chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site rash, Rash, Swollen tongue
Clinical narrative: Case number PHEH2014US020855 is a combined initial and follow-up spontaneous report from a pharmacist received on 15 Oct 2014. This report refers to a 21-year-old female patient. Her concurrent condition included allergy to sulfa. Concomitant medications were not reported. She was vaccinated with FLUVIRIN (batch number: 145221) intramuscularly on 11 Oct 2014. On the same day, four hours after vaccination, she developed rash at the injection site, on the face and swollen tongue. She went to emergency room but was told her to go home without any treatment. Outcome of the events was reported as unknown. Seriousness and causality assessment of the events were not reported. Seriousness assessment of swollen tongue was upgraded based on the list.
Age: 74.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity, X-ray normal
Clinical narrative: Severe shoulder pain.
Age: 74.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Musculoskeletal pain, Ultrasound scan, X-ray
Clinical narrative: Severe shoulder pain.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Aphonia, Oropharyngeal pain, Productive cough
Clinical narrative: Extreme sore throat, loss of voice, yellow mucus with cough.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Large welt from injection lasting more than 3 weeks. Size and pain is reducing, but still has obvious presence.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Dry mouth, Paraesthesia oral, Pharyngeal oedema
Clinical narrative: Lightheadedness, tingling of lips, tongue, dry mouth, felt like throat was swollen.
Age: 4.0
Sex: F
Vaccine: FLUX
Symptoms: Vaccination site erythema, Vaccination site swelling
Clinical narrative: Redness and swelling 7x6cm on influenza vaccine area.
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site discomfort, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Child has developed side effects  her right leg around the shot location become inflamed and swelled, it is taking most of her tight making her uncomfortable and in pain. It supposed to be gone after 1-2 days, but is not.
Sex: F
Vaccine: FLUX
Symptoms: Food allergy
Clinical narrative: Case number PHEH2014US021010, is a combined initial and follow up spontaneous report received from a nurse on 16 Oct 2014 and on 20 Oct 2014. This report refers to an adult female patient. Her medical history and concomitant medication was not reported. She was vaccinated with seasonal influenza vaccine (batch number: unknown) on an unknown date. On an unknown date post vaccination she was hospitalized due to egg allergy. This did not happen this year, but sometime in the past. Outcome of the event and causality assessment was not reported. No further information was provided.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms, Musculoskeletal pain, Nasopharyngitis, Neck pain, Neuropathy peripheral
Clinical narrative: Case number PHEH2014US020680, is an initial spontaneous report from a nurse received on 13 Oct 2014. This report refers to a 60-year-old female patient. Concurrent conditions included diabetes. No concomitant medication was reported. The nurse does not have the vaccination history of the patient and was not sure if the patient had FLUVIRIN or another flu vaccine last year. She was vaccinated with FLUVIRIN (batch number: not reported) intramuscularly on 01 Oct 2014. Approximately two weeks after the vaccination, she experienced cold, neuropathy, cramping in the legs, pain in neck and arms and bilateral pain in her rotator cuff. The nurse expressed concern that are the symptoms related to the flu vaccine or the patient diabetes. The outcome of the events was unknown. Seriousness and causality was not reported. Seriousness assessment of the event neuropathy was upgraded based on the list.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Case number PHEH2014US020680, is an initial spontaneous report from a nurse received on 13 Oct 2014. This report refers to a 60-year-old female patient. Concurrent conditions included diabetes. No concomitant medication was reported. The nurse does not have the vaccination history of the patient and was not sure if the patient had FLUVIRIN or another flu vaccine last year. She was vaccinated with FLUVIRIN (batch number: not reported) intramuscularly on 01 Oct 2014. Approximately two weeks after the vaccination, she experienced cold, neuropathy, cramping in the legs, pain in neck and arms and bilateral pain in her rotator cuff. The nurse expressed concern that are the symptoms related to the flu vaccine or the patient diabetes. The outcome of the events was unknown. Seriousness and causality was not reported. Seriousness assessment of the event neuropathy was upgraded based on the list.
Age: 43.0
Sex: F
Vaccine: FLUC3
Symptoms: Anaphylactic reaction
Clinical narrative: Case number PHEH2014US020815 is an initial spontaneous report received from a pharmacist on 16 Oct 2014. This report refers to a 13 year old female patient. The patient was very allergic to dogs and her concomitant medications were not reported. On 16 Oct 2014, she was vaccinated with FLUCELVAX (batch number: 161207) intramuscularly. On the same day, after the vaccination, she developed an anaphylactic reaction. The patient completely recovered from the event on the same day. The seriousness and causality of the event were not reported.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC13
Symptoms: Hypophagia, Irritability, Sleep disorder, Urine output decreased
Clinical narrative: Baby not sleeping well, fussy, not drinking enough fluids, not making enough urine. Baby went to hospital for intussusception.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Expired drug administered
Clinical narrative: Expired vaccine administered to patient inadvertently.
