chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Injection site mass, Skin ulcer
Clinical narrative: 4x4 cm indurated, erythematous lesion, warm to touch. No red streaking. Seen in urgent care center, treated with Motrin/cold compress
Age: 1.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Agitation, Crying, Otitis media
Clinical narrative: Cry painful x 15 hr (5-15 min intervals sleeping)- Left otitis media
Age: 1.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Rash, Swelling
Clinical narrative: 6/3 immunization given started to favor leg that eve. 6/4 OK. 6/5 increased swelling twice the size, also around the knee. 6/6 playing but favor leg. 6/7 swollen rash on knee cap and behind knee
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever 103 ear. Vomited x 5
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased appetite, Gaze palsy, Insomnia, Listless, Pyrexia
Clinical narrative: Within 24 hours began fever, mom states child was listless and staring, no sleep for 18 hours, decrease intake. Symptoms lasted for about 5 days.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Pharyngeal oedema, Tongue oedema
Clinical narrative: Tongue swelling, throat swelling, numb feeling.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Heart rate increased, Urticaria
Clinical narrative: Pt called at 12 noon on 07/01/04 c/o hives, rapid heartbeat and dizziness which she believes are the result of her Hep shot given 6/30/04. Instructed client to call her family Physician. 7/2/04 client has not returned call from me.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Site of injection became red and swollen. No fever.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Oedema, Rash pruritic
Clinical narrative: Given varicella on 06/21/04 SQ right arm. Area on 6/22 was described as red and hot to touch. Gave advise over the phone for comfort measure. 6/23 pt and her mom came to HU for us to see area red and edematous, warm to touch and itching about 4" in diameter.  6/23/04 had seen the PMD that day. He felt her reaction was because 1 wk after 1st injection she had mild chickenpox disease, a few blisters etc. That had resolved. He felt local reaction because of reaction to 1st vaccine. He felt she should not have taken 2nd shot. 6/28 PC to pt says area is much improved, looks sort of bruised, no longer red or hot to touch and does not hurt but is visible.
Age: 69.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Hypokinesia, Pain
Clinical narrative: Client states his upper arm has been sore ever since he received the Typhim vi injection in his left arm. He feels the soreness when he raises his left arm above his head or behind his back. He has not had any treatment.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Swelling
Clinical narrative: The evening of the injection right arm swollen, red and painful. Continues to be swollen on 7/2/04.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Inflammation, Oedema, Pyrexia
Clinical narrative: Immunization shots 6/29/04: developed edema/ inflammation over left thigh 2 days after shot. Mother advised to apply ice, over a towel, and give Motrin. To RTC if fever or condition worsened.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, HIBV, MMR
Symptoms: Cellulitis, Erythema, Injection site induration, Swelling
Clinical narrative: right arm swelling /erythema/induration reaction. Prescribed Keflex/ Benadryl/ Motrin and cold compresses PRN for Mild cellulitis.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Vaccines given 7/6/04. Fever noted later that day. Pt awoke with a red maculopapular serpiginous like rash on 7/7/04. Rash began on legs and arms then migrated to trunk. Both checks later that PM/ early AM 7/8/04. Afebrile on 7/8/04.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site induration, Pallor, Skin discolouration, Tenderness
Clinical narrative: Large indurated, warm area on left lateral thigh with +/- tenderness. The area around injection site was blanched white. Treated with Keflex, Bactroban and Atolox.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Patient received immunization on 6/22/04, MMR and Varivax. ON 6/30/04, low grade temperature up to 101. 7/1/04: temperature up to 103-106 degrees F. Only anti-pyretes used focus of injection. Developed generalized maculopapular rash 7/3/04. Afebrile.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Injection site reaction, Swelling, Tenderness
Clinical narrative: Swelling, redness, tenderness, around site right arm cellulitis treated with antibiotics.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left leg red, swollen to size of softball, warm to touch. Patient has no complaint of pain. No problems with walking on leg. Advised to apply warm cloth to area and give Tylenol as needed for fever. Advised to call doctor if any other problems arise.
Age: 62.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia, Dyspnoea, Muscle rigidity, Musculoskeletal stiffness, Tremor
Clinical narrative: Client had vaccine, left health district and 15 to 20 minutes later noticed jaw and neck muscles and, in general, all her muscles started to "tense up". Felt like "I coudn't breathe. I got shaky and weak. Almost like I was going into shock." She was driving and stopped in front of a Quick Care facility. Went inside and waited 1.5 hours. Symptoms abated. Left without being seen and returned immediately because symptoms returned. Again, left without being seen and went to personal doctor on 6/15/04. Could not be seen by doctor but was given prescription for "Thuja, 10gtts, three times per day by Dr. Client states doctor has "regular routine for reactions to hepatitis shots." Client states muscle tightening would return daily about mid afternoon. Client saw personal doctor 6/29/04 and was given "an IV drip". States she did not know what if was but "the active ingredient was hydrogen peroxide solution." Client reports feeling better today.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Dyspnoea, Nausea, Urticaria, Vomiting, Wheezing
Clinical narrative: Client received DTaP and Hep A vaccines at PHO 6/30/04 and within 20 min c/o hives, N/V, wheezing, Benadryl 40mg IM and Epi. 20cc given per Emergency Protocol.  Nurse follow up on 07/13/04 states: "No new information."  Nurse follow up on 07/19/04 states: "Shortness of breath."
