chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Amenorrhoea, Delivery, Exposure during pregnancy, Gestational hypertension, Human chorionic gonadotropin positive
Clinical narrative: Information has been received from a certified medical assistant for GARDASIL, a Pregnancy Registry Product, concerning a 24 year old female patient with no pertinent medical history and no drug reactions or allergies who on 14-MAR-2011 was vaccinated with the 1st dose of GARDASIL 0.5 ml, IM in the right deltoid (lot # 666597/0768Z and expiration date 17-OCT-2012. There was no concomitant medication. The medical assistant reported that on 13-MAY-2011 the patient was vaccinated with the second dose of GARDASIL (dose, route and lot # not reported) and was pregnant. On the date of this vaccination, a pregnancy test was taken prioir to the administrtaion of GARDASIL and it was negative. The patient came into the office on 03-JUN-2011 due to amenorrhea and a urine test confirmed that the patient was pregnant. The patient came into the office on 08-JUN-2011 for beta blood work pane. No adverse effects. Follow up information has been received from a medical assistant via a complete pregnancy questionnaire concerning the 24 year old female patient who on 13-MAY-2011 was vaccinated with the second dose of GARDASIL (lot #666597/0768Z). Concomitant medications included prenatal vitamins (unspecified) daily, for prescription given on 03-JUN-2011. The medical assistant reported that the estimated conception date was approximately on 10-MAY-2011. Prenatal laboratory tests included an ultrasound on 08-JUN-2011 for pregnancy viability and dates which showed a live fetus of 6 and 4/7 weeks. The patient's last menstrual period was 26-APR-2011, and the estimated delivery date would be 31-JAN-2012. Follow up information has been received from the medical assistant via pregnancy questionnaire concerning the patient who on 12-JAN-2012 delivered a normal female baby at 37 4/7 weeks with no congenital anomalies or other complications or abnormalities. The apgar score was 9/9.5. Concomitant therapy included FLALGYL and COMPAZINE. The medical assistant reported that hte patient did not have any complication during pregnancy. The patient had gestational hypertension during labor and she also experienced vaginal bacterial infection during pregnancy. A chest X-ray on 06-APR-2011 (results not provided). At the time of the report the patient's outcome from gestational hypertension and vaginal bacterial infection was unknown.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound antenatal screen normal, Vaginal infection
Clinical narrative: Information has been received from a certified medical assistant for GARDASIL, a Pregnancy Registry Product, concerning a 24 year old female patient with no pertinent medical history and no drug reactions or allergies who on 14-MAR-2011 was vaccinated with the 1st dose of GARDASIL 0.5 ml, IM in the right deltoid (lot # 666597/0768Z and expiration date 17-OCT-2012. There was no concomitant medication. The medical assistant reported that on 13-MAY-2011 the patient was vaccinated with the second dose of GARDASIL (dose, route and lot # not reported) and was pregnant. On the date of this vaccination, a pregnancy test was taken prioir to the administrtaion of GARDASIL and it was negative. The patient came into the office on 03-JUN-2011 due to amenorrhea and a urine test confirmed that the patient was pregnant. The patient came into the office on 08-JUN-2011 for beta blood work pane. No adverse effects. Follow up information has been received from a medical assistant via a complete pregnancy questionnaire concerning the 24 year old female patient who on 13-MAY-2011 was vaccinated with the second dose of GARDASIL (lot #666597/0768Z). Concomitant medications included prenatal vitamins (unspecified) daily, for prescription given on 03-JUN-2011. The medical assistant reported that the estimated conception date was approximately on 10-MAY-2011. Prenatal laboratory tests included an ultrasound on 08-JUN-2011 for pregnancy viability and dates which showed a live fetus of 6 and 4/7 weeks. The patient's last menstrual period was 26-APR-2011, and the estimated delivery date would be 31-JAN-2012. Follow up information has been received from the medical assistant via pregnancy questionnaire concerning the patient who on 12-JAN-2012 delivered a normal female baby at 37 4/7 weeks with no congenital anomalies or other complications or abnormalities. The apgar score was 9/9.5. Concomitant therapy included FLALGYL and COMPAZINE. The medical assistant reported that hte patient did not have any complication during pregnancy. The patient had gestational hypertension during labor and she also experienced vaginal bacterial infection during pregnancy. A chest X-ray on 06-APR-2011 (results not provided). At the time of the report the patient's outcome from gestational hypertension and vaginal bacterial infection was unknown.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Laboratory test abnormal, Vertigo
Clinical narrative: This spontaneous report was received from a physician refers to a 77 year old male patient with penicillin allergy (caused hives). The patient's medical history included a heart disease. On 18-SEP-2013, the patient was vaccinated with a dose of ZOSTAVAX (lot #, expiry not reported). Other suspect therapies included influenza virus vaccine (Manufacturer unknown). Concomitant therapies included atenolol 25mg/once daily and LIPITOR, 20 mg/once daily. On 19-SEP-2013, the patient experienced vertigo after receiving ZOSTAVAX and influenza virus vaccine (Manufacturer unknown). Patient sought medical attention. Patient received ANTIVERT 25 mg/once daily as treatment. An unspecified test was performed that determined he had vertigo. The outcome of vertigo was reported as not recovered. This is one of 2 reports received from same reporter. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Malaise
