chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray
Clinical narrative: Vaccine painful, unable to move arm, shooting pains, tingling, numbness in arm. Pt went to urgent care, then ER. Given X-rays, sling, and pain medication.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Arm swollen, red, hot - has had pain since shot was given - Today is 10/4/ and pain conts I went to doctor is on CIPRO, BENADRYL + some pain meds
Age: 42.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Cellulitis, Erythema, Induration
Clinical narrative: 9x10 cm area of redness + induration on (R) arm was given antibiotics for cellulitis.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Acne, Injection site erythema, Injection site reaction, Joint stiffness, Lip swelling
Clinical narrative: Started out like a red pimple at site. Then whelps developed on face, neck, both arms, inside both legs, and around waist. Both arms swelled, lips swelled. Went to ER when bilateral thumbs developed tight feeling + could not bend thumbs: SOLUMEDROL 125 mg IM given in the ER. BENADRYL 50 mg PO Q4 hour Continue MEDROL dose pack given on Friday 10/01 PO 1Q ER physician.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Started out like a red pimple at site. Then whelps developed on face, neck, both arms, inside both legs, and around waist. Both arms swelled, lips swelled. Went to ER when bilateral thumbs developed tight feeling + could not bend thumbs: SOLUMEDROL 125 mg IM given in the ER. BENADRYL 50 mg PO Q4 hour Continue MEDROL dose pack given on Friday 10/01 PO 1Q ER physician.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: 101 degrees fever - lasted for 12 hours. Muscle aches, nausea.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Headache, Oedema peripheral, Pruritus, Pyrexia
Clinical narrative: Patient had swelling in (L) arm and itching. She had a slight fever and headache and upon movement felt short of breath. As of 10/4 rash still present swelling slightly reduced and patient was prescribed steroids and diphenhydramine for itching.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash
Clinical narrative: Patient had swelling in (L) arm and itching. She had a slight fever and headache and upon movement felt short of breath. As of 10/4 rash still present swelling slightly reduced and patient was prescribed steroids and diphenhydramine for itching.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Wheals trunk and extremities.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Abnormal behaviour, Activities of daily living impaired, Aggression, Asthenia, Catatonia
Clinical narrative: 3/11/09 got shot within a week behaviors change, he got weak, tired and on April 2009 he had a hard time doing school work and became violent - May 2009 regress a lot, Sept 2009 started drooling barely moving - Catatonic stage, Oct 2009 BM and soiled himself, treatment Oct. 2009 heavy metal detox, hyperbaric therapy, cognitive test.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Detoxification, Drooling, Faecal incontinence, Fatigue, Hair metal test
Clinical narrative: 3/11/09 got shot within a week behaviors change, he got weak, tired and on April 2009 he had a hard time doing school work and became violent - May 2009 regress a lot, Sept 2009 started drooling barely moving - Catatonic stage, Oct 2009 BM and soiled himself, treatment Oct. 2009 heavy metal detox, hyperbaric therapy, cognitive test.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Movement disorder, Regressive behaviour
Clinical narrative: 3/11/09 got shot within a week behaviors change, he got weak, tired and on April 2009 he had a hard time doing school work and became violent - May 2009 regress a lot, Sept 2009 started drooling barely moving - Catatonic stage, Oct 2009 BM and soiled himself, treatment Oct. 2009 heavy metal detox, hyperbaric therapy, cognitive test.
Age: 0.17
Sex: F
Vaccine: HIBV, RV5
Symptoms: Anaphylactic shock, Blood electrolytes normal, Blood glucose normal, Chest X-ray normal, Crying
Clinical narrative: 3 hrs after the vaccines (ROTATEQ and HIB vac) baby came back to office, continuous crying, SOB and went into anaphylactic shock. Started scalp IVF, 0.9 NS boluses x2, IV DECADRON 3mg, IV BENADRYL, IV Epi x 1 dose. Obs in PICU x 24 Hrs & in Peds Floor x 24 Hrs.
Age: 0.17
Sex: F
Vaccine: HIBV, RV5
Symptoms: Dyspnoea, Full blood count normal, Intensive care
Clinical narrative: 3 hrs after the vaccines (ROTATEQ and HIB vac) baby came back to office, continuous crying, SOB and went into anaphylactic shock. Started scalp IVF, 0.9 NS boluses x2, IV DECADRON 3mg, IV BENADRYL, IV Epi x 1 dose. Obs in PICU x 24 Hrs & in Peds Floor x 24 Hrs.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Muscle contractions involuntary
Clinical narrative: Patient described pectoralis and deltoid muscle fasciculations after HIGH DOSE FLUZONE.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Ocular hyperaemia, Pain
Clinical narrative: Red eyes, cold shakes, sore all over no treatment.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Angioedema, Cough, Dyspnoea, Pharyngeal oedema, Wheezing
Clinical narrative: Mom called said child large hives swollen throat coughing and had wheezing, difficulty breathing. Gave BENEDRYL and 2 ALBUTEROL tx symptoms resolved.
