chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site anaesthesia, Neck pain, Pain in extremity
Clinical narrative: Received shot and had numbness that travel from (RT) arm up to neck - next day could not move arm, and increased pain up to neck. Went to doctor and was admitted into hospital on Tuesday --> Sat. Came home still has no use of arm - has to go to pt. Ended up with pneumonia as well.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Pneumonia
Clinical narrative: Received shot and had numbness that travel from (RT) arm up to neck - next day could not move arm, and increased pain up to neck. Went to doctor and was admitted into hospital on Tuesday --> Sat. Came home still has no use of arm - has to go to pt. Ended up with pneumonia as well.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Pain, Rash
Clinical narrative: Started Friday night with pain. She is feeling dizzy and warm. Which started on 9/26/2010 after taking a shower. She has been putting ice and took Ibuprofen and EXCEDRIN. Rash on chest started Sat. night (9/25/10).
Age: 27.0
Sex: F
Vaccine: HEPA, IPV, TYP
Symptoms: Rash
Clinical narrative: Ct. seen at clinic on 09/22/10. Ct. developed small "bumps near site of injection and down only left arm where Hep A and Typhoid vaccine given. Bumps are raised not like hives or blisters and are normal in temp when touched. Bumps only on left side. Ct. denies fever, paresthesias, wheezing or difficulty breathing. Ct. advised to watch for worsening s/sx and to seek medical care should s/sx worsen.
Age: 1.01
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at site of vaccine.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Rash erythematous, Vomiting
Clinical narrative: Red, rash like. Pt. stated he did vomit on 9/22/2010.
Age: 35.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pediatric dose of Hepatitis B vaccine was administered to patient, instead of Adult dose. This was the second Hep. B in series.
Age: 0.68
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia, Rash, Rhinorrhoea, Vaccination complication
Clinical narrative: 8/26/10 Rec'd DTaP, HIB, HBV, PCV, IPV; 8/30/10 developed fever, rash, runny nose, irritability; 9/1/10 Seen in our office with rash - dx chickenpox; 9/3/10 went to urgent care facility because rash still present - told it was a vaccine reaction & no treatment given.
Age: 0.68
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Varicella
Clinical narrative: 8/26/10 Rec'd DTaP, HIB, HBV, PCV, IPV; 8/30/10 developed fever, rash, runny nose, irritability; 9/1/10 Seen in our office with rash - dx chickenpox; 9/3/10 went to urgent care facility because rash still present - told it was a vaccine reaction & no treatment given.
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Burning sensation, Contusion, Hypokinesia, Immediate post-injection reaction, Musculoskeletal stiffness
Clinical narrative: Immediately burning down arm, bruising, swelling intense pain, muscle stiffness, could not moves arm.
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Immediately burning down arm, bruising, swelling intense pain, muscle stiffness, could not moves arm.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mom reports site is red, swollen, and hot to touch. Advised TYLENOL and cold compress.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 9/16 Pt said injection site warm, red, swollen. Pt went to sleep, upon awakening noticed the warmth, redness & swelling migration down & towards  back of arm.
Age: 10.0
Sex: M
Vaccine: UNK, VARCEL
Symptoms: Blister, Injection site erythema, Injection site vesicles
Clinical narrative: Erythema at site of injection (8cm) vesicle formation (3.5cm) in central area & (L) axillary node.
Age: 10.0
Sex: M
Vaccine: UNK, VARCEL
Symptoms: Erythema, Injection site discharge, Injection site vesicles, Lymphadenopathy, Oedema peripheral
Clinical narrative: Erythema at site of injection (8cm) vesicle formation (3.5cm) in central area & (L) axillary node.
Age: 10.0
Sex: M
Vaccine: UNK, VARCEL
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Erythema at site of injection (8cm) vesicle formation (3.5cm) in central area & (L) axillary node.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (R) upper arm with redness/swelling (mid to lower lateral portion to (R) arm) redness is about 6 inches long, 3 inch (approx) wide, (R) arm 25cm - circumference.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site warmth, Oedema peripheral
Clinical narrative: Pt with (L) arm swelling, redness, warm over injection site.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia
Clinical narrative: Generalized weakness (B) hands; good ROM.
