chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness, Fatigue, Head discomfort, Impaired work ability, Influenza like illness
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 50-year-old male patient who received RABAVERT (batch number 628011A, expiry date unknown). The patient's past medical history included animal bite. Concomitant products included immunoglobulin human anti-rabies (HRIG). On 19th June 2017 19:00, the patient received the 1st dose of RABAVERT 1 ml. In June 2017, 12 hrs after receiving RABAVERT, the patient experienced muscle cramp. On 19th June 2017, the patient experienced heaviness of head. On 19th June 2017 21:00, the patient experienced influenza-like symptoms, malaise, dizziness and tiredness. On an unknown date, the outcome of the influenza-like symptoms, muscle cramp, malaise, dizziness, tiredness and heaviness of head were recovering/resolving. The reporter considered the influenza-like symptoms, muscle cramp, malaise, dizziness, tiredness and heaviness of head to be almost certainly related to RABAVERT. Additional details were reported as follows: The patient received RABAVERT for post exposure treatment after bat encounter. The symptoms included the patient's head feeling heavy which continued through the day after the vaccine such that he was not able to work. Along with the RABAVERT the patient received the Human Rabies Immune Globulin in his foot which was the site of exposure. Two hours after receiving RABAVERT, the patient experienced influenza-like symptoms, malaise, dizzy and tired.
Age: 50.0
Sex: M
Vaccine: RAB
Symptoms: Malaise, Muscle spasms
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 50-year-old male patient who received RABAVERT (batch number 628011A, expiry date unknown). The patient's past medical history included animal bite. Concomitant products included immunoglobulin human anti-rabies (HRIG). On 19th June 2017 19:00, the patient received the 1st dose of RABAVERT 1 ml. In June 2017, 12 hrs after receiving RABAVERT, the patient experienced muscle cramp. On 19th June 2017, the patient experienced heaviness of head. On 19th June 2017 21:00, the patient experienced influenza-like symptoms, malaise, dizziness and tiredness. On an unknown date, the outcome of the influenza-like symptoms, muscle cramp, malaise, dizziness, tiredness and heaviness of head were recovering/resolving. The reporter considered the influenza-like symptoms, muscle cramp, malaise, dizziness, tiredness and heaviness of head to be almost certainly related to RABAVERT. Additional details were reported as follows: The patient received RABAVERT for post exposure treatment after bat encounter. The symptoms included the patient's head feeling heavy which continued through the day after the vaccine such that he was not able to work. Along with the RABAVERT the patient received the Human Rabies Immune Globulin in his foot which was the site of exposure. Two hours after receiving RABAVERT, the patient experienced influenza-like symptoms, malaise, dizzy and tired.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Flushing, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Received KINRIX on 6-28-17 in right deltoid. Mother noted swelling and redness to right shoulder yesterday. Localized swelling to right deltoid with associated mild flushing to skin with increase in warmth. Non tender to palpation. Was advised to apply cool compress 2-3 times per day, elevate right arm, MOTRIN for pain. Seen in office by APN.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of sore throat in a 18-year-old female patient who received BEXSERO. On 4th April 2017, the patient received the 1st dose of BEXSERO. In April 2017, 2 days after receiving BEXSERO, the patient experienced sore throat and fever. The patient was treated with Antibiotics (Brand Names Not Known). On an unknown date, the outcome of the sore throat and fever were not recovered/not resolved. It was unknown if the reporter considered the sore throat and fever to be related to BEXSERO. Additional details were reported as follows: This case was reported by patient's mother. The patient had been to various physicians a total of 8 times for events. The patient has received 4 rounds of antibiotics and issues still remain. It was reported that the 2nd dose was not received till the time of reporting.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient with redness, warm 1.5 inch x 5 inch to (L) arm at injection site. Pt is afebrile. Treated with AUGMENTIN 875 mg tabs PO BID x 10 days.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Full blood count, Lethargy, Pyrexia
Clinical narrative: Vaccines - then TYLENOL 30 min. later - temp up to 102.7 and then to ER. 24 hrs. later fever and lethargy persist.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Computerised tomogram head normal, Loss of consciousness, Nausea, Paraesthesia, Urticaria
Clinical narrative: Passed out twice within minutes of receiving vaccine, but responded to laying down and drinking Gatorade. Nauseous the rest of the day. Tingling in his feet from the first night until 2 days later. Hives 2 days after vaccine.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Paraesthesia, Rash generalised, Syncope
Clinical narrative: Passed out twice within minutes of receiving vaccine, but responded to laying down and drinking Gatorade. Nauseous the rest of the day. Tingling in his feet from the first night until 2 days later. Hives 2 days after vaccine.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Cellulitis, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Swelling and pain to (L) arm. Redness. DX: Cellulitis. RX: KEFLEX (250 mg).
