chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site pain, Insomnia, Muscular weakness, Musculoskeletal pain, Neck pain
Clinical narrative: I received my flu shot around 6:20 PM yesterday evening.  The injection site (upper left arm) was sore fairly quickly after receiving the shot, but the pain was completely manageable and quite frankly, as expected.  Before going to bed. At approximately 12:30 AM on 9/27/12 I woke up with severe pain in both arms, both shoulders, my neck and my upper back. My arms also felt weak, tingly and slightly numb...the best way I can describe the feeling is that it felt as if my arms were 'asleep'.  The pain continued to worsen in my shoulders and neck and my grip strength deteriorated quickly.  The pain continued to be sharp and I was unable to find any relief as it spread to my chest, lower back and abdomen.  The pain was intense and quite severe (as an aside, I generally have a high tolerance for pain having played soccer through a torn ACL and multiple fractures).  This pain was sharp, constant and all-encompassing of my upper body.  I was also experiencing intermittent periods of chills. In an effort to find relief I paced my basement and tried stretching out my upper body.  Unfortunately, nothing seemed to help the pain and sitting and laying were extremely uncomfortable.  Thus, I spent the next 3.5 hours or so pacing my basement trying to get my mind off the pain.  At around 4:00 AM the pain had moved past its peak and was beginning to lessen a bit.  Slowly, but surely, the pain became more tolerable and around 5:30 AM I was finally able to lay down and fall asleep.  Around 7:00 AM I woke up on the couch with my clothes soaked through, almost as if a fever had broken or something. Today I am sore all over my upper body, but don't really have any pain to speak of.  I feel 'off', but I'm guessing that has more to do with lack of sleep than anything.  I am definitely dehydrated today as indicated by my headache and urine color. I have received a flu shot in each of the past four years.  This is the second time I have had a 'reaction' to the immunization.  Two years ago after receiving my flu shot I came down with chills, aches and fever almost exactly six hours after the shot was administered.  Interestingly, it seems it took exactly six hours for me to experience a reaction this year as well.  The other two years I received a flu shot I had no adverse reaction to speak of.
Age: 35.0
Sex: M
Vaccine: FLUX
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: I received my flu shot around 6:20 PM yesterday evening.  The injection site (upper left arm) was sore fairly quickly after receiving the shot, but the pain was completely manageable and quite frankly, as expected.  Before going to bed. At approximately 12:30 AM on 9/27/12 I woke up with severe pain in both arms, both shoulders, my neck and my upper back. My arms also felt weak, tingly and slightly numb...the best way I can describe the feeling is that it felt as if my arms were 'asleep'.  The pain continued to worsen in my shoulders and neck and my grip strength deteriorated quickly.  The pain continued to be sharp and I was unable to find any relief as it spread to my chest, lower back and abdomen.  The pain was intense and quite severe (as an aside, I generally have a high tolerance for pain having played soccer through a torn ACL and multiple fractures).  This pain was sharp, constant and all-encompassing of my upper body.  I was also experiencing intermittent periods of chills. In an effort to find relief I paced my basement and tried stretching out my upper body.  Unfortunately, nothing seemed to help the pain and sitting and laying were extremely uncomfortable.  Thus, I spent the next 3.5 hours or so pacing my basement trying to get my mind off the pain.  At around 4:00 AM the pain had moved past its peak and was beginning to lessen a bit.  Slowly, but surely, the pain became more tolerable and around 5:30 AM I was finally able to lay down and fall asleep.  Around 7:00 AM I woke up on the couch with my clothes soaked through, almost as if a fever had broken or something. Today I am sore all over my upper body, but don't really have any pain to speak of.  I feel 'off', but I'm guessing that has more to do with lack of sleep than anything.  I am definitely dehydrated today as indicated by my headache and urine color. I have received a flu shot in each of the past four years.  This is the second time I have had a 'reaction' to the immunization.  Two years ago after receiving my flu shot I came down with chills, aches and fever almost exactly six hours after the shot was administered.  Interestingly, it seems it took exactly six hours for me to experience a reaction this year as well.  The other two years I received a flu shot I had no adverse reaction to speak of.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Swelling
Clinical narrative: Pain and swelling of the right arm which was the arm the vaccine was administered.  Pain was bad enough that patient could not wear a shirt on that arm and swelling involved the entire upper arm, into shoulder and axilla.
Age: 1.92
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Swelling
Clinical narrative: Swelling, redness and induration of right thigh, cellulitis noted. Treated with KEFLEX and BENADRYL.
Age: 4.0
Sex: F
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling & redness to (rt) thigh. Med: Diphenhydramine 12.5/5ml.
Age: 3.0
Sex: M
Vaccine: HEP, PNC13
Symptoms: Erythema, Local reaction, Pruritus, Swelling
Clinical narrative: Local reaction with erythema and swelling and itchy.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Musculoskeletal pain, Pain, Skin warm
Clinical narrative: Red, warm and painful to touch - pain radiating into shoulder. Rx - warm soaks, MEDROL dose pk.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site discolouration
Clinical narrative: Insert needle right below shoulder. Black and blue mark - size 2 1/2 inches in diameter yellowing out. Purple mark was immediate.
