chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Arthritis, Carpal tunnel syndrome, Difficulty in walking, Disturbance in attention, Fatigue
Clinical narrative: Episodic paresthesia of entire skin surface, chronic fatigue, osteoarthritis, myalgias, HTN, Hypercholesterolemia, migraine like headaches, weakness of lower extremities with gait problems, difficulties with concentration and short term memory, tinnitus, carpal tunnel right hand, perceived areas of tenderness--feels like a bruise on face, neck, anterior and posterior trunk and extremities, GI problems/periodic nausea.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Gastrointestinal disorder, Hypercholesterolaemia, Hypertension, Laboratory test abnormal, Migraine
Clinical narrative: Episodic paresthesia of entire skin surface, chronic fatigue, osteoarthritis, myalgias, HTN, Hypercholesterolemia, migraine like headaches, weakness of lower extremities with gait problems, difficulties with concentration and short term memory, tinnitus, carpal tunnel right hand, perceived areas of tenderness--feels like a bruise on face, neck, anterior and posterior trunk and extremities, GI problems/periodic nausea.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Muscular weakness, Myalgia, Nausea, Paraesthesia, Tenderness
Clinical narrative: Episodic paresthesia of entire skin surface, chronic fatigue, osteoarthritis, myalgias, HTN, Hypercholesterolemia, migraine like headaches, weakness of lower extremities with gait problems, difficulties with concentration and short term memory, tinnitus, carpal tunnel right hand, perceived areas of tenderness--feels like a bruise on face, neck, anterior and posterior trunk and extremities, GI problems/periodic nausea.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Tinnitus
Clinical narrative: Episodic paresthesia of entire skin surface, chronic fatigue, osteoarthritis, myalgias, HTN, Hypercholesterolemia, migraine like headaches, weakness of lower extremities with gait problems, difficulties with concentration and short term memory, tinnitus, carpal tunnel right hand, perceived areas of tenderness--feels like a bruise on face, neck, anterior and posterior trunk and extremities, GI problems/periodic nausea.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Patient received 5 year old immunizations on 4/21/04. Patient received DTaP only in left arm. Patient was seen on 4/23/04 for cellulitis left arm and was prescribed antibiotic course. Nurse follow up on 05/18/04 states: ADD: MMR # 2, Merck, Lot # 0138N, RA; IPV # 4, Aventis, Lot # W0334, RA.
Sex: U
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: When nursing personnel in a university hosp. on a general medicine floor were administering the Fluviron (Influenza Vaccine 2003-2004, Evans, lot 765880, exp june, 30,2004) influenza vaccine they mistakenly identified the 0.25ml line that is on the vile as the line that they were supposed to expel to for adult patients.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Condition aggravated, Rheumatoid arthritis
Clinical narrative: Exacerbating of severe symptoms of rheumatoid arthritis after AVA 1-3: reproduced and increasing with each shot.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Cellulitis, Erythema, Injection site induration, Oedema, Pain
Clinical narrative: 29y old female complained of pain, swelling to left arm. Received Anthrax shot 19APR04. Positive for edema, erythema, induration of approx. 6.5x5.5 " to left arm. Cellulitis. Meds: Keflex, Motrin
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: 29y old female complained of pain, swelling to left arm. Received Anthrax shot 19APR04. Positive for edema, erythema, induration of approx. 6.5x5.5 " to left arm. Cellulitis. Meds: Keflex, Motrin
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site vesicles
Clinical narrative: 8cm hard, red area around injection site. Vesicles: 1-2cm group over injection site.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Muscular weakness
Clinical narrative: Arthralgias, non-inflammatory and right grip weakness- chronic since Anthrax vaccine, 6th series.
Age: 40.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Headache, Injection site pain, Injection site swelling, Pain
Clinical narrative: Extremely bad headache: include upper arms and neck. Taking Ibuprofen : lots. Shot area swollen and painful: ice.  Follow up on 06/28/04 states: "Headache, immediately after, Motrin, now Bextra, joint pain, knees, week after, still ongoing. Lot # different from original: FAV083."
Age: 40.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Arthralgia, Diarrhoea, Difficulty in walking, Headache, Joint swelling
Clinical narrative: Extremely bad headache: include upper arms and neck. Taking Ibuprofen : lots. Shot area swollen and painful: ice.  Follow up on 06/28/04 states: "Headache, immediately after, Motrin, now Bextra, joint pain, knees, week after, still ongoing. Lot # different from original: FAV083."
Age: 40.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Pyrexia
Clinical narrative: Extremely bad headache: include upper arms and neck. Taking Ibuprofen : lots. Shot area swollen and painful: ice.  Follow up on 06/28/04 states: "Headache, immediately after, Motrin, now Bextra, joint pain, knees, week after, still ongoing. Lot # different from original: FAV083."