Age: 20.0
Sex: F
Vaccine: MENB
Symptoms: Injection site induration, Injection site inflammation, Injection site pain
Clinical narrative: Induration at injection site starting on the 2nd day after receiving vaccine. As of June 30th, pt. still has inflammation and pain at injection site, but pain is subsiding. Pt taking ibuprofen.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Burning sensation, Vasodilatation
Clinical narrative: Approximately 30min after vaccine ->burning in neck on same side as shot and veins bulging. Resolved in the morning.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Dizziness, Loss of consciousness, Pallor
Clinical narrative: 10:55 am after giving meningococcal vaccine patient said she felt like she was going to faint. She rested her head back and was unconscious 45 seconds. Patient was pale. Given one glucose tab and water. Patient felt back to normal 10 minutes later.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Malaise, Oral mucosal eruption, Pyrexia
Clinical narrative: Pt presented to urgent care on 5/9/17 for 5 days of fevers to 102 at home, chills, malaise, and a perioral rash after receiving a  PNEUMOVAX. Reports that the symptoms began hours after receiving the shot. Fever and perioral rash. Acetaminophen 500 mg prn.
Age: 32.0
Sex: F
Vaccine: MNQ
Symptoms: Hypoaesthesia, Muscle spasms
Clinical narrative: Within a few hours of getting the vaccine, I started to feel cramps and partial numbness from the last 2 fingers of my left hand. I looked up the side effects from the website and it's not listed. Four days after receiving the vaccine, I went to a care station and I was told to monitor it or see my PCP.
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Fatigue, Influenza like illness, Pyrexia
Clinical narrative: Fever, fatigue, flu-like symptoms for 48 hours.
Age: 18.0
Sex: F
Vaccine: HEPA, MENB
Symptoms: Asthenia, Blood test normal, Dizziness, Feeling abnormal, Nausea
Clinical narrative: Following day of vaccine, woke up and nearly fainted. Had tunnel vision, unresponsive, and turned white. Dizzy and nauseous. Two days later still complains about sore arm, nauseous, and feeling very weak and out of sorts. Saw her primary doctor Friday, and said it would need to run its course and he advised he has never had a patient with such a reaction. Sent home with directions that we watch over her.
Age: 18.0
Sex: F
Vaccine: HEPA, MENB
Symptoms: Pain in extremity, Pallor, Presyncope, Tunnel vision, Unresponsive to stimuli
Clinical narrative: Following day of vaccine, woke up and nearly fainted. Had tunnel vision, unresponsive, and turned white. Dizzy and nauseous. Two days later still complains about sore arm, nauseous, and feeling very weak and out of sorts. Saw her primary doctor Friday, and said it would need to run its course and he advised he has never had a patient with such a reaction. Sent home with directions that we watch over her.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: 6/30/2017  note: Patient is here with mother for a sick visit. She received Tdap vaccine along with HPV and MCV4 on 6/28 which was 2 days ago. The left upper arm where Tdap was placed started to swell yesterday and redness today. Still painful but able to move arm. BP 102/69 | Pulse 91 | Temp 99.5 °F (37.5 °C) (Oral) | Wt 95 lb 6.4 oz (43.3 kg). Physical Exam Constitutional: She appears well-developed and well-nourished. She is active. Neurological: She is alert. Skin: Skin is warm. There is erythema. Erythematous tender induration 6x4 cm left upper arm.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Skin warm
Clinical narrative: 6/30/2017  note: Patient is here with mother for a sick visit. She received Tdap vaccine along with HPV and MCV4 on 6/28 which was 2 days ago. The left upper arm where Tdap was placed started to swell yesterday and redness today. Still painful but able to move arm. BP 102/69 | Pulse 91 | Temp 99.5 °F (37.5 °C) (Oral) | Wt 95 lb 6.4 oz (43.3 kg). Physical Exam Constitutional: She appears well-developed and well-nourished. She is active. Neurological: She is alert. Skin: Skin is warm. There is erythema. Erythematous tender induration 6x4 cm left upper arm.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: A raised circle shaped red rash on the site of injection or right below it.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: PATIENT COMPLAINED OF PAIN AND BRUISING IN THE INJECTED SHOULDER. THE BRUISING WAS SEVERAL INCHES ABOVE INJECTION SITE.  PATIENT WAS COUNSELED TO USE ICE AND BENADRYL AND TO SEEK MEDICAL ATTENTION IF CONDITION WORSENS.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister
Clinical narrative: Red water blister about 3 inches below navel and about the size of a quarter. No pain associated with blister yet.
Age: 80.0
Sex: F
Vaccine: PNC13
Symptoms: Cardiac pacemaker insertion, Depression, Heart rate increased, Injection site erythema, Injection site inflammation
Clinical narrative: Patient called pharmacy on 10-11-16 to report redness/inflammation at injection site, as well as elevated heart rate. Patient stated these symptoms appeared to resolve after 1 week from time of injection. Patient called pharmacy on 06-26-17 to report that elevated heart rate did not resolve, but continued to persist until a pacemaker was installed in December of 2016. Patient also states that she suffers from muscle weakness and pain, lethargy, and depression. She feels that all of these conditions are an adverse effect of the vaccine.
