chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Gait disturbance, Hypoaesthesia, Malaise, Muscular weakness, Nausea
Clinical narrative: Hands & feet numb, can hardly walk.  Admitted to hospital.  ?Guillain Barre  ?if from influenza vaccine. records received 3/5/08-for DOS 2/5-2/12/08. DC DX:Guillain-Barre syndrome. Seconardy diagnoses:Pregnancy 19 weeks, tachycardia associated with previous pregnancies.  Presented with progressive ascending numbness and tingling which she had been experiencing over the past four weeks. Nausea and vomiting about a week prior to development of symptoms. Symptoms began in feet with numbness and tingling over the course of the day progressed to hands. Tingling tip of nose the following week. Weakness bilaterally in lower extremities and difficulty walking because of weakness. Fatigue with exertion and walking. Headaches experiencing throughout pregnancy. Treated with IVIG with improvment and susequent discharge. Follow-up: Still has some residual side effects, weakness, loss of stamina, loss of strength pain in legs, arms, hands and feet.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging normal, Paraesthesia, Vomiting
Clinical narrative: Hands & feet numb, can hardly walk.  Admitted to hospital.  ?Guillain Barre  ?if from influenza vaccine. records received 3/5/08-for DOS 2/5-2/12/08. DC DX:Guillain-Barre syndrome. Seconardy diagnoses:Pregnancy 19 weeks, tachycardia associated with previous pregnancies.  Presented with progressive ascending numbness and tingling which she had been experiencing over the past four weeks. Nausea and vomiting about a week prior to development of symptoms. Symptoms began in feet with numbness and tingling over the course of the day progressed to hands. Tingling tip of nose the following week. Weakness bilaterally in lower extremities and difficulty walking because of weakness. Fatigue with exertion and walking. Headaches experiencing throughout pregnancy. Treated with IVIG with improvment and susequent discharge. Follow-up: Still has some residual side effects, weakness, loss of stamina, loss of strength pain in legs, arms, hands and feet.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Apnoea, Apparent life threatening event, Blood gases, C-reactive protein increased, Cardio-respiratory arrest
Clinical narrative: Apparent life-threatening event-ALTE.  Symptoms-increased episodes of periodic breathing, progressed to full code.  Tx: Coded in hospital with PPV, cardiac compressions.  03/03/2008 MR received for NICU stay beginning DOB 11/30/2007 to 2/09/2008 with DX of ALTE, possibly 2' to immunization (in addition to multiple DX due to prematurity). Infant experienced significant apnea and bradycardia on 2/3/08 requiring PPV and chest compressions. Thought to be 2' to immunizations. Re-admitted to NICU and started on IV abx. No further episodes.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Dyspnoea, Full blood count, Laboratory test, Mechanical ventilation
Clinical narrative: Apparent life-threatening event-ALTE.  Symptoms-increased episodes of periodic breathing, progressed to full code.  Tx: Coded in hospital with PPV, cardiac compressions.  03/03/2008 MR received for NICU stay beginning DOB 11/30/2007 to 2/09/2008 with DX of ALTE, possibly 2' to immunization (in addition to multiple DX due to prematurity). Infant experienced significant apnea and bradycardia on 2/3/08 requiring PPV and chest compressions. Thought to be 2' to immunizations. Re-admitted to NICU and started on IV abx. No further episodes.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: 2nd shot - 05/18/2007; feet and hands hurt. ached all over - joints legs hurt. Saw doctor 7/20/07.  03/10/2008 MR received from PCP which include rheumatology consults.    Rheumatoid arthristis does not go away. Pt is under the care of a rheumatologist and has started EMBREL injections for her RA.  Pt reported onset of joint pain in June 2007 following Gardasil vax in March 20 and and May 18, 2007(Lot #0245U). Pain initially noted in wrist and fingers with mild swelling noted on exam 7/20/2007.  Fatigue and stiffness increasing by 8/22/07 OV. Rheumatology consult 9/18/07 with confirmed DX of Rheumatoid Arthritis 10/16/07 s/p lab results. 1/20/2010 I was diagnosed iwth rheumatoid arthritis and have chronic joint pain.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody negative, Culture negative, Full blood count normal, Headache, Herpes simplex serology negative
Clinical narrative: 3 days after 3rd dose HPV vaccine - developed labial and vaginal ulcers - slight fever and HA. Progressed to be very painful.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Pyrexia, Vaginal ulceration, Vulval disorder
