chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Axillary pain, Injection site erythema, Injection site pain, Injection site pustule, Injection site swelling
Clinical narrative: SM presented to the Troop Medical Clinic on 8/4/07 with c/o redness and swelling to his smallpox vaccination site which he received on 7/25/07, redness and swelling were noted around the vaccination site with some tenderness to the axilla. Redness extended onto bicep area for several cm. 2 small pustules were noted at the innoculation site. Diagnosed as local infection following vaccination and prescribed Cephalexin 250 mg qid x 10 days.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Skin infection
Clinical narrative: SM presented to the Troop Medical Clinic on 8/4/07 with c/o redness and swelling to his smallpox vaccination site which he received on 7/25/07, redness and swelling were noted around the vaccination site with some tenderness to the axilla. Redness extended onto bicep area for several cm. 2 small pustules were noted at the innoculation site. Diagnosed as local infection following vaccination and prescribed Cephalexin 250 mg qid x 10 days.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Immunisation reaction, Joint swelling, Oedema peripheral, Rash papular, Skin lesion
Clinical narrative: SM presented to the Troop Medical Clinic on 8/14/07 with c/o swelling and pain to the hands, feet and elbows times 2 days. Was noted with papular lesions over hands and feet. Diagnosed as Adverse effect of drug therapy vaccines smallpox at time of visit. Given Benadryl 50mg prn
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm, Tenderness
Clinical narrative: Noted 5 inch by 2 inch erythema and edema to left upper arm.  Patient complained of pain rated 10/10.  Area tender and warm upon palpation.  Reflex and sensation intact.  Patient treated with ice and Benadryl per instructions given by Dr.  Upon follow up with patients mother, all symptoms resolved.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Unevaluable event
Clinical narrative: None Required
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Atrial fibrillation, Chills, Nausea, Tachycardia
Clinical narrative: The same day of Zoster vaccine given, pt developed nausea and chills which resolved by nighttime. She awoke with no symptoms but after breakfast pt developed lower abdominal pain, copious emesis, and came to the doctor's office that day where she was found to be tachycardic at 120 in A Fib. Sent to the ER .
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: The same day of Zoster vaccine given, pt developed nausea and chills which resolved by nighttime. She awoke with no symptoms but after breakfast pt developed lower abdominal pain, copious emesis, and came to the doctor's office that day where she was found to be tachycardic at 120 in A Fib. Sent to the ER .
Age: 12.0
Sex: M
Vaccine: HIBV, IPV, PPV, TDAP, TDAP
Symptoms: Hypokinesia, Injected limb mobility decreased, Musculoskeletal pain, Pain in extremity, Pyrexia
Clinical narrative: The evening after vaccination, the patient developed pain in the left arm which his parents treated w/ scheduled motrin.  The following day, he developed high spiking fevers and worsening left shoulder pain.  He was taken to an urgent care and subsequently referred to an ER for admission.  The patient was admitted to hospital with an initial WBC count of 20,000 and fevers to 103F.  His initial exam was notable for lack of left shoulder movement.  The patient received IV antibiotics (clindamycin I believe) and was kept in house for 5 days.  His evaluation in the hospital included an ultrasound of the right shoulder which was negative for sterile abscess.  The patient's left shoulder pain gradually decreased and he was able to move the shoulder on discharge.   8/28/07 Received hospital medical records which reveal patient experienced fever, redness, swelling & urticaria of left deltoid where had received Tdap & Pneumovax.  Seen at Urgent Care on 8/18 & dx w/vaccine reaction.  D/C to home & developed shaking chills, increased fever, spreading warmth, redness, swelling & induration w/limited ROM of left upper arm/shoulder, headache & sore throat.  Returned to ER on 8/19 & was admitted 8/19-8/23/2007.  Tx w/IV antibiotics w/improvement.  D/C to home on continued oral antibiotics & f/u w/ID FINAL DX: left upper arm cellulitis vs Tdap reaction; history of recent recurrent skin infection suggestive of staph aureus.
Age: 12.0
Sex: M
Vaccine: HIBV, IPV, PPV, TDAP, TDAP
Symptoms: White blood cell count increased
Clinical narrative: The evening after vaccination, the patient developed pain in the left arm which his parents treated w/ scheduled motrin.  The following day, he developed high spiking fevers and worsening left shoulder pain.  He was taken to an urgent care and subsequently referred to an ER for admission.  The patient was admitted to hospital with an initial WBC count of 20,000 and fevers to 103F.  His initial exam was notable for lack of left shoulder movement.  The patient received IV antibiotics (clindamycin I believe) and was kept in house for 5 days.  His evaluation in the hospital included an ultrasound of the right shoulder which was negative for sterile abscess.  The patient's left shoulder pain gradually decreased and he was able to move the shoulder on discharge.   8/28/07 Received hospital medical records which reveal patient experienced fever, redness, swelling & urticaria of left deltoid where had received Tdap & Pneumovax.  Seen at Urgent Care on 8/18 & dx w/vaccine reaction.  D/C to home & developed shaking chills, increased fever, spreading warmth, redness, swelling & induration w/limited ROM of left upper arm/shoulder, headache & sore throat.  Returned to ER on 8/19 & was admitted 8/19-8/23/2007.  Tx w/IV antibiotics w/improvement.  D/C to home on continued oral antibiotics & f/u w/ID FINAL DX: left upper arm cellulitis vs Tdap reaction; history of recent recurrent skin infection suggestive of staph aureus.
