chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Information has been received from an office manager concerning a 73 year old female patient with hypertension and hypercholesterolaemia and a history of thyroid nodule and lung nodule who in 19-NOV-2008 was vaccinated intramuscularly with a 0.5 ml dose of PNEUMOVAX (LOT# 661577/1161X). First dose was given on 2003. Concomitant therapy included alendronate sodium, ZOLOFT, ALTACE, amlodipine, aspirin and influenza virus vaccine (unspecified). The reporter stated that in the evening of 19-NOV-2008 the patient experienced an injection site reaction on her left deltoid, a redness and cellulitis-like reaction of half of her upper arm. An unspecified antibiotic was prescribed. Her outcome was unknown. Follow-up information has been received from a health professional concerning a 73 year old female retired patient with no known drug allergies who on 19-NOV-2008 was vaccinated intramuscularly in her left deltoid with a 0.5 ml dose of PNEUMOVAX (LOT# 661577/1161X). First dose was given on 7-NOV-2003. It was reported that the patient developed a lump "the size of a quarter" the day of the vaccination. The next day "3/4 of the upper arm" was red and warm. At the time of reporting it is unknown if the patient recovered. No further information is available.
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Information has been received from a registered nurse concerning a female patient who on an unspecified date was vaccinated with a 0.5 ml single dose of PNEUMOVAX. Concomitant therapy included influenza virus vaccine (unspecified) received in the other arm. The nurse reported that "within 24 hours" the patient experienced quite a bit of cellulitis (red and hot) on her upper arm and that she recommended to the patient to go home, apply heat to the affected are and take some ADVIL for discomfort. The nurse also reported that there was no systemic reaction to the PNEUMOVAX vaccine, only localized reaction. At the time of the report the patient is recovering. This is one of two case from the same source. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Oedema peripheral
Clinical narrative: Information has been received from a licensed practical nurse concerning a 17 year old female patient who in November 2008 ("this week") was vaccinated with PNEUMOVAX (lot # not provided).  In November 2008, the next day post vaccination the patient came back to the office with a swollen arm that she could not move.  Additional information has been requested.
Age: 72.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Contusion, Decreased appetite, Erythema, Headache
Clinical narrative: Information has been received from a consumer concerning a "72 year old" female patient with penicillin allergy and codeine allergy and a history of "Raynaud's" and "emphysema" who on "14-OCT-2008" was vaccinated with PNEUMOVAX (lot 661529/0868X). Concomitant therapy included Influenza virus vaccine (unspecified) on the other arm with no reaction, PROCARDIA and an inhaler. Prior vaccinations included a pneumonia vaccine (manufacturer unknown) 10 years ago. On 15-OCT-2008 the patient started experiencing headache, joint pain, loss of appetite and just feeling sick all over. The patient's arm also swelled up and was 3 times the size and very painful and red. After the swelling subsided the patient had bruising at the elbow area. The patient started taking BENADRYL and steroids. The patient also started developing a rash on her arm and started loosing weight. The patient eventually developed a viral infection in her lungs. The patient was finally getting over the infection and started feeling much better but is not yet fully recovered. The patient had sought unspecified medical attention. Additional information has been requested.
Age: 72.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Malaise, Oedema peripheral, Pain in extremity, Rash, Viral infection
Clinical narrative: Information has been received from a consumer concerning a "72 year old" female patient with penicillin allergy and codeine allergy and a history of "Raynaud's" and "emphysema" who on "14-OCT-2008" was vaccinated with PNEUMOVAX (lot 661529/0868X). Concomitant therapy included Influenza virus vaccine (unspecified) on the other arm with no reaction, PROCARDIA and an inhaler. Prior vaccinations included a pneumonia vaccine (manufacturer unknown) 10 years ago. On 15-OCT-2008 the patient started experiencing headache, joint pain, loss of appetite and just feeling sick all over. The patient's arm also swelled up and was 3 times the size and very painful and red. After the swelling subsided the patient had bruising at the elbow area. The patient started taking BENADRYL and steroids. The patient also started developing a rash on her arm and started loosing weight. The patient eventually developed a viral infection in her lungs. The patient was finally getting over the infection and started feeling much better but is not yet fully recovered. The patient had sought unspecified medical attention. Additional information has been requested.