Clinical narrative: 3 days after 3rd dose HPV vaccine - developed labial and vaginal ulcers - slight fever and HA. Progressed to be very painful.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Rash-shot given 1/21/08, rash on 2/3/08 otherwise no symptoms.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash
Clinical narrative: Mom states that ~24 hours after immunization patient broke out with an unusual rash on L thigh and lower leg that resembled "bug bites".  Afebrile, alert, good IO.  Lasted 24 hours.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Induration, Inflammation, Local reaction, Oedema peripheral
Clinical narrative: local reaction right shoulder red; swollen mild tender nonfluctuant; Mild induration; local inflammatory reaction. Follow up 2-8-08 mom states decreased swelling no redness
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Tenderness
Clinical narrative: local reaction right shoulder red; swollen mild tender nonfluctuant; Mild induration; local inflammatory reaction. Follow up 2-8-08 mom states decreased swelling no redness
Age: 21.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Blister, Erythema, Pain in extremity
Clinical narrative: Received Tdap and Hepatitis A on 2-1-08. Right arm was sore 2-1-08 and 2-2-08. Patient removed band aid on 2-2-08 and area over right deltoid was red with speckled appearance, there was an open area that looked like broken blister. Arm stayed red, painful with open area to today when he came back to see us
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Blister, Erythema, Pruritus
Clinical narrative: States he woke up this morning and his left arm was itching, a couple hours later he looked at it saw small blisters and mild redness.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MMRV, MNQ, TDAP
Symptoms: Expired drug administered, Inappropriate schedule of drug administration
Clinical narrative: No adverse events - MMRV was administered on 1/15/08 -> client age 16 and vaccine expired on 1/11/08.  No adverse event-only reporting dlt inappropriate age & expired vaccine.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pruritus generalised, Skin warm
Clinical narrative: RECEIVED SHINGLES VACCINE AT APPROX 11:30AM ON FRIDAY, FEB 1, 2008. SAT. FEB2, WOKE UP WITH SORE ARM - HURT BUT NOT RED, SLIGHTLY WARM, STARTED TO ITCH ALL OVER BY NOON - DOCTOR PRESCRIBED BENADRYL. ITCHING STOPPED BY MONDAY AM
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: 6 mo old male onset generalized erythematous maculo papular rash within 48 hours after vaccination.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: 24x11 cm Redness and Swelling Extending Below the Elbow with Pain.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 5 days after injection continued with red, indurated, painful area around injection site measuring 10cm. No discharge of fluctuance. Did treat with Keflex in case there was infection but no symptom or symptom of such.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Prolonged inconsolable crying episode lasting for around 3 hours.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abdomen scan, Abdominal X-ray, Abdominal pain upper, Appetite disorder, Colonoscopy
Clinical narrative: From the time of vaccine to present patient has experienced the following symptoms: major fatigue, diarrhea, nausea, stomach pain, migraine headaches, hot and cold, flushing of cheeks, at times  hands, fluctuating appetite  never limited her during .
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Diarrhoea, Endoscopy, Fatigue, Feeling of body temperature change, Flushing
Clinical narrative: From the time of vaccine to present patient has experienced the following symptoms: major fatigue, diarrhea, nausea, stomach pain, migraine headaches, hot and cold, flushing of cheeks, at times  hands, fluctuating appetite  never limited her during .
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Full blood count, Laboratory test, Migraine, Nausea, Red blood cell sedimentation rate
Clinical narrative: From the time of vaccine to present patient has experienced the following symptoms: major fatigue, diarrhea, nausea, stomach pain, migraine headaches, hot and cold, flushing of cheeks, at times  hands, fluctuating appetite  never limited her during .
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Thyroid function test
Clinical narrative: From the time of vaccine to present patient has experienced the following symptoms: major fatigue, diarrhea, nausea, stomach pain, migraine headaches, hot and cold, flushing of cheeks, at times  hands, fluctuating appetite  never limited her during .