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis
Clinical narrative: Patient experienced excessive sweating about 30 minutes after receiving vaccine.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: Throat constriction sensation 4 hrs after flu shot - resolved spont after approximately 8-10 hrs.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Dyspnoea, Lip swelling, Nausea
Clinical narrative: Patient requested P.F. flu shot since she was trying to get preg. She has had previous flu shots with no adverse effects. Approximately 25 min. after receiving shot developed cough. Effects worsened causing swollen, lips, mouth sores, N/V, difficulty breathing, hoarseness. Patient went to E.R. + received EPINEPHRIN + BENADRYL.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug, Stomatitis, Vomiting
Clinical narrative: Patient requested P.F. flu shot since she was trying to get preg. She has had previous flu shots with no adverse effects. Approximately 25 min. after receiving shot developed cough. Effects worsened causing swollen, lips, mouth sores, N/V, difficulty breathing, hoarseness. Patient went to E.R. + received EPINEPHRIN + BENADRYL.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Endotracheal intubation, Pneumonia, Respiratory distress
Clinical narrative: Pt. had respiratory distress 3 days after flu shot. Admitted to hospital. Dx pneumonia. Sent to another hospital where she required intubation. Discharged 10/2/10.
Age: 24.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Abdominal discomfort, Arthralgia, Burning sensation, Chest discomfort, Dizziness
Clinical narrative: 17Feb 2010 received call from SM stating that he had a reaction "to the Anthrax vaccine" on 11Sept 10 Anthrax given in (R) deltoid after member educated on Anthrax vaccine and possible side effects. Member signed Anthrax education 600 over print and questions answered. SM stated understanding. SM called 17 Sep at 1930 and stated that he started having burning in (R) arm and (R) hand "a few minutes after receiving vaccine. Lasted approx 1 hour and "then injection site was just sore." Sunday a.m awakened with joint pain, chest tightness, dyspnea and nausea, dizziness and malaise throughout the day. Did not go to work, but SM did not go to ED or physician. SM stated that, "On Tuesday, felt better in a hazy dream like state until late Thursday (L) forearm began swelling - palm increased inside of elbow 1 1/2" to outer forearm redness and raised area. SM c/o soreness - pulsing pain in arm with flu shot - not arm with anthrax injection. When SM called he stated that he was feeling better on this day until (L) side of scalp started hurting around 9-10 a.m. - at this time SM realized that he had solid black scab on (L) side of head - denied hitting head. Member also c/o intestinal burning that started on Sunday (day after shot) no vomiting, - 1 loose stool. SM stated that he has felt "bad - on and off since time he received shots". Also, stated that he had sharp "flash like" pains in his head that lasted 15-20 seconds that started on 17Sep 2010. Instructed member to go to ED if symptoms returned or worsened. Also, to have information emailed/sent ASAP and report on Oct drill to see physician.
Age: 24.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Dyspnoea, Feeling abnormal, Headache, Injection site pain, Malaise
Clinical narrative: 17Feb 2010 received call from SM stating that he had a reaction "to the Anthrax vaccine" on 11Sept 10 Anthrax given in (R) deltoid after member educated on Anthrax vaccine and possible side effects. Member signed Anthrax education 600 over print and questions answered. SM stated understanding. SM called 17 Sep at 1930 and stated that he started having burning in (R) arm and (R) hand "a few minutes after receiving vaccine. Lasted approx 1 hour and "then injection site was just sore." Sunday a.m awakened with joint pain, chest tightness, dyspnea and nausea, dizziness and malaise throughout the day. Did not go to work, but SM did not go to ED or physician. SM stated that, "On Tuesday, felt better in a hazy dream like state until late Thursday (L) forearm began swelling - palm increased inside of elbow 1 1/2" to outer forearm redness and raised area. SM c/o soreness - pulsing pain in arm with flu shot - not arm with anthrax injection. When SM called he stated that he was feeling better on this day until (L) side of scalp started hurting around 9-10 a.m. - at this time SM realized that he had solid black scab on (L) side of head - denied hitting head. Member also c/o intestinal burning that started on Sunday (day after shot) no vomiting, - 1 loose stool. SM stated that he has felt "bad - on and off since time he received shots". Also, stated that he had sharp "flash like" pains in his head that lasted 15-20 seconds that started on 17Sep 2010. Instructed member to go to ED if symptoms returned or worsened. Also, to have information emailed/sent ASAP and report on Oct drill to see physician.
Age: 24.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Nausea, Oedema peripheral, Pain of skin, Scab
Clinical narrative: 17Feb 2010 received call from SM stating that he had a reaction "to the Anthrax vaccine" on 11Sept 10 Anthrax given in (R) deltoid after member educated on Anthrax vaccine and possible side effects. Member signed Anthrax education 600 over print and questions answered. SM stated understanding. SM called 17 Sep at 1930 and stated that he started having burning in (R) arm and (R) hand "a few minutes after receiving vaccine. Lasted approx 1 hour and "then injection site was just sore." Sunday a.m awakened with joint pain, chest tightness, dyspnea and nausea, dizziness and malaise throughout the day. Did not go to work, but SM did not go to ED or physician. SM stated that, "On Tuesday, felt better in a hazy dream like state until late Thursday (L) forearm began swelling - palm increased inside of elbow 1 1/2" to outer forearm redness and raised area. SM c/o soreness - pulsing pain in arm with flu shot - not arm with anthrax injection. When SM called he stated that he was feeling better on this day until (L) side of scalp started hurting around 9-10 a.m. - at this time SM realized that he had solid black scab on (L) side of head - denied hitting head. Member also c/o intestinal burning that started on Sunday (day after shot) no vomiting, - 1 loose stool. SM stated that he has felt "bad - on and off since time he received shots". Also, stated that he had sharp "flash like" pains in his head that lasted 15-20 seconds that started on 17Sep 2010. Instructed member to go to ED if symptoms returned or worsened. Also, to have information emailed/sent ASAP and report on Oct drill to see physician.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site erythema, Injection site joint pain, Injection site swelling
Clinical narrative: Pt c/o "joint" pain to (L) arm (shoulder, elbow finger) states some redness to (L) shoulder, zero redness/swelling at injection site.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Headache, Pain in extremity
Clinical narrative: Sore arm, headache, joint pain.