Age: 65.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Local swelling, Pain, Skin warm
Clinical narrative: Local swelling, heat, pain.
Age: 65.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Blood test, Chills, Headache, Infection, Injection site pruritus
Clinical narrative: Local swelling, heat, pain.
Age: 65.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Injection site rash, Nasopharyngitis, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Local swelling, heat, pain.
Age: 65.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Urine analysis
Clinical narrative: Local swelling, heat, pain.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: Itching - increased at injection site but also diffuse to legs - oral BENADRYL.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Back pain, Chest pain, Electrocardiogram normal, Injected limb mobility decreased
Clinical narrative: See attached. I am 69 years old. Good shape. On 9/22/2012, I went to the gym that morning. I worked out. Right shoulder was not a problem any other than discomfort at limitation of range of motion. This was due to 1995 fracture of the shoulder. I have never had any treatment for the shoulder since 1995. I was first aware of it in 2003. I have some traumatic arthritis in my left shoulder. By and large, it has been asymptomatic since 1995. I would get soreness when I played golf. That is about it. I had a flu shot in left arm and pneumonia shot in right arm at about 2 to 3 PM. The sheet from the provider shows the date. I had no immediate reaction that was unpleasant. I had prior flu shots. To my knowledge, no prior history of pneumonia shot. I went home. No stress on shoulder. Went to movie starting at 710 PN. About 15 minutes into the movie, my right shoulder, arm, and forearm began to throb. By the time the movie was over, I could not move my right arm. For example, I could not out my right hand in my right pocket due to pain. I went home. Pain started at 8 PM and was intense, throbbing and constant pain in shoulder, top of shoulder, radiation into chest from my shoulder, radiation down the back of my right arm into my right forearm and lower forearm. This was a 9 of 10 pain. I have had morphine level pain for L4-L5 pain. This was greater. I got Narco 10 Hydrocodone at 11. Started it at midnight. The Narco 10 did not touch the pain. I got zero sleep on the night of 9/22/2012. At 4 Am on 9/23/2012, I went on Internet. Found reported issues with flu shot as being brachial neuritis. I knew the pain then was nerve pain. I went to the ER. Took Morphine. Got to sleep. Started steroids. Slept 13 hours. Got up today, 9/24/2012 much better with still 3 or 4 of 10 pain on movement of right shoulder. Can not do pants. Keys in car are big problem.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site discomfort, Injection site pain, Joint range of motion decreased, Neuralgia, Neuropathy peripheral
Clinical narrative: See attached. I am 69 years old. Good shape. On 9/22/2012, I went to the gym that morning. I worked out. Right shoulder was not a problem any other than discomfort at limitation of range of motion. This was due to 1995 fracture of the shoulder. I have never had any treatment for the shoulder since 1995. I was first aware of it in 2003. I have some traumatic arthritis in my left shoulder. By and large, it has been asymptomatic since 1995. I would get soreness when I played golf. That is about it. I had a flu shot in left arm and pneumonia shot in right arm at about 2 to 3 PM. The sheet from the provider shows the date. I had no immediate reaction that was unpleasant. I had prior flu shots. To my knowledge, no prior history of pneumonia shot. I went home. No stress on shoulder. Went to movie starting at 710 PN. About 15 minutes into the movie, my right shoulder, arm, and forearm began to throb. By the time the movie was over, I could not move my right arm. For example, I could not out my right hand in my right pocket due to pain. I went home. Pain started at 8 PM and was intense, throbbing and constant pain in shoulder, top of shoulder, radiation into chest from my shoulder, radiation down the back of my right arm into my right forearm and lower forearm. This was a 9 of 10 pain. I have had morphine level pain for L4-L5 pain. This was greater. I got Narco 10 Hydrocodone at 11. Started it at midnight. The Narco 10 did not touch the pain. I got zero sleep on the night of 9/22/2012. At 4 Am on 9/23/2012, I went on Internet. Found reported issues with flu shot as being brachial neuritis. I knew the pain then was nerve pain. I went to the ER. Took Morphine. Got to sleep. Started steroids. Slept 13 hours. Got up today, 9/24/2012 much better with still 3 or 4 of 10 pain on movement of right shoulder. Can not do pants. Keys in car are big problem.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, X-ray abnormal
Clinical narrative: See attached. I am 69 years old. Good shape. On 9/22/2012, I went to the gym that morning. I worked out. Right shoulder was not a problem any other than discomfort at limitation of range of motion. This was due to 1995 fracture of the shoulder. I have never had any treatment for the shoulder since 1995. I was first aware of it in 2003. I have some traumatic arthritis in my left shoulder. By and large, it has been asymptomatic since 1995. I would get soreness when I played golf. That is about it. I had a flu shot in left arm and pneumonia shot in right arm at about 2 to 3 PM. The sheet from the provider shows the date. I had no immediate reaction that was unpleasant. I had prior flu shots. To my knowledge, no prior history of pneumonia shot. I went home. No stress on shoulder. Went to movie starting at 710 PN. About 15 minutes into the movie, my right shoulder, arm, and forearm began to throb. By the time the movie was over, I could not move my right arm. For example, I could not out my right hand in my right pocket due to pain. I went home. Pain started at 8 PM and was intense, throbbing and constant pain in shoulder, top of shoulder, radiation into chest from my shoulder, radiation down the back of my right arm into my right forearm and lower forearm. This was a 9 of 10 pain. I have had morphine level pain for L4-L5 pain. This was greater. I got Narco 10 Hydrocodone at 11. Started it at midnight. The Narco 10 did not touch the pain. I got zero sleep on the night of 9/22/2012. At 4 Am on 9/23/2012, I went on Internet. Found reported issues with flu shot as being brachial neuritis. I knew the pain then was nerve pain. I went to the ER. Took Morphine. Got to sleep. Started steroids. Slept 13 hours. Got up today, 9/24/2012 much better with still 3 or 4 of 10 pain on movement of right shoulder. Can not do pants. Keys in car are big problem.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Reported to Rph. Reported 9/22/12 about 12 pm. Pt showed her a mild rash that itched around the injection site.
