chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hyperhidrosis, Injection site pain, Palpitations
Clinical narrative: Patient began to have heart palpitations, sweating and headache - arm at injection site was painful.  Took BENADRYL - onset approximately 1 hour after injection.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site hypersensitivity, Injection site mass, Nausea, Pain, Pyrexia
Clinical narrative: Flu shot left arm about 8am went to PCP at 9:30 am received pneumonia left arm also, PPD same time right forearm. later that night 6 or 7 pm. hurting left arm, nauseated, fever 101, red goose egg on left upper arm. Saw PCP on Wed 11/09/2005 stayed off work until Mon 11/14/2005 PCP took a picture of arm no treatment, arm sore today 11/16 feels ok otherwise.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Flushing, Injection site pain, Pain, Rash
Clinical narrative: 36 hours later noticed pain right deltoid rash on right arm, also back, no energy, flushed, slight body aches, no sob, (D+C after miscarriage m month ago). T96.8, BP 100/70, Lung CTA BL BS.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site hypersensitivity, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: 24 hours after getting flu shot left arm starting itching and sore like a bruise, NKA, on 1 med Hypertension Zelnorm, and another med Enalapril. No SOB, no rash/hives. 4x2 cm red raised tender to touch left deltoid.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: 24 hours after getting flu shot left arm starting itching and sore like a bruise, NKA, on 1 med Hypertension Zelnorm, and another med Enalapril. No SOB, no rash/hives. 4x2 cm red raised tender to touch left deltoid.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Pruritus, Urticaria
Clinical narrative: flat, hive all over, TX Atarax 10mg 5cc's 4-5 times daily for itching.
Age: 0.5
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Rash macular, Rash papular
Clinical narrative: Rash-macular/papular-head to toe
Age: 49.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Joint range of motion decreased, Muscular weakness, Pain
Clinical narrative: Pain, weakness and decreased range of motion of L arm since 11/3/05 when Pneumovax injection was given in L arm (deltoid).  Affects entire arm from L shoulder to forearm (on of sensation.  Seen in clinic 1/3/05 and 1/19/05 with same symptoms.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Paraesthesia
Clinical narrative: Patient developed L arm paresthesia at Day 7 after vaccine.  Symptoms seem mild.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis
Clinical narrative: Cellulitic at vaccine site.  Treated with antibiotics.
Age: 0.54
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: 2 hours after shot general giant hives. Pulse 02 100, looks happy.  Earlier hoarse voice none on exam.  Has twin-same shots no reaction.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash on torso to legs.
Age: 1.3
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Swelling, Tenderness
Clinical narrative: 4cmx5cm tender, red, swollen area L thigh.
Age: 29.0
Sex: U
Vaccine: HEPAB
Symptoms: Myalgia
Clinical narrative: Received 2 Hepatitis A/B vaccines.  Developed myalgia-were prolonged after 2nd shot.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site reaction, Insomnia, Nightmare, Pain, Pyrexia
Clinical narrative: Patient had dog bite.  Last Td 8yrs ago.  Reported arm hurt for 3-4 days and mild aches. After admin of vaccine patient report feeling achy 3-4 hour afterwards, felt like "hit ground with parachute." Unable to sleep, "weird nightmares".  Temp 101 at 24 hrs past admin.  Exam at 48 hours past vaccine T 98.6-small local reaction at site, lungs clear.
Age: 0.42
Sex: M
Vaccine: HIBV, IPV, PNC, TDAP
Symptoms: Vaccination failure
Clinical narrative: None stated.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Erythema, Feeling hot
Clinical narrative: Left thigh 4x4 cm R upper red, warm with early cellulitis
Age: 2.0
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Erythema, Feeling hot, Injection site oedema
Clinical narrative: 4 cm hot red oval area to L thigh slight edematous.
Age: 1.02
Sex: M
Vaccine: MMR
Symptoms: Rash papular
Clinical narrative: Papular rash
Age: 41.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Swelling
Clinical narrative: Recovering from redness and swelling at site.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Application site reaction, Erythema, Feeling hot, Tenderness
Clinical narrative: Patient received injection on 1/20/2006; patient states first noticed reaction on 1/21/06.  Approximately 6cm x 7cm circular reddened area to L deltoid.  Area has approximate 3cm x 3cm raised area.  Area warm to touch.  Denies pain but area is tender when touched. Denies fever.  Advised to apply cold packs in area 4-6 x1day x 20minutes and take Tylenol as needed for any discomfort.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pain, Rash, Swelling
Clinical narrative: Swelling, rash, pain, erythema at injection site, extends to shoulder and down  L arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left arm swollen, red, warm from deltoid to wrist.
