chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Hypotonia, Irritability, Stupor
Clinical narrative: Patient was hypotonic and hyporesponsive for approximately 38 hours after vaccine administration. No fever. Woke only 2 times about 30 minutes; was irritable.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Blood creatine phosphokinase increased, Myalgia, Nausea
Clinical narrative: Diffuse myalgia, nausea associated with elevation of total CPK.
Age: 27.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Injection site oedema, Injection site pain, Urticaria
Clinical narrative: Received anthrax #2 on 1/13/03, 1st anthrax was 1999 (no adverse effect with #1). The following day, she had pains swelling at injection site and later welts below breast, stomach, both elbows, hands, legs, both knees, tops of feet. L arm problems, received Typhoid on R.
Age: 25.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site erythema, Injection site inflammation, Injection site reaction, Injection site warmth
Clinical narrative: Lt arm tri-cep area red and inflammed, warm to touch. (+) rubor, color, deter 14x19cm. No definite induration or lymph, streaking. No papules. No constitutional symptoms. Began 1st day of vaccine and progressed. A/P: local rxn. Large, simple "LR 5" index, allegra, f/u with PCM.
Age: 24.0
Sex: F
Vaccine: ANTH, FLU3
Symptoms: Injection site mass, Injection site oedema, Injection site rash, Injection site reaction
Clinical narrative: Large local reaction with erythema and edema left upper arm, 10x19 cm induration, erythema, color, L > R 2 cm in circumference.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Dyspnoea, Nausea, Nuchal rigidity, Oedema, Rash maculo-papular
Clinical narrative: Had 1st anthrax vaccine at 13:00 on 12/3/02. Experienced nausea at 13:30. Developed pruritic macular rash on entire body with onset of facial/neck swelling and tightness, mild shortness of breath - did not seek medical care - took Benadryl and fell asleep - symptoms resolved next day.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Rash pruritic
Clinical narrative: Had 1st anthrax vaccine at 13:00 on 12/3/02. Experienced nausea at 13:30. Developed pruritic macular rash on entire body with onset of facial/neck swelling and tightness, mild shortness of breath - did not seek medical care - took Benadryl and fell asleep - symptoms resolved next day.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site rash, Vasodilation procedure
Clinical narrative: Local erythema and increased warmth 12 x 14 cm left upper arm. Motrin prn.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath, started 3 days after the anthrax vaccine. Left arm - no lesions / swelling at time of visit. Lungs CTA = tril? at time of visit.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Pruritus, Pruritus genital
Clinical narrative: 2 hrs after Anthrax, hives, itching in axilla and groin with erythema. Given Benadryl, celestone, ep, Tx with prednisone and Benadryl with flu in AM.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash, Vasodilation procedure
Clinical narrative: Turned rash/red on upper body, itching, no anaphylaxis but given sub Q epi 0.3 mg with much improvement.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Hypersensitivity, Injection site oedema, Pruritus, Vasodilation procedure
Clinical narrative: Redness and swelling spread from the inject site. Extreme itching, frequently. The above has gradually spread over the majority of the backside of the upper arm to beneath elbows - all the way up to armpit. Area is warmer than naval. 1st anthrax injection still itchy after 2.5 weeks. MD classified this as an allergic reaction.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Asthma, Chills, Dizziness, Headache
Clinical narrative: Burning soreness - large area of redness on arm. Nausea, chills, fatigue, headache, muscle ache, weakness, dizziness, and wheezing. The follow up states continuous chills, nausea, headaches, muscleaches, wheezing, increase heart rate. Days after lastings over week continous headaches. Saw family doctor did nothing feet a might had a "virus."
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Heart rate increased, Myalgia, Nausea, Pain, Vasodilation procedure
Clinical narrative: Burning soreness - large area of redness on arm. Nausea, chills, fatigue, headache, muscle ache, weakness, dizziness, and wheezing. The follow up states continuous chills, nausea, headaches, muscleaches, wheezing, increase heart rate. Days after lastings over week continous headaches. Saw family doctor did nothing feet a might had a "virus."
Sex: F
Vaccine: ANTH
Symptoms: Injection site oedema, Vasodilation procedure
Clinical narrative: Redness and edema 2.5 to 3 inches in diameter at inject site left upper arm.
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Pruritus, Vasodilation procedure
Clinical narrative: Red area approximately 2" in diameter swelling itching
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Rt arm 5th shot, area of erythema, induration and tenderness. No systemic effects.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Lt arm- orange size indurated erythematous area - progressed  X 3 days - tender - no systemic effects.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site warmth, Pruritus, Swelling
Clinical narrative: Pt c/o "severe swelling" from shoulder to elbow "severe itching" localized to arm, arm felt "very hot", redness. Tx benadryl, naprosyn (prn) Augmentin 75mg B ?, Darvocet 1-2 po Q 4-6 hrs. Pt states only took the Augmentin.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Tenderness
Clinical narrative: Healthy 20 y/o male 1 day after 2nd Anthrax shot got local swelling, redness (3-4") and mild pruritis & tenderness. No other symptoms exam local reaction.
