chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Paraesthesia
Clinical narrative: Seriousness criteria other medically significant. Initial information received on 08 January 2007 from a health care professional. A 19 year old female received a dose of Menactra, lot number U1974AB, administered intramuscularly in the left thigh, and ad dose of Gardasil, lot number 0961F, administered intramuscularly in the right thigh on 28 December 2006, Ten days later, on 07 January 2007, the patient developed a tingling sensation from her feet to her thighs. She was seen by a physician and later returned to college in another state. She will follow up with another physician. Her recovery status was not reported. The reporter of this case is the same as for serious case 2007-00033, which involves events of non specified bilateral numbness sensation in lower extremities, areflexia, pain on loser extremities, head pain, neck pain and calf discomfort. The patient in case 2007-00033 is the sister of the patient described in case 2007-00057. Follow up information received on 11 January 2007 from a health care professional. AS based upon the new information obtained in this follow up, the case has been upgraded to serious. The patient's mother had a history of multiple sclerosis. The patient returned from college on Tuesday 09 January 2007 and was taken to hospital, where she was seen by a neurologist. She had decreased reflexes in her lower extremities, as well as sensitivity pain and tingling. She was not admitted to the hospital. She had a spinal tap and CBC in the emergency room and both were negative. She was discharged from the ER and is scheduled to follow up with a physician on 11 January 2007. She may have an EMG during the follow up appointment. The patient has not received treatment for her symptoms. The reporting physician stated that the patient has a working diagnosis of Guillain Barre syndrome, but this has not been finalized. The patient has not recovered from the events.
Age: 19.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Full blood count normal, Guillain-Barre syndrome, Hyporeflexia, Lumbar puncture, Pain
Clinical narrative: Seriousness criteria other medically significant. Initial information received on 08 January 2007 from a health care professional. A 19 year old female received a dose of Menactra, lot number U1974AB, administered intramuscularly in the left thigh, and ad dose of Gardasil, lot number 0961F, administered intramuscularly in the right thigh on 28 December 2006, Ten days later, on 07 January 2007, the patient developed a tingling sensation from her feet to her thighs. She was seen by a physician and later returned to college in another state. She will follow up with another physician. Her recovery status was not reported. The reporter of this case is the same as for serious case 2007-00033, which involves events of non specified bilateral numbness sensation in lower extremities, areflexia, pain on loser extremities, head pain, neck pain and calf discomfort. The patient in case 2007-00033 is the sister of the patient described in case 2007-00057. Follow up information received on 11 January 2007 from a health care professional. AS based upon the new information obtained in this follow up, the case has been upgraded to serious. The patient's mother had a history of multiple sclerosis. The patient returned from college on Tuesday 09 January 2007 and was taken to hospital, where she was seen by a neurologist. She had decreased reflexes in her lower extremities, as well as sensitivity pain and tingling. She was not admitted to the hospital. She had a spinal tap and CBC in the emergency room and both were negative. She was discharged from the ER and is scheduled to follow up with a physician on 11 January 2007. She may have an EMG during the follow up appointment. The patient has not received treatment for her symptoms. The reporting physician stated that the patient has a working diagnosis of Guillain Barre syndrome, but this has not been finalized. The patient has not recovered from the events.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site reaction
Clinical narrative: Moderate-Large local reaction left deltoid site of Dtap injection.
Age: 63.0
Sex: F
Vaccine: HEP, MMR, TYP, YF
Symptoms: Paraesthesia oral, Pruritus, Speech disorder, Wheezing
Clinical narrative: 10:30am vaccines administered, 10:50am "sensation" in tongue (no swelling observed), 11:10am itching (face and head), 11:15 am to 11:20 am generalized itching, sudden onset wheezing, difficulty speaking. Benadryl 50mg IM, Epi 1:1000 0.3mg SQ
Age: 49.0
Sex: M
Vaccine: YF
Symptoms: Arthralgia, Chills, Hyperhidrosis, Stomach discomfort, Vomiting
Clinical narrative: Less than one day after shot was administered vomited numerous times, upset stomach, sweating, chills, soreness in joints.
