chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: PNC13
Symptoms: Peripheral swelling, Rash erythematous, Rash pruritic
Clinical narrative: Patient got PREVNAR 13 on 11/9/2017. Patient called on 11/17/17 and reported she got a rash that is red, itchy, swollen, bump over the past 3 days on the right arm.
Age: 65.0
Sex: F
Vaccine: FLUA3
Symptoms: Pain in extremity, X-ray
Clinical narrative: PATIENT DEVELOPED ARM SORENESS WITHIN ONE HOUR OF RECEIVING VACCINE. PAIN IS STILL PRESENT AT TODAY'S APPOINTMENT (11/17/17).
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Pain, Rhinorrhoea
Clinical narrative: Patient complains of severe body aches, runny nose and upset stomach since time of vaccination. (>2weeks).
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13
Symptoms: Body temperature increased, Injection site rash, Irritability, Rash, Skin warm
Clinical narrative: MOM STATES CHILD DEVELOPED RASH AROUND 1200 NOON 11-16-17 ON CHEST, BACK, ARMS, AND LEGS. RECEIVED IMMUNIZATIONS 11-15-17 AROUND 1 PM. MOM STATED ON 11-16-17 THAT CHILD HAD ALSO FELT WARM TO HER BUT SHE COULD NOT FIND THERMOMETER. STATES SHE GAVE INFANT TYLENOL. INFANT ALSO HAD TEMPERTAURE OF 101.9 PER MOM THIS AM, 11-17-17 AND WAS FUSSY. MOM STATES TODAY THAT SHE TOOK INFANT TO EMERGENCY ROOM 11-17-17 AND THAT EMERGENCY ROOM PHYSICIAN SEEMED TO THINK THAT INFANT POSSIBLY HAD AN ALLERGIC REACTION TO VACCINATIONS AND MOM STATES SHE WAS INSTRUCTED THAT RASH COULD POSSIBLY TAKE UP TO FIVE DAYS TO GO AWAY. MOM STATED THAT RASH WAS WORSE THIS AM. MOM ALSO STATES THAT EMERGENCY ROOM DOCTOR TOLD HER TO USE TYLENOL AND IBUPROFEN FOR INFANT.
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13
Symptoms: Streptococcus test negative
Clinical narrative: MOM STATES CHILD DEVELOPED RASH AROUND 1200 NOON 11-16-17 ON CHEST, BACK, ARMS, AND LEGS. RECEIVED IMMUNIZATIONS 11-15-17 AROUND 1 PM. MOM STATED ON 11-16-17 THAT CHILD HAD ALSO FELT WARM TO HER BUT SHE COULD NOT FIND THERMOMETER. STATES SHE GAVE INFANT TYLENOL. INFANT ALSO HAD TEMPERTAURE OF 101.9 PER MOM THIS AM, 11-17-17 AND WAS FUSSY. MOM STATES TODAY THAT SHE TOOK INFANT TO EMERGENCY ROOM 11-17-17 AND THAT EMERGENCY ROOM PHYSICIAN SEEMED TO THINK THAT INFANT POSSIBLY HAD AN ALLERGIC REACTION TO VACCINATIONS AND MOM STATES SHE WAS INSTRUCTED THAT RASH COULD POSSIBLY TAKE UP TO FIVE DAYS TO GO AWAY. MOM STATED THAT RASH WAS WORSE THIS AM. MOM ALSO STATES THAT EMERGENCY ROOM DOCTOR TOLD HER TO USE TYLENOL AND IBUPROFEN FOR INFANT.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Vaccination site inflammation, Vaccination site swelling
Clinical narrative: Patient has complained of a raised, warm to the touch, red inflamed skin a couple inches below the vaccine and spreading at least 6 inches.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Rash generalised
Clinical narrative: Patient's mother called and stated that the patient was getting a rash over his body and down the arm he received the shot. No problems breathing.
Age: 1.17
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema and swelling near injection site.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Anxiety, Aphasia, Asterixis, Communication disorder, Decreased eye contact
Clinical narrative: Non-verbal/speech regression, no eye contact, hand flapping, lack of communicating needs, doesn't play with other children likes to be alone, lack of sleep during the night, anxiety self-harm.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Insomnia, Intentional self-injury, Social avoidant behaviour, Speech disorder developmental
Clinical narrative: Non-verbal/speech regression, no eye contact, hand flapping, lack of communicating needs, doesn't play with other children likes to be alone, lack of sleep during the night, anxiety self-harm.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Injection site erythema, Injection site pruritus, Nausea
Clinical narrative: Redness at injection site, itching at injection site, patient self-report of nausea, patient self-report of dizziness, 105 PR, 148/48 BP, 98F. No evidence of difficulty breathing, swelling, or hives.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia, Sensory disturbance
Clinical narrative: Symmetric bilateral tingling in feet and low legs with more of a "pinging" sensation at random places and times over rest of her body and bilateral thigh soreness not resolved with rest; sxs worsening as time goes on.
