chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Autism, Speech disorder
Clinical narrative: Information has been received from a father concerning his 12 year old son who was vaccinated with a dose of varicella virus vaccine live. The patient's father reported that his son was diagnosed with autism as he went from talking to not talking for no specific reason. Unspecified medical attention was sought and at the time of this report, the outcome was unknown. The father also reported that his 8 year old son was also diagnosed with autism after being vaccinated with varicella virus vaccine live (WAES0502USA02737). Upon internal review, autism was considered to be an other important medical event (OMIC). No further information is available.
Age: 0.21
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Antisocial behaviour, Cerebral ischaemia, Crying, Infantile spasms
Clinical narrative: Infant cried inconsolably first 24 hours. Low fever (99-101) first five days. Regression of development and social withdrawal noticed within 24 hours. Infantile spasms first observed 14 days after vaccines and resulted in permanent developmental disability. 60 day follow up: Pt was diagnosed with Moyamoya disease this January, and underwent bilateral neurosurgeries in March. Her Moyamoya disease is the likely underlying cause of her seizures and delays. Her vaccines probably did not affect her underlying disorder, but perhaps the underlying problem made pt more sensitive to the Dpat and other vaccines. Information from medical records states cerebral circulation impairement. msv
Age: 0.21
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Neurodevelopmental disorder, Pyrexia
Clinical narrative: Infant cried inconsolably first 24 hours. Low fever (99-101) first five days. Regression of development and social withdrawal noticed within 24 hours. Infantile spasms first observed 14 days after vaccines and resulted in permanent developmental disability. 60 day follow up: Pt was diagnosed with Moyamoya disease this January, and underwent bilateral neurosurgeries in March. Her Moyamoya disease is the likely underlying cause of her seizures and delays. Her vaccines probably did not affect her underlying disorder, but perhaps the underlying problem made pt more sensitive to the Dpat and other vaccines. Information from medical records states cerebral circulation impairement. msv
Age: 0.05
Sex: M
Vaccine: HEP
Symptoms: Coma, Electroencephalogram abnormal
Clinical narrative: Child had 2-3 minute episodes of unresponsiveness approximately 6 hours after vaccination. EEG with non-focal slowing; MRI NL. Follow up:  This is an 18 day old male with no significant medical history, who was seen in ER last night after having an episode of unresponsiveness times 1 to 2 minutes. The pt was in mother's arms after being fed 15 minutes prior. Mother was holding the pt as he had his eyes open and just looking around. Then suddenly the pt closed his eyes and mother felt he became unresponsive. Mother was not able to get the pt to respond. Mother was touching pt face and rubbing his cheek, but he did not seem to respond by opening his eyes. Mother denies any cyanosis. Mother also states that she grabbed the pt's hand and was trying to get him to respond, but felt he did not respond by grabbing her hand. Mother also states that she did not see any chest movement and could not hear the pt breathing. Mother denies any jerking activity. The pt then awoke within 2 minutes per mother on his own and was acting as he normally does and was acting appropriately thereafter. Mother states that the pt returned to normal activity without any fatigue or drowsiness. The pt did not have any fecal or urinary incontinence. The pt was then seen in the clinic today for follow up of his ER visit from last night, and was admitted by his PCM for prolonged monitoring for this event. Mother states that the pt has had normal PO intake with atleast 8 wet diapers today, with no change in his bowel movements. The pt normal has frequent BMS during the day and stool are yellow in color. No fever, vomiting or diarrhea. There has been a sick contact with the pt's father who has a cough and sister who has rhinorrhea. However, the pt does not have any URI symptoms. Mother also denies any rash or lesions on the skin.  The pt was a term baby born via SVD with no complications. Mother was positive for GBS but treated with antibiotics during her labor. the pt was in the hospital for 24 hrs and then was able to go home thereafter.
Age: 59.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Medication error, Myalgia, Nasal congestion
Clinical narrative: This is a not serious spontaneous case from a consumer in the USA involving nasal congestion (labelled, USA). The reporter causality is not provided. A 58 year old male who received FluMist on 02/07/2005 from a public health center experienced nasal congestion anD muscle ache. A few hours after receiving the vaccine, the patient was informed by the public health center's administrator that he should not have gotten the FluMist because he was over the FDA approved age range. The patient recovered from symptoms on the same day he received the vaccine. According to the health center's administrator, submission of VAERS report for this incident will be initiated by their office as well.
Age: 59.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Medication error
Clinical narrative: This is a not serious spontaneous case from a consumer in the USA involving nasal congestion (labelled, USA). The reporter causality is not provided. A 58 year old male who received FluMist on 02/07/2005 from a public health center experienced nasal congestion anD muscle ache. A few hours after receiving the vaccine, the patient was informed by the public health center's administrator that he should not have gotten the FluMist because he was over the FDA approved age range. The patient recovered from symptoms on the same day he received the vaccine. According to the health center's administrator, submission of VAERS report for this incident will be initiated by their office as well.
Age: 26.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Drug ineffective, Influenza, Myalgia, Pyrexia
Clinical narrative: This is a non serious case from a health care professional in the USA involving cough (labeled,USA). The reporter causality is not provided. This case is submitted according to the VAERS Safety Surveillance accelerated reporting agreement for FluMist. A 26 year old female received FluMist in 10/2004. On 01/30/2005, the patient experienced cough, myalgia, and fever. She took the Quidel Flu test and was positive for Influenza A and B. The patient has not yet recovered. Follow up - 27Apr05 additional information received from the reporter: Lot number: 500335P and expiration date: 11May05
Age: 24.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Fatigue, Irritability, Nasal congestion, Rhinorrhoea, Sneezing
Clinical narrative: This is a non serious case from a consumer in the USA involving nasal congestion (labeled,USA). The reporter causality is not provided. An adult female received FluMist on 01/22/2005 and began to experience runny nose on 01/23/2005. On 01/24/2005, she experienced nasal congestion, sneezing and felt tired and irritable. It is unknown if the patient recovered from the reported symptoms. Information from missing data report states: several attempt to contact the reporter has failed and no further information is available.