Age: 8.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Erythema, Fatigue, Headache, Influenza virus test negative
Clinical narrative: Headache, stomach ache almost immediately. Fever of 102.3, fatigue, red skin (face) and vomiting about 3 hours later fever rose to 103.6. Muscle pain and weakness, tired and fever rose to 104.2. Tylenol dropped it once to 103 but started to rise again within two hours to 104.6 then went to ER.
Age: 8.0
Sex: F
Vaccine: FLUX
Symptoms: Muscular weakness, Myalgia, Pyrexia, Streptococcus test negative, Vomiting
Clinical narrative: Headache, stomach ache almost immediately. Fever of 102.3, fatigue, red skin (face) and vomiting about 3 hours later fever rose to 103.6. Muscle pain and weakness, tired and fever rose to 104.2. Tylenol dropped it once to 103 but started to rise again within two hours to 104.6 then went to ER.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Expired drug administered
Clinical narrative: Expired vaccine administered to patient inadvertently.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Pruritus, Vaccine positive rechallenge
Clinical narrative: Some erythema around the injection site.  He had no difficulty breathing. Patient did take some Benadryl last night.  Also put some ice.  This morning there was some more redness.  He had a history of asthma.  He never had any difficulty of breathing.  He is not having much itching.  Due to the fact that the erythema is a little bit more than yesterday, he was brought to the clinic.  Again, no difficulty breathing, not much itching.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, itching.
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Malaise, Nausea, Vertigo
Clinical narrative: Case number PHHY2014US138196, is an initial spontaneous report received from a consumer via a specialty pharmacy on 13 Oct 2014 and forwarded by Incyte (MFR control No: 2014IN003036) on 21 Oct 2014. This report refers to a 61 year old male patient. Medical history and concomitant medications were reported as unknown. The patient received JAKAFI for unspecified indication at a dose of 10 mg tablets, twice daily orally from 08 Oct 2014. Lot number and expiration date were reported as unknown. The patient also received flu shot, influenza vaccine (manufacturer unknown) at unspecified dose on 09 Oct 2014. The patient attempted to drive immediately, but could not get far due to nausea, vertigo, and general malaise. The patient was hospitalized overnight for observation. On 10 Oct 2014, the patient felt better and was discharged. JAKAFI therapy continued during hospitalization and was ongoing at the time of the report. The outcomes for the events were reported as unknown. Seriousness of the event was reported as hospitalization. Causality of the events was not reported.
Age: 30.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Fatigue, Hypersomnia, Myalgia, Oropharyngeal pain
Clinical narrative: Started with sore throat, then runny nose, then dry cough, then sinusitis, along with myalgia, fatigue, and excessive sleep.
Age: 30.0
Sex: M
Vaccine: FLUX
Symptoms: Rhinorrhoea, Sinusitis
Clinical narrative: Started with sore throat, then runny nose, then dry cough, then sinusitis, along with myalgia, fatigue, and excessive sleep.
Age: 62.0
Sex: M
Vaccine: FLUX
Symptoms: Headache, Myalgia, Nasal congestion
Clinical narrative: Headache, Muscle Aches, Stuffy nose. Still going on. So below does not apply as yet.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient states shooting pain "worse than labor pains" started in left outer thigh and moved down front of left calf about 6 times on Saturday 10/25. Never felt this type of pain before. Patient describes it as excruciating. No pain in arm, just sore, like previous years flu-vaccine. Pain occurred again on Sunday 10/26 in the am. Has improved since, no pain yet today 10/27. Patient took ibuprofen, did not seek medical care.
Age: 8.0
Sex: F
Vaccine: FLUN4
Symptoms: Abdominal pain, Cough, Headache, Malaise, Myalgia
Clinical narrative: Headache, malaise, low grade fever 100.5, muscle aches, abdominal cramps, mild cough.
Age: 8.0
Sex: F
Vaccine: FLUN4
Symptoms: Pyrexia
Clinical narrative: Headache, malaise, low grade fever 100.5, muscle aches, abdominal cramps, mild cough.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site swelling
Clinical narrative: Patient contacted the State Program Operations Manger Fri., 10/24/2014, and verbalzied bruising at the RAIM site and 1/2 dollar size swelling.  The program operations mgr, immediately contacted the IZ Nurse in the NE (me), who left a message for patient to phone me back.  To date patient has not phoned back. The nurse manager has been contacted regarding this issue.
Age: 78.0
Sex: U
Vaccine: FLU3
Symptoms: Abdominal discomfort, Constipation, Cough, Headache, Increased upper airway secretion
Clinical narrative: After flu shot on 10/20/14: done by pharmacy. Vaccine: FLUZONE MFG: Sanofi. Dose (ml): 0.50 ml. 10/20: That was done at about 11 am. After three hours I feel strange matter in both throats. Then, after 2 hours my eyes became red inside and with white spots. Those situations were over during the night. Next day I had light headache. This was for 3 days. Also for 3 days I did not go to toilet (constipation) and after I eat meals my stomach was not normal. Sensation of filling. Now my throat was full of secretion. I had some cough. 10/24: I took magnesium sulfate: 2 teaspoons in 8 ounces of water for the constipation. After 8 hours the defecation came. 10/26: For 3 days I developed: coughing, runny nose, sneezing, sore throat and general 'achy' feeling. This reaction is reported by myself to VAERS. It is the first time this happen to me.
