chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a health professional concerning a 22 year old white female student who on 30-JUL-2007 at 3:30 pm, was vaccinated IM, in the left deltoid with a second dose of Gardasil (lot # 657868/0523U). On 30-JUL-2007 the patient "appeared to have a seizure." Unspecified medical attention was sought. On 30-JUL-2007, the patient recovered from seizure. Upon internal review, a seizure was considered to be an other important medical event. Additional information is not expected.
Age: 34.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug exposure during pregnancy, Foetal disorder, Foetal malformation, Inappropriate schedule of drug administration, Pregnancy test positive
Clinical narrative: Information has been received through the Merck pregnancy registry from a registered nurse concerning a 34-year-old female with no pertinent medical history and no drug reactions/allergies who on 30-AUG-2006 was vaccinated SC in the left arm with a 0.5mL dose of Varivax (Lot # 652664/1033R). Concomitant therapy that day included a dose of MMR. There was no other concomitant medication. It was noted the patient was confirmed to be pregnant through a pregnancy test. LMP=30-AUG-2006. No symptoms were reported. Unspecified medical attention was sought. There was no product quality complaint. No further information was available. Follow up information indicated that on 10-MAY-2007 the patient gave birth to a 7 pound 10 ounce male. The baby was born 2 weeks early. The baby was born without a rectum. The baby then had hyposodiumia secondary to surgery so he was in the ICU for 1 week. Slight hydrocephaly was noted, along with auto temp regulation problems. During pregnancy, it was noted that the mother had high stress. She is a single mom G4P3 prior to delivery. She was in school and worked. Infidelity with husband was noted. No other medications were used during this pregnancy. No additional information is expected.
Age: 34.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Stress
Clinical narrative: Information has been received through the Merck pregnancy registry from a registered nurse concerning a 34-year-old female with no pertinent medical history and no drug reactions/allergies who on 30-AUG-2006 was vaccinated SC in the left arm with a 0.5mL dose of Varivax (Lot # 652664/1033R). Concomitant therapy that day included a dose of MMR. There was no other concomitant medication. It was noted the patient was confirmed to be pregnant through a pregnancy test. LMP=30-AUG-2006. No symptoms were reported. Unspecified medical attention was sought. There was no product quality complaint. No further information was available. Follow up information indicated that on 10-MAY-2007 the patient gave birth to a 7 pound 10 ounce male. The baby was born 2 weeks early. The baby was born without a rectum. The baby then had hyposodiumia secondary to surgery so he was in the ICU for 1 week. Slight hydrocephaly was noted, along with auto temp regulation problems. During pregnancy, it was noted that the mother had high stress. She is a single mom G4P3 prior to delivery. She was in school and worked. Infidelity with husband was noted. No other medications were used during this pregnancy. No additional information is expected.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Computerised tomogram abnormal, Condition aggravated, Convulsion, Facial paresis
Clinical narrative: Information has been received from a physician concerning his 61 year old white daughter with no allergies and a history of breast cancer 4 years ago and Non-Hodgkin's lymphoma of the cervix 2 years ago who on approximately 12-JUN-2007 was vaccinated with a 0.65ml dose of Zostavax. Concomitant therapy included "ARAMIDEX". On approximately 16-JUN-2007, 4 days after vaccination the patient experienced vertigo with loss of balance and mild headache; no fever. The patient was seen by her physician who felt it was benign paroxysmal vertigo vs. post vaccination reaction. She was treated with an antihistamine. The patient's oncologist had approved her of receiving the vaccine. No diagnostic laboratory tests were undertaken. At the time of report the patient's symptoms were improving. A product quality complaint was not involved. Additional information has been received from the physician who stated that approximately 26-JUN-2007 the patient was vaccinated at her physician's office and on 05-JUL-2007 patient experienced vertigo and balance difficulty. The patient had breast cancer from 2003 to 2007 and Non-Hodgkin's lymphoma from 2005 to 2007. The patient's oncologist cleared her before receiving vaccine. The patient was seen in her physician's office and subsequently in ER for central nervous system symptoms; slight facial weakness and seizure like activity. A CT scan was done and a 2 cm mass was found in right frontal lobe. It was reported that the patient was recovering with treatment for possible recurrence of Non-Hodgkin's lymphoma. At the time of report, the patient had recovered. The patient's experience was considered to be disabling by the reporter. No further information is available.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Mass, Nervous system disorder, Vertigo
Clinical narrative: Information has been received from a physician concerning his 61 year old white daughter with no allergies and a history of breast cancer 4 years ago and Non-Hodgkin's lymphoma of the cervix 2 years ago who on approximately 12-JUN-2007 was vaccinated with a 0.65ml dose of Zostavax. Concomitant therapy included "ARAMIDEX". On approximately 16-JUN-2007, 4 days after vaccination the patient experienced vertigo with loss of balance and mild headache; no fever. The patient was seen by her physician who felt it was benign paroxysmal vertigo vs. post vaccination reaction. She was treated with an antihistamine. The patient's oncologist had approved her of receiving the vaccine. No diagnostic laboratory tests were undertaken. At the time of report the patient's symptoms were improving. A product quality complaint was not involved. Additional information has been received from the physician who stated that approximately 26-JUN-2007 the patient was vaccinated at her physician's office and on 05-JUL-2007 patient experienced vertigo and balance difficulty. The patient had breast cancer from 2003 to 2007 and Non-Hodgkin's lymphoma from 2005 to 2007. The patient's oncologist cleared her before receiving vaccine. The patient was seen in her physician's office and subsequently in ER for central nervous system symptoms; slight facial weakness and seizure like activity. A CT scan was done and a 2 cm mass was found in right frontal lobe. It was reported that the patient was recovering with treatment for possible recurrence of Non-Hodgkin's lymphoma. At the time of report, the patient had recovered. The patient's experience was considered to be disabling by the reporter. No further information is available.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, RV5
Symptoms: Barium enema, Intussusception, Occult blood positive, Surgery
Clinical narrative: Intussusception 7/22/07 requiring surgical reduction.  8/20/2007 MR received for DOS 7/22-27/2007.  Infant presented to ER with parental c/o vomiting and poor PO intake.  PE WNL.  Passed a large, loose, guiac (+), foul-smelling stool in ER.  Taken to OR for reduction of ileocolic intussusception and appendectomy. D/C DX:  Intussusception.  10/18/2007 Vax record received and reviewed.  Data same as VAERS report.
