chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site haematoma, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Vaccines given 4/27/10 PM.  Approx 28 hours (evening 4/28/10) later mom noticed purplish red discoloration with a lot of swelling to site and warmth.  Pt complained of pain and itching at site.  4/29/10 14:00 swelling remains yet decreased by 1/2 the size remains warm to touch and pink in color.  Dr. recommended cold and warm compresses and MOTRIN per mom.  4/30/10 spoke with mom swelling continues to decrease.  Much better.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pallor
Clinical narrative: Vaccines given 4/27/10 PM.  Approx 28 hours (evening 4/28/10) later mom noticed purplish red discoloration with a lot of swelling to site and warmth.  Pt complained of pain and itching at site.  4/29/10 14:00 swelling remains yet decreased by 1/2 the size remains warm to touch and pink in color.  Dr. recommended cold and warm compresses and MOTRIN per mom.  4/30/10 spoke with mom swelling continues to decrease.  Much better.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever, swelling and redness in right thigh, was treated with augmentin.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Rash
Clinical narrative: Pt s/o of a red, diffuse rash over her upper extremities, face neck and back. She is attributing it to the MMR.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Injection site erythema
Clinical narrative: Patient developed redness around the injection site. Physician examined patient and redness resolved within 15 minutes.
Age: 15.0
Sex: F
Vaccine: HEP, TDAP, VARCEL
Symptoms: Arthropod bite, Erythema, Pruritus, Rash erythematous, Rash pruritic
Clinical narrative: Mother stated client awakened on the morning of the 27th with a rash of small red bumps which itched on the outside of the thighs, itchy hands, puffy face with 3 red areas she stated looked like mosquito bites.  The mother first notified this office on the morning of the 28th and she stated the client's face was no longer puffy, the red areas were much smaller, not open and not fluid filled.  The mother also stated the rash on the thighs had faded and was not itching now.
Age: 15.0
Sex: F
Vaccine: HEP, TDAP, VARCEL
Symptoms: Swelling face
Clinical narrative: Mother stated client awakened on the morning of the 27th with a rash of small red bumps which itched on the outside of the thighs, itchy hands, puffy face with 3 red areas she stated looked like mosquito bites.  The mother first notified this office on the morning of the 28th and she stated the client's face was no longer puffy, the red areas were much smaller, not open and not fluid filled.  The mother also stated the rash on the thighs had faded and was not itching now.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Abdominal pain upper, Injection site erythema, Injection site swelling, Malaise, Pyrexia
Clinical narrative: 4 inch diameter reddened, raised area at injection site ON RD. Fever 99.4 F, stomach ache, malaise.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Gait disturbance, Injection site swelling, Injection site urticaria, Oedema peripheral, Pain
Clinical narrative: Mother is the caller, child with immunizations yesterday - mother describing swelling of the Rt thigh and pain with walking child is limping.  Unsure of any fever, feels warm. Denied any emergent symptoms.  Stated that the swelling is noticeable - Rt is about 1/4 of a size larger than the Lt thigh.  Recommended clinic appt today for exam. Hive like reaction noted in clinc localized to injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Skin warm
Clinical narrative: Mother is the caller, child with immunizations yesterday - mother describing swelling of the Rt thigh and pain with walking child is limping.  Unsure of any fever, feels warm. Denied any emergent symptoms.  Stated that the swelling is noticeable - Rt is about 1/4 of a size larger than the Lt thigh.  Recommended clinic appt today for exam. Hive like reaction noted in clinc localized to injection site.
Age: 1.45
Sex: M
Vaccine: FLU(H1N1), HIBV, MMR, PNC, VARCEL
Symptoms: Breath holding, Convulsion, Lumbar puncture abnormal, Pyrexia, Respiratory arrest
Clinical narrative: I brought my son in to the emergency room to walk him in for a high fever that he had for two days before. Then, when we were waiting to be seen by the doctor, he wasn't listening and he ran away from me so I spanked him and he was about to let a big cry, then he quit breathing and I ran him back to the doctors and they started working on him right away, while that was happening he had a seizure for almost 2 minutes. He was medivaced out to the medical center because he had an abnormal spinal tap. When he got to the hospital they weren't sure what sickness he had. In the end, the final result was that his spinal tap results came back normal and they said he had a virus. He never had a seizure in the past or a breath holding spell.
