chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest discomfort, Dizziness, Feeling abnormal, Headache, Injection site swelling
Clinical narrative: Onset 09/25/08 - swollen injection site, warm to touch, HA, dizzy, feeling bad, size of palm of hand, itchy, tightness in chest for 45 minutes.  Hydrocortisone 1%, Tylenol ice pack.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Pruritus
Clinical narrative: Onset 09/25/08 - swollen injection site, warm to touch, HA, dizzy, feeling bad, size of palm of hand, itchy, tightness in chest for 45 minutes.  Hydrocortisone 1%, Tylenol ice pack.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Gastritis, Gastrointestinal disorder, Urticaria
Clinical narrative: Hives, GI sx. Still recovering Anaphylactic reaction, gastritis
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Headache, Nausea, Oedema peripheral, Pain
Clinical narrative: Immunization was given on 10-7-08.  Pt states that her arm began getting extremely sore that evening.  Swelling in arm and bruising on the next day (10-8-08).  Extreme headache, body aches and nausea.  Evening on (10-8-08) arm bruising began filling out deltoid area, around inner arm down into inner elbow area.  Pt stopped by the office on 10-13-08 for visual of arm by Dr.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Immunization was given on 10-7-08.  Pt states that her arm began getting extremely sore that evening.  Swelling in arm and bruising on the next day (10-8-08).  Extreme headache, body aches and nausea.  Evening on (10-8-08) arm bruising began filling out deltoid area, around inner arm down into inner elbow area.  Pt stopped by the office on 10-13-08 for visual of arm by Dr.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Redness and hardness to injection site the next day, mother also noted patient scratching area.  Redness 2.5 inches.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Red, Hot, and itchy left deltoid 6 hrs
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: FLUZONE administered 9am 10/14/08 onset hives 7pm 10/14/08 BENADRYL with short term relief
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Ecchymosis, Injected limb mobility decreased, Injection site pain, Oedema peripheral, Pain in extremity
Clinical narrative: Pain at the time of injection with gradually increasing severity, Increased swelling. Ibuprofen and codeine unable to reduce extreme pain. Unable to move shoulder for several  days. Massive swelling (upper arm) subsided after 48hours. Large echymoses appealed
Age: 69.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis like rxn. Rx Augmentin 500 BID x 7 days. Medrol dose pak.
Age: 1.2
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient received flu shot 10-11-08, started running a fever 10-12-08.  Tempture of 105 on 10-13-2008, vomited one time on 10-13-08.
Age: 1.1
Sex: F
Vaccine: FLU3
Symptoms: Blood culture positive, Febrile convulsion, Pyrexia, Urine analysis normal
Clinical narrative: Patient received flu vaccine 10-11-08 and began running a fever 10-12-08 PM to 104. Patient was seen in office 10-13-08 ad had febrile sz. Pt was transported to hospital and received abx inj 10-14-08 after BC (+).
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Arm red with sore edema at shot area
Age: 3.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Conjunctivitis, Cough, Pyrexia, Rhinorrhoea, Upper respiratory tract infection
Clinical narrative: Per mom on 10-06-08 : Stated child developed fever of 105.2 within 24hrs of vaccines. Took in ER 3 days later with 5x of URI, cough, runny node, conjunctive excudate, UTI R/O. No site Reaction  .
Age: 26.0
Sex: F
Vaccine: HEP, HEPA, TDAP
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: 9/22/08 1:15 PM call from client - says has red rash "under skin" on trunk. Began evening 9/21/08. Does not feel ill. Had fever (undocumented) on Fri, 9/19/08 few hours after vaccines. Took TYLENOL and resolved. Recommended client to see MD today for rash eval. Call back and let us know result.
Age: 20.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Haemoptysis, Pain in extremity, Productive cough, Tonsillar inflammation
Clinical narrative: c/o (R) arm "very sore" from her ear to her hand", pain level 0-10 scale at "7" also c/o "pink tonsil, sputum when she coughs. Has "red spots of blood in it too. Sx stared evening after Pneumonia shot. Cough comes intermittently about 5 times since 10/08/08. Can't take Ibuprofen or TYLENOL since Kidney transplant (not antihistamine suppressants)
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Developmental glaucoma
Clinical narrative: Was seen in office for 2 mo well check on 10/9/08. Received DTaP, HIB, IPV, HBV, PCV, Rotavirus vaccines. Exam was normal then. The next day (<24 hrs later) he was seen and diagnosed with congenital glaucoma
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Hypersensitivity, Induration, Pain
Clinical narrative: Delayed hypersensitivity reaction with 5cm induration x 4days. Painful
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: Patient had headache, fever, chills (at night). Arm and leg pain after getting shot at 3 PM on Monday, Oct 13, 2008.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Per pt, noticed pain at site 10-8-08. Now has heat, redness and induration 5 cm x 6 cm. Denies fever, rash at this time.
