chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: ANTH, FLU3, SMALL
Symptoms: Hypophosphataemia, International normalised ratio, Laboratory test, Metabolic function test, No reaction on previous exposure to drug
Clinical narrative: 32 y/o female developed SOB & chest tightness onset 12 days following receipt SPV, AVA 2, & inactivated influenza vaccines given 9/10/2009.  Pt first noted mild difficulty getting deep breath and tightness in chest on 9/22 which worsened by 9/23 accompanied by feelings of anxiousness due to difficulty breathing; symptoms not related to exertion or position; no coughing; wheezing or actual chest pain.  Pt was well prior to & day of vaccinations; denied antecedent viral illness, exposure to sick contacts, inhalants, recent travel; no cardiac, asthma. psychological smoking history; no prior vaccine-related reactions.  She is instructor with adult students in classroom setting.  PMHx significant for LTBI s/p completion 4 month course RIFAMPIN in early Aug 2009; pt had taken 2 doses of MEFLOQUIN (9/14 & 9/21) malaria prophy in preparation for scheduled deployment planned in early Oct.  She was medically evaluated in military ED 9/23/2009.  PE was reported as tachypneic respiratory exam otherwise benign, BP 147/83, HR 100, Temp 96.9, O2 set 100%; pt was felt to be low risk for pulmonary embolism per XX; phosphorous level noted low & treated with neutrophos; also given ATIVAN 0.5mg for anxiety; symptoms improved prior to d/c; final impression; doubtful deployment.  On 9/24 pt reported symptoms improved but not completely resolved, no new symptoms.  Cardiac panel, ESR, CRP-hs wnl 9//24.  Over phone f/u 9/28, pt says she saw her own private physician that AM with normal baseline spirometry in office and was advised to use inhaler prn symptoms - no opportunity to use thus far. On 9/28/2009 pt also saw MTF OCC Med physician who thought she had possible idiosyncratic reaction to MEFLOQUINE and recommended she remain off medication and use DOXY for malaria prophy.  Diagnosis: dyspnea, hypophosphatemia, idiosyncratic reaction to drug.  Symptoms: dyspnea, chest tightness.
Age: 32.0
Sex: F
Vaccine: ANTH, FLU3, SMALL
Symptoms: Prothrombin time, Red blood cell sedimentation rate normal, Tachypnoea
Clinical narrative: 32 y/o female developed SOB & chest tightness onset 12 days following receipt SPV, AVA 2, & inactivated influenza vaccines given 9/10/2009.  Pt first noted mild difficulty getting deep breath and tightness in chest on 9/22 which worsened by 9/23 accompanied by feelings of anxiousness due to difficulty breathing; symptoms not related to exertion or position; no coughing; wheezing or actual chest pain.  Pt was well prior to & day of vaccinations; denied antecedent viral illness, exposure to sick contacts, inhalants, recent travel; no cardiac, asthma. psychological smoking history; no prior vaccine-related reactions.  She is instructor with adult students in classroom setting.  PMHx significant for LTBI s/p completion 4 month course RIFAMPIN in early Aug 2009; pt had taken 2 doses of MEFLOQUIN (9/14 & 9/21) malaria prophy in preparation for scheduled deployment planned in early Oct.  She was medically evaluated in military ED 9/23/2009.  PE was reported as tachypneic respiratory exam otherwise benign, BP 147/83, HR 100, Temp 96.9, O2 set 100%; pt was felt to be low risk for pulmonary embolism per XX; phosphorous level noted low & treated with neutrophos; also given ATIVAN 0.5mg for anxiety; symptoms improved prior to d/c; final impression; doubtful deployment.  On 9/24 pt reported symptoms improved but not completely resolved, no new symptoms.  Cardiac panel, ESR, CRP-hs wnl 9//24.  Over phone f/u 9/28, pt says she saw her own private physician that AM with normal baseline spirometry in office and was advised to use inhaler prn symptoms - no opportunity to use thus far. On 9/28/2009 pt also saw MTF OCC Med physician who thought she had possible idiosyncratic reaction to MEFLOQUINE and recommended she remain off medication and use DOXY for malaria prophy.  Diagnosis: dyspnea, hypophosphatemia, idiosyncratic reaction to drug.  Symptoms: dyspnea, chest tightness.
Age: 9.0
Sex: U
Vaccine: HEPA, VARCEL
Symptoms: Injection site cellulitis, Injection site induration, Injection site vesicles
Clinical narrative: 1) local VARICELLA reaction (vessicular eruption adjacent to injection site 2) cellulitis w/induration @ injection site
Sex: F
Vaccine: UNK
Symptoms: Chest X-ray, Full blood count, Laboratory test, Serum sickness
Clinical narrative: "Serum sickness" 2. liters normal saline seen in ED - @ 1:12 AM 9/15/09 - Treated with TYLENOT, MOTRIN, SOLUMEDROL, BENADRYL IV.
Age: 1.6
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Rash
Clinical narrative: Fine sand paper rash back, face neck on set go after 5th dose ZITHROMAX after immun. Vaccine sites at thighs without any rash No dyspnea.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Swollen arm, heat + painful left arm.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site rash, Injection site urticaria, Rash, Urticaria
Clinical narrative: hives/rash @ injection sites and on chest.  Given 25mg BENADRYL po.
