chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: M
Vaccine: HEP, HIBV, IPV
Symptoms: Blood test normal, Electroencephalogram normal, Nuclear magnetic resonance imaging normal, Urine analysis normal
Clinical narrative: My son suffered five grand mal seizures two of which were in the hospital.  He was prescribed phenobarbital until his first birth day. 6/20/08-records received-for DOS 5/14-5/16/06-DC DX: Seizures. Presented to ED for seizure activity.Had a seizure in ED.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site papule, Insomnia
Clinical narrative: Patient received anthrax vaccine (right upper arm) on 25 Jul 07 and that day developed red raised pruritic papules around the injection site. Since that time, he develops almost nightly similar lesions that can spread from elbow to shoulder.  The lesions present prior to falling asleep and persist into the morning but self-resolve within a few hours of awakening.  No treatment attempted except patient has applied OTC moisturizers that have not resulted in any relief/resolution.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash generalised, Rash maculo-papular, Rash vesicular
Clinical narrative: 9 DAYS POST VACCINATIONS, CHILD DEVELOPED FULL BODY RASH THAT APPEARED TO BE AN ATYPICAL CHICHEN POX, MACULOPAPULAR. GREATER THAT 100 LESIONS, MILD FEVER. NO TREATMENT.
Age: 32.0
Sex: M
Vaccine: ANTH, HEP, TDAP, TYP
Symptoms: Arthralgia, Discomfort, Dizziness, Fatigue, Headache
Clinical narrative: Lightheadedness, mild joint pain, mild headache, muscle stiffness at injection sites, fatigue, all within 24 hours of injections.  Taking OTC Motrin for discomfort.
Age: 32.0
Sex: M
Vaccine: ANTH, HEP, TDAP, TYP
Symptoms: Injection site reaction, Musculoskeletal stiffness
Clinical narrative: Lightheadedness, mild joint pain, mild headache, muscle stiffness at injection sites, fatigue, all within 24 hours of injections.  Taking OTC Motrin for discomfort.
Age: 0.5
Sex: M
Vaccine: HIBV, RVX
Symptoms: Chest X-ray normal, Cough, Crying, Diarrhoea, Dyspnoea
Clinical narrative: Vaccine given at 11:30 am.  Vomiting- began 2 hours after vaccination, continued for 48 hours. Diarrhea for 48 hours.  Baby woke up with trouble breathing (12:00am).  Tongue looked swollen.  Coughing Began around this time.  Went to ER.  Chest Xray taken.  Thick, clear mucous drip began for next 24 hrs. Lethargic, crying.
Age: 0.5
Sex: M
Vaccine: HIBV, RVX
Symptoms: Influenza serology negative, Lethargy, Rhinorrhoea, Swollen tongue, Vomiting
Clinical narrative: Vaccine given at 11:30 am.  Vomiting- began 2 hours after vaccination, continued for 48 hours. Diarrhea for 48 hours.  Baby woke up with trouble breathing (12:00am).  Tongue looked swollen.  Coughing Began around this time.  Went to ER.  Chest Xray taken.  Thick, clear mucous drip began for next 24 hrs. Lethargic, crying.
Age: 18.0
Sex: F
Vaccine: HPVX, MEN
Symptoms: Cold sweat, Convulsion, Dyskinesia, Feeling hot, Gaze palsy
Clinical narrative: Within 5 minutes of the shots, my daughter walked out to the waiting room, sat next to me, told me what shots she had, said she needed some water, looked like not feeling well, I fanned her with the papers, her eyes rolled back, she stiffened, her body jerked, looked like a convulsion, it lasted less than a minute, as nurses and doctor came out to check her, her body relaxed, eyes were still closed, she said she had a dream.  Her head was very hot, her hair got wet with sweat, hands were cold and clammy.  Nurse said she fainted but I disagreed. In fainting, the body goes limp and drops. She went stiff and stayed above the chair, never fell. We gave her water, waited for about 15 minutes, nurse checked her blood pressure and let us go. When she came home she slept soundly for 1 hour. Later in the evening, she still had a low fever.  The next day her coloring is still pale.
Age: 18.0
Sex: F
Vaccine: HPVX, MEN
Symptoms: Hyperhidrosis, Malaise, Musculoskeletal stiffness, Pallor, Peripheral coldness
Clinical narrative: Within 5 minutes of the shots, my daughter walked out to the waiting room, sat next to me, told me what shots she had, said she needed some water, looked like not feeling well, I fanned her with the papers, her eyes rolled back, she stiffened, her body jerked, looked like a convulsion, it lasted less than a minute, as nurses and doctor came out to check her, her body relaxed, eyes were still closed, she said she had a dream.  Her head was very hot, her hair got wet with sweat, hands were cold and clammy.  Nurse said she fainted but I disagreed. In fainting, the body goes limp and drops. She went stiff and stayed above the chair, never fell. We gave her water, waited for about 15 minutes, nurse checked her blood pressure and let us go. When she came home she slept soundly for 1 hour. Later in the evening, she still had a low fever.  The next day her coloring is still pale.
