chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.01
Sex: M
Vaccine: HEP, IPV, VARCEL, HEP, IPV, VARCEL
Symptoms: Headache, Inappropriate antidiuretic hormone secretion, Laboratory test abnormal, Meningitis, Musculoskeletal stiffness
Clinical narrative: Information has been received from a registered nurse concerning an 8 year old white male with ADHD and a history of a neonatal enteroviral infection. At 4 months of age, the patient had a dozen varicella lesion and was given acyclovir. On 11/23/1998, at 1.01 years of age (also reported as 15 months old), the patient was vaccinated SC with a first dose of varicella virus vaccine live (lot 628032/1261H). Concomitant therapy that day included a third dose of hepatitis B vaccine, recomb (Engerix B) (batch 2725A2) and a third dose of poliovirus vaccine inactivated (Vero) (Ipol) (Batch W0197). Subsequently the patient experienced varicella meningo encephalitis. It was noted that his long term outlook was uncertain at the time of the report. It was noted that varicella was wild virus (not vaccine strain), so the adverse event was failure to protect. The outcome was reported as recovered. Follow up information received from medical records indicated that on 11/14/2005, the patient was admitted to the hospital due to fever, poor oral intake, vesicular papular rash in his back, and purulent lesions on his gluteal fold. During hospitalization, the first day the patient was found to have photophobia, phonophobia, headache, and neck stiffness. A lumbar puncture was performed and showed an increment of white blood cell to 435, and 269 red blood cells on the CSF, and the basic metabolic panel was noted to have decreasing sodium of 128. All other laboratory data are listed below. The patient was started on the antibiotic acyclovir IV and transferred to the PICU due to possible SIADH. Culture and direct antigen for vesicle were positive for varicella. The patient had improved significantly, and wad discharged to home on 11/17/2005 on IV acyclovir for 7 days. The patient was also treated with cephalexin (Keflex) for gluteal fold cellulitis. The final diagnosis was varicella meningitis. Discharge condition was stable and good. No additional information is expected. A copy of the medical records are attached for further documentation of the event.
Age: 1.01
Sex: M
Vaccine: HEP, IPV, VARCEL, HEP, IPV, VARCEL
Symptoms: Phobia, Photophobia, Pyrexia, Rash papular, Rash vesicular
Clinical narrative: Information has been received from a registered nurse concerning an 8 year old white male with ADHD and a history of a neonatal enteroviral infection. At 4 months of age, the patient had a dozen varicella lesion and was given acyclovir. On 11/23/1998, at 1.01 years of age (also reported as 15 months old), the patient was vaccinated SC with a first dose of varicella virus vaccine live (lot 628032/1261H). Concomitant therapy that day included a third dose of hepatitis B vaccine, recomb (Engerix B) (batch 2725A2) and a third dose of poliovirus vaccine inactivated (Vero) (Ipol) (Batch W0197). Subsequently the patient experienced varicella meningo encephalitis. It was noted that his long term outlook was uncertain at the time of the report. It was noted that varicella was wild virus (not vaccine strain), so the adverse event was failure to protect. The outcome was reported as recovered. Follow up information received from medical records indicated that on 11/14/2005, the patient was admitted to the hospital due to fever, poor oral intake, vesicular papular rash in his back, and purulent lesions on his gluteal fold. During hospitalization, the first day the patient was found to have photophobia, phonophobia, headache, and neck stiffness. A lumbar puncture was performed and showed an increment of white blood cell to 435, and 269 red blood cells on the CSF, and the basic metabolic panel was noted to have decreasing sodium of 128. All other laboratory data are listed below. The patient was started on the antibiotic acyclovir IV and transferred to the PICU due to possible SIADH. Culture and direct antigen for vesicle were positive for varicella. The patient had improved significantly, and wad discharged to home on 11/17/2005 on IV acyclovir for 7 days. The patient was also treated with cephalexin (Keflex) for gluteal fold cellulitis. The final diagnosis was varicella meningitis. Discharge condition was stable and good. No additional information is expected. A copy of the medical records are attached for further documentation of the event.
Age: 1.01
Sex: M
Vaccine: HEP, IPV, VARCEL, HEP, IPV, VARCEL
Symptoms: Red blood cell abnormality, Sepsis, Skin ulcer, Viral infection, White blood cell disorder
Clinical narrative: Information has been received from a registered nurse concerning an 8 year old white male with ADHD and a history of a neonatal enteroviral infection. At 4 months of age, the patient had a dozen varicella lesion and was given acyclovir. On 11/23/1998, at 1.01 years of age (also reported as 15 months old), the patient was vaccinated SC with a first dose of varicella virus vaccine live (lot 628032/1261H). Concomitant therapy that day included a third dose of hepatitis B vaccine, recomb (Engerix B) (batch 2725A2) and a third dose of poliovirus vaccine inactivated (Vero) (Ipol) (Batch W0197). Subsequently the patient experienced varicella meningo encephalitis. It was noted that his long term outlook was uncertain at the time of the report. It was noted that varicella was wild virus (not vaccine strain), so the adverse event was failure to protect. The outcome was reported as recovered. Follow up information received from medical records indicated that on 11/14/2005, the patient was admitted to the hospital due to fever, poor oral intake, vesicular papular rash in his back, and purulent lesions on his gluteal fold. During hospitalization, the first day the patient was found to have photophobia, phonophobia, headache, and neck stiffness. A lumbar puncture was performed and showed an increment of white blood cell to 435, and 269 red blood cells on the CSF, and the basic metabolic panel was noted to have decreasing sodium of 128. All other laboratory data are listed below. The patient was started on the antibiotic acyclovir IV and transferred to the PICU due to possible SIADH. Culture and direct antigen for vesicle were positive for varicella. The patient had improved significantly, and wad discharged to home on 11/17/2005 on IV acyclovir for 7 days. The patient was also treated with cephalexin (Keflex) for gluteal fold cellulitis. The final diagnosis was varicella meningitis. Discharge condition was stable and good. No additional information is expected. A copy of the medical records are attached for further documentation of the event.
