chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.36
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: White blood cell count increased
Clinical narrative: Intussusception resulting in surgical procedure and partial bowel resection. MR from pediatrician received which included hospital H&P from Oct. 16,2006 as well as a surgical pathology report dated Oct. 20, 2006.  Well baby exams at 6 days, 3 weeks, 2 and 4 months significant only for thrush and yeast rash in the diaper area. Breast fed. Vax given 10/11/06 include DTaP, Comvax, IPV, Prevnar, and Rotateq.  Bloody stools, fever, and vomiting began 10/15/2006 and infant was seen in the ER.   F/U with pediatrician 10/16/06 resulted in a direct admission to the hospital for rehydration, with an admission assessment of "Fever with bloody diarrhea and at least 5% dehydration."  Hospital MR received.  Infant had been hospitalized at a local hospital prior to admission to another hospital on 10/20/06 for surgery due to new onset of bilious emesis. (Exploratory Laparotomy and a Ladd Procedure).    Post-operatively, child became febrile on post-op day #3. Abd. X-ray negative.   Antibiotics and TPN continued. Post op day #7, CT of the abd/pevis done due to child being febrile since post-op day#3 and 90cc output from NG tube of greenish fluid. No evidence for leak or obstruction found. Improvement began 10/29/06 and the infant was discharged on 10/31/2006. No discharge diagnosis written on discharge summary. Lot number obtained for Rotateq ME0319F  exp. 1/11/2007 Per (FDA) "please add lot number to VAERS report if not yet done". Lot # added.
Age: 0.36
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Intussusception resulting in surgical procedure and partial bowel resection. MR from pediatrician received which included hospital H&P from Oct. 16,2006 as well as a surgical pathology report dated Oct. 20, 2006.  Well baby exams at 6 days, 3 weeks, 2 and 4 months significant only for thrush and yeast rash in the diaper area. Breast fed. Vax given 10/11/06 include DTaP, Comvax, IPV, Prevnar, and Rotateq.  Bloody stools, fever, and vomiting began 10/15/2006 and infant was seen in the ER.   F/U with pediatrician 10/16/06 resulted in a direct admission to the hospital for rehydration, with an admission assessment of "Fever with bloody diarrhea and at least 5% dehydration."  Hospital MR received.  Infant had been hospitalized at a local hospital prior to admission to another hospital on 10/20/06 for surgery due to new onset of bilious emesis. (Exploratory Laparotomy and a Ladd Procedure).    Post-operatively, child became febrile on post-op day #3. Abd. X-ray negative.   Antibiotics and TPN continued. Post op day #7, CT of the abd/pevis done due to child being febrile since post-op day#3 and 90cc output from NG tube of greenish fluid. No evidence for leak or obstruction found. Improvement began 10/29/06 and the infant was discharged on 10/31/2006. No discharge diagnosis written on discharge summary. Lot number obtained for Rotateq ME0319F  exp. 1/11/2007 Per (FDA) "please add lot number to VAERS report if not yet done". Lot # added.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Cough, Dyspnoea, Eye pain, Lung disorder, Myalgia
Clinical narrative: HAD SHORTNESS OF BREATH AND FELT LIKE LUNGS WERE FILLING UP HAD COUGH ALL NIGHT THAT RESOLVED IN AM AND HAD MYALGIAS FOR THREE MORE DAYS FEVER FOR 24 HOURS COUGHED UP "MOUTH FULLS" ALL NIGHT PRESSURE BEHIND EYES HAD
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: HAD SHORTNESS OF BREATH AND FELT LIKE LUNGS WERE FILLING UP HAD COUGH ALL NIGHT THAT RESOLVED IN AM AND HAD MYALGIAS FOR THREE MORE DAYS FEVER FOR 24 HOURS COUGHED UP "MOUTH FULLS" ALL NIGHT PRESSURE BEHIND EYES HAD
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: 29 month old given 0.5 ml of flu vaccine which should not be given until child is 36 months old.
