chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: HEPA, RAB
Symptoms: Erythema, Hyperhidrosis, Pruritus, Rash macular
Clinical narrative: Per patient history, after receiving hep A and rabies #3, within 20 min to 30 min, patient reports persistent itching to hair and sweaty areas. Within 4 hours, skin, arms and palms of hands became red and blotchy. No medical treatment sought. Condition resolved on its own. Doctor made aware.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abdominal pain, Convulsion, Pyrexia, Tremor
Clinical narrative: patient had <40 minute seizure the morning after his second Pediarix, HIb, Prevnar. He received valium and Dilantin and was transported to hospital. He also had fever and abdominal pain. He is now on Keppra and a video EEG is scheduled. Pt had episodes of arm shaking and then leg shaking. Episodes would last 30 minutes. Pt was awake and alert during the episodes. He was admitted to hospital. An MRI and EEG were normal. He was put on Neurontin by a pediatric Neurologist even though he did not think that these were seizures. The spells continued about once a day and a video EEG was scheduled. These spells started several weeks after the first shots and the neurologist did not think that there was a problem with giving the other shots.
Age: 31.0
Sex: M
Vaccine: MMR
Symptoms: Blood pressure decreased, Dizziness, Hot flush, Laboratory test abnormal, Loss of consciousness
Clinical narrative: Within 3 minutes of receiving vaccine, patient started to feel lightheaded/dizzy. Within 5 to 7 minutes, standing was difficult and loss of consciousness seemed imminent. Moderate nausea was experienced, and patient also experienced what may be best described as a mild to moderate "hot flash". Patient sat down and bent over, which helped, then was escorted to a bed. Nausea passed within a few minutes of lying down and elevating feet, dizziness passed within 7 minutes. After 15 minutes, patient's head was "foggy" but other symptoms had abated. Blood pressure was still low. Patient left the premises by his own assessment of his well-being; his balance was a little off, but it was mostly just a nuisance. At no time did the patient observe hives, rash, tinnitus, constricted breathing, or elevated heart rate.
Age: 31.0
Sex: M
Vaccine: MMR
Symptoms: Nausea
Clinical narrative: Within 3 minutes of receiving vaccine, patient started to feel lightheaded/dizzy. Within 5 to 7 minutes, standing was difficult and loss of consciousness seemed imminent. Moderate nausea was experienced, and patient also experienced what may be best described as a mild to moderate "hot flash". Patient sat down and bent over, which helped, then was escorted to a bed. Nausea passed within a few minutes of lying down and elevating feet, dizziness passed within 7 minutes. After 15 minutes, patient's head was "foggy" but other symptoms had abated. Blood pressure was still low. Patient left the premises by his own assessment of his well-being; his balance was a little off, but it was mostly just a nuisance. At no time did the patient observe hives, rash, tinnitus, constricted breathing, or elevated heart rate.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Patient states developed redness and swelling at injection site within in hours. Spread from left shoulder to left elbow. Painful : had temp 99.6 which she describes a fever for her. Lasted 3 days. 12/14: no redness, no swelling.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Patient states developed redness and swelling at injection site within in hours. Spread from left shoulder to left elbow. Painful : had temp 99.6 which she describes a fever for her. Lasted 3 days. 12/14: no redness, no swelling.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Anaemia, Dehydration, Fatigue, Hypomagnesaemia, Listless
Clinical narrative: 11/17/04 Fine; waited for about 3 hours received shot. That night, tired and stayed home. 11/18/04 Didn't feel well, throat swollen, couldn't eat or drink much and was listless. 11/22/04 Went to PCP and saw the PA. Checked out ok and sent home. 11/22/04 Went to ER with same complaints as 11/18/04 and was admitted to hospital with dehydration and swollen throat. Stayed in hospital for 8 days. Was released on 12/1/04 to go home. According to wife, he is still very tired and listless. Doesn't eat much or drink much either. Is currently under the care of a nephrologist and also his PCP. Follow up 03/08/05: Patient's recovery status is unknown.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Liver function test abnormal, Malaise, Oral intake reduced, Pharyngeal oedema, Renal failure acute
Clinical narrative: 11/17/04 Fine; waited for about 3 hours received shot. That night, tired and stayed home. 11/18/04 Didn't feel well, throat swollen, couldn't eat or drink much and was listless. 11/22/04 Went to PCP and saw the PA. Checked out ok and sent home. 11/22/04 Went to ER with same complaints as 11/18/04 and was admitted to hospital with dehydration and swollen throat. Stayed in hospital for 8 days. Was released on 12/1/04 to go home. According to wife, he is still very tired and listless. Doesn't eat much or drink much either. Is currently under the care of a nephrologist and also his PCP. Follow up 03/08/05: Patient's recovery status is unknown.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin burning sensation, Tenderness
Clinical narrative: Individual received flu shot at 2:07pm on 12/2/04, at approximately 5:05pm noticed burning sensation in both legs: from upper (inner and outer) thigh areas down to calves. Areas were reddened and sensitive to touch. After 24 hours, burning/ redness subsided, however, legs were still sensitive  to touch.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Hypoaesthesia, Paraesthesia, Pruritus, Wheezing
Clinical narrative: Initial complaint of numbness and tingling of tongue progressed to lips; next complaint was itching in throat, frequent dry coughing and wheezing. Gave Benadryl 25mg PO at 2:05pm. Transported to ER via ambulance, for observation x 1.5hr. Returned to work with no further problems.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site swelling
Clinical narrative: Patient states that immediately after flu shot the area around the injection became swollen and felt bruised. She put warm compress on it. The edema resolved the next morning (around 12 hours later) but the bruised feeling continued. I saw her around 24 hours the injection at son's appointment. Area around injetiion with no erythema/edema from at LUE with no numbness. Denied F/C/N/V/P
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Injection site reaction, Injection site warmth, Joint range of motion decreased
Clinical narrative: Client had influenza vaccine 11/30/04: by the end of the day right arm was stiff and sore, could not move arm above shoulder height. Arm ++painful, black and blue at injection site. By 12/1/04, the arm was red, "hot" inflamed. Patient took Aleve and applied ice. By 12/2/04, swelling and redness extended down to elbow. Patient denied fever. Patient was advised to apply ice to site, contact MD.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Myalgia, Skin discolouration, Swelling
Clinical narrative: Client had influenza vaccine 11/30/04: by the end of the day right arm was stiff and sore, could not move arm above shoulder height. Arm ++painful, black and blue at injection site. By 12/1/04, the arm was red, "hot" inflamed. Patient took Aleve and applied ice. By 12/2/04, swelling and redness extended down to elbow. Patient denied fever. Patient was advised to apply ice to site, contact MD.
