chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity
Clinical narrative: It was reported by a nurse that approximately 11-12 patients with large local reaction after receipt of fourth and fifth doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included the entire limb. Additional information received from follow-up correspondence on 6/21/02 regarding each patient. Patient #11: A 5 year-old female received fifth dose of DTAP (Tripedia), fourth dose of IPV (IPOL), and second dose of MMR vaccines on 5/15/02. Patient developed an extremely large red, and swollen area tender to touch on 5/16/02. Patient recovered.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: From telephone contact received at manufact on 19Jun2002,  it was reported by a nurse that apprx. 11-12 pts with large local reactions after receipt of 4th and 5th doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included the entire limb.  Additional information received from follow up correspondence on 21Jun2002 regarding each pt. Pt # 8 A male, apprx. 5 year old, received 5th dose of DTAP(Tripedia), 4th dose of IPV(IPOL), and 2nd dose of MMR vaccines on 17May2002. Pt developed a large local reaction with redness,swelling, warm to touch and nontender on 19Mar2002. Pt recovered. See reports U2002-00454, U2002-00546 to U2002-00551, and U2002-00553 to U2002-00555, from same facility.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: From telephone contact received at manufact. on 19Jun2002, it was reported by a nurse that apprx. 11-12 pts with large local reactions after receipt of 4tha nd 5th doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included the entire limb. Additional information received from follow up corrospondence on 21Jun2002 regarding each pt. Pt # 2 A 5 year old female received 5th dose of DTAP(Tripedia), 4th dose of IPV(IPOL), and 2nd dose of MMR vaccines on 30May2002. Pt developed a red and swollen area above right elbow to below shoulder on 31May2002. Pt recovered. Case closed. See reports U2002-00454 and U2002-00547 to U2002-00555, from same facility.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: From telephone contact received at manufacturer on 06/19/2002, it was reported by a nurse that approximately 11-12 patients with large local reactions after receipt of 4th and 5th doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included the entire limb. Additional info received from follow-up correspondence on 06/21/2002 regarding each pt. Pt #1: A female, approximately 5 years old, received 5th dose of DTaP (Tripedia), 4th dose of IPV (IPOL), and 2nd dose of MMR vaccines on 05/29/02. Pt developed a large red and hot to touch area approximately 2 inches in diameter. Pt recovered.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Information has been received on 8/20/02 concerning a 2 1/2 year old male who was vaccinated with fourth dose of Tripedia (U0548AA) in the right thigh, fourth dose of IPOL (U1233-2) in the left thigh, second dose of MMR in the right thigh, and second dose of hep A (708E9) in the left thigh on 8/17/02. The pt developed an area of redness and swelling one day after vaccination. A large induration was noted to the left arm. The pt was active, alert and afebrile. She was seen by a doctor and reportedly recovered from the events. See case U2002-00773 and U2002-00774 same reporter. 11/22/02, upon further review of info, it was determined necessary to correct the date of vaccination from 8/7/02 to 8/12/03 as originally reported in the source documentation. Also, the pt age is 4 years not 2 1/2 years as previously stated. This case is closed.  Follow up: "See cases U2002-00773 and U2002-00774 same reporter." Follow up on 01/27/02: "Upon further review of information, it was determined necessary to correct the date of vaccination from 08/07/02 to 08/12/02 as originally reported in the source documentation.  Also, the pt age is 4 years not 2.5 years as previously stated.  this case is closed."
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Information has been received on 8/20/02 concerning a 1 year old male who was vaccinated with fourth dose of Tripedia (U0548AA) on 8/7/02 in the right anterior thigh. The pt developed an area of redness and swelling at the injection site. The pt's mother was instructed to apply cold compresses to the area and give Tylenol as needed. The pt recovered. See cases U2002-00774 and U2002-00775, same reporter.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: Varivax administered 12-3-97 by unknown provider. We didnt start seeing this patient until 10-6-98. Presented in office today with possible modified chicken pox lesions less than 10 total.
