chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Application site vesicles, Blood culture negative, C-reactive protein, Full blood count normal, Injection site erythema
Clinical narrative: 11-11-11 12cm x 9cm erythematous area with slight swelling and warmth and a 3cm x 2cm bullae in the center at left arm injection site. CBC, Blood culture, ESR and CRP done. Treated with Rocephin 1gm and Septra DS. F/u on 11-18-11 with marked improvement.
Age: 8.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site swelling, Injection site warmth, Red blood cell sedimentation rate normal
Clinical narrative: 11-11-11 12cm x 9cm erythematous area with slight swelling and warmth and a 3cm x 2cm bullae in the center at left arm injection site. CBC, Blood culture, ESR and CRP done. Treated with Rocephin 1gm and Septra DS. F/u on 11-18-11 with marked improvement.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Hypoaesthesia, Pain
Clinical narrative: Alot of pain, has a twinge now and then, received cortisone shot and has to see an orthopedic in Dec. Can not pick up grand-babies do to loss of stength in hand and arm with the numbness.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Sudden onset of pronounced and multiple hives in 8 inch (approx) square area of upper right back between base of neck and between spinal column and right shoulder.
Age: 9.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Rash, Skin lesion, Vaccination complication
Clinical narrative: Child noted to have discrete lesions starting on right arm (vaccination site was right arm) and spreading progressively to face, trunk, back, left arm, both extremities. MD evaluated rash when child returned to clinic for TST reading. None were vesicular or crusted, and MD stated it was "probably a reaction to varicella vaccine".
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Eye pruritus, Eye swelling, Fatigue, Wheezing
Clinical narrative: Wheezing, swollen and itchy eyes, fatigue lasting days.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Took Zostavax, since then the shingles outbreak has increased every 4-5 weeks vs. 2-3 times a year.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: L deltoid pain, difficulty raising arm persisting x 6 weeks.
Age: 1.63
Sex: M
Vaccine: DTAP, FLU3, PNC13
Symptoms: Oedema peripheral, Rash macular
Clinical narrative: Swelling of hands. Blotches on face.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Enlarged lymph node in R axilla (x 2 weeks), fever, chills, body aches w/i 12hrs after injection.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Headache, Pain, Sneezing
Clinical narrative: Trouble breathing, aching all over severe headache, sneezing.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness and itching to immunization site.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus, Rash
Clinical narrative: MILD RASH ON UPPER TORSO. PT COMPLAINED OF ITCHINESS. VSS. AFEBRILE, NO ACUTE DISTRESS. PT GIVEN BENADRYL WITH MILD TO NO AFFECT. PT LATER GIVEN ATARAX AND RASH DECREASED.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Rash, Skin warm, Tenderness
Clinical narrative: RIGHT ARM TENDER, SLIGHT WARM, RASH AND PAINFUL.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Injection site reaction, Nausea
Clinical narrative: Reports feeling hot, nauseated, dizzy, chills and sweating.  Also reported tingling in left elbow.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Reports feeling hot, nauseated, dizzy, chills and sweating.  Also reported tingling in left elbow.
Age: 1.03
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash, Rash erythematous, Rash vesicular
Clinical narrative: In the early morning of 11/18 I noticed rash on the left leg of patient.  It was raised and red, but not oozing or seeping. The rash did not go away over the weekend, and in fact seemed to spread by Monday, 11/21 when we took him to the Dr.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness, Dyspnoea
Clinical narrative: DIZZY, SHORTNESS OF BREATH AND CHEST PAIN.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Insomnia, Laboratory test normal, Musculoskeletal pain, Pain in extremity
Clinical narrative: Severe traveling pain from low deltoid to elbow. Pain remained constant and increased causing sleeplessness. Sought medical attention 11/17/2011.  MD diagnosed and treated it as "musculoskeletal pain".  Pain continuses today and is relieved only by contiunued use of pain medications.
Age: 52.0
Sex: F
Vaccine: RAB
Symptoms: Antibody test negative, Blood test, Cardiac monitoring, Computerised tomogram, Echocardiogram
Clinical narrative: Heart palpatations one day after being administered 5th dose of rabies vaccine.  Previous series of rabies vaccines did not reach titer so I needed to get a 5th shot.
Age: 52.0
Sex: F
Vaccine: RAB
Symptoms: Electrocardiogram, Palpitations, X-ray
Clinical narrative: Heart palpatations one day after being administered 5th dose of rabies vaccine.  Previous series of rabies vaccines did not reach titer so I needed to get a 5th shot.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Area warm to the touch and erythemic over right deltoid where vaccine was given.  Erythema lasted approx. 1 day, area still warm to touch on 3rd day post vaccination.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness, Myalgia, Pain
Clinical narrative: Achy flu-like symtoms, entire body, especially muscle aches.
Age: 65.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Blister, Erythema, Oedema peripheral, Pruritus
Clinical narrative: Patient's arm was red, swollen, itching with blisters and progressively got worse the next day.  Patient still having problems with itching.