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Hyperhidrosis
Clinical narrative: Progressive swelling of left upper arm starting 6/22/04. By the time she called on 6/24/04. Swelling over LD was size of baseball with redness warmth. Seen at ER 6/24/04. No treatment to observe. Recovering 6/29 swelling dramatically decreased.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site induration, Injection site warmth, Swelling
Clinical narrative: Immunizations 6/24/04. Reaction left deltoid area/ red/ swollen/ hot to touch/ hard/ no symptoms this AM/ Benadryl at 10:30 pm last night/ no fever/ no pain.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site rash, Swelling
Clinical narrative: Rash the size of silver dollar at injection site started. Did have slight swelling: improved. No pain or itching. Doing well. Reassured probably mild reaction to vaccines. Observe. Can apply the cream to rash if desires. Flu not improving or worsen.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling
Clinical narrative: Large local reaction at injection site for DTaP. 10x5 cm red, firm, raised lesion, left thigh.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: Erythematous papular areas on upper arms, back ears and lower extremities, 5-10 in number.
Sex: U
Vaccine: DTAP, HEP
Symptoms: Convulsion, Loss of consciousness, Respiratory disorder
Clinical narrative: Pt given Hep A #1, about 1 hour after had DTaP #4. 30 sec loss of consciousness. Unclear if pt had breath hold spell versus seizure.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Oedema genital
Clinical narrative: 2 small solid knots of 0.25 bean sized, on bilateral groin area without tenderness. Status 10 days after 12 months vaccinations.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Lymphadenopathy, Pain
Clinical narrative: 4-5 small knots, 1/4 pea-sized, lymphadenopathy on both inguinal areas, worse on right side, mild aching pain. Status 15 days after 12 month vaccinations.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Oedema
Clinical narrative: 4 small solid knots, of 1/4 bean-sized , on left groin area, without tenderness. Status post vaccination 7 days.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Upper extremity, swelling shoulder to elbow on right side, red and indurated by deltoid.
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Confusional state, Fatigue, Pyrexia
Clinical narrative: Patient had fatigue and 104 fever with confusion less than 24 hours after Td vaccination.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site discolouration, Injection site erythema
Clinical narrative: 3"x3" area of blanching erythema right lateral thigh. Benadryl 40mg every 6 hours for 24-72 hours.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Musculoskeletal stiffness, Myalgia
Clinical narrative: Deep muscle ache and stiffness in upper legs; buttocks the worse and arms, hands and feet. Fatigue.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Employee received MMR SC in right arm on 6/30/04. On 7/3/04 she began to experience itching, redness, swelling and warmth at the injection site. Presents to clinic on 7/6/04 with 45mm of induration and warmth to touch. Denies any systemic reaction.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Diarrhoea
Clinical narrative: Patient received Trihib vaccine in our office on Wednesday 7/7/04 and later that evening, he experienced symptoms of diarrhea. Diarrhea continued for 24 hours. Mother of patient feels diarrhea was caused by vaccination.
Age: 20.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Nausea, Pyrexia, Rash, Throat tightness
Clinical narrative: From initial information received on 4/16/03 from a nurse regarding an adverse event occurring in the US, it was reported that a 20 year old female patient received her first dose of IMOVAX RABIES, lot number T0133, given IM in the deltoid on the evening of 4/9/03. Within half an hour after the vaccination, the patient developed tightness in her throat, a rash on her legs and hands and complained of having a fever, a headache and feeling nausea. The recovery status of this patient was not reported.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Cough, Fatigue, Pyrexia
Clinical narrative: From initial information received on 4/22/03 from a health professional regarding an adverse event occurring in the US, it was reported that a 22 year old female patient received her second dose of IMOVAX RABIES, lot number U0961-2, given in the right deltoid on 4/21/03. After this dose was given, the patient felt fatigued, had a low grade fever and coughing. The recovery status was not reported at this time.
Age: 51.0
Sex: M
Vaccine: RAB
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: From initial information received on 5/6/03 from a healthcare professional regarding an adverse event occurring in the USA, it was reported that a 51 year old male patient received IMOVAX RABIES, lot number U1388, administered in the left deltoid on 4/29/03. Four days later, the patient developed headache, fever, and left arm pain which was described as severe aching. The patient was not evaluated by a physician and it was reported that the events subsided without medical treatment. At the time of vaccination, the patient was experiencing jet lag and was also taking doxycycline for anti-malarial prophylaxis. The patient recovered from these events.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Back pain, Hypersensitivity, Nausea, Neck pain, Pain
Clinical narrative: From initial information received on 09May03 from a RN regarding an adverse event occurring in the US it was reported that a 29 year old female pt received her first dose of IMOVAX Rabies in the deltoid on 17Apr03. After the vaccination, the pt experienced pain that radiated to her neck and into her back along with nausea. The pt was seen by a physician on an unspecified date. Reportedly the pt did not recover from these events. The pt received a second dose of IMOVAX Rabies, in the right deltoid on 24Apr03. After this vaccination, the pt experienced pain in her wrist so severe that she had an x-ray done to determine if it was broken, she also had difficulty lifting her arms. The pt has allergies to Aspirin, Codeine, Sulfa and Vicoden, and was taking Flagyl at the time of vaccination. The reporter of this case is the same reporter for another case.