Age: 72.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Weight decreased
Clinical narrative: Information has been received from a consumer concerning a "72 year old" female patient with penicillin allergy and codeine allergy and a history of "Raynaud's" and "emphysema" who on "14-OCT-2008" was vaccinated with PNEUMOVAX (lot 661529/0868X). Concomitant therapy included Influenza virus vaccine (unspecified) on the other arm with no reaction, PROCARDIA and an inhaler. Prior vaccinations included a pneumonia vaccine (manufacturer unknown) 10 years ago. On 15-OCT-2008 the patient started experiencing headache, joint pain, loss of appetite and just feeling sick all over. The patient's arm also swelled up and was 3 times the size and very painful and red. After the swelling subsided the patient had bruising at the elbow area. The patient started taking BENADRYL and steroids. The patient also started developing a rash on her arm and started loosing weight. The patient eventually developed a viral infection in her lungs. The patient was finally getting over the infection and started feeling much better but is not yet fully recovered. The patient had sought unspecified medical attention. Additional information has been requested.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Information has been received from a registered nurse concerning an 80 year old female with allergies to PENICILLIN, iodine and CODEINE and a history of hypertension, bronchiectasis and osteoporosis, who on 23-OCT-2008 was vaccinated with PNEUMOVAX (Lot # 660717/0224X), 0.5ml, intramuscularly. The nurse reported that on 24-OCT-2008, the patient experienced pain, redness and swelling in the arm of administration. The pain was experienced from the patient's shoulders to her elbow. It was noted that the pain lasted for several days. On 20-NOV-2008, the patient recovered. The patient sought medical attention via telephone. Follow-up information received from the physician indicated she was a 80 year old female patient, with PENICILLIN, iodine, CODEINE, RAMIPRIL and NIACIN allergies and a history of hypertension and osteoporosis, who on 23-OCT-2008 at 14:30 PM was vaccinated with the second dose of PNEUMOVAX (Lot #660717/0224X), 0.5ml, intramuscularly in the left deltoid. Concomitant therapy included (ECOTRIN), calcium (unspecified), vitamin D (unspecified), vitamin E, LABETALOL HCL, BENICAR, BONIVA and omega-3 marine triglycerides. The patient had bronchiectasis at the time of vaccination. The physician reported that on 24-OCT-2008 at 8:00 AM, the patient had a large area of swelling and redness at injection site, lasting several days. The physician stated that the symptoms were treated with ice packs with resolution. No further information is available.
Age: 60.0
Sex: U
Vaccine: FLUX, PPV
Symptoms: Injection site swelling, Oedema peripheral
Clinical narrative: Information has been received from a nurse concerning a 60-year-old patient who on 18-NOV-2008 was vaccinated with a dose of 0.5 ml PNEUMOVAX (lot #, route and injection site unknown). Concomitant vaccination also included injection of influenza virus vaccine (unspecified) in separate arm. ON 19-NOV-2008 the patient experienced an abnormally swollen arm at injection site over the entire arm. It was unknown if the patient sought any medical attention. The patient's outcome was unknown. This is one of several reports received from same source. Additional information has been requested.
Age: 0.5
Sex: U
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a pharmacy student concerning a 6 month old patient who was vaccinated with a dose of PNEUMOVAX.  The patient developed a fever at the time of vaccination but had since recovered.  Unspecified medical attention was sought in office.  Additional information has been requested.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a healthcare worker concerning a 69 year old female patient who had experienced an unspecified allergic reaction after received a dose of PNEUMOVAX (lot #663012/1163X). The patient sought medical attention through a office call. Follow up information indicated that the patient also experienced a spot at the injection site with a rash. Follow up information received on 04-APR-2009 from a health professional stated that it was a white retired female teacher who complained of redness, heat and swelling at the injection site on 17-NOV-2008. The patient had recovered. This is one of three reports from the same source. No further information is available.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: Information has been received from a nurse concerning a 61 year old male patient with an allergy to LIPITOR, cholesterol high, peptic ulcer disease, coronary artery disease and hypertension who received a dose of PNEUMOVAX in 2003. On 01-DEC-2008 the patient was vaccinated with a 0.5 mL dose of PNEUMOVAX in the left arm. Concomitant therapy including WELCHOL, TIAZAC, aspirin (Aspirin), niacin and TRICOR. On 02-DEC-2008 the patient returned to the office because his arm was swollen, red, warm to touch and painful (onset date reported as one hour after vaccination). The patient had not recovered. The patient sought medical attention through an office visit. This is one of 2 reports from the same source. Additional information has been requested.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Information has been received from a licensed practical nurse concerning that two patients developed localized reactions after received PNEUMOVAX. The nurse provided information concerning a 73 year old male with coronary artery disease, diabetes, hypertension and atrial fibrillation who received a dose of PNEUMOVAX in 2005. On 26-NOV-2008 the patient was vaccinated with a 0.5 mL dose of PNEUMOVAX (lot # 658074/0803U), intramuscularly in the left arm. Concomitant therapy included ezetimibe, tablet (dose, duration and indication not reported), hydrochlorothiazide, ACTOS, insulin and potassium (unspecified). On 28-NOV-2008 the patient returned to the office because his arm was red, swollen and painful. He was treated with antibiotics and TYLENOL. The patient returned on 01-DEC-2008 and was found to be improved. The patient sought medical attention through an office visit. Follow up information received on 26-DEC-2008 stated that the patient had swelling, pain and warmth of lower arm (forearm) that looked like cellulitis. Patient was put on antibiotics for the cellulitis. This is one of 2 reports from the same source. Additional information is not expected.