Age: 67.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Adverse drug reaction, Biopsy skin abnormal, Erythema multiforme, Fixed eruption, Intensive care
Clinical narrative: Fixed drug reaction. Currently in burn ICU receiving wound care and pain control.
Age: 67.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Pain, Pain management, Skin wound
Clinical narrative: Fixed drug reaction. Currently in burn ICU receiving wound care and pain control.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: Client's arm started swelling at the injection site, the night of the injection. Swelling grew worse each day with heat and redness spreading down the arm. Day 3-client had fever of 103 degrees and was lethargic. Mom took client to ER where diagnosis of cellulitis and staph infection was made. Client put on antibiotics. I spoke with mom on 11/16/17 and she stated client was better and swelling was almost gone.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Staphylococcal infection
Clinical narrative: Client's arm started swelling at the injection site, the night of the injection. Swelling grew worse each day with heat and redness spreading down the arm. Day 3-client had fever of 103 degrees and was lethargic. Mom took client to ER where diagnosis of cellulitis and staph infection was made. Client put on antibiotics. I spoke with mom on 11/16/17 and she stated client was better and swelling was almost gone.
Age: 96.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: 2 days after receiving the ZOSTAVAX injection, patient developed a pink, 5cm hard lump at the injection site. On the 3rd day, the area was soft and by the 4th day after injection, the site was normal.
Age: 1.17
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer, contacting patients for re-vaccination.
Age: 17.0
Sex: M
Vaccine: HEP, MMR, MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer, contacting patients for re-vaccination.
Age: 16.0
Sex: U
Vaccine: HEPA, MENB, MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer, contacting patients for re-vaccination.
Age: 1.83
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer, contacting patients for re-vaccination.
Sex: M
Vaccine: HPV9
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacist referring to a 21 year old male patient. No information about the patient's medical history, concurrent conditions or concomitant medications was provided. On 19-OCT-2017, 3 months and 2 days after onset of therapy, the patient was vaccinated with the second dose of GARDASIL 9, (lot # N015089 with an expiration date in 20-OCT-2017), intramuscular, for prophylaxis (dose was not provided). No adverse effects were reported.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a registered nurse referring to a 5 year old female patient. No information was provided regarding the patient's medical history, concurrent conditions or concomitant medications. On 20-OCT-2017, the patient was inadvertently vaccinated with PROQUAD rHA lot number N016994 and expiration date of 29-NOV-2018 intramuscularly instead of the intended subcutaneous route for prophylaxis (dose was not reported). No adverse effects reported.
Sex: U
Vaccine: HPV9
Symptoms: Inappropriate schedule of drug administration, Interchange of vaccine products, No adverse event
Clinical narrative: This spontaneous report was received from a physician concerning a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 22-SEP-2017, the patient was administered GARDASIL (strength, dose, lot number and expiration date were not reported) for prophylaxis. On 25-OCT-2017, the patient was administered GARDASIL 9 lot number N108273, expiration date 17-JUN-2019 (strength, dose and route of administration were not reported) for prophylaxis. No adverse effects were reported.
Age: 0.67
Sex: M
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer, contacting patients for re-vaccination.
Age: 0.92
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer, contacting patients for re-vaccination.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 0.67
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis of right arm-raised, red warm to touch area from right shoulder to right elbow.  Cellulitis noted both on outer and inner part of right upper arm. No fever
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: PAIN AND EXTENSIVE SWELLING, WARMTH AND ERYTHEMA WITH TENDERNESS EXTENDING TO PROX FOREARM COVERED FOR POSSIBLE CELLULITIS AND IMPROVEMENT AFTER PARENTERAL AND ORAL ANTIBIOTICS GIVEN.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Rash
Clinical narrative: PT RECEIVED VACCINE IN LEFT THIGH, BEGAN DEVELOPING A RASH DOWN LEG AND SOME ON ARMS AND SHOULDERS ABOUT 5 MINS AFTER VACCINE WAS GIVEN.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Swelling and erythema of arm. Started in the left biceps and over the last 2 days has gone down to the elbow. Is able to move arm well and not pain with squeezing of arm. Today (11/17) the erythema is lessening and the swelling is primarily near the elbow and gone near the shoulder.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Huge redness, itchiness, swelling at left deltoid area.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC13
Symptoms: Extra dose administered
Clinical narrative: Patient received 2 month immunizations in NICU, on 10/29 thru 10/31. Vaccines were not documented into electronic medical record until 11/03/2017. Discharge summary was sent to Pediatrics. This included vaccines given at the hospital. The vaccines were given again at Pediatrician office, on 11/03.