Clinical narrative: This spontaneous report was received from a physician refers to a female patient of unknown age. On an unknown date, the patient was vaccinated with a dose of ZOSTAVAX (lot #, expiry not reported). On an unknown date, the patient experienced injection site reaction and became sick after receiving ZOSTAVAX. The outcome of the injection site reaction and became sick was unknown. This is one of 2 reports received from same reporter. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: This spontaneous report as received from a pharmacist via company representative refers to a diabetic female of unknown age. The patient was not pregnant. About one and a half year ago, in an approximately April 2012, the patient was vaccinated subcutaneously with a dose of ZOSTAVAX for prevention of shingles (dose and lot number not reported). On an unknown date, after administration of ZOSTAVAX, the patient experienced tingling sensation throughout her entire body. It was unknown if the patient sought medical attention. No treatment was given for the patient's event. The outcome of tingling sensation throughout her entire body was unknown. Relatedness between ZOSTAVAX and the patient's event was not reported. Additional information is not expected.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a register nurse refers to a patient of age and gender unknown. Pertinent medical history, drug reactions or allergies were not reported. On 07-JAN-2013 the patient received the second dose of GARDASIL (Lot number: 672652/0022AE, expiration date: 28-SEP-2014). Concentration, duration and route of administration were not reported. Concomitant medications were not reported. The register nurse mentioned that GARDASIL was exposed to 34.3 Fahrenheit degrees for 105 days. No adverse events were reported. This is one of several reports from the same source (MARRS #: 1308USA009208 and 1309USA013003). Additional information is not expected.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Convulsion, Loss of consciousness, Nervousness, Syncope
Clinical narrative: I gave the child Tdap, MENACTRA. He was nervous, wanted a drink. We have him a juice. I gave the BARDASIL and he fainted and had what appeared to be a brief seizure. No fall or injury. He regained consciousness immediately. Squad called. He did not go to ER.
Sex: F
Vaccine: PPV
Symptoms: Adverse reaction
Clinical narrative: Information has been received from a third party claims administrator on behalf of a pharmacy concerning a female patient. On an unspecified date the patient was vaccinated with PNEUMOVAX 23 (lot # J004747, expiration date 20JUL2014). On an unknown date the patient experienced an adverse reaction (NOS). The outcome of the adverse reaction was unknown. Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report as received from a pharmacist refers to a patient of unknown age and gender. On 25-SEP-2013 the patient was vaccinated with an expired dose of MMR II (lot number reported as 1405AA, expiration date 06-SEP-2013), dose, route and anatomical location unspecified. Concomitant medications were not reported. No symptoms were reported. Additional information has been requested.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Skin warm, Swelling
Clinical narrative: Patient noticed redness and swelling evening following vaccination. Over next 48 hours arm became warm and redness became larger covering area below shot down to elbow.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever 100 degrees for 2 days. Pain in the joints for 3 days. Swelling at injection site about 2.5 inch diameter and pain - no treatment.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administration error, Rash erythematous, Vaccination site reaction
Clinical narrative: Patient got a red rash around the area of the vaccination approximately 30 minutes later after getting vaccine. Pt also feels she was improperly immunized.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Significant erythema and swelling to injection site with (1) blister and darker red area next to injection site. Pt. denies any distress 2 days after injection. F/U with PCP.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: This case was reported by a healthcare professional (nurse) via a sales representative and described the occurrence of fever in a 4-month-old female subject who was vaccinated with PEDIARIX (GlaxoSmithKline). Concurrent vaccination included haemophilus influenzae type b vaccine (non-gsk); non-GSK manufacturer; unknown; unknown given on 25 September 2013; pneumococcal vaccines (non-gsk); non-GSK manufacturer; unknown; unknown given on 25 September 2013; rotavirus vaccine (non-gsk); non-GSK manufacturer; unknown given on 25 September 2013. On 25 September 2013 the subject received a dose of PEDIARIX (unknown details). In 2013, less than one week after vaccination with PEDIARIX, the subject experienced fever and high white cell count. The reporter described the white cell count as "very high" and no further details were provided. The subject was hospitalised. Relevant test results included white cell count taken in 2013 which was "very high." The subject was also reported to have a "103 degree fever" in 2013. At the time of reporting the outcome of the events were unspecified. The nurse documented 2 other cases with PEDIARIX. See cases A1044386A and A1044385A for details on the other cases.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Bladder dysfunction, Incontinence, Micturition urgency, Urine analysis normal
Clinical narrative: After receiving the first GARDASIL injection 1 Aug, my son began to have bladder dysfunction "sense of urgency". After the second shot 19 Sep he now has incontinence. Prior to the shots he was perfectly healthy 17 yr. old.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Skin discolouration
Clinical narrative: Pt. complained of the left arm being black and blue and complained of arm hurting. Resulted in doctor's visit.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pruritus, Headache, Insomnia, Pyrexia, Thirst
Clinical narrative: 10:20 A Shot given. 1 P Itchy eyes, headache onsets. 5 P Shaking. 7 P Low grade fever > 100 degrees. 11 P Unquenchable thirst, splitting headache, insomnia.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: 10:20 A Shot given. 1 P Itchy eyes, headache onsets. 5 P Shaking. 7 P Low grade fever > 100 degrees. 11 P Unquenchable thirst, splitting headache, insomnia.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Neck pain, Swelling face
Clinical narrative: Pt. states that she started with neck pain, then her face was swelling and numb for 5-6 days. Doctor gave pt Prednisone after 5 days for reaction.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Orange-size swollen, red, itchy area at site of injection.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Oral herpes, Pain, Pyrexia
Clinical narrative: I am 70 yrs. old and healthy. I had the strong dose flu shot. Until this shot, I have not had a reaction to the flu shot. Sept. 23 - core ached. Sept. 24 - feverish, strong headache. Sept. 25 - feverish, headache, fever blisters - 3 mouth. Sept. 24-29th - continual headache. First time for strong dose. Concern  - may not get this shot again; affect to others.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Severe aches from neck to hips, and very tired, slight headache. Symptoms lasted 5 to 6 hrs.