Age: 35.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP, YF
Symptoms: Chest discomfort, Dizziness, Flushing, Injection site reaction
Clinical narrative: Received vaccines on 01/08/07 at 5:30pm approx. Called 01/10/07 today stating site where SW vaccine given (Polio and yellow fever) local reaction and tightness inc chest and light headed and flushed face. L arm non affected.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Grand mal convulsion
Clinical narrative: Information has been received from a 27 year old female consumer with sulfa drug allergy and pertinent medical history reported as none who on 08 Jan 2007 was vaccainted with GARDASIL (lot # not reported) 0.5ml injection. Concomitant therapy included Montelukast sodium, ALLEGRA and birth control (unspecified). The consumer reported that on 08 Jan 2007, she had a grand mal seizure after receiving GARDASIL. Medical attention was sought. Unspecified blood test were performed. At the time of reporting, the outcome was unspecified. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Age: 22.0
Sex: M
Vaccine: TDAP
Symptoms: Cough, Pertussis, Pertussis identification test, Pneumonia
Clinical narrative: Seriousness criteria other medically significant. Initial information received on 10 January 2007 from a health care professional. A 22 year old male patient with a past medical history of asthma received a dose of Adacel, lot number C2559AA, administered intramuscularly in the left deltoid on 22 August 2006. 20 days later, on 11 September 2006, the patient presented to his college infirmary with a cough. the cough continued and on 08 November 2006 the patient was diagnosed with left lower lobe pneumonia. On 20 December 2006, the patient was seen by an allergist. Diagnostic test were completed for Bordetella pertussis IgG and IgA. The results were as follows: PT IgG 13 units/ml (reference range <40 units/ml), PT IgA 2 units/ml (reference range <5 units/ml), FHA IgG 118 units/ml (reference range <84 units/ml), FHA IgA 47 units/ml (reference range <39 units/ml). The patient was diagnosed with pertussis and was treated with erythromycin. He recovered from the events.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA, PNC
Symptoms: Computerised tomogram, Coordination abnormal, Hordeolum, Vaccination complication
Clinical narrative: Patient was inoculated 12-22-06 child developed ataxia 1-10-07 seen at hospital ER and admitted for work-up. 03/01/07-records received from PCP for DOS 12/21/06-02/06/07 Hospitalized 01/10-01/12/07-DC DX:Lack of coordination. Late effects of vrial encephalitis. PCP note 2/6/07-all diagnostic tests negative, and conclusion was post viral cerebellitis. On visit 2/6/07-alter, no ataxia. Stye on left eye. Well visit 12/21/06-WNL No one ever suspected that her condition was caused by vaccination, event was reported due to occuring within 45 days of a vaccination. Followup 3/30/2010 We never thought the vaccine caused her problem but we made the report because they symptoms presented within 45 days of immunization. She is ok and did get a 2nd flu shot without incident.
Age: 0.35
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: At 4 month and 6 month shots mother states baby ran fever 103-104 into emergency room day after shot. Hx of vomiting and consolable crying.  1/22/07 Received medical records from hospital which reveal patient admitted 12/16-12/17/06 with cough & fever.  Treated w/IV antibiotics & responded well.  Afebrile all throughout hospitalization.  Patient was d/c to home on oral antibiotics for additional 10 days & to f/u w/PCP.  Patient had been seen in ER on 10/3/06 & 10/6/06 for RML pneumonia.  FINAL DX: Pneumonia.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Pyrexia, Vaccine positive rechallenge
Clinical narrative: At 4 months and 6 months shots, mother states baby ran fever 103-104 into emergency room day after shot. Hx of vomiting and consolable crying.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Patient developed hives all over the body as per mother, a day after vaccination. She was taken to her doctor and was prescribed Benadryl.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Back pain, Musculoskeletal pain, Nausea, Neck pain
Clinical narrative: Severe vertigo, nausea, paleness, weakness, neck/back/shoulder pain.  Follow-up information received - Pt described as : "within 24 hours"
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pallor, Vertigo
Clinical narrative: Severe vertigo, nausea, paleness, weakness, neck/back/shoulder pain.  Follow-up information received - Pt described as : "within 24 hours"
Age: 0.32
Sex: M
Vaccine: DTAPHEPBIP, RV5
Symptoms: Abnormal faeces, Crying, Diarrhoea, Mucous stools, Pyrexia
Clinical narrative: On 01/08/07 looser stools, fever 101.5 x 4-5 days, crying, inconsolable x 2 days, stools foul and mucousy.
Age: 11.0
Sex: M
Vaccine: FLUN3, TD
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: 12/23 to 12/25/06 had golf ball size swelling at injection site, redness, let deltoid x 72 hours, low grade fever x 24 hrs. Mom reported to nurse on 12/26/06.
Age: 20.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Asthenia, Erythema, Headache, Rash macular
Clinical narrative: About 10:15am Pt received Hep B/Flu vaccine. 1030 pt returned with bright red macular rash arms, chest, neck, trunk denies SOB, denies chest tightness or dizziness, c/o 8/10 bilateral headache and feels very weak. Pt transported to medical center ER. Arrived at 1130am. Seen by MD at 1700, rash subsided at about 1130 am but HA still 5/10 and weakness. Spoke with units POX on Sunday Jan 8 2007. Pt back at unit states no after effects Pt can take 3rd Hep B when due per ER MD.
Age: 27.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site infection, Injection site oedema, White blood cell count increased
Clinical narrative: Local swelling VS infection at site entire arm, required ER treatment two night IV antibiotics and 2 courses of oral. Took 1 week 12/08/06 to recover.
Age: 1.26
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV, VARCEL
Symptoms: Erythema, Injection site vesicles
Clinical narrative: Redness, vesicles at Varivax injection site (LA SQ)-started 12/15/06. Lasted approx 2 weeks now scared area.
Age: 0.56
Sex: M
Vaccine: DTAP, PNC, RV5
Symptoms: Feeling hot, Flushing, Pyrexia
Clinical narrative: After administrating Dtap #3 within seconds childs face got very flushed, warm to touch. Temp 100.8 Tylenol given by mom.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Fall, Full blood count normal, Head injury, Metabolic function test, Muscle twitching
Clinical narrative: Syncopal episode this am, pt feel, hitting head on wall. She had mild twitching, vomited x 2 with in 30 minutes. Was her normal self in 3 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Syncope, Vomiting
Clinical narrative: Syncopal episode this am, pt feel, hitting head on wall. She had mild twitching, vomited x 2 with in 30 minutes. Was her normal self in 3 hours.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Arm where vaccination given was swollen, red, sore to touch, with pruritus. Initial reaction continued for 1 week.
