chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Local swelling, Pyrexia
Clinical narrative: This spontaneous report as received from a physician via a company representative refers to a 7 year old female patient with asthma and drug reactions/allergies to morphine (manufacturer and dose/frequency unknown). The patient's medical history included previous case of pneumonia. On 04-OCT-2013, the patient was vaccinated with PNEUMOVAX23 lot # H015780 exp date 11-JUN-2014, in the right arm (dose and route not reported). On 04-OCT-2013, concomitantly was vaccinated with FLUZONE 0.5 ml, in the right arm, with different injection sites. On 04-OCT-2013, the patient mother called the physician and stated that her daughter's arm was swollen. The physician advised to ice the arm and take MOTRIN (unspecified dose and frequency). On 06-OCT-2013, the patient visited an unspecified emergency room and was treated for potential cellulitis and low grade fever with SEPTRA (unspecified dose and frequency). It is unknown whether the patient was admitted to the hospital. At the time of the report the outcome of the events was not reported. Additional information has been requested.
Age: 7.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV, FLU3, PPV
Symptoms: Blood culture negative, Blood immunoglobulin G normal, Blood sodium decreased, Blood urea normal, Erythema
Clinical narrative: This spontaneous report as received from a physician via a company representative refers to a 7 year old female patient with asthma and drug reactions/allergies to morphine (manufacturer and dose/frequency unknown). The patient's medical history included previous case of pneumonia. On 04-OCT-2013, the patient was vaccinated with PNEUMOVAX23 lot # H015780 exp date 11-JUN-2014, in the right arm (dose and route not reported). On 04-OCT-2013, concomitantly was vaccinated with FLUZONE 0.5 ml, in the right arm, with different injection sites. On 04-OCT-2013, the patient mother called the physician and stated that her daughter's arm was swollen. The physician advised to ice the arm and take MOTRIN (unspecified dose and frequency). On 06-OCT-2013, the patient visited an unspecified emergency room and was treated for potential cellulitis and low grade fever with SEPTRA (unspecified dose and frequency). It is unknown whether the patient was admitted to the hospital. At the time of the report the outcome of the events was not reported. Additional information has been requested.
Age: 7.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV, FLU3, PPV
Symptoms: Injection site cellulitis, Local swelling, Localised oedema, Platelet count normal, Pyrexia
Clinical narrative: This spontaneous report as received from a physician via a company representative refers to a 7 year old female patient with asthma and drug reactions/allergies to morphine (manufacturer and dose/frequency unknown). The patient's medical history included previous case of pneumonia. On 04-OCT-2013, the patient was vaccinated with PNEUMOVAX23 lot # H015780 exp date 11-JUN-2014, in the right arm (dose and route not reported). On 04-OCT-2013, concomitantly was vaccinated with FLUZONE 0.5 ml, in the right arm, with different injection sites. On 04-OCT-2013, the patient mother called the physician and stated that her daughter's arm was swollen. The physician advised to ice the arm and take MOTRIN (unspecified dose and frequency). On 06-OCT-2013, the patient visited an unspecified emergency room and was treated for potential cellulitis and low grade fever with SEPTRA (unspecified dose and frequency). It is unknown whether the patient was admitted to the hospital. At the time of the report the outcome of the events was not reported. Additional information has been requested.
Age: 7.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV, FLU3, PPV
Symptoms: Skin warm, Upper respiratory tract infection, White blood cell count increased
Clinical narrative: This spontaneous report as received from a physician via a company representative refers to a 7 year old female patient with asthma and drug reactions/allergies to morphine (manufacturer and dose/frequency unknown). The patient's medical history included previous case of pneumonia. On 04-OCT-2013, the patient was vaccinated with PNEUMOVAX23 lot # H015780 exp date 11-JUN-2014, in the right arm (dose and route not reported). On 04-OCT-2013, concomitantly was vaccinated with FLUZONE 0.5 ml, in the right arm, with different injection sites. On 04-OCT-2013, the patient mother called the physician and stated that her daughter's arm was swollen. The physician advised to ice the arm and take MOTRIN (unspecified dose and frequency). On 06-OCT-2013, the patient visited an unspecified emergency room and was treated for potential cellulitis and low grade fever with SEPTRA (unspecified dose and frequency). It is unknown whether the patient was admitted to the hospital. At the time of the report the outcome of the events was not reported. Additional information has been requested.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Severe rash - various parts of body; lost voice on 4th day; trouble swallowing, swollen lips. Symptoms off and on for 7 days. Self medicated w. BENADRYL tabs and ointment.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Aphonia, Dysphagia, Lip swelling, Rash generalised
Clinical narrative: Severe rash - various parts of body; lost voice on 4th day; trouble swallowing, swollen lips. Symptoms off and on for 7 days. Self medicated w. BENADRYL tabs and ointment.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Body temperature increased, Influenza like illness, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt was given a Pneumovax 23. Pt ended up with cellulitis is being hospitilized.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Pain, Ultrasound scan abnormal, White blood cell count increased
Clinical narrative: Pt was given a Pneumovax 23. Pt ended up with cellulitis is being hospitilized.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Cellulitis
Clinical narrative: Pt was given a Pneumovax 23. Pt ended up with cellulitis is being hospitilized.