Age: 18.0
Sex: F
Vaccine: HPVX, MEN
Symptoms: Pyrexia
Clinical narrative: Within 5 minutes of the shots, my daughter walked out to the waiting room, sat next to me, told me what shots she had, said she needed some water, looked like not feeling well, I fanned her with the papers, her eyes rolled back, she stiffened, her body jerked, looked like a convulsion, it lasted less than a minute, as nurses and doctor came out to check her, her body relaxed, eyes were still closed, she said she had a dream.  Her head was very hot, her hair got wet with sweat, hands were cold and clammy.  Nurse said she fainted but I disagreed. In fainting, the body goes limp and drops. She went stiff and stayed above the chair, never fell. We gave her water, waited for about 15 minutes, nurse checked her blood pressure and let us go. When she came home she slept soundly for 1 hour. Later in the evening, she still had a low fever.  The next day her coloring is still pale.
Age: 16.0
Sex: F
Vaccine: YF
Symptoms: Anxiety, Arthralgia, Bone pain, Depression, Fatigue
Clinical narrative: Within a few hours of receiving the vaccine I began feeling ill. Symptoms included nausea, headache, fatigue, general aches and pains. As time has passed, these symptoms have intensified. My symptoms now include chronic headache accompanied by random shooting pains on the left side of my head, constant nausea, severe food intolerances, chronic fatigue, muscle/bone/joint aches, periodic muscle tremors, short fainting spells, anxieties, depression, and insomnia. Since receiving the yellow fever vaccine I have also been diagnosed with thyroid problems and now take Synthroid daily. I can trace a drastic decline in my health to the time of the vaccine.
Age: 16.0
Sex: F
Vaccine: YF
Symptoms: Food intolerance, General physical health deterioration, Headache, Insomnia, Laboratory test
Clinical narrative: Within a few hours of receiving the vaccine I began feeling ill. Symptoms included nausea, headache, fatigue, general aches and pains. As time has passed, these symptoms have intensified. My symptoms now include chronic headache accompanied by random shooting pains on the left side of my head, constant nausea, severe food intolerances, chronic fatigue, muscle/bone/joint aches, periodic muscle tremors, short fainting spells, anxieties, depression, and insomnia. Since receiving the yellow fever vaccine I have also been diagnosed with thyroid problems and now take Synthroid daily. I can trace a drastic decline in my health to the time of the vaccine.
Age: 16.0
Sex: F
Vaccine: YF
Symptoms: Malaise, Myalgia, Nausea, Pain, Syncope
Clinical narrative: Within a few hours of receiving the vaccine I began feeling ill. Symptoms included nausea, headache, fatigue, general aches and pains. As time has passed, these symptoms have intensified. My symptoms now include chronic headache accompanied by random shooting pains on the left side of my head, constant nausea, severe food intolerances, chronic fatigue, muscle/bone/joint aches, periodic muscle tremors, short fainting spells, anxieties, depression, and insomnia. Since receiving the yellow fever vaccine I have also been diagnosed with thyroid problems and now take Synthroid daily. I can trace a drastic decline in my health to the time of the vaccine.
Age: 16.0
Sex: F
Vaccine: YF
Symptoms: Thyroid disorder, Tremor
Clinical narrative: Within a few hours of receiving the vaccine I began feeling ill. Symptoms included nausea, headache, fatigue, general aches and pains. As time has passed, these symptoms have intensified. My symptoms now include chronic headache accompanied by random shooting pains on the left side of my head, constant nausea, severe food intolerances, chronic fatigue, muscle/bone/joint aches, periodic muscle tremors, short fainting spells, anxieties, depression, and insomnia. Since receiving the yellow fever vaccine I have also been diagnosed with thyroid problems and now take Synthroid daily. I can trace a drastic decline in my health to the time of the vaccine.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Death
Clinical narrative: (Less than 1 week after vaccines ) Death 3/23/08 - found dead in crib 3/23/08 AM by mother. Pronounced dead at the scene. Autopsy pending. Unknown if related to vaccines. 6/20/08-records received-final cause of death:Sudden Infant Death Syndrome. 6/20/08-autopsy report:findings included intrathoracic petechiae, umbilical hernia, tibial subperiosteal new bone formation and right hydrocele.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Hyperaesthesia, Pain
Clinical narrative: 65mm x 65mm erythema area around left deltoid.  Painful to touch.  Occurred today, 4-1-08.  Mother applied cold compresses.  Informed mom to continue with compresses and give Tylenol for pain.  Return to clinic if worsens.
Age: 19.0
Sex: F
Vaccine: HPVX
Symptoms: Chest X-ray abnormal, Cough, Dysphonia, Dyspnoea, Lobar pneumonia
Clinical narrative: HPV given 11/20/07 - In clinic 11/25/07 with 5 days of cough, hoarseness, fever.  Non-productive cough - sore throat, stiff neck - hurting to take deep breath.
