chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site inflammation, Injection site nodule, Injection site pruritus
Clinical narrative: Itching, inflammation, small knot at injection site.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration
Clinical narrative: Central nickel - sized induration with silver dollar sized erythema.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Hot, red, site swelling, sore to touch, painful area.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Feeling hot, Nodule, Pain, Swelling
Clinical narrative: Pain, swelling, redness, large lump, very sensitive to touch, hot.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling redness hard lump at injection site.  Hot to touch very tender.
Age: 33.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dry throat, Heart rate normal, Oxygen saturation normal, Pruritus
Clinical narrative: 10 am received H1N1 20 minutes later in clinic stated she felt itchy throat dry added HR 66 O2 Sat 97. Dr. assessed no egg allergy. IM 50 mg BENADRYL. 10:30 continue to evaluate. 11 am pt. stated feeling better. 11:15 given ride to unit.
Age: 12.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Brachial plexopathy
Clinical narrative: (L) brachial plexitis.
Age: 1.07
Sex: F
Vaccine: PNC
Symptoms: Injection site discolouration, Injection site macule, Injection site swelling, Injection site warmth, Otitis media
Clinical narrative: Developed 3 X 5 cm raised pink macula at site of injection.  Not itchy, is warm, 0 nodes.  Treatment with BENADRYL, ice.  Occurred X 24 hours after vaccine given; also noted to have fever up to 102.6 B Otitis media diagnosed 4/11/10.
Age: 1.07
Sex: F
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: Developed 3 X 5 cm raised pink macula at site of injection.  Not itchy, is warm, 0 nodes.  Treatment with BENADRYL, ice.  Occurred X 24 hours after vaccine given; also noted to have fever up to 102.6 B Otitis media diagnosed 4/11/10.
Age: 1.04
Sex: M
Vaccine: MMR
Symptoms: Rash papular, Rash pustular, Scab, Skin lesion
Clinical narrative: Pox lesions > 40 lesions.  Scabbed and pustules / papules.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister, Rash papular, Scab
Clinical narrative: Papules / vesicles 5-8 on abdomen, 2 spots on right arm, 4 spots on both legs, some are scabbed.
Age: 11.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Injection site nodule, Injection site rash
Clinical narrative: 5" - 6" diameter rash to upper left deltoid (MCV4).  Small knot on right deltoid (TDAP).
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt received KINRIX LA IM & VARIVAX LA SUB Q.  Top of arm swollen & red.  Advise mom to use warm & cold compresses; and give child TYLENOL or MOTRIN.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 36 hours after immunization right arm localized 6 cm - erythema no Cellulitis.  Slightly tender.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Oedema, Swelling, Tenderness
Clinical narrative: 2 separate areas continued for a total edema area covering 6 1/2cm increased 4 m <->, tender to touch, swollen to area.
Age: 1.65
Sex: F
Vaccine: DTAPIPVHIB, PNC, VARCEL
Symptoms: Body temperature increased, Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mother called and states right leg - red, swollen, hot to touch.  Temp 102 rectal.  Taken to ER .  Was given BENADRYL, AMOXICILLIN.  Was told leg looked like Cellulitis.
Age: 67.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Cellulitis
Clinical narrative: Presented with s/s of cellulits 3 & 4 days post injection. BACTRIM DS BID X 7, ANCEF 1 grm IV q 8 hrs. ordered 3/29.
Age: 67.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Presented with s/s of cellulits 3 & 4 days post injection. BACTRIM DS BID X 7, ANCEF 1 grm IV q 8 hrs. ordered 3/29.
Age: 45.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Mobility decreased, Myalgia, Radiculitis brachial, Urticaria
Clinical narrative: Severe muscle pain, lack of mobility in arm unable to lift arm in an upward or outward direction, hives for two days treated with Benadryl.  Receiving Physical Therapy and pain control for arm referred to a neurologist suspect brachial neuritis.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Arm was hot some swelling
Age: 0.29
Sex: F
Vaccine: FLUN(H1N1)
Clinical narrative: I was given the live virus vaccine at 4:00 PM on Wednesday.  By Thursday my 3 mo. old baby started to get cold-like symptoms (I was nursing him and the nurse who game me the vaccine knew this).  By 7:00 AM Friday my baby was found blue and non-responsive in his crib.  He was basically dead.  I performed full-blown CPR until help arrived, and was able to get him breathing again and felt a faint pulse.  When the ER doctors asked us if anything had happened in the last few days we told them about the vaccines we all got (me, my husband, and our two toddlers- all live virus).  Although I asked the doctors to test my baby for H1N1, they did not.  He was in the hospital for days and then had seizures from lack of oxygen to the brain for so long.  We are not sure what the long-term effects will be.  He was a perfectly healthy little baby until I got the vaccine.  The CDC states in their paperwork that nursing mothers can get the LAIV, however, I seriously question this logic.  My baby very nearly died.  I have not been able to sleep since the event occured.  I have nightmares about seeing a blue baby.  It was horrific.  We don't even know if his brain will function properly as he gets older.  This is most serious and I would hate to see another family go through this amount of trauma.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On 04/01/10 patient received the MMR vaccination along with DTaP, Varicella and Polio vaccinations.  After the immunizations mother states child ran a fever and was sleepy.  Mother states patient woke up in the morning of 04/02/10 with complaint of itching and pain to left arm where MMR was administered.  Mother noticed redness and warmth to immunization administration site.  Mother called health department.  Nurse encouraged mother to bring child to clinic.  Upon arrival around 11:00 AM, nurse noted upright triangle redness and swelling with the base of the triangle being approximately 2 inches wide.  For example, a half dollar coin would cover the area.  Child had no fever at that time.  Nurses encouraged mother to monitor child and immunization site closely.   Also, if symptoms or site worsened to follow up with primary doctor, Urgent Care clinic or ER.   On 04/03/10, mother states redness and swelling increased covering the back of her left upper arm.  She then took the child to the Urgent Care clinic.  On 04/04/10 child's redness and swelling had decreased significantly according to mother.  04/05/10 mother presented child to primary physician for follow up.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia, Somnolence
