chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: TTOX
Symptoms: Headache, Myalgia, Pain, Pain in extremity, Tension
Clinical narrative: Randomly get surges of pain in joints, muscles, head, legs, arms hurt. Neck feels tense. Lightheaded, dizzy. Hurts to even move fingers. Dehydrated and disoriented. Insides feel hot. Hurts to move anything.
Age: 0.58
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Urticaria
Clinical narrative: Hives on legs, ankles, arms, wrists, face.  Coming and going.  No treatment.
Age: 1.03
Sex: F
Vaccine: MMR
Symptoms: Body temperature increased, Rash papular
Clinical narrative: Pt developed temp of 100 and raised rash on back and buttock and legs.
Age: 0.59
Sex: F
Vaccine: DTAPIPVHIB, PPV, RVX
Symptoms: Muscle twitching, Pyrexia, Staring
Clinical narrative: Fever of 103.2 rectally. Twitching. Blank stares lasting about 1-2 minutes a piece.  Administered Tylenol at home at 10:45 PM took her to ER when her fever wasn't affected. When rechecked, her fever reduced to 101.0 and the ER staff administered Motrin at about 1:15 AM and discharged with instructions to keep an eye on her temperature and the blank stares and twitching spells.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: redness, swelling and heat at and around injection site (approx. softball size)
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine given on Friday and over the weekend pt developed redness/warmth/tenderness and swelling on Left thigh where the vaccine was administered.  Pt was given ibuprofen, Benadryl and heat/ice/rest.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Bacterial test, Blood culture, Diarrhoea, Full blood count, Haematochezia
Clinical narrative: According to mom patient had loose stools with blood streaks and fever of 101.6 which started on the same day of getting 6 month shots.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Metabolic function test, Occult blood, Pyrexia
Clinical narrative: According to mom patient had loose stools with blood streaks and fever of 101.6 which started on the same day of getting 6 month shots.
Age: 50.0
Sex: M
Vaccine: DTAP
Symptoms: Ear discomfort, Headache
Clinical narrative: Severe headache with fullness and discomfort in both ears. Took Advil, little relief. Symptoms slowly improved over 1 week.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pruritus, Tenderness
Clinical narrative: Pt notified myself of delayed rxn to shingles vaccine - 3 days after the vaccine she noted a swollen, tender, itchy arm down to the elbow, which lasted and resolved after 1 week.  Pt reported no other problems.
Age: 1.63
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Decreased appetite, Irritability, Pyrexia
Clinical narrative: FEVER, FUSSY, DECREASED APPETITE FOR 2 DAYS TREATMENT TYLENOL AND MONITOR
Age: 11.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Loss of consciousness, Pallor
Clinical narrative: PT STATED HE WAS GOING TO FAINT, TURNED PALE AND PASSES OUT.  HIS VS WERE AS FOLLOWS: B/P 92/50 PULSE 88 RESP 14.  USED AMMONIA AMPULE TO RISE HIM, LAID HIM ON THE FLOOR, ICE PACK TO BACK OF NECK.  PT. RECOVERED WITHIN 15 MINUTES.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Gait disturbance, Injection site pain
Clinical narrative: Would not walk on R leg/painful.  No redness or swelling noted.  No fever noted.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Pt received a PNEUMOVAX - 2 days later she called and stated the injection site was ok but the outer portion of her arm was red swollen warm to touch and painful. Pt was bought into office the Dr. looked at it and treated it for cellulitis.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain
Clinical narrative: R leg very sore/no redness or swelling.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Gait disturbance, Injection site pain
Clinical narrative: Pain in R leg with limping.  No redness or swelling noted.  No fever.
Age: 4.0
Sex: M
Vaccine: PNC13
Symptoms: Gait disturbance, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Painful R leg, did not want to walk on leg.  Developed swelling w/red raised rash after pain subsided at injection site.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1), PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Localized area (5 cm (around)) of redness, swelling, and tenderness to left arm, upper deltoid area - Approx 11 days duration - 6/22/10 -> 7/2/10.
Age: 55.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Anaphylactic reaction, Dyspnoea, Feeling hot, Rash macular
Clinical narrative: Pt received H1N1 vaccination (in June?) and developed typical sx of anaphylaxis within 10-15 minutes after injection during observation (SOB, hotness, blotchy skin, no throat closure though). Received Epi/Diphenhydramine in ER and was stable.
Age: 38.0
Sex: M
Vaccine: FLU(H1N1), PPV
Symptoms: Blood pressure systolic decreased, Dizziness postural, Hyperhidrosis, Hypotension, Nausea
Clinical narrative: Symptoms:, 1. Hypotension.
Age: 34.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Pyrexia, Tremor, Vaccination site cellulitis, Vaccination site erythema
Clinical narrative: Thank you for asking me to evaluate this 34-year-old female with right biceps cellulitis. History: Patient is a 34-year-old female who had a PNEUMOVAX and tetanus vaccination on 7/21, and on 7/22 she noticed an area of erythema about her right bicep at the area of the vaccination. Over the next 24 hours, there was significant progression of erythema and she presented to the ER yesterday evening. I did discuss with the ER MD and we considered adding clindamycin to cefazolin initially but decided to go with cefazolin alone. She has a history of splenectomy at age 8 for hereditary spherocytosis. She has never had cellulitis in the past. The erythema is not really any better according to her and her husband and has extended beyond the margin distally. She has been afebrile this admission. She did have some chills on 07/24. She also had some shaking chills and fever 07/22 in the evening. She had been seen previously in urgent care, where she got ceftriaxone.