Age: 1.11
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Infection, Oedema, Rash macular, Rash papular, Rhinorrhoea
Clinical narrative: 24-48 hours after series of injections child developed macular/papular rash starting on face going to chest back legs and arms.  Copious nasal discharge. Infected edema. Fever for 4 days.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Decreased appetite, Diarrhoea, Headache, Myalgia
Clinical narrative: 12-27-04-1st Hep B shot; 2-24-2005 2nd Hep B shot-nausea, muscle aches, abdominal cramps, diarrhea, loss of appetite, headaches, sinus problems. 7-8-05 3rd shot.  Within 1.5 days approximate started itching.  By 7-11-05 had a itching and knot between mild eyebrow area and eyelid like a cyst.  Given hydrocortisone cream-told ___ to vaccine knot is gone itching persists. Dermatologist says internal allergy.  Since mid Sept-right elbow extremely painful for no reason (except vaccine). Patient flew to California Kaiser clinic for blood work.  Tests negative  doc says could be vaccine related.  1st few doctors said would  be rare.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pruritus, Sinus congestion
Clinical narrative: 12-27-04-1st Hep B shot; 2-24-2005 2nd Hep B shot-nausea, muscle aches, abdominal cramps, diarrhea, loss of appetite, headaches, sinus problems. 7-8-05 3rd shot.  Within 1.5 days approximate started itching.  By 7-11-05 had a itching and knot between mild eyebrow area and eyelid like a cyst.  Given hydrocortisone cream-told ___ to vaccine knot is gone itching persists. Dermatologist says internal allergy.  Since mid Sept-right elbow extremely painful for no reason (except vaccine). Patient flew to California Kaiser clinic for blood work.  Tests negative  doc says could be vaccine related.  1st few doctors said would  be rare.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Pain, Pruritus
Clinical narrative: PATIENT/EMPLOYEE GIVEN VARICELLA VACCINE ON 1-23-06 AND DEVELOPED ERYTHEMA & INFLAMMATION AT THE SITE OF INJECTION ON 1-24-06. RE-EVALUATED IN EMPLOYEE HEALTH ON 1-26-06 AND HAD APPROX. 15CM X 8CM AREA OF ERYTHEMA & INFLAMMATION WITH PAIN AND ITCHING. NO RESPIRATORY S/S OR RASH. EMPLOYEE SENT TO OCCUPATIONAL HEALTH MD AND RX FOR KEFLEX AND BENADRYL WAS PROVIDED.
Age: 1.28
Sex: F
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular, Upper respiratory tract infection
Clinical narrative: Patient broke out into a macular papular rash 10 days after the vaccines were administered.  The patient had a low grade fever for 2 days prior to the onset of the rash.  The temperature never was greater than 100.3.  Patient also had URI symptoms.  The rash started on the face and the trunk of the body and has spread to cover the entire body.  The rash is mild and non-pruritic.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Vaccination site swollen, red and tender (size of a quarter).  No s/s severe rxn, no fever.  Patient playful and active.  Recom cold compresses.  No treatment necessary.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site induration, Injection site warmth
Clinical narrative: Left thigh injection site warm, and has indurated area.
Age: 27.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Decreased appetite, Erythema, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Pt with 3-4 day hx fever.  Got small pox shot 2 weeks ago and site is swollen and red. Pt c/o axillary swelling. Site has not scabbed over. Decreased appetite, headache and body aches. HEENT normal. Neck no Lymphadenopathy. Chest rhonchi bilaterally. Abd soft Skin: vaccine site approx 8mm yellow scab, no drainage large 5cm area erythema, tender to palpation, no fluctuance. Secondary infection. Augmentin 875mg twice daily x 10 days.
Age: 27.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Pain, Pyrexia, Tenderness
Clinical narrative: Pt with 3-4 day hx fever.  Got small pox shot 2 weeks ago and site is swollen and red. Pt c/o axillary swelling. Site has not scabbed over. Decreased appetite, headache and body aches. HEENT normal. Neck no Lymphadenopathy. Chest rhonchi bilaterally. Abd soft Skin: vaccine site approx 8mm yellow scab, no drainage large 5cm area erythema, tender to palpation, no fluctuance. Secondary infection. Augmentin 875mg twice daily x 10 days.
Age: 67.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Injection site induration, Joint range of motion decreased, Myalgia
Clinical narrative: About 1 week after administration of Td. Since it has been sore which has limited range of motion.  No redness, swelling.  Note induration at the time.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site oedema
Clinical narrative: Right forearm swollen, right shoulder to 1.5 in to elbow crease (-5"). Mother gave Benadryl 1 dose and put cool compress to arm. Instructed to continue cold compresses give Ibuprofen Q 8 hours. Benadryl
Age: 66.0
Sex: M
Vaccine: TD
Symptoms: Discomfort, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Mild swelling, redness, discomfort at a region on the patients left arm adjacent to the vaccine administration site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eye oedema, Face oedema, Pruritus, Urticaria
Clinical narrative: Urticaria/ hives developed about 15-20 mins after administration of DTap, IPV, MMR vaccine. plus eye, facial swelling, itching spreading to entire body.
Age: 26.0
Sex: F
Vaccine: HEPAB
Symptoms: Hypoaesthesia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pain
Clinical narrative: CT reports redness, swelling, pain, itching in right shoulder/deltoid where vaccine given, also reports pain radiating to right elbow and numbness and tingling in fingers of right hand.
