chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site extravasation, No adverse effect
Clinical narrative: Information has been received from a pharmacist concerning a 75 year old patient who on 20-Dec-2006 was vaccinated SC by the pharmacist with a dose of Zostavax vaccine (lot#654604/1406F). After vaccination, there was fluid leakage from the injection site. The pharmacist reported at a 45 degree angle. As of 02-Jan-2007, the reporter noted that the patient has not reported any adverse experiences. There was no product quality complaint involved. No further information was available. Additional information has been requested.
Age: 20.0
Sex: U
Vaccine: HPV4, VARZOS
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: Information has been received from a health professional and a pharmacist concerning a 20 year old patient who on an unspecified date was vaccinated with a dose of Zostavax vaccine instead Gardasil vaccine (yeast). Unspecified medical attention attention was sought. The patient was not experienced any known symptoms. It was reported that the error was not a result of product confusion. There was no record of the patient ever receiving Varicella virus vaccine live. There was no product quality complaint involved. No further information was available. Additional information has been requested. 6/17/10 It was reported that the administering employee did not follow the 5 R's, did not ask for assistance from another health care professional and "did not know what she was doing." It was confirmed that this was not a case of product confusion. No further information was available.
Age: 34.0
Sex: F
Vaccine: VARZOS
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: Information has been received from a physician concerning a 34 year old female who on 27-Dec-2006 was vaccinated with a dose of Zostavax vaccine (lot#654603/1405F). The patient was supposed to received a dose of varicella virus vaccine live. The physician stated that she attributed this to "carelessness" and because "they were in a hurry". Unspecified medical attention was sought. The patient has not had any adverse events. There was no product quality complaint involved. No further information was provided. Additional information has been requested.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: Information has been received from a physician who on 12-OCT-2006 was vaccinated with a dose of varicela-zoster virus vaccine live (Oka/Merck) (lot#652965/0622F). Subsequently the patient developed one lesion.  Additional information has been requested.
Age: 1.54
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swollen redness and induration on right lateral thigh extending to the anterior mid thigh.
Age: 0.17
Sex: F
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician's assistant concerning a 2 month old female who on 08-JAN-2007 was vaccinated with a first 2 ml oral dose of Rotateq (human-bovine). On 11-JAN-2007 the patient's mother called the office and reported that the patient had a bloody stool. It was reported that the physician would monitor the patient for the next 48 hours to see if there were any changes. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Upon internal review, bloody stool was considered to be an other important medical event. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Convulsion, Syncope, Vaccine positive rechallenge
Clinical narrative: Initial and follow-up information has been received from a physician concerning a year old female with no known allergies and a history of "occasional" migraines who on an unspecified date was vaccinated with the first dose of GARDASIL (yeast) (lot number 654540/0800F). Concomitant therapy included hepatitis A virus vaccine (unspecified). Subsequent to the first dose, the patient experienced fainting and "signs of seizure". Clinical outcome was not reported. On 20-DEC-2006 (also reported as 20-DEC-2007), the patient was vaccinated with a second dose of GARDASIL (yeast) (lot number 654389/0961F). On 20-DEC-2006 (also reported as 20-DEC-2007), the patient experienced fainting. Clinical outcome was not reported. Signs of seizure was considered an other important medical event. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Dyspnoea, Influenza, Pain
Clinical narrative: Information has been received from a registered nurse concerning a 19 year old female who on 04-JAN-2007 was vaccinated with a first dose of Gardasil (yeast) (0.5 ml) (lot # 654510/0962F). Subsequently, on 04-JAN-2007, the patient was rushed to the emergency room with symptoms of body aches, breathing problems and a temperature of 103. The patient was released from the emergency room within 12 hours. The nurse reported that the emergency room physician believed that the above reaction was due to influenza. The patient recovered. The reporter considered the patient's experience to be disabling. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Medication error
Clinical narrative: Information has been received from a physician concerning a 73 year old female with rheumatoid arthritis and who may have been immunocompromised who on 30-OCT-2006 at 09:22 AM was vaccinated SC in the "right" with a 0.65 ml dose of Zostavax (lot#653936/0981F). The physician noted that she was vaccinated at another practice. The patient may have been immunosuppressed because she has been on therapy with infliximab (REMICADE) for two years and had her last infliximab (REMICADE) treatment about one month before her vaccination. No symptoms had been noted at the time of the report. A product quality complaint was not involved. Additional information has been received from a physician's office which indicated that there was concern over the use of Zostavax while the patient was using infliximab (REMICADE). The patient was discontinued from infliximab (REMICADE) afterwards as a precaution. The patient's experience was considered to be an other important medical event by the reporter.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Autism, Staring
Clinical narrative: Information has been received from a consumer concerning a 5 year old female relative who was vaccinated at 4 years of age with a dose of MMR II. The reporter stated that a couple weeks after vaccination, she was "staring at the ceiling". Unspecified medical attention was sought and the patient was diagnosed with autism. At the time of the report, the patient had not recovered. A product quality complaint was not involved. Upon internal review, autism was considered to be an other important medical event. No further information is available.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Erysipelas, Erythema, Injection site cellulitis, Pain, Swelling
Clinical narrative: Initial and follow up information has been received from a physician concerning a 55 year old female professor with asthma. On 26-OCT-2006, the patient was vaccinated subcutaneously in the left deltoid with the first 0.5 ml dose of Pneumovax 23 vaccine. There were no illnesses noted at the time of vaccination. On 28-OCT-2006, "24 to 48 hours after administration", the patient developed pain, redness and swelling. It was reported that the swelling and redness progressed to the entire upper arm to the elbow (previously reported as cellulitis at the injection site). The patient went to the emergency room and was admitted for observation at an "OBS" unit stay for 23 hours. The patient was treated with unspecified IV antibiotics for 24 hours and it was reported that the patient "improved". On 30-OCT-2006, the patient recovered from the events. In follow-up it was reported from the physician that this case may be related to "pseudo-erysipelas" associated with the use of Pneumovax 23 vaccine. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Erythema, Pruritus, Throat irritation, Urticaria
Clinical narrative: Information has been received from a nurse practitioner concerning a 24 year old female with allergic rhinitis, asthma, gastric ulcer, anemia and migraine and a "history of high-risk HPV' who on 10-JAN-2007 was vaccinated with the second dose of Gardasil vaccine (yeast) (lot#655165/1425F), 0.5 ml, one time, IM. Concomitant therapy included NUVARING, ZYRTEC-D and NASAREL. Initial vaccination of Gardasil vaccine (yeast) was received on 16-NOV-2006. On 10-JAN-2007, the patient developed throat tickle, chest redness, itchiness, chest and neck hives and intermittent shortness of breath 15 minutes after administration of Gardasil vaccine (yeast). The patient was administered BENADRYL and the symptoms resolved after 10 minutes. The patient left the office in good condition without residual problems. Throat tickle, chest redness, itchiness, chest and neck hives and intermittent shortness of breath were considered to be other important medical events. Additional information has been requested.