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: Urticaria, treated with solumedrol and Prednisone, benadryl, Atarax.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Pruritus
Clinical narrative: All over pruritis L arm swelling. Treated w/50mg benadryl IM.
Age: 1.45
Sex: M
Vaccine: DTP, FLUX, IPV
Symptoms: Convulsion, Cough, Decreased appetite, Febrile convulsion, Pyrexia
Clinical narrative: Shots were given on Fri. 1/24/03 at 11am from Fri. into Sun my son started loosing his appetite. 1am Mon. morning he ran a high fever and started seizing and again at 9am. Medical records states cough, viral syndrome, rhinnitis, complex febrile seizure. msv
Age: 1.45
Sex: M
Vaccine: DTP, FLUX, IPV
Symptoms: Rhinitis, Viral infection
Clinical narrative: Shots were given on Fri. 1/24/03 at 11am from Fri. into Sun my son started loosing his appetite. 1am Mon. morning he ran a high fever and started seizing and again at 9am. Medical records states cough, viral syndrome, rhinnitis, complex febrile seizure. msv
Age: 3.0
Sex: M
Vaccine: FLU3, PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 15cm soft warm erythematous at L thigh at injection site. sent home for observation by mom. Tx with OTC benadryl or tylenol. Return if not resolved in 2-3 days or worsens.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Ear disorder, Headache, Hypoacusis, Pain, Tympanic membrane perforation
Clinical narrative: Pt started hurting after about 36 hrs. Every other day my arm, legs,head ached badly, my ears bled pt had difficulty hearing. Was seen by Dr pt Rt eardrum has a hole in it - now it is crusted with blood. Pt was Tx with antibiotics and drugs.
Age: 22.0
Sex: F
Vaccine: DT, HEPAB, PPV
Symptoms: Injection site pain, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Pt noticed arm stiffness in upper L arm upon awaking the morning after receiving vaccines. Pt called Dr's office on 2/5/03 and reports arm continues to be sore "into armpit" and stiff. She states the site of vaccines rec'd is warm to touch. She has taken Advil to treat symptoms. Pt states she (the form ends at this point no attachments)
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Contusion, Flank pain, Injection site warmth
Clinical narrative: both legs hurt, bruised. R thigh red hot, bruise size of quarter, hot to touch. Tylenol, ice to area, alcohol.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Injection site inflammation
Clinical narrative: Vaccines were given at 10:30 AM. Pt woke up from her nap at 2:30 crying. She cried for 2 hours. Rt leg at injection site inflamed. No fever. Tylenol was given. Pt slept for 1/2 hour and was then herself again.  Mom continued Tylenol every 4 hours overnight.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: On 1/30 Mother called Health Dept at 8:20 AM to report Barret's arm is swollen and hard about a hand's span out from site of shot. No other symptoms and child does not complain with arm. 1/31/03  contact with mother this PM. States child is fine-arm okay.
Sex: M
Vaccine: HBHEPB, IPV, MMR, VARCEL
Symptoms: Rash macular
Clinical narrative: Erythematous, macular papular lesions diffusely spread on trunk, face, arm and legs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 7 X 4 1/2 inch swollen area around injection site on rt thigh surrounded by erythema. Area was warm to touch.  Encouraged cold packs and Ibuprofen if needed.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Swelling in lt leg from hip to knee.  Measured 1" above lt knee = 29cm; 1" above rt knee = 26 1/2cm. Area red and tender to touch. Treatment: Keflex, warm compresses, Motrin.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction, Pallor, Pyrexia
Clinical narrative: Cellulitis to rt deltoid region measuring 3" X 2". Low grade temperature, Pale.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Received a MMR Vaccination around 11:30 AM on Monday 2/3/03. Broke out with hives on her body around 10:00PM Tuesday 2/4/03.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Marked swelling to lt thigh - injection site, within 4 hours. Pt in pain and discomfort, redness. Pt was examined in office. Advised Benadryl, Ibuprofen. Re-evaluated.
Age: 1.8
Sex: M
Vaccine: DTAP, IPV
Symptoms: Abasia, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: General edema, erythema at site, 3 X size of lt thigh. Pt unable to bear weight, firmness, heat (induration) intermittently X 3 days per moms report
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Injection site oedema, Injection site pain, Injection site reaction, Vasodilation procedure
Clinical narrative: Large redness area on right thigh where DTaP was given, mild tenderness, warm to touch, hard knot underneath.
Age: 25.0
Sex: F
Vaccine: HEP, TD
Symptoms: Face oedema, Rash
Clinical narrative: Rash to face & neck 1-2 hrs after administration of TD and Hep B. On 1/30/03 swelling to face, eyes, upper lip - went to ER.