Age: 19.0
Sex: F
Vaccine: HPVX
Symptoms: Musculoskeletal stiffness, Pharyngolaryngeal pain, Pleural effusion, Pyrexia
Clinical narrative: HPV given 11/20/07 - In clinic 11/25/07 with 5 days of cough, hoarseness, fever.  Non-productive cough - sore throat, stiff neck - hurting to take deep breath.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Syncope, Syncope vasovagal
Clinical narrative: Syncopal episode x 2, red hand/forearm same side as injection.  Seen in ER, diagnosed varovagal reaction, no evidence allergic reaction.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Flushing, Hypersensitivity, Vaccination complication
Clinical narrative: Client RTC with complaints of feeling flushed and redness over chest area after leaving the clinic upon receiving the TdaP.  Reddened area to chest and back area noted.  Advised to go to ER with shot record.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP, VARCEL
Symptoms: Rash, Rash vesicular
Clinical narrative: Varicella from rash diffusely on trunk and face #30.  Sudden onset as seen 1 day prior and no symptoms.  Had received Varivax on 3/6/08.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Chest X-ray normal, Feeling abnormal, Laboratory test normal, Nausea, Pyrexia
Clinical narrative: Vertigo within 5 min of inj subsided in 15 min. Feeling not quite right all afternoon. 1:00 am fever - 2 Motrin given. 2:30 am too to ER, T 102, N&V. Blood work up and CXR - WNL. Fever ended by evening. Normal activity.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Vertigo, Vomiting
Clinical narrative: Vertigo within 5 min of inj subsided in 15 min. Feeling not quite right all afternoon. 1:00 am fever - 2 Motrin given. 2:30 am too to ER, T 102, N&V. Blood work up and CXR - WNL. Fever ended by evening. Normal activity.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Blood urine present, Full blood count normal, Laboratory test, Oedema peripheral, Pruritus
Clinical narrative: Had fever, swelling of both arms and feet, with itching. Some rash on lower (L) arm. Benadryl PO at home. Medrol dose pak given.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia, Rash, Urine analysis abnormal, Urine protein, quantitative
Clinical narrative: Had fever, swelling of both arms and feet, with itching. Some rash on lower (L) arm. Benadryl PO at home. Medrol dose pak given.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial palsy
Clinical narrative: 3-7-08 pt noticed left eyelid drooping. 3-8-08 pt noticed left side of mouth drooping. 3-9-08 to ER - prednisone given.  5/16/08 Reviewed ER & clinic medical records. FINAL ER DX: acute Bell's palsy. ER records of 3/9/08 reveal patient experienced left facial droop, left facial weakness, unable to close left eye or wrinkle left forehead, increased tearing left eye, left eyelid puffy x 2 days.  Tx w/steroids, antivirals & eye ointment/patching.  D/C to home.  PCP f/u on 3/17/08 showed improvement but still w/left facial droop & upper back/neck pain.  Tx w/continued meds.  Was to see ophthal.  Returned to PCP on 4/17/08 improved but had continued significant left facial droop, left upper eyelid droop.
Age: 28.0
Sex: F
Vaccine: TYP
Symptoms: Consciousness fluctuating, Headache, Heart rate increased, Respiratory rate increased
Clinical narrative: Approximately 1 hour after vaccine, severe headache, erratic breathing, racing pulse, in/out of conscience.  No treatment given - nothing to counter act the vaccine available.  Monitored 3 hours by medical, 24 hour watch by family/friends.
Age: 40.0
Sex: M
Vaccine: RAB
Symptoms: Abdominal pain upper
Clinical narrative: Injection on 03-30-08 - Donor called in to center on 03-31-08 to report stomach cramps after receiving Rabies vaccination.  No pain at injection site.  Denies rash, swelling or SOB.
Age: 15.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: No adverse events happened.  Dtap was given instead of a Tdap.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Somnolence, Vomiting
Clinical narrative: Pt left office after vaccination & returned 5 hours later with fever at home 103 given Tylenol -> fever 101 in our office.  Somnolent and vomited.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 3/14/08 AM noted L arm had redness, warmth & swelling.  Child had difficulty raising arm.  Taken to ER 3/14 PM.  Area of redness measured 3" wide x 6" long.  Child was given Benadryl and put on prednisone x 4 days.  Talked with pt on 3/17 & child doing okay now.  Maybe a little swelling left in arm.
Age: 0.3
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: M is not certain if this child was given MMR or HIB on 4/17/07.  On paper the nurse documented that she was giving HIB & in the computer she documented giving MMR.
Age: 0.98
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt. was given VARICELLA vaccine 1 week prior to 12 mos. birthday.
Age: 36.0
Sex: F
Vaccine: HEPA
Symptoms: Expired drug administered
Clinical narrative: Hepatitis A #2 given-Vaccine administered 03-10-08, but expired 03-09-08.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Contusion, Injection site discharge, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Red, raised, painful area 2'x2" at site of injection (L) upper arm with 6x2 cm area Zylol med on injection site with 10.5 x 12 cm pus area around it. 2x32 purple bruise below rahs on arm.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: 21 papules on arms back abdomen no fever
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 7x5 cm red swollen warm area right deltoid. Varivax given 3-25-08 right deltoid
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Swelling, pain erythema and then induration at site of vaccine
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling
Clinical narrative: Reaction to immunization received 3/3/08 and redness and swollen (L) thigh Temp. 101 deg reaction 7cm x 6cm
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain
Clinical narrative: Reaction to VARICELLA- (+) redness (+) soreness
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Crying, Irritability, Muscle rigidity, Oedema peripheral
Clinical narrative: 4 hrs after vaccine sudden onset of intense crying (inconsolable) arching back rigid could not put in carseat both legs swollen temp began with irritability T max 103 similar event at 2mos when received no series at 4 mos had HIB only- fussy, temp 99 but much less than when he had all 3 shots at 2mos + 6 mos
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Opisthotonus
Clinical narrative: 4 hrs after vaccine sudden onset of intense crying (inconsolable) arching back rigid could not put in carseat both legs swollen temp began with irritability T max 103 similar event at 2mos when received no series at 4 mos had HIB only- fussy, temp 99 but much less than when he had all 3 shots at 2mos + 6 mos
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Varicella
Clinical narrative: Developed approximately 30 chicken pox 10 days after administration of vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Cellulitis, Hypersensitivity, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling to (R) deltoid-child taken to urgent care-dx Cellulitis and Allergic Reaction. Given BACTRIM 200mg/5ml-9 ml po BID for 10 days. Area not measured by urgent care-resolved by 3/5/08 when mom came in to report it.