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Injected limb mobility decreased, Pain
Clinical narrative: Got shot around 1:20PM. no pain or problems reported. Went home and felt fine. Around 6 PM started experiencing shooting pain in the shoulder. Pain got worse progressively. Tried heating pad and ice pack but did nothing. Took two TYLENOL #3 with codeine and one tizanidine 2mg but neither gave him any relief. Cannot raise arm above hip and arm is extremely weak.
Age: 1.95
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Body temperature increased, Convulsion
Clinical narrative: Mother reports pt. temperature went up to 103 and pt. had a seizure.
Age: 22.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Injection site warmth, Musculoskeletal pain, Pain in extremity
Clinical narrative: Pt called reporting right shoulder pain radiating down right arm and right elbow. Patient states injection site feels warm but denies redness, swelling, denies fever. Pt advised to take ALEVE and call if does not get better/worsens.
Age: 67.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Felt extremely unwell with extreme chills, nausea, vomiting, fever. Temporary relief with antacids, ibuprofen. Chills and fever (99.6) continued on 10/2/10; Felt much improved on 10/3.
Age: 67.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chills, Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: Felt extremely unwell with extreme chills, nausea, vomiting, fever. Temporary relief with antacids, ibuprofen. Chills and fever (99.6) continued on 10/2/10; Felt much improved on 10/3.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: worsening left shoulder/upper arm pain since shot, can't lift above head without severe pain, severe pain with lifting or moving
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Congenital anomaly, Drug exposure during pregnancy, Trigger finger
Clinical narrative: At 10 days old my baby developed a congenital trigger finger.  I received the vaccine while I was approx 7 months pregnant with him.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Pain, Pain in extremity
Clinical narrative: Had Flushot 10/4/2010 had immediate pain in (R) arm + hurts down to forearm. 11/2 after pain seems to be getting worse.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Erythema, Musculoskeletal stiffness
Clinical narrative: Arm stiffness. Dime size, red, bruising under arm.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dysphagia
Clinical narrative: Sensation of trouble swallowing - onset 2h after administration of vaccine. Chest tightness, but no reported trouble breathing. Tx: monitor, increase fluids, take BENADRYL, call 911 if worsens.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Cellulitis, Emotional disorder, Erythema, Induration
Clinical narrative: Pt RTC 9-24-10 after immun. with complaint of low-grade fever, red raised swollen sore hot 10cm induration. Pt felt weak, run down and emotional since date of vaccine. Given Dexamethasone IM inj in office and amox. to cover for cellulitis infection of RA.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Swelling
Clinical narrative: Pt RTC 9-24-10 after immun. with complaint of low-grade fever, red raised swollen sore hot 10cm induration. Pt felt weak, run down and emotional since date of vaccine. Given Dexamethasone IM inj in office and amox. to cover for cellulitis infection of RA.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chest discomfort, Headache
Clinical narrative: Headache, joints in extremities aching, headache, tight in chest.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site warmth, Urticaria
Clinical narrative: Pt noticed 'hives' on the administration arm approximately 1 inch below injection site to elbow arm felt warm to touch and tender. Pt went to MD, given BENADRYL and told not to get flu shots in future.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Full blood count normal, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain, swelling, redness and warmth around injection site began 10/2/10 and increased such that seen at Urgent Care 10/3/10 and then MD office. Emergency room 10/4/10. IV and PO antibiotics, steroids, antihistamines.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Erythema, Induration, Injection site erythema, Injection site swelling
Clinical narrative: Received PHEUMOVAX on 9/21/10 declined fever, body ache with red area around and swelling at injection site on 9/23/10. Seen on 9/23/10. Temp 100 degrees F. 8 x 7 cm area of erythema with induration and tenderness on (L) arm
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Tenderness
Clinical narrative: Received PHEUMOVAX on 9/21/10 declined fever, body ache with red area around and swelling at injection site on 9/23/10. Seen on 9/23/10. Temp 100 degrees F. 8 x 7 cm area of erythema with induration and tenderness on (L) arm
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Dysphonia, Hypersensitivity, Throat tightness
Clinical narrative: Allergy: pt rec'd flu shot by community health. At approx 230pm. Approx 1 hr later pt states she was home felt throat closing, difficulty swallowing & voice hoarse. Pt came to u/c for eval. Tx with 50mg BENADRYL & 150 mg ZANTAC PO, O2 3L & monitor.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Complained of soreness in left shoulder.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: Patient received Flu Vaccine 9/21/10 at 08:00 am. Flu Vaccine injected IM Left Deltoid, 23 ga 1" needle. Patient states felt "ache" to Left arm at time of injection, on 9/26/10 on awakening in AM, patient experienced continuous "throbbing" pain to upper lateral area of Left arm radiating to Left thumb. Patient also experienced weakness to Left arm at the same time. Patient reports on 10/04/10 that pain has decreased. No medical treatment has been sought by patient.
