chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Amnesia, Herpes zoster, Paraesthesia
Clinical narrative: This spontaneous report as received from a 79 year old male consumer reporting on himself. On an unknown date, "a few years", the patient was vaccinated with a dose of ZOSTAVAX (dose, route and lot # not reported). Concomitant therapies included gabapentin. The consumer reported that on 01-SEP-2014 "3 weeks ago", he had a case of the shingles after receiving the vaccine. The consumer mentioned that before the tingling sensation he was experiencing memory loss for about 3 hours. Around the same time he got the tingling sensation and got a case of the shingles. The patient received treatment for the adverse events. At the time of the report, the patient's outcome was unknown. Additional information is not expected. There is no contact information.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report was received from a registered nurse referred to unspecified number of patients of unknown ages and genders. On unspecified dates in 2014, doses of GARDASIL (Lot# and expired date unspecified) and other vaccines were administered to unspecified patients (dose, frequency and route unspecified), after exposed to temperatures of 10 C degree for 37.5 hours/ temperature excursions with other vaccines on 08-AUG-2014, 13-AUG-2014 and 28-AUG-2014. No adverse effect has been reported. This is of the several reports from the same source. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report was received from a registered nurse referring to unspecified number of patients of unknown ages and genders. On unspecified dates in 2014, doses of M-M-R II (Lot# and expired date unspecified) and other vaccines were administered to unspecified patients (dose, frequency and route unspecified), after exposed to temperatures of 10 C degree for 37.5 hours/ temperature excursions on 08-AUG-2014, 13-AUG-2014 and 28-AUG-2014. No adverse effect has been reported. This is of the several reports from the same source. Additional information has been requested.
Sex: U
Vaccine: HEPA
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report was received from a registered nurse referring to unspecified number of patients of unknown ages and genders. On unspecified dates in 2014, doses of VAQTA (Lot# and expired date unspecified) and other vaccines were administered to unspecified patients (doses, frequency and route unspecified), after exposed to temperatures of 10 C degree for 37.5 hours/ temperature excursions on 08-AUG-2014, 13-AUG-2014 and 28-AUG-2014. No adverse effect has been reported. This is of the several reports from the same source. Additional information has been requested.
Sex: U
Vaccine: VARCEL
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a licensed practitioner refers to an unspecified number of patients of unknown age and gender. On unknown dates the patients were vaccinated with improperly stored VARIVAX, (lot#, strength, dose, frequency and route unspecified). No adverse effects reported. This is one of several reports received from the same source. Additional information has been requested.
Sex: M
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: This spontaneous report was received from a consumer reporting on her son, a male patient of unknown age, as part of a market research program. Medical history and concurrent conditions were not reported. On an unknown date the patient was vaccinated with a dose of GARDASIL (dose, lot number, expiration date and route were not reported). Co-suspect and concomitant therapies were not reported. The mother of the patient reported that on an unknown date, her son experienced syncope. Son had already had the first and second dose of, then experienced syncope. The mother refused third dose administration due to risk of death as indicated in studies from other countries (MARRS 1409USA009660). He would not take it unless he decided after age 18. At the time of the report the outcome was unknown. This is one (1) of three (3) reports from the same source (MARRS 1409USA009660, 1409USA011219 and 1409USA010733). Additional information has been requested.
Sex: U
Vaccine: HEP
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report was received from a certified medical assistant refers to a patient of unknown age and gender. No medical history or concurrent conditions were reported. On 22-SEP-2014, the patient was inadvertently vaccinated with RECOMBIVAX HB, injection, (lot # J014312; Exp. date: 07-SEP-2014) (route of administration was not provided). Co-suspect or concomitant therapies were not reported. The dose administered had expired. No adverse effects reported. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report as received from a pharmacist refers to a patient of unknown age and gender. No pertinent medical history or drug reactions/allergies were provided. The pharmacist reported that, on 22-SEP-2014, the patient received expired ZOSTAVAX (lot # J006832; expiration date 14-SEP-2014; dose and route not provided). The pharmacist stated the ZOSTAVAX did not have any previous temperature excursions. The ZOSTAVAX was found to be supported with in-house stability data. No adverse symptoms reported. Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a certified medical assistant refers to an unknown number of patients of unknown age and unknown gender. No pertinent medical history, drug reactions or allergies were reported. Since 12-AUG-2014, improperly stored ROTATEQ oral liquid, was administered to an unknown number of patients (dose, dose number, dose schedule, lot number and expiration date were unspecified). No adverse effects were noted. No concomitant therapies were reported. The outcome if the event was unknown. This is one of several reports received from the same reporter. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a certified medical assistant refers to an unknown number of patients of unknown age and unknown gender. No pertinent medical history, drug reactions or allergies were reported. Since 12-AUG-2014, improperly stored PNEUMOVAX 23 was administered to an unknown number of patients (dose, dose number, dose schedule, route, anatomical location, lot number and expiration date were unspecified). No adverse effects were noted. No concomitant therapies were reported. The outcome of the event was unknown. This is one of several reports received from the same reporter. Additional information has been requested.