Age: 17.0
Sex: F
Vaccine: TYP
Symptoms: Alopecia, Dizziness, Hallucination, Pyrexia
Clinical narrative: c/o hallucinations-spider and roaches crawling and fever hair coming out 4 hours post vaccination. C/O mild dizziness s/sx lasted approximately 4 hours. Client took vaccine on empty stomach. Next a.m. completely resolved.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Quarter-sized red, raised area on (L) thigh, warm to touch. Tx: BENADRYL po, MOTRIN prn, warm compresses.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Headache, Oedema peripheral, Pain in extremity
Clinical narrative: Large area on arm swelled, hot, bright red and painful.  Area approximately 5"x6".  Headache.  Duration approximately 2 weeks.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Skin lesion
Clinical narrative: Multiple lesions were seen on neck, shoulders, upper aspect of arms, chest, anterior and posterior aspect of trunk also on all parts of arms, upper part of thighs and buttocks, amount of lesions were more than 100. Lesion were all stages of development, slightly raised vesicles that previously were ruptured lesions were circlar in shape ranging between 1/4cm to 1cm in diameter.
Age: 13.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Blood pressure decreased, Dizziness, Feeling cold, Heart rate decreased, Hyperhidrosis
Clinical narrative: ten minutes after received vaccines. pt felt dizziness, diaphoric and extremely cold. BP 64/40, pulse 55. Pt felt better after OJ given. Pt has vagus reaction. At 4:30 pm, BP 88/59 p 60. Pt is feeling better. A&Ox3. D/C pt home.
Age: 13.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Syncope vasovagal
Clinical narrative: ten minutes after received vaccines. pt felt dizziness, diaphoric and extremely cold. BP 64/40, pulse 55. Pt felt better after OJ given. Pt has vagus reaction. At 4:30 pm, BP 88/59 p 60. Pt is feeling better. A&Ox3. D/C pt home.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Blood creatine phosphokinase, Injection site pain, Laboratory test, Red blood cell sedimentation rate, X-ray
Clinical narrative: Patient continue to have pain at site of injection.  Treated with ibuprofen, Lortab without relief, no infection noted.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Pain, Rash, Rash pruritic
Clinical narrative: Pt. noticed rash on L arm, initially blistery, pruritic, stinging. Two other areas on L arm have developed. Characteristic pattern of shingles, lesions appear to stay in L dermatome, possible C6. Lesions are crusted over and don't require treatment: over 10 days from onset. Follow up in 2 weeks.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Scab, Skin lesion
Clinical narrative: Pt. noticed rash on L arm, initially blistery, pruritic, stinging. Two other areas on L arm have developed. Characteristic pattern of shingles, lesions appear to stay in L dermatome, possible C6. Lesions are crusted over and don't require treatment: over 10 days from onset. Follow up in 2 weeks.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Lymphadenopathy, Malaise, Pharyngolaryngeal pain
Clinical narrative: CFS sxs started after AVA 1-3 while in foreign country and received the anthrax vaccine. Symptom: Restless sleep Symptom: Fatigue, Malaise >60 Days Symptom: Cognitive deficiency Symptom: Lymphadenopathy, anterior cervical chain Comment: with intermittent sore throats
Age: 47.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Moderate to severe R arm swelling and pain at injection site with migration to elbow.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Cold sweat, Computerised tomogram, Dizziness, Dysarthria, Gait disturbance
Clinical narrative: Immediate symptoms cold sweat, "woosy", pale.  Gait affected, slurred speech.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Immediate post-injection reaction, Laboratory test, Pallor
Clinical narrative: Immediate symptoms cold sweat, "woosy", pale.  Gait affected, slurred speech.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Mother called the next day 3-28-08, stating that after daughter received the HPV vaccine that she was up all night throwing up.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Expired drug administered
Clinical narrative: Outdated med.  Dating 08Mar07 interpreted as March 7, 2008.
Age: 54.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Nausea, Vomiting
Clinical narrative: Pt. c/o severe abdominal pain, nausea, and vomiting within 4-7 days of receiving Hepatitis B vaccination.  Pt. went to E.R. 4 days after first dose given on 09/25/07.  Symptoms occurred again 8 days after receiving 2nd dose on 10/30/07.  Pt. states less severe, no E.R. visit, F/U with PCP.  PCP felt that symptoms were coincidental after dose 1 & 2 of HBV.  Symptoms occurred again 7 days after receiving 3rd dose on 03/25/08.  Less severe than after previous two doses.  No E.R. visit.  Did miss work for day.