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Headache, Nasal congestion, Pyrexia, Wheezing
Clinical narrative: Fever /Headache started 24 hours after vaccine: then nasal congestion. Cough started 7-8 days after vaccine, presents today with wheezing . No fever. No n/o wheeze, pneumonia, bronchitis. Treated with Albuteral Pulmicort.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Depressed level of consciousness, Dizziness, Hyperhidrosis, Hypokinesia, Tinnitus
Clinical narrative: Pt received adult dose of hepatitis vaccine, Engerix 20 mcg. Lot # 5507a4, exp. date of 2/14/2005. Within an hour of administration, patient experienced episode of tinnitis, dizziness, diaphoresis, decreased sensorium: "flat like in a frog"-, inability to perform tasks, Pulse, BP, respiration rate all WNL. Pt rested for awhile but eventually had to leave work. Slept at home for 2-3 hours. Felt better upon arising. Returned to work the next day with no problems noted.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Area is red on left outer leg and swollen. The reddened area is the size of a baseball.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Pain, Pruritus, Swelling
Clinical narrative: Rt upper arm somewhat swollen, red, warm , itchy and a "little painful." Swelling was going down when benadryl given.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site induration, Injection site pain, Swelling
Clinical narrative: After having tetanus booster, I had a local reaction for several days (redness, swelling, pain and hardening of injection site).
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: 5-1-04 mom noticed few pink raised bumps on child's back. Many more on 5-2-04 esp on face. Ion-grade fever 5-2-04. fever 102.5 on 5-3-04 without meds. Few spots noticed on neck/arm on 5-3-04. Around 50 spots total as of 5-3-04 and still increase in number. Still progressing.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Lymphadenopathy, Pyrexia, Rash papular
Clinical narrative: Shotty lymphadenopathy. Fever 104-105x 2 days blanching papules chest, extremities and head (no vascular). MMR given 2 weeks prior DTaP/HIB. Treatment for symptoms: only fluids.
Age: 6.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective
Clinical narrative: Chicken pox
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Left upper arm with redness and ruber along entire length and half of circumference. Mild/mod swelling. Slightly tender to touch. Normal strength and movement.
Age: 2.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Insomnia, Irritability, Pallor, Pyrexia
Clinical narrative: Shots given on 4/30/2004. Cranky, pale , not sleeping well. Low grade temp.
Age: 0.43
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Pyrexia, Rash
Clinical narrative: A fever to 104.5, slight rash, 20 second seizure (per mom)
Age: 2.2
Sex: F
Vaccine: DT, HBHEPB
Symptoms: Convulsion, Pyrexia
Clinical narrative: Within two hours after shots: high fever, went into a seizure. Taken to hospital by rescue squad. At hospital for 5 hours.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis, Erythema, Injection site pustule, Pruritus, Skin nodule
Clinical narrative: Pt presented on 03/20/2004 with 3 erythematous nodules around 3-4 cm in diameter, each capped with small umbilicated pustule. Pt states they began around 4 days ago and are now tender and itchy. One is few cm away from SPV site, one on torso and one on L leg. There is also erythema/scale around SPV site c/w contact dermatitis from Band-aid. Pt diagnosed with inadvertent innoculation and treated with Naprosyn and Allegra.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Tenderness, Vaccination complication
Clinical narrative: Pt presented on 03/20/2004 with 3 erythematous nodules around 3-4 cm in diameter, each capped with small umbilicated pustule. Pt states they began around 4 days ago and are now tender and itchy. One is few cm away from SPV site, one on torso and one on L leg. There is also erythema/scale around SPV site c/w contact dermatitis from Band-aid. Pt diagnosed with inadvertent innoculation and treated with Naprosyn and Allegra.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal pain, Drug ineffective, Headache, Lethargy, Pyrexia
Clinical narrative: 4/25/04. Pt developed abdominal pain. 4/26/04 pt developed fever, t-100.6 and was lethargic with a headache plus a rash on trunk, head and extremities. Pt was seen in our office on 4/27/04 by Dr. with erythematous macules with fluid filled papules on trunk axilla, scalp, ear canal, ankle and webs of fingers- 50-60 lesions. Diagnosed with Varicella by Dr.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash maculo-papular, Viral infection
Clinical narrative: 4/25/04. Pt developed abdominal pain. 4/26/04 pt developed fever, t-100.6 and was lethargic with a headache plus a rash on trunk, head and extremities. Pt was seen in our office on 4/27/04 by Dr. with erythematous macules with fluid filled papules on trunk axilla, scalp, ear canal, ankle and webs of fingers- 50-60 lesions. Diagnosed with Varicella by Dr.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Rash macular, Swelling
Clinical narrative: Child received immunizations as noted at clinic at bedtime that evening MOC noted that his right arm was very swollen, red and hot from neck to shoulder to elbow level. child was complaining of no pain and not dyspneic. On 4/28/04 she phoned his doctor with no response received; then clinic applied ice. No antihistamines . Given Motrin at bedtime. Condition improved on 4/29/04 with only blotchy redness noted in affected extremity.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Red area measured : 12cm by 13cm . Warm to touch. Mom to use benadryl , cool compress.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Received immunizations on 3/16/04. DTaP+IPV in right arm. Next AM developed pain, swelling and redness and fever. Treated for possible cellulitis with Keflex.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Left deltoid-edema+erythema from entire deltoid region: pt complained of arm pain. Afebrile, no systemic symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Lethargy, Listless, Pyrexia, Swelling
Clinical narrative: Immunizations given at 3:30 pm 5/5/04 at 6pm. Fever, lethargy, listlessness, swelling to site of left arm. Slight redness. Fever to 104: called on call nurse service and on call doctor. Encouraged ER visit for flu: tylenol/motrin q 3hours: 5-6-04- continued fever 103 degrees, listlessness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: 10x10 cm area of erythema, warm to touch on right thigh
Age: 5.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Red, warm, swollen and itchy right arm.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Pt has hard red spot about 3-4" left injection site: pt states it has been itchy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin nodule, Type III immune complex mediated reaction
Clinical narrative: Looks like Arthus- type reaction to the tetanus component of the DTaP vaccine- area of induration/ erythema in right thigh 48 hours after vaccine.