Age: 1.45
Sex: M
Vaccine: FLU(H1N1), HIBV, MMR, PNC, VARCEL
Symptoms: Viral infection
Clinical narrative: I brought my son in to the emergency room to walk him in for a high fever that he had for two days before. Then, when we were waiting to be seen by the doctor, he wasn't listening and he ran away from me so I spanked him and he was about to let a big cry, then he quit breathing and I ran him back to the doctors and they started working on him right away, while that was happening he had a seizure for almost 2 minutes. He was medivaced out to the medical center because he had an abnormal spinal tap. When he got to the hospital they weren't sure what sickness he had. In the end, the final result was that his spinal tap results came back normal and they said he had a virus. He never had a seizure in the past or a breath holding spell.
Age: 1.11
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site rash, Swelling
Clinical narrative: Child recieved sq injection of mmr and varicella and immediately developed hive like local rash. Provider noted that the very next day a child also developed a very similar swelling and hive like rash after getting dtap and varicella so suspect varicella.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Swelling
Clinical narrative: Raised red area, about 3 inches by 2 inches around site of injection.
Age: 54.0
Sex: F
Vaccine: MNQ, TYP
Symptoms: Chills, Injection site erythema, Injection site swelling, Nausea, Pain
Clinical narrative: Pt contacted me to report: fever (100.5), chills, nausea and body aches; injection site redness and firm swelling "about the size of a baseball" Pt advised to use warm soaks, topical hydrocortisone cream, Tylenol &/or Ibuprofen for symptom relief. Symptoms resolved by 4/26/10
Age: 54.0
Sex: F
Vaccine: MNQ, TYP
Symptoms: Pyrexia
Clinical narrative: Pt contacted me to report: fever (100.5), chills, nausea and body aches; injection site redness and firm swelling "about the size of a baseball" Pt advised to use warm soaks, topical hydrocortisone cream, Tylenol &/or Ibuprofen for symptom relief. Symptoms resolved by 4/26/10
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Edema, redness, tenderness.  rec: Benadryl, Bactrim empiric treatment.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea for 10 days. No other notable signs. No fever. No fussiness.  Appetite/intake normal.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling and warmth to injection site.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Localized reaction to left deltoid, warm to touch and swollen to elbow.  1225 PA ordered grandmother to ice pack area for 10 minutes and patient to take Motrin for pain.
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Arthralgia, Joint swelling
Clinical narrative: Per mom, patient went home, start complaining of left knee pain and then notices swelling of left knee (no swelling/tenderness of thigh where Iz was given).
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Fatigue, Headache, Immediate post-injection reaction, Pain in extremity
Clinical narrative: Pain in arm that wasn't there after injection or anytime before, painful to move arm, tiredness and weakness, headaches, shakiness immediately after vaccine, lingering pain in arm-hurts to touch the place where vaccine was administered.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Tremor
Clinical narrative: Pain in arm that wasn't there after injection or anytime before, painful to move arm, tiredness and weakness, headaches, shakiness immediately after vaccine, lingering pain in arm-hurts to touch the place where vaccine was administered.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Dyspnoea, Swollen tongue, Tachycardia
Clinical narrative: 2-3 hrs after receiving the shot the patient experienced shortness of breath, symptoms resloved on their own. Today patient states she cannot take a full breath. Patient also experienced swelling of her tongue with other minor symptoms. Patient was referred for physical exams. Symptoms have since been resolved.
Age: 20.0
Sex: F
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Dyspnoea, Swollen tongue
Clinical narrative: 2-3 hrs after receiving the shot the patient experienced shortness of breath, symptoms resloved on their own. Today patient states she cannot take a full breath. Patient also experienced swelling of her tongue with other minor symptoms. Patient was referred for physical exams. Symptoms have since been resolved.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Abdominal X-ray, Crying, Diet refusal, Enema administration, Eosinophil percentage
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Monocyte percentage, Platelet count increased, Ultrasound abdomen abnormal, Vomiting, White blood cell count increased
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: X-ray abnormal
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Abdominal pain, Crying, Enema administration, Intussusception, Malaise
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Surgery, X-ray
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Abdominal X-ray, Barium double contrast, Crying, Diet refusal, Eosinophil percentage
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Eosinophil percentage increased, Granulocyte percentage, Haematochezia, Haematocrit decreased, Haemoglobin normal
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Intussusception, Lymphocyte percentage, Monocyte percentage, Platelet count increased, Sleep disorder
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 0.32
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, RV5, UNK, DTAPIPVHIB, HEPA, PNC, RV5
Symptoms: Ultrasound abdomen abnormal, Urine output decreased, Vomiting, White blood cell count increased, X-ray abnormal
Clinical narrative: My Grandson became ill the day after receiving the rotavirus vaccine. He was crying inconsolably and showing signs of abdominal pain at which point he was taking to ER. He was giving an enema to rectify the intussusception. He was released the next day but was returned back to the ER and we were once again told to monitor for any changes. He was taken back to the hospital but this time a military hospital where he is now. He is now undergoing surgery to rectify the intussusception.