Age: 46.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Pain in extremity
Clinical narrative: Sore Arm.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Aortic aneurysm, Cough, Urticaria, Wheezing
Clinical narrative: Abdominal pain, cough, wheezing, hives treated with epinephrine, diphenhydramine, albuterol.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Eye pruritus, Lacrimation increased, Ocular hyperaemia
Clinical narrative: Two hours after vaccine she had burning and tingling in her mouth and throat, followed by hoarseness, watery; itchy eyes that became "blood shot".  Fever as high as 103.1, cough and body aches. Temperature was back to normal by 10/31/11 but itchy eyes and slight cough persist.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Oral discomfort, Pain, Paraesthesia, Paraesthesia oral, Pyrexia
Clinical narrative: Two hours after vaccine she had burning and tingling in her mouth and throat, followed by hoarseness, watery; itchy eyes that became "blood shot".  Fever as high as 103.1, cough and body aches. Temperature was back to normal by 10/31/11 but itchy eyes and slight cough persist.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation
Clinical narrative: Two hours after vaccine she had burning and tingling in her mouth and throat, followed by hoarseness, watery; itchy eyes that became "blood shot".  Fever as high as 103.1, cough and body aches. Temperature was back to normal by 10/31/11 but itchy eyes and slight cough persist.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Maternal exposure during pregnancy, No adverse event
Clinical narrative: NO ADVERSE REACTION HOWEVER PATIENT IS 2 MONTHS PREGNANT AND VACCINE ADMIN DID NOT SCREENED THE RECORDS PROPERLY AND GAVE THE IMMUNIZATION REGARDLESS.  SHE WAS GIVEN AFLURIA. LOT NO 04849211A
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Injection site vesicles, Skin tightness
Clinical narrative: Full limb swelling upper R arm (inj. site) Taut, painful. Inj. site with multiple vesicles.
Age: 1.3
Sex: F
Vaccine: FLU3, PNC13, VARCEL
Symptoms: Blister, Rash vesicular
Clinical narrative: Varicella-like rash. At time of visit (4:00PM) 6 vesicles noted.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Rash vesicular
Clinical narrative: Patient got a chicken pox type rash, on left side and middle of back, now starting on neck and head.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Bursitis, Drug administered at inappropriate site
Clinical narrative: Flu vaccine caused severe bursitis in shoulder as diagnosed by primary care physician more than three weeks after vaccination. Symptoms presented within three hours of vaccine and are still very severe after five weeks. Primary care physician clearly indicated that vaccine was given much too high in the arm.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Heart rate increased, Malaise, Oral pruritus, Swelling
Clinical narrative: Felt ill, itchy mouth, some swelling, increase in pulse.
Age: 25.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Lymph node palpable, Pyrexia
Clinical narrative: Palpable lymph nodes both sides in neck, behind the collar bone and behind both ears. With mild fever of 99.3 degrees Fahrenheit.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: States shortly after injection felt achy for 2 days, freezing cold, possible fever, left arm soreness shoulder to elbow that radiated to left breast. Injection site was left deltoid. Area red, swollen and itchy area 6 inches by 6 inches visible on 11/21/2011. Pt states High dose flu shot given at pharmacy on 11/17/2011. Pt called pharmacy who told her not to have the injection again. Pt did not consult with primary MD. Denies heart and lung issues, chest pain or SOB.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Nasopharyngitis, Pain
Clinical narrative: States shortly after injection felt achy for 2 days, freezing cold, possible fever, left arm soreness shoulder to elbow that radiated to left breast. Injection site was left deltoid. Area red, swollen and itchy area 6 inches by 6 inches visible on 11/21/2011. Pt states High dose flu shot given at pharmacy on 11/17/2011. Pt called pharmacy who told her not to have the injection again. Pt did not consult with primary MD. Denies heart and lung issues, chest pain or SOB.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Fever & soreness/swelling at injection site a few hours post vaccination swelling lasted a few days.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Syncope, Urinary incontinence
Clinical narrative: Patient fainted after immunization given and was incontinent of urine. Vitals were stable & patient recovered quickly.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Gastrointestinal disorder, Vomiting
Clinical narrative: Received vaccine: 8:46 am on Thursday. Around 7 pm started having GI symptoms vomited all night and into Friday morning. Felt fatigued on Friday.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Pyrexia, Sinus congestion, Throat tightness
Clinical narrative: States was hospitalized for was very sick after getting a flu shot in the mid 70's had not gotten 1 since writer suggested he discuss with his PMD. He declined & stated he just wanted to get one & that he thought it would be safe. 8 hours after receiving the vaccine he states his sinuses became full, he felt feverish & throat closed up about 1/2 way." Took antihistamine 5 hours later he was getting better. 12 hours later symptoms were totally resolved. States considered ER but TYLENOL sinus med started to open up sinuses & airway.
Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Dyskinesia, Pupillary disorder
Clinical narrative: Involuntary movements of jaw, face and eyes. Variable pupil size. Frequently rolls eyes and moves head and/or body.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Bronchitis, Chest pain, Pyrexia, Throat irritation
Clinical narrative: Nov 1 shot 2 pm? Chest pain 8 pm (6 hr after) itchy throat. Without cough fever Nov 2 when woke up, return to EH 10 am - BP standing, T standing -> 2 ER saw dr Nov 3, 5, 12 - rtn -> bronchitis fever dx inhaler if worsens.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Inappropriate schedule of drug administration, Oedema peripheral, Pain in extremity
Clinical narrative: Patient's granddaughter called in evening & reported pain & swelling in left arm. Also reported chills. Patient went to ER. Pt initially reported no previous pneumonia vaccination but later recalled 1 previous 1 year earlier. Prednisone & famotidine prescriptions presented 11/18/11.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Local reaction, Rash
Clinical narrative: -Patient noticed there is a cluster of 3 spots appears in the scapula area about 5 days after receiving ZOSTAVAX vaccine. The area also associated with pain/aching. No itching.
Age: 1.27
Sex: F
Vaccine: HEPA, HIBV, PNC13
Symptoms: Blister, Injection site erythema, Injection site induration, Injection site swelling, Pyrexia
Clinical narrative: Injection site red, swollen, hard for 2 weeks. Intermittent fevers 99-100.4 - treated with TYLENOL. Red rash after 1 week with cropping vesicles; approx. #30 in diaper area. Symptomatic treatment including CALAMINE lotion, BENADRYL & antibiotic ointment to 1 possible infection lesion.
Age: 1.27
Sex: F
Vaccine: HEPA, HIBV, PNC13
Symptoms: Rash erythematous
Clinical narrative: Injection site red, swollen, hard for 2 weeks. Intermittent fevers 99-100.4 - treated with TYLENOL. Red rash after 1 week with cropping vesicles; approx. #30 in diaper area. Symptomatic treatment including CALAMINE lotion, BENADRYL & antibiotic ointment to 1 possible infection lesion.
Age: 0.75
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose increased, Blood pressure increased, Body temperature increased, Capillary nail refill test abnormal, Carbon dioxide decreased
Clinical narrative: Pt presented to ER 11/17/11 0009 by EMS with T 102.9 (R) with new onset febrile seizure Mtr. had given TYLENOL per hx Mtr in after hr T 100 - due to abnormal labs, elevated B/P, seizure hx, transported to another hospital 0200.
Age: 0.75
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram head, Computerised tomogram normal, Febrile convulsion, Tachycardia
Clinical narrative: Pt presented to ER 11/17/11 0009 by EMS with T 102.9 (R) with new onset febrile seizure Mtr. had given TYLENOL per hx Mtr in after hr T 100 - due to abnormal labs, elevated B/P, seizure hx, transported to another hospital 0200.
Age: 26.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling 3" x 6" around inj. site.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, FLUN3, MMR, PNC13, VARCEL
Symptoms: Blister, Body temperature increased, Herpes zoster, Pain of skin, Rash pruritic
Clinical narrative: Symptoms started 11/19 - painful rash to right forearm, c/o itching rash is blistering. Patient seen 11/20/11, diagnosed with shingles, seen by MD. 11/20/2011 - weight 36 lbs, temperature 99.7 degrees F (temporal).
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Laryngitis, Oropharyngeal pain, Pain
Clinical narrative: Fever/aches pains/SOB/chest pressure/sore throat/laryngitis. Symptoms started in evening - vaccine administered at approx 5pm. Pt took APAP then Ibuprofen. Fever broke about 5:30 am.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Fever/aches pains/SOB/chest pressure/sore throat/laryngitis. Symptoms started in evening - vaccine administered at approx 5pm. Pt took APAP then Ibuprofen. Fever broke about 5:30 am.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: Fever of 104 degrees 3 hrs after vaccines.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site mass, Injection site pain
Clinical narrative: (R) deltoid small lump 2 cm in diameter, mild tenderness. Warm compresses to affected area,
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site pain, Injection site vesicles
Clinical narrative: Approx 3 hours after vaccination pt. reports headache & muscle aches. Approx 8 hours after vax reports fever (99.7) pt. reports "doing nothing but drinking & sleeping" x 3 days. Pt. reports 4" x 4", red, sore area above (R) elbow and 2 lumps close together (one with blister) on back of arm near axilla.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Myalgia, Pyrexia
Clinical narrative: Approx 3 hours after vaccination pt. reports headache & muscle aches. Approx 8 hours after vax reports fever (99.7) pt. reports "doing nothing but drinking & sleeping" x 3 days. Pt. reports 4" x 4", red, sore area above (R) elbow and 2 lumps close together (one with blister) on back of arm near axilla.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient called us to report redness, soreness at injection site.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Rash pruritic
Clinical narrative: Rash - abd, face, back, itches started late after noon 11/17/11.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Joint range of motion decreased, Myalgia
Clinical narrative: - Patient complains of joint pain & in the muscles on both shoulders. Range of motion is limited. He went to the doctor, but no treatment had been noted.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Papule, Rash, Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: Rash started 11/18 evening on abdomen. 30-40 papules on abdomen/groin (red macules with papules in center - pruritic).