Age: 6.0
Sex: M
Vaccine: DTAPIPV, FLUN3, HEPA, MMR, VARCEL
Symptoms: Axillary pain, Lymph node pain, Oedema peripheral
Clinical narrative: Temp 99.7 degrees F tympanic. (L) arm started swelling after mom picked up child from school at 2:55pm - he had received his vaccines that morning approximately 8:40am. 9-26-12 nurse from school called mom today to say his arm was swelling but mom did not need to take him out of school. Mom brings him to Hlth Dept at 4:30 9/26/12 for eval. (L) arm measures 8 2/8 inches & (R) arm measures 7 1/8 inches. Pt c/o axillary pain - lymph node involvement.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Convulsion
Clinical narrative: This spontaneous report as received from a Physician refers to a 12 months old female patient. Patient's historical vaccines included VAQTA and PREVNAR. The patient was vaccinated with dose 1, M-M-R II on 17-JUL-2012 (Lot number was reported as 1577AA). No other co-suspects were reported. On 23-JUL-2012, the patient experienced seizure (medically significant). The patient was sent to neurology. On an unknown date, the patient was given DIASTAT as a treatment for seizure. On an unknown date in 2012, the patient recovered from the event. Upon internal review the event seizure is considered as medically significant. The patient also experienced febrile seizure when on therapy with VARIVAX (Merck) (1209USA005990). Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain
Clinical narrative: Red & swelling, hardness at site of injection, Left deltoid. Instructed to ice pack & BENADRYL TYLENOL for pain.
Age: 1.17
Sex: M
Vaccine: PNC13
Symptoms: Chest X-ray normal, Febrile convulsion, Influenza virus test negative, Nuclear magnetic resonance imaging brain normal, Pyrexia
Clinical narrative: 9/18/12 ER visit - Dx febrile seizure, temp 103.6. TYLENOL for fever. RSV, Flu, Ua, CXR - negative. MRI (brain) - no seizure focus identified, no areas of abn enhancement. Admitted to pediatric unit.
Age: 1.17
Sex: M
Vaccine: PNC13
Symptoms: Respiratory syncytial virus test negative, Urine analysis normal
Clinical narrative: 9/18/12 ER visit - Dx febrile seizure, temp 103.6. TYLENOL for fever. RSV, Flu, Ua, CXR - negative. MRI (brain) - no seizure focus identified, no areas of abn enhancement. Admitted to pediatric unit.
Age: 18.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 09/20/12 client called describing that she received vaccine on Tues afternoon. Did not note redness on Wednesday but Thurs AM noted her injection site had about 2 inches of redness, swelling & itching no fever or body aches, will try cool packs & ibuprofen & will see MD if any increase in swelling or if fever develops. 09/21/12 client reports relief from Ibuprofen & cool packs, decrease swelling & itchiness.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Skin warm, Tenderness
Clinical narrative: Couldn't put on sweater, warm to the touch, chills to the point that her teeth were chattering, still tender on top of left arm. Hasn't seen doctor or taken ASA.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Flu and pneumonia vaccine in same arm. Upper arm was red, swollen, warm to touch. Area about 4 X 4 inches. Recommended coolpacks and Tylenol or Advil.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Client returned to facility, stating she received fu shot on 9/6/12 and is now having a reaction. Nurse reports site is red, slightly raised, warm to touch, tender and approx. 5cm in diameter. Patient advised to use Tylenol/ibuprofen as needed.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Pyrexia
Clinical narrative: Soreness, redness, low grade fever.
Age: 49.0
Sex: M
Vaccine: FLU3, TDAP, TYP, VARCEL
Symptoms: Auricular swelling, Ear pain, Local swelling, Neck pain
Clinical narrative: Pain and swelling around left ear and upper neck.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Injection site haematoma, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Received TDAP in rt upper arm, area very hot, hard, extensive pain and swelling with bruising. Diarrhea started 9/22/2012.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: Received TDAP in rt upper arm, area very hot, hard, extensive pain and swelling with bruising. Diarrhea started 9/22/2012.
Age: 23.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chest pain, Dyspnoea, Headache, Influenza
Clinical narrative: Chest pain and hard time breathing, noxious and headache. Her mother called to inform that her daughter had flu.