Age: 13.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Fatigue, Guillain-Barre syndrome, Headache, Hypoaesthesia, Lumbar puncture
Clinical narrative: August 13, 2007: 9:45 AM PC received from mother reporting her son had been treated for pneumonia with Zithromax about 10 days after his Menactra vaccine. Menactra Lot # U2231AA Exp. April 25, 2008 was given in his left deltoid July 27, 2007. Mom reported the Zithromax was completed August 10th, 2007. She had taken the child to ER last evening where he saw the doctor and was started on a new antibiotic. She reports he started out with numbness of his right arm and tongue that now has extended to both arms and legs. "He's really sick". Mom did not think doctor was aware that he had received a vaccine. Doctor was notified of child's vaccination. It was later found out that child was transported to hospital and hospitalized. Upon visiting with mother this week, she reported the child had elevated protein in his spinal fluid and increased muscle weakness of legs. It was her understanding that the neurologist suspected a mild case of Guillain-Barre' Syndrome. They were also awaiting further test results for West Nile Virus and Encephalitis. The mother reported negative Meningitis tests. 8/20/07-records received Discharge Summary not included for DOS 8/13-8/16/07-DX: by consultant Guillain-Barre syndrome. Admitted with dizziness, numbness and weakness. Recent illnesses including a diagnosis of walking pneumonia for which he received Zithromax about 10 days. ago. After couse of antibiotics felt to still be sick as he had right sided pain and some lethargy. No fever. On August 10, 2007 patient had the onset of some numbness at the lateral aspect of each lower leg and subsequently developed some dizziness, some headache in the back of his head. Numbness in fingers, plams and somewhat on his right side. Symptoms waxed and waned, reassessed yesterday and felt to have continuing pneumonia. Morning of admission fingers were more numb his lips and perioral area felt tingly and he was weak and had no energy. Diplopia. Has had poor energy for everal months. One tick bit this summer.  normalPE: Slightly unsteady gait, generalized areflexia on both upper and lower extremities. Generalized muscle weakness. 9/4/07 Received D/C summary 8/28-29/2007 from CDC which reveals patient admitted for weakness, numbness, tingling & general lethargy s/p vax.  Had a prior course of antibiotics for pneumonia. FINAL DX: Guillain Barre syndrome Per 60 day follow up: Recipient still suffers from residual fatigue.
Age: 13.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Malaise, Metabolic function test, Muscular weakness, Pneumonia primary atypical, Urine analysis
Clinical narrative: August 13, 2007: 9:45 AM PC received from mother reporting her son had been treated for pneumonia with Zithromax about 10 days after his Menactra vaccine. Menactra Lot # U2231AA Exp. April 25, 2008 was given in his left deltoid July 27, 2007. Mom reported the Zithromax was completed August 10th, 2007. She had taken the child to ER last evening where he saw the doctor and was started on a new antibiotic. She reports he started out with numbness of his right arm and tongue that now has extended to both arms and legs. "He's really sick". Mom did not think doctor was aware that he had received a vaccine. Doctor was notified of child's vaccination. It was later found out that child was transported to hospital and hospitalized. Upon visiting with mother this week, she reported the child had elevated protein in his spinal fluid and increased muscle weakness of legs. It was her understanding that the neurologist suspected a mild case of Guillain-Barre' Syndrome. They were also awaiting further test results for West Nile Virus and Encephalitis. The mother reported negative Meningitis tests. 8/20/07-records received Discharge Summary not included for DOS 8/13-8/16/07-DX: by consultant Guillain-Barre syndrome. Admitted with dizziness, numbness and weakness. Recent illnesses including a diagnosis of walking pneumonia for which he received Zithromax about 10 days. ago. After couse of antibiotics felt to still be sick as he had right sided pain and some lethargy. No fever. On August 10, 2007 patient had the onset of some numbness at the lateral aspect of each lower leg and subsequently developed some dizziness, some headache in the back of his head. Numbness in fingers, plams and somewhat on his right side. Symptoms waxed and waned, reassessed yesterday and felt to have continuing pneumonia. Morning of admission fingers were more numb his lips and perioral area felt tingly and he was weak and had no energy. Diplopia. Has had poor energy for everal months. One tick bit this summer.  normalPE: Slightly unsteady gait, generalized areflexia on both upper and lower extremities. Generalized muscle weakness. 9/4/07 Received D/C summary 8/28-29/2007 from CDC which reveals patient admitted for weakness, numbness, tingling & general lethargy s/p vax.  Had a prior course of antibiotics for pneumonia. FINAL DX: Guillain Barre syndrome Per 60 day follow up: Recipient still suffers from residual fatigue.
