chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nausea, Palpitations
Clinical narrative: Shot on DEC 21-2009 DEC 22 Dizzy, nausea, muscle ache, weakness, no appetite, hospital DEC 24 and 25th many Dr visits hoarseness, cough, still ill Feb 26-2010. Rapid heart.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Seizure on 10/10/09 - 3 minutes. Taken to ER and released that evening. Sent to Dr  at hospital. 1 EEG and 2 MRI's taken on 10/12/09 and 2/2/10.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Patient received H1N1 vaccine at 0915. Around 920a she began to experience mild chest pain and tightness, mild shortness of breath and mild dizziness.
Age: 40.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Headache, Pain, Sinus headache
Clinical narrative: Head aches, body aches & pain. Severe sinus. Started same week. I would say same day and has not gone away to this day.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Fatigue, Pyrexia
Clinical narrative: Onset fever day of vaccine, max temp (103.5 x 4 d), stomach pain, fatigue since shot given.
Age: 82.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Asthenia, Crying, Musculoskeletal pain, Oedema peripheral
Clinical narrative: Very weak, all joints ache, pain, woke up during sleep, pain brought tears, pain radiate shoulders to fingertips. Swollen fingers, very sore buttocks after 15 minutes sitting. Except knee its (artificial).
Age: 82.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pain, Sleep disorder
Clinical narrative: Very weak, all joints ache, pain, woke up during sleep, pain brought tears, pain radiate shoulders to fingertips. Swollen fingers, very sore buttocks after 15 minutes sitting. Except knee its (artificial).
Age: 24.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Convulsion, Hypotension, Immediate post-injection reaction, Pallor, Unresponsive to stimuli
Clinical narrative: Was given vaccines and patient immediately became pale and non responsive. Given O2, BP 70/50, was given Benadryl 50 mg IM and Epi. Patient had seizure like activity was transported by ambulance to local ER.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Dyspnoea, Irritability, Pyrexia
Clinical narrative: Fever 101.6, diarrhea, fussy, decreased appetite, "hard" breathing.
Age: 0.76
Sex: U
Vaccine: HEP, HIBV
Symptoms: Incorrect storage of drug
Clinical narrative: 2/23/10 Baby had an early WCC visit and given vaccine update of #3 RECOMBIVAX. When did daily AM check of refrigerator temps, found this refridge out of range-thermometer record showed too cold @ 30 degrees F from 5p-9:30 when found. Merck advised re-administer vaccine.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Cough, Nausea, Sinus congestion
Clinical narrative: Employee states "ever since I took my H1N1 flu vaccination on 10/29/09, I have had sinus congestion and decreased energy; I also have a cough and some nausea." Employee reported these symptoms on 2/24/10 @1430. Saw personal physician on 12/30/09, prescribed AMOXICILLIN x 10 days, with relief of sinus congestion, nausea and cough. Currently c/o continued decreased energy and persistent sinus congestion. Denies allergies. On 2/24/10 the employee was advised to F/U with her personal physician.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Amino acid level normal, Antinuclear antibody positive, Blood lead normal, Blood thyroid stimulating hormone decreased, Fatigue
Clinical narrative: 11/21/09 - numbness in feet. 11/25 - spread to legs. 11/26 - numb feeling from arms progressing to finger tips, muscle twitches, irritable, fatigued, headache. At flu exam 12/14 - stocking glove numbness and mild weakness of interossci, dorsiflexors, plantar flexors. FAAG NCS - normal. 1/18/10 exam - improved strength, sensory symptoms resolved on exam.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Full blood count normal, Headache, Hypoaesthesia, Irritability, Laboratory test normal
Clinical narrative: 11/21/09 - numbness in feet. 11/25 - spread to legs. 11/26 - numb feeling from arms progressing to finger tips, muscle twitches, irritable, fatigued, headache. At flu exam 12/14 - stocking glove numbness and mild weakness of interossci, dorsiflexors, plantar flexors. FAAG NCS - normal. 1/18/10 exam - improved strength, sensory symptoms resolved on exam.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Metabolic function test, Muscle twitching, Muscular weakness, Nerve conduction studies normal, Red blood cell sedimentation rate increased
Clinical narrative: 11/21/09 - numbness in feet. 11/25 - spread to legs. 11/26 - numb feeling from arms progressing to finger tips, muscle twitches, irritable, fatigued, headache. At flu exam 12/14 - stocking glove numbness and mild weakness of interossci, dorsiflexors, plantar flexors. FAAG NCS - normal. 1/18/10 exam - improved strength, sensory symptoms resolved on exam.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vitamin B12 normal
Clinical narrative: 11/21/09 - numbness in feet. 11/25 - spread to legs. 11/26 - numb feeling from arms progressing to finger tips, muscle twitches, irritable, fatigued, headache. At flu exam 12/14 - stocking glove numbness and mild weakness of interossci, dorsiflexors, plantar flexors. FAAG NCS - normal. 1/18/10 exam - improved strength, sensory symptoms resolved on exam.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site induration, Pain, Pain in extremity
Clinical narrative: On 12/23/09 noticed hardness in right upper arm around injection site where seasonal Flu vaccine was administered, developed soreness painful movement. Symptoms have not improved, actually have increased. Has applied ice and little heat.