Age: 29.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Right arm itching, redness, warm to the touch.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Secretion discharge
Clinical narrative: Patient was given QUADRACEL on 11/14/17. Came back to the Clinic on 11/16/17 due to having a reaction on the Lt thigh. Per chart notes this was the reaction: Legs: rt lateral thigh with quarter size redness and warmth at site of imm. Left thigh is 2/3 red, swollen, warm, no fluctuance, +serous drainage from small puncture sites.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Child complained of itchy, hot arm approximately 20 hours after vaccination. Upon assessment, arm was red from shoulder to 2/3 of the way down to the elbow. It was hot to the touch and swollen. He was given BENADRYL at the time of vaccination because the same reaction last year. BENADRYL was given for the days following. The redness improved considerably in approximately 3 days.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Aphasia, Autism spectrum disorder, Mutism
Clinical narrative: He stopped talking almost 2 weeks after the shots and he is 5 and hasn?t said anything. Was diagnosed with autism a year after these shots.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Limb discomfort, Myosclerosis, Pain in extremity, Peripheral swelling
Clinical narrative: Child complained of arm pain the same evening of vaccination. The following day/afternoon, his arm was red from the shoulder almost to his elbow. His deltoid muscle was hard. The area was hot to the touch and swollen. He complained of it itching and being uncomfortable. He was not pre-medicated with BENADRYL, however he took it for approximately 5 days after immunization. It took about 5-6 days for the redness to go away. A gray shadow remained in the area that once was red after vaccination.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus, Skin discolouration, Skin warm
Clinical narrative: Child complained of arm pain the same evening of vaccination. The following day/afternoon, his arm was red from the shoulder almost to his elbow. His deltoid muscle was hard. The area was hot to the touch and swollen. He complained of it itching and being uncomfortable. He was not pre-medicated with BENADRYL, however he took it for approximately 5 days after immunization. It took about 5-6 days for the redness to go away. A gray shadow remained in the area that once was red after vaccination.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient stated that the area has become red, swollen, and painful.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Bacterial infection, Injection site reaction, Rash
Clinical narrative: BACTERIAL INFECTION AT INJECTION SITE REPORTED TO US 11/17/2017.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, FLU4, MMRV, PNC13
Symptoms: Cyanosis, Dyskinesia, Eye movement disorder, Musculoskeletal stiffness, Pallor
Clinical narrative: Approximately 20 minutes after vaccination (9:25 AM), child was in lobby with parent and it was reported that child had tonic movements, pale and blue around mouth, eyes rolling back, stiff body for about 20 seconds. Oxygen was given and child regained color instantaneously. Blood pressure was 92/64 with pulse at 64. Oxygen saturation quickly following oxygen administration was 99-100%. Child was awake, alert and stable. At 9:38 AM child was taken to hospital via ambulance for further evaluation.
Age: 58.0
Sex: U
Vaccine: FLU4
Symptoms: Cellulitis, Peripheral swelling
Clinical narrative: Received vaccine on 10/26/17, returned to clinic on 10/27/17 for swelling of right hand and arm was advised to elevate, rest, ice and use ibuprofen. Patient presented to ER on 11/3/17 and was admitted for cellulitis, given IV abx and discharged with oral abx three days later. Patient seen in clinic for hospital follow up and was doing remarkably better.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Breast pain, Erythema, Injection site erythema, Pyrexia
Clinical narrative: Severe redness around injection site, down the arm to the breast area and lower left side of her body down to the leg area. Soreness of breast. Feverish sensation. Symptoms persisted up to 3 weeks after injection.
Age: 14.0
Sex: F
Vaccine: FLUC4, HPV9
Symptoms: Loss of consciousness
Clinical narrative: Patient was accompanied by both parents when vaccinations was given. Patient was given HPV #3 doses and FLUCELVAX, Patient parents was instructed to stay 15 minutes after receiving HPV vaccine by MA. Patient did not stay the 15 minutes, patient was with parents in clinic parking lot where patient had blacked out. Once patient was placed in wheelchair and escorted back into the clinic. Patient informed staff members that she had not ate or drank anything all day.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site joint effusion, Injection site joint pain, Joint fluid drainage, Nuclear magnetic resonance imaging, X-ray
Clinical narrative: PATIENT EXPERIENCED EXTREME PAIN IN SHOULDER JOINT AREA, LARGE AMOUNT OF FLUID IN JOINT. SHE WAS SEEN BY NUMEROUS PHYSICIANS WHICH RESULTED IN X-RAY, MRI, REMOVAL OF FLUID IN THE JOINT. THE PAIN STARTED JUST AFTER THE INJECTION AND CONTINUED TO GET WORSE THROUGH THE NIGHT.
Age: 8.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Injection site erythema, Injection site induration, Pain, Skin warm
Clinical narrative: Pain, redness, warmth spreading since vaccine given. Right thigh with injection site surrounded by about 1cm of induration and about 3cm of erythema.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: Severe vomiting and fever.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Disorientation, Injection site pain, Injection site swelling
Clinical narrative: Hives, sore throat, weakness, disorientation, chills, low fever, swelling, injection site pain. Symptoms started after shot, and got worse over time. Thursday evening took some benadryl to stop hives, around 8pm. In the morning most symptoms were gone or lessened to non-noticable.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Oropharyngeal pain, Pyrexia, Urticaria
Clinical narrative: Hives, sore throat, weakness, disorientation, chills, low fever, swelling, injection site pain. Symptoms started after shot, and got worse over time. Thursday evening took some benadryl to stop hives, around 8pm. In the morning most symptoms were gone or lessened to non-noticable.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Couple days after she received the immunization, the underside of her arm turned red and swollen. No itching or fever. Arm was extremely sore and redness did not form near the injection site but down the underside of the arm. Patient received immunization on 10/31. She came into the pharmacy on 11/17 and it was still red.
