chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Oedema, Skin warm, Tenderness
Clinical narrative: DTP given left deltoid 8/8/08. Mild tenderness and edema shortly after. 8/13/08 became red, warm, and indurated in about 4x4cm oval distribution. Patient often Keflex 500mg QID x 7days and told to do warm compress to area.
Age: 0.58
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal pain, Blood sodium decreased, Constipation, Hepatomegaly
Clinical narrative: Information has been received from FDA (VAERS #273446) through the CDC concerning a 7-month-old female with no medical history who on 15-JAN-2007 was vaccinated PO with a dose of ROTATEQ (Lot #653754/0139F). Concomitant vaccinations administered on that same day included the third dose of PEDIARIX (Lot # AC218092AA), the third dose of PEDVAX HIB (Lot #654401/1015F) and the third dose of PREVNAR (Lot #B08672K). On 26-FEB-2007, the patient developed crampy abdominal pain, lack of bowel movements and vomiting. The patient was also noted to be constipated. On 03-MAR-2007, the patient was hospitalized due to her symptoms. The patient's blood sodium was found to be decreased and urine ketones were present. An abdominal/pelvic x-ray showed a suggestion of hepatomegaly with displacement of bowel loops into the left abdomen. An abdominal ultrasound showed a positive presence of extensive intussusception in the "transve". Partial reduction of the intussusception was completed, however, focal intussusception remained in the distal terminal ileum which was surgically reduced via open-reduction. On 05-MAR-2007, the patient was discharged from the hospital with a discharge diagnosis of intussusception. On 06-MAR-2007, the patient was considered to be recovered. The reporter also considered the intussusception to be immediately life-threatening. This is a consolidation of two reports concerning the same patients. A Lot check has been requested for ROTATEQ (lot # 653754/0139F) and for PEDVAX HB (lot # 654401/1015F). Standard lot check investigations were performed for ROTATEQ (lot # 653754/0139F) and PEDVAX HB (lot # 654401/1015F). All in-process quality checks for the lot numbers in question were satisfactory. In addition, expanded lot check investigations were performed. The testing performed on the batches prior to release met all release specifications. The lots met the requirements of the government. No further information is available. It has been determined that WAES # 0704USA05227 is a duplicate of WAES # 0704USA04615. Therefore, WAES # 0704USA05227 is being deleted from our files and the reports consolidated into WAES # 0704USA04615.
Age: 0.58
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Infrequent bowel movements, Intussusception, Surgery, Ultrasound abdomen abnormal, Urine ketone body present
Clinical narrative: Information has been received from FDA (VAERS #273446) through the CDC concerning a 7-month-old female with no medical history who on 15-JAN-2007 was vaccinated PO with a dose of ROTATEQ (Lot #653754/0139F). Concomitant vaccinations administered on that same day included the third dose of PEDIARIX (Lot # AC218092AA), the third dose of PEDVAX HIB (Lot #654401/1015F) and the third dose of PREVNAR (Lot #B08672K). On 26-FEB-2007, the patient developed crampy abdominal pain, lack of bowel movements and vomiting. The patient was also noted to be constipated. On 03-MAR-2007, the patient was hospitalized due to her symptoms. The patient's blood sodium was found to be decreased and urine ketones were present. An abdominal/pelvic x-ray showed a suggestion of hepatomegaly with displacement of bowel loops into the left abdomen. An abdominal ultrasound showed a positive presence of extensive intussusception in the "transve". Partial reduction of the intussusception was completed, however, focal intussusception remained in the distal terminal ileum which was surgically reduced via open-reduction. On 05-MAR-2007, the patient was discharged from the hospital with a discharge diagnosis of intussusception. On 06-MAR-2007, the patient was considered to be recovered. The reporter also considered the intussusception to be immediately life-threatening. This is a consolidation of two reports concerning the same patients. A Lot check has been requested for ROTATEQ (lot # 653754/0139F) and for PEDVAX HB (lot # 654401/1015F). Standard lot check investigations were performed for ROTATEQ (lot # 653754/0139F) and PEDVAX HB (lot # 654401/1015F). All in-process quality checks for the lot numbers in question were satisfactory. In addition, expanded lot check investigations were performed. The testing performed on the batches prior to release met all release specifications. The lots met the requirements of the government. No further information is available. It has been determined that WAES # 0704USA05227 is a duplicate of WAES # 0704USA04615. Therefore, WAES # 0704USA05227 is being deleted from our files and the reports consolidated into WAES # 0704USA04615.