Age: 67.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a pharmacist concerning a 67 year old female with penicillin and quinolones allergies, who on 17-NOV-2008 was vaccinated with PNEUMOVAX (Lot # 658074/0916U). Concomitant therapy included influenza virus vaccine (unspecified). The pharmacist reported that the patient developed redness and swelling of her right arm at the injection site that extended down to her forearm after receiving the vaccine. This is the third time the patient has received the vaccine. The dates of the first two doses were unspecified. The pharmacist requested a lot check. At the time of the report, the patient was recovering. The patient sought medical attention at the physician's office. A standard lot check was performed on the Lot # 0961U All in-process quality checks for the lot number in question were satisfactory. The lot met the requirements of the Center and was released. Additional information has been requested.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from "mid to late fifties" year old male who, "in early November 2008", on approximately 01-NOV-2008 was vaccinated with a dose of PNEUMOVAX. Concomitant therapy included influenza virus vaccine (unspecified). "Within 12 hours of receiving the vaccine", the patient experienced soreness, redness and swelling of his entire upper arm. The patient reported that he normally got the PNEUMOVAX vaccine every five years because he had a history of a heart condition. The patient reported that his entire upper arm was warm to touch and the symptoms he experienced had started initially at the injection site. The patient reported that he had trouble in putting on his shirt because his arm was so swollen and sore. The patient returned to his physician to seek medical attention. At the time of this report, 03-DEC-2008, the patient was fine. Follow-up information was received from a physician who stated that the 61 year old male patient on 28-OCT-2008 was vaccinated with PNEUMOVAX vaccine in his left arm (LOT# 658074/0803U). Twenty four hours after vaccination on 29-OCT-2008 (also reported as 29-OCT-2009) the injection site was swollen, tender, and redness. Then forty-eight hours, his left forearm swollen twice the size and had shoulder and joint pain. The patient called office, the physician told him to use heat and ice on site and Motrin for pain. 5-7 days later, the patient was recovered from the adverse events. The patient did not call back. No further information is available.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Injection site warmth, Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from "mid to late fifties" year old male who, "in early November 2008", on approximately 01-NOV-2008 was vaccinated with a dose of PNEUMOVAX. Concomitant therapy included influenza virus vaccine (unspecified). "Within 12 hours of receiving the vaccine", the patient experienced soreness, redness and swelling of his entire upper arm. The patient reported that he normally got the PNEUMOVAX vaccine every five years because he had a history of a heart condition. The patient reported that his entire upper arm was warm to touch and the symptoms he experienced had started initially at the injection site. The patient reported that he had trouble in putting on his shirt because his arm was so swollen and sore. The patient returned to his physician to seek medical attention. At the time of this report, 03-DEC-2008, the patient was fine. Follow-up information was received from a physician who stated that the 61 year old male patient on 28-OCT-2008 was vaccinated with PNEUMOVAX vaccine in his left arm (LOT# 658074/0803U). Twenty four hours after vaccination on 29-OCT-2008 (also reported as 29-OCT-2009) the injection site was swollen, tender, and redness. Then forty-eight hours, his left forearm swollen twice the size and had shoulder and joint pain. The patient called office, the physician told him to use heat and ice on site and Motrin for pain. 5-7 days later, the patient was recovered from the adverse events. The patient did not call back. No further information is available.
Sex: M
Vaccine: PPV
Symptoms: Incorrect storage of drug, Oedema peripheral
Clinical narrative: Information has been received from a pharmacy student concerning a male on 10-NOV-2008 was vaccinated with PNEUMOVAX (lot number 662662/0979X, route and site not reported) that was improperly stored. On 11-NOV-2008 the patient's arm was swollen. The day after, he came into the office and received antibiotics. It was not known if this was his first or second vaccination with PNEUMOVAX. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a healthcare worker concerning a 70 year old female patient who on 24-NOV-2008 was vaccinated intramuscularly with a dose PNEUMOVAX (LOT # 661577/1161X). Concomitant therapy included LIPITOR. On 25-NOV-2008 the patient had a red, swollen, painful injection site after vaccination and the reaction went from the injection site to the elbow. The healthcare worker reported that the patient was given warm soaks and recovered. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site reaction
Clinical narrative: Information has been received from a healthcare worker concerning a 70 year old female patient who on 24-NOV-2008 was vaccinated intramuscularly with a dose PNEUMOVAX (LOT # 661577/1161X). Concomitant therapy included LIPITOR. On 25-NOV-2008 the patient had a red, swollen, painful injection site after vaccination and the reaction went from the injection site to the elbow. The healthcare worker reported that the patient was given warm soaks and recovered. Additional information has been requested.