Age: 58.0
Sex: F
Vaccine: FLUA3
Symptoms: Benign neoplasm of thyroid gland, Biopsy thyroid gland normal, Diarrhoea, Neck pain, Thyroid function test
Clinical narrative: I do not know the specific flu shot. I developed thyroiditis symptoms within 3 days (severe neck pain and diarrhea) lasting for 5 weeks. Mostly resolved.
Age: 58.0
Sex: F
Vaccine: FLUA3
Symptoms: Thyroiditis, Ultrasound thyroid abnormal
Clinical narrative: I do not know the specific flu shot. I developed thyroiditis symptoms within 3 days (severe neck pain and diarrhea) lasting for 5 weeks. Mostly resolved.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: Patient came in with redness and soreness down her arm that was not near the injection site. It looked very similar to the reaction a different patient had with the same vaccine and lot number. It had been 2 days since administration and patient claimed she never had soreness like this following a vaccine.
Age: 82.0
Sex: M
Vaccine: FLUA3
Symptoms: Pain in extremity, Rash, Rash pruritic
Clinical narrative: Patient reported a rash on his throat that was spreading and itchy. He reported no problems with breathing. He also reported arm pain.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Peripheral coldness, Tremor, Vomiting
Clinical narrative: Px called to complain that she experienced the following symptoms, approximately 6 hours post-vaccination: Severe shaking, cold hands/feet, nausea and vomiting.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling abnormal, Hypertension, Skin warm
Clinical narrative: Patient told that after she received the shot  she felt dizzy and  feeling like blood rushing to head and felt warm near the neck and head. Symptoms were on and off and her blood pressure was high. Patient told that she felt this symptoms after few hrs.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Eye pruritus, Headache, Injection site erythema, Myalgia, Nausea
Clinical narrative: Headache, muscle pain, nausea, body aches, itchy eyes, vision not normal need to blink few times to reset eye to read, point of needle entry is slightly red.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Visual impairment
Clinical narrative: Headache, muscle pain, nausea, body aches, itchy eyes, vision not normal need to blink few times to reset eye to read, point of needle entry is slightly red.
Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Injection site bruising, Pruritus, Vaccination site swelling
Clinical narrative: Patient received PREVNAR 13 on 11/11/2017, to which he had an initial reaction of swelling and a large protuberance developing where the vaccine was administered. The patient stated that he did not experience itching or redness until several days after the initial reaction. He stated that he treated the itchiness and redness with over-the-counter hydrocortisone, which seemed to help. On the day the pharmacy was notified (11/17/2017), the patient stated that his arm was beginning to bruise at the injection site and the reaction area seemed to be getting larger. He also stated that he had contacted his primary care physician, Dr. to alert him of the reaction prior to calling the pharmacy.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Blood glucose normal, Dizziness
Clinical narrative: As soon as patient got the MMR, she started feeling dizzy. We had to call 911. Patient then said that when she had her ear piercing, she felt dizzy just like she did today. The ambulance team came to the pharmacy & at this point patient said she was feeling well. They took the patient aside from the pharmacy & checked her out. Patient came back to the pharmacy with her boyfriend and said that was fine & wanted to complete her shot; she took her other shot. She said the team took some blood sample for her glucose levels & checked her BP. She said she was fine. She later left the pharmacy with her boyfriend.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: PATIENT'S HUSBAND STATED HIS WIFE FELT PAIN AT TIME OF INJECTION THAT CONTINUED. SHE SAW HER DOCTOR ON 10/30/17. HE SAID HE DID NOT BELIEVE THE INJECTION WAS TOO HIGH. HE DID NOT THINK IT ENTERED THE BURSA. HE GAVE A STEROID DOSE PACK WHICH RELIEVED THE PAIN. A FEW DAYS AFTER FINISHING THE DOSE PACK THE PAIN RETURNED. SHE THEN SAW THE DOCTOR AGAIN ON  11/15/17 AT WHICH TIME SHE PRESCRIBED DICLOFENAC GEL WHICH HELPS WITH THE PAIN, BUT RETURNS LATER.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation, Injected limb mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Vaccinated arm was inflamed, painful, warm, red, swelling, hard to raise.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Vaccinated arm was inflamed, painful, warm, red, swelling, hard to raise.
Age: 77.0
Sex: F
Vaccine: FLUA3, FLUA3
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Patient reported sore arm still on 11/15/2017. Her muscle in the vaccinated arm was sore and she was concerned because vaccine was 10/12/2017.