Age: 38.0
Sex: M
Vaccine: FLUN4
Symptoms: Abdominal distension, Eye swelling, Fatigue, Headache, Local swelling
Clinical narrative: Swelling of feet occurred 6-8 hours after flumist administration, trace pitting edema from ankle to knee bilaterally, swelling of face and eyes and abdomen, headache mild constant, sleepiness and fatigue.
Age: 38.0
Sex: M
Vaccine: FLUN4
Symptoms: Oedema, Somnolence, Swelling face
Clinical narrative: Swelling of feet occurred 6-8 hours after flumist administration, trace pitting edema from ankle to knee bilaterally, swelling of face and eyes and abdomen, headache mild constant, sleepiness and fatigue.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Rash all over body, fever.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: A warm, reddened area approx 1.5 inches by 5 inches long surrounding the injection site.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia
Clinical narrative: Joints in hands began to hurt then wrists and right hip joint. Pain lasted through the weekend and continues at this time. Treating with NSAIDS and rest.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Abasia, Pneumonia, Posture abnormal, Vaccination failure
Clinical narrative: This spontaneous report was received from a healthcare worker refers to her 72 year old mother. On an unknown date in October 2008 (reported as 5 years ago), the patient was vaccinated with a dose of PNEUMOVAX23 (lot number, expiry date and route was unknown). The patient had pneumonia in the past year on an unspecified date in 2012. The reporter stated that pneumonia was directly related to her mother's physical state and complete inability to walk and sit in an upright position. The reporter also believed that her mother aspirates fluid. The outcome of the events were unknown. The reporter did not believe pneumonia was related to vaccine failure. It was unspecified if patient sought medical attention. Upon internal review the event complete inability to walk was considered to be disability. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: FLUN4, VARCEL
Symptoms: Agitation, Flushing, Lip swelling, Swelling, Urticaria
Clinical narrative: 5-10 min. post FLUMIST / Varicella developed agitation, hives, flushing, lip/nose swelling Sat's stable 98-100% no resp distress required EPIPEN, BENADRYL, Prednisolone.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Initial report was received on 02 October 2013 from a health care professional. A 66 year-old female patient with an unknown past medical history had received on 30 September 2013 an intramuscular left deltoid injection of FLUZONE HIGH-DOSE, lot number U4715AA and the next day on 01 October 2013 fainted at home. The patient was taken to the hospital by ambulance. No further information was available at the time of the report. The patient's outcome was unknown. Documents held by sender: none.
Sex: M
Vaccine: FLUX
Symptoms: Hypersensitivity, Throat irritation, Throat tightness
Clinical narrative: Initial report received on 02 October 2013 from a healthcare professional (nurse). This case involves an unidentified male patient, date of birth not reported who received influenza vaccine (manufacturer unknown) on an unreported date. The route, dose and site of administration were not reported. The reporter received the information from the patient's sister as the patient is not a client at her facility. It was reported that the patient had a medical history which included allergies to sesame seeds and nuts. Concomitant medications were not reported. It is unknown if the patient had any illness at the time of vaccination. On an unreported date following vaccination, the patient had an allergic reaction where he experienced a feeling of throat closing and his throat was itchy. The patient outcome was unknown by the reporter. The reporter denied having any further information about the patient or event and refused to be contacted for further information. Documents held by sender: None.
Sex: F
Vaccine: FLUX
Symptoms: Ill-defined disorder, Influenza, Life support
Clinical narrative: This spontaneous consumer report (initial receipt 26-Sep-2013) concerns a female patient of unknown age. The patient's concurrent condition included osteoporosis. The patient's past medications included alendronic acid (70 mg, tablet) which had 'bothered her stomach a little'. At an unspecified time, the patient commenced high blood pressure medications which had caused some acid indigestion (including losartan which had caused an upset stomach). After a long time, she discontinued alendronic acid. On an unspecified date, the patient received a flu shot (manufacturer and batch number not reported) as the patient had osteoporosis. The 'flu shot did not contain the necessary active ingredient to combat the flu strain that was prevalent at that time'. On an unspecified date (in 2008), approximately three years after ceasing alendronic acid, the patient caught the flu. She became very ill and was hospitalised for 10 days on life support. The patient was put on life support system with the tube down her esophagus and was told that she would have difficulty in swallowing. The patient had stopped taking alendronic acid approximately three years before she caught the flu, therefore there was 'no possibility that alendronic acid could have caused the illness'. The patient was told to start taking alendronic acid because her osteoporosis was getting worse. No laboratory tests were reported. Outcome was not reported.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Disability, Dyskinesia, Hypertension, Insomnia, Malaise
Clinical narrative: Acute schizophrenia, stiff, sore, dyskinesia, high blood pressure medication - insomnia, rash, disabled - sick, vomit, blurry.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal stiffness, Pain, Rash, Schizophrenia, Vision blurred
Clinical narrative: Acute schizophrenia, stiff, sore, dyskinesia, high blood pressure medication - insomnia, rash, disabled - sick, vomit, blurry.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: Acute schizophrenia, stiff, sore, dyskinesia, high blood pressure medication - insomnia, rash, disabled - sick, vomit, blurry.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Amnesia, Computerised tomogram head normal, Confusional state, Disorientation, Electroencephalogram normal