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Use Error Narrative: Merck & Co. Inc Lot \# 1085X. Expired 05/31/2009. Symptoms Erythema
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Application site reaction
Clinical narrative: Patient had a reaction to the pneumococcal vaccine prior to 9/15/08. The date of the reaction occurrence and the lot # of the pneumococcal vaccine - unknown.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Rash
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Aphthous stomatitis, Decreased appetite, Fatigue, Gingival bleeding, Pyrexia
Clinical narrative: My daughter received 1 dose of the GARDASIL vaccine and within 10 days had a fever, bleeding gums, canker sores inside the mouth, fatigue, no appetite. No one else in the family or friends were ill.
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Arthralgia, Gastrointestinal disorder, Loss of consciousness, Migraine
Clinical narrative: A consumer obtained the information from a news article that her daughter who in November 2007, was vaccinated with a dose of GARDASIL (lot number not provided). The patient was vaccinated the next two doses of GARDASIL on unspecified dates. The patient was constantly fainting. When she fainted, she lost her ability to walk. On approximately 15-SEP-2009, "just two days ago", the patient was found unconscious in the hall at school and was brought back by a paramedic. The patient was diagnosed with peripheral neuropathy in both feet, migraine headaches, fainting (syncope) and sleep apnea. The patient has lost peripheral vision in her left eye and reported that her joints and muscles hurt constantly. The patient also had gotten warts, rashes and digestive illnesses. The patient has not had a period since November of 2007. The patient's arm became paralyzed after her third shot. It was unknown if the patient sought medical attention. At the time of the report, the outcome of the event was unknown. Upon internal review, sleep apnea and lost peripheral vision in her left eye were determined to be other important medical events. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Monoplegia, Myalgia, Neuropathy peripheral, Rash, Skin papilloma
Clinical narrative: A consumer obtained the information from a news article that her daughter who in November 2007, was vaccinated with a dose of GARDASIL (lot number not provided). The patient was vaccinated the next two doses of GARDASIL on unspecified dates. The patient was constantly fainting. When she fainted, she lost her ability to walk. On approximately 15-SEP-2009, "just two days ago", the patient was found unconscious in the hall at school and was brought back by a paramedic. The patient was diagnosed with peripheral neuropathy in both feet, migraine headaches, fainting (syncope) and sleep apnea. The patient has lost peripheral vision in her left eye and reported that her joints and muscles hurt constantly. The patient also had gotten warts, rashes and digestive illnesses. The patient has not had a period since November of 2007. The patient's arm became paralyzed after her third shot. It was unknown if the patient sought medical attention. At the time of the report, the outcome of the event was unknown. Upon internal review, sleep apnea and lost peripheral vision in her left eye were determined to be other important medical events. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Sleep apnoea syndrome, Syncope, Visual field defect
Clinical narrative: A consumer obtained the information from a news article that her daughter who in November 2007, was vaccinated with a dose of GARDASIL (lot number not provided). The patient was vaccinated the next two doses of GARDASIL on unspecified dates. The patient was constantly fainting. When she fainted, she lost her ability to walk. On approximately 15-SEP-2009, "just two days ago", the patient was found unconscious in the hall at school and was brought back by a paramedic. The patient was diagnosed with peripheral neuropathy in both feet, migraine headaches, fainting (syncope) and sleep apnea. The patient has lost peripheral vision in her left eye and reported that her joints and muscles hurt constantly. The patient also had gotten warts, rashes and digestive illnesses. The patient has not had a period since November of 2007. The patient's arm became paralyzed after her third shot. It was unknown if the patient sought medical attention. At the time of the report, the outcome of the event was unknown. Upon internal review, sleep apnea and lost peripheral vision in her left eye were determined to be other important medical events. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Unevaluable event
Clinical narrative: DEVELOPED REDNESS AND SWELLING AT INJECTION SITE STARTING ABOUT TWELVE HOURS AFTER INJECTION AND LASTING 48 HOURS.  INSTRUCTED TO USE INTERMITTANT ICE TO SITE.
Age: 5.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: DEVELOPED REDNESS AND SWELLING AT INJECTION SITE STARTING ABOUT TWELVE HOURS AFTER INJECTION AND LASTING 48 HOURS.  INSTRUCTED TO USE INTERMITTANT ICE TO SITE.
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Injection site swelling, Myalgia
Clinical narrative: Patient experienced unspecified muscle pain after vaccine administration (exact time frame unknown, however, presumably shortly after vaccination).  Per comments section of ADR report, patient "went on ibuprofen 800mg for several days with no relief."  Further treatment, if any, unknown.
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Myalgia
Clinical narrative: Patient experienced unspecified muscle pain after vaccine administration (exact time frame unknown, however, presumably shortly after vaccination).  Per comments section of ADR report, patient "went on ibuprofen 800mg for several days with no relief."  Further treatment, if any, unknown.
Age: 6.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood product transfusion, Idiopathic thrombocytopenic purpura, Injection site swelling, Platelet count decreased
Clinical narrative: Initial report received on 18 September 2009 from a consumer who is a physician. A 6 year old female patient with no reported medical conditions experienced an adverse event 2 days after receiving FLUZONE (lot number U3204AA) intramuscularly in the left deltoid on 09 September 2009. On 11 September 2009 the patient developed petechiae and bruising throughout the body. She was admitted to the hospital on 12 September 2009 and was diagnosed with idiopathic thrombocytopenic purpura. Platelet count was initially 3,000 and then was 37,000 (dates not provided). Treatment included IVIG (Intravenous Immunoglobulin). The patient was discharged on 15 September 2009. The patient was reported as doing better. No further information was provided. List of Documents held by Sender: none.  11/30/09 Medical records and discharge summary received for DOS 9/13-9/15. Final DX:  Immune thrombocytopenic  purpura Presented with petechiae on arms, trunk and neck x 4days IVIG.  Petechiae decreased.
