chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Skin lesion, Urticaria, Viral test negative
Clinical narrative: Information has been received from a registered nurse concerning a 22 year old female patient with no pertinent medical history and no known drug allergies who on 16-NOV-2011 was vaccinated SC with a dose of VARIVAX (Merck) (lot number: 669230/1682Z, exp. Date: 09-DEC-2012), 0.5 ml. There was no concomitant medication. On approximately 04-DEC-2011, about 2.5 weeks after administration of VARIVAX (Merck), the patient developed 5 to 6 varicella like lesions on head and body after administration of VARIVAX (Merck). The patient also developed urticaria at injection site. Unspecified antihistamine was given for the treatment of the adverse event. The patient sought medical by an office visit. No lab test was performed. At the time of the report, the patient's outcome was unknown. Follow up information has been received from the registered nurse concerning the student with no illness at the time of vaccination, no adverse events following prior vaccinations and not immune to varicella zoster (on 19-OCT-2011) who on 16-NOV-2011 at 10:41am, was vaccinated subcutaneously in the left arm with the first 0.5 ml dose of VARIVAX (Merck) (lot number: 669230/1682Z, exp. Date 09-DEC-2012). Secondary suspect vaccines included the first dose of MMR II (lot number 669517/0037AA, exp. date 01-FEB-2013), subcutaneously in the right arm on 16-NOV-2011, at 10:41am. Concomitant vaccines included the first dose of ENGERIX-B (lot number: AHBV009AA) intramuscularly in the left deltoid on 16-NOV-2011, at 10:41am. The registered nurse reported that on 05-DEC-2011 the patient developed itchy rash, 2 lesions on scalp, 2 lesions on chest, several vesicles on forehead, 3 cm urticarial type lesion on left arm and all spots were itchy and painful. The patient was given ZYRTEC for 10 days and advised to avoid contact with high risk people. On 17-JAN-2012 lab diagnostic tests were performed and the results were varicella zoster equivocal. The patient did not seek medical attention (previously reported by the registered nurse as sought medical attention by an office visit). At the time of the report the patient recovered from the event. Follow up information has been received from another registered nurse reported that "in 2011" the patient received the second dose of VARIVAX (merck) (lot number, expiry date and route was not reported) and on an unknown date developed "a varicella like syndrome with rash". She stated that it was like chicken pox. She stated it might have been reported at that time. An unspecified treatment was given for the event. The outcome of the event was recovered on an unknown date. The patient sought medical attention. It has been determined that case # {1309USA013858} is a duplicate of case # {1112USA01189} therefore, case # {1309USA013858} is being deleted from our files and the cases consolidated into case# {1112USA01189}. Additional information is not expected.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from another health professional refers to a patient of unknown age and gender. No medical history or concurrent conditions were reported. It was reported that on 03-SEP-2013, GARDASIL went out of range as it was exposed to 31.2 F for 6 hours. On 11-SEP-2013, the patient was administered with this improperly stored GARDASIL (route of administration unknown) for an unknown indication. Lot number was reported as H021861 with an expiration date of 09-OCT-2015. No adverse effects were reported. No further information was provided. This is one of 16 reports from the same reporter. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from another health professional refers to a patient of unknown age and gender. No medical history or concurrent conditions were reported. It was reported that on 03-SEP-2013, GARDASIL went out of range as it was exposed to 31.2 F for 6 hours. On 13-SEP-2013, the patient was administered with this improperly stored GARDASIL (route of administration unknown). Lot number was reported as H021861 with an expiration date of 09-OCT-2015. No adverse effects were reported. No further information was provided. This is one of 16 reports from the same reporter. Additional information has been requested.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discomfort, Pain
Clinical narrative: Right shoulder discomfort has increased over time to painful with certain movements.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Incorrect dose administered
Clinical narrative: Pt was accidentally given duplicate vaccinations (Dtap, MMR).
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Narcolepsy, Staring
Clinical narrative: Pt received flu vaccine in Nov and about 4 wks after starting feeling fatigue and very tired. Having staring spells - w/u for depression, sz, fatigue, finally diagnosed with narcolepsy by neurologist in Sept, 2013.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Musculoskeletal stiffness, Mydriasis
Clinical narrative: Initial report received from a healthcare professional on 16 October 2013. A male patient whose age at the time of event, medical history and concomitant medication were not reported, had received a dose of PENTACEL (dose number, lot number, route of administration were not reported) in the leg on 04 August 2013. On an unspecified date, upon receiving PENTACEL, the patient froze for 30 seconds, had a scaring episode and child's eyes were dilated. Laboratory investigations and corrective medications were not reported. At the time of this report, the outcome was unknown. Documents held by sender: None.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from another health professional refers to a patient of unknown age and gender. No medical history or concurrent conditions were reported. It was reported that on 03-SEP-2013, GARDASIL went out of range as it was exposed to 31.2 F for 6 hours. On 11-SEP-2013, the patient was administered with this improperly stored GARDASIL (route of administration unknown). Lot number was reported as H021861 with an expiration date of 09-OCT-2015. No adverse effects were reported. No further information was provided. This is one of 16 reports from the same reporter. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 67 year old female patient with drug reactions/allergies to quinolones and no pertinent medical history. On 23-OCT-2013 the patient was vaccinated with a dose of ZOSTAVAX (lot number reported as: J006153, expiration date: August 2014, dose was not reported), subcutaneously. On 23-OCT-2013, 1 day after onset of therapy the patient experienced redness and warmth that spread to a large area around the injection site following the administration of ZOSTAVAX. This area got smaller after approximately 20 minutes after vaccination and the patient went home. The patient called back on 25-OCT-2013 and reported that she had a raised bump that was approximately 1.5 inches in diameter around the injection site. On 25-SEP-2013 the patient received unspecified flu vaccine (manufacturer unknown) (also reported that there were no concomitant medications). It was reported that no labs were done. There was no treatment given for the events. The outcome of the events was reported as not recovered/not resolved. The patient sought medical attention via contacting pharmacist. The relatedness between the events and ZOSTAVAX was not reported. Additional information has been requested.