Age: 0.7
Sex: M
Vaccine: DTP
Symptoms: Decreased activity, Grand mal convulsion, Neurological symptom
Clinical narrative: Initial report was received on 22 September 2010 from another manufacturer with Document Number 1110997 and Service Request Number 1-3683113970. The initial reporter was the patient's mother. A male patient was 8 months old, "more than 21 years ago" when he received an injection of DTP (manufacturer and lot number not reported). Five days after the vaccination, he experienced a grand mal seizure. He was examined by a neurologist and prescribed phenobarbital. The patient became neurologically impaired and stopped doing all activities. The patient's family history included, the mother's half brother who experienced a grand mal seizure after receiving an unspecified vaccination "many years ago." The patient's current status was not reported. Documents held by sender: None.
Age: 23.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Initial report received from a health care professional on 23 September 2010. A 23-year-old female patient, with a history of asthma, penicillin (PCN) allergy and hospitalization for postpartum, received on 14 September 2010 a right gluteal injection (dose 0) of ADACEL, lot number not reported and a left gluteal injection of Pneumococcal vaccine, manufacturer and lot number not reported. On 16 September 2010, the patient developed a fever of 102 (units not provided). On 18 September 2010, the patient developed large areas of redness and swelling at both injection sites. The patient was evaluated by a physician who diagnosed possible cellulitis. The patient had no cultures done. She was treated with gentamycin and clindamycin. The patient events caused prolongation of hospitalization by 2 days. The outcome was reported as unknown. Documents held by sender: None.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Back pain, Balance disorder, Blindness, Chest X-ray normal, Computerised tomogram normal
Clinical narrative: Initial report was received from a consumer who is also the patient on 27 September 2010. A 50 year-old female patient with no illness at the time of vaccination, had received an intramuscular left deltoid injection of FLUZONE SV, lot number UH181AA (needle length not reported) and an intramuscular right deltoid injection of B12 (manufacturer and lot number not reported) on 11 September 2010 and eight hours later she reported she felt like "tons of bricks on brain and bones in back were breaking". She also reported sleeping over 24 hours, being disoriented, unsteady on her feet and her vision was "gone" for one week. On 18 September 2010 she developed nausea that persisted until 27 September 2010. She reported being evaluated by a physician in the emergency department on 12 September 2010 and two other individuals on 24 September 2010. Diagnostic findings included: Complete blood count (CBC), within normal limits (WNL); vertigo testing, negative; CT scan, within normal limits (WNL); chest x-ray (CXR), within normal limits (WNL); and a MRI, within normal limits (WNL) to rule out (R/O) MS. No further information was available at the time of this report. The patient's outcome was not recovered. Documents held by sender: none.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Disorientation, Full blood count normal, Head discomfort, Hypersomnia, Laboratory test normal
Clinical narrative: Initial report was received from a consumer who is also the patient on 27 September 2010. A 50 year-old female patient with no illness at the time of vaccination, had received an intramuscular left deltoid injection of FLUZONE SV, lot number UH181AA (needle length not reported) and an intramuscular right deltoid injection of B12 (manufacturer and lot number not reported) on 11 September 2010 and eight hours later she reported she felt like "tons of bricks on brain and bones in back were breaking". She also reported sleeping over 24 hours, being disoriented, unsteady on her feet and her vision was "gone" for one week. On 18 September 2010 she developed nausea that persisted until 27 September 2010. She reported being evaluated by a physician in the emergency department on 12 September 2010 and two other individuals on 24 September 2010. Diagnostic findings included: Complete blood count (CBC), within normal limits (WNL); vertigo testing, negative; CT scan, within normal limits (WNL); chest x-ray (CXR), within normal limits (WNL); and a MRI, within normal limits (WNL) to rule out (R/O) MS. No further information was available at the time of this report. The patient's outcome was not recovered. Documents held by sender: none.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Nausea, Nuclear magnetic resonance imaging normal
Clinical narrative: Initial report was received from a consumer who is also the patient on 27 September 2010. A 50 year-old female patient with no illness at the time of vaccination, had received an intramuscular left deltoid injection of FLUZONE SV, lot number UH181AA (needle length not reported) and an intramuscular right deltoid injection of B12 (manufacturer and lot number not reported) on 11 September 2010 and eight hours later she reported she felt like "tons of bricks on brain and bones in back were breaking". She also reported sleeping over 24 hours, being disoriented, unsteady on her feet and her vision was "gone" for one week. On 18 September 2010 she developed nausea that persisted until 27 September 2010. She reported being evaluated by a physician in the emergency department on 12 September 2010 and two other individuals on 24 September 2010. Diagnostic findings included: Complete blood count (CBC), within normal limits (WNL); vertigo testing, negative; CT scan, within normal limits (WNL); chest x-ray (CXR), within normal limits (WNL); and a MRI, within normal limits (WNL) to rule out (R/O) MS. No further information was available at the time of this report. The patient's outcome was not recovered. Documents held by sender: none.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Amnesia, Balance disorder, Chest discomfort, Disorientation, Dizziness