Age: 13.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: CSF protein increased, Guillain-Barre syndrome, Hypoaesthesia, Hypoaesthesia oral, Malaise
Clinical narrative: August 13, 2007: 9:45 AM PC received from mother reporting her son had been treated for pneumonia with Zithromax about 10 days after his Menactra vaccine. Menactra Lot # U2231AA Exp. April 25, 2008 was given in his left deltoid July 27, 2007. Mom reported the Zithromax was completed August 10th, 2007. She had taken the child to ER last evening where he saw the doctor and was started on a new antibiotic. She reports he started out with numbness of his right arm and tongue that now has extended to both arms and legs. "He's really sick". Mom did not think doctor was aware that he had received a vaccine. Doctor was notified of child's vaccination. It was later found out that child was transported to hospital and hospitalized. Upon visiting with mother this week, she reported the child had elevated protein in his spinal fluid and increased muscle weakness of legs. It was her understanding that the neurologist suspected a mild case of Guillain-Barre' Syndrome. They were also awaiting further test results for West Nile Virus and Encephalitis. The mother reported negative Meningitis tests. 8/20/07-records received Discharge Summary not included for DOS 8/13-8/16/07-DX: by consultant Guillain-Barre syndrome. Admitted with dizziness, numbness and weakness. Recent illnesses including a diagnosis of walking pneumonia for which he received Zithromax about 10 days. ago. After couse of antibiotics felt to still be sick as he had right sided pain and some lethargy. No fever. On August 10, 2007 patient had the onset of some numbness at the lateral aspect of each lower leg and subsequently developed some dizziness, some headache in the back of his head. Numbness in fingers, plams and somewhat on his right side. Symptoms waxed and waned, reassessed yesterday and felt to have continuing pneumonia. Morning of admission fingers were more numb his lips and perioral area felt tingly and he was weak and had no energy. Diplopia. Has had poor energy for everal months. One tick bit this summer.  normalPE: Slightly unsteady gait, generalized areflexia on both upper and lower extremities. Generalized muscle weakness. 9/4/07 Received D/C summary 8/28-29/2007 from CDC which reveals patient admitted for weakness, numbness, tingling & general lethargy s/p vax.  Had a prior course of antibiotics for pneumonia. FINAL DX: Guillain Barre syndrome Per 60 day follow up: Recipient still suffers from residual fatigue.
Age: 13.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Muscular weakness, Pneumonia, Protein total increased
Clinical narrative: August 13, 2007: 9:45 AM PC received from mother reporting her son had been treated for pneumonia with Zithromax about 10 days after his Menactra vaccine. Menactra Lot # U2231AA Exp. April 25, 2008 was given in his left deltoid July 27, 2007. Mom reported the Zithromax was completed August 10th, 2007. She had taken the child to ER last evening where he saw the doctor and was started on a new antibiotic. She reports he started out with numbness of his right arm and tongue that now has extended to both arms and legs. "He's really sick". Mom did not think doctor was aware that he had received a vaccine. Doctor was notified of child's vaccination. It was later found out that child was transported to hospital and hospitalized. Upon visiting with mother this week, she reported the child had elevated protein in his spinal fluid and increased muscle weakness of legs. It was her understanding that the neurologist suspected a mild case of Guillain-Barre' Syndrome. They were also awaiting further test results for West Nile Virus and Encephalitis. The mother reported negative Meningitis tests. 8/20/07-records received Discharge Summary not included for DOS 8/13-8/16/07-DX: by consultant Guillain-Barre syndrome. Admitted with dizziness, numbness and weakness. Recent illnesses including a diagnosis of walking pneumonia for which he received Zithromax about 10 days. ago. After couse of antibiotics felt to still be sick as he had right sided pain and some lethargy. No fever. On August 10, 2007 patient had the onset of some numbness at the lateral aspect of each lower leg and subsequently developed some dizziness, some headache in the back of his head. Numbness in fingers, plams and somewhat on his right side. Symptoms waxed and waned, reassessed yesterday and felt to have continuing pneumonia. Morning of admission fingers were more numb his lips and perioral area felt tingly and he was weak and had no energy. Diplopia. Has had poor energy for everal months. One tick bit this summer.  normalPE: Slightly unsteady gait, generalized areflexia on both upper and lower extremities. Generalized muscle weakness. 9/4/07 Received D/C summary 8/28-29/2007 from CDC which reveals patient admitted for weakness, numbness, tingling & general lethargy s/p vax.  Had a prior course of antibiotics for pneumonia. FINAL DX: Guillain Barre syndrome Per 60 day follow up: Recipient still suffers from residual fatigue.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia
Clinical narrative: Weakness
Age: 19.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Incorrect dose administered, Wrong drug administered
Clinical narrative: Pt received Hep A pediatric dose instead of adult dose: under-immunized.
Age: 30.0
Sex: F
Vaccine: HEPAB, IPV, TDAP
Symptoms: Electrocardiogram normal, Full blood count normal, Insomnia, Restlessness, Syncope
Clinical narrative: Restlessness, insomnia, syncope
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMRV
Symptoms: Rash, Rash maculo-papular, Rash morbilliform
Clinical narrative: Maculopapular rash neck and trunk, and spare lesions on legs. Measly rash 20 hours after immunization (MMR - given on 8/3/07)
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Dizziness, Heart rate decreased, Loss of consciousness, Malaise
Clinical narrative: Within 1 min of receiving Gardasil, pt was having finger aches and stated that she felt dizzy. Pt started to lay down then passed out, became pale. VS - HR 42, BP 80/38, O2 Sat 100%. Regained conscious, felt "sick lightheaded". IV started by MD. Pt sent to ER for further evaluation.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity, Pallor
Clinical narrative: Within 1 min of receiving Gardasil, pt was having finger aches and stated that she felt dizzy. Pt started to lay down then passed out, became pale. VS - HR 42, BP 80/38, O2 Sat 100%. Regained conscious, felt "sick lightheaded". IV started by MD. Pt sent to ER for further evaluation.