Age: 24.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Irritability, Nasal congestion, Rhinorrhoea, Sneezing
Clinical narrative: This is a non serious case from a consumer in the USA involving nasal congestion (labeled,USA). The reporter causality is not provided. An adult female received FluMist on 01/22/2005 and began to experience runny nose on 01/23/2005. On 01/24/2005, she experienced nasal congestion, sneezing and felt tired and irritable. It is unknown if the patient recovered from the reported symptoms. Information from missing data report states: several attempt to contact the reporter has failed and no further information is available.
Age: 39.0
Sex: M
Vaccine: FLUN3
Symptoms: Chills, Movement disorder, Myalgia, Pain, Pyrexia
Clinical narrative: MEDI-0002780 is not a serious spontaneous case from a consumer in the USA of involving muscle ache:(labeled, USA). The reporter causality is not provided to FluMist. Case reference MEDI0002780 is a spontaneous case report sent by a consumer that refers to a male age 38 years. The patient's past medical history included rosacea. He received FluMist on 01/22/2005 at 9:00 in the morning. The patients concomitant medication included multivitamins. When the patient awoke at 5:30 in the morning of 01/023/2005, the patient had difficulty getting out of bed due to muscle ache and pain. By the afternoon the patient had a fever of 103 degrees Fahrenheit, chills, and a runny nose. The patient received acetaminophen for treatment. As of 01/24/2005 the events had not resolved.
Age: 39.0
Sex: M
Vaccine: FLUN3
Symptoms: Rhinorrhoea
Clinical narrative: MEDI-0002780 is not a serious spontaneous case from a consumer in the USA of involving muscle ache:(labeled, USA). The reporter causality is not provided to FluMist. Case reference MEDI0002780 is a spontaneous case report sent by a consumer that refers to a male age 38 years. The patient's past medical history included rosacea. He received FluMist on 01/22/2005 at 9:00 in the morning. The patients concomitant medication included multivitamins. When the patient awoke at 5:30 in the morning of 01/023/2005, the patient had difficulty getting out of bed due to muscle ache and pain. By the afternoon the patient had a fever of 103 degrees Fahrenheit, chills, and a runny nose. The patient received acetaminophen for treatment. As of 01/24/2005 the events had not resolved.
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site oedema
Clinical narrative: Patient developed a permanent soft tissue swelling approximately 15mm diameter round indurated mass at site of injection both 11/19/03 and 10/13/2004. The lesion developed about 3 weeks post injection. Follow up report received 03/16/2005:  Checked with Allergist, no treatment, no sure about vaccine next year.
Age: 34.0
Sex: M
Vaccine: FLUN3
Symptoms: Unevaluable event
Clinical narrative: None reported.
Age: 38.0
Sex: M
Vaccine: FLUN3
Symptoms: Sinusitis
Clinical narrative: Sinusitis for 2 days. Treated with Entex, Tessalon Perles and Zithromax.
Age: 21.0
Sex: M
Vaccine: FLUN3
Symptoms: Pharyngitis
Clinical narrative: Patient has pharyngitis, treated with Entex and Amoxicillin.
Age: 31.0
Sex: F
Vaccine: FLUN3
Symptoms: Nasal congestion
Clinical narrative: On 02/26/05, patient experienced a stuffy nose, congestion but no fever. Given Tylenol. Symptoms continued and she stayed home from work. Saw physician on 03/01/05, who gave her a script for Pannaz and Robitussin AC (not filled yet).
Age: 1.04
Sex: F
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Injection site erythema
Clinical narrative: At 5:30, noted local redness reaction at injection site. Treated with an ice pack. NP checked lungs they were clear. Redness of skin over right leg and over varicella injection site of left leg. Also redness of arms. Tylenol given, redness subsided and child was afebrile.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Hypoaesthesia, Laboratory test abnormal, Neuropathy peripheral
Clinical narrative: Patient went to his primary care physician. He had blood test done. He was referred to a neurologist and had an EMG completed. He was diagnosed with peripheral neuropathy. He had numbness to fingers in both hands.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Demyelination, Polyneuropathy
Clinical narrative: Patient went to his primary care physician. He had blood test done. He was referred to a neurologist and had an EMG completed. He was diagnosed with peripheral neuropathy. He had numbness to fingers in both hands.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Asthenia, Blister, Blood product transfusion, Blood test normal, Demyelination
Clinical narrative: Patient went to his primary care physician. He had blood test done. He was referred to a neurologist and had an EMG completed. He was diagnosed with peripheral neuropathy. He had numbness to fingers in both hands.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Difficulty in walking, Electromyogram abnormal, Fatigue, HIV test negative, Hypersensitivity
Clinical narrative: Patient went to his primary care physician. He had blood test done. He was referred to a neurologist and had an EMG completed. He was diagnosed with peripheral neuropathy. He had numbness to fingers in both hands.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Hypoaesthesia, Lethargy, Lumbar puncture, Motor dysfunction, Neuropathy
Clinical narrative: Patient went to his primary care physician. He had blood test done. He was referred to a neurologist and had an EMG completed. He was diagnosed with peripheral neuropathy. He had numbness to fingers in both hands.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Neuropathy peripheral, Paraesthesia, Peroneal nerve palsy, Pruritus, Skin exfoliation
Clinical narrative: Patient went to his primary care physician. He had blood test done. He was referred to a neurologist and had an EMG completed. He was diagnosed with peripheral neuropathy. He had numbness to fingers in both hands.