Age: 65.0
Sex: M
Vaccine: HEPA, YF
Symptoms: Fatigue, Hyperhidrosis, Nausea, Somnolence
Clinical narrative: Nauseated, feels extremely tired and sleepy, is sweating since one day after receiving vaccine. Has not taken any medicine for symptoms.States he had a flu shot at his private doctor on 10/18/06.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Dyspnoea, Nausea, Tachycardia
Clinical narrative: Dizziness, Nasua, Weezing, Difficulty breathing, Weakness, Fast heart beat.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Dizziness, Nasua, Weezing, Difficulty breathing, Weakness, Fast heart beat.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Angioneurotic oedema, Rash, Tongue oedema
Clinical narrative: Inpatient treatment for facial included solumedrol/ranitidine/loratadine; ECF treatment for angioedma included IM solumedrol 125 mg, Benadryl 25 mg IM;  patient was already on mechanical ventilation
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Contusion, Dizziness, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: large purple area around injection site in upper left arm, area just below injection site substantially swollen, red and itchy. Area about 4 inches beginning approx 2 inches above elbow in a swatch around outer half of arm. Fever for about 3 days. Dizziness 1 day.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Pyrexia
Clinical narrative: large purple area around injection site in upper left arm, area just below injection site substantially swollen, red and itchy. Area about 4 inches beginning approx 2 inches above elbow in a swatch around outer half of arm. Fever for about 3 days. Dizziness 1 day.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Erythema, Tenderness
Clinical narrative: Pt complained of dizziness in middle of night after receiving both a flu shot and a pneumonia shot.  Came in with a red tender axilairy area 2 days later and prescribed antiobiotic
Age: 0.56
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Eyelid oedema, Hypersensitivity, Pruritus, Urticaria
Clinical narrative: Approximately 10 minutes after Prevnar, Pediarix, and Influenza preservative free were given hives at neck with pruritis noted. Within 5 minutes swelling of eyelids noted.  No respiratory problems.  MR received from pediatrician which reveals development of facial hives and swelling of the eyes which began approx. 10 minutes following dose #3 of Pediarix and Prevnar, and dose #1 of preservative-free Flu vaccine. No past hx. of vaccine rxn. Initially treated with po Benedryl, but hives continued to spread to the neck and eyelids.  Infant was then treated with SQ epinephrine and po Prelone after which the hives and swelling began to diminish. No anaphylaxis per MD. Infant was sent home with instructions for Benedryl and Prelone usage.  TC from father 24 hours later reported no further hives.  F/U visit to Ped. 2 days post vax. showed infant continuing to do well without further hives. To F/U with allergist. Diagnosis: "Allergic reaction resolved, ? due to egg in Flu vaccine vs. other vaccine preservatives"./
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort
Clinical narrative: Patient experienced tightness in chest and phlegm in throat approximately 40 minutes after receiving vaccination.  Went to ER and was treated with Benadryl capsules and Zantac tablets.
Age: 8.0
Sex: F
Vaccine: HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL
Symptoms: Skin ulcer, Viral infection
Clinical narrative: >500 lesions severe disease (Varicella), on 7/29/06 secondary infection of lesions, Keflex 1000mg BID x 10 days. by 8/3/06 lesions gone, Father died of varicella - pneumonia (DX approx 7/25/06). On 7/15/06 pt tested + strep throat, TX amox 500 mg BID x 10 days.
Age: 8.0
Sex: F
Vaccine: HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL
Symptoms: Bacterial infection, Drug ineffective, Pharyngolaryngeal pain, Rash vesicular, Skin ulcer
Clinical narrative: >500 lesions severe disease (Varicella), on 7/29/06 secondary infection of lesions, Keflex 1000mg BID x 10 days. by 8/3/06 lesions gone, Father died of varicella - pneumonia (DX approx 7/25/06). On 7/15/06 pt tested + strep throat, TX amox 500 mg BID x 10 days.
Age: 8.0
Sex: F
Vaccine: HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL
Symptoms: Viral infection
Clinical narrative: >500 lesions severe disease (Varicella), on 7/29/06 secondary infection of lesions, Keflex 1000mg BID x 10 days. by 8/3/06 lesions gone, Father died of varicella - pneumonia (DX approx 7/25/06). On 7/15/06 pt tested + strep throat, TX amox 500 mg BID x 10 days.
Age: 8.0
Sex: F
Vaccine: HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL
Symptoms: Drug ineffective, Infection, Pneumonia, Skin ulcer, Viral infection
Clinical narrative: >500 lesions severe disease (Varicella), on 7/29/06 secondary infection of lesions, Keflex 1000mg BID x 10 days. by 8/3/06 lesions gone, Father died of varicella - pneumonia (DX approx 7/25/06). On 7/15/06 pt tested + strep throat, TX amox 500 mg BID x 10 days.
Age: 8.0
Sex: F
Vaccine: HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL, HIBV, VARCEL
Symptoms: Bacterial infection, Skin ulcer, Viral infection
Clinical narrative: >500 lesions severe disease (Varicella), on 7/29/06 secondary infection of lesions, Keflex 1000mg BID x 10 days. by 8/3/06 lesions gone, Father died of varicella - pneumonia (DX approx 7/25/06). On 7/15/06 pt tested + strep throat, TX amox 500 mg BID x 10 days.
Age: 52.0
Sex: M
Vaccine: PPV, TD, PPV, TD
Symptoms: Headache, Hypoaesthesia, Inflammation, Muscle tightness, Pain
Clinical narrative: Deep aching pain & constant muscle stiffness and spasms around my jaws, neck, upper neck, back of my head. Continues contraction of muscle around ears, chin and jawbone along with pain. Symptoms started 2-3 days after vaccination and has remained with me until NOW. This conditions has effected my sleep great deal.
Age: 52.0
Sex: M
Vaccine: PPV, TD, PPV, TD
Symptoms: Paraesthesia, Tetanus
Clinical narrative: Deep aching pain & constant muscle stiffness and spasms around my jaws, neck, upper neck, back of my head. Continues contraction of muscle around ears, chin and jawbone along with pain. Symptoms started 2-3 days after vaccination and has remained with me until NOW. This conditions has effected my sleep great deal.