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, MNQ
Symptoms: Convulsion, Gaze palsy, Grunting, Incontinence, Nausea
Clinical narrative: Patient had seizure activity - eyes rolled back, clonic-tonic, muscular contractures, verbal grunting noise, voided on self. Nausea reported after seizure type activity. Lasted approximately 2 minutes. After history - child had done this at a concert 2 wks ago and at school. No app and follow up until today.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, MNQ
Symptoms: Tonic clonic movements
Clinical narrative: Patient had seizure activity - eyes rolled back, clonic-tonic, muscular contractures, verbal grunting noise, voided on self. Nausea reported after seizure type activity. Lasted approximately 2 minutes. After history - child had done this at a concert 2 wks ago and at school. No app and follow up until today.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Seen in office 2/6, left upper arm 11x9cm warmth, erythema.  Firm swelling.  Right upper arm 3x3cm warmth, erythema.  Mom will call if does not improve.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Herpes simplex, Oral herpes
Clinical narrative: Pt stated she received vaccine on 2/4/08. About 4 days later she had a Herpes Simplex breakout in her mouth. It started by her molars and went to her ear and into her sinuses. Pt has a history of this and has been prescribed Acyclovir 200mg. She started taking the Acyclovir after the Herpes Simplex breakout started and it has since resolved. Pt is concerned that the vaccine caused the Herpes Simplex breakout.
Age: 52.0
Sex: M
Vaccine: FLUX, TDAP
Symptoms: Acute febrile neutrophilic dermatosis, Biopsy, Blood test, Catheterisation cardiac, Chest X-ray
Clinical narrative: RED BUMPS STARED TO APPEAR ON MY BACK, FEVER/HEADACHES, CHEST PAINS. WENT TO THE DOCTORS, AMBULANCE TOOK ME TO THE HOSPITAL, AFTER 5 DAYS OF QUARANTEED THEY FIGURED OUT IT WAS SWEET'S SYNDROME, TREATED WITH PREDNISONE 2/19/08-records recived for DOS 11/27-12/5/07-DC DX: Ishcemic heart disease secondary to vasculitis. Non-ST segment elevation myocardial infarction. Sweet syndrome. Hypercholesterolemia. Presented with non-ST segment elevation myocardial infarction, many skin lesions. Non purulent and no drainage boils. Headache.
Age: 52.0
Sex: M
Vaccine: FLUX, TDAP
Symptoms: Chest pain, Computerised tomogram, Electrocardiogram, Erythema, Headache
Clinical narrative: RED BUMPS STARED TO APPEAR ON MY BACK, FEVER/HEADACHES, CHEST PAINS. WENT TO THE DOCTORS, AMBULANCE TOOK ME TO THE HOSPITAL, AFTER 5 DAYS OF QUARANTEED THEY FIGURED OUT IT WAS SWEET'S SYNDROME, TREATED WITH PREDNISONE 2/19/08-records recived for DOS 11/27-12/5/07-DC DX: Ishcemic heart disease secondary to vasculitis. Non-ST segment elevation myocardial infarction. Sweet syndrome. Hypercholesterolemia. Presented with non-ST segment elevation myocardial infarction, many skin lesions. Non purulent and no drainage boils. Headache.
Age: 52.0
Sex: M
Vaccine: FLUX, TDAP
Symptoms: Pyrexia, Rash
Clinical narrative: RED BUMPS STARED TO APPEAR ON MY BACK, FEVER/HEADACHES, CHEST PAINS. WENT TO THE DOCTORS, AMBULANCE TOOK ME TO THE HOSPITAL, AFTER 5 DAYS OF QUARANTEED THEY FIGURED OUT IT WAS SWEET'S SYNDROME, TREATED WITH PREDNISONE 2/19/08-records recived for DOS 11/27-12/5/07-DC DX: Ishcemic heart disease secondary to vasculitis. Non-ST segment elevation myocardial infarction. Sweet syndrome. Hypercholesterolemia. Presented with non-ST segment elevation myocardial infarction, many skin lesions. Non purulent and no drainage boils. Headache.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Patient given Hep B vaccine on 02.06.08 (L deltoid).  On 02.07.08, arm became swollen, red, warm to touch, painful from shoulder to elbow.  Treated on 02.08.08 with Cephalexin 500-One every eight hours; cool compress; Advil/Tylenol.
