chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Laboratory test normal, Lichen planus, Liver function test normal, Lymphocytic infiltration, Parakeratosis
Clinical narrative: Initial report retrieved on 19 October 2011 via a search of the scientific literature. Lichen planus (LP) is an inflammatory dermatosis of unknown etiology that is primarily associated with liver disease. Recently, there have been several reports of LP developing after administration of the hepatitis B, influenza and MMR-DTAP-IPV vaccines. Here we report the first case of LP developing on the lower extremities of an otherwise healthy adult male after administration of the Tdap vaccine. We present this case to draw awareness to this observation in light of recently updated Tdap vaccination recommendations. A previously healthy 34-year-old male presented with a pruritic skin eruption on his lower extremities of three weeks duration. Physical examination revealed multiple scattered violaceous polygonal plaques with fine scale on the anterior lower legs, without any associated lesions on the skin, nails, or oral mucosa. The clinical diagnosis of LP was suspected and shave biopsy was performed. Histopathology demonstrated epidermal acanthosis with a focal saw-tooth-like pattern, hypergranulosis, hyperkeratosis with parakeratosis, scattered dyskeratotic keratinocytes within the epidermis and a band-like lymphocyte-predominant inflammatory infiltrate with associated basal vacuolar alteration. Based on the clinical and histopathologic findings, a diagnosis of LP was made. Routine laboratory tests, including complete blood cell count and liver function tests, were normal. Further inquiry revealed that four weeks prior to the eruption, the patient had received a single dose of ADACEL (lot number not reported) in his deltoid muscle. The vaccine was administered in accordance with recent Center for Disease Control guidelines, advising family members of young infants to receive the vaccination in order to minimize the risk of pertussis contraction in infants. Given the patient's otherwise non-contributory past medical and medication history, a diagnosis of LP subsequent to Tdap vaccination was made. The patient was treated with clobetasol 0.05% ointment over an eight-week period, resulting in gradual resolution of the eruption. Documents held by sender: None.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Rash pruritic, Skin plaque
Clinical narrative: Initial report retrieved on 19 October 2011 via a search of the scientific literature. Lichen planus (LP) is an inflammatory dermatosis of unknown etiology that is primarily associated with liver disease. Recently, there have been several reports of LP developing after administration of the hepatitis B, influenza and MMR-DTAP-IPV vaccines. Here we report the first case of LP developing on the lower extremities of an otherwise healthy adult male after administration of the Tdap vaccine. We present this case to draw awareness to this observation in light of recently updated Tdap vaccination recommendations. A previously healthy 34-year-old male presented with a pruritic skin eruption on his lower extremities of three weeks duration. Physical examination revealed multiple scattered violaceous polygonal plaques with fine scale on the anterior lower legs, without any associated lesions on the skin, nails, or oral mucosa. The clinical diagnosis of LP was suspected and shave biopsy was performed. Histopathology demonstrated epidermal acanthosis with a focal saw-tooth-like pattern, hypergranulosis, hyperkeratosis with parakeratosis, scattered dyskeratotic keratinocytes within the epidermis and a band-like lymphocyte-predominant inflammatory infiltrate with associated basal vacuolar alteration. Based on the clinical and histopathologic findings, a diagnosis of LP was made. Routine laboratory tests, including complete blood cell count and liver function tests, were normal. Further inquiry revealed that four weeks prior to the eruption, the patient had received a single dose of ADACEL (lot number not reported) in his deltoid muscle. The vaccine was administered in accordance with recent Center for Disease Control guidelines, advising family members of young infants to receive the vaccination in order to minimize the risk of pertussis contraction in infants. Given the patient's otherwise non-contributory past medical and medication history, a diagnosis of LP subsequent to Tdap vaccination was made. The patient was treated with clobetasol 0.05% ointment over an eight-week period, resulting in gradual resolution of the eruption. Documents held by sender: None.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Injection site urticaria, Periorbital oedema, Throat irritation, Urticaria
Clinical narrative: Initial report received on 21 October 2011 from a physician. This is a case of misuse where the patient was under dosed with one 0.15 mL of FLUZONE (manufacturer's recommended dose for this age group is 0.5 mL administered in 2 doses at least 1 month apart). An 8-year-old female patient with medical history of environmental allergies and allergy to nuts had received a 0.15 mL intramuscular right deltoid injection of FLUZONE No Preservative 2011-2012 (lot number U4124AA) on 21 October 2011 at 11:10 am and within minutes she developed a hive at the injection site and complained of her throat feeling funny with no visible swelling. She then developed an extraneous hive approximately 1.5 inches above the site of the injection, and periorbital edema. She was medicated with 90 mg of fexofenadine and ALLEGRA, EPINEPHRINE (dose not reported), and 30 mg of ORAPRED. Routes for treatment medications were not reported. It was noted that 3 years prior, the patient had experienced hives followed vaccination with a flu vaccine (trade name and manufacturer name not reported) and at that time was administered oral BENADRYL. The recovery status was reported as unknown for the current events. Document held by sender: None.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Induration, Rash
Clinical narrative: Noticed on 10/23/11, red, warm, indurated. On 10/25/11 reaching 10-11 mm, started AUGMENTIN to r/o cellulitis. Induration improved/subsided 10/26/11. Rash.