Sex: U
Vaccine: HIBV
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a licensed practitioner nurse refers to an unspecified number of patients of unknown age and gender. On unknown dates the patients were vaccinated with improperly stored PEDVAX HIB (lot#, strength, dose, frequency and route unspecified). No adverse effects reported. This is one of several reports received from the same source. Additional information has been requested.
Age: 63.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 63 year old female patient without drug reactions/allergies. On 28-AUG-2014, the patient was vaccinated with the first dose of PNEUMOVAX 23 (lot # K004148, expiration date 10-MAY-2015) injection (dose and strength not reported). Concomitant therapies included BENTYL, PROTONIX, cholestyramine resin and SYMBICORT. The pharmacist reported that on 28-AUG-2014 the patient developed redness and swelling "the size of a half of a boiled egg" at the injection site within 45 minutes to 1 hour after receiving the vaccine. The patient was seen in the emergency room due to the redness and swelling. NARCO was given to treat the adverse events. At the time of this report, the outcome of the events was recovering. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: A large red swollen area at the injection site 2.5 inches long, 2 inches wide hot to the touch.
Age: 33.0
Sex: F
Vaccine: DTAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Severe pain in arm of injection for one week.  Difficulty using the arm. Taking ibuprofen over the counter round the clock.
Age: 22.0
Sex: F
Vaccine: HPVX
Symptoms: Arthralgia, Back pain, Blood test, Muscular weakness, Nuclear magnetic resonance imaging
Clinical narrative: Sciatica, Low back pain, R hip pain, R leg weakness and major pain in leg.
Age: 22.0
Sex: F
Vaccine: HPVX
Symptoms: Nuclear magnetic resonance imaging spinal, Pain in extremity, Sciatica
Clinical narrative: Sciatica, Low back pain, R hip pain, R leg weakness and major pain in leg.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Local swelling, Mobility decreased, Pyrexia
Clinical narrative: Fever-Swelling of arm-arm immobile.
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Fatigue, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Fever, pounding ongoing headache, flu-like feeling, aches, fatigue.
Age: 10.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, IPV, MMR, TDAP, VARCEL
Symptoms: Headache, Pyrexia, Rash erythematous, Varicella post vaccine
Clinical narrative: Patient developed a fever of 99.3 and a headache. On the morning of 9/22/2014 patient still complained of a headache and had a fever of 99.7. On the evening of 9/22/2014 at 7:00 PM patient had pink spots on his chest and behind his ears. On 9/22/2014 at 1:30 PM patient went to his doctor as his chest/back/ and part of his face/neck had more pink spots and his fever was 99.2. He was diagnosed with chicken pox. As of today 9/23/2014 patient still has a temp of 99.7 (which we alleviate with Tylenol) and his entire face/neck/chest/stomach/back and legs are covered with chicken pox (at least 50-60 spots on each area of his body).
Age: 10.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, IPV, MMR, TDAP, VARCEL
Symptoms: Pyrexia, Rash, Varicella post vaccine
Clinical narrative: Patient developed a fever of 99.3 and a headache. On the morning of 9/22/2014 patient still complained of a headache and had a fever of 99.7. On the evening of 9/22/2014 at 7:00 PM patient had pink spots on his chest and behind his ears. On 9/22/2014 at 1:30 PM patient went to his doctor as his chest/back/ and part of his face/neck had more pink spots and his fever was 99.2. He was diagnosed with chicken pox. As of today 9/23/2014 patient still has a temp of 99.7 (which we alleviate with Tylenol) and his entire face/neck/chest/stomach/back and legs are covered with chicken pox (at least 50-60 spots on each area of his body).
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient has redness, swelling and warm to touch area approximately 1 inch below injection site that is approximately 2.5 inches long and wraps around the entire arm.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Cough, Influenza like illness, Pain, Pyrexia
Clinical narrative: Flu like symtoms, fever, cough, achy.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm begin swelling, redness and warmth late in evening.  The next morning covered 80% of area between right shoulder and elbow with pain.  Gross edema, redness, and warmth.