Age: 71.0
Sex: M
Vaccine: TDAP
Symptoms: Musculoskeletal pain
Clinical narrative: Complaing of pain in right shoulder.  No redness, knot, streaking or drainage noted at injection site or right arm.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Erythema
Clinical narrative: Red streak on vaccinated arms.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling the size of a tennis ball at injection site, painful and hot to the touch for 3 days.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Dysgeusia, Dysphagia, Dyspnoea, Oral discomfort, Throat irritation
Clinical narrative: Metallic taste in mouth, burning feeling in throat and top of mouth, difficulty swallowing, shortness of breath.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Chest pain, Dyspnoea, Pruritus generalised
Clinical narrative: Patient reported of itching 10 minutes after receiving influenza and pneumonia vaccine around 2 PM EST and at 3:30 PM reported of itching all over body. Nurse called emergency line and at that time patient began to have SOB and chest pain.  Nurse was advised to call 911. Nurse called 911 and administered epinephrine.  EMT arrived and took her to hospital.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Dyspnoea, Erythema, Pruritus
Clinical narrative: Patient reported of itching 10 minutes after receiving influenza and pneumonia vaccine around 2 PM EST and at 3:30 PM reported of itching all over body. Nurse called emergency line and at that time patient began to have SOB and chest pain.  Nurse was advised to call 911. Nurse called 911 and administered epinephrine.  EMT arrived and took her to hospital.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Haematospermia
Clinical narrative: Blood in semen.
Age: 0.17
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Neck pain, Pain in extremity
Clinical narrative: Next day stinging pain in arm, thought it was a spider bite. Became more painful in arm & neck. Had red streaking and went to hospital. Started on Benadryl & steriods. Better now.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Erythema, Malaise, Pain, Pyrexia
Clinical narrative: Felt ill, fever of 102 degrees, weakness and body aches, red and swollen.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Felt ill, fever of 102 degrees, weakness and body aches, red and swollen.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Large red spot at injection site, paint, redness and warmth. Patient took Ibuprofen. Recommended icing and elevating arm and to take Tylenol or Ibuprofen for pain/swelling.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site swelling, Malaise, Nausea
Clinical narrative: PATIENT EXPERIENCED SWELLING AT INJECTION SITE ABOUT A QUARTER SIZE, IT APPEARED RAISED AND SWOLLEN. PATIENT FELT SICK, HOT AND NAUSEOUS 1-2 MINUTES LATER. SHE SAT-DOWN FOR ABOUT 20MIN UNTIL SHE FELT BETTER.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pain, Skin warm, Swelling, Tenderness
Clinical narrative: 24 hrs after getting Flu vaccine in (L) arm he developed redness, swelling, pain, tenderness and some local warmth. Symptoms subsided after BENADRYL in 24 hrs.
Age: 81.0
Sex: M
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Pt developed a sore arm after injection which has never improved and has worsened over the weeks, decreasing and restricting his range of motion.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest discomfort, Throat tightness
Clinical narrative: Tightness in throat, tightness in chest patient took Benadryl when got home.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest discomfort, Cough, Throat tightness
Clinical narrative: Tightness in throat, tightness in chest patient took Benadryl when got home.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Mobility decreased, Rash generalised, Tenderness
Clinical narrative: Tender under left arm and armpit, rash all over body, Streak of red and unable to use left arm.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Gait disturbance, Injection site pain, Pain, Pyrexia
Clinical narrative: Started with pain to arm where injection was given followed by fever & body aches. The following day 9/27 2012 c/o just feels weak, "too weak to walk up the stairs".
Age: 61.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site pruritus, Rash erythematous
Clinical narrative: Patient noticed itching at the site of her vaccination on 9/26/12 in the afternoon.  She checked her arm on 9/27/12 in the morning and noticed that a red rash had developed.  She is not certain of the date of onset.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Dysphonia, Headache, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Hoarse, weakness but not faint. Headache, tingling around outer edge of her neck. No marking, redness or reaction around SC injection sight. Tingling & numbness aroung the mouth. O2 stats @ 97%, & BPM 73, B/P 126/92
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Paraesthesia oral
Clinical narrative: Hoarse, weakness but not faint. Headache, tingling around outer edge of her neck. No marking, redness or reaction around SC injection sight. Tingling & numbness aroung the mouth. O2 stats @ 97%, & BPM 73, B/P 126/92
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Dysphonia, Paraesthesia
Clinical narrative: Hoarse, weakness but not faint. Headache, tingling around outer edge of her neck. No marking, redness or reaction around SC injection sight. Tingling & numbness aroung the mouth. O2 stats @ 97%, & BPM 73, B/P 126/92
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site pruritus, Injection site vesicles
Clinical narrative: Patient developed vesicles around vaccine site and later burning and itching pain similar to what would be expected from shingles itself. As of today (9/27/2012), all symptoms had resolved.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Blood culture negative, CSF culture negative, CSF glucose decreased, CSF virus no organisms observed, CSF white blood cell count increased