Age: 6.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood product transfusion, Contusion, Idiopathic thrombocytopenic purpura, Petechiae, Platelet count decreased
Clinical narrative: Initial report received on 18 September 2009 from a consumer who is a physician. A 6 year old female patient with no reported medical conditions experienced an adverse event 2 days after receiving FLUZONE (lot number U3204AA) intramuscularly in the left deltoid on 09 September 2009. On 11 September 2009 the patient developed petechiae and bruising throughout the body. She was admitted to the hospital on 12 September 2009 and was diagnosed with idiopathic thrombocytopenic purpura. Platelet count was initially 3,000 and then was 37,000 (dates not provided). Treatment included IVIG (Intravenous Immunoglobulin). The patient was discharged on 15 September 2009. The patient was reported as doing better. No further information was provided. List of Documents held by Sender: none.  11/30/09 Medical records and discharge summary received for DOS 9/13-9/15. Final DX:  Immune thrombocytopenic  purpura Presented with petechiae on arms, trunk and neck x 4days IVIG.  Petechiae decreased.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Feeling abnormal, Nausea, Pain
Clinical narrative: 12 hrs after vaccine felt like she got  "hit by a bus" difficulty sitting ot lying down due to discomfort. Ankle, thigh, back felt achy, nauseated, weird feeling in center of chest.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Chills, Dyspnoea, Erythema, Hypersensitivity
Clinical narrative: In less than 12 hours of receiving the flu shot my arm  was swollen, red , and warm to touch. It was extremely painful to move the arm and shoulder where the shot was given. By the next day i started having chills and trouble breathing. Once my rescue inhaler did not help the breathing i decided to go to the hospital. There i recevied breathing treatments by the respiratory technician and was given IV medicine for my shoulder. I was diagnosis with a allergic reaction to the flu shot and cellulitis in my right shoulder were the shot was given.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: In less than 12 hours of receiving the flu shot my arm  was swollen, red , and warm to touch. It was extremely painful to move the arm and shoulder where the shot was given. By the next day i started having chills and trouble breathing. Once my rescue inhaler did not help the breathing i decided to go to the hospital. There i recevied breathing treatments by the respiratory technician and was given IV medicine for my shoulder. I was diagnosis with a allergic reaction to the flu shot and cellulitis in my right shoulder were the shot was given.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Bone pain, Dysphagia, Gastrointestinal disorder, Headache
Clinical narrative: SEVER GASTROINTESTINAL UPSET, PAIN IN ENTIRE BODY, SWOLLEN THROAT, INABILITY TO FOCUS, PAIN AT INJECTION SITE AND PAIN DOWN ARM TO FINGERS. MUSCLE PAIN, BONE PAIN, JOINT PAIN, HEADACHE, DIFFICULTY SWALLOWING,
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Myalgia, Pain, Pain in extremity, Pharyngeal oedema
Clinical narrative: SEVER GASTROINTESTINAL UPSET, PAIN IN ENTIRE BODY, SWOLLEN THROAT, INABILITY TO FOCUS, PAIN AT INJECTION SITE AND PAIN DOWN ARM TO FINGERS. MUSCLE PAIN, BONE PAIN, JOINT PAIN, HEADACHE, DIFFICULTY SWALLOWING,
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Vision blurred
Clinical narrative: SEVER GASTROINTESTINAL UPSET, PAIN IN ENTIRE BODY, SWOLLEN THROAT, INABILITY TO FOCUS, PAIN AT INJECTION SITE AND PAIN DOWN ARM TO FINGERS. MUSCLE PAIN, BONE PAIN, JOINT PAIN, HEADACHE, DIFFICULTY SWALLOWING,
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Abdominal pain
Clinical narrative: At 4 month well visit, (on 9/29/09) the second dose of Rotavirus was not given due to mothers report that patient experienced abdominal cramping and pain after the administration of the first dose of Rotavirus on 8/4/09.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, No reaction on previous exposure to drug, Oedema peripheral, Pain in extremity
Clinical narrative: Received Flu Shot (Seasonal- Afluria PF 2009-2010- not 2009 H1N1)in upper left arm.  Moderate pain at the time of injection. Within 1-2 hours onset of SEVERE arm pain- about an 8 on a 1-10 scale (minor localized swelling, no redness) and my range of motion was limited to about 5% of normal. Pain increased throughout the evening and night.  Approximately 40 hours after vaccine, range of motion has improved to about 50%, and pain is rated at about a 4 depending on what position my arm is in.  Treated at home with tylenol and ice at injection site. Please note, if relevant, that I am 17 weeks pregnant. I've had flu and other IM vaccines in the past with no adverse reactions...even while pregnant.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Skin warm
Clinical narrative: 4-15-09 noticed area red, swollen, warm in am.  Saw doc, gave her TYLENOL.  By 11 AM continued to spread.  Saw doc again.  Diagnosed as cellulitis.  Gave 1 g ROCEPHIN IM, 4 mg DECADRON IM, 80 mg DEPONEDROL IM and PO BENADRYL 50 mg q6n as needed.  By 9-17-09 pt had completely recovered.