Age: 38.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Cold sweat, Nausea, Urticaria
Clinical narrative: Client became nauseous, clammy.  BP was rising.  Approx 11:30AM hives appeared on neck and top of chest.  Epinephrine given at 11:32 AM.  EMS arrived and client transported to hospital.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site induration, Injection site pruritus, Muscle tightness
Clinical narrative: In the evening of the injection, the patient reported an injection site reaction of hardness around the injection site and itching for about 2 weeks.  It then progressed to numbness on the hand of the affected arm and a tightness on the top of the forearm.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: Patient reported generalized itching, no swelling or difficulty breathing. She took 12.5mg of Benadryl.  She denied calling 911.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site rash, Injection site swelling, Injection site urticaria
Clinical narrative: Rec'd Pneumovax on left arm about 2 days ago. Subsequently developed rash and swelling on the left upper arm. The rash and swelling have improved since yesterday. Hives located inferior and medical from injection site, left upper arm. Vaccine charted as being given left deltoid.  States no known allergy to vaccine.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Pruritus, Pyrexia
Clinical narrative: Blistering, itchy red arm x 2 d.  Arm developed erythema shortly after a live, zoster vaccine was administered in the area 2 d ago.  Blistering developed yesterday, erythema has been spreading.  Low fever yesterday and today.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: No adverse event
Clinical narrative: Patient received a 4th dose of Hepatitis B vaccine on 9/13/2010.  Mother does not recall any signs or symptomns at that time.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Body temperature increased, Immediate post-injection reaction, Injection site erythema, Injection site papule, Injection site swelling
Clinical narrative: Had well check yesterday and after receiving DTap on right leg immediately developed hives about 4in, given Benadryl. Developed fever up to 102 and vomiting. Rash has since gotten worse again today although better than yesterday right thigh with about 7cm diameter of multiple very erythematous mildly swollen papules, more confluent centrally.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Rash, Urticaria, Vomiting
Clinical narrative: Had well check yesterday and after receiving DTap on right leg immediately developed hives about 4in, given Benadryl. Developed fever up to 102 and vomiting. Rash has since gotten worse again today although better than yesterday right thigh with about 7cm diameter of multiple very erythematous mildly swollen papules, more confluent centrally.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Erythema, Fatigue, Glossodynia, Headache
Clinical narrative: Began with sore arm, then sore throat (first like a rock I couldn't swallow - by 4pm aching pain and pains going into tongue, by 5 pm starting to feel lung congestion, then severe muscle aches by 6 with very sore upper and lower arm opposite the injection arm, then fever that went to 100.5 by 9 pm, fatigue, headache.  Took an ibuprofen and went to bed feeling very sick.  Next am still tired all day and some nausea.  Arm still very sore.  By Sunday sore arm and red splotches on upper.  Monday ok.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Myalgia, Nausea, Oropharyngeal pain, Pain
Clinical narrative: Began with sore arm, then sore throat (first like a rock I couldn't swallow - by 4pm aching pain and pains going into tongue, by 5 pm starting to feel lung congestion, then severe muscle aches by 6 with very sore upper and lower arm opposite the injection arm, then fever that went to 100.5 by 9 pm, fatigue, headache.  Took an ibuprofen and went to bed feeling very sick.  Next am still tired all day and some nausea.  Arm still very sore.  By Sunday sore arm and red splotches on upper.  Monday ok.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pyrexia, Rash macular, Respiratory tract congestion
Clinical narrative: Began with sore arm, then sore throat (first like a rock I couldn't swallow - by 4pm aching pain and pains going into tongue, by 5 pm starting to feel lung congestion, then severe muscle aches by 6 with very sore upper and lower arm opposite the injection arm, then fever that went to 100.5 by 9 pm, fatigue, headache.  Took an ibuprofen and went to bed feeling very sick.  Next am still tired all day and some nausea.  Arm still very sore.  By Sunday sore arm and red splotches on upper.  Monday ok.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Chills, Disorientation, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Fever, Nausea, dizziness, disoriented, chills, sweating, sore throat,
Age: 32.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, Nausea, dizziness, disoriented, chills, sweating, sore throat,
Age: 32.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Dizziness, Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever, Nausea, dizziness, disoriented, chills, sweating, sore throat,
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Throat irritation, Throat tightness
Clinical narrative: Tightness and itching of throat.  Difficulty swallowing.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Axillary pain, Injection site cellulitis, Injection site erythema, Musculoskeletal pain, Pain in extremity
Clinical narrative: Pt presented to clinic on 09/20/2010 with cellulitis at injection site, characterized by left arm & axilla pain w/ shoulder pain & redness at injection site (measuring approx 10cm in diameter around injection site); fever of 101F; chills; body aches. Treated with Keflex 500mg PO TID x 5 days.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Axillary pain, Blood glucose, Chills, Erythema, Inflammation
Clinical narrative: Pt presented to clinic on 09/20/2010 with cellulitis at injection site, characterized by left arm & axilla pain w/ shoulder pain & redness at injection site (measuring approx 10cm in diameter around injection site); fever of 101F; chills; body aches. Treated with Keflex 500mg PO TID x 5 days.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site cellulitis, Oedema peripheral, Pain, Pain in extremity, Pyrexia
Clinical narrative: Pt presented to clinic on 09/20/2010 with cellulitis at injection site, characterized by left arm & axilla pain w/ shoulder pain & redness at injection site (measuring approx 10cm in diameter around injection site); fever of 101F; chills; body aches. Treated with Keflex 500mg PO TID x 5 days.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Swelling
Clinical narrative: Pt presented to clinic on 09/20/2010 with cellulitis at injection site, characterized by left arm & axilla pain w/ shoulder pain & redness at injection site (measuring approx 10cm in diameter around injection site); fever of 101F; chills; body aches. Treated with Keflex 500mg PO TID x 5 days.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, FLUN3, HEP, HEPA, MMRV, PNC13
Symptoms: Crying, Gait disturbance, Injection site pain, Injection site swelling
Clinical narrative: Father brought child into clinic on 09/27/2010 at 12:30 pm complaining of swelling and pain in Left leg that started after vaccines were given. States L leg began to hurt and swell almost right after shots. Leg has been swollen and painful- no redness or itching. Child refuses to walk. Pain is worse in the evening and makes child cry. No meds were given. Seen by Dr. when brought in. L leg swollen from thigh to knee- no redness. L leg- 32 cm 8" above knee cal R leg 29.5cm in same place. Child is limping and dragging L foot when asked to walk. Parent speaks only foreign language- interpreter used (telephone). Advised Ibuprofen 200 mg q 6 hours (dose and meds given) Cool compresses to thigh Recheck in 24 hours
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site pain
Clinical narrative: The smallpox vaccine has spread to edge of bandaid.  The vaccine hasn't spread to any where else on the body.  Patient complains of tenderness around the site.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Hypoaesthesia facial
Clinical narrative: Numbness left side face and headache. Called Patient at 4:30PM and stated feeling was lessening and he decided not to call MD.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Felt heavy in her chest and it seemed harder to breathe
Age: 26.0
Sex: M
Vaccine: FLU3, SMALL, FLUX, SMALL
Symptoms: Mononucleosis heterophile test negative, Rash erythematous, Streptococcus test, Streptococcus test negative
Clinical narrative: scattered erythematous lesions on face, scalp, neck, upper chest
Age: 26.0
Sex: M
Vaccine: FLU3, SMALL, FLUX, SMALL
Symptoms: Headache, Pain, Pruritus, Rash pustular
Clinical narrative: scattered erythematous lesions on face, scalp, neck, upper chest
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose normal, Disorientation, Electrocardiogram normal, Syncope
Clinical narrative: 1.5 hours after administration, pt fainted in school hallway. Was disoriented with no recollection of event. Otherwise stable. ED eval showed no abnormality in EKG or blood sugar.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Injection site is swollen, feverish and red. Pain at time of administration is worsening. No tingling. Not itchy. No probelms other than at injection site.
