chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.3
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: R anterior thigh 4x 5 redness & 3 x 4 cm induration
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site pain
Clinical narrative: Pt came to receive PNEUMOVAX vaccine. Vac given in lt. deltoid. Went to ER 3 days later with cellulitis in lt. upper arm. Given antibiotics and told to use warm compresses.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal distension, Activities of daily living impaired, Allergy test negative, Anaphylactic reaction, Blood test normal
Clinical narrative: Pt vaccinated in clinic. No immediate symptoms, signs of AE. Pts mother called clinic 9/23/09 to request records of injections, lot number & GARDASIL injections and lot numbers due to daughter having "serious health problems, that doctors think may be related to the vaccines.  Pt has been seen at clinic and a school for neurological problems and pt is also seeing an allergist.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chest discomfort, Computerised tomogram normal, Condition aggravated, Dizziness, Dysgeusia
Clinical narrative: Pt vaccinated in clinic. No immediate symptoms, signs of AE. Pts mother called clinic 9/23/09 to request records of injections, lot number & GARDASIL injections and lot numbers due to daughter having "serious health problems, that doctors think may be related to the vaccines.  Pt has been seen at clinic and a school for neurological problems and pt is also seeing an allergist.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fatigue, Feeling abnormal, Food allergy, Food intolerance, Glossodynia
Clinical narrative: Pt vaccinated in clinic. No immediate symptoms, signs of AE. Pts mother called clinic 9/23/09 to request records of injections, lot number & GARDASIL injections and lot numbers due to daughter having "serious health problems, that doctors think may be related to the vaccines.  Pt has been seen at clinic and a school for neurological problems and pt is also seeing an allergist.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site pain, Lymphadenopathy, Menstruation irregular, Muscular weakness, Nuclear magnetic resonance imaging normal
Clinical narrative: Pt vaccinated in clinic. No immediate symptoms, signs of AE. Pts mother called clinic 9/23/09 to request records of injections, lot number & GARDASIL injections and lot numbers due to daughter having "serious health problems, that doctors think may be related to the vaccines.  Pt has been seen at clinic and a school for neurological problems and pt is also seeing an allergist.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Oedema peripheral, Pain in extremity, Palpitations, Rash, Respiratory distress
Clinical narrative: Pt vaccinated in clinic. No immediate symptoms, signs of AE. Pts mother called clinic 9/23/09 to request records of injections, lot number & GARDASIL injections and lot numbers due to daughter having "serious health problems, that doctors think may be related to the vaccines.  Pt has been seen at clinic and a school for neurological problems and pt is also seeing an allergist.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Sensation of heaviness, Skin disorder, Sleep disorder, Swollen tongue, Tonsillar hypertrophy
Clinical narrative: Pt vaccinated in clinic. No immediate symptoms, signs of AE. Pts mother called clinic 9/23/09 to request records of injections, lot number & GARDASIL injections and lot numbers due to daughter having "serious health problems, that doctors think may be related to the vaccines.  Pt has been seen at clinic and a school for neurological problems and pt is also seeing an allergist.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Tooth discolouration, Urticaria, Weight fluctuation
Clinical narrative: Pt vaccinated in clinic. No immediate symptoms, signs of AE. Pts mother called clinic 9/23/09 to request records of injections, lot number & GARDASIL injections and lot numbers due to daughter having "serious health problems, that doctors think may be related to the vaccines.  Pt has been seen at clinic and a school for neurological problems and pt is also seeing an allergist.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: General physical health deterioration, Hypersensitivity, Neurological symptom
Clinical narrative: Pt vaccinated in clinic. No immediate symptoms, signs of AE. Pts mother called clinic 9/23/09 to request records of injections, lot number & GARDASIL injections and lot numbers due to daughter having "serious health problems, that doctors think may be related to the vaccines.  Pt has been seen at clinic and a school for neurological problems and pt is also seeing an allergist.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Paraesthesia, Syncope
Clinical narrative: AFTER OVER 5 MINUTES FROM GETTING THE FLU SHOT,PER PATIENT, SHE EXPERIENCED DIZZINESS,FAINTING IN THE BEGINNING THEN SHE MENTIONED SHE FELT TINGLING ON HER TOES & FINGERS.SHE ALSO FELT NAUSEATED LATER ON.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Oedema peripheral, Pruritus, Rash
Clinical narrative: Employee described itching @ site within few minutes of injection, redness @ site, extending to arm and L ear. She took her own prescriptions for Benadryl, Prednisone and advil. Went to bed. Woke up with rash/hives in patches on her body; back, tummy, chest, legs, arms. She took benadryl, prednisone & Zyrtec. Next day she had no rash, but still had itching. Took benadryl. She went to work and at the end of her shift, her hands were itching and beginning to swell. Took Benadryl again. Today 9.25, she reports no itching, no rash, no symptoms.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Employee described itching @ site within few minutes of injection, redness @ site, extending to arm and L ear. She took her own prescriptions for Benadryl, Prednisone and advil. Went to bed. Woke up with rash/hives in patches on her body; back, tummy, chest, legs, arms. She took benadryl, prednisone & Zyrtec. Next day she had no rash, but still had itching. Took benadryl. She went to work and at the end of her shift, her hands were itching and beginning to swell. Took Benadryl again. Today 9.25, she reports no itching, no rash, no symptoms.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling abnormal, Mass, Oedema peripheral, Pain