Age: 3.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Blood test, Rash generalised
Clinical narrative: On 2/3/10 developed rash on face, spread to forearms, then to entire length of arms, legs and back. Was seen in ER on 2/3/10 and was Rx steroids and BENADRYL. Rash got worse and child went back to ER on 2/5/10. Referred to dermatologist 2/5/10, Rx topical cortisone.
Age: 0.2
Sex: M
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Gastrointestinal haemorrhage, Gastrointestinal stoma complication
Clinical narrative: A small amount of bleeding noted by the parents around the colostomy site.  This lasted for no greater than 8 hours and resolved without recurrence.  Patient was evaluated in ED for fever at home, but no documented fever in hosp. Patient admitted and treated with IV antibiotics after blood cultures were drawn. Blood cultures remained negative after 48 hours and patient's antibiotics were discontinued. This event was not related to the vaccination. Patient was well afterward and did go on to have elective surgery on 2/11/10 including exploratory laparotomy, bowel resection, takedown of enterocutaneous fistula and several of ostomies. He was discharged home on 2/21/10. This event also was unrelated to the vaccination.
Age: 0.2
Sex: M
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Blood culture negative, Body temperature increased
Clinical narrative: A small amount of bleeding noted by the parents around the colostomy site.  This lasted for no greater than 8 hours and resolved without recurrence.  Patient was evaluated in ED for fever at home, but no documented fever in hosp. Patient admitted and treated with IV antibiotics after blood cultures were drawn. Blood cultures remained negative after 48 hours and patient's antibiotics were discontinued. This event was not related to the vaccination. Patient was well afterward and did go on to have elective surgery on 2/11/10 including exploratory laparotomy, bowel resection, takedown of enterocutaneous fistula and several of ostomies. He was discharged home on 2/21/10. This event also was unrelated to the vaccination.
Age: 0.2
Sex: M
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Bilirubin conjugated, Blood bilirubin normal, Blood culture negative, Enterocutaneous fistula, Explorative laparotomy
Clinical narrative: A small amount of bleeding noted by the parents around the colostomy site.  This lasted for no greater than 8 hours and resolved without recurrence.  Patient was evaluated in ED for fever at home, but no documented fever in hosp. Patient admitted and treated with IV antibiotics after blood cultures were drawn. Blood cultures remained negative after 48 hours and patient's antibiotics were discontinued. This event was not related to the vaccination. Patient was well afterward and did go on to have elective surgery on 2/11/10 including exploratory laparotomy, bowel resection, takedown of enterocutaneous fistula and several of ostomies. He was discharged home on 2/21/10. This event also was unrelated to the vaccination.
Age: 0.2
Sex: M
Vaccine: RV5, RV5, RV5, RV5
Symptoms: Intestinal resection
Clinical narrative: A small amount of bleeding noted by the parents around the colostomy site.  This lasted for no greater than 8 hours and resolved without recurrence.  Patient was evaluated in ED for fever at home, but no documented fever in hosp. Patient admitted and treated with IV antibiotics after blood cultures were drawn. Blood cultures remained negative after 48 hours and patient's antibiotics were discontinued. This event was not related to the vaccination. Patient was well afterward and did go on to have elective surgery on 2/11/10 including exploratory laparotomy, bowel resection, takedown of enterocutaneous fistula and several of ostomies. He was discharged home on 2/21/10. This event also was unrelated to the vaccination.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Wrong technique in drug usage process
Clinical narrative: Pain at injection site, patient rates pain a "6" on a scale of 0-10.  Injection was given IM rather than SC.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: 3x3 inch area with red and raised tender induration on left thigh. Not cellulitis at this time but will treat prophylactically with antibiotic.
Age: 20.0
Sex: M
Vaccine: TYP
Symptoms: Incorrect route of drug administration
Clinical narrative: none
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Mild erythema anterior to the injection site on the left upper arm.
Age: 1.0
Sex: M
Vaccine: FLU(H1N1), MMR, PNC, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Per parent 9 days after MMR, VUX, PCV, H1N1 vaccine. Pt had a febrile seizure was seen & hospital per mom. We have no records from Hosp. - Mom just informed us 3-2-10.
Age: 0.31
Sex: M
Vaccine: HIBV, PNC
Symptoms: Crying, Injection site pain
Clinical narrative: Crying insolable + 40 minutes. Left thigh tender to touch.
Age: 1.27
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Hepatitis A #2 given too soon, on 3/1/10 at 1640. No treatment necessary.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Erythema
Clinical narrative: Small red place noted to left thigh, mother noticed it 24 hours prior to injection.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site warmth, Laboratory test, Lymphadenopathy
Clinical narrative: Swelling, heat to left deltoid, some axillary lymphadenopathy.
Age: 76.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Encephalopathy, Guillain-Barre syndrome, Miller Fisher syndrome
Clinical narrative: Miller-Fisher variant of Guillain Barre Syndrome encephalopathy.