Age: 16.0
Sex: F
Vaccine: JEV, RAB
Symptoms: Choking, Laryngeal oedema, Sensory disturbance, Urticaria
Clinical narrative: From initial information received on 09JUN2003 from a health care professional regarding an adverse event occurring in the USA it was reported that a 16 year old female patient received IMOVAX RABIES, lot number PMW0046, administered intra-muscularly in the right arm and her second dose of JE-VAX, administered intra-muscularly in the left arm on 22MAY2003. Eight days later, on 30MAY2003, the patient developed generalized hives and felt a choking sensation. She did not have any laryngeal edema. She was given Benadryl orally as treatment. The recovery status of this patient is currently unknown.
Sex: U
Vaccine: RAB
Symptoms: Back pain, Joint range of motion decreased, Nausea, Neck pain, Pain
Clinical narrative: From initial information received on 09MAY2003 from a registered nurse, regarding an adverse event occurring in the US, it was reported that a 29 year old female patient received her second dose of IMOVAX RABIES, lot number U0961, in the right deltoid on 24APR2003. After the vaccination, the patient experienced pain in her wrist so severe that she had an x-ray taken to determine if it was broken, she also had difficulty lifting her arms. The patient was seen by a physician on an unspecified date. Reportedly, the patient did not recover from these events. The patient had received her first dose of IMOVAX rabies, lot number U0595-2, in the left deltoid on 17APR2003. After this vaccination, the patient experienced pain radiating to her neck and into here back as well as feeling nausea. The patient had allergies to Aspirin, codeine, Sulfa and vicoden and was taking Flagyl at the time of vaccination. The reporter of this case is the same reporter for case 2003-01001
Age: 58.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain upper, Arthropathy, Dizziness, Headache, Nausea
Clinical narrative: From initial information received on 11JUL2003 from a registered nurse , it was reported that a 58 year old female patient received her third dose of IMOVAX rabies as part of a post exposure series, lot number W0136, administered intra-muscularly in the right deltoid on 09JUL2003. The patient had received two previous doses of IMOVAX after being bitten y a rabid skunk. The day she received the third dose of IMOVAX, the patient experienced stomach cramps, nausea, vomiting, headache, joint weakness and dizziness. The patient's recovery status was not reported.
Age: 58.0
Sex: F
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: From initial information received on 11JUL2003 from a registered nurse , it was reported that a 58 year old female patient received her third dose of IMOVAX rabies as part of a post exposure series, lot number W0136, administered intra-muscularly in the right deltoid on 09JUL2003. The patient had received two previous doses of IMOVAX after being bitten y a rabid skunk. The day she received the third dose of IMOVAX, the patient experienced stomach cramps, nausea, vomiting, headache, joint weakness and dizziness. The patient's recovery status was not reported.
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Balance disorder, Fatigue, Malaise, Nystagmus, Tinnitus
Clinical narrative: From initial information received on 06FEB2004 from a physician regarding an adverse event occurring in the USA, it was reported that a 38 year old female patient received a 8.34 ml dose of IMOGAM USP, lot number X0480-2, administered in the left and right buttocks, route of administration not reported, and a dose of IMOVAX Rabies lot number T1099-2, administered intra-muscularly in the left deltoid on 12DEC2003. Two days later, on 14DEC2003, the patient developed vertigo, tinnitus, loss of balance, fatigue and malaise. She did not experience any rash, myalgia or fever. Reportedly, the symptoms are not improving or exacerbating since the onset date. Diagnostic studies are pending and it was reported that nystagmus was present. The patient received another in the right deltoid on 15DEC2003 as well as a lot dose of IMOVAX RABIES, lot number W1419-3, expiration date December 2005, administered intra-muscularly in the right deltoid on 26DEC2003 and a 1cc dose of lot number W1419, expiration date 05DEC2006, administered intra-muscularly in the left deltoid on 08JAN2004. The patient's pre-existing medical history includes pituitary micro-adenoma, which has not changed in size over the past five years. Reportedly, the patient has not experienced any reactions following prior immunizations. The patient did not recover from these events. Additional information has been requested.