Clinical narrative: That morning around 05:30, mom woke up to the sound of patient choking.  He sleeps in a cot at the foot of mom's bed and was still lying there on his back, tucked in by blankets.  She found him limp, drooling, and his eyes rolled back.  She is unsure of color change as the room was dark.  Mom drove him to Grandmother's house (across the street), and grandmother also noted him to be limp with frothy material on his chin/chest.  He was flipped over one arm and then back to his back, no back blows, suctioning, mouth-to-mouth, or blowing in the face.  He was not crying.  The episode then resolved on it's own, total episode lasted ~5 minutes and he was sleepy afterward.  Mother and grandmother drove him to CMS ED (1.5 hours away).  In the ED, he was noted to be interactive and smiley, but trying to go back to sleep.  Exam was reportedly normal.  CBC with leukocytosis of 20, no left shift (likely demargination of WBC).  BMP and UA were normal.  Blood and urine cultures were sent and are pending.  CXR was normal.  He was discharged with the intention of close follow-up by PCP.  On the way home (12:45pm), family stopped for gas.  Mom looked at pt in the back seat and noted him with his head turned to the left and staring.  He wouldn't focus on her and he was limp (ED note says "stiff) with some left arm twitching.  Family called EMS, and by the time they arrived ~5 mintues later, patient was back to baseline, though mom states he was again a bit sleepy.  Upon return to ED, he again had a normal exam.  LP performed with a bloody tap (200K RBC, 1300 WBC, glc 44), CSF culture pending.  CBC and BMP repeated with similar normal results.  Enterovirus PCR pending.  CT of his head without intracranial abnormalities.  Neurology was consulted and recommended admission for EEG and MRI.  He was then transported to hospital by internal transport.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Chest X-ray normal, Choking, Computerised tomogram head normal, Culture urine negative, Drooling
Clinical narrative: That morning around 05:30, mom woke up to the sound of patient choking.  He sleeps in a cot at the foot of mom's bed and was still lying there on his back, tucked in by blankets.  She found him limp, drooling, and his eyes rolled back.  She is unsure of color change as the room was dark.  Mom drove him to Grandmother's house (across the street), and grandmother also noted him to be limp with frothy material on his chin/chest.  He was flipped over one arm and then back to his back, no back blows, suctioning, mouth-to-mouth, or blowing in the face.  He was not crying.  The episode then resolved on it's own, total episode lasted ~5 minutes and he was sleepy afterward.  Mother and grandmother drove him to CMS ED (1.5 hours away).  In the ED, he was noted to be interactive and smiley, but trying to go back to sleep.  Exam was reportedly normal.  CBC with leukocytosis of 20, no left shift (likely demargination of WBC).  BMP and UA were normal.  Blood and urine cultures were sent and are pending.  CXR was normal.  He was discharged with the intention of close follow-up by PCP.  On the way home (12:45pm), family stopped for gas.  Mom looked at pt in the back seat and noted him with his head turned to the left and staring.  He wouldn't focus on her and he was limp (ED note says "stiff) with some left arm twitching.  Family called EMS, and by the time they arrived ~5 mintues later, patient was back to baseline, though mom states he was again a bit sleepy.  Upon return to ED, he again had a normal exam.  LP performed with a bloody tap (200K RBC, 1300 WBC, glc 44), CSF culture pending.  CBC and BMP repeated with similar normal results.  Enterovirus PCR pending.  CT of his head without intracranial abnormalities.  Neurology was consulted and recommended admission for EEG and MRI.  He was then transported to hospital by internal transport.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Electroencephalogram normal, Enterovirus test negative, Full blood count abnormal, Gaze palsy, Herpes simplex serology negative
Clinical narrative: That morning around 05:30, mom woke up to the sound of patient choking.  He sleeps in a cot at the foot of mom's bed and was still lying there on his back, tucked in by blankets.  She found him limp, drooling, and his eyes rolled back.  She is unsure of color change as the room was dark.  Mom drove him to Grandmother's house (across the street), and grandmother also noted him to be limp with frothy material on his chin/chest.  He was flipped over one arm and then back to his back, no back blows, suctioning, mouth-to-mouth, or blowing in the face.  He was not crying.  The episode then resolved on it's own, total episode lasted ~5 minutes and he was sleepy afterward.  Mother and grandmother drove him to CMS ED (1.5 hours away).  In the ED, he was noted to be interactive and smiley, but trying to go back to sleep.  Exam was reportedly normal.  CBC with leukocytosis of 20, no left shift (likely demargination of WBC).  BMP and UA were normal.  Blood and urine cultures were sent and are pending.  CXR was normal.  He was discharged with the intention of close follow-up by PCP.  On the way home (12:45pm), family stopped for gas.  Mom looked at pt in the back seat and noted him with his head turned to the left and staring.  He wouldn't focus on her and he was limp (ED note says "stiff) with some left arm twitching.  Family called EMS, and by the time they arrived ~5 mintues later, patient was back to baseline, though mom states he was again a bit sleepy.  Upon return to ED, he again had a normal exam.  LP performed with a bloody tap (200K RBC, 1300 WBC, glc 44), CSF culture pending.  CBC and BMP repeated with similar normal results.  Enterovirus PCR pending.  CT of his head without intracranial abnormalities.  Neurology was consulted and recommended admission for EEG and MRI.  He was then transported to hospital by internal transport.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Hypotonia, Leukocytosis, Metabolic function test, Muscle twitching, Musculoskeletal stiffness