Age: 0.58
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting, X-ray abnormal
Clinical narrative: Information has been received from FDA (VAERS #273446) through the CDC concerning a 7-month-old female with no medical history who on 15-JAN-2007 was vaccinated PO with a dose of ROTATEQ (Lot #653754/0139F). Concomitant vaccinations administered on that same day included the third dose of PEDIARIX (Lot # AC218092AA), the third dose of PEDVAX HIB (Lot #654401/1015F) and the third dose of PREVNAR (Lot #B08672K). On 26-FEB-2007, the patient developed crampy abdominal pain, lack of bowel movements and vomiting. The patient was also noted to be constipated. On 03-MAR-2007, the patient was hospitalized due to her symptoms. The patient's blood sodium was found to be decreased and urine ketones were present. An abdominal/pelvic x-ray showed a suggestion of hepatomegaly with displacement of bowel loops into the left abdomen. An abdominal ultrasound showed a positive presence of extensive intussusception in the "transve". Partial reduction of the intussusception was completed, however, focal intussusception remained in the distal terminal ileum which was surgically reduced via open-reduction. On 05-MAR-2007, the patient was discharged from the hospital with a discharge diagnosis of intussusception. On 06-MAR-2007, the patient was considered to be recovered. The reporter also considered the intussusception to be immediately life-threatening. This is a consolidation of two reports concerning the same patients. A Lot check has been requested for ROTATEQ (lot # 653754/0139F) and for PEDVAX HB (lot # 654401/1015F). Standard lot check investigations were performed for ROTATEQ (lot # 653754/0139F) and PEDVAX HB (lot # 654401/1015F). All in-process quality checks for the lot numbers in question were satisfactory. In addition, expanded lot check investigations were performed. The testing performed on the batches prior to release met all release specifications. The lots met the requirements of the government. No further information is available. It has been determined that WAES # 0704USA05227 is a duplicate of WAES # 0704USA04615. Therefore, WAES # 0704USA05227 is being deleted from our files and the reports consolidated into WAES # 0704USA04615.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Osteomyelitis
Clinical narrative: Information has been received from a registered nurse, concerning a 12 year old female patient who on 16-JUL-2008 was vaccinated with the first dose of GARDASIL in her right arm. The patient subsequently, had "complications involving her left arm". The patient had to be hospitalized and was diagnosed with osteomyelitis. The patient was still in the hospital at the time of this report. No other details were provided. The patient's osteomyelitis persisted. The patient did seek medical attention. There was no product quality complaint. The patient's experience was considered an other important medical event by the reporter. Additional information is expected.
Sex: U
Vaccine: PER
Symptoms: Convulsion
Clinical narrative: Initial report received from another manufacturer on 11 August 2008.  A patient (initials, age, gender not reported) experienced a seizure after administration of a pertussis vaccine (trade name not reported, manufacturer unknown).  Date of vaccination and onset date of event were not reported.  No additional information was provided.
Sex: U
Vaccine: PER
Symptoms: Convulsion
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  Initial report received 13 August 2008 from another manufacturer who received the report from a health care professional.  An unidentified patient experienced a convulsion after receiving pertussis vaccine as a baby (manufacturer unknown, lot number not reported).  No further information was provided at the time of the report.  A corrective version of this case was create on 19 August 2008 to amend the seriousness of this report to serious, as the event was considered to be medically significant.
Sex: F
Vaccine: PNC
Symptoms: Autism
Clinical narrative: This case was considered medically important. Information regarding PREVNAR was received from a consumer regarding a female child who experienced autism. The child received the third dose on an unspecified date. The child experienced autism. No additional information was available at the time of this report.
Sex: F
Vaccine: VARCEL
Symptoms: Bacteraemia, Dizziness, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a pharmacist, concerning an adult female patient who on 04-AUG-2008 was vaccinated with a booster dose of VARIVAX (Oka/Merck).  No adverse reactions were reported after the first dose of VARIVAX (Oka/Merck) was given.  The patient felt "light headed" after the booster dose was given.  The patient went to the emergency room on 12-AUG-2008 and was admitted for acute bacteremia.  At the time of reporting the patient was recovering.  There was no product quality complaint.  Additional information is expected.
Age: 0.42
Sex: F
Vaccine: RV5
Symptoms: Body temperature increased, Culture stool, Diarrhoea haemorrhagic, Full blood count, Occult blood
Clinical narrative: Information has been received from a physician concerning a 5 month old female infant with no known allergies or pertinent medical history who on 05-AUG-2008 was vaccinated orally with a second 2ml dose of ROTATEQ (lot # 660684/0301X). The first dose of ROTATEQ was given on 30-APR-2008. There was no concomitant medication. Subsequently, on 11-AUG-2008 the patient experienced bloody diarrhea and fever. The patient was seen by the physician and hospitalized. The patient had stool cultures, rotavirus screening, guaiac test, CBC and an abdominal ultrasound performed. The results were not reported. At the time of the report, the patient's status was unknown. There was no product quality complaint involved. The reporting physician considered the event to be immediately life-threatening. A lot check has been requested. Additional information has been requested.
Age: 0.42
Sex: F
Vaccine: RV5
Symptoms: Pyrexia, Rotavirus test, Ultrasound abdomen
Clinical narrative: Information has been received from a physician concerning a 5 month old female infant with no known allergies or pertinent medical history who on 05-AUG-2008 was vaccinated orally with a second 2ml dose of ROTATEQ (lot # 660684/0301X). The first dose of ROTATEQ was given on 30-APR-2008. There was no concomitant medication. Subsequently, on 11-AUG-2008 the patient experienced bloody diarrhea and fever. The patient was seen by the physician and hospitalized. The patient had stool cultures, rotavirus screening, guaiac test, CBC and an abdominal ultrasound performed. The results were not reported. At the time of the report, the patient's status was unknown. There was no product quality complaint involved. The reporting physician considered the event to be immediately life-threatening. A lot check has been requested. Additional information has been requested.
