chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Urticaria
Clinical narrative: Large (3inX2in) red welted area.  Evening of 4/27/17 excruciating pain began in joints, headache, fever. Morning of 4/28/17 welted area spread and became painful, nodules developed on L hand.  Paint in joints -both wrists. L shoulder, L back area, both ankles and in both knees that had joint replacements.
Age: 28.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Blood glucose normal, Dizziness, Malaise
Clinical narrative: FOLLOWING INJECTIONS, PATIENT REQUESTED TO WAIT IN THE WAITING ROOM. 8:35 A.M.  PATIENT'S HUSBAND CAME TO THE WINDOW STATING THAT HIS WIFE DID NOT FEEL WELL.  PATIENT WAS C/O FEELING LIGHTHEADED.  VITALS AT THE TIME OF VISIT WERE STABLE: T:97.6, HR: 98, B/P 120/84, RR 18. PATIENT WAS GIVEN A COOL CLOTH TO PLACE ON FOREHEAD AND ALLOWED TO REST UNTIL FEELING BETTER, APPROXIMATELY 10 MINUTES.  PATIENT RECOVERED AND REQUESTED TO GO HOME.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Burning sensation, Extra dose administered, Measles antibody negative, Oral herpes, Rash
Clinical narrative: Had an MMR and flu vaccinations on 3-15-17, developed oral herpes sore on lip.  Had rubeola titer 4-24-17 and still did not show immunity so received second MMR on 4-28-17.  5 days after vaccination developed a mealy, angry raised red rash that burns to upper chest and neck area.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Rash erythematous
Clinical narrative: Had an MMR and flu vaccinations on 3-15-17, developed oral herpes sore on lip.  Had rubeola titer 4-24-17 and still did not show immunity so received second MMR on 4-28-17.  5 days after vaccination developed a mealy, angry raised red rash that burns to upper chest and neck area.
Age: 53.0
Sex: F
Vaccine: HEPAB
Symptoms: Flank pain, Herpes zoster, Paraesthesia
Clinical narrative: Pt developed pain/tingling on LT rib/flank area 4/24/17; saw PCP 4/26/17 dx w/ shingles and started on acyclovir.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: No adverse event
Clinical narrative: The following injection administered, per provider's order: Cyanocobalamin Dose: 1000mcg/mL Site: left deltoid Route: Intramuscular Ordered by: MD Frequency: q month - 1st does given today Lot: 6111958 Exp: 11/2017 Manufacturer: APP Pharmaceuticals. Pt. tolerated well. No s/s reaction noted. Return to RN clinic: 5/5/17. Patient encouraged to telephone with any questions or concerns. PCP Rx'd an antibiotic as a prophylactic.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Anxiety, Initial insomnia, Insomnia, Irritability, Middle insomnia
Clinical narrative: Restlessness; trouble sleeping (waking at night, not falling asleep easily, not taking naps); irritable; anxious.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Restlessness
Clinical narrative: Restlessness; trouble sleeping (waking at night, not falling asleep easily, not taking naps); irritable; anxious.
Age: 0.83
Sex: F
Vaccine: PNC13
Symptoms: Bacterial infection, Fatigue, Hypophagia, Inflammation, Mobility decreased
Clinical narrative: 4/30 decreased po, fatigue, and holding her leg with knee bent refusing to have it straightened. 5/1/17 extensive subcutaneous RLE inflammation without drainable fluid collection and bacteremia with gram positive cocci in chains. 4/30 blood culture: Final result: Streptococcus mitis / oralis group (Strep viridans group) Treated w: Ceftriaxone and transitioned Amoxicillin Po with plan to complete a 14 day course.
Age: 0.83
Sex: F
Vaccine: PNC13
Symptoms: Streptococcus test positive
Clinical narrative: 4/30 decreased po, fatigue, and holding her leg with knee bent refusing to have it straightened. 5/1/17 extensive subcutaneous RLE inflammation without drainable fluid collection and bacteremia with gram positive cocci in chains. 4/30 blood culture: Final result: Streptococcus mitis / oralis group (Strep viridans group) Treated w: Ceftriaxone and transitioned Amoxicillin Po with plan to complete a 14 day course.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant referring a 5 year old female patient. There was no information about the patient's concurrent conditions, medical history, any known allergies or reactions or concomitant medications. On 14-JAN-2016, the patient was vaccinated with M-M-R II, subcutaneously, for prophylaxis (dose, lot number and expiration date were not reported). On the same date, he also was vaccinate with VARIVAX, subcutaneously, for prophylaxis (dose, lot number and expiration date were not reported); and KINRIX, for an unknown indication (dose, frequency, route of administration, lot number and expiration date were not reported). On 10-APR-2017, the patient inadvertently was vaccinate with a second set of booster doses (extra dose administered) of M-M-R II (lot # M044351, expiration date 04-NOV-2018), subcutaneously, for prophylaxis (dose not reported); and VARIVAX (lot# M042496, expiration date 19-OCT-2018), subcutaneously, for prophylaxis (dose not reported). The patient did not seek medical attention. At the time of reporting, no adverse effects had been reported as of yet. No further information provided. No product quality complaint was involved. Additional information has been requested.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: This spontaneous report as received from a registered nurse refers to a patient a current 14 year old patient of unknown gender. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On an unknown date, the patient was vaccinated with a dose of M-M-R II (lot number not reported) at younger than 1 year of age. The nurse reported this dose was not considered valid due to the patient's age at the time of administration. On an unknown date, the patient was revaccinated with a second dose of M-M-R II (Lot number not reported). On 11-APR-2016, the patient was inadvertently vaccinated with a dose PROQUAD (Lot Number M029599, expiration !2-DEC-2017) instead of the intended third dose of M-M-R II . The nurse  was unable to clarify whether the error occurred due to product confusion between PROQUAD and M-M-R II. No additional dose of M-M-R II was administered on 11/4/2016. No adverse effect reported. Additional information has been requested.