Age: 64.0
Sex: F
Vaccine: MNQ
Symptoms: Expired drug administered
Clinical narrative: Outdated med 08Mar07 interpreted as March 7, 2008.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: TDAP vaccine was given March 26, 2008, left deltoid IM.  Within one hour, site reddened, itchy, patient complaining of pain.  Symptoms subsided temporarily approximately 48 hours after.  On 4/01/2008, symptoms returned with increased severity (erythema and warmth to touch).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Patient was given DTaP and IPV, IM L Deltoid on 31Mar08.  Patient returned to clinic on 02Apr08 with C/O swelling, redness, and pain to L deltoid. No fever noted. Patient dx w/cellulitis to L deltoid and Tx'd w/Abx (Clindamycin).
Age: 2.0
Sex: F
Vaccine: DTP
Symptoms: Pyrexia
Clinical narrative: Fever staying between 105 and 105.9 degrees (orally) for 48 hours without respite, beginning 24 hours after vaccination.  Called administering health department and was advised to contact our pediatrician.  Pediatrician was not concerned, gave no advice, did no follow-up, did not believe this to be vaccine related.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Blood pressure, Chest X-ray normal, Chills, Electrocardiogram change, Feeling hot
Clinical narrative: Pt received 4 vaccines afterwards was pale, lethargic, nauseated, shaky, warm feeling then got chills.  Patient placed on back on table with knees bent, crackers x2 and juice x1 was given to the patient without difficulty. Tried to sit patient up x2 patient felt worse. Ambulance called, patients Heart Rate was 166 Blood Pressure 132/62 Spo2 100%, O2 applied EKG applied, EKG changes observed, transferred to Emergency Room by ambulance and Admitted.  4/22/08 Reviewed hospital medical records of 4/1-4/2/2008. FINAL DX: near syncope, tachycardia, exaggerated autonomic response. Records reveal patient experienced dizziness, lightheadedness, pallor & tachycardia of 180-190 immediately after vaccinations.  In ER, heart rate was WNL when lying down but when set up, immediately became tachycardic 150-160.  Admitted overnight for observation.  Continued to have tachycardia overnight but was asymptomatic.  Pediatric cardio consulted.  Progressed & asymptomatic & d/c to home.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Heart rate increased, Lethargy, Nausea, Oxygen supplementation, Pallor
Clinical narrative: Pt received 4 vaccines afterwards was pale, lethargic, nauseated, shaky, warm feeling then got chills.  Patient placed on back on table with knees bent, crackers x2 and juice x1 was given to the patient without difficulty. Tried to sit patient up x2 patient felt worse. Ambulance called, patients Heart Rate was 166 Blood Pressure 132/62 Spo2 100%, O2 applied EKG applied, EKG changes observed, transferred to Emergency Room by ambulance and Admitted.  4/22/08 Reviewed hospital medical records of 4/1-4/2/2008. FINAL DX: near syncope, tachycardia, exaggerated autonomic response. Records reveal patient experienced dizziness, lightheadedness, pallor & tachycardia of 180-190 immediately after vaccinations.  In ER, heart rate was WNL when lying down but when set up, immediately became tachycardic 150-160.  Admitted overnight for observation.  Continued to have tachycardia overnight but was asymptomatic.  Pediatric cardio consulted.  Progressed & asymptomatic & d/c to home.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Tremor
Clinical narrative: Pt received 4 vaccines afterwards was pale, lethargic, nauseated, shaky, warm feeling then got chills.  Patient placed on back on table with knees bent, crackers x2 and juice x1 was given to the patient without difficulty. Tried to sit patient up x2 patient felt worse. Ambulance called, patients Heart Rate was 166 Blood Pressure 132/62 Spo2 100%, O2 applied EKG applied, EKG changes observed, transferred to Emergency Room by ambulance and Admitted.  4/22/08 Reviewed hospital medical records of 4/1-4/2/2008. FINAL DX: near syncope, tachycardia, exaggerated autonomic response. Records reveal patient experienced dizziness, lightheadedness, pallor & tachycardia of 180-190 immediately after vaccinations.  In ER, heart rate was WNL when lying down but when set up, immediately became tachycardic 150-160.  Admitted overnight for observation.  Continued to have tachycardia overnight but was asymptomatic.  Pediatric cardio consulted.  Progressed & asymptomatic & d/c to home.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Corneal disorder, Keratitis
Clinical narrative: Pt developed subepithelial corneal infiltrates in her right eye 1 month after the injection.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity, Pharyngolaryngeal pain, Pyrexia, Vaccine positive rechallenge
Clinical narrative: The day after, patient ran a 104F plus fever. His throat hurt, arms and legs hurt. This went on for 3 1/2 days.  This is the 3rd year he has gotten sick after the flu shot.  This can not be a coincidence.  No one else in the family catches this from him.  He is the only one who ends up sick.  He now seems to have reoccurring symptons every 6 weeks.  We administer Tylenol and Motrin.  That seems to keep the fever in track and I use a wet cold rag on his forehead.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Ataxia, Tremor, Vomiting, Weight decreased
Clinical narrative: Reported that 2 days after MMR on 3/17/09 she developed tremors to arms and legs.  She also stated vomiting and weight loss.
