chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Feeling of body temperature change, Pain, Pyrexia
Clinical narrative: Sat 1/9/2010 became achy and dizzy. Could not get out of bed next morning. Very weak. Felt cold/hot fever. Got out of bed Tues to lay on couch. Not fully recovered till Wednesday night.
Age: 87.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Nausea, Retching, Vomiting
Clinical narrative: 1 hr after vaccination patient experienced dizziness then nausea/vomiting/dry heaving. 2 hrs later - patient took a 30 min nap and woke up feeling fine.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Rash
Clinical narrative: Patient had a rash develop around neck and face. Slight difficulty breathing. This happened night/day after vaccination. She took Benadryl and was fine. Reported to us days afterwards at same time as vaccine patient also started using new sheets (bedding) but couldn't determine which of the two caused the reaction. (no rash around injection site).
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pruritus generalised, Rash macular
Clinical narrative: Generalized itching and red blotches on scalp, trunk and legs 3-4 hours after flu vaccination.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Within 24 hours of receiving flu vaccine, developed high fever and hot, painful, raised, red rash. Size of rash: 24cm x 20cm. Start injection site-left deltoid-and spread to elbow and shoulder.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Within 24 hours of receiving flu vaccine, developed high fever and hot, painful, raised, red rash. Size of rash: 24cm x 20cm. Start injection site-left deltoid-and spread to elbow and shoulder.
Age: 1.27
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 75.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Balance disorder, Chills, Decreased appetite, Fall, Fatigue
Clinical narrative: Received vaccine 1/7/10. Next day experienced extreme fatigue, muscle weakness, falls, chills, poor appetite. Seen in physician office on 1/11/10. Weakness improving, still felt "off-balance", appetite improving.
Age: 75.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Muscular weakness
Clinical narrative: Received vaccine 1/7/10. Next day experienced extreme fatigue, muscle weakness, falls, chills, poor appetite. Seen in physician office on 1/11/10. Weakness improving, still felt "off-balance", appetite improving.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Patient with left arm swelling and rash at injection site.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dyskinesia, Unresponsive to stimuli
Clinical narrative: 09:04 AM-Turned to find patient lying on her side/back-unresponsive with arms jerking, lasted approximately 4 seconds. Pt. sat up immediately and was AAO x 3.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives night of vaccine & continued to increase over 3 d.
Age: 0.27
Sex: M
Vaccine: DTAPIPV, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: None stated.
Age: 10.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Facial palsy
Clinical narrative: Bells Palsy: prednisone PO 1 wk, acyclovir PO 10 ds started on 1-18-10. ER gave prednisone only.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site haemorrhage, Metabolic function test
Clinical narrative: Injection site (left post arm) subcutaneous hemorrhage.
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope, Vomiting
Clinical narrative: About 10 min following administration of H1N1 inactivated vaccine, pt. vomited and had syncopal episode. Assessed by paramedic. No LOC. Supine with legs elevated, slowly advanced to sitting, standing. Left with mother. Advised to seek medical care if symp. recur.
Age: 11.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash
Clinical narrative: Quarter size rash on Rt arm. Parents called Doctor-BENADRYL given 1 time-rash disappeared.
Age: 13.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash
Clinical narrative: Rash on arms, legs and chest area.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Cough, Lobar pneumonia, Upper respiratory tract congestion
Clinical narrative: -Congestion-cough x 2 wks that lead to diagnosis of right lower lobe pneumonia. Treated with Amoxicillin.
Age: 0.81
Sex: F
Vaccine: DTAPIPVHIB, FLU(H1N1), HEP, PNC, RV5
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Strawberry red bumpy rash head to toe, fever, Ibuprofen (children). Baking soda.
Age: 0.25
Sex: M
Vaccine: DTAP
Symptoms: Fatigue, Hypotonia, Vomiting
Clinical narrative: - Vomiting 5 or 6 times. on 1-14-2010 at 9p.m. - exhausted and limp after vomiting.
Age: 72.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Back pain, Balance disorder, Blood test, Diarrhoea, Electromyogram
Clinical narrative: 12-20-09 started w/ weakness in legs, numbness and tingling in tips of toes and soles. Paresthesia in hands at Christmas time. Problems climbing stairs, difficulty with balance, stumbles over objects. 1-7 back pain and diarrhea.
Age: 72.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Gait disturbance, Hypoaesthesia, Lumbar puncture, Movement disorder, Muscular weakness
Clinical narrative: 12-20-09 started w/ weakness in legs, numbness and tingling in tips of toes and soles. Paresthesia in hands at Christmas time. Problems climbing stairs, difficulty with balance, stumbles over objects. 1-7 back pain and diarrhea.