Age: 0.08
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: Izs all given too early by mistake, no adverse reactions seen. Follow-up Information 12-SEP-2007: No adverse event. Patient did well. Vaccine just given at 4 wks of age by mistake.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy
Clinical narrative: The second day after vaccine was given I awakened with both glands below my ears swollen as though I had the mumps. It lasted 2 days.
Age: 1.95
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC
Symptoms: Injection site swelling, Urticaria
Clinical narrative: Developed hives within minutes of receiving vaccines. No respiratory distress. Hives faded within 30 minutes. Left thigh swollen at PCV7 site.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Dizziness, Pallor
Clinical narrative: Rcvd Gardasil #1 at routine annual exam, as well as Tdap, and Hep A #1. After leaving the office, child got to end of hallway and became pale and light-headed. Brought back to office in wheelchair - seen by MD.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Feeling abnormal, Pharyngeal oedema, Swollen tongue
Clinical narrative: I received the first shot of the Gardasil vaccine series on Friday, August 10 at 12:30pm. The nurse asked me to stay five minutes to see if I had any reaction to the vaccine, but I chose not to and left after I scheduled my second shot for October 5, 2007. A few minutes after I got in my car to leave, I started to feel strange and it felt as if my throat and tongue were swelling. It was not severe, but enough to make me question what was happening. I waited to see if it would subside, it did not, and 15 minutes later I took a Benadryl and that helped. After an hour of sleep, I felt fine. I just wanted to let you know about this experienced and I have called your office this morning to discuss with the nurse if I should proceed with the next two shots. I am waiting on a call back from the nurse.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Feeling abnormal
Clinical narrative: I received the first shot of the Gardasil vaccine series on Friday, August 10 at 12:30pm. The nurse asked me to stay five minutes to see if I had any reaction to the vaccine, but I chose not to and left after I scheduled my second shot for October 5, 2007. A few minutes after I got in my car to leave, I started to feel strange and it felt as if my throat and tongue were swelling. It was not severe, but enough to make me question what was happening. I waited to see if it would subside, it did not, and 15 minutes later I took a Benadryl and that helped. After an hour of sleep, I felt fine. I just wanted to let you know about this experienced and I have called your office this morning to discuss with the nurse if I should proceed with the next two shots. I am waiting on a call back from the nurse.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Computerised tomogram normal, Convulsion, Drug screen positive, Full blood count normal, Respiratory arrest
Clinical narrative: Father came back to clinic 5 -10 min after leaving and said not breathing. Said child had seizure. Father carried child. Child alert. No seizure activity or incontinence. However didn't recall what had happened. 911 call pt transported to ER. Sent home from ER, but had anther seizure in AM and was sent back to ER.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Urine analysis normal
Clinical narrative: Father came back to clinic 5 -10 min after leaving and said not breathing. Said child had seizure. Father carried child. Child alert. No seizure activity or incontinence. However didn't recall what had happened. 911 call pt transported to ER. Sent home from ER, but had anther seizure in AM and was sent back to ER.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Headache, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Vaccine given 8/7/07 - pt with fever, headache, vomiting, diarrhea, injection site edema, erythema and tenderness. Pt treated with antibiotic Keflex QID x 7 d, Atarax 25mg IM and Prednisone 20mg x 5d.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vaccine given 8/7/07 - pt with fever, headache, vomiting, diarrhea, injection site edema, erythema and tenderness. Pt treated with antibiotic Keflex QID x 7 d, Atarax 25mg IM and Prednisone 20mg x 5d.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea since Rotavirus given on 7-2-07
Age: 13.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Stridor, Wheezing
Clinical narrative: Wheezing, stridor
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abscess, Erythema, Oedema peripheral, Skin tightness, Skin warm
Clinical narrative: Office appt 8-14-07. Mother stated that her son was taken to ER on 8-10-07 left arm swollen and tight, red and hot. Started on Duricef and steroid. Sterile abscess.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: Rashes on left side of the body and fever for several days. Now, patient is also irritable.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Blindness, Condition aggravated, Paraesthesia, Visual acuity reduced
Clinical narrative: Information has been received from a 65 year old male consumer, who is legally blind, in whom "ibuprofen caused vision problems, and SUDAFED caused his vision to become blurry", who "approximately six weeks ago" on approximately 15-JUN-2007 was vaccinated with a single dose of Zostavax. Concomitant therapy included COSOPT and XALATAN. On approximately 18-JUN-2007 ("three or four days after vaccination") the patient developed "pin pricks all over his body" that were not severe. His eyesight became even worse and was "foggier" than normal. Medical attention was not sought. No lab studies were performed. At the time of this report, the patient had not recovered. No further information was provided. There was no product quality complaint involved. Additional information has been requested. Upon internal review, the patient's worsening eyesight/blindness was determined to be an other important medical event.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: LLR to Vvx #2, about 4x5cm swelling, redness
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Body temperature increased, Erythema, Induration, Livedo reticularis, Oedema
Clinical narrative: 2 d after shots given returned to office c/o rxn and 1 d - right upper lateral arm, + edema, + mottled erythema, + induration - next day improved but temp 102 F.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: Pt developed cellulitis. There was redness. No fluctuation. Site was warm. Given Keflex 250mg/5ml 6ml PO q 6 hours x 1 wk.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: Redness and warmth, cellulitis on right thigh. Pt rx'd Keflex 250 mg TID x 10 days.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Differential white blood cell count normal, Full blood count, Pyrexia
Clinical narrative: Fever of 103 F about 11-12 hrs after vaccine
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Injection site erythema
Clinical narrative: Redness surrounding injection site about 2cm; no fever.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Dyspnoea, Injection site pain, Neck pain
Clinical narrative: Within minutes - neck pain/injection site pain 1 hr dyspnea/chest tightness. Sent to ED for monitoring
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Vulvovaginal pruritus
Clinical narrative: Pt began to have vaginal pruritus same day received the Gardasil vaccine. No discharge or redness or swelling. No fever. Pruritus improved by time seen 2 days later.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: After receiving 5th DTaP in right thigh x 2 days developed redness and then has spread to area size of baseball non-tender. Tx with Septra x 10 days.