Age: 39.0
Sex: M
Vaccine: VARCEL
Symptoms: Chills, Headache, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Received Varicella vaccine 10/9/08 AM in MD's office. 10/10/08 - Arm very sore and tender. Mild redness and swelling at injection site. Had a headache and chills. 10/11/08 Noticed swelling more significant with tenderness and increased redness. 10/12 Seen in clinic and prescribed antibiotic.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal
Clinical narrative: patient had apparent partial complex seizure 2 days after immunization and a second episode 7 days after immunization.  CT scan and EEG both normal.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Abasia, Irritability
Clinical narrative: Irritable and Stopped walking, Although will walk when hand held and pulls up and travels along furniture.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: yesterday afternoon patient noticed redness and swelling at injection site, area increased in size
Age: 15.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site cellulitis, Pyrexia
Clinical narrative: cellulitis at injection site 2 days, fever. Tx AUGMENTIN 500mg bid x 10d.
Age: 67.0
Sex: M
Vaccine: PPV, TD
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt came in with redness, swelling, and hot to the touch. Vaccine was given 10-07-08. Pt's redness extends around entire (R) arm.
Age: 1.45
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 2nd Hepatitis A dose given sooner that recommended vaccine interval
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Anxiety, Hyperhidrosis, Hyperventilation, Syncope
Clinical narrative: 11:50 am- Hepatitis A (dose #1) administered to right deltoid IM (0.5 mL). Pt became slightly diaphoretic and fainted. Pt. lowered to floor and Became being awake-Alert w/in approx 8 seconds. Given juice and cookies given. Pt was extremely anxious at home and administered. (Had been hyperventilating)
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Fall, Head injury, Headache, Nausea, Syncope
Clinical narrative: Approx. 5 min after vaccination, client fell in clinic hallway, hitting her head on the wall on the way down. Presumed syncopal episode - HA, nausea, and visual changes.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Visual disturbance
Clinical narrative: Approx. 5 min after vaccination, client fell in clinic hallway, hitting her head on the wall on the way down. Presumed syncopal episode - HA, nausea, and visual changes.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Fatigue, Pyrexia, Swelling
Clinical narrative: Local redness and swelling, fatigue, fever - moist heat compresses.
Age: 5.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Condition aggravated, Febrile convulsion
Clinical narrative: History of presumed febrile seizure (MRI, EEG all normal). Last seizure in 2005. Lapse in immunizations x 4 yrs until 2/4/08 - MMR, IPV, PCV given. At 8/13/08 - Varivax, HIB given at HA. Seizure - febrile on 9/30/08.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR
Symptoms: Parotitis, Swelling face
Clinical narrative: (R) parotitis. No fever, no rash. Presented with enlargement (R) cheek on exam. No enlargement at (R) parotid gland area.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: SM developed redness, swelling, pain in left arm, within 24 hours of receiving SC anthrax shot.
Age: 19.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: SM developed redness, swelling and pain at injection site each time she received the anthrax vaccine.
Age: 36.0
Sex: U
Vaccine: ANTH
Symptoms: Myalgia
Clinical narrative: SM developed generalized myalgias within 30 minutes of receiving each of his eight anthrax shots. Muscle aches lasted approximately one week. Motrin helped to keep pain tolerable. Was on quarters only once for muscle aches.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: SM developed redness, swelling, pain in triceps where he received his anthrax vaccine.
Age: 45.0
Sex: F
Vaccine: FLUX, HEPA, UNK
Symptoms: Arthralgia, Aspartate aminotransferase increased, Blood albumin decreased, Blood alkaline phosphatase increased, Blood sodium decreased
Clinical narrative: Fever, myalgias, arthralgias.  Progressed to dropping things at first from right hand and then left hand.  Had difficulty driving in particular braking.
Age: 45.0
Sex: F
Vaccine: FLUX, HEPA, UNK
Symptoms: Chest X-ray normal, Computerised tomogram normal, Culture negative, Electrocardiogram normal, Grip strength decreased
Clinical narrative: Fever, myalgias, arthralgias.  Progressed to dropping things at first from right hand and then left hand.  Had difficulty driving in particular braking.
Age: 45.0
Sex: F
Vaccine: FLUX, HEPA, UNK
Symptoms: Haematocrit decreased, Haemoglobin decreased, Impaired driving ability, Influenza serology negative, Monocyte percentage increased
Clinical narrative: Fever, myalgias, arthralgias.  Progressed to dropping things at first from right hand and then left hand.  Had difficulty driving in particular braking.
Age: 45.0
Sex: F
Vaccine: FLUX, HEPA, UNK
Symptoms: Myalgia, Pyrexia, Scan brain, White blood cell count normal
Clinical narrative: Fever, myalgias, arthralgias.  Progressed to dropping things at first from right hand and then left hand.  Had difficulty driving in particular braking.