Sex: M
Vaccine: FLU(H1N1), FLU3, HIBV
Symptoms: Ear infection, Pyrexia
Clinical narrative: Fever to 104+ developed @ 0200. Pt also has ear infections - uncertain if high fever due to infection or vaccines
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Injection site erythema, Injection site haematoma, Injection site pain, Muscular weakness
Clinical narrative: Right shoulder weakness 11 days after ADACEL injection patient had reported redness, bruising and pain at injection site radiating to neck x 1 only. Proximal muscle weakness sensory intact. Referral made to neurology.
Age: 0.39
Sex: M
Vaccine: HIBV, IPV, PNC, RV1, TDAP
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Pt received adolescent dose of TDAP instead of PENTACEL. No adverse reaction noted.
Age: 69.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Gait disturbance, Guillain-Barre syndrome, Nerve conduction studies abnormal
Clinical narrative: NOTE - Paresthesia started before vaccine, weakness started after vaccine. Feet numbness started on 10Feb10, and spread to ankles and fingertips. Evaluated 11Feb10 by health care provider, was given influenza vaccine at this visit of 11 Feb 10. Developed trouble walking on 12 Feb 10 and had hand weakness on 2/12/10. Admitted for treatment of GUILLAIN BARRE syndrome on 2-14-2010.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Fever muscular pain; headache (no treatment overseas).
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received 3 doses of H1N1. Patient and parent did not communicate patient already had 2 prior doses.
Age: 11.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Parent nor patient communicated H1N1 already administered elsewhere (dr office). Patient 11 y.o. and only 1 dose required.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Student received H1N1 at physician's office on 11/25/09. Parent nor student shared this and student was administered H1N1 on 12/7/09. Initial dose from somewhere else.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Student received H1N1 vaccine 11.16.09 and student went to Clinic and received another dose on 12.7.09.
Age: 8.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Student had initial H1N1 dose given at school health clinic 11-20-09, then student went to primary care doctor and received another dose 11-29-09.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Student had H1N1 administered IM at Pediatrician office on 11-11-09. Parent did not notify school, nor student & another dose given 11-23-09 intranasal.
Age: 7.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Patient went to Dr. office & they administered 3rd dose H1N1 3 days after 2nd dose given at school health clinic.
Age: 11.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Significant redness and swelling with discomfort throughout upper arm (from shoulder to elbow) surrounding injection site. Lasted 5 days. Treated with antihistamine.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Injection site macule, Injection site papule, Rash maculo-papular
Clinical narrative: Maculopapular rashes on both extensor surfaces of thighs where received immunizations.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Facial palsy, Hypoaesthesia facial
Clinical narrative: Pt states 1 1/2 hr. after leaving health dept he began feeling numbness on left side of face, including lips, cheek , side of head and neck. Saw clinic doctor 2/24/10. Referred to ER ? of Bells Palsy.
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysarthria, Hallucination, visual
Clinical narrative: Initial health authority report received on 05 Jan 2010: This patient was vaccinated with H1N1 influenza virus vaccine (manufacturer unknown) intramuscularly, on 27 Nov 2009. The patient experienced visual hallucination and dysarthria on 29 Nov 2009. Outcome of the events were not reported.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site pruritus, Skin plaque
Clinical narrative: Itchy erythematous plaques over the R triceps region.
Age: 32.0
Sex: F
Vaccine: TYP
Symptoms: Dizziness, Flushing, Heart rate increased, Malaise, Pallor
Clinical narrative: Developed lightheadedness, increased heart rate and flushing within 30 minutes of vaccine receipt. She was told by a co-worker that she did not look well. These symptoms were noted intermittently over the next 24 hours, and SM reports "didn't feel good" for 2 days. Denies angloedema, respiratory or GI symptoms. Within 4 hours of vaccine receipt, SM developed a red, raised pruritic rash that was initially noted on left arm and then noted on her right arm. (She received vaccine in her left deltoid). Within 8 hours of vaccine receipt, she noted rash on her torso and legs. Rash was described as "little bumps like heat rash". She did not self-treat or seek evaluation, other than a T-con with the clinic. The rash subsided after approximately 5 days without treatment. Patient reported feeling well day of and prior to vaccinations and was taking no new OTC or prescription medications. She denied allergic reactions to drugs, foods, latex, or insect stings. She denied other known exposures-no recent changes in diet, personal/home care products, occupational exposures, or close contacts with similar rashes. Hx of urticaria w/0 systemic symptoms following TD vaccine at age 12. She has an unremarkable health history, with no prior chronic skin conditions. Symptoms: Tachycardia, Pallor, Dizziness, rash, pruritic.