Age: 72.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nuclear magnetic resonance imaging, Paraesthesia
Clinical narrative: 12-20-09 started w/ weakness in legs, numbness and tingling in tips of toes and soles. Paresthesia in hands at Christmas time. Problems climbing stairs, difficulty with balance, stumbles over objects. 1-7 back pain and diarrhea.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Asthenia, Balance disorder, Blood pressure, Diplopia, Dizziness
Clinical narrative: On 1/16/10 pt. went to the Health Center to receive her first dose of the H1N1 vaccination. Pt. states that 2 min later as she begin to walk to leave the facility she experienced severe weakness and felt very unbalanced, also stating that the man standing in front of her appeared to be very large. She then screamed for help and one of the nurses at the facility assisted her to a wheelchair. After sitting down she felt very faint and had severe nausea. When the nurse gave her some water, took her blood pressure and helped her to the restroom, she states that she felt better. At about 5 PM that same day she begin to have a mild sore throat. 3 AM on the 17th of January 2010, she had severe sweating and states the sore throat had gotten worse. That same day she experienced runny nose, sneezing, muscle ache and weakness. She did some salt water mouth rinse and saline drops and states she felt a little bit better. As of today 1/18/10, she complains of a mild headache.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Headache, Hyperhidrosis, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: On 1/16/10 pt. went to the Health Center to receive her first dose of the H1N1 vaccination. Pt. states that 2 min later as she begin to walk to leave the facility she experienced severe weakness and felt very unbalanced, also stating that the man standing in front of her appeared to be very large. She then screamed for help and one of the nurses at the facility assisted her to a wheelchair. After sitting down she felt very faint and had severe nausea. When the nurse gave her some water, took her blood pressure and helped her to the restroom, she states that she felt better. At about 5 PM that same day she begin to have a mild sore throat. 3 AM on the 17th of January 2010, she had severe sweating and states the sore throat had gotten worse. That same day she experienced runny nose, sneezing, muscle ache and weakness. She did some salt water mouth rinse and saline drops and states she felt a little bit better. As of today 1/18/10, she complains of a mild headache.
Age: 48.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: On 1/16/10 pt. went to the Health Center to receive her first dose of the H1N1 vaccination. Pt. states that 2 min later as she begin to walk to leave the facility she experienced severe weakness and felt very unbalanced, also stating that the man standing in front of her appeared to be very large. She then screamed for help and one of the nurses at the facility assisted her to a wheelchair. After sitting down she felt very faint and had severe nausea. When the nurse gave her some water, took her blood pressure and helped her to the restroom, she states that she felt better. At about 5 PM that same day she begin to have a mild sore throat. 3 AM on the 17th of January 2010, she had severe sweating and states the sore throat had gotten worse. That same day she experienced runny nose, sneezing, muscle ache and weakness. She did some salt water mouth rinse and saline drops and states she felt a little bit better. As of today 1/18/10, she complains of a mild headache.
Age: 38.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Chills, Impaired work ability, Injection site erythema, Injection site pain
Clinical narrative: Chills, nausea, vomiting, malaise, sinus congestion, tender/red area at injection site. Felt so weak he missed 4 days of work.
Age: 38.0
Sex: M
Vaccine: PPV
Symptoms: Malaise, Nausea, Sinus congestion, Vomiting
Clinical narrative: Chills, nausea, vomiting, malaise, sinus congestion, tender/red area at injection site. Felt so weak he missed 4 days of work.
Age: 60.0
Sex: U
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: swelling and red at injection site on 1/14/10 after shot on 1/13/10 Back to normal appearance, but still sure when contacted patient at home 1/18/10
Age: 59.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site pain
Clinical narrative: Seasonal flu vaccine given in Right deltoid - patient complained later of pain in her upper arm (R) on same day - still says painfull 1/10/10. I told patient to take Tylenol (not helping)
Age: 35.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dermatitis, Rash erythematous, Rash follicular
Clinical narrative: On set of a rash erythematous follicular dermatitis pruritic extending down auxiliary line from both auxillar and spreading ant. and post around trunk. Caudally almost to the waist, arm and  cys lateral almost to the shoulders and around upper arms. Medrol dose pak, and BENADRYL.
Age: 58.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Asthenia, Back pain, Headache, Muscle spasms
Clinical narrative: Total body weakness, especially in thigh muscles, severe headaches bursting pain lasting 10 seconds or so. Muscle cramping and overall pain especially in lower back. Symptoms started to relieve after 2 weeks, low back and hip pain still remains. I have had through my primary Dr. physical therapy, MRI, Xray, Chiropractic Dr. a Neurologiy Dr and Pain Managment Dr. It has been over 4 weeks now. I am on medications and steriods now.
Age: 58.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Nuclear magnetic resonance imaging, Pain, X-ray
Clinical narrative: Total body weakness, especially in thigh muscles, severe headaches bursting pain lasting 10 seconds or so. Muscle cramping and overall pain especially in lower back. Symptoms started to relieve after 2 weeks, low back and hip pain still remains. I have had through my primary Dr. physical therapy, MRI, Xray, Chiropractic Dr. a Neurologiy Dr and Pain Managment Dr. It has been over 4 weeks now. I am on medications and steriods now.
