chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: FLUC4
Symptoms: Nausea, Vertigo
Clinical narrative: I started to feel a little spacey almost immediately after the injection, which increased over the afternoon at work (wasn't able to focus well mentally) and early evening; when I went to bed I became very dizzy when I turned my head and later in the night woke up with vertigo (visual spinning) and double vision, with some mild nausea. A little dizzy the rest of the night. All this morning I was spacey again, couldn't focus on my work, a little dizzy. Mild nausea and feel weak when I'm standing.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash, Urticaria
Clinical narrative: The patient presented to the Emergency Room on 10/19/17 with complaints of hives/rash. The patient was discharged home with a diagnosis of allergic urticaria. The patient was then seen again in the Emergency Room on 10/20/17 with the same complaint and that topical BENADRYL was not working for the hives.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site swelling
Clinical narrative: Significant local swelling in upper arm of injection site, lasting several days. Still swollen when seen in follow up 10/30/2017.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Patient came back in with a prescription for Doxycycline because she said she had redness at the injection site and went to her doctor who told her she had cellulitis and prescribed the mentioned antibiotic.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain, Pain in extremity, Sleep disorder, Tenderness
Clinical narrative: Severe arm pain, feeling of strong bruising, sensitive to the touch, and interfering with sleep, for 2.5 days. Then general soreness for 2 more days. Feeling as though I had too strong a dose.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Child received the flu shot on Thursday afternoon and by Friday afternoon (10/27) noted to have half-dollar sized hives on his torso. Was given allergy medication and they went away but on Saturday, 10/28, had dime-sized hives on torso, given more allergy medication and on Sunday, 10/29/17 the hives were gone. Mother reports that child did not scratch the hives, no fever and otherwise felt fine. Child was at the end of the course of antibiotics, per mother he only had a couple days left when he received the flu shot. Child has received flu shots in the past without any problems. Child has follow-up apt for ear infection in a couple of weeks. Instructed mother to share this incident with Dr. to determine if further studies are needed. Mother verbalized understanding.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The area around the injection site became red, raised, and warm to the touch.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injection site pain, Nerve compression
Clinical narrative: Flu vaccine Health Department 9/29/17. The following day, 9/30/17, I removed the bandage from the injection site of my right arm and felt a jolt as if the dosage from the shot was being dispelled into my system up my neck to the base of my scull. For the next three weeks, I experienced nearly continual pain at the injection site and base of skull rating from a 3-7 pain wise. I was on vacation so coped with over the counter pain meds, massages and acupuncture. The pain was beginning to recede by the end of the vacation. I went to the chiropractor/massage therapist on 10/20/17 and I was relieved of the pain. A similar event happened in October 2014 when I got a flu vaccine at the Health Fair soon after having a chair massage on my neck. I believe at that time I experienced a pinched nerve from that massage. I had the same reaction as the one above with pain radiating from the injection site (right arm) to the base of my scull. This pain lasted over several months and my doctor ended up sending me for physical therapy in May 2015 until the pain ended. I have had flu shots every year in between without adverse side effects so I'm wondering if I should stop getting the shots, get them only in my left arm, or if I'm affected by something that was the same in both the shots from 2014 and 2017?
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation, Injection site rash, Injection site warmth
Clinical narrative: (On 10/23/17) Patient's arm at injection site was red, fevered, hot to the touch and very inflamed. The Doctor that she visited had made demarcation lines around the site to show if the swelling progressed after treatment with antibiotics was ordered. The doctor diagnosed as "rash" and recommended BENADRYL by mouth, doxycycline 100 mg bid for 10 days, ice for swelling, and to be reseen if no improvement following antibiotic treatment.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Device connection issue, Syringe issue, Underdose
Clinical narrative: After inserting the FLUARIX QUAD syringe in the patient's arm, and while injecting the vaccine, some of the vaccine liquid came out of the syringe and ran down the patient's arm. When I pulled out the syringe, the needle and screw top from the syringe remained in the patient's arm. Due to a product defect, the syringe and screw top separated, and the patient did not receive the full dose of FLUARIX QUAD.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Dysarthria, Guillain-Barre syndrome, Speech disorder
Clinical narrative: Symptoms of Guillain Barre disease, including difficulty talking. Slurred speech, difficulty articulating words. Incident passed within one day.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Immediate post-injection reaction, Injection site pain, Injection site reaction, Paraesthesia
Clinical narrative: When shot given, tingling up to neck and down arm to elbow. Pain continued to right shoulder keeping awake at night. Continual pain/aching to shoulder area. Seen in clinic on 10/24/17. Diagnosed with right shoulder bursitis post injection. Treated with ice application 3-4 times a day and OTC ibuprofen 200 mg tablet - take two tablets 4 times a day.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Sleep disorder
Clinical narrative: When shot given, tingling up to neck and down arm to elbow. Pain continued to right shoulder keeping awake at night. Continual pain/aching to shoulder area. Seen in clinic on 10/24/17. Diagnosed with right shoulder bursitis post injection. Treated with ice application 3-4 times a day and OTC ibuprofen 200 mg tablet - take two tablets 4 times a day.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Erythema, Rash erythematous, Rash macular
Clinical narrative: 24hours after vaccines were given had multiple red macular rashes initially on the thigh then trunk and extremities. Per parents today, old rashes are gone but new per noted as red flat patches on the extremities and trunk noted but she is otherwise fine and happy.
