chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: ANTH, HEPA, TYP
Symptoms: Abdominal pain, Body temperature increased, Diarrhoea, Headache, Injection site erythema
Clinical narrative: On March 12, 2008 the patient received ANTHRAX (left arm), TYPHOID (right arm) and HEPATITIS A (right arm) vaccinations around 1300. The patient was well hydrated and had eaten lunch. Within about 60 minutes the patient stated that she was nauseated. She denied abdominal pain, vomiting or diarrhea. In the early evening the patient noted redness and swelling about 3 inches around the injection site of her left upper arm. She also noted that she had a temperature of 101 and a severe headache (8/10). The headache was severe (8/10) for 2 days; then it was more mild (4/10) for the next 5 days. The patient treated her symptoms with MOTRIN every 6 hours. The nausea and local reaction subsided after 3 days. The patient missed one day of work. On 11 April the patient received ANTHRAX (left arm) and HPV (right arm) vaccinations around 13:00. The patient was well hydrated and had eaten lunch. Within one hour the patient was nauseated. Within 2 hours the patient noted redness and swelling at the left injection site which eventually extended close to the elbow. The next morning the patient stated that she had a temperature of 105.0, abdominal pain and diarrhea. She went to the UCC where she was treated with IV fluids, TYLENOL and ice bath. The patient was discharged with a handwritten prescription for medication for pain and nausea. The patient was off from work for the next 3 days. She was much improved at that time. All symptoms subsided although the patient does not remember the exact time frame.
Age: 21.0
Sex: F
Vaccine: ANTH, HEPA, TYP
Symptoms: Injection site swelling, Nausea
Clinical narrative: On March 12, 2008 the patient received ANTHRAX (left arm), TYPHOID (right arm) and HEPATITIS A (right arm) vaccinations around 1300. The patient was well hydrated and had eaten lunch. Within about 60 minutes the patient stated that she was nauseated. She denied abdominal pain, vomiting or diarrhea. In the early evening the patient noted redness and swelling about 3 inches around the injection site of her left upper arm. She also noted that she had a temperature of 101 and a severe headache (8/10). The headache was severe (8/10) for 2 days; then it was more mild (4/10) for the next 5 days. The patient treated her symptoms with MOTRIN every 6 hours. The nausea and local reaction subsided after 3 days. The patient missed one day of work. On 11 April the patient received ANTHRAX (left arm) and HPV (right arm) vaccinations around 13:00. The patient was well hydrated and had eaten lunch. Within one hour the patient was nauseated. Within 2 hours the patient noted redness and swelling at the left injection site which eventually extended close to the elbow. The next morning the patient stated that she had a temperature of 105.0, abdominal pain and diarrhea. She went to the UCC where she was treated with IV fluids, TYLENOL and ice bath. The patient was discharged with a handwritten prescription for medication for pain and nausea. The patient was off from work for the next 3 days. She was much improved at that time. All symptoms subsided although the patient does not remember the exact time frame.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Pt states L arm red, swollen hot, et there is a 4" band at bottom of site halfway around front of arm to back - suggested she contact her personal physician.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Disturbance in attention, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: 6 hrs after Anthrax vaccine pt reported palpitation, generalized joint pains, fatigue, Nasoocular pruritus, nausea, vomiting, memory loss, difficulty concentrating. Symptoms gradually improved over course of 6-7 days.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Fatigue, Nausea, Palpitations, Pruritus, Vomiting
Clinical narrative: 6 hrs after Anthrax vaccine pt reported palpitation, generalized joint pains, fatigue, Nasoocular pruritus, nausea, vomiting, memory loss, difficulty concentrating. Symptoms gradually improved over course of 6-7 days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt received vaccine on 11-4-08, called on 11-6-08 and reported injection site swollen and the area of redness had gotten larger to approximately 3 inches.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Peri-nasal rash < 24 hours after vaccine. Lasting more than one month.
Age: 12.0
Sex: F
Vaccine: FLU3, MNQ, VARCEL
Symptoms: Headache, Injection site induration, Myalgia
Clinical narrative: 8cm x 11cm hot indurated area where site of vaccine administered. c/o h/a myalgia. Seen by RN.
Age: 45.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Immediate post-injection reaction, Injection site atrophy, Injection site haematoma, Injection site pain
Clinical narrative: After receiving vaccine, bruise developed at site of injection that lasted months. Moderate pain at time of injection; has developed muscle atrophy at site of injection. No pain at this time. Bruise and muscle atrophy occurred in left arm.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling
Clinical narrative: The evening after PNEUMOVAX vaccination her shot area down to swelled up. More notable the next morning Thursday. Called her Friday afternoon to check how she was doing.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Per-nasal rash < 24 hours after vaccine lasting > 1 month.
Age: 1.1
Sex: F
Vaccine: IPV, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Pt received. VZV on 10/24-On 11/3 began with rash on trunk & extremities - appears vesicular, then ruptures & has thin crust. No fever, not itchy, no ill contacts.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, White blood cell count normal
Clinical narrative: Cellulitis- type reaction. WBC = 8.1
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal
Clinical narrative: At 4:15pm 11/7/08 pt received FLUVIRIN vaccine. About 5 minutes after pt noted feeling peculiar. No visible observable signs of anaphylaxis. 911 was dialed pt was fully responsible at all times. EMS service noted blood pressure at 195/101. Transported pt to ER.