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Vertigo
Clinical narrative: From initial information received on 06FEB2004 from a physician regarding an adverse event occurring in the USA, it was reported that a 38 year old female patient received a 8.34 ml dose of IMOGAM USP, lot number X0480-2, administered in the left and right buttocks, route of administration not reported, and a dose of IMOVAX Rabies lot number T1099-2, administered intra-muscularly in the left deltoid on 12DEC2003. Two days later, on 14DEC2003, the patient developed vertigo, tinnitus, loss of balance, fatigue and malaise. She did not experience any rash, myalgia or fever. Reportedly, the symptoms are not improving or exacerbating since the onset date. Diagnostic studies are pending and it was reported that nystagmus was present. The patient received another in the right deltoid on 15DEC2003 as well as a lot dose of IMOVAX RABIES, lot number W1419-3, expiration date December 2005, administered intra-muscularly in the right deltoid on 26DEC2003 and a 1cc dose of lot number W1419, expiration date 05DEC2006, administered intra-muscularly in the left deltoid on 08JAN2004. The patient's pre-existing medical history includes pituitary micro-adenoma, which has not changed in size over the past five years. Reportedly, the patient has not experienced any reactions following prior immunizations. The patient did not recover from these events. Additional information has been requested.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Difficulty in walking, Dysphagia, Erythema, Oedema peripheral
Clinical narrative: Anthrax #2  11/17/99 - States that she can only remember having a local reaction with this vaccine. 12/6/99- Anthrax #3 - States that about a week before Christmas she woke up one morning and could not bear weight on her left knee due to severe joint pain. Rated pain as a 10 on pain scale 0-10. Reports that over time it progressed to her right knee and at that point she could not walk and had to be carried.  States that it lasted a couple of weeks and eventually resolved on its own.   Anthrax #4 5/8/00 - States that she had did not note any adverse reaction with this vaccine. Anthrax # 5 1/22/03 - States that she had a local site reaction. Smallpox #2 (RA)1/25/03 Pustule formed and scabbed within 7 days.  2/12/03 States that when she woke up she could not lift her left leg due to severe iliosacral pain.  During the course of the day the pain got worse and she had to be carried to sick call in Omann.  She was told that she had pulled a muscle and was given a shot of Toradol.  Rated pain as a 10 on pain scale 0-10.  Was also given Motrin and flexeril.  The medications helped a little in that she was able to drag her leg.   2/14/03 Two days later she woke up with a red round spot on the top of her left foot and her middle toe and big toe were swelled up.  She states that she was not able to bend her toes and then it proceeded to start on her right foot and progressed to all her toes, then her hands and her wrist.  She also developed a left knee effusion. At that time she started having severe bilateral occipital pain, difficulty swallowing, and restrictive chest wall pain.     Two days later she was diagnosed with a possible stress fracture.  X-rays revealed a normal foot.  At that point the physician decided to do a Lyme titer, which was negative.  Chest x-ray revealed small pleural effusions.  EKG was normal.  WBC count was elevated.  ANA results were positive @ 1:2650.She was sent home from deployment with an incapacitating arthropathy with Raynaud's phenomenon.  She was referred to a rheumatologist and placed on high dose prednisone for a Mixed Connective Tissue Disease.  She is still under the care of the rheumatologist.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Pain, Pleural effusion, Pleuritic pain
Clinical narrative: Anthrax #2  11/17/99 - States that she can only remember having a local reaction with this vaccine. 12/6/99- Anthrax #3 - States that about a week before Christmas she woke up one morning and could not bear weight on her left knee due to severe joint pain. Rated pain as a 10 on pain scale 0-10. Reports that over time it progressed to her right knee and at that point she could not walk and had to be carried.  States that it lasted a couple of weeks and eventually resolved on its own.   Anthrax #4 5/8/00 - States that she had did not note any adverse reaction with this vaccine. Anthrax # 5 1/22/03 - States that she had a local site reaction. Smallpox #2 (RA)1/25/03 Pustule formed and scabbed within 7 days.  2/12/03 States that when she woke up she could not lift her left leg due to severe iliosacral pain.  During the course of the day the pain got worse and she had to be carried to sick call in Omann.  She was told that she had pulled a muscle and was given a shot of Toradol.  Rated pain as a 10 on pain scale 0-10.  Was also given Motrin and flexeril.  The medications helped a little in that she was able to drag her leg.   2/14/03 Two days later she woke up with a red round spot on the top of her left foot and her middle toe and big toe were swelled up.  She states that she was not able to bend her toes and then it proceeded to start on her right foot and progressed to all her toes, then her hands and her wrist.  She also developed a left knee effusion. At that time she started having severe bilateral occipital pain, difficulty swallowing, and restrictive chest wall pain.     Two days later she was diagnosed with a possible stress fracture.  X-rays revealed a normal foot.  At that point the physician decided to do a Lyme titer, which was negative.  Chest x-ray revealed small pleural effusions.  EKG was normal.  WBC count was elevated.  ANA results were positive @ 1:2650.She was sent home from deployment with an incapacitating arthropathy with Raynaud's phenomenon.  She was referred to a rheumatologist and placed on high dose prednisone for a Mixed Connective Tissue Disease.  She is still under the care of the rheumatologist.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Balance disorder, Dizziness, Headache, Injection site pain
Clinical narrative: Lightheaded, joint pain, shooting pains in arms, swelling at shot site 5 inches in circumference, chills, low grade fever. Burning pain at shot site. Abnormal headaches. Sense of balance disturbed.  Took 1200 mg of ibuprofen. Iced site 3 times a day for 15 minutes. Took it easy at work for over a week. Worked one 1/2 day.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling
Clinical narrative: Lightheaded, joint pain, shooting pains in arms, swelling at shot site 5 inches in circumference, chills, low grade fever. Burning pain at shot site. Abnormal headaches. Sense of balance disturbed.  Took 1200 mg of ibuprofen. Iced site 3 times a day for 15 minutes. Took it easy at work for over a week. Worked one 1/2 day.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Injection site swelling
Clinical narrative: Severe upper abdominal pain for 3hours pain subsided after that time but pain was managable for the next 12 hours. Puffyness at injection site.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Irritability, Pyrexia, Rash
Clinical narrative: Immunizations were given at approximately 10:00 am on 05/17/2004.  Mother called at 5:05 pm and said infant had just awakened and was fussy.  He had a fever (mother stated was burning up).  Infant had a rash on body and redness on legs.  Had not been given any Tylenol following shots.  Infant had slept all day off and on in infant carrier.  Did not yet have a private MD since had only been living in the area for 2 weeks.  Mother advised to go to ER, which she did.  Caseworker visited on 05/21/2004.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Member was vaccinated on 1 May 04. He developed hives approximately 10 or 11 May 04. He has been taking benedryl since the time of vaccination.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: Injection was given in upper left arm.  Increasing soreness felt deep in left arm throughout that day, and next day.  Now has remained at that level and has not worsened further.  The pain is deep in the left shoulder joint and worsens upon movement.  It is difficult to find a comfortable sleeping position.  Constant aching as well.  No pain at the injection site however.