Age: 1.05
Sex: F
Vaccine: HIBV, MMR
Symptoms: Erythema, Injection site reaction, Urticaria
Clinical narrative: 4 minutes after given , developed 3cm redness and urticaria at site of injection. Given 2 ml Benadryl orally 20 minutes after redness down; no urticaria, no wheezing. No respiratory distress.
Age: 21.0
Sex: F
Vaccine: RAB
Symptoms: Hypoaesthesia, Myalgia, Neck pain
Clinical narrative: Patient stated that symptoms of muscle aching in back of neck, shoulder and then left arm region around 2pm 12/8/04. At that time, she began to have numbness of left arm 9vaccine was given in right arm). This numbness continued but was going away by afternoon of 12/9/04.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cold sweat, Coma, Heart rate irregular, Hypotension, Respiratory disorder
Clinical narrative: Patient was given DTaP, IPV and MMR in clinic and had no immediate reaction. In waiting room , 10-15 min later he apparently fainted. He was returned to exam room and appeared clammy and somewhat unresponsive. Pulse ranged from 90-120, respirations 16-30/min and BP was 80/60 and faint. 911 was called due to lack of responsiveness. Child was stabilized and taken to hospital. Vagal response: child okay.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Syncope, Syncope vasovagal
Clinical narrative: Patient was given DTaP, IPV and MMR in clinic and had no immediate reaction. In waiting room , 10-15 min later he apparently fainted. He was returned to exam room and appeared clammy and somewhat unresponsive. Pulse ranged from 90-120, respirations 16-30/min and BP was 80/60 and faint. 911 was called due to lack of responsiveness. Child was stabilized and taken to hospital. Vagal response: child okay.
Age: 70.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Rash erythematous
Clinical narrative: Red rash on both inner arms. Reddened area noted at injection site with 50 cent size knot. Area warm to touch. Referred to primary care.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Feeling hot, Pharyngolaryngeal pain, Swelling
Clinical narrative: Mother states left arm very swollen, red, and warm to touch. Complaint of itching at site. Complaint of sore throat and mother noticed redness and swelling. Breathing fine, afebrile per mother and continue to be active. No evaluation from doctor. Refer to MD or ER to be seen in primary care health department today.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Redness and swelling right arm, firm shoulder area down to mid -upper arms. Redness covered area of both bandaids applied after giving DTaP and IPV. Also states had rash under arms and in groin area. All resolved by 6/6/04 . Mother doesn't know if he had temp.
Age: 61.0
Sex: M
Vaccine: TD
Symptoms: Chills, Nausea, Pain, Pharyngolaryngeal pain, Vomiting
Clinical narrative: Client received TD 4/28/04 approximately 1:30pm: went to doctor who gave TB test. At 5 PM drank a beer. Noticed  pain in upper esophagus and down throat. Cleared 8pm, 8 hours had chills, sore all over and developed nausea with vomiting cleared. No pain redness or soreness left arm site of TD: not sore today.
Age: 1.82
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Grandmother called at 8:30 am complaining of swelling and redness in patient left thigh grandmother stated that the area involved was bigger than 50 cent piece, advised grandmother to bring child in and let nurse look at area. Told grandmother to put a cold compress on area. Patient's grandmother stated that she was taking child to health department due to it being closer to HD. Called patient 4/19/04 ,no response, left message. To contact health department. Pt 4/20/04 called second time, no response. Left message.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site inflammation, Swelling
Clinical narrative: Left lateral upper arm inflamed red and swollen. No whelps or lesions or tender upper arm to shoulder. Advises treatment with Benadryl 25 mg GM gave Benadryl before he left MD. Heat inupper arm area. 4/1/04: mother called arm much better
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Blister, Urticaria
Clinical narrative: Skin: Linear vesicles on hands, arms and under breasts + urticarial rash and LMP 3/20/04. Ed: Launder all clothing in hot water. Prescription given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right arm deltoid region red, swollen and hot to touch. Advised to keep cool cloth on affected area and tylenol. 3/22/04 talked with mother. Says arm much better today.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Mother stated she has been out of town for about a week
Age: 13.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Pain, Swelling, Tenderness
Clinical narrative: Received TD on Monday 12/1/03. On 12/2/03 right arm was sore and hard to move. Said it was moving after putting ice on and off. On Wednesday 12/3/03  in school arm was still hurting. Teacher referred to school head nurse. On evaluating right arm : slight swelling, no redness. Conversation with mother (who said didn't give any med for discomfort) post TD instructed to give Tylenol or Motrin (no aspirin).