Age: 14.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Aphasia, Cold sweat, Pallor
Clinical narrative: 10:12 - Received 3 vaccines, TDAP, MCVY, HPV in that order - stopped talking and got pale, head lowered it protected safely in chair. LOC x about 15 sec, clammy cool cloth behind neck. Mom at side entire time during shot-went outside with daughter. Order-protect in chair x 5 min more. Mom gave water and power bar talking with us, sat in lobby x 10 more min, took 2nd 16 oz of water. Left ambulatory with mom and sister - encouraged to rest, eat and drink. Call ped if need or go to ER. Verbalized OK-1205 call placed to Mom's cell LMOM to call if any needs or questions to call ped or go to the ER.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Injection site pruritus, Injection site warmth, Musculoskeletal pain, Swelling
Clinical narrative: Moderate pain in shoulder, swelling of shoulder, redness, feverish at site, itching.
Age: 0.28
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site discomfort, Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: REDNESS AND WARMTH TO INJECTION SITE. INSTRUCTED MOM TO BRING CHILD BACK IN TO BE OBSERVED BY DOCTOR. UPON RETURNING DOCTOR OBSERVED INJECTION AREA AND REACTION AND INFORMED MOM TO APPLY COLD COMPRESS TO AREA FOR SHORT PERIODS OF TIME AND ADMINISTER TYLENOL TO HELP WITH DISCOMFORT. MOM VOICED UNDERSTANDING.
Age: 47.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Chills, Oedema peripheral, Pyrexia
Clinical narrative: - 12/10/09: patient received Tdap - 12/11/09: patient developed fever >101 and chills - 12/12/09: patient developed R arm swelling, spreading down the arm
Age: 47.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Cellulitis, Chills, Clostridium difficile colitis, Infection, Oedema peripheral
Clinical narrative: - 12/10/09: patient received Tdap - 12/11/09: patient developed fever >101 and chills - 12/12/09: patient developed R arm swelling, spreading down the arm
Age: 47.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pyrexia
Clinical narrative: - 12/10/09: patient received Tdap - 12/11/09: patient developed fever >101 and chills - 12/12/09: patient developed R arm swelling, spreading down the arm
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain, Pruritus
Clinical narrative: - 10/5/09: patient received Tdap - 10/11/09: patient developed R upper arm redness, pain, swelling and pruritis. patient diagnosed with cellulitis secondary to vaccine administration and placed on Keflex
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Oedema peripheral, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: - 11/11/09: patient received Pneumovax vaccine - 11/12/09: patient presents with complaint of left arm severe pain, no redness.  Pain radiates down arm with some hand paresthesia, m swelling and pruritis. Lab shows elevated WBC, pt developed low-grade fever. Diagnosed with cellulitis and started on Keflex.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: - 11/11/09: patient received Pneumovax vaccine - 11/12/09: patient presents with complaint of left arm severe pain, no redness.  Pain radiates down arm with some hand paresthesia, m swelling and pruritis. Lab shows elevated WBC, pt developed low-grade fever. Diagnosed with cellulitis and started on Keflex.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Oedema peripheral, Skin warm
Clinical narrative: - 11/20/09: patient received Tdap vaccine, then presents with left arm redness and swelling. Left arm was red and warm for 4" x 2.5" patch below site of vaccination puncture site.  Patient diagnosed with cellulitis.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Blood test, Cardiac monitoring, Chest X-ray, Chest pain
Clinical narrative: Fatigue, Weakness, Headache, Dizziness, Chest Pain
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Electrocardiogram, Fatigue, Headache
Clinical narrative: Fatigue, Weakness, Headache, Dizziness, Chest Pain
Age: 62.0
Sex: F
Vaccine: FLUX, FLUX(H1N1), TD
Symptoms: Blood test normal, Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Small white bump at injection site, redness expanding 3 inches in a rectangular pattern, hot to touch and tender.
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: Asthenia, Chills, Fatigue, Headache, Heart rate increased
Clinical narrative: Soreness in arm, head-ache, tiredness, nausea, chills, head-ache all the same day of shot took Tylenol.  Next day more of the same symptoms that night fast heart beat and weak the next morning.  4-30-2010 Back to doctor after research I discovered I had the Tdap last April 3, 2009.  I mentioned it to Dr. they did not have it on my record.  I trusted they were correct and did not question it. The main symptom last year was soreness and tiredness. Today 5/2/2010  head-ache and body-ache. Was told totake Benadryl to counter act the symptons.