Clinical narrative: Shingles vaccine 2/2/2012, 3:20pm at the clinic. Left there 15mins later. Patient had to stop driving said he did not know the way home. I drove him back to the clinic, they did a CT, found nothing wrong with is brain no stroke. He had episodes of confusion, disoriented not making any since not known what he had to do. After the initial episode he lost a great deal of his memory there were no symptoms and no warnings. On 3/4/12 the clinic did an MRI on his head and found nothing that would cause these problems. On 4/23/12 the clinic did another CT and again found nothing wrong. On 9/27/12 another episode I took him to a hospital they ordered an EEG the findings were again nothing wrong. On 9/14/13 patient was having severe stabbing pain on the rt. side of his head down his neck. Pain was so bad he was yelling and his body stiffened in his recliner. I took him back to hospital emergency. The doctor ordered carotid ultrasound on both sides. Those were ok also. 10/7/13 patient had stabbing pains again, this time on his left lower side rib cage very painful. Lasted a short time. I have all the reports if you need to see them. All this started happening about 15mins. after that Shingles Vaccine was given to him. Because of this, he has not regained his memory, had his driving privileges taken from him, which lost him his job. This was a serious and detrimental event for him.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Impaired driving ability, Impaired work ability, Musculoskeletal chest pain, Neck pain
Clinical narrative: Shingles vaccine 2/2/2012, 3:20pm at the clinic. Left there 15mins later. Patient had to stop driving said he did not know the way home. I drove him back to the clinic, they did a CT, found nothing wrong with is brain no stroke. He had episodes of confusion, disoriented not making any since not known what he had to do. After the initial episode he lost a great deal of his memory there were no symptoms and no warnings. On 3/4/12 the clinic did an MRI on his head and found nothing that would cause these problems. On 4/23/12 the clinic did another CT and again found nothing wrong. On 9/27/12 another episode I took him to a hospital they ordered an EEG the findings were again nothing wrong. On 9/14/13 patient was having severe stabbing pain on the rt. side of his head down his neck. Pain was so bad he was yelling and his body stiffened in his recliner. I took him back to hospital emergency. The doctor ordered carotid ultrasound on both sides. Those were ok also. 10/7/13 patient had stabbing pains again, this time on his left lower side rib cage very painful. Lasted a short time. I have all the reports if you need to see them. All this started happening about 15mins. after that Shingles Vaccine was given to him. Because of this, he has not regained his memory, had his driving privileges taken from him, which lost him his job. This was a serious and detrimental event for him.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Nuclear magnetic resonance imaging brain normal, Ultrasound Doppler, Ultrasound scan normal
Clinical narrative: Shingles vaccine 2/2/2012, 3:20pm at the clinic. Left there 15mins later. Patient had to stop driving said he did not know the way home. I drove him back to the clinic, they did a CT, found nothing wrong with is brain no stroke. He had episodes of confusion, disoriented not making any since not known what he had to do. After the initial episode he lost a great deal of his memory there were no symptoms and no warnings. On 3/4/12 the clinic did an MRI on his head and found nothing that would cause these problems. On 4/23/12 the clinic did another CT and again found nothing wrong. On 9/27/12 another episode I took him to a hospital they ordered an EEG the findings were again nothing wrong. On 9/14/13 patient was having severe stabbing pain on the rt. side of his head down his neck. Pain was so bad he was yelling and his body stiffened in his recliner. I took him back to hospital emergency. The doctor ordered carotid ultrasound on both sides. Those were ok also. 10/7/13 patient had stabbing pains again, this time on his left lower side rib cage very painful. Lasted a short time. I have all the reports if you need to see them. All this started happening about 15mins. after that Shingles Vaccine was given to him. Because of this, he has not regained his memory, had his driving privileges taken from him, which lost him his job. This was a serious and detrimental event for him.
Age: 67.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia, Diarrhoea, Dysstasia, Eye oedema, Fatigue
Clinical narrative: 9/26 - 8pm - Extreme fatigue. 9/27 - Noon - woke up fatigued, lips tingling and edematous, eyes and hands edematous. Took BENADRYL and RIMIDINE - steadily dosed herself. 9/28 - Noon - very lethargic and "frail". Unable to stand from kneeling, diarrhea. Continued BENADRYL. 9/29 - Started feeling better.
Age: 67.0
Sex: F
Vaccine: HEPA
Symptoms: Lethargy, Lip oedema, Oedema peripheral, Paraesthesia oral
Clinical narrative: 9/26 - 8pm - Extreme fatigue. 9/27 - Noon - woke up fatigued, lips tingling and edematous, eyes and hands edematous. Took BENADRYL and RIMIDINE - steadily dosed herself. 9/28 - Noon - very lethargic and "frail". Unable to stand from kneeling, diarrhea. Continued BENADRYL. 9/29 - Started feeling better.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Back pain, Chest pain, Flank pain, Pain in extremity
Clinical narrative: Patient received vaccination on 10/12 and pain started down arm, back, side, under arm and across chest sometime during the middle of the night on 10/12- 10/13.  On 10/14 the patient was still no better and she called a competitor pharmacy who told her to take Benadryl. The patient did not notice a change after taking the Benadryl. On 10/15 the patient notified Pharmacy where the vaccination was given and she was told to seek medical attention.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: Developed generalized itching 20 minutes after receiving flu vaccine.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Fatigue, Headache, Pyrexia
Clinical narrative: Low fever & headache Friday, tired and low fever & diarrhea Saturday.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Oral herpes
Clinical narrative: Broke out with several cold sores on my chin. Have never had them on my chin before.