Age: 62.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea, Lip swelling, Swelling face
Clinical narrative: Patient received vaccine on 9/24, went to ER on 9/25 with shortness of breath, lip, and facial swelling.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Dyspnoea, Myalgia
Clinical narrative: Severe muscle aches in legs and lower back, chills, shortness of breath and weakness occurred the night of the vaccination and lasted 6-7 hours. Slight muscle aches and slight chills the following day all day.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Hypotension, Pallor
Clinical narrative: Hypotension and diaphoretic, pale. Epinephrine 0.3 ML once.
Age: 56.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Cold sweat, Erythema multiforme, Headache, Pyrexia
Clinical narrative: Headache, fever, erythema multiforme and cold sweats. Cephalexin 500 mg QID, ibuprofen 600 mg QID.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Pain
Clinical narrative: Pain at site of injection. Has not abated after 2 weeks and 2 days. No treatment until today. Hurts to abduct arm.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal oedema, Pruritus, Urticaria
Clinical narrative: Itching, hives and feeling as though throat was swelling.  She took Benadryl at onset, then Benadryl at bedtime, which relieved symptoms until the next day when they returned and she checked in to the ER dept and received a Decadron injection which relieved symptoms within a couple of hours.
Age: 0.15
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Blood culture negative, Blood test, CSF cell count increased, CSF culture negative, Culture urine negative
Clinical narrative: At 10pm the night after receiving vaccines, she developed fever to 38C, parents gave tylenol at that time, 1 hours later she developed seizure-like activity which lasted 2-3 min, at which point she was brought to facility by EMS. Seizure activity resolved on its own, no medication or treatment given.
Age: 0.15
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Electroencephalogram normal, Gram stain negative, Meningitis viral, Pleocytosis, Pyrexia
Clinical narrative: At 10pm the night after receiving vaccines, she developed fever to 38C, parents gave tylenol at that time, 1 hours later she developed seizure-like activity which lasted 2-3 min, at which point she was brought to facility by EMS. Seizure activity resolved on its own, no medication or treatment given.
Age: 0.15
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Seizure like phenomena, Urine analysis
Clinical narrative: At 10pm the night after receiving vaccines, she developed fever to 38C, parents gave tylenol at that time, 1 hours later she developed seizure-like activity which lasted 2-3 min, at which point she was brought to facility by EMS. Seizure activity resolved on its own, no medication or treatment given.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site warmth, Local swelling, Pain
Clinical narrative: Localized redness/swelling (10.5 cm x 13.5), hot/red at site, localized pain all started this morning. Recommended to alternate heat/ice to site.  Recommended to Tylenol or Advil as needed.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Rash erythematous, Rash macular, Rash pruritic, Urticaria
Clinical narrative: Small red itchy spot on my neck the evening of 10/7.  The next morning 2 small spots on my neck which were larger and itchy. On 10/9, this morning, many blotchy spots on the neck and back.  Red, elevated and itchy.  (like hives)
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pain in extremity
Clinical narrative: Left arm hurting very badly, headache.
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Eye pruritus, Fatigue, Lethargy, Pain
Clinical narrative: Fever, aches, runny nose, dizzy, fatigue, lethargy, sneezing, itching eyes.
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Rhinorrhoea, Sneezing
Clinical narrative: Fever, aches, runny nose, dizzy, fatigue, lethargy, sneezing, itching eyes.