Clinical narrative: Pt received pnuemococcal 23-valent vaccine at 1800 on 10/1/09 to the right upper posterior arm. Vaccine info includes: Merck & Co, INC., Lot 0507Y, expiration 07/22/10, 0.5 ml sub-q. At 2330 on 10/1/09 pt c/o feeling an "egg" on his arm when he tried to lay on his right side. Palpation to area revealed a cherry tomato sized round lump that caused discomfort but no pain to pt. Area was not erythematous or warm to touch. Spoke with pharmacist regarding reaction as an email had been sent to nursing staff on 9/17/09 regarding potential issues with Pneumovax vaccines. Pharmacist advised to apply ice to area. If no relief or worseneing of symptoms she advised to contact MD regarding findings. Ice applied and pt slept for 3. hours without incident. Pt was awoken at 0330 for bloodwork and upon reassessment of area it was found that the area had grown in size to the size of a large plum. Area was now painful at 6/10; still no redness or erythema noted. Pt given 20 mg roxicodone and MD contacted. Obtained order to administer 25 mg Benadryl now, and another 25 mg if no response in an hour. Benadryl 25-50 mg was also ordered q4-6 prn. Benadryl given at 0500 and pt now resting comfortable. Pt reports a decrease in pain to 4/10 after administration of pain medication. After one hour site is still swollen but less firm. Second dose of 25 mg Benadryl given po at 0630.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash macular
Clinical narrative: Patient presented roughly 25 minutes after receiving vaccine with itching of face and a blotch below right eye. Pt was given 2 25 mg Diphenhydramine tabs and had no further complaints.
Age: 0.79
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Cheilitis, Erythema, Oxygen saturation, Rash papular
Clinical narrative: Small raised red bumps left cheek & right corner of mouth, also one bump rt thigh. Temp 100.4 02 Sat 98%.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: Approximately one hour after shot, felt soreness in arm where injection given. Subsequently the same day felt aching in muscles in arms, shoulders and hips on both sides. Aching persisted, 3 weeks, but is resolved now except in left shoulder and left hip.
Age: 15.0
Sex: M
Vaccine: FLUN3, HEPA
Symptoms: Abnormal behaviour, Asthenia, Dizziness, Drug screen negative, Fatigue
Clinical narrative: Approx. 1 1/2-2 hrs. after FLUMIST, HAVRIX #2, dizzy, heart pounding, tired, weak, acted weird, moving slow, speech slow. Patient went to emergency room-no treatment.
Age: 15.0
Sex: M
Vaccine: FLUN3, HEPA
Symptoms: Hypokinesia, Palpitations, Speech disorder
Clinical narrative: Approx. 1 1/2-2 hrs. after FLUMIST, HAVRIX #2, dizzy, heart pounding, tired, weak, acted weird, moving slow, speech slow. Patient went to emergency room-no treatment.
Sex: U
Vaccine: FLU3
Symptoms: Chest pain, Erythema, Feeling hot, Hot flush, Hyperhidrosis
Clinical narrative: Redness, hot, hot flashes. L upper arm redness, swelling, pain. R ant chest with pain-hot flash, diaphoresis.
Sex: U
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Redness, hot, hot flashes. L upper arm redness, swelling, pain. R ant chest with pain-hot flash, diaphoresis.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: 8 x 10 cm erythematous welt at injection site-started within 24 hrs and progressed.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Pt. c/o nausea/vomiting with fever for approx 24 hours.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: Within approx 25 minutes after FLUZONE, felt a seering hot pain down left arm for a second and went away. Then went to office, noticed left great thumb swelling within 1 1/2 hours. 24 hrs. later, still the same size. Has used ice.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Eye swelling, Throat tightness
Clinical narrative: Pt dev sl.  L periorbital swelling, dizziness and some tightness in throat, about 20 mins after she read the latex free preservative free Influenza (seasonal) vaccine.  her symptoms were resolved after she took BENADRYL 25mg and later CETRIZINE 10mg. She was observed for one hour with meds without event. She declined BENADRYL 50mg. But will take 25mg 48 hrs.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: Patient complained of headache after a few minutes of FLUVIRIN vaccine. Called pat later time to follow up, per pat still has HA. Informed pat. to contact MD of headache, per MD service.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity
Clinical narrative: Per ER; allergic rxn - probably to flu shot.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Oropharyngeal pain, Pyrexia, Tremor
Clinical narrative: sore throat following shot. by evening shaking, chills, temp 102.5, fever still next am. Started on TAMIFLU 10/1/09
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Injection site pain, Injection site swelling, Local swelling
Clinical narrative: Rec'd flu and pneumonia shot on 9/28/09. In PM had increased pain and swelling in L arm flu shot given (double in size down to wrist). L side neck swollen & SOB. Called ER - took BENADRYL. Called doc and PCP. Hx anaphylaxis in past form medicine.
