on KEPPRA for seizures. The patient sought medical attention. No laboratories were performed. At the time of the report the outcome of the patient was unknown. Upon internal review, the seizures were determined to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Oophorectomy, Ovarian necrosis
Clinical narrative: Information has been received from a registered nurse concerning a female patient who on an unknown date, was vaccinated with GARDASIL (dose, route and lot number not reported). The nurse reported that on an unknown date, her friend's daughter experienced adverse event after getting GARDASIL. On an unknown date, the daughter's ovaries became "necrotizing" so it had been removed by a surgeon. At the time of the report the patient's outcome was unknown. Upon internal review the ovaries became "necrotizing" was determined to be an other important medical event. Additional information has been requested.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Herpes zoster, Rash
Clinical narrative: Pt c/o rash, shingles.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Blood culture, Culture urine, Full blood count, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: Prolonged fever (12 days now).
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Urine analysis
Clinical narrative: Prolonged fever (12 days now).
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Nausea, Pyrexia
Clinical narrative: Nausea, diarrhea, fever 101 degrees.
Age: 42.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: Erythema and swelling measuring 110 mm on right subcutaneous area of right arm. Warm to touch. Large knot.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Apnoea, Blood culture, Blood gases normal, Bradycardia, C-reactive protein abnormal
Clinical narrative: Infant started to have desaturations and tachypnea, followed within a hour by apnea and bradycardia. Required Oxygen via Nasal Cannula and a sepsis work up.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Differential white blood cell count abnormal, Full blood count abnormal, Oxygen saturation decreased, Tachypnoea
Clinical narrative: Infant started to have desaturations and tachypnea, followed within a hour by apnea and bradycardia. Required Oxygen via Nasal Cannula and a sepsis work up.
Age: 12.0
Sex: M
Vaccine: FLUN3, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mother noted large amount of redness, swelling, warmth at site of injection. Took child to ER for evaluation and treatment. Prescribed Keflex, Benadryl and Motrin.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAP, HEP, PPV, RVX
Symptoms: Abnormal behaviour, Blood test, Choking, Computerised tomogram, Cyanosis
Clinical narrative: Woke up screaming, started choking/struggling to breathe, no color, limp body, slight blue tint around mouth, unresponsive in ambulance to right side, soaked clothing. This went on for hours and child was not herself for days.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAP, HEP, PPV, RVX
Symptoms: Dyspnoea, Electrocardiogram, Electroencephalogram, Hyperhidrosis, Hypotonia
Clinical narrative: Woke up screaming, started choking/struggling to breathe, no color, limp body, slight blue tint around mouth, unresponsive in ambulance to right side, soaked clothing. This went on for hours and child was not herself for days.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAP, HEP, PPV, RVX
Symptoms: Lumbar puncture, Neurological examination, Nuclear magnetic resonance imaging, Pallor, Screaming
Clinical narrative: Woke up screaming, started choking/struggling to breathe, no color, limp body, slight blue tint around mouth, unresponsive in ambulance to right side, soaked clothing. This went on for hours and child was not herself for days.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAP, HEP, PPV, RVX
Symptoms: Unresponsive to stimuli
Clinical narrative: Woke up screaming, started choking/struggling to breathe, no color, limp body, slight blue tint around mouth, unresponsive in ambulance to right side, soaked clothing. This went on for hours and child was not herself for days.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAP, HEP, PPV, RVX
Symptoms: Abnormal behaviour, Blood test, Computerised tomogram, Dyspnoea, Electrocardiogram
Clinical narrative: Woke up screaming, started choking/struggling to breathe, no color, limp body, slight blue tint around mouth, unresponsive in ambulance to right side, soaked clothing. This went on for hours and child was not herself for days.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAP, HEP, PPV, RVX
Symptoms: Electroencephalogram, Erythema, Hyperhidrosis, Hypotonia, Insomnia
Clinical narrative: Woke up screaming, started choking/struggling to breathe, no color, limp body, slight blue tint around mouth, unresponsive in ambulance to right side, soaked clothing. This went on for hours and child was not herself for days.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAP, HEP, PPV, RVX
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging, Oedema peripheral, Pallor, Screaming
Clinical narrative: Woke up screaming, started choking/struggling to breathe, no color, limp body, slight blue tint around mouth, unresponsive in ambulance to right side, soaked clothing. This went on for hours and child was not herself for days.
Age: 48.0
Sex: F
Vaccine: HEPA, TDAP, TYP, YF
Symptoms: Blister, Erythema, Induration, Local swelling, Localised oedema
Clinical narrative: Patient developed swelling, itching and pain in right arm below deltoid. She developed blisters which broke very quickly and oozed a little fluid; also felt achy. This started within 2 days of receiving vaccine. She was seen by Dr on 2/14/2012 and the area was still red, raised and indurated with a small amount of edema.