Age: 80.0
Sex: F
Vaccine: PNC13
Symptoms: Lethargy, Muscular weakness, Myalgia
Clinical narrative: Patient called pharmacy on 10-11-16 to report redness/inflammation at injection site, as well as elevated heart rate. Patient stated these symptoms appeared to resolve after 1 week from time of injection. Patient called pharmacy on 06-26-17 to report that elevated heart rate did not resolve, but continued to persist until a pacemaker was installed in December of 2016. Patient also states that she suffers from muscle weakness and pain, lethargy, and depression. She feels that all of these conditions are an adverse effect of the vaccine.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: There is redness at injection site and small knot that has continued to be visible since the injection. Patient returned 7/1/17 to report.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Injected limb mobility decreased, Injection site pain, Injection site warmth
Clinical narrative: PATIENT COMPLAINS OF PAIN IN RIGHT ARM THE MORNING FOLLOWING ADMINISTRATION OF VACCINE. PAIN EXTENDS FROM UPPER ARM TO MID CHEST. SHE REPORTS WARMTH AT INJECTION SITE AND HAS DIFFICULTY RAISING ARM. PATIENT TOOK TWO IBUPROFEN 200MG TABLETS AROUND 11AM ON 7/1/17 WHICH TEMPORARILY RELIEVED THE PAIN. ADVISED PATIENT TO ICE THE AREA FOR 15 MINUTES AND TO REPORT TO PCP IF SYMPTOMS CONTINUE AND TO ER IF SHE EXPERIENCES AN ANAPHYLACTIC REACTION.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Skin lesion, Swelling, Urticaria
Clinical narrative: Allergic rxn, large confluent erythematous urticarial lesion with swelling.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of left thigh at PENTACEL site approx. 5 hrs after vaccination - resolved after TYLENOL.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Large reddened area that covers most of anterior left thigh with small blisters in center at site of needle insertion.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Thur. 6/22/17Received PC23 shot - applied ice that evening as arm was war and red from shoulder to elbow - could feel firmness and tightening - very tender to touch * took ibuprofen.  Fri. 6/23/17 Upper arm very swollen, hot, hard and very red between shoulder and elbow. - so swollen that there was an indentation just before elbow - painful to move left arm across front of body to the right and to left above. Shoulder - again applied ice * took ibuprofen. Sat. 6/24/17 Inner upper arm still slightly swollen and very red from shoulder to elbow. Puffiness and swelling has not moved to the inner elbow area - checked with pharmacist. No issues at injection site (upper left arm) other than normal slight tenderness a time of injection - or in following days. Sun 6/25/17 - very slight redness/puffiness inner upper arm. Mon 6/26/17 - seems to be back to  normal.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth, Pain, Pain in extremity, Skin tightness
Clinical narrative: Thur. 6/22/17Received PC23 shot - applied ice that evening as arm was war and red from shoulder to elbow - could feel firmness and tightening - very tender to touch * took ibuprofen.  Fri. 6/23/17 Upper arm very swollen, hot, hard and very red between shoulder and elbow. - so swollen that there was an indentation just before elbow - painful to move left arm across front of body to the right and to left above. Shoulder - again applied ice * took ibuprofen. Sat. 6/24/17 Inner upper arm still slightly swollen and very red from shoulder to elbow. Puffiness and swelling has not moved to the inner elbow area - checked with pharmacist. No issues at injection site (upper left arm) other than normal slight tenderness a time of injection - or in following days. Sun 6/25/17 - very slight redness/puffiness inner upper arm. Mon 6/26/17 - seems to be back to  normal.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Cellulitis
Clinical narrative: Cellulitis.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Muscle spasms, Nodule, Tendonitis, Vaccination complication
Clinical narrative: Muscle spasms/tendonitis occurred; patient described it as "nodules" and MD confirmed that this adverse reaction was from the vaccination.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Chest X-ray normal, Chest pain, Lethargy, Myalgia, Pyrexia
Clinical narrative: Fever over 103, may have reached 104; lethargy; muscle aches.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Viral infection
Clinical narrative: Fever over 103, may have reached 104; lethargy; muscle aches.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site vesicles
Clinical narrative: The patient came in 7/1 to report reaction which included redness and inflammation at the injection site approximately the diameter of a half dollar. I recommended she take oral BENADRYL and if the reaction did not get better to seek medical care. She asked if she should use topical BENADRYL and I said I would take oral BENADRYL instead. She also asked about the use of a cold compress and I agreed she could do so. She came back 7/2 and the redness had spread along the upper portion of her left arm; additionally blisters were present. She had gone to urgent care and they prescribed VALTREX, a MEDROL DOSEPAK, and tramadol.
Age: 45.0
Sex: M
Vaccine: ANTH, JEV1
Symptoms: Anti-thyroid antibody, Blood thyroid stimulating hormone abnormal, Chronic lymphocytic leukaemia, Cytogenetic analysis abnormal, Differential white blood cell count abnormal
Clinical narrative: I was diagnosed with adhesive capsulitis (frozen right shoulder), hypothyroidism, and chronic lymphocytic leukemia (CLL) after receiving Anthrax Vaccination #3 and Japanese Encephalitis Virus Vaccine #2 simultaneously on 5/6/2016 in the right shoulder. The injection site and surrounding tissues were very sore for 5-7 days. Shortly afterwards, the range of motion of my right shoulder decreased significantly and I began to experience pain in the right shoulder at night. Later, after significant follow up and blood tests, I was also diagnosed with hypothyroidism and CLL. I believe that some or all of these conditions were caused by the simultaneous administration of Anthrax Vaccination #3 and Japanese Encephalitis Virus Vaccine #2.