Clinical narrative: Initial report was received from a consumer who is also the patient on 27 September 2010. A 50 year-old female patient with no illness at the time of vaccination, had received an intramuscular left deltoid injection of FLUZONE SV, lot number UH181AA (needle length not reported) and an intramuscular right deltoid injection of B12 (manufacturer and lot number not reported) on 11 September 2010 and eight hours later she reported she felt like "tons of bricks on brain and bones in back were breaking". She also reported sleeping over 24 hours, being disoriented, unsteady on her feet and her vision was "gone" for one week. On 18 September 2010 she developed nausea that persisted until 27 September 2010. She reported being evaluated by a physician in the emergency department on 12 September 2010 and two other individuals on 24 September 2010. Diagnostic findings included: Complete blood count (CBC), within normal limits (WNL); vertigo testing, negative; CT scan, within normal limits (WNL); chest x-ray (CXR), within normal limits (WNL); and a MRI, within normal limits (WNL) to rule out (R/O) MS. No further information was available at the time of this report. The patient's outcome was not recovered. Documents held by sender: none.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dysarthria, Dysstasia, Feeling abnormal, Hypoaesthesia, Injection site erythema
Clinical narrative: Initial report was received from a consumer who is also the patient on 27 September 2010. A 50 year-old female patient with no illness at the time of vaccination, had received an intramuscular left deltoid injection of FLUZONE SV, lot number UH181AA (needle length not reported) and an intramuscular right deltoid injection of B12 (manufacturer and lot number not reported) on 11 September 2010 and eight hours later she reported she felt like "tons of bricks on brain and bones in back were breaking". She also reported sleeping over 24 hours, being disoriented, unsteady on her feet and her vision was "gone" for one week. On 18 September 2010 she developed nausea that persisted until 27 September 2010. She reported being evaluated by a physician in the emergency department on 12 September 2010 and two other individuals on 24 September 2010. Diagnostic findings included: Complete blood count (CBC), within normal limits (WNL); vertigo testing, negative; CT scan, within normal limits (WNL); chest x-ray (CXR), within normal limits (WNL); and a MRI, within normal limits (WNL) to rule out (R/O) MS. No further information was available at the time of this report. The patient's outcome was not recovered. Documents held by sender: none.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Nausea, Pyrexia, Vision blurred
Clinical narrative: Initial report was received from a consumer who is also the patient on 27 September 2010. A 50 year-old female patient with no illness at the time of vaccination, had received an intramuscular left deltoid injection of FLUZONE SV, lot number UH181AA (needle length not reported) and an intramuscular right deltoid injection of B12 (manufacturer and lot number not reported) on 11 September 2010 and eight hours later she reported she felt like "tons of bricks on brain and bones in back were breaking". She also reported sleeping over 24 hours, being disoriented, unsteady on her feet and her vision was "gone" for one week. On 18 September 2010 she developed nausea that persisted until 27 September 2010. She reported being evaluated by a physician in the emergency department on 12 September 2010 and two other individuals on 24 September 2010. Diagnostic findings included: Complete blood count (CBC), within normal limits (WNL); vertigo testing, negative; CT scan, within normal limits (WNL); chest x-ray (CXR), within normal limits (WNL); and a MRI, within normal limits (WNL) to rule out (R/O) MS. No further information was available at the time of this report. The patient's outcome was not recovered. Documents held by sender: none.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Death, Pyrexia
Clinical narrative: Initial report was received 30 September 2010 from a health care professional, who received the report from the patient's wife. A 74-year-old male patient who had a history of asthma and allergies to weeds and molds, had received a first dose of FLUZONE HIGH-DOSE (lot number, route and site of administration unknown at the time of the report) and an unspecified allergy shot on 21 September 2010. On 24 September 2010, three days post vaccination, the patient developed a slight fever which resolved the following day. According to the reporter, the patient went to bed on 26 September 2010 and the following day on 27 September 2010, six days post vaccination, the patient was found dead in bed. The patient had no concurrent illness at the time of vaccination. The patient had been taking EFFEXOR, FLOMAX, "NEURONTIN", Hydromorphone and "guiafesen"concomitantly. The patient had also received allergy shots in the past. At the time of the report, it was unknown if an autopsy had been performed. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.36
Sex: F
Vaccine: PNC13
Symptoms: Antimicrobial susceptibility test resistant, Blood culture positive, Congenital absence of bile ducts, Laboratory test normal, Liver disorder
Clinical narrative: Information regarding PREVNAR 13 was received from a healthcare professional regarding a 6-month-old female patient who experienced biliary atresia, possible enlarged liver, and streptococcus pneumoniae bacteremia. At 2 months of age, the patient received the first dose on 10-May-2010. At 4 months of age, the patient received the second dose on 13-Jul-2010. On 11-Sep-2010 the patient experienced streptococcus pneumoniae bacteremia and was hospitalized. In Sep-2010, while in the hospital, the patient was diagnosed with biliary atresia that was surgically treated using the Kasai procedure. In Sep-2010 the doctor was concerned about her possibly having an enlarged liver. Although her final newborn screen result was normal, she requires a liver transplant. As of 22-Sep-2010, it is unknown if she remains hospitalized. The outcome of all events was unknown. No additional information was available at the time of this report.