Clinical narrative: On 04/01/10 patient received the MMR vaccination along with DTaP, Varicella and Polio vaccinations.  After the immunizations mother states child ran a fever and was sleepy.  Mother states patient woke up in the morning of 04/02/10 with complaint of itching and pain to left arm where MMR was administered.  Mother noticed redness and warmth to immunization administration site.  Mother called health department.  Nurse encouraged mother to bring child to clinic.  Upon arrival around 11:00 AM, nurse noted upright triangle redness and swelling with the base of the triangle being approximately 2 inches wide.  For example, a half dollar coin would cover the area.  Child had no fever at that time.  Nurses encouraged mother to monitor child and immunization site closely.   Also, if symptoms or site worsened to follow up with primary doctor, Urgent Care clinic or ER.   On 04/03/10, mother states redness and swelling increased covering the back of her left upper arm.  She then took the child to the Urgent Care clinic.  On 04/04/10 child's redness and swelling had decreased significantly according to mother.  04/05/10 mother presented child to primary physician for follow up.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Vertigo
Clinical narrative: Episode of vertigo when stand up 3 minutes after vaccine given. Given crackers and juice, and supine for 20 minutes.  Vertigo returned within 5 minutes of standing.  Supine on left side and given 12 oz water over the next 30 minutes.  Episode of vertigo returned with standing.  After a second period of 30 minutes supine on left side and 3 more oz of water, patient was able to stand without vertigo returning for the next hour.
Age: 28.0
Sex: F
Vaccine: RAB
Symptoms: Anxiety, Dizziness, Fatigue, Feeling abnormal, Hot flush
Clinical narrative: Felt like I was in a fog, head swimming. Dizzy, hot flashes. Head and nack numb! When I touch my head it is tingly. Very tired. Irritable, anxiety, no fever, hungry but nauseated after a couple of bites of food, when going to sleep--almost asleep then a rush of adrenaline with wake me up and my heart will be racing. Feels like I'm in a dream--surreal--like I'm high on something, very unpleasant.
Age: 28.0
Sex: F
Vaccine: RAB
Symptoms: Hypoaesthesia, Irritability, Nausea, Palpitations, Paraesthesia
Clinical narrative: Felt like I was in a fog, head swimming. Dizzy, hot flashes. Head and nack numb! When I touch my head it is tingly. Very tired. Irritable, anxiety, no fever, hungry but nauseated after a couple of bites of food, when going to sleep--almost asleep then a rush of adrenaline with wake me up and my heart will be racing. Feels like I'm in a dream--surreal--like I'm high on something, very unpleasant.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injected limb mobility decreased, Muscular weakness, Oedema peripheral, Oropharyngeal blistering
Clinical narrative: Pt complained of soreness, swelling, redness, weakness in arm where vaccine given. Pt stated she couldn't lift the affected arm.  4/15/2010 pt stated she had blisters in her mouth.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Pt complained of soreness, swelling, redness, weakness in arm where vaccine given. Pt stated she couldn't lift the affected arm.  4/15/2010 pt stated she had blisters in her mouth.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Ageusia, Anosmia
Clinical narrative: Initial report was received 09 April 2010 from a consumer who is also the patient. A 63-year-old female patient had received a PANDEMIC INFLUENZA A/H1N1 VACCINE (manufacturer, lot number, route, site and specific date of administration not reported) possibly during February 2010, and three to four days later, she experienced a loss of her sense of taste and sense of smell. It was not reported if the patient had any concurrent illness at the time of vaccination. Concomitant medications included Ativan, Elavil, Coumadine, Atenolol, and Zovasa. The patient had a past history of anorexia and "sulfa ?" allergy. At the time of the report, the patient's sense of smell and her ability to "taste anything" had not returned. Outcome was unknown. Documents held by sender: None.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Pericardial disease
Clinical narrative: This report was received from the investigator in the above mentioned trial on 12 April 2010. A 25 year-old male subject received the following vaccines on 06 March 2009: ACAM2000 (lot number not reported); and anthrax vaccine (other manufacturer and lot number not reported). Twelve days after vaccination, the subject was diagnosed with unspecified disease of the pericardium. The subject had a history of headaches. No other information was provided. The outcome was not reported. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Cardiac failure, Echocardiogram abnormal, Nuclear magnetic resonance imaging normal
Clinical narrative: This report was received from the investigator in a trial on 12 April 2010. A 20 year-old male subject received ACAM2000 (lot number not reported) on 23 January 2009. Five days after vaccination, the subject was diagnosed with heart failure, unspecified. On 30 January 2009, the subject had an MRI of the heart which was normal. On 17 February 2009, the subject had an echocardiogram which was abnormal. The outcome was not reported. Note: There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender: None.
