chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dizziness, Dyspnoea, Heart rate increased, Increased upper airway secretion
Clinical narrative: On 10/2/08 client received her 1st flu shot.  30-45 min after shot, felt a sensation at injection site & then began coughing with phlegm production. Unable to stop coughing.  Took Claritin, resolved X 1 hr, cough came back w/some difficult breathing.  Allergist & PCP sent her to ER where she was given IV Benadryl coughing & phlegm stopped.  Went home, coughing began again at 9 pm that night, took Claritin.  Coughing began again in the am, took Benadryl and Pepcid Q 6 hours though the weekend.  Monday morning took Claritin, ok until 3 pm, then had difficulty breathing, increased HR, faintness, took Claritin & Pepcid, still felt dizzy/faint -30 min later- PCP & Allergist again sent her to urgent care.  Finally allergist advised regular dosage of Claritin or Zyrtec.  Has been ok X 2-3 days at time of this report.  10/13/2008
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction
Clinical narrative: On 10/2/08 client received her 1st flu shot.  30-45 min after shot, felt a sensation at injection site & then began coughing with phlegm production. Unable to stop coughing.  Took Claritin, resolved X 1 hr, cough came back w/some difficult breathing.  Allergist & PCP sent her to ER where she was given IV Benadryl coughing & phlegm stopped.  Went home, coughing began again at 9 pm that night, took Claritin.  Coughing began again in the am, took Benadryl and Pepcid Q 6 hours though the weekend.  Monday morning took Claritin, ok until 3 pm, then had difficulty breathing, increased HR, faintness, took Claritin & Pepcid, still felt dizzy/faint -30 min later- PCP & Allergist again sent her to urgent care.  Finally allergist advised regular dosage of Claritin or Zyrtec.  Has been ok X 2-3 days at time of this report.  10/13/2008
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Paraesthesia oral, Pruritus, Tremor, Vision blurred
Clinical narrative: 2:25 pm onset of dizziness.  Shaking to arms/hands, arms itching, lower lips tingling, blurred vision off/on with off/on approximately 2:55 pm.  3:14 pm vomits small amt whitish tan emesis.  Denied any other sx other than dizziness.  2:55 pm BP 149/79, Pulse 73.  3:05 pm BP 127/57, 55, 3:14 pm BP 121/77, P 75.  3:28 pm 127/75, P 71, sitting 113/51, P 64, standing 127/75, P 87.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: 2:25 pm onset of dizziness.  Shaking to arms/hands, arms itching, lower lips tingling, blurred vision off/on with off/on approximately 2:55 pm.  3:14 pm vomits small amt whitish tan emesis.  Denied any other sx other than dizziness.  2:55 pm BP 149/79, Pulse 73.  3:05 pm BP 127/57, 55, 3:14 pm BP 121/77, P 75.  3:28 pm 127/75, P 71, sitting 113/51, P 64, standing 127/75, P 87.
Age: 64.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Received PNEUMOVAX, PPV23 left deltoid on 10-15-2008; subjective report of temperature 102, dyspnea, swelling around left deltoid, pain physician recommended. topical application of warm compresses on 10-16-08; patient returned to clinic 10-17-08 received RX for Doxycycline.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma
Clinical narrative: Bruise on deltoid where vaccine given about 1 3/4 inches in diameter.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Erythema, Myalgia, Pain in extremity, Rash maculo-papular
Clinical narrative: (R) arm bruise, pain. Bilat leg, (R) arm red, maculopapular exanthem - 0.5cm - 2.0cm. Scattered sparsely myalgia
Age: 91.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Injected limb mobility decreased
Clinical narrative: Patient received (IM) Flu injection in left deltoid muscle on 10-1-08, Patient reports that since that day she has difficulty lifting her arm to do normal AOL'S, such as putting her hair up. Patient has seen her pcp who recommended, per patient, physical therapy. symptoms persist to 10-21-08.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Nuclear magnetic resonance imaging, Syncope
Clinical narrative: Information has been received from a registered nurse concerning a 26 year old female with sulfonamide allergy who on 08-SEP-2008 was vaccinated IM with the second 0.5ml dose of GARDASIL (lot #: 660555/0279X).  Concomitant therapy included CLARITIN and SEASONALE.  On 08-SEP-2008 the patient fainted and hit her head after she received the second dose of GARDASIL.  The patient was still at the physician's office when she fainted and received unspecified medical attention.  The date of administration and the lot number for the first dose was unspecified.  Magnetic resonance imaging was performed, the result was not reported.  No further information is available.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 12 year old female with a history of delayed mixed immunodeficiency who on 24-AUG-2008 was vaccinated with the first dose of GARDASIL (lot # unspecified).  Concomitant therapy included TDP.  On 24-AUG-2008, after she received her first dose of GARDASIL the patient experienced nausea, body ache, headache and low grade fever for two days.  There was no lab diagnostics studies performed for the patient.  The patient sought unspecified medical attention.  Subsequently, the patient recovered from nausea, body ache, headache and low grade fever and recovered date was unspecified.  Additional information has been requested.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Irritability, Pyrexia, Urticaria
Clinical narrative: Fever developed the evening of the day shot was given.  Temp to 102.5.  Hives also developed and the pt was quite fussy.  He was seen subsequently in our office and at his allergists.  The allergist thought this was a reaction to DTaP and placed patient on prednisone.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPIPVHIB, HEP, PNC
Symptoms: Pyrexia, Rash, Screaming