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: ADACEL tdap (L) deltoid 11/16/11 - increased pain redness to site starting 11/18/11. ER eval 11/20/11 -> Dx cellulitis 5 1/2 cm x 9 cm (at widest width) to (L) UE. 11/20/11 started oral antibiotics (thinks it is cephalexin 500 mg po 4 x daily) - Pt to verify abx given by ER.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Myalgia, Swelling
Clinical narrative: Severe muscle pain, bump on the injection site, swelling.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray, Cough, Malaise, Pain, Pyrexia
Clinical narrative: 1 day fever, malaise, achiness, cough, congestion lasting 3 weeks. Z pak, chest x-ray.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Respiratory tract congestion
Clinical narrative: 1 day fever, malaise, achiness, cough, congestion lasting 3 weeks. Z pak, chest x-ray.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Injection site haematoma, Injection site haemorrhage, Injection site swelling
Clinical narrative: Pt bled a little after injection, swelling/bruising noticed after injection. Advised pt to take TYLENOL for pain and apply ice to injection site ASAP. Pt developed flu like symptoms 2 days after injection.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Local reaction
Clinical narrative: 10 cm area erythema on (R) upper thigh, red induration local reaction.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Pain in left upper arm where vaccine administered later in evening same day. Pain continues now 3 weeks with decreased range of motion left shoulder.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Blood test, Chronic lymphocytic leukaemia, Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: I received a pneumonia shot and a flu shot, one in each arm. My arm with pnemon. shot started throbbing & itching about 3 hrs later, Sat. morning I woke up with my arm from shoulder to elbow very, very red & swollen, looked like full of fluid - my lymph sys. became swollen & very painful. Mon. I called my Dr. & was able to go in. Swelling & fever started to subside, but lymph system continued to swell. Took 2 weeks to get better.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: I received a pneumonia shot and a flu shot, one in each arm. My arm with pnemon. shot started throbbing & itching about 3 hrs later, Sat. morning I woke up with my arm from shoulder to elbow very, very red & swollen, looked like full of fluid - my lymph sys. became swollen & very painful. Mon. I called my Dr. & was able to go in. Swelling & fever started to subside, but lymph system continued to swell. Took 2 weeks to get better.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pyrexia
Clinical narrative: The evening of the vaccination patient started to have aches all over his body and run a fever. The fever of around 104 degrees ran for approximately 2 days.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Injection site swelling, Pain, Rash erythematous
Clinical narrative: Pt c/o achiness for 2-4 days site was swollen with a red rash in the shape of a T (inverted) got worse for 4 days - faded after 7 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, TYP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Increase swelling redness of (R) upper arm. No c/o pain. Patient praying with other siblings.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Flushing, Urticaria
Clinical narrative: Patient received ZOSTAVAX 11-14-11. When she went to work 11/15/11 and sat down by her press (360 degrees) she developed flushing, lightheadedness and hives around her neck. By the time she arrived home, hives were fading. Advised TYLENOL & BENADRYL.
Age: 11.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Unevaluable event
Clinical narrative: BP before shots 106/59. After shots 87/47 - pt was transported to urgent care in a wheel chair where he was observed for about 30 min. After examination BP was nl. Patient self treated.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying, Hypotonia, Pallor
Clinical narrative: Pale for 1 hour then shrill cry then limp for 30 minutes according to mom. Normal afterward. Went to neurology for follow-up.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Neck pain, Pain in extremity
Clinical narrative: Patient (nurse) called on 11/16/11 pm complained that Dr. (deulist) since he got his shot his arm has been hurting him & few days ago he had stiffness in his neck used hot compresses (does not help) very sore & painful. Need to report that & that someone from the company needs to call her.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Bradyphrenia, Dizziness, Headache, Injected limb mobility decreased, Injection site erythema
Clinical narrative: Husband told nurse wife got MRSA from shot, suspected - upper bicep swollen, red, rash till 10/12 put NEOSPORIN on, hot, painful, could not raise arm. Fever 102, dizzy, pain (L) arm, mind cloudy, ache. Dizzy after shot 1 hour after, H/A, arm size grapefruit.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Husband told nurse wife got MRSA from shot, suspected - upper bicep swollen, red, rash till 10/12 put NEOSPORIN on, hot, painful, could not raise arm. Fever 102, dizzy, pain (L) arm, mind cloudy, ache. Dizzy after shot 1 hour after, H/A, arm size grapefruit.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Pain, Pain in extremity, Pyrexia, Staphylococcal infection
Clinical narrative: Husband told nurse wife got MRSA from shot, suspected - upper bicep swollen, red, rash till 10/12 put NEOSPORIN on, hot, painful, could not raise arm. Fever 102, dizzy, pain (L) arm, mind cloudy, ache. Dizzy after shot 1 hour after, H/A, arm size grapefruit.
Age: 47.0
Sex: F
Vaccine: FLU3, HEPAB, TYP
Symptoms: Angioedema, Chest discomfort, Dyspnoea, Eyelid oedema, Pain in extremity
Clinical narrative: Client reported at a follow-up appointment (11/10/11) that she had "tight chest" with mild difficulty breathing (on 11/3/11) the following day after receiving vaccines had mild "puffy eyes". These occurred after client left clinic - difficulty breathing that evening and angioedema the next AM. No other complaints per client. No physical complaints other than a "sore arm" upon administration 11/3/11. Recovered at home completely.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash, Pruritus, Rash erythematous
Clinical narrative: Has been experiencing 5-10 pink raised bumps on chest, abdomen, arms erupting daily - approx 1-3mm in site; c/o itching.