Age: 28.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Nausea; light headed; redness and pain at the site of varicella administration; swelling initially but has now decreased per MD given antibiotic, prednisone and rx for the nausea.
Age: 6.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Fatigue, Oropharyngeal pain, Pain in extremity, Pyrexia
Clinical narrative: Fever - 101 degrees. Achy legs. Sore throat. Fatigue.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Very sore at site of injection.  Recommended putting ice on the location, which she did...I followed up with her on the morning of 9/24/2014.  She said the arm was feeling better and didn't have further issues.
Age: 34.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Activities of daily living impaired, Decreased appetite, Feeling cold, Headache, Malaise
Clinical narrative: Client reports that on 9/18/14 in the evening she started to not feel well. She reports loss of appetite accompanied by 5 pound weight loss between 9/18 and 9/24. Client also reports a "horrible headache" mostly on left side of head. She reports neck pain and stiffness that "comes and goes". The headache is also accompanied by nausea that makes her "unable to even brush teeth". Client also reports that she feels very cold but her body temp. to touch feels warm/normal. She has been taking 4 Advil pills per day and it has not helped with the pain. She is not sure if she has a fever as she has not checked her temp. Client did report that on 9/23 the symptoms had all stopped but then reappeared on 9/24 at 2:30 a.m.
Age: 34.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Musculoskeletal stiffness, Nausea, Neck pain, Weight decreased
Clinical narrative: Client reports that on 9/18/14 in the evening she started to not feel well. She reports loss of appetite accompanied by 5 pound weight loss between 9/18 and 9/24. Client also reports a "horrible headache" mostly on left side of head. She reports neck pain and stiffness that "comes and goes". The headache is also accompanied by nausea that makes her "unable to even brush teeth". Client also reports that she feels very cold but her body temp. to touch feels warm/normal. She has been taking 4 Advil pills per day and it has not helped with the pain. She is not sure if she has a fever as she has not checked her temp. Client did report that on 9/23 the symptoms had all stopped but then reappeared on 9/24 at 2:30 a.m.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash, Vaccination site rash
Clinical narrative: Rash starting at site of vaccination and spreading to his torso with itching.
Age: 10.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: 40X60 mm warm, tender, firm induration with overlying erythema.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphonia, Dyspnoea, Headache, Heart rate increased, Myalgia
Clinical narrative: Sudden shortness of breath, hoarseness, constricting of throat, wheezing, increased heart rate.  A few hours later, around 2:00 am on 9/24/14, I experienced a severe headache and severe muscle pain.  I was alone and could not drive to the hospital so I treated it my reaction as I would any allergic reaction, with OTC antihistamines and Albuterol to help with my shortness of breath.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Throat tightness, Wheezing
Clinical narrative: Sudden shortness of breath, hoarseness, constricting of throat, wheezing, increased heart rate.  A few hours later, around 2:00 am on 9/24/14, I experienced a severe headache and severe muscle pain.  I was alone and could not drive to the hospital so I treated it my reaction as I would any allergic reaction, with OTC antihistamines and Albuterol to help with my shortness of breath.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Immediate post-injection reaction, Nausea, Paraesthesia
Clinical narrative: Patient felt a tingling up and down her arm and into her fingers as soon as the shot was administered.  Started feeling nauseous and light headed. Patient was given crackers and drink and she sat down for about 30 minutes. She started to feel better and said the tingling got better, then left.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash erythematous
Clinical narrative: A RED RASH DEVELOPED ON RIGHT ARM BUT NOT IN THE AREA WHERE THE INJECTION WAS GIVEN.