Sex: U
Vaccine: TDAP
Symptoms: Bordetella test, Bordetella test positive, Pertussis
Clinical narrative: Cluster of three patients who each developed symptoms of pertussis after having received ADACEL (lot number C2456AA). Initial report received on 18 October 2011 from a health professional. Three unidentified physicians from the same office each received a first intramuscular injection of ADACEL (lot number C2456AA) on an unspecified day in December 2006. In October 2011, one patient had confirmed B pertussis via IgA/IgM and the other two patients had symptoms of pertussis, for which IgA/IgM blood test results were pending. The patients had not recovered. No other information was provided. Documents held by sender: None.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Cough, Dyspnoea, Headache, Insomnia
Clinical narrative: Trouble breathing, swollen throat & glands, temp, cough, stuffiness starting 10/13 & gotten worse through 10/17. Missed work 10/17. Sore throat & trouble sleeping, headache, & body ache continues.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Nasal congestion, Oropharyngeal pain, Pain, Pharyngeal oedema
Clinical narrative: Trouble breathing, swollen throat & glands, temp, cough, stuffiness starting 10/13 & gotten worse through 10/17. Missed work 10/17. Sore throat & trouble sleeping, headache, & body ache continues.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dysgeusia, Flushing, Urticaria, Wheezing
Clinical narrative: After receiving flu vaccine intradermally in (L) deltoid for first time, had adverse moderate reaction with wheezing, tightness in chest, metallic taste in mouth, flushing in face, urticaria.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Feeling cold, Influenza like illness, Pain, Pyrexia
Clinical narrative: That same evening, started aching - had fever/chills (flu like symptoms) woke up next morning aching everywhere. Biggest concern was I was  having trouble breathing and had excruciating pain.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Immediate post-injection reaction, Pain in extremity, Tenderness
Clinical narrative: Pt reported sore arm right away after shot. Next day was so sore she could not be touched. Had back pain also.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Intussusception, Ultrasound scan abnormal
Clinical narrative: (+) Intussusception. Reduced and discharged home. Had Rotavirus immz 9d ago.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Vomiting, nausea - started 2hrs. after the shot. No treatment - did not see Dr. Still sick 48 hours later. Called Dr. Dr will give anti-nausea med on 10/28/11 if still needed.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Local swelling, Nasal inflammation
Clinical narrative: Thursday, Oct 13th  - I began noticing medium joint pain in knees - elbow. Took ADVIL to cope. In the middle of the night appx 2 am - woke w/swollen tongue - lips - nasal passages - face - throat.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Signs and symptoms: area around injection site began to swell. Swelling stopped with a width of about 4-5cm. Time: <1 minute. Treatment: 2 capsules of BENADRYL 25mg (WAL-DRYL). Advised patient to monitor the area, if worsens go to ER. Side note: the patient had gotten flu shot for many years and never had a reaction.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Axillary mass, Breast pain, Injection site pain, Musculoskeletal pain, Oedema peripheral
Clinical narrative: Right arm swelled up two days after vaccine, painful down to her elbow, pain in right breast and shoulder blade. Lump underneath right arm.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: Right arm swelled up two days after vaccine, painful down to her elbow, pain in right breast and shoulder blade. Lump underneath right arm.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, itching, soreness, and warmth at injection site.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Lymphadenopathy, Swelling
Clinical narrative: Axillary and lymph node swellling left arm with pain at injection site.
Age: 27.0
Sex: F
Vaccine: FLUN3
Symptoms: Lymphadenopathy, Sensation of foreign body
Clinical narrative: Swollen lymph nodes, left and right sides. Patient complaining of "knot in throat".
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Patient complained of itching, erythema, and a rash on her right arm at the site of her Gardasil vaccine and reports the symptoms began one day after receiving the vaccine.  She reports the itching resolved after use of an OTC hydrocortisone cream and states the rash has not spread.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Lip disorder
Clinical narrative: Numbness on right side of body, lips numb and turned down at corner on right side.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Complains of sore arm with numbness and tingling.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Musculoskeletal discomfort
Clinical narrative: c/o redness, swelling (2X2 area) at site of injection. Shoulder discomfort which improved 2 days later. Denied appointment for evaluation with physician.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Fatigue, Headache, Nausea
Clinical narrative: c/o headache, fatigue, chills, and nausea
Age: 83.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: c/o redness, swelling, warmth & itching to injection site, as well as continual headache.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site nodule, Injection site pain
Clinical narrative: Soreness and nodule at injection site still 1 month post vaccination.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Tenderness
Clinical narrative: Severe pain and tenderness in legs.  Seen by Dr. at Ortho Clinic and placed on steroids for seven days.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Mass, Pain
Clinical narrative: Sore and very painful lump; itchy injection site.