Age: 45.0
Sex: M
Vaccine: ANTH, JEV1
Symptoms: Flow cytometry, Full blood count abnormal, Hypothyroidism, Injected limb mobility decreased, Injection site pain
Clinical narrative: I was diagnosed with adhesive capsulitis (frozen right shoulder), hypothyroidism, and chronic lymphocytic leukemia (CLL) after receiving Anthrax Vaccination #3 and Japanese Encephalitis Virus Vaccine #2 simultaneously on 5/6/2016 in the right shoulder. The injection site and surrounding tissues were very sore for 5-7 days. Shortly afterwards, the range of motion of my right shoulder decreased significantly and I began to experience pain in the right shoulder at night. Later, after significant follow up and blood tests, I was also diagnosed with hypothyroidism and CLL. I believe that some or all of these conditions were caused by the simultaneous administration of Anthrax Vaccination #3 and Japanese Encephalitis Virus Vaccine #2.
Age: 45.0
Sex: M
Vaccine: ANTH, JEV1
Symptoms: Joint manipulation, Nuclear magnetic resonance imaging abnormal, Periarthritis, Thyroxine free abnormal, X-ray abnormal
Clinical narrative: I was diagnosed with adhesive capsulitis (frozen right shoulder), hypothyroidism, and chronic lymphocytic leukemia (CLL) after receiving Anthrax Vaccination #3 and Japanese Encephalitis Virus Vaccine #2 simultaneously on 5/6/2016 in the right shoulder. The injection site and surrounding tissues were very sore for 5-7 days. Shortly afterwards, the range of motion of my right shoulder decreased significantly and I began to experience pain in the right shoulder at night. Later, after significant follow up and blood tests, I was also diagnosed with hypothyroidism and CLL. I believe that some or all of these conditions were caused by the simultaneous administration of Anthrax Vaccination #3 and Japanese Encephalitis Virus Vaccine #2.
Age: 53.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain, Lymphadenopathy, Musculoskeletal stiffness, Pain, Pain in extremity
Clinical narrative: Had severe pain at/near the site of the injection, and could not lift my arm or move it without that pain for approximately 12 hrs.  My arm remained sore for about 24 hrs thereafter. Also had lymph system respond; experienced swelling under arms. Arm experienced stiffness and tenderness around the injection site for two plus weeks after injection.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: Moderate rash appearing 3 days after vaccination consisting of elevated, small, circular, red bumps approximately 1 mm in diameter starting at the neck line and descending down to the groin. Symptoms are also present along the back in minor quantities. No fever after second day past vaccine administration. One week past vaccination and rash is still present. Healthcare providers are not concerned as the patient is otherwise healthy and not bothered by symptoms. Rubor has declined, but the elevated bumps are still present. There is no expected long term consequences according to healthcare provider.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Bedridden, Chills, Facial spasm, Fatigue, Muscle spasms
Clinical narrative: Bedridden, severe fatigue, chills, severe muscle cramps and spasms throughout torso and face, face appeared contorted.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The patient received a pneumonia vaccine at our pharmacy on 6-30-17. The patient came into our pharmacy late Saturday evening on 7-1-17. Her arm was red  (from below probably where the vaccine was given) to her elbow. It also was swollen and the redness was also coming down her elbow.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient reported of itchiness under the site of injection, about couple hours after received the injection. The redness appeared to be larger at the injection site. The symptoms don't seem to get better. Recommended patient to take BENADRYL to see if it would help with itchiness. If the symptom doesn't get better or get worse go to the doctor. If trouble breathing, throat swelling, dizziness or fainting go to the E.R.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Abdominal discomfort, Diarrhoea, Dizziness, Pyrexia
Clinical narrative: Fever - 100 degree D. Diarrhea. Stomach upset. Dizziness.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt received vaccine 6/27/17, swelling and redness and warmth appeared on 6/29/17. Pt came in and reported on 6/30/17 at injection site.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Abnormal weight gain, Amnesia, Arthralgia, Blood cholesterol increased, Blood thyroid stimulating hormone normal
Clinical narrative: Severe cluster headaches and developed symptoms of polycystic ovary syndrome beginning from February 2015. From May 2015 to October 2015 developed short term memory loss, vitamin D2 deficiency, rapid weight gain of 70+ lbs despite diet and exercise, and began to pass out. Developed benign heart murmur August 2015. Moderate to severe joint pain, starting June 2015 continuing to present. Hypermobility diagnosed Feb 2017. Pelvic prolapse stage 2 and PCOS diagnosed June 2017. GYN suspects Ehlers Danlos syndrome and in process of testing. Working with nutritionist 1year, endocrinologist, GI, and rheumatology for 2 years. Referred to genetics clinic to test for presence and activation of EDS gene.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Cardiac murmur, Cluster headache, Ehlers-Danlos syndrome, Hypermobility syndrome, Liver function test increased