Age: 0.33
Sex: F
Vaccine: RV5, UNK
Symptoms: Respiratory arrest
Clinical narrative: Information has been received from a physician concerning a 4 month old female patient who was vaccinated at another physician's office with ROTATEQ during her 2nd month wellness check up.  Concomitant vaccinations on the same day were unspecified.  It was noted that the patient stopped breathing after leaving the physician's office.  The patient was rushed to the emergency room.  It was unspecified if lab studies were performed.  The patient was not hospitalized.  At the time of the report, the patient's status was unknown.  There was no product quality complaint involved.  Upon internal review "stopped breathing" was considered an other important medical event.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Bruxism, Catatonia, Hyperhidrosis, Immediate post-injection reaction, Incontinence
Clinical narrative: Information has been received from a physician concerning a 19 year old female who on 05-AUG-2008 at 1:45 PM was vaccinated intramuscularly with a third dose of GARDASIL (lot #660620/0571X) in her left arm. There was no illness at time of vaccination. On 05-AUG-2008 at 1:46 PM, one minute after vaccination, the patient fainted, turned pale, had a catatonic reaction and her teeth clenched. The patient was diaphoresis, "blacked out" and needed Oxygen for about 7 minutes. 911 was called. The patient had incontinence. No laboratory diagnostics studies were performed. On 05-AUG-2008, the patient recovered. The physician considered the patient's events to be other important medical event. Additional information is not expected.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Pallor, Syncope
Clinical narrative: Information has been received from a physician concerning a 19 year old female who on 05-AUG-2008 at 1:45 PM was vaccinated intramuscularly with a third dose of GARDASIL (lot #660620/0571X) in her left arm. There was no illness at time of vaccination. On 05-AUG-2008 at 1:46 PM, one minute after vaccination, the patient fainted, turned pale, had a catatonic reaction and her teeth clenched. The patient was diaphoresis, "blacked out" and needed Oxygen for about 7 minutes. 911 was called. The patient had incontinence. No laboratory diagnostics studies were performed. On 05-AUG-2008, the patient recovered. The physician considered the patient's events to be other important medical event. Additional information is not expected.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Excoriation, Rash erythematous, Rash generalised, Rash pruritic, Skin plaque
Clinical narrative: 73 yr old man with medical hx significant for DM, HTN, CAD, depression, GERD, DJD, BPH, disseminated superficial actinic porokeratosis and allergies to dust and piroxicam received ZOSTAVAX injection on 5/29/08. Pt seen in ER on 5/31/08 with bad rash all over body (trunk/arms/legs) which is related to ZOSTAVAX. There is no lip/tongue involvement, no fever and rash is not helped with Diphenhydramine. Pt is treated with loratadine/ranitidine/hydroxyzine. Over the next several days pt is seen in urgent visit clinic twice for continued pruritic rash that is not helped with above treatments. Pt is given doxepin on 6/2/08 visit and during exam noted to have the following-confluent erythematous plaques, few excoriations, plaques on upper extremities to wrists, band across lower abdomen and involvement in flanking/achilles. Of note, pt without hx of chicken pox. Confirmed with reporter. Pt had varicella rash.
Age: 44.0
Sex: F
Vaccine: VARCEL
Symptoms: Nasopharyngitis, Secondary transmission, Varicella
Clinical narrative: On Aug 4 2008 my granddaughter received a chicken pox vaccine. She got very sick and broke out with a few bumps, -spots- she was taken to the doctors. The doctor stated that it was unlikely that the spots were chicken pox. I then came in contact with her on Friday Aug. 8th 2008. On Tuesday Aug. 14 2008 I thought I was coming down with a cold. On Wed. Aug 13th I started to break out with chicken pox. I have already had chicken pox as a child and it was a hard case of them. My 20 year old daughter that lives with me was also exposed to my granddaughter; she also broke out with chicken pox the same day I did and she also had chickenpox as a child. Today 8-18-08 I found 2 spots on my husband and he also had chicken pox as a child. There is evidently a serious problem with the chicken pox vaccine or at least that batch that my granddaughter received. Someone needs to pull a sample out of the same lot that my granddaughter received and it needs to be checked. I called the CDC and checked online and it is supposed to be VERY VERY RARE that a person can get chickenpox twice. I have 3 people in my household that have chicken twice, how is this possible? Has the virus mutated. Is the vaccine defective? SOMEONE NEEDS TO TAKE ACTION NOW! Our exposure is going to lead to to an outbreak of chicken pox. The news channel will be informed if there is no action taken. THE PUBLIC NEEDS TO KNOW!
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at injection site.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Abdominal discomfort, Dizziness, Fatigue, Full blood count, Headache
Clinical narrative: Headaches, dizziness, GI upset, stiff/sore neck, fever, fatigue, body aches.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Mononucleosis heterophile test negative, Musculoskeletal stiffness, Neck pain, Pain, Pyrexia
Clinical narrative: Headaches, dizziness, GI upset, stiff/sore neck, fever, fatigue, body aches.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Streptococcal identification test negative
Clinical narrative: Headaches, dizziness, GI upset, stiff/sore neck, fever, fatigue, body aches.
Age: 72.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pain in extremity
Clinical narrative: Prolonged pain in arm
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling at injection site 5 1/2 x 4cm oval redness/warmth.  Tx: amoxicillin 875-125mg.