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Malaise, Pyrexia, Rash
Clinical narrative: Pt. called to report that approx. 3 weeks after receiving the Zostavax vaccine, he started to have painful pimple-like eruptions on his face, back and sides of chest.  He has a fever of 99.0 and is very uncomfortable. He has contacted his physician, and has an appt. scheduled 2/13/08 with Dr.
Age: 38.0
Sex: M
Vaccine: FLUN3
Symptoms: Herpes zoster, Immediate post-injection reaction, Lip swelling, Oral herpes, Paraesthesia oral
Clinical narrative: Referred by immunizations following Vaccine medical exemption from Clinic marking Allergy to vaccine component - Flumist and hx hypersensitivity, anaphylaxis to LAIV or eggs. History of present illness. Denied any food, egg, fish, seafood allergy; no chemical, latex, drug or vaccine related reactions; no seasonal allergies. DID c/o milk causing diarrhea when eaten with eggs but no problems with eggs....unknown if hx lactose intolerance. Hx tinia versicolor, pseudo folliculitis, roseolla and childhood colds. Denied any CV/resp, GI, neuro, MS disorders o  Medication list reviewed None taken  °  Encounter Background Information: Pt reported receipt of FluMIst vac 11/30/2006. Within a few seconds/moments he felt tingling to back of throat and to right upper lip. He worked rest of day, went home, awoke next moring with swelling to right upper lip (cold sore). He denied SOB, difficulty swallowing, facial edema, lower/left side lip swelling, chest pain, rash/hives/itching or any distress except for right upper lip. Swelling resolved in 1 week w/use of Acyclovir. No reoccurrence since ... has hx of cold sores, no not "that severe"   DX: suspect herpes zoster.
Age: 38.0
Sex: M
Vaccine: FLUN3
Symptoms: Throat irritation
Clinical narrative: Referred by immunizations following Vaccine medical exemption from Clinic marking Allergy to vaccine component - Flumist and hx hypersensitivity, anaphylaxis to LAIV or eggs. History of present illness. Denied any food, egg, fish, seafood allergy; no chemical, latex, drug or vaccine related reactions; no seasonal allergies. DID c/o milk causing diarrhea when eaten with eggs but no problems with eggs....unknown if hx lactose intolerance. Hx tinia versicolor, pseudo folliculitis, roseolla and childhood colds. Denied any CV/resp, GI, neuro, MS disorders o  Medication list reviewed None taken  °  Encounter Background Information: Pt reported receipt of FluMIst vac 11/30/2006. Within a few seconds/moments he felt tingling to back of throat and to right upper lip. He worked rest of day, went home, awoke next moring with swelling to right upper lip (cold sore). He denied SOB, difficulty swallowing, facial edema, lower/left side lip swelling, chest pain, rash/hives/itching or any distress except for right upper lip. Swelling resolved in 1 week w/use of Acyclovir. No reoccurrence since ... has hx of cold sores, no not "that severe"   DX: suspect herpes zoster.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Erythema, Headache, Local reaction, Local swelling
Clinical narrative: SEVERE HEADACHE AND BODY AND JOINT PAIN, SKIN HURTS, SORE THROAT, LOW GRADE FEVER-100F, LOCALIZED REACTION INITIALLY-REDNESS & SWELLING.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain of skin, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: SEVERE HEADACHE AND BODY AND JOINT PAIN, SKIN HURTS, SORE THROAT, LOW GRADE FEVER-100F, LOCALIZED REACTION INITIALLY-REDNESS & SWELLING.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Mom called our nurse advice line and reported that right bicep had a area "the same diameter as an orange" that was red and itchy; no fever; no hives; had immunizations on 2/5/08.  Nurse followed immunization protocol.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Well child screening on 2/8/2008.  Received immunizations at office visit.  Mother called nurse advice line on 2/9/08 at 1:35 pm and reported that her child's right lateral thigh was red, swollen and warm and painfull.  Size of an orange.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: Nonspecific erythematous rash right post auricular area that patient relates temporally to injection.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Lip swelling, Pyrexia
Clinical narrative: As per parent child developed moderate swelling to her lips approximately 30 minutes following vaccination. As per parent the swelling persisted for approxiamtely 30 minutes and resolved completely. As per parent, child also experienced a low grade fever throughout the night.