Age: 52.0
Sex: M
Vaccine: PPV, TD, PPV, TD
Symptoms: Muscle spasms, Musculoskeletal stiffness, Myalgia, Pain, Sleep disorder
Clinical narrative: Deep aching pain & constant muscle stiffness and spasms around my jaws, neck, upper neck, back of my head. Continues contraction of muscle around ears, chin and jawbone along with pain. Symptoms started 2-3 days after vaccination and has remained with me until NOW. This conditions has effected my sleep great deal.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Arthralgia, Chills, Confusional state, Dyskinesia, Headache
Clinical narrative: Fever (100 F), severe vomiting, nausea, ringing in ears/tinnitus, joint pain, headache, mental confusion, chills, and uncontrollable jerking/shaking movements.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Nausea, Pyrexia, Tinnitus, Vomiting
Clinical narrative: Fever (100 F), severe vomiting, nausea, ringing in ears/tinnitus, joint pain, headache, mental confusion, chills, and uncontrollable jerking/shaking movements.
Age: 0.13
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Coma, Fatigue, Irritability
Clinical narrative: After administering vaccines child became very fussy and over tired, would not wake to eat and passed away a little over a day later. Autopsy could not say that vaccines did not play role in death.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Information has been received from a pharmacist, licensed practical nurse and an office clerk concerning a 62 year old white female housewife with premature ventricular contractions and osteoporosis who on 03-AUG-2006, at 15:00, was vaccinated IM with a ninth dose of pneumococcal 23v polysaccharide vaccine. There was no concomitant medication. On 04-AUG-2006, at 08:00, the patient's arm was hot, swollen, painful and she had red streak running down her arm. The patient also complained of a headache and "ran a temp." The patient was treated with prednisone (DELTASONE) 20 mg daily and cephalexin (KEFLEX) 500 mg four times daily. On approximately 10-AUG-2006, the patient recovered. The reporting licensed practical nurse reported that the patient's hot, painful swollen arm with red streaks running down arm, fever and headache were considered to be other important medical events. Additional information is not expected.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a pharmacist, licensed practical nurse and an office clerk concerning a 62 year old white female housewife with premature ventricular contractions and osteoporosis who on 03-AUG-2006, at 15:00, was vaccinated IM with a ninth dose of pneumococcal 23v polysaccharide vaccine. There was no concomitant medication. On 04-AUG-2006, at 08:00, the patient's arm was hot, swollen, painful and she had red streak running down her arm. The patient also complained of a headache and "ran a temp." The patient was treated with prednisone (DELTASONE) 20 mg daily and cephalexin (KEFLEX) 500 mg four times daily. On approximately 10-AUG-2006, the patient recovered. The reporting licensed practical nurse reported that the patient's hot, painful swollen arm with red streaks running down arm, fever and headache were considered to be other important medical events. Additional information is not expected.
Age: 38.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Discomfort, Hypokinesia, Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Information has been received from a licensed practical nurse concerning a 38 year old female with asthma, hypothyroidism and travafloxacin mesylate (Trovan) allergy and a history of pneumonia and positive PPD test (after receiving BCG as a child) who on 10/16/06 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (0.5ml) (lot 651401/0619F), IM in the left arm. Concomitant therapy that day included a dose of Influenza virus vaccine, in the right arm. Other concomitant therapy included albuterol, vitamins, Ortho cyclen, Synthroid. On 10/17/06 the pt had left arm discomfort and was unable to raise her arm. On 10/18/2006 she had a fever of 103.3F and was seen in the office that day. The pt was treated with Keflex by mouth. The pt was sent for blood test for white blood count, which was 18,000. The pt had been admitted to the hospital on 10/19/06 with temp of 104F and vomiting. The pt was treated with IV clindamycin and Vancomycin. A surgical consult had been ordered for a 9x12 cm area of erythema that was red and swollen localized at injection site. There were no complaints of right arm pain in influenza site. It was reported to be unk if she had received Pneumococcal 23v polysaccharide vaccine in the past. At the time of the report, the pt was considered to be not recovered. The reporter considered the pts experience to be an other medical event (OMIC). Additional information has been requested.
Age: 38.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: Information has been received from a licensed practical nurse concerning a 38 year old female with asthma, hypothyroidism and travafloxacin mesylate (Trovan) allergy and a history of pneumonia and positive PPD test (after receiving BCG as a child) who on 10/16/06 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (0.5ml) (lot 651401/0619F), IM in the left arm. Concomitant therapy that day included a dose of Influenza virus vaccine, in the right arm. Other concomitant therapy included albuterol, vitamins, Ortho cyclen, Synthroid. On 10/17/06 the pt had left arm discomfort and was unable to raise her arm. On 10/18/2006 she had a fever of 103.3F and was seen in the office that day. The pt was treated with Keflex by mouth. The pt was sent for blood test for white blood count, which was 18,000. The pt had been admitted to the hospital on 10/19/06 with temp of 104F and vomiting. The pt was treated with IV clindamycin and Vancomycin. A surgical consult had been ordered for a 9x12 cm area of erythema that was red and swollen localized at injection site. There were no complaints of right arm pain in influenza site. It was reported to be unk if she had received Pneumococcal 23v polysaccharide vaccine in the past. At the time of the report, the pt was considered to be not recovered. The reporter considered the pts experience to be an other medical event (OMIC). Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Condition aggravated, Diabetic coma, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Information has been received from a medical assistant concerning a 59 year old female diabetic who on 10/11/2006 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot 651319/1007P). Concomitant therapy included influenza virus vaccine administered at the same visit in separate arms (separate sites). On approximately 10/11/06 the pt developed a reaction in arm where the Pneumococcal 23v polysaccharide vaccine was administered, that ranged from redness to blotchiness to pain. Medical attention was sought. it was also reported that the pt had a problem with her blood sugar that was described as she went into diabetic coma but came right out. The pt did not visit the hospital. At the time of the report she was still experiencing symptoms. The medical assistant requested a lot check. No product quality complaint was involved. Upon internal review, diabetic coma was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Rash macular