Age: 78.0
Sex: U
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Oropharyngeal pain, Pain, Rhinorrhoea, Sneezing
Clinical narrative: After flu shot on 10/20/14: done by pharmacy. Vaccine: FLUZONE MFG: Sanofi. Dose (ml): 0.50 ml. 10/20: That was done at about 11 am. After three hours I feel strange matter in both throats. Then, after 2 hours my eyes became red inside and with white spots. Those situations were over during the night. Next day I had light headache. This was for 3 days. Also for 3 days I did not go to toilet (constipation) and after I eat meals my stomach was not normal. Sensation of filling. Now my throat was full of secretion. I had some cough. 10/24: I took magnesium sulfate: 2 teaspoons in 8 ounces of water for the constipation. After 8 hours the defecation came. 10/26: For 3 days I developed: coughing, runny nose, sneezing, sore throat and general 'achy' feeling. This reaction is reported by myself to VAERS. It is the first time this happen to me.
Age: 78.0
Sex: U
Vaccine: FLU3
Symptoms: Visual impairment
Clinical narrative: After flu shot on 10/20/14: done by pharmacy. Vaccine: FLUZONE MFG: Sanofi. Dose (ml): 0.50 ml. 10/20: That was done at about 11 am. After three hours I feel strange matter in both throats. Then, after 2 hours my eyes became red inside and with white spots. Those situations were over during the night. Next day I had light headache. This was for 3 days. Also for 3 days I did not go to toilet (constipation) and after I eat meals my stomach was not normal. Sensation of filling. Now my throat was full of secretion. I had some cough. 10/24: I took magnesium sulfate: 2 teaspoons in 8 ounces of water for the constipation. After 8 hours the defecation came. 10/26: For 3 days I developed: coughing, runny nose, sneezing, sore throat and general 'achy' feeling. This reaction is reported by myself to VAERS. It is the first time this happen to me.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Eye swelling, Hypersensitivity, Wheezing
Clinical narrative: Swollen eyes.  Respiratory wheezing.  Patient called his doctor who wanted him to go to the ER, but patient refused.  Instead took Benadryl; relief of symptoms obtained.  Slept 1 1/2 hrs. Took Tylenol Cold & Flu tab.  Allergy s/s gone in AM.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Erythema, Induration, Injection site erythema
Clinical narrative: Pain, swelling, warm to touch, redenss, hard then next day s/s were worse generalized malise, and respiratory symtoms began on Saturday AM. Respiratory s/s were cough, hoarseness, low grade fever s/s to arm area where vacinated remained red, tender warm and swollen.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Malaise, Pain
Clinical narrative: Pain, swelling, warm to touch, redenss, hard then next day s/s were worse generalized malise, and respiratory symtoms began on Saturday AM. Respiratory s/s were cough, hoarseness, low grade fever s/s to arm area where vacinated remained red, tender warm and swollen.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: Pain, swelling, warm to touch, redenss, hard then next day s/s were worse generalized malise, and respiratory symtoms began on Saturday AM. Respiratory s/s were cough, hoarseness, low grade fever s/s to arm area where vacinated remained red, tender warm and swollen.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Expired drug administered
Clinical narrative: Expired vaccine administered to patient inadvertently.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling, Rash macular
Clinical narrative: Injection site was posterior side of left upper arm. 2 days after injection, area was still itching, red, blotchy, raised, slightly distended (2.5 inches wide, ~4-5 inches long). Advised to ice area, take diphenhydramine, possibly use a topical steroid.
Age: 78.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Severe rash/hives, extreme itching on inside lower arm, and across belly.  Used anti-itch cream, Benadryl, alcohol, and ammonia.   Lasted over a week.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Dysphonia, Headache, Pruritus, Urticaria
Clinical narrative: Hoarseness 10/24-25/2014. Bad headache 10/25/2014. 10/26/2014 2:00AM woke up with itching, burning all over body, wheals on stomach and arms self administered PO Benadry x 3 doses first dose 10:00AM 10/26/2014 wheals and symptoms cleared did not seek medical care. Reported to Health Department 10/27/2014.
Age: 42.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site cellulitis, Injection site infection
Clinical narrative: Patient brought in a copy of discharge instructions from a urgent care visit. Patient went to the urgent care center and was diagnosed with skin infection (cellulitis) around the injection site. Patient was prescribed cefprozil on discharge and was instructed by the urgent care center to follow up with PCP especially if redness does not get better or gets bigger in 3-4 days.
Age: 82.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Blood pressure increased, Nausea
Clinical narrative: Nausea, weakness, later over next two days blood pressure spiraling up to dangerous levels when usually well controlled.
Age: 1.34
Sex: F
Vaccine: DTAP, FLU4, HIBV, PNC13
Symptoms: Culture urine negative, Cyanosis, Drooling, Hypotonia, Unresponsive to stimuli
Clinical narrative: Pt became limp, drooling, cyanotic, unresponsive x2-3 min.  Sx resolved by the time EMS arrived.  Taken to local ER and given Motrin (did not require any benzodiazepines or other medications to break seizure).
