chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Hypertension, Laryngeal oedema, Rash
Clinical narrative: From telephone contact received on 03/19/02 at 1pm, it was reported that a 31 year old male received a dose of Yellow Fever vaccine. Patient developed immediate rash at injection site. It grew from small, red area then extended from shoulder to elbow, area red and warm. A half inch wheal noted at injection site, no signs and symptoms of respiratory distress but patient felt a lump in his throat. No known allergies except hayfever. Patient had prior Yellow Fever Vaccine 10 years ago with no significant reactions. He is in the military and returned to the health clinic approximately 45 minutes after receipt of dose. He was observed and instructed to take Benadryl, then referred to his private MD. His blood pressure went up to 140/110from prior reading at the clinic (reading not known). Patient will be moving at the end of this month. He is scheduled to see an allergist on 03/27/02 to follow-up due to his need for future doses of Yellow Fever Vaccine. Patient also received Typhim Vi and Tetanus  vaccine in the left arm and PPD in the left forearm on 02/10/02.
Age: 33.0
Sex: M
Vaccine: YF
Symptoms: Headache, Pyrexia
Clinical narrative: From telephone contact received at manufacturer, it was reported that a 33 year old male received Yellow Fever vaccine on 3/14/02. It was reported by a doctor that the patient was experiencing fevers of 102 degrees F and headaches. She states that patient is not immunosuppressed. It was suggested that the patient be seen by an infectious disease doctor.
Age: 32.0
Sex: M
Vaccine: YF
Symptoms: Influenza like illness, Malaise, Pyrexia, Tachycardia
Clinical narrative: From telephone contact received at manufacturer on 4/10/02 it was reported that a 32 year old male patient received a Yellow Fever vaccination administered on 4/8/02. Within 24 hours the patient developed flu-like symptoms, tachycardia, low grade fever and general malaise. Further information is requested.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Oedema, Pain, Pruritus
Clinical narrative: Given the shot at approx. 3:45 p.m. on Monday, October 28.  By 7:00 p.m., I noticed that my arm was very sore and itching around the site where I'd had the shot.  Upon examination, I noticed that my whole upper arm was red to the elbow and my entire arm was swollen to my wrist.  I called my sister-in-law who is a neurosurgical nurse, who suggested that I take Tylenol and put an ice pack on the site.  I sent my husband to the store to buy Benadryl, which I took around 8:30 and then again at 12:30 a.m.  The next morning, my arm was swollen, sore, and red again, so I took the Benadryl and Tylenol again, taking every 4 hours the next day.  I called the Health Dept and talked to someone in immunizations who basically did not seem concerned at the reaction I'd had.  She thought it sounded like a latex allergy and said since it seemed better, that it would probably be ok.  I reminded her that I was only better because I was taking Tylenol and Benadryl every 4 hours.  By Wednesday, I noticed that the site was reduced to a quarter sized red spot of inflammation around the injection site.  This remained through Thursday.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Difficulty Breathing with wheezing started 3 hours after immunizations tx - prelone, nebulizer tx
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Nausea, Rhinorrhoea, Vomiting
Clinical narrative: Nausea, vomiting, nasal discharge--same day as immunization.  Taken to ER by parents.  ER doctor diagnosed "Acute vomiting", "Acute Right Otitis Media" and "Possible reaction to vaccines".  Given prescription for antibiotics.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site pain, Pyrexia
Clinical narrative: 31 Oct: Normal soreness at injection point 1 Nov: Fever (100-101), extreme pain in arm, limited mobility.  Fever and pain treated with ibuprofin 2 Nov: Fever (100-101), extreme pain and redness in arm, limited mobility.  Fever and pain treated with ibuprofin and acetaminophen. 3 Nov: Fever (100-101), moderate pain in arm. Red streaks projecting down arm from injection point. Fever and pain treated with ibuprofin and acetaminophen. 4 Nov: Mild pain in arm.  Red streaks receding.  No medication taken. 5 Nov: Mild pain in arm.  Red streaks receding.  No medication taken. 6 Nov: No symptoms
Age: 1.3
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Anorexia, Dehydration, Infection, Lethargy, Pyrexia
Clinical narrative: As reported by parent, approximately day 10-11 post vacination, child broke out in red, raised rash, developed fever of 103-105F, was lethargic and anorexic.  Was treated for dehydration at local emergency room and subsequently seen by an infectious disease specialist at Hospital and diagnosed with vacine induced measles.
Age: 1.3
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: As reported by parent, approximately day 10-11 post vacination, child broke out in red, raised rash, developed fever of 103-105F, was lethargic and anorexic.  Was treated for dehydration at local emergency room and subsequently seen by an infectious disease specialist at Hospital and diagnosed with vacine induced measles.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Patient received vaccine on 11/5/02.  Returned with erythema and enduration at vaccine site 15*10 cm.  Very tender.  No fever.  Patient does complain of Headache.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Chest pain, Diarrhoea, Dry throat, Myalgia
Clinical narrative: Patient reported to emergency room at local hospital experienceing diarrhea, dry throat, muscle ache & chest pain. Negative findings. Discharged to home with follow up with PCP 8 Nov 02.