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a certified medical assistant concerning a female patient who on an unspecified date was vaccinated with a dose PNEUMOVAX (Lot # 661577/ 1161X) and had injection site reactions from PNEUMOVAX. It is unknown if the patient sought medical attention. At the time of reporting, it is unknown if the patient had recovered. This is one of several cases received from the same source. Additional information has been requested.
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site reaction
Clinical narrative: Information has been received from a certified medical assistant concerning a female patient who on an unspecified date was vaccinated with a dose PNEUMOVAX (Lot # 661577/ 1161X) and had injection site reactions from PNEUMOVAX. It is unknown if the patient sought medical attention. At the time of reporting, it is unknown if the patient had recovered. This is one of several cases received from the same source. Additional information has been requested.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a healthcare worker concerning a 77 year old female with hypertension, cholesterol, thyroid disorder, sulfonamide allergy and oral cortisone allergy who on 11-NOV-2008 was vaccinated with PNEUMOVAX 23 (lot # 662100/0742X) 0.5ml, subcutaneously into the right arm. Concomitant therapy included unspecified "thyroid, hypertension and cholesterol medications". On 12-NOV-2008 the patient developed orange size red, swollen, painful area at the site of injection. It was unknown if the patient had ever had PNEUMOVAX 23 prior to this one. There was no laboratory diagnostic studies performed. On approximately 14-NOV-2008, the patient was recovered. The patient sought medical attention by telephone. Additional information is not expected.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Information has been received from a licensed practical nurse concerning an approximately 50 year old female with drug hypersensitivity to thimerosal and a history of Graves' disease who on 21-NOV-2008 was vaccinated IM with PNEUMOVAX 0.5ml (LOT# not reported). Concomitant therapy included atenolol, LEVOXYL, FIORICET with Codeine and desipramine. Subsequently, the patient experienced painful, red, and swollen from deltoid to elbow after administration of PNEUMOVAX. The patient experienced fever and chills. The patient was recovering from the adverse events. No lab or diagnosis studies were performed. It was reported that the patient sought medical attention: office visit. Additional information has been requested.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Debridement, Incisional drainage, Oedema peripheral, Skin warm
Clinical narrative: Information has been received from a medical assistant concerning a 69 year old female patient who on 01-OCT-2008 was vaccinated with the first dose of PNEUMOVAX (Lot# 660717/0224X). On 02-OCT-2008 the patient had a swollen arm that was warm to touch. The patient contacted her primary care physician and was sent to wound care. The patient was given antibiotics and as of 24-NOV-2008, was improving. Follow up information received from a physician reported that the patient with sulfonamide allergy received the dose of PNEUMOVAX on the left deltoid. Concomitant therapy included influenza virus vaccine (unspecified) on the left deltoid. There was no acute illness at the time of the vaccination. The reaction site had to be treated in the wound care center for an incision and drain (I &D) and debridement of the site. The patient recovered on 04-DEC-2008. Additional information is not expected.
Age: 3.0
Sex: F
Vaccine: PPV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Information has been received from a medical assistant concerning a 3 year old female who on 24-NOV-2008 was mistakenly vaccinated IM with PNEUMOVAX 0.5ml (LOT# not reported) instead of her fourth dose of PREVNAR. No adverse effect was reported. This was not due to product confusion. It was not reported whether the patient sought medical attention. Follow-up information was received from the physician's Office manager. The patient had received the vaccine (lot# 662663/0980X) by human error on24-NOV-2008. The patient was fine and she would be coming back to the physician's office in 2 months for PREVNAR at the next well visit. No further information is available.