Age: 79.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Asthenia, Dizziness, Dyspnoea
Clinical narrative: Pt phoned - stated had weakness and dizziness with shortness of breath.  I called Dr, who spoke to patient.  Patient had not been using their oxygen (COPD).  Son and Doctor monitoring patient.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site erythema, Injection site haematoma, Oedema peripheral, Pyrexia
Clinical narrative: Entire thigh was red and swollen - very red and bruised around injection site along with a fever.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Inflammation, Pain, Pruritus, Skin irritation
Clinical narrative: Itching, oval shaped slight inflammation, painful at location and noticed the irritation on Sunday around noon time.  She came to the pharmacy on 11/01/11 (Tuesday) 2:35pm to discuss the concern in person.  She did ice the area.  She said 10/31/11 was really the worst but it didn't get better or worse today.  She said she will wait to see if need to be seen by doctor and decide tomorrow since she doesn't have a Primary MD.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cellulitis, Injection site inflammation, Injection site irritation, Injection site pain, Injection site pruritus
Clinical narrative: Itching, oval shaped slight inflammation, painful at location and noticed the irritation on Sunday around noon time.  She came to the pharmacy on 11/01/11 (Tuesday) 2:35pm to discuss the concern in person.  She did ice the area.  She said 10/31/11 was really the worst but it didn't get better or worse today.  She said she will wait to see if need to be seen by doctor and decide tomorrow since she doesn't have a Primary MD.
Age: 25.0
Sex: M
Vaccine: FLUX
Symptoms: Blood pressure increased, Chest discomfort, Dyspnoea, Heart rate increased
Clinical narrative: Ongoing difficulty breathing/shortness of breath/tightness in chest. Adverse event worsens following physical activity.  Elevated heart rate and blood pressure.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Erythema, Paraesthesia oral, Pruritus, Rash
Clinical narrative: Redness & itching on upper 1/2 of arm & starting to break out. Tongue tingling, neck & chest itching & starting to break out, tightness in chest. BENADRYL & inhaler CLARITIN for next 2 days. Lots of water. It took over a week for me to recover from shot. Reaction started about 2 1/2 hours after shot.
Age: 70.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Swollen tongue
Clinical narrative: 10/12/2011 patient had an influenza injection. Patient began taking LIPOFEN 150mg capsules. Patient's tongue began to swell, and she had difficulty breathing. Swollen tongue and difficulty breathing resolved later that day, after prednisone was administered. Patient temporarily stopped LIPOFEN therapy. 10/20/2011 patient reported to medical doctor: After a couple of days she resumed taking LIPOFEN and she has not has any adverse side effects. Patient remains on LIPOFEN therapy. Medical Doctor's Opinion: Events are not related to LIPOFEN. Events are serious. No additional information is expected.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Injection site pain, Pyrexia
Clinical narrative: Ran fever of 101 degrees overnight, chills, injection site for 3 days. Fever gone on day 2.
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Discomfort, Erythema multiforme, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Obtained from CPRS record: FEB 16, 2011 09:36. Person presenting for visit: Veteran. Purpose: Walk in. Chief Complaint: Patient here presents with redness, swelling and warmth to left upper arm. States started after getting PNEUMOVAX done one 2/14/11. Patient denies any shortness of breath or any anaphylactic reactions, patient states took ibuprofen for ache and discomfort, patient states having some pain with movement and touch. Patient denies any other injections or insect bites to affected upper extremity. Vital Signs: Blood pressure: 145/79 (02/16/2011 09:34). Pulse: 66 (02/16/2011 09:34). Respiration: 20 (02/16/2011 09:34). Temperature: 97.8 F [36.6 C] (02/16/2011 09:34). Pain: 1 (02/16/2011 09:34). Symptoms: Symptoms: 1. Erythema Multiform, 2. Urticaria Pruritus. Treatment Drugs Used: 1 - DEXAMETHASONE Dose: 8 Units: MG Freq: ONCE Route: IM.