Age: 26.0
Sex: F
Vaccine: HEPAB
Symptoms: Paraesthesia, Pruritus
Clinical narrative: CT reports redness, swelling, pain, itching in right shoulder/deltoid where vaccine given, also reports pain radiating to right elbow and numbness and tingling in fingers of right hand.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site oedema, Joint range of motion decreased
Clinical narrative: Left upper arm swelling down to elbow. Afebrile child c/o limited ROM appears to play well in office, slight redness.
Age: 0.54
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema
Clinical narrative: swollen red left thigh induration about 7 cm by 6cm in diameter.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Injection site warmth, Skin ulcer
Clinical narrative: Right Arm indurated about 10 inches warm with excoriation's. Given Prelone syrup in urgent care center. Advised to use cool compress and F/up with MD on Monday.
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema
Clinical narrative: Swelling redness an induration of right deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site warmth, Pruritus, Tenderness
Clinical narrative: Redness, Warmth, Swelling, tender, itchy at site left 6cm x 5cm, Right 1cm x 1cm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pruritus, Tenderness
Clinical narrative: Redness, Warmth, Swelling, tender, itchy at site left 6cm x 5cm, Right 1cm x 1cm.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Lethargy, Pyrexia
Clinical narrative: Fever x 3days, irritability and lethargy.
Age: 73.0
Sex: F
Vaccine: PPV, TD
Symptoms: Cellulitis, Chills, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: L arm swelling at site of Td.  Induration and tender erythema, 7x12 cm, chills, c/w cellulitis.
Age: 73.0
Sex: F
Vaccine: PPV, TD
Symptoms: Tenderness
Clinical narrative: L arm swelling at site of Td.  Induration and tender erythema, 7x12 cm, chills, c/w cellulitis.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema multiforme, Pruritus, Rash maculo-papular
Clinical narrative: Patient developed pruritic maculopapular eruption first on legs then back and torso 7 hours after receipt of Fluzone vaccine.  Diagnosed by dermatologist as erythema multiforme, treated with high-dose prednisone over 2 weeks, with good response and no recurrence.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Irritability, Lethargy, Opisthotonus, Otitis media acute
Clinical narrative: Febrile seizure about 40 hours after 2nd DTP, IPV, Comvax, PCV7 continued fever and irritability about 96 hour after vaccines diagnosed with acute otitis media.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Febrile seizure about 40 hours after 2nd DTP, IPV, Comvax, PCV7 continued fever and irritability about 96 hour after vaccines diagnosed with acute otitis media.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Febrile convulsion, Irritability, Otitis media, Pyrexia
Clinical narrative: Febrile seizure about 40 hours after 2nd DTP, IPV, Comvax, PCV7 continued fever and irritability about 96 hour after vaccines diagnosed with acute otitis media.
Age: 5.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Arthralgia, Chills, Listless, Oral intake reduced, Pain
Clinical narrative: Temp 103.8, body aches, listless.
Age: 5.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Pyrexia, Tremor
Clinical narrative: Temp 103.8, body aches, listless.
Age: 5.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Listless, Pain, Pyrexia
Clinical narrative: Temp 103.8, body aches, listless.
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Received flu vaccine on 10/24/2005 one week later developed numbness related to cranial nerve 9. Symptoms lasted 10-12 weeks.
Age: 1.51
Sex: F
Vaccine: PNC
Symptoms: Anorexia, Asthma, Drug ineffective, Fatigue, Heart disease congenital
Clinical narrative: Pneumococcal Meningitis. 2/21/06 Received medical records which revealed patient experienced hx of VSD, cardiac murmur, asthma, environmental allergies.  Nausea w/vomiting, abdominal pain, headache, neck pain & stiffness, fatigue, poor appetite & fever prior to admission.  Dx with bacterial meningitis.
Age: 1.51
Sex: F
Vaccine: PNC
Symptoms: Hypersensitivity, Meningitis, Nausea, Neck pain, Nuchal rigidity
Clinical narrative: Pneumococcal Meningitis. 2/21/06 Received medical records which revealed patient experienced hx of VSD, cardiac murmur, asthma, environmental allergies.  Nausea w/vomiting, abdominal pain, headache, neck pain & stiffness, fatigue, poor appetite & fever prior to admission.  Dx with bacterial meningitis.
Age: 1.51
Sex: F
Vaccine: PNC
Symptoms: Pneumonia, Pyrexia, Vomiting
Clinical narrative: Pneumococcal Meningitis. 2/21/06 Received medical records which revealed patient experienced hx of VSD, cardiac murmur, asthma, environmental allergies.  Nausea w/vomiting, abdominal pain, headache, neck pain & stiffness, fatigue, poor appetite & fever prior to admission.  Dx with bacterial meningitis.
Age: 46.0
Sex: F
Vaccine: TD, TYP, YF
Symptoms: Chills, Dizziness, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: 12/14/2005 2am pt woke up with leg cramp on right thigh, got up to walk and shake leg. While up pt decided to use rest room finished using toilet, next thing she remembers woke up on bathroom floor. Don't know how long passed out or what happened. Sat up felt nausea threw up a little, felt hot and sweaty crawled back next to bed and laid on floor, then husband woke up, pt felt very dizzy and did not want husband to pick her up and place in bed. Felt chills laid there did not sleep. Finally got into bed at 6 pm. Laid in bed x few hours, tried drinking water, room felt like it was spinning, even with eyes closed. Did not seek med attention.