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Nausea, Pain, Pain in extremity
Clinical narrative: Soreness in arm, head-ache, tiredness, nausea, chills, head-ache all the same day of shot took Tylenol.  Next day more of the same symptoms that night fast heart beat and weak the next morning.  4-30-2010 Back to doctor after research I discovered I had the Tdap last April 3, 2009.  I mentioned it to Dr. they did not have it on my record.  I trusted they were correct and did not question it. The main symptom last year was soreness and tiredness. Today 5/2/2010  head-ache and body-ache. Was told totake Benadryl to counter act the symptons.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: SEVERE PAIN IN THE ARM ON WHICH THE SHOT WAS ADMINISTERED. CANNOT MOVE THE ARM A BIT AND ITS BEEN 3 DAYS AND THE PAIN IS STILL THERE AND HAS NOT SHOWN ANY IMPROVEMENT. DON'T KNOW HOW LONG IT WILL TAKE TO HEAL.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Pain, Rash erythematous, Rash pruritic
Clinical narrative: After having pain along base of shoulder blade, got a red rash on arm and across left breast. Itchy and painful.
Sex: F
Vaccine: HEP, UNK
Symptoms: Listless, Rash
Clinical narrative: When my Daughter was born she was healthy, awake, and very vibrant. I was too sleepy to realize at the time that they were pulling scare tactics. I told the pediatrician prior to the birth of my child, I didn't want any vaccinations for my child period. I was told they would bring me the waivers to sign and they wouldn't vaccinate my child. They lied!! I only saw proof when I saw rashes on my daughter's thighs. Then my husband pointed out how listless she was compared to when she was born. Then I went back and remembered how my first daughter behaved after birth who was not vaccinated, she was lively, upbeat. But my just born child was injected with poisons and was fighting for her life, and she wasn't even a day old. It made me want to cry. To some parents it's normal for newborn to behave this way, but it is not true!!! I've seen, and I know different.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Alpha 2 globulin increased, Antinuclear antibody increased, Beta globulin, Blood albumin, Blood immunoglobulin G increased
Clinical narrative: Feeling progressively ill and fatigued, progressively getting worse each month.  Daytime sleepiness, exhaustion.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Blood lactate dehydrogenase decreased, C-reactive protein increased, Complement factor abnormal, Condition aggravated, Fatigue
Clinical narrative: Feeling progressively ill and fatigued, progressively getting worse each month.  Daytime sleepiness, exhaustion.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Immunoglobulins increased, Malaise, Somnolence
Clinical narrative: Feeling progressively ill and fatigued, progressively getting worse each month.  Daytime sleepiness, exhaustion.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Fatigue, Hyperhidrosis, Injection site erythema, Injection site haematoma
Clinical narrative: Swollen neck lymph nodes, low grade fever, sweats, fatigue, mild diarrhea. Hard, hot, red, tender itchy lump and bruise at site of vaccination. Neurological symptoms ("zooming, like withdrawal from" SNRI). Doctor prescribed Benadryl. Also took Aleve or Aspirin for pain and fever. Couldn't get out of bed for 3 days. Symptoms began subsiding after 7 days. Still have swollen lymph nodes in neck and itchy lump at site.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Injection site lymphadenopathy, Injection site pruritus, Injection site warmth, Lymphadenopathy
Clinical narrative: Swollen neck lymph nodes, low grade fever, sweats, fatigue, mild diarrhea. Hard, hot, red, tender itchy lump and bruise at site of vaccination. Neurological symptoms ("zooming, like withdrawal from" SNRI). Doctor prescribed Benadryl. Also took Aleve or Aspirin for pain and fever. Couldn't get out of bed for 3 days. Symptoms began subsiding after 7 days. Still have swollen lymph nodes in neck and itchy lump at site.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Neurological symptom, Pain, Pyrexia
Clinical narrative: Swollen neck lymph nodes, low grade fever, sweats, fatigue, mild diarrhea. Hard, hot, red, tender itchy lump and bruise at site of vaccination. Neurological symptoms ("zooming, like withdrawal from" SNRI). Doctor prescribed Benadryl. Also took Aleve or Aspirin for pain and fever. Couldn't get out of bed for 3 days. Symptoms began subsiding after 7 days. Still have swollen lymph nodes in neck and itchy lump at site.
Age: 11.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Syncope
Clinical narrative: Syncope--did not go all the way out.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Inflammation, Injection site inflammation, Injection site pain
Clinical narrative: Inflammation and tenderness at site of injection on left arm.  Inflammation spreading on the upper arm.