Age: 0.9
Sex: M
Vaccine: DTP, OPV
Symptoms: Convulsion, Encephalopathy, Neurodevelopmental disorder, Oedema, Pyrexia
Clinical narrative: Fever, Swollen Legs very restless, Dr. was called but just said to keep an eye on him and that is what we did.  But he would seem to get better then he started having seizures.  And at first they said febraile seizures then he just kept having them.  So we went to a neurologist and they said unknown seizure disorder. But he was normal till this happened. Per 60 day follow up: Pt has not recovered. He has a learning disability and seizures still. He will never be able to be left alone. And we have to help him with alot of things in his everyday tasks. Also has developmental delay.  Follow up on 12/03/03: "Vaccine recipient has not recovered from the adverse events that were reported for this vaccination.  He still has a learning disability and seizure disorder and he always will."
Age: 0.9
Sex: M
Vaccine: DTP, OPV
Symptoms: Restlessness
Clinical narrative: Fever, Swollen Legs very restless, Dr. was called but just said to keep an eye on him and that is what we did.  But he would seem to get better then he started having seizures.  And at first they said febraile seizures then he just kept having them.  So we went to a neurologist and they said unknown seizure disorder. But he was normal till this happened. Per 60 day follow up: Pt has not recovered. He has a learning disability and seizures still. He will never be able to be left alone. And we have to help him with alot of things in his everyday tasks. Also has developmental delay.  Follow up on 12/03/03: "Vaccine recipient has not recovered from the adverse events that were reported for this vaccination.  He still has a learning disability and seizure disorder and he always will."
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Low grade fever, body aches, sorethroat, headache, and nausea.
Age: 0.55
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP
Symptoms: Unevaluable event
Clinical narrative: Initial irritability and inconsolability. Developed fever and status epilepticus, admitted to PICU, Normal EEG, CT and MRI. Possible underlying neuromotor condition. Discharged on phenobarbital.
Age: 0.55
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP
Symptoms: Irritability, Pyrexia, Status epilepticus
Clinical narrative: Initial irritability and inconsolability. Developed fever and status epilepticus, admitted to PICU, Normal EEG, CT and MRI. Possible underlying neuromotor condition. Discharged on phenobarbital.
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Erythema, Injection site reaction, Pain, Swelling
Clinical narrative: Edema, erythema, low grade temp, unable to flex at elbow 2 hours, severe edema.
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Hypokinesia, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Edema, erythema, low grade temp, unable to flex at elbow 2 hours, severe edema.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac failure, Hypertrophy
Clinical narrative: It was received from a regulatory authority on 10/29/00, concerning an 88 year old pt who experienced cardiac failure and ventricular hypertrophy which led to death 16 days after receiving the Fluvirin vaccine on 10/1/02. The pt had a medical history of dementia, lower respiratory tract infection in June 2002, influenza and anaemia. The pt had been receiving the flu vaccination since 1993. On 10/17/02, 16 days after vaccination, the vaccinee developed an acute cardiac failure following left ventricular hypertrophy and subsequently died. A post mortom examination was performed and cardiac failure was reported as the probable cause of death. The reporter has assessed the relationship of the vaccine to the events as having a direct or indirect association.
Age: 0.6
Sex: M
Vaccine: DTPHIB, HEP
Symptoms: Hypokinesia, Neurological symptom
Clinical narrative: Report A0384624A describes the occurrence of mercury poisoning in an 18 month old male who received hep B vaccine recombinant (Engerix B). This report was received as a result of litigation proceedings and has not been confirmed by a physician or other healthcare professional. The subject "was born a perfectly normal, healthy boy whose Apgar scores at birth were well within the normal range. Developmentally, neurologically and socially, the subject achieved every developmental milestone anticipated of all normally developing children until the age of 18 months. The subject received injections of Engerix B on 4/22/93 (lot 1092A2) and 10/12/93 (1268B2). The subject also received diphtheria and tetanus toxoids  and pertussis vaccine (6/15/93 and 8/27/93), combination diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed/Haemophilus influenzae type B conjugate vaccine (Tetramune 10/12/93), diphtheria and tetanus toxoids and accullular pertussis vaccine adsorbed (Acel0Imune 9/15/94), and Haemophilus influenzae type B conjugate vaccine (Hib-Titer 6/15/93 and 8/27/93). The attorney alleged that "At approximately 18 months of age, the subject was neurologically devastated by the accumulation of mercury in his body, having been exposed via intramuscular vaccinations, and suddenly regressed developmentally, losing milestones of neurological development previously achieved, specifically including, but not limited to becoming withdrawn, unable to speak, unresponsive to his environment, engaging in repetitive behavior and the loss of language skills, motor skills and affect." Info received on 10/22/02 did not specify the outcomes of these events. The events of mercury poisoning and developmental regression in this report are considered medically serious (OMIC).