Sex: F
Vaccine: HPV4
Symptoms: Death
Clinical narrative: Information has been received from a Nurse at the physician's office who heard from another Nurse that a patient came in to the office to receive the third dose of GARDASIL and the friend of the patient told her not to get the third dose because she knew of another girl that received the third dose of GARDASIL and died "within the last month" (cause of death not reported). It was unknown if the patient sought medical attention. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.
Sex: F
Vaccine: HEP
Symptoms: Local reaction, Mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a nurse practitioner concerning a female patient with no pertinent medical history and no drug reactions/allergies who "10 years ago", in approximately 2000 was vaccinated with the first dose of RECOMBIVAX HB (manufacturer unknown). After the first dose of vaccination, the patient had a local reaction. On an unknown date, the patient was vaccinated with the second dose of RECOMBIVAX HB (manufacturer unknown). After the second dose of vaccination, the patient experienced arm pain, swelling, and couldn't move the arm. The patient was hospitalized for 5 days (hospital name unknown). On an unknown date, the patient was recovered. Arm pain, arm swelling and couldn't move the arm were considered to be immediately life-threatening and disabling events. Additional information has been requested.
Sex: U
Vaccine: HEP, HEP
Symptoms: Uveitis
Clinical narrative: Information has been received from a published article, title as stated above. This literature case was initially reported to foreign health regulatory agency on 29-MAR-2010. This case concerned 32 patient's (8 male and 24 female) aged between one to 57 years (mean age of patients was 29 years). The patients received a RECOMBIVAX HB, manufacturer, batch number, route and site not reported, on unreported dates. On an unreported date between 1982 and 2009, one to fifteen days post vaccination, the patient experienced uveitis (mean time to onset of three days). The uveitis was reported to occur after the first vaccination in 15 patients, after the second vaccination in three patients and after the third vaccination in three patients. The duration of the uveitis was not reported for nine patients. One patient had recurrent uveitis after the first and second doses of vaccine. One patient had recurrent uveitis after both the second and third doses. Patient outcome had not been reported. The authors stated the RECOMBIVAX HB may have a possible association with the development of uveitis in some patients. Immune complex deposition and adjuvant effects are potential pathogenic mechanisms. Uveitis was considered to be an other important medical event. Other business partner numbers include E2010-02312. Additional information has been requested.
Sex: U
Vaccine: HEP, HEP
Symptoms: Influenza like illness, Uveitis
Clinical narrative: Information has been received from a published article, title as stated above. This literature case was initially reported to foreign health regulatory agency on 29-MAR-2010. This case concerned 32 patient's (8 male and 24 female) aged between one to 57 years (mean age of patients was 29 years). The patients received a RECOMBIVAX HB, manufacturer, batch number, route and site not reported, on unreported dates. On an unreported date between 1982 and 2009, one to fifteen days post vaccination, the patient experienced uveitis (mean time to onset of three days). The uveitis was reported to occur after the first vaccination in 15 patients, after the second vaccination in three patients and after the third vaccination in three patients. The duration of the uveitis was not reported for nine patients. One patient had recurrent uveitis after the first and second doses of vaccine. One patient had recurrent uveitis after both the second and third doses. Patient outcome had not been reported. The authors stated the RECOMBIVAX HB may have a possible association with the development of uveitis in some patients. Immune complex deposition and adjuvant effects are potential pathogenic mechanisms. Uveitis was considered to be an other important medical event. Other business partner numbers include E2010-02312. Additional information has been requested.
