chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Pyrexia
Clinical narrative: Severe intolerable pain from clavicule to ear and from back to skull to the spinal bone. Fever of 103. Still have a fever of 100, sweats, flu-like symptoms, total debilitation.
Age: 72.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Anorexia, Asthenia, Musculoskeletal stiffness, Nausea, Neck pain
Clinical narrative: Severe intolerable pain from clavicule to ear and from back to skull to the spinal bone. Fever of 103. Still have a fever of 100, sweats, flu-like symptoms, total debilitation.
Age: 72.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Pain, Pyrexia
Clinical narrative: Severe intolerable pain from clavicule to ear and from back to skull to the spinal bone. Fever of 103. Still have a fever of 100, sweats, flu-like symptoms, total debilitation.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Face oedema, Influenza like illness, Laryngeal oedema, Urticaria
Clinical narrative: 10/25/02 two days post vaccine developed hives, swelling of face, lip and throat. No difficulty with breathing. Swallowing hurts also had flu-like illness. Treated in ER 10/26/02 Solumedrol, Benadryl and Pepcid IV, Toradol IM for pain. Rx: Lortab prn, discharged post treatment.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Diarrhoea
Clinical narrative: Diarrhea for 8 days 2 days after the vaccines.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site swelling, Tenderness
Clinical narrative: The day after receiving her flu shot. The patient noted the injection site was red, warm, tender, swollen. Site was examined and had a 5mmX10mm area of erythema, induration, and warmth.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Muscular weakness, Pain, Pyrexia, Rash
Clinical narrative: Awoke during the night 10/18/02 with pain and weakness both arms right arm worse than right. Developed fever and cough over the weekend. Has developed rash around the waist the past 1-2 days. No improvement as of 10/25/02.
Age: 32.0
Sex: M
Vaccine: FLU3, HEPA, MMR, TD, YF
Symptoms: Chills, Diarrhoea, Pyrexia, Rash
Clinical narrative: 10/21/02 started oral typhoid-c/o high fever, chills, diarrhea and slight rash on face. 10/23/02 another dose of oral thphoid with c/o immediate severe diarrhea, high temp, chills and rash on face spreading. 10/24/02 advised pt to descontinue oral typhoid.  F/U both MD if needed.
Age: 43.0
Sex: F
Vaccine: TYP, YF
Symptoms: Chills, Diarrhoea, Muscle spasms, Night sweats, Pain
Clinical narrative: 10/16/02 pt reported symptoms of chills, achiness, diarrhea, cramps 2 1/2 hours after receiving typhoid VI and yellow fever vaccines. pt also c/o night sweats night of 10/15/02. By 10/17, pt states she was feeling "better" but still "a little under the weather with 'dragging' feeling." Pt states she is fuller functioning and is able to work.
Age: 51.0
Sex: M
Vaccine: YF
Symptoms: Body temperature increased, Headache, Joint stiffness, Pain
Clinical narrative: Employee called clinic-did not come to work today. Generalized body aches, joint stiffness-back, legs. States feels feverish-but employee has not taken temp. Mild headache. States sym-began Fri 10/25 over wknd and improving today. Has been taking ASA for sym.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Pt received 5th anthrax vaccine. Local reaction occurred 3 days later. Marked by severe swelling, redness. Moderate pain at injection site. Swelling ~ 5 inches also 10/21, but pt reported it was nearly 6 inches at its "peak" of swelling 10/20. Pt was taking Naprosyn for wrist pain until 10/20.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Nausea
Clinical narrative: Nausea, dizziness beginning approx 24 hrs after anthrax # 1 given. Treated with Phenergan po.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Cyst, Rash
Clinical narrative: Recurring cystic rash on Lt side of torso. Remains until treated with antibiotics. Civilian doctor cannot pinpoint cause. After exam and blood tests, doctor thinks it may be an immune system disorder. Condition first began in 6/00.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Swelling to R arm, itching and pain general malaise.
Age: 20.0
Sex: F
Vaccine: DT
Symptoms: Abdominal pain, Anorexia, Dizziness, Nausea, Pain
Clinical narrative: Received vaccine (1st); symptoms began one hour post vaccination. Experienced dizziness, light-headed, abdominal pain, body aches (especially legs). No fever. Pt also experienced nausea and vomiting 3-4 times. No appetite.
Age: 20.0
Sex: F
Vaccine: DT
Symptoms: Vomiting
Clinical narrative: Received vaccine (1st); symptoms began one hour post vaccination. Experienced dizziness, light-headed, abdominal pain, body aches (especially legs). No fever. Pt also experienced nausea and vomiting 3-4 times. No appetite.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Received 7th Anthrax vaccine. 24 hrs later pt noticed severe swelling 8 inches severe minimal pain at injection site. Sought medical attention, received Motrin.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: 10/21/02-pt rec'd pneumococcal vaccine .5cc Rt arm IM approx 11am. SHe had the influenza vaccine week ago. 10/22/02 presented to office with tenderness and redness at injection site with fever of 100.9. Advised to go to hospital she refused. Dr started Keflex 500mg q 6 hrs x 10 days with f/u 10/25/02-fever gone, feeling be4tter, cont. Keflex.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Myalgia, Pyrexia
Clinical narrative: Short of breath/fever/muscle aches. No Rx-ASA. No contact with Dr.