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Body temperature increased, Convulsion, Eyelid oedema, Headache, Malaise
Clinical narrative: Siezures, eyelids swallen, could not see without experiencing headaches, feels ill when she wakes every morning.  Very rarely does she feel well anymore, has been running a low grade temp off and on since the shot was administered and eyelids still puff up with headaches. 10/24/08-records received for DOS 10/1/08-2nd Gardasil vaccine received, vasovagal episode no post-ictal sequelae. Similar reaction to 1st Gardasil vaccine. Office visit 10/7/08-C/O eyelid edematous. Well until 3 days prior. Painful to move eye. Runny nose, headache, malaise. Day after vaccination returned to normal. Assessment: periorbital edema.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: 12-14 hours after vaccine patient developed itchy rash on arm that spread to neck, trunk and legs
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Disturbance in attention, Headache, Myalgia, Nasal congestion
Clinical narrative: Aches experienced same day of inoculation. After 3 days of subclinical symptoms, systemic symptoms experienced.  Fever of 99-100 for over 2 days with continual headaches, myalgia, weakness, nasal congestion and inability to concentrate.
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Pain, Pyrexia
Clinical narrative: Aches experienced same day of inoculation. After 3 days of subclinical symptoms, systemic symptoms experienced.  Fever of 99-100 for over 2 days with continual headaches, myalgia, weakness, nasal congestion and inability to concentrate.
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain, Pyrexia
Clinical narrative: Patient developed redness and swelling at the injection site, complained of running a fever over the weekend 100.2 F after advil and body aches. Today Temp 97.2 F, 4" diameter of redness and 1" diameter of induration at injection site. Seen in our Occupational Medicaine department and pallitive care instructions given.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Hypoaesthesia, Lumbar puncture, Myelitis transverse, Neurological examination abnormal
Clinical narrative: Painful left arm within 45 minutes of shot.  Numbness and tingling started later that evening and was especially bothersome and painful the next morning, 10/10/08.  I said to my co-workers that I thought I was having a stroke.  Numbness in chest is significant.  Cannot feel collarbone area on left side.  Calf and thigh of left leg burn and tingle.  Ankles are numb.  Toes are numb, worse depending on foot/leg placement.  5/8/09 neurology records received DOS 10/17/08-3/13/09. FINAL DIAGNOSIS: Acute demyelinating encephalomyelitis (mild) Post-vaccination discomfort, numbness left shoulder. Numbness then spread to left arm, chest and leg. Diagonal diplopia and lightheadedness. Altered sensation to pinprick and light touch - left leg and anterior thorax. Left hip flexor weakness. New-onset headaches several months later. Intermittent arm and leg pain. Weakness noted left leg. Diplopia, hypertropia.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia, Scan brain
Clinical narrative: Painful left arm within 45 minutes of shot.  Numbness and tingling started later that evening and was especially bothersome and painful the next morning, 10/10/08.  I said to my co-workers that I thought I was having a stroke.  Numbness in chest is significant.  Cannot feel collarbone area on left side.  Calf and thigh of left leg burn and tingle.  Ankles are numb.  Toes are numb, worse depending on foot/leg placement.  5/8/09 neurology records received DOS 10/17/08-3/13/09. FINAL DIAGNOSIS: Acute demyelinating encephalomyelitis (mild) Post-vaccination discomfort, numbness left shoulder. Numbness then spread to left arm, chest and leg. Diagonal diplopia and lightheadedness. Altered sensation to pinprick and light touch - left leg and anterior thorax. Left hip flexor weakness. New-onset headaches several months later. Intermittent arm and leg pain. Weakness noted left leg. Diplopia, hypertropia.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Vomiting x one day
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: At injection site, took shot on Friday, by Saturday morning, was achy all over, entire arm where injection took place felt as though someone had hit me with a board, very sore could hardly use the arm, today Monday the 20th I still have a hard 3 inch in diameter spot, red, very itchy.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Pain
Clinical narrative: At injection site, took shot on Friday, by Saturday morning, was achy all over, entire arm where injection took place felt as though someone had hit me with a board, very sore could hardly use the arm, today Monday the 20th I still have a hard 3 inch in diameter spot, red, very itchy.