Age: 1.02
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, MMR
Symptoms: Anaemia, Ecchymosis, Lymphocyte morphology abnormal, Platelet count decreased, Platelet disorder
Clinical narrative: Information has been received from a consumer concerning her 13 month old son with no allergies or medical history who on 02/07/2006 was vaccinated with a dose of MMR virus vaccine live.  There was no concomitant medication.  On 02/28/2006, the patient was diagnosed with thrombocytopenic purpura.  He had bruises and a rash all over his body.  Also, the patient had a CBC and because his platelet count was very low at 4,000, he was admitted to the hospital on 03/06/2006.  He was in the hospital for 1 day and was noted to be recovering.  A product quality complaint was not involved.  Additional information has been requested.
Age: 1.02
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, MMR
Symptoms: Thrombocytopenic purpura
Clinical narrative: Information has been received from a consumer concerning her 13 month old son with no allergies or medical history who on 02/07/2006 was vaccinated with a dose of MMR virus vaccine live.  There was no concomitant medication.  On 02/28/2006, the patient was diagnosed with thrombocytopenic purpura.  He had bruises and a rash all over his body.  Also, the patient had a CBC and because his platelet count was very low at 4,000, he was admitted to the hospital on 03/06/2006.  He was in the hospital for 1 day and was noted to be recovering.  A product quality complaint was not involved.  Additional information has been requested.
Age: 1.02
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, MMR
Symptoms: Contusion, Platelet count decreased, Rash, Thrombocytopenic purpura
Clinical narrative: Information has been received from a consumer concerning her 13 month old son with no allergies or medical history who on 02/07/2006 was vaccinated with a dose of MMR virus vaccine live.  There was no concomitant medication.  On 02/28/2006, the patient was diagnosed with thrombocytopenic purpura.  He had bruises and a rash all over his body.  Also, the patient had a CBC and because his platelet count was very low at 4,000, he was admitted to the hospital on 03/06/2006.  He was in the hospital for 1 day and was noted to be recovering.  A product quality complaint was not involved.  Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: PPV, TDAP, DTP, PPV
Symptoms: Hypokinesia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Information has been received from a register nurse concerning a 25 year old female patient with neutropenia and glycogen storage disease who on 3/22/2006 was vaccinated IM in left arm with a dose of pneumococcal 23v polysaccharide vaccine (lot 651319/1007P). Concomitant therapy included diphtheria toxoid + pertussis vaccine (unspecified) + tetanus toxoid in the other arm, and multiple unspecified medications. The day following vaccination with pneumococcal 23v polysaccharide vaccine the patient developed redness, swelling and pain in the vaccination arm. She also had a low grade fever. She was treated with diphenhydramine hydrochloride (Benadryl) and Ibuprofen (Motrin). On 3/24/2006 she was hospitalized for 6 days. She was treated with sultamicillin (Unasyn) and vancomycin. The patient was seen in the office on 4/3/2006 and the injection site was hard, and she complained of fatigue and shortness of breath. At the time of the report the patient was recovering. A lot check has been requested. The reporter considered the events to be immediately life threatening, disabling, and other important medical events (OMIC). Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: PPV, TDAP, DTP, PPV
Symptoms: Dyspnoea, Fatigue, Injection site hypersensitivity, Injection site induration, Injection site oedema
Clinical narrative: Information has been received from a register nurse concerning a 25 year old female patient with neutropenia and glycogen storage disease who on 3/22/2006 was vaccinated IM in left arm with a dose of pneumococcal 23v polysaccharide vaccine (lot 651319/1007P). Concomitant therapy included diphtheria toxoid + pertussis vaccine (unspecified) + tetanus toxoid in the other arm, and multiple unspecified medications. The day following vaccination with pneumococcal 23v polysaccharide vaccine the patient developed redness, swelling and pain in the vaccination arm. She also had a low grade fever. She was treated with diphenhydramine hydrochloride (Benadryl) and Ibuprofen (Motrin). On 3/24/2006 she was hospitalized for 6 days. She was treated with sultamicillin (Unasyn) and vancomycin. The patient was seen in the office on 4/3/2006 and the injection site was hard, and she complained of fatigue and shortness of breath. At the time of the report the patient was recovering. A lot check has been requested. The reporter considered the events to be immediately life threatening, disabling, and other important medical events (OMIC). Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: PPV, TDAP, DTP, PPV