Clinical narrative: Inconsolable crying lasting 3 hours and 30 minutes - (as well as fever 102.0 F)
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, DTAPIPVHIB, HEP, PNC
Symptoms: Crying, Pyrexia
Clinical narrative: Inconsolable crying lasting 3 hours and 30 minutes - (as well as fever 102.0 F)
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Bowel movement irregularity, Dehydration, Haematochezia, Intussusception, Mucous stools
Clinical narrative: Information has been received from a nurse concerning a 4 month old female who on 29-SEP-2008 was vaccinated with her second dose of ROTATEQ (Lot # 660547/0207X).  Concomitant therapy included antibiotics (unspecified).  The patient had received her first dose of ROTATEQ (Lot # 659685/1619U) on 05-AUG-2008.  The nurse reported that after the second dose of ROTATEQ, she developed a fever and decreased hunger.  She was given an unspecified antibiotic on 12-OCT-2008 at urgent care for upper respiratory and otitis infection.  The patient experienced vomiting and was seen at the ER on 13-OCT-2008.  She still had vomiting, decreased wetness in the diaper and no bowel movements since 11-OCT-2008.  The patient was seen at the office on 14-OCT-2008 where currant jelly stool was obtained.  She was hospitalized on 14-OCT-2008, where she had surgery for intussusception.  The patient is currently at the hospital PICU.  The patient was considered to be not recovered.  There was intervention to prevent serious criteria.  Decreased hunger, upper respiratory infection and otitis infection, decreased wetness in the diaper, no bowel movements and intussusception were determined to be life threatening and other important medical events.  Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Urine output decreased, Vomiting
Clinical narrative: Information has been received from a nurse concerning a 4 month old female who on 29-SEP-2008 was vaccinated with her second dose of ROTATEQ (Lot # 660547/0207X).  Concomitant therapy included antibiotics (unspecified).  The patient had received her first dose of ROTATEQ (Lot # 659685/1619U) on 05-AUG-2008.  The nurse reported that after the second dose of ROTATEQ, she developed a fever and decreased hunger.  She was given an unspecified antibiotic on 12-OCT-2008 at urgent care for upper respiratory and otitis infection.  The patient experienced vomiting and was seen at the ER on 13-OCT-2008.  She still had vomiting, decreased wetness in the diaper and no bowel movements since 11-OCT-2008.  The patient was seen at the office on 14-OCT-2008 where currant jelly stool was obtained.  She was hospitalized on 14-OCT-2008, where she had surgery for intussusception.  The patient is currently at the hospital PICU.  The patient was considered to be not recovered.  There was intervention to prevent serious criteria.  Decreased hunger, upper respiratory infection and otitis infection, decreased wetness in the diaper, no bowel movements and intussusception were determined to be life threatening and other important medical events.  Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Decreased appetite, Ear infection, Haematochezia, Infrequent bowel movements, Intussusception
Clinical narrative: Information has been received from a nurse concerning a 4 month old female who on 29-SEP-2008 was vaccinated with her second dose of ROTATEQ (Lot # 660547/0207X).  Concomitant therapy included antibiotics (unspecified).  The patient had received her first dose of ROTATEQ (Lot # 659685/1619U) on 05-AUG-2008.  The nurse reported that after the second dose of ROTATEQ, she developed a fever and decreased hunger.  She was given an unspecified antibiotic on 12-OCT-2008 at urgent care for upper respiratory and otitis infection.  The patient experienced vomiting and was seen at the ER on 13-OCT-2008.  She still had vomiting, decreased wetness in the diaper and no bowel movements since 11-OCT-2008.  The patient was seen at the office on 14-OCT-2008 where currant jelly stool was obtained.  She was hospitalized on 14-OCT-2008, where she had surgery for intussusception.  The patient is currently at the hospital PICU.  The patient was considered to be not recovered.  There was intervention to prevent serious criteria.  Decreased hunger, upper respiratory infection and otitis infection, decreased wetness in the diaper, no bowel movements and intussusception were determined to be life threatening and other important medical events.  Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Pyrexia, Stool analysis abnormal, Surgery, Upper respiratory tract infection, Urine output decreased
Clinical narrative: Information has been received from a nurse concerning a 4 month old female who on 29-SEP-2008 was vaccinated with her second dose of ROTATEQ (Lot # 660547/0207X).  Concomitant therapy included antibiotics (unspecified).  The patient had received her first dose of ROTATEQ (Lot # 659685/1619U) on 05-AUG-2008.  The nurse reported that after the second dose of ROTATEQ, she developed a fever and decreased hunger.  She was given an unspecified antibiotic on 12-OCT-2008 at urgent care for upper respiratory and otitis infection.  The patient experienced vomiting and was seen at the ER on 13-OCT-2008.  She still had vomiting, decreased wetness in the diaper and no bowel movements since 11-OCT-2008.  The patient was seen at the office on 14-OCT-2008 where currant jelly stool was obtained.  She was hospitalized on 14-OCT-2008, where she had surgery for intussusception.  The patient is currently at the hospital PICU.  The patient was considered to be not recovered.  There was intervention to prevent serious criteria.  Decreased hunger, upper respiratory infection and otitis infection, decreased wetness in the diaper, no bowel movements and intussusception were determined to be life threatening and other important medical events.  Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, RV5