Sex: U
Vaccine: VARCEL
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report has been received from a registered nurse and referred to six patients of unknown ages and genders. The patient's relevant medical history, concurrent conditions, and concomitant therapies were unknown. It was reported by the nurse that on unknown dates, the patients were vaccinated with improperly stored doses of VARIVAX (dose, frequency, route, and route of administration were not reported; lot # M044347 with an expiration date 04-NOV-2018) for prophylaxis. The data logger reported that the vaccines were exposed to a temperature excursion of -6°C for a total time frame of 1 hour and 19 minutes. There were no previous temperature excursions. No adverse effects were reported. No product quality complaint was involved. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Oral candidiasis, Skin lesion, Tendonitis, Vaccination failure
Clinical narrative: This spontaneous report was received from a female consumer of an unknown age reporting on herself. There was no information about the patient's pertinent medical history, concurrent conditions, concomitant therapies, and drug reactions or allergies. On an unknown date reported as "years ago", the patient was vaccinated with a dose of ZOSTAVAX (strength, anatomical location, dose, frequency, route of administration, lot number, and expiration date were not provided) for prophylaxis. But, on an unspecified date, the patient experienced an outbreak of shingles (Herpes zoster) which was characterized by one large lesion in one of her breast. Additionally, the patient mentioned that also on an unknown date, she experienced oral thrush and tendinitis in one of her ears. It was reported that the patient sought unspecified medical attention. At the time of reporting it was unknown whether the patient recovered or not from the adverse events. The causal relationship between the therapy with ZOSTAVAX and the adverse events were not reported. No product quality complaint was involved. Additional information is not expected as there was no consent and information to contact the physician.
Sex: U
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Information has been received from an unspecified reporter via a company representative, referring to two unspecified patients of unknown age and gender. The patients' medical history, concurrent conditions and concomitant therapies were not reported. On unknown dates, the patients were vaccinated with a dose of PNEUMOVAX 23 lot # M038359 with an expiration date on 13-MAY-2018, therapy route reported as "one injection per patient" (strength, dose, anatomical location and administration route were not reported) for prophylaxis. On unspecified dates, the patients experienced "major swelling at the injection site" after receiving the PNEUMOVAX 23. The reporter stated that the patients received an unspecified treatment for the event. The outcome of the injection site swelling was reported as recovered and the causality between the vaccination with PNEUMOVAX 23 and the event was not provided. No product quality complaint (PQC) was involved. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Culture positive, Drug administered to patient of inappropriate age, Herpes zoster, Rash
Clinical narrative: Information was received on 03-MAY-2017 from a licensed practical nurse regarding an 11 month old female patient.  Medical history/ concurrent conditions included congenital ankyloglossia and allergy to amoxicillin (reaction- nausea). Concomitant medications were reported as "none". The nurse stated that on 12-OCT-2016 the patient received a dose of VARIVAX (lot # M008173, expiration 16-FEB-2018) for the prevention of chickenpox. On 02-MAY-2017 the patient came into the office with a rash (unspecified location), in which a culture test was performed and confirmed the rash was shingles. Treatment was given (not further specified). The action taken with VARIVAX was not applicable and the outcome of shingles is unknown. The reporter did not rate the causal relationship. No further information was provided.  Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: Information was received on 03-MAY-2017 from a nurse (from a physician's office) via a company representative regarding a female patient (age not specified). Medical history, concurrent conditions were not reported. Concomitant medications included unspecified blood pressure medication (not further specified). On an unspecified date (reported as about a year ago), the patient was administered ZOSTAVAX (lot number, expiration date and dose not reported). The patient contacted the nurse this week (exact date unspecified), because she had an itchy rash. The primary reporter was unaware if treatment was provided or if the patient recovered. No further information was available. The reporter did not rate the causal relationship. Additional information has been requested.
Sex: M
Vaccine: PNC13
Symptoms: Antibody test negative, Malaise
Clinical narrative: This is a spontaneous report from a contactable consumer (patient's mother) communicated to a Pfizer sales representative. A 2-year-old male patient of an unspecified ethnicity received 4 doses of PREVNAR 13, via an unspecified route of administration on an unspecified date at single dose for immunisation. The patient medical history and concomitant medications were not reported. The patient's mother reported that the patient has been sick so pneumococcal titers was measured and was found low so the doctor recommended revaccinating with pneumococcal 13-val conj vac (dipht crm197 protein). It was not reported if the patient actually received the additional dose. The outcome of the events were unknown.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: I, MA, administered Dtap into the Left deltoid at 1426 on 5/04/2017.The correct immunization should have Tdap.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Crying, Dry skin, Insomnia, Irritability, Lethargy
Clinical narrative: Much fussier than normal, crying more, lethargic, difficulty staying asleep, skin more reactive (breaking out in rashes/dry patches).
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Rash
Clinical narrative: Much fussier than normal, crying more, lethargic, difficulty staying asleep, skin more reactive (breaking out in rashes/dry patches).
