chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Headache, Hypersensitivity, Injection site induration, Pain, Pruritus
Clinical narrative: Generalized aches and pains. Vomiting, headache, fever, swelling. Injection site itching and induration approximately 3 inches. Follow up on 10/07/05: Doctor told the patient to stop taking all of the medication she regularly took and when she saw the patient again, there was still a little bit of induration at inj. site, but all other symptoms completely gone. Patient recovered.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia, Swelling, Vomiting
Clinical narrative: Generalized aches and pains. Vomiting, headache, fever, swelling. Injection site itching and induration approximately 3 inches. Follow up on 10/07/05: Doctor told the patient to stop taking all of the medication she regularly took and when she saw the patient again, there was still a little bit of induration at inj. site, but all other symptoms completely gone. Patient recovered.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Patient was diagnosed with cellulitis at injection site (left deltoid). Follow up on 11/03/05: the reporter was unable to obtain more information about the patient. It is unknown whether patient recovered, and the reporter will not make any additional attempts to obtain follow up information.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient complained of redness, warmth, pain and swelling at injection site on 10/06/05. Patient was instructed to take Cephalexin 500mg, one tablet 4 times a day, and to apply warm moist compress to area.
Age: 55.0
Sex: M
Vaccine: TD
Symptoms: Asthenia, Loss of consciousness, Musculoskeletal stiffness, Nausea, Pyrexia
Clinical narrative: Patient reported that 2 days after receiving Td injection he lost consciousness in the doctor's office while getting his blood drawn for the glucose test. Muscle stiffness next day, slight fever, continued weakness and nausea. Patient and begun a fast the night of the immunization for a glucose test being administered days 2 and 3 post immunization. Follow up received on 11/15/05: Patient (who is also the reporter of the adverse event) was contacted for additional information. Patient said that thyroid abnormalities are new, patient's thyroid was checked by a different doctor a year and a half ago. Muscles weakness experienced after Td immunization is getting better. Patient received Td due to a fractured left toe. Patient said that he is feeling better. Follow up received 11/22/05: Patient was contacted to clarify the thyroid test results of October 21st that showed an elevated thyroid peroxidase TPO. Patient is undergoing evaluation for thyroid and glucose abnormalities that preceded Td immunization, and as per manufacturer medical assessment, the thyroid/glucose test results are therefore unrelated to Td.
Age: 55.0
Sex: M
Vaccine: TD
Symptoms: Thyroid disorder
Clinical narrative: Patient reported that 2 days after receiving Td injection he lost consciousness in the doctor's office while getting his blood drawn for the glucose test. Muscle stiffness next day, slight fever, continued weakness and nausea. Patient and begun a fast the night of the immunization for a glucose test being administered days 2 and 3 post immunization. Follow up received on 11/15/05: Patient (who is also the reporter of the adverse event) was contacted for additional information. Patient said that thyroid abnormalities are new, patient's thyroid was checked by a different doctor a year and a half ago. Muscles weakness experienced after Td immunization is getting better. Patient received Td due to a fractured left toe. Patient said that he is feeling better. Follow up received 11/22/05: Patient was contacted to clarify the thyroid test results of October 21st that showed an elevated thyroid peroxidase TPO. Patient is undergoing evaluation for thyroid and glucose abnormalities that preceded Td immunization, and as per manufacturer medical assessment, the thyroid/glucose test results are therefore unrelated to Td.
Age: 22.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Td was administered subcutaneously. Area of mild erythema and warmth at injection site. Resolving without progression.
Age: 51.0
Sex: M
Vaccine: TD
Symptoms: Injection site oedema, Pyrexia, Tenderness
Clinical narrative: Swollen tenderness in the left arm, at the site of the injection. Patient had mild fever and was given Tylenol. Follow up on 01/06/06: Doctor's office confirmed that patient recovered.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Arthralgia, Arthritis, Neck pain, Shoulder pain
Clinical narrative: Juvenile Arthritis: started mid-June 2005 with fever 101.5 to 103 every evenings (never the morning) until July, then joint pains (hip, shoulder, fingers, neck) in August 2005 that conducted her to the emergency room on 08-15-2005 since she could hardly move. Treated with Naproxen from 09-02-2005 to 10-10-2005, prednisolone since 10-10-2005, and methotrexate since 12-08-2005.
Age: 1.98
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Rash consistent with chickenpox on face, mouth, trunk, arms, onset 1/17/06.  Date of diagnosis 1/18/06.  Benadryl PO and Caladryl topically.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Coordination abnormal, Difficulty in walking, Labyrinthitis, Nystagmus, Visual disturbance
Clinical narrative: On the am of 11/7/05, awoke with an inability to focus his eyes on the alarm clock and he was unable to walk independently.  He went to his primary MD-who reported severe nystagmus and ataxia.  He was started on Antivert for possible acute labyrnthitis and an MRI was ordered for rule out MS.