Age: 1.02
Sex: M
Vaccine: FLUX, HEPA, MMR, VARCEL
Symptoms: Lethargy, Pyrexia, Rash generalised
Clinical narrative: Fever and lethargy stared on 10/13/2013 followed by full body rash on 10/14/2013.  Still have reaction currently.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Neck pain, Pain in extremity
Clinical narrative: Pain in arm, neck near vaccine area.  Has continued, patient has been seen by her primary care physician who is perscribing pain medication.  Called 10/15/2013 to state pain is still in arm, now having problem with fingers.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: There were no adverse events from the vaccination. Client received the High Dose Fluzone instead of the Regular.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site swelling, Injection site urticaria, Nausea, Pyrexia
Clinical narrative: Fever, nausea, swelling (hives around site). This lasted for 5 days.  Should have done something about it; just "toughed it out" with cold medicine.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Injected limb mobility decreased, Injection site reaction, Myalgia, Pain in extremity
Clinical narrative: BEGAN WITH ACHE IN ENTIRE ARM OF INJECTION.  WITHIN 20 MINUTES THE ACHE WAS SEVERE AND AND I FELT COMPLETELY EXHAUSTED.  TOOK IBUPROFEN AND APPLIED HEATING PAD.  ACHE REMAINED SEVERE FOR SEVERAL HOURS.  ARM WAS INCAPACITATED.  COULD NOT LIFT ARM AT ALL.  ENTIRE BODY WAS EXHAUSTED.  WOKE UP IN THE MORNING FEELING FINE WITH JUST NORMAL MUSCLE SORENESS AT INJECTION SITE.  I AM PHYSICALLY FIT AND VERY HEALTHY.  RARELY EVER SICK.  THIS REALLY SURPRISED ME.  THAT'S WHY I AM REPORTING IT.
Age: 36.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Swelling, erythema, warmth in area of erythema, tenderness.
Age: 0.99
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Urticaria
Clinical narrative: Hives noted to increase. Also redness at MMR/Varicella injection site with small amount of hives and swelling noted.
Age: 59.0
Sex: F
Vaccine: PNC13
Symptoms: Blister, Injection site vesicles
Clinical narrative: Blisters around the injection site and down the arm.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Leukocytoclastic vasculitis, Rash, Vaccine positive rechallenge
Clinical narrative: Rash consistent with Leukocytoclastic vasculitis.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: Complained of feeling like her throat was closing up. First Epi given at 10:25 am and EMS called. EMS arrived around 10:35am reassessed and gave 2nd dose of Epi, started IV and gave Solumedrol. Recipient was alert and talking at time of transfer.
Age: 32.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Left arm aching, elbow pain lasting 2-3 weeks. Question development of simultaneous lateral epicondylitis.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Local swelling, Skin warm
Clinical narrative: By the end of the evening, joints ached, arm was swollen to the size of her hand, and area was warm to touch.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Feeling hot, Pruritus, Rash, Urticaria
Clinical narrative: Burning and itching with raised fine rash on cheeks, extended down arms, chest and abd with large whelps on lower back.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Eye pruritus, Injection site pain, Injection site warmth, Lacrimation increased, Malaise
Clinical narrative: The site of the injection, LDT, became warm with a dull ache, and it spread to his neck and mouth. His mouth became tingling, up to his left eye. This lasted for about 20 minutes, and began about 5:00 pm. Later he noticed the whites of his eyes were both red, itchy and watery. He also c/o general malaise, which lasted until the next day. Before patient went to bed he did take 1000mg Tylenol.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Neck pain, Ocular hyperaemia, Oral pain, Paraesthesia, Paraesthesia oral
Clinical narrative: The site of the injection, LDT, became warm with a dull ache, and it spread to his neck and mouth. His mouth became tingling, up to his left eye. This lasted for about 20 minutes, and began about 5:00 pm. Later he noticed the whites of his eyes were both red, itchy and watery. He also c/o general malaise, which lasted until the next day. Before patient went to bed he did take 1000mg Tylenol.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: The site of the injection, LDT, became warm with a dull ache, and it spread to his neck and mouth. His mouth became tingling, up to his left eye. This lasted for about 20 minutes, and began about 5:00 pm. Later he noticed the whites of his eyes were both red, itchy and watery. He also c/o general malaise, which lasted until the next day. Before patient went to bed he did take 1000mg Tylenol.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills, Dysphagia, Dyspnoea, Headache
Clinical narrative: Trouble breathing, trouble swollowing, chills, fever, headache, soreness, weakness, watering of eyes.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Lacrimation increased, Pain, Pyrexia
Clinical narrative: Trouble breathing, trouble swollowing, chills, fever, headache, soreness, weakness, watering of eyes.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Dizziness, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Dizziness, Fever, Chills, Eyes Feverish. Arm near injection site swollen, bright red, hot (area measured 2"x4"). Symptoms have decreased however, on 10/14,2013 I developed itching in this area.  Still red and swollen.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Dizziness, Fever, Chills, Eyes Feverish. Arm near injection site swollen, bright red, hot (area measured 2"x4"). Symptoms have decreased however, on 10/14,2013 I developed itching in this area.  Still red and swollen.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling abnormal, Headache, Pain, Paraesthesia
Clinical narrative: About 30 minutes post vaccine injection started having complaints of headache. One hour later by 13:00, patient was vomiting, continued to generally feel poor (aches, chills) also experienced tingling in the throat for which she took a 50mg dose of Benadryl and required no further treatment. On 10/15/13 followed up with the patient and she was still feeling poor, but improved from the day before. It should be noted that this patient experienced similar symptoms one year prior after recieving an influenza vaccine. The time course was similar.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: About 30 minutes post vaccine injection started having complaints of headache. One hour later by 13:00, patient was vomiting, continued to generally feel poor (aches, chills) also experienced tingling in the throat for which she took a 50mg dose of Benadryl and required no further treatment. On 10/15/13 followed up with the patient and she was still feeling poor, but improved from the day before. It should be noted that this patient experienced similar symptoms one year prior after recieving an influenza vaccine. The time course was similar.