Age: 1.29
Sex: M
Vaccine: DTAP
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling
Clinical narrative: Pt received DTAP in left thigh, tolerated well. The following day parents noticed small area of surrounding redness that gradually increased over the following 24hrs to include entire anterior thigh with swelling and bruise. Pt without apparent pain. No gait disturbance or fever. No other rash, mucous membrane swelling, wheezing, dyspnea. No h/o similar reaction.
Age: 0.27
Sex: F
Vaccine: FLUX
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Sore arm - arm where I received the flu short.  No pain initially after receiving the shot.  Also warmness in the arm.  Will only see Dr if it gets worse over the next few days.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Cough, Headache, Ocular hyperaemia, Pain
Clinical narrative: Started with headache at 5:30 PM, then cough at cough at 6:15PM, tongue swollen, eyes bloodshot beginning 6:45 PM, fever (100.3), chills, aches at 9:30PM.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Swollen tongue
Clinical narrative: Started with headache at 5:30 PM, then cough at cough at 6:15PM, tongue swollen, eyes bloodshot beginning 6:45 PM, fever (100.3), chills, aches at 9:30PM.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Computerised tomogram thorax normal, Laboratory test, Pain, Pruritus generalised
Clinical narrative: Patient stated she had generalized itching approx 5-6 hours after injection, self med with Benadryl 25mg PO. Itching progressed to severe generalized pain, beacme "unbearable" and patient went to ER approximately 13 hours after injection. Given IV morphine per pt, CT scan (result unknown) D/C to home 7 hours after admission with Rx Dilavid po, Xanax, Benardyl, Tylenol, Docusate and told to f/u with private MD.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warm to touch approx. 1/4 inch below the injection site. Patient was given antibiotic therapy, symptoms persisted antibiotic changed and then symptoms were relieved.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site pain, Pain in extremity, Pyrexia
Clinical narrative: Chills, arm pain, and soreness at injection site.  Patient was encouraged to take Tylenol/Motrin for pain and fever, instructed to use ice compresses to injection site.  Also instructed to use Benadryl as needed.
Age: 37.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal discomfort, Fatigue, Nausea, Pain in extremity
Clinical narrative: Moderate-severe pain all down arm in which vaccine was administered.  Tired, queasy, upset stomach.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Cough, Lacrimation increased, Pain, Pyrexia
Clinical narrative: Approximately 2 hours after injection, pt exhibited coughing, sneezing which progressed to runny nose, chills, eye tearing, fever, severe body aches at 6 hours after injection. Pt medicated himself with Tylenol 700mg every 4 hours without relief.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: Approximately 2 hours after injection, pt exhibited coughing, sneezing which progressed to runny nose, chills, eye tearing, fever, severe body aches at 6 hours after injection. Pt medicated himself with Tylenol 700mg every 4 hours without relief.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Burning sensation, Erythema, Hypersensitivity, Rash
Clinical narrative: Developed a rash and redness in face.  Pharmacy and clinic recommended taking Benadryl.  I applied Benadryl cream to effected areas and it burned.  Had an allergic reaction to something and thought for a couple of days and on Saturday 9/28/2013 realized the only thing I was exposed to different was the flu shot.  Improved progressivly and cleared up by Tuesday 10/1/2013.  Have shot annually and have never had a reaction.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Chest X-ray, Chills, Diarrhoea, Headache
Clinical narrative: Uncontrollable chills/shaking (first 12 hours), high fever (up to 102 (up and down over 72 hour period), headache (4 days), nausea (first 24 hours), diarrhea (on day 2), body aches (day 3), fever blisters (day 3).
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Oral herpes, Pain, Pyrexia, Tremor
Clinical narrative: Uncontrollable chills/shaking (first 12 hours), high fever (up to 102 (up and down over 72 hour period), headache (4 days), nausea (first 24 hours), diarrhea (on day 2), body aches (day 3), fever blisters (day 3).
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Urine analysis
Clinical narrative: Uncontrollable chills/shaking (first 12 hours), high fever (up to 102 (up and down over 72 hour period), headache (4 days), nausea (first 24 hours), diarrhea (on day 2), body aches (day 3), fever blisters (day 3).