Age: 40.0
Sex: F
Vaccine: MMRV
Symptoms: Parotid gland enlargement, Rash
Clinical narrative: Parotiditis, rash on legs
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Anorexia, Cardiac murmur, Chest X-ray, Choking, Crying
Clinical narrative: 3 hrs after immunization, child began screaming, difficult to console, refused to eat, choking, vomited, stopped breathing (10 sec), leg purple, swollen.  No fever.  Taken to ER:  treated for reflux, heart murmur, had ECHO done, given Zantac, admitted for observation 01/24/07-records received and reviewed for DOS 01/16-01/18/07 DC DX:GE reflux Presented with unusual crying since vaccines, per parents both legs turned purple and were swollen for a period of a few hours. Child began to choke and stopped breathing for a few seconds. Child has felt warm but temperature not taken at home. Temp in ER 98.9 (R).  PE:WNL. lower extremity non erythematous or edematous. Child expressed discomfort when right thigh palpated.  Emesis and reflux since vaccine.  additional DX: murmur VSD,  Immunization reaction.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Echocardiogram, Full blood count, Laboratory test, Respiratory arrest, Screaming
Clinical narrative: 3 hrs after immunization, child began screaming, difficult to console, refused to eat, choking, vomited, stopped breathing (10 sec), leg purple, swollen.  No fever.  Taken to ER:  treated for reflux, heart murmur, had ECHO done, given Zantac, admitted for observation 01/24/07-records received and reviewed for DOS 01/16-01/18/07 DC DX:GE reflux Presented with unusual crying since vaccines, per parents both legs turned purple and were swollen for a period of a few hours. Child began to choke and stopped breathing for a few seconds. Child has felt warm but temperature not taken at home. Temp in ER 98.9 (R).  PE:WNL. lower extremity non erythematous or edematous. Child expressed discomfort when right thigh palpated.  Emesis and reflux since vaccine.  additional DX: murmur VSD,  Immunization reaction.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Skin discolouration, Swelling, Virus serology test, Vomiting
Clinical narrative: 3 hrs after immunization, child began screaming, difficult to console, refused to eat, choking, vomited, stopped breathing (10 sec), leg purple, swollen.  No fever.  Taken to ER:  treated for reflux, heart murmur, had ECHO done, given Zantac, admitted for observation 01/24/07-records received and reviewed for DOS 01/16-01/18/07 DC DX:GE reflux Presented with unusual crying since vaccines, per parents both legs turned purple and were swollen for a period of a few hours. Child began to choke and stopped breathing for a few seconds. Child has felt warm but temperature not taken at home. Temp in ER 98.9 (R).  PE:WNL. lower extremity non erythematous or edematous. Child expressed discomfort when right thigh palpated.  Emesis and reflux since vaccine.  additional DX: murmur VSD,  Immunization reaction.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Convulsion, Febrile convulsion, Oxygen saturation, Pyrexia
Clinical narrative: Fever and generalized seizure approximately 12 hours after 2nd set of shots (Pediarix, Hib, Prevnar, and Rotateq given). Evaluated at Temple Pediatric Emergency Room. Diagnosed with a febrile seizure. Well appearing. No therapy required.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Erythema, Headache, Nausea, Pyrexia
Clinical narrative: Patient reports that 24 hours after vaccination she experienced a "redness" on face and chest and then had a fever up to 103 degrees F. The redness resolved approximately 24 hrs. later. Then she started having nausea & vomiting, joint aches and headache on day 5 after vaccination. I advised a medical evaluation but the patient declined.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Vomiting
Clinical narrative: Patient reports that 24 hours after vaccination she experienced a "redness" on face and chest and then had a fever up to 103 degrees F. The redness resolved approximately 24 hrs. later. Then she started having nausea & vomiting, joint aches and headache on day 5 after vaccination. I advised a medical evaluation but the patient declined.