Age: 46.0
Sex: F
Vaccine: TD, TYP, YF
Symptoms: Pyrexia, Vertigo, Vomiting
Clinical narrative: 12/14/2005 2am pt woke up with leg cramp on right thigh, got up to walk and shake leg. While up pt decided to use rest room finished using toilet, next thing she remembers woke up on bathroom floor. Don't know how long passed out or what happened. Sat up felt nausea threw up a little, felt hot and sweaty crawled back next to bed and laid on floor, then husband woke up, pt felt very dizzy and did not want husband to pick her up and place in bed. Felt chills laid there did not sleep. Finally got into bed at 6 pm. Laid in bed x few hours, tried drinking water, room felt like it was spinning, even with eyes closed. Did not seek med attention.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site hypersensitivity, Injection site oedema, Injection site pain, Myalgia
Clinical narrative: Information has been received from a pharmacist concerning a 35 year old female with congenital heart disease who on 12/20/2005 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot # 651859/0877R), right deltoid intramuscularly. On 12/23/2005 the patient experienced redness, pain, itching, swelling at the injection site. She then developed syncope. She went to the ER. She was admitted to the hospital for high fever (103F), headache and severe myalgia. She was tested for a multiple of things including meningitis. Subsequently, the patient recovered and was discharged from the hospital. The pharmacist requested an investigation into the lot number. Additional information has been requested.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Pruritus, Pyrexia, Syncope
Clinical narrative: Information has been received from a pharmacist concerning a 35 year old female with congenital heart disease who on 12/20/2005 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot # 651859/0877R), right deltoid intramuscularly. On 12/23/2005 the patient experienced redness, pain, itching, swelling at the injection site. She then developed syncope. She went to the ER. She was admitted to the hospital for high fever (103F), headache and severe myalgia. She was tested for a multiple of things including meningitis. Subsequently, the patient recovered and was discharged from the hospital. The pharmacist requested an investigation into the lot number. Additional information has been requested.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Headache, Injection site hypersensitivity, Injection site oedema, Nausea
Clinical narrative: Information has been received from a health professional concerning a 55 year old female with penicillin allergy and unspecified allergies who on 10-Jan-2006 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (0.5 ml) (lot #651330/1048P), intramuscularly. Concomitant therapy included allergy shots and cholesterol medicine. On 10-Jan-2006 the patient's arm had a red swollen (size of an orange) reaction with a dark center in it. The area was located around the injection site. Also, the patient's symptoms included fever, nausea, headache and chills. On 12-Jan-2006 the patient was seen by a physician. The patient was given hydroxyzine hydrochloride (Atarax), dexamethasone (Decadron) and warm compresses. The patient's physician requested a lot check on this vaccination to rule out any contamination of the vaccination. The reporter considered the patient's experience to be an other important medical event (OMIC). Additional information has been requested.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Skin discolouration
Clinical narrative: Information has been received from a health professional concerning a 55 year old female with penicillin allergy and unspecified allergies who on 10-Jan-2006 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (0.5 ml) (lot #651330/1048P), intramuscularly. Concomitant therapy included allergy shots and cholesterol medicine. On 10-Jan-2006 the patient's arm had a red swollen (size of an orange) reaction with a dark center in it. The area was located around the injection site. Also, the patient's symptoms included fever, nausea, headache and chills. On 12-Jan-2006 the patient was seen by a physician. The patient was given hydroxyzine hydrochloride (Atarax), dexamethasone (Decadron) and warm compresses. The patient's physician requested a lot check on this vaccination to rule out any contamination of the vaccination. The reporter considered the patient's experience to be an other important medical event (OMIC). Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a physician concerning an approximately 60 year old female with type II diabetes mellitus who on approximately 11/07/2005 was vaccinated SQ with a dose of Pneumococcal 23v polysaccharide vaccine (lot #649914/0578P) and a dose of influenza virus vaccine (unspecified) into the opposite arm (unspecified). Concomitant therapy included an unspecified oral therapy. Subsequently the patient developed redness, pain and swelling to the arm that was used for the Pneumococcal 23v polysaccharide vaccination. Medical attention was sought and the patient received diphenhydramine hydrochloride (Benadryl) and prednisone. Subsequently, the patient recovered from redness, pain and swelling to the arm. The physician considered redness, pain and swelling to the arm to be other important medical events (OMIC). Additional information has been requested.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Incorrect dose administered
Clinical narrative: Information has been received from a pharmacist concerning an 81 year old female inpatient, with drug hypersensitivity  to aspirin and meperidine hydrochloride, and an allergy to penicillin, and a history of dyspnea and hypertension as an emergency, who on 11-Jan-2006 was vaccinated with a second dose of Pneumococcal 23v polysaccharide vaccine. No product quality complain was involved. The patient's present status was reported as unknown.The patient was an inpatient at the hospital at the time of vaccination. It was reported that the patient had been vaccinated two weeks earlier with a dose of Pneumococcal 23v polysaccharide vaccine. No product quality complaint was involved. The patients present status was reported as unknown. Additional information has been requested.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Had flu shot, developed pain, swelling and fever. Pain shooting up my shoulder and neck.