Age: 24.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: 10x8cm area of redness/swelling/warmth.  Tx: amoxicillin 875-125mg.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Insomnia, Myalgia, Pyrexia
Clinical narrative: Fever up to 104 - Tuesday 101-104 through Friday PM - seen by Dr Thurs PM - given prednisone.  Achy joints, muscles, everywhere-hard to sleep-all symptoms noted Tues AM.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Red and heat where: injection, given, swollen diameter of tennis ball, height 1/4-2", itched, ached, tender bruised where injection needle given, all area of swelling bruised second day, all area painful; had headache for 1 day and night and 1/2 next day
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Red and heat where: injection, given, swollen diameter of tennis ball, height 1/4-2", itched, ached, tender bruised where injection needle given, all area of swelling bruised second day, all area painful; had headache for 1 day and night and 1/2 next day
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: None at time; had fever after to 101.9.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature, Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Erythematous macular blotching rash surrounding site of both Tdap and MENACTRA vaccine sites (bilateral deltoid areas) given on 8/13/08, mild warmth and tenderness.  Temp 99.2 without findings of new acute illness.  Both injection sites prepped with alcohol pledget.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Radioallergosorbent test, Rash macular
Clinical narrative: Erythematous macular blotching rash surrounding site of both Tdap and MENACTRA vaccine sites (bilateral deltoid areas) given on 8/13/08, mild warmth and tenderness.  Temp 99.2 without findings of new acute illness.  Both injection sites prepped with alcohol pledget.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Diarrhoea, Myalgia, Pyrexia
Clinical narrative: Fever, chills, myalgia, diarrhea - started following AM after vaccine given.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Abnormal dreams, Diarrhoea, Dyspnoea, Feeling hot, Vomiting
Clinical narrative: 8/18/08 - Pt. called today to report adverse reaction to Tdap vaccine given on 8/13/08.  Client reports awakening at approx 530AM on 8/14/08 with violent vomiting 3 times, vivid dreams, and a temp. (hot to touch) did not take temp.  Then developed diarrhea a few hours later.  Drank lots of H2O.  Took PEPTO BISMOL & TYLENOL PRN.  Client reports calling Dr. office (primary provider) and the lady that answered the phone told him to call the health dept. that he probably had an adverse reaction to the vaccine received on 8-13-08.  Client also reported difficulty breathing at times.  But did not seek professional assistance.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Computerised tomogram normal, Hallucination, Headache, Pain, Urinary incontinence
Clinical narrative: Body hurt, also my head.  I was seeing thing last night around 8PM and around 5AM also used the bathroom on myself 1#.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Headache, Muscle spasms, Pyrexia
Clinical narrative: Receive vaccines on 8-12-08, Tdap, Hepatitis A, Varicella.  Received call from babysitter, pt. c/o headache, leg cramps, fever 102.0.  Tepid bath & TYLENOL 325 given to client per nurse line per babysitter.  Also consult pediatrician.  Have been calling to f/u no response to calls. Babysitter returned called-client doing fine.  Fever broke that evening.  States it took 2 day for fever to return to to normal.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Dr. saw patient on 8-14-08 due to red swollen left arm.  Swelling extended from shoulder to elbow.  No fever.  No drainage.  Patient placed on AUGMENTIN.  Dr. saw patient on 8-15-08 for follow-up.  Arm no longer red.  Swelling down a bit.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: On date of injection left deltoid sensitive. By Friday arm was very red: Hot and swollen from site to elbow. This lasted till 8/11/08 client was on vacation - Did not seek medical attention: Iced area and was given Tylenol and Benadryl by parent.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site cellulitis, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Cellulitis at injection site. 7cmx6cm induration; Painful to touch; No drainage. Occurred 24hr after injection; Treated with Benadryl and cool compress. Improving after 48hr decreased swelling and pain
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Back pain, Musculoskeletal stiffness, Neck pain, Pyrexia
Clinical narrative: Fever, nuchal/back ache/stiffness.
Age: 12.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness, Muscular weakness, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Within 24 hours became dizzy, fever, lower ext -> weakness; pain in legs, nausea
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Developed 55x70 mm red, warm tender and swollen area where shot given
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Pain in extremity
Clinical narrative: She received ZOSTAVAX 8/5/08 and developed shingles lesions on her right buttock with pain in right thigh
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Fatigue, Herpes zoster, Incontinence, Pain in extremity, Rash
Clinical narrative: She received ZOSTAVAX 8/5/08 and developed shingles lesions on her right buttock with pain in right thigh
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urine analysis, Vulvovaginal discomfort
Clinical narrative: She received ZOSTAVAX 8/5/08 and developed shingles lesions on her right buttock with pain in right thigh
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Mother reports child developed redness and swelling and itching, "arm is hard" to left deltoid approximately 12 hours after vaccination. Applied cold compress, treated with oral Motrin and Benadryl. No fever; Symptoms resolved by 8/18/08
Age: 19.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Drug exposure during pregnancy, Measles antibody negative
Clinical narrative: Pt seen 12/13/07, gave LMP as 11/16/07 and MMR given.  Pt returned to clinic 2/22/08 giving LMP as 10/29/07 and began prenatal care.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Large erythematous raised warm lesion medial aspect of R UE - but lateral to site of injection.  +pruritus, no VZV lesion, more consistent with insect bite - responded to antihistamine.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Hypersensitivity, Inflammation