Age: 1.33
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Almost whole leg swollen/red given q-dryl 12.5 mg/5 ml 1 tsp four times a day as needed for 2 days.
Age: 8.0
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Unevaluable event
Clinical narrative: No reaction stated.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Patient developed a temperature of 104 degrees & had a febrile seizure requiring ER room visit approximately 8 hours after vaccine administration.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Nausea
Clinical narrative: Patient developed light headedness and nausea 10 min after getting shot. BP 150/91 P 85 T 97.5 O2 Sat 97%.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Pt broke out in welts all over body. Pt took Benadryl & hives started to fade.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Dyskinesia, Pyrexia
Clinical narrative: Approximately 9 days after receiving a chickenpox vaccination, patient started running a high fever that lasted 6 days. The fever/temperature ranged from 102-104.6 with no other symptoms. Patient was given infant Tylenol and Motrin which had very little, if no impact on fever. (Also, due to fever, had violent jerks/starts).
Age: 1.0
Sex: F
Vaccine: HEP
Symptoms: Anxiety, Dry skin, Hypersensitivity, Skin warm, Urticaria
Clinical narrative: The child is awake, alert, anxious. Skin is warm and dry. She has urticaria on her extremities over the left proximal thigh and mostly the left upper extremity on the volar aspect of the upper arm. Pupils are equal and reactive. Conjuctivae are not injected. Membranes are moist. Posterior pharynx is clear. No evidence of angioedma. Neck is supple. Respirations are clear. No rales or wheezes. Diagnosis: Urticaria, allergic reaction.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema
Clinical narrative: Red, swollen 9 1/2 cm x 5 1/2 cm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Lacrimation increased, Oedema, Rhinorrhoea, Urticaria
Clinical narrative: Mucous cough, swollen, watery eyes, clear nasal discharge hives back of neck and upper back. Pt. was checked by doctor. 0.15 ml epinephrine 1:1000 given subq. Benadryl 12.5 mg given IM. O2 sets 94-97%. Respirations 20. Pulse 160-120. Discharge to home with prescription for Prenisolone & oral Benadryl.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Drug ineffective, Infection
Clinical narrative: Varicella- atypical with 2 hour infection.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Headache
Clinical narrative: Severe frontal headache 1 hour post administration of vaccine. Saw doctor 5-4-04. Toradol 60 mg IM given with total relief in one hour- Had gone to school until 2:00pm 5/4, but stated she had a headache all day.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Oedema, Skin nodule
Clinical narrative: Left red swollen with hard knot size of a baseball. Mom states giving Tylenol, and walking ok. Advised to apply cold compresses and call back on 5-7-04 with repeat.
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Myalgia, Skin nodule
Clinical narrative: left inner thigh red sore & warm grapefruit size knot. Mom stated giving Tylenol advised to call MD & repeat back to ECHD.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Intractable fuminers for 36 hours after 1 set of shots.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Oedema
Clinical narrative: Local erythema, edema 8 cm x 8 cm left arm.
Age: 0.67
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria (hives) starting 1 day after vaccination. Treatment: Hydroxizine (5/3/2004)
Age: 19.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Hypoaesthesia, Myalgia, Paraesthesia, Pyrexia
Clinical narrative: Initial tingling in fingers and numbness in his arm. Fever in the left arm and soreness in his left arm and chest.
Age: 51.0
Sex: F
Vaccine: MEN
Symptoms: Facial palsy, Headache
Clinical narrative: Shot given in left arm above elbow. Bell's Palsy- no treatment. Eye fluttering Tues on left. Headache behind left ear Wed and continuing. Left side Palsy Fri-Sat and continuing a week later headache radiating down left side of neck. As of yet recovery unknown.