Age: 10.0
Sex: F
Vaccine: DT, FLU3, IPV
Symptoms: Erythema
Clinical narrative: Minor erythema at both arms.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Child came into office on 2/6/03 and diagnosed w/a mild case of atypical varicella. Support care only for symptoms.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Face oedema, Oedema
Clinical narrative: Immediately after vaccines, right leg and face erythematous, sl. swollen. Resolved about 30 mins. after Benadryl.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dermatitis bullous, Skin ulcer
Clinical narrative: Several vesicular lesions on extremities. Abdomen and back. Tx - calamine/benadryl
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash - gradual onset after 1 wk.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Vasodilation procedure
Clinical narrative: Feeling of being flushed. Itching of forearm and ankle.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Hypertonia, Pain
Clinical narrative: PT received #1 Hep B vaccine at around 8:50 a.m. on 2/5/02, complained of muscle cramps, pressure on forehand at 10 a.m.
Age: 1.5
Sex: M
Vaccine: PNC
Symptoms: Injection site oedema, Vasodilation procedure
Clinical narrative: Left thigh (inject site) red & swollen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site mass
Clinical narrative: Knot in inject site - note: both vaccines were given in same site - left leg. PT was instructed to go to ER 2 days later when her mother reported the Rxn. Was in ER for 30 mins and released.
Age: 1.0
Sex: F
Vaccine: HBHEPB, VARCEL
Symptoms: Injection site vesicles, Rash erythematous
Clinical narrative: 2-3 blister type spots around injection site on RLT raised, look pimply red no oozing.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Loss of consciousness, Musculoskeletal stiffness, Urinary incontinence
Clinical narrative: Pt was sitting in waiting room chair talking to mother following vaccine administration; her head slumped onto chest her body went rigid then jerked several times and she lost bladder control. Taken to exam room and lay with cool compress on head. Examined by doctor condition had returned to normal, estimated duration Loc = <1min
Age: 1.25
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: L leg with redness, erythema, induration at injection site, warm to touch. Seen by Dr on 2/5/03. Afebrile. Tx ice as tolerated, Advil, call with fever or increased in size.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Erythema, Injection site mass
Clinical narrative: Varicella vaccine given 1/23/03. 3 days later, hard lump noted in L leg. This became increasingly redder over next week. Plan warm soaks.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site warmth, Skin ulcer
Clinical narrative: 48 hrs post vaccination large area of erythema and excessive warmth in upper R leg. Punctuate lesion in center of this area presumed to be injection site. Tx: Augmentin 600mg BID X 10 Days.
Age: 0.75
Sex: F
Vaccine: HEP, IPV, PNC
Symptoms: Infection, Injection site erythema, Injection site warmth, Pyrexia, Skin ulcer
Clinical narrative: Round punctuate lesion, presumed to be injection site on upper R thigh, area of erythema about 1cm with excessive warmth. Fever 103.2. Dx tiny area of infection in thigh. Tx Augmentin 600 1/2tsp BID X 10 Day.
Age: 18.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling
Clinical narrative: Soreness L arm with numbness/paresthesias L arm, mild swelling L arm. Tx: observation, Motrin prn.
Age: 19.0
Sex: F
Vaccine: TD
Symptoms: Disorientation, Pruritus, Swelling
Clinical narrative: disorientation lasting 2-3 hrs followed by facial, tongue swelling and pruritus several hrs later for which pt did not return or seek care, no respcompromise.
Age: 0.3
Sex: M
Vaccine: DT, HEP, HIBV, IPV
Symptoms: Cyanosis, Gastrooesophageal reflux disease, Obstructive airways disorder
Clinical narrative: Pt had episode upper airway obstruction and cyanosis 2nd day after immunizations. Extensive work up revealed severe GERD and pt placed on monitor and Prevacid and did well.
Age: 1.2
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Acne, Skin ulcer
Clinical narrative: Few pimple like lesions around immunization site (lat) noted 1/29/03.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Amnesia, Asthenia, Fatigue, Monocytosis, Oedema
Clinical narrative: Developed mono Dec. 01. Relapsed January & February - symptoms worsened to Chronic Fatigue. Unable to attend school. He was totally exhausted all the time, poor concentration, memory prob. After seeing several MD's, PT and mother tried many things. Through all this, PT's tonsils were enlarged and sore. PT & mother had scheduled a tonsillectomy when PT's mom heard about another treatment. PT had Quantum Xeroid testing, and after a total detox program/diet change, he is now back in school half days. No tonsillectomy!
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Pain, Thinking abnormal
Clinical narrative: Developed mono Dec. 01. Relapsed January & February - symptoms worsened to Chronic Fatigue. Unable to attend school. He was totally exhausted all the time, poor concentration, memory prob. After seeing several MD's, PT and mother tried many things. Through all this, PT's tonsils were enlarged and sore. PT & mother had scheduled a tonsillectomy when PT's mom heard about another treatment. PT had Quantum Xeroid testing, and after a total detox program/diet change, he is now back in school half days. No tonsillectomy!
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Chicken pox rash started 2/4/03 - woke up with them all over body. Benadryl prn
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Hypotonia, Screaming, Stupor
Clinical narrative: Mom stated she cried immediately after shots, then "collapsed" - very sleepy and unresponsive ?? awake later, cried inconsolably for 4-5 hrs. Then limp again. Poor eye contact for 3 days. Right eye deviated in > 48 hrs.