Age: 0.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: L thigh red, swollen and warm.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Crying, Screaming
Clinical narrative: Screaming and crying > 3-4 hoursin 10 post shots administered.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Crying, Screaming
Clinical narrative: Persistent, inconsolable screaming/crying for 2 1/2-3 hours within 48 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 8 x 8cm erythema L leg from DTaP.
Age: 50.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site oedema, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Fever to 102 degrees. Nausea, vomiting, body aches. RUE swelling/localized. Improved N/V temp-decreasing as left.
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 10/10 redness/warm around injection ~ 10 x 7 cm. Afebrile.
Age: 1.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Mother noted rash on face, spread to chest and back. Physician said it was possibly immunization reaction (though early) verses a sensitivity reaction. No treatment given.
Age: 53.0
Sex: F
Vaccine: HEP, TYP
Symptoms: Headache, Injection site pain, Malaise, Neck pain, Pyrexia
Clinical narrative: Low fever, headache, neck ache, arm ache, generally felt badly 6 hrs after injection for about 12 more hours. Adverse event was to Typhoid Typhim-according to pt.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Received pneumonia shot Wednesday 10/9. One hour after shot, arm started hurting. By bedtime left arm started swelling from shoulder to elbow, red. Client went to ER.
Age: 38.0
Sex: M
Vaccine: LYME
Symptoms: Influenza like illness, Malaise, Musculoskeletal stiffness, Pain
Clinical narrative: Shortly after first vaccine, developed stiffness in upper torso as well as general aches and pains, malaise. These continued and after second vaccine, back stiffness increased and I had a period of flu-like symptoms. I have also been diagnosed with a retinal problem; they are calling it presumed occular histoplasmosis.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Urticaria
Clinical narrative: Hives to arms, legs, and abdomen. Few on face.
Age: 4.0
Sex: M
Vaccine: DTP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: Erythema and edema over patient's deltoid.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Redness at site of DTaP administration. Noted 24 hours later; itchy.
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Local swelling and pain developed a few hours after injection.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Red, raised area from injection site down to elbow. Warm to touch.
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm (deltoid area) red, raised area 3"x1.75".
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Erythema
Clinical narrative: Mother came into clinic 10/9/02 with child and reported that she had taken her toddler to the hospital ER for treatment for his right erythematous thigh. Hospital administered Benadryl. He was taken there 10/6/02 after she noticed the red thigh.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Dysphonia, Urticaria
Clinical narrative: 3 hours after injection of 2nd hepatitis B vaccine, developed whelps on back, sides, face, arms, neck, abdomen, coughing and hoarse. Went to ER and treated with Benadryl and medical dose pack. Had no reaction with 1st hepatitis B injection one month before.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient into clinic 10/15/02, arm red, swollen at injection site. No streaking. Instructed to go to MD if worsens. Patient seen at ER 10/17/02--states golf ball size area at injection site. Area drained and packed at ER.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Eye swelling, Nasal congestion, Sneezing
Clinical narrative: Received MMR, DTaP, IPV, and upon leaving the office, had sneezing and nasal congestion. Ate part of a vanilla ice cream cone. Noticed eyes swelling shut and nose blocked. No pulmonary problems. Given Benadryl about 1 hour later then Nasonex. Returned to office; lungs clear, nose congested, eyes edematous. Received Benadryl every 6 hours for 24 hours and Nasonex QD for 3-4 days.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Injection site reaction
Clinical narrative: Severe local reaction to injection. As per acknowlegdement letter: Vaccine given in ED, we do not have access o this information.
Age: 16.0
Sex: F
Vaccine: HEP, TD
Symptoms: Swelling, Urticaria
Clinical narrative: Hives, body swelling, unable to void from swelling.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash
Clinical narrative: Rash developed along right arm after pneumovax shot.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Coma, Lethargy, Loss of consciousness, Tremor
Clinical narrative: Child received hepatitis B shot and then returned to classroom. Teacher states that child fell face down on the floor after hitting her head on the desk. Teacher also observed shaking of the shoulders. Child did not respond to her when called upon. Nurses demonstrated child still lying on the floor with pulse. Breathing normal. Patient was lethargic.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: 48 hours after vaccine, became crankly. 72 hours after vaccine, developed fever 104-105; noticed decline in activity. Seen in office on day 3 of fever (6 days after vaccines). CBC, blood/urine cultures done. Ceftriaxene give IM. Seen again 8 days after vaccines; still with fever > 104. CBC was normal. Blood/urine culture negative.
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Chills, Myalgia, Pain, Pyrexia
Clinical narrative: Onset of muscle aches of legs, shoulders, arms, and upper back; chills; temperature 100.3.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt received pneumonia vaccine on 10/15/02. R deltoid IM in the am, she contacted me at the office later (the next afternoon) c/o redness with pain. I asked her to watch it if no better, next day contact me. She came into office R arm redness going around arm and down toward elbow.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: R leg with edema, induration, heat. Fever 101 deg F x 3 d. Given Rocephin IM in ER. Given po Zithromax.