Age: 1.0
Sex: F
Vaccine: FLU3, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Rash papular, Viral infection
Clinical narrative: Scattered 3mm papular rash, DX Varicella, TX Acyclovir. Vaccine given 12/20/2004, reaction 12/04/2005.
Age: 1.31
Sex: M
Vaccine: FLU3, BCG, VARCEL
Symptoms: Rash papular
Clinical narrative: Patient seen at office within 2 weeks after vaccination due to bump over body.  On exam patient had papular pap-lo-vesicular and umbilicated lesions on body.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Swelling, Tenderness
Clinical narrative: Patient received flu shot (1st flu vaccination) in left deltoid intramuscularly on 01/10/2006.  Later that day, experienced swelling in bicep with tenderness.  Left axillary node tenderness/swelling.  Symptoms resolved, but does have occasional sharp pain and tenderness.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Vertigo
Clinical narrative: Postural vertigo - unable to lie down flat on back or rise to sitting position without experiencing vertigo and some nausea which continues 1-20 through 1-26 (has not ceased).
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Blister
Clinical narrative: Patient had normal major response to vaccine no fever, no CAD, no pustules, no erythema - had associated blister.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Blister
Clinical narrative: Local spread, new blister 2cm posterior to original at site of bandage reaction.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Bursitis, Rheumatoid arthritis, Shoulder pain
Clinical narrative: Patient writes that he received the 5th anthrax vaccination.  As he was leaving the airplane after a flight on the night of the 10/26/2004, I abruptly noticed a pain in my left shoulder.  Due to a surgery performed on the shoulder over 20 years prior, I suspected a problem with the earlier repair.  X-rays and an MRI indicated no damage to the repair, but a case of bursitis.  Doctor administered an injection of Depmedrol and prescribed a course of steroids and Celebrex.  Within 10 days of the treatment my shoulder was back to normal.  I did not initially associate this problem with the anthrax shot, as I had no particular reaction at the time of the vaccination and no reason to suspect it had caused the bursitis.  In July 2005, I was beset by symptoms indicative of severe rheumatoid arthritis.  During the six months since this condition started, I have had bursitis in one or both shoulders on three occasions.  I am convinced that this condition and the first case of bursitis are a reaction to the anthrax vaccination reported.  Treatment to date has included varying dosages of Prednisone, NSAIDs, and narcotic pain relievers.  Since August 05, the dosage of Prednisone I was taking was decreased overtime from 40mg per day to 10mg.  Since 10/29/2005, I am no longer taking steroids.  I am using Sulindac, maximum dosage of Tylenol and Lortab.  This regimen is not as effective at relieving the symptoms as the Prednisone had been, but I have been able to tolerate the situation.  No tests to date have shown any joint damage.  Initially, and on several occasions later during periods when I had not been taking steroids, the ESR was shown to be elevated in my blood tests.  I saw a rheumatologist who did not think I had arthritis and suggested that I see an oncologist.  The oncologist I was referred to found nothing to suggest any form of cancer.  I was then referred to an internal medicine doctor, he subsequently referred me to a rheumatology doctor.  On 01/03/2006 the rheumatologist decided on a diagnosis of reactive arthritis (post-viral arthritis, specifically).  I am scheduled  for a followup appointment in May of 2006.  In light of the tests done to date and my lack of recovery, I considered this diagnosis to be less than credible.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Infection, Rash vesicular
Clinical narrative: Less than 50 red lesions on face scalp, chest, abdomen and a few on extremities.  Several with clear vesicular tops.  Diagnosis varicella, treated with Acyclovir.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Erythema, Rash
Clinical narrative: 10-20 flat red spots on face, chest, and legs, obvious case of chickenpox.  Diagnosis varicella, treated with Acyclovir.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Nonspecific reaction
Clinical narrative: Light case of varicella. Sib with obvious case of C-pox. Dx: varicella. Tx: acyclovir.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Vaccination failure
Clinical narrative: NONE STATED
Age: 1.02
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: Small vesicles like lesions at the site of vaccine for 4 days 1-24-06 to 1-27-06.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Injection site erythema, Swelling, Viral infection
Clinical narrative: Patient discovered pox on 1/22 and parent on 1/23.  Taken to doctor on 1/23 and diagnosed as pox.  Site of vaccine was swollen, red, warm to touch.  Gave pt Benadryl, Tylenol to prevent fever, calamine lotion and oatmeal baths.  Today pox have scab over.
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Joint stiffness
Clinical narrative: Patient complained of stiffness and joint pain. Hurt wrist day after vaccine given.
Age: 1.01
Sex: F
Vaccine: MMR, UNK, VARCEL
Symptoms: Blister
Clinical narrative: 100 + vesicles in various stages.  Widespread over body.