Sex: M
Vaccine: FLUX, PPV
Symptoms: Cellulitis, Erythema, Local reaction, Skin warm
Clinical narrative: Information has been received from a registered nurse concerning a male patient who on unspecified date was vaccinated with a 0.5 ml single dose of PNEUMOVAX 23. Concomitant therapy included influenza virus vaccine (unspecified) received in the other arm. The nurse reported that "within 24 hours" the patient experienced quite a bit of cellulitis (red and hot) on her upper arm and that she recommended to the patient to go home, apply heat to the affected area and take some ADVIL for the discomfort. The nurse also reported that there was no systemic reaction to the PNEUMOVAX 23, only localized reactions. At the time of the report the patient is recovering. This is one of two cases from the same source. Additional information has been requested.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Information has been received from a medical assistant concerning a 62 year old male patient who on 01-DEC-2008 was vaccinated intramuscularly with a dose of PNEUMOVAX (Lot # 661577/1161X).  On the same day, the patient was "achy all over".  On 02-DEC-2008 the patient had a "red swollen area below the injection site and underneath the arm".  The patient sought medical attention and was placed on CIPRO on 03-DEC-2008.  At the time of reporting, the patient was recovering.  This is one of several cases received from the same source.  Additional information has been requested.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Hypersomnia, Pain, Pyrexia
Clinical narrative: Information has been received from a health care professional concerning a 65 year old male patient with no known drug reactions/allergies, cardiac murmur and hyperlipidaemia, who on 15-OCT-2008 was vaccinated IM with a 0.5 ml dose of PNEUMOVAX vaccine (Lot # 660685/0619X). Concomitant therapy included PRINIVIL, Niacin and Aspirin. The health professional reported that the patient on 16-OCT-2008 experienced body aches, fever and slept for a whole day. The patient was at the office for a non-related issue on 06-NOV-2008 and reported his experienced to the office. The patient sought medical attention. ON 17-OCT-2008 the patient recovered. Additional information is not expected.
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Erythema
Clinical narrative: Information has been received from a registered pharmacist concerning a 42 year old male who on 31-OCT-2008 (also reported as "31-DEC-2008") was vaccinated with PNEUMOVAX (Lot # 662661/0978X) intramuscularly (total daily dose not reported). Subsequently the patient developed 13x17cm red area and running 102 temp and the patient went to ER and started on BIAXIN. At the time of the report the patient recovered from 13x17cm red area and running 102 temp. This is one of several reports received from the same source. No further information is available.
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Induration, Injected limb mobility decreased, Pyrexia
Clinical narrative: Information has been received from a registered pharmacist concerning a 31 year old female who on 30-OCT-2008 was vaccinated with PNEUMOVAX (Lot # 662662/0979X) intramuscularly (total daily dose not reported). On 31-OCT-2008 the patient developed temp of 103-104 and shoulder induration, she can't lift arm above shoulder height". The patient went to doctor, the physician diagnosed her with "reaction to vaccine-cellulitis" and prescribed her antibiotics, DECADRON as well as alternate TYLENOL and ibuprofen. On 07-NOV-2008, the patient recovered and returned to work. This is one of several reports received from the same source. No further information is available.
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a registered nurse concerning a female patient who was vaccinated with a dose of PNEUMOVAX (lot number not provided).  Subsequently the patient experienced severe local injection site reaction and the swelling was measurable.  The patient sought medical attention via telephone call.  Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Information has been received from a nurse concerning an unidentified patient who was vaccinated with a dose of PNEUMOVAX. It was reported that the patient has had swelling and redness at the injection site after PNEUMOVAX was given. It was also reported that the patient developed a "local reaction". No further information was reported from the caller. This is one of two reports from the same source. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a doctor of pharmacy concerning a female patient who on approximately 04-NOV-2008 was vaccinated intramuscularly with a dose of PNEUMOVAX (lot # 662662/0979X). It was not known if the patient had been previously vaccinated with PNEUMOVAX. The pharmacist reported that the patient had injection site reactions of swelling, redness, pain and a hard knot under the skin. The patient gone to the emergency room a couple times and not recovered. Additional information has been requested. This is one of three reports received from the same source.
