chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Troponin increased, Urine analysis normal, Vomiting
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Abdominal pain upper, Adenovirus test, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood magnesium normal
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Blood phosphorus normal, Borrelia test negative, C-reactive protein increased, Cardiac enzymes increased, Chest discomfort
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Chest pain, Coxsackie virus test positive, Cytomegalovirus test negative, Diarrhoea, Electrocardiogram ST segment depression
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Enterovirus test negative, Epstein-Barr virus antibody negative, Epstein-Barr virus antibody positive, Full blood count normal, Hepatitis B surface antibody positive
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Hepatitis B test negative, Human herpes virus 6 serology positive, Influenza virus test positive, International normalised ratio normal, Laboratory test normal
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Lipids normal, Liver function test normal, Metabolic function test normal, Muscle tightness, Musculoskeletal pain
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Nausea, Nuclear magnetic resonance imaging, Painful respiration, Palpitations, Parvovirus B19 test negative
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Prothrombin time normal, Red blood cell sedimentation rate normal, Respiratory syncytial virus test negative, Retching, Troponin I increased
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Troponin T normal, Urine analysis normal, Vomiting, X-ray normal
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Blood phosphorus normal, Borrelia test negative, C-reactive protein increased, Cardiac enzymes increased, Cardiac imaging procedure
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Cardiac imaging procedure normal, Chest X-ray normal, Chest discomfort, Chest pain, Coxsackie virus test negative
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Coxsackie virus test positive, Cytomegalovirus test negative, Diarrhoea, Electrocardiogram ST segment depression, Electrocardiogram abnormal
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Enterovirus test negative, Epstein-Barr virus antibody positive, Full blood count normal, Hepatitis B surface antibody positive, Influenza A virus test positive
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Influenza B virus test positive, International normalised ratio normal, Laboratory test normal, Lipids normal, Liver function test normal
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Metabolic function test normal, Muscle tightness, Musculoskeletal pain, Myalgia, Nausea
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Prothrombin time normal, Red blood cell sedimentation rate normal, Respiratory syncytial virus test negative, Retching, Roseolovirus test positive
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Troponin I increased, Troponin T increased, Troponin increased, Urine analysis normal, Vomiting
Clinical narrative: This 21 year old patient received primary Smallpox (VV04-003A), Anthrax #1 (FAV328A), and IM Typhoid (H1482) vaccines on 11/13/2013. He received seasonal IM influenza (007011A Novartis) on 11/6/2013. He denied any adverse reactions to these vaccinations with medical records documenting a major take at his SPV site. On 12/30/2013 after traveling home; he began to complain of stomach ache with nausea, vomiting and diarrhea (brown-clear liquid) that night. By 6 am 12/31/13 his vomiting had stopped and his diarrhea ceased on 1/1/2014. He denied fever, sweats, or eating any new foods, seafood, and family was not ill (ate similar food at home). He awoke 1/2/2014 with a burning 8/10 pressure to mid chest and could feel his heart beating, his jaw was tight as if he'd just chewed or clenched teeth, and had tingling pain to left >right shoulder. He vomited once and had dry heaves. He stated it hurt to breathe deep but no shortness of breath. Position changes did not affect the pain. He drove himself to nearby facility and was referred to nearby hospital. At the ER his EKG showed NSR with 1mm ST depression V4-5, normal CXR, and elevated cardiac enzymes: CK 391 (H), CKMB 13.5 (H), CK% 3.4, Troponin POC 0.56, Troponin T 0.19, normal BMP, CBC, PT and INR. His pain was treated with ASA, 1L NS bolus and one NORCO 5/325 with pain easing to 2/10 (like a sore muscle in his chest). He was transferred and admitted. That evening about 7pm his pain again worsened to 8/10 as dull intense chest pain without nausea or radiating pain. His EKG remained in NSR and he was treated with MOTRIN and colchicine with minimal relief of pain. One PERCOCET resolved his pain (0/10). He was started on routine IV then oral NSAIDS with no reoccurrence of pain as of 1/7/2014.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site anaesthesia, Injection site pain, Nerve injury, Pain in extremity