Age: 24.0
Sex: F
Vaccine: HPV9
Symptoms: Pruritus, Urticaria
Clinical narrative: Exact time of onset not documented. Hives all over body except face. Itchy. Treated with BENADRYL and CLARITIN. Hives still present 5/05/2017. No respiratory symptoms.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Injection site rash, Rash, Rash vesicular, Urticaria
Clinical narrative: Developed rash on arm near injection site that spread to face. Rash consisted of urticaria and VARIVAX like vesicles.
Age: 1.58
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Conjunctivitis, Decreased appetite, Irritability, Pyrexia, Rash
Clinical narrative: Rash on buttocks and trunk, runny nose/sinus congestion, conjunctivitis in left eye, fever, irritability, lack of appetite.
Age: 1.58
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Rhinorrhoea, Sinus congestion
Clinical narrative: Rash on buttocks and trunk, runny nose/sinus congestion, conjunctivitis in left eye, fever, irritability, lack of appetite.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site rash, Injection site warmth, Rash, Skin warm
Clinical narrative: Systemic rash R and L thigh, lower back, and stomach. Rash warm to touch with blanching. No difficulty breathing Lungs clear to auscultation, heart regular rate rhythm.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Infection, Pain, Pruritus, Skin warm
Clinical narrative: Red/sore/warm/itchy.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Rash and redness and swelling around immunization site.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Vaccination site reaction
Clinical narrative: Red rash at vaccination site.
Age: 33.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema
Clinical narrative: Redness at immunization site.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Blood bilirubin increased, Discomfort, Gastrooesophageal reflux disease, Jaundice neonatal, Pruritus
Clinical narrative: Patient developed a fever, after his vaccine which was expected to an extent, he had been diagnosed with breastfeeding jaundice, and developed acid reflux. His cheeks formed a bumpy rash with in a red circular shape, he scratched them constantly and was very uncomfortable. His next set of vaccines were delayed by advise of the Doctor. He was prescribed a steroid cream, and given Eucerin Aquaphor lotions, I was advised to stop breastfeeding him.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: Patient developed a fever, after his vaccine which was expected to an extent, he had been diagnosed with breastfeeding jaundice, and developed acid reflux. His cheeks formed a bumpy rash with in a red circular shape, he scratched them constantly and was very uncomfortable. His next set of vaccines were delayed by advise of the Doctor. He was prescribed a steroid cream, and given Eucerin Aquaphor lotions, I was advised to stop breastfeeding him.
Age: 0.5
Sex: M
Vaccine: DTAP, FLUX, HIBV, IPV, PPV
Symptoms: Eczema, Pyrexia, Urticaria
Clinical narrative: Patient developed a low grade fever, broke out in hives, his eczema worsened, and he still had an unknown allergy.
Age: 0.83
Sex: M
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Allergy test positive, Allergy to animal, Asthma, Condition aggravated, Eczema
Clinical narrative: Patient had his first asthma attack on this date, he did have a fever after vaccination, and his eczema flared up. I didn't think much of the fever as his Dr reassured me that this was a normal reaction. Patient was diagnosed with a cat dander allergy after an allergy panel was completed. Patient showed no symptoms of allergy prior to his initial vaccination at 2 months of age. We had a cat all throughout my pregnancy and Josiah was in our home with our cat for 2 months with no symptoms or signs of an allergy, it wasn't until after his first vaccination on 8/7/2012 that his cheeks began to turn red and irritated.
Age: 0.83
Sex: M
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Erythema, Pyrexia, Skin irritation
Clinical narrative: Patient had his first asthma attack on this date, he did have a fever after vaccination, and his eczema flared up. I didn't think much of the fever as his Dr reassured me that this was a normal reaction. Patient was diagnosed with a cat dander allergy after an allergy panel was completed. Patient showed no symptoms of allergy prior to his initial vaccination at 2 months of age. We had a cat all throughout my pregnancy and Josiah was in our home with our cat for 2 months with no symptoms or signs of an allergy, it wasn't until after his first vaccination on 8/7/2012 that his cheeks began to turn red and irritated.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever, hives.
Age: 1.42
Sex: M
Vaccine: DTAP, HEP, HEPA, PPV
Symptoms: Abdominal discomfort, Condition aggravated, Eczema, Lactose intolerance, Pyrexia
Clinical narrative: Fever, hives, eczema flare up, upset stomach.
Age: 1.42
Sex: M
Vaccine: DTAP, HEP, HEPA, PPV
Symptoms: Urticaria
Clinical narrative: Fever, hives, eczema flare up, upset stomach.
Age: 2.0
Sex: M
Vaccine: HEP, HEPA, IPV
Symptoms: Condition aggravated, Eczema, Pyrexia, Urticaria
Clinical narrative: Fever, hives, eczema flare-up to which at this point I was under the impression that these were normal reactions for him. Patient had gastritis and/or stomach pain prior to the appointment these symptoms worsened. We removed dairy from his diet completely.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever, hives all over body, gave him Benadryl.
Age: 4.0
Sex: M
Vaccine: HIBV
Symptoms: Anal incontinence, Pyrexia, Urinary incontinence
Clinical narrative: Patient became incontinent, urinary and fecal accidents after being fully potty trained, it was like he couldn't feel himself using the bathroom, I started him on a probiotic assuming he was constipated or something, by mid March 2017 his symptoms had subsided, he does still have an occasional urinary accident. He also ran a mild fever, no hives this time.
