chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Erythema multiforme, Infection, Lung disorder, Lymphadenopathy, Myalgia
Clinical narrative: Information has been received concerning a 23 year old white female who in approx. 1984 was vaccinated with MMR II and subsequently the pt experienced a high fever (103F), brightly erythematous eruption on the face, prostration, sore throat, dry cough, myalgia, loss of appetite, occasional vomiting without diarrhea. The symptoms emerged 5 days after her return to the US from Calcutta, India where she worked for 2 weeks, at an orphanage where children had measles. The pt had completed her IZ's as a child, including 2 doses of MMR, at age 15 months and 7 years, and she received the recommended prophylaxis before traveling. Three days after the onset of fever, vomiting and upper respiratory tract complaints, the pt was admitted with facial erythema. She was tachycardic and had a fever of 104F, but her BP was normal. Fine erythematous papules spread down the anterior of her neck and nape and tiny white papules consistent with Koplik's spots were seen on the buccal mucosa. Pharyngeal congestion, nonpurulent conjunctivitis, and submandibular lymphadenopathy were also noted. After the pt started treatment with doxycycline and ceftriaxone, the erythematous macular eruption spread progressively over the trunk and extremities and became confluent and pruritic and subsequently desquamated. The fever and constitutional symptoms subsided with desquamation. After a 3 week period, the pt recovered completely without adverse sequela. The differential dx is measles, despite 2 doses of MMR II vaccine. No further information is available.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Pharyngolaryngeal pain, Prostration, Pyrexia, Skin exfoliation, Tachycardia
Clinical narrative: Information has been received concerning a 23 year old white female who in approx. 1984 was vaccinated with MMR II and subsequently the pt experienced a high fever (103F), brightly erythematous eruption on the face, prostration, sore throat, dry cough, myalgia, loss of appetite, occasional vomiting without diarrhea. The symptoms emerged 5 days after her return to the US from Calcutta, India where she worked for 2 weeks, at an orphanage where children had measles. The pt had completed her IZ's as a child, including 2 doses of MMR, at age 15 months and 7 years, and she received the recommended prophylaxis before traveling. Three days after the onset of fever, vomiting and upper respiratory tract complaints, the pt was admitted with facial erythema. She was tachycardic and had a fever of 104F, but her BP was normal. Fine erythematous papules spread down the anterior of her neck and nape and tiny white papules consistent with Koplik's spots were seen on the buccal mucosa. Pharyngeal congestion, nonpurulent conjunctivitis, and submandibular lymphadenopathy were also noted. After the pt started treatment with doxycycline and ceftriaxone, the erythematous macular eruption spread progressively over the trunk and extremities and became confluent and pruritic and subsequently desquamated. The fever and constitutional symptoms subsided with desquamation. After a 3 week period, the pt recovered completely without adverse sequela. The differential dx is measles, despite 2 doses of MMR II vaccine. No further information is available.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Viral infection, Vomiting, White blood cell disorder
Clinical narrative: Information has been received concerning a 23 year old white female who in approx. 1984 was vaccinated with MMR II and subsequently the pt experienced a high fever (103F), brightly erythematous eruption on the face, prostration, sore throat, dry cough, myalgia, loss of appetite, occasional vomiting without diarrhea. The symptoms emerged 5 days after her return to the US from Calcutta, India where she worked for 2 weeks, at an orphanage where children had measles. The pt had completed her IZ's as a child, including 2 doses of MMR, at age 15 months and 7 years, and she received the recommended prophylaxis before traveling. Three days after the onset of fever, vomiting and upper respiratory tract complaints, the pt was admitted with facial erythema. She was tachycardic and had a fever of 104F, but her BP was normal. Fine erythematous papules spread down the anterior of her neck and nape and tiny white papules consistent with Koplik's spots were seen on the buccal mucosa. Pharyngeal congestion, nonpurulent conjunctivitis, and submandibular lymphadenopathy were also noted. After the pt started treatment with doxycycline and ceftriaxone, the erythematous macular eruption spread progressively over the trunk and extremities and became confluent and pruritic and subsequently desquamated. The fever and constitutional symptoms subsided with desquamation. After a 3 week period, the pt recovered completely without adverse sequela. The differential dx is measles, despite 2 doses of MMR II vaccine. No further information is available.
Sex: U
Vaccine: HEP
Symptoms: Hepatitis
Clinical narrative: Information has been received from a physician concerning a pt who on an unspecified date was vaccinated with 1 dose of Hep-B vaccine recombinant (yeast). Subsequently, the pt developed auto-immune hepatitis. Upon medical review, the pt's experience was considered to be an "Other Medical Event". Additional information has been requested.  Follow up on 03/28/2001: "Patient date of birth, patient age at time of vaccination, adverse event onset date/time, lot # for vaccine 1, vaccine administration date/time is not provided."