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: On evening after having received Pneumovax: Patient's arm became very sore. By AM, patient arm had become reddened (grapefruit sized) spreading to elbow. Skin is hot to touch. Patient had received Pneumovax previously 10/13/1999.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Crying, Injection site mass, Irritability, Pyrexia
Clinical narrative: One golf ball sized mass, one smaller mass at injection sites on right thigh the night of vaccine administration, fever <101, very fussy for > 5 hours with inconsolable crying.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Muscle spasms
Clinical narrative: Pain at injection site radiating down to elbow, up shoulder and neck. Muscle very tight (like a muscle spasm) No redness, no fever, no edema. Client came in 10/14/04 after 2 days of above complaints.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Given 5th DTaP to RALT. Developed redness affect of 3/4 of whole right thigh. Patient has no lump, no pain, no fever. Patch is slightly warm to touch but not tender.
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Malaise, Pain, Swelling
Clinical narrative: Large local reaction with painful swelling. Generalized malaise.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Dysphonia
Clinical narrative: Hoarseness developed 2 hours after immunizations given and continued the next day. No fever or rash appeared.
Age: 1.35
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right leg red and swollen. Warm to touch x 1 day. 4.5cm x 6cm.
Age: 22.0
Sex: M
Vaccine: FLUN3
Symptoms: Epistaxis
Clinical narrative: Pt. relates awakening to 4 minutes of epistaxis for past two days after nasal vaccine 3 days ago. Exam notes superficial tissues at anterior nasi bialterally. PMHx of epistaxis but not lasting as long. No ASA containing products or OTC/Herbal product consumption.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Headache, Injection site abscess, Injection site reaction, Pain
Clinical narrative: Inoculated with smallpox on 3Nov04.  10Nov04 pt started noticing drainage from the pustule.  12Nov04 pt states he started having fatigue, L axillary pain, puritis, h/a and fever.  15Nov04 pt started noticing small pustules on his scalp, back, hip and hand.  16Nov04 pt states the inoculation site started to scab over.  16Nov04 on exam in the clinic pt denied and tenderness around the site or axillary region, small pustules on his back, hands and hip approx 2mm diameter.  20Nov04 pt reported back to the clinic wishing to return back to the work, scab still present, pustules on back, hands and hip well healed.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Pyrexia
Clinical narrative: Inoculated with smallpox on 3Nov04.  10Nov04 pt started noticing drainage from the pustule.  12Nov04 pt states he started having fatigue, L axillary pain, puritis, h/a and fever.  15Nov04 pt started noticing small pustules on his scalp, back, hip and hand.  16Nov04 pt states the inoculation site started to scab over.  16Nov04 on exam in the clinic pt denied and tenderness around the site or axillary region, small pustules on his back, hands and hip approx 2mm diameter.  20Nov04 pt reported back to the clinic wishing to return back to the work, scab still present, pustules on back, hands and hip well healed.
Age: 58.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Medication error, Nasal congestion
Clinical narrative: I purchased 2 doses of pediatric flu vaccine for a total of $48. Twelve hours after receiving the shots (at midnight that day), I woke up with very congested lungs and I was coughing for about 30 minutes. Later, the cough subsided. Next morning I woke up fine.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Heart rate increased
Clinical narrative: Following the vaccine, I had a rapid heart beat for about 24 hours.
Age: 35.0
Sex: M
Vaccine: HEP, MEN, SMALL, TYP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Seen in Emergency room on for redness/raised area that measured 3x2cm. Diagnoses with cellulitis of L upper arm.
Age: 39.0
Sex: F
Vaccine: FLUN3
Symptoms: Erythema, Pruritus
Clinical narrative: Patient received full dose of FluMist.  She waited 15 minutes without incident and left the clinic area.  Approximately 20 minutes after leaving the clinic area, she returned c/o generalized pruritus, particularly on chest, arms, palms of hands.  Erythema and diffuse papules were present on her chest only, in the lower sternal area extending approximately to mid-clavicular area.  Dorsal thorax, stomach area, extremities negative for rash.  Patient denied all symptoms except pruritus.  Lungs and VS serially assessed over a period of 1/2 hour remained within normal limits (lungs clear, VS WNL).  50mg PO benadryl was administered. Phone consultation with primary care physician resulted in patient being transported to Emergency Dept. where she was assessed and released that day.  Rx was benadryl PRN and prednisone 20mg x 2D. Treated at hospital.