Age: 74.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Lip swelling
Clinical narrative: Brief swelling on left side of lips.  Swelling went away, after patient took Benadryl.  Physician was notified.  Patient feels fine and has no other reactions.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Scratch
Clinical narrative: Approximately 20 minutes after receiving vaccine, patient started with scratching on left arm and stomach was churning for about 30 minutes
Age: 7.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Chills, Headache, Pyrexia, Rhinorrhoea
Clinical narrative: fever around 100.4, chills, headache, runny nose, upset stomach
Age: 60.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Stomatitis, Swollen tongue, Tongue disorder
Clinical narrative: INSIDE OF MOUTH RAW TONGUE SWOLLEN BUMPS ON TONGUE RECOMMENDED TAKING BENADRYL
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Headache, Nausea, Pain, Pyrexia
Clinical narrative: FEVER, BODY ACHES, HEADACHE, NAUSEA, VOMITING, COUGHING
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: FEVER, BODY ACHES, HEADACHE, NAUSEA, VOMITING, COUGHING
Age: 70.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Burning sensation, Rash erythematous, Urticaria
Clinical narrative: RED RASH/BURNING/RED WELTS BY AM BENADRYL FROM AFTER HOURS CALL TO DOCTOR APPOINTMENT FRI AM PRESCRIBED PREDNISONE CURRENTLY ON TREATMENT SLOWLY SUBSIDING
Age: 39.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort
Clinical narrative: Pt complaining of Chest tightness within 10 minutes of receiving injection
Age: 14.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Rash
Clinical narrative: Rash on buttocks the morning after injection
Age: 5.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Abnormal behaviour, Aggression
Clinical narrative: Extremely aggressive behavior.  Is usually a very agreeable child, but was put in time out at school and kicked another child in the face.  Was aggressive at home and would not listen.  This behavior lasted for 2 days and gradually improved.
Age: 64.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Alopecia areata
Clinical narrative: Alopecia areata
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site induration, Injection site oedema, Pruritus
Clinical narrative: Patient complained of having itching, then redness and induration one day later. According to exam note from 07/23/2009 there was a 9X7cm edematous plaque with 2X3cm indurated portion surrounding injection site. No discharge, no callour. Mild TSP.
Age: 74.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea
Clinical narrative: Diarrhea - Not severe.   Just letting time be the treatment.
Age: 65.0
Sex: M
Vaccine: PPV, FLUX, PPV
Symptoms: Amnesia, Ataxia, CSF protein normal, CSF test, CSF white blood cell count negative
Clinical narrative: Fever and chills in recurring/relapsing periodicity of about every 4-12 hours.   Fever marked by profound sweating.   Inanition, malaise, lethargy were constant.   Holo-cephalic Headache waxed and waned. Progressive worsening of symptoms through the first 72 hours, then plateau'ed with high dose steroids for next 48 hours, but symptoms did not remit.  Hospitalized on 11/28-11/29/2007 for 24 hours, with Normal CSF and CAT scan.  Physical exam disclosed midline ataxia and short term memory deficits.  Treated with vigorous antipyrexis and cephalosporin antibiotics, and d/c'd in safe but torpid state.  Chills and Fevers gradually waned over next week, Torpor over next 3 weeks, and recovered without recognizable neurological deficits.   Apparently normal premorbid state achieved by mid-January 2008, without relapse.
Age: 65.0
Sex: M
Vaccine: PPV, FLUX, PPV
Symptoms: Chills, Computerised tomogram normal, Full blood count normal, Headache, Hyperhidrosis
Clinical narrative: Fever and chills in recurring/relapsing periodicity of about every 4-12 hours.   Fever marked by profound sweating.   Inanition, malaise, lethargy were constant.   Holo-cephalic Headache waxed and waned. Progressive worsening of symptoms through the first 72 hours, then plateau'ed with high dose steroids for next 48 hours, but symptoms did not remit.  Hospitalized on 11/28-11/29/2007 for 24 hours, with Normal CSF and CAT scan.  Physical exam disclosed midline ataxia and short term memory deficits.  Treated with vigorous antipyrexis and cephalosporin antibiotics, and d/c'd in safe but torpid state.  Chills and Fevers gradually waned over next week, Torpor over next 3 weeks, and recovered without recognizable neurological deficits.   Apparently normal premorbid state achieved by mid-January 2008, without relapse.
Age: 65.0
Sex: M
Vaccine: PPV, FLUX, PPV
Symptoms: Laboratory test normal, Lethargy, Lumbar puncture normal, Malaise, Memory impairment
Clinical narrative: Fever and chills in recurring/relapsing periodicity of about every 4-12 hours.   Fever marked by profound sweating.   Inanition, malaise, lethargy were constant.   Holo-cephalic Headache waxed and waned. Progressive worsening of symptoms through the first 72 hours, then plateau'ed with high dose steroids for next 48 hours, but symptoms did not remit.  Hospitalized on 11/28-11/29/2007 for 24 hours, with Normal CSF and CAT scan.  Physical exam disclosed midline ataxia and short term memory deficits.  Treated with vigorous antipyrexis and cephalosporin antibiotics, and d/c'd in safe but torpid state.  Chills and Fevers gradually waned over next week, Torpor over next 3 weeks, and recovered without recognizable neurological deficits.   Apparently normal premorbid state achieved by mid-January 2008, without relapse.
Age: 65.0
Sex: M
Vaccine: PPV, FLUX, PPV
Symptoms: Pyrexia, Sopor, Starvation, West Nile virus test negative
Clinical narrative: Fever and chills in recurring/relapsing periodicity of about every 4-12 hours.   Fever marked by profound sweating.   Inanition, malaise, lethargy were constant.   Holo-cephalic Headache waxed and waned. Progressive worsening of symptoms through the first 72 hours, then plateau'ed with high dose steroids for next 48 hours, but symptoms did not remit.  Hospitalized on 11/28-11/29/2007 for 24 hours, with Normal CSF and CAT scan.  Physical exam disclosed midline ataxia and short term memory deficits.  Treated with vigorous antipyrexis and cephalosporin antibiotics, and d/c'd in safe but torpid state.  Chills and Fevers gradually waned over next week, Torpor over next 3 weeks, and recovered without recognizable neurological deficits.   Apparently normal premorbid state achieved by mid-January 2008, without relapse.