Age: 46.0
Sex: M
Vaccine: VARCEL
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Had fever, headache, bodyaches x 5 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: Right arm swollen and red. Diag: cellulitis. Started on Keflex 250mg x 1 day.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Developed a red, warm area on the inside posterior surface of his right arm that is somewhat tender to pressure.  5 x 5 cm in diameter.
Age: 0.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Paraesthesia, Pruritus
Clinical narrative: Pt.called to report numbness and tingling in her mouth and over-all itching.Advised to see HCP,and went right away. Was RX'd Zyrtec. On 10/29/02 reports no symptoms.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dysphagia, Pharyngolaryngeal pain, Tongue disorder
Clinical narrative: 15 minutes post vaccination,client reported having a "thick tongue",trouble swollowing.With in 5 minutes she reported feeling hot and chest flushed bright red.Epinephrine,.3ml was administered,911 was called.O2 was given when paramedics arrived(10 more minutes)with SATS @ 100,BP 120/90,chest was clear.Pt.was shakey.She went home that night,and went to MD the next day.She advided she stay home from work,and did not perscribe anything.Today, 10/29,client reports still feeling weak and having a sore throat. Advised client to see provider again today.
Age: 51.0
Sex: F
Vaccine: MMR, MMR, MMR
Symptoms: Inflammation
Clinical narrative: Inflammation of joints. Arthritic symptoms.  Went to personal physician. The follow up states, "I wasn't told that; she didn't come to me with this but her PCP."
Age: 51.0
Sex: F
Vaccine: MMR, MMR, MMR
Symptoms: Hypoaesthesia, Joint swelling, Lymphadenopathy
Clinical narrative: Inflammation of joints. Arthritic symptoms.  Went to personal physician. The follow up states, "I wasn't told that; she didn't come to me with this but her PCP."
Age: 51.0
Sex: F
Vaccine: MMR, MMR, MMR
Symptoms: Arthritis, Hypoaesthesia
Clinical narrative: Inflammation of joints. Arthritic symptoms.  Went to personal physician. The follow up states, "I wasn't told that; she didn't come to me with this but her PCP."
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Fatigue, Headache, Injection site erythema, Injection site oedema
Clinical narrative: Day 1:  Red, swollen, sore area (circle over 3" in diameter)around the injection point.  Day 2:  fatigue body achiness, headache, but no fever.  Day 4:  swelling and redness began to subside somewhat, leaving a large doughnut-shaped green bruise with a reddish interior...and a lot of itching. Day 5 (today):  still bruised and itchy.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pruritus
Clinical narrative: Day 1:  Red, swollen, sore area (circle over 3" in diameter)around the injection point.  Day 2:  fatigue body achiness, headache, but no fever.  Day 4:  swelling and redness began to subside somewhat, leaving a large doughnut-shaped green bruise with a reddish interior...and a lot of itching. Day 5 (today):  still bruised and itchy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site induration, Injection site oedema, Tenderness
Clinical narrative: Significant right buttock bruising (covering whole cheek)with induration, swelling, and tenderness at site of injection noted one day after MMR given per Mom.   No other bruising at sites of DTaP and IPV.  No trauma.  Seen in office 10/21/02 with above signs but with improvement per Mom.  Placed on 4 day course of oral steroid.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: The patient had a severe swelling and redness around entire arm, reaching to scapula, accompanied by fever from this pneumovax.
Age: 36.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Bronchitis, Memory impairment, Movement disorder, Pain, Pyrexia
Clinical narrative: I received 3 vaccinations.  A flu,pneumonia,tetanus.  ALL while I was sick with Bronchitis. Around 10pm that night, I had a huge rash that looked like the united states on my arm.  I was sick with a fever of 101.  I went to bed.  It took me 2 weeks to get better.  A month later I developed pain in my wrists (Early Rheumatoid arthritis symptoms).  a month after that I became pregnant and the disease went into remission.  I still had wrist pain.  AFter my daughter was born, I woke up one morning and could not move.  I started crying.  I was totally unfunctional.  IT was the most horrible experience of my life.  these shots have taken away my life, my joy and everything that gave me pleasure.  I live everyday in PAIN.  24 hours a day, 7 days a week.  I am disabled.  I am on social security disability.  I have a 16month old to take care of.  this has been horrible on me.  My hands hardly work.  I finally had one evening that wasn't so painful to sit down here and do this.  I tried previously many times, but got knocked offline.  I feel like my life is over.  I cannot work anymore.  I am being treated and will continue to be treated for this disease.  I was healthy until I got these shots. I appologize if the date is not right that I got these shots.  I cannot remember things anymore.  My memory is really bad.  I used to have to write down when I fed my baby so I would not feed her too soon.  I am sorry.I do not remember which arm either.  I hope you get my records to find that information out.  I do apologize.