Clinical narrative: That morning around 05:30, mom woke up to the sound of patient choking.  He sleeps in a cot at the foot of mom's bed and was still lying there on his back, tucked in by blankets.  She found him limp, drooling, and his eyes rolled back.  She is unsure of color change as the room was dark.  Mom drove him to Grandmother's house (across the street), and grandmother also noted him to be limp with frothy material on his chin/chest.  He was flipped over one arm and then back to his back, no back blows, suctioning, mouth-to-mouth, or blowing in the face.  He was not crying.  The episode then resolved on it's own, total episode lasted ~5 minutes and he was sleepy afterward.  Mother and grandmother drove him to CMS ED (1.5 hours away).  In the ED, he was noted to be interactive and smiley, but trying to go back to sleep.  Exam was reportedly normal.  CBC with leukocytosis of 20, no left shift (likely demargination of WBC).  BMP and UA were normal.  Blood and urine cultures were sent and are pending.  CXR was normal.  He was discharged with the intention of close follow-up by PCP.  On the way home (12:45pm), family stopped for gas.  Mom looked at pt in the back seat and noted him with his head turned to the left and staring.  He wouldn't focus on her and he was limp (ED note says "stiff) with some left arm twitching.  Family called EMS, and by the time they arrived ~5 mintues later, patient was back to baseline, though mom states he was again a bit sleepy.  Upon return to ED, he again had a normal exam.  LP performed with a bloody tap (200K RBC, 1300 WBC, glc 44), CSF culture pending.  CBC and BMP repeated with similar normal results.  Enterovirus PCR pending.  CT of his head without intracranial abnormalities.  Neurology was consulted and recommended admission for EEG and MRI.  He was then transported to hospital by internal transport.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Nuclear magnetic resonance imaging brain normal, Polymerase chain reaction, Posture abnormal, Red blood cells CSF positive, Somnolence
Clinical narrative: That morning around 05:30, mom woke up to the sound of patient choking.  He sleeps in a cot at the foot of mom's bed and was still lying there on his back, tucked in by blankets.  She found him limp, drooling, and his eyes rolled back.  She is unsure of color change as the room was dark.  Mom drove him to Grandmother's house (across the street), and grandmother also noted him to be limp with frothy material on his chin/chest.  He was flipped over one arm and then back to his back, no back blows, suctioning, mouth-to-mouth, or blowing in the face.  He was not crying.  The episode then resolved on it's own, total episode lasted ~5 minutes and he was sleepy afterward.  Mother and grandmother drove him to CMS ED (1.5 hours away).  In the ED, he was noted to be interactive and smiley, but trying to go back to sleep.  Exam was reportedly normal.  CBC with leukocytosis of 20, no left shift (likely demargination of WBC).  BMP and UA were normal.  Blood and urine cultures were sent and are pending.  CXR was normal.  He was discharged with the intention of close follow-up by PCP.  On the way home (12:45pm), family stopped for gas.  Mom looked at pt in the back seat and noted him with his head turned to the left and staring.  He wouldn't focus on her and he was limp (ED note says "stiff) with some left arm twitching.  Family called EMS, and by the time they arrived ~5 mintues later, patient was back to baseline, though mom states he was again a bit sleepy.  Upon return to ED, he again had a normal exam.  LP performed with a bloody tap (200K RBC, 1300 WBC, glc 44), CSF culture pending.  CBC and BMP repeated with similar normal results.  Enterovirus PCR pending.  CT of his head without intracranial abnormalities.  Neurology was consulted and recommended admission for EEG and MRI.  He was then transported to hospital by internal transport.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Staring, Urine analysis normal, White blood cell count increased
Clinical narrative: That morning around 05:30, mom woke up to the sound of patient choking.  He sleeps in a cot at the foot of mom's bed and was still lying there on his back, tucked in by blankets.  She found him limp, drooling, and his eyes rolled back.  She is unsure of color change as the room was dark.  Mom drove him to Grandmother's house (across the street), and grandmother also noted him to be limp with frothy material on his chin/chest.  He was flipped over one arm and then back to his back, no back blows, suctioning, mouth-to-mouth, or blowing in the face.  He was not crying.  The episode then resolved on it's own, total episode lasted ~5 minutes and he was sleepy afterward.  Mother and grandmother drove him to CMS ED (1.5 hours away).  In the ED, he was noted to be interactive and smiley, but trying to go back to sleep.  Exam was reportedly normal.  CBC with leukocytosis of 20, no left shift (likely demargination of WBC).  BMP and UA were normal.  Blood and urine cultures were sent and are pending.  CXR was normal.  He was discharged with the intention of close follow-up by PCP.  On the way home (12:45pm), family stopped for gas.  Mom looked at pt in the back seat and noted him with his head turned to the left and staring.  He wouldn't focus on her and he was limp (ED note says "stiff) with some left arm twitching.  Family called EMS, and by the time they arrived ~5 mintues later, patient was back to baseline, though mom states he was again a bit sleepy.  Upon return to ED, he again had a normal exam.  LP performed with a bloody tap (200K RBC, 1300 WBC, glc 44), CSF culture pending.  CBC and BMP repeated with similar normal results.  Enterovirus PCR pending.  CT of his head without intracranial abnormalities.  Neurology was consulted and recommended admission for EEG and MRI.  He was then transported to hospital by internal transport.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Laboratory test, Vertigo
Clinical narrative: Upon waking up on 9/22, I nearly passed out and have had constant dizziness ever since. I was diagnosed on 9/24 with Vertigo. I have never had this before.