Age: 12.0
Sex: M
Vaccine: HIBV, IPV, PPV, TDAP, TDAP
Symptoms: Cellulitis, Local reaction, Ultrasound scan
Clinical narrative: The evening after vaccination, the patient developed pain in the left arm which his parents treated w/ scheduled motrin.  The following day, he developed high spiking fevers and worsening left shoulder pain.  He was taken to an urgent care and subsequently referred to an ER for admission.  The patient was admitted to hospital with an initial WBC count of 20,000 and fevers to 103F.  His initial exam was notable for lack of left shoulder movement.  The patient received IV antibiotics (clindamycin I believe) and was kept in house for 5 days.  His evaluation in the hospital included an ultrasound of the right shoulder which was negative for sterile abscess.  The patient's left shoulder pain gradually decreased and he was able to move the shoulder on discharge.   8/28/07 Received hospital medical records which reveal patient experienced fever, redness, swelling & urticaria of left deltoid where had received Tdap & Pneumovax.  Seen at Urgent Care on 8/18 & dx w/vaccine reaction.  D/C to home & developed shaking chills, increased fever, spreading warmth, redness, swelling & induration w/limited ROM of left upper arm/shoulder, headache & sore throat.  Returned to ER on 8/19 & was admitted 8/19-8/23/2007.  Tx w/IV antibiotics w/improvement.  D/C to home on continued oral antibiotics & f/u w/ID FINAL DX: left upper arm cellulitis vs Tdap reaction; history of recent recurrent skin infection suggestive of staph aureus.
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left upper arm erythema/swelling around back of arm at varivax puncture site
Age: 12.0
Sex: F
Vaccine: DTAP, HPV4, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: unable to reach patient at this time
Age: 45.0
Sex: F
Vaccine: DT, HEP
Symptoms: Injection site pain, Injection site swelling, Local swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Pain, swelling in right arm and neck, especially at site of vaccine
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Nausea, Skin warm, Tremor
Clinical narrative: Approximately 2 hrs after receiving Hepatitis B vaccine, recipient noticed feelings of nausea, fine tremor, slightly dizzy and warmer than normal.  Symptoms had decreased by about half within a half hour, continued decreasing but still present (slight tremor, dizziness) 45 minutes after that.  He did not feel that he needed medical tx at this time.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Urticaria
Clinical narrative: after 5 minutes of receiving varicella vaccine pt developed a raised welt with redness around site.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Area of 3cm circumfrential induration, warmth, erythema over injection site.
Age: 19.0
Sex: F
Vaccine: JEV
Symptoms: Abdominal pain
Clinical narrative: severe abdominal pain after second dose of Japanese encephalitis vaccine.
Age: 12.0
Sex: F
Vaccine: HEP, HPV4, MEN
Symptoms: Anorexia, Asthenia, Dizziness, Pallor, Somnolence
Clinical narrative: Shot was received on Friday, August 17, 2007 at approx. 3:30 p.m.     On Monday, August 20, 2007 while at school, my daughter developed sudden blurred vision, dizziness, suddenly turned very pale and almost passed out at school.  The nurse called me (her mother) at work and advised that she be checked out of school.  Upon arriving home, she immediately went to bed and slept for about 4 hours.  When she woke, she was still very pale, and felt extremely weak.  She had no appetite and went back to sleep and slept through the night.  I kept her home from school on Tuesday August 21, and she continued to sleep for most of the day, only waking twice and ate very little.  She awoke at about 7 pm and stated that she felt a little better and was able to eat a little dinner.  She went back to bed again and slept throughout the night.  When she awoke today, Wednesday August 22, she finally felt well enough to go to school and managed to stay there throughout the day.  Her appetite has improved, her skin is more flush and she is a little more energetic.