Clinical narrative: Complication/allergic reaction and chronic inflammatory remain intact.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: 10 month after receiving VARIVAX in right thigh, shingles erupted in the same location - L - distribution. No history of prior varicella.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Local reaction
Clinical narrative: Large local reaction now 4cm x 3cm - BENADRYL 25mg PRN & cool compress.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Pruritus
Clinical narrative: Mild/moderate local reaction 6cm x 4cm area of erythema back of left arm; (+) itchy; Zyrtec 10mg tabs 1 tab po q day and Ibuprofen prn
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Left arm large reddened area - advised to apply cool compresses and may take Tylenol for discomfort
Sex: M
Vaccine: ANTH
Symptoms: Alcohol use, Syncope
Clinical narrative: Pt fainted 2.5 days after AVA#1. Pt fainted after voiding. Pt had consumed 3 jumbo margaritas earlier in the evening. At the time of syncope pt denied chest pain, SOB, diaphoresis, straining to void. Denied hx of CVD, hypertension, previous episodes of fainting.  Pt cleared for second AVA. Instructed to return if further episodes of fainting after AVA.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Injection site pain, Lethargy, Pyrexia
Clinical narrative: High fever (over 102), headache, lathargic, pain in shot area
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Blood pressure decreased, Heart rate decreased, Hyperhidrosis, Malaise, Syncope vasovagal
Clinical narrative: Within 1-2 minutes of receiving Tdap vaccine and a blood draw, patient had a vasovagal reaction lasting about 30 seconds.  Came out of it and talked for a couple of minutes and then said that he did not feel well and had another vasovagal reactions lasting 1 minute.  Was diaphoretic.  States B/P and pulse are normally low.  Was 78/42 and pulse was 48.  Got him into reclining position and had him drink 2 liters of fluid.  Watched him for 30 minutes.  No injuries.  B/P was 86/64 with pulse 56 on discharge.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Symptoms: Wrong drug administered
Clinical narrative: Medication error: Pneumovax vaccine administered to 2mo infant instead of Prevnar. NO adverse side effects reported at this time.  We plan to continue with normal Prevnar vaccination as recommended by the CDC for a patient of this age as long as no adverse effects are reported.  This plan is based on recommendations from a call to CDC Info.  (800)CDC-INFO.  ID number of call and recommendation: 1-61622518.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Cold sweat, Computerised tomogram normal, Convulsion, Nausea, Pallor
Clinical narrative: Mother reported that patient had a seizure in the car after leaving the office. Mother reported that seizure lasted for 3-5 seconds. Nurse assessed patient in the passenger seat of the car in the facility parking lot- patient was pale and calmy to touch. Patient reported feeling nausea. Patient was alert and oriented x3. Instructed patient's mother to take child to ER if not feeling any better and to follow up with primary care physician on 08-21-08.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Excoriation, Face injury, Syncope
Clinical narrative: Tdap, MCV4, and VZ were adminstered without problems. Patient up in clinic chose treat and left clinic. Patient had a syncopal episode in the parking lot and suffered abrasions to face. Patient treated in clinic and recovered BP and HR in less than 20 minutes. Minor abrasions cleansed and treated. Patient left clinic ambulatroy.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, DTPHIB, PPV
Symptoms: Accidental overdose, Wrong drug administered
Clinical narrative: There were no adverse symptoms or affects.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Asthenia, Dizziness, Dyspnoea, Erythema, Headache
Clinical narrative: Fever, difficulty breathing, dizziness, headache, weakness, arm swelled and turned red.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Oedema peripheral, Pyrexia, Wrong drug administered
Clinical narrative: Fever, difficulty breathing, dizziness, headache, weakness, arm swelled and turned red.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Rash erythematous, Skin warm
Clinical narrative: Two days after vaccine was administered, parent noticed warm red rash on patient's arm.  Patient was taken to urgent care center.  Doctor prescribed Augmentin and ice compress.  Rash resolving after 24 hours on antibiotic.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Local reaction
Clinical narrative: PER PARENT LEFT DELTOID SWOLLEN AFTER VACCINE GIVE ON 08/05/2008.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: JOINT ACHES
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Cold sweat, Nausea, Pallor, Syncope
Clinical narrative: Patient fainted for a few seconds after administration. Skin became clammy and pale. Patient felt nauseous but did not vomit. She was placed on floor with legs elevated until complete recovery. Shots given at 11:45AM-patient had not eaten any food today.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Rash, Wrong drug administered
Clinical narrative: Vaccubes given at 3:45 pm.  Rash appeared at 4:05. Vital signs remained stable.  No edema or respiratory distress.  Benadryl given .15ml (7.5mg)IM.  Referral written for ER visit 4:45.  Left clinic 5:00 pm.  Reached mother by phone on 8/15/08.  Mother stated she did not take pateitn to ER as instructed by reported baby doing well.  Mother to follow-up with Pediatrician.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Rash erythematous, Rash generalised
Clinical narrative: BROKE OUT IN FINE RED RASH,ALL OVER BODY, INCLUDING FACE. RASH NOT NECESSARILY HEAVIER AROUND INJECTION SITE. RASH STARTED ALITTLE LATER THE SAME DAY AS VACCINATION --- CONTINUED FOR NEXT 36 TO 48 HRS. NO DIFFICULTY BREATHING OR ANY OTHER S/S. SG
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella, Varicella post vaccine
Clinical narrative: CHILD RECIEVED 2 VARICELLA VACCINE DOSES, 2ND ONE 9/13/07.  DEVELOPED CHICKEN POX DISEASE 8/15/08.  CONFIRMED BY EXAM BY MD
Age: 46.0
Sex: M
Vaccine: HEP
Symptoms: Blister, Rash erythematous, Rash generalised
Clinical narrative: Recieved Hep B shot & later noticed bumps on hand the next day. I broke out with blisters and red bumps all over.