Sex: F
Vaccine: FLUX
Symptoms: Pharyngeal oedema, Pruritus, Rash, Urticaria
Clinical narrative: Initial report was received from a healthcare professional on 14 October 2013. A female patient had received an injection of Influenza Vaccine (manufacturer, lot number, route, site and exact date of administration not reported) 4-5 years ago and an unspecified amount of time later experienced hives, rash, itching and throat swelling. Treatment was a course of steroids and she was told not to receive the flu vaccine again. No additional information was provided. Outcome was recovered. Documents held by sender: None.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pain in extremity, Skin warm, Tenderness
Clinical narrative: Arm tender, red from injection site to elbow, warm to touch, aches.
Age: 1.0
Sex: U
Vaccine: VARCEL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report as received from a registered nurse refers to a 1 year old patient of unspecified gender. On 01-OCT-2013, the patient was vaccinated with a first 0.5 ml dose of VARIVAX (Merck), subcutaneous (lot # and expiration date were not provided). On 01-OCT-2013, the patient received an expired dose of VARIVAX (Merck) for his/her first dose. No adverse effects were reported. Additional information has been requested.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain, Paraesthesia
Clinical narrative: Right shoulder pain with movement. Limited range of motion. Tenderness at site of injection. No redness, swelling, induration. ADVIL and ALEVE not effective. Prednisone x 7 days temporary improvement. Currently, ongoing discomfort with movement. Mild tingling down arm.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: After IM injection to left deltoid patient complained of "tingling" in left arm and left hand. When pharmacist contacted patient later that day and next day patient was still experiencing same sensation.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Immediate post-injection reaction, Injection site bruising, Injection site pain, Injection site warmth
Clinical narrative: Pt has immediate reaction - redness and soreness, within a day the area was as big as a baseball, had a huge bruise, warm to touch and was hurting.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Pt has immediate reaction - redness and soreness, within a day the area was as big as a baseball, had a huge bruise, warm to touch and was hurting.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Deafness, Tinnitus
Clinical narrative: Pt. received influenza vaccine on 10/2/13, on 10/3/13 starting having hearing lose, ringing in ear, etc. This has remained. She is working with specialist.
Sex: M
Vaccine: FLUX, PPV
Symptoms: Vaccination complication
Clinical narrative: Information has been received from a third party claims administrator for a pharmacy concerning a male patient. On an unspecified date the patient was vaccinated with PNEUMOVAX23 (lot #H021941 and expiration date 11JUL2014) and a flu vaccine (manufacturer not specified). On 05OCT2013 the patient experienced an adverse reaction (NOS) to PNEUMOVAX23 and the flu vaccine (manufacturer not specified). Per the reported, it was unclear which vaccine the patient had a reaction to. The outcome of the adverse reaction was unknown. Additional information has been requested.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Local swelling, Mass, Pain, Paraesthesia, Pyrexia
Clinical narrative: The pt received influenza (injection) and PPSVS23 in her left arm on 10/15/13. The pt reports that when she received the pneumococcal vaccination the vaccinator.