Age: 12.0
Sex: F
Vaccine: HEP, HPV4, MEN
Symptoms: Vision blurred
Clinical narrative: Shot was received on Friday, August 17, 2007 at approx. 3:30 p.m.     On Monday, August 20, 2007 while at school, my daughter developed sudden blurred vision, dizziness, suddenly turned very pale and almost passed out at school.  The nurse called me (her mother) at work and advised that she be checked out of school.  Upon arriving home, she immediately went to bed and slept for about 4 hours.  When she woke, she was still very pale, and felt extremely weak.  She had no appetite and went back to sleep and slept through the night.  I kept her home from school on Tuesday August 21, and she continued to sleep for most of the day, only waking twice and ate very little.  She awoke at about 7 pm and stated that she felt a little better and was able to eat a little dinner.  She went back to bed again and slept throughout the night.  When she awoke today, Wednesday August 22, she finally felt well enough to go to school and managed to stay there throughout the day.  Her appetite has improved, her skin is more flush and she is a little more energetic.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Blood test, Diarrhoea, Enema administration, Faeces discoloured, Fatigue
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 12-JUN-2007 was vaccinated with a second 2 ml oral dose of Rotateq (Lot# "00246"). On 12-JUN-2007 the patient experienced abdomen distension, vomiting, bloody jelly stool, and was uncomfortable. The patient went to the emergency room and received an "AP-Entima." The patient recovered on 17-JUN-2007. The patient's experiences were considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Haematochezia, Inappropriate schedule of drug administration, Irritability, Mucous stools, Nasal congestion
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 12-JUN-2007 was vaccinated with a second 2 ml oral dose of Rotateq (Lot# "00246"). On 12-JUN-2007 the patient experienced abdomen distension, vomiting, bloody jelly stool, and was uncomfortable. The patient went to the emergency room and received an "AP-Entima." The patient recovered on 17-JUN-2007. The patient's experiences were considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Pyrexia, Stool analysis, Vomiting
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 12-JUN-2007 was vaccinated with a second 2 ml oral dose of Rotateq (Lot# "00246"). On 12-JUN-2007 the patient experienced abdomen distension, vomiting, bloody jelly stool, and was uncomfortable. The patient went to the emergency room and received an "AP-Entima." The patient recovered on 17-JUN-2007. The patient's experiences were considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Anal fissure, Barium enema, Culture stool positive, Diarrhoea, Enema administration
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 12-JUN-2007 was vaccinated with a second 2 ml oral dose of Rotateq (Lot# "00246"). On 12-JUN-2007 the patient experienced abdomen distension, vomiting, bloody jelly stool, and was uncomfortable. The patient went to the emergency room and received an "AP-Entima." The patient recovered on 17-JUN-2007. The patient's experiences were considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Faeces discoloured, Fatigue, Gastroenteritis rotavirus, Haematochezia, Irritability
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 12-JUN-2007 was vaccinated with a second 2 ml oral dose of Rotateq (Lot# "00246"). On 12-JUN-2007 the patient experienced abdomen distension, vomiting, bloody jelly stool, and was uncomfortable. The patient went to the emergency room and received an "AP-Entima." The patient recovered on 17-JUN-2007. The patient's experiences were considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Mucous stools, Nasal congestion, Pyrexia, Salmonellosis, Vomiting
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 12-JUN-2007 was vaccinated with a second 2 ml oral dose of Rotateq (Lot# "00246"). On 12-JUN-2007 the patient experienced abdomen distension, vomiting, bloody jelly stool, and was uncomfortable. The patient went to the emergency room and received an "AP-Entima." The patient recovered on 17-JUN-2007. The patient's experiences were considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: X-ray normal
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 12-JUN-2007 was vaccinated with a second 2 ml oral dose of Rotateq (Lot# "00246"). On 12-JUN-2007 the patient experienced abdomen distension, vomiting, bloody jelly stool, and was uncomfortable. The patient went to the emergency room and received an "AP-Entima." The patient recovered on 17-JUN-2007. The patient's experiences were considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, RV5, RV5
Symptoms: Abdominal distension, Abnormal faeces, Discomfort, Haematochezia, Vomiting
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 12-JUN-2007 was vaccinated with a second 2 ml oral dose of Rotateq (Lot# "00246"). On 12-JUN-2007 the patient experienced abdomen distension, vomiting, bloody jelly stool, and was uncomfortable. The patient went to the emergency room and received an "AP-Entima." The patient recovered on 17-JUN-2007. The patient's experiences were considered to be immediately life-threatening by the reporter. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Aggression, Amnesia, Delirium, Headache, Intensive care
Clinical narrative: Pt felt dizzy immed after vaccine. Then fainted a few minutes later. Recovered w/in 5 sec. layed down flat, complained of severe headache then reported memory loss. Sent to ED. Noted to become extremely combative & delirious 10/03/07-records received-for DOS 7/20/07-Loss of consciousness, now asking repetitive questions, nauseous and seems disoriented. C/O right sided headache.  PE oriented to person and time but not place. While in ER became combative uncooperative. DX AMS.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Pt felt dizzy immed after vaccine. Then fainted a few minutes later. Recovered w/in 5 sec. layed down flat, complained of severe headache then reported memory loss. Sent to ED. Noted to become extremely combative & delirious 10/03/07-records received-for DOS 7/20/07-Loss of consciousness, now asking repetitive questions, nauseous and seems disoriented. C/O right sided headache.  PE oriented to person and time but not place. While in ER became combative uncooperative. DX AMS.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Aggression, Amnesia, Blood electrolytes normal, Computerised tomogram normal, Delirium
