chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site mass
Clinical narrative: Post vax, the pts experienced a cellulitis type reaction consisting of a hard bump at the injection site and streaking. The reporter felt that this experience occurred after the first dose that the pts received. Additionally, it was noted that the pts were referred to a physician who has been treating with oral antibiotics.
Sex: F
Vaccine: PPV
Symptoms: Angioneurotic oedema, Hypersensitivity, Urticaria
Clinical narrative: Within 30 minutes post vax, the pt developed facial angioedema and urticaria. The pt presented to a physician and was treated in the usual manner and responded well. An allergist performed a local skin test because it was recommended that the pt be revaccinated with vax. The skin test showed a reaction and the allergist felt he should not administer the full dose to the pt.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: On 4/26/00, within 24 hours post vax, the pt experienced severe tenderness, swelling and redness at the injection site extending into the right axilla. Follow up information reports that on 5/1/00, the pt recovered.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Information has been received from a pharmacist concerning 2 pts who were vaccinated with pneumococcal vaccine 23 polyvalent. Subseqently, the pts experienced injection site redness, "localized reactions". Medical attention was sought. No further information is available.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Information has been received from a pharmacist concerning a 63 year old male who on 4/27/00 was vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent in the left arm. On 4/30/00, the pt developed cellulitis at the injection site. The pt was seen in the ER and was placed on therapy with Keflex. The reporter stated that the pt's wife received a vaccination from the same lot number and multidose vial, but did not have a reaction. Additional information has been requested.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Information has been received from a health care professional concerning 3 pts who were vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Subsequently, the pt developed a local reaction. The pt sought sought unspecified medical treatment. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Information has been received from a pharmacist concerning a pt who was vaccinated with pneumococcal vaccine 23 polyvalent. Subsequently, the pt experienced a local injection site reaction. Medical attention was sought. No further information is available.
Age: 70.0
Sex: U
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a physician concerning 2 pts in there 70's who on 5/17/00, were vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Subsequently, the pts developed pain and swelling at the injection site. The pts sought unspecified medical treatment. Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Subsequently the pt experienced cellulitis characterized by a red, raised, sore, hot area at the injection site on the right arm. It was also noted that the pt spiked a fever. Unspecified medical attention was sought and the pt was placed on antibiotic therapy and "he got better". Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Subsequently the pt experienced cellulitis characterized by a red, raised, sore, hot area at the injection site on the right arm. It was also noted that the pt spiked a fever. Unspecified medical attention was sought and the pt was placed on antibiotic therapy and "he got better". Additional information has been requested.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Arthritis, Injection site reaction
Clinical narrative: Information has been received from a 75 year old male consumer who is a physician. In about 1993 and Novermber, 1999, the pt was vaccinated with the 1st and booster dose of pneumococcal vaccine 23 polyvalent, respectively. On an unspecified date the pt experienced sub-acute arthritis especially in the elbow, knees and ankles. At an unspecified date the pt also developed a local injection site reaction in the deltoid. The pt sought unspecified medical attention. Additional information has been requested.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pain
Clinical narrative: The pt, on 5/30/00, was vaccinated with pneumococcal vaccine 23 polyvalent and on about 5/30/00, the pt experienced redness and swelling of the arm down to the elbow and hand, severe pain, skin was hot to touch and had a tight feeling of the skin. The pt was afebrile. Medical attention was sought. He was administered a cool compress, Benadryl and Tylenol. No further information is available.
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Skin striae
Clinical narrative: Information has been received from a pharmacist concerning a pt who was vaccinated with pneumococcal vaccine 23 polyvalent and subsequently, the pt experienced injection site redness, "localized reactions". The pt also experienced a streak down the arm. The pt sought unspecified medical attention.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Vasodilation procedure
Clinical narrative: Two days post vax, the pt developed a red and hot area one to two inches in length, about three inches below injection site. The registered nurse said it looks like cellulitis.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Vasodilation procedure
Clinical narrative: Next day post vax, the pt experienced a red, swollen, and hot area 1-2 inches in length, about 4 inches below the injection site.