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pruritus, Tenderness, Urticaria
Clinical narrative: Obtained from CPRS record: FEB 16, 2011 09:36. Person presenting for visit: Veteran. Purpose: Walk in. Chief Complaint: Patient here presents with redness, swelling and warmth to left upper arm. States started after getting PNEUMOVAX done one 2/14/11. Patient denies any shortness of breath or any anaphylactic reactions, patient states took ibuprofen for ache and discomfort, patient states having some pain with movement and touch. Patient denies any other injections or insect bites to affected upper extremity. Vital Signs: Blood pressure: 145/79 (02/16/2011 09:34). Pulse: 66 (02/16/2011 09:34). Respiration: 20 (02/16/2011 09:34). Temperature: 97.8 F [36.6 C] (02/16/2011 09:34). Pain: 1 (02/16/2011 09:34). Symptoms: Symptoms: 1. Erythema Multiform, 2. Urticaria Pruritus. Treatment Drugs Used: 1 - DEXAMETHASONE Dose: 8 Units: MG Freq: ONCE Route: IM.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Dysgraphia, Hypoaesthesia, Injection site pain, Movement disorder
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of pain around injection site in a 30-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). Concurrent medications included Multivitamin. On 21 September 2011 at 08:00 the subject received a dose of FLUARIX (unknown route, right arm). On 17 October 2011, 26 days after vaccination with FLUARIX, the subject experienced pain around injection site. She also experienced arm pain, arm numbness and hard to move arm. The pain around injection site started the week of 17 October 2011 and had progressively worsened. The subject reported that she first noticed the pain when writing on the chalkboard. She writes on the board all day and the pain usually started later in the day. The subject noted that the pain started around the area of injection and had gotten worse so that she had difficulty writing on the board. In the later afternoon when her arm is parallel to her side, the subject reported that her arm started to go numb and the numbness extends down to her fingers. The numbness was worse when her arm was by her side. The subject reported that when she was using her right arm (arm of injection) it was hard to lift. On 25 October 2011, the subject experienced a sharp pain in her arm when lifting her arm to brush her hair, and she dropped the hairbrush. The subject had not yet consulted her physician regarding the events. The healthcare professional considered the events were disabling. At the time of reporting the events of pain around injection site, arm pain and arm numbness were worse. The outcome of the hard to move arm event was unknown.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of pain around injection site in a 30-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). Concurrent medications included Multivitamin. On 21 September 2011 at 08:00 the subject received a dose of FLUARIX (unknown route, right arm). On 17 October 2011, 26 days after vaccination with FLUARIX, the subject experienced pain around injection site. She also experienced arm pain, arm numbness and hard to move arm. The pain around injection site started the week of 17 October 2011 and had progressively worsened. The subject reported that she first noticed the pain when writing on the chalkboard. She writes on the board all day and the pain usually started later in the day. The subject noted that the pain started around the area of injection and had gotten worse so that she had difficulty writing on the board. In the later afternoon when her arm is parallel to her side, the subject reported that her arm started to go numb and the numbness extends down to her fingers. The numbness was worse when her arm was by her side. The subject reported that when she was using her right arm (arm of injection) it was hard to lift. On 25 October 2011, the subject experienced a sharp pain in her arm when lifting her arm to brush her hair, and she dropped the hairbrush. The subject had not yet consulted her physician regarding the events. The healthcare professional considered the events were disabling. At the time of reporting the events of pain around injection site, arm pain and arm numbness were worse. The outcome of the hard to move arm event was unknown.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received Tdap vaccine and later complained of severe redness and swelling at the injection site.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood culture negative, Body temperature increased, Cellulitis, Erythema, Infection
Clinical narrative: Patient received both PNEUMOVAX 23 and FLULAVAL on 10/19/2011 at pharmacy. Next day ran 101.5 temperature and painful red swelling on arm 6" below the injection sites. Red swelling and pain worse on 10/21/2011. Patient returned to pharmacy where pharmacist advised her to see her doctor. Patient went to local walk-in clinic, where cellulitis was diagnosed and she was prescribed KEFLEX. Doctor drew outline on her arm of the red area and advised her to go to ER if the area grew larger and she continued to feel malaise and pain. On 10/22/2011 patient went to Emergency Room, where ER doctors confirmed diagnosis of cellulitis and gave IV vancomycin, in addition to prescribing clindamycin and KEFLEX. Patient suspects poor swabbing of her arm prior to the injections. Patient is still under treatment, but cellulitis seems to be resolving.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Malaise, Pain, Skin infection, Swelling
Clinical narrative: Patient received both PNEUMOVAX 23 and FLULAVAL on 10/19/2011 at pharmacy. Next day ran 101.5 temperature and painful red swelling on arm 6" below the injection sites. Red swelling and pain worse on 10/21/2011. Patient returned to pharmacy where pharmacist advised her to see her doctor. Patient went to local walk-in clinic, where cellulitis was diagnosed and she was prescribed KEFLEX. Doctor drew outline on her arm of the red area and advised her to go to ER if the area grew larger and she continued to feel malaise and pain. On 10/22/2011 patient went to Emergency Room, where ER doctors confirmed diagnosis of cellulitis and gave IV vancomycin, in addition to prescribing clindamycin and KEFLEX. Patient suspects poor swabbing of her arm prior to the injections. Patient is still under treatment, but cellulitis seems to be resolving.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Heart rate increased, Sleep paralysis
Clinical narrative: Patient went to sleep on the night of 10/19/11, he woke up feeling that he could not move and his heart was beating fast. He thought he had a dream. Once awake the symptoms went away. Also was shivering. Sleep paralysis.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal disorder, Musculoskeletal stiffness, Pain in extremity, Paraesthesia, Sensory disturbance
Clinical narrative: Received flu shot in my upper left arm. Shortly after, my right side neck, shoulder, and arm became stiff. Then my right arm became tingly, vibrating, and painful. My right arm remains dysfunctional.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Limb discomfort, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Patient received influenza vaccination on 10-12-11 and reports the upper arm began to hurt about 1 hr. after injection and continues to be "stiff" with discomfort, especially when raising the LUE above her head.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: CSF test normal, Guillain-Barre syndrome
Clinical narrative: Guillain Barre syndrome.