Age: 11.0
Sex: M
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: In on 10/17/11 for Varicella #2, Hep A #2, and HPV #2. Mother noticed that afternoon redness & swelling in (R) arm at injection sites. Called and was advised to use cool compresses and TYLENOL or MOTRIN. By the next am (10/18/11) swelling had increased, had fever, area was red & hot to touch, (+) pain. Sought tx at medical center. was started on ABX.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Oedema, Pruritus, Pyrexia, Rash
Clinical narrative: Pt c/o rash covering arms & legs with itching day of vaccine, followed by fevers/chills & +1 pitting edema.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Vaccine positive rechallenge
Clinical narrative: About 2-3 hr after vaccine administered had about a 1 hr episode of severe shaking, as if he was freezing, but yet he wasn't. He sat in his car for the hour & had the heater on full blast till if subsided. Same incident happened last yr. when had HD Flu. No reaction to post doses of Flu.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Arthralgia, Hypersensitivity, Oedema peripheral, Rash erythematous, Rash macular
Clinical narrative: 10/13/11 called & had swelling arm - no pain/itching - instructed to warm/cool pk & monitor. 10/27 message left by HD to follow-up. 11/2/11 called & states went to see Dr for swelling & was started on antibiotic. 1wk later had pain in knees & arm joints. Dr started on antibiotic & steroid. Also had splotches that were warm & red on legs, still has. If cont by next Friday will have blood work done. Dr told her allergic reaction from having 3 injections done.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Skin warm
Clinical narrative: 10/13/11 called & had swelling arm - no pain/itching - instructed to warm/cool pk & monitor. 10/27 message left by HD to follow-up. 11/2/11 called & states went to see Dr for swelling & was started on antibiotic. 1wk later had pain in knees & arm joints. Dr started on antibiotic & steroid. Also had splotches that were warm & red on legs, still has. If cont by next Friday will have blood work done. Dr told her allergic reaction from having 3 injections done.
Age: 49.0
Sex: F
Vaccine: FLU3, HIBV, MNQ, PPV
Symptoms: Body temperature increased, Cellulitis, Pain in extremity, Rash erythematous
Clinical narrative: Husband states wife was sick after shots & her (R) arm hurt to be touched. Red spots Sat, took to ER. States treated for cellulitis Sat & Sun in ER by IV. Thur - she cont. to get worse till Sat then to ER - tx in ER - 10/26/11 - still (L) arms hurt. Temp 101 degrees - Thur -> Sat. Sat - Mon IV antibiotics.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Crying, Emotional disorder, Fatigue, Feeling abnormal, Headache
Clinical narrative: Sore throat, congestion, severe achiness all over, arms feel heavy like weights, headaches, fatigue. Occurred the next day after receiving the vaccination; states she did not sleep all night and "feels terrible". Is crying and upset.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Insomnia, Oropharyngeal pain, Pain, Respiratory tract congestion, Sensation of heaviness
Clinical narrative: Sore throat, congestion, severe achiness all over, arms feel heavy like weights, headaches, fatigue. Occurred the next day after receiving the vaccination; states she did not sleep all night and "feels terrible". Is crying and upset.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 9cm red, edema, warmth (L) deltoid. Rx CEFZIL (250mg/5ml) 1 tsp BID x10 days.
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Reported by the employer that one employee that received a flu vaccine on an on-site program 10-26-2011.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Local reaction
Clinical narrative: Local Rxn - shoulder to elbow. Low grade temp.
Age: 14.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Sun 10/16 Fever low grade; Mon 10/17 Headache, LG fever, congestion Tues. 10/18 LG Fever, congestion, body aches. Wed 10/19 LG fever, congestion. Thurs 10/20 LG Fever, congestion, starting to feel better.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Malaise, Pyrexia
Clinical narrative: High fever starting 2 hours after the vaccine, and reaching over 105 degrees F. Fever lasted 7 days. General feeling of malaise.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Insomnia, Pain in extremity
Clinical narrative: Leg pain on right side. Vaccine given in right arm. Loss of sleep for 2 nights due to pain. While awake, it's OK. His doctor prescribed Salsalate for the pain.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Myositis
Clinical narrative: Prolonged inflammation to lower muscle below injection site.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased
Clinical narrative: Hx: Sustained head injury 11/10/11. Came to school health center 11/14/11 for rest due to headache, general malaise. Asked for flu vaccine before leaving. Developed (or had) 101.9 degree temp. that night (11/14/11).
Age: 15.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Loss of consciousness, Pupil fixed, Tonic clonic movements, Unresponsive to stimuli
Clinical narrative: Pt. had loss of consciousness with tonic-clonic movements of limbs, eyes fixed, unresponsive to verbal stimuli.