Age: 32.0
Sex: F
Vaccine: TYP
Symptoms: Rash papular, Rash pruritic, Tachycardia, Viral test positive
Clinical narrative: Developed lightheadedness, increased heart rate and flushing within 30 minutes of vaccine receipt. She was told by a co-worker that she did not look well. These symptoms were noted intermittently over the next 24 hours, and SM reports "didn't feel good" for 2 days. Denies angloedema, respiratory or GI symptoms. Within 4 hours of vaccine receipt, SM developed a red, raised pruritic rash that was initially noted on left arm and then noted on her right arm. (She received vaccine in her left deltoid). Within 8 hours of vaccine receipt, she noted rash on her torso and legs. Rash was described as "little bumps like heat rash". She did not self-treat or seek evaluation, other than a T-con with the clinic. The rash subsided after approximately 5 days without treatment. Patient reported feeling well day of and prior to vaccinations and was taking no new OTC or prescription medications. She denied allergic reactions to drugs, foods, latex, or insect stings. She denied other known exposures-no recent changes in diet, personal/home care products, occupational exposures, or close contacts with similar rashes. Hx of urticaria w/0 systemic symptoms following TD vaccine at age 12. She has an unremarkable health history, with no prior chronic skin conditions. Symptoms: Tachycardia, Pallor, Dizziness, rash, pruritic.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Patient presented with fever up into the 104 range and red dotted-like rash on her trunk, upper arms and thighs.  Contact was made via telephone with nurse at facility.  After describing the rash the nurse verbalized feeling as if the symptoms were a result of the MMR vaccine based on the description timeframe post vax that it presented.
Age: 30.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain upper, Diarrhoea, Nausea
Clinical narrative: intense stomach cramps, nausea, loose stools
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Rash
Clinical narrative: Rash on right side of body immediately after receiving vaccination
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Fever to 100.5 F, three vesicular lesions noted (one on arm, one on head, one on back). On 1/27/2010 a few lesions scattered to chest and back. Mother states child was not exposed to varicella.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash pustular
Clinical narrative: VZV rash of 8 to 10 pustules around the mouth area
Age: 61.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Headache, Malaise, Nausea, Pain
Clinical narrative: body aches, 101 fever. severe malaise, fatigue, headache, nausea. Lasted 3 days
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: Extreme fatigue, weakness and pain in joints, pain at injection, swelling the size of an orange at injection site
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Rash erythematous, Rash generalised
Clinical narrative: Rash throughout, with redness, heat to the ears starting withing 30 min of vaccine administration, Employee given Benadryl 25mg po for relief of symptoms.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Adjustment disorder, Computerised tomogram, Depression, Facial palsy, Hallucination
Clinical narrative: Patient received 6 total doses of Anthrax vaccine. Dose#1: 15 Feb 2003 Dose#2: 10 Nov 2003 Dose#3: 10 Mar 2004 Dose#4: 24 Sep 2008 Dose#5:  6 Jul 2009 Dose#6:  8 Jan 2010 Approx. 3 months after receiving dose #4 (the only vaccine received during this time) the patient started experiencing depression, withdrawn behavior and mood swings. Approx. 5 months after that administration patient had symptoms of worsening depression and was suffering what was called adjustment disorder. In July paient received dose #5, the following month patient was taken to ER by wife for worsening mental health changes and hallucinations. Patient was also diagnosed with Bell's Palsy 11 days after receiving dose #5. Dose #6 was given in January 2010 with admission to psychiatric facility following that administration. Patient shows no improvement at this time.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Laboratory test, Mental status changes, Mood swings, Neurological examination, Social avoidant behaviour
Clinical narrative: Patient received 6 total doses of Anthrax vaccine. Dose#1: 15 Feb 2003 Dose#2: 10 Nov 2003 Dose#3: 10 Mar 2004 Dose#4: 24 Sep 2008 Dose#5:  6 Jul 2009 Dose#6:  8 Jan 2010 Approx. 3 months after receiving dose #4 (the only vaccine received during this time) the patient started experiencing depression, withdrawn behavior and mood swings. Approx. 5 months after that administration patient had symptoms of worsening depression and was suffering what was called adjustment disorder. In July paient received dose #5, the following month patient was taken to ER by wife for worsening mental health changes and hallucinations. Patient was also diagnosed with Bell's Palsy 11 days after receiving dose #5. Dose #6 was given in January 2010 with admission to psychiatric facility following that administration. Patient shows no improvement at this time.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Urticarial rash to bilateral upper extremities and trunk. Treated with 50mg of Benadryl IM and Medrol Dose pack.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Fatigue, Heart rate increased, Palpitations
Clinical narrative: By the time I got home < felt worn-out and over tired, no energy.  By 6:15 resorted to sitting on the couch and noticed how hard my heart was pounding as if I'd just had too much sugar AND too much caffeine.  I hadn't.  By 7:15 noticed my heart flip-flopping (for lack of a better word)- that continued until 11pm.  I do not have a history of any heart problems or flip-flopping. My husband then called the dr.'s office to ask for advice.  She said this had nothing to do with the shot.  I slept for hrs this evening- which I understand is not a severe reaction.  My concern is the heart situation. I've had no problems with rapid heartrate today.