Age: 1.25
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Agitation, Injection site mass, Injection site oedema, Urticaria, Vasodilation procedure
Clinical narrative: Initially site swollen w/a redness around site. Hard to touch. After about 15 hrs, site swollen 2x other leg and red from groin to knee with some hives. This lasted approximately 36 hrs until site went back to slightly swollen and hard. Infant was in no pain or distress. Cried occasionally first night. Benadryl given during course.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site mass, Pruritus
Clinical narrative: Light erythematous and slightly indurated area about 8 cm diameter at right deltoid area around inject site - no pain but ?? itching ???, no systemic symptom / sign.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Gaze palsy, Stupor, Tremor
Clinical narrative: Per parents, PT was "shaking in the morning of 1/28/03 for a few seconds then had a blank stare." Mom states legs were shaking only dad unsure "lasted only seconds until eyes rolled back."
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Dermatitis bullous
Clinical narrative: PT to MD office for c/o prolonged cough. MD RX antibiotic amoxil & Nasonex, Sudafed for r/o nasal/sinus infection. Ordered chickenpox vaccine at this visit. PT came down with full blown chicken pox blisters on trunk, head, face, genitalia - 8 days later. Verified by MD visit Nov. 02. > 102 deg F x 2-3 days in afternoon - eve.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Pyrexia, Screaming
Clinical narrative: Mom states fever up to 102 deg F w/crying, fussiness on/off all the evening of vaccine administration and the next day.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Anorexia, Hypotonia, Somnolence
Clinical narrative: PT presents 4 days after immunization w/onset of poor appetite, poor feedings, "fussiness since shots" per mom. She subsequently developed excess secretions (URI?), hypotonia, weak cry, lethargy, poor suck. Hospitalized 1/13/03 infections, neurologic, metabolic work up negative.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Asthenia, Decreased appetite, Hypotonia, Irritability
Clinical narrative: PT presents 4 days after immunization w/onset of poor appetite, poor feedings, "fussiness since shots" per mom. She subsequently developed excess secretions (URI?), hypotonia, weak cry, lethargy, poor suck. Hospitalized 1/13/03 infections, neurologic, metabolic work up negative.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC
Symptoms: Lethargy, Respiratory disorder
Clinical narrative: PT presents 4 days after immunization w/onset of poor appetite, poor feedings, "fussiness since shots" per mom. She subsequently developed excess secretions (URI?), hypotonia, weak cry, lethargy, poor suck. Hospitalized 1/13/03 infections, neurologic, metabolic work up negative.
Age: 34.0
Sex: F
Vaccine: TD
Symptoms: Injection site oedema, Vasodilation procedure
Clinical narrative: 2/5/03 - local swelling to arm and redness. Remained swollen - with gradual decrease in edema and redness - left arm. 2/11/03 slight edema and slight redness to local area left arm.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP
Symptoms: Autism, Rash
Clinical narrative: Info. has been received from a registered nurse concerning a 6 mts old male with a "casien" allergy, eggs allergy and gluten allergy and a history of transient synovitis in March 01, and hospitalization for pneumonia in April 01. On 10/8/97 and on 3/13/98 the PT received a first (lot #624497/0923E) and second dose (lot #625399/1447E) of Hep B vaccine recombinant (yeast). Concomitant therapy on 3/13/98 included a dose of alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus vaccine toxoid (Tripedia). Other concomitant therapy included cetirizine hydrochloride (ZYRTEC) prn. Subsequent to the vaccinations on 3/13/98 the PT developed a rash, 12 days duration. It was also reported that on 11/7/97 the PT was vaccinated with HIB conjugate vaccine (MSD) (lot #623260/0445E). On 1/13/98 the PT was vaccinated w/HIB conjugate vaccine (MSD) (lot# 624924/1112E), alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid. On 10/8/98 the PT was vaccinated w/varicella virus vaccine live (lot #628027/1257H). It was also reported that on 12/18/98 the PT was vaccinated with measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live (second generation) (MSD) (lot #628905/1362H) (diluent #629037/1521H). In June 99, the PT was diagnosed w/pervasive developmental disorder, autism (WAES #01110497). The PT was being followed by an MD at the time of this report. Add'l info has been requested.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Neurodevelopmental disorder, Pyrexia, Rash