Age: 77.0
Sex: F
Vaccine: FLUA3, FLUA3
Symptoms: Musculoskeletal pain, Myalgia
Clinical narrative: Patient reported sore arm still on 11/15/2017. Her muscle in the vaccinated arm was sore and she was concerned because vaccine was 10/12/2017.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Peripheral swelling, Tenderness
Clinical narrative: (R) arm red, swollen, tender to the touch 70mm redness, 45mm induration.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Computerised tomogram head normal, Facial paralysis, Full blood count normal, Laboratory test normal
Clinical narrative: Patient developed Bell palsy on left side of face. No other apparent etiology or treatment - illness.
Age: 6.0
Sex: F
Vaccine: MMRV
Symptoms: Chest X-ray, Erythema, Pneumonia, Pyrexia, Streptococcus test
Clinical narrative: Urticaria, swelling, erythema same day as vaccination (local), hives spread and vomiting, fever, pneumonia, vasculitis all developed within 2 weeks post-vaccination.
Age: 6.0
Sex: F
Vaccine: MMRV
Symptoms: Swelling, Urine analysis, Urticaria, Vasculitis, Vomiting
Clinical narrative: Urticaria, swelling, erythema same day as vaccination (local), hives spread and vomiting, fever, pneumonia, vasculitis all developed within 2 weeks post-vaccination.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Adverse reaction
Clinical narrative: Had a reaction on left arm at the bottom of arm.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Patient called at 6:45 to inform me she had just gotten home and her arm was very sore. She says arm is red and swollen. She also say it's itchy. We discussed taking BENADRYL and Ibuprofen and I will follow up tomorrow.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Redness, itchiness, warm to the touch.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer, contacting patients for re-vaccination.
Age: 0.92
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer. Contacting patients for re-vaccination.
Age: 2.0
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non viable by manufacturer. Contacting patients for re-vaccination.
Age: 9.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Right arm area is erythematous and warm to touch in comparison to other areas.
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Storage unit temperature excursion, vaccines deemed non-viable by manufacturer, contacting patients for revaccination.
Age: 68.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Arthralgia, Erythema, Joint range of motion decreased, Peripheral swelling
Clinical narrative: I experienced acute pain at the injection site within about two hours of the injection. That pain proceeded to worsen and to spread past the injection site, and my upper arm started to swell in the evening. The next day, my entire upper arm was distended from my armpit to my elbow as if it were a balloon about to pop. It also appeared very red, as if I had a bad sunburn, and was very painful. My upper arm was so swollen that I could not bend my lower arm toward my upper arm. The next day, the redness seemed to recede near the injection site, but as it did, the redness moved down my arm past my elbow to my lower arm, which then also became quite swollen so much so that I could not raise the sleeve of my nightgown. On November 14, five days after the injection, I developed pain in what I think is the median nerve in the arm. It was very sore, and the pain included where the nerve enters my elbow, which had that tingling feeling as when you hit your funny bone. The nerve pain seems to have subsided (as of today, November 18, 2017), but is not completely gone, and there seems to be some swelling and soreness in my upper arm. I might also mention that although my entire upper arm was swollen, my underarm was particularly so, which is where the nerve I am referring to is located.
Age: 68.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Injection site pain, Neuralgia, Pain in extremity, Peripheral swelling
Clinical narrative: I experienced acute pain at the injection site within about two hours of the injection. That pain proceeded to worsen and to spread past the injection site, and my upper arm started to swell in the evening. The next day, my entire upper arm was distended from my armpit to my elbow as if it were a balloon about to pop. It also appeared very red, as if I had a bad sunburn, and was very painful. My upper arm was so swollen that I could not bend my lower arm toward my upper arm. The next day, the redness seemed to recede near the injection site, but as it did, the redness moved down my arm past my elbow to my lower arm, which then also became quite swollen so much so that I could not raise the sleeve of my nightgown. On November 14, five days after the injection, I developed pain in what I think is the median nerve in the arm. It was very sore, and the pain included where the nerve enters my elbow, which had that tingling feeling as when you hit your funny bone. The nerve pain seems to have subsided (as of today, November 18, 2017), but is not completely gone, and there seems to be some swelling and soreness in my upper arm. I might also mention that although my entire upper arm was swollen, my underarm was particularly so, which is where the nerve I am referring to is located.
Age: 28.0
Sex: M
Vaccine: DTAP, FLUX
Symptoms: Confusional state, Delirium, Nausea, Pyrexia
Clinical narrative: Fever over 103F, delirium/confusion, severe nausea.
Age: 1.58
Sex: F
Vaccine: HIBV
Symptoms: Influenza virus test negative, Pharyngeal erythema, Pharyngeal oedema, Pyrexia, Streptococcus test negative
Clinical narrative: Fever of 101.5. Red and swollen throat. Swabbed two days later for strep and flu and both came back negative. Fever lasted almost 72 hours after shot. Doctor prescribed antibiotics anyway. Gave MOTRIN for fever around the clock.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pain
Clinical narrative: Dizziness, slight nausea. I became very tired around 11PM on the night of the shot. By 530 the next morning, I had a fever of 102.2F and hurt all over. I'm not sweating at all, and I feel like I have a head injury due to a headache and dizziness.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Dizziness, slight nausea. I became very tired around 11PM on the night of the shot. By 530 the next morning, I had a fever of 102.2F and hurt all over. I'm not sweating at all, and I feel like I have a head injury due to a headache and dizziness.