Age: 14.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diabetic ketoacidosis, Pneumonia, Type 1 diabetes mellitus
Clinical narrative: Initial health authority report received on 05 Jan 2010: This patient was vaccinated with H1N1 influenza virus vaccine (manufacturer unknown) on 10 Dec 2009. After vaccination, the patient suffered from pneumonia, type-1 diabetes mellitus and diabetic ketoacidosis since 11 Dec 2009. Outcome of the events was not reported. Follow up received on 05 Mar 2010: As the case as received form webiste of local centers for disease control, no further information was available. Follow-up report received from local health authority on 30 Mar 2010: The patient did not receive Novartis vaccine FOCETRIA. Therefore, this case became invalid and would be deactivated.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Varicella
Clinical narrative: Initial report received from a health authority on 05 Jan 2010: This child patient was vaccinated with pandemic (H1N1) influenza virus vaccine (manufacturer unknown) on 29 Dec 2009. On 30 Dec 2009 the patient presented with chickenpox. No outcome was reported for the event.
Age: 1.03
Sex: M
Vaccine: HIBV, MMR
Symptoms: Polyarthritis, Pyrexia, Streptococcal identification test
Clinical narrative: Fever symmetrical polyarthritis ankle, arms, elbows & hips.
Age: 10.0
Sex: M
Vaccine: FLU3, FLUN(H1N1), HPV4, FLUN(H1N1), FLUN3, HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from an office manager in a physician's office concerning an 11 year old male who on an unspecified date was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). Concomitant therapy given on the same date included influenza virus A (antigen type unspecified) vaccine (H1N1) (manufacturer unknown), FLUMIST intranasal and TB skin test. Subsequently the patient experienced a seizure. It was reported that the seizure improved with therapy and on an unspecified date the patient recovered. On 24-FEB-2010, follow up information was received from a medical assistant. The patient's name and date of birth were reported. On 27-Jan-2010, the patient was vaccinated with the first dose of GARDASIL (lot number 662765/1353Y). The patient also received concomitant influenza virus A (antigen type unspecified) vaccine (H1N1) (lot number not reported), FLUMIST intranasal (lot number not reported) and TB skin test (Manufacturer and lot number were unknown). After the patient received the vaccinations, he had a seizure that lasted a few seconds. The patient's blood pressure was 92/60. An ambulance took the patient to an emergency room. The medical assistant stated that the patient was kept in hospital for observation. On an unspecified date, the patient had recovered. The medical assistant stated that it was unknown if the patient's seizure was life-threatening. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Convulsion
Clinical narrative: Clients mother states she thinks clients seizures started after daughter received her 3rd HPV - Client is receiving treatment from a private physician - as stated by mother.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Myopericarditis
Clinical narrative: Myopericarditis.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Echocardiogram abnormal, Effusion, Myopericarditis, Troponin increased
Clinical narrative: Myopericarditis.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, MNQ
Symptoms: Abasia, Dyspnoea, Dysstasia, Hypoaesthesia, Lumbar puncture
Clinical narrative: Began with numbness in fingers and toes, then severe cramping in hands, feet and legs with decreased ability to walk and severe muscle weakness.  Then complete inability to walk or stand and within a few hours, inability to breathe.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, MNQ
Symptoms: Mobility decreased, Muscle spasms, Muscular weakness, Nerve conduction studies, Nuclear magnetic resonance imaging
Clinical narrative: Began with numbness in fingers and toes, then severe cramping in hands, feet and legs with decreased ability to walk and severe muscle weakness.  Then complete inability to walk or stand and within a few hours, inability to breathe.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, MNQ
Symptoms: Malaise
Clinical narrative: Began with numbness in fingers and toes, then severe cramping in hands, feet and legs with decreased ability to walk and severe muscle weakness.  Then complete inability to walk or stand and within a few hours, inability to breathe.
Age: 37.0
Sex: F
Vaccine: HEPAB, MMR, TDAP, VARCEL
Symptoms: Blister, Culture wound, Pain of skin, Rash erythematous, Scab
Clinical narrative: Felt like wind burn or sun burn.  Very painful 1mm in diameter.  "Sores" in the hairline on left side of face.  Then on the side of her face beside her nose several slightly larger. "Started as a bump red, then blister and then scabbed over.  Reports that this was very painful.  The process lasted about one week.  Client still has sores on the cheek area.