Age: 68.0
Sex: M
Vaccine: MEN
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site urticaria, Injection site warmth
Clinical narrative: RAHS, REDNESS, WARMNESS,  HIVES AND MUSCLE PAIN WHERE THE SHOT WAS GIVEN.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Depressed level of consciousness, Erythema, Induration, Local reaction, Malaise
Clinical narrative: Fever, myalgias, malaise and obtundation. Local reaction with vesicular skin changes, erythema and induration.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia, Rash vesicular
Clinical narrative: Fever, myalgias, malaise and obtundation. Local reaction with vesicular skin changes, erythema and induration.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Headache, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Patient developed headache and pain and swelling of right arm. Also low grade fever. Headache was severe enough that she was taken to ED. Treated with oral ibuprofen and TYLENOL.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Pain
Clinical narrative: Patient C/O excessive pain after administration of vaccine. *We have had multiple similar complaints recently.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, DTAPIPVHIB
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 12.0
Sex: M
Vaccine: HPV4
Symptoms: Blood glucose normal, Headache, Oxygen saturation decreased, Oxygen saturation immeasurable, Pain in extremity
Clinical narrative: Pt at clinic for well child check, no complaints for exam. At 15 minutes following administration of HPV, pt c/o headache, bilateral leg pain and had tremors of hands and feet. Was given TYLENOL PO, water and started on O2. O2 saturation dropped briefly to low 80s and was then undetectable by machine. Pt remained breathing; EMS called. Pt stable on RAM air with EMS/ER. Seen by GI specialist 5/2 and doing well.
Age: 12.0
Sex: M
Vaccine: HPV4
Symptoms: Tremor
Clinical narrative: Pt at clinic for well child check, no complaints for exam. At 15 minutes following administration of HPV, pt c/o headache, bilateral leg pain and had tremors of hands and feet. Was given TYLENOL PO, water and started on O2. O2 saturation dropped briefly to low 80s and was then undetectable by machine. Pt remained breathing; EMS called. Pt stable on RAM air with EMS/ER. Seen by GI specialist 5/2 and doing well.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Local swelling, Pruritus
Clinical narrative: Large red swollen area with some itching. Patient advised to take anti-inflammatory and use hydrocortisone for itch.
Age: 54.0
Sex: F
Vaccine: PPV, TDAP, VARZOS
Symptoms: Breast pain, Injection site pain, Injection site swelling
Clinical narrative: Large swelling at injection site 2 days post vaccination with pain radiating up arm to breast. Informed patient to go to urgent care.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Large red swollen area with some itching. Patient advised to take anti-inflammatory and use hydrocortisone for itch.
Age: 51.0
Sex: M
Vaccine: HEPA, RAB, TYP
Symptoms: Inappropriate schedule of drug administration, Laboratory test normal
Clinical narrative: Pt received IMOVAX + 3 in 2012. Pt given Hep A, TYPHIM and IMOVAX 4/13/17.due to misunderstanding of initial vaccine series he received a 2nd Rabies shot 4/20/17 with plans for 3#.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, swelling, tenderness at injection site. Erythema worsening 2 days later - treated as cellulitis given increased tenderness, and increasing erythema just started expect to recover.
Age: 38.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pt received PPV23 on 5/2 Pt stopped by clinic later same day. Below site swollen 4" long x 3" wide, redden, warm to touch, very itchy, severe pain, hives on arm, neck and face itchy. Trx = Ice to area QID x 2-3 days and BENADRYL.
Age: 38.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt received PPV23 on 5/2 Pt stopped by clinic later same day. Below site swollen 4" long x 3" wide, redden, warm to touch, very itchy, severe pain, hives on arm, neck and face itchy. Trx = Ice to area QID x 2-3 days and BENADRYL.
Age: 38.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Extensive swelling of vaccinated limb, Injection site swelling, Pain of skin, Skin irritation
Clinical narrative: Pt received PPV23 on 5/2 Pt stopped by clinic later same day. Below site swollen 4" long x 3" wide, redden, warm to touch, very itchy, severe pain, hives on arm, neck and face itchy. Trx = Ice to area QID x 2-3 days and BENADRYL.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Feeling hot, Pallor
Clinical narrative: After HPV-9 approximately 10 min later pt. became lightheaded dizzy, hot and pale. Placed in chair tolerating apple juice and cookies, cool rags placed on pt.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Dr. administered the Pneumococcal conjugate vaccine (PCV 13) on 3/23/17 at around 10:45 AM. After the shot, I felt pain and swelling in my right arm that same evening. Symptoms worsened, so I went to the ER on 3/26/17 at 1:18 pm.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Body temperature increased, Gait disturbance, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: DTaP #3 yesterday. (r) thigh 6.5 x ERM. Red hot painful area. 99.3 temp. swelling at vaccine site. Itching, limping, running sideways - day 2 still not better.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Pruritus, Vaccination site swelling
Clinical narrative: DTaP #3 yesterday. (r) thigh 6.5 x ERM. Red hot painful area. 99.3 temp. swelling at vaccine site. Itching, limping, running sideways - day 2 still not better.
Age: 15.0
Sex: M
Vaccine: HPV4
Symptoms: Cough, Headache, Injection site induration, Injection site warmth, Pain in extremity
Clinical narrative: Patient rec'd 3rd HPV on 4-25-17. Wednesday 4/26 he C/O sore arm and injection site hard and warm to touch. Thursday 4/27 continues to be sore, hard and warm to touch at site. C/O HA (headache) and picked up from school because congested and cough and sore arm. Encouraged to give him TYLENOL or an anti-inflammatory. PC 5/1/17 Arm pain resolved after the weekend.