Age: 1.03
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Rash consistent with chickenpox on face, trunk, legs - onset 1/17/2006.  Diagnosis 1/19/2006. Caladryl to rash PRN.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Chills, Dizziness, Nausea, Pain, Vertigo
Clinical narrative: I visited hospital on 1/19/06 as a new patient. During the course of the visit the nurse insisted 3x's I get the tetanus/diphtheria vaccine. I agreed after she asked me to do it on the third time. My reaction was severe vertigo and nausea about an hour after receiving vaccination. (around 12:00pm) By 6:00pm I couldn't stand up anymore. I could only lay down and basically sleep. Everything would spin and I was sick to my stomach. Like NOTHING I have ever felt before. I know for a fact in my 48 and 1/2 yrs. that I've had a Td shot before and I've never had a reaction to it. I called a pharmacist about 9pm. He told me it was a rare reaction and it would be about 48 hrs. til I felt better. I didn't have 48 hrs. This was on a Thursday and I work a double shift on Fridays at a health club and then we were leaving that Friday night at 7pm for a trip out of town. I couldn't move. I then called the hospital where I received the shot and asked for the emergency Dr. on call to call me immediately. He did and told me also it was a rare reaction and to get a good nights sleep and I would probably be better in the morning. He also told me not to get another Td shot EVER again. The next morning I still felt the same. Vertigo in my head, very dizzy and lightheaded and very nauseas. I could not go to work. I called back at 9am the next morning and asked them to prescribe me something to counteract this reaction. They prescribed me Meclizine Tabs 25mg and Promethazine Tabs 25mg. By 2:30pm I finally got my RX's. I took the meds and went to sleep. By 6:30pm that night (Friday) I felt a little better but not much. I took a shower and we drove out of town that night. On Saturday, I still had to move slowly because if I didn't, it felt like I left my head behind me. It is Thursday AM, 1/26/06 and last night when I went to bed, I laid down and still had to focus on something because I still felt a little dizzy. Today I feel pretty good but what happened? They gave me a reaction sheet and it only said soreness or whatever in the arm I got the shot. My arm really never hurt. I got the vertigo and nausea instead. The pharmacist and on call emergency doctor both said my reaction is so rare that they don't put it on the reaction sheet. I feel it SHOULD be on there. Also, when I called the Dr.'s office the next day, after the shot, they told me it was a viral. Well I certainly felt fine when I went in there on 1/19. FYI on January 3rd we flew home from out of town and I had the chills and aches and was in bed for a day. I guess flu like symptoms. But I was fine by that Friday. What happened to me and the Dt vaccination?
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: F/u visit 5/11/05, 24hrs.after vaccine .administered.  Pt.presented w/localized reaction to injection,left thigh (6"x3.5")red,raised erythematous area, hot to touch, area hard when palpated. pt. c/o pain w/ ambulation.  Doctor after assessment prescribed Prelone, 15mg/5ml, 1 tsp po bid x 5 days, dispensed 60 ml., and Benadryl 12.5 mg, 1 tsp po bid prn-dispense 60 ml.  Mother educated on adverse rxns and verbalized understanding of follow up treatment.  Will phone if any change in symptoms or will call 911 if s/s of respiratory distress.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Hypertension, Oedema, Pruritus, Rash
Clinical narrative: That evening kept itching, could not stop. Next day light rashes, itching was uncontrollable. Went to pharmacy. Bought itch cream and allergy medication as suggested by pharmacist after I told her about the vaccine shot I received. Sunday I was swollen twice the size and could not breath. Went to ER and received a shot and medications from pharmacy, said my respiratory system could have shut down.  Information from medical records state hypertension as finding. msv
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Bacterial infection, Balance disorder, Cardiac valve disease, Condition aggravated, Depression
Clinical narrative: 11-28-05 Several hours later, fatigue, cold sweat, shaking, nausea, vomiting and diarrhea had to stay in bed 4 days ER on day 5 doctor visit day 7. 12-31-05 I felt like I was die. 1-1-06 Hospitalized. 1-4-06 Infectious disease doctor found blood deficiency that was triggered. I now need transfusions every 4 week plus medications to keep me from vomiting continuously. 2/2/06 Medical records reviewed stated patient experienced unsteady gait, both chronic & acute streptococcal skin infection w/multiple lesions, UTI, hypogammaglobulinemia, chronic urinary insufficiency, diarrhea, fibromyalgia, tachycardia NOS, IBS, depression, sleep disturbance, restless leg syndrome, migraine headaches, endometriosis, mitral valve prolapse, pituitary tumor (s/p surgery).
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Endometriosis, Fatigue, Feeling cold, Fibromyalgia
Clinical narrative: 11-28-05 Several hours later, fatigue, cold sweat, shaking, nausea, vomiting and diarrhea had to stay in bed 4 days ER on day 5 doctor visit day 7. 12-31-05 I felt like I was die. 1-1-06 Hospitalized. 1-4-06 Infectious disease doctor found blood deficiency that was triggered. I now need transfusions every 4 week plus medications to keep me from vomiting continuously. 2/2/06 Medical records reviewed stated patient experienced unsteady gait, both chronic & acute streptococcal skin infection w/multiple lesions, UTI, hypogammaglobulinemia, chronic urinary insufficiency, diarrhea, fibromyalgia, tachycardia NOS, IBS, depression, sleep disturbance, restless leg syndrome, migraine headaches, endometriosis, mitral valve prolapse, pituitary tumor (s/p surgery).
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Hyperhidrosis, Hypoglobulinaemia, Irritable bowel syndrome, Laboratory test abnormal, Migraine
Clinical narrative: 11-28-05 Several hours later, fatigue, cold sweat, shaking, nausea, vomiting and diarrhea had to stay in bed 4 days ER on day 5 doctor visit day 7. 12-31-05 I felt like I was die. 1-1-06 Hospitalized. 1-4-06 Infectious disease doctor found blood deficiency that was triggered. I now need transfusions every 4 week plus medications to keep me from vomiting continuously. 2/2/06 Medical records reviewed stated patient experienced unsteady gait, both chronic & acute streptococcal skin infection w/multiple lesions, UTI, hypogammaglobulinemia, chronic urinary insufficiency, diarrhea, fibromyalgia, tachycardia NOS, IBS, depression, sleep disturbance, restless leg syndrome, migraine headaches, endometriosis, mitral valve prolapse, pituitary tumor (s/p surgery).