Age: 37.0
Sex: F
Vaccine: HEPAB, MMR, TDAP, VARCEL
Symptoms: Skin burning sensation, Skin lesion
Clinical narrative: Felt like wind burn or sun burn.  Very painful 1mm in diameter.  "Sores" in the hairline on left side of face.  Then on the side of her face beside her nose several slightly larger. "Started as a bump red, then blister and then scabbed over.  Reports that this was very painful.  The process lasted about one week.  Client still has sores on the cheek area.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Rash erythematous
Clinical narrative: Red, warm 2-3inch by 1/2 inch area at RD injection site, little red dots noted, not c/o pain or discomfort, no fever. Advised ibuprofen and cool pack, if no improvement see PCP.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Pain
Clinical narrative: Spoke with client today. Reported severe ache and sometimes pain at injection site. States radiates down arm at times denies swelling or redness onset 2 days after injection.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Pain
Clinical narrative: Patient received H1N1 vaccine, 12/20/2009-Noticed pain in left upper arm that began around 2 weeks after receiving vaccine. Patient denies fever or rash. States arm still hurts when moved and reports pain more severe now. Denies redness or swelling. Referred to MD for evaluation.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Haematochezia, Intussusception, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Patient began vomiting 5 days after vaccinations and then developed a copious bloody stool <24 hours after the onset of vomiting. Seen in the ED and diagnosed with intussusception-reduction being attempted.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Information has been received from a physician concerning an 8 week old male patient, who on 22-FEB-2010 was vaccinated orally with the first 2 mL dose of ROTATEQ (lot number not reported). On 22-FEB-2010, one hour later of the vaccine administration, the patient experienced "liquidy" stool and later on bloody stool. The patient sought unspecified medical attention. At the time of reporting the patient had not recovered. Upon internal review, bloody stool was considered to be an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test abnormal, Rheumatoid arthritis
Clinical narrative: Information has been received from a Licensed Practical Nurse (L.P.N) concerning a 19 year old female patient with no pertinent medical history and no known drug allergy/drug reactions who on 03-JUN-2008 was vaccinated with the first dose of GARDASIL (lot # 655604/0052X); on 04-AUG-2008, the patient received her second dose of GARDASIL (Lot # 0250X) and on 18-DEC-2008, the patient was vaccinated with her third dose of GARDASIL (Lot # 0947X). Concomitant therapy included hormonal contraceptives (unspecified), ZOLOFT and MOBIC. It was reported that the patient developed rheumatoid arthritis in the fingers of her right hand, feet and legs after vaccination with GARDASIL. The patient was diagnosed in June 2009. It was reported that the patient was seen in the office. A blood work was performed on an unspecified date (results not provided). At the time of the report the patient had not recovered. Follow up information was received from the Licensed Practical Nurse (L.P.N) who reported that the AE onset date was in June 2009; the rheumatoid arthritis was diagnosed through blood work (results not available). It was reported that there were no concomitant vaccines, only concomitant therapy which included birth control pills and ZOLOFT which was prescribed at the end of August 2009. It was also reported that the patient was first seen in another office in September 2009. It was reported that MOBIC was prescribed for the treatment of rheumatoid arthritis. The patient was referred to the rheumatologist. The patient was doing well on MOBIC, ZOLOFT and PLAQUENIL. Follow up information was received from the Licensed Practical Nurse (L.P.N) who reported that the patient a 19 year old female student, received the three doses of GARDASIL intramuscularly on 03-JUN-2008, at 11:20 am in left gluteus; on 04-AUG-2008, at 12:57 pm in right gluteus and on 18-DEC-2008, at 11:18 am in left gluteus. There were no illnesses at the time of vaccination. At the time of the report the patient had not recovered. The reporter considered rheumatoid arthritis to be an other important medical event. No further information is available.
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Neonatal disorder
Clinical narrative: Information has been received from a physician via pediatric medical records concerning a male baby with no known drug allergies whose mother with scabies was vaccinated on approximately 17-Aug-2008 with a first dose of GARDASIL. The patient's mother received a 0.5 mL third dose of GARDASIL while she was pregnant. On 27-Oct-2009, the patient was born with a weight of weight 7 pounds and a length of 20 inches. On 29-Oct-2009, the patient was vaccinated with HEP B. On 02-Nov-2009, the patient was seen for evaluation. The patient was receiving enteral nutrition 4gQ4H. Physical examination was normal except for pharynx which had white plaques and of genitals which had a left hypospadias. It was noted that the patient's mother was not a smoker and the patient's father was in prison. The infant was prescribed nystatin suppository for the white plaques in the pharynx. On 23-Nov-2009, at 1 month of age, the patient was seen again. This time, the physical examination was normal except for genitals. Hypospadias was noted again. The infant's skin was reported as abnormal described as Staph dermatitis. The plan was to continue the nystatin and BACTROBAM ointment. On 01-Dec-2009, the patient was seen for his rash. It was noted that the skin had a red, crusted yellow raised area papules to back and red raise dry papules to face. During this appointment, the patient was diagnosed with dermatitis. The patient's impetigo / and staphylococcal dermatitis was still present and the infant was to continue the BACTROBAM. The patient was scheduled to return to the office one week later. On the visit of 08-Dec-2009, the patient's rash persisted. He was diagnosed with scratchy purulent crust on trunk and back. The patient was diagnosed with scabies. The patient was prescribed ELOMET. On 22-Dec-2009, the patient had another office visit. The physical examination was normal except for the genitals, skin and the abdomen (hiatal hernia was found). On this day the infant was vaccinated with his second dose of ENGERIX-B, PENTACEL and PREVNAR. On 05-Jan-2010, the patient was seen at the office and the physical examination was normal, except for skin. The patient was diagnosed with eczema. The mother was instructed to bath the infant with Dove soap, see a dermatologist as needed and moisturize the infant after bathing. At the time of this report the outcome for Hypospadias was unknown. The patient recovered from pharyngeal leukopenia. The patient had not recovered from scabies, staphylococcal dermatitis, eczema or impetigo. The mother's experienced is registered in WAES0903USA02327. Additional information has been requested.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Death
Clinical narrative: Found dead at home per dad in phone call. No ER note available yet.