Age: 0.36
Sex: F
Vaccine: PNC13
Symptoms: Pneumococcal bacteraemia, Pneumococcal sepsis, Portoenterostomy, Streptococcus test positive
Clinical narrative: Information regarding PREVNAR 13 was received from a healthcare professional regarding a 6-month-old female patient who experienced biliary atresia, possible enlarged liver, and streptococcus pneumoniae bacteremia. At 2 months of age, the patient received the first dose on 10-May-2010. At 4 months of age, the patient received the second dose on 13-Jul-2010. On 11-Sep-2010 the patient experienced streptococcus pneumoniae bacteremia and was hospitalized. In Sep-2010, while in the hospital, the patient was diagnosed with biliary atresia that was surgically treated using the Kasai procedure. In Sep-2010 the doctor was concerned about her possibly having an enlarged liver. Although her final newborn screen result was normal, she requires a liver transplant. As of 22-Sep-2010, it is unknown if she remains hospitalized. The outcome of all events was unknown. No additional information was available at the time of this report.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Swelling face
Clinical narrative: SFC recieved Flu vaccine at 12:15 pm 4 OCT 10 with no immediate reaction. PT presented to Clinic at 0810 5 OCT 10 stating that 10 hours after recieving the flu shot he broke out in a rash he then took Benadryl for symptoms. PT woke in the morning with facial swelling then came to clinic. PT arrived ambulatory in stable condition without distress. PT was treated with Dexamethasone 16mg, and given Zantac, prednisone, and hydroxyzine to go home with. PT was discharged from clinic at 0847 and stated felt better prior to leaving.
Age: 72.0
Sex: F
Vaccine: FLUX(H1N1), FLU3, PPV
Symptoms: Headache, Hypokinesia, Local reaction, Malaise, Neck pain
Clinical narrative: Local severe reaction.  Pain and tenderness extending from elbow to right side of neck with limitation of movement of right arm.  Pain not responsive to over-the counter meds.  Headache, malaise.
Age: 72.0
Sex: F
Vaccine: FLUX(H1N1), FLU3, PPV
Symptoms: Pain in extremity, Tenderness
Clinical narrative: Local severe reaction.  Pain and tenderness extending from elbow to right side of neck with limitation of movement of right arm.  Pain not responsive to over-the counter meds.  Headache, malaise.
Age: 72.0
Sex: F
Vaccine: FLUX(H1N1), FLU3, PPV
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Local severe reaction.  Pain and tenderness extending from elbow to right side of neck with limitation of movement of right arm.  Pain not responsive to over-the counter meds.  Headache, malaise.
Age: 61.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Erythema, Laboratory test, Pruritus, Urticaria
Clinical narrative: Itching, welting, hives, redness
Age: 3.0
Sex: F
Vaccine: HIBV
Symptoms: Abnormal behaviour
Clinical narrative: Excessive licking of hands, fingers, feet, toys, windows, doors, books and other people (cheeks, hands, arms).
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Heart rate increased
Clinical narrative: Dizziness and rapid heart rate.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Injection site pain, Sleep disorder
Clinical narrative: From the initial contact the needle was injected into the muscle, it immediately had a painful sensation (different) from other injections received in the past. Over the past 2 weeks it is progressively worsening in pain, it keeps me up all night, The pain is stabbing and with my arm at rest it is worse.
Age: 4.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site discolouration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 10/04/10 the site was slightly dark 1 1/2 by 1 1/2. Parent states that the area was hot, pink and swollen at home.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Blood test, Dizziness, Nausea, Pain, Pyrexia
Clinical narrative: Shot was given in the Joint of the shoulder not the upper arm in the muscle. Extreme pain, Nausea, Fever, Dizziness.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Wrong technique in drug usage process, X-ray
Clinical narrative: Shot was given in the Joint of the shoulder not the upper arm in the muscle. Extreme pain, Nausea, Fever, Dizziness.
Age: 43.0
Sex: M
Vaccine: FLU3, TDAP, TYP
Symptoms: Asthenia, Blood test, Chest X-ray, Chills, Dysgeusia
Clinical narrative: History of present illness   The Patient is a 43 year old male.  Patient presents for an ER follow-up.  At about 1900 hours 27 September 2010 while sitting in his Operations Center when he started to feel weak, shaky, developed some nausea and a metallic taste in his mouth.  He ate 2 apples, a banana and some pizza and a glass of sweetened tea.  He returned to the Operations Center and developed a chill.  He went to his barracks, covered up and the ambulance was called.  He was seen at the Emergency Department where he says he had a CXR, blood work, urine analysis and received some IV fluids.  His discharge instructions give a diagnosis of 'adverse reaction to immunizations.  He was discharged and returned to his barracks.  He says he is fine today.  He relates that he received his Influenza vaccination, typhoid and tetanus immunizations on the morning of 27 September 2010.  He ate a normal amount for breakfast today.  He denies having any abdominal pain. Allergies  Allergy information in Autocite area was reviewed and verified with patient. Current medication  Current medications reviewed and reconciled. . Physical findings  Vital signs: Vital Signs/Measurements  Value Blood pressure: Reviewed   o Temperature: Reviewed.  o RR: Reviewed.  o PR: Reviewed. General appearance: ° Normal.  ° Oriented to time, place, and person.  ° Well developed.  ° Well nourished.  ° In no acute distress. Neck: ° Normal. Palpation: ° No tenderness of the neck. Suppleness: ° Neck demonstrated no decrease in suppleness. Eyes: General/bilateral: Pupils: o Unequal.  ° Size of the pupil was normal. Ears: General/bilateral: Outer Ear: ° Normal. External Auditory Canal: ° External auditory meatus normal. Tympanic Membrane: ° Normal. Nose: General/bilateral: Nasal Discharge: ° No nasal discharge seen. External Nasal Deformities: ° No external nose deformities. Cavity: ° Nasal septum normal.  ° Nasal mucosa normal.  ° Nasal turbinate not erythematous.  ° Nasal turbinate not swollen. Lungs: ° Respiration rhythm and depth was normal.  ° Exaggerated use of accessory muscles for inspiration was not observed.  ° Clear to auscultation.  ° No wheezing was heard.  ° No rhonchi were heard:  ° No rales/crackles were heard. Cardiovascular system: Heart Rate And Rhythm: ° Normal. Heart Sounds: ° Normal  S1 - S2:  ° No S3 heard.  ° No S4 heard.  ° No click was heard.  ° No pericardial friction rub heard. Murmurs: ° No murmurs were heard. Abdomen: Palpation: ° Abdominal muscle guarding was not demonstrated.  ° No abdominal tenderness.  ° No mass was palpated in the abdomen. Hepatic Findings: ° Liver was normal to palpation. Neurological: ° Judgement was not impaired. Coordination / Cerebellum: ° No coordination/cerebellum abnormalities were noted. Gait And Stance: ° Normal. Psychiatric Exam: Mood: ° Euthymic. Affect: ° Normal.        1. visit for: administrative purpose: ADVERSE REACTION TO IMMUNIZATION,  EXACT ONE UNCLEAR. RTC prn.  Released w/o Limitations  Follow up:  as needed .