Age: 25.0
Sex: F
Vaccine: HEPA
Symptoms: Eye pain, Eye swelling, Hypersensitivity, Pain in extremity
Clinical narrative: Arm sore at time of injection and continuing presently. Left eye area swelling and painful - has had same allergic reaction in past with same eye.
Age: 1.02
Sex: M
Vaccine: MMR
Symptoms: Chest X-ray normal, Wheezing
Clinical narrative: Baby started wheezing, 24 hours after vaccine administration. He was admitted in the hospital. Well response with XOPENEX by Nebulizer and I/V steroids. Went home after 2 days. He was sent home with PROVENTIL and PULMICORT by Nebulizer. Doing Ok, symptoms free now.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity
Clinical narrative: Histamine Rx at 2 1/2 diameter 2 days post injection.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Feverish, redness at site of vaccine.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Left upper arm along the midshaft of the arm there is a erythematous, mildly indurated patch elliptical in shape. The height from tip to tip 7 cm and width 4 cm. Patient complained it was itchy. It appears to be almost completely resolved.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Pt. developed rash, 12 hours after vaccination. Vaccine given (9/22), pt. saw M.D. on 9/27 and was given med.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, VIIth nerve paralysis
Clinical narrative: Bells palsy, needs CAT scan refused. Face paralyzed on right side neck pain.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site mass, Injection site swelling, Pyrexia
Clinical narrative: On 9-14-10 child was given immunization of Varicella and PCV-13 on right leg. 10 days later, on 9-24-10 mother noted redness, swelling knot at site. Went to ED. Fever 103.9. On 9/27 redness resolving.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Severe (L) deltoid pain 1 day after PNEUMOVAX.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: In a few hours, redness, swelling, mold itching BENADRYL given ? erysipelas - gave Amoxicillin if no improvement.
Age: 60.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Dizziness postural
Clinical narrative: Approx. 8hrs after shot I was lying on my side. Went to get up and I was dizzy. Today, still mildly dizzy at times. If I turn my head fast or bend it down & look up.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Pain
Clinical narrative: Chills, fever, headache, body ache, fatigue loose stool.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Chills, fever, headache, body ache, fatigue loose stool.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Localized swelling, redness, pain at site of DTAP injection. Improving slightly w/BENADRYL, cool compress and Ibuprofen.
Age: 25.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: Symptoms x 1 day 1/2 - fever of 102, (L) arm swelling, erythema, & severe pain loss of mobility. E.R. treatment - IV ABTs, VALIUM, TORADOL, KEFLEX, bed rest.
Age: 25.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Ultrasound scan abnormal
Clinical narrative: Symptoms x 1 day 1/2 - fever of 102, (L) arm swelling, erythema, & severe pain loss of mobility. E.R. treatment - IV ABTs, VALIUM, TORADOL, KEFLEX, bed rest.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Erythema, Injection site swelling
Clinical narrative: 5 hrs after administration redness noted. Swelling noted 12 hrs after at site (L upper arm) 20 hrs after blister noted. KEFLEX 500mg PO at 2015 9/23/10. See office visit note.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Blister, Inappropriate schedule of drug administration, Tenderness
Clinical narrative: This case was reported by a literature professional and described the occurrence of fluid filled bumps in a 10-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline), (non-gsk) MENACTRA. Concurrent medical conditions included allergy to amoxicillin. On 13 August 2009 the subject received unspecified dose of BOOSTRIX (.5 CC, unknown, left arm), unspecified dose of MENACTRA (unknown). On 20 August 2009, 7 days after vaccination with BOOSTRIX and MENACTRA, the subject experienced fluid filled bumps, sores (unspecified) and pain. The subject developed fluid filled bumps on his fingertips and between his fingers one week after administration of these vaccines. The sores would open up, drain, and then dry up. The sores were painful but not itchy. There are a few remaining sores at this time. At the time of reporting the events were improved. The healthcare professional considered the events were possibly related to vaccination with BOOSTRIX and MENACTRA.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Blister, Pain, Rash, Skin ulcer
Clinical narrative: This case was reported by a literature professional and described the occurrence of fluid filled bumps in a 10-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline), (non-gsk) MENACTRA. Concurrent medical conditions included allergy to amoxicillin. On 13 August 2009 the subject received unspecified dose of BOOSTRIX (.5 CC, unknown, left arm), unspecified dose of MENACTRA (unknown). On 20 August 2009, 7 days after vaccination with BOOSTRIX and MENACTRA, the subject experienced fluid filled bumps, sores (unspecified) and pain. The subject developed fluid filled bumps on his fingertips and between his fingers one week after administration of these vaccines. The sores would open up, drain, and then dry up. The sores were painful but not itchy. There are a few remaining sores at this time. At the time of reporting the events were improved. The healthcare professional considered the events were possibly related to vaccination with BOOSTRIX and MENACTRA.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Disseminated intravascular coagulation, Fatigue, Influenza like illness, Intensive care
Clinical narrative: 09-09-09 Fatigue, Lack of energy, malaise, flu-like symptoms, fever. 09-21-09 ER visit, treated for flu with IV drip. 09-23-09 Returned to ER with viral myocarditis and DIC. 24 days in ICU on a respirator, treated for various complications. 73 total days of hospitalization.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Malaise, Mechanical ventilation, Pyrexia, Viral myocarditis
Clinical narrative: 09-09-09 Fatigue, Lack of energy, malaise, flu-like symptoms, fever. 09-21-09 ER visit, treated for flu with IV drip. 09-23-09 Returned to ER with viral myocarditis and DIC. 24 days in ICU on a respirator, treated for various complications. 73 total days of hospitalization.