Age: 36.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Rash
Clinical narrative: I received 3 vaccinations.  A flu,pneumonia,tetanus.  ALL while I was sick with Bronchitis. Around 10pm that night, I had a huge rash that looked like the united states on my arm.  I was sick with a fever of 101.  I went to bed.  It took me 2 weeks to get better.  A month later I developed pain in my wrists (Early Rheumatoid arthritis symptoms).  a month after that I became pregnant and the disease went into remission.  I still had wrist pain.  AFter my daughter was born, I woke up one morning and could not move.  I started crying.  I was totally unfunctional.  IT was the most horrible experience of my life.  these shots have taken away my life, my joy and everything that gave me pleasure.  I live everyday in PAIN.  24 hours a day, 7 days a week.  I am disabled.  I am on social security disability.  I have a 16month old to take care of.  this has been horrible on me.  My hands hardly work.  I finally had one evening that wasn't so painful to sit down here and do this.  I tried previously many times, but got knocked offline.  I feel like my life is over.  I cannot work anymore.  I am being treated and will continue to be treated for this disease.  I was healthy until I got these shots. I appologize if the date is not right that I got these shots.  I cannot remember things anymore.  My memory is really bad.  I used to have to write down when I fed my baby so I would not feed her too soon.  I am sorry.I do not remember which arm either.  I hope you get my records to find that information out.  I do apologize.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Eye disorder
Clinical narrative: Information has been received from a physician and licensed practical nurse concerning a 12 month old Caucasian female with no prior medical history and no known drug allergies who on 09/14/02 between 10:00-11:00 was vaccinated in the right leg with a first dose of MMRII (lot# 64399/0538M). Concomitant vaccination on 09/14/02 between 10:00 - 11:00 AM included a first dose of Varivax (MSD) (lot# 643118/0503M) in the left leg. There was no illness at the time of vaccination. On 09/24/02, the patient developed an "involuntary wink" in her left eye. The patient was seen in the ER where the physician noted the patient had "twitching of the left eye and grimacing on the left side of the face" occurring intermittently. It was reported that the child seemed to continue with normal activities while these movements were occurring. The patient had no fever, no trauma, no vomiting, no diarrhea, no rash,no difficulty breathing, no ill contacts, was eating and drinking normally. There was no family history of seizures and the parents had not noted any similar movements in the past. Laboratory studies were performed and revealed atypical lymphocytes of 15% on the CBC and electrolytes were within normal limits the patients was seen by neurologist who felt the patient should be transferred to another hospital, which had the capability to perform an EEG due to the physician's suspion of seizure activity. Upon transfer to another hospital, the patient's CBC and electrolytes were normal. The patient's Lyme ab/total immunoglobulins, and lyme disease ab, quant and IgM were all negative. the patient's EEG and CT of the head was negative. After being hospitalized for one day, the patient was discharged and on 10/21/02, the patient was reported as recovered with no winking episodes" occurring since 10/01/02. No further informnation is expected.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Muscle twitching
Clinical narrative: Information has been received from a physician and licensed practical nurse concerning a 12 month old Caucasian female with no prior medical history and no known drug allergies who on 09/14/02 between 10:00-11:00 was vaccinated in the right leg with a first dose of MMRII (lot# 64399/0538M). Concomitant vaccination on 09/14/02 between 10:00 - 11:00 AM included a first dose of Varivax (MSD) (lot# 643118/0503M) in the left leg. There was no illness at the time of vaccination. On 09/24/02, the patient developed an "involuntary wink" in her left eye. The patient was seen in the ER where the physician noted the patient had "twitching of the left eye and grimacing on the left side of the face" occurring intermittently. It was reported that the child seemed to continue with normal activities while these movements were occurring. The patient had no fever, no trauma, no vomiting, no diarrhea, no rash,no difficulty breathing, no ill contacts, was eating and drinking normally. There was no family history of seizures and the parents had not noted any similar movements in the past. Laboratory studies were performed and revealed atypical lymphocytes of 15% on the CBC and electrolytes were within normal limits the patients was seen by neurologist who felt the patient should be transferred to another hospital, which had the capability to perform an EEG due to the physician's suspion of seizure activity. Upon transfer to another hospital, the patient's CBC and electrolytes were normal. The patient's Lyme ab/total immunoglobulins, and lyme disease ab, quant and IgM were all negative. the patient's EEG and CT of the head was negative. After being hospitalized for one day, the patient was discharged and on 10/21/02, the patient was reported as recovered with no winking episodes" occurring since 10/01/02. No further informnation is expected.
Age: 1.0
Sex: M
Vaccine: HBHEPB, PNC, VARCEL, HBHEPB, PNC, VARCEL, HBHEPB, PNC, VARCEL
Symptoms: Coma, Convulsion, Cyanosis, Dyskinesia, Staring
Clinical narrative: Information has been received from a physician and a nurse concerning a 1 year old male with no known allergies and no pre-existing medical conditions who on 10/16/02 was vaccinated with a dose of Haemophlus B conjugate vaccine, hepatitis B vaccine recombinant (lot 06930-invalid) administered in the left thigh. Concomitant therapy, that same day, included a dose of varicella virus vaccine live (lot 642685/0328M) administered subcutaneously in the left arm, and a dose of Prevnar (lot 489470) administered in the left thigh. On 10/19/02, within 3 minutes after being given the three vaccines, the pt developed a generalized seizure, which lasted about five minutes. The pt displayed tonic and clonic movements of all extremities and mild circumoral duskiness. The child was given oxygen during the seizure. The pt was alert and responsive after five minutes. The child was transported to the hospital where he remained for 24 hrs for observation. The pt had a comptuer axial tomography exam and labs without results as of 10/24/02. As of 10/24/02, the pt had not had nay other seizures. The pt will be seen by his physician for follow-up. It was noted that the child was being seen for a well-check. Additional info has been requested.