Age: 1.3
Sex: M
Vaccine: DTPHIB, HEP
Symptoms: Abnormal behaviour, Antisocial behaviour, Cognitive disorder, Drug toxicity, Drug withdrawal syndrome
Clinical narrative: Report A0384624A describes the occurrence of mercury poisoning in a 16 month old male who received hep B vaccine recombinant (Engerix B). This report was received as a result of litigation proceedings and has not been confirmed by a physician or other healthcare professional. The subject "was born a perfectly normal, healthy boy whose Apgar scores at birth were well within the normal range. Developmentally, neurologically and socially, the subject achieved every developmental milestone anticipated of all  normally developing children until the age of 16 months. The subject received injections of Engerix B on 11/29/95 (1617A2) and 2/2/95 (1943A2). The subject also received Tetramune 11/29/95, 2/2/96. 4/22/96 and 5/5/99; Hib titer 5/5/97; hep B 1/7/99, and Pnu-Imune 23 10/20/97. The attorney alleged that "At approximately 16 months of age, the subject was neurologically devastated by the accumulation of mercury in his body, having been exposed via intramuscular vaccinations, and suddenly regressed developmentally, losing milestones of neurological development previously achieved, specifically including but not limited to becoming withdrawn, unable to speak, unresponsive to his environment, engaging in repetitive behavior and the loss of language skills, motor skills and affect." Information received on 10/22/02 did not specify the outcomes of these events. The events mercury poisoning and developmental regression in this report are considered medically serious (OMIC).
Age: 1.3
Sex: M
Vaccine: DTPHIB, HEP
Symptoms: Neurodevelopmental disorder, Social avoidant behaviour
Clinical narrative: Report A0384624A describes the occurrence of mercury poisoning in a 16 month old male who received hep B vaccine recombinant (Engerix B). This report was received as a result of litigation proceedings and has not been confirmed by a physician or other healthcare professional. The subject "was born a perfectly normal, healthy boy whose Apgar scores at birth were well within the normal range. Developmentally, neurologically and socially, the subject achieved every developmental milestone anticipated of all  normally developing children until the age of 16 months. The subject received injections of Engerix B on 11/29/95 (1617A2) and 2/2/95 (1943A2). The subject also received Tetramune 11/29/95, 2/2/96. 4/22/96 and 5/5/99; Hib titer 5/5/97; hep B 1/7/99, and Pnu-Imune 23 10/20/97. The attorney alleged that "At approximately 16 months of age, the subject was neurologically devastated by the accumulation of mercury in his body, having been exposed via intramuscular vaccinations, and suddenly regressed developmentally, losing milestones of neurological development previously achieved, specifically including but not limited to becoming withdrawn, unable to speak, unresponsive to his environment, engaging in repetitive behavior and the loss of language skills, motor skills and affect." Information received on 10/22/02 did not specify the outcomes of these events. The events mercury poisoning and developmental regression in this report are considered medically serious (OMIC).
Age: 0.4
Sex: M
Vaccine: DTPHIB, HEP
Symptoms: Aphasia, Hypokinesia, Infection, Nervous system disorder, Neurodevelopmental disorder
Clinical narrative: Report A0384625A describes the occurrence of mercury poisoning in an 18 month old male who received hep B vaccine (Engerix B). This report was received as a result of litigation proceedings and has not been confirmed by a physician or other healthcare professional. The subject "was born a perfectly normal, healthy boy whose apgar scores at birth were well within the normal range. Developmentally, neurologically and socially, the subject achieved every developmental milestone anticipated of all normally developing children until the age of 18 months." The subject received injection of Engerix B on 11/29/95 (1817A2) and 2/2/96 (1943A2). The subject also received Tetramune 11/29/95, 2/2/96, 4/22/96 and 5/5/97; Hib Titer 5/5/97; hep B vaccine 1/7/99; and Pnu-Imune 23 10/20/97. The attorney alleged that "At approximately 18 months of age, the subject was neurologically devastated by the accumulation of mercury in his body, having been exposed via IM vaccinations, and suddenly regressed developmentally, losing milestones of neurological development previously achieved, specifically including, but not limited to becoming withdrawn, unable to speak, unresponsive to his environment, engaging in repetitive behavior and the loss of language skills, motor skills and affect." Information received on 10/22/02 did not specify the outcomes of these events. The events "mercury poisoning" and "developmental regression" in this report are considered medically serious (OMIC).
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pruritus, Tachycardia, Tremor
Clinical narrative: Itching all over-difficulty breathing, shaking, tachycardia. Hospitalized for 7 days after influenza shot.