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Information has been received from a register nurse concerning a 25 year old female patient with neutropenia and glycogen storage disease who on 3/22/2006 was vaccinated IM in left arm with a dose of pneumococcal 23v polysaccharide vaccine (lot 651319/1007P). Concomitant therapy included diphtheria toxoid + pertussis vaccine (unspecified) + tetanus toxoid in the other arm, and multiple unspecified medications. The day following vaccination with pneumococcal 23v polysaccharide vaccine the patient developed redness, swelling and pain in the vaccination arm. She also had a low grade fever. She was treated with diphenhydramine hydrochloride (Benadryl) and Ibuprofen (Motrin). On 3/24/2006 she was hospitalized for 6 days. She was treated with sultamicillin (Unasyn) and vancomycin. The patient was seen in the office on 4/3/2006 and the injection site was hard, and she complained of fatigue and shortness of breath. At the time of the report the patient was recovering. A lot check has been requested. The reporter considered the events to be immediately life threatening, disabling, and other important medical events (OMIC). Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Crying, Gait disturbance, Injection site mass, Oral intake reduced, Pyrexia
Clinical narrative: Crying alot, not eating well, and per mom limping alot, fever off and on up to 101 per mom a small bump noted currently no bump, no swelling but lips at times per mom. Current s/s noted by RN.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Screaming
Clinical narrative: Crying alot, not eating well, and per mom limping alot, fever off and on up to 101 per mom a small bump noted currently no bump, no swelling but lips at times per mom. Current s/s noted by RN.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: 4/11/06 mother reports evening pain in child's RUE after immunizations. 4/12/06 RUE shows large (4.0cm x10cm) erythema over right deltoid with edema. Child denies pain at the exam. Fever present. Otherwise no distress or other major system involvement.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: DTaP #5 given on 4/12/06. On 4/14/06 mom brought child to clinic with right arm swollen, reddened and warm. Child has no difficulty moving arm.
Age: 34.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Injection site rash, Injection site reaction, Tenderness
Clinical narrative: Pt noted rash left arm on morning of 4/13/06. Came to be seen at 2pm 04/13/06 by DR. Fine non raised rash left upper arm 4.0 x 3.5mm. Site of yellow fever vaccine on 4/4/06. Slight tenderness at site since vaccine Rec'd.
Age: 48.0
Sex: F
Vaccine: YF
Symptoms: Hypokinesia, Pain
Clinical narrative: On 4/12/06 pt called complaining of pain in his left arm (especially0 on the back of the arm and shoulder, Pt states no swelling or redness. Pain started after vaccination and became worse on Sat 4/8/06. Pt was referred to DR and clinic. He also was told to take some Ibuprofen. On 4/12/06 Pt states it was hard to raise his arm.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Rash, Skin ulcer, Unintended pregnancy, Viral infection
Clinical narrative: Information has been received from a pharmacist concerning a 35 year old pregnant female expecting twins who in 1997 was vaccinated subcutaneously with a 0.5ml dose of varicella virus vaccine live. It was unknown if this was a first or second dose of the vaccine. On 11/11/2005 the patient developed a rash or pox at 26 weeks gestation. Medical attention was sought and the patient was hospitalized. The pharmacist noted that the lesions crusted over quickly and that it was a mild case. Subsequently, the patient recovered. Follow up information was received from the pharmacist indication that the patient did not receive the vaccine while she was pregnant. She received it prior to pregnancy, but developed VZV while pregnant. This was reported as failure of vaccine to prevent disease. Additional information is not expected.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Contusion, Injection site hypersensitivity, Injection site oedema, Tenderness
Clinical narrative: Redness and swelling of left upper arm for 48 hrs. Tender to palpate, bruise at site.
Age: 0.75
Sex: M
Vaccine: FLU3
Symptoms: Eye oedema, Hypersensitivity, Rash
Clinical narrative: on 3/3/06 pt developed rash on chest, face, neck and back, arms. Eyes started swelling by evening so took to ER. Physician in ER dx'd as allergic to eggs, ordered Benadryl and Amoxil. 3/4 mom brought pt to our clinic for follow up. Rash remained. PA ordered Prednisone (Burst and taper) on 3/11/06.
Age: 1.02
Sex: F
Vaccine: FLUX, MMR, PPV
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Had Varivax at health dept 3/14/06. Was seen in my office by me 4/6/06 complaining of several days of insect bites, on exam pt had lesions consistent with Varicella < or = to 10 lesions.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Rash, Skin ulcer
Clinical narrative: Rash, diffuse small raised lesion all over arm, chest, back.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Dizziness, Syncope vasovagal
Clinical narrative: After giving vaccine PT stated she felt weak and lightheaded and she slumped down on exam table. Dr immediately notified and addressed PT condition. Vasovagal syncope after vaccine.