Age: 2.17
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Feeling hot
Clinical narrative: 24 hrs following the chickenpox shot on 4/29/04 child developed erythema from shoulder to elbow, very hot to touch. Mother of child contacted PHN at home on 4/30/04 in PM. RN advised giving 1/2 tsp Children Benadryl Elixir along with Motrin for shoulder 1 tsp & continue for 4-6 hours. RN contacted MOC 5/3/04 total resolved in 24 hours with Benadryl & Motrin.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Feeling hot, Oedema, Pruritus
Clinical narrative: Left upper arm swollen, itching slight warm to touch. Cellulitis- Patient was given prescription of Benadryl 125/5 approx. tsp every 4 hours as needed and mother told to ice it.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site oedema
Clinical narrative: Right arm swelling 6 inch x 4 inch at injection site. Right arm cellulitis. Prescribed Keflex orally, Benadryl orally.
Age: 45.0
Sex: F
Vaccine: HEPA, MMR, TD, TYP
Symptoms: Pain, Paralysis
Clinical narrative: Client phone health dept inquiring which arms vaccines were give in at her 02/09/04 appt. Client stated approx. 28 days later her left elbow began to ache and subsequently she has been diagnosed with "Posterior Intra-Osseans Nerve Palsy". Client request to be contacted.
Age: 52.0
Sex: M
Vaccine: HEP
Symptoms: Rash pruritic
Clinical narrative: Vaccinated 11 am on 5-5-04. Developed rash on upper arms & thighs that night. Rash mildly pruritic. No meds or treatments by patient. Saw pt. at 10:30 am for evaluation. Started pt on Medrol Dose pak at 2:30 pm. Rash was already fading, with no new areas.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Erythema, Infection, Oedema, Skin nodule
Clinical narrative: Received call from mother on 5/5/04. States 5/4 in am child right arm had small bruise, was pinkish red but not swollen. Later in the evening on 5/4/04, mother rechecked arm. Right arm had "fist" sized redness, swollen, tender to touch. Child had no fever, no drainage, no red streaks, and no decreased range of motion. Mother took child to ECU for evaluation. ECU stated arm was "infected" and placed child on Cephalexin. On 5/5 mother states redness and swelling are decreasing.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Tenderness
Clinical narrative: Received call from mother on 5/5/04. States 5/4 in am child right arm had small bruise, was pinkish red but not swollen. Later in the evening on 5/4/04, mother rechecked arm. Right arm had "fist" sized redness, swollen, tender to touch. Child had no fever, no drainage, no red streaks, and no decreased range of motion. Mother took child to ECU for evaluation. ECU stated arm was "infected" and placed child on Cephalexin. On 5/5 mother states redness and swelling are decreasing.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: No reaction stated.
Age: 2.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Injection site induration
Clinical narrative: Pt has a 10x10 mm lump under a bruised area left lateral aspect thigh, very hard. Mom did use cold compress or ice bag to area. Immunization given 3/5/04 was for Pediarix.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Cellulitis, Erythema, Injection site reaction
Clinical narrative: Cellulitis to MMR site. 2 inch radius redness. Pin point blisters within this site. Pt complains of no pain to site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Lazy local reaction encompassing the entire deltoid area.
Age: 0.1
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema multiforme, Rash, Rash vesicular, Urticaria
Clinical narrative: Pt with rash to all area. No fever. No redness or induration injection sites. Dr diagnosing erythema multiforme vesicular hives after vaccination.
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site induration, Pyrexia
Clinical narrative: induration +cellulitus starting on 4/28/04. Fever 101. Duracef 250 mg/5ml with tsp qdx 10 days. Cold compress
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Chills, Lethargy, Oral intake reduced, Pyrexia
Clinical narrative: Reported by mother,who is an RN:  Temp 103axillary w/ chills/fever despite ibuprofen; could not hold head up; refused all food and drink; unable to hold popsicle to mouth; very lethargic. Never had this reaction to a vaccine before.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Injection site mass
Clinical narrative: Phone call from mother reporting knot Right thigh at site of DTaP from 4/20/04  first noted 5/9/04.  Denies that site has redness, increased skin temperature. Child afebrile.Instructed that it is possible to have a knot a couple of weeks after.  Dr. eval 5/10/04 contributed knot to tightened muscle during vaccination and instructed to apply ice after future vaccinations.
Age: 0.1
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: given vaccines on 5/10/04, on 5/11/04 developed area of redness and induration in right upper thigh, approx 5-6 cm, went to the ER and was given antibiotics,Keflex. Meds were started and pt followed up in the office on 5/12/04. Redness is better, less indurated but still present.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Patient had hives all over his body the following afternoon.