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster, Inflammation, Myalgia, Pain, Rash
Clinical narrative: Itchy red bumps appeared on left side of upper back. Applied hydrocortisone lotion for relief. Some minor muscle pain experienced on previous days. Rash spread and inflamed with increased pain and itch. Continued treating with calamine & hydrocortisone. Dermatologist visit confirmed shingles on 10/24/2014.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Itchy red bumps appeared on left side of upper back. Applied hydrocortisone lotion for relief. Some minor muscle pain experienced on previous days. Rash spread and inflamed with increased pain and itch. Continued treating with calamine & hydrocortisone. Dermatologist visit confirmed shingles on 10/24/2014.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Body temperature increased, Chills, Hypersomnia
Clinical narrative: Onset severe chills, day two through six, temp 102-103 joint pain (hips) three days. Slept 18 hours per day. Duration 7 days.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Hypotonia, Neuralgia
Clinical narrative: Nerve pain, weakness, low muscle tone.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Blood pressure increased, Blood test normal, Chest X-ray normal, Electrocardiogram normal
Clinical narrative: Noticed arm swellon and red with blisters went to drug store hydrocortisone cream and Benadryl. Monday 10/13/14 face, neck and chest swollen and red with blisters on chin. Went to after care was told to continue cream and Benadryl. Did go away on 10/15/14 but blood pressure has been spiking and out of control had to go to Doctor 2 times and ER at hospital by ambulance because of hypertension out of control. Did EKG, chest Xrays, blood work, urine test all negative.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Hypertension, Local swelling, Swelling face, Urine analysis normal
Clinical narrative: Noticed arm swellon and red with blisters went to drug store hydrocortisone cream and Benadryl. Monday 10/13/14 face, neck and chest swollen and red with blisters on chin. Went to after care was told to continue cream and Benadryl. Did go away on 10/15/14 but blood pressure has been spiking and out of control had to go to Doctor 2 times and ER at hospital by ambulance because of hypertension out of control. Did EKG, chest Xrays, blood work, urine test all negative.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Induration, Swelling, Tenderness
Clinical narrative: Redness, warmth, swelling, induration and tenderness lasting 36-48 hours.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Rash erythematous
Clinical narrative: Slight headache. Red/purple rash under left armpit.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV, TDAP
Symptoms: Discomfort, Headache, Local swelling, Middle insomnia, Pain in extremity
Clinical narrative: Client reports her right arm began to swell and was painful to the touch on the evening of 10/24/14. She states she had fever but never checked with a thermometer. States it hurt so bad it woke her up that night. also reports headache. Began taking Motrin which does relieve the discomfort.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Client reports her right arm began to swell and was painful to the touch on the evening of 10/24/14. She states she had fever but never checked with a thermometer. States it hurt so bad it woke her up that night. also reports headache. Began taking Motrin which does relieve the discomfort.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Large Red Round Rash, around injection site about 5-6 inches in diameter. Not raised.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Mobility decreased, Myalgia
Clinical narrative: Pt is complaining of pain upon injection and deep muscle pain.  Hard to lift arm because of muscle soreness, Using NSAIDs and heat to relieve symptoms, Symptoms still present 5 days after vaccine.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: Golf ball size knot in upper left arm. It was extremely sore, red and hot to the touch. My doctor put me on antibiotics for 7 days.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Induration, Pruritus, Swelling
Clinical narrative: Redness, swelling, warmth, itching, tenderness, induration of 25cm lasting greater than 4 days (still persists as of this reporting).
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: Redness, swelling, warmth, itching, tenderness, induration of 25cm lasting greater than 4 days (still persists as of this reporting).
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, Body temperature fluctuation, Chest discomfort, Dizziness, Fatigue
Clinical narrative: Started with nausea and dizziness, progressed over the next few days (all still active 4 days later): arm pit on arm were injection happened hurt, temp back and forth between 97.1 and 100, stuffed up nose, extremely tired and unable to do anything (sleeping abut 12-14 hours peer day), coughing up chucks of mucous, lungs tight, fingernails and toenails hurt.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Hypersomnia, Nasal congestion, Nausea, Onychalgia, Productive cough
Clinical narrative: Started with nausea and dizziness, progressed over the next few days (all still active 4 days later): arm pit on arm were injection happened hurt, temp back and forth between 97.1 and 100, stuffed up nose, extremely tired and unable to do anything (sleeping abut 12-14 hours peer day), coughing up chucks of mucous, lungs tight, fingernails and toenails hurt.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Secretion discharge
Clinical narrative: Started with nausea and dizziness, progressed over the next few days (all still active 4 days later): arm pit on arm were injection happened hurt, temp back and forth between 97.1 and 100, stuffed up nose, extremely tired and unable to do anything (sleeping abut 12-14 hours peer day), coughing up chucks of mucous, lungs tight, fingernails and toenails hurt.