Sex: U
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain, Vasodilation procedure
Clinical narrative: Post vax, the pt's arm became grossly edematous, increasing in diameter to almost triple normal, very red, hot and tender.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Rash maculo-papular
Clinical narrative: Next day post vax, the pt experienced a big pink circle on her bicep that dissipated down her arm in splotches to the elbow. The circle was neither raised, nor near the injection site.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Influenza like illness, Injection site oedema, Injection site pain
Clinical narrative: Pt was inadvertently vaccinated with the first dose of pneumococcal vaccine in the left arm, which expired on 5/1/99. Same day post vax, the pt experienced local swelling, pain, and warmth of the arm, along with flu-like symptoms. He was treated with Tylenol and an ice pack.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Tinnitus
Clinical narrative: Next day post vax, the pt experienced loud ringing in her ear. It was noted that the pt has seen several physicians regarding her symptom.
Sex: F
Vaccine: PPV
Symptoms: Injection site mass
Clinical narrative: Next day post vax, the pt developed a lump under the injection site.
Sex: M
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Immediately post vax, the pt experienced injection site soreness.
Age: 3.0
Sex: M
Vaccine: PPV
Symptoms: Drug ineffective
Clinical narrative: Post vax, laboratory evaluation revealed negative titer for two strains and positive titer for four strains of pneumococci.
Age: 3.0
Sex: M
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Nausea
Clinical narrative: Same day post vax, the pt experienced fever of 104, nausea, vomiting, and a 4-6 inch induration at the vaccine injection site. There was also redness, swelling, and tenderness at the injection site.
Age: 3.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Same day post vax, the pt experienced fever of 104, nausea, vomiting, and a 4-6 inch induration at the vaccine injection site. There was also redness, swelling, and tenderness at the injection site.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Next day post vax, the pt developed local redness, swelling, and warmth four inches by six inches. Three days post onset, the pt recovered.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Cough, Headache, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Next day post vax, the pt developed localized red swelling on the right arm where the vaccine was administered with a fever of 101. In addition, the pt developed cough with headache and soreness as well.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Pneumonia, Pyrexia
Clinical narrative: Next day post vax, the pt developed localized red swelling on the right arm where the vaccine was administered with a fever of 101. In addition, the pt developed cough with headache and soreness as well.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Joint stiffness, Vasodilation procedure
Clinical narrative: Next day post vax, the pt noticed that her upper arm under injection site and down to the elbow was stiff, swollen, and hot to the touch.
Age: 17.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Joint stiffness, Vasodilation procedure
Clinical narrative: Next day post vax, the pt noticed that her upper arm under injection site and down to the elbow was stiff, swollen, and hot to the touch.
Sex: U
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Post vax, the pt experienced shooting pains in the neck and head, extreme pain in the feet.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
Clinical narrative: On 9/17/99, the pt experienced injection site reactions described as hard, red, painful, larger area under the injection site.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Post vax, the pt experienced swelling and redness at the site of injection down the arm and to the elbow.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Subsequently, the pt experienced swelling and redness at site of injection down to arm and elbow. Additionally, it was noted that 3 other pt experienced similar reactions.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Subsequently the pt experienced swelling redness at the site of injection down the arm and to the elbow. Additionally it was noted that 3 pts experienced similar reactions.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Subsequently the pt experienced swelling and redness at the site of injection down the arm and to the elbow. Additionally it was noted that 3 other pts experienced  similar reations.
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Pain, Pyrexia, Swelling
Clinical narrative: Subsequently the pt experienced fever, swelling, and pain with hand numbness. The pt sought unspecified medical treatment. The symptoms subsided within a few days without treatment. Ice packs were applied locally. Noted that another female pt experienced similar symptoms.
Sex: U
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Subsequently the pt experienced swelling in feet
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: Subsequently the pt experienced swelling of the arm.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Myalgia
Clinical narrative: Immediately post vax, the pt reported developing joint and muscle pain. The pain went away after several days. Unspecified medical attention was sought.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: On 9/29/99, the pt presented to a physician with cellulitis around area of injection site. Treatment with steroids was initiated and was followed by resolution of symptoms. No further information is available.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Pain, Pyrexia
Clinical narrative: On 9/8/99, the pt experienced arm tenderness, low grade fever, injection site redness, and edema 4-6 cm in size. The symptoms lasted 5-6 days.