Sex: U
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a pharmacist concerning himself who was given a second dose of PNEUMOVAX on 25-NOV-2008 and on 26-NOV-2008 experienced pain, warmth and swelling at the injection site. The pharmacist reported he was not able to straighten his arm. No adverse reaction were reported from the first dose (5 years ago). Pharmacist was not able to answer any questions as his physician was calling him during this phone call and he had to answer. At time of reporting (26-NOV-2008) the patient was not recovered. No further information was available from the caller. No further information is available.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Information has been received from a certified medical assistant concerning a 73 year old female patient with hyperlipidaemia, hypertension and AVELOX hypersensitivity, coronary heart disease and diverticulitis, who on 09-SEP-2008 was vaccinated intramuscularly with one dose of PNEUMOVAX 23 (Lot # 660717/0224X). Subsequently, the patient experienced an injection site reaction. The area was swollen, red and painful. The patient sought medical attention. On an unspecified date, the patient had recovered. Follow up information has been received from a physician on 17-FEB-2009. It was reported that th e73 year old female patient was vaccinated into the right deltoid with a first dose of PNEUMOVAX 23 (Lot # 655766/0038U, previously reported as Lot # 660717/0224X) at 12:50. On 10-SEP-2008, the patient experienced pain, redness, oedema and injection site reaction. On an unspecified date, the patient had recovered. This is one of two cases from the same source. Additional information is not expected.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Oedema peripheral
Clinical narrative: Information has been received from a nurse concerning a 56-year-old patient who on 17-NOV-2008 was vaccinated with a dose of 0.5 ml PNEUMOVAX (lot # 658673/0990U, route and injection site unknown).  Concomitant vaccination included a separate injection of influenza virus vaccine (unspecified).  Subsequently the patient experienced an abnormally swollen arm at injection site, described as "worst they have even seen, and over the entire arm".  The patient sought unspecified medical attention.  At the time of reporting, the patient's symptom improved.  Follow-up information has been received from the nurse concerning the patient, who was a 56-year-old female with no known relevant medical history.  On 17-NOV-2008 she was vaccinated with the first fose of PNEUMOVAX (lot # 658673/0990U) via subcutanous route in her right arm.  Concomitantly she also  received a yearly dose of FLUZONE (lot # U2771AA)  IM in her right arm.  On 20-NOV-2008, the patient experienced intense swelling, redness, local pain and itching.  The are affected had a size of a hand.  It had  sharp line of demarcation and was erythematous.  She was treated with  ALLEGRA 180 mg and AUGMENTIN 875 mg.  No laboratory tests were performed. On an unspecified,date, the patient recoreved from the events. This is one of several reports received from the same source.  No further information is available.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site reaction, Pain, Swelling
Clinical narrative: Information has been received from a certified medical assistant concerning a 53 year old female patient with diabetes, seizure disorder, chronic fatigue syndrome, DEPAKOTE, DILANTIN and PROVIGIL; who on 08-SEP-2008 was vaccinated intramuscularly with one dose of PNEUMOVAX (Lot # 660717/0224X). Subsequently, the patient experienced an injection site reaction. The area was swollen, red and painful. The patient sought medical attention. On an unspecified date, the patient had recovered. This is one of two cases from the same source. Additional information has been requested.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Rash macular
Clinical narrative: Information has been received from a healthcare worker concerning a 50 year old female patient with hypercholesterolaemia, hypothyroidism, CODEIDING hypersensitivity and wheat allergy who on 04-DEC-2008 was vaccinated with first dose of PNEUMOVAX (Lot #....), 0.5ml, intramuscularly. Concomitant therapy included PRAVACHOL, NEXIUM, SYNTHROID and OS-CAL. On 04-DEC-2008 after the patient received PNEUMOVAX developed left arm pain in the injection and a round red blotch about the size of a half dollar on her left shoulder and the same size blotch on the left side of her neck. There were no Laboratory or Diagnostics studies performed. At the time of the report on 05-DEC-2008 the patient was recovering. The patient sought medical attention office visit. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Information has been received from a Registered Nurse concerning a female patient in her 70's who on approximately 14-NOV-2008 was vaccinated iwth PNEUMOVAX 23 (Lot # was not available), 0.5ml. On approximately 15-NOV-2008 the patient experienced cellulitis on her forearm. After 3 days the patient had the symptom she recovered on approximately 18-NOV-2008. The patient sought medical attention with the physician and nurse. No further information is available.
Age: 17.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Information has been received from a pharm D that a medical assistant stated that a 17 year old female patient who on 21-NOV-2008 was vaccinated with PNEUMOVAX. On 21-NOV-2008 the patient developed "serious cellulitis" and was treated with IV antibiotics in the Emergency room. The patient was completely symptom free as of 25-NOV-2008. This is one of several reports from the same reporter. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Information has been received from a medical office coordinator, concerning a 17 year old female patient who was vaccinated with a dose of PNEUMOVAX vaccine. Concomitant vaccination included Influenza virus vaccine (unspecified). It was reported that the patient experienced cellulitis of the arm after receiving PNEUMOVAX. The medical office coordinator reported that the patient went to the emergency room and was treated with oral antibiotics an other unspecified medication. This is one of two reports from the same source. Additional information has been requested.