Age: 7.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: No adverse effect
Clinical narrative: Mother states no side effects. "No fever, no redness, no soreness, no problems."
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swollen
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Swelling and redness (about 9x9cm) of deltoid area at site of DTaP administration. Only mild tenderness.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Erythema, Oedema peripheral, Rash
Clinical narrative: Left arm red and swollen from shoulder to elbow (started next day (Sat) to present). Red raised rash above belly button and small area on upper chest (non-vesicular). Started Saturday to present.
Age: 10.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration, Rash, Varicella
Clinical narrative: Widespread varicella rash about 30 lesions
Age: 58.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Malaise, Pyrexia, Wrong drug administered
Clinical narrative: 24 hours after injection developed fever of 101-102 and redness and swelling at injection site and overall just felt sick.
Age: 12.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site erythema, Oedema peripheral, Pain in extremity, Pyrexia, Tenderness
Clinical narrative: Recieved vaccine 8-13-07  Approx. 2pm on 8-14-07 c/o pain in right arm. Developed fever 103 right arm swollen motrin given. Visit to office 8-15-07 with fever 99.4 right deltiod swollen and tender, red area extending 7X13cm at injection site and additional red are 4X7cm in SQ area. Pt did not get any SQ vaccines. Ice, pain med & monitor.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Rash, Varicella
Clinical narrative: Pt broke out in rash on 07/02/2007.  More vesicles were appearing over body.  Advised to come in.  Diagnosed with varicella.  No fever.  No cellulitis.  Advised to monitor and treat symptoms.
Age: 1.07
Sex: F
Vaccine: DTAPHEPBIP, MMRV, PNC
Symptoms: CSF cell count abnormal, Computerised tomogram normal, Convulsion, Cyanosis, Grand mal convulsion
Clinical narrative: On 6/18/2007 Grandma said she felt warm and proceeded to have a staring spell and was unresponsive,jaws clenched and slightly blue, EMT reported a generalized tonic-clonic seizure intubated and transferred,had 2 more seizures tonic-clonic activity of upper and lower ext.  09/04/2007 MR received from initial hospital.  Infant presented to ER with fever and unresponsive.  Had seizure activity 1 hour prior to arrival then became non-responsive.  Intubated and prepared for transfer to another hospital. PE: Gaze fixed, pupils equal, (+) neck stiffness, GCS 4.  Initial impression: altered mental status.  Final DX: Meningitis.  Sepsis.  09/24/2007 MR received from Hospital for DOS 6/17-20/2007 for DX:  Complex febrile seizure.  Child presented with 6 day hx of runny nose, cough, pulling ear.  Child had a staring spell and was unresponsive, bacame pale, and her lips turned slightly blue. In the ER pt had a generalized tonic-clonic seizure x5 min. Pt desturated to 80% and was intubated at other facility. Upon arrival pupils were unequal R>L. Pt continued to have rhythmic tonic-clonic seizure activity. 1/11/2010 Had febrile seizure in 2/10/08. Was taken to hospital was with client and she noticed lips turning purple and went limp (described as a focal seizure) clinical impression left otitis media and pneumonia-chest x-ray showed a RLL infiltrate. T 101.7.
Age: 1.07
Sex: F
Vaccine: DTAPHEPBIP, MMRV, PNC
Symptoms: Intubation, Skin warm, Staring, Tonic clonic movements, Unresponsive to stimuli
Clinical narrative: On 6/18/2007 Grandma said she felt warm and proceeded to have a staring spell and was unresponsive,jaws clenched and slightly blue, EMT reported a generalized tonic-clonic seizure intubated and transferred,had 2 more seizures tonic-clonic activity of upper and lower ext.  09/04/2007 MR received from initial hospital.  Infant presented to ER with fever and unresponsive.  Had seizure activity 1 hour prior to arrival then became non-responsive.  Intubated and prepared for transfer to another hospital. PE: Gaze fixed, pupils equal, (+) neck stiffness, GCS 4.  Initial impression: altered mental status.  Final DX: Meningitis.  Sepsis.  09/24/2007 MR received from Hospital for DOS 6/17-20/2007 for DX:  Complex febrile seizure.  Child presented with 6 day hx of runny nose, cough, pulling ear.  Child had a staring spell and was unresponsive, bacame pale, and her lips turned slightly blue. In the ER pt had a generalized tonic-clonic seizure x5 min. Pt desturated to 80% and was intubated at other facility. Upon arrival pupils were unequal R>L. Pt continued to have rhythmic tonic-clonic seizure activity. 1/11/2010 Had febrile seizure in 2/10/08. Was taken to hospital was with client and she noticed lips turning purple and went limp (described as a focal seizure) clinical impression left otitis media and pneumonia-chest x-ray showed a RLL infiltrate. T 101.7.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Myalgia, Nausea, Nightmare, Pyrexia, Vomiting
Clinical narrative: nausea, vomiting, fever, nightmares, myalgias
Age: 48.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pruritus, Rash
Clinical narrative: Pt. received Tdap and MMR and within 10 min. began to have red spots on neck, chest and back with itching. Pt. took Bensdryl 25 mg.  Remained in office for 15 min.