Age: 58.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site oedema, Injection site warmth, Musculoskeletal stiffness, Pain
Clinical narrative: On 03/29/06, patient presented to the immunization clinic in the am for Tdap and pneumococcal as per ordered by Her Dr. On 3/30/2006 pt had appt with her doctor for other reasons. Pt was sent to immunization appt to all out VAERS form. Per pt. Doctor prescription. PCN and was told to apply ice to shot site to decrease swelling. Per pt about 6:00pm she c/o stiffness and soreness (scale of 1-10 per pt pain rates 7) where pneumococcal was given. SQ site was warm to the touch and measured 64 x 69cm, no other complaints from pt.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Acute disseminated encephalomyelitis, Encephalitis, Facial palsy, Headache, Monoparesis
Clinical narrative: One month after MENACTRA, patient developed severe headache and developed optic neuritis, BELL'S PALSY, and left leg sensory monoparesis. Follow-up: Pt hospitalized on 4-17-06 with diagnosis of encephalitis - ADEM. 60 Day Follow-up Information 03-JUL-2006: Optic neuritis improving. Occasional nausea and vomitting. Pt also found to have mycoplasma on admission 4/17/2006.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Mycoplasma infection, Nausea, Nuclear magnetic resonance imaging abnormal, Optic neuritis, Optic neuritis
Clinical narrative: One month after MENACTRA, patient developed severe headache and developed optic neuritis, BELL'S PALSY, and left leg sensory monoparesis. Follow-up: Pt hospitalized on 4-17-06 with diagnosis of encephalitis - ADEM. 60 Day Follow-up Information 03-JUL-2006: Optic neuritis improving. Occasional nausea and vomitting. Pt also found to have mycoplasma on admission 4/17/2006.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Sensory disturbance, Vomiting
Clinical narrative: One month after MENACTRA, patient developed severe headache and developed optic neuritis, BELL'S PALSY, and left leg sensory monoparesis. Follow-up: Pt hospitalized on 4-17-06 with diagnosis of encephalitis - ADEM. 60 Day Follow-up Information 03-JUL-2006: Optic neuritis improving. Occasional nausea and vomitting. Pt also found to have mycoplasma on admission 4/17/2006.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Bacterial infection, Encephalitis, Encephalopathy, Facial palsy, Headache
Clinical narrative: One month after MENACTRA, patient developed severe headache and developed optic neuritis, BELL'S PALSY, and left leg sensory monoparesis. Follow-up: Pt hospitalized on 4-17-06 with diagnosis of encephalitis - ADEM. 60 Day Follow-up Information 03-JUL-2006: Optic neuritis improving. Occasional nausea and vomitting. Pt also found to have mycoplasma on admission 4/17/2006.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Optic neuritis, Paresis
Clinical narrative: One month after MENACTRA, patient developed severe headache and developed optic neuritis, BELL'S PALSY, and left leg sensory monoparesis. Follow-up: Pt hospitalized on 4-17-06 with diagnosis of encephalitis - ADEM. 60 Day Follow-up Information 03-JUL-2006: Optic neuritis improving. Occasional nausea and vomitting. Pt also found to have mycoplasma on admission 4/17/2006.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site rash
Clinical narrative: Patient developed a rash at injection site as well as on her arms, chest and back exactly 2 weeks after vaccine given. The rash looked like a classic chicken pox rash.  Rash was dry and crusted 5 days later.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injury, Loss of consciousness
Clinical narrative: Loss of consciousness x 2 times. Sustained laceration in chin.  Brought to the ER.  Treated with IV fluids and discharged.
Age: 17.0
Sex: F
Vaccine: JEV, RAB, TDAP
Symptoms: Agitation, Pain, Pyrexia
Clinical narrative: 16 y.o female with history of anxiety depression was brought to the ED because she became talkative, acting agitated.  She developed some achiness, couldn't do her daily exercises and became agitated.  She is apparently on some antidepressant medications. There are no suicidal/homocidal ideations.  No voices. This episode resolved about 12-18 hours after the injections were given. Temp was 100.8 in the ED. Had been given some tylenol.
Age: 0.81
Sex: M
Vaccine: PNC, TYP
Symptoms: Medication error
Clinical narrative: Pt was given typhoid Vi instead of inactivated polio vaccine.
Age: 17.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Chills, Pyrexia
Clinical narrative: Pt given Hep A 1st dose and Tdap on 4/11/06, and on 4/12/06 pt woke up feeling chilled with a fever of 102.  Denies any other symptoms. Had fever off and on all day, used antipyretic to reduce fever, was back to normal by 7pm on 4/12/06.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Asthma, Choking, Cough, Dizziness, Dyspnoea
Clinical narrative: Extreme pain in arm of injection site, 5 hours later pain caused nausea and dizziness.  Next day, heavy nasal and sinus congestion. On the third, I reported to the local walk-in clinic because it was a Sat and my doctor's office was closed.  I could not breath through my nose, had post nasal drip that choked me.  I was very wheezy, doctor gave me a breathing treatment with a nebulizer for 10 minutes that lasted for 3 hr.  He also prescribed albuteral air chamber.  This treatment lasted only 30 minutes. I went to the ER of the local hospital on Sunday, April 16 due to much more wheezing and very difficulty breathing. O2 was 94,usually 99 - 100) xrays showed fluid in small airways of the lungs.  I received three breathing treatments and, although I had some wheezing in upper right lung small air ways and the Dr. initially recommended admission, I was able instead to go home with three inhalers, 2 nose sprays, cough syrup and zpack.  It is Tues and I am still wheezing and coughing, but i am better. drs dx was Asthmatic bronchitis.  I do not have asthma.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Nasal congestion, Nausea, Postnasal drip, Sinus congestion