Age: 21.0
Sex: F
Vaccine: MER, MER, MER
Symptoms: Abortion spontaneous, Immune system disorder, Laboratory test abnormal
Clinical narrative: Patient experienced immune-mediated early pregnancy loss at less than 3 wks pregnant on 7/12/2004.  Patient suspects her recurrent immune-mediated miscarriages after her HELLP syndrome complicated pregnancy resulted from an amnastic immune effect to fetal proteins due to cellular antigens contained in the RA27/3 rubella vaccine.  The vaccine likely contained protein and DNA from the WI-38 human fetal cell culture used in manufacturing, and the patient developed immune-mediated pregnancy complications and earlier and earlier miscarriages as a result.  Reproductive history is:  Feb. 2002 - HELLP Syndrome pregnancy & premature baby Apr. 2003 - natural miscarriage at 8.5 wks Jan. 2004 - missed abortion, D&C, sac measured 4.5 wks July 2004 - early pregnancy loss less than 3 wks gestation
Age: 21.0
Sex: F
Vaccine: MER, MER, MER
Symptoms: Abortion spontaneous, Laboratory test abnormal, Medication error
Clinical narrative: Patient experienced immune-mediated early pregnancy loss at less than 3 wks pregnant on 7/12/2004.  Patient suspects her recurrent immune-mediated miscarriages after her HELLP syndrome complicated pregnancy resulted from an amnastic immune effect to fetal proteins due to cellular antigens contained in the RA27/3 rubella vaccine.  The vaccine likely contained protein and DNA from the WI-38 human fetal cell culture used in manufacturing, and the patient developed immune-mediated pregnancy complications and earlier and earlier miscarriages as a result.  Reproductive history is:  Feb. 2002 - HELLP Syndrome pregnancy & premature baby Apr. 2003 - natural miscarriage at 8.5 wks Jan. 2004 - missed abortion, D&C, sac measured 4.5 wks July 2004 - early pregnancy loss less than 3 wks gestation
Age: 21.0
Sex: F
Vaccine: MER, MER, MER
Symptoms: Abortion spontaneous, Medication error
Clinical narrative: Patient experienced immune-mediated early pregnancy loss at less than 3 wks pregnant on 7/12/2004.  Patient suspects her recurrent immune-mediated miscarriages after her HELLP syndrome complicated pregnancy resulted from an amnastic immune effect to fetal proteins due to cellular antigens contained in the RA27/3 rubella vaccine.  The vaccine likely contained protein and DNA from the WI-38 human fetal cell culture used in manufacturing, and the patient developed immune-mediated pregnancy complications and earlier and earlier miscarriages as a result.  Reproductive history is:  Feb. 2002 - HELLP Syndrome pregnancy & premature baby Apr. 2003 - natural miscarriage at 8.5 wks Jan. 2004 - missed abortion, D&C, sac measured 4.5 wks July 2004 - early pregnancy loss less than 3 wks gestation
Age: 21.0
Sex: F
Vaccine: MER, MER, MER
Symptoms: Abortion spontaneous, Immune system disorder, Laboratory test abnormal
Clinical narrative: Patient experienced immune-mediated miscarriage at 8.5 wks pregnant on 4/22/2003.  Natural miscarriage produced gray tissue clump approximately 1/2 inch in length.  Patient suspects her recurrent immune-mediated miscarriages after her HELLP syndrome complicated pregnancy resulted from an amnastic immune effect to fetal proteins due to cellular antigens contained in the RA27/3 rubella vaccine.  The vaccine likely contained protein and DNA from the WI-38 human fetal cell culture used in manufacturing, and the patient developed immune-mediated pregnancy complications and earlier and earlier miscarriages as a result.