Age: 15.0
Sex: M
Vaccine: HPV4
Symptoms: Respiratory tract congestion
Clinical narrative: Patient rec'd 3rd HPV on 4-25-17. Wednesday 4/26 he C/O sore arm and injection site hard and warm to touch. Thursday 4/27 continues to be sore, hard and warm to touch at site. C/O HA (headache) and picked up from school because congested and cough and sore arm. Encouraged to give him TYLENOL or an anti-inflammatory. PC 5/1/17 Arm pain resolved after the weekend.
Age: 68.0
Sex: M
Vaccine: PNC13
Symptoms: Acne, Rash erythematous, Rash pruritic
Clinical narrative: Red rash developed after 4 days, rash is itchy, pimple formed above rash.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Cyanosis, Influenza virus test negative, Irritability, Pain in extremity, Pyrexia
Clinical narrative: 2 x cyanosis, irritability, fever (prolonged), vomiting and sleepiness, leg pain.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Somnolence, Vomiting
Clinical narrative: 2 x cyanosis, irritability, fever (prolonged), vomiting and sleepiness, leg pain.
Age: 69.0
Sex: M
Vaccine: PNC13
Symptoms: Abdominal pain, Arthralgia, Arthropathy, Diarrhoea, Myalgia
Clinical narrative: Injection given of Friday 4/28/17 and pt. called Monday 5/1/17 with c/o weaken joint and muscle aches, and abd cramping, diarrhea, testicular pain. Able to get relief from TYLENOL P.M. Is beginning to feel better today 5-1-17 but continues to have random joint and muscle pain.
Age: 69.0
Sex: M
Vaccine: PNC13
Symptoms: Testicular pain
Clinical narrative: Injection given of Friday 4/28/17 and pt. called Monday 5/1/17 with c/o weaken joint and muscle aches, and abd cramping, diarrhea, testicular pain. Able to get relief from TYLENOL P.M. Is beginning to feel better today 5-1-17 but continues to have random joint and muscle pain.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Headache, Injection site induration, Injection site warmth, Pain in extremity
Clinical narrative: Patient was congested on Monday with cold symptoms 4/24/17. She rec'd 3rd HPV on 4-25-17. Wednesday 4/26 c/o sore arm and injection site hard and warm to touch. C/O headache, too. Thurs. 4/27 arm continues to be sore, warm to touch and hard at site and continues with HA. Coughing too. Enc'd TYLENOL or anti-inflam. 5/1/17 arm pain, etc resolved over weekend.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Respiratory tract congestion, Viral upper respiratory tract infection
Clinical narrative: Patient was congested on Monday with cold symptoms 4/24/17. She rec'd 3rd HPV on 4-25-17. Wednesday 4/26 c/o sore arm and injection site hard and warm to touch. C/O headache, too. Thurs. 4/27 arm continues to be sore, warm to touch and hard at site and continues with HA. Coughing too. Enc'd TYLENOL or anti-inflam. 5/1/17 arm pain, etc resolved over weekend.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pain, Peripheral swelling
Clinical narrative: Pt. received PPV23 on 5/2nd. Pt stops by clinic on 5/4/17 to report reaction at 4:30pm. Right arm swollen and redden from where she received injection, down arm about 2 in. below elbow. Warm to touch, very painful. Pt taking BENADRYL and icing it. 5/5/17 pt better- S/S resolving.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Skin warm
Clinical narrative: Pt. received PPV23 on 5/2nd. Pt stops by clinic on 5/4/17 to report reaction at 4:30pm. Right arm swollen and redden from where she received injection, down arm about 2 in. below elbow. Warm to touch, very painful. Pt taking BENADRYL and icing it. 5/5/17 pt better- S/S resolving.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site swelling, Pain of skin, Peripheral swelling, Skin irritation
Clinical narrative: Pt. received PPV23 on 5/2nd. Pt stops by clinic on 5/4/17 to report reaction at 4:30pm. Right arm swollen and redden from where she received injection, down arm about 2 in. below elbow. Warm to touch, very painful. Pt taking BENADRYL and icing it. 5/5/17 pt better- S/S resolving.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Induration, Peripheral swelling
Clinical narrative: Pt presented 4/25 w/ redness and moderate hardness/swelling of arm (approx 2" c 1.5" in surface area. She said it occurred after vaccine. She used BENADRYL every 4 hours and ice pack which helped for 4 days. Advised pt on 5th day (on 4/25) to also add MOTRIN. Followed up w/pt again on 4/26 and she said it is almost resolved and he arm is doing better.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site reaction, Injection site swelling, Urticaria
Clinical narrative: 3 inch welt or swelling where QUADRACEL vaccine given. Ibuprofen recommended (L thigh).
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Fatigue, Injection site bruising, Injection site erythema, Pain, Pyrexia
Clinical narrative: Redness, bruising noticed to Left arm after removing BANDAID. Client received vaccines on 5/2/17. Noticed bruising, redness and pain on 5/3 and slight fever. Client was also very tired on 5/3. 5/4 Parent reported child up moving around given ibuprofen for fever.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site cellulitis, Injection site rash, Injection site swelling
Clinical narrative: (R) leg swelling and rash present 2 days after vaccine was given. Continued to worsen so Abx were prescribed to cover cellulitis.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus
Clinical narrative: After, approximately 8-12 hrs, immunization admin, irritation, redness and itching at site developed. Right forearm only.