Age: 66.0
Sex: F
Vaccine: HIBV, PPV
Symptoms: Incorrect dose administered, Injection site erythema, Injection site induration
Clinical narrative: Patient received second Pneumovax-23 Vaccine in the same 24 hour period. 201409301540 RUA-site of second penumonia vaccine. Slight redness and induration. 201409301740 RUQ Arm remains slightly pink at the vaccine site with no swelling.
Age: 58.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Chest X-ray, Chest discomfort, Dizziness, Electrocardiogram, Enzyme level test
Clinical narrative: Faintness, light-headedness, chest tightening, tremors, tongue swelling.  911 called, pt transported by ambulance to Medical Center.
Age: 58.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Swollen tongue, Tremor
Clinical narrative: Faintness, light-headedness, chest tightening, tremors, tongue swelling.  911 called, pt transported by ambulance to Medical Center.
Age: 58.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Chest discomfort, Dizziness, Tremor
Clinical narrative: Faintness, light-headedness, chest tightening, tremors, tongue swelling.  911 called, pt transported by ambulance to Medical Center.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Vaccination site rash, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Redness, swelling, rash, skin felt hot (noticed approx 6 hours later and approx 4-6 inches below vaccine site).
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injected limb mobility decreased, Injection site swelling, Injection site warmth, Rash
Clinical narrative: Pt was fine when left pharmacy. Woke up that night with whole upper left arm swollen and warm to touch. Also mild rash. Trouble moving arm.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Migraine, Pain, Somnolence, Vaccine positive rechallenge
Clinical narrative: Horrible pain all over the body, migraine, weakness, slept on and off for 5 days.  Pain was at a 10 even after pain medication and iv fluids.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Catheter placement, Gastrointestinal tube insertion, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Guillain Barre' Syndrome. Tingling, numbness, weakness in extremities within 2 days of flu vaccine. Within one week, complete paralysis, respirator, blood transfusion, feed tube, tracheotomy, catheter, tracheotomy, intravenous immunoglobulum treatments. Physical therapy, Occupational therapy, Speech therapy.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Lumbar puncture, Mechanical ventilation, Muscular weakness, Paraesthesia, Paralysis
Clinical narrative: Guillain Barre' Syndrome. Tingling, numbness, weakness in extremities within 2 days of flu vaccine. Within one week, complete paralysis, respirator, blood transfusion, feed tube, tracheotomy, catheter, tracheotomy, intravenous immunoglobulum treatments. Physical therapy, Occupational therapy, Speech therapy.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Tracheostomy, Transfusion
Clinical narrative: Guillain Barre' Syndrome. Tingling, numbness, weakness in extremities within 2 days of flu vaccine. Within one week, complete paralysis, respirator, blood transfusion, feed tube, tracheotomy, catheter, tracheotomy, intravenous immunoglobulum treatments. Physical therapy, Occupational therapy, Speech therapy.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site rash, Rash
Clinical narrative: Rash that started at elbow of arm that received shot; rash spread to all of both arms; to upper part of both legs; to stomach and chest area of body.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness
Clinical narrative: Acute stiffness of neck 18 hours after shot admin.  COMPREHENSIVE REPORT SENT BY MAIL
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Dysphagia
Clinical narrative: Employee stated he was dizzy. Later stated he "felt funny swallowing". Sent to the emergency room.
Age: 27.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Injection site pain
Clinical narrative: Persistent arm soreness at injection site.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Atrial fibrillation, Blood pressure decreased, Blood test, Cardiac monitoring, Condition aggravated
Clinical narrative: 12 hrs post shot: feeling lousy w/body aches, temperature, flush, hot/cold, began vomiting 2-3 times in evening. 6:30 am next morning - unable to get up, called 911; taken to the ER; in ER blood work and cardiac monitoring done; developed dropping blood pressure and A.fib. Admitted; 2-3 days in hospital; discharge 10/20 w/ no med changes.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Feeling of body temperature change, Flushing, Mobility decreased, Pain
Clinical narrative: 12 hrs post shot: feeling lousy w/body aches, temperature, flush, hot/cold, began vomiting 2-3 times in evening. 6:30 am next morning - unable to get up, called 911; taken to the ER; in ER blood work and cardiac monitoring done; developed dropping blood pressure and A.fib. Admitted; 2-3 days in hospital; discharge 10/20 w/ no med changes.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: 12 hrs post shot: feeling lousy w/body aches, temperature, flush, hot/cold, began vomiting 2-3 times in evening. 6:30 am next morning - unable to get up, called 911; taken to the ER; in ER blood work and cardiac monitoring done; developed dropping blood pressure and A.fib. Admitted; 2-3 days in hospital; discharge 10/20 w/ no med changes.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Loss of consciousness, Musculoskeletal pain
Clinical narrative: Immediate shoulder pain. Found unconscious on floor 12 hrs after injection. Taken to hospital with resulting 3 day stay. Currently under MD care for unresolved shoulder pain.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Pt went to ER with circumferential erythema and swelling with taut skin of (L) bicep. Erythema and warmth over left upper lateral, tender -> diagnosed sepsis.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site warmth, Sepsis, Skin tightness