Clinical narrative: This medically confirmed report (initial receipt 06-Jan-2014) concerns a 60 year old female patient with a medical history of morphine allergy. On the 01-Nov-2013, the patient received AFLURIA (batch number R53307A) 0.5mL via the intramuscular route. On an unspecified date, the patient developed excruciating pain and numbness in the entire arm in which AFLURIA was injected. These symptoms lasted approximately three days. The patient went to see the pharmacist and reported her symptoms to the pharmacist about two weeks after AFLURIA was administered and at that time she had recovered. On an unspecified date (in December 2013 or January 2014), the patient returned to the pharmacy and stated that the nerve was damaged. Outcome was not reported. The events of pain and numbness in the entire arm were reported as recovered.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report as received from a physician via field employee refers to a 56 year old female patient. On an unknown date in March 2013 the patient was vaccinated with ZOSTAVAX vial 19400 PFU. Dose, lot and expiry date were unspecified. On an unknown date in approximately 2013, the patient developed a full blown case of shingles after receiving ZOSTAVAX. The patient had shingles on her hips and buttocks and had received a nerve shot 2 days prior developing shingles. The physician had informed that patient sought medical attention by office visit. Unspecified antiviral medications were given as treatment for the event. The outcome of event was reported as recovering/resolving. VZVIP packed faxed. Additional information has been requested.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis
Clinical narrative: This spontaneous report as received from a treating pharmacist via a company representative refers to multiple, unspecified patients, during the past three days, had received ZOSTAVAX (Lot# unspecified) single dose injection (dose and location unspecified), and returned to the pharmacy within three days post-vaccination, with symptoms of "cellulitis" at the injection site and surrounding areas. The patient did not reintroduce the therapy, the patient had sought medical attention via contact pharmacist. At the time of report, the outcome of the event was unknown. Follow up information has been received from a pharmacy manager refers to a 63 year old female patient. On 13-NOV-2013 the patient was vaccinated with a dose of ZOSTAVAX (No lot number available, no expiration date available) (dose and route not reported). The pharmacy manager confirmed that the adverse event of injection cellulitis did occur 3 days after receiving the vaccination approximately on 16-NOV-2013. Treatment: Primary care physician prescribed KEFLEX to the patient, Pharmacy manager stated that this patient recovered and did not need to be admitted to a hospital for further treatment. This is one of several reports received from the same reporter. It was linked to MARRS# 1312USA010651, and MARRS#1401USA005670. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a physician refers to a patient of unknown age and gender. On an unknown date, the patient was vaccinated with the first dose of GARDASIL injection, 0.5ml, intramuscular (lot #, strength and indication not reported). The patient was vaccinated with the second dose of GARDASIL (lot #, strength and indication not reported) on 30-AUG-2013 and third dose of GARDASIL (lot #, strength and indication not reported) was administered less than 12 weeks later on 19-NOV-2013. No adverse events were reported. Additional information has been requested.
Age: 44.0
Sex: M
Vaccine: HPV4, VARZOS
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: This spontaneous report refers to a 44 year old male patient. In June 2013 the patient received a dose one of GARDASIL (lot number, dose, route and site of administration were not reported), when the patient was 44 year old. The patient received dose 2 of GARDASIL (lot number, dose, route and site of administration were not reported) in August 2013 (44 year old). The patient received a dose of ZOSTAVAX (lot umber, dose, route and site of administration were not reported) in August 2013 (44 years old). No adverse effects were reported. Additional information has been requested.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: After patient was given shot. She became lightheaded and seemed to lose consciousness for no more than 10 sec. Paramedics were called but patient was alert and conscious when they arrived. Went home without treatment from paramedics.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Pt. reported numbness on left side of face only. Denies paresthesia, difficulty breathing. Reports occurred 30 min after vaccine administration. MD notified.