Clinical narrative: Information has been received from a medical assistant concerning a 59 year old female diabetic who on 10/11/2006 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot 651319/1007P). Concomitant therapy included influenza virus vaccine administered at the same visit in separate arms (separate sites). On approximately 10/11/06 the pt developed a reaction in arm where the Pneumococcal 23v polysaccharide vaccine was administered, that ranged from redness to blotchiness to pain. Medical attention was sought. it was also reported that the pt had a problem with her blood sugar that was described as she went into diabetic coma but came right out. The pt did not visit the hospital. At the time of the report she was still experiencing symptoms. The medical assistant requested a lot check. No product quality complaint was involved. Upon internal review, diabetic coma was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Blood glucose increased, Condition aggravated, Diabetic coma, Injection site erythema, Injection site pain
Clinical narrative: Information has been received from a medical assistant concerning a 59 year old female diabetic who on 10/11/2006 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot 651319/1007P). Concomitant therapy included influenza virus vaccine administered at the same visit in separate arms (separate sites). On approximately 10/11/06 the pt developed a reaction in arm where the Pneumococcal 23v polysaccharide vaccine was administered, that ranged from redness to blotchiness to pain. Medical attention was sought. it was also reported that the pt had a problem with her blood sugar that was described as she went into diabetic coma but came right out. The pt did not visit the hospital. At the time of the report she was still experiencing symptoms. The medical assistant requested a lot check. No product quality complaint was involved. Upon internal review, diabetic coma was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Injection site reaction, Rash macular
Clinical narrative: Information has been received from a medical assistant concerning a 59 year old female diabetic who on 10/11/2006 was vaccinated with a dose of Pneumococcal 23v polysaccharide vaccine (lot 651319/1007P). Concomitant therapy included influenza virus vaccine administered at the same visit in separate arms (separate sites). On approximately 10/11/06 the pt developed a reaction in arm where the Pneumococcal 23v polysaccharide vaccine was administered, that ranged from redness to blotchiness to pain. Medical attention was sought. it was also reported that the pt had a problem with her blood sugar that was described as she went into diabetic coma but came right out. The pt did not visit the hospital. At the time of the report she was still experiencing symptoms. The medical assistant requested a lot check. No product quality complaint was involved. Upon internal review, diabetic coma was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Coma, Eye movement disorder, Leukocytosis, Somnolence
Clinical narrative: Pt received flu shot 0.25ml to LAT mom left and went to store was in line and pt began acting really drowsy. Took pt to car stuck her in car seat and noticed that she threw her head back. Mom called pt name and pt was unresponsive says her eyes had rolled back in her head. Called us and was seen in Drs office.  11/28/06 Received medical records from hospital which reveal patient seen in PCP office on 10/16/06 for routine check up & flu shot.  Had cough, slight wheeze & head congestion symptoms for approx 1 day at time of visit w/temp 100.7.  Became very sleepy then unresponsive later same day & went to ER.  Neuro improved in ER but respiratory status worsened & was kept overnight for continued observation & management of asthma. MEDS: singulair & pulmicort for asthma & propanolol for SVT. Xopenex PRN.  GIven Rx for orapred during 10/16/ visit./ss Information received from annual follow up indicates causal relationship unclear.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Hypokinesia, Injection site pain
Clinical narrative: Patient received injection approximately 16:00. At 19:30 began to experience pain in left arm. It worsened through the night and she came to doctor's office in morning complaining of severe pain (rated 10 on a 0-10 scale). Unable to move arms. Still in hospital 10/23/2006.  Hospital record received from PCP which reveals that the patient was admitted to the hospital 1 day following pneumovax with c/o severe (10-11/10 ) Left arm pain at the injection site.  Hospitalization was to R/O MI or acute cardiac event.     Admitting and Discharge Diagnosis was the same: "Left shoulder pain secondary to Pneumovax injection."  Has had and will continue PT.  F/U visits to PCP of 10/30/2006 and 11/13/2006 with following Assessment:  Reaction to pneumonia vaccine in left shoulder improving at present time.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Electrocardiogram normal, Hypokinesia, Injection site pain
Clinical narrative: Patient received injection approximately 16:00. At 19:30 began to experience pain in left arm. It worsened through the night and she came to doctor's office in morning complaining of severe pain (rated 10 on a 0-10 scale). Unable to move arms. Still in hospital 10/23/2006.  Hospital record received from PCP which reveals that the patient was admitted to the hospital 1 day following pneumovax with c/o severe (10-11/10 ) Left arm pain at the injection site.  Hospitalization was to R/O MI or acute cardiac event.     Admitting and Discharge Diagnosis was the same: "Left shoulder pain secondary to Pneumovax injection."  Has had and will continue PT.  F/U visits to PCP of 10/30/2006 and 11/13/2006 with following Assessment:  Reaction to pneumonia vaccine in left shoulder improving at present time.