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Asthma, Pain
Clinical narrative: Respiratory asthma. Achiness which went away.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Dysgeusia, Hypoaesthesia, Injection site inflammation, Memory impairment
Clinical narrative: Within 30 seconds a burning sensation at injection point. Followed by funny taste in mouth, upper teeth felt numb. Left arm became heavy with a burning rash type itch. Quarter size welt at injection point. flu like achy joints on left side. Symptoms lasted 3 days. Follow up: Paresthesias in left forarm and 3rd, 4th, 5th digits of left hand. Symptoms subsided in January 03 without additional evaluation or treatment. Arthralgias of the left arm. Described as "shootingpain." Symptoms subsided January 03 without additional evaluation or treatment. Patient received anthrax no. 4. He did not have pretreatment with NSAIDs as recommended. He did receive the injection IM in his right arm. Ohter than burning at the vaccine site, he did not have recurrence of his previous symptoms. Since receipt of anthrax vaccine 4 in July 2003, patient has had an unexplained 25-30 pound weight gain and has noted a significant change in his short teerm memory.  No evaluation of these changes has been initiated. When patient returns from abroad, another VAERS report will be filed regarding these new symptoms associated with vaccine 4.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Pruritus, Sensation of heaviness, Skin burning sensation, Urticaria
Clinical narrative: Within 30 seconds a burning sensation at injection point. Followed by funny taste in mouth, upper teeth felt numb. Left arm became heavy with a burning rash type itch. Quarter size welt at injection point. flu like achy joints on left side. Symptoms lasted 3 days. Follow up: Paresthesias in left forarm and 3rd, 4th, 5th digits of left hand. Symptoms subsided in January 03 without additional evaluation or treatment. Arthralgias of the left arm. Described as "shootingpain." Symptoms subsided January 03 without additional evaluation or treatment. Patient received anthrax no. 4. He did not have pretreatment with NSAIDs as recommended. He did receive the injection IM in his right arm. Ohter than burning at the vaccine site, he did not have recurrence of his previous symptoms. Since receipt of anthrax vaccine 4 in July 2003, patient has had an unexplained 25-30 pound weight gain and has noted a significant change in his short teerm memory.  No evaluation of these changes has been initiated. When patient returns from abroad, another VAERS report will be filed regarding these new symptoms associated with vaccine 4.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Weight increased
Clinical narrative: Within 30 seconds a burning sensation at injection point. Followed by funny taste in mouth, upper teeth felt numb. Left arm became heavy with a burning rash type itch. Quarter size welt at injection point. flu like achy joints on left side. Symptoms lasted 3 days. Follow up: Paresthesias in left forarm and 3rd, 4th, 5th digits of left hand. Symptoms subsided in January 03 without additional evaluation or treatment. Arthralgias of the left arm. Described as "shootingpain." Symptoms subsided January 03 without additional evaluation or treatment. Patient received anthrax no. 4. He did not have pretreatment with NSAIDs as recommended. He did receive the injection IM in his right arm. Ohter than burning at the vaccine site, he did not have recurrence of his previous symptoms. Since receipt of anthrax vaccine 4 in July 2003, patient has had an unexplained 25-30 pound weight gain and has noted a significant change in his short teerm memory.  No evaluation of these changes has been initiated. When patient returns from abroad, another VAERS report will be filed regarding these new symptoms associated with vaccine 4.
Age: 20.0
Sex: M
Vaccine: ANTH
Symptoms: Pharyngolaryngeal pain, Pruritus, Rash
Clinical narrative: Pt took #1, Anthrax shot today. Pt noticed some itching on arms, knees, legs, hands. When pt went to work others noticed rash. Pt reported to ER. Pt states he has slight sore throat. Pt has rash on legs, feet, knees, stomach, hands, arms, elbows on slightly on back. Pt was given a shot of Benadryl at ER.
Age: 45.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Injection site oedema, Injection site warmth, Pain
Clinical narrative: Pt experienced achiness on date of shot. Today elbow is red (~10 inches in length from top of arm to elbow), swollen and hot/warm to touch. Pt has been taking Motrin since Monday. This is pt's 5th vaccination.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Chills, Pain
Clinical narrative: Pt states he started feeling body aches/chills at 16:30 this date, recovered inoculation 08:00 hrs this date. Pt state he also had stomach cramps at same time. Pt doubled over in pain at 21:00 hrs this date 109/54 BP, P 88.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Ascites, Injection site erythema, Injection site oedema
Clinical narrative: Large localized, swollen, reddened area at injection site, followed by a generalized rash on abd, trunk, back and arms. Started approximately 12 hrs post injection. Treated with Benadryl.
Age: 54.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Fatigue, Headache, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Fever, swelling at arm, nausea, slept for 32 hrs. Still sore after two weeks. Fatigue and headache also. Redness rt arm.
Age: 54.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Nausea, Pyrexia, Somnolence
Clinical narrative: Fever, swelling at arm, nausea, slept for 32 hrs. Still sore after two weeks. Fatigue and headache also. Redness rt arm.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis L arm. Rx Cephaloxin tid x 10 days. Warm, moist packs.
Age: 34.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Joint range of motion decreased, Pruritus
Clinical narrative: 10/30/02, Pt received pneumococcal shot 0.5 ml IM left arm and Flu vaccine o.5 ml IM RA 11/1/02 called  health clinic w c/o left arm red, blotchy unable to lift, Hives on face, itchy welts on face and chin, She called her allergist took Clariton itching resolved welts resolving-advised to take Tylenol. Pt left clinic  some redness and cellulitis, Will call back Monday.
Age: 34.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash macular, Urticaria
Clinical narrative: 10/30/02, Pt received pneumococcal shot 0.5 ml IM left arm and Flu vaccine o.5 ml IM RA 11/1/02 called  health clinic w c/o left arm red, blotchy unable to lift, Hives on face, itchy welts on face and chin, She called her allergist took Clariton itching resolved welts resolving-advised to take Tylenol. Pt left clinic  some redness and cellulitis, Will call back Monday.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever up to 102 few hours after 2 months old vaccination. Develop fever with seizure on 06/29/02 (2days later), Seizures -ER 06/27/02 -Fever 102degrees F, 06/29/02 -Feverile seizure.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Stupor, Tremor
Clinical narrative: Episode of shaking arms and fixed vision, lasted 2 mins.
Age: 82.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema
Clinical narrative: 11 X 16 cm area of local erythema on the right deltoid. Nonpainful, nonindurated patch of erythema over right deltoid.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Tenderness
Clinical narrative: Patient developed swelling and tenderness at pneumovax site. No drainage or infection, fever or nodes. Resolved with locally applied ice pack.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Pain, Pyrexia
Clinical narrative: Fever w chills, aches & pain, Knot on left arm at vaccine site, Advil Tylenol IVF Fluids
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Henoch-Schonlein purpura, Oedema peripheral, Pain
Clinical narrative: Pt developed  Henoch-Schonlein purpura 11/04/2002 1st diagnosed, was seen at night care 11/2/02 with bilat (sic) elbow swelling and pain X 1 day.