Age: 65.0
Sex: M
Vaccine: PPV, FLUX, PPV
Symptoms: Adverse event
Clinical narrative: Fever and chills in recurring/relapsing periodicity of about every 4-12 hours.   Fever marked by profound sweating.   Inanition, malaise, lethargy were constant.   Holo-cephalic Headache waxed and waned. Progressive worsening of symptoms through the first 72 hours, then plateau'ed with high dose steroids for next 48 hours, but symptoms did not remit.  Hospitalized on 11/28-11/29/2007 for 24 hours, with Normal CSF and CAT scan.  Physical exam disclosed midline ataxia and short term memory deficits.  Treated with vigorous antipyrexis and cephalosporin antibiotics, and d/c'd in safe but torpid state.  Chills and Fevers gradually waned over next week, Torpor over next 3 weeks, and recovered without recognizable neurological deficits.   Apparently normal premorbid state achieved by mid-January 2008, without relapse.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Dizziness, Nausea
Clinical narrative: Dizziness initially, followed by nausea and abdominal cramping.
Age: 51.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: I awoke in the morning (1/15/2010) with soreness around the vaccinated area.  As the day went on (1/15/2010) the soreness moved more toward the elbow area and then the forearm area.  The next couple (1/16-1/17) of days the pain eased but the soreness is still there in the elbow/forearm.  As of now 1/18/2010, the soreness around the vaccinated area is very slight there.  The elbow area and forearm sometimes becomes very sore  difficult to straighten the arm.  Using Ben Gay ointment seems to lessen the soreness but it returns.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Pt. states had onset rash "little red bumps" on both arms within 2 hrs after vaccine administered.  States rash was "itchy".  Took Claritin immediately.  Then took Benadryl at approx 11PM that night.  Took Benadryl and cortisone cream next day.  States symptoms resolved within 36 hours.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eye pruritus, Flushing, Urticaria
Clinical narrative: Felt Flushed about 15 minutes after receiving vaccine. Within 30 minutes of receiving vaccine states she feels "itchy around my eyes" Benadryl 25mg po administered. At 12:35PM, 50 minutes after receiving vaccine hives appear on her rt shoulder, opposite arm from vaccination. 12:40 PM 2nd 25 mg Benadryl po administered. PCP called pt to continue with Benadryl 50 mg 3x day prn and prescription for prednisone. To receive seasonal influenza vaccine with PCP or allergist in the future.
Age: 9.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Allergy test, Blood test, Urticaria
Clinical narrative: Hives on torso, arms and face, relived with Benadryl; milder hives on 1/14/10 @ 7:45 pm face, torso, relieved with Benadryl; recurring hives face, torso on 1/15/10 @ 8pm relived with Benadryl.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling abnormal, Sensation of foreign body
Clinical narrative: Given H1N1 vaccine in left deltoid while sitting on exam table at 10:05 AM.  Pt then complained (after approx 1 min) of feeling funny under her rib cage so I asked her to lay back on the table.  She then almost immediately felt "lump" in her throat.  Given Epi, Called 911 for EMS to come.  She also felt some "lightheadedness" at the time of throat symptoms.  Never felt labored breathing or shortness of breath. Vitals:   10:10am  Hr 90  resp 18, BP 128/80 10:13 am  Epi 0.3 IM lateral right thigh given and vitals after this 140/80  HR 112 Resp 18.  Approx 2 min after Epi given lump feeling in throat resolved.  Vitals at 10:15am resp 18, HR 110  BP  140/78.  EMS here at 10:19am and took patient to hosptial.   Patient returned with Rx from ER a few hours later and was to take Prednisone and Benadryl for the next few days. She was feeling better.