Age: 3.0
Sex: M
Vaccine: FLUN4
Symptoms: Decreased appetite, Fatigue, Vomiting
Clinical narrative: Vomiting 4 times over the course of 4 hours. Fatigue and loss of appetite for the next 2 days. Vomiting 36 hours after first episode of vomiting also. No fever or very mild.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Burning sensation, Chills, Dry mouth, Fatigue
Clinical narrative: Extreme fatigue, extreme muscle soreness, extreme joint pain, and as the day wore on, torso on fire, limbs cold and 2 hours of shivers, extreme headache, no sleep for 24 hours, extreme thirst and dryness.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Insomnia, Myalgia, Peripheral coldness, Thirst
Clinical narrative: Extreme fatigue, extreme muscle soreness, extreme joint pain, and as the day wore on, torso on fire, limbs cold and 2 hours of shivers, extreme headache, no sleep for 24 hours, extreme thirst and dryness.
Age: 11.0
Sex: M
Vaccine: FLUN4, HPV4, MMR, MNQ
Symptoms: Rash, Urticaria
Clinical narrative: Developed rash on arm that received injection. Rash progressed into hives all over the body. Parent took child to urgent care on Sunday night 10/13/13. Benadryl and Methylprednisone was prescribed. Child is on day 2 of 4 day course of medications as of 10/15/13. Per parent report the child had an increase in symptoms the morning of 10/15/13. Dr. was contacted by PHN at 9:10am on 10/15/13 and was advised to tell the parent to take the child back to the doctor for evaluation due to the fact the symptoms were worsening while taking medication.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Headache, Induration, Skin warm
Clinical narrative: Hard and warm to touch swollen muscle, us occipital headache, fatigue.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Laboratory test, Pyrexia, Tremor
Clinical narrative: Patient had uncontrollable shaking, high fever and was turning blue in color  / was rushed to ER at apx 6:20 PM/ he was stablized & transported to hospital.
Age: 49.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Arthralgia, Flushing, Injection site erythema, Injection site pain, Myalgia
Clinical narrative: Redness/pain at sight, muscle aches, flushing, scratchy throat, joint aches.
Age: 49.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Throat irritation
Clinical narrative: Redness/pain at sight, muscle aches, flushing, scratchy throat, joint aches.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Wheezing
Clinical narrative: Developed cough & wheezing within minutes of receiving flu vaccine.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Aggression, Agitation, Computerised tomogram head normal, Confusional state, Drug screen negative
Clinical narrative: ALTERED MENTAL STATUS (CONFUSION, UNABLE TO FOLLOW SIMPLE COMMANDS), VISUAL HALLUCINATIONS, SEVERE AGITATION, COMBATIVENESS, DILATED AND NONREACTIVE PUPILS, TACHYCARDIA.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Electroencephalogram normal, Hallucination, visual, Laboratory test normal, Mental status changes, Pupil fixed
Clinical narrative: ALTERED MENTAL STATUS (CONFUSION, UNABLE TO FOLLOW SIMPLE COMMANDS), VISUAL HALLUCINATIONS, SEVERE AGITATION, COMBATIVENESS, DILATED AND NONREACTIVE PUPILS, TACHYCARDIA.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Tachycardia
Clinical narrative: ALTERED MENTAL STATUS (CONFUSION, UNABLE TO FOLLOW SIMPLE COMMANDS), VISUAL HALLUCINATIONS, SEVERE AGITATION, COMBATIVENESS, DILATED AND NONREACTIVE PUPILS, TACHYCARDIA.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Cough, Dizziness, Injection site pain, Urticaria
Clinical narrative: Pain at injection site, burning and hives to chest, progressive worsening cough, light headed.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Injection site pruritus, Pruritus, Urticaria
Clinical narrative: Felt hot, had itching at injection site and then itching & hives back of neck.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Gait disturbance, Inflammation, Injection site erythema, Injection site swelling
Clinical narrative: Developed redness and swelling of thigh at site of flu shot administration, progressively worsening over the next 24 hours. No fevers. Walking with limp, but able to bear weight.  No V/D, no URI sx.  Recommended ice, NSAIDs, started Augmentin in case of infectious component, though I suspect inflammatory reaction to vaccination.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Lumbar puncture, Paraesthesia
Clinical narrative: Complaint of pins and needles feeling to right buttock.  Over the course of the weekend symptoms worsened and started in the left leg. These symptoms progressed up body. Seen by MD and admitted to hospital for diagnostic testing.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Brain natriuretic peptide increased, Chest X-ray, Chest pain, Chills
Clinical narrative: Shortness of breath; back pain, chest pain; swelling on face; arms; legs; fever; chills; runny nose.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Full blood count, Local swelling, Pyrexia, Rhinorrhoea