Age: 0.17
Sex: U
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report has been received from a medical assistant concerning an 8 week old patient of unknown gender. The patient's medical history, drug allergies, concurrent conditions and concomitant therapies were not reported. On 21-SEP-2017, the patient was vaccinated with improperly stored ROTATEQ (dose and dose number were not provided) administered orally for prophylaxis. The lot numbers involved were M043836 and N038804 with expiration date on 17-JUN-2018. It was reported that on an unspecified date, the vaccines were exposed to a temperature between 32 Fahrenheit degrees and 35 Fahrenheit degrees for 72 hours. There was no previous temperature excursion. The call was placed because of a Digital Data logger report. No product quality complained was involved. No adverse effects were reported. Lot number N038804 is an invalid lot number for rotavirus vaccine, live, oral, pentavalent. This is one of several reports received from the same reporter. Sender's Comments: US-009507513-1710USA016179: US-009507513-1710USA016180.
Sex: F
Vaccine: MMRV
Symptoms: Fatigue, Musculoskeletal stiffness, Wrong drug administered
Clinical narrative: This spontaneous report was received from a registered nurse and refers to a 54 year old female patient. It was reported that the patient was not ill at the time of vaccination and did not have any pre-existing allergies or medical conditions. The patient's concomitant therapies were not reported. On an unknown date, a registered nurse picked up the wrong vaccine, she got PROQUAD instead of M-M-R II and the patient was vaccinated with a dose of PROQUAD first dose, subcutaneously, in the left arm, lot # N010245, for prophylaxis (strength and expiration date were not reported). Other suspect therapies included sterile diluent (manufacturer unknown) (strength, dose, route, frequency, indication, lot/batch # and expiration date were not reported). The patient contacted the reporter on 05-OCT-2017 and referred that, on an unknown date, her "arm was 'stiff'" and she "felt tired" (source document difficult to read). The patient contacted the reporter on 10-OCT-2017, and referred that her "arm was still same" and she did not have other complains (source document difficult to read); however, the outcome of fatigue and musculoskeletal stiffness was reported as unknown. The causality between fatigue and musculoskeletal stiffness with PROQUAD was not reported.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Measles antibody negative, Mumps antibody test negative, Rubella antibody negative
Clinical narrative: This spontaneous report was received from a medical assistant referring to a currently 62 year old (also reported as a 33 years old) male patient. The patient's concurrent conditions included diabetes and Crohn's disease. He was allergic to metformin, WELLBUTRIN, hydrochlorothiazide and acetone. No concomitant therapies or medical history was provided. On an unknown date (when he was 15 month old), the patient was vaccinated with a dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (manufacturer unknown) subcutaneously (lot number, dose, recombinant human albumin (HSA), expiration date were not reported) for prophylaxis. Other suspect therapies included sterile diluent (manufacturer unknown). The lot number and expiration date of the sterile diluent (manufacturer unknown) used for reconstitution was unknown by the reporter too. On an unspecified date in 2017 (reported as ''recently''), the patient experienced measles antibody negative, rubella antibody negative and mumps antibody test negative as he drew MMR titers and they were negative for immunity to measles, mumps, and rubella even though it was "likely that the patient received the measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (manufacturer unknown) vaccine when he was a child". It was reported that the immunization status of the patient was not known or which MMR vaccine he received. The outcome of the events was reported as not resolved and no additional information provided. No treatment was given to the patient due to the events. The reporter did not assessed the causal relationship of the events and the M-M-R II vaccine.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: This spontaneous report was received from a female consumer of unknown age referring to herself. The patient's relevant medical history, concurrent condition and concomitant medication were not reported. On 18-OCT-2017 (reported as yesterday) the patient was vaccinated with ZOSTAVAX for prophylaxis (strength, route, dose, units or lot number were not reported). On an unspecified day of October 2017 the patient experienced redness and itchiness at the injection site. At the time of the report the patient was still experiencing redness and itchiness at the injection site. Causality assessment was not provided.