Clinical narrative: Severe cluster headaches and developed symptoms of polycystic ovary syndrome beginning from February 2015. From May 2015 to October 2015 developed short term memory loss, vitamin D2 deficiency, rapid weight gain of 70+ lbs despite diet and exercise, and began to pass out. Developed benign heart murmur August 2015. Moderate to severe joint pain, starting June 2015 continuing to present. Hypermobility diagnosed Feb 2017. Pelvic prolapse stage 2 and PCOS diagnosed June 2017. GYN suspects Ehlers Danlos syndrome and in process of testing. Working with nutritionist 1year, endocrinologist, GI, and rheumatology for 2 years. Referred to genetics clinic to test for presence and activation of EDS gene.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Pelvic prolapse, Polycystic ovaries, Thyroid function test normal, Vitamin D decreased
Clinical narrative: Severe cluster headaches and developed symptoms of polycystic ovary syndrome beginning from February 2015. From May 2015 to October 2015 developed short term memory loss, vitamin D2 deficiency, rapid weight gain of 70+ lbs despite diet and exercise, and began to pass out. Developed benign heart murmur August 2015. Moderate to severe joint pain, starting June 2015 continuing to present. Hypermobility diagnosed Feb 2017. Pelvic prolapse stage 2 and PCOS diagnosed June 2017. GYN suspects Ehlers Danlos syndrome and in process of testing. Working with nutritionist 1year, endocrinologist, GI, and rheumatology for 2 years. Referred to genetics clinic to test for presence and activation of EDS gene.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Vitamin D deficiency
Clinical narrative: Severe cluster headaches and developed symptoms of polycystic ovary syndrome beginning from February 2015. From May 2015 to October 2015 developed short term memory loss, vitamin D2 deficiency, rapid weight gain of 70+ lbs despite diet and exercise, and began to pass out. Developed benign heart murmur August 2015. Moderate to severe joint pain, starting June 2015 continuing to present. Hypermobility diagnosed Feb 2017. Pelvic prolapse stage 2 and PCOS diagnosed June 2017. GYN suspects Ehlers Danlos syndrome and in process of testing. Working with nutritionist 1year, endocrinologist, GI, and rheumatology for 2 years. Referred to genetics clinic to test for presence and activation of EDS gene.
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Eczema, Multiple allergies
Clinical narrative: Initial unsolicited report received from a health care professional on 21-Jun-2017. This case involves a child male patient who was vaccinated with a dose of IPV (Batch number: R0100, R0347-2, T1146-2, X0367), DTAP (Batch number: U0173AA, U0278AB, U0515AA), HIB VACCINE (Batch number: 582953A, 601063A, 477-393) (manufacturer other) and DTAP (Batch number:627A2) (manufacturer other) (expiration date, dose in series, dose, route and site of administration were reported for all) on an unknown date of 2000 and other years. Patient's pre-existing physician diagnosed allergies, birth defects, medical conditions (specify) and Illness at the time of vaccination was unknown. Any other vaccinations within four weeks of vaccinations were not reported. On an unknown date of 2003, following the vaccination, the patient had developed multiple allergies and eczema. Laboratory investigations and corrective treatment were not reported. The outcome of all the events was reported as not reported. List of the documents held by sender: none.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever of 102F and hives under left eye. Took ibuprofen and drank lots of water. Fever came down to 100F so I did not go to the hospital.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Patient returned to pharmacy with painful to the touch, blackened/red bruised appearing area on skin over left tricep. Area was not hot to the touch but was approximately 4 inches by 3 inches in area.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Gingival bleeding, Headache, Immune thrombocytopenic purpura, Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at injection site on left arm, headache, muscle aches for 2 days after vaccine. On June 22 patient noticed petechia on legs and bleeding gums. On June 23 the petechia had spread all over his body and we went to Medical Center for evaluation. Blood work showed platelet count of 2000 and he was referred to the ER at another Medical Center. MC immediately transferred him to Hospital  because he may have needed a platelet transfusion. Blood work done at hospital showed that his platelet count had dropped to 0. The hematologist diagnosed him with Immune Thrombocytopetic Purpura. He was given oral prednisone. On June 24 his platelet count was 5000. He was prescribed prednisone and discharged from the hospital.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Myalgia, Petechiae, Platelet count decreased
Clinical narrative: Swelling and redness at injection site on left arm, headache, muscle aches for 2 days after vaccine. On June 22 patient noticed petechia on legs and bleeding gums. On June 23 the petechia had spread all over his body and we went to Medical Center for evaluation. Blood work showed platelet count of 2000 and he was referred to the ER at another Medical Center. MC immediately transferred him to Hospital  because he may have needed a platelet transfusion. Blood work done at hospital showed that his platelet count had dropped to 0. The hematologist diagnosed him with Immune Thrombocytopetic Purpura. He was given oral prednisone. On June 24 his platelet count was 5000. He was prescribed prednisone and discharged from the hospital.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: CSF protein increased, CSF white blood cell count negative, Guillain-Barre syndrome, Immunoglobulin therapy, Neurological examination abnormal