Clinical narrative: Pt felt dizzy immed after vaccine. Then fainted a few minutes later. Recovered w/in 5 sec. layed down flat, complained of severe headache then reported memory loss. Sent to ED. Noted to become extremely combative & delirious 10/03/07-records received-for DOS 7/20/07-Loss of consciousness, now asking repetitive questions, nauseous and seems disoriented. C/O right sided headache.  PE oriented to person and time but not place. While in ER became combative uncooperative. DX AMS.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Dizziness, Drug screen negative, Headache, Metabolic function test normal, Syncope
Clinical narrative: Pt felt dizzy immed after vaccine. Then fainted a few minutes later. Recovered w/in 5 sec. layed down flat, complained of severe headache then reported memory loss. Sent to ED. Noted to become extremely combative & delirious 10/03/07-records received-for DOS 7/20/07-Loss of consciousness, now asking repetitive questions, nauseous and seems disoriented. C/O right sided headache.  PE oriented to person and time but not place. While in ER became combative uncooperative. DX AMS.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Rash papular, Rash pustular
Clinical narrative: 20 year old female who developed pruritic rash to left shoulder and arm 3 days after SPV. Became febrile to 101 F. No other systemic symptoms. Rash described as multiple papules and pustules with swelling involving predominately left deltoid and extending to entire arm,scapula with a few lesions on the abdomen and right arm.Patient airevac to Medical Center. Placed in isolation room, PCR of skin lesions + for vaccinia. Decision made to treat with vaccinia immune globulin on 08/22.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Body temperature increased, Immunoglobulins, Polymerase chain reaction, Rash papular, Rash pruritic
Clinical narrative: 20 year old female who developed pruritic rash to left shoulder and arm 3 days after SPV. Became febrile to 101 F. No other systemic symptoms. Rash described as multiple papules and pustules with swelling involving predominately left deltoid and extending to entire arm,scapula with a few lesions on the abdomen and right arm.Patient airevac to Medical Center. Placed in isolation room, PCR of skin lesions + for vaccinia. Decision made to treat with vaccinia immune globulin on 08/22.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Rash pustular, Skin lesion, Swelling, Vaccinia
Clinical narrative: 20 year old female who developed pruritic rash to left shoulder and arm 3 days after SPV. Became febrile to 101 F. No other systemic symptoms. Rash described as multiple papules and pustules with swelling involving predominately left deltoid and extending to entire arm,scapula with a few lesions on the abdomen and right arm.Patient airevac to Medical Center. Placed in isolation room, PCR of skin lesions + for vaccinia. Decision made to treat with vaccinia immune globulin on 08/22.
Age: 12.0
Sex: M
Vaccine: HIBV, IPV, PPV, TDAP, TDAP
Symptoms: Hypokinesia, Injected limb mobility decreased, Musculoskeletal pain, Pain in extremity, Pyrexia
Clinical narrative: large local reaction (L) deltoid admission for cellulitis 8/19-23/07.
Age: 12.0
Sex: M
Vaccine: HIBV, IPV, PPV, TDAP, TDAP
Symptoms: White blood cell count increased
Clinical narrative: large local reaction (L) deltoid admission for cellulitis 8/19-23/07.
Age: 12.0
Sex: M
Vaccine: HIBV, IPV, PPV, TDAP, TDAP
Symptoms: Cellulitis, Local reaction, Ultrasound scan
Clinical narrative: large local reaction (L) deltoid admission for cellulitis 8/19-23/07.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: (approximate times) 12:30pm - first vaccines ever administered (Hep B, DTaP, Hib, PCV, IPV). folloed by .6 ml of tylenol given by nurse. The combined Vaccine was given in his left leg and the two other single shots given in his right leg (                      ).Approx. 5 pm his right thigh (almost intirety)was inflamed, fever, and very very tender to touch.  He was in obvious agony. Approx. 6 pm the redness, fever and swelling ceased along with screaming.
Age: 6.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Insomnia, Migraine, Pain, Pyrexia, Vision blurred
Clinical narrative: Patient presented with moderate headache and blurred vision approximately 26 hours after receiving boosters on Varicella and Hepatitis B. Physician ordered some basic lab work after examining child and finding no obvious neurological cause. Diagnosis of possible pediatric migraine was made. Lab results have not yet been returned. Patient went home and developed low-grade fever of 99.4 degrees farenheit (axillary temp), and was given 200mg ibuprofen. Symptoms disappeared after about one hour. Child awoke at 3AM with much higher fever (100.8 axillary) and complained that headache had returned and that his upper body and limbs ached. A second dose of ibuprofen was given, along with about 8oz. of  oral electrolyte solution (Gatorade). Patient returned to bed, but complained of being unable to sleep.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Dysuria, Feeling hot, Headache, Hypotension