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site warmth, Rash pustular
Clinical narrative: Information was received from a physician and a medical assistant concerning a 12 month old white female, with no known drug allergies and a (questionable rash on amoxicillin), who on 10/25/00 was vaccinated intramuscularly with the 1st dose of varicella virus vaccine live. The medical assistant reported that on approx. 11/4/00, the injection site was inflammed. The physician reported that on 11/4/00, the pt developed "redness" (Other Medical Event), "heat" (Other Medical Event), "2 pustules on skin at site of injection" (Other Medical Event), "with induration" (Other Medical Event). The pt was seen by the physician on 11/6/00 and on 11/8/00 and the inflammation was still present. The physician reported that the pt recovered from her experiences on 11/12/00. No further information is available.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: As the pt was driving home after her flu shot, her nose started running, throat and chest got sore and tight. The next morning, her throat and chest so tight it was difficult to breath.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Leukocytosis, Myalgia, Pyrexia
Clinical narrative: The pt experienced a temp of 103, muscle aches, productive cough, slight shortness of breath. Taken to the ER by wife and admitted to hospital on 11/19/00. Treated with Cortisone.
Age: 51.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Asthenia, Hypokinesia, Immune system disorder, Laboratory test abnormal, Neuralgia
Clinical narrative: The pt experienced an improperly placed Anthrax injection. The vax was injected into the ulnar nerve and the subcutaneous nerve. The event triggered immune response in/on both nerves. At the time extreme neuropathic pain which subsided to moderate, loss of strength, and motion. Treated with steroids with little improvement. Symptoms still persist. On 60 Day FU: same symptoms as previously reported are still relevant and related to this adverse event, there has been no change.
Age: 51.0
Sex: M
Vaccine: ANTH, FLUX
Symptoms: Neuropathy, Pain
Clinical narrative: The pt experienced an improperly placed Anthrax injection. The vax was injected into the ulnar nerve and the subcutaneous nerve. The event triggered immune response in/on both nerves. At the time extreme neuropathic pain which subsided to moderate, loss of strength, and motion. Treated with steroids with little improvement. Symptoms still persist. On 60 Day FU: same symptoms as previously reported are still relevant and related to this adverse event, there has been no change.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site reaction, Pyrexia
Clinical narrative: Reaction at injection site, and fever.
Age: 1.5
Sex: M
Vaccine: MMR, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: The patient has a 2 1/2 inch area of induration, swelling and erythema which developed around the injection site 24 hours after the vaccination.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Cyanosis, Injection site reaction, Peripheral vascular disorder, Pyrexia
Clinical narrative: The patient had Prevnar vaccine and both legs turned blue, form hip to ankle.  The leg the injection was given in was worse.  The symptoms were resolving by the time the MD saw the patient, who was stable. No treatment except observation.  The patient also had a fever of 103.
Age: 37.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis, Inflammation, Musculoskeletal stiffness, Pain
Clinical narrative: The patient has inflammatory arthritis with leg swelling, pain, and stiffness.
Age: 3.0
Sex: F
Vaccine: PNC
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site swelling
Clinical narrative: The patient has developed marked swelling and cellulitis around the area of Prevnar vaccination site, starting one day after the vaccine was given. The vaccine was given on 12/08/00.
Sex: F
Vaccine: DTAP, PNC
Symptoms: Diarrhoea, Vomiting
Clinical narrative: The patient was vomiting for 10 days, and diarrhea for 3 days. Onset 24 hours after shots. No fever.  MD not advised or seen until 12/06/2000.
Age: 0.75
Sex: M
Vaccine: PNC
Symptoms: Constipation, Pyrexia, Rash
Clinical narrative: The patient had a fever for two days maximum 102.8, 4 days after immunization. Rash on trunk following fever, and constipation following the rash.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: The patient had an injection in both legs, both legs are red with large knot in each leg. Cool compresses to the areas and Tylenol for pain or fever.
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: The patient has knots in both legs at injection site. Use cool Compresses a Tylenol for the pain and fever.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Pain
Clinical narrative: The patient has left thigh pain, with redness, and induration. The site feels warm and hard.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Injection site mass
Clinical narrative: The patient has a large knot in the left thigh. Apply cool compresses and give Tylenol for pain and fever.
Age: 0.7
Sex: M
Vaccine: HEP, PPV
Symptoms: Convulsion, Injection site erythema, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: On 12/11/00 the patient received Hep B vaccine in the left thigh, pneumo given in the right thigh. The patient developed a fever of 104 that evening, short generalized seizure. The patient was seen in the ER, the exam was unremarkable except for a fever.  The chest x-ray, CBC, and U/A were wnl. The patient had swelling and erythema in the right thigh at the injection site. The patient was discharge home and saw MD 12/13/2000. The mother states the patient still had a fever. Although afebrile the exam was normal, except for a 3cm induration area with some erythema on the right thigh.