Age: 20.0
Sex: F
Vaccine: HEP, HPV4, TDAP
Symptoms: Arthralgia, Mobility decreased, Oedema peripheral, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: The client is at school (college) and her mother called to cancel her appointment for her next series of vaccines and she related the following. On 12/14/2007 she received three vaccines. Adacel, Gardasil and Hep B. The next day she felt achy in the joints and then her hands swelled to the point she could not use them. She went to the local ER and was given some steroids and the symptoms improved but 3 or 4 days later the hand swelling and joint pain returned and she was sent to see a rheumatologist who did blood tests for arthritis. The tests came back negative, but he told her her immune system must have been weak and three vaccines at one time was too much for her (even though as a child she received multiple vaccines). He gave her a Medrol dose pak and had her take Aleve and her symptoms abated but it took several weeks until she was able to use her hands enough to draw.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Rash
Clinical narrative: Red, splotchy, raised rash on interior aspect of upper left arm and also has some red spots scattered over chest area.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Furuncle, Injection site discharge, Injection site pain, Injection site swelling, Purulent discharge
Clinical narrative: 11 days after primary vaccination, patient developed a subcutanous furuncle, pain, swelling at site of vaccination.  Pt treated at local Emergency Room where moderate amount of pus was expressed.  Pt relates working out a lot with a lot of sweating around vaccine site prior to boil developing.  After expression of pus, wound was dressed and pain & swelling symptoms resolved.  Pt was otherwise without significant symptoms.
Age: 15.0
Sex: M
Vaccine: DT
Symptoms: Blood glucose, Blood pressure, Electrocardiogram, Loss of consciousness, Syncope
Clinical narrative: Patient was given injection. Approximately 5 minutes later, he passed out momentarily. He woke up immediately, sat down and then experienced seeveral more fainting spells. We laid him down and raised his legs to force blood pool back toward head. Called 911. They arrived--checked him--portable cardiogram, blood glucose count and bp test. Called their reference MD and said that he appears OK.  Advised mother to watch him tonight and in the am for any more problems if they would occur.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: Numbness in arm felt numb light headed whole body.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Condition aggravated, Migraine
Clinical narrative: Received Gardasil #1 on 12/18/2007, had migraine headache, vaccine phenomenon.  Has history of migraines.  Low grade 99.8 next am (12/19/07).
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV, PNC
Symptoms: Vaccination failure, Varicella
Clinical narrative: Received ProQuad (varivax + MMR) on 9/14/06. Developed chicken pox on 2/7/2005. So vaccine for Varicella did not work.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying
Clinical narrative: Cried unconsolable for 1.5 hrs after vaccine
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Diarrhoea, Myalgia
Clinical narrative: sudden onset of myalgias 4 days after shot-moderate no fever no cough no ENT sx no ST no HA no rash increased urination/frequency; short bout diarrhea
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 6" area erythema and 1/4" induration, local to injection site, noted by mother.  Written 24 hours of administration.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria
Clinical narrative: 4 days after administration, patient still has a red wheel the size of a quarter at injection site. Advised patient to take Benadryl and use Hydrocortisone Cr.
Age: 11.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema and swelling at injection site within 5 days of vaccine
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Joint swelling, Malaise, Muscle swelling, Oedema peripheral
Clinical narrative: Left arm, shoulder, pectoral swelling, redness, warmth, malaise, fever within 48 - 72 hours of vaccination.