Age: 49.0
Sex: F
Vaccine: DT
Symptoms: Diarrhoea, Fatigue, Head discomfort, Headache, Nausea
Clinical narrative: Initial report received on 17 August 2009 from a health care professional.  A 49-year-old female patient, who has no drug allergies, but has medical conditions of hypothyroidism and fibromyalgia, had received a intramuscular right arm injection of DECAVAC (lot number U2348BA) on 13 August 2009 at 15:45 PM.  Later that evening, the patient states she suffered from posterior headaches described as heaviness, with nausea, diarrhea, and fatigue.  The patient thinks she may have also had a low-grade fever.  The nausea and diarrhea resolved within a couple of days, but the headache is still ongoing but improving.  The patient had no medical evaluation, and it was not reported whether she self medicated.  At the time of this report, the patient had not recovered.  Follow up information received on 05 October 2009 from a health care professional.  Concomitant therapy included CYMBALTA and SYNTHROID.  The patient did not have a prior history of headaches.  A neurological exam was completed which was normal.  Treatment included TYLENOL for pain.  Recovery status was unknown since the patient did not return to the office.  Documents held by sender:  None.
Age: 49.0
Sex: F
Vaccine: DT
Symptoms: Neurological examination normal, Pyrexia
Clinical narrative: Initial report received on 17 August 2009 from a health care professional.  A 49-year-old female patient, who has no drug allergies, but has medical conditions of hypothyroidism and fibromyalgia, had received a intramuscular right arm injection of DECAVAC (lot number U2348BA) on 13 August 2009 at 15:45 PM.  Later that evening, the patient states she suffered from posterior headaches described as heaviness, with nausea, diarrhea, and fatigue.  The patient thinks she may have also had a low-grade fever.  The nausea and diarrhea resolved within a couple of days, but the headache is still ongoing but improving.  The patient had no medical evaluation, and it was not reported whether she self medicated.  At the time of this report, the patient had not recovered.  Follow up information received on 05 October 2009 from a health care professional.  Concomitant therapy included CYMBALTA and SYNTHROID.  The patient did not have a prior history of headaches.  A neurological exam was completed which was normal.  Treatment included TYLENOL for pain.  Recovery status was unknown since the patient did not return to the office.  Documents held by sender:  None.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Developed swelling and redness Rt deltoid 12 cm x 14 cm.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Pyrexia
Clinical narrative: Fever and cellulitis - treated with PCN by pt's PCP.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: (R) deltoid PNEUMOVAX 0.5 mL IM @ 12:00 5/1/10 (0.5 ml) administered.  AM 5/2/10 (R) upper extremity red, warm to touch, tender when touched. MD aware. At 1430 5/2 area sl. less reddened however not returned to pre-vaccination state of health.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Hyperventilation, Lip oedema, Pruritus, Throat tightness, Urticaria
Clinical narrative: 17:00 given shots 5-10 mins after shots started with itching. 17:15 given 1.5 tsp BENADRYL & 1/2 tsp 15 min later. Felt like throat closing. Hives appeared. No wheezing, mild edema of lips, some hyperventilation. 17:45 given 60 mg of SOLUTAB PRELONE & 15 ml MAALOX. 18:00 calmer breathing, hives resolving less itching.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: After receiving shots, MMR site (LAR) had reddened area size of half dollar and instructions after remaining here for 15 minutes was to seek medical attention if area increased in size.  Thursday evening client's mom reported she was at ER and child was given RX for "steroid and antibiotic at 10:30 p.m. so was unable to get it filled until today but most of LAR thigh is reddened, itchy and hot now, Temp 99.8 F.  Mom is encouraged to return to ER for advice as PCP is unavailable and Benadryl OTC has not helped.  4-23-10 reddened area 19mm per mom returned to ER.  Given steroids and continued antibiotic.
Age: 1.01
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever. Diffuse rash.  Possible joint pains.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Erythema, Induration, Pruritus, Swelling face, Urticaria
Clinical narrative: Itching legs and red raised welt Friday night Saturday morning face swollen and red hard welts generalized.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV
Symptoms: Rash, Urticaria
Clinical narrative: Rash, (Hives).
Age: 15.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Asthenia, Dizziness, Urticaria
Clinical narrative: Pt had Menactra ~1300 and went to school  3-4yrs later she felt weak, dizzy and had slight urticarial rash on face, upper chest and neck.  No wheezing. Cleared w/epinephrine, IV fluids.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: Fever up to 104.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes
Clinical narrative: Presented to physician 4/29/10 with "Herpes Lesions" in mouth, given Nystatin, Lidocaine, BENADRYL, MAALOX, mouth wash.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Ultrasound scan abnormal
Clinical narrative: Had vaccine on 03/25/2010 at which point fetus was 7 weeks old, miscarriage on 05/01/2010 and ultrasound showed fetal did not develop past 7 weeks which is same point had vaccine, never had previous issues.  Had other children with no complication.