Age: 7.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: 15-20 very small scabbed papules.  Diagnosis-Varicella Transcription-symptomatic
Age: 6.0
Sex: F
Vaccine: MMR, TTOX, VARCEL
Symptoms: Blister, Rash papular, Skin ulcer, Viral infection
Clinical narrative: Papules/vesicles in various stages of development all over body, including scalp.  Approx 20-25 lesions.  Diagnosis-Varicella Treatment-Acyclovir
Age: 1.41
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Pyrexia, Viral infection
Clinical narrative: Multiple vesicles scattered over body, fever up to 103 F.  Diagnosis-Varicella.  Treatment-Acyclovir
Age: 1.23
Sex: F
Vaccine: MMR, TTOX, VARCEL
Symptoms: Blister, Rash papular, Skin ulcer, Viral infection
Clinical narrative: Papules, vesicles, scabbed vesicles on scalp & trunk about 40 lesions.  Diagnosis-Varicella  Treatment- Acyclovir
Age: 1.04
Sex: M
Vaccine: MMR, TTOX, VARCEL
Symptoms: Rash macular, Skin ulcer, Viral infection
Clinical narrative: Numerous maculopapular lesions on trunk and back in different stages.  Diagnosis-Varicella; Treatment-Acyclovir.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: 12cm x 11cm erythema and induration at injection site.  Patient given Keflex and Zyrtec.
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Myalgia, Pyrexia, Urticaria
Clinical narrative: Fever 103, sore arm, hives/welts down both arms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: DTap was given in right leg on 1/18/06.  Patients leg started swelling late that evening.  Next day pt's whole thigh was swollen from him to knee.  There was some erythema measuring 10x7inches-Patient had leg pain the first day but none since.  No fevers.
Age: 1.28
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Lymphocyte morphology abnormal, Pyrexia, Rash macular, Rash papular
Clinical narrative: 10 days after vaccinations developed macular papular rash with initial fever.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Bronchitis, Cough, Decreased appetite, Influenza, Pyrexia
Clinical narrative: 1-23-06 Immunization given.  Child has cough, temp 98.4; 1-24-06 Temp 103.5-99.7, decreased appetite; 1-25-06 Temp 103, positive flu test, pharyngitis, urine culture negative on 1/26/06, Bronchitis -treatment-1-25-06 Rocephin
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urine analysis abnormal
Clinical narrative: 1-23-06 Immunization given.  Child has cough, temp 98.4; 1-24-06 Temp 103.5-99.7, decreased appetite; 1-25-06 Temp 103, positive flu test, pharyngitis, urine culture negative on 1/26/06, Bronchitis -treatment-1-25-06 Rocephin
Age: 1.07
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Rash
Clinical narrative: Rash, onset 1-26-06 pinpoint erythematous papules
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema
Clinical narrative: Cellulitis-like warm erythematous skin 1x9 cm in length below injection site.
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Feeling hot, Injection site erythema, Swelling
Clinical narrative: Left thigh with large swollen red area and warm to touch.  Seen by Dr and prescribed Keflex for treatment.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Ecchymosis, Erythema
Clinical narrative: Left deltoid- 6x8cm well demarcated area surrounding injection site of ecchymosis and erythema.  No induration, warmth.  Treatment: ice and triamcinolone cream 1%.
Age: 0.62
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Local reaction.  Right leg 1 1/2 inch raised red area.  Treatment: Benadryl every 6hrs for 24-48 hours.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Ran fever in evening hours, for approx 4 hours.
Age: 1.14
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Pt presented at ER with temp 104.7/R  Hx seizure was evaluated and released. Tx Tylenol and Motrin, control fever. Fever and seizure happened 8 days after receiving MMR.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Drug ineffective
Clinical narrative: Pt had chicken pox vaccine 7/6/00. On 12/5/05 she presented with every mild scattered vesicular rash partially immune chicken pox. The problem is that about 20 children in this community all vaccinated for chicken pox have had this and because it is not do to social have exposed several non immune persons. We wanted you to be aware of this. Pt herself is fine.
Age: 56.0
Sex: M
Vaccine: HEPA, IPV, MNQ, TYP
Symptoms: Hypokinesia, Myalgia, Pain
Clinical narrative: Muscle pain right shoulder, right clavicle unable to move arm. No redness, no lump, no temp. Pain started 3 hours after vaccine. Progressed until unable to move arm 1 hour MD.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Severe pain at injection site, with swelling.
Age: 1.04
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash on trunk times approx 3 days. Fever to 99.1 on Wednesday (1/18/06).