Age: 19.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness around injections site with swelling
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever- pt was seen and evaluated at ER
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Lt arm red warm to touch. Fever noted. Slightly swollen, radiating down arm.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose normal, Hypotension, Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Pt fainted after receiving vaccination. Hypotension 90/60 supine 104/90 sitting HR 50. Passed out a 2nd time. BP: 93/37 HR 50. No SOB, stridor, or difficulty breathing.
Sex: F
Vaccine: FLU3
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Fine papalar rash covering entire trunk and arms, itchy
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood pressure normal, Dizziness, Headache, Pyrexia, Vomiting
Clinical narrative: Initial report received on 31 October 2008 from a healthcare professional. A 12 year old male patient, with no medial history, no concomitant medication, and no illness at the time of vaccination, received on th afternoon of 30 October 2008, a left deltoid intramuscular injection of MENACTRA and a right deltoid intramuscular injection of ADACEL. On the evening of vaccination, the patient developed fever. The following day, lightheadedness, dizziness, and vomiting. His blood pressure was within normal limits. No other symptoms were reported. At the time of the report, the patient had not recovered. Follow-up information received on 19 November 2008 from a health care professional. Per the reporter, the patient started having fever that night after receving the ADACEL and MENACTRA vaccines. The fever was over 104.0 degrees Fahrenheit and the patient was told to come into the office the following morning. When the patient arrived to the office the next morning, his temperature was taken and his fever was 101.5 degrees Fahrenheit, and all of his vital signs were fine. The patient was treated with a dos eof MOTRIN while in the office. Per the reporter, the patient did have some vomiting and headaches. The recovery statis of the patient was not reported. Follow-up information received on 06 December 2008 from a health care professional. It was reported the patient recovered; however, a recovery date was not provided. No further information is expected. Documents held by sender: None.
Age: 1.7
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Febrile convulsion, Full blood count normal, Metabolic function test normal, Pyrexia
Clinical narrative: MMR given on 10/30/08.  On 11/6/08, child developed fever and then on 11/7/08, fever elevated and child suffered from generalized convulsion.  Seen in ER, dx with febrile seizure.  Labwork unremarkable, pt with no signs of other illness (no URI sxs).
Age: 1.7
Sex: F
Vaccine: MMR
Symptoms: Urine analysis normal
Clinical narrative: MMR given on 10/30/08.  On 11/6/08, child developed fever and then on 11/7/08, fever elevated and child suffered from generalized convulsion.  Seen in ER, dx with febrile seizure.  Labwork unremarkable, pt with no signs of other illness (no URI sxs).
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain, Myalgia
Clinical narrative: Patient received vaccine at College of Pharmacy/College of Nursing Flu shot clinic event. The event was under the protocol of the Hospital flu vaccination project. Vaccine administered by pharmacy student on 10/24/08 - about 1 PM. About a week later, the patient talked to me about the symptoms. These are his exact words:  "I had a slight ache around the injection site for a few days but the symptoms really started to bother me about 5-6 days after the shot. it seems to have gotten a little better but over the last two days I haven't had any improvement. I just have a constant dull ache in my shoulder basically all the time. I feel like it might be nerve related but I also have muscle soreness so I don't know." This was received by me 11-7-08, after I asked for permission to release his name and condition. This was actually the second case that had been described to me - so I thought it was time for a VAERS - the side effects somewhat different than  the usual "sore arm". I suggested patient see his doctor or student health.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Headache, Injection site erythema, Injection site pain
Clinical narrative: PAIN, REDNESS & SWELLING @ INJECTION SITE,BODY ACHES & CHILLS, JOINTS SORE, HEADACHE
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Pain
Clinical narrative: PAIN, REDNESS & SWELLING @ INJECTION SITE,BODY ACHES & CHILLS, JOINTS SORE, HEADACHE
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Delirium, Pyrexia, Thinking abnormal, Vomiting
Clinical narrative: Pt had chills, very high fever (104.5 or higher) and vomiting.  Pt was delirious for 11 hours.  No treatment as pt was too sick to get anywhere and was not thinking clearly.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Nuclear magnetic resonance imaging, Periarthritis
Clinical narrative: I developed a left "Frozen Shoulder" in August 2008. This development was not temporily linked to an injury event. The pathophysiology of Frozen Shoulder is related to wound healing.  The only physical trauma I've experience to the local anatomical site is annual flu vaccines. Is it possible that vaccination is triggering the induction of uncontrolled fibrogenesis that is characteristic of the Frozen Shoulder and Dupuytren's contracture pathophysiology? Perhaps there exists a susceptible subpopulation? Frozen Shoulder is 8 times more likely to occur in individuals that have Dupuytren's Contracture. I was diagnosed with bilateral Dupuytren's in 2006.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Angioedema, Cold sweat, Flushing, Hypoaesthesia oral, Immediate post-injection reaction