Age: 1.56
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Decreased appetite, Injection site mass, Injection site pain, Irritability, Pyrexia
Clinical narrative: By parent report child developed high fever, excessive fussiness, decreased appetite, knot under injection site and pain at site within 2 days of injection.(injection thurs pm)36-48 hours after injection (sat am) fever was noted to be 104 degrees and parent reports much difficulty controlling fever with tylenol, called local ER on weekend-was given directions to increase tylenol and add ibuprofen in addition if needed to control fever, tepid bath for child. called local doctor on monday, no new instructions, by then fever down some but child still had pain at site, lack of appetite. child to local dr for appnt wed. for evaluation
Age: 1.01
Sex: F
Vaccine: HBHEPB, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Child came into office today with chicken pox lesions.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Cellulitis, Chills, Injection site abscess, Injection site pain
Clinical narrative: BP:161/89 (11/22/2004 07:50)   T:95.7 F [35.4 C] (11/22/2004 07:50)   P:64 (11/22/2004 07:50)   R:20 (11/22/2004 07:50)  Pain: 3 (11/22/2004 07:50) HT:61 in [154.9 cm] (11/14/2003 08:58)    WT:226 lb [102.7 kg] (11/22/2004 07:50)  AGE:68  Allergies:PENICILLIN CLINICAL REMINDER ACTIVITY *Pneumovax: Patient educated about adverse reactions that may occur with pneumonia vaccine to include: Soreness around the vaccination site for up to 1-2 days, Fever, Malaise, Myalgia may occur 6-12 hours after vaccination and can persist for 1-2 days. Patient instructed to remain in waitng room for 20 minutes to be observed for any adverse reactions. Patient given handout on Pneumococcal Vaccine, Injection. Level of Understanding: Good Outpatient Pneumococcal vaccine ordered Patient received pneumo-vac at this encounter. Site: right deltoid Present Illness: This is a 68yo, FEMALE, came  To ER with: pain to the right arm from where she  had an injection of pneumococcal vaccine  earlier today there is a family hx of similar  problems developing in abscesses. In the er she  was treated with gatiflox 400 mg iv and she was  to be discharged. she felt weak and shaky and  she was admitted for observation. Allergies: PENICILLIN  TEMP:  95.7 F [35.4 C] (11/22/2004 07:50) BP:    134/83 (11/22/2004 08:05) RESP:  20 (11/22/2004 07:50) PULSE: 64 (11/22/2004 07:50) PAIN:  3 (11/22/2004 07:50)  Physical exam:General: ambulatory, awake,  alert, oriented x3, Lungs: clear,  Extremities: No edema.  Assessment:  cellulitis        Plan: admit 23 hour recheck cbc Patient's age:  68          Sex:  FEMALE Temp:    98 F [36.7 C] (11/23/2004 06:45) Pulse:   66 (11/23/2004 06:45) B.P.     140/67 (11/23/2004 06:45) Resp.    18 (11/23/2004 06:45) Pain: 0 (11/23/2004 06:45)                        HISTORY - PRESENT ILLNESS Chief Complaint: RIGHT ARM SWELLING History of Present Illness: SHE HAD A PNEUMOCOCCAL VACCINE INJECTION YESTERDAY AND SOON AFTERWARD DEVELOPED PAIN AND SWELLING TO THE RIGHT ARM. THIS KIND OF REACTION HAS OCCURRED BEFORE IN HER AS WELL AS HER SON WHO HAD TO HAVE DRAINS AFTER AN ABSCESS DEVELOPED. SHE WAS TREATED WITH 400 MG IV GATIFLOX IN THE ER AND ADMITTED FOR OBSERVATION AND FOR HOT PACKS TO THE RIGHT ARM. Review of Systems: Repiratory:  NO SHORTNESS OF BREATH, NO COUGH                        PHYSICAL EXAMINATION General Appearance:    Good Heart:  Normal to inspection, palpation, and auscultation.  Sinus rhythm, S1 and S2 normal, no murmurs, gallops, clicks or rubs.   Extremities: THERE IS SWELLING AND TENDERNESS TO THE RIGHT ARM AT THE POSTERIOR ASPECT THE ARE OF INDURATION WHICH IS VERY TENDER TO PALPATION IS 6 INCHES BY 3 INCHES Initial Impression: ACUTE CELLULITIS POST VACCINATION WITH PNEUMO 11/23/2004 ADDENDUM  SHE HAD FLU SHOT TO LEFT ARM AND PNEUMOVAX TO RIGHT ARM YESTERDAY MORNING. SHE HAD PNEUMOVAX 5 YRS AGO WITHOUT PROBLEMS HAD SOME CHILLS YESTERDAY
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Laboratory test abnormal, Malaise, Myalgia, Pyrexia, Tremor
Clinical narrative: BP:161/89 (11/22/2004 07:50)   T:95.7 F [35.4 C] (11/22/2004 07:50)   P:64 (11/22/2004 07:50)   R:20 (11/22/2004 07:50)  Pain: 3 (11/22/2004 07:50) HT:61 in [154.9 cm] (11/14/2003 08:58)    WT:226 lb [102.7 kg] (11/22/2004 07:50)  AGE:68  Allergies:PENICILLIN CLINICAL REMINDER ACTIVITY *Pneumovax: Patient educated about adverse reactions that may occur with pneumonia vaccine to include: Soreness around the vaccination site for up to 1-2 days, Fever, Malaise, Myalgia may occur 6-12 hours after vaccination and can persist for 1-2 days. Patient instructed to remain in waitng room for 20 minutes to be observed for any adverse reactions. Patient given handout on Pneumococcal Vaccine, Injection. Level of Understanding: Good Outpatient Pneumococcal vaccine ordered Patient received pneumo-vac at this encounter. Site: right deltoid Present Illness: This is a 68yo, FEMALE, came  To ER with: pain to the right arm from where she  had an injection of pneumococcal vaccine  earlier today there is a family hx of similar  problems developing in abscesses. In the er she  was treated with gatiflox 400 mg iv and she was  to be discharged. she felt weak and shaky and  she was admitted for observation. Allergies: PENICILLIN  TEMP:  95.7 F [35.4 C] (11/22/2004 07:50) BP:    134/83 (11/22/2004 08:05) RESP:  20 (11/22/2004 07:50) PULSE: 64 (11/22/2004 07:50) PAIN:  3 (11/22/2004 07:50)  Physical exam:General: ambulatory, awake,  alert, oriented x3, Lungs: clear,  Extremities: No edema.  Assessment:  cellulitis        Plan: admit 23 hour recheck cbc Patient's age:  68          Sex:  FEMALE Temp:    98 F [36.7 C] (11/23/2004 06:45) Pulse:   66 (11/23/2004 06:45) B.P.     140/67 (11/23/2004 06:45) Resp.    18 (11/23/2004 06:45) Pain: 0 (11/23/2004 06:45)                        HISTORY - PRESENT ILLNESS Chief Complaint: RIGHT ARM SWELLING History of Present Illness: SHE HAD A PNEUMOCOCCAL VACCINE INJECTION YESTERDAY AND SOON AFTERWARD DEVELOPED PAIN AND SWELLING TO THE RIGHT ARM. THIS KIND OF REACTION HAS OCCURRED BEFORE IN HER AS WELL AS HER SON WHO HAD TO HAVE DRAINS AFTER AN ABSCESS DEVELOPED. SHE WAS TREATED WITH 400 MG IV GATIFLOX IN THE ER AND ADMITTED FOR OBSERVATION AND FOR HOT PACKS TO THE RIGHT ARM. Review of Systems: Repiratory:  NO SHORTNESS OF BREATH, NO COUGH                        PHYSICAL EXAMINATION General Appearance:    Good Heart:  Normal to inspection, palpation, and auscultation.  Sinus rhythm, S1 and S2 normal, no murmurs, gallops, clicks or rubs.   Extremities: THERE IS SWELLING AND TENDERNESS TO THE RIGHT ARM AT THE POSTERIOR ASPECT THE ARE OF INDURATION WHICH IS VERY TENDER TO PALPATION IS 6 INCHES BY 3 INCHES Initial Impression: ACUTE CELLULITIS POST VACCINATION WITH PNEUMO 11/23/2004 ADDENDUM  SHE HAD FLU SHOT TO LEFT ARM AND PNEUMOVAX TO RIGHT ARM YESTERDAY MORNING. SHE HAD PNEUMOVAX 5 YRS AGO WITHOUT PROBLEMS HAD SOME CHILLS YESTERDAY
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain, Pruritus, Rash macular
Clinical narrative: DEVELOPED PAIN/ITCHY RASH ALL OVER MY STOMACH. RED, BLOTCHY AREAS WITH SCABS FROM BUMPS.