Age: 0.4
Sex: M
Vaccine: HIBV
Symptoms: Cyanosis, Death
Clinical narrative: Patient found cyanotic in crib and dead on 3/25/08 7/10/08-autopsy report received-COD: positional asphyxia. Accident, prone face down positiong on soft bedding in crib.
Age: 2.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, PNC, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Right leg with significant swelling, erythema, and pain.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Anorexia, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: 3-17-08 Soreness in arm that persisted till 3-27-08;  3-18-08 Loss of appetite that persisted till 3-21-08; 3-18-08 Tiredness that lasted till current; 3-18-08 Headache that persisted till 3-22-08; 3-22-08 Nausea that persisted till 3-23-08; 3-19-08 Low Grade Fever that lasted till 3-21-08.  On 3-19-08 The Health center was called and notified, their response was that it could not be from the immunization and not to worry.  On 4-01-08 when the tiredness continued family physician was contacted and child was placed on medication and we were told if symptoms did not clear in 2-3 days bloodwork and a chest x-ray would need to be done.  We are waiting at this point to see if this will need to be done.  Family Physician suggested filing this report.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: 3-17-08 Soreness in arm that persisted till 3-27-08;  3-18-08 Loss of appetite that persisted till 3-21-08; 3-18-08 Tiredness that lasted till current; 3-18-08 Headache that persisted till 3-22-08; 3-22-08 Nausea that persisted till 3-23-08; 3-19-08 Low Grade Fever that lasted till 3-21-08.  On 3-19-08 The Health center was called and notified, their response was that it could not be from the immunization and not to worry.  On 4-01-08 when the tiredness continued family physician was contacted and child was placed on medication and we were told if symptoms did not clear in 2-3 days bloodwork and a chest x-ray would need to be done.  We are waiting at this point to see if this will need to be done.  Family Physician suggested filing this report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Patient received 4yr immunizations on 03/31/08 and mother noticed redness on left thigh. Mother states the redness started half the size that the redness today. No complaints of pain, no fever. Mother applied warm compress to the site. Seen by physician today, advised warm compress and Advil PO.
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Pain
Clinical narrative: 13 hours after receiving Dtap shot I came down with severe chills, fever, vomiting, headache, and 1 diarrhea.  Fever got close to 103 and lasted most of the day as did the vomiting.  Fever broke after taking ibuprofen around 5:00 in the afternoon.  I feel better today after one day of being in the bed sick but I am very weak and sore.  I do not have health insurance so I rode it out.
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: 13 hours after receiving Dtap shot I came down with severe chills, fever, vomiting, headache, and 1 diarrhea.  Fever got close to 103 and lasted most of the day as did the vomiting.  Fever broke after taking ibuprofen around 5:00 in the afternoon.  I feel better today after one day of being in the bed sick but I am very weak and sore.  I do not have health insurance so I rode it out.
Age: 1.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Blood test normal, Body temperature increased, Cyanosis, Ear infection, Foaming at mouth
Clinical narrative: Mother states child was seen for well baby visit on November 14, 2007, during visit, child received "six shots".  Following visit, mother and child returned home; "around 4:00 PM", the child began "shaking bad".  Mother indicated she had "never saw him like that."  An ambulance was called and transported the child to ER.  The temperature in the emergency was 104; mother states ER physician explained this was normal.  Child was monitored in ER for three hours, given Tylenol, no other diagnosis.  Following three hours, child was discharged from ER. Mother purchased Tylenol and Motrin, returned home and alternated medication at home.  Following this, mother and child went to visit child's grandmother.  Child was fine rest of the evening, then around midnight the shaking symptoms returned. States he was "shaking all over, eyes were white, fingers purple, foam around mouth."  Ambulance was called and transported to emergency room.  Temperature in ER was 104.  Mother related to ER staff the temp. may be related to the immunizations.  She states ER staff asked why so many vaccines were given?  Blood work and urine tests were obtained.  ER staff related to mother the tests were OK and the temp. may have been caused by the immunizations.  Child again released from ER.  Family returned to home; mother continued to administer Tylenol and Motrin every 4-6 hours as ER had instructed.  Mother states, after episode, child was fine and playing.  On January 27, 2008 mother and child were in the park.  While there, the child laid down and presented the same symptoms of eyes white, fingers purple, foam around mouth.  Temperature was 104, ambulance called, transported to ER; blood, urine tests, and x-ray were performed.  Child was admitted to the hospital from 1-27 to 2-3-08, diagnosis of flu.  Mother has since transferred care to PMD.  On March 5, 2008, child had same symptoms.  Mother states, she called the physician who instructed her to bring the child into the office.  When child was seen by PMD on March 5, diagnosis of ear infection was given.  Child's mother and grandmother concerned over repeated episodes, and have discussed concerns with child's physician.  States child has had no further episodes.  5/13/08 Reviewed hospital medical records of 1/31-2/3/08, ER records of 11/14/2007 & 3/4/2008. FINAL ER DX of 11/14/2007: febrile seizure s/p immunizations. 11/14/2007 ER records reveal patient experienced seizure activity at home, none while in ER.  Tx w/fluids & antipyretics & d/c to home   1/31-2/3/2008 hospitalization FINAL DX: febrile seizure; viral syndrome influenza A (+) w/fever & URI. Patient experienced shaking of UEs, rolling up of eyes lasting for approx 5 min.  Developed nasal congestion on day of admission.  Tx w/IV fluids & antipyretics.  Responded well & afebrile on d/c to home.   3/4/2008 ER records reveal patient experienced fever, shaking chills, wheezing.  FINAL ER DX: viral illness & fever