Age: 1.33
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Gait disturbance
Clinical narrative: Patient immunizations administered on Monday 5/01/17. Patient returned to clinic on Wednesday 05/03/17. Mother reported patient refused to walk the day after immunizations. No fever on 5/3/17 when patient came back to clinic patient. Patient remained fever free with normal ambulation, activity, and oral intake.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt. complains of pain/soreness in left arm in area below site of injection. There is some swelling and redness. Pt. states swelling and redness only began today. Area of redness is approx. 1" x 2".
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest discomfort, Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Rash, itching, redness, warm to touch at injection site, chest tightness. Advised to seek primary MD for further consult.
Age: 50.0
Sex: M
Vaccine: FLU4
Symptoms: Bone erosion, Bursitis, Joint range of motion decreased, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Shoulder pain and limited range of motion. Onset 2 hr. post injection, lasting 7+ mos. Capsulitis, bursitis, humeral head bone erosion. RX = PT, NSAIDS.
Age: 50.0
Sex: M
Vaccine: FLU4
Symptoms: Periarthritis
Clinical narrative: Shoulder pain and limited range of motion. Onset 2 hr. post injection, lasting 7+ mos. Capsulitis, bursitis, humeral head bone erosion. RX = PT, NSAIDS.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site nodule, Injection site rash, Injection site warmth
Clinical narrative: Cellulitis at injection site possible with knot, heat and rash.
Age: 21.0
Sex: F
Vaccine: DTAP
Symptoms: Cough, Fatigue, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Body aches that kept me up through the night, low grade fever 100.7, cough, congestion, swollen lymph nodes, extremely tired.
Age: 21.0
Sex: F
Vaccine: DTAP
Symptoms: Respiratory tract congestion, Sleep disorder
Clinical narrative: Body aches that kept me up through the night, low grade fever 100.7, cough, congestion, swollen lymph nodes, extremely tired.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Acne, Erythema, Pruritus, Tenderness
Clinical narrative: The emergence of red, itchy pimples on the palms, fingers, and tips of her hands.  Painful if touched.  A few more emerged over the next two days.
Age: 0.75
Sex: M
Vaccine: DTAP, FLUX, HIBV, IPV, PPV
Symptoms: Asthma, Attention deficit/hyperactivity disorder, Autism spectrum disorder, Bronchiolitis, Bronchitis
Clinical narrative: Total health meltdown, Fever, Vomiting, Swelling, redness, asthma attacks, Pneumonia, Bronchitis, RSV, Bronchiolitis, Etc, Almost Died.
Age: 0.75
Sex: M
Vaccine: DTAP, FLUX, HIBV, IPV, PPV
Symptoms: Erythema, General physical health deterioration, Pneumonia, Pyrexia, Respiratory syncytial virus infection
Clinical narrative: Total health meltdown, Fever, Vomiting, Swelling, redness, asthma attacks, Pneumonia, Bronchitis, RSV, Bronchiolitis, Etc, Almost Died.
Age: 0.75
Sex: M
Vaccine: DTAP, FLUX, HIBV, IPV, PPV
Symptoms: Swelling, Vomiting
Clinical narrative: Total health meltdown, Fever, Vomiting, Swelling, redness, asthma attacks, Pneumonia, Bronchitis, RSV, Bronchiolitis, Etc, Almost Died.
Age: 52.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Arthralgia, Axillary pain, Back pain, Burning sensation, Chills
Clinical narrative: Tuesday morning (May 2nd) Tdap and PNEUMOVAX both in left arm around 0900. (Cannot administer in right arm due to lymphedema risk). By 3pm started to have chills, fatigue, gradually worsening. By that night, temp of 102.6. Took TYLENOL and tried to sleep. That night with pain in hips and lower back. Couldn't sleep due to pain. Next day layed on couch whole day. Still with fever. 102 initially, closer to 100 by end of day. 2nd night 'nerve pain' all night in arms and legs. (Similar burning quality to neuropathy she has in feet due to chemo). Thursday, no longer fever (was alternating TYLENOL and ADVIL though). Had developed rash, worse where she had radiation from breast cancer treatment. Injection site had gotten really red (Dr. noted induration). Added BENADRYL to regimen. Thursday night still couldn't sleep due armpit pain on right side. Friday went and got blood drawn and then started prednisone. Started prednisone yesterday. (60mg PO last night. Ordered as 3 20mg pills x2, 2 x2, 1x3 days.) Last night slept better with an ice pack. Today has headache. Armpit still hurts. Head/face feels hot. Left arm still hurts but pain is less. Otherwise, did have some joint pains during above and did feel left knee was tight/swollen, but those have resolved. Primary current complaint is the radiation burn like rash that has returned in her previous radiation treatment area.