Age: 47.0
Sex: M
Vaccine: TDAP
Symptoms: Blood count abnormal, Blood creatine phosphokinase, Blood creatinine, Blood culture, Erythema
Clinical narrative: This case was reported by a physician and described the occurrence of swelling arm in a 47-year-old subject of unspecified gender who was vaccinated with BOOSTRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of BOOSTRIX in an unknown arm. There was no swelling at the injection site, but swelling was present on the same arm of the injection on the opposite side. The vaccine was given in the tricep, but swelling occurred in the bicep. Reporter was trying to determine if there was another reason for this event of if it might be vaccine related. At the time of reporting the outcome of the event was was unspecified. Additional information received via a sales representative noted that the subject was a male. It was reported that there was dramatic swelling in the injected arm in the bicep and tricep region. The event was indicated to have began 48 hours after immunization which took place on 05 April 2010. The event remained unresolved. Follow-up information was received via the subjects physician later in the day on 15 April 2010, the same day of the initial report. It was reported that the healthy 47 year old male subject presented for a physical on 05 April 2010. The subject was due for a tetanus booster so BOOSTRIX was administered at 0.5 ml in the left arm. It was commented that this was the first dose of BOOSTRIX for this subject but it had been greater than 10 years since the last tetanus. On 08 April 2010 the subject called the office reporting arm swelling. The subject was seen in the physician's office on 09 April 2010 with upper arm swelling and same hand and finger swelling. The subject had not improved over the weekend and was seen on 12 April 2010 with dramatic swelling primarily of the upper arm of the injection, but swelling was not noted primarily at the injection site. Arm was also warm with heat. Steroids and antibiotics were started and the subject was instructed to elevate his arm. He was seen on 13 April 2010 and steroids were increased and subject was placed out of work. The subject was not better on exam on 14 April 2010. An MRI was performed that revealed that the issue could be mild cellulitis of bicep, no tricep involvement and no abcess seen. Again the subject was instructed to keep the arm elevated. As of 15 April 2010, the subject seemed to be improved, but within 5 minutes of having arm in down position, his arm and fingers showed swelling. Creatinin, CK and blood cultures and counts were done. Blood count was 15,700 and primarily neutrophils. An ortho consult was pending. The physician added that at the time of reporting, venous congestion appeared with purple and redness of the arm. For the first time, the subject was complaining of pain and tenderness. Pain medication was added to the subject's regimen.
Age: 47.0
Sex: M
Vaccine: TDAP
Symptoms: Extensive swelling of vaccinated limb, Impaired work ability, Injection site swelling, Nuclear magnetic resonance imaging abnormal, Pain
Clinical narrative: This case was reported by a physician and described the occurrence of swelling arm in a 47-year-old subject of unspecified gender who was vaccinated with BOOSTRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of BOOSTRIX in an unknown arm. There was no swelling at the injection site, but swelling was present on the same arm of the injection on the opposite side. The vaccine was given in the tricep, but swelling occurred in the bicep. Reporter was trying to determine if there was another reason for this event of if it might be vaccine related. At the time of reporting the outcome of the event was was unspecified. Additional information received via a sales representative noted that the subject was a male. It was reported that there was dramatic swelling in the injected arm in the bicep and tricep region. The event was indicated to have began 48 hours after immunization which took place on 05 April 2010. The event remained unresolved. Follow-up information was received via the subjects physician later in the day on 15 April 2010, the same day of the initial report. It was reported that the healthy 47 year old male subject presented for a physical on 05 April 2010. The subject was due for a tetanus booster so BOOSTRIX was administered at 0.5 ml in the left arm. It was commented that this was the first dose of BOOSTRIX for this subject but it had been greater than 10 years since the last tetanus. On 08 April 2010 the subject called the office reporting arm swelling. The subject was seen in the physician's office on 09 April 2010 with upper arm swelling and same hand and finger swelling. The subject had not improved over the weekend and was seen on 12 April 2010 with dramatic swelling primarily of the upper arm of the injection, but swelling was not noted primarily at the injection site. Arm was also warm with heat. Steroids and antibiotics were started and the subject was instructed to elevate his arm. He was seen on 13 April 2010 and steroids were increased and subject was placed out of work. The subject was not better on exam on 14 April 2010. An MRI was performed that revealed that the issue could be mild cellulitis of bicep, no tricep involvement and no abcess seen. Again the subject was instructed to keep the arm elevated. As of 15 April 2010, the subject seemed to be improved, but within 5 minutes of having arm in down position, his arm and fingers showed swelling. Creatinin, CK and blood cultures and counts were done. Blood count was 15,700 and primarily neutrophils. An ortho consult was pending. The physician added that at the time of reporting, venous congestion appeared with purple and redness of the arm. For the first time, the subject was complaining of pain and tenderness. Pain medication was added to the subject's regimen.
Age: 47.0
Sex: M
Vaccine: TDAP
Symptoms: Skin discolouration, Skin warm, Tenderness
Clinical narrative: This case was reported by a physician and described the occurrence of swelling arm in a 47-year-old subject of unspecified gender who was vaccinated with BOOSTRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of BOOSTRIX in an unknown arm. There was no swelling at the injection site, but swelling was present on the same arm of the injection on the opposite side. The vaccine was given in the tricep, but swelling occurred in the bicep. Reporter was trying to determine if there was another reason for this event of if it might be vaccine related. At the time of reporting the outcome of the event was was unspecified. Additional information received via a sales representative noted that the subject was a male. It was reported that there was dramatic swelling in the injected arm in the bicep and tricep region. The event was indicated to have began 48 hours after immunization which took place on 05 April 2010. The event remained unresolved. Follow-up information was received via the subjects physician later in the day on 15 April 2010, the same day of the initial report. It was reported that the healthy 47 year old male subject presented for a physical on 05 April 2010. The subject was due for a tetanus booster so BOOSTRIX was administered at 0.5 ml in the left arm. It was commented that this was the first dose of BOOSTRIX for this subject but it had been greater than 10 years since the last tetanus. On 08 April 2010 the subject called the office reporting arm swelling. The subject was seen in the physician's office on 09 April 2010 with upper arm swelling and same hand and finger swelling. The subject had not improved over the weekend and was seen on 12 April 2010 with dramatic swelling primarily of the upper arm of the injection, but swelling was not noted primarily at the injection site. Arm was also warm with heat. Steroids and antibiotics were started and the subject was instructed to elevate his arm. He was seen on 13 April 2010 and steroids were increased and subject was placed out of work. The subject was not better on exam on 14 April 2010. An MRI was performed that revealed that the issue could be mild cellulitis of bicep, no tricep involvement and no abcess seen. Again the subject was instructed to keep the arm elevated. As of 15 April 2010, the subject seemed to be improved, but within 5 minutes of having arm in down position, his arm and fingers showed swelling. Creatinin, CK and blood cultures and counts were done. Blood count was 15,700 and primarily neutrophils. An ortho consult was pending. The physician added that at the time of reporting, venous congestion appeared with purple and redness of the arm. For the first time, the subject was complaining of pain and tenderness. Pain medication was added to the subject's regimen.