Age: 61.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacist and refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, concomitant medications and drug reactions or allergies was provided. On 24-OCT-2017, the patient was vaccinated with ZOSTAVAX, 19400 plaque forming units, intramuscularly into deltoid muscle, lot # N021171 with expiration date on 01-NOV-2018 (dose was not reported), using a subcutaneous needle. No adverse effects were reported.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Product storage error
Clinical narrative: This spontaneous report was received from a registered nurse via medical assistant and refers to a 12-month-old female patient. The patient's pertinent medical history, concurrent conditions, concomitant medications, past drugs and drug allergies were not reported. On 05-OCT-2017, the patient was vaccinated with improperly stored M-M-R II (lot # M034387; expiry date: 19-JUL-2018) (dosing details were not provided) for prophylaxis. Temperature excursion details of the vaccine were not provided. This is one of the several reports received from the same source. Sender's Comments: US-009507513-1709USA008861: US-009507513-1710USA013424: US-009507513-1710USA013470: US-009507513-1710USA013465: US-009507513-1710USA013440: US-009507513-1710USA013468: US-009507513-1710USA013442: US-009507513-1710USA013445: US-009507513-1710USA013460: US-009507513-1710USA013463: US-009507513-1710USA013464: US-009507513-1710USA013438: US-009507513-1710USA013439: US-009507513-1710USA013450: US-009507513-1710USA013430: US-009507513-1710USA013469: US-009507513-1710USA013467: US-009507513-1710USA013435: US-009507513-1710USA013434: US-009507513-1710USA013432: US-009507513-1710USA013428: US-009507513-1710USA013437: US-009507513-1710USA013441: US-009507513-1710USA013443: US-009507513-1710USA013444: US-009507513-1710USA013446: US-009507513-1710USA013447: US-009507513-1710USA013448: US-009507513-1710USA013436: US-009507513-1710USA013449: US-009507513-1710USA013451: US-009507513-1710USA013452: US-009507513-1710USA013454: US-009507513-1710USA013455: US-009507513-1710USA013456: US-009507513-1710USA013457: US-009507513-1710USA013458: US-009507513-1710USA013459: US-009507513-1710USA013461: US-009507513-1710USA013462: US-009507513-1710USA013466: US-009507513-1710USA013427: US-009507513-1710USA013471: US-009507513-1710USA013472: US-009507513-1710USA013473: US-009507513-1710USA013474: US-009507513-1710USA013475: US-009507513-1710USA013476: US-009507513-1710USA013425: US-009507513-1710USA013433: US-009507513-1710USA013423: US-009507513-1710USA013040: US-009507513-1710USA013426: US-009507513-1710USA013429: US-009507513-1710USA013431: US-009507513-1709USA008666: Original Case: 1709USA008666: US-009507513-1710USA014650: Original Case: 1710USA014649: US-009507513-1710USA014651: Original Case: 1710USA014649: US-009507513-1710USA014649: Original Case: 1710USA014649.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Product storage error
Clinical narrative: This spontaneous report was received from a registered nurse via medical assistant and refers to a 12-month-old male patient. The patient's pertinent medical history, concurrent conditions, concomitant medications, past drugs and drug allergies were not reported. On 11-OCT-2017, the patient was vaccinated with improperly stored M-M-R II (lot # M034387; expiry date: 19-JUL-2018) (dosing details were not provided) for prophylaxis. Temperature excursion details of the vaccine were not provided. This is one of the several reports received from the same source. Sender's Comments: US-009507513-1709USA008861: US-009507513-1710USA013424: US-009507513-1710USA013470: US-009507513-1710USA013465: US-009507513-1710USA013440: US-009507513-1710USA013468: US-009507513-1710USA013442: US-009507513-1710USA013445: US-009507513-1710USA013460: US-009507513-1710USA013463: US-009507513-1710USA013464: US-009507513-1710USA013438: US-009507513-1710USA013439: US-009507513-1710USA013450: US-009507513-1710USA013430: US-009507513-1710USA013469: US-009507513-1710USA013467: US-009507513-1710USA013435: US-009507513-1710USA013434: US-009507513-1710USA013432: US-009507513-1710USA013428: US-009507513-1710USA013437: US-009507513-1710USA013441: US-009507513-1710USA013443: US-009507513-1710USA013444: US-009507513-1710USA013446: US-009507513-1710USA013447: US-009507513-1710USA013448: US-009507513-1710USA013436: US-009507513-1710USA013449: US-009507513-1710USA013451: US-009507513-1710USA013452: US-009507513-1710USA013454: US-009507513-1710USA013455: US-009507513-1710USA013456: US-009507513-1710USA013457: US-009507513-1710USA013458: US-009507513-1710USA013459: US-009507513-1710USA013461: US-009507513-1710USA013462: US-009507513-1710USA013466: US-009507513-1710USA013427: US-009507513-1710USA013471: US-009507513-1710USA013472: US-009507513-1710USA013473: US-009507513-1710USA013474: US-009507513-1710USA013475: US-009507513-1710USA013476: US-009507513-1710USA013425: US-009507513-1710USA013433: US-009507513-1710USA013423: US-009507513-1710USA013040: US-009507513-1710USA013426: US-009507513-1710USA013429: US-009507513-1710USA013431: US-009507513-1709USA008666: Original Case: 1709USA008666: US-009507513-1710USA014650: Original Case: 1710USA014649: US-009507513-1710USA014651: Original Case: 1710USA014649: US-009507513-1710USA014649: Original Case: 1710USA014649.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Product storage error