Clinical narrative: Info. has been received from a registered nurse concerning a 4 mt old male w/a "casien" allergy, eggs allergy and gluten allergy and a history of transient synovitis in March 01, and hospitalization for pneumonia in April 01. On 11/7/97 and on 1/13/98 the PT was vaccinated with the first (lot #623260/0445E) and 2nd (lot # 624924/1112E) dose of HIB conjugate vaccine (MSD) (lot #623260/0445E). Concomitant therapy on 1/13/98 included alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (TRIPEDIA) and poliovirus vaccine inactivated (IPOL). Other concomitant therapy included cetirizine hydrochloride (ZYRTEC) prn. Subsequent to the vaccinations on 1/13/98 the mother reported that the PT developed a rash and fever (101 F). It was also reported that on 10/8/97 and on 3/13/98 the PT received a first (lot #624497/0923E) and 2nd dose (lot #625399/1447E) of Hep B vaccine recombinant (yeast). Concomitant therapy on 3/13/98 included a dose of alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid (TRIPEDIA). Subsequent to the vaccinations on 3/13/98 the PT developed a rash, 13 days duration. The registered nurse reported that both fever and rash were thought to be related to a probable reaction to therapy with alum, potassium (+) diphtheria toxoid (+) pertussis vaccine (+) tetanus toxoid. On 10/8/98 the PT was vaccinated with varicella virus vaccine live (lot #628027/1257H). It was also reported that on 12/18/98 the PT was vaccinated with measles virus vaccine live (+) mumps virus vaccine live (_) rubella virus vaccine live (2nd generation) (MSD) (lot #628905/1362H) (diluent # 629037/1521H). In June 99, the PT was diagnosed with pervasive developmental disorder, autism (WAES #01110497). The PT was being followed by an MD at the time of this report. Add'l info. has been requested.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swollen extremity with erythema and indurtion.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Unintended pregnancy
Clinical narrative: Pt pregnant (became pregnant after smallpox vaccine was administered)
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: 8 days post vaccination, pt showing signs of spread of vaccinia anteriorly and inferiorly to vaccination site, and to dorsum of forearm LUE. 2 sattelite lesions total.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Dizziness, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: 48 hours after shot developed high fever, dizziness, chills, sweats, body aches,
Age: 34.0
Sex: F
Vaccine: SMALL
Symptoms: Body temperature increased
Clinical narrative: Smallpox vaccination given 2/11/03. PT developed temp about 1 hr. post vaccination (tactile). Had a recorded temp of 101.8 at 4 p.m. Took 2 doses of Tylenol and temp resolved by 3 a.m. No other Symptoms. Now feeling well.
Age: 43.0
Sex: M
Vaccine: SMALL
Symptoms: Body temperature increased, Upper respiratory tract infection
Clinical narrative: Smallpox vaccination given 2/11/03. PT developed temp of 100.7 p.m. at 2/11/03. PT complained of URI symptoms. Vaccination site checked - no redness, swelling or signs of infection.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Hypokinesia, Lymphadenopathy, Oedema, Pain
Clinical narrative: Cellulitis and lymphoginitis, redness, swelling, streaking to lymph node, enlarged lymph node, pain with movement.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Vasodilation procedure
Clinical narrative: Cellulitis and lymphoginitis, redness, swelling, streaking to lymph node, enlarged lymph node, pain with movement.
Age: 47.0
Sex: M
Vaccine: SMALL
Symptoms: Eye irritation, Keratitis, Skin ulcer
Clinical narrative: The patient was first seen at the clinic on Friday, 24 Jan 2003. At that time he had red eye OS onset 9 days after small pox vaccination. On exam, he had multiple, elongated oval infiltrates located in the anterior-to-mid stroma at the limbus inferonasally OS, similar to what might be seen with staph hypersensitivity. Although there was nasal conjunctival and circumlimbal injection, there were no lid or conj lesions such as vesicles or pustules, no epithelial keratitis, and no iritis. OD was uninvolved. Because of the timeframe of the onset of his symptoms, the patient was started on Viroptic for possible vaccinia keratitis and followed in 72 hours. On Monday 27 Jan. the inferonasal lesions were resolving, but he had new lesions temporally. The new lesions were similar to the first presentation, but located more anteriorly in the stroma. Again, there were no vesicles, pustules, and the epithelium was intact. The patient was continued Viroptic OS. On 30 Jan, the corneal lesions were largely resolved OS, though the conjunctive remained mildly-to-moderately injected (possibly as a result of the Viroptic). However, he now noted on awakening that he had redness and irritation of OD. On exam, he had several small pustular lesions at the inferior and nasal limbus. The stroma underlying the pustular lesions was clear, but he had anterior stromal infiltrates at the temporal limbus that were similar in appearance to those seen OS. As with the OS, there were no lid lesions, and no conjunctival lesions except focal injection nasally.  2 of the lesions were unroofed and specimens were sent for viral culture and PCR for vaccinia virus. The patient was continued Viroptic OS, and started it OD as well, for probable vaccinia keratitis.  The patients eye redness and corneal lesions resolved with Viroptic treatment.  The viral and PCR studies were negative for evidence of Vaccinia virus. He completed 2 weeks of Viroptic in the left eye (OS) and is clinically resolved. He is finishing his second week of Viroptic in the right eye (OD) and the corneal lesions have resolved. He has some minor redness of the conjunctiva, which is most likely due to the antiviral medication. Ophthalmology expects this to resolve once he is off all medications, and for him to make a full recovery without significant sequellae.
Age: 47.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Cellulitis
Clinical narrative: Cellulitis of vaccinated arm < 24hrs after vaccination.
Age: 47.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Cellulitis, Erythema, Headache, Hypoaesthesia, Oedema
Clinical narrative: Cellulitis of vaccinated arm < 24hrs after vaccination.