Age: 1.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Gaze palsy, Influenza, Tremor, Urine analysis normal, X-ray
Clinical narrative: Mother states child was seen for well baby visit on November 14, 2007, during visit, child received "six shots".  Following visit, mother and child returned home; "around 4:00 PM", the child began "shaking bad".  Mother indicated she had "never saw him like that."  An ambulance was called and transported the child to ER.  The temperature in the emergency was 104; mother states ER physician explained this was normal.  Child was monitored in ER for three hours, given Tylenol, no other diagnosis.  Following three hours, child was discharged from ER. Mother purchased Tylenol and Motrin, returned home and alternated medication at home.  Following this, mother and child went to visit child's grandmother.  Child was fine rest of the evening, then around midnight the shaking symptoms returned. States he was "shaking all over, eyes were white, fingers purple, foam around mouth."  Ambulance was called and transported to emergency room.  Temperature in ER was 104.  Mother related to ER staff the temp. may be related to the immunizations.  She states ER staff asked why so many vaccines were given?  Blood work and urine tests were obtained.  ER staff related to mother the tests were OK and the temp. may have been caused by the immunizations.  Child again released from ER.  Family returned to home; mother continued to administer Tylenol and Motrin every 4-6 hours as ER had instructed.  Mother states, after episode, child was fine and playing.  On January 27, 2008 mother and child were in the park.  While there, the child laid down and presented the same symptoms of eyes white, fingers purple, foam around mouth.  Temperature was 104, ambulance called, transported to ER; blood, urine tests, and x-ray were performed.  Child was admitted to the hospital from 1-27 to 2-3-08, diagnosis of flu.  Mother has since transferred care to PMD.  On March 5, 2008, child had same symptoms.  Mother states, she called the physician who instructed her to bring the child into the office.  When child was seen by PMD on March 5, diagnosis of ear infection was given.  Child's mother and grandmother concerned over repeated episodes, and have discussed concerns with child's physician.  States child has had no further episodes.  5/13/08 Reviewed hospital medical records of 1/31-2/3/08, ER records of 11/14/2007 & 3/4/2008. FINAL ER DX of 11/14/2007: febrile seizure s/p immunizations. 11/14/2007 ER records reveal patient experienced seizure activity at home, none while in ER.  Tx w/fluids & antipyretics & d/c to home   1/31-2/3/2008 hospitalization FINAL DX: febrile seizure; viral syndrome influenza A (+) w/fever & URI. Patient experienced shaking of UEs, rolling up of eyes lasting for approx 5 min.  Developed nasal congestion on day of admission.  Tx w/IV fluids & antipyretics.  Responded well & afebrile on d/c to home.   3/4/2008 ER records reveal patient experienced fever, shaking chills, wheezing.  FINAL ER DX: viral illness & fever
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Parent called HD and reported that son has a redden area that is swollen on the back of his arm. It is warm to touch and he has a fever ( but doesn't have a thermometer to take it). RN told parent to give Tylenol for fever, use Benadryl by mouth and Caladryl to area and cool compress.
Age: 8.0
Sex: M
Vaccine: IPV, TD
Symptoms: Medication error, No adverse event
Clinical narrative: Child moved here from another state getting enrolled in school. Received shots 3/19/08 prior to move. These shots were not noticed until after client had left. Received additional TD and IPV. Mother notified by telephone. To call nurse if child had any local reactions. No reactions reported.
Age: 14.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Eythema - swelling, redness, pain to injection area SC area of lt. arm (4" x 4") symptoms increased from date of administration and was worse on 4-1-08 slightly reduced 4-2-08 but still consulted with Dr.
Age: 10.0
Sex: M
Vaccine: IPV
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Child moved here from another state, getting enrolled in school. Received shots 3/19/08 prior to move. These shots were not noticed until after the client had left the clinic. Received additional IPV. Mother notifed by telephone. To call nurse if child had any local reactions. No reactions reported.
Age: 1.6
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: The patient's mother stated that on Tuesday morning the day after she received her immunizations there was a red area at the injection site. By Tuesday night the red area bigger and hard. On Wednesday morning the spot was still big and hard. It was also warm to the touch.