Age: 1.0
Sex: M
Vaccine: HBHEPB, PNC, VARCEL, HBHEPB, PNC, VARCEL, HBHEPB, PNC, VARCEL
Symptoms: Convulsion, Cyanosis, Staring
Clinical narrative: Information has been received from a physician and a nurse concerning a 1 year old male with no known allergies and no pre-existing medical conditions who on 10/16/02 was vaccinated with a dose of Haemophlus B conjugate vaccine, hepatitis B vaccine recombinant (lot 06930-invalid) administered in the left thigh. Concomitant therapy, that same day, included a dose of varicella virus vaccine live (lot 642685/0328M) administered subcutaneously in the left arm, and a dose of Prevnar (lot 489470) administered in the left thigh. On 10/19/02, within 3 minutes after being given the three vaccines, the pt developed a generalized seizure, which lasted about five minutes. The pt displayed tonic and clonic movements of all extremities and mild circumoral duskiness. The child was given oxygen during the seizure. The pt was alert and responsive after five minutes. The child was transported to the hospital where he remained for 24 hrs for observation. The pt had a comptuer axial tomography exam and labs without results as of 10/24/02. As of 10/24/02, the pt had not had nay other seizures. The pt will be seen by his physician for follow-up. It was noted that the child was being seen for a well-check. Additional info has been requested.
Age: 1.0
Sex: M
Vaccine: HBHEPB, PNC, VARCEL, HBHEPB, PNC, VARCEL, HBHEPB, PNC, VARCEL
Symptoms: Dyskinesia, Grand mal convulsion
Clinical narrative: Information has been received from a physician and a nurse concerning a 1 year old male with no known allergies and no pre-existing medical conditions who on 10/16/02 was vaccinated with a dose of Haemophlus B conjugate vaccine, hepatitis B vaccine recombinant (lot 06930-invalid) administered in the left thigh. Concomitant therapy, that same day, included a dose of varicella virus vaccine live (lot 642685/0328M) administered subcutaneously in the left arm, and a dose of Prevnar (lot 489470) administered in the left thigh. On 10/19/02, within 3 minutes after being given the three vaccines, the pt developed a generalized seizure, which lasted about five minutes. The pt displayed tonic and clonic movements of all extremities and mild circumoral duskiness. The child was given oxygen during the seizure. The pt was alert and responsive after five minutes. The child was transported to the hospital where he remained for 24 hrs for observation. The pt had a comptuer axial tomography exam and labs without results as of 10/24/02. As of 10/24/02, the pt had not had nay other seizures. The pt will be seen by his physician for follow-up. It was noted that the child was being seen for a well-check. Additional info has been requested.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Anorexia, Asthenia, Cough, Haemolytic anaemia, Hepatosplenomegaly
Clinical narrative: It was reported in a published article that a 75 year old female with a history of angioimmunoblastic lymphadenopathy (AILD), which was currently suppressed, who was vaccinated with a 0.5ml dose of pneumococcal vaccine 14 polyvalent. Prior to the vaccination, the patient presented with fevers, night sweats, cough, anorexia, and weakness, with diffuse lymphadenopathy and hepatosplenomegaly. The patient had a Coombs positive hemolytic anemia and polyclonal gammapothy. Lymph node biopsy confirmed AILD. After a course of chlorambucil, vincristine, and prednisone, the symptoms and physical findings resolved. With the patient's maintenance therapy of prednisone, the patient's disease was completely suppressed for 4 months. Three weeks after vaccination, the patient experienced a sudden onset of high fevers, adenopathy, and recurrent organomegaly progressing to renal failure and pancytopenia despite aggressive support and combination chemotherapy. Immonulogical studies before death demonstrated an IgG kappa monoclonal gammapathy of 654 mg/dl with free kappa chains in the urine. Permission for necropsy was refused. No further information is available.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Laboratory test abnormal, Lymphadenopathy, Night sweats, Pancytopenia, Pyrexia
Clinical narrative: It was reported in a published article that a 75 year old female with a history of angioimmunoblastic lymphadenopathy (AILD), which was currently suppressed, who was vaccinated with a 0.5ml dose of pneumococcal vaccine 14 polyvalent. Prior to the vaccination, the patient presented with fevers, night sweats, cough, anorexia, and weakness, with diffuse lymphadenopathy and hepatosplenomegaly. The patient had a Coombs positive hemolytic anemia and polyclonal gammapothy. Lymph node biopsy confirmed AILD. After a course of chlorambucil, vincristine, and prednisone, the symptoms and physical findings resolved. With the patient's maintenance therapy of prednisone, the patient's disease was completely suppressed for 4 months. Three weeks after vaccination, the patient experienced a sudden onset of high fevers, adenopathy, and recurrent organomegaly progressing to renal failure and pancytopenia despite aggressive support and combination chemotherapy. Immonulogical studies before death demonstrated an IgG kappa monoclonal gammapathy of 654 mg/dl with free kappa chains in the urine. Permission for necropsy was refused. No further information is available.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Renal failure