Clinical narrative: Developed upper extremity paresthesias on 5/22 that progressed to lower extremities. Concern for worsening respiratory status. CSF studies consistent with Guillain Barre Syndrome. Received 5 doses IVIG. Improving neuro exam. Discharged on 6/5/17 to inpatient rehabilitation unit.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Paraesthesia, Respiratory disorder
Clinical narrative: Developed upper extremity paresthesias on 5/22 that progressed to lower extremities. Concern for worsening respiratory status. CSF studies consistent with Guillain Barre Syndrome. Received 5 doses IVIG. Improving neuro exam. Discharged on 6/5/17 to inpatient rehabilitation unit.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Anti-ganglioside antibody negative, Areflexia, Asthenia, CSF culture negative, CSF glucose normal
Clinical narrative: Developed upper extremity paresthesias on 5/22 that progressed to lower extremities. Concern for worsening respiratory status. CSF studies consistent with Guillain Barre Syndrome. Received 5 doses IVIG. Improving neuro exam. Discharged on 6/5/17 to inpatient rehabilitation unit.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: CSF protein increased, CSF red blood cell count positive, CSF virus no organisms observed, CSF white blood cell count negative, Campylobacter test positive
Clinical narrative: Developed upper extremity paresthesias on 5/22 that progressed to lower extremities. Concern for worsening respiratory status. CSF studies consistent with Guillain Barre Syndrome. Received 5 doses IVIG. Improving neuro exam. Discharged on 6/5/17 to inpatient rehabilitation unit.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Cytomegalovirus test positive, Diplopia, Enterovirus test negative, Gram stain negative, Guillain-Barre syndrome
Clinical narrative: Developed upper extremity paresthesias on 5/22 that progressed to lower extremities. Concern for worsening respiratory status. CSF studies consistent with Guillain Barre Syndrome. Received 5 doses IVIG. Improving neuro exam. Discharged on 6/5/17 to inpatient rehabilitation unit.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Immunoglobulin therapy, Muscular weakness, Neurological examination normal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal abnormal
Clinical narrative: Developed upper extremity paresthesias on 5/22 that progressed to lower extremities. Concern for worsening respiratory status. CSF studies consistent with Guillain Barre Syndrome. Received 5 doses IVIG. Improving neuro exam. Discharged on 6/5/17 to inpatient rehabilitation unit.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Pain in extremity, Paraesthesia, Polymerase chain reaction positive, Therapeutic procedure
Clinical narrative: Developed upper extremity paresthesias on 5/22 that progressed to lower extremities. Concern for worsening respiratory status. CSF studies consistent with Guillain Barre Syndrome. Received 5 doses IVIG. Improving neuro exam. Discharged on 6/5/17 to inpatient rehabilitation unit.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Pain, Pain in extremity, Urticaria
Clinical narrative: Wheal formation same day as vaccines on b/l arms. ER visit included Benadryl orally and this improved symptoms. No latex gloves in office. Nurse - did well per mom. Never had concerns with vaccines before, No fever - pain has subsided. no itch. right arm hurts but also side for Td shot.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swollen, red, and sore immediately under the injection site. Patient states that it is achy and warm. She will report to a doctor if it gets worse or doesn't get better soon. She thinks it might run its course. Suggested she may need steroids if it doesn't get better in a day or so.
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth, Pain in extremity, Paraesthesia
Clinical narrative: Hard, red warm area that did not start until 7 days after vaccine. Reports tingling and pain down arm.
Sex: U
Vaccine: FLU4
Symptoms: Autoimmune disorder
Clinical narrative: Initial unsolicited report received from a healthcare professional on 23-Jun-2017. This case is linked to 2017SA118239 (same reporter). This case involves a patient (gender and age were not reported) who was vaccinated with a dose of FLUZONE QIV (Batch number, expiration date, dose, dose in series and site of administration were not reported) intramuscularly on an unspecified date. Patient's medical history as pre-existing physician diagnosed allergies, birth defects, medical conditions (specify) and illness at the time of vaccination were reported as unknown. Concomitant medications were not reported. On 04-Oct-2016, following the vaccination, the patient developed an autoimmune disorder. The patient required emergency room/doctor visit. Laboratory investigations were reported as unknown. Corrective treatment were not reported. The outcome of the event was reported as unknown. Upon internal review, the company decided to consider the case as serious due to important medical event: autoimmune disorder. List of documents held by sender: none.; Sender's Comments: Sanofi company comment dated 28-Jun-2017: This case concerns patient who was vaccinated with FLUZONE QIV and had autoimmune disorder. Time to onset compatibility is unknown with the role of vaccine, medical history, immunological history, any autoimmune disorder in family member, more investigation results to rule out the alternative cause, past vaccination history and its tolerance are needed to further assess the case. Based on available information the role of vaccine cannot be assessed.
Age: 2.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cerebellar ataxia
Clinical narrative: Acute cerebellar ataxia 15 days after varicella vaccine.