Age: 53.0
Sex: F
Vaccine: RAB
Symptoms: Tremor
Clinical narrative: A 52 year old female patient experienced tremors in the upper extremities while being treated with RabAvert following a bite from a feral cat. Patient was treated with RabAvert on days 0, 3, 7, 14, and 28 (which was 11/12/04). Past medical history and concomitant medications were not specified. The patient was bitten on the thenar aspect of one hand by a feral cat in an unprovoked situation on an unspecified date. She was treated with human rabies immune globulin (HRIG) into the wound and post exposure treatment was started with RabAvert. One week prior to the last rabies vaccine she developed tremors of both upper extremities. No other symptoms were reported. The event continued at the time of the report. Follow up information received on 12/6/04 revealed that the patient experienced bilateral hand tremors from 10/10/04 to 11/10/04. The first dose of RabAvert was administered IM on 10/8/04 and the fifth and last dose was on 11/5/04. Concomitant medications included Nadolol and Lipitor. At the time of this report, the patient had completely recovered. The reporter assessed the event as medically significant (OMIC).
Age: 10.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Abnormal behaviour, Dystonia, Speech disorder, Tongue disorder
Clinical narrative: See neurologist note. Pt reports affected speech and episode of prolonged dystonic tongue posturing. Non specific paroxysmal spell post receipt of FluMist. "Glared over" "not himself", pursing lips, holding lips square; talking with tongue thrust behind front teeth, problem finding words, involved talking but not eating. Diagnosis: Prolonged dystonic tongue posturing. Problem resolved after about 5 weeks (prior neurology exam).
Age: 10.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Condition aggravated, Dyskinesia, Dystonia, Mental impairment
Clinical narrative: See neurologist note. Pt reports affected speech and episode of prolonged dystonic tongue posturing. Non specific paroxysmal spell post receipt of FluMist. "Glared over" "not himself", pursing lips, holding lips square; talking with tongue thrust behind front teeth, problem finding words, involved talking but not eating. Diagnosis: Prolonged dystonic tongue posturing. Problem resolved after about 5 weeks (prior neurology exam).
Age: 1.33
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Erythema, Feeling hot, Injection site reaction, Tenderness, Urticaria
Clinical narrative: Site of Comvax injection left arm. 1/2 dollar size red/warm welt, tender to touch.
Sex: F
Vaccine: DTAP
Symptoms: Oedema, Swelling
Clinical narrative: Swelling/edema ; left thigh and erythema.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Irritability, Vomiting
Clinical narrative: 6-8x vomiting and diarrhea with increased irritability every time received immunizations (within 24-48 hours).
Age: 0.51
Sex: M
Vaccine: DTAP, FLU3, HIBV, IPV, PNC
Symptoms: Injection site erythema, Vaccine positive rechallenge
Clinical narrative: After injection of vaccines, patient had redness at all sites. IPV site was the largest. Redness developed within 2-3 minutes, no trouble breathing. Benadryl po given and patient (+mom) stated in clinic 20 minutes. Redness decreased . * Previous injections DTaP, Hib, IPV and PCV given 11/8/04: had redness and Benadryl given. Went away per mom: no problems
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eye swelling, Pruritus, Urticaria
Clinical narrative: 12/3/04: 9:15 flu "shot" given: has had these for many years. 11:30 awakened with itching, welts '"all over" , eyes swollen shut, SOB "like asthma". No medication allergies. History of bee sting allergy: 12/4/04 0030 to ER given IM Benadryl and Cortisone, then oral Benadryl later . 1 eye still swollen.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Condition aggravated, Dyspnoea, Pruritus, Urticaria
Clinical narrative: Sick at stomach, whelps, itching, felt like I couldn't breath. Received steroid shot, Benadryl, and breathing treatment at medical center. Took po Benadryl the following day.
Age: 1.02
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Laboratory test abnormal, Viral infection
Clinical narrative: reaction unevaluable
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Cellulitis, Dyspnoea, Skin ulcer
Clinical narrative: "Difficulty breathing" that spontaneously resolved around 12 hours after administration of vaccine. Cellulitis over right lateral thigh noted by mother >24 hours after administration of vaccine. No treatment given since patient is clinically stable, active and smiling in clinic, and per mother, lesion appears to be improving. Recovering.