Age: 53.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Urine analysis
Clinical narrative: Patient went to his primary care physician. He had blood test done. He was referred to a neurologist and had an EMG completed. He was diagnosed with peripheral neuropathy. He had numbness to fingers in both hands.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Severe local vaccine reaction.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: While showering on 03/03/05, mother noted child's right deltoid to be red, hard, hot and possibly swollen. Took child to the ER where she was diagnosed with cellulitis and given Keflex 250 mg for 7day, also told to use frequent warm compresses. Child is moving limb without pain or restriction.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Rash pruritic, Urticaria
Clinical narrative: At 8:15 second hepatitis B injection given. Child left clinic with no problem. 10 AM, mom called saying at 9:45 he had eaten 4 pieces of chocolate candy and now had "hives on neck and chest. No difficulty breathing or swallowing. At 10:30 child was taken back to clinic. Had flat red rash on neck, cheeks, upper back, chest and upper part of both arms. Rash is itchy. Patient evaluated, rash resolved.
Age: 1.12
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Coma, Crying, Sleep disorder, Vomiting
Clinical narrative: Father reports child awoke crying at 4:30 A.M. and again at 5:30 A.M which is unusual for child. Each time he went back to sleep. Child vomited at 6:30 A.M. and was put back to bed. Father called center at 9:30 A.m. because he is unable to arouse or awaken child. Center instructed him to call childs DMD now. Father reports child does not have a fever and his breathing appears normal.
Age: 5.0
Sex: M
Vaccine: DTP, IPV
Symptoms: Injection site mass, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: Left deltoid warm, hard, swollen on 03/01/2005 at night after DTAP given in left deltoid. Red area 11.5 cm x 10cm. Patient has full range of motion and complains of site itching but not painful. Fever last night but temperature at 05:15 was 98.3 degrees Fahrenheit. No treatment necessary per MD. She recovered when left office.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Body temperature increased, Cough, Headache, Joint stiffness
Clinical narrative: Pt had mild probable viral illness with cough and low grade fever and requested Td booster. Was given booster in early afternoon, then in evening started having joint pain, burning, stiffness, and headache-intense and fever 102-103 degrees Fahrenheit. Called clinic at 8:30 am on 03/02/2005 and was sent to PCP or ER PRN.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Thermal burn, Viral infection
Clinical narrative: Pt had mild probable viral illness with cough and low grade fever and requested Td booster. Was given booster in early afternoon, then in evening started having joint pain, burning, stiffness, and headache-intense and fever 102-103 degrees Fahrenheit. Called clinic at 8:30 am on 03/02/2005 and was sent to PCP or ER PRN.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Immediately DTaP site turned red, patient pale(02/25-suggested Benadryl) 24 hours later arm hard and red from shoulder to elbow. Taken to ER and given steroid shot and Benadryl (02/26/2005). To ER, given prednisone x4 days and to continue Benadryl. 02/27/2005. Called again on 03/02/2005-arm slightly pink, feeling good.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site haemorrhage, Injection site warmth, Oedema
Clinical narrative: 5 year old received routine vaccines on 03/01/2005. She had DTaP and IPV in left arm and MMR in right arm. Evening of vacciations pt had warmth and swelling locally to arms 03/02/2005 pt was examined and noted warm, erythema, local reaction at one site of left upper arm and a 1 1/2cm ecchymosis at second site of left upper arm. 03/03/2005 pt returned to office with a 9x9cm warm tender erythematous left arm and ecchymosis was unchanged. Patient was started on Keflex antibiotics for cellullitis.
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Discomfort, Injection site erythema, Injection site swelling
Clinical narrative: Mom states redness and swelling in right thigh started within 4-6 hours after vaccine administered. Applied ice packs, tried soothing bath. Spoke with this office on 03/02/2005, advised warm compresses 4-5x per day. Motrin for discomfort.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Post vaccine varicella (04/11/2001 and 05/26/2004) 01/19/2005 presented with a rash in the groin area x 4 days.
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Drug ineffective
Clinical narrative: 02/20/2005- Rash started at night. 02/21/2005 went to MD's office and diagnosed with chicken pox. Vaccine Failure.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Abnormal behaviour, Body temperature increased, Emotional disorder, Mood altered
Clinical narrative: Mom reports she noticed a change in pt's behavior starting the evening of 01/27/2005. Pt was withdrawn, quiet, clingy, and needy. Per mom, he stopped liking daycare and would have fit over going to daycare. Mom states he felt warm for about 1 week. No temp was taken. Tylenol was given with minimal relief. Behavioral changes lasted for 3 weeks and mom noticed on 02/19 Pt was back to normal self.
Age: 43.0
Sex: F
Vaccine: HEPAB, TD
Symptoms: Asthenia, Fatigue, Injection site pain, Myalgia, Pyrexia
Clinical narrative: 01/26/2004: t/c from client reported she had some initial right deltoid soreness after Twinrix shot. That lasted 1 day. 10 days later on 01/21/2005 client noticed a deep muscle pain occurring in right deltoid area. Also felt mildly feverish, weak, and tired. No other symtoms. Advised client measures including cold/head compresses and pain reliever and will f/u with client in one week. 02/08/2005: t/c to client. Client stated arm is better now.