Age: 1.23
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dermatitis diaper, Pyrexia, Rash
Clinical narrative: 4 hours after receiving H1N1 shot developed fever of 103.5 degrees, rectally, relieved with Tylenol, lasting 3 days. Day #4 developed rash on abdomen and diaper area.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Audiogram, Myalgia, Nuclear magnetic resonance imaging, Sudden hearing loss, Tinnitus
Clinical narrative: Sudden Hearing Loss in my left ear.  Crackling in my right ear with muscle aches.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Areflexia, CSF cell count normal, CSF culture negative, CSF glucose normal, CSF protein normal
Clinical narrative: Within 1 week of H1N1 vaccination, the patient developed tingling and numbness of her right hand which over the next 2 weeks came to involve the left hand and both legs below the knees. She denied weakness at the time. The patient was admitted and was noted to have full strength, diminished sensation in the areas of complaint, and absent lower extremity reflexes. A diagnostic workup was performed, without yielding a clear diagnosis. The patient's numbness/tingling became restricted to the feet below the ankles without treatment and have persisted after discharge. Fatigue and stress worsen the symptoms.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: CSF white blood cell count negative, Demyelinating polyneuropathy, Electromyogram abnormal, Fatigue, Gram stain
Clinical narrative: Within 1 week of H1N1 vaccination, the patient developed tingling and numbness of her right hand which over the next 2 weeks came to involve the left hand and both legs below the knees. She denied weakness at the time. The patient was admitted and was noted to have full strength, diminished sensation in the areas of complaint, and absent lower extremity reflexes. A diagnostic workup was performed, without yielding a clear diagnosis. The patient's numbness/tingling became restricted to the feet below the ankles without treatment and have persisted after discharge. Fatigue and stress worsen the symptoms.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypoaesthesia, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Paraesthesia
Clinical narrative: Within 1 week of H1N1 vaccination, the patient developed tingling and numbness of her right hand which over the next 2 weeks came to involve the left hand and both legs below the knees. She denied weakness at the time. The patient was admitted and was noted to have full strength, diminished sensation in the areas of complaint, and absent lower extremity reflexes. A diagnostic workup was performed, without yielding a clear diagnosis. The patient's numbness/tingling became restricted to the feet below the ankles without treatment and have persisted after discharge. Fatigue and stress worsen the symptoms.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Sensory loss, Somatosensory evoked potentials abnormal, Stress, Visual evoked potentials normal
Clinical narrative: Within 1 week of H1N1 vaccination, the patient developed tingling and numbness of her right hand which over the next 2 weeks came to involve the left hand and both legs below the knees. She denied weakness at the time. The patient was admitted and was noted to have full strength, diminished sensation in the areas of complaint, and absent lower extremity reflexes. A diagnostic workup was performed, without yielding a clear diagnosis. The patient's numbness/tingling became restricted to the feet below the ankles without treatment and have persisted after discharge. Fatigue and stress worsen the symptoms.
Age: 2.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: fever with febrile seizure
Age: 34.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Herpes zoster
Clinical narrative: Shingles, Same side as vaccination shot. Found under the arm on the mid-section of upper torso.  Right side.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site discolouration, Injection site dryness, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Large red area on upper left arm. Looked like she had been hit by a baseball. Area is dark red, raised, warm, dry, slightly itchy in the center with a lighter red ring around it. Next day (1/17/10) the area had moved down the arm about one-half inch closer to elbow and expanded slightly at the bottom. Next day (1/18/10) area is in the same position and top of the area is turning dark purple. No sign of fever and no change in behavior or eating habits.
Age: 43.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Herpes zoster
Clinical narrative: Development of Herpes Zoster following H1N1 vaccine.
Age: 25.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Abdominal pain upper, Body temperature increased, Diarrhoea, Headache, Muscular weakness
Clinical narrative: Entire muscles weakness over 5 days, severe watery diarrhea for 6 days, headache, 101 deg F temperature for 3 days, constant feeling of vomiting, nausea, stomach cramps,
Age: 25.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Nausea, Vomiting
Clinical narrative: Entire muscles weakness over 5 days, severe watery diarrhea for 6 days, headache, 101 deg F temperature for 3 days, constant feeling of vomiting, nausea, stomach cramps,
Age: 8.0
Sex: F
Vaccine: FLU3, FLUN(H1N1)
Symptoms: Paraesthesia oral, Pruritus, Skin irritation, Swelling, Urticaria
Clinical narrative: 15 minutes after receiving second seasonal influenza injection and H1N1 per Mom patient developed hive on left cheek and diphenhydramine was given at home. Next day more hives and bumps on arm and trunk. PCP instructed to give more diphenhydramine. Next day cheek looked puffy, tongue is tingling and ears itch. Patient continuously scratching. Mom giving diphenhydramine every 4-5 hours.
Age: 66.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Arthralgia, Joint stiffness, Pain in extremity, Polyarthritis
Clinical narrative: Very quickly developed stiffness and pain in right hand middle finger knuckle joint and finger joint.  Mild symptoms in Left hand as well.  I would describe this as arthritis in these joints.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Blood pressure increased, Haematemesis, Heart rate increased, Pyrexia
Clinical narrative: Soon after she got to work after getting her shots, she experienced increased heart rate and blood pressure.  Called EMTs, took her to ER.  They gave her a medication "Prezone' that decreased HR and BP.  Sent home.  Later, got fever of 103 degrees, called EMTs.  One time she threw up blood.  Client was unreliable as to the exact information.  She called today, 1/18/2010 to report the incident, claiming increased heart rate.  Was told to seek medical help.  Later she called that she had no transportation to the doctor.  Was again told to get medical help however she can.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Lip swelling
Clinical narrative: Swelling of lips.
Age: 0.17
Sex: M
Vaccine: DTAP, DTAP, RV5
Symptoms: Diarrhoea, Occult blood negative
Clinical narrative: mucousy explosive diarrhea, so far for 10 days
Age: 0.17
Sex: M
Vaccine: DTAP, DTAP, RV5
Symptoms: Diarrhoea
Clinical narrative: mucousy explosive diarrhea, so far for 10 days
Age: 0.2
Sex: M
Vaccine: DTAP, DTAP, RV5
Symptoms: Diarrhoea, Occult blood negative
Clinical narrative: Mucousy diarrhea began on day of ROTAVIRUS vaccine and cont. for 10 days and is ongoing.