Age: 18.0
Sex: F
Vaccine: HPV4, TTOX
Symptoms: Condition aggravated, Urticaria
Clinical narrative: Patient developed urticaria on her legs and torso within 1 hour of administration/ It should be noted that she had urticaria, although less severe, off and on for the week prior, on her arms only. Patient had no angioedema, dyspnea, dysphonia, or other evidence of more serious allergic reaction.
Age: 20.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Body temperature increased, Hypertension, Lymphadenopathy, Myalgia
Clinical narrative: developed arthralgia, mialgia, low grade temperature, had enlarged lymp nodes in arm pit of arm given injection, tachycardia, hypertension.
Age: 20.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Tachycardia
Clinical narrative: developed arthralgia, mialgia, low grade temperature, had enlarged lymp nodes in arm pit of arm given injection, tachycardia, hypertension.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Myalgia
Clinical narrative: myalgias, joint aches and pains
Age: 39.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Dizziness, Pain in extremity
Clinical narrative: SEVERE PAIN ON LEFT  ARM FOR 2 DAYS AND DIZZINES.PATIENT IS A REFUGE AND WE REFERED TO CHATOLIC CHARITIS TO  BE SEEN BY A PHYSICIAN.WE HAVE DIFICULTY COMUNICATING WITH PATIENT BECAUSE OF LANGUAGE BARRIOR.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Antinuclear antibody increased, Oedema peripheral, Red blood cell sedimentation rate increased
Clinical narrative: Patient received Menactra on 8/4/2008 and developed leg swelling within a few days.  She presented to my office on 8/19/2008 with symptoms of lupus.  09/19/2008 PCP records received for OVs 8/18/08 and 8/21/08. Pt presented with c/o several week hx of swelling and pain of the lower extremities which began following meningococcal vax on 8/4/08.  Ankles tender to touch. Intermittant fever and lower extremity bruising and feeling cold.  PE (+) for bruising and ankle edema. DX:  arthritis. Seen for F/U. Unable to stay at college due to difficulty walking around campus. New onset erythema and ankle pain.  HYperpigmented lesions noted on lower legs. Increased edema and pain. Suspected DX:  Lupus. Refered to Rheum. Rheum consult dated 9/11/08 received. Assessment:  Mildly abnormal LFTs, mildly elevated anti-smooth muscle antibodies, (+) ANA, erythema nodosum type lesions, malaise and almost a serum sickness-like reaction following meningitis immunization. No specific dx made.  Refered to GI. GI eval 9/16/08 with reported onset of lower extremity muscle/joint pain and swelling, feeling poorly and erythema nodosum. Clinical Impression:  Profound antibody response to vaccination, most likely a non-specific immune mediated reaction trigger by vaccination. Not Lupus.  LFTs improving.
Age: 14.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Gave DTap instead of TDap. No adverse events.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Facial palsy
Clinical narrative: patient developed Bell's palsy after adminsitration of Menactra, Adacel and Varivax
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Burning sensation, Dysphagia, Fluid intake reduced, Headache
Clinical narrative: Headache, nausea, low fever, slight rash behind legs, very very very bad muscle and joint paints.  Couldn't move from bed.  Painful to bend or even put feet on floor.  Pain was unbearable.  Went to doctor and was prescribed IBU 800mg 3 times daily to help keep inflammation down.  Sent to a rheumatologist.  Tested twice for rheumatoid arthritis, both times negative.  All other tests were negative as well.  Slowly developed a sore throat and swollen glands.  Unable to swallow or drink, everything burned and felt as if tearing at the throat.  Went to doctor, tested for mono and strep, again, both negative.  Was given antibiotics (doxycycline).  They helped clear the infection but still the swollen glands and soreness remain, mostly sore in the morning, and minimizes slightly after taking the first IBU 800mg.  Appointments are made for another rheumatologist for joint pain and for primary care physician for swollen glands.  9/04/2008 PCP records rec'd which include 2 rheum consults. Pt presented 5/8/08 with c/o joint pain x 1 week, morning stiffness and swollen joints. DX:  arthalgia. Refered to rheum for (+) ANA. Reporting skipped heartbeats 5/29/08. Instructed to eliminate caffeine/choc/ETOH. Seen 5/20/08 with recent viral gastroenteritis. Reporting paresthesias of the hands, stiffness of feet. DX: arthralgia, thoracic outlet syndrome. Seen 6/10/08 with throat pain.  Rheum consult 6/18/08. As above, now with muscle weakness and fatigue. PE(+) for trapezius tightness, synovitis in MCP joints. DX:  Polyarthralgia.  Inflammatory Polyarthritis.  Positive ANA. F/U 7/2/08 with increased muscle pain in legs. PE (+) for hand swelling and hallux valgus deformity. PCP OV 7/21/08 No resolution of throat pain- throat red, with enlarged tonsils, yellow exudate, increased cervical nodes. DX:  Tonsillitis. Adenopathy. OV 8/29/08 New onset blurry vision, dizziness, poor sleep. To see another rheum in 11/2008.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Inflammation, Lymphadenopathy, Mononucleosis heterophile test negative, Myalgia, Nausea