Sex: F
Vaccine: FLUX
Symptoms: Haemorrhage, Maternal exposure during pregnancy
Clinical narrative: Case number PHEH2011US07253 is an initial spontaneous report received from a consumer on 18 Oct 2011: This report refers to an adult female patient. She was vaccinated with a seasonal influenza vaccine (manufacturer and batch number: unknown) on an undetermined date while she was pregnant and was one month away from giving birth. After vaccination she started to bleed. No further information was provided.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Both arms that she received the vaccine in were swollen and red and were itching. Advised patient to call/visit MD ASAP and take some BENADRYL for now. (She said it was sore the day of and then had swelling and started itching on 10/25/11).
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Chest pain, Hyperhidrosis, Nausea
Clinical narrative: Patient experienced anxiety post vaccination. Chest burning, sweating, nauseated. Waited approximately 35 minutes and said she felt much better. Called patient at 10:42 and she stated all symptoms had completely resolved.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Musculoskeletal discomfort
Clinical narrative: Couldn't raise arm above 90 degrees or more lateral such as washing hair. Felt like "rotator cuff injury would feel like I imagine." No redness, swelling, or bruising at site but thought it felt hard like a spasm. Lasted 1 week - never took anything. Heating pad used.
Age: 69.0
Sex: U
Vaccine: PPV
Symptoms: Contusion, Oedema peripheral
Clinical narrative: Patient complained of arm swelling and bruising.
Age: 79.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Heart rate increased, Hyperhidrosis
Clinical narrative: After PNEUMOVAX injection, pt became diaphoretic (sweating profusely), dizzy/lightheaded, tachycardic (felt heart racing), short of breath/wheezing. BP & HR was elevated. Patient was monitored (BP, HR & pulse ox) at clinic until 2:30 pm 9/21/11.
Age: 79.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Palpitations, Wheezing
Clinical narrative: After PNEUMOVAX injection, pt became diaphoretic (sweating profusely), dizzy/lightheaded, tachycardic (felt heart racing), short of breath/wheezing. BP & HR was elevated. Patient was monitored (BP, HR & pulse ox) at clinic until 2:30 pm 9/21/11.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Muscle spasms
Clinical narrative: Received vaccine at 0945 and by 1215 could not move arm laterally. Difficult to raise above head or to back or above 90 degree angle. No redness, swelling, bruising at injection site. Have tried TYLENOL, ALEVE, massage, heat/cold without lasting relief. Worse at nite when it seems more like a spasm that gets it going.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site swelling, Joint lock, Muscle spasms, Pain
Clinical narrative: Received vaccine at 0930 10/26/11. Developed pain at rest & with mvt. within 2 hrs of receiving. No redness, swelling or bruising at site but feels like joint "locked up". Spasm later in evening & felt like "rotator cuff injury".
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Rotator cuff syndrome
Clinical narrative: Received vaccine at 0930 10/26/11. Developed pain at rest & with mvt. within 2 hrs of receiving. No redness, swelling or bruising at site but feels like joint "locked up". Spasm later in evening & felt like "rotator cuff injury".
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient complaining of pain in rt arm 2 days after flu shot. Pain is intermittent. Worse with abduction. Treated with ice and NSAID.
Age: 50.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Inflammation, Injection site injury, Musculoskeletal pain, X-ray
Clinical narrative: Patient complaining of pain in rt arm 2 days after flu shot. Pain is intermittent. Worse with abduction. Treated with ice and NSAID.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Within 24hrs of immunization with circular red area. Circle with 3 inch diameter. There was no pain, fever, no other allergy-type symptoms, discomfort. Area normal after 24hrs. This was only an odd reaction that patient reported.
Sex: U
Vaccine: FLU3
Symptoms: Injection site joint pain, Pain
Clinical narrative: Left shoulder pain with abduction off and on for 3 weeks after injection. Pain with abduction greater 90 degrees. Treated rest, ice, oral steroids.
Age: 34.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Chills, Decreased appetite, Fatigue, Feeling hot, Headache
Clinical narrative: "Fever" didn't take temp. Chills -> hot. Sweating (facial). Severe headache. Loss of appetite. Fatigue. TYLENOL used. Temp today 98.3.