Age: 5.0
Sex: F
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Gave Boostrix to a 5yr old instead of DTAP.  CDC was contacted Referrence #166798793.  Information was also located in pink book.  Nothing else done.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram abnormal, Deep vein thrombosis, Oedema peripheral, Pain in extremity, Pulmonary embolism
Clinical narrative: Patient received Gardasil around 8/1/08 in left arm.  While attending a forum for high school students, she presented to ER on 10/19/08 with left arm swelling and pain.  Ultrasound demonstrated LUE DVT, and CT of chest showed small pulmonary emoboli.  Only other risk factor for DVT is birth control pills. 12/04/08-records received for DOS 10/19-10/23/08-DC DX:Left upper extremity deep venous thrombosis with a few very small pulmonary emboli identified in right lung as well on chest computerized tomography. Transient orthostatic hypotension. Thoracic outlet syndrome on left likely contributing to deep venous thrombosis. Oral birth control pills started within last 4-6 months-now discontinued. Presented to ED with acute swelling of left upper extremity. 2/26/09-office visit note for DOS 8/26/08 received follow-up visit for dysmenorrhea now improved.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound scan abnormal
Clinical narrative: Patient received Gardasil around 8/1/08 in left arm.  While attending a forum for high school students, she presented to ER on 10/19/08 with left arm swelling and pain.  Ultrasound demonstrated LUE DVT, and CT of chest showed small pulmonary emoboli.  Only other risk factor for DVT is birth control pills. 12/04/08-records received for DOS 10/19-10/23/08-DC DX:Left upper extremity deep venous thrombosis with a few very small pulmonary emboli identified in right lung as well on chest computerized tomography. Transient orthostatic hypotension. Thoracic outlet syndrome on left likely contributing to deep venous thrombosis. Oral birth control pills started within last 4-6 months-now discontinued. Presented to ED with acute swelling of left upper extremity. 2/26/09-office visit note for DOS 8/26/08 received follow-up visit for dysmenorrhea now improved.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Pt received immunization on 10/17/2008.  On 10/18/2008, pt noted itching and welts to left upper arm near injection site.  As this was a Saturday and our office was closed, she did not present to our office until Monday, 10/20/2008.  On this date, she did still have some minor welts present, however, she did states her symptoms had greatly improved from over the weekend.  Patient did have a golfball sized welt to her left inner arm which was pink in color.  Pt did report some itching to the area.  Pt also had a few smaller pink area to her upper arm which were much lighter in color.  Pt did not take any medication for the itching and symptomts were resolving on their own.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Biopsy, Injection site mass, Nuclear magnetic resonance imaging
Clinical narrative: I received Gardasil Vac. on August 15, 2008. I received the injection in my upper left arm. A(back side) 30 Days later I went to my Family Doctor for a growth that was right where I recieved the injection. Upper left arm. (back side). September 18 2008, I went to a surgeon September 26 2008 MRI, and then October 3 2008 I had Surgury. October 14 2008 had follow up with surgeon. She told me to tell the doctor who gave the injection to me. I did and they contacted Merck. Now I am telling you because I was told to. 11/12/08-records received for DOS 10/3/08-DX: Left upper arm mass. Left upper arm mass excision with biopsy.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Feeling abnormal, Headache, Heart rate increased
Clinical narrative: Itchiness and scab on skin where shot administered; heart beat faster than usual by abt 10 beats/min; weakness; general "awful" feeling, headache, dizziness
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site scab
Clinical narrative: Itchiness and scab on skin where shot administered; heart beat faster than usual by abt 10 beats/min; weakness; general "awful" feeling, headache, dizziness
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Rash generalised
Clinical narrative: Rash at site of injection LD given im. Rash moved down arm to back and then all body. When health dept called on 10 17/08 it was resolving. Did not go to Dr. or ER.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Pneumococcal vaccine given on 10-18-08 at approx. 1530.  Associate came back to the Infection Control office on 10-20-08 at 0900 with erythema, warmth, swelling and induration at injection site. Associate also reported a fever on the prev. day.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Employee states she developed itching and hives approximatley 20 minutes after receiving Influenza vaccine. Developed on hands, neck, face and was seen in the emergency room at hospital where employed.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Chest discomfort, Chills, Dyspnoea, Headache, Injection site erythema
Clinical narrative: Patient had redness, swelling, warmth, pain at injection site 1 hour after the immunization was given.  About 9 hours later, she felt some chest tightness with shortness of breath and palpitations.  She did not feel bad enough to go to ER.  She felt chills and had a headache also.  Patient felt the arm redness, swelling peaked around 48 hrs after the injection and began to subside.  When I saw her in the office today, about 72 hours later, her left deltoid was swollen, indurated, warm to touch, slightly tender  and the redness size was 8" x 5.5".  She was not wheezing.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Palpitations
Clinical narrative: Patient had redness, swelling, warmth, pain at injection site 1 hour after the immunization was given.  About 9 hours later, she felt some chest tightness with shortness of breath and palpitations.  She did not feel bad enough to go to ER.  She felt chills and had a headache also.  Patient felt the arm redness, swelling peaked around 48 hrs after the injection and began to subside.  When I saw her in the office today, about 72 hours later, her left deltoid was swollen, indurated, warm to touch, slightly tender  and the redness size was 8" x 5.5".  She was not wheezing.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Rash generalised