Age: 0.7
Sex: F
Vaccine: FLU3, PNC
Symptoms: Rash maculo-papular
Clinical narrative: The patient has hypersensitivity, generalized maculopapular rashes. Treated Benadryl.
Age: 0.75
Sex: F
Vaccine: PNC
Symptoms: Pyrexia, Urticaria
Clinical narrative: The patient is covered from head to toe with hives, temperature 99-101. The patient acts fine.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Pyrexia, Screaming
Clinical narrative: The patient had a fever of 103, within 12 hours after DTap / Hib/ IPV / Prevnar. The patient also had irritability, and cried for 3-5 hours non-stop.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: Immediately, post vax, area felt painful. Very painful on 11/4/00 and 11/5/00. Continued to hurt. No redness or swelling visible but tender to touch. Difficulty lifting or reaching with left arm. Still painful today, 12/11/00 and was referred to MD.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site induration, Injection site infection, Injection site pain
Clinical narrative: On 10/24/00, in the evening, she noticed her arm was swollen just below the shoulder, extending to elbow and 3/4 diameter around arm. It felt sore and hard. She saw a doctor who said it was either cellulitis, infection or allergy. Pt was put on Cethalxine 500mg BID X 10 days.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: On 10/24/00, in the evening, she noticed her arm was swollen just below the shoulder, extending to elbow and 3/4 diameter around arm. It felt sore and hard. She saw a doctor who said it was either cellulitis, infection or allergy. Pt was put on Cethalxine 500mg BID X 10 days.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Paresis
Clinical narrative: Left arm paresis, 3-5 days, post vax. Resolving paresis with physical therapy.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site reaction, Pruritus, Pyrexia
Clinical narrative: Localized reaction on left arm with cellulitis and low-grade fever and pruritus around site.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain
Clinical narrative: Pt called clinic on 12/14/00 at 11:30 and states she received flu shot on 12/13/00 at 08:00 and about 1/2 hour, post vax, she developed pain across the middle of her back. She denied shortness of breath, itching, rash or difficulty breathing; denied fever or chills. States no other problem and the pain continues today, 12/14/00; no other signs or symptoms; no treatment.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Localized reaction of left forearm with cellulitis. No fever or pruritus.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Similar reaction on previous exposure to drug, Unevaluable event
Clinical narrative: Swollen, hot and tender area on both deltoids, 8cm X 8cm left, 7cm X 6cm right. The dose was split, due to swelling elbow to shoulder with flu vaccine last year.
Age: 30.0
Sex: F
Vaccine: FLU3, PPV, TTOX, TYP
Symptoms: Bacterial infection, Cellulitis, Injection site reaction
Clinical narrative: Went to ER on 12/8/00 and was treated for cellulitis on the right arm. I was sedated; drainage tube inserted and IV antibiotics administered.
Age: 1.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: A severe case of hives; used antihistamine and subsided in a couple of days.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia
Clinical narrative: Pt called complaining of pain on left shoulder joint, 2 days, post vax and at present time. Pt stated that she took ibuprofen tablets for pain and helps minimal for pain. Pt stated no history of pain on shoulder and joints.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Pt complained of pain on left arm and shoulder joints, 2 days post vax. Pt stated she had taken Motrin for pain in shoulder and joints. Pt states she had tendonitis problem in left shoulder before. Stated this pain got intense after the flu shot. Slightly relieved after taking ibuprofen, as per pt statement.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Night of injection, pt had discomfort in left shoulder down (never had fever, site not hot to touch). The next day, it was swollen and same discomfort. On the 2nd day, had increased swelling and decreased discomfort but redness at the injection site to wrist. No mobility restrictions.
Age: 46.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Confusional state, Dyspnoea, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Difficult breathing, confused, disoriented, injection site swollen the size of a 16" baseball and knotted, hurt, burned and burning down arm and up to shoulders. Had to be monitored in ER. Severe reaction to shots. Got a shot of Benadryl and took 150mg of Benadryl for 3 days.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Warm, red and sore.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Heart rate increased
Clinical narrative: Fast heart beat, weakness and dizziness; for approx. 10 days.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: Fever 100F-102F, body aches and malaise for 3 days. Recovered on 12/11/00.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Skin rash on upper extremities; 30 minutes, post vax. No other symptoms. Symptoms resolved with Zyrtec.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Experienced stinging of needle and felt vaccine going in and radiating down the left arm. Sensation persist a few minutes. MD was notified. On 11/13/00, pt was called and she stated she was fine.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Swelling under left arm.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Aphasia, Arthralgia, Influenza, Laryngitis, Pyrexia
Clinical narrative: Symptoms and sequelae of the Flu with severe laryngitis approx. 72 hours, post vax, had loss of speech, low-grade fever, joint pain, amber colored sputum, rhinorrhea and severe chapping of lips. Currently on Motrin 800mg TID. (Note: Pt has had these symptoms every year with this vaccination but symptoms have gotten progressively worse.)