Age: 1.59
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Drooling, Eyelid oedema, Face oedema, Hypersensitivity, Urticaria
Clinical narrative: Pt developed eye lid edema, 2 urticaria in forehead, scalp, 2 at hairline. breath sounds clear, some drooling developed, SC epi given, Benadryl 15mg, Orapred 12 mg, Epinephrine 1:1000 0.1mg.  11/7/06 Received medical records from hospital which indicate patient received Epi, benadryl & Orapred in PCP office prior to being sent to ER for further eval & tx.  Exam revealed facial swelling, puffy eyelids & urticaria.  Received only IV Tagemet in ER.  Improved & d/c home on steroids & benadryl. Dx:  Acute allergic reaction./ss
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Hypoaesthesia, Migraine, Paraesthesia, Visual field defect
Clinical narrative: 24 hrs after vaccine, disturbance of left peripheral vision x 45 min, numbness left side of mouth, left arm/hand x 4 minutes, mild right frontal HA followed, examination normal. DX: headache, paresthesias. possible migraine with prodome side effect of vaccine can not be ruled out. no previous history of migraine. C/O left arm/hand numbness as well as left side of mouth.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Chills, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: On 10/3/06 received both Flu and Pneumococcal vaccine both were injected in the same arm. 2nd injection hurt very bad. Spoke out in pain and the administrator rubbed area vigorously. Injections less than 1/2" apart. approx 6 hours later arm was very warm touch, hurt, had fever, and chills. Next day 10/04/06 woke up in pain and red mark on arm (4"x2"). Took Tylenol and Motrin. 10/05/06 had linear line on arm and seen Dr was cellulitis was in my lymph glands and arm pit. Prescribed antibiotics. Seen Dr again on 10/10 changed antibiotic, some pain.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: On 10/3/06 received both Flu and Pneumococcal vaccine both were injected in the same arm. 2nd injection hurt very bad. Spoke out in pain and the administrator rubbed area vigorously. Injections less than 1/2" apart. approx 6 hours later arm was very warm touch, hurt, had fever, and chills. Next day 10/04/06 woke up in pain and red mark on arm (4"x2"). Took Tylenol and Motrin. 10/05/06 had linear line on arm and seen Dr was cellulitis was in my lymph glands and arm pit. Prescribed antibiotics. Seen Dr again on 10/10 changed antibiotic, some pain.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Red rash, rectal area and hairline. progressed to arms and body. Developed hives TC to MD given prescription for methylprednisolone PO.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Site of injection is red, swollen, hot and hurts in right arm.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Torticollis
Clinical narrative: Flu vaccine given on 10/13/2006, torticollis developed on 10/18/2006, seen by me on 10/18/2006 symptoms, and signs subsided in 36-48 hours.
Age: 1.39
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Injection site rash, Injection site vesicles, Pyrexia
Clinical narrative: Pt presents to office 10/20/06 with blisters type rash around injection site. Hx of fever 102 x 3 days following injection.
Age: 13.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Eye movement disorder, Loss of consciousness, Malaise, Tremor
Clinical narrative: Approx 20-30 minutes after vaccine, child felt sick, eyes rolled and he passed out in car, ? if shaking, was unconscious for 3-5 minutes, woke up without residual effect no fever, went to ER had CBC, NL, urine neg, BMP neg, EKG NL, Head UT WNL.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Redness at left deltoid.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema, Pain, Pyrexia
Clinical narrative: Her left arm became severely sore (almost unbearable, she had a high fever that first evening, on 10/19/06 her arm turned red and swelled up. She has been taking Motrin and putting ice on her arm. The swelling, pain and fever have all went away.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchospasm, Cough, Dyspnoea, Urticaria, Wheezing
Clinical narrative: Pt received Flu immunization in am and then 4 hours later developed hives, coughing, wheezing, difficulty breathing. Child taken to ER and received Albuterol neb, Benadryl PO and Prelone PO. Child went home on Benadryl and Prelone PO x 4 days and recovered well.  Final dx: acute urticaria & bronchospasm./ss
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Pharyngolaryngeal pain, Pyrexia, Wheezing
Clinical narrative: At approx 2-3 hours after receiving the vaccine began to have a dry cough, sore throat , Wheezing, temp went to 103. Took Benadryl, went to ED had IV, Tylenol, chest X ray and Labs.  1/29/07 Received medical records from hospital which reveal patient seen in ER on 10/17/06 with cough w/wheeze, fever of 103, myalgias & sore throat.  Tx w/IVF, antipyretics & neb tx.  Improved & d/c to home to f/u w/PCP if no improvement. FINAL DX: febrile illness s/p flu shot.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Insomnia, Nausea, Pain, Pyrexia
Clinical narrative: 9 hours after vaccine sever pain entire arm and neck, fever 1005 oral, nausea, chills, body ache, insomnia, slowly recovered over 3 days, 1st time Pneumonia shot gets Flu vaccine every year.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Nausea, Vomiting
Clinical narrative: Got Tdap 10/02 seen in my office 10/16 with pain, red, swollen deltoid, nausea and vomiting.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: Received Fluarix IM right deltoid 10/18/06 at 8:30 am woke with pain at 2:21am 10/19/06 with right arm pain extending to axilla. Treated with erythromycin. with resolve of pain in 2 days.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site pain, Joint range of motion decreased
Clinical narrative: Given flu shot 10/19/06 comes into clinic 10/23/06 because hematoma to left deltoid and to above elbow. States decrease soreness today. Ecchymosis on left arm 6:x9 1/2", Pain x 2 days, unable to put arm over head decreased ROM.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Felt tired, chills, fever, headache, nausea no treatment, symptoms spontaneously subsided in about 12 hours.