Age: 34.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: White blood cell count increased
Clinical narrative: Thank you for asking me to evaluate this 34-year-old female with right biceps cellulitis. History: Patient is a 34-year-old female who had a PNEUMOVAX and tetanus vaccination on 7/21, and on 7/22 she noticed an area of erythema about her right bicep at the area of the vaccination. Over the next 24 hours, there was significant progression of erythema and she presented to the ER yesterday evening. I did discuss with the ER MD and we considered adding clindamycin to cefazolin initially but decided to go with cefazolin alone. She has a history of splenectomy at age 8 for hereditary spherocytosis. She has never had cellulitis in the past. The erythema is not really any better according to her and her husband and has extended beyond the margin distally. She has been afebrile this admission. She did have some chills on 07/24. She also had some shaking chills and fever 07/22 in the evening. She had been seen previously in urgent care, where she got ceftriaxone.
Age: 1.0
Sex: F
Vaccine: HIBV, PNC
Symptoms: Bacteraemia, Streptococcus test positive
Clinical narrative: Bacteremia without focus.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Vertigo
Clinical narrative: vertigo
Age: 0.37
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Intussusception
Clinical narrative: Intussusception.
Age: 0.37
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Abdominal X-ray, Barium double contrast, Haematochezia, Hypophagia, Intussusception
Clinical narrative: Intussusception.
Age: 0.37
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Irritability, Vomiting
Clinical narrative: Intussusception.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Lethargy, Somnolence, Vomiting
Clinical narrative: Lethargic sleepiness vomiting > Started shortly after rcvg vaccine and lasted < 24 hrs.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Facial palsy
Clinical narrative: Bells palsy diagnosed 7/28/10 by MD.
Age: 22.0
Sex: F
Vaccine: HPV4, PPV
Symptoms: Syncope
Clinical narrative: Syncope approx 15 seconds. VS repeated in 10 min intervals BP stabilized at 122/68 HR 86 RR 20, oral fluids given to pt.
Age: 42.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Blood immunoglobulin E increased, Fatigue, Headache, Malaise, No reaction on previous exposure to drug
Clinical narrative: Pt is nurse who received TYPHOID VI, and AVA #1 yesterday in prep for deployment on 13 Aug 2010. Has had 6 previous typhoid vaccinations with no reactions. Twelve hours after receiving the vaccinations she noted pruritic, erythemic papules (non-vesicular) on the antecubital space bilat and behind lt knees bilat. Also c/o malaise, slight HA, and required sleep for 3 hours yesterday due to fatigue. Today her VS are stable, and she is afebrile. Denies new foods, lotions, soaps, etc. Denies hx of Atopic derm and states she has never had rashes. Occasionally has allergic rhinitis sxs but not currently. Takes no chronic meds. Hx Breast CA and had chemo and radiation in 2003 and took tamoxifen x 3 yrs.
Age: 42.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: Pt is nurse who received TYPHOID VI, and AVA #1 yesterday in prep for deployment on 13 Aug 2010. Has had 6 previous typhoid vaccinations with no reactions. Twelve hours after receiving the vaccinations she noted pruritic, erythemic papules (non-vesicular) on the antecubital space bilat and behind lt knees bilat. Also c/o malaise, slight HA, and required sleep for 3 hours yesterday due to fatigue. Today her VS are stable, and she is afebrile. Denies new foods, lotions, soaps, etc. Denies hx of Atopic derm and states she has never had rashes. Occasionally has allergic rhinitis sxs but not currently. Takes no chronic meds. Hx Breast CA and had chemo and radiation in 2003 and took tamoxifen x 3 yrs.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope, Tonic clonic movements
Clinical narrative: Immediate syncopal event. Supine x 10 min. 2nd syncopal event after sitting up x approximately 5 min. This time w/some tonic-clonic jerks.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Expired drug administered
Clinical narrative: Gave Zoster vaccine that was 3 days expired.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Urticaria
Clinical narrative: Received KINRIX and MMR and developed hives shortly after administration. Was given BENADRYL orally with improvement - hives did last a couple of days and was given BENADRYL routinely x 2 days.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Breath holding, Cyanosis, Syncope
Clinical narrative: Baby held breath until she turned cyanotic and syncopal. After syncope, started breathing normally. (No seizure activity)
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Hypersensitivity, Immediate post-injection reaction, Immunisation reaction, Injection site erythema, Injection site pruritus
Clinical narrative: Tdap one-time booster administered for patient aged 19-64 as of 4/29/10. Per Allergy specialist, pt experienced immediate itch, then 3 days later persistent erythema, which persisted another week. Had reaction to tetanus booster, persistent swelling/erythema and some itch at injection site. Likely had mild immediate and then delayed hypersensitivity to either toxoid or components/preservative. Would just monitor ab level in 10 years and if protective, don't repeat. If imperative, could do formal skin testing in future.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Pruritus
Clinical narrative: Tdap one-time booster administered for patient aged 19-64 as of 4/29/10. Per Allergy specialist, pt experienced immediate itch, then 3 days later persistent erythema, which persisted another week. Had reaction to tetanus booster, persistent swelling/erythema and some itch at injection site. Likely had mild immediate and then delayed hypersensitivity to either toxoid or components/preservative. Would just monitor ab level in 10 years and if protective, don't repeat. If imperative, could do formal skin testing in future.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Arm red - swollen - warm to touch (Right arm).