Symptoms: Vomiting
Clinical narrative: Information has been received from a nurse concerning a 4 month old female who on 29-SEP-2008 was vaccinated with her second dose of ROTATEQ (Lot # 660547/0207X).  Concomitant therapy included antibiotics (unspecified).  The patient had received her first dose of ROTATEQ (Lot # 659685/1619U) on 05-AUG-2008.  The nurse reported that after the second dose of ROTATEQ, she developed a fever and decreased hunger.  She was given an unspecified antibiotic on 12-OCT-2008 at urgent care for upper respiratory and otitis infection.  The patient experienced vomiting and was seen at the ER on 13-OCT-2008.  She still had vomiting, decreased wetness in the diaper and no bowel movements since 11-OCT-2008.  The patient was seen at the office on 14-OCT-2008 where currant jelly stool was obtained.  She was hospitalized on 14-OCT-2008, where she had surgery for intussusception.  The patient is currently at the hospital PICU.  The patient was considered to be not recovered.  There was intervention to prevent serious criteria.  Decreased hunger, upper respiratory infection and otitis infection, decreased wetness in the diaper, no bowel movements and intussusception were determined to be life threatening and other important medical events.  Additional information has been requested.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pyrexia, Thirst
Clinical narrative: Shot was given about 11am about 5:30 started to feel chilly, about 9:30 had chills, and at 11:30 developed fever of 101.8, very thirsty. I gave him 2 Tylenol and water, and sent him to bed. I will check him in about an hour or 2.  He gets a flu shot every year, this is the 1st time he ever had a reaction to it.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Alpha 1 foetoprotein normal, Depression, Drug exposure during pregnancy, Pregnancy test positive, Ultrasound antenatal screen normal
Clinical narrative: Information has been received from a licensed practical nurse, for the Pregnancy Registry of GARDASIL, concerning a 21 year old female with factor V Leiden and a tobacco user with a history of 2 pregnancies and 1 live birth (one full-term delivery with deep venous thrombosis post delivery; and a tubal pregnancy with a miscarriage and oophorectomy) who on 19-NOV-2007 was vaccinated intramuscularly with 0.5 ml of GARDASIL.  Concomitant therapy included prenatal vitamins with folate  (manufacturer unspecified) and aspirin 81 mg daily for factor V Leiden.  After the vaccination on the same office visit, a pregnancy test was performed and the result was positive.  No other symptoms reported.  On 21-NOV-2007, and ultrasound was performed and confirmed a yolk sac was present.  The date of last menstrual period was 17-OCT-2007 and the estimated delivery date was 24-JUL-2008.  During the pregnancy, the other medications included LOVENOX 40 mg daily from 26-FEB-2008 until delivery for factor V Leiden and WELLBUTRIN XL 300mg daily from 14-JAN-2008 until delivery for depression.  On 04-FEB-2008, serum alpha-fetoprotein test (MSAFP) was performed and the result was negative.  On 18-FEB-2008, an ultrasound was done with the normal result.  On 22-JUL-2008, at 40 weeks the patient delivered a normal, healthy female baby weighting 7 pounds 7 ounces.  The apgar scores were 8/8.  There were no congenital anomalies and no other complications/abnormalities.  Additional information is not expected.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Back pain, Full blood count, Headache, Muscle spasms
Clinical narrative: Severe pain in joints, lower back pain, headache; small red scattered papular lesion in chest, abdomen, and back. Severe pain in wrists and knees, leg muscles. 29 y/o male c/o H/A, back pains, and joint pain after taking the anthrax vac. Friday. Generalized papular erythematous rash in chest/abdomen x 3 days. (+) arm pain, knees. (+) lower back pain. Joint pain improved. Exam: small red scattered papular lesion in chest/back. No joint swelling. Back: (+) lower back spasm ROM. No bone tenderness. Generalized reaction - CBC, SMDIU, Sec Rate, Viral vs Allergy - MOTRIN 800 every 12 - BENADRYL 25 every 8 hours. VALIUM 5mg qHS.  1/20/09 Reviewed PCP medical records of 6/21/2000 FINAL DX: anthrax reaction, allergic reaction vs possibly viral Records reveal patient experienced HA, back spasms & pain, joint pain, papular erythematous rash on chest & abdomen x 3 days.  Tx w/meds, labs ordered, deployment deferred.  RTC 6/28 & was improving.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Myalgia, Pain in extremity, Rash erythematous, Rash papular, Red blood cell sedimentation rate
Clinical narrative: Severe pain in joints, lower back pain, headache; small red scattered papular lesion in chest, abdomen, and back. Severe pain in wrists and knees, leg muscles. 29 y/o male c/o H/A, back pains, and joint pain after taking the anthrax vac. Friday. Generalized papular erythematous rash in chest/abdomen x 3 days. (+) arm pain, knees. (+) lower back pain. Joint pain improved. Exam: small red scattered papular lesion in chest/back. No joint swelling. Back: (+) lower back spasm ROM. No bone tenderness. Generalized reaction - CBC, SMDIU, Sec Rate, Viral vs Allergy - MOTRIN 800 every 12 - BENADRYL 25 every 8 hours. VALIUM 5mg qHS.  1/20/09 Reviewed PCP medical records of 6/21/2000 FINAL DX: anthrax reaction, allergic reaction vs possibly viral Records reveal patient experienced HA, back spasms & pain, joint pain, papular erythematous rash on chest & abdomen x 3 days.  Tx w/meds, labs ordered, deployment deferred.  RTC 6/28 & was improving.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Anorexia, Arthralgia, Chills, Hyperhidrosis, Neurological symptom
Clinical narrative: 1hr after flu shot and pneumonia shot had aching joints, itching, hives, sweating and chills, pain over all body, loss appetite, neurological symptoms joints.