Clinical narrative: This spontaneous report was received from a registered nurse via medical assistant and refers to a 12-month-old male patient. The patient's pertinent medical history, concurrent conditions, concomitant medications, past drugs and drug allergies were not reported. On 16-OCT-2017, the patient was vaccinated with improperly stored M-M-R II (lot # M034387; expiry date: 19-JUL-2018) (dosing details were not provided) for prophylaxis (incorrect product storage). Temperature excursion details of the vaccine were not provided. This is one of the several reports received from the same source.; Sender's Comments: US-009507513-1709USA008861: US-009507513-1710USA013424: US-009507513-1710USA013470: US-009507513-1710USA013465: US-009507513-1710USA013440: US-009507513-1710USA013468: US-009507513-1710USA013442: US-009507513-1710USA013445: US-009507513-1710USA013460: US-009507513-1710USA013463: US-009507513-1710USA013464: US-009507513-1710USA013438: US-009507513-1710USA013439: US-009507513-1710USA013450: US-009507513-1710USA013430: US-009507513-1710USA013469: US-009507513-1710USA013467: US-009507513-1710USA013435: US-009507513-1710USA013434: US-009507513-1710USA013432: US-009507513-1710USA013428: US-009507513-1710USA013437: US-009507513-1710USA013441: US-009507513-1710USA013443: US-009507513-1710USA013444: US-009507513-1710USA013446: US-009507513-1710USA013447: US-009507513-1710USA013448: US-009507513-1710USA013436: US-009507513-1710USA013449: US-009507513-1710USA013451: US-009507513-1710USA013452: US-009507513-1710USA013454: US-009507513-1710USA013455: US-009507513-1710USA013456: US-009507513-1710USA013457: US-009507513-1710USA013458: US-009507513-1710USA013459: US-009507513-1710USA013461: US-009507513-1710USA013462: US-009507513-1710USA013466: US-009507513-1710USA013427: US-009507513-1710USA013471: US-009507513-1710USA013472: US-009507513-1710USA013473: US-009507513-1710USA013474: US-009507513-1710USA013475: US-009507513-1710USA013476: US-009507513-1710USA013425: US-009507513-1710USA013433: US-009507513-1710USA013423: US-009507513-1710USA013040: US-009507513-1710USA013426: US-009507513-1710USA013429: US-009507513-1710USA013431: US-009507513-1709USA008666: Original Case : 1709USA008666 US-009507513-1710USA014650: Original Case : 1710USA014649 US-009507513-1710USA014651: Original Case : 1710USA014649 US-009507513-1710USA014649: Original Case : 1710USA014649.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Product storage error
Clinical narrative: This spontaneous report was received from a registered nurse via medical assistant and refers to a 12-month-old male patient. The patient's pertinent medical history, concurrent conditions, concomitant medications, past drugs and drug allergies were not reported. On 19-OCT-2017, the patient was vaccinated with improperly stored M-M-R II (lot # M034387; expiry date: 19-JUL-2018) (dosing details were not provided) for prophylaxis. Temperature excursion details of the vaccine were not provided. This is one of the several reports received from the same source. Sender's Comments: US-009507513-1709USA008861: US-009507513-1710USA013424: US-009507513-1710USA013470: US-009507513-1710USA013465: US-009507513-1710USA013440: US-009507513-1710USA013468: US-009507513-1710USA013442: US-009507513-1710USA013445: US-009507513-1710USA013460: US-009507513-1710USA013463: US-009507513-1710USA013464: US-009507513-1710USA013438: US-009507513-1710USA013439: US-009507513-1710USA013450: US-009507513-1710USA013430: US-009507513-1710USA013469: US-009507513-1710USA013467: US-009507513-1710USA013435: US-009507513-1710USA013434: US-009507513-1710USA013432: US-009507513-1710USA013428: US-009507513-1710USA013437: US-009507513-1710USA013441: US-009507513-1710USA013443: US-009507513-1710USA013444: US-009507513-1710USA013446: US-009507513-1710USA013447: US-009507513-1710USA013448: US-009507513-1710USA013436: US-009507513-1710USA013449: US-009507513-1710USA013451: US-009507513-1710USA013452: US-009507513-1710USA013454: US-009507513-1710USA013455: US-009507513-1710USA013456: US-009507513-1710USA013457: US-009507513-1710USA013458: US-009507513-1710USA013459: US-009507513-1710USA013461: US-009507513-1710USA013462: US-009507513-1710USA013466: US-009507513-1710USA013427: US-009507513-1710USA013471: US-009507513-1710USA013472: US-009507513-1710USA013473: US-009507513-1710USA013474: US-009507513-1710USA013475: US-009507513-1710USA013476: US-009507513-1710USA013425: US-009507513-1710USA013433: US-009507513-1710USA013423: US-009507513-1710USA013040: US-009507513-1710USA013426: US-009507513-1710USA013429: US-009507513-1710USA013431: US-009507513-1709USA008666: Original Case: 1709USA008666: US-009507513-1710USA014650: Original Case: 1710USA014649: US-009507513-1710USA014651: Original Case: 1710USA014649: US-009507513-1710USA014649: Original Case: 1710USA014649.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Product storage error
Clinical narrative: This spontaneous report was received from a registered nurse via medical assistant and refers to a 12-month-old female patient. The patient's pertinent medical history, concurrent conditions, concomitant medications, past drugs and drug allergies were not reported. On 12-OCT-2017, the patient was vaccinated with improperly stored M-M-R II (lot # M034387; expiry date: 19-JUL-2018) (dosing details were not provided) for prophylaxis. Temperature excursion details of the vaccine were not provided. This is one of the several reports received from the same source. Sender's Comments: US-009507513-1709USA008861: US-009507513-1710USA013424: US-009507513-1710USA013470: US-009507513-1710USA013465: US-009507513-1710USA013440: US-009507513-1710USA013468: US-009507513-1710USA013442: US-009507513-1710USA013445: US-009507513-1710USA013460: US-009507513-1710USA013463: US-009507513-1710USA013464: US-009507513-1710USA013438: US-009507513-1710USA013439: US-009507513-1710USA013450: US-009507513-1710USA013430: US-009507513-1710USA013469: US-009507513-1710USA013467: US-009507513-1710USA013435: US-009507513-1710USA013434: US-009507513-1710USA013432: US-009507513-1710USA013428: US-009507513-1710USA013437: US-009507513-1710USA013441: US-009507513-1710USA013443: US-009507513-1710USA013444: US-009507513-1710USA013446: US-009507513-1710USA013447: US-009507513-1710USA013448: US-009507513-1710USA013436: US-009507513-1710USA013449: US-009507513-1710USA013451: US-009507513-1710USA013452: US-009507513-1710USA013454: US-009507513-1710USA013455: US-009507513-1710USA013456: US-009507513-1710USA013457: US-009507513-1710USA013458: US-009507513-1710USA013459: US-009507513-1710USA013461: US-009507513-1710USA013462: US-009507513-1710USA013466: US-009507513-1710USA013427: US-009507513-1710USA013471: US-009507513-1710USA013472: US-009507513-1710USA013473: US-009507513-1710USA013474: US-009507513-1710USA013475: US-009507513-1710USA013476: US-009507513-1710USA013425: US-009507513-1710USA013433: US-009507513-1710USA013423: US-009507513-1710USA013040: US-009507513-1710USA013426: US-009507513-1710USA013429: US-009507513-1710USA013431: US-009507513-1709USA008666: Original Case: 1709USA008666: US-009507513-1710USA014650: Original Case: 1710USA014649: US-009507513-1710USA014651: Original Case: 1710USA014649: US-009507513-1710USA014649: Original Case: 1710USA014649.