Age: 21.0
Sex: F
Vaccine: MER, MER, MER
Symptoms: Abortion spontaneous, Laboratory test abnormal, Medication error
Clinical narrative: Patient experienced immune-mediated miscarriage at 8.5 wks pregnant on 4/22/2003.  Natural miscarriage produced gray tissue clump approximately 1/2 inch in length.  Patient suspects her recurrent immune-mediated miscarriages after her HELLP syndrome complicated pregnancy resulted from an amnastic immune effect to fetal proteins due to cellular antigens contained in the RA27/3 rubella vaccine.  The vaccine likely contained protein and DNA from the WI-38 human fetal cell culture used in manufacturing, and the patient developed immune-mediated pregnancy complications and earlier and earlier miscarriages as a result.
Age: 21.0
Sex: F
Vaccine: MER, MER, MER
Symptoms: Abortion spontaneous, Medication error
Clinical narrative: Patient experienced immune-mediated miscarriage at 8.5 wks pregnant on 4/22/2003.  Natural miscarriage produced gray tissue clump approximately 1/2 inch in length.  Patient suspects her recurrent immune-mediated miscarriages after her HELLP syndrome complicated pregnancy resulted from an amnastic immune effect to fetal proteins due to cellular antigens contained in the RA27/3 rubella vaccine.  The vaccine likely contained protein and DNA from the WI-38 human fetal cell culture used in manufacturing, and the patient developed immune-mediated pregnancy complications and earlier and earlier miscarriages as a result.
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a physical therapist concerning children who were vaccinated with a dose of MMR. Concomitant therapy included other vaccinations. The therapist reported that she had spoken to the parents who report their children became autistic around the time of vaccination. Unspecified medical attention was sought. There was no product quality complaint involved. Upon internal review, autism was considered an other important medical event (OMIC). Additional information has been requested.
Age: 20.0
Sex: M
Vaccine: HEP, MMR, TD
Symptoms: CSF test abnormal, Eye pain, Headache, Laboratory test abnormal, Leukocytosis
Clinical narrative: Onset of severe generalized headache and fever 6/21/04 at 12:00 AM. Also complained of eyes hurting, some cervical tenderness. Referred to ER and subsequently hospitalized with meningitis for 8 days. Medical diagnosis: Aseptic meningitis.  Nurse follow up on 08/31/04 states: "Nausea, back stiffness, muscle pain, nuchal rigidity."
Age: 20.0
Sex: M
Vaccine: HEP, MMR, TD
Symptoms: Meningitis, Myalgia, Nausea, Nuchal rigidity, Pyrexia
Clinical narrative: Onset of severe generalized headache and fever 6/21/04 at 12:00 AM. Also complained of eyes hurting, some cervical tenderness. Referred to ER and subsequently hospitalized with meningitis for 8 days. Medical diagnosis: Aseptic meningitis.  Nurse follow up on 08/31/04 states: "Nausea, back stiffness, muscle pain, nuchal rigidity."
Age: 20.0
Sex: M
Vaccine: HEP, MMR, TD
Symptoms: Tenderness
Clinical narrative: Onset of severe generalized headache and fever 6/21/04 at 12:00 AM. Also complained of eyes hurting, some cervical tenderness. Referred to ER and subsequently hospitalized with meningitis for 8 days. Medical diagnosis: Aseptic meningitis.  Nurse follow up on 08/31/04 states: "Nausea, back stiffness, muscle pain, nuchal rigidity."
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Agitation, Hyperpyrexia, Pyrexia, Viral infection
Clinical narrative: Hyperpyrexia (104) pt was hospitalized elsewhere by mother's history for septic workup, LP, etc.  Nurse follow up on 08/23/04 states: "Per review of d/c summary, please add viral illness, irritability & excessive crying - time not specified. Fever was confirmed."
Age: 40.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Rash papular, Tenderness
Clinical narrative: Cellulitis, purulent drainage and tender left axillary left arm on day 8 of major reaction, responded to 4/5 days of Leuaquin on 7/6/04.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Swelling
Clinical narrative: Pt had Pneumovax on 6/24/04. She presented in urgent care center on 6/25/04 with complaints of swelling with diffuse erythema of left upper arm extending distally from shoulder to about 3 inches above elbow. No respiratory difficulty breathing or wheezing noted. Diagnosed as acute allergic reaction. Ruled out cellulitis. Placed on antibiotic.