Age: 69.0
Sex: U
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site swelling, Thermal burn
Clinical narrative: Given an Influenza virus vaccine on 10/19/06 pt complained of burning after injection. 10/20/06 presents to work and has large hematoma, red raised area.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia
Clinical narrative: 9/9/06-onset numbness fingers and toes. Seen in our clinic on 9/11 and 9/14/06. Patient's father reports diagnosis of Guillain-Barre Syndrome. Diagnosis by private Medical Doctor in Atlanta. Father did not know date of diagnosis. DX Guillain-Barre.  PMH viral syndrome 8/16/06, HX mononucleosis note for DOS 9/11/06-C/O numbness in feet for 2 days numbness moving to fingertips. Seen several time in past 3 months for throat closing, headaches, chest pain and trouble breathing, nothing has seemed to make the problem better. Pain on lower sides in organs and lower back on sides .
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Hyperhidrosis, Nausea, Oedema peripheral
Clinical narrative: Note: Have had a flu shot every year for at least 10 yrs.  Started with chills 8 hours after shot, went to a fever, sweats, little nausea, headache.  What woke me up during the night was my fingers swelled so much I couldn't get my rings off.  My ring finger (left hand, had shot in left arm)was so tight, it was discolored, after 1 hour I finally got engagement ring off (which is normally very loose), still couldn't get wedding band off. Got left pinky ring off.  Right hand was not bad, but by morning,it was a little swollen, got those rings off in the shower.  Ended up going to a jeweler to get my wedding band cut off because it was so tight, the jeweler said there was no way it was coming off.  That ring was tighter than the engagement ring, however, I have always been able to get if off in the past.  The swelling has gone down and the rest of the symptoms were gone within 24 hours.  I haven't tried to put my rings on yet.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Skin discolouration
Clinical narrative: Note: Have had a flu shot every year for at least 10 yrs.  Started with chills 8 hours after shot, went to a fever, sweats, little nausea, headache.  What woke me up during the night was my fingers swelled so much I couldn't get my rings off.  My ring finger (left hand, had shot in left arm)was so tight, it was discolored, after 1 hour I finally got engagement ring off (which is normally very loose), still couldn't get wedding band off. Got left pinky ring off.  Right hand was not bad, but by morning,it was a little swollen, got those rings off in the shower.  Ended up going to a jeweler to get my wedding band cut off because it was so tight, the jeweler said there was no way it was coming off.  That ring was tighter than the engagement ring, however, I have always been able to get if off in the past.  The swelling has gone down and the rest of the symptoms were gone within 24 hours.  I haven't tried to put my rings on yet.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Anaemia, Atrioventricular block first degree, Bradycardia, Coronary artery disease, Hypercholesterolaemia
Clinical narrative: Syncope, code blue Code team called 12/12/06 Received medical records from hospital which reveal patient admitted 10/19/06-10/24/06.  Received flu shot on 10/20.  Patient experienced syncope, unresponsiveness, bradycardia & hypotension approx 1 hours later.  Cardio consult done.   Hospital course complicated by hypotension secondary to meds & by UTI. Final Dx: syncope secondary to sick sinus syndrome s/p pacemaker on 10/20/06 for AV block; coronary artery disease; HTN; high cholesterol; anemia; ;hypothyroidism; UTI; and SIADH.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Hyponatraemia, Hypotension, Hypothyroidism, Laboratory test abnormal, Syncope
Clinical narrative: Syncope, code blue Code team called 12/12/06 Received medical records from hospital which reveal patient admitted 10/19/06-10/24/06.  Received flu shot on 10/20.  Patient experienced syncope, unresponsiveness, bradycardia & hypotension approx 1 hours later.  Cardio consult done.   Hospital course complicated by hypotension secondary to meds & by UTI. Final Dx: syncope secondary to sick sinus syndrome s/p pacemaker on 10/20/06 for AV block; coronary artery disease; HTN; high cholesterol; anemia; ;hypothyroidism; UTI; and SIADH.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Urinary tract infection
Clinical narrative: Syncope, code blue Code team called 12/12/06 Received medical records from hospital which reveal patient admitted 10/19/06-10/24/06.  Received flu shot on 10/20.  Patient experienced syncope, unresponsiveness, bradycardia & hypotension approx 1 hours later.  Cardio consult done.   Hospital course complicated by hypotension secondary to meds & by UTI. Final Dx: syncope secondary to sick sinus syndrome s/p pacemaker on 10/20/06 for AV block; coronary artery disease; HTN; high cholesterol; anemia; ;hypothyroidism; UTI; and SIADH.
Age: 38.0
Sex: F
Vaccine: FLUN3
Symptoms: Influenza like illness, Respiratory tract infection
Clinical narrative: She had flulike symptoms a few hours after the vaccine was administered.  She progressively "got worse" and went to her private physician after a few days.  He prescribed her antibiotics, which she has been taking.  She now has a respiratory infection.