Clinical narrative: Vaccine administered on Oct. 7, 2008.  On October 16th, Parent brought child to clinic with compliants of a body rash that began one week prior to visit.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site reaction, Pain
Clinical narrative: Developed localized pain, redness and body aches approximatley 12- hours after receiving Td Vaccine. Seen in hospital ED where employed. 2.5cm area around site of injuection right deltoid
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Hypoaesthesia oral, Pain, Pharyngolaryngeal pain, Stomach discomfort
Clinical narrative: Swollen tongue, numbness of tongue, sore throat, difficulty swallowing, body aches, stomach upset, puffiness,
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling, Swollen tongue
Clinical narrative: Swollen tongue, numbness of tongue, sore throat, difficulty swallowing, body aches, stomach upset, puffiness,
Age: 10.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site swelling, Injection site warmth, Streptococcal infection
Clinical narrative: Site of injection became hot and swollen.  Client took her daughter to the doctor who diagnosed a Strep infection related to the injection site.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: Developed rash over back, chest, abdomen, upper arms, thighs, fever 104.  Started within 24 after injection.  Physician ordered steroids, cream and benadryl.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, No reaction on previous exposure to drug, Urticaria
Clinical narrative: Patient returned day after vaccine with erythema at site of vaccine and also with urticaria on arms, legs, chest and neck. Patient had previous flu vaccine with no reaction.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Fatigue, Headache, Heart rate increased, Injection site erythema
Clinical narrative: Received vaccine @ 2:15pm At 9:00 pm client describes having a hard time breathing/ heart beating fast/ headache and extreme lethargy. called ER did not go had no transportation. Symptoms seemed to be subsiding by 11:00 pm but remained very tired client stated.site has very large red area around it and sore to the touch.advisedto seek medical attention for follow up of symptoms.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Lethargy
Clinical narrative: Received vaccine @ 2:15pm At 9:00 pm client describes having a hard time breathing/ heart beating fast/ headache and extreme lethargy. called ER did not go had no transportation. Symptoms seemed to be subsiding by 11:00 pm but remained very tired client stated.site has very large red area around it and sore to the touch.advisedto seek medical attention for follow up of symptoms.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Swelling, Yellow skin
Clinical narrative: On 14 October I received a flu shot at my work from the traveling team.  I am a retiree and was authorized to get the shot.  It was administered by injection in my left arm by an individual.  I started noticing some swelling and small dark red areas as well as some yellow areas of the skin a few days ago.  Today is day six and the yellow area appears to be spreading down my arm and the red spots seem more pronounced. Today I visted Clinic to ask someone to take a look at it. LTC will see the patient. She said that he will not have to take any more flu shots. This is a moderate reaction.
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Patient's left arm red  at injection site and has hard place at site from injection.
Sex: F
Vaccine: FLU3
Symptoms: Blood test normal, Cardiac stress test, Chest discomfort, Computerised tomogram normal, Cough
Clinical narrative: Client reports vaccine administered approximately 9 AM.  At approximately 1315 PM client began to coughing and could not get the episode under control.  She reports her chest tightening and it became difficult to breath, then a tightening type pain in her jaws. Eyes became very bloodshot. Paramedics were called and client was transported via ambulance to the closest hospital one hour away.  The following test were preformed; CAT Scan, Doppler Study, X-rays, Kidney function test, Chemical Stress test and other unknow blood test were done, all test were negative.  Client recieve "nitro and steriods" while in the ER.  Client sent home the same evening, symptons subsided "late that evening".
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hypersensitivity, Ocular hyperaemia, Pain in jaw, Renal function test normal
Clinical narrative: Client reports vaccine administered approximately 9 AM.  At approximately 1315 PM client began to coughing and could not get the episode under control.  She reports her chest tightening and it became difficult to breath, then a tightening type pain in her jaws. Eyes became very bloodshot. Paramedics were called and client was transported via ambulance to the closest hospital one hour away.  The following test were preformed; CAT Scan, Doppler Study, X-rays, Kidney function test, Chemical Stress test and other unknow blood test were done, all test were negative.  Client recieve "nitro and steriods" while in the ER.  Client sent home the same evening, symptons subsided "late that evening".
Sex: F
Vaccine: FLU3
Symptoms: Ultrasound Doppler normal
Clinical narrative: Client reports vaccine administered approximately 9 AM.  At approximately 1315 PM client began to coughing and could not get the episode under control.  She reports her chest tightening and it became difficult to breath, then a tightening type pain in her jaws. Eyes became very bloodshot. Paramedics were called and client was transported via ambulance to the closest hospital one hour away.  The following test were preformed; CAT Scan, Doppler Study, X-rays, Kidney function test, Chemical Stress test and other unknow blood test were done, all test were negative.  Client recieve "nitro and steriods" while in the ER.  Client sent home the same evening, symptons subsided "late that evening".