Age: 64.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: 1hr after flu shot and pneumonia shot had aching joints, itching, hives, sweating and chills, pain over all body, loss appetite, neurological symptoms joints.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Full blood count, Heart rate increased, Hypoaesthesia
Clinical narrative: Onset 0300, awoke with dizziness, nausea, numbness in fingertips to elbows. Also had a high heart rate with chest tightness, syncope, tremors.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Metabolic function test, Nausea, Syncope, Tremor, Urine analysis
Clinical narrative: Onset 0300, awoke with dizziness, nausea, numbness in fingertips to elbows. Also had a high heart rate with chest tightness, syncope, tremors.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: arm pain (entire arm). Limited range of motion
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Eye swelling, Swelling face, Urticaria
Clinical narrative: Generalized hives 1 hour after and swelling face/eyes.  DTAP and Flu vaccines given.  Epinephrine 1:1000 at 12cc SQ and Benadryl 1 tsp (12.5 mg) PO.  Prelone 1 tsp x 1 (x 3 days more).
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Pt was inadvertently given 1ml of FLUZONE instead of correct 0.5 ml dose. Pt reported no skin reaction and no adverse events
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Dyspnoea, Hypersomnia, Palpitations
Clinical narrative: 6 hours after - very short of breath - pounding heart - heavy chest - chills - slept 16 hours - thought about emergency room.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Pallor, Skin warm, Syncope
Clinical narrative: Fainted 3P=120/64 at 10:15, pale in color, warm clammy skin.  Pt had not eaten breakfast.  Came too and was alert and oriented x3 rested on floor, drank juice, and was feeling better.  Color pink, pt. walked to car with parish nurse's husband at her side at 10:35
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Body temperature, Full blood count, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swollen, red, hot, tender upper  arm surrounding injection sites on L arm - 2 visible sites on L arm below deltoid muscle 1 inch apart.  Temp 99.8
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Injection site warmth, White blood cell count increased
Clinical narrative: Swollen, red, hot, tender upper  arm surrounding injection sites on L arm - 2 visible sites on L arm below deltoid muscle 1 inch apart.  Temp 99.8
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Rash macular
Clinical narrative: macular skin rash on trunk, arms and legs. No drainage, No cardio pulmonary symptoms
Age: 1.3
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration, Incorrect route of drug administration
Clinical narrative: Non stated. Vaccines order by physician that child had already received. There where no reactions. Told my manufacture body will only use what is needed and rid itself of the rest. 6-6-08
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Swollen tongue
Clinical narrative: Information has been received from a physician concerning a female who in August 2008, was vaccinated with the first dose of GARDASIL, (lot # not reported).  The patient experienced swollen tongue and itching in 24 hours after vaccination.  The staff member at the office told the patient to go to the hospital.  The office was unsure whether or not the patient did end up going and had not heard anything since.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Vaginal candidiasis
Clinical narrative: Information has been received through the Merck pregnancy registry and from a physician concerning a 16-year-old female with no pertinent medical history or allergies, who on 09-FEB-1998 was vaccinated with a first dose of VARIVAX (Oka/Merck). On 05-OCT-2007 the patient was vaccinated subcutaneously with a second dose of 0.5 ml of VARIVAX (Oka/Merck) (658424/1181U). There was no concomitant medication. The patient had a negative pregnancy test on 05-Oct-2007, and a positive pregnancy test on 20-Nov-2007. Unspecified medical attention was sought. No other symptoms were noted. No product quality complaint was involved. Follow-up information has been received from the Merck pregnancy registry which indicated that the patient is a female with a history of 0 pregnancies and 0 live births whose last menstrual period was on 20-Sep-2007. Her estimated date of delivery is 16-Jun-2008. On 20-Nov-2007 she was prescribed pre-natal vitamins daily. Studies included: 30-Dec-2007 an ultrasound for dating purposes, 13-Dec-2007 a "first TM integrated section" which was normal and on 30-Jan-2008 serum alpha-fetoprotein test with the results pending. It was reported that there was no local reaction at the vaccination site, no varicella (chickenpox) symptoms post vaccination and no herpes zoster symptoms post vaccination. Follow-up information has been received from the Merck pregnancy