Age: 1.23
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Erythema
Clinical narrative: reddened area 2 1/2 by 1 inch
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Oedema
Clinical narrative: 6 hr post vaccine edema supra pubic area at 24 hr nearly resolved
Age: 13.5
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Erythema, Pallor, Palpitations, Pyrexia
Clinical narrative: 5 hours after receiving HPV pt had low grade fever (99), felt dizzy, pale, had a blotchy red rash on both arms (upper) onto back. No rash elevation, no hives. Pt went to bed, rash was gone by am without further side effects.  During episode heart was also pounding.
Age: 13.5
Sex: F
Vaccine: HPV4
Symptoms: Rash, Rash macular
Clinical narrative: 5 hours after receiving HPV pt had low grade fever (99), felt dizzy, pale, had a blotchy red rash on both arms (upper) onto back. No rash elevation, no hives. Pt went to bed, rash was gone by am without further side effects.  During episode heart was also pounding.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site warmth, Oedema peripheral
Clinical narrative: Right arm swelled, warm to touch 11/3, red patches around injection site. Benadryl 50 mg and Tylenol 1000 mg. No fever. Arm sore to touch.  Local reaction right deltoid
Age: 26.0
Sex: F
Vaccine: MMR, TDAP, MMR, TDAP
Symptoms: Back pain, Heart rate increased, Hypersensitivity, Muscle spasms, Pain in extremity
Clinical narrative: Neck spasms, upper and lower back pain, pain in upper legs, fever, increase in heart rate allergic reaction to TDA & MMR. Diagnosed with Torticollis, put on Cipro, pain killers and muscle relaxers.
Age: 26.0
Sex: F
Vaccine: MMR, TDAP, MMR, TDAP
Symptoms: Pyrexia, Torticollis
Clinical narrative: Neck spasms, upper and lower back pain, pain in upper legs, fever, increase in heart rate allergic reaction to TDA & MMR. Diagnosed with Torticollis, put on Cipro, pain killers and muscle relaxers.
Age: 26.0
Sex: F
Vaccine: MMR, TDAP, MMR, TDAP
Symptoms: Injection site reaction, Musculoskeletal pain, Neck pain, Pyrexia
Clinical narrative: Neck spasms, upper and lower back pain, pain in upper legs, fever, increase in heart rate allergic reaction to TDA & MMR. Diagnosed with Torticollis, put on Cipro, pain killers and muscle relaxers.
Age: 1.95
Sex: M
Vaccine: HEPA, HIBV, PNC
Symptoms: Erythema, Injection site reaction, Swelling, Urticaria
Clinical narrative: swelling, warm and red hive like eruption 2 1/2 cm at site of injection RVL
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Induration
Clinical narrative: severe erythema, induration and cellulitis
Age: 40.0
Sex: M
Vaccine: HEPAB
Symptoms: Erythema, Injection site warmth, Skin burning sensation
Clinical narrative: Client stated that one week after vaccine administered he experienced redness, warmth and burning of both upper arms.  He also states that he is a dishwasher and had used different soap detergent
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Injection site warmth, Swelling
Clinical narrative: Dad brought son in -left arm arcular swollen area approximately 70 cm circumference. Mild warmth and raised. "little sore', no systemic symptoms-no rash, no spreading, no hive, no difficulty breathing, no fever. Enc. Tylenol if needed alternate arm paces-watch for temp, problems with respiration
Age: 1.51
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: Red spots last night, itchy, spread this AM. Oatmeal bath, Benadryl as needed.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: Red spot to chest for 1 day. Has spread this AM itchy, no fever.
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Balance disorder, Fatigue, Laziness, Multiple myeloma
Clinical narrative: Became lazy on 1-12-07 and very ill with high fever of 102.1 for next 2 days. Temp 101 next few days. Went to our physician was put on Hydrodone/qualfennesin- MY Tannictahtheudquin 500 mg. It is now 1-12-07 and patient still weak, unsteady, tired, etc.
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Became lazy on 1-12-07 and very ill with high fever of 102.1 for next 2 days. Temp 101 next few days. Went to our physician was put on Hydrodone/qualfennesin- MY Tannictahtheudquin 500 mg. It is now 1-12-07 and patient still weak, unsteady, tired, etc.
Age: 1.25
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth
Clinical narrative: Knot, redness, warmth at injection site. Duracif given two times a day for 7 days for cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever to 104F and vomiting after vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Injection site reaction, Swelling
Clinical narrative: Left thigh red, swollen and firm. Area 5" long and 9" wide across left upper thigh. Nontender. No lymph node enlarged. Slight limp with ambulatory.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Axillary pain, Erythema
Clinical narrative: 2.5x2.5 reddened area. Sore up into axillary area right arm.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Varicella
Clinical narrative: Varicella given in left arm. 2 cm long by 2.5 cm wide reddened area.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Atypical chicken pox disease after receiving Varicella vaccine on 5/22/02.
Age: 59.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, warm raised area 8cm x 7cm on Right arm deltoid area where Adacel was given.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site reaction, Swelling
Clinical narrative: She had a reaction from the shot the area on her leg was wide, red and swollen-very bad
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: 1/9/07 received Variavax booster dose. Now has raised, red warm to touch 10x9cm area at injection site. No streaking, full range of motion of arm, no fever, no chicken pox lesions.
Age: 0.43
Sex: F
Vaccine: DTAPHEPBIP, IPV
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea/vomiting evening of immunization resolved next day. No treatment.