Age: 26.0
Sex: F
Vaccine: HPV2
Symptoms: Asthenia, Back pain, Blood arsenic increased, Depression, Dyspnoea
Clinical narrative: I received the last of my Gardasil vaccine March of 2009. Immediately after I broke out in a rash/hives on my body. I started experiencing headaches on a regular basis, back pain, shortness of breath, pvcs, palpitations, racing heart and severe depression. November of 2009 I started experiencing tingling and zaps and gyrations in my legs, feet, arms, and hands as well as head. I have muscle twitches, weakness, fatigue, shortness of breath, back pain. And now swollen lymph nodes although I have no knowledge of having had a cold or virus. Labs revealed a high level of arsenic in my body, and proteins in my blood.
Age: 26.0
Sex: F
Vaccine: HPV2
Symptoms: Fatigue, Headache, Immediate post-injection reaction, Lymphadenopathy, Muscle twitching
Clinical narrative: I received the last of my Gardasil vaccine March of 2009. Immediately after I broke out in a rash/hives on my body. I started experiencing headaches on a regular basis, back pain, shortness of breath, pvcs, palpitations, racing heart and severe depression. November of 2009 I started experiencing tingling and zaps and gyrations in my legs, feet, arms, and hands as well as head. I have muscle twitches, weakness, fatigue, shortness of breath, back pain. And now swollen lymph nodes although I have no knowledge of having had a cold or virus. Labs revealed a high level of arsenic in my body, and proteins in my blood.
Age: 26.0
Sex: F
Vaccine: HPV2
Symptoms: Nerve conduction studies, Nuclear magnetic resonance imaging, Palpitations, Paraesthesia, Protein total
Clinical narrative: I received the last of my Gardasil vaccine March of 2009. Immediately after I broke out in a rash/hives on my body. I started experiencing headaches on a regular basis, back pain, shortness of breath, pvcs, palpitations, racing heart and severe depression. November of 2009 I started experiencing tingling and zaps and gyrations in my legs, feet, arms, and hands as well as head. I have muscle twitches, weakness, fatigue, shortness of breath, back pain. And now swollen lymph nodes although I have no knowledge of having had a cold or virus. Labs revealed a high level of arsenic in my body, and proteins in my blood.
Age: 26.0
Sex: F
Vaccine: HPV2
Symptoms: Rash, Sensory disturbance, Urticaria, Ventricular extrasystoles
Clinical narrative: I received the last of my Gardasil vaccine March of 2009. Immediately after I broke out in a rash/hives on my body. I started experiencing headaches on a regular basis, back pain, shortness of breath, pvcs, palpitations, racing heart and severe depression. November of 2009 I started experiencing tingling and zaps and gyrations in my legs, feet, arms, and hands as well as head. I have muscle twitches, weakness, fatigue, shortness of breath, back pain. And now swollen lymph nodes although I have no knowledge of having had a cold or virus. Labs revealed a high level of arsenic in my body, and proteins in my blood.
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Dizziness, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: dizziness weakness fatigue muscle aches 2 days injection site: swelling, redness, tenderness (10 days)
Age: 58.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site swelling, Myalgia
Clinical narrative: dizziness weakness fatigue muscle aches 2 days injection site: swelling, redness, tenderness (10 days)
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Rash on right leg, where she got Prevnar & MMR. Rash surrounds the injection site at the top & outer side of her thigh. She has little red dots;  was itching @ rash.
Age: 48.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Joint range of motion decreased, Nuclear magnetic resonance imaging
Clinical narrative: Fever of 103 deg. F. four hours after the shot, swelling and redness at the injection site extending over 3 days from shoulder to elbow of the left arm. I was treated with intravenous antibiotics and given an MRI of the stomach to check for a stapleline leak, and to treat for a cellulitis in case the symptoms were not a vaccine reaction. The swelling and redness persisted for about a week. I am now affected by worsening joint pain in the left shoulder, and range of motion in the arm is limited.
Age: 48.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Pyrexia
Clinical narrative: Fever of 103 deg. F. four hours after the shot, swelling and redness at the injection site extending over 3 days from shoulder to elbow of the left arm. I was treated with intravenous antibiotics and given an MRI of the stomach to check for a stapleline leak, and to treat for a cellulitis in case the symptoms were not a vaccine reaction. The swelling and redness persisted for about a week. I am now affected by worsening joint pain in the left shoulder, and range of motion in the arm is limited.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia
Clinical narrative: Pt states had numbness in both hands for 2 weeks after last GARDASIL (#2) shot. Wanted to know when she can get #3 (last one).
Age: 22.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Herpes zoster
Clinical narrative: Pt had outbreak of zoster. Reaction occured 7 days after smallpox vaccination.