registry concerning this 16-year-old female with a history of depression and adjustment disorder with meds and counseling in the past who on 05-Oct-2007 was vaccinated subcutaneously with a second dose of 0.5 ml of VARIVAX (Oka/Merck) (658424/1181U). It was noted that the patient had the following complications during pregnancy: chlamydia (05-OCT-2007 and 24-DEC-2007) and depression (date unspecified). The patient was treated with azithromycin 1 g, 1 dose taken (20-NOV-2007 and 24-DEC-2007) for chlamydia. The patient did not receive any medications for depression. The patient was also treated with clotrimazole 1 app. QHS, 7 doses taken (29-JAN-2008) for vaginal candidiasis. On the following dates the patient had ultrasounds performed: 03-DEC-2007 (12.0w CRL with EDC 16-JUN-2008, suggestive of significant bladder outlet obstruction), 13-DEC-2007 (13.4w, nl FM, nl cardiac activity, nl AFI, posterior placenta, nuchal translucency 1.7mm, nl fetal bladder, nl fetal renal pelvises, rec extended anatomic survey at 18-20 weeks) and 19-JAN-2008 (18.7w, nl anatomy, AFI 13.8 placenta posterior). On 22-JUN-2008, 40 plus weeks from LMP the patient gave birth to a 7 lb 3 oz normal male baby. The baby has a congenital anomaly of pyloric stenosis. There were no complications during labor and delivery. At the time of the report, the outcome of the baby was unknown. It was noted that there was no feature of congenital varicella zoster syndrome (cutaneous scars, limb hypoplasia, eye and CNS malformations, neurologic deficits) noted. The reporter considered pyloric stenosis to be a congenital anomaly. Additional information is not expected.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Information has been received from a physician for the Pregnancy Registry for GARDASIL, concerning a 20 year old female who on 24-SEP-2008 was vaccinated with GARDASIL 0.5ml IM (Lot# 661044/0548X) (therapy site unknown).  The patient was pregnant and sought medical attention.  On 08-OCT-2008 the pregnancy was terminated.  The pregnancy was not terminated because of complications but rather personal choice.  The patient had no medical history and drug reactions/allergies.  Concomitant therapy included AUGMENTIN.  Her last menstrual period was 29-AUG-2008.  The patient outcome was unknown.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Complication of pregnancy, Drug exposure during pregnancy, Premature labour
Clinical narrative: Information has been received from a consumer for the pregnancy registry for GARDASIL, concerning her 17 year old daughter with no medical history and no drug allergies reported, who on 09-JUL-2007 was vaccinated with the first dose of GARDASIL and on 21-SEP-2007 was vaccinated with the second dose of GARDASIL while she was pregnant.  The patient did not know at the time of vaccination that she was pregnant.  The patient gave birth two months early on 14-DEC-2007.  The patient was hospitalized twice during the pregnancy due to unspecified complications.  The patient received the third dose of GARDASIL after giving birth but it was unknown if the vaccine was given late.  There was no concomitant medication.  The patient's LMP was unknown.  Additional information has been requested.
Age: 18.0
Sex: U
Vaccine: HPV4
Symptoms: Deep vein thrombosis
Clinical narrative: Information has been received from a physician concerning an 18 or 19 year old patient with no family history of deep vein thrombosis (DVT) and previously healthy who was vaccinated with a first dose of GARDASIL.  5 days after the vaccination, the patient came in the hospital with a right upper extremity DVT that required "Lyticx".  At the time of this report, the outcome was unknown.  Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: FLU3, HEPA, MNQ, TDAP
Symptoms: Grand mal convulsion, Scan brain
Clinical narrative: Patient had clonic / tonic seizure lasting aproximately 60 seconds.
Age: 62.0
Sex: M
Vaccine: HEP, IPV, TDAP
Symptoms: Atrial fibrillation, Blood test, Dizziness, Electrocardiogram normal
Clinical narrative: Pt felt "fainty" 2 days after vaccine. Went to ER - had blood tests and EKG per pt. Discharged after several hours and instructed to follow up with MD. MD prescribed "med to thin blood" once daily. Pt then showed me referral for TEE/Cardiogram for Atrial Fib.
Age: 61.0
Sex: F
Vaccine: FLU3, HEP, HEPA, TDAP, TYP, VARZOS
Symptoms: Blister, Discomfort, Erythema, Pruritus
Clinical narrative: I began to have discomfort on the right side of my body, both front and back, about 3 inches above my waist. Sometimes it is fairly intense itchy sensation and other times there is a pricking sensation. The degree of redness varies and there are some tiny blisters like spots.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Crying, Dyspnoea, Hypotonia, Pyrexia
Clinical narrative: Crying and limp about 1/2 hour after immunization. Cried all day. Labored breathing, fever 8 hrs after immunization, and most of night OK the next day.