Age: 74.0
Sex: F
Vaccine: FLU3, PNC, TD
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site on both arms R > L Patient reports similar reaction to penicillin injections.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial palsy, Lacrimation increased
Clinical narrative: About 6 weeks after getting ZOSTAVAX, pt came to pharmacy to fill a prescription for symptoms of Bell's Palsy. Said she had tearing of R eye and drooping eyelid. She had been diagnosed at her eye dr. Our pharmacy notified both Dr.'s pt had recently received ZOSTAVAX neither Dr has responded yet.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Neuritis, Paraesthesia
Clinical narrative: (Radial nerve neuritis per MD) - c/o right arm numbness and tingling 1 1/2 hrs. after vaccine.  9/25/09 pts feeling better
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cold sweat, Cyanosis, Dizziness, Hypotension, Immunisation reaction
Clinical narrative: Given vaccine around 2:30 9-18-09. Patient reported on 9-24-09 she had been taken by squad on 9-18-09 about 7:00 pm to Hospital. Symptoms included dizziness, nasea vomiting, gray & clammy skin, blood pressure 60/40. Almost passed out. No conclusive Diagnoisis. Suspected reaction to Flu vaccination.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea, Presyncope, Vomiting
Clinical narrative: Given vaccine around 2:30 9-18-09. Patient reported on 9-24-09 she had been taken by squad on 9-18-09 about 7:00 pm to Hospital. Symptoms included dizziness, nasea vomiting, gray & clammy skin, blood pressure 60/40. Almost passed out. No conclusive Diagnoisis. Suspected reaction to Flu vaccination.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Patient received Influenza shot. Fifteen minutes later patient became nauseated. Patient remained seated, blood pressure was taken (117/90). After 10 more minutes patient went back to work. No temp or fever. Called pt am 9/24/09- she said ok and went back to work yesterday 9/23.09. P.S. Talked with patient next a.m. (9/24/09). Patient ok and stated she returned to work evening after shot. Patient appreciated call.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dizziness, Headache, Influenza, Neck pain
Clinical narrative: Chills, HA, body aches, dizzy, pain in neck....On 9/23/09 pt went to ER and DX flu then returned 9/25 with urinary retention and required indwelling cath.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Urinary retention
Clinical narrative: Chills, HA, body aches, dizzy, pain in neck....On 9/23/09 pt went to ER and DX flu then returned 9/25 with urinary retention and required indwelling cath.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives. BENADRYL and famotidine.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Incorrect route of drug administration
Clinical narrative: Infant given ROTARIX as IM injection vs oral as prescribed MA immediately reported to nurse manager & CRNP. Mother made aware detained in office until vaccine manufacturer contacted. Infant observed x 1 hr-no adverse reaction.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives; occurred 2-6 hours after event; resolved with oral Benadryl, topical treatment
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, body aches, chills for 2 days.  Temp 103 first day, 100 2nd day, and 99 3rd day.
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: this patient was given afluria which is only to be give to 18 and older. No reaction to vaccine.
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: This patien was give afluria which is only to be given to 18 and older.                          I-92579218 and I-92318744
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: This patient was give afluria which is only to be given to 18 and older.  no Reaction to vaccine.  I-92579218 and I-92318744
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: This patient was given afluria which is only to be given to 18 and older. no reaction to vaccine.  I-92579218 and I-92318744
Age: 37.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Electrocardiogram abnormal, Fall, Head injury, Heart rate decreased, Hyperhidrosis
Clinical narrative: Pt had a syncopal episode, fell and hit her head on the floor.  Became diaphoretic, Pulse 80/palp, pulse 42.  Immediately regained consciousness and was A&Ox3
Age: 37.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Sinus bradycardia, Syncope
Clinical narrative: Pt had a syncopal episode, fell and hit her head on the floor.  Became diaphoretic, Pulse 80/palp, pulse 42.  Immediately regained consciousness and was A&Ox3
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: this patient was given afluria which is only to be given to 18 and older. no reaction.  I-92579218 and I-92318744
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: This patient was given afluria which is only to be given to 18 and older. no reaction. I-92579218 and I-92318744
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: this patient was given afluria which is only to be give to 18 and older. no reaction. I-92579218 and I-92318744
Age: 28.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pain in extremity, Type 1 diabetes mellitus
Clinical narrative: Pt seen at Corporate Health Center on 9-15-09 for a post office exam. Received MMR and Td Vaccines in R arm. Sometime after developed pain in L arm and went to Danbury Hospital ED for treatment.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Eye discharge, Eye irritation, Nasal congestion
Clinical narrative: red and burning eyes, oozing eyes, chills, fever, coughing, nasal congestion
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Pyrexia
Clinical narrative: red and burning eyes, oozing eyes, chills, fever, coughing, nasal congestion
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Pruritus, Urticaria
Clinical narrative: Vaccine given at 8:15 - throughout the morning tightness in chest developed - continued throughout the afternoon + itchiness developed. In the evening itchiness worsened + hives developed - cont. with chest tightness + developed coughing - took 50mg BENADRYL with relief. Still some what tight in chest today (next day) but able to work.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. developed swelling & redness of left upper arm.