Sex: U
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Post vax, the pt experienced an unknown adverse event. The pt sought unspecified medical attention.
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: The next day post vax, the pt experienced red spots. The pt was instructed to use warm compresses and Benadryl by the registered nurse.
Sex: M
Vaccine: PPV
Symptoms: Injection site mass
Clinical narrative: Post vax, the pt developed a local injection site reaction consisting of a red band-like induration on the arm where the injection was given. Within 72 hours, the induration resolved.
Age: 90.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Information has been received from a NP concerning a 90 year old white female pt who, post vax, experienced injection site erythema 4-5 cm in size. Injection site inflammation and injection site tenderness. The pt was afebrile. Additionally, it was reported that the pt is to be seen by a physician as the nursing home staff states "the site looks like cellulitis." Follow-up information from a NP reported that there no systemic reaction. The duration of the symptoms was 3-4 days. It was reported that the pt's primary physician was notified, but no visit was required.
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Information has been received from a man concerning his grandmother who was vaccinated with pneumococcal vaccine 23 polyvalent. Subsequently, the pt experienced severe swelling in the arm. The pt was seen by a physician. She was told to take 2 Tylesnol. When the swelling did not subside, the pt was taken to the ER. No further information is available.
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Neuropathy, Pain
Clinical narrative: Information has been received from a consumer, a male physician who in approximately 9/99 was vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Subsequently, "a couple of days after the vaccination," the pt experienced paresthesia down his forearm. One to two days later, the pt experienced achiness in his arm that extended beyond the injection site. The pt is currently experiencing severe pain down the forearm, going into his wrist that has interfered with his ability to sleep. Additionally, the pt is experiencing slight erythema, the area feels warm to the touch and he has an increase in sensitivity at the injection site. The pain is unresponsive to NSAIDS. The physician noted "feel that nurse hit a nerve whien administering the vaccine. Follow-up information received from the pt indicated that "initially thought that this pain was from the placement of the needle during injection, however, he was dx'd by a neurologist with brachial plexus neuropathy and was told that this is from the Pneumovax vaccine and not secondary to the mechanics of the injection." The pt describes the pain as severe and deep seated. The pt is presently being treated with amitriptyline and a steroid dose pack. The pt was instructed not to take any pain killers for the pain. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: Information has been received from a consumer, a male physician who in approximately 9/99 was vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Subsequently, "a couple of days after the vaccination," the pt experienced paresthesia down his forearm. One to two days later, the pt experienced achiness in his arm that extended beyond the injection site. The pt is currently experiencing severe pain down the forearm, going into his wrist that has interfered with his ability to sleep. Additionally, the pt is experiencing slight erythema, the area feels warm to the touch and he has an increase in sensitivity at the injection site. The pain is unresponsive to NSAIDS. The physician noted "feel that nurse hit a nerve whien administering the vaccine. Follow-up information received from the pt indicated that "initially thought that this pain was from the placement of the needle during injection, however, he was dx'd by a neurologist with brachial plexus neuropathy and was told that this is from the Pneumovax vaccine and not secondary to the mechanics of the injection." The pt describes the pain as severe and deep seated. The pt is presently being treated with amitriptyline and a steroid dose pack. The pt was instructed not to take any pain killers for the pain. Additional information has been requested.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dry mouth, Dyspnoea, Injection site abscess, Injection site erythema, Injection site induration
Clinical narrative: Initial and follow-up information has been received from an RN concerning a 55 year old white female pt who was vaccinated with a 2nd dose of pnemococcal vaccine 23 polyvalent and the 1st dose of influenza virus vaccine. It was noted that the 2 vaccines were administered in the same arm. On 10/5/99, the pt experienced injection site redness, tenderness, and hardness. In addition, the injection site was swollen. The pt also complained of shortness of breath although "lungs clear to auscultation" with dry mouth. She was seen by a physician the next day, because her physician expressed concern that she might experience abscess in the arm. She was also scheduled to see a physician for re-evaluation. Subsequently, the pt recovered from all her experiences. No further details are expected.