Age: 52.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Fatigue, Feeling hot, Full blood count, Headache, Injection site erythema
Clinical narrative: Tuesday morning (May 2nd) Tdap and PNEUMOVAX both in left arm around 0900. (Cannot administer in right arm due to lymphedema risk). By 3pm started to have chills, fatigue, gradually worsening. By that night, temp of 102.6. Took TYLENOL and tried to sleep. That night with pain in hips and lower back. Couldn't sleep due to pain. Next day layed on couch whole day. Still with fever. 102 initially, closer to 100 by end of day. 2nd night 'nerve pain' all night in arms and legs. (Similar burning quality to neuropathy she has in feet due to chemo). Thursday, no longer fever (was alternating TYLENOL and ADVIL though). Had developed rash, worse where she had radiation from breast cancer treatment. Injection site had gotten really red (Dr. noted induration). Added BENADRYL to regimen. Thursday night still couldn't sleep due armpit pain on right side. Friday went and got blood drawn and then started prednisone. Started prednisone yesterday. (60mg PO last night. Ordered as 3 20mg pills x2, 2 x2, 1x3 days.) Last night slept better with an ice pack. Today has headache. Armpit still hurts. Head/face feels hot. Left arm still hurts but pain is less. Otherwise, did have some joint pains during above and did feel left knee was tight/swollen, but those have resolved. Primary current complaint is the radiation burn like rash that has returned in her previous radiation treatment area.
Age: 52.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Injection site induration, Joint swelling, Metabolic function test, Neuralgia, Pyrexia
Clinical narrative: Tuesday morning (May 2nd) Tdap and PNEUMOVAX both in left arm around 0900. (Cannot administer in right arm due to lymphedema risk). By 3pm started to have chills, fatigue, gradually worsening. By that night, temp of 102.6. Took TYLENOL and tried to sleep. That night with pain in hips and lower back. Couldn't sleep due to pain. Next day layed on couch whole day. Still with fever. 102 initially, closer to 100 by end of day. 2nd night 'nerve pain' all night in arms and legs. (Similar burning quality to neuropathy she has in feet due to chemo). Thursday, no longer fever (was alternating TYLENOL and ADVIL though). Had developed rash, worse where she had radiation from breast cancer treatment. Injection site had gotten really red (Dr. noted induration). Added BENADRYL to regimen. Thursday night still couldn't sleep due armpit pain on right side. Friday went and got blood drawn and then started prednisone. Started prednisone yesterday. (60mg PO last night. Ordered as 3 20mg pills x2, 2 x2, 1x3 days.) Last night slept better with an ice pack. Today has headache. Armpit still hurts. Head/face feels hot. Left arm still hurts but pain is less. Otherwise, did have some joint pains during above and did feel left knee was tight/swollen, but those have resolved. Primary current complaint is the radiation burn like rash that has returned in her previous radiation treatment area.
Age: 52.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Rash, Sleep disorder
Clinical narrative: Tuesday morning (May 2nd) Tdap and PNEUMOVAX both in left arm around 0900. (Cannot administer in right arm due to lymphedema risk). By 3pm started to have chills, fatigue, gradually worsening. By that night, temp of 102.6. Took TYLENOL and tried to sleep. That night with pain in hips and lower back. Couldn't sleep due to pain. Next day layed on couch whole day. Still with fever. 102 initially, closer to 100 by end of day. 2nd night 'nerve pain' all night in arms and legs. (Similar burning quality to neuropathy she has in feet due to chemo). Thursday, no longer fever (was alternating TYLENOL and ADVIL though). Had developed rash, worse where she had radiation from breast cancer treatment. Injection site had gotten really red (Dr. noted induration). Added BENADRYL to regimen. Thursday night still couldn't sleep due armpit pain on right side. Friday went and got blood drawn and then started prednisone. Started prednisone yesterday. (60mg PO last night. Ordered as 3 20mg pills x2, 2 x2, 1x3 days.) Last night slept better with an ice pack. Today has headache. Armpit still hurts. Head/face feels hot. Left arm still hurts but pain is less. Otherwise, did have some joint pains during above and did feel left knee was tight/swollen, but those have resolved. Primary current complaint is the radiation burn like rash that has returned in her previous radiation treatment area.
Age: 52.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Full blood count, Impaired work ability, Metabolic function test, Pain, Pyrexia
Clinical narrative: Tuesday morning (May 2nd) Tdap and PNEUMOVAX both in left arm around 0900. (Cannot administer in right arm due to lymphedema risk). By 3pm started to have chills, fatigue, gradually worsening. By that night, temp of 102.6. Took TYLENOL and tried to sleep. That night with pain in hips and lower back. Couldn't sleep due to pain. Next day layed on couch whole day. Still with fever. 102 initially, closer to 100 by end of day. 2nd night 'nerve pain' all night in arms and legs. (Similar burning quality to neuropathy she has in feet due to chemo). Thursday, no longer fever (was alternating TYLENOL and ADVIL though). Had developed rash, worse where she had radiation from breast cancer treatment. Injection site had gotten really red (Dr. noted induration). Added BENADRYL to regimen. Thursday night still couldn't sleep due armpit pain on right side. Friday went and got blood drawn and then started prednisone. Started prednisone yesterday. (60mg PO last night. Ordered as 3 20mg pills x2, 2 x2, 1x3 days.) Last night slept better with an ice pack. Today has headache. Armpit still hurts. Head/face feels hot. Left arm still hurts but pain is less. Otherwise, did have some joint pains during above and did feel left knee was tight/swollen, but those have resolved. Primary current complaint is the radiation burn like rash that has returned in her previous radiation treatment area.