Age: 1.03
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Aphthous stomatitis, Pyrexia, Rash
Clinical narrative: Fever (T 106.9 F) an rash on trunk, four lesions in mouth occurring 8 days after vaccines around 10-20 lesions on body.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Swelling, redness 5x6cm. Distal left upper right thigh. Induration.
Age: 44.0
Sex: M
Vaccine: MMR
Symptoms: Dyskinesia, Nuchal rigidity, Speech disorder, Tremor
Clinical narrative: Had MMR on 12/6/04. Came in at health department 12/8/04, relating history of "shaky, jerky,tightness of neck affecting ability to talk" Episode about 15-20 minutes after leaving immunization clinic. Went to doctor and was given "Atarax". No other unusual episode after that. Looking good during today's visit 12/8/04.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Tenderness
Clinical narrative: A day after shot got in arms (deltoids) erythema and tender. Fore arm and thigh area tender and erythematous. Oral Benadryl given, DTaP
Age: 53.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Back pain, Chills, Headache, Influenza like illness
Clinical narrative: MMR given 11/2/04. Approximately 2 weeks later started with flu-like symptoms: fever and chills, headache and fever, then joint pains including low back , fingers, hips and knees. 11/23/04 went to ED for swelling in throat and diagnosed with esophageal spasm. Lyme titer negative. 12/7/04: Still with generalized aches and sensation of swelling in throat . 12/2/4: symptoms are improving slowly.
Age: 53.0
Sex: M
Vaccine: MMR
Symptoms: Oesophageal spasm, Pain, Pharyngeal oedema, Pyrexia
Clinical narrative: MMR given 11/2/04. Approximately 2 weeks later started with flu-like symptoms: fever and chills, headache and fever, then joint pains including low back , fingers, hips and knees. 11/23/04 went to ED for swelling in throat and diagnosed with esophageal spasm. Lyme titer negative. 12/7/04: Still with generalized aches and sensation of swelling in throat . 12/2/4: symptoms are improving slowly.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Viral infection
Clinical narrative: Patient has developed chicken pox after receiving varicella vaccine.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Red, swollen left upper arm
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration, Injection site reaction, Pruritus
Clinical narrative: Left arm swelling from shoulder to elbow; redness and warmth also noticed. Area is hard and itchy at injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling
Clinical narrative: Left arm swelling from shoulder to elbow; redness and warmth also noticed. Area is hard and itchy at injection site.
Age: 36.0
Sex: F
Vaccine: FLUN3
Symptoms: Headache, Myalgia, Pyrexia, Rhinorrhoea
Clinical narrative: Muscle aches, headache, runny nose, fever 102.3.
Age: 20.0
Sex: F
Vaccine: FLU3, TYP
Symptoms: Chills, Night sweats, Oedema peripheral, Paraesthesia, Pyrexia
Clinical narrative: Patient is 20-year-old female who received typhoid vaccination and influenza vaccine on the 14th of December 2004.   She reports doing well following the vaccination without any unusual reactions.  She reports going to work and doing typical paper work with no unusual exposures.  She reports getting the vaccine at approximately 1500 and then she went to work for the night.  She noticed at the end of her shift that her fingers were swollen and that her feet were swollen.  She had a rash in the folds of her arms that she described as lines.  She had a rash on her feet.  The soles felt tingling and her toes were sensitivity.  The tops of her feet were red.  No hives.  The rash was very sensitive but not really pruritic.  The rash was present for approximately 24 hours.  No other symptoms:  no shortness of breath or difficulty breathing.  No dizziness or lightheadedness.   She reports possible fever and chills when sleep because she woke up in a sweat.  She reports occasional cough.  No other recent illness and denies sore throat.  No sick contacts.   No history of food allergies as a child.  No problems with eggs and she can eat eggs on a regular basis.  She went to the emergency room yesterday and was treated with ibuprofen and kenalog cream.  The symptoms seem to have improved.  No joint aches or knee or back pain.
Age: 20.0
Sex: F
Vaccine: FLU3, TYP
Symptoms: Rash
Clinical narrative: Patient is 20-year-old female who received typhoid vaccination and influenza vaccine on the 14th of December 2004.   She reports doing well following the vaccination without any unusual reactions.  She reports going to work and doing typical paper work with no unusual exposures.  She reports getting the vaccine at approximately 1500 and then she went to work for the night.  She noticed at the end of her shift that her fingers were swollen and that her feet were swollen.  She had a rash in the folds of her arms that she described as lines.  She had a rash on her feet.  The soles felt tingling and her toes were sensitivity.  The tops of her feet were red.  No hives.  The rash was very sensitive but not really pruritic.  The rash was present for approximately 24 hours.  No other symptoms:  no shortness of breath or difficulty breathing.  No dizziness or lightheadedness.   She reports possible fever and chills when sleep because she woke up in a sweat.  She reports occasional cough.  No other recent illness and denies sore throat.  No sick contacts.   No history of food allergies as a child.  No problems with eggs and she can eat eggs on a regular basis.  She went to the emergency room yesterday and was treated with ibuprofen and kenalog cream.  The symptoms seem to have improved.  No joint aches or knee or back pain.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Chest pain, Cough, Dyspnoea, Sleep disorder, Wheezing
Clinical narrative: Patient received vaccine on 12/15/04 @ 7pm. Sometime after 10:30pm on 12/15/04 patient awoke from her sleep.  Patient was coughing, wheezing, and having difficulty breathing.  Patient experienced a feeling of a heavy weight on her chest.  The episode of breathing difficulty lasted approx. 2-3 hours, patient was unable to sleep during this time.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Nausea, Pallor, Somnolence, Syncope, Vomiting
Clinical narrative: Patient was given 1 DTap, 1 IPV, 1 Hepatitis B, and 1 MMR at about 5:15 PM.  Father had denied any illness in the last 24 - 48 hours, or any reaction to previous vaccination.  His English was broken and understanding minimal.  Family had just arrived in this country on 12/01/04.  Patient tolerated the vaccination well, did not cry or resist, was quiet.  After the shots, she sat on her dad's lap back in the waiting area.  The sponsor came over to me to tell me that she was nauseated.  I brough the safety bag and smelling slats with me to the child.  Patient was pale and vomited a small amount of phlegm. RN came over to assist, and we decided to have her carried over to the corner to lie down on the floor.  BP 64/40, P 44.  She fainted.  I called 911 at~5:26 pm while smelling salts were used.  She aroused ar ~5:27 pm. P was 60. At 5:30 pm BP 94/60, pulse 60. Bangs ambulance arrived at ~5:33 pm.  Child evaluated, given 02 by Bangs.  Responsive.  Meanwhile an interpreter arrived and we determined that the child was in no pain but was scared.  Child had not eaten since 1 pm.  She sat up on her dad's lap and drank one whole glass of orange juice, didn't vomit or get nauseated from it.  Dad states that she has been extra sleepy in the last few days.  Bangs crew thought that child did not need transport to ED, but Dad concerned, so Bangs took her to the hospital ED with dad and interpreter.  She was seen at ED for syncopal episode and released.