Age: 23.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL, TYP
Symptoms: Erythema multiforme, Pruritus, Rash, Rash maculo-papular, Skin lesion
Clinical narrative: Noticed itching on the 13 Oct then on 15 Oct he had the appearance of a rash approx 15 days post vaccination with SPV, AVA #1 Typhoid, and Influenza. The SPV site is healing well, and the SM has numerous lesions on his legs, arms and chest. Described as maculo papular with areas containing central clearing. Other than itching, he is feeling well. DX - erythema multiforme
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Chest discomfort, Chest pain, Confusional state, Dyspnoea, Electrocardiogram T wave abnormal
Clinical narrative: 9 days post vaccination patient reported fever, with periods of confusion, chest pain-#7 scale 1-10, center of chest described as pressure, inc with resp and leaning forward, pos diaphoresis, and nausea; headache-frontal behind eyes and neck pain.  Never had headache like this before.  Symptoms: Dyspnea, Rash, diffuse, Pain.  Myopericarditis. 12/1/08-records received-presented to clinic for follow-up on 9/30/08-Developed systemic symptoms starting on 9/25/08 with fever, chills, rash, nausea and headache. Admitted on 9/28/08 with chest pain and troponin of 0.1. DX: viral syndrome.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Headache, Hyperhidrosis, Myopericarditis, Nausea, Neck pain
Clinical narrative: 9 days post vaccination patient reported fever, with periods of confusion, chest pain-#7 scale 1-10, center of chest described as pressure, inc with resp and leaning forward, pos diaphoresis, and nausea; headache-frontal behind eyes and neck pain.  Never had headache like this before.  Symptoms: Dyspnea, Rash, diffuse, Pain.  Myopericarditis. 12/1/08-records received-presented to clinic for follow-up on 9/30/08-Developed systemic symptoms starting on 9/25/08 with fever, chills, rash, nausea and headache. Admitted on 9/28/08 with chest pain and troponin of 0.1. DX: viral syndrome.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Pain, Pyrexia, Rash, Troponin increased
Clinical narrative: 9 days post vaccination patient reported fever, with periods of confusion, chest pain-#7 scale 1-10, center of chest described as pressure, inc with resp and leaning forward, pos diaphoresis, and nausea; headache-frontal behind eyes and neck pain.  Never had headache like this before.  Symptoms: Dyspnea, Rash, diffuse, Pain.  Myopericarditis. 12/1/08-records received-presented to clinic for follow-up on 9/30/08-Developed systemic symptoms starting on 9/25/08 with fever, chills, rash, nausea and headache. Admitted on 9/28/08 with chest pain and troponin of 0.1. DX: viral syndrome.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Hives, red, itchy below injection site.  Down arm.  BENADRYL 25 mg  and DEPOMEDROL 80mg.  Observed pt for 30 min after administration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Immediate post-injection reaction, Injection site swelling
Clinical narrative: Almost immediately after MMR given in R triceps area there was moderate swelling limited to the entire R arm.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site haematoma, Injection site inflammation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid inflammed at site of flu and pneumoniavaccine. States large swelling with heat and tenderness, lasting 5 days on 10/14/08. States area just looks bruised without as much swelling today.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Balance disorder, Dizziness, Feeling hot, Flushing, Muscular weakness
Clinical narrative: At 1pm, I started to feel nauseated.  Soon after I started to feel dizzy.  The dizziness elevated to extreme and I felt a hot/flushed sensation starting at the top of my head down.  Once the hot sensation was over, I felt a tingling sensation.  Once those sysmptoms had subsided, my legs became weak.  I did not actually have a docotor visit, however a physcian assistant examined me.  I went home early from work and took Motrin.  I had 2 more epsidodes of dizziness that evening, not as severe.  Today (the next day) I am not experiencing any of the above symptoms, however I feel a little off balance.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea, Paraesthesia
Clinical narrative: At 1pm, I started to feel nauseated.  Soon after I started to feel dizzy.  The dizziness elevated to extreme and I felt a hot/flushed sensation starting at the top of my head down.  Once the hot sensation was over, I felt a tingling sensation.  Once those sysmptoms had subsided, my legs became weak.  I did not actually have a docotor visit, however a physcian assistant examined me.  I went home early from work and took Motrin.  I had 2 more epsidodes of dizziness that evening, not as severe.  Today (the next day) I am not experiencing any of the above symptoms, however I feel a little off balance.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: left upper arm 11/2 by 11/2 area warm to touch, slight swelling and redness
Age: 61.0
Sex: F
Vaccine: HEP, MEN
Symptoms: Arthralgia, Disturbance in attention, Headache, Lethargy, Musculoskeletal stiffness
Clinical narrative: 10 21/08 Pt called to report  that on 9/09/08 she was given Menomune and Hep B #2 vaccine - 2 days later she experienced myalgia, arthralgia, headache, lethargy, slow thought process and stiff neck. Took two days off from work. Better 6 days later. 15 days later (9/24/08) had Flu shot with PCP and then reported transient visual loss in both eyes. Seen by eye Md - no report of optic neuritis. She now reports she is significantly better.
Age: 61.0
Sex: F
Vaccine: HEP, MEN
Symptoms: Myalgia, Ophthalmological examination normal
Clinical narrative: 10 21/08 Pt called to report  that on 9/09/08 she was given Menomune and Hep B #2 vaccine - 2 days later she experienced myalgia, arthralgia, headache, lethargy, slow thought process and stiff neck. Took two days off from work. Better 6 days later. 15 days later (9/24/08) had Flu shot with PCP and then reported transient visual loss in both eyes. Seen by eye Md - no report of optic neuritis. She now reports she is significantly better.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Dysphagia, Eye discharge, Ocular hyperaemia, Throat irritation
Clinical narrative: Got shot at 1pm.  Started getting tickle in throat by 4pm.  Difficulty swallowing by 5pm.  Blood shot eyes.  Filmy eyes, with what looked like mucous.  Took 2 benedryl.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Fatigue, Influenza, Myalgia, Palpitations
Clinical narrative: Flu shot received at clinic on 10/21 at approximately 11:30 am; Minor flu symptoms began occuring by ~3pm (achy muscles/tiredness)followed by prolonged heart palpitations which continued through the evening.  Full recovery status unknown (still experiencing some chest tightness the following day)
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Injection site mass, Injection site warmth
Clinical narrative: Employee reported dizziness that started approx. 15 min. after receiving the flu vaccine.  She rated the severity of dizziness as a 7 on scale of 1-10.  The employee was seen in the ED department and prescribed Antivert.  Currently she is still dizzy, 24 hrs later, and continues to take the Antivert as prescribed.  She reports treatment has decreased the dizziness from a 7 to a 2 on scale of 1-10.  The employee also has a knot about the size of a quarter and warmth at the injection site, no redness.  The employee also reports achy joints the day after the vaccination.