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: Bursal fluid accumulation, Pain, Peripheral swelling, Pyrexia, Ultrasound scan abnormal
Clinical narrative: Pt received vaccine at 10:52AM. At 1PM had pain, fever, and swelling in arm. Patient taken to hospital via ambulance. Patient was admitted. CBC showed elevated WBC. Ultrasound showed fluid around bursa sac. As of time of report, patient is still hospitalized.
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: White blood cell count increased
Clinical narrative: Pt received vaccine at 10:52AM. At 1PM had pain, fever, and swelling in arm. Patient taken to hospital via ambulance. Patient was admitted. CBC showed elevated WBC. Ultrasound showed fluid around bursa sac. As of time of report, patient is still hospitalized.
Sex: F
Vaccine: VARZOS
Symptoms: Ear pain, Erythema, Herpes zoster, Pyrexia
Clinical narrative: Developed shingles five months after taking the ZOSTAVAX vaccine - low grade fever, right ear bright red and painful.
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Menstruation delayed
Clinical narrative: After HPV vaccine I have not had my period which was regular for 10 years.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Influenza like illness, Injection site discolouration, Injection site erythema, Injection site swelling, Vaccination complication
Clinical narrative: Adverse reaction to PREVNAR. Patient reported flu-like symptoms and red, swollen, black/blue at site of injection.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Rash, Tongue eruption
Clinical narrative: Developed rash to back, arms and on tongue.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: No adverse event, Pruritus, Rash generalised
Clinical narrative: Developed rash to back, arms and on tongue.
Age: 49.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Feeling hot, Heart rate increased, Injection site rash, Paraesthesia oral
Clinical narrative: About 5 mins after the vaccine was given, the patient started experiencing, rapid heartbeat, feeling weird, hot, thought her tongue was starting to feel thick. The pharmacist gave the patient 50 mg of BENADRYL with a glass of water. In about 5 mins the adverse reaction started to subside, the pharmacist took the patients BP. It was within normal limits. The patient stayed in the pharmacy for about 15 more mins, and left feeling better. She came in the next day with a big red rash around and at the injection site, she was encouraged to continue taking the BENADRYL as needed.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Left upper arm pain, swelling, redness 1 day after vaccine administered.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pt was given MMR-V instead of Varicella dose.  MOP reported no symptoms.
Age: 1.33
Sex: M
Vaccine: VARCEL
Symptoms: Febrile convulsion, Pyrexia, Seizure
Clinical narrative: My son was running a fever for approximately 12 hours before event occurred. I had been treating with TYLENOL and his fever was never recorded above 101. At 430 am I was changing his diaper and he started having a seizure that lasted approximately 2 minutes. EMS was called and his condition was stable, so he was transported by us to the emergency room. They concluded this was a febrile seizure likely cased by the varicella vaccine. He was discharged to our care and treated with an alternating TYLENOL/Ibuprofen schedule for 24 hours after discharge.
Age: 93.0
Sex: F
Vaccine: PPV
Symptoms: Rash erythematous, Skin warm
Clinical narrative: Patient's daughter stated the reaction was a hot red rash (patient stated: not itchy or burning or painful) when first noticed. Family took her to ER to have injection site looked at. Was prescribed antibiotic and kept overnight and blood drawn. Was discharged on Clindamycin 300mg capsules three times daily for 7 days.
Age: 44.0
Sex: M
Vaccine: TD
Symptoms: Limb discomfort, Local swelling, Rash, Swelling face
Clinical narrative: Sore arm. Swelling in Neck and Jaw, rash on abdomen.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Fatigue, Lethargy, Pallor, Paraesthesia, Pyrexia
Clinical narrative: 3 hours after administration, she developed tingling all over, with fatigue, lethargy, and pallor. No loss of consciousness. Has since developed fever to 100.4
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC13, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Client presented for immunizations, and was due for Dtap #4, final Hib and PCV13, Hep A#1, MMR#1 and Varicella #1. I was training a nurse and she was pulling the vaccines and giving them to me and I wrote down the lot numbers and she gave the injections. I did not catch that one of the vaccines was MMRV instead of MMR until after the client left and I was entering the lot numbers. I contacted CDC who said there was no increased risk to the child, other than increased redness, itching or swelling at the site. I contacted the parent, and let them know what CDC said, and am completing the Vaers form. There had been no adverse event as of when I spoke to the mother on the phone about an hour afterwards.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: PATIENT SAID FIRST DAY WAS FINE, ONE DAY LATER ARM HAS 1 INCH X 1 INCH RED MARK AT INJECTION SITE THAT HURTS AND HAS "FEVER" IN IT.
Age: 33.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Exposure during pregnancy
Clinical narrative: Patient received vaccine while pregnant. Patient did not know she was pregnant at the time she got vaccine administered.
Age: 33.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Maternal exposure before pregnancy
Clinical narrative: Patient received vaccine while pregnant. Patient did not know she was pregnant at the time she got vaccine administered.
Age: 11.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: None stated. No adverse event took place.