Age: 1.33
Sex: F
Vaccine: DTAP, MMR, VARCEL, DTAP, MMR, VARCEL
Symptoms: Body temperature increased, Drooling, Gaze palsy, Muscle twitching
Clinical narrative: MMR- 6/22/2010 Febrile seizure that night - Fever up to 102. Had to call EMS and transported to ER. Just observation.
Age: 1.33
Sex: F
Vaccine: DTAP, MMR, VARCEL, DTAP, MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: MMR- 6/22/2010 Febrile seizure that night - Fever up to 102. Had to call EMS and transported to ER. Just observation.
Age: 37.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Body temperature normal, Ejection fraction decreased, Electrocardiogram ST segment elevation, Hyperlipidaemia, Left ventricular dysfunction
Clinical narrative: Pt received his primary SPV on 6/22/10 in his right arm (pt is left handed). He was in his normal state of good health at the time. On 1 July the pt noted increased redness at the site, pain in his right axilla and red streaks from the vaccination site to his right upper shoulder and chest. Additionally, the patient had generalized body aches and fatigue. He denied fever, cough, sore throat, chills, sweats, diarrhea or abdominal pain. On 7/3/10 he noted that his fatigue and body aches were more severe and that he had SOB with activity. On 7/4/10 pt woke at 0300 with upper bilateral chest pain (3/10) with inspiration which lasted about 10 minutes--the pt was able to return to sleep 7/5/10 the pt felt "better". He drank "freezing" ice water and within 10 seconds fainted. This was witnessed. It was reported that the pt had no seizure like activity. He did experience loss of bladder control (no loss of bowel control). When the pt recovered he states that he was "dazed" for few minutes; he denied chest pain, palpitations, SOB, N, V. He was taken to a heart and lung center. On PE he had a normal cardiac exam (no murmur, pericardial rub) and neuro exam. Was found to have elevated Troponin I levels (peaked at 15; 0.62 at discharge) and CK (peaked at 801; decreased to 110), EKG showed minimal ST elevation in leads I and aVL, diffuse PR depression and PR elevation in aVR. Cardiac cath showed no obstructive disease. An echo was performed-EF 45%, global hypokinesis, no wall motion abnormalities. Nuclear stress test was done on 7/7/10: (Bruce) for 11:59 minute, PMHR 90% (169), METS 12.8, impression: normal gated SPECT myocardial perfusion imaging study with exercise. The pt was diagnosed with myopericarditis, and vasovagal syncope. He was discharged on ASA 325 mg bid, ENALAPRIL 2.5mg qd, COREG 3.125mg bid and his routine ZOCOR 80mg. The pt experienced an episode of feeling "winded" on 7/13/10 when he ran about 200 yards to get out of the rain. Otherwise, he has been asymptomatic. He was evaluated by cardiology at clinic on 7/22/10. His PE was wnl (no pericardial rub, no murmurs). Troponin I and CK Panel were wnl (Troponin I .012; 75, CKMB 0.26, CKMB index 0.3). Echo: (EF 60%, normal LV function, no wall motion abnormalities, no pericardial effusion) and placed on light duty for 4 weeks, nondeployable status for 6 months. The pt has subsequently returned home. He had an echo on 8/25/10: EF 55-60%, no wna, no pericardial effusion. He had a stress test on 9/14/10: (Bruce) for 9:37 minutes, PMHR 92% (168), METS 10.1, impression wnl. The pt was cleared by cardiology to exercise at his own pace (no competitive sports or strenuous PT, PRT-no run or swim). Pt remains non-deployable. He is scheduled for cardiology re-evaluation in Dec at which time if his echo and stress test are wnl the pt should be cleared to return to a deployable status.