Age: 1.04
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: Child had a 102 degree fever on 9/27/09, then a rash appeared on 9/29/09.  The rash was small red bumps on her chest, abdomen, back and face.  No itching.  She was taken to the dr, who thinks she had a reaction to a vaccine.  Vaccines were given on 9-17-09.  No fever on 9-30-09.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Urticaria, Wheezing
Clinical narrative: Difficulty breathing, wheezing, hives, afebrile.  Treatment BENADRYL P.O.
Age: 27.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Cough, Myalgia
Clinical narrative: Developed Myalgias / cough 24Sept09, day after flu mist and 2 days after HUMIRA injection. He was treated with TAMIFLU.
Age: 27.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Influenza
Clinical narrative: Developed Myalgias / cough 24Sept09, day after flu mist and 2 days after HUMIRA injection. He was treated with TAMIFLU.
Age: 36.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Blood creatine phosphokinase MB increased, C-reactive protein increased, Dyspnoea, Influenza like illness, Intensive care
Clinical narrative: Consultation requested on a 36 y/o WM for Smallpox vaccine induced skin rash and pre syncope. The patient presented to the ED on this morning and was subsequently admitted to the medical ward. The patient is currently housed in the ICU step down unit. Symptoms: Rash, pruritic, Flu-like symptoms< 95 hours, Dyspnea (shortness of breath), Fever. 10/16/2009 records from ED visit 9/25/2009. patient 10 days post vaccine presented with sx of rash, itching, SOB upon exertion, fever, syncopal episodes. PE noted large area of erythema  lt deltoid. Patient was admitted to ICU and  placed on respiratory and contact isolation. Dermatology and Cardiology consults, Telemetry, Antihistamine tx. Dx: acute myocarditis, dermatitis.
Age: 36.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Presyncope, Pyrexia, Rash, Rash pruritic, Troponin T increased
Clinical narrative: Consultation requested on a 36 y/o WM for Smallpox vaccine induced skin rash and pre syncope. The patient presented to the ED on this morning and was subsequently admitted to the medical ward. The patient is currently housed in the ICU step down unit. Symptoms: Rash, pruritic, Flu-like symptoms< 95 hours, Dyspnea (shortness of breath), Fever. 10/16/2009 records from ED visit 9/25/2009. patient 10 days post vaccine presented with sx of rash, itching, SOB upon exertion, fever, syncopal episodes. PE noted large area of erythema  lt deltoid. Patient was admitted to ICU and  placed on respiratory and contact isolation. Dermatology and Cardiology consults, Telemetry, Antihistamine tx. Dx: acute myocarditis, dermatitis.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Conjunctivitis infective, Discomfort, Eye irritation, Herpes virus infection
Clinical narrative: pt c/o of eye irritation in may- pt went to opthamologist and was told had pink eye. then returned for conitued complaint and was told then she had a herpes infection. Pt still has continued discomfort.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised, Urticaria
Clinical narrative: Approximately 15 minutes after vaccine administration, individual experienced a rash & hives on both arms, neck, & chest.  No history of allergy to eggs or Flu vaccine ingredients.  Individual is an RN with known history of Penicillin(rash/hives)& shellfish (hives/anaphylatic shock hospitalization) allergies.  She carries Benadryl & EpiPen with her at all times, so she took some Benadryl and continued to her home.  Did not seek medical treatment.  Symptoms subsided within 30-45 minutes according to her report.  She left a phone message for writer on Infection Control Office phone the following morning reporting the adverse reaction.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema, Rash papular, Rash pustular, Scab
Clinical narrative: 27 y/o AD WM calls clinic on 17SEP09 concerned about "red, warm, tender area on my right upper arm "under my smallpox vaccination scar."  There is no documentation of patients primary SPV date in DEERS or MEDPROS, but historically, the patient states he received his primary SPV just before he deployed over seas in JAN of 2008, the same day he got his AVA #1 (09JAN08) per DEERS.  He has a scar on his right upper arm, which is now covered by an extensive, elaborate tattoo, which the patient has placed, in stages, over the past 6 weeks (deltoid of RUE).  The patient reports a normal 2-3 week evolution of his primary SPV from papule to pustule to a scab, which dried and fell off without complications in JAN 2008.  Thus, it appears that the current area of erythema, edema, and pus on his RUE represents a new infection, secondary to the patients recent tattoo placement on his RUE and is NOT in temporal association with the placement of his primary SPV in JAN of 2008.  The patient was seen at the clinic on 17 Sept 09 by NP and Dr., who agreed with assessment.  The patient was treated with KEFLEX 250 mg po qid x 10 days and given 800 mg ibuprofen tid po WF #30 prn pain.  He was instructed to apply warm compresses 2-3 times a day over the affected area and to F/U with his PCP at clinic the next morning for TD booster, as his last TD was given on 12JUN2001.  The patient did as instructed and saw seen by PA-c on SEP 18 09 at clinic and was given a TDAP and instructed to continue the compresses and KEFLEX.  The PA-C who saw the patient felt that an I&D of the area was not necessary, as the patient reported that it ruptured spontaneously that evening before after applying the warm compress.  NP f/u with patient by phone on 18 SE) 09 and he was doing better, applying the warm compresses and taking the KEFLEX.  By second f/u call on 22SEP09, the SM reported that the area was no longer red or warm, but that he could feel a bump, perhaps from scar tissue.  SM was in another state at the time.  Advised to f/u prn at clinic.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Scar