Age: 49.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Pain, Pyrexia, Skin exfoliation, Swelling
Clinical narrative: Pain, redness and swelling in arm that spread to elbow and axilla over 4-5 days. Fever of 103.0 for 2 days after injection. After 7-10 days developed skin peeling at site that looked like sunburn.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Feeling hot, Pallor, Pyrexia, Vein disorder
Clinical narrative: 9:30 DTaP, HIB, IPV and Hep B #3 given. 1000 Tylenol 0.8cc given. 11:00 felt hot, veins noticeable in hands and legs--pale, asleep. 13:30 Tylenol given by mom. 15.20 mom came back to clinic--temp 103 degrees rectally, pale, oxygen saturation 98%, HR WNL, active, alert Motrin given- Temp V 101.8 rectal. Instructed mom to watch: went home at 16:30; Fever for 2 days: resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Mother called on 6/29/04. State pt had a red, swollen warm to touch left arm. Mother states gave Tylenol and applied cool cloth to arm. Pt also was in swimming pool several hours on 6/29/04 after. Coolness to arm 6/30 pt went to Clinic received prescription for Cefzil and to use Ibuprofen. Told by Clinic: allergic reaction to vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Hypersensitivity, Swelling
Clinical narrative: Mother called on 6/29/04. State pt had a red, swollen warm to touch left arm. Mother states gave Tylenol and applied cool cloth to arm. Pt also was in swimming pool several hours on 6/29/04 after. Coolness to arm 6/30 pt went to Clinic received prescription for Cefzil and to use Ibuprofen. Told by Clinic: allergic reaction to vaccine.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Influenza like illness, Pain, Pharyngolaryngeal pain
Clinical narrative: Pt with swelling and redness of right deltoid area. Warm to touch. Also complained of feverishness (T99.5) and flu-like symptoms: sore throat, body aches. Seen by clinic MD. Bextra 10 mg bid with food. Call with further complaints.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Swelling
Clinical narrative: Pt with swelling and redness of right deltoid area. Warm to touch. Also complained of feverishness (T99.5) and flu-like symptoms: sore throat, body aches. Seen by clinic MD. Bextra 10 mg bid with food. Call with further complaints.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pyrexia, Swelling
Clinical narrative: 6/30/04: 2 hours after the shot, patient becomes feverish and the following day left arm was swollen. Pt went to ER at hospital and was prescribed Keflex.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling left deltoid.
Age: 1.22
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: redness and swelling in left deltoid.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Patient received #5 DTaP on 4/20/04. Patient left deltoid is swollen, itchy and red. Mom states signs and symptoms started 24 hours after vaccines were administered. Other vaccines given the same day were IPV and HAV. .
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Reddened large round spots on back and on upper chest after vaccines approximately 7 minutes.
Age: 21.0
Sex: F
Vaccine: MMR, TD
Symptoms: Erythema, Swelling
Clinical narrative: Seen at woman's clinic: Left arm swollen and red x 2 weeks. RN called us. She recommended warm compresses and Motrin (Phone NIS: unable to contact pt for more information).
Age: 0.75
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Symptoms began 24 hours after immunizations, red and slightly swollen left thigh. 4cmx3cm at site of injection.
Age: 65.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Feeling hot
Clinical narrative: Erythema involving right forearm, warmth, advised to apply cool compresses and contact office for any worsening symptoms. Area of involvement is approximately 15cm.
Age: 4.4
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Infection, Rash vesicular
Clinical narrative: Injection given on 6/30/04. Chicken pox rash started on 7/8/04. Seen in office on 7/9/04. Chicken pox rash all over.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Flushing, Infection
Clinical narrative: Received DTaP, IPV and MMR 4/20/04, per month on 4/21/04. Left arm was very red. By 4/22/04 Left arm bright pink, slight swelling and very warm to touch. Mom giving Motrin. Child's cheeks on face and arms very flushed. Area of redness on left arm approximately 3.5x4 inches. Advised carry child to doctor. Due to symptoms. Doctor reported reaction to DTaP , possible cellulitis. Child also diagnosed with strep throat. Doctor gave Keflex (for strip) and advised Benadryl and Motrin for arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Skin discolouration, Swelling
Clinical narrative: Received DTaP, IPV and MMR 4/20/04, per month on 4/21/04. Left arm was very red. By 4/22/04 Left arm bright pink, slight swelling and very warm to touch. Mom giving Motrin. Child's cheeks on face and arms very flushed. Area of redness on left arm approximately 3.5x4 inches. Advised carry child to doctor. Due to symptoms. Doctor reported reaction to DTaP , possible cellulitis. Child also diagnosed with strep throat. Doctor gave Keflex (for strip) and advised Benadryl and Motrin for arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: 6" red area appeared 24 hours after shot.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: red area 6x6inches. Warm to touch with swelling.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: 6 inch red swollen area around injection site right hip.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 6 inch red swollen area on right hip around injection.
Age: 38.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Abdominal pain, Fatigue, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Large (approx 3 1/2" dia.) swollen, reddish brown lump at the injection area. Soreness became worse and went to emergency room three days later. Swelling has reduced to 1/2" dia. but other reaction, abdominal pain has increased greatly. Also initially had tingly sensation in hand and fatigue but has decreased.
Age: 38.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Pain, Paraesthesia
Clinical narrative: Large (approx 3 1/2" dia.) swollen, reddish brown lump at the injection area. Soreness became worse and went to emergency room three days later. Swelling has reduced to 1/2" dia. but other reaction, abdominal pain has increased greatly. Also initially had tingly sensation in hand and fatigue but has decreased.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Pt received DTaP 5th dose on LD on 6/30/04-on 7/1/04 mother noticed child LD red, swollen, hot to touch, some fever. Child fine today still has some redness. Child doing good otherwise.
Age: 20.0
Sex: M
Vaccine: UNK
Symptoms: Diarrhoea, Dizziness, Head discomfort, Injection site mass, Myalgia
Clinical narrative: Pt had adverse drug reaction of fever, diarrhea, N/V, Myalgia, Headache, Dizziness/Vertigo and induration at site.