Age: 0.58
Sex: U
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report has been received from a medical assistant concerning a 7 month old patient of unknown gender. The patient's medical history, drug allergies, concurrent conditions and concomitant therapies were not reported. On 28-SEP-2017, the patient was vaccinated with improperly stored ROTATEQ (dose and dose number were not provided) administered orally for prophylaxis. The lot numbers involved were M043836 and N038804 with expiration date on 17-JUN-2018. It was reported that on an unspecified date, the vaccines were exposed to a temperature between 32 Fahrenheit degrees and 35 Fahrenheit degrees for 72 hours. There was no previous temperature excursion. The call was placed because of a Digital Data logger report. No product quality complained was involved. No adverse effects were reported. Lot number N038804 is an invalid lot number for rotavirus vaccine, live, oral, pentavalent. This is one of several reports received from the same reporter. Sender's Comments: US-009507513-1710USA001257: US-009507513-1710USA016180.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Initial unsolicited report received from a nurse on 18-Oct-2017. This case involves an eight-year-old female patient, who was vaccinated once with FLUZONE QUADRIVALENT via intramuscular route (batch number: U5913BA, expiry date: 30-Jun-2018; dose not reported) in right arm on 10-Oct-2017. Patient's medical history and concomitant medications were not reported. It was reported that no other immunizations received at that time. On an unknown date, approximately 18-20 hours following vaccination, the patient developed rash with hives approximately. Patient stated rash was extremely itchy. On 18-Oct-2018, patient was seen by physician (doctor visit), rash with hives continued. Lab test and not reported. As corrective treatment, patient was prescribed with HYDROCORTISONE 2.5%, PREDNISONE 10mg one time dose and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL) 25mg as needed. Patient had not recovered from the events. Upon internal review the case was considered as serious due to important medical event: urticarial rash and itchy rash. Documents held by sender: none.; Sender's Comments: The patient developed rash with hives approximately 18-20 hours following vaccination, the rash was extremely itchy post vaccination with FLUZONE QUADRIVALENT Time to onset was compatible and suggestive of a possible anaphylactic/allergic reaction. Patient's medical history was not reported. Additional information regarding patient's allergic history or reaction to previous medications should be requested along with information regarding patient's medical condition at the time of vaccination. Based upon reported information this looks like a case of allergic response and role of the vaccine cannot be assessed until further information is received.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Immediate post-injection reaction, Pain, Pain in extremity
Clinical narrative: When shot given, there was instant pain in entire arm. Continued pain with movement and lifting. Seen in clinic on 10/30/17. Diagnosed with left shoulder bursitis post injection. Treated with ice application 2-3 times a day and Ibuprofen 400 mg tablet - take 3 times a day.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Hives started on arms and then trunk eventually covering legs, feet, abdomen and back. Itchy. Some hives turned to red patches especially around wrist. Went to PMD: On XYZAL, 5 days of steroids and PEPCID. Started those on 10/23 from Clinic. Called Employee Health 10/30/17. Placed on MEDROL pack and asked to continue current meds. Seems hives are a tiny bit better. Patches on wrist are starting to fade but continue to be itchy. Had flu shots in past and no problems. No new soaps, foods, meds or lotions.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Significant pain at the time of injection. Within about 20 minutes, I was experiencing extreme pain that traveled down my right arm and lasted for about 10 hours. It is now two weeks later, and I am still experiencing great pain and am unable to move my right arm without a great deal of pain and major discomfort.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Condition aggravated, Fibromyalgia, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Chest rash, itchiness, injection site swelling. Patient described symptoms exacerbating her fibromyalgia, increase neck pain, joint pain, stiffness.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Neck pain, Pruritus, Rash
Clinical narrative: Chest rash, itchiness, injection site swelling. Patient described symptoms exacerbating her fibromyalgia, increase neck pain, joint pain, stiffness.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Pt. woke up at 4 AM with hives to the ear, neck, face. She went to the urgent care at 3:30 PM. They started her on Prednisone. The hives cleared up somewhat then came back in a different area of the body. Pt. went to urgent care. They prescribed prednisone, and ranitidine. Pt. still having symptoms and has an appointment with an allergist on 10/31/17.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Fatigue, Influenza like illness, Pain in extremity
Clinical narrative: Patient said his arm was sore for approx. 1 week following vaccine and he felt flu like symptoms including tiredness and weakness.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Eye discharge, Eye swelling, Feeling cold, Injection site pain