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia, Skin warm
Clinical narrative: Left arm, shoulder, pectoral swelling, redness, warmth, malaise, fever within 48 - 72 hours of vaccination.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Injection site sore, erythematous -Started 3 hrs. after injection, resolved 1/21/08
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Patient received Pneumonia 23 vaccine on 1-30-08.  On 2-1-08, phoned clinic complaining of pain, redness and swelling of arm down to elbow area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cough, Dyspnoea, Rash generalised, Wheezing
Clinical narrative: 1/29/08 Child received DTaP, IPV, and Varivax at 4 yr ckup. 3:30 pm. At 4 pm 1/29/08 mom noticed blotchy rash all over child and child was coughing and appeared to be having difficulty breathing. Returned to care. Received 25 mg Benadryl at 4:05 pm, child was wheezing. Neb with 25 mg Albuterol given. Epinephrine 0.15 given-child seemed to respond well to Rx in the office. Was transported to hospital. See discharge summary enclosed.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, swollen
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Nausea, Pain, Pyrexia, Swelling
Clinical narrative: Soreness, redness, swelling, fever, nausea, vomiting
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Soreness, redness, swelling, fever, nausea, vomiting
Age: 32.0
Sex: M
Vaccine: HEPAB
Symptoms: Dyspnoea, Dysuria, Pharyngeal oedema
Clinical narrative: Patient complained of swelling on the inside of his throat that caused difficulty breathing at 4-5 am on 1-18-08 after receiving Hepatitis A/Hepatitis B vaccine on morning of 1-17-08.  The condition got progressively less troublesome after drinking water frequently for several hours and was resolved by 12 noon on 1-18-08.  Did not seek medical evaluation until today.  Complained of urinary pain that began at the same time 1-17-08 4-5 pm which has persisted.  Referred for evaluation.
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Induration, Local reaction
Clinical narrative: Pt received Var # 1 right thigh no complications. Pt received DTaP #4 left thigh IM and within 24 hours had local reaction of erythema and induration. Extended across entire anterior thigh. Started to improve after 48 hours.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Left upper outer arm where Varivax given became red, itchy, swollen, and warm to touch 1/29/08 in afternoon-Area of redness was 2 1/2-3 in diameter. Seen in our office 1/29 pm- Dr dx as cellulitis- prescribed Keflex 500 mg tid x 5 days.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Headache, Pruritus, Pyrexia, Varicella
Clinical narrative: Symptoms began on 2/5/08 with one red spot on ear and headache. Fever of 101.8 began 2/6/08 with two more itchy red spots. 2/7/08-has: many red, itchy spots in various stages of varicella. Diagnosed in office with varicella on 2/7/08 by Dr..
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain
Clinical narrative: Continues to complain of pain in area where injection was given. Elliptical area present. right lateral thigh.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Urticaria
Clinical narrative: Fncarging Local Redness after in DSMD of Bending; Seasonal Hours after N jection - Become better By 48h.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Joint stiffness, Joint swelling
Clinical narrative: Patient complained of right elbow pain, swelling, and stiffness 12-16 has after Anthrax vaccination to right VE.  Patient has no erythema/edema.  Treated with NSAD, and jobs of light duty.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash
Clinical narrative: within 3 days of vaccination developed lacy erythema near the vaccination site (just distal to it). No systemic illness. The rash resolved within a few days.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Local reaction, Oedema peripheral
Clinical narrative: Patient with right proximal arm swelling and induration - localized reaction
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test, Urticaria, Vaccine positive rechallenge
Clinical narrative: After second dose of vaccine I developed hives within a few hrs.  Called clinic, was advised to take Benadryl.  Improved after 2-3 days.  After administration of third vaccine, developed hives again all over body.  Have been treated numerous times with Medrol, prednisone, Benadryl, Zyrtec and still no improvement.  F/u next wk. (allergist). 2-2008.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Activated partial thromboplastin time shortened, Blood urine present, Contusion, Haematochezia, Idiopathic thrombocytopenic purpura
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Intensive care, International normalised ratio, Petechiae, Platelet count decreased, Urine analysis abnormal
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: White blood cell count increased
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Epistaxis, Haematochezia, Idiopathic thrombocytopenic purpura, Immunoglobulins
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Intensive care, Petechiae, Platelet count decreased, Transfusion
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Epistaxis, Haematochezia, Idiopathic thrombocytopenic purpura, Petechiae
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Platelet count decreased
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Blood urine present, Contusion, Haematocrit, Haemoglobin, Idiopathic thrombocytopenic purpura
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Immunoglobulins, Intensive care, International normalised ratio, Petechiae, Platelet count decreased
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Prothrombin time, Red blood cells urine positive, Respiratory tract congestion, Transfusion, Urine analysis abnormal
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: White blood cell count
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 4-month-old female patient who experienced ITP. The patient received the second dose on 18-Jan-2008. The patient also received a dose of Pediarix and a dose of Act-Hib on 18-Jan-2008. On 20-Jan-2008 the patient experienced blood in her stool, a bloody nose, bruising and petechiae on her lower extremities. She was taken to the emergency room where it was discovered that her platelet count was zero. The patient's petechiae and bruising extended every time they tried to gain access. She was subsequently diagnosed with ITP (idiopathic thrombocytopenic purpura) and transferred to the ICU. Therapy consisted of steroids, intravenous IG and 2 units of platelets. The patient was released from the hospital on 22-Jan-2008 and is reportedly doing quite well. No additional information was available at the time of this report.