Age: 43.0
Sex: M
Vaccine: FLU3, TDAP, TYP
Symptoms: Nausea, Nervousness, Urine analysis, Vaccination complication
Clinical narrative: History of present illness   The Patient is a 43 year old male.  Patient presents for an ER follow-up.  At about 1900 hours 27 September 2010 while sitting in his Operations Center when he started to feel weak, shaky, developed some nausea and a metallic taste in his mouth.  He ate 2 apples, a banana and some pizza and a glass of sweetened tea.  He returned to the Operations Center and developed a chill.  He went to his barracks, covered up and the ambulance was called.  He was seen at the Emergency Department where he says he had a CXR, blood work, urine analysis and received some IV fluids.  His discharge instructions give a diagnosis of 'adverse reaction to immunizations.  He was discharged and returned to his barracks.  He says he is fine today.  He relates that he received his Influenza vaccination, typhoid and tetanus immunizations on the morning of 27 September 2010.  He ate a normal amount for breakfast today.  He denies having any abdominal pain. Allergies  Allergy information in Autocite area was reviewed and verified with patient. Current medication  Current medications reviewed and reconciled. . Physical findings  Vital signs: Vital Signs/Measurements  Value Blood pressure: Reviewed   o Temperature: Reviewed.  o RR: Reviewed.  o PR: Reviewed. General appearance: ° Normal.  ° Oriented to time, place, and person.  ° Well developed.  ° Well nourished.  ° In no acute distress. Neck: ° Normal. Palpation: ° No tenderness of the neck. Suppleness: ° Neck demonstrated no decrease in suppleness. Eyes: General/bilateral: Pupils: o Unequal.  ° Size of the pupil was normal. Ears: General/bilateral: Outer Ear: ° Normal. External Auditory Canal: ° External auditory meatus normal. Tympanic Membrane: ° Normal. Nose: General/bilateral: Nasal Discharge: ° No nasal discharge seen. External Nasal Deformities: ° No external nose deformities. Cavity: ° Nasal septum normal.  ° Nasal mucosa normal.  ° Nasal turbinate not erythematous.  ° Nasal turbinate not swollen. Lungs: ° Respiration rhythm and depth was normal.  ° Exaggerated use of accessory muscles for inspiration was not observed.  ° Clear to auscultation.  ° No wheezing was heard.  ° No rhonchi were heard:  ° No rales/crackles were heard. Cardiovascular system: Heart Rate And Rhythm: ° Normal. Heart Sounds: ° Normal  S1 - S2:  ° No S3 heard.  ° No S4 heard.  ° No click was heard.  ° No pericardial friction rub heard. Murmurs: ° No murmurs were heard. Abdomen: Palpation: ° Abdominal muscle guarding was not demonstrated.  ° No abdominal tenderness.  ° No mass was palpated in the abdomen. Hepatic Findings: ° Liver was normal to palpation. Neurological: ° Judgement was not impaired. Coordination / Cerebellum: ° No coordination/cerebellum abnormalities were noted. Gait And Stance: ° Normal. Psychiatric Exam: Mood: ° Euthymic. Affect: ° Normal.        1. visit for: administrative purpose: ADVERSE REACTION TO IMMUNIZATION,  EXACT ONE UNCLEAR. RTC prn.  Released w/o Limitations  Follow up:  as needed .
Age: 16.0
Sex: M
Vaccine: HPV4
Symptoms: Gaze palsy, Nausea, Pallor, Tremor
Clinical narrative: after pt received immunization, pt's eyes rolled back, pt started shaking, and was very pale, B/P was 82/40, pt felt nauseated, feelings lasting about 20-25 minutes
Age: 58.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthenia, Confusional state, Dysphonia, Mental impairment, Respiratory rate increased
Clinical narrative: Complaining of weakness, confusion, hoarseness, rapid breathing, lost train of thought process.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Fatigue, Pruritus generalised
Clinical narrative: GENERALIZED ITCHING, FATIGUE, CHEST PAIN X 3DAYS
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Left arm soreness
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Local swelling, Oedema peripheral
Clinical narrative: swollen, red arm. swollen to elbow and in neck. no trouble breathing, saw ER doctor
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site reaction, Myalgia, Pruritus, Rash, Urticaria
Clinical narrative: Skin rash (hives) on arms, back, and abdomen. Took two 25 mg tablets of Diphenhydramine hydrochloride at 9 PM. Skin rash persisted and itchiness subsided around 11 PM. At 6 AM on 10/05/2010, slight rash. Took one 25 mg tablets of Diphenhydramine hydrochloride at 7:20 AM. Have muscular-like soreness around injection site from the time of the vaccine to present (10/5/2010 @11:15 AM).