Clinical narrative: Here is pt report verbatim: I had a very bad reaction to the flu shot I received yesterday. Last night I got a bad sore throat (in one spot just below the Adams apple). It was painful to swallow. I was shaking uncontrollably and freezing. I assume it was a fever, but our thermometer didn't work. My eyes were bloodshot and swollen, tearing and with a lot of yellowish stuff. My shoulder where I got the shot was sore, also. I was very weak and went to bed about 8pm. Got up at 9am, but had no energy and slept until about an hour ago. It's now 4pm. The instructions I got say to let you know so you can file a report with VAERS. I've had flu shots in the past, but have never had any kind of reaction to them.   No treatment, pt was ok after about 2 days
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Lacrimation increased, Ocular hyperaemia, Odynophagia, Oropharyngeal pain, Tremor
Clinical narrative: Here is pt report verbatim: I had a very bad reaction to the flu shot I received yesterday. Last night I got a bad sore throat (in one spot just below the Adams apple). It was painful to swallow. I was shaking uncontrollably and freezing. I assume it was a fever, but our thermometer didn't work. My eyes were bloodshot and swollen, tearing and with a lot of yellowish stuff. My shoulder where I got the shot was sore, also. I was very weak and went to bed about 8pm. Got up at 9am, but had no energy and slept until about an hour ago. It's now 4pm. The instructions I got say to let you know so you can file a report with VAERS. I've had flu shots in the past, but have never had any kind of reaction to them.   No treatment, pt was ok after about 2 days
Age: 14.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash, Urticaria
Clinical narrative: Hives / rash from shoulders up onto neck, the night of the vaccination. Went to urgent care, was given scripts for prednisone and famotidine.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Nausea, Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: 8 CM ROUND RED, RAISED AREA HOT TO TOUCH EVENING OF THE 19TH. WOKE AT 5:30 AM NEXT MORNING WITH FEVER AND NAUSEA. VOMITED X1 AND ARM WAS ITCHY. LG SWOLLEN AREA HAD GONE DOWN SOME, BUT SMALL ITCHY RAISED AREAS FROM ELBOW UP TO SHOULDER. TOOK 50 MG BENADRYL PO AND WENT BACK TO SLEEP. 10:00 AM LEFT SIDE OF NECK AND FACE WERE ITCHING BUT NO RASH. RAN LOW GRADE FEVER OFF AND ON ALL THAT DAY WITH ITCHING AS WELL.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Skin warm, Swelling, Vomiting
Clinical narrative: 8 CM ROUND RED, RAISED AREA HOT TO TOUCH EVENING OF THE 19TH. WOKE AT 5:30 AM NEXT MORNING WITH FEVER AND NAUSEA. VOMITED X1 AND ARM WAS ITCHY. LG SWOLLEN AREA HAD GONE DOWN SOME, BUT SMALL ITCHY RAISED AREAS FROM ELBOW UP TO SHOULDER. TOOK 50 MG BENADRYL PO AND WENT BACK TO SLEEP. 10:00 AM LEFT SIDE OF NECK AND FACE WERE ITCHING BUT NO RASH. RAN LOW GRADE FEVER OFF AND ON ALL THAT DAY WITH ITCHING AS WELL.
Age: 82.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Pyrexia
Clinical narrative: Patient presented to hospital with high fever, was diagnosed with left arm cellulitis, treated with levofloxacin and prednisone.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Injection site reaction, Neuralgia, Paraesthesia
Clinical narrative: Injection site reaction (red rash) that persisted for 2 months. About a week later there was a reaction on her leg very similar to shingles - neurpathic pain, with a tingling feeling before the blisters appeared, erupted, and scabbed over.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Scab
Clinical narrative: Injection site reaction (red rash) that persisted for 2 months. About a week later there was a reaction on her leg very similar to shingles - neurpathic pain, with a tingling feeling before the blisters appeared, erupted, and scabbed over.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Decreased appetite, Fatigue, Injected limb mobility decreased, Injection site erythema
Clinical narrative: Fatigue, tired feeling, muscle pain, decreased appetite, injection site pain, redness, swelling, tenderness and a large hard lump, limitation of arm movement, chills, drowsiness, sleeping more than usual, vomiting, low grade fever.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site mass, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Fatigue, tired feeling, muscle pain, decreased appetite, injection site pain, redness, swelling, tenderness and a large hard lump, limitation of arm movement, chills, drowsiness, sleeping more than usual, vomiting, low grade fever.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Somnolence, Vomiting
Clinical narrative: Fatigue, tired feeling, muscle pain, decreased appetite, injection site pain, redness, swelling, tenderness and a large hard lump, limitation of arm movement, chills, drowsiness, sleeping more than usual, vomiting, low grade fever.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU4
Symptoms: Injection site erythema, Rash papular, Skin lesion, Skin warm, Vaccination site induration
Clinical narrative: Initially typical red, swollen, tender, indurated area at vaccine site, but then 4 days after developed red papular pruitic rash at site of vaccines and today was noted to have confluent area of papules at site but also many other lesions on extremities. Now no pain, but still felt warm.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU4
Symptoms: Vaccination site pain, Vaccination site pruritus, Vaccination site reaction, Vaccination site swelling
Clinical narrative: Initially typical red, swollen, tender, indurated area at vaccine site, but then 4 days after developed red papular pruitic rash at site of vaccines and today was noted to have confluent area of papules at site but also many other lesions on extremities. Now no pain, but still felt warm.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Rash
Clinical narrative: High degree of swelling and pain in upper arm (injection site). Rash on arms, legs, stomach, back, buttocks. Treatment at ER - prednisone (prescribed for 4 days), claritin, pepcid, benadryl (as needed).