Age: 44.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site pain, Pyrexia
Clinical narrative: PT with soreness to Rt arm to pneumonia vaccine. Also got a fever of 100.4. Pt called our office on 9/30 when symptoms resolved. Pt took MOTRIN and recovered.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose normal, Dizziness, Dyspnoea, Electrocardiogram normal, Syncope
Clinical narrative: Two or three minutes after getting the vaccine I felt dizzy, shortness of breath and fainted. The hospital emergency team assisted me with oxygen and on the Urgent Care Unit an EKG, and sugar tests were done.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site local reaction. Raised, warm red area 6 1/2 cm x 3 1/2 cm.
Age: 27.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Pain, tenderness warmth @ site fever low grade 99.1. Right arm.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Fatigue, Injection site rash, Pyrexia, Rash
Clinical narrative: FEVER 103,TREMORS,WEAKNESS,FATIGUE,MACULAR RASH ON FACE,RASH AT VACCINE SITE ON LEFT DELTOID BEING OBLONG,ECCENTRICALLY LOCATED FROM THE INJECTION SITE-MEASURING 4CM X 4CM
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Rash macular, Tremor
Clinical narrative: FEVER 103,TREMORS,WEAKNESS,FATIGUE,MACULAR RASH ON FACE,RASH AT VACCINE SITE ON LEFT DELTOID BEING OBLONG,ECCENTRICALLY LOCATED FROM THE INJECTION SITE-MEASURING 4CM X 4CM
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: this patient was given afluria which is only to be given to 18 and older. no reactions. I-92579278 and I-92318744
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pruritus, Rash macular
Clinical narrative: While waiting in observation room after shot was given, the observation room nurse noted a red circle at the vaccine injection site.  The child had removed a round sticker that she had placed over the bandaid at the injection site.  Hydrocortizone cream and ice were applied.  The child was refered to her pediatrician.  According to mother, after approximately 20 minutes, a red, blotchy rash appeared on both arms and across the chest.  The following day, the child complained of itchiness and was taken to the physician.  She was treated with double claritin and prednisone.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: No signs/symptoms of adverse reaction were observed in observation room on the day of the flu clinic.  Mother reports that patient developed a itchy red blotchy rash on his chest and back on September 27, 2009 at 3:00pm.  He was seen by his pediatrician and continued on claritin.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site rash, Oxygen saturation normal
Clinical narrative: Fluzone flu vaccine administered, as vaccine completed patient immediately developed a 6.5 x 5.5 cm flat round erythemic area with pruritis.  No respiratory distress.  O2 sat 100%.  Given Benadryl 50mg po and monitored.  Rash abated in 60 minutes.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Pyrexia
Clinical narrative: Slight cough from 6:00 p.m. to 8:00 p.m.  09/29/09  Fever from 9:00 p.m. to 12:00 a.m. 09/29/09.  No treatment sought or taken.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: On Tuesday, Sept 29,2009 my daughter was administered the Dtap vaccine by her pediatrician.  later that day, she complained that her arm was very sore,  a typical reaction.  the next day, Sept 30th her arm swelled to the size of a tennis ball at the site.  the whole area was red and very hot to the touch.  i immediately called the doctor's office to report the problem and to ask what needs to be done.  3 hours later, my call was returned.  the doctor advised putting a warm compress on the area.  my daughter said the cloth didn't feel warm, it felt cool, because her arm was so hot.  the doctor also said to come in the next morning if the symptoms had not subsided.  the next morning it had not subsided and I took her to the doctor's office.  the doctor who administered the vaccine originally looked at my daughter's arm, said it was typical reaction and to put cool compresses on it.  first of all, I did not find in researching that such extensive swelling, redness with heat at the site were typical reactions and second, the treatment recommendations from two doctors from the same practice were unacceptably diverse.  my daughter seems to be fine today although the site is still swollen three days after administration of the vaccine. unsure of any long term affects at this point.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Skin warm
Clinical narrative: On Tuesday, Sept 29,2009 my daughter was administered the Dtap vaccine by her pediatrician.  later that day, she complained that her arm was very sore,  a typical reaction.  the next day, Sept 30th her arm swelled to the size of a tennis ball at the site.  the whole area was red and very hot to the touch.  i immediately called the doctor's office to report the problem and to ask what needs to be done.  3 hours later, my call was returned.  the doctor advised putting a warm compress on the area.  my daughter said the cloth didn't feel warm, it felt cool, because her arm was so hot.  the doctor also said to come in the next morning if the symptoms had not subsided.  the next morning it had not subsided and I took her to the doctor's office.  the doctor who administered the vaccine originally looked at my daughter's arm, said it was typical reaction and to put cool compresses on it.  first of all, I did not find in researching that such extensive swelling, redness with heat at the site were typical reactions and second, the treatment recommendations from two doctors from the same practice were unacceptably diverse.  my daughter seems to be fine today although the site is still swollen three days after administration of the vaccine. unsure of any long term affects at this point.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Local reaction, Local swelling, Tenderness
Clinical narrative: localized area that is warm, swollen, and tender to touch
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Induration, Local reaction
Clinical narrative: 2 day later L -arm -deltoid generalized local reaction 9 cm x 6 cm - erythema - induration.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dysphonia, Dyspnoea, Emergency care
Clinical narrative: Uncontrolled coughing, hoarseness, tongue started swelling, fever & chills, short of breath, red eyes; was seen in emergency dept at Rutland Regional Med Ctr & treated for allergic reaction.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Ocular hyperaemia, Pyrexia, Swollen tongue
Clinical narrative: Uncontrolled coughing, hoarseness, tongue started swelling, fever & chills, short of breath, red eyes; was seen in emergency dept at Rutland Regional Med Ctr & treated for allergic reaction.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Induration, Injection site swelling, Pain in extremity, Ultrasound Doppler normal
Clinical narrative: Sore arm for greater than 2 1/2 wks, firm on palpation-arm appears swollen/larger on right than left on inspection in deltoid area.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L arm site of injection of #2 shot given had warm reddened area that mom states became larger about the size of a quarter. Went to see Dr. on Friday and stated was larger by then. Dr. treated her with DURICEF 500 bid for 10 days. Mother states the swelling has resolved today.