Clinical narrative: Shortness of breath; back pain, chest pain; swelling on face; arms; legs; fever; chills; runny nose.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face
Clinical narrative: Shortness of breath; back pain, chest pain; swelling on face; arms; legs; fever; chills; runny nose.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Arthritis bacterial, Blood culture negative, Chills, Full blood count, Incisional drainage
Clinical narrative: 9/24 ER visit w/ c/o shoulder injury, bruise over (L) deltoid site of injection, has hematoma. 9/29 Return to ER w/ chills, persistent arm pain. 9/30 pt called MD office - shaking, chills. Advised to go to ER CBC and ESR repeated, decreased ROM, pain and swelling (L) shoulder. Discharged to see Ortho MD today (later in day) ER MD spoke to Ortho surgeon. Sent home. Returned on 10/5 to Ortho surg and admitted to hospital w septic arthritis. I and D x 2.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza virus test negative, Injection site bruising, Injection site haematoma, Injection site joint movement impairment, Injection site pain
Clinical narrative: 9/24 ER visit w/ c/o shoulder injury, bruise over (L) deltoid site of injection, has hematoma. 9/29 Return to ER w/ chills, persistent arm pain. 9/30 pt called MD office - shaking, chills. Advised to go to ER CBC and ESR repeated, decreased ROM, pain and swelling (L) shoulder. Discharged to see Ortho MD today (later in day) ER MD spoke to Ortho surgeon. Sent home. Returned on 10/5 to Ortho surg and admitted to hospital w septic arthritis. I and D x 2.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site swelling, Joint injury, Laboratory test normal, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: 9/24 ER visit w/ c/o shoulder injury, bruise over (L) deltoid site of injection, has hematoma. 9/29 Return to ER w/ chills, persistent arm pain. 9/30 pt called MD office - shaking, chills. Advised to go to ER CBC and ESR repeated, decreased ROM, pain and swelling (L) shoulder. Discharged to see Ortho MD today (later in day) ER MD spoke to Ortho surgeon. Sent home. Returned on 10/5 to Ortho surg and admitted to hospital w septic arthritis. I and D x 2.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Red blood cell sedimentation rate increased, Tremor, Urine analysis normal, White blood cell count increased
Clinical narrative: 9/24 ER visit w/ c/o shoulder injury, bruise over (L) deltoid site of injection, has hematoma. 9/29 Return to ER w/ chills, persistent arm pain. 9/30 pt called MD office - shaking, chills. Advised to go to ER CBC and ESR repeated, decreased ROM, pain and swelling (L) shoulder. Discharged to see Ortho MD today (later in day) ER MD spoke to Ortho surgeon. Sent home. Returned on 10/5 to Ortho surg and admitted to hospital w septic arthritis. I and D x 2.
Age: 5.0
Sex: M
Vaccine: FLUN4
Symptoms: Activities of daily living impaired, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Received FluMist Quadrivalent this AM in office.  Mother called stating received a call from child's school (child went to school) approx. 45 minutes after vaccine received.  School stated child was sweating profusely and was dizzy.  Mother went to school to get child and bring to office for recheck.  Mother stated child was pale but got better on ride to office.  Child was normal at office (maybe slightly pale).
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Musculoskeletal stiffness, Vision blurred
Clinical narrative: ERYTHEMA & INDURATION TO INJECTION SITE ~ 10CM X 5 CM; BLURRED VISION RIGHT EYE; STIFF NECK.
Age: 48.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Fatigue, Pain, Swelling
Clinical narrative: Redness, swelling, chills, body aches, fatigue.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Rash
Clinical narrative: After receiving the vaccine in the anterolateral portion of the thigh, he developed a circular area of significant erythema (~ 5 x 5 cm) near the site of the injection. This happened soon after administration, while the patient was still in clinic. He was given Benadryl oral x 1 dose and acetaminophen oral x 1 dose, and sent home with a 7-day course of cephalexin for possible local infection. The rash lasted 1-2 weeks and then went away.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: LEFT ARM SWOLLEN, REDNESS, WARM TO TOUCH AT SITE OF INJECTION. ITCHING OCCASIONALLY. NO FEVER. LASTED APPROX. 2 DAYS. COLD COMPRESS TO SITE AND TYLENOL.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Reaction on Left arm.  4" x 10" red and itchy area.  Went from injection site down to elbow and stopped.  Resolved itself by Tuesday afternoon.  Patient did take Benadryl tablets and that helped the itching.
Age: 15.0
Sex: M
Vaccine: HPV4
Symptoms: Abdominal pain lower, Abdominal pain upper, Dizziness, Nausea, Vision blurred
Clinical narrative: Nausea, light headed, blurred vision and LLQ/RLQ/RUQ pain.