Age: 4.5
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Right anterior lateral thigh hot, reddened and slight discomfort. Mom using exercise and Tylenol 0.8ml every 4 hours and injection. Referred to PMD if symptoms worsen.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site mass, Tenderness
Clinical narrative: Localized reaction 6cm area induration, 2.5cm area erythema surrounding injection site. Mild tenderness.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, CSF test abnormal, Clumsiness, Coordination abnormal, Fall
Clinical narrative: Diagnosed [[name]] Barre. transported from medical center to hospital. In pediatric ICU for 4-5 days, on regular floor for 3 weeks. Currently receiving PT and OT. No previous illness except previous Hepatitis B vaccine 2 weeks prior. The follow up states pt requiring OT/PT thru rehib center due to [[name]] Barr syndrome. Annual follow up on 01/28/04: "Unknown, I no longer work with the Dr. in Pediatrics". Discharge summary states clumbsy, leg pain, fall, arthralgia, decreased muscle tone. msv Medical record states fatigue, ataxia. msv
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Fatigue, Guillain-Barre syndrome, Hypotonia, Laboratory test abnormal, Pain
Clinical narrative: Diagnosed [[name]] Barre. transported from medical center to hospital. In pediatric ICU for 4-5 days, on regular floor for 3 weeks. Currently receiving PT and OT. No previous illness except previous Hepatitis B vaccine 2 weeks prior. The follow up states pt requiring OT/PT thru rehib center due to [[name]] Barr syndrome. Annual follow up on 01/28/04: "Unknown, I no longer work with the Dr. in Pediatrics". Discharge summary states clumbsy, leg pain, fall, arthralgia, decreased muscle tone. msv Medical record states fatigue, ataxia. msv
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Guillain-Barre syndrome, Hypovitaminosis
Clinical narrative: Patient developed Guillain-Barre syndrome3 weeks after receiving dT; B12 deficiency. Annual follow up on 01/28/04: "Pt has recovered from adverse events".
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Arthritis
Clinical narrative: Developed arthralgia leading to sustained joint pain and inflammation which has persisted for 2 years.  Annual follow up on 01/29/04: "Pt has not recovered from adverse events.  Pt continues to have polyarthritis symptoms.  However, rheumatologists are unwilling to say the symptoms are due to the TD injection.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Convulsion, Eye movement disorder, Tremor
Clinical narrative: Pt had suspected seizure. He had been taking his bottle, suddenly began shaking over all body including head, eyes rolled back into head. Episode lasted 30-45 seconds. He seemed dazed afterward, then cried and  slept. Exam was negative 15 min later. He was admitted for evaluation, discharge after 2 days with treatment
Age: 24.0
Sex: F
Vaccine: LYME
Symptoms: Chills, Diplopia, Fatigue, Hot flush, Hypersensitivity
Clinical narrative: Within 24 hours of receiving vaccination, I was so fatigued I could not get out of bed. Sensitivity to light was unbearable, blurred/double vision, hot flashes, chills, tingling sensations, constant migraine and inability to think clearly persisted approximately 3 days. Administering physician notified at this onset. Gradually symptoms lessened, but never subsided. Over following 6 months, symptoms increased in persistence and severity as well as onsets of new symptoms. My health was optimal prior to receiving vaccination, so that's being thrown into this cycle of debilitation became obvious to me.
Age: 24.0
Sex: F
Vaccine: LYME
Symptoms: Migraine, Paraesthesia, Thinking abnormal, Vision blurred
Clinical narrative: Within 24 hours of receiving vaccination, I was so fatigued I could not get out of bed. Sensitivity to light was unbearable, blurred/double vision, hot flashes, chills, tingling sensations, constant migraine and inability to think clearly persisted approximately 3 days. Administering physician notified at this onset. Gradually symptoms lessened, but never subsided. Over following 6 months, symptoms increased in persistence and severity as well as onsets of new symptoms. My health was optimal prior to receiving vaccination, so that's being thrown into this cycle of debilitation became obvious to me.
Age: 33.0
Sex: F
Vaccine: ANTH
Symptoms: Chest pain, Injection site mass, Paraesthesia
Clinical narrative: Stabbing chest pain 3 days after vaccination. Chest felt heav; pain to the left arm, left amr went numb for 2 hours. Patient developed a lump without tenderness that lasted 5 days. No SOB, HA, dizziness, blurred vision, abdominal pain or nausea, vomiting, or diarrhea.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Agitation
Clinical narrative: Patient had recurrence of panic attacks after clinical remission on medication for panic disorder. Patient concerned this recurrence was triggered by Anthrax vaccination, but other stress factors likely in the military environment in which it was given.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Myalgia, Oedema, Pain
Clinical narrative: Three days after shot (second Anthrax shot) left bicep is swollen and sore. Red mark/rash covers arm/bicep from elbow to armpit. Itchy and burning sensation. Sharp pain in arm. Patient received shot because of ?Mleorn?
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Oedema, Osteoarthritis, Pelvic pain
Clinical narrative: Severe, chronic joint pain and swelling. (Enteric Aspirin) The follow up received on 2/19/03 states joint pain left/right pelvis/hip, left hip, both knees, left wrist; swelling of both hands.
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Case's palms and soles of feet became very itchy on 10/21/02. Several hours later her arms became itchy and "blotchy". Went to dermatologist. No food eaten that may have caused itch and rash. MD suggested it was "flu shot". Benadryl and Allegra prescribed
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Anxiety
Clinical narrative: Patient reports that she developed anxiety 3 days after receiving influenza vaccine at store clinic. Was seen by her physician - began on buspirone 10/29/02. Anxiety not improving and seen by physician 11/18 and dosage increased. Patient states has had short, mild episodes of anxiety in past - no treatment required.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema, Paraesthesia
Clinical narrative: Numbness and tingling occurred in upper left arm within a few minutes. Approximately 5-10 minutes later had swelling in whole let arm, wrist and hand. States numbness and tingling progressed through whole arm. On 11-11-02 she returned to EHS states all symptoms have resolved.