Age: 25.0
Sex: M
Vaccine: DTAP
Symptoms: Headache
Clinical narrative: Headache
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Child called office 1:41 pm 4/26/10 stating arm red and showed to pharmacist 4/25/10. Mom did not respond to call back from office. Recalled office at 5 pm and told to take to Peds. Seen at Peds (see notes) - Has not called to schedule f/up visit yet.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash erythematous
Clinical narrative: Noticed several red bumps appearing.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Blister, Condition aggravated, Pruritus, Rash generalised
Clinical narrative: Rash, itching starting on neck and arms progressed to blistering continues to spread over body.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain, Gastrointestinal disorder, Lymphadenopathy, Nausea, Oesophagitis
Clinical narrative: Intense abdominal pain; violent, repetitive vomiting. Treatment: hydration w/water and Gatorade at home. 3 ER visits: pain and nausea meds, IV fluids, Xrays, 2 ultrasounds, endoscopy - Sensory processing disorder - gastrointestinal nerve sensitivity.
Age: 9.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Sensory disturbance, Vomiting
Clinical narrative: Intense abdominal pain; violent, repetitive vomiting. Treatment: hydration w/water and Gatorade at home. 3 ER visits: pain and nausea meds, IV fluids, Xrays, 2 ultrasounds, endoscopy - Sensory processing disorder - gastrointestinal nerve sensitivity.
Age: 30.0
Sex: F
Vaccine: FLU(H1N1), PPV, TDAP
Symptoms: Dyspnoea, No reaction on previous exposure to drug
Clinical narrative: Pt received 3 immunizations, 10 minutes later reported feeling difficulty breathing.  Sat her down, took vitals (BP 137/110, HR 80), called 911, gave juice & crackers.  She reported feeling better when paramedics arrived.  No itching or swelling reported.  Final BP 129/94, RR 22, paramedics offered a ride to the hospital, pt declined.  They gave her no medical treatment, took vitals and declared her stable.  Screened pt for contraindications prior to vaccination, none reported by patient.  Administered TDAP (BOOSTRIX) in right arm IM, and PNEUMOVAX and H1N1 (Sanofi - .5ml) in left arm IM at 8:40 am.  Patient returned to vaccination station and stated "I can't breathe."  We seated her and began assess her airway, breathing and circulation and directed a staff member to call 911.  While one nurse talked to the 911 dispatcher the other nurse began taking vitals (BP: 137/110, HR:80).  We continued assessing and monitoring for changes and patient reported feeling better, with no airway tightness, itching, or swelling.  We gave her some juice and crackers, upon finding out that she had not eaten yet.  Paramedics arrived within minutes, took her vitals and asked if she would like a ride to the hospital.  Patient declined ride due to improved condition, paramedics agreed that no treatment was needed and declared her stable.  We continued to assess the patient after the paramedics were gone (BP 129/94, RR 22).  Patient was calm throughout, and reported no previous adverse reactions to vaccines.  Patient had received TDAP/BOOSTRIX and PNEUMONVAX before, and she felt it was the H1N1 vaccine that caused the reaction.  Since she did not have a personal phone number where she could be contacted, I gave her my cell phone number to call back in a day or two to follow up.  Also gave phone number to shelter staff.  Filled out Vaccine Adverse Event Reporting System form.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Decreased appetite, Screaming
Clinical narrative: Continuous high pitched, screaming & crying for 6 hrs, started within the 1st 30 min after injections. Would not nurse.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Lip swelling
Clinical narrative: Pt with left upper arm swelling and redness at vaccination site. Also with lip swelling.
Age: 23.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Hyperhidrosis, Pallor, Skin warm
Clinical narrative: Within 3-5 minutes after receiving a TDAP and HPV vaccine, the patient c/o feeling faint when she stood up.  She was immediately assisted to an exam table where she was placed in a horizontal position BP = 102/66.  Her skin color was pale and she was diaphoretic.  After 15 minutes she was raised to a sitting position BP = 106/72 skin color improved & was warm & dry.  After 5 minutes of sitting, she felt much better and was discharged.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Varicella post vaccine, Varicella virus test positive
Clinical narrative: Spots started 4/27/10 itchy varicella DFA (+)
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Within few hrs after IZ: Fever - 103 degrees, checked by thermometer - took TYLENOL --> Temp decrease to 100 degrees F by 10:45AM (phone call from client) 4-21-10 "bad headache" - not relieved by TYLENOL on 4-21 --> took Ibuprofen 4-21 with relief. Achiness "all over" and fatigue, although slept well from 4PM 4/20 til 4/21AM.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: 4-22-2010:TC from pt's mother c/o edema, redness, and "fever" with Ld where immunization given on 4-19-10; states she saw Dr pt'd PMD yesterday 4-21-10 and was tx'd with antibiotic for "cellulitis", TC with Dr office verified 4am area redness and edema; ) fever; tx'd with POC.