Sex: F
Vaccine: HEPA, TYP
Symptoms: Erythema, Hypersensitivity, Pruritus, Rash, Rash maculo-papular
Clinical narrative: Patient experienced itching evening of 021/16/2005 and believes itching began prior to her taking first dose of oral typhoid around 9:00 P.M. ? Approximately 10:00 P.M. Patient went into bathroom and noticed she had full body rash on trunk, legs,and arms. Rash was red, raised, and bumpy. Face was reddened. No respiratory involvement. Patient took Claritin and  Allegra with relief. Thinks rash may be due to Hep A. Pt states she ate but for dinner that evening at Depot Restaurant, had a tuna dish, Pt reported she has lots of allergies (certain drugs, food, and animals). Patient has Epi Pen kit at home. Advised client to take a dose of Claritin prior to her taking 2nd dose of oral typhoid this evening as a precautionary measure to contact MD and health department if additional symptoms develop or rash reoccurs. Will follow up with client on 02/22/2005. 02/22/2005 telephone call to patient, Rash is much better and pt had no difficulty taking additional dose of typhoid. Patient states she will premedicate with Benadryl prior to taking booster Hep A vaccination in 6-12months. D. Shneider, RN. MTO502
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective
Clinical narrative: Varicella exanthem. Symptomatic treatment.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 02/12 developed fever, redness, swelling at injection site. Right thigh, which persisted through 02/14/2005
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Swollen red area circling upper left arm. Pt stated was very painful. Dr. prescribed a Medrol Dosepak and Benadryl.
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: 3 hours of uncontrollable, inconsolable crying. Afebrile. No local reaction.
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Papules form head to toe no blistering, with scarring (pt seen in office 1 week after onset of rash)
Age: 49.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness, Headache, Hyperhidrosis, Nausea
Clinical narrative: Patient received Rabivert(rabies) #1 on 01/26/2005 and developed sweaty, dizzy, nausea and headache after first dose. All symptoms resolved within 24 hours except for the headache. RabiVert #2 administered on 02/02/2005-persistant headache. Evaluation by MD, all lab work negative moderate persisitant headache. new mild persistant headache has 2-4 headache free but still has them daily, neuro exam-negative. Follow up report received on 04/06/2005:  Patient continues to have daily intermittent headaches - feels 50% improvement.  He has seen his primary care physician who has noted out of other etio.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Nasopharyngitis, Rash vesicular
Clinical narrative: Patient began with onset of cold symptoms which 3-4 days later progressed to a rash on the trunk of the body with blister like centers.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia, Screaming, Somnolence, Urticaria
Clinical narrative: Cranky, crying, sleepy that afternoon. Very pale 5-6:00 P.M.. Slept during the night: woke up with temperature of 99.0 degrees Fahrenheit, vomitted 2-3 times, uncontrollable crying for 2 1/2 hours, then noticed the patient had hives. Then taken to the emergency room.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: Cranky, crying, sleepy that afternoon. Very pale 5-6:00 P.M.. Slept during the night: woke up with temperature of 99.0 degrees Fahrenheit, vomitted 2-3 times, uncontrollable crying for 2 1/2 hours, then noticed the patient had hives. Then taken to the emergency room.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling at vaccine administration site. 9cm
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Rash, Skin ulcer
Clinical narrative: Rash of body, scattered, lesion on lip, back and torso, vesicular lesion on lip. No Tx.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: 5x6 cm oval red
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site rash, Rash macular, Rash papular
Clinical narrative: Rash at site (expected), large bright red rash macular in appearance 6 inches on abdomen (sunburn like in appearance) which started 24 hrs after immunization. Few papules elsewhere.
Age: 0.86
Sex: F
Vaccine: HBHEPB, IPV
Symptoms: Decreased appetite, Hypokinesia, Insomnia
Clinical narrative: Not sleeping, decreased appetite and lowered activity.
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective
Clinical narrative: Chicken Pox 02/19/2005
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Swelling, redness, itching around injection site. Symptoms relieved with Benadryl.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Dry skin, Pyrexia, Rash papular
Clinical narrative: Fever began 2/23/05 then discrete itchy pink papules developed over torso, arms, buttocks, groin, scalp, legs, neck. 2 small spots had crusted. Photo documentation in chart also.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site mass, Urticaria
Clinical narrative: Tennis ball size welt with hard knot, hot to touch.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash papular, Rash vesicular
Clinical narrative: Vesiculopapular rash 12 days after vaccine.
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash papular
Clinical narrative: Rash-vesicular papules. 2 weeks later.
Age: 0.07
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site rash, Pyrexia
Clinical narrative: RASH ON LEFT LEG, RIGHT LEG, AND LEFT ARM. RASH IS ON THE SITE OF INJECTIONS GIVEN. FEVER FOR 2 DAYS AFTER VACCINE GIVEN. NO TEMPERATURE WAS RECORDED.
Age: 42.0
Sex: F
Vaccine: MEN, YF
Symptoms: Injection site swelling, Injection site warmth, Pruritus, Skin burning sensation
Clinical narrative: Patient called and stated that after she took yellow fever vaccine on 3/2/05, she started with itching and burning at injection site. Was swollen and hot to touch on 3/3/05-3/6/05. Patient had yellow fever vaccine given in that arem Rt. arm. Advised to f/u with pmd.
Age: 0.6
Sex: F
Vaccine: VARCEL
Symptoms: Agitation, Candidiasis, Cough, Dehydration, Hypoxia
Clinical narrative: Rectal fever 101.7; uncontrolled by Tylenol and Motrin.  Refusal to eat.  Unconsolable crying and deep cough.  Immunosuppression due to existing illness. Given IV fluids, oxygen, Xopenex, and Pulmicort. Information from discharge summary states dehydration, thrush, hypoxia.