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site plaque, Injection site warmth
Clinical narrative: Erythematous, hot, 5cm x 7cm placque at injection site of PNEUMOVAX and influenza vaccine.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Pruritus, Skin warm
Clinical narrative: Large area (> 20cm) of erythema and induration, warmth. Very pruritic, not tender. Afebrile. Lasted > 6 days.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Delirium, Dizziness, Headache, Hyperhidrosis
Clinical narrative: The next morning at approx 5 am client woke with high fever (approx 101), splitting headache, dizzy, chills, sweats and feeling of delirium. Symptoms lasted about 24 hours. Headache continued off and on throughout weekend.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: The next morning at approx 5 am client woke with high fever (approx 101), splitting headache, dizzy, chills, sweats and feeling of delirium. Symptoms lasted about 24 hours. Headache continued off and on throughout weekend.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Local swelling, Lymphadenopathy
Clinical narrative: (R) arm and axillary lymph node swelling approximately 48 hours after received Td in the hospital ER for tetanus prophylaxis after hand laceration. Diagnosis of cellulitis. Patient treated with antibiotics, improved and discharged.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills, Pyrexia, Tremor
Clinical narrative: Rcvd flu vax. at 10:19 AM at pharmacy. At 8 PM severe chills and shakes started. I put on a heavy winter coat and got under a blanket. This helped but didn't make them stop. Fever started and peaked at 102 degrees at 1100 PM. Chills and shakes gone by 12 midnight. Fever subsided. Next morning, very weak. All symptoms gone by 12 noon.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysgeusia, Feeling abnormal, Gait disturbance
Clinical narrative: Approx. 15 minutes after receiving vaccine I felt fuzzy-headed and had a bad taste in my mouth. Felt somewhat dizzy after getting home. That evening I got up to use the bathroom and could hardly walk. Dizzy off and on for week.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Hypoaesthesia, Local swelling, Pyrexia, Skin warm
Clinical narrative: Arm swollen, numbness, rt arm, red-hot, fever, swollen chest wall, shoulder-seemed did not get hospitalized, got iv antibiotic, pain med and oral antibiotic.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Swelling
Clinical narrative: Arm swollen, numbness, rt arm, red-hot, fever, swollen chest wall, shoulder-seemed did not get hospitalized, got iv antibiotic, pain med and oral antibiotic.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report was received from a physician via a company representative concerning an approximately 75 year old female patient. Approximately on an unknown date in 2007 (reported as sometime at the end of 2007 or 2008), the patient was vaccinated with a dose of ZOSTAVAX (lot number, expiry date, dose and route unspecified). No concomitant therapy was reported. On 14-OCT-2013, the patient developed shingles on the right side of the neck after the vaccination. The patient sought medical attention (doctor visit). The patient was given unspecified medications. It was unspecified if any lab tests were performed. The patient was recovering from shingles on the right side of the neck. The relatedness for shingles on the right side of the neck was unknown for ZOSTAVAX. Additional information has been requested.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal oedema
Clinical narrative: On 10/21 patient received flu shot and on 10/23 developed (L) side swelling of the throat with no other symptoms. Pt took BENADRYL 25 mg po and sx subsided.
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from registered nurse refers to a patient of unknown age and gender. On 20-FEB-2013 the patient was vaccinated with the first dose of GARDASIL, intramuscularly (dose, lot number and expiration date not reported). The second dose of GARDASIL was administered on 09-SEP-2013 and the third on 11-OCT-2013 (lot #, expiration dates and doses not reported). No adverse effect was reported. Additional information has been requested.
Age: 1.26
Sex: F
Vaccine: DTAPIPVHIB, FLU3
Symptoms: Balance disorder, Clumsiness, Cough, Croup infectious, Crying
Clinical narrative: Patient awoke in middle of night after vaccination screaming/crying. Mom noticed child slightly off balance. Cough - croupy and nasal congestion started. 2 days after vaccination on 10-23-13, symptoms progressed, child falling and bumping into things. Child taken to E. R. - given DECADRON for croup/cough. Child seen in our office 10-25-13 for follow up - improving.
Age: 1.26
Sex: F
Vaccine: DTAPIPVHIB, FLU3
Symptoms: Fall, Middle insomnia, Nasal congestion, Screaming
Clinical narrative: Patient awoke in middle of night after vaccination screaming/crying. Mom noticed child slightly off balance. Cough - croupy and nasal congestion started. 2 days after vaccination on 10-23-13, symptoms progressed, child falling and bumping into things. Child taken to E. R. - given DECADRON for croup/cough. Child seen in our office 10-25-13 for follow up - improving.
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Culture wound negative, Pruritus, Rash, Rash pustular, Skin exfoliation
Clinical narrative: Pt presented to clinic w/unusual rash. Pt's husb stated the scattered lesions started like pustules. When pt arrived at clinic, she had scale-like itchy lesions to face, scalp, predominantly (L) arm and leg. 10/8/13 follow up phone call - lesions improving, decreased itching.
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Skin lesion
Clinical narrative: Pt presented to clinic w/unusual rash. Pt's husb stated the scattered lesions started like pustules. When pt arrived at clinic, she had scale-like itchy lesions to face, scalp, predominantly (L) arm and leg. 10/8/13 follow up phone call - lesions improving, decreased itching.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Large red rash, pain, swelling at injectoin site. Patient returned to MD and has been taking BENADRYL.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Sore, red around injection site reported about 24 hours after injection. Called pt's family doctor - no treatment, unless symptoms worsen.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: Hives on arms, hands, redness on face appeared 2 days after vaccine. Nothing at injection site. Pt unsure of these s/s were related to the vaccine or not.
Age: 4.0
Sex: F
Vaccine: FLU3, MMRV
Symptoms: Rash vesicular, Varicella post vaccine
Clinical narrative: Presented 20 days s/p MMRV with varicella - like - rash. Diagnosed with vaccine induced varicella.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Redness at injection site. Very painful and hot to the touch. Recommended going to MD.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Left arm more sore than usual. Site red, hot that extended down arm muscle 3-4 inches no fever.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue
Clinical narrative: Experienced extreme fatigue for 36 hrs.
Age: 16.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Pain, Pain in extremity
Clinical narrative: 16 11/12 yr old male reports body ache, leg/arm ache after visit on 10/22/13 for routine exam 1 day after visit. Hx asthma. Hx tick bite 2 wks prev myalgia.