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Malaise, Pyrexia
Clinical narrative: Pt experienced fatigue and malaise for the following 24 hrs after injection. She then developed redness and swelling to her (R) deltoid and subjective fever.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: Pt given a PNEUMOVAX 23 on 8-2-10 - called two days alter and said the injection site was OK, but the backside of her arm was red and swollen. Treated for cellulitis.
Age: 0.56
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: Fever, congestion after DTaP #3.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt came into office 7-30-10, symptoms began 7-27-10. Today site of right thigh with 8-9 cm diameter of redness, warm to touch and tenderness.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received PNEUMOVAX 7/19/10. Came back to clinic 7/21/10 L upper arm swollen red, warm - diagnosed cellulitis - Prescribed ROCEPHIN 1 gm on 7/21. Also KEFLEX PO for 10 days.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Abnormal behaviour, Crying, Diarrhoea, Diet refusal, Injection site erythema
Clinical narrative: Crying, "not acting like herself", refusing to feed, sleepy, redness, swelling (L) thigh; diarrhea.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Injection site swelling, Somnolence
Clinical narrative: Crying, "not acting like herself", refusing to feed, sleepy, redness, swelling (L) thigh; diarrhea.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Pyrexia, Staphylococcal infection
Clinical narrative: Per mom pt was admitted with high fever and staff infection due to adm. vaccines.
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Received injection at 0930. Generalized achiness by noon. Localized erythema and swelling by 8 pm.
Age: 26.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Anaphylactic reaction, Respiratory distress
Clinical narrative: Information has been received from a registered nurse concerning a 26 year old female patient who in 2004 was vaccinated with a dose of PNEUMOVAX 23 (lot# not reported) and a dose of influenza virus vaccine (unspecified) at the same time in the same arm. Following the administration the patient developed an anaphylactic reaction for which she was rushed to the emergency room and treated for respiratory distress, the patient was hospitalized. Subsequently, the patient was discharged and fully recovered. Respiratory distress and anaphylactic reaction were considered to be immediately life-threatening, disabling and other important medical events by the reporter. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Alpha 1 foetoprotein, Amniocentesis, Amniotic fluid volume decreased, Anaemia, Caesarean section
Clinical narrative: Information has been received from a certified medical assistant, for GARDASIL, a Pregnancy Registry product, concerning a 17 year old female with no pertinent medical history reported and no known drug allergies who on November 2008, August 2009 and 11-DEC-2009 was vaccinated intramuscularly with the first 0.5 mL, second 0.5 mL and third 0.5 mL dose of GARDASIL (LOT# first dose 659180/1758U, second dose 659964/1978U and third dose 663453/0249Y), respectively. There was no concomitant medication. The patient was found to be pregnant since the pregnancy urine test was positive. No adverse effect was reported. The date of the last menstrual period was in October 2009, the estimated date of delivery is in July 2010. Follow-up information was received which reported that the female with no previous pregnancies or births and was pregnant, and the estimated conception date was possibly 09-NOV-2009. The date of the last menstrual period was in October 2009, the estimated date of delivery is 08-AUG-2010. The Maternal serum-alpha-fetoprotein (MSAFP) and amniocentesis was performed by obstetrician/Gynecologist (OB/GYN) and no results were reported. Follow-up information was received which provided specified dates of the first dose and second dose. It was noted the first dose of GARDASIL was received on 14-NOV-2008 and the second dose on 12-AUG-2009. Follow-up information was received which reported that the female during entire pregnancy time period was taking prenatal vitamins, daily for prenatal care and SLOW FE, daily for anemia. During pregnancy/delivering, the patient had complication of low amniotic fluid and fetal distress (had captured in NWAES # 1001USA03408B1). Obstetric labs, ultrasound and fetal stress test were performed and outcomes were unknown. On 20-JUL-2010, at LMP of 38 weeks the patient through C-section delivered a normal male infant, weight "5 pounds 1.6 ounce" and length 19.5 inches. Upon internal review, C-section was considered to be an other important medical event. The infant's experience had captured in NWAES # 1001USA03408B1. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Cardiac stress test, Drug exposure during pregnancy, Foetal distress syndrome, Laboratory test, Ultrasound scan
Clinical narrative: Information has been received from a certified medical assistant, for GARDASIL, a Pregnancy Registry product, concerning a 17 year old female with no pertinent medical history reported and no known drug allergies who on November 2008, August 2009 and 11-DEC-2009 was vaccinated intramuscularly with the first 0.5 mL, second 0.5 mL and third 0.5 mL dose of GARDASIL (LOT# first dose 659180/1758U, second dose 659964/1978U and third dose 663453/0249Y), respectively. There was no concomitant medication. The patient was found to be pregnant since the pregnancy urine test was positive. No adverse effect was reported. The date of the last menstrual period was in October 2009, the estimated date of delivery is in July 2010. Follow-up information was received which reported that the female with no previous pregnancies or births and was pregnant, and the estimated conception date was possibly 09-NOV-2009. The date of the last menstrual period was in October 2009, the estimated date of delivery is 08-AUG-2010. The Maternal serum-alpha-fetoprotein (MSAFP) and amniocentesis was performed by obstetrician/Gynecologist (OB/GYN) and no results were reported. Follow-up information was received which provided specified dates of the first dose and second dose. It was noted the first dose of GARDASIL was received on 14-NOV-2008 and the second dose on 12-AUG-2009. Follow-up information was received which reported that the female during entire pregnancy time period was taking prenatal vitamins, daily for prenatal care and SLOW FE, daily for anemia. During pregnancy/delivering, the patient had complication of low amniotic fluid and fetal distress (had captured in NWAES # 1001USA03408B1). Obstetric labs, ultrasound and fetal stress test were performed and outcomes were unknown. On 20-JUL-2010, at LMP of 38 weeks the patient through C-section delivered a normal male infant, weight "5 pounds 1.6 ounce" and length 19.5 inches. Upon internal review, C-section was considered to be an other important medical event. The infant's experience had captured in NWAES # 1001USA03408B1. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a certified medical assistant, for GARDASIL, a Pregnancy Registry product, concerning a 17 year old female with no pertinent medical history reported and no known drug allergies who on November 2008, August 2009 and 11-DEC-2009 was vaccinated intramuscularly with the first 0.5 mL, second 0.5 mL and third 0.5 mL dose of GARDASIL (LOT# first dose 659180/1758U, second dose 659964/1978U and third dose 663453/0249Y), respectively. There was no concomitant medication. The patient was found to be pregnant since the pregnancy urine test was positive. No adverse effect was reported. The date of the last menstrual period was in October 2009, the estimated date of delivery is in July 2010. Follow-up information was received which reported that the female with no previous pregnancies or births and was pregnant, and the estimated conception date was possibly 09-NOV-2009. The date of the last menstrual period was in October 2009, the estimated date of delivery is 08-AUG-2010. The Maternal serum-alpha-fetoprotein (MSAFP) and amniocentesis was performed by obstetrician/Gynecologist (OB/GYN) and no results were reported. Follow-up information was received which provided specified dates of the first dose and second dose. It was noted the first dose of GARDASIL was received on 14-NOV-2008 and the second dose on 12-AUG-2009. Follow-up information was received which reported that the female during entire pregnancy time period was taking prenatal vitamins, daily for prenatal care and SLOW FE, daily for anemia. During pregnancy/delivering, the patient had complication of low amniotic fluid and fetal distress (had captured in NWAES # 1001USA03408B1). Obstetric labs, ultrasound and fetal stress test were performed and outcomes were unknown. On 20-JUL-2010, at LMP of 38 weeks the patient through C-section delivered a normal male infant, weight "5 pounds 1.6 ounce" and length 19.5 inches. Upon internal review, C-section was considered to be an other important medical event. The infant's experience had captured in NWAES # 1001USA03408B1. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Blood immunoglobulin G, Dizziness, Dyspnoea, Eye irritation, Eye pruritus
Clinical narrative: Information has been received from a physician concerning a female patient with yeast allergy who on an unspecified date was vaccinated with a first dose of GARDASIL (Lot# unknown). The physician reported that the patient experienced itching after receiving GARDASIL. The patient sought unspecified medical attention. At the time of the report, the patient had recovered from itching (date unknown). Therapy with GARDASIL was discontinued. Follow up information has been received from a physician concerning a 22 year old female patient with yeast allergy who on 23-MAR-2010 was vaccinated with a first dose of GARDASIL (Lot # 662765/0821Y, expiry date 25-JUN-2011), IM in the left deltoid. On 24-MAR-2010 at 2:00 am the patient experienced rash (red itchy), shortness of breath, lightheadedness, dizziness, and itchy/burning eyes. The physician stated that on 30-MAR-2010 the patient recovered. The patient sought medical attention. The reporting physician considered rash (red itchy), shortness of breath, lightheadedness, dizziness, and itchy/burning eyes to be other important medical events. Additional information is not expected.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Food allergy, Pruritus, Rash erythematous
Clinical narrative: Information has been received from a physician concerning a female patient with yeast allergy who on an unspecified date was vaccinated with a first dose of GARDASIL (Lot# unknown). The physician reported that the patient experienced itching after receiving GARDASIL. The patient sought unspecified medical attention. At the time of the report, the patient had recovered from itching (date unknown). Therapy with GARDASIL was discontinued. Follow up information has been received from a physician concerning a 22 year old female patient with yeast allergy who on 23-MAR-2010 was vaccinated with a first dose of GARDASIL (Lot # 662765/0821Y, expiry date 25-JUN-2011), IM in the left deltoid. On 24-MAR-2010 at 2:00 am the patient experienced rash (red itchy), shortness of breath, lightheadedness, dizziness, and itchy/burning eyes. The physician stated that on 30-MAR-2010 the patient recovered. The patient sought medical attention. The reporting physician considered rash (red itchy), shortness of breath, lightheadedness, dizziness, and itchy/burning eyes to be other important medical events. Additional information is not expected.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Similar reaction on previous exposure to drug
Clinical narrative: Information has been received from a nurse at the physician's office concerning a 14 year old female patient who on an unknown date was vaccinated with the first dose of GARDASIL (lot # and route not reported). On an unspecified date the patient received the second dose of 0.5 ml GARDASIL intramuscularly (lot # not reported). Concomitant therapy was not reported. After getting the second dose of vaccine the patient experienced seizure like reaction. The nurse also reported that the patient had a similar reaction after the first dose as well. The patient had sought medical attention and had recovered from the seizure like reaction "after stopping therapy". Upon internal review, seizure like reaction is considered to be an other important medical event. Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cardiac stress test, Computerised tomogram, Dyspnoea, Laboratory test, Suffocation feeling
Clinical narrative: Smothering and hard time breathing.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Gaze palsy, Tremor, Vomiting
Clinical narrative: After holding baby on shoulder mom lowered baby to a sitting position in her lap.  Baby began "shaking all over, legs, arms and head", "eyes seemed to be staring".  Episode lasted about 30 seconds according to mom.  "Seemed fine afterward" but vomited 10 min. later and fell asleep (baby had just previously been fed).