Clinical narrative: 1212 - APPROXIMATELY 3 MINUTES AFTER RECEIVING VACCINATION, PATIENT BECAME FLUSHED AND C/O NUMBNESS & SWELLING OF MOUTH & TONGE.  STATES SAME REACTION SHE GETS FROM BEE STINGS.  SKIN COLL, MOIST, & FLUSHED.  FACE EXTREMELY FLUSHED WITH BEGINNING OF ANGIOEDEMA. 1215 EPIPEN ADMINISTERED INTO LEFT OUTER THIGH.  1217 - 911 CALLED.  1219 - VITAL SIGNS: BP 142/80, HR 94 RRR, RR 16, LUNGS CTA, DENIES SOB, DYSPNEA.  1221 - EMERGENCY PERSONNEL ARRIVED & PROVIDED EMERGENCY TREATMENT.  PT TRANSPORTED TO HOSPITAL VIA AMBULANCE.  11/25/08 Reviewed ER medical records of 11/8/2008. FINAL DX: acute allergic reaction Records reveal patient experienced SOB, redness & oropharyngeal swelling within 2 min of flu shot.  Tx w/epi & benadryl prior to arrival in ER.  Tx w/oral steroid & antacid.  Complete resolution of symptoms & d/c to home on continued steroid & antihistamine.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue
Clinical narrative: 1212 - APPROXIMATELY 3 MINUTES AFTER RECEIVING VACCINATION, PATIENT BECAME FLUSHED AND C/O NUMBNESS & SWELLING OF MOUTH & TONGE.  STATES SAME REACTION SHE GETS FROM BEE STINGS.  SKIN COLL, MOIST, & FLUSHED.  FACE EXTREMELY FLUSHED WITH BEGINNING OF ANGIOEDEMA. 1215 EPIPEN ADMINISTERED INTO LEFT OUTER THIGH.  1217 - 911 CALLED.  1219 - VITAL SIGNS: BP 142/80, HR 94 RRR, RR 16, LUNGS CTA, DENIES SOB, DYSPNEA.  1221 - EMERGENCY PERSONNEL ARRIVED & PROVIDED EMERGENCY TREATMENT.  PT TRANSPORTED TO HOSPITAL VIA AMBULANCE.  11/25/08 Reviewed ER medical records of 11/8/2008. FINAL DX: acute allergic reaction Records reveal patient experienced SOB, redness & oropharyngeal swelling within 2 min of flu shot.  Tx w/epi & benadryl prior to arrival in ER.  Tx w/oral steroid & antacid.  Complete resolution of symptoms & d/c to home on continued steroid & antihistamine.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dry throat, Dysphonia, Dyspnoea, Oropharyngeal pain
Clinical narrative: difficulty breathing, horseness, sore , dry throat, hives, weakness
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: difficulty breathing, horseness, sore , dry throat, hives, weakness
Age: 67.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Diarrhoea, No reaction on previous exposure to drug, Pyrexia, Vomiting
Clinical narrative: My wife (a RN) and I had flu shots two days apart and at different facilities.  Since a week ago we have both had violent vomiting, high fever, continuous diarrhea and bouts of extreme shivers.  The condition continues for both of us.  Great vaccine!  Neither of us will ever get another flu shot.  Neither of us were sick prior to the vaccine injection.  We have both had flu shots for many years prior with no adverse reactions.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Abasia, Dizziness, Dyspnoea, Electrocardiogram, Hyperhidrosis
Clinical narrative: 15 minutes after receiving flu vaccine I began to have signs of advancing anaphylactic shock. Breathing became difficult, my larynx spasmed and I was unable to speak, profuse sweating, weakness in limbs, dizzines,inability to walk. Transported by ambulance to Hospital, at 6:00pm. Albuterol inhaler used and 0.3mg Epinephrine autoinject pen. Enroute to the hospital an IV line was started and I received a nebulizer treatment, 50 mg Benadryl orally, and more Epinephrine and then was on oxygen for a total of four hours. Dr. at hospital administered more Benadryl, Prednisone Solumedrol. Laryngeal spasms lessened by 8:30 pm. I was discharged about 9:00 pm with a prescription for 40 mg Prednisone for four days and instruction to take 50 mg of Benadryl once at home.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Laryngospasm, Muscular weakness, Oxygen saturation
Clinical narrative: 15 minutes after receiving flu vaccine I began to have signs of advancing anaphylactic shock. Breathing became difficult, my larynx spasmed and I was unable to speak, profuse sweating, weakness in limbs, dizzines,inability to walk. Transported by ambulance to Hospital, at 6:00pm. Albuterol inhaler used and 0.3mg Epinephrine autoinject pen. Enroute to the hospital an IV line was started and I received a nebulizer treatment, 50 mg Benadryl orally, and more Epinephrine and then was on oxygen for a total of four hours. Dr. at hospital administered more Benadryl, Prednisone Solumedrol. Laryngeal spasms lessened by 8:30 pm. I was discharged about 9:00 pm with a prescription for 40 mg Prednisone for four days and instruction to take 50 mg of Benadryl once at home.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Blood test abnormal, Infection, Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Patient Came from doctor office and says he had severe joint and shoulder pain and cannot move arm at all.  The arm was warm to touch, no fever.  He was sent to the hospital by his doctor for x-ray and bloodwork.  The xray was negative but the bloodwork came back positive for severe infection.  He was given Tramadol and Cipro for treatment.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Skin warm, X-ray normal
Clinical narrative: Patient Came from doctor office and says he had severe joint and shoulder pain and cannot move arm at all.  The arm was warm to touch, no fever.  He was sent to the hospital by his doctor for x-ray and bloodwork.  The xray was negative but the bloodwork came back positive for severe infection.  He was given Tramadol and Cipro for treatment.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Pt. stated received flu vaccine Wed, however, our records indicated she received the flu vaccine Thur, Nov 6 1830: Fri - per pt., arm was sore and "felt fine"; Sat: started N/V, vomited 2 times on Sat., diarrhea "at least 8 times", fever 101.7; Sun: took benadryl x 2 at 3 am and 2 more at 8 am for itching. Diarrhea at 0600 x 1. Current fever 97.9 (1200 11/9/08), and reported was doing better and did not want to go to ED.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Pt. stated received flu vaccine Wed, however, our records indicated she received the flu vaccine Thur, Nov 6 1830: Fri - per pt., arm was sore and "felt fine"; Sat: started N/V, vomited 2 times on Sat., diarrhea "at least 8 times", fever 101.7; Sun: took benadryl x 2 at 3 am and 2 more at 8 am for itching. Diarrhea at 0600 x 1. Current fever 97.9 (1200 11/9/08), and reported was doing better and did not want to go to ED.