Age: 23.0
Sex: F
Vaccine: JEV
Symptoms: Abdominal pain, Chills, Diarrhoea, Nausea, Vomiting
Clinical narrative: Received Japanese Encephalitis Vaccine #1 on 5/3/04,w/no adverse effects.  Received #2 on 5/10/04 at approximately 1030am.  Called at 330pm experiencin sharp abd cramping, short duration, with nausea and vomiting x1, some chills, no fever.  Denies any symptoms of allergic reaction.  At 5pm, no further cramping or vomiting, though still not feeling well.  On 5/12/03, states is having soft stools, but no further diarrhea, nausea or vomiting.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: urticarial reaction -systemic- starting a few hours after receiving hepatitis A #1. no prior or or
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Eye pain, Pyrexia, Swelling, Vision blurred
Clinical narrative: I am sending this email to document my experience that I just went through after taking the TBT and MMR vaccine. On Wed May 5th I took the TB test and went back on Friday to have it read. I was informed by the nurse that I needed to take the MMR also because my results from the first one was negative, and also that the rules had changed so in order to be in compliance with Hospital policy I needed to have another one. I said that I did not want to because it had made me sick the first time, and I also informed my boss that I did not want to do this because it had made  me sick , he said that I had to because it is required, the nurse said that it will probably make me sick and I said how so, she said just feel a little weird and my arm would get a bit stiff and sore. Ok, so as to be in compliance, I took the shot and signed the required forms, on the way home that Friday, I could barely see the stripes in the road to drive, over the next 72 hours my eyes hurt so badly I could barely open them, it hurt too bad to cry, for the next 3 days and nights I was extremely sick with high fever and severe chills, my hands and legs swold to where I could not make a fist or close my hands. My gums were huge and I could not eat, it hurt to bad to chew, I have been bed ridden since Friday and today is the first day that I have been able to make it outside of my home and to work, I did not want to be sick and neither did I want to have to take time off of work. I am not happy with the results of this and I am stating it in writing that I do not wish to take any more MMR shots. I am not pleased that I have to risk my health and life to be in compliance or loose my job because of it. I have notified my family and I am also sending this email in strict confidence to you. Please tell me what my rights are when compliance risk my health and life.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Visual disturbance
Clinical narrative: I am sending this email to document my experience that I just went through after taking the TBT and MMR vaccine. On Wed May 5th I took the TB test and went back on Friday to have it read. I was informed by the nurse that I needed to take the MMR also because my results from the first one was negative, and also that the rules had changed so in order to be in compliance with Hospital policy I needed to have another one. I said that I did not want to because it had made me sick the first time, and I also informed my boss that I did not want to do this because it had made  me sick , he said that I had to because it is required, the nurse said that it will probably make me sick and I said how so, she said just feel a little weird and my arm would get a bit stiff and sore. Ok, so as to be in compliance, I took the shot and signed the required forms, on the way home that Friday, I could barely see the stripes in the road to drive, over the next 72 hours my eyes hurt so badly I could barely open them, it hurt too bad to cry, for the next 3 days and nights I was extremely sick with high fever and severe chills, my hands and legs swold to where I could not make a fist or close my hands. My gums were huge and I could not eat, it hurt to bad to chew, I have been bed ridden since Friday and today is the first day that I have been able to make it outside of my home and to work, I did not want to be sick and neither did I want to have to take time off of work. I am not happy with the results of this and I am stating it in writing that I do not wish to take any more MMR shots. I am not pleased that I have to risk my health and life to be in compliance or loose my job because of it. I have notified my family and I am also sending this email in strict confidence to you. Please tell me what my rights are when compliance risk my health and life.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: Client reports dizziness, possible fever since 3 a.m. (approx 12 hours after receiving Hep B #2) nausea, diaphoresis
Age: 7.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral, Pain
Clinical narrative: Swelling of enitire upper arm, pain x 24 hrs post immunization
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, TD, ANTH, UNK
Symptoms: Balance disorder, Chills, Cough, Cyanosis, Dizziness
Clinical narrative: Subject reports that in July of 1990 he believes he received Anthrax vaccine along with 4 other vaccines. The subject reports three to seven days after injections he was hospitalized for one week due to difficulty breathing, fluid-filled lungs, cough, thick yellow mucus and a red rash all over his body. Subsequently, over the next 14 years he has experienced repeated bouts of pneumonia, which has been described as Mycoplasma Pneumonia. Subject also states that he has sleep apnea, rheumatoid arthritis of lumbar area and knees, bone aches, body pain, hair loss, chest pain, heart palpitations, chemical and heat sensitivity, headaches, dizziness, fatigue, and mental confusion. According to the subject, all of these symptoms have gotten worse over the years. He states that he is unable to work and has applied for disability.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, TD, ANTH, UNK
Symptoms: Fatigue, Headache, Heart rate increased, Immune system disorder, Lacrimation increased
Clinical narrative: Subject reports that in July of 1990 he believes he received Anthrax vaccine along with 4 other vaccines. The subject reports three to seven days after injections he was hospitalized for one week due to difficulty breathing, fluid-filled lungs, cough, thick yellow mucus and a red rash all over his body. Subsequently, over the next 14 years he has experienced repeated bouts of pneumonia, which has been described as Mycoplasma Pneumonia. Subject also states that he has sleep apnea, rheumatoid arthritis of lumbar area and knees, bone aches, body pain, hair loss, chest pain, heart palpitations, chemical and heat sensitivity, headaches, dizziness, fatigue, and mental confusion. According to the subject, all of these symptoms have gotten worse over the years. He states that he is unable to work and has applied for disability.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, TD, ANTH, UNK