Age: 62.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site warmth, Palpitations
Clinical narrative: Extreme erythema & increased temperature & palpitation to whole upper right arm where injection given -aches, sore
Age: 28.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Patient states he had a temperature of 103 the next day (Saturday) and resolved by Monday 10/28/02
Age: 81.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthenia, Hyperhidrosis, Nausea
Clinical narrative: 81 year old white male in for flu and pneumonia. About 45 minutes later, patient began to feel sick at stomach (at friend's house), left to go home. When wife came home, he was lying on bed, cold and wet with sweat to touch, lips gray looking. complained of nausea and weakness. Wife called health department and was told to go to ER and call PMD and to let PHN know. She called back to say PMD told her to take patient to ER. PHN called patient back at 2:#0 PM. Wife said patient refused to go to hospital but is much better now; sitting up and eating. Stressed to her to take him to hospital if conditions worsens.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria evening of office visit on legs and lower back. No SOP, no dyphagia. Rx - Benadryl.
Age: 33.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Dizziness, Injection site erythema, Injection site pain, Laboratory test abnormal
Clinical narrative: 24 hours after innoculation, chills, malaise, erythema at injection site, dizzy. Left deltoid pain 24 hours post injection on 11/02/2002. 11/03/2002 pain, chilled and miserable. 11/04/2002 site started to get red, slight dizziness. Took tylenol and slept.
Age: 33.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Malaise
Clinical narrative: 24 hours after innoculation, chills, malaise, erythema at injection site, dizzy. Left deltoid pain 24 hours post injection on 11/02/2002. 11/03/2002 pain, chilled and miserable. 11/04/2002 site started to get red, slight dizziness. Took tylenol and slept.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint range of motion decreased, Neuropathy, Radiculitis brachial, Tenderness
Clinical narrative: Received vaccine 10/07/2002 IM left deltoid. No swelling, redness or bruising at site. Pain progressively worse, tender over deltoid muscle--painful range of motion. DX: Left deltoid neuropathy, brachial neuritis. See by physician 11/4/02. Rx: Medrol dose pack, VIOXX.
Age: 42.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Asthenia, Chills, Injection site swelling, Urticaria
Clinical narrative: Within 2 hours of vaccine administration, had metallic taste in mouth. At about 20 hours, left arm slightly sore, right arm very sore and worse with movement. 30 hours--weak, chills, no temperature, quarter size welt on right arm. By 40-48 hours, palm size arm, raised area on right arm. 68 hours - raised area from shoulder to elbow affected on right.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Left arm: 20cmx17cm area of erythema; increased heat, non-tender, NL strength and pulse. No edema, no fever or chills. Mild achiness; treated with Keflex, Benadryl. Dx - left arm skin reaction after flu/pneumovax. Cellulitis vs allergic reaction.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site hypersensitivity, Injection site reaction, Injection site warmth
Clinical narrative: Left arm: 20cmx17cm area of erythema; increased heat, non-tender, NL strength and pulse. No edema, no fever or chills. Mild achiness; treated with Keflex, Benadryl. Dx - left arm skin reaction after flu/pneumovax. Cellulitis vs allergic reaction.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: Swollen, red and itchy at injection site.
Age: 2.0
Sex: M
Vaccine: DTAP, FLUX
Symptoms: Urticaria
Clinical narrative: Took shot at 11:30AM. Went home and took a nap 10 minutes. Upon awaking he broke out in a severe case of hives. Took him back to doctors office. Was told to give him Benadryl every 6 hours. Break out lasted 3 days. Complete recovery.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness
Clinical narrative: 2:52pm went to get a drink of water-came back feeling faint-sat down checked BP 64/40 pulse 84. Cold compresses applied-skin clammy. Gave water to drink. 3:03pm "feeling better" BP 86/50. 3:10pm "light-headed"-laid down on floor-ice to neck. 3:12pm "I'm okay now." -wants to sit. Advised to stay laying tx with feet up. 3:32pm sitting  BP 128/80 pule 96. Standing up "feels ok now." 3:38pm pt left ambulatory with friend driving.
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Left arm red from elbow to deltoid. Area swollen and warm to touch.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Joint swelling, Nausea, Pharyngolaryngeal pain
Clinical narrative: Sore throat/nausea in pm, joints swollen. 10/30 BP increase to 145/87. Last year flu shot had red whelp on arm at site of shot.
Age: 57.8
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: 48 hrs after flu shot employee complained of fever T102 that lasted for 4 days (normal body temp 97). Relief only with Ibuprofen. Also complained of body aches and chills. Denied complaints of chest, lung or sinus congestion. Saw primary MD who did not do any testing.