Age: 0.18
Sex: M
Vaccine: RV5
Symptoms: Abnormal faeces, Diarrhoea, Vomiting
Clinical narrative: Developed vomiting, diarrhea & sandy stools x 2-3 days p Rotateqn given c #1 & #2 doses mom reported sx when in office 9/28/09.
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, FLUN3, MMR
Symptoms: Pyrexia, Vomiting
Clinical narrative: 3 days of fever in a 2 year old girl. Friday 9/18/09 10 AM, 3 vaccines administered: MMR, PENTACEL, FLUMIST. Sat. 9/19/09 12 noon thru end of day, fever started. Varied from 100-102 degrees. Treatment liquid TYLENOL-not effective (discontinued immediately), liquid MOTRIN-every 6 hours approx. Sun. 9/20/09 all day, fever persisted 100-102 degrees. Administered liquid MOTRIN. Mon. 9/21/09 all day until late PM, fever subsided late PM. MOTRIN discontinued late PM. Fri. 9/25/09 4:45 AM-7:00 PM, vomiting every 20-30 minutes. No medication given.
Age: 8.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her 8 year old son with no pertinent medical history and no drug reactions or allergies who on 24-JUL-2002 was vaccinated with a dose of MMR II (lot # 642441/0340M, HSA). Concomitant therapy included Hib conj vaccine (manufacturer unspecified). On 21-SEP-2009 ("this past Monday"), the patient was diagnosed with a form of Autism. At the time of reporting, the patient's Autism persisted. The patient sought medical attention via visiting physician. Upon internal review, Autism was determined to be an other important medical event. No further information is available.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Dyspnoea
Clinical narrative: Information has been received from a registered pharmacist concerning a 75 year old male who on 24-SEP-2009 was vaccinated with a dose of ZOSTAVAX (Merck). On 24-SEP-2009 the patient experienced shortness of breath and was hospitalized. The patient's outcome is unknown. Additional information has been requested.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Local reaction, Pruritus, Swelling
Clinical narrative: localized area with redness, swelling, itching, and warm to touch
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Local reaction, Local swelling, Tenderness
Clinical narrative: localized area of swelling, warmth, and tenderness
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site inflammation, Injection site swelling, Injection site vesicles
Clinical narrative: 10/1/09 afternoon developed swelling, heat and redness at site of injection. Feels general mailaise, sinus tenderness,L arm feels heavy and painful.Erythema and induration L upper arm at site of injection. One small blister at injection site.Is using ice at site of imflammation. To force fluids, use antipyretics and started on cefzil. diagnosis cellulitis/vaccine reaction moderate.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site warmth, Malaise, Sensation of heaviness, Sinus headache
Clinical narrative: 10/1/09 afternoon developed swelling, heat and redness at site of injection. Feels general mailaise, sinus tenderness,L arm feels heavy and painful.Erythema and induration L upper arm at site of injection. One small blister at injection site.Is using ice at site of imflammation. To force fluids, use antipyretics and started on cefzil. diagnosis cellulitis/vaccine reaction moderate.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Injection site rash, Oedema peripheral
Clinical narrative: Pt returned for second shot with a raised, light red rash on left arm.  Pt reported that she had developed the rash 2 days after receiving first rabies shot.  Pt denied allergies to any components of the vaccine or bandaids.  Pt was given second shot in the other arm, band aid was removed after 5 mins and the site was sprayed with benedryl.  Pt was advised to take oral benedryl if rash occured.  Rash reappeared at injection site 2 days after shot and was treated with oral benedryl.  It was felt that patient should not receive last rabies shot and will get a titer drawn Oct 13th.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Blood thyroid stimulating hormone, Full blood count normal, Palpitations
Clinical narrative: significant anxeity with palpitations 3 days following 3rd infection. No prior hx of anxiety or mental illness.  No alcohol or substance use.  Slowly improving now 10 days post injection
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site streaking, Injection site vesicles
Clinical narrative: Received Influenza vaccine 9-30-09 at 7:30 pm on 10-1-09 at 5 pm child c/o to mom arm was sore mom noticed orange size erythema on upper arm.  Seen 10-2-09 Left upper arm with vesicles, large area of erythema and edema up to left shoulder and spreading down with streak toward left elbow, few scratch marks but unable to identify vaccine administration site.  Tender on palpation.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chest discomfort, Chills, Fatigue, Myalgia, Throat tightness
Clinical narrative: 24 hours after administration of seasonal influenza (TIV) and pneumovax, patient developed myalgias, chills, fatigue and developed progressively worsening hives the subsequent 4 days with some subjective symptoms of chest and throat tightness.  She saw her primary care doctor 2x and myself (allergist) 1x for these symptoms
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria
Clinical narrative: 24 hours after administration of seasonal influenza (TIV) and pneumovax, patient developed myalgias, chills, fatigue and developed progressively worsening hives the subsequent 4 days with some subjective symptoms of chest and throat tightness.  She saw her primary care doctor 2x and myself (allergist) 1x for these symptoms
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Headache, Malaise, Oropharyngeal pain
Clinical narrative: Woke up in mmring not feeling well, had a headache, felt warm and dizzy.Had to leave work.Second day, still not feeling good, headach and sorethroat.