Clinical narrative: Extreme pain in arm of injection site, 5 hours later pain caused nausea and dizziness.  Next day, heavy nasal and sinus congestion. On the third, I reported to the local walk-in clinic because it was a Sat and my doctor's office was closed.  I could not breath through my nose, had post nasal drip that choked me.  I was very wheezy, doctor gave me a breathing treatment with a nebulizer for 10 minutes that lasted for 3 hr.  He also prescribed albuteral air chamber.  This treatment lasted only 30 minutes. I went to the ER of the local hospital on Sunday, April 16 due to much more wheezing and very difficulty breathing. O2 was 94,usually 99 - 100) xrays showed fluid in small airways of the lungs.  I received three breathing treatments and, although I had some wheezing in upper right lung small air ways and the Dr. initially recommended admission, I was able instead to go home with three inhalers, 2 nose sprays, cough syrup and zpack.  It is Tues and I am still wheezing and coughing, but i am better. drs dx was Asthmatic bronchitis.  I do not have asthma.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Wheezing
Clinical narrative: Extreme pain in arm of injection site, 5 hours later pain caused nausea and dizziness.  Next day, heavy nasal and sinus congestion. On the third, I reported to the local walk-in clinic because it was a Sat and my doctor's office was closed.  I could not breath through my nose, had post nasal drip that choked me.  I was very wheezy, doctor gave me a breathing treatment with a nebulizer for 10 minutes that lasted for 3 hr.  He also prescribed albuteral air chamber.  This treatment lasted only 30 minutes. I went to the ER of the local hospital on Sunday, April 16 due to much more wheezing and very difficulty breathing. O2 was 94,usually 99 - 100) xrays showed fluid in small airways of the lungs.  I received three breathing treatments and, although I had some wheezing in upper right lung small air ways and the Dr. initially recommended admission, I was able instead to go home with three inhalers, 2 nose sprays, cough syrup and zpack.  It is Tues and I am still wheezing and coughing, but i am better. drs dx was Asthmatic bronchitis.  I do not have asthma.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dehydration, Irritability, Pyrexia
Clinical narrative: 4/18/06, pt. developed sudden fever 101.9F, irritability, poor eye contact, dehydration.  He was admitted to the hospital for observation and iv fluid rehydration.  Blood, urine, chest x-ray, flu A/B and RSV tests all done searching for source of infection (all negative).  Physical exam nonfocal.
Age: 59.0
Sex: M
Vaccine: RAB
Symptoms: Rash
Clinical narrative: Developed rash after 1st injection, rash worsened with 2nd injection. Seen in ER after 2nd injection. Treated with Solumedrol IM then Benadryl, Aveeno lotion. MD advised to Stop vaccines.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Dry mouth, Feeling hot, Flushing, Hyperhidrosis
Clinical narrative: 02/22/06 states SX started 4hrs after injection and included nausea, sweaty palms, diarrhea and night sweats. States she was warm to the touch and took temp at 11pm which was 101.0. Stated she took Tylenol throughout the night, last dose at 6am 2/23/06 appears flushed and warm to touch, she reports current SX are thirst, nausea, diarrhea, dry mouth. Vitals at 1pm BP 138/88, temp 98.2.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Night sweats, Pyrexia, Thirst
Clinical narrative: 02/22/06 states SX started 4hrs after injection and included nausea, sweaty palms, diarrhea and night sweats. States she was warm to the touch and took temp at 11pm which was 101.0. Stated she took Tylenol throughout the night, last dose at 6am 2/23/06 appears flushed and warm to touch, she reports current SX are thirst, nausea, diarrhea, dry mouth. Vitals at 1pm BP 138/88, temp 98.2.
Age: 1.26
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Petechiae, Platelet count increased
Clinical narrative: 04/14/2006 petechial rash 10d after MMR and varicella vaccine. Platelet Ct 104,000, 4/17/2006 Platelet count had increased to 176,000.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: Papular vesicular lesions noted Day #4 after vaccina vaccination in right index finger, right wrist, right elbow, left prox thigh and on 4/13/06 noted 3 new lesions on face forehead. On 4/17/06 all lesions fading. No systemic symptoms.
Age: 66.0
Sex: F
Vaccine: HEPA, TD, TYP
Symptoms: Injection site hypersensitivity, Injection site oedema, Rash
Clinical narrative: Right arm swollen, red, with rash, swelling moving down to arm to elbow area, symptoms started Friday (next day after vaccination).
Age: 1.33
Sex: F
Vaccine: MMR, MMR
Symptoms: Irritability, Pyrexia, Skin ulcer
Clinical narrative: 3 to 4 scattered scabbed lesions, no TX. Low grade fever, irritability.
Age: 1.33
Sex: F
Vaccine: MMR, MMR
Symptoms: Blister, Rash papular
Clinical narrative: 3 to 4 scattered scabbed lesions, no TX. Low grade fever, irritability.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood urine, Irritability, Pyrexia
Clinical narrative: Reported by mother: Took only 6 oz formula after vaccination at 06:00 today. Urine has had pink tinge color. Haven't given Tylenol even though temp over 100. Had had a different high pitch cry. Doctor felt that mild reaction, low-grade fever and fuzziness.
Age: 1.27
Sex: M
Vaccine: HBPV, HEP, MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash papular, Rash vesicular
Clinical narrative: On 3/23/2006 pt awoke with multiple spots on body, papular, erythematous, itchy, some vesicular spots on back, torso, buttocks, chest, neck thighs. Spots red, itchy, dried over in 5D.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Oedema peripheral
Clinical narrative: Patient had immunizations on 04/04/2006.  At 24 hours after vaccine developed some right arm redness.  Presented to office 04/06/2006 entire right arm swollen and red shoulder to elbow, right arm only.  No fever, no systemic symptoms.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Left deltoid with 2 inch erythema surrounding injection site - firm, tender, warm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash erythematous
Clinical narrative: Patient developed an erythematous rash on upper thigh region.  It measured 24cm x 19cm; it had irregular margins and the widest point measured 28cm across the mid to outer thigh.  Treated with ice as needed and Benadryl.