Age: 0.2
Sex: M
Vaccine: DTAP, DTAP, RV5
Symptoms: Diarrhoea
Clinical narrative: Mucousy diarrhea began on day of ROTAVIRUS vaccine and cont. for 10 days and is ongoing.
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Dyspnoea, Headache, Hyperhidrosis, Nausea
Clinical narrative: SEVERE SWEATING, SHORTNESS OF BREATH, DIARRHEA, VOMITING, HEADACHE. RECEIVED TREATMENT AT LOCAL HOSPITAL. PATIENT RECEIVED BENADRYL AND MEDICATION FOR NAUSEA.  PATIENT WAS KEPT OVERNIGHT FOR OBSERVATION
Age: 67.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: SEVERE SWEATING, SHORTNESS OF BREATH, DIARRHEA, VOMITING, HEADACHE. RECEIVED TREATMENT AT LOCAL HOSPITAL. PATIENT RECEIVED BENADRYL AND MEDICATION FOR NAUSEA.  PATIENT WAS KEPT OVERNIGHT FOR OBSERVATION
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Pyrexia
Clinical narrative: Fever, 103°F controlled by fever-reducing medicines.  Fever continued for ~48 hours.
Age: 66.0
Sex: M
Vaccine: TD
Symptoms: Sneezing
Clinical narrative: I am sneezing maybe three or four times in a row several times a day. Also sneezing at night while sleeping. Mucus blown from nose is clear. Wife had her H1N1 on January 8, 2010 and she is also sneezing. Not as much as I am.
Age: 41.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Chills, Diarrhoea, Dizziness, Headache, Pyrexia
Clinical narrative: Diarrhea, fever to 101.7, chills and shaking, light-headedness, headache. Fever broke around 5pm, approx 6 hours after onset. Mild diarrhea continued for another 24 hours.
Age: 41.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Tremor
Clinical narrative: Diarrhea, fever to 101.7, chills and shaking, light-headedness, headache. Fever broke around 5pm, approx 6 hours after onset. Mild diarrhea continued for another 24 hours.
Age: 2.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Decreased appetite, Fatigue, Irritability, Urticaria
Clinical narrative: Hives all over body; started at lower end and moved up towards face; mostly on back, genital area and legs.  Still has loss of appetitie, very tired and clingy.
Age: 11.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Complained of shortness of breath within minutes of receiving vaccinations. Also had chest discomfort.  EMTs called, transported to hospital, observed for "a few hours" then released to home.  No medications given.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Blood test abnormal, Drug exposure during pregnancy, Ultrasound scan abnormal, Vaginal haemorrhage
Clinical narrative: 3 DAYS AFTER RECEIVING THE H1N1 VACCINE I STARTED SPOTTING, WHICH THEN TURNED INTO BLEEDING AND RESULTED IN A MISCARRIAGE AT 7 WEEKS.  EVERYTHING WAS PERFECT AT MY PRENATAL CHECK UP ON 12/16 AND I HAVE ALREADY HAD ONE SUCCESSFUL PREGNANCY/BIRTH.  CAN'T UNDERSTAND WHAT CAUSED MY MISCARRIAGE.  I NEVER TYPICALLY GET FLU SHOTS, HOWEVER, WAS HIGHLY ADVISED BY MY OB-GYN TO GET IT.  I LATER FOUND OUT THAT THEY DID NOT KNOW WHAT WOULD HAPPEN TO A PREGNANT FEMALE WHO RECEIVED THE VACCINE.  NOT GOOD.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Deafness, Dizziness, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Immediately became pale, dizzy, with tingling in throat, difficulty speaking, mind "fuzzy", difficulty hearing, nauseaus, difficulty breathing.  Called doctor, took Benedryl, went with parents to ER where she received IV fluids, anti-nausea medications, steriods.  Stayed in ER for 6 hours, continuing to be tired, nauseaus, dizzy 9 days later.
Age: 11.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Immediate post-injection reaction, Nausea, Pallor, Paraesthesia, Speech disorder
Clinical narrative: Immediately became pale, dizzy, with tingling in throat, difficulty speaking, mind "fuzzy", difficulty hearing, nauseaus, difficulty breathing.  Called doctor, took Benedryl, went with parents to ER where she received IV fluids, anti-nausea medications, steriods.  Stayed in ER for 6 hours, continuing to be tired, nauseaus, dizzy 9 days later.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Feeling abnormal, Headache, Immediate post-injection reaction, Nausea
Clinical narrative: Almost immediately became dizzy, with tingling in hand up arm, nauseous, shaky, tightness in throat, "fuzzy" thinking, severe headache.  Called Dr.  Took Benadryl for several days for throat tightening, Felt poorly for 8 days.  Her symptoms were similar to her daughter's for whom a VAERS report was also made.
Age: 45.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Paraesthesia, Thinking abnormal, Throat tightness, Tremor
Clinical narrative: Almost immediately became dizzy, with tingling in hand up arm, nauseous, shaky, tightness in throat, "fuzzy" thinking, severe headache.  Called Dr.  Took Benadryl for several days for throat tightening, Felt poorly for 8 days.  Her symptoms were similar to her daughter's for whom a VAERS report was also made.