Symptoms: Lung disorder, Malaise, Nausea, Nervousness, Ocular hyperaemia
Clinical narrative: Subject reports that in July of 1990 he believes he received Anthrax vaccine along with 4 other vaccines. The subject reports three to seven days after injections he was hospitalized for one week due to difficulty breathing, fluid-filled lungs, cough, thick yellow mucus and a red rash all over his body. Subsequently, over the next 14 years he has experienced repeated bouts of pneumonia, which has been described as Mycoplasma Pneumonia. Subject also states that he has sleep apnea, rheumatoid arthritis of lumbar area and knees, bone aches, body pain, hair loss, chest pain, heart palpitations, chemical and heat sensitivity, headaches, dizziness, fatigue, and mental confusion. According to the subject, all of these symptoms have gotten worse over the years. He states that he is unable to work and has applied for disability.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, TD, ANTH, UNK
Symptoms: Pallor, Pneumonia, Pyrexia, Rhinorrhoea, Sleep apnoea syndrome
Clinical narrative: Subject reports that in July of 1990 he believes he received Anthrax vaccine along with 4 other vaccines. The subject reports three to seven days after injections he was hospitalized for one week due to difficulty breathing, fluid-filled lungs, cough, thick yellow mucus and a red rash all over his body. Subsequently, over the next 14 years he has experienced repeated bouts of pneumonia, which has been described as Mycoplasma Pneumonia. Subject also states that he has sleep apnea, rheumatoid arthritis of lumbar area and knees, bone aches, body pain, hair loss, chest pain, heart palpitations, chemical and heat sensitivity, headaches, dizziness, fatigue, and mental confusion. According to the subject, all of these symptoms have gotten worse over the years. He states that he is unable to work and has applied for disability.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, TD, ANTH, UNK
Symptoms: Alopecia, Bone development abnormal, Chest pain, Confusional state, Dizziness
Clinical narrative: Subject reports that in July of 1990 he believes he received Anthrax vaccine along with 4 other vaccines. The subject reports three to seven days after injections he was hospitalized for one week due to difficulty breathing, fluid-filled lungs, cough, thick yellow mucus and a red rash all over his body. Subsequently, over the next 14 years he has experienced repeated bouts of pneumonia, which has been described as Mycoplasma Pneumonia. Subject also states that he has sleep apnea, rheumatoid arthritis of lumbar area and knees, bone aches, body pain, hair loss, chest pain, heart palpitations, chemical and heat sensitivity, headaches, dizziness, fatigue, and mental confusion. According to the subject, all of these symptoms have gotten worse over the years. He states that he is unable to work and has applied for disability.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, TD, ANTH, UNK
Symptoms: Dyspnoea, Erythema, Fatigue, Headache, Hyperaesthesia
Clinical narrative: Subject reports that in July of 1990 he believes he received Anthrax vaccine along with 4 other vaccines. The subject reports three to seven days after injections he was hospitalized for one week due to difficulty breathing, fluid-filled lungs, cough, thick yellow mucus and a red rash all over his body. Subsequently, over the next 14 years he has experienced repeated bouts of pneumonia, which has been described as Mycoplasma Pneumonia. Subject also states that he has sleep apnea, rheumatoid arthritis of lumbar area and knees, bone aches, body pain, hair loss, chest pain, heart palpitations, chemical and heat sensitivity, headaches, dizziness, fatigue, and mental confusion. According to the subject, all of these symptoms have gotten worse over the years. He states that he is unable to work and has applied for disability.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, TD, ANTH, UNK
Symptoms: Pain, Palpitations, Pneumonia, Rash, Rheumatoid arthritis
Clinical narrative: Subject reports that in July of 1990 he believes he received Anthrax vaccine along with 4 other vaccines. The subject reports three to seven days after injections he was hospitalized for one week due to difficulty breathing, fluid-filled lungs, cough, thick yellow mucus and a red rash all over his body. Subsequently, over the next 14 years he has experienced repeated bouts of pneumonia, which has been described as Mycoplasma Pneumonia. Subject also states that he has sleep apnea, rheumatoid arthritis of lumbar area and knees, bone aches, body pain, hair loss, chest pain, heart palpitations, chemical and heat sensitivity, headaches, dizziness, fatigue, and mental confusion. According to the subject, all of these symptoms have gotten worse over the years. He states that he is unable to work and has applied for disability.
Age: 23.0
Sex: M
Vaccine: ANTH, MMR, TD, ANTH, UNK
Symptoms: Sleep apnoea syndrome
Clinical narrative: Subject reports that in July of 1990 he believes he received Anthrax vaccine along with 4 other vaccines. The subject reports three to seven days after injections he was hospitalized for one week due to difficulty breathing, fluid-filled lungs, cough, thick yellow mucus and a red rash all over his body. Subsequently, over the next 14 years he has experienced repeated bouts of pneumonia, which has been described as Mycoplasma Pneumonia. Subject also states that he has sleep apnea, rheumatoid arthritis of lumbar area and knees, bone aches, body pain, hair loss, chest pain, heart palpitations, chemical and heat sensitivity, headaches, dizziness, fatigue, and mental confusion. According to the subject, all of these symptoms have gotten worse over the years. He states that he is unable to work and has applied for disability.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Face oedema, Joint swelling, Pain, Pharyngeal oedema, Urticaria
Clinical narrative: Hives; Swelling in face, throat; swelling in joints - first noticed around mid-April 2003 and has persisted, with increasing severity, until present.  Pain caused by joint swelling is often incapacitating.  Currently taking Loratadine and Hydroxyzine.  The medications keep outbreaks at a tolerable level, but do not prevent outbreaks.  Several hospital visits have been made since late May 2003.