Age: 43.0
Sex: F
Vaccine: DTAP, DTP
Symptoms: Injection site pain, Neck pain, X-ray
Clinical narrative: SHARP PAIN IN LEFT SHOULDER AND NECK PERCOCET WAS GIVEN
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Pain, Skin warm
Clinical narrative: 3 1/4 by 3 inch area at arm. Chills, aching, red and hot to touch.  Was given antibiotic and steroid to treat from ER and PMD.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Blood test, Lymphadenopathy
Clinical narrative: Enlarged lymph nodes under armpits, around ears, on neck and head that started growing larger over the next few weeks.
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Chills, Cough, Diarrhoea, Disorientation
Clinical narrative: At work...cough/headache/chills/body aches/runny nose/sneezing/low-grade fever. Later, at approx 10:30 PM (at home) severe cramping, whites of eyes extremely red (not bloodshot), pupil dialated, red face/arms/hands, stinging of hands, heart rate elevated to over 100, dizziness, weakness, disoriented, vomiting, diarrhea, more chills, severe headache, etc. until approx 1:00-1:30 AM on 9/10/09.  Was able to get to sleep, but remained ill next day and went to see my doctor.
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dizziness, Erythema, Headache, Heart rate increased, Malaise
Clinical narrative: At work...cough/headache/chills/body aches/runny nose/sneezing/low-grade fever. Later, at approx 10:30 PM (at home) severe cramping, whites of eyes extremely red (not bloodshot), pupil dialated, red face/arms/hands, stinging of hands, heart rate elevated to over 100, dizziness, weakness, disoriented, vomiting, diarrhea, more chills, severe headache, etc. until approx 1:00-1:30 AM on 9/10/09.  Was able to get to sleep, but remained ill next day and went to see my doctor.
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Muscle spasms, Mydriasis, Ocular hyperaemia, Pain, Pyrexia
Clinical narrative: At work...cough/headache/chills/body aches/runny nose/sneezing/low-grade fever. Later, at approx 10:30 PM (at home) severe cramping, whites of eyes extremely red (not bloodshot), pupil dialated, red face/arms/hands, stinging of hands, heart rate elevated to over 100, dizziness, weakness, disoriented, vomiting, diarrhea, more chills, severe headache, etc. until approx 1:00-1:30 AM on 9/10/09.  Was able to get to sleep, but remained ill next day and went to see my doctor.
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rhinorrhoea, Sneezing, Vomiting
Clinical narrative: At work...cough/headache/chills/body aches/runny nose/sneezing/low-grade fever. Later, at approx 10:30 PM (at home) severe cramping, whites of eyes extremely red (not bloodshot), pupil dialated, red face/arms/hands, stinging of hands, heart rate elevated to over 100, dizziness, weakness, disoriented, vomiting, diarrhea, more chills, severe headache, etc. until approx 1:00-1:30 AM on 9/10/09.  Was able to get to sleep, but remained ill next day and went to see my doctor.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Angioedema, Eyelids pruritus, Pruritus, Wheezing
Clinical narrative: Onset right lower eyelid itch and mild angioedema. Facial itch without redness, slight wheeziness (I do not examine) happenend while on duty in ER. Patient is an RN. Kept working.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Arthralgia, Fatigue, Headache, Myalgia
Clinical narrative: Reports day after horrible headache, reoccuring of headache last ten days. Right side abdominal discomfort, joint and muscle aches. Taking Ibuprofen everyday one to two times a day. Fatigue no fever.
Age: 69.0
Sex: F
Vaccine: FLUX, FLUX(H1N1)
Symptoms: Arthralgia, Myalgia, Pain, Pain of skin
Clinical narrative: Very severe body aches, skin, joints, muscles.  Took ibuprofen, and aspirin, to no avail.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Computerised tomogram, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: Shortness of breath, labored breathing, headache, dizziness, nausea
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, X-ray
Clinical narrative: Shortness of breath, labored breathing, headache, dizziness, nausea
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Rash maculo-papular, Skin lesion
Clinical narrative: Diffuse maculopapular rash from lower legs to upper torso. A few lesions had an urticarial like appearance.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: Midnight--chills, nausea, diarrhea for 2 hours. In Morning--headache, fever.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Starting 6 hours after shot, left arm soreness hurting. Patient used ice packs but no relief. She has seen her MD about 2 weeks after the shot (has not resolved). Dr. prescribed ALEVE (which patient is taking).
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Given flu shot and pneumonia shot in (L) arm 9/29. Sore right away and starting to swell by later that nite and esp by next day. By 2 days later red and swollen to 8.5 cm x 13 cm diameter. Very painful to move arm. No trouble breathing or other rash. Treated with ice packs, Ibuprofen, BENADRYL.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Redness and heat at site of PNEUMOVAX injection (most likely - FLUVIRIN administered same arm but higher). Redness spread accompanied with itching. Saw ER DR regarding reaction - ER DR prescribed Cephalexin to treat/prophylax. for cellulitis, per the patient.