Age: 1.56
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Blood test normal, Cellulitis, Staphylococcal infection, Staphylococcus test positive
Clinical narrative: This is a spontaneous report from a contactable medical assistant who was calling from pediatrician's office on behalf of the physician, obtained via a Non Clinical Study Program (Pfizer Customer Service). A 18 months old male patient received fourth single dose PREVNAR 13 (lot H83179, expiration date 30Sep2015) on 11Sep2014, in the right thigh, at 0.5 ml single. Concomitant vaccines included: HIB vaccine in left thigh on 11Sep2014 at 0.5 ml and DTAP in left thigh on 11Sep2014 at 0.5 ml. Medical history was not provided. The reporter stated that the vaccine caused the patient cellulitis on an unspecified date in Sep2014. The reporter stated they went to the ER on Saturday over the weekend and in the ER they diagnosed him with the staph infection and he came in today and our doctor actually said that it was cellulitis. The patient did get some blood work when he went to the ER over the weekend. The patient came to the clinic for follow up on 17Sep2014. The patient was given the first dose of PREVNAR 13 on 23Apr2013, second dose on 18Jun2013 and third dose on 20Aug2013. There was no known reaction in the past. The patient was recovering from cellulitis at the time of report.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash erythematous
Clinical narrative: PATIENT HAS A RED RASH ON HER UPPER LEFT ARM BUT NOT AROUND THE AREA WHERE THE VACCINE WAS GIVEN.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Cold sweat, Fatigue, Headache, Pain
Clinical narrative: On the night of the vaccine, I had unexplained and significant fatigue, chills, and aches that lasted through the following day.  I also had periodic headaches and was unusually thirsty.  Two days after the vaccine, I had a slightly runny nose and cold sweats.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Rhinorrhoea, Thirst
Clinical narrative: On the night of the vaccine, I had unexplained and significant fatigue, chills, and aches that lasted through the following day.  I also had periodic headaches and was unusually thirsty.  Two days after the vaccine, I had a slightly runny nose and cold sweats.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Pt states has continued Left arm pain since recieving flu shot and vitamin B12 injections.
Age: 0.83
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Convulsion, Laboratory test normal, Pyrexia
Clinical narrative: Pt started to run a fever. He had a seizure sometime later.
Age: 19.0
Sex: M
Vaccine: VARCEL
Symptoms: Body temperature increased, Malaise
Clinical narrative: Mom reported he began running temp (101.0), didn't feel well so she took him to the emergency room.
Age: 4.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain, Musculoskeletal pain, Pain in extremity, Pyrexia
Clinical narrative: Body aches mostly in the the legs and shoulders.  Fever to 102 in the night.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Neck pain
Clinical narrative: Felt warmth to area of injection site RUA and redness with tenderness on first night with neck ache; noticed increased size of redness and warmth and tenderness to upper arm; by 3rd day, now feeling achiness radiating to R hand; taken Benadryl and ibuprofen for symptoms, ice packs applied.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Felt warmth to area of injection site RUA and redness with tenderness on first night with neck ache; noticed increased size of redness and warmth and tenderness to upper arm; by 3rd day, now feeling achiness radiating to R hand; taken Benadryl and ibuprofen for symptoms, ice packs applied.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test normal, Chest X-ray normal, Chest discomfort, Fatigue
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Headache, Hypoaesthesia, Muscular weakness, Pyrexia, Tunnel vision
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Urine analysis normal, Vaccination complication, Vision blurred
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test, Chest X-ray, Dizziness, Fatigue
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Headache, Hypoaesthesia, Muscular weakness, Paraesthesia, Tunnel vision
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Urine analysis, Vision blurred
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Drug screen, Fatigue, Full blood count, Headache
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Hypoaesthesia, Metabolic function test, Muscular weakness, Pain, Paraesthesia
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Pyrexia, Urine analysis, Vision blurred
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test normal, Chest X-ray normal, Chest discomfort, Condition aggravated
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Dyspnoea, Fatigue, Headache, Hypoaesthesia, Muscular weakness
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Pyrexia, Tunnel vision, Urine analysis normal, Vaccination complication, Vision blurred
Clinical narrative: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test normal, Chest X-ray normal, Chest discomfort, Fatigue
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Headache, Hypoaesthesia, Muscular weakness, Pyrexia, Tunnel vision
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Urine analysis normal, Vaccination complication, Vision blurred
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test, Chest X-ray, Dizziness, Fatigue
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Headache, Hypoaesthesia, Muscular weakness, Paraesthesia, Tunnel vision
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Urine analysis, Vision blurred
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Drug screen, Fatigue, Full blood count, Headache
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Hypoaesthesia, Metabolic function test, Muscular weakness, Pain, Paraesthesia
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Pyrexia, Urine analysis, Vision blurred
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test normal, Chest X-ray normal, Chest discomfort, Condition aggravated