Age: 71.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site warmth
Clinical narrative: PATIENT EXPERIENCING SORENESS AND REDNESS AND WARMTH DOWN LEFT ARM WHERE VACCINE ADMINISTERED. PATIENT INSTRUCTED TO TAKE TYLENOL FOR PAIN AND ICE IF NEEDED. PATIENT INSTRUCTED TO MONITOR ARM OVER NEXT 24-48 HOURS FOR INCREASING OF SYMPTOMS. IF THESE CONTINUE, FOLLOW UP WITH PRIMARY PHYSICIAN.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: Immediately upon receiving the flu shot, my arm experienced consistent soreness. It has been 3 weeks since getting the shot and my arm is still persistently sore. I have limited range of motion, muscular soreness, and am unable to sleep on my left side due to the pain.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Pain in extremity, Skin warm
Clinical narrative: Patient is experiencing pain at the injection site. She also mentioned the injection itself was painful. Her arm is very sore and it is also red and warm to the touch. I (the pharmacist) recommend she try ibuprofen and ice therapy. She said she has tried that already with minimal benefit. She had only tried 200 mg of ibuprofen at a time. I told her she could take up to 600 mg every 6-8 hours as needed.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Patient describes pain at injection site, starting the day after administration and continuing on for 12 days now. Patient has only taken aspirin for the pain and will be trying ibuprofen per recommendation. Also recommended patient see his primary care physician for evaluation.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Rash generalised
Clinical narrative: Rash all over.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Immediate post-injection reaction, Limb discomfort, Mobility decreased, Pain
Clinical narrative: Pain immediate on insertion, extreme soreness and tightness. It's been nearly 3 months and I cannot sleep on my right side, if I happen to do so my arm is in excruciating pain and feels heavy. I have a difficult time daily to lift my arm and perform certain movements. Specifically when trying to take my shirt off. My arm hurts.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Sleep disorder
Clinical narrative: Pain immediate on insertion, extreme soreness and tightness. It's been nearly 3 months and I cannot sleep on my right side, if I happen to do so my arm is in excruciating pain and feels heavy. I have a difficult time daily to lift my arm and perform certain movements. Specifically when trying to take my shirt off. My arm hurts.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of personal independence in daily activities, Pain in extremity, Sleep disorder
Clinical narrative: PATIENT'S CHIEF COMPLAINT IS PAIN IN THE LEFT ARM (ARM IN WHICH THE SHOT WAS GIVEN), THAT HAS PERSISTED SINCE TIME OF INJECTION UNTIL PRESENT. SHE STATES THAT SHE CANNOT SLEEP ON THAT SIDE AND HAS DIFFICULTY DRESSING HERSELF. SHE HAS NOT YET SOUGHT OUT MEDICAL TREATMENT. SHE FIGURED THAT PAIN WOULD SUBSIDE, BUT HAS NOT YET RELENTED.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient states arm so painful he could not life it. Had to go to the emergency room because it was the worst pain he has ever experienced in his life. Pt stated he had excruciating pain in his arm.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Allergy to vaccine, Induration, Peripheral swelling, Skin warm
Clinical narrative: SWOLLEN HOT HARD AREA ROUGHLY 3 IN IN DIAMETER, LOCALIZED TO DELTOID, PT DESCRIBED AS STARTED SELLONG SAME DAY AND CONTINUED TO SWELL. WHEN SHE CAME IN TODAY 4 DAYS POST VACCINATIONS SHE STATED THAT SHE BELIEVED THE SWELLING WAS RECEDING. I ADVISED ICE PACKS AND HYDROCORTISONE CREAM TOPICALLY AS WELL AS ORAL BENADRYL TO HELP HER SLEEP AT NIGHT. I ALSO MARKED THE AREA WITH A SHARPIE AND DIRECTED HER TO SEE MD IS SWELLING GREW BEYOND MARKED AREA OR DID NOT CONTINUE TO RECEDE BY MONDAY. I MARKED HER ALLERGIC IN THE PHARMACY PROFILE SO AS TO NOT RECHALLANGE HER AT A LATER DATE IF CDC RECOMMENDATIONS CHANGED ON THIS IMMUNIZATION.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Developed a red, swollen left deltoid measuring 7cm by 5cm. Began the morning of 11/17/2016 and reached its maximum size by the afternoon. Recommended compresses and watching the area. In the future he may need to see an allergist regarding his next dose.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Patient stated that her arm was sore and that she has limited range of motion. She stated that she had to go to the doctor from the pain.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Diarrhoea, Dizziness, Nausea, Peripheral coldness
Clinical narrative: Felt woozy at a party, went to bathroom, loose bowel movement, shortly after, returned for another BM, then fainted. Lay on bathroom floor for unknown period of time. While driving  home (45 minutes), had simultaneous vomiting and diarrhea twice. Got into bed, feet were cold for hours, nausea continued less severe, one more loose BM. Feeling better in the morning, a little weak. No more nausea.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope, Vomiting
Clinical narrative: Felt woozy at a party, went to bathroom, loose bowel movement, shortly after, returned for another BM, then fainted. Lay on bathroom floor for unknown period of time. While driving  home (45 minutes), had simultaneous vomiting and diarrhea twice. Got into bed, feet were cold for hours, nausea continued less severe, one more loose BM. Feeling better in the morning, a little weak. No more nausea.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Dysstasia, Gait disturbance, Injection site pain