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Shoulder pain, Thermal burn
Clinical narrative: A physician reported that a male patient in his forties received an injection of Flu Shield (2002-2003 Formula) on 10/30/02. When he received the injection, he immediately felt a burning sensation described as feeling like a hot poker. Within 3 days, his arm was throbbing and advanced to shoulder pain. As of 11/26/02, the patient had severe shoulder pain with limited range of motion, 45 degrees flexion and 45 degrees abduction. He has no cross body pain; however, he experiences knifelike pain in his anterior and top shoulder. The pain has gotten worse over time. This is 1 of 3 patients from this facility who developed pain at the injection site following administration of lot 4020029. The reporter noted that they suspected lot 4020029 was administered, but were not sure. This lot was the product in the office as of 11/29/02. See related HQ5549927NOV2002 and HQ550627NOV2002.
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: A physician reported that a female patient in her twenties received an injection of Flu Shield (2002-2003 formula) (influenza virus vaccine, trivalent, types a & b) on 11/1/02. The patient's mother contacted the physician's office to report the patient was experiencing arm pain that had started since she received the injection. She was seen on 11/18/02 and she was noted to have difficulty with range of motion. She could move her arm back and forth, but experienced pain moving it laterally. This is 1 of 3 patient's from this facility who developed pain at the injection site following administration of lot 4020029. The reporter noted that they suspected lot 4020029 was administered, but were not sure. This lot was the product in the office as of 11/29/02. See related HQ5549427NOV2002 and HQ5549927NOV2002.
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Joint range of motion decreased, Shoulder pain
Clinical narrative: A physician reported that a female patient received an injection of Flu Shield (2002-2003 Formula) on 10/29/02. She subsequently developed pain in her shoulder and difficulty moving her arm 2 to 2.5 weeks after receiving the vaccine. She was instructed to see her primary physician who diagnosed her with bursitis. This is 1 of 3 patients from this facility who developed pain at the injection site following administration of lot 4020029. The reporter noted that they suspected lot 4020029 was administered, but were not sure. This lot was the product in the office as of 11/29/02. See related HQ5550627NOV2002 and HQ5549427NOV2002.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster, Pain, Rash, Viral infection
Clinical narrative: Shoulder pain, aching getting worse as time went on. Rash broke out approximately 22nd or 23rd then got much worse. Went to doctor on 26th was told it is shingles - given medication.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chest pain, Headache, Oedema, Pain, Tenderness
Clinical narrative: 12/17/2002 patient awoke in morning with bilateral shoulder pain, left greater than right, headache, neck pain and chest pressure. Left shoulder tender and swollen. Right shoulder also slightly swollen. Rx with ice paks and Tylenol. Feels better.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Syncope
Clinical narrative: Fifteen minutes later began to pass out. Took Benadryl. Slept 12 hours. Two days later also dizzy while walking.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Pain
Clinical narrative: Patient states the left arm "hurt badly" the evening of 11/19/02. The left arm continued to be painful over the next month. She states the pain is in the joint, so that it hurts to lift her arm over the head, put on clothing. She phoned health dept on 12/19/2002 and was advised to see a physician.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site oedema
Clinical narrative: Received PPV 23 to left arm 11/13/2002. Pt stated that pm 11/15/2002, he saw white aurafor 3-4 hours. He also had chills, at site of injection, pt c/o increase redness and swelling. At time of my injection 11/22/2002. no redness or swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Swelling over right upper arm with erythema and increase temperature locally.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Cough, Rash maculo-papular
Clinical narrative: Vaccine related chicken pox. Rash maculopapular, no itch. On limb mainly. Associated with cough.
Age: 0.25
Sex: M
Vaccine: PNC
Symptoms: Eczema, Rash
Clinical narrative: Mild eczema around eyes. Mild rash. Children's Benadryl given po. Orapred po also given. edema and rash resolved in MD's office.
Age: 3.2
Sex: M
Vaccine: HEP
Symptoms: Dermatitis allergic, Rash
Clinical narrative: Vaccine Hep B #3 administered about 12 noon 12/09/2002. About 02:00 pm, child developed rash on hands (top0, neck, and on mouth area (lips). Child taken to ER, MD said child had dermatitis allergy. Child given a dose of Prelone and Atarax in ER. Sent home with Prescription for same meds.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 48 hours post DTAP immunization, developed swelling, erythema, increase local temp over exterior surface of right arm 6 x 5 cm
Age: 0.7
Sex: F
Vaccine: DTAP, HEP, PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: DTAP site on right thigh appears 1.5 x 2.5 cm mass, nonflucient, not hot, erythemious
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Infection, Rash papular
Clinical narrative: Exposed to varicella in class at school. 15-20 small papular to vesicullar lesions on trunk and neck.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pruritic
Clinical narrative: Examined 12/03/2002, c/o itchy bumps on back, no fever, cold cough. On exam 7 scabbed lesions on back
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Left arm 5cm x 6cm erythema, increase temperature. local tenderness
Age: 9.25
Sex: M
Vaccine: DT
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Left arm red and swollen on 12/4/02. Seen on 12/5/02 and area was painful and warm to touch 6" X 3". Dx: Cellulitis and treated with Keflex. Still under treatment.