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Rhinorrhoea, Skin exfoliation
Clinical narrative: Symptoms and sequelae of the Flu with severe laryngitis approx. 72 hours, post vax, had loss of speech, low-grade fever, joint pain, amber colored sputum, rhinorrhea and severe chapping of lips. Currently on Motrin 800mg TID. (Note: Pt has had these symptoms every year with this vaccination but symptoms have gotten progressively worse.)
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red and swollen area, measuring 10cm X 3cm, warm and painful.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: Hives, itching and legs were swollen.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Pruritus, Rash maculo-papular
Clinical narrative: Generalized maculopapular and erythematous eruption; pruritic. Spares palms, soles and face. This appeared about 6 hours, post vax. Treated with Atarax 25mg for itching.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, itching.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Dyspnoea, Hypersensitivity, Laryngospasm
Clinical narrative: Approx. 1-2 hours, post vax, pt complained of shortness of breath with raspy cough. Appeared to have laryngospasm. Was seen by his MD and dx'd as a reaction to flu vax and given inhalers. Received lung RX with albuterol at MD's office.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Itching, swelling, burning sensation and blisters. (Red lumps and spots, still remain). Treated with Benadryl and resolved in 1 week.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Skin burning sensation
Clinical narrative: Itching, swelling, burning sensation and blisters. (Red lumps and spots, still remain). Treated with Benadryl and resolved in 1 week.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site pain, Injection site swelling, Urticaria
Clinical narrative: Large, red welts below injection site with swelling on left arm and tenderness to abduct arm from body.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Hypersensitivity, Hypokinesia, Injection site pain, Nausea, Pyrexia
Clinical narrative: Received vaccine on 11/17/00 at 10:00 and at 14:00 was unable to abduct right arm. At 18:00, had nausea, pain at site and fever of 101F. Nausea and fever duration of 12 hours. Inability to abduct arm for 1 week. Pain right shoulder for more than 3 weeks. Orthopedic MD dx'd muscular allergy to vaccine; this individual only.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt reports left deltoid injection site became swollen, tender and reddened down arm and into bicep area; today this is a 10cm area of redness with slight tenderness distal to the injection site over bicep.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Swelling face
Clinical narrative: Pt's subjective complaint, 12 hours, post vax, of lip swelling. Presents to medical, 2 days, post vax, with possible lip swelling but no distress. Treated with Benadryl and educated.
Age: 63.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Rash maculo-papular
Clinical narrative: On 12/5/00, noticed arm was red with a knot and warm to touch in the area where the shot had been given. On 12/6/00, the redness was greatly increased (inner part of upper arm and down to elbow region). Describes as splotchy and angry and red looking with fever in arm. No shortness of breath or other breathing problem. No actual increased temperature. On 12/11/00, redness present over most of upper arm. Pt denies itching or discomfort or temperature today. MD told her she had an allergic reaction.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Hernia, Infection
Clinical narrative: Pt got chickenpox and had already had vaccine 11 1/2 months ago. Per call to co-worker of reporter, the health dept doesn't have a record of vaccine given on 3/22/00 for this pt. They also have no record of his ever receiving Varivax; however, the pt's sister did receive vaccination on 3/22/00, including Varivax. The reporter's co-worker states that the pt's mother still maintains her son had Varivax on 3/22/00. No further follow-up is possible at this point.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Mother states pt "felt hot" at home. No temperature recorded here at 97.8F. Had 1cm firm, red and slightly swollen area on left anterior thigh. Advised to use warm packs at home. It is still red.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Feeling jittery, Muscle contractions involuntary, Myalgia, Sensation of heaviness
Clinical narrative: On 6/22/00, felt jittery all over. Had muscle spasms in upper left arm and thigh that lasted a few hours. Left arm was very sore. On 6/23/00, same symptoms. On 6/25/00, was very sore and deep pain in left arm. On 6/29/00 and 6/30/00, upper lip area, left side under nose, twitched, non-stop. On 6/30/00-09/16/00, had deep aching pain in both arms and spasms, continuously; right arm most affected. Arms are very tired. On 9/16/00 to the present time, have spasms on and off. On 11/18/00, saw a neurologist. He said that he doesn't think there was long term changes.
Age: 16.0
Sex: M
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Swelling face
Clinical narrative: Post vax, pt awoke with swollen face, lips and hands. Treated with Benadryl and Decadron per ER report. Symptoms resolved.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm with localized swelling and redness and warmth to the area. Oral temperature was 98.7F. Also, had an achy arm.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Crying
Clinical narrative: Inconsolable crying for 2 hours. Took to ER.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Injection site mass, Nausea, Pain, Pruritus
Clinical narrative: Itchy welt (2") first 12 hours, post vax. Welt continued to grow, painful; had fever and chills, aching joints, nausea with dry heaves. Baby vomits after nursing the next 24 hours. Welt is 4" to 5" until 11/29/00, then slowly shrinks. Still have a hard lump at injection site.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: Itchy welt (2") first 12 hours, post vax. Welt continued to grow, painful; had fever and chills, aching joints, nausea with dry heaves. Baby vomits after nursing the next 24 hours. Welt is 4" to 5" until 11/29/00, then slowly shrinks. Still have a hard lump at injection site.