Age: 0.9
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Blister, Hypersensitivity, Incisional drainage, Injection site induration, Injection site nodule
Clinical narrative: On 4/5/2010, I received a phone call from the mom stating that her baby had to have surgery and it was because of the "shots he was given" and she had paper work from her doctor stating that the baby had a "knot on his leg caused by the shots". I suggested that she bring it for me to review. A short time later the grandmother came in with the baby and said, "He had to have surgery on his right leg because of the shots that he was given, because he had allergic reaction to the shots". The grandmother further stated that she brought the baby in for immunizations on 9/11/09. Later that night he broke out with "red whelps and rash all over from head to toes". He was taken to Family practice and treated. After the rash and whelps cleared up, he had a lump in his thigh. On 10/14/09, the grandmother brought the baby in for his 3rd set of immunizations. She states that she spoke to the nurse about the previous shots and symptoms. The nurse, RN, gave her reassurance and she allowed the 3 set of immunizations to be given. The next morning she stated he had a rash with blisters "like chicken pox" all over him and again he was taken to the doctor and treated with antibiotics. After the rash went away he had a bigger "Knot" in is right thigh and a smaller one in the left. On 3/24/10, because the baby was behind on immunizations as part of her routine immunization follow-up LPN, called the grandmother to schedule and appointment for immunizations. The grandmother stated that the child "has an allergy to the shots" and that she was going to Family Practice for shots. LPN asked her to bring us a note from the doctor verifying the shot. On 4/1/10 the grandmother took the baby to Family Practice because the "knot was bigger and hard". The doctor did a needle aspiration and gave some antibiotics. He was told to come back to the doctor on 4/2/10 for follow-up. On 4-2-10, the "knot" was "cut opened and packed", and he had to return to the doctor on 4/5/10 for repacking and dressing change. After visiting the doctor on 4/5/10, the grandmother came to see me. Grandmother stated that she asked for a referral to hospital for evaluation of both his thighs. A dressing was noted on the right thigh and on palpation of his left thigh, there appeared to be a raised area about 1x1 cm in diameter and a core of about 1/2 inch in depth. I asked the grandmother to call me with the results of the referral. I notified Communicable Disease Nurse Specialist. She attempted to contact grandmother, but there was no answer and no return call from the mother or grandmother. On 4/15/10 and 4/20/10, I made attempts to contact the grandmother and received no response.
Age: 0.9
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Rash erythematous, Urticaria
Clinical narrative: On 4/5/2010, I received a phone call from the mom stating that her baby had to have surgery and it was because of the "shots he was given" and she had paper work from her doctor stating that the baby had a "knot on his leg caused by the shots". I suggested that she bring it for me to review. A short time later the grandmother came in with the baby and said, "He had to have surgery on his right leg because of the shots that he was given, because he had allergic reaction to the shots". The grandmother further stated that she brought the baby in for immunizations on 9/11/09. Later that night he broke out with "red whelps and rash all over from head to toes". He was taken to Family practice and treated. After the rash and whelps cleared up, he had a lump in his thigh. On 10/14/09, the grandmother brought the baby in for his 3rd set of immunizations. She states that she spoke to the nurse about the previous shots and symptoms. The nurse, RN, gave her reassurance and she allowed the 3 set of immunizations to be given. The next morning she stated he had a rash with blisters "like chicken pox" all over him and again he was taken to the doctor and treated with antibiotics. After the rash went away he had a bigger "Knot" in is right thigh and a smaller one in the left. On 3/24/10, because the baby was behind on immunizations as part of her routine immunization follow-up LPN, called the grandmother to schedule and appointment for immunizations. The grandmother stated that the child "has an allergy to the shots" and that she was going to Family Practice for shots. LPN asked her to bring us a note from the doctor verifying the shot. On 4/1/10 the grandmother took the baby to Family Practice because the "knot was bigger and hard". The doctor did a needle aspiration and gave some antibiotics. He was told to come back to the doctor on 4/2/10 for follow-up. On 4-2-10, the "knot" was "cut opened and packed", and he had to return to the doctor on 4/5/10 for repacking and dressing change. After visiting the doctor on 4/5/10, the grandmother came to see me. Grandmother stated that she asked for a referral to hospital for evaluation of both his thighs. A dressing was noted on the right thigh and on palpation of his left thigh, there appeared to be a raised area about 1x1 cm in diameter and a core of about 1/2 inch in depth. I asked the grandmother to call me with the results of the referral. I notified Communicable Disease Nurse Specialist. She attempted to contact grandmother, but there was no answer and no return call from the mother or grandmother. On 4/15/10 and 4/20/10, I made attempts to contact the grandmother and received no response.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Scab
Clinical narrative: About 4/3/10 parent noted eruption over torso eventually crusted, spread over course about 2 weeks.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Inappropriate schedule of drug administration, Incorrect dose administered, No adverse event
Clinical narrative: Mother brought 3 1/2 yr old in clinic for immunizations. A DTAP and Hep A were given that was not needed - Child had already had three in 5/22/08. The immunization card was confused with his sister's at the time of service. No reaction to vaccine noted at time. Called mom on 4/22/10 child doing well.