Age: 47.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pain
Clinical narrative: Cellulitis of vaccinated arm < 24hrs after vaccination.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Red rash noted on neck. No symptoms associated with rash. Digital photos taken. PT unsure if rash present before vaccination.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: HEPATITIS B ADMINISTERED 0N 10/31/02. HIVES/URTICARIA NOTED. MORE SEVERE BY 11/3 AND PROMPTED AN ED VISIT.
Age: 27.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Cow pox, Rash pruritic
Clinical narrative: I received the smallpox vaccine on 23 Jan 03.  This was a primary vaccination for smallpox.  The site followed the normal stages that have been outlined by the CDC. On or about 6 Feb I noticed that I was having increased itching.  Over the past few weeks I had some increased itching but attributed it to the winter weather and dry skin.  On this day I looked closer at the areas that were itching and noticed several raised red bumps.  These bumps were on my inner legs and under my arms.  About a day after noticing these bumps some actually started to look like the what ringworm looks like. This resembled the generalized vaccinia the most.  I reported to the physicians and was told to take Benadryl and was prescribed Atarax for the itching.  It has been about six days since first noticing the bumps and the original bumps appear to be getting better.  There have been other bumps that have developed on other areas of my body (lower legs, arms).  The itching has subsided in the original areas but as new bumps appear they do itch quite a lot.
Age: 27.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: I received the smallpox vaccine on 23 Jan 03.  This was a primary vaccination for smallpox.  The site followed the normal stages that have been outlined by the CDC. On or about 6 Feb I noticed that I was having increased itching.  Over the past few weeks I had some increased itching but attributed it to the winter weather and dry skin.  On this day I looked closer at the areas that were itching and noticed several raised red bumps.  These bumps were on my inner legs and under my arms.  About a day after noticing these bumps some actually started to look like the what ringworm looks like. This resembled the generalized vaccinia the most.  I reported to the physicians and was told to take Benadryl and was prescribed Atarax for the itching.  It has been about six days since first noticing the bumps and the original bumps appear to be getting better.  There have been other bumps that have developed on other areas of my body (lower legs, arms).  The itching has subsided in the original areas but as new bumps appear they do itch quite a lot.
Age: 17.0
Sex: F
Vaccine: TD
Symptoms: Hypertrophy breast, Oedema, Pain
Clinical narrative: Vaccine was given in left arm. Slight fever within 12 hrs, lasted few hrs. 36 hrs after vaccination, right breast swelled by 50 - 100%, area below breast swollen also; lymph nodes in right armpit and neck sensitive. Swelling / pain lasted about 7 hrs, subsides to normal few hrs afterwards.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Sudden infant death syndrome.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis
Clinical narrative: It was reported that a 33 year old female pt received TD ADS ADULT, lot number U0817AA, given IM in the left deltoid and DEPO PROVERA, given IM in the left deltoid on 1/30/03. The vaccinations were given approximately one inch apart. On 2/1/03, pt went to the hospital ER, where they treated her with IV antibiotics. On 2/2/03, pt went to another ER where she was admitted. It was reported that the pt is still there. Pt is said to have cellulitis. It is unknown if pt recovered. Pt had no illness at the time of vaccination. Reported on 02/20/2003: "From follow-up #1 received on 02/06/2003, it was reported that the patient developed "cellulitis of arm" after the Tetanus and Depo-Provera (lot number JP1204) injection.  No additional information was provided.  Follow up on 07/07/2003: "From additional information received on 06/25/2003 from the reporter, it was stated that there is no new medical information.  The "patient returned to her previous clinic and has not been back since.  We did not receive the hospital discharge summary on this patient".  No further information is anticipated, this case is considered closed."  Follow up on 12/05/03: "From follow up #1 received on 02/06/03, it was reported that the pt developed "cellulitis of arm" after the Tetanus and Depo-Provara (Lot # JF1204) injection. No additional information was provided."
Age: 34.0
Sex: M
Vaccine: DT, FLUX, HEPA, IPV
Symptoms: Laboratory test abnormal, Rash, Stevens-Johnson syndrome
Clinical narrative: Steven Johnson syndrome x 2 wks-inpt tx required. Discharge summary states rash.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: 22 year old male report with reaction to Anthrax Vaccine to lt arm extending down to elbow.  Erythema, itchiness and swelling.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: 40 year old male with local reaction to Anthrax. Swelling, itchiness, redness from site extending past elbow of lt arm.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Redness, itching sensation and swelling down lt arm to elbow. Minimal redness and swelling.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Fatigue, Myalgia, Nausea, Vomiting
Clinical narrative: The night after patient received 1st Anthrax Vaccine, experienced nausea with 15 episodes of vomiting, with associated generalized myalgia, fatigue and chills.
Sex: U
Vaccine: ANTH
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Dizziness, SOB.  Vitals all stable.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema, Vasodilation procedure
Clinical narrative: Large _ in left deltoid, moderate warmth to touch. Swelling down to elbow top.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Cachexia, Injection site erythema, Injection site reaction, Pruritus
Clinical narrative: PT with local reaction to Anthrax. 4" area of erythema with warmth and itching.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash on face & arms & genital area. Felt "sun bound", itchy - hive like. Consult w/MD given Prednisone & Benadryl.