Age: 45.0
Sex: F
Vaccine: DTP
Symptoms: Urticaria
Clinical narrative: THE MORNING AFTER RECEIVING A TD VACCINATION, CLIENT BROKE OUT WITH HIVES ON HER THIGHS, BUTTOCKS AND LOWER BACK. SEEN AT HEALTH CENTER IN AM.  HIVES DIMINISHING.  NO SYSTEMIC SYMPTOMS NOTED.  LUNGS CLEAR PER AUSCULTATION.  BP RANGE WNL FOR CLIENT 92-110 SYSTOLIC 72-82 DIASTOLIC.  BENADRYL 50MG PO ADM.  AND CLIENT OBSERVED FOR 1HR.  PULSE STEADY AT 72-73 BPM.  CLIENT STEADILY IMPROVED WITH HIVES SUBSIDING.   APPT MADE WITH PRIMARY CARE PROVIDER FOR 4PM TODAY.  AFTER 1HR CLIENT ABLE TO RETURN TO WORK WITHOUT SYMPTOMS.
Age: 50.0
Sex: F
Vaccine: MMR, TD
Symptoms: Arthralgia, Cough, Joint swelling, Nasal congestion, Oedema peripheral
Clinical narrative: "Bronchitis" on 7/19/07:  fever, cough/congested.  8/3/07:  coughing only.  knees & ankles painful, swollen 7/31/07.  Hands swollen - onset 7/30:  Left hand more swollen.  8/7/07:  Pt continues to cough (productive).  Fingers swollen.  Wrist better. Left hand better.  Did not see MD for evaluation.  (Patient also received PPD - left forearm - at the time of vaccination.)
Age: 50.0
Sex: F
Vaccine: MMR, TD
Symptoms: Pyrexia
Clinical narrative: "Bronchitis" on 7/19/07:  fever, cough/congested.  8/3/07:  coughing only.  knees & ankles painful, swollen 7/31/07.  Hands swollen - onset 7/30:  Left hand more swollen.  8/7/07:  Pt continues to cough (productive).  Fingers swollen.  Wrist better. Left hand better.  Did not see MD for evaluation.  (Patient also received PPD - left forearm - at the time of vaccination.)
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Cough, Ear pain, Eye swelling, Lip swelling, Swollen tongue
Clinical narrative: Soon after patient had the shots(about 3 minutes), she complained of ear ache and something in the throat.(10:00am) So, she was returned to the Dr.'s examination room.(10:05am) While waiting(about another 4 minutes), patient's corners of of her eyes had hives and soon became swelling. The doctor came in and gave her two teaspoons of Beneydrl. But the swelling of the eyes did not get better, so the doctor gave patient the epipine and the steroids.The doctor noted that there was swelling of patient's lips and tongue. Also, she was coughing and wheezing. So, doctor gave patient some oxygen.At that point, the doctor had dialed 911 and patient was sent to Emergency room.(10:10am) She was stable after the paramedic arrived. She was in the ER for four hours to see if there is any more adverse reaction. She was fine and was discharged (3:00pm).
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Throat irritation, Urticaria, Wheezing
Clinical narrative: Soon after patient had the shots(about 3 minutes), she complained of ear ache and something in the throat.(10:00am) So, she was returned to the Dr.'s examination room.(10:05am) While waiting(about another 4 minutes), patient's corners of of her eyes had hives and soon became swelling. The doctor came in and gave her two teaspoons of Beneydrl. But the swelling of the eyes did not get better, so the doctor gave patient the epipine and the steroids.The doctor noted that there was swelling of patient's lips and tongue. Also, she was coughing and wheezing. So, doctor gave patient some oxygen.At that point, the doctor had dialed 911 and patient was sent to Emergency room.(10:10am) She was stable after the paramedic arrived. She was in the ER for four hours to see if there is any more adverse reaction. She was fine and was discharged (3:00pm).
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL, HEPA, VARCEL
Symptoms: Periorbital oedema, Pruritus, Urticaria
Clinical narrative: Soon after patient had the shots(about 3 minutes), she complained of ear ache and something in the throat.(10:00am) So, she was returned to the Dr.'s examination room.(10:05am) While waiting(about another 4 minutes), patient's corners of of her eyes had hives and soon became swelling. The doctor came in and gave her two teaspoons of Beneydrl. But the swelling of the eyes did not get better, so the doctor gave patient the epipine and the steroids.The doctor noted that there was swelling of patient's lips and tongue. Also, she was coughing and wheezing. So, doctor gave patient some oxygen.At that point, the doctor had dialed 911 and patient was sent to Emergency room.(10:10am) She was stable after the paramedic arrived. She was in the ER for four hours to see if there is any more adverse reaction. She was fine and was discharged (3:00pm).