Age: 6.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Urticaria
Clinical narrative: Patient began to have hives 3 hours after receiving varivax and influenza vaccine.  she began self treatment with bendaryl with good response.  No breathing difficulties or vomiting.
Sex: U
Vaccine: PPV
Symptoms: Chills, Erythema, No reaction on previous exposure to drug, Oedema peripheral, Pain
Clinical narrative: Swelling to twice the size of my arm for 4 days. Swelling started to dissipate after 4 days but still there.   Extreme pain. Red, fevered arm.  this, after taking a benedryl, 25 mg first night. Also had severe chills first night. this was 2nd pneumomonia shot.  Firt one, in 1999 had no reaction.
Sex: U
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Swelling to twice the size of my arm for 4 days. Swelling started to dissipate after 4 days but still there.   Extreme pain. Red, fevered arm.  this, after taking a benedryl, 25 mg first night. Also had severe chills first night. this was 2nd pneumomonia shot.  Firt one, in 1999 had no reaction.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site swelling
Clinical narrative: Approximately 2 minutes after the vaccine was administered to the patient's left deltoid, a 4cm diameter red swelling with pain appeared at the injection site.  The patient was immediately given 50mg of diphenhydramine.  Within 30 minutes, the swelling was reduced to 3cm.  Patient was sent home with 50mg of diphenhydramine given every 6 hours for 2 days, and was also given 600mg of ibuprofen to take every 6 hours as needed for pain.  With the clinic closing for the weekend, we explained when to seek medical attention if needed over the weekend.  We followed up with the patient 3 days later (on Monday), and the patient said the injection site was still tender with a bruised coloration.  She had not taken the OTC pain medication and did not seek further medical attention.  Five days later, we followed up again, and the patient said the pain was tolerable, the coloration was now yellow, and that she did not require any pain medication.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Chills, Dizziness, Myalgia, Pyrexia
Clinical narrative: Pt expressed that she began having symptoms including fever (unknown actual temp.), chills, dizziness, and joint and muscle aches that peaked four days after vaccination.  On Sunday Nov. 2nd she saw large red spots on her right arm and decided to be seen at urgent care.  Dr. prescribed a course of antiobiotics...pt thought to be cephalexin.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash erythematous
Clinical narrative: Pt expressed that she began having symptoms including fever (unknown actual temp.), chills, dizziness, and joint and muscle aches that peaked four days after vaccination.  On Sunday Nov. 2nd she saw large red spots on her right arm and decided to be seen at urgent care.  Dr. prescribed a course of antiobiotics...pt thought to be cephalexin.
Age: 29.0
Sex: F
Vaccine: MMRV
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Epistaxis
Clinical narrative: fever,diarrhea,vomiting,nose bleed,chills,body aches,weakness,dizziness and dry lips.
Age: 29.0
Sex: F
Vaccine: MMRV
Symptoms: Lip dry, Pain, Pyrexia, Vomiting
Clinical narrative: fever,diarrhea,vomiting,nose bleed,chills,body aches,weakness,dizziness and dry lips.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Dizziness, Nasal congestion, Pyrexia
Clinical narrative: Fatigue, headache, nasal drainage, & congestion.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Fatigue, Headache, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Fatigue, headache, nasal drainage, & congestion.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain, Arthralgia, Full blood count normal, Oedema peripheral, Red blood cell sedimentation rate normal
Clinical narrative: Abdominal and joint pain, swelling of hands x 1wk. Lesions noted on bilateral lower extremities. Tx'd with Prednisone 60mg x 3 days.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Skin lesion, Urine analysis normal
Clinical narrative: Abdominal and joint pain, swelling of hands x 1wk. Lesions noted on bilateral lower extremities. Tx'd with Prednisone 60mg x 3 days.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Electrocardiogram, Feeling abnormal, Hypoaesthesia oral, Laboratory test, Lip swelling
Clinical narrative: Approx. 4 1/2 hours after vaccine noted "Something wrong in throat". 7 hrs after vaccine "lips tripled, tongue felt as if recovering from Novocain". Following morning, lips still a little tirply and felt loopy". Went to ER -Rx with Nebulizer IM  steroid
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation
Clinical narrative: Approx. 4 1/2 hours after vaccine noted "Something wrong in throat". 7 hrs after vaccine "lips tripled, tongue felt as if recovering from Novocain". Following morning, lips still a little tirply and felt loopy". Went to ER -Rx with Nebulizer IM  steroid
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Hyperaemia, Injection site erythema, Injection site induration, Injection site pruritus, Injection site rash
Clinical narrative: Pt received 5th dose DTaP (TRIPEDIA from Sanofi) on (R) thigh on 10/29/08. Woke up on 10/31 (<48 hrs) with red, itchy, hot enlarging rash at the vaccine site, had 5x inches indurated, hyperemia all around the vaccination site. RTC BENADRYL, KEFLEX given cold/warm compress.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Injection site warmth
Clinical narrative: Pt received 5th dose DTaP (TRIPEDIA from Sanofi) on (R) thigh on 10/29/08. Woke up on 10/31 (<48 hrs) with red, itchy, hot enlarging rash at the vaccine site, had 5x inches indurated, hyperemia all around the vaccination site. RTC BENADRYL, KEFLEX given cold/warm compress.