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Initial and follow-up information has been received from an RN concerning a 55 year old white female pt who was vaccinated with a 2nd dose of pnemococcal vaccine 23 polyvalent and the 1st dose of influenza virus vaccine. It was noted that the 2 vaccines were administered in the same arm. On 10/5/99, the pt experienced injection site redness, tenderness, and hardness. In addition, the injection site was swollen. The pt also complained of shortness of breath although "lungs clear to auscultation" with dry mouth. She was seen by a physician the next day, because her physician expressed concern that she might experience abscess in the arm. She was also scheduled to see a physician for re-evaluation. Subsequently, the pt recovered from all her experiences. No further details are expected.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from an RN concerning a 65 year old white male pt who was vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent IM in the right arm and  also a 2nd dose of influenza virus vaccine IM in the left arm. Later that same day, the pt presented with a reaction at the injection site where pneumococcal vaccine 23 was administered that consisted of "a little redness, swelling and tenderness." The pt was advised to take Tylenol and apply ice to the involved area. Follow-up information from an RN reported that subsequently the pt recovered.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from an RN concerning a 66 year old male pt who on 10/7/99 was vaccinated with a second dose of pneumococcal vaccine 23 polyvalent IM in the right arm and on 10/6/99 included influenza virus vaccine IM in the left arm. It was noted that the pt receives influenza virus vaccine "yearly." On 10/8/99, the pt presented with injection site pain, redness, warmth and swelling and difficulty raising his right arm. No fever was noted. The pt was advised to take Advil and apply ice packs to the involved area. Follow-up information from an RN reported that on 10/11/99, the pt recovered.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Information has been received from an RN concerning a 66 year old male pt who on 10/7/99 was vaccinated with a second dose of pneumococcal vaccine 23 polyvalent IM in the right arm and on 10/6/99 included influenza virus vaccine IM in the left arm. It was noted that the pt receives influenza virus vaccine "yearly." On 10/8/99, the pt presented with injection site pain, redness, warmth and swelling and difficulty raising his right arm. No fever was noted. The pt was advised to take Advil and apply ice packs to the involved area. Follow-up information from an RN reported that on 10/11/99, the pt recovered.
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Information has been received from an RN concerning a pt who, post vax, developed a swollen arm with red induration. Unspecified medical attention was sought. The reporter expressed a concern with the lot. Additional information has been requested.
Age: 83.0
Sex: M
Vaccine: PPV
Symptoms: Facial palsy
Clinical narrative: Information has been received from an 83 year old male pt who, post vax, on approximately, 4/15/99, the pt developed Bell's Palsy. Unspecified medical attention was sought. Addition information has been requested.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a physician concerning a 68 year old female who in 1989 was vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. In 1989, the pt experienced an injection site reaction described as a red, swollen, painful area at the injection site. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a Doctor of Pharmacy concerning an unspecified number of pts in a retirement community, who were vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent and subsequently, the pts experienced "serious reactions". No further information is available.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a 65 year old white female pt who on 10/12/99 was vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent, IM in the left deltoid. It was noted that the 1st dose was administered in 1986. She also had influenza virus vaccine, IM in the left deltoid and "trivalent A and B." Approximately 3 to 4 hours, post vax, the pt reported that her arm became "swollen, red, hot and raised." She also reports that "it's now migrating down to the area near my elbow." unspecified medical attention was sought. Follow-up information from a physician indicated that 1 day, post vax, the pt was seen by a NP. The pt presented with "pain, erythema, hot and mild swelling just below the injection site in the left deltoid. She also had pain in her left elbow and left forearm. The pt was treated with Benadryl, Celebrex and amoxicillin. The pt was seen on 10/14/99. The pt's swelling and reaction symptoms had greatly improved." Follow-up information from a LPN, indicated that on approximately 10/14/99, the pt recovered.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Information has been received from an LPN concerning a 56 year old white male who on 10/11/99 was vaccinated with a 1st dose of neumococcal vaccine 23 polyvalent, IM in the right arm. The same day as vaccination, the pt experienced arm redness, soreness and swelling over the entire upper arm. The pt was also febrile. The pt was seen by a physician. The pt was treated with cold packs for 20 minutes. The pt was also treated with Rofecoxib, Diphanhydramine HC1, and cephalexin monohydrate. Subsequently, the pt recovered.