Clinical narrative: Pt went to ER with circumferential erythema and swelling with taut skin of (L) bicep. Erythema and warmth over left upper lateral, tender -> diagnosed sepsis.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Bedridden, Erythema, Lethargy, Pyrexia, Serum sickness
Clinical narrative: Hot, red arm. Lethargy -> bed-ridden. Fever. E.R. visit, overnight stay. High WBC needed IV fluids, morphine.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Skin warm, White blood cell count increased
Clinical narrative: Hot, red arm. Lethargy -> bed-ridden. Fever. E.R. visit, overnight stay. High WBC needed IV fluids, morphine.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis
Clinical narrative: Initial information received from an office manager on 17 October 2014; the case is not considered to be medically confirmed. A twenty-nine year old female patient was vaccinated with an intradermal injection of Influenza Intradermal, batch and site not reported on 15 October 2014. The patient's medical history was not reported. On 17 October 2014, two days post vaccination, the patient was "claiming cellulitis". It was unknown by the reporter if the cellulitis was physician diagnosed or if it was diagnosed by the patient herself. The patient was not seen by a physician at the reporter's facility. Laboratory tests were not reported. No further details were available at the time of this report. The patient outcome is unknown. Documents held by sender: None.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU4, IPV, MMRV
Symptoms: Body temperature increased, Chest X-ray normal, Echocardiogram normal, Electrocardiogram normal, Electroencephalogram normal
Clinical narrative: Parents report 2 episodes within 24 hrs of seizure like activity. Body arched back and stiff, hands fisted. Episodes lasted a few seconds. Sent to ER, admit for obs. - everything negative. Did develop temp while in ER. Later seen by neuro - neg as well.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU4, IPV, MMRV
Symptoms: Joint contracture, Laboratory test normal, Musculoskeletal stiffness, Opisthotonus, Seizure like phenomena
Clinical narrative: Parents report 2 episodes within 24 hrs of seizure like activity. Body arched back and stiff, hands fisted. Episodes lasted a few seconds. Sent to ER, admit for obs. - everything negative. Did develop temp while in ER. Later seen by neuro - neg as well.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchospasm
Clinical narrative: Bronchospasms. Treated with Albuterol and Cetrtizine
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blood urine present, Herpes zoster, Musculoskeletal pain, Nephrolithiasis
Clinical narrative: This spontaneous report was received from a physician via field employee regarding a 70 year old (reported as in her late 70s) female patient. The patient has rheumatoid arthritis and was immunocompetent. There was no information on drug allergies or reactions. On an unknown date in 2013 (reported as about 1 year ago), the patient was vaccinated with ZOSTAVAX vial (product lot number, expiry date, dose, frequency, route not reported). Concomitant medications were not reported. On an unknown date in October 2014 (reported as this week on an unspecified date), the patient was seen by the physician regarding what appeared to be a small breakout of shingles on the patient's left torso. The patient was complaining of pain below her shoulder blade and mid-back pain. The patient was evaluated for a kidney stone. The patient also had blood in her urine. A urine analysis and X-ray was completed on an unspecified date in October 2014. On unknown date in October 2014, the patient was diagnosed with a kidney stone (hospitalisation) as well as shingles outbreak (hospitalisation). The patient ended up in unspecified emergency room with severe case of shingles and a significant amount of pain (hospitalisation) from shingles outbreak. The physician stated that it was the worst case of shingles he had seen in his career. It was also reported that it was unknown if the patient was admitted. Patient scheduled for follow up visit with the physician on 24-OCT-2014. The outcome and causality was unknown. The patient sought medical attention by visiting the physician. There was no product quality complaint involved. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Urine analysis, X-ray
Clinical narrative: This spontaneous report was received from a physician via field employee regarding a 70 year old (reported as in her late 70s) female patient. The patient has rheumatoid arthritis and was immunocompetent. There was no information on drug allergies or reactions. On an unknown date in 2013 (reported as about 1 year ago), the patient was vaccinated with ZOSTAVAX vial (product lot number, expiry date, dose, frequency, route not reported). Concomitant medications were not reported. On an unknown date in October 2014 (reported as this week on an unspecified date), the patient was seen by the physician regarding what appeared to be a small breakout of shingles on the patient's left torso. The patient was complaining of pain below her shoulder blade and mid-back pain. The patient was evaluated for a kidney stone. The patient also had blood in her urine. A urine analysis and X-ray was completed on an unspecified date in October 2014. On unknown date in October 2014, the patient was diagnosed with a kidney stone (hospitalisation) as well as shingles outbreak (hospitalisation). The patient ended up in unspecified emergency room with severe case of shingles and a significant amount of pain (hospitalisation) from shingles outbreak. The physician stated that it was the worst case of shingles he had seen in his career. It was also reported that it was unknown if the patient was admitted. Patient scheduled for follow up visit with the physician on 24-OCT-2014. The outcome and causality was unknown. The patient sought medical attention by visiting the physician. There was no product quality complaint involved. Additional information has been requested.