Age: 32.0
Sex: F
Vaccine: PPV
Symptoms: Influenza like illness, Injection site erythema
Clinical narrative: Flu like and reddened area of injection site.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Local swelling, Oedema, Skin tightness
Clinical narrative: ARM SWELLING; NEXT DAY PROGRESSED TO ERYTHEMA, EDEMA, TIGHTNESS IN ARM PLUS ERYTHEMA TO SHOULDERS & FACE...TIGHTNESS IN FACE; NO RESP DISTRESS-DIRECTED TO ER FOR CARE BY PMD.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Fatigue, Feeling cold, Headache, Injection site pain
Clinical narrative: I received the flu vaccination around 0730 in the ER as I am a board certified EM physician.  Within a few hours the site of injection was aching. A few hours later myalgias set in.  A few hours after that I became chilled and an hour later the rigors started.  I finished my shift and the rigors relented after a hot bath and tea, the myalgias continued, I developed a frontal headache and significant fatigue.  Today on the 15th I still have myalgias, a frontal headache and fatigue.  I have never had a reaction of any kind to the flu vaccine and I typically get the vaccine every year.  I have had a lesser reaction to MMR booster.  It is hard for me to recommend this vaccine this year to the elderly.  I don't think my 86 year old mother could tolerate such a significant reaction as well as I can.  I am pretty sure I will feel better tomorrow.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Myalgia
Clinical narrative: I received the flu vaccination around 0730 in the ER as I am a board certified EM physician.  Within a few hours the site of injection was aching. A few hours later myalgias set in.  A few hours after that I became chilled and an hour later the rigors started.  I finished my shift and the rigors relented after a hot bath and tea, the myalgias continued, I developed a frontal headache and significant fatigue.  Today on the 15th I still have myalgias, a frontal headache and fatigue.  I have never had a reaction of any kind to the flu vaccine and I typically get the vaccine every year.  I have had a lesser reaction to MMR booster.  It is hard for me to recommend this vaccine this year to the elderly.  I don't think my 86 year old mother could tolerate such a significant reaction as well as I can.  I am pretty sure I will feel better tomorrow.
Age: 56.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Neck pain
Clinical narrative: Extreme chills that night.  Then headaches, neck aches, stomach aches, and excessive tiredness for the next 5 days as well as one more incident of extreme chills the morning of October 14, 2013, approximately 8 AM.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Fatigue, Hot flush, Injection site erythema, Injection site pain
Clinical narrative: Pain, redness, swelling, and heat at injection site (left deltoid). Chills, fatigue, and hot flashes.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Pain, redness, swelling, and heat at injection site (left deltoid). Chills, fatigue, and hot flashes.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Heat, redness, sore, and swelling at injection site (right arm). Also had chills and fatigue.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth
Clinical narrative: Heat, redness, sore, and swelling at injection site (right arm). Also had chills and fatigue.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Fever (102 F) chills, nausea, body aches. Injection site swollen, red, sore, and hot.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Fever (102 F) chills, nausea, body aches. Injection site swollen, red, sore, and hot.
Age: 36.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Erythema, Feeling hot, Rash
Clinical narrative: 10 minutes after injection: patient notified RN that he was feeling warm and his arm was getting really red; erythemic area with short well defined slightly raised border.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain in the upper left arm and shoulder area, moving toward the breast; unable to move arm properly and pain later on radiated to the neck area. No redness or swelling in the upper arm area.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal distension, Abdominal pain, Blood test, Body temperature increased, Chest discomfort
Clinical narrative: Started with redness, pain, swelling, and warmth of the injection site.  Progressed to feeling achy and tired with diarrhea.  The night of Monday, 10/07/2013, had severe chill-like shaking but no temperature.  The shaking was so severe it awakened me from sleep throughout the night and left me with sore muscles the next day.  Tuesday, 10/08/2013, had symptoms of tingling and heaviness in chest and neck, and went to ER.  Told was reaction to flu shot aggravated by my autoimmune status.  Continued to not feel well.  Thursday, 10/10/2013, had severe abdominal pain all day.  Went to ER at approximately 6:30 PM that evening and was admitted with blockage of my small intestine with inflammation and swelling of my stomach and intestines.  Was dismissed from the hospital on Friday, 10/11/2013 at approximately 5:30 PM.  On Saturday, 10/12/2013, began having extreme body aches.  Also developed a low-grade temperature of approximately 100 F.  Had the same aching and temperature on Sunday, 10/13/2013.  Began feeling better on Monday, 10/14/2013, in the morning, but by Noon was feeling achy and tired again and once again developed diarrhea.  Was feeling even better this morning (Tuesday, 10/15/2013), however, still have diarrhea and began feeling achy and tired again around Noon.  Starting Monday, have began to feel like I am slowly on the mend.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Diarrhoea, Fatigue, Gastrointestinal inflammation, Injection site erythema