Age: 35.0
Sex: F
Vaccine: FLUN3
Symptoms: Breast haemorrhage
Clinical narrative: Recieved Flumist. Within 16 hours if recieving mist noticed very blood breast milk.  No trauma, no new meds started, nothing changed.  Had been nursing at this time 10.5 months.  Sice bloody milk lactation suppply has drastically decreased.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: C/O itching redness and mild swellig app. 5 in. below injection site.  Lasted app. 72 hrs.
Age: 36.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site induration
Clinical narrative: I was given the Influenza vaccine in my left arm and the Pneumococcal vaccine in my right arm.  Reaction occured to the Pneumococcal vaccine. Redness and swelling at the injection site.  Hard lump/welt developed after a couple hours at injection site.  Area was swollen and hot, and painful to the touch.  Red area increased in size over the next few days.  The day of the injection I felt like I was running a fever (chills).  Flu like symptoms (fatigue, muscle aches).  Had headache on and off all week.  Injection was given on Monday, symptoms starting to improve the following Friday (current date).  Redness has improved.  Still can feel a lump and it is tender to touch.  Still warm to the touch.  Still have a headache.
Age: 36.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site mass, Injection site swelling, Injection site warmth, Myalgia, Pyrexia
Clinical narrative: I was given the Influenza vaccine in my left arm and the Pneumococcal vaccine in my right arm.  Reaction occured to the Pneumococcal vaccine. Redness and swelling at the injection site.  Hard lump/welt developed after a couple hours at injection site.  Area was swollen and hot, and painful to the touch.  Red area increased in size over the next few days.  The day of the injection I felt like I was running a fever (chills).  Flu like symptoms (fatigue, muscle aches).  Had headache on and off all week.  Injection was given on Monday, symptoms starting to improve the following Friday (current date).  Redness has improved.  Still can feel a lump and it is tender to touch.  Still warm to the touch.  Still have a headache.
Age: 36.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Urticaria
Clinical narrative: I was given the Influenza vaccine in my left arm and the Pneumococcal vaccine in my right arm.  Reaction occured to the Pneumococcal vaccine. Redness and swelling at the injection site.  Hard lump/welt developed after a couple hours at injection site.  Area was swollen and hot, and painful to the touch.  Red area increased in size over the next few days.  The day of the injection I felt like I was running a fever (chills).  Flu like symptoms (fatigue, muscle aches).  Had headache on and off all week.  Injection was given on Monday, symptoms starting to improve the following Friday (current date).  Redness has improved.  Still can feel a lump and it is tender to touch.  Still warm to the touch.  Still have a headache.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash, Pruritus, Rash
Clinical narrative: 10/27/06:  Employee in Employee Health Services to report generalized rash and pruritis and attributes symptoms to receipt of the flu vaccine given 3 days ago. On 10/24/06 employee received the inactivated flu vaccine administered in the Right Deltoid. Employee denied any contra-indications to receiving vaccine. No signs of rash/redness at injection site. Employee noticed rash and itching on noc of 10/26/06 after returning from her Beautician.  Denies respiratory symptoms.  Denies use of new products i.e shampoos, soaps, perfumes.  Employee was referred for further evaluation.
Age: 36.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: I received a flu shot at 1:30 pm. Around midnight, I was suffering from a fever of 101.9 degrees all night. The next day I still had a fever of about 101.1 until noon.  The flu shot was adminsitered at my workplace.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Oedema peripheral, Tenderness
Clinical narrative: Received the Influenza Vaccine in the left Deltoid on 10/22/06.  On 10/24/06  the injection site has a 10cm oval erythema area and the entire arm is edematous and tender to touch.
Age: 4.0
Sex: M
Vaccine: DTAPH, DTP, MMR, PPV
Symptoms: Gait disturbance, Injection site erythema, Injection site induration, Injection site mass, Urticaria
Clinical narrative: Red hard lump on the leg that was hot to the touch.  He also developed hives during the following two weeks.  Walked with a limp for 4-5 days.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Face oedema, Speech disorder
Clinical narrative: 75 y.o male came back to the health department c/o twenty min. after taking the flu and pneumonia shot his right jaw began to swell. On assessment public health nurse, noted the right jaw is edematos. Patient tell nurse he gets the flu shot every year, but this is the first time he has ever gotten the pneumonia shot. He got the pneumonia shot in the RT Deltoin and is RT jaw is swelling. I contacted patient's PMD. I contacted Our Dist. health Officer. Dr.  told me to get the patient to ER. PHN transports pt. to ER. By now his lip was swelling and it had become more difficult for the pt. to speak. He remain alert and oriented. I called one of his friends to come to the ER while pt. went in to see ER doctor. He was given two inj. and prescriptions x 3 to get filled.
Age: 1.03
Sex: M
Vaccine: FLU3, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Mother states noticing rash on child face then spreading to torso and arms, states rash started about 2days ago, states mild fever. Mother brought child to health dept today, 10-27-06. Rash is pink, is starting to fade from face but still highly visible in torso. No treatment given, advised to give acetaminophen for fever.
Age: 3.0
Sex: M
Vaccine: FLUX
Symptoms: Gait disturbance, Injection site erythema, Injection site pain
Clinical narrative: He received the Flu Shot on 10-17-06.  That evening, he complained of some pain and the injection area appeared okay.  The following morning, his upper thigh had a large red circle around the sight, he complained of pain, and he was limping after getting out of bed.  We contacted his PCP who advised us to continue to monitor the area, which now appears okay.  They also suggested we complete this online form to report the incident.