Age: 37.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Loss of consciousness, Myopericarditis, Pericarditis, Syncope
Clinical narrative: Pt received his primary SPV on 6/22/10 in his right arm (pt is left handed). He was in his normal state of good health at the time. On 1 July the pt noted increased redness at the site, pain in his right axilla and red streaks from the vaccination site to his right upper shoulder and chest. Additionally, the patient had generalized body aches and fatigue. He denied fever, cough, sore throat, chills, sweats, diarrhea or abdominal pain. On 7/3/10 he noted that his fatigue and body aches were more severe and that he had SOB with activity. On 7/4/10 pt woke at 0300 with upper bilateral chest pain (3/10) with inspiration which lasted about 10 minutes--the pt was able to return to sleep 7/5/10 the pt felt "better". He drank "freezing" ice water and within 10 seconds fainted. This was witnessed. It was reported that the pt had no seizure like activity. He did experience loss of bladder control (no loss of bowel control). When the pt recovered he states that he was "dazed" for few minutes; he denied chest pain, palpitations, SOB, N, V. He was taken to a heart and lung center. On PE he had a normal cardiac exam (no murmur, pericardial rub) and neuro exam. Was found to have elevated Troponin I levels (peaked at 15; 0.62 at discharge) and CK (peaked at 801; decreased to 110), EKG showed minimal ST elevation in leads I and aVL, diffuse PR depression and PR elevation in aVR. Cardiac cath showed no obstructive disease. An echo was performed-EF 45%, global hypokinesis, no wall motion abnormalities. Nuclear stress test was done on 7/7/10: (Bruce) for 11:59 minute, PMHR 90% (169), METS 12.8, impression: normal gated SPECT myocardial perfusion imaging study with exercise. The pt was diagnosed with myopericarditis, and vasovagal syncope. He was discharged on ASA 325 mg bid, ENALAPRIL 2.5mg qd, COREG 3.125mg bid and his routine ZOCOR 80mg. The pt experienced an episode of feeling "winded" on 7/13/10 when he ran about 200 yards to get out of the rain. Otherwise, he has been asymptomatic. He was evaluated by cardiology at clinic on 7/22/10. His PE was wnl (no pericardial rub, no murmurs). Troponin I and CK Panel were wnl (Troponin I .012; 75, CKMB 0.26, CKMB index 0.3). Echo: (EF 60%, normal LV function, no wall motion abnormalities, no pericardial effusion) and placed on light duty for 4 weeks, nondeployable status for 6 months. The pt has subsequently returned home. He had an echo on 8/25/10: EF 55-60%, no wna, no pericardial effusion. He had a stress test on 9/14/10: (Bruce) for 9:37 minutes, PMHR 92% (168), METS 10.1, impression wnl. The pt was cleared by cardiology to exercise at his own pace (no competitive sports or strenuous PT, PRT-no run or swim). Pt remains non-deployable. He is scheduled for cardiology re-evaluation in Dec at which time if his echo and stress test are wnl the pt should be cleared to return to a deployable status.
Age: 37.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Activities of daily living impaired, Axillary pain, Blood creatine phosphokinase increased, Cardiac function test normal, Cardiac stress test
Clinical narrative: Pt received his primary SPV on 6/22/10 in his right arm (pt is left handed). He was in his normal state of good health at the time. On 1 July the pt noted increased redness at the site, pain in his right axilla and red streaks from the vaccination site to his right upper shoulder and chest. Additionally, the patient had generalized body aches and fatigue. He denied fever, cough, sore throat, chills, sweats, diarrhea or abdominal pain. On 7/3/10 he noted that his fatigue and body aches were more severe and that he had SOB with activity. On 7/4/10 pt woke at 0300 with upper bilateral chest pain (3/10) with inspiration which lasted about 10 minutes--the pt was able to return to sleep 7/5/10 the pt felt "better". He drank "freezing" ice water and within 10 seconds fainted. This was witnessed. It was reported that the pt had no seizure like activity. He did experience loss of bladder control (no loss of bowel control). When the pt recovered he states that he was "dazed" for few minutes; he denied chest pain, palpitations, SOB, N, V. He was taken to a heart and lung center. On PE he had a normal cardiac exam (no murmur, pericardial rub) and neuro exam. Was found to have elevated Troponin I levels (peaked at 15; 0.62 at discharge) and CK (peaked at 801; decreased to 110), EKG showed minimal ST elevation in leads I and aVL, diffuse PR depression and PR elevation in aVR. Cardiac cath showed no obstructive disease. An echo was performed-EF 45%, global hypokinesis, no wall motion abnormalities. Nuclear stress test was done on 7/7/10: (Bruce) for 11:59 minute, PMHR 90% (169), METS 12.8, impression: normal gated SPECT myocardial perfusion imaging study with exercise. The pt was diagnosed with myopericarditis, and vasovagal syncope. He was discharged on ASA 325 mg bid, ENALAPRIL 2.5mg qd, COREG 3.125mg bid and his routine ZOCOR 80mg. The pt experienced an episode of feeling "winded" on 7/13/10 when he ran about 200 yards to get out of the rain. Otherwise, he has been asymptomatic. He was evaluated by cardiology at clinic on 7/22/10. His PE was wnl (no pericardial rub, no murmurs). Troponin I and CK Panel were wnl (Troponin I .012; 75, CKMB 0.26, CKMB index 0.3). Echo: (EF 60%, normal LV function, no wall motion abnormalities, no pericardial effusion) and placed on light duty for 4 weeks, nondeployable status for 6 months. The pt has subsequently returned home. He had an echo on 8/25/10: EF 55-60%, no wna, no pericardial effusion. He had a stress test on 9/14/10: (Bruce) for 9:37 minutes, PMHR 92% (168), METS 10.1, impression wnl. The pt was cleared by cardiology to exercise at his own pace (no competitive sports or strenuous PT, PRT-no run or swim). Pt remains non-deployable. He is scheduled for cardiology re-evaluation in Dec at which time if his echo and stress test are wnl the pt should be cleared to return to a deployable status.