Age: 0.14
Sex: M
Vaccine: RV1
Symptoms: Anaemia, Diarrhoea, Gastroenteritis, Haemoglobin increased, Rotavirus test negative
Clinical narrative: This case was reported by a nurse via sales representative and described the occurrence of diarrhea in a 2-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject's medical history included poor growth. On 26 May 2014, the subject received 1st dose of ROTARIX (oral). On 27 May 2014, 1 day after vaccination with ROTARIX, the subject experienced diarrhea. At child care centre the subject pooped strongly which squirted far. On 29 May 2014, 3 days after vaccination, the subject experienced vomiting and diarrhea was persisting. On 30 May 2014, 4 days after vaccination, the subject had 9 episodes of diarrhea so he was taken to the hospital and his haemoglobin value was 86 g/L (anemia). The virus culture was negative for rotavirus. The subject had been remitted to the medicinal clinic for children for continued examination. The subject had good growth with haemoglobin above 111 g/L. At the time of reporting, the outcome of the events were unspecified. The subject got a blood transfusion. The second dose of ROTARIX was not given to the subject. Follow up information was received from nurse on 13th October 2014: This case was upgraded to serious as the patient was hospitalized for 2 to 3 days due to the events. Gastroenteritis was updated as an adverse event. At the time of reporting, the patient was feeling well. Hemoglobin was on a good level. All the events were resolved. Reporter believed that since the patient previously had poor growth it was possible that he had anemia earlier but was discovered when he got an gastroenteritis. The reporter considered the gastroenteritis, anemia, vomiting and diarrhea to be possibly related to ROTARIX.
Age: 0.14
Sex: M
Vaccine: RV1
Symptoms: Transfusion, Vomiting
Clinical narrative: This case was reported by a nurse via sales representative and described the occurrence of diarrhea in a 2-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject's medical history included poor growth. On 26 May 2014, the subject received 1st dose of ROTARIX (oral). On 27 May 2014, 1 day after vaccination with ROTARIX, the subject experienced diarrhea. At child care centre the subject pooped strongly which squirted far. On 29 May 2014, 3 days after vaccination, the subject experienced vomiting and diarrhea was persisting. On 30 May 2014, 4 days after vaccination, the subject had 9 episodes of diarrhea so he was taken to the hospital and his haemoglobin value was 86 g/L (anemia). The virus culture was negative for rotavirus. The subject had been remitted to the medicinal clinic for children for continued examination. The subject had good growth with haemoglobin above 111 g/L. At the time of reporting, the outcome of the events were unspecified. The subject got a blood transfusion. The second dose of ROTARIX was not given to the subject. Follow up information was received from nurse on 13th October 2014: This case was upgraded to serious as the patient was hospitalized for 2 to 3 days due to the events. Gastroenteritis was updated as an adverse event. At the time of reporting, the patient was feeling well. Hemoglobin was on a good level. All the events were resolved. Reporter believed that since the patient previously had poor growth it was possible that he had anemia earlier but was discovered when he got an gastroenteritis. The reporter considered the gastroenteritis, anemia, vomiting and diarrhea to be possibly related to ROTARIX.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Upper left arm became red and swollen on day 2. Day 3 re splotches on entire upper arm and pain increased. Unable to lift arm above shoulder. Day 4 resolved.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash macular
Clinical narrative: Upper left arm became red and swollen on day 2. Day 3 re splotches on entire upper arm and pain increased. Unable to lift arm above shoulder. Day 4 resolved.
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site reaction
Clinical narrative: Injection site reaction.
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Vaccination complication
Clinical narrative: Mother reports child received influenza vaccine on 10/22/2014 at a community free flu shot clinic. Mom contacted this office on 10/24/2014 reporting whole upper arm as red swollen, hard, and hot to touch. Child then seen in clinic by doctor. Diagnosis vaccine reaction, treatment Ibuprofen, Benadryl, and cool compresses.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction
Clinical narrative: Injection site reaction.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Joint range of motion decreased, Swelling, Tenderness
Clinical narrative: Patient developed a bump that lasted approximately 7 days. Continued to have tenderness in arm and joint area limiting range of motion. Ibuprofen and ice help with symptoms.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Pruritus
Clinical narrative: Patient reported dizziness/itching during observation period. Wanted antihistamine dose. Administered diphenhydramine 12.5 mg/5 mL-10 mL dose (25 mg). NCD00536077085 lot 3J19 exp 09/15. Encouraged pt to stay for further observation but "had to leave".
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Blister, Erythema, Feeling hot, Swelling
Clinical narrative: Patient received FLUARIX vaccine on 10/22/2014 at 4pm. By evening he began to have a red spot. Mom felt it was normal. Within 24 hours he had LARGE swelling, redness, warmth/blistering 17mm x 15mm.