Age: 18.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Unevaluable event
Clinical narrative: Adult dose administered 1.0ml vs pediatric dose 0.5mL. No treatment needed.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PPV, VARCEL
Symptoms: Rash
Clinical narrative: Broke out in rash all over trunk 12 days after patient received HIB, PCV, MMR, Varicella. Instructed to give toddler Benadryl-appropriate dose.
Age: 40.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Arthralgia, Joint stiffness, Myalgia
Clinical narrative: Severe arthralgias and myalgias. Patient can not walk due to joint pain/stiffness. Patient to be seen by doctor in her hometown.
Age: 40.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Arthralgia, Gait disturbance, Joint stiffness, Myalgia
Clinical narrative: Severe arthralgias and myalgias. Patient can not walk due to joint pain/stiffness. Patient to be seen by doctor in her hometown.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Injection site erythema, Injection site oedema, Neck pain, Oedema peripheral
Clinical narrative: Within 5 hours of injection, patient states the injection site was red and swollen to the size of an apple.  Within 24 hours of injection, patient states her arm was red and swollen to the size of a grapefruit.  Over the next several days, patient states her arm was progressively worse to the point that her arm was purple, and her fingers were swollen and her chest and neck were sore.  On 12/1/06, 17 days after the injection, patient visited the Emergency Department to r/o Hematoma.  She states an ultrasound was negative, and she was prescribed Cephalexin 500 mg x3/day for 10 days, ice and a sling.  Patient states within 24 hours of treatment, she experienced relief from pain and a reduction in the arm swelling.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Skin discolouration, Ultrasound scan normal
Clinical narrative: Within 5 hours of injection, patient states the injection site was red and swollen to the size of an apple.  Within 24 hours of injection, patient states her arm was red and swollen to the size of a grapefruit.  Over the next several days, patient states her arm was progressively worse to the point that her arm was purple, and her fingers were swollen and her chest and neck were sore.  On 12/1/06, 17 days after the injection, patient visited the Emergency Department to r/o Hematoma.  She states an ultrasound was negative, and she was prescribed Cephalexin 500 mg x3/day for 10 days, ice and a sling.  Patient states within 24 hours of treatment, she experienced relief from pain and a reduction in the arm swelling.
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Cough, Headache, Hyperhidrosis, Pharyngolaryngeal pain
Clinical narrative: sore throat, sweats, chills, headache, rash, and cough
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: sore throat, sweats, chills, headache, rash, and cough
Age: 0.0
Sex: U
Vaccine: MMRV
Symptoms: Eczema, Rash vesicular, Varicella
Clinical narrative: Pediatric patient received MMRV vaccine on 1/4/07.  Presented on 1/8/07 to clinic w/  approximately 6 varicella lesions on trunk, otherwise well.  Presented 1/16/07 to clinic w/ rash c/w eczema herpeticum on trunk.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Insomnia, Pain, Skin warm, Tenderness
Clinical narrative: Tendonitis in shoulder muscles from 2 days after the shot for a period of about 3 months.  Pain is at the location of the shot.  This same thing happened last year in the other arm.  Twelve years prior to these two events, there were no problems (soreness only) with the flu shot after one week. 8/2/07-office note received. Patient not seen on 10/14/06 but seen on 4/20/07-C/O pain in right shoulder from flu shot. Right subacromial pain when actively moved. Gradual onset of shoulder joint pain, worse on rising. Feels better after normal movement. Causing inability to sleep and lying on affected side. Increased by raising arm in any direction. PE: tenderness and warmth over lateral apect of right shoulder. No tenderness over tendons. Normal movement of extremities. DX: Myalgia and myositis in right shoulder after flu shot. It happened a year ago in the left shoulder with flu shot. Follow-up: Given Flu Shot on 10-12-2006 at drug store, a day or two after the shot was administered my right shoulder became sore where the shot was given. After a few weeks the frequency and amount of pain increased. Periodic and daily pain, similar to a muscle strain or nerve reaction, have persisted for 8 months. After 6 months I went to my doctor and he said it was a reaction to the preservative in the flu shot, and not to take any more flu shots. A similar event happened with the 2005 flu shot that I took, but the symptoms and pain ceased after about 4 months.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Tendonitis
Clinical narrative: Tendonitis in shoulder muscles from 2 days after the shot for a period of about 3 months.  Pain is at the location of the shot.  This same thing happened last year in the other arm.  Twelve years prior to these two events, there were no problems (soreness only) with the flu shot after one week. 8/2/07-office note received. Patient not seen on 10/14/06 but seen on 4/20/07-C/O pain in right shoulder from flu shot. Right subacromial pain when actively moved. Gradual onset of shoulder joint pain, worse on rising. Feels better after normal movement. Causing inability to sleep and lying on affected side. Increased by raising arm in any direction. PE: tenderness and warmth over lateral apect of right shoulder. No tenderness over tendons. Normal movement of extremities. DX: Myalgia and myositis in right shoulder after flu shot. It happened a year ago in the left shoulder with flu shot. Follow-up: Given Flu Shot on 10-12-2006 at drug store, a day or two after the shot was administered my right shoulder became sore where the shot was given. After a few weeks the frequency and amount of pain increased. Periodic and daily pain, similar to a muscle strain or nerve reaction, have persisted for 8 months. After 6 months I went to my doctor and he said it was a reaction to the preservative in the flu shot, and not to take any more flu shots. A similar event happened with the 2005 flu shot that I took, but the symptoms and pain ceased after about 4 months.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Cellulitis, Nausea, Pain, Pyrexia