Age: 17.0
Sex: F
Vaccine: IPV
Symptoms: Medical device complication
Clinical narrative: Syringe needle dislodged from vaccine product.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Joint swelling, Oropharyngeal pain, Pruritus, Rash generalised, Urticaria
Clinical narrative: Generalised rash / urticaria/ pruritis / swollen joints , throat pain
Age: 12.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Redness and swelling to site since receiving immunizations. Now includes right bicep warm to touch, pain when raising arm and pruritus.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiac enzymes, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: SOB Chest Pain Syncope Palpatations Fatigue
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Palpitations, Syncope
Clinical narrative: SOB Chest Pain Syncope Palpatations Fatigue
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Chills, Decreased appetite, Facial pain, Fatigue, Hyperhidrosis
Clinical narrative: My son woke up with pain, redness and swelling at the injection site on upper arm. Then he developed a low fever, lost his appetite, became tired, achey and lethargic for about 4 days. He had pain and swelling in his face and neck. While sleeping at night, his fever would increase to about 101 or more and he had the sweats and chills. I reported this reaction to his doctor but did not take him back in because there isn't anything they could have done, they recommended Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lethargy, Local reaction
Clinical narrative: My son woke up with pain, redness and swelling at the injection site on upper arm. Then he developed a low fever, lost his appetite, became tired, achey and lethargic for about 4 days. He had pain and swelling in his face and neck. While sleeping at night, his fever would increase to about 101 or more and he had the sweats and chills. I reported this reaction to his doctor but did not take him back in because there isn't anything they could have done, they recommended Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Local swelling, Neck pain, Pain, Pyrexia, Swelling face
Clinical narrative: My son woke up with pain, redness and swelling at the injection site on upper arm. Then he developed a low fever, lost his appetite, became tired, achey and lethargic for about 4 days. He had pain and swelling in his face and neck. While sleeping at night, his fever would increase to about 101 or more and he had the sweats and chills. I reported this reaction to his doctor but did not take him back in because there isn't anything they could have done, they recommended Tylenol.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Pt broke out into hives the night she recieved the vac. Pt was told she could take Benadryl for the itching.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Electromyogram, Gait disturbance, Injection site pain, Injection site rash, Laboratory test
Clinical narrative: Pt. received pneumococcal 13 vaccination on 7/14/10 w/ in 24 - 48 hours after vacc. pt. began to ambulated w/ intermittent rt. leg limp w/ in 5 days post vacc. pt was ambulating w/ constant rt. leg limp. 6 days post vacc. rash to back of rt. leg noted. 7 days post vacc. pt. c/o pain. 16 days post vacc. sx. persist & pt. developed high fever and admitted to Medical Center.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging, Pain, Pyrexia
Clinical narrative: Pt. received pneumococcal 13 vaccination on 7/14/10 w/ in 24 - 48 hours after vacc. pt. began to ambulated w/ intermittent rt. leg limp w/ in 5 days post vacc. pt was ambulating w/ constant rt. leg limp. 6 days post vacc. rash to back of rt. leg noted. 7 days post vacc. pt. c/o pain. 16 days post vacc. sx. persist & pt. developed high fever and admitted to Medical Center.