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Chest pain, Facial pain, Fatigue, Headache, Hyperaesthesia
Clinical narrative: Immediate intense pain with burning at the injection site, which has lasted over a week now. It  has abated slightly but is stll extremely sore. Cannot even wear clothing with a sleeve as it hurts.  Other symptoms:  nausea, pain radiating from arm across chest and up to chin, headache, insomnia, fatigue.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Immediate post-injection reaction, Injection site pain, Insomnia, Nausea, Pain in extremity
Clinical narrative: Immediate intense pain with burning at the injection site, which has lasted over a week now. It  has abated slightly but is stll extremely sore. Cannot even wear clothing with a sleeve as it hurts.  Other symptoms:  nausea, pain radiating from arm across chest and up to chin, headache, insomnia, fatigue.
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: The employee stated she had swollen, painful lymph nodes located on her left neck/collarbone area.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Patient states her right arm feels numb and painful after flu shot was administered. States her whole right arm, hand and down to the fingertips feels numb. Patient was advised to move her arm to absorb vaccine and to see primary care physician if her symptoms do not improve.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Angioedema, Urticaria
Clinical narrative: Urticaria and angioedema.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Blood creatine phosphokinase increased, Full blood count normal, Metabolic function test normal, Myalgia
Clinical narrative: Joint and muscle pains lasting > 1 week.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Joint and muscle pains lasting > 1 week.
Age: 59.0
Sex: F
Vaccine: FLU4, PPV, TDAP
Symptoms: Cellulitis, Inflammation, Pain in extremity, Rash, Secretion discharge
Clinical narrative: Patient got Flu vaccine and PNEUMOVAX vaccine on right arm on 10/26, and Tdap vaccine on the left arm. Patient reports the next day about pain, inflammation, and little bumps on the right arm and had fluid discharge came out of the bumps. Patient went to the hospital on 10/29 and the discharged at the same day with the diagnosis is "Right arm cellulitis". Pt was treated with Keflex and doxycycline.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain
Clinical narrative: Immediate pain at injection, patient states seemed to subside over a few day, then got worse. Now having problems lifting and using affected arm.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Vaccination site warmth
Clinical narrative: On 10/25/17 patient noticed red/warm area to arm where vaccine was given.
Age: 2.0
Sex: M
Vaccine: FLUC4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Wrong DOSE. Used FLUCELVAX for age > 4yr old dose. Contacted RN @ HHS and stated that it would count as a valid vaccine, but to complete a VAERS report.
Age: 33.0
Sex: M
Vaccine: FLUC4
Symptoms: Pallor, Seizure, Unresponsive to stimuli
Clinical narrative: After vaccine patient became unresponsive and appeared to have a seizure not regaining consiousness for 10-15 seconds, was very pale after. 911 was called EMT arrived and evaluated the patient. He was taken to hospital but discharged after arrival saying that he was ok.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: A faint rash around the injection site that was itchy.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain
Clinical narrative: Patient complained on 10/28/17 of a sharp sting in her immunization arm that has been there since the shot was given on 9/13/17. No redness or irritation.
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Dental examination normal, Oral pain, Pain in jaw
Clinical narrative: Dental pain/right jaw pain waxes and wanes.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Left shoulder pain after injection which I expected for a day or two. Left shoulder pain has persisted since 9/6/2017 which is almost 8 weeks. Decreased range of motion and pain on abduction, adduction, external rotation, forward flexion and extension.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia, Skin tightness
Clinical narrative: Patient reports receiving high dose flu vaccine 10/4/2017 approximate time 11:00 AM. Patient reports arm was sore tight achy throughout day which is not uncommon. Patient reports waking 10/5/2017 at 5:00 AM and middle digit on left hand was numb and tingling.  Patient states by 10/6/2017 all four digits excluding her pinky finger have become numb. Patient reports she has not regained feeling in her fingers since administration of high dose flu vaccine. Patient states deltoid muscle is no longer achy however she still is experiencing pain in her left forearm.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient had her flu shot on 10/05/2017. On 10/5/17 there was the normal pain of a flu shot, but no other symptoms. Patient is having sorness/pain in her left arm starting on 10/29/17. She states it is painful to lift her arm up. She stated she has had no redness or swelling at anytime. She has taken 1 dose of ibuprofen.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Insomnia, Mobility decreased, Pain in extremity
Clinical narrative: Patient complained that her left arm has been hurting since she received the flu shot. She cannot lift her up arm and have difficulty sleeping at night.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site nodule
Clinical narrative: The patient presented herself to the pharmacy for her annual flu shot on October 24th, 2017. After receiving her flu shot she asked how long will this hard bump on her arm stay from when she got the shingles shot (ZOSTAVAX). I felt the bump and visually inspected it. It was about a 2 cm diameter nodule under the skin and it was relatively hard. There was not any redness and the area was not warm to touch. She said that the nodule had been there every on the backside of her right arm ever since she got the shingles shot back in June 2017. I told her to have her doctor examine the nodule on her next visit to make sure that it wasn't a hematoma which can develop after vaccination with ZOSTAVAX.