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Generalised erythema, Lethargy, Malaise, Pruritus generalised, Pyrexia
Clinical narrative: After she got the vaccine, patient did not feel well.  She was lethargic and had a fever.  I gave her a dose of acetaminophen, as directed by the doctors office.  She seemed fine that evening when she went to bed. The next morning, patient complained of persistent itching on her palms, arms, legs, and face.  I looked at her closely and saw that she was red and swollen, with hives on her face.  I went to the store to get her Benadryl and came home to find most of her body red and swollen.  She had large red spots on her chest and back.  We gave her a dose of liquid Benadryl and had her sit in a bathtub with warm water and baking soda.  The hives subsided with the Benadryl.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Rash, Rash erythematous, Swelling, Urticaria
Clinical narrative: After she got the vaccine, patient did not feel well.  She was lethargic and had a fever.  I gave her a dose of acetaminophen, as directed by the doctors office.  She seemed fine that evening when she went to bed. The next morning, patient complained of persistent itching on her palms, arms, legs, and face.  I looked at her closely and saw that she was red and swollen, with hives on her face.  I went to the store to get her Benadryl and came home to find most of her body red and swollen.  She had large red spots on her chest and back.  We gave her a dose of liquid Benadryl and had her sit in a bathtub with warm water and baking soda.  The hives subsided with the Benadryl.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Injection site pain, Injection site pruritus, Pruritus, Throat irritation
Clinical narrative: Taken from medical note: Called to immunizations clinic for pt w/hives/itching about 20-30 min after receiving flu shot, R arm, no prior hx of reaction, no other unusual foods/exposures today.  Pt talking and w/o distress, complaining of itching/burning at injection site and itching on back as well as some throat itching and heaviness in throat.  Benadryl po 10 ml (25 mg) given and Epipen 0.3 mg autoinjector given.  Initial vitals reassuring, Lungs CTAB.  Pt w/ hx of iron def anemia and hypertension, is on metoprolol and is compliant.   Pt w/ improvement of sxs however within a few min, no more throat heaviness, less itching.  VSS remaining normal w/ unexpected hypertension as epi was administered before it was known pt was on beta blocker.  Pt observed for 35-40 min w/ improvement, epi rx'd and f/u to ER if any further sxs.  Avoid flu shots in future unless under supervision of allergist.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Taken from medical note: Called to immunizations clinic for pt w/hives/itching about 20-30 min after receiving flu shot, R arm, no prior hx of reaction, no other unusual foods/exposures today.  Pt talking and w/o distress, complaining of itching/burning at injection site and itching on back as well as some throat itching and heaviness in throat.  Benadryl po 10 ml (25 mg) given and Epipen 0.3 mg autoinjector given.  Initial vitals reassuring, Lungs CTAB.  Pt w/ hx of iron def anemia and hypertension, is on metoprolol and is compliant.   Pt w/ improvement of sxs however within a few min, no more throat heaviness, less itching.  VSS remaining normal w/ unexpected hypertension as epi was administered before it was known pt was on beta blocker.  Pt observed for 35-40 min w/ improvement, epi rx'd and f/u to ER if any further sxs.  Avoid flu shots in future unless under supervision of allergist.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Injected limb mobility decreased, Neck pain, Nerve injury, Pain
Clinical narrative: At the time of administration, patient commented how quick and easy the vaccine was. About 4 hours after administering the vaccine, the patient said she had a constant, excruciating pain shooting up her neck and down her forearm. She said she could not move her arm. She told me I gave her the vaccine too high and her doctor told her there was nerve damage. I spoke with MD who I reassured that I had proper technique. He speculated possible nerve inflammation/irritation. He prescribed steroids and a narcotic and will follow up with the patient next week.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: At the time of administration, patient commented how quick and easy the vaccine was. About 4 hours after administering the vaccine, the patient said she had a constant, excruciating pain shooting up her neck and down her forearm. She said she could not move her arm. She told me I gave her the vaccine too high and her doctor told her there was nerve damage. I spoke with MD who I reassured that I had proper technique. He speculated possible nerve inflammation/irritation. He prescribed steroids and a narcotic and will follow up with the patient next week.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Decreased appetite, Nausea, Pain, Pyrexia
Clinical narrative: Fever over 100 degrees, full body aches, nausea, chills, no appetite.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Cough, Dyspnoea, Hypopnoea
Clinical narrative: ONSET OF COUGH, FELT LIKE " SHE COULDN'T GET AIR TO GO PAST UPPER CHEST" TOOK TYLENOL WITH CODEINE THEN HAD JOINT ACHES, BODY ACHES AND WEAKNESS. SHE SLEPT AND AWAKENED WITH R CALF MUSCLE SPASM.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms, Pain
Clinical narrative: ONSET OF COUGH, FELT LIKE " SHE COULDN'T GET AIR TO GO PAST UPPER CHEST" TOOK TYLENOL WITH CODEINE THEN HAD JOINT ACHES, BODY ACHES AND WEAKNESS. SHE SLEPT AND AWAKENED WITH R CALF MUSCLE SPASM.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Nausea, Pyrexia, Retching, Vomiting
Clinical narrative: Feverish, chills, followed by nausea and dry heaves / vomiting.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Apathy, Asthenia, Lip swelling, Nausea, Oedema mouth
Clinical narrative: Nauseated and felt terrible. Burning and Swelling inside mouth and lips  No energy or motivation for 3 days. Fine on the 4th day
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Oral discomfort
Clinical narrative: Nauseated and felt terrible. Burning and Swelling inside mouth and lips  No energy or motivation for 3 days. Fine on the 4th day