Age: 68.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Activities of daily living impaired, Appetite disorder, Bradyphrenia, Fatigue, Feeling abnormal
Clinical narrative: 10 days after H1N1 vaccine, pt c/o "extreme fatigue, foggy brain, foggy thinking, depletion -> hungry all the time, trembling, painful neck glands". At this point, 4/16/10, not fully recovered. Working only half time.
Age: 68.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Neck pain, Tremor
Clinical narrative: 10 days after H1N1 vaccine, pt c/o "extreme fatigue, foggy brain, foggy thinking, depletion -> hungry all the time, trembling, painful neck glands". At this point, 4/16/10, not fully recovered. Working only half time.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site pruritus, Injection site swelling, Lip swelling, Oedema peripheral
Clinical narrative: 4-16-10 @ 02:00 pt. awakened with itchy left hip; again @ 04:00 bilateral hands swollen, pink; scattered raised pink itchy arms @ left injection site as well as left upper arm inner aspect, Left hip; groin area. Left posterior knee throughout morning hours; at approx. 10:30 am noted Right upper lip swelling; presented to clinic at 1330; 1335 assessed by Dr.; pt. denies any SOB, or difficulty breathing; BENADRYL 50 mg IM given; 1405 symptoms resolving.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Skin discolouration
Clinical narrative: 4-16-10 @ 02:00 pt. awakened with itchy left hip; again @ 04:00 bilateral hands swollen, pink; scattered raised pink itchy arms @ left injection site as well as left upper arm inner aspect, Left hip; groin area. Left posterior knee throughout morning hours; at approx. 10:30 am noted Right upper lip swelling; presented to clinic at 1330; 1335 assessed by Dr.; pt. denies any SOB, or difficulty breathing; BENADRYL 50 mg IM given; 1405 symptoms resolving.
Age: 0.46
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Localized redness, swelling pain at injection sites (+3) fever.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pt. noticed egg-sized itchy, raised, redness the 1st. evening after receiving ZOSTAVAX vaccine. Pt. states overnight it became baseball-sized. She has been using CORTAID-spray on the site 1-2 times daily and states on 4-16-10 it has gotten lighter, the tenderness & itching have dissipated.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Neck pain, Sensation of heaviness, X-ray
Clinical narrative: Patient received PNEUMOVAX shot and it was painful and arm felt heavy immediately, 5 hrs later she could hardly move it, pain radiated up to neck and down to fingers. She went to ER and then to PCP - given pain pills and muscle relaxers. Nurse practitioner ordered an x-ray. She still has pain in the arm, but seems to be getting better.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient's left deltoid became red, warm and swollen with noted pain.
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Chest X-ray normal, Convulsion, Full blood count normal, Metabolic function test, Pyrexia
Clinical narrative: 5 min generalized seizure with fever T max 104 degrees F.
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Urine analysis normal
Clinical narrative: 5 min generalized seizure with fever T max 104 degrees F.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Oedema peripheral, Rash
Clinical narrative: Four raised plaques about 1.5 cm across each, in square pattern on left upper arm - two with puncta in middle. Spots developed on 4/14/10, five days after vaccines.  Diagnosed skin rash, possible bug bite.  BENADRYL 25 mg every 6 hrs PRN.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injected limb mobility decreased, Injection site erythema, Pain, Pain in extremity
Clinical narrative: Vaccine administered 4/9/10 reported severe arm pain and immobility of arm. 4/10/10, 4/11/10 chills, aches. 4/11/10 erythema at injection site (2"). Sx resolved over course of 5 days.
Age: 1.0
Sex: F
Vaccine: PNC13
Symptoms: Pyrexia
Clinical narrative: Fever 103.5 1 day after PCV 13. No redness at site. MOTRIN advised call if no improvement.