Age: 38.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Chills, Diarrhoea, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Fever 103.0 (F)X4 days with onset <24 hours from immunization. Diarrhea, fatigue, chills. Swelling from left deltoid to elbow with redness and tenderness to site. Patient remains symptomatic 4 days post immunization.
Age: 38.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: Fever 103.0 (F)X4 days with onset <24 hours from immunization. Diarrhea, fatigue, chills. Swelling from left deltoid to elbow with redness and tenderness to site. Patient remains symptomatic 4 days post immunization.
Age: 37.0
Sex: F
Vaccine: FLU3, HEP, MMR, TDAP
Symptoms: Dyspnoea, Eye oedema, Face oedema, Headache, Musculoskeletal stiffness
Clinical narrative: 10/252006 began to feel bad achy all over, no fever but had headache and nauseated.  10/262006 headache worse with stiff neck. At 5 pm both eyes and lip became swollen.  "feels like she had huge lips"  Letft dark blue circle uder her left eye on 10/27/2006.  Denies difficulty breathing but states she could not get a deep breath.  On 10/27/2006 states sill fells achy but not nauseated and headache is 1/2  of what it was yesterday.  Facial swelling going down.  Feels like she can breath normally today.  Advised to watch for difficulty breathing, fever, stiff neck and headache this weekend.  If occurs should go to the physician immediately
Age: 37.0
Sex: F
Vaccine: FLU3, HEP, MMR, TDAP
Symptoms: Nausea, Pain
Clinical narrative: 10/252006 began to feel bad achy all over, no fever but had headache and nauseated.  10/262006 headache worse with stiff neck. At 5 pm both eyes and lip became swollen.  "feels like she had huge lips"  Letft dark blue circle uder her left eye on 10/27/2006.  Denies difficulty breathing but states she could not get a deep breath.  On 10/27/2006 states sill fells achy but not nauseated and headache is 1/2  of what it was yesterday.  Facial swelling going down.  Feels like she can breath normally today.  Advised to watch for difficulty breathing, fever, stiff neck and headache this weekend.  If occurs should go to the physician immediately
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Throat tightness
Clinical narrative: Pt in office for Varicella vaccine.  Approx. 20 min later pt called c/o "lump" in throat and generally feeling bad.  Instructed pt to take Benadryl and see MD ASAP.  MD office was closed so pt went to the local ambulance service and was transported to the nearest ER facility.  Pt was reportedly given Benedryl in the ambulance and was stable upon arrival.  After being evaluated and observed in ER pt was released to home.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: Employee received flu shot 7 days ago and broke out with fine red rash on trunk that itches a great deal 2 days later.  No other symptoms noted.  Rash spread to upper extremities.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Tremor, Vision blurred
Clinical narrative: Approximately ten minutes after receiving the vaccine the patient came back to pharmacy stating that she felt dizzy. She sat down and then when asked how she felt she says she has a history of seizures and felt like she was about to have a seizure.  She complained of blurred vision, shortness of breath, tremor. EMS arrived shortly after to assist patient and take her to ER. Patient also stated she has history of diabetes.  She stated she checked blood sugar prior to arriving to pharmacy and said it was okay.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient developed fever of 102 degrees farenheit. Injection site with increased swelling and erythema next day.  Treatmnent included OTC antihistamine and icing to area.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Bacterial infection, Pruritus, Rash
Clinical narrative: This is a 16 year old male patient who is trach-dependent secondary to an inoperable C1-C2 juvenile pilocytic astrocytoma with significant radiation necrosis and neurologic sequelae.  His vaccination was given 10/16/06 11:00.  Patient developed red, itchy rash the following morning.  He was given IV Benadryl and Atarax with little improvement.  Infectious disease was consulted.  The rash persisted for 3 days, then resolved completely.  No respiratory nor mucosal involvement.  Prior to the rash, he had had about 1 week of nausea, slightly loose stools and a sore throat, and was finishing a course of Ceftazidime and Ciprofloxacin for Pseudomonas tracheitis.  No new medications nor exposures. 12/8/06 Received medical records from hospital which reveal patient was rehospitalized on 11/3/06 for trach reconstruction & decannulation. Was initially dx w/transverse myelitis 12/05 then MRI & biopsy revealed JPA 1/06.  Patient has remained hospitalized from 2/06 first as inpatient then into rehab.  Was scheduled to reenter rehab s/p trach reconstruction.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain, Swelling, Tenderness
Clinical narrative: Vaccine given am, pt rtc 3:45pm with left upper arm pain and swelling, 2+ non putting edema, mild warmth and erythema, very tender. Lungs - no wheezing, rhoneki, RLL clears with cough, no dyspnea.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Headache, Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Local reaction in right arm, redness, heat, inflammation at site of injection, had headache.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Headache, Injection site warmth, Malaise, Pain
Clinical narrative: SWELLING OF ARM, RED, HOT, PAINFUL, PATCH.  FEVER OF 100-101 DEGREES F FOR ONE NIGHT WITH SEVERE HEADACHE.  GENERAL MALAISE FOR 4 DAYS AFTER SEVERE REACTION.