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, MMRV, PPV
Symptoms: Incorrect dose administered
Clinical narrative: THE MOTHER BROUGHT TWO BROTHERS FOR SHOTS. BOTH 4 YEARS AND ABOUT THE SAME HEIGHT. I ASKED 3 TIMES WHICH WAS WHICH AND ACCORDING WHO SHE TOLD ME IT WAS I GAVE THE IMMUNIZATIONS. AFTER THE IMMUNIZATIONS WERE GIVEN SHE TOLD ME I GAVE THE ONE WHO WAS SUPPOSE TO GET 6 IMMUNIZATIONS 4 IMMUNIZATIONS AND THE OTHER WHO WAS TO GET 4 IMMUNIZATIONS 6 IMMUNIZATIONS. I TOLD HER SHE TOLD ME THE NAMES AND NOW SHE CHANGED THEM. SO I GAVE THE CHILD WHO ONLY RECEIVED THE FOUR IMMUNIZATIONS THE OTHER TWO IMMUNIZATIONS WHICH WERE THE PNEUMOCOCCAL CONJUGATE AND THE Hib. THE OTHER CHILD AS A RESULT RECEIVED 5 DOES OF THE PNUMOCCAL CONJUGATE AND 5 DOSES OF HIB. THE MOTHER NEVER SAID ANYTHING UNTIL THE IMMUNIZATIONS WERE GIVEN.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Vomiting
Clinical narrative: Mother reports increase temp to 103.9 F, vomiting at 24 hrs. post receiving vaccinations.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Generalized rash, not itchy. Fever.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Injection site erythema
Clinical narrative: Mom states vaccines administered yesterday, child was fine.  Today she reports unconsolable crying for 3.5 hours.  Tylenol given yesterday and today.  No fever.  Child "cried himself to sleep" per Mom's statement.  Also slight redness left thigh
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Cold compress therapy, Erythema, Urticaria
Clinical narrative: Patient broke out in raised red hives the evening of the immunization.  The hives worsened the next day.  Patient's mom advised to administer Benadryl 25mg po q 4 hrs prn and apply moist, cool compresses to irritated areas as needed.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema
Clinical narrative: Pt. received varicella in Right Arm SQ and Hep A Right Deltoid on 8/14, developed erythema on back of R arm on 8/15, 4.5cmx4.5cm in area where varicella was given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Decreased appetite, Malaise
Clinical narrative: Client's mother called on 08/08/2007 to state that client had temp of 102 degrees fahrenheit and above even with tylenol or ibuprofen around the clock.  Client exhibited general malaise, and was subdued through out day, with decrease of appetite.  Advised to continue to hydrate in extreme heat, watch for signs of dehydration.  Physician contacted by phone, no visit, no actions at this time
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Fever, Swelling, redness, tenderness at injection site.
Age: 10.0
Sex: M
Vaccine: HEPA, IPV, TDAP, VARCEL
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: 8/14 pt. received Tdap & IPV in right deltoid, varicella right arm.  Developed large area of erythema, pain, swelling, pruritus on 8/15.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pruritus generalised, Rash, Rash generalised, Rash papular
Clinical narrative: Vitals Written @ 16 Aug 2007 1630 PDT HR: 104, RR: 24, WT: 35 lbs, Tobacco Use: No, Alcohol Use: No,  Pain Scale: 0 Pain Free   SO Note Written @ 16 Aug 2007 1631 PDT Chief complaint  The Chief Complaint is: Rash after vaccination today. History of present illness   The Patient is a 2 year 11 month old male.  2.5 yo boy with his mom: initially received called at 1600, spoke to mom about what was going and asked to have child brought in for examination.  Patient received what is believed to be Chicken pox vaccination this am, after he woke up from his nap this evening c/o of itching all over the abd and lower extremity, at no time was in respiratory distress, still being himself, laughing and playing. No change in PO intake.  Just wanting to itch the rash.  o Pruritus which is generalized. Allergies   No allergies, no allergy to foods, no known drug allergies, and no allergy to animal dander. Past medical/surgical history  Reported History: Reported medications: Not taking medication which has been reconciled with DD form 2766, and includes the following meds: Diagnosis History:  No asthma.   No eczema  No urticaria.   No anaphylaxis Review of systems  Systemic symptoms: Not feeling tired or poorly and not feeling tired (fatigue).  No fever and no chills. Pulmonary symptoms: No cough and no wheezing. Gastrointestinal symptoms: No nausea, no vomiting, and no diarrhea. Skin symptoms: Rash: multiple, generalized, spot: multiple, papule: multiple, and generalized. Physical findings  Vital signs: ° Normal (Reviewed). ° Current vital signs reviewed.  ° RR was normal.  ° PR was normal. General appearance: ° Awake.  ° Alert.  ° Well developed.  ° Well nourished.  ° Well hydrated.  ° Healthy appearing.  ° In no acute distress.  ° Not acutely ill. Nose: ° No nasal discharge seen. Pharynx: Oropharynx: ° Tonsils were not enlarged. Neck: ° Demonstrated no decrease in suppleness. Lymph Nodes: ° Cervical lymph nodes were not enlarged bilaterally.  ° Submandibular lymph nodes were not enlarged bilaterally.  ° Not tender. Lungs: ° Respiration rhythm and depth was normal.  ° Respiratory movements were normal.  ° Clear to auscultation.  ° No wheezing was heard.  ° No rhonchi were heard. Cardiovascular system: Heart Rate And Rhythm: ° Normal.  ° Heart rate was normal. Heart Sounds: ° S1 normal.  ° S2 normal. Abdomen: Percussion: ° Abdominal percussion was normal. Palpation: o Abdomen was not soft.  ° Abdominal palpation revealed no abnormalities.  ° No abdominal tenderness.  ° No mass was palpated in the abdomen. Hepatic Findings: ° Liver was normal to palpation. Skin: o Showed erythema.  o A wheal was seen.  o Urticaria.  ° No cyanosis.  ° No cyanosis of the hands and feet.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Vitals Written @ 16 Aug 2007 1630 PDT HR: 104, RR: 24, WT: 35 lbs, Tobacco Use: No, Alcohol Use: No,  Pain Scale: 0 Pain Free   SO Note Written @ 16 Aug 2007 1631 PDT Chief complaint  The Chief Complaint is: Rash after vaccination today. History of present illness   The Patient is a 2 year 11 month old male.  2.5 yo boy with his mom: initially received called at 1600, spoke to mom about what was going and asked to have child brought in for examination.  Patient received what is believed to be Chicken pox vaccination this am, after he woke up from his nap this evening c/o of itching all over the abd and lower extremity, at no time was in respiratory distress, still being himself, laughing and playing. No change in PO intake.  Just wanting to itch the rash.  o Pruritus which is generalized. Allergies   No allergies, no allergy to foods, no known drug allergies, and no allergy to animal dander. Past medical/surgical history  Reported History: Reported medications: Not taking medication which has been reconciled with DD form 2766, and includes the following meds: Diagnosis History:  No asthma.   No eczema  No urticaria.   No anaphylaxis Review of systems  Systemic symptoms: Not feeling tired or poorly and not feeling tired (fatigue).  No fever and no chills. Pulmonary symptoms: No cough and no wheezing. Gastrointestinal symptoms: No nausea, no vomiting, and no diarrhea. Skin symptoms: Rash: multiple, generalized, spot: multiple, papule: multiple, and generalized. Physical findings  Vital signs: ° Normal (Reviewed). ° Current vital signs reviewed.  ° RR was normal.  ° PR was normal. General appearance: ° Awake.  ° Alert.  ° Well developed.  ° Well nourished.  ° Well hydrated.  ° Healthy appearing.  ° In no acute distress.  ° Not acutely ill. Nose: ° No nasal discharge seen. Pharynx: Oropharynx: ° Tonsils were not enlarged. Neck: ° Demonstrated no decrease in suppleness. Lymph Nodes: ° Cervical lymph nodes were not enlarged bilaterally.  ° Submandibular lymph nodes were not enlarged bilaterally.  ° Not tender. Lungs: ° Respiration rhythm and depth was normal.  ° Respiratory movements were normal.  ° Clear to auscultation.  ° No wheezing was heard.  ° No rhonchi were heard. Cardiovascular system: Heart Rate And Rhythm: ° Normal.  ° Heart rate was normal. Heart Sounds: ° S1 normal.  ° S2 normal. Abdomen: Percussion: ° Abdominal percussion was normal. Palpation: o Abdomen was not soft.  ° Abdominal palpation revealed no abnormalities.  ° No abdominal tenderness.  ° No mass was palpated in the abdomen. Hepatic Findings: ° Liver was normal to palpation. Skin: o Showed erythema.  o A wheal was seen.  o Urticaria.  ° No cyanosis.  ° No cyanosis of the hands and feet.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Abscess drainage, Culture, Injection site abscess
Clinical narrative: RIGHT DELTOID WHERE IMMUNIZATION GIVEN HAS 3CM WIDE ABCESS WITH PUS DRAINING
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cough, Eye swelling, Sneezing
Clinical narrative: Eyes Swollen, cughing, sneezing. Seen by MD and given Zertec in the office. Was to take Zertec 1 tsp daily for 5 day. Given samples and Rx
Age: 11.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Pain in extremity, Stomach discomfort
Clinical narrative: Patient's parents called the agency reporting Rt. upper arm was red & swollen. Temp of 101-102.  c/o stomach upset, no vomiting or headache or diarrhea.  Arm is sore to touch.  Referred to physician.  Physician called with follow up report.  Same symptoms reported. He instructed to use Ibuprofen and Tylenol for pain. No other orders or treatment given.
Age: 11.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Wrong drug administered
Clinical narrative: Patient's parents called the agency reporting Rt. upper arm was red & swollen. Temp of 101-102.  c/o stomach upset, no vomiting or headache or diarrhea.  Arm is sore to touch.  Referred to physician.  Physician called with follow up report.  Same symptoms reported. He instructed to use Ibuprofen and Tylenol for pain. No other orders or treatment given.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Injection site swelling, Pyrexia, Skin warm, Tenderness
Clinical narrative: Localized swelling at injection site, tenderness, redness, warm to touch, fever.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Paraesthesia, Pruritus, Rash
Clinical narrative: VAERS submitted since HPV vaccine not included on Table of Reportable Events......Pt resides in another state (school).  Gardasil administered in deltoid on 8/14/07 during office visit.  Phone call received on 8/17 from pt, now returned back home.  Pt reports that 6 hours after administration of Gardasil, pt experienced "prickly, itchy" sensation on back, arms, & underneath breasts accompanied by "splotchy redness", not raised.  Pt denies SOB.  Pt relates sx have been improving since initial onset & will start trial of OTC Benadryl for residual sx.  Pt was not seen at local facility.  Approximately 90 mintues after taking Benadryl, pt reported resolution of sx.  Then pt also reported that she had smoked marijuana within the 6 hours between the injection & onset of rash.