Age: 12.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Chills, Fatigue, Urticaria
Clinical narrative: Hives around neck area, tiredness and chills.
Age: 70.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Post vax, had red, warm, itching on entire upper and outer left arm; also swollen. Was instructed to put ice on for 15 minutes, 3 X today and start tomorrow with warm compresses. Take Tylenol and if PMD approves, take Benadryl. Call tomorrow PM and advise of status.
Age: 0.2
Sex: F
Vaccine: HBHEPB
Symptoms: Pyrexia, Skin discolouration, Tremor
Clinical narrative: This infant's right leg turned purple on the day of the shot. Also her right leg was shaking, she had a hi fever of 101F, seen in the ED , given Tylenol etc and sent home. The patient moves her right leg well no abscess.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Hyperhidrosis, Pallor, Tremor
Clinical narrative: This patient was pale weak and sweating. According to Dr's note dated 11/08/00. This student felt weak and shaky 5 minutes after receiving Hepatitis B vaccine. Orange juiced was offered, and Epi pen 0.15 mg given.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Urticaria
Clinical narrative: This child received MMR immunization on 11/27/00. The mother reported raised rash appearing 12/07/00. It spread to the trunk, limbs, and face, afebrile.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Back pain, Injection site pain
Clinical narrative: On 11/28/00 this student complained of soreness of the right deltoid, after school and in the evening. The next morning he had a sore arm and aching back. No fever, no meds. Returned to school 11/30/00.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Feeling jittery, Hyperhidrosis, Musculoskeletal stiffness, Pyrexia
Clinical narrative: This patient states one hour after the vaccine was given she started having " hot and cold sweats", her temperature was 100.5, and she was tired. She felt like she had "a really bad flu". The patient went to bed and slept the rest of the day. That evening she stated she was stiff across her shoulders and down both arms. The next day, her temperature was 99.7 and her hand and arm were jittery. She states "she felt better that afternoon".
Age: 1.2
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: This patient received her vaccine on 10/05/00. The mother stated that the child had a rash on her abdomen area on 10/05/00 in the PM. Instructions given for mom to seek medical treatment at the ER. On 10/06/00 the mother had child in SCHD with rash over 90% of the body. Referral given to seek MD. Repeat from TRMC in chart.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Injection site abscess, Injection site erythema, Injection site oedema
Clinical narrative: This patient received Hepatitis B vaccine on 10/16/00. The mother called today to report of pus oozing from the site on the left arm, beginning 10/21-10/22/00 weekend. Denies pain at site but does have redness / swelling. Nothing used on the site except alcohol . Denies fever 11/27/00 several attempts to follow up more has not responded.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: This patient noted pain, redness in the left upper arm 12/01/00. She spoke with urgent care MD who started her on Keflex. There was redness, swelling and elevated pain. Seen 12/04/00 Clinic- treatment with Zyrtec 10 mg and Ibuprofen. 21 x 21 cm erythema left upper arm, 6 x 6 cm area of darker erythema.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Chills, Dizziness, Feeling cold, Heart rate increased
Clinical narrative: This patient had a fast heart beat for a 3 day occurrence. While working on 3-11 shift, Oct 26 and 27, pain on my elbow joints until now; blurred vision, dizziness, and cold, chills on 10/31/2000.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Vision blurred
Clinical narrative: This patient had a fast heart beat for a 3 day occurrence. While working on 3-11 shift, Oct 26 and 27, pain on my elbow joints until now; blurred vision, dizziness, and cold, chills on 10/31/2000.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: This patient has red, hard swollen area with warmness approximately size of soft ball according to the mother. The site of MMR 12/10/00 - 12/11/00.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash pustular
Clinical narrative: This patient had a pustular rash on his body approximately 20.
Age: 0.2
Sex: F
Vaccine: HBHEPB
Symptoms: Injection site nodule
Clinical narrative: This infant had a knot in her right thigh from injection, still present 7 days after the shot.