Age: 86.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site haematoma
Clinical narrative: Patient came in on Sept 25th in morning to show a bruise about 1-2 inches in diameter which could have been the site of the shot. The bruise was begining to fade specially at the edges. The patient said that it did not hurt and did not have any other adverse effects. I suggested that he contact his doctor.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Headache, Nasal discomfort, Nausea, Neck pain
Clinical narrative: About 4 hours after injection, I had severe body aches, neck pain, headache, nausea, mild fever, chills and burning in my nose.  This lasted for approximately 18 hours.  I am an employee at Hospital in the emergency room and received it there.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pyrexia
Clinical narrative: About 4 hours after injection, I had severe body aches, neck pain, headache, nausea, mild fever, chills and burning in my nose.  This lasted for approximately 18 hours.  I am an employee at Hospital in the emergency room and received it there.
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal rigidity, Ammonia, Antibody test, Antinuclear antibody, Blood electrolytes
Clinical narrative: Pt began with Abdominal /trunk spasms on 9/18/09 AM, persistant, uncontrollable per pt, fully alert, no past history of spasms or seizures, no fever or illness. Admitted 9/19-24/09 to Hospital due to symptoms as below. Note also had a few spasm night of 9/24, used Benadryl and clonapin as per neurology, few more 9/25/09 AM. stopped Clonapin as did not seem related to stopping and made drowsy per family.  No more myoclonus since when seen at clinic on 9/30/09. Discharge Diagnoses : Spinal myoclonus of unknown etiology / Possible conversion reaction  (note family disagrees with conversion reaction as etiology). Depression treated with Zoloft. Hospital Management: Basics: labs (urine HCG, urinalysis, urine tox screen, electrolytes, thyroid studies, anti-strep O, anti-mycoplasma antibodies, anti-lyme antibodies, ammonia, ANA screen, free metanephrines, ESR, CRP). Special Medications: Clonazepam, valium, one dose Valproate. Imaging: MRI of brain/spine   Consults: Neurology, Physical Therapy, Psychiatry and Health Psychology. Anesthesia: conscious sedation. Special Monitoring: video EEG monitoring 10/26/09:  Hospital records received for dates of service 9/18/09 to 9/19/09 and 9/19/09 to 9/24/09.  Dx:  Spinal myoclonus vs. conversion reaction.  Assessment:  Presents with repetitive spasm of head, arms, neck, legs and trunk.  Not painful, but impaired ADL's.  No alteration in consciousness.  Also c/o slight nausea, denies headache,  some dizziness, had a few bouts of diarrhea on 9/19.  Spasms are myoclonic in nature, and tend to resolve while she is asleep.  Gait slightly unsteady. Romberg Positive.  Upon admission on 9/19 presented with myoclonus of abdominal musculature. Able to talk and text during episodes.  Started on Depakene.  Differential dx's. include infectious or post-infectious, autoimmune, paraneoplastic, or structural (mass) or idiopathic. Exhibits no seizure activity.  Clonazepam seemed to decrease frequency of myoclonic jerks.  Zoloft discontinued, known to cause myoclonus in peds. population. PT was initiated then haulted as there was no evidence of LE weakness.   Discharged to home, slightly improved to follow up with Peds, Psych and Neurology.
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Borrelia burgdorferi serology, C-reactive protein, Depression, Drug screen, Electroencephalogram
Clinical narrative: Pt began with Abdominal /trunk spasms on 9/18/09 AM, persistant, uncontrollable per pt, fully alert, no past history of spasms or seizures, no fever or illness. Admitted 9/19-24/09 to Hospital due to symptoms as below. Note also had a few spasm night of 9/24, used Benadryl and clonapin as per neurology, few more 9/25/09 AM. stopped Clonapin as did not seem related to stopping and made drowsy per family.  No more myoclonus since when seen at clinic on 9/30/09. Discharge Diagnoses : Spinal myoclonus of unknown etiology / Possible conversion reaction  (note family disagrees with conversion reaction as etiology). Depression treated with Zoloft. Hospital Management: Basics: labs (urine HCG, urinalysis, urine tox screen, electrolytes, thyroid studies, anti-strep O, anti-mycoplasma antibodies, anti-lyme antibodies, ammonia, ANA screen, free metanephrines, ESR, CRP). Special Medications: Clonazepam, valium, one dose Valproate. Imaging: MRI of brain/spine   Consults: Neurology, Physical Therapy, Psychiatry and Health Psychology. Anesthesia: conscious sedation. Special Monitoring: video EEG monitoring 10/26/09:  Hospital records received for dates of service 9/18/09 to 9/19/09 and 9/19/09 to 9/24/09.  Dx:  Spinal myoclonus vs. conversion reaction.  Assessment:  Presents with repetitive spasm of head, arms, neck, legs and trunk.  Not painful, but impaired ADL's.  No alteration in consciousness.  Also c/o slight nausea, denies headache,  some dizziness, had a few bouts of diarrhea on 9/19.  Spasms are myoclonic in nature, and tend to resolve while she is asleep.  Gait slightly unsteady. Romberg Positive.  Upon admission on 9/19 presented with myoclonus of abdominal musculature. Able to talk and text during episodes.  Started on Depakene.  Differential dx's. include infectious or post-infectious, autoimmune, paraneoplastic, or structural (mass) or idiopathic. Exhibits no seizure activity.  Clonazepam seemed to decrease frequency of myoclonic jerks.  Zoloft discontinued, known to cause myoclonus in peds. population. PT was initiated then haulted as there was no evidence of LE weakness.   Discharged to home, slightly improved to follow up with Peds, Psych and Neurology.