Age: 34.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Hyperhidrosis, Pyrexia
Clinical narrative: "Fever" didn't take temp. Chills -> hot. Sweating (facial). Severe headache. Loss of appetite. Fatigue. TYLENOL used. Temp today 98.3.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site induration
Clinical narrative: Erythema and induration surrounding site of administration. Cephalexin started 10/22 with minimal improvement. BACTRIM started 10/24 and by 10/26, nearly resolved. No fevers or systemic symptoms. Cellulitis.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling & numbness in arm. Patient said don't worry about it as he doesn't want any repercussions.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Decreased appetite, Fatigue, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Mother reports redness & swelling at injection site on left upper thigh. Area hard & tender to touch. Child extremely fussy, fatigue & no appetite.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site swelling, Irritability
Clinical narrative: Mother reports redness & swelling at injection site on left upper thigh. Area hard & tender to touch. Child extremely fussy, fatigue & no appetite.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Gait disturbance, Injection site swelling
Clinical narrative: (L) leg where vaccine was administered swell 1/3x size, skin red. Patient walking with limp. Swollen from hip to knee.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Nerve injury
Clinical narrative: Pt claims her right arm became numb 2hrs after receiving PNEUMOVAX injection. Pt went to our local ER after two days of numbness. She said attending physician says I could have hit her nerve upon injection.
Age: 71.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Erythema, Inflammation, Oedema peripheral, Pain in extremity
Clinical narrative: For 3+ days following vaccination arm is red, swollen, sore & inflamed.
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: Received MMR vaccine as part of employment reqt's on 9-7-11. Reported to empl. health on 10/12/11 with c/o warmth and tenderness, increasing at injection site. Sought medical treatment and was prescribed prednisone.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Pt complained of her arm being painful after 2 days after flu vaccine. Administration arm painful when trying to lift over head. Taking ALEVE and applying mineral ice.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: 10/27/11 soreness in left arm, swelling of lymph nodes - axillary area 2 days post vaccination. Soreness eased by 11/1/11, swelling same 11/1/11. Referred to private physician.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Rash
Clinical narrative: Rash on the chest. Erythema with some induration at site of injection.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: TST given using flu vaccine (TIV).
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Swollen tongue
Clinical narrative: Employer offered seasonal influenza vaccine administered at approx. 0800 on 09/29/11. End of work shift so was driving home when developed swelling of lips and tongue. Took OTC diphenhydramine and later went to urgent care where received, epinephrine, SOLUMEDROL & BENADRYL.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Heart rate increased, Nasal congestion, Pyrexia
Clinical narrative: Fever, chills, headache, congestion (nasal & chest), rapid heartrate. Start approx. 5:30pm on 10/18/11 and "in full-force" at 7PM. Symptoms began subsiding Wed (10/19/11) afternoon.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory tract congestion
Clinical narrative: Fever, chills, headache, congestion (nasal & chest), rapid heartrate. Start approx. 5:30pm on 10/18/11 and "in full-force" at 7PM. Symptoms began subsiding Wed (10/19/11) afternoon.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: TST administered using flu vaccine (inactivated) Lot # 1101601.
Age: 54.0
Sex: M
Vaccine: FLUX
Symptoms: Chest discomfort, Chills, Dyspnoea, Pharyngeal oedema
Clinical narrative: 9pm My throat felt it was swollen and I had a very hard time breathing. Took short, quick breaths. Lasted for 5-10 minutes that it went away. Had chills & pressure on my chest. Took a BENADRYL. Felt better in the AM. (This was my first flu shot ever).
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever. Abdominal pain, vomiting, nausea.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Blood culture negative, Differential white blood cell count, Epistaxis, Full blood count, Gingival bleeding
Clinical narrative: Office appt 10/31/11 - Mom reports red lump & rash on right thigh at injection site of MMR & Varicella vaccines. Rash spread over entire body & extremities, many scattered petechiae, no purpura, some areas of blanching erythema. Area of about 2cm diameter at injection site with blanching erythema & underlying induration. Also having nose bleeds & bleeding gums.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site rash, Occult blood
Clinical narrative: Office appt 10/31/11 - Mom reports red lump & rash on right thigh at injection site of MMR & Varicella vaccines. Rash spread over entire body & extremities, many scattered petechiae, no purpura, some areas of blanching erythema. Area of about 2cm diameter at injection site with blanching erythema & underlying induration. Also having nose bleeds & bleeding gums.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Pallor, Petechiae, Rash generalised, Urine analysis
Clinical narrative: Office appt 10/31/11 - Mom reports red lump & rash on right thigh at injection site of MMR & Varicella vaccines. Rash spread over entire body & extremities, many scattered petechiae, no purpura, some areas of blanching erythema. Area of about 2cm diameter at injection site with blanching erythema & underlying induration. Also having nose bleeds & bleeding gums.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Decreased appetite, Hyperhidrosis, Myalgia
Clinical narrative: Starting approx. 16 hrs post-injection, I developed whole body joint & muscle aches, chills, sweats, loss of appetite. This resulted in my being bed or couch ridden for 3 days. Ibuprofen helped some. Remained afebrile throughout.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Oropharyngeal swelling, Paraesthesia oral, Pruritus, Rash
Clinical narrative: Onset rash, itching and swelling at posterior oropharynx, lips swollen and perioral paresthesias.