Clinical narrative: It was reported in a published article that a 75 year old female with a history of angioimmunoblastic lymphadenopathy (AILD), which was currently suppressed, who was vaccinated with a 0.5ml dose of pneumococcal vaccine 14 polyvalent. Prior to the vaccination, the patient presented with fevers, night sweats, cough, anorexia, and weakness, with diffuse lymphadenopathy and hepatosplenomegaly. The patient had a Coombs positive hemolytic anemia and polyclonal gammapothy. Lymph node biopsy confirmed AILD. After a course of chlorambucil, vincristine, and prednisone, the symptoms and physical findings resolved. With the patient's maintenance therapy of prednisone, the patient's disease was completely suppressed for 4 months. Three weeks after vaccination, the patient experienced a sudden onset of high fevers, adenopathy, and recurrent organomegaly progressing to renal failure and pancytopenia despite aggressive support and combination chemotherapy. Immonulogical studies before death demonstrated an IgG kappa monoclonal gammapathy of 654 mg/dl with free kappa chains in the urine. Permission for necropsy was refused. No further information is available.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Haemolytic anaemia, Lymphadenopathy, Pyrexia, Thrombocytopenia
Clinical narrative: It was reported that a 62 year old male with a history of angioimmunoblastic lymphadenopathy (AILD), which was currently in an inactive stage, was vaccinated with a 0.5ml dose of penumococcal vaccine 14 polyvalent. Prior to the vaccination, the patient presented with spiking fevers and diffuse lymphadenopathy with an IgG monoclonal gammopathy. Lymph node biopsy was consistent with AILD. He had Coombs positive hemolytic anemia and thrombocytopenia despite adequate megakaryocytes on marrow aspiration and biopsy. Due to incomplete control with corticosteriods, the patient received a short course of doxorubicin and vincristine. The patient was maintained on tapering doses of prednisone alone for 5 months. At a time of inactivity of the disease, the patient was on 10mg/day of prednisone and he received the vaccine. Three weeks after vaccination, the patient suddenly experienced shortness of breath, fever, diffuse adenopathy, and organomegaly. The patient's disease course was poorly controlled by high dose corticosteriods and bacterial sepsis developed. A repeat biopsy revealed immunoblastic sarcoma. After treatment with cyclophosphamide, vincristine, doxorubicin, and prednisone, the patient was in remission again. No further information is available.
Age: 0.5
Sex: M
Vaccine: DTP, HEP, HIBV, PPV
Symptoms: Crying, Injection site oedema, Injection site pain, Medication error, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 6 month old male with no past medical history or allergies, who on 7/23/02 at 17:30 was vaccinated IM in the left upper leg with a first dose of pneumococcal vaccine 23 polyvalent (lot not reported). It was noted that the pt, "should have had Prevnar." This does not comply with medication administration guidelines. There was no illness at the time of vaccination. Concomitant therapy, that same day and at the same time, included a second dose of hep B vaccine recombinant (lot not reported) given IM in the right deltoid, a third dose of ActHIB (lot not reported) given IM in the right upper leg and a third dose of diphtheria toxoid/pertussis vaccine/teta (lot not reported) given IM in the left deltoid. Approximately 4 to 5 hours after vaccination, on 7/23/02 at 22:00, the pt developed a swollen left thigh, high fever, painful left thigh and was "unconsolable." The pt was seen in ER, then hospitalized for fever of unknown origin, "until wrong vaccine discovered." Relevant diagnostic tests and laboratory data were not available at the time of this report. The pt recovered on 7/27/02. Additional info is not expected.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Acute cellulitis of L thigh vaccine 10/16/02. Admitted on 10/19/02 IV antibiotic and supportive care-d/c home next day doing well.
Age: 46.0
Sex: M
Vaccine: LYME
Symptoms: Arthritis, Gait disturbance, Musculoskeletal stiffness, Neck pain
Clinical narrative: 11/7/00 had Lyme tick pulled off by MD and first shot given. 12/2000 second shot MD. 11/14/01 third shot MD. 2/2/02 neck stiff/pain had x-ray. 6/2/02 legs/idiopathy and limp bad limp. 9/02 physical MD x-ray hip arthritis both hips. 10/20/02 knees sore f/u if it with cont. get worse.
Age: 1.5
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Abasia, Eyelid ptosis, Fall, Hemiparesis, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Began falling more about time of vaccine or within 7-10 days. Progressed to foot drop and 6th nerve palsy. Eventually R hemiparesis and unable to walk at all. Also bilat. ptosis. 11/01/02 Added per review of hospital discharge summaries: decreased energy, decreased appetite, ataxia, R arm intention & resing tremors, left 3rd nerve palsy, and constipation. Per 60 day follow up: Pt did not recover. Pt has mid brain lesion of uncertain etiology. Followed at hospital with a 2nd opinion at hospital. Seems to have progressive deterioration neurologically, but lesion is in too dangerous an are for biopsy. They do not feel it's cancer but are not sure. An homeopath suggested it was related to MMR vaccine. Though symptoms most likely predated the vaccine by about a week. An annual report received 11/13/2003 adds: Has a midbrain lesion causing severe neurologic deficit. Unable to Dx due to its location but felt to be post-infectious (not cancer).