Age: 1.0
Sex: U
Vaccine: VARCEL
Symptoms: Rash generalised
Clinical narrative: Rash generalized on body
Age: 0.17
Sex: M
Vaccine: HIBV, RV5
Symptoms: Barium enema, Haematochezia, Intussusception, Ultrasound abdomen, Vomiting
Clinical narrative: Had bloody stools and vomiting on 1/8th night and 1/9th morning. He had intussusception which required surgical repair. I am not sure if this might be related to Rotavirus given on Dec. 9, 2006. 02/07/07-records received and reviewed for DOS 01/09-01/12/07 DC DX: Intussuception 3 mo old presented to hospital with BRBRP that began on 1/8/07-history of loose stool times 2 days. emesis began last night. Seen in ER and sent home. Returned with dec activity had 30 cc BRBPR in ED.  Underwent barium enema reduction attempt 3 times which reduced from sigmoid colon to ileocecal valve but not beyond valve. PMHX: none Underwent surgical correction for intussusception on 1/9/07- also performed appendectomy. On post op day 3 had mild abdominal distention but bowel sounds were present. BMs were normal. DC home.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Facial palsy, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Bell's palsy developed within 21 days of vaccine administration 01/30/07-records received and reviewed from MD for DOS 11/3/06.  DX: Bell's Palsy. 9/3/06-complaint of ear ache and headache, 9/4/06 headache and weak face. Seen in ER treated with prednisone and Famvir for one week. Over time shown some recovery. Decreased tearing, has lost her taste on the left part of the tongue and that has returned. Has had some but not complete recovery of movement in her left face. Difficult for her to smile completely difficulty with blinking. Does not completely close her eyes at night uses artificial tears during day. No pain in face. Diffuse nondescript headaches occur more frequently.  Current medications: Zoloft, does get dizzy at times. Fainted a couple of weeks ago. EKG normal.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Injection site induration
Clinical narrative: crying, unconsolable, hard lump at injection site
Age: 1.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Pyrexia, Streptococcal infection, Urticaria
Clinical narrative: RAISED WELT 20 BY 15 MM, FEVER
Age: 44.0
Sex: F
Vaccine: HEP, YF
Symptoms: Cold sweat, Dizziness, Hyperacusis, Nausea, Paraesthesia
Clinical narrative: Client got off cross country red-eye flight, went to breakfast Mtg @ 7:30 am, came into clinic for vaccine, left clinic and within approximately 1 hour felt dizzy, waves of nausea, tingling hands/feet clamminess, sound sensitivity, lightheaded while driving.  Pulled over retched, eventually returned home. Symptoms lessened after eating but continued to have some queasiness for approximately 1-2 days after
Age: 44.0
Sex: F
Vaccine: HEP, YF
Symptoms: Vomiting
Clinical narrative: Client got off cross country red-eye flight, went to breakfast Mtg @ 7:30 am, came into clinic for vaccine, left clinic and within approximately 1 hour felt dizzy, waves of nausea, tingling hands/feet clamminess, sound sensitivity, lightheaded while driving.  Pulled over retched, eventually returned home. Symptoms lessened after eating but continued to have some queasiness for approximately 1-2 days after
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF
Symptoms: Asthenia, Bone pain, Dehydration, Hyperhidrosis, Menopausal symptoms
Clinical narrative: 1/16/07 Reported weakness from vaccination date on 1/11/07 noted episodes of shaking-even in bed.  1/13/07 continued shaking, bones and muscles ached, awoke sweating in drenched bed Sat and Sun nights. No temp taken, no temp symptoms, post menopausal, dehydration.
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF
Symptoms: Myalgia, Tremor
Clinical narrative: 1/16/07 Reported weakness from vaccination date on 1/11/07 noted episodes of shaking-even in bed.  1/13/07 continued shaking, bones and muscles ached, awoke sweating in drenched bed Sat and Sun nights. No temp taken, no temp symptoms, post menopausal, dehydration.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia, Intussusception, Surgery
Clinical narrative: Bloody stool, intussusception, requiring surgery. 02/13/07-records received and reviewed for DOS 1/11-1/14/07 DC DX:Intussusception Presented with lethargy, abdominal discomfort, paleness, and pulling up of his legs. Multiple bilious vomiting and blood in stool. Poor feeding. Palpable mass in right upper and epigastric area. Baby has currant jelly stool.
Age: 1.33
Sex: M
Vaccine: FLU3
Symptoms: Agitation, Convulsion, Fall, Feeling hot, Injury
Clinical narrative: Flu vaccine given 12/27/06 at 1:30. Mother stated felt warm and fussy that day at 5:00. On 12/28 at 2am had fever and gave Tylenol and seemed ok when woke up that am was running and fell on milk bottle in his mouth. Hit nose. Immediate started seizure and carried to ER by rescue squad. ER had difficulty controlling seizure. Child was airlifted to medical center. Talked with mother on 1/10/07 states child was ok now. Not on any medications. No more seizures. No problem with any prior immunization. Child did have seizure once before at 11 months of age. It was very brief and did not require MD visit. Mother informed MD of this. Brother has febrile seizure.  03/15/2007 MR received from treating hospital for c/o of seizure activity following flu vax.  Upon arriving home from appt., mother noted child had a fever and cough. The following morning, child began having generalized seizure activity and EMS was called.  Seizure activity reduced with Ativan, but had several episodes each responding to treatment. Child was transfered to current hospital. Seizure activity stopped and child was discharged the next day.  Assessment: RSV and febrile seizure with atypical presentation.