Age: 22.0
Sex: M
Vaccine: FLU3, HEPA, JEV, TYP
Symptoms: Pallor, Syncope
Clinical narrative: After receiving immunizations, PT went pale and passed out in chair, corpsman providing care helped PT to floor. PT recovered shortly after. PT was monitored VS and 2kg. Was released after about 30 mins.
Age: 1.0
Sex: M
Vaccine: HBHEPB, IPV, MMR
Symptoms: Body temperature increased, Pyrexia, Rash, Vasodilation procedure
Clinical narrative: Child received 12 mo immunization on 1/27/03: #31PV, #1MMR< #3 Comvax. Mom repeats increase in temp 102.5 and "red, dry skin rash on his stomach" on 1/28/02. Temp today dropped from 104 to 102. Referred to MD. 1/30 - called mom states she called MD 1/29 instructed her to treat child with Tylenol and Motrin. Was afebrile all day 1/29 but reports fever increased to 102.7 during night. Referred to MD again.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: Rash around eyes and forehand. Erythematous papular rash to thighs bilaterally. (2/5/02 AM)
Age: 3.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Started with blister top of head and eye, next day broke out all over. Aveno baths, Benadryl prn.
Age: 0.2
Sex: M
Vaccine: DTAP
Symptoms: Agitation
Clinical narrative: PT became very fussy for over 3 hrs. Went to ER. Will no longer get DTaP - only DT.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema, Vasodilation procedure
Clinical narrative: Inject site red, swollen, warm to touch. Tx: cold compress, Rx for Keflex given.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia
Clinical narrative: Tingling in lips, and upper extremities, resp 36050/min, Epipen left thigh - monitored X 30 mins (180182) pre vaccine 118/70, 02 Sat > 97. No oxygen given. Zyrxets 10 mg 1x / day for 1-2 days.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Erythema multiforme
Clinical narrative: 4 days after receiving vaccine PT developed erythema multiform
Age: 50.0
Sex: M
Vaccine: TD
Symptoms: Balance disorder, Dizziness, Headache, Hypoaesthesia, Musculoskeletal stiffness
Clinical narrative: Reactions created stiffness in neck, no balance, vertigo, dizziness, tingling/numbness in both left and right hand and both feet. Headaches, blurry vision and extreme increased dizziness when laying down. Extreme no balance, frequent urination. Was given the same shot in March 1991. Same symptoms occurred and continued for a 10 year period.
Age: 50.0
Sex: M
Vaccine: TD
Symptoms: Paraesthesia, Pollakiuria, Vertigo, Vision blurred
Clinical narrative: Reactions created stiffness in neck, no balance, vertigo, dizziness, tingling/numbness in both left and right hand and both feet. Headaches, blurry vision and extreme increased dizziness when laying down. Extreme no balance, frequent urination. Was given the same shot in March 1991. Same symptoms occurred and continued for a 10 year period.
Age: 24.0
Sex: U
Vaccine: HEP
Symptoms: Amnesia, Fatigue, Headache, Injection site pain, Speech disorder
Clinical narrative: Severe fatigue, slowed speech. Memory loss or distortion. Severe pain of the sight. Headaches.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site mass, Injection site reaction, Vasodilation procedure
Clinical narrative: Shot given on 2/10/03. Parents noticed evening of 2/11 that there was 1 inch red area around site of shot; feels slightly warm with hard knot.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Headache, Malaise, Nausea, Oedema
Clinical narrative: Whole arm swollen down to finger malaise/nausea on whole right side of body - headache. Naprosen/Vicoden
Age: 34.0
Sex: F
Vaccine: MEN, SMALL, YF
Symptoms: Disturbance in attention, Headache, Memory impairment, Myalgia, Nausea
Clinical narrative: I was vaccinated for Smallpox on Feb 2, 2003.  On Feb 3rd, I developed a lesion about the size of a quarter under my left arm (injection arm).  The lesion was approximate size of a nickle and was oval in shape with a dry feel to it.  Resembles ringworm.  In the following days, more lesions appeared away from vaccination site, predominately under arm, on chest, abdomin, under arms and neck.  Other symptoms include ongoing headaches, muscle aches and pains, itching, painful lymphnodes bilateral, diminshed mental alertness with forgetfulness, nausea.
Age: 34.0
Sex: F
Vaccine: MEN, SMALL, YF
Symptoms: Pain, Pruritus, Skin disorder, Skin ulcer
Clinical narrative: I was vaccinated for Smallpox on Feb 2, 2003.  On Feb 3rd, I developed a lesion about the size of a quarter under my left arm (injection arm).  The lesion was approximate size of a nickle and was oval in shape with a dry feel to it.  Resembles ringworm.  In the following days, more lesions appeared away from vaccination site, predominately under arm, on chest, abdomin, under arms and neck.  Other symptoms include ongoing headaches, muscle aches and pains, itching, painful lymphnodes bilateral, diminshed mental alertness with forgetfulness, nausea.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Oedema, Pruritus
Clinical narrative: The arm that had the shot swelled up from the shoulder to the tip of the fingers. It got really hot, red and itchy. The whole arm was very hard and twice the size of normal size. This happened with the first shot as well but not as severe.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymphadenitis, Oedema, Pain
Clinical narrative: Edema, erythema, pain at sight, along with lymphadenitis, streaking into left axilla.  Vaccination on 04 Feb with smallpox vax with normal course up to day 10.  Keflex 250mg every 6 hours x 7 days
Age: 32.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Injection site erythema, Injection site mass, Myalgia, Pruritus, Pyrexia
Clinical narrative: Local erythema, induration, itching, myalgias, fever. Follow up states missing lot numbers are unavailable.