Age: 0.6
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Gastroenteritis, Pyrexia
Clinical narrative: Immunization (DTaP), IPV, HIB, hep B, Prevnar. 10/7/02 pt febrile, gastroenteritis, seen 10/11/02. Siblings ill. Amoxicillin, cardiac DM, pedialyte prescribed. pt did well.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Convulsion, Dizziness, Eye movement disorder, Hypoventilation, Loss of consciousness
Clinical narrative: 12:35 Immunization given left arm. Put band-aid on. Had complaints of feeling dizzy, breathing shallow, helped to couch, passed out face forward. Clonic movements of upper arms, stiffening of entire body, eyes rolled in back of sockets. about 2-3 seconds. Woke up saying how long was I out. No post itchiness response noted. ? lips, feet movement with 1305 U/S. 13:10 EMS here. 13:20 mom escorted child in private car to ER.
Age: 14.0
Sex: F
Vaccine: HEP, TD
Symptoms: Amnesia, Dizziness, Dyskinesia, Eye movement disorder, Vision blurred
Clinical narrative: As described by mother: client c/o dizziness, eyes rolled back and body made jerking movement. States: looked spaced-out for approx. 1 min. Client had no memory of above. Also c/o blurred vision.
Age: 12.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Urticaria
Clinical narrative: 24 after immuniz, started with hives over entire body. No resp difficulty. Unable to identify any other exposures, foods, meds, soaps, etc.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt presents 10/16/02 with 3/5 redness and swelling at inj site-warm to touch, extends to below elbow. C/O no pain or fever. Temp 97.6. No s/s of SOB, swollen nodes or diff breathing/seizure activities. To use Benadryl.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Urticaria
Clinical narrative: Pt developed hives to her right leg and hip two days after the immunization. Localized erythema and induration at injection site. Hives also noted to R lateral torso.
Age: 10.0
Sex: M
Vaccine: MMR
Symptoms: Blister, Herpes zoster, Infection, Pain, Rash
Clinical narrative: Mom called on 10/9/02 talked with RN. pt has blistering rash on L arm c/o burning pain under arm. RN advised mom to give him Tylenol and put cool compresses to sight and to call her. Mom was taking him to Dr. office on 10/11/02 at 2. Mom states Dr dx pt with shingles.
Age: 1.25
Sex: M
Vaccine: DTAPH, IPV, PNC
Symptoms: Contusion, Injection site erythema, Injection site induration
Clinical narrative: Large bruise left thigh 10x8cm indurated, erythema, non-tender, non-purulent.
Age: 1.25
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Marked redness, edema and induration at injection site and surrounding area.
Age: 2.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Reddened, mildly edematous area noted left upper arm. Pt scheduled for f/u 11/2/02-did not show.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Developed hives 5min post receiving the vaccine. Treated with Benadryl.
Age: 1.75
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Shot site very swollen, red, and hot for three days post vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: R leg erythema et edema-severe local rxn. Monitor, Motrin x 2 d, Benadryl x 2d, f/u prn.
Age: 1.05
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Face oedema, Injection site rash, Pruritus, Rash, Urticaria
Clinical narrative: On 10/27 at 3am rash was noticed spread all over trunk and at injection site on L thigh, itchy, red hives. Also mild swelling in face around mouth and lips.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: 24 hrs after immunization leg became swollen, red and tender. No fevers.
Age: 1.6
Sex: F
Vaccine: DTAPH, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Swelling in leg developed ~ 24-48hrs after vaccine administered, ~ 12x14cm red/swollen/warm area; right leg involved.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypersensitivity, Rash
Clinical narrative: Rash-allergic reaction to shots all over body.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left upper arm red and swollen.
Age: 8.0
Sex: F
Vaccine: TD
Symptoms: Chest wall pain, Injection site pain, Pyrexia
Clinical narrative: Fever 10/10/02 of 102 degrees F. Soreness at site of injection. Chest sore when breathes in; continues today.
Age: 2.5
Sex: M
Vaccine: VARCEL
Symptoms: Abnormal behaviour, Pruritus, Pyrexia, Rash
Clinical narrative: Itching (resulting scratches) from day one to 14. Fever (mild 38 degrees C) two weeks after injection for one week. Rash (face, arms, legs, chest) two weeks after injection. Strong behavioral changes from day one for about 3 weeks.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Very sore where injection was in the shoulder. Slightly warm. Swollen and slight fever of 99 degrees. Slight redness where swollen.
Age: 12.0
Sex: M
Vaccine: HEP, TD
Symptoms: Arthralgia, Pyrexia, Vomiting
Clinical narrative: Had Td and HBV #2 on 11/4/02. Woke up on 11/5/02 with achy joints (especially knees and jaw). Starting running a temperature of 101.5 to 102 degrees then vomited his lunch at approx. noon on 11/5/02. Mother called report to PHN at 1:15pm and is giving Tylenol for achy joints and to control temperature.
Age: 4.08
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Parotid gland enlargement, Parotitis
Clinical narrative: R gland with tenderson, R parotidis.
Age: 1.0
Sex: F
Vaccine: HBHEPB, VARCEL
Symptoms: Injection site haemorrhage, Injection site oedema
Clinical narrative: Developed swelling at injection site within 1 day; appeared as hematoma-persisted to > 2 wks post shot.
Age: 76.0
Sex: F
Vaccine: FLUX
Symptoms: Myocardial ischaemia
Clinical narrative: It was received from a regulatory authority on 10/29/00, concerning a 76 year old female pt who experienced ischaemic heart disease resulting in death 2 days after receiving the Fluvirin vaccine on 10/13/02. On 10/15/02, two days after vaccination, the pt experienced ischaemic heart disease and died. A post mortem examination was performed and coronary artery disease was reported as the probable cause of death. The reporter has assessed the relationship of the vaccine to the events as having a direct or indirect association.