Clinical narrative: 27 y/o AD WM calls clinic on 17SEP09 concerned about "red, warm, tender area on my right upper arm "under my smallpox vaccination scar."  There is no documentation of patients primary SPV date in DEERS or MEDPROS, but historically, the patient states he received his primary SPV just before he deployed over seas in JAN of 2008, the same day he got his AVA #1 (09JAN08) per DEERS.  He has a scar on his right upper arm, which is now covered by an extensive, elaborate tattoo, which the patient has placed, in stages, over the past 6 weeks (deltoid of RUE).  The patient reports a normal 2-3 week evolution of his primary SPV from papule to pustule to a scab, which dried and fell off without complications in JAN 2008.  Thus, it appears that the current area of erythema, edema, and pus on his RUE represents a new infection, secondary to the patients recent tattoo placement on his RUE and is NOT in temporal association with the placement of his primary SPV in JAN of 2008.  The patient was seen at the clinic on 17 Sept 09 by NP and Dr., who agreed with assessment.  The patient was treated with KEFLEX 250 mg po qid x 10 days and given 800 mg ibuprofen tid po WF #30 prn pain.  He was instructed to apply warm compresses 2-3 times a day over the affected area and to F/U with his PCP at clinic the next morning for TD booster, as his last TD was given on 12JUN2001.  The patient did as instructed and saw seen by PA-c on SEP 18 09 at clinic and was given a TDAP and instructed to continue the compresses and KEFLEX.  The PA-C who saw the patient felt that an I&D of the area was not necessary, as the patient reported that it ruptured spontaneously that evening before after applying the warm compress.  NP f/u with patient by phone on 18 SE) 09 and he was doing better, applying the warm compresses and taking the KEFLEX.  By second f/u call on 22SEP09, the SM reported that the area was no longer red or warm, but that he could feel a bump, perhaps from scar tissue.  SM was in another state at the time.  Advised to f/u prn at clinic.
Age: 17.0
Sex: M
Vaccine: UNK
Symptoms: Autoimmune disorder, Blood glucose increased, Type 1 diabetes mellitus
Clinical narrative: Swine Flu shot that resulted in type I diabetes - Autoimmune disease in 1976-77 when diagnosed.  12/21/09 MR received for multiple service dates 03/20/86. DX Pt followed up on diabetes. Pt did not have any complaints with no signs of motor or sensory deficits. Pt insulin dependent diabetes.  MR for DOS 08/15/88-16/16/88. Pt admitted to r/o diabetes insipidus. Pt had 12 L urine output. DX studies: BUN and creatinine.  MR for DOS 11/01/97. DX: peripheral neuropathy and sz disorder. Pt c/o peripheral neuropathy and sz. Pt had a seizure due to hypoglycemia. Pt reported several episodes of sz in 96 and 97. Neurological exam: decreased sensation.  MR for DOS Pt occasional poliuria. Neurological exam: decreased pin prick. Peripheral neuropathy.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Contusion, Henoch-Schonlein purpura
Clinical narrative: She developed small bruises around her belly button on genitals and butt, they also went down both legs. The doctor checked her blood and urine. She has blood in her urine and has been diagnosed with anaphylactoid purpura (HENOCH-SCHOENLIEN purpura).   10/7/09 Received PCP records for 8/28/09. FINAL DX: rash & Henoch-Schonlein syndrome Records reveal patient experienced itchyrash all over stomach ache & diarrhea beginning 8/27.  Also with sore throat, nasal congestion & green nasal drainage x 4-6 days.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Gave pt AFLURIA instead of FLUZONE.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Gave pt AFLURIA instead of FLUZONE.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.25 of AFLURIA instead of the ped dose.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Patient received 0.5 ml of AFLURIA instead of FLUZONE.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: AFLURIA 0.25 given to pt opposed to pediatric do o vaccine.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: AFLURIA .5 given to Pt as apposed to pediatric vaccine.
Age: 10.0
Sex: M
Vaccine: FLU3
Clinical narrative: AFLURIA .5 given to pt as opposed to pediatric vaccine.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Influenza like illness, Muscle twitching, Urine analysis
Clinical narrative: The 16 yo child described muscle twitching all over following vaccination (7pm same day). The mother took her to Hospital ER. They ran tests, which showed that nothing was wrong. The twitching was not witnessed in ER. The next day child experienced flu-like  symptoms and stayed home from school. The day after 9-30-9 felt fine & returned to school, has not complained of any further muscle twitching.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Less than 24 hours following vaccine employee got a fine red rash on chest, neck, arms and trunk. Not raised, not itchy, - completely resolved within 24 hours.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Erythema at vaccine site - increased pain & heat.
Age: 18.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Chest pain, Chills, Condition aggravated, Depression
Clinical narrative: Achy, weak, dizzy, chest pain, headache, shaky, twitching, fever 100.4 - 101.6, 4 mo old whiplash pain renewed as if fresh, severe arm pain, chilled, swelling of right arm for 2 days. Has triggered OCD & depression episode as of 9-25-09.
Age: 18.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Headache, Muscle twitching, Neck pain, Obsessive-compulsive disorder
Clinical narrative: Achy, weak, dizzy, chest pain, headache, shaky, twitching, fever 100.4 - 101.6, 4 mo old whiplash pain renewed as if fresh, severe arm pain, chilled, swelling of right arm for 2 days. Has triggered OCD & depression episode as of 9-25-09.