Age: 3.0
Sex: F
Vaccine: DT, HBHEPB, IPV
Symptoms: Injection site reaction, Pyrexia
Clinical narrative: developed localized skin reaction rt. upper extremity with small aaxillary nodes, low grade fever
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling hot, Injection site reaction, Oedema, Pruritus
Clinical narrative: PT had a local reation that spread across the Tricep of the course or 24hrs and covered the greater area of the bicep. Spreading down to the Forearm. Symptoms to include: Redness, swelling, warm accompanied with itching sensation.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Blister, Rash
Clinical narrative: Patient HAS PRESENTED WITH BODY RASH, WITH SOME BLISTERS ON THE FACE, 5 DAYS AFTER THE THIRD DOSE WAS ADMINISTERED. Patient CAME TO MEDICAL Clinic TODAY, STATES HE HAS NOT BEEN TO THE HOSPITAL AND DOES NOT HAVE A PHYSICIAN. THIS Patient DOES NOT EXHIBIT ANY SIGNS OF RESPRITORY DISTRESSAT THIS TIME, AnD DENIES ANY PRIOR THIS INTERVIEW.
Age: 5.0
Sex: F
Vaccine: DT, HEP, IPV
Symptoms: Injection site reaction, Pain, Pyrexia
Clinical narrative: developed localized skin reaction rt. upper extremity with small axillary nodes, low grade fever, pain at site,
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Chills, Erythema, Headache, Injection site oedema
Clinical narrative: Patient recieved the vaccine on 29 Jan 03. On 06 Feb 03 he presented in the local ER with complaints of headache, nausea, fever, chills and reddness and swelling around the vaccination site. He was diagnosed with cellulitis and released.  He returned on Monday 10 feb 03, with worsening edema and erythema, that was now spreading down his lt arm.  He was admitted to the hospital for IV antibiotics. He did well and was released two days later, much improved.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Nausea, Pyrexia
Clinical narrative: Patient recieved the vaccine on 29 Jan 03. On 06 Feb 03 he presented in the local ER with complaints of headache, nausea, fever, chills and reddness and swelling around the vaccination site. He was diagnosed with cellulitis and released.  He returned on Monday 10 feb 03, with worsening edema and erythema, that was now spreading down his lt arm.  He was admitted to the hospital for IV antibiotics. He did well and was released two days later, much improved.
Age: 61.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Hypokinesia, Myalgia, Pain
Clinical narrative: Extreme soreness and loss use of arm 5/1/01 - 5/9/01. Extreme soreness continued; saw MD on 5/14/01 who administered Keflex and recommended Zyrtec which patient tried for 1 day but stopped because it made her "too dry". Per hx: has dry mouth, dizziness and ringing in ear with frequent "charly horse" muscle cramps for several years. No diagnosis, and history of hypothyroidism; still sore 5/18/01.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from an office worker concerning a 65 year old female patient with no known allergies and a past medical history of allergic rhinitis and abdominal disorder who on 11/12/02 at 10:30 was vaccinated with a fifth dose of pneumococcal vaccine 23 polyvalent (lot # 641532/1353L) in the right deltoid. It was noted that the patient was well at the time of vaccination. Concomitant therapy included fexofenadine, estrogens, medroyprogesterone acetate and calcium. On 11/12/02 one hour after the vaccination the patient developed redness and swelling in the arm the vaccine was administered and the arm was painful and warm to the touch. The patient sought unspecified medical attention. Follow up information received from the office worker indicated that this was the first dose of pneumococcal vaccine 23 polyvalent that the patient received in this office. The reporter also indicated that the patient developed a local reaction within a few hours after the injection consisting of a large area of swelling and induration. The patient was admitted to the hospital for 4 days (also reported as 1 day) from 11/12/02 until 11/16/02. The patient was discharged on 11/16/02 with a diagnosis of soft tissue swelling of the right arm. While hospitalized it was reported that the patient had consults with an ID specialist and an allergist. Laboratory tests included a white blood cell count of 12.7 and a x-ray of the right arm that showed no SC air. The patient followed up in the office on 11/18/02 and that time the patient's tenderness was better but some induration was still present. IT was reported that the patient was still being followed. Additional information has been requested.  A 15-day follow up report received 03/20/2003 adds: Additional info received from the office worker indicates as of 12/18/2002, at the time of an office visit, the pt had complete resolution of the local reactin to the right arm. Additional info is not expected.