Age: 20.0
Sex: M
Vaccine: UNK
Symptoms: Nausea, Pyrexia, Vertigo, Vomiting
Clinical narrative: Pt had adverse drug reaction of fever, diarrhea, N/V, Myalgia, Headache, Dizziness/Vertigo and induration at site.
Age: 16.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Injection site reaction
Clinical narrative: Child with large, local reaction to adult Dt with approximately 2 inches in diameter with erythema, no fluctuants, treated with cool compresses. Given 6-day course of medication.
Age: 19.0
Sex: F
Vaccine: HEPAB, MMR, VARCEL
Symptoms: Blister, Fluid retention, Pyrexia, Rash
Clinical narrative: 6/29 Early AM Fever started and also occurred the next night 6/30 by 7/1 noticed bumps forming on face, head and neck. Each bump described as small with a water point that breaks then scabs over. As of 7/2 vesicles are spreading to low back belly and legs. States she a about 20 and is feeling better no fever last night or today.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Local reaction to immunization-red raised area increased in size. 20 x 20 cm red well demarcated reaction. Rx with nepo mediol, melone, elevation, rest, ice, Benadryl, Ibuprofen
Age: 76.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Erythema, Feeling hot, Swelling
Clinical narrative: 2 days after noted bruise at site of injection then became red, warm, swollen, traveling to distal/medial, aspect of upper arm. Redness measured 155x60mm
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Erythema and swelling 6x5" right deltoid.
Age: 40.0
Sex: M
Vaccine: JEV
Symptoms: Hyperaemia, Rash pruritic
Clinical narrative: Employee c/o rash right and left lower arms c/o rash, very itchy. He started taking Benadryl, with relief, no active, wheal or flare was examined by Dr pass reaction to JE immunization. Continued taking Benadryl advised not to travel at this time, hyperemia lesions on the arms and trunk. Got better. Seen 6/28/04 at 10:53AM improved.
Age: 1.33
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure
Age: 60.0
Sex: F
Vaccine: TTOX
Symptoms: Feeling hot, Pruritus, Swelling, Tenderness
Clinical narrative: 6/23/04-slight swelling and pruritus 6/24/04-swollen rt arm, warm and slightly tender on palpation-very pruritic. Given Solumedrol 125mgIM, Allegra 60mg BID x 1wk. Cool compresses
Age: 78.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Erythema, Feeling hot, Pyrexia, Skin burning sensation, Tenderness
Clinical narrative: When injection given pt said burned a lot. 3 days later states rubbed arm-tender. Now today states right arm red and warm to touch. Yesterday 7/1/04 temperature (low grade). Dr saw pt prescription for Keflex 500 mg PO given x 10 days Pt to return 7/6/04 for F/U. 7/6/04 pt returned no redness/warmth to arm.
Age: 1.08
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash all over-spreading started as few on legs and arms. Seen in ER 6/26/04
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Itching, swelling and redness at injection site. Pt received Tylenol Motrin in urgent care center and then released.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: 5 days of localized swelling and redness, pain, hot to touch
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Insomnia, Screaming
Clinical narrative: High pitched screaming x 2-4 hours refused to nurse x 16 hours fuzzy/difficulty with sleeping.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Convulsion, Gaze palsy, Hypoaesthesia, Syncope
Clinical narrative: pt received a Hep B inj. IM RD at approx. 2:15PM. Left with parent approx. 2:30 mother noted jerking movements of arms and legs, eyes rolled back and child collapsed in mothers arms. Was taken by private auto to city hospital ER (3:55PM) EKG and Blood work done. Loss of sensation elbow to fingertips per mother.
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Hypoaesthesia, Pruritus, Rash, Swelling
Clinical narrative: 6/14/04-Received MMR 7/7/04- Client with report of rash on body, whole body. c/o some slight itching. No c/o hives, c/o glandular swelling. 7/10/04 client went to ER-swelling and numbness of both hands and joint pain. Received Cuycolone and went home. Had N/V. Received Thed. 7/11/04 back to ER, receive an injection and it helped. 7/12/04 Pain and swelling and numbness remain. Has Dr appt today.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Injection site mass, Injection site reaction, Oedema peripheral
Clinical narrative: Received anthrax vaccine #5 in the afternoon of 11/19/03. It was given subcutaneously on his left arm, near the triceps. He reports waking up the next morning with redness, swelling, warmth and tenderness from his left shoulder to his elbow, and almost the around the entire circumference of his upper arm. His charge nurse sent him to the ER the p.m. of 11/20/03 for evaluation. He denies significant fever, muscle or joint pains, lymphadenopathy, or headaches. Reaction completely resolved within 7-10 days. Denies significant local reactions following anthrax vaccines 1-4. In December 2003, noted pruritic "knot" at vaccination site. Nodule was nontender and not accompanied by any lymphadenopathy or skin color or temperature changes. No drainage. Nodule lasted about 5 days and resolved without treatment. Reports nodule has reappeared about once/month and lasts about 3-5 days. Last nodule appeared in July and lasted about 3 days.  Nurse follow up on 10/19/04 states: "Per review of ER record, patient was not admitted. Therefore AE was non-serious. Admitting diagnosis was r/o cellulitis. No final diagnosis was stated, but Keflex was prescribed and infection at injection site."