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: 6 inch local injection site reaction, hard, painful, red, and itchy for one week following the injection.  Patient had previously experienced 5 episodes of very painful shingles.  New episode started on October 19th following vaccination on October 8th.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction
Clinical narrative: 6 inch local injection site reaction, hard, painful, red, and itchy for one week following the injection.  Patient had previously experienced 5 episodes of very painful shingles.  New episode started on October 19th following vaccination on October 8th.
Age: 76.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Was given the shingles shot on Wednesday, October 15.  Noticed on the 16th the site was red and was beginning to itch me.  Tried not to let it bother me, thinking this would only last a few days, but between the 16th and today, the 20th, the redness traveled around my arm, through the arm pit moving closer to my right breast, and up the right side of my neck.  It also appeared at the bend of the elbow.  The area is swollen and itches intensely!  Had no rise in temperature. Went to my doctor who prescribed the following:  Hydroxyz HCL 25 mg tablets Glen, cephalexin 500 mg cap.Ranb,and Prednisone 10 mg tablets West
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Culture wound, Intensive care
Clinical narrative: Patient to Emergency Department on 10/10/08. He was admitted for cellulitis and placed in ICU under airborn precautions.  The local health department was contacted the following day.  Hospital advised that it was likely a "robust take" and not cellulitis and recommended to discontinue the antibiotic. 11/3/08-records received for DOS 10/09-10/10/08-presented to ED with erythema, swelling and streaking which began 4 days prior. Fever 2 days ago and increased pain. DC: local necrotic reaction to small pox vaccine. Fever chills. Cellulitis at the injection site. Papules noted around cellulitis area with lymphangitic streaking to axilla.  Follow-up: No additional information is available.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: MOM C\O ERYTHEMA AND EDEMA TO R DELTOID OF CHILD- AREA APPROX 7 CM.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness ans sewlling to sight diminished with in 24 hours.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site rash, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Patient received flu shot on 9/26/08, 3 days later right arm was swollen, red, warm to touch, itchy and had a rash at the site of injection. She came to clinic on 10/20/08 and was treated with benadryl and prednisone 60mg po daily x 3 days.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Local reaction, Skin warm
Clinical narrative: Localized warmth and redness
Age: 24.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Post vaccination autoinoculation
Clinical narrative: Inadvertent Autoinoculation of Right Wrist
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose, Confusional state, Dysarthria, Dysstasia, Hyperhidrosis
Clinical narrative: Patient presented with the following adverse events moments after the vaccine was administered at  approximately 2:25pm.                                          -Perspiration, loss of mobility in right arm, inability to stand, confusion, nausea/vomiting, slurred speech, neck pain.                                             Patient was given the following treatment upon onset of symptoms beginning at approximately 2:30pm:                                           -Removed outer jacket and fanned patient to try to cool down, kept patient seated in chair with head upright, attempted BP check with little success, checked blood glucose (see section 12), continued trying to gather any information from patient regarding history of symptoms, allergies, medications, called EMS at approximately 2:35pm after seeing no improvement in symptoms.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Monoplegia, Nausea, Neck pain, Vomiting
Clinical narrative: Patient presented with the following adverse events moments after the vaccine was administered at  approximately 2:25pm.                                          -Perspiration, loss of mobility in right arm, inability to stand, confusion, nausea/vomiting, slurred speech, neck pain.                                             Patient was given the following treatment upon onset of symptoms beginning at approximately 2:30pm:                                           -Removed outer jacket and fanned patient to try to cool down, kept patient seated in chair with head upright, attempted BP check with little success, checked blood glucose (see section 12), continued trying to gather any information from patient regarding history of symptoms, allergies, medications, called EMS at approximately 2:35pm after seeing no improvement in symptoms.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Dysphonia, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Several hours later I felt like my heart was pounding way too hard and fast.  I felt very out of breath and dizzy.  My voice gets hoarse and I feel weak and sick.  I did not have these problems before the shot and do not have a family history.  I specifically asked for and wrote down a request for the 'fresh' shot without the preservatives as discussed with my doctor, but the nurse gave me the wrong shot by mistake.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Heart rate increased, Malaise, Palpitations
Clinical narrative: Several hours later I felt like my heart was pounding way too hard and fast.  I felt very out of breath and dizzy.  My voice gets hoarse and I feel weak and sick.  I did not have these problems before the shot and do not have a family history.  I specifically asked for and wrote down a request for the 'fresh' shot without the preservatives as discussed with my doctor, but the nurse gave me the wrong shot by mistake.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood test normal, CSF test normal, Computerised tomogram normal, Hypoaesthesia, Lumbar puncture