Age: 84.0
Sex: M
Vaccine: TYP
Symptoms: Headache, Rash
Clinical narrative: Light rash after 1st capsule. Headache after 2nd dose.
Age: 1.01
Sex: F
Vaccine: FLU3, HEPA, HIBV, MMRV, PNC13
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: On 10/24/13 Mom reports she had a knot that was red on her right leg, after injection. The area is decreasing in size and is about dime size. Denies rash.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Local swelling, Pain in extremity, Skin warm
Clinical narrative: Patient presented to pharmacy next day. Arm was swollen, painful, warm to touch. Pharmacist referred patient to physician.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Within about 5 minutes she had a large red swollen knot at injection site.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Fall, Head injury, Loss of consciousness
Clinical narrative: On October 12, 2013 between 12 - 1 pm, I administered flu shot to patient and in less than 5 minutes, she passed out, fell and hit her head on the floor. Her mother and myself rushed to help her and luckily, in less than 1 minutes, she recovered and became conscious and aware of her surrounding. I asked my intern pharmacist to call 911 while I continued to observe her condition. Paramedics came and checked all her vital signs and they said she is in normal condition. I still recommended that she should go to emergency room/urgent care for more check up but mother decided to just bring her home and observe her there. There was no treatment done coz she was really okay - normal and there was no bruise nor any round/cut anywhere at the affected area.
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: This spontaneous report as received from a pharmacist refers to a male patient of unknown age. Pertinent medical history, drug reactions or allergies were not reported. On an unknown date the patient was vaccinated with ZOSTAVAX in the arm. Concentration and route of administration were not reported. Concomitant medications were not reported. On approximately 12-OCT-2013, 2-3 days ago, the patient developed a "big, red, inflamed swelling on the back of his arm at the injection site". The patient sought for medical attention. The outcome of the adverse event was unknown. Additional information has been requested.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray abnormal, Influenza like illness, Pruritus, Pulmonary oedema, Pyrexia
Clinical narrative: Rash, itching, hives - started 10-26-13 "Flu-like symptoms" started 10-27-13 and hospitalized 10-28-13-BP -> 160/120 HR-> 132 fever -> 101 chest xray showed fluid on lungs.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Rash, itching, hives - started 10-26-13 "Flu-like symptoms" started 10-27-13 and hospitalized 10-28-13-BP -> 160/120 HR-> 132 fever -> 101 chest xray showed fluid on lungs.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac flutter, Headache, Heart rate increased, Ocular hyperaemia, Tremor
Clinical narrative: Uncontrolable shaking, bad headache, blood shot eyes, very fast heartbeat that felt like it was fluttering.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness
Clinical narrative: Dizziness and lightheaded ness with and without rest. Has continued daily since flu injection. Have never experienced this before having the shot. I haven't seen a doctor as of today but will make a appointment if continues. It's been a week now with no relief.
Age: 11.0
Sex: M
Vaccine: FLUN4, MNQ
Symptoms: Induration, Local reaction, Local swelling, Pain
Clinical narrative: Within 20 minutes of vaccination, deltoid large amount swelling, induration and moderate pain.  Staff pediatrician evaluated the individual and noted the reaction was likely a local systemic reaction.  Pt was treated with ice pack for swelling and released.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and slight swelling at site, warmth to touch.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node on right jaw directly in front of the ear, same side of body as vaccination.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Erythema, Feeling hot, Generalised erythema, Headache
Clinical narrative: Waking up on the morning of 10/29 at approximately 8am, there was a localized reaction of a painful swollen lump, heat and a 2 inch area of redness around the injection site. The area was very sore and continued to be so throughout the day. As the day went on I began to feel worse with a cough developing, headache, heat and redness in the face and body and a low grade fever of 99F. The temperature was taken at 7PM that night. I then proceeded to take 2 ibuprofen tablets at a total of 400mg to relieve the symptoms. As of today (10/30/13), at 10:45AM, the injection site is still red, swollen and painful.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Waking up on the morning of 10/29 at approximately 8am, there was a localized reaction of a painful swollen lump, heat and a 2 inch area of redness around the injection site. The area was very sore and continued to be so throughout the day. As the day went on I began to feel worse with a cough developing, headache, heat and redness in the face and body and a low grade fever of 99F. The temperature was taken at 7PM that night. I then proceeded to take 2 ibuprofen tablets at a total of 400mg to relieve the symptoms. As of today (10/30/13), at 10:45AM, the injection site is still red, swollen and painful.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Local reaction, Pyrexia
Clinical narrative: Waking up on the morning of 10/29 at approximately 8am, there was a localized reaction of a painful swollen lump, heat and a 2 inch area of redness around the injection site. The area was very sore and continued to be so throughout the day. As the day went on I began to feel worse with a cough developing, headache, heat and redness in the face and body and a low grade fever of 99F. The temperature was taken at 7PM that night. I then proceeded to take 2 ibuprofen tablets at a total of 400mg to relieve the symptoms. As of today (10/30/13), at 10:45AM, the injection site is still red, swollen and painful.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Injection site warmth, Rash, Skin warm
Clinical narrative: After injection emp went home to sleep afrer shift. Aprox 8:00Pm noticed rash to rt deltoid where injection was given radiated to shoulder and upper back to neck area area was also hot to touch. Reported to Employee Health on 10/30 area noted above slightly raised rash area warm to touch.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Eye movement disorder, Gait disturbance, Vision blurred
Clinical narrative: Felt very dizzy.  Had difficulty walking.  Felt as if I was going to fall sideways.  Had to hold on to furniture to be able to walk.  Had difficulty focusing my vision.  Eye movement from side to side as if scanning, but couldn't stop it.