Age: 77.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Severe soreness in left shoulder (injection site) resulting in inability to use arm (per patient).  Suggested treatment over the counter with Ibuprofen, and a doctor visit, if no relief.
Age: 77.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal discomfort
Clinical narrative: Severe soreness in left shoulder (injection site) resulting in inability to use arm (per patient).  Suggested treatment over the counter with Ibuprofen, and a doctor visit, if no relief.
Age: 68.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Severe soreness in left shoulder (injection site) resulting in inability to use arm (per patient). Suggested treatment over the counter with ibuprofen, and a doctor visit, if no relief.
Age: 68.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal discomfort
Clinical narrative: Severe soreness in left shoulder (injection site) resulting in inability to use arm (per patient). Suggested treatment over the counter with ibuprofen, and a doctor visit, if no relief.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Local reaction, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Localized reaction - Right arn, deltoid, swollen, tender, and hot to touch. Pt instructed to take BENADRYL 25mg every 4 hours and apply ice. Also instructed to go to ER if symptoms worse
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue, Throat tightness
Clinical narrative: Client received Influenza Virus vaccine at 12:00 pm 10/31/2008.  Client returned to clinic-12:20pm 10/31/08 with c/o throat tightness and enlarged tongue upon exam, noted enlarged tongue.  Pharynx open. Lungs CTA bilaterally no wheezing. Epipen 1:1000 .3mg given in L anterolateral thigh at 12:23 p.m....  Paramedics arrived at 12:25 p.m client reported felt better after Epipen. Client sent to ER via ambulance for further evaluation at 12:30 pm 10/31/2008.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Lymphadenopathy, Urticaria
Clinical narrative: Hives, swollen glands, redness in lymph areas.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives occurring the next morning. Tx: Benadryl Q6hr prn. Was seen 11/3/08 hives were resolved by next day.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Deafness unilateral, Sudden hearing loss
Clinical narrative: Initial report received from a health professional on 27 October 2008. A 46-year-old female patient had received a dose of FLUZONE SV 2008-2009 (lot number unknown; route and site of administration not reported) on 20 October 2008 and within 24 hours, she complained of sudden hearing loss in her right ear. The patient was seen by a physician on 22 October 2008. No additional details were provided. Documents held by sender: None
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Dyspnoea, Eye discharge, Eye pain
Clinical narrative: Initial information was received on 28 October 2008 from a consumer. A 66 year old male patient with a history of enlarged prostate, acid reflux, allergies to CIPRO and NEOSPORIN antibiotic cream received an intramuscular left deltoid injection of FLUZONE (lot number U2742AA) on 26 October 2008 at 1:25 PM. The patient reported that he received FLUZONE on a yearly basis since 1999. He had similar symptoms in the past although the symptoms were not as severe. On 26 October 2008 at 5:30 PM the patient developed difficulty breathing, wheezing, coughing, couldn't talk and upper chest discomfort. At 6:30 PM the patient's eyes became gritty, white pus coming out of the eyes, eyes were blood shot and vision was blurred. At 7:30 PM his pulse was elevated. At 8:15 the patient was still wheezing but improved after he took BENADRYL. On 27 October 2008 his eyes were hurting and on 28 October 2008 his eyes were red. It was noted that the patient was seen by the paramedics but refused to go to the hospital. The patient was not recovered at the time of the report. List of Documents held by Sender: None.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Heart rate increased, Ocular hyperaemia, Speech disorder, Vaccine positive rechallenge, Vision blurred
Clinical narrative: Initial information was received on 28 October 2008 from a consumer. A 66 year old male patient with a history of enlarged prostate, acid reflux, allergies to CIPRO and NEOSPORIN antibiotic cream received an intramuscular left deltoid injection of FLUZONE (lot number U2742AA) on 26 October 2008 at 1:25 PM. The patient reported that he received FLUZONE on a yearly basis since 1999. He had similar symptoms in the past although the symptoms were not as severe. On 26 October 2008 at 5:30 PM the patient developed difficulty breathing, wheezing, coughing, couldn't talk and upper chest discomfort. At 6:30 PM the patient's eyes became gritty, white pus coming out of the eyes, eyes were blood shot and vision was blurred. At 7:30 PM his pulse was elevated. At 8:15 the patient was still wheezing but improved after he took BENADRYL. On 27 October 2008 his eyes were hurting and on 28 October 2008 his eyes were red. It was noted that the patient was seen by the paramedics but refused to go to the hospital. The patient was not recovered at the time of the report. List of Documents held by Sender: None.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Initial information was received on 28 October 2008 from a consumer. A 66 year old male patient with a history of enlarged prostate, acid reflux, allergies to CIPRO and NEOSPORIN antibiotic cream received an intramuscular left deltoid injection of FLUZONE (lot number U2742AA) on 26 October 2008 at 1:25 PM. The patient reported that he received FLUZONE on a yearly basis since 1999. He had similar symptoms in the past although the symptoms were not as severe. On 26 October 2008 at 5:30 PM the patient developed difficulty breathing, wheezing, coughing, couldn't talk and upper chest discomfort. At 6:30 PM the patient's eyes became gritty, white pus coming out of the eyes, eyes were blood shot and vision was blurred. At 7:30 PM his pulse was elevated. At 8:15 the patient was still wheezing but improved after he took BENADRYL. On 27 October 2008 his eyes were hurting and on 28 October 2008 his eyes were red. It was noted that the patient was seen by the paramedics but refused to go to the hospital. The patient was not recovered at the time of the report. List of Documents held by Sender: None.