Age: 33.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Information has been received from an LPN concerning a 33 year old white male pt who on 10/12/99 was vaccinated with a 1st dose of pneumococcal vaccine 23 polyvalent, IM in the right arm. That same day, the pt developed a fever and redness, soreness and swelling "over entire upper arm." Follow-up information from an LPN reported that the pt subsequently, recovered.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Information has been received from a health care professinal concerning a 71 year old white female pt who on 10/12/99 was vaccinated with the 2nd dose of pneumococcal vaccine 23 polyvalent, IM in the right arm. That same day, the pt experienced swelling, redness and soreness of the entire upper arm, as well as a fever. She sought unspecified medical attention and was treated with ice packs. The pt subsequently, recovered. It was reported that the pt had no adverse experience following the initial dose of pneumococcal vaccine 23 polyvalent administered in March, 1993. No further information is available.
Age: 47.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Information has been received from a physician's office concerning a male pt who was vaccinated with pneumococcal vaccine 23 polyvalent. Subsequently, the pt developed a fever, chills, redness at the injection site, and radiating pain up and down the arm from the injection site. Two of the pt's family members had similar experiences following exposure to pneumococcal vaccine 23 polyvalent. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Information has been received from an RN concerning a female pt who was vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Subsequently, the pt developed a local injection site reaction consisting of a red "band-like" induration on the arm where the injection was given. Within 72 hours, the induration resolved. Unspecified medical attention was sought. The reporter expressed a concern with the lot number. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Information has been received from an RN concerning a female pt who was vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Subseqently, the pt developed a local injection site reaction consisting of a red "band-like" induration on the arm where the injection was given. Within 72 hours, the induration resolved. Unspecified medical attention was sought. The reporter expressed a concern with the lot number. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from an RN concerning a pt who was vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Within the first day, post vax, the pt experienced injection site induration that was "band-like", local redness and soreness that increased with severity, peaking within 48-64 hours. On approximately 10/9/99, the pt experienced extreme swelling, pain and discomfort that is still ongoing. On 10/11/99, the pt was seen by a physician who prescribed Claritin. The reporter expressed a concern with the lot number. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from an RN concerning 12 pts who on 10/7/99 were vaccinated with 1 dose of pneumococcal vaccine 23 polyvalent. Within the 1st day of vaccination, they experienced swelling, red, induration that was "band-like" and soreness on the arm where the injection was given. Unspecified medical attention was sought. Within 72 hours, the pts recovered. The reporter has expressed a concern with the lot number. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Post vax, the pt developed injection site redness, swelling, and pain.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilation procedure
Clinical narrative: Post vax, the pt developed an injection site reaction described as a 3 inch by 3 inch red, hot, sore area at the injection site.
Age: 22.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Influenza like illness, Pain, Pyrexia
Clinical narrative: Same day post vax, the pt experienced soreness in arm. Also, she experienced flu-like symptoms accompanied by fever and pain. She had a fever of approximately 102-103.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilation procedure
Clinical narrative: Post vax, the pt developed swelling, redness, and warmth in her arm, below the injection site near her elbow.
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: Information has been received from a health professional concerning four patient who on 10/14/99 or 10/15/99 were vaccinated with one dose of Pneumococcal vaccine 23 Polyvalent. Subsequently the patients experienced high fevers, and hard red arms. The health care professional stated that "everything that was listed as an adverse experience in the prescribing information was experienced by the patients." The patients sought unspecified medical
Age: 47.0
Sex: M
Vaccine: PPV
Symptoms: Hypokinesia, Injection site induration, Injection site swelling, Oedema peripheral, Pain
Clinical narrative: Information has been received from a physician concerning a 47 year old white male who on 10/18/99, was vaccinated IM with a 2nd dose of pneumococcal vaccine 23 polyvalent, in the left deltoid. On 10/19/99, the pt woke up complaining of not being able to move his arm and a large swollen knot to the deltoid area approximately the size of a nickel. The pt noted "entire arm is swollen including fingers." The pt was seen by a physician and treated with Benadryl and alternating ice and heat compresses. On 10/20/99, the pt recovered. No further information is available.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Hypokinesia, Oedema peripheral, Pain, Pyrexia
Clinical narrative: 5 minutes post vax, the pt experienced a very sore arm that she could barely move. In addition, the pt's arm was red and swollen down to her fingers. The symptoms progressed to generalized pain on the whole right side of her body. The pt thinks she also had a fever, but no temperature measurement was taken. 24 hours later, the pt recovered.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Musculoskeletal stiffness, Myalgia, Oedema peripheral
Clinical narrative: 5 hours post vax, the pt experienced a stiff neck and muscle aches in the injection site arm. Unspecified medical attention was sought. It was indicated that the pt's right arm became very sore with some swelling and redness that progressed to generalized muscle pain on the right side including stiff neck.