Age: 18.0
Sex: M
Vaccine: HEPAB, MNQ, TDAP
Symptoms: Breath sounds abnormal, Dyspnoea, Hypopnoea, Respiratory rate increased, Skin warm
Clinical narrative: Difficulty breathing, shallow and rapid breathing, Diminished lung sounds, skin warm to touch. 50mg Benadryl at 0921 and 0.3mg Epi at 0914.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Head injury, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: On completion of flu injection she passed out and rolled out of chair hitting head on concrete.  She quickly regained consciousness.  She had not eaten and was given crackers and sprite.  No injuries noted.
Age: 54.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Burning sensation, Cellulitis, Chills, Erythema, Injection site streaking
Clinical narrative: Pain in arm, then for next 2 days fever and chills (continued pain in arm- redness, burning, streaking raised patches until emergency room treatment on 10/22/2012 (cellulitis was confirmed).
Age: 54.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain in extremity, Pyrexia, Swelling
Clinical narrative: Pain in arm, then for next 2 days fever and chills (continued pain in arm- redness, burning, streaking raised patches until emergency room treatment on 10/22/2012 (cellulitis was confirmed).
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: Pt. reported itching redness and swelling at injection site, and also reported nose and chest itching within 10 minutes of injection.  Treated with Benadryl and symptoms resolved.
Age: 10.0
Sex: F
Vaccine: FLUN4
Symptoms: Cough, Loss of consciousness, Syncope, Upper respiratory tract infection, Viral infection
Clinical narrative: Approximately 30 to 60 minutes after receiving Flumist, pt. developed syncope with loss of consciousness.  Transferred to local hospital via ambulance. B/P normal, awake and oriented, diagnosed with syncope.  Returned to ER on 10/19/2013 and diagnosed with URI/cough and viral syndrome.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: General feeling of itchiness. Treated with 50mg Diphenhydramine.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: PT CAME INTO PHARMACY TODAY, STATING THAT ARM WHERE SHE RECEIVED FLU VACCINE STILL BOTHERS HER. SHE SAYS IT DID NOT HURT FOR A COUPLE DAYS AFTER VACCINCATION, BUT THEN STARTED HURTING AND SHE HAS TO ICE IT EVERY NIGHT.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Local swelling, Pruritus
Clinical narrative: His entire arm from clavicle to wrist is red, swollen, and itchy.
Age: 72.0
Sex: F
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Cellulitis
Clinical narrative: Cellulitis of right arm.
Age: 72.0
Sex: F
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pain in extremity
Clinical narrative: Cellulitis of right arm.
Age: 19.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Dizziness, Headache, Pyrexia, Tachycardia
Clinical narrative: Fever 102.5, chills, severe headache, tachycardia, dizziness.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Head discomfort, Headache, Neck pain, Pain
Clinical narrative: C/O Top of head & back of neck pain with heaviness. Whole body was hurting with body aches. Saturday was worse. Gradually getting better each passing day. Took Tylenol for 48hrs after flu injection then when not better took Alkseltzer plus & continues taking it thru 10/30/2013. Also taking Motrin.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Heart rate increased, Skin warm, Throat tightness
Clinical narrative: Patient told administering RN that she thought her throat was feeling a little tight. 11:05 = B/P 140/104, P 112, Benadryl 25 mg po. 11:08 = O2 mask @ 8 L; 11:14 B/P 145/90, P 100, Epinephrine 0.3ml IM; 11:26 B/P 182/90, P 100, NS 1000 IV started by paramedics. Color remained pink, no palor, no diaphoresis, skin warm to touch throughout. She was transported to Medical Center by paramedics per protocol. No loss of consciousness. She returned to the health center on 10/07/13. The vaccine was administered in a seasonal flu clinic provided by the employer. She had been notified to inform us immediately on return to work, but she did not return until 10/07 BUT she did return to work on 10/02/13. She stated that she had no exacerbation of her symptoms at the hospital. She was given Rx for Prednisone and an Epi pen. She was released to return to work by the ER MD on 10/02/2013. She was released from the ER on the same afternoon, spending approximately 4 hours there.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Full blood count normal, Headache, Metabolic function test normal, Neck pain
Clinical narrative: Fever - initial Temp 100.3. Headache, neck pain, fatigue. Symptoms lasted 4-5 days. No other obvious source for the symptoms.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Thyroid function test normal
Clinical narrative: Fever - initial Temp 100.3. Headache, neck pain, fatigue. Symptoms lasted 4-5 days. No other obvious source for the symptoms.