Age: 37.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Catheterisation cardiac normal, Chest pain, Dyspnoea, Echocardiogram abnormal, Electrocardiogram PR interval
Clinical narrative: Pt received his primary SPV on 6/22/10 in his right arm (pt is left handed). He was in his normal state of good health at the time. On 1 July the pt noted increased redness at the site, pain in his right axilla and red streaks from the vaccination site to his right upper shoulder and chest. Additionally, the patient had generalized body aches and fatigue. He denied fever, cough, sore throat, chills, sweats, diarrhea or abdominal pain. On 7/3/10 he noted that his fatigue and body aches were more severe and that he had SOB with activity. On 7/4/10 pt woke at 0300 with upper bilateral chest pain (3/10) with inspiration which lasted about 10 minutes--the pt was able to return to sleep 7/5/10 the pt felt "better". He drank "freezing" ice water and within 10 seconds fainted. This was witnessed. It was reported that the pt had no seizure like activity. He did experience loss of bladder control (no loss of bowel control). When the pt recovered he states that he was "dazed" for few minutes; he denied chest pain, palpitations, SOB, N, V. He was taken to a heart and lung center. On PE he had a normal cardiac exam (no murmur, pericardial rub) and neuro exam. Was found to have elevated Troponin I levels (peaked at 15; 0.62 at discharge) and CK (peaked at 801; decreased to 110), EKG showed minimal ST elevation in leads I and aVL, diffuse PR depression and PR elevation in aVR. Cardiac cath showed no obstructive disease. An echo was performed-EF 45%, global hypokinesis, no wall motion abnormalities. Nuclear stress test was done on 7/7/10: (Bruce) for 11:59 minute, PMHR 90% (169), METS 12.8, impression: normal gated SPECT myocardial perfusion imaging study with exercise. The pt was diagnosed with myopericarditis, and vasovagal syncope. He was discharged on ASA 325 mg bid, ENALAPRIL 2.5mg qd, COREG 3.125mg bid and his routine ZOCOR 80mg. The pt experienced an episode of feeling "winded" on 7/13/10 when he ran about 200 yards to get out of the rain. Otherwise, he has been asymptomatic. He was evaluated by cardiology at clinic on 7/22/10. His PE was wnl (no pericardial rub, no murmurs). Troponin I and CK Panel were wnl (Troponin I .012; 75, CKMB 0.26, CKMB index 0.3). Echo: (EF 60%, normal LV function, no wall motion abnormalities, no pericardial effusion) and placed on light duty for 4 weeks, nondeployable status for 6 months. The pt has subsequently returned home. He had an echo on 8/25/10: EF 55-60%, no wna, no pericardial effusion. He had a stress test on 9/14/10: (Bruce) for 9:37 minutes, PMHR 92% (168), METS 10.1, impression wnl. The pt was cleared by cardiology to exercise at his own pace (no competitive sports or strenuous PT, PRT-no run or swim). Pt remains non-deployable. He is scheduled for cardiology re-evaluation in Dec at which time if his echo and stress test are wnl the pt should be cleared to return to a deployable status.
Age: 37.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Electrocardiogram ST segment elevation, Erythema, Fatigue, Feeling abnormal, Impaired work ability
Clinical narrative: Pt received his primary SPV on 6/22/10 in his right arm (pt is left handed). He was in his normal state of good health at the time. On 1 July the pt noted increased redness at the site, pain in his right axilla and red streaks from the vaccination site to his right upper shoulder and chest. Additionally, the patient had generalized body aches and fatigue. He denied fever, cough, sore throat, chills, sweats, diarrhea or abdominal pain. On 7/3/10 he noted that his fatigue and body aches were more severe and that he had SOB with activity. On 7/4/10 pt woke at 0300 with upper bilateral chest pain (3/10) with inspiration which lasted about 10 minutes--the pt was able to return to sleep 7/5/10 the pt felt "better". He drank "freezing" ice water and within 10 seconds fainted. This was witnessed. It was reported that the pt had no seizure like activity. He did experience loss of bladder control (no loss of bowel control). When the pt recovered he states that he was "dazed" for few minutes; he denied chest pain, palpitations, SOB, N, V. He was taken to a heart and lung center. On PE he had a normal cardiac exam (no murmur, pericardial rub) and neuro exam. Was found to have elevated Troponin I levels (peaked at 15; 0.62 at discharge) and CK (peaked at 801; decreased to 110), EKG showed minimal ST elevation in leads I and aVL, diffuse PR depression and PR elevation in aVR. Cardiac cath showed no obstructive disease. An echo was performed-EF 45%, global hypokinesis, no wall motion abnormalities. Nuclear stress test was done on 7/7/10: (Bruce) for 11:59 minute, PMHR 90% (169), METS 12.8, impression: normal gated SPECT myocardial perfusion imaging study with exercise. The pt was diagnosed with myopericarditis, and vasovagal syncope. He was discharged on ASA 325 mg bid, ENALAPRIL 2.5mg qd, COREG 3.125mg bid and his routine ZOCOR 80mg. The pt experienced an episode of feeling "winded" on 7/13/10 when he ran about 200 yards to get out of the rain. Otherwise, he has been asymptomatic. He was evaluated by cardiology at clinic on 7/22/10. His PE was wnl (no pericardial rub, no murmurs). Troponin I and CK Panel were wnl (Troponin I .012; 75, CKMB 0.26, CKMB index 0.3). Echo: (EF 60%, normal LV function, no wall motion abnormalities, no pericardial effusion) and placed on light duty for 4 weeks, nondeployable status for 6 months. The pt has subsequently returned home. He had an echo on 8/25/10: EF 55-60%, no wna, no pericardial effusion. He had a stress test on 9/14/10: (Bruce) for 9:37 minutes, PMHR 92% (168), METS 10.1, impression wnl. The pt was cleared by cardiology to exercise at his own pace (no competitive sports or strenuous PT, PRT-no run or swim). Pt remains non-deployable. He is scheduled for cardiology re-evaluation in Dec at which time if his echo and stress test are wnl the pt should be cleared to return to a deployable status.