Age: 27.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Malaise, Myalgia, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever, myalgia, malaise, congestion
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Guillain-Barre syndrome, Mechanical ventilation
Clinical narrative: guillain-barre syndrome requiring mechanical ventilation s/p tetanus shot
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Areflexia, Asthenia, Body temperature increased, Dysstasia, Dysuria
Clinical narrative: guillain-barre syndrome requiring mechanical ventilation s/p tetanus shot
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Electromyogram abnormal, Endotracheal intubation, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: guillain-barre syndrome requiring mechanical ventilation s/p tetanus shot
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Hypoaesthesia facial, Hypoaesthesia oral, Immunoglobulin therapy, Intensive care, Malaise
Clinical narrative: guillain-barre syndrome requiring mechanical ventilation s/p tetanus shot
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Muscular weakness, Pain, Paraesthesia
Clinical narrative: guillain-barre syndrome requiring mechanical ventilation s/p tetanus shot
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Cough, Throat irritation, Upper respiratory tract congestion
Clinical narrative: I was given the vaccine on 01-14-2010 and on 01-18-2010 my throat starting to bother me and I started to cough - a few days later, cold was in my. I was given the shot on Jan. 14, 2010 and on Jan 18 2010 I developed a bad cough, and as time went on the cough got worse, I had cold in my upper chest which was pretty bad every time I would breathe I could hear the cold rattling in my chest, then it went back to my throat, coughed every day for three months as I did not have a cold just a bad cough, I still cough sometime but it is not like it was before.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, rash following ADACEL and PNEUMOVAX vaccine administered on 04/27/2010.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Abdominal pain, Anxiety, Arthralgia, Arthritis, Conjunctivitis
Clinical narrative: Major pain in all joints, cervical-lumbar, neck, wrists shoulders, mental disorders, insomnia erectile disorders, abdomen pain, allergies, anxiety arthritis, conjunctivitis, depression, dermatitis, headaches memory difficulty, sinusitis, lipoma.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Depression, Dermatitis, Erectile dysfunction, Headache, Hypersensitivity
Clinical narrative: Major pain in all joints, cervical-lumbar, neck, wrists shoulders, mental disorders, insomnia erectile disorders, abdomen pain, allergies, anxiety arthritis, conjunctivitis, depression, dermatitis, headaches memory difficulty, sinusitis, lipoma.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Insomnia, Lipoma, Memory impairment, Mental disorder, Sinusitis
Clinical narrative: Major pain in all joints, cervical-lumbar, neck, wrists shoulders, mental disorders, insomnia erectile disorders, abdomen pain, allergies, anxiety arthritis, conjunctivitis, depression, dermatitis, headaches memory difficulty, sinusitis, lipoma.
Age: 26.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: 11:30 PM - itchy at vaccine site, warm to touch.  Next day - low grade fever, erythema, & swelling from top of left shoulder to elbow.  Tiny vesicle type rash on left arm, left side of neck & to midline of chest & back.  Pt took CLARITIN, MOTRIN, BENADRYL.  Hydrocortisone applied topically.  S/S decreased over course of 7 days.  Did not seek medical help or advise.
Age: 26.0
Sex: F
Vaccine: HEPAB
Symptoms: Rash vesicular
Clinical narrative: 11:30 PM - itchy at vaccine site, warm to touch.  Next day - low grade fever, erythema, & swelling from top of left shoulder to elbow.  Tiny vesicle type rash on left arm, left side of neck & to midline of chest & back.  Pt took CLARITIN, MOTRIN, BENADRYL.  Hydrocortisone applied topically.  S/S decreased over course of 7 days.  Did not seek medical help or advise.