Age: 4.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Skin warm
Clinical narrative: Erythema 1.5 " warm to touch advised cool compresses, Advil call if worse.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site swelling, Weight bearing difficulty
Clinical narrative: Swelling at site of injection. C/O difficulty bearing weight. No redness noted. Advised ADVIL cool compresses call if worse.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Feeling hot, Gait disturbance, Tenderness
Clinical narrative: Difficulty walking 3 X 4 cm area of warmth, erythema tender to touch.  Advised MOTRIN, cool compresses call PRN.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Gait disturbance, Injection site pain, Injection site swelling
Clinical narrative: Problem with walking day of vaccine. Swelling and tenderness at site. Advised ice, Ibuprofen, call if worse.
Age: 7.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Vomiting
Clinical narrative: Emesis
Age: 0.16
Sex: M
Vaccine: DTAP, HIBV, RV5
Symptoms: Crying, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at HIB injection site after 4-5 Hours. Swelling, redness and crying subsided Two hours after Cold compression and TYLENOL Drops.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Oedema peripheral
Clinical narrative: Vaccination given at 1 PM with no signs adverse reactions during the 15 minutes patient was at pharmacy.  At 7 PM patient noticed her arm was swollen from the injection site to her elbow.  She contacted her physician the following morning & was given a MEDROL dose pack, AMOXICILLIN, & ZYRTEC.  At 9 AM 4/16 I had a message from patient & immediately called patient & left a message.  Spoke to patient 4/16 at 12 PM & arm was still swollen.  4/17 11:45 - no other symptoms, arm remains swollen.
Age: 26.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness
Clinical narrative: Dizziness with onset 10:32AM / resolved at 1034AM. Package of cheese crackers to eat and drank 1/3 of her liter bottle of water due to stating. She ate last on 4-14-10 at 930pm.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Tuberculin test positive
Clinical narrative: Redness, swelling, and warmth at site of DTaP injection - Right deltoid. Received PPD in same extremity - positive at 20x17mm.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling at injection site, redness, burning, temp of 100.4
Age: 9.0
Sex: F
Vaccine: HEP, IPV, MMR, TD
Symptoms: Fall, Hypotonia, Malaise, Somnolence, Urinary incontinence
Clinical narrative: Pt walked (20 feet) to restroom with mother, told mother she did not feel well, lost tone, fell, became incontinent of urine.  No tonic, clonic movements or abnormal posturing. Attended immediately, easily arousable and oriented, yet very drowsy. No other injuries noted. Vital signs wnl. Patient transported to ED by 1:22 PM.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LARGE AMOUNTS OF SWELLING AND REDNESS AT INJECTION SITE
Age: 12.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMR, TDAP, VARCEL
Symptoms: Urticaria
Clinical narrative: Patient with urticaria/hives
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: localized reaction with pain, swelling, itching
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Red rash, itching.-Motrin, ice, Benadryl.
Age: 10.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Erythema, itching, and warmth over injection site. Approximately size of a quarter. Treated with Motrin, ice, and Benadryl.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Auricular swelling, Erythema, Pruritus, Urticaria
Clinical narrative: Ear lobes very swollen, red and itchy.  Since then, I have full body hives.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood glucose abnormal, Diabetes mellitus, Hyperglycaemia
Clinical narrative: new onset diabetes mellitus hyperglycemia, serum glucose 506 hospitalized for 24 hrs IV fluids, insulin and education
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Blood chloride normal, Blood glucose increased, Blood sodium decreased, Diabetes mellitus
Clinical narrative: new onset diabetes mellitus hyperglycemia, serum glucose 506 hospitalized for 24 hrs IV fluids, insulin and education
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fatigue, Glucose urine present, Headache, Hyperglycaemia, Malaise
Clinical narrative: new onset diabetes mellitus hyperglycemia, serum glucose 506 hospitalized for 24 hrs IV fluids, insulin and education
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Mucosal dryness, Nausea, Pollakiuria, Polydipsia, Polyuria
Clinical narrative: new onset diabetes mellitus hyperglycemia, serum glucose 506 hospitalized for 24 hrs IV fluids, insulin and education
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Thirst, Urine analysis abnormal, Urine ketone body present, Weight decreased
Clinical narrative: new onset diabetes mellitus hyperglycemia, serum glucose 506 hospitalized for 24 hrs IV fluids, insulin and education
Age: 2.0
Sex: F
Vaccine: DTP, HEPA
Symptoms: Condition aggravated, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: LOCALIZED SWELLING, FIRMNESS TO AREA, REDNESS, WARM TO TOUCH. BEGAN 24 HRS. POST INJECTION WITH WORSENING 72 HRS. TREAT WITH TYLENOL, WARM COMPRESSES/WARM BATH
Age: 18.0
Sex: F
Vaccine: MEN, TDAP
Symptoms: Injection site pain, Oedema peripheral