Age: 0.6
Sex: F
Vaccine: VARCEL
Symptoms: Laboratory test abnormal, Oral intake reduced, Pyrexia
Clinical narrative: Rectal fever 101.7; uncontrolled by Tylenol and Motrin.  Refusal to eat.  Unconsolable crying and deep cough.  Immunosuppression due to existing illness. Given IV fluids, oxygen, Xopenex, and Pulmicort. Information from discharge summary states dehydration, thrush, hypoxia.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Amnesia, Arthralgia, Asthenia, Blood test, Disturbance in attention
Clinical narrative: AFTER FIRST HEPATITIS B VACCINE HAD FATIGUE AND RIGHT ARM SORE. 13 DAYS AFTER SECOND VACCINE HAD RIGHT SHOULDER AND NECK PAIN,EXTREME FATIGUE, HEADACHE, WEAKNESS, TREMOR, VISION DIFFICULTY, SWALLOWING PROBLEMS, JOINT PAIN MORNING STIFFNESS, FACIAL NUMBNESS, MEMORY LOSS, DIFFICULTY CONCENTRATING, BURNING FOOT PAIN, FREQUENT NIGHT URINATION, DRY EYES/MOUTH. 60 Day follow up: Chronic fatigue, joint pain, stiffness, chest pain, rib cage tender, lack of concentration, forgetfulness, irritable bowel/bladder, numbness hands/feet, sensitive to heat, odors, noises, bright lights and touch. Dry eyes, skin and mouth. Out of work going on 8 months. Per the follow up report-Patient states, "I have worked hard all my life as a Navy diver and then as supervisor for County Jailed inmates. I am not a quitter and have a very positive attitude. I take each day as it comes. I have seen 4 Rheumatologists, an immunologist, an Neurologist, an Neurosurgeon and my MD. All suspect that the Hepatitis B vaccine I received due to working with inmates was the cause of the fibromyalgia. The pain and fatigue are very severe. While in the Navy as a Diver, were subjected to extreme pain and fatigue. Everyday I experience muscle stiffness, weakness, spasms, twitches, cramps, pain widespread, overall weakness, tender points, exercise intolerance, Paradoxical breathing, Parethesia, malaise, breast pain and tenderness, headache, facial jaw pain, impaired coordination, lack of hand/eye coordination, dropping things unexpectedly, bumping into things, night sweats, fingernails split and break easily. There are no 1/2 moon on the lower part of my nails and vertical ridges on them, dry eyes and mouth, tinnitus, dizzines, difficulty swallowing, nausea, diarrhea, sensitive skin, blurred vision, hypersensitivity, ultra sensitive skin, heat, odors, bright lights, sound, orders, loss of short term memory, inability to concentrate, absentmindedness, impaired thinking, easily distracted, inablitly to comprehend written or spoken words, decision making problems, calculation difficulties. Thank you for your time and consideration.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Dry eye, Dry mouth, Dysphagia, Fatigue, Headache
Clinical narrative: AFTER FIRST HEPATITIS B VACCINE HAD FATIGUE AND RIGHT ARM SORE. 13 DAYS AFTER SECOND VACCINE HAD RIGHT SHOULDER AND NECK PAIN,EXTREME FATIGUE, HEADACHE, WEAKNESS, TREMOR, VISION DIFFICULTY, SWALLOWING PROBLEMS, JOINT PAIN MORNING STIFFNESS, FACIAL NUMBNESS, MEMORY LOSS, DIFFICULTY CONCENTRATING, BURNING FOOT PAIN, FREQUENT NIGHT URINATION, DRY EYES/MOUTH. 60 Day follow up: Chronic fatigue, joint pain, stiffness, chest pain, rib cage tender, lack of concentration, forgetfulness, irritable bowel/bladder, numbness hands/feet, sensitive to heat, odors, noises, bright lights and touch. Dry eyes, skin and mouth. Out of work going on 8 months. Per the follow up report-Patient states, "I have worked hard all my life as a Navy diver and then as supervisor for County Jailed inmates. I am not a quitter and have a very positive attitude. I take each day as it comes. I have seen 4 Rheumatologists, an immunologist, an Neurologist, an Neurosurgeon and my MD. All suspect that the Hepatitis B vaccine I received due to working with inmates was the cause of the fibromyalgia. The pain and fatigue are very severe. While in the Navy as a Diver, were subjected to extreme pain and fatigue. Everyday I experience muscle stiffness, weakness, spasms, twitches, cramps, pain widespread, overall weakness, tender points, exercise intolerance, Paradoxical breathing, Parethesia, malaise, breast pain and tenderness, headache, facial jaw pain, impaired coordination, lack of hand/eye coordination, dropping things unexpectedly, bumping into things, night sweats, fingernails split and break easily. There are no 1/2 moon on the lower part of my nails and vertical ridges on them, dry eyes and mouth, tinnitus, dizzines, difficulty swallowing, nausea, diarrhea, sensitive skin, blurred vision, hypersensitivity, ultra sensitive skin, heat, odors, bright lights, sound, orders, loss of short term memory, inability to concentrate, absentmindedness, impaired thinking, easily distracted, inablitly to comprehend written or spoken words, decision making problems, calculation difficulties. Thank you for your time and consideration.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Hypoaesthesia, Musculoskeletal stiffness, Neck pain, Nuclear magnetic resonance imaging brain, Pain