Age: 1.5
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Paralysis, Peroneal nerve palsy, Skin ulcer
Clinical narrative: Began falling more about time of vaccine or within 7-10 days. Progressed to foot drop and 6th nerve palsy. Eventually R hemiparesis and unable to walk at all. Also bilat. ptosis. 11/01/02 Added per review of hospital discharge summaries: decreased energy, decreased appetite, ataxia, R arm intention & resing tremors, left 3rd nerve palsy, and constipation. Per 60 day follow up: Pt did not recover. Pt has mid brain lesion of uncertain etiology. Followed at hospital with a 2nd opinion at hospital. Seems to have progressive deterioration neurologically, but lesion is in too dangerous an are for biopsy. They do not feel it's cancer but are not sure. An homeopath suggested it was related to MMR vaccine. Though symptoms most likely predated the vaccine by about a week. An annual report received 11/13/2003 adds: Has a midbrain lesion causing severe neurologic deficit. Unable to Dx due to its location but felt to be post-infectious (not cancer).
Age: 0.25
Sex: F
Vaccine: HEP, IPV
Symptoms: Anuria, Congenital brain damage, Hypersensitivity, Insomnia, Pyrexia
Clinical narrative: Per 60 day follow up: Pt did not recover. Pt has permanent brain damage from the vaccine shot she received at the age stated above. Yes- we feel we need to be compensated by someone for everything we went through, because these vaccines shots are what caused the damage and we have to live with this the rest of our lives
Age: 0.25
Sex: F
Vaccine: HEP, IPV
Symptoms: Swelling
Clinical narrative: Per 60 day follow up: Pt did not recover. Pt has permanent brain damage from the vaccine shot she received at the age stated above. Yes- we feel we need to be compensated by someone for everything we went through, because these vaccines shots are what caused the damage and we have to live with this the rest of our lives
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, PNC, TD
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Raised red, tender, lump on leg where TT administered per phone call follow-up.
Age: 38.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: 6cm x 7cm circular area of erythema.  Pt has a mild local systemic reaction.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Fatigue, Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Pain, redness, pain thru arm and elbow, nausea, fatigue. 10/1/02 28 year old complains of redness and swelling on L arm after receiving Anthrax vaccine. Vaccine given on 29th of Sept and swelling began that night. Pt states dull pain goes halfway down the arm to the elbow. 8.1cm x 8cm area of erythema site of injection. Reaction to local administration of Anthrax. Tylenol, Motrin, heat.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea
Clinical narrative: Pain, redness, pain thru arm and elbow, nausea, fatigue. 10/1/02 28 year old complains of redness and swelling on L arm after receiving Anthrax vaccine. Vaccine given on 29th of Sept and swelling began that night. Pt states dull pain goes halfway down the arm to the elbow. 8.1cm x 8cm area of erythema site of injection. Reaction to local administration of Anthrax. Tylenol, Motrin, heat.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Chills, Headache, Injection site pain, Malaise
Clinical narrative: Weakness, malaise, sleepiness, no myalgia. Arm is slightly sore.   C/O headache high temp. Pt started had chill x last night pt believes poss shot reaction. No sign local reaction. Pt had Anthrax shot. Systemic reaction to Anthrax. No URI.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Somnolence
Clinical narrative: Weakness, malaise, sleepiness, no myalgia. Arm is slightly sore.   C/O headache high temp. Pt started had chill x last night pt believes poss shot reaction. No sign local reaction. Pt had Anthrax shot. Systemic reaction to Anthrax. No URI.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Headache, Injection site mass, Injection site pain, Nausea
Clinical narrative: Nausea, headaches. C/O light-headed x 1 day. Anthrax shot taken yesterday afternoon. Pt c/o pain and knot in area where Anthrax #6 was given at arm. pt also completed run this morning for 4.2 miles. Pt c/o 4 1/2 x 2 1/2 area of discoloration localized at site of injection. heat, Motrin, Tylenol.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Skin discolouration
Clinical narrative: Nausea, headaches. C/O light-headed x 1 day. Anthrax shot taken yesterday afternoon. Pt c/o pain and knot in area where Anthrax #6 was given at arm. pt also completed run this morning for 4.2 miles. Pt c/o 4 1/2 x 2 1/2 area of discoloration localized at site of injection. heat, Motrin, Tylenol.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chest pain, Chills, Diarrhoea, Dizziness
Clinical narrative: Raised 2" red area in L arm. Lightheadedness, dizzy, joint aches, diarrhea. Pt states he gets pains in his chest at times. Also stated chills on 9/30th. Pt with weakness and swelling in his joints, hard to move. Also feeling sore in his joints. Rx for Tylenol and Motrin 800 given.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Hypokinesia, Injection site erythema, Injection site swelling, Joint swelling
Clinical narrative: Raised 2" red area in L arm. Lightheadedness, dizzy, joint aches, diarrhea. Pt states he gets pains in his chest at times. Also stated chills on 9/30th. Pt with weakness and swelling in his joints, hard to move. Also feeling sore in his joints. Rx for Tylenol and Motrin 800 given.
Age: 24.0
Sex: F
Vaccine: ANTH, FLU3
Symptoms: Abscess
Clinical narrative: Bumps on L breast.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Hyperhidrosis, Pyrexia
Clinical narrative: High fever, chills, sweating tx with Motrin and Tylenol.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Swelling, redness, hot.