Age: 12.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Injection site rash, Pruritus
Clinical narrative: Parent said after last imms; patient c/o arm itching and he had little bumps at site on left arm. This was noticed 2-3 days after imms. Father said no other complaints or signs or symptoms. Father said he thought this was just the normal itching that patient has sometimes. Father said he didn't treat or seek medical help area.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site induration, Injection site swelling, Migraine, Urticaria
Clinical narrative: (L) upper arm swelling/induration approx 6 in in diameter; migraine headache; (R+) antecubital fossa urticaria on day 4-5.
Age: 74.0
Sex: F
Vaccine: FLUX
Symptoms: Abasia, Abdominal pain upper, Asthenia, Chills, Cough
Clinical narrative: Received flu vaccine at drs office at 11:30 on 9-22-11. Several hrs later, felt cold & chills started so went to bed. Woke up at 1 am soaking wet w/sweat. Tried to get out of bed as had stomach ache & needed bathroom. But felt like passing out & fell down several times, very weak, couldn't walk & cont. for next day, then after that, flu symptoms started & lasted 3 wks w/a bad cough, congestion, sinus, etc.
Age: 74.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Fall, Feeling cold, Night sweats, Respiratory tract congestion
Clinical narrative: Received flu vaccine at drs office at 11:30 on 9-22-11. Several hrs later, felt cold & chills started so went to bed. Woke up at 1 am soaking wet w/sweat. Tried to get out of bed as had stomach ache & needed bathroom. But felt like passing out & fell down several times, very weak, couldn't walk & cont. for next day, then after that, flu symptoms started & lasted 3 wks w/a bad cough, congestion, sinus, etc.
Age: 74.0
Sex: F
Vaccine: FLUX
Symptoms: Sinus disorder
Clinical narrative: Received flu vaccine at drs office at 11:30 on 9-22-11. Several hrs later, felt cold & chills started so went to bed. Woke up at 1 am soaking wet w/sweat. Tried to get out of bed as had stomach ache & needed bathroom. But felt like passing out & fell down several times, very weak, couldn't walk & cont. for next day, then after that, flu symptoms started & lasted 3 wks w/a bad cough, congestion, sinus, etc.
Age: 6.0
Sex: M
Vaccine: DTAPIPVHIB, MMRV
Symptoms: Anxiety, Erythema, Local reaction, Swelling
Clinical narrative: Increased anxiety symptoms local reaction - redness & swelling.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Antinuclear antibody positive, Blister, Blood urine present, Hypertension, Laboratory test
Clinical narrative: Soon after 1st Hep B vaccine started getting sick with sinus (we thought) then facial swelling after 3rd vaccine swelling got worse then found out I developed systemic erythematosus lupus, hypertension, kidney problems (proteinuria & blood in urine). Tinnitus, rashes with blisters, rashes on face. Now I am on several medications to try and keep it under control.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Proteinuria, Rash, Rash vesicular, Renal disorder, Sinus disorder
Clinical narrative: Soon after 1st Hep B vaccine started getting sick with sinus (we thought) then facial swelling after 3rd vaccine swelling got worse then found out I developed systemic erythematosus lupus, hypertension, kidney problems (proteinuria & blood in urine). Tinnitus, rashes with blisters, rashes on face. Now I am on several medications to try and keep it under control.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Swelling face, Systemic lupus erythematosus, Tinnitus
Clinical narrative: Soon after 1st Hep B vaccine started getting sick with sinus (we thought) then facial swelling after 3rd vaccine swelling got worse then found out I developed systemic erythematosus lupus, hypertension, kidney problems (proteinuria & blood in urine). Tinnitus, rashes with blisters, rashes on face. Now I am on several medications to try and keep it under control.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Decreased appetite, Headache, Pharyngeal oedema, Pyrexia
Clinical narrative: I had the FLUZONE HIGH DOSE shot at 2:00 this afternoon and by 6:00 pm began bronchial cough, fever, headache, swollen tongue, throat, no appetite. It's now 7:00 and I'm hoping this won't last long but I don't know what to expect or how to safely treat these symptoms.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue
Clinical narrative: I had the FLUZONE HIGH DOSE shot at 2:00 this afternoon and by 6:00 pm began bronchial cough, fever, headache, swollen tongue, throat, no appetite. It's now 7:00 and I'm hoping this won't last long but I don't know what to expect or how to safely treat these symptoms.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Full blood count normal, Local reaction, Metabolic function test, Pyrexia
Clinical narrative: Fever 100-101. Large local reaction.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain
Clinical narrative: Intense debilitating pain in left shoulder/upper arm ever since the injection. Treatment: MOBIC (meloxicam) 7.5mg 1-2 tablets daily with food. Theragesic cream to the affected area. Warm moist heat. Apply for 20 minutes 3-4 times per day.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Erythema/induration - tenderness at injection site, no fever, TAC 0.1% oint, KEFLEX 250mg/5mL 1 1/2 tsp po BID x 10 days.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Blood pressure decreased, Chills, Dyspnoea, Electrocardiogram
Clinical narrative: Aching joints. Shivering. Vomiting. Difficulty breathing. Decreased blood pressure (approximately 85/40). Increased white blood cell count.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count, Vomiting, White blood cell count increased
Clinical narrative: Aching joints. Shivering. Vomiting. Difficulty breathing. Decreased blood pressure (approximately 85/40). Increased white blood cell count.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Adverse reaction, Asthma, Dyspnoea, Erythema, Rash macular