Age: 1.0
Sex: F
Vaccine: FLU3, MNQ, PNC
Symptoms: Crying, Decreased activity, Febrile convulsion, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Subject number: 01700084.  Initial report received on 31 January 2008 from an investigator participating in a trial under the reference number MTA37.  A 12-month-old female subject experienced a febrile seizure one day after receiving an intramuscular right thigh injection of Menactra (lot number U2172AA, dose two) and an intramuscular left thigh injection of Prevnar (Wyeth, lot number B53981A).  The subject received both injections during a well-child visit on 29 January 2008, and physical exam was noted to be within normal limits with tympanic membranes pearly gray and canals clear.  According to her parents she began experiencing a low-grade fever (100.5 degrees Fahrenheit, rectal), decreased activity, and several episodes of crying later that day.  Upon waking up from her nap, her temperature was noted to be 103.1, and it continued to be elevated throughout the evening and into the following morning.  Prior to her nap on 30 January 2008, the subject's temperature was noted to be 103.9.  After hearing a noise, her mother later checked on her and observed the subject having a seizure, which she reporting as lasting approximately three minutes.  She was taken to her physician's office, where her right tympanic membrane was noted to be red.  She was diagnosed with a febrile seizure and acute suppurative otitis media of the right ear, and a complete blood count (CBC) with differential was ordered.  Laboratory testing revealed the following: white blood count 11.1 THS/uL (normal 4.8-10.8), with absolute monocytes 1.0 THS/uL (normal 0.0-0.8); red blood count 3.73 MIL/uL (normal 4.04-4.85); hemoglobin 10.1 G/DL (normal 11.3-12.3); hematocrit 29.2% (normal 37-41); and MCV 78.3 FL (normal 80-95).  Treatment included a 500mg intramuscular injection of Rocephin, and Tylenol.  On 31 January 2008, the subject's temperature was 100.7, and her mother noted that her activity level was increasing.  The febrile seizure was considered to be resolved on 30 January 2008, and the subject continued in the trial.  According to the investigator, the event was related to Menactra and Prevnar.  Documents held by sender: labs, office notes.
Age: 1.0
Sex: F
Vaccine: FLU3, MNQ, PNC
Symptoms: Mean cell volume decreased, Monocyte count increased, Otitis media acute, Pyrexia, Red blood cell count decreased
Clinical narrative: Subject number: 01700084.  Initial report received on 31 January 2008 from an investigator participating in a trial under the reference number MTA37.  A 12-month-old female subject experienced a febrile seizure one day after receiving an intramuscular right thigh injection of Menactra (lot number U2172AA, dose two) and an intramuscular left thigh injection of Prevnar (Wyeth, lot number B53981A).  The subject received both injections during a well-child visit on 29 January 2008, and physical exam was noted to be within normal limits with tympanic membranes pearly gray and canals clear.  According to her parents she began experiencing a low-grade fever (100.5 degrees Fahrenheit, rectal), decreased activity, and several episodes of crying later that day.  Upon waking up from her nap, her temperature was noted to be 103.1, and it continued to be elevated throughout the evening and into the following morning.  Prior to her nap on 30 January 2008, the subject's temperature was noted to be 103.9.  After hearing a noise, her mother later checked on her and observed the subject having a seizure, which she reporting as lasting approximately three minutes.  She was taken to her physician's office, where her right tympanic membrane was noted to be red.  She was diagnosed with a febrile seizure and acute suppurative otitis media of the right ear, and a complete blood count (CBC) with differential was ordered.  Laboratory testing revealed the following: white blood count 11.1 THS/uL (normal 4.8-10.8), with absolute monocytes 1.0 THS/uL (normal 0.0-0.8); red blood count 3.73 MIL/uL (normal 4.04-4.85); hemoglobin 10.1 G/DL (normal 11.3-12.3); hematocrit 29.2% (normal 37-41); and MCV 78.3 FL (normal 80-95).  Treatment included a 500mg intramuscular injection of Rocephin, and Tylenol.  On 31 January 2008, the subject's temperature was 100.7, and her mother noted that her activity level was increasing.  The febrile seizure was considered to be resolved on 30 January 2008, and the subject continued in the trial.  According to the investigator, the event was related to Menactra and Prevnar.  Documents held by sender: labs, office notes.