Sex: M
Vaccine: OPV
Symptoms: Brain neoplasm malignant, Viral infection
Clinical narrative: Information regarding poliovirus vaccine live oral trivalent solution was received from an attorney regarding a deceased male who received a dose on an unspecified date. Relevant medical history was not provided. Indication for Orimune vaccine was immunization. Product was administered on an unspecified date. Dose regimen was not provided. Concomitant medications were not reported. An attorney alleges that the polio vaccine received by the decedent contained a harmful prohibited animal virus known as Simian Virus 40 (SV40). The attorney also alleges that the decedent became ill with Simian Virus 40-related disease, including malignant brain cancer, and subsequently died on 2/18/01 at 10:00 PM. No additional information was available at the time of this report.
Sex: F
Vaccine: HEP
Symptoms: Autism
Clinical narrative: This case was was reported by an attorney and described the occurrence of autism spectrum disorder in a female patient who received hepatitis B vaccine recombinant for prophylaxis. This report was received via the litigation process and a physician or health care professional has not verified the report. At an unknown time after receiving Engerix-B vaccine, the patient developed autism spectrum disorder. The event was attributed to exposure to thimerosal from the vaccine. This case was assessed as medically serious by manufacturer (OMIC).
Age: 2.0
Sex: M
Vaccine: HEP
Symptoms: Autism, Drug toxicity, Nervous system disorder, Speech disorder
Clinical narrative: This case was reported by an attorney and described the occurrence of mercury poisoning in a male child who received hepatitis B vaccine recombinant for prophylaxis. The attorney stated that by the time the child was 12 months old, he had been exposed to toxic mercury exceeding the allowable levels of mercury exposure. The attorney stated that the child had been diagnosed with mild to moderate autism. This report was received via the litigation process and a physician or other heal care professional has not verified the report. Co-administered vaccinations between 1/10/00 and 12/29/01 were as follows: combination diphtheria and tetanus toxoids and pertussis/haemiphilus influenzae type b conjugate vaccine, oral poliomyelitis virus vaccine, inactivated poliomyelitis virus vaccine, hepatitis B vaccine, diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed, haemophilus influenzae type b conjugate vaccine, and MMR virus vaccine. On 1/10/00 the patient received Engerix B. On 2/4/02, at 25 months of age, the patient was diagnosed as having delayed receptive and expressive language skills, with an auditory comprehension age of 15 months, an expressive communication age of 16 months, and a total language equivalent of 16 months. On 6/3/02, at the age of 29 months, the patient was tested on the Peabody Developmental Motor Scales and was evaluated at a gross motor age of 18 to 25 months and a fine motor age of 20 months. On 8/22/02, the child was diagnosed with Autism Spectrum Disorder. This case was assessed as medically serious (OMIC). The attorney stated that the child sustained and will sustain in the future a mental, intellectual, developmental and neurological incapacity and associated learning disabilities, affect disorders, and impairments.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Autism, Drug toxicity, Medication error, Nervous system disorder
Clinical narrative: This case was reported by an attorney and described the occurrence of mercury poisoning in a 33 month old male who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed and hepatitis B vaccine for prophylaxis. The attorney stated that by 7/25/01, the child was exposed to levels of toxic mercury exceeding the allowable levels of mercury exposure. The child has been diagnosed with severe autism. This report was received via the litigation process and a physician or other health care professional has not verified the report. On 7/25/01 the patient received Infanrix, which was administered as the fourth dose in the DTaP immunization series. Co-administered vaccinations between 3/17/00 and 7/25/01 were the following: the patient received injections of inactivated poliomyelitis virus vaccine. He also received hepatitis B vaccine, diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed, haemophilus influenzae type B conjugate vaccine, and MMR virus vaccine. (Note: the hepatitis Bvaccine was administered on a 0, 2, and 4 month schedule rather than the recommended schedule of 0, 1, and 6 months.). On 10/2/02, the patient was diagnosed with severe autism. This case was assessed as medically serious (OMIC). The attorney stated that the child sustained and will sustain in the future a mental, intellectual, developmental and neurological incapacity and associated learning disabilities, affect disorders and impairments. The most recent informatiion, received on 04AUG204, identified the vaccine that had been administered.