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Pituitary tumour benign, Restless legs syndrome, Sleep disorder, Tachycardia
Clinical narrative: 11-28-05 Several hours later, fatigue, cold sweat, shaking, nausea, vomiting and diarrhea had to stay in bed 4 days ER on day 5 doctor visit day 7. 12-31-05 I felt like I was die. 1-1-06 Hospitalized. 1-4-06 Infectious disease doctor found blood deficiency that was triggered. I now need transfusions every 4 week plus medications to keep me from vomiting continuously. 2/2/06 Medical records reviewed stated patient experienced unsteady gait, both chronic & acute streptococcal skin infection w/multiple lesions, UTI, hypogammaglobulinemia, chronic urinary insufficiency, diarrhea, fibromyalgia, tachycardia NOS, IBS, depression, sleep disturbance, restless leg syndrome, migraine headaches, endometriosis, mitral valve prolapse, pituitary tumor (s/p surgery).
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Tremor, Urinary incontinence, Urinary tract infection, Vomiting
Clinical narrative: 11-28-05 Several hours later, fatigue, cold sweat, shaking, nausea, vomiting and diarrhea had to stay in bed 4 days ER on day 5 doctor visit day 7. 12-31-05 I felt like I was die. 1-1-06 Hospitalized. 1-4-06 Infectious disease doctor found blood deficiency that was triggered. I now need transfusions every 4 week plus medications to keep me from vomiting continuously. 2/2/06 Medical records reviewed stated patient experienced unsteady gait, both chronic & acute streptococcal skin infection w/multiple lesions, UTI, hypogammaglobulinemia, chronic urinary insufficiency, diarrhea, fibromyalgia, tachycardia NOS, IBS, depression, sleep disturbance, restless leg syndrome, migraine headaches, endometriosis, mitral valve prolapse, pituitary tumor (s/p surgery).
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Aphasia, Autism, Hypokinesia
Clinical narrative: Regression 18 months of age, lost speech, fine and gross motor skills, autistic, diagnosed high functional autism at age 3 1/2. 2/27/06 Received medical records from Dr. which reveal that patient experienced autism spectrum, Asperger's disease & hyperlexia/ss Received medical records from PCP which consisted only of vaccination record/ss
Age: 55.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Received flu vaccine on 10/24/05. One week later developed numbness related to cranial nerve 9. Symptoms lasted for 10-12 weeks. Examined by a neurologist and expects a full recovery (OMIC)
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Pt received vaccine in afternoon of 01/13/2006, developed generalized hives the morning of 01/14/2006. Seen in ER, received Benadryl PO. Took PO Benadryl x 2 days.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Pyrexia, Rash macular
Clinical narrative: Rapid onset of macular rash within 2 hours after immunizations.  Trunk to extremity spread, spares hands, feet, mucosa.  Rectal temps 99.4 within 12 hours later increased 101.4.  Today approximately 75 hours later afebrile, rash remains.
Age: 33.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Fatigue, Lymphadenopathy, Myalgia
Clinical narrative: Swollen lymph nodes armpits and groin, fatigue, muscle aches.
Age: 21.0
Sex: F
Vaccine: HEPA, MNQ, TYP
Symptoms: Injection site hypersensitivity, Injection site inflammation
Clinical narrative: Pt had red, inflammation at site of injection of Menactra vaccine, 2 days post vaccine right deltoid.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Erythema, Injection site erythema, Injection site induration, Rash papular
Clinical narrative: 5-6 cm area of induration with erythema around vaccine site 8 days after vaccine improved. Pt developed about 10-12 erythematous papular lesions on face, RUE, torso and right leg, no vesicles no pustules.
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, PNC
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pt developed vomiting and fever of 102.1 F a few hours after vaccines administered.
Age: 7.0
Sex: F
Vaccine: HEPA, HIBV, PNC
Symptoms: Diarrhoea, Dizziness, Pyrexia, Vomiting
Clinical narrative: high fever, dizziness, diarrhea and vomiting according to mom.
Age: 1.52
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL, DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash macular, Rash maculo-papular, Rash morbilliform
Clinical narrative: Blotchy, erythematous, macular, papular, rash, measles type rash to trunk extremities, face and neck.
Age: 1.52
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL, DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Diarrhoea, Otitis media, Penis disorder, Pyrexia, Rash
Clinical narrative: Blotchy, erythematous, macular, papular, rash, measles type rash to trunk extremities, face and neck.
Age: 1.52
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL, DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash macular, Rash maculo-papular, Upper respiratory tract infection
Clinical narrative: Blotchy, erythematous, macular, papular, rash, measles type rash to trunk extremities, face and neck.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: Swollen Left Leg with erythema after 8 hours.
Age: 0.43
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Muscle twitching, Pyrexia
Clinical narrative: Occurred the evening after the vaccines were given 01/19/2006, fever 102, twitching of arms and legs off and on for about 20 minutes, no loss of consciousness. No post ictal sleepiness, no recurrence.
Age: 53.0
Sex: M
Vaccine: TD
Symptoms: Cachexia, Muscle disorder, Neck pain, Oedema, Pain
Clinical narrative: Tetanus TD on 01/18/2006, 01/19/2006 pain in right legs and neck. 01/20/2006 pain worsened , aching with swelling in left side of neck. 01/21/2006 muscle wasting right LE.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Pt had redness, swelling and fever 101.0. Pt was treated with Benadryl and Tylenol.