Age: 37.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia, Swelling
Clinical narrative: Information has been received from a registered nurse concerning a patient who was vaccinated with a dose of PNEUMOVAX 23 on an unspecified date (lot #659485/1715U). Subsequently the patient experienced severe arm pain, tingling, numbness and swelling on an unspecified date. No cellulitis reported. The outcome was unknown at the time of reporting. Follow up information was received concerning a 37 year old male patient with asthma and allergy to penicillin and E-MYCIN who was intramuscularly vaccinated with the first dose of PNEUMOVAX 23 at 9:00 on 04-NOV-2008 into the right deltoid. ON the same day the patient also was intramuscularly vaccinated with the first dose of FLUARIX into the right deltoid. There was no illness at the time of vaccination. At 11:00 on 04-NOV-2008 the patient experienced severe arm pain and required emergency room/doctor visit. No treatment was given. The reporter considered this case was due to FLUARIX not PNEUMOVAX 23. The outcome was not provided. Follow up information was received concerning the male patient who experienced severe arm pain with numbness and tingling on 04-NOV-2008. He recovered from severe arm pain with numbness and tingling on unspecified dates. This is one of several reports from the same source. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Information has been received from a registered nurse concerning a patient who was vaccinated with a dose of PNEUMOVAX on an unspecified date (lot # 659485/1715U). Subsequently the patient experienced severe pain of the whole arm on an unspecified date. No cellulitis reported. The outcome was unknown at the time of reporting. The patient did not seek medical attention. This is one of several reports form the same source. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Information has been received from a registered nurse concerning a patient who was vaccinated with a dose of PNEUMOVAX on an unspecified date (lot #659485/1715U). Subsequently the patient experienced severe pain of the whole arm on an unspecified date. No cellulitis reported. The outcome was unknown at the time of reporting. The patient sought unspecified medical attention. This is one of several reports form the same source. Additional information has been requested.
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Information has been received from a physician concerning a 50 year old healthy male patient who received PNEUMOVAX at age of 50 and also received another PNEUMOVAX shot a year later and had experienced swelling at the injection site.  No lot number was provided.  No further information was provided.  Additional information has been requested.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Sinusitis
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 64 year old female with thyroid disorder and antihistamine allergy who was vaccinated intramuscularly with her first 0.5 ml dose of PNEUMOVAX 23 on 16-OCT-2008 and has developed injection site pain, swelling and tenderness that has persisted since the injection. The patient also complained of a sinus infection that began the day after the vaccine and has now resolved. Concomitant therapy included thyroid medication and vitamin. The patient sought medical attention by visiting the physician's office. No additional information is available. Follow up information was received from a registered nurse (R.N.) concerning the female patient with no pre-existing allergies, birth defects, or medical conditions who was vaccinated intramuscularly in the right deltoid with the first dose of PNEUMOVAX 23 (lot#661039/0248X) on 16-OCT-2008 and developed redness and swelling at the injection site. No relevant diagnostic tests or laboratory data was collected. No outcome was reported. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Information has been received from a doctor of pharmacy concerning a male patient who on approximately 04-NOV-2008 was vaccinated intramuscularly with a dose of PNEUMOVAX (lot # 662662/0979X). It was not known if the patient had been previously vaccinated with PNEUMOVAX. The pharmacist reported that the patient developed cellulitis and received antibiotics and supportive care and is recovering. Additional information has been requested. This is one of three reports received from the same source.
Age: 2.0
Sex: U
Vaccine: PNC, PPV
Symptoms: Wrong drug administered
Clinical narrative: Information has been received from a Licensed Vocational Nurse concerning a 24 month old patient who on 10-DEC-2008 was vaccinated with both PNEUMOVAX and PREVENAR. No adverse effect was reported. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Information has been received from a doctor of pharmacy concerning a female patient who on approximately 04-NOV-2008 was vaccinated intramuscularly with a dose of PNEUMOVAX (lot # 662662/0979X).  It was not known if the patient had been previously vaccinated with PNEUMOVAX.  The pharmacist reported that the patient developed swelling, pain and redness and required no treatment and had recovered.