Sex: F
Vaccine: MMR
Symptoms: Incorrect dose administered, Measles antibody negative
Clinical narrative: This spontaneous report as received from a pharmacist refers to an approximately 22 years old female patient reporting on herself. Patient with no drug reactions or allergies. Patient non pregnant. The patient's medical history included at age 2-3 years old had measles. On an unknown date the patient was vaccinated with MMR II (route, lot number and expiration date not reported) for vaccination schedule and due to school requirements, patient received the two doses as a child. There was no concomitant medication reported. On an unknown date in 1996 the patient showed no immunity to measles during pharmacy rotations and received another series of MMR II (subcutaneous, lot number and expiration date not reported) and then titers during graduate school on an unknown date in 2006 showed no immunity to measles and the pharmacist was given another series of MMR II (subcutaneous, lot number and expiration date not reported). Pharmacist reported that the series given during pharmacy rotation and graduate school were the standard dose given subcutaneous. Pharmacist was unsure the dose and route of the 2 doses given as a child. Pharmacist stated that a hospital job requirement recently was to do titers and the pharmacist showed no immunity to measles. On an unknown date the patient sought for medical attention and was seen in office by an unspecified physician. No additional doses of MMR II had been given at the time of this report. The patient currently status was reported as patient showed no immunity to measles. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant refers to a patient of unknown age. On 23-JAN-2013, 27-JUN-2013 and 28-AUG-2013 the patient was vaccinated with the first, second and third 0.5 ml doses of GARDASIL (lot# not reported) IM separately. No adverse effects reported. Additional information has been requested.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Confusional state, Disturbance in attention, Dizziness, Fatigue, Feeling hot
Clinical narrative: This case was reported by a healthcare professional (a nurse) and described the occurrence of headache in a 37-year-old female subject (also a nurse) who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medical conditions included allergy to CYMBALTA. On 6 August 2013 at 10:50 the subject received 3rd dose of ENGERIX B (20 mcg, unknown route, left arm). On 6 August 2013, 2 hours after vaccination with ENGERIX B, the subject experienced headache, dizziness, feeling hot, felt sweaty, muscle pain, fatigue and feeling of confusion. The events were reported as a systemic reaction. The events of headache, dizziness, feeling hot, felt sweaty, muscle pain and feeling of confusion resolved on 7 August 2013. At the time of reporting the event of fatigue was unresolved. Follow up was received from nurse on 17 September 2013. The nurse reported that on 6 August 2013, within the same month as vaccination with ENGERIX B, the subject experienced flushing, tingling in the arms and hands, blurred vision, and lack of concentration. The nurse noted that on 6 August 2013, at 19:20 the symptoms had resolved with sequelae and noted "though very tired." The nurse did not consider this case to be serious. The nurse noted that the following could have been associated with the events: allergy to CYMBALTA of "heart palpitations", frequent "hormonal" headaches, and current medications. Concurrent medical conditions included drug allergy and noted an allergy to ENGERIX B with onset of 6 August 2013 and a resolved outcome of 8 August 2013. Concurrent medications included Butalbital + acetaminophen + caffeine, LOESTRIN, Hydrocodone + acetaminophen, TYLENOL, TUMS and Multivitamins. The nurse reported subject used alcohol "1-2 per week." The nurse reported that the subject quit smoking in March 1996 after smoking "three-fourths of a pack for 15 years." The lot number was originally reported as AHDVC142AA, and, on follow up, the nurse corrected this to be AHBVC142AA.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Flushing, Headache, Hyperhidrosis, Myalgia, Paraesthesia
Clinical narrative: This case was reported by a healthcare professional (a nurse) and described the occurrence of headache in a 37-year-old female subject (also a nurse) who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medical conditions included allergy to CYMBALTA. On 6 August 2013 at 10:50 the subject received 3rd dose of ENGERIX B (20 mcg, unknown route, left arm). On 6 August 2013, 2 hours after vaccination with ENGERIX B, the subject experienced headache, dizziness, feeling hot, felt sweaty, muscle pain, fatigue and feeling of confusion. The events were reported as a systemic reaction. The events of headache, dizziness, feeling hot, felt sweaty, muscle pain and feeling of confusion resolved on 7 August 2013. At the time of reporting the event of fatigue was unresolved. Follow up was received from nurse on 17 September 2013. The nurse reported that on 6 August 2013, within the same month as vaccination with ENGERIX B, the subject experienced flushing, tingling in the arms and hands, blurred vision, and lack of concentration. The nurse noted that on 6 August 2013, at 19:20 the symptoms had resolved with sequelae and noted "though very tired." The nurse did not consider this case to be serious. The nurse noted that the following could have been associated with the events: allergy to CYMBALTA of "heart palpitations", frequent "hormonal" headaches, and current medications. Concurrent medical conditions included drug allergy and noted an allergy to ENGERIX B with onset of 6 August 2013 and a resolved outcome of 8 August 2013. Concurrent medications included Butalbital + acetaminophen + caffeine, LOESTRIN, Hydrocodone + acetaminophen, TYLENOL, TUMS and Multivitamins. The nurse reported subject used alcohol "1-2 per week." The nurse reported that the subject quit smoking in March 1996 after smoking "three-fourths of a pack for 15 years." The lot number was originally reported as AHDVC142AA, and, on follow up, the nurse corrected this to be AHBVC142AA.