Age: 64.0
Sex: M
Vaccine: HEP, HEPA, TD, TYP
Symptoms: Erythema, Injection site hypersensitivity
Clinical narrative: Client stated 3 wks. After injection in right deltoid he noticed a red spot on arm approx. 10 cm around that would weep a clear liquid when he rubbed it in his shirt.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Tenderness
Clinical narrative: Red, swollen, Tender left deltoid.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema, Pain
Clinical narrative: Pt received Pneumovax while at her reg office visit pt called back 01/12/2006 to report increased redness, warmth, edema left arm and painful symptoms resolving now after cold packs and Benadryl PRN.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth, Pain
Clinical narrative: Pt c/o 12-24 hours after receiving Pneumovax. Pt c/o swelling, redness, warmth from deltoid to elbow. Aches also, resolved 72 hours after shots.
Age: 24.0
Sex: M
Vaccine: TD
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Swelling, pain in location of shot on day 1, swelling 10-12 cm diameters, no redness.
Age: 48.0
Sex: M
Vaccine: PPV
Symptoms: Tongue oedema
Clinical narrative: Tongue swelled that evening, he was treated in ER with Cortisone and Benadryl and problem resolved by the next day.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Dry skin, Pruritus, Rash erythematous, Rash macular, Skin exfoliation
Clinical narrative: This patient reported receiving his primary SMPX vaccine sometime in January 2003.  He also reported received his first AVA vaccination 12/29/2002 and a second AVA vaccine 2 weeks later. Approximately 3-4 weeks post SMPX vaccine (estimated 1/21/03 onset) he developed multiple fine, itchy red raised macular rash starting at/about his inner elbows that slowly spread to his lower and upper arms. The rash had single dots that had a sporadic pattern and grouping...some single, some clustered. He denies any rash to his torso or face. This rash was dry, scaley w/o flakes, worsened with heat or hot water, Lubiderm lotions burned area (hurt) however hydrocortisone cream (over the counter) helped with the itching and rash.  The rash lasted 2-4 weeks depending on if summer vs winter months or activity, or amount of itching.  He reported having 3-6 occurrences or more since 2003 with his last episodes in May and again in November 2005.  He denied any current or past allergies, new/old food allergies, no detergents, perfume, soap, clothing triggers.  He has not sought medical care for this problem as treating it on his own has been successful.
Age: 31.0
Sex: M
Vaccine: MEN
Symptoms: Asthenia, Dysarthria
Clinical narrative: Dystheria and general body weakness.  Onset 10/06/2005.  Dysteria resolved on 11/20/2005.  General body weakness resolved on 12/14/2005.  Treatment course was time and multiple test.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Anxiety, Arthralgia, Back pain, Blood cholesterol increased
Clinical narrative: Ache: joints, ache: joints and muscles, acid reflux, Amnesia, bladder problems, vision problems, blood pressure high, blood high cholesterol, concentration difficulty and loss of concentration, dermatitis, digestive problems nausea, gastritis, headaches, hemorrhoids, impotence, incontinence urinary, sleep insomnia, libido loss, memory difficulty and loss, memory short-term loss, anxious, irritable, nasal runny nose, nervousness, lower back pain, groin pain, knees and hips pain, stomach problems, verbal skills problems, trouble finding words, vision problems.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Dermatitis, Disturbance in attention, Erectile dysfunction, Gastritis, Gastrointestinal disorder
Clinical narrative: Ache: joints, ache: joints and muscles, acid reflux, Amnesia, bladder problems, vision problems, blood pressure high, blood high cholesterol, concentration difficulty and loss of concentration, dermatitis, digestive problems nausea, gastritis, headaches, hemorrhoids, impotence, incontinence urinary, sleep insomnia, libido loss, memory difficulty and loss, memory short-term loss, anxious, irritable, nasal runny nose, nervousness, lower back pain, groin pain, knees and hips pain, stomach problems, verbal skills problems, trouble finding words, vision problems.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Gastrooesophageal reflux disease, Groin pain, Haemorrhoids, Headache, Hypertension
Clinical narrative: Ache: joints, ache: joints and muscles, acid reflux, Amnesia, bladder problems, vision problems, blood pressure high, blood high cholesterol, concentration difficulty and loss of concentration, dermatitis, digestive problems nausea, gastritis, headaches, hemorrhoids, impotence, incontinence urinary, sleep insomnia, libido loss, memory difficulty and loss, memory short-term loss, anxious, irritable, nasal runny nose, nervousness, lower back pain, groin pain, knees and hips pain, stomach problems, verbal skills problems, trouble finding words, vision problems.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Irritability, Libido decreased, Myalgia, Nausea, Nervousness
Clinical narrative: Ache: joints, ache: joints and muscles, acid reflux, Amnesia, bladder problems, vision problems, blood pressure high, blood high cholesterol, concentration difficulty and loss of concentration, dermatitis, digestive problems nausea, gastritis, headaches, hemorrhoids, impotence, incontinence urinary, sleep insomnia, libido loss, memory difficulty and loss, memory short-term loss, anxious, irritable, nasal runny nose, nervousness, lower back pain, groin pain, knees and hips pain, stomach problems, verbal skills problems, trouble finding words, vision problems.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Rhinorrhoea, Speech disorder, Urinary incontinence, Visual disturbance
Clinical narrative: Ache: joints, ache: joints and muscles, acid reflux, Amnesia, bladder problems, vision problems, blood pressure high, blood high cholesterol, concentration difficulty and loss of concentration, dermatitis, digestive problems nausea, gastritis, headaches, hemorrhoids, impotence, incontinence urinary, sleep insomnia, libido loss, memory difficulty and loss, memory short-term loss, anxious, irritable, nasal runny nose, nervousness, lower back pain, groin pain, knees and hips pain, stomach problems, verbal skills problems, trouble finding words, vision problems.