Age: 25.0
Sex: F
Vaccine: FLUN4
Symptoms: Feeling of body temperature change, Headache, Rash, Rash pruritic, Sneezing
Clinical narrative: "Bad headache, sneezing, itchy rash over face, arms, back, and stomach.  Also c/o feeling Hot and cold on and off. Benadryl 25 mg given to employee to take.  She was concerned that it would make her too tired, so she only took one 12.5 mg tab while at work- said helped some.  Stated she will take other 12.5 mg tab when she gets home.  Pt plans to buy Benadryl and Caladryl clear.
Age: 5.0
Sex: M
Vaccine: FLUN4
Symptoms: Abdominal pain upper, Body temperature increased, Dehydration, Diarrhoea, Headache
Clinical narrative: On 10/25/2013 pt's mother reported that child had Flumist at school clinic on 10/15/2013.  That night he complained of stomachache and headache. On 10/16/13 he had a temp of 101.5 and mom took him to MD.  He was negative for strep and flu, but dehydrated.  On 10/23/13 he was hospitalized for 24 hours due to dehydration, diarrhea and vomiting, he had eaten or drank anything for 3 days.  Recovered now.
Age: 5.0
Sex: M
Vaccine: FLUN4
Symptoms: Hypophagia, Influenza virus test negative, Streptococcus test negative, Vomiting
Clinical narrative: On 10/25/2013 pt's mother reported that child had Flumist at school clinic on 10/15/2013.  That night he complained of stomachache and headache. On 10/16/13 he had a temp of 101.5 and mom took him to MD.  He was negative for strep and flu, but dehydrated.  On 10/23/13 he was hospitalized for 24 hours due to dehydration, diarrhea and vomiting, he had eaten or drank anything for 3 days.  Recovered now.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Drug administered at inappropriate site, Immediate post-injection reaction, Injected limb mobility decreased, Insomnia
Clinical narrative: Immediate severe pain after vaccine was administered way too high on the arm resulting in tremendous pain that continues 15 days after shot thus resulting in inability to sleep and use arm / no prior shoulder problems ever before vaccine / Nurse was standing I was seated very low and she pushed down to administer shot / band aid was applied on top of side shoulder / it felt like she had "hit something" upon penetration of needle / pain worsened after leaving hospital / ibuprofen / alka seltzer / heating pad are all being used for pain treatment day & night / no redness no / no swelling pain is inside not out / hurts when laying flat.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Arthralgia, Condition aggravated, Gait disturbance, Impaired driving ability
Clinical narrative: Shot given at work. I usually have mild tendinitis around my right hip, but the day after the shot, it turned into full-blown crippling pain. Made it impossible to sleep in bed and difficult to drive. The side of my hip was not swollen, but extremely tender and tight. (shot was administered in arm) I have been limping for a week now, and am seeing an Orthopedic doctor tomorrow.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Insomnia, Joint stiffness, Tendonitis
Clinical narrative: Shot given at work. I usually have mild tendinitis around my right hip, but the day after the shot, it turned into full-blown crippling pain. Made it impossible to sleep in bed and difficult to drive. The side of my hip was not swollen, but extremely tender and tight. (shot was administered in arm) I have been limping for a week now, and am seeing an Orthopedic doctor tomorrow.
Age: 17.0
Sex: F
Vaccine: FLUN4
Symptoms: Blood glucose increased, Contraindication to vaccination
Clinical narrative: Pt. visit school nurses office with elevated blood sugars.  It was then discovered pt. had type 1 diabetes and received the Flumist. Vaccinator was not informed of diagnosis.
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Burning sensation, Injection site pruritus, Injection site reaction, Injection site warmth, Pharyngeal oedema
Clinical narrative: Burning sensation on head. Within a few minutes spread all over body. Itchy, red, hot blotches from head to toe and around injection site. Slight swelling of tongue and throat.
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Rash macular, Rash pruritic, Skin warm, Swollen tongue
Clinical narrative: Burning sensation on head. Within a few minutes spread all over body. Itchy, red, hot blotches from head to toe and around injection site. Slight swelling of tongue and throat.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash generalised
Clinical narrative: Rash at posterior neck, hairline, arms, legs, torso; started approx 6 hrs after received vaccine and slowly worsened overnight; when seen in office next morning was given Kenalog 40 mg IM and advised to start Zyrtec qd.