Age: 37.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Blood test, Chest discomfort, Chest pain, Computerised tomogram, Fatigue
Clinical narrative: 10/22/11 - Bilateral muscle weakness hands & forearms. During day progressed to include bilateral muscle spasms of calves with pain & weakness. By evening symptoms migrated to hamstrings. 10/23/11 symptoms cont to migrate to upper and lower extremities and started to lose dexterity in fingers. 10/23/11 night - very achy, tired, movement was very difficult, experienced tightness with movement. 10/24/11 at 4AM - woke up due to pain and tightness of thorax and neck. Seen at 8:15AM at PHCP office and sent directly to ER.
Age: 37.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Lumbar puncture, Mobility decreased, Motor dysfunction, Muscle spasms, Muscle tightness
Clinical narrative: 10/22/11 - Bilateral muscle weakness hands & forearms. During day progressed to include bilateral muscle spasms of calves with pain & weakness. By evening symptoms migrated to hamstrings. 10/23/11 symptoms cont to migrate to upper and lower extremities and started to lose dexterity in fingers. 10/23/11 night - very achy, tired, movement was very difficult, experienced tightness with movement. 10/24/11 at 4AM - woke up due to pain and tightness of thorax and neck. Seen at 8:15AM at PHCP office and sent directly to ER.
Age: 37.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Muscular weakness, Myalgia, Neck pain, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain
Clinical narrative: 10/22/11 - Bilateral muscle weakness hands & forearms. During day progressed to include bilateral muscle spasms of calves with pain & weakness. By evening symptoms migrated to hamstrings. 10/23/11 symptoms cont to migrate to upper and lower extremities and started to lose dexterity in fingers. 10/23/11 night - very achy, tired, movement was very difficult, experienced tightness with movement. 10/24/11 at 4AM - woke up due to pain and tightness of thorax and neck. Seen at 8:15AM at PHCP office and sent directly to ER.
Age: 37.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: 10/22/11 - Bilateral muscle weakness hands & forearms. During day progressed to include bilateral muscle spasms of calves with pain & weakness. By evening symptoms migrated to hamstrings. 10/23/11 symptoms cont to migrate to upper and lower extremities and started to lose dexterity in fingers. 10/23/11 night - very achy, tired, movement was very difficult, experienced tightness with movement. 10/24/11 at 4AM - woke up due to pain and tightness of thorax and neck. Seen at 8:15AM at PHCP office and sent directly to ER.
Age: 37.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Guillain-Barre syndrome, Paralysis
Clinical narrative: 10/22/11 - Bilateral muscle weakness hands & forearms. During day progressed to include bilateral muscle spasms of calves with pain & weakness. By evening symptoms migrated to hamstrings. 10/23/11 symptoms cont to migrate to upper and lower extremities and started to lose dexterity in fingers. 10/23/11 night - very achy, tired, movement was very difficult, experienced tightness with movement. 10/24/11 at 4AM - woke up due to pain and tightness of thorax and neck. Seen at 8:15AM at PHCP office and sent directly to ER.
Age: 0.36
Sex: U
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Dyskinesia, Torticollis
Clinical narrative: Torticollis/Dyskinesia the morning following vaccines.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Positive swelling, redness, hot to touch, shininess (+) itching.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 10.0
Sex: F
Vaccine: FLU3, MNQ, PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 3-4 in. area of erythema and swelling to (R) upper arm/deltoid. Treatment: Cool compress, TYLENOL/Ibuprofen, BENADRYL.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Vision blurred, Vomiting
Clinical narrative: Pt described vomiting, blurry vision, fatigue. (I asked if it could be food poisoning and pt stated they had eaten Mexican food at a restaurant after they received the vaccination).
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Sore arm (Rt), pain going up neck, pain moving neck side to side, pain going across back.
Age: 1.48
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Convulsion, Febrile convulsion, Pyrexia
Clinical narrative: Received DTAP, HIB, MMR 8/15/2008. 2 days later had fever and seizure - Mom was told by Dr. was febrile seizure. ? cause never told to mom.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Ocular hyperaemia, Swelling
Clinical narrative: 4 hours after shot pt reported swelling, eyes redness, chest tightness. Received steroids, Cephalexin and VICODIN from Emergency Room. Feeling better 24 hours later.