Age: 0.53
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Convulsion, Pyrexia, Tremor
Clinical narrative: 14 hours after immunizations were administered, developed a low grade fever. Two hours later, she began seizing. She had 3 seizures in 20 minutes. Was taken to the ER, had a temp of 101.4, was given Motrin, seizures seemed to stop, was discharged with "fever related tremors." Later that day, she had 2 more seizures, went back to ER, was admitted after having 3-5 more seizures. Episodes continued for 9 days, approx 5 minutes to 4 hours apart, lasting anywhere from 10-15 seconds to 3 minutes. Testing included an MRI, EEG, spinal tap, and much blood work to check for viral or bacterial infections. Was given Phenobarbitol to control seizures. Was hospitalized for 11 days.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Cellulitis, Erythema, Hypersensitivity, Injection site warmth, Swelling
Clinical narrative: Patient presented to the ER approx 36 hours after vaccines were administered with complaints of redness and swelling of left leg.  ER summary describes the area as a "12 x 10 cm area of erythema and warmth to anterior left thigh",  The diagnosis was "acute hypersensitivity and possible secondary cellulitis".   The patient was placed on Prelone, Omnicef, and Zyrtec. The patient came back to see me, the primary care provider, the next day and the erythema, warmth was gone.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chills, Cough, Difficulty in walking, Dizziness, Encephalitis
Clinical narrative: Starting 6 days (16 Jan) after primary Smallpox vaccine (3 jabs) presented to urgent care with complaints of sore throat, cough, vomiting and dizziness.  VS BP 144/77, Pulse 78 afebrile at 98.3. Care plan to inc fluids, otc Motrin/Tylenol, light diet, sick call in am if still feeling bad.  According to prescription history, patient seen at ER on 17 Jan and given prescription for azythromycin. No note available.  On 19 Jan he presented to primary care complaining of sore throat, cough, sinusitis, axillary lymph node enlargment, chills, flu like sx.  VS BP 100/69 HR 87 Temp 97.8.  Exam with tender neck, enlarged lymph nodes in cervical region.  A/P - Given treatment for pharyngitis/URI including -  Albuterol Inhaler 90 mcg Guaifenesin 600/PSE 120 Tylenol with Codeine #3 Advair 100/50 Solumedrol 125mg IM  On 20 Jan patient again presented to primary care - stating medicine effective would like quarters for another day.  Additional problems noted enlarged lymph nodes and sore throat.  Sent home for 24 h of quarters. Pt was seen at medical clinic treatment room on 25 Jan.  Unable to ambulate without assistance, repsonsive to opening eyes only, but no other commands, temp 103.2.  Transported immediately to Emergency Room.   Patient was admitted to hospital on 25 Jan and diagnosed with viral encephalitis.  At time of this report, patient is not communicative, "picking" at bed linens in disoriented way.  Able to move all extremities, fevers ranging from 103 to 101.  Treatment includes acyclovir and fluids, rocephin given initially with rash developing.  Hospital contacted by infectious disease MD for advice in treatment plan.  Advised no steroids at this time. 2/22/06-reviewed d/c summary and the primary diagnosis was stated  as 'aseptic encephalitis secondary to smallpox vaccination' and the secondary diagnoses as 'altered mental status, seizures, and chills secondary to above'.  2/23/06 Review medical record indicates patient had a temp of 103.2. 2/23/06-Review of ER record and handwritten progress notes essentially confirms above information.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Influenza like illness, Lymphadenopathy, Pharyngitis, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Starting 6 days (16 Jan) after primary Smallpox vaccine (3 jabs) presented to urgent care with complaints of sore throat, cough, vomiting and dizziness.  VS BP 144/77, Pulse 78 afebrile at 98.3. Care plan to inc fluids, otc Motrin/Tylenol, light diet, sick call in am if still feeling bad.  According to prescription history, patient seen at ER on 17 Jan and given prescription for azythromycin. No note available.  On 19 Jan he presented to primary care complaining of sore throat, cough, sinusitis, axillary lymph node enlargment, chills, flu like sx.  VS BP 100/69 HR 87 Temp 97.8.  Exam with tender neck, enlarged lymph nodes in cervical region.  A/P - Given treatment for pharyngitis/URI including -  Albuterol Inhaler 90 mcg Guaifenesin 600/PSE 120 Tylenol with Codeine #3 Advair 100/50 Solumedrol 125mg IM  On 20 Jan patient again presented to primary care - stating medicine effective would like quarters for another day.  Additional problems noted enlarged lymph nodes and sore throat.  Sent home for 24 h of quarters. Pt was seen at medical clinic treatment room on 25 Jan.  Unable to ambulate without assistance, repsonsive to opening eyes only, but no other commands, temp 103.2.  Transported immediately to Emergency Room.   Patient was admitted to hospital on 25 Jan and diagnosed with viral encephalitis.  At time of this report, patient is not communicative, "picking" at bed linens in disoriented way.  Able to move all extremities, fevers ranging from 103 to 101.  Treatment includes acyclovir and fluids, rocephin given initially with rash developing.  Hospital contacted by infectious disease MD for advice in treatment plan.  Advised no steroids at this time. 2/22/06-reviewed d/c summary and the primary diagnosis was stated  as 'aseptic encephalitis secondary to smallpox vaccination' and the secondary diagnoses as 'altered mental status, seizures, and chills secondary to above'.  2/23/06 Review medical record indicates patient had a temp of 103.2. 2/23/06-Review of ER record and handwritten progress notes essentially confirms above information.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Sinusitis, Upper respiratory tract infection, Vomiting