Sex: F
Vaccine: HEPA
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever 102.4, Chills, Myalgia, Headache
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus
Clinical narrative: Pt developed a large erythematous 10cm blanchable area over DTaP injection site. Non-tender, mildly pruritive. Rippened to local case and obvious
Sex: M
Vaccine: DTAP, MMR
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Otitis media, Pyrexia
Clinical narrative: Vesicles on trunk. Fever (but with (B) Otitis media). T=105.0
Age: 11.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, TD, TYP
Symptoms: Erythema, Injection site induration, Pyrexia, Swelling
Clinical narrative: Rt deltoid arm red swollen hard. Mom states redness measured 5 inches and has pictures on digital camera at home. Redness resolved Sunday. Fever started late evening and broke Saturday 104.3- Sunday 99.8. Mom called Dr and gave pt tylenol alleve with Ibuprofen.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia, Sleep disorder
Clinical narrative: When child woke up had fever of 101, child slept for approximately 15 hours, arm where vaccine was received felt hot and there was redness from shoulder to elbow, it was raised, looked like he was burned with an iron. Child was also talking while sleeping, not common for him. Child taken to the doctor. They recommended Dimetap and to watch out for fever and bring him back by Friday however mother gave child Tylenol, Motrin and Benadryl instead. Redness has decreased.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site induration, Injection site warmth
Clinical narrative: red/hard/hot to touch / LVL
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt had a red, circular , hot raised circle on left leg.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: It was on the left leg. It was circular, red, hot and raised.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Left thigh erythema and swelling with tenderness.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site induration, Injection site warmth, Pain
Clinical narrative: Induration and dusky erythema with heat and mild pain over right lateral deltoid area. Size 5 cmx 7cm. Onset one day after injection. 99 temp.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Feeling hot, Pain, Rash, Swelling
Clinical narrative: Pain, redness, swelling, warmth and rash to elbow left arm.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Rash, Viral infection
Clinical narrative: Rash started 9 days after MMR (Varivax). No fever. Viral vs 2 degree-MMR?
Age: 33.0
Sex: F
Vaccine: ANTH, FLU3
Symptoms: Autism, Foetal disorder, Medication error, Unintended pregnancy
Clinical narrative: Patient received anthrax and influenza vaccines on the same day with mild local reactions. Her LMP prior to conception was in October 1998. She became pregnant approximately 1 month after receipt of the vaccines (Estimated date of conception was between 12 and 15 November).  Pregnancy was diagnosed around November 20th.  Her due date was 8/15/99.  She delivered a baby boy on 8/8/99. Her son, who is now 4, was just diagnosed with high level functioning autism. (A separate VAERS report will be filed on him, listing his vaccine history and onset of symptoms.)
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Lymphadenopathy, Pain
Clinical narrative: 36 HOURS AFTER ADMINISTRATION OF 3RD ADULT DOSE OF HEP B VACCINE, PATIENT C/O SWOLLEN LYMPH NODES IN NECK AND JAW, STIFF NECK, BODY & JOINT ACHES.  NO FEVER, HIVES OR SOB.  TREATED SELF WITH N-SAIDS AND REST.  REPORTED TO NURSE ON 3RD DAY AFTER ADMINISTRATION, NO SYMPTOMS AT THAT TIME.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Erythema
Clinical narrative: It was the determination of the physician that member received a vaccine other than IPPD intradermally.  Member had redness and discomfort on the affected arm.  Member was retested with IPPD placed on right arm without adverse reaction.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 85 x 200 mm area of warm, red, hard c/o's pain to touch, recommendation to see personal doc.
Age: 28.0
Sex: M
Vaccine: DT
Symptoms: Fatigue, Pyrexia, Rash macular
Clinical narrative: approx 24 hrs after immunization had severe fatigue, temperature to 101.7, and generalized macular rash starting on chest and spreading to back and arms
Age: 49.0
Sex: F
Vaccine: TTOX
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient returned to clinic 2 days following immunization with pain, redness and swelling at immunization site.  Diagnosed with cellulitis and given antibiotics.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient returned to clinic 2 days following immunization with pain, redness and swelling at immunization site.  Diagnosed with cellulitis and given antibiotics.
Age: 61.0
Sex: F
Vaccine: TTOX
Symptoms: Cellulitis, Injection site induration, Injection site pain
Clinical narrative: Patient noted pain and induration to immunization site 6 days after immunization.  Patient returned to clinic 8 days after immunization and was diagnosed with cellulitis at site of immunization administration.  Patient treated with Keflex.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Patient returned to clinic 2 days following immunization with left deltoid pain and redness at immunization site.  Patient diagnosed with cellulitis and treated with Keflex.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: Pt. received DTaP 04/15/04 that evening noticed right upper arm red, swollen. On exam- Right upper arm diffusely swollen and erythematous and warmth with palpitation . no lymph nodes, reg pulse, good strength, full range of motion, neurovascular check normal
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Palpitations, Swelling
Clinical narrative: Pt. received DTaP 04/15/04 that evening noticed right upper arm red, swollen. On exam- Right upper arm diffusely swollen and erythematous and warmth with palpitation . no lymph nodes, reg pulse, good strength, full range of motion, neurovascular check normal