Clinical narrative: The patient presented to the clinic and was seen by doctor.  The patient was in good health at this time.  She obtained a pneumovax/pneumococcal vaccine, Dose .5cc, Lot # 1137F, in her Rt deltoid, and it was administered by an MA.  Within hours of having the vaccine, the patient developed cellulitis.  2 days after having the vaccine, the patient was taken to the emergency department with a chief complain of fever.  Paramedics had to help her  into her car because of how weak she was.  She also complained of soreness in her arm, swelling, fever, and nausea.  It has continued to get worse.  The patient is still in the hospital, 4 days after the injection. 02/13/07-records received and reviewed for DOS 01/10/07-1/11/07- DC DX:probable cellulitis right arm question autoimmune reaction to pneumonia vaccine versus serum sickness hypokalemia, resolved hyponatremia mild thrombocytopenia mild anemia  Presented to ER with right arm pain and fever, redness after injection. Temp in ER 38.9.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: The patient presented to the clinic and was seen by doctor.  The patient was in good health at this time.  She obtained a pneumovax/pneumococcal vaccine, Dose .5cc, Lot # 1137F, in her Rt deltoid, and it was administered by an MA.  Within hours of having the vaccine, the patient developed cellulitis.  2 days after having the vaccine, the patient was taken to the emergency department with a chief complain of fever.  Paramedics had to help her  into her car because of how weak she was.  She also complained of soreness in her arm, swelling, fever, and nausea.  It has continued to get worse.  The patient is still in the hospital, 4 days after the injection. 02/13/07-records received and reviewed for DOS 01/10/07-1/11/07- DC DX:probable cellulitis right arm question autoimmune reaction to pneumonia vaccine versus serum sickness hypokalemia, resolved hyponatremia mild thrombocytopenia mild anemia  Presented to ER with right arm pain and fever, redness after injection. Temp in ER 38.9.
Age: 43.0
Sex: F
Vaccine: HEPAB, MMR
Symptoms: Flank pain, Headache, Hot flush, Thermal burn
Clinical narrative: On 01/10/07 received #2 dose of MMR (client states this was actually her #3 dose of MMR becasue she did not have documentation of the #1 dose)and #2 dose of Hepatitis A/B (Twinrix). On the same day after receiving the immunizations, the client used a tanning machine set on the lowest setting for 8 minutes. On the morning of 01/12/07 she developed a headache, occasional hot flashes and a burning type pain that is sore to the touch on her left side that extends from her abdomen to her back just below her rib area. Denies receiving a sunburn from the tanning machine, also denies skin discoloration at the pain site, rash, fever, nausea, vomiting, joint pain or joint swelling. Has a history of headaches, occasional hot flashes and chickenpox. Took Tylenol for her headache and it helped but is uncertain if it helped  to relieve her side pain. The side pain continues and is not getting better. MD recommended.
Age: 2.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Doctor stated that the combined MMR vaccine could be contraindicated for my son since he has an older brother with Autism.  She recommended we vaccinate him with individual measles, mumps, and rubella vaccines (3 in total).  She gave me the phone number of the company and I paid approximately $150 for those three vaccines.  We had received the mumps vaccine in December 2006.  We went in on Jan 18, 2007 for either the rubella or measles vaccine.  The nurse took us back to the room, told me to take down his pants and injected him with a vaccine.  I asked if that was the measles or rubella and she told me it was the full MMR.  I was very upset.  I was carefully following the doctor's recommendations and then one of the doctor's nurses injected him with the wrong shot.  Our shots were still in the fridge waiting to be administered.  The Doctor recommended I give him Vitamin A and Vitamin C to counteract any negative affects of the vaccine.  She printed out a sheet from a holistic doctor that gave the recommendations to use Vitamin A, Vitamin C, Zinc, and Echinacea when a child is getting sick and recommended I follow that protocol.  She told me that all of the regressive cases of autism she had observed (5 of them) - regression started within 2-3 weeks of the shot.  01/30/2007 Spoke with reporter.  There has been no AE.  Child is well at this time.  Parent was told by MD that IF an AE were to happen, it would result in permanant disability which is why that box was checked. VAERS form was submitted to report medication error. No further F/U at this time. Patient's mother will contact us as needed. Per information received from annual follow up the recipient still has speech delays, inablity to focus, difficulties with receptive language. 04/01/2010 He now qualifies for special education serives.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema
Clinical narrative: Mom phoned on 1/18/2007 and reported that on 1/12/2007 client's feet and hands turned bright red after receiving Hepatitis A -2nd dose.  No other symptoms.  Did not have breathing difficulties, high fevers, etc.  Just reddened hands and feet.  Client was given Benadryl and syptoms resolved with no sequelae.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Demyelination, Neurological examination abnormal, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging abnormal
Clinical narrative: According to Admitting physician,  "Pt c/o multiple neurolgic findings and MRI changes consistent with a CNS demyelination syndrome. He reported receiving the influenza vaccine in the weeks prior to symptom onset." Pt received IV steriods.  Brand of IM influenza vaccine unknown.