Age: 1.33
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test normal, Pyrexia
Clinical narrative: Flu vaccine given 12/27/06 at 1:30. Mother stated felt warm and fussy that day at 5:00. On 12/28 at 2am had fever and gave Tylenol and seemed ok when woke up that am was running and fell on milk bottle in his mouth. Hit nose. Immediate started seizure and carried to ER by rescue squad. ER had difficulty controlling seizure. Child was airlifted to medical center. Talked with mother on 1/10/07 states child was ok now. Not on any medications. No more seizures. No problem with any prior immunization. Child did have seizure once before at 11 months of age. It was very brief and did not require MD visit. Mother informed MD of this. Brother has febrile seizure.  03/15/2007 MR received from treating hospital for c/o of seizure activity following flu vax.  Upon arriving home from appt., mother noted child had a fever and cough. The following morning, child began having generalized seizure activity and EMS was called.  Seizure activity reduced with Ativan, but had several episodes each responding to treatment. Child was transfered to current hospital. Seizure activity stopped and child was discharged the next day.  Assessment: RSV and febrile seizure with atypical presentation.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Muscle spasms
Clinical narrative: Within 24 hours of immunization, veteran developed strong muscle spasms in neck and shoulders.  04/09/2007 MR received for ER visit of 11/19/2006 for c/o SOB, subjective fever and sweats.  Txd with antibiotics and Tylenol. PE: unremarkable. Temp. 102.2. DX:  Pneumonia-acute.  Dyspnea-acute. Spoke with reporter.  Pt. did not seek outside treatment for AE.  Just mentioned AE symptoms to reporter on homecare visit for other issues.
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Aspiration, Bronchiolitis, Feeding disorder, Gastrointestinal tube insertion
Clinical narrative: Pt rec'd first Dtap on 4/20/04. Pt became pale, fever, congested, fussy with in 48  hours of shot then admitted on 4/26/04 for presumed bronchiolitis. In retrospect she was having difficulty handling her secretions and was possible aspirating. She had a long progressive course of prolonged O2 need, hypotonia, inability to orally feed, G Tube placement to protect her airway.  01/29/2007: MR received from a 2 night hospitalization of 04/26/2004 for cough with hypoxia.  Mild cough noted by parents beginning ~24 hours after 2month vax. Seen in ped. office on 4/26/2004 where pulse ox was noted to be in the high 70's to low 80's on room air.  She was placed on O2 and admitted to the hospital. PE: Significant for coarse expiratory rhonchi and a deep, chesty sounding cough. Otherwise WNL.  O2 requirements decreased with vigorous suctioning however, child continued to need supplemental O2 from 100-200 cc/min.  She was discharged home on supplemental O2. Discharge DX: 1) Presumed Viral Pneumonitis. 2) hypoxia.  02/19/2007: Medical records received from PCP documenting 2+ years of F/u for truncal hypotonia and dysphagia which developed following 2 month vax. in April 2004.  The baby continued at home on O2 and NG tube feeding for approximately 12 weeks.  She was admitted again  5/26/2004 for an aspiration pneumonia.  Principle diagnosis: Chronic aspiration. Secondary Diagnosis: Aspiration pneumonia. Neurology note from 8/27/2004 with discussion of ADEM-Acute Disseminated Encephalomyopathy as the cause of the truncal hypotonia and dysphagia.  G-tube was placed 10/7/2004.  Assessment from neuro note of 10/29/2004 is "Undefined focal neuromuscular disorder". Truncal hypotonia resolving/resolved by 11/17/2004, however persistant cricopharyngeal dysfunction and dyspahgia remain.  Last recorded Neuro F/U  (5/16/05) discusses the possibility of an isolated bulbar form of Guillain Barre' syndrome. By age 2 years, (2/24/06) child was taking po and only having G-tube feedings at night. Dyspaghia was now considered resolved and G-tube was removed shortly after that visit per TC to MD. Also, no F/U with neurologist after 5/2005.
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Oxygen supplementation, Pallor, Pulmonary congestion, Pyrexia
Clinical narrative: Pt rec'd first Dtap on 4/20/04. Pt became pale, fever, congested, fussy with in 48  hours of shot then admitted on 4/26/04 for presumed bronchiolitis. In retrospect she was having difficulty handling her secretions and was possible aspirating. She had a long progressive course of prolonged O2 need, hypotonia, inability to orally feed, G Tube placement to protect her airway.  01/29/2007: MR received from a 2 night hospitalization of 04/26/2004 for cough with hypoxia.  Mild cough noted by parents beginning ~24 hours after 2month vax. Seen in ped. office on 4/26/2004 where pulse ox was noted to be in the high 70's to low 80's on room air.  She was placed on O2 and admitted to the hospital. PE: Significant for coarse expiratory rhonchi and a deep, chesty sounding cough. Otherwise WNL.  O2 requirements decreased with vigorous suctioning however, child continued to need supplemental O2 from 100-200 cc/min.  She was discharged home on supplemental O2. Discharge DX: 1) Presumed Viral Pneumonitis. 2) hypoxia.  02/19/2007: Medical records received from PCP documenting 2+ years of F/u for truncal hypotonia and dysphagia which developed following 2 month vax. in April 2004.  The baby continued at home on O2 and NG tube feeding for approximately 12 weeks.  She was admitted again  5/26/2004 for an aspiration pneumonia.  Principle diagnosis: Chronic aspiration. Secondary Diagnosis: Aspiration pneumonia. Neurology note from 8/27/2004 with discussion of ADEM-Acute Disseminated Encephalomyopathy as the cause of the truncal hypotonia and dysphagia.  G-tube was placed 10/7/2004.  Assessment from neuro note of 10/29/2004 is "Undefined focal neuromuscular disorder". Truncal hypotonia resolving/resolved by 11/17/2004, however persistant cricopharyngeal dysfunction and dyspahgia remain.  Last recorded Neuro F/U  (5/16/05) discusses the possibility of an isolated bulbar form of Guillain Barre' syndrome. By age 2 years, (2/24/06) child was taking po and only having G-tube feedings at night. Dyspaghia was now considered resolved and G-tube was removed shortly after that visit per TC to MD. Also, no F/U with neurologist after 5/2005.