Clinical narrative: Information has been received from a medical secretary concerning a 12 year old female patient with attention deficit disorder and an allergy to morphine who on 22-FEB-2007 was vaccinated IM in the left arm with her first dose of Gardasil, lot #656049/0187U. Concomitant therapy included amphetamine aspartate, amphetamine SO4/dex (ADDERRAL TABLETS), and fludrocortisone acetate (FLORINEF). On 26-APR-2007 the patient was vaccinated IM in the left arm with her second dose of Gardasil, lot #656049/0187U. The reporter mentioned that the patient developed dizziness, sleeplessness, and low blood pressure after receiving her second dose (date unspecified). She was seen in the office on 10-MAY-2007 for complaints of headaches and dizziness. Her blood pressure on that date was 120/60 lying, 110/60 sitting, and 100/60 standing. The patient called the office later that day with complaints of continued dizziness and was seen in the emergency room (she was not admitted to the hospital). On 11-JUN-2007 the patient called to report difficulty urinating. On 12-JUN-2007 she refilled prescription for fludrocortisone acetate (FLORINEF). On 13-JUN-2007 the patient complained of a rash, 3 episodes of hives, and that her "feet and hands feel very hot, but the mother stated they were cool to touch". On 19-JUN-2007 the patient was seen by a cardiologist. On 25-JUN-2007 she called to complain of trouble sleeping and was given a prescription for hydroxyzine. On 25-JUN-2007 she called to complain of trouble sleeping and was given a prescription for hydroxyzine. On 26-JUN-2007 she was seen by a neurologist. The notes stated that there was no findings from the exam. The neurologist stated possible inner ear disturbance. The patient was given mezlicine. The neurologist continued that the patient may have a questionable "demits" and chronic fatigue. The office notes also stated that the mother was concerned that these problems were from Gardasil and the neurologist did not believe so, but the mother was concerned that he dismissed this too fast. The patient's symptoms persisted. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Insomnia, Rash, Urticaria
Clinical narrative: Information has been received from a medical secretary concerning a 12 year old female patient with attention deficit disorder and an allergy to morphine who on 22-FEB-2007 was vaccinated IM in the left arm with her first dose of Gardasil, lot #656049/0187U. Concomitant therapy included amphetamine aspartate, amphetamine SO4/dex (ADDERRAL TABLETS), and fludrocortisone acetate (FLORINEF). On 26-APR-2007 the patient was vaccinated IM in the left arm with her second dose of Gardasil, lot #656049/0187U. The reporter mentioned that the patient developed dizziness, sleeplessness, and low blood pressure after receiving her second dose (date unspecified). She was seen in the office on 10-MAY-2007 for complaints of headaches and dizziness. Her blood pressure on that date was 120/60 lying, 110/60 sitting, and 100/60 standing. The patient called the office later that day with complaints of continued dizziness and was seen in the emergency room (she was not admitted to the hospital). On 11-JUN-2007 the patient called to report difficulty urinating. On 12-JUN-2007 she refilled prescription for fludrocortisone acetate (FLORINEF). On 13-JUN-2007 the patient complained of a rash, 3 episodes of hives, and that her "feet and hands feel very hot, but the mother stated they were cool to touch". On 19-JUN-2007 the patient was seen by a cardiologist. On 25-JUN-2007 she called to complain of trouble sleeping and was given a prescription for hydroxyzine. On 25-JUN-2007 she called to complain of trouble sleeping and was given a prescription for hydroxyzine. On 26-JUN-2007 she was seen by a neurologist. The notes stated that there was no findings from the exam. The neurologist stated possible inner ear disturbance. The patient was given mezlicine. The neurologist continued that the patient may have a questionable "demits" and chronic fatigue. The office notes also stated that the mother was concerned that these problems were from Gardasil and the neurologist did not believe so, but the mother was concerned that he dismissed this too fast. The patient's symptoms persisted. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Drug administered at inappropriate site, Incorrect dose administered, Pain in extremity
Clinical narrative: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a "vursar sac" in the patient's left arm. Subsequently, the patient developed arm pain. The patient was going to physical therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Fall, Head injury, Inappropriate schedule of drug administration, Neurological examination
Clinical narrative: Information has been received from a physician concerning a 15 year old female who on 06-AUG-2007 was vaccinated with first dose of Gardasil (lot # 655619/1427F) injection. Concomitant therapy also given on 06-AUG-2007 included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (manufacturer unknown). On 06-AUG-2007, the patient was sitting on the exam table and was administered the 2 vaccines. The patient fell off the exam table and hit the left side of her head and face. Medical attention was sought (doctor's office and emergency room). The physician admitted the patient into the hospital for a 23 hour observation. The patient had neurology and cardiology consultations and they performed some tests which are unspecified. On an unspecified date, the patient recovered. Additional information has been requested.
Age: 70.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Deafness unilateral
Clinical narrative: Information has been received from a male patient who on 31-JUL-2007 at 14:30 PM was vaccinated with a dose of Zostavax. About 12 hours after vaccination, on approximately 31-JUL-2007, the patient experienced deafness in right ear only. Additional information has been requested. Upon internal review deafness was considered to be an other important medical event.  9/14/07 Reviewed pcp medical records which reveal patient experienced tinnitus & hearing loss of right ear on the evening of vax, 8/31/07.  Seen by pcp again on 8/1 w/labyrinthitis, vertigo, nausea/vomiting & nystagmus..  Right ear exam otherwise WNL.  Tx w/decongestant, steroid taper & ear drops.  No improvement & was referred to ENT on 8/2.  ENT consult done 8/6 revealed patient still experiencing complete hearing loss of right ear & vertigo w/rapid change of head position. Right ear mildly occluded w/cerumen, left ear impacted w/cerumen, both w/tympanic membraes WNL. Referred for MRI of internal auditory canal to r/o neuroma.  Tx w/trial of melatonin.  FINAL DX: Sudden sensory hearing loss, right ear, idiopathic; hx of tinnitus; impacted cerumen. 9/28/07 Reviewed ENT eval of 8/6/07 which had been previously submitted by pcp. FINAL DX: Idiopathis sudden sensory neural hearing loss of right ear.