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Full blood count, Lipase, Liver function test, Metabolic function test
Clinical narrative: Developed swelling on right side of jaw and throat, mouth, emesis, chills, rigors.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Oedema mouth, Pharyngeal oedema, Swelling face, Urine analysis, Vomiting
Clinical narrative: Developed swelling on right side of jaw and throat, mouth, emesis, chills, rigors.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain, Muscular weakness, Pain, Tenderness
Clinical narrative: Pain in muscle where injection occurred.  Shooting pain and unable to raise arm to put on shirt, pain when sleep on that side, quick movements of that are painful, can no longer lift heavy weight.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Facial paresis, Hypoaesthesia, Vision blurred
Clinical narrative: Left side of face numbness/ weakness/ blurry vision.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site discolouration, Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: At location of injection, inflammation, raised skin temperature, discoloration, starting as redness, progressing to dark purple bruising, itching, symptoms lasting for several days, about the size of a softball.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth
Clinical narrative: At location of injection, inflammation, raised skin temperature, discoloration, starting as redness, progressing to dark purple bruising, itching, symptoms lasting for several days, about the size of a softball.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: This spontaneous report as received from a pharmacist, refers to a 65 year old female patient with morphine and "opiod analogs" allergy. The patient had no pertinent medical history. On 16-SEP-2013 the patient was vaccinated with ZOSTAVAX (lot number was not reported) 0.65 ml, once subcutaneous. There were no concomitant medications. Pharmacist stated that on 16-SEP-2013, since was vaccinated with ZOSTAVAX, experienced redness around injection site that started "small at time of injection and has grown bigger each day to 'the size of a tennis ball'". Pharmacist stated patient returned to pharmacy the day of the report, to show pharmacist her arm. Pharmacist stated patient had not contacted physician and had not had any treatment. The outcome of redness around injection site was not reported. The relationship between ZOSTAVAX and the redness around injection site was not reported. No lab diagnostics were performed. Additional information has been requested.
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Mass
Clinical narrative: About 2 or 3 hours after receiving vaccine, pt noticed a nickel-sized bump on left cheek. No other signs, it's not bothering pt at all. Not sure if related to vaccine.
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Local swelling
Clinical narrative: About 2 or 3 hours after receiving vaccine, pt noticed a nickel-sized bump on left cheek. No other signs, it's not bothering pt at all. Not sure if related to vaccine.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a nurse practitioner refers to a patient of unknown age and gender. Medical history and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL injection, lot # J002641, expiration date 10-Dec-2015 (dose and route not reported). Concomitant therapies were not reported. The reporter stated that GARDASIL vaccine was exposed to a highest temperature of 11.5 degree centigrade for a time out of range of 123.5 hours, which was an excursion that was not supported by in-house stability data. No adverse effect reported. This is one of several reports received from same source. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Thrombosis
Clinical narrative: This spontaneous report as received from a Nurse Practitioner via company representative refers to a female patient of unknown age. On an unknown date, the patient was vaccinated with a dose of GARDASIL (lot #, dose and route: No provided). There was no concomitant medication reported. On unspecified date, the patient developed a blood clot in an unspecified anatomical location after receiving an unspecified number of GARDASIL doses. The patient was unable to complete the GARDASIL series because of the blood clot. The Nurse Practitioner also mentioned this adverse experience may have been previously reported. The outcome of the event was unknown. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a nurse practitioner refers to a patient of unknown age and gender. Medical history and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL injection, lot # J002641, expiration date 10-DEC-2015 (dose and route were not reported). Concomitant therapies were not reported. The reporter stated that GARDASIL vaccine was exposed to a highest temperature of 12 degree centigrade for a time out of range of 147.5 hours which was an excursion that was not supported by in-house stability data. No adverse effect reported. This is one of several reports received from same source. Additional information has been requested.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Influenza like illness, Myalgia
Clinical narrative: Patient had flu-like symptoms. Mostly muscle aches in neck and back. Went away in 3-4 days. Both shots administered in right arm due to radiation in left arm.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Borrelia test negative, Eyelid function disorder, Mastication disorder, VIIth nerve paralysis
Clinical narrative: 5 days after receiving flu vaccine pt presented to ED with facial droop, not able to wink eye or chew on left side. Lyme test neg. Pt was given MEDROL dospak and VALTREX symptoms resolved.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: Received FLUZONE Quadrivalent in (L) deltoid. C/O swollen lymph nodes and sore arm.
Age: 31.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Dyspnoea, Influenza virus test negative, Pain, Pyrexia
Clinical narrative: 9/30/13 c/o fever, achy, chills, SOB at noon - reported to Medical 10/1/13. Temp. 103.4 at 0924. Inmate give I.V. hydration, TYLENOL, supportive care. Inmate tested for Influenza. S/S lasted until 10/3/13 (fever). No documented fever 9/30/13 as inmate did not contact Medical.