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Secretion discharge
Clinical narrative: Pt rec'd first Dtap on 4/20/04. Pt became pale, fever, congested, fussy with in 48  hours of shot then admitted on 4/26/04 for presumed bronchiolitis. In retrospect she was having difficulty handling her secretions and was possible aspirating. She had a long progressive course of prolonged O2 need, hypotonia, inability to orally feed, G Tube placement to protect her airway.  01/29/2007: MR received from a 2 night hospitalization of 04/26/2004 for cough with hypoxia.  Mild cough noted by parents beginning ~24 hours after 2month vax. Seen in ped. office on 4/26/2004 where pulse ox was noted to be in the high 70's to low 80's on room air.  She was placed on O2 and admitted to the hospital. PE: Significant for coarse expiratory rhonchi and a deep, chesty sounding cough. Otherwise WNL.  O2 requirements decreased with vigorous suctioning however, child continued to need supplemental O2 from 100-200 cc/min.  She was discharged home on supplemental O2. Discharge DX: 1) Presumed Viral Pneumonitis. 2) hypoxia.  02/19/2007: Medical records received from PCP documenting 2+ years of F/u for truncal hypotonia and dysphagia which developed following 2 month vax. in April 2004.  The baby continued at home on O2 and NG tube feeding for approximately 12 weeks.  She was admitted again  5/26/2004 for an aspiration pneumonia.  Principle diagnosis: Chronic aspiration. Secondary Diagnosis: Aspiration pneumonia. Neurology note from 8/27/2004 with discussion of ADEM-Acute Disseminated Encephalomyopathy as the cause of the truncal hypotonia and dysphagia.  G-tube was placed 10/7/2004.  Assessment from neuro note of 10/29/2004 is "Undefined focal neuromuscular disorder". Truncal hypotonia resolving/resolved by 11/17/2004, however persistant cricopharyngeal dysfunction and dyspahgia remain.  Last recorded Neuro F/U  (5/16/05) discusses the possibility of an isolated bulbar form of Guillain Barre' syndrome. By age 2 years, (2/24/06) child was taking po and only having G-tube feedings at night. Dyspaghia was now considered resolved and G-tube was removed shortly after that visit per TC to MD. Also, no F/U with neurologist after 5/2005.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Rash, Wheezing
Clinical narrative: Patient stated about 3 hours after receiving flu vaccine developed shortness of breath, wheezing and a rash on his abdomen and chest. The above is a physician and he self treated with a nembulizer treatment which improved respiratory symptoms. The rash persisted for 1-2 weeks.
Age: 0.25
Sex: F
Vaccine: UNK
Symptoms: Blood culture negative, CSF culture negative, Culture urine negative, Erythema multiforme, Injection site urticaria
Clinical narrative: Approximately 12 hours after vaccination the patient developed a rash consistent with erythema multiforme. It completely resolved in 24 hours. An urticaria lesion surrounded the vaccine site. (+) fever. 02/02/07-records received and reviewed for DOS 01/06-01/09/07 DC DX: Viral lower respiratory tract infection Fever resolved Seizures ruled out History of CHARGE syndrome history of 36 week prematurity ventriculary septal defect. Club foot, intestinal malrotation PMH:club foot atrial septal defect ventricular septal defect delayed nitration of nerves cataracts choanal atresia Presented to ER after several days of fever , history of vesicoureteral reflux takes amoxicillin prophylaxis. Seizure noted in ER
Age: 0.25
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Rash
Clinical narrative: Approximately 12 hours after vaccination the patient developed a rash consistent with erythema multiforme. It completely resolved in 24 hours. An urticaria lesion surrounded the vaccine site. (+) fever. 02/02/07-records received and reviewed for DOS 01/06-01/09/07 DC DX: Viral lower respiratory tract infection Fever resolved Seizures ruled out History of CHARGE syndrome history of 36 week prematurity ventriculary septal defect. Club foot, intestinal malrotation PMH:club foot atrial septal defect ventricular septal defect delayed nitration of nerves cataracts choanal atresia Presented to ER after several days of fever , history of vesicoureteral reflux takes amoxicillin prophylaxis. Seizure noted in ER
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Colonoscopy abnormal, Haematochezia, Hyperplasia, Lymphoid tissue hyperplasia
Clinical narrative: Developed bloody stools one week after receiving first dose of Rotateq. Continues to have bloody stools. Endoscopic diagnosis of Lymphonodular Hyperplasia of the colon.  01/30/07-records received and reviewed from Clinic for DOS 9/28/06-01/11/07- 1 month old visit assessment: esophageal reflux without evidence of esophagitis. On 11/2/06-mother taking clindamycin for mastitis, child developed explosive diarrhea and diaper rash. At time of Rotateq vaccine 11/14/06-some nasal congestion. On 11/20/06 patient congested not eating much. On 11/27/06-Two diapers had gross blood and mucusy material. Eating well, afebrile, no emesis and no diarrhea. No abdominal distention KUB: shows no focal abnormalities. Rotazyme positive. Numerous fecal WBC. Guaiac strongly positive. Assessment: Hematochezia. Suspect either cow's milk enteritis or early presentation of gastroenteritis. 11/3/06-Develped loose watery stools spitting up more than usual.  Stool positive for Rotavirus. No hematochezia. Afebrile. Assessment: acute gastroenteritis, resolving. 12/11/06-Two stools with streaks of blood after several normal stools.  Assessment: Hematochezia. Likely residual effect of Rotavirus. However, many of her symptoms overlap with cow's milk colitis. 1/3/07:Stools now yellow in color and quite watery, no visible blood. Negative for occult blood. Colicky type pain. Barium enema on 12/31/06 showed nodularity involving the entire colon. Flexible sigmoidoscopy showed diffuse nodules. Biopsies are normal with no suggestion of inflammation or allergy.  Assessment:Hematochezia. Lymphonodular hyperplasia noted on sigmoidoscopy, probably etiology for Hematochezia. Possible postinfectious gastropathy. 1/11/07-Recurrence of grossly bloody stools. Spit up small amount of milk.  Assessment:lymphonodular hyperplasia, colon. Per information received from annual follow up, doing well now. Follow up received 04/09/2007. I suspect the rectal bleeding was cow milk colitis, but the timing of vaccination makes ROTATEQ a possible cause.