Age: 9.25
Sex: M
Vaccine: DT
Symptoms: Injection site warmth
Clinical narrative: Left arm red and swollen on 12/4/02. Seen on 12/5/02 and area was painful and warm to touch 6" X 3". Dx: Cellulitis and treated with Keflex. Still under treatment.
Age: 1.8
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Injection site induration, Injection site pain, Injection site urticaria, Injection site warmth
Clinical narrative: Pt developed pain and a very large urticaria with heat at sites. 11cm on one leg and 7cm on the other leg. Give Benadryl and it took it away in about 12 to 15 hours. DX: Allergic reaction with local induration of 11cm.
Age: 11.0
Sex: F
Vaccine: DT, HEP
Symptoms: Abdominal pain upper, Crying, Dyskinesia, Eye movement disorder, Headache
Clinical narrative: After receiving TD and Hep B, complained of headache and began crying (within about 1-2 minutes). Mother standing next to her and held and braced her, preventing her from falling. She lost consciousness and had eye's rolling back, flaccid jerking movements of extremities and incontinent of urine. Regained consciousness within 1 minute and complained of a headache, stomach ache and pain in left deltoid area.
Age: 11.0
Sex: F
Vaccine: DT, HEP
Symptoms: Injection site pain, Loss of consciousness, Urinary incontinence
Clinical narrative: After receiving TD and Hep B, complained of headache and began crying (within about 1-2 minutes). Mother standing next to her and held and braced her, preventing her from falling. She lost consciousness and had eye's rolling back, flaccid jerking movements of extremities and incontinent of urine. Regained consciousness within 1 minute and complained of a headache, stomach ache and pain in left deltoid area.
Age: 27.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Ear pain, Lymphadenopathy, Pharyngeal oedema, Pyrexia
Clinical narrative: 4 day, post vax, right tonsil swollen out past uvula. Had earache and neck was swollen a huge size. Also had fever. Called HD with no response. Called 1-800 number on back of VIS and instructed to call private MD for meds. Called MD and was rx'd Bactrim TID. On 12/30/02, signs and symptoms improved.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Break through, wild type, chickenpox.
Age: 1.4
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Asthenia, Cough, Erythema, Infection, Nasal congestion
Clinical narrative: On 12/2/02, cough with congestion, red cheeks, droopy eyes and real weak X 2 weeks. On 12/6/02, bad cough with congestion and rash.
Age: 1.4
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash, Somnolence
Clinical narrative: On 12/2/02, cough with congestion, red cheeks, droopy eyes and real weak X 2 weeks. On 12/6/02, bad cough with congestion and rash.
Age: 66.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Redness, swelling and itching at injection site. Ice applied at injection site.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: On 8/12/02 noticed tingling of nose, fingers and tips of toes. Went to MD on 11/2/02. Still experiencing symptoms.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Thigh red and swollen.
Age: 42.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema
Clinical narrative: Pt was given Pneumococcal 0.1ml intradermal for PPD in left arm and had redness at site of 1 1/2" X 2". No treatment required.
Age: 42.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt was given Pneumococcal 0.1ml intradermal for PPD in left arm and had redness at site of 1 1/2" X 2". No treatment required.
Age: 5.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Child broke out with red, raised rash this AM. Has low-grade fever. Seen in physician's office for dx this PM.
Age: 4.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Cough, Eye oedema, Rash macular
Clinical narrative: 15-20 minutes after shots were given, reactions were coughing (excessive), sneezing, red blotches on face and body and red, swollen eyes.
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Erythema, Oedema
Clinical narrative: Swelling, redness and bruised. Symptoms lasted about 1 week.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Noticed right arm was red, swollen and warm at an area of upper arm, 11cm X 13cm. Dx: Cellulitis. Plan: Keflex 250mg tid X 10 days; Benadryl 1 tsp prn for itching.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Constipation, Oral intake reduced, Pyrexia, Rash, Somnolence
Clinical narrative: On 5/30/02, received vaccinations. On 6/19/02, rash appeared on lower right leg but normal behavior and healthy. On 6/23/02, went to large public water park and rash was present but normal behavior with rash. On 7/4/02, attended festivities, rash present but normal behavior and healthy. On 7/5/02, had 99.3F (under arm) fever after waking from PM nap (approx. 14:00) and rash had spread to back. On 7/6/02, woke with 101F fever and was given Motrin. Took 4 hour nap (very unusual) and temperature was 102F upon waking and ate a little. Temperature was down to 100.6F at bed time. On 7/7/02, temperature 101.3F at wake up and gave Motrin. Had decreased activity all day. No bowel movement all day. Rash was on both legs, back and chest/abdomen. Rash is milder on torso that legs. Temperature 101.4F after PM nap. On 7/8/02, temperature 101.6F at wake up and gave Motrin. Decreased activity and food/fluid intake all day. No fever after this point and activity and appetite returned to normal by PM/next day. When rash first appeared, I applied hydrocortisone cream regularly but it had no effect. MD said the rash did not look like the rash that comes from the chickenpox shot. He recommended moisturizers and waiting for new skin to "push rash out". After MD visit, I used olive oil liberally, several times a day. The rash eventually cleared up by the end of 7/02. My son has had no history of rashes before of since this incident. I believe the rash was caused by the shot he received for chickenpox.