Clinical narrative: Received phone call from (Mom) patient had a reaction right after got back to school, approximately 10:10 or so. He was having problems breathing, red, blotchy, Mom took him to the E.R. He was diagnosed with an Asthma Attack, medications have been changed and rearranged.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: FLUVIRIN - manufacturer Novartis - Lot# 1100101 Exp. 4/12 administered 0.5ml into the right deltoid intramuscularly. The patient was not able to raise her left arm above her shoulder due to severe pain 20-30 minutes after administration. This pain limiting limb movement was in the opposite arm of the intramuscular injection.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Blood culture negative, Culture urine negative, Diarrhoea, Rotavirus test positive, Septic shock
Clinical narrative: 36 hrs after ROTARIX pt with uncontrollable vomiting and viral septic shock; required oxygen briefly and aggressive fluid resuscitation. Pt had septic work up and only positive finding was stool enteric swab for Rotavirus. Diarrhea followed the vomiting and shock-like episode.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Viral test negative, Vomiting
Clinical narrative: 36 hrs after ROTARIX pt with uncontrollable vomiting and viral septic shock; required oxygen briefly and aggressive fluid resuscitation. Pt had septic work up and only positive finding was stool enteric swab for Rotavirus. Diarrhea followed the vomiting and shock-like episode.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Dysphagia, Vomiting
Clinical narrative: Patient had a possible anaphylaxis to FLUZONE. Patient said severe stomach pain and "hard to swallow". Began to try to vomit into trash can. Not much came up. I called 911 and patient was transported to ER.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Nausea, Pyrexia, Sinus congestion, Throat tightness
Clinical narrative: Difficulty breathing, throat closing, high fever, stuffy sinuses, nauseous. Pt given BENADRYL to stop reaction & observed.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Red, swollen, painful from site of injection to elbow, fever. Reaction occurred within a few hours of vaccination. Recommended ice & Ibuprofen, ER if worsens, call in AM for follow-up. On follow-up - pt feeling better. Swelling decreasing - no ER needed.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Cough, Dyspnoea, Musculoskeletal stiffness, Pyrexia
Clinical narrative: High fever starting the morning after the vaccine. Coughing/coughing fits w/gasps for air. Fever went above 104 degrees F. aching joints/stiffness.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Headache, Pyrexia, Rash, Rash pruritic
Clinical narrative: Mom reported fever on 11/16/2011 of 102.2 and rash. Pt still with rash despite BENADRYL x 24 hours fever resolved. Pt seen 11/18/2011, Pt reports headache, fever & rash 1 day after vaccine. Rash itchy, generalized fever and HA resolved after 24 hours 11/21/011 Mom reports rash is completely resolved. No fever. No HA's.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 3cm x 2cm area of erythema with some swelling (R) lateral thigh.
Age: 1.11
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Injection site reaction, Varicella post vaccine
Clinical narrative: Varicella present at injection site 12 days later (L) arm.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Oedema, Rash
Clinical narrative: I had the shingles vaccine - zoster -administered by a pharmacist on Tuesday, 11/14/2011 and have had a significant reaction which includes: site soreness; swelling; edema; radiating heat in the upper arm and a developing rash. I have been instructed to take BENADRYL but have had no relief.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Neuralgia, Pain, Skin lesion, Vaccination complication
Clinical narrative: On 8/19/2011 I received the shingles shot. About 5 days later I was having a great deal of pain every time I sat down. I felt like I was burning all the time. After 2 weeks of being miserable I went to a doctor. In the meantime, I noticed one sore on my right side that looked like a chicken pox. The doctor did not think I had shingles or that I had a reaction to the shot. After almost 3 months I still have the nerve pain and now they do think I had a reaction to the shingles shot.
Age: 1.3
Sex: U
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: We are a county health department operating an immunization clinic. A 15 month-old child was given TDAP instead of DTAP as a 4th dose. The child was given ADACEL lot number C3353AA, from a single dose vial. She also received #4 HIB, #1 hep A, #4 pneumococcal 13. The parents will be notified. As per instructions from LPN the parents will be informed that is not necessary to repeat this immunization.
Age: 11.0
Sex: U
Vaccine: DTAP
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: Dr is a family practice physician and our staff is very knowledgeable on vaccinations and proper dosing. Unfortunately dr entered an order for DTAP on a chart of a patient of age 11. The MA drew up to DAPTACEL (.5ml) and it was given to the patient . It was not realized until entered into MCIR. There was no reaction from the patient. We have verified no other steps need to be taken, other than retraining on proper age dosing of immunizations. Age stickers have been place on the shelves of our vaccines as reminders to the staff.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Diarrhoea, Feeling hot, Headache, Hot flush
Clinical narrative: Intense muscle ache in calves, and thighs, chill & hot flashes in upper body (vomiting) severe headache, and left side of neck ache, Diarrhea - runs, all lasting three days. Still has mild headache and woke up hot during night.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Myalgia, Neck pain, Vomiting
Clinical narrative: Intense muscle ache in calves, and thighs, chill & hot flashes in upper body (vomiting) severe headache, and left side of neck ache, Diarrhea - runs, all lasting three days. Still has mild headache and woke up hot during night.