Age: 70.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Deafness unilateral, Nuclear magnetic resonance imaging, Tinnitus
Clinical narrative: Information has been received from a male patient who on 31-JUL-2007 at 14:30 PM was vaccinated with a dose of Zostavax. About 12 hours after vaccination, on approximately 31-JUL-2007, the patient experienced deafness in right ear only. Additional information has been requested. Upon internal review deafness was considered to be an other important medical event.  9/14/07 Reviewed pcp medical records which reveal patient experienced tinnitus & hearing loss of right ear on the evening of vax, 8/31/07.  Seen by pcp again on 8/1 w/labyrinthitis, vertigo, nausea/vomiting & nystagmus..  Right ear exam otherwise WNL.  Tx w/decongestant, steroid taper & ear drops.  No improvement & was referred to ENT on 8/2.  ENT consult done 8/6 revealed patient still experiencing complete hearing loss of right ear & vertigo w/rapid change of head position. Right ear mildly occluded w/cerumen, left ear impacted w/cerumen, both w/tympanic membraes WNL. Referred for MRI of internal auditory canal to r/o neuroma.  Tx w/trial of melatonin.  FINAL DX: Sudden sensory hearing loss, right ear, idiopathic; hx of tinnitus; impacted cerumen. 9/28/07 Reviewed ENT eval of 8/6/07 which had been previously submitted by pcp. FINAL DX: Idiopathis sudden sensory neural hearing loss of right ear.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Gastrooesophageal reflux disease, Respiratory distress
Clinical narrative: Mother reports child had an episode of "reflux" poss. d/t milk allergy and went to ER in Resp. Distress and had possible seizure activity. Mother also reports child may have had  3 additional seizures while in hosp.  9/7/07 Reviewed hospital medical records which reveal patient experienced possible seizure activity when found foaming at the mouth & nares, pulling his knees up to chest, flailing arms in rhythmic manner.  Face was red & patient was grunting & having difficulty breathing..  Was lethargic afterwards which slowly improved.  Had recently changed formula & spitting up had resolved approx 3 days prior.  Low grade fever noted since vax.  Admitted 8/9-8/11/2007.  Had several starring episodes w/eyes deviated while in hospital.  Tx w/anticonvulsant & was d/c to home on that.  To f/u w/peds neuro in clinc.   FINAL DX: Seizures & GERD.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Lip swelling, Urticaria, Vaccination complication
Clinical narrative: Hives over torso/lips swollen in early AM. Hives groin area also.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea
Clinical narrative: Had nausea and dizziness with 2nd Gardasil-given Singulair 10 mg prior to 3rd injection Consulted Dr at medical center
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Ear pain, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt. received Tdap 8/16/07, that night pt had diarrhea and felt nauseous, experienced 'heart racing'. On 8/22/07 pt came in for doctors appt due to continued diarrhea, body aches, nausea, and rt. ear pain. Also, site of injection very red, swollen, warm to touch and painful. Area of redness/swelling around injection site approx. 4inx3in. Pt. treated with Keflex.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Nausea, Pain, Palpitations
Clinical narrative: Pt. received Tdap 8/16/07, that night pt had diarrhea and felt nauseous, experienced 'heart racing'. On 8/22/07 pt came in for doctors appt due to continued diarrhea, body aches, nausea, and rt. ear pain. Also, site of injection very red, swollen, warm to touch and painful. Area of redness/swelling around injection site approx. 4inx3in. Pt. treated with Keflex.
Age: 19.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Cold compress therapy, Erythema, Pain in extremity, Pruritus, Skin warm
Clinical narrative: Varivax vaccine given 8/13/07 @ 11:00 am. 8/14/07 am-arm sore and large red area 2 1/2" circle-warm/hot to touch. itching-swollen taking Benadryl PO 25 mg and cold compress
Age: 19.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Swelling
Clinical narrative: Varivax vaccine given 8/13/07 @ 11:00 am. 8/14/07 am-arm sore and large red area 2 1/2" circle-warm/hot to touch. itching-swollen taking Benadryl PO 25 mg and cold compress
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Anorexia, Fatigue, Headache, Pyrexia
Clinical narrative: Child given "meningitis shot" and 2 hours later developed fever, 24 hours later fever between 100-103 continues, with no appetite, complaint of fatigue and headache. Some relief with Tylenol and Motrin - per mother.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Syncope
Clinical narrative: Syncope post vaccination
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Feeling hot
Clinical narrative: Patient became warm and dizzy
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Feeling hot, Immediate post-injection reaction
Clinical narrative: Patient became warm and dizzy
Age: 13.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Nausea, Pyrexia
Clinical narrative: On day after immunization, patient had nausea, low grade fever and redness at Adacel injection sie. Redness became bigger and painful 2 days later
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Pruritus, Swelling
Clinical narrative: Vaccine given on 8/13. 8/14, redness and swelling noted. 8/16 Redness/swelling increased to 13cm x 14cm on left arm. Itches. Started on Keflex and Hydroxyzine.