Age: 48.0
Sex: M
Vaccine: IPV
Symptoms: Feeling hot, Hypoaesthesia, Pain, Peripheral coldness
Clinical narrative: This patient has numbness in both feet for 2 months. Originally hot and cold sensations to the feet for 15 minutes only, generalized body aches for 24 hours. The patient is improving.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: The patient's son states his father had a fever of 102.6 for three days. The sickness began the day after the Flu injection. His blood sugar was 71, severe trembling, and very soar in the rib cage area.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site warmth, Oedema peripheral, Pain
Clinical narrative: On 11/15/00 at 9 PM this patient complained that his right arm was red, swollen, warm and painful to touch; from the deltoid to the elbow area. The patient was to be seen in the doctors office on 11/16/00 in the AM.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: Almost immediately after this patient had her shot her arm became sore, swollen, hot, and itching. It got worse and she went to the ER. She was given Prednisone, Benadryl, and Motrin. The patient also used ice, she was told not to take another Pneumonia shot unless made differently.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Headache, Injection site inflammation, Nausea, Pain
Clinical narrative: This patient had a very inflammed red arm, body ache, headache, and nausea.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth, Oedema, Pain, Pruritus
Clinical narrative: This patient had a swollen arm, hot, and tender, itchy; first above the elbow now to the shoulder.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Ear disorder, Heart rate irregular, Hyperhidrosis, Neoplasm malignant
Clinical narrative: At 4:48 PM the patient started complaining of feeling "lightheaded", soft speech, diaphoretic, pulse deep, BP 90-80/50. He was removed from the chair and layed supine, "voices distant". Heart rate 70, BP 100/50, at 4:55 PM, BP 130/80, heart rate 78; at 5:00 PM, BP 130/88, heart rate 68 up in chair at 5:15 PM; BP 130/80 at 5:30 PM.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Speech disorder
Clinical narrative: At 4:48 PM the patient started complaining of feeling "lightheaded", soft speech, diaphoretic, pulse deep, BP 90-80/50. He was removed from the chair and layed supine, "voices distant". Heart rate 70, BP 100/50, at 4:55 PM, BP 130/80, heart rate 78; at 5:00 PM, BP 130/88, heart rate 68 up in chair at 5:15 PM; BP 130/80 at 5:30 PM.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site oedema, Nausea, Pain
Clinical narrative: This patient complained of nausea, swelling where shot was given, redness, and tenderness a few hours after her shot was given.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest pain, Dyspnoea, Swelling face, Urticaria
Clinical narrative: The pt experienced hives and swelling of the lips.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Face oedema, Urticaria
Clinical narrative: The pt experienced hives and swelling of the lips.
Sex: U
Vaccine: FLU3
Symptoms: Influenza like illness
Clinical narrative: Post vax, the pt died. No further information was available at the date of this report. The reporter indicated that 9 pts experienced this event, however, they are not presently identifiable. 15 day follow-up states that the pt experienced flu-like symptoms as did a total of 9 pts.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: The pt inadvertently received a second dose of vax about one year after the first dose and 24 hours following receipt of vax, the pt developed a grossly swollen arm and was hospitalized. The pt was administered intravenous antibiotics and recovered within approximately 3 days.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Laboratory test abnormal, Lethargy, Pallor, Pyrexia
Clinical narrative: 15 second apnea episode, followed by paleness and lethargy for several minutes. Occurred 11 hours, post vax. Temperature 100.3F (R). No further problems after event.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Anaphylactic reaction, Dyspnoea, Urticaria, Wheezing
Clinical narrative: A healthcare representative reported that a 17 month old female received her 1st dose of Prevnar as part of a post-marketing surveillance study on 8/21/00. Approx. 90 minutes, post vax, she developed hives on her face, chest, axilla and buttock. This was initially thought to be heat rash, but then she developed slight breathing difficulty then wheezing. She was treated with diphenhydramine and hospitalized for observation. She recovered within 8 hours and was discharged. The investigator feels that the anaphylactic reaction (not expected) was "probably related to any 3 vaccinations given". The medical monitor feels that this event was "possibly related".
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Cachexia, Cardiac failure congestive, Cardiac valve disease, Dehydration
Clinical narrative: 11/3/00, 3-4 hours post vax, she felt weak, lethargic and had diarrhea. Admitted to the hospital on 11/4/00 with hypovolemic shock and acute gastroenteritis. Diagnosed also with possible reaction to vaccines and cachexia. Per F/U 3/28/01: DX: CHF due to arteriosclerotic coronary disease, mitral regurgitation and tricuspid insufficiency. She had dehydration and was given IV fluids and responded quite promptly with an increase in strength and mental acuity. After slow improvement over a period of 5 days, she was discharged.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Diarrhoea, Gastroenteritis, Hypovolaemia, Lethargy, Leukocytosis
Clinical narrative: 11/3/00, 3-4 hours post vax, she felt weak, lethargic and had diarrhea. Admitted to the hospital on 11/4/00 with hypovolemic shock and acute gastroenteritis. Diagnosed also with possible reaction to vaccines and cachexia. Per F/U 3/28/01: DX: CHF due to arteriosclerotic coronary disease, mitral regurgitation and tricuspid insufficiency. She had dehydration and was given IV fluids and responded quite promptly with an increase in strength and mental acuity. After slow improvement over a period of 5 days, she was discharged.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Shock
Clinical narrative: 11/3/00, 3-4 hours post vax, she felt weak, lethargic and had diarrhea. Admitted to the hospital on 11/4/00 with hypovolemic shock and acute gastroenteritis. Diagnosed also with possible reaction to vaccines and cachexia. Per F/U 3/28/01: DX: CHF due to arteriosclerotic coronary disease, mitral regurgitation and tricuspid insufficiency. She had dehydration and was given IV fluids and responded quite promptly with an increase in strength and mental acuity. After slow improvement over a period of 5 days, she was discharged.