Age: 27.0
Sex: F
Vaccine: DTAP
Symptoms: Anxiety, Asthenia, Myoclonus, Throat tightness, Tremor
Clinical narrative: I am the treating Emergency Physician.  Patient received the new Dip/Tet/Pertussis booster vaccine from PCP at about 1630 on 1/17/07.  Then went to gym to work out.  Became weak and shaky w/sense of swelling in throat, anxious.  Came to ER for eval at 1906.  Found to be a physicially and mentally healty female with obvious tremor accompanied by mild myoclonic jerk.  Remainder of exam negative. Responded completely to Benadryl 12.5 mg IV.  Patient had vaccine name, but I did not copy it.  Records apparently available from PCP.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Erythema, Face oedema, Headache
Clinical narrative: HEADACHE-2 HOURS,   FEVER,CHILLS,DYSPNEA,TIGHT FEELING IN THROAT-6 HOURS     EDEMA & ERYTHEMA OF FACE-12 HOURS   EDEMA OF FACE AND HANDS-ONE WEEK    HYPOTENSION-12 HOURS             TREATMENT--IV FLUID, STEROIDS, BENADRYL, CARDIAC MONITORING 01/22/07-records received and reviewed for DOS 01/03-01/05/07 DC DX: Allergic reaction to influenza vaccine:Tachycardia Present illness:two hours after flu shot developed headache and subsequent fever, chills, fast heart rate and funny feeling in her neck. No difficulty breathing. Only prior symptoms in past were a midsternal intermittent tightness for past 3 weeks.  TX: Solumedrol and Benadryl in ER
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Hypotension, Influenza serology negative, Oedema peripheral, Pyrexia, Sinus tachycardia
Clinical narrative: HEADACHE-2 HOURS,   FEVER,CHILLS,DYSPNEA,TIGHT FEELING IN THROAT-6 HOURS     EDEMA & ERYTHEMA OF FACE-12 HOURS   EDEMA OF FACE AND HANDS-ONE WEEK    HYPOTENSION-12 HOURS             TREATMENT--IV FLUID, STEROIDS, BENADRYL, CARDIAC MONITORING 01/22/07-records received and reviewed for DOS 01/03-01/05/07 DC DX: Allergic reaction to influenza vaccine:Tachycardia Present illness:two hours after flu shot developed headache and subsequent fever, chills, fast heart rate and funny feeling in her neck. No difficulty breathing. Only prior symptoms in past were a midsternal intermittent tightness for past 3 weeks.  TX: Solumedrol and Benadryl in ER
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Tachycardia, Throat tightness, White blood cell count
Clinical narrative: HEADACHE-2 HOURS,   FEVER,CHILLS,DYSPNEA,TIGHT FEELING IN THROAT-6 HOURS     EDEMA & ERYTHEMA OF FACE-12 HOURS   EDEMA OF FACE AND HANDS-ONE WEEK    HYPOTENSION-12 HOURS             TREATMENT--IV FLUID, STEROIDS, BENADRYL, CARDIAC MONITORING 01/22/07-records received and reviewed for DOS 01/03-01/05/07 DC DX: Allergic reaction to influenza vaccine:Tachycardia Present illness:two hours after flu shot developed headache and subsequent fever, chills, fast heart rate and funny feeling in her neck. No difficulty breathing. Only prior symptoms in past were a midsternal intermittent tightness for past 3 weeks.  TX: Solumedrol and Benadryl in ER
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Limb discomfort, Urticaria
Clinical narrative: Patient received pneumonia vaccine that resulted in the patient complaining of discomfort in her left upper arm.  The nurse checked and found a 8cm x 6 cm hive with reddish area in the middle.  Denied itching or SOB.  Over the following 2 days, the local reaction grew to encompass the entire upper left arm radiating to the forearm. Records received and reviewed for DOS 01/07-01/12/07 DC DX: upper respiratory tract infection Bronchitis Chronic atrial fibrillation Gastroesophageal reflux disease Adverse reaction to pneumococcal vaccine. Admitted to hospital with increasing cough and chest tightness, hypoxemia and tachycardia. After receiving pneumovax vaccine her arm became acutely swollen and tender and the area of erythema and induration spread to involve the upper arm onto the chest wall extending distal beyond the elbow towards the hand. Spiked temperatures up to 101 to 102 on 2 occasions.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Herpes zoster
Clinical narrative: diagnosed with shingles on 01-02-2007
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Anaphylactic reaction, Hypersensitivity, Laboratory test abnormal, Vomiting
Clinical narrative: emesis x1 after influenza immunization.  No other signs of anaphylaxis and did well w/o intervention.  Allergist tested and found that she was allergic to influenza skin prick test and considered this event as mild anaphylaxis.