Age: 2.0
Sex: F
Vaccine: YF
Symptoms: Pruritus, Rhinorrhoea, Urticaria
Clinical narrative: Approximately 20-30 minutes after yellow fever vaccine, patient developed upper body urticaria, rhinorrhea and pruritus. No respiratory symptoms Treated with Zyrtec and Prednisolone.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy
Clinical narrative: 3 days after injection (Tdap), noticed swollen lymph nodes right side of neck, axilla and clavicle. No fever. Took ibuprofen. Swellings have subsided as of 8/15/07.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Screaming
Clinical narrative: "Screaming all day after receiving her DTaP, IPV, Hep B-Hib, Prevnar, and Rotateq
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Starting on 8/15-8/16/07 had flu type symptoms. Generalized aches and pains with nausea and fever. Left shoulder down to the elbow was red, not painful, no edema. Over the counter Advil.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: 10 1/2 cm x 9 1/2 cm localized site reaction, erythema (blanches) warmth and mild induration; tender to touch
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Swelling
Clinical narrative: Oblong red swollen area approx 4 1/2 x 3" (wide x tall). Treat with Keflex 500mg.
Sex: M
Vaccine: FLUX, HEPA, IPV, MEN, TD, TYP
Symptoms: Dark circles under eyes, Eye swelling
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of dark circles under eyes in an adult male subject who was vaccinated with Havrix, GlaxoSmithKline for prophylaxis. Concurrent vaccination included Salmonella typhi Vi capsular polysaccharide vaccine (manufacturer unspecified), inactivated poliomyelitis virus vaccine (Sanofi), influenza virus vaccine (manufacturer unspecified), meningococcal polysaccharide groups A, C, W and Y vaccine (Sanofi) and tetanus and diphtheria toxoids adsorbed (Sanofi) given on 20 December 2006. Concurrent medications included Valaciclovir hydrochloride (Valtrex). On 20 December 2006 the subject received 1st dose of Havrix at 1 ml in the right arm. At an unspecified time after vaccination with Havrix, the subject experienced dark circles under eyes, bags under eyes and blemish (described as a permanent tired line) on the face. At the time of reporting the events were unresolved. The healthcare professional stated that in the consumers opinion, the events were considered to be disabling.
Age: 0.8
Sex: M
Vaccine: HEP
Symptoms: Laboratory test, No therapeutic response, Splenomegaly
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of a 3-year-old male subject not responding to therapy following vaccination with Engerix B for prophylaxis. Concurrent medical conditions included chronic otitis. On 25 April 2005, 21 September 2004 and 3 August 2004 the subject received 3rd dose, 2nd dose and 1st dose of Engerix B (0.5 ml, intramuscularly) to complete the 3 dose series. Lot numbers were provided as ENG550642, 558582 and AHBUA. On 24 July 2007, the subject was tested and found to have not responded to therapy. In the past few months, the subject was also diagnosed with an enlarged spleen. This case was assessed as medically serious. At the time of reporting the subject was not responding to therapy and the outcome of the enlarged spleen was not reported.
Age: 6.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Abdominal pain, Appendicectomy, Peritonitis, Pyrexia
Clinical narrative: Child went to ER for fever and abdominal pain and admitted to hospital. On Aug 12, 2007 she had a diagnostic lab done with appendectomy and paracentesis. (Appendix was NL.). IV ABCS administered. Etiology for peritonitis unclear per discharge summary - Pt discharged from hospital 8/17/07 and is recovering at home as of this report. 10/18/07-records received for DOS-8/12-8/17/07-DC DX: Peritonitis, Status post appendectomy 8/12/07-admitted with abdominal pain and fever. Post appendectomy developed abdominal pain . Treated with IV antibiotics.
Age: 6.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Body temperature, Henoch-Schonlein purpura
Clinical narrative: Child went to ER for fever and abdominal pain and admitted to hospital. On Aug 12, 2007 she had a diagnostic lab done with appendectomy and paracentesis. (Appendix was NL.). IV ABCS administered. Etiology for peritonitis unclear per discharge summary - Pt discharged from hospital 8/17/07 and is recovering at home as of this report. 10/18/07-records received for DOS-8/12-8/17/07-DC DX: Peritonitis, Status post appendectomy 8/12/07-admitted with abdominal pain and fever. Post appendectomy developed abdominal pain . Treated with IV antibiotics.