Age: 79.0
Sex: F
Vaccine: FLUX
Symptoms: Pericarditis
Clinical narrative: Initial report received from another manufacturer on 29 October 2008 who received the report from a health care professional. A female patient (age not reported) developed reactive pericarditis after receiving an unspecified influenza vaccine. The date of the vaccine administration and the date of onset of symptoms were not specified. No additional details were reported. Documents held by sender: None  11/21/08 Reviewed Pulmo records received from CDC. FINAL DX: COPD Records reveal patient had been hospitalized 12/2002 w/pleural effusion secondary to flu shot & was seen in office 8/9/2003.  Had thoracentesis in hospital that was non-diagnostic.  Cardiac w/u neg.  Had continued SOB.  Ex-smoker who quit 12/2002.  CXR c/w COPD.  Tx w/inhalers.
Sex: U
Vaccine: FLU3
Symptoms: Anaphylactic reaction
Clinical narrative: Initial information was received on 29 October 2008 from a manufacturer whose initial reporter was a health care professional. A patient experienced an anaphylactic reaction after receiving a flu vaccine (manufacturer unknown). The lot number, route, site and date of vaccination was not reported. No further information was available. List of Documents held by Sender: None.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Road traffic accident
Clinical narrative: Seriousness Criteria: Other-Medically Significant. Initial report received from a health care professional on 29 October 2008. A 41-year-old female patient had received a left deltoid intramuscular injection of FLUZONE SV 2008-2009 (lot number U2752AA) and on her way back to work, she blacked out for a few seconds. This caused the patient to have a minor car accident, in which she was not injured. The patient recovered and denied any further symptoms. No additional details were provided. Documents held by sender: None
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Lip swelling, Respiratory tract congestion
Clinical narrative: Seriousness Criteria: Other-Medically Significant. Initial information was received on 30 October 2008 from a health care professional. A female patient received an injection of FLUZONE (lot number, route, site and number of previous doses were not reported) on 28 October 2008. Four hours post vaccination the patient reported swollen lips, tight chest, shortness of breath, and congestion. The patient took two BENADRYL, symptoms decreased and the patient was back to work the following day. However, the patient's recovery status was not reported. List of Documents held by Sender: None.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Pruritus, Urticaria
Clinical narrative: Initial information was received on 31 October 2008 from the consumer's parent. A four year old female patient with a latex allergy received FLUZONE intramuscularly in the left deltoid (lot number not reported) on 29 October 2008 at 6:00 pm. On 30 October 2008 at 2:00 am the patient developed a low grade temperature, body was covered in hives which were red, raised, and itchy, The patient's parent gave the BENADRYL. The patient's hands began to swell later that day. The patient was seen by her doctor who prescribed prednisolone and continued with BENADRYL. The patient was scheduled to visit with her allergist. The patient was not recovered at the time of the report. List of Documents held by Sender: None.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a nurse practitioner through a Merck pregnancy registry concerning a 24 year old female with a history of 3 live births prior to vaccination of GARDASIL, who in February 2007 (according to the patient) was vaccinated with the first dose of GARDASIL (lot number, route and injection site unknown) at a different facility, when she was 5 weeks pregnant. The patient had sought unspecified medical attention. On an unknown date she terminated her pregnancy. Subsequently, during 2007 the same patient became pregnant 3 more times and each pregnancy ended with spontaneous abortions (miscarriages) (WAES # 0811USA00647, WAES # 0811USA00648 and WAES # 0811USA00649). The patient became pregnant again and gave birth to a child in September 2008 (WAES # 0811USA00650). On 30-OCT-2008, the patient received the second dose of GARDASIL (lot number, route and injection site unknown). Upon internal review, elective abortion was considered to be other important medical event. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abortion induced, Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a nurse practitioner through a Merck pregnancy registry concerning a 24 year old female with a history of 3 live births prior to vaccination of GARDASIL, who in February 2007 (according to the patient) was vaccinated with the first dose of GARDASIL (lot number, route and injection site unknown) at a different facility, when she was 5 weeks pregnant. The patient sought unspecified medical attention. On an unknown date she terminated her pregnancy (WAES # 0810USA05365). Later in 2007 the patient became pregnant again, which ended with spontaneous abortion. Subsequently, during 2007 the same patient became pregnant 2 more times and each pregnancy ended with spontaneous abortions (WAES # 0811USA00648 and WAES # 0811USA00649). There were a total of 4 pregnancies in 2007 (the one that was terminated and the 3 that miscarried). Afterward, the patient became pregnant another time and gave birth to a child in September 2008 (WAES # 0811USA00650). On 30-OCT-2008, the patient received the second dose of GARDASIL (lot number, route and injection site unknown). Upon internal review, spontaneous abortion was considered to be other important medical event. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abortion induced, Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a nurse practitioner through a Merck pregnancy registry concerning a 24 year old female with a history of 3 live births prior to vaccination of GARDASIL, who in February 2007 (according to the patient) was vaccinated with the first dose of GARDASIL vaccine (lot number, route and injection site unknown) at a different facility, when she was 5 weeks pregnant. The patient sought unspecified medical attention. On an unknown date she terminated her pregnancy (WAES # 0810USA05365). Afterward the same patient became pregnant which ended with spontaneous abortion (WAES # 0811USA00647). Later in 2007 the patient became pregnant again, which ended with spontaneous abortion for the second time. Subsequently, during 2007 the same patient became pregnant 1 more time and the pregnancy also ended with spontaneous abortion (WAES # 0811USA00649). There were a total of 4 pregnancies in 2007 (the one that was terminated and the 3 that miscarried). Afterward, the patient became pregnant another time and gave birth to a child in September 2008 (WAES # 0811USA00650). On 30-OCT-2008, the patient received the second dose of GARDASIL (lot number, route and injection site unknown). Upon internal review, spontaneous abortion was considered to be other important medical event. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abortion induced, Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a nurse practitioner through a Merck pregnancy registry concerning a 24 year old female with a history of 3 live births prior to vaccination of GARDASIL, who in February 2007 (according to the patient) was vaccinated with the first dose of GARDASIL (lot number, route and injection site unknown) at a different facility, when she was 5 weeks pregnant. The patient sought unspecified medical attention. On an unknown date she terminated her pregnancy (WAES # 0810USA05365). Afterward the same patient became pregnant twice which ended with spontaneous abortion (WAES # 0811USA00647 and WAES # 0811USA00648). Later in 2007 the patient became pregnant again and the pregnancy ended with spontaneous abortion for the third time. There were a total of 4 pregnancies in 2007 (the one that was terminated and the 3 that miscarried). Afterward, the patient became pregnant another time and gave birth to a child in September 2008 (WAES # 0811USA00650). On 30-OCT-2008, the patient received the second dose of GARDASIL (lot number, route and injection site unknown). Upon internal review, spontaneous abortion was considered to be other important medical event. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Intussusception, Vomiting
Clinical narrative: Intussusception diagnosed on 11/2/08 around 4-5 p.m. Symptoms of emesis, colicky ab pain began 10/29/08 in the afternoon. 12/24/08-records received for DOS 11/2-11/3/08-DC DX: Intussusception of small bowel into the cecum. History of crampy abdominal pain for several days intermittent with some blood tinged stools. Reduction of small bowel intussusception with air contrast enema and exploratory laparotomy open appendectomy. In operating room it was found that the intussusception was completely reduced.
Age: 1.3
Sex: M
Vaccine: DTAPH, MMR, PNC
Symptoms: Crying, Influenza like illness, Lead urine increased, Porphyrins urine increased, Pyrexia
Clinical narrative: Fever, runny nose, inconsolable crying, flu-like symptoms. 11/18/2008 MR received from PCP.  12 mon WCC on 11/28/2006 with normal PE, growth and development. in for OV 12/28/06 with c/o coughing, not sleeping well. Assess: URI, cold. Vax given . Seen for sick visit 3/26/07-sinusitis. 18 mon WCC 4/05/07, PE WNL.  Seen 7/6/08 for sick visit - Hand, Foot Mouth Disease. Sppech eval for grunting, no words.  9/25/07 Refered for Austism screen for lack of speech, lack in interaction with other children, lack of eye contact. Dx: of Autism by specialist/Developmental Delay (speech and language).
Age: 1.3
Sex: M
Vaccine: DTAPH, MMR, PNC
Symptoms: Rhinorrhoea, Urine arsenic increased, Urine mercury abnormal
Clinical narrative: Fever, runny nose, inconsolable crying, flu-like symptoms. 11/18/2008 MR received from PCP.  12 mon WCC on 11/28/2006 with normal PE, growth and development. in for OV 12/28/06 with c/o coughing, not sleeping well. Assess: URI, cold. Vax given . Seen for sick visit 3/26/07-sinusitis. 18 mon WCC 4/05/07, PE WNL.  Seen 7/6/08 for sick visit - Hand, Foot Mouth Disease. Sppech eval for grunting, no words.  9/25/07 Refered for Austism screen for lack of speech, lack in interaction with other children, lack of eye contact. Dx: of Autism by specialist/Developmental Delay (speech and language).