Age: 37.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Injection site streaking, Insomnia, Myopericarditis, Neurological examination normal
Clinical narrative: Pt received his primary SPV on 6/22/10 in his right arm (pt is left handed). He was in his normal state of good health at the time. On 1 July the pt noted increased redness at the site, pain in his right axilla and red streaks from the vaccination site to his right upper shoulder and chest. Additionally, the patient had generalized body aches and fatigue. He denied fever, cough, sore throat, chills, sweats, diarrhea or abdominal pain. On 7/3/10 he noted that his fatigue and body aches were more severe and that he had SOB with activity. On 7/4/10 pt woke at 0300 with upper bilateral chest pain (3/10) with inspiration which lasted about 10 minutes--the pt was able to return to sleep 7/5/10 the pt felt "better". He drank "freezing" ice water and within 10 seconds fainted. This was witnessed. It was reported that the pt had no seizure like activity. He did experience loss of bladder control (no loss of bowel control). When the pt recovered he states that he was "dazed" for few minutes; he denied chest pain, palpitations, SOB, N, V. He was taken to a heart and lung center. On PE he had a normal cardiac exam (no murmur, pericardial rub) and neuro exam. Was found to have elevated Troponin I levels (peaked at 15; 0.62 at discharge) and CK (peaked at 801; decreased to 110), EKG showed minimal ST elevation in leads I and aVL, diffuse PR depression and PR elevation in aVR. Cardiac cath showed no obstructive disease. An echo was performed-EF 45%, global hypokinesis, no wall motion abnormalities. Nuclear stress test was done on 7/7/10: (Bruce) for 11:59 minute, PMHR 90% (169), METS 12.8, impression: normal gated SPECT myocardial perfusion imaging study with exercise. The pt was diagnosed with myopericarditis, and vasovagal syncope. He was discharged on ASA 325 mg bid, ENALAPRIL 2.5mg qd, COREG 3.125mg bid and his routine ZOCOR 80mg. The pt experienced an episode of feeling "winded" on 7/13/10 when he ran about 200 yards to get out of the rain. Otherwise, he has been asymptomatic. He was evaluated by cardiology at clinic on 7/22/10. His PE was wnl (no pericardial rub, no murmurs). Troponin I and CK Panel were wnl (Troponin I .012; 75, CKMB 0.26, CKMB index 0.3). Echo: (EF 60%, normal LV function, no wall motion abnormalities, no pericardial effusion) and placed on light duty for 4 weeks, nondeployable status for 6 months. The pt has subsequently returned home. He had an echo on 8/25/10: EF 55-60%, no wna, no pericardial effusion. He had a stress test on 9/14/10: (Bruce) for 9:37 minutes, PMHR 92% (168), METS 10.1, impression wnl. The pt was cleared by cardiology to exercise at his own pace (no competitive sports or strenuous PT, PRT-no run or swim). Pt remains non-deployable. He is scheduled for cardiology re-evaluation in Dec at which time if his echo and stress test are wnl the pt should be cleared to return to a deployable status.
Age: 37.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Pain, Painful respiration, Scan myocardial perfusion normal, Single photon emission computerised tomogram normal, Syncope
Clinical narrative: Pt received his primary SPV on 6/22/10 in his right arm (pt is left handed). He was in his normal state of good health at the time. On 1 July the pt noted increased redness at the site, pain in his right axilla and red streaks from the vaccination site to his right upper shoulder and chest. Additionally, the patient had generalized body aches and fatigue. He denied fever, cough, sore throat, chills, sweats, diarrhea or abdominal pain. On 7/3/10 he noted that his fatigue and body aches were more severe and that he had SOB with activity. On 7/4/10 pt woke at 0300 with upper bilateral chest pain (3/10) with inspiration which lasted about 10 minutes--the pt was able to return to sleep 7/5/10 the pt felt "better". He drank "freezing" ice water and within 10 seconds fainted. This was witnessed. It was reported that the pt had no seizure like activity. He did experience loss of bladder control (no loss of bowel control). When the pt recovered he states that he was "dazed" for few minutes; he denied chest pain, palpitations, SOB, N, V. He was taken to a heart and lung center. On PE he had a normal cardiac exam (no murmur, pericardial rub) and neuro exam. Was found to have elevated Troponin I levels (peaked at 15; 0.62 at discharge) and CK (peaked at 801; decreased to 110), EKG showed minimal ST elevation in leads I and aVL, diffuse PR depression and PR elevation in aVR. Cardiac cath showed no obstructive disease. An echo was performed-EF 45%, global hypokinesis, no wall motion abnormalities. Nuclear stress test was done on 7/7/10: (Bruce) for 11:59 minute, PMHR 90% (169), METS 12.8, impression: normal gated SPECT myocardial perfusion imaging study with exercise. The pt was diagnosed with myopericarditis, and vasovagal syncope. He was discharged on ASA 325 mg bid, ENALAPRIL 2.5mg qd, COREG 3.125mg bid and his routine ZOCOR 80mg. The pt experienced an episode of feeling "winded" on 7/13/10 when he ran about 200 yards to get out of the rain. Otherwise, he has been asymptomatic. He was evaluated by cardiology at clinic on 7/22/10. His PE was wnl (no pericardial rub, no murmurs). Troponin I and CK Panel were wnl (Troponin I .012; 75, CKMB 0.26, CKMB index 0.3). Echo: (EF 60%, normal LV function, no wall motion abnormalities, no pericardial effusion) and placed on light duty for 4 weeks, nondeployable status for 6 months. The pt has subsequently returned home. He had an echo on 8/25/10: EF 55-60%, no wna, no pericardial effusion. He had a stress test on 9/14/10: (Bruce) for 9:37 minutes, PMHR 92% (168), METS 10.1, impression wnl. The pt was cleared by cardiology to exercise at his own pace (no competitive sports or strenuous PT, PRT-no run or swim). Pt remains non-deployable. He is scheduled for cardiology re-evaluation in Dec at which time if his echo and stress test are wnl the pt should be cleared to return to a deployable status.