Age: 1.05
Sex: M
Vaccine: FLU3, HEPA, HIBV, PNC
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Fever, redness and swelling Left thigh seen by medical doctor. Give Tylenol/Motrin for fever and discomfort.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Developed fever evening of date of administration up to 102F.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Asthenia, Dizziness, Dyspnoea, Headache, Injury
Clinical narrative: Initial information received on 12/Dec/2005 from a literature citation reporting a fatal syncope-related case in a 15-year-old male who had received Hepatitis B vaccine (another manufacturer) several minutes prior to the occurrence of the event. This article mentioned two other syncope reports describing severe head injuries, including the case described below. Follow-up information was received on 13/Dec/2006 from the agency. (VAERS reference number 228893). It was reported that an 18-year-old female patient received an initial dose of Menomune, lot number UE296AA, administered subcutaneously in the left arm on 28/Aug/2004. The patient had a cold at the time of vaccination and had been feeling "a little tired and had a lot of drainage." Approximately seven hours after vaccination, "the patient passed out while driving her car" and was involved in a fatal motor vehicle collision. The symptoms of high fever, dizziness, nausea, congestion, difficulty breathing, wheezing, and and an extremely bad headache, "like a bad migraine," also were reported. Four different individuals reportedly provided details that the patient was "so sick that she couldn't even hold her head up." An autopsy report stated that the patient experienced blunt force injuries. As per the reporter, the 7-hour interval between vaccination and the collision makes vaccine-related vasovagal syncope unlikely. Further information is not expected.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Loss of consciousness, Malaise, Migraine, Nasal congestion, Nausea
Clinical narrative: Initial information received on 12/Dec/2005 from a literature citation reporting a fatal syncope-related case in a 15-year-old male who had received Hepatitis B vaccine (another manufacturer) several minutes prior to the occurrence of the event. This article mentioned two other syncope reports describing severe head injuries, including the case described below. Follow-up information was received on 13/Dec/2006 from the agency. (VAERS reference number 228893). It was reported that an 18-year-old female patient received an initial dose of Menomune, lot number UE296AA, administered subcutaneously in the left arm on 28/Aug/2004. The patient had a cold at the time of vaccination and had been feeling "a little tired and had a lot of drainage." Approximately seven hours after vaccination, "the patient passed out while driving her car" and was involved in a fatal motor vehicle collision. The symptoms of high fever, dizziness, nausea, congestion, difficulty breathing, wheezing, and and an extremely bad headache, "like a bad migraine," also were reported. Four different individuals reportedly provided details that the patient was "so sick that she couldn't even hold her head up." An autopsy report stated that the patient experienced blunt force injuries. As per the reporter, the 7-hour interval between vaccination and the collision makes vaccine-related vasovagal syncope unlikely. Further information is not expected.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Pyrexia, Road traffic accident, Syncope, Wheezing
Clinical narrative: Initial information received on 12/Dec/2005 from a literature citation reporting a fatal syncope-related case in a 15-year-old male who had received Hepatitis B vaccine (another manufacturer) several minutes prior to the occurrence of the event. This article mentioned two other syncope reports describing severe head injuries, including the case described below. Follow-up information was received on 13/Dec/2006 from the agency. (VAERS reference number 228893). It was reported that an 18-year-old female patient received an initial dose of Menomune, lot number UE296AA, administered subcutaneously in the left arm on 28/Aug/2004. The patient had a cold at the time of vaccination and had been feeling "a little tired and had a lot of drainage." Approximately seven hours after vaccination, "the patient passed out while driving her car" and was involved in a fatal motor vehicle collision. The symptoms of high fever, dizziness, nausea, congestion, difficulty breathing, wheezing, and and an extremely bad headache, "like a bad migraine," also were reported. Four different individuals reportedly provided details that the patient was "so sick that she couldn't even hold her head up." An autopsy report stated that the patient experienced blunt force injuries. As per the reporter, the 7-hour interval between vaccination and the collision makes vaccine-related vasovagal syncope unlikely. Further information is not expected.
Age: 26.0
Sex: F
Vaccine: TYP, YF, TYP, YF
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Pain, Pregnancy test positive
Clinical narrative: 1/17/07 3pm patient reports body pain, abdominal pain, vomiting, dizziness, fever, diarrhea. They went to emergency room because they thought it maybe an adverse reaction to the Yellow Fever vaccination. ER did pregnancy test which came back positive.  03/26/2007 MR received from ER visit of 01/18/07 for c/o abdominal pain, diarrhea,  and vomiting x 2 weeks with (+) home pregnancy test.  LMP 12/15/2006.  PE: WNL. Discharged to OB MD for aspiration in office. Discharge Diagnosis:  Vomiting, Pregnancy, R/O Ectopic.
Age: 26.0
Sex: F
Vaccine: TYP, YF, TYP, YF
Symptoms: Pyrexia, Vomiting
Clinical narrative: 1/17/07 3pm patient reports body pain, abdominal pain, vomiting, dizziness, fever, diarrhea. They went to emergency room because they thought it maybe an adverse reaction to the Yellow Fever vaccination. ER did pregnancy test which came back positive.  03/26/2007 MR received from ER visit of 01/18/07 for c/o abdominal pain, diarrhea,  and vomiting x 2 weeks with (+) home pregnancy test.  LMP 12/15/2006.  PE: WNL. Discharged to OB MD for aspiration in office. Discharge Diagnosis:  Vomiting, Pregnancy, R/O Ectopic.
Age: 26.0
Sex: F
Vaccine: TYP, YF, TYP, YF
Symptoms: Abdominal pain, Abortion spontaneous, Diarrhoea, Dizziness, Drug exposure during pregnancy
Clinical narrative: 1/17/07 3pm patient reports body pain, abdominal pain, vomiting, dizziness, fever, diarrhea. They went to emergency room because they thought it maybe an adverse reaction to the Yellow Fever vaccination. ER did pregnancy test which came back positive.  03/26/2007 MR received from ER visit of 01/18/07 for c/o abdominal pain, diarrhea,  and vomiting x 2 weeks with (+) home pregnancy test.  LMP 12/15/2006.  PE: WNL. Discharged to OB MD for aspiration in office. Discharge Diagnosis:  Vomiting, Pregnancy, R/O Ectopic.