Age: 3.6
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Fever of 102F, red bumps and itching on face.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Injection site swelling, Myalgia, Nausea, Pyrexia
Clinical narrative: Following vaccination: Left arm swelling, arthralgias/myalgias, temperature of 102F and nausea.
Age: 2.5
Sex: F
Vaccine: VARCEL
Symptoms: Infection
Clinical narrative: She saw a physician the next day, who said she had chickenpox. Mild case for about 1 1/2 weeks.
Age: 1.25
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Irritability, Rash maculo-papular
Clinical narrative: Pt became fussy on the night of 12/28/02. In the morning, mother noticed rash on face and trunk. Rash was diffuse, mostly macular, slightly papular. No fever, no vesicles, no open areas or large urticarial regions.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis, Injection site pain, Injection site vesicles
Clinical narrative: Pt had reaction on left deltoid from DTAP. He had severe cellulitis with blisters and scab at injection site. Seen in ER and given antibiotics and pan meds.
Age: 72.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Injection site pain, Injection site swelling, Oedema peripheral, Scar
Clinical narrative: Arm locally swollen, tender and with hand edema which resolved over several days.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 3" X 4" red, painful, swelling. Temperature 100F.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain in upper right arm down to elbow, swelling, redness and tender to palpation from 4cm-5cm under axilla to antecubital fossa. Treated with Keflex for questionable cellulitis.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Injection site reaction, Skin discolouration, Skin hypoplasia
Clinical narrative: Pt was seen on 12/28/02 for 3rd Hep-B and noted to have some indentation in the center of deltoid where Hep-B was given and local discoloration 2" X 1".
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Injection site haemorrhage, Injection site induration
Clinical narrative: Post vax, pt bled briefly from the injection site. Immediately after administration, injection area surrounding site, swelled with indurated lump measuring 30mm at 16:35; 27mm at 16:40; 22mm at 16:46. Pt denied pain at site or SOB. No erythema at site. Pt left at about 16:50 without complaints. Advised to call at 15:45 and pt was advised to have husband observe about 24 hours for SOB and to go to ER if symptoms of worsening induration, pain or SOB.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: 1 week after vaccine was administered, child had low grade fever. 10 days after vaccine was administered, child had red spots (over 200) on abdomen/trunk, back, and face. Spots never did blister or scab. Spots disappeared after 4 days. Child was irritable while spots were present.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dyskinesia, Febrile convulsion, Otitis media, Pyrexia, Respiratory tract infection
Clinical narrative: Febrile Seizures on 11/06/2002.  Temp. 102.5 and URI with otitis media but occured 8 days after MMR Varivax. Describes as infrequent jerky spasms of arms and legs (few seconds between) lasted maybe 15 min.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: From telephone contact received at manufacturer on 5/24/02, it was reported that a 5 year old male received fifth dose Tripedia vaccine on 4/18/02. Later that day, he was seen at the office and diagnosed with cellulitis at the injection site. He was started on Keflex. Two days later, the site of injection was without redness, swelling or pain.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: From telephone contact received at manufacturer on 5/24/02, it was reported that a 5 year old male received Tripedia on 5/21/02. Patient was sent to Emergency Room on 5/22/02 to rule out cellulitis because of red, hot, and swollen deltoid at injection site. IV Nefrcilin given and blood work done.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: From telephone contact received at manufacturer on 6/3/02 it was reported that a 1 year old male received Tripedia on 5/30/02. Patient developed a large local reaction from knee to upper thigh on 6/3/02. Area red, warm to touch, swollen and itchy. Nurse stated that cellulitis developed. Child scheduled for follow up visit with doctor's office on 6/4/02.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Pruritus
Clinical narrative: From telephone contact received at manufacturer on 6/3/02 it was reported that a 1 year old male received Tripedia on 5/30/02. Patient developed a large local reaction from knee to upper thigh on 6/3/02. Area red, warm to touch, swollen and itchy. Nurse stated that cellulitis developed. Child scheduled for follow up visit with doctor's office on 6/4/02.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: From telephone contact received at manufacturer on 6/4/02, it was reported that a 4 year old female received Tripedia vaccine. Patient developed redness at injection site. Patient treated with Zyrtec 2.5mg. Reaction resolved.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: From telephone contact received at manufacturer on 6/6/02, it was reported by a health care professional that a 4 year old female received Tripedia vaccine. Patient developed a large local redness and swelling (7cmx7cm) at injection site. Two other patients with same reaction from Lot U0544AA. Follow up on 10/7/02: the reporter was contacted on 10/7/02 to request additional info about other two patients with reactions to Tripedia. However, the reporter was not able to provide pt identifiers or other specific info regarding these events.