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Laboratory test, Muscle spasms, Mycoplasma serology, Myoclonus, Nuclear magnetic resonance imaging
Clinical narrative: Pt began with Abdominal /trunk spasms on 9/18/09 AM, persistant, uncontrollable per pt, fully alert, no past history of spasms or seizures, no fever or illness. Admitted 9/19-24/09 to Hospital due to symptoms as below. Note also had a few spasm night of 9/24, used Benadryl and clonapin as per neurology, few more 9/25/09 AM. stopped Clonapin as did not seem related to stopping and made drowsy per family.  No more myoclonus since when seen at clinic on 9/30/09. Discharge Diagnoses : Spinal myoclonus of unknown etiology / Possible conversion reaction  (note family disagrees with conversion reaction as etiology). Depression treated with Zoloft. Hospital Management: Basics: labs (urine HCG, urinalysis, urine tox screen, electrolytes, thyroid studies, anti-strep O, anti-mycoplasma antibodies, anti-lyme antibodies, ammonia, ANA screen, free metanephrines, ESR, CRP). Special Medications: Clonazepam, valium, one dose Valproate. Imaging: MRI of brain/spine   Consults: Neurology, Physical Therapy, Psychiatry and Health Psychology. Anesthesia: conscious sedation. Special Monitoring: video EEG monitoring 10/26/09:  Hospital records received for dates of service 9/18/09 to 9/19/09 and 9/19/09 to 9/24/09.  Dx:  Spinal myoclonus vs. conversion reaction.  Assessment:  Presents with repetitive spasm of head, arms, neck, legs and trunk.  Not painful, but impaired ADL's.  No alteration in consciousness.  Also c/o slight nausea, denies headache,  some dizziness, had a few bouts of diarrhea on 9/19.  Spasms are myoclonic in nature, and tend to resolve while she is asleep.  Gait slightly unsteady. Romberg Positive.  Upon admission on 9/19 presented with myoclonus of abdominal musculature. Able to talk and text during episodes.  Started on Depakene.  Differential dx's. include infectious or post-infectious, autoimmune, paraneoplastic, or structural (mass) or idiopathic. Exhibits no seizure activity.  Clonazepam seemed to decrease frequency of myoclonic jerks.  Zoloft discontinued, known to cause myoclonus in peds. population. PT was initiated then haulted as there was no evidence of LE weakness.   Discharged to home, slightly improved to follow up with Peds, Psych and Neurology.
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Nuclear magnetic resonance imaging brain, Red blood cell sedimentation rate, Streptococcal identification test, Thyroid function test, Urine analysis
Clinical narrative: Pt began with Abdominal /trunk spasms on 9/18/09 AM, persistant, uncontrollable per pt, fully alert, no past history of spasms or seizures, no fever or illness. Admitted 9/19-24/09 to Hospital due to symptoms as below. Note also had a few spasm night of 9/24, used Benadryl and clonapin as per neurology, few more 9/25/09 AM. stopped Clonapin as did not seem related to stopping and made drowsy per family.  No more myoclonus since when seen at clinic on 9/30/09. Discharge Diagnoses : Spinal myoclonus of unknown etiology / Possible conversion reaction  (note family disagrees with conversion reaction as etiology). Depression treated with Zoloft. Hospital Management: Basics: labs (urine HCG, urinalysis, urine tox screen, electrolytes, thyroid studies, anti-strep O, anti-mycoplasma antibodies, anti-lyme antibodies, ammonia, ANA screen, free metanephrines, ESR, CRP). Special Medications: Clonazepam, valium, one dose Valproate. Imaging: MRI of brain/spine   Consults: Neurology, Physical Therapy, Psychiatry and Health Psychology. Anesthesia: conscious sedation. Special Monitoring: video EEG monitoring 10/26/09:  Hospital records received for dates of service 9/18/09 to 9/19/09 and 9/19/09 to 9/24/09.  Dx:  Spinal myoclonus vs. conversion reaction.  Assessment:  Presents with repetitive spasm of head, arms, neck, legs and trunk.  Not painful, but impaired ADL's.  No alteration in consciousness.  Also c/o slight nausea, denies headache,  some dizziness, had a few bouts of diarrhea on 9/19.  Spasms are myoclonic in nature, and tend to resolve while she is asleep.  Gait slightly unsteady. Romberg Positive.  Upon admission on 9/19 presented with myoclonus of abdominal musculature. Able to talk and text during episodes.  Started on Depakene.  Differential dx's. include infectious or post-infectious, autoimmune, paraneoplastic, or structural (mass) or idiopathic. Exhibits no seizure activity.  Clonazepam seemed to decrease frequency of myoclonic jerks.  Zoloft discontinued, known to cause myoclonus in peds. population. PT was initiated then haulted as there was no evidence of LE weakness.   Discharged to home, slightly improved to follow up with Peds, Psych and Neurology.