Clinical narrative: 5 days after injection, one arm went completely numb.  The day after that, the other arm went numb.  The day after that, she lost partial vision in one eye.  Went to local emergency, then to Hospital for 2 days.  Underwent MRI (brain) CAT scan (neck & spine), multiple blood tests, testing by an opthalmogogist, attempted lumbar puncture but it was unsuccessful.  All testing came back negative.  Symptoms lasted about a week, then slowly subsided, although she still had problems. Four weeks later, one leg went numb.  Had lumbar puncture, - testing came back negative.  10/31/2008 MR received for DOS 9/12-14/2008 with D/C DX:  Paresthesias. Pt presented with several day hx of numbness and tingling which 1st presented in R arm, then L. Sudden onset of loss of peripheral vision in L eye, L eye heaviness and blurred vision. Papilledema with blurred disc margins, decreased sensation of upper extremities and 4/5 strength noted on PE. (+) visual field defect. Pain noted in bilateral axillary area with active ROM and mastoid area intermittently. Ophth consult with Impression: Decreased visual field OS-no cause found. No papilledema. Tingling of extremities. Must r/o Lymes, MS etc.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging brain normal, Ophthalmological examination, Visual disturbance
Clinical narrative: 5 days after injection, one arm went completely numb.  The day after that, the other arm went numb.  The day after that, she lost partial vision in one eye.  Went to local emergency, then to Hospital for 2 days.  Underwent MRI (brain) CAT scan (neck & spine), multiple blood tests, testing by an opthalmogogist, attempted lumbar puncture but it was unsuccessful.  All testing came back negative.  Symptoms lasted about a week, then slowly subsided, although she still had problems. Four weeks later, one leg went numb.  Had lumbar puncture, - testing came back negative.  10/31/2008 MR received for DOS 9/12-14/2008 with D/C DX:  Paresthesias. Pt presented with several day hx of numbness and tingling which 1st presented in R arm, then L. Sudden onset of loss of peripheral vision in L eye, L eye heaviness and blurred vision. Papilledema with blurred disc margins, decreased sensation of upper extremities and 4/5 strength noted on PE. (+) visual field defect. Pain noted in bilateral axillary area with active ROM and mastoid area intermittently. Ophth consult with Impression: Decreased visual field OS-no cause found. No papilledema. Tingling of extremities. Must r/o Lymes, MS etc.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Erythema, Induration, Pain in extremity, Skin warm
Clinical narrative: Extreme pain, erythema, heat and induration distal to injection site (13x13 cm).  Onset slowly increasing within 4 hours of injection. Currently 16+ hours post injection
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Extreme pain, erythema, heat and induration distal to injection site (13x13 cm).  Onset slowly increasing within 4 hours of injection. Currently 16+ hours post injection
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: about 48 hours after injection, patient complained of pain in shoulder, lack of movement of shoulder .  Tx unknown.  Pt reports symptoms decreased with time and near normal movement on 10/18/08
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthenia, Heart rate increased, Pharyngolaryngeal pain, Pyrexia, Wheezing
Clinical narrative: weakness, fever, wheezing, fast heartbeat, sore throat for 24 hours. Given  Tylenol 1 1/2 tsp.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Blood test abnormal, Inappropriate schedule of drug administration, Injection site pain, Joint stiffness
Clinical narrative: 4/9/08 Recieved TDAP: normal soreness at injection site  4/18/08 Knees felt stiff and took effort to get up and down 4/19/08 Joint paint in knees, elbows, wrist, shoulers, ankles when used to apply force; could not function normally: opening objects, brush hair, climb steps, put on seat belt (took advil and did not help joint pain. no other symptoms) 4/20/08 went to E.R. Examined by intern: wanted to do blood work but had to check with attending first. Examined by attending: told me to take motrin and sent me home. (I am VERY frustrated at this point because nothing is helping the pain, and the ammount of money I spent at the E.R. to get no answers) 4/21/08 Joint pain was now in virtually every joint in body progressing to jaw, fingers, toes etc. Called Med Center to make appointment with my dr and couldn't get in until Wednesday 4/23/08 Joint pain was begining to go away...latest joint pain occurring was first to go away. Dr ordered blood work. 4/25/08 Joint pain was now localized where it originally started: knees and ankles. Blood work came back that my count for Rhematoid arthritis was over 40. It is now in October and I have not had any of the above signs or symptoms.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Rheumatoid arthritis
Clinical narrative: 4/9/08 Recieved TDAP: normal soreness at injection site  4/18/08 Knees felt stiff and took effort to get up and down 4/19/08 Joint paint in knees, elbows, wrist, shoulers, ankles when used to apply force; could not function normally: opening objects, brush hair, climb steps, put on seat belt (took advil and did not help joint pain. no other symptoms) 4/20/08 went to E.R. Examined by intern: wanted to do blood work but had to check with attending first. Examined by attending: told me to take motrin and sent me home. (I am VERY frustrated at this point because nothing is helping the pain, and the ammount of money I spent at the E.R. to get no answers) 4/21/08 Joint pain was now in virtually every joint in body progressing to jaw, fingers, toes etc. Called Med Center to make appointment with my dr and couldn't get in until Wednesday 4/23/08 Joint pain was begining to go away...latest joint pain occurring was first to go away. Dr ordered blood work. 4/25/08 Joint pain was now localized where it originally started: knees and ankles. Blood work came back that my count for Rhematoid arthritis was over 40. It is now in October and I have not had any of the above signs or symptoms.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pyrexia
Clinical narrative: High fever and significant nausea. Discontinued treatment (did not take the 2nd & 3rd doses).