Age: 8.0
Sex: M
Vaccine: DTAP, OPV, VARCEL
Symptoms: Dermatitis bullous
Clinical narrative: Diffuse erythem based vesicles no fever.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Dermatitis bullous, Infection
Clinical narrative: Moderate case of chicken pox > 50 lesions.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Nausea, Rash, Vomiting
Clinical narrative: Nausea. Vomiting. Light-headed. Rash on right forearm.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Urticaria
Clinical narrative: pt received flu vaccine and 1 hour later had hive on back of hand approx 2-3 cm,itchy.No other complaints. Went to dr office, had redness at nape of neck Received Decadron and Medrol pack
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Local reaction at injection site (Severe swelling, purple in color, hot to touch, extremely painful), Nausea and Vomiting, Diarrhea, Fever of 101.3 at highest, Dizziness, Headache, Body Pain, Weakness and Fatigue, Chills. All symptoms have lasted, at this time of report, for almost 48 hours so far.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Headache, Injection site reaction, Nausea, Oedema
Clinical narrative: Local reaction at injection site (Severe swelling, purple in color, hot to touch, extremely painful), Nausea and Vomiting, Diarrhea, Fever of 101.3 at highest, Dizziness, Headache, Body Pain, Weakness and Fatigue, Chills. All symptoms have lasted, at this time of report, for almost 48 hours so far.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Skin discolouration, Vomiting
Clinical narrative: Local reaction at injection site (Severe swelling, purple in color, hot to touch, extremely painful), Nausea and Vomiting, Diarrhea, Fever of 101.3 at highest, Dizziness, Headache, Body Pain, Weakness and Fatigue, Chills. All symptoms have lasted, at this time of report, for almost 48 hours so far.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Pain, Stomach discomfort, Vomiting
Clinical narrative: Flu shot received around 10:15 am (11/6/02).  Aches noted by 3:00pm, chills by 4:00pm.  Went home early from work.  Sour stomach, threw up at midnight. Slept poorly. Tired and achy next day, able to hold down food and worked 4 hours. Never had such a reaction to a flu shot before.
Age: 31.0
Sex: M
Vaccine: CHOL, FLU3, MEN, YF
Symptoms: Amnesia, Fatigue, Headache, Hypoacusis, Meniere's disease
Clinical narrative: Ringing in ears within weeks. Fatigue within weeks. Headaches. Nausea Hearing loss Balance disorders (Meniere's Syndrome) Memory loss.  Muscle pain Fatigue Vision Problem Treatment- Antivert, dizipan, water pills.
Age: 31.0
Sex: M
Vaccine: CHOL, FLU3, MEN, YF
Symptoms: Myalgia, Nausea, Tinnitus, Visual disturbance
Clinical narrative: Ringing in ears within weeks. Fatigue within weeks. Headaches. Nausea Hearing loss Balance disorders (Meniere's Syndrome) Memory loss.  Muscle pain Fatigue Vision Problem Treatment- Antivert, dizipan, water pills.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy
Clinical narrative: Very swollen lymph glands in armpit, neck, and under jaw on same side as shot received.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Influenza, Paraesthesia
Clinical narrative: Got a flu shot in early January 2001.  Got the flu about third week in February 2001.  Took two weeks to recover from severe flu.  Mid-March (about a weeks after symptoms were gone) arms and legs started tingling and going numb with increasing severity.  Hospitalized and diagnosed with Guillain-Barre syndrome.  Treated blood with immunoglobins.  Some nerve damage in arms.
Age: 44.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Myalgia, Pain, Sluggishness
Clinical narrative: PT STATED SHE FELT SLUGGISH, HAD SORE MUSCLES, JOINT SORENESS,AND BODY ACHES LASTING FOR 24 HRS. SKIN ALL OVER WAS VERY SORE TO THE TOUCH. TOOK TYLENOL FOR THE DISCOMFORTS.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Decreased appetite, Irritability, Lethargy, Pyrexia, Rash
Clinical narrative: high fever of up to 104.6 ten days after MMR injection, rash, lethargic, irritable, poor appetite and restlessness during sleep
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Restlessness, White blood cell count decreased
Clinical narrative: high fever of up to 104.6 ten days after MMR injection, rash, lethargic, irritable, poor appetite and restlessness during sleep
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Pain
Clinical narrative: This 67 year old male patient had a pneumonia vaccine on 10/03/2002. On 10/04/2002 he developed arm pain and on 10/05/2002 he developed cellulitis at the site of injection and from his shoulder to his elbow around the arm circumferential. He also felt sick like after a flu shot. The main point of cellulitis is on the inside closer to the inner aspect of his arm by his left elbow. The injection site was below the deltoid. He was treated with dicloxicillin. On 10/05/2002 he does not feel ill any more but the cellulitis continues.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient began itching about 5 1/2 hours after receiving shot.  Redness ocurred immediately after first signs of itching.  Hives over arms, truck and oper body.