Age: 68.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site swelling, Limb discomfort
Clinical narrative: swelling, redness right arm, below injection site. Discomfort right arm
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site rash, Injection site swelling, Myalgia, Nausea, Pyrexia
Clinical narrative: rash, swelling at site of injection.  Systemic symptoms: fever, myalgias, nausea
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Rash pruritic
Clinical narrative: Patient received Tdap, 1/16/2007 at 11am.  Night of 1/17/2007 pt. developed itchy rash on inner forearms, underarms and ankles.  Rash disappeared by morning and recurred more acutely pm 1/18/07 only slight rash evident today
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Dyspnoea, Vomiting, Wheezing
Clinical narrative: difficulty breathing, wheezing, vomiting
Age: 1.12
Sex: F
Vaccine: FLU3, MMRV
Symptoms: Blister, Erythema, Feeling hot, Skin haemorrhage, Upper extremity mass
Clinical narrative: MGM reports noticing blister with small white (left arm-back) head on 01/14/07.  On 01/16/07 the blister opened and "bled a little".  Area is red, warm to touch, firm knot.  Redness measures 30 x 25 mm. Has not been treating with any medicines or ointments.  Also reports 3 additional blisters on back of neck onset 1/13/07.
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Hyperhidrosis, Lethargy
Clinical narrative: Client received her flu shot in left deltoid at approx 9am. At 730 pm same night she experienced painin her hip joint, sweating, lethargy-in waves.  Her parents took her to the ER. No dx
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Swelling
Clinical narrative: bright red 4x4 patch, swelling on the arm
Age: 42.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient came in to clinical 1/11/07 for a flu shot and a pneumonia vaccine.  Pneumonia vax given in left deltoid.  4-5 hours after vax given, left arm began to swell and turn red. Arm painful from site to elbow.  Symptoms lasted 4-5 days.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site nerve damage, Muscle spasms, Tension
Clinical narrative: Pt called on call phone 1/17/07 at 8PM C/O tenseness and spasms to left neck increase spasms when turning head to left. Went to ER that night and was told a nerve may have been hit. Given inj of Valium and anti inflammatory was RX'd Naproxen.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Several hrs after vaccination pt developed erythema and around injection site which continued to progress over next 36 hours TX with Rest, elevation, cool compress.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Rt delt arm area red, swollen 1" hard area, painful, advised to alternate warm/cool compress and Ibuprophen PRN office visit if increased inflammation.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness and itching of large area of deltoid where vaccine given about 6 hours after.
Age: 1.5
Sex: F
Vaccine: HPV4
Symptoms: Chills, Headache, Injection site pain, Pyrexia
Clinical narrative: Onset fever 103.0-103.6 F (orally) 6 hours post injection chills, mild headache, mild pain at injection site. Resolved by 12 hours, except for mild pain at injection site.
Age: 1.1
Sex: M
Vaccine: MMRV
Symptoms: Conjunctivitis, Erythema, Pyrexia, Rash maculo-papular
Clinical narrative: Fever 103 degs 4 days after shot. Severe bright red maculo papular , ABS, face, neck, trunk, arms and legs, conjunctivitis 7 days after shot.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, TD
Symptoms: Erythema, Feeling hot, Pain, Tenderness, Type III immune complex mediated reaction
Clinical narrative: Arthus type reaction right deltoid (warm, firm, red, tender) given Tylenol for pain (pt preference).
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Asthenia, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pain, redness, swelling on (L) upper arm, feels weak no fever.