Age: 48.0
Sex: F
Vaccine: HEPA, TDAP, TYP, YF
Symptoms: Oedema peripheral, Pain, Pain in extremity, Pruritus
Clinical narrative: Patient developed swelling, itching and pain in right arm below deltoid. She developed blisters which broke very quickly and oozed a little fluid; also felt achy. This started within 2 days of receiving vaccine. She was seen by Dr on 2/14/2012 and the area was still red, raised and indurated with a small amount of edema.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 7x8 cm area of erythema and swelling over R deltoid.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Full blood count abnormal, Haemoglobin normal, Idiopathic thrombocytopenic purpura, Immunoglobulin therapy, Petechiae
Clinical narrative: Patient presented to office with a petechial rash at legs, ankles, buttock and back of neck. CBC revealed a platelet count of 2, WBC 9.1, Hgb 11.7. Patient was hospitalized and treated for ITP with IVIG.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Platelet count decreased, White blood cell count normal
Clinical narrative: Patient presented to office with a petechial rash at legs, ankles, buttock and back of neck. CBC revealed a platelet count of 2, WBC 9.1, Hgb 11.7. Patient was hospitalized and treated for ITP with IVIG.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site rash, Swelling
Clinical narrative: Rash length of upper arm, redness and generalized swelling. No itching, shortness of breath or change in circulation. Instructed to apply ice if lump at injection site, use benadryl or calamine lotion on rash, report to MD if swelling increases or does not get better in next 24 hours or shows generalized symptoms.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Pain, Pyrexia
Clinical narrative: Itching and redness at site with increasing redness and swelling for past two days, with body aches and low-grade fever.
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Redness, pain, itching at the site of injection after 24 hrs. Symptoms improved after 48 hrs.
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Induration, Pruritus, Rash erythematous
Clinical narrative: Redness, pain, itching at the site of injection after 24 hrs. Symptoms improved after 48 hrs.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Redness, pain, itching, swelling and warmth at the site of injection after 24 hrs. Swelling existed and got bigger after 48 hrs.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Redness, pain, itching, swelling and warmth at the site of injection after 24 hrs. Swelling existed and got bigger after 48 hrs.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Wednesday 2/22/12 pt woke up had swelling to left deltoid that was quite noticeable compared to right deltoid. Thursday 2/23/12 pt developed a fever 101.3 degrees F TYLENOL given and body aches. Redness to left deltoid size of softball. Friday left deltoid swelling small amount with redness that is the size of a quarter. Pt has no pain, fever or body aches. No sign of infection.
Age: 54.0
Sex: M
Vaccine: TYP
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Severe diarrhea for 2 days, emesis x 2 post 4th dose oral Typhoid.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Headache
Clinical narrative: Persistent headache. Little improvement with TYLENOL and ADVIL. Headache lasted over 1 week.
Age: 55.0
Sex: M
Vaccine: RAB
Symptoms: Erythema multiforme, Pruritus, Rash generalised
Clinical narrative: Complained of itching - mainly on legs, starting 2/17/12.  Er 2/18/12, PCP 2/20/12, dermatologist 2/21/12.  DX:  erythema multiforme.  Using steroid cream, improving.  Rash did spread to rest of body.
Age: 23.0
Sex: M
Vaccine: DTAP
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Joint pain, fever, body aches, site swelling and pain.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Brain scan normal, Central nervous system function test normal, Dysarthria, Dyskinesia, Headache
Clinical narrative: Severe headache, slurred speech. Involuntary body movement (tic, tremor muscle movements.) 2-21-12 severe movements every few mins to every hour or so sometimes when the nurse ck blood pressure it would start then as hours/days went by finally subsiding on the evening of 2-23-12.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test, Laboratory test normal, Nuclear magnetic resonance imaging normal, Thyroid function test normal, Tic
Clinical narrative: Severe headache, slurred speech. Involuntary body movement (tic, tremor muscle movements.) 2-21-12 severe movements every few mins to every hour or so sometimes when the nurse ck blood pressure it would start then as hours/days went by finally subsiding on the evening of 2-23-12.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Toxicologic test normal, Tremor
Clinical narrative: Severe headache, slurred speech. Involuntary body movement (tic, tremor muscle movements.) 2-21-12 severe movements every few mins to every hour or so sometimes when the nurse ck blood pressure it would start then as hours/days went by finally subsiding on the evening of 2-23-12.
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Alanine aminotransferase increased, Arthralgia, Blood creatine phosphokinase normal, Blood thyroid stimulating hormone normal, Brain natriuretic peptide increased
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest discomfort, Chest pain, Differential white blood cell count abnormal, Discomfort, Echocardiogram normal
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Ejection fraction normal, Electrocardiogram ST segment normal, Electrocardiogram normal, Fatigue, Full blood count abnormal
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Haematocrit decreased, Haemoglobin, Liver function test normal, Lymphadenopathy, Lymphocyte percentage decreased
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Metabolic function test normal, Mobility decreased, Musculoskeletal stiffness, Myalgia, Neutrophil percentage increased
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Pain, Painful respiration, Platelet count decreased, Red blood cell count decreased, Red blood cell sedimentation rate normal
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Breath holding, Chest discomfort, Chest pain, Differential white blood cell count normal, Discomfort
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Echocardiogram normal, Ejection fraction normal, Electrocardiogram normal, Fatigue, Full blood count decreased
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...
Age: 24.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypokinesia, Injected limb mobility decreased, Liver function test normal
Clinical narrative: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...