Age: 12.0
Sex: M
Vaccine: HPV4, PPV
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: Adolescent presented with localized Allergic reaction, erythema & swelling to L upper arm 4 hours after PPSV23 vaccine administration.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Pain in extremity, Pruritus
Clinical narrative: Soreness and swelling in right arm on 9/6/12, redness, swelling, sore, itchy and warm to touch on 9/7/12. Advised by nurse to take Advil and Benadryl for itching and pain. If still red, see PCP.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Skin warm, Swelling
Clinical narrative: Soreness and swelling in right arm on 9/6/12, redness, swelling, sore, itchy and warm to touch on 9/7/12. Advised by nurse to take Advil and Benadryl for itching and pain. If still red, see PCP.
Age: 33.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Pruritus
Clinical narrative: Arm turned red and itchy.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: Swollen lymph nodes, red swollen area at injection site, pain under right arm.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: Patient noticed muscle soreness that seemed to be worse than previous vaccines and had some redness and swelling around the injection site.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Pain in extremity
Clinical narrative: Achy left arm and she noted a silver dollar sized bruise around shot. Saw doctor and he advised her to apply cold compress. On 9/27/12-patient reports symptoms are gone now.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Immediate post-injection reaction, Nausea, Sensation of pressure
Clinical narrative: Nausea and pressure in throat immediately after administration. Face flushed. Smelling salts used and pt. felt better right away. Fluids offered and rest at table with nurse. Pt able to leave at 1:15 PM stating was much better.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: Arm stiffened, no redness or edema, was unable to to move arm. Painful. Limited movement and moderate pain after 2 weeks. Used Tylenol twice a day and applied ice for several days.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: Left arm sore x2days then turned red 2 days after vaccinations. Went to PCP. Does not know what vaccine was given in what arm. Had one shot in each arm.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Malaise, Pyrexia, Skin warm
Clinical narrative: Warm, red 4 X3 inch round mark on the back side of patient's arm. Pt felt feverish and ill.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Left arm warm to touch, red, swollen. Visited doctor-given oral antibiotic.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness and heat from injection site left deltoid down inner arm at least 6 inches to elbow. No treatment done.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Injection site pain, Injection site warmth, Nausea
Clinical narrative: Chills, weakness, nausea, shaking arm, injection site is hot and tender, feels heavy.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Sensation of heaviness, Tremor
Clinical narrative: Chills, weakness, nausea, shaking arm, injection site is hot and tender, feels heavy.
Age: 63.0
Sex: M
Vaccine: TTOX
Symptoms: Mobility decreased, Musculoskeletal pain
Clinical narrative: Woke up with intense shoulder pain in both shoulders. Had hard time raising arms. This pain continues to this date.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Influenza like illness, Oedema peripheral, Pain in extremity
Clinical narrative: Left arm painful, red, swollen accompanied by flu-like symptoms.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity
Clinical narrative: Patient came in with right arm swollen from midarm down to below the elbow. The area was red, hard, and swollen. Patient also complained of pain in the area.
Age: 45.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Blood test, Burning sensation, Headache, Hypoaesthesia, Nuclear magnetic resonance imaging brain
Clinical narrative: Headache on top R-side, Two days after same pain above L-ankle radiating to the knee. Day after numbness, tingling, and burning sensation on entire left side of the body and got worst.
Age: 45.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Nuclear magnetic resonance imaging spinal, Pain in extremity, Paraesthesia
Clinical narrative: Headache on top R-side, Two days after same pain above L-ankle radiating to the knee. Day after numbness, tingling, and burning sensation on entire left side of the body and got worst.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Back pain, Dizziness, Feeling abnormal, Heart rate decreased
Clinical narrative: Pt given flu shot @ 1800. Experienced pain radiating from left armpit to neck/back, followed by lightheadedness, sweating and decrease in pulse from 68 to 59 BPM. Alert and conversing. Went to bathroom, felt better and returned and said she "didn't feel right."
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Neck pain
Clinical narrative: Pt given flu shot @ 1800. Experienced pain radiating from left armpit to neck/back, followed by lightheadedness, sweating and decrease in pulse from 68 to 59 BPM. Alert and conversing. Went to bathroom, felt better and returned and said she "didn't feel right."
Age: 1.36
Sex: M
Vaccine: FLUX, VARCEL
Symptoms: Rash erythematous, Rash generalised, Urticaria, Vaccination site rash
Clinical narrative: My son had a few hives on his chest. Within a week a rash started to appear in the area where the vaccination was given. The rash gradually became worse and red bumps continue to appear on his body.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Mobility decreased, Muscular weakness, Pain in extremity, Urticaria
Clinical narrative: Pt reported welt at injection site, intense pain in legs and arms, and muscle weakness, unable to lift arm, referred for MD evaluation.