Age: 18.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain, Pain in extremity, Pyrexia, Tremor
Clinical narrative: Achy, weak, dizzy, chest pain, headache, shaky, twitching, fever 100.4 - 101.6, 4 mo old whiplash pain renewed as if fresh, severe arm pain, chilled, swelling of right arm for 2 days. Has triggered OCD & depression episode as of 9-25-09.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, headache, nausea, congestion, pain, swelling, redness travelling down inside left arm (fevered).  Treated at ER and given BACTRIM DS on 9/24/09.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Respiratory tract congestion, Skin warm, Swelling
Clinical narrative: Fever, headache, nausea, congestion, pain, swelling, redness travelling down inside left arm (fevered).  Treated at ER and given BACTRIM DS on 9/24/09.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Asthenia, Dehydration, Dysuria, Fatigue
Clinical narrative: Headache/fatigue/weakness/nausea.  Also felt very hot/sweaty, vomited AM of 9-25-09 (X2).  Adb. cramping/ no diarrhea.  Unable to keep fluids down.  Decreased voiding.  Pulse - 100.  Appears dehydrated/lips dry.  "Feels bad" chilling sent to urgent care.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Feeling cold, Feeling hot, Headache, Hyperhidrosis
Clinical narrative: Headache/fatigue/weakness/nausea.  Also felt very hot/sweaty, vomited AM of 9-25-09 (X2).  Adb. cramping/ no diarrhea.  Unable to keep fluids down.  Decreased voiding.  Pulse - 100.  Appears dehydrated/lips dry.  "Feels bad" chilling sent to urgent care.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Lip dry, Nausea, Urine output decreased, Vomiting
Clinical narrative: Headache/fatigue/weakness/nausea.  Also felt very hot/sweaty, vomited AM of 9-25-09 (X2).  Adb. cramping/ no diarrhea.  Unable to keep fluids down.  Decreased voiding.  Pulse - 100.  Appears dehydrated/lips dry.  "Feels bad" chilling sent to urgent care.
Age: 7.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Red spots, hot, painful, red, swollen.
Age: 14.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Erythema, Oedema peripheral, Skin striae, Urticaria
Clinical narrative: Arm redness, swollen, red streaks, hives.
Age: 78.0
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Developed redness and swelling 24 hours after administration that rapidly spread. Exam was concerning for cellulitis. Started on KEFLEX.
Age: 52.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Cold sweat, Hyperhidrosis, Insomnia, Irritability
Clinical narrative: Hot and cold sweats - loss of sleep - irritability.
Age: 46.0
Sex: U
Vaccine: FLUN3
Symptoms: Anxiety, Chest pain, Discomfort, Dizziness, Hypertension
Clinical narrative: Dizziness, chest pain, HPB/Tachycardia.
Age: 46.0
Sex: U
Vaccine: FLUN3
Symptoms: Insomnia, Nervousness, Pain, Sensory disturbance, Tachycardia
Clinical narrative: Dizziness, chest pain, HPB/Tachycardia.
Age: 46.0
Sex: U
Vaccine: FLUN3
Symptoms: Tobacco user
Clinical narrative: Dizziness, chest pain, HPB/Tachycardia.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Crying
Clinical narrative: Crying, non-stop for hours after vaccination.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: 09/25/09 10:22AM returned client's call. She received a Flu vacc. 09/23/09, Wed., and on 09/24/09 she has pain,redness, and swelling LDT, injection site, with bumps and itching. She called her MD and was instructed to take OTC Benadryl. The pain,redness, and itching are better today.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Child received vaccine on 9/29/09; less than 24 hours later developed increasing redness, 8x8cm area warm to touch and itchy. Treated with Keflex for 7 days; to use po Benadryl for itch
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Blood test, Pollakiuria
Clinical narrative: Diagnosed with Type 1 diabetes two months later. Frequent urination started 6 wks after vaccination and diagnosed with diabetes 8 wks after vaccination. 1/7/2010 PCP records for 2 wellness visits, 4/2008 and 5/2009, on second visit it states patient on an Insulin pump x 2 months, stable HgbA1C, Dx IDDM
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Disturbance in attention, Dizziness, Flushing
Clinical narrative: dizziness, flushing, anxiety, difficulty concentrating
Age: 1.5
Sex: F
Vaccine: FLU3
Symptoms: Abnormal behaviour, Aggression, Agitation, Dyskinesia, Screaming
Clinical narrative: Child reportly became combative, agitated, screaming, biting, jerking and wheezing approximately 6 hours following influenza vaccination. No fever, no localized reation. After calling MD, Mother gave Benedryl and breathing treatments throughout night. Went to daycare following morning.
Age: 1.5
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Child reportly became combative, agitated, screaming, biting, jerking and wheezing approximately 6 hours following influenza vaccination. No fever, no localized reation. After calling MD, Mother gave Benedryl and breathing treatments throughout night. Went to daycare following morning.
Age: 36.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site swelling
Clinical narrative: Minor localized reaction(swelling) to Inluenza and pneumococcal in L deltoid diagnosed after physician evaluation
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Death
Clinical narrative: Information has been received from a registered nurse concerning her 84 year old father with multiple medical problems who in 1995 was vaccinated with a dose of PNEUMOVAX 23 (lot, route and site of administration not reported). The nurse reported that her father may have had aspiration pneumonia when he died on 27-JUL-2000. Her father was a hospice patient at the time of his death. The registered nurse felt that her father's death and aspiration pneumonia were not related to therapy with PNEUMOVAX 23. No further information is available. 11/16/09 Certificate of Death received. DOD 7/27/2000. Cause of Death: Alzheimers Disease.