Clinical narrative: Woke up at 3:16 a.m. very warm and with EXTREME dizziness - comparable to bed spin. Also, some weakness and nausea. Had a difficult time standing and walking to the bathroom. Sat up on the bed and rested my head against the wall hoping for dizziness to subside. Tilted my head back and focused on the ceiling to be able to walk and steadied myself by leaning on the bed. Took 4 ibuprofen and 1 meclazine and went back to bed. Injection site very sore, but no visible redness. Took 2 more ibuprofen when I got up at 7:00. Dizziness almost gone. Felt almost normal around 9:00a.m. Still a little ?residual dizziness? but not bad.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea, Skin warm
Clinical narrative: Woke up at 3:16 a.m. very warm and with EXTREME dizziness - comparable to bed spin. Also, some weakness and nausea. Had a difficult time standing and walking to the bathroom. Sat up on the bed and rested my head against the wall hoping for dizziness to subside. Tilted my head back and focused on the ceiling to be able to walk and steadied myself by leaning on the bed. Took 4 ibuprofen and 1 meclazine and went back to bed. Injection site very sore, but no visible redness. Took 2 more ibuprofen when I got up at 7:00. Dizziness almost gone. Felt almost normal around 9:00a.m. Still a little ?residual dizziness? but not bad.
Age: 28.0
Sex: M
Vaccine: FLUC4
Symptoms: Loss of consciousness, Syncope
Clinical narrative: PATIENT FAINTED  AFTER 2 MINUTES OF ADMINSTERING THE FLU VACCINE. EPI-PEN WAS ADMINISTERED AFTER THAT PATIENT REGAINED CONSCIOUSNESS THEN EMT ARRIVED AND TOOK PATIENT TO ER.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Rash on inside of vaccinated arm.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: Extreme arm soreness and pain that radiates down entire left arm and slightly into the back, inability to move arm. Tingling through the neck occurred the day of administration but dissipated afterward. Patient states she is unable to move her arm to even take her shirt off when changing.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: Extreme arm soreness and pain that radiates down entire left arm and slightly into the back, inability to move arm. Tingling through the neck occurred the day of administration but dissipated afterward. Patient states she is unable to move her arm to even take her shirt off when changing.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Flushing, Hypersensitivity, Urticaria
Clinical narrative: Flushing of the face and generalized urticaria in 5 minutes after giving the vaccine.
Age: 55.0
Sex: M
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Limb discomfort, Paraesthesia
Clinical narrative: Pt reports tingling, discomfort, and numbness down left arm. Most of the numbness is located on the end of his thumb on the left hand. These symptoms have not improved or worsened in the past 3 weeks.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Patient came in today stating that she has experienced arm pain and injection site pain since the immunization. She stated that her Doctor had eluded to her that maybe a nerve was punctured during the injection. He also told her that he does not recommend the FLUZONE HD (high dose senior flu shot)  stating that it's too high a dose for some seniors. This was a question she asked her Dr. at a scheduled visit, not a visit just for the arm pain. Patient came in today telling the immunizing pharmacist (me) to be more careful in the future.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Skin warm, Tenderness
Clinical narrative: Redness and warmth radiating down arm that shot was received in (going underneath arm to backside of arm.). Feels sore, not aching, just tender.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Erythema
Clinical narrative: After about 5 minutes, patient called to me and said she was having breathing difficulty. She had a red face. After I got to her, her breathing continued to worsen and she was gasping for air with her head tilting back. Her face got very red. My intern, called 911 and retrieved an EPIPEN so that I could administer. I gave her 0.3mg EPIPEN and she did begin to breathe normally and intern and I took turns waiting with her until ambulance arrived and took her to the ER at hospital.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: Patient was ok day of and following days of the vaccine until today (11/18/2017) when the area got very red and warm to the touch. It also was a little painful for her. Mom came in to report this reaction.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain in extremity
Clinical narrative: PATIENT CAME IN A FEW DAYS AFTER IMMUNIZATION WAS GIVEN STATING HER ARM WAS SORE. WE EXPLAINED THAT CAN BE A COMMON SIDE AFFECT. SHE CAME AGAIN 11/17/2017 AND STATED THAT HER WHOLE ARM HURT AND SHE STILL HAD A BRUISE. SHE MENTIONED THAT SHE MAY VISIT HER DOCTOR.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Periarthritis
Clinical narrative: Patient was diagnosed with frozen shoulder. The pain start within 24 hours of the injection and progressed to frozen shoulder. Being monitored by MD for changes and is being given Tizanidine.