Age: 1.7
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: From telephone contact received at manufacturer on 6/10/02, it was reported by the nurse that a 20 month old female received Tripedia on 6/7/02. Patient seen in the emergency room on 6/9/02 and treated with IV antibiotics for diagnosis of cellulitis to the injection site (right thigh).
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: From telephone contact received at manufacturer on 6/19/02, it was reported that a male, born on 12/22/02, received Tripedia vaccine. Patient developed a 10cm local reaction with redness and swelling.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: From telephone contact received at manufact. on 19Jun2002, it was reported that a 2 year old female was administered a dose of Tripedia vaccine in deltoid. Date of vaccination unknown. one to two days after vaccination, pt developed a very red area at the injection site apprx. 6cm. Area hot to touch. No other reported symptoms.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: From telephone contact received at manufact. on 08Jul2002 it was reported that a 16 month old male received a dose of Tripedia vaccine on 03Jul2002. Pt developed a large area of redness and swelling at the injection site (thigh).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: From telephone contact at manufact. on 19Jun2002, it was reported by a nurse that apprx. 11-12 pts with large local reactions after receipt of 4th and 5th doses of Tripedia vaccine series. Four different lot numbers were involved. She stated that all of these reports were reported to VAERS, some local reactions included entire limb. Additional information received from follow up correspondence on 21Jun2002 regarding each pt. P 3 4 A female, apprx. 5 years old received 5th dose of DTAP(Tripedia), 4th dose of IPV(IPOL), and 2nd dose of MMR vaccines on 17Apr2002. Pt developed a large local reaction of redness and tender to touch on left arm on 19Apr2002. Pt recovered. Case closed. See reports U2002-00454, U2002-00546, U2002-547 and U2002-00549 to U2002-00555, from same facility.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site hypersensitivity
Clinical narrative: It was reported that a 4 year-old male received Tripedia(lot# U0549CA). Patient developed local reaction of redness around the injection site. Physician treated with ice and exercise.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site mass, Injection site oedema
Clinical narrative: It was reported that a 2-year-old female received a dose of Tripedia(lot#U0582AA) vaccine on 7/24/02. Patient developed a large local swelling and induration at injection site measuring 8x8cm. There were two other patients who experienced the same reaction with this lot number.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: It was reported that a 4-year-old female received Tripedia and IPOL vaccine IM in the right deltoid on 7/30/2002. Patient developed local reaction of redness and swelling. Parent was advised to watch for any worsening, and to use ice, Ibuprofen or Acetomenophen as needed.
Sex: M
Vaccine: DTAP
Symptoms: Injection site hypersensitivity
Clinical narrative: On 7/31/02, it was reported "local reaction approx 3 inches in diameter, red warm swollen, fifth dose of series. Dose administered deltoid. Male child, age not indicated right now. Additional info will be given upon request from manufacturer. This doctor has additional similar incidents to report."
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site mass, Injection site oedema
Clinical narrative: It was reported that a 4-year-old female received a dose of Tripedia(lot#U0582AA) vaccine on 7/24/02. Patient developed a large local swelling and induration at injection site measuring 8x8cm. There were two other patients who experienced the same reaction with this lot number.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site mass, Injection site oedema
Clinical narrative: It was reported that a 2-year-old male received a dose of Tripedia(lot#U0582AA) vaccine on 7/24/02. Patient developed a large local swelling and induration at injection site measuring 8x8cm. There were two other patients who experienced the same reaction with this lot number.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site mass
Clinical narrative: It was reported that a 5-year-old male received DTaP (Tripedia) vaccine on 7/24/02. Patient developed a 4x4cm area of erythema and induration at injection site on 7/25/02. The patient was treated with warm packs and Ibuprofen.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: It was reported that a 5 year old male received DTaP (Tripedia) vaccine. Pt developed a 12cm x 12cm area of erythema and induration to left arm. No vaccination date and adverse event onset date given. Pt recovered.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: It was reported that an 18 month old male received DTaP vaccine on 7/29/02. Pt developed an 11.5cm x 8.5cm erythematous annular area at site of injection, area non-tender. Pt is not limping. Reactions initially noted on 7/30/02 and increased in size and became warm on 7/31/02.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: It was reported that a 2 year old female received 4th dose of DTaP vaccine on 7/24/02. Pt developed an 8cm x 8cm area of erythema and 4cm x 4cm induration to injection site on 7/25/02. No fever reported. Treated with warm packs and Keflex.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: It was reported that a 15 month of old male was given TriHIBIT on 8/14/02. Lot number for Tripedia is DTaP U0544AA, lot number for ActHIB is HIB UA686AA. Within 24 hrs of administration, the pt had a fever of 103F (axillary) and a swollen, red area at the vaccination site. The pt was seen in the office, treated and released.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV
Symptoms: Injection site induration
Clinical narrative: Information has been received on 8/20/02 concerning a 3 year old male who was vaccinated with third dose of Tripedia (U0548AA) in the right thigh, third dose of IPOL (U1233-2) in the left thigh, third dose of Hep B (5206A) in the right thigh, and hep A (708E9) in the left thigh on 8/12/02. The pt developed an area of induration to the right thigh on 8/13/02. No other signs and symptoms were reported. The pt's mother was instructed to give pt Benadryl. The pt recovered. See case U2002-00773 and U2002-00775 same reporter.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Injection site pain, Paraesthesia
Clinical narrative: From faxed correspondence received from reporting health professional stated that a 29 year old female patient received a Rabies Imovax vaccine intradermal in the left deltoid during the early evening of 05/25/01. Later that evening, the patient developed tingling and pain from the injection site to fingers of her left arm. Treatment of Ibuprofen which helped with headache but no effect for arm pain and tingling. As of 06/01/01, the symptoms are still occurring. From mailed correspondence received on 08/28/01 it was reported, "Patient's recovery status; As of 08/20/01, patient reported pain and tingling in the left arm went away approximately week of 06/11/01; 06/15/01. (Patient) stated no occurrence of symptoms with the follow-up rabies vaccine. Patient recovered. This case is closed.
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Pain, Paraesthesia
Clinical narrative: From faxed correspondence received from reporting health professional stated that a 46 year old female pt received a Rabies Imovax vaccine intradermal in the left deltoid on 5/22/01 at 1pm. At 2pm that same day the pt developed tingling in her left arm that lasted for one week; tingling continues in left forearm and hand. Pt took ASA with relief. As of 6/8/01 these symptoms periodically occur. From mailed correspondence received on 8/28/01 it was reported, "Pt's recovery status: as of 8/20/01, pt reported, decreased tingling in arm and fingers of her left arm. Pt stated "everyday, feel tingling getting less." Occasionally uses arm brace to help relieve tingling. Pain level when tingling first occurred 5/22/01 was 8-9 on pain scale, and today 8/20/01 pain level is 1-2 on pain scale. The correct spelling of the vaccine administrator, the city and the lot number were also provided. This case is closed.
Age: 27.0
Sex: F
Vaccine: RAB
Symptoms: Rash, Serum sickness
Clinical narrative: It was reported that a pt received an Imovax Rabies ID vaccination administered on 10/12/01. On 10/22/01 the pt developed a generalized rash starting on her feet. She was seen by her family physician on 10/23/01, the rash is unresolved. Additional info received from mail correspondence at manufacturer on 4/22/02, it was reported that the rash was completely gone by 10/28/01. Allergist at hospital was seen and could not confirm but said it was most likely due to "serum sickness." Pt recovered.
Age: 33.0
Sex: F
Vaccine: MEN, MMR, TYP, YF
Symptoms: Feeling hot, Pyrexia, Rash
Clinical narrative: The afternoon of the shots felt warm and developed rash from head to chest. Temp 100.6 degrees in PM. Rash was gone by 6 pm. Called clinic and advised to take Benadryl.
Age: 18.0
Sex: M
Vaccine: FLU3, MEN, TTOX
Symptoms: Anaphylactic reaction, Chest pain, Muscle twitching, Respiratory distress, Tachycardia
Clinical narrative: 20 minutes after recieving vacinnes, patient fell onto padded matting with tachypneic respirations in apparent respiratory distress with hives only on forehead, awake and responsive with generalized twiching of upper extremities, C/O chest pain.  50mg Benadryl IM and 0.3mg Epinephrine IM given, place on O2 10L NRB.  Lungs with diffuse wheezes but moving air with patent airway.  Code Blue called, placed on monitor-NSR with sinus tach. Vitals 135/97, P-100, R-75, SAO2 99% NRB, with strong pulses. IV started.  Patient given 5 mg valium IVP and 5mg albuterol via HHN.  Taken to hospital ER via ACLS.  Admitted overnight for observation.  Discharged 1200 the following day.
Age: 18.0
Sex: M
Vaccine: FLU3, MEN, TTOX
Symptoms: Urticaria, Wheezing
Clinical narrative: 20 minutes after recieving vacinnes, patient fell onto padded matting with tachypneic respirations in apparent respiratory distress with hives only on forehead, awake and responsive with generalized twiching of upper extremities, C/O chest pain.  50mg Benadryl IM and 0.3mg Epinephrine IM given, place on O2 10L NRB.  Lungs with diffuse wheezes but moving air with patent airway.  Code Blue called, placed on monitor-NSR with sinus tach. Vitals 135/97, P-100, R-75, SAO2 99% NRB, with strong pulses. IV started.  Patient given 5 mg valium IVP and 5mg albuterol via HHN.  Taken to hospital ER via ACLS.  Admitted overnight for observation.  Discharged 1200 the following day.