Age: 37.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Troponin I increased, Urinary incontinence, Ventricular hypokinesia
Clinical narrative: Pt received his primary SPV on 6/22/10 in his right arm (pt is left handed). He was in his normal state of good health at the time. On 1 July the pt noted increased redness at the site, pain in his right axilla and red streaks from the vaccination site to his right upper shoulder and chest. Additionally, the patient had generalized body aches and fatigue. He denied fever, cough, sore throat, chills, sweats, diarrhea or abdominal pain. On 7/3/10 he noted that his fatigue and body aches were more severe and that he had SOB with activity. On 7/4/10 pt woke at 0300 with upper bilateral chest pain (3/10) with inspiration which lasted about 10 minutes--the pt was able to return to sleep 7/5/10 the pt felt "better". He drank "freezing" ice water and within 10 seconds fainted. This was witnessed. It was reported that the pt had no seizure like activity. He did experience loss of bladder control (no loss of bowel control). When the pt recovered he states that he was "dazed" for few minutes; he denied chest pain, palpitations, SOB, N, V. He was taken to a heart and lung center. On PE he had a normal cardiac exam (no murmur, pericardial rub) and neuro exam. Was found to have elevated Troponin I levels (peaked at 15; 0.62 at discharge) and CK (peaked at 801; decreased to 110), EKG showed minimal ST elevation in leads I and aVL, diffuse PR depression and PR elevation in aVR. Cardiac cath showed no obstructive disease. An echo was performed-EF 45%, global hypokinesis, no wall motion abnormalities. Nuclear stress test was done on 7/7/10: (Bruce) for 11:59 minute, PMHR 90% (169), METS 12.8, impression: normal gated SPECT myocardial perfusion imaging study with exercise. The pt was diagnosed with myopericarditis, and vasovagal syncope. He was discharged on ASA 325 mg bid, ENALAPRIL 2.5mg qd, COREG 3.125mg bid and his routine ZOCOR 80mg. The pt experienced an episode of feeling "winded" on 7/13/10 when he ran about 200 yards to get out of the rain. Otherwise, he has been asymptomatic. He was evaluated by cardiology at clinic on 7/22/10. His PE was wnl (no pericardial rub, no murmurs). Troponin I and CK Panel were wnl (Troponin I .012; 75, CKMB 0.26, CKMB index 0.3). Echo: (EF 60%, normal LV function, no wall motion abnormalities, no pericardial effusion) and placed on light duty for 4 weeks, nondeployable status for 6 months. The pt has subsequently returned home. He had an echo on 8/25/10: EF 55-60%, no wna, no pericardial effusion. He had a stress test on 9/14/10: (Bruce) for 9:37 minutes, PMHR 92% (168), METS 10.1, impression wnl. The pt was cleared by cardiology to exercise at his own pace (no competitive sports or strenuous PT, PRT-no run or swim). Pt remains non-deployable. He is scheduled for cardiology re-evaluation in Dec at which time if his echo and stress test are wnl the pt should be cleared to return to a deployable status.
Age: 73.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Asthenia, Diplegia, Guillain-Barre syndrome
Clinical narrative: Numbness and paralysis of legs. Symptoms started 3 weeks after injection Guillain Barre Syndrome.
Age: 73.0
Sex: M
Vaccine: FLU(H1N1), FLU(H1N1)
Symptoms: Diplegia, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Numbness and paralysis of legs. Symptoms started 3 weeks after injection Guillain Barre Syndrome.
Age: 3.0
Sex: M
Vaccine: PNC, PNC13
Symptoms: Injection site urticaria
Clinical narrative: Patient given PREVNAR Lt Deltoid - 9-3-10. Here today for rash about 3 - hours ago on Lt shoulder in a circle-over the site of vaccines on 9-3-10. C/o being bit - hive like-raised irregular & lumpy appearing BENADRYL 1/2 tsp - shower going away.
Age: 3.0
Sex: M
Vaccine: PNC, PNC13
Symptoms: Injection site rash
Clinical narrative: Patient given PREVNAR Lt Deltoid - 9-3-10. Here today for rash about 3 - hours ago on Lt shoulder in a circle-over the site of vaccines on 9-3-10. C/o being bit - hive like-raised irregular & lumpy appearing BENADRYL 1/2 tsp - shower going away.