Age: 1.45
Sex: M
Vaccine: DTAP
Symptoms: Decreased appetite, Rash, Vomiting
Clinical narrative: Patients grandmonther called on 10/30/13 stating her grandson had been having a little rash that comes and goes and appears at various locations of the patients body. The patient vomited 3 times only yesterday but was acting normal nothing else appeared wrong. The patients appetite has dimished some. No high fever reported. The patient does not have a problem with itching as far as the grandmother can see.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Lymph node pain, Lymphadenopathy, Pain in extremity
Clinical narrative: PT STATED THAT ON FRIDAY HER ARM STARTED TO GET SORE, RED, AND SLIGHTLY SORE, LYMPH NODES UNDER ARM SWOLLEN AND TENDER.  REDNESS AND TENDERNESS LASTED ABOUT 3-4 DAYS TOTAL.  PT TOOK BENADRYL UNDER ADVICE OF NURSE THAT WORKED FOR DOCTORS OFFICE.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Fatigue, Feeling of body temperature change, Insomnia, Malaise
Clinical narrative: On day of vaccination, I experienced soreness and severe aching in the arm in which the vaccine was administered (full arm). I was unusually tired from 3 hours after being vaccinated, and it continued throughout the whole evening. Had unusual trouble sleeping because of the aching. The day after being vaccinated, I felt extremely sick upon waking. Aches had extended to my whole body including severe back and limb aches and soreness. I had a small fever and felt constant changes in temperature (cold / too hot / cold etc). Runny nose. More than 24 hrs after vaccination, I still have fever, aches (that did subside a bit), soreness, feeling sick. A government website suggested taking acetaminophen, so I will try that and go to the doctor at 48h after vaccination if nothing changes.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: On day of vaccination, I experienced soreness and severe aching in the arm in which the vaccine was administered (full arm). I was unusually tired from 3 hours after being vaccinated, and it continued throughout the whole evening. Had unusual trouble sleeping because of the aching. The day after being vaccinated, I felt extremely sick upon waking. Aches had extended to my whole body including severe back and limb aches and soreness. I had a small fever and felt constant changes in temperature (cold / too hot / cold etc). Runny nose. More than 24 hrs after vaccination, I still have fever, aches (that did subside a bit), soreness, feeling sick. A government website suggested taking acetaminophen, so I will try that and go to the doctor at 48h after vaccination if nothing changes.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Woke up the following day after receiving the flu shot with headache, muscle aches and chills.  I continue with a fever all day and now into the 2nd day.  My fever reached as high as 102.  I am now on day number two, with a fever as high as 101 today.
Age: 26.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Exposure during pregnancy, Incorrect dose administered, No adverse event
Clinical narrative: Pregnant client was inadvertently given a second flu vaccine one week after the first vaccine.  No adverse effects were reported by client.
Age: 11.0
Sex: F
Vaccine: FLUN4
Symptoms: Dizziness, Fall, Flushing, Hyperhidrosis, Pallor
Clinical narrative: Pt received Flumist at school flu clinic and approximately 10 minutes later became dizzy and fell in hallway full of students and school nurse.  Lower extremities were elevated, cold wet cloth was placed on forehead. Pt. was kiaphoretic, pale and cheeks were flushed.  Ammonia capsule was opened and passed under nose.  Responded immediately.  States had only eaten toast for breakfast and had nothing to drink.  Able to sit up after a few minutes and drank juice.  Mom was contacted and took her home for the day.  Mom called school nurse later in the day to tell her she was doing fine.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging normal, VIIth nerve paralysis
Clinical narrative: Bell's palsy.
Age: 20.0
Sex: M
Vaccine: HPV4
Symptoms: Blood test, Electromyogram, Guillain-Barre syndrome, Lumbar puncture
Clinical narrative: Guillain-Barre syndrome.
Age: 41.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness postural, Hypoacusis, Nausea, Pain, Paraesthesia
Clinical narrative: Rapid onset of nausea. I felt like I was going to vomit. Upon standing, I experienced moderate dizziness (6 on scale of 10) and a tingling sensation in my face. Tingling lasted about 20 seconds. Dizziness lasted about 2 minutes. As I was walking to place to lie down, my hearing became subtly muffled as though someone was stuffing cotton into my ears; lasted only 2-3 minutes. Six hours later, I'm still feeling a little nauseated with very mild body aches. I'm assuming this will pass in the next 24 hours because the CDC website warns of possible side effects lasting 1-2 days.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Angioedema, Cough, Eye irritation, Pharyngeal oedema, Tachycardia
Clinical narrative: Angioedema of throat and lips; cough; tachycardic; burning of eyes.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: PATIENT REPORT SEVERE SORENESS ON AND AROUND THE SITE OF INJECTION FOR THE PAST THREE WEEKS.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pain, Headache, Injection site pain, Neck pain, Rash
Clinical narrative: First reactions were pain in area of shot (left upper arm), then pain on left side of neck, by the morning eyes were hurting and had a headache that lasted for days. In the evening of 10/21/2013, started to develop rash on left side of face, which continued traveling, in a line across face over the next few days. Went to a walk-in clinic where I was given prednisone pills. They had little effect. The rash has continued to spread under my right breast, a specific place on my stomach, then widely on both forearms, now it is spreading to an area left on my back, and the rim of my left ear, on several fingers, and a spot on my right leg. It may also have spread to more private areas (that I do not want to think about). I have not been exposed to anything different in my environment, haven't eaten anything unusual, and I am not allergic to eggs, peanuts, latex, etc. I am allergic to medications such as Aleve and arthritis formulas. I do not want to go to the emergency room (which was suggested) so my only choice is to wait for the earliest appointment that I can get with a doctor (Nov 5th).