Age: 0.52
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Hyperhidrosis, Injection site erythema, Injection site pain, Irritability, Swelling
Clinical narrative: Sweats and fussiness the evening following the immunization administration.  Localized swelling (~1cm), erythema and tenderness at injection site.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site warmth, Paraesthesia, Pruritus
Clinical narrative: Immediately following vaccination client developed itching at the site and it spread to a generalized itching from the waist up.  She had tinglinig in her lips as well.  She developed a baseball sized area at the injection site that was red and hot and lasted about four days.  The reaction required OTC Benadryl be taken at the time and again later that evening, as well as once the following day.
Age: 32.0
Sex: F
Vaccine: FLUN3
Symptoms: Asthenia, Chest discomfort, Dizziness, Fatigue, Laboratory test abnormal
Clinical narrative: Profound weakness, unusual sleeping and awakening tired.  Orthostatic dizziness.  Chest tightness.  No Cough, history of asthma.  No sneezing No OTC medications.
Age: 32.0
Sex: F
Vaccine: FLUN3
Symptoms: Sleep disorder
Clinical narrative: Profound weakness, unusual sleeping and awakening tired.  Orthostatic dizziness.  Chest tightness.  No Cough, history of asthma.  No sneezing No OTC medications.
Age: 0.31
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Patient had unwitnessed seizure the day after administration of vaccines.  Associated with fever.  Subsequently had two more seizures, not associated with fever.  Third seizure was witnessed in ED.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Eyelid oedema, Pruritus, Rash erythematous, Rash maculo-papular
Clinical narrative: Developed itching in right arm that he received shot in. Then developed raised pruritic erythematous maculopapular rash over right hand and wrist. Pt also had rt eyelid swelling and itching.
Age: 23.0
Sex: M
Vaccine: FLU3, SMALL
Symptoms: Erythema, Injection site vesicles, Skin ulcer
Clinical narrative: Pt noted two new skin lesions near vaccination site.  Vesicular in appearance.  Erythematous. Denies fever, H/A, CP.
Age: 38.0
Sex: M
Vaccine: IPV, MEN, TYP, YF
Symptoms: Aphthous stomatitis, Asthenia, Fatigue, Headache, Pyrexia
Clinical narrative: General weakness, fatigue, subjective low grade fever, brief headache and cold sores upper lip. Began one day after vaccination; improving within one weak. Treated with Tylenol.
Age: 17.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Swelling
Clinical narrative: Patient received vaccine 12/7/04 am. Developed swelling and redness right arm around injection site that evening. Went to ER and placed on Keflex. Then on 12/8 area getting bigger went to walk in clinic Keflex. Discharged , prednisone started.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Swelling
Clinical narrative: Received flu vaccine 12/8/04: noticed swelling under left arm pit on 12/11/04. Denies fever, no redness or induration. Was evaluated by PMD 12/14/04and instructed to apply ice packs and continue ibuprofen. Patient called health department 12/10/04 to report: swelling now subsided. Never had pervious reaction to flu shots before.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Rash on arms, chest and legs. Itches started Wednesday 12/15/04. Had flu shot 12/13/04. Had cardiac cath 12/9/04. No new meds except Benadryl since rash and itching developed. Doctor told him to take Benadryl and report incident to health department.
Age: 1.27
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Rash macular
Clinical narrative: Systemic macular rash
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Contusion, Eye disorder, Irritability, Pain, Pyrexia
Clinical narrative: At noon patient started screaming. His legs were probably hurting because his eyes wee wide open and seemed to be terrified. Tried to calm him by breast feeding but was not successful. Started child on Motrin. After 1-2 hours of incessant screaming took child to doctor about 1pm and after 10 minutes form arriving child felt asleep but awoke periodically screaming. During doctor/ nurse examination they found bruising on left leg, purple nodule. When applied pressure on needle marks the body jerked his knee as if in pain and would scream. Doctor recommended Tylenol every 4 hours, to keep an eye on fever apply warm compresses on thighs. Told that baby would improve by next day. Today the baby is feverish and whiny, especially by 3 hours after Tylenol dose.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Screaming, Skin nodule
Clinical narrative: At noon patient started screaming. His legs were probably hurting because his eyes wee wide open and seemed to be terrified. Tried to calm him by breast feeding but was not successful. Started child on Motrin. After 1-2 hours of incessant screaming took child to doctor about 1pm and after 10 minutes form arriving child felt asleep but awoke periodically screaming. During doctor/ nurse examination they found bruising on left leg, purple nodule. When applied pressure on needle marks the body jerked his knee as if in pain and would scream. Doctor recommended Tylenol every 4 hours, to keep an eye on fever apply warm compresses on thighs. Told that baby would improve by next day. Today the baby is feverish and whiny, especially by 3 hours after Tylenol dose.