Clinical narrative: Starting 6 days (16 Jan) after primary Smallpox vaccine (3 jabs) presented to urgent care with complaints of sore throat, cough, vomiting and dizziness.  VS BP 144/77, Pulse 78 afebrile at 98.3. Care plan to inc fluids, otc Motrin/Tylenol, light diet, sick call in am if still feeling bad.  According to prescription history, patient seen at ER on 17 Jan and given prescription for azythromycin. No note available.  On 19 Jan he presented to primary care complaining of sore throat, cough, sinusitis, axillary lymph node enlargment, chills, flu like sx.  VS BP 100/69 HR 87 Temp 97.8.  Exam with tender neck, enlarged lymph nodes in cervical region.  A/P - Given treatment for pharyngitis/URI including -  Albuterol Inhaler 90 mcg Guaifenesin 600/PSE 120 Tylenol with Codeine #3 Advair 100/50 Solumedrol 125mg IM  On 20 Jan patient again presented to primary care - stating medicine effective would like quarters for another day.  Additional problems noted enlarged lymph nodes and sore throat.  Sent home for 24 h of quarters. Pt was seen at medical clinic treatment room on 25 Jan.  Unable to ambulate without assistance, repsonsive to opening eyes only, but no other commands, temp 103.2.  Transported immediately to Emergency Room.   Patient was admitted to hospital on 25 Jan and diagnosed with viral encephalitis.  At time of this report, patient is not communicative, "picking" at bed linens in disoriented way.  Able to move all extremities, fevers ranging from 103 to 101.  Treatment includes acyclovir and fluids, rocephin given initially with rash developing.  Hospital contacted by infectious disease MD for advice in treatment plan.  Advised no steroids at this time. 2/22/06-reviewed d/c summary and the primary diagnosis was stated  as 'aseptic encephalitis secondary to smallpox vaccination' and the secondary diagnoses as 'altered mental status, seizures, and chills secondary to above'.  2/23/06 Review medical record indicates patient had a temp of 103.2. 2/23/06-Review of ER record and handwritten progress notes essentially confirms above information.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Confusional state, Cough, Disorientation, Dizziness, Electroencephalogram abnormal
Clinical narrative: Starting 6 days (16 Jan) after primary Smallpox vaccine (3 jabs) presented to urgent care with complaints of sore throat, cough, vomiting and dizziness.  VS BP 144/77, Pulse 78 afebrile at 98.3. Care plan to inc fluids, otc Motrin/Tylenol, light diet, sick call in am if still feeling bad.  According to prescription history, patient seen at ER on 17 Jan and given prescription for azythromycin. No note available.  On 19 Jan he presented to primary care complaining of sore throat, cough, sinusitis, axillary lymph node enlargment, chills, flu like sx.  VS BP 100/69 HR 87 Temp 97.8.  Exam with tender neck, enlarged lymph nodes in cervical region.  A/P - Given treatment for pharyngitis/URI including -  Albuterol Inhaler 90 mcg Guaifenesin 600/PSE 120 Tylenol with Codeine #3 Advair 100/50 Solumedrol 125mg IM  On 20 Jan patient again presented to primary care - stating medicine effective would like quarters for another day.  Additional problems noted enlarged lymph nodes and sore throat.  Sent home for 24 h of quarters. Pt was seen at medical clinic treatment room on 25 Jan.  Unable to ambulate without assistance, repsonsive to opening eyes only, but no other commands, temp 103.2.  Transported immediately to Emergency Room.   Patient was admitted to hospital on 25 Jan and diagnosed with viral encephalitis.  At time of this report, patient is not communicative, "picking" at bed linens in disoriented way.  Able to move all extremities, fevers ranging from 103 to 101.  Treatment includes acyclovir and fluids, rocephin given initially with rash developing.  Hospital contacted by infectious disease MD for advice in treatment plan.  Advised no steroids at this time. 2/22/06-reviewed d/c summary and the primary diagnosis was stated  as 'aseptic encephalitis secondary to smallpox vaccination' and the secondary diagnoses as 'altered mental status, seizures, and chills secondary to above'.  2/23/06 Review medical record indicates patient had a temp of 103.2. 2/23/06-Review of ER record and handwritten progress notes essentially confirms above information.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Encephalitis, Influenza like illness, Laboratory test abnormal, Lymphadenopathy, Malaise
Clinical narrative: Starting 6 days (16 Jan) after primary Smallpox vaccine (3 jabs) presented to urgent care with complaints of sore throat, cough, vomiting and dizziness.  VS BP 144/77, Pulse 78 afebrile at 98.3. Care plan to inc fluids, otc Motrin/Tylenol, light diet, sick call in am if still feeling bad.  According to prescription history, patient seen at ER on 17 Jan and given prescription for azythromycin. No note available.  On 19 Jan he presented to primary care complaining of sore throat, cough, sinusitis, axillary lymph node enlargment, chills, flu like sx.  VS BP 100/69 HR 87 Temp 97.8.  Exam with tender neck, enlarged lymph nodes in cervical region.  A/P - Given treatment for pharyngitis/URI including -  Albuterol Inhaler 90 mcg Guaifenesin 600/PSE 120 Tylenol with Codeine #3 Advair 100/50 Solumedrol 125mg IM  On 20 Jan patient again presented to primary care - stating medicine effective would like quarters for another day.  Additional problems noted enlarged lymph nodes and sore throat.  Sent home for 24 h of quarters. Pt was seen at medical clinic treatment room on 25 Jan.  