Sex: U
Vaccine: FLU3
Symptoms: Chest pain, Cough, Dyspnoea, Eye swelling, Ocular hyperaemia
Clinical narrative: Initial report received on 17 September 2009 from a health care professional. A cluster of two patients with no reported medical history experienced oculorespiratory syndrome after receiving FLUZONE SV (lot number not reported), on an unspecified date over the last two to three days. The syndrome consisted of very red and swollen eyes, upper respiratory tract symptoms (shortness of breath, chest pain, cough, congestion). Recovery status was not reported. No further information was provided. List of Documents held by Sender: none.
Sex: U
Vaccine: FLU3
Symptoms: Oculorespiratory syndrome, Respiratory tract congestion
Clinical narrative: Initial report received on 17 September 2009 from a health care professional. A cluster of two patients with no reported medical history experienced oculorespiratory syndrome after receiving FLUZONE SV (lot number not reported), on an unspecified date over the last two to three days. The syndrome consisted of very red and swollen eyes, upper respiratory tract symptoms (shortness of breath, chest pain, cough, congestion). Recovery status was not reported. No further information was provided. List of Documents held by Sender: none.
Sex: F
Vaccine: TTOX
Symptoms: Anaphylactic reaction
Clinical narrative: Initial report received on 23 September 2009 from another manufacturer, who had received the original report from a health care professional via their Service Center (Document number 45225891). A female patient, whose medical history was not reported, had received a TETANUS TOXOID vaccination (manufacturer not reported) sometime in the past. At an unspecified amount of time later, the patient experienced an anaphylactic reaction. It was not reported whether any treatments were received, or if any diagnostic tests or laboratory data were performed. It was reported the patient did not die. Recovery status was not reported. Documents held by sender: None.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Influenza like illness, Pneumonia, Productive cough, Pulmonary oedema
Clinical narrative: Initial report received on 24 September 2009 from a consumer. A 60 year old female patient with no reported medical history developed a reaction one day after she received ADACEL (lot number C3098AA) intramuscularly in the right deltoid on 27 June 2009. On 28 June 2009 the patient reported swine flu like symptoms which included cough, low grade fever, extreme difficulty breathing, fluid in her lungs, coughing up large of amounts of mucus which was initially clear then changed to green. Her symptoms progressed into pneumonia. The patient was sick for three months. She was seen by a physician who prescribed Amoxicillin and antivirals which had no effect. During that time, she improved two times and then had relapsed. The patient was reported as recovered. List of Documents held by Sender: none.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Initial report received on 24 September 2009 from a consumer. A 60 year old female patient with no reported medical history developed a reaction one day after she received ADACEL (lot number C3098AA) intramuscularly in the right deltoid on 27 June 2009. On 28 June 2009 the patient reported swine flu like symptoms which included cough, low grade fever, extreme difficulty breathing, fluid in her lungs, coughing up large of amounts of mucus which was initially clear then changed to green. Her symptoms progressed into pneumonia. The patient was sick for three months. She was seen by a physician who prescribed Amoxicillin and antivirals which had no effect. During that time, she improved two times and then had relapsed. The patient was reported as recovered. List of Documents held by Sender: none.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Neonatal disorder
Clinical narrative: Information has been received from Merck Pregnancy Registry for GARDASIL from a physician concerning a 15 year old female patient who on 27-MAR-2009 was vaccinated with a first dose of GARDASIL (lot # 659655/0940X). On 27-MAY-2009 she received second dose of GARDASIL (lot # 662229/1497X). On an unspecified date the patient became pregnant. Follow up information has been received from a physician concerning the 15 year old female patient with a vaccination history that included five doses of DTaP (manufacturer unknown) on 07-FEB-1994, 07-SEP-1994, 21-JUN-1994, 30-JUN-1995, 25-AUG-1998. A dose of DTaP (Lot number C2556AA) at 12 year old 18-JUL-2006. Three doses of HIB (OMPC) (manufacturer unknown) on 07-FEB-1994, 21-JUN-1994, 30-JUN-1995. Three doses of ENGERIX-B on 18-JUL-2006 (Lot number B256AA), 29-DEC-2006 (Lot number B258AA) and on 01-MAY-2007 (Lot number B319AA). Four doses of POLIO (unspecified) (manufacturer unknown) on 07-FEB-1994, 07-APR-1994, 30-JUN-1995 and on 25-AUG-1998. Two doses of MMR (manufacturer unknown) on 30-JUN-1995 and on 25-AUG-1998. A dose of VARIVAX (Merck) (manufacturer unknown) on 25-AUG-1998. On 27-MAR-2009 the patient was vaccinated with the first dose of GARDASIL and on 27-MAY-2009 received the second dose of GARDASIL. The physician reported that the patient delivered a baby boy by c-section on 07-SEP-2009. On 07-SEP-2009 the patient was born with genetic hypospadias at 34 weeks and weight at birth of 2280 grams. The physician added that discussion with the baby's parents have been made and this condition may be corrected when the baby is 1 year of age. The physician reported that both the mother and the baby are doing well. Upon internal review genetic hypospadias was considered as genetic anomaly and delivered a baby boy by c-section to be as other important medical event. No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a physician and the physician's secretary concerning a 14 year old female patient with no known drug allergies, pertinent medical history or concurrent conditions who on 21-JUL-2009 was vaccinated with the first dose of GARDASIL (Lot # 658271/0558X). The patient did not have any reaction after the first vaccination. On 21-SEP-2009 the patient was vaccinated with the second dose of GARDASIL (lot # 658271/0558X). There was no concomitant therapy and no other vaccines were given on those days. 24 hours after the second vaccination (22-SEP-2009) the patient had a seizure. The patient's mother contact an " Emergency Medical Tech" who informed her it was from the GARDASIL but the patient was not taken to the hospital. The patient was last seen in the office 23-SEP-2009. At the time of the report, the patient's seizure was recovering. The physician had ordered an EEG and recommended the patient to be seen by a pediatric neurologist (name not recorded). Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.  10/6/09 PCP medical records, consultations, service date 9/23/09. Assessment: First time seizure. Patient presents with hx of right arm jerking, fell to floor, body shaking, turned grey/blue, biting tongue, vomiting. Tongue edematous. Followed by another shaking episode. Does not remember episodes. Patient remains confused.