Age: 1.86
Sex: M
Vaccine: DTAP
Symptoms: Rash, Rash erythematous, Rash maculo-papular
Clinical narrative: 12/16/04 PC from mother declining immunizations describes rash on chin that spread to cheeks night of vaccine administration (12/2/04). On 12/4/04: generalized rash over arms, legs or back. Some pink, some red, raised, splotchy. Denies fever, change in appetite or activity level. Saw doctor 12/4/04. Thought not vaccine related. Did lab test for allergies: was negative. 12/16/04: still with rash just peaking today. Mother deferred all immunizations until now or only wanted one given at a time.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site rash, Pruritus
Clinical narrative: - itchy, reddish bumps around injection site. No other symptoms. Benadryl 25mg q 6 hours, hydrocortisone Cream, cool packs.
Age: 29.0
Sex: F
Vaccine: HEPAB
Symptoms: Influenza like illness, Nausea
Clinical narrative: States felt nauseated around 4:10 pm on 12/13 and had flu-like symptoms 12/13-12/15. Feels much better today 12/16.
Age: 1.07
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Herpes zoster, Viral infection
Clinical narrative: Patient re male 6 years with Herpes Zoster. Dad states child never had wild C. pox has history of eczema in past. Dad wants to know if varicella vaccination could have pre-disposed him to the Herpes Zoster event. If there any survey to check if he did cpox: asymptomatic course. His is a new patient to me. We did not give him his varicella shot.
Age: 41.0
Sex: F
Vaccine: HEPAB
Symptoms: Headache, Malaise
Clinical narrative: Pt. experienced a headache within 30 minutes of receiving Twinrix injection.  Self medicated with otc analgesic.  Described feeling "puny" for 2 or 3 days afterward.  Symptoms resolved spontaneously without further action.
Age: 0.19
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Dyskinesia, Grunting, Pyrexia, Staring
Clinical narrative: Pt received immuniz at well visit and was diagnosed with asymptomatic R OM concurrently.  He received one dose of Amoxil around 11:30am.  He was in a carseat approx 12:15pm with mom waiting for a sib to get out of school when mom noted him to be groaning, staring to the right, and jerking as if something was repeatedly startling him.  This lasted 15 minutes.  Mom took him to his primary doctor where he was noted to have a temp of 102.  He was then transferred to our hospital. Discharge Summary received on 2/07/2005 states grunting.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema multiforme, Rash
Clinical narrative: Flu vaccine given 11/17/04.  Developed rash over most of body on 11/19/04. Pt received Enbrel injections on 11/18/04 and 11/26/04.  On 11/19/04, physician diagnosed pt with Erythema Multiforme and treated with Valacyclovir HCl 1 po bid X 1 wk. Follow up on 12/3/04 revealed Erythema Multiforme Improved.  Pt moved from area a few days later and has been lost to further follow up.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pneumococcal vaccine given SQ in left arm on 12/7/04. On 12/8, pt reported to nurse that he was experiencing pain, redness, and severe swelling from injection site to fingers.  Examined by MD on 12/8/04 and treated for cellulitis with Amoxicillin/Clav 500 mg bid X 10 days.  Pt reported some improvement on 12/9.  Per MD office on 12-17-04, cellulitis completely resolved.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Depression, Facial palsy, Fall, Guillain-Barre syndrome
Clinical narrative: Telephone call from employee, stating she was diagnosed with Guillian-Barre Syndrome. Unclear if related to Influenza Vaccine or not. States prior to vaccine c/o sore throat and earache on 10/26/04- Saw PMD, temp 99-100F. Started on Amoxicillan. 10/28/04 c/o hands and toes tingling. Received Influenza vaccine on 11/2/04. Admits to only telling administering nurse that she was on an antibiotic for cold s/s but denied an elevated temp. Did not tell nurse about neurological symptoms. 11/3 stated rt side of face "paralyzed". 11/4 c/o "feet slapping". Saw neurologist. States had MRI 11/5- reported no stroke or tumors. 11/8 Saw neuro again- c/o falling with ambulation. States had "no ankle reflexes" and admitted to hospital. Had spinal tap and dx with GBS. Currently at home, slowly improving with home PT.   01/12/05 Discharge summary 0f 11/8-11/15/2004 gives final diagnosis as Guillain-Barre syndrome, CMV (+), Depression. Treated with IVIG, antivirals for CMV(+) & PT resulting with ability to walk w/walker on d/c.  H&P states sore throat 'two weeks ago' (about 10/25/04) went home from office visit to Dr and 'had tingling in her face and hands'.  The tingling continured thru 11/02 when she got the flu shot. Next morning she had rt side of face numbness and drooping and  weakness in feet and legs, worse on the rt than left.' Neuro consult obtained. 01/26/05 From nursing supervisor that patient had at least one previous flu vax in 02.
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Flushing, Headache, Pain
Clinical narrative: Patient received injection 12/14/04 SQ LA. 12/15/04, came to office having questionable reaction: fever, bad pain left arm, redness, swelling, flushed, headache. Patient called and admitted to hospital on 12/15/04 - 12/16/04. Diagnosed with cellulitis. Went to ER; got worse. Still in hospital.