Age: 5.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient has redness around the injection site. It is warm and slightly raised. He was seen by a doctor and prescribed cephalexin.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Inflammatory pain, Pain, Pain in extremity, Tenderness
Clinical narrative: Painful palms of hands and entire bottoms of both feet. Burning and inflammation type pain and extreme pain on contact (any use of hands and walking extremely painful). Lasted about 24 hours then began to subside (received shot on Friday, pain all day Saturday, gradually resolving on Sunday, gone by Monday).
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient reported persistent pain in the left arm since being given the vaccination. Patient reported being given the shot while shoulder was forward and that the vaccine was given close to the top of the arm (shoulder). Pt states she has trouble lifting her arm.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: Arm around PNEUMOVAX is red, inflamed and warm. Raised area is approximately 10 x 15cm in size.  Went to doctor, was prescriped Amoxicillin 875mg bid for 10 days (in case of cellulitis).
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site reaction, Neuralgia
Clinical narrative: NERVE AND MUSCLE PAIN IN LEFT SHOULDER TO NECK.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Induration, Peripheral swelling
Clinical narrative: Bruise that expanded down the length of arm. Raised and hard bump, 5 weeks later just a small round bruise about 3 inch diameter. Pt says shes fine now.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Joint swelling, Pyrexia, Rash
Clinical narrative: Fever, rash, ankle and knee swelling. Our pediatrician says it?s serum syndrome.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Insomnia, Joint stiffness
Clinical narrative: I am not what kind of flu vaccine it is, but it is documented in the Employee Health Record. Person is the Infection Control and Employee Health Nurse. Shot was given very high in the arm and hurt bad on when given. About 3 days later, I woke up from sleep in severe pain left arm and could not lift my arm without extreme pain. It is hard for me to even raise my arm now as the pain, numbness and dull ache is constant. I am afraid I have nerve damage. It is 24/7 pain. My shoulder is tighter and I cannot even take my shirt off without screaming.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of personal independence in daily activities, Nerve injury, Pain, Pain in extremity
Clinical narrative: I am not what kind of flu vaccine it is, but it is documented in the Employee Health Record. Person is the Infection Control and Employee Health Nurse. Shot was given very high in the arm and hurt bad on when given. About 3 days later, I woke up from sleep in severe pain left arm and could not lift my arm without extreme pain. It is hard for me to even raise my arm now as the pain, numbness and dull ache is constant. I am afraid I have nerve damage. It is 24/7 pain. My shoulder is tighter and I cannot even take my shirt off without screaming.
Age: 41.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Lymphadenopathy, Mobility decreased, Pain in extremity, Tenderness
Clinical narrative: Patient stated her arm has progressively became more sore, achy and tender to the touch as the days go by. She has been waking up each night in pain and is alternating MOTRIN and TYLENOL. She can't lay on it or move it well. Her glands below her ear on that side are swollen.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient presented with diffuse redness on right arm that is spreading around and down the arm and has worsened since Thursday. She reports the arm is warm to the touch and that it has been swelling. Arm did not appear to me to be significantly swollen. Patient states that she noted the symptoms on Thursday, 11/16/17 (six days after administration) after getting out of the shower. Patient approached me at the pharmacy today (11/18/17) and asked about her adverse reaction. As cellulitis is a possibility, I recommended the patient seek medical care, which the patient declined as there is only a telemedicine urgent care in the county and she has plans for today. She asked what she should do between now, and Saturday, and when her doctor's office re-opens on Monday. I counseled her that if she is unwilling to seek medical care over the weekend, to try to take antihistamine in case the reaction is allergic in nature.
Age: 67.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Redness, swelling, hot. Recommend: Ice pack, BENADRYL and NSAID.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Cognitive disorder, Emotional distress, Fear, Insomnia
Clinical narrative: Cognitive impairment, insomnia, fear, emotional distress.
Age: 25.0
Sex: M
Vaccine: FLUC4
Symptoms: Local reaction, Vaccination site swelling
Clinical narrative: About 10 seconds after the injection, pt experienced a localized reaction. Swelling occurred at the vaccination site with a diameter of 1 cm. Pt did not experience any systemic reaction, and this is the only sign and symptom he has. Pt had no difficulty breathing, and no rash.
Age: 1.25
Sex: F
Vaccine: MMRV
Symptoms: Urticaria
Clinical narrative: Child had chronic hives all over her body on and off for about 3 days - subsided once I administered BENADRYL regularly for the next few days. She continues to get hives randomly, unknown why at this time.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Malaise, Pain, Pyrexia
Clinical narrative: Pain, swelling, fever at injection site persisting 72 hours after vaccine administration. Generalized malaise & aches persisting 72 hours after vaccination.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Patient had initial soreness in arm, originally thought it was the normal soreness associated with a flu shot. Over the next few weeks has progressively gotten worse. According to patient PCP thought there was some swelling and bruising underneath in the arm muscle, but no bruising or obvious swelling could be observed by just looking at arm. Patient reported still being sore and having difficulty with arm towards end of work day and pain/soreness has affected her sleep.