Sex: M
Vaccine: PPV
Symptoms: Musculoskeletal stiffness, Myalgia
Clinical narrative: Post vax, the pt experienced a stiff neck and muscle aches in the injection site arm. Unspecified medical attention was sought.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema
Clinical narrative: On 10/21/99, the pt experienced arm swelling to 3 times the normal size at the injection site. The site was painful. The arm was 2 times the normal size at the time of the report.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Post vax, the pt experienced injection site redness, swelling, heat, and discomfort. Subsequently, the pt recovered.
Sex: U
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Pyrexia
Clinical narrative: Post vax, the pt experienced a high fever and a hard red arm.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site urticaria
Clinical narrative: Next day post vax, the pt experienced large circumscribed erythematous wheal at the injection site. The wheal was 4 inches x 4 inches in diameter. The pt was instructed to use Benadryl and cold packs to site. It was noted that the swelling started to resolve after three days of onset.
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Nausea, Pain, Vomiting
Clinical narrative: Next day post vax, the pt experienced severe left arm pain. The pt went to the ER. The pain was so severe that she was crying, thought she was having a heart attack, and she lost the use of her arm. She also experienced nausea and vomiting. The pt was administered Demerol and an anti-emetic in the ER. She was sent home with her arm in a sling.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Post vax, the pt experienced redness and swelling at the injection site.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Post vax, the pt developed an injection site reaction that included redness, tenderness, swelling, and hot to the touch. No fever was noted. The physician was concerned that the pt had cellulitis, but after icing and Benadryl his condition improved.
Sex: U
Vaccine: FLUX, PPV
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: Post vax, the pt experienced fevers of approximately 102 and a flu-like sickness. Unspecified medical attention was sought.
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Pyrexia
Clinical narrative: Post vax, the pt developed a fever, chills, and redness at the injection site.
Age: 11.0
Sex: M
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Pyrexia
Clinical narrative: Next day post vax, the pt developed a fever, chills, and redness at the injection site.
Sex: U
Vaccine: FLUX, PPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: 8 hours post vax, the pts experienced swelling, redness, and heat on the under side of their arms, away from the injection site. Unspecified medical attention was sought.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Asthma, Condition aggravated, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Same evening post vax, the pt experienced significant erythema, swelling, and pruritus at the injection site of the left arm. She also experienced an exacerbation of asthma. The pt reported that her arm got worse overnight, so that she was unable to stretch it out. She sought medical attention and was treated with Benadryl, and oral prednisone for her asthma.
Sex: U
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: 8 hours post vax, the pt experienced swelling, redness, and heat on the under side of the arm, away from the injection site. Unspecified medical attention was sought.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Myalgia, Pyrexia
Clinical narrative: On 10/26/99, the pt experienced fever, muscle aches, and soreness at injection site.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Lymphangitis
Clinical narrative: 24 hours post vax, the pt experienced cellulitis with a 3 " diameter axillary lymphangitis, and adenopaty. There was red streaking down the affected arm.
Age: 63.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Pain
Clinical narrative: Same day post vax, the pt's right upper arm "blew up", with redness and intense pain to the touch. She sought unspecified medical attention.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Post vax, the pt developed cellulitis at the injection site. The pt sought unspecified medical attention.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: Pt received vax in 1994. Post vax, the pt experienced arm swelling to the point where she could not bend the arm. Three days after onset, the pt recovered.