Age: 19.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Migraine, Pyrexia, Sneezing
Clinical narrative: Migraine headache, fatigue all day, low fever, sneezing. This began when I woke up and continued throughout my work day which I couldn't miss. I feel better now though.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Left arm is swollen, red and very painful and hot to touch. This is 2nd pneumo shot.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Nausea, Pain, Tremor, Vomiting
Clinical narrative: Nausea, shakiness, aches.  He vomited at 4:30 pm.
Age: 42.0
Sex: F
Vaccine: FLUX, PPV, TDAP
Symptoms: Headache, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Started w/pain at injection site kept waking me up during the night. Day 2- Arm stiffened up, injection site was very warm, unable to raise it above my breast area, constant ache, mild headache, nausea. Day 3- Woke w/a large red welt/swollen patch approximately 3" x 3", 3 smaller welts lengthwise around the injection site, hot to the touch, major headache, slight nausea, barely sleeping from pain.
Age: 42.0
Sex: F
Vaccine: FLUX, PPV, TDAP
Symptoms: Injection site urticaria, Injection site warmth, Insomnia, Musculoskeletal stiffness, Nausea
Clinical narrative: Started w/pain at injection site kept waking me up during the night. Day 2- Arm stiffened up, injection site was very warm, unable to raise it above my breast area, constant ache, mild headache, nausea. Day 3- Woke w/a large red welt/swollen patch approximately 3" x 3", 3 smaller welts lengthwise around the injection site, hot to the touch, major headache, slight nausea, barely sleeping from pain.
Age: 13.0
Sex: F
Vaccine: HPVX
Symptoms: Biopsy skin normal, Blood test normal, Contusion, Erythema nodosum, Induration
Clinical narrative: Hard, bruise like spots appeared on legs. Continued to multiply on legs and existing spots darkened over the month. Erythema Nodosum was diagnosed 05/30/2012 with likely cause recent HPV injection.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Diarrhoea, Fatigue, Headache, Migraine
Clinical narrative: Vaccination/shingles 3/16/12. 3/18/12 Headaches, nausea. 4/27/12 Vertigo, went to hospital, still seeing ENT doctor. 5/2/12 Brain MRI - normal. 5/30/12 Massive migraine starts. 6/6/12 Dr. neurology; got meds but no relief! 8/2/12 Headache clinic. Migraine ceased after diarrhea in mid to end of July 2012. Still very weak & fatigued plus TMJ from migraine.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Nuclear magnetic resonance imaging brain normal, Temporomandibular joint syndrome, Vertigo
Clinical narrative: Vaccination/shingles 3/16/12. 3/18/12 Headaches, nausea. 4/27/12 Vertigo, went to hospital, still seeing ENT doctor. 5/2/12 Brain MRI - normal. 5/30/12 Massive migraine starts. 6/6/12 Dr. neurology; got meds but no relief! 8/2/12 Headache clinic. Migraine ceased after diarrhea in mid to end of July 2012. Still very weak & fatigued plus TMJ from migraine.
Age: 13.0
Sex: F
Vaccine: FLUN3, HPV4, IPV, MNQ
Symptoms: Blood glucose normal, Hypotonia, Immediate post-injection reaction, Lethargy
Clinical narrative: HPV .5ml IM Rt deltoid/5 sec after injection at 1157. Pt became limp, lethargic NSQ pull code button & call for help. Staff MD arrive to assist. Nurse and asses patient.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Pt experienced swelling at the injection site. It occurred about 10 minutes after the shot and pt stated the swelling was the size of a small egg. Pt iced the area and swelling went down.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: Pt given HIGH DOSE flu shot - By next day, extreme soreness at injection site. Now 4 weeks later has soreness still in that arm. Pt also complaining of generalized body ached. Wife has similar symptoms.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Myalgia, Paraesthesia
Clinical narrative: Pt given High Dose Flu. By next day complains of extreme muscle soreness, tingling numbness at rest in arm. Better with movement. Now 5 weeks ago continues with symptoms but pain not as bad but significant per pt. Husband similar symptoms.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Pruritus, Skin warm, Swelling
Clinical narrative: Administered IM left deltoid. Small hard raised area developed seconds after injection. Pt returned to pharmacy 2 days later to show 2.5 inch red warm area that itched. No treatment required.
Age: 15.0
Sex: F
Vaccine: FLU3, HEP, HEPA, HPV4, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Pruritus generalised, Rash generalised, Urticaria
Clinical narrative: Generalized rashes, itching, hives 15 minutes after shots given. BENADRYL 50 mg IM given "stat". Symptoms resolved 30-45 minutes later.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling & pain to upper left arm ongoing - applied ice pack with no relief.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Pruritus generalised
Clinical narrative: Just after inject - felt dizzy for about 5 minutes 8/29 head & body itching - went to ER & got Hydroxyzine tabs, Inj site red, big, swollen. 9/21 Dr gave Prednisone - itching stopped.