Sex: M
Vaccine: MMRV
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Combo of MMR and Varicella 0975F (ProQuad) SQ in right thigh, pt had swelling of entire right thigh warm to touch but no redness or fever.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Flank pain, Nausea
Clinical narrative: Pt C/O severe L flank pain with nausea, dizziness 10 min after receiving vaccine.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Diabetes mellitus, Dizziness, Electromyogram, Guillain-Barre syndrome
Clinical narrative: Diagnosed Guillain Barre Syndrome, C/O fever, leg pain, numbness in feet. Pain elbows/shoulders. C/O'd dizziness, vomiting, lethargic. As of today we finally made contact again, after I have left messages. Diagnosis confirmed. Patient was hospitalized later with staff infection (new) and diabetes (new to her).  02/02/2007 MR received from PCP.  Office visit 10/06/2006 3 days s/p flu vax. given in local pharmacy.  Pt. has c/o leg pain (left worse than right) and toes going numb. PE: Muscle tone good, SLR normal, Right toes numb.  Tx.'d with Prednisone. By 10/09/06 pt. was feeling better but developed flu sx. Increased leg pain on 10/20/2006.  Pt. was hopitalized on 10/29/06 for abscesses of the tricep and groin. Treated with abx. Impression: 1) Abscesses of left triceps and left groin area with surrounding cellulitis.  2) New onset Diabetes Mellitus 3) Morbid obesity 4) COPD  5) Degenerative joint disease  6) Guillain-Barre syndrome.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia, Lethargy, Musculoskeletal pain, Pain in extremity, Pyrexia
Clinical narrative: Diagnosed Guillain Barre Syndrome, C/O fever, leg pain, numbness in feet. Pain elbows/shoulders. C/O'd dizziness, vomiting, lethargic. As of today we finally made contact again, after I have left messages. Diagnosis confirmed. Patient was hospitalized later with staff infection (new) and diabetes (new to her).  02/02/2007 MR received from PCP.  Office visit 10/06/2006 3 days s/p flu vax. given in local pharmacy.  Pt. has c/o leg pain (left worse than right) and toes going numb. PE: Muscle tone good, SLR normal, Right toes numb.  Tx.'d with Prednisone. By 10/09/06 pt. was feeling better but developed flu sx. Increased leg pain on 10/20/2006.  Pt. was hopitalized on 10/29/06 for abscesses of the tricep and groin. Treated with abx. Impression: 1) Abscesses of left triceps and left groin area with surrounding cellulitis.  2) New onset Diabetes Mellitus 3) Morbid obesity 4) COPD  5) Degenerative joint disease  6) Guillain-Barre syndrome.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Staphylococcal infection, Vomiting
Clinical narrative: Diagnosed Guillain Barre Syndrome, C/O fever, leg pain, numbness in feet. Pain elbows/shoulders. C/O'd dizziness, vomiting, lethargic. As of today we finally made contact again, after I have left messages. Diagnosis confirmed. Patient was hospitalized later with staff infection (new) and diabetes (new to her).  02/02/2007 MR received from PCP.  Office visit 10/06/2006 3 days s/p flu vax. given in local pharmacy.  Pt. has c/o leg pain (left worse than right) and toes going numb. PE: Muscle tone good, SLR normal, Right toes numb.  Tx.'d with Prednisone. By 10/09/06 pt. was feeling better but developed flu sx. Increased leg pain on 10/20/2006.  Pt. was hopitalized on 10/29/06 for abscesses of the tricep and groin. Treated with abx. Impression: 1) Abscesses of left triceps and left groin area with surrounding cellulitis.  2) New onset Diabetes Mellitus 3) Morbid obesity 4) COPD  5) Degenerative joint disease  6) Guillain-Barre syndrome.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Diabetes mellitus, Electromyogram, Guillain-Barre syndrome, Influenza, Pain in extremity
Clinical narrative: Diagnosed Guillain Barre Syndrome, C/O fever, leg pain, numbness in feet. Pain elbows/shoulders. C/O'd dizziness, vomiting, lethargic. As of today we finally made contact again, after I have left messages. Diagnosis confirmed. Patient was hospitalized later with staff infection (new) and diabetes (new to her).  02/02/2007 MR received from PCP.  Office visit 10/06/2006 3 days s/p flu vax. given in local pharmacy.  Pt. has c/o leg pain (left worse than right) and toes going numb. PE: Muscle tone good, SLR normal, Right toes numb.  Tx.'d with Prednisone. By 10/09/06 pt. was feeling better but developed flu sx. Increased leg pain on 10/20/2006.  Pt. was hopitalized on 10/29/06 for abscesses of the tricep and groin. Treated with abx. Impression: 1) Abscesses of left triceps and left groin area with surrounding cellulitis.  2) New onset Diabetes Mellitus 3) Morbid obesity 4) COPD  5) Degenerative joint disease  6) Guillain-Barre syndrome.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Staphylococcal infection, Walking aid user
Clinical narrative: Diagnosed Guillain Barre Syndrome, C/O fever, leg pain, numbness in feet. Pain elbows/shoulders. C/O'd dizziness, vomiting, lethargic. As of today we finally made contact again, after I have left messages. Diagnosis confirmed. Patient was hospitalized later with staff infection (new) and diabetes (new to her).  02/02/2007 MR received from PCP.  Office visit 10/06/2006 3 days s/p flu vax. given in local pharmacy.  Pt. has c/o leg pain (left worse than right) and toes going numb. PE: Muscle tone good, SLR normal, Right toes numb.  Tx.'d with Prednisone. By 10/09/06 pt. was feeling better but developed flu sx. Increased leg pain on 10/20/2006.  Pt. was hopitalized on 10/29/06 for abscesses of the tricep and groin. Treated with abx. Impression: 1) Abscesses of left triceps and left groin area with surrounding cellulitis.  2) New onset Diabetes Mellitus 3) Morbid obesity 4) COPD  5) Degenerative joint disease  6) Guillain-Barre syndrome.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster
Clinical narrative: 2 weeks after receiving vaccine. Patient discovered 6 shingles blisters on torso. This was not mentioned in the flyer patient received on adverse reactions. Patient was very concerned as was afraid it would lead to another full episode of shingles.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Dizziness, Headache
Clinical narrative: Pt experienced dizziness x 24 hr on day 5. Headaches start day 5 x 4 days. Constant headache. Pt went to ER on day 5 and clinic on base day 8. Is feeling better day 9.