Sex: U
Vaccine: FLUX, PPV
Symptoms: Pyrexia, Skin nodule
Clinical narrative: Post vax, two  pts experienced fevers of 102 and 103 degrees. The other two pts developed large red lumps from shoulder to elbow with intense pain.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Inflammation, Injection site oedema
Clinical narrative: On 11/3/99, the  pt developed large, inflamed, local swelling distal to the injection site resembling a cellulitis. The pt was seen by a physician and treated with ibuprofen and Duricef.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema, Musculoskeletal stiffness
Clinical narrative: Six hours post vax, the pt experienced warmth at the injection site. Additionally, the pt developed redness and swelling in the arm that was injected. It was reported that the arm swelling was approximately 1.5 times normal and there was stiffness of the extremity.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Pyrexia
Clinical narrative: Next day post vax, the pt presented with cellulitis from injection site on down, a red swollen arm, and a slightly elevated temperature. The pt was treated with Keflex, warm compresses, and told to keep the affected area elevated.
Age: 95.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: On 11/5/99, the pt developed pain, swelling, and redness at injection site and on entire upper arm from left elbow to shoulder. On 11/8/99, the pt was seen by a physician.
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema
Clinical narrative: Within 24 hours post vax, the pt developed local reactions described as swollen arm.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Post vax, the pt developed cellulitis at the injection site. The pt sought unspecified medical attention.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: On 11/9/99, the pt developed cellulitis on his arm. Treatment with cephalexin was initiated.
Age: 40.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Headache, Malaise, Pyrexia
Clinical narrative: 12 hours post vax, the pt experienced a low grade fever. Later that night, the pt experienced a fever of 102. Two days later, the pt again experienced a low grade fever, as well as a headache and general malaise.
Sex: U
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Same day post vax, the pts experienced red, warm, and inflamed elbows. The pts were treated with ice packs and the swelling reportedly began to go away.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Same day post vax, the pt experienced swelling, redness, pruritus, and soreness in the vaccinated arm, extending down to the elbow. She was unable to raise her arm above her head. On the second day, she was unable to raise it above her shoulder.
Age: 2.0
Sex: M
Vaccine: PPV
Symptoms: Hypokinesia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: On 11/10/99, the pt experienced a fever of 103, a dime size swelling at the injection site, redness, and tenderness at the injection site and the pt would not ambulate on his leg. The pt sought unspecified medical treatment.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema, Injection site urticaria
Clinical narrative: Three hours post vax, the pt experienced swelling and hives at the injection site.
Age: 2.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Same day post vax, the pt vomited several times.
Age: 71.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Muscle rigidity
Clinical narrative: On 11/19/99, the pt experienced muscle rigidity and a red round ring that traveled down the elbow. The pt's elbow was tender. The pt felt that the symptoms were related to therapy with vax.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Rash
Clinical narrative: Information has been received from a health care professional concerning a 57 year old female who in approximately, 1987, was vaccinated with 1 dose of pneumonococcal vaccine 23 polyvalent and subsequently, the pt experienced an injection site reaction with noted redness and a rash. Follow-up information from a physician indicated that there was "no adverse reaction to the best of our knowledge." No further information is available.
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a physician concerning 2 pts who were vaccinated with a 2nd dose of pneumococcal vaccine 23 polyvalent. Subsequently, the pts experienced red, swollen and warm arms from their elbow to shoulder. It was reported that it was the vaccinated arm that developed the reactions. Unspecified medical attention was sought. Follow-up information, indicated that the pt recovered with "local care."
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Information has been received from an RN concerning a female pt who on 10/08/1999 was vaccinated with pneumococcal vaccine 23 polyvalent and on 10/18/1999, the pt experienced redness and pain of the arm that extended to the armpit. She was seen by a physician. She was given antibiotics and recovered. No further information is available.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration
Clinical narrative: Information has been received from an RN concerning a 45 year old female pt who on 11/6/99 was vaccinated with a 1st dose of pneumococcal vaccine 23 polyvalent. On 11/6/99, the pt experienced local reaction described as raised lump on injection site arm. Pt was seen by a physician and treatment with Keflex was initiated. Follow-up was received which indicated the reporter "had no additional information-we only fill out a short incident report unless the issue goes unresolved. She did not call back so I assume it was resolved". Additional information has been requested.