Age: 41.0
Sex: M
Vaccine: YF
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Pruritus
Clinical narrative: Erythema 3 x 8cm edema at injection site. Pt states itches, swollen lymph node under R arm pit. Yellow fever injection was administered on 9/30/02.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 10/22/02 Localized reaction - redness, swelling at injection site. Improved on 10/24/02.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Approximately 24 hours after pneumonia injection in left deltoid, the arm became very red, hot and swollen. Patient described swelling as cottage cheese-like lumps in upper arm muscle. Took aspirin, arms less red and swollen today. Area is not hot to touch.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: 10/21/02 Patient called clinic to inform provider that she was sick after getting Pneumovax. Had a 4"x4" size local reaction in the left arm and temperature at 100 degrees F. Also lost several days at work.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site swelling
Clinical narrative: 10/12/02 Swelling began in left arm where Pneumovax was given. Local swelling in left upper arm from shoulder to elbow. No redness or fever. 10/13/02 Spread to proximal upper forearm on left. Seen in urgent care. Given Meclizine. Also started on prednisone. 10/15/02 Seen at provider's office. Swelling down per patient, at its worst swelling was about 6" diameter in upper arm. Usual is 2.5". Redness developed in left cheek. Continue prednisone until 17th.
Age: 5.6
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Pyrexia, Vomiting
Clinical narrative: Child received first ever flu vaccine and aobut 24 hours later developed tactile fever, warm with vomiting 4 episodes over 10 hour period. Some of these episodes provoked by meals.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Headache, Nausea, Pain, Swelling
Clinical narrative: Right deltoid site red, swollen (baseball size) since yesterday. 10/22/02 Headache, body aches, nausea since 10/22/02.
Age: 3.5
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Cyanosis, Pruritus, Wheezing
Clinical narrative: Approximately 15 minutes after receiving flu vaccine, child return complaining of elevated wheezing, palms itching and stomach ache. He developed some perioral cyanosis. He was given oral Benadryl, epinephrine, xopenex mininebulizer and oxygen. He was taken by EMS to hospital where he received systemic steroids and ongoing nebulizer treatment.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Erythema, Rash
Clinical narrative: Fine red, itching rash began on 10/17/02 11:30pm on arms and feet. Gradually progressed over most of body. No urticaria. Went to ER on 10/19/02 3am. Given Rx: Atarax and Prednisone. Red rash progressed to bruising in groin area.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Pallor, Pruritus, Staring
Clinical narrative: Pt immunized with Fluvirin about 1015A; pt came back about 12N with c/o feeling faint and itching. Pt's eyes were glass-like and she was pale. HR 80bpm and regular. No SOB. No resp. difficulty noted but pt stated her throat felt funny. Pt medicated with Benadryl 50mg IM at 1210P, EMS called and pt transported to  ER at 1220pm.
Age: 64.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: 10/18/02 provider saw pt at church event and noticed pt swelling, redness and pain in right arm. Pt started on Keflex. 10/21/02 provider saw pt in clinic. Pt reports fever and swelling was worse on Sunday. Redness improving swelling improving. Pt to continue on Keflex, ice and heat area.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Approximately 12-14 hrs after vaccine administration, pt developed urticarial rash all over body and mom denied any other new exposures (food, deterg) etc. in pt's environment. Pt treated with Benadryl 2-3d course and Prednisone.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 30 mins after shot I had welps all over my body.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia, Serum sickness, White blood cell count increased
Clinical narrative: Fever, chills, bodyache, 1wk co-incident with Altace starting increase WBC 24k. Serum sickness.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Pyrexia
Clinical narrative: Received Flu injection at 8am on 10/8/02. On 10/11/02 at 8:30am I became very hot and my skin felt like I was on fire/upon looking in the mirror. I was as red as a beet. I felt like hot led pouring all over me-this lasted 45mins. It happened again on 10/12/02 and again on 10/13/02 and last on 10/14/02.
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest discomfort, Pruritus, Urticaria
Clinical narrative: Hives/itching all over body. Chest and jaw tightness. Decrease blood pressure. Tx Benadryl, Epinephrine and steroidal injection then oral steroids.
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives/itching all over body. Chest and jaw tightness. Decrease blood pressure. Tx Benadryl, Epinephrine and steroidal injection then oral steroids.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Influenza vaccine administered 2pm.4:45pm began to itch all over. 9pm took Benadryl 50mg. Worse in morning. Took Dph 50g at 9am.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Rash
Clinical narrative: Flu shot admin. Pt denied any allergies. 1hr 45 mins pt came back to health dept. arm swollen, warm to touch and painful. Inst. to use ice compresses x 24hr then heat. Call MD or call 911 if resp. symptoms. 10/23 pt states has rash. 10/23 MD notified. Pt inst. to call MD and make an appt.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion
Clinical narrative: Pt with 2" x 4 1/2" bruise around injection site down arm. Yellow in color with dark purple at bottom states feeling better. Encouraged to call LMD. No ASA that am.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Patient had vaccine administered at 6PM. Noticed a red circle and slight swelling at 10AM the following morning. Red circle was quarter-sized when first noticed and has since grown to 4.5 inches wide and is warm and mildly itchy and sore 2 days later (48 hours).