Age: 26.0
Sex: F
Vaccine: TYP, YF, TYP, YF
Symptoms: Pain, Pregnancy test positive, Pyrexia, Vomiting
Clinical narrative: 1/17/07 3pm patient reports body pain, abdominal pain, vomiting, dizziness, fever, diarrhea. They went to emergency room because they thought it maybe an adverse reaction to the Yellow Fever vaccination. ER did pregnancy test which came back positive.  03/26/2007 MR received from ER visit of 01/18/07 for c/o abdominal pain, diarrhea,  and vomiting x 2 weeks with (+) home pregnancy test.  LMP 12/15/2006.  PE: WNL. Discharged to OB MD for aspiration in office. Discharge Diagnosis:  Vomiting, Pregnancy, R/O Ectopic.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Nausea
Clinical narrative: Information has been received from a registered nurse concerning an 18 year old female with a history of two past episodes of seizures (one occurred in 8th grade and another occurred when the patient had her ears pierced) who on 28-Dec-2006 was vaccinated with a first dose of HPV vaccine (yeast) (lot 654389/0961F). The nurse reported that after the dose was administered, the patient felt nausea and while she was lying down, she experienced a "20 second seizure". The patient received unspecified medical attention. The nurse stated that the series would not be completed. At the time of this report, the outcome was unknown. Upon internal review, the patient's seizure was considered an other important medical event. Additional information has been requested.
Age: 0.25
Sex: M
Vaccine: RV5
Symptoms: Faeces discoloured, Mucous stools
Clinical narrative: Information has been received from a physician concerning an 11 week old male who on 27-Dec-2006 was vaccinated with an oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot# 655405/1113F). On 05-Jan-2007 the patient experienced mucous like stool with a red dot in it. It was reported that the medical attention was sought. No product quality complaint was involved. No other information was provided, Upon internal review, stool with a red in it was considered to be an other important medical event (OMIC). Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Diarrhoea, Haematochezia, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning a patient who was vaccinated with a first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine). Subsequently the patient developed fever and diarrhea. It was reported that there was blood in the patient's stool two days after the first dose. Unspecified medical attention was sought. The patient's outcome was unknown. There was no product quality complaint involved. Upon internal review, the patient's bloody stool was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 0.24
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea haemorrhagic
Clinical narrative: Information has been received from a physician concerning a 2 month old male who "about a month ago", on approximately 10-Dec-2006, was vaccinated with an oral first dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine). "The day after starting", on approximately 11-Dec-2006, the patient developed bloody diarrhea. Unspecified medical attention was sought. The patient was recovering. There was so product quality complaint involved. Upon internal review, the patient's bloody diarrhea was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 55.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Arthralgia, Blood cholesterol increased, Bone pain, Depression, Dry mouth
Clinical narrative: High cholesterol, depression, dry mouth, pain bone, pain joint, blood pressure high, heart attack, infract myocardial.  02/16/2007 MR received from PCP. First visit of 03/27/2006 appears to be F/U s/p AMI (Acute Myocardial Infarction) PCI (percutaneous coronary intervention) of the LAD, CFX, and PCA (Posterior descending coronary artery). Exam WNL. Visit 06/23/2006 HCVD (hypertensive cardiovascular disease), CAD.  Doing well.
Age: 55.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Hypertension, Myocardial infarction
Clinical narrative: High cholesterol, depression, dry mouth, pain bone, pain joint, blood pressure high, heart attack, infract myocardial.  02/16/2007 MR received from PCP. First visit of 03/27/2006 appears to be F/U s/p AMI (Acute Myocardial Infarction) PCI (percutaneous coronary intervention) of the LAD, CFX, and PCA (Posterior descending coronary artery). Exam WNL. Visit 06/23/2006 HCVD (hypertensive cardiovascular disease), CAD.  Doing well.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site pain, Muscle spasms
Clinical narrative: 10-31-06 flu vaccine given. Complained of left upper arm pain, spasm, immedial bruising, muscle spasm, hurts to raise and bend Left arm since 12-6-02. Seen by doctor 12-6-06 and 12-27-06.
Age: 1.08
Sex: F
Vaccine: MMRV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Fever 103 1/12/07, Rash 1/13/07.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMRV
Symptoms: Pyrexia
Clinical narrative: Mom called to report that her daughter developed a temp of 102.9 on the 10th day after her routine 4 year old immunizations on 1/4. She received MMR with Varicella (Proquad), DTaP and IPV. The follow day, temp down to 100.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: fever this am 01/11/07 101 degrees, see pmd at 11a, No more fever 99 degrees
Age: 1.03
Sex: M
Vaccine: FLU3, HIBV, MMRV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever 12/30/06 max 102F after vaccines today. Seizure like activity with fever. Taken to Emergency Room. 2/2/07 Received medical records from hospital ER which reveal patient experienced fever & seizure activity for approx 1 min following vax x 4 on 12/30.  Had been well for week prior to vax & no sick contacts.  Temp in ER was 102.3. Tx w/antipyretcis in ER.  D/C to home w/o further seizure activity. FINAL DX: Viral syndrome &  possible febrile seizure.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: No adverse events or treatment. Dtap vaccine expired 12/18/06 and was given. CDC notified and no adverse site effects expected.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Within 24 hours developed red, swollen thigh. Diagnosed with cellulitis. While vaccine given syringe separated from needle.