Age: 6.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Peritoneal fluid analysis, Platelet count normal, Rash macular, Urine analysis, White blood cell count increased
Clinical narrative: Child went to ER for fever and abdominal pain and admitted to hospital. On Aug 12, 2007 she had a diagnostic lab done with appendectomy and paracentesis. (Appendix was NL.). IV ABCS administered. Etiology for peritonitis unclear per discharge summary - Pt discharged from hospital 8/17/07 and is recovering at home as of this report. 10/18/07-records received for DOS-8/12-8/17/07-DC DX: Peritonitis, Status post appendectomy 8/12/07-admitted with abdominal pain and fever. Post appendectomy developed abdominal pain . Treated with IV antibiotics.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: After 48 hour vaccination pt developed swollen, redness, pain to (L) upper arm.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood pressure, Contusion, Eye rolling, Fall
Clinical narrative: 2 minutes after Gardasil administered, pt leaned forward and tumbled to floor. Eyes rolled back. Immediately refocused and speaking. BP 104/56. Monitored pt for 20 minutes no further adverse effects. Bruise to right hip where landed on floor.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Accidental exposure, Cold compress therapy, Oedema peripheral, Rash
Clinical narrative: Child struggled during vaccine administration Tdap squirted on (R) arm. Child had immediate rash, swelling to arm, ice pack placed, Benadryl given. Pt stable.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Local reaction
Clinical narrative: local reaction of immunizarions-Right anterior lateral thigh red, warm and indurated
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Asthma, Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Wheezing, asthma, fatigue, leg weakness, and redness swelling, itching at injection site.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness, Wheezing
Clinical narrative: Wheezing, asthma, fatigue, leg weakness, and redness swelling, itching at injection site.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: hives occurring on legs, arms and trunk 24 hr. past immune
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Convulsion
Clinical narrative: Pt was given two injections one in each arm IM. Tdap given in (L) arm and MCV given in (R) arm. Pt shortly after the MCV injection, pt had a seizure.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Asthenia, Cyanosis, Dyskinesia, Pallor
Clinical narrative: as vaccine being injected, pt leaned forward, pale, almost cyanotic, holding breath, (+) jerky movement all lasting 30 seconds. Pt. rested for few minutes -> felt weak, couldn't wake. After 15 min -> pt recovered
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, RV5
Symptoms: Choking, Pallor
Clinical narrative: Pt received oral dose of Rotavirus. Mother said he had a choking spell turned pale. No cyanosis, no apnea.
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dyskinesia, Electroencephalogram, Eye inflammation, Eye swelling, Rhinorrhoea
Clinical narrative: Mother reported jerky movement of all 4 extremities with eyeball-swelled and saliva in mouth liquid coming out of nose. This episode was 2 days after
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Puffy, red at injection site left arm. Varivax, Adacel given at this site.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Loss of consciousness, Nausea
Clinical narrative: Pt c/o Dizziness then "passed out" while leaving the clinic. Pt was outside lying on side-walk when assistance arrived. Pt's eyes were closed but responded verbally & oriented x3. Pt was transported inside clinic via w/c and vital taken x 3; All normal. Pt c/o nausea but was released after 30 minutes and stated she felt "fine"
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Vaccine given 8-2-07. Same day swelling, induration redness.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: According to patient's mother patient developed hives about 6pm on 8-9-07. She gave her Benadryl 25mg. Mother called our office about 6pm on 8-10-07 to report reaction. She was advised to increase Benadryl to 50mg every 4-6 hours. Patient was seen in our office on 8-11-07 - confirmed reaction and prescribed Prednisone 60mg daily for 3-5 days.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Body temperature increased, Chills, Headache, Lethargy, Myalgia
Clinical narrative: Mom reports child went ot sleepover after appt with CPNP on 8-10-07. When pt was picked up next am, child was vomiting, had oral temp 101.4, chills, lethargy, muscle aches and pains, headache, was seen at medical center, lab work done, dx'd as reaction to "shot", sx's improved in 24 hr except lethargy which continued to 8/15/07.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Vaccination complication, Vomiting
Clinical narrative: Mom reports child went ot sleepover after appt with CPNP on 8-10-07. When pt was picked up next am, child was vomiting, had oral temp 101.4, chills, lethargy, muscle aches and pains, headache, was seen at medical center, lab work done, dx'd as reaction to "shot", sx's improved in 24 hr except lethargy which continued to 8/15/07.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rash on both forearms developed 2 weeks after getting Zostavax
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: Fever 100.4 with vomiting morning after receiving vaccines. Complained of "chills" evening after receiving vaccines (same day).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Diplopia, Dizziness, Muscular weakness, Wheezing
Clinical narrative: Above patient was given his 2nd Varicella vaccine at the health dept this AM in (R) arm. About 30 minutes after vaccine was given, patient complained of dizziness, double vision, leg weakness and wheezing started about 45 minutes after vaccine was administered. Mom brought child to my office for evaluation.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Hypersensitivity, Oedema peripheral, Swelling face, Urticaria
Clinical narrative: Mother states she noticed child's hands swelling about 4 PM and then found whelps on her back and arms. She also experienced swelling of face and feet later on. Mother gave Benadryl. Family was traveling and was seen at an ER and told this was allergic reaction and to continue Benadryl.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Neck pain, Pain in extremity
Clinical narrative: Pt phoned at 8:30 AM on 7/19/07 stating approx. 2 h after immunization, she experienced pain at injection site which radiated to her neck and (L) arm that evening. Denies edema, erythema or exudate.