Clinical narrative: Slight swelling of fingers, pain at the injection site
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 3in by 3 in redness with swelling on left arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site haematoma
Clinical narrative: 1cm hematoma at site of varicella, dtap also given in same leg
Age: 0.58
Sex: M
Vaccine: DTAP, RV5
Symptoms: Abdominal discomfort, Retching, Sleep disorder, Vomiting
Clinical narrative: Acted normal until eating then 5 min. after finishing food and bottle threw up. Next meal threw up again twice and dry heaved. Called doctor talked to P.A and she refused it was the vaccine that made him sick but there were no other illnesses at all until that vaccine.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Palpitations, Pulmonary congestion, Urticaria
Clinical narrative: Hives on arms stomach chest thighs neck. Heart racing and chest congestion. Friday still hives took Benadryl at night Saturday headache.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Influenza like illness, Injection site warmth, Pain, Rhinitis
Clinical narrative: INITIALLY WARM FEELING ON THE LEFT ARM, INJECTED ARM, WHICH RADIATED TO FACE AND DOWN LEFT SIDE.  24 MAR 2010 FLU LIKE SYMPTOMS:  RHINITIS, HEADACHE, SORE
Age: 25.0
Sex: F
Vaccine: DTAP
Symptoms: Axillary pain, Lymphadenitis, Migraine
Clinical narrative: Severe migraine significantly increased over severity of migraines over the last year, combined with axillary pain located in an area consistent with axillary lymphnode in vaccinated arm. The migraine resolved with aggressive treatment (subdermal injection of sumatriptan) but the axillary pain continues 36 hrs later.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test normal, Body temperature increased, Feeling hot, Oropharyngeal pain, Pain
Clinical narrative: Felt hot, achy, "like when you get the flu." Checked her temperature, 101.7F, took Tylenol and when she rechecked her oral temp. at 10:00 p.m and it 100.5F, then it was rechecked again and it was 98.6F. Today her oral temperature is 99.3, checked at 2:00 p.m., CST. Still feels achy and has mild sore throat and occ. cough that is productive of yellow mucus. Temp has been 98F to 100.0 since then. Has taken Tylenol the past 2 days, none today; no other fever reducers except usual aspirin 81 mg she takes daily/ routinely.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Productive cough
Clinical narrative: Felt hot, achy, "like when you get the flu." Checked her temperature, 101.7F, took Tylenol and when she rechecked her oral temp. at 10:00 p.m and it 100.5F, then it was rechecked again and it was 98.6F. Today her oral temperature is 99.3, checked at 2:00 p.m., CST. Still feels achy and has mild sore throat and occ. cough that is productive of yellow mucus. Temp has been 98F to 100.0 since then. Has taken Tylenol the past 2 days, none today; no other fever reducers except usual aspirin 81 mg she takes daily/ routinely.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: WHEN SHE WOKE UP ON THE 16TH I NOTICED REDNESS AT THE SIGHT OF THE Dtap SHOT. I GAVE HER TYLENOL BECAUSE SHE HAD A SLIGHT FEVER. ON THE 17TH I NOTICED THE AREA OF THE SHOT IS RED(ABOUT THE DIAMETER OF A GOLF BALL MAYBE A LITTLE BIGGER) SORE TO THE TOUCH AND SWOLLEN.
Age: 39.0
Sex: M
Vaccine: ANTH, FLU(H1N1), FLU3, ANTH, FLU(H1N1), FLU3
Symptoms: Blood pressure decreased, Electrocardiogram abnormal, Feeling cold, Heart rate decreased, Hyperhidrosis
Clinical narrative: Unresponsive, sonorous respirations. BP 73/43, pulse 38, diaphoretic, pale, cold, abnormal EKG, called ambulance.
Age: 39.0
Sex: M
Vaccine: ANTH, FLU(H1N1), FLU3, ANTH, FLU(H1N1), FLU3
Symptoms: Pallor, Respiration abnormal, Unresponsive to stimuli
Clinical narrative: Unresponsive, sonorous respirations. BP 73/43, pulse 38, diaphoretic, pale, cold, abnormal EKG, called ambulance.
Age: 39.0
Sex: M
Vaccine: ANTH, FLU(H1N1), FLU3, ANTH, FLU(H1N1), FLU3
Symptoms: Electrocardiogram abnormal, Feeling cold, Hyperhidrosis, Pallor, Respiration abnormal
Clinical narrative: Unresponsive, sonorous respirations. BP 73/43, pulse 38, diaphoretic, pale, cold, abnormal EKG, called ambulance.
Age: 39.0
Sex: M
Vaccine: ANTH, FLU(H1N1), FLU3, ANTH, FLU(H1N1), FLU3
Symptoms: Unresponsive to stimuli
Clinical narrative: Unresponsive, sonorous respirations. BP 73/43, pulse 38, diaphoretic, pale, cold, abnormal EKG, called ambulance.
Age: 4.3
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site reaction
Clinical narrative: Large local reaction to DTAP injection. Given 4-17-10- Lt thigh.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Dyspnoea, Malaise, Nausea, Paraesthesia
Clinical narrative: Did not feel well after receiving the vaccine. Felt shortness of breath, which ended quickly, lump in throat, tingling of skin, facial throat and inside mouth tingling sensation. Experienced nausea. On the 03/17/2010 my skin was blotchy, and felt a little dizzy.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Rash macular, Throat tightness
Clinical narrative: Did not feel well after receiving the vaccine. Felt shortness of breath, which ended quickly, lump in throat, tingling of skin, facial throat and inside mouth tingling sensation. Experienced nausea. On the 03/17/2010 my skin was blotchy, and felt a little dizzy.