Clinical narrative: AFTER FIRST HEPATITIS B VACCINE HAD FATIGUE AND RIGHT ARM SORE. 13 DAYS AFTER SECOND VACCINE HAD RIGHT SHOULDER AND NECK PAIN,EXTREME FATIGUE, HEADACHE, WEAKNESS, TREMOR, VISION DIFFICULTY, SWALLOWING PROBLEMS, JOINT PAIN MORNING STIFFNESS, FACIAL NUMBNESS, MEMORY LOSS, DIFFICULTY CONCENTRATING, BURNING FOOT PAIN, FREQUENT NIGHT URINATION, DRY EYES/MOUTH. 60 Day follow up: Chronic fatigue, joint pain, stiffness, chest pain, rib cage tender, lack of concentration, forgetfulness, irritable bowel/bladder, numbness hands/feet, sensitive to heat, odors, noises, bright lights and touch. Dry eyes, skin and mouth. Out of work going on 8 months. Per the follow up report-Patient states, "I have worked hard all my life as a Navy diver and then as supervisor for County Jailed inmates. I am not a quitter and have a very positive attitude. I take each day as it comes. I have seen 4 Rheumatologists, an immunologist, an Neurologist, an Neurosurgeon and my MD. All suspect that the Hepatitis B vaccine I received due to working with inmates was the cause of the fibromyalgia. The pain and fatigue are very severe. While in the Navy as a Diver, were subjected to extreme pain and fatigue. Everyday I experience muscle stiffness, weakness, spasms, twitches, cramps, pain widespread, overall weakness, tender points, exercise intolerance, Paradoxical breathing, Parethesia, malaise, breast pain and tenderness, headache, facial jaw pain, impaired coordination, lack of hand/eye coordination, dropping things unexpectedly, bumping into things, night sweats, fingernails split and break easily. There are no 1/2 moon on the lower part of my nails and vertical ridges on them, dry eyes and mouth, tinnitus, dizzines, difficulty swallowing, nausea, diarrhea, sensitive skin, blurred vision, hypersensitivity, ultra sensitive skin, heat, odors, bright lights, sound, orders, loss of short term memory, inability to concentrate, absentmindedness, impaired thinking, easily distracted, inablitly to comprehend written or spoken words, decision making problems, calculation difficulties. Thank you for your time and consideration.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Pain in extremity, Photophobia, Pollakiuria, Shoulder pain, Tremor
Clinical narrative: AFTER FIRST HEPATITIS B VACCINE HAD FATIGUE AND RIGHT ARM SORE. 13 DAYS AFTER SECOND VACCINE HAD RIGHT SHOULDER AND NECK PAIN,EXTREME FATIGUE, HEADACHE, WEAKNESS, TREMOR, VISION DIFFICULTY, SWALLOWING PROBLEMS, JOINT PAIN MORNING STIFFNESS, FACIAL NUMBNESS, MEMORY LOSS, DIFFICULTY CONCENTRATING, BURNING FOOT PAIN, FREQUENT NIGHT URINATION, DRY EYES/MOUTH. 60 Day follow up: Chronic fatigue, joint pain, stiffness, chest pain, rib cage tender, lack of concentration, forgetfulness, irritable bowel/bladder, numbness hands/feet, sensitive to heat, odors, noises, bright lights and touch. Dry eyes, skin and mouth. Out of work going on 8 months. Per the follow up report-Patient states, "I have worked hard all my life as a Navy diver and then as supervisor for County Jailed inmates. I am not a quitter and have a very positive attitude. I take each day as it comes. I have seen 4 Rheumatologists, an immunologist, an Neurologist, an Neurosurgeon and my MD. All suspect that the Hepatitis B vaccine I received due to working with inmates was the cause of the fibromyalgia. The pain and fatigue are very severe. While in the Navy as a Diver, were subjected to extreme pain and fatigue. Everyday I experience muscle stiffness, weakness, spasms, twitches, cramps, pain widespread, overall weakness, tender points, exercise intolerance, Paradoxical breathing, Parethesia, malaise, breast pain and tenderness, headache, facial jaw pain, impaired coordination, lack of hand/eye coordination, dropping things unexpectedly, bumping into things, night sweats, fingernails split and break easily. There are no 1/2 moon on the lower part of my nails and vertical ridges on them, dry eyes and mouth, tinnitus, dizzines, difficulty swallowing, nausea, diarrhea, sensitive skin, blurred vision, hypersensitivity, ultra sensitive skin, heat, odors, bright lights, sound, orders, loss of short term memory, inability to concentrate, absentmindedness, impaired thinking, easily distracted, inablitly to comprehend written or spoken words, decision making problems, calculation difficulties. Thank you for your time and consideration.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Urine analysis, Visual disturbance
Clinical narrative: AFTER FIRST HEPATITIS B VACCINE HAD FATIGUE AND RIGHT ARM SORE. 13 DAYS AFTER SECOND VACCINE HAD RIGHT SHOULDER AND NECK PAIN,EXTREME FATIGUE, HEADACHE, WEAKNESS, TREMOR, VISION DIFFICULTY, SWALLOWING PROBLEMS, JOINT PAIN MORNING STIFFNESS, FACIAL NUMBNESS, MEMORY LOSS, DIFFICULTY CONCENTRATING, BURNING FOOT PAIN, FREQUENT NIGHT URINATION, DRY EYES/MOUTH. 60 Day follow up: Chronic fatigue, joint pain, stiffness, chest pain, rib cage tender, lack of concentration, forgetfulness, irritable bowel/bladder, numbness hands/feet, sensitive to heat, odors, noises, bright lights and touch. Dry eyes, skin and mouth. Out of work going on 8 months. Per the follow up report-Patient states, "I have worked hard all my life as a Navy diver and then as supervisor for County Jailed inmates. I am not a quitter and have a very positive attitude. I take each day as it comes. I have seen 4 Rheumatologists, an immunologist, an Neurologist, an Neurosurgeon and my MD. All suspect that the Hepatitis B vaccine I received due to working with inmates was the cause of the fibromyalgia. The pain and fatigue are very severe. While in the Navy as a Diver, were subjected to extreme pain and fatigue. Everyday I experience muscle stiffness, weakness, spasms, twitches, cramps, pain widespread, overall weakness, tender points, exercise intolerance, Paradoxical breathing, Parethesia, malaise, breast pain and tenderness, headache, facial jaw pain, impaired coordination, lack of hand/eye coordination, dropping things unexpectedly, bumping into things, night sweats, fingernails split and break easily. There are no 1/2 moon on the lower part of my nails and vertical ridges on them, dry eyes and mouth, tinnitus, dizzines, difficulty swallowing, nausea, diarrhea, sensitive skin, blurred vision, hypersensitivity, ultra sensitive skin, heat, odors, bright lights, sound, orders, loss of short term memory, inability to concentrate, absentmindedness, impaired thinking, easily distracted, inablitly to comprehend written or spoken words, decision making problems, calculation difficulties. Thank you for your time and consideration.