Age: 32.0
Sex: M
Vaccine: FLU3, FLU(H1N1)
Symptoms: Food allergy
Clinical narrative: Patient claims that every since receiving the Fluvirin Vaccine he is allergic to Sea Food, and he was never allergic to sea food previously.
Age: 32.0
Sex: M
Vaccine: FLU3, FLU(H1N1)
Symptoms: Rash
Clinical narrative: Patient claims that every since receiving the Fluvirin Vaccine he is allergic to Sea Food, and he was never allergic to sea food previously.
Age: 0.54
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Erythema, Unresponsive to stimuli
Clinical narrative: Infant went into unresponsive state for approx. 15 seconds at 1:00pm on 1/13/2010.  He went into another episode at approx. 1:15pm.  He was taken to the emergency room.  His cheeks were bright red.  He went into 6 more episodes while in the emergency room.  Each episode was longer than the first. We were admitted to the hospital at approx. 11:00pm.  He had two more episodes on 1/14/2010.  We were discharged on 1/15/2010 after his episodes ceased.
Age: 0.54
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: X-ray with contrast upper gastrointestinal tract
Clinical narrative: Infant went into unresponsive state for approx. 15 seconds at 1:00pm on 1/13/2010.  He went into another episode at approx. 1:15pm.  He was taken to the emergency room.  His cheeks were bright red.  He went into 6 more episodes while in the emergency room.  Each episode was longer than the first. We were admitted to the hospital at approx. 11:00pm.  He had two more episodes on 1/14/2010.  We were discharged on 1/15/2010 after his episodes ceased.
Age: 26.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Corneal reflex decreased, Eye swelling, Eyelid disorder
Clinical narrative: problems with eyes: pressure within the eyes, nervous blinking of eyelids, swellings around the eyes, hanging eyelid (right)
Age: 66.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Fatigue, Headache, Muscular weakness
Clinical narrative: general fatigue, headache, weakness in legs  bed rest
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling hot, Headache, Influenza like illness, Lethargy
Clinical narrative: Felt very hot.  Next day chills by evening and headache.  Advil and Tylenol did not help. Body aches as well.  It is now the 18th and I feel terrible achy, flu like symptoms with chills.  Lethargy!
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Felt very hot.  Next day chills by evening and headache.  Advil and Tylenol did not help. Body aches as well.  It is now the 18th and I feel terrible achy, flu like symptoms with chills.  Lethargy!
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Nausea
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of nausea in a 25-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). Concurrent medications included birth control. On 11 January 2010 the subject received unspecified dose of BOOSTRIX (.5 ml, unknown). On 11 January 2010, less than one day after vaccination with BOOSTRIX, the subject experienced nausea and diarrhea. The healthcare professional considered the events were disabling, life threatening and clinically significant (or requiring intervention). At the time of reporting the nausea and diarrhea were unresolved. The healthcare professional considered the events were probably related to vaccination with BOOSTRIX.
Age: 0.64
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Malaise
Clinical narrative: Malaise x 24 hr after imm.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Asthenia, Blood culture, Blood lactic acid, C-reactive protein, Chest pain
Clinical narrative: Myalgias, weakness, chest pain, dyspnea, malaise, anorexia, nausea and dizziness; began a few hours after shots given. Patient evaluated and admitted to hospital next day when patients family called to report symptoms. Dr believes related to Gardasil/HPV vaccine.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Computerised tomogram, Decreased appetite, Dizziness, Dyspnoea, Fibrin D dimer increased
Clinical narrative: Myalgias, weakness, chest pain, dyspnea, malaise, anorexia, nausea and dizziness; began a few hours after shots given. Patient evaluated and admitted to hospital next day when patients family called to report symptoms. Dr believes related to Gardasil/HPV vaccine.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Laboratory test, Malaise, Metabolic function test, Myalgia, Nausea
Clinical narrative: Myalgias, weakness, chest pain, dyspnea, malaise, anorexia, nausea and dizziness; began a few hours after shots given. Patient evaluated and admitted to hospital next day when patients family called to report symptoms. Dr believes related to Gardasil/HPV vaccine.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Red blood cell sedimentation rate
Clinical narrative: Myalgias, weakness, chest pain, dyspnea, malaise, anorexia, nausea and dizziness; began a few hours after shots given. Patient evaluated and admitted to hospital next day when patients family called to report symptoms. Dr believes related to Gardasil/HPV vaccine.
Age: 15.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cold sweat, Dizziness, Erythema, Fall
Clinical narrative: Within 10 minutes of shot was dizzy, cold clammy hands. Fingers were red and collapsed in mom's arms. Was conscious and breathing okay B.P. 100/80 pulse 114
Age: 6.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Confusional state, Flushing, Headache
Clinical narrative: Vaccine administered (H1N1) @ approximately 9:15am. 10am - facial flushing and headache "confusion" stated by student but remained alert and oriented x 3. Vital signs WNL T99.5. 10:45am flushing headache and self stated confusion resolved.