Age: 47.0
Sex: M
Vaccine: FLUN3
Symptoms: Arthralgia, Fatigue, Headache, Impaired work ability, Irritability
Clinical narrative: All started with nasal congestion, and headaches about 36 hours after vaccine administration.  After had to be absent to work for three days because had the above mentioned symptoms and tiredness, joint ache, and irritability.  I took tylenol every 6-8 hours and stayed in bed resting.  Took three days to completely recover.
Age: 47.0
Sex: M
Vaccine: FLUN3
Symptoms: Nasal congestion
Clinical narrative: All started with nasal congestion, and headaches about 36 hours after vaccine administration.  After had to be absent to work for three days because had the above mentioned symptoms and tiredness, joint ache, and irritability.  I took tylenol every 6-8 hours and stayed in bed resting.  Took three days to completely recover.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Eye swelling, Headache, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Within 24 hours, developed headache, coryza, puffy eyes, and then itchy erythematous rash beginning at vaccine site L deltoid and spreading over 4 days to include most of L upper arm. Seen on 10/13/08.  Given a single shot of epi 0.3ml sq, and hydroxyzine 50 mg po x 1,  with resolution of headache within an hour, other symptoms gradually over next 2.5 days, no recurrance.
Age: 46.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rhinitis
Clinical narrative: Within 24 hours, developed headache, coryza, puffy eyes, and then itchy erythematous rash beginning at vaccine site L deltoid and spreading over 4 days to include most of L upper arm. Seen on 10/13/08.  Given a single shot of epi 0.3ml sq, and hydroxyzine 50 mg po x 1,  with resolution of headache within an hour, other symptoms gradually over next 2.5 days, no recurrance.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Imm flu vaccine 10-15-2008 2pm. Pt. states awoke 8am with stiffness. Malaise, fever, aching all over. Temp. 99 @ 2:30p today. 10-17 phone call to following- o.k. after 24 hours pt. states.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Fatigue, Nausea, Pain
Clinical narrative: Location: flu shot clinic set up in grocery store. Received flu shot around 4:30 pm.  I started feeling nauseous and fatigued around 8:30 pm or so.  Around 10 pm I sat down on the sofa and noticed I couldn't stop shaking and shivering, and my teeth were chattering. I pulled a throw blanket over me, thinking maybe I was just cold. But I couldn't stop the shaking and teeth-chattering. That continued for 1 1/2 hours until I fell asleep curled up on the sofa at 11:30 pm. Before I fell asleep I felt feverish, and took my temp.; it was 99.6. When I woke up an hour later at 12:30 am, the shivering had stopped, but my temperature was up to 100.9, and I was still nauseous and aching. The injection site looked normal, but I couldn't tell if it was warm because I was so feverish. I took an extra-strength Tylenol and went to bed. This morning I feel fine, just fatigued. My temperature at noon today is 99.0. Injection site appears normal.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Location: flu shot clinic set up in grocery store. Received flu shot around 4:30 pm.  I started feeling nauseous and fatigued around 8:30 pm or so.  Around 10 pm I sat down on the sofa and noticed I couldn't stop shaking and shivering, and my teeth were chattering. I pulled a throw blanket over me, thinking maybe I was just cold. But I couldn't stop the shaking and teeth-chattering. That continued for 1 1/2 hours until I fell asleep curled up on the sofa at 11:30 pm. Before I fell asleep I felt feverish, and took my temp.; it was 99.6. When I woke up an hour later at 12:30 am, the shivering had stopped, but my temperature was up to 100.9, and I was still nauseous and aching. The injection site looked normal, but I couldn't tell if it was warm because I was so feverish. I took an extra-strength Tylenol and went to bed. This morning I feel fine, just fatigued. My temperature at noon today is 99.0. Injection site appears normal.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Barium double contrast, Enema administration, Explorative laparotomy, Intussusception
Clinical narrative: Patient developed intussusception.  Air enema reduction was unsuccessful and patient had to have surgical reduction of intussuscepted bowel. 11/20/08-records received-for DOS 9/26-9/28-08-DC DX: Intussusception. Presented to ED with nonreducible intussusception and increasing lethargic, emesis bilious. Exploratory laparotomy with manual reduction of ileocolic intussusception.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Laboratory test abnormal, Lethargy, Ultrasound abdomen abnormal, Vomiting, X-ray gastrointestinal tract abnormal
Clinical narrative: Patient developed intussusception.  Air enema reduction was unsuccessful and patient had to have surgical reduction of intussuscepted bowel. 11/20/08-records received-for DOS 9/26-9/28-08-DC DX: Intussusception. Presented to ED with nonreducible intussusception and increasing lethargic, emesis bilious. Exploratory laparotomy with manual reduction of ileocolic intussusception.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse reactions reported.  Child received 0.5 ml of Fluzone.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Cold sweat, Feeling cold, Hyperhidrosis, Pallor, Sluggishness
Clinical narrative: Patient experienced a syncopal episode with possible generalized seizure activity, with urinary incontinence after receiving 5 vaccinations at approx. 4:45-5 p.m. on 10/21/08. She was immediately aroused with smelling salts by the RN and the supervisor was notified.  After the incident the client was pale, slight diaphoretic,cool,clammy, and sluggish.  Vitals signs after syncopy were BP 90/76, HR 70, RR 32 with repeat set after 15 mins. BP 90/76, HR 56, RR 32. Pt. was laid down, placed on 4-5L oxygen per mask, and observed for 30-45 mins. She then was alert, and oriented to person, place, and time, more verbal, and without balance problems.  She was then referred to urgent care hours at her drs. office for follow up.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope, Urinary incontinence
Clinical narrative: Patient experienced a syncopal episode with possible generalized seizure activity, with urinary incontinence after receiving 5 vaccinations at approx. 4:45-5 p.m. on 10/21/08. She was immediately aroused with smelling salts by the RN and the supervisor was notified.  After the incident the client was pale, slight diaphoretic,cool,clammy, and sluggish.  Vitals signs after syncopy were BP 90/76, HR 70, RR 32 with repeat set after 15 mins. BP 90/76, HR 56, RR 32. Pt. was laid down, placed on 4-5L oxygen per mask, and observed for 30-45 mins. She then was alert, and oriented to person, place, and time, more verbal, and without balance problems.  She was then referred to urgent care hours at her drs. office for follow up.