Age: 0.75
Sex: M
Vaccine: HEP
Symptoms: Drug toxicity, Mental retardation severity unspecified, Neurological symptom, Speech disorder, Thinking abnormal
Clinical narrative: This case was reported by a lawyer and described the occurrence of delayed speech in a 32 month old male patient who received Hepatitis B vaccine recombinant injection for prophylaxis. The patient's past medical history included adenoidectomy, bilateral tympanoplasty and recurrent ear infections. On previous exposure, Engerix B was well tolerated. On 2/15/00 the patient received the third dose of Engerix B. Approximately 24 months after receiving Engerix B, an attorney alleged that the patient experienced delayed speech and cognitive retardation. Other vaccinations given included Acel-Imune, Hib-TITER, IPOL, MMR II Vaccine, Varivax, and concurrent doses of Engerix B. The outcome of the events is unknown. Legal complaint received on 2/21/05 indicated that the child suffered mercury poisoning subsequent to receiving vaccinations. It was also noted that in addition, the patient was exposed to highly toxic emissions from a medical center and power company in the environmental zone of his residence which contributed to the total dose of poisonous mercury. The complaint stated that the patient suffers now, and in the future will continue to suffer, from the toxic neurological effects of mercury poisoning. The event of mercury poisoning was considered to be medically significant (OMIC). Note: The lot numbers provided in the source documents for the 5/28/99 and 7/12/99 doses of Engerix B are not valid lot numbers.
Age: 51.0
Sex: M
Vaccine: HEP, HEPA, TTOX, HEP, HEPA, TD
Symptoms: Arthralgia, Hypoaesthesia, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Through job, received tetanus and Hep A and B. Two days later, left arm swelled, 3 fingers numb, shooting pain. Went to Dr, prescribed Tylenol w/ codeine, cephalexin. On 3/5/05 went to ER, prescribed Cyclobenzaprine and Hydrocortisone/APAP. Pain still in left arm and shoulder. Tetanus received in left arm.
Age: 51.0
Sex: M
Vaccine: HEP, HEPA, TTOX, HEP, HEPA, TD
Symptoms: Demyelination, Erythema induratum, Injection site hypersensitivity, Injection site induration, Neuropathy
Clinical narrative: Through job, received tetanus and Hep A and B. Two days later, left arm swelled, 3 fingers numb, shooting pain. Went to Dr, prescribed Tylenol w/ codeine, cephalexin. On 3/5/05 went to ER, prescribed Cyclobenzaprine and Hydrocortisone/APAP. Pain still in left arm and shoulder. Tetanus received in left arm.
Age: 51.0
Sex: M
Vaccine: HEP, HEPA, TTOX, HEP, HEPA, TD
Symptoms: Pain, Paraesthesia
Clinical narrative: Through job, received tetanus and Hep A and B. Two days later, left arm swelled, 3 fingers numb, shooting pain. Went to Dr, prescribed Tylenol w/ codeine, cephalexin. On 3/5/05 went to ER, prescribed Cyclobenzaprine and Hydrocortisone/APAP. Pain still in left arm and shoulder. Tetanus received in left arm.
Age: 1.27
Sex: M
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right thigh swollen and red.
Age: 0.77
Sex: M
Vaccine: PNC
Symptoms: Injection site rash
Clinical narrative: Mild rash on left thigh where injection was administered.