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin abnormal, Lupus-like syndrome, Rash
Clinical narrative: Information has been received from a consumer concerning his wife with arthritis who on 03-SEP-2009 was vaccinated with ZOSTAVAX (Merck). In early December 2009, the patient developed a rash on her arm, legs, and forehead. Her skin biopsy results stated "Connective tissue disease like Lupus". The patient sought unspecified medical attention. At the time of the report, the patient did not recover from these events. Upon internal review, "Connective tissue disease like Lupus" was determined to be an other important medical event. Additional information is not expected.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Blood glucose normal, Erythema, Heart rate increased, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from concerning 65 year old female registered nurse (RN) reporting on herself with hypertension, COMPAZINE, sulfonamide and coffee bean allergies, who on 10-OCT-2009 was vaccinated with a dose of PNEUMOVAX lot number:  664871/1142Y and route unknown in her left arm.  Concomitant therapy included hydrochlorothiazide (manufacturer unknown), glucosamine, chondroitin and calcium carbonate (TUMS).  The RN reported that on 10-OCT-2009 within hours of vaccination she experienced tenderness and pain at the injection site.  The following morning (on 11-OCT-2009) her arm was swollen from the shoulder to the elbow with urticaria, shakiness and rapid heart beat.  On 11-OCT-2009, the patient was seen in the Emergency Room and treated and with SOLU-MEDROL intravenously in 1000 ml solution and BENADRYL (dose and route not reported).  The symptoms of the urticaria and most of the swelling resolved after a few hours and she was released.  The patient continued the BENADRYL and also used IBUPROFEN and ice to the site for  a few days.  On an unspecified date a finger stick for glucose was performed the results were normal.  The patient was recovered on 17-DEC-2009.  In a follow-up phone call information was received from a medical assistant who reported that the patient did not receive any concomitant vaccinations.  On 10-OCT-2009, the patient contacted the physician and reported tenderness and pain at the injection site.  On 11-OCT-2009, the patient contacted the physician and reported there was a red streak going up her arm.  The patient was seen in the emergency room and was not admitted to the hospital.  Swollen from the shoulder to the elbow with urticaria, shakiness and rapid heart beat were considered to be an other important medical events by the registered nurse.  Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Tremor, Urticaria
Clinical narrative: Information has been received from concerning 65 year old female registered nurse (RN) reporting on herself with hypertension, COMPAZINE, sulfonamide and coffee bean allergies, who on 10-OCT-2009 was vaccinated with a dose of PNEUMOVAX lot number:  664871/1142Y and route unknown in her left arm.  Concomitant therapy included hydrochlorothiazide (manufacturer unknown), glucosamine, chondroitin and calcium carbonate (TUMS).  The RN reported that on 10-OCT-2009 within hours of vaccination she experienced tenderness and pain at the injection site.  The following morning (on 11-OCT-2009) her arm was swollen from the shoulder to the elbow with urticaria, shakiness and rapid heart beat.  On 11-OCT-2009, the patient was seen in the Emergency Room and treated and with SOLU-MEDROL intravenously in 1000 ml solution and BENADRYL (dose and route not reported).  The symptoms of the urticaria and most of the swelling resolved after a few hours and she was released.  The patient continued the BENADRYL and also used IBUPROFEN and ice to the site for  a few days.  On an unspecified date a finger stick for glucose was performed the results were normal.  The patient was recovered on 17-DEC-2009.  In a follow-up phone call information was received from a medical assistant who reported that the patient did not receive any concomitant vaccinations.  On 10-OCT-2009, the patient contacted the physician and reported tenderness and pain at the injection site.  On 11-OCT-2009, the patient contacted the physician and reported there was a red streak going up her arm.  The patient was seen in the emergency room and was not admitted to the hospital.  Swollen from the shoulder to the elbow with urticaria, shakiness and rapid heart beat were considered to be an other important medical events by the registered nurse.  Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Blood glucose normal, Body temperature normal, Feeling jittery, Injection site pain, Injection site rash
Clinical narrative: Information has been received from concerning 65 year old female registered nurse (RN) reporting on herself with hypertension, COMPAZINE, sulfonamide and coffee bean allergies, who on 10-OCT-2009 was vaccinated with a dose of PNEUMOVAX lot number:  664871/1142Y and route unknown in her left arm.  Concomitant therapy included hydrochlorothiazide (manufacturer unknown), glucosamine, chondroitin and calcium carbonate (TUMS).  The RN reported that on 10-OCT-2009 within hours of vaccination she experienced tenderness and pain at the injection site.  The following morning (on 11-OCT-2009) her arm was swollen from the shoulder to the elbow with urticaria, shakiness and rapid heart beat.  On 11-OCT-2009, the patient was seen in the Emergency Room and treated and with SOLU-MEDROL intravenously in 1000 ml solution and BENADRYL (dose and route not reported).  The symptoms of the urticaria and most of the swelling resolved after a few hours and she was released.  The patient continued the BENADRYL and also used IBUPROFEN and ice to the site for  a few days.  On an unspecified date a finger stick for glucose was performed the results were normal.  The patient was recovered on 17-DEC-2009.  In a follow-up phone call information was received from a medical assistant who reported that the patient did not receive any concomitant vaccinations.  On 10-OCT-2009, the patient contacted the physician and reported tenderness and pain at the injection site.  On 11-OCT-2009, the patient contacted the physician and reported there was a red streak going up her arm.  The patient was seen in the emergency room and was not admitted to the hospital.  Swollen from the shoulder to the elbow with urticaria, shakiness and rapid heart beat were considered to be an other important medical events by the registered nurse.  Additional information has been requested.