Age: 13.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Erythema, Pain in extremity
Clinical narrative: right arm became very sore and red
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Rash: in face, upper and lower extremities and buttocks. Wheals, small size (0.5 cm diameter), erythematous.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Convulsion, Hypotonia, Peripheral coldness
Clinical narrative: Patient became flaccid, cool to touch, and seizure activity for 3-4 seconds.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Erythema, Eye swelling, Injection site erythema, Nasal oedema, Rash macular
Clinical narrative: MOM BROUGHT CHILD INTO OFFICE ON 8/4/2010 STATING CHILD HAD AN ALLERGIC REACTION TO HER VACCINE RIGHT AFTER IT WAS GIVEN.  MOM SAYS THE BRIDGE OF HER NOSE WAS SWOLLEN, EYES WERE A LITTLE PUFFY, CHEEKS WERE RED, AND VACCINE SITE WAS RED AND BLOTCHY.  MOM SAYS SHE TRIED TO TAKE HER TO THE DR. BUT DR. WAS NOT IN AND THE OFFICE STAFF TOLD HER TO COME TO THE HEALTH DEPARTMENT.  CHILD HAS SLIGHT PUFFINESS AT BRIDGE OF NOSE AND AROUND THE EYES, CHEEKS ARE ROSEY, AND THE VACCINE SITE IS RED AND BLOTCHY AND COVERS THE ENTIRE AREA OF THE LEFT DELTOID AREA.  CHILD HAS NO DIFFICULTY BREATHING, WALKED INTO OFFICE ON HER OWN POWER, AND IS TALKING.  GAVE MOM DOSING CHART FOR BENADRYL, BUT ALSO TOLD HER IF CHILD HAS ANY INCREASE IN SYMPTOMS WHATSOEVER SHE IS TO TAKE HER TO URGENT CARE OR ER.  8/5/2010 ATTEMPTED TO CALL MOM FOR FOLLOW UP.  NO ANSWER, HAD TO LEAVE VOICE MESSAGE.
Age: 7.0
Sex: F
Vaccine: HEPA, TD, VARCEL
Symptoms: Contusion, Fall
Clinical narrative: Child had verbalized to her mother that she was nervous about receiving vaccinations today.  Child received three vaccines and appeared to have tolerated them well.  Upon leaving our clinic with her mother she said good-bye to two staff members.  Mother states as she was opening the car door, child sunk to the ground.  Mother picked child up and brought her into the clinic.  Child was awake and able to respond to questions.  Mother denies that child hit her head.  The only appears to be a small scrape on the left elbow.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Ear discomfort, Feeling abnormal, Pallor, Vision blurred
Clinical narrative: PT. COMPLAINED OF BLURRINESS TO HER VISION AND HEARING "BLOCKAGE". SKIN TURNED PALE AND PT STATED SHE DIDN'T FEEL OK. COLD WATER GIVEN AS WELL AS COLD WASH CLOTH. PT REFUSED TO LIE DOWN AND REMAINED IN AN UPRIGHT POSITION. PT WAS OBSERVED FOR 30 MINUTES. AFTER STATING SHE FELT ALOT BETTER PT. WAS D/C'D TO HOME.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Redness and arm felt hot yesterday, more redness and continues to feel hot to touch today.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: RIGHT ARM SWOLLEN / REDNESS
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, MMR, PPV
Symptoms: Decreased appetite, Pyrexia, Varicella
Clinical narrative: MODERATE TO SEVERE CHICKEN POX TOTAL OF 100-120 LOW GRADE FEVER LOSS OF APPETITE
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Blepharitis, Polymerase chain reaction, Rash pustular, Secondary transmission, Skin lesion
Clinical narrative: a.  This vaccine adverse event involves a patient who never received the Smallpox Vaccination.  Patient was exposed to the vaccine by touching another person while sleeping.  She noticed a small pimple like sore Sunday evening, 1 August 2010.  She popped the pimple.  On Monday morning the lesion continued to get larger and by Monday evening, 2 Aug 2010 noticed that it began to look like the smallpox vaccination site on her boyfriend's arm.  On Tuesday morning, 3 August 2010, she went to sick call.  In a personal interview, she claims that the vaccination site on her boyfriend was covered with a band-aid, but he was not wearing a t-shirt.  The patient does not wear contacts.  She was counseled to take pre-cautions against getting pregnant for the next 30 Days.     b.  Her primary lesion is an umbillicated pustule above her right eye (on the inferior aspect of the eyebrow on the orbital rim). She has two ocular satellite lesions, one on the inferior orbital rim and another one on the superior aspect to the right of the main lesion. She also has another umbillicated pustule on the right lower extremity. There is no evidence of ocular involvement (e.g. conjunctivitis, keratitis, or frank blepharitis), although there is secondary blepharitis from the periorbital lesions. She is currently being treated prophylactically with Viroptic (2 gtt OU five times daily) to reduce the possibility of frank ocular involvement. c.  The person vaccinated stated that he was wearing a band-aid and a T-shirt.  He also admitted to receiving the Smallpox Individual's Briefing prior to being vaccination.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Vaccinia virus infection