Age: 26.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Dyspnoea, Fatigue, Injection site rash, Injection site swelling, Lymphadenopathy
Clinical narrative: A FEW HOURS AFTER THE VACCINE WAS GIVEN (~6PM 10-19-17), PT STARTED TO FEEL TIRED AND HAD A SLIGHT FEVER. AT 6AM THE NEXT MORNING, SHE COMPLAINED OF TROUBLE BREATHING, LEFT ARM SWELLING AROUND SITE OF INJECTION, RASH ON LEFT ARM AT SITE OF INJECTION. SHE WENT TO THE ER LATER THAT MORNING WHERE THEY GAVE HER BENADRYL. A WEEK LATER, PT COMPLAINED OF SWOLLEN, HOT TO THE TOUCH, LYMPH NODES. WENT TO SEE DR ABOUT THESE, MD SAID THEY WERE INFECTED AND PRESCRIBED ABX (AUGMENTIN 875 BID X10DAYS). PT SAYS SHE IS BETTER NOW, LYMPH NODES ARE STILL A LITTLE SWOLLEN AND IS HAVING TO USE RESCUE INHALER MORE THAN NORMAL TO HELP WITH BREATHING.
Age: 26.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pyrexia, Skin warm
Clinical narrative: A FEW HOURS AFTER THE VACCINE WAS GIVEN (~6PM 10-19-17), PT STARTED TO FEEL TIRED AND HAD A SLIGHT FEVER. AT 6AM THE NEXT MORNING, SHE COMPLAINED OF TROUBLE BREATHING, LEFT ARM SWELLING AROUND SITE OF INJECTION, RASH ON LEFT ARM AT SITE OF INJECTION. SHE WENT TO THE ER LATER THAT MORNING WHERE THEY GAVE HER BENADRYL. A WEEK LATER, PT COMPLAINED OF SWOLLEN, HOT TO THE TOUCH, LYMPH NODES. WENT TO SEE DR ABOUT THESE, MD SAID THEY WERE INFECTED AND PRESCRIBED ABX (AUGMENTIN 875 BID X10DAYS). PT SAYS SHE IS BETTER NOW, LYMPH NODES ARE STILL A LITTLE SWOLLEN AND IS HAVING TO USE RESCUE INHALER MORE THAN NORMAL TO HELP WITH BREATHING.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Injection site pain, Loss of personal independence in daily activities, Musculoskeletal discomfort, Pain
Clinical narrative: Left shoulder pain started the day after the injection. This is not uncommon for me, but it is still ongoing even today. The course went as follows: 1 week = shoulder discomfort similar to past flu shots, wk 2 = extreme pain, barely able to undress, wk 4 = pain and extreme weakness, barely able to blow-dry my hair, wk 6 = pain with full arm rotation or extension with aerobic exercise and wt lifting, currently (almost 60 days later) pain with full arm extension over my head, but otherwise much improved.
Age: 3.0
Sex: M
Vaccine: FLUN4, IPV
Symptoms: Adenovirus test positive, Blood glucose increased, Enuresis, Intensive care, Pollakiuria
Clinical narrative: He received both vaccines at a doctor's appt on Monday. On Saturday evening he started peeing a lot and wet the bed, which was unusual. By Sunday afternoon, he had a 104 fever that would not come down so we took him to the ER. His blood sugar was 606 and he was transported by ambulance to Hospital pediatric ICU. On Monday, we got the official diagnosis of Type 1 diabetes.
Age: 3.0
Sex: M
Vaccine: FLUN4, IPV
Symptoms: Pyrexia, Type 1 diabetes mellitus
Clinical narrative: He received both vaccines at a doctor's appt on Monday. On Saturday evening he started peeing a lot and wet the bed, which was unusual. By Sunday afternoon, he had a 104 fever that would not come down so we took him to the ER. His blood sugar was 606 and he was transported by ambulance to Hospital pediatric ICU. On Monday, we got the official diagnosis of Type 1 diabetes.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hyperhidrosis, Middle insomnia, Pain, Pyrexia
Clinical narrative: Patient received the FLUZONE HIGH DOSE flu shot on 10/28/17. She said that around 2 AM on 10/29/17, she woke up in the middle of the night with a fever of 102 degrees, aches, sweating, and a headache. This lasted for about 12 hours and then all symptoms went away. The patient did mention that she had some nausea on Friday 10/27/17 (before flu shot) without any other symptoms.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient experienced pain and redness below the injection site the next day after was given.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Abdomen scan normal, Back pain, Blood test normal, Computerised tomogram pelvis
Clinical narrative: Severe lower back pain. No position relieves it. Worse at night and in the morning. Taking anti-inflammatory drugs to relieve pain but it is not very effective.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, Fatigue, Pain in extremity, Tremor
Clinical narrative: Pain in left arm (entire arm), wrist fatigue, stabbing pain in left hand, tremors in left hand - pain since date of injection, tremors noticed 10/30/17.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Haemorrhage, Injection site swelling
Clinical narrative: Patient was given injection. Right after needle exited right arm deltoid muscle, she started bleeding, which was stopped with applied pressure for about 20-30 seconds. Patient's arm was visibly bruised and swelling of about a quarter size occurred at the site of injection.
Age: 1.83
Sex: F
Vaccine: DTAP, FLU4, HEPA, HIBV
Symptoms: Urticaria
Clinical narrative: Hives on trunk, extremities face. Gave 1 dose of BENADRYL.
Age: 10.0
Sex: M
Vaccine: HPV9
Symptoms: Erythema, Infection
Clinical narrative: Local redness infection. KEFLEX 500mg BID x 10d and BENADRYL.
Age: 93.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain in extremity
Clinical narrative: Patient received Immunization waited for 30 minutes no reaction on 10/25/17 returned to Pharmacy B/C arm hurt and had bruising referred Patient to MD.