Sex: U
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Crying
Clinical narrative: AT 6 month shots - had some symptoms.  I did not know what it was.  3rd day after shots - stated waking up from naps screaming - like did not know where he was.  Takes 5 to 15 minutes to calm down.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site oedema
Clinical narrative: Swelling right thigh, starting yesterday 3" x 2 1/4" induration area.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Facial palsy
Clinical narrative: Left sided facial paralysis, most notable when pt laughed, cried. Noticed 1/2 days to vaccine Rec'd. Lasted 2 weeks and resolved slowly was seen by DR and was given herbs for Immune support (per parent).
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth, Urticaria
Clinical narrative: Swelling, redness, heat at injection site a few hours after immunization. Hives pt took Benadryl to reduce symptoms. Reported adverse effect to Pharmacy the next day.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site hypersensitivity, Injection site oedema, Vomiting
Clinical narrative: Right leg red, swollen, pt vomited immediately after 1 hour from injection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness L arm, resolving spontaneously
Age: 59.0
Sex: M
Vaccine: TTOX
Symptoms: Back pain, Injection site haemorrhage, Medication error, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: 4/1/06, Donor had had complaints of a steady line of pain from his right shoulder down to his mid-forearm, described as an ache, since his TD shot which he received on 3/22/06. Also, complaints of right upper back and neck stiffness and pain, weakness in affected arm. Shot was given approximately 1 inch below corresponding axilla, in right upper arm, very small purple spot still visible at site. Donor went to Hospital last evening, was told by the doctor there, that shot was given too low, right next to nerve, toxoid bled into nerve sheath. Donor was told to take ibuprofen around the clock for the next week, have site re\-evaluated in a week. Donor has an appt with his PCP this coming week. 4/1/06; due to possible conflict of interest-this MSA called the donor and verified that the info on the DARR and attached sheet is true. The following is additional info donor rates right arm constant pain at 4-5 on pain scale 0 to 10. When at work and after a couple hours, the pain increases to 6 or 7. 4/1/06, Pt's job involves holding a saw with both hands. The left arm does most of the weight bearing initially-but as he tires, the right arm bears more weight. Told donor to seek HCP care if needed prior to scheduled appt. Management was informed 3/31/06 by MSA.                                                                                                                        Plasma Services 4/3/06-Examined donor 12 days after TD injection it still ecchymotic-about 2mm. No induration or erythema. Site caudal to deltoid, hand, wrist, elbow strengths/s. No sensory deficit throughout arm, hand. Assessment-injection placed (caudally) to belly of deltoid muscle. Pt had local reaction which caused pain which had to altered use of chain saw. No evidence of muscular or neural damage since injection.
Age: 59.0
Sex: M
Vaccine: TTOX
Symptoms: Neck pain, Pain, Shoulder pain
Clinical narrative: 4/1/06, Donor had had complaints of a steady line of pain from his right shoulder down to his mid-forearm, described as an ache, since his TD shot which he received on 3/22/06. Also, complaints of right upper back and neck stiffness and pain, weakness in affected arm. Shot was given approximately 1 inch below corresponding axilla, in right upper arm, very small purple spot still visible at site. Donor went to Hospital last evening, was told by the doctor there, that shot was given too low, right next to nerve, toxoid bled into nerve sheath. Donor was told to take ibuprofen around the clock for the next week, have site re\-evaluated in a week. Donor has an appt with his PCP this coming week. 4/1/06; due to possible conflict of interest-this MSA called the donor and verified that the info on the DARR and attached sheet is true. The following is additional info donor rates right arm constant pain at 4-5 on pain scale 0 to 10. When at work and after a couple hours, the pain increases to 6 or 7. 4/1/06, Pt's job involves holding a saw with both hands. The left arm does most of the weight bearing initially-but as he tires, the right arm bears more weight. Told donor to seek HCP care if needed prior to scheduled appt. Management was informed 3/31/06 by MSA.                                                                                                                        Plasma Services 4/3/06-Examined donor 12 days after TD injection it still ecchymotic-about 2mm. No induration or erythema. Site caudal to deltoid, hand, wrist, elbow strengths/s. No sensory deficit throughout arm, hand. Assessment-injection placed (caudally) to belly of deltoid muscle. Pt had local reaction which caused pain which had to altered use of chain saw. No evidence of muscular or neural damage since injection.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Fat tissue increased
Clinical narrative: Pt noticed defect in left arm deltoid area MRI showed subtle infiltration of fat in posterolateral aspect of the left arm.
Age: 35.0
Sex: F
Vaccine: TTOX
Symptoms: Influenza like illness, Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Received shot due to accidental razor cut while cleaning windows. Injection spot turned red, hot and hard. It swelled a lot and increased in size over 3 days. I ache and feel like I have the flu.