Age: 52.0
Sex: F
Vaccine: PPV, TDAP, PPV, TDAP
Symptoms: Rash, Serum sickness, Thrombocytopenia, White blood cell disorder
Clinical narrative: Tuesday morning (May 2nd) Tdap and PNEUMOVAX both in left arm around 0900. (Cannot administer in right arm due to lymphedema risk). By 3pm started to have chills, fatigue, gradually worsening. By that night, temp of 102.6. Took TYLENOL and tried to sleep. That night with pain in hips and lower back. Couldn't sleep due to pain. Next day layed on couch whole day. Still with fever. 102 initially, closer to 100 by end of day. 2nd night 'nerve pain' all night in arms and legs. (Similar burning quality to neuropathy she has in feet due to chemo). Thursday, no longer fever (was alternating TYLENOL and ADVIL though). Had developed rash, worse where she had radiation from breast cancer treatment. Injection site had gotten really red (Dr. noted induration). Added BENADRYL to regimen. Thursday night still couldn't sleep due armpit pain on right side. Friday went and got blood drawn and then started prednisone. Started prednisone yesterday. (60mg PO last night. Ordered as 3 20mg pills x2, 2 x2, 1x3 days.) Last night slept better with an ice pack. Today has headache. Armpit still hurts. Head/face feels hot. Left arm still hurts but pain is less. Otherwise, did have some joint pains during above and did feel left knee was tight/swollen, but those have resolved. Primary current complaint is the radiation burn like rash that has returned in her previous radiation treatment area.
Age: 1.42
Sex: F
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Dyskinesia, Pyrexia, Seizure, Staring, Unresponsive to stimuli
Clinical narrative: Seizures both jerking and staring. Awake but non responsive.
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Apnoea, Gastrooesophageal reflux disease
Clinical narrative: Apnea. This was the second time it occurred for more than a few seconds. The first was on 09/01/2015. I tapped him, blew my breath in his face, bought him outside, opened his shirt and rubbed his back until paramedics arrived. Diagnosis included Apnea and Esophageal reflux. He suffered from reflux until he was 7 months old. We are continually trying to find foods that won't cause it to flare up. It's difficult because he also has eczema that flares up with certain foods and lots of food allergies.
Age: 0.08
Sex: M
Vaccine: DTAP, HIBV, RVX
Symptoms: Crying, Gastrooesophageal reflux disease, Seizure, Vaccination site induration, Vaccination site nodule
Clinical narrative: Severe esophageal reflux that lasted for months, convulsion like movements, crying for 2 weeks straight. He was completely inconsolable. It eased up after this period, but the crying continued for quite some time. I called the nurse about swelling and a hard knot in the area of the vaccine that lasted 1-2 weeks. I was told it was normal.
Age: 0.08
Sex: M
Vaccine: DTAP, HIBV, RVX
Symptoms: Vaccination site swelling
Clinical narrative: Severe esophageal reflux that lasted for months, convulsion like movements, crying for 2 weeks straight. He was completely inconsolable. It eased up after this period, but the crying continued for quite some time. I called the nurse about swelling and a hard knot in the area of the vaccine that lasted 1-2 weeks. I was told it was normal.
Age: 0.5
Sex: M
Vaccine: DTAP, FLUX, HEP, HIBV, IPV, PPV
Symptoms: Asthma, Bronchitis, Dyspnoea, Laboratory test, Pneumonia
Clinical narrative: Harsh Fever Vomit Trouble Breathing Asthma RSV Bronchitis Pneumonia almost died.
Age: 0.5
Sex: M
Vaccine: DTAP, FLUX, HEP, HIBV, IPV, PPV
Symptoms: Pyrexia, Respiratory syncytial virus infection, Vomiting
Clinical narrative: Harsh Fever Vomit Trouble Breathing Asthma RSV Bronchitis Pneumonia almost died.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccine virus shedding
Clinical narrative: The adverse effects were transmission of the shingles virus to my HUSBAND.  Two weeks after I receive the ZOSTAVAX vaccine my husband comes down with shingles.  We do not believe this was coincidence yet we were led to believe that the live virus would not be transmitted to another person.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV, RVX
Symptoms: Cold sweat, Crying, Diet refusal, Insomnia, Poor feeding infant
Clinical narrative: She was drowsy for hours after. She cried during the evening more than during her two month visit, in which we split up the vaccines into two appointments a week apart. This time we did them all as recommended. 12 hours after vaccines were administered she spiked a fever of 102 degrees. It was treated with a cold compress. Sleepless all night; baby usually sleeps well and is rarely fussy. All night she refused breast and refused bottle. She didn't eat well for two days. Fever persisted for two day around 100-102 degrees and was managed with cold compresses. Her extremities were clammy. No symptoms of cold/flu/strep were present. She had swelling and highest fever around her temples and brain stem.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV, RVX
Symptoms: Pyrexia, Somnolence, Swelling
Clinical narrative: She was drowsy for hours after. She cried during the evening more than during her two month visit, in which we split up the vaccines into two appointments a week apart. This time we did them all as recommended. 12 hours after vaccines were administered she spiked a fever of 102 degrees. It was treated with a cold compress. Sleepless all night; baby usually sleeps well and is rarely fussy. All night she refused breast and refused bottle. She didn't eat well for two days. Fever persisted for two day around 100-102 degrees and was managed with cold compresses. Her extremities were clammy. No symptoms of cold/flu/strep were present. She had swelling and highest fever around her temples and brain stem.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and slight swelling below injection site, pt instructed to take some benadryl to help with swelling.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness of injection sit.  Beginning day after.  Patient rubbed hydrocortisone on area without relief.  Will also try ibuprofen and benadryl/antihistame.
Age: 26.0
Sex: M
Vaccine: MMR
Symptoms: Induration, Injection site swelling, Localised oedema, Nodule
Clinical narrative: Local swelling at site, still present after one month.