Age: 25.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Pruritus, Rash pustular, Skin lesion
Clinical narrative: Skin lesion for 5 days on right face near nasolabia fold; pustule. Itching -2mm pustule with minimal amount of erythematous base.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Redness, swelling, pain, induration at vaccination site.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Redness, Swelling, pain, induration at vaccination site.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Redness, swelling, pain, induration of vaccination site.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site pain, Lymphadenopathy
Clinical narrative: Had Pneumovax given in R deltoid Friday afternoon, by 7am next morning arm was very swollen, painful and swollen axillary mode. Treated with Ice, Motrin.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Rash on face
Age: 1.28
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Drug ineffective, Varicella
Clinical narrative: Developed Varicella
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Urticaria
Clinical narrative: Site hard, warm, red 2"x2 1/2 ".
Age: 22.0
Sex: F
Vaccine: TYP
Symptoms: Erythema, Nausea, Pruritus, Rash, Vomiting
Clinical narrative: Started with oral typhoid 1/3/07 became nausea. On 1/5/07 took pill #2 vomited pill up, felt very nauseous after 7 hours and then on 1/06/07 noticed rash on lower lip itchy red and raised went to ER.
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Alanine aminotransferase increased, Anxiety, Blood calcium increased, Fibrin D dimer increased
Clinical narrative: 6 days after vaccine administration, pt had acute anxiety, malaise, abdominal discomfort, sensory neuropathy, elevated D Dimer, serum calcium and ALT.
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Malaise, Peripheral sensory neuropathy
Clinical narrative: 6 days after vaccine administration, pt had acute anxiety, malaise, abdominal discomfort, sensory neuropathy, elevated D Dimer, serum calcium and ALT.
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Diarrhoea, Dysphonia, Urticaria, Vomiting, Wheezing
Clinical narrative: Patient here 1/19 for physical got MMR Dtap/Hib. A few hours after leaving office pt had hives on face and arms. During that night he woke with  vomiting and wheezing. Observed at home and fine in AM just hoarseness in voice and diarrhea.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Periorbital oedema, Rash, Wheezing
Clinical narrative: Patient received DTAP & IPV at his routine 4 yr old visit. Patient was well and went home. Roughly 35 minutes later mom called and says he has a rash. He returned to the office and was not to have hives at Right eye to Right periorbital edema, wheezing. Retractions and a rash at his neck. Patient received a Xopomex 1.25mg BID nebulizer and Oraped 30 mg by mouth one time and wheezing resolved. Over 30 minute observation, hives-rash improved. Wheezing did not resume.
Age: 29.0
Sex: M
Vaccine: HEPAB, IPV, MEN
Symptoms: Headache, Intraocular pressure increased, Musculoskeletal stiffness, Pain, Pain of skin
Clinical narrative: Felt achy, tense, stiff in neck, tender itchy skin, on - off fever, pink hive like rash all over 3 days after visit. Took Benadryl on 4th day. Rash went away. HA and pressure behind eyes persisted for 3-4 day
Age: 29.0
Sex: M
Vaccine: HEPAB, IPV, MEN
Symptoms: Pruritus, Pyrexia, Rash, Tension
Clinical narrative: Felt achy, tense, stiff in neck, tender itchy skin, on - off fever, pink hive like rash all over 3 days after visit. Took Benadryl on 4th day. Rash went away. HA and pressure behind eyes persisted for 3-4 day
Age: 33.0
Sex: M
Vaccine: HEPAB
Symptoms: Injection site pain
Clinical narrative: Patient describes ongoing arm pain at injection site. Positional pain at night.
Age: 1.01
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Injection site erythema, Subcutaneous nodule
Clinical narrative: Started on Sunday, Jan 21 with small red dot at injection site on left thigh. Redness spread. Seen on 1/23/07 with 4.5cm x 2cm oblong red area with 3 linear nodules palpable beneath skin surface. No fever. Advised Pts mother to use warm compresses. Call if no improvement.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Amnesia, Anxiety, Arthralgia, Asthenia
Clinical narrative: Abdominal pain, joints and muscles ache, acid reflux, anxiety, vertigo and dizziness, high cholesterol, chills. Concentration-trouble, difficulty, loss of. Depression. Dermatitis. Diarrhea, digestive problems, low energy. Gastritis. Headache. Ringing in ears. Inflammation inject site. Short term memory loss. Neck rigid. Numbness and tingling in arms and down one side of body. Pain legs, lower back, back, knees and hips. Stiffness. Pain in feet, inject site, neck. Rash. Itchy skin. Cellulitis. Skin discoloration. Stomach problems. Weight gain. Walking difficulty. Struggle for words.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Back pain, Blood cholesterol increased, Cellulitis, Chills, Depression
Clinical narrative: Abdominal pain, joints and muscles ache, acid reflux, anxiety, vertigo and dizziness, high cholesterol, chills. Concentration-trouble, difficulty, loss of. Depression. Dermatitis. Diarrhea, digestive problems, low energy. Gastritis. Headache. Ringing in ears. Inflammation inject site. Short term memory loss. Neck rigid. Numbness and tingling in arms and down one side of body. Pain legs, lower back, back, knees and hips. Stiffness. Pain in feet, inject site, neck. Rash. Itchy skin. Cellulitis. Skin discoloration. Stomach problems. Weight gain. Walking difficulty. Struggle for words.