Age: 21.0
Sex: M
Vaccine: ANTH, FLUX, SMALL
Symptoms: Chest pain, Dyspnoea, Electrocardiogram PR interval, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: Developed chest pain and SOB approx 2 weeks post inoculation with primary SPV.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Headache, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, sore throat, nausea & cough, headache, sneezing & hives.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Sneezing, Urticaria
Clinical narrative: Fever, sore throat, nausea & cough, headache, sneezing & hives.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Pruritus, Rash generalised
Clinical narrative: Child received FLUMIST at school on 10/14/2011. On 10/19/2011 he developed rash with itching on face and trunk. Mom took him to ER; see by Dr. Prescribed BENADRYL Liq. - some relieve. 10/21/11 - Entire body covered in rash. Took to PCP.
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Death, Intensive care, Multi-organ failure, Septic shock
Clinical narrative: This case was reported by a healthcare professional, via a GSK representative, and described the occurrence of possible septic shock in a 56-year-old male subject who was vaccinated with FLULAVAL (GlaxoSmithKline). On 17 October 2011 the subject received a dose of FLULAVAL (details unknown). On 18 October 2011, 1 day after vaccination with FLULAVAL, the subject experienced possible septic shock. The subject was hospitalised. The subject died on 18 October 2011 from possible septic shock. It was unknown whether an autopsy was performed. The reporter stated the subject received FLULAVAL and was admitted to hospital and died the next day. It was also reported that an attorney had stated that the cause of death may have been from septic shock. The healthcare professional had been informed of the event by the facility where the vaccine was administered, which had been informed by a physician.
Age: 56.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Death
Clinical narrative: This case was reported by a healthcare professional, via a GSK representative, and described the occurrence of possible septic shock in a 56-year-old male subject who was vaccinated with FLULAVAL (GlaxoSmithKline). On 17 October 2011 the subject received a dose of FLULAVAL (details unknown). On 18 October 2011, 1 day after vaccination with FLULAVAL, the subject experienced possible septic shock. The subject was hospitalised. The subject died on 18 October 2011 from possible septic shock. It was unknown whether an autopsy was performed. The reporter stated the subject received FLULAVAL and was admitted to hospital and died the next day. It was also reported that an attorney had stated that the cause of death may have been from septic shock. The healthcare professional had been informed of the event by the facility where the vaccine was administered, which had been informed by a physician.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Activities of daily living impaired, Immediate post-injection reaction, Injection site pain, Pain, Pain in extremity
Clinical narrative: After receiving flu vaccine, pt reported feeling excruciating pain that persisted for 72 hrs following vaccine administration. Pain has continued for 3 wks & pain is more severe if she lifts arm above head. Pt is a physician & feels the vaccine was administered too low & lateral.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Drug administered at inappropriate site, Pain
Clinical narrative: After receiving flu vaccine, pt reported feeling excruciating pain that persisted for 72 hrs following vaccine administration. Pain has continued for 3 wks & pain is more severe if she lifts arm above head. Pt is a physician & feels the vaccine was administered too low & lateral.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Severe itching on bottom of feet, covered in hives.
Age: 0.92
Sex: M
Vaccine: DTAPIPVHIB, HEP, MMR, PNC13, VARCEL
Symptoms: Rash, Rash morbilliform
Clinical narrative: "Measles like rash" - trunk, extremities & neck.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Paresthesias upper & lower extremities & feeling numb. Pt able to support self with weight bearing & could feel when husband squeezed her arms & legs.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: About 48 hours post vaccine pt has injection site reaction. It looks like a hive red, warm and itchy. Patient is not planning to use analgesic or antihistamine as of now.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt. came in w/redness and warm to the touch area around injection site. About 6" long 3" W 48 hours after inj. Pt. began to notice redness 24 hour after. Area gets larger each day.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria, Wheezing
Clinical narrative: Urticaria, pruritic, wheeze.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pt says arm still hurts - felt pain in arm when given shot. Has other shots with no problem. Felt like different pain with this administration. After 3 weeks went to MD. Could not find anything wrong but arm still hurting.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: Flu shot was given yesterday. Client stated injection site was swollen and red last night. This morning swelling and redness had moved below injection site.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Within 24 hrs the injection site was reddened (50 cent size). In 48 hrs it was baseball sized and warm to touch. The client saw her physician. Was advised to put heat on the site and was given a course of KEFLEX.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chest discomfort, Chills, Flushing, Influenza like illness
Clinical narrative: Pt. states started feeling flu like approximately 1 hr after injection. Body aches, weakness, fever 101.3, chills, laryngitis, tight chest, flushed face. Next morning fever was gone, felt a little weak. No treatment. Pt. states had same reaction after flu shot in 2010.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Laryngitis, Pain, Pyrexia
Clinical narrative: Pt. states started feeling flu like approximately 1 hr after injection. Body aches, weakness, fever 101.3, chills, laryngitis, tight chest, flushed face. Next morning fever was gone, felt a little weak. No treatment. Pt. states had same reaction after flu shot in 2010.