Sex: U
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Post vax, the pt developed Guillain-Barre syndrome. No further information was available at the date of this report. FU received indicated the patient was an elderly female who received 1999-2000 formula influenza virus vaccine. See related case HQ5472103JAN2001.
Sex: M
Vaccine: FLU3
Symptoms: Cardiac disorder
Clinical narrative: A pharmacist reported that a male heart transplant recipient received an injection of flu vax and was subsequently rejecting the heart transplant.
Age: 0.9
Sex: M
Vaccine: PNC
Symptoms: Coma, Eye movement disorder, Fatigue, Hypotonia, Laboratory test abnormal
Clinical narrative: The patient seemed tired, was breast fed  around 6pm, then suddenly started staring off to the side. The patient went limp and unresponsive 2 - 3 minutes, then eyes rolled back.  He came to but repeatedly sucked on his bottom lip several minutes before he fully regained normal state.
Age: 0.9
Sex: M
Vaccine: PNC
Symptoms: Staring
Clinical narrative: The patient seemed tired, was breast fed  around 6pm, then suddenly started staring off to the side. The patient went limp and unresponsive 2 - 3 minutes, then eyes rolled back.  He came to but repeatedly sucked on his bottom lip several minutes before he fully regained normal state.
Age: 1.1
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: The patient had a swollen left thigh, red, hard, warm.  Treated with Keflex for 5 days.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Paraesthesia
Clinical narrative: Approximately one hour post vax the pt's hand became swollen and tingly. The pain and swelling has occurred intermittently for one month.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Hypoaesthesia
Clinical narrative: The pt experienced "prickly feeling lips", numbness of tongue and was flushed.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: The pt experienced a fever, treated with Tylenol. The pt completely recovered.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: This patient got the chicken pox disease.
Age: 72.0
Sex: M
Vaccine: HEPA, IPV, TYP, YF
Symptoms: Pain, Pyrexia
Clinical narrative: The patient had a temperature of 102. beginning 12/15, aches, denied headache; did not take Tylenol. Called his PMD explained, side effect of the yellow fever vaccine, possible response to that particular vaccine. Also side effect to inactivated vaccines he received. Instructed to take Tylenol and call PMD again.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site induration, Pruritus, Skin disorder
Clinical narrative: This child had a large area of erythema, induration, and some crusting at areas of excoriation from scratching. Patient was put on Prelone, Atarax (prn pruritis), and Bactroban.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site oedema, Injection site vesicles
Clinical narrative: This infant has large red, swollen area with blister around the site of injection on the left thigh.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Rash maculo-papular, Rash vesicular
Clinical narrative: This patient has a few eruptions in different age from maculo-papular to vesicular stages; consistant with varicella, no fever.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Headache, Nausea, Pain, Pyrexia
Clinical narrative: This patient complains of aches, pains, headache, temperature of 101.5, nausea, vomiting, and diarrhea; onset within 24 hours. Seen by PMD, no treatment needed.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: This patient complains of aches, pains, headache, temperature of 101.5, nausea, vomiting, and diarrhea; onset within 24 hours. Seen by PMD, no treatment needed.