Age: 55.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Nausea, Presyncope
Clinical narrative: CASE RECEIVED TDAP AND INFLUENZA VACCINES AT A FLU CLIN, 15-20 MINUTES LATER HAD SUDDEN ONSET OF NAUSEA, DIAPHORESUS, DIARRHEA AND NEAR SYNCOPAL EPISODE. SHE HAS HISTORY OF HTN AND BEFORE INCIDENT BP 152/98, FIFTEEN MINUTES AFTER BP 114/66. SHE DESCRIBES RESOLUTION OF SYMPTOMS 20 MINUTES AFTER ONSET, TO ER FOR OBSERVATION ONLY.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Palpitations, Pharyngeal oedema
Clinical narrative: 40 minutes after vaccine,complained of throat swelling,palpitations. Diagnosed in ER as anaphylactic reaction. Treated with epinephrine,Benadryl and solumedrol.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood test normal, Chest discomfort, Dyspnoea, Vomiting
Clinical narrative: vomiting, sweats, shortness of breath, weakness, chest discomfort.  911 call was dispatched to my home and they administered oxgen and an iv before transporting me to the emergency room.  symptoms began around 2:00 pm and continued to worsen until iv and oxygen were administered.
Age: 0.9
Sex: M
Vaccine: YF
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site urticaria, Pyrexia
Clinical narrative: redness and then 10 mm. hive @ site of vaccine administration (approx.5/8 in form needle insertion)on left upper-outer thigh, observed approx. 5 to 10 min. after yellow fever injection. Hive bagan to resolve, but administered 0.2 ml Benedryl.  Hive continued to resolve and patient and mother with mother without further problems. Checked with Mother 10/22/08- reported patient had slight fever 10/21 but is fine today.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Inappropriate schedule of drug administration, Unevaluable event
Clinical narrative: none
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Vaccination complication
Clinical narrative: Given flu shot at 3:00pm on October 14, 2008. 24 hours later, severe drug reaction on face arms and chest.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site induration
Clinical narrative: Pt presented in office for area on induration on left deltoid after receiving Dtap two days ago. Area measured 3.5" x 3.75". Mom has been instructed to outline area with pen to watch for further reaction. Treating with Benadryl and cold soaks, watch for systemic reactions.
Age: 54.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site pruritus, Urticaria
Clinical narrative: Itching on arm injection given in started within one hour from receiving vaccine (10am), Pt woke at 1 am the next morning with hives on injection arm, hives were mainly from the elbow down with a few above the elbow.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Pt vaccinated on day of discharge on 10/12/08 with influenza and pneumococcal vaccines. Pt was vaccinated with both vaccines on the Left arm as requested by pt as per RN. Pt then re-admitted to ED on 10/13/08 c/o fever,redness and swelling to Left upper arm. Pt treated with IV Zosyn and IV Vancomycin. 1/5/09-records received for DOS 10/13-10/17/08-DC DX: Left shoulder redness and swelling. Presented with 1 day C/O shoulder redness and swelling. Injection site reaction. Fever.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Rash pruritic
Clinical narrative: Patient had itching in left arm with in a few hours of vaccine administration. Two days later the patient develped an itchy rash on her legs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient's mother called, left message with receptionist stating that child was experiencing redness and swelling at injection site on left arm. Multiple calls to parents unsuccessful when trying to get more details on patient's current status.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Incorrect route of drug administration, Induration, Pain, Skin warm
Clinical narrative: Erythema, induration, heat, pain ocurring 10 days after admistration. Varicella given IM rather than SC.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous, Rash papular
Clinical narrative: The day after recieving the Vaccine patient called and left message on our Voice mail complaining of an itch red rash with bumps. Patient also stated she ahd started Ginko Goldmax for mentla health on the same day. Patient was unreachable for further information
Age: 44.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Body temperature increased, Dizziness, Feeling abnormal, Impaired work ability, Injection site pain
Clinical narrative: Pain & swelling & heat to site Right deltoid. Awoke next morning with pain under arm & down arm to hand. Increased temp to 101.1. Saw MD that afternoon was started on Keflex. Temp reached 101.8 & were managed with alternating doses of motrin and tylenol on every 2 hr schedule.  She experienced light headedness & nausea feeling "out of sorts." Increased temps persisted for 3 days following shot. work loss was 3-1/2 days.