Age: 61.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a NP concerning a 61 year old white female who was vaccinated with a 1st dose of pneumococcal vaccine 23 polyvalent. via the right deltoid. On the same day, she also received an influenza virus vaccine. Subsequently, the pt experienced injection site reaction described as swollen arm with redness (injection site arm). Also, she developed significant flu symptoms. It was noted that the pt had no previous reaction to flu shots. Pt was presented to a physician and treatment with hydrocortisone cream and Benadryl was initiated, but despite the treatment, the arm redness persisted. Therapy with Decadron was recommended. Subsequently, the pt recovered. No further information is available.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Information has been received from a registered technician concerning a 43 year old white female who on 10/22/99 was vaccinated with pneumococcal vaccine 23 polyvalent, via left deltoid. Subsequently, the pt experienced left deltoid pain and was presented to a physician. Follow-up information received from a physician indicated that the pt had recurrent left deltoid area discomfort for over a month, post vax. At the time of reporting, the pt's outcome is unknown. No further information is available.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Skin discolouration
Clinical narrative: Information has been received from an RN concerning a 47 year old female who on 2/25/00 was vaccinated IM with the 1st dose of pneumococcal vaccine 23 polyvalent. On 2/26/00, the pt developed a red, hot  and swollen arm "all the way to the elbow". The pt sought unspecified medical attention. Follow-up information received from the physician indicated that on 2/26/00, the pt developed a 6cm X 8cm macule on the left deltoid at the injection site with tenderness. On an unspecified date, the pt recovered. No further information is available.
Sex: U
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilation procedure
Clinical narrative: Post vax, the pts developed an injection site reaction that included redness, tenderness, swelling, and hot to the touch. No fever was noted.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Feeling abnormal, Pneumonia
Clinical narrative: Shortly after the vax, the pt was not feeling well, he saw a physician, and was dx with pneumonia. The pt was reported as being very ill, like an invalid.
Sex: U
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Post vax, the pts experienced cellulitis.
Age: 60.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Eye pain, Headache, Nasal congestion
Clinical narrative: The pt experienced headaches, eye movement pain, congestion. The began approximately 3 weeks post vax and continue today. Headaches are caused by a diagnosed inflamed meninges.
Age: 60.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Eye pain, Headache, Laboratory test abnormal, Meningitis, Nasal congestion
Clinical narrative: The pt experienced headaches, eye movement pain, congestion. The began approximately 3 weeks post vax and continue today. Headaches are caused by a diagnosed inflamed meninges.
Age: 60.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Eye pain, Headache, Meningitis, Nasal congestion
Clinical narrative: The pt experienced headaches, eye movement pain, congestion. The began approximately 3 weeks post vax and continue today. Headaches are caused by a diagnosed inflamed meninges.
Age: 1.25
Sex: F
Vaccine: HIBV
Symptoms: Hypoglycaemia, Pyrexia, Rash, Vomiting
Clinical narrative: On 7/29/00, pt had acute onset of fever and rash. On 7/30/00, she developed vomiting and was taken to ER. Was in ER for 1 day of observation. Treated with Rocephin.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Blister, Ear pain, Fatigue, Pruritus, Sunburn
Clinical narrative: The same evening, she felt tired and developed bumps on her hand which made her itch. On 6/7/99, she had hives and pain around the ear area. Later she developed a blister. She went to ER and on 6/8/99, her illness was dx'd as a 2nd degree burn and was admitted in burn unit. She was given a high dose of antibiotics at the hospital. She is sensitive to the sun and was out in the sun all day before she received the vaccine. On 6/28/99, follow-up information is that her doctor informed her that the reaction might be the combination of the vaccine and frome being in the sun all day and there is no harm to continue the series. Case is doing fine now.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: The same evening, she felt tired and developed bumps on her hand which made her itch. On 6/7/99, she had hives and pain around the ear area. Later she developed a blister. She went to ER and on 6/8/99, her illness was dx'd as a 2nd degree burn and was admitted in burn unit. She was given a high dose of antibiotics at the hospital. She is sensitive to the sun and was out in the sun all day before she received the vaccine. On 6/28/99, follow-up information is that her doctor informed her that the reaction might be the combination of the vaccine and frome being in the sun all day and there is no harm to continue the series. Case is doing fine now.