Sex: M
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Information has been received from a medical assistant concerning a male patient who on an unspecified date was vaccinated with a dose of PNEUMOVAX (Lot # 661577/1161X) and had injection site reactions from PNEUMOVAX. It is unknown if the patient sought medical attention. At the time of reporting, it is unknown if the patient had recovered. This is one of several cases received from the same source. Additional information has been requested.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Information has been received from a 56 year old physician reporting herself with a history of asthma who in the AM of 05-DEC-2008 was vaccinated with an expired dose of PNEUMOVAX (lot # 659922/1667U).  By evening of 05-DEC-2008 the patient experienced swollen, red, painful arm from shoulder to elbow.  The next day the pain and redness subside but the swelling persists still.  On 08-DEC-2008 the patient experienced upper respiratory congestion, fever and chills.  Additional information has been requested.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Upper respiratory tract congestion
Clinical narrative: Information has been received from a 56 year old physician reporting herself with a history of asthma who in the AM of 05-DEC-2008 was vaccinated with an expired dose of PNEUMOVAX (lot # 659922/1667U).  By evening of 05-DEC-2008 the patient experienced swollen, red, painful arm from shoulder to elbow.  The next day the pain and redness subside but the swelling persists still.  On 08-DEC-2008 the patient experienced upper respiratory congestion, fever and chills.  Additional information has been requested.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Information has been received from a medical office coordinator concerning a 71 year old male patient, who on unspecified date was vaccinated with dose of PNEUMOVAX. It was reported that the patient experienced cellulitis after receiving PNEUMOVAX. This is one of two reports from the same source. Additional information has been requested.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Hypersensitivity, Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a healthcare worker concerning a 65 year old male patient who had experienced an unspecified allergic reaction after received a dose of PNEUMOVAX (lot # 663012/1163X). The patient sought medical attention through a office call. Follow up information indicated that the patient also experienced a spot at the injection site with a rash (at the injection site). Follow up information received on 06-APR-2009 from a health professional stated that it was a postal service employee who complained on 29-OCT-2008 of reaction to injection, the patient was complained of redness, heat and swelling at the injection site. The patient had recovered. This is one of three reports from the same source. Additional information has been requested.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Information has been received from a healthcare worker concerning a 66 year old female patient who had experienced an unspecified allergic reaction after received dose of PNEUMOVAX (lot # 663012/1163X).  The patient sought medical attention through a office call.  Follow up information indicated that the patient also experienced a spot at the injection site with a rash (at the injection site).  Follow up information received on 06-APR-2009 stated from a health professional stated that it was a patient who on 30-SEP-2008 was vaccinated with a dose of PNEUMOVAX.  The patient phone to the office on 02-OCT-2008 complaining of redness and pain at the injection site.  On the same day the patient was seen in office.  The patient developed a 4 inches x 1 inches erythema area in the left arm.  The patient also experienced mild heat at the injection site.  The patient was treated with CLARINEX and XYZAL. The patient had recovered.  This is one of three reports from the same source.  Additional information has been requested.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: Information has been received from a pharm D that a medical assistant stated that a 71 year old male patient who on 21-NOV-2008 was vaccinated with PNEUMOVAX. On 21-NOV-2008 the patient developed "serious cellulitis" and presented with redness and swelling of upper arm along aspect extending downward elbow. Initially redness at injection site but this had resolved leaving mid and distal area of arm with local oedema. The patient had sought medical attention. The outcome of "serious cellulitis" was not reported. This is one of several reports by the same reporter. Additional information has been requested. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Pain in extremity
Clinical narrative: Information has been received from a medical assistant concerning a 70 year old female with penicillin allergy who on 17-NOV-2008 was vaccinated intramuscularly with the second dose of 0.5 ml PNEUMOVAX (lot# 661577/1161X) in the left deltoid. Concomitant therapy included unspecified asthma medication, omeprazole, unspecified over the counter medications, trazodone hydrochloride, DETROL LA, citalopram, simvastatin, alendronate sodium. Medical history included hyperlipidemia, sleep apnea, osteopenia, insomnia, esophageal reflux. On 18-NOV-2008 the patient experienced extreme soreness on the left arm. On 19-NOV-2008 the left arm became red and more painful. The patient was seen in the office on 19-NOV-2008 and the patient was diagnosed with a cellulitis type reaction. The patient was treated with clindamycin 300mg 3 times a day for 7 days. Specific date of recovery of the patient is unknown. However the patient was in the office on 02-DEC-2008 and there was no mention of the reaction. The patient did receive the first dose at the age of 64 years old and it is unknown if the patient had a reaction at that time. No further information is available. This is one of several reports from the same source. Additional information has been requested. Additional information has been requested.
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Allergy to vaccine, Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a certified medical assistant, concerning a 52 year old male with no medical history or allergies, who on 07-DEC-2008, was vaccinated with PNEUMOVAX (Lot # 659150/1384U), 0.5ml, intramuscularly.  Concomitant therapy included PROTONIX.  The certified medical assistant reported that , on 09-DEC-2008, the patient developed a fever of 100.2F, swelling, redness and pain at the injection site (right arm).  The patient was seen on 10-DEC-2008 and was diagnosed with cellulitis and allergic reaction to the vaccine.  The patient was treated with VICODIN and PREDNISONE.  No other details.  It is unknown if the patient recovered.  Additional information has been requested.
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a certified medical assistant, concerning a 52 year old male with no medical history or allergies, who on 07-DEC-2008, was vaccinated with PNEUMOVAX (Lot # 659150/1384U), 0.5ml, intramuscularly.  Concomitant therapy included PROTONIX.  The certified medical assistant reported that , on 09-DEC-2008, the patient developed a fever of 100.2F, swelling, redness and pain at the injection site (right arm).  The patient was seen on 10-DEC-2008 and was diagnosed with cellulitis and allergic reaction to the vaccine.  The patient was treated with VICODIN and PREDNISONE.  No other details.  It is unknown if the patient recovered.  Additional information has been requested.