Age: 6.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blood creatine phosphokinase increased, Blood test, Condition aggravated, Constipation, Enema administration
Clinical narrative: Information has been received from a registered pharmacist concerning a 6 year old female patient with a history of chronic constipation and no drug reactions who on an unspecified date, was vaccinated with a dose of VARIVAX (Merck) (lot# not reported, subcutaneous, 0.5ml) and a dose of MMRII (lot# and route not reported) in bilateral thighs.  On an unspecified date, the patient developed thigh pain after the injections.  The patient had no rash and no fever.  On 14-SEP-2009 the patient developed a urinary tract infection and was placed on therapy with antibiotics.  On 21-SEP-2009 the patient developed "shaking, soiled her pants and screaming with leg pain".  The patient was taken to emergency room and CT scans were performed.  The patient was diagnosed with constipation and was transferred to another hospital.  In the emergency room an enema and digital stimulation was attempted for disimpaction and was unsuccessful.  On 22-SEP-2009 the patient was then admitted around 2 a.m. to be disimpacted under sedation later today.  Due to the patient's complaint of thigh pain a CK level was drawn at 5:25 a.m. on 22-SEP-2009.  The results were elevated at 432 (normal range for the hospital 20-160).  Blood work was performed with no results reported.  The patient's thighs were nontender to palpation during assessment.  At the time of this report, the patient had not recovered.  Additional information has been requested.
Age: 6.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pain in extremity, Screaming, Tremor, Urinary tract infection
Clinical narrative: Information has been received from a registered pharmacist concerning a 6 year old female patient with a history of chronic constipation and no drug reactions who on an unspecified date, was vaccinated with a dose of VARIVAX (Merck) (lot# not reported, subcutaneous, 0.5ml) and a dose of MMRII (lot# and route not reported) in bilateral thighs.  On an unspecified date, the patient developed thigh pain after the injections.  The patient had no rash and no fever.  On 14-SEP-2009 the patient developed a urinary tract infection and was placed on therapy with antibiotics.  On 21-SEP-2009 the patient developed "shaking, soiled her pants and screaming with leg pain".  The patient was taken to emergency room and CT scans were performed.  The patient was diagnosed with constipation and was transferred to another hospital.  In the emergency room an enema and digital stimulation was attempted for disimpaction and was unsuccessful.  On 22-SEP-2009 the patient was then admitted around 2 a.m. to be disimpacted under sedation later today.  Due to the patient's complaint of thigh pain a CK level was drawn at 5:25 a.m. on 22-SEP-2009.  The results were elevated at 432 (normal range for the hospital 20-160).  Blood work was performed with no results reported.  The patient's thighs were nontender to palpation during assessment.  At the time of this report, the patient had not recovered.  Additional information has been requested.
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Adverse event
Clinical narrative: Information has been received from a consumer concerning one of her acquaintance, a male patient who on an unspecified date was vaccinated with a dose of ZOSTAVAX (Merck) (lot number not reported). The patient received ZOSTAVAX (Merck) and an unspecified flu vaccine together and had to be hospitalized (hospital name, address, phone number unspecified) for a while (number of days unspecified) because "his whole body was messed up" (not further specified). It was unknown if there were lab studies performed. The outcome of the patient was not reported. No further information is available.
Age: 74.0
Sex: U
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: -Redness and swollen at site of injection (below injection site).
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Feeling hot, Throat irritation
Clinical narrative: Sensation of heat, itching in throat, cough - To Ed - SOLUMEDROL IV, PEPCID, IV fluids//PROVENTIL -BENADRYL and Prednisone at home.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Feeling hot, Injection site swelling
Clinical narrative: Went to ED c/o body felt "on fire" after receiving vaccine - C/o chest pain at 1 hour after arriving in ED - mild swelling (L) deltoid - No redness/no rash - No acute distress - No SOB - Rec'd XANAX and TYLENOL
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Paraesthesia, Rash, Throat irritation
Clinical narrative: SOB, tingling, itching in throat - rash - BENADRYL, SOLUMEDROL.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever 102.1; chills, aches, c/o (R) arm hurting.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Eye discharge, Pharyngeal erythema, Pharyngitis, Scleral hyperaemia
Clinical narrative: B/L erythematous sclera with discharge (+) pharyngeal infections with erythema - no exudate. symptoms developed 6 hours after vaccine - treated with BENADRYL.