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Urine human chorionic gonadotropin
Clinical narrative: Pt began with Abdominal /trunk spasms on 9/18/09 AM, persistant, uncontrollable per pt, fully alert, no past history of spasms or seizures, no fever or illness. Admitted 9/19-24/09 to Hospital due to symptoms as below. Note also had a few spasm night of 9/24, used Benadryl and clonapin as per neurology, few more 9/25/09 AM. stopped Clonapin as did not seem related to stopping and made drowsy per family.  No more myoclonus since when seen at clinic on 9/30/09. Discharge Diagnoses : Spinal myoclonus of unknown etiology / Possible conversion reaction  (note family disagrees with conversion reaction as etiology). Depression treated with Zoloft. Hospital Management: Basics: labs (urine HCG, urinalysis, urine tox screen, electrolytes, thyroid studies, anti-strep O, anti-mycoplasma antibodies, anti-lyme antibodies, ammonia, ANA screen, free metanephrines, ESR, CRP). Special Medications: Clonazepam, valium, one dose Valproate. Imaging: MRI of brain/spine   Consults: Neurology, Physical Therapy, Psychiatry and Health Psychology. Anesthesia: conscious sedation. Special Monitoring: video EEG monitoring 10/26/09:  Hospital records received for dates of service 9/18/09 to 9/19/09 and 9/19/09 to 9/24/09.  Dx:  Spinal myoclonus vs. conversion reaction.  Assessment:  Presents with repetitive spasm of head, arms, neck, legs and trunk.  Not painful, but impaired ADL's.  No alteration in consciousness.  Also c/o slight nausea, denies headache,  some dizziness, had a few bouts of diarrhea on 9/19.  Spasms are myoclonic in nature, and tend to resolve while she is asleep.  Gait slightly unsteady. Romberg Positive.  Upon admission on 9/19 presented with myoclonus of abdominal musculature. Able to talk and text during episodes.  Started on Depakene.  Differential dx's. include infectious or post-infectious, autoimmune, paraneoplastic, or structural (mass) or idiopathic. Exhibits no seizure activity.  Clonazepam seemed to decrease frequency of myoclonic jerks.  Zoloft discontinued, known to cause myoclonus in peds. population. PT was initiated then haulted as there was no evidence of LE weakness.   Discharged to home, slightly improved to follow up with Peds, Psych and Neurology.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Injection site pain, Rash maculo-papular
Clinical narrative: Bruise and soreness, burning at site. Red raised rash ranging from size of tip of eraser to dime sized, bilateral scapula area to hip area down her back only on sides. Denies itching. Rash was not warm to touch. Afebrile.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity, Rash erythematous
Clinical narrative: red painful rash on left arm several hours after vaccine
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Fatigue, Malaise, Pruritus
Clinical narrative: Patient received vaccine in deltoid muscle on 9/29/09.  Later that evening noticed fatigue and malaise.  When patient woke in the morning, pt noticed itchy blisters on chest and abdomen.  She started taking tylenol after noticing the blisters.  On 10/1/09 patients presented to clinic with vesicles on her chest and abdomen.  No other complaints were noted.  Lot Number: U3197AB
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Diarrhoea, Erythema, Influenza serology negative, Injection site erythema
Clinical narrative: Pneumonia Vaccine given around 11:00am, 09/25/09. Pt reports nausea and vomiting, diarrhea, temp. 103 beginning around 6:00pm on the same day. Small amount of redness at site (Left arm). Symptoms progressively worsened, and admitted to Hospital on 9/27/09, which by this time Left arm was red, swollen and diagnosed with Cellulitis. Dismissed from hospital on 9/30/09. 10/5/09 DC summary and hospital records received from dates, 9/28/09 to 9/30/09. DC DX: Cellulitis of LUE. Systemic inflammatory response syndrome. Intravascular depletion with hypovolemic hyponatremia. Marked bandemia. Acute normocytic anemia probably r/t sepsis. Hypoalbuminemia, hypokalemia secondary to diarrhea. Presenting symptoms: Arriving to ER with high fever, systemic inflammatory response syndrome with severe diarrhea, dehydration, hypokalemia. 2 days prior received pneumovax in LUE with subsequent nausea/vomiting, pain, induration, erythema of entire left deltoid spreading to bicep region site of injection. Recieved steriod tx in ER with relief. After 24-36 hours localized symptoms returned. TX: IV Abx, after 24 hours bandemia resolved overall pt improvement.