Clinical narrative: Headache, nausea, low fever, slight rash behind legs, very very very bad muscle and joint paints.  Couldn't move from bed.  Painful to bend or even put feet on floor.  Pain was unbearable.  Went to doctor and was prescribed IBU 800mg 3 times daily to help keep inflammation down.  Sent to a rheumatologist.  Tested twice for rheumatoid arthritis, both times negative.  All other tests were negative as well.  Slowly developed a sore throat and swollen glands.  Unable to swallow or drink, everything burned and felt as if tearing at the throat.  Went to doctor, tested for mono and strep, again, both negative.  Was given antibiotics (doxycycline).  They helped clear the infection but still the swollen glands and soreness remain, mostly sore in the morning, and minimizes slightly after taking the first IBU 800mg.  Appointments are made for another rheumatologist for joint pain and for primary care physician for swollen glands.  9/04/2008 PCP records rec'd which include 2 rheum consults. Pt presented 5/8/08 with c/o joint pain x 1 week, morning stiffness and swollen joints. DX:  arthalgia. Refered to rheum for (+) ANA. Reporting skipped heartbeats 5/29/08. Instructed to eliminate caffeine/choc/ETOH. Seen 5/20/08 with recent viral gastroenteritis. Reporting paresthesias of the hands, stiffness of feet. DX: arthralgia, thoracic outlet syndrome. Seen 6/10/08 with throat pain.  Rheum consult 6/18/08. As above, now with muscle weakness and fatigue. PE(+) for trapezius tightness, synovitis in MCP joints. DX:  Polyarthralgia.  Inflammatory Polyarthritis.  Positive ANA. F/U 7/2/08 with increased muscle pain in legs. PE (+) for hand swelling and hallux valgus deformity. PCP OV 7/21/08 No resolution of throat pain- throat red, with enlarged tonsils, yellow exudate, increased cervical nodes. DX:  Tonsillitis. Adenopathy. OV 8/29/08 New onset blurry vision, dizziness, poor sleep. To see another rheum in 11/2008.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Pharyngolaryngeal pain, Pyrexia, Rash, Rheumatoid factor negative, Streptococcal identification test negative
Clinical narrative: Headache, nausea, low fever, slight rash behind legs, very very very bad muscle and joint paints.  Couldn't move from bed.  Painful to bend or even put feet on floor.  Pain was unbearable.  Went to doctor and was prescribed IBU 800mg 3 times daily to help keep inflammation down.  Sent to a rheumatologist.  Tested twice for rheumatoid arthritis, both times negative.  All other tests were negative as well.  Slowly developed a sore throat and swollen glands.  Unable to swallow or drink, everything burned and felt as if tearing at the throat.  Went to doctor, tested for mono and strep, again, both negative.  Was given antibiotics (doxycycline).  They helped clear the infection but still the swollen glands and soreness remain, mostly sore in the morning, and minimizes slightly after taking the first IBU 800mg.  Appointments are made for another rheumatologist for joint pain and for primary care physician for swollen glands.  9/04/2008 PCP records rec'd which include 2 rheum consults. Pt presented 5/8/08 with c/o joint pain x 1 week, morning stiffness and swollen joints. DX:  arthalgia. Refered to rheum for (+) ANA. Reporting skipped heartbeats 5/29/08. Instructed to eliminate caffeine/choc/ETOH. Seen 5/20/08 with recent viral gastroenteritis. Reporting paresthesias of the hands, stiffness of feet. DX: arthralgia, thoracic outlet syndrome. Seen 6/10/08 with throat pain.  Rheum consult 6/18/08. As above, now with muscle weakness and fatigue. PE(+) for trapezius tightness, synovitis in MCP joints. DX:  Polyarthralgia.  Inflammatory Polyarthritis.  Positive ANA. F/U 7/2/08 with increased muscle pain in legs. PE (+) for hand swelling and hallux valgus deformity. PCP OV 7/21/08 No resolution of throat pain- throat red, with enlarged tonsils, yellow exudate, increased cervical nodes. DX:  Tonsillitis. Adenopathy. OV 8/29/08 New onset blurry vision, dizziness, poor sleep. To see another rheum in 11/2008.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Thyroid function test normal
Clinical narrative: Headache, nausea, low fever, slight rash behind legs, very very very bad muscle and joint paints.  Couldn't move from bed.  Painful to bend or even put feet on floor.  Pain was unbearable.  Went to doctor and was prescribed IBU 800mg 3 times daily to help keep inflammation down.  Sent to a rheumatologist.  Tested twice for rheumatoid arthritis, both times negative.  All other tests were negative as well.  Slowly developed a sore throat and swollen glands.  Unable to swallow or drink, everything burned and felt as if tearing at the throat.  Went to doctor, tested for mono and strep, again, both negative.  Was given antibiotics (doxycycline).  They helped clear the infection but still the swollen glands and soreness remain, mostly sore in the morning, and minimizes slightly after taking the first IBU 800mg.  Appointments are made for another rheumatologist for joint pain and for primary care physician for swollen glands.  9/04/2008 PCP records rec'd which include 2 rheum consults. Pt presented 5/8/08 with c/o joint pain x 1 week, morning stiffness and swollen joints. DX:  arthalgia. Refered to rheum for (+) ANA. Reporting skipped heartbeats 5/29/08. Instructed to eliminate caffeine/choc/ETOH. Seen 5/20/08 with recent viral gastroenteritis. Reporting paresthesias of the hands, stiffness of feet. DX: arthralgia, thoracic outlet syndrome. Seen 6/10/08 with throat pain.  Rheum consult 6/18/08. As above, now with muscle weakness and fatigue. PE(+) for trapezius tightness, synovitis in MCP joints. DX:  Polyarthralgia.  Inflammatory Polyarthritis.  Positive ANA. F/U 7/2/08 with increased muscle pain in legs. PE (+) for hand swelling and hallux valgus deformity. PCP OV 7/21/08 No resolution of throat pain- throat red, with enlarged tonsils, yellow exudate, increased cervical nodes. DX:  Tonsillitis. Adenopathy. OV 8/29/08 New onset blurry vision, dizziness, poor sleep. To see another rheum in 11/2008.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site desquamation, Injection site discolouration, Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Date of HPV vaccine #2,8/11/08 developed pain, swelling and erythema at injection site of left arm. Next two days at injection site sloughing of epidermal layer and development of a sore at injection site. Now healing over but with residual hyperpigmented scar involving ares of injection and sore. Date of initial HPV vaccine 6/11/08.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site swelling