Age: 19.0
Sex: M
Vaccine: DT, MMR, YF
Symptoms: Pruritus
Clinical narrative: This patient complains of severe itching, on his head and between his fingers and was given Benadryl by mouth and started on a Medral dose pack.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, DTAP, HBHEPB, IPV
Symptoms: Vomiting
Clinical narrative: At 15:30, post vax, started vomiting. Vomited 5 times until 19:45 and then it stopped. Mother began to feed infant at 19:45 and he fed successfully 4-5 times during the night. Infant has had no other apparent side effects. Advised parent if he continues to vomit, has a fever over 102F, seizes or becomes unresponsive, go to ER.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Grand mal convulsion
Clinical narrative: On 12/04/00, the pt experienced a grand mal seizure that lasted for 20 minutes. It was noted that the pt did not developed a fever. Grand mal seizure was considered to be medically significant by the reporter.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abdominal discomfort, Chest discomfort, Diplopia, Dysarthria, Gait disturbance
Clinical narrative: On 11/10/00, a female pt received Fluvirin, IM, in the left deltoid. One week, post vax, the pt developed double vision, tingling of her upper extremities, hands and lower legs with weakness also present in her lower legs. A dx of Guillain-Barre Syndrome was made by the pt's physician. The pt was hospitalized in ICU and has since been discharged home. No further information was available. Attempts to follow-up have been initiated.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: On 11/10/00, a female pt received Fluvirin, IM, in the left deltoid. One week, post vax, the pt developed double vision, tingling of her upper extremities, hands and lower legs with weakness also present in her lower legs. A dx of Guillain-Barre Syndrome was made by the pt's physician. The pt was hospitalized in ICU and has since been discharged home. No further information was available. Attempts to follow-up have been initiated.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Diplopia, Guillain-Barre syndrome, Paraesthesia
Clinical narrative: On 11/10/00, a female pt received Fluvirin, IM, in the left deltoid. One week, post vax, the pt developed double vision, tingling of her upper extremities, hands and lower legs with weakness also present in her lower legs. A dx of Guillain-Barre Syndrome was made by the pt's physician. The pt was hospitalized in ICU and has since been discharged home. No further information was available. Attempts to follow-up have been initiated.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Drug ineffective, Myocardial infarction, Pneumonia, Pyrexia, Respiratory failure
Clinical narrative: Report received on 12/12/00, via telephone from a nurse regarding a possible adverse event associated with Fluvirin. On 11/1/00, an 80 year old male pt (DOB 8/1920), received vaccination with Fluvirin and 1 day later, developed a fever of unknown origin. The pt was seen in the ER and hospitalized. He was dx'd with pneumonia and died on 11/12/00 from respiratory failure secondary to the pneumonia. An influenza titer was done during the pt's hospitalization with negative results. On follow-up, the reporter also stated that the physician felt that it was a coincidence of events that ensued following vaccination. No other information was available at the present time. Attempts are being made to obtain further information. FU shows the pt had a non Q wave myocardial infarction.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Aura, Grand mal convulsion, Road traffic accident
Clinical narrative: Telephone report received from a physician on 12/11/00, regarding an adverse event related to administration of Fluvirin. An MD reported that he vaccinated his 31 year old son and approx. 8 days later, the son experienced an "aura" followed by a motor vehicle accident. The pt experienced a grand mal seizure which was witnessed by the paramedics at the scene of the accident and a subsequent grand mal seizure in the ER where he was treated and released. Further information has been requested.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Headache, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a health professional concerning a 73 year old white female, who on 10/23/00 was vaccinated in the left arm with a dose of Pneumococcal vaccine 23 polyvalent. It was noted that the pt had received the influenza virus vaccine "many times in the past". On 10/26/00, the pt experienced left arm pain, elbow warmth and swelling, headache and fever. It was indicated that the pt possibly developed cellulitis. The pt was prescribed 500mg TID of Keflex. The pt subsequently recovered. The reporter indicated that the pt's experiences were considered to be  "Important Medial Events". Two additional pts had a similar experience following exposure to pneumococcal vaccine 23 polyvalent lot 1531J. No further information is available.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a health professional concerning a 73 year old white female, who on 10/23/00 was vaccinated in the left arm with a dose of Pneumococcal vaccine 23 polyvalent. It was noted that the pt had received the influenza virus vaccine "many times in the past". On 10/26/00, the pt experienced left arm pain, elbow warmth and swelling, headache and fever. It was indicated that the pt possibly developed cellulitis. The pt was prescribed 500mg TID of Keflex. The pt subsequently recovered. The reporter indicated that the pt's experiences were considered to be  "Important Medial Events". Two additional pts had a similar experience following exposure to pneumococcal vaccine 23 polyvalent lot 1531J. No further information is available.
Age: 64.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a health professional concerning a 64 year old white male who on 10/25/00 was vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent 1531J. It was noted that the pt received a 1st dose of pneumococcal vaccine 23 polyvalent in Oct/1995. On 10/25/00, he also received a 3rd dose of influenza vaccine (Fluzone U0428AA). On 10/27/00, the pt developed right arm cellulitis which extended to the elbow. The pt also experienced right arm swelling, redness and tenderness. The pt was prescribed 875 mg, twice daily of Augmentin. The pt subsequently recovered. The reporter indicated that the pt's experience was considered an "Important Medical Event". Two additional pt's had a similar experience following exposure to pneumococcal vaccine 23 polyvalent 1531J. No further information is available.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: On 11/10/00, pt was vaccinated in the left arm with a 2nd dose of pneumococcal vaccine 23 polyvalent. It was noted that the pt received a 1st dose in Dec/1996. On 11/10/00, pt also received influenza virus vaccine (Fluzone). It was reported that the pt had previously received influenza virus vaccine 5 or 6 times. On 11/11/00, the pt reported that she developed cellulitis. Follow-up information from a health professional reported that the pt had redness and swelling of left arm which began on 11/11/00. The pt was treated with Keflex, 250mg for 5 days. The reporter considered the left arm redness and swelling to be "Important Medical Events". Subsequently, the pt recovered. Two additional pts had a similar experience following exposure to pneumococcal vaccine 23 polyvalent 1531J.