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: Abdominal pain upper, Feeling abnormal, Feeling hot, Headache, Micturition urgency
Clinical narrative: This is a description of events prior to the reaction experienced December 16,2005. What if any relationship there is I do not know, but I do have some thoughts about possible ones. (1) I requested an appointment with my physician during the early part of Dec. 2005 to determine the reason for continuing pain in the right nipple on my chest. The appointment was for 9:30 am Dec 16 at the facility (UHS). (2) I was taken to an exam room to wait for the doctor. Shortly thereafter the nurse came in, and stated "Medicare wants all seniors to receive an update of the pneumonia vaccine," then proceeded to fill the syringe from a small bottle. I was given the shot at the very top of my arm, at the shoulder. I had no objection as I could not remember how long it had been since receiving the vaccine. (This occurred prior to the Doctors examination). (3) After the examination Dr. requested X rays (mammogram) be made. Subsequently Dr. and the Radiologist determined the problem was due to an infection. (As I was told, and with relief to me). This X ray exam and waiting took up a good part of the afternoon. (4) I was given a prescription for IC Erythromycin 250mg FILMTABABB. (per the unit #4351 prescription) by Dr. The prescription was filled after 5:00 pm. (5) The first pill was taken at dinner at about 6:30 pm. (6) About 8:00 pm I took my evening dose of METHYLDOPA 250mg (for high blood pressure) with a small amount of food. (7) About 10:30 pm I took one aspirin for arthritis due to the days activities. (8) I went to bed about 11:15 pm. (9) About 2:00 am (per the clock Saturday morning December 17,2005) I awoke with a pain in my stomach and the need to urinate. I go up and went to the bathroom, drank a small cup of water, then went back to bed. (10) Almost immediately I felt a very violent pain in my stomach, along with an extraordinarily violent headache. Which steadily became worst, (the worst headache I have ever experienced in my entire life, also my head felt very hot. (11) My nasal (passages began swelling and closing. I could feel the same sensation in all the sinus cavities as well. Some closing and swelling was occurring in the throat. (12) I just laid there thinking I would die, and hoping I would, to eliminate all the excessive pains. It seemed like a long time but I could not (and still cannot) determine how long this lasted. Apparently I went to sleep. I did not wake my wife., which I should have but there was no thought of this. (13) I called the doctors office Saturday (I recall) getting a message signal to record a message, which I did, describing some of the above. I have no ideal if anything was received as I have had no reply from there. This could have been Monday am, but things were still fuzzy. While cleaning up and sorting older medical records 3 days ago (We keep everything) I found a copy of a pneumococcal 7-29-97 vaccine information statement given to my wife by another provider several years ago. Following it's instructions this is why I am writing in January 2006 and not December 2005.
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: Rhinitis, Throat tightness
Clinical narrative: This is a description of events prior to the reaction experienced December 16,2005. What if any relationship there is I do not know, but I do have some thoughts about possible ones. (1) I requested an appointment with my physician during the early part of Dec. 2005 to determine the reason for continuing pain in the right nipple on my chest. The appointment was for 9:30 am Dec 16 at the facility (UHS). (2) I was taken to an exam room to wait for the doctor. Shortly thereafter the nurse came in, and stated "Medicare wants all seniors to receive an update of the pneumonia vaccine," then proceeded to fill the syringe from a small bottle. I was given the shot at the very top of my arm, at the shoulder. I had no objection as I could not remember how long it had been since receiving the vaccine. (This occurred prior to the Doctors examination). (3) After the examination Dr. requested X rays (mammogram) be made. Subsequently Dr. and the Radiologist determined the problem was due to an infection. (As I was told, and with relief to me). This X ray exam and waiting took up a good part of the afternoon. (4) I was given a prescription for IC Erythromycin 250mg FILMTABABB. (per the unit #4351 prescription) by Dr. The prescription was filled after 5:00 pm. (5) The first pill was taken at dinner at about 6:30 pm. (6) About 8:00 pm I took my evening dose of METHYLDOPA 250mg (for high blood pressure) with a small amount of food. (7) About 10:30 pm I took one aspirin for arthritis due to the days activities. (8) I went to bed about 11:15 pm. (9) About 2:00 am (per the clock Saturday morning December 17,2005) I awoke with a pain in my stomach and the need to urinate. I go up and went to the bathroom, drank a small cup of water, then went back to bed. (10) Almost immediately I felt a very violent pain in my stomach, along with an extraordinarily violent headache. Which steadily became worst, (the worst headache I have ever experienced in my entire life, also my head felt very hot. (11) My nasal (passages began swelling and closing. I could feel the same sensation in all the sinus cavities as well. Some closing and swelling was occurring in the throat. (12) I just laid there thinking I would die, and hoping I would, to eliminate all the excessive pains. It seemed like a long time but I could not (and still cannot) determine how long this lasted. Apparently I went to sleep. I did not wake my wife., which I should have but there was no thought of this. (13) I called the doctors office Saturday (I recall) getting a message signal to record a message, which I did, describing some of the above. I have no ideal if anything was received as I have had no reply from there. This could have been Monday am, but things were still fuzzy. While cleaning up and sorting older medical records 3 days ago (We keep everything) I found a copy of a pneumococcal 7-29-97 vaccine information statement given to my wife by another provider several years ago. Following it's instructions this is why I am writing in January 2006 and not December 2005.
Age: 1.76
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Injection site reaction
Clinical narrative: Left thigh erythema time 5-6 cm round area with palpable knot at injection site. Redness much improved per mom.
Age: 0.44
Sex: F
Vaccine: HEP, PNC
Symptoms: Rash
Clinical narrative: Has a bump on both legs.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, High-pitched crying
Clinical narrative: Crying began around noon, cried for 2 hours, when baby was touch she would have a high pitch scream. Baby brought back into office at 15:20 crying had settled down no redness at injection site. Cried 2 more hrs after office visit, no redness or swelling at site, no fever.