Age: 35.0
Sex: F
Vaccine: TTOX
Symptoms: Pain
Clinical narrative: Received shot due to accidental razor cut while cleaning windows. Injection spot turned red, hot and hard. It swelled a lot and increased in size over 3 days. I ache and feel like I have the flu.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hyperaemia, Injection site oedema
Clinical narrative: Right anterior thigh edematous with hyperemia involving entire thigh front and back with mildly increased tone, no drainage, no abscess. Ambulates well without difficulty. Normal popliteal and pedal pulse. Continue compresses and observations.
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Back pain, Dizziness, Fatigue, Hypoaesthesia, Liver disorder
Clinical narrative: Liver pain in RUQ, which changed to a stabbing pain after meals, gradually improved but continued through 12/22/04, fatigue, light headedness, numbness in phalanges 3,4,5 of left hand 12/08/04 and 12/09/04, severe bilateral back (Kidneys) pain 12/14/04 and 12/15/04.
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Pain, Renal disorder
Clinical narrative: Liver pain in RUQ, which changed to a stabbing pain after meals, gradually improved but continued through 12/22/04, fatigue, light headedness, numbness in phalanges 3,4,5 of left hand 12/08/04 and 12/09/04, severe bilateral back (Kidneys) pain 12/14/04 and 12/15/04.
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Back pain, Renal disorder
Clinical narrative: Bilateral Back (Kidneys) pain continued through 7/5/05.
Age: 7.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Started with rash 4/11/2006, itchy. Mothers boyfriend has shingles.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema, Oedema, Pyrexia, Urticaria
Clinical narrative: 101 fever started 20 hours after injection, mom noticed swelling left thigh to ankle and hives bilateral waist to feet at 9pm 4/12/06, mom administered Tylenol symptoms subsiding at time of call to HD 4/13/06 11:00 am.
Age: 14.0
Sex: U
Vaccine: HEPA, TD
Symptoms: Chest pain, Flushing, Neck pain
Clinical narrative: Pt developed flushing in fall left side neck pain few moments after shot. Later on heaviness in chest-fumar EPI shot IM. Benadryl 3 tsp po. Refer to hospital for observation. Discussed with Allergist and he suggested next shot to be given at Allergist Clinic to R/O if reaction to shot.
Age: 0.18
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Crying, Injection site hypersensitivity, Injection site warmth, Screaming
Clinical narrative: Mom called at 15:30 4/6/06 reporting pt screaming and crying when touched anywhere on body. Lt left Trom hip to knee, red and hot. No fever.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Back pain, Hypokinesia, Injection site swelling, Injection site warmth
Clinical narrative: No pain, rash when went to bed 4/5/06. Woke at 05:30 AM swollen fingers hand to wrist with swelling upper deltoid and shoulder all on right side. Pain hand, elbow, shoulder right side. Used warm moist compresses, took ibuprofen, couldn't hardly move arm. Tried to work at home. Came into /// today. 4/7/06, right top of hand, fingers swollen slightly. Fingers tingling. Keeps loosing falling into shoulder hurts down to upper back when raises arm all right side. Injection site warmth, no redness, swelling, drainage. ///If any other symptoms or pain worsens to call and follow-up with doctor if necessary.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Paraesthesia, Swelling
Clinical narrative: No pain, rash when went to bed 4/5/06. Woke at 05:30 AM swollen fingers hand to wrist with swelling upper deltoid and shoulder all on right side. Pain hand, elbow, shoulder right side. Used warm moist compresses, took ibuprofen, couldn't hardly move arm. Tried to work at home. Came into /// today. 4/7/06, right top of hand, fingers swollen slightly. Fingers tingling. Keeps loosing falling into shoulder hurts down to upper back when raises arm all right side. Injection site warmth, no redness, swelling, drainage. ///If any other symptoms or pain worsens to call and follow-up with doctor if necessary.
Age: 1.0
Sex: M
Vaccine: IPV, PNC, VARCEL
Symptoms: Blister, Erythema, Herpes zoster, Rash maculo-papular, Viral infection
Clinical narrative: 1-2 cm erythema with vesicles left ant chest and posterior left upper arm, maculopapular rash left inner upper and outer arm, Herpes zoster, Onset 4/10/06 am. Started Acyclovir 200 QID x 5 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abnormal behaviour, Loss of consciousness
Clinical narrative: Pt collapsed at pre school 24 hours receiving immunizations. Pt said I cant see, flailed arms, then lost consciousness. Event lasted 5 minutes per mom. Pt was taken to ER blood glucose and head CT normal. EKG normal, FU with PCP.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Inflammation, Influenza like illness, Injection site oedema, Injection site warmth, Insomnia
Clinical narrative: Received immunization on 4/5/06, approx 1:15pm. Pain started around 5:30pm, Apr 5 intense pain, inflammation in right arm. Woke up all night in pain. On Apr 6 intense pain, swelling and arm was hot to the touch, pain was from elbow to shoulder. Apr 7 swelling down and pain reduced to soreness. Felt like I had a flu, muscles aches for three days. Night sweats still having night sweats.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Night sweats, Pain
Clinical narrative: Received immunization on 4/5/06, approx 1:15pm. Pain started around 5:30pm, Apr 5 intense pain, inflammation in right arm. Woke up all night in pain. On Apr 6 intense pain, swelling and arm was hot to the touch, pain was from elbow to shoulder. Apr 7 swelling down and pain reduced to soreness. Felt like I had a flu, muscles aches for three days. Night sweats still having night sweats.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Urticaria
Clinical narrative: Urticaria, chronic.