Age: 1.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Varicella
Clinical narrative: Developed C-Pox, Rash
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Nausea, Vomiting
Clinical narrative: At 6:30 pm went out to dinner in restaurant.  Felt hot, dizzy and nauseated (did not eat) and vomited once.  Went for check up in ER.  BP normal.  No more problems.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: Patient presented to pharmacy on 10-18-08 stating he had cellulitis from his shot and wanted to know what we were going to do about it.  Verified per VAR firm that it was the PNEUMOVAX-23 in the left arm.  Arm was red, swollen and marked off with marker from the ER doctor.  Filled prescription for generic Keflex 500mg and generic Bactrim DS.  Patient paid for them.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: local swelling and erythema
Age: 62.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Chills, Erythema, Hypercholesterolaemia, Influenza like illness, Local reaction
Clinical narrative: Local reaction redness and swelling (L) Delt Body aches, flu like symptoms, chills for 48 hours. Also started LOVASTATIN for Chol and is still having chills, leg cramps.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Muscle spasms, Oedema peripheral, Pain, Restless legs syndrome
Clinical narrative: Local reaction redness and swelling (L) Delt Body aches, flu like symptoms, chills for 48 hours. Also started LOVASTATIN for Chol and is still having chills, leg cramps.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: Extreme Pounding / intense pain in left upper arm muscular area where injection was given has not decreased  in 5 days and  increases with arm movements .
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site pain
Clinical narrative: I received the flu vaccination on 10/15/08 in the atrium of NASA bldg 1100.  I experienced more than normal pain at the injection site and now am experiencing numbness on the upper portion of the left bicep.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Ear pain, Headache, Nausea, Pharyngolaryngeal pain
Clinical narrative: Headache, Sneeze, Earache, Sore throat, Nauseous, Coughing and running nose.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: Headache, Sneeze, Earache, Sore throat, Nauseous, Coughing and running nose.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling cold, Liver function test abnormal, Musculoskeletal chest pain, Nausea
Clinical narrative: Has cold, shiver, aches, the fever up to 102. Stayed in bed. Nausea, R rib pain.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Has cold, shiver, aches, the fever up to 102. Stayed in bed. Nausea, R rib pain.
Age: 1.45
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Pt had redness, swelling and hard lump in area vaccine was given.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Electrocardiogram normal, Malaise
Clinical narrative: Patient reported malaise and dizziness, since receiving T-DAP. Patient responded well to benedryl (50mg IM)
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Tendonitis
Clinical narrative: Flu vaccine on 9/25/08.  Pain at injection site after 24 hours.  "Symptoms of Tendonitis".  Still painful approximately 1 month later.  Limits ROM above shoulder one month later.  Will see doctor if persists.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Myalgia
Clinical narrative: Got Flu shot on 9/25/08: Pain at injection site "like sore muscle"- Difficulty moving arm and shoulder past a certain point (upwards)
Age: 65.0
Sex: F
Vaccine: FLU3, HEP, HEPA, TYP
Symptoms: Injected limb mobility decreased, Pain in extremity, Tendonitis
Clinical narrative: 65 year old patient received HEP A & B in left deltoid and Typhim VI fluvirin in right deltoid on 4/16/08.  Flu HEP B 5/15/08.  Patient did not report symptoms until 10/15/08 - presently pain, decreased ROM - chest exam consistent with brachial right tendonitis.  *Note patient has significant history for repetitive movement - Navajo rug weaver and swimming.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache
Clinical narrative: Pt reported dizziness, light headedness in about 15-20 minutes following vaccination. Also reported feeling headache coming on 1/2 hour after vaccine.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Contusion, Pain
Clinical narrative: Patient Reported Half dollar size bruise on arm approx 12 hrs after injection with moderate s0reness, Protocol Physicians nurse said to use warm compress and Tylenol pm,  Adult.
Age: 0.2
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Patient had redness and swelling at area where vaccine was given.  Patient complained of arm feeling hot in same area.  Patient was given medication for swelling.
Age: 36.0
Sex: M
Vaccine: JEV
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: 3" diameter, itchy rash around the injection site 3 days post injection.  This was his 2nd dose of J-VAX
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Injection site swelling, Myalgia, Pyrexia
Clinical narrative: Temp 104.7. Fever started approx 3 hours after getting immunizations upper lateral arms very firm, slightly swollen
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Body temperature increased, Injection site induration, Injection site swelling
Clinical narrative: Temp 104.7. Fever started approx 3 hours after getting immunizations upper lateral arms very firm, slightly swollen