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Disease recurrence, Herpes zoster, Sensation of foreign body
Clinical narrative: Two days after receiving flu vaccine, had outbreak of shingles.  Seen by family physician and treated with Depomedrol injection, Oral Prednisone, and Valtrex.  Three days after receiving the vaccine, developed a lump in her throat.  No treatment yet.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Dysphagia, Dyspnoea, Eye pruritus
Clinical narrative: My throat swelled so much that difficult to breathe and swallow.  Also had a fever, dizziness, weakness, and rapid heartbeat, very high blood pressure, bloodshot itchy eyes, congestion. Went to emergency room.  They gave me some medications and monitored me for a few hours. Taking prescription steroids Benadryl.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Hypertension, Ocular hyperaemia, Pharyngeal oedema, Pyrexia
Clinical narrative: My throat swelled so much that difficult to breathe and swallow.  Also had a fever, dizziness, weakness, and rapid heartbeat, very high blood pressure, bloodshot itchy eyes, congestion. Went to emergency room.  They gave me some medications and monitored me for a few hours. Taking prescription steroids Benadryl.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory tract congestion
Clinical narrative: My throat swelled so much that difficult to breathe and swallow.  Also had a fever, dizziness, weakness, and rapid heartbeat, very high blood pressure, bloodshot itchy eyes, congestion. Went to emergency room.  They gave me some medications and monitored me for a few hours. Taking prescription steroids Benadryl.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Headache, Hyperhidrosis, Nausea, Tachycardia
Clinical narrative: Severe H/A left side, nausea, tachycardia, SOB, diaphoresis. Symptoms resolved within hour without treatment. Declined ED visit.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site discolouration, Lymph node pain, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: 2-3 inch purplish area around injection site. Solid mass of 5 cm in diameter noted under skin. Area is warm to touch, with a stinging sensation. Lymph nodes in groin were swollen and painful. Had fever of 101.9 at highest for 3 days.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Skin mass, Skin warm
Clinical narrative: 2-3 inch purplish area around injection site. Solid mass of 5 cm in diameter noted under skin. Area is warm to touch, with a stinging sensation. Lymph nodes in groin were swollen and painful. Had fever of 101.9 at highest for 3 days.
Age: 25.0
Sex: F
Vaccine: FLUX, HPVX, UNK
Symptoms: Chills, Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site swelling
Clinical narrative: High temperature, bad pain in injection site, redness, swelling, allergic reaction at injection site, Body chills, body aches. Went and seen a nurse who advised to ice injection site and take some Tylenol and to return to the Dr. who gave the shot if it doesn't subside.
Age: 25.0
Sex: F
Vaccine: FLUX, HPVX, UNK
Symptoms: Pain, Pyrexia
Clinical narrative: High temperature, bad pain in injection site, redness, swelling, allergic reaction at injection site, Body chills, body aches. Went and seen a nurse who advised to ice injection site and take some Tylenol and to return to the Dr. who gave the shot if it doesn't subside.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Anxiety, Body temperature, Chills, Feeling abnormal, Heart rate increased
Clinical narrative: From Pt chart:PT WAS UP TO THE WINDOW AT 0335 WITH COMPLAINS OF CHILLS, BODY ACHES AND GENERALIZED PAIN. PT VS = 100.1-106-20 120/85, ANXIETY NOTED AND REPORTED "FEELS LIKE A HAVE A BUG". PT DID JUST HAVE THE FLU AND PNEUMONIA VAC. ON SAT. SHE THINKS SHE IS HAVING A REACTION. PT GIVEN ATIVAN FOR ANXIETY AND TYLENOL FOR TEMP AND BODY ACHES AT 0340. SHE RETURNED TO HER ROOM AND WITH IN LESS THAN 15 MINUTES, HER ROOM MATE WAS AT THE WINDOW TELLING STAFF THAT THE PT WAS IN THE TOILET THROWING UP. STAFF OBS.'ED PT VOMITING LARGE AMOUNT OF DIGESTED FOODS.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: From Pt chart:PT WAS UP TO THE WINDOW AT 0335 WITH COMPLAINS OF CHILLS, BODY ACHES AND GENERALIZED PAIN. PT VS = 100.1-106-20 120/85, ANXIETY NOTED AND REPORTED "FEELS LIKE A HAVE A BUG". PT DID JUST HAVE THE FLU AND PNEUMONIA VAC. ON SAT. SHE THINKS SHE IS HAVING A REACTION. PT GIVEN ATIVAN FOR ANXIETY AND TYLENOL FOR TEMP AND BODY ACHES AT 0340. SHE RETURNED TO HER ROOM AND WITH IN LESS THAN 15 MINUTES, HER ROOM MATE WAS AT THE WINDOW TELLING STAFF THAT THE PT WAS IN THE TOILET THROWING UP. STAFF OBS.'ED PT VOMITING LARGE AMOUNT OF DIGESTED FOODS.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness, Neck pain, Pyrexia
Clinical narrative: Soreness at injection site, neck pain/stiffness, limited movement of left arm due to pain, ringing in left ear, and body aches. Slight fever lasting until next day. Only treatment was rest, warm packs, and sleep.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Tinnitus
Clinical narrative: Soreness at injection site, neck pain/stiffness, limited movement of left arm due to pain, ringing in left ear, and body aches. Slight fever lasting until next day. Only treatment was rest, warm packs, and sleep.