Age: 49.0
Sex: F
Vaccine: VARCEL
Symptoms: Antibody test negative, Varicella virus test negative
Clinical narrative: This spontaneous report as received from an other health professional (certified medical assistant) refers to a 49 year old female patient with penicillin drug reactions/allergies. In approximately 1996 (reported as 17 years ago) the patient was vaccinated with her first dose of VARIVAX (Merck). Dosing information, route of administration and lot number were not provided. Concomitant therapies included atorvastatin, diltiazem and quinapril. The patient, who worked with children, had varicella titers drawn on 05-SEP-2013. The varicella titers were negative. No treatment was given. Event outcome and causality assessment were not provided. Additional information has been requested.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Severe redness, swelling, pain and itching from (L) injection site to the elbow.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a nurse practitioner refers to a patient of unknown age and gender. Medical history and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL injection, lot # J002641, expiration date 10-DEC-2015 (dose and route were not reported). Concomitant therapies were not reported. The reporter stated that GARDASIL vaccine was expose to a highest temperature of 12 degree centigrade for a time out of range of 159.5 hours, which was an excursion that was not supported by in-house stability data. No adverse effect reported. This is one of several reports received from same source. Additional information has been requested.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Discomfort, Pain in extremity, Trigger finger
Clinical narrative: Severe pain in third metacarpal-phalangeal joint of right hand. Progressed to trigger finger with intense discomfort/pain.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Dysstasia, Local swelling, Pain in extremity
Clinical narrative: On Saturday - 10-5-13 - attended a symphony - had trouble standing at approx. 9:30 - pain in legs. At 10:30 PM walked the dog - severe pain in legs - legs began to swell - called MD - instructed to take temp - 100.7 - reaction continued through Sunday and Sunday night. Temp that evening was 100.4 - saw MD on Mon - thinks it is reaction from vaccine. 10-9 much improved.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Painful, to use ice and ibuprofen.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Eye swelling, Induration, Injection site erythema, Injection site induration
Clinical narrative: Injection site erythema and induration approx. 4" x 4" swelling of eyes, lips, nasal congestion, indurated area on back of head with erythema approx. 1" x 1" small red areas on forehead and (R) hand and forearm. Itching all over.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Nasal congestion, Pruritus generalised
Clinical narrative: Injection site erythema and induration approx. 4" x 4" swelling of eyes, lips, nasal congestion, indurated area on back of head with erythema approx. 1" x 1" small red areas on forehead and (R) hand and forearm. Itching all over.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Pt's husband claims approx. 3 hours post immunization, pt suffered pain in head, N/V; taken to ER via ambulance; 3 day admission; possible renal problems; inconclusive.
Age: 1.17
Sex: F
Vaccine: HIBV, MMRV
Symptoms: Body temperature increased, Febrile convulsion, Full blood count, Urine analysis normal
Clinical narrative: Pt received MMRV and Hib at 15 mo visit - 10/7. 10/8-9PM went to ER with temp 103 and ? seizure activity at home per dad's hx. Tylenol given at home ineffective. Dx with Febrile Seizure. Seizure activity 40 seconds.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain, Skeletal injury, Skin warm
Clinical narrative: No pain on injection to upper right deltiod, Pateint felt that it hit bone. Later patient described having "fever in arm". Pain and numbness that started later in the day and did not stop. Patient reported this event on 10/7/2013 and planning on asking PCP to check it.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Pyrexia
Clinical narrative: High fever and chills from 4:00PM until 2:00am.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Musculoskeletal pain, Tremor
Clinical narrative: Reports 103.0 T, severe chills, shaking, shoulder blade pain. She was afraid shoulder pain could be a cardiac sign, called PCP who told her to get to ED.  ED told her the hi-dose flu shot was perhaps too much for her system, as she reports reacting strongly to any medication. They suggested she ask for the regular strengh flu sho next year.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema
Clinical narrative: L arm at injection site of Menveo 5 ccm long and 3 cm wide of redness. He is on antibiotics. He will do warm compress.
Sex: U
Vaccine: MMR
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a nurse practitioner refers to a patient of unknown age and gender. On unknown date the patient was vaccinated with a dose of M-M-R II, injection, (lot # J002502, expiration date 28-FEB-2015). There was no concomitant medication reported. The nurse practitioner reported that the vaccine was exposed to a highest temperature of 11.5 degree centigrade for 9 hours. No adverse effect reported. This is one of several reports received from same source. Additional information has been requested.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Differential white blood cell count, Full blood count, Injection site bruising, Injection site erythema, Pyrexia
Clinical narrative: Vaccines given at 9:30 AM - Grandmother removed band aids at 2:00 PM and noticed qtr sized areas of redness. Mom picked up and noticed bruising at sites. Fever started between 6:30-7:00 PM. Treated with Tylenol. Ice to shot sites overnight. Vomited x1 this AM.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Vomiting
Clinical narrative: Vaccines given at 9:30 AM - Grandmother removed band aids at 2:00 PM and noticed qtr sized areas of redness. Mom picked up and noticed bruising at sites. Fever started between 6:30-7:00 PM. Treated with Tylenol. Ice to shot sites overnight. Vomited x1 this AM.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Fever to 101 within 4-5 hours following PF injectable flu, fever continued intermittently up to 104 without other symptoms, today is day 3 of fever.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiovascular evaluation, Dyspnoea, Heart rate increased, Intensive care, Laboratory test normal
Clinical narrative: Got shot on 9-16-13 at approx 8:00AM. Started to feel ill in afternoon 9-17-13 went to ER with shortness of breath, rapid heart rate. Was admitted to hospital, went to ICU for 2 days. Had heart tests done, everything came back fine. Been feeling fine ever since.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise
Clinical narrative: Got shot on 9-16-13 at approx 8:00AM. Started to feel ill in afternoon 9-17-13 went to ER with shortness of breath, rapid heart rate. Was admitted to hospital, went to ICU for 2 days. Had heart tests done, everything came back fine. Been feeling fine ever since.