Clinical narrative: a.  This vaccine adverse event involves a patient who never received the Smallpox Vaccination.  Patient was exposed to the vaccine by touching another person while sleeping.  She noticed a small pimple like sore Sunday evening, 1 August 2010.  She popped the pimple.  On Monday morning the lesion continued to get larger and by Monday evening, 2 Aug 2010 noticed that it began to look like the smallpox vaccination site on her boyfriend's arm.  On Tuesday morning, 3 August 2010, she went to sick call.  In a personal interview, she claims that the vaccination site on her boyfriend was covered with a band-aid, but he was not wearing a t-shirt.  The patient does not wear contacts.  She was counseled to take pre-cautions against getting pregnant for the next 30 Days.     b.  Her primary lesion is an umbillicated pustule above her right eye (on the inferior aspect of the eyebrow on the orbital rim). She has two ocular satellite lesions, one on the inferior orbital rim and another one on the superior aspect to the right of the main lesion. She also has another umbillicated pustule on the right lower extremity. There is no evidence of ocular involvement (e.g. conjunctivitis, keratitis, or frank blepharitis), although there is secondary blepharitis from the periorbital lesions. She is currently being treated prophylactically with Viroptic (2 gtt OU five times daily) to reduce the possibility of frank ocular involvement. c.  The person vaccinated stated that he was wearing a band-aid and a T-shirt.  He also admitted to receiving the Smallpox Individual's Briefing prior to being vaccination.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: Gait disturbance, Injection site pain, Pyrexia
Clinical narrative: Pain in leg, limping, walking sideways, 104 fever that is unresponsive to a piggybacking of Tylenol and ibuprofen.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Chickenpox
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Severe arm pain, redness, swelling.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, RV5
Symptoms: Abdominal pain, Barium enema, Intussusception, Irritability
Clinical narrative: Irritability and abdominal cramps developed 7.29.2010 or 7.30.2010. Intussusception diagnosed 7.31.2010 at hospital.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Irritability and abdominal cramps developed 7.29.2010 or 7.30.2010. Intussusception diagnosed 7.31.2010 at hospital.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Body temperature increased, Hypersensitivity, Pain in extremity, Vaccination complication
Clinical narrative: Pt received vaccine-Adult Td 7/29/2010. Pt seen in hospital Friday 7/30/10-Sat 7/31/10. Doctors believe allergic reaction to Td. Temp 102, severe leg pain. Was Rx PREDNISONE x 5 days. Pt also has mild thrombocytopenia prior to vaccine.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Lip swelling, Oedema peripheral, Rash generalised
Clinical narrative: Total body rash & swollen lips 7:00 AM 8/5/10 8:00 AM 8/5/10 Fingers swollen within 3 hrs.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Chills, Fatigue, Hyperhidrosis, Malaise
Clinical narrative: Typhoid oral vaccine - Dose #1 8/2/10, Dose #2 8/4/10 8:30pm - on 8/5/10 6AM she had abdominal cramps, nausea, chills, sweats, fatigue & malaise 1 1/2 hrs - no treatment.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Nausea
Clinical narrative: Typhoid oral vaccine - Dose #1 8/2/10, Dose #2 8/4/10 8:30pm - on 8/5/10 6AM she had abdominal cramps, nausea, chills, sweats, fatigue & malaise 1 1/2 hrs - no treatment.
Age: 11.0
Sex: F
Vaccine: HPV2
Symptoms: Arthralgia, Blood urine present, Diarrhoea, Flushing, Headache
Clinical narrative: This case was reported by a physician via sales representative and described the occurrence of muscle pain in a 12-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). On 25 March 2010 the subject received 1st dose of CERVARIX (.5 ml ,unknown, unknown arm). On 27 March 2010, 2 days after vaccination with CERVARIX, the subject experienced severe muscle pain, joint pain, vomiting, diarrhea, facial flushing, fever, nausea, blurred vision, lethargy, headache and blood in urine. On 10 April 2010, the muscle pain, joint pain, vomiting diarrhea, facial flushing, fever, nausea, blurred vision, lethargy, headache and blood in urine were resolved. Follow-up information received from healthcare professional (the subject's mother) on 13 May 2010: CERVARIX was administered intramuscularly. The events resolved on 11 April 2010 (previously reported as 10 April 2010). The immunisation series with CERVARIX was discontinued.
Age: 11.0
Sex: F
Vaccine: HPV2
Symptoms: Lethargy, Myalgia, Nausea, Pyrexia, Vision blurred
Clinical narrative: This case was reported by a physician via sales representative and described the occurrence of muscle pain in a 12-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). On 25 March 2010 the subject received 1st dose of CERVARIX (.5 ml ,unknown, unknown arm). On 27 March 2010, 2 days after vaccination with CERVARIX, the subject experienced severe muscle pain, joint pain, vomiting, diarrhea, facial flushing, fever, nausea, blurred vision, lethargy, headache and blood in urine. On 10 April 2010, the muscle pain, joint pain, vomiting diarrhea, facial flushing, fever, nausea, blurred vision, lethargy, headache and blood in urine were resolved. Follow-up information received from healthcare professional (the subject's mother) on 13 May 2010: CERVARIX was administered intramuscularly. The events resolved on 11 April 2010 (previously reported as 10 April 2010). The immunisation series with CERVARIX was discontinued.