Unable to ambulate without assistance, repsonsive to opening eyes only, but no other commands, temp 103.2.  Transported immediately to Emergency Room.   Patient was admitted to hospital on 25 Jan and diagnosed with viral encephalitis.  At time of this report, patient is not communicative, "picking" at bed linens in disoriented way.  Able to move all extremities, fevers ranging from 103 to 101.  Treatment includes acyclovir and fluids, rocephin given initially with rash developing.  Hospital contacted by infectious disease MD for advice in treatment plan.  Advised no steroids at this time. 2/22/06-reviewed d/c summary and the primary diagnosis was stated  as 'aseptic encephalitis secondary to smallpox vaccination' and the secondary diagnoses as 'altered mental status, seizures, and chills secondary to above'.  2/23/06 Review medical record indicates patient had a temp of 103.2. 2/23/06-Review of ER record and handwritten progress notes essentially confirms above information.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Pharyngolaryngeal pain, Pyrexia, Upper respiratory tract infection, Vomiting, Wheezing
Clinical narrative: Starting 6 days (16 Jan) after primary Smallpox vaccine (3 jabs) presented to urgent care with complaints of sore throat, cough, vomiting and dizziness.  VS BP 144/77, Pulse 78 afebrile at 98.3. Care plan to inc fluids, otc Motrin/Tylenol, light diet, sick call in am if still feeling bad.  According to prescription history, patient seen at ER on 17 Jan and given prescription for azythromycin. No note available.  On 19 Jan he presented to primary care complaining of sore throat, cough, sinusitis, axillary lymph node enlargment, chills, flu like sx.  VS BP 100/69 HR 87 Temp 97.8.  Exam with tender neck, enlarged lymph nodes in cervical region.  A/P - Given treatment for pharyngitis/URI including -  Albuterol Inhaler 90 mcg Guaifenesin 600/PSE 120 Tylenol with Codeine #3 Advair 100/50 Solumedrol 125mg IM  On 20 Jan patient again presented to primary care - stating medicine effective would like quarters for another day.  Additional problems noted enlarged lymph nodes and sore throat.  Sent home for 24 h of quarters. Pt was seen at medical clinic treatment room on 25 Jan.  Unable to ambulate without assistance, repsonsive to opening eyes only, but no other commands, temp 103.2.  Transported immediately to Emergency Room.   Patient was admitted to hospital on 25 Jan and diagnosed with viral encephalitis.  At time of this report, patient is not communicative, "picking" at bed linens in disoriented way.  Able to move all extremities, fevers ranging from 103 to 101.  Treatment includes acyclovir and fluids, rocephin given initially with rash developing.  Hospital contacted by infectious disease MD for advice in treatment plan.  Advised no steroids at this time. 2/22/06-reviewed d/c summary and the primary diagnosis was stated  as 'aseptic encephalitis secondary to smallpox vaccination' and the secondary diagnoses as 'altered mental status, seizures, and chills secondary to above'.  2/23/06 Review medical record indicates patient had a temp of 103.2. 2/23/06-Review of ER record and handwritten progress notes essentially confirms above information.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: White blood cell count increased
Clinical narrative: Starting 6 days (16 Jan) after primary Smallpox vaccine (3 jabs) presented to urgent care with complaints of sore throat, cough, vomiting and dizziness.  VS BP 144/77, Pulse 78 afebrile at 98.3. Care plan to inc fluids, otc Motrin/Tylenol, light diet, sick call in am if still feeling bad.  According to prescription history, patient seen at ER on 17 Jan and given prescription for azythromycin. No note available.  On 19 Jan he presented to primary care complaining of sore throat, cough, sinusitis, axillary lymph node enlargment, chills, flu like sx.  VS BP 100/69 HR 87 Temp 97.8.  Exam with tender neck, enlarged lymph nodes in cervical region.  A/P - Given treatment for pharyngitis/URI including -  Albuterol Inhaler 90 mcg Guaifenesin 600/PSE 120 Tylenol with Codeine #3 Advair 100/50 Solumedrol 125mg IM  On 20 Jan patient again presented to primary care - stating medicine effective would like quarters for another day.  Additional problems noted enlarged lymph nodes and sore throat.  Sent home for 24 h of quarters. Pt was seen at medical clinic treatment room on 25 Jan.  Unable to ambulate without assistance, repsonsive to opening eyes only, but no other commands, temp 103.2.  Transported immediately to Emergency Room.   Patient was admitted to hospital on 25 Jan and diagnosed with viral encephalitis.  At time of this report, patient is not communicative, "picking" at bed linens in disoriented way.  Able to move all extremities, fevers ranging from 103 to 101.  Treatment includes acyclovir and fluids, rocephin given initially with rash developing.  Hospital contacted by infectious disease MD for advice in treatment plan.  Advised no steroids at this time. 2/22/06-reviewed d/c summary and the primary diagnosis was stated  as 'aseptic encephalitis secondary to smallpox vaccination' and the secondary diagnoses as 'altered mental status, seizures, and chills secondary to above'.  2/23/06 Review medical record indicates patient had a temp of 103.2. 2/23/06-Review of ER record and handwritten progress notes essentially confirms above information.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Cyanosis, Rash, Somnolence, Vomiting
Clinical narrative: RASH, VOMITING, DROWSINESS, PERIORAL CYANOSIS.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Irritability, Pyrexia
Clinical narrative: Extremely irritable difficult to console, low grade fever.