Age: 9.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Dyskinesia, Fall, Musculoskeletal stiffness
Clinical narrative: Student standing at table to receive juice student started falling, this nurse grabbed him under both arms, holding student up asked for help and parent volunteer took students legs and we lowered  him to floor on his side-student legs stiff and head jerked a few times before waking.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema multiforme, Pruritus
Clinical narrative: Itchy hands progresses to itchy skin and 03/03/2010 development of erythema multiforme
Age: 38.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysphagia, Gait disturbance, Paraesthesia, Speech disorder
Clinical narrative: Abnormal speech, unsteady walking, tingling in fingers, difficulty swallowing.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dysarthria, Injection site urticaria, Oedema mouth, Urticaria
Clinical narrative: Within few minutes of MMR shot, complete facial hives and hives on upper arm around the injection site.  Slight slur in speech from slight swelling in mouth.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Herpes zoster, Pain, Pruritus, Swelling face
Clinical narrative: Initially, itchy scalp.  Visit to doctor on 3/1/2010 made diagnosis of Shingles.  As indicated, Zostavax vaccination was given on 02/22/2010.  Shingles redness and swelling on right side of face and forehead.  Painful!
Age: 1.54
Sex: M
Vaccine: DTAP, FLU(H1N1), FLU3, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red tender swollen in area that TRIPEDIA DTaP/Hib was given.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site vesicles
Clinical narrative: TDAP given R del IM 2-24-10, pt states that night it was red, itchy. Took TYLENOL, next am small rash noted below inj site and inj. site was sm blister. 2-25-10 then began itching and getting sore. Pt went to ER 3-2-10 11 am. Did not call HD was put on antibiotics and prednisone.
Age: 1.09
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash generalised, Rash papular, Skin lesion
Clinical narrative: Day 9 post vaccination small, red, papular rash appeared on chest and back with isolated lesions on both cheeks, arms and legs. Lesions blanched and pattern was diffuse. Day 10 rash on body started to fade. Day 11 rash on face more prominent for approximately 6 hours then faded. Child remained afebrile for duration of rash, with normal activity and appetite, alert, and engaging. Day 12 rash on face fading, rash on body almost gone, no new lesions noted.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Blood culture negative, Blood test normal, Chills, Culture urine negative, Headache
Clinical narrative: Fever of 102 degrees, chills, headache, body aches - admitted at ER and blood cultures, urine cultures and analysis and other labs were performed. Also a CT of the brain and lumbar puncture were done. Everything came back negative.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture normal, Pain, Pyrexia, Scan brain
Clinical narrative: Fever of 102 degrees, chills, headache, body aches - admitted at ER and blood cultures, urine cultures and analysis and other labs were performed. Also a CT of the brain and lumbar puncture were done. Everything came back negative.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Erythema, warmth, induration of upper arm 6 hours after vaccine NSAIDS, ice improving after 48 hours.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Erythema & tenderness at injection site. Came to ER for above complaints. On 1-20-10. Treated with Benadryl, Prednisone, Darvocet.
Age: 10.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Chest discomfort, Dyspnoea, Electroencephalogram abnormal, Headache, Hypoaesthesia
Clinical narrative: Initial report received from a health care professional via Health Authority on 05 Jan 2010: This child was vaccinated with Influenza virus vaccine (manufacturer unknown) (batch number unknown), dose: 1 (unit not specified), intramuscularly, for immunisation on 08 Dec 2009. On 09 Dec 2009 the patient experienced chest discomfort, dyspnoea, headache and numbness. The electroencephalography of the patient was abnormal. The outcomes of the events were not reported.
Age: 86.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Respiratory rate increased, Tremor
Clinical narrative: Initial report received from Health Authority on 19 Jan 2010: This patient with medical history of chronic obstructive pulmonary disease with a pacemaker was vaccinated with Influenza virus vaccine H1N1 (manufacturer unknown) (batch number unknown), immunisation on 07 Jan 2009. On 08 Jan 2009 the patient experienced tremble and increased breathing. The outcomes of the events were not reported.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Immediate post-injection reaction, Vomiting
Clinical narrative: Patient immediately vomited ROTATEQ after giving. Entire bottle that was given prior was vomited up along with vaccine. Gave 2nd dose without reaction.
Age: 1.42
Sex: M
Vaccine: DTAPIPVHIB, PNC, VARCEL
Symptoms: Injection site vesicles, Rash
Clinical narrative: Pt got a rash on Day 8 after vaccine was given pimple/blister type patch @ site of injection only.
Age: 25.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Pyrexia
Clinical narrative: fever weak
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Chest pain
Clinical narrative: woke up with left sided chest pain and whole left side doesn't feel good
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Dysgeusia, Endoscopy, Eructation, Fatigue, Full blood count
Clinical narrative: Nausea, bad taste in mouth, burping fatigue, later weight loss
Age: 45.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Weight decreased
Clinical narrative: Nausea, bad taste in mouth, burping fatigue, later weight loss
Age: 27.0
Sex: M
Vaccine: HEPAB
Symptoms: Agitation, Dizziness, Hypoacusis
Clinical narrative: 3/3/2010 Pt. came in for lab results and mentioned he had experienced a worsening of agitation, decreased hearing, dizziness similar to symptoms he had when he was diagnosed with viral meningitis.  No treatment was rendered.  Pt. stated he asked his chiropractor and he mentioned concern about mercury component in vaccine.  Vaccine given to patient was thimersol free, single dose vial.  Client wondered if vaccination could possibly caused minor flare up of symptoms.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: PAIN, REDNESS, WARMTH AND TENDERNESS AT THE INJECTION SITE.  REDNESS APPROX 3-4 INCHES IN DIAMETER.