Sex: U
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Pediatric pt., 6 months 11 days, given FLUZONE 6 months/older dose of 0.5mL IM instead of 0.25mL. Pt and Mother left office before incorrect dose noticed. Provider and Parents notified and requested copy of all immunizations given that night to be sent to parents fax with all information (lot number, manufacturer, exp date, etc). Provider advised parents of precautions and s/s to look for.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: (L) leg swollen about the size up 1 1/2 x 2 1/2 in.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site streaking, Injection site vesicles
Clinical narrative: Swelling, erythema, induration, tenderness and blisters at site of administration.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Injection site warmth
Clinical narrative: Swelling, erythema, induration, tenderness and blisters at site of administration.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Swelling, erythema, induration, tenderness and blisters at site of administration.
Age: 22.0
Sex: F
Vaccine: PPV
Symptoms: Cough, Erythema, Injection site macule, Injection site rash, Injection site reaction
Clinical narrative: The pt received PNEUMOVAX on 10/28/11 at at 1100 in her right arm (pt is right hand dominate). The pt felt fine at the time of the vaccination and immediately after. Around 1300 the pt noted that she was nauseated. At 1500 the pt ate hamburger helper which she prepared fresh (no milk products used). Soon after eating the pt experienced increased nausea and she vomited undigested food X 3. The pt denied fever, diarrhea or abdominal pain. Around 2300 that night the pt noted a dry, hacky, unproductive cough which was worse with lying down (the pt denied a flair of the GERD, asthma or seasonal allergies). On 10/29/11 the pt experienced mild nausea which did not interfere with daily activity or eating. The pt did note that her cough was worse (more frequent). On 10/30/11 at 2130 after the pt showered she noted 6-8 quarter-sized red, raised, non-pruritic lesions on her right upper arm. The pt denied previous similar rash; no new medications, clothes, detergents, foods, hygiene products. No recent outdoor activities or travel. These lesions were flat when the pt woke on 10/31/11. The pt was seen by her primary care provider on 10/31/11 and was told that her lungs "were clear" and that she should return to immunizations regarding the skin lesions. The pt was seen on 10/31/11. The pt was concerned about the rash on her right upper arm and if it was caused by her recent vaccination. On PE the pt's lungs were CTA, no adventitious sounds were present, no cough noted. Approximately six 2cm oval, pale red, flat macules were noted on the pt's right upper arm. As the rash was improving and was not causing any discomfort for the pt, treatment was not initiated. The rash had resolved when the pt was seen on follow-up on 11/3/11.
Age: 22.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Skin lesion, Vomiting
Clinical narrative: The pt received PNEUMOVAX on 10/28/11 at at 1100 in her right arm (pt is right hand dominate). The pt felt fine at the time of the vaccination and immediately after. Around 1300 the pt noted that she was nauseated. At 1500 the pt ate hamburger helper which she prepared fresh (no milk products used). Soon after eating the pt experienced increased nausea and she vomited undigested food X 3. The pt denied fever, diarrhea or abdominal pain. Around 2300 that night the pt noted a dry, hacky, unproductive cough which was worse with lying down (the pt denied a flair of the GERD, asthma or seasonal allergies). On 10/29/11 the pt experienced mild nausea which did not interfere with daily activity or eating. The pt did note that her cough was worse (more frequent). On 10/30/11 at 2130 after the pt showered she noted 6-8 quarter-sized red, raised, non-pruritic lesions on her right upper arm. The pt denied previous similar rash; no new medications, clothes, detergents, foods, hygiene products. No recent outdoor activities or travel. These lesions were flat when the pt woke on 10/31/11. The pt was seen by her primary care provider on 10/31/11 and was told that her lungs "were clear" and that she should return to immunizations regarding the skin lesions. The pt was seen on 10/31/11. The pt was concerned about the rash on her right upper arm and if it was caused by her recent vaccination. On PE the pt's lungs were CTA, no adventitious sounds were present, no cough noted. Approximately six 2cm oval, pale red, flat macules were noted on the pt's right upper arm. As the rash was improving and was not causing any discomfort for the pt, treatment was not initiated. The rash had resolved when the pt was seen on follow-up on 11/3/11.
Age: 64.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Erythema, Hypersensitivity, Oedema peripheral, Rash pruritic
Clinical narrative: During my regular health plan visit, I was inoculated with the new shingles vaccine ZOSTAVAX and the Tdap. Within 24 hours, swelling of hands and feet. Within 48 hours after injection and was given a steroid to alleviate swelling. Steroid injection did not alleviate swelling and rash intensified. Returned to physician 72 hours after first steroid injection and was given another steroid injection along with other medications to alleviate redness and itchy rash. As of 11/17/11 it does appear that the allergic reaction is subsiding. My physician indicated that the swelling and rash, most likely, resulted from the shingles vaccine - ZOSTAVAX.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Developed fever of 101.3 degrees 3 hours after flu vaccine given. Treated with acetaminophen liquid and cooling measures.