Age: 30.0
Sex: M
Vaccine: FLU(H1N1), HEPAB, TYP, YF
Symptoms: Back pain, Dysuria, Lymph node pain
Clinical narrative: lymph node pain on the right side of my neck, pain urinating, back pain
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature increased, Computerised tomogram normal, Convulsion, Crying, Laboratory test normal
Clinical narrative: On Tuesday 4-13-10 i took my son to get his 4mos old vaccinations & proceeded to take him home- everything was fine all day long until that night when my son woke up SCREAMING and crying around 3:30am-I check temp & it was 105.3; gave Tylenol slowly went down, went back to see Pediatrician & she sent us home because she saw nothing wrong other then fever and told us to continue to try and keep fever down. later on in afternoon (spent all day trying to keep fever down) around 4:30pm my son had a full extremities seizure & we took him to hospital, he got a full CT scan, lumbar puncture -& they proceeded to run tests (suspecting meningitis) they transported him to another hospital that night and he proceeded to have 2-4 more seizures.. and he spent the next 72hr there awaiting test results & everything came back negative & they sent us home once the fever had been broken for longer then 24hr; he is now home, but now we worry about neurological damage?
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Lumbar puncture normal, Meningitis, Pyrexia, Screaming
Clinical narrative: On Tuesday 4-13-10 i took my son to get his 4mos old vaccinations & proceeded to take him home- everything was fine all day long until that night when my son woke up SCREAMING and crying around 3:30am-I check temp & it was 105.3; gave Tylenol slowly went down, went back to see Pediatrician & she sent us home because she saw nothing wrong other then fever and told us to continue to try and keep fever down. later on in afternoon (spent all day trying to keep fever down) around 4:30pm my son had a full extremities seizure & we took him to hospital, he got a full CT scan, lumbar puncture -& they proceeded to run tests (suspecting meningitis) they transported him to another hospital that night and he proceeded to have 2-4 more seizures.. and he spent the next 72hr there awaiting test results & everything came back negative & they sent us home once the fever had been broken for longer then 24hr; he is now home, but now we worry about neurological damage?
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Skin lesion
Clinical narrative: 7-10 cm erythematous circular lesion to the area of injection site of L thigh
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema
Clinical narrative: 4 cm erythema @ site of ADACEL injection approx 36 hrs after injection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patients left deltoid area with a 1 cm bruise, and a much larger 5 cm X 6 cm area of erythema, raised and warm to touch, somewhat tender to palpation.
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Expired drug administered
Clinical narrative: Expired vaccine given
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired vaccine given
Age: 7.0
Sex: M
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Expired drug administered
Clinical narrative: Expired Vaccine Given
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Fall, Febrile convulsion, Gaze palsy, Nausea, Pallor
Clinical narrative: Febrile seizure fever 101 - felt nauseated fell back fainted pale in face eyes rolled back total body shaking no incontinence lasted 2-3 min.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pyrexia, Syncope, Tremor
Clinical narrative: Febrile seizure fever 101 - felt nauseated fell back fainted pale in face eyes rolled back total body shaking no incontinence lasted 2-3 min.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: Injection - site reaction, left deltoid, 20 X 20 cm sized, swelling, itchy and redness.  Pt. stated "I am fine now" 2 days later.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Musculoskeletal stiffness, Pain
Clinical narrative: Right arm from shoulder to hand stiff, numb, can't hold on to things without pain/can't sleep on right side arm get stiff and hurts.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling & localized erythema approx 3/4 of upper arm L.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: Injection-site reaction. Lt. Deltoid, redness, swelling, itchy, 20x20cm sized. Unable to follow-up due to pt's night shift work hour.
Age: 40.0
Sex: F
Vaccine: YF
Symptoms: Asthenia, Headache, Metabolic function test normal, Muscle fatigue, Musculoskeletal stiffness
Clinical narrative: H. A., stiff neck, weakness, muscle fatigue, low-grade fever.
Age: 40.0
Sex: F
Vaccine: YF
Symptoms: Pyrexia
Clinical narrative: H. A., stiff neck, weakness, muscle fatigue, low-grade fever.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Lymph node pain, Oedema peripheral, Rash, Skin warm
Clinical narrative: Left deltoid with swelling, redness & hot.  Lymph nodes under armpit hurts.  Pt. states "rash still there, but pain's gone" on 4/8/10.
Age: 45.0
Sex: M
Vaccine: MMR, TDAP, VARCEL
Symptoms: Anxiety, Dyspnoea
Clinical narrative: 3-27-10 Pt. developed feeling of anxiety as if he couldn't breathe if he did not get up and walk around. Reappeared around 4 PM, then all day on 3-28-10 to around late evening when lessened then returned on 3-29-10 in AM and cont. but not as severe.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Cough, Urticaria
Clinical narrative: Hives, cough 20 minutes after DTAP.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Pallor, Rash erythematous, Rash maculo-papular
Clinical narrative: Fine maculo-papular, pink blanching rash over left wrist and left knee, no swelling no erythema, no past abnormalities. Right shoulder area, erythematous patch.