Age: 6.0
Sex: F
Vaccine: DTAP, VARZOS
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: On 4/1/08 upon entering the vaccines into child profile, I noticed that the lot number did not match the varicella in stock. I did more research and found the lot number to match that of the adult Zostavax. Pt was to receive varicella number 2 but was mistakenly given Zostavax. The provider contacted the mother and child was doing fine however we did recommend the patient go to er if needed and follow up to discuss mistake.  Pt at that time was not having any reaction.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal pain upper, Diarrhoea, Erythema, Neck pain, Urticaria
Clinical narrative: I experienced severe stomach cramps, diarrhea, vomiting, turned bright red and had severe hives for about an hour all over my body, including my feet. Itching so bad I rubbed the skin off the back of my hand trying to get relief with a cold wet washcloth. I took my usual allergy pills, Sudafed, Singulair and doxepin, as well as two Benadryl. It took an hour for the itching to stop. The next day I had pain in the back of my neck and lower back and stomach cramps after eating. I took Naproxen for that. I didn't have anymore vomiting or hives though.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Vomiting
Clinical narrative: I experienced severe stomach cramps, diarrhea, vomiting, turned bright red and had severe hives for about an hour all over my body, including my feet. Itching so bad I rubbed the skin off the back of my hand trying to get relief with a cold wet washcloth. I took my usual allergy pills, Sudafed, Singulair and doxepin, as well as two Benadryl. It took an hour for the itching to stop. The next day I had pain in the back of my neck and lower back and stomach cramps after eating. I took Naproxen for that. I didn't have anymore vomiting or hives though.
Age: 12.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Crying, Diarrhoea, Immediate post-injection reaction, Insomnia, Laboratory test abnormal
Clinical narrative: After his MMR/Varicella, he experienced immediate fever, continual crying episodes, severe, explosive, chronic diarrhea and ever since has NOT had a solid stool. He could not fall asleep unless he was held, in the swing, or driving in the car (required movement).
Age: 12.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Mitochondrial cytopathy, Pyrexia
Clinical narrative: After his MMR/Varicella, he experienced immediate fever, continual crying episodes, severe, explosive, chronic diarrhea and ever since has NOT had a solid stool. He could not fall asleep unless he was held, in the swing, or driving in the car (required movement).
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody, Back pain, Full blood count, Injection site infection, Injection site pain
Clinical narrative: with both 1st and 2nd injection pt experienced muscle stiffness, Back pain that limited ROM and throbbing pain at inj site that lasted 2-3 weeks. Initial tx was to treat with KEFLEX x10days and had 10 days doses for injection site infection. The very same sx's occurred with 2nd injection. Pt given KEFLEX x10days, MOTRIN, told to take BENADRYL
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Joint range of motion decreased, Musculoskeletal stiffness, Red blood cell sedimentation rate, Rheumatoid factor, Vaccine positive rechallenge
Clinical narrative: with both 1st and 2nd injection pt experienced muscle stiffness, Back pain that limited ROM and throbbing pain at inj site that lasted 2-3 weeks. Initial tx was to treat with KEFLEX x10days and had 10 days doses for injection site infection. The very same sx's occurred with 2nd injection. Pt given KEFLEX x10days, MOTRIN, told to take BENADRYL
Age: 10.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Large area of warm erythema over tricep area R arm.
Age: 0.77
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None-6 mo schedule given at 6 mo and 9 mo
Age: 0.18
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, MMR, PNC, RV5, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None to date
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Injection site erythema, Injection site papule, Swelling
Clinical narrative: red "pimple-like" dots below injection site. Redness down to elbow slight swelling
Age: 0.49
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: urticaria day after vaccines only other med was TYLENOL. no resp no GI s/s.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Received varicella vaccine L arm on 3/31/08.  Patient brought by mom today 4-2-08 with swelling, redness, bullae, warm to touch on vaccine site.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Convulsion, Electroencephalogram normal
Clinical narrative: Generalized seizure after/during the vaccines given happens while in process of administering the 2nd vaccine
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Faeces discoloured, Frequent bowel movements, Haematochezia, Mucous stools, Occult blood
Clinical narrative: 48 hrs from vaccine increased stools.  72 hrs increased stools with mucous/stringy blood.  At 4 days stools now yellow seedy, no mucous, no gross blood but hemacult positive.  No vomit, pleasant, nursing well.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Occult blood positive
Clinical narrative: 48 hrs from vaccine increased stools.  72 hrs increased stools with mucous/stringy blood.  At 4 days stools now yellow seedy, no mucous, no gross blood but hemacult positive.  No vomit, pleasant, nursing well.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Frequent bowel movements, Haematochezia, Mucous stools, Occult blood positive
Clinical narrative: 48 hrs from vaccine increased stools.  72 hrs increased stools with mucous/stringy blood.  At 4 days stools now yellow seedy, no mucous, no gross blood but hemacult positive.  No vomit, pleasant, nursing well.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: Local erythema, swelling, mild induration with c/o pruritis
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: Localized erythema, swelling, mild induration with c/o pruritis
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: patient presented to clinic with a positive case of chickenpox. She did get a varicella vaccination
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Swelling
Clinical narrative: Pt got pneumococcal vaccine at medical center 3/31/08. Had chills that night then swelling/erythema of left arm. Injection site was in mid triceps according to the father
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Rt. upper arm from elbow to 3 inches below shoulder, redness and swelling was noted, this wrapped around the arm.  The reddened area was warm and painful to touch.  She was unable to raise her arm.  This lasted from 11/30/06 at 6:00 PM until 12/4/06.  She iced the area frequently and the symptoms gradually subsided.