Age: 11.0
Sex: F
Vaccine: HPV2
Symptoms: Vomiting
Clinical narrative: This case was reported by a physician via sales representative and described the occurrence of muscle pain in a 12-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). On 25 March 2010 the subject received 1st dose of CERVARIX (.5 ml ,unknown, unknown arm). On 27 March 2010, 2 days after vaccination with CERVARIX, the subject experienced severe muscle pain, joint pain, vomiting, diarrhea, facial flushing, fever, nausea, blurred vision, lethargy, headache and blood in urine. On 10 April 2010, the muscle pain, joint pain, vomiting diarrhea, facial flushing, fever, nausea, blurred vision, lethargy, headache and blood in urine were resolved. Follow-up information received from healthcare professional (the subject's mother) on 13 May 2010: CERVARIX was administered intramuscularly. The events resolved on 11 April 2010 (previously reported as 10 April 2010). The immunisation series with CERVARIX was discontinued.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site discolouration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Experienced intermittent chills, gen. aching, slight rhinitis; Approx 50 cent - sized area of swollen, tender redness at injection site. Gradually all symptoms resolved. By 8/1/10 only small pink spot at injection site and non-tender and afebrile.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Rhinitis
Clinical narrative: Experienced intermittent chills, gen. aching, slight rhinitis; Approx 50 cent - sized area of swollen, tender redness at injection site. Gradually all symptoms resolved. By 8/1/10 only small pink spot at injection site and non-tender and afebrile.
Age: 67.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pt states her right arm is red and swollen in area where YELLOW FEVER vaccine was given, area is slightly painful and itchy. She also experienced headache and queasy feeling in stomach, no vomiting. Today swelling has decreased redness still spreading a bit. Headache less and queasy feeling decreased.
Age: 67.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Nausea
Clinical narrative: Pt states her right arm is red and swollen in area where YELLOW FEVER vaccine was given, area is slightly painful and itchy. She also experienced headache and queasy feeling in stomach, no vomiting. Today swelling has decreased redness still spreading a bit. Headache less and queasy feeling decreased.
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, MMR, PNC13, VARCEL
Symptoms: Body temperature fluctuation, Febrile convulsion
Clinical narrative: Pt suffered generalized seizure around 12 hrs after vaccine. Temp at time of seizure 98 degrees; by time paramedics arrived 99 degrees in ER 100.2 (max). Dxd with febrile seizure by ER.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Indurated red hot area measuring 13 cm X 12 cm on posterior upper left arm - tender, non pruritic
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Injection site pain, Pain in extremity, Skin burning sensation
Clinical narrative: Information has been received from a female consumer with allergies to preservatives and unspecified allergies, who in 2006 experienced an "allergic reaction" when her physician "tested" the PNEUMOVAX 23 (Lot not reported) in her arm to see if she would have  reaction before administering the full vaccine. After receiving the "test shot", she experienced burning and pain of the injection site and arm, and she developed redness. She stated that she developed a "red streak that was an inch wide up and down her arm." She also stated that she was allergic to preservatives, and that was why her physician tested the vaccine first before administrating the full vaccine. Concomitant therapy included levothyroxine NA (manufacturer unspecified), NEXIUM and ASTELIN. No further information is available.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Pain in extremity, Paraesthesia, Syncope
Clinical narrative: Information has been received from a nurse concerning a 45 year old female who on 14-OCT-2008 was vaccinated intramuscularly with her first dose of PNEUMOVAX 23 in the left upper arm. The patient called the office on 15-OCT-2008 complaining that she had fainted at home and was experiencing extreme pain and immobility of the left arm. The patient recovered but it was unknown if she required treatment. The patient called the office on 05-OCT-2009, starting she developed pain and tingling down the left arm on 01-OCT-2009. At the time of the report, the patient had not recovered. This is one of several reports receiving from the same source. Additional information has been requested.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Muscle fatigue, Neuralgia, Pain in extremity, Swelling
Clinical narrative: Information has been received from a 60 year old female registered with hypothyroidism, osteoarthritis in the left hip, mold, grass, tree and dust allergies and allergic reaction to antibiotics and narcotics allergy who was vaccinated "5 years ago" (approximately in 2004) with a first dose of PNEUMOVAX 23 (dose, route and lot number not reported). On 27-FEB-2009, the patient was vaccinated IM with a second dose of PNEUMOVAX 23 (lot number reported: 662785/1124X). Concomitant therapy included SYNTHROID, aspirin, vitamin A and vitamin D (unspecified). The nurse reported that within 12 hours (on approximately 27-FEB-2009) she was awoken by a "severe headache that covered her entire head, especially in the occipital region of the head, and her right shoulder region was very swollen". The nurse stated that approximately every two weeks, she has a flare up of these symptoms consisting of headache, nerve pain in the right arm, swelling, muscle fatigue and residual right heel pain after walking. She reported that these flare ups last about 4 days. The nurse mentioned that she keeps a log of the symptoms and she stated that the symptoms were decreasing over time. She said function of her right arm, but still had pain and fatigue. Medical attention was sought, the patient had an office visit. Laboratory test were not performed. At the time of the report, the patient had not recovered. Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Information has been received from a registered nurse concerning a 65 year old female patient who on 23-JUN-2009 was vaccinated with the first 0.5ml dose of PNEUMOVAX 23 intramuscularly. There were no drug reaction, allergies, or other medical history and concomitant medication. On 23-JUN-2009, a few hours after receiving the vaccine, the patient developed redness, induration, and warmth at the injection site. The patient was seen in the office on 24-JUN-2009. She was diagnosed with cellulitis and was prescribed an unspecified antibiotic. No lab diagnostic study was performed. At the time of report, the patient did not recover. This is one of several reports received from the same source. Additional information has been requested.