Age: 1.35
Sex: M
Vaccine: DTAPIPVHIB, FLU3, VARCEL
Symptoms: Body temperature increased, Injection site pain, Irritability, Muscle twitching, Tremor
Clinical narrative: Fussy - shaky - parents described as twitching site soreness at (R) and (L) thigh ax temp 1003.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN4, MMRV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: LUA swollen/Tender/warm
Age: 1.56
Sex: F
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Vomiting.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Injection site nodule
Clinical narrative: Knot at site of injection developed and has persisted, has enlarged over time and persists 1 year later when re-evaluated on 9/23/2014.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Symtoms started @ around 12AM 9/26/14 with fatigue, headache, body aches, chills alternate with feeling feverish. She still feels above symtoms on and off till this date. Patient did not seek treatment. States she has increased her fluid intake and Tylenol and Motrin for pain as needed.
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Diarrhoea, Pain
Clinical narrative: Body aches, diarrhea.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Severe neck and arm pain on side of injection left. Went to ER for treatment on Sat. 10/25/2014 because severe arm and neck pain continued, steroid dose pack given.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Fall
Clinical narrative: Patient states he fell. He thinks he has fallen every year for the past 3 years shortly after getting his flu shot.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Immediate post-injection reaction, Injection site bruising
Clinical narrative: Pt came to pharmacy in person 12PM 10/27/14 to report adverse events. Pt had extreme fatigue for 2 days immediately following vaccine admin (10/23 thru 10/24). Pt denied nausea, vomiting, rash, edema. Fatigue resolved within 48 hours. Also, pt has extended bruising on left bicep. Vaccine given in left deltoid.
Age: 56.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Vomiting
Clinical narrative: DIZZINESS, VOMITING.
Age: 34.0
Sex: M
Vaccine: FLU4
Symptoms: Blood pressure decreased, Chest discomfort, Dizziness, Immediate post-injection reaction, Inflammation
Clinical narrative: Pt had an immediate inflammatory response at the injection site.  Pt also became lightheaded, pale, slightly tight in his chest and BP dropped to low of 96 systolic. Pt was given epi 1:1000 1cc and Benadryl 50 mg IM.  Pt did rebound and was able to be d/c to home.
Age: 34.0
Sex: M
Vaccine: FLU4
Symptoms: Pallor
Clinical narrative: Pt had an immediate inflammatory response at the injection site.  Pt also became lightheaded, pale, slightly tight in his chest and BP dropped to low of 96 systolic. Pt was given epi 1:1000 1cc and Benadryl 50 mg IM.  Pt did rebound and was able to be d/c to home.
Age: 51.0
Sex: M
Vaccine: HEP
Symptoms: Muscle spasms, Muscular weakness, Vaccination site pain
Clinical narrative: "I started to have muscle weakness and spasms. The area (vaccination site) is tender to the touch".
Age: 15.0
Sex: M
Vaccine: FLU4, HPV4, TDAP
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Sweaty, felt faint.
Age: 70.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Hypersensitivity, Injection site erythema, Pruritus, Swelling
Clinical narrative: It appears to be an allergic reaction: red from injection site and down 8 inches past elbow, itches, swollen.
Age: 0.52
Sex: F
Vaccine: DTAPHEPBIP, FLUX, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient had redness and swelling at the injection site.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site pain, Injection site swelling
Clinical narrative: Approximately 2 hours after Flu shot her RD area began to hurt & swell with "arthritis-like" symptoms in Rt wrist and Rt hand following.  She treated with Tylenol and ibuprofen.  Pt thinks it might be preservative reaction.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Patient was given high dose flu; should have received regular dose flu.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Body temperature increased, Myalgia
Clinical narrative: Severe muscle pain and low back pain with temp elevation lasting 3days gradually subsiding.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Diarrhoea, Hypersensitivity, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Nausea, diarrhea, redness and swelling at injection site, large raised red area with a smaller underlying red area which was painful to touch.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nausea
Clinical narrative: Nausea, diarrhea, redness and swelling at injection site, large raised red area with a smaller underlying red area which was painful to touch.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hypersensitivity, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Nausea, diarrhea, redness and swelling at injection site, large raised red area with a smaller underlying red area which was painful to touch.
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Paraesthesia
Clinical narrative: Paraesthesia of Left arm-no treatment-the condition resolved after 15 minutes without intervention-no further complications reported.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Patient given high dose flu vaccine and should have received regular dose vaccine.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Culture negative, Injection site erythema, Pyrexia, Vaccination site erythema
Clinical narrative: Patient presented to emergency room with fever/chills and increased erythema and warmth to the right arm, surrounding where the vaccine had been given. Reaction started within 1 day after vaccine administration.  Patient received both HD-fluzone and PPSV23 at the same visit in the same arm, but stated that the redness was more surrounding where the PPSV23 was administered. Patient received broad spectrum antibiotics and was discharged with a home regimen, although cultures never grew any pathogens.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Vaccination site warmth
Clinical narrative: Patient presented to emergency room with fever/chills and increased erythema and warmth to the right arm, surrounding where the vaccine had been given. Reaction started within 1 day after vaccine administration.  Patient received both HD-fluzone and PPSV23 at the same visit in the same arm, but stated that the redness was more surrounding where the PPSV23 was administered. Patient received broad spectrum antibiotics and was discharged with a home regimen, although cultures never grew any pathogens.