Age: 42.0
Sex: U
Vaccine: PPV
Symptoms: Dermatitis allergic, Rash erythematous, Rash maculo-papular
Clinical narrative: Allergic dermatitis, erythematous maculopapular rash on post and trunk, extremity.
Age: 42.0
Sex: F
Vaccine: HEPAB
Symptoms: Hypoaesthesia
Clinical narrative: numbness left arm and left leg sent to ER.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Cellulitis of skin at injection site treated with Keflex and Benadryl, Pain, redness, swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Erythema and swelling on left ant thigh noted, no fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site induration
Clinical narrative: Right thigh at site of DPAT vaccine likely 2/12cm x 2/12cm hard induration, Cellulitis.  Treated with Rocephin.
Age: 54.0
Sex: M
Vaccine: JEV, TYP
Symptoms: Oedema, Rash pruritic, Urticaria, Vaccine positive rechallenge
Clinical narrative: initial report received from a health care professional on 08/30/2005. A 54 year old male patient received a subcutaneous injection of JE VAX vaccine, lot number EJN213A, site not reported, an intramuscular injection of Typhim VI vaccine, lot number W13443 in the left deltoid muscle on 7/8/2005. Then days later he developed large welty itchy areas like hives on both shoulders, arms and legs with right ankle swelling. The patient self medicated with antihistamines and recovered from this event. This patient experienced an adverse event on 7/4/2005 of red itchy rash following a previous injection of JE VAX on 7/1/2005 and that adverse event is detailed in case number 200501842.
Age: 17.0
Sex: F
Vaccine: TYP
Symptoms: Headache, Pyrexia
Clinical narrative: A 16 year old female patient had received an intra-muscular injection of Typhim Vi on 19 Oct 05.  Within 15-20 minutes, she complained of headache and developed fever at 104.2 F. She was seen and evaluated by a NP and she received corrective treatment with Advil.  The fever decreased but the headache persisted.  The patient did not recovered.
Age: 1.59
Sex: M
Vaccine: DTAP
Symptoms: Ecchymosis, Injection site hypersensitivity, Injection site swelling, Petechiae
Clinical narrative: Serious Criteria: Other Medically Significant (OMIC). Initial report received on 11/Jan/2006 from a physician. An 18 month old male patient with no significant past medical history, and who was taking Amoxicillin for a cold and cough at the time of the vaccination, had received his fourth intramuscular injection of Tripedia, lot number U1396CA, in the left thigh on 10/Jan/2006 at 13:30. Eight hours post-vaccination at 21:30, the patient developed redness and swelling at the injection site. The patient also developed generalized ecchymosis and petechiae throughout his body that was confirmed via a phone conversation with the attending physician on 17/Jan/2006. The patient had not recovered from these events at the time of this report.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Pain, Pyrexia, Vomiting
Clinical narrative: Initial report received from another company and a health care professional on 1/19/2006. A six year old male patient with no medical history, had received a dose of Fluzone no preservative 2005-2006, lot number U1742JA, on 1/27/2005. The route and site of administration were not reported. Approximately one week post vaccination, the patient developed vomiting and a fever, which may have been as high as 103 degrees F as per the reporter. The patient was also achy, had joint pain and hip pain. X rays and MRI of the hip were negative. The reporter stated that the information was given to her by the patients mother, who reported that the patient seems to get better and then becomes worse again. The patient is currently being worked up for lyme disease. The reporter stated that she believed the patient was hospitalized for the events. He has not recovered and is under a physicians care.  (OMIC)
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Hyperhidrosis, Injection site induration, Muscle contractions involuntary, Swelling
Clinical narrative: Body shaking hard 1st evening, arm swollen up got hard in area around vaccination. Profuse sweating soaked sheets 1st night. Pt felt "poisoned" severe head pain "deep inhead" missed a week's work. Muscle contraction.
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Tremor
Clinical narrative: Body shaking hard 1st evening, arm swollen up got hard in area around vaccination. Profuse sweating soaked sheets 1st night. Pt felt "poisoned" severe head pain "deep inhead" missed a week's work. Muscle contraction.
Age: 0.83
Sex: F
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: Patient seizure, and was taken to Hospital.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Tendonitis
Clinical narrative: Complaint of pain in left arm approximately one week ago in ability to hold anything in left arm.  Seen by the doctor, states patient was immunized in the tendon causing inflammation, prescribed prednisone and Advil.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Patient came to clinic today, left arm red, about size of half dollar.  Has taken Benadryl.  Flu shot in past no trouble.  Family had flu shots, shes the only one with redness - no fever, no swelling.  Is broken out with bites from camping - will see the doctor on Tuesday 12/06/2005.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Visual disturbance
Clinical narrative: Patient reports exacerbation of MS including extreme fatigue which began 2 days post vaccination, lasted approximately 1 week and increased visual acuity in the left eye which occurred approximately 4 days post vaccination.  Reports about 90% of visual acuity has now returned.  Patient did not receive any medical attention for these reactions.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Received flu shot 11/07 - symptoms started 2 days later - itching under arms and ribs - went away after 7 hours - started again Thursday afternoon went away that night - again Friday PM - went away within hours.  Saturday early itching.  Had whelps not sure if due to immunizations.  Whelps all over body.  Shot of cortisone by doctor, zpak, Zyrtec.  Per doctor possible allergy to preservatives in flu shot.