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Dyspnoea, Fatigue, Headache, Hypoaesthesia, Muscular weakness
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Pyrexia, Tunnel vision, Urine analysis normal, Vaccination complication, Vision blurred
Clinical narrative: Blurred vision, tunnel vision, muscle weakness, full body numbness/tingles, headache, dizziness, extreme fatigue, short term memory loss.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test normal, Chest X-ray normal, Chest discomfort, Fatigue
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Headache, Hypoaesthesia, Muscular weakness, Pyrexia, Tunnel vision
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Urine analysis normal, Vaccination complication, Vision blurred
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test, Chest X-ray, Dizziness, Fatigue
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Headache, Hypoaesthesia, Muscular weakness, Paraesthesia, Tunnel vision
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Urine analysis, Vision blurred
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Drug screen, Fatigue, Full blood count, Headache
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Hypoaesthesia, Metabolic function test, Muscular weakness, Pain, Paraesthesia
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Pyrexia, Urine analysis, Vision blurred
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Amnesia, Blood test normal, Chest X-ray normal, Chest discomfort, Condition aggravated
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Dyspnoea, Fatigue, Headache, Hypoaesthesia, Muscular weakness
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 24.0
Sex: F
Vaccine: RAB, RAB, RAB, RAB
Symptoms: Pyrexia, Tunnel vision, Urine analysis normal, Vaccination complication, Vision blurred
Clinical narrative: Pt reported her symptoms began after the 2nd vaccination of rabies on 9/22/14 with facial and generalized body numbness/tingling, short term memory loss, fatigue, body aches, fevers, headaches, blurry vision, muscle weakness. She went to the ER around 3pm on her own. She had the 1st rabies vaccine on 9/15/14, and an influenza vaccine on 9/16/14.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: Shingles outbreak.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: REDNESS AND WARM AROUND INJECTION SITE.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Bacterial test negative, CSF pressure increased, CSF virus no organisms observed, CSF white blood cell count increased, Cytomegalovirus test negative
Clinical narrative: Headache, vomiting, felt to be "migraine" but developed meningitis 370 mononuclear WBCs in CSF, pressure > 55 cm H2O, all viral, fungal and bacterial studies are normal.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Enterovirus test negative, Fungal test negative, Headache, Herpes simplex serology negative, Meningitis
Clinical narrative: Headache, vomiting, felt to be "migraine" but developed meningitis 370 mononuclear WBCs in CSF, pressure > 55 cm H2O, all viral, fungal and bacterial studies are normal.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Mycobacterium tuberculosis complex test negative, Nuclear magnetic resonance imaging brain abnormal, Viral test negative, Vomiting
Clinical narrative: Headache, vomiting, felt to be "migraine" but developed meningitis 370 mononuclear WBCs in CSF, pressure > 55 cm H2O, all viral, fungal and bacterial studies are normal.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Pain
Clinical narrative: Patient described severe pain at time of immunization.  Patient returned to pharmacy 9/24/2014 to report continued pain.
Age: 51.0
Sex: F
Vaccine: FLUC3, FLUX
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Ear discomfort, Nausea, Vertigo
Clinical narrative: Ears clogged, especially the R ear. 9/14/14 - developed nausea, vomiting and vertigo.  Was treated in the ER. Followed up by ENT, diagnosed with R ear hearing loss.
Age: 51.0
Sex: F
Vaccine: FLUC3, FLUX
Symptoms: Vomiting
Clinical narrative: Ears clogged, especially the R ear. 9/14/14 - developed nausea, vomiting and vertigo.  Was treated in the ER. Followed up by ENT, diagnosed with R ear hearing loss.
Age: 51.0
Sex: F
Vaccine: FLUC3, FLUX
Symptoms: Acoustic stimulation tests, Deafness bilateral, Ear congestion, Ear discomfort, Musculoskeletal stiffness
Clinical narrative: Ears clogged, especially the R ear. 9/14/14 - developed nausea, vomiting and vertigo.  Was treated in the ER. Followed up by ENT, diagnosed with R ear hearing loss.
Age: 51.0
Sex: F
Vaccine: FLUC3, FLUX
Symptoms: Nausea, Tinnitus, Vertigo
Clinical narrative: Ears clogged, especially the R ear. 9/14/14 - developed nausea, vomiting and vertigo.  Was treated in the ER. Followed up by ENT, diagnosed with R ear hearing loss.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Asthma, Dysphonia, Lacrimation increased, Migraine, Respiratory distress
Clinical narrative: Respiratory distress, runny nose and eyes hoarseness.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Rhinorrhoea
Clinical narrative: Respiratory distress, runny nose and eyes hoarseness.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Coronary artery bypass, Malaise
Clinical narrative: This case was reported by a consumer via GSK Access and described the occurrence of not feeling well in a 61-year-old female subject who was vaccinated with influenza unspecified (manufacturer unspecified). A physician or other health care professional has not verified this report. Concurrent medical conditions included asthma. Since 2004, the subject took ADVAIR for asthma. In 2005, the subject had a quadruple bypass and her asthma seemed to get worse afterwards. On 17 September 2014, the subject received a dose of influenza vaccine unspecified (administration site and route unknown, batch number not provided). On 18 September 2014, 1 day after vaccination with influenza vaccination unspecified, the subject didn't feel well. This case was assessed as medically serious by GSK. At the time of reporting, the outcome of the events was unspecified.