Age: 1.0
Sex: F
Vaccine: FLU3, MNQ, PNC
Symptoms: Tympanic membrane hyperaemia, White blood cell count increased
Clinical narrative: Subject number: 01700084.  Initial report received on 31 January 2008 from an investigator participating in a trial under the reference number MTA37.  A 12-month-old female subject experienced a febrile seizure one day after receiving an intramuscular right thigh injection of Menactra (lot number U2172AA, dose two) and an intramuscular left thigh injection of Prevnar (Wyeth, lot number B53981A).  The subject received both injections during a well-child visit on 29 January 2008, and physical exam was noted to be within normal limits with tympanic membranes pearly gray and canals clear.  According to her parents she began experiencing a low-grade fever (100.5 degrees Fahrenheit, rectal), decreased activity, and several episodes of crying later that day.  Upon waking up from her nap, her temperature was noted to be 103.1, and it continued to be elevated throughout the evening and into the following morning.  Prior to her nap on 30 January 2008, the subject's temperature was noted to be 103.9.  After hearing a noise, her mother later checked on her and observed the subject having a seizure, which she reporting as lasting approximately three minutes.  She was taken to her physician's office, where her right tympanic membrane was noted to be red.  She was diagnosed with a febrile seizure and acute suppurative otitis media of the right ear, and a complete blood count (CBC) with differential was ordered.  Laboratory testing revealed the following: white blood count 11.1 THS/uL (normal 4.8-10.8), with absolute monocytes 1.0 THS/uL (normal 0.0-0.8); red blood count 3.73 MIL/uL (normal 4.04-4.85); hemoglobin 10.1 G/DL (normal 11.3-12.3); hematocrit 29.2% (normal 37-41); and MCV 78.3 FL (normal 80-95).  Treatment included a 500mg intramuscular injection of Rocephin, and Tylenol.  On 31 January 2008, the subject's temperature was 100.7, and her mother noted that her activity level was increasing.  The febrile seizure was considered to be resolved on 30 January 2008, and the subject continued in the trial.  According to the investigator, the event was related to Menactra and Prevnar.  Documents held by sender: labs, office notes.
Age: 1.3
Sex: M
Vaccine: HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Initial report received 31 January 2008 from a health care professional.  A 15-month-old male patient, with no pre-existing medical conditions, had received a right thigh injection of ActHIB, lot number UF009AA (sanofi pasteur SA lot number Z0815-2), and a left thigh injection of Prevnar, lot number B54015 (manufacturer Wyeth) and on the following day (in the morning) developed seizures.  The patient was taken to the emergency room however, was not admitted.  Corrective treatments were unknown at the time of the report and the patient's recovery status was unknown.  No further information was provided.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Pt called to report that she went to her PMD to check her injection site from Flu vaccine given intramuscularly on 11/31/07 that it was red and inflamed. RN did not witnessed the site. Per pt her PMD said no signs of abscess on site, no drainage noted but was given Amoxicillin 500mg TID X 10 days. Had taken 1st dose today and was feeling much better. Per pt, no pain on site and less redness noted. Informed Dr of incident. Pt was given flu vaccine on 10/31/07 IM on R deltoid muscle, not breaking any aseptic technique. Hand washing properly observed and site properly prepped and applied band aid on site of injection.
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site pain, Injection site swelling
Clinical narrative: After receiving a pneumococcal vaccine during an outpatient clinic visit, the patient called to report soreness and swelling at the injection site, which she reported to our nurse practitioner, who advised treatment for possible allergic reaction. The following day the patient went to the ER because the injection site seemed no better. She was treated with IV antibiotics for a diagnosis of cellulitis.