Age: 0.53
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema
Clinical narrative: Both thighs instantly developed erythema in 6 in patch @ shot site. Right cheek became erythematous. Gave 4ml of 12.5/5 Benadryl. Pt was improved after 20 min waiting period.
Age: 22.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Large painful local reaction with > 10 cm swollen, erythematous, indurated area with fever 102 degrees F.
Age: 1.15
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR, PNC
Symptoms: Rash
Clinical narrative: Mom called and stated pt broke out on stomach 1-21-06 with bumps w/o heads. Has gotten worse with bumps on neck chin and arms. No temp.
Sex: F
Vaccine: MEA
Symptoms: Drug ineffective
Clinical narrative: Information has been received from a nurse concerning her daughter who was vaccinated SC with a 0.5 ml, third dose of Measles virus vaccine live (Enders Edmonston). Subsequently, the patient failed to seroconvert after three administrations of vaccine. Schedule of vaccinations in unknown. Unspecified medical attention was sought. The patients outcome was unknown. Additional information has been requested.
Age: 21.0
Sex: M
Vaccine: TYP
Symptoms: Erythema, Pruritus, Rash, Tenderness
Clinical narrative: Patient developed pruritic, erythemic rashes, 10 on left arm and 2 on right arm. Also received Typhoid shot on the same day, 27 Jan 2006.  Denies pain on Typhoid shot site but anthrax site on left arm is a little tender to touch. Patient denies any systemic symptoms.
Age: 26.0
Sex: F
Vaccine: HEPA, IPV, JEV, MNQ, PPV, TYP
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Reaction to Pneumococcal Vaccine: Redness, Heat, Pain & Swelling at injection site along with Headache, chills, slight fever.  Patient seen in office, verbalized instructions to use Motrin, cold packs, Benadryl, and to watch for increased symptoms.  Will follow up with patient tomorrow.
Age: 26.0
Sex: F
Vaccine: HEPA, IPV, JEV, MNQ, PPV, TYP
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Reaction to Pneumococcal Vaccine: Redness, Heat, Pain & Swelling at injection site along with Headache, chills, slight fever.  Patient seen in office, verbalized instructions to use Motrin, cold packs, Benadryl, and to watch for increased symptoms.  Will follow up with patient tomorrow.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Chills, Dizziness, Ear pain, Headache
Clinical narrative: Intense pain in the upper arm within two hours radiating into the shoulder causing immobility of the arm.  Within 12 hours she complained of chills, weakness, general malaise, dizziness,  low grade fever, headache, ear ache, and a sore throat.  This lasted 24 - 48 hours.  The sore arm still persists four days later to the point that she cannot raise it horizontal to the ground.  Vaccine was Tdap but I do NOT know the manufacturer as listed below.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Hypokinesia, Malaise, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Intense pain in the upper arm within two hours radiating into the shoulder causing immobility of the arm.  Within 12 hours she complained of chills, weakness, general malaise, dizziness,  low grade fever, headache, ear ache, and a sore throat.  This lasted 24 - 48 hours.  The sore arm still persists four days later to the point that she cannot raise it horizontal to the ground.  Vaccine was Tdap but I do NOT know the manufacturer as listed below.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Dry skin, Nervousness, Pruritus, Urticaria
Clinical narrative: 9:00 AM  Patient appeared nervous about receiving first Hep B vaccination. Because patient was so nervous, he was asked to remain seated for 15 minutes following the vaccination.   Patient reported feeling weak with "funny vision" approximately 10 minutes after injection. Skin was dry with normal coloration.  A few minutes later, patient c/o itching on arms.  Again, skin color was normal without any rash noted.  Patient was given fluids to drink and remained seated for approximately 20 minutes.  Stated that he felt better and returned to work.   Today, patient reported that he developed hives later that afternoon and went to his local clinic.  Was treated with Prednisone and Allegra.  Returned to family MD a "few days later" when hives re-developed and treated for another 3 days with prednisone.  Continued on Allegra.  States hives went away, but continued to feel "itchy", so went to Dematologist who "would not say it was, or it was not" related to the Hep B shot.  Currently is being treated with "creams" for his skin condition which he claims is helping.
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Visual disturbance
Clinical narrative: 9:00 AM  Patient appeared nervous about receiving first Hep B vaccination. Because patient was so nervous, he was asked to remain seated for 15 minutes following the vaccination.   Patient reported feeling weak with "funny vision" approximately 10 minutes after injection. Skin was dry with normal coloration.  A few minutes later, patient c/o itching on arms.  Again, skin color was normal without any rash noted.  Patient was given fluids to drink and remained seated for approximately 20 minutes.  Stated that he felt better and returned to work.   Today, patient reported that he developed hives later that afternoon and went to his local clinic.  Was treated with Prednisone and Allegra.  Returned to family MD a "few days later" when hives re-developed and treated for another 3 days with prednisone.  Continued on Allegra.  States hives went away, but continued to feel "itchy", so went to Dematologist who "would not say it was, or it was not" related to the Hep B shot.  Currently is being treated with "creams" for his skin condition which he claims is helping.