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anorexia, Colonoscopy, Computerised tomogram, Diarrhoea, Dyspnoea
Clinical narrative: Red blotches on (L) arm, severe S.O.B., heart palpitations, increased pulse (up to 165), face flushing, could not eat, weight loss. Hospital in PT 2 times, Endoscopy, Colonoscopy, CT Scans, Echocardiogram, Blurred vision, severe diarrhea, etc, etc. 11/17/08-records received 11/17/08 presented to clinic on 11/29/08- for evaluation of C/O blotchiness distal to injection site for 3 days with soreness. On 11/21/08 felt tired and some lethargy. 1 day of congestion. Bit out of breath on 11/23 and 11/24/08. Assessment-viral syndrome. Next day C/O palpitations and feeling out of breath.Prescribed beta blocker but did not take medication. No hospitalization. 1/28/2010 I still have facial flushing, SOB and heart racing everyday. Also, diarrhea and feeling very tired at times. It has been 2 years now and I do not feel ike I did before the shot.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Echocardiogram, Endoscopy, Erythema, Flushing, Heart rate increased
Clinical narrative: Red blotches on (L) arm, severe S.O.B., heart palpitations, increased pulse (up to 165), face flushing, could not eat, weight loss. Hospital in PT 2 times, Endoscopy, Colonoscopy, CT Scans, Echocardiogram, Blurred vision, severe diarrhea, etc, etc. 11/17/08-records received 11/17/08 presented to clinic on 11/29/08- for evaluation of C/O blotchiness distal to injection site for 3 days with soreness. On 11/21/08 felt tired and some lethargy. 1 day of congestion. Bit out of breath on 11/23 and 11/24/08. Assessment-viral syndrome. Next day C/O palpitations and feeling out of breath.Prescribed beta blocker but did not take medication. No hospitalization. 1/28/2010 I still have facial flushing, SOB and heart racing everyday. Also, diarrhea and feeling very tired at times. It has been 2 years now and I do not feel ike I did before the shot.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Palpitations, Palpitations, Rash macular, Respiratory tract congestion, Vision blurred
Clinical narrative: Red blotches on (L) arm, severe S.O.B., heart palpitations, increased pulse (up to 165), face flushing, could not eat, weight loss. Hospital in PT 2 times, Endoscopy, Colonoscopy, CT Scans, Echocardiogram, Blurred vision, severe diarrhea, etc, etc. 11/17/08-records received 11/17/08 presented to clinic on 11/29/08- for evaluation of C/O blotchiness distal to injection site for 3 days with soreness. On 11/21/08 felt tired and some lethargy. 1 day of congestion. Bit out of breath on 11/23 and 11/24/08. Assessment-viral syndrome. Next day C/O palpitations and feeling out of breath.Prescribed beta blocker but did not take medication. No hospitalization. 1/28/2010 I still have facial flushing, SOB and heart racing everyday. Also, diarrhea and feeling very tired at times. It has been 2 years now and I do not feel ike I did before the shot.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Weight decreased
Clinical narrative: Red blotches on (L) arm, severe S.O.B., heart palpitations, increased pulse (up to 165), face flushing, could not eat, weight loss. Hospital in PT 2 times, Endoscopy, Colonoscopy, CT Scans, Echocardiogram, Blurred vision, severe diarrhea, etc, etc. 11/17/08-records received 11/17/08 presented to clinic on 11/29/08- for evaluation of C/O blotchiness distal to injection site for 3 days with soreness. On 11/21/08 felt tired and some lethargy. 1 day of congestion. Bit out of breath on 11/23 and 11/24/08. Assessment-viral syndrome. Next day C/O palpitations and feeling out of breath.Prescribed beta blocker but did not take medication. No hospitalization. 1/28/2010 I still have facial flushing, SOB and heart racing everyday. Also, diarrhea and feeling very tired at times. It has been 2 years now and I do not feel ike I did before the shot.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Flushing, Laboratory test normal
Clinical narrative: Red blotches on (L) arm, severe S.O.B., heart palpitations, increased pulse (up to 165), face flushing, could not eat, weight loss. Hospital in PT 2 times, Endoscopy, Colonoscopy, CT Scans, Echocardiogram, Blurred vision, severe diarrhea, etc, etc. 11/17/08-records received 11/17/08 presented to clinic on 11/29/08- for evaluation of C/O blotchiness distal to injection site for 3 days with soreness. On 11/21/08 felt tired and some lethargy. 1 day of congestion. Bit out of breath on 11/23 and 11/24/08. Assessment-viral syndrome. Next day C/O palpitations and feeling out of breath.Prescribed beta blocker but did not take medication. No hospitalization. 1/28/2010 I still have facial flushing, SOB and heart racing everyday. Also, diarrhea and feeling very tired at times. It has been 2 years now and I do not feel ike I did before the shot.
Age: 64.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Tachycardia
Clinical narrative: Red blotches on (L) arm, severe S.O.B., heart palpitations, increased pulse (up to 165), face flushing, could not eat, weight loss. Hospital in PT 2 times, Endoscopy, Colonoscopy, CT Scans, Echocardiogram, Blurred vision, severe diarrhea, etc, etc. 11/17/08-records received 11/17/08 presented to clinic on 11/29/08- for evaluation of C/O blotchiness distal to injection site for 3 days with soreness. On 11/21/08 felt tired and some lethargy. 1 day of congestion. Bit out of breath on 11/23 and 11/24/08. Assessment-viral syndrome. Next day C/O palpitations and feeling out of breath.Prescribed beta blocker but did not take medication. No hospitalization. 1/28/2010 I still have facial flushing, SOB and heart racing everyday. Also, diarrhea and feeling very tired at times. It has been 2 years now and I do not feel ike I did before the shot.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Injection site haematoma, Palpitations
Clinical narrative: (1) - (L) vein in neck (collarbone, above) was pounding and heart beat fast (took meds listed in #17) then subsided a little in (1) one HR. (2) - morning after 10/30/08 noticed (L) arm w/ tape at site of injection to date still black/blue (bruised).