Age: 1.03
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Agitation, Crying, Hypokinesia, Skin nodule
Clinical narrative: Small nodule approx 10mm on left groin fold, right nodules x2 smaller size felt, crying when lump palpated gently, day after she received immunization, mothers states child crying more then usual, did not want to stand up, mother noted nodule on groin fold on 3/27/06, 3/28/06 see attached progress noted. 3/29/06 M. reports child not crying moves legs better right inguinal lymph nodes 2 x 0.5 cm, left inguinal lymph nodes 2 x 1cm. no increase size, still hard. RTC if worsens to see DR. mom verbalized understanding.
Age: 37.0
Sex: M
Vaccine: TYP
Symptoms: Skin ulcer
Clinical narrative: 37 yo male with multiple 5mm X 5mm crusted lesions on forearms and right thigh that developed 1 wk post/vax. Initial lesion crusted over in 1 wks time. Has had several other lesions develop. Primary vaccination site is crusting over. No fever. No muscle pain.
Age: 16.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Urticaria
Clinical narrative: Urticarial rash on face and neck after taking 2 of 4 caps. Rash developed on day 6 pt missed 3rd dose.
Age: 1.62
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Injection site erythema, Pruritus
Clinical narrative: 4/10 + erythematous skin lateral upper thighs, back lumbar area and right upper lateral arms. Began after bedtime. Mom used calamine lotion. Given Clarinex syrup to use as needed.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Tension
Clinical narrative: Circumferential redness with tense swelling in left upper arm noticed 18 hours after shots given.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site warmth
Clinical narrative: left deltoid area, very red and hot to the touch. About 2 1/2" x 2 1/2" in width and height. Client is okay, afebrile, he said it's just a little sore.
Age: 0.16
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site oedema
Clinical narrative: Immediately after vaccine administration bilateral swelling of thighs. Treated with cool compresses. Lasted about 4 to 6 hours or maybe more.
Age: 1.04
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Blister, Erythema, Rash papular
Clinical narrative: Vesicle on upper right arm with small vesicles on face with some red papules. Some crusted papules on shoulders and face.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: High pitched cry, screaming x 4 hrs, no fever. No site reactions. Mom reported sx began soon after immunizations and resolved around 6:00PM.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Mom called 24 hrs after immunizations. Immunizations given 4/5/06 around 2pm. Mom reports temp 101.7. Left arm red, hot, swollen. Sx extending from shoulder to 5 inches down. C/o feeling itchy inside arm.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Feeling hot, Skin ulcer, Tension, Urticaria
Clinical narrative: Within 5-10 min of receiving vaccines. Pt developed significant warm tense erythematous reaction from knees to feet. Also 2 urticarial lesions on arms. Reaction was symmetrical on both legs. Oral Benadryl was administered and reaction gradually resolved.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Difficulty in walking, Feeling hot, Hypokinesia, Migraine
Clinical narrative: Started feeling warm, late that evening was having nausea, vomiting. Left deltoid injection site was fine. She started feeling weak. The following morning she could not walk. 911 was called and she was brought to ER.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Nausea, Vomiting
Clinical narrative: Started feeling warm, late that evening was having nausea, vomiting. Left deltoid injection site was fine. She started feeling weak. The following morning she could not walk. 911 was called and she was brought to ER.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt had tetanus Diphtheria administered in right upper outer arm on 3/31/06. The next day she noticed /// pain, redness and swelling in area which progressively increased in severity for 48 hours, gradually improved. Symptoms improving.
Age: 76.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 2-4 days after immunization, developed "red spot", enlarged over week time to 7cm. Red, round, raised and hot area.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Left thigh with large local reaction. 16x19cm area of erythema with central induration and warmth. Areas of clearing at margins. Non-tender. Slowly resolved over 9-10 days.
Age: 1.25
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Mother stated child's both thighs were swollen, red, hard and tender the day of vaccine administration. Continued to walk. Seen in clinic 4/5/06 with rendual "knob" about 1cm left thigh. R thigh usual. Parental concern.
Age: 68.0
Sex: F
Vaccine: TD
Symptoms: Blood pressure increased, Injection site erythema, Injection site pain, Insomnia, Pyrexia
Clinical narrative: C/O soreness, redness, burning, fever, increase in BP; couldn't sleep X 3 days.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Rash
Clinical narrative: Presented to doctor's office with a rash to right arm by elbow (red and hard) on Monday, April 10, 2006. Examined by doctor.
Age: 1.6
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Viral infection
Clinical narrative: Pt had influenza @ time of receiving vaccine. She had been given Tylenol prior to the vaccine appointment, per her foster parents. She was febrile in the evening and also today 4/7/06.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Significant swelling, redness, warmth around site (local reaction) of R hip.
Age: 1.08
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Skin ulcer, Urticaria
Clinical narrative: Received Varivax in left thigh + Prevnar in right leg. About 18-24 hrs after immunizations, pt developed an urticarial rash localized to left thigh and with 2 lesions on left buttock, varied in size. Treated with Benadryl. Hives spread to arms/legs and 1 on cheek within subsequent 24 hrs. Waxes and wanes with urticaria. Hives were faint and blotchy. Started as a wheal and flare. Examined 4/6/06. No other symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red, swelling and warm to touch. Went to ER 24 hrs after injection; 48 hrs went to ER and ER again; got little bigger 12 X 10cm