Age: 8.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Redness, swelling, pain, low grade fever within 24 hr. -> pt. was evaluated in ER, diagnosed with "cellulitis" and treated with clindamycin P.O.
Age: 0.52
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC13
Symptoms: Urticaria
Clinical narrative: Unspecified urticaria.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Dry eye, Eye pain, Fatigue, Myalgia, Nasal congestion
Clinical narrative: Fever, muscle aches, nasal congestion, eye pain and dryness, fatigue.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Fever, muscle aches, nasal congestion, eye pain and dryness, fatigue.
Age: 70.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Pain, Pharyngeal oedema, Pruritus, Pyrexia
Clinical narrative: Itching, throat swollen, fever and chills, body aches.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dizziness, Electrocardiogram, Eye pruritus
Clinical narrative: 5:00 pm-fever, chills, cough, muscle aches, sore, itchy eyes, sore throat. 6:00pm-Same as above plus rapid heartbeat and feeling of something stuck in the throat, light headed feeling.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Myalgia, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: 5:00 pm-fever, chills, cough, muscle aches, sore, itchy eyes, sore throat. 6:00pm-Same as above plus rapid heartbeat and feeling of something stuck in the throat, light headed feeling.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Sensation of foreign body
Clinical narrative: 5:00 pm-fever, chills, cough, muscle aches, sore, itchy eyes, sore throat. 6:00pm-Same as above plus rapid heartbeat and feeling of something stuck in the throat, light headed feeling.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Presyncope
Clinical narrative: PT GOT LIGHTHEADED AND HAD A VASOVAGAL EPISODE.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Erythema, Feeling abnormal, Headache, Injection site erythema
Clinical narrative: Used cold packs on arm and ibuprofen.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Local swelling, Myalgia
Clinical narrative: Used cold packs on arm and ibuprofen.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Nasal congestion, Pyrexia, Sinus disorder, Skin warm
Clinical narrative: Used cold packs on arm and ibuprofen.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: She noticed a few hives on her arms, then increased to few more on her chest and by 10/06/2013, she came in on 10/8/13 and during examining her, hives were all over her chest and abdomen with a few more on her arms. No signs of shortness of breathe or trouble swallowing. She stated that she didn't have hives when she had her flu vaccine last time.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Burning sensation, Eye pain, Headache, Photophobia
Clinical narrative: My head and skull felt that every nerve ending was on fire and electrified.  It radiated down to both of my eyes.  Cold did not help.  Light hurt so bad. I could hardly stand it.  It was severe for 10 hrs. And then had a very bad headache for 36 hours.  I didn't go to emergency room because it hurt to bad. My daughter gave me Imitrex twice in the 36 hours.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Cough, Dyspnoea, Eyelid oedema, Increased upper airway secretion
Clinical narrative: 5:00 PM-SOB, Hard to breath, Phlegm cough-->ceased at 6:30 PM. 7:00 PM-Stiff neck, bilateral arms, continuously increased; Pain into back and legs. 9:00 PM-Blood shot, puffy eyes.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Ocular hyperaemia, Pain in extremity
Clinical narrative: 5:00 PM-SOB, Hard to breath, Phlegm cough-->ceased at 6:30 PM. 7:00 PM-Stiff neck, bilateral arms, continuously increased; Pain into back and legs. 9:00 PM-Blood shot, puffy eyes.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Pain, Paranasal sinus hypersecretion
Clinical narrative: Coughing, heavy snot accumulation, sore through getting worse through 10/5/2013 and slowly alleviating after that.  Treatment: aspirin, hot tea.
Age: 0.5
Sex: F
Vaccine: DTAP, RV5
Symptoms: Vaccination site induration, Vaccination site nodule, Vaccination site pain, Vaccination site warmth
Clinical narrative: Huge raised knot the size of a silver dollar. Fever in the spot of vaccination. Knot is and was very hard and tender.
Age: 28.0
Sex: F
Vaccine: FLUN4
Symptoms: Cough, Influenza like illness, Pain, Rhinorrhoea, Sneezing
Clinical narrative: Flu like symptoms. Sneezing, runny nose, cough, body aches.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation
Clinical narrative: Patient received high dose Fluzone.  Erythema, induration, and inflammation occurred at injection site almost immediately.  Patient sat for 20 minutes after injection so that she could be observed.  I advised her to apply an ice pack to assist her with the swelling.