Age: 1.46
Sex: M
Vaccine: DTAP, HIBV, MMR, OPV
Symptoms: Abnormal behaviour, Agitation, Aphasia, Autism, Drug abuser
Clinical narrative: Blood in stool, fever, red, peeling feet. High pitched screaming, erratic behavior. Cold with bad congestion. Treatment: antibiotics. Beginning symptoms 1/6/93 through first week of February 1993, but screaming and erratic behavior continued 1 year and longer for behavior. 60 Day follow up: severe autism. Pt held his head in pain for 2-3 yrs after vaccine reaction, he lost speech, behavior has now worsened since he was admitted as a placement for his own good, he almost died from abusive treatment including starving him. We have tried various lawyers suggested by government who gave us run around regarding compensation for injury. We would like Pt home but need financial assistance.  Information recieved from Medical record states headache, otitis, behavior problems, agitation. msv Information from second medical record states self abusing, retareation, autism, allergy reaction. msv
Age: 1.46
Sex: M
Vaccine: DTAP, HIBV, MMR, OPV
Symptoms: Erythema, Haematochezia, Headache, High-pitched crying, Hypersensitivity
Clinical narrative: Blood in stool, fever, red, peeling feet. High pitched screaming, erratic behavior. Cold with bad congestion. Treatment: antibiotics. Beginning symptoms 1/6/93 through first week of February 1993, but screaming and erratic behavior continued 1 year and longer for behavior. 60 Day follow up: severe autism. Pt held his head in pain for 2-3 yrs after vaccine reaction, he lost speech, behavior has now worsened since he was admitted as a placement for his own good, he almost died from abusive treatment including starving him. We have tried various lawyers suggested by government who gave us run around regarding compensation for injury. We would like Pt home but need financial assistance.  Information recieved from Medical record states headache, otitis, behavior problems, agitation. msv Information from second medical record states self abusing, retareation, autism, allergy reaction. msv
Age: 1.46
Sex: M
Vaccine: DTAP, HIBV, MMR, OPV
Symptoms: Injury, Mental retardation severity unspecified, Nasal congestion, Otitis media, Pharyngitis
Clinical narrative: Blood in stool, fever, red, peeling feet. High pitched screaming, erratic behavior. Cold with bad congestion. Treatment: antibiotics. Beginning symptoms 1/6/93 through first week of February 1993, but screaming and erratic behavior continued 1 year and longer for behavior. 60 Day follow up: severe autism. Pt held his head in pain for 2-3 yrs after vaccine reaction, he lost speech, behavior has now worsened since he was admitted as a placement for his own good, he almost died from abusive treatment including starving him. We have tried various lawyers suggested by government who gave us run around regarding compensation for injury. We would like Pt home but need financial assistance.  Information recieved from Medical record states headache, otitis, behavior problems, agitation. msv Information from second medical record states self abusing, retareation, autism, allergy reaction. msv
Age: 1.46
Sex: M
Vaccine: DTAP, HIBV, MMR, OPV
Symptoms: Pyrexia, Rhinitis, Screaming, Skin exfoliation
Clinical narrative: Blood in stool, fever, red, peeling feet. High pitched screaming, erratic behavior. Cold with bad congestion. Treatment: antibiotics. Beginning symptoms 1/6/93 through first week of February 1993, but screaming and erratic behavior continued 1 year and longer for behavior. 60 Day follow up: severe autism. Pt held his head in pain for 2-3 yrs after vaccine reaction, he lost speech, behavior has now worsened since he was admitted as a placement for his own good, he almost died from abusive treatment including starving him. We have tried various lawyers suggested by government who gave us run around regarding compensation for injury. We would like Pt home but need financial assistance.  Information recieved from Medical record states headache, otitis, behavior problems, agitation. msv Information from second medical record states self abusing, retareation, autism, allergy reaction. msv
Age: 6.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Oedema, Pyrexia
Clinical narrative: Fever 102 x 3d with arm swelling
Age: 3.0
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Right leg was red, swollen, painful to touch. Pt was put on Augmentin, and told to f/u in 2-3 days.
Age: 84.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Anaphylactic reaction, Apnoea, Cardiac arrest, Coma, Hyperglycaemia
Clinical narrative: Approximately 15-25 seconds after administration, patient said she felt sick, then bent over and went unconscious. We laid her on floor, elevated legs while another called 911. She was able to take some breaths when prompted. We attempted CPR. Little to no pulse. Paramedics arrived within approximately 5 minutes. They administered epinephrine several times. At that point, I was no longer in room while EMT's worked.
Age: 84.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Hypokalaemia, Leukocytosis, Liver function test abnormal, Myocardial infarction, Oedema peripheral
Clinical narrative: Approximately 15-25 seconds after administration, patient said she felt sick, then bent over and went unconscious. We laid her on floor, elevated legs while another called 911. She was able to take some breaths when prompted. We attempted CPR. Little to no pulse. Paramedics arrived within approximately 5 minutes. They administered epinephrine several times. At that point, I was no longer in room while EMT's worked.
Age: 84.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Pneumonia, Stupor, Tongue oedema, Ventricular fibrillation
Clinical narrative: Approximately 15-25 seconds after administration, patient said she felt sick, then bent over and went unconscious. We laid her on floor, elevated legs while another called 911. She was able to take some breaths when prompted. We attempted CPR. Little to no pulse. Paramedics arrived within approximately 5 minutes. They administered epinephrine several times. At that point, I was no longer in room while EMT's worked.
Age: 84.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Dyspnoea, Loss of consciousness, Malaise, Pulse absent
Clinical narrative: Approximately 15-25 seconds after administration, patient said she felt sick, then bent over and went unconscious. We laid her on floor, elevated legs while another called 911. She was able to take some breaths when prompted. We attempted CPR. Little to no pulse. Paramedics arrived within approximately 5 minutes. They administered epinephrine several times. At that point, I was no longer in room while EMT's worked.
Age: 0.55
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Irritability, Laboratory test abnormal, Oral intake reduced, Pyrexia
Clinical narrative: PROLONGED FEVERS >102°F DAILY FOR 4 DAYS FOLLOWING VACCINATION.  EXTREME FUSSINESS, DECREASED ORAL INTAKE.  NO EVIDENCE OF OTHER SYMPTOMS TO EXPLAIN FEVER & FUSSINESS.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site discolouration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received DaPT morning of 03/01/05 in right deltoid.  Around 18:30pm, parents noticed non-painful redness and swelling upper arm area.  He was rechecked and I found him to be in no distress.  He had an area of blanching erythema and mild warmth consistent with urticarial reaction.  He was treated with Benadryl and cold compresses and had no further problems.