Clinical narrative: Date of HPV vaccine #2,8/11/08 developed pain, swelling and erythema at injection site of left arm. Next two days at injection site sloughing of epidermal layer and development of a sore at injection site. Now healing over but with residual hyperpigmented scar involving ares of injection and sore. Date of initial HPV vaccine 6/11/08.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Catheterisation cardiac normal, Chest discomfort, Dyspnoea, Echocardiogram normal, Intensive care
Clinical narrative: 9 days after administration of smallpox vaccine, pt presented with exertional chest discomfort and SOB, worse laying back, was admitted to ICU with diagnosis of smallpox induced myocarditis.  Cardiac catheterization was normal, cardiac echo was normal (no effusion), but the patient bumped his troponin I to a max of just over 1.0.  He was discharged after 4 days in ICU with significant improvement in symptoms and has done very well since. 8/27/08-records received for DOS 8/3-8/6/08-DC DX: Acute pericarditis, most likely from recent small pox vaccination. Presented with chest pain and ST elevation noted in lead II, III, a VR and troponin were high.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Troponin I increased, Vaccination complication
Clinical narrative: 9 days after administration of smallpox vaccine, pt presented with exertional chest discomfort and SOB, worse laying back, was admitted to ICU with diagnosis of smallpox induced myocarditis.  Cardiac catheterization was normal, cardiac echo was normal (no effusion), but the patient bumped his troponin I to a max of just over 1.0.  He was discharged after 4 days in ICU with significant improvement in symptoms and has done very well since. 8/27/08-records received for DOS 8/3-8/6/08-DC DX: Acute pericarditis, most likely from recent small pox vaccination. Presented with chest pain and ST elevation noted in lead II, III, a VR and troponin were high.
Age: 50.0
Sex: M
Vaccine: DTAP, PPV, TYP
Symptoms: Blood creatinine normal, Erythema, Full blood count normal, Headache, Lip swelling
Clinical narrative: 48 hr after immunization with tdap and pneumovax in same arm, pt came to the urgent care with headache, swollen red arm, fever of 104-105f and body aches and swollen lips.  pt was treated with acetamenophen with resolution.
Age: 50.0
Sex: M
Vaccine: DTAP, PPV, TYP
Symptoms: Oedema peripheral, Pain, Pyrexia, Urine analysis normal
Clinical narrative: 48 hr after immunization with tdap and pneumovax in same arm, pt came to the urgent care with headache, swollen red arm, fever of 104-105f and body aches and swollen lips.  pt was treated with acetamenophen with resolution.
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Oedema peripheral, Pain in extremity, Pruritus, Skin warm
Clinical narrative: 8/20/08- PT TOLD HER MOM THAT HER LT ARM WAS ITCHING AND HAVING PAIN. SHE CAME INTO THE OFFICE AND HER LT ARM SUB CUT WAS WARM TO THE TOUCH AND HAD SOME SWELLING (3 1/2 x 5 cm in length) PARENT AND PT. WAS ADVISED TO TAKE SOME BENADRYL, USE COOL COMPRESSES, TAKE ADVIL FOR ANY PAIN -PER RANI KOKATNUR NP. ADVISED TO RETURN TO OPFFICE IN NO IMPROVEMENT.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Limb discomfort, Oedema peripheral, Skin warm
Clinical narrative: Arm injection given on swollen, redden, warm to touch. Pt states began 1 hr after injection. Waited til next day to report when swelling got bigger, arm tighter. Came in next day for steroid injection, orders for Xyzal, benadryl and oral steriods. Came back next day after treatment for re-assessment. Swelling improved considerably per doctor's assessment.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Dermatitis contact, Feeling hot, Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Last PM mom noted swelling at injection site and pt felt feverish. 9 year old female seen yesterday for well child check. Received multiple vaccs, to include varicella-2 and Hep A-2 in right arm. Mom noted swelling at site this morning and then noted blisters at center. Child complains of significant pruritis, but not pain. Has been afebrile and otherwise well. Has had no hx of reaction to immunizations before.   O: well demarcated area of erythema and swelling to lateral right arm. Two areas centrally of blistering, one small (1 cm) and one larger approx. 2.3 cm. No streaking, minimal warmth, no axillary LAD.  A/P:contact dermatitis, local reaction 1. reassured parent regarding local reaction, not uncommon when receiving booster of a vaccine. Use benadryl and cool compresses as needed for comfort. RTC or ER asap for fever, swelling, extension of redness, streaking up the arm or pain. 2. contact dermatitis, unsure etiology (cleaning agent, component of vaccine, bandaid). Apply hydrocortisone to area bid for 1 week. 3. F/U as needed. 4. VAERS report filed.  MD