Clinical narrative: Started with redness, pain, swelling, and warmth of the injection site.  Progressed to feeling achy and tired with diarrhea.  The night of Monday, 10/07/2013, had severe chill-like shaking but no temperature.  The shaking was so severe it awakened me from sleep throughout the night and left me with sore muscles the next day.  Tuesday, 10/08/2013, had symptoms of tingling and heaviness in chest and neck, and went to ER.  Told was reaction to flu shot aggravated by my autoimmune status.  Continued to not feel well.  Thursday, 10/10/2013, had severe abdominal pain all day.  Went to ER at approximately 6:30 PM that evening and was admitted with blockage of my small intestine with inflammation and swelling of my stomach and intestines.  Was dismissed from the hospital on Friday, 10/11/2013 at approximately 5:30 PM.  On Saturday, 10/12/2013, began having extreme body aches.  Also developed a low-grade temperature of approximately 100 F.  Had the same aching and temperature on Sunday, 10/13/2013.  Began feeling better on Monday, 10/14/2013, in the morning, but by Noon was feeling achy and tired again and once again developed diarrhea.  Was feeling even better this morning (Tuesday, 10/15/2013), however, still have diarrhea and began feeling achy and tired again around Noon.  Starting Monday, have began to feel like I am slowly on the mend.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Malaise, Musculoskeletal discomfort
Clinical narrative: Started with redness, pain, swelling, and warmth of the injection site.  Progressed to feeling achy and tired with diarrhea.  The night of Monday, 10/07/2013, had severe chill-like shaking but no temperature.  The shaking was so severe it awakened me from sleep throughout the night and left me with sore muscles the next day.  Tuesday, 10/08/2013, had symptoms of tingling and heaviness in chest and neck, and went to ER.  Told was reaction to flu shot aggravated by my autoimmune status.  Continued to not feel well.  Thursday, 10/10/2013, had severe abdominal pain all day.  Went to ER at approximately 6:30 PM that evening and was admitted with blockage of my small intestine with inflammation and swelling of my stomach and intestines.  Was dismissed from the hospital on Friday, 10/11/2013 at approximately 5:30 PM.  On Saturday, 10/12/2013, began having extreme body aches.  Also developed a low-grade temperature of approximately 100 F.  Had the same aching and temperature on Sunday, 10/13/2013.  Began feeling better on Monday, 10/14/2013, in the morning, but by Noon was feeling achy and tired again and once again developed diarrhea.  Was feeling even better this morning (Tuesday, 10/15/2013), however, still have diarrhea and began feeling achy and tired again around Noon.  Starting Monday, have began to feel like I am slowly on the mend.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pain, Paraesthesia, Sleep disorder, Small intestinal obstruction
Clinical narrative: Started with redness, pain, swelling, and warmth of the injection site.  Progressed to feeling achy and tired with diarrhea.  The night of Monday, 10/07/2013, had severe chill-like shaking but no temperature.  The shaking was so severe it awakened me from sleep throughout the night and left me with sore muscles the next day.  Tuesday, 10/08/2013, had symptoms of tingling and heaviness in chest and neck, and went to ER.  Told was reaction to flu shot aggravated by my autoimmune status.  Continued to not feel well.  Thursday, 10/10/2013, had severe abdominal pain all day.  Went to ER at approximately 6:30 PM that evening and was admitted with blockage of my small intestine with inflammation and swelling of my stomach and intestines.  Was dismissed from the hospital on Friday, 10/11/2013 at approximately 5:30 PM.  On Saturday, 10/12/2013, began having extreme body aches.  Also developed a low-grade temperature of approximately 100 F.  Had the same aching and temperature on Sunday, 10/13/2013.  Began feeling better on Monday, 10/14/2013, in the morning, but by Noon was feeling achy and tired again and once again developed diarrhea.  Was feeling even better this morning (Tuesday, 10/15/2013), however, still have diarrhea and began feeling achy and tired again around Noon.  Starting Monday, have began to feel like I am slowly on the mend.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor, X-ray
Clinical narrative: Started with redness, pain, swelling, and warmth of the injection site.  Progressed to feeling achy and tired with diarrhea.  The night of Monday, 10/07/2013, had severe chill-like shaking but no temperature.  The shaking was so severe it awakened me from sleep throughout the night and left me with sore muscles the next day.  Tuesday, 10/08/2013, had symptoms of tingling and heaviness in chest and neck, and went to ER.  Told was reaction to flu shot aggravated by my autoimmune status.  Continued to not feel well.  Thursday, 10/10/2013, had severe abdominal pain all day.  Went to ER at approximately 6:30 PM that evening and was admitted with blockage of my small intestine with inflammation and swelling of my stomach and intestines.  Was dismissed from the hospital on Friday, 10/11/2013 at approximately 5:30 PM.  On Saturday, 10/12/2013, began having extreme body aches.  Also developed a low-grade temperature of approximately 100 F.  Had the same aching and temperature on Sunday, 10/13/2013.  Began feeling better on Monday, 10/14/2013, in the morning, but by Noon was feeling achy and tired again and once again developed diarrhea.  Was feeling even better this morning (Tuesday, 10/15/2013), however, still have diarrhea and began feeling achy and tired again around Noon.  Starting Monday, have began to feel like I am slowly on the mend.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Myalgia, Pruritus, Rash
Clinical narrative: Rash and itching left rib cage and left inner thigh.  Benadryl OTC taken that night and the next morning with relief of symptoms.  Also had 102F temp and muscle aches.  Took OTC Ibuprofen.