Age: 0.0
Sex: U
Vaccine: DTAP
Symptoms: Febrile convulsion
Clinical narrative: febrile seizure (first one) within 12 hours of vaccine with no intercurrent illness and complete resolution within 12 hours...no further fever
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, MEN
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site rash, Injection site warmth, Pruritus
Clinical narrative: Injection site (Left tricep area) swelling, warm, itchy, rash extends 5 inches below right elbow. Sx started within one hour, and got worse. Patient had similar reaction with previous injections which resovled in 2 weeks. Patient will be initiating treatment today.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: Developed swelling, redness and itching of the right arm, not extending past the right elbow, one day after receiving the second anthrax dose. Received vaccine before departing Turkey.  Presented to local emergency department after returning to CONUS.  Received steroid injection and oral prednisone.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation, Injection site rash, Injection site warmth, Muscular weakness
Clinical narrative: Hot, erythematous, three inch diameter macular rash on area of vaccination (posterior deltoid of left arm).  She also had accompanying burning sensation along the ventral forearm and weakness in the hand.  All symptoms and signs resolved completely within four days.  She was treated with cold packs.  She refused benadryl P.O.
Age: 63.0
Sex: F
Vaccine: HEPA
Symptoms: Arrhythmia, Dehydration, Electrolyte imbalance, Injection site oedema, Injection site pain
Clinical narrative: According to pt's descriptions, she developed high fever and injected arm swollen and severe painful a few hours post vaccination given; then progressed into N/V/D then developed acute mental status changes, electrolyte imbalance, and arrthymia dehydrated on 12/26/02, Hep A and B IgM (+).
Age: 63.0
Sex: F
Vaccine: HEPA
Symptoms: Mental impairment, Pyrexia
Clinical narrative: According to pt's descriptions, she developed high fever and injected arm swollen and severe painful a few hours post vaccination given; then progressed into N/V/D then developed acute mental status changes, electrolyte imbalance, and arrthymia dehydrated on 12/26/02, Hep A and B IgM (+).
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Shoulder pain
Clinical narrative: Severe left shoulder and chest pain. Diagnosed as acute brachioplexitis 2 hours after flu shot. required IV, Dicandin and hospitalization for four days to control the pain and to rule out MI. Complete recovery after oral steroids and physical therapy one month later.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Swollen, sore, red area, knot at injection site. no other symptoms
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: The employee had his flu vaccine given on 10/21/2002. On 10/22/2002, he returned complainy of his arm being reddened, warm to touch, and swollen at injection site.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Rash
Clinical narrative: On 11/01/2002 pt was given the flu vaccine. She returned on 11/04/2002 stating she developed a rashy red area at injection site. She denied pain and itchy. This disappeared within 2 days.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: 12/13/2002 Pt presented with MO after receiving flu shot 11/13/2002. C/O soreness in arm, espec. when he lifts it.  Note attached---12/13/2002 Client presented at health dept. Nurses were not present. client stated to secretary that his arm is still sore with flu shot on 11/13/2002, especially when lifting arm or to shave. States he applied warm compresses x 1 for 1 minutes. Advised to see PMD if continues. 12/13. I phoned pt's home. He was not available. Spoke with his wife. Re- interated that he should see his private physician; also that I would file a VAERS form. To call me back when he comes home.  12/30/2002 To date, no response from client. VAERS form filed.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Blister, Fatigue, Injection site pain
Clinical narrative: Pt c/o only a "slightly sore" arm for 1-2 days after receiving vaccine. however, he c/o being " very tired and blisters" and having "no energy" since receiving the vaccine. Pt was advised to consult his MD for advise. Pt states he is due for lab work and a check up.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Immunizations given and pt observed x 15 mins after shots. S/S of adverse reaction. Mom states later, one day developed hard red nodule on right thigh at injection site of Varivax. Child also received Comvax and PCV in same leg and did receive Wyeth Flu vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Left arm upper turned bright red - bright patch that extends down arm about 5-6 inches swatch about 1/4 normal size; Felt warm & sore telephone conversation on 01/06/03; Has appt with doctor on 01/08/02 to have stitches removed.
Age: 47.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Fatigue, Headache, Pain
Clinical narrative: Joint pain, knees & hands,fatigue, HA - at time of vaccine 2nd dose 1999; Antibiotics, Plaqueril and alternative medicine
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Convulsion, Lethargy
Clinical narrative: Lethargy, Possible seizures disorder
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: Redness after shot-swelling,very sore muscles & now I go to therapy (shoulder frozen) (6 wks- later) Cortizone Injections