Age: 12.0
Sex: F
Vaccine: HPV9, IPV
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Itchy bumps (small) formed at injection site for both vaccines given: left upper deltoid and right back of upper arm.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: MMR vaccine expiration date 6/1/17 given.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Urticaria
Clinical narrative: Within 5 minutes of vaccination patient developed hives on mouth and chest. Gave oral diphenhydramine. Patient recovered in 30 minutes.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Aching shooting pain into left upper arm and forearm tolerable no rash 3 day post ZOSTAVAX.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Bladder disorder, Influenza like illness, Laboratory test normal, Musculoskeletal pain, Myalgia
Clinical narrative: 1st week flu like sym; then bad muscle pain, even bladder problems. Slowly pain left most of body and stayed in my arms and shoulders. In Dec. bicep in left arm tore. In April bicep and tricep tore in left arm. It's now June still some pain in arms.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Tendon rupture
Clinical narrative: 1st week flu like sym; then bad muscle pain, even bladder problems. Slowly pain left most of body and stayed in my arms and shoulders. In Dec. bicep in left arm tore. In April bicep and tricep tore in left arm. It's now June still some pain in arms.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Tremor, VIth nerve paralysis
Clinical narrative: Severe stomach cramps, vomiting, diarrhea, 6th nerve Palsy - Rt eye, hand tremors-bilateral; She was taken to Eye doctor, specialist; Severe fatigue-symptoms began on or about 8/20/2016.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Severe stomach cramps, vomiting, diarrhea, 6th nerve Palsy - Rt eye, hand tremors-bilateral; She was taken to Eye doctor, specialist; Severe fatigue-symptoms began on or about 8/20/2016.
Age: 46.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Contusion, Dermatitis, Erythema, Injection site erythema, Injection site induration
Clinical narrative: Right arm with redness, and slight bruising at base of reaction; warm to touch. Pain at site. No induration at the injection site. Left arm with redness/warmth, small induration (3mm) at injection site. pain at site. LIDEX cream and CLARITIN were given for reaction. LIDEX/topically to treat skin inflammation and itching. CLARITIN as an oral antihistamine effect.
Age: 46.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Injection site pain, Injection site warmth, Pruritus, Skin warm
Clinical narrative: Right arm with redness, and slight bruising at base of reaction; warm to touch. Pain at site. No induration at the injection site. Left arm with redness/warmth, small induration (3mm) at injection site. pain at site. LIDEX cream and CLARITIN were given for reaction. LIDEX/topically to treat skin inflammation and itching. CLARITIN as an oral antihistamine effect.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Nodule, Pruritus
Clinical narrative: 5/21 in pm pt was showering and noticed back of arm was tender. Looked in mirror. Had deeper red with knot approximate size of a half-dollar in center with redness extending approximately 6 inches up the back of the arm, 2.5 inches wide. 5/22: redness had lightened, but extended a little further on the arm. 5/23: lighter and red area starting to shrink down, knot resolved. 5/24: arm appeared bruised. 5/25: mostly resolved. Pt did have some itchy, but not incredibly bothersome. Placed some ice to help with discomfort. Pt looked up symptoms online and chose to monitor at home/not report to the pharmacy or her PCP. Was in today and mentioned reaction. Today, pt said everything has fully resolved.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient reports swelling and pain at the injection site greater than what is to be expected. Patient has been managing these symptoms with anti-inflammatory medications and is to see his primary Wednesday for an appointment. Patient states the reaction started shortly after receiving the vaccine and that the pain has not significantly improved.
Age: 67.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Corrective lens user, Diplopia, Impaired driving ability, Ophthalmological examination
Clinical narrative: Patient claimed that after the vaccinations, he experienced double vision to the point that he was not able to drive. He then went to see an optometrist recently and was given new prescription for corrective lenses.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Rash vesicular
Clinical narrative: Two days after patient received vaccine developed rash on back left shoulder. Then started to blister and wrapped around to left chest. Patient called doctor and was given acyclovir which reduced the blister/rash and gabapentin for the pain. Patient is in some pain still but rash has reduced greatly.
Age: 0.58
Sex: M
Vaccine: HIBV, PNC13, RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea  at the time of this report about 5 days course.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Rash
Clinical narrative: Rash on arms and legs. Was given BENADRYL liquid.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Asthenia, Body temperature increased, Diarrhoea, Dizziness, Headache
Clinical narrative: Two days following vaccine administration, pt. began having headache, weakness, and dizziness. Pt also had temperature of 100.5. The following day pt also had diarrhea and continued to complain of headache.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Influenza virus test, Streptococcus test
Clinical narrative: Two days following vaccine administration, pt. began having headache, weakness, and dizziness. Pt also had temperature of 100.5. The following day pt also had diarrhea and continued to complain of headache.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Gaze palsy, Hypotonia, Hypotonic-hyporesponsive episode, Unresponsive to stimuli
Clinical narrative: 7-8 hours after recieving PENTACEL, patient was in mothers arms smiling and alert when she suddenly fell limp, eyes rolled back and went unresponsive and lifeless. "Hypotonic hyporesponsive reaction" ...after picking up the phone to call 911, she woke up and regained respoveness.