Age: 65.0
Sex: F
Vaccine: FLUX, HEP, FLUX, HEP
Symptoms: Abdominal pain, Hepatic enzyme
Clinical narrative: This case was reported by a pharmacist and described the occurrence of severe abdominal pain in a more than 65-year-old female subject who was vaccinated with ENGERIX B adult (GlaxoSmithKline) and an unspecified Influenza vaccine. Concurrent medical conditions included high blood pressure treated with unspecified blood pressure medication. Concurrent medications also included LASIX and RESTORIL. The reporter administered the 1st and 2nd doses of ENGERIX B adult to the subject in the past and no adverse event occurred. Historical vaccination included FLUARIX or FLULAVAL vaccinations (unspecified) and the subject did not experience any adverse event. On 17 September 2014, the subject received 3rd dose of ENGERIX B adult (unknown route and injection site, batch number not provided) and an unspecified dose of Influenza vaccine (unknown route and injection site). On 19 September 2014, 2 days after vaccination with ENGERIX B adult and Influenza vaccine, the subject experienced severe abdominal pain. On 20 September 2014, the subject was hospitalised. The hospital suspected that her liver enzymes would be high, but the results had not come back yet when the reporter spoke with the subject. At the time of reporting, the outcome of the event was unspecified.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt received flu shot on 9/13 given by RPh. She came to pharmacy the next day with red raised spot at injection site. She did not break out in a rash. Shot not given in muscle per pt.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Somnolence
Clinical narrative: Patient complained of itching from the shoulder to the elbow in the arm where the injection was given after one minute.  Patient was given 50mg of Benadryl orally 2 minutes after complaint.  Patient remain in the pharmacy area for 40 minutes before going home.  Patient reported that her arm was not itching as much but just felt very drowsy.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain upper, Arthralgia, Hypoaesthesia, Malaise, Migraine
Clinical narrative: Numbness in upper arm leading to temporary paralysis of fingers on that arm next day. Generalized soreness, shooting joint pains, migraine, stomach pains.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Pain, Paraesthesia, Paralysis
Clinical narrative: Numbness in upper arm leading to temporary paralysis of fingers on that arm next day. Generalized soreness, shooting joint pains, migraine, stomach pains.
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Under arm swelled from injection site to elbow, turned red, and warm. Hurt to move arm and elbow. Applied ice, kept raised as much as possible and three days later redness and swelling down to elbow area only and still warm.  School nurse advised me to make notification to you. VIS IIV08/14/2014  Location RA Lot#UI/73AB Exp 6/30/15
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth and swelling starting at injection site (right deltoid) and extending down forearm to elbow.
Age: 31.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Arthralgia, Axillary pain, Burning sensation, Erythema, Pain in extremity
Clinical narrative: Pt reports redness, hives, burning, and pain to anterior arm, joint, and axilla. Benadryl, Prednisone.
Age: 31.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Urticaria
Clinical narrative: Pt reports redness, hives, burning, and pain to anterior arm, joint, and axilla. Benadryl, Prednisone.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, with itching, over most of body...even L. eye  Took 50 mg. Benadryl when itching began.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Decreased appetite, Injection site swelling, Vomiting
Clinical narrative: Vomiting, decreased appetite, swollen injection site.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash, Injection site swelling, Pain in extremity
Clinical narrative: Pain in arm beginning the evening after vaccination.  Swelling and rash that extends from shoulder to elbow beginning the following day.  On 09/24/14 vaccinated person reports that they are able to lift their arm but the swelling is still there.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Rash, itching.
Age: 11.0
Sex: F
Vaccine: FLU4, MNQ, TDAP
Symptoms: Lip swelling
Clinical narrative: Described as extreme upper lip swelling.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Injection site pain, Malaise, Pain
Clinical narrative: Onset: inject site pain followed by fever, chills, body aches, malaise, and vomiting. 9/24 5 AM: headache, all other symptoms resolved. All symptoms resolved by mid-morning.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: Onset: inject site pain followed by fever, chills, body aches, malaise, and vomiting. 9/24 5 AM: headache, all other symptoms resolved. All symptoms resolved by mid-morning.