Sex: F
Vaccine: TTOX
Symptoms: Chills, Influenza like illness, Oedema, Pain
Clinical narrative: A female patient was given a tetanus vaccine either Dip/Tet or just tetanus on 09/21/2002 for a dog bite. The following day her arm swelled from her shoulder to her elbow. She also had a large lump form at at the site of injection. She experienced general pain and chills/flu-like symptoms. She was not given any treatments and the symptoms gradually disappeared over the following week.
Age: 53.0
Sex: U
Vaccine: FLUX
Symptoms: Dizziness, Stomach discomfort, Vertigo
Clinical narrative: I was initially sick to my stomach so I went to bed early.  I suddenly received a severe bout of vertigo, which I had never experienced before. My bed seemed as if it was turning and falling, the whole room seemed to spin.  I closed my eyes to try to stop the spinning, but it continued and I felt like I was going to get sick. This happened several times during the night if I turned my head.  I tried not to move during the night.  I do not know if it had anything to do with the vaccine, but since I had taken the vaccine that morning and had never been sick like that from taking the Influenza Vaccine, or any other time,I thought I would report it.  The next day, (today) I am a little dizzy but nothing like how I felt last night.    I did not go to the hospital or doctor and probably won't unless I get another case of the severe dizziness.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Diarrhoea, Dyspnoea, Insomnia, Irritability
Clinical narrative: Severe Diarrhea, Parkinson's Like shakes and tremors, Convulsions/Seizures, Inability to nurse, Could not sleep/kept shaking and restlessness, Extreme irritability/Screaming at top of lungs ,for hours on end, Low grade fever, Vacant/distant look/stare.  Did not recognize mother anymore, Could not sit still, constant tremors, Started with just increased irritabilty and diarrhea over 2 days. Third day was onset of convulsions/seizures/inabilty to nurse etc.., 4th day no more seizures but constant tremors and shakes whenevr tried to fall asleep. Still had difficulty nursing. 5th day still very irritable and still diarrhea, less tremors. over next 3-4 days tremors slowly subsided and diarrhea dissipated. He was only 2 months old at the time.  Is now 4 months old. Still has inconsolable screaming fits that are so bad he ends up vomiting and has difficulty breathing, inability to settle down and take naps, mild tremors, difficulty nursing etc...
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Parkinsonism, Pyrexia, Screaming, Staring, Tremor
Clinical narrative: Severe Diarrhea, Parkinson's Like shakes and tremors, Convulsions/Seizures, Inability to nurse, Could not sleep/kept shaking and restlessness, Extreme irritability/Screaming at top of lungs ,for hours on end, Low grade fever, Vacant/distant look/stare.  Did not recognize mother anymore, Could not sit still, constant tremors, Started with just increased irritabilty and diarrhea over 2 days. Third day was onset of convulsions/seizures/inabilty to nurse etc.., 4th day no more seizures but constant tremors and shakes whenevr tried to fall asleep. Still had difficulty nursing. 5th day still very irritable and still diarrhea, less tremors. over next 3-4 days tremors slowly subsided and diarrhea dissipated. He was only 2 months old at the time.  Is now 4 months old. Still has inconsolable screaming fits that are so bad he ends up vomiting and has difficulty breathing, inability to settle down and take naps, mild tremors, difficulty nursing etc...
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Severe Diarrhea, Parkinson's Like shakes and tremors, Convulsions/Seizures, Inability to nurse, Could not sleep/kept shaking and restlessness, Extreme irritability/Screaming at top of lungs ,for hours on end, Low grade fever, Vacant/distant look/stare.  Did not recognize mother anymore, Could not sit still, constant tremors, Started with just increased irritabilty and diarrhea over 2 days. Third day was onset of convulsions/seizures/inabilty to nurse etc.., 4th day no more seizures but constant tremors and shakes whenevr tried to fall asleep. Still had difficulty nursing. 5th day still very irritable and still diarrhea, less tremors. over next 3-4 days tremors slowly subsided and diarrhea dissipated. He was only 2 months old at the time.  Is now 4 months old. Still has inconsolable screaming fits that are so bad he ends up vomiting and has difficulty breathing, inability to settle down and take naps, mild tremors, difficulty nursing etc...
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Hypersensitivity, Nausea, Oedema
Clinical narrative: 10 minutes after flu shot patient complained of warmth in her total body.  Patient became dizzy and felt like her hands were swelling. Patient became nauseated and then vomited.  She then felt like her airway was closing.  RN evaluation found the patient vomiting, face flush, Hear rate 144, resp rate 22.  Benadryl 50mg po given per standing orders.  911 called due to patients describing the feeling her throat was swelling.  No acute resp distress evident.  Vital signs recheck P 92, R 20 B/P 132-100.  Paramedics arrived and transported patient to Hospital ED for evaluation.  Patient evaluated and released on 11/8 with diagnosed of Allergic Reaction.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory distress, Vomiting
Clinical narrative: 10 minutes after flu shot patient complained of warmth in her total body.  Patient became dizzy and felt like her hands were swelling. Patient became nauseated and then vomited.  She then felt like her airway was closing.  RN evaluation found the patient vomiting, face flush, Hear rate 144, resp rate 22.  Benadryl 50mg po given per standing orders.  911 called due to patients describing the feeling her throat was swelling.  No acute resp distress evident.  Vital signs recheck P 92, R 20 B/P 132-100.  Paramedics arrived and transported patient to Hospital ED for evaluation.  Patient evaluated and released on 11/8 with diagnosed of Allergic Reaction.